Tallahassee Memorial Healthcare — Pricing

693 procedures published in this hospital's Machine-Readable File (MRF) — 693 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 693
Lowest published price $3,605
Average published price $89,110
Highest published price $1,508,545

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 693 procedures

Published charges

Showing all 693 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 104 procedures, this hospital's negotiated rates average ≈410% of what Medicare pays.

DRG Description Published price Cash price vs. FL median vs. National median vs Medicare
576 skin graft except for skin ulcer or cellulitis with mcc $1,508,545 $1,055,982 $126,339 +1094% $90,401 +1569% —
003 ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $642,108 $449,476 $539,739 +19% $371,366 +73% —
001 heart transplant or implant of heart assist system with mcc $551,188 $385,832 $551,188 +0% $461,389 +19% —
625 thyroid, parathyroid and thyroglossal procedures with mcc $523,397 $366,378 $152,746 +243% $59,031 +787% —
447 multiple level spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $510,425 $357,298 $311,971 +64% $126,098 +305% —
429 combined anterior and posterior cervical spinal fusion with mcc $481,102 $336,771 $356,215 +35% $144,774 +232% —
453 combined anterior and posterio $481,102 $336,771 $163,220 +195% $103,861 +363% —
212 concomitant aortic and mitral valve procedures $471,787 $330,251 $402,260 +17% $196,346 +140% —
004 tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $431,250 $301,875 $416,323 +4% $248,521 +74% —
020 intracranial vascular procedures with principal diagnosis hemorrhage with mcc $427,082 $298,958 $233,892 +83% $148,686 +187% —
955 craniotomy for multiple significant trauma $419,807 $293,865 $236,096 +78% $102,600 +309% —
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $409,402 $286,581 $193,020 +112% $123,995 +230% —
215 other heart assist system implant $397,836 $278,485 $190,319 +109% $208,939 +90% —
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $371,778 $260,244 $360,137 +3% $188,171 +98% —
231 coronary bypass with ptca with mcc $344,994 $241,496 $95,116 +263% $147,227 +134% —
957 other o.r. procedures for multiple significant trauma with mcc $314,608 $220,225 $189,954 +66% $120,573 +161% —
275 cardiac defibrillator implant with cardiac catheterization and mcc $313,996 $219,797 $252,151 +25% $131,961 +138% —
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $312,891 $219,024 $312,891 +0% $143,242 +118% —
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $304,666 $213,266 $133,144 +129% $61,470 +396% —
420 hepatobiliary diagnostic procedures with mcc $304,068 $212,847 $113,067 +169% $50,919 +497% —
233 coronary bypass with cardiac catheterization or open ablation with mcc $300,004 $210,003 $191,844 +56% $144,569 +108% —
870 septicemia or severe sepsis with mv >96 hours $276,819 $193,773 $244,465 +13% $148,832 +86% ≈517% of Medicare
790 extreme immaturity or respiratory distress syndrome, neonate $273,686 $191,580 $174,763 +57% $80,018 +242% —
234 coronary bypass with cardiac catheterization or open ablation without mcc $264,141 $184,899 $210,532 +25% $102,573 +158% —
028 spinal procedures with mcc $263,654 $184,558 $123,606 +113% $113,077 +133% —
012 tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc $253,075 $177,153 $130,168 +94% $79,836 +217% —
273 percutaneous and other intracardiac procedures with mcc $252,448 $176,713 $143,922 +75% $78,852 +220% —
266 endovascular cardiac valve replacement and supplement procedures with mcc $251,293 $175,905 $184,196 +36% $113,855 +121% ≈400% of Medicare
218 cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc $250,332 $175,232 $229,118 +9% $103,455 +142% —
710 penis procedures without cc/mcc $247,999 $173,599 $50,249 +394% $26,436 +838% —
353 hernia procedures except inguinal and femoral with mcc $245,801 $172,061 $114,033 +116% $60,170 +309% —
034 carotid artery stent procedures with mcc $242,117 $169,482 $150,995 +60% $76,219 +218% —
956 limb reattachment, hip and femur procedures for multiple significant trauma $234,105 $163,874 $106,612 +120% $75,103 +212% —
824 lymphoma and non-acute leukemia with other procedures with cc $234,078 $163,855 $75,201 +211% $41,608 +463% —
856 postoperative or post-traumatic infections with o.r. procedures with mcc $232,713 $162,899 $128,607 +81% $76,001 +206% —
456 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc $229,211 $160,448 $190,120 +21% $153,282 +50% —
406 pancreas, liver and shunt procedures with cc $229,101 $160,371 $87,533 +162% $58,043 +295% —
140 major head and neck procedures with mcc $229,087 $160,361 $60,577 +278% $60,098 +281% —
958 other o.r. procedures for multiple significant trauma with cc $226,244 $158,371 $135,879 +67% $73,120 +209% —
350 inguinal and femoral hernia procedures with mcc $224,384 $157,069 $99,225 +126% $50,046 +348% —
023 craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator $223,164 $156,215 $200,833 +11% $106,778 +109% —
207 respiratory system diagnosis with ventilator support >96 hours $220,139 $154,097 $159,548 +38% $116,058 +90% —
228 other cardiothoracic procedures with mcc $217,247 $152,073 $117,133 +85% $96,905 +124% —
221 cardiac valve and other major cardiothoracic procedures without cardiac catheterization without cc/mcc $214,173 $149,921 $187,283 +14% $90,331 +137% —
235 coronary bypass without cardiac catheterization with mcc $209,989 $146,992 $204,784 +3% $112,062 +87% ≈374% of Medicare
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $209,888 $146,922 $87,122 +141% $89,207 +135% —
277 cardiac defibrillator implant without mcc $206,347 $144,443 $140,608 +47% $91,329 +126% —
518 back and neck procedures except spinal fusion with mcc or disc device or neurostimulator $205,797 $144,058 $121,966 +69% $71,092 +189% —
573 skin graft for skin ulcer or cellulitis with mcc $203,746 $142,622 $151,781 +34% $98,912 +106% —
323 coronary intravascular lithotripsy with intraluminal device with mcc $202,731 $141,912 $164,862 +23% $101,510 +100% —
492 lower extremity and humerus procedures except hip, foot and femur with mcc $201,411 $140,988 $124,879 +61% $70,564 +185% —
021 intracranial vascular procedures with principal diagnosis hemorrhage with cc $201,164 $140,815 $238,013 −15% $106,057 +90% —
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $199,395 $139,577 $111,748 +78% $58,228 +242% —
457 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc $198,447 $138,913 $198,447 +0% $107,355 +85% —
450 single level spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $197,357 $138,150 $197,357 +0% $99,943 +97% —
030 spinal procedures without cc/mcc $194,433 $136,103 $61,350 +217% $45,866 +324% —
037 extracranial procedures with mcc $189,419 $132,593 $133,926 +41% $66,666 +184% —
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $189,135 $132,395 $103,317 +83% $111,320 +70% —
451 single level spinal fusion except cervical without mcc $186,572 $130,601 $69,863 +167% $65,216 +186% —
460 spinal fusion except cervical $186,572 $130,601 $61,960 +201% $51,625 +261% —
011 tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc $183,330 $128,331 $135,442 +35% $101,576 +80% —
458 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc $183,152 $128,206 $96,239 +90% $83,441 +119% —
344 minor small and large bowel procedures with mcc $180,533 $126,373 $100,393 +80% $44,546 +305% —
853 infectious and parasitic diseases with o.r. procedures with mcc $177,424 $124,197 $154,667 +15% $93,172 +90% ≈406% of Medicare
799 splenic procedures with mcc $177,369 $124,159 $177,369 +0% $82,218 +116% —
236 coronary bypass without cardiac catheterization without mcc $176,619 $123,633 $158,503 +11% $82,247 +115% ≈454% of Medicare
270 other major cardiovascular procedures with mcc $175,245 $122,671 $203,654 −14% $99,423 +76% ≈322% of Medicare
271 other major cardiovascular procedures with cc $174,781 $122,347 $83,057 +110% $71,014 +146% ≈459% of Medicare
242 permanent cardiac pacemaker implant with mcc $172,656 $120,859 $130,750 +32% $70,132 +146% ≈507% of Medicare
163 major chest procedures with mcc $172,081 $120,457 $181,307 −5% $90,195 +91% —
427 multiple level combined anterior and posterior spinal fusion except cervical with cc $166,506 $116,554 $191,084 −13% $132,794 +25% —
025 craniotomy and endovascular intracranial procedures with mcc $163,185 $114,229 $99,946 +63% $88,307 +85% ≈344% of Medicare
022 intracranial vascular procedures with principal diagnosis hemorrhage without cc/mcc $159,934 $111,954 $60,442 +165% $66,848 +139% —
324 coronary intravascular lithotripsy with intraluminal device without mcc $159,150 $111,405 $153,680 +4% $71,464 +123% —
061 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc $157,501 $110,251 $118,604 +33% $62,264 +153% —
570 skin debridement with mcc $156,826 $109,778 $69,729 +125% $52,435 +199% —
265 aicd lead procedures $155,845 $109,091 $100,391 +55% $63,171 +147% —
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $155,155 $108,608 $164,137 −5% $90,775 +71% ≈356% of Medicare
276 cardiac defibrillator implant with mcc or carotid sinus neurostimulator $152,707 $106,895 $140,313 +9% $117,280 +30% —
827 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with cc $152,150 $106,505 $124,187 +23% $50,498 +201% —
454 combined anterior and posterio $152,028 $106,419 $107,108 +42% $69,101 +120% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $150,779 $105,545 $130,536 +16% $81,706 +85% ≈543% of Medicare
317 concomitant left atrial appendage closure and cardiac ablation $150,322 $105,225 $194,788 −23% $88,566 +70% —
252 other vascular procedures with mcc $150,176 $105,123 $92,106 +63% $68,508 +119% ≈430% of Medicare
503 foot procedures with mcc $147,127 $102,989 $124,764 +18% $47,540 +209% —
319 other endovascular cardiac valve procedures with mcc $146,836 $102,785 $142,804 +3% $86,970 +69% —
564 other musculoskeletal system and connective tissue diagnoses with mcc $145,306 $101,714 $37,031 +292% $33,653 +332% —
498 local excision and removal of internal fixation devices of hip and femur with cc/mcc $144,916 $101,441 $103,890 +39% $49,423 +193% —
157 dental and oral diseases with mcc $143,841 $100,688 $44,674 +222% $31,300 +360% —
035 carotid artery stent procedures with cc $143,327 $100,329 $92,122 +56% $49,066 +192% —
239 amputation for circulatory system disorders except upper limb and toe with mcc $143,113 $100,179 $86,214 +66% $93,390 +53% —
739 uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with mcc $142,902 $100,032 $98,179 +46% $62,300 +129% —
245 aicd generator procedures $139,408 $97,585 $134,153 +4% $72,076 +93% —
268 aortic and heart assist procedures except pulsation balloon with mcc $136,983 $95,888 $136,983 +0% $125,242 +9% —
426 multiple level combined anterior and posterior spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $136,641 $95,649 $171,345 −20% $142,326 −4% —
459 spinal fusion except cervical $136,641 $95,649 $136,641 +0% $75,251 +82% —
029 spinal procedures with cc or spinal neurostimulators $136,209 $95,346 $121,638 +12% $67,268 +102% —
448 multiple level spinal fusion except cervical without mcc $135,392 $94,774 $149,084 −9% $81,998 +65% —
329 major small and large bowel procedures with mcc $135,308 $94,716 $144,456 −6% $88,050 +54% ≈284% of Medicare
250 percutaneous cardiovascular procedures without intraluminal device with mcc $134,448 $94,114 $120,604 +11% $59,629 +125% —
976 hiv with major related condition without cc/mcc $134,421 $94,095 $59,359 +126% $16,212 +729% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $133,558 $93,491 $134,019 −0% $74,257 +80% —
659 kidney and ureter procedures for non-neoplasm with mcc $133,115 $93,181 $77,531 +72% $52,178 +155% —
521 hip replacement with principal diagnosis of hip fracture with mcc $132,927 $93,049 $92,774 +43% $70,467 +89% ≈461% of Medicare
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $132,638 $92,846 $111,887 +19% $62,821 +111% —
907 other o.r. procedures for injuries with mcc $132,412 $92,689 $110,988 +19% $77,817 +70% —
279 ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc $132,245 $92,571 $131,379 +1% $63,928 +107% —
332 rectal resection with mcc $131,137 $91,796 $114,779 +14% $58,125 +126% —
326 stomach, esophageal and duodenal procedures with mcc $131,031 $91,722 $120,531 +9% $80,793 +62% —
903 wound debridements for injuries without cc/mcc $130,376 $91,263 $50,901 +156% $25,581 +410% —
901 wound debridements for injuries with mcc $130,235 $91,164 $110,939 +17% $70,177 +86% —
095 bacterial and tuberculous infections of nervous system with cc $129,513 $90,659 $62,257 +108% $47,583 +172% —
500 soft tissue procedures with mcc $128,348 $89,843 $97,778 +31% $61,872 +107% —
356 other digestive system o.r. procedures with mcc $128,258 $89,780 $139,861 −8% $82,561 +55% —
024 craniotomy with major device implant or acute complex cns principal diagnosis without mcc $128,173 $89,721 $138,390 −7% $74,755 +71% —
278 ultrasound accelerated and other thrombolysis of peripheral vascular structures with mcc $127,104 $88,973 $127,104 +0% $93,238 +36% —
471 cervical spinal fusion with mcc $126,361 $88,452 $160,789 −21% $92,515 +37% —
486 knee procedures with principal diagnosis of infection with cc $126,118 $88,282 $94,328 +34% $49,351 +156% —
480 hip and femur procedures except major joint with mcc $126,053 $88,237 $115,896 +9% $65,653 +92% ≈447% of Medicare
823 lymphoma and non-acute leukemia with other procedures with mcc $125,799 $88,060 $125,799 +0% $87,761 +43% —
322 percutaneous cardiovascular procedures with intraluminal device without mcc $125,789 $88,052 $79,623 +58% $58,809 +114% ≈644% of Medicare
173 ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism $125,755 $88,028 $94,249 +33% $60,407 +108% —
574 skin graft for skin ulcer or cellulitis with cc $125,680 $87,976 $88,195 +43% $52,036 +142% —
673 other kidney and urinary tract procedures with mcc $125,583 $87,908 $115,121 +9% $77,990 +61% —
496 local excision and removal of internal fixation devices except hip and femur with cc $124,408 $87,086 $68,753 +81% $43,800 +184% —
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $124,023 $86,816 $124,795 −1% $71,795 +73% —
653 major bladder procedures with mcc $123,933 $86,753 $127,939 −3% $104,583 +19% —
402 single level combined anterior and posterior spinal fusion except cervical $122,888 $86,022 $152,254 −19% $79,116 +55% —
139 salivary gland procedures $122,847 $85,993 $45,732 +169% $23,612 +420% —
584 breast biopsy, local excision and other breast procedures with cc/mcc $122,191 $85,533 $45,890 +166% $35,030 +249% —
665 prostatectomy with mcc $122,190 $85,533 $111,754 +9% $54,072 +126% —
258 cardiac pacemaker device replacement with mcc $120,571 $84,399 $73,398 +64% $52,986 +128% —
834 acute leukemia with mcc $119,756 $83,829 $100,016 +20% $85,566 +40% —
415 cholecystectomy except by laparoscope without c.d.e. with cc $119,095 $83,367 $69,589 +71% $43,913 +171% —
102 headaches with mcc $119,003 $83,302 $29,516 +303% $25,740 +362% —
472 cervical spinal fusion with cc $118,545 $82,981 $114,191 +4% $59,537 +99% —
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $116,941 $81,859 $66,172 +77% $32,443 +260% —
904 skin grafts for injuries with cc/mcc $116,122 $81,286 $100,372 +16% $59,594 +95% —
335 peritoneal adhesiolysis with mcc $115,730 $81,011 $133,724 −13% $71,755 +61% —
487 knee procedures with principal diagnosis of infection without cc/mcc $115,566 $80,896 $63,218 +83% $35,074 +229% —
826 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with mcc $114,964 $80,475 $157,552 −27% $90,724 +27% —
320 other endovascular cardiac valve procedures without mcc $114,465 $80,125 $53,904 +112% $40,060 +186% —
738 uterine and adnexa procedures for ovarian or adnexal malignancy without cc/mcc $113,564 $79,495 $70,685 +61% $33,674 +237% —
737 uterine and adnexa procedures for ovarian or adnexal malignancy with cc $113,418 $79,392 $78,123 +45% $44,363 +156% —
056 degenerative nervous system disorders with mcc $113,245 $79,271 $40,754 +178% $39,973 +183% ≈539% of Medicare
147 ear, nose, mouth and throat malignancy with cc $113,116 $79,181 $38,941 +190% $22,851 +395% —
113 orbital procedures with cc/mcc $113,006 $79,104 $50,685 +123% $36,167 +212% —
267 endovascular cardiac valve replacement and supplement procedures without mcc $112,927 $79,049 $113,802 −1% $92,217 +22% ≈227% of Medicare
380 complicated peptic ulcer with mcc $111,926 $78,348 $45,750 +145% $39,627 +182% —
031 ventricular shunt procedures with mcc $111,466 $78,027 $178,804 −38% $72,962 +53% —
493 lower extremity and humerus procedures except hip, foot and femur with cc $111,225 $77,857 $68,614 +62% $59,651 +86% ≈465% of Medicare
516 other musculoskeletal system and connective tissue o.r. procedures with cc $110,610 $77,427 $71,764 +54% $46,090 +140% —
082 traumatic stupor and coma >1 hour with mcc $110,250 $77,175 $53,112 +108% $36,489 +202% ≈477% of Medicare
540 osteomyelitis with cc $110,081 $77,057 $35,008 +214% $26,676 +313% —
261 cardiac pacemaker revision except device replacement with cc $109,729 $76,810 $71,740 +53% $42,126 +160% —
325 coronary intravascular lithotripsy without intraluminal device $108,887 $76,221 $108,887 +0% $61,217 +78% —
466 revision of hip or knee replacement with mcc $108,029 $75,620 $165,691 −35% $96,507 +12% —
654 major bladder procedures with cc $107,587 $75,311 $112,622 −4% $58,274 +85% —
164 major chest procedures with cc $107,262 $75,084 $122,337 −12% $56,755 +89% —
397 appendix procedures with mcc $106,882 $74,817 $32,112 +233% $53,257 +101% —
165 major chest procedures without cc/mcc $106,844 $74,791 $74,921 +43% $46,340 +131% —
579 other skin, subcutaneous tissue and breast procedures with mcc $106,621 $74,635 $76,167 +40% $58,745 +81% —
251 percutaneous cardiovascular procedures without intraluminal device without mcc $106,221 $74,354 $64,370 +65% $46,295 +129% —
428 multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc $105,915 $74,141 $143,987 −26% $105,899 +0% —
467 revision of hip or knee replacement with cc $105,105 $73,573 $127,874 −18% $70,847 +48% ≈358% of Medicare
908 other o.r. procedures for injuries with cc $104,730 $73,311 $27,899 +275% $42,914 +144% —
296 cardiac arrest, unexplained with mcc $104,522 $73,165 $42,137 +148% $33,661 +211% —
141 major head and neck procedures with cc $104,099 $72,869 $92,159 +13% $37,267 +179% —
430 combined anterior and posterior cervical spinal fusion without mcc $103,492 $72,445 $138,882 −25% $101,618 +2% —
455 combined anterior and posterio $103,492 $72,445 $103,492 +0% $56,836 +82% —
746 vagina, cervix and vulva procedures with cc/mcc $102,911 $72,038 $30,449 +238% $29,916 +244% —
166 other respiratory system o.r. procedures with mcc $102,586 $71,810 $121,038 −15% $75,573 +36% —
963 other multiple significant trauma with mcc $102,366 $71,656 $65,773 +56% $43,491 +135% —
330 major small and large bowel procedures with cc $102,185 $71,530 $79,506 +29% $59,500 +72% ≈421% of Medicare
409 biliary tract procedures except only cholecystectomy with or without c.d.e. with cc $101,787 $71,251 $86,475 +18% $46,066 +121% —
736 uterine and adnexa procedures for ovarian or adnexal malignancy with mcc $101,658 $71,161 $113,865 −11% $61,832 +64% —
263 vein ligation and stripping $101,127 $70,789 $108,786 −7% $51,253 +97% —
274 percutaneous and other intracardiac procedures without mcc $101,025 $70,718 $86,907 +16% $65,573 +54% ≈302% of Medicare
032 ventricular shunt procedures with cc $100,503 $70,352 $75,584 +33% $46,724 +115% —
052 spinal disorders and injuries with cc/mcc $100,423 $70,296 $28,665 +250% $32,031 +214% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $100,174 $70,122 $90,905 +10% $47,737 +110% —
734 pelvic evisceration, radical hysterectomy and radical vulvectomy with cc/mcc $99,783 $69,848 $73,114 +36% $42,795 +133% —
477 biopsies of musculoskeletal system and connective tissue with mcc $99,013 $69,309 $116,268 −15% $68,653 +44% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $98,774 $69,142 $98,774 +0% $84,692 +17% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $98,087 $68,661 $60,291 +63% $45,877 +114% —
229 other cardiothoracic procedures without mcc $97,618 $68,333 $97,618 +0% $65,325 +49% —
939 o.r. procedures with diagnoses of other contact with health services with mcc $97,371 $68,159 $58,911 +65% $55,289 +76% —
264 other circulatory system o.r. procedures $96,199 $67,339 $96,199 +0% $51,953 +85% —
244 permanent cardiac pacemaker implant without cc/mcc $95,102 $66,571 $50,573 +88% $41,591 +129% —
748 female reproductive system reconstructive procedures $94,979 $66,486 $34,456 +176% $30,242 +214% —
183 major chest trauma with mcc $94,768 $66,338 $27,074 +250% $29,933 +217% —
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $94,289 $66,002 $75,995 +24% $43,538 +117% —
504 foot procedures with cc $94,231 $65,962 $94,231 +0% $38,960 +142% —
577 skin graft except for skin ulcer or cellulitis with cc $93,965 $65,776 $65,282 +44% $47,945 +96% —
302 atherosclerosis with mcc $93,558 $65,491 $34,324 +173% $22,446 +317% —
735 pelvic evisceration, radical hysterectomy and radical vulvectomy without cc/mcc $93,137 $65,196 $37,590 +148% $26,948 +246% —
539 osteomyelitis with mcc $93,051 $65,136 $46,636 +100% $37,609 +147% —
598 malignant breast disorders with cc $93,021 $65,115 $34,902 +167% $19,073 +388% —
026 craniotomy and endovascular intracranial procedures with cc $92,424 $64,697 $104,012 −11% $64,523 +43% —
253 other vascular procedures with cc $92,122 $64,486 $76,062 +21% $57,454 +60% ≈334% of Medicare
501 soft tissue procedures with cc $91,771 $64,240 $70,805 +30% $39,619 +132% —
857 postoperative or post-traumatic infections with o.r. procedures with cc $91,753 $64,227 $75,816 +21% $45,333 +102% —
726 benign prostatic hypertrophy without mcc $91,688 $64,182 $27,540 +233% $15,019 +510% —
854 infectious and parasitic diseases with o.r. procedures with cc $91,593 $64,115 $74,820 +22% $43,943 +108% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $91,251 $63,876 $63,349 +44% $51,985 +76% —
243 permanent cardiac pacemaker implant with cc $91,249 $63,874 $62,558 +46% $50,011 +82% ≈390% of Medicare
578 skin graft except for skin ulcer or cellulitis without cc/mcc $91,222 $63,855 $22,003 +315% $29,079 +214% —
840 lymphoma and non-acute leukemia with mcc $90,750 $63,525 $94,030 −3% $49,710 +83% —
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $90,633 $63,443 $87,042 +4% $66,068 +37% —
744 d&c, conization, laparoscopy and tubal interruption with cc/mcc $90,573 $63,401 $61,930 +46% $38,861 +133% —
674 other kidney and urinary tract procedures with cc $90,441 $63,309 $65,611 +38% $50,394 +79% —
412 cholecystectomy with c.d.e. with cc $90,422 $63,295 $89,673 +1% $42,906 +111% —
519 back and neck procedures except spinal fusion with cc $90,108 $63,075 $70,922 +27% $44,139 +104% —
902 wound debridements for injuries with cc $89,965 $62,976 $66,777 +35% $40,562 +122% —
974 hiv with major related condition with mcc $89,792 $62,854 $75,523 +19% $46,402 +94% —
416 cholecystectomy except by laparoscope without c.d.e. without cc/mcc $89,675 $62,773 $72,602 +24% $30,418 +195% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $89,671 $62,770 $89,760 −0% $65,788 +36% —
740 uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with cc $89,569 $62,698 $38,973 +130% $40,365 +122% —
871 septicemia or severe sepsis without mv >96 hours with mcc $89,380 $62,566 $69,215 +29% $35,628 +151% ≈468% of Medicare
615 adrenal and pituitary procedures without cc/mcc $89,169 $62,418 $56,732 +57% $32,833 +172% —
262 cardiac pacemaker revision except device replacement without cc/mcc $88,973 $62,281 $68,344 +30% $33,694 +164% —
711 testes procedures with cc/mcc $88,591 $62,014 $34,277 +158% $38,343 +131% —
803 other o.r. procedures of the blood and blood forming organs with cc $88,573 $62,001 $36,930 +140% $39,515 +124% —
167 other respiratory system o.r. procedures with cc $88,553 $61,987 $39,171 +126% $40,642 +118% —
722 malignancy, male reproductive system with mcc $88,170 $61,719 $67,776 +30% $29,826 +196% —
286 circulatory disorders except ami, with cardiac catheterization with mcc $88,020 $61,614 $83,218 +6% $46,283 +90% ≈398% of Medicare
495 local excision and removal of internal fixation devices except hip and femur with mcc $87,787 $61,451 $58,272 +51% $56,964 +54% —
408 biliary tract procedures except only cholecystectomy with or without c.d.e. with mcc $87,687 $61,381 $122,122 −28% $62,583 +40% —
259 cardiac pacemaker device replacement without mcc $86,216 $60,351 $66,416 +30% $39,020 +121% —
656 kidney and ureter procedures for neoplasm with mcc $86,206 $60,344 $71,371 +21% $65,608 +31% —
027 craniotomy and endovascular intracranial procedures without cc/mcc $85,159 $59,612 $58,395 +46% $54,583 +56% —
336 peritoneal adhesiolysis with cc $84,844 $59,391 $65,594 +29% $50,463 +68% —
627 thyroid, parathyroid and thyroglossal procedures without cc/mcc $84,766 $59,336 $56,609 +50% $28,125 +201% —
481 hip and femur procedures except major joint with cc $84,478 $59,134 $89,872 −6% $52,751 +60% ≈419% of Medicare
240 amputation for circulatory system disorders except upper limb and toe with cc $84,468 $59,128 $69,407 +22% $59,790 +41% ≈331% of Medicare
064 intracranial hemorrhage or cerebral infarction with mcc $84,113 $58,879 $76,373 +10% $39,106 +115% ≈461% of Medicare
208 respiratory system diagnosis with ventilator support <=96 hours $83,905 $58,733 $83,905 +0% $52,405 +60% ≈278% of Medicare
906 hand procedures for injuries $83,093 $58,165 $26,263 +216% $32,065 +159% —
801 splenic procedures without cc/mcc $82,800 $57,960 $82,800 +0% $36,445 +127% —
348 anal and stomal procedures with cc $82,705 $57,894 $50,118 +65% $27,947 +196% —
727 inflammation of the male reproductive system with mcc $82,679 $57,875 $46,593 +77% $26,463 +212% —
666 prostatectomy with cc $82,361 $57,653 $45,559 +81% $31,906 +158% —
115 extraocular procedures except orbit $82,202 $57,541 $42,560 +93% $25,703 +220% —
097 non-bacterial infection of nervous system except viral meningitis with mcc $82,054 $57,438 $76,502 +7% $59,533 +38% —
828 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures without cc/mcc $81,235 $56,864 $63,604 +28% $35,584 +128% —
085 traumatic stupor and coma <1 hour with mcc $81,188 $56,831 $39,755 +104% $41,892 +94% —
417 laparoscopic cholecystectomy without c.d.e. with mcc $81,022 $56,716 $91,177 −11% $53,451 +52% —
347 anal and stomal procedures with mcc $80,834 $56,584 $44,769 +81% $40,548 +99% —
345 minor small and large bowel procedures with cc $80,513 $56,359 $52,731 +53% $33,048 +144% —
657 kidney and ureter procedures for neoplasm with cc $80,222 $56,155 $80,341 −0% $43,298 +85% —
168 other respiratory system o.r. procedures without cc/mcc $80,214 $56,150 $41,407 +94% $29,949 +168% —
314 other circulatory system diagnoses with mcc $80,091 $56,064 $61,714 +30% $38,666 +107% ≈433% of Medicare
405 pancreas, liver and shunt procedures with mcc $79,703 $55,792 $102,071 −22% $102,128 −22% —
959 other o.r. procedures for multiple significant trauma without cc/mcc $79,520 $55,664 $79,520 +0% $41,422 +92% —
142 major head and neck procedures without cc/mcc $79,280 $55,496 $88,880 −11% $34,906 +127% —
494 lower extremity and humerus procedures except hip, foot and femur without cc/mcc $79,025 $55,317 $79,537 −1% $47,711 +66% ≈459% of Medicare
667 prostatectomy without cc/mcc $78,837 $55,186 $65,212 +21% $16,703 +372% —
553 bone diseases and arthropathies with mcc $78,478 $54,935 $37,517 +109% $26,051 +201% —
121 acute major eye infections with cc/mcc $78,454 $54,918 $30,428 +158% $19,412 +304% —
301 peripheral vascular disorders without cc/mcc $78,262 $54,783 $26,840 +192% $15,837 +394% —
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $78,122 $54,686 $47,377 +65% $36,431 +114% —
089 concussion with cc $77,946 $54,562 $32,325 +141% $18,821 +314% —
331 major small and large bowel procedures without cc/mcc $77,497 $54,248 $58,067 +33% $44,117 +76% —
697 urethral stricture $77,335 $54,135 $32,586 +137% $18,428 +320% —
488 knee procedures without principal diagnosis of infection with cc/mcc $77,053 $53,937 $81,066 −5% $43,631 +77% —
357 other digestive system o.r. procedures with cc $76,939 $53,857 $75,572 +2% $48,682 +58% —
377 gastrointestinal hemorrhage with mcc $76,842 $53,790 $59,034 +30% $37,842 +103% ≈428% of Medicare
088 concussion with mcc $76,477 $53,534 $44,145 +73% $24,402 +213% —
468 revision of hip or knee replacement without cc/mcc $76,424 $53,497 $86,593 −12% $54,929 +39% —
749 other female reproductive system o.r. procedures with cc/mcc $76,272 $53,390 $79,725 −4% $45,167 +69% —
708 major male pelvic procedures without cc/mcc $76,235 $53,365 $72,969 +4% $36,988 +106% —
418 laparoscopic cholecystectomy without c.d.e. with cc $76,108 $53,276 $66,824 +14% $44,606 +71% ≈475% of Medicare
146 ear, nose, mouth and throat malignancy with mcc $76,031 $53,222 $84,547 −10% $40,108 +90% —
483 major joint or limb reattachment procedures of upper extremities $75,972 $53,180 $60,769 +25% $58,707 +29% —
413 cholecystectomy with c.d.e. without cc/mcc $75,963 $53,174 $14,861 +411% $29,316 +159% —
614 adrenal and pituitary procedures with cc/mcc $75,860 $53,102 $36,608 +107% $48,349 +57% —
374 digestive malignancy with mcc $75,811 $53,068 $66,916 +13% $39,958 +90% ≈395% of Medicare
867 other infectious and parasitic diseases diagnoses with mcc $75,777 $53,044 $45,414 +67% $38,070 +99% —
383 uncomplicated peptic ulcer with mcc $75,752 $53,027 $30,608 +147% $27,426 +176% —
100 seizures with mcc $75,291 $52,704 $55,589 +35% $35,481 +112% ≈370% of Medicare
741 uterine and adnexa procedures for non-ovarian and non-adnexal malignancy without cc/mcc $75,275 $52,692 $75,275 +0% $30,493 +147% —
940 o.r. procedures with diagnoses of other contact with health services with cc $75,162 $52,613 $58,474 +29% $43,650 +72% —
619 o.r. procedures for obesity with mcc $75,116 $52,581 $75,116 +0% $51,746 +45% —
414 cholecystectomy except by laparoscope without c.d.e. with mcc $74,991 $52,494 $52,499 +43% $69,743 +8% —
580 other skin, subcutaneous tissue and breast procedures with cc $74,950 $52,465 $71,606 +5% $38,101 +97% —
283 acute myocardial infarction, expired with mcc $74,601 $52,221 $76,702 −3% $39,955 +87% —
571 skin debridement with cc $74,361 $52,053 $65,831 +13% $37,169 +100% —
750 other female reproductive system o.r. procedures without cc/mcc $74,030 $51,821 $25,739 +188% $27,989 +164% —
922 other injury, poisoning and toxic effect diagnoses with mcc $73,999 $51,800 $22,801 +225% $31,563 +134% —
913 traumatic injury with mcc $73,878 $51,715 $34,309 +115% $24,198 +205% —
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $73,656 $51,559 $46,812 +57% $35,692 +106% —
545 connective tissue disorders with mcc $73,400 $51,380 $60,423 +21% $40,362 +82% —
754 malignancy, female reproductive system with mcc $73,244 $51,271 $37,402 +96% $32,433 +126% —
522 hip replacement with principal diagnosis of hip fracture without mcc $73,004 $51,103 $93,523 −22% $58,280 +25% ≈356% of Medicare
742 uterine and adnexa procedures for non-malignancy with cc/mcc $72,928 $51,050 $58,414 +25% $40,552 +80% —
817 other antepartum diagnoses with o.r. procedures with mcc $72,800 $50,960 $56,731 +28% $39,173 +86% —
693 urinary stones with mcc $72,776 $50,944 $39,855 +83% $23,892 +205% —
478 biopsies of musculoskeletal system and connective tissue with cc $72,682 $50,877 $101,650 −28% $50,139 +45% —
260 cardiac pacemaker revision except device replacement with mcc $72,668 $50,868 $102,833 −29% $70,371 +3% —
039 extracranial procedures without cc/mcc $72,546 $50,782 $58,778 +23% $26,618 +173% —
791 prematurity with major problems $72,421 $50,695 $53,686 +35% $42,679 +70% —
947 signs and symptoms with mcc $71,775 $50,242 $40,771 +76% $27,401 +162% —
551 medical back problems with mcc $71,691 $50,184 $47,486 +51% $34,017 +111% ≈420% of Medicare
604 trauma to the skin, subcutaneous tissue and breast with mcc $71,493 $50,045 $42,603 +68% $28,140 +154% —
497 local excision and removal of internal fixation devices except hip and femur without cc/mcc $71,079 $49,755 $71,079 +0% $29,805 +138% —
865 viral illness with mcc $70,956 $49,669 $34,511 +106% $26,910 +164% —
626 thyroid, parathyroid and thyroglossal procedures with cc $70,899 $49,629 $87,879 −19% $33,454 +112% —
135 sinus and mastoid procedures with cc/mcc $70,802 $49,562 $56,539 +25% $42,186 +68% —
707 major male pelvic procedures with cc/mcc $70,468 $49,328 $95,488 −26% $43,080 +64% —
602 cellulitis with mcc $70,414 $49,290 $42,228 +67% $30,598 +130% ≈566% of Medicare
328 stomach, esophageal and duodenal procedures without cc/mcc $70,356 $49,249 $24,791 +184% $39,006 +80% —
284 acute myocardial infarction, expired with cc $70,355 $49,249 $31,558 +123% $16,450 +328% —
327 stomach, esophageal and duodenal procedures with cc $70,164 $49,115 $89,754 −22% $59,421 +18% —
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $70,061 $49,042 $41,341 +69% $33,424 +110% —
510 shoulder, elbow or forearm procedures, except major joint procedures with mcc $70,041 $49,029 $115,246 −39% $49,839 +41% —
184 major chest trauma with cc $69,818 $48,873 $37,484 +86% $22,432 +211% —
559 aftercare, musculoskeletal system and connective tissue with mcc $69,799 $48,859 $48,720 +43% $33,047 +111% —
333 rectal resection with cc $69,779 $48,845 $69,779 +0% $37,154 +88% —
473 cervical spinal fusion without cc/mcc $69,708 $48,795 $52,262 +33% $50,624 +38% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $69,477 $48,634 $62,383 +11% $36,792 +89% —
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $69,423 $48,596 $46,693 +49% $38,094 +82% —
592 skin ulcers with mcc $69,226 $48,458 $41,440 +67% $33,246 +108% —
287 circulatory disorders except ami, with cardiac catheterization without mcc $68,874 $48,211 $31,798 +117% $32,021 +115% ≈605% of Medicare
036 carotid artery stent procedures without cc/mcc $68,829 $48,180 $68,829 +0% $40,694 +69% —
829 myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc $68,752 $48,126 $75,637 −9% $53,864 +28% —
199 pneumothorax with mcc $68,008 $47,605 $47,278 +44% $33,787 +101% —
410 biliary tract procedures except only cholecystectomy with or without c.d.e. without cc/mcc $67,982 $47,587 $68,346 −1% $34,434 +97% —
272 other major cardiovascular procedures without cc/mcc $67,978 $47,585 $53,454 +27% $55,162 +23% —
949 aftercare with cc/mcc $67,874 $47,512 $37,103 +83% $23,953 +183% —
668 transurethral procedures with mcc $67,874 $47,512 $131,756 −48% $51,608 +32% —
177 respiratory infections and inflammations with mcc $67,741 $47,419 $59,663 +14% $33,707 +101% ≈413% of Medicare
280 acute myocardial infarction, discharged alive with mcc $67,697 $47,388 $64,761 +5% $30,828 +120% ≈405% of Medicare
977 hiv with or without other related condition $67,639 $47,347 $38,127 +77% $22,525 +200% —
205 other respiratory system diagnoses with mcc $67,612 $47,329 $27,354 +147% $33,255 +103% —
398 appendix procedures with cc $67,214 $47,050 $39,406 +71% $40,162 +67% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $66,924 $46,847 $51,495 +30% $34,459 +94% —
964 other multiple significant trauma with cc $66,621 $46,635 $69,421 −4% $27,394 +143% —
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $66,293 $46,405 $66,293 +0% $52,075 +27% —
606 minor skin disorders with mcc $66,238 $46,367 $44,210 +50% $27,975 +137% —
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $66,028 $46,219 $58,728 +12% $50,607 +30% ≈356% of Medicare
438 disorders of pancreas except malignancy with mcc $65,970 $46,179 $31,576 +109% $32,628 +102% —
643 endocrine disorders with mcc $65,787 $46,051 $45,419 +45% $33,563 +96% ≈377% of Medicare
182 respiratory neoplasms without cc/mcc $65,710 $45,997 $29,912 +120% $14,064 +367% —
337 peritoneal adhesiolysis without cc/mcc $65,580 $45,906 $46,841 +40% $39,211 +67% —
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $65,482 $45,837 $55,988 +17% $36,937 +77% —
289 acute and subacute endocarditis with cc $65,380 $45,766 $51,015 +28% $32,697 +100% —
485 knee procedures with principal diagnosis of infection with mcc $65,293 $45,705 $65,293 +0% $72,424 −10% —
080 nontraumatic stupor and coma with mcc $65,261 $45,683 $64,202 +2% $36,249 +80% —
849 radiotherapy $65,074 $45,551 $40,661 +60% $37,862 +72% —
424 other hepatobiliary or pancreas o.r. procedures with cc $65,002 $45,502 $53,312 +22% $42,415 +53% —
499 local excision and removal of internal fixation devices of hip and femur without cc/mcc $64,990 $45,493 $38,675 +68% $21,230 +206% —
520 back and neck procedures except spinal fusion without cc/mcc $64,935 $45,454 $76,863 −16% $35,465 +83% —
281 acute myocardial infarction, discharged alive with cc $64,777 $45,344 $47,860 +35% $20,463 +217% ≈642% of Medicare
723 malignancy, male reproductive system with cc $64,510 $45,157 $33,371 +93% $19,815 +226% —
909 other o.r. procedures for injuries without cc/mcc $64,413 $45,089 $27,792 +132% $28,156 +129% —
255 upper limb and toe amputation for circulatory system disorders with mcc $64,410 $45,087 $82,361 −22% $46,453 +39% —
658 kidney and ureter procedures for neoplasm without cc/mcc $64,362 $45,053 $65,576 −2% $36,253 +78% —
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $64,345 $45,042 $114,641 −44% $66,685 −4% —
354 hernia procedures except inguinal and femoral with cc $64,288 $45,002 $56,043 +15% $43,477 +48% —
254 other vascular procedures without cc/mcc $64,197 $44,938 $69,905 −8% $38,836 +65% —
836 acute leukemia without cc/mcc $64,193 $44,935 $31,978 +101% $19,686 +226% —
717 other male reproductive system o.r. procedures except malignancy with cc/mcc $63,589 $44,512 $74,373 −14% $36,670 +73% —
090 concussion without cc/mcc $63,388 $44,372 $37,092 +71% $15,412 +311% —
476 amputation for musculoskeletal system and connective tissue disorders without cc/mcc $63,331 $44,332 $63,331 +0% $23,443 +170% —
432 cirrhosis and alcoholic hepatitis with mcc $63,126 $44,188 $60,382 +5% $40,213 +57% —
423 other hepatobiliary or pancreas o.r. procedures with mcc $63,011 $44,108 $63,011 +0% $79,225 −20% —
617 amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $62,836 $43,986 $63,830 −2% $42,881 +47% —
686 kidney and urinary tract neoplasms with mcc $62,688 $43,882 $62,621 +0% $37,844 +66% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $62,430 $43,701 $52,760 +18% $32,574 +92% —
241 amputation for circulatory system disorders except upper limb and toe without cc/mcc $62,251 $43,576 $61,760 +1% $30,770 +102% —
083 traumatic stupor and coma >1 hour with cc $62,165 $43,515 $45,325 +37% $27,285 +128% ≈436% of Medicare
033 ventricular shunt procedures without cc/mcc $62,151 $43,506 $56,023 +11% $35,419 +75% —
091 other disorders of nervous system with mcc $61,996 $43,397 $61,996 +0% $37,387 +66% ≈416% of Medicare
070 nonspecific cerebrovascular disorders with mcc $61,725 $43,208 $42,676 +45% $31,951 +93% —
482 hip and femur procedures except major joint without cc/mcc $61,579 $43,106 $65,442 −6% $41,955 +47% ≈389% of Medicare
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $61,488 $43,042 $71,647 −14% $39,181 +57% —
868 other infectious and parasitic diseases diagnoses with cc $61,435 $43,005 $25,599 +140% $22,763 +170% —
071 nonspecific cerebrovascular disorders with cc $61,423 $42,996 $42,771 +44% $23,488 +162% ≈613% of Medicare
304 hypertension with mcc $60,970 $42,679 $47,999 +27% $26,080 +134% —
175 pulmonary embolism with mcc or acute cor pulmonale $60,950 $42,665 $40,668 +50% $30,959 +97% ≈412% of Medicare
355 hernia procedures except inguinal and femoral without cc/mcc $60,942 $42,660 $46,930 +30% $32,841 +86% —
351 inguinal and femoral hernia procedures with cc $60,874 $42,612 $35,607 +71% $36,505 +67% —
188 pleural effusion without cc/mcc $60,428 $42,300 $25,322 +139% $14,514 +316% —
660 kidney and ureter procedures for non-neoplasm with cc $60,258 $42,181 $60,046 +0% $31,264 +93% —
099 non-bacterial infection of nervous system except viral meningitis without cc/mcc $60,190 $42,133 $37,862 +59% $27,119 +122% —
144 other ear, nose, mouth and throat o.r. procedures with cc $59,712 $41,798 $54,298 +10% $30,553 +95% —
905 skin grafts for injuries without cc/mcc $59,559 $41,691 $55,709 +7% $25,197 +136% —
804 other o.r. procedures of the blood and blood forming organs without cc/mcc $59,320 $41,524 $32,390 +83% $24,544 +142% —
557 tendonitis, myositis and bursitis with mcc $59,314 $41,520 $31,833 +86% $32,877 +80% —
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $59,292 $41,504 $58,005 +2% $33,393 +78% —
154 other ear, nose, mouth and throat diagnoses with mcc $58,642 $41,049 $24,335 +141% $27,633 +112% —
269 aortic and heart assist procedures except pulsation balloon without mcc $58,594 $41,016 $58,594 +0% $85,159 −31% ≈134% of Medicare
935 non-extensive burns $58,496 $40,947 $12,401 +372% $31,701 +85% —
282 acute myocardial infarction, discharged alive without cc/mcc $58,480 $40,936 $37,994 +54% $19,227 +204% —
393 other digestive system diagnoses with mcc $58,148 $40,704 $58,148 +0% $34,192 +70% ≈346% of Medicare
038 extracranial procedures with cc $57,945 $40,561 $57,945 +0% $35,770 +62% —
197 interstitial lung disease with cc $57,937 $40,556 $40,745 +42% $21,941 +164% —
086 traumatic stupor and coma <1 hour with cc $57,825 $40,478 $42,644 +36% $27,043 +114% ≈421% of Medicare
092 other disorders of nervous system with cc $57,798 $40,458 $23,972 +141% $24,914 +132% ≈523% of Medicare
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $57,578 $40,305 $48,581 +19% $29,743 +94% —
514 hand or wrist procedures, except major thumb or joint procedures without cc/mcc $57,529 $40,270 $50,701 +13% $22,635 +154% —
975 hiv with major related condition with cc $57,477 $40,234 $53,056 +8% $27,808 +107% —
862 postoperative and post-traumatic infections with mcc $57,459 $40,221 $50,709 +13% $32,859 +75% —
758 infections, female reproductive system with cc $57,442 $40,209 $10,917 +426% $20,901 +175% —
189 pulmonary edema and respiratory failure $56,733 $39,713 $37,258 +52% $26,580 +113% ≈442% of Medicare
872 septicemia or severe sepsis without mv >96 hours without mcc $56,273 $39,391 $34,103 +65% $22,888 +146% ≈514% of Medicare
358 other digestive system o.r. procedures without cc/mcc $56,231 $39,361 $38,935 +44% $30,083 +87% —
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $56,145 $39,302 $48,455 +16% $25,463 +120% ≈408% of Medicare
489 knee procedures without principal diagnosis of infection without cc/mcc $56,109 $39,276 $63,386 −11% $28,320 +98% —
094 bacterial and tuberculous infections of nervous system with mcc $55,982 $39,187 $86,669 −35% $68,639 −18% —
198 interstitial lung disease without cc/mcc $55,948 $39,164 $23,833 +135% $15,549 +260% —
306 cardiac congenital and valvular disorders with mcc $55,851 $39,096 $42,059 +33% $24,586 +127% —
308 cardiac arrhythmia and conduction disorders with mcc $55,688 $38,981 $29,865 +86% $26,770 +108% ≈438% of Medicare
196 interstitial lung disease with mcc $55,634 $38,944 $39,473 +41% $32,637 +70% —
597 malignant breast disorders with mcc $55,017 $38,512 $55,881 −2% $33,386 +65% —
621 o.r. procedures for obesity without cc/mcc $54,865 $38,406 $31,658 +73% $32,451 +69% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $54,845 $38,391 $43,378 +26% $26,932 +104% —
548 septic arthritis with mcc $54,665 $38,266 $40,479 +35% $31,346 +74% —
620 o.r. procedures for obesity with cc $54,249 $37,974 $44,766 +21% $35,453 +53% —
399 appendix procedures without cc/mcc $53,713 $37,599 $43,755 +23% $31,321 +71% —
371 major gastrointestinal disorders and peritoneal infections with mcc $53,484 $37,439 $42,840 +25% $33,555 +59% ≈312% of Medicare
914 traumatic injury without mcc $53,341 $37,339 $10,147 +426% $15,855 +236% —
388 gastrointestinal obstruction with mcc $53,313 $37,319 $39,991 +33% $30,571 +74% —
713 transurethral prostatectomy with cc/mcc $53,312 $37,319 $68,024 −22% $32,100 +66% —
747 vagina, cervix and vulva procedures without cc/mcc $53,260 $37,282 $12,910 +313% $19,594 +172% —
200 pneumothorax with cc $53,178 $37,224 $24,177 +120% $21,368 +149% —
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $53,081 $37,157 $27,043 +96% $18,126 +193% —
811 red blood cell disorders with mcc $52,759 $36,932 $51,703 +2% $28,226 +87% ≈365% of Medicare
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $52,550 $36,785 $53,976 −3% $49,418 +6% —
375 digestive malignancy with cc $52,531 $36,771 $52,392 +0% $27,277 +93% —
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $52,426 $36,698 $24,390 +115% $18,150 +189% —
444 disorders of the biliary tract with mcc $52,376 $36,663 $40,839 +28% $34,273 +53% —
187 pleural effusion with cc $52,286 $36,600 $48,849 +7% $21,789 +140% —
698 other kidney and urinary tract diagnoses with mcc $52,251 $36,576 $36,072 +45% $32,496 +61% ≈306% of Medicare
190 chronic obstructive pulmonary disease with mcc $52,195 $36,537 $41,965 +24% $24,386 +114% ≈455% of Medicare
662 minor bladder procedures with mcc $52,081 $36,457 $104,590 −50% $54,562 −5% —
369 major esophageal disorders with cc $52,049 $36,434 $17,396 +199% $25,303 +106% —
368 major esophageal disorders with mcc $52,003 $36,402 $48,013 +8% $33,876 +54% —
376 digestive malignancy without cc/mcc $51,925 $36,348 $30,445 +71% $16,998 +205% —
755 malignancy, female reproductive system with cc $51,884 $36,319 $30,444 +70% $18,459 +181% —
381 complicated peptic ulcer with cc $51,575 $36,103 $36,968 +40% $24,177 +113% —
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $51,543 $36,080 $64,785 −20% $39,887 +29% —
435 malignancy of hepatobiliary system or pancreas with mcc $51,464 $36,025 $67,081 −23% $37,950 +36% ≈263% of Medicare
193 simple pneumonia and pleurisy with mcc $51,437 $36,006 $40,704 +26% $27,275 +89% ≈387% of Medicare
921 complications of treatment without cc/mcc $51,205 $35,843 $15,477 +231% $14,415 +255% —
743 uterine and adnexa procedures for non-malignancy without cc/mcc $51,180 $35,826 $46,508 +10% $30,784 +66% —
796 vaginal delivery with sterilization and/or d&c with mcc $51,175 $35,823 $34,354 +49% $22,557 +127% —
644 endocrine disorders with cc $51,143 $35,800 $35,344 +45% $23,198 +120% ≈444% of Medicare
180 respiratory neoplasms with mcc $50,903 $35,632 $50,903 +0% $36,658 +39% ≈286% of Medicare
917 poisoning and toxic effects of drugs with mcc $50,897 $35,628 $31,429 +62% $30,235 +68% ≈327% of Medicare
299 peripheral vascular disorders with mcc $50,813 $35,569 $49,639 +2% $27,316 +86% —
505 foot procedures without cc/mcc $50,642 $35,450 $75,551 −33% $34,937 +45% —
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $50,582 $35,407 $39,518 +28% $23,940 +111% ≈464% of Medicare
506 major thumb or joint procedures $50,088 $35,061 $31,650 +58% $30,557 +64% —
201 pneumothorax without cc/mcc $49,972 $34,980 $23,084 +116% $14,053 +256% —
855 infectious and parasitic diseases with o.r. procedures without cc/mcc $49,943 $34,960 $42,698 +17% $28,202 +77% —
186 pleural effusion with mcc $49,894 $34,926 $40,621 +23% $33,834 +47% —
536 fractures of hip and pelvis without mcc $49,830 $34,881 $24,481 +104% $18,002 +177% —
073 cranial and peripheral nerve disorders with mcc $49,608 $34,726 $17,061 +191% $30,010 +65% —
661 kidney and ureter procedures for non-neoplasm without cc/mcc $49,527 $34,669 $49,527 +0% $25,970 +91% —
502 soft tissue procedures without cc/mcc $49,488 $34,642 $49,488 +0% $31,017 +60% —
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $49,245 $34,472 $42,616 +16% $24,127 +104% —
445 disorders of the biliary tract with cc $48,878 $34,214 $47,804 +2% $23,319 +110% ≈415% of Medicare
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $48,867 $34,207 $43,125 +13% $23,551 +107% ≈472% of Medicare
593 skin ulcers with cc $48,602 $34,021 $32,139 +51% $22,886 +112% —
669 transurethral procedures with cc $48,595 $34,017 $70,704 −31% $34,354 +41% —
637 diabetes with mcc $48,509 $33,956 $38,920 +25% $30,100 +61% ≈330% of Medicare
689 kidney and urinary tract infections with mcc $48,471 $33,930 $36,493 +33% $23,617 +105% ≈413% of Medicare
075 viral meningitis with cc/mcc $48,318 $33,822 $25,373 +90% $30,447 +59% —
683 renal failure with cc $48,088 $33,661 $27,364 +76% $19,130 +151% ≈538% of Medicare
067 nonspecific cva and precerebral occlusion without infarction with mcc $47,790 $33,453 $37,493 +27% $24,941 +92% —
560 aftercare, musculoskeletal system and connective tissue with cc $47,565 $33,296 $41,798 +14% $25,279 +88% —
352 inguinal and femoral hernia procedures without cc/mcc $47,503 $33,252 $47,503 +0% $27,843 +71% —
818 other antepartum diagnoses with o.r. procedures with cc $47,356 $33,149 $46,830 +1% $26,870 +76% —
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $47,331 $33,131 $29,525 +60% $19,842 +139% —
346 minor small and large bowel procedures without cc/mcc $47,290 $33,103 $47,290 +0% $27,297 +73% —
694 urinary stones without mcc $47,261 $33,083 $28,782 +64% $17,345 +172% —
054 nervous system neoplasms with mcc $47,257 $33,080 $43,842 +8% $30,502 +55% —
291 heart failure and shock with mcc $46,721 $32,705 $29,310 +59% $26,776 +74% ≈363% of Medicare
682 renal failure with mcc $46,607 $32,625 $48,136 −3% $29,064 +60% ≈312% of Medicare
789 neonates, died or transferred to another acute care facility $46,515 $32,561 $21,937 +112% $16,351 +184% —
863 postoperative and post-traumatic infections without mcc $46,449 $32,514 $22,509 +106% $20,957 +122% —
565 other musculoskeletal system and connective tissue diagnoses with cc $46,333 $32,433 $29,170 +59% $22,506 +106% —
191 chronic obstructive pulmonary disease with cc $46,266 $32,386 $36,319 +27% $18,807 +146% —
825 lymphoma and non-acute leukemia with other procedures without cc/mcc $46,266 $32,386 $31,615 +46% $27,323 +69% —
311 angina pectoris $46,172 $32,321 $35,326 +31% $15,502 +198% —
288 acute and subacute endocarditis with mcc $46,138 $32,296 $86,931 −47% $50,618 −9% —
057 degenerative nervous system disorders without mcc $46,041 $32,228 $43,603 +6% $27,543 +67% ≈366% of Medicare
841 lymphoma and non-acute leukemia with cc $45,978 $32,184 $46,206 −0% $33,633 +37% —
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $45,948 $32,163 $26,998 +70% $33,985 +35% ≈274% of Medicare
256 upper limb and toe amputation for circulatory system disorders with cc $45,697 $31,988 $40,810 +12% $32,944 +39% —
178 respiratory infections and inflammations with cc $45,632 $31,942 $37,010 +23% $22,024 +107% ≈444% of Medicare
386 inflammatory bowel disease with cc $45,398 $31,779 $37,075 +22% $22,033 +106% —
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $45,242 $31,670 $28,447 +59% $34,607 +31% —
066 intracranial hemorrhage or cerebral infarction without cc/mcc $45,207 $31,645 $34,174 +32% $20,781 +118% ≈616% of Medicare
433 cirrhosis and alcoholic hepatitis with cc $45,204 $31,643 $33,347 +36% $23,749 +90% —
300 peripheral vascular disorders with cc $45,144 $31,601 $34,293 +32% $20,422 +121% —
786 cesarean section without sterilization with mcc $45,066 $31,546 $30,195 +49% $27,152 +66% —
158 dental and oral diseases with cc $44,769 $31,338 $16,694 +168% $18,466 +142% —
292 heart failure and shock with cc $44,675 $31,273 $30,014 +49% $16,371 +173% —
920 complications of treatment with cc $44,613 $31,229 $32,703 +36% $22,468 +99% —
800 splenic procedures with cc $44,560 $31,192 $69,314 −36% $49,184 −9% —
670 transurethral procedures without cc/mcc $44,557 $31,190 $36,656 +22% $20,911 +113% —
699 other kidney and urinary tract diagnoses with cc $44,371 $31,060 $34,923 +27% $21,275 +109% —
844 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc $44,343 $31,040 $34,687 +28% $21,847 +103% —
074 cranial and peripheral nerve disorders without mcc $44,329 $31,030 $44,329 +0% $23,141 +92% —
831 other antepartum diagnoses without o.r. procedures with mcc $44,282 $30,998 $24,705 +79% $18,133 +144% —
382 complicated peptic ulcer without cc/mcc $44,233 $30,963 $36,417 +21% $16,634 +166% —
179 respiratory infections and inflammations without cc/mcc $44,137 $30,896 $26,127 +69% $14,648 +201% —
394 other digestive system diagnoses with cc $43,701 $30,591 $32,521 +34% $20,181 +117% ≈399% of Medicare
552 medical back problems without mcc $43,604 $30,523 $39,751 +10% $21,396 +104% ≈465% of Medicare
372 major gastrointestinal disorders and peritoneal infections with cc $43,558 $30,490 $33,096 +32% $22,850 +91% ≈407% of Medicare
076 viral meningitis without cc/mcc $43,494 $30,446 $26,235 +66% $17,135 +154% —
069 transient ischemia without thrombolytic $43,441 $30,409 $41,089 +6% $21,056 +106% ≈522% of Medicare
303 atherosclerosis without mcc $43,411 $30,388 $26,306 +65% $14,927 +191% —
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $43,282 $30,298 $39,350 +10% $31,159 +39% —
822 lymphoma and leukemia with major o.r. procedures without cc/mcc $42,877 $30,014 $53,554 −20% $25,390 +69% —
948 signs and symptoms without mcc $42,797 $29,958 $29,369 +46% $17,921 +139% ≈546% of Medicare
687 kidney and urinary tract neoplasms with cc $42,459 $29,722 $38,408 +11% $20,232 +110% —
385 inflammatory bowel disease with mcc $42,184 $29,529 $43,521 −3% $27,617 +53% —
185 major chest trauma without cc/mcc $42,149 $29,505 $25,373 +66% $17,124 +146% —
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $42,052 $29,436 $54,418 −23% $39,018 +8% —
915 allergic reactions with mcc $41,949 $29,365 $33,057 +27% $32,645 +29% —
725 benign prostatic hypertrophy with mcc $41,903 $29,332 $41,210 +2% $22,320 +88% —
919 complications of treatment with mcc $41,881 $29,317 $41,881 +0% $31,105 +35% —
572 skin debridement without cc/mcc $41,830 $29,281 $47,730 −12% $24,944 +68% —
058 multiple sclerosis and cerebellar ataxia with mcc $41,490 $29,043 $31,716 +31% $30,243 +37% —
117 intraocular procedures without cc/mcc $41,439 $29,007 $13,796 +200% $17,193 +141% —
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $41,339 $28,937 $39,039 +6% $21,449 +93% —
797 vaginal delivery with sterilization and/or d&c with cc $41,066 $28,746 $28,804 +43% $19,962 +106% —
055 nervous system neoplasms without mcc $41,008 $28,706 $37,105 +11% $20,926 +96% —
387 inflammatory bowel disease without cc/mcc $40,913 $28,639 $18,896 +117% $16,288 +151% —
700 other kidney and urinary tract diagnoses without cc/mcc $40,906 $28,634 $29,056 +41% $14,797 +176% —
601 non-malignant breast disorders without cc/mcc $40,738 $28,517 $18,290 +123% $10,975 +271% —
434 cirrhosis and alcoholic hepatitis without cc/mcc $40,469 $28,328 $22,219 +82% $12,460 +225% —
816 reticuloendothelial and immunity disorders without cc/mcc $40,350 $28,245 $25,323 +59% $14,638 +176% —
645 endocrine disorders without cc/mcc $40,275 $28,193 $30,713 +31% $15,428 +161% —
204 respiratory signs and symptoms $40,224 $28,157 $23,724 +70% $18,004 +123% —
293 heart failure and shock without cc/mcc $40,103 $28,072 $27,096 +48% $12,999 +209% —
815 reticuloendothelial and immunity disorders with cc $40,027 $28,019 $33,593 +19% $19,264 +108% —
315 other circulatory system diagnoses with cc $39,909 $27,936 $29,612 +35% $21,363 +87% —
848 chemotherapy without acute leukemia as secondary diagnosis without cc/mcc $39,830 $27,881 $20,707 +92% $14,501 +175% —
370 major esophageal disorders without cc/mcc $39,623 $27,736 $11,777 +236% $15,495 +156% —
695 kidney and urinary tract signs and symptoms with mcc $39,339 $27,537 $28,591 +38% $24,566 +60% —
547 connective tissue disorders without cc/mcc $39,314 $27,520 $32,275 +22% $16,565 +137% —
830 myeloproliferative disorders or poorly differentiated neoplasms with other procedures without cc/mcc $39,228 $27,459 $46,014 −15% $31,170 +26% —
821 lymphoma and leukemia with major o.r. procedures with cc $39,191 $27,434 $54,864 −29% $47,789 −18% —
103 headaches without mcc $39,168 $27,418 $33,850 +16% $21,280 +84% —
312 syncope and collapse $39,034 $27,324 $23,207 +68% $19,342 +102% ≈415% of Medicare
538 sprains, strains, and dislocations of hip, pelvis and thigh without cc/mcc $38,905 $27,233 $8,163 +377% $11,909 +227% —
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $38,674 $27,072 $30,211 +28% $16,776 +131% —
181 respiratory neoplasms with cc $38,596 $27,017 $27,597 +40% $23,573 +64% —
060 multiple sclerosis and cerebellar ataxia without cc/mcc $38,576 $27,003 $41,351 −7% $22,148 +74% —
965 other multiple significant trauma without cc/mcc $38,522 $26,965 $30,693 +26% $20,259 +90% —
379 gastrointestinal hemorrhage without cc/mcc $38,394 $26,876 $33,249 +15% $15,038 +155% —
783 cesarean section with sterilization with mcc $38,373 $26,861 $38,373 +0% $29,221 +31% —
869 other infectious and parasitic diseases diagnoses without cc/mcc $38,260 $26,782 $6,943 +451% $12,559 +205% —
378 gastrointestinal hemorrhage with cc $38,205 $26,744 $28,801 +33% $22,098 +73% ≈358% of Medicare
349 anal and stomal procedures without cc/mcc $38,162 $26,713 $46,815 −18% $19,854 +92% —
594 skin ulcers without cc/mcc $38,122 $26,685 $13,534 +182% $14,209 +168% —
439 disorders of pancreas except malignancy with cc $38,046 $26,632 $33,385 +14% $19,096 +99% —
096 bacterial and tuberculous infections of nervous system without cc/mcc $37,786 $26,450 $73,605 −49% $41,620 −9% —
137 mouth procedures with cc/mcc $37,725 $26,407 $55,905 −33% $27,861 +35% —
798 vaginal delivery with sterilization and/or d&c without cc/mcc $37,606 $26,324 $26,492 +42% $18,452 +104% —
876 o.r. procedures with principal diagnosis of mental illness $37,438 $26,207 $32,463 +15% $54,196 −31% —
813 coagulation disorders $37,437 $26,206 $50,736 −26% $33,296 +12% ≈216% of Medicare
759 infections, female reproductive system without cc/mcc $37,435 $26,205 $21,534 +74% $14,250 +163% —
605 trauma to the skin, subcutaneous tissue and breast without mcc $37,430 $26,201 $25,841 +45% $20,506 +83% —
068 nonspecific cva and precerebral occlusion without infarction without mcc $37,338 $26,137 $37,338 +0% $19,569 +91% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $37,251 $26,076 $37,251 +0% $28,050 +33% ≈256% of Medicare
194 simple pneumonia and pleurisy with cc $37,093 $25,965 $23,223 +60% $18,204 +104% ≈429% of Medicare
072 nonspecific cerebrovascular disorders without cc/mcc $37,016 $25,911 $37,492 −1% $19,037 +94% —
125 other disorders of the eye without mcc $36,789 $25,752 $32,461 +13% $17,298 +113% —
784 cesarean section with sterilization with cc $36,581 $25,606 $26,715 +37% $23,283 +57% —
603 cellulitis without mcc $36,392 $25,474 $24,682 +47% $18,530 +96% ≈402% of Medicare
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $36,336 $25,435 $28,392 +28% $17,038 +113% ≈421% of Medicare
305 hypertension without mcc $36,282 $25,397 $31,871 +14% $18,086 +101% ≈476% of Medicare
787 cesarean section without sterilization with cc $36,104 $25,273 $26,312 +37% $23,571 +53% —
155 other ear, nose, mouth and throat diagnoses with cc $35,908 $25,136 $29,460 +22% $16,968 +112% —
192 chronic obstructive pulmonary disease without cc/mcc $35,509 $24,857 $32,802 +8% $14,368 +147% —
728 inflammation of the male reproductive system without mcc $35,468 $24,828 $26,473 +34% $17,118 +107% —
684 renal failure without cc/mcc $35,387 $24,771 $26,277 +35% $13,642 +159% —
206 other respiratory system diagnoses without mcc $35,345 $24,742 $35,345 +0% $18,488 +91% —
950 aftercare without cc/mcc $35,164 $24,615 $7,421 +374% $13,527 +160% —
176 pulmonary embolism without mcc $34,555 $24,189 $31,966 +8% $18,081 +91% —
093 other disorders of nervous system without cc/mcc $34,330 $24,031 $12,483 +175% $17,620 +95% —
309 cardiac arrhythmia and conduction disorders with cc $34,155 $23,908 $32,487 +5% $17,303 +97% ≈406% of Medicare
812 red blood cell disorders without mcc $34,108 $23,876 $30,131 +13% $20,488 +66% ≈347% of Medicare
077 hypertensive encephalopathy with mcc $34,021 $23,815 $10,935 +211% $24,550 +39% —
714 transurethral prostatectomy without cc/mcc $33,977 $23,784 $28,737 +18% $17,934 +89% —
298 cardiac arrest, unexplained without cc/mcc $33,780 $23,646 $8,987 +276% $8,927 +278% —
690 kidney and urinary tract infections without mcc $33,680 $23,576 $29,358 +15% $17,674 +91% ≈394% of Medicare
788 cesarean section without sterilization without cc/mcc $33,669 $23,568 $22,843 +47% $20,084 +68% —
084 traumatic stupor and coma >1 hour without cc/mcc $33,592 $23,514 $14,335 +134% $19,924 +69% —
059 multiple sclerosis and cerebellar ataxia with cc $33,490 $23,443 $28,653 +17% $27,163 +23% —
554 bone diseases and arthropathies without mcc $33,489 $23,442 $31,296 +7% $18,528 +81% —
546 connective tissue disorders with cc $33,064 $23,145 $43,859 −25% $25,700 +29% —
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $33,062 $23,143 $41,685 −21% $22,458 +47% —
145 other ear, nose, mouth and throat o.r. procedures without cc/mcc $33,047 $23,133 $46,699 −29% $25,712 +29% —
138 mouth procedures without cc/mcc $33,031 $23,122 $23,913 +38% $19,119 +73% —
785 cesarean section with sterilization without cc/mcc $32,896 $23,027 $23,243 +42% $19,846 +66% —
313 chest pain $32,729 $22,910 $26,595 +23% $16,440 +99% ≈422% of Medicare
638 diabetes with cc $32,607 $22,825 $24,363 +34% $19,661 +66% ≈351% of Medicare
440 disorders of pancreas except malignancy without cc/mcc $32,208 $22,545 $22,569 +43% $15,183 +112% —
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $31,594 $22,116 $31,594 +0% $17,322 +82% ≈400% of Medicare
446 disorders of the biliary tract without cc/mcc $31,555 $22,088 $8,915 +254% $17,700 +78% —
607 minor skin disorders without mcc $31,522 $22,065 $30,316 +4% $15,889 +98% —
951 other factors influencing health status $31,519 $22,063 $6,799 +364% $10,160 +210% —
310 cardiac arrhythmia and conduction disorders without cc/mcc $31,480 $22,036 $23,464 +34% $13,384 +135% ≈524% of Medicare
101 seizures without mcc $31,380 $21,966 $31,557 −1% $20,461 +53% ≈294% of Medicare
600 non-malignant breast disorders with cc/mcc $30,870 $21,609 $18,819 +64% $16,700 +85% —
150 epistaxis with mcc $30,696 $21,487 $35,164 −13% $23,171 +32% —
835 acute leukemia with cc $30,533 $21,373 $32,974 −7% $35,569 −14% —
558 tendonitis, myositis and bursitis without mcc $30,511 $21,358 $25,672 +19% $18,602 +64% —
123 neurological eye disorders $30,351 $21,246 $36,044 −16% $19,745 +54% —
202 bronchitis and asthma with cc/mcc $30,042 $21,029 $25,257 +19% $17,724 +69% —
389 gastrointestinal obstruction with cc $29,899 $20,930 $29,899 +0% $17,578 +70% ≈348% of Medicare
087 traumatic stupor and coma <1 hour without cc/mcc $29,899 $20,929 $14,753 +103% $16,520 +81% —
549 septic arthritis with cc $29,878 $20,914 $38,781 −23% $24,056 +24% —
745 d&c, conization, laparoscopy and tubal interruption without cc/mcc $29,791 $20,854 $29,791 +0% $18,348 +62% —
078 hypertensive encephalopathy with cc $29,720 $20,804 $10,306 +188% $17,698 +68% —
663 minor bladder procedures with cc $29,199 $20,440 $50,967 −43% $33,103 −12% —
757 infections, female reproductive system with mcc $29,007 $20,305 $29,007 +0% $26,280 +10% —
152 otitis media and uri with mcc $29,004 $20,303 $28,331 +2% $20,247 +43% —
642 inborn and other disorders of metabolism $28,847 $20,193 $24,356 +18% $20,727 +39% —
866 viral illness without mcc $28,821 $20,174 $21,438 +34% $17,081 +69% —
880 acute adjustment reaction and psychosocial dysfunction $28,293 $19,805 $29,833 −5% $17,733 +60% —
918 poisoning and toxic effects of drugs without mcc $28,077 $19,654 $18,420 +52% $15,452 +82% —
395 other digestive system diagnoses without cc/mcc $28,053 $19,637 $27,558 +2% $14,128 +99% —
770 abortion with d&c, aspiration curettage or hysterotomy $28,007 $19,605 $31,944 −12% $18,956 +48% —
443 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc $27,687 $19,381 $30,373 −9% $15,600 +77% —
894 alcohol, drug abuse or dependence, left ama $27,513 $19,259 $19,065 +44% $12,324 +123% —
760 menstrual and other female reproductive system disorders with cc/mcc $27,341 $19,139 $27,341 +0% $20,895 +31% —
793 full term neonate with major problems $27,324 $19,127 $18,649 +47% $18,649 +47% —
437 malignancy of hepatobiliary system or pancreas without cc/mcc $27,234 $19,064 $27,234 +0% $14,014 +94% —
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $26,942 $18,859 $26,661 +1% $16,767 +61% —
149 dysequilibrium $26,905 $18,834 $12,109 +122% $18,096 +49% —
390 gastrointestinal obstruction without cc/mcc $26,598 $18,619 $26,598 +0% $13,361 +99% —
858 postoperative or post-traumatic infections with o.r. procedures without cc/mcc $26,569 $18,598 $26,569 +0% $25,748 +3% —
887 other mental disorder diagnoses $26,460 $18,522 $15,760 +68% $20,616 +28% —
814 reticuloendothelial and immunity disorders with mcc $25,581 $17,906 $52,058 −51% $33,851 −24% —
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $25,522 $17,866 $20,156 +27% $18,316 +39% —
805 vaginal delivery without sterilization or d&c with mcc $25,406 $17,784 $14,619 +74% $15,370 +65% —
864 fever and inflammatory conditions $25,278 $17,695 $24,207 +4% $18,640 +36% —
989 non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $25,206 $17,644 $25,206 +0% $25,652 −2% —
316 other circulatory system diagnoses without cc/mcc $25,080 $17,556 $23,613 +6% $13,651 +84% —
639 diabetes without cc/mcc $25,018 $17,513 $24,779 +1% $13,910 +80% —
769 postpartum and post abortion diagnoses with o.r. procedures $24,580 $17,206 $24,580 +0% $25,094 −2% —
550 septic arthritis without cc/mcc $24,147 $16,903 $22,613 +7% $19,138 +26% —
847 chemotherapy without acute leukemia as secondary diagnosis with cc $23,498 $16,448 $20,107 +17% $23,498 +0% —
761 menstrual and other female reproductive system disorders without cc/mcc $23,335 $16,335 $23,335 +0% $11,421 +104% —
534 fractures of femur without mcc $23,007 $16,105 $27,341 −16% $17,559 +31% —
846 chemotherapy without acute leukemia as secondary diagnosis with mcc $22,423 $15,696 $28,865 −22% $38,878 −42% —
541 osteomyelitis without cc/mcc $22,349 $15,644 $26,161 −15% $15,215 +47% —
596 major skin disorders without mcc $22,262 $15,583 $13,717 +62% $17,226 +29% —
884 organic disturbances and intellectual disability $22,214 $15,550 $25,270 −12% $26,682 −17% ≈156% of Medicare
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $22,091 $15,464 $17,162 +29% $16,846 +31% —
156 other ear, nose, mouth and throat diagnoses without cc/mcc $21,676 $15,174 $20,393 +6% $14,549 +49% —
832 other antepartum diagnoses without o.r. procedures with cc $21,640 $15,148 $18,281 +18% $12,895 +68% —
806 vaginal delivery without sterilization or d&c with cc $21,541 $15,079 $11,510 +87% $13,275 +62% —
081 nontraumatic stupor and coma without mcc $21,364 $14,955 $21,364 +0% $16,552 +29% —
535 fractures of hip and pelvis with mcc $21,357 $14,950 $21,357 +0% $24,552 −13% —
807 vaginal delivery without sterilization or d&c without cc/mcc $20,301 $14,211 $9,556 +112% $12,078 +68% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $20,231 $14,162 $13,863 +46% $16,699 +21% —
153 otitis media and uri without mcc $20,204 $14,143 $20,204 +0% $14,583 +39% —
124 other disorders of the eye with mcc or thrombolytic agent $19,927 $13,949 $38,782 −49% $21,894 −9% —
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $19,465 $13,625 $14,905 +31% $14,716 +32% —
885 psychoses $19,200 $13,440 $26,024 −26% $21,729 −12% ≈120% of Medicare
696 kidney and urinary tract signs and symptoms without mcc $18,882 $13,217 $23,760 −21% $14,689 +29% —
537 sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc $18,661 $13,062 $30,387 −39% $18,072 +3% —
776 postpartum and post abortion diagnoses without o.r. procedures $18,647 $13,053 $18,605 +0% $12,454 +50% —
307 cardiac congenital and valvular disorders without mcc $18,608 $13,025 $18,608 +0% $20,566 −10% —
779 abortion without d&c $18,325 $12,827 $13,558 +35% $15,327 +20% —
916 allergic reactions without mcc $18,289 $12,802 $12,384 +48% $13,942 +31% —
294 deep vein thrombophlebitis with cc/mcc $18,242 $12,770 $16,228 +12% $19,132 −5% —
819 other antepartum diagnoses with o.r. procedures without cc/mcc $18,005 $12,604 $18,005 +0% $18,126 −1% —
533 fractures of femur with mcc $17,972 $12,580 $19,993 −10% $25,945 −31% —
842 lymphoma and non-acute leukemia without cc/mcc $17,854 $12,498 $25,639 −30% $19,657 −9% —
688 kidney and urinary tract neoplasms without cc/mcc $17,752 $12,427 $16,061 +11% $12,593 +41% —
886 behavioral and developmental disorders $17,639 $12,347 $11,701 +51% $26,510 −33% —
195 simple pneumonia and pleurisy without cc/mcc $17,115 $11,981 $17,115 +0% $13,824 +24% —
159 dental and oral diseases without cc/mcc $17,029 $11,921 $17,175 −1% $13,633 +25% —
151 epistaxis without mcc $16,727 $11,709 $13,939 +20% $13,032 +28% —
882 neuroses except depressive $16,410 $11,487 $10,261 +60% $15,680 +5% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $15,736 $11,015 $11,107 +42% $9,940 +58% —
883 disorders of personality and impulse control $14,071 $9,849 $11,841 +19% $23,206 −39% —
881 depressive neuroses $12,838 $8,987 $12,838 +0% $15,058 −15% —
436 malignancy of hepatobiliary system or pancreas with cc $12,557 $8,790 $35,076 −64% $25,034 −50% —
923 other injury, poisoning and toxic effect diagnoses without mcc $11,916 $8,341 $21,625 −45% $17,601 −32% —
203 bronchitis and asthma without cc/mcc $10,819 $7,573 $11,284 −4% $12,252 −12% —
792 prematurity without major problems $8,535 $5,974 $10,700 −20% $12,229 −30% —
794 neonate with other significant problems $5,107 $3,575 $6,944 −26% $8,445 −40% —
795 normal newborn $3,605 $2,524 $3,269 +10% $4,720 −24% —
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