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% $573,534 +337% —
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% $196,346 +576% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE $1,163,565 $756,317 $416,323 +179% $248,521 +368% —
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% $461,389 +131% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $984,799 $640,119 $356,215 +176% $144,774 +580% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $935,350 $607,978 $191,084 +389% $132,794 +604% —
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% $188,171 +313% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $774,861 $503,660 $190,319 +307% $208,939 +271% —
834 ACUTE LEUKEMIA WITH MCC $769,242 $500,007 $100,016 +669% $85,566 +799% —
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% $54,562 +1301% —
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% $126,098 +455% —
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% $58,975 +979% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $633,947 $412,065 $136,983 +363% $125,242 +406% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $625,380 $406,497 $135,442 +362% $101,576 +516% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $618,745 $402,184 $125,799 +392% $87,761 +605% —
231 CORONARY BYPASS WITH PTCA WITH MCC $603,398 $392,209 $95,116 +534% $147,227 +310% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $580,636 $377,413 $191,844 +203% $144,569 +302% ≈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% $103,455 +414% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $530,178 $344,616 $50,993 +940% $77,055 +588% —
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% $102,600 +394% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $502,658 $326,728 $159,548 +215% $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% $89,207 +459% —
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% $104,583 +369% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $488,287 $317,386 $244,465 +100% $148,832 +228% ≈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% $49,423 +877% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $481,632 $313,061 $60,442 +697% $66,848 +620% —
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% $148,686 +218% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $468,135 $304,288 $157,552 +197% $90,724 +416% —
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% $65,788 +602% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $458,759 $298,193 $123,059 +273% $115,839 +296% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $453,781 $294,958 $193,020 +135% $123,995 +266% —
037 EXTRACRANIAL PROCEDURES WITH MCC $441,677 $287,090 $133,926 +230% $66,666 +563% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $439,411 $285,617 $102,071 +330% $102,128 +330% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $438,295 $284,891 $165,691 +165% $96,507 +354% ≈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% $101,510 +327% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $430,566 $279,868 $238,013 +81% $106,057 +306% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $427,094 $277,611 $65,293 +554% $72,424 +490% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $419,474 $272,658 $130,168 +222% $79,836 +425% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $414,064 $269,141 $103,317 +301% $111,320 +272% —
500 SOFT TISSUE PROCEDURES WITH MCC $407,910 $265,141 $97,778 +317% $61,872 +559% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $406,334 $264,117 $154,667 +163% $93,172 +336% ≈718% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $406,070 $263,946 $37,413 +985% $66,711 +509% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $404,930 $263,204 $124,795 +224% $71,795 +464% —
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 $252,151 +60% $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% $93,238 +330% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $394,681 $256,543 $128,607 +207% $76,001 +419% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVI $386,911 $251,492 $197,357 +96% $99,943 +287% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $386,215 $251,040 $28,665 +1247% $32,031 +1106% —
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% $80,793 +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% $71,092 +419% —
503 FOOT PROCEDURES WITH MCC $365,048 $237,281 $124,764 +193% $47,540 +668% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $350,788 $228,012 $194,788 +80% $88,566 +296% —
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 $86,669 +296% $68,639 +400% —
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% $90,195 +276% ≈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% $29,674 +1039% —
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% $65,608 +406% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $329,273 $214,028 $152,254 +116% $79,116 +316% —
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 $127,874 +156% $70,847 +363% ≈1001% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $327,306 $212,749 $98,774 +231% $84,692 +286% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $327,063 $212,591 $75,637 +332% $53,864 +507% —
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% $63,171 +411% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $322,566 $209,668 $144,456 +123% $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% $66,685 +383% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $320,950 $208,618 $28,818 +1014% $31,134 +931% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $319,895 $207,932 $58,594 +446% $85,159 +276% ≈706% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $318,568 $207,069 $63,011 +406% $79,225 +302% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $313,402 $203,712 $121,638 +158% $67,268 +366% —
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% $61,217 +403% —
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 $164,137 +86% $90,775 +236% ≈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 $139,861 +117% $82,561 +267% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $299,932 $194,956 $111,748 +168% $58,228 +415% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $297,679 $193,492 $58,728 +407% $50,607 +488% ≈1543% of Medicare
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $297,415 $193,319 $124,879 +138% $70,564 +321% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $295,740 $192,231 $86,214 +243% $93,390 +217% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $291,811 $189,677 $75,201 +288% $41,608 +601% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $291,517 $189,486 $94,030 +210% $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% $62,583 +365% —
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% $38,070 +652% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $283,436 $184,234 $121,038 +134% $75,573 +275% ≈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% $82,218 +244% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $281,028 $182,668 $87,042 +223% $66,068 +325% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $279,574 $181,723 $83,057 +237% $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% $72,962 +282% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $275,834 $179,292 $133,144 +107% $61,470 +349% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $270,827 $176,038 $135,879 +99% $73,120 +270% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $270,805 $176,023 $54,864 +394% $47,789 +467% —
028 SPINAL PROCEDURES WITH MCC $268,384 $174,449 $123,606 +117% $113,077 +137% —
654 MAJOR BLADDER PROCEDURES WITH CC $268,045 $174,229 $112,622 +138% $58,274 +360% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $267,983 $174,189 $150,995 +77% $76,219 +252% —
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% $31,170 +746% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $260,835 $169,543 $76,167 +242% $58,745 +344% —
915 ALLERGIC REACTIONS WITH MCC $260,400 $169,260 $33,057 +688% $32,645 +698% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $259,576 $168,724 $61,350 +323% $45,866 +466% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $258,540 $168,051 $69,407 +272% $59,790 +332% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $257,619 $167,452 $94,249 +173% $60,407 +326% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $253,824 $164,986 $104,012 +144% $64,523 +293% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $253,537 $164,799 $153,680 +65% $71,464 +255% ≈764% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $251,796 $163,667 $124,187 +103% $50,498 +399% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $250,831 $163,040 $38,973 +544% $40,365 +521% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $249,027 $161,868 $153,446 +62% $48,687 +411% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $246,858 $160,458 $60,769 +306% $58,707 +320% ≈896% of Medicare
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $244,411 $158,867 $110,988 +120% $77,817 +214% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $243,998 $158,599 $52,058 +369% $33,851 +621% —
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% $16,351 +1385% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $241,924 $157,251 $77,531 +212% $52,178 +364% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $238,459 $154,998 $131,379 +82% $63,928 +273% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $237,858 $154,607 $142,804 +67% $86,970 +173% —
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 $96,199 +146% $51,953 +356% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $236,300 $153,595 $115,121 +105% $77,990 +203% ≈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 $62,257 +269% $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% $48,349 +363% —
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% $39,515 +465% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $222,648 $144,721 $67,515 +230% $46,727 +376% —
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 $116,268 +87% $68,653 +217% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $216,075 $140,449 $89,754 +141% $59,421 +264% —
253 OTHER VASCULAR PROCEDURES WITH CC $215,603 $140,142 $76,062 +183% $57,454 +275% ≈724% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $215,339 $139,970 $83,905 +157% $52,405 +311% ≈723% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $214,147 $139,196 $133,724 +60% $71,755 +198% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $213,066 $138,493 $130,750 +63% $70,132 +204% ≈608% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $212,627 $138,208 $58,395 +264% $54,583 +290% —
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% $41,620 +408% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $211,151 $137,248 $47,377 +346% $36,431 +480% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $210,458 $136,798 $98,179 +114% $62,300 +238% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $210,228 $136,648 $134,019 +57% $74,257 +183% ≈444% of Medicare
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $209,397 $136,108 $115,896 +81% $65,653 +219% ≈673% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $205,682 $133,693 $122,337 +68% $56,755 +262% ≈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% $59,533 +244% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $204,281 $132,783 $65,611 +211% $50,394 +305% ≈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 $131,756 +52% $51,608 +289% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $199,670 $129,786 $61,760 +223% $30,770 +549% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $197,913 $128,643 $130,536 +52% $81,706 +142% ≈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 $68,614 +184% $59,651 +227% ≈203% of Medicare
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $193,218 $125,591 $100,372 +93% $59,594 +224% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $192,376 $125,044 $73,398 +162% $52,986 +263% —
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% $23,612 +712% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $189,641 $123,266 $91,177 +108% $53,451 +255% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $189,041 $122,877 $40,754 +364% $39,973 +373% ≈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% $32,628 +477% ≈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% $44,546 +322% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $187,405 $121,813 $92,774 +102% $70,467 +166% ≈163% of Medicare
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $186,987 $121,541 $54,298 +244% $30,553 +512% —
263 VEIN LIGATION AND STRIPPING $186,518 $121,236 $108,786 +71% $51,253 +264% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $184,419 $119,872 $118,604 +55% $62,264 +196% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $183,840 $119,496 $152,746 +20% $59,031 +211% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $181,607 $118,044 $46,206 +293% $33,633 +440% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $180,484 $117,314 $102,833 +76% $70,371 +156% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $179,937 $116,959 $25,735 +599% $43,174 +317% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $179,850 $116,902 $60,423 +198% $40,362 +346% —
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 $83,218 +115% $46,283 +287% ≈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% $43,298 +312% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $177,431 $115,330 $74,921 +137% $46,340 +283% ≈237% of Medicare
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $176,615 $114,800 $60,291 +193% $45,877 +285% —
835 ACUTE LEUKEMIA WITH CC $176,228 $114,548 $32,974 +434% $35,569 +395% —
919 COMPLICATIONS OF TREATMENT WITH MCC $175,472 $114,057 $41,881 +319% $31,105 +464% ≈193% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $175,330 $113,964 $71,647 +145% $39,181 +347% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $175,317 $113,956 $90,905 +93% $47,737 +267% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $175,275 $113,929 $120,604 +45% $59,629 +194% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $175,015 $113,760 $58,474 +199% $43,650 +301% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $174,366 $113,338 $63,349 +175% $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% $43,631 +296% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $172,203 $111,932 $51,495 +234% $34,459 +400% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $171,674 $111,588 $48,581 +253% $29,743 +477% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $170,706 $110,959 $92,159 +85% $37,267 +358% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $170,644 $110,919 $62,383 +174% $36,792 +364% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $170,457 $110,797 $79,506 +114% $59,500 +186% ≈195% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $170,127 $110,582 $79,537 +114% $47,711 +257% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $170,042 $110,527 $110,939 +53% $70,177 +142% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $169,906 $110,439 $27,354 +521% $33,255 +411% ≈192% of Medicare
123 NEUROLOGICAL EYE DISORDERS $169,858 $110,408 $36,044 +371% $19,745 +760% —
813 COAGULATION DISORDERS $169,064 $109,892 $50,736 +233% $33,296 +408% ≈189% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $164,707 $107,059 $75,551 +118% $34,937 +371% —
374 DIGESTIVE MALIGNANCY WITH MCC $164,480 $106,912 $66,916 +146% $39,958 +312% ≈200% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $163,883 $106,524 $70,922 +131% $44,139 +271% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $162,699 $105,754 $79,725 +104% $45,167 +260% —
333 RECTAL RESECTION WITH CC $162,441 $105,587 $69,779 +133% $37,154 +337% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $162,006 $105,304 $40,839 +297% $34,273 +373% ≈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% $39,006 +315% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $161,163 $104,756 $99,225 +62% $50,046 +222% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $161,118 $104,726 $63,830 +152% $42,881 +276% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $160,378 $104,246 $92,122 +74% $49,066 +227% —
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% $49,839 +214% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $155,896 $101,332 $61,714 +153% $38,666 +303% ≈184% of Medicare
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $155,715 $101,215 $84,547 +84% $40,108 +288% —
075 VIRAL MENINGITIS WITH CC/MCC $155,704 $101,207 $25,373 +514% $30,447 +411% —
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 $79,623 +91% $58,809 +159% ≈193% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $151,623 $98,555 $60,382 +151% $40,213 +277% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $151,531 $98,495 $41,685 +264% $22,458 +575% ≈220% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $151,230 $98,299 $74,820 +102% $43,943 +244% ≈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 $42,840 +253% $33,555 +350% ≈192% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $150,997 $98,148 $65,282 +131% $47,945 +215% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $150,943 $98,113 $64,202 +135% $36,249 +316% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $150,800 $98,020 $89,872 +68% $52,751 +186% ≈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 $51,703 +190% $28,226 +431% ≈195% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $149,533 $97,196 $65,576 +128% $36,253 +312% —
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% $39,619 +270% —
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% $19,815 +635% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $145,518 $94,587 $39,171 +271% $40,642 +258% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $145,404 $94,513 $72,969 +99% $36,988 +293% —
180 RESPIRATORY NEOPLASMS WITH MCC $145,346 $94,475 $50,903 +186% $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 $26,998 +431% $33,985 +322% ≈181% of Medicare
504 FOOT PROCEDURES WITH CC $143,200 $93,080 $94,231 +52% $38,960 +268% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $143,175 $93,063 $75,816 +89% $45,333 +216% ≈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 $66,293 +114% $52,075 +173% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $142,130 $92,385 $69,421 +105% $27,394 +419% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $141,979 $92,286 $69,215 +105% $35,628 +298% ≈197% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $141,743 $92,133 $28,447 +398% $34,607 +310% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $141,553 $92,009 $53,904 +163% $40,060 +253% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $141,543 $92,003 $37,517 +277% $26,051 +443% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $141,265 $91,822 $61,930 +128% $38,861 +264% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $141,226 $91,797 $56,732 +149% $32,833 +330% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $140,855 $91,556 $76,373 +84% $39,106 +260% ≈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% $32,443 +333% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $138,793 $90,216 $39,755 +249% $41,892 +231% —
336 PERITONEAL ADHESIOLYSIS WITH CC $138,390 $89,954 $65,594 +111% $50,463 +174% ≈202% of Medicare
380 COMPLICATED PEPTIC ULCER WITH MCC $138,358 $89,933 $45,750 +202% $39,627 +249% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $137,857 $89,607 $40,810 +238% $32,944 +318% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $137,304 $89,247 $24,580 +459% $25,094 +447% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $136,903 $88,987 $81,152 +69% $25,073 +446% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $136,257 $88,567 $88,195 +54% $52,036 +162% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $136,065 $88,442 $93,523 +45% $58,280 +133% ≈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% $33,454 +304% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $134,185 $87,220 $53,056 +153% $27,808 +383% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $133,088 $86,507 $50,709 +162% $32,859 +305% —
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% $42,186 +215% —
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 $64,761 +104% $30,828 +329% ≈202% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $131,785 $85,660 $39,473 +234% $32,637 +304% —
539 OSTEOMYELITIS WITH MCC $131,059 $85,188 $46,636 +181% $37,609 +248% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $130,898 $85,084 $53,312 +146% $42,415 +209% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $130,754 $84,990 $71,606 +83% $38,101 +243% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $130,092 $84,560 $62,621 +108% $37,844 +244% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $129,977 $84,485 $25,639 +407% $19,657 +561% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $129,926 $84,452 $30,282 +329% $42,901 +203% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $129,840 $84,396 $53,976 +141% $49,418 +163% —
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% $46,090 +181% ≈212% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $127,928 $83,153 $64,370 +99% $46,295 +176% —
602 CELLULITIS WITH MCC $127,442 $82,838 $42,228 +202% $30,598 +317% ≈191% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $127,435 $82,833 $40,668 +213% $30,959 +312% ≈194% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $126,961 $82,525 $41,407 +207% $29,949 +324% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $126,929 $82,504 $58,778 +116% $26,618 +377% ≈211% of Medicare
100 SEIZURES WITH MCC $126,819 $82,433 $55,589 +128% $35,481 +257% ≈174% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $126,463 $82,201 $35,607 +255% $36,505 +246% —
102 HEADACHES WITH MCC $125,509 $81,581 $29,516 +325% $25,740 +388% —
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% $27,633 +353% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $124,494 $80,921 $43,842 +184% $30,502 +308% —
186 PLEURAL EFFUSION WITH MCC $124,143 $80,693 $40,621 +206% $33,834 +267% ≈204% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $124,037 $80,624 $66,824 +86% $44,606 +178% ≈200% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $123,586 $80,331 $40,479 +205% $31,346 +294% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $123,285 $80,136 $76,702 +61% $39,955 +209% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $123,140 $80,041 $75,584 +63% $46,724 +164% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $122,952 $79,919 $79,520 +55% $41,422 +197% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $122,423 $79,575 $48,720 +151% $33,047 +270% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $122,416 $79,570 $58,148 +111% $34,192 +258% ≈188% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $122,298 $79,493 $56,043 +118% $43,477 +181% —
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 $31,716 +285% $30,243 +303% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $121,999 $79,299 $42,059 +190% $24,586 +396% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $121,704 $79,107 $33,593 +262% $19,264 +532% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $121,654 $79,075 $75,275 +62% $30,493 +299% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $121,612 $79,048 $20,107 +505% $23,498 +418% —
606 MINOR SKIN DISORDERS WITH MCC $121,595 $79,037 $44,210 +175% $27,975 +335% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $121,488 $78,967 $55,988 +117% $36,937 +229% ≈212% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $121,440 $78,936 $31,833 +281% $32,877 +269% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $121,087 $78,707 $82,800 +46% $36,445 +232% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $121,041 $78,677 $29,791 +306% $18,348 +560% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $120,860 $78,559 $43,603 +177% $27,543 +339% ≈197% of Medicare
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $119,900 $77,935 $70,685 +70% $33,674 +256% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $119,821 $77,884 $39,350 +205% $31,159 +285% —
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 $30,444 +292% $18,459 +547% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $119,417 $77,621 $49,639 +141% $27,316 +337% ≈216% of Medicare
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $118,755 $77,191 $29,912 +297% $14,064 +744% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $118,326 $76,912 $27,899 +324% $42,914 +176% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $118,265 $76,872 $58,067 +104% $44,117 +168% ≈212% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $118,155 $76,801 $68,024 +74% $32,100 +268% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $117,864 $76,611 $83,194 +42% $35,849 +229% —
637 DIABETES WITH MCC $117,808 $76,575 $38,920 +203% $30,100 +291% ≈206% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $117,770 $76,551 $50,967 +131% $33,103 +256% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $117,016 $76,060 $48,455 +141% $25,463 +360% ≈199% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $116,874 $75,968 $51,015 +129% $32,697 +257% —
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 $65,442 +78% $41,955 +178% ≈195% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $116,660 $75,829 $74,373 +57% $36,670 +218% —
865 VIRAL ILLNESS WITH MCC $116,227 $75,548 $34,511 +237% $26,910 +332% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $116,135 $75,488 $66,777 +74% $40,562 +186% —
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% $23,206 +399% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $115,085 $74,805 $58,005 +98% $33,393 +245% ≈206% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $115,060 $74,789 $47,486 +142% $34,017 +238% —
682 RENAL FAILURE WITH MCC $115,021 $74,764 $48,136 +139% $29,064 +296% ≈216% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $114,930 $74,705 $18,608 +518% $20,566 +459% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $114,710 $74,562 $76,863 +49% $35,465 +223% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $114,542 $74,452 $16,114 +611% $14,055 +715% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $114,314 $74,304 $86,931 +31% $50,618 +126% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $114,033 $74,121 $114,033 +0% $60,170 +90% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $113,529 $73,794 $37,402 +204% $32,433 +250% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $113,067 $73,494 $113,067 +0% $50,919 +122% —
398 APPENDIX PROCEDURES WITH CC $112,660 $73,229 $39,406 +186% $40,162 +181% —
304 HYPERTENSION WITH MCC $112,585 $73,181 $47,999 +135% $26,080 +332% ≈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 $43,521 +157% $27,617 +306% —
643 ENDOCRINE DISORDERS WITH MCC $111,926 $72,752 $45,419 +146% $33,563 +233% ≈201% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $111,636 $72,564 $42,676 +162% $31,951 +249% —
597 MALIGNANT BREAST DISORDERS WITH MCC $111,585 $72,531 $55,881 +100% $33,386 +234% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $111,441 $72,437 $52,731 +111% $33,048 +237% —
302 ATHEROSCLEROSIS WITH MCC $111,355 $72,381 $34,324 +224% $22,446 +396% —
199 PNEUMOTHORAX WITH MCC $110,271 $71,676 $47,278 +133% $33,787 +226% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $109,963 $71,476 $64,785 +70% $39,887 +176% —
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 $32,112 +239% $53,257 +104% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $108,378 $70,446 $38,935 +178% $30,083 +260% —
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% $36,354 +197% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $106,788 $69,412 $126,339 −15% $90,401 +18% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $106,526 $69,242 $37,493 +184% $24,941 +327% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $106,344 $69,123 $76,182 +40% $34,749 +206% —
157 DENTAL AND ORAL DISEASES WITH MCC $105,962 $68,875 $44,674 +137% $31,300 +239% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $105,002 $68,251 $47,503 +121% $27,843 +277% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $104,939 $68,210 $59,663 +76% $33,707 +211% ≈189% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $104,889 $68,178 $46,930 +124% $32,841 +219% —
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% $55,289 +88% —
291 HEART FAILURE AND SHOCK WITH MCC $104,014 $67,609 $29,310 +255% $26,776 +288% ≈203% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $103,973 $67,582 $60,018 +73% $35,831 +190% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $103,691 $67,399 $46,504 +123% $34,276 +203% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $103,292 $67,140 $50,573 +104% $41,591 +148% ≈190% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $102,819 $66,832 $46,841 +120% $39,211 +162% —
666 PROSTATECTOMY WITH CC $102,347 $66,526 $45,559 +125% $31,906 +221% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $102,063 $66,341 $42,603 +140% $28,140 +263% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $101,866 $66,213 $36,072 +182% $32,496 +213% ≈210% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $101,789 $66,163 $40,704 +150% $27,275 +273% ≈204% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $101,508 $65,980 $21,357 +375% $24,552 +313% ≈196% of Medicare
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $101,416 $65,920 $94,328 +8% $49,351 +106% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $101,334 $65,867 $38,941 +160% $22,851 +343% —
791 PREMATURITY WITH MAJOR PROBLEMS $101,106 $65,719 $53,686 +88% $42,679 +137% —
693 URINARY STONES WITH MCC $100,673 $65,437 $39,855 +153% $23,892 +321% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $100,503 $65,327 $39,991 +151% $30,571 +229% ≈227% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $100,499 $65,324 $27,074 +271% $29,933 +236% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $100,175 $65,114 $66,416 +51% $39,020 +157% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $100,075 $65,049 $60,046 +67% $31,264 +220% ≈195% of Medicare
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $99,041 $64,377 $63,386 +56% $28,320 +250% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $98,678 $64,141 $41,798 +136% $25,279 +290% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $98,398 $63,959 $31,429 +213% $30,235 +225% ≈209% of Medicare
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $97,907 $63,640 $25,206 +288% $25,652 +282% —
595 MAJOR SKIN DISORDERS WITH MCC $97,441 $63,337 $36,981 +163% $34,598 +182% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $97,279 $63,231 $50,701 +92% $22,635 +330% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $96,010 $62,407 $26,916 +257% $17,737 +441% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $95,954 $62,370 $43,125 +122% $23,551 +307% ≈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 $61,996 +54% $37,387 +155% ≈223% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $94,919 $61,698 $27,597 +244% $23,573 +303% —
947 SIGNS AND SYMPTOMS WITH MCC $94,814 $61,629 $40,771 +133% $27,401 +246% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $94,758 $61,593 $42,120 +125% $22,393 +323% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $94,756 $61,591 $10,917 +768% $20,901 +353% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $94,648 $61,521 $37,258 +154% $26,580 +256% ≈196% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $93,776 $60,955 $52,760 +78% $32,574 +188% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $93,750 $60,938 $38,408 +144% $20,232 +363% —
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 $37,031 +151% $33,653 +176% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $92,924 $60,400 $31,798 +192% $32,021 +190% ≈209% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $92,748 $60,286 $29,865 +211% $26,770 +246% ≈199% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $92,667 $60,234 $49,527 +87% $25,970 +257% ≈213% of Medicare
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $92,381 $60,048 $31,558 +193% $16,450 +462% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $92,333 $60,017 $47,804 +93% $23,319 +296% ≈207% of Medicare
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $91,720 $59,618 $46,508 +97% $30,784 +198% —
592 SKIN ULCERS WITH MCC $91,611 $59,547 $41,440 +121% $33,246 +176% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $91,463 $59,451 $43,859 +109% $25,700 +256% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $91,397 $59,408 $22,003 +315% $29,079 +214% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $91,300 $59,345 $35,076 +160% $25,034 +265% ≈214% of Medicare
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $90,558 $58,863 $17,061 +431% $30,010 +202% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $90,421 $58,774 $56,023 +61% $35,419 +155% ≈200% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $90,292 $58,690 $89,673 +1% $42,906 +110% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $90,176 $58,614 $42,616 +112% $24,127 +274% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $90,119 $58,577 $43,755 +106% $31,321 +188% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $89,157 $57,952 $37,251 +139% $28,050 +218% ≈180% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $88,960 $57,824 $23,972 +271% $24,914 +257% ≈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% $20,911 +323% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $88,010 $57,207 $47,290 +86% $27,297 +222% —
571 SKIN DEBRIDEMENT WITH CC $87,949 $57,167 $65,831 +34% $37,169 +137% —
381 COMPLICATED PEPTIC ULCER WITH CC $87,640 $56,966 $36,968 +137% $24,177 +262% ≈222% of Medicare
150 EPISTAXIS WITH MCC $87,619 $56,952 $35,164 +149% $23,171 +278% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $87,327 $56,763 $47,730 +83% $24,944 +250% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $87,033 $56,571 $38,782 +124% $21,894 +298% —
137 MOUTH PROCEDURES WITH CC/MCC $86,918 $56,497 $55,905 +55% $27,861 +212% —
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% $19,962 +334% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $86,568 $56,269 $56,609 +53% $28,125 +208% —
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% $20,926 +302% —
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 $48,013 +75% $33,876 +147% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $83,595 $54,337 $46,699 +79% $25,712 +225% —
534 FRACTURES OF FEMUR WITHOUT MCC $83,552 $54,309 $27,341 +206% $17,559 +376% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $83,389 $54,203 $83,389 +0% $29,611 +182% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $83,029 $53,969 $39,518 +110% $23,940 +247% ≈218% of Medicare
540 OSTEOMYELITIS WITH CC $82,827 $53,837 $35,008 +137% $26,676 +210% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $82,771 $53,801 $47,860 +73% $20,463 +304% ≈229% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $82,304 $53,498 $43,378 +90% $26,932 +206% —
312 SYNCOPE AND COLLAPSE $81,012 $52,658 $23,207 +249% $19,342 +319% ≈212% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $80,872 $52,567 $41,965 +93% $24,386 +232% ≈204% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $80,503 $52,327 $46,593 +73% $26,463 +204% —
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% $27,152 +195% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $79,967 $51,979 $28,801 +178% $22,098 +262% ≈208% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $79,718 $51,816 $37,293 +114% $19,305 +313% —
864 FEVER AND INFLAMMATORY CONDITIONS $79,665 $51,783 $24,207 +229% $18,640 +327% ≈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% $18,316 +334% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $78,784 $51,210 $22,509 +250% $20,957 +276% ≈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 $25,270 +210% $26,682 +194% ≈169% of Medicare
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $78,060 $50,739 $49,488 +58% $31,017 +152% —
644 ENDOCRINE DISORDERS WITH CC $77,907 $50,639 $35,344 +120% $23,198 +236% ≈224% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $76,787 $49,911 $34,293 +124% $20,422 +276% —
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% $13,633 +461% —
711 TESTES PROCEDURES WITH CC/MCC $76,448 $49,691 $34,277 +123% $38,343 +99% —
375 DIGESTIVE MALIGNANCY WITH CC $76,249 $49,562 $52,392 +46% $27,277 +180% ≈218% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $76,207 $49,535 $56,731 +34% $39,173 +95% —
593 SKIN ULCERS WITH CC $75,396 $49,007 $32,139 +135% $22,886 +229% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $74,737 $48,579 $25,323 +195% $14,638 +411% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $74,731 $48,575 $53,112 +41% $36,489 +105% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $74,726 $48,572 $44,329 +69% $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% $28,202 +163% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $73,865 $48,012 $42,771 +73% $23,488 +214% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $73,686 $47,896 $34,687 +112% $21,847 +237% —
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% $22,763 +223% —
866 VIRAL ILLNESS WITHOUT MCC $73,429 $47,729 $21,438 +243% $17,081 +330% —
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% $27,285 +168% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $72,962 $47,425 $38,373 +90% $29,221 +150% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $72,930 $47,405 $25,257 +189% $17,724 +311% ≈224% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $72,824 $47,336 $34,456 +111% $30,242 +141% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $72,359 $47,033 $27,234 +166% $14,014 +416% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $72,290 $46,988 $29,056 +149% $14,797 +389% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $71,853 $46,705 $33,385 +115% $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 $12,483 +470% $17,620 +304% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $70,638 $45,914 $31,615 +123% $27,323 +159% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $70,343 $45,723 $26,127 +169% $14,648 +380% ≈224% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $70,140 $45,591 $33,096 +112% $22,850 +207% ≈238% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $70,117 $45,576 $26,840 +161% $15,837 +343% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $69,872 $45,417 $32,275 +116% $16,565 +322% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $69,844 $45,399 $34,174 +104% $20,781 +236% ≈242% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $69,736 $45,329 $46,830 +49% $26,870 +160% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $69,727 $45,322 $30,131 +131% $20,488 +240% ≈205% of Medicare
101 SEIZURES WITHOUT MCC $69,702 $45,307 $31,557 +121% $20,461 +241% ≈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% $22,148 +213% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $69,232 $45,001 $32,521 +113% $20,181 +243% ≈202% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $69,129 $44,934 $28,653 +141% $27,163 +154% —
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 $34,923 +95% $21,275 +221% ≈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% $12,460 +446% —
914 TRAUMATIC INJURY WITHOUT MCC $67,884 $44,124 $10,147 +569% $15,855 +328% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $67,756 $44,041 $37,075 +83% $22,033 +208% ≈201% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $67,724 $44,021 $33,347 +103% $23,749 +185% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $67,040 $43,576 $17,396 +285% $25,303 +165% —
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 $34,103 +96% $22,888 +192% ≈216% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $66,645 $43,319 $8,915 +648% $17,700 +277% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $66,637 $43,314 $30,445 +119% $16,998 +292% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $66,367 $43,139 $35,345 +88% $18,488 +259% ≈222% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $66,152 $42,999 $37,994 +74% $19,227 +244% —
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% $15,428 +323% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $65,094 $42,311 $28,392 +129% $17,038 +282% ≈224% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $64,833 $42,141 $26,235 +147% $17,135 +278% —
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 $36,493 +76% $23,617 +172% ≈209% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $64,140 $41,691 $37,010 +73% $22,024 +191% ≈206% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $63,841 $41,497 $36,319 +76% $18,807 +239% ≈203% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $63,837 $41,494 $29,833 +114% $17,733 +260% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $63,739 $41,430 $28,591 +123% $24,566 +159% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $63,633 $41,361 $29,170 +118% $22,506 +183% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $63,468 $41,254 $25,322 +151% $14,514 +337% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $63,432 $41,231 $17,162 +270% $16,846 +277% —
103 HEADACHES WITHOUT MCC $63,382 $41,198 $33,850 +87% $21,280 +198% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $63,243 $41,108 $41,089 +54% $21,056 +200% ≈223% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $62,300 $40,495 $42,644 +46% $27,043 +130% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $62,210 $40,436 $42,137 +48% $33,661 +85% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $60,847 $39,551 $45,890 +33% $35,030 +74% —
683 RENAL FAILURE WITH CC $60,793 $39,515 $27,364 +122% $19,130 +218% ≈214% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $60,420 $39,273 $29,612 +104% $21,363 +183% ≈206% of Medicare
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $60,348 $39,226 $30,387 +99% $18,072 +234% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $60,284 $39,185 $25,672 +135% $18,602 +224% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $60,271 $39,176 $14,905 +304% $14,716 +310% —
607 MINOR SKIN DISORDERS WITHOUT MCC $60,255 $39,165 $30,316 +99% $15,889 +279% —
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% $17,298 +246% —
200 PNEUMOTHORAX WITH CC $59,479 $38,661 $24,177 +146% $21,368 +178% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $59,193 $38,475 $29,007 +104% $26,280 +125% —
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% $13,642 +332% ≈231% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $58,923 $38,300 $25,841 +128% $20,506 +187% ≈223% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $58,245 $37,859 $29,369 +98% $17,921 +225% ≈221% of Medicare
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $57,951 $37,668 $37,338 +55% $19,569 +196% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $57,768 $37,549 $23,223 +149% $18,204 +217% ≈222% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $57,745 $37,534 $32,703 +77% $22,468 +157% ≈198% of Medicare
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $57,644 $37,468 $19,065 +202% $12,324 +368% —
885 PSYCHOSES $57,525 $37,391 $26,024 +121% $21,729 +165% —
549 SEPTIC ARTHRITIS WITH CC $57,494 $37,371 $38,781 +48% $24,056 +139% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $57,040 $37,076 $26,569 +115% $25,748 +122% —
882 NEUROSES EXCEPT DEPRESSIVE $56,670 $36,835 $10,261 +452% $15,680 +261% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $56,667 $36,834 $33,249 +70% $15,038 +277% ≈231% of Medicare
305 HYPERTENSION WITHOUT MCC $56,366 $36,638 $31,871 +77% $18,086 +212% ≈226% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $56,199 $36,530 $39,751 +41% $21,396 +163% ≈209% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $56,125 $36,481 $20,707 +171% $14,501 +287% —
292 HEART FAILURE AND SHOCK WITH CC $56,049 $36,432 $30,014 +87% $16,371 +242% ≈224% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $55,923 $36,350 $22,569 +148% $15,183 +268% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $55,499 $36,075 $15,477 +259% $14,415 +285% —
541 OSTEOMYELITIS WITHOUT CC/MCC $55,449 $36,042 $26,161 +112% $15,215 +264% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $55,323 $35,960 $18,005 +207% $18,126 +205% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $55,268 $35,924 $18,420 +200% $15,452 +258% —
638 DIABETES WITH CC $55,226 $35,897 $24,363 +127% $19,661 +181% ≈221% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $55,073 $35,797 $31,966 +72% $18,081 +205% —
710 PENIS PROCEDURES WITHOUT CC/MCC $54,528 $35,443 $50,249 +9% $26,436 +106% —
204 RESPIRATORY SIGNS AND SYMPTOMS $54,155 $35,201 $23,724 +128% $18,004 +201% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $54,113 $35,174 $37,492 +44% $19,037 +184% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $53,666 $34,883 $25,739 +108% $27,989 +92% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $53,342 $34,673 $31,594 +69% $17,322 +208% ≈224% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $53,325 $34,662 $31,296 +70% $18,528 +188% —
916 ALLERGIC REACTIONS WITHOUT MCC $53,297 $34,643 $12,384 +330% $13,942 +282% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $53,104 $34,517 $29,899 +78% $17,578 +202% ≈218% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $53,082 $34,503 $32,487 +63% $17,303 +207% ≈218% of Medicare
694 URINARY STONES WITHOUT MCC $52,881 $34,373 $28,782 +84% $17,345 +205% —
598 MALIGNANT BREAST DISORDERS WITH CC $52,855 $34,356 $34,902 +51% $19,073 +177% —
311 ANGINA PECTORIS $52,434 $34,082 $35,326 +48% $15,502 +238% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $51,873 $33,717 $29,358 +77% $17,674 +193% ≈225% of Medicare
313 CHEST PAIN $51,669 $33,585 $26,595 +94% $16,440 +214% ≈238% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $51,659 $33,578 $29,460 +75% $16,968 +204% —
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 $28,331 +82% $20,247 +155% —
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% $27,119 +88% —
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 $11,284 +347% $12,252 +312% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $50,252 $32,664 $21,364 +135% $16,552 +204% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $50,198 $32,628 $23,760 +111% $14,689 +242% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $49,807 $32,375 $18,896 +164% $16,288 +206% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $49,788 $32,362 $23,243 +114% $19,846 +151% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $49,523 $32,190 $27,341 +81% $20,895 +137% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $49,232 $32,001 $26,715 +84% $23,283 +111% —
603 CELLULITIS WITHOUT MCC $49,119 $31,927 $24,682 +99% $18,530 +165% ≈227% of Medicare
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $48,938 $31,810 $21,534 +127% $14,250 +243% —
187 PLEURAL EFFUSION WITH CC $48,849 $31,752 $48,849 +0% $21,789 +124% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $48,808 $31,725 $14,335 +240% $19,924 +145% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $48,697 $31,653 $23,913 +104% $19,119 +155% —
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 $29,525 +64% $19,842 +144% ≈240% of Medicare
149 DYSEQUILIBRIUM $48,298 $31,394 $12,109 +299% $18,096 +167% ≈243% of Medicare
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $47,793 $31,065 $41,210 +16% $22,320 +114% —
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% $17,934 +163% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $47,106 $30,619 $47,106 +0% $19,270 +144% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $46,996 $30,547 $26,661 +76% $16,767 +180% —
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% $14,549 +222% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $46,569 $30,270 $18,649 +150% $18,649 +150% —
197 INTERSTITIAL LUNG DISEASE WITH CC $46,489 $30,218 $40,745 +14% $21,941 +112% —
303 ATHEROSCLEROSIS WITHOUT MCC $46,381 $30,147 $26,306 +76% $14,927 +211% —
151 EPISTAXIS WITHOUT MCC $46,068 $29,944 $13,939 +230% $13,032 +253% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $45,930 $29,855 $27,043 +70% $18,126 +153% —
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 $26,473 +70% $17,118 +163% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $44,843 $29,148 $11,777 +281% $15,495 +189% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $44,759 $29,093 $31,944 +40% $18,956 +136% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $44,564 $28,967 $23,613 +89% $13,651 +226% —
158 DENTAL AND ORAL DISEASES WITH CC $44,504 $28,927 $16,694 +167% $18,466 +141% —
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% $31,563 +38% —
184 MAJOR CHEST TRAUMA WITH CC $42,993 $27,946 $37,484 +15% $22,432 +92% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $42,548 $27,656 $18,819 +126% $16,700 +155% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $42,292 $27,490 $26,492 +60% $18,452 +129% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $41,730 $27,125 $14,753 +183% $16,520 +153% —
639 DIABETES WITHOUT CC/MCC $41,410 $26,917 $24,779 +67% $13,910 +198% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $41,255 $26,816 $13,863 +198% $16,699 +147% ≈222% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $40,907 $26,590 $23,464 +74% $13,384 +206% ≈270% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $40,692 $26,450 $17,115 +138% $13,824 +194% ≈244% of Medicare
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $40,424 $26,276 $27,540 +47% $15,019 +169% —
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% $13,275 +199% —
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% $14,583 +167% —
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 $26,598 +39% $13,361 +177% ≈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% $12,454 +186% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $34,802 $22,621 $9,556 +264% $12,078 +188% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $34,304 $22,298 $34,304 +0% $37,240 −8% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $34,226 $22,247 $21,625 +58% $17,601 +94% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $32,750 $21,288 $24,356 +34% $20,727 +58% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $32,181 $20,918 $22,613 +42% $19,138 +68% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $30,428 $19,778 $30,428 +0% $19,412 +57% —
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% $15,549 +80% —
201 PNEUMOTHORAX WITHOUT CC/MCC $27,744 $18,034 $23,084 +20% $14,053 +97% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $27,130 $17,634 $10,700 +154% $12,229 +122% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $25,499 $16,574 $15,187 +68% $10,480 +143% —
089 CONCUSSION WITH CC $24,895 $16,182 $32,325 −23% $18,821 +32% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $21,702 $14,106 $11,107 +95% $9,940 +118% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $21,350 $13,878 $16,071 +33% $12,768 +67% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $17,433 $11,331 $42,560 −59% $25,703 −32% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $12,762 $8,295 $6,799 +88% $10,160 +26% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,610 $6,246 $6,944 +38% $8,445 +14% —
795 NORMAL NEWBORN $3,835 $2,493 $3,269 +17% $4,720 −19% —
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