St. Luke's Boise Medical Center — Pricing

722 procedures published in this hospital's Machine-Readable File (MRF) — 722 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 722
Lowest published price $3,902
Average published price $78,581
Highest published price $1,474,937

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 722 procedures

Published charges

Showing all 722 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 135 procedures, this hospital's negotiated rates average ≈454% of what Medicare pays.

DRG Description Published price Cash price vs. ID median vs. National median vs Medicare
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $1,474,937 — $1,474,937 +0% $98,912 +1391% —
014 Allogeneic Bone Marrow Transplant $1,382,078 $1,382,078 $1,382,078 +0% $182,314 +658% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck With Major O.R. Procedures $738,328 $738,328 $738,328 +0% $371,366 +99% —
955 Craniotomy For Multiple Significant Trauma $466,262 $466,262 $466,262 +0% $102,600 +354% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $458,417 $458,417 $458,417 +0% $90,401 +407% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck Without Major O.R. Procedures $416,015 $416,015 $416,015 +0% $248,521 +67% —
231 Coronary Bypass With Ptca With McC $401,278 $401,278 $401,278 +0% $147,227 +173% —
232 Coronary Bypass With Ptca Without McC $334,109 $334,109 $334,109 +0% $115,839 +188% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $326,149 $326,149 $326,149 +0% $188,171 +73% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $325,408 $325,408 $325,408 +0% $106,057 +207% —
016 Autologous Bone Marrow Transplant With Cc/McC $320,146 $320,146 $320,146 +0% $98,260 +226% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $317,232 $317,232 $317,232 +0% $143,242 +121% ≈445% of Medicare
969 Hiv With Extensive O.R. Procedures With McC $313,423 $313,423 $313,423 +0% $109,331 +187% —
790 Extreme Immaturity Or Respiratory Distress Syndrome Neonate $307,471 $307,471 $307,471 +0% $80,018 +284% —
012 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc $291,230 $291,230 $291,230 +0% $79,836 +265% —
905 Skin Grafts For Injuries Without Cc/McC $288,157 — $288,157 +0% $25,197 +1044% —
582 Mastectomy For Malignancy With Cc/McC $284,015 $284,015 $284,015 +0% $35,849 +692% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $282,159 $282,159 $282,159 +0% $148,832 +90% ≈563% of Medicare
456 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With McC $277,536 $277,536 $277,536 +0% $153,282 +81% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $268,249 $268,249 $268,249 +0% $111,320 +141% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $265,140 $265,140 $265,140 +0% $144,569 +83% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $261,689 $261,689 $261,689 +0% $90,331 +190% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $260,966 $260,966 $260,966 +0% $103,455 +152% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $248,763 $248,763 $248,763 +0% $102,573 +143% ≈618% of Medicare
453 Combined Anterior And Posterior Spinal Fusion With McC $245,840 $245,840 $245,840 +0% $103,861 +137% —
459 Spinal Fusion Except Cervical With McC $240,829 $240,829 $240,829 +0% $75,251 +220% —
654 Major Bladder Procedures With Cc $239,787 $239,787 $239,787 +0% $58,274 +311% —
235 Coronary Bypass Without Cardiac Catheterization With McC $235,214 $235,214 $235,214 +0% $112,062 +110% —
028 Spinal Procedures With McC $231,087 $231,087 $231,087 +0% $113,077 +104% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $230,961 $230,961 $230,961 +0% $116,058 +99% —
653 Major Bladder Procedures With McC $230,782 $230,782 $230,782 +0% $104,583 +121% —
215 Other Heart Assist System Implant $225,084 $225,084 $225,084 +0% $208,939 +8% —
913 Traumatic Injury With McC $225,017 — $225,017 +0% $24,198 +830% —
655 Major Bladder Procedures Without Cc/McC $222,310 $222,310 $222,310 +0% $43,174 +415% —
457 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With Cc $221,292 $221,292 $221,292 +0% $107,355 +106% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $217,711 $217,711 $217,711 +0% $148,686 +46% ≈304% of Medicare
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $216,306 $216,306 $216,306 +0% $96,192 +125% —
454 Combined Anterior And Posterior Spinal Fusion With Cc $213,279 $213,279 $213,279 +0% $69,101 +209% ≈413% of Medicare
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $212,088 $212,088 $212,088 +0% $90,724 +134% —
356 Other Digestive System O.R. Procedures With McC $208,213 $208,213 $208,213 +0% $82,561 +152% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $200,962 $200,962 $200,962 +0% $123,995 +62% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $199,837 $199,837 $199,837 +0% $82,247 +143% ≈623% of Medicare
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $197,044 $197,044 $197,044 +0% $54,196 +264% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $195,017 $195,017 $195,017 +0% $125,242 +56% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $192,525 $192,525 $192,525 +0% $101,510 +90% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $191,168 $191,168 $191,168 +0% $88,307 +116% ≈544% of Medicare
458 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions Without Cc/McC $186,794 $186,794 $186,794 +0% $83,441 +124% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $186,147 $186,147 $186,147 +0% $120,573 +54% —
834 Acute Leukemia Without Major O.R. Procedures With McC $185,984 $185,984 $185,984 +0% $85,566 +117% —
585 Breast Biopsy Local Excision And Other Breast Procedures Without Cc/McC $185,813 $185,813 $185,813 +0% $32,574 +470% —
614 Adrenal And Pituitary Procedures With Cc/McC $185,176 $185,176 $185,176 +0% $48,349 +283% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $183,295 $183,295 $183,295 +0% $87,761 +109% —
164 Major Chest Procedures With Cc $181,800 $181,800 $181,800 +0% $56,755 +220% ≈652% of Medicare
326 Stomach Esophageal And Duodenal Procedures With McC $180,917 $180,917 $180,917 +0% $80,793 +124% —
584 Breast Biopsy Local Excision And Other Breast Procedures With Cc/McC $178,998 $178,998 $178,998 +0% $35,030 +411% —
466 Revision Of Hip Or Knee Replacement With McC $175,629 $175,629 $175,629 +0% $96,507 +82% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $173,505 $173,505 $173,505 +0% $89,207 +94% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $170,273 $170,273 $170,273 +0% $56,836 +200% ≈522% of Medicare
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $170,096 $170,096 $170,096 +0% $106,778 +59% ≈456% of Medicare
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $168,799 $168,799 $168,799 +0% $50,498 +234% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $166,457 $166,457 $166,457 +0% $62,583 +166% —
011 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With McC $162,772 $162,772 $162,772 +0% $101,576 +60% —
662 Minor Bladder Procedures With McC $162,053 $162,053 $162,053 +0% $54,562 +197% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $161,797 $161,797 $161,797 +0% $65,788 +146% —
665 Prostatectomy With McC $160,583 $160,583 $160,583 +0% $54,072 +197% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $158,335 $158,335 $158,335 +0% $113,855 +39% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $157,653 $157,653 $157,653 +0% $66,711 +136% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $157,392 $157,392 $157,392 +0% $62,300 +153% —
329 Major Small And Large Bowel Procedures With McC $154,131 $154,131 $154,131 +0% $88,050 +75% ≈515% of Medicare
735 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $153,667 $153,667 $153,667 +0% $26,948 +470% —
405 Pancreas Liver And Shunt Procedures With McC $153,233 $153,233 $153,233 +0% $102,128 +50% —
460 Spinal Fusion Except Cervical Without McC $153,003 $153,003 $153,003 +0% $51,625 +196% ≈521% of Medicare
163 Major Chest Procedures With McC $151,824 $151,824 $151,824 +0% $90,195 +68% ≈436% of Medicare
625 Thyroid Parathyroid And Thyroglossal Procedures With McC $150,025 $150,025 $150,025 +0% $59,031 +154% —
622 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With McC $147,775 $147,775 $147,775 +0% $61,470 +140% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $147,419 $147,419 $147,419 +0% $29,611 +398% —
734 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/McC $147,192 $147,192 $147,192 +0% $42,795 +244% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $145,124 $145,124 $145,124 +0% $131,961 +10% —
333 Rectal Resection With Cc $143,996 $143,996 $143,996 +0% $37,154 +288% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $143,184 $143,184 $143,184 +0% $52,036 +175% —
166 Other Respiratory System O.R. Procedures With McC $142,720 $142,720 $142,720 +0% $75,573 +89% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $140,936 $140,936 $140,936 +0% $33,674 +319% —
791 Prematurity With Major Problems $140,542 $140,542 $140,542 +0% $42,679 +229% —
252 Other Vascular Procedures With McC $138,265 $138,265 $138,265 +0% $68,508 +102% —
270 Other Major Cardiovascular Procedures With McC $137,833 $137,833 $137,833 +0% $99,423 +39% ≈380% of Medicare
709 Penis Procedures With Cc/McC $136,060 $136,060 $136,060 +0% $34,535 +294% —
472 Cervical Spinal Fusion With Cc $135,799 $135,799 $135,799 +0% $59,537 +128% ≈592% of Medicare
276 Cardiac Defibrillator Implant With McC $135,709 $135,709 $135,709 +0% $117,280 +16% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $135,473 $135,473 $135,473 +0% $71,092 +91% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $133,999 $133,999 $133,999 +0% $64,523 +108% ≈417% of Medicare
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $133,553 $133,553 $133,553 +0% $90,775 +47% ≈361% of Medicare
471 Cervical Spinal Fusion With McC $131,813 $131,813 $131,813 +0% $92,515 +42% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $130,572 $130,572 $130,572 +0% $72,424 +80% —
330 Major Small And Large Bowel Procedures With Cc $129,720 $129,720 $129,720 +0% $59,500 +118% ≈788% of Medicare
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $129,318 $129,318 $129,318 +0% $69,743 +85% —
271 Other Major Cardiovascular Procedures With Cc $129,243 $129,243 $129,243 +0% $71,014 +82% ≈504% of Medicare
667 Prostatectomy Without Cc/McC $129,075 $129,075 $129,075 +0% $16,703 +673% —
492 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With McC $127,213 $127,213 $127,213 +0% $70,564 +80% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $126,786 $126,786 $126,786 +0% $67,268 +88% —
327 Stomach Esophageal And Duodenal Procedures With Cc $126,367 $126,367 $126,367 +0% $59,421 +113% ≈722% of Medicare
165 Major Chest Procedures Without Cc/McC $126,016 $126,016 $126,016 +0% $46,340 +172% ≈838% of Medicare
473 Cervical Spinal Fusion Without Cc/McC $125,340 $125,340 $125,340 +0% $50,624 +148% —
570 Skin Debridement With McC $123,974 $123,974 $123,974 +0% $52,435 +136% —
334 Rectal Resection Without Cc/McC $123,654 $123,654 $123,654 +0% $36,820 +236% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $123,587 $123,587 $123,587 +0% $58,707 +111% ≈700% of Medicare
140 Major Head And Neck Procedures With McC $123,269 $123,269 $123,269 +0% $60,098 +105% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $122,532 $122,532 $122,532 +0% $93,172 +32% ≈297% of Medicare
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $122,263 $122,263 $122,263 +0% $58,975 +107% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $122,181 $122,181 $122,181 +0% $85,159 +43% —
708 Major Male Pelvic Procedures Without Cc/McC $121,694 $121,694 $121,694 +0% $36,988 +229% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $121,628 $121,628 $121,628 +0% $54,583 +123% ≈695% of Medicare
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $121,125 $121,125 $121,125 +0% $44,363 +173% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $121,007 $121,007 $121,007 +0% $74,755 +62% ≈450% of Medicare
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $120,651 $120,651 $120,651 +0% $71,464 +69% —
510 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With McC $120,449 $120,449 $120,449 +0% $49,839 +142% —
467 Revision Of Hip Or Knee Replacement With Cc $120,070 $120,070 $120,070 +0% $70,847 +69% ≈492% of Medicare
347 Anal And Stomal Procedures With McC $119,136 $119,136 $119,136 +0% $40,548 +194% —
407 Pancreas Liver And Shunt Procedures Without Cc/McC $117,839 $117,839 $117,839 +0% $46,727 +152% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $116,793 $116,793 $116,793 +0% $108,472 +8% —
901 Wound Debridements For Injuries With McC $116,786 $116,786 $116,786 +0% $70,177 +66% —
273 Percutaneous And Other Intracardiac Procedures With McC $115,835 $115,835 $115,835 +0% $78,852 +47% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $115,661 $115,661 $115,661 +0% $33,393 +246% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $115,527 $115,527 $115,527 +0% $46,090 +151% ≈789% of Medicare
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $114,964 $114,964 $114,964 +0% $58,228 +97% —
907 Other O.R. Procedures For Injuries With McC $114,656 $114,656 $114,656 +0% $77,817 +47% —
583 Mastectomy For Malignancy Without Cc/McC $114,300 $114,300 $114,300 +0% $35,831 +219% —
037 Extracranial Procedures With McC $113,830 $113,830 $113,830 +0% $66,666 +71% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $113,432 $113,432 $113,432 +0% $40,365 +181% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $113,366 $113,366 $113,366 +0% $76,001 +49% —
040 Peripheral Cranial Nerve And Other Nervous System Procedures With McC $113,172 $113,172 $113,172 +0% $74,257 +52% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $112,636 $112,636 $112,636 +0% $61,832 +82% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $112,473 $112,473 $112,473 +0% $70,467 +60% —
277 Cardiac Defibrillator Implant Without McC $112,312 $112,312 $112,312 +0% $91,329 +23% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $112,254 $112,254 $112,254 +0% $66,068 +70% —
115 Extraocular Procedures Except Orbit $111,743 $111,743 $111,743 +0% $25,703 +335% —
801 Splenic Procedures Without Cc/McC $111,719 $111,719 $111,719 +0% $36,445 +207% —
789 Neonates Died Or Transferred To Another Acute Care Facility $111,416 $111,416 $111,416 +0% $16,351 +581% —
263 Vein Ligation And Stripping $110,742 $110,742 $110,742 +0% $51,253 +116% —
616 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With McC $110,562 $110,562 $110,562 +0% $66,685 +66% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $110,516 $110,516 $110,516 +0% $35,584 +211% —
357 Other Digestive System O.R. Procedures With Cc $110,226 $110,226 $110,226 +0% $48,682 +126% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $109,129 $109,129 $109,129 +0% $43,298 +152% —
406 Pancreas Liver And Shunt Procedures With Cc $109,080 $109,080 $109,080 +0% $58,043 +88% —
253 Other Vascular Procedures With Cc $107,774 $107,774 $107,774 +0% $57,454 +88% ≈555% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $107,185 $107,185 $107,185 +0% $46,066 +133% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $106,930 $106,930 $106,930 +0% $54,929 +95% ≈571% of Medicare
500 Soft Tissue Procedures With McC $106,820 $106,820 $106,820 +0% $61,872 +73% —
707 Major Male Pelvic Procedures With Cc/McC $106,670 $106,670 $106,670 +0% $43,080 +148% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $105,661 $105,661 $105,661 +0% $26,598 +297% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $105,336 $105,336 $105,336 +0% $81,706 +29% ≈526% of Medicare
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $104,961 $104,961 $104,961 +0% $59,533 +76% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $104,390 $104,390 $104,390 +0% $93,390 +12% —
258 Cardiac Pacemaker Device Replacement With McC $104,278 $104,278 $104,278 +0% $52,986 +97% —
042 Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc/McC $104,055 $104,055 $104,055 +0% $39,018 +167% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $103,659 $103,659 $103,659 +0% $50,139 +107% —
141 Major Head And Neck Procedures With Cc $103,369 $103,369 $103,369 +0% $37,267 +177% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $103,366 $103,366 $103,366 +0% $42,415 +144% —
142 Major Head And Neck Procedures Without Cc/McC $102,652 $102,652 $102,652 +0% $34,906 +194% —
143 Other Ear Nose Mouth And Throat O.R. Procedures With McC $102,215 $102,215 $102,215 +0% $52,908 +93% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $102,033 $102,033 $102,033 +0% $30,493 +235% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $101,769 $101,769 $101,769 +0% $58,280 +75% ≈702% of Medicare
272 Other Major Cardiovascular Procedures Without Cc/McC $101,123 $101,123 $101,123 +0% $55,162 +83% —
956 Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma $100,800 $100,800 $100,800 +0% $75,103 +34% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $100,562 $100,562 $100,562 +0% $68,653 +46% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $100,446 $100,446 $100,446 +0% $44,139 +128% ≈692% of Medicare
421 Hepatobiliary Diagnostic Procedures With Cc $100,356 $100,356 $100,356 +0% $36,354 +176% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $99,989 $99,989 $99,989 +0% $27,989 +257% —
835 Acute Leukemia Without Major O.R. Procedures With Cc $99,343 $99,343 $99,343 +0% $35,569 +179% —
545 Connective Tissue Disorders With McC $98,305 $98,305 $98,305 +0% $40,362 +144% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $97,747 $97,747 $97,747 +0% $79,225 +23% —
627 Thyroid Parathyroid And Thyroglossal Procedures Without Cc/McC $97,634 $97,634 $97,634 +0% $28,125 +247% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $97,105 $97,105 $97,105 +0% $34,434 +182% —
332 Rectal Resection With McC $96,644 $96,644 $96,644 +0% $58,125 +66% —
974 Hiv With Major Related Condition With McC $96,329 $96,329 $96,329 +0% $46,402 +108% —
254 Other Vascular Procedures Without Cc/McC $96,209 $96,209 $96,209 +0% $38,836 +148% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $95,920 $95,920 $95,920 +0% $73,120 +31% —
331 Major Small And Large Bowel Procedures Without Cc/McC $95,606 $95,606 $95,606 +0% $44,117 +117% ≈661% of Medicare
030 Spinal Procedures Without Cc/McC $95,510 $95,510 $95,510 +0% $45,866 +108% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $95,082 $95,082 $95,082 +0% $68,639 +39% —
673 Other Kidney And Urinary Tract Procedures With McC $94,895 $94,895 $94,895 +0% $77,990 +22% ≈352% of Medicare
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $94,788 $94,788 $94,788 +0% $53,864 +76% —
503 Foot Procedures With McC $94,537 $94,537 $94,537 +0% $47,540 +99% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $94,498 $94,498 $94,498 +0% $49,351 +91% —
656 Kidney And Ureter Procedures For Neoplasm With McC $94,454 $94,454 $94,454 +0% $65,608 +44% —
117 Intraocular Procedures Without Cc/McC $94,286 $94,286 $94,286 +0% $17,193 +448% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $93,700 $93,700 $93,700 +0% $43,800 +114% —
228 Other Cardiothoracic Procedures With McC $93,377 $93,377 $93,377 +0% $96,905 −4% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $91,950 $91,950 $91,950 +0% $47,945 +92% —
353 Hernia Procedures Except Inguinal And Femoral With McC $91,896 $91,896 $91,896 +0% $60,170 +53% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $91,668 $91,668 $91,668 +0% $36,253 +153% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $91,356 $91,356 $91,356 +0% $46,295 +97% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $90,936 $90,936 $90,936 +0% $53,451 +70% ≈570% of Medicare
480 Hip And Femur Procedures Except Major Joint With McC $90,766 $90,766 $90,766 +0% $65,653 +38% ≈460% of Medicare
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $90,457 $90,457 $90,457 +0% $27,323 +231% —
686 Kidney And Urinary Tract Neoplasms With McC $90,223 $90,223 $90,223 +0% $37,844 +138% —
013 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $90,162 $90,162 $90,162 +0% $48,687 +85% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $90,081 $90,081 $90,081 +0% $45,877 +96% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $89,747 $89,747 $89,747 +0% $59,629 +51% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $89,565 $89,565 $89,565 +0% $92,217 −3% ≈262% of Medicare
035 Carotid Artery Stent Procedures With Cc $89,446 $89,446 $89,446 +0% $49,066 +82% —
036 Carotid Artery Stent Procedures Without Cc/McC $88,852 $88,852 $88,852 +0% $40,694 +118% —
615 Adrenal And Pituitary Procedures Without Cc/McC $88,648 $88,648 $88,648 +0% $32,833 +170% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $88,321 $88,321 $88,321 +0% $29,805 +196% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $87,244 $87,244 $87,244 +0% $45,167 +93% —
413 Cholecystectomy With C.D.E. Without Cc/McC $86,589 $86,589 $86,589 +0% $29,316 +195% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $86,580 $86,580 $86,580 +0% $62,821 +38% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $86,200 $86,200 $86,200 +0% $58,809 +47% ≈711% of Medicare
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $86,190 $86,190 $86,190 +0% $47,789 +80% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $85,937 $85,937 $85,937 +0% $29,079 +196% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $85,637 $85,637 $85,637 +0% $59,790 +43% —
666 Prostatectomy With Cc $84,868 $84,868 $84,868 +0% $31,906 +166% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $84,692 $84,692 $84,692 +0% $84,692 +0% —
904 Skin Grafts For Injuries With Cc/McC $84,631 $84,631 $84,631 +0% $59,594 +42% —
336 Peritoneal Adhesiolysis With Cc $84,195 $84,195 $84,195 +0% $50,463 +67% ≈716% of Medicare
626 Thyroid Parathyroid And Thyroglossal Procedures With Cc $84,101 $84,101 $84,101 +0% $33,454 +151% —
747 Vagina Cervix And Vulva Procedures Without Cc/McC $83,883 $83,883 $83,883 +0% $19,594 +328% —
358 Other Digestive System O.R. Procedures Without Cc/McC $83,827 $83,827 $83,827 +0% $30,083 +179% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $83,804 $83,804 $83,804 +0% $32,841 +155% —
032 Ventricular Shunt Procedures With Cc $83,400 $83,400 $83,400 +0% $46,724 +78% —
335 Peritoneal Adhesiolysis With McC $83,337 $83,337 $83,337 +0% $71,755 +16% —
328 Stomach Esophageal And Duodenal Procedures Without Cc/McC $83,283 $83,283 $83,283 +0% $39,006 +114% ≈734% of Medicare
167 Other Respiratory System O.R. Procedures With Cc $83,234 $83,234 $83,234 +0% $40,642 +105% —
800 Splenic Procedures With Cc $82,923 $82,923 $82,923 +0% $49,184 +69% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $82,904 $82,904 $82,904 +0% $43,477 +91% —
146 Ear Nose Mouth And Throat Malignancy With McC $82,785 $82,785 $82,785 +0% $40,108 +106% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $82,691 $82,691 $82,691 +0% $35,465 +133% —
493 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc $81,983 $81,983 $81,983 +0% $59,651 +37% ≈488% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $81,838 $81,838 $81,838 +0% $44,606 +83% ≈755% of Medicare
412 Cholecystectomy With C.D.E. With Cc $81,825 $81,825 $81,825 +0% $42,906 +91% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $81,808 $81,808 $81,808 +0% $18,126 +351% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $81,471 $81,471 $81,471 +0% $40,552 +101% —
902 Wound Debridements For Injuries With Cc $80,814 $80,814 $80,814 +0% $40,562 +99% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $80,792 $80,792 $80,792 +0% $52,405 +54% ≈351% of Medicare
511 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc $80,167 $80,167 $80,167 +0% $43,538 +84% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $80,145 $80,145 $80,145 +0% $41,608 +93% —
619 O.R. Procedures For Obesity With McC $80,061 $80,061 $80,061 +0% $51,746 +55% —
264 Other Circulatory System O.R. Procedures $80,028 $80,028 $80,028 +0% $51,953 +54% —
906 Hand Procedures For Injuries $79,447 $79,447 $79,447 +0% $32,065 +148% —
630 Other Endocrine Nutritional And Metabolic O.R. Procedures Without Cc/McC $79,435 $79,435 $79,435 +0% $22,393 +255% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $79,016 $79,016 $79,016 +0% $36,937 +114% ≈1096% of Medicare
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $78,910 $78,910 $78,910 +0% $38,094 +107% —
712 Testes Procedures Without Cc/McC $78,437 $78,437 $78,437 +0% $18,898 +315% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $78,403 $78,403 $78,403 +0% $77,055 +2% —
908 Other O.R. Procedures For Injuries With Cc $78,303 $78,303 $78,303 +0% $42,914 +82% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $78,265 $78,265 $78,265 +0% $51,985 +51% ≈454% of Medicare
668 Transurethral Procedures With McC $78,136 $78,136 $78,136 +0% $51,608 +51% —
579 Other Skin Subcutaneous Tissue And Breast Procedures With McC $77,649 $77,649 $77,649 +0% $58,745 +32% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $77,444 $77,444 $77,444 +0% $43,913 +76% —
061 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $77,426 $77,426 $77,426 +0% $62,264 +24% —
674 Other Kidney And Urinary Tract Procedures With Cc $77,384 $77,384 $77,384 +0% $50,394 +54% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $77,278 $77,278 $77,278 +0% $25,073 +208% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $77,266 $77,266 $77,266 +0% $29,949 +158% —
481 Hip And Femur Procedures Except Major Joint With Cc $77,232 $77,232 $77,232 +0% $52,751 +46% ≈537% of Medicare
116 Intraocular Procedures With Cc/McC $76,972 $76,972 $76,972 +0% $29,126 +164% —
031 Ventricular Shunt Procedures With McC $76,457 $76,457 $76,457 +0% $72,962 +5% —
571 Skin Debridement With Cc $76,277 $76,277 $76,277 +0% $37,169 +105% —
144 Other Ear Nose Mouth And Throat O.R. Procedures With Cc $76,257 $76,257 $76,257 +0% $30,553 +150% —
034 Carotid Artery Stent Procedures With McC $76,048 $76,048 $76,048 +0% $76,219 −0% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $75,989 $75,989 $75,989 +0% $50,607 +50% ≈573% of Medicare
242 Permanent Cardiac Pacemaker Implant With McC $75,807 $75,807 $75,807 +0% $70,132 +8% ≈304% of Medicare
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $75,019 $75,019 $75,019 +0% $21,230 +253% —
746 Vagina Cervix And Vulva Procedures With Cc/McC $74,780 $74,780 $74,780 +0% $29,916 +150% —
669 Transurethral Procedures With Cc $74,530 $74,530 $74,530 +0% $34,354 +117% —
038 Extracranial Procedures With Cc $74,224 $74,224 $74,224 +0% $35,770 +108% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $74,149 $74,149 $74,149 +0% $25,390 +192% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $74,085 $74,085 $74,085 +0% $45,333 +63% —
337 Peritoneal Adhesiolysis Without Cc/McC $73,453 $73,453 $73,453 +0% $39,211 +87% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $73,451 $73,451 $73,451 +0% $32,443 +126% —
799 Splenic Procedures With McC $73,082 $73,082 $73,082 +0% $82,218 −11% —
265 Aicd Lead Procedures $72,197 $72,197 $72,197 +0% $63,171 +14% —
350 Inguinal And Femoral Hernia Procedures With McC $72,186 $72,186 $72,186 +0% $50,046 +44% —
056 Degenerative Nervous System Disorders With McC $72,002 $72,002 $72,002 +0% $39,973 +80% ≈407% of Medicare
286 Circulatory Disorders Except Ami With Cardiac Catheterization With McC $71,331 $71,331 $71,331 +0% $46,283 +54% ≈222% of Medicare
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $71,220 $71,220 $71,220 +0% $39,106 +82% ≈510% of Medicare
501 Soft Tissue Procedures With Cc $70,311 $70,311 $70,311 +0% $39,619 +77% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $70,038 $70,038 $70,038 +0% $37,240 +88% —
320 Other Endovascular Cardiac Valve Procedures Without McC $69,422 $69,422 $69,422 +0% $40,060 +73% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $69,178 $69,178 $69,178 +0% $34,607 +100% —
077 Hypertensive Encephalopathy With McC $69,029 $69,029 $69,029 +0% $24,550 +181% —
070 Nonspecific Cerebrovascular Disorders With McC $69,007 $69,007 $69,007 +0% $31,951 +116% —
580 Other Skin Subcutaneous Tissue And Breast Procedures With Cc $68,757 $68,757 $68,757 +0% $38,101 +80% —
623 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With Cc $68,211 $68,211 $68,211 +0% $34,459 +98% —
620 O.R. Procedures For Obesity With Cc $68,027 $68,027 $68,027 +0% $35,453 +92% —
922 Other Injury Poisoning And Toxic Effect Diagnoses With McC $67,591 $67,591 $67,591 +0% $31,563 +114% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $67,569 $67,569 $67,569 +0% $47,583 +42% —
840 Lymphoma And Non-Acute Leukemia With McC $67,559 $67,559 $67,559 +0% $49,710 +36% —
348 Anal And Stomal Procedures With Cc $67,303 $67,303 $67,303 +0% $27,947 +141% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $66,852 $66,852 $66,852 +0% $66,848 +0% —
502 Soft Tissue Procedures Without Cc/McC $66,090 $66,090 $66,090 +0% $31,017 +113% —
374 Digestive Malignancy With McC $65,848 $65,848 $65,848 +0% $39,958 +65% ≈435% of Medicare
052 Spinal Disorders And Injuries With Cc/McC $65,815 $65,815 $65,815 +0% $32,031 +105% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $65,458 $65,458 $65,458 +0% $34,276 +91% —
229 Other Cardiothoracic Procedures Without McC $65,252 $65,252 $65,252 +0% $65,325 −0% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $65,167 $65,167 $65,167 +0% $39,181 +66% —
085 Traumatic Stupor And Coma <1 Hour With McC $65,111 $65,111 $65,111 +0% $41,892 +55% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $64,628 $64,628 $64,628 +0% $22,811 +183% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $64,603 $64,603 $64,603 +0% $30,418 +112% —
713 Transurethral Prostatectomy With Cc/McC $64,577 $64,577 $64,577 +0% $32,100 +101% —
345 Minor Small And Large Bowel Procedures With Cc $64,476 $64,476 $64,476 +0% $33,048 +95% —
629 Other Endocrine Nutritional And Metabolic O.R. Procedures With Cc $64,056 $64,056 $64,056 +0% $47,737 +34% —
617 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With Cc $63,915 $63,915 $63,915 +0% $42,881 +49% ≈297% of Medicare
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $63,744 $63,744 $63,744 +0% $42,901 +49% —
062 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $63,477 $63,477 $63,477 +0% $52,075 +22% —
033 Ventricular Shunt Procedures Without Cc/McC $63,188 $63,188 $63,188 +0% $35,419 +78% —
671 Urethral Procedures With Cc/McC $62,892 $62,892 $62,892 +0% $27,233 +131% —
783 Cesarean Section With Sterilization With McC $62,814 $62,814 $62,814 +0% $29,221 +115% —
082 Traumatic Stupor And Coma >1 Hour With McC $62,586 $62,586 $62,586 +0% $36,489 +72% —
063 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $62,526 $62,526 $62,526 +0% $39,887 +57% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $62,361 $62,361 $62,361 +0% $30,243 +106% —
841 Lymphoma And Non-Acute Leukemia With Cc $62,239 $62,239 $62,239 +0% $33,633 +85% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $62,145 $62,145 $62,145 +0% $55,289 +12% —
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC $62,095 $62,095 $62,095 +0% $22,620 +175% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $62,041 $62,041 $62,041 +0% $41,620 +49% —
432 Cirrhosis And Alcoholic Hepatitis With McC $62,023 $62,023 $62,023 +0% $40,213 +54% ≈436% of Medicare
039 Extracranial Procedures Without Cc/McC $61,352 $61,352 $61,352 +0% $26,618 +130% ≈774% of Medicare
867 Other Infectious And Parasitic Diseases Diagnoses With McC $61,192 $61,192 $61,192 +0% $38,070 +61% —
397 Appendix Procedures With McC $61,092 $61,092 $61,092 +0% $53,257 +15% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $60,952 $60,952 $60,952 +0% $30,784 +98% —
849 Radiotherapy $60,948 $60,948 $60,948 +0% $37,862 +61% —
041 Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $60,878 $60,878 $60,878 +0% $49,418 +23% —
135 Sinus And Mastoid Procedures With Cc/McC $60,783 $60,783 $60,783 +0% $42,186 +44% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $60,393 $60,393 $60,393 +0% $24,544 +146% —
663 Minor Bladder Procedures With Cc $60,374 $60,374 $60,374 +0% $33,103 +82% —
621 O.R. Procedures For Obesity Without Cc/McC $60,321 $60,321 $60,321 +0% $32,451 +86% ≈952% of Medicare
398 Appendix Procedures With Cc $59,745 $59,745 $59,745 +0% $40,162 +49% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $59,733 $59,733 $59,733 +0% $25,970 +130% —
274 Percutaneous And Other Intracardiac Procedures Without McC $59,618 $59,618 $59,618 +0% $65,573 −9% ≈264% of Medicare
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $59,393 $59,393 $59,393 +0% $41,955 +42% ≈542% of Medicare
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $59,380 $59,380 $59,380 +0% $25,652 +131% —
289 Acute And Subacute Endocarditis With Cc $58,965 $58,965 $58,965 +0% $32,697 +80% —
722 Malignancy Male Reproductive System With McC $58,799 $58,799 $58,799 +0% $29,826 +97% —
512 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures Without Cc/McC $58,699 $58,699 $58,699 +0% $35,692 +64% —
314 Other Circulatory System Diagnoses With McC $58,629 $58,629 $58,629 +0% $38,666 +52% ≈416% of Medicare
539 Osteomyelitis With McC $58,493 $58,493 $58,493 +0% $37,609 +56% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $58,404 $58,404 $58,404 +0% $46,453 +26% —
196 Interstitial Lung Disease With McC $58,250 $58,250 $58,250 +0% $32,637 +78% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $58,046 $58,046 $58,046 +0% $43,631 +33% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $58,006 $58,006 $58,006 +0% $30,770 +89% —
814 Reticuloendothelial And Immunity Disorders With McC $57,961 $57,961 $57,961 +0% $33,851 +71% —
083 Traumatic Stupor And Coma >1 Hour With Cc $57,909 $57,909 $57,909 +0% $27,285 +112% —
494 Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc/McC $57,698 $57,698 $57,698 +0% $47,711 +21% —
504 Foot Procedures With Cc $57,641 $57,641 $57,641 +0% $38,960 +48% —
088 Concussion With McC $57,572 $57,572 $57,572 +0% $24,402 +136% —
597 Malignant Breast Disorders With McC $57,547 $57,547 $57,547 +0% $33,386 +72% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $57,461 $57,461 $57,461 +0% $39,515 +45% —
393 Other Digestive System Diagnoses With McC $57,385 $57,385 $57,385 +0% $34,192 +68% ≈487% of Medicare
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $57,358 $57,358 $57,358 +0% $37,950 +51% ≈394% of Medicare
710 Penis Procedures Without Cc/McC $57,210 $57,210 $57,210 +0% $26,436 +116% —
344 Minor Small And Large Bowel Procedures With McC $57,202 $57,202 $57,202 +0% $44,546 +28% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $57,121 $57,121 $57,121 +0% $35,628 +60% ≈403% of Medicare
399 Appendix Procedures Without Cc/McC $57,058 $57,058 $57,058 +0% $31,321 +82% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $56,927 $56,927 $56,927 +0% $24,941 +128% —
243 Permanent Cardiac Pacemaker Implant With Cc $56,920 $56,920 $56,920 +0% $50,011 +14% ≈351% of Medicare
285 Acute Myocardial Infarction Expired Without Cc/McC $56,766 $56,766 $56,766 +0% $10,480 +442% —
351 Inguinal And Femoral Hernia Procedures With Cc $56,466 $56,466 $56,466 +0% $36,505 +55% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $56,415 $56,415 $56,415 +0% $56,964 −1% —
572 Skin Debridement Without Cc/McC $56,310 $56,310 $56,310 +0% $24,944 +126% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $56,120 $56,120 $56,120 +0% $26,870 +109% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $56,081 $56,081 $56,081 +0% $43,943 +28% ≈392% of Medicare
628 Other Endocrine Nutritional And Metabolic O.R. Procedures With McC $55,868 $55,868 $55,868 +0% $71,795 −22% —
154 Other Ear Nose Mouth And Throat Diagnoses With McC $55,822 $55,822 $55,822 +0% $27,633 +102% —
385 Inflammatory Bowel Disease With McC $55,746 $55,746 $55,746 +0% $27,617 +102% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $55,680 $55,680 $55,680 +0% $49,423 +13% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $55,652 $55,652 $55,652 +0% $39,173 +42% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $55,108 $55,108 $55,108 +0% $41,591 +32% ≈438% of Medicare
744 D&C Conization Laparoscopy And Tubal Interruption With Cc/McC $55,105 $55,105 $55,105 +0% $38,861 +42% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $54,617 $54,617 $54,617 +0% $70,371 −22% —
245 Aicd Generator Procedures $54,526 $54,526 $54,526 +0% $72,076 −24% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $54,171 $54,171 $54,171 +0% $38,998 +39% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $54,075 $54,075 $54,075 +0% $25,094 +115% —
180 Respiratory Neoplasms With McC $53,725 $53,725 $53,725 +0% $36,658 +47% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $53,196 $53,196 $53,196 +0% $34,749 +53% —
786 Cesarean Section Without Sterilization With McC $53,106 $53,106 $53,106 +0% $27,152 +96% —
377 Gastrointestinal Hemorrhage With McC $52,968 $52,968 $52,968 +0% $37,842 +40% ≈409% of Medicare
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $52,824 $52,824 $52,824 +0% $36,670 +44% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $52,808 $52,808 $52,808 +0% $27,843 +90% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $52,178 $52,178 $52,178 +0% $52,178 +0% —
091 Other Disorders Of Nervous System With McC $52,125 $52,125 $52,125 +0% $37,387 +39% ≈306% of Medicare
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $52,012 $52,012 $52,012 +0% $33,653 +55% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $51,867 $51,867 $51,867 +0% $22,557 +130% —
075 Viral Meningitis With Cc/McC $51,617 $51,617 $51,617 +0% $30,447 +70% —
145 Other Ear Nose Mouth And Throat O.R. Procedures Without Cc/McC $51,491 $51,491 $51,491 +0% $25,712 +100% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $51,334 $51,334 $51,334 +0% $28,202 +82% —
100 Seizures With McC $51,298 $51,298 $51,298 +0% $35,481 +45% ≈383% of Medicare
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $50,968 $50,968 $50,968 +0% $36,431 +40% —
287 Circulatory Disorders Except Ami With Cardiac Catheterization Without McC $50,790 $50,790 $50,790 +0% $32,021 +59% ≈674% of Medicare
560 Aftercare Musculoskeletal System And Connective Tissue With Cc $50,667 $50,667 $50,667 +0% $25,279 +100% —
949 Aftercare With Cc/McC $50,421 $50,421 $50,421 +0% $23,953 +110% —
053 Spinal Disorders And Injuries Without Cc/McC $50,415 $50,415 $50,415 +0% $20,455 +146% —
186 Pleural Effusion With McC $50,141 $50,141 $50,141 +0% $33,834 +48% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $50,071 $50,071 $50,071 +0% $24,127 +108% —
562 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh With McC $49,960 $49,960 $49,960 +0% $29,743 +68% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $49,923 $49,923 $49,923 +0% $19,569 +155% —
559 Aftercare Musculoskeletal System And Connective Tissue With McC $49,713 $49,713 $49,713 +0% $33,047 +50% —
280 Acute Myocardial Infarction Discharged Alive With McC $49,696 $49,696 $49,696 +0% $30,828 +61% ≈470% of Medicare
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $49,206 $49,206 $49,206 +0% $31,170 +58% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $49,069 $49,069 $49,069 +0% $32,944 +49% —
057 Degenerative Nervous System Disorders Without McC $49,043 $49,043 $49,043 +0% $27,543 +78% ≈535% of Medicare
711 Testes Procedures With Cc/McC $48,616 $48,616 $48,616 +0% $38,343 +27% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $48,481 $48,481 $48,481 +0% $43,650 +11% —
283 Acute Myocardial Infarction Expired With McC $48,349 $48,349 $48,349 +0% $39,955 +21% —
909 Other O.R. Procedures For Injuries Without Cc/McC $48,321 $48,321 $48,321 +0% $28,156 +72% —
787 Cesarean Section Without Sterilization With Cc $48,239 $48,239 $48,239 +0% $23,571 +105% —
551 Medical Back Problems With McC $48,131 $48,131 $48,131 +0% $34,017 +41% —
714 Transurethral Prostatectomy Without Cc/McC $48,078 $48,078 $48,078 +0% $17,934 +168% —
444 Disorders Of The Biliary Tract With McC $47,990 $47,990 $47,990 +0% $34,273 +40% ≈365% of Medicare
137 Mouth Procedures With Cc/McC $47,883 $47,883 $47,883 +0% $27,861 +72% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $47,729 $47,729 $47,729 +0% $14,014 +241% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $47,715 $47,715 $47,715 +0% $31,264 +53% —
102 Headaches With McC $47,613 $47,613 $47,613 +0% $25,740 +85% —
664 Minor Bladder Procedures Without Cc/McC $47,601 $47,601 $47,601 +0% $22,314 +113% —
438 Disorders Of Pancreas Except Malignancy With McC $46,923 $46,923 $46,923 +0% $32,628 +44% ≈527% of Medicare
548 Septic Arthritis With McC $46,819 $46,819 $46,819 +0% $31,346 +49% —
349 Anal And Stomal Procedures Without Cc/McC $46,673 $46,673 $46,673 +0% $19,854 +135% —
535 Fractures Of Hip And Pelvis With McC $46,553 $46,553 $46,553 +0% $24,552 +90% —
618 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $46,461 $46,461 $46,461 +0% $19,354 +140% —
643 Endocrine Disorders With McC $46,446 $46,446 $46,446 +0% $33,563 +38% ≈387% of Medicare
304 Hypertension With McC $46,410 $46,410 $46,410 +0% $26,080 +78% —
697 Urethral Stricture $46,363 $46,363 $46,363 +0% $18,428 +152% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $46,299 $46,299 $46,299 +0% $29,524 +57% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $46,016 $46,016 $46,016 +0% $15,764 +192% —
113 Orbital Procedures With Cc/McC $45,952 $45,952 $45,952 +0% $36,167 +27% —
784 Cesarean Section With Sterilization With Cc $45,788 $45,788 $45,788 +0% $23,283 +97% —
177 Respiratory Infections And Inflammations With McC $45,593 $45,593 $45,593 +0% $33,707 +35% ≈411% of Medicare
513 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures With Cc/McC $45,570 $45,570 $45,570 +0% $33,424 +36% —
581 Other Skin Subcutaneous Tissue And Breast Procedures Without Cc/McC $45,558 $45,558 $45,558 +0% $26,932 +69% —
199 Pneumothorax With McC $45,558 $45,558 $45,558 +0% $33,787 +35% —
288 Acute And Subacute Endocarditis With McC $45,497 $45,497 $45,497 +0% $50,618 −10% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $45,395 $45,395 $45,395 +0% $27,119 +67% —
296 Cardiac Arrest Unexplained With McC $45,301 $45,301 $45,301 +0% $33,661 +35% —
592 Skin Ulcers With McC $45,164 $45,164 $45,164 +0% $33,246 +36% —
698 Other Kidney And Urinary Tract Diagnoses With McC $45,051 $45,051 $45,051 +0% $32,496 +39% ≈421% of Medicare
887 Other Mental Disorder Diagnoses $44,970 $44,970 $44,970 +0% $20,616 +118% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $44,904 $44,904 $44,904 +0% $26,770 +68% ≈517% of Medicare
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $44,874 $44,874 $44,874 +0% $33,555 +34% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $44,697 $44,697 $44,697 +0% $25,034 +79% —
670 Transurethral Procedures Without Cc/McC $44,603 $44,603 $44,603 +0% $20,911 +113% —
139 Salivary Gland Procedures $44,196 $44,196 $44,196 +0% $23,612 +87% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $44,057 $44,057 $44,057 +0% $28,320 +56% —
550 Septic Arthritis Without Cc/McC $44,049 $44,049 $44,049 +0% $19,138 +130% —
883 Disorders Of Personality And Impulse Control $43,959 $43,959 $43,959 +0% $23,206 +89% —
291 Heart Failure And Shock With McC $43,912 $43,912 $43,912 +0% $26,776 +64% ≈477% of Medicare
181 Respiratory Neoplasms With Cc $43,805 $43,805 $43,805 +0% $23,573 +86% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $43,301 $43,301 $43,301 +0% $25,748 +68% —
813 Coagulation Disorders $43,285 $43,285 $43,285 +0% $33,296 +30% ≈381% of Medicare
190 Chronic Obstructive Pulmonary Disease With McC $43,134 $43,134 $43,134 +0% $24,386 +77% ≈586% of Medicare
811 Red Blood Cell Disorders With McC $43,074 $43,074 $43,074 +0% $28,226 +53% ≈426% of Medicare
205 Other Respiratory System Diagnoses With McC $42,909 $42,909 $42,909 +0% $33,255 +29% ≈236% of Medicare
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $42,888 $42,888 $42,888 +0% $36,792 +17% ≈366% of Medicare
896 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $42,717 $42,717 $42,717 +0% $31,159 +37% ≈216% of Medicare
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $42,534 $42,534 $42,534 +0% $35,074 +21% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $42,485 $42,485 $42,485 +0% $19,962 +113% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $42,351 $42,351 $42,351 +0% $42,126 +1% —
380 Complicated Peptic Ulcer With McC $42,258 $42,258 $42,258 +0% $39,627 +7% ≈322% of Medicare
977 Hiv With Or Without Other Related Condition $42,219 $42,219 $42,219 +0% $22,525 +87% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $41,978 $41,978 $41,978 +0% $20,980 +100% —
368 Major Esophageal Disorders With McC $41,862 $41,862 $41,862 +0% $33,876 +24% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $41,752 $41,752 $41,752 +0% $18,126 +130% —
963 Other Multiple Significant Trauma With McC $41,403 $41,403 $41,403 +0% $43,491 −5% —
785 Cesarean Section With Sterilization Without Cc/McC $41,387 $41,387 $41,387 +0% $19,846 +109% —
441 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With McC $41,263 $41,263 $41,263 +0% $33,985 +21% ≈318% of Medicare
282 Acute Myocardial Infarction Discharged Alive Without Cc/McC $41,169 $41,169 $41,169 +0% $19,227 +114% ≈822% of Medicare
919 Complications Of Treatment With McC $41,069 $41,069 $41,069 +0% $31,105 +32% ≈307% of Medicare
788 Cesarean Section Without Sterilization Without Cc/McC $41,031 $41,031 $41,031 +0% $20,084 +104% —
078 Hypertensive Encephalopathy With Cc $40,883 $40,883 $40,883 +0% $17,698 +131% —
557 Tendonitis Myositis And Bursitis With McC $40,845 $40,845 $40,845 +0% $32,877 +24% —
682 Renal Failure With McC $40,777 $40,777 $40,777 +0% $29,064 +40% ≈397% of Medicare
546 Connective Tissue Disorders With Cc $40,709 $40,709 $40,709 +0% $25,700 +58% —
602 Cellulitis With McC $40,667 $40,667 $40,667 +0% $30,598 +33% ≈422% of Medicare
420 Hepatobiliary Diagnostic Procedures With McC $40,510 $40,510 $40,510 +0% $50,919 −20% —
640 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With McC $40,391 $40,391 $40,391 +0% $25,463 +59% ≈434% of Medicare
505 Foot Procedures Without Cc/McC $40,320 $40,320 $40,320 +0% $34,937 +15% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $40,041 $40,041 $40,041 +0% $23,551 +70% ≈532% of Medicare
375 Digestive Malignancy With Cc $39,995 $39,995 $39,995 +0% $27,277 +47% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $39,528 $39,528 $39,528 +0% $30,959 +28% ≈416% of Medicare
445 Disorders Of The Biliary Tract With Cc $39,393 $39,393 $39,393 +0% $23,319 +69% ≈516% of Medicare
748 Female Reproductive System Reconstructive Procedures $39,305 $39,305 $39,305 +0% $30,242 +30% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $39,178 $39,178 $39,178 +0% $19,270 +103% —
689 Kidney And Urinary Tract Infections With McC $39,157 $39,157 $39,157 +0% $23,617 +66% ≈485% of Medicare
157 Dental And Oral Diseases With McC $39,044 $39,044 $39,044 +0% $31,300 +25% —
281 Acute Myocardial Infarction Discharged Alive With Cc $38,875 $38,875 $38,875 +0% $20,463 +90% ≈641% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $38,714 $38,714 $38,714 +0% $23,940 +62% ≈537% of Medicare
695 Kidney And Urinary Tract Signs And Symptoms With McC $38,663 $38,663 $38,663 +0% $24,566 +57% —
950 Aftercare Without Cc/McC $38,649 $38,649 $38,649 +0% $13,527 +186% —
723 Malignancy Male Reproductive System With Cc $38,617 $38,617 $38,617 +0% $19,815 +95% —
917 Poisoning And Toxic Effects Of Drugs With McC $38,538 $38,538 $38,538 +0% $30,235 +27% ≈364% of Medicare
687 Kidney And Urinary Tract Neoplasms With Cc $38,400 $38,400 $38,400 +0% $20,232 +90% —
319 Other Endovascular Cardiac Valve Procedures With McC $38,324 $38,324 $38,324 +0% $86,970 −56% —
306 Cardiac Congenital And Valvular Disorders With McC $38,263 $38,263 $38,263 +0% $24,586 +56% —
178 Respiratory Infections And Inflammations With Cc $38,248 $38,248 $38,248 +0% $22,024 +74% ≈608% of Medicare
071 Nonspecific Cerebrovascular Disorders With Cc $38,036 $38,036 $38,036 +0% $23,488 +62% —
299 Peripheral Vascular Disorders With McC $37,811 $37,811 $37,811 +0% $27,316 +38% ≈369% of Medicare
903 Wound Debridements For Injuries Without Cc/McC $37,780 $37,780 $37,780 +0% $25,581 +48% —
191 Chronic Obstructive Pulmonary Disease With Cc $37,771 $37,771 $37,771 +0% $18,807 +101% —
920 Complications Of Treatment With Cc $37,651 $37,651 $37,651 +0% $22,468 +68% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $37,340 $37,340 $37,340 +0% $27,163 +37% —
637 Diabetes With McC $37,282 $37,282 $37,282 +0% $30,100 +24% ≈382% of Medicare
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $37,212 $37,212 $37,212 +0% $22,148 +68% —
540 Osteomyelitis With Cc $37,170 $37,170 $37,170 +0% $26,676 +39% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $36,893 $36,893 $36,893 +0% $33,694 +9% —
182 Respiratory Neoplasms Without Cc/McC $36,885 $36,885 $36,885 +0% $14,064 +162% —
561 Aftercare Musculoskeletal System And Connective Tissue Without Cc/McC $36,699 $36,699 $36,699 +0% $18,150 +102% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $36,683 $36,683 $36,683 +0% $22,763 +61% —
514 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures Without Cc/McC $36,680 $36,680 $36,680 +0% $22,635 +62% —
605 Trauma To The Skin Subcutaneous Tissue And Breast Without McC $36,536 $36,536 $36,536 +0% $20,506 +78% —
642 Inborn And Other Disorders Of Metabolism $36,423 $36,423 $36,423 +0% $20,727 +76% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $36,360 $36,360 $36,360 +0% $38,878 −6% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $36,254 $36,254 $36,254 +0% $14,501 +150% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $35,901 $35,901 $35,901 +0% $23,443 +53% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $35,770 $35,770 $35,770 +0% $23,498 +52% ≈355% of Medicare
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $35,531 $35,531 $35,531 +0% $18,452 +93% —
086 Traumatic Stupor And Coma <1 Hour With Cc $35,277 $35,277 $35,277 +0% $27,043 +30% —
770 Abortion With D&C Aspiration Curettage Or Hysterotomy $35,242 $35,242 $35,242 +0% $18,956 +86% —
533 Fractures Of Femur With McC $35,012 $35,012 $35,012 +0% $25,945 +35% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $34,831 $34,831 $34,831 +0% $21,847 +59% —
193 Simple Pneumonia And Pleurisy With McC $34,787 $34,787 $34,787 +0% $27,275 +28% ≈395% of Medicare
150 Epistaxis With McC $34,718 $34,718 $34,718 +0% $23,171 +50% —
259 Cardiac Pacemaker Device Replacement Without McC $34,690 $34,690 $34,690 +0% $39,020 −11% —
598 Malignant Breast Disorders With Cc $34,576 $34,576 $34,576 +0% $19,073 +81% —
745 D&C Conization Laparoscopy And Tubal Interruption Without Cc/McC $34,542 $34,542 $34,542 +0% $18,348 +88% —
074 Cranial And Peripheral Nerve Disorders Without McC $34,371 $34,371 $34,371 +0% $23,141 +49% —
547 Connective Tissue Disorders Without Cc/McC $34,256 $34,256 $34,256 +0% $16,565 +107% —
080 Nontraumatic Stupor And Coma With McC $34,225 $34,225 $34,225 +0% $36,249 −6% —
506 Major Thumb Or Joint Procedures $34,213 $34,213 $34,213 +0% $30,557 +12% —
391 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With McC $33,891 $33,891 $33,891 +0% $28,050 +21% ≈376% of Medicare
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $33,773 $33,773 $33,773 +0% $14,716 +130% —
549 Septic Arthritis With Cc $33,767 $33,767 $33,767 +0% $24,056 +40% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $33,697 $33,697 $33,697 +0% $23,749 +42% —
378 Gastrointestinal Hemorrhage With Cc $33,625 $33,625 $33,625 +0% $22,098 +52% ≈490% of Medicare
312 Syncope And Collapse $33,454 $33,454 $33,454 +0% $19,342 +73% ≈550% of Medicare
862 Postoperative And Post-Traumatic Infections With McC $33,379 $33,379 $33,379 +0% $32,859 +2% ≈243% of Medicare
079 Hypertensive Encephalopathy Without Cc/McC $33,268 $33,268 $33,268 +0% $11,847 +181% —
537 Sprains Strains And Dislocations Of Hip Pelvis And Thigh With Cc/McC $32,989 $32,989 $32,989 +0% $18,072 +83% —
864 Fever And Inflammatory Conditions $32,963 $32,963 $32,963 +0% $18,640 +77% —
092 Other Disorders Of Nervous System With Cc $32,606 $32,606 $32,606 +0% $24,914 +31% —
865 Viral Illness With McC $32,557 $32,557 $32,557 +0% $26,910 +21% —
103 Headaches Without McC $32,405 $32,405 $32,405 +0% $21,280 +52% —
384 Uncomplicated Peptic Ulcer Without McC $31,972 $31,972 $31,972 +0% $19,305 +66% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $31,920 $31,920 $31,920 +0% $21,275 +50% ≈458% of Medicare
553 Bone Diseases And Arthropathies With McC $31,839 $31,839 $31,839 +0% $26,051 +22% —
188 Pleural Effusion Without Cc/McC $31,796 $31,796 $31,796 +0% $14,514 +119% —
383 Uncomplicated Peptic Ulcer With McC $31,743 $31,743 $31,743 +0% $27,426 +16% —
947 Signs And Symptoms With McC $31,670 $31,670 $31,670 +0% $27,401 +16% —
138 Mouth Procedures Without Cc/McC $31,666 $31,666 $31,666 +0% $19,119 +66% —
069 Transient Ischemia Without Thrombolytic $31,422 $31,422 $31,422 +0% $21,056 +49% —
446 Disorders Of The Biliary Tract Without Cc/McC $31,383 $31,383 $31,383 +0% $17,700 +77% —
386 Inflammatory Bowel Disease With Cc $31,298 $31,298 $31,298 +0% $22,033 +42% —
300 Peripheral Vascular Disorders With Cc $31,073 $31,073 $31,073 +0% $20,422 +52% —
073 Cranial And Peripheral Nerve Disorders With McC $31,008 $31,008 $31,008 +0% $30,010 +3% —
965 Other Multiple Significant Trauma Without Cc/McC $30,997 $30,997 $30,997 +0% $20,259 +53% —
189 Pulmonary Edema And Respiratory Failure $30,836 $30,836 $30,836 +0% $26,580 +16% ≈348% of Medicare
315 Other Circulatory System Diagnoses With Cc $30,385 $30,385 $30,385 +0% $21,363 +42% —
554 Bone Diseases And Arthropathies Without McC $30,275 $30,275 $30,275 +0% $18,528 +63% —
644 Endocrine Disorders With Cc $30,261 $30,261 $30,261 +0% $23,198 +30% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $30,124 $30,124 $30,124 +0% $16,776 +80% —
604 Trauma To The Skin Subcutaneous Tissue And Breast With McC $30,093 $30,093 $30,093 +0% $28,140 +7% —
388 Gastrointestinal Obstruction With McC $29,808 $29,808 $29,808 +0% $30,571 −2% ≈261% of Medicare
054 Nervous System Neoplasms With McC $29,736 $29,736 $29,736 +0% $30,502 −3% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $29,719 $29,719 $29,719 +0% $22,888 +30% ≈425% of Medicare
999 Ungroupable $29,674 $29,674 $29,674 +0% $29,674 +0% —
863 Postoperative And Post-Traumatic Infections Without McC $29,606 $29,606 $29,606 +0% $20,957 +41% —
812 Red Blood Cell Disorders Without McC $29,591 $29,591 $29,591 +0% $20,488 +44% —
563 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without McC $29,467 $29,467 $29,467 +0% $19,842 +49% ≈484% of Medicare
305 Hypertension Without McC $29,390 $29,390 $29,390 +0% $18,086 +63% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $29,232 $29,232 $29,232 +0% $27,297 +7% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $29,170 $29,170 $29,170 +0% $17,303 +69% ≈562% of Medicare
081 Nontraumatic Stupor And Coma Without McC $29,151 $29,151 $29,151 +0% $16,552 +76% —
606 Minor Skin Disorders With McC $29,021 $29,021 $29,021 +0% $27,975 +4% —
442 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Cc $29,015 $29,015 $29,015 +0% $21,449 +35% —
758 Infections Female Reproductive System With Cc $28,977 $28,977 $28,977 +0% $20,901 +39% —
183 Major Chest Trauma With McC $28,924 $28,924 $28,924 +0% $29,933 −3% —
534 Fractures Of Femur Without McC $28,900 $28,900 $28,900 +0% $17,559 +65% —
975 Hiv With Major Related Condition With Cc $28,706 $28,706 $28,706 +0% $27,808 +3% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $28,697 $28,697 $28,697 +0% $22,850 +26% ≈396% of Medicare
897 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $28,123 $28,123 $28,123 +0% $16,699 +68% ≈498% of Medicare
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $27,974 $27,974 $27,974 +0% $31,134 −10% —
307 Cardiac Congenital And Valvular Disorders Without McC $27,831 $27,831 $27,831 +0% $20,566 +35% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $27,740 $27,740 $27,740 +0% $20,895 +33% —
394 Other Digestive System Diagnoses With Cc $27,718 $27,718 $27,718 +0% $20,181 +37% ≈455% of Medicare
756 Malignancy Female Reproductive System Without Cc/McC $27,505 $27,505 $27,505 +0% $15,589 +76% —
206 Other Respiratory System Diagnoses Without McC $26,974 $26,974 $26,974 +0% $18,488 +46% —
301 Peripheral Vascular Disorders Without Cc/McC $26,864 $26,864 $26,864 +0% $15,837 +70% —
204 Respiratory Signs And Symptoms $26,700 $26,700 $26,700 +0% $18,004 +48% —
089 Concussion With Cc $26,660 $26,660 $26,660 +0% $18,821 +42% —
725 Benign Prostatic Hypertrophy With McC $26,636 $26,636 $26,636 +0% $22,320 +19% —
369 Major Esophageal Disorders With Cc $26,577 $26,577 $26,577 +0% $25,303 +5% —
194 Simple Pneumonia And Pleurisy With Cc $26,569 $26,569 $26,569 +0% $18,204 +46% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $26,491 $26,491 $26,491 +0% $20,781 +27% ≈530% of Medicare
683 Renal Failure With Cc $26,459 $26,459 $26,459 +0% $19,130 +38% ≈411% of Medicare
638 Diabetes With Cc $26,373 $26,373 $26,373 +0% $19,661 +34% ≈448% of Medicare
757 Infections Female Reproductive System With McC $26,280 $26,280 $26,280 +0% $26,280 +0% —
552 Medical Back Problems Without McC $26,126 $26,126 $26,126 +0% $21,396 +22% ≈397% of Medicare
595 Major Skin Disorders With McC $25,836 $25,836 $25,836 +0% $34,598 −25% —
176 Pulmonary Embolism Without McC $25,786 $25,786 $25,786 +0% $18,081 +43% ≈462% of Medicare
101 Seizures Without McC $25,784 $25,784 $25,784 +0% $20,461 +26% ≈519% of Medicare
439 Disorders Of Pancreas Except Malignancy With Cc $25,673 $25,673 $25,673 +0% $19,096 +34% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $25,636 $25,636 $25,636 +0% $14,638 +75% —
915 Allergic Reactions With McC $25,416 $25,416 $25,416 +0% $32,645 −22% —
187 Pleural Effusion With Cc $25,315 $25,315 $25,315 +0% $21,789 +16% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $25,275 $25,275 $25,275 +0% $22,458 +13% ≈284% of Medicare
754 Malignancy Female Reproductive System With McC $25,249 $25,249 $25,249 +0% $32,433 −22% —
159 Dental And Oral Diseases Without Cc/McC $25,108 $25,108 $25,108 +0% $13,633 +84% —
607 Minor Skin Disorders Without McC $24,858 $24,858 $24,858 +0% $15,889 +56% —
866 Viral Illness Without McC $24,751 $24,751 $24,751 +0% $17,081 +45% —
123 Neurological Eye Disorders $24,686 $24,686 $24,686 +0% $19,745 +25% —
370 Major Esophageal Disorders Without Cc/McC $24,613 $24,613 $24,613 +0% $15,495 +59% —
055 Nervous System Neoplasms Without McC $24,598 $24,598 $24,598 +0% $20,926 +18% —
536 Fractures Of Hip And Pelvis Without McC $24,538 $24,538 $24,538 +0% $18,002 +36% ≈464% of Medicare
200 Pneumothorax With Cc $24,427 $24,427 $24,427 +0% $21,368 +14% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $24,336 $24,336 $24,336 +0% $16,846 +44% —
916 Allergic Reactions Without McC $24,210 $24,210 $24,210 +0% $13,942 +74% —
149 Dysequilibrium $23,998 $23,998 $23,998 +0% $18,096 +33% —
395 Other Digestive System Diagnoses Without Cc/McC $23,914 $23,914 $23,914 +0% $14,128 +69% —
302 Atherosclerosis With McC $23,877 $23,877 $23,877 +0% $22,446 +6% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $23,817 $23,817 $23,817 +0% $22,506 +6% —
727 Inflammation Of The Male Reproductive System With McC $23,767 $23,767 $23,767 +0% $26,463 −10% —
693 Urinary Stones With McC $23,654 $23,654 $23,654 +0% $23,892 −1% —
381 Complicated Peptic Ulcer With Cc $23,573 $23,573 $23,573 +0% $24,177 −2% —
292 Heart Failure And Shock With Cc $23,326 $23,326 $23,326 +0% $16,371 +42% —
759 Infections Female Reproductive System Without Cc/McC $23,163 $23,163 $23,163 +0% $14,250 +63% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $23,100 $23,100 $23,100 +0% $15,370 +50% —
294 Deep Vein Thrombophlebitis With Cc/McC $22,879 $22,879 $22,879 +0% $19,132 +20% —
376 Digestive Malignancy Without Cc/McC $22,872 $22,872 $22,872 +0% $16,998 +35% —
303 Atherosclerosis Without McC $22,832 $22,832 $22,832 +0% $14,927 +53% —
645 Endocrine Disorders Without Cc/McC $22,801 $22,801 $22,801 +0% $15,428 +48% —
284 Acute Myocardial Infarction Expired With Cc $22,789 $22,789 $22,789 +0% $16,450 +39% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $22,734 $22,734 $22,734 +0% $19,924 +14% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $22,723 $22,723 $22,723 +0% $16,767 +36% —
382 Complicated Peptic Ulcer Without Cc/McC $22,721 $22,721 $22,721 +0% $16,634 +37% —
313 Chest Pain $22,657 $22,657 $22,657 +0% $16,440 +38% —
690 Kidney And Urinary Tract Infections Without McC $22,623 $22,623 $22,623 +0% $17,674 +28% ≈394% of Medicare
694 Urinary Stones Without McC $22,594 $22,594 $22,594 +0% $17,345 +30% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $22,348 $22,348 $22,348 +0% $14,368 +56% —
726 Benign Prostatic Hypertrophy Without McC $22,200 $22,200 $22,200 +0% $15,019 +48% —
641 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes Without McC $22,186 $22,186 $22,186 +0% $17,038 +30% ≈397% of Medicare
684 Renal Failure Without Cc/McC $22,185 $22,185 $22,185 +0% $13,642 +63% —
603 Cellulitis Without McC $22,130 $22,130 $22,130 +0% $18,530 +19% ≈372% of Medicare
201 Pneumothorax Without Cc/McC $22,049 $22,049 $22,049 +0% $14,053 +57% —
948 Signs And Symptoms Without McC $21,917 $21,917 $21,917 +0% $17,921 +22% ≈374% of Medicare
558 Tendonitis Myositis And Bursitis Without McC $21,394 $21,394 $21,394 +0% $18,602 +15% —
596 Major Skin Disorders Without McC $21,166 $21,166 $21,166 +0% $17,226 +23% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $21,139 $21,139 $21,139 +0% $15,183 +39% —
076 Viral Meningitis Without Cc/McC $21,102 $21,102 $21,102 +0% $17,135 +23% —
184 Major Chest Trauma With Cc $20,842 $20,842 $20,842 +0% $22,432 −7% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $20,680 $20,680 $20,680 +0% $19,037 +9% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $20,577 $20,577 $20,577 +0% $17,733 +16% —
885 Psychoses $20,500 $20,500 $20,500 +0% $21,729 −6% ≈252% of Medicare
806 Vaginal Delivery Without Sterilization Or D&C With Cc $20,252 $20,252 $20,252 +0% $13,275 +53% —
202 Bronchitis And Asthma With Cc/McC $20,221 $20,221 $20,221 +0% $17,724 +14% —
389 Gastrointestinal Obstruction With Cc $20,117 $20,117 $20,117 +0% $17,578 +14% ≈367% of Medicare
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $20,075 $20,075 $20,075 +0% $18,133 +11% —
894 Alcohol Drug Abuse Or Dependence Left Ama $19,981 $19,981 $19,981 +0% $12,324 +62% —
639 Diabetes Without Cc/McC $19,867 $19,867 $19,867 +0% $13,910 +43% —
198 Interstitial Lung Disease Without Cc/McC $19,742 $19,742 $19,742 +0% $15,549 +27% —
951 Other Factors Influencing Health Status $19,718 $19,718 $19,718 +0% $10,160 +94% ≈461% of Medicare
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $19,680 $19,680 $19,680 +0% $13,384 +47% ≈503% of Medicare
121 Acute Major Eye Infections With Cc/McC $19,412 $19,412 $19,412 +0% $19,412 +0% —
923 Other Injury Poisoning And Toxic Effect Diagnoses Without McC $19,397 $19,397 $19,397 +0% $17,601 +10% —
392 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders Without McC $19,162 $19,162 $19,162 +0% $17,322 +11% ≈361% of Medicare
964 Other Multiple Significant Trauma With Cc $18,809 $18,809 $18,809 +0% $27,394 −31% —
387 Inflammatory Bowel Disease Without Cc/McC $18,752 $18,752 $18,752 +0% $16,288 +15% —
297 Cardiac Arrest Unexplained With Cc $18,612 $18,612 $18,612 +0% $12,336 +51% —
158 Dental And Oral Diseases With Cc $18,524 $18,524 $18,524 +0% $18,466 +0% —
093 Other Disorders Of Nervous System Without Cc/McC $18,469 $18,469 $18,469 +0% $17,620 +5% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $18,159 $18,159 $18,159 +0% $12,078 +50% —
541 Osteomyelitis Without Cc/McC $18,139 $18,139 $18,139 +0% $15,215 +19% —
316 Other Circulatory System Diagnoses Without Cc/McC $18,097 $18,097 $18,097 +0% $13,651 +33% —
151 Epistaxis Without McC $18,039 $18,039 $18,039 +0% $13,032 +38% —
390 Gastrointestinal Obstruction Without Cc/McC $17,394 $17,394 $17,394 +0% $13,361 +30% ≈509% of Medicare
155 Other Ear Nose Mouth And Throat Diagnoses With Cc $16,968 $16,968 $16,968 +0% $16,968 +0% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $15,968 $15,968 $15,968 +0% $16,520 −3% —
728 Inflammation Of The Male Reproductive System Without McC $15,568 $15,568 $15,568 +0% $17,118 −9% —
293 Heart Failure And Shock Without Cc/McC $15,551 $15,551 $15,551 +0% $12,999 +20% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $15,447 $15,447 $15,447 +0% $13,824 +12% —
779 Abortion Without D&C $15,299 $15,299 $15,299 +0% $15,327 −0% —
156 Other Ear Nose Mouth And Throat Diagnoses Without Cc/McC $15,279 $15,279 $15,279 +0% $14,549 +5% —
538 Sprains Strains And Dislocations Of Hip Pelvis And Thigh Without Cc/McC $15,259 $15,259 $15,259 +0% $11,909 +28% —
311 Angina Pectoris $15,151 $15,151 $15,151 +0% $15,502 −2% —
793 Full Term Neonate With Major Problems $15,141 $15,141 $15,141 +0% $18,649 −19% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $15,134 $15,134 $15,134 +0% $12,895 +17% —
918 Poisoning And Toxic Effects Of Drugs Without McC $14,733 $14,733 $14,733 +0% $15,452 −5% —
153 Otitis Media And Uri Without McC $14,499 $14,499 $14,499 +0% $14,583 −1% —
147 Ear Nose Mouth And Throat Malignancy With Cc $14,369 $14,369 $14,369 +0% $22,851 −37% —
152 Otitis Media And Uri With McC $14,326 $14,326 $14,326 +0% $20,247 −29% —
600 Non-Malignant Breast Disorders With Cc/McC $14,015 $14,015 $14,015 +0% $16,700 −16% —
921 Complications Of Treatment Without Cc/McC $14,012 $14,012 $14,012 +0% $14,415 −3% —
443 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $13,825 $13,825 $13,825 +0% $15,600 −11% —
884 Organic Disturbances And Intellectual Disability $13,696 $13,696 $13,696 +0% $26,682 −49% ≈120% of Medicare
122 Acute Major Eye Infections Without Cc/McC $13,513 $13,513 $13,513 +0% $11,997 +13% —
197 Interstitial Lung Disease With Cc $13,477 $13,477 $13,477 +0% $21,941 −39% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $13,303 $13,303 $13,303 +0% $14,797 −10% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $12,559 $12,559 $12,559 +0% $12,559 +0% —
203 Bronchitis And Asthma Without Cc/McC $12,511 $12,511 $12,511 +0% $12,252 +2% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $12,473 $12,473 $12,473 +0% $12,454 +0% —
935 Non-Extensive Burns $12,115 $12,115 $12,115 +0% $31,701 −62% —
886 Behavioral And Developmental Disorders $11,873 $11,873 $11,873 +0% $26,510 −55% —
148 Ear Nose Mouth And Throat Malignancy Without Cc/McC $11,867 $11,867 $11,867 +0% $13,586 −13% —
090 Concussion Without Cc/McC $11,788 $11,788 $11,788 +0% $15,412 −24% —
379 Gastrointestinal Hemorrhage Without Cc/McC $11,428 $11,428 $11,428 +0% $15,038 −24% —
179 Respiratory Infections And Inflammations Without Cc/McC $11,211 $11,211 $11,211 +0% $14,648 −23% —
792 Prematurity Without Major Problems $11,050 $11,050 $11,050 +0% $12,229 −10% —
881 Depressive Neuroses $10,946 $10,946 $10,946 +0% $15,058 −27% —
914 Traumatic Injury Without McC $10,763 $10,763 $10,763 +0% $15,855 −32% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $10,535 $10,535 $10,535 +0% $9,940 +6% —
882 Neuroses Except Depressive $9,926 $9,926 $9,926 +0% $15,680 −37% —
185 Major Chest Trauma Without Cc/McC $9,923 $9,923 $9,923 +0% $17,124 −42% —
815 Reticuloendothelial And Immunity Disorders With Cc $9,710 $9,710 $9,710 +0% $19,264 −50% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $9,641 $9,641 $9,641 +0% $21,894 −56% —
125 Other Disorders Of The Eye Without McC $9,641 $9,641 $9,641 +0% $17,298 −44% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $9,139 $9,139 $9,139 +0% $18,316 −50% —
593 Skin Ulcers With Cc $9,094 $9,094 $9,094 +0% $22,886 −60% —
755 Malignancy Female Reproductive System With Cc $9,019 $9,019 $9,019 +0% $18,459 −51% —
601 Non-Malignant Breast Disorders Without Cc/McC $8,991 $8,991 $8,991 +0% $10,975 −18% —
295 Deep Vein Thrombophlebitis Without Cc/McC $8,060 $8,060 $8,060 +0% $13,445 −40% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $7,687 $7,687 $7,687 +0% $11,421 −33% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $7,408 $7,408 $7,408 +0% $11,071 −33% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $7,129 $7,129 $7,129 +0% $12,460 −43% —
794 Neonate With Other Significant Problems $7,045 $7,045 $7,045 +0% $8,445 −17% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $6,067 $6,067 $6,067 +0% $15,215 −60% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $4,603 $4,603 $4,603 +0% $14,689 −69% —
795 Normal Newborn $3,963 $3,963 $3,963 +0% $4,720 −16% —
836 Acute Leukemia Without Major O.R. Procedures Without Cc/McC $3,902 $3,902 $3,902 +0% $19,686 −80% —
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