Piedmont Hospital, Inc — Pricing

741 procedures published in this hospital's Machine-Readable File (MRF) — 740 with a comparable price, 1 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 741
Lowest published price $3,126
Average published price $95,344
Highest published price $1,233,612

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 741 procedures

Published charges

Showing all 740 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 156 procedures, this hospital's negotiated rates average ≈176% of what Medicare pays.

DRG Description Published price Cash price vs. GA median vs. National median vs Medicare
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,233,612 $422,259 $1,541,914 −20% $461,389 +167% ≈215% of Medicare
008 Simultaneous Pancreas And Kidney Transplant $818,221 $245,466 $818,221 +0% $86,459 +846% —
002 Heart Transplant Or Implant Of Heart Assist System Without McC $770,858 $231,257 $337,006 +129% $194,769 +296% —
005 Liver Transplant With McC Or Intestinal Transplant $749,394 $246,165 $749,394 +0% $164,641 +355% ≈406% of Medicare
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $725,677 $217,703 $725,677 +0% $371,366 +95% ≈115% of Medicare
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $679,547 $203,864 $557,936 +22% $248,521 +173% —
650 Kidney Transplant With Hemodialysis With McC $578,558 $173,567 $578,558 +0% $71,551 +709% ≈124% of Medicare
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $530,909 $159,273 $524,620 +1% $148,686 +257% —
651 Kidney Transplant With Hemodialysis Without McC $481,103 $144,331 $709,554 −32% $56,242 +755% —
652 Kidney Transplant $479,000 $143,700 $91,630 +423% $54,720 +775% ≈287% of Medicare
231 Coronary Bypass With Ptca With McC $437,600 $131,280 $547,666 −20% $147,227 +197% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $391,484 $117,445 $452,987 −14% $188,171 +108% ≈115% of Medicare
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $374,040 $112,212 $372,152 +1% $144,569 +159% ≈111% of Medicare
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $372,975 $111,892 $383,806 −3% $143,242 +160% ≈98% of Medicare
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $359,500 $107,850 $359,500 +0% $107,355 +235% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $357,264 $107,179 $380,113 −6% $125,242 +185% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $336,030 $100,809 $336,030 +0% $153,282 +119% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $326,285 $97,886 $326,285 +0% $106,057 +208% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $326,076 $97,823 $307,425 +6% $148,832 +119% ≈160% of Medicare
969 Hiv With Extensive O.R. Procedures With McC $326,043 $97,813 $316,372 +3% $109,331 +198% —
232 Coronary Bypass With Ptca Without McC $324,804 $97,441 $331,871 −2% $115,839 +180% —
235 Coronary Bypass Without Cardiac Catheterization With McC $321,452 $96,436 $292,811 +10% $112,062 +187% ≈192% of Medicare
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $320,684 $96,205 $200,533 +60% $116,058 +176% —
955 Craniotomy For Multiple Significant Trauma $300,966 $90,290 $310,778 −3% $102,600 +193% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $300,677 $90,203 $235,567 +28% $90,401 +233% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $296,600 $88,980 $298,321 −1% $102,573 +189% ≈120% of Medicare
957 Other O.R. Procedures For Multiple Significant Trauma With McC $285,727 $85,718 $285,727 +0% $120,573 +137% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $279,983 $83,995 $323,842 −14% $123,995 +126% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $276,982 $83,095 $288,618 −4% $111,320 +149% ≈218% of Medicare
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $276,507 $82,952 $276,507 +0% $101,510 +172% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $256,901 $77,070 $286,652 −10% $113,855 +126% ≈106% of Medicare
215 Other Heart Assist System Implant $250,697 $75,209 $219,127 +14% $208,939 +20% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $249,729 $74,919 $253,309 −1% $82,247 +204% ≈131% of Medicare
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $249,348 $74,804 $270,720 −8% $92,217 +170% ≈117% of Medicare
653 Major Bladder Procedures With McC $246,902 $74,071 $218,722 +13% $104,583 +136% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $246,719 $74,016 $148,808 +66% $68,653 +259% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $245,590 $73,677 $245,590 +0% $106,778 +130% ≈104% of Medicare
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $243,982 $73,195 $228,175 +7% $93,390 +161% —
270 Other Major Cardiovascular Procedures With McC $238,844 $71,653 $238,844 +0% $99,423 +140% ≈195% of Medicare
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $238,167 $71,450 $238,167 +0% $131,961 +80% —
228 Other Cardiothoracic Procedures With McC $234,258 $70,277 $241,997 −3% $96,905 +142% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $226,493 $67,948 $226,475 +0% $108,472 +109% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $226,412 $67,924 $199,879 +13% $96,192 +135% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $226,394 $67,918 $206,342 +10% $98,912 +129% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $222,877 $66,863 $222,877 +0% $26,598 +738% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $222,168 $66,650 $268,957 −17% $93,238 +138% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $220,846 $66,254 $227,821 −3% $35,030 +530% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $220,667 $66,200 $117,125 +88% $87,761 +151% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $220,256 $66,077 $202,696 +9% $47,583 +363% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $217,860 $65,358 $217,860 +0% $59,533 +266% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $217,597 $65,279 $75,462 +188% $41,620 +423% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $214,382 $64,315 $192,817 +11% $93,172 +130% ≈195% of Medicare
471 Cervical Spinal Fusion With McC $213,639 $64,092 $213,639 +0% $92,515 +131% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $211,773 $63,532 $211,773 +0% $90,724 +133% —
326 Stomach, Esophageal And Duodenal Procedures With McC $209,542 $62,863 $194,182 +8% $80,793 +159% ≈214% of Medicare
319 Other Endovascular Cardiac Valve Procedures With McC $208,221 $62,466 $191,064 +9% $86,970 +139% —
405 Pancreas, Liver And Shunt Procedures With McC $207,832 $62,349 $215,906 −4% $102,128 +104% ≈226% of Medicare
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $207,581 $62,274 $207,581 +0% $85,159 +144% ≈148% of Medicare
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $204,270 $61,281 $222,108 −8% $117,280 +74% ≈112% of Medicare
245 Aicd Generator Procedures $200,502 $60,151 $181,293 +11% $72,076 +178% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $198,909 $59,673 $180,383 +10% $79,225 +151% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $197,090 $59,127 $131,608 +50% $49,418 +299% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $195,837 $58,751 $200,056 −2% $61,832 +217% —
028 Spinal Procedures With McC $195,331 $58,599 $195,331 +0% $113,077 +73% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $194,827 $58,448 $276,431 −30% $90,331 +116% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $192,194 $57,658 $166,266 +16% $84,692 +127% —
229 Other Cardiothoracic Procedures Without McC $187,890 $56,367 $187,890 +0% $65,325 +188% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $187,844 $56,353 $187,844 +0% $88,307 +113% ≈132% of Medicare
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $186,897 $56,069 $186,897 +0% $74,257 +152% —
329 Major Small And Large Bowel Procedures With McC $185,726 $55,718 $158,048 +18% $88,050 +111% ≈227% of Medicare
504 Foot Procedures With Cc $185,569 $55,671 $77,463 +140% $38,960 +376% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $183,339 $55,002 $169,948 +8% $34,459 +432% —
034 Carotid Artery Stent Procedures With McC $182,892 $54,868 $170,938 +7% $76,219 +140% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $182,431 $54,729 $182,431 +0% $83,441 +119% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $181,549 $54,465 $35,276 +415% $20,980 +765% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $180,442 $54,133 $180,442 +0% $89,207 +102% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $179,372 $53,812 $179,372 +0% $66,848 +168% —
335 Peritoneal Adhesiolysis With McC $179,241 $53,772 $154,540 +16% $71,755 +150% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $176,451 $52,935 $176,451 +0% $70,564 +150% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $175,638 $52,691 $155,640 +13% $55,289 +218% —
037 Extracranial Procedures With McC $175,424 $52,627 $153,424 +14% $66,666 +163% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $173,852 $52,156 $173,852 +0% $71,795 +142% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $173,621 $52,086 $173,621 +0% $90,775 +91% ≈113% of Medicare
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $173,612 $52,084 $188,515 −8% $73,120 +137% —
140 Major Head And Neck Procedures With McC $173,290 $51,987 $172,534 +0% $60,098 +188% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $173,268 $51,980 $135,453 +28% $61,470 +182% —
654 Major Bladder Procedures With Cc $172,046 $51,614 $172,046 +0% $58,274 +195% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $169,241 $50,772 $169,241 +0% $32,574 +420% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $169,096 $50,729 $139,875 +21% $58,809 +188% ≈222% of Medicare
582 Mastectomy For Malignancy With Cc/McC $167,938 $50,381 $183,263 −8% $35,849 +368% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $167,566 $50,270 $133,705 +25% $50,498 +232% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $165,336 $49,601 $165,336 +0% $81,706 +102% ≈220% of Medicare
264 Other Circulatory System O.R. Procedures $165,182 $49,555 $148,259 +11% $51,953 +218% —
163 Major Chest Procedures With McC $164,048 $49,214 $154,601 +6% $90,195 +82% ≈210% of Medicare
252 Other Vascular Procedures With McC $163,915 $49,174 $163,915 +0% $68,508 +139% ≈200% of Medicare
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $162,893 $48,868 $129,515 +26% $66,685 +144% —
356 Other Digestive System O.R. Procedures With McC $160,708 $48,212 $160,708 +0% $82,561 +95% —
901 Wound Debridements For Injuries With McC $159,355 $47,806 $159,355 +0% $70,177 +127% —
277 Cardiac Defibrillator Implant Without McC $158,526 $47,558 $182,357 −13% $91,329 +74% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $158,052 $47,416 $147,605 +7% $65,788 +140% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $157,816 $47,345 $157,816 +0% $58,975 +168% —
271 Other Major Cardiovascular Procedures With Cc $155,875 $46,763 $155,875 +0% $71,014 +120% ≈252% of Medicare
094 Bacterial And Tuberculous Infections Of Nervous System With McC $155,784 $46,735 $155,784 +0% $68,639 +127% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $155,177 $46,553 $155,177 +0% $54,583 +184% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $155,065 $46,519 $98,878 +57% $70,371 +120% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $154,836 $46,451 $149,451 +4% $71,092 +118% —
907 Other O.R. Procedures For Injuries With McC $154,605 $46,381 $136,014 +14% $77,817 +99% ≈92% of Medicare
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $154,326 $46,298 $92,380 +67% $39,018 +296% —
031 Ventricular Shunt Procedures With McC $154,097 $46,229 $135,127 +14% $72,962 +111% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $153,295 $45,989 $153,295 +0% $71,464 +115% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $152,637 $45,791 $152,637 +0% $59,790 +155% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $151,048 $45,314 $140,460 +8% $53,864 +180% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $150,834 $45,250 $150,834 +0% $80,018 +89% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $150,170 $45,051 $150,170 +0% $59,031 +154% —
472 Cervical Spinal Fusion With Cc $149,819 $44,946 $149,819 +0% $59,537 +152% ≈192% of Medicare
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $149,781 $44,934 $149,781 +0% $75,103 +99% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $149,520 $44,856 $149,520 +0% $70,467 +112% —
466 Revision Of Hip Or Knee Replacement With McC $148,683 $44,605 $148,683 +0% $96,507 +54% —
467 Revision Of Hip Or Knee Replacement With Cc $148,422 $44,527 $148,422 +0% $70,847 +109% ≈125% of Medicare
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $147,370 $44,211 $108,764 +35% $52,405 +181% —
273 Percutaneous And Other Intracardiac Procedures With McC $147,149 $44,145 $147,149 +0% $78,852 +87% ≈121% of Medicare
265 Aicd Lead Procedures $146,190 $43,857 $113,099 +29% $63,171 +131% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $146,128 $43,839 $117,958 +24% $52,178 +180% ≈233% of Medicare
026 Craniotomy And Endovascular Intracranial Procedures With Cc $145,918 $43,775 $145,918 +0% $64,523 +126% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $142,547 $42,764 $128,243 +11% $66,068 +116% —
258 Cardiac Pacemaker Device Replacement With McC $140,546 $42,164 $140,546 +0% $52,986 +165% —
800 Splenic Procedures With Cc $140,117 $42,035 $115,882 +21% $49,184 +185% —
082 Traumatic Stupor And Coma >1 Hour With McC $138,834 $41,650 $65,228 +113% $36,489 +280% ≈221% of Medicare
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $138,483 $41,545 $141,314 −2% $46,727 +196% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $138,439 $41,532 $112,881 +23% $62,264 +122% —
673 Other Kidney And Urinary Tract Procedures With McC $137,941 $41,382 $137,941 +0% $77,990 +77% ≈93% of Medicare
406 Pancreas, Liver And Shunt Procedures With Cc $136,836 $41,051 $136,836 +0% $58,043 +136% ≈71% of Medicare
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $135,651 $40,695 $135,651 +0% $101,576 +34% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $135,346 $40,604 $123,009 +10% $62,583 +116% —
614 Adrenal And Pituitary Procedures With Cc/McC $135,103 $40,531 $133,960 +1% $48,349 +179% ≈246% of Medicare
473 Cervical Spinal Fusion Without Cc/McC $133,880 $40,164 $133,880 +0% $50,624 +164% ≈221% of Medicare
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $133,874 $40,162 $133,874 +0% $76,001 +76% ≈155% of Medicare
259 Cardiac Pacemaker Device Replacement Without McC $133,748 $40,124 $82,866 +61% $39,020 +243% —
242 Permanent Cardiac Pacemaker Implant With McC $132,944 $39,883 $132,944 +0% $70,132 +90% ≈159% of Medicare
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $132,792 $39,838 $100,166 +33% $42,415 +213% —
274 Percutaneous And Other Intracardiac Procedures Without McC $132,701 $39,810 $133,211 −0% $65,573 +102% ≈125% of Medicare
500 Soft Tissue Procedures With McC $132,650 $39,795 $132,650 +0% $61,872 +114% —
655 Major Bladder Procedures Without Cc/McC $131,645 $39,494 $157,000 −16% $43,174 +205% —
665 Prostatectomy With McC $131,400 $39,420 $84,969 +55% $54,072 +143% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $131,399 $39,420 $131,399 +0% $47,789 +175% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $130,662 $39,199 $130,662 +0% $59,629 +119% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $130,190 $39,057 $125,097 +4% $59,651 +118% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $128,988 $38,697 $120,796 +7% $44,139 +192% ≈129% of Medicare
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $128,888 $38,666 $128,888 +0% $69,743 +85% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $128,746 $38,624 $128,746 +0% $67,268 +91% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $128,223 $38,467 $142,819 −10% $49,423 +159% —
166 Other Respiratory System O.R. Procedures With McC $128,151 $38,445 $128,151 +0% $75,573 +70% —
411 Cholecystectomy With C.D.E. With McC $127,612 $38,283 $127,612 +0% $48,358 +164% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $127,397 $38,219 $127,397 +0% $46,066 +177% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $126,564 $37,969 $100,440 +26% $58,228 +117% —
619 O.R. Procedures For Obesity With McC $125,888 $37,766 $114,445 +10% $51,746 +143% —
113 Orbital Procedures With Cc/McC $125,787 $37,736 $136,067 −8% $36,167 +248% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $124,745 $37,423 $124,745 +0% $53,451 +133% —
253 Other Vascular Procedures With Cc $123,638 $37,091 $123,638 +0% $57,454 +115% ≈253% of Medicare
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $123,430 $37,029 $140,015 −12% $60,407 +104% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $121,953 $36,586 $119,941 +2% $72,424 +68% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $119,841 $35,952 $119,841 +0% $58,707 +104% ≈128% of Medicare
799 Splenic Procedures With McC $119,568 $35,870 $119,568 +0% $82,218 +45% —
480 Hip And Femur Procedures Except Major Joint With McC $119,036 $35,711 $119,036 +0% $65,653 +81% ≈209% of Medicare
380 Complicated Peptic Ulcer With McC $118,689 $35,607 $86,679 +37% $39,627 +200% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $118,097 $35,429 $104,819 +13% $52,075 +127% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $118,062 $35,419 $118,062 +0% $58,280 +103% ≈131% of Medicare
272 Other Major Cardiovascular Procedures Without Cc/McC $117,456 $35,237 $105,177 +12% $55,162 +113% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $117,412 $35,224 $121,370 −3% $44,363 +165% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $116,536 $34,961 $112,598 +3% $62,300 +87% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $116,014 $34,804 $116,014 +0% $59,421 +95% ≈129% of Medicare
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $115,855 $34,756 $111,786 +4% $35,584 +226% —
330 Major Small And Large Bowel Procedures With Cc $115,705 $34,712 $115,705 +0% $59,500 +94% ≈204% of Medicare
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $115,470 $34,641 $115,470 +0% $62,821 +84% —
135 Sinus And Mastoid Procedures With Cc/McC $115,311 $34,593 $74,098 +56% $42,186 +173% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $115,076 $34,523 $38,426 +199% $22,458 +412% —
412 Cholecystectomy With C.D.E. With Cc $114,587 $34,376 $106,612 +7% $42,906 +167% —
707 Major Male Pelvic Procedures With Cc/McC $114,032 $34,210 $114,032 +0% $43,080 +165% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $113,652 $34,095 $113,652 +0% $47,711 +138% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $113,201 $33,960 $111,736 +1% $43,538 +160% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $112,927 $33,878 $125,169 −10% $45,167 +150% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $112,828 $33,849 $112,828 +0% $41,608 +171% —
963 Other Multiple Significant Trauma With McC $112,343 $33,703 $88,506 +27% $43,491 +158% —
656 Kidney And Ureter Procedures For Neoplasm With McC $112,039 $33,612 $112,039 +0% $65,608 +71% ≈123% of Medicare
840 Lymphoma And Non-Acute Leukemia With McC $112,027 $33,608 $112,027 +0% $49,710 +125% —
357 Other Digestive System O.R. Procedures With Cc $111,664 $33,499 $111,081 +1% $48,682 +129% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $110,285 $33,086 $110,285 +0% $79,836 +38% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $110,184 $33,055 $102,918 +7% $50,607 +118% ≈247% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $109,819 $32,946 $106,968 +3% $44,606 +146% ≈207% of Medicare
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $109,583 $32,875 $44,668 +145% $17,737 +518% —
674 Other Kidney And Urinary Tract Procedures With Cc $109,382 $32,815 $91,595 +19% $50,394 +117% ≈205% of Medicare
662 Minor Bladder Procedures With McC $109,270 $32,781 $78,992 +38% $54,562 +100% —
164 Major Chest Procedures With Cc $108,806 $32,642 $108,806 +0% $56,755 +92% ≈225% of Medicare
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $108,563 $32,569 $161,899 −33% $74,755 +45% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $108,492 $32,548 $108,492 +0% $51,985 +109% ≈197% of Medicare
243 Permanent Cardiac Pacemaker Implant With Cc $107,261 $32,178 $106,145 +1% $50,011 +114% ≈220% of Medicare
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $107,191 $32,157 $107,191 +0% $56,964 +88% —
254 Other Vascular Procedures Without Cc/McC $106,931 $32,079 $100,105 +7% $38,836 +175% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $106,410 $31,923 $106,410 +0% $43,650 +144% —
540 Osteomyelitis With Cc $105,943 $31,783 $43,789 +142% $26,676 +297% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $104,808 $31,442 $99,343 +6% $42,795 +145% —
336 Peritoneal Adhesiolysis With Cc $104,605 $31,381 $104,605 +0% $50,463 +107% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $104,588 $31,376 $104,588 +0% $43,631 +140% —
708 Major Male Pelvic Procedures Without Cc/McC $103,448 $31,034 $101,616 +2% $36,988 +180% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $103,019 $30,906 $99,303 +4% $39,887 +158% —
974 Hiv With Major Related Condition With McC $101,650 $30,495 $71,511 +42% $46,402 +119% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $101,386 $30,416 $101,386 +0% $43,800 +131% —
397 Appendix Procedures With McC $101,221 $32,541 $92,000 +10% $53,257 +90% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $101,105 $30,331 $66,755 +51% $32,944 +207% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $100,501 $30,150 $100,501 +0% $33,454 +200% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $100,467 $30,140 $100,467 +0% $45,877 +119% —
413 Cholecystectomy With C.D.E. Without Cc/McC $100,406 $30,122 $128,072 −22% $29,316 +242% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $100,231 $30,069 $100,231 +0% $29,524 +239% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $100,186 $30,056 $91,979 +9% $25,073 +300% —
481 Hip And Femur Procedures Except Major Joint With Cc $100,099 $30,030 $100,099 +0% $52,751 +90% ≈231% of Medicare
468 Revision Of Hip Or Knee Replacement Without Cc/McC $99,888 $29,966 $99,888 +0% $54,929 +82% ≈219% of Medicare
333 Rectal Resection With Cc $99,845 $29,953 $102,793 −3% $37,154 +169% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $99,687 $29,296 $205,789 −52% $103,455 −4% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $99,112 $29,734 $99,151 −0% $25,390 +290% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $99,049 $31,526 $99,049 +0% $42,881 +131% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $98,978 $29,693 $89,328 +11% $46,283 +114% ≈214% of Medicare
908 Other O.R. Procedures For Injuries With Cc $98,825 $29,648 $98,825 +0% $42,914 +130% —
615 Adrenal And Pituitary Procedures Without Cc/McC $98,783 $29,635 $87,967 +12% $32,833 +201% —
032 Ventricular Shunt Procedures With Cc $98,727 $29,618 $98,727 +0% $46,724 +111% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $98,635 $29,590 $98,635 +0% $40,365 +144% —
035 Carotid Artery Stent Procedures With Cc $98,256 $29,477 $98,256 +0% $49,066 +100% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $97,665 $29,300 $97,665 +0% $39,006 +150% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $97,508 $29,252 $65,851 +48% $38,094 +156% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $97,375 $29,213 $97,375 +0% $50,139 +94% —
620 O.R. Procedures For Obesity With Cc $97,321 $29,196 $97,321 +0% $35,453 +175% —
915 Allergic Reactions With McC $97,274 $29,182 $59,678 +63% $32,645 +198% —
141 Major Head And Neck Procedures With Cc $96,907 $29,072 $96,907 +0% $37,267 +160% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $96,510 $28,953 $111,325 −13% $49,839 +94% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $96,492 $28,948 $96,492 +0% $43,943 +120% ≈117% of Medicare
353 Hernia Procedures Except Inguinal And Femoral With McC $96,336 $28,901 $96,336 +0% $60,170 +60% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $95,966 $28,790 $146,704 −35% $29,079 +230% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $95,943 $28,783 $154,419 −38% $42,901 +124% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $95,433 $28,630 $95,433 +0% $46,090 +107% ≈130% of Medicare
167 Other Respiratory System O.R. Procedures With Cc $95,358 $28,607 $92,809 +3% $40,642 +135% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $95,187 $30,196 $47,596 +100% $18,348 +419% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $95,148 $28,544 $62,199 +53% $37,240 +156% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $94,499 $28,350 $88,059 +7% $41,591 +127% ≈218% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/McC $94,319 $28,296 $94,319 +0% $44,117 +114% ≈156% of Medicare
030 Spinal Procedures Without Cc/McC $94,141 $28,242 $108,686 −13% $45,866 +105% —
157 Dental And Oral Diseases With McC $94,071 $28,221 $41,903 +124% $31,300 +201% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $94,019 $28,206 $94,019 +0% $38,101 +147% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $93,993 $28,198 $93,993 +0% $47,737 +97% —
358 Other Digestive System O.R. Procedures Without Cc/McC $93,602 $28,081 $72,508 +29% $30,083 +211% —
347 Anal And Stomal Procedures With McC $93,486 $28,046 $73,589 +27% $40,548 +131% —
420 Hepatobiliary Diagnostic Procedures With McC $93,293 $27,988 $93,293 +0% $50,919 +83% —
444 Disorders Of The Biliary Tract With McC $93,068 $27,920 $87,416 +6% $34,273 +172% ≈286% of Medicare
657 Kidney And Ureter Procedures For Neoplasm With Cc $93,034 $27,910 $93,034 +0% $43,298 +115% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $92,743 $27,823 $77,036 +20% $30,493 +204% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $92,738 $27,821 $92,738 +0% $46,295 +100% —
432 Cirrhosis And Alcoholic Hepatitis With McC $92,646 $27,794 $85,287 +9% $40,213 +130% ≈28% of Medicare
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $92,640 $27,792 $92,640 +0% $38,861 +138% —
033 Ventricular Shunt Procedures Without Cc/McC $92,561 $27,768 $92,561 +0% $35,419 +161% ≈166% of Medicare
970 Hiv With Extensive O.R. Procedures Without McC $92,059 $27,618 $65,721 +40% $44,222 +108% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $91,441 $27,432 $91,441 +0% $43,477 +110% —
904 Skin Grafts For Injuries With Cc/McC $90,915 $27,274 $161,927 −44% $59,594 +53% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $90,886 $27,266 $90,886 +0% $25,748 +253% —
671 Urethral Procedures With Cc/McC $90,862 $27,259 $55,334 +64% $27,233 +234% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $90,758 $27,227 $92,143 −2% $33,393 +172% ≈132% of Medicare
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $90,382 $27,115 $83,830 +8% $37,950 +138% ≈35% of Medicare
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $90,132 $27,040 $90,132 +0% $45,333 +99% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $90,104 $27,031 $99,129 −9% $31,170 +189% —
509 Arthroscopy $89,984 $26,995 $89,984 +0% $25,994 +246% —
351 Inguinal And Femoral Hernia Procedures With Cc $89,210 $26,763 $83,089 +7% $36,505 +144% —
686 Kidney And Urinary Tract Neoplasms With McC $89,172 $26,751 $63,429 +41% $37,844 +136% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $88,810 $26,643 $88,810 +0% $47,945 +85% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $87,757 $26,327 $87,757 +0% $43,913 +100% —
668 Transurethral Procedures With McC $87,658 $26,297 $87,658 +0% $51,608 +70% —
621 O.R. Procedures For Obesity Without Cc/McC $87,628 $26,288 $87,628 +0% $32,451 +170% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $87,543 $26,263 $64,548 +36% $22,811 +284% —
165 Major Chest Procedures Without Cc/McC $87,344 $26,203 $87,344 +0% $46,340 +88% ≈174% of Medicare
398 Appendix Procedures With Cc $87,321 $26,196 $87,321 +0% $40,162 +117% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $87,120 $26,136 $77,638 +12% $29,916 +191% —
332 Rectal Resection With McC $86,971 $26,091 $119,978 −28% $58,125 +50% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $86,956 $26,087 $86,956 +0% $58,745 +48% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $86,406 $25,922 $86,406 +0% $35,465 +144% —
142 Major Head And Neck Procedures Without Cc/McC $86,366 $25,910 $82,443 +5% $34,906 +147% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $86,234 $25,870 $81,666 +6% $39,106 +121% ≈193% of Medicare
501 Soft Tissue Procedures With Cc $86,019 $25,806 $86,019 +0% $39,619 +117% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $85,838 $25,751 $85,838 +0% $32,443 +165% —
334 Rectal Resection Without Cc/McC $85,159 $25,548 $87,926 −3% $36,820 +131% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $84,802 $25,440 $84,802 +0% $38,998 +117% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $84,608 $25,382 $84,608 +0% $46,453 +82% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $84,475 $25,342 $84,475 +0% $49,351 +71% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $84,332 $25,300 $84,332 +0% $34,607 +144% —
801 Splenic Procedures Without Cc/McC $84,192 $25,257 $79,105 +6% $36,445 +131% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $83,887 $25,166 $79,163 +6% $32,841 +155% —
503 Foot Procedures With McC $83,685 $25,105 $83,685 +0% $47,540 +76% —
597 Malignant Breast Disorders With McC $83,473 $25,042 $63,610 +31% $33,386 +150% —
571 Skin Debridement With Cc $82,907 $24,872 $68,951 +20% $37,169 +123% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $82,713 $24,814 $82,713 +0% $36,937 +124% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $82,588 $24,777 $82,588 +0% $52,908 +56% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $82,587 $24,776 $71,512 +15% $36,431 +127% —
320 Other Endovascular Cardiac Valve Procedures Without McC $82,404 $24,721 $87,730 −6% $40,060 +106% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $81,880 $24,564 $81,880 +0% $35,692 +129% —
709 Penis Procedures With Cc/McC $81,797 $24,539 $78,097 +5% $34,535 +137% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $81,728 $24,518 $81,728 +0% $36,253 +125% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $81,718 $28,130 $100,014 −18% $41,422 +97% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $81,711 $24,513 $81,711 +0% $40,552 +101% —
669 Transurethral Procedures With Cc $81,365 $24,409 $72,419 +12% $34,354 +137% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $81,289 $24,387 $76,983 +6% $39,515 +106% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $81,165 $24,350 $79,528 +2% $39,173 +107% —
100 Seizures With McC $80,779 $24,234 $80,779 +0% $35,481 +128% ≈118% of Medicare
337 Peritoneal Adhesiolysis Without Cc/McC $80,635 $24,191 $80,635 +0% $39,211 +106% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $80,532 $24,160 $80,532 +0% $41,955 +92% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $80,516 $26,312 $103,683 −22% $34,434 +134% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $80,467 $24,140 $57,910 +39% $33,694 +139% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $80,329 $24,099 $80,329 +0% $28,125 +186% —
841 Lymphoma And Non-Acute Leukemia With Cc $80,325 $24,098 $80,325 +0% $33,633 +139% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $80,216 $24,065 $86,608 −7% $66,711 +20% —
057 Degenerative Nervous System Disorders Without McC $80,064 $24,019 $47,405 +69% $27,543 +191% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $79,886 $23,966 $82,766 −3% $30,243 +164% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $79,753 $23,926 $79,753 +0% $30,553 +161% —
949 Aftercare With Cc/McC $79,552 $23,866 $69,874 +14% $23,953 +232% —
036 Carotid Artery Stent Procedures Without Cc/McC $79,088 $23,726 $79,088 +0% $40,694 +94% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $78,268 $23,480 $78,268 +0% $31,264 +150% ≈86% of Medicare
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $78,122 $23,436 $75,030 +4% $24,544 +218% —
350 Inguinal And Femoral Hernia Procedures With McC $77,907 $25,709 $86,025 −9% $50,046 +56% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $77,628 $23,288 $73,673 +5% $27,843 +179% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $77,617 $23,285 $79,060 −2% $30,418 +155% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $76,700 $23,010 $69,592 +10% $35,628 +115% ≈131% of Medicare
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $76,679 $24,417 $76,679 +0% $52,036 +47% —
713 Transurethral Prostatectomy With Cc/McC $76,313 $22,894 $67,241 +13% $32,100 +138% —
664 Minor Bladder Procedures Without Cc/McC $76,237 $22,871 $54,205 +41% $22,314 +242% —
505 Foot Procedures Without Cc/McC $76,040 $22,812 $69,871 +9% $34,937 +118% —
663 Minor Bladder Procedures With Cc $74,597 $22,379 $75,308 −1% $33,103 +125% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $73,439 $22,032 $68,404 +7% $33,674 +118% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $73,341 $22,002 $76,836 −5% $36,670 +100% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $73,317 $21,995 $53,611 +37% $48,687 +51% —
116 Intraocular Procedures With Cc/McC $72,979 $21,894 $81,530 −10% $29,126 +151% —
711 Testes Procedures With Cc/McC $72,904 $21,871 $54,423 +34% $38,343 +90% —
038 Extracranial Procedures With Cc $72,674 $21,802 $81,160 −10% $35,770 +103% ≈235% of Medicare
314 Other Circulatory System Diagnoses With McC $72,299 $21,690 $64,235 +13% $38,666 +87% ≈111% of Medicare
905 Skin Grafts For Injuries Without Cc/McC $71,793 $21,538 $68,959 +4% $25,197 +185% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $71,725 $21,517 $69,655 +3% $33,047 +117% —
377 Gastrointestinal Hemorrhage With McC $71,456 $21,437 $71,456 +0% $37,842 +89% ≈161% of Medicare
919 Complications Of Treatment With McC $71,013 $21,304 $53,434 +33% $31,105 +128% ≈168% of Medicare
039 Extracranial Procedures Without Cc/McC $70,516 $21,155 $70,516 +0% $26,618 +165% ≈118% of Medicare
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $70,236 $21,071 $57,277 +23% $25,652 +174% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $70,183 $21,055 $70,183 +0% $25,970 +170% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $69,905 $20,971 $69,905 +0% $38,878 +80% —
506 Major Thumb Or Joint Procedures $69,701 $20,910 $65,860 +6% $30,557 +128% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $69,632 $20,889 $69,632 +0% $35,074 +99% —
399 Appendix Procedures Without Cc/McC $69,226 $20,756 $69,226 +0% $31,321 +121% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $68,842 $20,652 $68,842 +0% $36,792 +87% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $68,563 $20,569 $40,453 +69% $23,551 +191% —
056 Degenerative Nervous System Disorders With McC $68,075 $20,423 $73,953 −8% $39,973 +70% —
080 Nontraumatic Stupor And Coma With McC $68,050 $20,415 $60,071 +13% $36,249 +88% —
666 Prostatectomy With Cc $68,001 $20,400 $68,001 +0% $31,906 +113% —
089 Concussion With Cc $67,952 $20,386 $63,358 +7% $18,821 +261% —
999 Ungroupable $67,782 $20,335 $50,806 +33% $29,674 +128% —
052 Spinal Disorders And Injuries With Cc/McC $67,782 $20,335 $60,680 +12% $32,031 +112% —
438 Disorders Of Pancreas Except Malignancy With McC $67,752 $20,326 $63,173 +7% $32,628 +108% ≈122% of Medicare
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $67,679 $20,304 $69,649 −3% $26,948 +151% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $67,611 $20,283 $72,929 −7% $22,393 +202% —
180 Respiratory Neoplasms With McC $67,601 $20,280 $54,767 +23% $36,658 +84% ≈190% of Medicare
102 Headaches With McC $67,316 $20,195 $47,341 +42% $25,740 +162% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $67,233 $20,170 $67,233 +0% $23,498 +186% ≈137% of Medicare
445 Disorders Of The Biliary Tract With Cc $67,038 $20,111 $57,722 +16% $23,319 +187% ≈140% of Medicare
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $66,936 $20,081 $60,740 +10% $34,749 +93% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $66,800 $20,040 $66,800 +0% $30,784 +117% —
546 Connective Tissue Disorders With Cc $66,646 $19,994 $58,380 +14% $25,700 +159% —
570 Skin Debridement With McC $66,566 $21,919 $66,566 +0% $52,435 +27% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $66,165 $19,850 $79,230 −16% $29,949 +121% —
903 Wound Debridements For Injuries Without Cc/McC $65,936 $19,781 $67,349 −2% $25,581 +158% —
091 Other Disorders Of Nervous System With McC $65,920 $19,776 $65,920 +0% $37,387 +76% ≈132% of Medicare
909 Other O.R. Procedures For Injuries Without Cc/McC $65,842 $19,753 $67,394 −2% $28,156 +134% —
280 Acute Myocardial Infarction, Discharged Alive With McC $65,712 $19,713 $65,330 +1% $30,828 +113% ≈142% of Medicare
345 Minor Small And Large Bowel Procedures With Cc $65,489 $19,647 $60,792 +8% $33,048 +98% —
722 Malignancy, Male Reproductive System With McC $65,442 $19,633 $62,991 +4% $29,826 +119% —
594 Skin Ulcers Without Cc/McC $65,353 $19,606 $30,475 +114% $14,209 +360% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $65,330 $19,599 $65,330 +0% $33,985 +92% ≈146% of Medicare
748 Female Reproductive System Reconstructive Procedures $65,065 $19,519 $78,632 −17% $30,242 +115% —
548 Septic Arthritis With McC $65,049 $19,515 $44,991 +45% $31,346 +108% —
284 Acute Myocardial Infarction, Expired With Cc $64,990 $19,497 $40,449 +61% $16,450 +295% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $64,900 $19,470 $61,273 +6% $33,653 +93% —
289 Acute And Subacute Endocarditis With Cc $64,887 $19,466 $58,393 +11% $32,697 +98% —
374 Digestive Malignancy With McC $64,649 $19,395 $64,649 +0% $39,958 +62% —
862 Postoperative And Post-Traumatic Infections With McC $64,576 $19,373 $44,680 +45% $32,859 +97% ≈206% of Medicare
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $64,335 $21,458 $46,755 +38% $27,119 +137% —
791 Prematurity With Major Problems $64,064 $19,219 $64,064 +0% $42,679 +50% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $63,956 $19,187 $58,758 +9% $23,443 +173% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $63,936 $19,181 $63,936 +0% $28,320 +126% —
085 Traumatic Stupor And Coma <1 Hour With McC $63,826 $19,148 $63,826 +0% $41,892 +52% —
070 Nonspecific Cerebrovascular Disorders With McC $63,711 $19,113 $54,451 +17% $31,951 +99% ≈117% of Medicare
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $63,647 $19,094 $63,647 +0% $26,932 +136% —
502 Soft Tissue Procedures Without Cc/McC $63,372 $19,012 $63,372 +0% $31,017 +104% —
539 Osteomyelitis With McC $63,368 $19,010 $63,368 +0% $37,609 +68% —
813 Coagulation Disorders $63,235 $18,971 $62,568 +1% $33,296 +90% ≈131% of Medicare
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $63,098 $18,929 $67,775 −7% $42,126 +50% —
139 Salivary Gland Procedures $63,021 $20,803 $63,021 +0% $23,612 +167% —
299 Peripheral Vascular Disorders With McC $62,788 $18,837 $48,510 +29% $27,316 +130% ≈55% of Medicare
446 Disorders Of The Biliary Tract Without Cc/McC $62,787 $18,836 $39,850 +58% $17,700 +255% —
834 Acute Leukemia With McC $62,444 $18,733 $62,444 +0% $85,566 −27% —
077 Hypertensive Encephalopathy With McC $62,323 $18,697 $62,323 +0% $24,550 +154% —
754 Malignancy, Female Reproductive System With McC $62,055 $18,617 $62,055 +0% $32,433 +91% —
181 Respiratory Neoplasms With Cc $61,959 $18,588 $61,959 +0% $23,573 +163% —
549 Septic Arthritis With Cc $61,925 $20,299 $35,913 +72% $24,056 +157% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $61,844 $18,553 $61,844 +0% $32,021 +93% ≈224% of Medicare
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $61,739 $18,522 $68,129 −9% $34,276 +80% —
583 Mastectomy For Malignancy Without Cc/McC $61,477 $18,443 $61,477 +0% $35,831 +72% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $60,473 $18,142 $78,272 −23% $77,055 −22% —
283 Acute Myocardial Infarction, Expired With McC $60,413 $18,124 $46,916 +29% $39,955 +51% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $60,407 $18,122 $60,407 +0% $39,181 +54% —
421 Hepatobiliary Diagnostic Procedures With Cc $60,137 $18,041 $84,505 −29% $36,354 +65% —
545 Connective Tissue Disorders With McC $60,083 $18,025 $73,443 −18% $40,362 +49% —
902 Wound Debridements For Injuries With Cc $60,001 $18,000 $70,521 −15% $40,562 +48% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $59,989 $17,997 $67,895 −12% $27,323 +120% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $59,803 $17,941 $54,383 +10% $33,555 +78% ≈251% of Medicare
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $59,654 $17,896 $44,825 +33% $24,941 +139% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $59,587 $17,876 $71,389 −17% $25,094 +137% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $59,579 $17,874 $58,839 +1% $30,770 +94% —
117 Intraocular Procedures Without Cc/McC $59,551 $17,865 $59,551 +0% $17,193 +246% —
643 Endocrine Disorders With McC $59,482 $17,845 $59,482 +0% $33,563 +77% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $59,378 $17,813 $47,798 +24% $29,611 +101% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $59,370 $19,679 $58,108 +2% $28,202 +111% —
393 Other Digestive System Diagnoses With McC $59,360 $17,808 $58,245 +2% $34,192 +74% ≈212% of Medicare
189 Pulmonary Edema And Respiratory Failure $59,141 $17,742 $44,168 +34% $26,580 +123% ≈238% of Medicare
348 Anal And Stomal Procedures With Cc $58,794 $17,638 $58,794 +0% $27,947 +110% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $58,726 $17,618 $52,932 +11% $18,126 +224% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $58,369 $17,511 $40,813 +43% $26,870 +117% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $58,212 $17,464 $58,212 +0% $33,424 +74% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $58,072 $17,421 $54,351 +7% $22,557 +157% —
811 Red Blood Cell Disorders With McC $58,024 $17,407 $58,024 +0% $28,226 +106% ≈249% of Medicare
551 Medical Back Problems With McC $58,023 $17,407 $58,023 +0% $34,017 +71% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $57,662 $17,299 $57,662 +0% $29,805 +93% —
385 Inflammatory Bowel Disease With McC $57,358 $17,207 $37,577 +53% $27,617 +108% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $57,212 $12,766 $11,553 +395% $12,593 +354% —
814 Reticuloendothelial And Immunity Disorders With McC $57,201 $17,160 $57,201 +0% $33,851 +69% —
533 Fractures Of Femur With McC $57,112 $17,134 $57,112 +0% $25,945 +120% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $57,074 $17,122 $52,367 +9% $19,657 +190% —
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/McC $57,072 $17,122 $24,405 +134% $13,586 +320% —
572 Skin Debridement Without Cc/McC $57,066 $17,120 $52,587 +9% $24,944 +129% —
344 Minor Small And Large Bowel Procedures With McC $56,809 $17,043 $56,809 +0% $44,546 +28% —
288 Acute And Subacute Endocarditis With McC $56,684 $17,005 $56,684 +0% $50,618 +12% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $56,604 $16,981 $38,386 +47% $31,044 +82% —
183 Major Chest Trauma With McC $56,565 $16,970 $45,895 +23% $29,933 +89% —
177 Respiratory Infections And Inflammations With McC $56,552 $16,966 $46,126 +23% $33,707 +68% ≈163% of Medicare
375 Digestive Malignancy With Cc $56,531 $16,959 $56,531 +0% $27,277 +107% ≈248% of Medicare
368 Major Esophageal Disorders With McC $56,466 $16,940 $56,466 +0% $33,876 +67% —
964 Other Multiple Significant Trauma With Cc $56,219 $16,866 $56,219 +0% $27,394 +105% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $56,097 $16,829 $56,097 +0% $20,463 +174% ≈189% of Medicare
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $55,871 $16,761 $55,871 +0% $27,163 +106% —
115 Extraocular Procedures Except Orbit $55,587 $16,676 $64,831 −14% $25,703 +116% —
294 Deep Vein Thrombophlebitis With Cc/McC $55,521 $16,656 $55,521 +0% $19,132 +190% —
196 Interstitial Lung Disease With McC $55,430 $16,629 $55,430 +0% $32,637 +70% —
205 Other Respiratory System Diagnoses With McC $55,116 $16,535 $54,076 +2% $33,255 +66% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $54,746 $16,424 $49,003 +12% $19,227 +185% —
086 Traumatic Stupor And Coma <1 Hour With Cc $54,530 $16,359 $30,908 +76% $27,043 +102% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $54,505 $16,352 $40,280 +35% $23,749 +130% —
950 Aftercare Without Cc/McC $54,297 $16,289 $49,165 +10% $13,527 +301% —
083 Traumatic Stupor And Coma >1 Hour With Cc $53,881 $16,164 $46,090 +17% $27,285 +97% —
682 Renal Failure With McC $53,876 $16,163 $51,592 +4% $29,064 +85% ≈72% of Medicare
637 Diabetes With McC $53,740 $16,122 $53,740 +0% $30,100 +79% ≈140% of Medicare
263 Vein Ligation And Stripping $53,700 $16,110 $129,459 −59% $51,253 +5% —
642 Inborn And Other Disorders Of Metabolism $53,534 $16,060 $39,926 +34% $20,727 +158% —
783 Cesarean Section With Sterilization With McC $53,410 $16,023 $46,444 +15% $29,221 +83% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $53,260 $15,978 $53,260 +0% $21,894 +143% —
073 Cranial And Peripheral Nerve Disorders With McC $53,241 $15,972 $47,429 +12% $30,010 +77% —
725 Benign Prostatic Hypertrophy With McC $52,934 $15,880 $40,872 +30% $22,320 +137% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $52,685 $15,805 $52,685 +0% $23,940 +120% ≈217% of Medicare
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $52,364 $15,709 $52,364 +0% $25,034 +109% —
667 Prostatectomy Without Cc/McC $52,172 $15,651 $52,172 +0% $16,703 +212% —
075 Viral Meningitis With Cc/McC $52,106 $15,632 $43,111 +21% $30,447 +71% —
670 Transurethral Procedures Without Cc/McC $52,095 $15,628 $37,884 +38% $20,911 +149% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $52,076 $15,623 $58,885 −12% $31,134 +67% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $51,521 $15,456 $46,219 +11% $22,635 +128% —
190 Chronic Obstructive Pulmonary Disease With McC $51,370 $15,411 $43,684 +18% $24,386 +111% ≈211% of Medicare
138 Mouth Procedures Without Cc/McC $51,239 $15,372 $46,645 +10% $19,119 +168% —
786 Cesarean Section Without Sterilization With McC $50,864 $15,259 $50,864 +0% $27,152 +87% —
304 Hypertension With McC $50,859 $15,258 $50,859 +0% $26,080 +95% ≈192% of Medicare
710 Penis Procedures Without Cc/McC $50,770 $17,989 $51,133 −1% $26,436 +92% —
755 Malignancy, Female Reproductive System With Cc $50,736 $15,221 $47,573 +7% $18,459 +175% —
054 Nervous System Neoplasms With McC $50,643 $15,193 $50,643 +0% $30,502 +66% ≈85% of Medicare
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $50,437 $15,131 $94,269 −46% $21,230 +138% —
088 Concussion With McC $50,287 $15,086 $53,452 −6% $24,402 +106% —
158 Dental And Oral Diseases With Cc $50,030 $15,009 $31,387 +59% $18,466 +171% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $50,025 $15,007 $48,259 +4% $25,463 +96% ≈141% of Medicare
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $49,997 $14,999 $52,307 −4% $27,989 +79% —
186 Pleural Effusion With McC $49,864 $14,959 $49,864 +0% $33,834 +47% —
698 Other Kidney And Urinary Tract Diagnoses With McC $49,803 $14,941 $49,803 +0% $32,496 +53% ≈210% of Medicare
349 Anal And Stomal Procedures Without Cc/McC $49,720 $14,916 $49,012 +1% $19,854 +150% —
302 Atherosclerosis With McC $49,493 $14,848 $49,493 +0% $22,446 +120% —
693 Urinary Stones With McC $49,216 $14,765 $47,078 +5% $23,892 +106% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $49,208 $14,762 $41,748 +18% $19,569 +151% —
787 Cesarean Section Without Sterilization With Cc $49,183 $14,755 $47,279 +4% $23,571 +109% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $49,176 $14,753 $42,493 +16% $11,909 +313% —
714 Transurethral Prostatectomy Without Cc/McC $49,130 $14,739 $49,130 +0% $17,934 +174% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $49,117 $14,735 $49,117 +0% $22,148 +122% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $48,890 $14,667 $47,064 +4% $28,050 +74% ≈211% of Medicare
125 Other Disorders Of The Eye Without McC $48,796 $14,639 $37,622 +30% $17,298 +182% —
724 Malignancy, Male Reproductive System Without Cc/McC $48,749 $14,625 $48,749 +0% $12,768 +282% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $48,747 $14,624 $48,747 +0% $21,847 +123% —
595 Major Skin Disorders With McC $48,730 $14,619 $47,775 +2% $34,598 +41% —
184 Major Chest Trauma With Cc $48,674 $14,602 $43,475 +12% $22,432 +117% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $48,418 $14,525 $39,590 +22% $31,563 +53% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $48,409 $14,523 $38,328 +26% $22,851 +112% —
975 Hiv With Major Related Condition With Cc $48,349 $14,505 $48,158 +0% $27,808 +74% —
757 Infections, Female Reproductive System With McC $48,211 $14,463 $40,079 +20% $26,280 +83% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $48,136 $14,441 $48,136 +0% $31,159 +54% —
381 Complicated Peptic Ulcer With Cc $48,070 $14,421 $48,070 +0% $24,177 +99% —
906 Hand Procedures For Injuries $47,753 $14,326 $67,276 −29% $32,065 +49% —
137 Mouth Procedures With Cc/McC $47,367 $14,210 $47,367 +0% $27,861 +70% —
202 Bronchitis And Asthma With Cc/McC $47,328 $14,198 $40,712 +16% $17,724 +167% ≈212% of Medicare
146 Ear, Nose, Mouth And Throat Malignancy With McC $47,154 $14,146 $47,154 +0% $40,108 +18% —
672 Urethral Procedures Without Cc/McC $46,924 $14,077 $46,924 +0% $17,398 +170% —
863 Postoperative And Post-Traumatic Infections Without McC $46,907 $14,072 $37,296 +26% $20,957 +124% ≈231% of Medicare
602 Cellulitis With McC $46,825 $14,048 $42,901 +9% $30,598 +53% ≈139% of Medicare
078 Hypertensive Encephalopathy With Cc $46,820 $14,046 $46,820 +0% $17,698 +165% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $46,729 $14,019 $46,073 +1% $19,594 +138% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $46,728 $14,018 $42,379 +10% $30,959 +51% ≈199% of Medicare
346 Minor Small And Large Bowel Procedures Without Cc/McC $46,707 $14,012 $46,707 +0% $27,297 +71% —
315 Other Circulatory System Diagnoses With Cc $46,659 $13,998 $38,634 +21% $21,363 +118% ≈251% of Medicare
867 Other Infectious And Parasitic Diseases Diagnoses With McC $46,612 $15,107 $63,702 −27% $38,070 +22% —
965 Other Multiple Significant Trauma Without Cc/McC $46,323 $13,897 $46,910 −1% $20,259 +129% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $46,188 $13,857 $45,243 +2% $19,270 +140% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $46,094 $13,828 $42,396 +9% $20,781 +122% ≈248% of Medicare
193 Simple Pneumonia And Pleurisy With McC $45,957 $13,787 $40,750 +13% $27,275 +68% ≈169% of Medicare
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $45,956 $13,787 $48,243 −5% $19,354 +137% —
947 Signs And Symptoms With McC $45,818 $13,745 $45,818 +0% $27,401 +67% —
150 Epistaxis With McC $45,782 $13,735 $47,129 −3% $23,171 +98% —
552 Medical Back Problems Without McC $45,755 $13,727 $43,107 +6% $21,396 +114% ≈231% of Medicare
291 Heart Failure And Shock With McC $45,611 $13,683 $41,984 +9% $26,776 +70% ≈239% of Medicare
378 Gastrointestinal Hemorrhage With Cc $45,535 $13,661 $42,515 +7% $22,098 +106% ≈160% of Medicare
729 Other Male Reproductive System Diagnoses With Cc/McC $45,280 $13,584 $23,919 +89% $17,483 +159% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $45,190 $13,557 $45,190 +0% $18,956 +138% —
069 Transient Ischemia Without Thrombolytic $45,189 $13,557 $45,189 +0% $21,056 +115% ≈241% of Medicare
383 Uncomplicated Peptic Ulcer With McC $45,035 $13,511 $45,035 +0% $27,426 +64% —
055 Nervous System Neoplasms Without McC $44,890 $13,467 $44,890 +0% $20,926 +115% —
535 Fractures Of Hip And Pelvis With McC $44,740 $13,422 $44,141 +1% $24,552 +82% —
727 Inflammation Of The Male Reproductive System With McC $44,638 $13,392 $40,477 +10% $26,463 +69% —
694 Urinary Stones Without McC $44,551 $14,515 $29,997 +49% $17,345 +157% —
191 Chronic Obstructive Pulmonary Disease With Cc $44,510 $13,977 $44,467 +0% $18,807 +137% ≈128% of Medicare
687 Kidney And Urinary Tract Neoplasms With Cc $44,489 $13,347 $44,489 +0% $20,232 +120% —
917 Poisoning And Toxic Effects Of Drugs With McC $44,460 $13,738 $44,460 +0% $30,235 +47% —
152 Otitis Media And Uri With McC $44,422 $13,327 $38,079 +17% $20,247 +119% —
388 Gastrointestinal Obstruction With McC $44,399 $13,320 $40,794 +9% $30,571 +45% ≈127% of Medicare
092 Other Disorders Of Nervous System With Cc $44,062 $13,218 $44,062 +0% $24,914 +77% ≈149% of Medicare
557 Tendonitis, Myositis And Bursitis With McC $43,909 $13,173 $43,909 +0% $32,877 +34% —
945 Rehabilitation With Cc/McC $43,783 $13,135 $43,783 +0% $23,834 +84% —
977 Hiv With Or Without Other Related Condition $43,724 $13,117 $43,724 +0% $22,525 +94% —
149 Dysequilibrium $43,687 $13,106 $40,470 +8% $18,096 +141% ≈250% of Medicare
079 Hypertensive Encephalopathy Without Cc/McC $43,649 $13,095 $43,649 +0% $11,847 +268% —
864 Fever And Inflammatory Conditions $43,610 $13,083 $33,872 +29% $18,640 +134% —
178 Respiratory Infections And Inflammations With Cc $43,540 $13,062 $36,898 +18% $22,024 +98% ≈283% of Medicare
296 Cardiac Arrest, Unexplained With McC $43,166 $13,611 $43,166 +0% $33,661 +28% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $43,133 $12,940 $41,501 +4% $21,449 +101% ≈252% of Medicare
805 Vaginal Delivery Without Sterilization Or D&C With McC $42,825 $12,847 $38,044 +13% $15,370 +179% —
103 Headaches Without McC $42,711 $12,813 $42,711 +0% $21,280 +101% —
123 Neurological Eye Disorders $42,625 $12,788 $42,625 +0% $19,745 +116% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $42,183 $12,655 $40,273 +5% $22,888 +84% ≈203% of Medicare
788 Cesarean Section Without Sterilization Without Cc/McC $42,131 $12,639 $42,131 +0% $20,084 +110% —
093 Other Disorders Of Nervous System Without Cc/McC $42,059 $12,618 $39,967 +5% $17,620 +139% —
071 Nonspecific Cerebrovascular Disorders With Cc $42,004 $12,601 $42,004 +0% $23,488 +79% ≈163% of Medicare
541 Osteomyelitis Without Cc/McC $41,899 $12,570 $22,683 +85% $15,215 +175% —
689 Kidney And Urinary Tract Infections With McC $41,889 $12,567 $37,262 +12% $23,617 +77% ≈211% of Medicare
553 Bone Diseases And Arthropathies With McC $41,788 $12,536 $41,788 +0% $26,051 +60% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $41,732 $12,520 $41,732 +0% $27,633 +51% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $41,723 $12,517 $36,435 +15% $18,126 +130% —
187 Pleural Effusion With Cc $41,695 $12,508 $36,870 +13% $21,789 +91% —
815 Reticuloendothelial And Immunity Disorders With Cc $41,665 $12,500 $41,665 +0% $19,264 +116% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $41,657 $12,497 $41,657 +0% $15,764 +164% —
200 Pneumothorax With Cc $41,555 $12,467 $29,752 +40% $21,368 +94% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $41,281 $12,384 $41,281 +0% $19,962 +107% —
394 Other Digestive System Diagnoses With Cc $41,203 $12,361 $31,977 +29% $20,181 +104% ≈98% of Medicare
884 Organic Disturbances And Intellectual Disability $41,137 $13,391 $38,906 +6% $26,682 +54% —
198 Interstitial Lung Disease Without Cc/McC $40,858 $12,257 $40,858 +0% $15,549 +163% —
185 Major Chest Trauma Without Cc/McC $40,850 $12,255 $37,292 +10% $17,124 +139% —
101 Seizures Without McC $40,575 $12,173 $40,127 +1% $20,461 +98% ≈174% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $40,569 $12,171 $40,569 +0% $21,275 +91% ≈114% of Medicare
948 Signs And Symptoms Without McC $40,547 $12,164 $39,299 +3% $17,921 +126% ≈213% of Medicare
723 Malignancy, Male Reproductive System With Cc $40,359 $12,108 $36,357 +11% $19,815 +104% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $40,350 $12,105 $40,350 +0% $26,770 +51% ≈124% of Medicare
785 Cesarean Section With Sterilization Without Cc/McC $40,207 $12,062 $40,207 +0% $19,846 +103% —
712 Testes Procedures Without Cc/McC $40,061 $13,371 $40,061 +0% $18,898 +112% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $40,020 $12,006 $40,020 +0% $16,846 +138% —
206 Other Respiratory System Diagnoses Without McC $39,749 $11,925 $39,317 +1% $18,488 +115% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $39,576 $12,644 $39,576 +0% $18,452 +114% —
074 Cranial And Peripheral Nerve Disorders Without McC $39,550 $11,865 $38,237 +3% $23,141 +71% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $39,509 $11,853 $52,029 −24% $54,196 −27% —
439 Disorders Of Pancreas Except Malignancy With Cc $39,000 $11,700 $36,167 +8% $19,096 +104% ≈261% of Medicare
305 Hypertension Without McC $38,822 $11,647 $38,822 +0% $18,086 +115% ≈234% of Medicare
199 Pneumothorax With McC $38,813 $11,644 $39,459 −2% $33,787 +15% —
606 Minor Skin Disorders With McC $38,796 $12,553 $38,796 +0% $27,975 +39% —
598 Malignant Breast Disorders With Cc $38,784 $11,635 $38,784 +0% $19,073 +103% —
554 Bone Diseases And Arthropathies Without McC $38,774 $12,614 $33,271 +17% $18,528 +109% —
784 Cesarean Section With Sterilization With Cc $38,723 $13,094 $38,723 +0% $23,283 +66% —
920 Complications Of Treatment With Cc $38,613 $11,584 $35,354 +9% $22,468 +72% ≈178% of Medicare
386 Inflammatory Bowel Disease With Cc $38,606 $11,582 $35,972 +7% $22,033 +75% —
690 Kidney And Urinary Tract Infections Without McC $38,447 $11,534 $29,832 +29% $17,674 +118% ≈166% of Medicare
300 Peripheral Vascular Disorders With Cc $38,413 $11,524 $38,413 +0% $20,422 +88% ≈215% of Medicare
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $38,326 $11,498 $21,440 +79% $22,506 +70% —
297 Cardiac Arrest, Unexplained With Cc $38,304 $11,491 $38,304 +0% $12,336 +211% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $38,272 $11,482 $51,126 −25% $25,712 +49% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $38,156 $11,447 $38,572 −1% $28,140 +36% —
812 Red Blood Cell Disorders Without McC $38,088 $11,426 $36,962 +3% $20,488 +86% ≈214% of Medicare
789 Neonates, Died Or Transferred To Another Acute Care Facility $38,027 $11,408 $38,027 +0% $16,351 +133% —
295 Deep Vein Thrombophlebitis Without Cc/McC $37,515 $12,814 $37,515 +0% $13,445 +179% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $37,458 $11,237 $34,098 +10% $14,014 +167% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $37,452 $11,235 $37,452 +0% $24,566 +52% —
369 Major Esophageal Disorders With Cc $37,425 $11,228 $37,425 +0% $25,303 +48% —
306 Cardiac Congenital And Valvular Disorders With McC $37,386 $11,216 $37,386 +0% $24,586 +52% ≈192% of Medicare
835 Acute Leukemia With Cc $37,310 $11,193 $37,310 +0% $35,569 +5% —
683 Renal Failure With Cc $37,180 $11,154 $31,439 +18% $19,130 +94% ≈153% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $37,048 $11,114 $36,416 +2% $22,850 +62% ≈108% of Medicare
312 Syncope And Collapse $36,943 $11,083 $36,943 +0% $19,342 +91% ≈232% of Medicare
593 Skin Ulcers With Cc $36,853 $11,056 $27,134 +36% $22,886 +61% —
887 Other Mental Disorder Diagnoses $36,728 $11,019 $36,728 +0% $20,616 +78% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $36,610 $10,983 $35,990 +2% $13,275 +176% —
607 Minor Skin Disorders Without McC $36,578 $10,974 $26,723 +37% $15,889 +130% —
866 Viral Illness Without McC $36,419 $10,926 $35,882 +1% $17,081 +113% —
644 Endocrine Disorders With Cc $36,161 $10,848 $36,474 −1% $23,198 +56% ≈133% of Medicare
913 Traumatic Injury With McC $36,103 $10,831 $42,995 −16% $24,198 +49% —
849 Radiotherapy $36,021 $10,806 $99,576 −64% $37,862 −5% —
384 Uncomplicated Peptic Ulcer Without McC $35,997 $10,799 $35,997 +0% $19,305 +86% —
758 Infections, Female Reproductive System With Cc $35,856 $11,400 $31,260 +15% $20,901 +72% —
601 Non-Malignant Breast Disorders Without Cc/McC $35,671 $10,701 $23,834 +50% $10,975 +225% —
292 Heart Failure And Shock With Cc $35,361 $10,608 $35,361 +0% $16,371 +116% ≈122% of Medicare
865 Viral Illness With McC $35,250 $10,575 $49,052 −28% $26,910 +31% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $35,113 $10,534 $34,771 +1% $17,038 +106% ≈248% of Medicare
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $35,113 $10,534 $33,148 +6% $12,078 +191% —
645 Endocrine Disorders Without Cc/McC $34,981 $10,494 $30,551 +14% $15,428 +127% —
176 Pulmonary Embolism Without McC $34,911 $10,473 $33,598 +4% $18,081 +93% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $34,895 $10,469 $33,309 +5% $17,322 +101% ≈158% of Medicare
090 Concussion Without Cc/McC $34,824 $10,447 $42,290 −18% $15,412 +126% —
592 Skin Ulcers With McC $34,544 $10,363 $43,591 −21% $33,246 +4% —
756 Malignancy, Female Reproductive System Without Cc/McC $34,355 $9,967 $37,327 −8% $15,589 +120% —
918 Poisoning And Toxic Effects Of Drugs Without McC $34,263 $10,279 $34,263 +0% $15,452 +122% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $34,233 $10,270 $34,233 +0% $16,776 +104% —
204 Respiratory Signs And Symptoms $34,099 $10,230 $22,545 +51% $18,004 +89% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $33,982 $10,194 $33,982 +0% $17,733 +92% —
946 Rehabilitation Without Cc/McC $33,866 $10,160 $33,866 +0% $17,685 +91% —
203 Bronchitis And Asthma Without Cc/McC $33,828 $10,524 $24,307 +39% $12,252 +176% —
376 Digestive Malignancy Without Cc/McC $33,659 $10,098 $33,659 +0% $16,998 +98% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $33,635 $10,091 $29,344 +15% $12,460 +170% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $33,530 $10,059 $43,124 −22% $22,763 +47% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $33,425 $10,027 $24,894 +34% $19,924 +68% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $33,110 $9,933 $39,751 −17% $24,127 +37% —
976 Hiv With Major Related Condition Without Cc/McC $33,006 $9,902 $38,186 −14% $16,212 +104% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $32,947 $9,884 $32,947 +0% $18,316 +80% —
179 Respiratory Infections And Inflammations Without Cc/McC $32,726 $9,818 $31,814 +3% $14,648 +123% —
188 Pleural Effusion Without Cc/McC $32,626 $9,788 $25,218 +29% $14,514 +125% —
194 Simple Pneumonia And Pleurisy With Cc $32,548 $9,764 $32,548 +0% $18,204 +79% ≈154% of Medicare
313 Chest Pain $32,438 $9,731 $32,438 +0% $16,440 +97% ≈192% of Medicare
303 Atherosclerosis Without McC $32,044 $9,613 $32,044 +0% $14,927 +115% ≈201% of Medicare
638 Diabetes With Cc $31,995 $9,599 $31,995 +0% $19,661 +63% ≈282% of Medicare
298 Cardiac Arrest, Unexplained Without Cc/McC $31,970 $13,624 $32,445 −1% $8,927 +258% —
121 Acute Major Eye Infections With Cc/McC $31,847 $9,554 $23,451 +36% $19,412 +64% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $31,540 $9,462 $31,540 +0% $19,842 +59% ≈199% of Medicare
382 Complicated Peptic Ulcer Without Cc/McC $31,455 $9,436 $33,188 −5% $16,634 +89% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $31,212 $9,363 $31,212 +0% $16,968 +84% —
728 Inflammation Of The Male Reproductive System Without McC $31,178 $9,353 $29,736 +5% $17,118 +82% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $31,078 $9,323 $31,078 +0% $15,600 +99% —
684 Renal Failure Without Cc/McC $30,991 $9,297 $30,991 +0% $13,642 +127% —
536 Fractures Of Hip And Pelvis Without McC $30,781 $9,234 $30,781 +0% $18,002 +71% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $30,514 $9,154 $28,982 +5% $19,037 +60% —
122 Acute Major Eye Infections Without Cc/McC $30,493 $9,148 $26,679 +14% $11,997 +154% —
387 Inflammatory Bowel Disease Without Cc/McC $30,420 $9,707 $29,407 +3% $16,288 +87% —
053 Spinal Disorders And Injuries Without Cc/McC $30,415 $9,124 $30,415 +0% $20,455 +49% —
076 Viral Meningitis Without Cc/McC $30,208 $9,062 $30,054 +1% $17,135 +76% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $30,154 $9,046 $29,354 +3% $16,767 +80% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $30,070 $9,021 $22,912 +31% $14,716 +104% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $30,068 $9,020 $29,091 +3% $14,368 +109% —
389 Gastrointestinal Obstruction With Cc $30,041 $9,668 $30,041 +0% $17,578 +71% ≈169% of Medicare
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $30,027 $9,008 $30,027 +0% $20,506 +46% —
153 Otitis Media And Uri Without McC $29,992 $8,998 $27,849 +8% $14,583 +106% —
534 Fractures Of Femur Without McC $29,865 $8,959 $29,865 +0% $17,559 +70% —
600 Non-Malignant Breast Disorders With Cc/McC $29,812 $8,944 $29,812 +0% $16,700 +79% —
603 Cellulitis Without McC $29,691 $8,907 $28,690 +3% $18,530 +60% ≈163% of Medicare
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $29,604 $8,881 $29,604 +0% $29,743 −0% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $29,339 $8,802 $33,069 −11% $25,279 +16% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $29,155 $8,747 $29,155 +0% $14,797 +97% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $29,125 $8,737 $31,046 −6% $18,150 +60% —
182 Respiratory Neoplasms Without Cc/McC $29,087 $8,726 $45,103 −36% $14,064 +107% —
311 Angina Pectoris $29,081 $8,724 $15,165 +92% $15,502 +88% —
316 Other Circulatory System Diagnoses Without Cc/McC $29,064 $8,719 $24,932 +17% $13,651 +113% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $29,059 $8,718 $29,059 +0% $15,183 +91% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $29,057 $8,717 $25,596 +14% $20,895 +39% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $29,017 $8,705 $29,017 +0% $14,549 +99% —
301 Peripheral Vascular Disorders Without Cc/McC $28,820 $8,646 $28,820 +0% $15,837 +82% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $28,812 $9,862 $28,812 +0% $17,601 +64% —
882 Neuroses Except Depressive $28,718 $8,615 $20,199 +42% $15,680 +83% —
726 Benign Prostatic Hypertrophy Without McC $28,674 $8,602 $26,295 +9% $15,019 +91% —
558 Tendonitis, Myositis And Bursitis Without McC $28,331 $8,499 $28,193 +0% $18,602 +52% —
885 Psychoses $28,324 $8,860 $28,324 +0% $21,729 +30% —
759 Infections, Female Reproductive System Without Cc/McC $28,113 $8,434 $25,391 +11% $14,250 +97% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $28,097 $8,429 $28,097 +0% $18,072 +55% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $27,974 $8,392 $27,974 +0% $16,699 +68% —
883 Disorders Of Personality And Impulse Control $27,891 $8,367 $23,685 +18% $23,206 +20% —
307 Cardiac Congenital And Valvular Disorders Without McC $27,771 $8,331 $27,771 +0% $20,566 +35% ≈163% of Medicare
195 Simple Pneumonia And Pleurisy Without Cc/McC $27,735 $8,320 $27,735 +0% $13,824 +101% —
370 Major Esophageal Disorders Without Cc/McC $27,423 $8,227 $27,423 +0% $15,495 +77% —
886 Behavioral And Developmental Disorders $27,236 $8,888 $41,612 −35% $26,510 +3% —
914 Traumatic Injury Without McC $27,127 $8,138 $27,127 +0% $15,855 +71% —
293 Heart Failure And Shock Without Cc/McC $26,947 $8,084 $25,755 +5% $12,999 +107% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $26,728 $8,018 $26,728 +0% $11,421 +134% —
390 Gastrointestinal Obstruction Without Cc/McC $26,503 $7,951 $26,503 +0% $13,361 +98% —
159 Dental And Oral Diseases Without Cc/McC $26,180 $7,854 $20,892 +25% $13,633 +92% —
921 Complications Of Treatment Without Cc/McC $26,107 $7,832 $24,957 +5% $14,415 +81% —
779 Abortion Without D&C $25,998 $7,799 $24,578 +6% $15,327 +70% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $25,600 $8,178 $31,100 −18% $15,215 +68% —
197 Interstitial Lung Disease With Cc $25,437 $7,631 $25,437 +0% $21,941 +16% —
935 Non-Extensive Burns $25,148 $8,650 $25,148 +0% $31,701 −21% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $24,968 $7,490 $24,968 +0% $16,520 +51% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $24,481 $7,344 $24,481 +0% $17,303 +41% ≈227% of Medicare
639 Diabetes Without Cc/McC $24,302 $7,291 $24,302 +0% $13,910 +75% —
547 Connective Tissue Disorders Without Cc/McC $24,221 $7,266 $24,221 +0% $16,565 +46% —
395 Other Digestive System Diagnoses Without Cc/McC $24,095 $7,229 $24,095 +0% $14,128 +71% —
697 Urethral Stricture $24,034 $7,210 $38,204 −37% $18,428 +30% —
916 Allergic Reactions Without McC $23,904 $7,171 $23,904 +0% $13,942 +71% —
201 Pneumothorax Without Cc/McC $23,897 $7,169 $23,897 +0% $14,053 +70% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $23,636 $7,748 $23,636 +0% $18,133 +30% —
379 Gastrointestinal Hemorrhage Without Cc/McC $23,477 $7,043 $23,477 +0% $15,038 +56% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $22,799 $6,840 $22,799 +0% $12,324 +85% —
596 Major Skin Disorders Without McC $22,568 $6,770 $23,373 −3% $17,226 +31% —
550 Septic Arthritis Without Cc/McC $21,299 $6,390 $22,086 −4% $19,138 +11% —
881 Depressive Neuroses $20,731 $6,219 $20,613 +1% $15,058 +38% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $20,000 $6,000 $20,798 −4% $14,638 +37% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $19,851 $5,955 $26,720 −26% $12,559 +58% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $19,699 $5,910 $19,699 +0% $14,689 +34% —
151 Epistaxis Without McC $18,692 $5,936 $20,667 −10% $13,032 +43% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $18,007 $5,402 $18,007 +0% $13,384 +35% ≈292% of Medicare
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $16,359 $4,908 $16,359 +0% $12,895 +27% —
285 Acute Myocardial Infarction, Expired Without Cc/McC $15,910 $4,773 $5,694 +179% $10,480 +52% —
793 Full Term Neonate With Major Problems $14,577 $4,373 $14,577 +0% $18,649 −22% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $14,354 $4,306 $18,036 −20% $11,071 +30% —
599 Malignant Breast Disorders Without Cc/McC $13,367 $4,010 $31,356 −57% $14,290 −6% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $11,696 $3,509 $11,696 +0% $9,940 +18% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $11,122 $3,337 $13,362 −17% $12,454 −11% —
792 Prematurity Without Major Problems $10,316 $3,095 $10,112 +2% $12,229 −16% —
836 Acute Leukemia Without Cc/McC $9,756 $2,927 $16,198 −40% $19,686 −50% —
794 Neonate With Other Significant Problems $7,819 $2,346 $7,819 +0% $8,445 −7% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $7,221 $2,166 $16,830 −57% $14,501 −50% —
795 Normal Newborn $6,492 $1,947 $6,248 +4% $4,720 +38% —
951 Other Factors Influencing Health Status $5,512 $1,654 $6,361 −13% $10,160 −46% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $3,126 $938 $23,681 −87% $14,055 −78% —

Procedures with negotiated rates only

These 1 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
081 Nontraumatic Stupor And Coma Without McC — 16 plans
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