Wilcox Memorial Hospital — Pricing

751 procedures published in this hospital's Machine-Readable File (MRF) — 750 with a comparable price, 1 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 751
Lowest published price $2,270
Average published price $61,226
Highest published price $605,251

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 751 procedures

Published charges

Showing all 750 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

DRG Description Published price vs. HI median vs. National median vs Medicare
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $605,251 $368,609 +64% $371,366 +63% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $524,583 $296,497 +77% $245,189 +114% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $495,957 $398,748 — $306,087 +62% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $464,970 $359,092 — $159,181 +192% —
006 LIVER TRANSPLANT WITHOUT MCC $464,970 $345,237 — $84,407 +451% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $350,128 $418,324 — $431,073 −19% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $350,128 $279,131 — $169,977 +106% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $318,031 $247,629 — $135,380 +135% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $318,031 $241,341 — $101,280 +214% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $318,031 $236,173 — $62,404 +410% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $296,875 $252,901 — $182,314 +63% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $296,875 $227,704 — $98,260 +202% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $296,875 $226,489 — $81,176 +266% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $291,551 $218,590 — $104,881 +178% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $277,772 $139,622 +99% $75,103 +270% —
209 COMPLEX AORTIC ARCH PROCEDURES $250,726 $223,764 — $183,292 +37% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $250,726 $250,726 +0% $175,437 +43% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $250,726 $250,726 +0% $121,714 +106% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $250,726 $250,726 +0% $92,238 +172% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $240,177 $225,150 +7% $116,058 +107% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $236,870 $138,414 +71% $137,160 +73% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $221,231 $172,333 +28% $191,314 +16% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $209,711 $107,886 +94% $51,953 +304% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $207,505 $163,725 — $131,961 +57% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $200,623 $153,165 — $71,551 +180% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $200,623 $152,002 — $56,242 +257% —
652 KIDNEY TRANSPLANT $200,623 $152,002 — $54,720 +267% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $199,733 $164,033 +22% $86,938 +130% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $199,733 $94,532 +111% $43,444 +360% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $199,733 $147,133 — $27,074 +638% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $198,069 $157,043 — $120,573 +64% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $198,069 $100,874 +96% $66,853 +196% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $198,069 $148,958 — $40,277 +392% —
231 CORONARY BYPASS WITH PTCA WITH MCC $182,172 $158,655 — $145,864 +25% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $182,172 $145,673 — $106,219 +72% —
834 ACUTE LEUKEMIA WITH MCC $181,142 $89,302 +103% $76,004 +138% —
835 ACUTE LEUKEMIA WITH CC $181,142 $133,106 — $35,569 +409% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $181,142 $133,106 — $19,686 +820% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $181,142 $156,826 — $121,563 +49% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $178,000 $178,000 +0% $151,029 +18% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $178,000 $142,434 — $107,355 +66% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $178,000 $138,062 — $83,441 +113% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $171,366 $129,753 — $75,585 +127% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $171,366 $127,415 — $35,806 +379% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $165,362 $174,986 — $171,338 −3% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $165,096 $165,096 +0% $138,868 +19% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $164,197 $79,552 +106% $80,747 +103% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $163,061 $142,635 — $143,242 +14% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $163,061 $105,827 +54% $102,177 +60% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $163,061 $103,278 +58% $90,331 +81% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $149,886 $117,505 — $75,492 +99% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $149,886 $170,763 — $142,326 +5% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $149,886 $137,789 — $121,728 +23% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $149,886 $123,944 — $105,899 +42% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $149,886 $153,320 — $119,071 +26% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $149,886 $125,202 — $93,783 +60% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $146,093 $112,655 — $96,905 +51% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $146,093 $112,655 — $65,325 +124% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $144,910 $120,075 — $102,573 +41% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $144,293 $140,358 +3% $115,937 +24% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $144,293 $144,293 +0% $99,423 +45% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $135,973 $99,880 +36% $106,778 +27% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $133,558 $133,558 +0% $117,280 +14% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $133,558 $107,242 — $91,329 +46% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $131,120 $115,233 — $78,327 +67% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $131,120 $72,518 +81% $54,313 +141% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $131,120 $66,213 +98% $32,839 +299% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $130,678 $99,067 — $52,908 +147% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $129,555 $102,642 — $74,755 +73% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $128,470 $109,058 — $109,331 +18% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $128,470 $116,310 — $40,947 +214% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $126,033 $110,054 — $112,062 +12% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $125,528 $100,340 — $71,873 +75% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $125,528 $95,541 — $39,253 +220% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $125,528 $93,862 — $25,484 +393% —
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $124,524 $111,999 — $119,143 +5% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $124,524 $124,524 +0% $83,065 +50% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $124,524 $86,820 +43% $71,014 +75% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $124,524 $95,712 — $55,162 +126% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $121,131 $108,253 — $95,375 +27% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $119,970 $94,329 — $80,885 +48% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $119,970 $89,503 — $38,382 +213% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $119,777 $109,941 — $113,855 +5% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $117,180 $117,180 +0% $82,247 +42% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $116,216 $75,651 +54% $54,681 +113% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $115,523 $79,353 +46% $88,307 +31% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $115,523 $65,691 +76% $63,310 +82% —
028 SPINAL PROCEDURES WITH MCC $111,559 $104,702 +7% $95,858 +16% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $111,495 $53,440 +109% $54,196 +106% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $110,639 $55,322 +100% $20,727 +434% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $109,240 $112,809 — $114,665 −5% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $107,777 $95,090 +13% $86,953 +24% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $107,777 $90,697 — $73,029 +48% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $107,777 $84,490 — $45,558 +137% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $106,689 $54,622 +95% $49,710 +115% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $104,769 $75,741 +38% $87,575 +20% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $104,769 $78,674 — $54,475 +92% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $104,769 $78,674 — $24,229 +332% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $104,462 $75,109 +39% $88,050 +19% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $104,311 $93,689 — $92,217 +13% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $102,793 $88,421 — $81,998 +25% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $100,780 $74,897 — $30,224 +233% —
245 AICD GENERATOR PROCEDURES $100,238 $84,120 — $72,076 +39% —
265 AICD LEAD PROCEDURES $100,238 $81,744 — $56,216 +78% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $99,382 $77,586 — $52,332 +90% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $99,208 $99,208 +0% $96,192 +3% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $99,208 $74,241 — $44,022 +125% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $99,195 $99,195 +0% $84,825 +17% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $95,226 $95,226 +0% $85,882 +11% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $95,226 $72,602 — $47,546 +100% —
252 OTHER VASCULAR PROCEDURES WITH MCC $93,238 $81,012 +15% $68,508 +36% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $93,238 $90,350 — $84,861 +10% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $93,238 $73,252 — $57,277 +63% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $92,840 $72,962 — $62,961 +47% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $92,840 $47,544 +95% $42,881 +117% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $92,840 $70,192 — $19,354 +380% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $92,813 $68,850 +35% $70,132 +32% —
332 RECTAL RESECTION WITH MCC $92,338 $72,974 — $58,125 +59% —
333 RECTAL RESECTION WITH CC $92,338 $72,088 — $34,352 +169% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $92,300 $92,300 +0% $62,790 +47% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $91,025 $57,791 +58% $52,405 +74% —
253 OTHER VASCULAR PROCEDURES WITH CC $87,578 $87,578 +0% $53,746 +63% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $85,981 $91,133 — $108,472 −21% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $85,981 $68,299 — $56,758 +51% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $85,642 $67,465 +27% $74,257 +15% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $84,885 $59,589 +42% $50,919 +67% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $84,885 $65,260 — $36,333 +134% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $84,565 $83,773 +1% $58,713 +44% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $84,360 $68,934 — $55,002 +53% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $84,360 $64,262 — $25,197 +235% —
791 PREMATURITY WITH MAJOR PROBLEMS $84,359 $63,033 +34% $39,254 +115% —
037 EXTRACRANIAL PROCEDURES WITH MCC $84,330 $70,962 — $64,749 +30% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $82,335 $82,335 +0% $72,274 +14% —
163 MAJOR CHEST PROCEDURES WITH MCC $82,265 $82,265 +0% $88,341 −7% —
164 MAJOR CHEST PROCEDURES WITH CC $81,958 $63,319 — $53,141 +54% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $81,718 $81,718 +0% $82,561 −1% —
471 CERVICAL SPINAL FUSION WITH MCC $80,278 $84,244 −5% $92,515 −13% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $79,890 $69,852 — $59,352 +35% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $79,660 $79,660 +0% $62,266 +28% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $79,660 $58,986 +35% $45,594 +75% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $79,550 $75,745 — $60,098 +32% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $78,940 $89,009 — $98,912 −20% —
570 SKIN DEBRIDEMENT WITH MCC $78,833 $78,833 +0% $51,501 +53% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $78,452 $54,145 +45% $40,563 +93% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $78,343 $66,169 +18% $71,755 +9% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $77,657 $74,510 +4% $82,527 −6% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $77,657 $59,750 — $45,271 +72% —
137 MOUTH PROCEDURES WITH CC/MCC $77,508 $59,366 — $24,348 +218% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $75,520 $39,668 +90% $36,318 +108% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $75,325 $57,570 — $25,152 +199% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $75,309 $75,309 +0% $44,989 +67% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $75,244 $71,788 +5% $48,682 +55% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $75,166 $72,859 — $70,779 +6% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $75,166 $57,565 — $30,661 +145% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $75,166 $57,565 — $20,980 +258% —
571 SKIN DEBRIDEMENT WITH CC $75,149 $38,503 +95% $34,773 +116% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $74,871 $63,699 — $48,745 +54% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $74,732 $58,757 — $46,402 +61% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $74,732 $55,931 — $25,071 +198% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $74,732 $55,931 — $16,212 +361% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $74,397 $47,504 +57% $29,476 +152% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $74,397 $55,832 — $18,459 +303% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $74,150 $55,827 — $36,850 +101% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $74,150 $55,091 — $22,231 +234% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $74,150 $55,876 — $12,536 +492% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $73,972 $73,972 +0% $74,274 −0% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $73,972 $67,054 — $110,102 −33% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $73,969 $56,596 — $43,313 +71% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $73,969 $56,596 — $31,812 +133% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $73,353 $78,297 −6% $94,320 −22% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $73,353 $73,353 +0% $68,421 +7% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $73,353 $59,798 +23% $54,929 +34% —
374 DIGESTIVE MALIGNANCY WITH MCC $72,532 $70,588 +3% $38,885 +87% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $72,489 $59,730 +21% $35,108 +106% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $72,489 $53,579 — $13,278 +446% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $72,489 $53,579 — $10,039 +622% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $71,298 $71,298 +0% $72,879 −2% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $71,298 $71,298 +0% $49,631 +44% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $71,298 $47,592 +50% $32,189 +121% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $71,004 $71,004 +0% $70,540 +1% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $71,004 $71,004 +0% $56,394 +26% —
375 DIGESTIVE MALIGNANCY WITH CC $70,837 $45,927 +54% $27,125 +161% —
038 EXTRACRANIAL PROCEDURES WITH CC $70,198 $48,678 +44% $35,770 +96% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $69,782 $69,782 +0% $68,590 +2% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $69,782 $55,377 — $44,719 +56% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $69,393 $54,975 +26% $50,011 +39% —
336 PERITONEAL ADHESIOLYSIS WITH CC $69,254 $48,799 +42% $49,071 +41% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $69,247 $69,247 +0% $78,852 −12% —
597 MALIGNANT BREAST DISORDERS WITH MCC $67,410 $44,792 +50% $31,846 +112% —
598 MALIGNANT BREAST DISORDERS WITH CC $67,410 $50,349 — $19,073 +253% —
711 TESTES PROCEDURES WITH CC/MCC $67,285 $50,422 +33% $34,846 +93% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $67,061 $55,676 — $44,973 +49% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $67,061 $54,183 +24% $35,453 +89% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $66,979 $66,979 +0% $58,043 +15% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $66,769 $46,465 +44% $32,451 +106% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $66,550 $61,537 +8% $61,206 +9% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $66,550 $55,196 — $47,583 +40% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $66,550 $52,919 — $39,093 +70% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $66,172 $50,048 — $17,308 +282% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $65,888 $57,102 — $57,030 +16% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $65,888 $63,990 +3% $47,635 +38% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $65,888 $55,056 +20% $35,693 +85% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $65,589 $63,430 +3% $66,765 −2% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $65,347 $51,220 — $34,900 +87% —
472 CERVICAL SPINAL FUSION WITH CC $64,995 $64,995 +0% $59,537 +9% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $64,977 $50,942 — $39,018 +67% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $64,929 $61,359 — $48,358 +34% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $64,516 $57,367 +12% $63,984 +1% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $63,315 $63,315 +0% $38,836 +63% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $62,918 $48,961 +29% $50,998 +23% ≈279% of Medicare
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $62,240 $62,240 +0% $51,339 +21% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $62,240 $42,553 +46% $45,497 +37% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $62,240 $47,028 — $29,891 +108% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $62,240 $47,028 — $15,901 +291% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $62,240 $52,374 — $58,739 +6% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $62,011 $61,212 — $61,353 +1% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $62,011 $62,011 +0% $50,139 +24% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $62,011 $49,133 — $31,909 +94% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $61,925 $61,925 +0% $47,574 +30% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $61,570 $61,570 +0% $71,519 −14% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $61,183 $43,298 +41% $45,842 +33% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $60,708 $60,708 +0% $53,763 +13% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $60,694 $60,694 +0% $53,817 +13% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $60,694 $60,694 +0% $25,149 +141% —
500 SOFT TISSUE PROCEDURES WITH MCC $60,182 $59,560 +1% $57,181 +5% —
501 SOFT TISSUE PROCEDURES WITH CC $60,182 $47,549 — $37,975 +58% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $60,120 $60,120 +0% $64,488 −7% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $60,120 $56,179 +7% $43,775 +37% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $59,957 $62,338 −4% $59,207 +1% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $59,957 $49,109 — $46,066 +30% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $59,744 $53,606 +11% $60,861 −2% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $59,744 $59,744 +0% $33,236 +80% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $59,744 $46,023 — $17,078 +250% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $59,721 $45,922 — $36,241 +65% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $59,701 $48,839 +22% $29,957 +99% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $59,645 $59,645 +0% $50,624 +18% —
653 MAJOR BLADDER PROCEDURES WITH MCC $59,386 $69,150 — $97,028 −39% —
654 MAJOR BLADDER PROCEDURES WITH CC $59,386 $52,550 — $53,868 +10% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $59,386 $48,297 — $41,701 +42% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $59,183 $59,183 +0% $51,985 +14% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $59,149 $57,124 — $61,832 −4% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $59,149 $46,247 — $43,320 +37% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $59,149 $46,125 — $30,888 +91% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $59,135 $48,037 +23% $24,603 +140% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $58,926 $45,715 — $41,380 +42% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $58,653 $46,060 — $34,434 +70% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $57,943 $45,487 — $30,768 +88% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $57,943 $43,221 — $12,336 +370% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $57,943 $42,784 — $8,927 +549% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $57,538 $57,538 +0% $41,660 +38% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $57,254 $57,254 +0% $64,956 −12% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $57,254 $57,254 +0% $46,477 +23% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $56,995 $54,336 +5% $40,063 +42% —
799 SPLENIC PROCEDURES WITH MCC $56,695 $63,671 — $78,821 −28% —
800 SPLENIC PROCEDURES WITH CC $56,695 $50,760 — $49,184 +15% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $56,695 $45,438 — $28,554 +99% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $56,220 $43,226 — $29,826 +88% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $56,220 $42,037 — $19,317 +191% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $56,118 $52,611 — $64,465 −13% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $56,118 $43,819 +28% $40,583 +38% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $56,118 $51,770 +8% $35,528 +58% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $56,050 $42,279 — $28,509 +97% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $55,726 $55,726 +0% $46,659 +19% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $55,726 $45,584 — $22,532 +147% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $54,807 $57,012 — $59,425 −8% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $54,807 $42,732 — $33,415 +64% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $54,807 $42,056 — $24,544 +123% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $54,653 $54,653 +0% $25,267 +116% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $54,640 $35,401 +54% $31,754 +72% ≈276% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $54,640 $28,729 +90% $22,024 +148% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $54,376 $48,211 — $43,491 +25% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $54,376 $28,441 +91% $25,854 +110% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $54,376 $36,647 +48% $17,585 +209% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $54,316 $45,640 — $37,654 +44% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $53,974 $40,903 — $20,148 +168% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $53,974 $40,903 — $14,055 +284% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $53,943 $44,751 — $38,998 +38% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $53,943 $42,393 — $21,615 +150% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $53,727 $62,286 −14% $68,399 −21% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $53,724 $41,813 — $22,525 +139% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $53,698 $48,461 — $60,140 −11% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $53,586 $53,586 +0% $36,880 +45% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $53,586 $41,124 — $23,749 +126% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $53,586 $40,285 — $12,405 +332% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $53,108 $53,106 — $64,468 −18% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $52,929 $48,871 +8% $34,876 +52% ≈233% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $52,900 $28,201 +88% $22,623 +134% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $52,768 $74,665 −29% $76,954 −31% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $52,768 $41,792 +26% $44,553 +18% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $52,768 $40,839 — $21,025 +151% —
595 MAJOR SKIN DISORDERS WITH MCC $52,519 $42,364 — $31,772 +65% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $52,486 $52,486 +0% $54,772 −4% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $52,486 $70,095 −25% $87,495 −40% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $52,486 $52,486 +0% $66,819 −21% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $52,486 $47,429 — $93,769 −44% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $51,916 $37,052 +40% $39,657 +31% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $51,499 $51,499 +0% $38,166 +35% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $51,366 $51,366 +0% $29,409 +75% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $51,185 $42,397 — $35,381 +45% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $51,185 $40,106 — $22,920 +123% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $50,823 $54,637 −7% $68,331 −26% —
539 OSTEOMYELITIS WITH MCC $50,580 $31,895 +59% $33,614 +50% —
540 OSTEOMYELITIS WITH CC $50,580 $26,038 +94% $23,494 +115% —
541 OSTEOMYELITIS WITHOUT CC/MCC $50,580 $38,357 +32% $14,549 +248% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $50,086 $32,354 +55% $37,950 +32% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $50,086 $38,794 — $24,017 +109% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $50,086 $38,115 — $13,385 +274% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $50,047 $57,121 −12% $51,142 −2% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $50,047 $50,047 +0% $37,839 +32% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $50,047 $41,687 — $29,524 +70% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $50,009 $50,009 +0% $41,847 +20% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $49,749 $41,790 +19% $35,375 +41% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $49,644 $56,512 — $56,964 −13% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $49,421 $50,928 — $53,787 −8% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $49,302 $51,241 −4% $65,383 −25% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $49,302 $49,302 +0% $38,094 +29% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $49,302 $38,397 — $25,206 +96% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $49,141 $67,631 −27% $72,843 −33% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $49,141 $41,562 — $41,114 +20% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $49,141 $38,755 — $23,474 +109% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $48,942 $45,153 +8% $36,237 +35% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $48,942 $27,841 +76% $24,118 +103% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $48,942 $25,946 +89% $18,060 +171% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $48,754 $53,171 — $65,573 −26% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $48,695 $51,827 — $57,855 −16% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $48,695 $48,695 +0% $37,681 +29% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $48,695 $37,770 — $25,666 +90% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $48,615 $51,296 — $57,521 −15% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $48,483 $38,941 — $33,962 +43% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $48,127 $42,688 — $45,937 +5% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $48,055 $39,052 — $35,584 +35% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $47,995 $43,495 — $39,923 +20% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $47,830 $47,830 +0% $55,147 −13% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $47,825 $48,199 — $56,197 −15% —
712 TESTES PROCEDURES WITHOUT CC/MCC $47,594 $36,928 — $18,898 +152% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $47,500 $47,500 +0% $43,697 +9% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $47,500 $47,500 +0% $29,671 +60% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $47,500 $36,842 — $15,764 +201% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $47,365 $43,687 +8% $44,087 +7% —
887 OTHER MENTAL DISORDER DIAGNOSES $47,282 $47,282 +0% $20,557 +130% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $47,053 $42,763 — $44,839 +5% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $46,783 $38,397 — $35,989 +30% —
180 RESPIRATORY NEOPLASMS WITH MCC $46,596 $46,596 +0% $36,658 +27% —
181 RESPIRATORY NEOPLASMS WITH CC $46,596 $25,653 +82% $22,065 +111% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $46,596 $35,367 — $14,064 +231% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $46,340 $36,991 — $40,801 +14% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $46,111 $43,203 +7% $43,252 +7% —
671 URETHRAL PROCEDURES WITH CC/MCC $46,027 $37,081 — $27,233 +69% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $46,027 $36,051 — $17,398 +165% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $45,842 $38,197 — $37,080 +24% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $45,842 $36,089 — $21,860 +110% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $45,842 $34,777 — $13,586 +237% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $45,370 $39,183 — $29,109 +56% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $45,340 $45,340 +0% $39,675 +14% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $45,257 $34,191 +32% $36,195 +25% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $45,257 $33,467 +35% $22,010 +106% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $45,257 $24,983 +81% $18,316 +147% —
506 MAJOR THUMB OR JOINT PROCEDURES $45,219 $35,832 — $28,983 +56% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $44,945 $34,382 — $24,146 +86% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $44,826 $38,334 +17% $30,940 +45% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $44,826 $34,579 +30% $20,313 +121% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $44,765 $36,533 — $29,558 +51% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $44,614 $44,614 +0% $35,714 +25% ≈191% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $44,614 $39,997 +12% $22,610 +97% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $44,614 $25,562 +75% $19,483 +129% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $44,604 $44,604 +0% $30,362 +47% —
197 INTERSTITIAL LUNG DISEASE WITH CC $44,604 $34,413 — $20,105 +122% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $44,604 $33,842 — $13,654 +227% —
397 APPENDIX PROCEDURES WITH MCC $44,498 $44,498 +0% $52,319 −15% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $44,254 $44,254 +0% $44,600 −1% —
334 RECTAL RESECTION WITHOUT CC/MCC $44,206 $36,556 — $32,213 +37% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $44,181 $44,055 +0% $33,137 +33% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $43,703 $36,501 — $27,277 +60% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $43,385 $42,647 +2% $28,802 +51% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $43,157 $22,751 +90% $14,411 +199% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $42,857 $41,277 — $41,596 +3% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $42,857 $34,476 — $23,920 +79% —
263 VEIN LIGATION AND STRIPPING $42,648 $48,086 — $44,938 −5% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $42,637 $41,331 +3% $34,886 +22% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $42,637 $23,298 +83% $23,400 +82% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $42,637 $22,415 +90% $16,776 +154% —
662 MINOR BLADDER PROCEDURES WITH MCC $42,556 $44,312 — $54,483 −22% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $42,506 $41,800 +2% $35,961 +18% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $42,224 $42,224 +0% $35,139 +20% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $42,224 $32,574 — $15,007 +181% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $42,127 $23,794 +77% $17,226 +145% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $42,069 $34,332 — $31,062 +35% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $42,066 $33,687 — $29,374 +43% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $41,926 $41,926 +0% $45,916 −9% —
813 COAGULATION DISORDERS $41,837 $28,234 +48% $30,128 +39% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $41,423 $35,688 — $43,266 −4% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $41,390 $36,842 +12% $31,913 +30% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $41,390 $22,900 +81% $21,449 +93% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $41,167 $31,792 — $17,383 +137% —
398 APPENDIX PROCEDURES WITH CC $41,091 $41,091 +0% $38,574 +7% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $40,901 $34,282 — $33,425 +22% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $40,426 $45,343 — $67,215 −40% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $40,426 $36,220 — $42,126 −4% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $40,426 $34,597 — $33,694 +20% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $40,392 $40,392 +0% $24,008 +68% —
811 RED BLOOD CELL DISORDERS WITH MCC $40,250 $22,653 +78% $27,674 +45% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $40,142 $40,142 +0% $43,080 −7% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $40,135 $25,619 +57% $29,521 +36% —
176 PULMONARY EMBOLISM WITHOUT MCC $40,135 $23,143 +73% $17,693 +127% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $40,105 $34,097 — $32,976 +22% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $40,105 $30,795 — $18,000 +123% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $40,105 $30,795 — $12,593 +218% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $39,733 $34,143 — $25,390 +56% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $39,271 $57,194 −31% $30,930 +27% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $39,106 $29,749 — $12,650 +209% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $38,963 $37,733 +3% $31,190 +25% —
682 RENAL FAILURE WITH MCC $38,899 $23,229 +67% $27,640 +41% ≈230% of Medicare
683 RENAL FAILURE WITH CC $38,899 $26,682 +46% $18,322 +112% —
684 RENAL FAILURE WITHOUT CC/MCC $38,899 $29,465 — $13,455 +189% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $38,884 $38,380 — $24,426 +59% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $38,773 $38,773 +0% $31,816 +22% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $38,767 $38,767 +0% $33,790 +15% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $38,376 $41,887 −8% $51,950 −26% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $37,981 $34,123 +11% $36,355 +4% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $37,973 $29,377 — $14,861 +156% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $37,511 $30,155 +24% $20,463 +83% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $36,976 $36,976 +0% $40,548 −9% —
291 HEART FAILURE AND SHOCK WITH MCC $36,974 $34,310 +8% $24,932 +48% ≈286% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $36,974 $30,582 +21% $15,878 +133% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $36,974 $27,999 — $11,826 +213% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $36,927 $28,841 — $15,608 +137% —
186 PLEURAL EFFUSION WITH MCC $36,560 $34,928 +5% $32,385 +13% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $36,486 $36,486 +0% $32,911 +11% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $36,420 $31,341 — $34,906 +4% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $36,416 $49,276 — $68,847 −47% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $36,416 $36,416 +0% $35,029 +4% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $36,416 $30,174 — $23,588 +54% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $36,268 $36,268 +0% $30,814 +18% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $36,117 $36,117 +0% $44,927 −20% —
919 COMPLICATIONS OF TREATMENT WITH MCC $36,080 $33,033 +9% $29,031 +24% —
920 COMPLICATIONS OF TREATMENT WITH CC $36,080 $27,656 — $20,879 +73% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $36,057 $36,057 +0% $48,801 −26% —
187 PLEURAL EFFUSION WITH CC $35,741 $28,052 +27% $21,467 +66% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $34,990 $34,990 +0% $42,119 −17% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $34,715 $29,429 — $30,418 +14% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $34,593 $34,593 +0% $26,146 +32% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $34,553 $29,830 — $33,424 +3% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $34,543 $34,543 +0% $20,716 +67% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $34,359 $39,023 — $23,456 +46% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $34,290 $30,315 — $29,916 +15% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $34,290 $26,789 — $19,326 +77% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $34,193 $30,613 +12% $32,538 +5% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $34,193 $28,993 — $20,147 +70% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $34,034 $34,034 +0% $23,396 +45% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $33,750 $29,740 +13% $25,596 +32% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $33,566 $32,715 — $40,065 −16% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $33,566 $26,650 — $15,890 +111% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $33,499 $29,366 — $29,029 +15% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $33,493 $33,493 +0% $39,409 −15% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $33,493 $22,969 +46% $25,412 +32% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $33,297 $27,367 +22% $25,146 +32% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $33,241 $33,241 +0% $31,029 +7% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $32,849 $26,707 +23% $18,288 +80% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $32,775 $28,237 +16% $32,689 +0% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $32,626 $34,609 — $34,089 −4% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $32,574 $32,574 +0% $21,666 +50% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $32,572 $29,511 — $24,561 +33% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $32,498 $31,108 — $27,319 +19% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $32,464 $32,695 — $34,158 −5% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $32,413 $32,172 +1% $19,894 +63% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $32,413 $17,798 +82% $13,892 +133% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $32,371 $31,052 +4% $35,990 −10% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $32,369 $32,369 +0% $32,417 −0% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $32,369 $29,498 +10% $19,096 +70% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $32,369 $19,782 +64% $14,770 +119% —
709 PENIS PROCEDURES WITH CC/MCC $32,347 $34,342 — $34,535 −6% —
710 PENIS PROCEDURES WITHOUT CC/MCC $32,347 $28,574 — $23,814 +36% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $32,330 $32,330 +0% $41,520 −22% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $32,330 $32,330 +0% $27,492 +18% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $32,300 $25,020 — $16,352 +98% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $32,300 $25,020 — $11,909 +171% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $31,980 $26,718 — $29,805 +7% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $31,934 $31,934 +0% $25,766 +24% ≈213% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $31,802 $24,506 +30% $19,448 +64% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $31,787 $31,787 +0% $28,252 +13% —
548 SEPTIC ARTHRITIS WITH MCC $31,711 $31,082 — $31,019 +2% —
549 SEPTIC ARTHRITIS WITH CC $31,711 $19,809 +60% $20,808 +52% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $31,711 $18,235 +74% $16,156 +96% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $31,602 $32,779 — $29,598 +7% —
663 MINOR BLADDER PROCEDURES WITH CC $31,582 $31,582 +0% $29,924 +6% —
865 VIRAL ILLNESS WITH MCC $31,564 $31,564 +0% $26,088 +21% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $31,185 $26,376 +18% $25,243 +24% —
602 CELLULITIS WITH MCC $31,113 $31,113 +0% $29,347 +6% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $31,018 $26,981 +15% $29,049 +7% —
380 COMPLICATED PEPTIC ULCER WITH MCC $30,864 $34,530 −11% $36,537 −16% —
381 COMPLICATED PEPTIC ULCER WITH CC $30,864 $25,077 — $24,177 +28% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $30,864 $24,185 — $16,634 +86% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $30,845 $24,856 +24% $18,204 +69% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $30,690 $25,894 +19% $19,868 +54% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $30,680 $30,680 +0% $30,259 +1% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $30,617 $30,617 +0% $31,978 −4% —
503 FOOT PROCEDURES WITH MCC $30,104 $38,558 — $43,982 −32% —
504 FOOT PROCEDURES WITH CC $30,104 $31,511 — $36,519 −18% —
505 FOOT PROCEDURES WITHOUT CC/MCC $30,104 $31,592 −5% $31,716 −5% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $30,043 $30,936 — $36,202 −17% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $30,043 $28,403 — $22,811 +32% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $30,043 $48,288 −38% $49,055 −39% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $30,043 $34,492 −13% $43,538 −31% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $29,947 $39,735 — $48,907 −39% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $29,947 $32,758 — $35,673 −16% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $29,930 $29,882 +0% $15,600 +92% —
592 SKIN ULCERS WITH MCC $29,863 $30,134 — $32,662 −9% —
593 SKIN ULCERS WITH CC $29,863 $24,688 — $20,470 +46% —
594 SKIN ULCERS WITHOUT CC/MCC $29,863 $23,628 — $14,209 +110% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $29,819 $26,542 — $28,156 +6% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $29,688 $29,688 +0% $29,777 −0% —
348 ANAL AND STOMAL PROCEDURES WITH CC $29,647 $26,423 — $27,947 +6% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $29,612 $30,009 — $31,566 −6% —
866 VIRAL ILLNESS WITHOUT MCC $29,603 $23,449 — $16,348 +81% —
100 SEIZURES WITH MCC $29,471 $29,471 +0% $35,194 −16% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $29,299 $27,175 — $21,986 +33% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $29,299 $29,299 +0% $30,275 −3% —
665 PROSTATECTOMY WITH MCC $29,258 $38,594 — $54,072 −46% —
666 PROSTATECTOMY WITH CC $29,258 $28,477 — $30,016 −3% —
864 FEVER AND INFLAMMATORY CONDITIONS $29,254 $28,627 +2% $17,412 +68% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $29,192 $22,781 — $14,252 +105% —
088 CONCUSSION WITH MCC $29,154 $26,549 — $24,402 +19% —
089 CONCUSSION WITH CC $29,154 $24,169 — $18,293 +59% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $28,952 $22,131 +31% $23,141 +25% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $28,893 $29,419 −2% $40,552 −29% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $28,849 $24,111 — $20,837 +38% —
906 HAND PROCEDURES FOR INJURIES $28,743 $31,655 — $31,520 −9% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $28,516 $29,883 — $31,627 −10% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $28,516 $28,516 +0% $22,850 +25% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $28,516 $22,321 — $16,104 +77% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $28,408 $28,408 +0% $29,929 −5% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $28,361 $19,520 +45% $20,732 +37% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $28,233 $28,813 −2% $35,692 −21% —
139 SALIVARY GLAND PROCEDURES $28,205 $25,068 — $21,014 +34% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $27,940 $22,549 — $15,589 +79% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,932 $28,095 −1% $29,867 −6% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $27,932 $17,268 +62% $20,007 +40% —
183 MAJOR CHEST TRAUMA WITH MCC $27,907 $27,907 +0% $28,924 −4% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $27,690 $32,203 −14% $37,842 −27% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $27,690 $27,690 +0% $21,886 +27% ≈272% of Medicare
668 TRANSURETHRAL PROCEDURES WITH MCC $27,446 $44,460 −38% $47,126 −42% —
669 TRANSURETHRAL PROCEDURES WITH CC $27,446 $27,446 +0% $34,354 −20% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $27,383 $27,383 +0% $22,698 +21% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $27,376 $26,098 +5% $26,098 +5% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $27,286 $36,368 — $58,968 −54% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $27,286 $26,477 — $26,998 +1% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $27,286 $27,286 +0% $25,621 +6% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $27,089 $27,089 +0% $24,000 +13% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $26,712 $26,712 +0% $28,001 −5% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $26,616 $22,366 — $20,741 +28% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $26,616 $15,110 +76% $14,210 +87% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $26,512 $29,383 — $31,743 −16% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $26,473 $26,222 — $24,874 +6% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $26,473 $26,473 +0% $19,569 +35% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $26,223 $26,223 +0% $24,244 +8% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $26,158 $28,153 — $29,609 −12% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $26,158 $24,089 — $26,158 +0% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $26,158 $21,305 — $21,323 +23% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $25,967 $25,967 +0% $27,369 −5% —
157 DENTAL AND ORAL DISEASES WITH MCC $25,840 $28,198 — $27,457 −6% —
158 DENTAL AND ORAL DISEASES WITH CC $25,840 $21,446 — $17,751 +46% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $25,840 $14,946 +73% $13,362 +93% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $25,692 $18,699 +37% $16,645 +54% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $25,631 $25,631 +0% $28,385 −10% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $25,631 $15,991 +60% $17,296 +48% —
184 MAJOR CHEST TRAUMA WITH CC $25,624 $25,624 +0% $20,842 +23% —
101 SEIZURES WITHOUT MCC $25,442 $25,442 +0% $19,930 +28% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $25,442 $24,943 — $26,616 −4% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $25,442 $25,442 +0% $19,305 +32% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $25,193 $27,942 −10% $25,998 −3% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $25,193 $17,432 +45% $20,917 +20% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $25,193 $19,452 +30% $14,880 +69% —
643 ENDOCRINE DISORDERS WITH MCC $25,149 $25,149 +0% $32,953 −24% —
644 ENDOCRINE DISORDERS WITH CC $25,149 $25,149 +0% $22,941 +10% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $25,075 $28,108 −11% $33,339 −25% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $25,075 $25,075 +0% $22,590 +11% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $25,075 $19,785 — $15,072 +66% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $24,846 $23,446 — $18,126 +37% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $24,775 $30,520 — $28,375 −13% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $24,775 $24,775 +0% $22,587 +10% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $24,775 $25,640 — $27,118 −9% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $24,775 $24,775 +0% $23,571 +5% —
113 ORBITAL PROCEDURES WITH CC/MCC $24,759 $31,691 — $35,642 −31% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $24,759 $23,707 — $19,598 +26% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $24,552 $24,552 +0% $13,747 +79% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $24,482 $18,401 +33% $15,858 +54% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $24,344 $20,896 — $20,371 +20% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $24,327 $25,681 −5% $28,403 −14% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $24,000 $25,432 — $28,103 −15% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $23,992 $31,590 — $38,878 −38% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $23,992 $22,470 — $22,226 +8% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $23,992 $20,827 — $13,822 +74% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $23,969 $23,969 +0% $24,103 −1% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $23,969 $21,185 +13% $18,104 +32% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $23,969 $18,815 — $14,368 +67% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $23,887 $22,363 — $20,076 +19% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $23,790 $20,854 — $17,193 +38% —
199 PNEUMOTHORAX WITH MCC $23,767 $27,222 −13% $31,085 −24% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $23,750 $23,240 +2% $18,815 +26% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $23,588 $24,074 — $24,928 −5% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $23,410 $18,941 +24% $15,598 +50% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $23,219 $23,314 −0% $27,597 −16% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $23,084 $24,194 — $24,879 −7% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $23,078 $22,127 +4% $17,183 +34% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $22,926 $24,395 −6% $29,630 −23% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $22,866 $28,769 −21% $17,731 +29% —
949 AFTERCARE WITH CC/MCC $22,843 $20,615 — $23,953 −5% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $22,743 $22,743 +0% $22,870 −1% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $22,727 $22,727 +0% $16,431 +38% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $22,642 $14,354 +58% $20,253 +12% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $22,635 $24,187 −6% $34,564 −35% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $22,629 $22,629 +0% $22,874 −1% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $22,629 $22,629 +0% $17,754 +27% —
849 RADIOTHERAPY $22,516 $36,917 — $37,862 −41% —
200 PNEUMOTHORAX WITH CC $22,514 $17,468 +29% $20,573 +9% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $22,448 $19,608 — $17,522 +28% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $22,238 $22,238 +0% $13,303 +67% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $22,048 $22,048 +0% $12,794 +72% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $21,951 $21,951 +0% $19,815 +11% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $21,951 $21,951 +0% $20,084 +9% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $21,930 $22,496 −3% $27,041 −19% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $21,769 $21,769 +0% $14,166 +54% —
090 CONCUSSION WITHOUT CC/MCC $21,749 $18,197 — $14,873 +46% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $21,666 $22,096 −2% $23,039 −6% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $21,641 $17,228 +26% $14,128 +53% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $21,625 $23,058 — $32,804 −34% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $21,625 $21,625 +0% $21,499 +1% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $21,625 $19,965 — $14,337 +51% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $21,611 $21,611 +0% $17,345 +25% —
123 NEUROLOGICAL EYE DISORDERS $21,567 $18,522 +16% $17,831 +21% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $21,565 $21,565 +0% $20,408 +6% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,493 $29,235 −26% $30,681 −30% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,493 $19,974 — $24,277 −11% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $21,493 $18,732 +15% $18,150 +18% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $21,468 $21,468 +0% $17,700 +21% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $21,234 $21,234 +0% $14,134 +50% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $21,057 $20,132 — $16,654 +26% —
603 CELLULITIS WITHOUT MCC $20,941 $19,534 +7% $18,359 +14% ≈216% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $20,750 $18,591 — $16,418 +26% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $20,750 $12,142 +71% $10,975 +89% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $20,699 $26,324 — $32,506 −36% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $20,699 $18,459 — $18,005 +15% —
667 PROSTATECTOMY WITHOUT CC/MCC $20,664 $20,664 +0% $16,703 +24% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,632 $21,943 −6% $21,029 −2% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $20,442 $12,439 +64% $14,012 +46% —
885 PSYCHOSES $20,438 $20,438 +0% $21,489 −5% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $20,414 $20,414 +0% $16,718 +22% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $20,385 $20,385 +0% $15,045 +35% —
102 HEADACHES WITH MCC $20,316 $20,316 +0% $21,983 −8% —
103 HEADACHES WITHOUT MCC $20,316 $20,316 +0% $20,076 +1% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $20,291 $25,938 — $32,901 −38% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $20,291 $20,259 — $16,495 +23% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $20,047 $20,753 −3% $25,038 −20% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $19,721 $19,721 +0% $15,818 +25% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $19,692 $19,692 +0% $13,384 +47% —
637 DIABETES WITH MCC $19,559 $22,777 −14% $28,772 −32% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $19,418 $18,042 +8% $17,379 +12% —
638 DIABETES WITH CC $19,360 $19,360 +0% $18,763 +3% —
913 TRAUMATIC INJURY WITH MCC $19,270 $22,230 — $24,198 −20% —
914 TRAUMATIC INJURY WITHOUT MCC $19,270 $15,857 +22% $15,586 +24% —
639 DIABETES WITHOUT CC/MCC $19,214 $19,214 +0% $13,910 +38% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $19,208 $19,208 +0% $24,465 −21% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $19,208 $17,785 — $16,622 +16% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $19,208 $15,847 — $13,198 +46% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $19,092 $19,092 +0% $19,287 −1% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $19,056 $19,491 — $22,557 −16% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $19,056 $18,347 — $19,001 +0% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $19,056 $27,075 −30% $18,038 +6% —
551 MEDICAL BACK PROBLEMS WITH MCC $18,986 $22,532 — $31,067 −39% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $18,986 $18,986 +0% $20,632 −8% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $18,874 $18,874 +0% $17,322 +9% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $18,689 $18,689 +0% $15,923 +17% —
947 SIGNS AND SYMPTOMS WITH MCC $18,657 $20,225 −8% $25,474 −27% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $18,408 $17,003 — $19,854 −7% —
302 ATHEROSCLEROSIS WITH MCC $18,396 $18,746 — $20,810 −12% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,347 $22,980 — $28,578 −36% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $18,306 $20,261 −10% $24,447 −25% —
075 VIRAL MENINGITIS WITH CC/MCC $18,285 $24,875 — $29,751 −39% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $18,285 $16,548 — $15,474 +18% —
303 ATHEROSCLEROSIS WITHOUT MCC $18,260 $18,260 +0% $14,927 +22% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $18,168 $18,503 — $17,108 +6% —
312 SYNCOPE AND COLLAPSE $18,155 $16,433 +10% $19,342 −6% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $18,116 $20,921 — $24,450 −26% —
606 MINOR SKIN DISORDERS WITH MCC $18,036 $23,780 −24% $25,434 −29% —
201 PNEUMOTHORAX WITHOUT CC/MCC $17,850 $16,131 +11% $13,081 +36% —
304 HYPERTENSION WITH MCC $17,751 $19,786 −10% $23,945 −26% —
305 HYPERTENSION WITHOUT MCC $17,751 $17,751 +0% $16,897 +5% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $17,727 $17,727 +0% $17,719 +0% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,696 $20,409 — $23,734 −25% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,696 $17,696 +0% $19,091 −7% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $17,696 $17,696 +0% $14,208 +25% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $17,547 $17,547 +0% $12,275 +43% —
204 RESPIRATORY SIGNS AND SYMPTOMS $17,498 $35,652 −51% $16,804 +4% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,308 $17,140 — $17,483 −1% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $17,308 $15,637 — $11,071 +56% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $17,213 $17,213 +0% $13,318 +29% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $17,099 $20,018 — $25,786 −34% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $17,099 $14,569 +17% $16,622 +3% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $17,057 $19,841 — $29,011 −41% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $17,057 $17,057 +0% $18,243 −7% —
915 ALLERGIC REACTIONS WITH MCC $17,037 $20,871 — $30,944 −45% —
916 ALLERGIC REACTIONS WITHOUT MCC $17,037 $12,326 +38% $13,890 +23% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $16,706 $15,674 — $18,323 −9% —
149 DYSEQUILIBRIUM $16,500 $16,500 +0% $17,203 −4% —
311 ANGINA PECTORIS $16,477 $15,185 — $15,165 +9% —
607 MINOR SKIN DISORDERS WITHOUT MCC $16,271 $16,245 — $15,276 +7% —
693 URINARY STONES WITH MCC $16,257 $21,069 −23% $22,525 −28% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $16,208 $20,704 −22% $23,956 −32% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $16,197 $16,197 +0% $17,006 −5% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $16,069 $16,069 +0% $17,579 −9% —
533 FRACTURES OF FEMUR WITH MCC $15,811 $19,890 — $25,945 −39% —
534 FRACTURES OF FEMUR WITHOUT MCC $15,811 $15,199 +4% $17,194 −8% —
152 OTITIS MEDIA AND URI WITH MCC $15,783 $17,744 — $19,657 −20% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,554 $15,554 +0% $18,199 −15% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $15,554 $12,974 — $11,421 +36% —
694 URINARY STONES WITHOUT MCC $15,196 $15,196 +0% $16,451 −8% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $15,142 $14,827 — $13,485 +12% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,118 $15,118 +0% $15,636 −3% —
313 CHEST PAIN $14,843 $13,822 — $15,837 −6% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $14,813 $14,813 +0% $9,385 +58% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $13,944 $15,067 — $17,719 −21% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $13,764 $23,990 — $36,097 −62% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $13,764 $18,905 −27% $23,646 −42% —
153 OTITIS MEDIA AND URI WITHOUT MCC $13,682 $13,682 +0% $14,251 −4% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,609 $21,025 −35% $23,646 −42% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,609 $14,257 — $17,562 −23% —
150 EPISTAXIS WITH MCC $13,479 $17,087 — $21,133 −36% —
151 EPISTAXIS WITHOUT MCC $13,479 $13,479 +0% $13,032 +3% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,407 $28,009 −52% $17,851 −25% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,130 $15,005 −12% $15,370 −15% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $13,130 $13,186 −0% $13,090 +0% —
881 DEPRESSIVE NEUROSES $12,981 $12,981 +0% $15,058 −14% —
945 REHABILITATION WITH CC/MCC $12,654 $18,650 — $23,834 −47% —
946 REHABILITATION WITHOUT CC/MCC $12,654 $16,147 — $17,685 −28% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,445 $11,854 +5% $12,205 +2% —
882 NEUROSES EXCEPT DEPRESSIVE $12,351 $12,351 +0% $15,680 −21% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $12,089 $12,639 −4% $18,133 −33% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,089 $12,089 +0% $12,895 −6% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $11,884 $11,884 +0% $9,063 +31% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,832 $19,521 −39% $18,291 −35% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,832 $12,936 — $11,997 −1% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,817 $14,357 −18% $11,957 −1% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $10,982 $11,199 −2% $12,013 −9% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $10,431 $11,195 −7% $15,876 −34% —
779 ABORTION WITHOUT D&C $9,533 $15,893 −40% $15,327 −38% —
950 AFTERCARE WITHOUT CC/MCC $6,773 $8,813 — $13,527 −50% —
697 URETHRAL STRICTURE $6,723 $11,582 — $17,705 −62% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,398 $4,398 +0% $7,896 −44% —
795 NORMAL NEWBORN $3,680 $3,680 +0% $4,521 −19% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,270 $6,555 — $14,290 −84% —

Procedures with negotiated rates only

These 1 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 1 plans
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