Copley Memorial Hospital — Pricing

703 procedures published in this hospital's Machine-Readable File (MRF) — 703 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 703
Lowest published price $4,601
Average published price $85,105
Highest published price $2,826,501

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 703 procedures

Published charges

Showing all 703 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 72 procedures, this hospital's negotiated rates average ≈200% of what Medicare pays.

DRG Description Published price Cash price vs. IL median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $2,826,501 $1,413,250 $2,225,533 +27% $498,715 +467% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,039,778 $519,889 $887,435 +17% $431,073 +141% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $631,458 $315,729 $548,072 +15% $371,366 +70% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $512,603 $256,302 $420,812 +22% $171,338 +199% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $441,137 $220,569 $441,137 +0% $86,459 +410% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $440,959 $220,480 $439,279 +0% $159,181 +177% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $394,259 $197,130 $411,402 −4% $245,241 +61% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $392,246 $196,123 $262,284 +50% $191,314 +105% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $378,462 $189,231 $29,844 +1168% $18,428 +1954% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $356,643 $178,321 $252,126 +41% $109,331 +226% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $342,915 $171,457 $51,315 +568% $44,839 +665% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $340,987 $170,494 $273,966 +24% $151,029 +126% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $337,167 $168,584 $337,167 +0% $182,314 +85% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $330,316 $165,158 $204,731 +61% $131,961 +150% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $317,211 $158,606 $315,902 +0% $134,914 +135% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $315,366 $157,683 $124,696 +153% $80,018 +294% —
662 MINOR BLADDER PROCEDURES WITH MCC $304,440 $152,220 $68,479 +345% $54,483 +459% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $293,862 $146,931 $191,535 +53% $118,589 +148% —
834 ACUTE LEUKEMIA WITH MCC $290,023 $145,011 $120,139 +141% $76,583 +279% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $286,932 $143,466 $418,845 −31% $105,612 +172% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $283,246 $141,623 $327,250 −13% $175,437 +61% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $281,325 $140,663 $302,520 −7% $71,551 +293% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $279,370 $139,685 $207,383 +35% $101,235 +176% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $263,309 $131,655 $263,309 +0% $56,242 +368% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $262,971 $131,486 $71,756 +266% $60,098 +338% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $260,280 $130,140 $139,916 +86% $57,855 +350% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $258,633 $129,316 $258,633 +0% $143,242 +81% —
231 CORONARY BYPASS WITH PTCA WITH MCC $257,212 $128,606 $257,212 +0% $146,474 +76% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $255,503 $127,752 $230,023 +11% $113,855 +124% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $254,561 $127,281 $200,653 +27% $117,280 +117% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $251,538 $125,769 $204,360 +23% $138,008 +82% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $250,323 $125,161 $247,477 +1% $121,714 +106% —
652 KIDNEY TRANSPLANT $249,761 $124,881 $258,233 −3% $54,720 +356% —
006 LIVER TRANSPLANT WITHOUT MCC $242,391 $121,196 $242,391 +0% $84,407 +187% —
835 ACUTE LEUKEMIA WITH CC $236,759 $118,379 $56,837 +317% $35,569 +566% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $231,723 $115,862 $224,578 +3% $138,868 +67% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $225,488 $112,744 $225,488 +0% $107,355 +110% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $219,505 $109,752 $86,553 +154% $78,582 +179% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $215,251 $107,625 $130,574 +65% $96,905 +122% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $212,323 $106,161 $116,316 +83% $86,953 +144% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $211,116 $105,558 $189,821 +11% $94,927 +122% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $207,902 $103,951 $110,844 +88% $72,859 +185% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $206,693 $103,347 $164,349 +26% $96,192 +115% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $199,015 $99,508 $95,225 +109% $80,747 +146% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $197,663 $98,831 $141,550 +40% $75,585 +162% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $196,077 $98,039 $135,829 +44% $99,423 +97% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $192,838 $96,419 $136,366 +41% $87,565 +120% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $192,346 $96,173 $180,921 +6% $106,778 +80% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $191,891 $95,946 $119,821 +60% $88,049 +118% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $191,083 $95,541 $140,952 +36% $83,065 +130% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $190,818 $95,409 $44,150 +332% $29,609 +544% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $190,514 $95,257 $100,097 +90% $87,018 +119% ≈206% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $189,279 $94,639 $100,833 +88% $86,390 +119% ≈193% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $187,084 $93,542 $96,172 +95% $96,222 +94% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $186,709 $93,354 $99,251 +88% $68,847 +171% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $186,675 $93,338 $174,935 +7% $92,217 +102% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $186,564 $93,282 $107,068 +74% $74,257 +151% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $185,305 $92,653 $126,946 +46% $82,561 +124% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $185,166 $92,583 $150,610 +23% $91,329 +103% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $182,979 $91,489 $176,550 +4% $112,062 +63% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $182,938 $91,469 $182,938 +0% $102,177 +79% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $174,812 $87,406 $118,624 +47% $57,277 +205% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $171,602 $85,801 $90,255 +90% $37,654 +356% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $170,327 $85,163 $173,151 −2% $102,573 +66% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $169,593 $84,796 $141,607 +20% $78,852 +115% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $168,866 $84,433 $98,360 +72% $80,885 +109% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $166,763 $83,382 $113,035 +48% $65,325 +155% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $166,707 $83,354 $91,241 +83% $56,964 +193% —
653 MAJOR BLADDER PROCEDURES WITH MCC $165,427 $82,714 $195,727 −15% $97,046 +70% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $163,653 $81,826 $163,565 +0% $88,307 +85% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $161,667 $80,834 $105,238 +54% $74,755 +116% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $161,592 $80,796 $141,719 +14% $88,691 +82% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $161,228 $80,614 $156,873 +3% $90,331 +78% —
028 SPINAL PROCEDURES WITH MCC $157,695 $78,847 $120,078 +31% $95,858 +65% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $157,523 $78,761 $77,657 +103% $51,953 +203% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $156,905 $78,452 $100,202 +57% $82,527 +90% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $155,546 $77,773 $153,843 +1% $116,058 +34% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $155,503 $77,751 $80,673 +93% $71,701 +117% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $155,065 $77,532 $70,552 +120% $63,984 +142% ≈190% of Medicare
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $154,006 $77,003 $76,620 +101% $66,853 +130% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $152,930 $76,465 $93,471 +64% $108,472 +41% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $151,813 $75,907 $88,076 +72% $72,945 +108% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $151,207 $75,603 $113,982 +33% $61,832 +145% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $149,616 $74,808 $110,629 +35% $72,011 +108% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $148,825 $74,412 $93,483 +59% $34,264 +334% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $147,728 $73,864 $151,494 −2% $98,260 +50% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $146,706 $73,353 $114,258 +28% $88,050 +67% ≈209% of Medicare
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $145,729 $72,864 $86,971 +68% $62,524 +133% —
471 CERVICAL SPINAL FUSION WITH MCC $145,249 $72,624 $129,466 +12% $92,515 +57% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $144,691 $72,345 $68,659 +111% $54,313 +166% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $144,235 $72,118 $53,593 +169% $29,109 +396% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $142,722 $71,361 $61,607 +132% $65,383 +118% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $141,585 $70,793 $140,830 +1% $70,735 +100% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $140,343 $70,172 $106,952 +31% $71,014 +98% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $140,102 $70,051 $126,423 +11% $67,901 +106% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $139,813 $69,906 $100,544 +39% $53,551 +161% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $138,239 $69,120 $20,662 +569% $14,284 +868% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $138,067 $69,034 $111,311 +24% $65,573 +111% ≈229% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $137,992 $68,996 $142,817 −3% $82,247 +68% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $137,062 $68,531 $105,992 +29% $70,132 +95% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $136,979 $68,490 $68,568 +100% $49,710 +176% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $136,626 $68,313 $93,793 +46% $76,954 +78% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $135,287 $67,644 $131,822 +3% $72,908 +86% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $135,034 $67,517 $156,159 −14% $73,029 +85% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $134,681 $67,340 $118,094 +14% $43,586 +209% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $132,045 $66,023 $53,307 +148% $55,097 +140% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $131,934 $65,967 $38,960 +239% $26,020 +407% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $131,533 $65,766 $99,374 +32% $74,274 +77% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $130,838 $65,419 $66,698 +96% $36,202 +261% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $129,857 $64,928 $136,226 −5% $83,441 +56% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $128,926 $64,463 $81,876 +57% $50,919 +153% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $128,822 $64,411 $106,469 +21% $64,152 +101% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $128,129 $64,064 $77,803 +65% $54,475 +135% —
252 OTHER VASCULAR PROCEDURES WITH MCC $128,007 $64,003 $96,624 +32% $68,508 +87% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $127,709 $63,854 $103,580 +23% $31,566 +305% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $125,752 $62,876 $92,487 +36% $71,755 +75% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $125,128 $62,564 $90,646 +38% $68,880 +82% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $124,678 $62,339 $85,781 +45% $46,659 +167% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $124,487 $62,244 $87,638 +42% $53,817 +131% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $124,298 $62,149 $101,177 +23% $60,140 +107% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $123,677 $61,838 $102,466 +21% $62,961 +96% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $123,239 $61,620 $124,395 −1% $66,819 +84% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $122,952 $61,476 $75,462 +63% $65,254 +88% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $121,741 $60,871 $93,151 +31% $67,764 +80% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $120,535 $60,268 $27,853 +333% $12,650 +853% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $120,407 $60,203 $80,474 +50% $34,900 +245% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $119,910 $59,955 $119,150 +1% $68,659 +75% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $119,290 $59,645 $98,890 +21% $72,782 +64% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $119,250 $59,625 $34,045 +250% $24,229 +392% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $117,925 $58,963 $97,106 +21% $53,555 +120% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $117,413 $58,707 $82,120 +43% $34,089 +244% —
709 PENIS PROCEDURES WITH CC/MCC $116,327 $58,163 $74,876 +55% $34,535 +237% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $115,701 $57,851 $111,032 +4% $57,521 +101% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $112,935 $56,467 $94,194 +20% $59,207 +91% —
163 MAJOR CHEST PROCEDURES WITH MCC $112,138 $56,069 $117,872 −5% $88,341 +27% —
500 SOFT TISSUE PROCEDURES WITH MCC $111,993 $55,997 $99,943 +12% $57,479 +95% —
504 FOOT PROCEDURES WITH CC $111,610 $55,805 $57,176 +95% $36,598 +205% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $111,397 $55,698 $66,504 +68% $56,394 +98% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $111,169 $55,585 $87,318 +27% $68,006 +63% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $110,923 $55,461 $110,923 +0% $58,043 +91% —
199 PNEUMOTHORAX WITH MCC $109,411 $54,705 $47,123 +132% $31,491 +247% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $108,889 $54,445 $67,631 +61% $62,269 +75% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $108,724 $54,362 $103,966 +5% $56,758 +92% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $108,375 $54,188 $108,375 +0% $52,332 +107% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $107,044 $53,522 $72,567 +48% $62,821 +70% —
397 APPENDIX PROCEDURES WITH MCC $106,883 $53,441 $61,356 +74% $52,319 +104% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $106,715 $53,358 $67,392 +58% $37,902 +182% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $106,642 $53,321 $64,719 +65% $52,908 +102% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $105,891 $52,946 $76,163 +39% $48,094 +120% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $105,534 $52,767 $44,283 +138% $32,399 +226% ≈217% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $105,454 $52,727 $73,436 +44% $54,929 +92% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $105,440 $52,720 $53,431 +97% $44,973 +134% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $105,090 $52,545 $63,522 +65% $50,139 +110% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $104,762 $52,381 $83,551 +25% $57,149 +83% ≈230% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $104,457 $52,228 $111,100 −6% $64,465 +62% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $102,845 $51,422 $53,985 +91% $47,583 +116% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $102,067 $51,034 $100,656 +1% $64,776 +58% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $102,058 $51,029 $64,506 +58% $75,103 +36% —
253 OTHER VASCULAR PROCEDURES WITH CC $101,838 $50,919 $100,112 +2% $53,746 +89% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $100,263 $50,132 $66,077 +52% $56,519 +77% ≈201% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $100,050 $50,025 $68,936 +45% $54,824 +82% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $99,783 $49,891 $75,273 +33% $54,196 +84% —
336 PERITONEAL ADHESIOLYSIS WITH CC $99,044 $49,522 $65,428 +51% $49,470 +100% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $98,900 $49,450 $64,787 +53% $51,172 +93% ≈198% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $98,891 $49,446 $75,882 +30% $41,380 +139% —
333 RECTAL RESECTION WITH CC $97,527 $48,763 $57,285 +70% $34,352 +184% —
654 MAJOR BLADDER PROCEDURES WITH CC $97,430 $48,715 $99,956 −3% $53,868 +81% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $97,176 $48,588 $97,176 +0% $64,956 +50% —
663 MINOR BLADDER PROCEDURES WITH CC $96,719 $48,360 $41,547 +133% $29,924 +223% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $96,410 $48,205 $96,410 +0% $63,475 +52% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $96,340 $48,170 $77,469 +24% $38,382 +151% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $96,280 $48,140 $94,188 +2% $40,232 +139% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $95,684 $47,842 $85,758 +12% $43,080 +122% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $95,664 $47,832 $99,411 −4% $29,633 +223% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $95,568 $47,784 $61,060 +57% $32,538 +194% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $95,461 $47,730 $51,873 +84% $43,524 +119% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $95,088 $47,544 $32,064 +197% $19,001 +400% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $94,780 $47,390 $74,515 +27% $46,066 +106% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $94,484 $47,242 $78,828 +20% $57,963 +63% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $94,052 $47,026 $72,598 +30% $58,832 +60% ≈198% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $93,898 $46,949 $86,261 +9% $52,405 +79% ≈201% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $93,861 $46,930 $40,969 +129% $25,666 +266% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $93,387 $46,694 $88,949 +5% $58,968 +58% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $92,690 $46,345 $73,783 +26% $46,591 +99% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $92,672 $46,336 $73,163 +27% $50,011 +85% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $92,657 $46,328 $36,570 +153% $25,243 +267% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $92,597 $46,299 $70,563 +31% $52,313 +77% ≈191% of Medicare
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $92,478 $46,239 $88,395 +5% $45,290 +104% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $92,297 $46,149 $81,786 +13% $34,906 +164% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $92,043 $46,021 $59,244 +55% $35,014 +163% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $91,777 $45,888 $42,506 +116% $32,981 +178% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $91,224 $45,612 $86,721 +5% $55,162 +65% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $91,142 $45,571 $63,609 +43% $36,280 +151% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $90,706 $45,353 $50,084 +81% $41,520 +118% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $90,023 $45,011 $89,166 +1% $44,363 +103% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $89,612 $44,806 $39,705 +126% $36,334 +147% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $89,250 $44,625 $76,763 +16% $51,985 +72% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $89,123 $44,562 $31,597 +182% $23,734 +276% —
799 SPLENIC PROCEDURES WITH MCC $88,461 $44,231 $88,461 +0% $78,821 +12% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $88,458 $44,229 $140,408 −37% $84,861 +4% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $88,041 $44,021 $25,396 +247% $17,226 +411% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $88,036 $44,018 $46,334 +90% $37,950 +132% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $87,487 $43,743 $64,508 +36% $44,989 +94% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $86,707 $43,353 $62,173 +39% $40,583 +114% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $86,703 $43,352 $81,755 +6% $62,404 +39% —
263 VEIN LIGATION AND STRIPPING $86,653 $43,326 $44,903 +93% $44,938 +93% —
374 DIGESTIVE MALIGNANCY WITH MCC $86,354 $43,177 $40,031 +116% $38,885 +122% —
472 CERVICAL SPINAL FUSION WITH CC $86,311 $43,155 $87,420 −1% $59,537 +45% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $85,972 $42,986 $79,807 +8% $36,850 +133% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $85,781 $42,890 $73,049 +17% $32,839 +161% —
265 AICD LEAD PROCEDURES $85,568 $42,784 $95,384 −10% $56,695 +51% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $85,291 $42,646 $44,433 +92% $36,933 +131% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $85,285 $42,642 $84,683 +1% $45,432 +88% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $85,036 $42,518 $42,358 +101% $35,237 +141% ≈202% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $84,975 $42,487 $55,568 +53% $37,975 +124% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $84,472 $42,236 $66,738 +27% $44,600 +89% ≈208% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $83,963 $41,982 $40,679 +106% $39,409 +113% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $83,506 $41,753 $83,506 +0% $51,339 +63% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $83,477 $41,738 $76,912 +9% $45,622 +83% —
245 AICD GENERATOR PROCEDURES $83,436 $41,718 $75,000 +11% $72,076 +16% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $83,386 $41,693 $51,392 +62% $31,909 +161% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $83,116 $41,558 $77,379 +7% $54,772 +52% ≈234% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $83,059 $41,529 $59,785 +39% $45,963 +81% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $82,702 $41,351 $40,928 +102% $36,097 +129% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $82,591 $41,296 $56,245 +47% $38,094 +117% —
597 MALIGNANT BREAST DISORDERS WITH MCC $81,828 $40,914 $52,249 +57% $31,846 +157% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $81,694 $40,847 $81,694 +0% $39,253 +108% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $81,689 $40,844 $41,270 +98% $30,814 +165% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $81,059 $40,530 $41,629 +95% $17,398 +366% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $80,707 $40,353 $54,030 +49% $32,483 +148% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $80,668 $40,334 $70,361 +15% $44,553 +81% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $80,590 $40,295 $51,557 +56% $35,714 +126% ≈207% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $80,468 $40,234 $83,780 −4% $59,425 +35% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $79,854 $39,927 $47,635 +68% $27,321 +192% —
665 PROSTATECTOMY WITH MCC $79,823 $39,911 $79,823 +0% $54,072 +48% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $79,587 $39,794 $64,986 +22% $33,050 +141% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $79,534 $39,767 $79,534 +0% $47,546 +67% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $79,350 $39,675 $57,915 +37% $43,266 +83% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $79,218 $39,609 $51,942 +53% $44,053 +80% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $79,074 $39,537 $59,166 +34% $29,558 +168% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $79,005 $39,502 $55,817 +42% $30,418 +160% —
100 SEIZURES WITH MCC $78,954 $39,477 $40,673 +94% $35,194 +124% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $78,892 $39,446 $77,074 +2% $36,242 +118% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $78,805 $39,403 $64,209 +23% $32,911 +139% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $78,618 $39,309 $57,626 +36% $35,114 +124% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $78,600 $39,300 $48,282 +63% $31,128 +153% —
505 FOOT PROCEDURES WITHOUT CC/MCC $78,540 $39,270 $70,524 +11% $31,716 +148% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $78,287 $39,143 $71,126 +10% $46,430 +69% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $78,263 $39,131 $63,833 +23% $37,064 +111% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $77,913 $38,957 $57,568 +35% $39,018 +100% —
380 COMPLICATED PEPTIC ULCER WITH MCC $77,830 $38,915 $58,065 +34% $36,641 +112% —
811 RED BLOOD CELL DISORDERS WITH MCC $77,803 $38,901 $41,092 +89% $27,934 +179% ≈197% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $77,665 $38,832 $64,201 +21% $38,836 +100% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $77,181 $38,591 $67,660 +14% $45,817 +68% ≈215% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $77,145 $38,572 $78,238 −1% $50,624 +52% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $76,931 $38,466 $57,124 +35% $25,149 +206% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $76,918 $38,459 $48,486 +59% $32,502 +137% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $76,489 $38,245 $47,265 +62% $38,357 +99% ≈181% of Medicare
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $76,420 $38,210 $26,537 +188% $13,385 +471% —
915 ALLERGIC REACTIONS WITH MCC $76,156 $38,078 $54,727 +39% $30,944 +146% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $75,741 $37,871 $62,841 +21% $38,420 +97% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $75,690 $37,845 $70,859 +7% $46,477 +63% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $75,612 $37,806 $67,596 +12% $48,682 +55% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $75,583 $37,792 $35,131 +115% $24,465 +209% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $75,431 $37,716 $96,842 −22% $68,399 +10% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $74,947 $37,473 $44,197 +70% $32,490 +131% —
571 SKIN DEBRIDEMENT WITH CC $74,866 $37,433 $45,052 +66% $34,901 +115% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $74,759 $37,380 $44,373 +68% $18,126 +312% —
503 FOOT PROCEDURES WITH MCC $74,413 $37,206 $91,758 −19% $43,901 +70% —
919 COMPLICATIONS OF TREATMENT WITH MCC $74,409 $37,205 $37,347 +99% $29,031 +156% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $74,242 $37,121 $85,111 −13% $35,686 +108% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $74,223 $37,111 $59,012 +26% $49,631 +50% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $73,813 $36,906 $73,813 +0% $43,775 +69% —
710 PENIS PROCEDURES WITHOUT CC/MCC $73,483 $36,741 $33,236 +121% $23,814 +209% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $73,227 $36,614 $35,422 +107% $26,322 +178% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $73,173 $36,587 $55,924 +31% $36,239 +102% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $72,572 $36,286 $74,684 −3% $36,597 +98% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $72,554 $36,277 $70,245 +3% $35,673 +103% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $72,448 $36,224 $67,075 +8% $41,703 +74% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $71,873 $35,937 $57,466 +25% $41,660 +73% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $71,779 $35,889 $59,948 +20% $31,816 +126% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $71,400 $35,700 $68,988 +3% $48,680 +47% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $70,764 $35,382 $46,986 +51% $46,402 +53% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $70,677 $35,339 $67,170 +5% $28,578 +147% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $70,647 $35,323 $50,988 +39% $33,792 +109% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $70,472 $35,236 $36,815 +91% $30,394 +132% —
668 TRANSURETHRAL PROCEDURES WITH MCC $70,386 $35,193 $57,575 +22% $47,277 +49% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $70,051 $35,025 $62,233 +13% $40,063 +75% —
693 URINARY STONES WITH MCC $70,034 $35,017 $45,108 +55% $22,525 +211% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $69,839 $34,920 $47,520 +47% $29,484 +137% —
711 TESTES PROCEDURES WITH CC/MCC $69,830 $34,915 $75,177 −7% $34,852 +100% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $69,651 $34,825 $49,624 +40% $37,842 +84% ≈200% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $69,505 $34,753 $40,489 +72% $31,062 +124% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $69,320 $34,660 $63,204 +10% $27,548 +152% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $69,305 $34,653 $66,720 +4% $33,984 +104% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $69,018 $34,509 $57,203 +21% $49,197 +40% ≈195% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $68,996 $34,498 $41,006 +68% $36,658 +88% ≈168% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $68,980 $34,490 $56,233 +23% $42,119 +64% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $68,802 $34,401 $57,488 +20% $43,538 +58% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $68,787 $34,394 $65,490 +5% $35,528 +94% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $68,737 $34,369 $47,215 +46% $37,080 +85% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $68,569 $34,285 $30,386 +126% $24,450 +180% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $68,557 $34,278 $32,687 +110% $28,252 +143% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $68,362 $34,181 $64,992 +5% $35,584 +92% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $68,113 $34,057 $54,607 +25% $44,117 +54% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $68,074 $34,037 $37,694 +81% $29,211 +133% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $67,472 $33,736 $53,257 +27% $42,881 +57% —
539 OSTEOMYELITIS WITH MCC $67,346 $33,673 $51,245 +31% $33,746 +100% —
164 MAJOR CHEST PROCEDURES WITH CC $67,318 $33,659 $87,378 −23% $53,141 +27% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $67,126 $33,563 $40,053 +68% $31,840 +111% ≈186% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $66,981 $33,491 $55,728 +20% $36,333 +84% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $66,978 $33,489 $54,760 +22% $38,998 +72% —
398 APPENDIX PROCEDURES WITH CC $66,880 $33,440 $52,045 +29% $39,107 +71% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $66,871 $33,435 $47,431 +41% $30,358 +120% ≈192% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $66,706 $33,353 $27,151 +146% $13,485 +395% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $66,603 $33,302 $50,142 +33% $36,375 +83% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $66,473 $33,236 $35,560 +87% $24,022 +177% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $66,259 $33,130 $89,321 −26% $70,540 −6% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $66,157 $33,079 $69,362 −5% $30,972 +114% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $65,963 $32,982 $64,724 +2% $43,398 +52% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $65,560 $32,780 $49,057 +34% $35,375 +85% —
038 EXTRACRANIAL PROCEDURES WITH CC $65,513 $32,756 $65,140 +1% $35,770 +83% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $65,446 $32,723 $51,475 +27% $41,900 +56% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $65,289 $32,645 $63,383 +3% $54,129 +21% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $65,176 $32,588 $45,971 +42% $28,967 +125% ≈198% of Medicare
570 SKIN DEBRIDEMENT WITH MCC $64,938 $32,469 $60,987 +6% $52,435 +24% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $64,889 $32,445 $34,218 +90% $31,059 +109% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $64,836 $32,418 $45,159 +44% $39,657 +63% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $64,603 $32,302 $33,832 +91% $25,197 +156% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $64,315 $32,158 $60,283 +7% $27,279 +136% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $64,286 $32,143 $64,286 +0% $49,065 +31% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $63,645 $31,822 $76,245 −17% $43,800 +45% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $63,625 $31,813 $85,467 −26% $39,093 +63% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $63,544 $31,772 $61,891 +3% $31,978 +99% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $63,449 $31,725 $63,449 +0% $40,065 +58% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $63,204 $31,602 $39,722 +59% $32,689 +93% ≈199% of Medicare
116 INTRAOCULAR PROCEDURES WITH CC/MCC $63,027 $31,514 $51,076 +23% $28,103 +124% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $62,541 $31,271 $64,486 −3% $40,552 +54% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $62,492 $31,246 $64,751 −3% $60,861 +3% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $62,221 $31,111 $50,906 +22% $35,453 +76% —
791 PREMATURITY WITH MAJOR PROBLEMS $61,786 $30,893 $55,887 +11% $39,563 +56% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $61,629 $30,815 $59,433 +4% $29,916 +106% —
113 ORBITAL PROCEDURES WITH CC/MCC $61,421 $30,711 $50,587 +21% $35,642 +72% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $61,371 $30,686 $34,165 +80% $30,058 +104% ≈199% of Medicare
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $61,357 $30,678 $55,321 +11% $36,237 +69% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $61,326 $30,663 $52,227 +17% $30,930 +98% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $61,086 $30,543 $45,303 +35% $28,646 +113% —
682 RENAL FAILURE WITH MCC $60,840 $30,420 $38,846 +57% $27,854 +118% ≈186% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $60,797 $30,398 $53,879 +13% $40,563 +50% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $60,529 $30,264 $51,259 +18% $39,747 +52% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $60,488 $30,244 $47,182 +28% $33,137 +83% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $60,476 $30,238 $58,351 +4% $35,459 +71% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $60,151 $30,075 $46,367 +30% $29,476 +104% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $59,034 $29,517 $62,245 −5% $40,694 +45% —
157 DENTAL AND ORAL DISEASES WITH MCC $58,886 $29,443 $34,196 +72% $27,457 +114% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $58,838 $29,419 $51,179 +15% $34,887 +69% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $58,501 $29,250 $32,936 +78% $24,202 +142% —
302 ATHEROSCLEROSIS WITH MCC $58,370 $29,185 $30,325 +92% $20,844 +180% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $58,126 $29,063 $41,862 +39% $28,140 +107% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $58,075 $29,038 $36,087 +61% $33,490 +73% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $57,861 $28,930 $41,561 +39% $21,860 +165% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $57,637 $28,819 $40,286 +43% $28,780 +100% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $57,579 $28,790 $45,016 +28% $33,607 +71% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $57,330 $28,665 $53,313 +8% $24,879 +130% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $57,208 $28,604 $51,451 +11% $31,812 +80% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $56,927 $28,464 $78,851 −28% $36,080 +58% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $56,873 $28,437 $60,845 −7% $35,542 +60% —
037 EXTRACRANIAL PROCEDURES WITH MCC $56,783 $28,391 $94,688 −40% $64,749 −12% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $56,541 $28,270 $38,319 +48% $30,766 +84% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $56,425 $28,212 $31,342 +80% $35,139 +61% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $55,756 $27,878 $39,772 +40% $23,469 +138% ≈201% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $55,648 $27,824 $27,668 +101% $21,806 +155% —
606 MINOR SKIN DISORDERS WITH MCC $55,489 $27,745 $55,489 +0% $25,434 +118% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $55,118 $27,559 $34,966 +58% $25,731 +114% ≈222% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $55,061 $27,530 $52,481 +5% $30,974 +78% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $55,021 $27,510 $33,008 +67% $20,968 +162% —
598 MALIGNANT BREAST DISORDERS WITH CC $54,928 $27,464 $38,327 +43% $19,073 +188% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $54,704 $27,352 $34,624 +58% $22,032 +148% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $54,483 $27,241 $36,615 +49% $22,525 +142% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $54,403 $27,201 $54,422 −0% $29,050 +87% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $54,388 $27,194 $39,927 +36% $29,729 +83% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $54,059 $27,030 $46,530 +16% $32,451 +67% —
669 TRANSURETHRAL PROCEDURES WITH CC $53,925 $26,963 $37,821 +43% $34,354 +57% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $53,903 $26,952 $25,725 +110% $13,303 +305% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $53,797 $26,898 $48,043 +12% $25,390 +112% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $53,778 $26,889 $27,728 +94% $17,550 +206% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $53,771 $26,885 $48,064 +12% $45,818 +17% —
186 PLEURAL EFFUSION WITH MCC $53,725 $26,863 $51,727 +4% $32,468 +65% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $53,436 $26,718 $32,706 +63% $20,727 +158% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $53,428 $26,714 $48,547 +10% $25,267 +111% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $53,150 $26,575 $48,869 +9% $27,369 +94% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $53,130 $26,565 $55,720 −5% $45,497 +17% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $52,456 $26,228 $62,201 −16% $40,548 +29% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $52,277 $26,138 $38,847 +35% $26,488 +97% ≈208% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $52,241 $26,120 $100,855 −48% $49,055 +6% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $51,952 $25,976 $70,500 −26% $41,380 +26% —
949 AFTERCARE WITH CC/MCC $51,755 $25,878 $40,709 +27% $23,953 +116% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $51,641 $25,820 $26,804 +93% $16,719 +209% —
887 OTHER MENTAL DISORDER DIAGNOSES $51,472 $25,736 $35,038 +47% $20,602 +150% —
947 SIGNS AND SYMPTOMS WITH MCC $51,397 $25,699 $32,226 +59% $25,474 +102% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $51,049 $25,524 $40,171 +27% $19,868 +157% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $50,920 $25,460 $31,196 +63% $22,231 +129% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $50,853 $25,427 $46,527 +9% $32,204 +58% —
102 HEADACHES WITH MCC $50,773 $25,387 $27,195 +87% $22,544 +125% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $50,648 $25,324 $33,389 +52% $23,920 +112% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $50,512 $25,256 $64,644 −22% $51,142 −1% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $50,404 $25,202 $39,211 +29% $24,036 +110% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $50,315 $25,158 $33,255 +51% $23,496 +114% —
643 ENDOCRINE DISORDERS WITH MCC $50,246 $25,123 $42,262 +19% $32,996 +52% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $49,989 $24,995 $39,351 +27% $23,956 +109% —
920 COMPLICATIONS OF TREATMENT WITH CC $49,782 $24,891 $28,197 +77% $21,181 +135% —
595 MAJOR SKIN DISORDERS WITH MCC $49,412 $24,706 $34,568 +43% $31,785 +55% —
381 COMPLICATED PEPTIC ULCER WITH CC $49,289 $24,644 $40,582 +21% $24,177 +104% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $49,262 $24,631 $28,980 +70% $18,017 +173% —
865 VIRAL ILLNESS WITH MCC $49,209 $24,604 $35,444 +39% $26,088 +89% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $49,177 $24,588 $37,843 +30% $30,275 +62% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $48,676 $24,338 $26,814 +82% $19,326 +152% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $48,615 $24,308 $32,495 +50% $21,261 +129% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $48,566 $24,283 $30,397 +60% $25,786 +88% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $48,357 $24,179 $49,886 −3% $31,190 +55% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $48,344 $24,172 $28,637 +69% $25,426 +90% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $48,231 $24,115 $66,319 −27% $38,878 +24% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $48,221 $24,110 $40,966 +18% $28,134 +71% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $48,216 $24,108 $33,858 +42% $23,396 +106% ≈207% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $48,035 $24,017 $35,797 +34% $27,244 +76% ≈200% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $48,028 $24,014 $45,051 +7% $33,165 +45% —
150 EPISTAXIS WITH MCC $48,021 $24,010 $29,837 +61% $21,133 +127% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $48,004 $24,002 $42,716 +12% $24,561 +95% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $47,880 $23,940 $30,120 +59% $22,982 +108% ≈197% of Medicare
602 CELLULITIS WITH MCC $47,668 $23,834 $36,275 +31% $29,347 +62% ≈189% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $47,504 $23,752 $39,206 +21% $29,757 +60% ≈200% of Medicare
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $47,461 $23,731 $37,284 +27% $20,842 +128% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $47,115 $23,557 $30,005 +57% $24,136 +95% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $47,085 $23,543 $36,949 +27% $31,758 +48% ≈192% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $47,006 $23,503 $41,264 +14% $25,854 +82% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $46,908 $23,454 $50,082 −6% $29,805 +57% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $46,868 $23,434 $24,909 +88% $18,608 +152% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $46,705 $23,353 $46,705 +0% $29,374 +59% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $46,605 $23,302 $33,360 +40% $24,017 +94% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $46,604 $23,302 $56,921 −18% $24,544 +90% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $46,579 $23,290 $55,883 −17% $45,059 +3% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $46,335 $23,168 $43,776 +6% $25,307 +83% —
375 DIGESTIVE MALIGNANCY WITH CC $46,197 $23,099 $39,391 +17% $27,219 +70% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $46,061 $23,030 $49,487 −7% $25,623 +80% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $45,820 $22,910 $37,544 +22% $24,941 +84% —
540 OSTEOMYELITIS WITH CC $45,590 $22,795 $31,469 +45% $23,494 +94% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $45,452 $22,726 $44,090 +3% $30,314 +50% —
348 ANAL AND STOMAL PROCEDURES WITH CC $45,418 $22,709 $46,875 −3% $27,947 +63% —
637 DIABETES WITH MCC $45,216 $22,608 $37,922 +19% $28,819 +57% ≈171% of Medicare
813 COAGULATION DISORDERS $45,160 $22,580 $39,037 +16% $30,128 +50% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $45,044 $22,522 $55,521 −19% $29,409 +53% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $44,915 $22,457 $36,597 +23% $20,421 +120% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $44,859 $22,430 $35,180 +28% $22,557 +99% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $44,850 $22,425 $47,719 −6% $30,661 +46% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $44,641 $22,321 $47,173 −5% $25,010 +78% —
291 HEART FAILURE AND SHOCK WITH MCC $44,523 $22,262 $34,312 +30% $25,020 +78% ≈198% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $44,512 $22,256 $34,458 +29% $19,317 +130% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $44,483 $22,241 $39,202 +13% $21,062 +111% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $44,155 $22,077 $44,059 +0% $15,890 +178% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $44,110 $22,055 $48,759 −10% $42,126 +5% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $43,788 $21,894 $58,919 −26% $43,491 +1% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $43,673 $21,837 $43,673 +0% $24,432 +79% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $43,610 $21,805 $38,640 +13% $18,459 +136% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $43,402 $21,701 $45,649 −5% $29,663 +46% —
551 MEDICAL BACK PROBLEMS WITH MCC $43,387 $21,693 $41,164 +5% $31,086 +40% ≈172% of Medicare
123 NEUROLOGICAL EYE DISORDERS $43,382 $21,691 $30,181 +44% $17,831 +143% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $43,301 $21,650 $29,002 +49% $23,749 +82% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $43,189 $21,594 $54,742 −21% $28,527 +51% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $43,043 $21,522 $26,099 +65% $15,474 +178% —
548 SEPTIC ARTHRITIS WITH MCC $42,867 $21,434 $41,301 +4% $31,019 +38% —
671 URETHRAL PROCEDURES WITH CC/MCC $42,496 $21,248 $43,538 −2% $27,233 +56% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $42,495 $21,248 $46,463 −9% $29,371 +45% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $42,475 $21,237 $33,438 +27% $20,371 +109% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $42,424 $21,212 $46,687 −9% $28,634 +48% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $42,362 $21,181 $25,678 +65% $18,918 +124% ≈208% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $42,025 $21,012 $34,070 +23% $25,208 +67% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $41,942 $20,971 $31,521 +33% $19,569 +114% —
137 MOUTH PROCEDURES WITH CC/MCC $41,838 $20,919 $38,624 +8% $24,348 +72% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $41,701 $20,851 $51,649 −19% $41,651 +0% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $41,116 $20,558 $30,073 +37% $17,522 +135% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $41,093 $20,547 $29,279 +40% $22,713 +81% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $41,049 $20,525 $43,743 −6% $30,006 +37% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $41,046 $20,523 $38,480 +7% $27,492 +49% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $40,999 $20,499 $54,584 −25% $21,615 +90% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $40,953 $20,477 $32,176 +27% $21,886 +87% ≈200% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $40,849 $20,425 $41,480 −2% $28,156 +45% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $40,309 $20,155 $30,985 +30% $23,350 +73% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $40,196 $20,098 $31,984 +26% $24,190 +66% ≈199% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $40,177 $20,088 $42,375 −5% $23,924 +68% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $40,129 $20,064 $25,907 +55% $17,715 +127% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $39,984 $19,992 $33,249 +20% $17,434 +129% —
304 HYPERTENSION WITH MCC $39,925 $19,963 $32,022 +25% $24,185 +65% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $39,758 $19,879 $24,009 +66% $19,091 +108% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $39,665 $19,833 $39,528 +0% $24,118 +64% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $39,032 $19,516 $39,032 +0% $20,463 +91% ≈208% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $38,852 $19,426 $38,852 +0% $24,980 +56% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $38,616 $19,308 $44,182 −13% $22,532 +71% —
694 URINARY STONES WITHOUT MCC $38,583 $19,292 $20,926 +84% $16,531 +133% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $38,556 $19,278 $30,759 +25% $27,118 +42% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $38,402 $19,201 $22,808 +68% $22,560 +70% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $38,382 $19,191 $25,119 +53% $17,388 +121% ≈217% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $38,037 $19,018 $32,070 +19% $19,795 +92% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $37,767 $18,884 $16,918 +123% $14,055 +169% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $37,671 $18,835 $37,390 +1% $22,275 +69% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $37,647 $18,823 $32,484 +16% $24,480 +54% ≈178% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $37,489 $18,744 $31,933 +17% $22,850 +64% ≈216% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $37,191 $18,595 $41,281 −10% $25,162 +48% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $37,040 $18,520 $34,720 +7% $19,483 +90% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $36,702 $18,351 $28,729 +28% $20,488 +79% ≈208% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $36,445 $18,222 $32,402 +12% $18,291 +99% —
139 SALIVARY GLAND PROCEDURES $36,235 $18,117 $27,066 +34% $21,014 +72% —
158 DENTAL AND ORAL DISEASES WITH CC $36,088 $18,044 $25,728 +40% $17,700 +104% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $35,891 $17,945 $32,741 +10% $23,141 +55% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $35,668 $17,834 $28,183 +27% $18,478 +93% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $35,650 $17,825 $31,298 +14% $28,375 +26% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $35,543 $17,771 $30,438 +17% $19,579 +82% ≈199% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $35,503 $17,752 $30,955 +15% $18,623 +91% —
666 PROSTATECTOMY WITH CC $35,440 $17,720 $44,512 −20% $30,016 +18% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $35,076 $17,538 $36,586 −4% $23,588 +49% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $34,908 $17,454 $34,188 +2% $20,080 +74% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $34,727 $17,364 $28,539 +22% $22,781 +52% ≈196% of Medicare
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $34,680 $17,340 $36,906 −6% $17,193 +102% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $34,582 $17,291 $24,212 +43% $23,571 +47% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $34,488 $17,244 $31,055 +11% $20,777 +66% —
849 RADIOTHERAPY $34,376 $17,188 $37,862 −9% $37,862 −9% —
181 RESPIRATORY NEOPLASMS WITH CC $34,346 $17,173 $29,807 +15% $22,431 +53% —
292 HEART FAILURE AND SHOCK WITH CC $34,236 $17,118 $22,990 +49% $16,212 +111% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $34,178 $17,089 $53,190 −36% $29,524 +16% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $34,110 $17,055 $30,735 +11% $21,449 +59% —
197 INTERSTITIAL LUNG DISEASE WITH CC $34,071 $17,035 $26,148 +30% $20,106 +69% —
149 DYSEQUILIBRIUM $33,898 $16,949 $33,352 +2% $17,203 +97% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $33,495 $16,747 $57,834 −42% $33,564 −0% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $33,466 $16,733 $31,755 +5% $17,108 +96% —
183 MAJOR CHEST TRAUMA WITH MCC $33,370 $16,685 $32,179 +4% $28,924 +15% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $33,237 $16,619 $27,509 +21% $17,700 +88% —
644 ENDOCRINE DISORDERS WITH CC $32,867 $16,433 $32,760 +0% $22,941 +43% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $32,842 $16,421 $26,497 +24% $20,732 +58% ≈181% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $32,690 $16,345 $33,183 −1% $26,158 +25% ≈184% of Medicare
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $32,632 $16,316 $19,652 +66% $19,894 +64% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $32,589 $16,295 $24,051 +36% $14,880 +119% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $32,574 $16,287 $30,528 +7% $26,634 +22% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $32,514 $16,257 $24,511 +33% $19,096 +70% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $32,224 $16,112 $22,029 +46% $20,007 +61% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $32,221 $16,111 $23,756 +36% $17,322 +86% ≈218% of Medicare
103 HEADACHES WITHOUT MCC $31,998 $15,999 $31,395 +2% $20,111 +59% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $31,755 $15,878 $27,681 +15% $22,024 +44% ≈217% of Medicare
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $31,677 $15,839 $28,785 +10% $15,600 +103% —
151 EPISTAXIS WITHOUT MCC $31,524 $15,762 $27,028 +17% $13,032 +142% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $31,482 $15,741 $33,469 −6% $20,278 +55% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $31,410 $15,705 $27,835 +13% $18,253 +72% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,310 $15,655 $47,584 −34% $43,697 −28% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $31,230 $15,615 $29,175 +7% $21,545 +45% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $31,226 $15,613 $18,098 +73% $17,928 +74% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $31,219 $15,610 $25,186 +24% $14,128 +121% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $31,200 $15,600 $37,661 −17% $32,936 −5% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $31,135 $15,568 $27,721 +12% $20,309 +53% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $31,003 $15,502 $19,077 +63% $15,607 +99% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $30,973 $15,486 $22,106 +40% $24,452 +27% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $30,903 $15,451 $20,118 +54% $19,815 +56% —
200 PNEUMOTHORAX WITH CC $30,792 $15,396 $26,144 +18% $20,573 +50% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $30,711 $15,356 $30,711 +0% $24,316 +26% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $30,704 $15,352 $27,256 +13% $22,698 +35% —
176 PULMONARY EMBOLISM WITHOUT MCC $30,559 $15,280 $30,313 +1% $18,081 +69% —
864 FEVER AND INFLAMMATORY CONDITIONS $30,413 $15,207 $30,413 +0% $17,412 +75% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $30,405 $15,203 $22,382 +36% $18,002 +69% ≈220% of Medicare
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $30,381 $15,191 $21,568 +41% $17,943 +69% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $30,110 $15,055 $30,079 +0% $16,654 +81% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $30,051 $15,025 $28,115 +7% $18,238 +65% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $30,031 $15,016 $37,445 −20% $21,029 +43% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $30,001 $15,001 $32,107 −7% $23,115 +30% ≈171% of Medicare
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $29,971 $14,986 $29,971 +0% $23,297 +29% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $29,941 $14,971 $27,191 +10% $18,278 +64% ≈195% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $29,911 $14,956 $31,121 −4% $25,704 +16% ≈173% of Medicare
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $29,785 $14,892 $37,818 −21% $33,424 −11% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $29,566 $14,783 $24,327 +22% $14,134 +109% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $29,510 $14,755 $37,348 −21% $20,741 +42% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $29,387 $14,693 $10,553 +178% $9,385 +213% —
885 PSYCHOSES $29,376 $14,688 $22,187 +32% $21,489 +37% —
089 CONCUSSION WITH CC $29,243 $14,622 $35,159 −17% $18,293 +60% —
312 SYNCOPE AND COLLAPSE $29,192 $14,596 $25,317 +15% $19,342 +51% ≈224% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $29,170 $14,585 $27,853 +5% $19,305 +51% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $29,157 $14,578 $26,756 +9% $17,273 +69% ≈206% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $29,131 $14,566 $19,808 +47% $15,284 +91% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $29,108 $14,554 $29,108 +0% $21,213 +37% ≈237% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $29,032 $14,516 $25,827 +12% $16,837 +72% —
592 SKIN ULCERS WITH MCC $29,001 $14,501 $34,370 −16% $32,662 −11% —
506 MAJOR THUMB OR JOINT PROCEDURES $28,983 $14,492 $41,258 −30% $28,983 +0% —
683 RENAL FAILURE WITH CC $28,956 $14,478 $24,785 +17% $18,620 +56% ≈188% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $28,913 $14,457 $28,913 +0% $13,586 +113% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $28,810 $14,405 $21,532 +34% $18,133 +59% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $28,694 $14,347 $19,013 +51% $20,084 +43% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $28,688 $14,344 $28,688 +0% $17,585 +63% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $28,574 $14,287 $27,084 +6% $16,104 +77% —
593 SKIN ULCERS WITH CC $28,486 $14,243 $28,533 −0% $20,470 +39% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $28,340 $14,170 $27,026 +5% $16,865 +68% ≈207% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $28,274 $14,137 $43,712 −35% $29,826 −5% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $28,002 $14,001 $28,002 +0% $20,980 +33% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $27,946 $13,973 $30,520 −8% $19,854 +41% —
684 RENAL FAILURE WITHOUT CC/MCC $27,774 $13,887 $17,994 +54% $13,623 +104% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $27,693 $13,847 $16,950 +63% $15,589 +78% —
303 ATHEROSCLEROSIS WITHOUT MCC $27,663 $13,832 $21,344 +30% $14,927 +85% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,566 $13,783 $20,241 +36% $12,405 +122% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $27,517 $13,758 $16,809 +64% $18,150 +52% —
779 ABORTION WITHOUT D&C $27,403 $13,702 $15,327 +79% $15,327 +79% —
638 DIABETES WITH CC $27,245 $13,622 $23,079 +18% $18,821 +45% ≈211% of Medicare
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $26,748 $13,374 $23,449 +14% $17,367 +54% —
101 SEIZURES WITHOUT MCC $26,593 $13,297 $29,095 −9% $19,954 +33% ≈197% of Medicare
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,577 $13,289 $29,772 −11% $24,452 +9% —
914 TRAUMATIC INJURY WITHOUT MCC $26,274 $13,137 $28,030 −6% $15,593 +68% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $26,237 $13,119 $24,472 +7% $17,466 +50% ≈206% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $26,201 $13,101 $33,984 −23% $15,608 +68% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $26,020 $13,010 $16,204 +61% $17,103 +52% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $25,904 $12,952 $15,370 +69% $15,370 +69% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $25,860 $12,930 $21,132 +22% $17,727 +46% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $25,635 $12,818 $24,154 +6% $18,803 +36% ≈188% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $25,628 $12,814 $23,711 +8% $13,384 +91% ≈233% of Medicare
305 HYPERTENSION WITHOUT MCC $25,546 $12,773 $26,821 −5% $17,144 +49% ≈240% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $25,341 $12,671 $20,451 +24% $16,642 +52% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $25,221 $12,611 $21,910 +15% $16,745 +51% ≈208% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $24,979 $12,489 $28,289 −12% $19,598 +27% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $24,803 $12,401 $22,618 +10% $17,731 +40% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $24,592 $12,296 $19,193 +28% $14,861 +65% —
334 RECTAL RESECTION WITHOUT CC/MCC $24,476 $12,238 $35,824 −32% $32,213 −24% —
913 TRAUMATIC INJURY WITH MCC $24,413 $12,207 $37,423 −35% $24,198 +1% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $24,203 $12,102 $13,275 +82% $13,090 +85% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $24,155 $12,077 $19,805 +22% $13,318 +81% —
534 FRACTURES OF FEMUR WITHOUT MCC $23,953 $11,977 $23,497 +2% $17,195 +39% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $23,879 $11,940 $36,105 −34% $16,495 +45% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,871 $11,935 $23,871 +0% $23,723 +1% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $23,176 $11,588 $22,057 +5% $15,636 +48% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $23,173 $11,586 $21,281 +9% $15,070 +54% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $23,153 $11,576 $23,298 −1% $15,876 +46% —
603 CELLULITIS WITHOUT MCC $23,134 $11,567 $22,842 +1% $18,530 +25% ≈204% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $23,132 $11,566 $21,899 +6% $16,866 +37% —
906 HAND PROCEDURES FOR INJURIES $23,081 $11,541 $66,100 −65% $31,520 −27% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $23,028 $11,514 $25,741 −11% $14,064 +64% —
187 PLEURAL EFFUSION WITH CC $22,773 $11,386 $24,179 −6% $21,467 +6% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $22,699 $11,350 $25,650 −12% $18,191 +25% —
882 NEUROSES EXCEPT DEPRESSIVE $22,511 $11,255 $16,614 +35% $15,680 +44% —
999 UNGROUPABLE $22,184 $11,092 $67,665 −67% $28,822 −23% —
075 VIRAL MENINGITIS WITH CC/MCC $22,183 $11,091 $39,565 −44% $29,853 −26% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $21,843 $10,922 $21,843 +0% $14,444 +51% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $21,816 $10,908 $24,489 −11% $18,282 +19% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $21,603 $10,802 $23,858 −9% $19,287 +12% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $21,600 $10,800 $21,531 +0% $16,776 +29% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $21,580 $10,790 $18,840 +15% $13,198 +64% —
311 ANGINA PECTORIS $21,418 $10,709 $23,066 −7% $15,165 +41% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $21,114 $10,557 $20,244 +4% $11,633 +82% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $21,112 $10,556 $18,873 +12% $16,049 +32% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $20,878 $10,439 $11,321 +84% $12,044 +73% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $20,637 $10,319 $20,461 +1% $19,132 +8% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $20,542 $10,271 $26,038 −21% $18,204 +13% ≈210% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $19,822 $9,911 $20,801 −5% $15,045 +32% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $19,695 $9,848 $19,016 +4% $14,012 +41% —
639 DIABETES WITHOUT CC/MCC $19,403 $9,702 $18,880 +3% $13,910 +39% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,355 $9,678 $25,064 −23% $20,147 −4% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,277 $9,639 $51,225 −62% $30,940 −38% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $19,208 $9,604 $31,278 −39% $15,077 +27% —
313 CHEST PAIN $18,628 $9,314 $20,480 −9% $15,962 +17% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $18,443 $9,222 $15,618 +18% $14,368 +28% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $18,184 $9,092 $24,445 −26% $15,072 +21% —
541 OSTEOMYELITIS WITHOUT CC/MCC $18,149 $9,075 $19,079 −5% $14,549 +25% —
090 CONCUSSION WITHOUT CC/MCC $18,025 $9,013 $14,321 +26% $14,873 +21% —
153 OTITIS MEDIA AND URI WITHOUT MCC $17,892 $8,946 $17,402 +3% $14,473 +24% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $17,720 $8,860 $17,835 −1% $14,441 +23% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $17,612 $8,806 $20,935 −16% $14,166 +24% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $17,450 $8,725 $21,659 −19% $15,869 +10% —
866 VIRAL ILLNESS WITHOUT MCC $17,438 $8,719 $17,444 −0% $16,391 +6% —
916 ALLERGIC REACTIONS WITHOUT MCC $16,783 $8,391 $17,646 −5% $13,890 +21% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,710 $8,355 $19,787 −16% $16,571 +1% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $16,523 $8,261 $17,198 −4% $13,368 +24% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,403 $8,202 $21,346 −23% $14,208 +15% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,520 $7,760 $20,784 −25% $16,418 −5% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $14,838 $7,419 $17,733 −16% $13,824 +7% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $14,834 $7,417 $21,206 −30% $17,483 −15% —
549 SEPTIC ARTHRITIS WITH CC $14,732 $7,366 $19,977 −26% $20,938 −30% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $14,270 $7,135 $16,306 −12% $12,013 +19% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,821 $6,910 $12,000 +15% $12,895 +7% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $13,801 $6,901 $25,492 −46% $12,797 +8% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,585 $6,792 $34,517 −61% $26,146 −48% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,967 $6,484 $26,065 −50% $13,654 −5% —
201 PNEUMOTHORAX WITHOUT CC/MCC $12,413 $6,206 $13,174 −6% $13,081 −5% —
950 AFTERCARE WITHOUT CC/MCC $11,760 $5,880 $13,555 −13% $13,527 −13% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,682 $5,841 $18,105 −35% $13,892 −16% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,596 $5,798 $18,833 −38% $16,352 −29% —
881 DEPRESSIVE NEUROSES $11,103 $5,552 $15,521 −28% $15,058 −26% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,740 $5,370 $11,086 −3% $10,975 −2% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $10,619 $5,309 $10,619 +0% $9,076 +17% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $9,987 $4,994 $16,944 −41% $11,421 −13% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,606 $4,803 $14,910 −36% $13,822 −30% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,214 $4,607 $24,121 −62% $11,997 −23% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,152 $4,576 $12,642 −28% $12,381 −26% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,141 $4,571 $42,140 −78% $30,910 −70% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,851 $4,425 $14,383 −38% $16,156 −45% —
594 SKIN ULCERS WITHOUT CC/MCC $7,684 $3,842 $15,665 −51% $14,209 −46% —
184 MAJOR CHEST TRAUMA WITH CC $7,170 $3,585 $30,443 −76% $20,842 −66% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,832 $3,416 $22,878 −70% $16,634 −59% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,777 $3,388 $7,478 −9% $7,961 −15% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,749 $3,374 $27,967 −76% $12,537 −46% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $6,173 $3,087 $26,510 −77% $24,836 −75% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,914 $2,957 $13,494 −56% $12,279 −52% —
795 NORMAL NEWBORN $4,967 $2,483 $5,293 −6% $4,530 +10% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,601 $2,301 $14,705 −69% $14,110 −67% —
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