Regional Medical Center — Pricing

731 procedures published in this hospital's Machine-Readable File (MRF) — 731 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 731
Lowest published price $1,952
Average published price $144,241
Highest published price $2,158,319

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 731 procedures

Published charges

Showing all 731 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 35 procedures, this hospital's negotiated rates average ≈372% 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 $2,158,319 $1,510,823 $371,366 +481% $371,366 +481% —
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $1,771,782 $1,240,247 $412,183 +330% $306,087 +479% —
031 Ventricular Shunt Procedures With McC $1,630,528 — $81,298 +1906% $72,962 +2135% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $1,469,995 $1,028,996 $131,961 +1014% $131,961 +1014% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $1,345,989 — $77,041 +1647% $61,832 +2077% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck Without Major O.R. Procedures $1,317,479 $922,235 $248,521 +430% $248,521 +430% —
790 Extreme Immaturity Or Respiratory Distress Syndrome Neonate $1,096,298 $767,409 $107,269 +922% $80,018 +1270% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $993,860 — $70,371 +1312% $70,371 +1312% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $915,976 $641,183 $114,040 +703% $108,472 +744% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $911,018 $637,713 $106,057 +759% $106,057 +759% —
955 Craniotomy For Multiple Significant Trauma $801,678 $561,174 $125,675 +538% $102,600 +681% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $675,283 $472,698 $114,401 +490% $98,912 +583% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $664,699 $465,289 $175,437 +279% $188,171 +253% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC $643,672 $450,570 $125,432 +413% $89,353 +620% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $639,772 $447,840 $116,058 +451% $116,058 +451% —
456 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With McC $628,515 $439,960 $153,282 +310% $153,282 +310% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $623,535 $436,474 $121,714 +412% $123,995 +403% —
232 Coronary Bypass With Ptca Without McC $607,879 $425,516 $115,839 +425% $115,839 +425% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $586,806 $410,765 $102,573 +472% $102,573 +472% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $579,361 $405,552 $101,566 +470% $90,401 +541% —
231 Coronary Bypass With Ptca With McC $577,282 $404,098 $155,631 +271% $147,227 +292% —
012 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc $555,491 $388,844 $79,836 +596% $79,836 +596% —
235 Coronary Bypass Without Cardiac Catheterization With McC $552,187 $386,531 $112,062 +393% $112,062 +393% —
905 Skin Grafts For Injuries Without Cc/McC $549,893 — $36,589 +1403% $25,197 +2082% —
969 Hiv With Extensive O.R. Procedures With McC $549,093 $384,365 $117,196 +369% $109,331 +402% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $544,386 $381,070 $136,374 +299% $120,573 +351% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $526,418 $368,493 $148,686 +254% $148,686 +254% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $525,275 $367,692 $124,290 +323% $148,832 +253% ≈547% of Medicare
791 Prematurity With Major Problems $521,420 $364,994 $70,373 +641% $42,679 +1122% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $520,936 $364,655 $125,242 +316% $125,242 +316% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $511,510 $358,057 $143,242 +257% $143,242 +257% —
163 Major Chest Procedures With McC $501,052 $350,736 $88,341 +467% $90,195 +456% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $498,122 $348,686 $64,956 +667% $72,424 +588% —
028 Spinal Procedures With McC $491,423 $343,996 $113,077 +335% $113,077 +335% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $473,669 $331,568 $113,157 +319% $103,455 +358% —
834 Acute Leukemia Without Major O.R. Procedures With McC $470,901 $329,631 $100,245 +370% $85,566 +450% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $466,968 $326,878 $68,639 +580% $68,639 +580% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $463,112 $324,178 $144,569 +220% $144,569 +220% —
453 Combined Anterior And Posterior Spinal Fusion With McC $460,846 $322,592 $23,289 +1879% $103,861 +344% —
270 Other Major Cardiovascular Procedures With McC $450,696 $315,487 $99,423 +353% $99,423 +353% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $445,763 $312,034 $55,594 +702% $47,945 +830% —
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/McC $445,303 $311,712 $66,572 +569% $44,472 +901% —
332 Rectal Resection With McC $444,005 $310,804 $69,152 +542% $58,125 +664% —
215 Other Heart Assist System Implant $439,158 $307,411 $191,314 +130% $208,939 +110% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $433,393 $303,375 $91,495 +374% $77,055 +462% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $427,067 $298,947 $101,662 +320% $89,207 +379% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $419,505 $293,653 $67,560 +521% $59,533 +605% —
166 Other Respiratory System O.R. Procedures With McC $418,919 $293,243 $75,573 +454% $75,573 +454% —
789 Neonates Died Or Transferred To Another Acute Care Facility $406,749 $284,724 $28,935 +1306% $16,351 +2388% —
459 Spinal Fusion Except Cervical With McC $405,032 $283,523 $23,289 +1639% $75,251 +438% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $404,762 $283,334 $108,750 +272% $96,192 +321% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $403,791 $282,653 $74,755 +440% $74,755 +440% —
242 Permanent Cardiac Pacemaker Implant With McC $403,590 $282,513 $70,132 +475% $70,132 +475% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $395,860 $277,102 $43,749 +805% $42,901 +823% —
052 Spinal Disorders And Injuries With Cc/McC $395,369 $276,758 $41,111 +862% $32,031 +1134% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $394,560 $276,192 $102,177 +286% $111,320 +254% —
276 Cardiac Defibrillator Implant With McC $394,169 $275,918 $117,280 +236% $117,280 +236% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $372,264 $260,585 $94,937 +292% $93,172 +300% ≈478% of Medicare
326 Stomach Esophageal And Duodenal Procedures With McC $370,686 $259,480 $96,245 +285% $80,793 +359% —
273 Percutaneous And Other Intracardiac Procedures With McC $367,360 $257,152 $78,852 +366% $78,852 +366% —
228 Other Cardiothoracic Procedures With McC $364,712 $255,298 $96,905 +276% $96,905 +276% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $364,454 $255,118 $95,536 +281% $93,390 +290% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $362,882 $254,018 $106,778 +240% $106,778 +240% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $354,684 $248,279 $82,247 +331% $82,247 +331% —
454 Combined Anterior And Posterior Spinal Fusion With Cc $350,227 $245,159 $36,442 +861% $69,101 +407% —
011 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With McC $344,159 $240,912 $101,576 +239% $101,576 +239% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $342,368 $239,658 $64,194 +433% $55,289 +519% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $336,677 $235,674 $79,225 +325% $79,225 +325% —
277 Cardiac Defibrillator Implant Without McC $336,168 $235,317 $91,329 +268% $91,329 +268% —
283 Acute Myocardial Infarction Expired With McC $334,974 $234,482 $40,150 +734% $39,955 +738% —
963 Other Multiple Significant Trauma With McC $328,890 $230,223 $52,959 +521% $43,491 +656% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $325,775 $228,042 $113,855 +186% $113,855 +186% —
913 Traumatic Injury With McC $317,747 — $34,479 +822% $24,198 +1213% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $316,532 $221,572 $84,725 +274% $101,510 +212% —
614 Adrenal And Pituitary Procedures With Cc/McC $313,485 $219,440 $49,137 +538% $48,349 +548% —
956 Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma $312,675 $218,872 $75,103 +316% $75,103 +316% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $310,407 $217,285 $90,331 +244% $90,331 +244% —
140 Major Head And Neck Procedures With McC $305,531 $213,872 $84,217 +263% $60,098 +408% —
329 Major Small And Large Bowel Procedures With McC $295,420 $206,794 $88,050 +236% $88,050 +236% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $291,672 $204,170 $77,770 +275% $62,300 +368% —
945 Rehabilitation With Cc/McC $288,858 — $32,934 +777% $23,834 +1112% —
265 Aicd Lead Procedures $286,959 $200,871 $70,810 +305% $63,171 +354% —
500 Soft Tissue Procedures With McC $286,593 $200,615 $64,105 +347% $61,872 +363% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $284,667 $199,267 $90,775 +214% $90,775 +214% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $284,576 $199,203 $88,307 +222% $88,307 +222% —
356 Other Digestive System O.R. Procedures With McC $284,321 $199,024 $82,561 +244% $82,561 +244% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $279,519 $195,664 $97,241 +187% $93,238 +200% —
471 Cervical Spinal Fusion With McC $279,416 $195,591 $92,515 +202% $92,515 +202% —
344 Minor Small And Large Bowel Procedures With McC $278,946 $195,262 $56,127 +397% $44,546 +526% —
460 Spinal Fusion Except Cervical Without McC $276,758 $193,731 $35,899 +671% $51,625 +436% —
458 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions Without Cc/McC $273,568 $191,498 $83,441 +228% $83,441 +228% —
263 Vein Ligation And Stripping $268,046 $187,632 $55,918 +379% $51,253 +423% —
038 Extracranial Procedures With Cc $264,744 $185,321 $35,770 +640% $35,770 +640% —
056 Degenerative Nervous System Disorders With McC $263,033 $184,123 $49,382 +433% $39,973 +558% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $261,955 $183,368 $47,583 +451% $47,583 +451% —
949 Aftercare With Cc/McC $259,498 — $23,953 +983% $23,953 +983% —
245 Aicd Generator Procedures $255,112 $178,578 $95,281 +168% $72,076 +254% —
288 Acute And Subacute Endocarditis With McC $254,639 $178,248 $53,208 +379% $50,618 +403% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $254,536 $178,175 $89,523 +184% $87,761 +190% —
799 Splenic Procedures With McC $253,426 $177,398 $90,790 +179% $82,218 +208% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $252,562 $176,794 $53,274 +374% $49,423 +411% —
907 Other O.R. Procedures For Injuries With McC $250,619 $175,433 $77,817 +222% $77,817 +222% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $250,342 $175,239 $71,092 +252% $71,092 +252% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $248,893 $174,225 $43,631 +470% $43,631 +470% —
040 Peripheral Cranial Nerve And Other Nervous System Procedures With McC $245,570 $171,899 $74,257 +231% $74,257 +231% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $244,827 $171,379 $69,743 +251% $69,743 +251% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $243,255 $170,279 $60,959 +299% $81,706 +198% —
883 Disorders Of Personality And Impulse Control $242,775 $242,775 $38,443 +532% $23,206 +946% —
472 Cervical Spinal Fusion With Cc $242,576 $169,803 $59,537 +307% $59,537 +307% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $241,509 $169,056 $79,939 +202% $73,120 +230% —
974 Hiv With Major Related Condition With McC $240,988 $168,692 $57,493 +319% $46,402 +419% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $239,717 $167,802 $69,724 +244% $66,068 +263% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $239,684 $167,779 $64,523 +271% $64,523 +271% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $238,639 $167,048 $86,246 +177% $84,692 +182% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $238,564 $166,995 $86,699 +175% $76,001 +214% —
668 Transurethral Procedures With McC $233,796 $163,657 $59,859 +291% $51,608 +353% —
034 Carotid Artery Stent Procedures With McC $231,004 $161,703 $76,219 +203% $76,219 +203% —
272 Other Major Cardiovascular Procedures Without Cc/McC $229,153 $160,407 $55,162 +315% $55,162 +315% —
286 Circulatory Disorders Except Ami With Cardiac Catheterization With McC $228,785 $160,150 $44,489 +414% $46,283 +394% —
357 Other Digestive System O.R. Procedures With Cc $228,727 $160,109 $48,682 +370% $48,682 +370% —
335 Peritoneal Adhesiolysis With McC $226,479 $158,535 $71,755 +216% $71,755 +216% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $225,982 $158,188 $60,402 +274% $58,228 +288% —
037 Extracranial Procedures With McC $224,730 $157,311 $66,666 +237% $66,666 +237% —
579 Other Skin Subcutaneous Tissue And Breast Procedures With McC $222,106 $155,474 $65,631 +238% $58,745 +278% —
835 Acute Leukemia Without Major O.R. Procedures With Cc $221,468 $155,028 $43,187 +413% $35,569 +523% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $216,717 $151,702 $67,268 +222% $67,268 +222% —
570 Skin Debridement With McC $215,109 $150,576 $63,709 +238% $52,435 +310% —
274 Percutaneous And Other Intracardiac Procedures Without McC $211,319 $147,924 $65,573 +222% $65,573 +222% —
229 Other Cardiothoracic Procedures Without McC $210,446 $147,312 $65,325 +222% $65,325 +222% —
606 Minor Skin Disorders With McC $207,820 $145,474 $34,344 +505% $27,975 +643% —
035 Carotid Artery Stent Procedures With Cc $200,718 $140,503 $49,066 +309% $49,066 +309% —
800 Splenic Procedures With Cc $200,696 $140,487 $59,817 +236% $49,184 +308% —
616 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With McC $200,267 $140,187 $75,820 +164% $66,685 +200% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $200,038 $140,027 $48,353 +314% $47,789 +319% —
271 Other Major Cardiovascular Procedures With Cc $198,706 $139,094 $71,014 +180% $71,014 +180% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $198,319 $138,823 $40,163 +394% $58,809 +237% —
467 Revision Of Hip Or Knee Replacement With Cc $196,845 $137,791 $68,421 +188% $70,847 +178% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $196,212 $137,348 $62,334 +215% $70,467 +178% —
492 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With McC $195,943 $137,160 $70,540 +178% $70,564 +178% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $195,127 $136,589 $59,790 +226% $59,790 +226% —
405 Pancreas Liver And Shunt Procedures With McC $194,563 $136,194 $102,128 +91% $102,128 +91% —
057 Degenerative Nervous System Disorders Without McC $192,370 $134,659 $29,623 +549% $27,543 +598% —
041 Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $190,765 $133,536 $50,131 +281% $49,418 +286% —
330 Major Small And Large Bowel Procedures With Cc $185,628 $129,940 $50,562 +267% $59,500 +212% —
030 Spinal Procedures Without Cc/McC $185,179 $129,626 $48,235 +284% $45,866 +304% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $184,877 $129,414 $54,583 +239% $54,583 +239% —
164 Major Chest Procedures With Cc $184,793 $129,355 $53,141 +248% $56,755 +226% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $184,634 $129,244 $47,089 +292% $45,877 +302% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $181,878 $127,315 $66,976 +172% $63,928 +185% —
457 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With Cc $181,702 $127,191 $107,355 +69% $107,355 +69% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $181,039 $126,728 $23,289 +677% $56,836 +219% —
480 Hip And Femur Procedures Except Major Joint With McC $180,661 $126,463 $60,274 +200% $65,653 +175% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $178,753 $125,127 $92,217 +94% $92,217 +94% —
674 Other Kidney And Urinary Tract Procedures With Cc $176,996 $123,897 $49,631 +257% $50,394 +251% —
655 Major Bladder Procedures Without Cc/McC $176,969 $123,878 $45,743 +287% $43,174 +310% —
686 Kidney And Urinary Tract Neoplasms With McC $173,467 $121,427 $38,978 +345% $37,844 +358% —
253 Other Vascular Procedures With Cc $172,395 $120,676 $53,746 +221% $57,454 +200% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $172,127 $120,489 $68,653 +151% $68,653 +151% —
085 Traumatic Stupor And Coma <1 Hour With McC $170,693 $119,485 $45,376 +276% $41,892 +307% —
420 Hepatobiliary Diagnostic Procedures With McC $170,573 $119,401 $70,175 +143% $50,919 +235% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $170,287 $119,201 $62,677 +172% $53,864 +216% —
199 Pneumothorax With McC $169,658 $118,761 $36,952 +359% $33,787 +402% —
135 Sinus And Mastoid Procedures With Cc/McC $169,300 $118,510 $51,359 +230% $42,186 +301% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $168,977 $118,284 $34,689 +387% $46,295 +265% —
654 Major Bladder Procedures With Cc $168,759 $118,131 $58,274 +190% $58,274 +190% —
904 Skin Grafts For Injuries With Cc/McC $168,403 $117,882 $75,754 +122% $59,594 +183% —
252 Other Vascular Procedures With McC $167,394 $117,176 $68,508 +144% $68,508 +144% —
999 Ungroupable $167,035 $116,925 $17,953 +830% $29,674 +463% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $165,114 $115,580 $62,821 +163% $62,821 +163% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $165,038 $115,527 $66,819 +147% $71,464 +131% —
243 Permanent Cardiac Pacemaker Implant With Cc $164,288 $115,002 $50,011 +229% $50,011 +229% —
466 Revision Of Hip Or Knee Replacement With McC $164,234 $114,964 $96,507 +70% $96,507 +70% —
560 Aftercare Musculoskeletal System And Connective Tissue With Cc $161,963 $113,374 $25,279 +541% $25,279 +541% —
509 Arthroscopy $160,713 $112,499 $38,998 +312% $25,994 +518% —
082 Traumatic Stupor And Coma >1 Hour With McC $160,700 $112,490 $46,288 +247% $36,489 +340% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $160,571 $112,400 $91,138 +76% $90,724 +77% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $160,341 $112,239 $83,065 +93% $85,159 +88% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $159,490 $111,643 $33,519 +376% $30,770 +418% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $159,095 $111,366 $50,498 +215% $50,498 +215% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $158,660 $111,062 $52,405 +203% $52,405 +203% ≈322% of Medicare
180 Respiratory Neoplasms With McC $157,711 $110,398 $36,658 +330% $36,658 +330% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $157,078 $109,955 $43,775 +259% $44,139 +256% —
055 Nervous System Neoplasms Without McC $155,916 $109,141 $24,220 +544% $20,926 +645% —
504 Foot Procedures With Cc $155,828 $109,079 $38,960 +300% $38,960 +300% —
559 Aftercare Musculoskeletal System And Connective Tissue With McC $155,726 $109,008 $38,483 +305% $33,047 +371% —
561 Aftercare Musculoskeletal System And Connective Tissue Without Cc/McC $155,321 $108,725 $18,150 +756% $18,150 +756% —
350 Inguinal And Femoral Hernia Procedures With McC $155,265 $108,685 $51,487 +202% $50,046 +210% —
284 Acute Myocardial Infarction Expired With Cc $154,592 $108,214 $16,450 +840% $16,450 +840% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $151,802 $106,262 $40,719 +273% $39,106 +288% ≈486% of Medicare
622 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With McC $150,744 $105,521 $73,751 +104% $61,470 +145% —
259 Cardiac Pacemaker Device Replacement Without McC $150,658 $105,460 $39,020 +286% $39,020 +286% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $150,626 $105,438 $43,800 +244% $43,800 +244% —
950 Aftercare Without Cc/McC $149,145 $104,402 $13,527 +1003% $13,527 +1003% —
653 Major Bladder Procedures With McC $148,989 $104,292 $104,583 +42% $104,583 +42% —
734 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/McC $146,811 $102,768 $46,172 +218% $42,795 +243% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $145,922 $102,145 $25,820 +465% $23,443 +522% —
167 Other Respiratory System O.R. Procedures With Cc $145,115 $101,580 $40,563 +258% $40,642 +257% —
673 Other Kidney And Urinary Tract Procedures With McC $144,845 $101,392 $81,281 +78% $77,990 +86% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $144,496 $101,147 $44,639 +224% $46,090 +214% —
053 Spinal Disorders And Injuries Without Cc/McC $142,937 $100,056 $20,455 +599% $20,455 +599% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $142,446 $99,712 $47,452 +200% $45,333 +214% —
643 Endocrine Disorders With McC $142,320 $99,624 $35,135 +305% $33,563 +324% —
254 Other Vascular Procedures Without Cc/McC $141,946 $99,363 $38,836 +266% $38,836 +266% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $141,709 $99,196 $65,788 +115% $65,788 +115% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $140,881 $98,617 $40,063 +252% $41,591 +239% —
091 Other Disorders Of Nervous System With McC $139,732 $97,812 $37,921 +268% $37,387 +274% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $139,700 $97,790 $33,137 +322% $33,393 +318% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $139,311 $97,517 $71,106 +96% $66,711 +109% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $139,132 $97,393 $50,139 +177% $50,139 +177% —
593 Skin Ulcers With Cc $137,710 $96,397 $27,143 +407% $22,886 +502% —
481 Hip And Femur Procedures Except Major Joint With Cc $137,092 $95,964 $45,703 +200% $52,751 +160% ≈409% of Medicare
397 Appendix Procedures With McC $136,058 $95,240 $54,751 +149% $53,257 +155% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $136,034 $95,224 $51,339 +165% $59,629 +128% —
374 Digestive Malignancy With McC $135,825 $95,078 $42,775 +218% $39,958 +240% —
545 Connective Tissue Disorders With McC $135,669 $94,968 $49,765 +173% $40,362 +236% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $135,138 $94,596 $53,666 +152% $58,707 +130% —
061 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $133,984 $93,789 $52,735 +154% $62,264 +115% —
615 Adrenal And Pituitary Procedures Without Cc/McC $133,916 $93,741 $31,812 +321% $32,833 +308% —
915 Allergic Reactions With McC $133,645 $93,552 $36,491 +266% $32,645 +309% —
903 Wound Debridements For Injuries Without Cc/McC $133,421 $93,395 $27,063 +393% $25,581 +422% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $132,960 $93,072 $51,985 +156% $51,985 +156% —
557 Tendonitis Myositis And Bursitis With McC $132,398 $92,679 $33,325 +297% $32,877 +303% —
503 Foot Procedures With McC $132,099 $92,469 $55,321 +139% $47,540 +178% —
432 Cirrhosis And Alcoholic Hepatitis With McC $131,319 $91,923 $40,213 +227% $40,213 +227% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $130,473 $91,331 $43,913 +197% $43,913 +197% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $129,956 $90,969 $46,799 +178% $58,280 +123% —
814 Reticuloendothelial And Immunity Disorders With McC $126,994 $88,896 $42,423 +199% $33,851 +275% —
406 Pancreas Liver And Shunt Procedures With Cc $125,923 $88,146 $58,043 +117% $58,043 +117% —
116 Intraocular Procedures With Cc/McC $125,871 $88,110 $37,042 +240% $29,126 +332% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $125,330 $87,731 $44,357 +183% $43,943 +185% —
327 Stomach Esophageal And Duodenal Procedures With Cc $124,110 $86,877 $51,645 +140% $59,421 +109% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $123,142 $86,199 $29,805 +313% $29,805 +313% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $122,894 $86,026 $70,026 +75% $56,964 +116% —
147 Ear Nose Mouth And Throat Malignancy With Cc $122,758 $85,931 $27,634 +344% $22,851 +437% —
411 Cholecystectomy With C.D.E. With McC $122,357 $85,650 $56,832 +115% $48,358 +153% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $121,985 $85,390 $46,477 +162% $49,351 +147% —
421 Hepatobiliary Diagnostic Procedures With Cc $121,911 $85,337 $36,354 +235% $36,354 +235% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $121,240 $84,868 $37,950 +219% $37,950 +219% —
628 Other Endocrine Nutritional And Metabolic O.R. Procedures With McC $120,891 $84,624 $77,178 +57% $71,795 +68% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $120,719 $84,503 $31,816 +279% $35,465 +240% —
493 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc $120,144 $84,101 $51,189 +135% $59,651 +101% —
754 Malignancy Female Reproductive System With McC $119,392 $83,574 $37,692 +217% $32,433 +268% —
584 Breast Biopsy Local Excision And Other Breast Procedures With Cc/McC $119,194 $83,436 $45,240 +163% $35,030 +240% —
510 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With McC $119,137 $83,396 $58,880 +102% $49,839 +139% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $118,915 $83,240 $33,653 +253% $33,653 +253% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $118,631 $83,042 $40,263 +195% $35,628 +233% ≈380% of Medicare
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $118,200 $82,740 $30,959 +282% $30,959 +282% —
141 Major Head And Neck Procedures With Cc $118,168 $82,717 $47,696 +148% $37,267 +217% —
197 Interstitial Lung Disease With Cc $117,930 $82,551 $21,977 +437% $21,941 +437% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $117,808 $82,465 $54,929 +114% $54,929 +114% —
511 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc $116,936 $81,855 $43,538 +169% $43,538 +169% —
258 Cardiac Pacemaker Device Replacement With McC $116,388 $81,472 $60,265 +93% $52,986 +120% —
656 Kidney And Ureter Procedures For Neoplasm With McC $114,911 $80,438 $65,608 +75% $65,608 +75% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $114,352 $80,047 $28,651 +299% $22,811 +401% —
264 Other Circulatory System O.R. Procedures $114,207 $79,945 $69,597 +64% $51,953 +120% —
165 Major Chest Procedures Without Cc/McC $114,153 $79,907 $41,380 +176% $46,340 +146% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $114,025 $79,817 $50,777 +125% $53,451 +113% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $113,742 $79,620 $38,631 +194% $36,792 +209% —
314 Other Circulatory System Diagnoses With McC $113,365 $79,356 $43,483 +161% $38,666 +193% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $113,086 $79,160 $44,363 +155% $44,363 +155% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $112,302 $78,611 $47,583 +136% $41,620 +170% —
205 Other Respiratory System Diagnoses With McC $111,301 $77,911 $39,013 +185% $33,255 +235% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $110,432 $77,302 $38,308 +188% $30,243 +265% —
964 Other Multiple Significant Trauma With Cc $110,140 $77,098 $32,490 +239% $27,394 +302% —
115 Extraocular Procedures Except Orbit $109,922 $76,946 $33,987 +223% $25,703 +328% —
444 Disorders Of The Biliary Tract With McC $109,921 $76,945 $35,591 +209% $34,273 +221% —
473 Cervical Spinal Fusion Without Cc/McC $109,244 $76,471 $50,624 +116% $50,624 +116% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $109,090 $76,363 $69,701 +57% $62,583 +74% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $109,024 $76,317 $54,273 +101% $52,178 +109% —
380 Complicated Peptic Ulcer With McC $108,853 $76,197 $39,627 +175% $39,627 +175% —
662 Minor Bladder Procedures With McC $108,780 $76,146 $63,279 +72% $54,562 +99% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $108,511 $75,958 $54,345 +100% $45,167 +140% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $108,282 $75,797 $54,815 +98% $46,453 +133% —
280 Acute Myocardial Infarction Discharged Alive With McC $108,213 $75,749 $34,867 +210% $30,828 +251% ≈434% of Medicare
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $107,650 $75,355 $49,209 +119% $42,415 +154% —
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC $107,630 $75,341 $31,508 +242% $22,620 +376% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $107,560 $75,292 $38,094 +182% $38,094 +182% —
385 Inflammatory Bowel Disease With McC $107,504 $75,253 $34,588 +211% $27,617 +289% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $107,111 $74,978 $40,583 +164% $43,298 +147% —
617 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With Cc $106,866 $74,806 $42,881 +149% $42,881 +149% —
597 Malignant Breast Disorders With McC $106,475 $74,533 $36,807 +189% $33,386 +219% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $106,308 $74,416 $39,515 +169% $39,515 +169% —
347 Anal And Stomal Procedures With McC $106,261 $74,383 $50,614 +110% $40,548 +162% —
669 Transurethral Procedures With Cc $106,197 $74,338 $34,354 +209% $34,354 +209% —
368 Major Esophageal Disorders With McC $105,924 $74,147 $35,349 +200% $33,876 +213% —
186 Pleural Effusion With McC $105,809 $74,066 $33,834 +213% $33,834 +213% —
331 Major Small And Large Bowel Procedures Without Cc/McC $105,163 $73,614 $36,651 +187% $44,117 +138% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $104,495 $73,147 $43,027 +143% $37,240 +181% —
063 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $104,447 $73,113 $30,887 +238% $39,887 +162% —
539 Osteomyelitis With McC $104,189 $72,932 $41,277 +152% $37,609 +177% —
505 Foot Procedures Without Cc/McC $104,073 $72,851 $38,960 +167% $34,937 +198% —
553 Bone Diseases And Arthropathies With McC $102,520 $71,764 $28,993 +254% $26,051 +294% —
625 Thyroid Parathyroid And Thyroglossal Procedures With McC $102,314 $71,620 $59,031 +73% $59,031 +73% —
840 Lymphoma And Non-Acute Leukemia With McC $102,251 $71,576 $60,905 +68% $49,710 +106% —
935 Non-Extensive Burns $102,119 $71,483 $43,274 +136% $31,701 +222% —
039 Extracranial Procedures Without Cc/McC $102,085 $71,459 $25,267 +304% $26,618 +284% —
571 Skin Debridement With Cc $101,698 $71,189 $37,169 +174% $37,169 +174% —
441 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With McC $101,613 $71,129 $39,057 +160% $33,985 +199% —
036 Carotid Artery Stent Procedures Without Cc/McC $101,433 $71,003 $40,694 +149% $40,694 +149% —
070 Nonspecific Cerebrovascular Disorders With McC $101,358 $70,950 $36,506 +178% $31,951 +217% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $101,350 $70,945 $27,492 +269% $28,320 +258% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $100,839 $70,587 $44,326 +127% $29,611 +241% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $100,244 $70,170 $24,544 +308% $24,544 +308% —
143 Other Ear Nose Mouth And Throat O.R. Procedures With McC $100,073 $70,051 $68,616 +46% $52,908 +89% —
077 Hypertensive Encephalopathy With McC $99,631 $69,742 $33,267 +199% $24,550 +306% —
412 Cholecystectomy With C.D.E. With Cc $99,492 $69,644 $46,657 +113% $42,906 +132% —
841 Lymphoma And Non-Acute Leukemia With Cc $99,122 $69,385 $33,633 +195% $33,633 +195% —
906 Hand Procedures For Injuries $98,898 $69,229 $47,513 +108% $32,065 +208% —
142 Major Head And Neck Procedures Without Cc/McC $98,857 $69,200 $34,906 +183% $34,906 +183% —
620 O.R. Procedures For Obesity With Cc $98,641 $69,048 $35,453 +178% $35,453 +178% —
407 Pancreas Liver And Shunt Procedures Without Cc/McC $97,895 $68,527 $46,727 +110% $46,727 +110% —
377 Gastrointestinal Hemorrhage With McC $97,684 $68,379 $37,842 +158% $37,842 +158% —
333 Rectal Resection With Cc $97,182 $68,027 $46,551 +109% $37,154 +162% —
080 Nontraumatic Stupor And Coma With McC $97,003 $67,902 $40,695 +138% $36,249 +168% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $96,944 $67,861 $35,584 +172% $35,584 +172% —
624 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $96,860 $67,802 $22,268 +335% $17,737 +446% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $96,705 $67,694 $41,191 +135% $36,670 +164% —
908 Other O.R. Procedures For Injuries With Cc $96,286 $67,400 $44,730 +115% $42,914 +124% —
083 Traumatic Stupor And Coma >1 Hour With Cc $96,019 $67,213 $30,645 +213% $27,285 +252% —
548 Septic Arthritis With McC $95,911 $67,137 $41,146 +133% $31,346 +206% —
501 Soft Tissue Procedures With Cc $95,872 $67,110 $39,619 +142% $39,619 +142% —
032 Ventricular Shunt Procedures With Cc $94,471 $66,130 $46,724 +102% $46,724 +102% —
353 Hernia Procedures Except Inguinal And Femoral With McC $94,075 $65,852 $60,140 +56% $60,170 +56% —
393 Other Digestive System Diagnoses With McC $93,982 $65,787 $35,113 +168% $34,192 +175% —
154 Other Ear Nose Mouth And Throat Diagnoses With McC $93,922 $65,746 $34,613 +171% $27,633 +240% —
582 Mastectomy For Malignancy With Cc/McC $93,826 $65,678 $38,876 +141% $35,849 +162% —
062 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $93,687 $65,581 $37,214 +152% $52,075 +80% —
572 Skin Debridement Without Cc/McC $93,512 $65,458 $25,361 +269% $24,944 +275% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $93,489 $65,442 $50,218 +86% $38,878 +140% —
296 Cardiac Arrest Unexplained With McC $93,290 $65,303 $34,817 +168% $33,661 +177% —
629 Other Endocrine Nutritional And Metabolic O.R. Procedures With Cc $93,131 $65,192 $48,634 +91% $47,737 +95% —
182 Respiratory Neoplasms Without Cc/McC $93,066 $65,146 $18,592 +401% $14,064 +562% —
970 Hiv With Extensive O.R. Procedures Without McC $92,982 $65,088 $55,434 +68% $44,222 +110% —
707 Major Male Pelvic Procedures With Cc/McC $92,754 $64,928 $43,080 +115% $43,080 +115% —
665 Prostatectomy With McC $92,724 $64,907 $68,562 +35% $54,072 +71% —
190 Chronic Obstructive Pulmonary Disease With McC $92,111 $64,478 $24,930 +269% $24,386 +278% —
917 Poisoning And Toxic Effects Of Drugs With McC $91,949 $64,364 $34,839 +164% $30,235 +204% —
100 Seizures With McC $91,707 $64,195 $40,653 +126% $35,481 +158% ≈237% of Medicare
637 Diabetes With McC $91,246 $63,872 $31,753 +187% $30,100 +203% ≈417% of Medicare
602 Cellulitis With McC $91,226 $63,858 $31,970 +185% $30,598 +198% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $90,733 $63,513 $30,493 +198% $30,493 +198% —
698 Other Kidney And Urinary Tract Diagnoses With McC $90,328 $63,229 $35,532 +154% $32,496 +178% ≈337% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $89,982 $62,987 $22,575 +299% $23,940 +276% ≈565% of Medicare
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $89,955 $62,968 $28,946 +211% $21,894 +311% —
919 Complications Of Treatment With McC $89,544 $62,681 $37,933 +136% $31,105 +188% —
189 Pulmonary Edema And Respiratory Failure $89,398 $62,578 $27,470 +225% $26,580 +236% ≈434% of Medicare
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $89,231 $62,462 $33,674 +165% $33,674 +165% —
299 Peripheral Vascular Disorders With McC $88,655 $62,058 $34,467 +157% $27,316 +225% —
494 Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc/McC $87,905 $61,534 $41,855 +110% $47,711 +84% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $87,827 $61,479 $35,080 +150% $35,074 +150% —
054 Nervous System Neoplasms With McC $87,146 $61,002 $32,473 +168% $30,502 +186% —
146 Ear Nose Mouth And Throat Malignancy With McC $87,109 $60,976 $45,849 +90% $40,108 +117% —
621 O.R. Procedures For Obesity Without Cc/McC $86,843 $60,790 $32,451 +168% $32,451 +168% —
746 Vagina Cervix And Vulva Procedures With Cc/McC $86,722 $60,705 $37,175 +133% $29,916 +190% —
183 Major Chest Trauma With McC $86,492 $60,545 $33,957 +155% $29,933 +189% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $86,407 $60,485 $19,811 +336% $22,148 +290% —
177 Respiratory Infections And Inflammations With McC $86,226 $60,358 $34,448 +150% $33,707 +156% ≈322% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $86,155 $60,309 $36,816 +134% $44,606 +93% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $85,831 $60,082 $35,217 +144% $41,955 +105% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $85,664 $59,965 $55,276 +55% $41,422 +107% —
287 Circulatory Disorders Except Ami With Cardiac Catheterization Without McC $85,327 $59,729 $24,191 +253% $32,021 +166% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $84,397 $59,078 $40,365 +109% $40,365 +109% —
113 Orbital Procedures With Cc/McC $84,182 $58,928 $48,760 +73% $36,167 +133% —
328 Stomach Esophageal And Duodenal Procedures Without Cc/McC $84,167 $58,917 $35,375 +138% $39,006 +116% —
386 Inflammatory Bowel Disease With Cc $84,057 $58,840 $22,033 +282% $22,033 +282% —
512 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures Without Cc/McC $84,012 $58,808 $35,692 +135% $35,692 +135% —
502 Soft Tissue Procedures Without Cc/McC $83,352 $58,347 $31,017 +169% $31,017 +169% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $82,620 $57,834 $45,785 +80% $39,181 +111% —
075 Viral Meningitis With Cc/McC $82,552 $57,786 $36,230 +128% $30,447 +171% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $81,809 $57,267 $25,769 +217% $21,230 +285% —
865 Viral Illness With McC $81,706 $57,194 $32,083 +155% $26,910 +204% —
291 Heart Failure And Shock With McC $81,486 $57,040 $28,966 +181% $26,776 +204% ≈384% of Medicare
308 Cardiac Arrhythmia And Conduction Disorders With McC $81,015 $56,710 $26,770 +203% $26,770 +203% —
513 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures With Cc/McC $80,067 $56,047 $33,424 +140% $33,424 +140% —
580 Other Skin Subcutaneous Tissue And Breast Procedures With Cc $80,012 $56,009 $39,360 +103% $38,101 +110% —
086 Traumatic Stupor And Coma <1 Hour With Cc $79,996 $55,997 $29,117 +175% $27,043 +196% ≈371% of Medicare
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $79,508 $55,655 $27,163 +193% $27,163 +193% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $79,049 $55,334 $46,066 +72% $46,066 +72% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $79,010 $55,307 $39,105 +102% $36,431 +117% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $78,970 $55,279 $25,034 +215% $25,034 +215% —
337 Peritoneal Adhesiolysis Without Cc/McC $78,964 $55,275 $34,078 +132% $39,211 +101% —
902 Wound Debridements For Injuries With Cc $78,931 $55,252 $42,126 +87% $40,562 +95% —
193 Simple Pneumonia And Pleurisy With McC $78,556 $54,989 $29,252 +169% $27,275 +188% ≈369% of Medicare
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $78,371 $54,860 $38,541 +103% $32,443 +142% —
438 Disorders Of Pancreas Except Malignancy With McC $78,136 $54,695 $35,243 +122% $32,628 +139% —
336 Peritoneal Adhesiolysis With Cc $77,704 $54,393 $46,332 +68% $50,463 +54% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $77,652 $54,357 $30,418 +155% $30,418 +155% —
117 Intraocular Procedures Without Cc/McC $77,422 $54,195 $23,944 +223% $17,193 +350% —
896 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $77,274 $54,092 $37,213 +108% $31,159 +148% ≈271% of Medicare
388 Gastrointestinal Obstruction With McC $77,250 $54,075 $31,982 +142% $30,571 +153% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $77,229 $54,060 $42,126 +83% $42,126 +83% —
722 Malignancy Male Reproductive System With McC $77,080 $53,956 $36,340 +112% $29,826 +158% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $76,884 $53,819 $23,312 +230% $22,763 +238% —
604 Trauma To The Skin Subcutaneous Tissue And Breast With McC $76,463 $53,524 $32,248 +137% $28,140 +172% —
184 Major Chest Trauma With Cc $76,398 $53,478 $23,711 +222% $22,432 +241% —
583 Mastectomy For Malignancy Without Cc/McC $75,952 $53,166 $36,467 +108% $35,831 +112% —
708 Major Male Pelvic Procedures Without Cc/McC $75,910 $53,137 $32,911 +131% $36,988 +105% —
102 Headaches With McC $75,723 $53,006 $25,740 +194% $25,740 +194% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $75,694 $52,986 $41,857 +81% $50,607 +50% ≈264% of Medicare
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $75,647 $52,953 $40,552 +87% $40,552 +87% —
786 Cesarean Section Without Sterilization With McC $75,456 $52,819 $35,872 +110% $27,152 +178% —
281 Acute Myocardial Infarction Discharged Alive With Cc $75,199 $52,639 $20,463 +267% $20,463 +267% —
884 Organic Disturbances And Intellectual Disability $75,146 $52,602 $35,352 +113% $26,682 +182% ≈296% of Medicare
306 Cardiac Congenital And Valvular Disorders With McC $75,079 $52,556 $32,445 +131% $24,586 +205% —
196 Interstitial Lung Disease With McC $74,906 $52,434 $38,951 +92% $32,637 +130% —
181 Respiratory Neoplasms With Cc $74,649 $52,254 $24,648 +203% $23,573 +217% —
689 Kidney And Urinary Tract Infections With McC $73,642 $51,549 $25,980 +183% $23,617 +212% ≈391% of Medicare
540 Osteomyelitis With Cc $73,612 $51,528 $28,728 +156% $26,676 +176% —
398 Appendix Procedures With Cc $73,138 $51,197 $33,592 +118% $40,162 +82% —
976 Hiv With Major Related Condition Without Cc/McC $72,947 $51,063 $22,266 +228% $16,212 +350% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $72,611 $50,827 $37,033 +96% $34,607 +110% —
882 Neuroses Except Depressive $72,385 $50,669 $21,356 +239% $15,680 +362% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $72,250 $50,575 $16,077 +349% $12,593 +474% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $72,065 $50,445 $39,422 +83% $34,276 +110% —
813 Coagulation Disorders $71,314 $49,920 $33,296 +114% $33,296 +114% —
304 Hypertension With McC $71,280 $49,896 $26,080 +173% $26,080 +173% —
073 Cranial And Peripheral Nerve Disorders With McC $71,049 $49,734 $33,256 +114% $30,010 +137% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $70,589 $49,412 $25,390 +178% $25,390 +178% —
682 Renal Failure With McC $70,109 $49,076 $32,520 +116% $29,064 +141% ≈306% of Medicare
168 Other Respiratory System O.R. Procedures Without Cc/McC $69,891 $48,924 $30,056 +133% $29,949 +133% —
922 Other Injury Poisoning And Toxic Effect Diagnoses With McC $69,759 $48,831 $35,675 +96% $31,563 +121% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $69,448 $48,613 $33,388 +108% $36,253 +92% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $69,338 $48,537 $37,599 +84% $32,944 +110% —
282 Acute Myocardial Infarction Discharged Alive Without Cc/McC $69,195 $48,436 $16,097 +330% $19,227 +260% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $68,860 $48,202 $46,317 +49% $43,650 +58% —
298 Cardiac Arrest Unexplained Without Cc/McC $68,454 $47,966 $12,751 +437% $8,927 +667% —
551 Medical Back Problems With McC $68,403 $47,882 $35,961 +90% $34,017 +101% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $67,970 $47,579 $22,641 +200% $21,275 +219% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $67,832 $47,482 $31,730 +114% $24,941 +172% —
862 Postoperative And Post-Traumatic Infections With McC $67,758 $47,430 $38,187 +77% $32,859 +106% —
885 Psychoses $67,610 $47,327 $30,968 +118% $21,729 +211% —
787 Cesarean Section Without Sterilization With Cc $67,393 $47,175 $23,571 +186% $23,571 +186% —
442 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Cc $67,289 $47,102 $21,449 +214% $21,449 +214% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $67,108 $46,975 $43,328 +55% $38,070 +76% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $66,813 $46,769 $36,661 +82% $33,555 +99% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $66,747 $46,723 $47,797 +40% $41,608 +60% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $66,573 $46,601 $37,764 +76% $43,477 +53% —
757 Infections Female Reproductive System With McC $66,514 $46,560 $31,063 +114% $26,280 +153% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $66,383 $46,468 $43,354 +53% $31,044 +114% —
596 Major Skin Disorders Without McC $65,966 $46,177 $24,000 +175% $17,226 +283% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $65,965 $46,176 $41,375 +59% $31,134 +112% —
623 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With Cc $65,875 $46,113 $42,463 +55% $34,459 +91% —
150 Epistaxis With McC $65,705 $45,994 $30,507 +115% $23,171 +184% —
581 Other Skin Subcutaneous Tissue And Breast Procedures Without Cc/McC $65,528 $45,869 $31,950 +105% $26,932 +143% —
626 Thyroid Parathyroid And Thyroglossal Procedures With Cc $65,365 $45,756 $33,506 +95% $33,454 +95% —
137 Mouth Procedures With Cc/McC $65,308 $45,716 $31,048 +110% $27,861 +134% —
640 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With McC $65,293 $45,705 $29,481 +121% $25,463 +156% ≈296% of Medicare
334 Rectal Resection Without Cc/McC $65,179 $45,625 $36,820 +77% $36,820 +77% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $65,104 $45,573 $27,494 +137% $22,458 +190% —
550 Septic Arthritis Without Cc/McC $64,908 $45,435 $19,138 +239% $19,138 +239% —
078 Hypertensive Encephalopathy With Cc $64,338 $45,037 $22,153 +190% $17,698 +264% —
042 Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc/McC $64,209 $44,947 $39,018 +65% $39,018 +65% —
136 Sinus And Mastoid Procedures Without Cc/McC $63,715 $44,601 $21,716 +193% $17,404 +266% —
783 Cesarean Section With Sterilization With McC $63,668 $44,568 $40,894 +56% $29,221 +118% —
446 Disorders Of The Biliary Tract Without Cc/McC $63,473 $44,431 $17,700 +259% $17,700 +259% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $63,152 $44,207 $26,611 +137% $30,784 +105% —
592 Skin Ulcers With McC $62,662 $43,863 $41,848 +50% $33,246 +88% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $62,647 $43,853 $56,278 +11% $39,173 +60% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $62,590 $43,813 $28,209 +122% $23,498 +166% —
187 Pleural Effusion With Cc $62,491 $43,744 $22,288 +180% $21,789 +187% —
562 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh With McC $62,203 $43,542 $31,874 +95% $29,743 +109% —
725 Benign Prostatic Hypertrophy With McC $62,056 $43,439 $28,029 +121% $22,320 +178% —
345 Minor Small And Large Bowel Procedures With Cc $62,012 $43,409 $33,048 +88% $33,048 +88% —
881 Depressive Neuroses $61,880 $43,316 $20,293 +205% $15,058 +311% —
784 Cesarean Section With Sterilization With Cc $61,560 $43,092 $24,042 +156% $23,283 +164% —
315 Other Circulatory System Diagnoses With Cc $61,350 $42,945 $21,363 +187% $21,363 +187% —
744 D&C Conization Laparoscopy And Tubal Interruption With Cc/McC $61,346 $42,942 $43,378 +41% $38,861 +58% —
033 Ventricular Shunt Procedures Without Cc/McC $61,012 $42,709 $35,419 +72% $35,419 +72% —
536 Fractures Of Hip And Pelvis Without McC $60,970 $42,679 $18,002 +239% $18,002 +239% —
965 Other Multiple Significant Trauma Without Cc/McC $60,596 $42,417 $20,259 +199% $20,259 +199% —
598 Malignant Breast Disorders With Cc $60,438 $42,306 $23,951 +152% $19,073 +217% —
638 Diabetes With Cc $60,290 $42,203 $20,361 +196% $19,661 +207% ≈434% of Medicare
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $60,107 $42,075 $23,551 +155% $23,551 +155% —
293 Heart Failure And Shock Without Cc/McC $60,057 $42,040 $13,326 +351% $12,999 +362% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $60,028 $42,020 $22,850 +163% $22,850 +163% —
358 Other Digestive System O.R. Procedures Without Cc/McC $59,910 $41,937 $30,083 +99% $30,083 +99% —
121 Acute Major Eye Infections With Cc/McC $59,647 $41,753 $25,822 +131% $19,412 +207% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $59,496 $41,647 $15,280 +289% $20,781 +186% —
630 Other Endocrine Nutritional And Metabolic O.R. Procedures Without Cc/McC $59,254 $41,478 $31,108 +90% $22,393 +165% —
595 Major Skin Disorders With McC $59,241 $41,469 $42,837 +38% $34,598 +71% —
445 Disorders Of The Biliary Tract With Cc $58,919 $41,243 $24,075 +145% $23,319 +153% —
506 Major Thumb Or Joint Procedures $58,478 $40,934 $33,279 +76% $30,557 +91% —
092 Other Disorders Of Nervous System With Cc $58,040 $40,628 $23,503 +147% $24,914 +133% —
975 Hiv With Major Related Condition With Cc $57,919 $40,544 $31,166 +86% $27,808 +108% —
114 Orbital Procedures Without Cc/McC $57,776 $40,443 $26,242 +120% $19,598 +195% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $57,645 $40,352 $29,894 +93% $24,127 +139% —
069 Transient Ischemia Without Thrombolytic $57,514 $40,260 $17,762 +224% $21,056 +173% ≈484% of Medicare
815 Reticuloendothelial And Immunity Disorders With Cc $57,428 $40,200 $22,557 +155% $19,264 +198% —
947 Signs And Symptoms With McC $57,419 $40,193 $28,553 +101% $27,401 +110% —
200 Pneumothorax With Cc $57,367 $40,157 $24,586 +133% $21,368 +168% —
727 Inflammation Of The Male Reproductive System With McC $57,316 $40,121 $31,974 +79% $26,463 +117% —
687 Kidney And Urinary Tract Neoplasms With Cc $56,988 $39,891 $23,369 +144% $20,232 +182% —
391 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With McC $56,939 $39,857 $28,515 +100% $28,050 +103% —
348 Anal And Stomal Procedures With Cc $56,907 $39,835 $27,947 +104% $27,947 +104% —
788 Cesarean Section Without Sterilization Without Cc/McC $56,864 $39,805 $20,084 +183% $20,084 +183% —
693 Urinary Stones With McC $56,753 $39,727 $31,990 +77% $23,892 +138% —
378 Gastrointestinal Hemorrhage With Cc $56,696 $39,687 $21,886 +159% $22,098 +157% —
552 Medical Back Problems Without McC $56,684 $39,678 $21,396 +165% $21,396 +165% ≈372% of Medicare
755 Malignancy Female Reproductive System With Cc $56,623 $39,636 $24,644 +130% $18,459 +207% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $56,516 $39,561 $29,250 +93% $36,937 +53% —
375 Digestive Malignancy With Cc $56,456 $39,519 $27,277 +107% $27,277 +107% —
748 Female Reproductive System Reconstructive Procedures $56,298 $39,408 $30,242 +86% $30,242 +86% —
157 Dental And Oral Diseases With McC $56,150 $39,305 $34,802 +61% $31,300 +79% —
369 Major Esophageal Disorders With Cc $56,095 $39,266 $22,590 +148% $25,303 +122% —
836 Acute Leukemia Without Major O.R. Procedures Without Cc/McC $56,001 $39,200 $28,209 +99% $19,686 +184% —
644 Endocrine Disorders With Cc $55,942 $39,159 $22,941 +144% $23,198 +141% —
758 Infections Female Reproductive System With Cc $55,526 $38,868 $22,628 +145% $20,901 +166% —
191 Chronic Obstructive Pulmonary Disease With Cc $55,460 $38,822 $19,072 +191% $18,807 +195% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $55,240 $38,668 $43,384 +27% $29,524 +87% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $54,885 $38,419 $34,434 +59% $34,434 +59% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $54,885 $38,419 $23,749 +131% $23,749 +131% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $54,756 $38,329 $28,340 +93% $22,557 +143% —
071 Nonspecific Cerebrovascular Disorders With Cc $54,682 $38,278 $23,396 +134% $23,488 +133% —
381 Complicated Peptic Ulcer With Cc $54,661 $38,262 $24,177 +126% $24,177 +126% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $54,654 $38,258 $22,637 +141% $22,506 +143% —
671 Urethral Procedures With Cc/McC $54,639 $38,247 $38,265 +43% $27,233 +101% —
627 Thyroid Parathyroid And Thyroglossal Procedures Without Cc/McC $54,625 $38,238 $28,125 +94% $28,125 +94% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $54,588 $38,211 $25,652 +113% $25,652 +113% —
389 Gastrointestinal Obstruction With Cc $54,392 $38,074 $17,795 +206% $17,578 +209% ≈421% of Medicare
811 Red Blood Cell Disorders With McC $54,339 $38,037 $30,922 +76% $28,226 +93% —
537 Sprains Strains And Dislocations Of Hip Pelvis And Thigh With Cc/McC $53,939 $37,757 $20,401 +164% $18,072 +198% —
292 Heart Failure And Shock With Cc $53,769 $37,638 $19,118 +181% $16,371 +228% —
585 Breast Biopsy Local Excision And Other Breast Procedures Without Cc/McC $53,756 $37,629 $44,068 +22% $32,574 +65% —
901 Wound Debridements For Injuries With McC $53,693 $37,585 $85,334 −37% $70,177 −23% —
670 Transurethral Procedures Without Cc/McC $53,693 $37,585 $21,216 +153% $20,911 +157% —
535 Fractures Of Hip And Pelvis With McC $53,624 $37,537 $29,523 +82% $24,552 +118% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $53,502 $37,452 $29,596 +81% $32,841 +63% —
533 Fractures Of Femur With McC $53,294 $37,306 $32,907 +62% $25,945 +105% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $53,022 $37,115 $21,225 +150% $19,924 +166% —
607 Minor Skin Disorders Without McC $52,841 $36,989 $19,185 +175% $15,889 +233% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $52,569 $36,798 $22,888 +130% $22,888 +130% ≈330% of Medicare
977 Hiv With Or Without Other Related Condition $52,420 $36,694 $31,511 +66% $22,525 +133% —
178 Respiratory Infections And Inflammations With Cc $51,743 $36,220 $22,024 +135% $22,024 +135% —
384 Uncomplicated Peptic Ulcer Without McC $51,718 $36,203 $19,305 +168% $19,305 +168% —
812 Red Blood Cell Disorders Without McC $51,717 $36,202 $20,488 +152% $20,488 +152% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $51,637 $36,146 $29,747 +74% $31,264 +65% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $51,394 $35,976 $21,494 +139% $18,452 +179% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $51,371 $35,959 $22,790 +125% $25,970 +98% —
089 Concussion With Cc $51,006 $35,704 $23,800 +114% $18,821 +171% —
683 Renal Failure With Cc $50,986 $35,690 $19,733 +158% $19,130 +167% ≈374% of Medicare
914 Traumatic Injury Without McC $50,781 $35,547 $20,344 +150% $15,855 +220% —
711 Testes Procedures With Cc/McC $50,349 $35,244 $42,414 +19% $38,343 +31% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $50,344 $35,241 $18,126 +178% $18,126 +178% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $50,298 $35,208 $28,626 +76% $27,989 +80% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $50,121 $35,084 $23,352 +115% $19,657 +155% —
074 Cranial And Peripheral Nerve Disorders Without McC $49,970 $34,979 $23,141 +116% $23,141 +116% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $49,955 $34,969 $21,280 +135% $17,733 +182% —
439 Disorders Of Pancreas Except Malignancy With Cc $49,934 $34,953 $19,096 +161% $19,096 +161% —
383 Uncomplicated Peptic Ulcer With McC $49,890 $34,923 $28,065 +78% $27,426 +82% —
088 Concussion With McC $49,753 $34,827 $30,986 +61% $24,402 +104% —
194 Simple Pneumonia And Pleurisy With Cc $49,727 $34,809 $18,204 +173% $18,204 +173% ≈380% of Medicare
805 Vaginal Delivery Without Sterilization Or D&C With McC $49,637 $34,746 $22,155 +124% $15,370 +223% —
785 Cesarean Section With Sterilization Without Cc/McC $49,613 $34,729 $19,815 +150% $19,846 +150% —
514 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures Without Cc/McC $49,362 $34,553 $22,635 +118% $22,635 +118% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $49,221 $34,454 $21,494 +129% $19,962 +147% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $48,970 $34,279 $16,412 +198% $17,303 +183% ≈438% of Medicare
672 Urethral Procedures Without Cc/McC $48,643 $34,050 $24,295 +100% $17,398 +180% —
546 Connective Tissue Disorders With Cc $48,365 $33,856 $25,700 +88% $25,700 +88% —
158 Dental And Oral Diseases With Cc $48,252 $33,776 $20,881 +131% $18,466 +161% —
723 Malignancy Male Reproductive System With Cc $48,188 $33,732 $24,928 +93% $19,815 +143% —
125 Other Disorders Of The Eye Without McC $47,876 $33,513 $18,330 +161% $17,298 +177% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $47,778 $33,445 $27,323 +75% $27,323 +75% —
155 Other Ear Nose Mouth And Throat Diagnoses With Cc $47,769 $33,438 $20,725 +130% $16,968 +182% —
139 Salivary Gland Procedures $47,689 $33,382 $30,480 +56% $23,612 +102% —
863 Postoperative And Post-Traumatic Infections Without McC $47,492 $33,244 $22,197 +114% $20,957 +127% —
300 Peripheral Vascular Disorders With Cc $47,353 $33,147 $23,767 +99% $20,422 +132% —
887 Other Mental Disorder Diagnoses $47,324 $33,127 $26,404 +79% $20,616 +130% —
152 Otitis Media And Uri With McC $47,289 $33,102 $25,192 +88% $20,247 +134% —
618 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $47,259 $33,082 $27,641 +71% $19,354 +144% —
948 Signs And Symptoms Without McC $47,172 $33,021 $17,638 +167% $17,921 +163% —
666 Prostatectomy With Cc $47,154 $33,008 $36,569 +29% $31,906 +48% —
712 Testes Procedures Without Cc/McC $46,825 $32,778 $23,745 +97% $18,898 +148% —
747 Vagina Cervix And Vulva Procedures Without Cc/McC $46,220 $32,354 $21,205 +118% $19,594 +136% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $46,200 $32,340 $19,624 +135% $16,520 +180% —
554 Bone Diseases And Arthropathies Without McC $46,173 $32,321 $18,528 +149% $18,528 +149% —
663 Minor Bladder Procedures With Cc $45,854 $32,098 $33,907 +35% $33,103 +39% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $45,824 $32,077 $24,337 +88% $16,846 +172% —
399 Appendix Procedures Without Cc/McC $45,652 $31,956 $24,948 +83% $31,321 +46% —
909 Other O.R. Procedures For Injuries Without Cc/McC $45,640 $31,948 $28,156 +62% $28,156 +62% —
547 Connective Tissue Disorders Without Cc/McC $45,063 $31,544 $16,565 +172% $16,565 +172% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $44,808 $31,365 $30,308 +48% $20,980 +114% —
605 Trauma To The Skin Subcutaneous Tissue And Breast Without McC $44,748 $31,323 $20,506 +118% $20,506 +118% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $44,492 $31,144 $24,477 +82% $27,843 +60% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $44,340 $31,038 $30,693 +44% $27,119 +64% —
144 Other Ear Nose Mouth And Throat O.R. Procedures With Cc $44,285 $31,000 $38,998 +14% $30,553 +45% —
198 Interstitial Lung Disease Without Cc/McC $44,032 $30,823 $15,549 +183% $15,549 +183% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $44,029 $30,820 $17,431 +153% $14,014 +214% —
639 Diabetes Without Cc/McC $43,796 $30,657 $13,910 +215% $13,910 +215% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $43,593 $30,515 $19,914 +119% $15,764 +177% —
709 Penis Procedures With Cc/McC $43,525 $30,468 $48,600 −10% $34,535 +26% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $43,163 $30,214 $48,788 −12% $38,998 +11% —
756 Malignancy Female Reproductive System Without Cc/McC $42,885 $30,019 $21,201 +102% $15,589 +175% —
894 Alcohol Drug Abuse Or Dependence Left Ama $42,871 $30,009 $13,855 +209% $12,324 +248% —
081 Nontraumatic Stupor And Coma Without McC $42,844 $29,991 $20,086 +113% $16,552 +159% —
206 Other Respiratory System Diagnoses Without McC $42,720 $29,904 $20,108 +112% $18,488 +131% —
897 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $42,602 $29,821 $19,584 +118% $16,699 +155% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $42,450 $29,715 $16,654 +155% $19,037 +123% —
176 Pulmonary Embolism Without McC $42,305 $29,614 $18,081 +134% $18,081 +134% —
349 Anal And Stomal Procedures Without Cc/McC $42,249 $29,574 $19,854 +113% $19,854 +113% —
289 Acute And Subacute Endocarditis With Cc $42,112 $29,479 $33,779 +25% $32,697 +29% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $41,731 $29,212 $14,368 +190% $14,368 +190% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $41,694 $29,186 $26,533 +57% $21,847 +91% —
302 Atherosclerosis With McC $41,661 $29,163 $25,825 +61% $22,446 +86% —
305 Hypertension Without McC $41,293 $28,905 $16,665 +148% $18,086 +128% —
148 Ear Nose Mouth And Throat Malignancy Without Cc/McC $41,222 $28,856 $17,775 +132% $13,586 +203% —
558 Tendonitis Myositis And Bursitis Without McC $41,073 $28,751 $19,176 +114% $18,602 +121% —
387 Inflammatory Bowel Disease Without Cc/McC $40,989 $28,693 $14,880 +175% $16,288 +152% —
307 Cardiac Congenital And Valvular Disorders Without McC $40,953 $28,667 $20,566 +99% $20,566 +99% —
382 Complicated Peptic Ulcer Without Cc/McC $40,881 $28,617 $16,634 +146% $16,634 +146% —
603 Cellulitis Without McC $40,827 $28,579 $19,553 +109% $18,530 +120% —
185 Major Chest Trauma Without Cc/McC $39,740 $27,818 $17,265 +130% $17,124 +132% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $39,650 $27,755 $16,064 +147% $13,275 +199% —
297 Cardiac Arrest Unexplained With Cc $39,468 $27,628 $15,637 +152% $12,336 +220% —
316 Other Circulatory System Diagnoses Without Cc/McC $39,453 $27,617 $15,156 +160% $13,651 +189% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $39,267 $27,487 $32,467 +21% $31,170 +26% —
312 Syncope And Collapse $39,224 $27,457 $19,342 +103% $19,342 +103% ≈288% of Medicare
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $39,204 $27,443 $30,846 +27% $25,094 +56% —
313 Chest Pain $38,884 $27,219 $15,837 +146% $16,440 +137% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $38,868 $27,208 $21,129 +84% $18,316 +112% —
376 Digestive Malignancy Without Cc/McC $38,417 $26,892 $19,602 +96% $16,998 +126% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $38,192 $26,734 $33,694 +13% $33,694 +13% —
202 Bronchitis And Asthma With Cc/McC $37,921 $26,545 $21,460 +77% $17,724 +114% —
123 Neurological Eye Disorders $37,881 $26,517 $17,831 +112% $19,745 +92% —
726 Benign Prostatic Hypertrophy Without McC $37,717 $26,402 $16,525 +128% $15,019 +151% —
351 Inguinal And Femoral Hernia Procedures With Cc $37,528 $26,269 $33,399 +12% $36,505 +3% —
103 Headaches Without McC $37,321 $26,124 $18,874 +98% $21,280 +75% —
729 Other Male Reproductive System Diagnoses With Cc/McC $37,318 $26,123 $24,439 +53% $17,483 +113% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $37,310 $26,117 $16,776 +122% $16,776 +122% —
664 Minor Bladder Procedures Without Cc/McC $37,158 $26,010 $23,971 +55% $22,314 +67% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $36,738 $25,717 $27,645 +33% $27,297 +35% —
697 Urethral Stricture $36,732 $25,712 $22,239 +65% $18,428 +99% —
641 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes Without McC $36,681 $25,676 $17,347 +111% $17,038 +115% ≈313% of Medicare
138 Mouth Procedures Without Cc/McC $36,386 $25,470 $19,492 +87% $19,119 +90% —
690 Kidney And Urinary Tract Infections Without McC $36,316 $25,421 $17,817 +104% $17,674 +105% ≈280% of Medicare
684 Renal Failure Without Cc/McC $36,312 $25,418 $13,642 +166% $13,642 +166% —
694 Urinary Stones Without McC $36,250 $25,375 $17,347 +109% $17,345 +109% —
122 Acute Major Eye Infections Without Cc/McC $36,165 $25,315 $15,058 +140% $11,997 +201% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $36,008 $25,205 $15,358 +134% $14,689 +145% —
394 Other Digestive System Diagnoses With Cc $35,672 $24,970 $20,896 +71% $20,181 +77% —
713 Transurethral Prostatectomy With Cc/McC $35,615 $24,930 $32,100 +11% $32,100 +11% —
079 Hypertensive Encephalopathy Without Cc/McC $35,583 $24,908 $14,800 +140% $11,847 +200% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $35,563 $24,894 $19,569 +82% $19,569 +82% —
093 Other Disorders Of Nervous System Without Cc/McC $35,459 $24,821 $17,522 +102% $17,620 +101% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $35,391 $24,774 $37,526 −6% $29,079 +22% —
301 Peripheral Vascular Disorders Without Cc/McC $35,281 $24,696 $15,837 +123% $15,837 +123% —
149 Dysequilibrium $35,239 $24,667 $16,594 +112% $18,096 +95% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $34,959 $24,471 $13,384 +161% $13,384 +161% —
370 Major Esophageal Disorders Without Cc/McC $34,706 $24,294 $15,495 +124% $15,495 +124% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $34,675 $24,273 $34,749 −0% $34,749 −0% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $34,632 $24,243 $16,607 +109% $14,716 +135% —
714 Transurethral Prostatectomy Without Cc/McC $34,568 $24,197 $20,861 +66% $17,934 +93% —
745 D&C Conization Laparoscopy And Tubal Interruption Without Cc/McC $34,433 $24,103 $22,750 +51% $18,348 +88% —
563 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without McC $34,274 $23,992 $19,842 +73% $19,842 +73% —
599 Malignant Breast Disorders Without Cc/McC $33,767 $23,637 $18,978 +78% $14,290 +136% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $33,466 $23,426 $14,148 +137% $12,078 +177% —
923 Other Injury Poisoning And Toxic Effect Diagnoses Without McC $33,453 $23,417 $22,641 +48% $17,601 +90% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $33,308 $23,316 $16,104 +107% $16,767 +99% —
918 Poisoning And Toxic Effects Of Drugs Without McC $33,119 $23,183 $19,638 +69% $15,452 +114% —
179 Respiratory Infections And Inflammations Without Cc/McC $33,031 $23,122 $17,087 +93% $14,648 +125% —
600 Non-Malignant Breast Disorders With Cc/McC $33,003 $23,102 $21,236 +55% $16,700 +98% —
770 Abortion With D&C Aspiration Curettage Or Hysterotomy $32,740 $22,918 $23,887 +37% $18,956 +73% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $32,530 $22,771 $16,592 +96% $12,895 +152% —
159 Dental And Oral Diseases Without Cc/McC $32,406 $22,684 $14,643 +121% $13,633 +138% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $32,390 $22,673 $15,975 +103% $12,559 +158% —
390 Gastrointestinal Obstruction Without Cc/McC $32,376 $22,663 $13,318 +143% $13,361 +142% —
156 Other Ear Nose Mouth And Throat Diagnoses Without Cc/McC $32,138 $22,497 $14,927 +115% $14,549 +121% —
920 Complications Of Treatment With Cc $32,126 $22,488 $22,552 +42% $22,468 +43% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $31,861 $22,303 $18,577 +72% $14,055 +127% —
311 Angina Pectoris $31,475 $22,033 $15,502 +103% $15,502 +103% —
849 Radiotherapy $31,208 $21,846 $52,191 −40% $37,862 −18% —
101 Seizures Without McC $31,058 $21,741 $20,461 +52% $20,461 +52% ≈211% of Medicare
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $30,969 $21,678 $13,683 +126% $15,183 +104% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $30,968 $21,678 $15,462 +100% $12,460 +149% —
379 Gastrointestinal Hemorrhage Without Cc/McC $30,864 $21,605 $14,134 +118% $15,038 +105% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $30,810 $21,567 $17,953 +72% $15,215 +102% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $30,720 $21,504 $36,087 −15% $28,202 +9% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $30,706 $21,494 $25,552 +20% $18,133 +69% —
076 Viral Meningitis Without Cc/McC $30,705 $21,494 $20,355 +51% $17,135 +79% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $30,250 $21,175 $25,037 +21% $24,566 +23% —
145 Other Ear Nose Mouth And Throat O.R. Procedures Without Cc/McC $30,221 $21,155 $26,302 +15% $25,712 +18% —
645 Endocrine Disorders Without Cc/McC $29,713 $20,799 $17,287 +72% $15,428 +93% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $29,466 $20,626 $69,089 −57% $52,036 −43% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $29,176 $20,423 $21,880 +33% $20,895 +40% —
204 Respiratory Signs And Symptoms $28,964 $20,275 $18,004 +61% $18,004 +61% —
534 Fractures Of Femur Without McC $28,872 $20,210 $18,070 +60% $17,559 +64% —
303 Atherosclerosis Without McC $28,858 $20,201 $14,927 +93% $14,927 +93% —
201 Pneumothorax Without Cc/McC $28,494 $19,946 $15,031 +90% $14,053 +103% —
392 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders Without McC $28,332 $19,832 $17,322 +64% $17,322 +64% ≈224% of Medicare
710 Penis Procedures Without Cc/McC $28,269 $19,788 $33,330 −15% $26,436 +7% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $27,976 $19,583 $18,179 +54% $14,501 +93% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $27,595 $19,316 $27,348 +1% $19,270 +43% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $27,448 $19,213 $28,602 −4% $25,748 +7% —
642 Inborn And Other Disorders Of Metabolism $27,265 $19,086 $27,552 −1% $20,727 +32% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $27,222 $19,056 $14,638 +86% $14,638 +86% —
090 Concussion Without Cc/McC $27,052 $18,937 $19,032 +42% $15,412 +76% —
759 Infections Female Reproductive System Without Cc/McC $26,806 $18,764 $14,208 +89% $14,250 +88% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $26,787 $18,751 $14,072 +90% $11,421 +135% —
667 Prostatectomy Without Cc/McC $26,667 $18,667 $22,817 +17% $16,703 +60% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $26,644 $18,651 $15,411 +73% $14,797 +80% —
188 Pleural Effusion Without Cc/McC $26,428 $18,500 $16,299 +62% $14,514 +82% —
864 Fever And Inflammatory Conditions $25,436 $17,805 $19,935 +28% $18,640 +36% —
793 Full Term Neonate With Major Problems $25,395 $17,777 $57,323 −56% $18,649 +36% —
541 Osteomyelitis Without Cc/McC $24,809 $17,366 $19,422 +28% $15,215 +63% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $24,229 $16,960 $28,593 −15% $26,870 −10% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $23,909 $16,736 $15,839 +51% $12,454 +92% —
921 Complications Of Treatment Without Cc/McC $23,780 $16,646 $15,267 +56% $14,415 +65% —
549 Septic Arthritis With Cc $23,525 $16,468 $26,753 −12% $24,056 −2% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $23,417 $16,392 $76,907 −70% $54,196 −57% —
203 Bronchitis And Asthma Without Cc/McC $22,701 $15,891 $15,464 +47% $12,252 +85% —
151 Epistaxis Without McC $22,001 $15,401 $16,827 +31% $13,032 +69% —
916 Allergic Reactions Without McC $21,961 $15,373 $14,743 +49% $13,942 +58% —
594 Skin Ulcers Without Cc/McC $21,848 $15,293 $18,841 +16% $14,209 +54% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $21,517 $15,062 $11,539 +86% $9,940 +116% —
395 Other Digestive System Diagnoses Without Cc/McC $21,430 $15,001 $14,128 +52% $14,128 +52% —
728 Inflammation Of The Male Reproductive System Without McC $21,249 $14,874 $18,139 +17% $17,118 +24% —
779 Abortion Without D&C $20,187 $14,131 $20,752 −3% $15,327 +32% —
443 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $19,808 $13,866 $15,600 +27% $15,600 +27% —
866 Viral Illness Without McC $19,221 $13,455 $19,642 −2% $17,081 +13% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $19,117 $13,382 $18,126 +5% $18,126 +5% —
724 Malignancy Male Reproductive System Without Cc/McC $18,682 $13,077 $16,175 +16% $12,768 +46% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $17,804 $12,463 $13,824 +29% $13,824 +29% —
153 Otitis Media And Uri Without McC $17,756 $12,429 $15,799 +12% $14,583 +22% —
601 Non-Malignant Breast Disorders Without Cc/McC $17,195 $12,037 $13,599 +26% $10,975 +57% —
895 Alcohol Drug Abuse Or Dependence With Rehabilitation Therapy $16,479 $11,535 $31,612 −48% $21,986 −25% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $15,895 $11,126 $13,639 +17% $11,071 +44% —
951 Other Factors Influencing Health Status $14,880 $10,416 $13,425 +11% $10,160 +46% —
538 Sprains Strains And Dislocations Of Hip Pelvis And Thigh Without Cc/McC $12,583 $8,808 $14,907 −16% $11,909 +6% —
886 Behavioral And Developmental Disorders $8,810 $6,167 $37,477 −76% $26,510 −67% —
792 Prematurity Without Major Problems $1,952 $1,366 $34,988 −94% $12,229 −84% —
794 Neonate With Other Significant Problems $1,952 $1,366 $17,665 −89% $8,445 −77% —
795 Normal Newborn $1,952 $1,366 $6,664 −71% $4,720 −59% —
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