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 $2,218,497 +27% $573,534 +393% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,039,778 $519,889 $798,393 +30% $461,389 +125% —
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 $627,782 +1% $371,366 +70% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $512,603 $256,302 $420,812 +22% $196,346 +161% —
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 $440,119 +0% $164,641 +168% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $394,259 $197,130 $402,831 −2% $248,521 +59% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $392,246 $196,123 $288,050 +36% $208,939 +88% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $378,462 — $33,673 +1024% $18,316 +1966% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $356,643 $178,321 $247,915 +44% $109,331 +226% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $342,915 $171,457 $56,671 +505% $44,546 +670% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $340,987 $170,494 $297,940 +14% $153,282 +122% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $337,167 $168,584 $342,215 −1% $182,314 +85% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $330,316 $165,158 $227,248 +45% $131,961 +150% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $317,211 $158,606 $316,557 +0% $148,686 +113% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $315,366 $157,683 $113,798 +177% $80,018 +294% —
662 MINOR BLADDER PROCEDURES WITH MCC $304,440 $152,220 $73,615 +314% $54,562 +458% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $293,862 $146,931 $209,861 +40% $125,242 +135% —
834 ACUTE LEUKEMIA WITH MCC $290,023 $145,011 $224,357 +29% $85,566 +239% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $286,932 $143,466 $370,069 −22% $102,600 +180% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $283,246 $141,623 $359,207 −21% $188,171 +51% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $281,325 $140,663 $314,091 −10% $71,551 +293% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $279,370 $139,685 $135,396 +106% $106,057 +163% —
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 $116,458 +126% $60,098 +338% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $260,280 $130,140 $113,047 +130% $59,533 +337% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $258,633 $129,316 $286,814 −10% $143,242 +81% —
231 CORONARY BYPASS WITH PTCA WITH MCC $257,212 $128,606 $292,478 −12% $147,227 +75% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $255,503 $127,752 $204,424 +25% $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% $148,832 +69% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $250,323 $125,161 $247,477 +1% $123,995 +102% —
652 KIDNEY TRANSPLANT $249,761 $124,881 $270,773 −8% $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 $89,789 +164% $35,569 +566% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $231,723 $115,862 $235,417 −2% $144,569 +60% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $225,488 $112,744 $232,444 −3% $107,355 +110% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $219,505 $109,752 $109,348 +101% $89,207 +146% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $215,251 $107,625 $190,786 +13% $96,905 +122% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $212,323 $106,161 $153,426 +38% $101,576 +109% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $211,116 $105,558 $189,821 +11% $102,128 +107% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $207,902 $103,951 $110,844 +88% $76,001 +174% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $206,693 $103,347 $206,693 +0% $96,192 +115% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $199,015 $99,508 $121,651 +64% $80,793 +146% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $197,663 $98,831 $161,595 +22% $86,970 +127% —
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% $93,390 +106% —
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 $195,988 −2% $106,778 +80% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $191,891 $95,946 $119,821 +60% $101,510 +89% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $191,083 $95,541 $141,353 +35% $85,159 +124% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $190,818 $95,409 $44,150 +332% $30,243 +531% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $190,514 $95,257 $104,776 +82% $93,172 +104% ≈206% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $189,279 $94,639 $100,833 +88% $90,775 +109% ≈193% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $187,084 $93,542 $138,604 +35% $96,507 +94% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $186,709 $93,354 $108,121 +73% $70,177 +166% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $186,675 $93,338 $174,023 +7% $92,217 +102% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $186,564 $93,282 $108,234 +72% $74,257 +151% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $185,305 $92,653 $127,352 +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 $182,979 +0% $112,062 +63% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $182,938 $91,469 $197,500 −7% $111,320 +64% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $174,812 $87,406 $86,468 +102% $63,928 +173% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $171,602 $85,801 $84,221 +104% $42,906 +300% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $170,327 $85,163 $197,141 −14% $102,573 +66% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $169,593 $84,796 $149,328 +14% $78,852 +115% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $168,866 $84,433 $119,344 +41% $87,761 +92% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $166,763 $83,382 $116,704 +43% $65,325 +155% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $166,707 $83,354 $109,867 +52% $56,964 +193% —
653 MAJOR BLADDER PROCEDURES WITH MCC $165,427 $82,714 $177,164 −7% $104,583 +58% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $163,653 $81,826 $163,653 +0% $88,307 +85% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $161,667 $80,834 $125,275 +29% $74,755 +116% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $161,592 $80,796 $116,651 +39% $90,724 +78% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $161,228 $80,614 $159,050 +1% $90,331 +78% —
028 SPINAL PROCEDURES WITH MCC $157,695 $78,847 $162,170 −3% $113,077 +39% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $157,523 $78,761 $99,738 +58% $51,953 +203% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $156,905 $78,452 $117,878 +33% $90,401 +74% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $155,546 $77,773 $159,358 −2% $116,058 +34% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $155,503 $77,751 $90,636 +72% $77,817 +100% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $155,065 $77,532 $73,646 +111% $65,653 +136% ≈190% of Medicare
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $154,006 $77,003 $106,951 +44% $73,120 +111% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $152,930 $76,465 $106,134 +44% $108,472 +41% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $151,813 $75,907 $88,076 +72% $77,990 +95% —
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 $101,094 +48% $79,225 +89% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $148,825 $74,412 $134,774 +10% $35,849 +315% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $147,728 $73,864 $155,260 −5% $98,260 +50% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $146,706 $73,353 $137,012 +7% $88,050 +67% ≈209% of Medicare
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $145,729 $72,864 $86,971 +68% $68,639 +112% —
471 CERVICAL SPINAL FUSION WITH MCC $145,249 $72,624 $145,249 +0% $92,515 +57% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $144,691 $72,345 $80,210 +80% $58,228 +148% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $144,235 $72,118 $53,593 +169% $29,611 +387% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $142,722 $71,361 $78,323 +82% $66,068 +116% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $141,585 $70,793 $147,657 −4% $77,055 +84% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $140,343 $70,172 $122,582 +14% $71,014 +98% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $140,102 $70,051 $126,423 +11% $70,371 +99% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $139,813 $69,906 $99,330 +41% $61,217 +128% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $138,239 $69,120 $12,083 +1044% $16,351 +745% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $138,067 $69,034 $97,650 +41% $65,573 +111% ≈229% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $137,992 $68,996 $148,831 −7% $82,247 +68% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $137,062 $68,531 $103,430 +33% $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% $84,692 +61% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $135,287 $67,644 $131,822 +3% $76,219 +77% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $135,034 $67,517 $170,767 −21% $79,836 +69% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $134,681 $67,340 $118,308 +14% $48,349 +179% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $132,045 $66,023 $107,055 +23% $59,594 +122% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $131,934 $65,967 $44,158 +199% $27,617 +378% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $131,533 $65,766 $102,730 +28% $81,706 +61% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $130,838 $65,419 $66,698 +96% $37,240 +251% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $129,857 $64,928 $144,630 −10% $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 $113,008 +14% $67,268 +92% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $128,129 $64,064 $79,097 +62% $59,790 +114% —
252 OTHER VASCULAR PROCEDURES WITH MCC $128,007 $64,003 $107,529 +19% $68,508 +87% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $127,709 $63,854 $100,737 +27% $35,831 +256% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $125,752 $62,876 $96,146 +31% $71,755 +75% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $125,128 $62,564 $90,646 +38% $70,847 +77% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $124,678 $62,339 $85,781 +45% $49,423 +152% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $124,487 $62,244 $81,487 +53% $53,864 +131% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $124,298 $62,149 $92,150 +35% $60,170 +107% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $123,677 $61,838 $106,513 +16% $66,685 +85% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $123,239 $61,620 $123,239 +0% $71,464 +72% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $122,952 $61,476 $81,116 +52% $65,788 +87% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $121,741 $60,871 $104,240 +17% $70,467 +73% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $120,535 $60,268 $39,436 +206% $12,768 +844% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $120,407 $60,203 $80,474 +50% $37,267 +223% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $119,910 $59,955 $119,910 +0% $72,962 +64% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $119,290 $59,645 $99,664 +20% $75,573 +58% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $119,250 $59,625 $35,971 +232% $30,770 +288% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $117,925 $58,963 $88,661 +33% $60,407 +95% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $117,413 $58,707 $88,428 +33% $35,030 +235% —
709 PENIS PROCEDURES WITH CC/MCC $116,327 $58,163 $72,391 +61% $34,535 +237% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $115,701 $57,851 $115,701 +0% $62,300 +86% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $112,935 $56,467 $94,194 +20% $62,583 +80% —
163 MAJOR CHEST PROCEDURES WITH MCC $112,138 $56,069 $131,578 −15% $90,195 +24% —
500 SOFT TISSUE PROCEDURES WITH MCC $111,993 $55,997 $58,279 +92% $61,872 +81% —
504 FOOT PROCEDURES WITH CC $111,610 $55,805 $57,176 +95% $38,960 +186% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $111,397 $55,698 $73,259 +52% $59,651 +87% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $111,169 $55,585 $87,318 +27% $71,795 +55% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $110,923 $55,461 $104,772 +6% $58,043 +91% —
199 PNEUMOTHORAX WITH MCC $109,411 $54,705 $47,123 +132% $33,787 +224% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $108,889 $54,445 $79,545 +37% $68,653 +59% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $108,724 $54,362 $106,345 +2% $58,975 +84% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $108,375 $54,188 $110,317 −2% $54,583 +99% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $107,044 $53,522 $91,032 +18% $62,821 +70% —
397 APPENDIX PROCEDURES WITH MCC $106,883 $53,441 $61,511 +74% $53,257 +101% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $106,715 $53,358 $54,753 +95% $42,901 +149% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $106,642 $53,321 $86,327 +24% $52,908 +102% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $105,891 $52,946 $76,163 +39% $52,178 +103% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $105,534 $52,767 $41,024 +157% $33,985 +211% ≈217% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $105,454 $52,727 $75,577 +40% $54,929 +92% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $105,440 $52,720 $54,278 +94% $51,746 +104% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $105,090 $52,545 $75,509 +39% $50,139 +110% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $104,762 $52,381 $83,551 +25% $58,707 +78% ≈230% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $104,457 $52,228 $104,457 +0% $65,608 +59% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $102,845 $51,422 $66,682 +54% $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% $71,092 +44% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $102,058 $51,029 $83,997 +22% $75,103 +36% —
253 OTHER VASCULAR PROCEDURES WITH CC $101,838 $50,919 $101,493 +0% $57,454 +77% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $100,263 $50,132 $71,496 +40% $58,280 +72% ≈201% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $100,050 $50,025 $76,056 +32% $59,421 +68% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $99,783 $49,891 $79,576 +25% $54,196 +84% —
336 PERITONEAL ADHESIOLYSIS WITH CC $99,044 $49,522 $71,276 +39% $50,463 +96% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $98,900 $49,450 $65,905 +50% $52,751 +87% ≈198% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $98,891 $49,446 $73,952 +34% $46,295 +114% —
333 RECTAL RESECTION WITH CC $97,527 $48,763 $59,722 +63% $37,154 +162% —
654 MAJOR BLADDER PROCEDURES WITH CC $97,430 $48,715 $102,482 −5% $58,274 +67% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $97,176 $48,588 $101,590 −4% $72,424 +34% —
663 MINOR BLADDER PROCEDURES WITH CC $96,719 $48,360 $48,004 +101% $33,103 +192% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $96,410 $48,205 $100,653 −4% $64,523 +49% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $96,340 $48,170 $87,292 +10% $41,608 +132% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $96,280 $48,140 $92,096 +5% $46,727 +106% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $95,684 $47,842 $86,753 +10% $43,080 +122% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $95,664 $47,832 $99,411 −4% $32,574 +194% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $95,568 $47,784 $64,377 +48% $36,670 +161% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $95,461 $47,730 $54,177 +76% $43,943 +117% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $95,088 $47,544 $20,765 +358% $19,962 +376% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $94,780 $47,390 $76,523 +24% $46,066 +106% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $94,484 $47,242 $93,250 +1% $62,264 +52% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $94,052 $47,026 $79,326 +19% $59,500 +58% ≈198% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $93,898 $46,949 $90,846 +3% $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% $27,119 +246% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $93,387 $46,694 $82,302 +13% $59,031 +58% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $92,690 $46,345 $73,783 +26% $50,046 +85% —
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 $55,076 +68% $26,932 +244% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $92,597 $46,299 $79,783 +16% $53,451 +73% ≈191% of Medicare
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $92,478 $46,239 $94,366 −2% $48,687 +90% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $92,297 $46,149 $64,384 +43% $34,906 +164% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $92,043 $46,021 $58,661 +57% $39,955 +130% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $91,777 $45,888 $48,019 +91% $37,844 +143% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $91,224 $45,612 $87,888 +4% $55,162 +65% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $91,142 $45,571 $63,609 +43% $36,431 +150% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $90,706 $45,353 $62,659 +45% $43,631 +108% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $90,023 $45,011 $92,011 −2% $44,363 +103% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $89,612 $44,806 $58,265 +54% $39,181 +129% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $89,250 $44,625 $77,753 +15% $51,985 +72% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $89,123 $44,562 $31,894 +179% $26,280 +239% —
799 SPLENIC PROCEDURES WITH MCC $88,461 $44,231 $101,298 −13% $82,218 +8% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $88,458 $44,229 $159,392 −45% $93,238 −5% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $88,041 $44,021 $24,973 +253% $17,226 +411% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $88,036 $44,018 $45,749 +92% $37,950 +132% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $87,487 $43,743 $80,060 +9% $49,418 +77% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $86,707 $43,353 $66,836 +30% $43,298 +100% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $86,703 $43,352 $86,703 +0% $66,848 +30% —
263 VEIN LIGATION AND STRIPPING $86,653 $43,326 $60,316 +44% $51,253 +69% —
374 DIGESTIVE MALIGNANCY WITH MCC $86,354 $43,177 $40,031 +116% $39,958 +116% —
472 CERVICAL SPINAL FUSION WITH CC $86,311 $43,155 $90,312 −4% $59,537 +45% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $85,972 $42,986 $73,681 +17% $38,070 +126% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $85,781 $42,890 $80,754 +6% $32,443 +164% —
265 AICD LEAD PROCEDURES $85,568 $42,784 $85,568 +0% $63,171 +35% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $85,291 $42,646 $47,166 +81% $40,213 +112% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $85,285 $42,642 $77,746 +10% $47,945 +78% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $85,036 $42,518 $45,494 +87% $35,628 +139% ≈202% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $84,975 $42,487 $55,568 +53% $39,619 +114% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $84,472 $42,236 $70,540 +20% $46,283 +83% ≈208% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $83,963 $41,982 $43,193 +94% $39,973 +110% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $83,506 $41,753 $93,845 −11% $59,629 +40% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $83,477 $41,738 $79,513 +5% $46,724 +79% —
245 AICD GENERATOR PROCEDURES $83,436 $41,718 $83,436 +0% $72,076 +16% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $83,386 $41,693 $51,392 +62% $34,276 +143% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $83,116 $41,558 $77,379 +7% $58,809 +41% ≈234% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $83,059 $41,529 $62,832 +32% $47,711 +74% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $82,702 $41,351 $40,928 +102% $39,173 +111% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $82,591 $41,296 $58,108 +42% $38,094 +117% —
597 MALIGNANT BREAST DISORDERS WITH MCC $81,828 $40,914 $52,249 +57% $33,386 +145% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $81,694 $40,847 $81,694 +0% $42,415 +93% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $81,689 $40,844 $42,645 +92% $31,951 +156% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $81,059 $40,530 $27,984 +190% $17,398 +366% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $80,707 $40,353 $52,154 +55% $33,851 +138% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $80,668 $40,334 $70,361 +15% $45,877 +76% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $80,590 $40,295 $51,006 +58% $39,106 +106% ≈207% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $80,468 $40,234 $104,472 −23% $66,711 +21% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $79,854 $39,927 $48,531 +65% $27,323 +192% —
665 PROSTATECTOMY WITH MCC $79,823 $39,911 $78,453 +2% $54,072 +48% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $79,587 $39,794 $58,914 +35% $38,861 +105% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $79,534 $39,767 $84,654 −6% $50,498 +58% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $79,350 $39,675 $57,500 +38% $43,477 +83% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $79,218 $39,609 $51,942 +53% $47,789 +66% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $79,074 $39,537 $55,522 +42% $30,553 +159% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $79,005 $39,502 $55,465 +42% $30,418 +160% —
100 SEIZURES WITH MCC $78,954 $39,477 $46,610 +69% $35,481 +123% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $78,892 $39,446 $71,645 +10% $38,101 +107% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $78,805 $39,403 $63,186 +25% $36,988 +113% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $78,618 $39,309 $57,626 +36% $36,792 +114% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $78,600 $39,300 $50,860 +55% $34,273 +129% —
505 FOOT PROCEDURES WITHOUT CC/MCC $78,540 $39,270 $62,507 +26% $34,937 +125% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $78,287 $39,143 $71,126 +10% $49,066 +60% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $78,263 $39,131 $53,262 +47% $41,892 +87% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $77,913 $38,957 $66,256 +18% $39,018 +100% —
380 COMPLICATED PEPTIC ULCER WITH MCC $77,830 $38,915 $55,058 +41% $39,627 +96% —
811 RED BLOOD CELL DISORDERS WITH MCC $77,803 $38,901 $43,994 +77% $28,226 +176% ≈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% $46,090 +67% ≈215% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $77,145 $38,572 $80,076 −4% $50,624 +52% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $76,931 $38,466 $70,264 +9% $31,170 +147% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $76,918 $38,459 $46,083 +67% $32,628 +136% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $76,489 $38,245 $46,542 +64% $38,666 +98% ≈181% of Medicare
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $76,420 $38,210 $22,675 +237% $14,014 +445% —
915 ALLERGIC REACTIONS WITH MCC $76,156 $38,078 $48,114 +58% $32,645 +133% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $75,741 $37,871 $70,442 +8% $43,650 +74% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $75,690 $37,845 $70,859 +7% $49,351 +53% —
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 $36,631 +106% $27,633 +174% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $75,431 $37,716 $110,275 −32% $69,743 +8% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $74,947 $37,473 $44,311 +69% $34,749 +116% —
571 SKIN DEBRIDEMENT WITH CC $74,866 $37,433 $49,277 +52% $37,169 +101% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $74,759 $37,380 $42,957 +74% $22,314 +235% —
503 FOOT PROCEDURES WITH MCC $74,413 $37,206 $87,276 −15% $47,540 +57% —
919 COMPLICATIONS OF TREATMENT WITH MCC $74,409 $37,205 $41,995 +77% $31,105 +139% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $74,242 $37,121 $85,111 −13% $42,795 +73% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $74,223 $37,111 $62,024 +20% $50,394 +47% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $73,813 $36,906 $73,813 +0% $44,139 +67% —
710 PENIS PROCEDURES WITHOUT CC/MCC $73,483 $36,741 $46,516 +58% $26,436 +178% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $73,227 $36,614 $41,308 +77% $27,163 +170% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $73,173 $36,587 $59,011 +24% $39,211 +87% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $72,572 $36,286 $83,594 −13% $40,365 +80% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $72,554 $36,277 $72,554 +0% $39,020 +86% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $72,448 $36,224 $72,407 +0% $45,167 +60% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $71,873 $35,937 $53,505 +34% $42,914 +67% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $71,779 $35,889 $64,882 +11% $35,465 +102% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $71,400 $35,700 $69,606 +3% $52,075 +37% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $70,764 $35,382 $52,021 +36% $46,402 +53% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $70,677 $35,339 $70,677 +0% $29,079 +143% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $70,647 $35,323 $53,539 +32% $36,505 +94% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $70,472 $35,236 $39,329 +79% $32,859 +114% —
668 TRANSURETHRAL PROCEDURES WITH MCC $70,386 $35,193 $71,399 −1% $51,608 +36% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $70,051 $35,025 $62,233 +13% $41,591 +68% —
693 URINARY STONES WITH MCC $70,034 $35,017 $39,639 +77% $23,892 +193% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $69,839 $34,920 $51,335 +36% $30,502 +129% —
711 TESTES PROCEDURES WITH CC/MCC $69,830 $34,915 $66,372 +5% $38,343 +82% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $69,651 $34,825 $51,644 +35% $37,842 +84% ≈200% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $69,505 $34,753 $39,435 +76% $33,048 +110% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $69,320 $34,660 $63,204 +10% $29,316 +136% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $69,305 $34,653 $68,012 +2% $35,419 +96% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $69,018 $34,509 $63,301 +9% $50,607 +36% ≈195% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $68,996 $34,498 $43,659 +58% $36,658 +88% ≈168% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $68,980 $34,490 $56,233 +23% $44,606 +55% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $68,802 $34,401 $70,413 −2% $43,538 +58% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $68,787 $34,394 $65,490 +5% $36,253 +90% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $68,737 $34,369 $55,082 +25% $40,108 +71% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $68,569 $34,285 $39,076 +75% $24,586 +179% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $68,557 $34,278 $45,028 +52% $30,010 +128% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $68,362 $34,181 $71,076 −4% $35,584 +92% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $68,113 $34,057 $57,686 +18% $44,117 +54% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $68,074 $34,037 $39,482 +72% $29,743 +129% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $67,472 $33,736 $60,813 +11% $42,881 +57% —
539 OSTEOMYELITIS WITH MCC $67,346 $33,673 $48,883 +38% $37,609 +79% —
164 MAJOR CHEST PROCEDURES WITH CC $67,318 $33,659 $89,923 −25% $56,755 +19% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $67,126 $33,563 $42,327 +59% $33,707 +99% ≈186% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $66,981 $33,491 $55,728 +20% $36,354 +84% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $66,978 $33,489 $60,705 +10% $38,998 +72% —
398 APPENDIX PROCEDURES WITH CC $66,880 $33,440 $52,045 +29% $40,162 +67% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $66,871 $33,435 $42,174 +59% $31,264 +114% ≈192% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $66,706 $33,353 $26,434 +152% $14,638 +356% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $66,603 $33,302 $50,923 +31% $37,387 +78% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $66,473 $33,236 $35,435 +88% $25,970 +156% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $66,259 $33,130 $89,090 −26% $70,564 −6% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $66,157 $33,079 $69,362 −5% $33,674 +96% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $65,963 $32,982 $68,561 −4% $43,913 +50% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $65,560 $32,780 $53,188 +23% $39,006 +68% —
038 EXTRACRANIAL PROCEDURES WITH CC $65,513 $32,756 $63,842 +3% $35,770 +83% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $65,446 $32,723 $57,020 +15% $45,333 +44% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $65,289 $32,645 $65,289 +0% $58,745 +11% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $65,176 $32,588 $50,080 +30% $30,828 +111% ≈198% of Medicare
570 SKIN DEBRIDEMENT WITH MCC $64,938 $32,469 $64,938 +0% $52,435 +24% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $64,889 $32,445 $43,207 +50% $33,633 +93% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $64,836 $32,418 $64,836 +0% $40,362 +61% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $64,603 $32,302 $40,151 +61% $25,197 +156% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $64,315 $32,158 $64,315 +0% $33,454 +92% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $64,286 $32,143 $55,931 +15% $52,036 +24% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $63,645 $31,822 $78,884 −19% $43,800 +45% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $63,625 $31,813 $81,376 −22% $41,620 +53% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $63,544 $31,772 $53,823 +18% $32,841 +93% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $63,449 $31,725 $90,506 −30% $42,186 +50% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $63,204 $31,602 $39,722 +59% $34,192 +85% ≈199% of Medicare
116 INTRAOCULAR PROCEDURES WITH CC/MCC $63,027 $31,514 $52,717 +20% $29,126 +116% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $62,541 $31,271 $62,541 +0% $40,552 +54% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $62,492 $31,246 $67,416 −7% $61,470 +2% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $62,221 $31,111 $55,788 +12% $35,453 +76% —
791 PREMATURITY WITH MAJOR PROBLEMS $61,786 $30,893 $24,255 +155% $42,679 +45% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $61,629 $30,815 $60,531 +2% $29,916 +106% —
113 ORBITAL PROCEDURES WITH CC/MCC $61,421 $30,711 $61,421 +0% $36,167 +70% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $61,371 $30,686 $42,794 +43% $32,496 +89% ≈199% of Medicare
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $61,357 $30,678 $63,098 −3% $36,489 +68% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $61,326 $30,663 $60,253 +2% $34,607 +77% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $61,086 $30,543 $43,506 +40% $32,877 +86% —
682 RENAL FAILURE WITH MCC $60,840 $30,420 $38,846 +57% $29,064 +109% ≈186% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $60,797 $30,398 $60,391 +1% $40,642 +50% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $60,529 $30,264 $56,492 +7% $41,955 +44% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $60,488 $30,244 $60,272 +0% $33,393 +81% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $60,476 $30,238 $60,192 +0% $40,562 +49% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $60,151 $30,075 $49,661 +21% $32,433 +85% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $59,034 $29,517 $67,557 −13% $40,694 +45% —
157 DENTAL AND ORAL DISEASES WITH MCC $58,886 $29,443 $43,943 +34% $31,300 +88% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $58,838 $29,419 $51,179 +15% $36,937 +59% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $58,501 $29,250 $34,797 +68% $25,700 +128% —
302 ATHEROSCLEROSIS WITH MCC $58,370 $29,185 $30,575 +91% $22,446 +160% —
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% $35,074 +66% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $57,861 $28,930 $41,561 +39% $22,851 +153% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $57,637 $28,819 $38,531 +50% $30,571 +89% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $57,579 $28,790 $42,998 +34% $33,876 +70% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $57,330 $28,665 $55,867 +3% $25,703 +123% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $57,208 $28,604 $54,421 +5% $32,833 +74% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $56,927 $28,464 $86,222 −34% $40,060 +42% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $56,873 $28,437 $64,007 −11% $39,887 +43% —
037 EXTRACRANIAL PROCEDURES WITH MCC $56,783 $28,391 $104,329 −46% $66,666 −15% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $56,541 $28,270 $51,927 +9% $32,637 +73% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $56,425 $28,212 $39,293 +44% $36,249 +56% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $55,756 $27,878 $40,984 +36% $23,940 +133% ≈201% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $55,648 $27,824 $32,177 +73% $23,319 +139% —
606 MINOR SKIN DISORDERS WITH MCC $55,489 $27,745 $49,655 +12% $27,975 +98% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $55,118 $27,559 $39,806 +38% $27,316 +102% ≈222% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $55,061 $27,530 $51,935 +6% $33,047 +67% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $55,021 $27,510 $33,008 +67% $22,033 +150% —
598 MALIGNANT BREAST DISORDERS WITH CC $54,928 $27,464 $33,877 +62% $19,073 +188% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $54,704 $27,352 $37,775 +45% $22,458 +144% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $54,483 $27,241 $30,162 +81% $22,525 +142% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $54,403 $27,201 $62,690 −13% $30,493 +78% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $54,388 $27,194 $49,029 +11% $32,944 +65% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $54,059 $27,030 $43,470 +24% $32,451 +67% —
669 TRANSURETHRAL PROCEDURES WITH CC $53,925 $26,963 $47,052 +15% $34,354 +57% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $53,903 $26,952 $21,138 +155% $14,797 +264% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $53,797 $26,898 $45,740 +18% $25,390 +112% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $53,778 $26,889 $27,728 +94% $19,657 +174% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $53,771 $26,885 $50,918 +6% $45,866 +17% —
186 PLEURAL EFFUSION WITH MCC $53,725 $26,863 $51,727 +4% $33,834 +59% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $53,436 $26,718 $31,459 +70% $20,727 +158% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $53,428 $26,714 $48,547 +10% $26,618 +101% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $53,150 $26,575 $51,944 +2% $30,784 +73% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $53,130 $26,565 $69,489 −24% $50,618 +5% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $52,456 $26,228 $70,135 −25% $40,548 +29% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $52,277 $26,138 $40,660 +29% $26,770 +95% ≈208% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $52,241 $26,120 $100,855 −48% $49,839 +5% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $51,952 $25,976 $70,500 −26% $46,340 +12% —
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 $11,858 +336% $18,649 +177% —
887 OTHER MENTAL DISORDER DIAGNOSES $51,472 $25,736 $33,518 +54% $20,616 +150% —
947 SIGNS AND SYMPTOMS WITH MCC $51,397 $25,699 $31,156 +65% $27,401 +88% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $51,049 $25,524 $40,171 +27% $20,926 +144% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $50,920 $25,460 $32,735 +56% $22,763 +124% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $50,853 $25,427 $43,772 +16% $33,255 +53% —
102 HEADACHES WITH MCC $50,773 $25,387 $33,984 +49% $25,740 +97% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $50,648 $25,324 $33,302 +52% $27,989 +81% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $50,512 $25,256 $75,626 −33% $55,289 −9% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $50,404 $25,202 $39,211 +29% $24,550 +105% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $50,315 $25,158 $33,255 +51% $23,551 +114% —
643 ENDOCRINE DISORDERS WITH MCC $50,246 $25,123 $45,539 +10% $33,563 +50% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $49,989 $24,995 $39,269 +27% $26,051 +92% —
920 COMPLICATIONS OF TREATMENT WITH CC $49,782 $24,891 $28,197 +77% $22,468 +122% —
595 MAJOR SKIN DISORDERS WITH MCC $49,412 $24,706 $37,351 +32% $34,598 +43% —
381 COMPLICATED PEPTIC ULCER WITH CC $49,289 $24,644 $41,796 +18% $24,177 +104% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $49,262 $24,631 $32,220 +53% $19,264 +156% —
865 VIRAL ILLNESS WITH MCC $49,209 $24,604 $40,216 +22% $26,910 +83% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $49,177 $24,588 $37,811 +30% $31,159 +58% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $48,676 $24,338 $42,735 +14% $19,594 +148% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $48,615 $24,308 $37,342 +30% $22,148 +119% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $48,566 $24,283 $31,414 +55% $26,463 +84% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $48,357 $24,179 $49,697 −3% $32,021 +51% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $48,344 $24,172 $29,912 +62% $27,543 +76% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $48,231 $24,115 $57,920 −17% $38,878 +24% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $48,221 $24,110 $43,770 +10% $30,235 +59% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $48,216 $24,108 $35,450 +36% $23,488 +105% ≈207% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $48,035 $24,017 $35,646 +35% $28,050 +71% ≈200% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $48,028 $24,014 $47,275 +2% $34,459 +39% —
150 EPISTAXIS WITH MCC $48,021 $24,010 $48,021 +0% $23,171 +107% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $48,004 $24,002 $42,716 +12% $25,094 +91% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $47,880 $23,940 $33,851 +41% $23,617 +103% ≈197% of Medicare
602 CELLULITIS WITH MCC $47,668 $23,834 $36,275 +31% $30,598 +56% ≈189% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $47,504 $23,752 $39,206 +21% $30,959 +53% ≈200% of Medicare
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $47,461 $23,731 $37,284 +27% $25,712 +85% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $47,115 $23,557 $30,005 +57% $24,914 +89% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $47,085 $23,543 $42,121 +12% $33,555 +40% ≈192% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $47,006 $23,503 $44,135 +7% $27,394 +72% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $46,908 $23,454 $46,189 +2% $29,805 +57% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $46,868 $23,434 $31,438 +49% $20,566 +128% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $46,705 $23,353 $44,445 +5% $30,083 +55% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $46,605 $23,302 $36,380 +28% $25,034 +86% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $46,604 $23,302 $50,624 −8% $24,544 +90% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $46,579 $23,290 $57,334 −19% $47,737 −2% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $46,335 $23,168 $43,776 +6% $25,652 +81% —
375 DIGESTIVE MALIGNANCY WITH CC $46,197 $23,099 $40,982 +13% $27,277 +69% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $46,061 $23,030 $50,269 −8% $28,125 +64% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $45,820 $22,910 $42,868 +7% $24,941 +84% —
540 OSTEOMYELITIS WITH CC $45,590 $22,795 $31,469 +45% $26,676 +71% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $45,452 $22,726 $44,090 +3% $31,321 +45% —
348 ANAL AND STOMAL PROCEDURES WITH CC $45,418 $22,709 $45,418 +0% $27,947 +63% —
637 DIABETES WITH MCC $45,216 $22,608 $38,167 +18% $30,100 +50% ≈171% of Medicare
813 COAGULATION DISORDERS $45,160 $22,580 $46,013 −2% $33,296 +36% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $45,044 $22,522 $43,505 +4% $31,563 +43% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $44,915 $22,457 $36,597 +23% $21,847 +106% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $44,859 $22,430 $29,934 +50% $22,557 +99% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $44,850 $22,425 $50,587 −11% $31,134 +44% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $44,641 $22,321 $44,641 +0% $27,808 +61% —
291 HEART FAILURE AND SHOCK WITH MCC $44,523 $22,262 $35,285 +26% $26,776 +66% ≈198% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $44,512 $22,256 $35,028 +27% $19,815 +125% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $44,483 $22,241 $44,483 +0% $23,443 +90% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $44,155 $22,077 $42,221 +5% $17,404 +154% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $44,110 $22,055 $62,258 −29% $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 $39,994 +9% $24,944 +75% —
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 $49,576 −12% $32,100 +35% —
551 MEDICAL BACK PROBLEMS WITH MCC $43,387 $21,693 $41,164 +5% $34,017 +28% ≈172% of Medicare
123 NEUROLOGICAL EYE DISORDERS $43,382 $21,691 $32,693 +33% $19,745 +120% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $43,301 $21,650 $34,431 +26% $23,749 +82% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $43,189 $21,594 $54,303 −20% $29,949 +44% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $43,043 $21,522 $26,099 +65% $17,135 +151% —
548 SEPTIC ARTHRITIS WITH MCC $42,867 $21,434 $47,693 −10% $31,346 +37% —
671 URETHRAL PROCEDURES WITH CC/MCC $42,496 $21,248 $44,579 −5% $27,233 +56% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $42,495 $21,248 $50,432 −16% $32,697 +30% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $42,475 $21,237 $35,295 +20% $20,911 +103% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $42,424 $21,212 $46,687 −9% $36,445 +16% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $42,362 $21,181 $26,963 +57% $20,181 +110% ≈208% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $42,025 $21,012 $33,410 +26% $26,682 +58% —
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 $35,123 +19% $27,861 +50% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $41,701 $20,851 $80,983 −49% $43,174 −3% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $41,116 $20,558 $30,235 +36% $17,620 +133% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $41,093 $20,547 $31,275 +31% $25,303 +62% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $41,049 $20,525 $52,409 −22% $31,017 +32% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $41,046 $20,523 $36,372 +13% $28,320 +45% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $40,999 $20,499 $46,462 −12% $22,620 +81% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $40,953 $20,477 $35,019 +17% $22,098 +85% ≈200% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $40,849 $20,425 $40,849 +0% $28,156 +45% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $40,309 $20,155 $34,685 +16% $24,552 +64% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $40,196 $20,098 $32,470 +24% $24,386 +65% ≈199% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $40,177 $20,088 $44,574 −10% $25,748 +56% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $40,129 $20,064 $28,334 +42% $18,126 +121% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $39,984 $19,992 $33,249 +20% $17,698 +126% —
304 HYPERTENSION WITH MCC $39,925 $19,963 $34,828 +15% $26,080 +53% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $39,758 $19,879 $27,194 +46% $20,901 +90% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $39,665 $19,833 $39,665 +0% $27,285 +45% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $39,032 $19,516 $39,864 −2% $20,463 +91% ≈208% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $38,852 $19,426 $56,763 −32% $30,242 +28% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $38,616 $19,308 $49,730 −22% $21,230 +82% —
694 URINARY STONES WITHOUT MCC $38,583 $19,292 $23,458 +64% $17,345 +122% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $38,556 $19,278 $29,984 +29% $27,152 +42% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $38,402 $19,201 $15,808 +143% $23,283 +65% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $38,382 $19,191 $25,383 +51% $17,578 +118% ≈217% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $38,037 $19,018 $31,700 +20% $20,247 +88% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $37,767 $18,884 $33,403 +13% $14,055 +169% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $37,671 $18,835 $37,531 +0% $23,498 +60% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $37,647 $18,823 $34,674 +9% $25,463 +48% ≈178% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $37,489 $18,744 $32,296 +16% $22,850 +64% ≈216% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $37,191 $18,595 $41,922 −11% $27,843 +34% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $37,040 $18,520 $33,860 +9% $20,781 +78% —
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 $32,457 +12% $19,412 +88% —
139 SALIVARY GLAND PROCEDURES $36,235 $18,117 $32,164 +13% $23,612 +53% —
158 DENTAL AND ORAL DISEASES WITH CC $36,088 $18,044 $25,728 +40% $18,466 +95% —
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 $29,868 +19% $20,232 +76% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $35,650 $17,825 $30,344 +17% $29,221 +22% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $35,543 $17,771 $29,415 +21% $20,422 +74% ≈199% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $35,503 $17,752 $31,924 +11% $19,227 +85% —
666 PROSTATECTOMY WITH CC $35,440 $17,720 $44,512 −20% $31,906 +11% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $35,076 $17,538 $36,586 −4% $25,581 +37% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $34,908 $17,454 $34,188 +2% $22,635 +54% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $34,727 $17,364 $28,539 +22% $22,888 +52% ≈196% of Medicare
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $34,680 $17,340 $37,577 −8% $17,193 +102% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $34,582 $17,291 $20,952 +65% $23,571 +47% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $34,488 $17,244 $31,413 +10% $21,363 +61% —
849 RADIOTHERAPY $34,376 $17,188 $37,862 −9% $37,862 −9% —
181 RESPIRATORY NEOPLASMS WITH CC $34,346 $17,173 $29,674 +16% $23,573 +46% —
292 HEART FAILURE AND SHOCK WITH CC $34,236 $17,118 $25,702 +33% $16,371 +109% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $34,178 $17,089 $54,264 −37% $29,524 +16% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $34,110 $17,055 $30,844 +11% $21,449 +59% —
197 INTERSTITIAL LUNG DISEASE WITH CC $34,071 $17,035 $30,855 +10% $21,941 +55% —
149 DYSEQUILIBRIUM $33,898 $16,949 $33,898 +0% $18,096 +87% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $33,495 $16,747 $58,806 −43% $39,515 −15% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $33,466 $16,733 $37,681 −11% $17,934 +87% —
183 MAJOR CHEST TRAUMA WITH MCC $33,370 $16,685 $43,047 −22% $29,933 +11% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $33,237 $16,619 $29,395 +13% $17,700 +88% —
644 ENDOCRINE DISORDERS WITH CC $32,867 $16,433 $34,253 −4% $23,198 +42% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $32,842 $16,421 $26,731 +23% $21,275 +54% ≈181% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $32,690 $16,345 $33,560 −3% $27,275 +20% ≈184% of Medicare
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $32,632 $16,316 $20,930 +56% $22,320 +46% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $32,589 $16,295 $24,051 +36% $16,288 +100% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $32,574 $16,287 $34,092 −4% $27,426 +19% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $32,514 $16,257 $24,500 +33% $19,096 +70% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $32,224 $16,112 $27,468 +17% $20,957 +54% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $32,221 $16,111 $24,321 +32% $17,322 +86% ≈218% of Medicare
103 HEADACHES WITHOUT MCC $31,998 $15,999 $30,383 +5% $21,280 +50% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $31,755 $15,878 $28,537 +11% $22,024 +44% ≈217% of Medicare
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $31,677 $15,839 $28,520 +11% $15,600 +103% —
151 EPISTAXIS WITHOUT MCC $31,524 $15,762 $22,190 +42% $13,032 +142% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $31,482 $15,741 $34,002 −7% $21,056 +50% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $31,410 $15,705 $27,113 +16% $18,528 +70% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,310 $15,655 $47,584 −34% $46,453 −33% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $31,230 $15,615 $30,066 +4% $22,506 +39% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $31,226 $15,613 $18,098 +73% $18,126 +72% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $31,219 $15,610 $25,956 +20% $14,128 +121% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $31,200 $15,600 $45,920 −32% $33,653 −7% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $31,135 $15,568 $26,557 +17% $20,455 +52% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $31,003 $15,502 $20,005 +55% $15,837 +96% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $30,973 $15,486 $27,408 +13% $25,279 +23% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $30,903 $15,451 $18,156 +70% $19,846 +56% —
200 PNEUMOTHORAX WITH CC $30,792 $15,396 $29,354 +5% $21,368 +44% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $30,711 $15,356 $29,928 +3% $26,870 +14% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $30,704 $15,352 $26,905 +14% $23,206 +32% —
176 PULMONARY EMBOLISM WITHOUT MCC $30,559 $15,280 $31,275 −2% $18,081 +69% —
864 FEVER AND INFLAMMATORY CONDITIONS $30,413 $15,207 $30,333 +0% $18,640 +63% —
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 $24,629 +23% $18,956 +60% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $30,110 $15,055 $28,378 +6% $19,037 +58% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $30,051 $15,025 $18,257 +65% $18,452 +63% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $30,031 $15,016 $33,653 −11% $21,894 +37% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $30,001 $15,001 $32,107 −7% $27,043 +11% ≈171% of Medicare
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $29,971 $14,986 $45,718 −34% $26,948 +11% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $29,941 $14,971 $28,359 +6% $18,807 +59% ≈195% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $29,911 $14,956 $31,480 −5% $26,580 +13% ≈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 $24,948 +19% $15,038 +97% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $29,510 $14,755 $40,849 −28% $24,566 +20% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $29,387 $14,693 $10,553 +178% $10,160 +189% —
885 PSYCHOSES $29,376 $14,688 $26,918 +9% $21,729 +35% —
089 CONCUSSION WITH CC $29,243 $14,622 $35,159 −17% $18,821 +55% —
312 SYNCOPE AND COLLAPSE $29,192 $14,596 $27,041 +8% $19,342 +51% ≈224% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $29,170 $14,585 $28,841 +1% $19,305 +51% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $29,157 $14,578 $26,949 +8% $17,724 +65% ≈206% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $29,131 $14,566 $17,510 +66% $15,889 +83% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $29,108 $14,554 $30,243 −4% $21,396 +36% ≈237% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $29,032 $14,516 $27,362 +6% $17,118 +70% —
592 SKIN ULCERS WITH MCC $29,001 $14,501 $34,370 −16% $33,246 −13% —
506 MAJOR THUMB OR JOINT PROCEDURES $28,983 $14,492 $41,258 −30% $30,557 −5% —
683 RENAL FAILURE WITH CC $28,956 $14,478 $27,058 +7% $19,130 +51% ≈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 $20,735 +39% $18,133 +59% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $28,694 $14,347 $18,081 +59% $20,084 +43% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $28,688 $14,344 $28,688 +0% $20,259 +42% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $28,574 $14,287 $25,441 +12% $16,767 +70% —
593 SKIN ULCERS WITH CC $28,486 $14,243 $30,984 −8% $22,886 +24% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $28,340 $14,170 $28,851 −2% $17,303 +64% ≈207% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $28,274 $14,137 $46,561 −39% $29,826 −5% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $28,002 $14,001 $30,025 −7% $20,980 +33% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $27,946 $13,973 $31,093 −10% $19,854 +41% —
684 RENAL FAILURE WITHOUT CC/MCC $27,774 $13,887 $20,059 +38% $13,642 +104% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $27,693 $13,847 $20,958 +32% $15,589 +78% —
303 ATHEROSCLEROSIS WITHOUT MCC $27,663 $13,832 $22,833 +21% $14,927 +85% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,566 $13,783 $19,923 +38% $12,460 +121% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $27,517 $13,758 $22,667 +21% $18,150 +52% —
779 ABORTION WITHOUT D&C $27,403 $13,702 $16,942 +62% $15,327 +79% —
638 DIABETES WITH CC $27,245 $13,622 $25,980 +5% $19,661 +39% ≈211% of Medicare
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $26,748 $13,374 $23,449 +14% $18,602 +44% —
101 SEIZURES WITHOUT MCC $26,593 $13,297 $26,593 +0% $20,461 +30% ≈197% of Medicare
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,577 $13,289 $32,967 −19% $22,393 +19% —
914 TRAUMATIC INJURY WITHOUT MCC $26,274 $13,137 $26,858 −2% $15,855 +66% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $26,237 $13,119 $25,096 +5% $17,674 +48% ≈206% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $26,201 $13,101 $34,907 −25% $16,998 +54% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $26,020 $13,010 $15,829 +64% $16,846 +54% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $25,904 $12,952 $14,623 +77% $15,370 +69% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $25,860 $12,930 $25,860 +0% $17,921 +44% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $25,635 $12,818 $25,143 +2% $19,842 +29% ≈188% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $25,628 $12,814 $23,974 +7% $13,384 +91% ≈233% of Medicare
305 HYPERTENSION WITHOUT MCC $25,546 $12,773 $29,315 −13% $18,086 +41% ≈240% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $25,341 $12,671 $25,280 +0% $16,968 +49% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $25,221 $12,611 $24,176 +4% $17,038 +48% ≈208% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $24,979 $12,489 $31,598 −21% $19,598 +27% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $24,803 $12,401 $22,618 +10% $18,488 +34% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $24,592 $12,296 $24,592 +0% $16,565 +48% —
334 RECTAL RESECTION WITHOUT CC/MCC $24,476 $12,238 $58,179 −58% $36,820 −34% —
913 TRAUMATIC INJURY WITH MCC $24,413 $12,207 $38,056 −36% $24,198 +1% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $24,203 $12,102 $13,275 +82% $13,275 +82% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $24,155 $12,077 $21,194 +14% $13,361 +81% —
534 FRACTURES OF FEMUR WITHOUT MCC $23,953 $11,977 $24,156 −1% $17,559 +36% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $23,879 $11,940 $37,980 −37% $18,348 +30% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,871 $11,935 $25,228 −5% $24,127 −1% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $23,176 $11,588 $23,421 −1% $17,733 +31% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $23,173 $11,586 $21,617 +7% $15,183 +53% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $23,153 $11,576 $26,350 −12% $17,298 +34% —
603 CELLULITIS WITHOUT MCC $23,134 $11,567 $23,062 +0% $18,530 +25% ≈204% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $23,132 $11,566 $22,549 +3% $18,004 +28% —
906 HAND PROCEDURES FOR INJURIES $23,081 $11,541 $66,100 −65% $32,065 −28% —
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 $27,724 −18% $21,789 +5% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $22,699 $11,350 $25,285 −10% $19,924 +14% —
882 NEUROSES EXCEPT DEPRESSIVE $22,511 $11,255 $16,665 +35% $15,680 +44% —
999 UNGROUPABLE $22,184 $11,092 $67,370 −67% $29,674 −25% —
075 VIRAL MENINGITIS WITH CC/MCC $22,183 $11,091 $43,529 −49% $30,447 −27% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $21,843 $10,922 $23,254 −6% $14,648 +49% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $21,816 $10,908 $26,799 −19% $20,895 +4% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $21,603 $10,802 $26,641 −19% $20,506 +5% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $21,600 $10,800 $23,989 −10% $16,776 +29% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $21,580 $10,790 $19,739 +9% $14,549 +48% —
311 ANGINA PECTORIS $21,418 $10,709 $23,158 −8% $15,502 +38% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $21,114 $10,557 $9,874 +114% $12,229 +73% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $21,112 $10,556 $18,352 +15% $16,699 +26% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $20,878 $10,439 $12,078 +73% $12,078 +73% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $20,637 $10,319 $20,284 +2% $19,132 +8% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $20,542 $10,271 $27,057 −24% $18,204 +13% ≈210% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $19,822 $9,911 $21,182 −6% $15,452 +28% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $19,695 $9,848 $17,351 +14% $14,415 +37% —
639 DIABETES WITHOUT CC/MCC $19,403 $9,702 $20,118 −4% $13,910 +39% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,355 $9,678 $30,430 −36% $19,270 +0% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,277 $9,639 $51,225 −62% $32,031 −40% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $19,208 $9,604 $32,237 −40% $16,552 +16% —
313 CHEST PAIN $18,628 $9,314 $23,778 −22% $16,440 +13% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $18,443 $9,222 $15,006 +23% $14,368 +28% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $18,184 $9,092 $24,445 −26% $15,495 +17% —
541 OSTEOMYELITIS WITHOUT CC/MCC $18,149 $9,075 $18,149 +0% $15,215 +19% —
090 CONCUSSION WITHOUT CC/MCC $18,025 $9,013 $18,025 +0% $15,412 +17% —
153 OTITIS MEDIA AND URI WITHOUT MCC $17,892 $8,946 $17,402 +3% $14,583 +23% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $17,720 $8,860 $19,206 −8% $14,689 +21% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $17,612 $8,806 $21,972 −20% $15,428 +14% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $17,450 $8,725 $21,659 −19% $16,520 +6% —
866 VIRAL ILLNESS WITHOUT MCC $17,438 $8,719 $19,016 −8% $17,081 +2% —
916 ALLERGIC REACTIONS WITHOUT MCC $16,783 $8,391 $19,992 −16% $13,942 +20% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,710 $8,355 $22,292 −25% $17,601 −5% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $16,523 $8,261 $17,198 −4% $13,633 +21% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,403 $8,202 $22,190 −26% $14,250 +15% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,520 $7,760 $21,877 −29% $16,700 −7% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $14,838 $7,419 $18,945 −22% $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 $32,032 −54% $24,056 −39% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $14,270 $7,135 $15,152 −6% $12,324 +16% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,821 $6,910 $12,454 +11% $12,895 +7% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $13,801 $6,901 $25,492 −46% $13,651 +1% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,585 $6,792 $32,418 −58% $27,297 −50% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,967 $6,484 $28,257 −54% $15,549 −17% —
201 PNEUMOTHORAX WITHOUT CC/MCC $12,413 $6,206 $21,129 −41% $14,053 −12% —
950 AFTERCARE WITHOUT CC/MCC $11,760 $5,880 $15,350 −23% $13,527 −13% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,682 $5,841 $18,105 −35% $15,019 −22% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,596 $5,798 $20,918 −45% $18,072 −36% —
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 $13,697 −22% $10,975 −2% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $10,619 $5,309 $10,280 +3% $9,940 +7% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $9,987 $4,994 $17,725 −44% $11,421 −13% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,606 $4,803 $14,910 −36% $14,501 −34% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,214 $4,607 $26,195 −65% $11,997 −23% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,152 $4,576 $12,454 −27% $12,454 −27% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,141 $4,571 $42,140 −78% $33,661 −73% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,851 $4,425 $44,843 −80% $19,138 −54% —
594 SKIN ULCERS WITHOUT CC/MCC $7,684 $3,842 $21,499 −64% $14,209 −46% —
184 MAJOR CHEST TRAUMA WITH CC $7,170 $3,585 $32,609 −78% $22,432 −68% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,832 $3,416 $26,453 −74% $16,634 −59% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,777 $3,388 $7,112 −5% $8,445 −20% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,749 $3,374 $26,095 −74% $12,559 −46% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $6,173 $3,087 $26,510 −77% $26,510 −77% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,914 $2,957 $14,113 −58% $12,252 −52% —
795 NORMAL NEWBORN $4,967 $2,483 $5,755 −14% $4,720 +5% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,601 $2,301 $16,303 −72% $14,514 −68% —
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