Baptist Health Boca Raton Regional Hospital — Pricing

690 procedures published in this hospital's Machine-Readable File (MRF) — 690 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 690
Lowest published price $3,835
Average published price $178,381
Highest published price $2,504,557

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 690 procedures

Published charges

Showing all 690 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 160 procedures, this hospital's negotiated rates average ≈212% of what Medicare pays.

DRG Description Published price Cash price vs. FL median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $2,504,557 $1,627,962 $454,730 +451% $498,715 +402% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROC $1,424,643 $926,018 $539,739 +164% $371,366 +284% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $1,326,543 $862,253 $402,260 +230% $171,338 +674% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE $1,163,565 $756,317 $431,250 +170% $245,241 +374% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $1,094,230 $711,249 $146,589 +646% $121,563 +800% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $1,066,196 $693,028 $172,857 +517% $182,314 +485% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,063,555 $691,310 $551,188 +93% $431,073 +147% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $984,799 $640,119 $356,215 +176% $120,174 +719% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $935,350 $607,978 $191,084 +389% $121,728 +668% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $913,389 $593,703 $147,852 +518% $109,331 +735% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $806,850 $524,452 $207,509 +289% $96,192 +739% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $776,436 $504,683 $360,137 +116% $175,437 +343% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $774,861 $503,660 $190,319 +307% $191,314 +305% —
834 ACUTE LEUKEMIA WITH MCC $769,242 $500,007 $100,016 +669% $76,583 +904% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICA $766,229 $498,049 $171,345 +347% $142,326 +438% —
662 MINOR BLADDER PROCEDURES WITH MCC $764,302 — $104,590 +631% $54,483 +1303% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $735,065 $477,792 $163,220 +350% $103,861 +608% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $733,222 $476,595 $312,891 +134% $143,242 +412% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DE $699,431 $454,630 $311,971 +124% $114,914 +509% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $642,198 $417,429 $60,577 +960% $60,098 +969% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $636,494 $413,721 $67,854 +838% $56,758 +1021% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $633,947 $412,065 $136,983 +363% $118,589 +435% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $625,380 $406,497 $135,442 +362% $86,953 +619% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $618,745 $402,184 $125,799 +392% $80,885 +665% —
231 CORONARY BYPASS WITH PTCA WITH MCC $603,398 $392,209 $95,116 +534% $146,474 +312% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $580,636 $377,413 $191,844 +203% $138,868 +318% ≈635% of Medicare
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $544,635 $354,013 $93,398 +483% $52,908 +929% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $531,305 $345,348 $229,118 +132% $92,238 +476% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $530,178 $344,616 $50,993 +940% $70,735 +650% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $515,085 $334,805 $198,447 +160% $107,355 +380% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $506,588 $329,282 $236,096 +115% $105,612 +380% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $502,658 $326,728 $160,421 +213% $116,058 +333% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $498,759 $324,193 $87,122 +472% $78,582 +535% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $497,813 $323,578 $143,987 +246% $105,899 +370% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $493,570 $320,821 $149,084 +231% $81,998 +502% —
653 MAJOR BLADDER PROCEDURES WITH MCC $490,064 $318,542 $127,939 +283% $97,046 +405% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $488,287 $317,386 $259,383 +88% $138,008 +254% ≈710% of Medicare
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $482,994 $313,946 $103,890 +365% $46,659 +935% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $481,632 $313,061 $60,442 +697% $62,404 +672% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $479,935 $311,958 $113,023 +325% $98,260 +388% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $472,684 $307,244 $233,892 +102% $134,914 +250% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $468,135 $304,288 $157,552 +197% $88,691 +428% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $461,731 $300,125 $89,760 +414% $65,254 +608% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $458,759 $298,193 $123,059 +273% $106,238 +332% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $453,781 $294,958 $193,020 +135% $121,714 +273% —
037 EXTRACRANIAL PROCEDURES WITH MCC $441,677 $287,090 $133,926 +230% $64,749 +582% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $439,411 $285,617 $102,071 +330% $94,927 +363% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $438,295 $284,891 $185,871 +136% $96,222 +356% ≈789% of Medicare
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $435,395 $283,006 $204,784 +113% $112,062 +289% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $433,073 $281,497 $164,862 +163% $88,049 +392% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $430,566 $279,868 $238,013 +81% $101,235 +325% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $427,094 $277,611 $65,293 +554% $64,956 +558% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $419,474 $272,658 $130,168 +222% $73,029 +474% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $414,064 $269,141 $103,317 +301% $102,177 +305% —
500 SOFT TISSUE PROCEDURES WITH MCC $407,910 $265,141 $97,778 +317% $57,479 +610% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $406,334 $264,117 $166,045 +145% $87,018 +367% ≈718% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $406,070 $263,946 $37,413 +985% $59,425 +583% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $404,930 $263,204 $125,567 +222% $68,006 +495% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLA $403,331 $262,165 $200,833 +101% $106,778 +278% ≈623% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $403,301 $262,146 $284,008 +42% $131,961 +206% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $402,566 $261,668 $210,532 +91% $102,573 +292% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $401,380 $260,897 $127,104 +216% $84,861 +373% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $394,681 $256,543 $128,607 +207% $72,859 +442% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVI $386,911 $251,492 $197,357 +96% $79,944 +384% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $386,215 $251,040 $36,153 +968% $30,940 +1148% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $385,651 $250,673 $203,654 +89% $99,423 +288% ≈689% of Medicare
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $382,939 $248,911 $140,313 +173% $117,280 +227% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $381,200 $247,780 $117,133 +225% $96,905 +293% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $378,636 $246,114 $136,641 +177% $75,251 +403% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $370,975 $241,134 $120,531 +208% $80,747 +359% ≈602% of Medicare
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $369,147 $239,945 $121,966 +203% $64,776 +470% —
503 FOOT PROCEDURES WITH MCC $365,048 $237,281 $124,764 +193% $43,901 +732% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $350,788 $228,012 $194,788 +80% $94,988 +269% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $348,793 $226,716 $151,781 +130% $98,912 +253% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $342,881 $222,873 $93,249 +268% $62,524 +448% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $341,154 $221,750 $99,946 +241% $88,307 +286% ≈726% of Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $338,969 $220,330 $181,307 +87% $88,341 +284% ≈599% of Medicare
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $338,401 $219,960 $184,196 +84% $113,855 +197% ≈464% of Medicare
999 UNGROUPABLE $337,899 $219,634 $62,057 +444% $28,822 +1072% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $335,984 $218,390 $174,763 +92% $80,018 +320% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $331,975 $215,784 $71,371 +365% $64,465 +415% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $329,273 $214,028 $152,254 +116% $75,492 +336% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $329,052 $213,884 $158,503 +108% $82,247 +300% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $327,900 $213,135 $139,177 +136% $68,880 +376% ≈1001% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $327,306 $212,749 $98,774 +231% $76,954 +325% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $327,063 $212,591 $75,637 +332% $53,817 +508% —
665 PROSTATECTOMY WITH MCC $325,983 $211,889 $111,754 +192% $54,072 +503% —
471 CERVICAL SPINAL FUSION WITH MCC $324,608 $210,995 $160,789 +102% $92,515 +251% —
265 AICD lead procedures $322,792 $209,814 $100,391 +222% $56,695 +469% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $322,566 $209,668 $153,604 +110% $88,050 +266% ≈663% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $322,308 $209,500 $114,641 +181% $62,961 +412% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $320,950 $208,618 $28,818 +1014% $30,661 +947% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $319,895 $207,932 $58,594 +446% $83,065 +285% ≈706% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $318,568 $207,069 $87,372 +265% $72,011 +342% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $313,402 $203,712 $121,638 +158% $64,152 +389% —
245 AICD GENERATOR PROCEDURES $313,283 $203,634 $134,153 +134% $72,076 +335% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $309,425 $201,126 $113,802 +172% $92,217 +236% ≈587% of Medicare
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $308,146 $200,295 $108,887 +183% $53,551 +475% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $307,664 $199,982 $87,533 +251% $58,043 +430% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $307,634 $199,962 $78,123 +294% $44,363 +593% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $305,396 $198,507 $173,119 +76% $86,390 +254% ≈554% of Medicare
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $304,880 $198,172 $69,863 +336% $65,216 +367% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $303,171 $197,061 $151,465 +100% $82,561 +267% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $299,932 $194,956 $120,183 +150% $54,313 +452% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $297,679 $193,492 $66,028 +351% $49,197 +505% ≈1543% of Medicare
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $297,415 $193,319 $124,879 +138% $70,540 +322% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $295,740 $192,231 $70,199 +321% $87,565 +238% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $291,811 $189,677 $75,201 +288% $38,382 +660% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $291,517 $189,486 $97,310 +200% $49,710 +486% ≈941% of Medicare
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $290,947 $189,116 $122,122 +138% $59,207 +391% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $290,326 $188,712 $187,283 +55% $90,331 +221% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $286,463 $186,201 $45,414 +531% $36,850 +677% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $283,436 $184,234 $128,484 +121% $72,782 +289% ≈714% of Medicare
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $283,290 $184,139 $111,887 +153% $62,821 +351% —
799 SPLENIC PROCEDURES WITH MCC $282,747 $183,786 $177,369 +59% $78,821 +259% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $281,028 $182,668 $90,633 +210% $65,383 +330% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $279,574 $181,723 $110,803 +152% $71,014 +294% ≈755% of Medicare
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $279,545 $181,704 $143,922 +94% $78,852 +255% ≈581% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $278,976 $181,334 $178,804 +56% $68,659 +306% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $275,834 $179,292 $134,667 +105% $60,861 +353% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $270,827 $176,038 $135,879 +99% $66,853 +305% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $270,805 $176,023 $54,864 +394% $44,053 +515% —
028 SPINAL PROCEDURES WITH MCC $268,384 $174,449 $123,606 +117% $95,858 +180% —
654 MAJOR BLADDER PROCEDURES WITH CC $268,045 $174,229 $112,622 +138% $53,868 +398% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $267,983 $174,189 $150,995 +77% $72,908 +268% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $267,249 $173,712 $58,272 +359% $56,964 +369% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $265,541 $172,602 $140,608 +89% $91,329 +191% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $263,729 $171,424 $46,014 +473% $25,149 +949% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $260,835 $169,543 $76,167 +242% $54,129 +382% —
915 ALLERGIC REACTIONS WITH MCC $260,400 $169,260 $33,057 +688% $30,944 +742% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $259,576 $168,724 $61,350 +323% $45,818 +467% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $258,540 $168,051 $62,523 +314% $54,475 +375% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $257,619 $167,452 $94,249 +173% $53,555 +381% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $253,824 $164,986 $104,012 +144% $63,475 +300% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $253,537 $164,799 $153,680 +65% $66,819 +279% ≈764% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $251,796 $163,667 $124,187 +103% $47,546 +430% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $250,831 $163,040 $38,973 +544% $36,597 +585% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $249,027 $161,868 $153,446 +62% $45,290 +450% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $246,858 $160,458 $68,370 +261% $57,149 +332% ≈896% of Medicare
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $244,411 $158,867 $121,700 +101% $71,701 +241% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $243,998 $158,599 $53,013 +360% $32,483 +651% —
472 CERVICAL SPINAL FUSION WITH CC $243,650 $158,373 $114,191 +113% $59,537 +309% ≈783% of Medicare
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $242,800 $157,820 $21,937 +1007% $14,284 +1600% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $241,924 $157,251 $83,283 +190% $48,094 +403% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $238,459 $154,998 $131,379 +82% $57,277 +316% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $237,858 $154,607 $142,804 +67% $75,585 +215% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $236,917 $153,996 $138,390 +71% $74,755 +217% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $236,901 $153,986 $97,244 +144% $51,953 +356% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $236,300 $153,595 $125,583 +88% $72,945 +224% ≈632% of Medicare
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $231,711 $150,612 $106,612 +117% $75,103 +209% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $229,684 $149,294 $88,057 +161% $47,583 +383% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $229,540 $149,201 $68,753 +234% $43,800 +424% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $223,893 $145,530 $36,608 +512% $43,586 +414% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $223,824 $145,485 $28,865 +675% $38,878 +476% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $223,149 $145,047 $36,930 +504% $33,564 +565% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $222,648 $144,721 $67,515 +230% $40,232 +453% —
332 RECTAL RESECTION WITH MCC $220,269 $143,175 $114,779 +92% $58,125 +279% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $217,814 $141,579 $97,618 +123% $65,325 +233% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $217,361 $141,285 $133,523 +63% $62,269 +249% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $216,075 $140,449 $89,754 +141% $54,824 +294% —
253 OTHER VASCULAR PROCEDURES WITH CC $215,603 $140,142 $76,062 +183% $53,746 +301% ≈724% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $215,339 $139,970 $85,965 +150% $52,405 +311% ≈723% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $214,147 $139,196 $151,718 +41% $71,755 +198% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $213,066 $138,493 $136,522 +56% $70,132 +204% ≈608% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $212,627 $138,208 $58,395 +264% $52,332 +306% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $212,226 $137,947 $52,262 +306% $50,624 +319% —
252 OTHER VASCULAR PROCEDURES WITH MCC $212,172 $137,912 $92,106 +130% $68,508 +210% ≈399% of Medicare
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $211,620 $137,553 $73,605 +188% $39,093 +441% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $211,151 $137,248 $53,362 +296% $36,280 +482% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $210,458 $136,798 $98,179 +114% $57,521 +266% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $210,228 $136,648 $137,651 +53% $74,257 +183% ≈444% of Medicare
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $209,397 $136,108 $117,322 +78% $63,984 +227% ≈673% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $205,682 $133,693 $122,337 +68% $53,141 +287% ≈859% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $205,590 $133,634 $57,945 +255% $35,770 +475% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $204,574 $132,973 $76,502 +167% $57,855 +254% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $204,281 $132,783 $73,258 +179% $49,631 +312% ≈817% of Medicare
709 PENIS PROCEDURES WITH CC/MCC $202,643 $131,718 $47,632 +325% $34,535 +487% —
570 SKIN DEBRIDEMENT WITH MCC $200,586 $130,381 $69,729 +188% $52,435 +283% —
668 TRANSURETHRAL PROCEDURES WITH MCC $200,554 $130,360 $142,975 +40% $47,277 +324% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $199,670 $129,786 $61,760 +223% $24,229 +724% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $197,913 $128,643 $134,679 +47% $74,274 +166% ≈176% of Medicare
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $195,228 $126,898 $17,959 +987% $20,980 +831% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $195,149 $126,847 $86,826 +125% $56,394 +246% ≈203% of Medicare
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $193,218 $125,591 $100,372 +93% $55,097 +251% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $192,376 $125,044 $73,398 +162% $48,907 +293% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $191,671 $124,586 $53,454 +259% $55,162 +247% —
139 SALIVARY GLAND PROCEDURES $191,612 $124,548 $45,732 +319% $21,014 +812% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $189,641 $123,266 $101,332 +87% $52,313 +263% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $189,041 $122,877 $41,153 +359% $39,409 +380% ≈205% of Medicare
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $188,999 $122,850 $75,523 +150% $46,402 +307% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $188,229 $122,349 $31,576 +496% $32,502 +479% ≈208% of Medicare
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $188,124 $122,280 $86,475 +118% $46,066 +308% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $188,111 $122,272 $100,393 +87% $44,839 +320% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $187,405 $121,813 $92,774 +102% $67,764 +177% ≈163% of Medicare
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $186,987 $121,541 $54,298 +244% $29,558 +533% —
263 VEIN LIGATION AND STRIPPING $186,518 $121,236 $108,786 +71% $44,938 +315% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $184,419 $119,872 $118,604 +55% $57,963 +218% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $183,840 $119,496 $152,746 +20% $58,968 +212% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $181,607 $118,044 $46,206 +293% $31,059 +485% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $180,484 $117,314 $102,833 +76% $67,901 +166% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $179,937 $116,959 $25,735 +599% $41,651 +332% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $179,850 $116,902 $62,611 +187% $39,657 +354% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $179,816 $116,880 $23,507 +665% $29,524 +509% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $179,380 $116,597 $86,907 +106% $65,573 +174% ≈187% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $179,270 $116,526 $85,619 +109% $44,600 +302% ≈193% of Medicare
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $179,024 $116,365 $65,658 +173% $38,998 +359% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $178,207 $115,834 $80,341 +122% $40,583 +339% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $177,431 $115,330 $74,921 +137% $41,380 +329% ≈237% of Medicare
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $176,615 $114,800 $60,291 +193% $44,553 +296% —
835 ACUTE LEUKEMIA WITH CC $176,228 $114,548 $34,761 +407% $35,569 +395% —
919 COMPLICATIONS OF TREATMENT WITH MCC $175,472 $114,057 $43,844 +300% $29,031 +504% ≈193% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $175,330 $113,964 $81,805 +114% $36,334 +383% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $175,317 $113,956 $90,905 +93% $45,059 +289% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $175,275 $113,929 $120,604 +45% $51,339 +241% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $175,015 $113,760 $58,474 +199% $38,420 +356% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $174,366 $113,338 $86,852 +101% $51,985 +235% ≈189% of Medicare
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $173,298 $112,644 $17,548 +888% $15,764 +999% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $172,838 $112,344 $81,066 +113% $41,520 +316% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $172,203 $111,932 $51,495 +234% $33,165 +419% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $171,674 $111,588 $53,910 +218% $29,211 +488% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $170,706 $110,959 $92,159 +85% $34,900 +389% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $170,644 $110,919 $62,383 +174% $35,114 +386% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $170,457 $110,797 $79,506 +114% $58,832 +190% ≈195% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $170,127 $110,582 $80,050 +113% $45,963 +270% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $170,042 $110,527 $110,939 +53% $68,847 +147% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $169,906 $110,439 $27,354 +521% $32,204 +428% ≈192% of Medicare
123 NEUROLOGICAL EYE DISORDERS $169,858 $110,408 $36,044 +371% $17,831 +853% —
813 COAGULATION DISORDERS $169,064 $109,892 $50,736 +233% $30,128 +461% ≈189% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $164,707 $107,059 $75,551 +118% $31,716 +419% —
374 DIGESTIVE MALIGNANCY WITH MCC $164,480 $106,912 $71,363 +130% $38,885 +323% ≈200% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $163,883 $106,524 $70,922 +131% $43,775 +274% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $162,699 $105,754 $79,725 +104% $41,703 +290% —
333 RECTAL RESECTION WITH CC $162,441 $105,587 $69,779 +133% $34,352 +373% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $162,006 $105,304 $40,839 +297% $31,128 +420% ≈198% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $161,872 $105,217 $55,709 +191% $25,197 +542% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $161,753 $105,139 $24,791 +552% $35,375 +357% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $161,163 $104,756 $99,225 +62% $46,591 +246% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $161,118 $104,726 $72,138 +123% $42,881 +276% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $160,378 $104,246 $92,122 +74% $46,430 +245% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $158,708 $103,160 $88,880 +79% $34,906 +355% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $157,230 $102,200 $69,905 +125% $38,836 +305% ≈203% of Medicare
800 SPLENIC PROCEDURES WITH CC $156,822 $101,935 $69,314 +126% $49,184 +219% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $156,659 $101,828 $115,246 +36% $49,055 +219% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $155,896 $101,332 $66,180 +136% $38,357 +306% ≈184% of Medicare
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $155,715 $101,215 $84,547 +84% $37,080 +320% —
075 VIRAL MENINGITIS WITH CC/MCC $155,704 $101,207 $25,373 +514% $29,853 +422% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $155,277 $100,930 $67,081 +131% $37,950 +309% ≈182% of Medicare
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $153,879 $100,021 $72,602 +112% $30,418 +406% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $153,855 $100,005 $95,488 +61% $43,080 +257% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $152,263 $98,971 $95,949 +59% $54,772 +178% ≈193% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $151,623 $98,555 $60,382 +151% $36,933 +311% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $151,531 $98,495 $41,766 +263% $22,032 +588% ≈220% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $151,230 $98,299 $83,227 +82% $43,524 +247% ≈173% of Medicare
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $151,205 $98,283 $101,650 +49% $50,139 +202% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $151,161 $98,255 $48,162 +214% $31,758 +376% ≈192% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $150,997 $98,148 $65,282 +131% $45,432 +232% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $150,943 $98,113 $64,202 +135% $35,139 +330% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $150,800 $98,020 $90,046 +67% $51,172 +195% ≈198% of Medicare
849 RADIOTHERAPY $150,275 $97,679 $40,661 +270% $37,862 +297% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $150,230 $97,649 $16,061 +835% $12,593 +1093% —
811 RED BLOOD CELL DISORDERS WITH MCC $149,851 $97,403 $52,759 +184% $27,934 +436% ≈195% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $149,533 $97,196 $65,576 +128% $35,528 +321% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $147,952 $96,169 $75,572 +96% $48,682 +204% —
501 SOFT TISSUE PROCEDURES WITH CC $146,557 $95,262 $70,805 +107% $37,975 +286% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $145,830 $94,790 $58,414 +150% $40,552 +260% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $145,607 $94,644 $33,371 +336% $19,317 +654% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $145,518 $94,587 $39,171 +271% $40,563 +259% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $145,404 $94,513 $72,969 +99% $32,911 +342% —
180 RESPIRATORY NEOPLASMS WITH MCC $145,346 $94,475 $61,687 +136% $36,658 +296% ≈180% of Medicare
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $145,030 $94,270 $68,346 +112% $34,434 +321% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $143,494 $93,271 $29,410 +388% $32,399 +343% ≈181% of Medicare
504 FOOT PROCEDURES WITH CC $143,200 $93,080 $94,231 +52% $36,598 +291% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $143,175 $93,063 $75,816 +89% $41,900 +242% ≈221% of Medicare
913 TRAUMATIC INJURY WITH MCC $142,871 $92,866 $34,309 +316% $24,198 +490% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $142,175 $92,414 $76,058 +87% $48,680 +192% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $142,130 $92,385 $69,421 +105% $25,854 +450% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $141,979 $92,286 $71,902 +97% $35,237 +303% ≈197% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $141,743 $92,133 $29,745 +377% $30,930 +358% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $141,553 $92,009 $53,904 +163% $36,080 +292% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $141,543 $92,003 $37,551 +277% $23,956 +491% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $141,265 $91,822 $61,930 +128% $33,050 +327% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $141,226 $91,797 $56,732 +149% $31,812 +344% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $140,855 $91,556 $76,373 +84% $35,714 +294% ≈205% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC $140,364 $91,236 $66,172 +112% $32,839 +327% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $138,793 $90,216 $39,755 +249% $37,064 +274% —
336 PERITONEAL ADHESIOLYSIS WITH CC $138,390 $89,954 $65,594 +111% $49,470 +180% ≈202% of Medicare
380 COMPLICATED PEPTIC ULCER WITH MCC $138,358 $89,933 $47,482 +191% $36,641 +278% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $137,857 $89,607 $43,253 +219% $29,729 +364% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $137,304 $89,247 $24,580 +459% $24,561 +459% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $136,903 $88,987 $81,152 +69% $25,152 +444% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $136,257 $88,567 $88,195 +54% $49,065 +178% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $136,065 $88,442 $98,223 +39% $56,519 +141% ≈193% of Medicare
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $135,696 $88,202 $63,604 +113% $35,584 +281% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $134,990 $87,743 $87,879 +54% $27,279 +395% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $134,185 $87,220 $53,056 +153% $25,010 +437% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $133,088 $86,507 $57,459 +132% $30,394 +338% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $132,958 $86,422 $62,558 +113% $50,011 +166% ≈178% of Medicare
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $132,740 $86,281 $56,539 +135% $40,065 +231% —
669 TRANSURETHRAL PROCEDURES WITH CC $132,227 $85,947 $70,704 +87% $34,354 +285% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $132,138 $85,890 $66,229 +100% $28,967 +356% ≈202% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $131,785 $85,660 $39,473 +234% $30,766 +328% —
539 OSTEOMYELITIS WITH MCC $131,059 $85,188 $39,569 +231% $33,746 +288% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $130,898 $85,084 $53,312 +146% $39,253 +233% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $130,754 $84,990 $71,606 +83% $36,242 +261% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $130,092 $84,560 $62,688 +108% $32,981 +294% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $129,977 $84,485 $25,639 +407% $17,550 +641% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $129,926 $84,452 $30,282 +329% $37,902 +243% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $129,840 $84,396 $53,976 +141% $44,989 +189% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $129,658 $84,278 $53,554 +142% $25,390 +411% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $129,463 $84,151 $71,764 +80% $45,817 +183% ≈212% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $127,928 $83,153 $64,911 +97% $41,380 +209% —
602 CELLULITIS WITH MCC $127,442 $82,838 $42,228 +202% $29,347 +334% ≈191% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $127,435 $82,833 $40,668 +213% $29,757 +328% ≈194% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $126,961 $82,525 $41,407 +207% $28,527 +345% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $126,929 $82,504 $58,778 +116% $25,267 +402% ≈211% of Medicare
100 SEIZURES WITH MCC $126,819 $82,433 $55,589 +128% $35,194 +260% ≈174% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $126,463 $82,201 $41,003 +208% $33,792 +274% —
102 HEADACHES WITH MCC $125,509 $81,581 $29,516 +325% $22,544 +457% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $125,315 $81,455 $59,034 +112% $37,842 +231% ≈197% of Medicare
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $125,258 $81,418 $71,740 +75% $42,126 +197% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $125,048 $81,281 $24,335 +414% $24,465 +411% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $124,494 $80,921 $43,842 +184% $29,484 +322% —
186 PLEURAL EFFUSION WITH MCC $124,143 $80,693 $45,257 +174% $32,468 +282% ≈204% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $124,037 $80,624 $68,871 +80% $42,119 +194% ≈200% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $123,586 $80,331 $40,479 +205% $31,019 +298% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $123,285 $80,136 $76,702 +61% $35,014 +252% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $123,140 $80,041 $75,584 +63% $45,622 +170% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $122,952 $79,919 $79,520 +55% $40,277 +205% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $122,423 $79,575 $48,720 +151% $30,974 +295% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $122,416 $79,570 $58,148 +111% $32,689 +274% ≈188% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $122,298 $79,493 $56,043 +118% $43,266 +183% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $122,150 $79,397 $46,693 +162% $38,094 +221% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $122,016 $79,310 $36,603 +233% $29,609 +312% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $121,999 $79,299 $42,059 +190% $24,450 +399% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $121,704 $79,107 $40,027 +204% $18,017 +576% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $121,654 $79,075 $75,275 +62% $29,050 +319% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $121,612 $79,048 $20,107 +505% $22,275 +446% —
606 MINOR SKIN DISORDERS WITH MCC $121,595 $79,037 $44,210 +175% $25,434 +378% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $121,488 $78,967 $58,136 +109% $34,887 +248% ≈212% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $121,440 $78,936 $38,668 +214% $28,646 +324% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $121,087 $78,707 $82,800 +46% $28,634 +323% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $121,041 $78,677 $29,791 +306% $16,495 +634% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $120,860 $78,559 $44,822 +170% $25,426 +375% ≈197% of Medicare
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $119,900 $77,935 $70,685 +70% $30,972 +287% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $119,821 $77,884 $40,174 +198% $30,275 +296% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $119,526 $77,692 $44,769 +167% $40,548 +195% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $119,470 $77,656 $35,171 +240% $18,459 +547% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $119,417 $77,621 $49,639 +141% $25,731 +364% ≈216% of Medicare
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $118,755 $77,191 $42,280 +181% $14,064 +744% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $118,326 $76,912 $27,899 +324% $41,660 +184% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $118,265 $76,872 $60,769 +95% $44,117 +168% ≈212% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $118,155 $76,801 $68,024 +74% $29,663 +298% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $117,864 $76,611 $83,194 +42% $34,264 +244% —
637 DIABETES WITH MCC $117,808 $76,575 $43,715 +169% $28,819 +309% ≈206% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $117,770 $76,551 $50,967 +131% $29,924 +294% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $117,016 $76,060 $50,834 +130% $24,480 +378% ≈199% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $116,874 $75,968 $51,015 +129% $29,371 +298% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $116,832 $75,941 $25,321 +361% $15,589 +649% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $116,684 $75,844 $69,305 +68% $39,747 +194% ≈195% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $116,660 $75,829 $74,373 +57% $32,538 +259% —
865 VIRAL ILLNESS WITH MCC $116,227 $75,548 $34,511 +237% $26,088 +346% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $116,135 $75,488 $66,777 +74% $35,459 +228% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $115,838 $75,295 $27,792 +317% $28,156 +311% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $115,787 $75,262 $11,841 +878% $22,698 +410% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $115,085 $74,805 $58,005 +98% $33,137 +247% ≈206% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $115,060 $74,789 $65,707 +75% $31,086 +270% —
682 RENAL FAILURE WITH MCC $115,021 $74,764 $49,666 +132% $27,854 +313% ≈216% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $114,930 $74,705 $18,608 +518% $18,608 +518% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $114,710 $74,562 $76,863 +49% $31,816 +261% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $114,542 $74,452 $9,429 +1115% $14,055 +715% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $114,314 $74,304 $86,931 +31% $45,497 +151% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $114,033 $74,121 $114,033 +0% $60,140 +90% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $113,529 $73,794 $37,402 +204% $29,476 +285% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $113,067 $73,494 $114,701 −1% $50,919 +122% —
398 APPENDIX PROCEDURES WITH CC $112,660 $73,229 $55,798 +102% $39,107 +188% —
304 HYPERTENSION WITH MCC $112,585 $73,181 $50,674 +122% $24,185 +366% ≈206% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $112,481 $73,113 $67,776 +66% $29,826 +277% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $112,055 $72,836 $44,858 +150% $26,020 +331% —
643 ENDOCRINE DISORDERS WITH MCC $111,926 $72,752 $45,419 +146% $32,996 +239% ≈201% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $111,636 $72,564 $52,201 +114% $30,814 +262% —
597 MALIGNANT BREAST DISORDERS WITH MCC $111,585 $72,531 $55,881 +100% $31,846 +250% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $111,441 $72,437 $64,901 +72% $31,062 +259% —
302 ATHEROSCLEROSIS WITH MCC $111,355 $72,381 $38,705 +188% $20,844 +434% —
199 PNEUMOTHORAX WITH MCC $110,271 $71,676 $58,991 +87% $31,491 +250% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $109,963 $71,476 $64,785 +70% $35,542 +209% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $109,165 $70,957 $54,418 +101% $39,018 +180% —
397 APPENDIX PROCEDURES WITH MCC $108,821 $70,734 $42,252 +158% $52,319 +108% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $108,378 $70,446 $56,231 +93% $29,374 +269% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $108,158 $70,302 $38,127 +184% $22,525 +380% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $107,971 $70,181 $37,889 +185% $36,333 +197% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $106,788 $69,412 $126,339 −15% $82,527 +29% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $106,526 $69,242 $42,042 +153% $24,941 +327% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $106,344 $69,123 $76,182 +40% $32,490 +227% —
157 DENTAL AND ORAL DISEASES WITH MCC $105,962 $68,875 $44,674 +137% $27,457 +286% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $105,002 $68,251 $47,503 +121% $25,162 +317% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $104,939 $68,210 $61,259 +71% $31,840 +230% ≈189% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $104,889 $68,178 $53,936 +94% $31,978 +228% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $104,431 $67,880 $68,829 +52% $40,694 +157% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $104,076 $67,649 $58,911 +77% $51,142 +104% —
291 HEART FAILURE AND SHOCK WITH MCC $104,014 $67,609 $36,772 +183% $25,020 +316% ≈203% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $103,973 $67,582 $60,018 +73% $31,566 +229% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $103,691 $67,399 $46,504 +123% $31,909 +225% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $103,292 $67,140 $50,573 +104% $40,063 +158% ≈190% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $102,819 $66,832 $46,841 +120% $36,239 +184% —
666 PROSTATECTOMY WITH CC $102,347 $66,526 $45,559 +125% $30,016 +241% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $102,063 $66,341 $45,976 +122% $28,140 +263% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $101,866 $66,213 $45,994 +121% $30,058 +239% ≈210% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $101,789 $66,163 $41,884 +143% $26,158 +289% ≈204% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $101,508 $65,980 $21,994 +362% $23,350 +335% ≈196% of Medicare
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $101,416 $65,920 $94,328 +8% $46,477 +118% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $101,334 $65,867 $38,941 +160% $21,860 +364% —
791 PREMATURITY WITH MAJOR PROBLEMS $101,106 $65,719 $53,686 +88% $39,563 +156% —
693 URINARY STONES WITH MCC $100,673 $65,437 $39,855 +153% $22,525 +347% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $100,503 $65,327 $42,744 +135% $28,780 +249% ≈227% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $100,499 $65,324 $51,702 +94% $28,924 +247% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $100,175 $65,114 $66,416 +51% $35,673 +181% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $100,075 $65,049 $60,152 +66% $30,358 +230% ≈195% of Medicare
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $99,041 $64,377 $63,386 +56% $27,492 +260% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $98,678 $64,141 $41,798 +136% $24,452 +304% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $98,398 $63,959 $31,429 +213% $28,134 +250% ≈209% of Medicare
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $97,907 $63,640 $25,206 +288% $25,307 +287% —
595 MAJOR SKIN DISORDERS WITH MCC $97,441 $63,337 $36,981 +163% $31,785 +207% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $97,279 $63,231 $50,701 +92% $20,080 +384% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $96,010 $62,407 $26,916 +257% $17,078 +462% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $95,954 $62,370 $43,125 +122% $23,496 +308% ≈215% of Medicare
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $95,532 $62,096 $59,359 +61% $16,212 +489% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $95,339 $61,971 $64,265 +48% $36,375 +162% ≈223% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $94,919 $61,698 $27,597 +244% $22,431 +323% —
947 SIGNS AND SYMPTOMS WITH MCC $94,814 $61,629 $40,771 +133% $25,474 +272% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $94,758 $61,593 $45,758 +107% $24,452 +288% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $94,756 $61,591 $11,427 +729% $19,091 +396% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $94,648 $61,521 $38,003 +149% $25,704 +268% ≈196% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $93,776 $60,955 $52,760 +78% $29,633 +216% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $93,750 $60,938 $38,408 +144% $18,478 +407% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $93,703 $60,907 $34,354 +173% $22,557 +315% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $93,021 $60,463 $48,960 +90% $32,936 +182% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $92,924 $60,400 $46,643 +99% $31,190 +198% ≈209% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $92,748 $60,286 $38,986 +138% $26,488 +250% ≈199% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $92,667 $60,234 $51,523 +80% $24,022 +286% ≈213% of Medicare
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $92,381 $60,048 $31,558 +193% $13,282 +596% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $92,333 $60,017 $48,878 +89% $21,806 +323% ≈207% of Medicare
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $91,720 $59,618 $46,508 +97% $27,369 +235% —
592 SKIN ULCERS WITH MCC $91,611 $59,547 $51,305 +79% $32,662 +180% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $91,463 $59,451 $43,859 +109% $24,202 +278% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $91,397 $59,408 $22,003 +315% $28,578 +220% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $91,300 $59,345 $46,755 +95% $24,017 +280% ≈214% of Medicare
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $90,558 $58,863 $17,172 +427% $28,252 +221% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $90,421 $58,774 $56,023 +61% $33,984 +166% ≈200% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $90,292 $58,690 $89,673 +1% $37,654 +140% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $90,176 $58,614 $47,581 +90% $23,723 +280% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $90,119 $58,577 $48,414 +86% $30,314 +197% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $89,157 $57,952 $39,295 +127% $27,244 +227% ≈180% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $88,960 $57,824 $23,972 +271% $24,136 +269% ≈206% of Medicare
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $88,767 $57,699 $46,812 +90% $35,692 +149% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $88,442 $57,488 $36,656 +141% $20,371 +334% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $88,010 $57,207 $47,290 +86% $26,146 +237% —
571 SKIN DEBRIDEMENT WITH CC $87,949 $57,167 $66,373 +33% $34,901 +152% —
381 COMPLICATED PEPTIC ULCER WITH CC $87,640 $56,966 $43,640 +101% $24,177 +262% ≈222% of Medicare
150 EPISTAXIS WITH MCC $87,619 $56,952 $35,164 +149% $21,133 +315% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $87,327 $56,763 $47,730 +83% $24,432 +257% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $87,033 $56,571 $38,782 +124% $21,029 +314% —
137 MOUTH PROCEDURES WITH CC/MCC $86,918 $56,497 $55,905 +55% $24,348 +257% —
671 URETHRAL PROCEDURES WITH CC/MCC $86,912 $56,493 $81,365 +7% $27,233 +219% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $86,595 $56,287 $28,804 +201% $19,001 +356% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $86,568 $56,269 $56,609 +53% $25,623 +238% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $84,682 $55,043 $40,683 +108% $19,354 +338% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $84,129 $54,684 $37,105 +127% $19,868 +323% —
712 TESTES PROCEDURES WITHOUT CC/MCC $83,842 $54,497 $39,078 +115% $18,898 +344% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $83,805 $54,473 $50,008 +68% $33,607 +149% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $83,595 $54,337 $46,699 +79% $20,842 +301% —
534 FRACTURES OF FEMUR WITHOUT MCC $83,552 $54,309 $31,675 +164% $17,195 +386% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $83,389 $54,203 $83,389 +0% $29,109 +186% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $83,029 $53,969 $39,518 +110% $23,469 +254% ≈218% of Medicare
540 OSTEOMYELITIS WITH CC $82,827 $53,837 $35,008 +137% $23,494 +253% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $82,771 $53,801 $52,843 +57% $20,463 +304% ≈229% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $82,304 $53,498 $43,378 +90% $25,243 +226% —
312 SYNCOPE AND COLLAPSE $81,012 $52,658 $32,300 +151% $19,342 +319% ≈212% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $80,872 $52,567 $41,965 +93% $24,190 +234% ≈204% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $80,503 $52,327 $47,577 +69% $25,786 +212% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $80,189 $52,123 $30,449 +163% $29,916 +168% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $79,993 $51,995 $30,195 +165% $27,118 +195% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $79,967 $51,979 $34,026 +135% $21,886 +265% ≈208% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $79,718 $51,816 $42,454 +88% $19,305 +313% —
864 FEVER AND INFLAMMATORY CONDITIONS $79,665 $51,783 $25,278 +215% $17,412 +358% ≈208% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC $79,501 $51,676 $20,156 +294% $18,428 +331% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $78,784 $51,210 $22,567 +249% $20,007 +294% ≈195% of Medicare
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $78,443 $50,988 $32,390 +142% $24,544 +220% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $78,386 $50,951 $26,559 +195% $25,208 +211% ≈169% of Medicare
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $78,060 $50,739 $50,927 +53% $30,006 +160% —
644 ENDOCRINE DISORDERS WITH CC $77,907 $50,639 $42,169 +85% $22,941 +240% ≈224% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $76,787 $49,911 $34,765 +121% $19,579 +292% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $76,748 $49,886 $71,079 +8% $29,805 +158% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $76,469 $49,705 $17,175 +345% $13,368 +472% —
711 TESTES PROCEDURES WITH CC/MCC $76,448 $49,691 $34,277 +123% $34,852 +119% —
375 DIGESTIVE MALIGNANCY WITH CC $76,249 $49,562 $52,531 +45% $27,219 +180% ≈218% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $76,207 $49,535 $56,731 +34% $36,097 +111% —
593 SKIN ULCERS WITH CC $75,396 $49,007 $34,336 +120% $20,470 +268% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $74,737 $48,579 $25,323 +195% $13,485 +454% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $74,731 $48,575 $53,112 +41% $36,237 +106% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $74,726 $48,572 $45,621 +64% $23,141 +223% ≈207% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $74,192 $48,225 $42,698 +74% $27,168 +173% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $73,865 $48,012 $42,771 +73% $23,396 +216% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $73,686 $47,896 $34,687 +112% $20,421 +261% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $73,653 $47,874 $65,773 +12% $43,491 +69% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $73,526 $47,792 $25,599 +187% $22,231 +231% —
866 VIRAL ILLNESS WITHOUT MCC $73,429 $47,729 $23,326 +215% $16,391 +348% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $73,211 $47,587 $41,341 +77% $33,424 +119% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $73,074 $47,498 $45,325 +61% $24,118 +203% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $72,962 $47,425 $38,373 +90% $28,375 +157% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $72,930 $47,405 $25,257 +189% $17,273 +322% ≈224% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $72,824 $47,336 $47,548 +53% $24,980 +192% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $72,359 $47,033 $27,234 +166% $13,385 +441% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $72,290 $46,988 $29,056 +149% $13,303 +443% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $71,853 $46,705 $35,716 +101% $19,096 +276% ≈199% of Medicare
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $71,695 $46,602 $30,373 +136% $15,600 +360% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $71,146 $46,245 $12,686 +461% $17,522 +306% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $70,638 $45,914 $31,615 +123% $27,321 +159% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $70,343 $45,723 $26,127 +169% $14,444 +387% ≈224% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $70,140 $45,591 $39,744 +76% $22,850 +207% ≈238% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $70,117 $45,576 $30,460 +130% $15,607 +349% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $69,872 $45,417 $32,275 +116% $14,861 +370% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $69,844 $45,399 $37,612 +86% $19,483 +258% ≈242% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $69,736 $45,329 $46,830 +49% $24,316 +187% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $69,727 $45,322 $30,698 +127% $20,488 +240% ≈205% of Medicare
101 SEIZURES WITHOUT MCC $69,702 $45,307 $32,396 +115% $19,954 +249% ≈231% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $69,534 $45,197 $50,118 +39% $27,947 +149% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $69,418 $45,121 $41,351 +68% $21,261 +227% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $69,232 $45,001 $34,777 +99% $18,918 +266% ≈202% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $69,129 $44,934 $33,490 +106% $26,322 +163% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $68,642 $44,618 $36,417 +88% $16,634 +313% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $68,196 $44,328 $37,222 +83% $20,732 +229% ≈211% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $67,988 $44,192 $24,481 +178% $18,002 +278% ≈232% of Medicare
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $67,987 $44,192 $22,219 +206% $12,405 +448% —
914 TRAUMATIC INJURY WITHOUT MCC $67,884 $44,124 $11,847 +473% $15,593 +335% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $67,756 $44,041 $37,075 +83% $20,968 +223% ≈201% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $67,724 $44,021 $39,276 +72% $23,749 +185% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $67,040 $43,576 $19,516 +244% $22,713 +195% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $66,946 $43,515 $13,717 +388% $17,226 +289% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $66,804 $43,423 $38,647 +73% $22,781 +193% ≈216% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $66,645 $43,319 $8,824 +655% $17,700 +277% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $66,637 $43,314 $32,092 +108% $15,608 +327% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $66,367 $43,139 $36,664 +81% $17,731 +274% ≈222% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $66,152 $42,999 $42,886 +54% $18,623 +255% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $65,713 $42,713 $31,978 +105% $19,686 +234% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $65,681 $42,693 $46,815 +40% $19,854 +231% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $65,280 $42,432 $30,713 +113% $14,166 +361% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $65,094 $42,311 $30,385 +114% $16,745 +289% ≈224% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $64,833 $42,141 $26,235 +147% $15,474 +319% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $64,412 $41,868 $24,919 +158% $14,290 +351% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $64,231 $41,750 $38,199 +68% $22,982 +179% ≈209% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $64,140 $41,691 $40,034 +60% $22,024 +191% ≈206% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $63,841 $41,497 $37,453 +70% $18,278 +249% ≈203% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $63,837 $41,494 $30,240 +111% $15,636 +308% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $63,739 $41,430 $28,591 +123% $20,741 +207% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $63,633 $41,361 $29,170 +118% $21,545 +195% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $63,468 $41,254 $25,322 +151% $14,110 +350% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $63,432 $41,231 $17,162 +270% $17,103 +271% —
103 HEADACHES WITHOUT MCC $63,382 $41,198 $34,826 +82% $20,111 +215% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $63,243 $41,108 $43,318 +46% $20,278 +212% ≈223% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $62,300 $40,495 $42,644 +46% $23,115 +170% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $62,210 $40,436 $48,576 +28% $30,910 +101% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $60,847 $39,551 $45,890 +33% $34,089 +78% —
683 RENAL FAILURE WITH CC $60,793 $39,515 $29,498 +106% $18,620 +226% ≈214% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $60,420 $39,273 $34,454 +75% $20,777 +191% ≈206% of Medicare
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $60,348 $39,226 $30,387 +99% $16,352 +269% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $60,284 $39,185 $25,672 +135% $17,367 +247% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $60,271 $39,176 $13,163 +358% $14,337 +320% —
607 MINOR SKIN DISORDERS WITHOUT MCC $60,255 $39,165 $31,522 +91% $15,284 +294% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $60,057 $39,037 $24,705 +143% $18,133 +231% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $59,841 $38,897 $32,461 +84% $15,876 +277% —
200 PNEUMOTHORAX WITH CC $59,479 $38,661 $24,434 +143% $20,573 +189% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $59,193 $38,475 $29,007 +104% $23,734 +149% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $59,010 $38,356 $26,312 +124% $23,571 +150% —
684 RENAL FAILURE WITHOUT CC/MCC $58,993 $38,345 $26,277 +125% $13,623 +333% ≈231% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $58,923 $38,300 $29,788 +98% $19,287 +206% ≈223% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $58,245 $37,859 $29,369 +98% $17,727 +229% ≈221% of Medicare
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $57,951 $37,668 $38,832 +49% $19,569 +196% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $57,768 $37,549 $30,794 +88% $18,204 +217% ≈222% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $57,745 $37,534 $32,703 +77% $21,181 +173% ≈198% of Medicare
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $57,644 $37,468 $22,566 +155% $12,013 +380% —
885 PSYCHOSES $57,525 $37,391 $27,679 +108% $21,489 +168% —
549 SEPTIC ARTHRITIS WITH CC $57,494 $37,371 $38,781 +48% $20,938 +175% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $57,040 $37,076 $26,569 +115% $23,924 +138% —
882 NEUROSES EXCEPT DEPRESSIVE $56,670 $36,835 $10,261 +452% $15,680 +261% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $56,667 $36,834 $33,334 +70% $14,134 +301% ≈231% of Medicare
305 HYPERTENSION WITHOUT MCC $56,366 $36,638 $34,076 +65% $17,144 +229% ≈226% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $56,199 $36,530 $43,289 +30% $21,213 +165% ≈209% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $56,125 $36,481 $20,707 +171% $13,822 +306% —
292 HEART FAILURE AND SHOCK WITH CC $56,049 $36,432 $31,569 +78% $16,212 +246% ≈224% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $55,923 $36,350 $24,386 +129% $15,070 +271% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $55,499 $36,075 $15,477 +259% $14,012 +296% —
541 OSTEOMYELITIS WITHOUT CC/MCC $55,449 $36,042 $26,161 +112% $14,549 +281% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $55,323 $35,960 $18,005 +207% $17,928 +209% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $55,268 $35,924 $19,223 +188% $15,045 +267% —
638 DIABETES WITH CC $55,226 $35,897 $27,201 +103% $18,821 +193% ≈221% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $55,073 $35,797 $33,261 +66% $18,081 +205% —
710 PENIS PROCEDURES WITHOUT CC/MCC $54,528 $35,443 $43,584 +25% $23,814 +129% —
204 RESPIRATORY SIGNS AND SYMPTOMS $54,155 $35,201 $23,724 +128% $16,866 +221% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $54,113 $35,174 $37,492 +44% $16,654 +225% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $53,666 $34,883 $25,739 +108% $23,920 +124% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $53,342 $34,673 $32,105 +66% $17,322 +208% ≈224% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $53,325 $34,662 $31,333 +70% $18,253 +192% —
916 ALLERGIC REACTIONS WITHOUT MCC $53,297 $34,643 $14,077 +279% $13,890 +284% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $53,104 $34,517 $32,009 +66% $17,388 +205% ≈218% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $53,082 $34,503 $32,487 +63% $16,865 +215% ≈218% of Medicare
694 URINARY STONES WITHOUT MCC $52,881 $34,373 $32,413 +63% $16,531 +220% —
598 MALIGNANT BREAST DISORDERS WITH CC $52,855 $34,356 $37,708 +40% $19,073 +177% —
311 ANGINA PECTORIS $52,434 $34,082 $35,326 +48% $15,165 +246% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $51,873 $33,717 $31,075 +67% $17,466 +197% ≈225% of Medicare
313 CHEST PAIN $51,669 $33,585 $26,595 +94% $15,962 +224% ≈238% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $51,659 $33,578 $31,416 +64% $16,642 +210% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $51,612 $33,548 $22,843 +126% $20,084 +157% —
152 OTITIS MEDIA AND URI WITH MCC $51,536 $33,498 $29,004 +78% $19,795 +160% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $51,292 $33,340 $32,802 +56% $14,368 +257% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $51,271 $33,326 $18,281 +180% $12,895 +298% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $50,889 $33,078 $37,862 +34% $25,666 +98% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $50,543 $32,853 $39,039 +29% $21,449 +136% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $50,474 $32,808 $13,151 +284% $12,279 +311% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $50,252 $32,664 $21,364 +135% $15,077 +233% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $50,198 $32,628 $23,773 +111% $14,441 +248% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $49,807 $32,375 $21,752 +129% $14,880 +235% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $49,788 $32,362 $23,243 +114% $19,815 +151% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $49,523 $32,190 $27,341 +81% $18,282 +171% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $49,232 $32,001 $26,715 +84% $22,560 +118% —
603 CELLULITIS WITHOUT MCC $49,119 $31,927 $26,898 +83% $18,530 +165% ≈227% of Medicare
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $48,938 $31,810 $21,534 +127% $14,208 +244% —
187 PLEURAL EFFUSION WITH CC $48,849 $31,752 $48,849 +0% $21,467 +128% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $48,808 $31,725 $14,335 +240% $18,191 +168% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $48,697 $31,653 $23,913 +104% $17,383 +180% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $48,592 $31,585 $14,619 +232% $15,370 +216% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $48,342 $31,422 $30,792 +57% $18,803 +157% ≈240% of Medicare
149 DYSEQUILIBRIUM $48,298 $31,394 $19,507 +148% $17,203 +181% ≈243% of Medicare
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $47,793 $31,065 $41,210 +16% $19,894 +140% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $47,217 $30,691 $27,558 +71% $14,128 +234% ≈278% of Medicare
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $47,175 $30,664 $28,737 +64% $17,108 +176% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $47,106 $30,619 $47,106 +0% $20,147 +134% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $46,996 $30,547 $26,942 +74% $16,104 +192% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $46,806 $30,424 $14,335 +227% $12,336 +279% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $46,803 $30,422 $20,393 +130% $13,198 +255% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $46,569 $30,270 $18,649 +150% $16,719 +179% —
197 INTERSTITIAL LUNG DISEASE WITH CC $46,489 $30,218 $40,939 +14% $20,106 +131% —
303 ATHEROSCLEROSIS WITHOUT MCC $46,381 $30,147 $30,782 +51% $14,927 +211% —
151 EPISTAXIS WITHOUT MCC $46,068 $29,944 $15,333 +200% $13,032 +253% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $45,930 $29,855 $27,043 +70% $17,715 +159% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $45,269 $29,425 $30,211 +50% $16,776 +170% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $44,986 $29,241 $26,747 +68% $16,837 +167% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $44,843 $29,148 $12,695 +253% $15,072 +198% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $44,759 $29,093 $33,267 +35% $17,943 +149% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $44,564 $28,967 $24,347 +83% $12,797 +248% —
158 DENTAL AND ORAL DISEASES WITH CC $44,504 $28,927 $16,694 +167% $17,700 +151% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $44,117 $28,676 $44,117 +0% $17,398 +154% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $43,498 $28,274 $22,801 +91% $29,409 +48% —
184 MAJOR CHEST TRAUMA WITH CC $42,993 $27,946 $40,238 +7% $20,842 +106% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $42,548 $27,656 $21,723 +96% $16,418 +159% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $42,292 $27,490 $26,492 +60% $18,238 +132% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $41,730 $27,125 $14,753 +183% $15,869 +163% —
639 DIABETES WITHOUT CC/MCC $41,410 $26,917 $24,899 +66% $13,910 +198% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $41,255 $26,816 $14,601 +183% $16,049 +157% ≈222% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $40,907 $26,590 $24,717 +65% $13,384 +206% ≈270% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $40,692 $26,450 $19,543 +108% $13,824 +194% ≈244% of Medicare
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $40,424 $26,276 $27,540 +47% $13,892 +191% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $40,039 $26,025 $16,228 +147% $19,132 +109% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $39,715 $25,814 $11,510 +245% $13,090 +203% —
779 ABORTION WITHOUT D&C $39,260 $25,519 $13,558 +190% $15,327 +156% —
153 OTITIS MEDIA AND URI WITHOUT MCC $38,970 $25,331 $20,204 +93% $14,473 +169% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $38,294 $24,891 $23,335 +64% $11,421 +235% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $38,017 $24,711 $18,290 +108% $10,975 +246% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $37,032 $24,071 $27,173 +36% $13,318 +178% ≈253% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $36,076 $23,449 $24,390 +48% $18,150 +99% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $35,581 $23,128 $18,605 +91% $12,381 +187% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $34,802 $22,621 $9,556 +264% $12,044 +189% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $34,304 $22,298 $34,304 +0% $36,202 −5% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $34,226 $22,247 $21,625 +58% $16,571 +107% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $32,750 $21,288 $21,093 +55% $20,727 +58% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $32,181 $20,918 $22,613 +42% $16,156 +99% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $30,428 $19,778 $30,428 +0% $18,291 +66% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $30,075 $19,549 $30,075 +0% $17,483 +72% —
594 SKIN ULCERS WITHOUT CC/MCC $29,883 $19,424 $13,534 +121% $14,209 +110% —
533 FRACTURES OF FEMUR WITH MCC $29,090 $18,909 $19,993 +46% $25,945 +12% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $28,064 $18,242 $23,833 +18% $13,654 +106% —
201 PNEUMOTHORAX WITHOUT CC/MCC $27,744 $18,034 $23,527 +18% $13,081 +112% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $27,130 $17,634 $10,700 +154% $11,633 +133% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $25,499 $16,574 $15,187 +68% $10,039 +154% —
089 CONCUSSION WITH CC $24,895 $16,182 $28,751 −13% $18,293 +36% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $21,702 $14,106 $11,107 +95% $9,076 +139% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $21,350 $13,878 $16,071 +33% $12,650 +69% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $17,433 $11,331 $42,560 −59% $24,879 −30% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $12,762 $8,295 $6,799 +88% $9,385 +36% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,610 $6,246 $6,944 +38% $7,961 +21% —
795 NORMAL NEWBORN $3,835 $2,493 $3,269 +17% $4,530 −15% —
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