Piedmont Macon North — Pricing

748 procedures published in this hospital's Machine-Readable File (MRF) — 748 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 748
Lowest published price $2,339
Average published price $107,962
Highest published price $1,850,216

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 748 procedures

Published charges

Showing all 748 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 12 procedures, this hospital's negotiated rates average ≈218% 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 $1,850,216 $555,065 $1,233,612 +50% $431,073 +329% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $1,251,529 $375,459 $1,251,529 +0% $142,326 +779% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $1,082,958 $324,887 $749,394 +45% $159,181 +580% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $938,006 $281,402 $481,103 +95% $56,242 +1568% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $798,992 $239,697 $725,677 +10% $371,366 +115% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $658,556 $197,567 $658,556 +0% $120,174 +448% —
231 CORONARY BYPASS WITH PTCA WITH MCC $657,733 $197,320 $437,600 +50% $146,474 +349% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $557,936 $167,381 $557,936 +0% $245,241 +128% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $552,000 $165,600 $359,500 +54% $107,355 +414% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $544,847 $163,454 $544,847 +0% $171,338 +218% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $534,691 $160,407 $534,691 +0% $121,728 +339% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $524,620 $157,386 $524,620 +0% $134,914 +289% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $516,826 $155,048 $336,030 +54% $151,029 +242% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $514,491 $154,347 $391,484 +31% $175,437 +193% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $446,020 $133,806 $446,020 +0% $93,783 +376% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $419,461 $125,838 $300,966 +39% $105,612 +297% —
209 COMPLEX AORTIC ARCH PROCEDURES $404,525 $121,357 $404,525 +0% $183,292 +121% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $402,963 $120,889 $357,264 +13% $118,589 +240% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $394,637 $118,391 $372,975 +6% $143,242 +176% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $380,867 $114,260 $380,867 +0% $89,353 +326% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $376,872 $113,062 $326,285 +16% $101,235 +272% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $372,152 $111,646 $372,152 +0% $138,868 +168% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $367,700 $110,310 $279,983 +31% $121,714 +202% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $358,034 $107,410 $194,827 +84% $90,331 +296% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $338,939 $101,682 $324,804 +4% $106,238 +219% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $337,006 $101,102 $337,006 +0% $169,977 +98% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $335,829 $100,749 $276,507 +21% $88,049 +281% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $322,931 $96,879 $322,931 +0% $105,899 +205% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $318,115 $95,435 $211,773 +50% $88,691 +259% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $317,977 $95,393 $317,977 +0% $94,988 +235% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $316,403 $94,921 $256,901 +23% $113,855 +178% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $316,372 $94,911 $316,372 +0% $109,331 +189% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $315,746 $94,724 $222,168 +42% $84,861 +272% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $311,892 $93,568 $99,687 +213% $92,238 +238% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $307,425 $92,227 $307,425 +0% $138,008 +123% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $304,707 $91,412 $304,707 +0% $114,914 +165% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $300,254 $90,076 $276,982 +8% $102,177 +194% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $300,042 $90,013 $296,600 +1% $102,573 +193% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $299,461 $89,838 $285,727 +5% $120,587 +148% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $292,811 $87,843 $292,811 +0% $112,062 +161% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $292,091 $87,627 $249,348 +17% $92,217 +217% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $285,852 $85,756 $238,167 +20% $131,961 +117% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $279,486 $83,846 $207,581 +35% $83,065 +236% —
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $268,164 $80,449 $268,164 +0% $119,631 +124% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $266,184 $79,855 $234,258 +14% $96,905 +175% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $256,889 $77,067 $249,729 +3% $82,247 +212% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $254,587 $76,376 $217,860 +17% $57,855 +340% —
028 SPINAL PROCEDURES WITH MCC $253,846 $76,154 $195,331 +30% $95,858 +165% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $253,597 $76,079 $155,784 +63% $62,524 +306% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $253,102 $75,931 $245,590 +3% $106,778 +137% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $250,757 $75,227 $110,285 +127% $73,029 +243% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $250,431 $75,129 $250,431 +0% $79,944 +213% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $250,275 $75,083 $250,275 +0% $110,732 +126% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $248,123 $74,437 $238,844 +4% $99,423 +150% —
471 CERVICAL SPINAL FUSION WITH MCC $245,921 $73,776 $213,639 +15% $92,515 +166% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $239,945 $71,984 $204,270 +17% $117,280 +105% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $236,488 $70,946 $236,488 +0% $75,492 +213% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $235,567 $70,670 $235,567 +0% $82,527 +185% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $235,096 $70,529 $186,897 +26% $74,257 +217% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $234,797 $70,439 $220,846 +6% $34,089 +589% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $233,761 $70,128 $157,816 +48% $56,758 +312% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $232,939 $69,882 $90,915 +156% $55,097 +323% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $230,946 $69,284 $106,410 +117% $38,420 +501% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $229,071 $68,721 $229,071 +0% $81,998 +179% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $228,175 $68,452 $228,175 +0% $87,565 +161% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $226,475 $67,942 $226,475 +0% $108,472 +109% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $223,980 $67,194 $207,832 +8% $94,927 +136% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $219,574 $65,872 $159,355 +38% $68,847 +219% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $219,127 $65,738 $219,127 +0% $191,314 +15% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $219,046 $65,714 $153,295 +43% $66,819 +228% —
653 MAJOR BLADDER PROCEDURES WITH MCC $218,722 $65,617 $218,722 +0% $97,046 +125% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $218,405 $65,522 $182,431 +20% $83,441 +162% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $216,349 $64,905 $61,477 +252% $31,566 +585% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $215,429 $64,629 $195,837 +10% $61,832 +248% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $212,895 $63,869 $95,943 +122% $37,902 +462% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $210,166 $63,050 $187,844 +12% $88,307 +138% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $206,477 $61,943 $180,442 +14% $78,582 +163% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $206,342 $61,903 $206,342 +0% $98,912 +109% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $206,188 $61,857 $158,526 +30% $91,329 +126% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $206,033 $61,810 $155,177 +33% $52,332 +294% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $205,383 $61,615 $173,852 +18% $68,006 +202% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $203,417 $61,025 $173,612 +17% $66,853 +204% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $202,696 $60,809 $202,696 +0% $47,583 +326% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $200,943 $60,283 $173,621 +16% $86,390 +133% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $200,700 $60,210 $160,708 +25% $82,561 +143% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $200,533 $60,160 $200,533 +0% $116,058 +73% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $199,879 $59,964 $199,879 +0% $96,192 +108% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $199,758 $59,927 $165,336 +21% $74,274 +169% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $199,675 $59,902 $199,675 +0% $53,551 +273% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $198,587 $59,576 $167,938 +18% $34,264 +480% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $197,441 $59,232 $95,966 +106% $28,578 +591% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $195,609 $58,683 $169,241 +16% $29,633 +560% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $194,881 $58,464 $176,451 +10% $70,540 +176% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $194,182 $59,287 $194,182 +0% $80,747 +140% —
500 SOFT TISSUE PROCEDURES WITH MCC $192,935 $57,881 $132,650 +45% $57,479 +236% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $192,817 $57,845 $192,817 +0% $87,018 +122% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $191,064 $57,319 $191,064 +0% $75,585 +153% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $189,025 $56,707 $187,890 +1% $65,325 +189% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $186,730 $56,019 $155,875 +20% $71,014 +163% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $186,157 $55,847 $186,157 +0% $65,216 +185% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $185,862 $55,759 $185,862 +0% $57,277 +224% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $182,354 $54,706 $131,645 +39% $41,651 +338% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $181,949 $54,585 $179,372 +1% $62,404 +192% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $181,130 $54,339 $148,683 +22% $96,222 +88% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $180,794 $54,238 $147,149 +23% $78,852 +129% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $180,594 $54,178 $150,170 +20% $58,968 +206% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $180,383 $54,115 $180,383 +0% $72,011 +150% —
654 MAJOR BLADDER PROCEDURES WITH CC $180,052 $54,016 $172,046 +5% $53,868 +234% —
245 AICD GENERATOR PROCEDURES $180,041 $54,012 $182,544 −1% $72,076 +150% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $179,090 $53,727 $127,397 +41% $46,066 +289% —
252 OTHER VASCULAR PROCEDURES WITH MCC $174,964 $52,489 $163,915 +7% $68,508 +155% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $174,336 $52,301 $150,834 +16% $80,018 +118% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $173,023 $51,907 $133,211 +30% $65,573 +164% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $172,534 $51,760 $172,534 +0% $60,098 +187% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $171,074 $51,322 $137,941 +24% $72,945 +135% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $170,938 $51,281 $170,938 +0% $72,908 +134% —
799 SPLENIC PROCEDURES WITH MCC $170,144 $51,043 $119,568 +42% $78,821 +116% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $169,948 $50,984 $169,948 +0% $33,165 +412% —
472 CERVICAL SPINAL FUSION WITH CC $166,361 $49,908 $149,819 +11% $59,537 +179% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $166,266 $49,880 $166,266 +0% $76,954 +116% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $165,817 $49,745 $145,918 +14% $63,475 +161% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $165,177 $49,553 $148,422 +11% $68,880 +140% —
849 RADIOTHERAPY $163,132 $48,939 $36,021 +353% $37,862 +331% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $162,263 $48,679 $136,836 +19% $58,043 +180% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $161,899 $48,570 $151,881 +7% $74,755 +117% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $160,485 $48,146 $152,637 +5% $54,475 +195% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $159,494 $47,848 $149,520 +7% $67,764 +135% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $159,072 $47,722 $135,651 +17% $86,953 +83% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $158,899 $47,670 $131,399 +21% $44,053 +261% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $158,048 $47,414 $158,048 +0% $88,050 +79% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $157,416 $47,225 $128,223 +23% $46,659 +237% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $156,599 $46,980 $123,430 +27% $53,555 +192% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $155,737 $46,721 $100,406 +55% $27,548 +465% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $155,640 $46,692 $155,640 +0% $51,142 +204% —
163 MAJOR CHEST PROCEDURES WITH MCC $154,601 $46,380 $154,601 +0% $88,341 +75% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $154,540 $46,362 $154,540 +0% $71,755 +115% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $154,148 $46,244 $149,781 +3% $75,103 +105% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $154,058 $46,217 $112,027 +38% $49,710 +210% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $154,038 $46,211 $128,151 +20% $72,782 +112% —
037 EXTRACRANIAL PROCEDURES WITH MCC $153,424 $46,027 $153,424 +0% $64,749 +137% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $153,205 $45,961 $133,880 +14% $50,624 +203% —
332 RECTAL RESECTION WITH MCC $152,984 $45,895 $86,971 +76% $58,125 +163% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $152,380 $45,714 $63,968 +138% $24,561 +520% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $152,087 $45,626 $130,662 +16% $51,339 +196% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $150,519 $45,156 $150,519 +0% $93,769 +61% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $149,903 $44,971 $133,874 +12% $72,859 +106% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $149,549 $44,865 $107,191 +40% $56,964 +163% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $149,451 $44,835 $149,451 +0% $64,776 +131% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $148,808 $44,642 $148,808 +0% $62,269 +139% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $148,336 $44,501 $56,684 +162% $45,497 +226% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $148,259 $44,478 $148,259 +0% $51,953 +185% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $147,605 $44,282 $147,605 +0% $65,254 +126% —
263 VEIN LIGATION AND STRIPPING $147,035 $44,110 $91,579 +61% $44,938 +227% —
113 ORBITAL PROCEDURES WITH CC/MCC $146,347 $43,904 $125,787 +16% $35,642 +311% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $145,995 $43,798 $145,995 +0% $58,739 +149% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $145,507 $43,652 $140,546 +4% $48,907 +198% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $144,438 $43,332 $128,888 +12% $68,399 +111% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $144,146 $43,244 $138,483 +4% $40,232 +258% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $142,284 $42,685 $132,944 +7% $70,132 +103% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $141,472 $42,442 $82,588 +71% $52,908 +167% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $140,554 $42,166 $98,256 +43% $46,430 +203% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $140,553 $42,166 $79,753 +76% $29,558 +376% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $140,460 $42,138 $140,460 +0% $53,817 +161% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $140,038 $42,011 $114,032 +23% $43,080 +225% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $139,875 $41,963 $139,875 +0% $54,772 +155% —
253 OTHER VASCULAR PROCEDURES WITH CC $138,442 $41,533 $123,638 +12% $53,746 +158% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $138,323 $41,497 $119,036 +16% $63,984 +116% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $138,101 $41,430 $50,437 +174% $22,532 +513% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $137,412 $41,223 $112,927 +22% $41,703 +229% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $136,014 $40,804 $136,014 +0% $71,701 +90% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $135,453 $40,636 $135,453 +0% $60,861 +123% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $135,127 $40,538 $135,127 +0% $68,659 +97% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $134,933 $40,480 $108,492 +24% $51,985 +160% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $134,809 $40,443 $116,014 +16% $54,824 +146% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $134,678 $40,403 $112,828 +19% $38,382 +251% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $133,960 $40,188 $133,960 +0% $43,586 +207% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $133,705 $40,112 $133,705 +0% $47,546 +181% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $133,103 $39,931 $119,841 +11% $57,149 +133% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $132,736 $39,821 $92,738 +43% $41,380 +221% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $132,437 $39,731 $115,470 +15% $62,821 +111% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $132,254 $39,676 $84,802 +56% $38,998 +239% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $131,608 $39,482 $131,608 +0% $44,989 +193% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $130,391 $39,117 $128,746 +1% $64,152 +103% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $129,515 $38,855 $129,515 +0% $62,961 +106% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $129,457 $38,837 $79,088 +64% $40,694 +218% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $129,101 $38,730 $112,039 +15% $64,465 +100% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $128,404 $38,521 $77,907 +65% $46,591 +176% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $128,243 $38,473 $128,243 +0% $65,383 +96% —
501 SOFT TISSUE PROCEDURES WITH CC $128,191 $38,457 $86,019 +49% $37,975 +238% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $128,184 $38,455 $93,993 +36% $45,059 +184% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $127,629 $38,289 $115,705 +10% $58,832 +117% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $127,487 $38,246 $101,386 +26% $43,800 +191% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $127,475 $38,243 $124,745 +2% $52,313 +144% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $126,850 $38,055 $80,516 +58% $34,434 +268% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $126,141 $37,842 $96,510 +31% $49,055 +157% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $125,327 $37,598 $117,412 +7% $44,363 +183% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $125,097 $37,529 $125,097 +0% $56,394 +122% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $123,230 $36,969 $94,141 +31% $45,818 +169% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $123,009 $36,903 $123,009 +0% $59,207 +108% —
164 MAJOR CHEST PROCEDURES WITH CC $121,297 $36,389 $108,806 +11% $53,141 +128% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $120,813 $36,244 $98,727 +22% $45,622 +165% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $120,796 $36,239 $120,796 +0% $43,775 +176% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $120,614 $36,184 $97,375 +24% $50,139 +141% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $120,446 $36,134 $92,561 +30% $33,984 +254% —
336 PERITONEAL ADHESIOLYSIS WITH CC $120,390 $36,117 $104,605 +15% $49,470 +143% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $120,298 $36,089 $96,907 +24% $34,900 +245% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $120,178 $36,053 $118,062 +2% $56,519 +113% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $119,941 $35,982 $119,941 +0% $64,956 +85% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $119,727 $35,918 $113,652 +5% $45,963 +160% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $118,309 $35,493 $81,718 +45% $40,277 +194% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $117,958 $35,388 $117,958 +0% $48,094 +145% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $117,125 $35,137 $117,125 +0% $80,885 +45% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $116,440 $34,932 $100,099 +16% $51,172 +128% ≈244% of Medicare
800 SPLENIC PROCEDURES WITH CC $115,882 $34,764 $115,882 +0% $49,184 +136% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $115,843 $34,753 $71,291 +62% $39,657 +192% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $115,754 $34,726 $100,467 +15% $44,553 +160% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $115,728 $34,718 $60,407 +92% $36,334 +219% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $114,445 $34,333 $114,445 +0% $44,973 +154% —
265 AICD LEAD PROCEDURES $113,099 $33,930 $113,099 +0% $56,695 +99% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $112,881 $33,864 $112,881 +0% $57,963 +95% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $112,598 $33,779 $112,598 +0% $57,521 +96% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $112,185 $33,656 $87,757 +28% $43,398 +159% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $111,786 $33,536 $111,786 +0% $35,584 +214% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $111,736 $33,521 $111,736 +0% $43,538 +157% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $111,538 $33,461 $96,336 +16% $60,140 +85% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $111,404 $33,421 $104,588 +7% $41,520 +168% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $111,081 $33,324 $111,081 +0% $48,682 +128% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $110,831 $33,249 $99,888 +11% $54,929 +102% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $110,728 $33,218 $99,049 +12% $42,881 +158% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $110,157 $33,047 $87,344 +26% $41,380 +166% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $109,521 $32,856 $97,321 +13% $35,453 +209% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $109,432 $32,830 $100,501 +9% $27,279 +301% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $108,764 $32,629 $108,764 +0% $52,405 +108% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $108,604 $32,581 $90,886 +19% $23,924 +354% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $108,425 $32,527 $91,441 +19% $43,266 +151% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $108,154 $32,446 $90,104 +20% $25,149 +330% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $107,990 $32,397 $88,810 +22% $45,432 +138% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $107,186 $32,156 $93,293 +15% $50,919 +111% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $107,161 $32,148 $95,433 +12% $45,817 +134% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $107,078 $32,123 $87,628 +22% $32,451 +230% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $106,968 $32,090 $106,968 +0% $42,119 +154% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $106,612 $31,984 $106,612 +0% $37,654 +183% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $106,557 $31,967 $94,319 +13% $44,117 +142% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $106,424 $31,927 $86,956 +22% $54,129 +97% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $106,145 $31,844 $106,145 +0% $50,011 +112% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $106,058 $31,817 $92,640 +14% $33,050 +221% —
333 RECTAL RESECTION WITH CC $105,741 $31,722 $99,845 +6% $34,352 +208% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $105,728 $31,719 $98,825 +7% $41,660 +154% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $105,507 $31,652 $97,665 +8% $35,375 +198% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $105,177 $31,553 $107,550 −2% $55,162 +91% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $104,819 $31,446 $104,819 +0% $48,680 +115% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $104,786 $31,436 $57,662 +82% $29,805 +252% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $103,998 $31,200 $98,635 +5% $36,597 +184% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $102,962 $30,889 $100,231 +3% $29,524 +249% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $102,918 $30,875 $102,918 +0% $49,197 +109% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $102,732 $30,820 $82,713 +24% $34,887 +194% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $101,784 $30,535 $84,608 +20% $43,697 +133% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $101,616 $30,485 $101,616 +0% $32,911 +209% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $100,440 $30,132 $100,440 +0% $54,313 +85% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $100,166 $30,050 $100,166 +0% $39,253 +155% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $100,129 $30,039 $100,129 +0% $121,563 −18% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $100,105 $30,032 $100,105 +0% $38,836 +158% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $99,996 $29,999 $96,492 +4% $43,524 +130% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $99,425 $29,827 $85,838 +16% $32,839 +203% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $99,392 $29,818 $93,034 +7% $40,583 +145% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $99,343 $29,803 $99,343 +0% $35,686 +178% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $99,303 $29,791 $99,303 +0% $35,542 +179% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,189 $29,757 $99,112 +0% $25,390 +291% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $98,878 $29,663 $98,878 +0% $67,901 +46% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $96,371 $28,911 $94,019 +3% $36,242 +166% —
100 SEIZURES WITH MCC $95,041 $28,512 $80,779 +18% $35,194 +170% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $94,664 $28,399 $59,989 +58% $27,321 +246% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $93,774 $28,132 $60,001 +56% $35,459 +164% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $93,528 $28,058 $90,758 +3% $33,137 +182% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $93,057 $27,917 $82,404 +13% $36,080 +158% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $92,999 $27,900 $80,216 +16% $59,425 +56% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $92,809 $27,843 $92,809 +0% $40,563 +129% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $92,520 $27,756 $80,325 +15% $31,059 +198% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $92,393 $27,718 $63,647 +45% $25,243 +266% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $92,380 $27,714 $92,380 +0% $39,018 +137% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $92,295 $27,688 $66,165 +39% $28,527 +224% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $92,199 $27,660 $65,065 +42% $24,980 +269% —
834 ACUTE LEUKEMIA WITH MCC $92,101 $27,630 $62,444 +47% $76,583 +20% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $92,071 $27,621 $86,406 +7% $31,816 +189% —
397 APPENDIX PROCEDURES WITH MCC $92,000 $27,600 $92,000 +0% $52,319 +76% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $91,979 $27,594 $91,979 +0% $25,152 +266% —
652 KIDNEY TRANSPLANT $91,630 $27,489 $91,630 +0% $54,720 +67% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $91,595 $27,478 $91,595 +0% $49,631 +85% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $91,405 $27,421 $84,475 +8% $46,477 +97% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $90,919 $27,276 $81,711 +11% $40,552 +124% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $90,752 $27,226 $90,132 +1% $41,900 +117% —
334 RECTAL RESECTION WITHOUT CC/MCC $90,694 $27,208 $85,159 +6% $32,213 +182% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $90,082 $27,025 $72,979 +23% $28,103 +221% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $89,494 $26,848 $80,329 +11% $25,623 +249% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $89,367 $26,810 $73,341 +22% $32,538 +175% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $89,328 $26,798 $89,328 +0% $44,600 +100% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $89,002 $26,700 $63,372 +40% $30,006 +197% —
668 TRANSURETHRAL PROCEDURES WITH MCC $88,844 $26,653 $87,658 +1% $47,277 +88% —
503 FOOT PROCEDURES WITH MCC $88,814 $26,644 $83,685 +6% $43,901 +102% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $88,570 $26,571 $65,842 +35% $28,156 +215% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $88,506 $26,552 $88,506 +0% $43,491 +104% —
398 APPENDIX PROCEDURES WITH CC $88,382 $26,515 $87,321 +1% $39,107 +126% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $88,059 $26,418 $88,059 +0% $40,063 +120% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $87,969 $26,391 $80,532 +9% $39,747 +121% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $87,967 $26,390 $87,967 +0% $31,812 +177% —
570 SKIN DEBRIDEMENT WITH MCC $87,589 $26,277 $66,566 +32% $52,435 +67% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $87,416 $26,225 $87,416 +0% $31,128 +181% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $87,361 $26,208 $84,332 +4% $30,930 +182% —
380 COMPLICATED PEPTIC ULCER WITH MCC $86,679 $26,004 $86,679 +0% $36,641 +137% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $86,556 $25,967 $69,987 +24% $70,735 +22% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $85,646 $25,694 $79,886 +7% $29,609 +189% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $85,510 $25,653 $76,679 +12% $49,065 +74% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $85,478 $25,643 $81,728 +5% $35,528 +141% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $85,287 $25,586 $85,287 +0% $36,933 +131% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $85,074 $25,522 $56,809 +50% $44,839 +90% —
665 PROSTATECTOMY WITH MCC $84,969 $25,491 $84,969 +0% $54,072 +57% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $84,505 $25,352 $72,321 +17% $36,333 +133% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $84,092 $25,228 $69,905 +20% $38,878 +116% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $83,830 $25,149 $83,830 +0% $37,950 +121% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $83,782 $25,135 $80,635 +4% $36,239 +131% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $83,571 $25,071 $57,201 +46% $32,483 +157% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $83,089 $24,927 $83,089 +0% $33,792 +146% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $82,866 $24,860 $82,866 +0% $35,673 +132% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $82,443 $24,733 $82,443 +0% $34,906 +136% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $82,329 $24,699 $81,880 +1% $35,692 +131% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $82,066 $24,620 $55,157 +49% $36,850 +123% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $81,811 $24,543 $69,226 +18% $30,314 +170% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $81,666 $24,500 $81,666 +0% $35,714 +129% —
038 EXTRACRANIAL PROCEDURES WITH CC $81,160 $24,348 $81,160 +0% $35,770 +127% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $80,982 $24,294 $80,982 +0% $21,615 +275% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $80,911 $24,273 $78,268 +3% $30,358 +167% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $80,806 $24,242 $69,632 +16% $33,490 +141% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $80,723 $24,217 $43,166 +87% $30,910 +161% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $80,503 $24,151 $77,617 +4% $30,418 +165% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $80,245 $24,074 $70,516 +14% $25,267 +218% —
791 PREMATURITY WITH MAJOR PROBLEMS $80,192 $24,058 $64,064 +25% $39,563 +103% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $79,528 $23,858 $79,528 +0% $36,097 +120% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $79,163 $23,749 $79,163 +0% $31,978 +148% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $79,105 $23,731 $79,105 +0% $28,634 +176% —
662 MINOR BLADDER PROCEDURES WITH MCC $78,992 $23,698 $78,992 +0% $54,483 +45% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $78,766 $23,630 $63,826 +23% $37,064 +113% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $78,247 $23,474 $67,611 +16% $24,452 +220% —
709 PENIS PROCEDURES WITH CC/MCC $78,097 $23,429 $78,097 +0% $34,535 +126% —
374 DIGESTIVE MALIGNANCY WITH MCC $77,723 $23,317 $64,649 +20% $38,885 +100% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $77,638 $23,291 $77,638 +0% $29,916 +160% —
504 FOOT PROCEDURES WITH CC $77,463 $23,239 $77,463 +0% $36,598 +112% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $77,332 $23,199 $58,212 +33% $33,424 +131% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $77,036 $23,111 $77,036 +0% $29,050 +165% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $76,983 $23,095 $76,983 +0% $33,564 +129% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $76,871 $23,061 $68,842 +12% $35,114 +119% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $76,850 $23,055 $63,936 +20% $27,492 +180% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $75,995 $22,799 $63,098 +20% $42,126 +80% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $75,462 $22,638 $75,462 +0% $39,093 +93% —
663 MINOR BLADDER PROCEDURES WITH CC $75,419 $22,626 $74,952 +1% $29,924 +152% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $75,030 $22,509 $75,030 +0% $24,544 +206% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $74,616 $22,385 $70,183 +6% $24,022 +211% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $74,518 $22,355 $61,739 +21% $31,909 +134% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $74,468 $22,341 $71,456 +4% $37,842 +97% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $74,098 $22,229 $74,098 +0% $40,065 +85% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $74,075 $22,222 $55,587 +33% $24,879 +198% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $73,953 $22,186 $71,014 +4% $39,409 +88% —
666 PROSTATECTOMY WITH CC $73,879 $22,164 $68,001 +9% $30,016 +146% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $73,673 $22,102 $73,673 +0% $25,162 +193% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $73,589 $22,077 $73,589 +0% $40,548 +81% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $72,508 $21,752 $72,508 +0% $29,374 +147% —
669 TRANSURETHRAL PROCEDURES WITH CC $72,419 $21,726 $72,419 +0% $34,354 +111% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $72,057 $21,617 $65,920 +9% $36,375 +98% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $71,757 $21,527 $49,130 +46% $17,108 +319% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $71,717 $21,515 $66,800 +7% $27,369 +162% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $71,619 $21,486 $67,679 +6% $23,297 +207% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $71,512 $21,454 $71,512 +0% $36,280 +97% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $71,511 $21,453 $71,511 +0% $46,402 +54% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $71,392 $21,418 $65,330 +9% $32,399 +120% —
811 RED BLOOD CELL DISORDERS WITH MCC $71,058 $21,317 $58,024 +22% $27,934 +154% —
539 OSTEOMYELITIS WITH MCC $70,952 $21,286 $63,368 +12% $33,746 +110% —
348 ANAL AND STOMAL PROCEDURES WITH CC $70,805 $21,241 $58,794 +20% $27,947 +153% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $69,913 $20,974 $52,364 +34% $24,017 +191% —
949 AFTERCARE WITH CC/MCC $69,874 $20,962 $69,874 +0% $23,953 +192% —
505 FOOT PROCEDURES WITHOUT CC/MCC $69,799 $20,940 $69,943 −0% $31,716 +120% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $69,655 $20,897 $69,655 +0% $30,974 +125% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $69,592 $20,878 $67,895 +2% $35,237 +97% ≈229% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $68,959 $20,688 $68,959 +0% $25,197 +174% —
571 SKIN DEBRIDEMENT WITH CC $68,951 $20,685 $68,951 +0% $34,901 +98% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $68,762 $20,629 $65,936 +4% $23,588 +192% —
551 MEDICAL BACK PROBLEMS WITH MCC $68,471 $20,541 $58,023 +18% $31,086 +120% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $68,404 $20,521 $68,404 +0% $30,972 +121% —
139 SALIVARY GLAND PROCEDURES $68,261 $20,478 $63,021 +8% $21,014 +225% —
181 RESPIRATORY NEOPLASMS WITH CC $68,172 $20,451 $61,959 +10% $22,431 +204% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $68,136 $20,441 $62,055 +10% $29,476 +131% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $67,558 $20,267 $67,233 +0% $22,275 +203% —
906 HAND PROCEDURES FOR INJURIES $67,276 $20,183 $67,276 +0% $31,520 +113% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $67,241 $20,172 $67,241 +0% $29,663 +127% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $66,880 $20,064 $66,880 +0% $15,890 +321% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $66,755 $20,026 $66,755 +0% $29,729 +125% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $66,464 $19,939 $47,154 +41% $37,080 +79% —
506 MAJOR THUMB OR JOINT PROCEDURES $65,860 $19,758 $65,860 +0% $28,983 +127% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $65,851 $19,755 $65,851 +0% $38,094 +73% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $65,721 $18,440 $65,721 +0% $40,947 +61% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $65,694 $19,708 $52,076 +26% $30,661 +114% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $65,330 $19,599 $65,330 +0% $28,967 +126% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $65,228 $19,568 $65,228 +0% $36,237 +80% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $64,550 $19,365 $39,509 +63% $54,196 +19% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $64,548 $19,364 $64,548 +0% $22,811 +183% —
533 FRACTURES OF FEMUR WITH MCC $64,277 $19,283 $57,112 +13% $25,945 +148% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $64,235 $19,270 $64,235 +0% $38,357 +67% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $64,156 $19,247 $38,156 +68% $28,140 +128% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $63,979 $19,194 $38,272 +67% $20,842 +207% —
597 MALIGNANT BREAST DISORDERS WITH MCC $63,610 $19,083 $63,610 +0% $31,846 +100% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $63,429 $19,029 $63,429 +0% $32,981 +92% —
089 CONCUSSION WITH CC $63,358 $19,008 $63,358 +0% $18,293 +246% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $63,173 $18,952 $63,173 +0% $32,502 +94% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $62,991 $18,897 $62,991 +0% $29,826 +111% —
813 COAGULATION DISORDERS $62,568 $18,770 $62,568 +0% $30,128 +108% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $62,315 $18,695 $33,530 +86% $22,231 +180% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $62,297 $18,689 $61,844 +1% $31,190 +100% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $62,199 $18,660 $62,199 +0% $36,202 +72% —
643 ENDOCRINE DISORDERS WITH MCC $62,192 $18,658 $59,482 +5% $32,996 +88% —
137 MOUTH PROCEDURES WITH CC/MCC $62,095 $18,629 $47,367 +31% $24,348 +155% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $61,273 $18,382 $61,273 +0% $32,936 +86% —
375 DIGESTIVE MALIGNANCY WITH CC $61,177 $18,353 $56,531 +8% $27,219 +125% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $61,119 $18,336 $29,087 +110% $14,064 +335% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $60,792 $18,238 $60,792 +0% $31,062 +96% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $60,740 $18,222 $60,740 +0% $32,490 +87% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $60,680 $18,204 $60,680 +0% $30,940 +96% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $60,606 $18,182 $44,460 +36% $28,134 +115% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $60,071 $18,021 $60,071 +0% $35,139 +71% —
381 COMPLICATED PEPTIC ULCER WITH CC $59,986 $17,996 $48,070 +25% $24,177 +148% —
915 ALLERGIC REACTIONS WITH MCC $59,678 $17,903 $59,678 +0% $30,944 +93% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $59,367 $17,810 $43,909 +35% $28,646 +107% —
186 PLEURAL EFFUSION WITH MCC $59,198 $17,759 $49,864 +19% $32,468 +82% —
606 MINOR SKIN DISORDERS WITH MCC $59,048 $17,714 $38,796 +52% $25,434 +132% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $59,011 $17,703 $56,219 +5% $25,854 +128% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $58,938 $17,681 $49,117 +20% $21,261 +177% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $58,839 $17,652 $58,839 +0% $24,229 +143% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $58,782 $17,498 $56,097 +5% $20,463 +187% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $58,758 $17,627 $58,758 +0% $21,062 +179% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $58,558 $17,567 $56,466 +4% $33,607 +74% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $58,393 $17,518 $58,393 +0% $29,371 +99% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $58,380 $17,514 $58,380 +0% $24,202 +141% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $58,245 $17,473 $58,245 +0% $32,689 +78% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $58,108 $17,432 $58,108 +0% $27,168 +114% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $58,035 $17,410 $55,871 +4% $26,322 +120% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $57,910 $17,373 $57,910 +0% $33,694 +72% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $57,735 $17,320 $38,027 +52% $14,284 +304% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $57,722 $17,317 $57,722 +0% $21,806 +165% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $57,662 $17,299 $50,643 +14% $29,484 +96% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $57,277 $17,183 $57,277 +0% $25,307 +126% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $57,191 $17,157 $48,747 +17% $20,421 +180% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $57,033 $17,110 $53,260 +7% $21,029 +171% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $56,836 $17,051 $48,243 +18% $19,354 +194% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $56,693 $17,008 $30,085 +88% $18,150 +212% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $56,666 $17,000 $55,430 +2% $30,766 +84% —
088 CONCUSSION WITH MCC $56,617 $19,990 $50,287 +13% $24,402 +132% —
667 PROSTATECTOMY WITHOUT CC/MCC $56,411 $16,923 $52,172 +8% $16,703 +238% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $55,988 $16,796 $27,236 +106% $24,836 +125% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $55,851 $16,755 $45,190 +24% $17,943 +211% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $55,821 $16,746 $28,097 +99% $16,352 +241% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $55,775 $16,732 $44,890 +24% $19,868 +181% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $55,740 $16,722 $50,864 +10% $27,118 +106% —
671 URETHRAL PROCEDURES WITH CC/MCC $55,334 $16,600 $55,334 +0% $27,233 +103% —
637 DIABETES WITH MCC $55,309 $16,593 $53,740 +3% $28,819 +92% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $55,244 $16,573 $23,373 +136% $17,226 +221% —
835 ACUTE LEUKEMIA WITH CC $54,935 $16,480 $37,310 +47% $35,569 +54% —
180 RESPIRATORY NEOPLASMS WITH MCC $54,767 $16,430 $54,767 +0% $36,658 +49% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $54,616 $16,385 $49,997 +9% $23,920 +128% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $54,451 $16,335 $54,451 +0% $30,814 +77% —
711 TESTES PROCEDURES WITH CC/MCC $54,423 $16,327 $54,423 +0% $34,852 +56% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $54,383 $16,315 $54,383 +0% $31,758 +71% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $54,351 $16,305 $54,351 +0% $22,557 +141% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $54,205 $16,262 $54,205 +0% $18,126 +199% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $54,076 $16,223 $54,076 +0% $32,204 +68% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $53,967 $16,190 $52,685 +2% $23,469 +130% —
123 NEUROLOGICAL EYE DISORDERS $53,858 $16,158 $42,625 +26% $17,831 +202% —
304 HYPERTENSION WITH MCC $53,711 $16,113 $50,859 +6% $24,185 +122% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $53,611 $16,083 $53,611 +0% $45,290 +18% —
919 COMPLICATIONS OF TREATMENT WITH MCC $53,434 $16,030 $53,434 +0% $29,031 +84% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $53,194 $15,958 $38,304 +39% $12,336 +331% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $52,932 $15,880 $52,932 +0% $17,928 +195% —
592 SKIN ULCERS WITH MCC $52,638 $15,791 $34,544 +52% $32,662 +61% —
697 URETHRAL STRICTURE $52,373 $15,712 $24,034 +118% $17,705 +196% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $52,367 $15,710 $52,367 +0% $17,550 +198% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $52,207 $15,662 $49,803 +5% $30,058 +74% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $51,769 $15,531 $45,035 +15% $26,634 +94% —
682 RENAL FAILURE WITH MCC $51,592 $15,478 $48,345 +7% $27,854 +85% ≈210% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $51,497 $15,449 $50,770 +1% $23,814 +116% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $51,228 $15,368 $46,707 +10% $26,146 +96% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $51,097 $15,329 $41,665 +23% $18,017 +184% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $50,849 $15,255 $50,849 +0% $24,432 +108% —
999 UNGROUPABLE $50,806 $15,242 $50,806 +0% $28,822 +76% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $50,803 $15,241 $33,659 +51% $15,608 +225% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $50,781 $15,234 $41,281 +23% $19,001 +167% —
947 SIGNS AND SYMPTOMS WITH MCC $50,748 $15,224 $45,818 +11% $25,474 +99% —
302 ATHEROSCLEROSIS WITH MCC $50,026 $15,008 $49,493 +1% $20,844 +140% —
199 PNEUMOTHORAX WITH MCC $50,014 $15,004 $38,813 +29% $31,491 +59% —
913 TRAUMATIC INJURY WITH MCC $49,887 $14,966 $36,103 +38% $24,198 +106% —
090 CONCUSSION WITHOUT CC/MCC $49,755 $14,329 $34,824 +43% $14,873 +235% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $49,346 $14,804 $13,367 +269% $14,290 +245% —
950 AFTERCARE WITHOUT CC/MCC $49,165 $14,749 $49,165 +0% $13,527 +263% —
865 VIRAL ILLNESS WITH MCC $49,052 $14,716 $44,127 +11% $26,088 +88% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $49,012 $14,704 $49,012 +0% $19,854 +147% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $49,003 $14,701 $49,003 +0% $18,623 +163% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $48,647 $14,594 $29,604 +64% $29,211 +67% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $48,532 $14,560 $33,069 +47% $24,452 +98% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $48,510 $14,553 $48,510 +0% $25,731 +89% —
150 EPISTAXIS WITH MCC $48,476 $14,543 $45,782 +6% $21,133 +129% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $48,259 $14,478 $48,259 +0% $24,480 +97% ≈219% of Medicare
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $48,220 $14,466 $48,136 +0% $30,275 +59% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $48,158 $14,447 $48,158 +0% $25,010 +93% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $47,988 $14,397 $35,997 +33% $19,305 +149% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $47,798 $14,339 $47,798 +0% $29,109 +64% —
595 MAJOR SKIN DISORDERS WITH MCC $47,775 $14,333 $47,775 +0% $31,785 +50% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $47,596 $14,279 $47,596 +0% $16,495 +189% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $47,573 $14,272 $47,573 +0% $18,459 +158% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $47,498 $14,249 $46,323 +3% $17,585 +170% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $47,429 $14,229 $47,429 +0% $28,252 +68% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $47,405 $14,222 $47,405 +0% $25,426 +86% —
102 HEADACHES WITH MCC $47,341 $14,202 $47,341 +0% $22,544 +110% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $47,279 $14,184 $47,279 +0% $23,571 +101% —
693 URINARY STONES WITH MCC $47,078 $14,124 $47,078 +0% $22,525 +109% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $47,064 $14,119 $40,067 +17% $27,244 +73% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $46,916 $20,068 $46,916 +0% $35,014 +34% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $46,755 $14,027 $46,755 +0% $25,666 +82% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $46,645 $13,993 $46,645 +0% $17,383 +168% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $46,611 $13,983 $44,062 +6% $24,136 +93% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $46,444 $13,933 $46,444 +0% $28,375 +64% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $46,383 $13,915 $40,350 +15% $26,488 +75% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $46,219 $13,866 $46,219 +0% $20,080 +130% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $46,126 $13,838 $46,126 +0% $31,840 +45% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $46,090 $13,827 $46,090 +0% $24,118 +91% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $46,073 $13,822 $46,073 +0% $19,326 +138% —
598 MALIGNANT BREAST DISORDERS WITH CC $46,065 $13,820 $38,784 +19% $19,073 +142% —
183 MAJOR CHEST TRAUMA WITH MCC $45,895 $13,768 $45,895 +0% $28,924 +59% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $45,732 $13,720 $41,732 +10% $24,465 +87% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $45,731 $13,719 $45,189 +1% $20,278 +126% —
312 SYNCOPE AND COLLAPSE $45,679 $13,704 $36,943 +24% $19,342 +136% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $45,243 $13,573 $45,243 +0% $20,147 +125% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $45,201 $13,560 $34,301 +32% $23,723 +91% —
548 SEPTIC ARTHRITIS WITH MCC $44,991 $13,497 $44,991 +0% $31,019 +45% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $44,974 $13,492 $44,489 +1% $18,478 +143% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $44,825 $13,447 $44,825 +0% $24,941 +80% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $44,721 $13,416 $41,788 +7% $23,956 +87% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $44,680 $13,404 $44,680 +0% $30,394 +47% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $44,668 $13,400 $44,668 +0% $17,078 +162% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $44,546 $13,364 $43,724 +2% $22,525 +98% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $44,467 $13,340 $39,683 +12% $18,278 +143% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $44,168 $13,250 $38,669 +14% $25,704 +72% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $44,158 $13,247 $38,723 +14% $22,560 +96% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $44,141 $13,242 $44,141 +0% $23,350 +89% —
540 OSTEOMYELITIS WITH CC $43,789 $13,137 $43,789 +0% $23,494 +86% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $43,684 $13,105 $43,684 +0% $24,190 +81% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $43,483 $13,045 $40,858 +6% $13,654 +218% —
184 MAJOR CHEST TRAUMA WITH CC $43,475 $13,043 $44,101 −1% $20,842 +109% —
103 HEADACHES WITHOUT MCC $43,454 $13,036 $42,711 +2% $20,111 +116% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $43,310 $12,993 $32,947 +31% $18,428 +135% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $43,136 $12,941 $42,131 +2% $20,084 +115% —
075 VIRAL MENINGITIS WITH CC/MCC $43,111 $12,933 $43,111 +0% $29,853 +44% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $43,107 $12,932 $43,107 +0% $21,213 +103% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $42,959 $12,888 $39,576 +9% $18,238 +136% —
602 CELLULITIS WITH MCC $42,901 $12,870 $42,901 +0% $29,347 +46% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $42,515 $12,754 $42,515 +0% $21,886 +94% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $42,493 $12,748 $42,493 +0% $11,909 +257% —
712 TESTES PROCEDURES WITHOUT CC/MCC $42,481 $12,744 $40,061 +6% $18,898 +125% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $42,396 $12,719 $42,396 +0% $19,483 +118% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $42,379 $12,714 $42,379 +0% $29,757 +42% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $42,055 $12,617 $40,020 +5% $17,103 +146% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $42,029 $12,609 $42,004 +0% $23,396 +80% —
291 HEART FAILURE AND SHOCK WITH MCC $41,984 $12,595 $41,832 +0% $25,020 +68% ≈211% of Medicare
157 DENTAL AND ORAL DISEASES WITH MCC $41,903 $12,571 $41,903 +0% $27,457 +53% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $41,840 $12,552 $37,452 +12% $20,741 +102% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $41,748 $12,524 $41,748 +0% $19,569 +113% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $41,501 $12,450 $41,501 +0% $21,449 +93% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $41,262 $12,379 $40,207 +3% $19,815 +108% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $41,154 $12,346 $40,569 +1% $20,732 +99% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $41,061 $12,318 $24,968 +64% $15,869 +159% —
887 OTHER MENTAL DISORDER DIAGNOSES $41,043 $12,313 $36,728 +12% $20,602 +99% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $40,872 $12,262 $40,872 +0% $19,894 +105% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $40,813 $12,244 $40,813 +0% $24,316 +68% —
197 INTERSTITIAL LUNG DISEASE WITH CC $40,809 $12,243 $25,437 +60% $20,106 +103% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $40,794 $12,238 $40,794 +0% $28,780 +42% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $40,750 $12,225 $40,750 +0% $26,158 +56% ≈237% of Medicare
202 BRONCHITIS AND ASTHMA WITH CC/MCC $40,712 $12,214 $40,712 +0% $17,273 +136% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $40,477 $12,143 $40,477 +0% $25,786 +57% —
149 DYSEQUILIBRIUM $40,470 $12,141 $40,470 +0% $17,203 +135% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $40,453 $12,136 $40,453 +0% $23,496 +72% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $40,449 $12,135 $40,449 +0% $13,282 +205% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $40,299 $12,090 $34,355 +17% $15,589 +159% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $40,280 $12,084 $40,280 +0% $23,749 +70% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $40,273 $12,082 $37,359 +8% $22,781 +77% ≈213% of Medicare
101 SEIZURES WITHOUT MCC $40,127 $12,038 $40,127 +0% $19,954 +101% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $40,079 $12,024 $40,079 +0% $23,734 +69% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $39,987 $11,996 $30,415 +31% $20,309 +97% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $39,967 $11,990 $39,967 +0% $17,522 +128% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $39,926 $11,978 $39,926 +0% $20,727 +93% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $39,850 $11,955 $39,850 +0% $17,700 +125% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $39,753 $11,926 $37,386 +6% $24,450 +63% —
885 PSYCHOSES $39,657 $11,897 $28,324 +40% $21,489 +85% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $39,590 $11,877 $39,590 +0% $29,409 +35% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $39,317 $11,795 $39,317 +0% $17,731 +122% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $39,299 $11,790 $39,299 +0% $17,727 +122% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $39,205 $11,762 $33,982 +15% $15,636 +151% —
305 HYPERTENSION WITHOUT MCC $39,037 $11,711 $38,822 +1% $17,144 +128% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $38,935 $11,680 $37,425 +4% $22,713 +71% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $38,906 $11,672 $38,906 +0% $25,208 +54% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $38,892 $11,668 $31,212 +25% $16,642 +134% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $38,767 $11,630 $38,413 +1% $19,579 +98% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $38,634 $11,590 $38,634 +0% $20,777 +86% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $38,426 $11,528 $38,426 +0% $22,032 +74% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $38,386 $11,516 $38,386 +0% $31,044 +24% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $38,328 $11,498 $38,328 +0% $21,860 +75% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $38,237 $11,471 $38,237 +0% $23,141 +65% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $38,189 $11,457 $35,597 +7% $16,212 +136% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $38,044 $11,413 $38,044 +0% $15,370 +148% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $37,884 $11,365 $37,884 +0% $20,371 +86% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $37,622 $11,287 $37,622 +0% $15,876 +137% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $37,577 $11,273 $37,577 +0% $26,020 +44% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $37,296 $11,189 $37,296 +0% $20,007 +86% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $37,292 $11,188 $37,292 +0% $15,858 +135% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $37,262 $11,179 $37,262 +0% $22,982 +62% —
914 TRAUMATIC INJURY WITHOUT MCC $37,002 $11,101 $27,127 +36% $15,593 +137% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $36,962 $11,089 $36,962 +0% $20,488 +80% —
303 ATHEROSCLEROSIS WITHOUT MCC $36,911 $11,073 $32,044 +15% $14,927 +147% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $36,898 $11,069 $36,898 +0% $22,024 +68% —
187 PLEURAL EFFUSION WITH CC $36,870 $11,061 $36,870 +0% $21,467 +72% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $36,599 $10,980 $25,600 +43% $15,655 +134% —
644 ENDOCRINE DISORDERS WITH CC $36,474 $10,942 $36,317 +0% $22,941 +59% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $36,435 $10,930 $36,435 +0% $17,715 +106% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $36,416 $10,925 $36,416 +0% $22,850 +59% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $36,357 $10,907 $36,357 +0% $19,317 +88% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $36,309 $10,893 $19,932 +82% $15,077 +141% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $36,167 $10,850 $36,167 +0% $19,096 +89% —
292 HEART FAILURE AND SHOCK WITH CC $36,138 $10,841 $35,361 +2% $16,212 +123% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $36,117 $10,835 $27,974 +29% $16,049 +125% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $35,990 $10,797 $35,990 +0% $13,090 +175% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $35,972 $10,792 $35,972 +0% $20,968 +72% —
549 SEPTIC ARTHRITIS WITH CC $35,913 $10,774 $35,913 +0% $20,938 +72% —
866 VIRAL ILLNESS WITHOUT MCC $35,882 $10,765 $35,882 +0% $16,391 +119% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $35,498 $10,649 $34,233 +4% $16,776 +112% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $35,387 $10,616 $34,263 +3% $15,045 +135% —
920 COMPLICATIONS OF TREATMENT WITH CC $35,354 $10,606 $35,354 +0% $21,181 +67% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $35,276 $10,583 $35,276 +0% $20,980 +68% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $35,269 $10,581 $27,423 +29% $15,072 +134% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $35,146 $10,544 $31,540 +11% $18,803 +87% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $34,921 $10,476 $31,455 +11% $16,634 +110% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $34,809 $10,443 $30,781 +13% $18,002 +93% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $34,785 $10,436 $32,548 +7% $18,204 +91% ≈218% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $34,771 $10,431 $29,181 +19% $16,745 +108% ≈221% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $34,334 $10,300 $30,027 +14% $19,287 +78% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $34,179 $10,254 $29,812 +15% $16,418 +108% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $34,098 $10,230 $34,098 +0% $13,385 +155% —
152 OTITIS MEDIA AND URI WITH MCC $34,029 $10,209 $42,130 −19% $19,795 +72% —
864 FEVER AND INFLAMMATORY CONDITIONS $33,872 $10,162 $33,872 +0% $17,412 +95% —
176 PULMONARY EMBOLISM WITHOUT MCC $33,598 $10,079 $33,598 +0% $18,081 +86% —
201 PNEUMOTHORAX WITHOUT CC/MCC $33,562 $10,069 $23,897 +40% $13,081 +157% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $33,309 $9,993 $33,309 +0% $17,322 +92% ≈213% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $33,271 $9,981 $33,271 +0% $18,253 +82% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $33,148 $9,944 $33,148 +0% $12,044 +175% —
638 DIABETES WITH CC $32,983 $9,895 $31,236 +6% $18,821 +75% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $32,919 $9,876 $31,970 +3% $8,927 +269% —
313 CHEST PAIN $32,867 $9,860 $32,438 +1% $15,962 +106% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $32,840 $9,852 $31,078 +6% $15,600 +111% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $32,756 $9,827 $30,041 +9% $17,388 +88% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $32,718 $9,815 $29,059 +13% $15,070 +117% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $32,597 $9,779 $27,771 +17% $18,608 +75% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $32,479 $9,744 $29,155 +11% $13,303 +144% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $32,210 $9,663 $28,812 +12% $16,571 +94% —
684 RENAL FAILURE WITHOUT CC/MCC $32,004 $9,601 $30,991 +3% $13,623 +135% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $31,977 $9,593 $31,977 +0% $18,918 +69% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $31,814 $9,544 $31,814 +0% $14,444 +120% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $31,633 $9,490 $28,820 +10% $15,607 +103% —
683 RENAL FAILURE WITH CC $31,439 $9,432 $31,439 +0% $18,620 +69% ≈216% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $31,387 $9,416 $31,387 +0% $17,700 +77% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $31,260 $9,378 $31,260 +0% $19,091 +64% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $31,175 $9,352 $26,728 +17% $11,421 +173% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $31,108 $9,332 $24,221 +28% $14,861 +109% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $30,971 $9,291 $23,285 +33% $12,537 +147% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $30,908 $9,273 $30,908 +0% $23,115 +34% —
534 FRACTURES OF FEMUR WITHOUT MCC $30,880 $9,264 $29,865 +3% $17,195 +80% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $30,551 $9,165 $30,551 +0% $14,166 +116% —
594 SKIN ULCERS WITHOUT CC/MCC $30,475 $9,142 $30,475 +0% $14,209 +114% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $30,054 $9,016 $30,054 +0% $15,474 +94% —
694 URINARY STONES WITHOUT MCC $29,997 $8,999 $29,997 +0% $16,531 +81% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $29,832 $8,950 $29,832 +0% $17,466 +71% ≈237% of Medicare
200 PNEUMOTHORAX WITH CC $29,752 $8,925 $29,752 +0% $20,573 +45% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $29,736 $8,921 $29,736 +0% $16,837 +77% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $29,665 $8,900 $29,017 +2% $13,198 +125% —
935 NON-EXTENSIVE BURNS $29,458 $8,837 $25,148 +17% $29,458 +0% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $29,407 $8,822 $29,407 +0% $14,880 +98% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $29,354 $8,806 $29,354 +0% $16,104 +82% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $29,344 $8,803 $29,344 +0% $12,405 +137% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $29,091 $8,727 $29,091 +0% $14,368 +102% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $28,982 $8,695 $29,748 −3% $16,654 +74% —
603 CELLULITIS WITHOUT MCC $28,690 $8,607 $28,690 +0% $18,530 +55% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $28,204 $8,461 $26,503 +6% $13,318 +112% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $28,193 $8,458 $28,193 +0% $17,367 +62% —
153 OTITIS MEDIA AND URI WITHOUT MCC $27,849 $8,355 $27,849 +0% $14,473 +92% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $27,820 $8,346 $27,735 +0% $13,824 +101% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $27,792 $8,338 $24,481 +14% $16,865 +65% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $27,459 $8,238 $19,699 +39% $14,441 +90% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $27,263 $8,179 $24,095 +13% $14,128 +93% —
593 SKIN ULCERS WITH CC $27,134 $8,140 $28,790 −6% $20,470 +33% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $26,939 $8,082 $23,477 +15% $14,134 +91% —
916 ALLERGIC REACTIONS WITHOUT MCC $26,868 $8,061 $23,904 +12% $13,890 +93% —
607 MINOR SKIN DISORDERS WITHOUT MCC $26,723 $8,017 $26,723 +0% $15,284 +75% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $26,679 $8,004 $26,679 +0% $11,997 +122% —
639 DIABETES WITHOUT CC/MCC $26,663 $7,999 $24,302 +10% $13,910 +92% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $26,295 $7,889 $26,295 +0% $13,892 +89% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $26,040 $7,812 $22,799 +14% $12,013 +117% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $25,755 $7,726 $25,755 +0% $11,955 +115% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $25,596 $7,679 $25,596 +0% $18,282 +40% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $25,391 $7,617 $25,391 +0% $14,208 +79% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $25,218 $7,565 $25,218 +0% $14,110 +79% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $24,957 $7,487 $24,957 +0% $14,012 +78% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $24,932 $7,480 $24,932 +0% $12,797 +95% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $24,894 $7,468 $24,894 +0% $18,191 +37% —
779 ABORTION WITHOUT D&C $24,578 $7,373 $24,578 +0% $15,327 +60% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $24,552 $7,366 $23,636 +4% $18,133 +35% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $24,405 $7,321 $24,405 +0% $13,586 +80% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $24,356 $7,293 $14,577 +67% $16,719 +46% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $24,307 $7,292 $24,307 +0% $12,279 +98% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $24,214 $7,264 $9,447 +156% $13,822 +75% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $23,931 $7,179 $23,931 +0% $14,055 +70% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $23,919 $7,176 $23,919 +0% $17,483 +37% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $23,834 $7,150 $23,834 +0% $10,975 +117% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $23,685 $7,105 $23,685 +0% $22,698 +4% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $23,451 $7,035 $23,451 +0% $18,291 +28% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $22,912 $6,874 $22,912 +0% $14,337 +60% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $22,874 $6,862 $21,299 +7% $16,156 +42% —
541 OSTEOMYELITIS WITHOUT CC/MCC $22,683 $6,805 $22,683 +0% $14,549 +56% —
151 EPISTAXIS WITHOUT MCC $22,642 $6,793 $18,692 +21% $13,032 +74% —
204 RESPIRATORY SIGNS AND SYMPTOMS $22,545 $6,764 $22,545 +0% $16,866 +34% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $21,718 $6,515 $14,354 +51% $11,071 +96% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $21,596 $6,479 $20,000 +8% $13,485 +60% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $21,440 $6,432 $21,440 +0% $21,545 −0% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $20,854 $6,256 $16,359 +27% $12,895 +62% —
881 DEPRESSIVE NEUROSES $20,613 $6,184 $20,613 +0% $15,058 +37% —
882 NEUROSES EXCEPT DEPRESSIVE $20,199 $6,060 $20,199 +0% $15,680 +29% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $19,513 $5,854 $22,271 −12% $13,368 +46% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $19,406 $5,822 $12,990 +49% $19,686 −1% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $18,604 $5,581 $18,007 +3% $13,384 +39% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $16,133 $4,840 $11,696 +38% $9,076 +78% —
311 ANGINA PECTORIS $15,165 $4,550 $17,821 −15% $15,165 +0% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $13,362 $4,009 $13,261 +1% $12,381 +8% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,553 $3,466 $11,553 +0% $12,593 −8% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $10,112 $3,034 $10,112 +0% $11,633 −13% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,445 $2,534 $7,819 +8% $7,961 +6% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,210 $2,163 $5,512 +31% $9,385 −23% —
795 NORMAL NEWBORN $6,248 $1,875 $6,248 +0% $4,530 +38% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,339 $702 $7,432 −69% $10,039 −77% —
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