Sharp Memorial Hospital — Pricing

731 procedures published in this hospital's Machine-Readable File (MRF) — 729 with a comparable price, 2 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 $7,837
Average published price $167,370
Highest published price $2,425,017

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 729 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 127 procedures, this hospital's negotiated rates average ≈496% of what Medicare pays.

DRG Description Published price Cash price vs. CA median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $2,425,017 $1,818,763 $486,976 +398% $431,073 +463% ≈321% of Medicare
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,160,087 $870,065 $371,366 +212% $371,366 +212% ≈294% of Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $1,080,295 $810,221 $248,521 +335% $245,241 +341% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $1,003,133 $752,350 $146,435 +585% $105,228 +853% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $889,629 $667,221 $196,346 +353% $171,338 +419% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $870,059 $652,544 $117,196 +642% $109,331 +696% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $866,878 $650,158 $136,374 +536% $120,587 +619% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $790,667 $593,001 $153,282 +416% $151,029 +424% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $771,665 $578,749 $148,686 +419% $134,914 +472% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $763,606 $572,705 $175,437 +335% $175,437 +335% —
231 CORONARY BYPASS WITH PTCA WITH MCC $714,226 $535,669 $155,631 +359% $146,474 +388% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $710,949 $533,212 $191,314 +272% $191,314 +272% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $710,295 $532,721 $102,337 +594% $86,459 +722% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $703,517 $527,638 $144,569 +387% $138,868 +407% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $702,855 $527,141 $125,675 +459% $105,612 +566% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $689,247 $516,935 $143,242 +381% $143,242 +381% ≈648% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $676,523 $507,392 $84,217 +703% $60,098 +1026% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $572,133 $429,099 $112,062 +411% $112,062 +411% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $557,078 $417,808 $90,579 +515% $71,551 +679% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $547,603 $410,702 $102,573 +434% $102,573 +434% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $538,729 $404,047 $71,486 +654% $56,242 +858% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $537,803 $403,352 $115,839 +364% $106,238 +406% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $529,942 $397,457 $74,257 +614% $74,257 +614% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $519,276 $389,457 $121,714 +327% $121,714 +327% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $508,695 $381,521 $71,106 +615% $59,425 +756% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $501,930 $376,447 $124,290 +304% $138,008 +264% ≈503% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $494,529 $370,897 $67,268 +635% $64,152 +671% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $491,316 $368,487 $102,177 +381% $102,177 +381% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $489,798 $367,349 $68,639 +614% $62,524 +683% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $482,671 $362,003 $107,355 +350% $107,355 +350% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $476,997 $357,748 $83,441 +472% $83,441 +472% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $471,728 $353,796 $75,103 +528% $75,103 +528% ≈1031% of Medicare
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $471,271 $353,454 $116,058 +306% $116,058 +306% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $468,149 $351,112 $82,247 +469% $82,247 +469% —
652 KIDNEY TRANSPLANT $467,107 $350,330 $62,468 +648% $54,720 +754% ≈902% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $464,843 $348,632 $91,138 +410% $88,691 +424% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $463,837 $347,878 $55,276 +739% $40,277 +1052% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $457,425 $343,069 $95,536 +379% $87,565 +422% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $453,997 $340,498 $52,959 +757% $43,491 +944% —
028 SPINAL PROCEDURES WITH MCC $452,462 $339,347 $113,077 +300% $95,858 +372% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $448,332 $336,249 $102,128 +339% $94,927 +372% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $445,595 $334,196 $106,778 +317% $106,778 +317% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $441,843 $331,382 $131,961 +235% $131,961 +235% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $441,605 $331,204 $79,939 +452% $66,853 +561% —
471 CERVICAL SPINAL FUSION WITH MCC $433,695 $325,271 $92,515 +369% $92,515 +369% —
834 ACUTE LEUKEMIA WITH MCC $432,981 $324,735 $100,245 +332% $76,583 +465% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $428,230 $321,173 $88,307 +385% $88,307 +385% ≈560% of Medicare
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $423,961 $317,971 $96,245 +341% $80,747 +425% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $418,645 $313,984 $113,157 +270% $92,238 +354% —
265 AICD LEAD PROCEDURES $417,970 $313,478 $70,810 +490% $56,695 +637% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $408,478 $306,359 $85,334 +379% $68,847 +493% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $407,849 $305,886 $59,031 +591% $58,968 +592% —
799 SPLENIC PROCEDURES WITH MCC $403,521 $302,640 $90,790 +344% $78,821 +412% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $400,704 $300,528 $69,701 +475% $59,207 +577% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $398,732 $299,049 $125,242 +218% $118,589 +236% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $388,036 $291,027 $75,573 +413% $72,782 +433% ≈499% of Medicare
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $385,111 $288,834 $88,050 +337% $88,050 +337% ≈564% of Medicare
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $383,823 $287,867 $107,269 +258% $80,018 +380% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $383,004 $287,253 $99,423 +285% $99,423 +285% ≈457% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $376,806 $282,604 $101,662 +271% $78,582 +380% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $373,117 $279,838 $96,507 +287% $96,222 +288% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $370,946 $278,210 $77,041 +381% $61,832 +500% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $370,936 $278,202 $101,576 +265% $86,953 +327% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $370,482 $277,861 $94,937 +290% $87,018 +326% ≈483% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $366,527 $274,895 $108,750 +237% $96,192 +281% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $362,885 $272,164 $114,401 +217% $98,912 +267% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $362,748 $272,061 $90,775 +300% $86,390 +320% ≈331% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $361,865 $271,399 $66,666 +443% $64,749 +459% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $355,399 $266,549 $75,754 +369% $55,097 +545% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $345,366 $259,024 $64,194 +438% $51,142 +575% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $345,127 $258,845 $106,057 +225% $101,235 +241% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $344,310 $258,232 $55,378 +522% $45,290 +660% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $340,748 $255,561 $91,495 +272% $70,735 +382% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $340,347 $255,260 $117,280 +190% $117,280 +190% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $336,113 $252,085 $84,725 +297% $88,049 +282% —
653 MAJOR BLADDER PROCEDURES WITH MCC $334,888 $251,166 $104,583 +220% $97,046 +245% —
500 SOFT TISSUE PROCEDURES WITH MCC $334,339 $250,754 $64,105 +422% $57,479 +482% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $331,009 $248,257 $81,281 +307% $72,945 +354% ≈493% of Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $326,175 $244,631 $88,341 +269% $88,341 +269% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $326,084 $244,563 $79,836 +308% $73,029 +347% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $324,819 $243,614 $70,175 +363% $50,919 +538% —
010 PANCREAS TRANSPLANT $323,057 $242,293 $144,934 +123% $99,940 +223% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $313,655 $235,241 $97,241 +223% $84,861 +270% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $312,467 $234,350 $113,855 +174% $113,855 +174% ≈358% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $307,577 $230,682 $96,905 +217% $96,905 +217% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $307,312 $230,484 $46,066 +567% $46,066 +567% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $305,311 $228,983 $82,561 +270% $82,561 +270% ≈304% of Medicare
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $299,654 $224,740 $76,219 +293% $72,908 +311% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $296,537 $222,403 $77,178 +284% $68,006 +336% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $295,407 $221,555 $38,308 +671% $29,609 +898% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $294,910 $221,183 $61,217 +382% $53,551 +451% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $293,276 $219,957 $57,493 +410% $46,402 +532% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $291,982 $218,987 $70,540 +314% $70,540 +314% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $289,887 $217,415 $43,631 +564% $41,520 +598% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $288,286 $216,215 $49,137 +487% $43,586 +561% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $287,918 $215,938 $65,788 +338% $65,254 +341% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $285,073 $213,804 $69,724 +309% $65,383 +336% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $278,672 $209,004 $73,751 +278% $60,861 +358% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $277,637 $208,228 $77,817 +257% $71,701 +287% —
332 RECTAL RESECTION WITH MCC $276,621 $207,466 $69,152 +300% $58,125 +376% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $272,289 $204,217 $45,240 +502% $34,089 +699% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $269,278 $201,959 $65,608 +310% $64,465 +318% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $268,978 $201,734 $75,820 +255% $62,961 +327% —
595 MAJOR SKIN DISORDERS WITH MCC $266,569 $199,927 $42,837 +522% $31,785 +739% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $265,853 $199,390 $89,523 +197% $80,885 +229% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $265,379 $199,034 $28,946 +817% $21,029 +1162% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $264,545 $198,409 $79,225 +234% $72,011 +267% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $261,148 $195,861 $58,043 +350% $58,043 +350% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $260,938 $195,704 $50,498 +417% $47,546 +449% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $260,933 $195,700 $74,755 +249% $74,755 +249% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $260,267 $195,201 $66,976 +289% $57,277 +354% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $258,568 $193,926 $41,375 +525% $30,661 +743% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $257,349 $193,012 $71,755 +259% $71,755 +259% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $256,963 $192,722 $70,371 +265% $67,901 +278% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $256,636 $192,477 $83,065 +209% $83,065 +209% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $255,371 $191,528 $67,560 +278% $57,855 +341% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $255,309 $191,482 $68,421 +273% $68,880 +271% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $254,782 $191,086 $68,653 +271% $62,269 +309% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $253,579 $190,184 $71,014 +257% $71,014 +257% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $253,447 $190,085 $47,583 +433% $47,583 +433% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $251,740 $188,805 $81,298 +210% $68,659 +267% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $246,254 $184,691 $69,743 +253% $68,399 +260% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $244,182 $183,136 $43,328 +464% $36,850 +563% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $243,905 $182,929 $52,735 +363% $57,963 +321% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $243,196 $182,397 $64,523 +277% $63,475 +283% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $241,867 $181,400 $51,645 +368% $54,824 +341% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $241,177 $180,883 $86,699 +178% $72,859 +231% ≈582% of Medicare
252 OTHER VASCULAR PROCEDURES WITH MCC $241,147 $180,860 $68,508 +252% $68,508 +252% ≈516% of Medicare
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $240,995 $180,746 $69,597 +246% $51,953 +364% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $240,337 $180,253 $65,631 +266% $54,129 +344% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $240,139 $180,105 $46,288 +419% $36,237 +563% ≈597% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $239,588 $179,691 $60,140 +298% $60,140 +298% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $237,667 $178,250 $78,852 +201% $78,852 +201% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $236,599 $177,449 $92,217 +157% $92,217 +157% ≈340% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $231,345 $173,509 $44,363 +421% $44,363 +421% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $231,252 $173,439 $54,345 +326% $41,703 +455% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $231,172 $173,379 $62,334 +271% $67,764 +241% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $231,167 $173,375 $52,405 +341% $52,405 +341% ≈577% of Medicare
245 AICD GENERATOR PROCEDURES $231,141 $173,356 $95,281 +143% $72,076 +221% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $228,663 $171,497 $70,132 +226% $70,132 +226% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $228,411 $171,308 $48,235 +374% $45,818 +399% —
800 SPLENIC PROCEDURES WITH CC $226,712 $170,034 $59,817 +279% $49,184 +361% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $224,044 $168,033 $60,959 +268% $74,274 +202% ≈419% of Medicare
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $224,019 $168,015 $60,905 +268% $49,710 +351% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $223,757 $167,818 $101,566 +120% $82,527 +171% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $222,453 $166,840 $54,583 +308% $52,332 +325% —
472 CERVICAL SPINAL FUSION WITH CC $220,180 $165,135 $59,537 +270% $59,537 +270% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $219,363 $164,522 $64,691 +239% $53,555 +310% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $219,266 $164,449 $77,770 +182% $57,521 +281% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $219,107 $164,330 $45,743 +379% $41,651 +426% —
654 MAJOR BLADDER PROCEDURES WITH CC $218,122 $163,591 $58,274 +274% $53,868 +305% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $217,829 $163,372 $58,975 +269% $56,758 +284% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $217,440 $163,080 $91,329 +138% $91,329 +138% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $217,021 $162,766 $31,108 +598% $24,452 +788% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $216,798 $162,598 $49,631 +337% $49,631 +337% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $215,830 $161,872 $34,906 +518% $34,906 +518% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $213,466 $160,099 $60,274 +254% $63,984 +234% ≈519% of Medicare
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $212,127 $159,096 $86,970 +144% $75,585 +181% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $209,341 $157,006 $53,274 +293% $46,659 +349% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $209,294 $156,970 $66,819 +213% $66,819 +213% —
038 EXTRACRANIAL PROCEDURES WITH CC $208,990 $156,743 $35,770 +484% $35,770 +484% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $207,381 $155,536 $47,696 +335% $34,900 +494% —
849 RADIOTHERAPY $207,368 $155,526 $52,191 +297% $37,862 +448% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $206,220 $154,665 $50,562 +308% $58,832 +251% ≈611% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $204,715 $153,536 $86,246 +137% $76,954 +166% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $203,414 $152,561 $49,765 +309% $39,657 +413% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $201,270 $150,952 $60,402 +233% $54,313 +271% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $200,493 $150,370 $35,675 +462% $29,409 +582% —
253 OTHER VASCULAR PROCEDURES WITH CC $198,743 $149,057 $53,746 +270% $53,746 +270% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $198,079 $148,559 $62,677 +216% $53,817 +268% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $197,317 $147,988 $70,026 +182% $56,964 +246% —
164 MAJOR CHEST PROCEDURES WITH CC $197,285 $147,964 $53,141 +271% $53,141 +271% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $196,123 $147,092 $51,189 +283% $56,394 +248% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $195,323 $146,492 $21,716 +799% $15,890 +1129% —
533 FRACTURES OF FEMUR WITH MCC $195,232 $146,424 $32,907 +493% $25,945 +652% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $194,629 $145,971 $40,719 +378% $35,714 +445% ≈698% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $194,037 $145,527 $59,790 +225% $54,475 +256% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $193,281 $144,960 $40,150 +381% $35,014 +452% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $193,218 $144,913 $54,929 +252% $54,929 +252% —
915 ALLERGIC REACTIONS WITH MCC $193,118 $144,839 $36,491 +429% $30,944 +524% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $191,992 $143,994 $16,450 +1067% $13,282 +1346% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $189,839 $142,379 $72,461 +162% $62,404 +204% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $188,853 $141,640 $54,273 +248% $48,094 +293% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $187,811 $140,858 $46,477 +304% $46,477 +304% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $187,280 $140,460 $48,682 +285% $48,682 +285% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $186,022 $139,517 $43,775 +325% $43,775 +325% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $185,871 $139,403 $65,325 +185% $65,325 +185% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $185,792 $139,344 $25,652 +624% $25,307 +634% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $185,007 $138,756 $34,817 +431% $30,910 +499% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $184,344 $138,258 $51,985 +255% $51,985 +255% ≈542% of Medicare
347 ANAL AND STOMAL PROCEDURES WITH MCC $184,174 $138,130 $50,614 +264% $40,548 +354% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $183,871 $137,904 $47,089 +290% $44,553 +313% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $183,233 $137,425 $47,583 +285% $39,093 +369% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $182,571 $136,929 $35,584 +413% $35,584 +413% —
662 MINOR BLADDER PROCEDURES WITH MCC $182,015 $136,511 $63,279 +188% $54,483 +234% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $182,008 $136,506 $45,849 +297% $37,080 +391% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $181,921 $136,441 $49,066 +271% $46,430 +292% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $179,919 $134,939 $51,339 +250% $51,339 +250% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $179,880 $134,910 $62,821 +186% $62,821 +186% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $179,655 $134,741 $51,487 +249% $46,591 +286% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $179,482 $134,612 $32,467 +453% $25,149 +614% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $179,041 $134,281 $55,594 +222% $45,432 +294% —
570 SKIN DEBRIDEMENT WITH MCC $178,290 $133,718 $63,709 +180% $52,435 +240% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $177,977 $133,483 $32,490 +448% $25,854 +588% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $176,607 $132,455 $46,317 +281% $38,420 +360% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $176,524 $132,393 $38,541 +358% $32,839 +438% —
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $176,491 $132,368 $43,538 +305% $43,538 +305% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $175,736 $131,802 $31,812 +452% $31,812 +452% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $175,256 $131,442 $34,434 +409% $34,434 +409% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $174,708 $131,031 $42,126 +315% $35,459 +393% —
397 APPENDIX PROCEDURES WITH MCC $174,608 $130,956 $54,751 +219% $52,319 +234% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $173,989 $130,492 $39,515 +340% $33,564 +418% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $173,222 $129,916 $53,208 +226% $45,497 +281% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $172,125 $129,094 $49,382 +249% $39,409 +337% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $172,092 $129,069 $53,666 +221% $57,149 +201% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $171,375 $128,531 $76,907 +123% $54,196 +216% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $170,957 $128,218 $71,092 +140% $64,776 +164% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $170,901 $128,176 $50,624 +238% $50,624 +238% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $170,693 $128,020 $43,384 +293% $29,524 +478% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $170,066 $127,549 $45,376 +275% $37,064 +359% —
336 PERITONEAL ADHESIOLYSIS WITH CC $169,954 $127,466 $46,332 +267% $49,470 +244% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $168,325 $126,244 $35,419 +375% $33,984 +395% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $167,765 $125,824 $50,218 +234% $38,878 +332% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $167,356 $125,517 $125,432 +33% $89,353 +87% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $167,316 $125,487 $46,799 +258% $56,519 +196% ≈558% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $166,522 $124,892 $46,657 +257% $37,654 +342% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $166,185 $124,639 $41,111 +304% $30,940 +437% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $166,075 $124,556 $32,473 +411% $29,484 +463% ≈826% of Medicare
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $165,575 $124,182 $46,727 +254% $40,232 +312% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $165,339 $124,004 $35,375 +367% $35,375 +367% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $165,151 $123,863 $55,162 +199% $55,162 +199% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $164,682 $123,512 $40,583 +306% $40,583 +306% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $164,383 $123,288 $34,316 +379% $25,484 +545% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $163,607 $122,706 $39,105 +318% $36,280 +351% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $162,915 $122,187 $46,724 +249% $45,622 +257% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $161,507 $121,130 $38,483 +320% $30,974 +421% —
503 FOOT PROCEDURES WITH MCC $161,432 $121,074 $55,321 +192% $43,901 +268% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $161,315 $120,986 $43,913 +267% $43,398 +272% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $160,149 $120,112 $41,380 +287% $41,380 +287% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $160,065 $120,049 $38,836 +312% $38,836 +312% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $158,908 $119,181 $32,578 +388% $14,284 +1012% —
665 PROSTATECTOMY WITH MCC $158,906 $119,180 $68,562 +132% $54,072 +194% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $158,711 $119,033 $36,651 +333% $44,117 +260% ≈647% of Medicare
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $158,678 $119,008 $50,011 +217% $50,011 +217% ≈366% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $158,656 $118,992 $33,907 +368% $29,924 +430% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $158,338 $118,753 $44,489 +256% $44,600 +255% ≈456% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $157,222 $117,916 $37,921 +315% $36,375 +332% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $157,005 $117,754 $37,175 +322% $29,916 +425% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $156,704 $117,528 $50,777 +209% $52,313 +200% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $156,585 $117,439 $40,365 +288% $36,597 +328% —
333 RECTAL RESECTION WITH CC $156,309 $117,231 $46,551 +236% $34,352 +355% —
334 RECTAL RESECTION WITHOUT CC/MCC $156,305 $117,229 $36,820 +325% $32,213 +385% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $156,246 $117,184 $30,645 +410% $24,118 +548% ≈771% of Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $156,035 $117,026 $40,894 +282% $28,375 +450% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $155,850 $116,887 $47,797 +226% $38,382 +306% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $155,653 $116,739 $51,359 +203% $40,065 +288% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $155,194 $116,395 $48,634 +219% $45,059 +244% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $154,217 $115,662 $38,951 +296% $30,766 +401% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $154,068 $115,551 $37,526 +311% $28,578 +439% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $153,587 $115,190 $40,552 +279% $40,552 +279% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $153,315 $114,986 $45,785 +235% $36,334 +322% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $151,775 $113,831 $65,573 +131% $65,573 +131% ≈348% of Medicare
504 FOOT PROCEDURES WITH CC $151,501 $113,626 $38,960 +289% $36,598 +314% —
671 URETHRAL PROCEDURES WITH CC/MCC $151,220 $113,415 $38,265 +295% $27,233 +455% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $150,673 $113,005 $43,080 +250% $43,080 +250% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $150,562 $112,922 $45,703 +229% $51,172 +194% ≈403% of Medicare
913 TRAUMATIC INJURY WITH MCC $150,528 $112,896 $34,479 +337% $24,198 +522% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $150,356 $112,767 $50,131 +200% $44,989 +234% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $150,300 $112,725 $33,674 +346% $30,972 +385% —
374 DIGESTIVE MALIGNANCY WITH MCC $150,237 $112,678 $42,775 +251% $38,885 +286% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $149,520 $112,140 $40,163 +272% $54,772 +173% ≈718% of Medicare
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $149,418 $112,063 $34,613 +332% $24,465 +511% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $149,224 $111,918 $36,506 +309% $30,814 +384% ≈474% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $148,886 $111,664 $34,354 +333% $34,354 +333% —
075 VIRAL MENINGITIS WITH CC/MCC $148,561 $111,421 $36,230 +310% $29,853 +398% —
199 PNEUMOTHORAX WITH MCC $148,353 $111,265 $36,952 +301% $31,491 +371% —
835 ACUTE LEUKEMIA WITH CC $148,327 $111,245 $43,187 +243% $35,569 +317% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $148,303 $111,227 $44,639 +232% $45,817 +224% ≈462% of Medicare
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $148,279 $111,209 $27,492 +439% $27,492 +439% —
791 PREMATURITY WITH MAJOR PROBLEMS $148,147 $111,110 $75,557 +96% $39,563 +274% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $147,406 $110,554 $37,214 +296% $48,680 +203% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $147,349 $110,512 $25,267 +483% $25,267 +483% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $147,277 $110,458 $40,213 +266% $36,933 +299% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $147,092 $110,319 $49,209 +199% $39,253 +275% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $146,796 $110,097 $27,470 +434% $25,704 +471% ≈672% of Medicare
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $146,048 $109,536 $58,880 +148% $49,055 +198% —
380 COMPLICATED PEPTIC ULCER WITH MCC $145,723 $109,292 $39,627 +268% $36,641 +298% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $145,446 $109,085 $38,094 +282% $38,094 +282% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $145,162 $108,871 $48,353 +200% $44,053 +230% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $145,093 $108,820 $27,163 +434% $26,322 +451% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $144,848 $108,636 $42,423 +241% $32,483 +346% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $144,446 $108,334 $41,857 +245% $49,197 +194% ≈545% of Medicare
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $144,122 $108,092 $43,749 +229% $37,902 +280% —
089 CONCUSSION WITH CC $144,041 $108,030 $23,800 +505% $18,293 +687% —
088 CONCUSSION WITH MCC $143,889 $107,917 $30,986 +364% $24,402 +490% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $143,601 $107,701 $34,689 +314% $41,380 +247% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $142,582 $106,937 $30,056 +374% $28,527 +400% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $142,068 $106,551 $44,730 +218% $41,660 +241% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $141,779 $106,334 $43,800 +224% $43,800 +224% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $141,754 $106,316 $33,653 +321% $32,936 +330% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $141,482 $106,112 $37,950 +273% $37,950 +273% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $141,257 $105,943 $44,357 +218% $43,524 +225% ≈416% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $141,216 $105,912 $64,956 +117% $64,956 +117% —
180 RESPIRATORY NEOPLASMS WITH MCC $140,967 $105,725 $36,658 +285% $36,658 +285% ≈624% of Medicare
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $140,853 $105,640 $40,263 +250% $35,237 +300% ≈381% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $140,554 $105,416 $42,881 +228% $42,881 +228% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $140,454 $105,341 $33,399 +321% $33,792 +316% —
113 ORBITAL PROCEDURES WITH CC/MCC $140,387 $105,290 $48,760 +188% $35,642 +294% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $140,207 $105,155 $32,911 +326% $32,911 +326% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $140,020 $105,015 $54,815 +155% $43,697 +220% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $139,729 $104,797 $40,063 +249% $40,063 +249% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $139,075 $104,307 $20,455 +580% $20,309 +585% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $138,689 $104,017 $37,033 +274% $30,930 +348% —
949 AFTERCARE WITH CC/MCC $138,473 $103,855 $23,953 +478% $23,953 +478% —
501 SOFT TISSUE PROCEDURES WITH CC $138,166 $103,625 $39,619 +249% $37,975 +264% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $137,883 $103,412 $32,100 +330% $29,663 +365% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $136,804 $102,603 $35,080 +290% $33,490 +308% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $136,782 $102,586 $35,243 +288% $32,502 +321% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $136,281 $102,211 $37,842 +260% $37,842 +260% ≈517% of Medicare
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $135,543 $101,657 $27,063 +401% $23,588 +475% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $135,486 $101,615 $18,179 +645% $13,822 +880% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $135,041 $101,281 $41,855 +223% $45,963 +194% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $134,955 $101,217 $33,388 +304% $35,528 +280% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $134,867 $101,150 $39,013 +246% $32,204 +319% —
263 VEIN LIGATION AND STRIPPING $134,721 $101,041 $55,918 +141% $44,938 +200% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $134,458 $100,843 $50,139 +168% $50,139 +168% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $133,880 $100,410 $43,483 +208% $38,357 +249% ≈434% of Medicare
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $133,774 $100,330 $39,018 +243% $39,018 +243% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $133,643 $100,232 $47,452 +182% $41,900 +219% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $133,569 $100,177 $29,805 +348% $29,805 +348% —
711 TESTES PROCEDURES WITH CC/MCC $133,542 $100,157 $42,414 +215% $34,852 +283% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $132,910 $99,682 $48,788 +172% $38,998 +241% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $132,837 $99,627 $37,599 +253% $29,729 +347% —
571 SKIN DEBRIDEMENT WITH CC $132,579 $99,434 $37,169 +257% $34,901 +280% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $131,995 $98,996 $39,057 +238% $32,399 +307% —
668 TRANSURETHRAL PROCEDURES WITH MCC $131,968 $98,976 $59,859 +120% $47,277 +179% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $131,948 $98,961 $41,191 +220% $32,538 +306% —
551 MEDICAL BACK PROBLEMS WITH MCC $131,619 $98,715 $35,961 +266% $31,086 +323% ≈508% of Medicare
801 SPLENIC PROCEDURES WITHOUT CC/MCC $130,694 $98,020 $36,445 +259% $28,634 +356% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $130,297 $97,723 $30,493 +327% $29,050 +349% ≈631% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $130,226 $97,669 $34,588 +277% $26,020 +400% —
643 ENDOCRINE DISORDERS WITH MCC $130,218 $97,663 $35,135 +271% $32,996 +295% ≈690% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $129,839 $97,379 $41,146 +216% $31,019 +319% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $129,708 $97,281 $42,463 +205% $33,165 +291% —
183 MAJOR CHEST TRAUMA WITH MCC $128,788 $96,591 $33,957 +279% $28,924 +345% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $128,069 $96,052 $42,126 +204% $42,126 +204% —
398 APPENDIX PROCEDURES WITH CC $128,054 $96,041 $33,592 +281% $39,107 +227% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $127,562 $95,671 $37,764 +238% $43,266 +195% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $127,496 $95,622 $25,390 +402% $25,390 +402% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $127,151 $95,363 $29,623 +329% $25,426 +400% ≈599% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $126,962 $95,221 $35,453 +258% $35,453 +258% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $126,953 $95,215 $32,248 +294% $28,140 +351% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $126,811 $95,108 $40,694 +212% $40,694 +212% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $126,541 $94,905 $38,998 +224% $29,558 +328% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $126,324 $94,743 $24,928 +407% $19,317 +554% —
906 HAND PROCEDURES FOR INJURIES $126,082 $94,561 $47,513 +165% $31,520 +300% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $125,994 $94,495 $36,661 +244% $31,758 +297% ≈467% of Medicare
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $125,378 $94,033 $108,802 +15% $98,260 +28% —
100 SEIZURES WITH MCC $124,776 $93,582 $40,653 +207% $35,194 +255% ≈429% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $124,589 $93,442 $40,563 +207% $40,563 +207% —
813 COAGULATION DISORDERS $124,563 $93,422 $33,296 +274% $30,128 +313% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $124,054 $93,040 $38,187 +225% $30,394 +308% ≈385% of Medicare
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $123,387 $92,540 $31,816 +288% $31,816 +288% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $123,005 $92,254 $34,467 +257% $25,731 +378% ≈499% of Medicare
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $122,964 $92,223 $38,631 +218% $35,114 +250% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $122,596 $91,947 $29,117 +321% $23,115 +430% ≈677% of Medicare
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $122,461 $91,846 $30,083 +307% $29,374 +317% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $122,118 $91,588 $44,326 +176% $29,109 +320% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $122,002 $91,501 $33,506 +264% $27,279 +347% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $121,582 $91,187 $32,445 +275% $24,450 +397% —
505 FOOT PROCEDURES WITHOUT CC/MCC $121,529 $91,147 $38,960 +212% $31,716 +283% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $121,288 $90,966 $34,078 +256% $36,239 +235% —
200 PNEUMOTHORAX WITH CC $120,433 $90,325 $24,586 +390% $20,573 +485% ≈904% of Medicare
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $120,409 $90,307 $34,867 +245% $28,967 +316% ≈513% of Medicare
444 DISORDERS OF THE BILIARY TRACT WITH MCC $120,207 $90,155 $35,591 +238% $31,128 +286% ≈470% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $119,800 $89,850 $40,695 +194% $35,139 +241% —
919 COMPLICATIONS OF TREATMENT WITH MCC $119,725 $89,794 $37,933 +216% $29,031 +312% ≈474% of Medicare
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $119,419 $89,564 $60,265 +98% $48,907 +144% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $118,894 $89,171 $35,352 +236% $25,208 +372% ≈601% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $118,652 $88,989 $35,532 +234% $30,058 +295% ≈494% of Medicare
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $118,062 $88,547 $33,424 +253% $33,424 +253% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $117,949 $88,462 $36,907 +220% $27,548 +328% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $117,935 $88,451 $25,700 +359% $24,202 +387% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $117,599 $88,199 $36,340 +224% $29,826 +294% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $117,381 $88,036 $36,816 +219% $42,119 +179% ≈543% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $116,957 $87,718 $35,349 +231% $33,607 +248% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $116,832 $87,624 $34,448 +239% $31,840 +267% ≈418% of Medicare
709 PENIS PROCEDURES WITH CC/MCC $116,686 $87,514 $48,600 +140% $34,535 +238% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $116,531 $87,398 $35,217 +231% $39,747 +193% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $116,345 $87,258 $30,242 +285% $24,980 +366% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $115,836 $86,877 $39,422 +194% $31,909 +263% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $115,827 $86,870 $69,089 +68% $49,065 +136% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $115,750 $86,813 $35,692 +224% $35,692 +224% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $115,520 $86,640 $30,418 +280% $30,418 +280% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $115,321 $86,491 $37,042 +211% $28,103 +310% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $115,026 $86,270 $29,596 +289% $31,978 +260% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $114,902 $86,177 $31,730 +262% $24,941 +361% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $114,888 $86,166 $30,887 +272% $35,542 +223% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $114,198 $85,648 $58,935 +94% $44,973 +154% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $114,192 $85,644 $21,225 +438% $18,191 +528% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $114,027 $85,520 $39,360 +190% $36,242 +215% —
666 PROSTATECTOMY WITH CC $113,270 $84,952 $36,569 +210% $30,016 +277% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $111,942 $83,956 $30,693 +265% $25,666 +336% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $111,562 $83,671 $26,533 +320% $20,421 +446% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $111,452 $83,589 $26,611 +319% $27,369 +307% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $111,283 $83,462 $56,278 +98% $36,097 +208% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $110,707 $83,030 $43,027 +157% $36,202 +206% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $110,685 $83,014 $29,523 +275% $23,350 +374% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $110,583 $82,937 $28,993 +281% $23,956 +362% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $110,497 $82,872 $33,137 +233% $33,137 +233% ≈585% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $110,308 $82,731 $34,839 +217% $28,134 +292% ≈432% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $110,010 $82,507 $30,922 +256% $27,934 +294% ≈516% of Medicare
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $109,223 $81,917 $33,987 +221% $24,879 +339% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $108,528 $81,396 $15,975 +579% $12,537 +766% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $108,135 $81,101 $26,242 +312% $19,598 +452% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $107,937 $80,953 $37,213 +190% $30,275 +257% —
184 MAJOR CHEST TRAUMA WITH CC $107,446 $80,585 $23,711 +353% $20,842 +416% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $107,104 $80,328 $29,747 +260% $30,358 +253% ≈658% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $106,893 $80,170 $36,467 +193% $31,566 +239% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $106,686 $80,014 $43,378 +146% $33,050 +223% —
682 RENAL FAILURE WITH MCC $106,180 $79,635 $32,520 +227% $27,854 +281% ≈517% of Medicare
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $105,919 $79,439 $68,616 +54% $52,908 +100% —
592 SKIN ULCERS WITH MCC $105,830 $79,372 $41,848 +153% $32,662 +224% —
302 ATHEROSCLEROSIS WITH MCC $105,817 $79,363 $25,825 +310% $20,844 +408% —
637 DIABETES WITH MCC $105,679 $79,259 $31,753 +233% $28,819 +267% ≈262% of Medicare
186 PLEURAL EFFUSION WITH MCC $105,611 $79,208 $33,834 +212% $32,468 +225% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $104,213 $78,160 $32,451 +221% $32,451 +221% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $104,133 $78,100 $38,443 +171% $22,698 +359% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $103,796 $77,847 $39,020 +166% $35,673 +191% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $103,242 $77,432 $30,959 +233% $29,757 +247% ≈556% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $103,228 $77,421 $35,872 +188% $27,118 +281% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $102,949 $77,212 $38,978 +164% $32,981 +212% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $102,945 $77,209 $31,017 +232% $30,006 +243% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $102,836 $77,127 $33,256 +209% $28,252 +264% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $102,137 $76,603 $35,113 +191% $32,689 +212% ≈411% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $101,878 $76,409 $26,770 +281% $26,488 +285% ≈580% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $101,345 $76,009 $27,947 +263% $27,947 +263% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $101,127 $75,845 $28,593 +254% $24,316 +316% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $101,061 $75,796 $25,037 +304% $20,741 +387% —
947 SIGNS AND SYMPTOMS WITH MCC $100,466 $75,350 $28,553 +252% $25,474 +294% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $99,892 $74,919 $29,252 +241% $26,158 +282% ≈504% of Medicare
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $99,855 $74,891 $44,068 +127% $29,633 +237% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $99,560 $74,670 $28,515 +249% $27,244 +265% ≈395% of Medicare
090 CONCUSSION WITHOUT CC/MCC $99,445 $74,584 $19,032 +423% $14,873 +569% —
539 OSTEOMYELITIS WITH MCC $99,367 $74,525 $41,277 +141% $33,746 +194% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $99,247 $74,435 $28,651 +246% $22,811 +335% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $99,236 $74,427 $31,063 +219% $23,734 +318% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $98,961 $74,221 $22,575 +338% $23,469 +322% ≈766% of Medicare
697 URETHRAL STRICTURE $98,188 $73,641 $22,239 +342% $17,705 +455% —
187 PLEURAL EFFUSION WITH CC $97,648 $73,236 $22,288 +338% $21,467 +355% —
602 CELLULITIS WITH MCC $97,362 $73,022 $31,970 +205% $29,347 +232% ≈396% of Medicare
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $97,247 $72,935 $33,325 +192% $28,646 +239% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $97,180 $72,885 $27,348 +255% $20,147 +382% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $96,924 $72,693 $29,250 +231% $34,887 +178% —
606 MINOR SKIN DISORDERS WITH MCC $96,661 $72,496 $34,344 +181% $25,434 +280% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $96,380 $72,285 $31,982 +201% $28,780 +235% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $96,250 $72,188 $19,624 +390% $15,869 +507% ≈774% of Medicare
885 PSYCHOSES $95,715 $71,786 $30,968 +209% $21,489 +345% —
506 MAJOR THUMB OR JOINT PROCEDURES $95,281 $71,461 $33,279 +186% $28,983 +229% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $94,479 $70,859 $22,635 +317% $20,080 +371% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $94,207 $70,655 $24,477 +285% $25,162 +274% —
914 TRAUMATIC INJURY WITHOUT MCC $94,115 $70,586 $20,344 +363% $15,593 +504% —
102 HEADACHES WITH MCC $94,077 $70,558 $25,740 +265% $22,544 +317% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $93,974 $70,480 $36,354 +158% $36,333 +159% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $93,791 $70,343 $23,971 +291% $18,126 +417% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $93,603 $70,202 $51,387 +82% $36,080 +159% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $92,769 $69,577 $33,633 +176% $31,059 +199% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $92,619 $69,465 $22,790 +306% $24,022 +286% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $92,570 $69,428 $33,267 +178% $24,036 +285% —
865 VIRAL ILLNESS WITH MCC $91,393 $68,545 $32,083 +185% $26,088 +250% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $91,191 $68,393 $17,775 +413% $13,586 +571% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $90,985 $68,239 $29,481 +209% $24,480 +272% ≈443% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $90,959 $68,219 $28,602 +218% $23,924 +280% —
597 MALIGNANT BREAST DISORDERS WITH MCC $90,454 $67,841 $36,807 +146% $31,846 +184% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $89,527 $67,145 $33,048 +171% $31,062 +188% —
291 HEART FAILURE AND SHOCK WITH MCC $89,247 $66,935 $28,966 +208% $25,020 +257% ≈422% of Medicare
157 DENTAL AND ORAL DISEASES WITH MCC $89,240 $66,930 $34,802 +156% $27,457 +225% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $88,855 $66,641 $24,191 +267% $31,190 +185% ≈322% of Medicare
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $88,559 $66,419 $28,125 +215% $25,623 +246% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $88,259 $66,195 $24,930 +254% $24,190 +265% ≈599% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $87,204 $65,403 $36,087 +142% $27,168 +221% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $86,660 $64,995 $31,166 +178% $25,010 +246% —
137 MOUTH PROCEDURES WITH CC/MCC $85,737 $64,303 $31,048 +176% $24,348 +252% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $85,679 $64,260 $23,571 +263% $23,571 +263% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $85,568 $64,176 $18,577 +361% $14,055 +509% —
693 URINARY STONES WITH MCC $85,419 $64,064 $31,990 +167% $22,525 +279% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $85,377 $64,033 $22,268 +283% $17,078 +400% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $85,148 $63,861 $27,323 +212% $27,321 +212% —
644 ENDOCRINE DISORDERS WITH CC $84,967 $63,725 $22,941 +270% $22,941 +270% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $84,655 $63,491 $37,692 +125% $29,476 +187% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $84,500 $63,375 $30,308 +179% $20,980 +303% —
540 OSTEOMYELITIS WITH CC $84,428 $63,321 $28,728 +194% $23,494 +259% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $84,170 $63,128 $24,042 +250% $22,560 +273% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $84,134 $63,101 $23,551 +257% $23,496 +258% ≈644% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $83,903 $62,927 $28,156 +198% $28,156 +198% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $83,855 $62,891 $29,894 +181% $23,723 +253% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $83,675 $62,756 $31,950 +162% $25,243 +231% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $83,530 $62,647 $56,127 +49% $44,839 +86% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $83,186 $62,389 $20,463 +307% $20,463 +307% ≈494% of Medicare
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $83,028 $62,271 $34,749 +139% $32,490 +156% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $83,011 $62,258 $25,769 +222% $22,532 +268% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $82,278 $61,709 $21,129 +289% $18,428 +346% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $82,188 $61,641 $16,077 +411% $12,593 +553% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $81,372 $61,029 $20,259 +302% $17,585 +363% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $80,388 $60,291 $24,544 +228% $24,544 +228% —
197 INTERSTITIAL LUNG DISEASE WITH CC $80,100 $60,075 $21,977 +264% $20,106 +298% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $80,053 $60,040 $31,874 +151% $29,211 +174% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $80,013 $60,010 $25,980 +208% $22,982 +248% ≈357% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $79,436 $59,577 $25,192 +215% $19,795 +301% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $79,416 $59,562 $22,637 +251% $21,545 +269% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $79,333 $59,500 $19,914 +298% $15,764 +403% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $79,304 $59,478 $19,854 +299% $19,854 +299% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $79,172 $59,379 $25,034 +216% $24,017 +230% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $79,163 $59,372 $16,299 +386% $14,110 +461% —
593 SKIN ULCERS WITH CC $78,987 $59,240 $27,143 +191% $20,470 +286% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $78,957 $59,217 $26,302 +200% $20,842 +279% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $78,078 $58,558 $22,153 +252% $17,434 +348% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $78,054 $58,540 $24,644 +217% $18,459 +323% —
375 DIGESTIVE MALIGNANCY WITH CC $77,479 $58,109 $27,277 +184% $27,219 +185% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $77,416 $58,062 $28,065 +176% $26,634 +191% —
667 PROSTATECTOMY WITHOUT CC/MCC $77,141 $57,856 $22,817 +238% $16,703 +362% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $77,136 $57,852 $20,086 +284% $15,077 +412% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $76,853 $57,640 $38,876 +98% $34,264 +124% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $76,777 $57,583 $28,626 +168% $23,920 +221% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $76,634 $57,476 $19,138 +300% $16,156 +374% —
712 TESTES PROCEDURES WITHOUT CC/MCC $76,227 $57,170 $23,745 +221% $18,898 +303% —
181 RESPIRATORY NEOPLASMS WITH CC $76,206 $57,155 $24,648 +209% $22,431 +240% —
304 HYPERTENSION WITH MCC $75,908 $56,931 $26,080 +191% $24,185 +214% —
150 EPISTAXIS WITH MCC $75,225 $56,419 $30,507 +147% $21,133 +256% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $75,015 $56,262 $22,641 +231% $16,571 +353% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $74,948 $56,211 $18,002 +316% $18,002 +316% ≈697% of Medicare
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $74,890 $56,167 $23,944 +213% $17,193 +336% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $74,815 $56,112 $23,503 +218% $24,136 +210% ≈551% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $74,812 $56,109 $25,822 +190% $18,291 +309% —
381 COMPLICATED PEPTIC ULCER WITH CC $74,783 $56,088 $24,177 +209% $24,177 +209% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $74,631 $55,973 $18,592 +301% $14,064 +431% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $74,580 $55,935 $33,694 +121% $33,694 +121% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $74,518 $55,888 $27,494 +171% $22,032 +238% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $74,517 $55,888 $19,815 +276% $19,815 +276% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $74,478 $55,858 $24,948 +199% $30,314 +146% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $74,211 $55,658 $22,024 +237% $22,024 +237% ≈529% of Medicare
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $73,917 $55,438 $14,800 +399% $11,847 +524% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $73,698 $55,274 $14,927 +394% $13,198 +458% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $73,619 $55,214 $21,396 +244% $21,213 +247% ≈534% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $73,127 $54,845 $23,951 +205% $19,073 +283% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $72,882 $54,662 $21,216 +244% $20,371 +258% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $72,769 $54,577 $20,084 +262% $20,084 +262% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $72,572 $54,429 $15,280 +375% $19,483 +272% ≈790% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $72,270 $54,203 $30,846 +134% $24,561 +194% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $72,239 $54,180 $21,886 +230% $21,886 +230% ≈496% of Medicare
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $72,197 $54,148 $25,361 +185% $24,432 +196% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $72,127 $54,095 $16,654 +333% $16,654 +333% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $71,930 $53,948 $27,645 +160% $26,146 +175% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $71,544 $53,658 $20,861 +243% $17,108 +318% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $71,446 $53,584 $19,811 +261% $21,261 +236% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $70,649 $52,987 $22,033 +221% $20,968 +237% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $69,810 $52,357 $23,141 +202% $23,141 +202% ≈465% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $69,415 $52,061 $28,209 +146% $22,275 +212% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $69,231 $51,924 $21,449 +223% $21,449 +223% ≈329% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $69,137 $51,852 $24,220 +185% $19,868 +248% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $69,005 $51,754 $22,888 +201% $22,781 +203% ≈504% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $68,884 $51,663 $19,492 +253% $17,383 +296% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $68,648 $51,486 $20,506 +235% $19,287 +256% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $68,591 $51,443 $25,552 +168% $18,133 +278% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $68,548 $51,411 $31,511 +118% $22,525 +204% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $68,298 $51,223 $19,602 +248% $15,608 +338% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $68,166 $51,125 $24,075 +183% $21,806 +213% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $67,967 $50,975 $21,460 +217% $17,273 +293% ≈388% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $67,918 $50,939 $36,589 +86% $25,197 +170% —
920 COMPLICATIONS OF TREATMENT WITH CC $67,867 $50,900 $22,552 +201% $21,181 +220% ≈540% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $67,767 $50,825 $22,850 +197% $22,850 +197% —
176 PULMONARY EMBOLISM WITHOUT MCC $67,600 $50,700 $18,081 +274% $18,081 +274% ≈548% of Medicare
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $67,585 $50,689 $18,126 +273% $17,928 +277% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $67,486 $50,614 $23,396 +188% $23,396 +188% ≈396% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $67,381 $50,536 $23,767 +184% $19,579 +244% ≈439% of Medicare
139 SALIVARY GLAND PROCEDURES $67,332 $50,499 $30,480 +121% $21,014 +220% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $66,605 $49,954 $19,096 +249% $19,096 +249% ≈542% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $66,542 $49,907 $21,494 +210% $19,001 +250% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $66,487 $49,865 $19,842 +235% $18,803 +254% ≈579% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $66,425 $49,819 $22,557 +194% $18,017 +269% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $66,194 $49,645 $17,265 +283% $15,858 +317% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $66,103 $49,577 $21,363 +209% $20,777 +218% ≈462% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $66,031 $49,523 $23,749 +178% $23,749 +178% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $65,224 $48,918 $28,340 +130% $22,557 +189% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $64,893 $48,670 $25,279 +157% $24,452 +165% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $64,865 $48,649 $57,323 +13% $16,719 +288% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $64,863 $48,647 $19,569 +231% $19,569 +231% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $64,741 $48,556 $20,401 +217% $16,352 +296% —
158 DENTAL AND ORAL DISEASES WITH CC $63,931 $47,948 $20,881 +206% $17,700 +261% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $63,393 $47,545 $20,725 +206% $16,642 +281% —
638 DIABETES WITH CC $63,318 $47,489 $20,361 +211% $18,821 +236% ≈500% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $62,811 $47,108 $21,356 +194% $15,680 +301% —
864 FEVER AND INFLAMMATORY CONDITIONS $62,562 $46,921 $19,935 +214% $17,412 +259% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $62,080 $46,560 $21,494 +189% $18,238 +240% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $62,050 $46,537 $17,762 +249% $20,278 +206% ≈571% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $61,967 $46,476 $18,070 +243% $17,195 +260% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $61,759 $46,319 $17,287 +257% $14,166 +336% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $61,680 $46,260 $20,896 +195% $18,918 +226% ≈438% of Medicare
683 RENAL FAILURE WITH CC $61,627 $46,220 $19,733 +212% $18,620 +231% ≈494% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $61,563 $46,173 $18,204 +238% $18,204 +238% ≈443% of Medicare
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $61,503 $46,127 $16,097 +282% $18,623 +230% ≈543% of Medicare
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $61,383 $46,037 $21,201 +190% $15,589 +294% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $61,140 $45,855 $21,236 +188% $16,418 +272% —
312 SYNCOPE AND COLLAPSE $60,769 $45,577 $19,342 +214% $19,342 +214% ≈522% of Medicare
123 NEUROLOGICAL EYE DISORDERS $60,531 $45,398 $17,831 +239% $17,831 +239% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $60,365 $45,273 $14,907 +305% $11,909 +407% —
881 DEPRESSIVE NEUROSES $60,282 $45,211 $20,293 +197% $15,058 +300% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $60,101 $45,076 $22,641 +165% $20,732 +190% ≈396% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $60,050 $45,037 $19,118 +214% $16,212 +270% ≈467% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $59,944 $44,958 $19,638 +205% $15,045 +298% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $59,771 $44,829 $19,072 +213% $18,278 +227% ≈365% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $59,278 $44,459 $16,776 +253% $16,776 +253% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $58,774 $44,081 $33,779 +74% $29,371 +100% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $58,691 $44,018 $37,477 +57% $24,836 +136% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $58,603 $43,952 $27,552 +113% $20,727 +183% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $58,569 $43,927 $21,205 +176% $19,326 +203% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $58,530 $43,898 $20,488 +186% $20,488 +186% ≈391% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $58,513 $43,885 $22,590 +159% $22,713 +158% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $58,197 $43,648 $22,266 +161% $16,212 +259% —
710 PENIS PROCEDURES WITHOUT CC/MCC $58,133 $43,599 $33,330 +74% $23,814 +144% —
103 HEADACHES WITHOUT MCC $58,047 $43,535 $18,874 +208% $20,111 +189% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $57,982 $43,487 $16,412 +253% $16,865 +244% ≈568% of Medicare
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $57,738 $43,303 $22,750 +154% $16,495 +250% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $57,653 $43,240 $16,634 +247% $16,634 +247% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $57,510 $43,133 $24,439 +135% $17,483 +229% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $57,163 $42,872 $16,565 +245% $14,861 +285% —
549 SEPTIC ARTHRITIS WITH CC $56,830 $42,622 $26,753 +112% $20,938 +171% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $56,707 $42,531 $15,549 +265% $13,654 +315% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $56,619 $42,464 $23,887 +137% $17,943 +216% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $56,591 $42,443 $16,525 +242% $13,892 +307% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $56,562 $42,422 $21,880 +159% $18,282 +209% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $56,497 $42,373 $31,612 +79% $21,986 +157% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $56,323 $42,242 $19,305 +192% $19,305 +192% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $56,207 $42,155 $20,566 +173% $18,608 +202% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $56,156 $42,117 $19,176 +193% $17,367 +223% ≈479% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $56,125 $42,094 $17,795 +215% $17,388 +223% ≈486% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $56,091 $42,068 $18,004 +212% $16,866 +233% —
866 VIRAL ILLNESS WITHOUT MCC $55,927 $41,945 $19,642 +185% $16,391 +241% —
594 SKIN ULCERS WITHOUT CC/MCC $55,814 $41,860 $18,841 +196% $14,209 +293% —
201 PNEUMOTHORAX WITHOUT CC/MCC $55,770 $41,827 $15,031 +271% $13,081 +326% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $55,689 $41,767 $19,584 +184% $16,049 +247% ≈472% of Medicare
101 SEIZURES WITHOUT MCC $55,433 $41,575 $20,461 +171% $19,954 +178% ≈407% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $55,149 $41,361 $20,108 +174% $17,731 +211% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $55,130 $41,348 $22,197 +148% $20,007 +176% ≈391% of Medicare
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $55,053 $41,290 $28,029 +96% $19,894 +177% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $54,845 $41,134 $17,087 +221% $14,444 +280% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $54,657 $40,993 $17,347 +215% $16,745 +226% ≈484% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $54,373 $40,780 $20,355 +167% $15,474 +251% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $54,351 $40,763 $23,369 +133% $18,478 +194% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $54,063 $40,547 $14,638 +269% $13,485 +301% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $54,041 $40,531 $24,337 +122% $17,103 +216% —
149 DYSEQUILIBRIUM $53,591 $40,193 $16,594 +223% $17,203 +212% ≈530% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $53,520 $40,140 $17,638 +203% $17,727 +202% ≈435% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $53,419 $40,064 $14,134 +278% $14,134 +278% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $53,238 $39,928 $15,600 +241% $15,600 +241% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $53,204 $39,903 $15,464 +244% $12,279 +333% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $53,091 $39,819 $15,495 +243% $15,072 +252% —
305 HYPERTENSION WITHOUT MCC $52,982 $39,736 $16,665 +218% $17,144 +209% ≈381% of Medicare
603 CELLULITIS WITHOUT MCC $52,786 $39,589 $19,553 +170% $18,530 +185% ≈412% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $52,701 $39,526 $15,837 +233% $15,607 +238% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $52,218 $39,164 $17,817 +193% $17,466 +199% ≈384% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $52,209 $39,157 $21,280 +145% $15,636 +234% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $52,131 $39,098 $14,643 +256% $13,368 +290% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $51,385 $38,538 $18,330 +180% $15,876 +224% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $51,174 $38,380 $17,522 +192% $17,522 +192% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $50,821 $38,116 $14,368 +254% $14,368 +254% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $50,583 $37,937 $17,700 +186% $17,700 +186% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $50,189 $37,642 $17,322 +190% $17,322 +190% ≈463% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $50,100 $37,575 $18,139 +176% $16,837 +198% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $49,978 $37,483 $16,607 +201% $14,337 +249% —
694 URINARY STONES WITHOUT MCC $49,849 $37,387 $17,347 +187% $16,531 +202% —
916 ALLERGIC REACTIONS WITHOUT MCC $49,747 $37,310 $14,743 +237% $13,890 +258% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $48,982 $36,736 $22,628 +116% $19,091 +157% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $48,804 $36,603 $23,352 +109% $17,550 +178% —
639 DIABETES WITHOUT CC/MCC $48,492 $36,369 $13,910 +249% $13,910 +249% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $48,438 $36,329 $16,592 +192% $12,895 +276% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $47,949 $35,962 $18,528 +159% $18,253 +163% ≈402% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $47,565 $35,674 $14,880 +220% $14,880 +220% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $47,028 $35,271 $15,267 +208% $14,012 +236% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $46,921 $35,191 $24,000 +96% $17,226 +172% —
779 ABORTION WITHOUT D&C $46,899 $35,175 $20,752 +126% $15,327 +206% —
311 ANGINA PECTORIS $46,722 $35,042 $15,502 +201% $15,165 +208% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $46,608 $34,956 $27,634 +69% $21,860 +113% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $46,586 $34,939 $16,104 +189% $16,104 +189% —
607 MINOR SKIN DISORDERS WITHOUT MCC $46,391 $34,793 $19,185 +142% $15,284 +204% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $46,337 $34,753 $14,128 +228% $14,128 +228% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $46,304 $34,728 $15,156 +206% $12,797 +262% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $46,183 $34,637 $18,126 +155% $17,715 +161% ≈367% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $46,159 $34,619 $15,799 +192% $14,473 +219% —
541 OSTEOMYELITIS WITHOUT CC/MCC $46,086 $34,565 $19,422 +137% $14,549 +217% —
151 EPISTAXIS WITHOUT MCC $46,075 $34,556 $16,827 +174% $13,032 +254% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $46,024 $34,518 $23,312 +97% $22,231 +107% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $45,913 $34,435 $22,155 +107% $15,370 +199% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $45,662 $34,247 $13,824 +230% $13,824 +230% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $45,646 $34,234 $31,974 +43% $25,786 +77% —
303 ATHEROSCLEROSIS WITHOUT MCC $45,538 $34,154 $14,927 +205% $14,927 +205% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $45,519 $34,139 $13,639 +234% $11,071 +311% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $44,999 $33,749 $13,683 +229% $15,070 +199% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $44,565 $33,424 $17,431 +156% $13,385 +233% —
313 CHEST PAIN $44,476 $33,357 $15,837 +181% $15,962 +179% ≈455% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $44,298 $33,224 $13,384 +231% $13,384 +231% ≈565% of Medicare
672 URETHRAL PROCEDURES WITHOUT CC/MCC $44,072 $33,054 $24,295 +81% $17,398 +153% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $43,308 $32,481 $31,508 +37% $21,615 +100% —
935 NON-EXTENSIVE BURNS $43,274 $32,456 $43,274 +0% $29,458 +47% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $42,123 $31,592 $13,326 +216% $11,955 +252% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $42,108 $31,581 $13,318 +216% $13,318 +216% ≈572% of Medicare
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $41,581 $31,186 $14,208 +193% $14,208 +193% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $40,031 $30,023 $15,358 +161% $14,441 +177% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $39,690 $29,768 $43,354 −8% $31,044 +28% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $38,516 $28,887 $15,411 +150% $13,303 +190% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $38,426 $28,819 $16,064 +139% $13,090 +194% —
950 AFTERCARE WITHOUT CC/MCC $37,698 $28,274 $13,527 +179% $13,527 +179% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $36,601 $27,451 $15,462 +137% $12,405 +195% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $36,587 $27,440 $15,839 +131% $12,381 +195% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $36,481 $27,361 $13,855 +163% $12,013 +204% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $35,844 $26,883 $13,425 +167% $9,385 +282% —
684 RENAL FAILURE WITHOUT CC/MCC $35,761 $26,821 $13,642 +162% $13,623 +162% —
887 OTHER MENTAL DISORDER DIAGNOSES $35,337 $26,503 $26,404 +34% $20,602 +72% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $34,734 $26,051 $18,150 +91% $18,150 +91% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $33,967 $25,475 $14,072 +141% $11,421 +197% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $33,660 $25,245 $11,539 +192% $9,076 +271% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $33,292 $24,969 $28,209 +18% $19,686 +69% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $33,204 $24,903 $14,148 +135% $12,044 +176% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $32,909 $24,681 $13,599 +142% $10,975 +200% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $31,586 $23,689 $34,603 −9% $11,633 +172% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $22,392 $16,794 $15,058 +49% $11,997 +87% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,326 $9,994 $16,713 −20% $7,961 +67% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,973 $7,480 $16,175 −38% $12,650 −21% —
795 NORMAL NEWBORN $7,837 $5,878 $6,880 +14% $4,530 +73% —

Procedures with negotiated rates only

These 2 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC — 1 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 1 plans
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