Midstate Medical Center — Pricing
490 procedures published in this hospital's Machine-Readable File (MRF) — 490 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 490
Lowest published price $5,609
Average published price $61,501
Highest published price $660,138
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 490 procedures
Published charges
Showing all 490 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 51 procedures, this hospital's negotiated rates average ≈87% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CT median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $660,138 | $660,138 | $765,172 | −14% | $371,366 | +78% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $511,208 | $511,208 | $557,308 | −8% | $245,241 | +108% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $443,191 | $443,191 | $158,632 | +179% | $72,011 | +515% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $326,797 | $326,797 | $140,494 | +133% | $96,192 | +240% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $284,006 | $284,006 | $160,882 | +77% | $57,855 | +391% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $280,347 | $280,347 | $90,678 | +209% | $35,569 | +688% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $268,916 | $268,916 | $286,350 | −6% | $151,029 | +78% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $260,423 | $260,423 | $253,176 | +3% | $116,058 | +124% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $230,447 | $230,447 | $148,529 | +55% | $82,561 | +179% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $219,419 | $219,419 | $203,918 | +8% | $118,589 | +85% | — |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $207,783 | $207,783 | $291,174 | −29% | $103,861 | +100% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $207,289 | $207,289 | $220,256 | −6% | $138,008 | +50% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $204,192 | $204,192 | $162,366 | +26% | $80,885 | +152% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $184,263 | $184,263 | $134,140 | +37% | $62,524 | +195% | — |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $180,907 | $180,907 | $141,702 | +28% | $70,735 | +156% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $175,238 | $175,238 | $91,841 | +91% | $60,140 | +191% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $172,713 | $172,713 | $172,713 | +0% | $80,747 | +114% | — |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $171,184 | $171,184 | $178,909 | −4% | $121,728 | +41% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $164,469 | $164,469 | $129,286 | +27% | $98,912 | +66% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $162,430 | $162,430 | $118,907 | +37% | $38,382 | +323% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $156,324 | $156,324 | $53,343 | +193% | $33,050 | +373% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $156,277 | $156,277 | $156,277 | +0% | $107,355 | +46% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $154,527 | $154,527 | $101,340 | +52% | $47,277 | +227% | — |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $154,334 | $154,334 | $233,656 | −34% | $79,944 | +93% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $143,294 | $143,294 | $147,711 | −3% | $99,423 | +44% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $138,628 | $138,628 | $174,198 | −20% | $96,222 | +44% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $136,800 | $136,800 | $36,583 | +274% | $26,322 | +420% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $136,467 | $136,467 | $54,388 | +151% | $36,641 | +272% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $133,814 | $133,814 | $185,248 | −28% | $75,251 | +78% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $133,523 | $133,523 | $150,473 | −11% | $69,101 | +93% | ≈19% of Medicare |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $130,325 | $130,325 | $156,293 | −17% | $88,050 | +48% | ≈24% of Medicare |
| 834 | ACUTE LEUKEMIA WITH MCC | $128,494 | $128,494 | $128,494 | +0% | $76,583 | +68% | — |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $127,096 | $127,096 | $176,719 | −28% | $105,899 | +20% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $124,318 | $124,318 | $162,919 | −24% | $92,515 | +34% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $123,918 | $123,918 | $121,715 | +2% | $62,269 | +99% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $118,616 | $118,616 | $151,477 | −22% | $87,018 | +36% | ≈23% of Medicare |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $118,200 | $118,200 | $115,113 | +3% | $71,755 | +65% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $117,794 | $117,794 | $102,937 | +14% | $49,710 | +137% | — |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $115,871 | $115,871 | $115,437 | +0% | $81,998 | +41% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $113,280 | $113,280 | $37,396 | +203% | $24,450 | +363% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $111,664 | $111,664 | $143,688 | −22% | $72,945 | +53% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $111,561 | $111,561 | $59,681 | +87% | $31,716 | +252% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $110,421 | $110,421 | $127,202 | −13% | $72,859 | +52% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $109,316 | $109,316 | $68,530 | +60% | $49,065 | +123% | — |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $108,230 | $108,230 | $114,211 | −5% | $75,492 | +43% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $107,975 | $107,975 | $124,806 | −13% | $68,399 | +58% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $107,901 | $107,901 | $91,704 | +18% | $47,583 | +127% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $106,686 | $106,686 | $114,816 | −7% | $54,320 | +96% | ≈25% of Medicare |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $104,377 | $104,377 | $114,560 | −9% | $70,540 | +48% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $104,165 | $104,165 | $157,794 | −34% | $88,341 | +18% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $103,978 | $103,978 | $114,850 | −9% | $71,701 | +45% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $103,493 | $103,493 | $87,129 | +19% | $30,974 | +234% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $102,931 | $102,931 | $83,684 | +23% | $43,398 | +137% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $102,320 | $102,320 | $248,746 | −59% | $95,858 | +7% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $100,455 | $100,455 | $72,824 | +38% | $46,591 | +116% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $100,018 | $100,018 | $90,091 | +11% | $36,334 | +175% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $99,571 | $99,571 | $62,071 | +60% | $35,014 | +184% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $98,084 | $98,084 | $111,268 | −12% | $68,006 | +44% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $97,499 | $97,499 | $99,556 | −2% | $50,815 | +92% | ≈33% of Medicare |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $97,393 | $97,393 | $111,924 | −13% | $65,325 | +49% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $94,718 | $94,718 | $106,540 | −11% | $62,821 | +51% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $94,134 | $94,134 | $86,747 | +9% | $67,901 | +39% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $94,059 | $94,059 | $110,427 | −15% | $62,961 | +49% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $93,263 | $93,263 | $82,406 | +13% | $45,817 | +104% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $91,916 | $91,916 | $35,853 | +156% | $18,428 | +399% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $91,265 | $91,265 | $124,626 | −27% | $72,908 | +25% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $90,676 | $90,676 | $59,000 | +54% | $32,689 | +177% | — |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $90,375 | $90,375 | $125,639 | −28% | $109,331 | −17% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $89,652 | $89,652 | $102,851 | −13% | $65,254 | +37% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $88,599 | $88,599 | $84,823 | +4% | $46,066 | +92% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $88,271 | $88,271 | $62,697 | +41% | $37,950 | +133% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $87,952 | $87,952 | $100,291 | −12% | $70,132 | +25% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $87,575 | $87,575 | $38,171 | +129% | $29,853 | +193% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $87,575 | $87,575 | $156,612 | −44% | $87,565 | +0% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $86,462 | $86,462 | $202,765 | −57% | $78,582 | +10% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $86,457 | $86,457 | $193,205 | −55% | $64,749 | +34% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $86,279 | $86,279 | $164,232 | −47% | $64,465 | +34% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $86,178 | $86,178 | $119,388 | −28% | $83,441 | +3% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $85,102 | $85,102 | $61,109 | +39% | $33,424 | +155% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $85,025 | $85,025 | $58,454 | +45% | $28,527 | +198% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $84,522 | $84,522 | $92,296 | −8% | $39,253 | +115% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $84,373 | $84,373 | $67,085 | +26% | $39,093 | +116% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $83,825 | $83,825 | $108,672 | −23% | $76,954 | +9% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $83,429 | $83,429 | $94,258 | −11% | $54,475 | +53% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $82,002 | $82,002 | $53,181 | +54% | $28,924 | +184% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $81,952 | $81,952 | $88,088 | −7% | $41,520 | +97% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $81,491 | $81,491 | $104,371 | −22% | $60,861 | +34% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $80,524 | $80,524 | $83,221 | −3% | $58,832 | +37% | ≈54% of Medicare |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $79,916 | $79,916 | $56,219 | +42% | $35,770 | +123% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $79,854 | $79,854 | $120,111 | −34% | $64,776 | +23% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $79,830 | $79,830 | $84,802 | −6% | $54,129 | +47% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $79,280 | $79,280 | $86,060 | −8% | $44,553 | +78% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $79,271 | $79,271 | $68,684 | +15% | $36,202 | +119% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $78,972 | $78,972 | $97,609 | −19% | $45,497 | +74% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $78,730 | $78,730 | $105,189 | −25% | $72,782 | +8% | — |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $78,416 | $78,416 | $81,491 | −4% | $65,216 | +20% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $78,054 | $78,054 | $57,974 | +35% | $28,646 | +172% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $78,039 | $78,039 | $47,299 | +65% | $29,805 | +162% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $77,635 | $77,635 | $123,678 | −37% | $74,257 | +5% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $77,582 | $77,582 | $83,940 | −8% | $29,633 | +162% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $77,094 | $77,094 | $83,724 | −8% | $52,313 | +47% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $77,092 | $77,092 | $79,367 | −3% | $50,624 | +52% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $76,976 | $76,976 | $87,750 | −12% | $38,885 | +98% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $76,890 | $76,890 | $80,262 | −4% | $52,405 | +47% | ≈41% of Medicare |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $76,655 | $76,655 | $73,488 | +4% | $45,818 | +67% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $76,635 | $76,635 | $95,301 | −20% | $59,537 | +29% | ≈37% of Medicare |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $76,473 | $76,473 | $67,231 | +14% | $31,128 | +146% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $76,456 | $76,456 | $102,469 | −25% | $44,973 | +70% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $76,256 | $76,256 | $85,449 | −11% | $49,631 | +54% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $74,452 | $74,452 | $71,703 | +4% | $54,483 | +37% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $73,544 | $73,544 | $109,216 | −33% | $53,868 | +37% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $73,393 | $73,393 | $73,590 | −0% | $32,502 | +126% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $73,347 | $73,347 | $111,806 | −34% | $64,152 | +14% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $73,159 | $73,159 | $96,875 | −24% | $51,953 | +41% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $72,896 | $72,896 | $68,012 | +7% | $36,933 | +97% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $72,823 | $72,823 | $70,929 | +3% | $40,583 | +79% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $72,763 | $72,763 | $91,713 | −21% | $68,880 | +6% | ≈40% of Medicare |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $72,424 | $72,424 | $115,391 | −37% | $64,956 | +11% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $72,329 | $72,329 | $61,890 | +17% | $32,936 | +120% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $71,873 | $71,873 | $74,488 | −4% | $48,682 | +48% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $71,786 | $71,786 | $92,427 | −22% | $56,758 | +26% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $70,774 | $70,774 | $94,577 | −25% | $53,746 | +32% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $70,252 | $70,252 | $63,558 | +11% | $29,409 | +139% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $70,124 | $70,124 | $108,834 | −36% | $83,065 | −16% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $70,070 | $70,070 | $64,401 | +9% | $47,546 | +47% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $70,024 | $70,024 | $69,977 | +0% | $37,842 | +85% | ≈61% of Medicare |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $69,204 | $69,204 | $74,928 | −8% | $29,031 | +138% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $69,034 | $69,034 | $91,039 | −24% | $50,139 | +38% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $68,999 | $68,999 | $68,042 | +1% | $45,059 | +53% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $68,979 | $68,979 | $50,589 | +36% | $23,496 | +194% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $68,957 | $68,957 | $71,638 | −4% | $36,658 | +88% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $68,828 | $68,828 | $44,117 | +56% | $24,017 | +187% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $68,712 | $68,712 | $48,748 | +41% | $40,548 | +69% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $68,184 | $68,184 | $46,329 | +47% | $22,032 | +209% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $67,869 | $67,869 | $67,869 | +0% | $36,280 | +87% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $67,520 | $67,520 | $48,395 | +40% | $29,916 | +126% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $67,484 | $67,484 | $111,942 | −40% | $63,984 | +5% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $67,298 | $67,298 | $118,642 | −43% | $68,847 | −2% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $66,875 | $66,875 | $66,258 | +1% | $30,394 | +120% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $66,807 | $66,807 | $101,828 | −34% | $57,277 | +17% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $66,775 | $66,775 | $158,816 | −58% | $78,821 | −15% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $66,709 | $66,709 | $82,497 | −19% | $42,881 | +56% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $66,644 | $66,644 | $67,596 | −1% | $42,119 | +58% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $66,384 | $66,384 | $25,873 | +157% | $17,226 | +285% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $66,142 | $66,142 | $66,108 | +0% | $35,237 | +88% | ≈60% of Medicare |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $66,125 | $66,125 | $71,741 | −8% | $49,470 | +34% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $65,918 | $65,918 | $105,263 | −37% | $56,964 | +16% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $65,871 | $65,871 | $80,039 | −18% | $43,538 | +51% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $65,694 | $65,694 | $66,613 | −1% | $37,975 | +73% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $65,492 | $65,492 | $56,472 | +16% | $28,780 | +128% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $65,372 | $65,372 | $122,470 | −47% | $75,103 | −13% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $65,024 | $65,024 | $111,380 | −42% | $67,764 | −4% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $64,369 | $64,369 | $71,404 | −10% | $25,243 | +155% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $64,251 | $64,251 | $70,771 | −9% | $32,538 | +97% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $63,919 | $63,919 | $65,442 | −2% | $43,524 | +47% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $63,705 | $63,705 | $84,991 | −25% | $71,014 | −10% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $63,454 | $63,454 | $63,454 | +0% | $35,375 | +79% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $63,351 | $63,351 | $63,351 | +0% | $23,723 | +167% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $63,278 | $63,278 | $61,608 | +3% | $44,117 | +43% | — |
| 187 | PLEURAL EFFUSION WITH CC | $63,258 | $63,258 | $27,750 | +128% | $21,467 | +195% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $62,929 | $62,929 | $90,375 | −30% | $51,142 | +23% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $62,057 | $62,057 | $65,506 | −5% | $43,775 | +42% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $61,750 | $61,750 | $53,282 | +16% | $32,483 | +90% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $61,549 | $61,549 | $56,701 | +9% | $39,107 | +57% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $61,493 | $61,493 | $105,325 | −42% | $48,094 | +28% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $61,253 | $61,253 | $79,654 | −23% | $52,435 | +17% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $61,072 | $61,072 | $85,933 | −29% | $57,149 | +7% | ≈46% of Medicare |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $61,055 | $61,055 | $84,141 | −27% | $46,477 | +31% | — |
| 682 | RENAL FAILURE WITH MCC | $60,919 | $60,919 | $50,344 | +21% | $27,854 | +119% | ≈74% of Medicare |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $60,225 | $60,225 | $66,885 | −10% | $29,371 | +105% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $59,991 | $59,991 | $66,712 | −10% | $29,476 | +104% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $59,485 | $59,485 | $73,933 | −20% | $44,989 | +32% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $59,434 | $59,434 | $97,847 | −39% | $56,394 | +5% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $59,334 | $59,334 | $47,771 | +24% | $25,786 | +130% | — |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $59,023 | $59,023 | $60,512 | −2% | $38,998 | +51% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $58,961 | $58,961 | $63,939 | −8% | $52,319 | +13% | — |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $58,742 | $58,742 | $60,136 | −2% | $31,785 | +85% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $58,653 | $58,653 | $58,653 | +0% | $43,266 | +36% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $58,648 | $58,648 | $57,001 | +3% | $31,086 | +89% | — |
| 602 | CELLULITIS WITH MCC | $58,268 | $58,268 | $51,062 | +14% | $29,347 | +99% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $58,121 | $58,121 | $47,144 | +23% | $27,244 | +113% | ≈84% of Medicare |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $57,690 | $57,690 | $76,313 | −24% | $36,375 | +59% | — |
| 813 | COAGULATION DISORDERS | $57,683 | $57,683 | $49,499 | +17% | $30,128 | +91% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $57,514 | $57,514 | $77,974 | −26% | $50,011 | +15% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $57,503 | $57,503 | $52,979 | +9% | $32,468 | +77% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $57,279 | $57,279 | $209,070 | −73% | $94,927 | −40% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $57,024 | $57,024 | $73,243 | −22% | $43,697 | +30% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $57,002 | $57,002 | $74,080 | −23% | $56,519 | +1% | ≈119% of Medicare |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $56,975 | $56,975 | $58,924 | −3% | $31,840 | +79% | ≈70% of Medicare |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $56,451 | $56,451 | $88,746 | −36% | $54,313 | +4% | — |
| 503 | FOOT PROCEDURES WITH MCC | $56,445 | $56,445 | $64,711 | −13% | $43,901 | +29% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $56,414 | $56,414 | $72,445 | −22% | $41,900 | +35% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $56,400 | $56,400 | $90,596 | −38% | $65,573 | −14% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $55,902 | $55,902 | $55,263 | +1% | $32,399 | +73% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $55,657 | $55,657 | $48,463 | +15% | $20,938 | +166% | — |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $55,601 | $55,601 | $55,927 | −1% | $30,814 | +80% | ≈64% of Medicare |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $55,517 | $55,517 | $131,070 | −58% | $68,508 | −19% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $55,517 | $55,517 | $56,179 | −1% | $31,758 | +75% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $55,344 | $55,344 | $54,259 | +2% | $29,757 | +86% | ≈83% of Medicare |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $55,063 | $55,063 | $74,693 | −26% | $51,172 | +8% | ≈56% of Medicare |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $54,663 | $54,663 | $74,477 | −27% | $35,714 | +53% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $54,310 | $54,310 | $36,933 | +47% | $25,162 | +116% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $54,075 | $54,075 | $48,611 | +11% | $24,480 | +121% | ≈88% of Medicare |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $54,041 | $54,041 | $42,772 | +26% | $31,978 | +69% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $53,977 | $53,977 | $51,196 | +5% | $30,058 | +80% | ≈77% of Medicare |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $53,874 | $53,874 | $45,010 | +20% | $23,749 | +127% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $53,398 | $53,398 | $51,270 | +4% | $28,134 | +90% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $53,140 | $53,140 | $64,897 | −18% | $41,660 | +28% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $53,019 | $53,019 | $101,084 | −48% | $35,114 | +51% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $53,011 | $53,011 | $105,358 | −50% | $57,963 | −9% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $52,914 | $52,914 | $55,823 | −5% | $34,354 | +54% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $52,803 | $52,803 | $41,428 | +27% | $23,141 | +128% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $52,628 | $52,628 | $50,419 | +4% | $25,020 | +110% | ≈86% of Medicare |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $52,447 | $52,447 | $71,667 | −27% | $38,357 | +37% | ≈54% of Medicare |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $51,891 | $51,891 | $44,732 | +16% | $24,190 | +115% | ≈105% of Medicare |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $51,613 | $51,613 | $45,949 | +12% | $21,806 | +137% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $51,378 | $51,378 | $62,981 | −18% | $33,165 | +55% | — |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $51,368 | $51,368 | $43,590 | +18% | $23,396 | +120% | ≈111% of Medicare |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $51,292 | $51,292 | $52,142 | −2% | $27,219 | +88% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $51,248 | $51,248 | $91,069 | −44% | $54,824 | −7% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $50,955 | $50,955 | $50,587 | +1% | $26,158 | +95% | ≈87% of Medicare |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $50,916 | $50,916 | $45,895 | +11% | $33,792 | +51% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $50,822 | $50,822 | $45,602 | +11% | $18,126 | +180% | — |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $50,402 | $50,402 | $141,219 | −64% | $84,861 | −41% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $50,251 | $50,251 | $43,422 | +16% | $24,452 | +106% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $50,146 | $50,146 | $28,292 | +77% | $17,522 | +186% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $50,138 | $50,138 | $48,816 | +3% | $25,704 | +95% | ≈93% of Medicare |
| 666 | PROSTATECTOMY WITH CC | $50,126 | $50,126 | $55,099 | −9% | $30,016 | +67% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $49,998 | $49,998 | $50,609 | −1% | $35,692 | +40% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $49,958 | $49,958 | $67,674 | −26% | $54,929 | −9% | ≈41% of Medicare |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $49,511 | $49,511 | $26,348 | +88% | $15,600 | +217% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $49,480 | $49,480 | $75,006 | −34% | $48,680 | +2% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $49,475 | $49,475 | $67,411 | −27% | $39,018 | +27% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $49,440 | $49,440 | $61,021 | −19% | $45,963 | +8% | — |
| 199 | PNEUMOTHORAX WITH MCC | $49,262 | $49,262 | $67,278 | −27% | $31,491 | +56% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $49,214 | $49,214 | $49,214 | +0% | $26,020 | +89% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $49,077 | $49,077 | $55,172 | −11% | $31,816 | +54% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $48,930 | $48,930 | $57,430 | −15% | $39,747 | +23% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $48,855 | $48,855 | $71,746 | −32% | $37,902 | +29% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $48,851 | $48,851 | $68,494 | −29% | $33,607 | +45% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $48,583 | $48,583 | $58,794 | −17% | $29,524 | +65% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $48,532 | $48,532 | $54,286 | −11% | $28,967 | +68% | ≈73% of Medicare |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $48,442 | $48,442 | $50,378 | −4% | $30,006 | +61% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $48,396 | $48,396 | $63,784 | −24% | $32,996 | +47% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $48,325 | $48,325 | $42,326 | +14% | $25,731 | +88% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $48,296 | $48,296 | $56,551 | −15% | $40,063 | +21% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $48,239 | $48,239 | $50,871 | −5% | $24,202 | +99% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $48,144 | $48,144 | $51,413 | −6% | $35,542 | +35% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $48,113 | $48,113 | $57,865 | −17% | $34,887 | +38% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $47,905 | $47,905 | $63,799 | −25% | $36,242 | +32% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $47,577 | $47,577 | $65,569 | −27% | $40,563 | +17% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $47,567 | $47,567 | $47,470 | +0% | $35,453 | +34% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $47,507 | $47,507 | $43,945 | +8% | $29,484 | +61% | — |
| 100 | SEIZURES WITH MCC | $47,386 | $47,386 | $59,697 | −21% | $35,194 | +35% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $47,335 | $47,335 | $35,603 | +33% | $20,007 | +137% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $47,095 | $47,095 | $69,236 | −32% | $28,252 | +67% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $46,617 | $46,617 | $56,522 | −18% | $40,552 | +15% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $46,374 | $46,374 | $35,582 | +30% | $17,700 | +162% | — |
| 504 | FOOT PROCEDURES WITH CC | $46,183 | $46,183 | $72,388 | −36% | $36,598 | +26% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $46,037 | $46,037 | $41,855 | +10% | $29,663 | +55% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $45,775 | $45,775 | $44,496 | +3% | $53,817 | −15% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $45,717 | $45,717 | $54,731 | −16% | $29,374 | +56% | — |
| 865 | VIRAL ILLNESS WITH MCC | $45,327 | $45,327 | $47,925 | −5% | $26,088 | +74% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $45,064 | $45,064 | $61,511 | −27% | $33,137 | +36% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $45,010 | $45,010 | $58,576 | −23% | $31,909 | +41% | — |
| 200 | PNEUMOTHORAX WITH CC | $44,960 | $44,960 | $34,635 | +30% | $20,573 | +119% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $44,933 | $44,933 | $72,118 | −38% | $30,766 | +46% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $44,874 | $44,874 | $49,006 | −8% | $24,036 | +87% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $44,815 | $44,815 | $44,164 | +1% | $26,488 | +69% | ≈89% of Medicare |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $44,722 | $44,722 | $54,222 | −18% | $46,430 | −4% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $44,615 | $44,615 | $41,426 | +8% | $27,947 | +60% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $44,575 | $44,575 | $63,785 | −30% | $40,694 | +10% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $44,501 | $44,501 | $52,032 | −14% | $27,934 | +59% | ≈73% of Medicare |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $44,429 | $44,429 | $77,585 | −43% | $36,237 | +23% | — |
| 693 | URINARY STONES WITH MCC | $44,351 | $44,351 | $41,470 | +7% | $22,525 | +97% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $44,261 | $44,261 | $67,961 | −35% | $31,059 | +43% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $44,170 | $44,170 | $96,782 | −54% | $46,402 | −5% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $44,168 | $44,168 | $57,557 | −23% | $34,901 | +27% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $44,058 | $44,058 | $47,514 | −7% | $30,944 | +42% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $43,977 | $43,977 | $58,136 | −24% | $28,140 | +56% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $43,962 | $43,962 | $44,491 | −1% | $30,358 | +45% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $43,649 | $43,649 | $38,223 | +14% | $24,136 | +81% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $43,522 | $43,522 | $41,322 | +5% | $32,451 | +34% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $43,453 | $43,453 | $43,163 | +1% | $21,886 | +99% | ≈120% of Medicare |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $43,447 | $43,447 | $76,203 | −43% | $30,661 | +42% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $42,890 | $42,890 | $93,735 | −54% | $43,586 | −2% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $42,552 | $42,552 | $51,317 | −17% | $31,812 | +34% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $42,438 | $42,438 | $35,392 | +20% | $22,713 | +87% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $42,081 | $42,081 | $42,081 | +0% | $20,777 | +103% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $42,039 | $42,039 | $65,173 | −35% | $38,878 | +8% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $41,952 | $41,952 | $33,407 | +26% | $21,545 | +95% | — |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $41,911 | $41,911 | $18,897 | +122% | $13,822 | +203% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $41,867 | $41,867 | $31,601 | +32% | $16,104 | +160% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $41,775 | $41,775 | $84,348 | −50% | $19,686 | +112% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $41,756 | $41,756 | $37,877 | +10% | $18,017 | +132% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $41,062 | $41,062 | $41,062 | +0% | $22,850 | +80% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $41,043 | $41,043 | $50,163 | −18% | $28,156 | +46% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $40,930 | $40,930 | $41,803 | −2% | $22,982 | +78% | ≈101% of Medicare |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $40,878 | $40,878 | $28,058 | +46% | $14,337 | +185% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $40,743 | $40,743 | $62,048 | −34% | $35,528 | +15% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $40,341 | $40,341 | $40,341 | +0% | $24,229 | +66% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $40,308 | $40,308 | $53,150 | −24% | $29,924 | +35% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $40,270 | $40,270 | $65,685 | −39% | $38,836 | +4% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $40,085 | $40,085 | $45,538 | −12% | $25,854 | +55% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $39,968 | $39,968 | $32,699 | +22% | $20,488 | +95% | ≈121% of Medicare |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $39,914 | $39,914 | $39,427 | +1% | $18,253 | +119% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $39,866 | $39,866 | $36,257 | +10% | $18,918 | +111% | ≈117% of Medicare |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $39,799 | $39,799 | $38,932 | +2% | $21,449 | +86% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $39,766 | $39,766 | $29,005 | +37% | $23,734 | +68% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $39,756 | $39,756 | $47,638 | −17% | $25,474 | +56% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $39,721 | $39,721 | $34,711 | +14% | $19,795 | +101% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $39,602 | $39,602 | $33,571 | +18% | $19,096 | +107% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $39,601 | $39,601 | $45,649 | −13% | $25,267 | +57% | — |
| 637 | DIABETES WITH MCC | $39,495 | $39,495 | $47,042 | −16% | $28,819 | +37% | ≈86% of Medicare |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $39,458 | $39,458 | $27,401 | +44% | $22,231 | +77% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $39,302 | $39,302 | $56,232 | −30% | $49,197 | −20% | ≈133% of Medicare |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $39,246 | $39,246 | $58,044 | −32% | $29,729 | +32% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $38,952 | $38,952 | $39,646 | −2% | $22,431 | +74% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $38,924 | $38,924 | $37,400 | +4% | $22,024 | +77% | ≈117% of Medicare |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $38,813 | $38,813 | $38,051 | +2% | $16,156 | +140% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $38,654 | $38,654 | $38,405 | +1% | $22,941 | +68% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $38,640 | $38,640 | $49,628 | −22% | $33,490 | +15% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $38,629 | $38,629 | $35,453 | +9% | $20,968 | +84% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $38,577 | $38,577 | $35,684 | +8% | $17,700 | +118% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $38,513 | $38,513 | $32,563 | +18% | $16,703 | +131% | — |
| 102 | HEADACHES WITH MCC | $38,484 | $38,484 | $38,484 | +0% | $22,544 | +71% | — |
| 312 | SYNCOPE AND COLLAPSE | $38,042 | $38,042 | $39,017 | −2% | $19,342 | +97% | ≈138% of Medicare |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $38,040 | $38,040 | $53,131 | −28% | $29,211 | +30% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $37,962 | $37,962 | $71,894 | −47% | $32,839 | +16% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $37,870 | $37,870 | $45,657 | −17% | $23,469 | +61% | ≈140% of Medicare |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $37,720 | $37,720 | $33,800 | +12% | $17,434 | +116% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $37,542 | $37,542 | $35,337 | +6% | $29,826 | +26% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $37,490 | $37,490 | $34,234 | +10% | $18,278 | +105% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $37,393 | $37,393 | $44,767 | −16% | $24,561 | +52% | — |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $37,385 | $37,385 | $51,981 | −28% | $20,980 | +78% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $37,298 | $37,298 | $32,735 | +14% | $18,081 | +106% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $37,092 | $37,092 | $32,535 | +14% | $17,273 | +115% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $37,089 | $37,089 | $24,938 | +49% | $14,208 | +161% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $36,975 | $36,975 | $83,568 | −56% | $55,162 | −33% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $36,546 | $36,546 | $30,851 | +18% | $15,284 | +139% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $36,540 | $36,540 | $34,465 | +6% | $19,854 | +84% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $36,412 | $36,412 | $46,149 | −21% | $24,465 | +49% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $36,388 | $36,388 | $37,797 | −4% | $22,781 | +60% | ≈121% of Medicare |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $36,117 | $36,117 | $27,555 | +31% | $26,146 | +38% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $36,023 | $36,023 | $40,759 | −12% | $30,940 | +16% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $36,016 | $36,016 | $35,838 | +0% | $17,412 | +107% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $35,923 | $35,923 | $33,953 | +6% | $17,731 | +103% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $35,808 | $35,808 | $35,418 | +1% | $20,732 | +73% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $35,772 | $35,772 | $48,777 | −27% | $36,239 | −1% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $35,739 | $35,739 | $88,565 | −60% | $19,894 | +80% | — |
| 304 | HYPERTENSION WITH MCC | $35,596 | $35,596 | $43,981 | −19% | $24,185 | +47% | — |
| 683 | RENAL FAILURE WITH CC | $35,590 | $35,590 | $34,577 | +3% | $18,620 | +91% | ≈125% of Medicare |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $35,333 | $35,333 | $30,219 | +17% | $14,880 | +137% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $35,282 | $35,282 | $46,747 | −25% | $23,350 | +51% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $35,252 | $35,252 | $32,387 | +9% | $17,388 | +103% | ≈156% of Medicare |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $35,210 | $35,210 | $37,071 | −5% | $20,278 | +74% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $35,087 | $35,087 | $36,701 | −4% | $19,305 | +82% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $34,859 | $34,859 | $25,987 | +34% | $14,128 | +147% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $34,855 | $34,855 | $52,559 | −34% | $35,459 | −2% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $34,616 | $34,616 | $31,809 | +9% | $17,367 | +99% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $34,615 | $34,615 | $55,353 | −37% | $27,492 | +26% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $34,428 | $34,428 | $33,369 | +3% | $16,418 | +110% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $34,381 | $34,381 | $40,464 | −15% | $30,314 | +13% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $34,063 | $34,063 | $38,803 | −12% | $24,432 | +39% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $33,749 | $33,749 | $41,319 | −18% | $18,803 | +79% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $33,451 | $33,451 | $35,059 | −5% | $19,579 | +71% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $33,240 | $33,240 | $31,872 | +4% | $17,322 | +92% | ≈157% of Medicare |
| 292 | HEART FAILURE AND SHOCK WITH CC | $33,133 | $33,133 | $37,428 | −11% | $16,212 | +104% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $33,013 | $33,013 | $40,338 | −18% | $21,181 | +56% | — |
| 305 | HYPERTENSION WITHOUT MCC | $33,011 | $33,011 | $29,929 | +10% | $17,144 | +93% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $32,590 | $32,590 | $32,590 | +0% | $15,608 | +109% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $32,491 | $32,491 | $28,924 | +12% | $14,134 | +130% | — |
| 603 | CELLULITIS WITHOUT MCC | $32,350 | $32,350 | $29,685 | +9% | $18,530 | +75% | ≈131% of Medicare |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $32,321 | $32,321 | $30,945 | +4% | $17,466 | +85% | ≈154% of Medicare |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $32,310 | $32,310 | $35,242 | −8% | $24,316 | +33% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $31,905 | $31,905 | $36,153 | −12% | $14,444 | +121% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $31,870 | $31,870 | $39,277 | −19% | $22,275 | +43% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $31,674 | $31,674 | $30,067 | +5% | $18,204 | +74% | ≈146% of Medicare |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $31,603 | $31,603 | $27,942 | +13% | $16,654 | +90% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $31,444 | $31,444 | $34,831 | −10% | $18,002 | +75% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $31,389 | $31,389 | $44,809 | −30% | $36,097 | −13% | — |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $31,177 | $31,177 | $23,997 | +30% | $18,898 | +65% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $31,175 | $31,175 | $26,372 | +18% | $16,866 | +85% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $31,170 | $31,170 | $41,332 | −25% | $20,106 | +55% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $31,003 | $31,003 | $35,487 | −13% | $19,483 | +59% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $30,666 | $30,666 | $34,758 | −12% | $19,868 | +54% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $30,147 | $30,147 | $31,627 | −5% | $17,831 | +69% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $30,132 | $30,132 | $34,381 | −12% | $19,001 | +59% | — |
| 103 | HEADACHES WITHOUT MCC | $30,094 | $30,094 | $31,097 | −3% | $20,111 | +50% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $30,048 | $30,048 | $40,105 | −25% | $22,532 | +33% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $29,995 | $29,995 | $22,646 | +32% | $21,860 | +37% | — |
| 151 | EPISTAXIS WITHOUT MCC | $29,900 | $29,900 | $25,635 | +17% | $13,032 | +129% | — |
| 539 | OSTEOMYELITIS WITH MCC | $29,666 | $29,666 | $50,224 | −41% | $33,746 | −12% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $29,518 | $29,518 | $33,821 | −13% | $17,727 | +67% | — |
| 313 | CHEST PAIN | $29,309 | $29,309 | $28,736 | +2% | $15,962 | +84% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $29,144 | $29,144 | $47,685 | −39% | $31,062 | −6% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $29,066 | $29,066 | $30,555 | −5% | $15,045 | +93% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $29,033 | $29,033 | $30,455 | −5% | $16,745 | +73% | ≈149% of Medicare |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $28,938 | $28,938 | $26,378 | +10% | $16,634 | +74% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $28,890 | $28,890 | $33,632 | −14% | $23,588 | +22% | — |
| 593 | SKIN ULCERS WITH CC | $28,820 | $28,820 | $38,644 | −25% | $20,470 | +41% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $28,815 | $28,815 | $56,067 | −49% | $32,204 | −11% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $28,772 | $28,772 | $29,140 | −1% | $16,391 | +76% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $28,719 | $28,719 | $31,340 | −8% | $19,091 | +50% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $28,615 | $28,615 | $33,755 | −15% | $34,535 | −17% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $28,613 | $28,613 | $31,610 | −9% | $16,865 | +70% | ≈161% of Medicare |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $28,148 | $28,148 | $31,332 | −10% | $18,133 | +55% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $28,113 | $28,113 | $30,594 | −8% | $19,287 | +46% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $28,049 | $28,049 | $26,171 | +7% | $15,070 | +86% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $28,029 | $28,029 | $53,104 | −47% | $27,168 | +3% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $27,980 | $27,980 | $41,644 | −33% | $27,369 | +2% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $27,979 | $27,979 | $21,094 | +33% | $13,318 | +110% | — |
| 638 | DIABETES WITH CC | $27,777 | $27,777 | $31,010 | −10% | $18,821 | +48% | ≈141% of Medicare |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $27,736 | $27,736 | $17,093 | +62% | $12,279 | +126% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $27,480 | $27,480 | $31,550 | −13% | $17,715 | +55% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $27,472 | $27,472 | $32,539 | −16% | $30,910 | −11% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $27,151 | $27,151 | $45,350 | −40% | $27,118 | +0% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $26,971 | $26,971 | $27,996 | −4% | $12,797 | +111% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $26,970 | $26,970 | $37,354 | −28% | $20,463 | +32% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $26,657 | $26,657 | $19,876 | +34% | $13,198 | +102% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $26,537 | $26,537 | $33,103 | −20% | $24,022 | +10% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $26,453 | $26,453 | $31,108 | −15% | $14,927 | +77% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $26,428 | $26,428 | $28,656 | −8% | $15,876 | +66% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $26,376 | $26,376 | $24,728 | +7% | $14,441 | +83% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $26,296 | $26,296 | $39,772 | −34% | $21,213 | +24% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $26,131 | $26,131 | $26,557 | −2% | $18,238 | +43% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $26,122 | $26,122 | $31,844 | −18% | $17,928 | +46% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $25,993 | $25,993 | $29,540 | −12% | $17,108 | +52% | — |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $25,301 | $25,301 | $47,547 | −47% | $21,615 | +17% | — |
| 694 | URINARY STONES WITHOUT MCC | $25,263 | $25,263 | $23,588 | +7% | $16,531 | +53% | — |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $25,238 | $25,238 | $36,307 | −30% | $19,569 | +29% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $25,002 | $25,002 | $22,323 | +12% | $13,623 | +84% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $24,500 | $24,500 | $83,928 | −71% | $31,520 | −22% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $24,409 | $24,409 | $34,071 | −28% | $24,177 | +1% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $24,346 | $24,346 | $16,356 | +49% | $10,975 | +122% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $23,686 | $23,686 | $74,854 | −68% | $28,578 | −17% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $23,675 | $23,675 | $19,613 | +21% | $13,824 | +71% | — |
| 149 | DYSEQUILIBRIUM | $23,468 | $23,468 | $30,269 | −22% | $17,203 | +36% | — |
| 101 | SEIZURES WITHOUT MCC | $23,415 | $23,415 | $27,920 | −16% | $19,954 | +17% | — |
| 697 | URETHRAL STRICTURE | $22,828 | $22,828 | $23,494 | −3% | $17,705 | +29% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $22,816 | $22,816 | $23,681 | −4% | $13,384 | +70% | ≈246% of Medicare |
| 540 | OSTEOMYELITIS WITH CC | $22,663 | $22,663 | $37,313 | −39% | $23,494 | −4% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $22,616 | $22,616 | $25,938 | −13% | $18,150 | +25% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $22,560 | $22,560 | $36,219 | −38% | $22,560 | +0% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $22,396 | $22,396 | $24,112 | −7% | $14,012 | +60% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $21,426 | $21,426 | $27,687 | −23% | $16,837 | +27% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $21,397 | $21,397 | $25,259 | −15% | $14,473 | +48% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $21,351 | $21,351 | $25,875 | −17% | $17,195 | +24% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $21,277 | $21,277 | $22,362 | −5% | $12,895 | +65% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $21,121 | $21,121 | $22,211 | −5% | $13,890 | +52% | — |
| 639 | DIABETES WITHOUT CC/MCC | $20,878 | $20,878 | $21,115 | −1% | $13,910 | +50% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $20,480 | $20,480 | $24,393 | −16% | $15,607 | +31% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $20,370 | $20,370 | $13,791 | +48% | $12,381 | +65% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $20,252 | $20,252 | $38,213 | −47% | $23,571 | −14% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $20,046 | $20,046 | $33,980 | −41% | $20,084 | −0% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $19,901 | $19,901 | $28,001 | −29% | $17,103 | +16% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $19,872 | $19,872 | $24,469 | −19% | $15,474 | +28% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $19,797 | $19,797 | $50,257 | −61% | $28,375 | −30% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $19,727 | $19,727 | $28,647 | −31% | $18,623 | +6% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $19,715 | $19,715 | $35,502 | −44% | $19,815 | −1% | — |
| 311 | ANGINA PECTORIS | $19,715 | $19,715 | $22,123 | −11% | $15,165 | +30% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $19,462 | $19,462 | $28,048 | −31% | $16,642 | +17% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $18,331 | $18,331 | $36,357 | −50% | $19,073 | −4% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $18,246 | $18,246 | $32,984 | −45% | $11,955 | +53% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $18,011 | $18,011 | $28,956 | −38% | $15,593 | +16% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $16,986 | $16,986 | $25,205 | −33% | $14,368 | +18% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $16,961 | $16,961 | $15,603 | +9% | $9,385 | +81% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $16,881 | $16,881 | $25,272 | −33% | $13,090 | +29% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $16,833 | $16,833 | $50,372 | −67% | $23,956 | −30% | — |
| 779 | ABORTION WITHOUT D&C | $16,476 | $16,476 | $15,327 | +8% | $15,327 | +8% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $16,341 | $16,341 | $24,176 | −32% | $18,282 | −11% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $16,178 | $16,178 | $28,558 | −43% | $15,370 | +5% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $16,096 | $16,096 | $19,687 | −18% | $15,072 | +7% | — |
| 949 | AFTERCARE WITH CC/MCC | $15,657 | $15,657 | $22,072 | −29% | $23,953 | −35% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $15,293 | $15,293 | $23,243 | −34% | $12,044 | +27% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $14,778 | $14,778 | $26,698 | −45% | $14,110 | +5% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $14,685 | $14,685 | $20,048 | −27% | $12,405 | +18% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $14,465 | $14,465 | $20,957 | −31% | $14,209 | +2% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $14,354 | $14,354 | $40,575 | −65% | $39,563 | −64% | — |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $14,354 | $14,354 | $49,508 | −71% | $22,557 | −36% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $13,779 | $13,779 | $23,825 | −42% | $13,081 | +5% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $12,067 | $12,067 | $16,543 | −27% | $16,719 | −28% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $11,410 | $11,410 | $13,157 | −13% | $9,076 | +26% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,511 | $10,511 | $25,832 | −59% | $11,633 | −10% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,771 | $9,771 | $10,476 | −7% | $7,961 | +23% | — |
| 795 | NORMAL NEWBORN | $8,463 | $8,463 | $8,558 | −1% | $4,530 | +87% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,924 | $7,924 | $26,649 | −70% | $14,166 | −44% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,037 | $7,037 | $30,103 | −77% | $18,478 | −62% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $6,815 | $6,815 | $20,482 | −67% | $14,284 | −52% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,609 | $5,609 | $110,281 | −95% | $80,018 | −93% | — |
No procedures match that keyword.