Piedmont Newton Hospital — Pricing

741 procedures published in this hospital's Machine-Readable File (MRF) — 741 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 741
Lowest published price $1,098
Average published price $95,217
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 741 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 26 procedures, this hospital's negotiated rates average ≈149% 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 $1,233,612 +0% $431,073 +186% —
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% $169,977 +354% —
005 Liver Transplant With McC Or Intestinal Transplant $749,394 $246,165 $749,394 +0% $159,181 +371% —
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% —
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% $245,189 +177% —
650 Kidney Transplant With Hemodialysis With McC $578,558 $173,567 $578,558 +0% $71,551 +709% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $530,909 $159,273 $524,620 +1% $135,380 +292% —
651 Kidney Transplant With Hemodialysis Without McC $481,103 $144,331 $481,103 +0% $56,242 +755% —
652 Kidney Transplant $479,000 $143,700 $91,630 +423% $54,720 +775% —
231 Coronary Bypass With Ptca With McC $437,600 $131,280 $437,600 +0% $145,864 +200% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $391,484 $117,445 $391,484 +0% $175,437 +123% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $374,040 $112,212 $372,152 +1% $138,868 +169% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $372,975 $111,892 $372,975 +0% $143,242 +160% —
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 $357,264 +0% $115,937 +208% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $336,030 $100,809 $336,030 +0% $151,029 +122% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $326,285 $97,886 $326,285 +0% $101,280 +222% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $326,076 $97,823 $307,425 +6% $137,160 +138% —
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 $324,804 +0% $106,219 +206% —
235 Coronary Bypass Without Cardiac Catheterization With McC $321,452 $96,436 $292,811 +10% $112,062 +187% —
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 $300,966 +0% $104,881 +187% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $300,677 $90,203 $235,567 +28% $82,527 +264% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $296,600 $88,980 $296,600 +0% $102,573 +189% —
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 $279,983 +0% $121,714 +130% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $276,982 $83,095 $276,982 +0% $102,177 +171% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $276,507 $82,952 $276,507 +0% $87,495 +216% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $256,901 $77,070 $256,901 +0% $113,855 +126% —
215 Other Heart Assist System Implant $250,697 $75,209 $219,127 +14% $191,314 +31% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $249,729 $74,919 $249,729 +0% $82,247 +204% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $249,348 $74,804 $249,348 +0% $92,217 +170% —
653 Major Bladder Procedures With McC $246,902 $74,071 $218,722 +13% $97,028 +154% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $246,719 $74,016 $148,808 +66% $61,353 +302% —
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% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $243,982 $73,195 $228,175 +7% $87,575 +179% —
270 Other Major Cardiovascular Procedures With McC $238,844 $71,653 $238,844 +0% $99,423 +140% —
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 $234,258 +0% $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% $25,484 +775% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $222,168 $66,650 $222,168 +0% $84,861 +162% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $220,846 $66,254 $220,846 +0% $34,089 +548% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $220,667 $66,200 $117,125 +88% $80,885 +173% —
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% $57,855 +277% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $217,597 $65,279 $75,462 +188% $39,093 +457% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $214,382 $64,315 $192,817 +11% $86,938 +147% ≈216% 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% $85,882 +147% —
326 Stomach, Esophageal And Duodenal Procedures With McC $209,542 $62,863 $194,182 +8% $80,747 +160% —
319 Other Endovascular Cardiac Valve Procedures With McC $208,221 $62,466 $191,064 +9% $75,585 +175% —
405 Pancreas, Liver And Shunt Procedures With McC $207,832 $62,349 $207,832 +0% $95,375 +118% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $207,581 $62,274 $207,581 +0% $83,065 +150% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $204,270 $61,281 $204,270 +0% $117,280 +74% —
245 Aicd Generator Procedures $200,502 $60,151 $182,544 +10% $72,076 +178% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $198,909 $59,673 $180,383 +10% $71,873 +177% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $197,090 $59,127 $131,608 +50% $44,989 +338% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $195,837 $58,751 $195,837 +0% $61,832 +217% —
028 Spinal Procedures With McC $195,331 $58,599 $195,331 +0% $95,858 +104% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $194,827 $58,448 $194,827 +0% $90,331 +116% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $192,194 $57,658 $166,266 +16% $76,954 +150% —
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% —
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% —
504 Foot Procedures With Cc $185,569 $55,671 $77,463 +140% $36,519 +408% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $183,339 $55,002 $169,948 +8% $33,236 +452% —
034 Carotid Artery Stent Procedures With McC $182,892 $54,868 $170,938 +7% $72,908 +151% —
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% $78,327 +130% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $179,372 $53,812 $179,372 +0% $62,404 +187% —
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% $70,540 +150% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $175,638 $52,691 $155,640 +13% $51,142 +243% —
037 Extracranial Procedures With McC $175,424 $52,627 $153,424 +14% $64,749 +171% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $173,852 $52,156 $173,852 +0% $68,331 +154% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $173,621 $52,086 $173,621 +0% $84,825 +105% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $173,612 $52,084 $173,612 +0% $66,853 +160% —
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% $60,861 +185% —
654 Major Bladder Procedures With Cc $172,046 $51,614 $172,046 +0% $53,868 +219% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $169,241 $50,772 $169,241 +0% $29,598 +472% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $169,096 $50,729 $139,875 +21% $54,772 +209% —
582 Mastectomy For Malignancy With Cc/McC $167,938 $50,381 $167,938 +0% $34,158 +392% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $167,566 $50,270 $133,705 +25% $47,546 +252% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $165,336 $49,601 $165,336 +0% $74,274 +123% —
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% $88,341 +86% —
252 Other Vascular Procedures With McC $163,915 $49,174 $163,915 +0% $68,508 +139% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $162,893 $48,868 $129,515 +26% $62,961 +159% —
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% $68,847 +131% —
277 Cardiac Defibrillator Implant Without McC $158,526 $47,558 $158,526 +0% $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% $64,468 +145% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $157,816 $47,345 $157,816 +0% $56,758 +178% —
271 Other Major Cardiovascular Procedures With Cc $155,875 $46,763 $155,875 +0% $71,014 +120% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $155,784 $46,735 $155,784 +0% $61,206 +155% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $155,177 $46,553 $155,177 +0% $52,332 +197% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $155,065 $46,519 $98,878 +57% $67,215 +131% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $154,836 $46,451 $149,451 +4% $64,488 +140% —
907 Other O.R. Procedures For Injuries With McC $154,605 $46,381 $136,014 +14% $71,519 +116% —
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% $68,590 +125% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $153,295 $45,989 $153,295 +0% $66,819 +129% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $152,637 $45,791 $152,637 +0% $54,475 +180% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $151,048 $45,314 $140,460 +8% $53,817 +181% —
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% $58,968 +155% —
472 Cervical Spinal Fusion With Cc $149,819 $44,946 $149,819 +0% $59,537 +152% —
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% $66,765 +124% —
466 Revision Of Hip Or Knee Replacement With McC $148,683 $44,605 $148,683 +0% $94,320 +58% —
467 Revision Of Hip Or Knee Replacement With Cc $148,422 $44,527 $148,422 +0% $68,421 +117% —
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% —
265 Aicd Lead Procedures $146,190 $43,857 $113,099 +29% $56,216 +160% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $146,128 $43,839 $117,958 +24% $47,574 +207% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $145,918 $43,775 $145,918 +0% $63,310 +130% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $142,547 $42,764 $128,243 +11% $65,383 +118% —
258 Cardiac Pacemaker Device Replacement With McC $140,546 $42,164 $140,546 +0% $48,907 +187% —
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% $36,237 +283% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $138,483 $41,545 $138,483 +0% $39,923 +247% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $138,439 $41,532 $112,881 +23% $57,030 +143% —
673 Other Kidney And Urinary Tract Procedures With McC $137,941 $41,382 $137,941 +0% $72,879 +89% —
406 Pancreas, Liver And Shunt Procedures With Cc $136,836 $41,051 $136,836 +0% $58,043 +136% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $135,651 $40,695 $135,651 +0% $86,953 +56% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $135,346 $40,604 $123,009 +10% $59,207 +129% —
614 Adrenal And Pituitary Procedures With Cc/McC $135,103 $40,531 $133,960 +1% $43,313 +212% —
473 Cervical Spinal Fusion Without Cc/McC $133,880 $40,164 $133,880 +0% $50,624 +164% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $133,874 $40,162 $133,874 +0% $72,843 +84% —
259 Cardiac Pacemaker Device Replacement Without McC $133,748 $40,124 $82,866 +61% $35,673 +275% —
242 Permanent Cardiac Pacemaker Implant With McC $132,944 $39,883 $132,944 +0% $70,132 +90% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $132,792 $39,838 $100,166 +33% $39,253 +238% —
274 Percutaneous And Other Intracardiac Procedures Without McC $132,701 $39,810 $133,211 −0% $65,573 +102% —
500 Soft Tissue Procedures With McC $132,650 $39,795 $132,650 +0% $57,181 +132% —
655 Major Bladder Procedures Without Cc/McC $131,645 $39,494 $131,645 +0% $41,701 +216% —
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% $44,022 +198% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $130,662 $39,199 $130,662 +0% $51,339 +155% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $130,190 $39,057 $125,097 +4% $56,394 +131% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $128,988 $38,697 $120,796 +7% $43,775 +195% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $128,888 $38,666 $128,888 +0% $68,399 +88% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $128,746 $38,624 $128,746 +0% $62,790 +105% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $128,223 $38,467 $128,223 +0% $46,659 +175% —
166 Other Respiratory System O.R. Procedures With McC $128,151 $38,445 $128,151 +0% $72,274 +77% —
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% $54,313 +133% —
619 O.R. Procedures For Obesity With McC $125,888 $37,766 $114,445 +10% $44,973 +180% —
113 Orbital Procedures With Cc/McC $125,787 $37,736 $125,787 +0% $35,642 +253% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $124,745 $37,423 $124,745 +0% $51,950 +140% —
253 Other Vascular Procedures With Cc $123,638 $37,091 $123,638 +0% $53,746 +130% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $123,430 $37,029 $123,430 +0% $53,555 +130% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $121,953 $36,586 $119,941 +2% $64,956 +88% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $119,841 $35,952 $119,841 +0% $56,197 +113% —
799 Splenic Procedures With McC $119,568 $35,870 $119,568 +0% $78,821 +52% —
480 Hip And Femur Procedures Except Major Joint With McC $119,036 $35,711 $119,036 +0% $63,984 +86% —
380 Complicated Peptic Ulcer With McC $118,689 $35,607 $86,679 +37% $36,537 +225% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $118,097 $35,429 $104,819 +13% $47,635 +148% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $118,062 $35,419 $118,062 +0% $55,147 +114% —
272 Other Major Cardiovascular Procedures Without Cc/McC $117,456 $35,237 $107,550 +9% $55,162 +113% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $117,412 $35,224 $117,412 +0% $43,320 +171% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $116,536 $34,961 $112,598 +3% $57,521 +103% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $116,014 $34,804 $116,014 +0% $54,681 +112% —
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% $58,713 +97% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $115,470 $34,641 $115,470 +0% $62,266 +85% —
135 Sinus And Mastoid Procedures With Cc/McC $115,311 $34,593 $74,098 +56% $40,065 +188% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $115,076 $34,523 $38,426 +199% $22,010 +423% —
412 Cholecystectomy With C.D.E. With Cc $114,587 $34,376 $106,612 +7% $37,654 +204% —
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% $45,916 +148% —
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 $112,927 +0% $41,596 +171% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $112,828 $33,849 $112,828 +0% $38,382 +194% —
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% $64,465 +74% —
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% $73,029 +51% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $110,184 $33,055 $102,918 +7% $48,801 +126% ≈197% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $109,819 $32,946 $106,968 +3% $42,119 +161% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $109,583 $32,875 $44,668 +145% $17,078 +542% —
674 Other Kidney And Urinary Tract Procedures With Cc $109,382 $32,815 $91,595 +19% $49,631 +120% —
662 Minor Bladder Procedures With McC $109,270 $32,781 $78,992 +38% $54,483 +101% —
164 Major Chest Procedures With Cc $108,806 $32,642 $108,806 +0% $53,141 +105% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $108,563 $32,569 $151,881 −29% $74,755 +45% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $108,492 $32,548 $108,492 +0% $51,985 +109% —
243 Permanent Cardiac Pacemaker Implant With Cc $107,261 $32,178 $106,145 +1% $50,011 +114% —
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% $37,839 +181% —
540 Osteomyelitis With Cc $105,943 $31,783 $43,789 +142% $23,494 +351% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $104,808 $31,442 $99,343 +6% $35,381 +196% —
336 Peritoneal Adhesiolysis With Cc $104,605 $31,381 $104,605 +0% $49,071 +113% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $104,588 $31,376 $104,588 +0% $41,520 +152% —
708 Major Male Pelvic Procedures Without Cc/McC $103,448 $31,034 $101,616 +2% $32,911 +214% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $103,019 $30,906 $99,303 +4% $35,693 +189% —
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% $43,252 +134% —
397 Appendix Procedures With McC $101,221 $32,541 $92,000 +10% $52,319 +93% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $101,105 $30,331 $66,755 +51% $29,671 +241% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $100,501 $30,150 $100,501 +0% $26,998 +272% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $100,467 $30,140 $100,467 +0% $44,553 +125% —
413 Cholecystectomy With C.D.E. Without Cc/McC $100,406 $30,122 $100,406 +0% $27,277 +268% —
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% $25,152 +298% —
481 Hip And Femur Procedures Except Major Joint With Cc $100,099 $30,030 $100,099 +0% $50,998 +96% ≈199% of Medicare
468 Revision Of Hip Or Knee Replacement Without Cc/McC $99,888 $29,966 $99,888 +0% $54,929 +82% —
333 Rectal Resection With Cc $99,845 $29,953 $99,845 +0% $34,352 +191% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $99,687 $29,296 $99,687 +0% $92,238 +8% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $99,112 $29,734 $99,112 +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% $44,600 +122% —
908 Other O.R. Procedures For Injuries With Cc $98,825 $29,648 $98,825 +0% $41,660 +137% —
615 Adrenal And Pituitary Procedures Without Cc/McC $98,783 $29,635 $87,967 +12% $31,812 +211% —
032 Ventricular Shunt Procedures With Cc $98,727 $29,618 $98,727 +0% $44,719 +121% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $98,635 $29,590 $98,635 +0% $35,989 +174% —
035 Carotid Artery Stent Procedures With Cc $98,256 $29,477 $98,256 +0% $46,306 +112% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $97,665 $29,300 $97,665 +0% $35,375 +176% —
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% $30,944 +214% —
141 Major Head And Neck Procedures With Cc $96,907 $29,072 $96,907 +0% $34,900 +178% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $96,510 $28,953 $96,510 +0% $49,055 +97% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $96,492 $28,948 $96,492 +0% $43,444 +122% —
353 Hernia Procedures Except Inguinal And Femoral With McC $96,336 $28,901 $96,336 +0% $60,140 +60% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $95,966 $28,790 $95,966 +0% $28,578 +236% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $95,943 $28,783 $95,943 +0% $37,681 +155% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $95,433 $28,630 $95,433 +0% $45,594 +109% —
167 Other Respiratory System O.R. Procedures With Cc $95,358 $28,607 $92,809 +3% $40,563 +135% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $95,187 $30,196 $47,596 +100% $16,495 +477% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $95,148 $28,544 $62,199 +53% $36,202 +163% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $94,499 $28,350 $88,059 +7% $40,063 +136% —
331 Major Small And Large Bowel Procedures Without Cc/McC $94,319 $28,296 $94,319 +0% $44,087 +114% —
030 Spinal Procedures Without Cc/McC $94,141 $28,242 $94,141 +0% $45,842 +105% —
157 Dental And Oral Diseases With McC $94,071 $28,221 $41,903 +124% $27,457 +243% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $94,019 $28,206 $94,019 +0% $36,355 +159% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $93,993 $28,198 $93,993 +0% $44,927 +109% —
358 Other Digestive System O.R. Procedures Without Cc/McC $93,602 $28,081 $72,508 +29% $29,374 +219% —
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% $31,029 +200% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $93,034 $27,910 $93,034 +0% $40,583 +129% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $92,743 $27,823 $77,036 +20% $29,029 +219% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $92,738 $27,821 $92,738 +0% $40,801 +127% —
432 Cirrhosis And Alcoholic Hepatitis With McC $92,646 $27,794 $85,287 +9% $36,880 +151% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $92,640 $27,792 $92,640 +0% $32,901 +182% —
033 Ventricular Shunt Procedures Without Cc/McC $92,561 $27,768 $92,561 +0% $33,962 +173% —
970 Hiv With Extensive O.R. Procedures Without McC $92,059 $27,618 $65,721 +40% $40,947 +125% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $91,441 $27,432 $91,441 +0% $43,266 +111% —
904 Skin Grafts For Injuries With Cc/McC $90,915 $27,274 $90,915 +0% $55,002 +65% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $90,886 $27,266 $90,886 +0% $23,474 +287% —
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 $90,758 +0% $33,137 +174% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $90,382 $27,115 $83,830 +8% $37,950 +138% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $90,132 $27,040 $90,132 +0% $41,114 +119% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $90,104 $27,031 $90,104 +0% $25,149 +258% —
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% $33,790 +164% —
686 Kidney And Urinary Tract Neoplasms With McC $89,172 $26,751 $63,429 +41% $32,976 +170% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $88,810 $26,643 $88,810 +0% $45,271 +96% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $87,757 $26,327 $87,757 +0% $41,847 +110% —
668 Transurethral Procedures With McC $87,658 $26,297 $87,658 +0% $47,126 +86% —
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% $41,380 +111% —
398 Appendix Procedures With Cc $87,321 $26,196 $87,321 +0% $38,574 +126% —
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 $86,971 +0% $58,125 +50% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $86,956 $26,087 $86,956 +0% $53,763 +62% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $86,406 $25,922 $86,406 +0% $31,816 +172% —
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% $35,714 +141% —
501 Soft Tissue Procedures With Cc $86,019 $25,806 $86,019 +0% $37,975 +127% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $85,838 $25,751 $85,838 +0% $32,839 +161% —
334 Rectal Resection Without Cc/McC $85,159 $25,548 $85,159 +0% $32,213 +164% —
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% $43,697 +94% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $84,475 $25,342 $84,475 +0% $46,477 +82% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $84,332 $25,300 $84,332 +0% $30,930 +173% —
801 Splenic Procedures Without Cc/McC $84,192 $25,257 $79,105 +6% $28,554 +195% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $83,887 $25,166 $79,163 +6% $31,978 +162% —
503 Foot Procedures With McC $83,685 $25,105 $83,685 +0% $43,982 +90% —
597 Malignant Breast Disorders With McC $83,473 $25,042 $63,610 +31% $31,846 +162% —
571 Skin Debridement With Cc $82,907 $24,872 $68,951 +20% $34,773 +138% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $82,713 $24,814 $82,713 +0% $34,564 +139% —
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% $36,241 +128% —
320 Other Endovascular Cardiac Valve Procedures Without McC $82,404 $24,721 $82,404 +0% $35,806 +130% —
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% $35,528 +130% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $81,718 $28,130 $81,718 +0% $40,277 +103% —
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% $33,415 +143% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $81,165 $24,350 $79,528 +2% $36,097 +125% —
100 Seizures With McC $80,779 $24,234 $80,779 +0% $35,194 +130% —
337 Peritoneal Adhesiolysis Without Cc/McC $80,635 $24,191 $80,635 +0% $35,961 +124% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $80,532 $24,160 $80,532 +0% $39,675 +103% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $80,516 $26,312 $80,516 +0% $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% $25,621 +214% —
841 Lymphoma And Non-Acute Leukemia With Cc $80,325 $24,098 $80,325 +0% $30,224 +166% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $80,216 $24,065 $80,216 +0% $59,425 +35% —
057 Degenerative Nervous System Disorders Without McC $80,064 $24,019 $47,405 +69% $25,412 +215% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $79,886 $23,966 $79,886 +0% $29,609 +170% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $79,753 $23,926 $79,753 +0% $29,558 +170% —
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% $29,957 +161% —
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 $77,907 +0% $45,937 +70% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $77,628 $23,288 $73,673 +5% $25,038 +210% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $77,617 $23,285 $77,617 +0% $30,418 +155% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $76,700 $23,010 $67,895 +13% $34,876 +120% ≈121% of Medicare
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $76,679 $24,417 $76,679 +0% $48,745 +57% —
713 Transurethral Prostatectomy With Cc/McC $76,313 $22,894 $67,241 +13% $29,630 +158% —
664 Minor Bladder Procedures Without Cc/McC $76,237 $22,871 $54,205 +41% $18,126 +321% —
505 Foot Procedures Without Cc/McC $76,040 $22,812 $69,943 +9% $31,716 +140% —
663 Minor Bladder Procedures With Cc $74,597 $22,379 $74,952 −0% $29,924 +149% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $73,439 $22,032 $68,404 +7% $30,888 +138% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $73,341 $22,002 $73,341 +0% $32,538 +125% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $73,317 $21,995 $53,611 +37% $45,558 +61% —
116 Intraocular Procedures With Cc/McC $72,979 $21,894 $72,979 +0% $28,103 +160% —
711 Testes Procedures With Cc/McC $72,904 $21,871 $54,423 +34% $34,846 +109% —
038 Extracranial Procedures With Cc $72,674 $21,802 $81,160 −10% $35,770 +103% —
314 Other Circulatory System Diagnoses With McC $72,299 $21,690 $64,235 +13% $38,166 +89% —
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% $30,681 +134% —
377 Gastrointestinal Hemorrhage With McC $71,456 $21,437 $71,456 +0% $37,842 +89% ≈142% of Medicare
919 Complications Of Treatment With McC $71,013 $21,304 $53,434 +33% $29,031 +145% —
039 Extracranial Procedures Without Cc/McC $70,516 $21,155 $70,516 +0% $25,267 +179% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $70,236 $21,071 $57,277 +23% $25,206 +179% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $70,183 $21,055 $70,183 +0% $24,008 +192% —
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% $28,983 +140% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $69,632 $20,889 $69,632 +0% $33,425 +108% —
399 Appendix Procedures Without Cc/McC $69,226 $20,756 $69,226 +0% $30,259 +129% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $68,842 $20,652 $68,842 +0% $34,886 +97% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $68,563 $20,569 $40,453 +69% $23,400 +193% —
056 Degenerative Nervous System Disorders With McC $68,075 $20,423 $71,014 −4% $39,409 +73% —
080 Nontraumatic Stupor And Coma With McC $68,050 $20,415 $60,071 +13% $35,139 +94% —
666 Prostatectomy With Cc $68,001 $20,400 $68,001 +0% $30,016 +127% —
089 Concussion With Cc $67,952 $20,386 $63,358 +7% $18,293 +271% —
999 Ungroupable $67,782 $20,335 $50,806 +33% $28,387 +139% —
052 Spinal Disorders And Injuries With Cc/McC $67,782 $20,335 $60,680 +12% $30,940 +119% —
438 Disorders Of Pancreas Except Malignancy With McC $67,752 $20,326 $63,173 +7% $32,417 +109% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $67,679 $20,304 $67,679 +0% $22,920 +195% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $67,611 $20,283 $67,611 +0% $23,456 +188% —
180 Respiratory Neoplasms With McC $67,601 $20,280 $54,767 +23% $36,658 +84% —
102 Headaches With McC $67,316 $20,195 $47,341 +42% $21,983 +206% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $67,233 $20,170 $67,233 +0% $22,226 +202% —
445 Disorders Of The Biliary Tract With Cc $67,038 $20,111 $57,722 +16% $21,666 +209% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $66,936 $20,081 $60,740 +10% $32,189 +108% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $66,800 $20,040 $66,800 +0% $27,369 +144% —
546 Connective Tissue Disorders With Cc $66,646 $19,994 $58,380 +14% $24,146 +176% —
570 Skin Debridement With McC $66,566 $21,919 $66,566 +0% $51,501 +29% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $66,165 $19,850 $66,165 +0% $28,509 +132% —
903 Wound Debridements For Injuries Without Cc/McC $65,936 $19,781 $65,936 +0% $23,588 +180% —
091 Other Disorders Of Nervous System With McC $65,920 $19,776 $65,920 +0% $35,990 +83% —
909 Other O.R. Procedures For Injuries Without Cc/McC $65,842 $19,753 $65,842 +0% $28,156 +134% —
280 Acute Myocardial Infarction, Discharged Alive With McC $65,712 $19,713 $65,330 +1% $28,802 +128% ≈125% of Medicare
345 Minor Small And Large Bowel Procedures With Cc $65,489 $19,647 $60,792 +8% $31,062 +111% —
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% $31,913 +105% —
748 Female Reproductive System Reconstructive Procedures $65,065 $19,519 $65,065 +0% $24,928 +161% —
548 Septic Arthritis With McC $65,049 $19,515 $44,991 +45% $31,019 +110% —
284 Acute Myocardial Infarction, Expired With Cc $64,990 $19,497 $40,449 +61% $13,278 +389% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $64,900 $19,470 $61,273 +6% $32,804 +98% —
289 Acute And Subacute Endocarditis With Cc $64,887 $19,466 $58,393 +11% $29,891 +117% —
374 Digestive Malignancy With McC $64,649 $19,395 $64,649 +0% $38,885 +66% —
862 Postoperative And Post-Traumatic Infections With McC $64,576 $19,373 $44,680 +45% $29,867 +116% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $64,335 $21,458 $46,755 +38% $25,666 +151% —
791 Prematurity With Major Problems $64,064 $19,219 $64,064 +0% $39,254 +63% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $63,956 $19,187 $58,758 +9% $21,025 +204% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $63,936 $19,181 $63,936 +0% $27,492 +133% —
085 Traumatic Stupor And Coma <1 Hour With McC $63,826 $19,148 $63,826 +0% $36,318 +76% —
070 Nonspecific Cerebrovascular Disorders With McC $63,711 $19,113 $54,451 +17% $30,814 +107% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $63,647 $19,094 $63,647 +0% $25,243 +152% —
502 Soft Tissue Procedures Without Cc/McC $63,372 $19,012 $63,372 +0% $29,777 +113% —
539 Osteomyelitis With McC $63,368 $19,010 $63,368 +0% $33,614 +89% —
813 Coagulation Disorders $63,235 $18,971 $62,568 +1% $30,128 +110% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $63,098 $18,929 $63,098 +0% $42,126 +50% —
139 Salivary Gland Procedures $63,021 $20,803 $63,021 +0% $21,014 +200% —
299 Peripheral Vascular Disorders With McC $62,788 $18,837 $48,510 +29% $25,596 +145% —
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% $76,004 −18% —
077 Hypertensive Encephalopathy With McC $62,323 $18,697 $62,323 +0% $24,036 +159% —
754 Malignancy, Female Reproductive System With McC $62,055 $18,617 $62,055 +0% $29,476 +111% —
181 Respiratory Neoplasms With Cc $61,959 $18,588 $61,959 +0% $22,065 +181% —
549 Septic Arthritis With Cc $61,925 $20,299 $35,913 +72% $20,808 +198% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $61,844 $18,553 $61,844 +0% $31,190 +98% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $61,739 $18,522 $61,739 +0% $31,909 +93% —
583 Mastectomy For Malignancy Without Cc/McC $61,477 $18,443 $61,477 +0% $31,566 +95% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $60,473 $18,142 $69,987 −14% $70,779 −15% —
283 Acute Myocardial Infarction, Expired With McC $60,413 $18,124 $46,916 +29% $35,108 +72% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $60,407 $18,122 $60,407 +0% $36,195 +67% —
421 Hepatobiliary Diagnostic Procedures With Cc $60,137 $18,041 $72,321 −17% $36,333 +66% —
545 Connective Tissue Disorders With McC $60,083 $18,025 $71,291 −16% $39,657 +52% —
902 Wound Debridements For Injuries With Cc $60,001 $18,000 $60,001 +0% $35,029 +71% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $59,989 $17,997 $59,989 +0% $27,319 +120% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $59,803 $17,941 $54,383 +10% $31,627 +89% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $59,654 $17,896 $44,825 +33% $24,874 +140% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $59,587 $17,876 $63,968 −7% $24,561 +143% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $59,579 $17,874 $58,839 +1% $24,229 +146% —
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% $32,953 +81% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $59,378 $17,813 $47,798 +24% $29,109 +104% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $59,370 $19,679 $58,108 +2% $27,074 +119% —
393 Other Digestive System Diagnoses With McC $59,360 $17,808 $58,245 +2% $32,689 +82% —
189 Pulmonary Edema And Respiratory Failure $59,141 $17,742 $38,669 +53% $24,603 +140% ≈221% 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% $17,851 +229% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $58,369 $17,511 $40,813 +43% $23,646 +147% —
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% $27,674 +110% —
551 Medical Back Problems With McC $58,023 $17,407 $58,023 +0% $31,067 +87% —
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% $25,998 +121% —
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% $32,506 +76% —
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% $17,308 +230% —
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 $50,849 +12% $24,426 +134% —
344 Minor Small And Large Bowel Procedures With McC $56,809 $17,043 $56,809 +0% $44,839 +27% —
288 Acute And Subacute Endocarditis With McC $56,684 $17,005 $56,684 +0% $45,497 +25% —
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% $28,924 +96% —
177 Respiratory Infections And Inflammations With McC $56,552 $16,966 $46,126 +23% $31,754 +78% ≈153% of Medicare
375 Digestive Malignancy With Cc $56,531 $16,959 $56,531 +0% $27,125 +108% —
368 Major Esophageal Disorders With McC $56,466 $16,940 $56,466 +0% $33,339 +69% —
964 Other Multiple Significant Trauma With Cc $56,219 $16,866 $56,219 +0% $25,854 +117% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $56,097 $16,829 $56,097 +0% $20,463 +174% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $55,871 $16,761 $55,871 +0% $26,158 +114% —
115 Extraocular Procedures Except Orbit $55,587 $16,676 $55,587 +0% $24,879 +123% —
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% $30,362 +83% —
205 Other Respiratory System Diagnoses With McC $55,116 $16,535 $54,076 +2% $31,743 +74% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $54,746 $16,424 $49,003 +12% $18,288 +199% —
086 Traumatic Stupor And Coma <1 Hour With Cc $54,530 $16,359 $30,908 +76% $23,039 +137% —
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% $24,118 +123% —
682 Renal Failure With McC $53,876 $16,163 $48,345 +11% $27,640 +95% ≈93% of Medicare
637 Diabetes With McC $53,740 $16,122 $53,740 +0% $28,772 +87% —
263 Vein Ligation And Stripping $53,700 $16,110 $91,579 −41% $44,938 +19% —
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% $28,375 +88% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $53,260 $15,978 $53,260 +0% $21,029 +153% —
073 Cranial And Peripheral Nerve Disorders With McC $53,241 $15,972 $47,429 +12% $28,252 +88% —
725 Benign Prostatic Hypertrophy With McC $52,934 $15,880 $40,872 +30% $19,894 +166% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $52,685 $15,805 $52,685 +0% $22,610 +133% ≈144% of Medicare
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $52,364 $15,709 $52,364 +0% $24,017 +118% —
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% $29,751 +75% —
670 Transurethral Procedures Without Cc/McC $52,095 $15,628 $37,884 +38% $20,371 +156% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $52,076 $15,623 $52,076 +0% $30,661 +70% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $51,521 $15,456 $46,219 +11% $20,076 +157% —
190 Chronic Obstructive Pulmonary Disease With McC $51,370 $15,411 $43,684 +18% $24,103 +113% ≈179% of Medicare
138 Mouth Procedures Without Cc/McC $51,239 $15,372 $46,645 +10% $17,383 +195% —
786 Cesarean Section Without Sterilization With McC $50,864 $15,259 $50,864 +0% $27,118 +88% —
304 Hypertension With McC $50,859 $15,258 $50,859 +0% $23,945 +112% —
710 Penis Procedures Without Cc/McC $50,770 $17,989 $50,770 +0% $23,814 +113% —
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% $29,049 +74% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $50,437 $15,131 $50,437 +0% $22,532 +124% —
088 Concussion With McC $50,287 $15,086 $50,287 +0% $24,402 +106% —
158 Dental And Oral Diseases With Cc $50,030 $15,009 $31,387 +59% $17,751 +182% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $50,025 $15,007 $48,259 +4% $24,244 +106% ≈123% of Medicare
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $49,997 $14,999 $49,997 +0% $23,920 +109% —
186 Pleural Effusion With McC $49,864 $14,959 $49,864 +0% $32,385 +54% —
698 Other Kidney And Urinary Tract Diagnoses With McC $49,803 $14,941 $49,803 +0% $29,929 +66% ≈187% 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% $20,810 +138% —
693 Urinary Stones With McC $49,216 $14,765 $47,078 +5% $22,525 +118% —
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% $17,108 +187% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $49,117 $14,735 $49,117 +0% $21,323 +130% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $48,890 $14,667 $40,067 +22% $27,041 +81% —
125 Other Disorders Of The Eye Without McC $48,796 $14,639 $37,622 +30% $15,876 +207% —
724 Malignancy, Male Reproductive System Without Cc/McC $48,749 $14,625 $48,749 +0% $12,650 +285% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $48,747 $14,624 $48,747 +0% $20,148 +142% —
595 Major Skin Disorders With McC $48,730 $14,619 $47,775 +2% $31,772 +53% —
184 Major Chest Trauma With Cc $48,674 $14,602 $44,101 +10% $20,842 +134% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $48,418 $14,525 $39,590 +22% $29,409 +65% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $48,409 $14,523 $38,328 +26% $21,860 +121% —
975 Hiv With Major Related Condition With Cc $48,349 $14,505 $48,158 +0% $25,071 +93% —
757 Infections, Female Reproductive System With McC $48,211 $14,463 $40,079 +20% $23,734 +103% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $48,136 $14,441 $48,136 +0% $30,275 +59% —
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% $31,520 +51% —
137 Mouth Procedures With Cc/McC $47,367 $14,210 $47,367 +0% $24,348 +95% —
202 Bronchitis And Asthma With Cc/McC $47,328 $14,198 $40,712 +16% $17,183 +175% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $47,154 $14,146 $47,154 +0% $37,080 +27% —
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% $20,007 +134% —
602 Cellulitis With McC $46,825 $14,048 $42,901 +9% $29,347 +60% —
078 Hypertensive Encephalopathy With Cc $46,820 $14,046 $46,820 +0% $17,268 +171% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $46,729 $14,019 $46,073 +1% $19,326 +142% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $46,728 $14,018 $42,379 +10% $29,521 +58% ≈154% of Medicare
346 Minor Small And Large Bowel Procedures Without Cc/McC $46,707 $14,012 $46,707 +0% $26,146 +79% —
315 Other Circulatory System Diagnoses With Cc $46,659 $13,998 $38,634 +21% $20,716 +125% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $46,612 $15,107 $55,157 −15% $36,850 +26% —
965 Other Multiple Significant Trauma Without Cc/McC $46,323 $13,897 $46,323 +0% $17,585 +163% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $46,188 $13,857 $45,243 +2% $20,147 +129% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $46,094 $13,828 $42,396 +9% $19,483 +137% —
193 Simple Pneumonia And Pleurisy With McC $45,957 $13,787 $40,750 +13% $25,766 +78% ≈177% 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% $25,474 +80% —
150 Epistaxis With McC $45,782 $13,735 $45,782 +0% $21,133 +117% —
552 Medical Back Problems Without McC $45,755 $13,727 $43,107 +6% $20,632 +122% —
291 Heart Failure And Shock With McC $45,611 $13,683 $41,832 +9% $24,932 +83% ≈215% of Medicare
378 Gastrointestinal Hemorrhage With Cc $45,535 $13,661 $42,515 +7% $21,886 +108% ≈126% 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% $17,719 +155% —
069 Transient Ischemia Without Thrombolytic $45,189 $13,557 $45,189 +0% $20,253 +123% —
383 Uncomplicated Peptic Ulcer With McC $45,035 $13,511 $45,035 +0% $26,616 +69% —
055 Nervous System Neoplasms Without McC $44,890 $13,467 $44,890 +0% $19,868 +126% —
535 Fractures Of Hip And Pelvis With McC $44,740 $13,422 $44,141 +1% $22,874 +96% —
727 Inflammation Of The Male Reproductive System With McC $44,638 $13,392 $40,477 +10% $25,786 +73% —
694 Urinary Stones Without McC $44,551 $14,515 $29,997 +49% $16,451 +171% —
191 Chronic Obstructive Pulmonary Disease With Cc $44,510 $13,977 $39,683 +12% $18,104 +146% —
687 Kidney And Urinary Tract Neoplasms With Cc $44,489 $13,347 $44,489 +0% $18,000 +147% —
917 Poisoning And Toxic Effects Of Drugs With McC $44,460 $13,738 $44,460 +0% $28,001 +59% —
152 Otitis Media And Uri With McC $44,422 $13,327 $42,130 +5% $19,657 +126% —
388 Gastrointestinal Obstruction With McC $44,399 $13,320 $40,794 +9% $28,403 +56% —
092 Other Disorders Of Nervous System With Cc $44,062 $13,218 $44,062 +0% $24,000 +84% —
557 Tendonitis, Myositis And Bursitis With McC $43,909 $13,173 $43,909 +0% $28,385 +55% —
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% $17,203 +154% —
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% $17,412 +150% —
178 Respiratory Infections And Inflammations With Cc $43,540 $13,062 $36,898 +18% $22,024 +98% —
296 Cardiac Arrest, Unexplained With McC $43,166 $13,611 $43,166 +0% $30,768 +40% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $43,133 $12,940 $41,501 +4% $21,449 +101% —
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% $20,076 +113% —
123 Neurological Eye Disorders $42,625 $12,788 $42,625 +0% $17,831 +139% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $42,183 $12,655 $37,359 +13% $22,623 +86% ≈174% 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% $17,522 +140% —
071 Nonspecific Cerebrovascular Disorders With Cc $42,004 $12,601 $42,004 +0% $23,396 +80% ≈98% of Medicare
541 Osteomyelitis Without Cc/McC $41,899 $12,570 $22,683 +85% $14,549 +188% —
689 Kidney And Urinary Tract Infections With McC $41,889 $12,567 $37,262 +12% $22,870 +83% —
553 Bone Diseases And Arthropathies With McC $41,788 $12,536 $41,788 +0% $23,956 +74% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $41,732 $12,520 $41,732 +0% $24,465 +71% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $41,723 $12,517 $36,435 +15% $17,562 +138% —
187 Pleural Effusion With Cc $41,695 $12,508 $36,870 +13% $21,467 +94% —
815 Reticuloendothelial And Immunity Disorders With Cc $41,665 $12,500 $41,665 +0% $18,005 +131% —
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% $20,573 +102% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $41,281 $12,384 $41,281 +0% $19,001 +117% —
394 Other Digestive System Diagnoses With Cc $41,203 $12,361 $31,977 +29% $18,815 +119% —
884 Organic Disturbances And Intellectual Disability $41,137 $13,391 $38,906 +6% $25,146 +64% —
198 Interstitial Lung Disease Without Cc/McC $40,858 $12,257 $40,858 +0% $13,654 +199% —
185 Major Chest Trauma Without Cc/McC $40,850 $12,255 $37,292 +10% $15,858 +158% —
101 Seizures Without McC $40,575 $12,173 $40,127 +1% $19,930 +104% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $40,569 $12,171 $40,569 +0% $20,732 +96% —
948 Signs And Symptoms Without McC $40,547 $12,164 $39,299 +3% $17,719 +129% —
723 Malignancy, Male Reproductive System With Cc $40,359 $12,108 $36,357 +11% $19,317 +109% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $40,350 $12,105 $40,350 +0% $26,098 +55% —
785 Cesarean Section With Sterilization Without Cc/McC $40,207 $12,062 $40,207 +0% $19,815 +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% $17,006 +135% —
206 Other Respiratory System Diagnoses Without McC $39,749 $11,925 $39,317 +1% $17,731 +124% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $39,576 $12,644 $39,576 +0% $18,038 +119% —
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 $39,509 +0% $54,196 −27% —
439 Disorders Of Pancreas Except Malignancy With Cc $39,000 $11,700 $36,167 +8% $19,096 +104% —
305 Hypertension Without McC $38,822 $11,647 $38,822 +0% $16,897 +130% —
199 Pneumothorax With McC $38,813 $11,644 $38,813 +0% $31,085 +25% —
606 Minor Skin Disorders With McC $38,796 $12,553 $38,796 +0% $25,434 +53% —
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% $17,579 +121% —
784 Cesarean Section With Sterilization With Cc $38,723 $13,094 $38,723 +0% $22,587 +71% —
920 Complications Of Treatment With Cc $38,613 $11,584 $35,354 +9% $20,879 +85% —
386 Inflammatory Bowel Disease With Cc $38,606 $11,582 $35,972 +7% $20,917 +85% —
690 Kidney And Urinary Tract Infections Without McC $38,447 $11,534 $29,832 +29% $17,379 +121% ≈116% of Medicare
300 Peripheral Vascular Disorders With Cc $38,413 $11,524 $38,413 +0% $19,448 +98% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $38,326 $11,498 $21,440 +79% $21,499 +78% —
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 $38,272 +0% $20,837 +84% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $38,156 $11,447 $38,156 +0% $27,597 +38% —
812 Red Blood Cell Disorders Without McC $38,088 $11,426 $36,962 +3% $20,408 +87% ≈188% of Medicare
789 Neonates, Died Or Transferred To Another Acute Care Facility $38,027 $11,408 $38,027 +0% $14,121 +169% —
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% $13,385 +180% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $37,452 $11,235 $37,452 +0% $20,741 +81% —
369 Major Esophageal Disorders With Cc $37,425 $11,228 $37,425 +0% $22,590 +66% —
306 Cardiac Congenital And Valvular Disorders With McC $37,386 $11,216 $37,386 +0% $24,450 +53% —
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% $18,322 +103% ≈118% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $37,048 $11,114 $36,416 +2% $22,850 +62% —
312 Syncope And Collapse $36,943 $11,083 $36,943 +0% $19,342 +91% ≈137% of Medicare
593 Skin Ulcers With Cc $36,853 $11,056 $28,790 +28% $20,470 +80% —
887 Other Mental Disorder Diagnoses $36,728 $11,019 $36,728 +0% $20,557 +79% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $36,610 $10,983 $35,990 +2% $13,090 +180% —
607 Minor Skin Disorders Without McC $36,578 $10,974 $26,723 +37% $15,276 +139% —
866 Viral Illness Without McC $36,419 $10,926 $35,882 +1% $16,348 +123% —
644 Endocrine Disorders With Cc $36,161 $10,848 $36,317 −0% $22,941 +58% —
913 Traumatic Injury With McC $36,103 $10,831 $36,103 +0% $24,198 +49% —
849 Radiotherapy $36,021 $10,806 $36,021 +0% $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% $19,091 +88% —
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% $15,878 +123% —
865 Viral Illness With McC $35,250 $10,575 $44,127 −20% $26,088 +35% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $35,113 $10,534 $29,181 +20% $16,718 +110% ≈200% of Medicare
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $35,113 $10,534 $33,148 +6% $11,957 +194% —
645 Endocrine Disorders Without Cc/McC $34,981 $10,494 $30,551 +14% $14,166 +147% —
176 Pulmonary Embolism Without McC $34,911 $10,473 $33,598 +4% $17,693 +97% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $34,895 $10,469 $33,309 +5% $17,322 +101% ≈127% of Medicare
090 Concussion Without Cc/McC $34,824 $10,447 $34,824 +0% $14,873 +134% —
592 Skin Ulcers With McC $34,544 $10,363 $34,544 +0% $32,662 +6% —
756 Malignancy, Female Reproductive System Without Cc/McC $34,355 $9,967 $34,355 +0% $15,589 +120% —
918 Poisoning And Toxic Effects Of Drugs Without McC $34,263 $10,279 $34,263 +0% $15,045 +128% —
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% $16,804 +103% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $33,982 $10,194 $33,982 +0% $15,636 +117% —
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% $12,275 +176% —
376 Digestive Malignancy Without Cc/McC $33,659 $10,098 $33,659 +0% $15,608 +116% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $33,635 $10,091 $29,344 +15% $12,405 +171% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $33,530 $10,059 $33,530 +0% $22,231 +51% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $33,425 $10,027 $24,894 +34% $18,060 +85% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $33,110 $9,933 $34,301 −3% $23,646 +40% —
976 Hiv With Major Related Condition Without Cc/McC $33,006 $9,902 $35,597 −7% $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% $14,411 +127% —
188 Pleural Effusion Without Cc/McC $32,626 $9,788 $25,218 +29% $14,252 +129% —
194 Simple Pneumonia And Pleurisy With Cc $32,548 $9,764 $32,548 +0% $18,204 +79% ≈114% of Medicare
313 Chest Pain $32,438 $9,731 $32,438 +0% $15,837 +105% —
303 Atherosclerosis Without McC $32,044 $9,613 $32,044 +0% $14,927 +115% —
638 Diabetes With Cc $31,995 $9,599 $31,236 +2% $18,763 +71% —
298 Cardiac Arrest, Unexplained Without Cc/McC $31,970 $13,624 $31,970 +0% $8,927 +258% —
121 Acute Major Eye Infections With Cc/McC $31,847 $9,554 $23,451 +36% $18,291 +74% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $31,540 $9,462 $31,540 +0% $18,243 +73% —
382 Complicated Peptic Ulcer Without Cc/McC $31,455 $9,436 $31,455 +0% $16,634 +89% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $31,212 $9,363 $31,212 +0% $16,622 +88% —
728 Inflammation Of The Male Reproductive System Without McC $31,178 $9,353 $29,736 +5% $16,622 +88% —
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% $13,455 +130% —
536 Fractures Of Hip And Pelvis Without McC $30,781 $9,234 $30,781 +0% $17,754 +73% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $30,514 $9,154 $29,748 +3% $16,654 +83% —
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% $14,880 +104% —
053 Spinal Disorders And Injuries Without Cc/McC $30,415 $9,124 $30,415 +0% $20,313 +50% —
076 Viral Meningitis Without Cc/McC $30,208 $9,062 $30,054 +1% $15,474 +95% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $30,154 $9,046 $29,354 +3% $16,104 +87% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $30,070 $9,021 $22,912 +31% $14,337 +110% —
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% $17,345 +73% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $30,027 $9,008 $30,027 +0% $19,287 +56% —
153 Otitis Media And Uri Without McC $29,992 $8,998 $27,849 +8% $14,251 +110% —
534 Fractures Of Femur Without McC $29,865 $8,959 $29,865 +0% $17,194 +74% —
600 Non-Malignant Breast Disorders With Cc/McC $29,812 $8,944 $29,812 +0% $16,418 +82% —
603 Cellulitis Without McC $29,691 $8,907 $28,690 +3% $18,359 +62% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $29,604 $8,881 $29,604 +0% $29,011 +2% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $29,339 $8,802 $33,069 −11% $24,277 +21% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $29,155 $8,747 $29,155 +0% $13,303 +119% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $29,125 $8,737 $30,085 −3% $18,150 +60% —
182 Respiratory Neoplasms Without Cc/McC $29,087 $8,726 $29,087 +0% $14,064 +107% —
311 Angina Pectoris $29,081 $8,724 $17,821 +63% $15,165 +92% —
316 Other Circulatory System Diagnoses Without Cc/McC $29,064 $8,719 $24,932 +17% $12,794 +127% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $29,059 $8,718 $29,059 +0% $14,770 +97% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $29,057 $8,717 $25,596 +14% $18,199 +60% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $29,017 $8,705 $29,017 +0% $13,198 +120% —
301 Peripheral Vascular Disorders Without Cc/McC $28,820 $8,646 $28,820 +0% $15,598 +85% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $28,812 $9,862 $28,812 +0% $16,431 +75% —
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% $13,892 +106% —
558 Tendonitis, Myositis And Bursitis Without McC $28,331 $8,499 $28,193 +0% $17,296 +64% —
885 Psychoses $28,324 $8,860 $28,324 +0% $21,489 +32% —
759 Infections, Female Reproductive System Without Cc/McC $28,113 $8,434 $25,391 +11% $14,208 +98% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $28,097 $8,429 $28,097 +0% $16,352 +72% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $27,974 $8,392 $27,974 +0% $15,923 +76% —
883 Disorders Of Personality And Impulse Control $27,891 $8,367 $23,685 +18% $22,698 +23% —
307 Cardiac Congenital And Valvular Disorders Without McC $27,771 $8,331 $27,771 +0% $18,323 +52% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $27,735 $8,320 $27,735 +0% $13,747 +102% —
370 Major Esophageal Disorders Without Cc/McC $27,423 $8,227 $27,423 +0% $15,072 +82% —
886 Behavioral And Developmental Disorders $27,236 $8,888 $27,236 +0% $24,447 +11% —
914 Traumatic Injury Without McC $27,127 $8,138 $27,127 +0% $15,586 +74% —
293 Heart Failure And Shock Without Cc/McC $26,947 $8,084 $25,755 +5% $11,826 +128% —
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% $13,318 +99% —
159 Dental And Oral Diseases Without Cc/McC $26,180 $7,854 $22,271 +18% $13,362 +96% —
921 Complications Of Treatment Without Cc/McC $26,107 $7,832 $24,957 +5% $14,012 +86% —
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 $25,600 +0% $15,594 +64% —
197 Interstitial Lung Disease With Cc $25,437 $7,631 $25,437 +0% $20,105 +27% —
935 Non-Extensive Burns $25,148 $8,650 $25,148 +0% $29,458 −15% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $24,968 $7,490 $24,968 +0% $15,818 +58% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $24,481 $7,344 $24,481 +0% $16,645 +47% —
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% $14,861 +63% —
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 $24,034 +0% $17,705 +36% —
916 Allergic Reactions Without McC $23,904 $7,171 $23,904 +0% $13,890 +72% —
201 Pneumothorax Without Cc/McC $23,897 $7,169 $23,897 +0% $13,081 +83% —
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% $14,134 +66% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $22,799 $6,840 $22,799 +0% $12,013 +90% —
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 $21,299 +0% $16,156 +32% —
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 $20,000 +0% $13,485 +48% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $19,851 $5,955 $23,285 −15% $12,536 +58% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $19,699 $5,910 $19,699 +0% $14,210 +39% —
151 Epistaxis Without McC $18,692 $5,936 $18,692 +0% $13,032 +43% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $18,007 $5,402 $18,007 +0% $13,384 +35% —
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 $7,432 +114% $10,039 +58% —
793 Full Term Neonate With Major Problems $14,577 $4,373 $14,577 +0% $16,708 −13% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $14,354 $4,306 $14,354 +0% $11,071 +30% —
599 Malignant Breast Disorders Without Cc/McC $13,367 $4,010 $13,367 +0% $14,290 −6% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $11,696 $3,509 $11,696 +0% $9,063 +29% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $11,122 $3,337 $13,261 −16% $12,205 −9% —
792 Prematurity Without Major Problems $10,316 $3,095 $10,112 +2% $11,633 −11% —
836 Acute Leukemia Without Cc/McC $9,756 $2,927 $12,990 −25% $19,686 −50% —
794 Neonate With Other Significant Problems $7,819 $2,346 $7,819 +0% $7,896 −1% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $7,221 $2,166 $9,447 −24% $13,822 −48% —
795 Normal Newborn $6,492 $1,947 $6,248 +4% $4,521 +44% —
951 Other Factors Influencing Health Status $5,512 $1,654 $5,512 +0% $9,385 −41% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $3,126 $938 $23,931 −87% $14,055 −78% —
081 Nontraumatic Stupor And Coma Without McC $1,098 — $19,932 −94% $15,007 −93% —
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