Procedures published 864
Lowest published price $1,365
Average published price $25,463
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 862 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 $498,715 −16%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $270,435 $1,233,612 −78% $431,073 −37%
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% $245,189 −39%
014 ALLOGENEIC BONE MARROW TRANSPLANT $140,926 $110,161 $182,314 −23%
215 OTHER HEART ASSIST SYSTEM IMPLANT $129,465 $219,127 −41% $191,314 −32%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $127,426 $336,030 −62% $151,029 −16%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $126,982 $749,394 −83% $159,181 −20%
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% $169,977 −27%
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 $372,975 −70% $143,242 −22%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $109,870 $391,484 −72% $175,437 −37%
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% $119,071 −18%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $91,770 $544,847 −83% $171,338 −46%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $89,580 $256,901 −65% $113,855 −21%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $88,517 $524,620 −83% $135,380 −35%
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% $121,728 −31%
633 NO ACTIVE CODE DESCRIPTION $82,662 $82,662 $31,241 +165%
231 CORONARY BYPASS WITH PTCA WITH MCC $82,476 $437,600 −81% $145,864 −43%
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% $137,160 −41%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $79,201 $304,707 −74% $114,665 −31%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $77,384 $372,152 −79% $138,868 −44%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $77,347 $123,009 −37% $59,207 +31%
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 $234,258 −68% $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% $101,280 −27%
631 NO ACTIVE CODE DESCRIPTION $72,994 $72,994 $312,990 −77%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $72,188 $228,175 −68% $87,575 −18%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $70,846 $279,983 −75% $121,714 −42%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $70,275 $211,773 −67% $85,882 −18%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $69,987 $69,987 +0% $70,779 −1%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $69,769 $300,966 −77% $104,881 −33%
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% $93,934 −26%
222 NO ACTIVE CODE DESCRIPTION $68,855 $68,855 $86,864 −21%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $68,520 $135,127 −49% $68,590 −0%
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% $93,783 −31%
834 ACUTE LEUKEMIA WITH MCC $63,354 $62,444 +1% $76,004 −17%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,872 $99,687 −37% $92,238 −32%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $62,605 $204,270 −69% $117,280 −47%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $62,372 $276,982 −77% $102,177 −39%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $61,895 $324,804 −81% $106,219 −42%
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% $79,944 −23%
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 $357,264 −83% $115,937 −48%
636 NO ACTIVE CODE DESCRIPTION $60,384 $60,384 $59,860 +1%
028 SPINAL PROCEDURES WITH MCC $60,050 $195,331 −69% $95,858 −37%
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 $80,278 −27%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $58,144 $249,348 −77% $92,217 −37%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $58,084 $179,372 −68% $62,404 −7%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $58,051 $192,817 −70% $86,938 −33%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $57,744 $117,125 −51% $80,885 −29%
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% $78,327 −28%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $55,935 $128,888 −57% $68,399 −18%
653 MAJOR BLADDER PROCEDURES WITH MCC $55,594 $218,722 −75% $97,028 −43%
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $55,548 $173,852 −68% $68,331 −19%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $55,264 $135,453 −59% $60,861 −9%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $55,242 $98,878 −44% $67,215 −18%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,221 $235,567 −77% $82,527 −33%
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% $76,954 −29%
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $54,621 $194,182 −72% $80,747 −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 $158,526 −66% $91,329 −41%
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $52,978 $135,651 −61% $86,953 −39%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $52,947 $296,600 −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 $207,832 −75% $95,375 −46%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $51,823 $132,944 −61% $70,132 −26%
245 AICD GENERATOR PROCEDURES $50,874 $182,544 −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 $194,827 −75% $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% $84,825 −43%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $48,282 $115,470 −58% $62,266 −22%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $47,927 $222,168 −78% $84,861 −44%
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% $88,341 −46%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $47,478 $148,683 −68% $94,320 −50%
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% $75,492 −38%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $46,964 $151,881 −69% $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% $51,339 −9%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $46,712 $191,064 −76% $75,585 −38%
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% $87,495 −47%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $46,352 $173,612 −73% $66,853 −31%
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% $72,843 −38%
635 NO ACTIVE CODE DESCRIPTION $44,962 $44,962 $822 +5370%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $44,416 $155,784 −71% $61,206 −27%
455 NO ACTIVE CODE DESCRIPTION $43,935 $70,430 $54,320 −19%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $43,920 $148,808 −70% $61,353 −28%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $43,884 $112,039 −61% $64,465 −32%
799 SPLENIC PROCEDURES WITH MCC $43,822 $119,568 −63% $78,821 −44%
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% $43,697 −1%
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% $68,847 −39%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $42,014 $249,729 −83% $82,247 −49%
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $41,849 $110,285 −62% $73,029 −43%
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 $481,103 −92% $56,242 −28%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $40,714 $128,151 −68% $72,274 −44%
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% $71,519 −44%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $39,958 $170,938 −77% $72,908 −45%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $39,776 $180,383 −78% $71,873 −45%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $39,060 $56,809 −31% $44,839 −13%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $39,025 $96,492 −60% $43,444 −10%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $39,002 $137,941 −72% $72,879 −46%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $38,737 $65,721 −41% $40,947 −5%
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% $62,961 −39%
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 $195,837 −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% $57,521 −35%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $36,949 $217,860 −83% $57,855 −36%
634 NO ACTIVE CODE DESCRIPTION $36,649 $36,649 $37,527 −2%
332 RECTAL RESECTION WITH MCC $36,543 $86,971 −58% $58,125 −37%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $36,495 $90,915 −60% $55,002 −34%
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% $70,540 −49%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $35,490 $14,577 +143% $16,708 +112%
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% $64,468 −45%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $35,151 $145,918 −76% $63,310 −44%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $35,000 $39,509 −11% $54,196 −35%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $34,855 $63,098 −45% $42,126 −17%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $34,854 $72,979 −52% $28,103 +24%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $34,835 $80,216 −57% $59,425 −41%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $34,805 $128,746 −73% $62,790 −45%
460 NO ACTIVE CODE DESCRIPTION $34,657 $74,829 $50,815 −32%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $34,350 $148,422 −77% $68,421 −50%
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% $66,765 −49%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $34,025 $157,816 −78% $56,758 −40%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $34,007 $207,581 −84% $83,065 −59%
265 AICD LEAD PROCEDURES $33,923 $113,099 −70% $56,216 −40%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $33,627 $149,451 −77% $64,488 −48%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $33,464 $185,862 −82% $57,277 −42%
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $33,310 $86,956 −62% $53,763 −38%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $33,279 $153,295 −78% $66,819 −50%
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% $54,475 −39%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $32,926 $117,958 −72% $47,574 −31%
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $32,919 $150,170 −78% $58,968 −44%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $32,904 $100,467 −67% $44,553 −26%
037 EXTRACRANIAL PROCEDURES WITH MCC $32,651 $153,424 −79% $64,749 −50%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,641 $128,243 −75% $65,383 −50%
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% $27,074 +20%
500 SOFT TISSUE PROCEDURES WITH MCC $32,289 $132,650 −76% $57,181 −44%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $32,226 $165,336 −81% $74,274 −57%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $32,215 $76,679 −58% $48,745 −34%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $32,043 $100,440 −68% $54,313 −41%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $31,707 $37,386 −15% $24,450 +30%
662 MINOR BLADDER PROCEDURES WITH MCC $31,677 $78,992 −60% $54,483 −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% $51,142 −38%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $31,407 $119,036 −74% $63,984 −51%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $31,256 $98,727 −68% $44,719 −30%
791 PREMATURITY WITH MAJOR PROBLEMS $30,908 $64,064 −52% $39,254 −21%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $30,514 $114,445 −73% $44,973 −32%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $30,450 $81,718 −63% $40,277 −24%
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% $37,080 −19%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,949 $119,941 −75% $64,956 −54%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $29,745 $140,460 −79% $53,817 −45%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $29,643 $199,675 −85% $53,787 −45%
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 $123,430 −76% $53,555 −45%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $29,191 $79,528 −63% $36,097 −19%
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% $47,126 −38%
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% $30,940 −7%
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $28,719 $53,611 −46% $45,558 −37%
253 OTHER VASCULAR PROCEDURES WITH CC $28,444 $123,638 −77% $53,746 −47%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $28,411 $96,336 −71% $60,140 −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% $57,030 −50%
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% $29,671 −5%
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% $40,063 −30%
318 NO ACTIVE CODE DESCRIPTION $27,872 $145,995 −81% $58,739 −53%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $27,799 $108,764 −74% $52,405 −47%
263 VEIN LIGATION AND STRIPPING $27,732 $91,579 −70% $44,938 −38%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,724 $102,918 −73% $48,801 −43%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $27,715 $106,612 −74% $37,654 −26%
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $27,568 $96,510 −71% $49,055 −44%
654 MAJOR BLADDER PROCEDURES WITH CC $27,460 $172,046 −84% $53,868 −49%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $27,279 $155,177 −82% $52,332 −48%
570 SKIN DEBRIDEMENT WITH MCC $27,224 $66,566 −59% $51,501 −47%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $27,161 $140,546 −81% $48,907 −44%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $27,120 $119,841 −77% $56,197 −52%
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% $45,271 −41%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $26,510 $56,684 −53% $45,497 −42%
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% $47,546 −44%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $26,369 $100,099 −74% $50,998 −48%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $25,991 $77,907 −67% $45,937 −43%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $25,973 $82,404 −68% $35,806 −27%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $25,971 $27,771 −6% $18,323 +42%
164 MAJOR CHEST PROCEDURES WITH CC $25,935 $108,806 −76% $53,141 −51%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $25,923 $92,738 −72% $40,801 −36%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $25,768 $107,550 −76% $55,162 −53%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $25,511 $71,291 −64% $39,657 −36%
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 $71,014 −64% $39,409 −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% $36,237 −30%
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $25,226 $116,014 −78% $54,681 −54%
397 APPENDIX PROCEDURES WITH MCC $25,185 $92,000 −73% $52,319 −52%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $25,126 $112,927 −78% $41,596 −40%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $25,116 $124,745 −80% $51,950 −52%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $25,086 $128,223 −80% $46,659 −46%
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% $44,600 −44%
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,918 $69,655 −64% $30,681 −19%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $24,793 $133,960 −81% $43,313 −43%
503 FOOT PROCEDURES WITH MCC $24,768 $83,685 −70% $43,982 −44%
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% $55,147 −56%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $24,290 $115,705 −79% $58,713 −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% $44,022 −45%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $24,192 $87,757 −72% $41,847 −42%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $24,188 $125,097 −81% $56,394 −57%
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% $24,229 −1%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $23,942 $74,098 −68% $40,065 −40%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $23,908 $91,595 −74% $49,631 −52%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $23,827 $95,433 −75% $45,594 −48%
338 NO ACTIVE CODE DESCRIPTION $23,781 $23,781 $30,138 −21%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $23,636 $79,105 −70% $28,554 −17%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $23,621 $75,462 −69% $39,093 −40%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,435 $92,561 −75% $33,962 −31%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $23,228 $60,407 −62% $36,195 −36%
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $23,129 $93,993 −75% $44,927 −49%
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $23,105 $131,608 −82% $44,989 −49%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $23,096 $85,838 −73% $32,839 −30%
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% $46,306 −51%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $22,836 $98,825 −77% $41,660 −45%
030 SPINAL PROCEDURES WITHOUT CC/MCC $22,742 $94,141 −76% $45,842 −50%
374 DIGESTIVE MALIGNANCY WITH MCC $22,696 $64,649 −65% $38,885 −42%
647 NO ACTIVE CODE DESCRIPTION $22,608 $22,608 $37,122
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $22,606 $41,788 −46% $23,956 −6%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $22,572 $101,386 −78% $43,252 −48%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $22,561 $68,842 −67% $34,886 −35%
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $22,504 $104,819 −79% $47,635 −53%
333 RECTAL RESECTION WITH CC $22,460 $99,845 −78% $34,352 −35%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $22,457 $93,034 −76% $40,583 −45%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $22,406 $100,166 −78% $39,253 −43%
849 RADIOTHERAPY $22,402 $36,021 −38% $37,862 −41%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $22,296 $112,828 −80% $38,382 −42%
945 REHABILITATION WITH CC/MCC $22,228 $43,783 −49% $23,834 −7%
113 ORBITAL PROCEDURES WITH CC/MCC $22,141 $125,787 −82% $35,642 −38%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $22,122 $95,943 −77% $37,681 −41%
336 PERITONEAL ADHESIOLYSIS WITH CC $22,042 $104,605 −79% $49,071 −55%
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $21,970 $138,483 −84% $39,923 −45%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $21,938 $64,235 −66% $38,166 −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% $41,114 −48%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $21,446 $92,809 −77% $40,563 −47%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $21,439 $63,826 −66% $36,318 −41%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $21,420 $82,866 −74% $35,673 −40%
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% $46,477 −54%
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% $35,381 −40%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $21,183 $55,157 −62% $36,850 −43%
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% $41,520 −49%
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $20,933 $65,330 −68% $28,802 −27%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,892 $106,410 −80% $37,839 −45%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $20,789 $60,001 −65% $35,029 −41%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $20,786 $131,645 −84% $41,701 −50%
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,778 $33,069 −37% $24,277 −14%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $20,717 $62,199 −67% $36,202 −43%
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% $35,714 −43%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $20,441 $139,875 −85% $54,772 −63%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $20,407 $100,406 −80% $27,277 −25%
539 OSTEOMYELITIS WITH MCC $20,361 $63,368 −68% $33,614 −39%
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $20,287 $220,846 −91% $34,089 −40%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $20,235 $120,796 −83% $43,775 −54%
595 MAJOR SKIN DISORDERS WITH MCC $20,127 $47,775 −58% $31,772 −37%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $20,126 $96,907 −79% $34,900 −42%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $20,072 $67,895 −70% $34,876 −42% ≈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% $36,880 −46%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $19,986 $80,532 −75% $39,675 −50%
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% $42,119 −53%
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 $61,739 −68% $31,909 −38%
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $19,826 $99,303 −80% $35,693 −44%
100 SEIZURES WITH MCC $19,788 $80,779 −76% $35,194 −44%
711 TESTES PROCEDURES WITH CC/MCC $19,721 $54,423 −64% $34,846 −43%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $19,642 $46,444 −58% $28,375 −31%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $19,612 $61,273 −68% $32,804 −40%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $19,582 $117,412 −83% $43,320 −55%
592 SKIN ULCERS WITH MCC $19,556 $34,544 −43% $32,662 −40%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,536 $169,948 −89% $33,236 −41%
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 $52,076 −63% $30,661 −37%
535 FRACTURES OF HIP AND PELVIS WITH MCC $19,350 $44,141 −56% $22,874 −15%
906 HAND PROCEDURES FOR INJURIES $19,333 $67,276 −71% $31,520 −39%
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $19,300 $169,241 −89% $29,598 −35%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $19,231 $65,330 −71% $31,913 −40%
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% $41,380 −54%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $19,087 $47,798 −60% $29,109 −34%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $19,032 $10,112 +88% $11,633 +64%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $19,023 $46,126 −59% $31,754 −40%
548 SEPTIC ARTHRITIS WITH MCC $18,942 $44,991 −58% $31,019 −39%
247 NO ACTIVE CODE DESCRIPTION $18,912 $18,912 $21,663 −13%
935 NON-EXTENSIVE BURNS $18,878 $25,148 −25% $29,458 −36%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,864 $57,201 −67% $32,506 −42%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $18,852 $81,728 −77% $35,528 −47%
302 ATHEROSCLEROSIS WITH MCC $18,812 $49,493 −62% $20,810 −10%
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% $45,916 −59%
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $18,655 $62,055 −70% $29,476 −37%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $18,619 $65,920 −72% $35,990 −48%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $18,579 $98,635 −81% $35,989 −48%
380 COMPLICATED PEPTIC ULCER WITH MCC $18,540 $86,679 −79% $36,537 −49%
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% $25,854 −28%
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% $36,241 −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% $29,867 −39%
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% $24,874 −26%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $18,278 $73,341 −75% $32,538 −44%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,237 $60,792 −70% $31,062 −41%
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $18,220 $46,916 −61% $35,108 −48%
501 SOFT TISSUE PROCEDURES WITH CC $18,183 $86,019 −79% $37,975 −52%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $18,128 $50,643 −64% $29,049 −38%
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% $32,901 −45%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $18,017 $77,617 −77% $30,418 −41%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,995 $54,451 −67% $30,814 −42%
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 $50,437 −64% $22,532 −20%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $17,983 $50,864 −65% $27,118 −34%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $17,945 $54,383 −67% $31,627 −43%
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,852 $55,430 −68% $30,362 −41%
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 $90,758 −81% $33,137 −47%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $17,621 $87,967 −80% $31,812 −45%
199 PNEUMOTHORAX WITH MCC $17,607 $38,813 −55% $31,085 −43%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $17,600 $79,886 −78% $29,609 −41%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $17,570 $167,938 −90% $34,158 −49%
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% $31,743 −45%
504 FOOT PROCEDURES WITH CC $17,489 $77,463 −77% $36,519 −52%
915 ALLERGIC REACTIONS WITH MCC $17,446 $59,678 −71% $30,944 −44%
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% $43,266 −60%
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $17,377 $48,136 −64% $30,275 −43%
505 FOOT PROCEDURES WITHOUT CC/MCC $17,330 $69,943 −75% $31,716 −45%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $17,278 $48,510 −64% $25,596 −32%
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $17,263 $94,019 −82% $36,355 −53%
666 PROSTATECTOMY WITH CC $17,200 $68,001 −75% $30,016 −43%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,193 $76,983 −78% $33,415 −49%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $17,164 $33,271 −48% $17,579 −2%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $17,157 $63,173 −73% $32,417 −47%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $17,099 $60,071 −72% $35,139 −51%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $17,093 $94,319 −82% $44,087 −61%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $17,089 $63,429 −73% $32,976 −48%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $17,076 $87,416 −80% $31,029 −45%
919 COMPLICATIONS OF TREATMENT WITH MCC $17,076 $53,434 −68% $29,031 −41%
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% $32,953 −48%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $17,026 $95,966 −82% $28,578 −40%
398 APPENDIX PROCEDURES WITH CC $16,965 $87,321 −81% $38,574 −56%
509 ARTHROSCOPY $16,925 $89,984 −81% $25,994 −35%
334 RECTAL RESECTION WITHOUT CC/MCC $16,918 $85,159 −80% $32,213 −47%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,910 $58,758 −71% $21,025 −20%
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% $30,768 −45%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $16,732 $99,112 −83% $25,390 −34%
597 MALIGNANT BREAST DISORDERS WITH MCC $16,694 $63,610 −74% $31,846 −48%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $16,665 $56,466 −70% $33,339 −50%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $16,627 $49,803 −67% $29,929 −44%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $16,586 $84,332 −80% $30,930 −46%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $16,578 $61,477 −73% $31,566 −47%
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% $29,409 −44%
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $16,539 $79,753 −79% $29,558 −44%
571 SKIN DEBRIDEMENT WITH CC $16,532 $68,951 −76% $34,773 −52%
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% $35,375 −54%
186 PLEURAL EFFUSION WITH MCC $16,342 $49,864 −67% $32,385 −50%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,333 $66,165 −75% $28,509 −43%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,312 $72,321 −77% $36,333 −55%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $16,285 $222,877 −93% $25,484 −36%
551 MEDICAL BACK PROBLEMS WITH MCC $16,278 $58,023 −72% $31,067 −48%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $16,246 $80,516 −80% $34,434 −53%
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,173 $38,027 −57% $14,121 +15%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,109 $23,685 −32% $22,698 −29%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $16,099 $58,245 −72% $32,689 −51%
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,088 $30,085 −47% $18,150 −11%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $16,086 $80,325 −80% $30,224 −47%
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $16,067 $29,604 −46% $29,011 −45%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $16,032 $47,429 −66% $28,252 −43%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $16,027 $44,460 −64% $28,001 −43%
506 MAJOR THUMB OR JOINT PROCEDURES $16,009 $65,860 −76% $28,983 −45%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $15,924 $80,635 −80% $35,961 −56%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,900 $58,393 −73% $29,891 −47%
157 DENTAL AND ORAL DISEASES WITH MCC $15,887 $41,903 −62% $27,457 −42%
183 MAJOR CHEST TRAUMA WITH MCC $15,875 $45,895 −65% $28,924 −45%
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% $25,146 −37%
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $15,762 $100,501 −84% $26,998 −42%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $15,759 $83,089 −81% $33,790 −53%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $15,733 $60,740 −74% $32,189 −51%
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% $17,078 −9%
663 MINOR BLADDER PROCEDURES WITH CC $15,561 $74,952 −79% $29,924 −48%
075 VIRAL MENINGITIS WITH CC/MCC $15,542 $43,111 −64% $29,751 −48%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $15,526 $37,577 −59% $25,998 −40%
913 TRAUMATIC INJURY WITH MCC $15,524 $36,103 −57% $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 $48,345 −68% $27,640 −44%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $15,436 $40,813 −62% $23,646 −35%
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% $28,403 −46%
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $15,399 $41,732 −63% $24,465 −37%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $15,386 $55,587 −72% $24,879 −38%
813 COAGULATION DISORDERS $15,375 $62,568 −75% $30,128 −49%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $15,375 $44,890 −66% $19,868 −23%
602 CELLULITIS WITH MCC $15,350 $42,901 −64% $29,347 −48%
637 DIABETES WITH MCC $15,231 $53,740 −72% $28,772 −47%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,188 $63,936 −76% $27,492 −45%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $15,164 $67,241 −77% $29,630 −49%
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% $30,888 −51%
137 MOUTH PROCEDURES WITH CC/MCC $15,115 $47,367 −68% $24,348 −38%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $15,044 $80,982 −81% $21,615 −30%
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% $26,098 −42%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,039 $27,236 −45% $24,447 −38%
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,038 $38,156 −61% $27,597 −46%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,009 $69,632 −78% $33,425 −55%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $14,984 $78,268 −81% $29,957 −50%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $14,973 $62,323 −76% $24,036 −38%
088 CONCUSSION WITH MCC $14,938 $50,287 −70% $24,402 −39%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $14,930 $42,379 −65% $29,521 −49%
811 RED BLOOD CELL DISORDERS WITH MCC $14,919 $58,024 −74% $27,674 −46%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $14,881 $91,979 −84% $25,152 −41%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $14,834 $40,020 −63% $17,006 −13%
606 MINOR SKIN DISORDERS WITH MCC $14,825 $38,796 −62% $25,434 −42%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $14,796 $63,372 −77% $29,777 −50%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $14,793 $101,616 −85% $32,911 −55%
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% $20,741 −29%
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $14,705 $43,909 −67% $28,385 −48%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $14,694 $63,968 −77% $24,561 −40%
120 NO ACTIVE CODE DESCRIPTION $14,687 $14,687 $71,194 −79%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,673 $38,669 −62% $24,603 −40% ≈130% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $14,555 $48,158 −70% $25,071 −42%
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $14,525 $36,357 −60% $19,317 −25%
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $14,460 $67,611 −79% $23,456 −38%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $14,385 $47,405 −70% $25,412 −43%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,376 $46,090 −69% $24,118 −40%
710 PENIS PROCEDURES WITHOUT CC/MCC $14,338 $50,770 −72% $23,814 −40%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $14,322 $86,406 −83% $31,816 −55%
375 DIGESTIVE MALIGNANCY WITH CC $14,307 $56,531 −75% $27,125 −47%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $14,271 $72,508 −80% $29,374 −51%
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% $25,766 −45% ≈130% of Medicare
693 URINARY STONES WITH MCC $14,140 $47,078 −70% $22,525 −37%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $14,092 $90,104 −84% $25,149 −44%
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $14,077 $49,003 −71% $18,288 −23%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,044 $40,477 −65% $25,786 −46%
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $14,041 $63,647 −78% $25,243 −44%
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $14,035 $67,679 −79% $22,920 −39%
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $13,992 $38,328 −63% $21,860 −36%
291 HEART FAILURE AND SHOCK WITH MCC $13,989 $41,832 −67% $24,932 −44% ≈135% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,979 $34,301 −59% $23,646 −41%
540 OSTEOMYELITIS WITH CC $13,968 $43,789 −68% $23,494 −41%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $13,947 $82,713 −83% $34,564 −60%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,946 $7,819 +78% $7,896 +77%
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,945 $40,079 −65% $23,734 −41%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $13,892 $90,886 −85% $23,474 −41%
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% $31,978 −57%
139 SALIVARY GLAND PROCEDURES $13,793 $63,021 −78% $21,014 −34%
947 SIGNS AND SYMPTOMS WITH MCC $13,790 $45,818 −70% $25,474 −46%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $13,781 $45,035 −69% $26,616 −48%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $13,780 $46,755 −71% $25,666 −46%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $13,774 $65,842 −79% $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 $44,127 −69% $26,088 −48%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,634 $77,036 −82% $29,029 −53%
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,621 $61,844 −78% $31,190 −56%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $13,589 $67,233 −80% $22,226 −39%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $13,582 $59,989 −77% $27,319 −50%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,571 $46,323 −71% $17,585 −23%
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $13,566 $80,329 −83% $25,621 −47%
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $13,505 $40,067 −66% $27,041 −50%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,449 $49,997 −73% $23,920 −44%
348 ANAL AND STOMAL PROCEDURES WITH CC $13,430 $58,794 −77% $27,947 −52%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $13,399 $65,065 −79% $24,928 −46%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $13,380 $38,426 −65% $22,010 −39%
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $13,357 $48,259 −72% $24,244 −45%
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 $45,782 −71% $21,133 −37%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $13,260 $45,243 −71% $20,147 −34%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $13,245 $55,871 −76% $26,158 −49%
549 SEPTIC ARTHRITIS WITH CC $13,192 $35,913 −63% $20,808 −37%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,146 $46,707 −72% $26,146 −50%
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% $21,489 −39%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $12,990 $12,990 +0% $19,686 −34%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,954 $30,908 −58% $23,039 −44%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $12,908 $53,260 −76% $21,029 −39%
546 CONNECTIVE TISSUE DISORDERS WITH CC $12,898 $58,380 −78% $24,146 −47%
593 SKIN ULCERS WITH CC $12,881 $28,790 −55% $20,470 −37%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $12,838 $37,262 −66% $22,870 −44%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,820 $65,936 −81% $23,588 −46%
642 INBORN AND OTHER DISORDERS OF METABOLISM $12,704 $39,926 −68% $20,727 −39%
342 NO ACTIVE CODE DESCRIPTION $12,664 $12,664 $19,454 −35%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,619 $70,516 −82% $25,267 −50%
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,602 $46,645 −73% $17,383 −28%
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% $17,754 −29%
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% $30,259 −59%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $12,459 $40,872 −70% $19,894 −37%
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% $24,017 −48%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,421 $43,684 −72% $24,103 −48%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $12,405 $33,659 −63% $15,608 −21%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,389 $40,453 −69% $23,400 −47%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,373 $57,277 −78% $25,206 −51%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,363 $66,800 −81% $27,369 −55%
181 RESPIRATORY NEOPLASMS WITH CC $12,345 $61,959 −80% $22,065 −44%
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% $20,148 −39%
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,241 $38,272 −68% $20,837 −41%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $12,228 $21,440 −43% $21,499 −43%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $12,222 $55,521 −78% $19,132 −36%
102 HEADACHES WITH MCC $12,221 $47,341 −74% $21,983 −44%
304 HYPERTENSION WITH MCC $12,215 $50,859 −76% $23,945 −49%
712 TESTES PROCEDURES WITHOUT CC/MCC $12,200 $40,061 −70% $18,898 −35%
089 CONCUSSION WITH CC $12,189 $63,358 −81% $18,293 −33%
445 DISORDERS OF THE BILIARY TRACT WITH CC $12,155 $57,722 −79% $21,666 −44%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,133 $38,723 −69% $22,587 −46%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,102 $50,849 −76% $24,426 −50%
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% $18,126 −33%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $12,019 $38,413 −69% $19,448 −38%
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% $17,308 −31%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $11,907 $42,004 −72% $23,396 −49%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $11,834 $44,062 −73% $24,000 −51%
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% $15,923 −26%
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% $17,194 −32%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $11,711 $70,183 −83% $24,008 −51%
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 $37,359 −69% $22,623 −48%
340 NO ACTIVE CODE DESCRIPTION $11,664 $11,664 $16,240 −28%
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $11,651 $46,219 −75% $20,076 −42%
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% $20,879 −44%
152 OTITIS MEDIA AND URI WITH MCC $11,603 $42,130 −72% $19,657 −41%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $11,594 $40,569 −71% $20,732 −44%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,565 $52,685 −78% $22,610 −49%
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% $25,038 −54%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $11,489 $37,425 −69% $22,590 −49%
200 PNEUMOTHORAX WITH CC $11,466 $29,752 −61% $20,573 −44%
644 ENDOCRINE DISORDERS WITH CC $11,458 $36,317 −68% $22,941 −50%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $11,456 $46,820 −76% $17,268 −34%
184 MAJOR CHEST TRAUMA WITH CC $11,451 $44,101 −74% $20,842 −45%
887 OTHER MENTAL DISORDER DIAGNOSES $11,442 $36,728 −69% $20,557 −44%
187 PLEURAL EFFUSION WITH CC $11,432 $36,870 −69% $21,467 −47%
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% $18,000 −37%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $11,420 $66,880 −83% $15,890 −28%
197 INTERSTITIAL LUNG DISEASE WITH CC $11,417 $25,437 −55% $20,105 −43%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,384 $23,451 −51% $18,291 −38%
386 INFLAMMATORY BOWEL DISEASE WITH CC $11,296 $35,972 −69% $20,917 −46%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $11,293 $41,665 −73% $18,005 −37%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $11,292 $42,515 −73% $21,886 −48%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,246 $38,634 −71% $20,716 −46%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,225 $41,281 −73% $19,001 −41%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $11,211 $29,087 −61% $14,064 −20%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $11,174 $33,530 −67% $22,231 −50%
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% $20,007 −44%
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $11,087 $31,260 −65% $19,091 −42%
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% $16,418 −33%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,049 $43,107 −74% $20,632 −46%
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,034 $48,749 −77% $12,650 −13%
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $11,032 $28,812 −62% $16,431 −33%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $10,998 $35,597 −69% $16,212 −32%
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,996 $47,596 −77% $16,495 −33%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $10,957 $40,712 −73% $17,183 −36%
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $10,944 $45,190 −76% $17,719 −38%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,937 $24,894 −56% $18,060 −39%
158 DENTAL AND ORAL DISEASES WITH CC $10,902 $31,387 −65% $17,751 −39%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $10,901 $31,977 −66% $18,815 −42%
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,833 $46,073 −76% $19,326 −44%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $10,768 $39,576 −73% $18,038 −40%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $10,683 $25,596 −58% $18,199 −41%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $10,656 $36,962 −71% $20,408 −48%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $10,615 $37,884 −72% $20,371 −48%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $10,575 $49,130 −78% $17,108 −38%
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% $20,313 −48%
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $10,509 $31,540 −67% $18,243 −42%
683 RENAL FAILURE WITH CC $10,496 $31,439 −67% $18,322 −43%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $10,481 $49,117 −79% $21,323 −51%
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,443 $34,355 −70% $15,589 −33%
638 DIABETES WITH CC $10,443 $31,236 −67% $18,763 −44%
603 CELLULITIS WITHOUT MCC $10,403 $28,690 −64% $18,359 −43%
101 SEIZURES WITHOUT MCC $10,402 $40,127 −74% $19,930 −48%
697 URETHRAL STRICTURE $10,397 $24,034 −57% $17,705 −41%
864 FEVER AND INFLAMMATORY CONDITIONS $10,389 $33,872 −69% $17,412 −40%
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% $19,815 −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% $15,598 −34%
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $10,218 $31,212 −67% $16,622 −39%
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $10,210 $30,027 −66% $19,287 −47%
292 HEART FAILURE AND SHOCK WITH CC $10,210 $35,361 −71% $15,878 −36%
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% $15,636 −35%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,176 $39,683 −74% $18,104 −44%
914 TRAUMATIC INJURY WITHOUT MCC $10,148 $27,127 −63% $15,586 −35%
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $10,147 $28,097 −64% $16,352 −38%
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $10,107 $28,193 −64% $17,296 −42%
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% $17,851 −43%
213 NO ACTIVE CODE DESCRIPTION $10,090 $268,164 −96% $119,143 −92%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $10,077 $39,317 −74% $17,731 −43%
866 VIRAL ILLNESS WITHOUT MCC $10,049 $35,882 −72% $16,348 −39%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,030 $21,299 −53% $16,156 −38%
541 OSTEOMYELITIS WITHOUT CC/MCC $10,016 $22,683 −56% $14,549 −31%
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% $15,818 −37%
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% $15,045 −34%
607 MINOR SKIN DISORDERS WITHOUT MCC $9,853 $26,723 −63% $15,276 −35%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,849 $22,912 −57% $14,337 −31%
204 RESPIRATORY SIGNS AND SYMPTOMS $9,824 $22,545 −56% $16,804 −42%
176 PULMONARY EMBOLISM WITHOUT MCC $9,824 $33,598 −71% $17,693 −44%
132 NO ACTIVE CODE DESCRIPTION $9,811 $9,811 $23,289 −58%
103 HEADACHES WITHOUT MCC $9,808 $42,711 −77% $20,076 −51%
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% $16,622 −41%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $9,781 $23,931 −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% $17,562 −44%
076 VIRAL MENINGITIS WITHOUT CC/MCC $9,741 $30,054 −68% $15,474 −37%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,730 $29,832 −67% $17,379 −44% ≈127% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,729 $39,967 −76% $17,522 −44%
123 NEUROLOGICAL EYE DISORDERS $9,726 $42,625 −77% $17,831 −45%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $9,698 $34,098 −72% $13,385 −28%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,695 $30,041 −68% $17,345 −44%
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% $20,253 −52%
881 DEPRESSIVE NEUROSES $9,669 $20,613 −53% $15,058 −36%
343 NO ACTIVE CODE DESCRIPTION $9,668 $9,668 $13,735 −30%
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,667 $39,299 −75% $17,719 −45%
090 CONCUSSION WITHOUT CC/MCC $9,657 $34,824 −72% $14,873 −35%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,651 $13,367 −28% $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 $19,932 −52% $15,007 −36%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,569 $24,221 −60% $14,861 −36%
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $9,522 $29,181 −67% $16,718 −43%
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% $16,451 −42%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,447 $9,447 +0% $13,822 −32%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,409 $31,814 −70% $14,411 −35%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,365 $30,551 −69% $14,166 −34%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,364 $40,858 −77% $13,654 −31%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,280 $31,455 −70% $16,634 −44%
305 HYPERTENSION WITHOUT MCC $9,278 $38,822 −76% $16,897 −45%
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% $16,645 −45%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,175 $37,622 −76% $15,876 −42%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,157 $29,748 −69% $16,654 −45%
149 DYSEQUILIBRIUM $9,115 $40,470 −77% $17,203 −47%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,102 $35,990 −75% $13,090 −30%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,027 $29,354 −69% $16,104 −44%
313 CHEST PAIN $8,978 $32,438 −72% $15,837 −43%
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,967 $25,218 −64% $14,252 −37%
133 NO ACTIVE CODE DESCRIPTION $8,927 $8,927 $23,289 −62%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $8,920 $23,285 −62% $12,536 −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 $13,261 −33% $12,205 −27%
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $8,839 $40,449 −78% $13,278 −33%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,832 $24,932 −65% $12,794 −31%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,826 $37,292 −76% $15,858 −44%
153 OTITIS MEDIA AND URI WITHOUT MCC $8,826 $27,849 −68% $14,251 −38%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,823 $29,155 −70% $13,303 −34%
311 ANGINA PECTORIS $8,818 $17,821 −51% $15,165 −42%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,796 $26,295 −67% $13,892 −37%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,756 $24,957 −65% $14,012 −38%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,730 $42,396 −79% $19,483 −55%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,727 $29,344 −70% $12,405 −30%
151 EPISTAXIS WITHOUT MCC $8,696 $18,692 −53% $13,032 −33%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,668 $24,307 −64% $12,275 −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% $14,880 −42%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,562 $27,423 −69% $15,072 −43%
201 PNEUMOTHORAX WITHOUT CC/MCC $8,544 $23,897 −64% $13,081 −35%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,529 $22,271 −62% $13,362 −36%
916 ALLERGIC REACTIONS WITHOUT MCC $8,475 $23,904 −65% $13,890 −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% $14,210 −41%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,341 $33,148 −75% $11,957 −30%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,333 $20,000 −58% $13,485 −38%
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,321 $25,391 −67% $14,208 −41%
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% $13,198 −37%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,277 $23,477 −65% $14,134 −41%
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 $371,965 −98%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,175 $27,735 −71% $13,747 −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% $12,013 −32%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,103 $29,059 −72% $14,770 −45%
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% $13,455 −40%
950 AFTERCARE WITHOUT CC/MCC $8,000 $49,165 −84% $13,527 −41%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,916 $14,354 −45% $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 $5,512 +38% $9,385 −19%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,565 $25,755 −71% $11,826 −36%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,549 $26,503 −72% $13,318 −43%
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $7,432 $7,432 +0% $10,039 −26%
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $7,281 $31,970 −77% $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% $9,063 −20%
230 NO ACTIVE CODE DESCRIPTION $6,878 $6,878 $88,720 −92%
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 $6,256 +7%
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 $10,599 −56%
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% $4,521 +0%
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 $3,242 +6%
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 $435 +600%
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
169 NO ACTIVE CODE DESCRIPTION $2,630 $2,630 $128,246 −98%
209 NO ACTIVE CODE DESCRIPTION $2,468 $404,525 −99% $183,292 −99%
610 NO ACTIVE CODE DESCRIPTION $1,365 $1,365 $2,029

Procedures with negotiated rates only

These 2 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
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