Procedures published 577
Lowest published price $8,825
Average published price $77,861
Highest published price $1,081,939

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 577 procedures

Published charges

Showing all 577 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 56 procedures, this hospital's negotiated rates average ≈88% 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 $1,081,939 $1,081,939 $765,172 +41% $371,366 +191% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $1,031,745 — $233,107 +343% $114,914 +798% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $799,448 $799,448 $557,308 +43% $245,241 +226% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $608,139 $608,139 $291,174 +109% $103,861 +486% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $586,383 $586,383 $67,257 +772% $50,919 +1052% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $408,152 $408,152 $249,408 +64% $142,326 +187% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $322,557 $322,557 $198,606 +62% $96,905 +233% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $311,580 $311,580 $263,439 +18% $120,174 +159% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $305,839 $305,839 $220,941 +38% $143,242 +114% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $302,934 $302,934 $286,350 +6% $151,029 +101% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $296,547 $296,547 $207,306 +43% $88,691 +234% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $274,074 $274,074 $245,970 +11% $120,587 +127% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $265,820 $265,820 $220,256 +21% $138,008 +93% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $255,802 $255,802 $148,529 +72% $82,561 +210% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $249,635 $249,635 $68,530 +264% $49,065 +409% —
653 MAJOR BLADDER PROCEDURES WITH MCC $244,635 $244,635 $144,674 +69% $97,046 +152% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $238,724 $238,724 $151,477 +58% $87,018 +174% ≈23% of Medicare
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $238,574 $238,574 $172,713 +38% $80,747 +195% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $235,740 $235,740 $105,358 +124% $57,963 +307% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $230,423 $230,423 $111,268 +107% $68,006 +239% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $228,972 $228,972 $127,202 +80% $72,859 +214% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $228,134 $228,134 $158,662 +44% $106,778 +114% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $226,936 $226,936 $108,193 +110% $38,420 +491% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $226,809 $226,809 $254,003 −11% $105,612 +115% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $215,909 $215,909 $202,765 +6% $78,582 +175% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $210,008 $210,008 $88,565 +137% $19,894 +956% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $206,277 $206,277 $118,642 +74% $68,847 +200% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $205,822 $205,822 $115,113 +79% $71,755 +187% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $203,925 $203,925 $253,176 −19% $116,058 +76% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $203,332 $203,332 $85,866 +137% $39,409 +416% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $199,192 $199,192 $209,070 −5% $94,927 +110% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $194,999 $194,999 $185,248 +5% $75,251 +159% —
163 MAJOR CHEST PROCEDURES WITH MCC $191,652 $191,652 $157,794 +21% $88,341 +117% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $187,367 $187,367 $40,759 +360% $30,940 +506% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $181,740 $181,740 $76,748 +137% $39,657 +358% —
028 SPINAL PROCEDURES WITH MCC $178,764 $178,764 $248,746 −28% $95,858 +86% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $175,382 $175,382 $45,639 +284% $36,333 +383% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $169,817 $169,817 $158,632 +7% $72,011 +136% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $169,536 $169,536 $120,111 +41% $64,776 +162% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $168,904 $168,904 $156,293 +8% $88,050 +92% ≈23% of Medicare
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $168,778 $168,778 $162,366 +4% $80,885 +109% —
302 ATHEROSCLEROSIS WITH MCC $165,597 $165,597 $27,722 +497% $20,844 +694% —
799 SPLENIC PROCEDURES WITH MCC $165,408 $165,408 $158,816 +4% $78,821 +110% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $164,606 $164,606 $178,909 −8% $121,728 +35% —
471 CERVICAL SPINAL FUSION WITH MCC $162,919 $162,919 $162,919 +0% $92,515 +76% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $160,942 $160,942 $159,453 +1% $88,307 +82% ≈31% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $159,549 $159,549 $97,609 +63% $45,497 +251% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $159,031 $159,031 $115,437 +38% $81,998 +94% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $158,370 $158,370 $223,421 −29% $131,961 +20% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $156,612 $156,612 $156,612 +0% $87,565 +79% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $153,899 $153,899 $176,719 −13% $105,899 +45% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $153,182 $153,182 $138,341 +11% $55,097 +178% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $153,116 $153,116 $111,806 +37% $64,152 +139% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $150,526 $150,526 $81,386 +85% $57,521 +162% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $150,473 $150,473 $150,473 +0% $69,101 +118% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $149,690 $149,690 $110,281 +36% $80,018 +87% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $149,357 $149,357 $170,365 −12% $117,280 +27% —
662 MINOR BLADDER PROCEDURES WITH MCC $149,169 $149,169 $71,703 +108% $54,483 +174% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $148,282 $148,282 $148,282 +0% $66,853 +122% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $147,351 $147,351 $44,496 +231% $53,817 +174% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $146,680 $146,680 $140,494 +4% $96,192 +52% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $143,899 $143,899 $122,470 +17% $75,103 +92% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $142,037 $142,037 $203,918 −30% $118,589 +20% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $139,311 $139,311 $143,688 −3% $72,945 +91% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $139,069 $139,069 $102,851 +35% $65,254 +113% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $137,219 $137,219 $38,652 +255% $20,842 +558% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $136,687 $136,687 $160,882 −15% $57,855 +136% —
711 TESTES PROCEDURES WITH CC/MCC $133,348 $133,348 $74,171 +80% $34,852 +283% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $131,600 $131,600 $108,672 +21% $76,954 +71% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $131,216 $131,216 $156,277 −16% $107,355 +22% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $130,183 $130,183 $147,711 −12% $99,423 +31% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $128,698 $128,698 $141,702 −9% $70,735 +82% —
374 DIGESTIVE MALIGNANCY WITH MCC $128,489 $128,489 $87,750 +46% $38,885 +230% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $128,485 $128,485 $70,771 +82% $32,538 +295% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $128,147 $128,147 $105,189 +22% $72,782 +76% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $126,962 $126,962 $60,512 +110% $38,998 +226% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $126,034 $126,034 $237,236 −47% $191,314 −34% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $124,460 $124,460 $111,942 +11% $63,984 +95% ≈24% of Medicare
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $122,058 $122,058 $114,816 +6% $54,320 +125% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $121,307 $121,307 $67,869 +79% $36,280 +234% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $120,980 $120,980 $62,071 +95% $35,014 +246% —
668 TRANSURETHRAL PROCEDURES WITH MCC $120,853 $120,853 $101,340 +19% $47,277 +156% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $120,753 $120,753 $77,332 +56% $43,800 +176% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $120,128 $120,128 $72,445 +66% $41,900 +187% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $119,770 $119,770 $113,982 +5% $49,055 +144% —
665 PROSTATECTOMY WITH MCC $117,203 $117,203 $100,408 +17% $54,072 +117% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $116,899 $116,899 $53,343 +119% $33,050 +254% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $116,801 $116,801 $110,427 +6% $62,961 +86% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $116,746 $116,746 $81,310 +44% $45,622 +156% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $116,088 $116,088 $121,715 −5% $62,269 +86% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $114,328 $114,328 $85,449 +34% $49,631 +130% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $114,211 $114,211 $114,211 +0% $75,492 +51% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $114,050 $114,050 $80,262 +42% $52,405 +118% ≈39% of Medicare
500 SOFT TISSUE PROCEDURES WITH MCC $113,148 $113,148 $136,482 −17% $57,479 +97% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $110,295 $110,295 $100,291 +10% $70,132 +57% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $109,515 $109,515 $170,719 −36% $54,196 +102% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $109,302 $109,302 $114,560 −5% $70,540 +55% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $106,674 $106,674 $114,850 −7% $71,701 +49% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $106,365 $106,365 $106,540 −0% $62,821 +69% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $105,718 $105,718 $134,140 −21% $62,524 +69% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $104,417 $104,417 $106,308 −2% $63,475 +65% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $103,972 $103,972 $81,491 +28% $65,216 +59% —
472 CERVICAL SPINAL FUSION WITH CC $103,684 $103,684 $95,301 +9% $59,537 +74% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $103,425 $103,425 $101,084 +2% $35,114 +195% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $103,084 $103,084 $86,747 +19% $67,901 +52% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $102,284 $102,284 $73,488 +39% $45,818 +123% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $101,905 $101,905 $97,847 +4% $56,394 +81% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $101,613 $101,613 $99,556 +2% $50,815 +100% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $99,765 $99,765 $84,919 +17% $41,651 +140% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $99,530 $99,530 $86,060 +16% $44,553 +123% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $97,632 $97,632 $84,802 +15% $54,129 +80% —
791 PREMATURITY WITH MAJOR PROBLEMS $97,465 $97,465 $40,575 +140% $39,563 +146% —
947 SIGNS AND SYMPTOMS WITH MCC $97,413 $97,413 $47,638 +104% $25,474 +282% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $96,415 $96,415 $90,091 +7% $36,334 +165% —
252 OTHER VASCULAR PROCEDURES WITH MCC $95,342 $95,342 $131,070 −27% $68,508 +39% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $93,384 $93,384 $111,380 −16% $67,764 +38% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $93,063 $93,063 $102,937 −10% $49,710 +87% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $92,580 $92,580 $81,058 +14% $35,686 +159% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $92,268 $92,268 $46,149 +100% $24,465 +277% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $92,187 $92,187 $55,927 +65% $30,814 +199% ≈55% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $92,176 $92,176 $88,746 +4% $54,313 +70% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $91,884 $91,884 $74,477 +23% $35,714 +157% ≈58% of Medicare
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $91,085 $91,085 $123,678 −26% $74,257 +23% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $90,442 $90,442 $101,329 −11% $53,555 +69% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $90,043 $90,043 $90,375 −0% $51,142 +76% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $89,842 $89,842 $83,724 +7% $52,313 +72% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $89,130 $89,130 $46,329 +92% $22,032 +305% —
919 COMPLICATIONS OF TREATMENT WITH MCC $89,058 $89,058 $74,928 +19% $29,031 +207% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $89,012 $89,012 $101,828 −13% $57,277 +55% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $88,928 $88,928 $66,885 +33% $29,371 +203% —
157 DENTAL AND ORAL DISEASES WITH MCC $88,870 $88,870 $79,748 +11% $27,457 +224% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $88,705 $88,705 $115,330 −23% $74,274 +19% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $88,682 $88,682 $97,245 −9% $58,043 +53% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $88,350 $88,350 $124,806 −29% $68,399 +29% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $88,242 $88,242 $77,585 +14% $36,237 +144% —
037 EXTRACRANIAL PROCEDURES WITH MCC $87,605 $87,605 $193,205 −55% $64,749 +35% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $87,129 $87,129 $87,129 +0% $30,974 +181% —
654 MAJOR BLADDER PROCEDURES WITH CC $87,107 $87,107 $109,216 −20% $53,868 +62% —
186 PLEURAL EFFUSION WITH MCC $87,062 $87,062 $52,979 +64% $32,468 +168% —
153 OTITIS MEDIA AND URI WITHOUT MCC $86,833 $86,833 $25,259 +244% $14,473 +500% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $86,724 $86,724 $96,875 −10% $51,953 +67% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $86,707 $86,707 $91,069 −5% $54,824 +58% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $85,281 $85,281 $50,257 +70% $28,375 +201% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $85,098 $85,098 $55,263 +54% $32,399 +163% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $84,726 $84,726 $65,506 +29% $43,775 +94% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $82,393 $82,393 $82,406 −0% $45,817 +80% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $82,145 $82,145 $68,012 +21% $36,933 +122% ≈54% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $82,116 $82,116 $79,258 +4% $25,208 +226% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $81,988 $81,988 $94,258 −13% $54,475 +51% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $81,462 $81,462 $77,974 +4% $50,011 +63% —
100 SEIZURES WITH MCC $81,452 $81,452 $59,697 +36% $35,194 +131% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $81,310 $81,310 $78,875 +3% $43,491 +87% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $81,209 $81,209 $66,835 +22% $33,564 +142% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $81,084 $81,084 $79,367 +2% $50,624 +60% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $80,912 $80,912 $80,912 +0% $44,600 +81% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $80,525 $80,525 $30,103 +167% $18,478 +336% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $80,398 $80,398 $73,430 +9% $52,332 +54% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $80,394 $80,394 $52,559 +53% $35,459 +127% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $79,978 $79,978 $56,067 +43% $32,204 +148% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $79,178 $79,178 $82,497 −4% $42,881 +85% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $78,603 $78,603 $68,042 +16% $45,059 +74% —
503 FOOT PROCEDURES WITH MCC $78,308 $78,308 $64,711 +21% $43,901 +78% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $78,010 $78,010 $73,590 +6% $32,502 +140% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $77,638 $77,638 $118,907 −35% $38,382 +102% —
501 SOFT TISSUE PROCEDURES WITH CC $77,621 $77,621 $66,613 +17% $37,975 +104% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $77,136 $77,136 $91,039 −15% $50,139 +54% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $76,763 $76,763 $74,080 +4% $56,519 +36% ≈53% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $76,673 $76,673 $70,748 +8% $31,846 +141% —
164 MAJOR CHEST PROCEDURES WITH CC $76,614 $76,614 $84,786 −10% $53,141 +44% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $75,885 $75,885 $83,221 −9% $58,832 +29% ≈53% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $75,745 $75,745 $94,577 −20% $53,746 +41% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $75,712 $75,712 $67,231 +13% $31,128 +143% —
380 COMPLICATED PEPTIC ULCER WITH MCC $75,542 $75,542 $54,388 +39% $36,641 +106% —
570 SKIN DEBRIDEMENT WITH MCC $75,208 $75,208 $79,654 −6% $52,435 +43% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $74,999 $74,999 $68,684 +9% $36,202 +107% —
906 HAND PROCEDURES FOR INJURIES $74,921 $74,921 $83,928 −11% $31,520 +138% —
551 MEDICAL BACK PROBLEMS WITH MCC $74,704 $74,704 $57,001 +31% $31,086 +140% ≈67% of Medicare
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $74,448 $74,448 $54,822 +36% $30,275 +146% ≈501% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $74,396 $74,396 $74,396 +0% $32,213 +131% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $74,152 $74,152 $52,830 +40% $40,232 +84% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $74,082 $74,082 $71,667 +3% $38,357 +93% ≈49% of Medicare
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $73,866 $73,866 $61,511 +20% $33,137 +123% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $73,694 $73,694 $38,605 +91% $16,571 +345% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $73,599 $73,599 $167,358 −56% $44,839 +64% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $73,566 $73,566 $62,697 +17% $37,950 +94% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $73,233 $73,233 $74,693 −2% $51,172 +43% ≈55% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $73,179 $73,179 $73,947 −1% $37,064 +97% ≈50% of Medicare
915 ALLERGIC REACTIONS WITH MCC $73,017 $73,017 $47,514 +54% $30,944 +136% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $72,589 $72,589 $84,991 −15% $71,014 +2% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $72,585 $72,585 $108,834 −33% $83,065 −13% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $72,441 $72,441 $56,179 +29% $31,758 +128% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $72,227 $72,227 $66,712 +8% $29,476 +145% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $72,195 $72,195 $56,551 +28% $40,063 +80% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $72,160 $72,160 $66,108 +9% $35,237 +105% ≈58% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $71,932 $71,932 $34,071 +111% $24,177 +198% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $71,542 $71,542 $80,967 −12% $54,772 +31% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $71,218 $71,218 $104,371 −32% $60,861 +17% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $71,190 $71,190 $60,444 +18% $25,426 +180% —
834 ACUTE LEUKEMIA WITH MCC $70,500 $70,500 $128,494 −45% $76,583 −8% —
835 ACUTE LEUKEMIA WITH CC $70,374 $70,374 $90,678 −22% $35,569 +98% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $70,101 $70,101 $58,939 +19% $32,981 +113% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $69,931 $69,931 $69,977 −0% $37,842 +85% ≈66% of Medicare
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $69,419 $69,419 $66,530 +4% $36,597 +90% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $69,371 $69,371 $59,000 +18% $32,689 +112% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $68,887 $68,887 $65,569 +5% $40,563 +70% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $68,859 $68,859 $83,684 −18% $43,398 +59% —
199 PNEUMOTHORAX WITH MCC $68,781 $68,781 $67,278 +2% $31,491 +118% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $68,768 $68,768 $73,933 −7% $44,989 +53% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $68,671 $68,671 $76,313 −10% $36,375 +89% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $68,619 $68,619 $47,771 +44% $25,786 +166% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $68,578 $68,578 $51,981 +32% $20,980 +227% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $68,500 $68,500 $85,477 −20% $44,363 +54% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $68,444 $68,444 $63,454 +8% $35,375 +93% —
813 COAGULATION DISORDERS $68,138 $68,138 $49,499 +38% $30,128 +126% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $67,900 $67,900 $45,538 +49% $25,854 +163% —
336 PERITONEAL ADHESIOLYSIS WITH CC $67,604 $67,604 $71,741 −6% $49,470 +37% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $67,401 $67,401 $77,215 −13% $51,339 +31% —
504 FOOT PROCEDURES WITH CC $67,059 $67,059 $72,388 −7% $36,598 +83% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $66,779 $66,779 $32,512 +105% $20,741 +222% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $66,696 $66,696 $51,270 +30% $28,134 +137% ≈59% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $66,681 $66,681 $35,337 +89% $29,826 +124% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $66,652 $66,652 $61,021 +9% $45,963 +45% —
682 RENAL FAILURE WITH MCC $66,620 $66,620 $50,344 +32% $27,854 +139% ≈76% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $66,390 $66,390 $54,259 +22% $29,757 +123% —
183 MAJOR CHEST TRAUMA WITH MCC $66,370 $66,370 $53,181 +25% $28,924 +129% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $66,308 $66,308 $92,296 −28% $39,253 +69% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $66,072 $66,072 $43,945 +50% $29,484 +124% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $65,801 $65,801 $20,482 +221% $14,284 +361% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $65,786 $65,786 $67,596 −3% $42,119 +56% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $65,615 $65,615 $74,488 −12% $48,682 +35% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $65,584 $65,584 $54,286 +21% $28,967 +126% ≈71% of Medicare
539 OSTEOMYELITIS WITH MCC $65,382 $65,382 $50,224 +30% $33,746 +94% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $65,202 $65,202 $85,933 −24% $57,149 +14% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $64,874 $64,874 $46,934 +38% $18,459 +251% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $64,328 $64,328 $58,044 +11% $29,729 +116% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $64,186 $64,186 $51,196 +25% $30,058 +114% ≈67% of Medicare
398 APPENDIX PROCEDURES WITH CC $64,184 $64,184 $56,701 +13% $39,107 +64% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $64,086 $64,086 $73,243 −13% $43,697 +47% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $63,970 $63,970 $67,961 −6% $31,059 +106% —
397 APPENDIX PROCEDURES WITH MCC $63,939 $63,939 $63,939 +0% $52,319 +22% —
204 RESPIRATORY SIGNS AND SYMPTOMS $63,877 $63,877 $26,372 +142% $16,866 +279% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $63,287 $63,287 $57,430 +10% $39,747 +59% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $63,099 $63,099 $59,007 +7% $42,126 +50% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $63,081 $63,081 $53,287 +18% $29,050 +117% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $63,080 $63,080 $105,325 −40% $48,094 +31% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $63,016 $63,016 $63,799 −1% $36,242 +74% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $62,994 $62,994 $164,232 −62% $64,465 −2% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $62,642 $62,642 $53,131 +18% $29,211 +114% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $62,642 $62,642 $57,865 +8% $34,887 +80% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $62,465 $62,465 $46,747 +34% $23,350 +168% —
549 SEPTIC ARTHRITIS WITH CC $62,330 $62,330 $48,463 +29% $20,938 +198% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $62,130 $62,130 $49,880 +25% $35,139 +77% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $61,998 $61,998 $44,767 +38% $24,561 +152% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $61,800 $61,800 $69,433 −11% $41,380 +49% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $61,722 $61,722 $67,411 −8% $39,018 +58% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $61,432 $61,432 $56,522 +9% $40,552 +51% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $61,391 $61,391 $45,862 +34% $20,727 +196% —
509 ARTHROSCOPY $61,322 $61,322 $52,252 +17% $25,994 +136% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $61,301 $61,301 $64,897 −6% $41,660 +47% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $61,251 $61,251 $52,383 +17% $24,118 +154% —
637 DIABETES WITH MCC $61,193 $61,193 $47,042 +30% $28,819 +112% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $61,053 $61,053 $44,117 +38% $24,017 +154% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $60,747 $60,747 $65,685 −8% $38,836 +56% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $60,660 $60,660 $68,494 −11% $33,607 +80% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $60,458 $60,458 $61,890 −2% $32,936 +84% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $60,382 $60,382 $56,399 +7% $30,972 +95% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $60,363 $60,363 $62,981 −4% $33,165 +82% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $60,199 $60,199 $91,841 −34% $60,140 +0% —
158 DENTAL AND ORAL DISEASES WITH CC $60,148 $60,148 $35,684 +69% $17,700 +240% —
102 HEADACHES WITH MCC $60,090 $60,090 $38,484 +56% $22,544 +167% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $59,652 $59,652 $70,929 −16% $40,583 +47% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $59,059 $59,059 $32,984 +79% $11,955 +394% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $58,954 $58,954 $65,442 −10% $43,524 +35% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $58,924 $58,924 $58,924 +0% $31,840 +85% ≈68% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $58,732 $58,732 $55,823 +5% $34,354 +71% —
089 CONCUSSION WITH CC $58,726 $58,726 $29,117 +102% $18,293 +221% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $58,627 $58,627 $27,656 +112% $19,354 +203% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $58,431 $58,431 $63,558 −8% $29,409 +99% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $58,267 $58,267 $50,871 +15% $24,202 +141% —
643 ENDOCRINE DISORDERS WITH MCC $58,179 $58,179 $63,784 −9% $32,996 +76% ≈64% of Medicare
887 OTHER MENTAL DISORDER DIAGNOSES $57,912 $57,912 $48,427 +20% $20,602 +181% —
595 MAJOR SKIN DISORDERS WITH MCC $57,728 $57,728 $60,136 −4% $31,785 +82% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $57,675 $57,675 $45,895 +26% $33,792 +71% —
291 HEART FAILURE AND SHOCK WITH MCC $57,262 $57,262 $50,419 +14% $25,020 +129% ≈87% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $57,005 $57,005 $91,713 −38% $68,880 −17% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $56,550 $56,550 $80,039 −29% $43,538 +30% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $56,279 $56,279 $74,346 −24% $41,380 +36% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $56,112 $56,112 $91,704 −39% $47,583 +18% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $55,740 $55,740 $57,474 −3% $24,879 +124% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $55,484 $55,484 $30,006 +85% $19,326 +187% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $55,481 $55,481 $61,608 −10% $44,117 +26% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $55,395 $55,395 $56,631 −2% $33,984 +63% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $55,337 $55,337 $83,568 −34% $55,162 +0% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $55,142 $55,142 $55,172 −0% $31,816 +73% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $55,103 $55,103 $46,407 +19% $25,623 +115% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $55,065 $55,065 $75,006 −27% $48,680 +13% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $54,842 $54,842 $48,743 +13% $22,525 +143% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $54,622 $54,622 $93,735 −42% $43,586 +25% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $54,187 $54,187 $83,940 −35% $29,633 +83% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $54,179 $54,179 $69,236 −22% $28,252 +92% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $53,872 $53,872 $45,949 +17% $21,806 +147% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $53,266 $53,266 $36,701 +45% $19,305 +176% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $53,255 $53,255 $58,576 −9% $31,909 +67% —
571 SKIN DEBRIDEMENT WITH CC $53,081 $53,081 $57,557 −8% $34,901 +52% —
375 DIGESTIVE MALIGNANCY WITH CC $52,895 $52,895 $52,142 +1% $27,219 +94% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $52,878 $52,878 $129,286 −59% $98,912 −47% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $52,636 $52,636 $66,258 −21% $30,394 +73% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $52,634 $52,634 $47,144 +12% $27,244 +93% ≈83% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $52,153 $52,153 $42,171 +24% $20,147 +159% —
663 MINOR BLADDER PROCEDURES WITH CC $52,104 $52,104 $53,150 −2% $29,924 +74% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $52,011 $52,011 $41,803 +24% $22,982 +126% ≈97% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $51,863 $51,863 $58,136 −11% $28,140 +84% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $51,839 $51,839 $47,685 +9% $31,062 +67% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $51,728 $51,728 $48,611 +6% $24,480 +111% ≈88% of Medicare
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $51,547 $51,547 $43,590 +18% $23,396 +120% ≈123% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $51,448 $51,448 $64,401 −20% $47,546 +8% —
885 PSYCHOSES $51,287 $51,287 $51,287 +0% $21,489 +139% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $50,985 $50,985 $43,422 +17% $24,452 +109% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $50,855 $50,855 $48,161 +6% $31,190 +63% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $50,650 $50,650 $51,413 −1% $35,542 +43% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $50,621 $50,621 $55,917 −9% $35,584 +42% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $50,602 $50,602 $48,395 +5% $29,916 +69% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $50,587 $50,587 $50,587 +0% $26,158 +93% ≈87% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $50,482 $50,482 $41,426 +22% $27,947 +81% —
866 VIRAL ILLNESS WITHOUT MCC $50,398 $50,398 $29,140 +73% $16,391 +207% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $50,354 $50,354 $50,372 −0% $23,956 +110% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $50,273 $50,273 $61,109 −18% $33,424 +50% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $50,132 $50,132 $50,163 −0% $28,156 +78% —
304 HYPERTENSION WITH MCC $50,077 $50,077 $43,981 +14% $24,185 +107% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $49,798 $49,798 $67,085 −26% $39,093 +27% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $49,631 $49,631 $49,214 +1% $26,020 +91% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $49,121 $49,121 $71,746 −32% $37,902 +30% —
811 RED BLOOD CELL DISORDERS WITH MCC $48,834 $48,834 $52,032 −6% $27,934 +75% ≈80% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $48,777 $48,777 $48,777 +0% $36,239 +35% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $48,679 $48,679 $54,731 −11% $29,374 +66% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $48,477 $48,477 $38,051 +27% $16,156 +200% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $48,443 $48,443 $35,582 +36% $17,700 +174% —
644 ENDOCRINE DISORDERS WITH CC $48,046 $48,046 $38,405 +25% $22,941 +109% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $47,976 $47,976 $50,378 −5% $30,006 +60% —
184 MAJOR CHEST TRAUMA WITH CC $47,782 $47,782 $40,078 +19% $20,842 +129% ≈109% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $47,773 $47,773 $58,653 −19% $43,266 +10% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $47,478 $47,478 $42,081 +13% $20,777 +129% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $47,468 $47,468 $51,901 −9% $29,609 +60% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $47,465 $47,465 $50,120 −5% $19,317 +146% —
666 PROSTATECTOMY WITH CC $47,317 $47,317 $55,099 −14% $30,016 +58% —
920 COMPLICATIONS OF TREATMENT WITH CC $47,212 $47,212 $40,338 +17% $21,181 +123% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $47,182 $47,182 $59,563 −21% $32,911 +43% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $47,113 $47,113 $44,164 +7% $26,488 +78% ≈93% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $47,049 $47,049 $27,996 +68% $12,797 +268% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $47,001 $47,001 $41,566 +13% $17,078 +175% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $46,931 $46,931 $86,345 −46% $34,264 +37% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $46,717 $46,717 $44,867 +4% $23,115 +102% ≈89% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $46,511 $46,511 $51,644 −10% $25,434 +83% —
602 CELLULITIS WITH MCC $46,406 $46,406 $51,062 −9% $29,347 +58% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $46,385 $46,385 $32,539 +43% $30,910 +50% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $46,364 $46,364 $56,472 −18% $28,780 +61% —
180 RESPIRATORY NEOPLASMS WITH MCC $46,342 $46,342 $71,638 −35% $36,658 +26% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $45,964 $45,964 $31,340 +47% $19,091 +141% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $45,741 $45,741 $56,232 −19% $49,197 −7% ≈64% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $45,195 $45,195 $41,062 +10% $22,850 +98% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $45,023 $45,023 $48,816 −8% $25,704 +75% ≈88% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $45,020 $45,020 $44,491 +1% $30,358 +48% ≈97% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $44,976 $44,976 $35,418 +27% $20,732 +117% —
312 SYNCOPE AND COLLAPSE $44,890 $44,890 $39,017 +15% $19,342 +132% ≈129% of Medicare
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $44,828 $44,828 $84,141 −47% $46,477 −4% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $44,637 $44,637 $41,319 +8% $18,803 +137% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $44,579 $44,579 $51,603 −14% $25,390 +76% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $44,329 $44,329 $28,048 +58% $16,642 +166% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $44,302 $44,302 $79,534 −44% $43,080 +3% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $44,199 $44,199 $24,264 +82% $13,892 +218% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $44,168 $44,168 $54,833 −19% $30,418 +45% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $44,053 $44,053 $87,386 −50% $44,053 +0% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $43,964 $43,964 $38,065 +15% $32,490 +35% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $43,938 $43,938 $44,732 −2% $24,190 +82% ≈111% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $43,773 $43,773 $35,838 +22% $17,412 +151% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $43,680 $43,680 $35,603 +23% $20,007 +118% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $43,668 $43,668 $35,453 +23% $20,968 +108% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $43,308 $43,308 $43,163 +0% $21,886 +98% ≈115% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $43,207 $43,207 $65,173 −34% $38,878 +11% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $43,130 $43,130 $45,657 −6% $23,469 +84% ≈108% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $43,124 $43,124 $62,048 −30% $35,528 +21% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $43,039 $43,039 $33,369 +29% $16,418 +162% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $42,666 $42,666 $57,974 −26% $28,646 +49% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $42,572 $42,572 $45,010 −5% $23,749 +79% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $42,468 $42,468 $53,282 −20% $32,483 +31% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $42,451 $42,451 $38,803 +9% $24,432 +74% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $42,167 $42,167 $27,555 +53% $26,146 +61% —
693 URINARY STONES WITH MCC $42,109 $42,109 $41,470 +2% $22,525 +87% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $41,749 $41,749 $32,030 +30% $24,941 +67% —
197 INTERSTITIAL LUNG DISEASE WITH CC $41,723 $41,723 $41,332 +1% $20,106 +108% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $41,697 $41,697 $47,198 −12% $36,850 +13% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $41,671 $41,671 $24,176 +72% $18,282 +128% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $41,379 $41,379 $51,463 −20% $23,297 +78% —
075 VIRAL MENINGITIS WITH CC/MCC $41,251 $41,251 $38,171 +8% $29,853 +38% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $41,244 $41,244 $63,649 −35% $33,694 +22% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $40,893 $40,893 $67,674 −40% $54,929 −26% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $40,883 $40,883 $50,589 −19% $23,496 +74% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $40,818 $40,818 $33,407 +22% $21,545 +89% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $40,765 $40,765 $39,427 +3% $18,253 +123% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $40,750 $40,750 $37,797 +8% $22,781 +79% ≈123% of Medicare
399 APPENDIX PROCEDURES WITHOUT CC/MCC $40,729 $40,729 $40,464 +1% $30,314 +34% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $40,689 $40,689 $42,326 −4% $25,731 +58% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $40,504 $40,504 $41,644 −3% $27,369 +48% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $40,450 $40,450 $37,354 +8% $20,463 +98% ≈150% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $40,284 $40,284 $71,404 −44% $25,243 +60% —
150 EPISTAXIS WITH MCC $40,103 $40,103 $36,942 +9% $21,133 +90% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $40,068 $40,068 $24,877 +61% $12,593 +218% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $40,006 $40,006 $42,772 −6% $31,978 +25% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $39,908 $39,908 $30,594 +30% $19,287 +107% —
181 RESPIRATORY NEOPLASMS WITH CC $39,819 $39,819 $39,646 +0% $22,431 +78% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $39,770 $39,770 $39,772 −0% $21,213 +87% ≈122% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $39,735 $39,735 $35,853 +11% $18,428 +116% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $39,405 $39,405 $63,351 −38% $23,723 +66% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $39,144 $39,144 $36,257 +8% $18,918 +107% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $38,852 $38,852 $72,118 −46% $30,766 +26% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $38,843 $38,843 $29,005 +34% $23,734 +64% —
592 SKIN ULCERS WITH MCC $38,732 $38,732 $48,992 −21% $32,662 +19% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $38,712 $38,712 $38,223 +1% $24,136 +60% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $38,630 $38,630 $34,381 +12% $19,001 +103% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $38,471 $38,471 $58,454 −34% $28,527 +35% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $38,320 $38,320 $38,964 −2% $17,585 +118% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $38,184 $38,184 $72,824 −48% $46,591 −18% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $38,132 $38,132 $41,855 −9% $29,663 +29% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $38,027 $38,027 $32,699 +16% $20,488 +86% ≈128% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $37,797 $37,797 $35,082 +8% $15,636 +142% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $37,717 $37,717 $36,153 +4% $14,444 +161% —
200 PNEUMOTHORAX WITH CC $37,596 $37,596 $34,635 +9% $20,573 +83% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $37,363 $37,363 $35,392 +6% $22,713 +65% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $37,311 $37,311 $33,571 +11% $19,096 +95% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $37,164 $37,164 $37,400 −1% $22,024 +69% ≈124% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $37,109 $37,109 $25,873 +43% $17,226 +115% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $37,075 $37,075 $34,465 +8% $19,854 +87% —
187 PLEURAL EFFUSION WITH CC $36,932 $36,932 $27,750 +33% $21,467 +72% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $36,709 $36,709 $35,487 +3% $19,483 +88% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $36,578 $36,578 $27,687 +32% $16,837 +117% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $36,521 $36,521 $26,800 +36% $14,861 +146% —
540 OSTEOMYELITIS WITH CC $36,495 $36,495 $37,313 −2% $23,494 +55% —
292 HEART FAILURE AND SHOCK WITH CC $36,296 $36,296 $37,428 −3% $16,212 +124% —
101 SEIZURES WITHOUT MCC $36,156 $36,156 $27,920 +29% $19,954 +81% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $36,148 $36,148 $31,809 +14% $17,367 +108% —
882 NEUROSES EXCEPT DEPRESSIVE $36,034 $36,034 $40,637 −11% $15,680 +130% —
683 RENAL FAILURE WITH CC $35,926 $35,926 $34,577 +4% $18,620 +93% ≈139% of Medicare
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $35,843 $35,843 $31,550 +14% $17,715 +102% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $35,708 $35,708 $36,141 −1% $18,191 +96% —
639 DIABETES WITHOUT CC/MCC $35,583 $35,583 $21,115 +69% $13,910 +156% —
865 VIRAL ILLNESS WITH MCC $35,564 $35,564 $47,925 −26% $26,088 +36% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $35,504 $35,504 $34,758 +2% $19,868 +79% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $35,364 $35,364 $37,877 −7% $18,017 +96% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $35,277 $35,277 $33,821 +4% $17,727 +99% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $35,163 $35,163 $45,350 −22% $27,118 +30% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $34,993 $34,993 $51,317 −32% $31,812 +10% —
123 NEUROLOGICAL EYE DISORDERS $34,936 $34,936 $31,627 +10% $17,831 +96% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $34,886 $34,886 $33,103 +5% $24,022 +45% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $34,608 $34,608 $35,059 −1% $19,579 +77% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $34,593 $34,593 $34,831 −1% $18,002 +92% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $34,585 $34,585 $35,242 −2% $24,316 +42% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $34,298 $34,298 $37,071 −7% $20,278 +69% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $34,296 $34,296 $28,647 +20% $18,623 +84% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $34,203 $34,203 $31,332 +9% $18,133 +89% —
638 DIABETES WITH CC $34,181 $34,181 $31,010 +10% $18,821 +82% ≈143% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $34,165 $34,165 $41,428 −18% $23,141 +48% —
038 EXTRACRANIAL PROCEDURES WITH CC $34,080 $34,080 $56,219 −39% $35,770 −5% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $33,934 $33,934 $26,378 +29% $16,634 +104% —
533 FRACTURES OF FEMUR WITH MCC $33,837 $33,837 $67,569 −50% $25,945 +30% —
305 HYPERTENSION WITHOUT MCC $33,815 $33,815 $29,929 +13% $17,144 +97% ≈166% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $33,800 $33,800 $33,800 +0% $17,434 +94% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $33,608 $33,608 $31,610 +6% $16,865 +99% ≈156% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $33,563 $33,563 $30,455 +10% $16,745 +100% ≈157% of Medicare
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $33,437 $33,437 $45,157 −26% $25,149 +33% —
593 SKIN ULCERS WITH CC $33,406 $33,406 $38,644 −14% $20,470 +63% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $33,330 $33,330 $32,535 +2% $17,273 +93% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $33,249 $33,249 $75,926 −56% $31,566 +5% —
313 CHEST PAIN $33,195 $33,195 $28,736 +16% $15,962 +108% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $33,132 $33,132 $36,933 −10% $25,162 +32% —
603 CELLULITIS WITHOUT MCC $33,112 $33,112 $29,685 +12% $18,530 +79% ≈137% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $33,082 $33,082 $32,735 +1% $18,081 +83% —
103 HEADACHES WITHOUT MCC $33,076 $33,076 $31,097 +6% $20,111 +64% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $32,909 $32,909 $16,543 +99% $16,719 +97% —
914 TRAUMATIC INJURY WITHOUT MCC $32,729 $32,729 $28,956 +13% $15,593 +110% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $32,498 $32,498 $24,728 +31% $14,441 +125% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $32,474 $32,474 $30,067 +8% $18,204 +78% ≈152% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $32,437 $32,437 $28,924 +12% $14,134 +129% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $32,187 $32,187 $27,980 +15% $15,869 +103% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $32,032 $32,032 $31,872 +1% $17,322 +85% ≈159% of Medicare
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $32,022 $32,022 $96,782 −67% $46,402 −31% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $31,970 $31,970 $33,953 −6% $17,731 +80% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $31,935 $31,935 $30,945 +3% $17,466 +83% ≈142% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $31,754 $31,754 $19,613 +62% $13,824 +130% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $31,731 $31,731 $33,779 −6% $17,943 +77% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $31,453 $31,453 $34,234 −8% $18,278 +72% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $31,451 $31,451 $26,649 +18% $14,166 +122% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $31,406 $31,406 $55,353 −43% $27,492 +14% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $31,350 $31,350 $58,794 −47% $29,524 +6% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $31,180 $31,180 $30,364 +3% $16,049 +94% —
505 FOOT PROCEDURES WITHOUT CC/MCC $31,168 $31,168 $59,681 −48% $31,716 −2% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $31,120 $31,120 $26,348 +18% $15,600 +99% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $30,955 $30,955 $29,946 +3% $13,303 +133% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $30,775 $30,775 $31,601 −3% $16,104 +91% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $30,772 $30,772 $24,938 +23% $14,208 +117% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $30,660 $30,660 $39,277 −22% $22,275 +38% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $30,334 $30,334 $44,809 −32% $36,097 −16% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $30,327 $30,327 $32,387 −6% $17,388 +74% ≈146% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $30,049 $30,049 $24,112 +25% $14,012 +114% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $29,985 $29,985 $55,360 −46% $16,495 +82% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $29,845 $29,845 $80,665 −63% $34,089 −12% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $29,785 $29,785 $38,932 −23% $21,449 +39% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $29,560 $29,560 $33,632 −12% $23,588 +25% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $29,287 $29,287 $30,555 −4% $15,045 +95% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $29,217 $29,217 $36,583 −20% $26,322 +11% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $28,825 $28,825 $27,833 +4% $13,485 +114% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $28,744 $28,744 $42,969 −33% $21,261 +35% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $28,644 $28,644 $28,292 +1% $17,522 +63% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $28,598 $28,598 $26,934 +6% $14,064 +103% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $28,526 $28,526 $12,650 +125% $12,650 +125% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $28,494 $28,494 $25,284 +13% $20,371 +40% —
303 ATHEROSCLEROSIS WITHOUT MCC $28,219 $28,219 $31,108 −9% $14,927 +89% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $28,073 $28,073 $26,171 +7% $15,070 +86% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $27,874 $27,874 $28,656 −3% $15,876 +76% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $27,560 $27,560 $36,219 −24% $22,560 +22% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $27,391 $27,391 $25,832 +6% $11,633 +135% —
149 DYSEQUILIBRIUM $27,115 $27,115 $30,269 −10% $17,203 +58% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $26,983 $26,983 $26,557 +2% $18,238 +48% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $26,939 $26,939 $26,939 +0% $15,858 +70% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $26,938 $26,938 $36,307 −26% $19,569 +38% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $26,531 $26,531 $21,094 +26% $13,318 +99% ≈219% of Medicare
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $26,461 $26,461 $22,216 +19% $12,013 +120% —
684 RENAL FAILURE WITHOUT CC/MCC $26,330 $26,330 $22,323 +18% $13,623 +93% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $26,112 $26,112 $17,093 +53% $12,279 +113% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $26,057 $26,057 $29,433 −11% $25,010 +4% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $25,772 $25,772 $38,213 −33% $23,571 +9% —
311 ANGINA PECTORIS $25,752 $25,752 $22,123 +16% $15,165 +70% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $25,662 $25,662 $30,818 −17% $22,698 +13% —
541 OSTEOMYELITIS WITHOUT CC/MCC $25,483 $25,483 $23,391 +9% $14,549 +75% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $25,356 $25,356 $41,110 −38% $16,352 +55% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $25,272 $25,272 $45,649 −45% $25,267 +0% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $24,040 $24,040 $37,396 −36% $24,450 −2% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $23,854 $23,854 $38,995 −39% $24,836 −4% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $23,836 $23,836 $23,681 +1% $13,384 +78% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $23,461 $23,461 $30,219 −22% $14,880 +58% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $23,414 $23,414 $25,987 −10% $14,128 +66% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $23,344 $23,344 $76,203 −69% $30,661 −24% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $23,210 $23,210 $35,502 −35% $19,815 +17% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $23,040 $23,040 $28,058 −18% $14,337 +61% —
694 URINARY STONES WITHOUT MCC $22,918 $22,918 $23,588 −3% $16,531 +39% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $22,751 $22,751 $28,001 −19% $17,103 +33% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $22,434 $22,434 $33,980 −34% $20,084 +12% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $22,157 $22,157 $25,205 −12% $14,368 +54% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $22,141 $22,141 $22,737 −3% $13,368 +66% —
607 MINOR SKIN DISORDERS WITHOUT MCC $22,057 $22,057 $30,851 −29% $15,284 +44% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $21,528 $21,528 $27,401 −21% $22,231 −3% —
201 PNEUMOTHORAX WITHOUT CC/MCC $21,513 $21,513 $23,825 −10% $13,081 +64% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $21,483 $21,483 $26,698 −20% $14,110 +52% —
935 NON-EXTENSIVE BURNS $21,165 $21,165 $24,511 −14% $29,458 −28% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $20,761 $20,761 $19,876 +4% $13,198 +57% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $20,750 $20,750 $24,393 −15% $15,607 +33% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $20,485 $20,485 $31,666 −35% $18,608 +10% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $20,455 $20,455 $20,455 +0% $16,776 +22% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $20,421 $20,421 $52,477 −61% $20,421 +0% —
779 ABORTION WITHOUT D&C $19,923 $19,923 $15,327 +30% $15,327 +30% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $19,380 $19,380 $28,558 −32% $15,370 +26% —
881 DEPRESSIVE NEUROSES $18,786 $18,786 $28,709 −35% $15,058 +25% —
949 AFTERCARE WITH CC/MCC $18,765 $18,765 $22,072 −15% $23,953 −22% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $18,655 $18,655 $19,687 −5% $15,072 +24% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $17,859 $17,859 $25,272 −29% $13,090 +36% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $16,658 $16,658 $22,362 −26% $12,895 +29% —
916 ALLERGIC REACTIONS WITHOUT MCC $16,531 $16,531 $22,211 −26% $13,890 +19% —
594 SKIN ULCERS WITHOUT CC/MCC $16,248 $16,248 $20,957 −22% $14,209 +14% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $16,142 $16,142 $15,603 +3% $9,385 +72% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,598 $15,598 $23,243 −33% $12,044 +30% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $15,542 $15,542 $19,026 −18% $11,421 +36% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $14,251 $14,251 $13,791 +3% $12,381 +15% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,006 $13,006 $31,844 −59% $17,928 −27% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,614 $12,614 $24,128 −48% $15,077 −16% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,565 $11,565 $10,476 +10% $7,961 +45% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $11,493 $11,493 $13,157 −13% $9,076 +27% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $10,094 $10,094 $27,942 −64% $16,654 −39% —
795 NORMAL NEWBORN $8,825 $8,825 $8,558 +3% $4,530 +95% —