Procedures published 864
Lowest published price $1,365
Average published price $25,490
Highest published price $417,083

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 864 procedures

Published charges

Showing all 861 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. Cash-pay prices not published for this hospital.

DRG Description Published price vs. GA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $417,083 $351,185 $573,534 −27%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $270,435 $1,541,914 −82% $461,389 −41%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $219,975 $725,677 −70% $371,366 −41%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $216,441 $178,746 $306,087 −29%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $148,744 $557,936 −73% $248,521 −40%
014 ALLOGENEIC BONE MARROW TRANSPLANT $140,926 $110,161 $182,314 −23%
215 OTHER HEART ASSIST SYSTEM IMPLANT $129,465 $219,127 −41% $208,939 −38%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $127,426 $336,030 −62% $153,282 −17%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $126,982 $749,394 −83% $164,641 −23%
007 LUNG TRANSPLANT $126,713 $106,134 $170,608 −26%
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $123,764 $337,006 −63% $194,769 −36%
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $122,927 $1,251,529 −90% $142,326 −14%
612 NO ACTIVE CODE DESCRIPTION $118,601 $118,601 $249,205 −52%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $111,703 $383,806 −71% $143,242 −22%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $109,870 $452,987 −76% $188,171 −42%
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $108,237 $100,129 +8% $121,563 −11%
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $98,146 $658,556 −85% $144,774 −32%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $91,770 $544,847 −83% $196,346 −53%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $89,580 $286,652 −69% $113,855 −21%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $88,517 $524,620 −83% $148,686 −40%
453 NO ACTIVE CODE DESCRIPTION $84,162 $84,162 $103,861 −19%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $83,781 $534,691 −84% $132,794 −37%
633 NO ACTIVE CODE DESCRIPTION $82,662 $82,662 $31,241 +165%
231 CORONARY BYPASS WITH PTCA WITH MCC $82,476 $547,666 −85% $147,227 −44%
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $82,294 $149,781 −45% $75,103 +10%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $82,121 $359,500 −77% $107,355 −24%
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $81,572 $47,135 +73% $105,228 −22%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $80,532 $307,425 −74% $148,832 −46%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $79,201 $304,707 −74% $126,098 −37%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $77,384 $372,152 −79% $144,569 −46%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $77,347 $123,009 −37% $62,583 +24%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $76,456 $245,590 −69% $106,778 −28%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $75,971 $285,727 −73% $120,573 −37%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $75,602 $241,997 −69% $96,905 −22%
010 PANCREAS TRANSPLANT $73,790 $60,598 $99,940 −26%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $73,759 $238,167 −69% $131,961 −44%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $73,539 $326,285 −77% $106,057 −31%
631 NO ACTIVE CODE DESCRIPTION $72,994 $72,994 $172,973 −58%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $72,188 $228,175 −68% $93,390 −23%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $70,846 $323,842 −78% $123,995 −43%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $70,275 $211,773 −67% $90,724 −23%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $69,987 $78,272 −11% $77,055 −9%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $69,769 $310,778 −78% $102,600 −32%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $69,745 $200,533 −65% $116,058 −40%
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $69,218 $317,977 −78% $88,566 −22%
222 NO ACTIVE CODE DESCRIPTION $68,855 $68,855 $86,864 −21%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $68,520 $135,127 −49% $72,962 −6%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $67,256 $182,431 −63% $83,441 −19%
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $65,762 $52,468 $98,260 −33%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $65,310 $322,931 −80% $105,899 −38%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $64,908 $446,020 −85% $101,618 −36%
834 ACUTE LEUKEMIA WITH MCC $63,354 $62,444 +1% $85,566 −26%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,872 $205,789 −69% $103,455 −39%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $62,605 $222,108 −72% $117,280 −47%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $62,372 $288,618 −78% $111,320 −44%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $61,895 $331,871 −81% $115,839 −47%
459 NO ACTIVE CODE DESCRIPTION $61,580 $61,580 $75,251 −18%
224 NO ACTIVE CODE DESCRIPTION $61,575 $61,575 $80,427 −23%
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $61,197 $250,431 −76% $99,943 −39%
471 CERVICAL SPINAL FUSION WITH MCC $60,908 $213,639 −71% $92,515 −34%
226 NO ACTIVE CODE DESCRIPTION $60,768 $60,768 $72,618 −16%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $60,464 $380,113 −84% $125,242 −52%
636 NO ACTIVE CODE DESCRIPTION $60,384 $60,384 $59,860 +1%
028 SPINAL PROCEDURES WITH MCC $60,050 $195,331 −69% $113,077 −47%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $59,746 $316,372 −81% $109,331 −45%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $59,648 $292,811 −80% $112,062 −47%
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $59,434 $818,221 −93% $86,459 −31%
006 LIVER TRANSPLANT WITHOUT MCC $58,694 $30,634 +92% $84,407 −30%
681 NO ACTIVE CODE DESCRIPTION $58,642 $58,642 $49,288 +19%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $58,144 $270,720 −79% $92,217 −37%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $58,084 $179,372 −68% $66,848 −13%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $58,051 $192,817 −70% $93,172 −38%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $57,744 $117,125 −51% $87,761 −34%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $57,437 $226,475 −75% $108,472 −47%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $57,241 $199,879 −71% $96,192 −40%
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $56,240 $380,867 −85% $89,353 −37%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $56,194 $180,442 −69% $89,207 −37%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $55,935 $128,888 −57% $69,743 −20%
653 MAJOR BLADDER PROCEDURES WITH MCC $55,594 $218,722 −75% $104,583 −47%
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $55,548 $173,852 −68% $71,795 −23%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $55,264 $135,453 −59% $61,470 −10%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $55,242 $98,878 −44% $70,371 −21%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,221 $235,567 −77% $90,401 −39%
454 NO ACTIVE CODE DESCRIPTION $55,091 $55,091 $69,101 −20%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $54,702 $166,266 −67% $84,692 −35%
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $54,621 $194,182 −72% $80,793 −32%
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $54,420 $35,889 +52% $81,176 −33%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $53,964 $206,342 −74% $98,912 −45%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $53,612 $182,357 −71% $91,329 −41%
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $52,978 $135,651 −61% $101,576 −48%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $52,947 $298,321 −82% $102,573 −48%
652 KIDNEY TRANSPLANT $52,460 $91,630 −43% $54,720 −4%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $52,384 $187,844 −72% $88,307 −41%
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $51,894 $215,906 −76% $102,128 −49%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $51,823 $132,944 −61% $70,132 −26%
245 AICD GENERATOR PROCEDURES $50,874 $181,293 −72% $72,076 −29%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $49,373 $187,890 −74% $65,325 −24%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $49,272 $276,431 −82% $90,331 −45%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $48,845 $229,071 −79% $81,998 −40%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,766 $173,621 −72% $90,775 −46%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $48,282 $115,470 −58% $62,821 −23%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $47,927 $268,957 −82% $93,238 −49%
227 NO ACTIVE CODE DESCRIPTION $47,820 $47,820 $56,960 −16%
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $47,657 $186,897 −75% $74,257 −36%
163 MAJOR CHEST PROCEDURES WITH MCC $47,616 $154,601 −69% $90,195 −47%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $47,478 $148,683 −68% $96,507 −51%
223 NO ACTIVE CODE DESCRIPTION $47,380 $47,380 $59,206 −20%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $47,006 $236,488 −80% $79,116 −41%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $46,964 $161,899 −71% $74,755 −37%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $46,928 $158,048 −70% $88,050 −47%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $46,776 $130,662 −64% $59,629 −22%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $46,712 $191,064 −76% $86,970 −46%
252 OTHER VASCULAR PROCEDURES WITH MCC $46,506 $163,915 −72% $68,508 −32%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $46,410 $276,507 −83% $101,510 −54%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $46,352 $188,515 −75% $73,120 −37%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $46,264 $150,834 −69% $80,018 −42%
646 NO ACTIVE CODE DESCRIPTION $45,661 $45,661 $45,984
225 NO ACTIVE CODE DESCRIPTION $45,575 $45,575 $57,380 −21%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $45,420 $133,874 −66% $76,001 −40%
635 NO ACTIVE CODE DESCRIPTION $44,962 $44,962 $1,054 +4166%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $44,416 $155,784 −71% $68,639 −35%
455 NO ACTIVE CODE DESCRIPTION $43,935 $70,430 $56,836 −23%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $43,920 $148,808 −70% $68,653 −36%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $43,884 $112,039 −61% $65,608 −33%
799 SPLENIC PROCEDURES WITH MCC $43,822 $119,568 −63% $82,218 −47%
335 PERITONEAL ADHESIOLYSIS WITH MCC $43,438 $154,540 −72% $71,755 −39%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $43,043 $84,608 −49% $46,453 −7%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $43,018 $34,372 $59,352 −28%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $42,309 $107,191 −61% $56,964 −26%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $42,210 $160,708 −74% $82,561 −49%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $42,100 $578,558 −93% $71,551 −41%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $42,027 $159,355 −74% $70,177 −40%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $42,014 $253,309 −83% $82,247 −49%
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $41,849 $110,285 −62% $79,836 −48%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $40,791 $106,145 −62% $50,011 −18%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $40,781 $147,149 −72% $78,852 −48%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $40,738 $709,554 −94% $56,242 −28%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $40,714 $128,151 −68% $75,573 −46%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $40,478 $238,844 −83% $99,423 −59%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $40,147 $136,014 −70% $77,817 −48%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $39,958 $170,938 −77% $76,219 −48%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $39,776 $180,383 −78% $79,225 −50%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $39,060 $56,809 −31% $44,546 −12%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $39,025 $96,492 −60% $43,943 −11%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $39,002 $137,941 −72% $77,990 −50%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $38,737 $65,721 −41% $44,222 −12%
472 CERVICAL SPINAL FUSION WITH CC $38,580 $149,819 −74% $59,537 −35%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $38,341 $129,515 −70% $66,685 −43%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,313 $88,506 −57% $43,491 −12%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $37,704 $200,056 −81% $61,832 −39%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $37,293 $186,157 −80% $65,216 −43%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $37,201 $127,612 −71% $48,358 −23%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $37,176 $112,598 −67% $62,300 −40%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $36,949 $217,860 −83% $59,533 −38%
634 NO ACTIVE CODE DESCRIPTION $36,649 $36,649 $37,527 −2%
332 RECTAL RESECTION WITH MCC $36,543 $119,978 −70% $58,125 −37%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $36,495 $161,927 −77% $59,594 −39%
632 NO ACTIVE CODE DESCRIPTION $36,443 $36,443 $50,322
835 ACUTE LEUKEMIA WITH CC $35,996 $37,310 −4% $35,569 +1%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $35,809 $176,451 −80% $70,564 −49%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $35,490 $14,577 +143% $18,649 +90%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $35,301 $93,293 −62% $50,919 −31%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $35,281 $172,534 −80% $60,098 −41%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $35,153 $147,605 −76% $65,788 −47%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $35,151 $145,918 −76% $64,523 −46%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $35,000 $52,029 −33% $54,196 −35%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $34,855 $67,775 −49% $42,126 −17%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $34,854 $81,530 −57% $29,126 +20%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $34,835 $86,608 −60% $66,711 −48%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $34,805 $128,746 −73% $67,268 −48%
460 NO ACTIVE CODE DESCRIPTION $34,657 $74,829 $51,625 −33%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $34,350 $148,422 −77% $70,847 −52%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $34,304 $148,259 −77% $51,953 −34%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $34,145 $149,520 −77% $70,467 −52%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $34,025 $157,816 −78% $58,975 −42%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $34,007 $207,581 −84% $85,159 −60%
265 AICD LEAD PROCEDURES $33,923 $113,099 −70% $63,171 −46%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $33,627 $149,451 −77% $71,092 −53%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $33,464 $185,862 −82% $63,928 −48%
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $33,310 $86,956 −62% $58,745 −43%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $33,279 $153,295 −78% $71,464 −53%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,251 $97,375 −66% $50,139 −34%
665 PROSTATECTOMY WITH MCC $33,227 $84,969 −61% $54,072 −39%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $33,075 $152,637 −78% $59,790 −45%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $32,926 $117,958 −72% $52,178 −37%
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $32,919 $150,170 −78% $59,031 −44%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $32,904 $100,467 −67% $45,877 −28%
037 EXTRACRANIAL PROCEDURES WITH MCC $32,651 $153,424 −79% $66,666 −51%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,641 $128,243 −75% $66,068 −51%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $32,558 $112,027 −71% $49,710 −35%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $32,515 $58,108 −44% $28,202 +15%
500 SOFT TISSUE PROCEDURES WITH MCC $32,289 $132,650 −76% $61,872 −48%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $32,226 $165,336 −81% $81,706 −61%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $32,215 $76,679 −58% $52,036 −38%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $32,043 $100,440 −68% $58,228 −45%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $31,707 $37,386 −15% $24,586 +29%
662 MINOR BLADDER PROCEDURES WITH MCC $31,677 $78,992 −60% $54,562 −42%
613 NO ACTIVE CODE DESCRIPTION $31,674 $31,674 $245,258 −87%
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $31,521 $82,588 −62% $52,908 −40%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $31,461 $155,640 −80% $55,289 −43%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $31,407 $119,036 −74% $65,653 −52%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $31,256 $98,727 −68% $46,724 −33%
791 PREMATURITY WITH MAJOR PROBLEMS $30,908 $64,064 −52% $42,679 −28%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $30,514 $114,445 −73% $51,746 −41%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $30,450 $100,014 −70% $41,422 −26%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $30,088 $99,888 −70% $54,929 −45%
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $30,066 $47,154 −36% $40,108 −25%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,949 $119,941 −75% $72,424 −59%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $29,745 $140,460 −79% $53,864 −45%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $29,643 $199,675 −85% $61,217 −52%
800 SPLENIC PROCEDURES WITH CC $29,467 $115,882 −75% $49,184 −40%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $29,325 $133,211 −78% $65,573 −55%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $29,230 $140,015 −79% $60,407 −52%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $29,191 $79,528 −63% $39,173 −25%
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $29,056 $136,836 −79% $58,043 −50%
668 TRANSURETHRAL PROCEDURES WITH MCC $29,054 $87,658 −67% $51,608 −44%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $28,958 $71,511 −60% $46,402 −38%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $28,945 $57,910 −50% $33,694 −14%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $28,810 $60,680 −53% $32,031 −10%
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $28,719 $53,611 −46% $48,687 −41%
253 OTHER VASCULAR PROCEDURES WITH CC $28,444 $123,638 −77% $57,454 −50%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $28,411 $96,336 −71% $60,170 −53%
246 NO ACTIVE CODE DESCRIPTION $28,366 $28,366 $33,983 −17%
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $28,255 $112,881 −75% $62,264 −55%
248 NO ACTIVE CODE DESCRIPTION $28,221 $28,221 $34,146 −17%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $28,044 $66,755 −58% $32,944 −15%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $27,898 $155,875 −82% $71,014 −61%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $27,876 $88,059 −68% $41,591 −33%
318 NO ACTIVE CODE DESCRIPTION $27,872 $145,995 −81% $102,597 −73%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $27,799 $108,764 −74% $52,405 −47%
263 VEIN LIGATION AND STRIPPING $27,732 $129,459 −79% $51,253 −46%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,724 $102,918 −73% $50,607 −45%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $27,715 $106,612 −74% $42,906 −35%
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $27,568 $111,325 −75% $49,839 −45%
654 MAJOR BLADDER PROCEDURES WITH CC $27,460 $172,046 −84% $58,274 −53%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $27,279 $155,177 −82% $54,583 −50%
570 SKIN DEBRIDEMENT WITH MCC $27,224 $66,566 −59% $52,435 −48%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $27,161 $140,546 −81% $52,986 −49%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $27,120 $119,841 −77% $58,707 −54%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $27,119 $127,397 −79% $46,066 −41%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $26,794 $24,036 $44,472 −40%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $26,527 $88,810 −70% $47,945 −45%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $26,510 $56,684 −53% $50,618 −48%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $26,458 $133,880 −80% $50,624 −48%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $26,403 $133,705 −80% $50,498 −48%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $26,369 $100,099 −74% $52,751 −50%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $25,991 $86,025 −70% $50,046 −48%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $25,973 $87,730 −70% $40,060 −35%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $25,971 $27,771 −6% $20,566 +26%
164 MAJOR CHEST PROCEDURES WITH CC $25,935 $108,806 −76% $56,755 −54%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $25,923 $92,738 −72% $46,295 −44%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $25,768 $105,177 −76% $55,162 −53%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $25,511 $73,443 −65% $40,362 −37%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $25,483 $69,905 −64% $38,878 −34%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $25,395 $73,953 −66% $39,973 −36%
676 NO ACTIVE CODE DESCRIPTION $25,354 $25,354 $25,040
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $25,241 $65,228 −61% $36,489 −31%
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $25,226 $116,014 −78% $59,421 −58%
397 APPENDIX PROCEDURES WITH MCC $25,185 $92,000 −73% $53,257 −53%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $25,126 $125,169 −80% $45,167 −44%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $25,116 $124,745 −80% $53,451 −53%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $25,086 $142,819 −82% $49,423 −49%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $25,010 $108,492 −77% $51,985 −52%
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $24,974 $89,328 −72% $46,283 −46%
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,918 $69,655 −64% $33,047 −25%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $24,793 $133,960 −81% $48,349 −49%
503 FOOT PROCEDURES WITH MCC $24,768 $83,685 −70% $47,540 −48%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $24,573 $202,696 −88% $47,583 −48%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $24,322 $118,062 −79% $58,280 −58%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $24,290 $115,705 −79% $59,500 −59%
533 FRACTURES OF FEMUR WITH MCC $24,271 $57,112 −58% $25,945 −6%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $24,232 $131,399 −82% $47,789 −49%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $24,192 $87,757 −72% $43,913 −45%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $24,188 $125,097 −81% $59,651 −59%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $24,047 $99,049 −76% $42,881 −44%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $24,041 $58,839 −59% $30,770 −22%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $23,942 $74,098 −68% $42,186 −43%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $23,908 $91,595 −74% $50,394 −53%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $23,827 $95,433 −75% $46,090 −48%
338 NO ACTIVE CODE DESCRIPTION $23,781 $23,781 $30,138 −21%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $23,636 $79,105 −70% $36,445 −35%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $23,621 $75,462 −69% $41,620 −43%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,435 $92,561 −75% $35,419 −34%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $23,228 $60,407 −62% $39,181 −41%
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $23,129 $93,993 −75% $47,737 −52%
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $23,105 $131,608 −82% $49,418 −53%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $23,096 $85,838 −73% $32,443 −29%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $23,040 $84,802 −73% $38,998 −41%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $22,904 $98,256 −77% $49,066 −53%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $22,836 $98,825 −77% $42,914 −47%
030 SPINAL PROCEDURES WITHOUT CC/MCC $22,742 $108,686 −79% $45,866 −50%
374 DIGESTIVE MALIGNANCY WITH MCC $22,696 $64,649 −65% $39,958 −43%
647 NO ACTIVE CODE DESCRIPTION $22,608 $22,608 $37,122
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $22,606 $41,788 −46% $26,051 −13%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $22,572 $101,386 −78% $43,800 −48%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $22,561 $68,842 −67% $36,792 −39%
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $22,504 $104,819 −79% $52,075 −57%
333 RECTAL RESECTION WITH CC $22,460 $102,793 −78% $37,154 −40%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $22,457 $93,034 −76% $43,298 −48%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $22,406 $100,166 −78% $42,415 −47%
849 RADIOTHERAPY $22,402 $99,576 −78% $37,862 −41%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $22,296 $112,828 −80% $41,608 −46%
945 REHABILITATION WITH CC/MCC $22,228 $43,783 −49% $23,834 −7%
113 ORBITAL PROCEDURES WITH CC/MCC $22,141 $136,067 −84% $36,167 −39%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $22,122 $154,419 −86% $42,901 −48%
336 PERITONEAL ADHESIOLYSIS WITH CC $22,042 $104,605 −79% $50,463 −56%
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $21,970 $141,314 −84% $46,727 −53%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $21,938 $64,235 −66% $38,666 −43%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $21,592 $111,081 −81% $48,682 −56%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $21,484 $90,132 −76% $45,333 −53%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $21,446 $92,809 −77% $40,642 −47%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $21,439 $63,826 −66% $41,892 −49%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $21,420 $82,866 −74% $39,020 −45%
347 ANAL AND STOMAL PROCEDURES WITH MCC $21,358 $73,589 −71% $40,548 −47%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $21,355 $84,475 −75% $49,351 −57%
620 O.R. PROCEDURES FOR OBESITY WITH CC $21,336 $97,321 −78% $35,453 −40%
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $21,274 $99,343 −79% $42,795 −50%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $21,183 $63,702 −67% $38,070 −44%
709 PENIS PROCEDURES WITH CC/MCC $21,169 $78,097 −73% $34,535 −39%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $21,048 $104,588 −80% $43,631 −52%
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $20,933 $65,330 −68% $30,828 −32%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,892 $106,410 −80% $43,650 −52%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $20,789 $70,521 −71% $40,562 −49%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $20,786 $157,000 −87% $43,174 −52%
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,778 $33,069 −37% $25,279 −18%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $20,717 $62,199 −67% $37,240 −44%
608 NO ACTIVE CODE DESCRIPTION $20,558 $20,558 $117,471 −82%
341 NO ACTIVE CODE DESCRIPTION $20,463 $20,463 $25,628 −20%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $20,461 $81,666 −75% $39,106 −48%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $20,441 $139,875 −85% $58,809 −65%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $20,407 $128,072 −84% $29,316 −30%
539 OSTEOMYELITIS WITH MCC $20,361 $63,368 −68% $37,609 −46%
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $20,287 $227,821 −91% $35,030 −42%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $20,235 $120,796 −83% $44,139 −54%
595 MAJOR SKIN DISORDERS WITH MCC $20,127 $47,775 −58% $34,598 −42%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $20,126 $96,907 −79% $37,267 −46%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $20,072 $69,592 −71% $35,628 −44% ≈143% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $19,994 $100,105 −80% $38,836 −49%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $19,990 $85,287 −77% $40,213 −50%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $19,986 $80,532 −75% $41,955 −52%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $19,983 $114,032 −82% $43,080 −54%
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $19,961 $62,991 −68% $29,826 −33%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $19,938 $106,968 −81% $44,606 −55%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $19,897 $57,662 −65% $29,805 −33%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $19,868 $68,129 −71% $34,276 −42%
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $19,826 $99,303 −80% $39,887 −50%
100 SEIZURES WITH MCC $19,788 $80,779 −76% $35,481 −44%
711 TESTES PROCEDURES WITH CC/MCC $19,721 $54,423 −64% $38,343 −49%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $19,642 $46,444 −58% $29,221 −33%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $19,612 $61,273 −68% $33,653 −42%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $19,582 $121,370 −84% $44,363 −56%
592 SKIN ULCERS WITH MCC $19,556 $43,591 −55% $33,246 −41%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,536 $169,948 −89% $34,459 −43%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $19,454 $41,657 −53% $15,764 +23%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $19,451 $58,885 −67% $31,134 −38%
535 FRACTURES OF HIP AND PELVIS WITH MCC $19,350 $44,141 −56% $24,552 −21%
906 HAND PROCEDURES FOR INJURIES $19,333 $67,276 −71% $32,065 −40%
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $19,300 $169,241 −89% $32,574 −41%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $19,231 $65,330 −71% $33,985 −43%
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $19,223 $111,736 −83% $43,538 −56%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $19,171 $87,344 −78% $46,340 −59%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $19,087 $47,798 −60% $29,611 −36%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $19,032 $10,112 +88% $12,229 +56%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $19,023 $46,126 −59% $33,707 −44%
548 SEPTIC ARTHRITIS WITH MCC $18,942 $44,991 −58% $31,346 −40%
247 NO ACTIVE CODE DESCRIPTION $18,912 $18,912 $21,663 −13%
935 NON-EXTENSIVE BURNS $18,878 $25,148 −25% $31,701 −40%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,864 $57,201 −67% $33,851 −44%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $18,852 $81,728 −77% $36,253 −48%
302 ATHEROSCLEROSIS WITH MCC $18,812 $49,493 −62% $22,446 −16%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $18,790 $38,386 −51% $31,044 −39%
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $18,772 $92,380 −80% $39,018 −52%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $18,655 $113,652 −84% $47,711 −61%
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $18,655 $62,055 −70% $32,433 −42%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $18,619 $65,920 −72% $37,387 −50%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $18,579 $98,635 −81% $40,365 −54%
380 COMPLICATED PEPTIC ULCER WITH MCC $18,540 $86,679 −79% $39,627 −53%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $18,530 $87,628 −79% $32,451 −43%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,507 $56,219 −67% $27,394 −32%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $18,455 $100,231 −82% $29,524 −37%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $18,436 $71,512 −74% $36,431 −49%
180 RESPIRATORY NEOPLASMS WITH MCC $18,412 $54,767 −66% $36,658 −50%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $18,332 $71,456 −74% $37,842 −52%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $18,320 $44,680 −59% $32,859 −44%
038 EXTRACRANIAL PROCEDURES WITH CC $18,316 $81,160 −77% $35,770 −49%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $18,300 $44,825 −59% $24,941 −27%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $18,278 $76,836 −76% $36,670 −50%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,237 $60,792 −70% $33,048 −45%
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $18,220 $46,916 −61% $39,955 −54%
501 SOFT TISSUE PROCEDURES WITH CC $18,183 $86,019 −79% $39,619 −54%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $18,128 $50,643 −64% $30,502 −41%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $18,098 $79,088 −77% $40,694 −56%
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $18,054 $92,640 −81% $38,861 −54%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $18,017 $79,060 −77% $30,418 −41%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,995 $54,451 −67% $31,951 −44%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $17,992 $48,243 −63% $19,354 −7%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,991 $94,269 −81% $21,230 −15%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $17,983 $50,864 −65% $27,152 −34%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $17,945 $54,383 −67% $33,555 −47%
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,852 $55,430 −68% $32,637 −45%
249 NO ACTIVE CODE DESCRIPTION $17,807 $17,807 $20,610 −14%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $17,799 $83,830 −79% $37,950 −53%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $17,686 $92,143 −81% $33,393 −47%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $17,621 $87,967 −80% $32,833 −46%
199 PNEUMOTHORAX WITH MCC $17,607 $39,459 −55% $33,787 −48%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $17,600 $82,766 −79% $30,243 −42%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $17,570 $183,263 −90% $35,849 −51%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,540 $65,851 −73% $38,094 −54%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $17,498 $54,076 −68% $33,255 −47%
504 FOOT PROCEDURES WITH CC $17,489 $77,463 −77% $38,960 −55%
915 ALLERGIC REACTIONS WITH MCC $17,446 $59,678 −71% $32,645 −47%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $17,414 $82,443 −79% $34,906 −50%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $17,383 $91,441 −81% $43,477 −60%
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $17,377 $48,136 −64% $31,159 −44%
505 FOOT PROCEDURES WITHOUT CC/MCC $17,330 $69,871 −75% $34,937 −50%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $17,278 $48,510 −64% $27,316 −37%
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $17,263 $94,019 −82% $38,101 −55%
666 PROSTATECTOMY WITH CC $17,200 $68,001 −75% $31,906 −46%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,193 $76,983 −78% $39,515 −56%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $17,164 $33,271 −48% $18,528 −7%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $17,157 $63,173 −73% $32,628 −47%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $17,099 $60,071 −72% $36,249 −53%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $17,093 $94,319 −82% $44,117 −61%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $17,089 $63,429 −73% $37,844 −55%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $17,076 $87,416 −80% $34,273 −50%
919 COMPLICATIONS OF TREATMENT WITH MCC $17,076 $53,434 −68% $31,105 −45%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $17,054 $81,711 −79% $40,552 −58%
643 ENDOCRINE DISORDERS WITH MCC $17,053 $59,482 −71% $33,563 −49%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $17,026 $146,704 −88% $29,079 −41%
398 APPENDIX PROCEDURES WITH CC $16,965 $87,321 −81% $40,162 −58%
509 ARTHROSCOPY $16,925 $89,984 −81% $25,994 −35%
334 RECTAL RESECTION WITHOUT CC/MCC $16,918 $87,926 −81% $36,820 −54%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,910 $58,758 −71% $23,443 −28%
671 URETHRAL PROCEDURES WITH CC/MCC $16,885 $55,334 −69% $27,233 −38%
296 CARDIAC ARREST UNEXPLAINED WITH MCC $16,824 $43,166 −61% $33,661 −50%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $16,732 $99,151 −83% $25,390 −34%
597 MALIGNANT BREAST DISORDERS WITH MCC $16,694 $63,610 −74% $33,386 −50%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $16,665 $56,466 −70% $33,876 −51%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $16,627 $49,803 −67% $32,496 −49%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $16,586 $84,332 −80% $34,607 −52%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $16,578 $61,477 −73% $35,831 −54%
104 NO ACTIVE CODE DESCRIPTION $16,569 $16,569 $45,286
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $16,547 $39,590 −58% $31,563 −48%
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $16,539 $79,753 −79% $30,553 −46%
571 SKIN DEBRIDEMENT WITH CC $16,532 $68,951 −76% $37,169 −56%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $16,438 $68,959 −76% $25,197 −35%
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $16,424 $97,665 −83% $39,006 −58%
186 PLEURAL EFFUSION WITH MCC $16,342 $49,864 −67% $33,834 −52%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,333 $79,230 −79% $29,949 −45%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,312 $84,505 −81% $36,354 −55%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $16,285 $222,877 −93% $26,598 −39%
551 MEDICAL BACK PROBLEMS WITH MCC $16,278 $58,023 −72% $34,017 −52%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $16,246 $103,683 −84% $34,434 −53%
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,173 $38,027 −57% $16,351 −1%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,109 $23,685 −32% $23,206 −31%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $16,099 $58,245 −72% $34,192 −53%
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,088 $31,046 −48% $18,150 −11%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $16,086 $80,325 −80% $33,633 −52%
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $16,067 $29,604 −46% $29,743 −46%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $16,032 $47,429 −66% $30,010 −47%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $16,027 $44,460 −64% $30,235 −47%
506 MAJOR THUMB OR JOINT PROCEDURES $16,009 $65,860 −76% $30,557 −48%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $15,924 $80,635 −80% $39,211 −59%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,900 $58,393 −73% $32,697 −51%
157 DENTAL AND ORAL DISEASES WITH MCC $15,887 $41,903 −62% $31,300 −49%
183 MAJOR CHEST TRAUMA WITH MCC $15,875 $45,895 −65% $29,933 −47%
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,872 $77,638 −80% $29,916 −47%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,823 $111,786 −86% $35,584 −56%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $15,784 $38,906 −59% $26,682 −41%
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $15,762 $100,501 −84% $33,454 −53%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $15,759 $83,089 −81% $36,505 −57%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $15,733 $60,740 −74% $34,749 −55%
648 NO ACTIVE CODE DESCRIPTION $15,711 $15,711 $25,606
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,594 $44,668 −65% $17,737 −12%
663 MINOR BLADDER PROCEDURES WITH CC $15,561 $75,308 −79% $33,103 −53%
075 VIRAL MENINGITIS WITH CC/MCC $15,542 $43,111 −64% $30,447 −49%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $15,526 $37,577 −59% $27,617 −44%
913 TRAUMATIC INJURY WITH MCC $15,524 $42,995 −64% $24,198 −36%
339 NO ACTIVE CODE DESCRIPTION $15,514 $15,514 $18,474 −16%
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $15,439 $58,212 −73% $33,424 −54%
682 RENAL FAILURE WITH MCC $15,439 $51,592 −70% $29,064 −47%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $15,436 $40,813 −62% $26,870 −43%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $15,417 $54,351 −72% $22,557 −32%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $15,409 $40,794 −62% $30,571 −50%
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $15,399 $41,732 −63% $27,633 −44%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $15,386 $64,831 −76% $25,703 −40%
813 COAGULATION DISORDERS $15,375 $62,568 −75% $33,296 −54%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $15,375 $44,890 −66% $20,926 −27%
602 CELLULITIS WITH MCC $15,350 $42,901 −64% $30,598 −50%
637 DIABETES WITH MCC $15,231 $53,740 −72% $30,100 −49%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,188 $63,936 −76% $28,320 −46%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $15,164 $67,241 −77% $32,100 −53%
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $15,163 $81,880 −81% $35,692 −58%
669 TRANSURETHRAL PROCEDURES WITH CC $15,146 $72,419 −79% $34,354 −56%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $15,138 $68,404 −78% $33,674 −55%
137 MOUTH PROCEDURES WITH CC/MCC $15,115 $47,367 −68% $27,861 −46%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $15,044 $80,982 −81% $22,620 −33%
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $15,043 $56,097 −73% $20,463 −26%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $15,042 $40,350 −63% $26,770 −44%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,039 $41,612 −64% $26,510 −43%
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,038 $38,572 −61% $28,140 −47%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,009 $69,632 −78% $35,074 −57%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $14,984 $78,268 −81% $31,264 −52%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $14,973 $62,323 −76% $24,550 −39%
088 CONCUSSION WITH MCC $14,938 $53,452 −72% $24,402 −39%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $14,930 $42,379 −65% $30,959 −52%
811 RED BLOOD CELL DISORDERS WITH MCC $14,919 $58,024 −74% $28,226 −47%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $14,881 $91,979 −84% $25,073 −41%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $14,834 $40,020 −63% $16,846 −12%
606 MINOR SKIN DISORDERS WITH MCC $14,825 $38,796 −62% $27,975 −47%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $14,796 $63,372 −77% $31,017 −52%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $14,793 $101,616 −85% $36,988 −60%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $14,739 $43,724 −66% $22,525 −35%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $14,718 $37,452 −61% $24,566 −40%
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $14,705 $43,909 −67% $32,877 −55%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $14,694 $71,389 −79% $25,094 −41%
120 NO ACTIVE CODE DESCRIPTION $14,687 $14,687 $71,194 −79%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,673 $44,168 −67% $26,580 −45% ≈130% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $14,555 $48,158 −70% $27,808 −48%
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $14,525 $36,357 −60% $19,815 −27%
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $14,460 $72,929 −80% $22,393 −35%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $14,385 $47,405 −70% $27,543 −48%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,376 $46,090 −69% $27,285 −47%
710 PENIS PROCEDURES WITHOUT CC/MCC $14,338 $51,133 −72% $26,436 −46%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $14,322 $86,406 −83% $35,465 −60%
375 DIGESTIVE MALIGNANCY WITH CC $14,307 $56,531 −75% $27,277 −48%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $14,271 $72,508 −80% $30,083 −53%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $14,225 $64,548 −78% $22,811 −38%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $14,185 $40,750 −65% $27,275 −48% ≈130% of Medicare
693 URINARY STONES WITH MCC $14,140 $47,078 −70% $23,892 −41%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $14,092 $99,129 −86% $31,170 −55%
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $14,077 $49,003 −71% $19,227 −27%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,044 $40,477 −65% $26,463 −47%
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $14,041 $63,647 −78% $26,932 −48%
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $14,035 $69,649 −80% $26,948 −48%
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $13,992 $38,328 −63% $22,851 −39%
291 HEART FAILURE AND SHOCK WITH MCC $13,989 $41,984 −67% $26,776 −48% ≈135% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,979 $39,751 −65% $24,127 −42%
540 OSTEOMYELITIS WITH CC $13,968 $43,789 −68% $26,676 −48%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $13,947 $82,713 −83% $36,937 −62%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,946 $7,819 +78% $8,445 +65%
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,945 $40,079 −65% $26,280 −47%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $13,892 $90,886 −85% $25,748 −46%
677 NO ACTIVE CODE DESCRIPTION $13,892 $13,892 $23,111
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $13,862 $79,163 −82% $32,841 −58%
139 SALIVARY GLAND PROCEDURES $13,793 $63,021 −78% $23,612 −42%
947 SIGNS AND SYMPTOMS WITH MCC $13,790 $45,818 −70% $27,401 −50%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $13,781 $45,035 −69% $27,426 −50%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $13,780 $46,755 −71% $27,119 −49%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $13,774 $67,394 −80% $28,156 −51%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,705 $35,276 −61% $20,980 −35%
865 VIRAL ILLNESS WITH MCC $13,662 $49,052 −72% $26,910 −49%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,634 $77,036 −82% $30,493 −55%
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,621 $61,844 −78% $32,021 −57%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $13,589 $67,233 −80% $23,498 −42%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $13,582 $67,895 −80% $27,323 −50%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,571 $46,910 −71% $20,259 −33%
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $13,566 $80,329 −83% $28,125 −52%
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $13,505 $47,064 −71% $28,050 −52%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,449 $52,307 −74% $27,989 −52%
348 ANAL AND STOMAL PROCEDURES WITH CC $13,430 $58,794 −77% $27,947 −52%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $13,399 $78,632 −83% $30,242 −56%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $13,380 $38,426 −65% $22,458 −40%
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $13,357 $48,259 −72% $25,463 −48%
649 NO ACTIVE CODE DESCRIPTION $13,310 $13,310 $19,697
129 NO ACTIVE CODE DESCRIPTION $13,297 $13,297 $23,289 −43%
150 EPISTAXIS WITH MCC $13,266 $47,129 −72% $23,171 −43%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $13,260 $45,243 −71% $19,270 −31%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $13,245 $55,871 −76% $27,163 −51%
549 SEPTIC ARTHRITIS WITH CC $13,192 $35,913 −63% $24,056 −45%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,146 $46,707 −72% $27,297 −52%
111 NO ACTIVE CODE DESCRIPTION $13,106 $13,106 $32,376 −60%
946 REHABILITATION WITHOUT CC/MCC $13,100 $33,866 −61% $17,685 −26%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $13,097 $11,018 $19,598 −33%
885 PSYCHOSES $13,094 $28,324 −54% $21,729 −40%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $12,990 $16,198 −20% $19,686 −34%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,954 $30,908 −58% $27,043 −52%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $12,908 $53,260 −76% $21,894 −41%
546 CONNECTIVE TISSUE DISORDERS WITH CC $12,898 $58,380 −78% $25,700 −50%
593 SKIN ULCERS WITH CC $12,881 $27,134 −53% $22,886 −44%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $12,838 $37,262 −66% $23,617 −46%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,820 $67,349 −81% $25,581 −50%
642 INBORN AND OTHER DISORDERS OF METABOLISM $12,704 $39,926 −68% $20,727 −39%
342 NO ACTIVE CODE DESCRIPTION $12,664 $12,664 $16,487 −23%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,619 $70,516 −82% $26,618 −53%
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,602 $46,645 −73% $19,119 −34%
303 ATHEROSCLEROSIS WITHOUT MCC $12,551 $32,044 −61% $14,927 −16%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $12,547 $30,781 −59% $18,002 −30%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $12,507 $23,636 −47% $18,133 −31%
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $12,482 $10,917 $21,986 −43%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $12,478 $69,226 −82% $31,321 −60%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $12,459 $40,872 −70% $22,320 −44%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,451 $75,030 −83% $24,544 −49%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $12,444 $52,364 −76% $25,034 −50%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,421 $43,684 −72% $24,386 −49%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $12,405 $33,659 −63% $16,998 −27%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,389 $40,453 −69% $23,551 −47%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,373 $57,277 −78% $25,652 −52%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,363 $66,800 −81% $30,784 −60%
181 RESPIRATORY NEOPLASMS WITH CC $12,345 $61,959 −80% $23,573 −48%
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $12,297 $47,573 −74% $18,459 −33%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $12,255 $48,747 −75% $21,847 −44%
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,241 $51,126 −76% $25,712 −52%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $12,228 $21,440 −43% $22,506 −46%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $12,222 $55,521 −78% $19,132 −36%
102 HEADACHES WITH MCC $12,221 $47,341 −74% $25,740 −53%
304 HYPERTENSION WITH MCC $12,215 $50,859 −76% $26,080 −53%
712 TESTES PROCEDURES WITHOUT CC/MCC $12,200 $40,061 −70% $18,898 −35%
089 CONCUSSION WITH CC $12,189 $63,358 −81% $18,821 −35%
445 DISORDERS OF THE BILIARY TRACT WITH CC $12,155 $57,722 −79% $23,319 −48%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,133 $38,723 −69% $23,283 −48%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,102 $52,587 −77% $24,944 −51%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $12,086 $36,898 −67% $22,024 −45%
949 AFTERCARE WITH CC/MCC $12,084 $69,874 −83% $23,953 −50%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,056 $54,205 −78% $22,314 −46%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $12,019 $38,413 −69% $20,422 −41%
381 COMPLICATED PEPTIC ULCER WITH CC $11,981 $48,070 −75% $24,177 −50%
131 NO ACTIVE CODE DESCRIPTION $11,967 $11,967 $23,289 −49%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $11,909 $52,367 −77% $19,657 −39%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $11,907 $42,004 −72% $23,488 −49%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $11,834 $44,062 −73% $24,914 −53%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $11,830 $59,551 −80% $17,193 −31%
598 MALIGNANT BREAST DISORDERS WITH CC $11,797 $38,784 −70% $19,073 −38%
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,790 $27,974 −58% $16,699 −29%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $11,788 $46,924 −75% $17,398 −32%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,784 $40,280 −71% $23,749 −50%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $11,732 $23,919 −51% $17,483 −33%
596 MAJOR SKIN DISORDERS WITHOUT MCC $11,716 $23,373 −50% $17,226 −32%
534 FRACTURES OF FEMUR WITHOUT MCC $11,713 $29,865 −61% $17,559 −33%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $11,711 $70,183 −83% $25,970 −55%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $11,710 $36,416 −68% $22,850 −49%
667 PROSTATECTOMY WITHOUT CC/MCC $11,697 $52,172 −78% $16,703 −30%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $11,684 $40,273 −71% $22,888 −49%
340 NO ACTIVE CODE DESCRIPTION $11,664 $11,664 $13,613 −14%
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $11,651 $46,219 −75% $22,635 −49%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $11,643 $38,237 −70% $23,141 −50%
920 COMPLICATIONS OF TREATMENT WITH CC $11,608 $35,354 −67% $22,468 −48%
152 OTITIS MEDIA AND URI WITH MCC $11,603 $38,079 −70% $20,247 −43%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $11,594 $40,569 −71% $21,275 −46%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,565 $52,685 −78% $23,940 −52%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,540 $5,610 +106% $15,901 −27%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $11,539 $73,673 −84% $27,843 −59%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $11,489 $37,425 −69% $25,303 −55%
200 PNEUMOTHORAX WITH CC $11,466 $29,752 −61% $21,368 −46%
644 ENDOCRINE DISORDERS WITH CC $11,458 $36,474 −69% $23,198 −51%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $11,456 $46,820 −76% $17,698 −35%
184 MAJOR CHEST TRAUMA WITH CC $11,451 $43,475 −74% $22,432 −49%
887 OTHER MENTAL DISORDER DIAGNOSES $11,442 $36,728 −69% $20,616 −44%
187 PLEURAL EFFUSION WITH CC $11,432 $36,870 −69% $21,789 −48%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $11,432 $38,044 −70% $15,370 −26%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $11,421 $44,489 −74% $20,232 −44%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $11,420 $66,880 −83% $17,404 −34%
197 INTERSTITIAL LUNG DISEASE WITH CC $11,417 $25,437 −55% $21,941 −48%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,384 $23,451 −51% $19,412 −41%
386 INFLAMMATORY BOWEL DISEASE WITH CC $11,296 $35,972 −69% $22,033 −49%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $11,293 $41,665 −73% $19,264 −41%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $11,292 $42,515 −73% $22,098 −49%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,246 $38,634 −71% $21,363 −47%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,225 $41,281 −73% $19,962 −44%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $11,211 $45,103 −75% $14,064 −20%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $11,174 $43,124 −74% $22,763 −51%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $11,169 $47,279 −76% $23,571 −53%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $11,139 $37,296 −70% $20,957 −47%
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $11,087 $31,260 −65% $20,901 −47%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,087 $41,501 −73% $21,449 −48%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $11,061 $29,812 −63% $16,700 −34%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,049 $43,107 −74% $21,396 −48%
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,034 $48,749 −77% $12,768 −14%
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $11,032 $28,812 −62% $17,601 −37%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $10,998 $38,186 −71% $16,212 −32%
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,996 $47,596 −77% $18,348 −40%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $10,957 $40,712 −73% $17,724 −38%
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $10,944 $45,190 −76% $18,956 −42%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,937 $24,894 −56% $19,924 −45%
158 DENTAL AND ORAL DISEASES WITH CC $10,902 $31,387 −65% $18,466 −41%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $10,901 $31,977 −66% $20,181 −46%
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,833 $46,073 −76% $19,594 −45%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $10,768 $39,576 −73% $18,452 −42%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $10,683 $25,596 −58% $20,895 −49%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $10,656 $36,962 −71% $20,488 −48%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $10,615 $37,884 −72% $20,911 −49%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $10,575 $49,130 −78% $17,934 −41%
161 NO ACTIVE CODE DESCRIPTION $10,563 $10,563 $1,181,300 −99%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $10,541 $30,415 −65% $20,455 −48%
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $10,509 $31,540 −67% $19,842 −47%
683 RENAL FAILURE WITH CC $10,496 $31,439 −67% $19,130 −45%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $10,481 $49,117 −79% $22,148 −53%
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,443 $37,327 −72% $15,589 −33%
638 DIABETES WITH CC $10,443 $31,995 −67% $19,661 −47%
603 CELLULITIS WITHOUT MCC $10,403 $28,690 −64% $18,530 −44%
101 SEIZURES WITHOUT MCC $10,402 $40,127 −74% $20,461 −49%
697 URETHRAL STRICTURE $10,397 $38,204 −73% $18,428 −44%
864 FEVER AND INFLAMMATORY CONDITIONS $10,389 $33,872 −69% $18,640 −44%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $10,354 $32,947 −69% $18,316 −43%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $10,332 $42,131 −75% $20,084 −49%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $10,309 $40,207 −74% $19,846 −48%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,247 $41,748 −75% $19,569 −48%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $10,237 $28,820 −64% $15,837 −35%
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $10,218 $31,212 −67% $16,968 −40%
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $10,210 $30,027 −66% $20,506 −50%
292 HEART FAILURE AND SHOCK WITH CC $10,210 $35,361 −71% $16,371 −38%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,201 $36,167 −72% $19,096 −47%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,198 $35,997 −72% $19,305 −47%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $10,195 $49,012 −79% $19,854 −49%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $10,179 $33,982 −70% $17,733 −43%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,176 $44,467 −77% $18,807 −46%
914 TRAUMATIC INJURY WITHOUT MCC $10,148 $27,127 −63% $15,855 −36%
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $10,147 $28,097 −64% $18,072 −44%
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $10,107 $28,193 −64% $18,602 −46%
312 SYNCOPE AND COLLAPSE $10,103 $36,943 −73% $19,342 −48%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,095 $52,932 −81% $18,126 −44%
213 NO ACTIVE CODE DESCRIPTION $10,090 $268,164 −96% $139,857 −93%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $10,077 $39,317 −74% $18,488 −45%
866 VIRAL ILLNESS WITHOUT MCC $10,049 $35,882 −72% $17,081 −41%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,030 $22,086 −55% $19,138 −48%
541 OSTEOMYELITIS WITHOUT CC/MCC $10,016 $22,683 −56% $15,215 −34%
882 NEUROSES EXCEPT DEPRESSIVE $9,993 $20,199 −51% $15,680 −36%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $9,899 $24,968 −60% $16,520 −40%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,874 $32,548 −70% $18,204 −46%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $9,867 $34,263 −71% $15,452 −36%
607 MINOR SKIN DISORDERS WITHOUT MCC $9,853 $26,723 −63% $15,889 −38%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,849 $22,912 −57% $14,716 −33%
204 RESPIRATORY SIGNS AND SYMPTOMS $9,824 $22,545 −56% $18,004 −45%
176 PULMONARY EMBOLISM WITHOUT MCC $9,824 $33,598 −71% $18,081 −46%
132 NO ACTIVE CODE DESCRIPTION $9,811 $9,811 $23,289 −58%
103 HEADACHES WITHOUT MCC $9,808 $42,711 −77% $21,280 −54%
779 ABORTION WITHOUT D&C $9,798 $24,578 −60% $15,327 −36%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $9,795 $29,736 −67% $17,118 −43%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $9,781 $23,681 −59% $14,055 −30%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,780 $11,553 −15% $12,593 −22%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $9,766 $36,435 −73% $18,126 −46%
076 VIRAL MENINGITIS WITHOUT CC/MCC $9,741 $30,054 −68% $17,135 −43%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,730 $29,832 −67% $17,674 −45% ≈127% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,729 $39,967 −76% $17,620 −45%
123 NEUROLOGICAL EYE DISORDERS $9,726 $42,625 −77% $19,745 −51%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $9,698 $34,098 −72% $14,014 −31%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,695 $30,041 −68% $17,578 −45%
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $9,691 $24,405 −60% $13,586 −29%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,681 $45,189 −79% $21,056 −54%
881 DEPRESSIVE NEUROSES $9,669 $20,613 −53% $15,058 −36%
343 NO ACTIVE CODE DESCRIPTION $9,668 $9,668 $12,397 −22%
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,667 $39,299 −75% $17,921 −46%
090 CONCUSSION WITHOUT CC/MCC $9,657 $42,290 −77% $15,412 −37%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,651 $31,356 −69% $14,290 −32%
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $9,629 $37,515 −74% $13,445 −28%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,591 $36,309 −74% $16,552 −42%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,569 $24,221 −60% $16,565 −42%
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $9,522 $34,771 −73% $17,038 −44%
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,522 $33,309 −71% $17,322 −45%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $9,500 $39,850 −76% $17,700 −46%
694 URINARY STONES WITHOUT MCC $9,495 $29,997 −68% $17,345 −45%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,447 $16,830 −44% $14,501 −35%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,409 $31,814 −70% $14,648 −36%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,365 $30,551 −69% $15,428 −39%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,364 $40,858 −77% $15,549 −40%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,280 $33,188 −72% $16,634 −44%
305 HYPERTENSION WITHOUT MCC $9,278 $38,822 −76% $18,086 −49%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,214 $16,359 −44% $12,895 −29%
594 SKIN ULCERS WITHOUT CC/MCC $9,199 $30,475 −70% $14,209 −35%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,193 $34,233 −73% $16,776 −45%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,188 $24,481 −62% $17,303 −47%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,175 $37,622 −76% $17,298 −47%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,157 $28,982 −68% $19,037 −52%
149 DYSEQUILIBRIUM $9,115 $40,470 −77% $18,096 −50%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,102 $35,990 −75% $13,275 −31%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,027 $29,354 −69% $16,767 −46%
313 CHEST PAIN $8,978 $32,438 −72% $16,440 −45%
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,967 $25,218 −64% $14,514 −38%
133 NO ACTIVE CODE DESCRIPTION $8,927 $8,927 $38,305 −77%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $8,920 $26,720 −67% $12,559 −29%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,884 $31,078 −71% $15,600 −43%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,850 $13,362 −34% $12,454 −29%
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $8,839 $40,449 −78% $16,450 −46%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,832 $24,932 −65% $13,651 −35%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,826 $37,292 −76% $17,124 −48%
153 OTITIS MEDIA AND URI WITHOUT MCC $8,826 $27,849 −68% $14,583 −39%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,823 $29,155 −70% $14,797 −40%
311 ANGINA PECTORIS $8,818 $15,165 −42% $15,502 −43%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,796 $26,295 −67% $15,019 −41%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,756 $24,957 −65% $14,415 −39%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,730 $42,396 −79% $20,781 −58%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,727 $29,344 −70% $12,460 −30%
151 EPISTAXIS WITHOUT MCC $8,696 $20,667 −58% $13,032 −33%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,668 $24,307 −64% $12,252 −29%
678 NO ACTIVE CODE DESCRIPTION $8,643 $8,643 $13,557
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $8,631 $43,649 −80% $11,847 −27%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,617 $29,407 −71% $16,288 −47%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,562 $27,423 −69% $15,495 −45%
201 PNEUMOTHORAX WITHOUT CC/MCC $8,544 $23,897 −64% $14,053 −39%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,529 $20,892 −59% $13,633 −37%
916 ALLERGIC REACTIONS WITHOUT MCC $8,475 $23,904 −65% $13,942 −39%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,363 $29,091 −71% $14,368 −42%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,341 $19,699 −58% $14,689 −43%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,341 $33,148 −75% $12,078 −31%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,333 $20,798 −60% $14,638 −43%
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,321 $25,391 −67% $14,250 −42%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,317 $24,095 −65% $14,128 −41%
297 CARDIAC ARREST UNEXPLAINED WITH CC $8,308 $38,304 −78% $12,336 −33%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $8,306 $26,679 −69% $11,997 −31%
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,290 $29,017 −71% $14,549 −43%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,277 $23,477 −65% $15,038 −45%
130 NO ACTIVE CODE DESCRIPTION $8,211 $8,211 $23,289 −65%
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $8,210 $42,493 −81% $11,909 −31%
162 NO ACTIVE CODE DESCRIPTION $8,180 $8,180 $72,401 −89%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,175 $27,735 −71% $13,824 −41%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $8,166 $26,728 −69% $11,421 −28%
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $8,122 $22,799 −64% $12,324 −34%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,103 $29,059 −72% $15,183 −47%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,063 $23,834 −66% $10,975 −27%
639 DIABETES WITHOUT CC/MCC $8,051 $24,302 −67% $13,910 −42%
684 RENAL FAILURE WITHOUT CC/MCC $8,030 $30,991 −74% $13,642 −41%
950 AFTERCARE WITHOUT CC/MCC $8,000 $49,165 −84% $13,527 −41%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,916 $18,036 −56% $11,071 −28%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,604 $18,007 −58% $13,384 −43%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,592 $6,361 +19% $10,160 −25%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,565 $25,755 −71% $12,999 −42%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,549 $26,503 −72% $13,361 −43%
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $7,432 $5,694 +31% $10,480 −29%
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $7,281 $32,445 −78% $8,927 −18%
691 NO ACTIVE CODE DESCRIPTION $7,268 $7,268 $31,905 −77%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $7,257 $11,696 −38% $9,940 −27%
230 NO ACTIVE CODE DESCRIPTION $6,878 $6,878 $58,096 −88%
237 NO ACTIVE CODE DESCRIPTION $6,878 $6,878 $49,435 −86%
238 NO ACTIVE CODE DESCRIPTION $6,878 $6,878 $33,293 −79%
692 NO ACTIVE CODE DESCRIPTION $6,774 $6,774 $25,916 −74%
110 NO ACTIVE CODE DESCRIPTION $6,685 $6,685 $126,895 −95%
160 NO ACTIVE CODE DESCRIPTION $6,665 $6,665 $6,461 +3%
108 NO ACTIVE CODE DESCRIPTION $6,473 $6,473 $7,095
609 NO ACTIVE CODE DESCRIPTION $6,259 $6,259 $1,256,233 −100%
679 NO ACTIVE CODE DESCRIPTION $5,790 $5,790 $7,907
777 NO ACTIVE CODE DESCRIPTION $5,217 $5,217 $19,358 −73%
765 NO ACTIVE CODE DESCRIPTION $5,174 $28,424 $5,336 −3%
211 NO ACTIVE CODE DESCRIPTION $5,006 $5,006 $6,137
214 NO ACTIVE CODE DESCRIPTION $4,860 $4,860 $19,680 −75%
210 NO ACTIVE CODE DESCRIPTION $4,726 $4,726 $5,041
781 NO ACTIVE CODE DESCRIPTION $4,684 $4,684 $16,875 −72%
782 NO ACTIVE CODE DESCRIPTION $4,684 $4,684 $10,060 −53%
172 NO ACTIVE CODE DESCRIPTION $4,647 $4,647 $11,491 −60%
766 NO ACTIVE CODE DESCRIPTION $4,622 $12,038 $5,336 −13%
795 NORMAL NEWBORN $4,526 $6,248 −28% $4,720 −4%
107 NO ACTIVE CODE DESCRIPTION $4,511 $4,511 $42,346
118 NO ACTIVE CODE DESCRIPTION $4,494 $4,494 $21,817
105 NO ACTIVE CODE DESCRIPTION $4,409 $4,409 $4,345
898 NO ACTIVE CODE DESCRIPTION $4,263 $4,263 $5,576
767 NO ACTIVE CODE DESCRIPTION $4,162 $12,032 $3,032 +37%
134 NO ACTIVE CODE DESCRIPTION $4,054 $4,054 $23,289 −83%
778 NO ACTIVE CODE DESCRIPTION $4,007 $4,007 $10,997 −64%
780 NO ACTIVE CODE DESCRIPTION $3,850 $3,850 $4,253 −9%
119 NO ACTIVE CODE DESCRIPTION $3,782 $3,782 $4,878
774 NO ACTIVE CODE DESCRIPTION $3,723 $8,607 $3,032 +23%
680 NO ACTIVE CODE DESCRIPTION $3,472 $3,472 $112,564 −97%
775 NO ACTIVE CODE DESCRIPTION $3,452 $7,344 $3,032 +14%
174 NO ACTIVE CODE DESCRIPTION $3,446 $3,446 $74,377 −95%
106 NO ACTIVE CODE DESCRIPTION $3,108 $3,108 $4,122
685 NO ACTIVE CODE DESCRIPTION $3,070 $3,070 $21,385 −86%
170 NO ACTIVE CODE DESCRIPTION $3,043 $3,043 $495 +515%
109 NO ACTIVE CODE DESCRIPTION $2,987 $2,987 $5,792
899 NO ACTIVE CODE DESCRIPTION $2,980 $2,980 $5,063
112 NO ACTIVE CODE DESCRIPTION $2,689 $2,689 $2,707
209 NO ACTIVE CODE DESCRIPTION $2,468 $404,525 −99% $250,946 −99%
610 NO ACTIVE CODE DESCRIPTION $1,365 $1,365 $2,029

Procedures with negotiated rates only

These 3 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
169 NO ACTIVE CODE DESCRIPTION $2,630 – $2,630 · median $2,630 1 plans
171 NO ACTIVE CODE DESCRIPTION $2,872 – $2,872 · median $2,872 1 plans
611 NO ACTIVE CODE DESCRIPTION $1,555 – $1,555 · median $1,555 1 plans