Bridgeport Hospital — Pricing

734 procedures published in this hospital's Machine-Readable File (MRF) — 643 with a comparable price, 91 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 734
Lowest published price $5,928
Average published price $68,731
Highest published price $826,414

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 734 procedures

Published charges

Showing all 643 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 94 procedures, this hospital's negotiated rates average ≈200% of what Medicare pays.

DRG Description Published price Cash price vs. CT median vs. National median vs Medicare
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV GREATER THAN 96 HOURS WITH SKIN GRAFT $826,414 $421,471 $566,250 — $306,087 +170% —
004 TRACHEOSTOMY WITH MV GREATER THAN 96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $596,183 $304,054 $557,308 +7% $248,521 +140% —
003 ECMO OR TRACHEOSTOMY WITH MV GREATER THAN 96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $588,988 $300,384 $765,172 −23% $371,366 +59% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $332,362 $169,505 $341,583 −3% $188,171 +77% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $330,710 $168,662 $237,236 +39% $208,939 +58% —
231 CORONARY BYPASS WITH PTCA WITH MCC $325,218 $165,861 $236,446 +38% $147,227 +121% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $291,174 $148,499 $291,174 +0% $103,861 +180% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $288,728 $147,251 $175,193 +65% $52,908 +446% —
653 MAJOR BLADDER PROCEDURES WITH MCC $280,503 $143,056 $144,674 +94% $104,583 +168% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $271,699 $138,566 $286,350 −5% $153,282 +77% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV GREATER THAN 96 HOURS $266,056 $135,688 $220,256 +21% $148,832 +79% ≈207% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $259,127 $132,155 $245,970 +5% $120,573 +115% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT GREATER THAN 96 HOURS $253,176 $129,120 $253,176 +0% $116,058 +118% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $252,004 $128,522 $111,268 +126% $71,795 +251% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $242,862 $123,860 $140,494 +73% $96,192 +152% —
799 SPLENIC PROCEDURES WITH MCC $242,835 $123,846 $158,816 +53% $82,218 +195% —
028 SPINAL PROCEDURES WITH MCC $242,759 $123,807 $248,746 −2% $113,077 +115% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $240,488 $122,649 $220,941 +9% $143,242 +68% ≈169% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $239,313 $122,050 $198,606 +20% $96,905 +147% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $221,143 $112,783 $170,365 +30% $117,280 +89% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $217,827 $111,092 $158,662 +37% $106,778 +104% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $214,126 $109,204 $248,489 −14% $144,569 +48% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $209,491 $106,840 $124,806 +68% $69,743 +200% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $208,340 $106,253 $80,600 +158% $40,060 +420% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $201,569 $102,800 $195,337 +3% $90,401 +123% —
037 EXTRACRANIAL PROCEDURES WITH MCC $198,626 $101,299 $193,205 +3% $66,666 +198% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $196,537 $100,234 $223,421 −12% $131,961 +49% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $194,027 $98,954 $156,277 +24% $107,355 +81% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $194,011 $98,946 $202,765 −4% $89,207 +117% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $193,162 $98,513 $278,905 −31% $66,711 +190% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $190,322 $97,064 $254,003 −25% $102,600 +85% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $186,534 $95,132 $81,310 +129% $46,724 +299% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $177,447 $90,498 $114,850 +55% $77,817 +128% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $175,103 $89,302 $148,529 +18% $82,561 +112% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $174,661 $89,077 $122,470 +43% $75,103 +133% —
500 SOFT TISSUE PROCEDURES WITH MCC $173,702 $88,588 $136,482 +27% $61,872 +181% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $171,829 $87,633 $187,773 −8% $112,062 +53% ≈186% of Medicare
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $171,738 $87,586 $124,626 +38% $76,219 +125% —
471 CERVICAL SPINAL FUSION WITH MCC $170,892 $87,155 $162,919 +5% $92,515 +85% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $170,719 $87,067 $170,719 +0% $54,196 +215% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $170,549 $86,980 $185,248 −8% $75,251 +127% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $163,692 $83,483 $162,366 +1% $87,761 +87% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $162,670 $82,962 $179,028 −9% $102,573 +59% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $161,994 $82,617 $110,604 +46% $61,217 +165% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $160,706 $81,960 $112,638 +43% $74,755 +115% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $159,777 $81,486 $160,882 −1% $59,533 +168% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $159,069 $81,125 $202,619 −21% $113,855 +40% ≈136% of Medicare
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $158,904 $81,041 $156,293 +2% $88,050 +80% ≈232% of Medicare
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $158,358 $80,762 $151,477 +5% $93,172 +70% ≈193% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $158,117 $80,640 $158,632 −0% $79,225 +100% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $157,963 $80,561 $159,453 −1% $88,307 +79% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $157,020 $80,080 $147,711 +6% $99,423 +58% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $156,658 $79,896 $172,713 −9% $80,793 +94% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $156,594 $79,863 $157,529 −1% $90,775 +73% ≈162% of Medicare
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $156,173 $79,648 $132,933 +17% $78,852 +98% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $155,741 $79,428 $150,473 +4% $69,101 +125% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $155,337 $79,222 $209,070 −26% $102,128 +52% —
548 SEPTIC ARTHRITIS WITH MCC $154,231 $78,658 $67,901 +127% $31,346 +392% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $150,959 $76,989 $187,321 −19% $111,320 +36% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC-MCC $150,243 $76,624 $88,088 +71% $43,631 +244% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $149,059 $76,020 $156,612 −5% $93,390 +60% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $147,358 $75,152 $179,034 −18% $92,217 +60% ≈165% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $145,529 $74,220 $110,427 +32% $66,685 +118% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $144,109 $73,495 $148,282 −3% $73,120 +97% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $143,688 $73,281 $143,688 +0% $77,990 +84% —
265 AICD LEAD PROCEDURES $141,849 $72,343 $119,783 +18% $63,171 +125% —
163 MAJOR CHEST PROCEDURES WITH MCC $138,952 $70,866 $157,794 −12% $90,195 +54% ≈193% of Medicare
904 SKIN GRAFTS FOR INJURIES WITH CC-MCC $137,149 $69,946 $138,341 −1% $59,594 +130% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $135,847 $69,282 $164,232 −17% $65,608 +107% —
252 OTHER VASCULAR PROCEDURES WITH MCC $135,364 $69,035 $131,070 +3% $68,508 +98% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC-MCC $134,640 $68,666 $111,996 — $89,353 +51% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $134,282 $68,484 $105,358 +27% $62,264 +116% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $133,955 $68,317 $141,219 −5% $93,238 +44% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC-MCC $133,484 $68,077 $114,816 +16% $56,836 +135% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $132,270 $67,458 $96,875 +37% $51,953 +155% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $131,119 $66,871 $108,834 +20% $85,159 +54% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $129,790 $66,193 $129,790 +0% $101,510 +28% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $129,689 $66,141 $124,718 +4% $62,583 +107% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $127,859 $65,208 $174,198 −27% $96,507 +32% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $127,202 $64,873 $127,202 +0% $76,001 +67% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $125,790 $64,153 $67,869 +85% $36,431 +245% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $124,684 $63,589 $105,189 +19% $75,573 +65% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $123,531 $63,001 $108,672 +14% $84,692 +46% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $122,675 $62,564 $100,291 +22% $70,132 +75% —
245 AICD GENERATOR PROCEDURES $122,626 $62,539 $112,602 +9% $72,076 +70% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $122,560 $62,505 $84,991 +44% $71,014 +73% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC-MCC $119,803 $61,099 $98,689 +21% $90,331 +33% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $116,415 $59,372 $106,308 +10% $64,523 +80% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $116,379 $59,353 $86,060 +35% $45,877 +154% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $115,783 $59,050 $136,725 −15% $91,329 +27% —
662 MINOR BLADDER PROCEDURES WITH MCC $114,658 $58,475 $71,703 +60% $54,562 +110% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $111,742 $56,988 $102,469 +9% $51,746 +116% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $111,340 $56,783 $62,071 +79% $39,955 +179% —
885 PSYCHOSES $110,959 $56,589 $51,287 +116% $21,729 +411% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $110,476 $56,343 $92,296 +20% $42,415 +160% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $109,926 $56,062 $149,267 −26% $82,247 +34% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $109,839 $56,018 $99,556 +10% $51,625 +113% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $107,427 $54,788 $114,560 −6% $70,564 +52% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $107,348 $54,748 $97,245 +10% $58,043 +85% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $106,973 $54,556 $84,802 +26% $58,745 +82% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $106,525 $54,328 $78,875 +35% $43,491 +145% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $105,262 $53,684 $111,924 −6% $65,325 +61% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES-INTRALUMINAL DEVICES $104,612 $53,352 $115,330 −9% $81,706 +28% ≈230% of Medicare
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $104,068 $53,075 $30,818 +238% $23,206 +348% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $103,666 $52,870 $111,806 −7% $67,268 +54% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $103,107 $52,585 $79,258 +30% $26,682 +286% ≈348% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $102,922 $52,490 $94,258 +9% $59,790 +72% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $102,851 $52,454 $102,851 +0% $65,788 +56% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $102,481 $52,265 $97,609 +5% $50,618 +102% —
085 TRAUMATIC STUPOR AND COMA LESS THAN 1 HOUR WITH MCC $102,022 $52,031 $73,947 +38% $41,892 +144% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $101,606 $51,819 $97,897 +4% $71,464 +42% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $101,566 $51,798 $86,747 +17% $70,371 +44% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $101,509 $51,770 $118,907 −15% $41,608 +144% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $101,113 $51,568 $101,828 −1% $63,928 +58% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $100,688 $51,351 $75,006 +34% $52,075 +93% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC-MCC $100,484 $51,247 $58,572 +72% $27,989 +259% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $99,842 $50,920 $121,715 −18% $68,653 +45% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $99,346 $50,667 $90,596 +10% $65,573 +52% ≈168% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $99,102 $50,542 $91,841 +8% $60,170 +65% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $97,193 $49,568 $85,866 +13% $39,973 +143% ≈223% of Medicare
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $97,063 $49,502 $123,678 −22% $74,257 +31% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT LESS THAN =96 HOURS $96,041 $48,981 $80,262 +20% $52,405 +83% ≈177% of Medicare
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $95,665 $48,789 $73,933 +29% $49,418 +94% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $95,101 $48,501 $96,782 −2% $46,402 +105% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $94,951 $48,425 $120,111 −21% $71,092 +34% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $94,326 $48,106 $92,427 +2% $58,975 +60% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC-MCC $93,252 $47,558 $44,496 +110% $53,864 +73% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $93,245 $47,555 $85,933 +9% $58,707 +59% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $92,721 $47,288 $106,540 −13% $62,821 +48% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $91,039 $46,430 $91,039 +0% $50,139 +82% —
472 CERVICAL SPINAL FUSION WITH CC $91,003 $46,411 $95,301 −5% $59,537 +53% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $90,443 $46,126 $83,684 +8% $43,913 +106% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $90,257 $46,031 $32,539 +177% $33,661 +168% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $90,187 $45,996 $111,671 −19% $66,068 +37% ≈145% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $90,153 $45,978 $109,216 −17% $58,274 +55% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $90,141 $45,972 $104,371 −14% $61,470 +47% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $90,082 $45,942 $105,263 −14% $56,964 +58% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $89,532 $45,661 $111,942 −20% $65,653 +36% ≈175% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $89,414 $45,601 $97,847 −9% $59,651 +50% ≈204% of Medicare
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $89,215 $45,500 $71,746 +24% $42,901 +108% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $89,101 $45,442 $60,444 +47% $27,543 +224% ≈378% of Medicare
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $87,493 $44,622 $102,937 −15% $49,710 +76% —
082 TRAUMATIC STUPOR AND COMA GREATER THAN 1 HOUR WITH MCC $85,547 $43,629 $77,585 +10% $36,489 +134% ≈214% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $85,330 $43,518 $84,786 +1% $56,755 +50% ≈241% of Medicare
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC-MCC $83,814 $42,745 $70,951 +18% $29,316 +186% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $83,713 $42,694 $80,912 +3% $46,283 +81% —
665 PROSTATECTOMY WITH MCC $83,613 $42,643 $100,408 −17% $54,072 +55% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC-MCC $83,208 $42,436 $71,404 +17% $26,932 +209% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $83,113 $42,388 $48,748 +70% $40,548 +105% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $82,757 $42,206 $74,477 +11% $39,106 +112% ≈250% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $82,648 $42,151 $80,039 +3% $43,538 +90% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $82,566 $42,108 $74,346 +11% $46,295 +78% —
473 CERVICAL SPINAL FUSION WITHOUT CC-MCC $81,212 $41,418 $79,367 +2% $50,624 +60% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $80,760 $41,188 $90,375 −11% $55,289 +46% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $80,649 $41,131 $111,380 −28% $70,467 +14% —
116 INTRAOCULAR PROCEDURES WITH CC-MCC $80,299 $40,953 $57,183 +40% $29,126 +176% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $80,259 $40,932 $77,215 +4% $59,629 +35% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $79,920 $40,759 $115,113 −31% $71,755 +11% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $78,853 $40,215 $82,406 −4% $46,090 +71% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $78,737 $40,156 $167,358 −53% $44,546 +77% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $78,519 $40,044 $38,995 +101% $26,510 +196% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $78,432 $40,000 $91,704 −14% $47,583 +65% —
501 SOFT TISSUE PROCEDURES WITH CC $77,925 $39,742 $66,613 +17% $39,619 +97% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC-MCC $77,478 $39,514 $44,041 +76% $27,119 +186% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $77,251 $39,398 $80,967 −5% $58,809 +31% ≈271% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC-MCC $77,141 $39,342 $53,104 +45% $28,202 +174% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $76,957 $39,248 $88,746 −13% $58,228 +32% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $76,141 $38,832 $118,642 −36% $70,177 +8% —
595 MAJOR SKIN DISORDERS WITH MCC $75,697 $38,606 $60,136 +26% $34,598 +119% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $75,034 $38,267 $134,140 −44% $68,639 +9% —
881 DEPRESSIVE NEUROSES $74,802 $38,149 $28,709 +161% $15,058 +397% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC-MCC $74,673 $38,083 $83,568 −11% $55,162 +35% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $74,623 $38,058 $66,835 +12% $39,515 +89% —
504 FOOT PROCEDURES WITH CC $73,900 $37,689 $72,388 +2% $38,960 +90% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $73,504 $37,487 $68,494 +7% $33,876 +117% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $73,475 $37,472 $76,748 −4% $40,362 +82% —
253 OTHER VASCULAR PROCEDURES WITH CC $73,374 $37,421 $94,577 −22% $57,454 +28% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $73,162 $37,313 $105,325 −31% $52,178 +40% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $73,133 $37,298 $91,713 −20% $70,847 +3% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $72,222 $36,833 $69,236 +4% $30,010 +141% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC-MCC $71,678 $36,556 $79,534 −10% $43,080 +66% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $71,594 $36,513 $63,351 +13% $24,127 +197% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $71,315 $36,371 $51,901 +37% $30,243 +136% —
157 DENTAL AND ORAL DISEASES WITH MCC $70,947 $36,183 $79,748 −11% $31,300 +127% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC-MCC $70,690 $36,052 $44,595 +59% $27,323 +159% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $70,355 $35,881 $77,974 −10% $50,011 +41% ≈176% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC-MCC $69,977 $35,688 $35,853 +95% $18,316 +282% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $69,950 $35,674 $83,221 −16% $59,500 +18% ≈169% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $69,729 $35,562 $96,120 −27% $51,985 +34% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $69,349 $35,368 $69,977 −1% $37,842 +83% ≈213% of Medicare
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $69,061 $35,221 $66,712 +4% $32,433 +113% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $68,742 $35,059 $54,222 +27% $49,066 +40% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $68,649 $35,011 $82,497 −17% $42,881 +60% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $68,536 $34,953 $68,012 +1% $40,213 +70% ≈201% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $68,462 $34,916 $115,391 −41% $72,424 −5% —
669 TRANSURETHRAL PROCEDURES WITH CC $68,388 $34,878 $55,823 +23% $34,354 +99% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $68,204 $34,784 $74,693 −9% $52,751 +29% ≈196% of Medicare
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $67,961 $34,660 $67,961 +0% $33,633 +102% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC $67,752 $34,553 $71,894 −6% $32,443 +109% —
668 TRANSURETHRAL PROCEDURES WITH MCC $67,641 $34,497 $101,340 −33% $51,608 +31% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $67,595 $34,474 $125,639 −46% $109,331 −38% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $67,556 $34,454 $62,981 +7% $34,459 +96% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $67,486 $34,418 $72,824 −7% $50,046 +35% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $67,425 $34,387 $63,799 +6% $38,101 +77% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC-MCC $67,393 $34,370 $75,926 −11% $35,831 +88% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $67,362 $34,355 $64,897 +4% $42,914 +57% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $67,243 $34,294 $113,982 −41% $49,839 +35% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC-MCC $66,641 $33,987 $60,512 +10% $38,998 +71% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $66,514 $33,922 $58,653 +13% $43,477 +53% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC-MCC $66,462 $33,896 $73,430 −9% $54,583 +22% —
038 EXTRACRANIAL PROCEDURES WITH CC $65,730 $33,522 $56,219 +17% $35,770 +84% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $65,646 $33,479 $74,080 −11% $58,280 +13% ≈176% of Medicare
165 MAJOR CHEST PROCEDURES WITHOUT CC-MCC $65,608 $33,460 $69,433 −6% $46,340 +42% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC-MCC $65,461 $33,385 $65,685 −0% $38,836 +69% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $65,453 $33,381 $101,329 −35% $60,407 +8% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $65,414 $33,361 $68,530 −5% $52,036 +26% —
503 FOOT PROCEDURES WITH MCC $65,325 $33,316 $64,711 +1% $47,540 +37% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC-MCC $65,133 $33,218 $63,785 +2% $40,694 +60% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV GREATER THAN 96 HOURS WITHOUT SKIN GRAFT $65,058 $33,179 $62,205 — $59,352 +10% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $64,774 $33,035 $58,939 +10% $37,844 +71% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $64,113 $32,698 $49,880 +29% $36,249 +77% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC-MCC $63,896 $32,587 $58,576 +9% $34,276 +86% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV GREATER THAN 96 HOURS WITH MCC $63,789 $32,533 $66,108 −4% $35,628 +79% ≈190% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $63,385 $32,326 $87,750 −28% $39,958 +59% ≈170% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $63,323 $32,295 $61,890 +2% $33,653 +88% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $62,753 $32,004 $83,724 −25% $53,451 +17% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $62,702 $31,978 $101,084 −38% $36,792 +70% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $61,640 $31,436 $35,082 +76% $17,733 +248% —
199 PNEUMOTHORAX WITH MCC $61,308 $31,267 $67,278 −9% $33,787 +81% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $60,987 $31,103 $56,232 +8% $50,607 +21% —
180 RESPIRATORY NEOPLASMS WITH MCC $60,959 $31,089 $71,638 −15% $36,658 +66% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $60,958 $31,089 $47,771 +28% $26,463 +130% —
182 RESPIRATORY NEOPLASMS WITHOUT CC-MCC $60,845 $31,031 $26,934 +126% $14,064 +333% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC-MCC $60,704 $30,959 $58,454 +4% $29,949 +103% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $60,259 $30,732 $87,386 −31% $47,789 +26% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $60,213 $30,709 $54,286 +11% $30,828 +95% ≈212% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC-MCC $60,078 $30,640 $67,674 −11% $54,929 +9% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $60,069 $30,635 $60,069 +0% $40,108 +50% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $59,898 $30,548 $108,193 −45% $43,650 +37% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC-MCC $59,869 $30,533 $27,760 +116% $14,014 +327% —
711 TESTES PROCEDURES WITH CC-MCC $59,698 $30,446 $74,171 −20% $38,343 +56% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $59,659 $30,426 $72,445 −18% $45,333 +32% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $59,619 $30,406 $65,442 −9% $43,943 +36% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $59,554 $30,372 $52,559 +13% $40,562 +47% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $59,478 $30,334 $76,313 −22% $37,387 +59% ≈197% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $59,440 $30,314 $55,927 +6% $31,951 +86% ≈201% of Medicare
334 RECTAL RESECTION WITHOUT CC-MCC $59,410 $30,299 $74,396 −20% $36,820 +61% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC-MCC $59,053 $30,117 $61,021 −3% $47,711 +24% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC-MCC $59,037 $30,109 $34,759 — $10,480 +463% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $58,611 $29,891 $74,488 −21% $48,682 +20% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC-MCC $58,460 $29,815 $56,551 +3% $41,591 +41% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC-MCC $58,155 $29,659 $81,058 −28% $42,795 +36% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $58,047 $29,604 $85,449 −32% $50,394 +15% —
882 NEUROSES EXCEPT DEPRESSIVE $57,984 $29,572 $40,637 +43% $15,680 +270% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC-MCC $57,871 $29,514 $55,917 +3% $35,584 +63% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC-MCC $57,789 $29,472 $44,631 +29% $19,657 +194% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $57,353 $29,250 $90,091 −36% $39,181 +46% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $57,304 $29,225 $71,667 −20% $38,666 +48% ≈174% of Medicare
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $57,202 $29,173 $68,042 −16% $47,737 +20% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $57,201 $29,173 $55,263 +4% $33,985 +68% —
811 RED BLOOD CELL DISORDERS WITH MCC $57,178 $29,161 $52,032 +10% $28,226 +103% ≈235% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $56,771 $28,953 $67,596 −16% $44,606 +27% ≈210% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $56,676 $28,905 $65,569 −14% $40,642 +39% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $56,239 $28,682 $62,257 −10% $47,945 +17% —
186 PLEURAL EFFUSION WITH MCC $56,220 $28,672 $52,979 +6% $33,834 +66% ≈205% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $56,118 $28,620 $83,376 −33% $42,906 +31% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $55,627 $28,370 $73,243 −24% $46,453 +20% —
551 MEDICAL BACK PROBLEMS WITH MCC $55,354 $28,230 $57,001 −3% $34,017 +63% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $54,960 $28,029 $45,895 +20% $36,505 +51% —
505 FOOT PROCEDURES WITHOUT CC-MCC $54,897 $27,998 $59,681 −8% $34,937 +57% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $54,630 $27,861 $70,929 −23% $43,298 +26% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $54,347 $27,717 $85,393 −36% $61,832 −12% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC-MCC $54,313 $27,700 $59,948 −9% $45,167 +20% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $54,297 $27,692 $73,590 −26% $32,628 +66% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $54,097 $27,589 $207,306 −74% $90,724 −40% —
744 DANDC CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC-MCC $53,976 $27,528 $53,343 +1% $38,861 +39% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC-MCC $53,902 $27,490 $35,185 +53% $25,197 +114% —
183 MAJOR CHEST TRAUMA WITH MCC $53,751 $27,413 $53,181 +1% $29,933 +80% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $53,718 $27,396 $42,326 +27% $27,316 +97% ≈191% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $53,595 $27,334 $74,928 −28% $31,105 +72% ≈158% of Medicare
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $52,987 $27,024 $48,743 +9% $22,525 +135% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $52,647 $26,850 $77,332 −32% $43,800 +20% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC-MCC $52,516 $26,783 $74,854 −30% $29,079 +81% —
100 SEIZURES WITH MCC $52,259 $26,652 $59,697 −12% $35,481 +47% ≈154% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $52,151 $26,597 $56,179 −7% $33,555 +55% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC-MCC $51,916 $26,477 $52,330 −1% $44,472 +17% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $51,784 $26,410 $58,924 −12% $33,707 +54% ≈186% of Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $51,571 $26,301 $50,257 +3% $29,221 +76% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $51,514 $26,272 $53,347 −3% $38,094 +35% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC-MCC $51,422 $26,225 $59,563 −14% $36,988 +39% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $51,414 $26,221 $51,414 +0% $21,894 +135% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $51,270 $26,148 $51,270 +0% $30,235 +70% ≈177% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $50,816 $25,916 $70,748 −28% $33,386 +52% —
800 SPLENIC PROCEDURES WITH CC $50,339 $25,673 $87,540 −42% $49,184 +2% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $50,196 $25,600 $128,494 −61% $85,566 −41% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $50,156 $25,579 $64,401 −22% $50,498 −1% —
602 CELLULITIS WITH MCC $50,153 $25,578 $51,062 −2% $30,598 +64% ≈191% of Medicare
682 RENAL FAILURE WITH MCC $50,044 $25,523 $50,344 −1% $29,064 +72% ≈194% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $49,854 $25,426 $54,259 −8% $30,959 +61% ≈205% of Medicare
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $49,680 $25,337 $63,558 −22% $31,563 +57% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $49,634 $25,313 $66,530 −25% $40,365 +23% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $49,524 $25,257 $62,697 −21% $37,950 +30% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $49,428 $25,208 $72,118 −31% $32,637 +51% —
376 DIGESTIVE MALIGNANCY WITHOUT CC-MCC $48,887 $24,933 $32,590 +50% $16,998 +188% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $48,656 $24,815 $65,506 −26% $44,139 +10% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $48,574 $24,772 $48,611 −0% $25,463 +91% ≈209% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND-OR DANDC WITH MCC $48,533 $24,752 $49,508 −2% $22,557 +115% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC-MCC $48,476 $24,723 $54,731 −11% $30,083 +61% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $48,469 $24,719 $46,747 +4% $24,552 +97% —
887 OTHER MENTAL DISORDER DIAGNOSES $48,427 $24,698 $48,427 +0% $20,616 +135% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $48,414 $24,691 $50,871 −5% $25,700 +88% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC-MCC $48,340 $24,653 $27,656 +75% $19,354 +150% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC-MCC $48,326 $24,646 $84,919 −43% $43,174 +12% —
397 APPENDIX PROCEDURES WITH MCC $48,272 $24,619 $63,939 −25% $53,257 −9% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC-MCC $48,053 $24,507 $42,171 +14% $19,270 +149% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $47,913 $24,436 $53,131 −10% $29,743 +61% ≈189% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC-MCC $47,815 $24,386 $61,608 −22% $44,117 +8% —
663 MINOR BLADDER PROCEDURES WITH CC $47,743 $24,349 $53,150 −10% $33,103 +44% —
643 ENDOCRINE DISORDERS WITH MCC $47,503 $24,226 $63,784 −26% $33,563 +42% ≈172% of Medicare
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $47,426 $24,187 $91,069 −48% $59,421 −20% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC-MCC $47,402 $24,175 $41,855 +13% $32,100 +48% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC-MCC $47,139 $24,041 $62,048 −24% $36,253 +30% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $47,093 $24,017 $41,803 +13% $23,617 +99% ≈237% of Medicare
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC-MCC $46,799 $23,868 $50,609 −8% $35,692 +31% —
304 HYPERTENSION WITH MCC $46,589 $23,760 $43,981 +6% $26,080 +79% ≈276% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC-MCC $46,472 $23,701 $56,522 −18% $40,552 +15% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $46,329 $23,628 $46,329 +0% $22,458 +106% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC $46,239 $23,582 $47,739 −3% $23,443 +97% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $46,113 $23,518 $56,067 −18% $33,255 +39% —
592 SKIN ULCERS WITH MCC $45,995 $23,457 $48,992 −6% $33,246 +38% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC-MCC $45,879 $23,398 $57,865 −21% $36,937 +24% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $45,751 $23,333 $87,129 −47% $33,047 +38% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $45,502 $23,206 $59,000 −23% $34,192 +33% ≈170% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CC-MCC $45,495 $23,202 $40,759 +12% $32,031 +42% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $45,363 $23,135 $45,657 −1% $23,940 +89% ≈289% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $45,350 $23,128 $45,350 +0% $27,152 +67% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC-MCC $45,295 $23,100 $51,317 −12% $32,833 +38% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC-MCC $45,188 $23,046 $83,940 −46% $32,574 +39% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $45,183 $23,043 $37,396 +21% $24,586 +84% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $45,138 $23,020 $54,822 −18% $31,159 +45% ≈140% of Medicare
398 APPENDIX PROCEDURES WITH CC $44,976 $22,938 $56,701 −21% $40,162 +12% —
291 HEART FAILURE AND SHOCK WITH MCC $44,952 $22,926 $50,419 −11% $26,776 +68% ≈202% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $44,941 $22,920 $51,196 −12% $32,496 +38% ≈166% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $44,842 $22,869 $71,741 −37% $50,463 −11% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC-MCC $44,747 $22,821 $36,933 +21% $27,843 +61% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $44,697 $22,795 $66,885 −33% $32,697 +37% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $44,373 $22,630 $56,472 −21% $30,571 +45% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC-MCC $44,338 $22,612 $57,430 −23% $41,955 +6% —
637 DIABETES WITH MCC $44,206 $22,545 $47,042 −6% $30,100 +47% ≈182% of Medicare
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $43,997 $22,438 $49,006 −10% $24,550 +79% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $43,979 $22,429 $43,590 +1% $23,488 +87% —
187 PLEURAL EFFUSION WITH CC $43,885 $22,381 $27,750 +58% $21,789 +101% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC-MCC $43,817 $22,347 $38,652 +13% $25,712 +70% —
086 TRAUMATIC STUPOR AND COMA LESS THAN 1 HOUR WITH CC $43,701 $22,288 $44,867 −3% $27,043 +62% —
598 MALIGNANT BREAST DISORDERS WITH CC $43,649 $22,261 $36,357 +20% $19,073 +129% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC-MCC $43,586 $22,229 $93,735 −54% $48,349 −10% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $43,514 $22,192 $44,164 −1% $26,770 +63% ≈209% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $43,471 $22,170 $33,800 +29% $17,698 +146% —
947 SIGNS AND SYMPTOMS WITH MCC $43,464 $22,167 $47,638 −9% $27,401 +59% —
381 COMPLICATED PEPTIC ULCER WITH CC $43,268 $22,067 $34,071 +27% $24,177 +79% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $43,215 $22,039 $67,231 −36% $34,273 +26% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $43,111 $21,986 $84,141 −49% $49,351 −13% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC-MCC $42,910 $21,884 $67,085 −36% $41,620 +3% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC-MCC $42,889 $21,873 $33,632 +28% $25,581 +68% —
549 SEPTIC ARTHRITIS WITH CC $42,793 $21,824 $48,463 −12% $24,056 +78% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC-MCC $42,724 $21,789 $25,938 +65% $18,150 +135% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC-MCC $42,710 $21,782 $53,287 −20% $30,493 +40% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $42,700 $21,777 $45,538 −6% $27,394 +56% —
083 TRAUMATIC STUPOR AND COMA GREATER THAN 1 HOUR WITH CC $42,684 $21,769 $52,383 −19% $27,285 +56% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $42,550 $21,700 $50,587 −16% $27,275 +56% ≈193% of Medicare
502 SOFT TISSUE PROCEDURES WITHOUT CC-MCC $42,494 $21,672 $50,378 −16% $31,017 +37% —
813 COAGULATION DISORDERS $42,494 $21,672 $49,499 −14% $33,296 +28% ≈159% of Medicare
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC-MCC $42,399 $21,624 $41,110 +3% $18,072 +135% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $42,278 $21,562 $48,816 −13% $26,580 +59% ≈199% of Medicare
572 SKIN DEBRIDEMENT WITHOUT CC-MCC $42,267 $21,556 $38,803 +9% $24,944 +69% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC-MCC $41,948 $21,394 $42,212 −1% $25,748 +63% —
539 OSTEOMYELITIS WITH MCC $41,897 $21,368 $50,224 −17% $37,609 +11% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC-MCC $41,823 $21,330 $55,172 −24% $35,465 +18% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC-MCC $41,749 $21,292 $38,964 +7% $20,259 +106% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $41,659 $21,246 $45,010 −7% $23,749 +75% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $41,613 $21,223 $50,434 −17% $27,426 +52% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $41,381 $21,104 $58,136 −29% $28,140 +47% —
375 DIGESTIVE MALIGNANCY WITH CC $41,290 $21,058 $52,142 −21% $27,277 +51% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $41,289 $21,057 $52,477 −21% $21,847 +89% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $41,107 $20,964 $43,163 −5% $22,098 +86% ≈248% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $41,021 $20,921 $28,956 +42% $15,855 +159% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $40,760 $20,788 $88,565 −54% $22,320 +83% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $40,696 $20,755 $58,044 −30% $32,944 +24% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $40,663 $20,738 $38,223 +6% $24,914 +63% ≈249% of Medicare
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $40,584 $20,698 $66,258 −39% $32,859 +24% —
348 ANAL AND STOMAL PROCEDURES WITH CC $40,413 $20,610 $41,426 −2% $27,947 +45% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $40,388 $20,598 $47,470 −15% $35,453 +14% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $40,133 $20,468 $81,386 −51% $62,300 −36% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $40,023 $20,412 $45,949 −13% $23,319 +72% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $39,998 $20,399 $84,823 −53% $46,066 −13% —
076 VIRAL MENINGITIS WITHOUT CC-MCC $39,928 $20,363 $24,469 +63% $17,135 +133% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $39,709 $20,252 $49,812 −20% $30,242 +31% —
797 VAGINAL DELIVERY WITH STERILIZATION AND-OR DANDC WITH CC $39,689 $20,241 $34,381 +15% $19,962 +99% —
864 FEVER AND INFLAMMATORY CONDITIONS $39,560 $20,176 $35,838 +10% $18,640 +112% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC-MCC $39,546 $20,169 $48,777 −19% $39,211 +1% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC-MCC $39,308 $20,047 $61,109 −36% $33,424 +18% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC-MCC $39,286 $20,036 $35,502 +11% $19,846 +98% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $39,250 $20,017 $47,198 −17% $38,070 +3% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $39,172 $19,978 $44,767 −12% $25,094 +56% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $39,090 $19,936 $36,583 +7% $27,163 +44% —
102 HEADACHES WITH MCC $39,050 $19,915 $38,484 +1% $25,740 +52% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $39,039 $19,910 $44,117 −12% $25,034 +56% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC-MCC $38,755 $19,765 $41,644 −7% $30,784 +26% —
571 SKIN DEBRIDEMENT WITH CC $38,755 $19,765 $57,557 −33% $37,169 +4% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC-MCC $38,678 $19,726 $56,399 −31% $33,674 +15% —
380 COMPLICATED PEPTIC ULCER WITH MCC $38,666 $19,720 $54,388 −29% $39,627 −2% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $38,643 $19,708 $50,589 −24% $23,551 +64% —
312 SYNCOPE AND COLLAPSE $38,503 $19,636 $39,017 −1% $19,342 +99% ≈259% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $38,427 $19,598 $49,214 −22% $27,617 +39% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC-MCC $38,336 $19,551 $42,772 −10% $32,841 +17% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $38,301 $19,533 $38,213 +0% $23,571 +62% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC-MCC $38,065 $19,413 $38,065 +0% $34,749 +10% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $38,050 $19,406 $53,282 −29% $33,851 +12% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $38,050 $19,406 $47,144 −19% $28,050 +36% ≈191% of Medicare
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC-MCC $37,998 $19,379 $67,411 −44% $39,018 −3% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC-MCC $37,914 $19,336 $45,649 −17% $26,618 +42% —
399 APPENDIX PROCEDURES WITHOUT CC-MCC $37,897 $19,328 $40,464 −6% $31,321 +21% —
644 ENDOCRINE DISORDERS WITH CC $37,858 $19,308 $38,405 −1% $23,198 +63% ≈223% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $37,827 $19,292 $40,078 −6% $22,432 +69% ≈226% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC-MCC $37,803 $19,279 $63,649 −41% $33,694 +12% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $37,788 $19,272 $30,103 +26% $20,232 +87% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $37,676 $19,215 $35,392 +6% $25,303 +49% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $37,600 $19,176 $57,474 −35% $25,703 +46% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC-MCC $37,528 $19,139 $36,153 +4% $14,648 +156% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $37,477 $19,113 $65,173 −42% $38,878 −4% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $37,400 $19,074 $37,400 +0% $22,024 +70% ≈231% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC-MCC $37,392 $19,070 $70,771 −47% $36,670 +2% —
915 ALLERGIC REACTIONS WITH MCC $37,267 $19,006 $47,514 −22% $32,645 +14% —
865 VIRAL ILLNESS WITH MCC $37,175 $18,960 $47,925 −22% $26,910 +38% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $37,050 $18,896 $37,071 −0% $21,056 +76% ≈302% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $36,617 $18,675 $44,732 −18% $24,386 +50% ≈216% of Medicare
302 ATHEROSCLEROSIS WITH MCC $36,464 $18,596 $27,722 +32% $22,446 +62% —
292 HEART FAILURE AND SHOCK WITH CC $36,394 $18,561 $37,428 −3% $16,371 +122% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $36,307 $18,517 $36,307 +0% $19,569 +86% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC-MCC $36,278 $18,502 $42,969 −16% $22,148 +64% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $36,242 $18,483 $44,491 −19% $31,264 +16% ≈161% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $36,219 $18,472 $47,685 −24% $33,048 +10% —
200 PNEUMOTHORAX WITH CC $36,192 $18,458 $34,635 +4% $21,368 +69% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $36,171 $18,447 $90,678 −60% $35,569 +2% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC-MCC $36,164 $18,444 $55,353 −35% $28,320 +28% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $36,159 $18,441 $50,120 −28% $19,815 +82% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $36,108 $18,415 $39,772 −9% $21,396 +69% ≈225% of Medicare
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC-MCC $35,980 $18,350 $37,251 −3% $25,652 +40% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $35,977 $18,348 $28,048 +28% $16,968 +112% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $35,900 $18,309 $35,242 +2% $26,870 +34% —
570 SKIN DEBRIDEMENT WITH MCC $35,867 $18,292 $79,654 −55% $52,435 −32% —
798 VAGINAL DELIVERY WITH STERILIZATION AND-OR DANDC WITHOUT CC-MCC $35,836 $18,276 $26,557 +35% $18,452 +94% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $35,824 $18,270 $46,934 −24% $18,459 +94% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $35,822 $18,269 $57,974 −38% $32,877 +9% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $35,768 $18,242 $38,932 −8% $21,449 +67% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $35,539 $18,125 $31,332 +13% $18,133 +96% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $35,525 $18,118 $31,666 +12% $20,566 +73% —
181 RESPIRATORY NEOPLASMS WITH CC $35,433 $18,071 $39,646 −11% $23,573 +50% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $35,064 $17,883 $37,877 −7% $19,264 +82% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $34,940 $17,819 $42,081 −17% $21,363 +64% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC-MCC $34,939 $17,819 $63,454 −45% $39,006 −10% —
137 MOUTH PROCEDURES WITH CC-MCC $34,878 $17,788 $34,878 +0% $27,861 +25% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $34,804 $17,750 $98,583 −65% $60,098 −42% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC-MCC $34,740 $17,718 $33,980 +2% $20,084 +73% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $34,694 $17,694 $32,512 +7% $24,566 +41% —
916 ALLERGIC REACTIONS WITHOUT MCC $34,615 $17,654 $22,211 +56% $13,942 +148% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC-MCC $34,553 $17,622 $35,582 −3% $17,700 +95% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC-MCC $34,505 $17,598 $52,830 −35% $46,727 −26% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $34,469 $17,579 $43,945 −22% $30,502 +13% —
534 FRACTURES OF FEMUR WITHOUT MCC $33,904 $17,291 $25,875 +31% $17,559 +93% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC-MCC $33,870 $17,274 $27,942 +21% $19,037 +78% —
770 ABORTION WITH DANDC ASPIRATION CURETTAGE OR HYSTEROTOMY $33,779 $17,227 $33,779 +0% $18,956 +78% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $33,570 $17,121 $35,418 −5% $21,275 +58% ≈194% of Medicare
149 DYSEQUILIBRIUM $33,506 $17,088 $30,269 +11% $18,096 +85% —
303 ATHEROSCLEROSIS WITHOUT MCC $33,473 $17,071 $31,108 +8% $14,927 +124% —
176 PULMONARY EMBOLISM WITHOUT MCC $33,256 $16,961 $32,735 +2% $18,081 +84% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $33,197 $16,931 $36,219 −8% $23,283 +43% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $33,151 $16,907 $48,161 −31% $32,021 +4% ≈192% of Medicare
123 NEUROLOGICAL EYE DISORDERS $33,108 $16,885 $31,627 +5% $19,745 +68% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC-MCC $33,075 $16,868 $35,487 −7% $20,781 +59% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $32,672 $16,663 $41,062 −20% $22,850 +43% ≈179% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC-MCC $32,639 $16,646 $50,163 −35% $28,156 +16% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $32,597 $16,625 $41,319 −21% $19,842 +64% ≈243% of Medicare
666 PROSTATECTOMY WITH CC $32,514 $16,582 $55,099 −41% $31,906 +2% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $32,252 $16,448 $37,354 −14% $20,463 +58% ≈223% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $32,224 $16,434 $50,372 −36% $26,051 +24% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $32,105 $16,373 $45,862 −30% $20,727 +55% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $32,045 $16,343 $35,453 −10% $22,033 +45% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $31,954 $16,296 $35,059 −9% $20,422 +56% ≈177% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $31,821 $16,229 $27,687 +15% $17,118 +86% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $31,801 $16,218 $33,407 −5% $22,506 +41% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV GREATER THAN 96 HOURS WITHOUT MCC $31,707 $16,171 $37,797 −16% $22,888 +39% ≈192% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $31,701 $16,167 $33,953 −7% $18,488 +71% —
101 SEIZURES WITHOUT MCC $31,640 $16,137 $27,920 +13% $20,461 +55% ≈205% of Medicare
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC-MCC $31,621 $16,127 $29,540 +7% $17,934 +76% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $31,600 $16,116 $39,427 −20% $18,528 +71% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $31,594 $16,113 $36,257 −13% $20,181 +57% ≈220% of Medicare
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $31,574 $16,103 $31,550 +0% $18,126 +74% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $31,572 $16,102 $35,337 −11% $29,826 +6% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $31,570 $16,101 $46,149 −32% $27,633 +14% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $31,545 $16,088 $39,277 −20% $23,498 +34% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $31,521 $16,076 $34,234 −8% $18,807 +68% ≈218% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $31,491 $16,060 $40,338 −22% $22,468 +40% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $31,455 $16,042 $31,044 +1% $31,044 +1% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $31,440 $16,034 $29,433 +7% $27,808 +13% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC-MCC $31,438 $16,034 $41,322 −24% $32,451 −3% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITH MCC $31,024 $15,822 $28,558 +9% $15,370 +102% —
582 MASTECTOMY FOR MALIGNANCY WITH CC-MCC $30,947 $15,783 $86,345 −64% $35,849 −14% —
606 MINOR SKIN DISORDERS WITH MCC $30,910 $15,764 $51,644 −40% $27,975 +10% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $30,905 $15,762 $35,603 −13% $20,957 +47% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $30,791 $15,703 $46,124 −33% $30,553 +1% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $30,364 $15,486 $30,364 +0% $16,699 +82% ≈211% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $30,334 $15,471 $41,428 −27% $23,141 +31% ≈167% of Medicare
202 BRONCHITIS AND ASTHMA WITH CC-MCC $30,074 $15,338 $32,535 −8% $17,724 +70% ≈209% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $30,040 $15,321 $34,831 −14% $18,002 +67% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $29,960 $15,280 $44,809 −33% $39,173 −24% —
683 RENAL FAILURE WITH CC $29,918 $15,258 $34,577 −13% $19,130 +56% ≈201% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $29,900 $15,249 $31,610 −5% $17,303 +73% ≈272% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $29,852 $15,224 $25,259 +18% $14,583 +105% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND-OR DANDC $29,817 $15,207 $28,001 +6% $16,846 +77% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $29,413 $15,001 $33,821 −13% $17,921 +64% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC-MCC $29,396 $14,992 $43,292 −32% $34,607 −15% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC-MCC $29,325 $14,956 $61,511 −52% $33,393 −12% —
152 OTITIS MEDIA AND URI WITH MCC $29,243 $14,914 $34,711 −16% $20,247 +44% —
305 HYPERTENSION WITHOUT MCC $29,238 $14,911 $29,929 −2% $18,086 +62% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $29,237 $14,911 $30,594 −4% $20,506 +43% —
089 CONCUSSION WITH CC $29,117 $14,850 $29,117 +0% $18,821 +55% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $29,059 $14,820 $30,555 −5% $15,452 +88% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $29,005 $14,792 $29,005 +0% $26,280 +10% —
866 VIRAL ILLNESS WITHOUT MCC $28,667 $14,620 $29,140 −2% $17,081 +68% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC-MCC $28,428 $14,498 $48,395 −41% $29,916 −5% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC-MCC $28,273 $14,419 $29,109 −3% $29,611 −5% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $28,251 $14,408 $32,699 −14% $20,488 +38% ≈200% of Medicare
779 ABORTION WITHOUT DANDC $28,159 $14,361 $15,327 +84% $15,327 +84% —
313 CHEST PAIN $28,000 $14,280 $28,736 −3% $16,440 +70% —
088 CONCUSSION WITH MCC $27,960 $14,260 $27,960 +0% $24,402 +15% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC-MCC $27,940 $14,250 $28,292 −1% $17,620 +59% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC-MCC $27,881 $14,219 $33,103 −16% $25,970 +7% —
204 RESPIRATORY SIGNS AND SYMPTOMS $27,861 $14,209 $26,372 +6% $18,004 +55% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $27,851 $14,204 $22,362 +25% $12,895 +116% —
935 NON-EXTENSIVE BURNS $27,704 $14,129 $24,511 +13% $31,701 −13% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC-MCC $27,618 $14,085 $28,058 −2% $14,716 +88% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC-MCC $27,478 $14,014 $28,647 −4% $19,227 +43% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $27,325 $13,936 $30,067 −9% $18,204 +50% ≈210% of Medicare
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $27,324 $13,935 $31,872 −14% $17,322 +58% ≈225% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $27,283 $13,914 $41,332 −34% $21,941 +24% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $27,173 $13,858 $30,455 −11% $17,038 +59% ≈221% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $26,951 $13,745 $33,571 −20% $19,096 +41% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $26,907 $13,723 $30,945 −13% $17,674 +52% ≈210% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC $26,800 $13,668 $26,800 +0% $16,565 +62% —
906 HAND PROCEDURES FOR INJURIES $26,775 $13,655 $83,928 −68% $32,065 −16% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC-MCC $26,626 $13,579 $27,996 −5% $13,651 +95% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $26,482 $13,506 $27,401 −3% $22,763 +16% —
158 DENTAL AND ORAL DISEASES WITH CC $26,178 $13,351 $35,684 −27% $18,466 +42% —
913 TRAUMATIC INJURY WITH MCC $26,153 $13,338 $55,939 −53% $24,198 +8% —
693 URINARY STONES WITH MCC $26,073 $13,297 $41,470 −37% $23,892 +9% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $25,820 $13,168 $43,422 −41% $25,279 +2% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC-MCC $25,769 $13,142 $26,348 −2% $15,600 +65% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $25,708 $13,111 $24,728 +4% $14,689 +75% —
638 DIABETES WITH CC $25,633 $13,073 $31,010 −17% $19,661 +30% ≈180% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $25,577 $13,044 $36,701 −30% $19,305 +32% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC-MCC $25,425 $12,967 $24,176 +5% $20,895 +22% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC-MCC $25,378 $12,943 $30,219 −16% $16,288 +56% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC-MCC $25,314 $12,910 $30,006 −16% $19,594 +29% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITH CC $25,272 $12,888 $25,272 +0% $13,275 +90% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $25,098 $12,800 $25,873 −3% $17,226 +46% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC-MCC $25,068 $12,785 $34,465 −27% $19,854 +26% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $25,054 $12,778 $32,387 −23% $17,578 +43% ≈191% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC-MCC $25,010 $12,755 $27,555 −9% $27,297 −8% —
185 MAJOR CHEST TRAUMA WITHOUT CC-MCC $24,898 $12,698 $26,939 −8% $17,124 +45% —
087 TRAUMATIC STUPOR AND COMA LESS THAN 1 HOUR WITHOUT CC-MCC $24,889 $12,694 $27,980 −11% $16,520 +51% —
103 HEADACHES WITHOUT MCC $24,844 $12,671 $31,097 −20% $21,280 +17% —
540 OSTEOMYELITIS WITH CC $24,770 $12,633 $37,313 −34% $26,676 −7% —
607 MINOR SKIN DISORDERS WITHOUT MCC $24,690 $12,592 $30,851 −20% $15,889 +55% —
593 SKIN ULCERS WITH CC $24,512 $12,501 $38,644 −37% $22,886 +7% —
159 DENTAL AND ORAL DISEASES WITHOUT CC-MCC $24,441 $12,465 $22,737 +7% $13,633 +79% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $24,387 $12,438 $22,367 +9% $12,336 +98% —
084 TRAUMATIC STUPOR AND COMA GREATER THAN 1 HOUR WITHOUT CC-MCC $24,270 $12,378 $36,141 −33% $19,924 +22% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC-MCC $24,119 $12,301 $25,284 −5% $20,911 +15% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $23,752 $12,114 $24,264 −2% $15,019 +58% —
603 CELLULITIS WITHOUT MCC $23,417 $11,943 $29,685 −21% $18,530 +26% ≈160% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITHOUT CC-MCC $23,243 $11,854 $23,243 +0% $12,078 +92% —
645 ENDOCRINE DISORDERS WITHOUT CC-MCC $23,011 $11,736 $26,649 −14% $15,428 +49% —
712 TESTES PROCEDURES WITHOUT CC-MCC $22,823 $11,639 $23,997 −5% $18,898 +21% —
201 PNEUMOTHORAX WITHOUT CC-MCC $22,681 $11,567 $23,825 −5% $14,053 +61% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $22,646 $11,550 $22,646 +0% $22,851 −1% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $22,417 $11,433 $31,809 −30% $18,602 +21% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,115 $11,279 $85,298 −74% $59,031 −63% —
949 AFTERCARE WITH CC-MCC $22,072 $11,257 $22,072 +0% $23,953 −8% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $22,054 $11,248 $31,340 −30% $20,901 +6% —
709 PENIS PROCEDURES WITH CC-MCC $22,047 $11,244 $33,755 −35% $34,535 −36% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $21,980 $11,210 $22,216 −1% $12,324 +78% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC-MCC $21,775 $11,105 $19,613 +11% $13,824 +58% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $21,770 $11,103 $38,605 −44% $17,601 +24% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC-MCC $21,753 $11,094 $28,924 −25% $15,038 +45% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC-MCC $21,372 $10,900 $19,876 +8% $14,549 +47% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC-MCC $21,191 $10,807 $23,681 −11% $13,384 +58% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC-MCC $21,106 $10,764 $29,946 −30% $14,797 +43% —
311 ANGINA PECTORIS $20,958 $10,689 $22,123 −5% $15,502 +35% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $20,926 $10,672 $34,758 −40% $20,926 +0% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC-MCC $20,534 $10,472 $25,987 −21% $14,128 +45% —
639 DIABETES WITHOUT CC-MCC $20,504 $10,457 $21,115 −3% $13,910 +47% —
694 URINARY STONES WITHOUT MCC $20,379 $10,393 $23,588 −14% $17,345 +17% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC-MCC $20,331 $10,369 $24,112 −16% $14,415 +41% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC-MCC $20,277 $10,341 $25,047 −19% $12,559 +61% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC-MCC $20,170 $10,287 $24,938 −19% $14,250 +42% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC-MCC $19,959 $10,179 $20,048 −0% $12,460 +60% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC-MCC $19,938 $10,168 $31,601 −37% $16,767 +19% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC-MCC $19,879 $10,138 $25,205 −21% $14,368 +38% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC-MCC $19,826 $10,111 $24,393 −19% $15,837 +25% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC-MCC $19,275 $9,830 $26,171 −26% $15,183 +27% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $19,130 $9,756 $28,656 −33% $17,298 +11% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC-MCC $19,075 $9,728 $49,083 −61% $15,589 +22% —
203 BRONCHITIS AND ASTHMA WITHOUT CC-MCC $19,055 $9,718 $17,093 +11% $12,252 +56% —
684 RENAL FAILURE WITHOUT CC-MCC $17,821 $9,089 $22,323 −20% $13,642 +31% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC-MCC $17,492 $8,921 $27,204 −36% $11,997 +46% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $17,429 $8,889 $15,133 +15% $16,450 +6% —
075 VIRAL MENINGITIS WITH CC-MCC $17,103 $8,723 $38,171 −55% $30,447 −44% —
697 URETHRAL STRICTURE $16,691 $8,512 $23,494 −29% $18,428 −9% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC-MCC $16,226 $8,275 $21,094 −23% $13,361 +21% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC-MCC $16,089 $8,205 $33,369 −52% $16,700 −4% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC-MCC $15,989 $8,154 $18,897 −15% $14,501 +10% —
151 EPISTAXIS WITHOUT MCC $15,945 $8,132 $25,635 −38% $13,032 +22% —
533 FRACTURES OF FEMUR WITH MCC $15,799 $8,057 $67,569 −77% $25,945 −39% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $15,418 $7,863 $13,791 +12% $12,454 +24% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $15,382 $7,845 $110,281 −86% $80,018 −81% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC-MCC $14,959 $7,629 $23,708 −37% $19,412 −23% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC-MCC $14,934 $7,616 $20,455 −27% $16,776 −11% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC-MCC $14,482 $7,386 $26,378 −45% $16,634 −13% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC-MCC $14,457 $7,373 $19,026 −24% $11,421 +27% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC-MCC $14,309 $7,298 $16,356 −13% $10,975 +30% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,940 $7,110 $52,447 −73% $33,454 −58% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $13,917 $7,098 $24,128 −42% $16,552 −16% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC-MCC $13,052 $6,657 $24,877 −48% $12,593 +4% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC-MCC $12,918 $6,588 $13,157 −2% $9,940 +30% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC-MCC $10,676 $5,445 $27,833 −62% $14,638 −27% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $9,844 $5,021 $25,832 −62% $12,229 −20% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $9,094 $4,638 $16,543 −45% $18,649 −51% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,032 $4,607 $10,476 −14% $8,445 +7% —
795 NORMAL NEWBORN $8,462 $4,316 $8,558 −1% $4,720 +79% —
791 PREMATURITY WITH MAJOR PROBLEMS $8,439 $4,304 $40,575 −79% $42,679 −80% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $8,180 $4,172 $15,603 −48% $10,160 −19% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,928 $3,023 $20,482 −71% $16,351 −64% —

Procedures with negotiated rates only

These 91 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
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC-MCC $26,864 – $26,864 · median $26,864 1 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC — 1 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC-MCC $43,346 – $43,346 · median $43,346 1 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC-MCC $58,010 – $58,010 · median $58,010 1 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC-MCC $43,470 – $43,470 · median $43,470 1 plans
594 SKIN ULCERS WITHOUT CC-MCC $51,426 – $51,426 · median $51,426 1 plans
667 PROSTATECTOMY WITHOUT CC-MCC $38,388 – $38,388 · median $38,388 1 plans
671 URETHRAL PROCEDURES WITH CC-MCC $42,092 – $42,092 · median $42,092 1 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC-MCC $13,581 – $13,581 · median $13,581 1 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC-MCC $124,840 – $124,840 · median $124,840 1 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $25,539 – $25,539 · median $25,539 1 plans
138 MOUTH PROCEDURES WITHOUT CC-MCC $22,443 – $22,443 · median $22,443 1 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC-MCC $18,292 – $18,292 · median $18,292 1 plans
188 PLEURAL EFFUSION WITHOUT CC-MCC $28,238 – $28,238 · median $28,238 1 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC-MCC $34,684 – $34,684 · median $34,684 1 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC-MCC $9,303 – $9,303 · median $9,303 1 plans
999 UNGROUPABLE $14,008 – $14,008 · median $14,008 1 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC-MCC $26,165 – $26,165 · median $26,165 1 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $26,451 – $26,451 · median $26,451 1 plans
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $38,272 – $38,272 · median $38,272 1 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $21,736 – $21,736 · median $21,736 1 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC-MCC $17,314 – $17,314 · median $17,314 1 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC-MCC — 1 plans
945 REHABILITATION WITH CC-MCC $25,447 – $25,447 · median $25,447 1 plans
293 HEART FAILURE AND SHOCK WITHOUT CC-MCC $20,263 – $20,263 · median $20,263 1 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $20,315 – $20,315 · median $20,315 1 plans
672 URETHRAL PROCEDURES WITHOUT CC-MCC $26,777 – $26,777 · median $26,777 1 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $39,225 – $39,225 · median $39,225 1 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC-MCC $21,601 – $21,601 · median $21,601 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $51,670 – $51,670 · median $51,670 1 plans
541 OSTEOMYELITIS WITHOUT CC-MCC $21,023 – $21,023 · median $21,023 1 plans
509 ARTHROSCOPY $44,174 – $44,174 · median $44,174 1 plans
950 AFTERCARE WITHOUT CC-MCC $11,215 – $11,215 · median $11,215 1 plans
550 SEPTIC ARTHRITIS WITHOUT CC-MCC $63,926 – $63,926 · median $63,926 1 plans
114 ORBITAL PROCEDURES WITHOUT CC-MCC — 1 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $74,503 – $74,503 · median $74,503 1 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC-MCC — 1 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $43,386 – $43,386 · median $43,386 1 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $39,663 – $39,663 · median $39,663 1 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC-MCC $24,668 – $24,668 · median $24,668 1 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,113 – $13,113 · median $13,113 1 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC-MCC $28,553 – $28,553 · median $28,553 1 plans
006 LIVER TRANSPLANT WITHOUT MCC $53,251 – $53,251 · median $53,251 1 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC-MCC $12,310 – $12,310 · median $12,310 1 plans
332 RECTAL RESECTION WITH MCC $78,937 – $78,937 · median $78,937 1 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC-MCC $20,316 – $20,316 · median $20,316 1 plans
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC-MCC $29,978 – $29,978 · median $29,978 1 plans
135 SINUS AND MASTOID PROCEDURES WITH CC-MCC $22,483 – $22,483 · median $22,483 1 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $29,753 – $29,753 · median $29,753 1 plans
652 KIDNEY TRANSPLANT $30,332 – $30,332 · median $30,332 1 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC-MCC $30,921 – $30,921 · median $30,921 1 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC-MCC $27,283 – $27,283 · median $27,283 1 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 1 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC-MCC $58,581 – $58,581 · median $58,581 1 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — 1 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC-MCC $24,340 – $24,340 · median $24,340 1 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC-MCC $29,189 – $29,189 · median $29,189 1 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $20,347 – $20,347 · median $20,347 1 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC-MCC $26,911 – $26,911 · median $26,911 1 plans
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC-MCC $25,753 – $25,753 · median $25,753 1 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC-MCC $16,130 – $16,130 · median $16,130 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $209,267 – $209,267 · median $209,267 1 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC-MCC $25,293 – $25,293 · median $25,293 1 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $42,035 – $42,035 · median $42,035 1 plans
333 RECTAL RESECTION WITH CC $50,740 – $50,740 · median $50,740 1 plans
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC-MCC $55,046 – $55,046 · median $55,046 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 1 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $15,068 – $15,068 · median $15,068 1 plans
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC-MCC $24,195 – $24,195 · median $24,195 1 plans
090 CONCUSSION WITHOUT CC-MCC $21,361 – $21,361 · median $21,361 1 plans
150 EPISTAXIS WITH MCC $20,735 – $20,735 · median $20,735 1 plans
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC-MCC — 1 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC-MCC $34,732 – $34,732 · median $34,732 1 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC-MCC $57,535 – $57,535 · median $57,535 1 plans
849 RADIOTHERAPY $45,271 – $45,271 · median $45,271 1 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $100,763 – $100,763 · median $100,763 1 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,021 – $16,021 · median $16,021 1 plans
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC-MCC $24,866 – $24,866 · median $24,866 1 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $20,620 – $20,620 · median $20,620 1 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES — 1 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC-MCC $47,552 – $47,552 · median $47,552 1 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC-MCC $36,807 – $36,807 · median $36,807 1 plans
745 DANDC CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC-MCC $10,288 – $10,288 · median $10,288 1 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $34,810 – $34,810 · median $34,810 1 plans
946 REHABILITATION WITHOUT CC-MCC $25,206 – $25,206 · median $25,206 1 plans
263 VEIN LIGATION AND STRIPPING $34,971 – $34,971 · median $34,971 1 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC-MCC $30,566 – $30,566 · median $30,566 1 plans
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $156,207 – $156,207 · median $156,207 1 plans
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC-MCC — 1 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 1 plans
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC-MCC $18,193 – $18,193 · median $18,193 1 plans
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