Procedures published 576
Lowest published price $4,874
Average published price $50,073
Highest published price $551,557

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 576 procedures

Published charges

Showing all 576 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 99 procedures, this hospital's negotiated rates average ≈206% of what Medicare pays.

DRG Description Published price Cash price vs. IN median vs. National median vs Medicare
003 ecmo or tracheostomy with mechanical ventilation >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $551,557 $330,934 $239,829 +130% $371,366 +49% —
004 tracheostomy with mechanical ventilation >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $460,340 $276,204 $146,282 +215% $245,241 +88% —
940 o.r. procedures with diagnoses of other contact with health services with cc $392,720 $235,632 $57,776 +580% $38,420 +922% —
500 soft tissue procedures with mcc $366,144 $219,686 $61,861 +492% $57,479 +537% —
849 radiotherapy $321,820 $193,092 $44,999 +615% $37,862 +750% —
423 other hepatobiliary or pancreas o.r. procedures with mcc $300,367 $180,220 $97,675 +208% $72,011 +317% —
215 other heart assist system implant $282,158 $169,295 $213,293 +32% $191,314 +47% —
234 coronary bypass with cardiac catheterization or open ablation without mcc $267,093 $160,256 $222,041 +20% $102,573 +160% —
231 coronary bypass with ptca with mcc $264,958 $158,975 $276,009 −4% $146,474 +81% —
902 wound debridements for injuries with cc $243,730 $146,238 $39,349 +519% $35,459 +587% —
037 extracranial procedures with mcc $232,187 $139,312 $48,190 +382% $64,749 +259% —
332 rectal resection with mcc $209,001 $125,401 $209,001 +0% $58,125 +260% —
823 lymphoma and nonacute leukemia with other procedures with mcc $206,385 $123,831 $55,286 +273% $80,885 +155% —
345 minor small and large bowel procedures with cc $205,839 $123,503 $39,328 +423% $31,062 +563% —
275 cardiac defibrillator implant with cardiac catheterization and mcc $196,532 $117,919 $172,306 +14% $131,961 +49% —
236 coronary bypass without cardiac catheterization without mcc $194,926 $116,956 $150,194 +30% $82,247 +137% ≈450% of Medicare
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $188,171 $112,902 $292,071 −36% $175,437 +7% —
870 septicemia or severe sepsis with mechanical ventilation >96 hours $184,373 $110,624 $145,633 +27% $138,008 +34% ≈245% of Medicare
383 uncomplicated peptic ulcer with mcc $175,579 $105,347 $29,400 +497% $26,634 +559% —
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $169,054 $101,432 $216,853 −22% $143,242 +18% —
233 coronary bypass with cardiac catheterization or open ablation with mcc $168,502 $101,101 $219,823 −23% $138,868 +21% —
235 coronary bypass without cardiac catheterization with mcc $160,164 $96,098 $167,138 −4% $112,062 +43% —
326 stomach, esophageal and duodenal procedures with mcc $160,013 $96,008 $63,374 +152% $80,747 +98% —
245 aicd generator procedures $151,141 $90,685 $120,678 +25% $72,076 +110% —
163 major chest procedures with mcc $143,697 $86,218 $76,861 +87% $88,341 +63% —
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $142,869 $85,721 $192,686 −26% $102,177 +40% —
461 bilateral or multiple major joint procedures of lower extremity with mcc $142,628 $85,577 $142,628 +0% $108,472 +31% —
276 cardiac defibrillator implant with mcc $142,542 $85,525 $139,538 +2% $117,280 +22% —
319 other endovascular cardiac valve procedures with mcc $136,580 $81,948 $52,118 +162% $75,585 +81% —
790 extreme immaturity or respiratory distress syndrome, neonate $132,288 $79,373 $45,844 +189% $80,018 +65% —
085 traumatic stupor and coma <1 hour with mcc $128,757 $77,254 $30,079 +328% $37,064 +247% —
207 respiratory system diagnosis with ventilator support >96 hours $127,180 $76,308 $93,613 +36% $116,058 +10% ≈169% of Medicare
834 acute leukemia without major o.r. procedures with mcc $123,409 $74,045 $32,278 +282% $76,583 +61% —
956 limb reattachment, hip and femur procedures for multiple significant trauma $120,485 $72,291 $69,061 +74% $75,103 +60% —
229 other cardiothoracic procedures without mcc $119,135 $71,481 $97,483 +22% $65,325 +82% —
260 cardiac pacemaker revision except device replacement with mcc $118,536 $71,122 $59,163 +100% $67,901 +75% —
662 minor bladder procedures with mcc $118,449 $71,069 $83,774 +41% $54,483 +117% —
239 amputation for circulatory system disorders except upper limb and toe with mcc $115,879 $69,528 $62,488 +85% $87,565 +32% —
595 major skin disorders with mcc $115,572 $69,343 $65,337 +77% $31,785 +264% —
096 bacterial and tuberculous infections of nervous system without cc/mcc $114,737 $68,842 $114,737 +0% $39,093 +193% —
957 other o.r. procedures for multiple significant trauma with mcc $114,271 $68,563 $259,213 −56% $120,587 −5% —
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $110,077 $66,046 $46,479 +137% $62,821 +75% —
814 reticuloendothelial and immunity disorders with mcc $108,693 $65,216 $18,693 +481% $32,483 +235% —
750 other female reproductive system o.r. procedures without cc/mcc $103,971 $62,383 $41,629 +150% $23,920 +335% —
271 other major cardiovascular procedures with cc $103,086 $61,852 $92,042 +12% $71,014 +45% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $101,753 $61,052 $79,486 +28% $65,254 +56% —
323 coronary intravascular lithotripsy with intraluminal device with mcc $101,510 $60,906 $128,158 −21% $88,049 +15% —
091 other disorders of nervous system with mcc $100,904 $60,542 $33,180 +204% $36,375 +177% ≈549% of Medicare
255 upper limb and toe amputation for circulatory system disorders with mcc $100,667 $60,400 $57,186 +76% $43,697 +130% —
270 other major cardiovascular procedures with mcc $99,133 $59,480 $99,133 +0% $99,423 −0% —
038 extracranial procedures with cc $98,900 $59,340 $42,662 +132% $35,770 +176% —
466 revision of hip or knee replacement with mcc $98,722 $59,233 $78,075 +26% $96,222 +3% —
460 spinal fusion except cervical without mcc $97,764 $58,658 $97,764 +0% $50,815 +92% —
240 amputation for circulatory system disorders except upper limb and toe with cc $97,599 $58,559 $46,180 +111% $54,475 +79% —
853 infectious and parasitic diseases with o.r. procedures with mcc $96,561 $57,936 $75,004 +29% $87,018 +11% ≈170% of Medicare
829 myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc $96,493 $57,896 $65,195 +48% $53,817 +79% —
987 nonextensive o.r. procedures unrelated to principal diagnosis with mcc $96,477 $57,886 $55,922 +73% $65,383 +48% —
825 lymphoma and nonacute leukemia with other procedures without cc/mcc $95,976 $57,586 $58,237 +65% $27,321 +251% —
867 other infectious and parasitic diseases diagnoses with mcc $95,559 $57,336 $69,919 +37% $36,850 +159% —
521 hip replacement with principal diagnosis of hip fracture with mcc $92,579 $55,547 $82,635 +12% $67,764 +37% ≈279% of Medicare
264 other circulatory system o.r. procedures $92,181 $55,309 $68,953 +34% $51,953 +77% —
907 other o.r. procedures for injuries with mcc $91,523 $54,914 $58,195 +57% $71,701 +28% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $90,397 $54,238 $93,621 −3% $74,274 +22% ≈272% of Medicare
616 amputation of lower limb for endocrine, nutritional, and metabolic disorders with mcc $89,985 $53,991 $58,044 +55% $62,961 +43% —
025 craniotomy and endovascular intracranial procedures with mcc $89,720 $53,832 $80,004 +12% $88,307 +2% —
467 revision of hip or knee replacement with cc $89,207 $53,524 $89,207 +0% $68,880 +30% ≈217% of Medicare
923 other injury, poisoning and toxic effect diagnoses without mcc $88,805 $53,283 $18,909 +370% $16,571 +436% —
824 lymphoma and nonacute leukemia with other procedures with cc $88,049 $52,829 $29,061 +203% $38,382 +129% —
958 other o.r. procedures for multiple significant trauma with cc $87,232 $52,339 $111,235 −22% $66,853 +30% —
904 skin grafts for injuries with cc/mcc $86,762 $52,057 $73,565 +18% $55,097 +57% —
856 postoperative or posttraumatic infections with o.r. procedures with mcc $86,380 $51,828 $49,576 +74% $72,859 +19% —
673 other kidney and urinary tract procedures with mcc $86,015 $51,609 $60,746 +42% $72,945 +18% —
228 other cardiothoracic procedures with mcc $85,833 $51,500 $100,326 −14% $96,905 −11% —
356 other digestive system o.r. procedures with mcc $85,752 $51,451 $70,227 +22% $82,561 +4% —
478 biopsies of musculoskeletal system and connective tissue with cc $84,762 $50,857 $52,871 +60% $50,139 +69% —
208 respiratory system diagnosis with ventilator support < = 96 hours $84,453 $50,672 $42,213 +100% $52,405 +61% —
803 other o.r. procedures of the blood and blood-forming organs with cc $84,289 $50,573 $40,487 +108% $33,564 +151% —
164 major chest procedures with cc $83,590 $50,154 $78,212 +7% $53,141 +57% —
974 hiv with major related condition with mcc $83,335 $50,001 $44,099 +89% $46,402 +80% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $82,590 $49,554 $71,193 +16% $74,257 +11% —
570 skin debridement with mcc $82,328 $49,397 $42,317 +95% $52,435 +57% —
165 major chest procedures without cc/mcc $82,269 $49,362 $64,674 +27% $41,380 +99% —
242 permanent cardiac pacemaker implant with mcc $82,030 $49,218 $79,579 +3% $70,132 +17% ≈208% of Medicare
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $81,626 $48,976 $65,583 +24% $35,542 +130% —
754 malignancy, female reproductive system with mcc $80,710 $48,426 $71,862 +12% $29,476 +174% —
516 other musculoskeletal system and connective tissue o.r. procedures with cc $79,857 $47,914 $59,208 +35% $45,817 +74% —
488 knee procedures without principal diagnosis of infection with cc/mcc $79,657 $47,794 $50,833 +57% $41,520 +92% —
424 other hepatobiliary or pancreas o.r. procedures with cc $78,566 $47,140 $78,566 +0% $39,253 +100% —
252 other vascular procedures with mcc $77,467 $46,480 $61,880 +25% $68,508 +13% —
480 hip and femur procedures except major joint with mcc $75,578 $45,347 $69,008 +10% $63,984 +18% ≈229% of Medicare
322 percutaneous cardiovascular procedures with intraluminal device without mcc $75,574 $45,344 $84,321 −10% $54,772 +38% ≈366% of Medicare
253 other vascular procedures with cc $74,309 $44,585 $59,103 +26% $53,746 +38% —
026 craniotomy and endovascular intracranial procedures with cc $74,146 $44,488 $61,175 +21% $63,475 +17% —
627 thyroid, parathyroid and thyroglossal procedures without cc/mcc $73,946 $44,367 $59,056 +25% $25,623 +189% —
503 foot procedures with mcc $72,929 $43,757 $44,346 +64% $43,901 +66% —
901 wound debridements for injuries with mcc $71,336 $42,802 $51,570 +38% $68,847 +4% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $70,980 $42,588 $31,852 +123% $29,633 +140% —
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $70,866 $42,519 $70,866 +0% $86,390 −18% ≈136% of Medicare
547 connective tissue disorders without cc/mcc $70,706 $42,424 $14,075 +402% $14,861 +376% —
251 percutaneous cardiovascular procedures without coronary artery stent without mcc $69,820 $41,892 $69,820 +0% $41,380 +69% —
486 knee procedures with principal diagnosis of infection with cc $69,379 $41,627 $55,188 +26% $46,477 +49% —
821 lymphoma and leukemia with major o.r. procedures with cc $69,040 $41,424 $70,728 −2% $44,053 +57% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $68,882 $41,329 $29,263 +135% $45,059 +53% —
320 other endovascular cardiac valve procedures without mcc $68,273 $40,964 $68,273 +0% $36,080 +89% —
722 malignancy, male reproductive system with mcc $67,683 $40,610 $19,608 +245% $29,826 +127% —
845 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses without cc/mcc $67,671 $40,602 $14,852 +356% $14,055 +381% —
269 aortic and heart assist procedures except pulsation balloon without mcc $67,556 $40,534 $130,377 −48% $83,065 −19% ≈140% of Medicare
374 digestive malignancy with mcc $67,458 $40,475 $30,641 +120% $38,885 +73% —
095 bacterial and tuberculous infections of nervous system with cc $66,856 $40,113 $80,268 −17% $47,583 +41% —
036 carotid artery stent procedures without cc/mcc $66,682 $40,009 $72,737 −8% $40,694 +64% —
597 malignant breast disorders with mcc $66,405 $39,843 $29,686 +124% $31,846 +109% —
061 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc $66,199 $39,719 $69,636 −5% $57,963 +14% —
522 hip replacement with principal diagnosis of hip fracture without mcc $65,920 $39,552 $65,920 +0% $56,519 +17% ≈276% of Medicare
266 endovascular cardiac valve replacement and supplement procedures with mcc $65,580 $39,348 $147,132 −55% $113,855 −42% ≈89% of Medicare
027 craniotomy and endovascular intracranial procedures without cc/mcc $65,550 $39,330 $68,997 −5% $52,332 +25% —
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $65,082 $39,049 $62,733 +4% $48,680 +34% —
330 major small and large bowel procedures with cc $64,664 $38,798 $62,273 +4% $58,832 +10% ≈246% of Medicare
268 aortic and heart assist procedures except pulsation balloon with mcc $64,377 $38,626 $74,506 −14% $118,589 −46% —
250 percutaneous cardiovascular procedures without coronary artery stent with mcc $64,168 $38,501 $72,743 −12% $51,339 +25% —
336 peritoneal adhesiolysis with cc $64,025 $38,415 $47,006 +36% $49,470 +29% —
267 endovascular cardiac valve replacement and supplement procedures without mcc $64,014 $38,408 $144,557 −56% $92,217 −31% ≈111% of Medicare
329 major small and large bowel procedures with mcc $63,861 $38,316 $75,169 −15% $88,050 −27% ≈115% of Medicare
876 o.r. procedures with principal diagnosis of mental illness $63,842 $38,305 $30,200 +111% $54,196 +18% —
406 pancreas, liver and shunt procedures with cc $63,070 $37,842 $67,317 −6% $58,043 +9% —
656 kidney and ureter procedures for neoplasm with mcc $62,920 $37,752 $80,983 −22% $64,465 −2% —
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $62,436 $37,461 $30,687 +103% $36,280 +72% —
822 lymphoma and leukemia with major o.r. procedures without cc/mcc $62,382 $37,429 $31,772 +96% $25,390 +146% —
277 cardiac defibrillator implant without mcc $61,206 $36,724 $135,393 −55% $91,329 −33% —
969 hiv with extensive o.r. procedures with mcc $60,725 $36,435 $110,824 −45% $109,331 −44% —
479 biopsies of musculoskeletal system and connective tissue without cc/mcc $60,685 $36,411 $48,839 +24% $31,909 +90% —
583 mastectomy for malignancy without cc/mcc $60,582 $36,349 $59,120 +2% $31,566 +92% —
333 rectal resection with cc $60,510 $36,306 $34,352 +76% $34,352 +76% —
157 dental and oral diseases with mcc $60,372 $36,223 $22,312 +171% $27,457 +120% —
560 aftercare, musculoskeletal system and connective tissue with cc $59,905 $35,943 $16,010 +274% $24,452 +145% —
614 adrenal and pituitary procedures with cc/mcc $59,225 $35,535 $63,208 −6% $43,586 +36% —
477 biopsies of musculoskeletal system and connective tissue with mcc $58,972 $35,383 $37,347 +58% $62,269 −5% —
657 kidney and ureter procedures for neoplasm with cc $58,908 $35,345 $59,628 −1% $40,583 +45% —
539 osteomyelitis with mcc $58,882 $35,329 $28,715 +105% $33,746 +74% —
483 major joint or limb reattachment procedures of upper extremities $58,652 $35,191 $77,001 −24% $57,149 +3% —
487 knee procedures with principal diagnosis of infection without cc/mcc $58,385 $35,031 $37,285 +57% $33,490 +74% —
334 rectal resection without cc/mcc $58,346 $35,008 $71,516 −18% $32,213 +81% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $58,272 $34,963 $36,392 +60% $44,553 +31% —
331 major small and large bowel procedures without cc/mcc $58,269 $34,961 $52,676 +11% $44,117 +32% —
397 appendix procedures with mcc $58,044 $34,826 $57,646 +1% $52,319 +11% —
804 other o.r. procedures of the blood and blood-forming organs without cc/mcc $58,033 $34,820 $55,163 +5% $24,544 +136% —
504 foot procedures with cc $58,014 $34,809 $37,729 +54% $36,598 +59% —
492 lower extremity and humerus procedures except hip, foot, femur with mcc $57,928 $34,757 $67,630 −14% $70,540 −18% —
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $57,897 $34,738 $62,958 −8% $68,006 −15% —
288 acute and subacute endocarditis with mcc $57,698 $34,619 $25,372 +127% $45,497 +27% —
498 local excision and removal of internal fixation devices of hip and femur with cc/mcc $57,376 $34,426 $23,975 +139% $46,659 +23% —
510 shoulder, elbow or forearm procedures, except major joint procedures with mcc $57,145 $34,287 $57,145 +0% $49,055 +16% —
481 hip and femur procedures except major joint with cc $57,107 $34,264 $55,328 +3% $51,172 +12% ≈252% of Medicare
519 back and neck procedures except spinal fusion with cc $57,054 $34,232 $64,913 −12% $43,775 +30% —
617 amputation of lower limb for endocrine, nutritional, and metabolic disorders with cc $56,973 $34,184 $40,602 +40% $42,881 +33% —
658 kidney and ureter procedures for neoplasm without cc/mcc $56,808 $34,085 $56,808 +0% $35,528 +60% —
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $56,741 $34,045 $43,105 +32% $54,313 +4% —
273 percutaneous and other intracardiac procedures with mcc $56,732 $34,039 $108,086 −48% $78,852 −28% —
350 inguinal and femoral hernia procedures with mcc $55,926 $33,556 $33,060 +69% $46,591 +20% —
296 cardiac arrest, unexplained with mcc $55,899 $33,540 $23,906 +134% $30,910 +81% —
708 major male pelvic procedures without cc/mcc $55,874 $33,525 $55,874 +0% $32,911 +70% —
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $55,373 $33,224 $46,075 +20% $43,538 +27% —
686 kidney and urinary tract neoplasms with mcc $54,868 $32,921 $27,547 +99% $32,981 +66% —
357 other digestive system o.r. procedures with cc $54,867 $32,920 $46,086 +19% $48,682 +13% —
485 knee procedures with principal diagnosis of infection with mcc $54,745 $32,847 $76,170 −28% $64,956 −16% —
274 percutaneous and other intracardiac procedures without mcc $54,663 $32,798 $106,057 −48% $65,573 −17% ≈146% of Medicare
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $54,194 $32,517 $61,413 −12% $49,197 +10% ≈256% of Medicare
717 other male reproductive system o.r. procedures except malignancy with cc/mcc $54,088 $32,453 $19,684 +175% $32,538 +66% —
493 lower extremity and humerus procedures except hip, foot, femur with cc $54,011 $32,407 $56,394 −4% $56,394 −4% —
857 postoperative or posttraumatic infections with o.r. procedures with cc $54,006 $32,403 $44,122 +22% $41,900 +29% —
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $53,738 $32,243 $32,661 +65% $44,989 +19% —
915 allergic reactions with mcc $53,619 $32,172 $29,031 +85% $30,944 +73% —
791 prematurity with major problems $53,607 $32,164 $23,189 +131% $39,563 +35% —
314 other circulatory system diagnoses with mcc $53,360 $32,016 $24,947 +114% $38,357 +39% ≈236% of Medicare
417 laparoscopic cholecystectomy without c.d.e. with mcc $53,279 $31,967 $59,634 −11% $52,313 +2% —
520 back and neck procedures except spinal fusion without cc/mcc $53,188 $31,913 $46,938 +13% $31,816 +67% —
468 revision of hip or knee replacement without cc/mcc $53,031 $31,818 $72,532 −27% $54,929 −3% ≈171% of Medicare
030 spinal procedures without cc/mcc $52,996 $31,798 $59,742 −11% $45,818 +16% —
039 extracranial procedures without cc/mcc $52,880 $31,728 $41,470 +28% $25,267 +109% —
035 carotid artery stent procedures with cc $52,456 $31,473 $70,227 −25% $46,430 +13% —
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $52,169 $31,301 $35,076 +49% $35,692 +46% —
097 nonbacterial infection of nervous system except viral meningitis with mcc $52,123 $31,274 $52,123 +0% $57,855 −10% —
407 pancreas, liver and shunt procedures without cc/mcc $51,853 $31,112 $74,212 −30% $40,232 +29% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $51,813 $31,088 $36,099 +44% $33,165 +56% —
082 traumatic stupor and coma >1 hour with mcc $51,595 $30,957 $30,570 +69% $36,237 +42% —
166 other respiratory system o.r. procedures with mcc $51,435 $30,861 $46,751 +10% $72,782 −29% —
707 major male pelvic procedures with cc/mcc $51,329 $30,797 $59,905 −14% $43,080 +19% —
669 transurethral procedures with cc $51,186 $30,712 $40,111 +28% $34,354 +49% —
840 lymphoma and nonacute leukemia with mcc $50,599 $30,359 $34,681 +46% $49,710 +2% —
615 adrenal and pituitary procedures without cc/mcc $50,110 $30,066 $50,110 +0% $31,812 +58% —
272 other major cardiovascular procedures without cc/mcc $50,108 $30,065 $73,217 −32% $55,162 −9% —
537 sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc $50,106 $30,064 $50,106 +0% $16,352 +206% —
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $49,937 $29,962 $49,937 +0% $60,861 −18% —
057 degenerative nervous system disorders without mcc $49,496 $29,697 $17,659 +180% $25,426 +95% ≈323% of Medicare
854 infectious and parasitic diseases with o.r. procedures with cc $49,422 $29,653 $46,490 +6% $43,524 +14% —
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $49,163 $29,498 $49,491 −1% $32,839 +50% —
598 malignant breast disorders with cc $49,081 $29,449 $32,180 +53% $19,073 +157% —
659 kidney and ureter procedures for non-neoplasm with mcc $48,591 $29,155 $47,575 +2% $48,094 +1% —
398 appendix procedures with cc $48,571 $29,142 $48,238 +1% $39,107 +24% —
663 minor bladder procedures with cc $48,437 $29,062 $33,267 +46% $29,924 +62% —
353 hernia procedures except inguinal and femoral with mcc $48,240 $28,944 $60,626 −20% $60,140 −20% —
034 carotid artery stent procedures with mcc $47,344 $28,407 $80,220 −41% $72,908 −35% —
643 endocrine disorders with mcc $47,334 $28,400 $33,333 +42% $32,996 +43% ≈254% of Medicare
289 acute and subacute endocarditis with cc $47,182 $28,309 $30,447 +55% $29,371 +61% —
559 aftercare, musculoskeletal system and connective tissue with mcc $47,007 $28,204 $47,007 +0% $30,974 +52% —
604 trauma to the skin, subcutaneous tissue and breast with mcc $46,972 $28,183 $22,143 +112% $28,140 +67% —
507 major shoulder or elbow joint procedures with cc/mcc $46,629 $27,977 $40,460 +15% $36,202 +29% —
494 lower extremity and humerus procedures except hip, foot, femur without cc/mcc $46,616 $27,970 $54,909 −15% $45,963 +1% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $46,510 $27,906 $48,429 −4% $76,954 −40% —
410 biliary tract procedures except only cholecystectomy with or without c.d.e. without cc/mcc $46,507 $27,904 $63,145 −26% $34,434 +35% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $46,442 $27,865 $47,197 −2% $51,985 −11% —
418 laparoscopic cholecystectomy without c.d.e. with cc $45,659 $27,395 $49,328 −7% $42,119 +8% ≈255% of Medicare
746 vagina, cervix and vulva procedures with cc/mcc $45,477 $27,286 $42,985 +6% $29,916 +52% —
501 soft tissue procedures with cc $45,371 $27,223 $37,975 +19% $37,975 +19% —
642 inborn and other disorders of metabolism $44,894 $26,936 $18,267 +146% $20,727 +117% —
473 cervical spinal fusion without cc/mcc $44,842 $26,905 $67,022 −33% $50,624 −11% —
286 circulatory disorders except acute myocardial infarction, with cardiac catheterization with mcc $44,600 $26,760 $47,155 −5% $44,600 +0% ≈177% of Medicare
337 peritoneal adhesiolysis without cc/mcc $44,586 $26,751 $43,495 +3% $36,239 +23% —
244 permanent cardiac pacemaker implant without cc/mcc $44,391 $26,634 $53,543 −17% $40,063 +11% —
674 other kidney and urinary tract procedures with cc $44,096 $26,457 $48,930 −10% $49,631 −11% —
328 stomach, esophageal and duodenal procedures without cc/mcc $44,062 $26,437 $45,434 −3% $35,375 +25% —
183 major chest trauma with mcc $43,917 $26,350 $21,767 +102% $28,924 +52% —
947 signs and symptoms with mcc $43,413 $26,048 $21,794 +99% $25,474 +70% —
369 major esophageal disorders with cc $43,287 $25,972 $24,866 +74% $22,713 +91% —
909 other o.r. procedures for injuries without cc/mcc $43,271 $25,963 $27,062 +60% $28,156 +54% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $43,259 $25,956 $23,930 +81% $35,114 +23% —
355 hernia procedures except inguinal and femoral without cc/mcc $43,120 $25,872 $40,244 +7% $31,978 +35% —
592 skin ulcers with mcc $42,980 $25,788 $17,224 +150% $32,662 +32% —
167 other respiratory system o.r. procedures with cc $42,863 $25,718 $42,863 +0% $40,563 +6% —
256 upper limb and toe amputation for circulatory system disorders with cc $42,838 $25,703 $34,438 +24% $29,729 +44% —
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $42,837 $25,702 $36,807 +16% $78,582 −45% —
757 infections, female reproductive system with mcc $42,772 $25,663 $40,303 +6% $23,734 +80% —
871 septicemia or severe sepsis without mechanical ventilation >96 hours with mcc $42,592 $25,555 $32,245 +32% $35,237 +21% ≈197% of Medicare
742 uterine and adnexa procedures for nonmalignancy with cc/mcc $42,452 $25,471 $42,892 −1% $40,552 +5% —
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $42,394 $25,437 $43,225 −2% $34,887 +22% —
749 other female reproductive system o.r. procedures with cc/mcc $42,068 $25,241 $29,320 +43% $41,703 +1% —
243 permanent cardiac pacemaker implant with cc $42,006 $25,203 $54,057 −22% $50,011 −16% ≈161% of Medicare
399 appendix procedures without cc/mcc $42,005 $25,203 $40,977 +3% $30,314 +39% —
917 poisoning and toxic effects of drugs with mcc $41,889 $25,134 $23,205 +81% $28,134 +49% —
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $41,769 $25,061 $83,635 −50% $39,018 +7% —
351 inguinal and femoral hernia procedures with cc $41,516 $24,910 $41,705 −0% $33,792 +23% —
432 cirrhosis and alcoholic hepatitis with mcc $41,024 $24,615 $37,984 +8% $36,933 +11% ≈181% of Medicare
988 nonextensive o.r. procedures unrelated to principal diagnosis with cc $40,924 $24,555 $36,228 +13% $38,094 +7% —
257 upper limb and toe amputation for circulatory system disorders without cc/mcc $40,671 $24,403 $40,671 +0% $15,764 +158% —
489 knee procedures without principal diagnosis of infection without cc/mcc $40,598 $24,359 $42,735 −5% $27,492 +48% —
502 soft tissue procedures without cc/mcc $40,482 $24,289 $34,624 +17% $30,006 +35% —
564 other musculoskeletal system and connective tissue diagnoses with mcc $40,033 $24,020 $34,648 +16% $32,936 +22% —
600 nonmalignant breast disorders with cc/mcc $39,798 $23,879 $8,197 +386% $16,418 +142% —
626 thyroid, parathyroid and thyroglossal procedures with cc $39,608 $23,765 $31,141 +27% $27,279 +45% —
682 renal failure with mcc $39,602 $23,761 $23,404 +69% $27,854 +42% ≈232% of Medicare
580 other skin, subcutaneous tissue and breast procedures with cc $39,511 $23,706 $35,063 +13% $36,242 +9% —
755 malignancy, female reproductive system with cc $39,392 $23,635 $13,407 +194% $18,459 +113% —
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $39,345 $23,607 $30,544 +29% $36,334 +8% —
509 arthroscopy $39,284 $23,570 $39,284 +0% $25,994 +51% —
265 aicd lead procedures $39,170 $23,502 $51,595 −24% $56,695 −31% —
802 other o.r. procedures of the blood and blood-forming organs with mcc $39,052 $23,431 $49,840 −22% $59,425 −34% —
858 postoperative or posttraumatic infections with o.r. procedures without cc/mcc $39,000 $23,400 $39,000 +0% $23,924 +63% —
792 prematurity without major problems $38,921 $23,353 $10,272 +279% $11,633 +235% —
666 prostatectomy with cc $38,873 $23,324 $41,553 −6% $30,016 +30% —
549 septic arthritis with cc $38,817 $23,290 $15,009 +159% $20,938 +85% —
637 diabetes with mcc $38,734 $23,241 $27,419 +41% $28,819 +34% ≈241% of Medicare
743 uterine and adnexa procedures for nonmalignancy without cc/mcc $38,702 $23,221 $36,194 +7% $27,369 +41% —
354 hernia procedures except inguinal and femoral with cc $38,692 $23,215 $40,191 −4% $43,266 −11% —
847 chemotherapy without acute leukemia as secondary diagnosis with cc $38,691 $23,215 $17,089 +126% $22,275 +74% —
963 other multiple significant trauma with mcc $38,591 $23,155 $38,591 +0% $43,491 −11% —
741 uterine and adnexa procedures for nonovarian and nonadnexal malignancy without cc/mcc $38,558 $23,135 $35,724 +8% $29,050 +33% —
346 minor small and large bowel procedures without cc/mcc $38,381 $23,029 $31,987 +20% $26,146 +47% —
436 malignancy of hepatobiliary system or pancreas with cc $38,289 $22,973 $25,731 +49% $24,017 +59% —
371 major gastrointestinal disorders and peritoneal infections with mcc $38,218 $22,931 $26,049 +47% $31,758 +20% ≈207% of Medicare
964 other multiple significant trauma with cc $38,039 $22,824 $21,556 +76% $25,854 +47% —
254 other vascular procedures without cc/mcc $37,974 $22,784 $38,604 −2% $38,836 −2% —
949 aftercare with cc/mcc $37,904 $22,742 $20,429 +86% $23,953 +58% —
352 inguinal and femoral hernia procedures without cc/mcc $37,769 $22,662 $38,879 −3% $25,162 +50% —
482 hip and femur procedures except major joint without cc/mcc $37,682 $22,609 $45,897 −18% $39,747 −5% ≈215% of Medicare
975 hiv with major related condition with cc $37,600 $22,560 $32,940 +14% $25,010 +50% —
606 minor skin disorders with mcc $37,381 $22,429 $38,695 −3% $25,434 +47% —
070 nonspecific cerebrovascular disorders with mcc $37,357 $22,414 $26,747 +40% $30,814 +21% —
496 local excision and removal of internal fixation devices except hip and femur with cc $37,320 $22,392 $37,320 +0% $43,800 −15% —
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $36,854 $22,112 $28,759 +28% $33,137 +11% —
811 red blood cell disorders with mcc $36,592 $21,955 $27,285 +34% $27,934 +31% ≈217% of Medicare
280 acute myocardial infarction, discharged alive with mcc $36,548 $21,929 $31,663 +15% $28,967 +26% ≈202% of Medicare
862 postoperative and posttraumatic infections with mcc $36,202 $21,721 $22,350 +62% $30,394 +19% —
435 malignancy of hepatobiliary system or pancreas with mcc $36,175 $21,705 $21,368 +69% $37,950 −5% —
571 skin debridement with cc $36,148 $21,689 $33,203 +9% $34,901 +4% —
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $35,746 $21,447 $18,632 +92% $23,496 +52% ≈296% of Medicare
548 septic arthritis with mcc $35,571 $21,343 $35,571 +0% $31,019 +15% —
557 tendonitis, myositis and bursitis with mcc $35,543 $21,326 $27,757 +28% $28,646 +24% —
921 complications of treatment without cc/mcc $35,172 $21,103 $12,542 +180% $14,012 +151% —
287 circulatory disorders except acute myocardial infarction, with cardiac catheterization without mcc $35,027 $21,016 $40,923 −14% $31,190 +12% ≈306% of Medicare
168 other respiratory system o.r. procedures without cc/mcc $34,851 $20,911 $30,370 +15% $28,527 +22% —
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $34,751 $20,851 $41,471 −16% $30,930 +12% —
385 inflammatory bowel disease with mcc $34,507 $20,704 $22,935 +50% $26,020 +33% —
348 anal and stomal procedures with cc $34,472 $20,683 $31,170 +11% $27,947 +23% —
545 connective tissue disorders with mcc $34,410 $20,646 $46,551 −26% $39,657 −13% —
787 cesarean section without sterilization with cc $34,375 $20,625 $27,589 +25% $23,571 +46% —
661 kidney and ureter procedures for non-neoplasm without cc/mcc $33,931 $20,359 $32,509 +4% $24,022 +41% —
377 gastrointestinal hemorrhage with mcc $33,778 $20,267 $31,521 +7% $37,842 −11% ≈167% of Medicare
283 acute myocardial infarction, expired with mcc $33,681 $20,209 $29,037 +16% $35,014 −4% —
965 other multiple significant trauma without cc/mcc $33,404 $20,042 $21,785 +53% $17,585 +90% —
505 foot procedures without cc/mcc $33,348 $20,009 $28,552 +17% $31,716 +5% —
579 other skin, subcutaneous tissue and breast procedures with mcc $33,295 $19,977 $36,862 −10% $54,129 −38% —
698 other kidney and urinary tract diagnoses with mcc $33,123 $19,874 $21,892 +51% $30,058 +10% ≈181% of Medicare
349 anal and stomal procedures without cc/mcc $32,852 $19,711 $27,843 +18% $19,854 +65% —
789 neonates, died or transferred to another acute care facility $32,444 $19,466 $6,470 +401% $14,284 +127% —
533 fractures of femur with mcc $32,419 $19,451 $24,369 +33% $25,945 +25% —
640 miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes with mcc $32,163 $19,298 $18,441 +74% $24,480 +31% ≈210% of Medicare
713 transurethral prostatectomy with cc/mcc $32,078 $19,247 $53,141 −40% $29,663 +8% —
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $32,036 $19,222 $24,871 +29% $23,469 +37% ≈296% of Medicare
835 acute leukemia without major o.r. procedures with cc $32,035 $19,221 $26,109 +23% $35,569 −10% —
177 respiratory infections and inflammations with mcc $31,754 $19,052 $31,150 +2% $31,840 −0% ≈174% of Medicare
903 wound debridements for injuries without cc/mcc $31,741 $19,044 $36,382 −13% $23,588 +35% —
199 pneumothorax with mcc $31,571 $18,942 $22,672 +39% $31,491 +0% —
660 kidney and ureter procedures for non-neoplasm with cc $31,495 $18,897 $36,381 −13% $30,358 +4% —
071 nonspecific cerebrovascular disorders with cc $31,437 $18,862 $19,652 +60% $23,396 +34% —
055 nervous system neoplasms without mcc $31,355 $18,813 $12,621 +148% $19,868 +58% —
438 disorders of pancreas except malignancy with mcc $31,233 $18,740 $30,263 +3% $32,502 −4% —
819 other antepartum diagnoses with o.r. procedures without cc/mcc $31,185 $18,711 $31,185 +0% $17,928 +74% —
059 multiple sclerosis and cerebellar ataxia with cc $31,144 $18,686 $19,589 +59% $26,322 +18% —
444 disorders of the biliary tract with mcc $31,128 $18,677 $24,317 +28% $31,128 +0% —
306 cardiac congenital and valvular disorders with mcc $31,032 $18,619 $22,893 +36% $24,450 +27% —
181 respiratory neoplasms with cc $30,939 $18,563 $17,133 +81% $22,431 +38% —
124 other disorders of the eye with mcc $30,928 $18,557 $30,928 +0% $21,029 +47% —
067 nonspecific cerebrovascular accident and precerebral occlusion without infarction with mcc $30,817 $18,490 $30,817 +0% $24,941 +24% —
145 other ear, nose, mouth and throat o.r. procedures without cc/mcc $30,747 $18,448 $27,356 +12% $20,842 +48% —
099 nonbacterial infection of nervous system except viral meningitis without cc/mcc $30,721 $18,432 $30,721 +0% $25,666 +20% —
977 hiv with or without other related condition $30,701 $18,421 $8,783 +250% $22,525 +36% —
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $30,678 $18,407 $26,332 +17% $29,211 +5% —
180 respiratory neoplasms with mcc $30,648 $18,389 $28,079 +9% $36,658 −16% —
760 menstrual and other female reproductive system disorders with cc/mcc $30,548 $18,329 $18,365 +66% $18,282 +67% —
056 degenerative nervous system disorders with mcc $30,545 $18,327 $28,256 +8% $39,409 −22% ≈122% of Medicare
786 cesarean section without sterilization with mcc $30,324 $18,194 $29,370 +3% $27,118 +12% —
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $30,163 $18,098 $20,735 +45% $18,150 +66% —
189 pulmonary edema and respiratory failure $30,097 $18,058 $25,867 +16% $25,704 +17% ≈215% of Medicare
197 interstitial lung disease with cc $30,019 $18,012 $18,760 +60% $20,106 +49% —
393 other digestive system diagnoses with mcc $30,017 $18,010 $29,262 +3% $32,689 −8% ≈163% of Medicare
718 other male reproductive system o.r. procedures except malignancy without cc/mcc $29,937 $17,962 $36,838 −19% $20,147 +49% —
073 cranial and peripheral nerve disorders with mcc $29,851 $17,911 $29,851 +0% $28,252 +6% —
441 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with mcc $29,784 $17,870 $22,604 +32% $32,399 −8% ≈150% of Medicare
565 other musculoskeletal system and connective tissue diagnoses with cc $29,748 $17,849 $22,368 +33% $21,545 +38% —
193 simple pneumonia and pleurisy with mcc $29,743 $17,846 $23,953 +24% $26,158 +14% ≈201% of Medicare
060 multiple sclerosis and cerebellar ataxia without cc/mcc $29,689 $17,814 $15,317 +94% $21,261 +40% —
146 ear, nose, mouth and throat malignancy with mcc $29,526 $17,716 $46,600 −37% $37,080 −20% —
089 concussion with cc $29,480 $17,688 $21,831 +35% $18,293 +61% —
261 cardiac pacemaker revision except device replacement with cc $29,429 $17,658 $59,516 −51% $42,126 −30% —
281 acute myocardial infarction, discharged alive with cc $29,423 $17,654 $25,607 +15% $20,463 +44% ≈297% of Medicare
817 other antepartum diagnoses with o.r. procedures with mcc $29,356 $17,613 $30,820 −5% $36,097 −19% —
178 respiratory infections and inflammations with cc $28,842 $17,305 $19,690 +46% $22,024 +31% ≈266% of Medicare
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $28,776 $17,266 $23,622 +22% $30,275 −5% —
709 penis procedures with cc/mcc $28,675 $17,205 $40,303 −29% $34,535 −17% —
054 nervous system neoplasms with mcc $28,641 $17,185 $24,624 +16% $29,484 −3% —
922 other injury, poisoning and toxic effect diagnoses with mcc $28,580 $17,148 $28,580 +0% $29,409 −3% —
206 other respiratory system diagnoses without mcc $28,421 $17,053 $17,731 +60% $17,731 +60% —
147 ear, nose, mouth and throat malignancy with cc $28,322 $16,993 $8,813 +221% $21,860 +30% —
064 intracranial hemorrhage or cerebral infarction with mcc $28,099 $16,859 $29,133 −4% $35,714 −21% ≈130% of Medicare
080 nontraumatic stupor and coma with mcc $28,090 $16,854 $25,958 +8% $35,139 −20% —
748 female reproductive system reconstructive procedures $27,870 $16,722 $41,744 −33% $24,980 +12% —
729 other male reproductive system diagnoses with cc/mcc $27,396 $16,438 $15,674 +75% $17,483 +57% —
259 cardiac pacemaker device replacement without mcc $27,139 $16,284 $47,165 −42% $35,673 −24% —
538 sprains, strains, and dislocations of hip, pelvis and thigh without cc/mcc $27,058 $16,235 $11,842 +128% $11,909 +127% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $26,932 $16,159 $26,932 +0% $25,243 +7% —
727 inflammation of the male reproductive system with mcc $26,771 $16,063 $36,069 −26% $25,786 +4% —
884 organic disturbances and intellectual disability $26,682 $16,009 $16,985 +57% $25,208 +6% ≈142% of Medicare
308 cardiac arrhythmia and conduction disorders with mcc $26,643 $15,986 $25,094 +6% $26,488 +1% ≈197% of Medicare
282 acute myocardial infarction, discharged alive without cc/mcc $26,384 $15,831 $19,298 +37% $18,623 +42% ≈384% of Medicare
092 other disorders of nervous system with cc $26,373 $15,824 $24,511 +8% $24,136 +9% —
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $26,179 $15,707 $23,510 +11% $23,723 +10% —
797 vaginal delivery with sterilization and/or d&c with cc $26,080 $15,648 $22,179 +18% $19,001 +37% —
697 urethral stricture $26,023 $15,614 $26,023 +0% $17,705 +47% —
205 other respiratory system diagnoses with mcc $25,993 $15,596 $25,993 +0% $32,204 −19% —
908 other o.r. procedures for injuries with cc $25,976 $15,586 $36,294 −28% $41,660 −38% —
687 kidney and urinary tract neoplasms with cc $25,898 $15,539 $28,933 −10% $18,478 +40% —
546 connective tissue disorders with cc $25,827 $15,496 $24,488 +5% $24,202 +7% —
299 peripheral vascular disorders with mcc $25,731 $15,438 $18,307 +41% $25,731 +0% —
793 full term neonate with major problems $25,697 $15,418 $13,963 +84% $16,719 +54% —
103 headaches without mcc $25,691 $15,415 $17,438 +47% $20,111 +28% —
187 pleural effusion with cc $25,591 $15,355 $25,494 +0% $21,467 +19% —
190 chronic obstructive pulmonary disease with mcc $25,567 $15,340 $24,427 +5% $24,190 +6% ≈210% of Medicare
433 cirrhosis and alcoholic hepatitis with cc $25,326 $15,195 $24,245 +4% $23,749 +7% —
074 cranial and peripheral nerve disorders without mcc $25,301 $15,180 $23,983 +5% $23,141 +9% ≈224% of Medicare
788 cesarean section without sterilization without cc/mcc $25,222 $15,133 $25,516 −1% $20,084 +26% —
078 hypertensive encephalopathy with cc $25,082 $15,049 $36,042 −30% $17,434 +44% —
805 vaginal delivery without sterilization or d&c with mcc $24,966 $14,980 $14,799 +69% $15,370 +62% —
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $24,854 $14,912 $28,917 −14% $18,428 +35% —
291 heart failure and shock with mcc $24,727 $14,836 $20,626 +20% $25,020 −1% ≈175% of Medicare
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $24,502 $14,701 $17,396 +41% $22,032 +11% —
376 digestive malignancy without cc/mcc $24,473 $14,684 $24,473 +0% $15,608 +57% —
100 seizures with mcc $24,430 $14,658 $24,430 +0% $35,194 −31% ≈114% of Medicare
605 trauma to the skin, subcutaneous tissue & breast without mcc $24,282 $14,569 $16,720 +45% $19,287 +26% ≈243% of Medicare
644 endocrine disorders with cc $24,271 $14,563 $18,925 +28% $22,941 +6% ≈206% of Medicare
079 hypertensive encephalopathy without cc/mcc $24,136 $14,481 $36,003 −33% $11,847 +104% —
602 cellulitis with mcc $24,046 $14,427 $23,217 +4% $29,347 −18% ≈139% of Medicare
536 fractures of hip and pelvis without mcc $23,933 $14,360 $14,806 +62% $18,002 +33% —
378 gastrointestinal hemorrhage with cc $23,854 $14,312 $20,640 +16% $21,886 +9% ≈216% of Medicare
312 syncope and collapse $23,625 $14,175 $19,855 +19% $19,342 +22% ≈253% of Medicare
934 full thickness burn without skin graft or inhalation injury $23,297 $13,978 $18,866 +23% $31,044 −25% —
087 traumatic stupor and coma <1 hour without cc/mcc $23,294 $13,976 $10,060 +132% $15,869 +47% —
084 traumatic stupor and coma >1 hour without cc/mcc $23,274 $13,965 $16,990 +37% $18,191 +28% —
818 other antepartum diagnoses with o.r. procedures with cc $23,268 $13,961 $23,268 +0% $24,316 −4% —
388 gastrointestinal obstruction with mcc $23,231 $13,938 $22,848 +2% $28,780 −19% ≈155% of Medicare
075 viral meningitis with cc/mcc $23,225 $13,935 $35,179 −34% $29,853 −22% —
152 otitis media and upper respiratory infection with mcc $23,167 $13,900 $19,885 +17% $19,795 +17% —
540 osteomyelitis with cc $22,921 $13,753 $21,491 +7% $23,494 −2% —
307 cardiac congenital and valvular disorders without mcc $22,724 $13,634 $22,724 +0% $18,608 +22% —
375 digestive malignancy with cc $22,647 $13,588 $22,647 +0% $27,219 −17% —
069 transient ischemia without thrombolytic $22,628 $13,577 $21,896 +3% $20,278 +12% ≈267% of Medicare
072 nonspecific cerebrovascular disorders without cc/mcc $22,542 $13,525 $13,447 +68% $16,654 +35% —
941 o.r. procedures with diagnoses of other contact with health services without cc/mcc $22,465 $13,479 $18,465 +22% $29,524 −24% —
844 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc $22,403 $13,442 $31,325 −28% $20,421 +10% —
098 nonbacterial infection of nervous system except viral meningitis with cc $22,399 $13,439 $39,815 −44% $37,902 −41% —
553 bone diseases and arthropathies with mcc $22,365 $13,419 $16,409 +36% $23,956 −7% —
552 medical back problems without mcc $22,061 $13,236 $19,032 +16% $21,213 +4% ≈218% of Medicare
815 reticuloendothelial and immunity disorders with cc $22,026 $13,216 $18,049 +22% $18,017 +22% —
880 acute adjustment reaction and psychosocial dysfunction $22,017 $13,210 $12,821 +72% $15,636 +41% —
102 headaches with mcc $21,983 $13,190 $15,174 +45% $22,544 −2% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $21,815 $13,089 $21,786 +0% $27,244 −20% ≈149% of Medicare
068 nonspecific cerebrovascular accident and precerebral occlusion without infarction without mcc $21,802 $13,081 $22,412 −3% $19,569 +11% —
887 other mental disorder diagnoses $21,793 $13,076 $21,793 +0% $20,602 +6% —
572 skin debridement without cc/mcc $21,756 $13,054 $26,070 −17% $24,432 −11% —
783 cesarean section with sterilization with mcc $21,663 $12,998 $31,182 −31% $28,375 −24% —
175 pulmonary embolism with mcc or acute cor pulmonale $21,563 $12,938 $24,118 −11% $29,757 −28% ≈132% of Medicare
723 malignancy, male reproductive system with cc $21,489 $12,894 $8,888 +142% $19,317 +11% —
998 principal diagnosis invalid as discharge diagnosis $21,430 $12,858 $21,430 +0% $15,655 +37% —
368 major esophageal disorders with mcc $21,408 $12,845 $26,927 −20% $33,607 −36% —
380 complicated peptic ulcer with mcc $21,376 $12,826 $28,005 −24% $36,641 −42% —
638 diabetes with cc $21,368 $12,821 $18,826 +14% $18,821 +14% ≈213% of Medicare
381 complicated peptic ulcer with cc $21,240 $12,744 $21,721 −2% $24,177 −12% —
836 acute leukemia without major o.r. procedures without cc/mcc $21,237 $12,742 $13,857 +53% $19,686 +8% —
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $21,235 $12,741 $13,194 +61% $17,103 +24% —
872 septicemia or severe sepsis without mechanical ventilation >96 hours without mcc $21,192 $12,715 $21,192 +0% $22,781 −7% ≈187% of Medicare
784 cesarean section with sterilization with cc $21,150 $12,690 $26,958 −22% $22,560 −6% —
806 vaginal delivery without sterilization or d&c with cc $21,094 $12,657 $12,769 +65% $13,090 +61% —
785 cesarean section with sterilization without cc/mcc $20,911 $12,547 $24,740 −15% $19,815 +6% —
052 spinal disorders and injuries with cc/mcc $20,911 $12,546 $19,528 +7% $30,940 −32% —
090 concussion without cc/mcc $20,881 $12,528 $37,075 −44% $14,873 +40% —
066 intracranial hemorrhage or cerebral infarction without cc/mcc $20,783 $12,470 $22,038 −6% $19,483 +7% —
184 major chest trauma with cc $20,628 $12,377 $20,759 −1% $20,842 −1% —
191 chronic obstructive pulmonary disease with cc $20,531 $12,319 $19,186 +7% $18,278 +12% ≈218% of Medicare
841 lymphoma and nonacute leukemia with cc $20,424 $12,255 $20,424 +0% $31,059 −34% —
534 fractures of femur without mcc $20,422 $12,253 $13,215 +55% $17,195 +19% —
370 major esophageal disorders without cc/mcc $20,257 $12,154 $20,631 −2% $15,072 +34% —
081 nontraumatic stupor and coma without mcc $20,123 $12,074 $9,983 +102% $15,077 +33% —
812 red blood cell disorders without mcc $20,030 $12,018 $20,030 +0% $20,488 −2% ≈207% of Medicare
769 postpartum and postabortion diagnoses with o.r. procedures $19,936 $11,961 $29,027 −31% $24,561 −19% —
535 fractures of hip and pelvis with mcc $19,913 $11,948 $19,913 +0% $23,350 −15% —
767 vaginal delivery with sterilization and/or d&c $19,870 $11,922 $19,870 +0% $3,032 +555% —
798 vaginal delivery with sterilization and/or d&c without cc/mcc $19,870 $11,922 $19,870 +0% $18,238 +9% —
442 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with cc $19,816 $11,890 $19,816 +0% $21,449 −8% —
796 vaginal delivery with sterilization and/or d&c with mcc $19,798 $11,879 $30,158 −34% $22,557 −12% —
775 vaginal delivery without complicating diagnoses $19,783 $11,870 $19,783 +0% $3,242 +510% —
807 vaginal delivery without sterilization or d&c without cc/mcc $19,783 $11,870 $12,156 +63% $12,044 +64% —
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $19,710 $11,826 $19,710 +0% $16,104 +22% —
689 kidney and urinary tract infections with mcc $19,687 $11,812 $19,687 +0% $22,982 −14% ≈150% of Medicare
863 postoperative and posttraumatic infections without mcc $19,645 $11,787 $16,455 +19% $20,007 −2% —
305 hypertension without mcc $19,544 $11,726 $16,571 +18% $17,144 +14% ≈259% of Medicare
086 traumatic stupor and coma <1 hour with cc $19,313 $11,588 $21,096 −8% $23,115 −16% —
304 hypertension with mcc $19,171 $11,503 $21,606 −11% $24,185 −21% —
300 peripheral vascular disorders with cc $19,084 $11,450 $16,375 +17% $19,579 −3% ≈171% of Medicare
386 inflammatory bowel disease with cc $18,965 $11,379 $18,645 +2% $20,968 −10% —
200 pneumothorax with cc $18,893 $11,336 $16,159 +17% $20,573 −8% —
770 abortion with d&c, aspiration curettage or hysterotomy $18,817 $11,290 $15,343 +23% $17,943 +5% —
155 other ear, nose, mouth and throat diagnoses with cc $18,768 $11,261 $15,987 +17% $16,642 +13% —
434 cirrhosis and alcoholic hepatitis without cc/mcc $18,731 $11,239 $12,405 +51% $12,405 +51% —
101 seizures without mcc $18,712 $11,227 $18,712 +0% $19,954 −6% ≈189% of Medicare
158 dental and oral diseases with cc $18,694 $11,216 $17,612 +6% $17,700 +6% —
920 complications of treatment with cc $18,647 $11,188 $19,722 −5% $21,181 −12% —
194 simple pneumonia and pleurisy with cc $18,556 $11,134 $17,444 +6% $18,204 +2% ≈209% of Medicare
683 renal failure with cc $18,265 $10,959 $17,473 +5% $18,620 −2% ≈193% of Medicare
125 other disorders of the eye without mcc $18,232 $10,939 $14,055 +30% $15,876 +15% —
379 gastrointestinal hemorrhage without cc/mcc $18,211 $10,926 $18,211 +0% $14,134 +29% —
315 other circulatory system diagnoses with cc $18,210 $10,926 $18,396 −1% $20,777 −12% —
149 dysequilibrium $18,096 $10,858 $14,987 +21% $17,203 +5% ≈243% of Medicare
541 osteomyelitis without cc/mcc $18,090 $10,854 $19,534 −7% $14,549 +24% —
196 interstitial lung disease with mcc $18,067 $10,840 $21,087 −14% $30,766 −41% —
313 chest pain $17,984 $10,790 $15,899 +13% $15,962 +13% ≈264% of Medicare
292 heart failure and shock with cc $17,958 $10,775 $15,730 +14% $16,212 +11% ≈188% of Medicare
309 cardiac arrhythmia and conduction disorders with cc $17,772 $10,663 $17,772 +0% $16,865 +5% ≈229% of Medicare
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $17,732 $10,639 $14,449 +23% $17,715 +0% —
176 pulmonary embolism without mcc $17,693 $10,616 $17,693 +0% $18,081 −2% ≈225% of Medicare
948 signs and symptoms without mcc $17,624 $10,574 $15,663 +13% $17,727 −1% ≈217% of Medicare
882 neuroses except depressive $17,554 $10,532 $14,302 +23% $15,680 +12% —
185 major chest trauma without cc/mcc $17,353 $10,412 $16,983 +2% $15,858 +9% —
389 gastrointestinal obstruction with cc $17,345 $10,407 $14,848 +17% $17,388 −0% ≈202% of Medicare
593 skin ulcers with cc $17,297 $10,378 $19,852 −13% $20,470 −15% —
551 medical back problems with mcc $17,266 $10,360 $17,266 +0% $31,086 −44% —
603 cellulitis without mcc $17,246 $10,348 $17,246 +0% $18,530 −7% ≈183% of Medicare
881 depressive neuroses $17,223 $10,334 $10,871 +58% $15,058 +14% —
151 epistaxis without mcc $17,222 $10,333 $11,301 +52% $13,032 +32% —
382 complicated peptic ulcer without cc/mcc $17,207 $10,324 $17,207 +0% $16,634 +3% —
156 other ear, nose, mouth and throat diagnoses without cc/mcc $17,146 $10,288 $17,146 +0% $13,198 +30% —
372 major gastrointestinal disorders and peritoneal infections with cc $17,100 $10,260 $19,278 −11% $22,850 −25% ≈141% of Medicare
302 atherosclerosis with mcc $16,818 $10,091 $27,704 −39% $20,844 −19% —
394 other digestive system diagnoses with cc $16,604 $9,962 $16,674 −0% $18,918 −12% ≈155% of Medicare
596 major skin disorders without mcc $16,533 $9,920 $14,603 +13% $17,226 −4% —
179 respiratory infections and inflammations without cc/mcc $16,470 $9,882 $20,121 −18% $14,444 +14% —
639 diabetes without cc/mcc $16,447 $9,868 $15,521 +6% $13,910 +18% —
918 poisoning and toxic effects of drugs without mcc $16,389 $9,833 $15,045 +9% $15,045 +9% —
093 other disorders of nervous system without cc/mcc $16,380 $9,828 $17,102 −4% $17,522 −7% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $16,319 $9,791 $15,535 +5% $16,049 +2% —
690 kidney and urinary tract infections without mcc $16,290 $9,774 $16,290 +0% $17,466 −7% ≈195% of Medicare
699 other kidney and urinary tract diagnoses with cc $16,174 $9,704 $16,174 +0% $20,732 −22% ≈142% of Medicare
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $16,160 $9,696 $16,360 −1% $18,803 −14% ≈174% of Medicare
439 disorders of pancreas except malignancy with cc $16,133 $9,680 $16,977 −5% $19,096 −16% ≈196% of Medicare
202 bronchitis and asthma with cc/mcc $16,133 $9,680 $16,523 −2% $17,273 −7% ≈169% of Medicare
077 hypertensive encephalopathy with mcc $16,006 $9,604 $45,171 −65% $24,036 −33% —
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $15,943 $9,566 $23,712 −33% $16,776 −5% —
094 bacterial and tuberculous infections of nervous system with mcc $15,935 $9,561 $55,419 −71% $62,524 −75% —
607 minor skin disorders without mcc $15,920 $9,552 $15,819 +1% $15,284 +4% —
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $15,826 $9,496 $15,999 −1% $17,322 −9% ≈190% of Medicare
153 otitis media and upper respiratory infection without mcc $15,824 $9,494 $13,967 +13% $14,473 +9% —
186 pleural effusion with mcc $15,788 $9,473 $25,115 −37% $32,468 −51% —
951 other factors influencing health status $15,762 $9,457 $6,130 +157% $9,385 +68% —
192 chronic obstructive pulmonary disease without cc/mcc $15,718 $9,431 $15,718 +0% $14,368 +9% —
695 kidney and urinary tract signs and symptoms with mcc $15,718 $9,431 $26,840 −41% $20,741 −24% —
885 psychoses $15,672 $9,403 $11,724 +34% $21,489 −27% —
445 disorders of the biliary tract with cc $15,562 $9,337 $17,464 −11% $21,806 −29% —
440 disorders of pancreas except malignancy without cc/mcc $15,183 $9,110 $15,264 −1% $15,070 +1% —
726 benign prostatic hypertrophy without mcc $15,058 $9,035 $16,300 −8% $13,892 +8% —
813 coagulation disorders $15,013 $9,008 $20,984 −28% $30,128 −50% —
916 allergic reactions without mcc $14,987 $8,992 $14,987 +0% $13,890 +8% —
641 miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes without mcc $14,751 $8,851 $14,751 +0% $16,745 −12% ≈177% of Medicare
864 fever and inflammatory conditions $14,740 $8,844 $14,740 +0% $17,412 −15% —
919 complications of treatment with mcc $14,679 $8,808 $26,999 −46% $29,031 −49% —
058 multiple sclerosis and cerebellar ataxia with mcc $14,660 $8,796 $32,949 −56% $29,609 −50% —
645 endocrine disorders without cc/mcc $14,166 $8,500 $15,247 −7% $14,166 +0% —
293 heart failure and shock without cc/mcc $14,056 $8,433 $8,829 +59% $11,955 +18% —
831 other antepartum diagnoses without o.r. procedures with mcc $14,049 $8,429 $10,581 +33% $18,133 −23% —
758 infections, female reproductive system with cc $13,992 $8,395 $21,407 −35% $19,091 −27% —
866 viral illness without mcc $13,779 $8,268 $16,884 −18% $16,391 −16% —
816 reticuloendothelial and immunity disorders without cc/mcc $13,613 $8,168 $34,538 −61% $13,485 +1% —
728 inflammation of the male reproductive system without mcc $13,494 $8,096 $15,208 −11% $16,837 −20% —
310 cardiac arrhythmia and conduction disorders without cc/mcc $13,455 $8,073 $13,279 +1% $13,384 +1% ≈250% of Medicare
159 dental and oral diseases without cc/mcc $13,355 $8,013 $12,784 +4% $13,368 −0% —
832 other antepartum diagnoses without o.r. procedures with cc $13,274 $7,964 $10,097 +31% $12,895 +3% —
201 pneumothorax without cc/mcc $13,029 $7,817 $10,983 +19% $13,081 −0% —
759 infections, female reproductive system without cc/mcc $12,983 $7,790 $11,577 +12% $14,208 −9% —
558 tendonitis, myositis and bursitis without mcc $12,982 $7,789 $14,348 −10% $17,367 −25% —
761 menstrual and other female reproductive system disorders without cc/mcc $12,848 $7,709 $9,287 +38% $11,421 +12% —
195 simple pneumonia and pleurisy without cc/mcc $12,783 $7,670 $15,157 −16% $13,824 −8% ≈202% of Medicare
694 urinary stones without mcc $12,762 $7,657 $14,250 −10% $16,531 −23% —
554 bone diseases and arthropathies without mcc $12,739 $7,644 $15,496 −18% $18,253 −30% —
301 peripheral vascular disorders without cc/mcc $12,739 $7,643 $15,590 −18% $15,607 −18% —
446 disorders of the biliary tract without cc/mcc $12,686 $7,612 $23,145 −45% $17,700 −28% —
684 renal failure without cc/mcc $12,666 $7,599 $14,449 −12% $13,623 −7% —
384 uncomplicated peptic ulcer without mcc $12,433 $7,460 $15,526 −20% $19,305 −36% —
390 gastrointestinal obstruction without cc/mcc $12,358 $7,415 $13,914 −11% $13,318 −7% ≈243% of Medicare
303 atherosclerosis without mcc $12,298 $7,379 $14,069 −13% $14,927 −18% ≈190% of Medicare
154 other ear, nose, mouth and throat diagnoses with mcc $12,201 $7,321 $20,953 −42% $24,465 −50% —
139 salivary gland procedures $11,890 $7,134 $23,760 −50% $21,014 −43% —
756 malignancy, female reproductive system without cc/mcc $11,750 $7,050 $15,972 −26% $15,589 −25% —
204 respiratory signs and symptoms $11,634 $6,980 $13,818 −16% $16,866 −31% —
316 other circulatory system diagnoses without cc/mcc $11,567 $6,940 $17,876 −35% $12,797 −10% —
387 inflammatory bowel disease without cc/mcc $11,518 $6,911 $14,740 −22% $14,880 −23% —
776 postpartum and postabortion diagnoses without o.r. procedures $11,497 $6,898 $9,888 +16% $12,381 −7% —
935 nonextensive burns $11,094 $6,657 $30,177 −63% $29,458 −62% —
443 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis without cc/mcc $10,383 $6,230 $17,757 −42% $15,600 −33% —
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $10,340 $6,204 $13,191 −22% $14,337 −28% —
262 cardiac pacemaker revision except device replacement without cc/mcc $10,321 $6,193 $37,328 −72% $33,694 −69% —
311 angina pectoris $10,250 $6,150 $22,187 −54% $15,165 −32% —
594 skin ulcers without cc/mcc $10,058 $6,035 $12,885 −22% $14,209 −29% —
123 neurological eye disorders $9,934 $5,960 $22,345 −56% $17,831 −44% —
395 other digestive system diagnoses without cc/mcc $9,720 $5,832 $18,351 −47% $14,128 −31% —
294 deep vein thrombophlebitis with cc/mcc $9,448 $5,669 $20,123 −53% $19,132 −51% —
865 viral illness with mcc $9,297 $5,578 $15,617 −40% $26,088 −64% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $9,063 $5,438 $8,572 +6% $9,076 −0% —
894 alcohol, drug abuse or dependence, left against medical advice $8,962 $5,377 $12,861 −30% $12,013 −25% —
550 septic arthritis without cc/mcc $8,374 $5,024 $25,211 −67% $16,156 −48% —
083 traumatic stupor and coma, coma greater than one hour with cc $8,295 $4,977 $15,941 −48% $24,118 −66% —
914 traumatic injury without mcc $8,168 $4,901 $20,583 −60% $15,593 −48% —
203 bronchitis and asthma without cc/mcc $8,032 $4,819 $14,066 −43% $12,279 −35% —
848 chemotherapy without acute leukemia as secondary diagnosis without cc/mcc $7,450 $4,470 $24,878 −70% $13,822 −46% —
950 aftercare without cc/mcc $7,174 $4,304 $14,382 −50% $13,527 −47% —
696 kidney and urinary tract signs and symptoms without mcc $6,929 $4,158 $10,666 −35% $14,441 −52% —
886 behavioral and developmental disorders $6,391 $3,834 $25,121 −75% $24,836 −74% —
883 disorders of personality and impulse control $6,030 $3,618 $12,960 −53% $22,698 −73% —
794 neonate with other significant problems $5,619 $3,371 $5,619 +0% $7,961 −29% —
795 normal newborn $5,183 $3,110 $4,825 +7% $4,530 +14% —
730 other male reproductive system diagnoses without cc/mcc $4,874 $2,924 $15,132 −68% $11,071 −56% —