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 ≈189% 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 $2,218,497 +18% $573,534 +356% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,017,840 $508,920 $798,393 +27% $461,389 +121% —
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 $627,782 +18% $371,366 +100% ≈227% of Medicare
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $617,088 $308,544 $513,202 +20% $194,769 +217% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $459,669 $229,834 $402,831 +14% $248,521 +85% ≈235% of Medicare
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $457,571 $228,785 $420,812 +9% $196,346 +133% —
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 $440,119 −0% $164,641 +167% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $367,243 $183,622 $42,140 +771% $33,661 +991% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $361,606 $180,803 $113,798 +218% $80,018 +352% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $356,643 $178,321 $247,915 +44% $109,331 +226% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $347,263 $173,632 $342,215 +1% $182,314 +90% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $339,990 $169,995 $227,248 +50% $131,961 +158% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $328,453 $164,226 $104,472 +214% $66,711 +392% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $321,915 $160,958 $297,940 +8% $153,282 +110% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $315,902 $157,951 $316,557 −0% $148,686 +112% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $314,115 $157,057 $73,783 +326% $50,046 +528% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $311,824 $155,912 $135,396 +130% $106,057 +194% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $308,378 $154,189 $359,207 −14% $188,171 +64% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $298,366 $149,183 $247,477 +21% $123,995 +141% —
834 ACUTE LEUKEMIA WITH MCC $296,774 $148,387 $224,357 +32% $85,566 +247% ≈154% of Medicare
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $290,949 $145,474 $314,091 −7% $71,551 +307% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $286,932 $143,466 $370,069 −22% $102,600 +180% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $286,262 $143,131 $153,426 +87% $101,576 +182% —
245 AICD GENERATOR PROCEDURES $277,690 $138,845 $83,436 +233% $72,076 +285% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $270,308 $135,154 $286,814 −6% $143,242 +89% ≈186% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $264,996 $132,498 $33,673 +687% $18,316 +1347% —
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 $204,424 +27% $113,855 +129% ≈181% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $260,021 $130,010 $116,458 +123% $60,098 +333% —
652 KIDNEY TRANSPLANT $258,233 $129,116 $270,773 −5% $54,720 +372% ≈262% of Medicare
231 CORONARY BYPASS WITH PTCA WITH MCC $257,212 $128,606 $292,478 −12% $147,227 +75% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $249,429 $124,714 $108,121 +131% $70,177 +255% —
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 $209,861 +14% $125,242 +91% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $239,111 $119,556 $235,417 +2% $144,569 +65% ≈175% of Medicare
215 OTHER HEART ASSIST SYSTEM IMPLANT $238,931 $119,466 $288,050 −17% $208,939 +14% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $235,938 $117,969 $204,360 +15% $148,832 +59% ≈223% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $232,444 $116,222 $232,444 +0% $107,355 +117% ≈182% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $229,721 $114,860 $206,693 +11% $96,192 +139% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $226,890 $113,445 $109,348 +107% $89,207 +154% ≈160% of Medicare
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $223,415 $111,707 $113,047 +98% $59,533 +275% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $216,069 $108,035 $190,786 +13% $96,905 +123% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $215,358 $107,679 $135,829 +59% $99,423 +117% ≈181% of Medicare
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $205,518 $102,759 $104,776 +96% $93,172 +121% ≈194% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $199,914 $99,957 $136,366 +47% $93,390 +114% ≈223% of Medicare
028 SPINAL PROCEDURES WITH MCC $199,842 $99,921 $162,170 +23% $113,077 +77% —
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 $195,988 +2% $106,778 +87% ≈183% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $199,557 $99,778 $84,221 +137% $42,906 +365% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $199,405 $99,703 $189,821 +5% $102,128 +95% ≈179% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $198,748 $99,374 $100,833 +97% $90,775 +119% ≈176% of Medicare
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $197,663 $98,831 $161,595 +22% $86,970 +127% —
662 MINOR BLADDER PROCEDURES WITH MCC $196,929 $98,465 $73,615 +168% $54,562 +261% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $194,847 $97,423 $119,821 +63% $101,510 +92% —
653 MAJOR BLADDER PROCEDURES WITH MCC $193,239 $96,619 $177,164 +9% $104,583 +85% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $193,151 $96,576 $141,353 +37% $85,159 +127% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $192,967 $96,484 $138,604 +39% $96,507 +100% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $192,402 $96,201 $174,023 +11% $92,217 +109% ≈175% of Medicare
835 ACUTE LEUKEMIA WITH CC $191,375 $95,688 $89,789 +113% $35,569 +438% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $190,818 $95,409 $44,150 +332% $30,243 +531% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $188,384 $94,192 $110,844 +70% $76,001 +148% ≈157% of Medicare
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $186,564 $93,282 $108,234 +72% $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 $182,979 −0% $112,062 +63% ≈197% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $181,748 $90,874 $197,500 −8% $111,320 +63% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $181,582 $90,791 $119,344 +52% $87,761 +107% ≈170% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $180,351 $90,176 $119,910 +50% $72,962 +147% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $179,220 $89,610 $127,352 +41% $82,561 +117% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $176,775 $88,388 $149,328 +18% $78,852 +124% ≈184% of Medicare
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $175,976 $87,988 $197,141 −11% $102,573 +72% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $174,736 $87,368 $116,651 +50% $90,724 +93% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $169,429 $84,715 $106,951 +58% $73,120 +132% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $168,260 $84,130 $121,651 +38% $80,793 +108% ≈189% of Medicare
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% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $165,224 $82,612 $101,094 +63% $79,225 +109% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $163,923 $81,962 $90,636 +81% $77,817 +111% ≈198% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $163,478 $81,739 $163,653 −0% $88,307 +85% ≈191% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $163,033 $81,516 $86,468 +89% $63,928 +155% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $162,787 $81,393 $93,793 +74% $84,692 +92% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $161,483 $80,742 $85,781 +88% $49,423 +227% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $161,193 $80,596 $73,646 +119% $65,653 +146% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $161,098 $80,549 $125,275 +29% $74,755 +116% ≈186% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $160,925 $80,462 $80,210 +101% $58,228 +176% ≈200% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $160,461 $80,231 $64,377 +149% $36,670 +338% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $155,798 $77,899 $159,050 −2% $90,331 +72% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $155,703 $77,851 $159,392 −2% $93,238 +67% —
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 $99,738 +54% $51,953 +196% ≈190% of Medicare
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $152,930 $76,465 $106,134 +44% $108,472 +41% —
471 CERVICAL SPINAL FUSION WITH MCC $152,885 $76,443 $145,249 +5% $92,515 +65% ≈177% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $152,201 $76,100 $56,671 +169% $44,546 +242% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $152,140 $76,070 $159,358 −5% $116,058 +31% ≈238% of Medicare
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $150,414 $75,207 $88,076 +71% $77,990 +93% ≈211% of Medicare
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $149,449 $74,724 $78,323 +91% $66,068 +126% ≈201% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $149,444 $74,722 $116,704 +28% $65,325 +129% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $149,337 $74,668 $137,012 +9% $88,050 +70% ≈173% of Medicare
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $146,229 $73,114 $117,878 +24% $90,401 +62% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $144,235 $72,118 $53,593 +169% $29,611 +387% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $143,682 $71,841 $68,568 +110% $49,710 +189% ≈186% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $143,664 $71,832 $58,265 +147% $39,181 +267% ≈129% of Medicare
709 PENIS PROCEDURES WITH CC/MCC $143,115 $71,557 $72,391 +98% $34,535 +314% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $142,601 $71,301 $155,260 −8% $98,260 +45% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $142,512 $71,256 $148,831 −4% $82,247 +73% —
503 FOOT PROCEDURES WITH MCC $141,207 $70,604 $87,276 +62% $47,540 +197% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $140,102 $70,051 $126,423 +11% $70,371 +99% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $140,075 $70,037 $147,657 −5% $77,055 +82% ≈168% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $139,559 $69,779 $40,151 +248% $25,197 +454% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $139,284 $69,642 $170,767 −18% $79,836 +74% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $138,067 $69,033 $122,582 +13% $71,014 +94% ≈143% of Medicare
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $137,858 $68,929 $97,650 +41% $65,573 +110% ≈191% of Medicare
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $136,226 $68,113 $144,630 −6% $83,441 +63% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $135,928 $67,964 $86,971 +56% $68,639 +98% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $135,739 $67,869 $79,097 +72% $59,790 +127% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $134,774 $67,387 $134,774 +0% $35,849 +276% —
906 HAND PROCEDURES FOR INJURIES $134,239 $67,120 $66,100 +103% $32,065 +319% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $133,649 $66,824 $102,730 +30% $81,706 +64% ≈164% of Medicare
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $133,558 $66,779 $91,032 +47% $62,821 +113% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $132,274 $66,137 $80,474 +64% $37,267 +255% ≈192% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $130,838 $65,419 $66,698 +96% $37,240 +251% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $129,751 $64,875 $100,737 +29% $35,831 +262% —
252 OTHER VASCULAR PROCEDURES WITH MCC $129,184 $64,592 $107,529 +20% $68,508 +89% ≈177% of Medicare
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $128,357 $64,179 $131,822 −3% $76,219 +68% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $127,941 $63,970 $90,646 +41% $70,847 +81% ≈186% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $127,088 $63,544 $103,430 +23% $70,132 +81% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $127,042 $63,521 $75,509 +68% $50,139 +153% ≈216% of Medicare
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $126,859 $63,430 $39,436 +222% $12,768 +894% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $126,371 $63,185 $88,428 +43% $35,030 +261% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $125,752 $62,876 $96,146 +31% $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 $123,239 +1% $71,464 +74% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $123,677 $61,838 $106,513 +16% $66,685 +85% —
163 MAJOR CHEST PROCEDURES WITH MCC $123,607 $61,803 $131,578 −6% $90,195 +37% ≈179% of Medicare
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $123,198 $61,599 $81,487 +51% $53,864 +129% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $122,998 $61,499 $99,664 +23% $75,573 +63% ≈170% of Medicare
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $122,209 $61,105 $99,330 +23% $61,217 +100% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $122,025 $61,012 $86,703 +41% $66,848 +83% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $121,754 $60,877 $90,846 +34% $52,405 +132% ≈180% of Medicare
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $121,667 $60,834 $81,116 +50% $65,788 +85% ≈188% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $121,580 $60,790 $79,545 +53% $68,653 +77% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $120,767 $60,383 $94,194 +28% $62,583 +93% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $120,670 $60,335 $107,055 +13% $59,594 +102% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $120,158 $60,079 $118,308 +2% $48,349 +149% ≈203% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $120,018 $60,009 $73,259 +64% $59,651 +101% ≈193% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $119,547 $59,774 $113,008 +6% $67,268 +78% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $119,464 $59,732 $34,092 +250% $27,426 +336% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $119,357 $59,679 $82,302 +45% $59,031 +102% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $119,336 $59,668 $104,772 +14% $58,043 +106% ≈199% of Medicare
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $119,250 $59,625 $35,971 +232% $30,770 +288% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $118,360 $59,180 $87,888 +35% $55,162 +115% —
263 VEIN LIGATION AND STRIPPING $117,632 $58,816 $60,316 +95% $51,253 +130% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $115,701 $57,851 $115,701 +0% $62,300 +86% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $113,256 $56,628 $110,317 +3% $54,583 +107% ≈189% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $112,424 $56,212 $66,682 +69% $47,583 +136% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $111,110 $55,555 $83,551 +33% $58,707 +89% ≈214% of Medicare
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $110,801 $55,400 $89,090 +24% $70,564 +57% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $110,571 $55,285 $81,694 +35% $42,415 +161% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $110,185 $55,092 $54,177 +103% $43,943 +151% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $110,019 $55,010 $86,327 +27% $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 $73,952 +48% $46,295 +137% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $109,604 $54,802 $99,411 +10% $32,574 +236% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $108,729 $54,365 $93,250 +17% $62,264 +75% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $108,724 $54,362 $106,345 +2% $58,975 +84% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $108,207 $54,103 $76,056 +42% $59,421 +82% ≈178% of Medicare
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $108,163 $54,081 $87,318 +24% $71,795 +51% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $108,016 $54,008 $54,278 +99% $51,746 +109% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $107,681 $53,840 $41,024 +162% $33,985 +217% ≈165% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $107,122 $53,561 $76,163 +41% $52,178 +105% —
397 APPENDIX PROCEDURES WITH MCC $106,883 $53,441 $61,511 +74% $53,257 +101% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $106,397 $53,199 $104,240 +2% $70,467 +51% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $106,001 $53,001 $88,661 +20% $60,407 +75% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $105,681 $52,840 $75,577 +40% $54,929 +92% ≈189% of Medicare
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $104,897 $52,449 $100,653 +4% $64,523 +63% ≈209% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $104,457 $52,228 $104,457 +0% $65,608 +59% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $103,826 $51,913 $12,083 +759% $16,351 +535% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $102,656 $51,328 $75,626 +36% $55,289 +86% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $102,349 $51,175 $92,150 +11% $60,170 +70% —
597 MALIGNANT BREAST DISORDERS WITH MCC $102,071 $51,035 $52,249 +95% $33,386 +206% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $102,058 $51,029 $83,997 +22% $75,103 +36% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $101,641 $50,820 $87,292 +16% $41,608 +144% —
199 PNEUMOTHORAX WITH MCC $101,534 $50,767 $47,123 +115% $33,787 +201% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $101,517 $50,758 $64,384 +58% $34,906 +191% —
253 OTHER VASCULAR PROCEDURES WITH CC $101,493 $50,746 $101,493 +0% $57,454 +77% ≈180% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $101,375 $50,687 $65,905 +54% $52,751 +92% ≈184% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $101,349 $50,675 $79,576 +27% $54,196 +87% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $100,855 $50,428 $100,855 +0% $49,839 +102% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $100,108 $50,054 $54,753 +83% $42,901 +133% —
504 FOOT PROCEDURES WITH CC $100,019 $50,009 $57,176 +75% $38,960 +157% —
500 SOFT TISSUE PROCEDURES WITH MCC $99,943 $49,971 $58,279 +71% $61,872 +62% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $99,244 $49,622 $100,656 −1% $71,092 +40% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $98,520 $49,260 $71,496 +38% $58,280 +69% ≈205% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $98,166 $49,083 $79,326 +24% $59,500 +65% ≈209% of Medicare
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% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $96,611 $48,306 $73,163 +32% $50,011 +93% ≈171% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $96,377 $48,188 $71,276 +35% $50,463 +91% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $95,684 $47,842 $86,753 +10% $43,080 +122% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $95,088 $47,544 $20,765 +358% $19,962 +376% —
654 MAJOR BLADDER PROCEDURES WITH CC $94,928 $47,464 $102,482 −7% $58,274 +63% ≈192% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $94,688 $47,344 $104,329 −9% $66,666 +42% —
666 PROSTATECTOMY WITH CC $94,325 $47,162 $44,512 +112% $31,906 +196% —
100 SEIZURES WITH MCC $93,450 $46,725 $46,610 +100% $35,481 +163% ≈167% of Medicare
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $93,345 $46,672 $76,523 +22% $46,066 +103% —
333 RECTAL RESECTION WITH CC $93,238 $46,619 $59,722 +56% $37,154 +151% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $92,885 $46,443 $47,166 +97% $40,213 +131% ≈190% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $92,624 $46,312 $61,421 +51% $36,167 +156% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $92,305 $46,152 $80,754 +14% $32,443 +185% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $92,096 $46,048 $92,096 +0% $46,727 +97% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $91,471 $45,735 $110,275 −17% $69,743 +31% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $90,706 $45,353 $62,659 +45% $43,631 +108% ≈136% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $90,024 $45,012 $79,783 +13% $53,451 +68% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $89,693 $44,847 $43,193 +108% $39,973 +124% ≈185% of Medicare
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $89,265 $44,633 $45,749 +95% $37,950 +135% ≈194% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $89,252 $44,626 $63,609 +40% $36,431 +145% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $89,123 $44,562 $31,894 +179% $26,280 +239% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $88,879 $44,439 $62,832 +41% $47,711 +86% —
501 SOFT TISSUE PROCEDURES WITH CC $88,807 $44,403 $55,568 +60% $39,619 +124% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $88,656 $44,328 $77,753 +14% $51,985 +71% ≈190% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $88,529 $44,265 $90,312 −2% $59,537 +49% ≈202% of Medicare
799 SPLENIC PROCEDURES WITH MCC $88,461 $44,231 $101,298 −13% $82,218 +8% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $88,395 $44,197 $94,366 −6% $48,687 +82% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $87,822 $43,911 $72,407 +21% $45,167 +94% —
374 DIGESTIVE MALIGNANCY WITH MCC $87,590 $43,795 $40,031 +119% $39,958 +119% ≈184% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $87,519 $43,760 $79,513 +10% $46,724 +87% —
348 ANAL AND STOMAL PROCEDURES WITH CC $87,454 $43,727 $45,418 +93% $27,947 +213% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $87,444 $43,722 $55,076 +59% $26,932 +225% —
800 SPLENIC PROCEDURES WITH CC $87,346 $43,673 $79,513 +10% $49,184 +78% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $87,186 $43,593 $45,494 +92% $35,628 +145% ≈178% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $87,141 $43,570 $58,108 +50% $38,094 +129% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $86,329 $43,165 $52,154 +66% $33,851 +155% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $86,095 $43,048 $66,836 +29% $43,298 +99% ≈183% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $85,879 $42,940 $73,681 +17% $38,070 +126% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $85,872 $42,936 $43,506 +97% $32,877 +161% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $85,871 $42,936 $48,019 +79% $37,844 +127% —
265 AICD LEAD PROCEDURES $85,568 $42,784 $85,568 +0% $63,171 +35% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $85,511 $42,756 $40,928 +109% $39,173 +118% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $85,483 $42,741 $48,531 +76% $27,323 +213% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $84,872 $42,436 $70,540 +20% $46,283 +83% ≈184% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $84,082 $42,041 $77,746 +8% $47,945 +75% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $83,755 $41,878 $67,660 +24% $46,090 +82% ≈200% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $83,728 $41,864 $92,011 −9% $44,363 +89% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $83,712 $41,856 $80,060 +5% $49,418 +69% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $83,350 $41,675 $93,845 −11% $59,629 +40% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $83,073 $41,536 $52,021 +60% $46,402 +79% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $82,862 $41,431 $77,379 +7% $58,809 +41% ≈187% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $82,748 $41,374 $62,507 +32% $34,937 +137% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $82,701 $41,351 $44,158 +87% $27,617 +199% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $82,403 $41,201 $63,186 +30% $36,988 +123% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $82,380 $41,190 $51,392 +60% $34,276 +140% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $81,866 $40,933 $83,594 −2% $40,365 +103% —
075 VIRAL MENINGITIS WITH CC/MCC $81,739 $40,870 $43,529 +88% $30,447 +168% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $81,525 $40,763 $57,500 +42% $43,477 +88% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $81,008 $40,504 $46,462 +74% $22,620 +258% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $80,983 $40,491 $80,983 +0% $43,174 +88% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $80,860 $40,430 $71,645 +13% $38,101 +112% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $80,793 $40,397 $41,308 +96% $27,163 +197% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $80,780 $40,390 $55,082 +47% $40,108 +101% —
711 TESTES PROCEDURES WITH CC/MCC $80,524 $40,262 $66,372 +21% $38,343 +110% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $80,412 $40,206 $55,931 +44% $52,036 +55% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $80,076 $40,038 $80,076 +0% $50,624 +58% —
665 PROSTATECTOMY WITH MCC $79,823 $39,911 $78,453 +2% $54,072 +48% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $79,706 $39,853 $51,006 +56% $39,106 +104% ≈201% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $79,672 $39,836 $64,836 +23% $40,362 +97% ≈178% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $79,543 $39,771 $71,126 +12% $49,066 +62% ≈186% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $79,315 $39,658 $60,813 +30% $42,881 +85% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $79,227 $39,613 $66,256 +20% $39,018 +103% —
919 COMPLICATIONS OF TREATMENT WITH MCC $78,667 $39,333 $41,995 +87% $31,105 +153% ≈175% of Medicare
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $78,506 $39,253 $62,024 +27% $50,394 +56% ≈194% 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 $50,860 +53% $34,273 +126% ≈180% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $77,572 $38,786 $46,542 +67% $38,666 +101% ≈185% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $77,293 $38,646 $84,654 −9% $50,498 +53% —
595 MAJOR SKIN DISORDERS WITH MCC $77,264 $38,632 $37,351 +107% $34,598 +123% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $77,072 $38,536 $70,859 +9% $49,351 +56% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $76,636 $38,318 $53,262 +44% $41,892 +83% ≈197% 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% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $75,797 $37,899 $50,432 +50% $32,697 +132% —
380 COMPLICATED PEPTIC ULCER WITH MCC $75,735 $37,868 $55,058 +38% $39,627 +91% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $75,694 $37,847 $73,813 +3% $44,139 +71% ≈194% of Medicare
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $75,682 $37,841 $55,522 +36% $30,553 +148% ≈184% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $75,386 $37,693 $43,994 +71% $28,226 +167% ≈189% of Medicare
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $75,296 $37,648 $42,957 +75% $22,314 +237% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $75,252 $37,626 $57,020 +32% $45,333 +66% ≈190% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $74,865 $37,433 $53,505 +40% $42,914 +74% ≈204% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $74,333 $37,166 $78,884 −6% $43,800 +70% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $74,242 $37,121 $85,111 −13% $42,795 +73% —
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 $70,264 +4% $31,170 +135% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $73,028 $36,514 $46,083 +58% $32,628 +124% ≈175% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $72,925 $36,462 $42,645 +71% $31,951 +128% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $72,865 $36,432 $51,644 +41% $37,842 +93% ≈182% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $72,723 $36,362 $53,539 +36% $36,505 +99% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $72,554 $36,277 $72,554 +0% $39,020 +86% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $72,431 $36,215 $42,716 +70% $25,094 +189% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $72,276 $36,138 $86,222 −16% $40,060 +80% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $72,052 $36,026 $65,490 +10% $36,253 +99% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $71,778 $35,889 $56,233 +28% $44,606 +61% —
571 SKIN DEBRIDEMENT WITH CC $71,418 $35,709 $49,277 +45% $37,169 +92% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $71,289 $35,644 $35,435 +101% $25,970 +175% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $71,240 $35,620 $64,882 +10% $35,465 +101% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $71,130 $35,565 $57,626 +23% $36,792 +93% ≈185% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $71,111 $35,555 $70,442 +1% $43,650 +63% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $71,101 $35,551 $65,289 +9% $58,745 +21% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $70,939 $35,470 $57,686 +23% $44,117 +61% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $70,814 $35,407 $54,264 +30% $29,524 +140% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $70,677 $35,339 $70,677 +0% $29,079 +143% —
180 RESPIRATORY NEOPLASMS WITH MCC $70,606 $35,303 $43,659 +62% $36,658 +93% ≈181% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $70,525 $35,262 $62,233 +13% $41,591 +70% —
164 MAJOR CHEST PROCEDURES WITH CC $70,410 $35,205 $89,923 −22% $56,755 +24% ≈198% of Medicare
668 TRANSURETHRAL PROCEDURES WITH MCC $70,386 $35,193 $71,399 −1% $51,608 +36% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $69,959 $34,979 $68,012 +3% $35,419 +98% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $69,795 $34,898 $70,361 −1% $45,877 +52% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $69,729 $34,864 $63,301 +10% $50,607 +38% ≈189% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $69,594 $34,797 $58,661 +19% $39,955 +74% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $69,573 $34,787 $81,376 −15% $41,620 +67% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $69,489 $34,745 $69,489 +0% $50,618 +37% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $69,320 $34,660 $63,204 +10% $29,316 +136% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $69,311 $34,656 $44,311 +56% $34,749 +99% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $68,919 $34,460 $43,207 +60% $33,633 +105% ≈220% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $68,871 $34,435 $39,076 +76% $24,586 +180% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $68,806 $34,403 $24,973 +176% $17,226 +299% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $68,561 $34,281 $68,561 +0% $43,913 +56% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $68,333 $34,167 $69,606 −2% $52,075 +31% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $68,074 $34,037 $39,482 +72% $29,743 +129% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $68,037 $34,018 $53,823 +26% $32,841 +107% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $67,649 $33,825 $62,258 +9% $42,126 +61% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $67,557 $33,778 $67,557 +0% $40,694 +66% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $67,154 $33,577 $53,188 +26% $39,006 +72% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $67,040 $33,520 $60,391 +11% $40,642 +65% ≈208% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $66,981 $33,491 $55,728 +20% $36,354 +84% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $66,814 $33,407 $42,327 +58% $33,707 +98% ≈190% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $66,305 $33,153 $70,413 −6% $43,538 +52% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $66,259 $33,130 $39,435 +68% $33,048 +100% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $66,220 $33,110 $51,335 +29% $30,502 +117% ≈199% of Medicare
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $66,034 $33,017 $60,192 +10% $40,562 +63% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $66,008 $33,004 $60,531 +9% $29,916 +121% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $65,968 $32,984 $39,329 +68% $32,859 +101% ≈191% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $65,879 $32,940 $59,011 +12% $39,211 +68% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $65,495 $32,748 $62,541 +5% $40,552 +62% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $65,413 $32,706 $56,492 +16% $41,955 +56% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $64,992 $32,496 $71,076 −9% $35,584 +83% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $64,924 $32,462 $64,315 +1% $33,454 +94% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $64,923 $32,462 $69,362 −6% $33,674 +93% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $64,840 $32,420 $63,098 +3% $36,489 +78% ≈178% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $64,768 $32,384 $63,842 +1% $35,770 +81% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $64,630 $32,315 $50,923 +27% $37,387 +73% ≈174% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $63,942 $31,971 $40,969 +56% $27,119 +136% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $63,870 $31,935 $45,028 +42% $30,010 +113% —
643 ENDOCRINE DISORDERS WITH MCC $63,633 $31,817 $45,539 +40% $33,563 +90% ≈165% of Medicare
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $63,449 $31,725 $90,506 −30% $42,186 +50% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $63,345 $31,672 $43,772 +45% $33,255 +90% ≈186% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $63,276 $31,638 $51,942 +22% $47,789 +32% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $63,138 $31,569 $27,984 +126% $17,398 +263% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $63,027 $31,514 $52,717 +20% $29,126 +116% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $62,970 $31,485 $60,272 +4% $33,393 +89% ≈192% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $62,938 $31,469 $39,722 +58% $34,192 +84% ≈177% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $62,836 $31,418 $24,255 +159% $42,679 +47% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $62,555 $31,278 $42,998 +45% $33,876 +85% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $62,486 $31,243 $51,927 +20% $32,637 +91% ≈179% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $62,318 $31,159 $31,414 +98% $26,463 +135% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $62,291 $31,145 $35,028 +78% $19,815 +214% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $62,101 $31,051 $38,531 +61% $30,571 +103% ≈189% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $62,072 $31,036 $58,914 +5% $38,861 +60% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $61,930 $30,965 $42,794 +45% $32,496 +91% ≈193% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $61,803 $30,902 $39,293 +57% $36,249 +70% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $61,772 $30,886 $39,806 +55% $27,316 +126% ≈201% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $61,715 $30,858 $36,087 +71% $35,074 +76% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $61,440 $30,720 $49,029 +25% $32,944 +86% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $61,345 $30,672 $21,138 +190% $14,797 +315% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $61,069 $30,534 $60,253 +1% $34,607 +76% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $61,006 $30,503 $55,788 +9% $35,453 +72% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $60,683 $30,342 $48,547 +25% $26,618 +128% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $60,648 $30,324 $34,685 +75% $24,552 +147% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $60,585 $30,292 $67,416 −10% $61,470 −1% —
157 DENTAL AND ORAL DISEASES WITH MCC $60,568 $30,284 $43,943 +38% $31,300 +94% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $60,503 $30,251 $44,445 +36% $30,083 +101% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $60,176 $30,088 $42,174 +43% $31,264 +92% ≈177% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $60,102 $30,051 $50,080 +20% $30,828 +95% ≈187% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $59,994 $29,997 $49,661 +21% $32,433 +85% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $59,764 $29,882 $51,935 +15% $33,047 +81% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $59,632 $29,816 $64,007 −7% $39,887 +50% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $59,514 $29,757 $37,775 +58% $22,458 +165% ≈186% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $59,423 $29,712 $33,302 +78% $27,989 +112% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $59,282 $29,641 $42,868 +38% $24,941 +138% —
398 APPENDIX PROCEDURES WITH CC $58,504 $29,252 $52,045 +12% $40,162 +46% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $58,322 $29,161 $26,099 +123% $17,135 +240% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $58,250 $29,125 $32,177 +81% $23,319 +150% ≈195% of Medicare
150 EPISTAXIS WITH MCC $58,111 $29,056 $48,021 +21% $23,171 +151% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $57,920 $28,960 $57,920 +0% $38,878 +49% ≈180% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $57,802 $28,901 $35,123 +65% $27,861 +107% —
682 RENAL FAILURE WITH MCC $57,788 $28,894 $38,846 +49% $29,064 +99% ≈201% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $57,573 $28,786 $42,121 +37% $33,555 +72% ≈190% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $57,562 $28,781 $43,505 +32% $31,563 +82% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $57,418 $28,709 $37,980 +51% $18,348 +213% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $57,208 $28,604 $54,421 +5% $32,833 +74% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $57,188 $28,594 $51,179 +12% $36,937 +55% —
606 MINOR SKIN DISORDERS WITH MCC $57,124 $28,562 $49,655 +15% $27,975 +104% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $56,635 $28,318 $40,984 +38% $23,940 +137% ≈187% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $56,207 $28,104 $33,877 +66% $19,073 +195% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $56,169 $28,085 $55,465 +1% $30,418 +85% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $56,025 $28,013 $70,500 −21% $46,340 +21% ≈204% of Medicare
693 URINARY STONES WITH MCC $55,797 $27,899 $39,639 +41% $23,892 +134% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $55,756 $27,878 $55,867 −0% $25,703 +117% —
669 TRANSURETHRAL PROCEDURES WITH CC $55,544 $27,772 $47,052 +18% $34,354 +62% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $55,069 $27,535 $33,008 +67% $22,033 +150% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $54,940 $27,470 $57,334 −4% $47,737 +15% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $54,896 $27,448 $50,918 +8% $45,866 +20% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $54,599 $27,299 $43,470 +26% $32,451 +68% ≈221% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $54,501 $27,251 $31,598 +72% $19,598 +178% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $54,422 $27,211 $62,690 −13% $30,493 +78% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $54,317 $27,158 $40,171 +35% $20,926 +160% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $54,313 $27,156 $35,646 +52% $28,050 +94% ≈191% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $54,209 $27,105 $41,796 +30% $24,177 +124% —
602 CELLULITIS WITH MCC $54,016 $27,008 $36,275 +49% $30,598 +77% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $53,876 $26,938 $51,944 +4% $30,784 +75% —
186 PLEURAL EFFUSION WITH MCC $53,725 $26,863 $51,727 +4% $33,834 +59% —
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% $25,652 +109% —
539 OSTEOMYELITIS WITH MCC $53,028 $26,514 $48,883 +8% $37,609 +41% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $52,860 $26,430 $34,797 +52% $25,700 +106% —
375 DIGESTIVE MALIGNANCY WITH CC $52,811 $26,405 $40,982 +29% $27,277 +94% ≈193% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $52,618 $26,309 $32,220 +63% $19,264 +173% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $52,456 $26,228 $70,135 −25% $40,548 +29% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $52,055 $26,028 $49,576 +5% $32,100 +62% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $51,929 $25,965 $32,735 +59% $22,763 +128% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $51,866 $25,933 $33,255 +56% $23,551 +120% ≈189% of Medicare
813 COAGULATION DISORDERS $51,844 $25,922 $46,013 +13% $33,296 +56% ≈101% of Medicare
123 NEUROLOGICAL EYE DISORDERS $51,716 $25,858 $32,693 +58% $19,745 +162% —
102 HEADACHES WITH MCC $51,625 $25,812 $33,984 +52% $25,740 +101% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $51,608 $25,804 $47,818 +8% $28,202 +83% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $51,153 $25,577 $33,851 +51% $23,617 +117% ≈190% of Medicare
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $51,083 $25,541 $36,631 +39% $27,633 +85% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $50,977 $25,488 $30,005 +70% $24,914 +105% ≈198% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $50,873 $25,436 $20,958 +143% $15,589 +226% —
302 ATHEROSCLEROSIS WITH MCC $50,784 $25,392 $30,575 +66% $22,446 +126% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $50,783 $25,392 $40,660 +25% $26,770 +90% ≈184% of Medicare
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $50,587 $25,294 $50,587 +0% $31,134 +62% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $50,576 $25,288 $49,697 +2% $32,021 +58% ≈189% of Medicare
540 OSTEOMYELITIS WITH CC $50,510 $25,255 $31,469 +61% $26,676 +89% —
865 VIRAL ILLNESS WITH MCC $50,491 $25,246 $40,216 +26% $26,910 +88% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $50,481 $25,240 $27,728 +82% $19,657 +157% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $50,441 $25,221 $60,705 −17% $38,998 +29% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $50,404 $25,202 $39,211 +29% $24,550 +105% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $50,345 $25,173 $45,740 +10% $25,390 +98% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $49,989 $24,995 $39,269 +27% $26,051 +92% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $49,911 $24,955 $42,735 +17% $19,594 +155% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $49,821 $24,910 $50,624 −2% $24,544 +103% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $49,659 $24,830 $37,811 +31% $31,159 +59% —
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% $22,468 +121% ≈174% of Medicare
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $49,487 $24,744 $50,269 −2% $28,125 +76% —
570 SKIN DEBRIDEMENT WITH MCC $49,368 $24,684 $64,938 −24% $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% $18,126 +167% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $48,028 $24,014 $47,275 +2% $34,459 +39% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $47,891 $23,945 $28,257 +69% $15,549 +208% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $47,680 $23,840 $39,994 +19% $24,944 +91% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $47,582 $23,791 $29,912 +59% $27,543 +73% ≈181% 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% $22,851 +108% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $47,098 $23,549 $24,948 +89% $15,038 +213% —
291 HEART FAILURE AND SHOCK WITH MCC $46,804 $23,402 $35,285 +33% $26,776 +75% ≈182% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $46,764 $23,382 $35,450 +32% $23,488 +99% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $46,510 $23,255 $43,770 +6% $30,235 +54% ≈219% of Medicare
139 SALIVARY GLAND PROCEDURES $46,013 $23,006 $32,164 +43% $23,612 +95% —
887 OTHER MENTAL DISORDER DIAGNOSES $45,751 $22,875 $33,518 +36% $20,616 +122% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $45,646 $22,823 $44,090 +4% $31,321 +46% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $45,605 $22,802 $37,342 +22% $22,148 +106% —
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 $46,189 −2% $29,805 +53% —
152 OTITIS MEDIA AND URI WITH MCC $45,090 $22,545 $31,700 +42% $20,247 +123% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $45,053 $22,527 $37,284 +21% $25,712 +75% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $44,932 $22,466 $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% —
637 DIABETES WITH MCC $44,731 $22,366 $38,167 +17% $30,100 +49% ≈192% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $44,621 $22,310 $34,431 +30% $23,749 +88% ≈214% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $44,579 $22,290 $44,579 +0% $27,233 +64% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $44,565 $22,283 $31,275 +42% $25,303 +76% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $44,483 $22,241 $44,483 +0% $23,443 +90% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $44,430 $22,215 $31,459 +41% $20,727 +114% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $44,235 $22,118 $52,409 −16% $31,017 +43% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $44,074 $22,037 $30,235 +46% $17,620 +150% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $44,059 $22,029 $42,221 +4% $17,404 +153% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $43,369 $21,685 $33,410 +30% $26,682 +63% ≈178% of Medicare
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $43,348 $21,674 $37,681 +15% $17,934 +142% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $43,241 $21,621 $30,344 +43% $29,221 +48% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $42,868 $21,434 $26,963 +59% $20,181 +112% ≈191% 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% $30,959 +38% ≈174% of Medicare
304 HYPERTENSION WITH MCC $42,689 $21,345 $34,828 +23% $26,080 +64% —
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% —
181 RESPIRATORY NEOPLASMS WITH CC $42,143 $21,071 $29,674 +42% $23,573 +79% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $41,922 $20,961 $41,922 +0% $27,843 +51% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $41,832 $20,916 $24,629 +70% $18,956 +121% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $41,624 $20,812 $31,438 +32% $20,566 +102% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $41,568 $20,784 $36,372 +14% $28,320 +47% ≈170% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $41,480 $20,740 $40,849 +2% $28,156 +47% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $41,305 $20,652 $30,066 +37% $22,506 +84% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $41,254 $20,627 $46,561 −11% $29,826 +38% —
551 MEDICAL BACK PROBLEMS WITH MCC $41,164 $20,582 $41,164 +0% $34,017 +21% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $40,658 $20,329 $34,674 +17% $25,463 +60% ≈192% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $40,208 $20,104 $39,864 +1% $20,463 +96% ≈189% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $40,097 $20,048 $58,806 −32% $39,515 +1% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $39,984 $19,992 $33,249 +20% $17,698 +126% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $39,954 $19,977 $36,380 +10% $25,034 +60% —
548 SEPTIC ARTHRITIS WITH MCC $39,734 $19,867 $47,693 −17% $31,346 +27% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $39,497 $19,748 $32,418 +22% $27,297 +45% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $39,356 $19,678 $32,296 +22% $22,850 +72% ≈204% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $39,315 $19,658 $29,984 +31% $27,152 +45% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $39,238 $19,619 $44,574 −12% $25,748 +52% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $39,216 $19,608 $32,457 +21% $19,412 +102% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $39,095 $19,547 $44,135 −11% $27,394 +43% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $38,852 $19,426 $56,763 −32% $30,242 +28% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $38,735 $19,368 $39,665 −2% $27,285 +42% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $38,711 $19,355 $25,383 +53% $17,578 +120% ≈190% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $38,682 $19,341 $29,868 +30% $20,232 +91% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $38,586 $19,293 $37,531 +3% $23,498 +64% ≈182% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,482 $19,241 $11,858 +225% $18,649 +106% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $38,390 $19,195 $29,395 +31% $17,700 +117% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $38,199 $19,100 $54,303 −30% $29,949 +28% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $37,952 $18,976 $31,413 +21% $21,363 +78% ≈189% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $37,829 $18,915 $33,860 +12% $20,781 +82% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $37,661 $18,830 $45,920 −18% $33,653 +12% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $37,555 $18,777 $36,586 +3% $25,581 +47% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $37,439 $18,720 $32,470 +15% $24,386 +54% ≈187% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $37,413 $18,707 $28,729 +30% $20,488 +83% ≈187% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $37,056 $18,528 $30,844 +20% $21,449 +73% ≈196% of Medicare
694 URINARY STONES WITHOUT MCC $36,920 $18,460 $23,458 +57% $17,345 +113% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $36,901 $18,451 $32,741 +13% $23,141 +59% ≈206% of Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $36,701 $18,350 $15,808 +132% $23,283 +58% —
947 SIGNS AND SYMPTOMS WITH MCC $36,658 $18,329 $31,156 +18% $27,401 +34% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $36,460 $18,230 $30,430 +20% $19,270 +89% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $36,236 $18,118 $37,577 −4% $17,193 +111% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $36,156 $18,078 $35,019 +3% $22,098 +64% ≈193% of Medicare
885 PSYCHOSES $36,109 $18,054 $26,918 +34% $21,729 +66% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $36,091 $18,045 $26,453 +36% $16,634 +117% —
506 MAJOR THUMB OR JOINT PROCEDURES $35,868 $17,934 $41,258 −13% $30,557 +17% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,817 $17,909 $17,510 +105% $15,889 +125% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $35,677 $17,838 $28,334 +26% $18,126 +97% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $35,321 $17,661 $29,415 +20% $20,422 +73% ≈190% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $35,177 $17,588 $33,560 +5% $27,275 +29% ≈190% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $35,116 $17,558 $26,731 +31% $21,275 +65% ≈191% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $35,039 $17,519 $34,002 +3% $21,056 +66% —
089 CONCUSSION WITH CC $34,922 $17,461 $35,159 −1% $18,821 +86% —
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 $34,471 $17,235 $28,539 +21% $22,888 +51% ≈192% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $34,450 $17,225 $25,492 +35% $13,651 +152% —
849 RADIOTHERAPY $34,376 $17,188 $37,862 −9% $37,862 −9% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $34,276 $17,138 $24,500 +40% $19,096 +79% —
644 ENDOCRINE DISORDERS WITH CC $34,253 $17,126 $34,253 +0% $23,198 +48% ≈196% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $34,188 $17,094 $20,952 +63% $23,571 +45% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $34,088 $17,044 $28,537 +19% $22,024 +55% ≈187% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $33,982 $16,991 $18,257 +86% $18,452 +84% —
103 HEADACHES WITHOUT MCC $33,981 $16,990 $30,383 +12% $21,280 +60% ≈184% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $33,929 $16,964 $34,907 −3% $16,998 +100% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $33,877 $16,938 $44,641 −24% $27,808 +22% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $33,548 $16,774 $49,730 −33% $21,230 +58% —
149 DYSEQUILIBRIUM $33,352 $16,676 $33,898 −2% $18,096 +84% —
197 INTERSTITIAL LUNG DISEASE WITH CC $33,156 $16,578 $30,855 +7% $21,941 +51% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $33,086 $16,543 $33,653 −2% $21,894 +51% —
292 HEART FAILURE AND SHOCK WITH CC $32,757 $16,378 $25,702 +27% $16,371 +100% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $32,317 $16,158 $27,194 +19% $20,901 +55% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $32,111 $16,056 $20,930 +53% $22,320 +44% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $32,107 $16,053 $32,107 +0% $27,043 +19% ≈196% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $32,093 $16,046 $30,333 +6% $18,640 +72% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $32,047 $16,024 $30,025 +7% $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 $27,113 +17% $18,528 +71% —
151 EPISTAXIS WITHOUT MCC $31,557 $15,779 $22,190 +42% $13,032 +142% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $31,408 $15,704 $27,468 +14% $20,957 +50% ≈196% of Medicare
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,310 $15,655 $47,584 −34% $46,453 −33% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $31,135 $15,568 $26,557 +17% $20,455 +52% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $31,121 $15,561 $31,480 −1% $26,580 +17% ≈188% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $31,070 $15,535 $25,956 +20% $14,128 +120% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $31,043 $15,521 $24,321 +28% $17,322 +79% ≈183% of Medicare
312 SYNCOPE AND COLLAPSE $31,041 $15,520 $27,041 +15% $19,342 +60% ≈180% of Medicare
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $30,971 $15,485 $33,403 −7% $14,055 +120% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $30,953 $15,477 $26,949 +15% $17,724 +75% ≈191% of Medicare
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $30,704 $15,352 $26,905 +14% $23,206 +32% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $30,689 $15,345 $26,434 +16% $14,638 +110% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $30,629 $15,315 $24,051 +27% $16,288 +88% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $30,543 $15,272 $20,005 +53% $15,837 +93% —
882 NEUROSES EXCEPT DEPRESSIVE $30,477 $15,238 $16,665 +83% $15,680 +94% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $30,277 $15,138 $28,378 +7% $19,037 +59% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $30,273 $15,136 $31,093 −3% $19,854 +52% —
158 DENTAL AND ORAL DISEASES WITH CC $30,249 $15,124 $25,728 +18% $18,466 +64% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $30,243 $15,121 $30,243 +0% $21,396 +41% ≈193% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $30,066 $15,033 $31,275 −4% $18,081 +66% ≈200% of Medicare
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $29,971 $14,986 $45,718 −34% $26,948 +11% —
592 SKIN ULCERS WITH MCC $29,764 $14,882 $34,370 −13% $33,246 −10% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,658 $14,829 $18,156 +63% $19,846 +49% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $29,510 $14,755 $40,849 −28% $24,566 +20% —
200 PNEUMOTHORAX WITH CC $29,505 $14,752 $29,354 +1% $21,368 +38% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $29,362 $14,681 $28,851 +2% $17,303 +70% ≈201% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $29,234 $14,617 $18,081 +62% $20,084 +46% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $29,170 $14,585 $28,841 +1% $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 $29,928 −4% $26,870 +7% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $28,849 $14,425 $21,870 +32% $16,450 +75% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $28,688 $14,344 $28,688 +0% $20,259 +42% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $28,684 $14,342 $20,735 +38% $18,133 +58% —
593 SKIN ULCERS WITH CC $28,579 $14,290 $30,984 −8% $22,886 +25% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $28,529 $14,264 $23,449 +22% $18,602 +53% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $28,309 $14,154 $28,359 −0% $18,807 +51% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $28,125 $14,063 $25,860 +9% $17,921 +57% ≈204% of Medicare
683 RENAL FAILURE WITH CC $28,027 $14,013 $27,058 +4% $19,130 +47% ≈191% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $27,801 $13,900 $46,516 −40% $26,436 +5% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $27,712 $13,856 $22,667 +22% $18,150 +53% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,566 $13,783 $19,923 +38% $12,460 +121% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $27,398 $13,699 $23,989 +14% $16,776 +63% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $27,362 $13,681 $27,362 +0% $17,118 +60% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $27,191 $13,595 $15,829 +72% $16,846 +61% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $26,994 $13,497 $25,441 +6% $16,767 +61% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $26,837 $13,418 $31,924 −16% $19,227 +40% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $26,676 $13,338 $28,520 −6% $15,600 +71% —
204 RESPIRATORY SIGNS AND SYMPTOMS $26,663 $13,331 $22,549 +18% $18,004 +48% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $26,655 $13,327 $24,176 +10% $17,038 +56% ≈192% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $26,651 $13,326 $17,198 +55% $13,633 +95% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $26,580 $13,290 $25,280 +5% $16,968 +57% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,577 $13,289 $32,967 −19% $22,393 +19% —
101 SEIZURES WITHOUT MCC $26,528 $13,264 $26,593 −0% $20,461 +30% ≈213% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $26,476 $13,238 $27,408 −3% $25,279 +5% —
305 HYPERTENSION WITHOUT MCC $26,233 $13,117 $29,315 −11% $18,086 +45% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $25,941 $12,970 $14,623 +77% $15,370 +69% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $25,650 $12,825 $25,285 +1% $19,924 +29% —
638 DIABETES WITH CC $25,414 $12,707 $25,980 −2% $19,661 +29% ≈192% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $25,184 $12,592 $21,617 +16% $15,183 +66% —
313 CHEST PAIN $24,960 $12,480 $23,778 +5% $16,440 +52% —
183 MAJOR CHEST TRAUMA WITH MCC $24,942 $12,471 $43,047 −42% $29,933 −17% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $24,909 $12,455 $22,618 +10% $18,488 +35% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $24,886 $12,443 $25,096 −1% $17,674 +41% ≈193% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $24,844 $12,422 $23,974 +4% $13,384 +86% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $24,592 $12,296 $24,592 +0% $16,565 +48% —
184 MAJOR CHEST TRAUMA WITH CC $24,580 $12,290 $32,609 −25% $22,432 +10% —
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% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $24,121 $12,061 $26,195 −8% $11,997 +101% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $23,957 $11,979 $19,206 +25% $14,689 +63% —
534 FRACTURES OF FEMUR WITHOUT MCC $23,953 $11,977 $24,156 −1% $17,559 +36% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $23,906 $11,953 $26,799 −11% $20,895 +14% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,871 $11,935 $25,228 −5% $24,127 −1% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $23,803 $11,901 $18,352 +30% $16,699 +43% —
914 TRAUMATIC INJURY WITHOUT MCC $23,758 $11,879 $26,858 −12% $15,855 +50% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $23,666 $11,833 $13,275 +78% $13,275 +78% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $23,444 $11,722 $26,350 −11% $17,298 +36% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $23,295 $11,648 $21,194 +10% $13,361 +74% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $23,256 $11,628 $26,641 −13% $20,506 +13% —
187 PLEURAL EFFUSION WITH CC $23,204 $11,602 $27,724 −16% $21,789 +6% —
603 CELLULITIS WITHOUT MCC $23,062 $11,531 $23,062 +0% $18,530 +24% ≈190% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,908 $11,454 $9,874 +132% $12,229 +87% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $22,889 $11,444 $23,421 −2% $17,733 +29% ≈183% of Medicare
311 ANGINA PECTORIS $22,691 $11,345 $23,158 −2% $15,502 +46% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $22,218 $11,109 $14,910 +49% $14,501 +53% —
999 UNGROUPABLE $22,184 $11,092 $67,370 −67% $29,674 −25% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $22,032 $11,016 $21,182 +4% $15,452 +43% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $21,843 $10,922 $23,254 −6% $14,648 +49% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $21,670 $10,835 $10,553 +105% $10,160 +113% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $21,665 $10,833 $19,739 +10% $14,549 +49% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $21,360 $10,680 $21,659 −1% $16,520 +29% —
303 ATHEROSCLEROSIS WITHOUT MCC $21,266 $10,633 $22,833 −7% $14,927 +42% —
779 ABORTION WITHOUT D&C $21,051 $10,526 $16,942 +24% $15,327 +37% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $20,935 $10,468 $21,972 −5% $15,428 +36% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $20,911 $10,455 $12,078 +73% $12,078 +73% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $20,784 $10,392 $21,877 −5% $16,700 +24% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $20,771 $10,385 $25,143 −17% $19,842 +5% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $20,644 $10,322 $27,057 −24% $18,204 +13% ≈193% of Medicare
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $20,637 $10,319 $20,284 +2% $19,132 +8% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $20,562 $10,281 $23,208 −11% $11,909 +73% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $20,514 $10,257 $22,190 −8% $14,250 +44% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $20,036 $10,018 $30,162 −34% $22,525 −11% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $19,381 $9,691 $17,351 +12% $14,415 +34% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,277 $9,639 $51,225 −62% $32,031 −40% —
916 ALLERGIC REACTIONS WITHOUT MCC $18,476 $9,238 $19,992 −8% $13,942 +33% —
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% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $18,105 $9,053 $18,105 +0% $15,019 +21% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $17,934 $8,967 $15,152 +18% $12,324 +46% —
866 VIRAL ILLNESS WITHOUT MCC $17,451 $8,725 $19,016 −8% $17,081 +2% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,758 $8,379 $22,292 −25% $17,601 −5% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $16,675 $8,338 $16,372 +2% $15,215 +10% —
153 OTITIS MEDIA AND URI WITHOUT MCC $16,628 $8,314 $17,402 −4% $14,583 +14% —
549 SEPTIC ARTHRITIS WITH CC $14,732 $7,366 $32,032 −54% $24,056 −39% —
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% $26,510 −47% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $14,135 $7,068 $15,006 −6% $14,368 −2% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $13,992 $6,996 $32,237 −57% $16,552 −15% —
639 DIABETES WITHOUT CC/MCC $13,547 $6,774 $20,118 −33% $13,910 −3% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,151 $6,576 $17,725 −26% $11,421 +15% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,038 $6,519 $12,454 +5% $12,895 +1% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $12,156 $6,078 $13,697 −11% $10,975 +11% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $12,065 $6,032 $18,945 −36% $13,824 −13% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,596 $5,798 $20,918 −45% $18,072 −36% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $11,480 $5,740 $26,095 −56% $12,559 −9% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,401 $5,700 $21,129 −46% $14,053 −19% —
684 RENAL FAILURE WITHOUT CC/MCC $11,232 $5,616 $20,059 −44% $13,642 −18% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $10,922 $5,461 $10,280 +6% $9,940 +10% —
090 CONCUSSION WITHOUT CC/MCC $10,722 $5,361 $18,025 −41% $15,412 −30% —
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 $12,454 −20% $12,454 −20% —
950 AFTERCARE WITHOUT CC/MCC $9,814 $4,907 $15,350 −36% $13,527 −27% —
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% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,835 $3,417 $7,112 −4% $8,445 −19% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,092 $3,046 $14,113 −57% $12,252 −50% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,910 $2,955 $20,367 −71% $17,737 −67% —
795 NORMAL NEWBORN $5,222 $2,611 $5,755 −9% $4,720 +11% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,601 $2,301 $16,303 −72% $14,514 −68% —
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