Rush University Medical Center — Pricing

711 procedures published in this hospital's Machine-Readable File (MRF) — 711 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 711
Lowest published price $4,601
Average published price $89,416
Highest published price $2,616,271

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 711 procedures

Published charges

Showing all 711 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 172 procedures, this hospital's negotiated rates average ≈121% 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 $2,616,271 $1,308,135 $2,225,533 +18% $498,715 +425% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,017,840 $508,920 $887,435 +15% $431,073 +136% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $741,617 $370,809 $548,072 +35% $371,366 +100% ≈146% of Medicare
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $617,088 $308,544 $509,916 +21% $169,977 +263% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $459,669 $229,834 $411,402 +12% $245,241 +87% ≈151% of Medicare
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $457,571 $228,785 $420,812 +9% $171,338 +167% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $441,137 $220,569 $441,137 +0% $86,459 +410% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $439,279 $219,639 $439,279 +0% $159,181 +176% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $367,243 $183,622 $42,140 +771% $30,910 +1088% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $361,606 $180,803 $124,696 +190% $80,018 +352% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $356,643 $178,321 $252,126 +41% $109,331 +226% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $347,263 $173,632 $337,167 +3% $182,314 +90% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $339,990 $169,995 $204,731 +66% $131,961 +158% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $328,453 $164,226 $83,780 +292% $59,425 +453% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $321,915 $160,958 $273,966 +18% $151,029 +113% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $315,902 $157,951 $315,902 +0% $134,914 +134% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $314,115 $157,057 $73,783 +326% $46,591 +574% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $311,824 $155,912 $207,383 +50% $101,235 +208% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $308,378 $154,189 $327,250 −6% $175,437 +76% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $298,366 $149,183 $247,477 +21% $121,714 +145% —
834 ACUTE LEUKEMIA WITH MCC $296,774 $148,387 $120,139 +147% $76,583 +288% ≈99% of Medicare
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $290,949 $145,474 $302,520 −4% $71,551 +307% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $286,932 $143,466 $418,845 −31% $105,612 +172% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $286,262 $143,131 $116,316 +146% $86,953 +229% —
245 AICD GENERATOR PROCEDURES $277,690 $138,845 $75,000 +270% $72,076 +285% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $270,308 $135,154 $258,633 +5% $143,242 +89% ≈119% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $264,996 $132,498 $29,844 +788% $18,428 +1338% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $263,309 $131,655 $263,309 +0% $56,242 +368% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $260,434 $130,217 $230,023 +13% $113,855 +129% ≈116% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $260,021 $130,010 $71,756 +262% $60,098 +333% —
652 KIDNEY TRANSPLANT $258,233 $129,116 $258,233 +0% $54,720 +372% ≈135% of Medicare
231 CORONARY BYPASS WITH PTCA WITH MCC $257,212 $128,606 $257,212 +0% $146,474 +76% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $249,429 $124,714 $99,251 +151% $68,847 +262% —
006 LIVER TRANSPLANT WITHOUT MCC $242,391 $121,196 $242,391 +0% $84,407 +187% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $240,775 $120,387 $200,653 +20% $117,280 +105% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $239,424 $119,712 $191,535 +25% $118,589 +102% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $239,111 $119,556 $224,578 +6% $138,868 +72% ≈112% of Medicare
215 OTHER HEART ASSIST SYSTEM IMPLANT $238,931 $119,466 $262,284 −9% $191,314 +25% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $235,938 $117,969 $204,360 +15% $138,008 +71% ≈143% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $232,444 $116,222 $225,488 +3% $107,355 +117% ≈117% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $229,721 $114,860 $164,349 +40% $96,192 +139% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $226,890 $113,445 $86,553 +162% $78,582 +189% ≈103% of Medicare
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $223,415 $111,707 $139,916 +60% $57,855 +286% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $216,069 $108,035 $130,574 +65% $96,905 +123% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $215,358 $107,679 $135,829 +59% $99,423 +117% ≈116% of Medicare
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $205,518 $102,759 $100,097 +105% $87,018 +136% ≈124% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $199,914 $99,957 $136,366 +47% $87,565 +128% ≈143% of Medicare
028 SPINAL PROCEDURES WITH MCC $199,842 $99,921 $120,078 +66% $95,858 +108% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $199,631 $99,816 $180,921 +10% $106,778 +87% ≈117% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $199,557 $99,778 $90,255 +121% $37,654 +430% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $199,405 $99,703 $189,821 +5% $94,927 +110% ≈115% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $198,748 $99,374 $100,833 +97% $86,390 +130% ≈113% of Medicare
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $197,663 $98,831 $141,550 +40% $75,585 +162% —
662 MINOR BLADDER PROCEDURES WITH MCC $196,929 $98,465 $68,479 +188% $54,483 +261% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $194,847 $97,423 $119,821 +63% $88,049 +121% —
653 MAJOR BLADDER PROCEDURES WITH MCC $193,239 $96,619 $195,727 −1% $97,046 +99% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $193,151 $96,576 $140,952 +37% $83,065 +133% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $192,967 $96,484 $96,172 +101% $96,222 +101% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $192,402 $96,201 $174,935 +10% $92,217 +109% ≈113% of Medicare
835 ACUTE LEUKEMIA WITH CC $191,375 $95,688 $56,837 +237% $35,569 +438% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $190,818 $95,409 $44,150 +332% $29,609 +544% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $188,384 $94,192 $110,844 +70% $72,859 +159% ≈101% of Medicare
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $186,564 $93,282 $107,068 +74% $74,257 +151% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $183,603 $91,802 $150,610 +22% $91,329 +101% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $182,625 $91,313 $176,550 +3% $112,062 +63% ≈126% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $181,748 $90,874 $182,938 −1% $102,177 +78% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $181,582 $90,791 $98,360 +85% $80,885 +124% ≈109% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $180,351 $90,176 $119,150 +51% $68,659 +163% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $179,220 $89,610 $126,946 +41% $82,561 +117% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $176,775 $88,388 $141,607 +25% $78,852 +124% ≈118% of Medicare
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $175,976 $87,988 $173,151 +2% $102,573 +72% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $174,736 $87,368 $141,719 +23% $88,691 +97% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $169,429 $84,715 $76,620 +121% $66,853 +153% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $168,260 $84,130 $95,225 +77% $80,747 +108% ≈121% of Medicare
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% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $165,224 $82,612 $110,629 +49% $72,011 +129% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $163,923 $81,962 $80,673 +103% $71,701 +129% ≈127% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $163,478 $81,739 $163,565 −0% $88,307 +85% ≈122% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $163,033 $81,516 $118,624 +37% $57,277 +185% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $162,787 $81,393 $93,793 +74% $76,954 +112% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $161,483 $80,742 $85,781 +88% $46,659 +246% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $161,193 $80,596 $70,552 +128% $63,984 +152% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $161,098 $80,549 $105,238 +53% $74,755 +116% ≈120% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $160,925 $80,462 $68,659 +134% $54,313 +196% ≈128% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $160,461 $80,231 $61,060 +163% $32,538 +393% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $155,798 $77,899 $156,873 −1% $90,331 +72% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $155,703 $77,851 $140,408 +11% $84,861 +83% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $154,043 $77,022 $113,982 +35% $61,832 +149% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $153,984 $76,992 $77,657 +98% $51,953 +196% ≈122% of Medicare
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $152,930 $76,465 $93,471 +64% $108,472 +41% —
471 CERVICAL SPINAL FUSION WITH MCC $152,885 $76,443 $129,466 +18% $92,515 +65% ≈114% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $152,201 $76,100 $51,315 +197% $44,839 +239% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $152,140 $76,070 $153,843 −1% $116,058 +31% ≈152% of Medicare
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $150,414 $75,207 $88,076 +71% $72,945 +106% ≈135% of Medicare
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $149,449 $74,724 $61,607 +143% $65,383 +129% ≈129% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $149,444 $74,722 $113,035 +32% $65,325 +129% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $149,337 $74,668 $114,258 +31% $88,050 +70% ≈111% of Medicare
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $146,229 $73,114 $100,202 +46% $82,527 +77% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $144,235 $72,118 $53,593 +169% $29,109 +396% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $143,682 $71,841 $68,568 +110% $49,710 +189% ≈119% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $143,664 $71,832 $39,705 +262% $36,334 +295% ≈83% of Medicare
709 PENIS PROCEDURES WITH CC/MCC $143,115 $71,557 $74,876 +91% $34,535 +314% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $142,601 $71,301 $151,494 −6% $98,260 +45% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $142,512 $71,256 $142,817 −0% $82,247 +73% —
503 FOOT PROCEDURES WITH MCC $141,207 $70,604 $91,758 +54% $43,901 +222% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $140,102 $70,051 $126,423 +11% $67,901 +106% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $140,075 $70,037 $140,830 −1% $70,735 +98% ≈108% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $139,559 $69,779 $33,832 +313% $25,197 +454% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $139,284 $69,642 $156,159 −11% $73,029 +91% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $138,067 $69,033 $106,952 +29% $71,014 +94% ≈92% of Medicare
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $137,858 $68,929 $111,311 +24% $65,573 +110% ≈122% of Medicare
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $136,226 $68,113 $136,226 +0% $83,441 +63% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $135,928 $67,964 $86,971 +56% $62,524 +117% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $135,739 $67,869 $77,803 +74% $54,475 +149% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $134,774 $67,387 $93,483 +44% $34,264 +293% —
906 HAND PROCEDURES FOR INJURIES $134,239 $67,120 $66,100 +103% $31,520 +326% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $133,649 $66,824 $99,374 +34% $74,274 +80% ≈105% of Medicare
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $133,558 $66,779 $72,567 +84% $62,821 +113% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $132,274 $66,137 $80,474 +64% $34,900 +279% ≈123% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $130,838 $65,419 $66,698 +96% $36,202 +261% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $129,751 $64,875 $103,580 +25% $31,566 +311% —
252 OTHER VASCULAR PROCEDURES WITH MCC $129,184 $64,592 $96,624 +34% $68,508 +89% ≈114% of Medicare
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $128,357 $64,179 $131,822 −3% $72,908 +76% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $127,941 $63,970 $90,646 +41% $68,880 +86% ≈120% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $127,088 $63,544 $105,992 +20% $70,132 +81% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $127,042 $63,521 $63,522 +100% $50,139 +153% ≈139% of Medicare
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $126,859 $63,430 $27,853 +355% $12,650 +903% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $126,371 $63,185 $82,120 +54% $34,089 +271% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $125,752 $62,876 $92,487 +36% $71,755 +75% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $124,983 $62,492 $81,876 +53% $50,919 +145% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $124,395 $62,197 $124,395 +0% $66,819 +86% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $123,677 $61,838 $102,466 +21% $62,961 +96% —
163 MAJOR CHEST PROCEDURES WITH MCC $123,607 $61,803 $117,872 +5% $88,341 +40% ≈115% of Medicare
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $123,198 $61,599 $87,638 +41% $53,817 +129% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $122,998 $61,499 $98,890 +24% $72,782 +69% ≈109% of Medicare
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $122,209 $61,105 $100,544 +22% $53,551 +128% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $122,025 $61,012 $81,755 +49% $62,404 +96% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $121,754 $60,877 $86,261 +41% $52,405 +132% ≈116% of Medicare
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $121,667 $60,834 $75,462 +61% $65,254 +86% ≈120% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $121,580 $60,790 $67,631 +80% $62,269 +95% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $120,767 $60,383 $94,194 +28% $59,207 +104% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $120,670 $60,335 $53,307 +126% $55,097 +119% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $120,158 $60,079 $118,094 +2% $43,586 +176% ≈130% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $120,018 $60,009 $66,504 +80% $56,394 +113% ≈124% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $119,547 $59,774 $106,469 +12% $64,152 +86% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $119,464 $59,732 $30,528 +291% $26,634 +349% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $119,357 $59,679 $88,949 +34% $58,968 +102% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $119,336 $59,668 $110,923 +8% $58,043 +106% ≈128% of Medicare
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $119,250 $59,625 $34,045 +250% $24,229 +392% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $118,360 $59,180 $86,721 +36% $55,162 +115% —
263 VEIN LIGATION AND STRIPPING $117,632 $58,816 $44,903 +162% $44,938 +162% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $115,701 $57,851 $111,032 +4% $57,521 +101% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $113,256 $56,628 $108,375 +5% $52,332 +116% ≈121% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $112,424 $56,212 $53,985 +108% $47,583 +136% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $111,110 $55,555 $83,551 +33% $57,149 +94% ≈137% of Medicare
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $110,801 $55,400 $89,321 +24% $70,540 +57% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $110,571 $55,285 $81,694 +35% $39,253 +182% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $110,185 $55,092 $51,873 +112% $43,524 +153% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $110,019 $55,010 $64,719 +70% $52,908 +108% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $109,722 $54,861 $58,919 +86% $43,491 +152% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $109,706 $54,853 $75,882 +45% $41,380 +165% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $109,604 $54,802 $99,411 +10% $29,633 +270% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $108,729 $54,365 $78,828 +38% $57,963 +88% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $108,724 $54,362 $103,966 +5% $56,758 +92% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $108,207 $54,103 $68,936 +57% $54,824 +97% ≈114% of Medicare
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $108,163 $54,081 $87,318 +24% $68,006 +59% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $108,016 $54,008 $53,431 +102% $44,973 +140% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $107,681 $53,840 $44,283 +143% $32,399 +232% ≈106% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $107,122 $53,561 $76,163 +41% $48,094 +123% —
397 APPENDIX PROCEDURES WITH MCC $106,883 $53,441 $61,356 +74% $52,319 +104% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $106,397 $53,199 $93,151 +14% $67,764 +57% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $106,001 $53,001 $97,106 +9% $53,555 +98% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $105,681 $52,840 $73,436 +44% $54,929 +92% ≈121% of Medicare
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $104,897 $52,449 $96,410 +9% $63,475 +65% ≈134% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $104,457 $52,228 $111,100 −6% $64,465 +62% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $103,826 $51,913 $20,662 +403% $14,284 +627% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $102,656 $51,328 $64,644 +59% $51,142 +101% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $102,349 $51,175 $101,177 +1% $60,140 +70% —
597 MALIGNANT BREAST DISORDERS WITH MCC $102,071 $51,035 $52,249 +95% $31,846 +221% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $102,058 $51,029 $64,506 +58% $75,103 +36% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $101,641 $50,820 $77,469 +31% $38,382 +165% —
199 PNEUMOTHORAX WITH MCC $101,534 $50,767 $47,123 +115% $31,491 +222% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $101,517 $50,758 $81,786 +24% $34,906 +191% —
253 OTHER VASCULAR PROCEDURES WITH CC $101,493 $50,746 $100,112 +1% $53,746 +89% ≈115% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $101,375 $50,687 $64,787 +56% $51,172 +98% ≈118% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $101,349 $50,675 $75,273 +35% $54,196 +87% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $100,855 $50,428 $100,855 +0% $49,055 +106% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $100,108 $50,054 $67,392 +49% $37,902 +164% —
504 FOOT PROCEDURES WITH CC $100,019 $50,009 $57,176 +75% $36,598 +173% —
500 SOFT TISSUE PROCEDURES WITH MCC $99,943 $49,971 $99,943 +0% $57,479 +74% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $99,244 $49,622 $100,656 −1% $64,776 +53% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $98,520 $49,260 $66,077 +49% $56,519 +74% ≈131% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $98,166 $49,083 $72,598 +35% $58,832 +67% ≈134% of Medicare
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% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $96,611 $48,306 $73,163 +32% $50,011 +93% ≈109% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $96,377 $48,188 $65,428 +47% $49,470 +95% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $95,684 $47,842 $85,758 +12% $43,080 +122% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $95,088 $47,544 $32,064 +197% $19,001 +400% —
654 MAJOR BLADDER PROCEDURES WITH CC $94,928 $47,464 $99,956 −5% $53,868 +76% ≈123% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $94,688 $47,344 $94,688 +0% $64,749 +46% —
666 PROSTATECTOMY WITH CC $94,325 $47,162 $44,512 +112% $30,016 +214% —
100 SEIZURES WITH MCC $93,450 $46,725 $40,673 +130% $35,194 +166% ≈107% of Medicare
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $93,345 $46,672 $74,515 +25% $46,066 +103% —
333 RECTAL RESECTION WITH CC $93,238 $46,619 $57,285 +63% $34,352 +171% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $92,885 $46,443 $44,433 +109% $36,933 +151% ≈122% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $92,624 $46,312 $50,587 +83% $35,642 +160% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $92,305 $46,152 $73,049 +26% $32,839 +181% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $92,096 $46,048 $94,188 −2% $40,232 +129% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $91,471 $45,735 $96,842 −6% $68,399 +34% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $90,706 $45,353 $50,084 +81% $41,520 +118% ≈88% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $90,024 $45,012 $70,563 +28% $52,313 +72% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $89,693 $44,847 $40,679 +120% $39,409 +128% ≈118% of Medicare
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $89,265 $44,633 $46,334 +93% $37,950 +135% ≈125% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $89,252 $44,626 $63,609 +40% $36,280 +146% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $89,123 $44,562 $31,597 +182% $23,734 +276% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $88,879 $44,439 $59,785 +49% $45,963 +93% —
501 SOFT TISSUE PROCEDURES WITH CC $88,807 $44,403 $55,568 +60% $37,975 +134% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $88,656 $44,328 $76,763 +15% $51,985 +71% ≈122% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $88,529 $44,265 $87,420 +1% $59,537 +49% ≈130% of Medicare
799 SPLENIC PROCEDURES WITH MCC $88,461 $44,231 $88,461 +0% $78,821 +12% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $88,395 $44,197 $88,395 +0% $45,290 +95% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $87,822 $43,911 $67,075 +31% $41,703 +111% —
374 DIGESTIVE MALIGNANCY WITH MCC $87,590 $43,795 $40,031 +119% $38,885 +125% ≈118% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $87,519 $43,760 $76,912 +14% $45,622 +92% —
348 ANAL AND STOMAL PROCEDURES WITH CC $87,454 $43,727 $46,875 +87% $27,947 +213% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $87,444 $43,722 $36,570 +139% $25,243 +246% —
800 SPLENIC PROCEDURES WITH CC $87,346 $43,673 $71,712 +22% $49,184 +78% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $87,186 $43,593 $42,358 +106% $35,237 +147% ≈114% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $87,141 $43,570 $56,245 +55% $38,094 +129% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $86,329 $43,165 $54,030 +60% $32,483 +166% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $86,095 $43,048 $62,173 +38% $40,583 +112% ≈118% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $85,879 $42,940 $79,807 +8% $36,850 +133% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $85,872 $42,936 $45,303 +90% $28,646 +200% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $85,871 $42,936 $42,506 +102% $32,981 +160% —
265 AICD LEAD PROCEDURES $85,568 $42,784 $95,384 −10% $56,695 +51% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $85,511 $42,756 $40,928 +109% $36,097 +137% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $85,483 $42,741 $47,635 +79% $27,321 +213% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $84,872 $42,436 $66,738 +27% $44,600 +90% ≈118% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $84,082 $42,041 $84,683 −1% $45,432 +85% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $83,755 $41,878 $67,660 +24% $45,817 +83% ≈129% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $83,728 $41,864 $89,166 −6% $44,363 +89% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $83,712 $41,856 $64,508 +30% $44,989 +86% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $83,350 $41,675 $83,506 −0% $51,339 +62% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $83,073 $41,536 $46,986 +77% $46,402 +79% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $82,862 $41,431 $77,379 +7% $54,772 +51% ≈120% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $82,748 $41,374 $70,524 +17% $31,716 +161% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $82,701 $41,351 $38,960 +112% $26,020 +218% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $82,403 $41,201 $64,209 +28% $32,911 +150% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $82,380 $41,190 $51,392 +60% $31,909 +158% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $81,866 $40,933 $74,684 +10% $36,597 +124% —
075 VIRAL MENINGITIS WITH CC/MCC $81,739 $40,870 $39,565 +107% $29,853 +174% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $81,525 $40,763 $57,915 +41% $43,266 +88% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $81,008 $40,504 $54,584 +48% $21,615 +275% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $80,983 $40,491 $51,649 +57% $41,651 +94% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $80,860 $40,430 $77,074 +5% $36,242 +123% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $80,793 $40,397 $35,422 +128% $26,322 +207% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $80,780 $40,390 $47,215 +71% $37,080 +118% —
711 TESTES PROCEDURES WITH CC/MCC $80,524 $40,262 $75,177 +7% $34,852 +131% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $80,412 $40,206 $64,286 +25% $49,065 +64% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $80,076 $40,038 $78,238 +2% $50,624 +58% —
665 PROSTATECTOMY WITH MCC $79,823 $39,911 $79,823 +0% $54,072 +48% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $79,706 $39,853 $51,557 +55% $35,714 +123% ≈129% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $79,672 $39,836 $45,159 +76% $39,657 +101% ≈114% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $79,543 $39,771 $71,126 +12% $46,430 +71% ≈120% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $79,315 $39,658 $53,257 +49% $42,881 +85% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $79,227 $39,613 $57,568 +38% $39,018 +103% —
919 COMPLICATIONS OF TREATMENT WITH MCC $78,667 $39,333 $37,347 +111% $29,031 +171% ≈112% of Medicare
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $78,506 $39,253 $59,012 +33% $49,631 +58% ≈125% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $77,943 $38,971 $64,201 +21% $38,836 +101% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $77,590 $38,795 $48,282 +61% $31,128 +149% ≈116% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $77,572 $38,786 $47,265 +64% $38,357 +102% ≈119% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $77,293 $38,646 $79,534 −3% $47,546 +63% —
595 MAJOR SKIN DISORDERS WITH MCC $77,264 $38,632 $34,568 +124% $31,785 +143% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $77,072 $38,536 $70,859 +9% $46,477 +66% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $76,636 $38,318 $63,833 +20% $37,064 +107% ≈126% 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% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $75,797 $37,899 $46,463 +63% $29,371 +158% —
380 COMPLICATED PEPTIC ULCER WITH MCC $75,735 $37,868 $58,065 +30% $36,641 +107% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $75,694 $37,847 $73,813 +3% $43,775 +73% ≈124% of Medicare
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $75,682 $37,841 $59,166 +28% $29,558 +156% ≈118% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $75,386 $37,693 $41,092 +83% $27,934 +170% ≈122% of Medicare
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $75,296 $37,648 $44,373 +70% $18,126 +315% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $75,252 $37,626 $51,475 +46% $41,900 +80% ≈122% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $74,865 $37,433 $57,466 +30% $41,660 +80% ≈131% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $74,333 $37,166 $76,245 −3% $43,800 +70% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $74,242 $37,121 $85,111 −13% $35,686 +108% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $73,713 $36,856 $67,596 +9% $48,682 +51% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $73,211 $36,606 $57,124 +28% $25,149 +191% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $73,028 $36,514 $48,486 +51% $32,502 +125% ≈112% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $72,925 $36,462 $41,270 +77% $30,814 +137% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $72,865 $36,432 $49,624 +47% $37,842 +93% ≈117% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $72,723 $36,362 $50,988 +43% $33,792 +115% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $72,554 $36,277 $70,245 +3% $35,673 +103% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $72,431 $36,215 $42,716 +70% $24,561 +195% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $72,276 $36,138 $78,851 −8% $36,080 +100% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $72,052 $36,026 $65,490 +10% $35,528 +103% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $71,778 $35,889 $56,233 +28% $42,119 +70% —
571 SKIN DEBRIDEMENT WITH CC $71,418 $35,709 $45,052 +59% $34,901 +105% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $71,289 $35,644 $35,560 +100% $24,022 +197% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $71,240 $35,620 $59,948 +19% $31,816 +124% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $71,130 $35,565 $57,626 +23% $35,114 +103% ≈119% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $71,111 $35,555 $62,841 +13% $38,420 +85% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $71,101 $35,551 $63,383 +12% $54,129 +31% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $70,939 $35,470 $54,607 +30% $44,117 +61% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $70,814 $35,407 $53,190 +33% $29,524 +140% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $70,677 $35,339 $67,170 +5% $28,578 +147% —
180 RESPIRATORY NEOPLASMS WITH MCC $70,606 $35,303 $41,006 +72% $36,658 +93% ≈116% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $70,525 $35,262 $62,233 +13% $40,063 +76% —
164 MAJOR CHEST PROCEDURES WITH CC $70,410 $35,205 $87,378 −19% $53,141 +32% ≈127% of Medicare
668 TRANSURETHRAL PROCEDURES WITH MCC $70,386 $35,193 $57,575 +22% $47,277 +49% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $69,959 $34,979 $66,720 +5% $33,984 +106% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $69,795 $34,898 $70,361 −1% $44,553 +57% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $69,729 $34,864 $57,203 +22% $49,197 +42% ≈122% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $69,594 $34,797 $59,244 +17% $35,014 +99% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $69,573 $34,787 $85,467 −19% $39,093 +78% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $69,489 $34,745 $55,720 +25% $45,497 +53% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $69,320 $34,660 $63,204 +10% $27,548 +152% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $69,311 $34,656 $44,197 +57% $32,490 +113% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $68,919 $34,460 $34,218 +101% $31,059 +122% ≈141% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $68,871 $34,435 $30,386 +127% $24,450 +182% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $68,806 $34,403 $25,396 +171% $17,226 +299% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $68,561 $34,281 $64,724 +6% $43,398 +58% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $68,333 $34,167 $68,988 −1% $48,680 +40% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $68,074 $34,037 $37,694 +81% $29,211 +133% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $68,037 $34,018 $61,891 +10% $31,978 +113% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $67,649 $33,825 $48,759 +39% $42,126 +61% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $67,557 $33,778 $62,245 +9% $40,694 +66% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $67,154 $33,577 $49,057 +37% $35,375 +90% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $67,040 $33,520 $53,879 +24% $40,563 +65% ≈134% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $66,981 $33,491 $55,728 +20% $36,333 +84% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $66,814 $33,407 $40,053 +67% $31,840 +110% ≈122% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $66,305 $33,153 $57,488 +15% $43,538 +52% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $66,259 $33,130 $40,489 +64% $31,062 +113% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $66,220 $33,110 $47,520 +39% $29,484 +125% ≈128% of Medicare
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $66,034 $33,017 $58,351 +13% $35,459 +86% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $66,008 $33,004 $59,433 +11% $29,916 +121% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $65,968 $32,984 $36,815 +79% $30,394 +117% ≈123% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $65,879 $32,940 $55,924 +18% $36,239 +82% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $65,495 $32,748 $64,486 +2% $40,552 +62% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $65,413 $32,706 $51,259 +28% $39,747 +65% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $64,992 $32,496 $64,992 +0% $35,584 +83% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $64,924 $32,462 $60,283 +8% $27,279 +138% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $64,923 $32,462 $69,362 −6% $30,972 +110% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $64,840 $32,420 $55,321 +17% $36,237 +79% ≈114% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $64,768 $32,384 $65,140 −1% $35,770 +81% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $64,630 $32,315 $50,142 +29% $36,375 +78% ≈112% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $63,942 $31,971 $40,969 +56% $25,666 +149% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $63,870 $31,935 $32,687 +95% $28,252 +126% —
643 ENDOCRINE DISORDERS WITH MCC $63,633 $31,817 $42,262 +51% $32,996 +93% ≈106% of Medicare
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $63,449 $31,725 $63,449 +0% $40,065 +58% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $63,345 $31,672 $46,527 +36% $32,204 +97% ≈120% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $63,276 $31,638 $51,942 +22% $44,053 +44% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $63,138 $31,569 $41,629 +52% $17,398 +263% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $63,027 $31,514 $51,076 +23% $28,103 +124% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $62,970 $31,485 $47,182 +33% $33,137 +90% ≈123% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $62,938 $31,469 $39,722 +58% $32,689 +93% ≈114% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $62,836 $31,418 $55,887 +12% $39,563 +59% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $62,555 $31,278 $45,016 +39% $33,607 +86% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $62,486 $31,243 $38,319 +63% $30,766 +103% ≈115% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $62,318 $31,159 $30,397 +105% $25,786 +142% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $62,291 $31,145 $34,458 +81% $19,317 +222% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $62,101 $31,051 $40,286 +54% $28,780 +116% ≈122% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $62,072 $31,036 $64,986 −4% $33,050 +88% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $61,930 $30,965 $34,165 +81% $30,058 +106% ≈124% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $61,803 $30,902 $31,342 +97% $35,139 +76% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $61,772 $30,886 $34,966 +77% $25,731 +140% ≈129% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $61,715 $30,858 $36,087 +71% $33,490 +84% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $61,440 $30,720 $39,927 +54% $29,729 +107% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $61,345 $30,672 $25,725 +138% $13,303 +361% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $61,069 $30,534 $52,227 +17% $30,930 +97% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $61,006 $30,503 $50,906 +20% $35,453 +72% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $60,683 $30,342 $48,547 +25% $25,267 +140% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $60,648 $30,324 $30,985 +96% $23,350 +160% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $60,585 $30,292 $64,751 −6% $60,861 −0% —
157 DENTAL AND ORAL DISEASES WITH MCC $60,568 $30,284 $34,196 +77% $27,457 +121% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $60,503 $30,251 $46,705 +30% $29,374 +106% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $60,176 $30,088 $47,431 +27% $30,358 +98% ≈114% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $60,102 $30,051 $45,971 +31% $28,967 +107% ≈120% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $59,994 $29,997 $46,367 +29% $29,476 +104% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $59,764 $29,882 $52,481 +14% $30,974 +93% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $59,632 $29,816 $60,845 −2% $35,542 +68% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $59,514 $29,757 $34,624 +72% $22,032 +170% ≈119% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $59,423 $29,712 $33,389 +78% $23,920 +148% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $59,282 $29,641 $37,544 +58% $24,941 +138% —
398 APPENDIX PROCEDURES WITH CC $58,504 $29,252 $52,045 +12% $39,107 +50% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $58,322 $29,161 $26,099 +123% $15,474 +277% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $58,250 $29,125 $27,668 +111% $21,806 +167% ≈125% of Medicare
150 EPISTAXIS WITH MCC $58,111 $29,056 $29,837 +95% $21,133 +175% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $57,920 $28,960 $66,319 −13% $38,878 +49% ≈116% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $57,802 $28,901 $38,624 +50% $24,348 +137% —
682 RENAL FAILURE WITH MCC $57,788 $28,894 $38,846 +49% $27,854 +107% ≈129% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $57,573 $28,786 $36,949 +56% $31,758 +81% ≈122% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $57,562 $28,781 $55,521 +4% $29,409 +96% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $57,418 $28,709 $36,105 +59% $16,495 +248% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $57,208 $28,604 $51,451 +11% $31,812 +80% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $57,188 $28,594 $51,179 +12% $34,887 +64% —
606 MINOR SKIN DISORDERS WITH MCC $57,124 $28,562 $55,489 +3% $25,434 +125% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $56,635 $28,318 $39,772 +42% $23,469 +141% ≈120% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $56,207 $28,104 $38,327 +47% $19,073 +195% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $56,169 $28,085 $55,817 +1% $30,418 +85% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $56,025 $28,013 $70,500 −21% $41,380 +35% ≈131% of Medicare
693 URINARY STONES WITH MCC $55,797 $27,899 $45,108 +24% $22,525 +148% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $55,756 $27,878 $53,313 +5% $24,879 +124% —
669 TRANSURETHRAL PROCEDURES WITH CC $55,544 $27,772 $37,821 +47% $34,354 +62% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $55,069 $27,535 $33,008 +67% $20,968 +163% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $54,940 $27,470 $55,883 −2% $45,059 +22% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $54,896 $27,448 $48,064 +14% $45,818 +20% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $54,599 $27,299 $46,530 +17% $32,451 +68% ≈142% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $54,501 $27,251 $28,289 +93% $19,598 +178% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $54,422 $27,211 $54,422 +0% $29,050 +87% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $54,317 $27,158 $40,171 +35% $19,868 +173% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $54,313 $27,156 $35,797 +52% $27,244 +99% ≈122% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $54,209 $27,105 $40,582 +34% $24,177 +124% —
602 CELLULITIS WITH MCC $54,016 $27,008 $36,275 +49% $29,347 +84% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $53,876 $26,938 $48,869 +10% $27,369 +97% —
186 PLEURAL EFFUSION WITH MCC $53,725 $26,863 $51,727 +4% $32,468 +65% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $53,703 $26,852 $54,379 −1% $33,694 +59% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $53,678 $26,839 $43,776 +23% $25,307 +112% —
539 OSTEOMYELITIS WITH MCC $53,028 $26,514 $51,245 +3% $33,746 +57% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $52,860 $26,430 $32,936 +60% $24,202 +118% —
375 DIGESTIVE MALIGNANCY WITH CC $52,811 $26,405 $39,391 +34% $27,219 +94% ≈124% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $52,618 $26,309 $28,980 +82% $18,017 +192% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $52,456 $26,228 $62,201 −16% $40,548 +29% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $52,055 $26,028 $45,649 +14% $29,663 +75% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $51,929 $25,965 $31,196 +66% $22,231 +134% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $51,866 $25,933 $33,255 +56% $23,496 +121% ≈121% of Medicare
813 COAGULATION DISORDERS $51,844 $25,922 $39,037 +33% $30,128 +72% ≈65% of Medicare
123 NEUROLOGICAL EYE DISORDERS $51,716 $25,858 $30,181 +71% $17,831 +190% —
102 HEADACHES WITH MCC $51,625 $25,812 $27,195 +90% $22,544 +129% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $51,608 $25,804 $49,713 +4% $27,168 +90% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $51,153 $25,577 $30,120 +70% $22,982 +123% ≈122% of Medicare
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $51,083 $25,541 $35,131 +45% $24,465 +109% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $50,977 $25,488 $30,005 +70% $24,136 +111% ≈127% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $50,873 $25,436 $16,950 +200% $15,589 +226% —
302 ATHEROSCLEROSIS WITH MCC $50,784 $25,392 $30,325 +67% $20,844 +144% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $50,783 $25,392 $38,847 +31% $26,488 +92% ≈118% of Medicare
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $50,587 $25,294 $47,719 +6% $30,661 +65% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $50,576 $25,288 $49,886 +1% $31,190 +62% ≈121% of Medicare
540 OSTEOMYELITIS WITH CC $50,510 $25,255 $31,469 +61% $23,494 +115% —
865 VIRAL ILLNESS WITH MCC $50,491 $25,246 $35,444 +42% $26,088 +94% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $50,481 $25,240 $27,728 +82% $17,550 +188% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $50,441 $25,221 $54,760 −8% $38,998 +29% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $50,404 $25,202 $39,211 +29% $24,036 +110% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $50,345 $25,173 $48,043 +5% $25,390 +98% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $49,989 $24,995 $39,351 +27% $23,956 +109% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $49,911 $24,955 $26,814 +86% $19,326 +158% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $49,821 $24,910 $56,921 −12% $24,544 +103% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $49,659 $24,830 $37,843 +31% $30,275 +64% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $49,608 $24,804 $21,206 +134% $17,483 +184% —
920 COMPLICATIONS OF TREATMENT WITH CC $49,553 $24,777 $28,197 +76% $21,181 +134% ≈111% of Medicare
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $49,487 $24,744 $49,487 +0% $25,623 +93% —
570 SKIN DEBRIDEMENT WITH MCC $49,368 $24,684 $60,987 −19% $52,435 −6% —
949 AFTERCARE WITH CC/MCC $48,609 $24,305 $40,709 +19% $23,953 +103% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $48,320 $24,160 $18,098 +167% $17,928 +170% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $48,028 $24,014 $45,051 +7% $33,165 +45% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $47,891 $23,945 $26,065 +84% $13,654 +251% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $47,680 $23,840 $43,673 +9% $24,432 +95% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $47,582 $23,791 $28,637 +66% $25,426 +87% ≈116% of Medicare
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $47,466 $23,733 $31,521 +51% $19,569 +143% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $47,464 $23,732 $41,561 +14% $21,860 +117% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $47,098 $23,549 $24,327 +94% $14,134 +233% —
291 HEART FAILURE AND SHOCK WITH MCC $46,804 $23,402 $34,312 +36% $25,020 +87% ≈117% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $46,764 $23,382 $33,858 +38% $23,396 +100% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $46,510 $23,255 $40,966 +14% $28,134 +65% ≈141% of Medicare
139 SALIVARY GLAND PROCEDURES $46,013 $23,006 $27,066 +70% $21,014 +119% —
887 OTHER MENTAL DISORDER DIAGNOSES $45,751 $22,875 $35,038 +31% $20,602 +122% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $45,646 $22,823 $44,090 +4% $30,314 +51% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $45,605 $22,802 $32,495 +40% $21,261 +114% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $45,591 $22,796 $41,862 +9% $28,140 +62% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $45,471 $22,736 $50,082 −9% $29,805 +53% —
152 OTITIS MEDIA AND URI WITH MCC $45,090 $22,545 $32,070 +41% $19,795 +128% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $45,053 $22,527 $37,284 +21% $20,842 +116% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $44,932 $22,466 $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% —
637 DIABETES WITH MCC $44,731 $22,366 $37,922 +18% $28,819 +55% ≈123% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $44,621 $22,310 $29,002 +54% $23,749 +88% ≈137% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $44,579 $22,290 $43,538 +2% $27,233 +64% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $44,565 $22,283 $29,279 +52% $22,713 +96% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $44,483 $22,241 $39,202 +13% $21,062 +111% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $44,430 $22,215 $32,706 +36% $20,727 +114% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $44,235 $22,118 $43,743 +1% $30,006 +47% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $44,074 $22,037 $30,073 +47% $17,522 +152% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $44,059 $22,029 $44,059 +0% $15,890 +177% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $43,369 $21,685 $34,070 +27% $25,208 +72% ≈114% of Medicare
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $43,348 $21,674 $31,755 +37% $17,108 +153% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $43,241 $21,621 $31,298 +38% $28,375 +52% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $42,868 $21,434 $25,678 +67% $18,918 +127% ≈122% of Medicare
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $42,724 $21,362 $38,640 +11% $18,459 +131% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $42,721 $21,361 $39,206 +9% $29,757 +44% ≈111% of Medicare
304 HYPERTENSION WITH MCC $42,689 $21,345 $32,022 +33% $24,185 +77% —
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% —
181 RESPIRATORY NEOPLASMS WITH CC $42,143 $21,071 $29,807 +41% $22,431 +88% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $41,922 $20,961 $41,281 +2% $25,162 +67% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $41,832 $20,916 $21,568 +94% $17,943 +133% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $41,624 $20,812 $24,909 +67% $18,608 +124% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $41,568 $20,784 $38,480 +8% $27,492 +51% ≈109% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $41,480 $20,740 $41,480 +0% $28,156 +47% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $41,305 $20,652 $29,175 +42% $21,545 +92% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $41,254 $20,627 $43,712 −6% $29,826 +38% —
551 MEDICAL BACK PROBLEMS WITH MCC $41,164 $20,582 $41,164 +0% $31,086 +32% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $40,658 $20,329 $32,484 +25% $24,480 +66% ≈123% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $40,208 $20,104 $39,032 +3% $20,463 +96% ≈121% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $40,097 $20,048 $57,834 −31% $33,564 +19% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $39,984 $19,992 $33,249 +20% $17,434 +129% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $39,954 $19,977 $33,360 +20% $24,017 +66% —
548 SEPTIC ARTHRITIS WITH MCC $39,734 $19,867 $41,301 −4% $31,019 +28% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $39,497 $19,748 $34,517 +14% $26,146 +51% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $39,356 $19,678 $31,933 +23% $22,850 +72% ≈131% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $39,315 $19,658 $30,759 +28% $27,118 +45% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $39,238 $19,619 $42,375 −7% $23,924 +64% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $39,216 $19,608 $32,402 +21% $18,291 +114% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $39,095 $19,547 $41,264 −5% $25,854 +51% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $38,852 $19,426 $38,852 +0% $24,980 +56% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $38,735 $19,368 $39,528 −2% $24,118 +61% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $38,711 $19,355 $25,119 +54% $17,388 +123% ≈122% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $38,682 $19,341 $28,183 +37% $18,478 +109% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $38,586 $19,293 $37,390 +3% $22,275 +73% ≈117% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,482 $19,241 $26,804 +44% $16,719 +130% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $38,390 $19,195 $27,509 +40% $17,700 +117% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $38,199 $19,100 $54,742 −30% $28,527 +34% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $37,952 $18,976 $31,055 +22% $20,777 +83% ≈121% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $37,829 $18,915 $34,720 +9% $19,483 +94% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $37,661 $18,830 $37,661 +0% $32,936 +14% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $37,555 $18,777 $36,586 +3% $23,588 +59% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $37,439 $18,720 $31,984 +17% $24,190 +55% ≈120% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $37,413 $18,707 $28,729 +30% $20,488 +83% ≈120% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $37,056 $18,528 $30,735 +21% $21,449 +73% ≈126% of Medicare
694 URINARY STONES WITHOUT MCC $36,920 $18,460 $20,926 +76% $16,531 +123% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $36,901 $18,451 $32,741 +13% $23,141 +59% ≈132% of Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $36,701 $18,350 $22,808 +61% $22,560 +63% —
947 SIGNS AND SYMPTOMS WITH MCC $36,658 $18,329 $32,226 +14% $25,474 +44% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $36,460 $18,230 $25,064 +45% $20,147 +81% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $36,236 $18,118 $36,906 −2% $17,193 +111% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $36,156 $18,078 $32,176 +12% $21,886 +65% ≈124% of Medicare
885 PSYCHOSES $36,109 $18,054 $22,187 +63% $21,489 +68% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $36,091 $18,045 $22,878 +58% $16,634 +117% —
506 MAJOR THUMB OR JOINT PROCEDURES $35,868 $17,934 $41,258 −13% $28,983 +24% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,817 $17,909 $19,808 +81% $15,284 +134% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $35,677 $17,838 $25,907 +38% $17,715 +101% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $35,321 $17,661 $30,438 +16% $19,579 +80% ≈122% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $35,177 $17,588 $33,183 +6% $26,158 +34% ≈122% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $35,116 $17,558 $26,497 +33% $20,732 +69% ≈123% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $35,039 $17,519 $33,469 +5% $20,278 +73% —
089 CONCUSSION WITH CC $34,922 $17,461 $35,159 −1% $18,293 +91% —
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 $34,471 $17,235 $28,539 +21% $22,781 +51% ≈123% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $34,450 $17,225 $25,492 +35% $12,797 +169% —
849 RADIOTHERAPY $34,376 $17,188 $37,862 −9% $37,862 −9% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $34,276 $17,138 $24,511 +40% $19,096 +79% —
644 ENDOCRINE DISORDERS WITH CC $34,253 $17,126 $32,760 +5% $22,941 +49% ≈126% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $34,188 $17,094 $24,212 +41% $23,571 +45% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $34,088 $17,044 $27,681 +23% $22,024 +55% ≈120% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $33,982 $16,991 $28,115 +21% $18,238 +86% —
103 HEADACHES WITHOUT MCC $33,981 $16,990 $31,395 +8% $20,111 +69% ≈118% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $33,929 $16,964 $33,984 −0% $15,608 +117% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $33,877 $16,938 $47,173 −28% $25,010 +35% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $33,548 $16,774 $44,182 −24% $22,532 +49% —
149 DYSEQUILIBRIUM $33,352 $16,676 $33,352 +0% $17,203 +94% —
197 INTERSTITIAL LUNG DISEASE WITH CC $33,156 $16,578 $26,148 +27% $20,106 +65% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $33,086 $16,543 $37,445 −12% $21,029 +57% —
292 HEART FAILURE AND SHOCK WITH CC $32,757 $16,378 $22,990 +42% $16,212 +102% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $32,317 $16,158 $24,009 +35% $19,091 +69% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $32,111 $16,056 $19,652 +63% $19,894 +61% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $32,107 $16,053 $32,107 +0% $23,115 +39% ≈126% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $32,093 $16,046 $30,413 +6% $17,412 +84% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $32,047 $16,024 $28,002 +14% $20,980 +53% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $32,017 $16,009 $37,818 −15% $33,424 −4% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $31,719 $15,859 $27,835 +14% $18,253 +74% —
151 EPISTAXIS WITHOUT MCC $31,557 $15,779 $27,028 +17% $13,032 +142% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $31,408 $15,704 $22,029 +43% $20,007 +57% ≈125% of Medicare
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,310 $15,655 $47,584 −34% $43,697 −28% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $31,135 $15,568 $27,721 +12% $20,309 +53% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $31,121 $15,561 $31,121 +0% $25,704 +21% ≈120% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $31,070 $15,535 $25,186 +23% $14,128 +120% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $31,043 $15,521 $23,756 +31% $17,322 +79% ≈118% of Medicare
312 SYNCOPE AND COLLAPSE $31,041 $15,520 $25,317 +23% $19,342 +60% ≈116% of Medicare
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $30,971 $15,485 $16,918 +83% $14,055 +120% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $30,953 $15,477 $26,756 +16% $17,273 +79% ≈127% of Medicare
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $30,704 $15,352 $27,256 +13% $22,698 +35% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $30,689 $15,345 $27,151 +13% $13,485 +128% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $30,629 $15,315 $24,051 +27% $14,880 +106% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $30,543 $15,272 $19,077 +60% $15,607 +96% —
882 NEUROSES EXCEPT DEPRESSIVE $30,477 $15,238 $16,614 +83% $15,680 +94% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $30,277 $15,138 $30,079 +1% $16,654 +82% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $30,273 $15,136 $30,520 −1% $19,854 +52% —
158 DENTAL AND ORAL DISEASES WITH CC $30,249 $15,124 $25,728 +18% $17,700 +71% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $30,243 $15,121 $29,108 +4% $21,213 +43% ≈124% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $30,066 $15,033 $30,313 −1% $18,081 +66% ≈128% of Medicare
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $29,971 $14,986 $29,971 +0% $23,297 +29% —
592 SKIN ULCERS WITH MCC $29,764 $14,882 $34,370 −13% $32,662 −9% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,658 $14,829 $20,118 +47% $19,815 +50% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $29,510 $14,755 $37,348 −21% $20,741 +42% —
200 PNEUMOTHORAX WITH CC $29,505 $14,752 $26,144 +13% $20,573 +43% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $29,362 $14,681 $27,026 +9% $16,865 +74% ≈129% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $29,234 $14,617 $19,013 +54% $20,084 +46% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $29,170 $14,585 $27,853 +5% $19,305 +51% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $29,005 $14,503 $22,382 +30% $18,002 +61% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $28,913 $14,457 $28,913 +0% $13,586 +113% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $28,853 $14,427 $30,711 −6% $24,316 +19% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $28,849 $14,425 $16,804 +72% $13,282 +117% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $28,688 $14,344 $28,688 +0% $17,585 +63% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $28,684 $14,342 $21,532 +33% $18,133 +58% —
593 SKIN ULCERS WITH CC $28,579 $14,290 $28,533 +0% $20,470 +40% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $28,529 $14,264 $23,449 +22% $17,367 +64% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $28,309 $14,154 $27,191 +4% $18,278 +55% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $28,125 $14,063 $21,132 +33% $17,727 +59% ≈131% of Medicare
683 RENAL FAILURE WITH CC $28,027 $14,013 $24,785 +13% $18,620 +51% ≈123% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $27,801 $13,900 $33,236 −16% $23,814 +17% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $27,712 $13,856 $16,809 +65% $18,150 +53% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,566 $13,783 $20,241 +36% $12,405 +122% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $27,398 $13,699 $21,531 +27% $16,776 +63% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $27,362 $13,681 $25,827 +6% $16,837 +63% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $27,191 $13,595 $16,204 +68% $17,103 +59% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $26,994 $13,497 $27,084 −0% $16,104 +68% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $26,837 $13,418 $30,955 −13% $18,623 +44% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $26,676 $13,338 $28,785 −7% $15,600 +71% —
204 RESPIRATORY SIGNS AND SYMPTOMS $26,663 $13,331 $21,899 +22% $16,866 +58% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $26,655 $13,327 $21,910 +22% $16,745 +59% ≈123% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $26,651 $13,326 $17,198 +55% $13,368 +99% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $26,580 $13,290 $20,451 +30% $16,642 +60% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,577 $13,289 $29,772 −11% $24,452 +9% —
101 SEIZURES WITHOUT MCC $26,528 $13,264 $29,095 −9% $19,954 +33% ≈142% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $26,476 $13,238 $22,106 +20% $24,452 +8% —
305 HYPERTENSION WITHOUT MCC $26,233 $13,117 $26,821 −2% $17,144 +53% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $25,941 $12,970 $15,370 +69% $15,370 +69% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $25,650 $12,825 $25,650 +0% $18,191 +41% —
638 DIABETES WITH CC $25,414 $12,707 $23,079 +10% $18,821 +35% ≈123% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $25,184 $12,592 $21,281 +18% $15,070 +67% —
313 CHEST PAIN $24,960 $12,480 $20,480 +22% $15,962 +56% —
183 MAJOR CHEST TRAUMA WITH MCC $24,942 $12,471 $32,179 −22% $28,924 −14% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $24,909 $12,455 $22,618 +10% $17,731 +40% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $24,886 $12,443 $24,472 +2% $17,466 +42% ≈124% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $24,844 $12,422 $23,711 +5% $13,384 +86% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $24,592 $12,296 $19,193 +28% $14,861 +65% —
184 MAJOR CHEST TRAUMA WITH CC $24,580 $12,290 $30,443 −19% $20,842 +18% —
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% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $24,121 $12,061 $24,121 +0% $11,997 +101% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $23,957 $11,979 $17,835 +34% $14,441 +66% —
534 FRACTURES OF FEMUR WITHOUT MCC $23,953 $11,977 $23,497 +2% $17,195 +39% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $23,906 $11,953 $24,489 −2% $18,282 +31% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,871 $11,935 $23,871 +0% $23,723 +1% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $23,803 $11,901 $18,873 +26% $16,049 +48% —
914 TRAUMATIC INJURY WITHOUT MCC $23,758 $11,879 $28,030 −15% $15,593 +52% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $23,666 $11,833 $13,275 +78% $13,090 +81% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $23,444 $11,722 $23,298 +1% $15,876 +48% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $23,295 $11,648 $19,805 +18% $13,318 +75% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $23,256 $11,628 $23,858 −3% $19,287 +21% —
187 PLEURAL EFFUSION WITH CC $23,204 $11,602 $24,179 −4% $21,467 +8% —
603 CELLULITIS WITHOUT MCC $23,062 $11,531 $22,842 +1% $18,530 +24% ≈122% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,908 $11,454 $20,244 +13% $11,633 +97% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $22,889 $11,444 $22,057 +4% $15,636 +46% ≈118% of Medicare
311 ANGINA PECTORIS $22,691 $11,345 $23,066 −2% $15,165 +50% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $22,218 $11,109 $14,910 +49% $13,822 +61% —
999 UNGROUPABLE $22,184 $11,092 $67,665 −67% $28,822 −23% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $22,032 $11,016 $20,801 +6% $15,045 +46% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $21,843 $10,922 $21,843 +0% $14,444 +51% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $21,670 $10,835 $10,553 +105% $9,385 +131% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $21,665 $10,833 $18,840 +15% $13,198 +64% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $21,360 $10,680 $21,659 −1% $15,869 +35% —
303 ATHEROSCLEROSIS WITHOUT MCC $21,266 $10,633 $21,344 −0% $14,927 +42% —
779 ABORTION WITHOUT D&C $21,051 $10,526 $15,327 +37% $15,327 +37% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $20,935 $10,468 $20,935 +0% $14,166 +48% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $20,911 $10,455 $11,321 +85% $12,044 +74% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $20,784 $10,392 $20,784 +0% $16,418 +27% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $20,771 $10,385 $24,154 −14% $18,803 +10% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $20,644 $10,322 $26,038 −21% $18,204 +13% ≈124% of Medicare
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $20,637 $10,319 $20,461 +1% $19,132 +8% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $20,562 $10,281 $21,885 −6% $11,909 +73% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $20,514 $10,257 $21,346 −4% $14,208 +44% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $20,036 $10,018 $36,615 −45% $22,525 −11% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $19,381 $9,691 $19,016 +2% $14,012 +38% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,277 $9,639 $51,225 −62% $30,940 −38% —
916 ALLERGIC REACTIONS WITHOUT MCC $18,476 $9,238 $17,646 +5% $13,890 +33% —
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% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $18,105 $9,053 $18,105 +0% $13,892 +30% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $17,934 $8,967 $16,306 +10% $12,013 +49% —
866 VIRAL ILLNESS WITHOUT MCC $17,451 $8,725 $17,444 +0% $16,391 +6% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,758 $8,379 $19,787 −15% $16,571 +1% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $16,675 $8,338 $16,372 +2% $15,655 +7% —
153 OTITIS MEDIA AND URI WITHOUT MCC $16,628 $8,314 $17,402 −4% $14,473 +15% —
549 SEPTIC ARTHRITIS WITH CC $14,732 $7,366 $19,977 −26% $20,938 −30% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,522 $7,261 $25,741 −44% $14,064 +3% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $14,172 $7,086 $26,510 −47% $24,836 −43% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $14,135 $7,068 $15,618 −9% $14,368 −2% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $13,992 $6,996 $31,278 −55% $15,077 −7% —
639 DIABETES WITHOUT CC/MCC $13,547 $6,774 $18,880 −28% $13,910 −3% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,151 $6,576 $16,944 −22% $11,421 +15% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,038 $6,519 $12,000 +9% $12,895 +1% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $12,156 $6,078 $11,086 +10% $10,975 +11% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $12,065 $6,032 $17,733 −32% $13,824 −13% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,596 $5,798 $18,833 −38% $16,352 −29% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $11,480 $5,740 $27,967 −59% $12,537 −8% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,401 $5,700 $13,174 −13% $13,081 −13% —
684 RENAL FAILURE WITHOUT CC/MCC $11,232 $5,616 $17,994 −38% $13,623 −18% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $10,922 $5,461 $10,619 +3% $9,076 +20% —
090 CONCUSSION WITHOUT CC/MCC $10,722 $5,361 $14,321 −25% $14,873 −28% —
881 DEPRESSIVE NEUROSES $10,618 $5,309 $15,521 −32% $15,058 −29% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,918 $4,959 $12,642 −22% $12,381 −20% —
950 AFTERCARE WITHOUT CC/MCC $9,814 $4,907 $13,555 −28% $13,527 −27% —
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% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,835 $3,417 $7,478 −9% $7,961 −14% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,092 $3,046 $13,494 −55% $12,279 −50% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,910 $2,955 $16,213 −64% $17,078 −65% —
795 NORMAL NEWBORN $5,222 $2,611 $5,293 −1% $4,530 +15% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,601 $2,301 $14,705 −69% $14,110 −67% —
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