University of Kansas Hospital — Pricing

748 procedures published in this hospital's Machine-Readable File (MRF) — 748 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 748
Lowest published price $7,098
Average published price $107,451
Highest published price $1,201,505

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 748 procedures

Published charges

Showing all 748 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 247 procedures, this hospital's negotiated rates average ≈84% of what Medicare pays.

DRG Description Published price Cash price vs. KS median vs. National median vs Medicare
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,201,505 $240,301 $235,348 +411% $461,389 +160% ≈82% of Medicare
850 Acute Leukemia With Other Procedures $1,057,904 $211,581 $89,862 +1077% $121,563 +770% —
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $942,744 $188,549 $196,247 +380% $306,087 +208% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $916,376 $183,275 $356,270 +157% $371,366 +147% ≈94% of Medicare
429 Combined Anterior And Posterior Cervical Spinal Fusion With McC $730,281 $146,056 $148,361 +392% $144,774 +404% —
014 Allogeneic Bone Marrow Transplant $637,670 $127,534 $104,755 +509% $182,314 +250% ≈91% of Medicare
836 Acute Leukemia Without Cc/McC $524,542 $104,908 $12,532 +4086% $19,686 +2564% —
212 Concomitant Aortic And Mitral Valve Procedures $503,910 $100,782 $109,473 +360% $196,346 +157% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $495,741 $99,148 $127,795 +288% $188,171 +163% —
969 Hiv With Extensive O.R. Procedures With McC $464,017 $92,803 $55,939 +730% $109,331 +324% —
955 Craniotomy For Multiple Significant Trauma $463,309 $92,662 $176,845 +162% $102,600 +352% —
650 Kidney Transplant With Hemodialysis With McC $455,521 $91,104 $38,288 +1090% $71,551 +537% ≈81% of Medicare
263 Vein Ligation And Stripping $430,578 $86,116 $24,172 +1681% $51,253 +740% —
665 Prostatectomy With McC $422,650 $84,530 $50,007 +745% $54,072 +682% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $421,534 $84,307 $160,849 +162% $116,058 +263% ≈111% of Medicare
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $420,939 $84,188 $317,131 +33% $248,521 +69% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $419,451 $83,890 $236,221 +78% $153,282 +174% —
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $414,453 $82,891 $227,875 +82% $142,326 +191% —
231 Coronary Bypass With Ptca With McC $406,015 $81,203 $78,926 +414% $147,227 +176% —
652 Kidney Transplant $382,710 $76,542 $27,938 +1270% $54,720 +599% ≈97% of Medicare
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $358,662 $71,732 $60,560 +492% $88,566 +305% ≈71% of Medicare
016 Autologous Bone Marrow Transplant With Cc/McC $357,887 $71,577 $55,051 +550% $98,260 +264% ≈66% of Medicare
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $355,849 $71,170 $130,922 +172% $148,686 +139% ≈75% of Medicare
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $348,717 $69,743 $94,273 +270% $90,724 +284% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $348,225 $69,645 $213,637 +63% $148,832 +134% ≈86% of Medicare
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $345,506 $69,101 $75,782 +356% $144,569 +139% ≈83% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $333,926 $66,785 $87,486 +282% $125,242 +167% —
901 Wound Debridements For Injuries With McC $320,524 $64,105 $40,414 +693% $70,177 +357% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $318,476 $63,695 $32,848 +870% $59,533 +435% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $311,385 $62,277 $108,485 +187% $143,242 +117% ≈81% of Medicare
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $309,789 $61,958 $308,324 +0% $573,534 −46% ≈22% of Medicare
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $308,932 $61,786 $102,874 +200% $106,778 +189% ≈86% of Medicare
471 Cervical Spinal Fusion With McC $307,720 $61,544 $81,092 +279% $92,515 +233% ≈78% of Medicare
447 Multiple Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $307,088 $61,418 $162,580 +89% $126,098 +144% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $290,048 $58,010 $53,436 +443% $98,912 +193% ≈54% of Medicare
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $289,954 $57,991 $45,394 +539% $90,331 +221% —
215 Other Heart Assist System Implant $288,907 $57,781 $155,374 +86% $208,939 +38% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $288,217 $57,643 $129,766 +122% $102,573 +181% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $288,169 $57,634 $78,868 +265% $96,192 +200% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $285,541 $57,108 $50,322 +467% $89,207 +220% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $274,563 $54,913 $122,716 +124% $132,794 +107% —
028 Spinal Procedures With McC $270,925 $54,185 $153,767 +76% $113,077 +140% —
834 Acute Leukemia With McC $267,003 $53,401 $45,222 +490% $85,566 +212% ≈68% of Medicare
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $266,492 $53,298 $170,085 +57% $107,355 +148% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $265,453 $53,091 $54,403 +388% $108,472 +145% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $263,161 $52,632 $101,919 +158% $101,510 +159% ≈90% of Medicare
273 Percutaneous And Other Intracardiac Procedures With McC $262,933 $52,587 $78,441 +235% $78,852 +233% ≈75% of Medicare
957 Other O.R. Procedures For Multiple Significant Trauma With McC $260,557 $52,111 $74,618 +249% $120,573 +116% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $259,002 $51,800 $84,932 +205% $87,761 +195% ≈74% of Medicare
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $256,014 $51,203 $175,924 +46% $131,961 +94% ≈80% of Medicare
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $255,538 $51,108 $30,981 +725% $56,964 +349% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $254,955 $50,991 $64,852 +293% $90,775 +181% ≈70% of Medicare
235 Coronary Bypass Without Cardiac Catheterization With McC $253,318 $50,664 $54,317 +366% $112,062 +126% ≈89% of Medicare
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $251,910 $50,382 $59,936 +320% $111,320 +126% —
326 Stomach, Esophageal And Duodenal Procedures With McC $246,035 $49,207 $62,012 +297% $80,793 +205% ≈81% of Medicare
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $243,886 $48,777 $67,129 +263% $93,390 +161% —
228 Other Cardiothoracic Procedures With McC $241,251 $48,250 $82,787 +191% $96,905 +149% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $239,239 $47,848 $26,029 +819% $80,018 +199% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $233,862 $46,772 $38,873 +502% $84,692 +176% —
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $233,295 $46,659 $33,853 +589% $59,352 +293% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $231,903 $46,381 $33,399 +594% $65,788 +253% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $231,436 $46,287 $137,291 +69% $117,280 +97% —
319 Other Endovascular Cardiac Valve Procedures With McC $230,707 $46,141 $38,936 +493% $86,970 +165% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $226,239 $45,248 $33,354 +578% $47,583 +375% —
350 Inguinal And Femoral Hernia Procedures With McC $224,745 $44,949 $20,637 +989% $50,046 +349% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $224,414 $44,883 $71,161 +215% $75,103 +199% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $224,146 $44,829 $47,747 +369% $82,247 +173% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $223,685 $44,737 $111,947 +100% $93,238 +140% —
570 Skin Debridement With McC $221,083 $44,217 $60,266 +267% $52,435 +322% —
270 Other Major Cardiovascular Procedures With McC $220,574 $44,115 $76,525 +188% $99,423 +122% ≈68% of Medicare
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $220,476 $44,095 $45,316 +387% $32,944 +569% —
320 Other Endovascular Cardiac Valve Procedures Without McC $217,028 $43,406 $20,349 +967% $40,060 +442% —
582 Mastectomy For Malignancy With Cc/McC $216,977 $43,395 $47,816 +354% $35,849 +505% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $216,789 $43,358 $26,769 +710% $52,908 +310% —
653 Major Bladder Procedures With McC $215,574 $43,115 $132,136 +63% $104,583 +106% ≈94% of Medicare
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $214,816 $42,963 $169,259 +27% $66,711 +222% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $213,554 $42,711 $124,718 +71% $113,855 +88% ≈79% of Medicare
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $212,785 $42,557 $72,979 +192% $74,755 +185% ≈85% of Medicare
466 Revision Of Hip Or Knee Replacement With McC $212,312 $42,462 $56,683 +275% $96,507 +120% —
335 Peritoneal Adhesiolysis With McC $212,078 $42,416 $107,157 +98% $71,755 +196% —
356 Other Digestive System O.R. Procedures With McC $210,827 $42,165 $78,401 +169% $82,561 +155% ≈67% of Medicare
430 Combined Anterior And Posterior Cervical Spinal Fusion Without McC $208,517 $41,703 $89,209 +134% $101,618 +105% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $207,217 $41,443 $52,421 +295% $93,172 +122% ≈77% of Medicare
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $203,850 $40,770 $44,596 +357% $101,576 +101% ≈82% of Medicare
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $199,721 $39,944 $15,087 +1224% $31,563 +533% —
448 Multiple Level Spinal Fusion Except Cervical Without McC $199,432 $39,886 $90,803 +120% $81,998 +143% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/McC $199,178 $39,836 $156,932 +27% $105,899 +88% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $198,076 $39,615 $63,935 +210% $83,441 +137% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $197,324 $39,465 $105,964 +86% $92,217 +114% ≈81% of Medicare
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $197,127 $39,425 $129,032 +53% $71,092 +177% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $196,973 $39,395 $50,208 +292% $106,057 +86% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $191,582 $38,316 $50,145 +282% $74,257 +158% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $190,376 $38,075 $95,188 +100% $61,832 +208% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $179,970 $35,994 $72,910 +147% $68,639 +162% —
907 Other O.R. Procedures For Injuries With McC $178,109 $35,622 $75,476 +136% $77,817 +129% ≈81% of Medicare
867 Other Infectious And Parasitic Diseases Diagnoses With McC $177,441 $35,488 $18,304 +869% $38,070 +366% —
277 Cardiac Defibrillator Implant Without McC $176,319 $35,264 $101,335 +74% $91,329 +93% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $175,141 $35,028 $34,077 +414% $79,836 +119% ≈82% of Medicare
668 Transurethral Procedures With McC $174,743 $34,949 $43,675 +300% $51,608 +239% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $174,662 $34,933 $75,579 +131% $62,264 +181% —
548 Septic Arthritis With McC $174,213 $34,843 $41,829 +316% $31,346 +456% —
329 Major Small And Large Bowel Procedures With McC $172,250 $34,450 $60,865 +183% $88,050 +96% ≈85% of Medicare
656 Kidney And Ureter Procedures For Neoplasm With McC $171,696 $34,339 $90,990 +89% $65,608 +162% ≈64% of Medicare
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $171,296 $34,259 $29,189 +487% $42,415 +304% —
294 Deep Vein Thrombophlebitis With Cc/McC $170,939 $34,188 $23,070 +641% $19,132 +793% —
835 Acute Leukemia With Cc $170,753 $34,151 $17,589 +871% $35,569 +380% —
480 Hip And Femur Procedures Except Major Joint With McC $169,563 $33,913 $56,802 +199% $65,653 +158% ≈59% of Medicare
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $169,124 $33,825 $19,828 +753% $31,134 +443% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $169,094 $33,819 $128,929 +31% $88,307 +91% ≈88% of Medicare
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $167,953 $33,591 $67,998 +147% $79,116 +112% ≈86% of Medicare
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $167,588 $33,518 $62,612 +168% $66,068 +154% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $167,411 $33,482 $73,545 +128% $103,455 +62% —
252 Other Vascular Procedures With McC $166,585 $33,317 $36,916 +351% $68,508 +143% ≈85% of Medicare
467 Revision Of Hip Or Knee Replacement With Cc $164,779 $32,956 $39,548 +317% $70,847 +133% ≈84% of Medicare
673 Other Kidney And Urinary Tract Procedures With McC $164,124 $32,825 $55,103 +198% $77,990 +110% ≈92% of Medicare
026 Craniotomy And Endovascular Intracranial Procedures With Cc $164,080 $32,816 $59,859 +174% $64,523 +154% ≈80% of Medicare
163 Major Chest Procedures With McC $164,061 $32,812 $81,012 +103% $90,195 +82% ≈79% of Medicare
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $163,835 $32,767 $63,719 +157% $62,821 +161% ≈82% of Medicare
271 Other Major Cardiovascular Procedures With Cc $163,829 $32,766 $43,275 +279% $71,014 +131% ≈77% of Medicare
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $163,812 $32,762 $49,198 +233% $66,685 +146% —
245 Aicd Generator Procedures $162,473 $32,495 $108,448 +50% $72,076 +125% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $162,033 $32,407 $50,134 +223% $35,030 +363% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $160,465 $32,093 $66,993 +140% $32,574 +393% ≈134% of Medicare
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $160,181 $32,036 $60,045 +167% $81,706 +96% ≈77% of Medicare
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $158,505 $31,701 $92,407 +72% $70,564 +125% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $157,849 $31,570 $72,958 +116% $71,464 +121% —
242 Permanent Cardiac Pacemaker Implant With McC $157,619 $31,524 $69,266 +128% $70,132 +125% ≈83% of Medicare
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $156,797 $31,359 $74,356 +111% $79,225 +98% ≈86% of Medicare
031 Ventricular Shunt Procedures With McC $156,385 $31,277 $36,586 +327% $72,962 +114% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $156,031 $31,206 $32,669 +378% $70,371 +122% —
034 Carotid Artery Stent Procedures With McC $154,705 $30,941 $34,133 +353% $76,219 +103% —
405 Pancreas, Liver And Shunt Procedures With McC $154,433 $30,887 $54,199 +185% $102,128 +51% ≈81% of Medicare
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $153,797 $30,759 $71,462 +115% $60,407 +155% —
140 Major Head And Neck Procedures With McC $152,766 $30,553 $29,370 +420% $60,098 +154% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $152,707 $30,541 $53,288 +187% $85,159 +79% ≈80% of Medicare
583 Mastectomy For Malignancy Without Cc/McC $152,233 $30,447 $83,384 +83% $35,831 +325% —
451 Single Level Spinal Fusion Except Cervical Without McC $151,777 $30,355 $91,155 +67% $65,216 +133% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $150,861 $30,172 $43,541 +246% $61,470 +145% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $150,784 $30,157 $39,946 +277% $52,036 +190% —
840 Lymphoma And Non-Acute Leukemia With McC $150,686 $30,137 $41,471 +263% $49,710 +203% ≈74% of Medicare
799 Splenic Procedures With McC $150,648 $30,130 $89,916 +68% $82,218 +83% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $150,183 $30,037 $22,399 +570% $48,687 +208% —
500 Soft Tissue Procedures With McC $149,510 $29,902 $88,337 +69% $61,872 +142% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $149,260 $29,852 $61,674 +142% $37,240 +301% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $148,560 $29,712 $54,464 +173% $70,467 +111% ≈90% of Medicare
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $146,934 $29,387 $35,735 +311% $42,901 +242% —
080 Nontraumatic Stupor And Coma With McC $146,630 $29,326 $30,036 +388% $36,249 +305% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $146,417 $29,283 $24,993 +486% $52,405 +179% ≈66% of Medicare
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $143,325 $28,665 $28,046 +411% $59,629 +140% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $143,096 $28,619 $33,666 +325% $62,300 +130% —
841 Lymphoma And Non-Acute Leukemia With Cc $143,019 $28,604 $21,852 +554% $33,633 +325% ≈66% of Medicare
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC $142,898 $28,580 $58,347 +145% $89,353 +60% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $142,168 $28,434 $80,634 +76% $76,001 +87% ≈90% of Medicare
229 Other Cardiothoracic Procedures Without McC $141,976 $28,395 $75,212 +89% $65,325 +117% ≈83% of Medicare
654 Major Bladder Procedures With Cc $141,812 $28,362 $67,342 +111% $58,274 +143% ≈89% of Medicare
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $140,934 $28,187 $60,622 +132% $73,120 +93% —
970 Hiv With Extensive O.R. Procedures Without McC $140,715 $28,143 $23,252 +505% $44,222 +218% —
686 Kidney And Urinary Tract Neoplasms With McC $140,659 $28,132 $18,847 +646% $37,844 +272% —
974 Hiv With Major Related Condition With McC $140,293 $28,059 $50,668 +177% $46,402 +202% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $138,739 $27,748 $29,971 +363% $68,653 +102% ≈67% of Medicare
472 Cervical Spinal Fusion With Cc $137,792 $27,558 $85,519 +61% $59,537 +131% ≈81% of Medicare
029 Spinal Procedures With Cc Or Spinal Neurostimulators $135,678 $27,136 $47,584 +185% $67,268 +102% ≈86% of Medicare
164 Major Chest Procedures With Cc $135,389 $27,078 $62,100 +118% $56,755 +139% ≈83% of Medicare
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $134,409 $26,882 $24,891 +440% $61,217 +120% —
368 Major Esophageal Disorders With McC $134,082 $26,816 $62,177 +116% $33,876 +296% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $133,525 $26,705 $50,665 +164% $54,583 +145% ≈90% of Medicare
481 Hip And Femur Procedures Except Major Joint With Cc $133,138 $26,628 $40,592 +228% $52,751 +152% ≈85% of Medicare
450 Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $132,838 $26,568 $91,681 +45% $99,943 +33% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $132,528 $26,506 $30,253 +338% $66,848 +98% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $132,159 $26,432 $43,926 +201% $52,075 +154% —
037 Extracranial Procedures With McC $131,910 $26,382 $29,247 +351% $66,666 +98% —
671 Urethral Procedures With Cc/McC $131,362 $26,272 $15,691 +737% $27,233 +382% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $129,327 $25,865 $47,043 +175% $58,280 +122% ≈84% of Medicare
052 Spinal Disorders And Injuries With Cc/McC $129,304 $25,861 $22,986 +463% $32,031 +304% —
503 Foot Procedures With McC $128,468 $25,694 $21,759 +490% $47,540 +170% —
085 Traumatic Stupor And Coma <1 Hour With McC $128,320 $25,664 $73,947 +74% $41,892 +206% ≈82% of Medicare
749 Other Female Reproductive System O.R. Procedures With Cc/McC $128,081 $25,616 $30,836 +315% $45,167 +184% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $128,051 $25,610 $56,697 +126% $62,583 +105% —
264 Other Circulatory System O.R. Procedures $126,688 $25,338 $30,488 +316% $51,953 +144% ≈86% of Medicare
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $126,496 $25,299 $44,901 +182% $90,401 +40% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $123,230 $24,646 $44,026 +180% $58,228 +112% ≈80% of Medicare
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $122,831 $24,566 $26,845 +358% $53,864 +128% ≈55% of Medicare
655 Major Bladder Procedures Without Cc/McC $122,717 $24,543 $18,260 +572% $43,174 +184% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $122,238 $24,448 $43,527 +181% $58,809 +108% ≈91% of Medicare
334 Rectal Resection Without Cc/McC $121,682 $24,336 $68,322 +78% $36,820 +230% —
674 Other Kidney And Urinary Tract Procedures With Cc $120,653 $24,131 $61,231 +97% $50,394 +139% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $120,210 $24,042 $67,702 +78% $46,066 +161% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $119,616 $23,923 $28,988 +313% $39,106 +206% ≈79% of Medicare
166 Other Respiratory System O.R. Procedures With McC $119,468 $23,894 $38,472 +211% $75,573 +58% ≈77% of Medicare
205 Other Respiratory System Diagnoses With McC $119,007 $23,801 $21,279 +459% $33,255 +258% ≈77% of Medicare
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $118,649 $23,730 $35,476 +234% $51,985 +128% ≈85% of Medicare
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $117,376 $23,475 $41,947 +180% $46,283 +154% ≈85% of Medicare
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $117,101 $23,420 $16,631 +604% $36,792 +218% ≈85% of Medicare
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $116,419 $23,284 $38,878 +199% $46,295 +151% —
597 Malignant Breast Disorders With McC $116,265 $23,253 $17,758 +555% $33,386 +248% —
791 Prematurity With Major Problems $115,949 $23,190 $33,291 +248% $42,679 +172% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $115,617 $23,123 $45,011 +157% $63,928 +81% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $114,322 $22,864 $28,158 +306% $29,743 +284% —
165 Major Chest Procedures Without Cc/McC $114,049 $22,810 $69,029 +65% $46,340 +146% ≈90% of Medicare
468 Revision Of Hip Or Knee Replacement Without Cc/McC $113,801 $22,760 $40,200 +183% $54,929 +107% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $113,627 $22,725 $14,644 +676% $34,607 +228% —
571 Skin Debridement With Cc $113,227 $22,645 $28,828 +293% $37,169 +205% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $112,885 $22,577 $45,450 +148% $58,745 +92% ≈83% of Medicare
614 Adrenal And Pituitary Procedures With Cc/McC $112,291 $22,458 $50,553 +122% $48,349 +132% ≈84% of Medicare
073 Cranial And Peripheral Nerve Disorders With McC $111,852 $22,370 $18,608 +501% $30,010 +273% ≈47% of Medicare
963 Other Multiple Significant Trauma With McC $111,280 $22,256 $65,642 +70% $43,491 +156% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $111,268 $22,254 $33,251 +235% $49,418 +125% ≈86% of Medicare
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $110,818 $22,164 $93,299 +19% $59,651 +86% ≈85% of Medicare
314 Other Circulatory System Diagnoses With McC $110,705 $22,141 $25,926 +327% $38,666 +186% ≈80% of Medicare
274 Percutaneous And Other Intracardiac Procedures Without McC $110,272 $22,054 $82,853 +33% $65,573 +68% ≈80% of Medicare
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $109,432 $21,886 $29,417 +272% $37,950 +188% ≈87% of Medicare
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $109,420 $21,884 $48,386 +126% $38,878 +181% ≈69% of Medicare
406 Pancreas, Liver And Shunt Procedures With Cc $108,542 $21,708 $23,712 +358% $58,043 +87% ≈82% of Medicare
289 Acute And Subacute Endocarditis With Cc $108,502 $21,700 $61,868 +75% $32,697 +232% —
615 Adrenal And Pituitary Procedures Without Cc/McC $108,407 $21,681 $54,112 +100% $32,833 +230% —
432 Cirrhosis And Alcoholic Hepatitis With McC $108,296 $21,659 $20,724 +423% $40,213 +169% ≈75% of Medicare
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $107,764 $21,553 $15,672 +588% $40,365 +167% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $107,444 $21,489 $68,434 +57% $69,743 +54% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $107,120 $21,424 $37,384 +187% $41,608 +157% —
905 Skin Grafts For Injuries Without Cc/McC $106,439 $21,288 $14,308 +644% $25,197 +322% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $106,270 $21,254 $49,373 +115% $36,431 +192% —
102 Headaches With McC $106,101 $21,220 $23,388 +354% $25,740 +312% —
411 Cholecystectomy With C.D.E. With McC $105,942 $21,188 $39,234 +170% $48,358 +119% —
056 Degenerative Nervous System Disorders With McC $105,624 $21,125 $57,710 +83% $39,973 +164% ≈73% of Medicare
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $105,507 $21,101 $39,581 +167% $42,126 +150% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $105,309 $21,062 $16,227 +549% $20,980 +402% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $104,772 $20,954 $75,204 +39% $77,055 +36% ≈70% of Medicare
332 Rectal Resection With McC $104,649 $20,930 $35,564 +194% $58,125 +80% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $103,679 $20,736 $31,399 +230% $43,943 +136% ≈81% of Medicare
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $103,499 $20,700 $45,347 +128% $26,948 +284% —
288 Acute And Subacute Endocarditis With McC $103,407 $20,681 $43,698 +137% $50,618 +104% —
595 Major Skin Disorders With McC $103,019 $20,604 $21,173 +387% $34,598 +198% —
253 Other Vascular Procedures With Cc $102,769 $20,554 $45,582 +125% $57,454 +79% ≈82% of Medicare
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $102,370 $20,474 $18,689 +448% $35,628 +187% ≈84% of Medicare
357 Other Digestive System O.R. Procedures With Cc $102,153 $20,431 $43,741 +134% $48,682 +110% ≈73% of Medicare
114 Orbital Procedures Without Cc/McC $101,635 $20,327 $10,344 +883% $19,598 +419% —
722 Malignancy, Male Reproductive System With McC $101,476 $20,295 $15,332 +562% $29,826 +240% —
177 Respiratory Infections And Inflammations With McC $100,737 $20,147 $20,758 +385% $33,707 +199% ≈74% of Medicare
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $100,395 $20,079 $46,978 +114% $44,363 +126% ≈94% of Medicare
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $100,330 $20,066 $37,186 +170% $53,451 +88% ≈57% of Medicare
748 Female Reproductive System Reconstructive Procedures $99,946 $19,989 $46,687 +114% $30,242 +230% —
283 Acute Myocardial Infarction, Expired With McC $99,932 $19,986 $23,252 +330% $39,955 +150% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $99,451 $19,890 $17,329 +474% $43,800 +127% —
336 Peritoneal Adhesiolysis With Cc $99,390 $19,878 $27,311 +264% $50,463 +97% —
353 Hernia Procedures Except Inguinal And Femoral With McC $99,137 $19,827 $43,615 +127% $60,170 +65% —
258 Cardiac Pacemaker Device Replacement With McC $98,464 $19,693 $24,680 +299% $52,986 +86% —
330 Major Small And Large Bowel Procedures With Cc $98,366 $19,673 $45,976 +114% $59,500 +65% ≈85% of Medicare
032 Ventricular Shunt Procedures With Cc $98,278 $19,656 $71,754 +37% $46,724 +110% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $98,273 $19,655 $45,872 +114% $39,181 +151% ≈64% of Medicare
272 Other Major Cardiovascular Procedures Without Cc/McC $98,111 $19,622 $26,398 +272% $55,162 +78% —
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/McC $97,966 $19,593 $62,785 +56% $44,472 +120% —
505 Foot Procedures Without Cc/McC $97,939 $19,588 $25,597 +283% $34,937 +180% —
669 Transurethral Procedures With Cc $97,870 $19,574 $32,845 +198% $34,354 +185% —
756 Malignancy, Female Reproductive System Without Cc/McC $97,720 $19,544 $8,015 +1119% $15,589 +527% —
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $97,697 $19,539 $10,149 +863% $21,986 +344% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $97,600 $19,520 $24,074 +305% $29,949 +226% —
122 Acute Major Eye Infections Without Cc/McC $97,486 $19,497 $51,600 +89% $11,997 +713% —
377 Gastrointestinal Hemorrhage With McC $97,244 $19,449 $16,211 +500% $37,842 +157% ≈68% of Medicare
727 Inflammation Of The Male Reproductive System With McC $97,233 $19,447 $32,852 +196% $26,463 +267% —
030 Spinal Procedures Without Cc/McC $96,915 $19,383 $52,745 +84% $45,866 +111% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $96,815 $19,363 $72,687 +33% $123,995 −22% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $96,498 $19,300 $62,567 +54% $43,538 +122% —
662 Minor Bladder Procedures With McC $95,749 $19,150 $60,110 +59% $54,562 +75% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $95,311 $19,062 $55,675 +71% $59,421 +60% ≈85% of Medicare
180 Respiratory Neoplasms With McC $95,153 $19,031 $15,760 +504% $36,658 +160% ≈79% of Medicare
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $94,980 $18,996 $36,867 +158% $43,631 +118% —
196 Interstitial Lung Disease With McC $94,672 $18,934 $42,029 +125% $32,637 +190% ≈78% of Medicare
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $94,643 $18,929 $37,273 +154% $50,607 +87% ≈82% of Medicare
186 Pleural Effusion With McC $94,241 $18,848 $21,299 +342% $33,834 +179% ≈80% of Medicare
663 Minor Bladder Procedures With Cc $94,140 $18,828 $58,681 +60% $33,103 +184% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $93,966 $18,793 $46,097 +104% $46,090 +104% ≈39% of Medicare
917 Poisoning And Toxic Effects Of Drugs With McC $93,676 $18,735 $13,068 +617% $30,235 +210% —
592 Skin Ulcers With McC $93,548 $18,710 $31,253 +199% $33,246 +181% —
091 Other Disorders Of Nervous System With McC $93,411 $18,682 $45,175 +107% $37,387 +150% ≈96% of Medicare
551 Medical Back Problems With McC $93,324 $18,665 $22,857 +308% $34,017 +174% ≈85% of Medicare
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $93,181 $18,636 $87,160 +7% $36,670 +154% —
232 Coronary Bypass With Ptca Without McC $92,874 $18,575 $79,439 +17% $115,839 −20% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $92,578 $18,516 $66,434 +39% $44,139 +110% ≈92% of Medicare
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $92,388 $18,478 $61,933 +49% $71,795 +29% —
035 Carotid Artery Stent Procedures With Cc $92,227 $18,445 $22,396 +312% $49,066 +88% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $92,161 $18,432 $51,078 +80% $50,139 +84% ≈75% of Medicare
545 Connective Tissue Disorders With McC $92,007 $18,401 $32,742 +181% $40,362 +128% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $91,880 $18,376 $19,443 +373% $38,998 +136% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $91,850 $18,370 $34,757 +164% $33,454 +175% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $91,841 $18,368 $32,516 +182% $59,790 +54% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $91,838 $18,368 $15,420 +496% $33,555 +174% ≈82% of Medicare
070 Nonspecific Cerebrovascular Disorders With McC $91,445 $18,289 $22,079 +314% $31,951 +186% ≈93% of Medicare
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $91,242 $18,248 $46,298 +97% $58,707 +55% —
502 Soft Tissue Procedures Without Cc/McC $91,149 $18,230 $41,856 +118% $31,017 +194% —
711 Testes Procedures With Cc/McC $91,121 $18,224 $33,440 +172% $38,343 +138% —
280 Acute Myocardial Infarction, Discharged Alive With McC $90,558 $18,112 $23,932 +278% $30,828 +194% ≈87% of Medicare
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $90,448 $18,090 $8,373 +980% $18,072 +400% —
116 Intraocular Procedures With Cc/McC $90,448 $18,090 $14,802 +511% $29,126 +211% —
397 Appendix Procedures With McC $90,333 $18,067 $38,798 +133% $53,257 +70% —
473 Cervical Spinal Fusion Without Cc/McC $90,288 $18,058 $72,563 +24% $50,624 +78% —
504 Foot Procedures With Cc $90,272 $18,054 $20,838 +333% $38,960 +132% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $90,178 $18,036 $46,496 +94% $47,737 +89% —
167 Other Respiratory System O.R. Procedures With Cc $90,102 $18,020 $29,609 +204% $40,642 +122% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $90,001 $18,000 $44,197 +104% $42,881 +110% ≈84% of Medicare
100 Seizures With McC $89,863 $17,973 $39,945 +125% $35,481 +153% ≈93% of Medicare
147 Ear, Nose, Mouth And Throat Malignancy With Cc $89,453 $17,891 $13,231 +576% $22,851 +291% —
374 Digestive Malignancy With McC $89,400 $17,880 $39,880 +124% $39,958 +124% ≈87% of Medicare
485 Knee Procedures With Principal Diagnosis Of Infection With McC $89,316 $17,863 $28,407 +214% $72,424 +23% —
814 Reticuloendothelial And Immunity Disorders With McC $88,967 $17,793 $24,248 +267% $33,851 +163% ≈74% of Medicare
243 Permanent Cardiac Pacemaker Implant With Cc $88,852 $17,770 $63,309 +40% $50,011 +78% ≈100% of Medicare
136 Sinus And Mastoid Procedures Without Cc/McC $88,569 $17,714 $8,621 +927% $17,404 +409% —
183 Major Chest Trauma With McC $88,476 $17,695 $26,983 +228% $29,933 +196% ≈88% of Medicare
811 Red Blood Cell Disorders With McC $88,419 $17,684 $25,420 +248% $28,226 +213% ≈81% of Medicare
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $88,286 $17,657 $23,770 +271% $33,985 +160% ≈66% of Medicare
800 Splenic Procedures With Cc $88,198 $17,640 $25,012 +253% $49,184 +79% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $88,087 $17,617 $29,679 +197% $39,515 +123% —
902 Wound Debridements For Injuries With Cc $87,862 $17,572 $31,166 +182% $40,562 +117% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $87,555 $17,511 $87,555 +0% $52,178 +68% ≈73% of Medicare
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $87,527 $17,505 $17,936 +388% $46,727 +87% ≈95% of Medicare
421 Hepatobiliary Diagnostic Procedures With Cc $87,318 $17,464 $26,692 +227% $36,354 +140% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $87,210 $17,442 $23,522 +271% $40,552 +115% —
712 Testes Procedures Without Cc/McC $87,127 $17,425 $9,289 +838% $18,898 +361% —
082 Traumatic Stupor And Coma >1 Hour With McC $87,079 $17,416 $50,157 +74% $36,489 +139% ≈78% of Medicare
746 Vagina, Cervix And Vulva Procedures With Cc/McC $86,898 $17,380 $22,517 +286% $29,916 +190% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $86,794 $17,359 $23,601 +268% $30,959 +180% ≈90% of Medicare
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $86,672 $17,334 $30,554 +184% $41,955 +107% —
113 Orbital Procedures With Cc/McC $86,480 $17,296 $19,963 +333% $36,167 +139% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $86,207 $17,241 $44,606 +93% $28,202 +206% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $86,136 $17,227 $23,023 +274% $47,945 +80% ≈88% of Medicare
710 Penis Procedures Without Cc/McC $85,398 $17,080 $12,542 +581% $26,436 +223% —
708 Major Male Pelvic Procedures Without Cc/McC $84,567 $16,913 $52,160 +62% $36,988 +129% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $84,444 $16,889 $8,612 +881% $16,351 +416% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $84,234 $16,847 $31,482 +168% $28,320 +197% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $84,209 $16,842 $37,663 +124% $39,887 +111% —
420 Hepatobiliary Diagnostic Procedures With McC $84,055 $16,811 $56,512 +49% $50,919 +65% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $83,597 $16,719 $60,385 +38% $50,498 +66% ≈97% of Medicare
557 Tendonitis, Myositis And Bursitis With McC $83,321 $16,664 $13,379 +523% $32,877 +153% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $83,265 $16,653 $20,994 +297% $32,021 +160% ≈109% of Medicare
964 Other Multiple Significant Trauma With Cc $82,947 $16,589 $30,238 +174% $27,394 +203% —
501 Soft Tissue Procedures With Cc $82,820 $16,564 $27,982 +196% $39,619 +109% ≈76% of Medicare
058 Multiple Sclerosis And Cerebellar Ataxia With McC $82,805 $16,561 $19,336 +328% $30,243 +174% —
533 Fractures Of Femur With McC $82,706 $16,541 $20,970 +294% $25,945 +219% —
707 Major Male Pelvic Procedures With Cc/McC $82,649 $16,530 $82,649 +0% $43,080 +92% —
444 Disorders Of The Biliary Tract With McC $82,278 $16,456 $30,848 +167% $34,273 +140% ≈87% of Medicare
643 Endocrine Disorders With McC $81,732 $16,346 $29,230 +180% $33,563 +144% ≈86% of Medicare
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $81,382 $16,276 $15,377 +429% $39,018 +109% —
178 Respiratory Infections And Inflammations With Cc $81,351 $16,270 $18,808 +333% $22,024 +269% ≈91% of Medicare
657 Kidney And Ureter Procedures For Neoplasm With Cc $81,211 $16,242 $63,764 +27% $43,298 +88% ≈87% of Medicare
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $81,150 $16,230 $15,263 +432% $25,652 +216% —
345 Minor Small And Large Bowel Procedures With Cc $80,318 $16,064 $31,265 +157% $33,048 +143% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $80,224 $16,045 $48,855 +64% $41,422 +94% —
057 Degenerative Nervous System Disorders Without McC $79,994 $15,999 $15,989 +400% $27,543 +190% ≈84% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/McC $79,769 $15,954 $34,730 +130% $44,117 +81% ≈87% of Medicare
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $79,624 $15,925 $40,847 +95% $41,591 +91% ≈111% of Medicare
179 Respiratory Infections And Inflammations Without Cc/McC $79,438 $15,888 $11,063 +618% $14,648 +442% —
093 Other Disorders Of Nervous System Without Cc/McC $79,381 $15,876 $15,599 +409% $17,620 +351% ≈98% of Medicare
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $79,344 $15,869 $31,325 +153% $47,711 +66% —
184 Major Chest Trauma With Cc $79,019 $15,804 $15,347 +415% $22,432 +252% ≈91% of Medicare
385 Inflammatory Bowel Disease With McC $78,991 $15,798 $32,076 +146% $27,617 +186% —
189 Pulmonary Edema And Respiratory Failure $78,957 $15,791 $19,076 +314% $26,580 +197% ≈87% of Medicare
388 Gastrointestinal Obstruction With McC $78,898 $15,780 $19,109 +313% $30,571 +158% ≈44% of Medicare
380 Complicated Peptic Ulcer With McC $78,870 $15,774 $17,617 +348% $39,627 +99% ≈77% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $78,779 $15,756 $34,712 +127% $44,606 +77% ≈83% of Medicare
265 Aicd Lead Procedures $78,445 $15,689 $34,862 +125% $63,171 +24% —
259 Cardiac Pacemaker Device Replacement Without McC $78,420 $15,684 $36,468 +115% $39,020 +101% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $78,296 $15,659 $28,730 +173% $54,196 +44% —
337 Peritoneal Adhesiolysis Without Cc/McC $78,134 $15,627 $23,590 +231% $39,211 +99% —
813 Coagulation Disorders $78,134 $15,627 $28,621 +173% $33,296 +135% ≈63% of Medicare
713 Transurethral Prostatectomy With Cc/McC $78,078 $15,616 $78,078 +0% $32,100 +143% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $77,477 $15,495 $13,709 +465% $23,940 +224% ≈89% of Medicare
199 Pneumothorax With McC $77,412 $15,482 $31,694 +144% $33,787 +129% ≈81% of Medicare
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $77,239 $15,448 $41,114 +88% $21,847 +254% —
090 Concussion Without Cc/McC $76,667 $15,333 $12,304 +523% $15,412 +397% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $76,636 $15,327 $10,452 +633% $20,463 +275% ≈116% of Medicare
181 Respiratory Neoplasms With Cc $76,573 $15,315 $9,583 +699% $23,573 +225% ≈84% of Medicare
729 Other Male Reproductive System Diagnoses With Cc/McC $76,286 $15,257 $9,065 +742% $17,483 +336% —
291 Heart Failure And Shock With McC $76,177 $15,235 $18,585 +310% $26,776 +184% ≈102% of Medicare
919 Complications Of Treatment With McC $75,923 $15,185 $29,227 +160% $31,105 +144% ≈67% of Medicare
083 Traumatic Stupor And Coma >1 Hour With Cc $75,813 $15,163 $26,099 +190% $27,285 +178% ≈90% of Medicare
666 Prostatectomy With Cc $75,480 $15,096 $53,108 +42% $31,906 +137% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $75,350 $15,070 $12,797 +489% $33,674 +124% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $74,933 $14,987 $53,185 +41% $43,477 +72% ≈93% of Medicare
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $74,871 $14,974 $9,982 +650% $19,227 +289% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $74,801 $14,960 $12,929 +479% $31,170 +140% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $74,774 $14,955 $32,995 +127% $33,047 +126% —
801 Splenic Procedures Without Cc/McC $74,620 $14,924 $31,000 +141% $36,445 +105% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $74,494 $14,899 $24,730 +201% $49,839 +49% —
157 Dental And Oral Diseases With McC $74,392 $14,878 $62,187 +20% $31,300 +138% —
698 Other Kidney And Urinary Tract Diagnoses With McC $74,315 $14,863 $18,666 +298% $32,496 +129% ≈87% of Medicare
438 Disorders Of Pancreas Except Malignancy With McC $74,305 $14,861 $25,572 +191% $32,628 +128% ≈85% of Medicare
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $74,123 $14,825 $10,794 +587% $27,323 +171% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $73,912 $14,782 $32,511 +127% $30,493 +142% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $73,802 $14,760 $26,596 +177% $45,333 +63% ≈86% of Medicare
089 Concussion With Cc $73,791 $14,758 $18,821 +292% $18,821 +292% —
304 Hypertension With McC $73,720 $14,744 $10,316 +615% $26,080 +183% ≈92% of Medicare
299 Peripheral Vascular Disorders With McC $73,702 $14,740 $21,419 +244% $27,316 +170% ≈82% of Medicare
033 Ventricular Shunt Procedures Without Cc/McC $73,471 $14,694 $37,318 +97% $35,419 +107% ≈80% of Medicare
637 Diabetes With McC $73,008 $14,602 $16,490 +343% $30,100 +143% ≈83% of Medicare
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $72,812 $14,562 $44,140 +65% $36,253 +101% ≈91% of Medicare
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $72,739 $14,548 $35,903 +103% $25,094 +190% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $72,551 $14,510 $28,164 +158% $27,119 +168% —
381 Complicated Peptic Ulcer With Cc $72,463 $14,493 $9,829 +637% $24,177 +200% —
071 Nonspecific Cerebrovascular Disorders With Cc $72,242 $14,448 $15,925 +354% $23,488 +208% ≈66% of Medicare
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $71,550 $14,310 $22,487 +218% $45,877 +56% —
602 Cellulitis With McC $71,436 $14,287 $18,739 +281% $30,598 +133% ≈93% of Medicare
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $71,333 $14,267 $42,642 +67% $35,584 +100% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $71,265 $14,253 $33,486 +113% $43,913 +62% ≈83% of Medicare
682 Renal Failure With McC $71,206 $14,241 $13,262 +437% $29,064 +145% ≈82% of Medicare
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $71,153 $14,231 $24,250 +193% $23,551 +202% ≈85% of Medicare
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $71,071 $14,214 $36,735 +93% $38,101 +87% ≈84% of Medicare
572 Skin Debridement Without Cc/McC $70,929 $14,186 $24,999 +184% $24,944 +184% —
862 Postoperative And Post-Traumatic Infections With McC $70,923 $14,185 $21,843 +225% $32,859 +116% ≈82% of Medicare
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $70,907 $14,181 $17,310 +310% $25,463 +178% ≈86% of Medicare
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $70,875 $14,175 $46,930 +51% $47,789 +48% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $70,627 $14,125 $27,934 +153% $38,094 +85% —
689 Kidney And Urinary Tract Infections With McC $70,626 $14,125 $15,190 +365% $23,617 +199% ≈85% of Medicare
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $70,572 $14,114 $15,569 +353% $28,050 +152% ≈78% of Medicare
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $70,419 $14,084 $50,137 +40% $35,465 +99% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $70,336 $14,067 $32,740 +115% $21,894 +221% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $70,227 $14,045 $20,290 +246% $33,653 +109% —
135 Sinus And Mastoid Procedures With Cc/McC $70,189 $14,038 $30,711 +129% $42,186 +66% —
123 Neurological Eye Disorders $70,178 $14,036 $23,434 +199% $19,745 +255% —
714 Transurethral Prostatectomy Without Cc/McC $70,146 $14,029 $21,330 +229% $17,934 +291% —
445 Disorders Of The Biliary Tract With Cc $69,704 $13,941 $15,563 +348% $23,319 +199% ≈72% of Medicare
546 Connective Tissue Disorders With Cc $69,682 $13,936 $11,606 +500% $25,700 +171% —
757 Infections, Female Reproductive System With McC $69,578 $13,916 $16,522 +321% $26,280 +165% —
053 Spinal Disorders And Injuries Without Cc/McC $69,573 $13,915 $9,065 +667% $20,455 +240% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $69,516 $13,903 $22,755 +206% $39,006 +78% ≈97% of Medicare
054 Nervous System Neoplasms With McC $69,054 $13,811 $14,345 +381% $30,502 +126% ≈82% of Medicare
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $68,915 $13,783 $19,371 +256% $42,795 +61% —
206 Other Respiratory System Diagnoses Without McC $68,906 $13,781 $11,154 +518% $18,488 +273% ≈94% of Medicare
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $68,476 $13,695 $20,091 +241% $30,553 +124% —
348 Anal And Stomal Procedures With Cc $68,259 $13,652 $23,220 +194% $27,947 +144% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $68,070 $13,614 $26,572 +156% $24,941 +173% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $68,068 $13,614 $18,056 +277% $14,014 +386% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $67,867 $13,573 $27,453 +147% $40,108 +69% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $67,743 $13,549 $32,677 +107% $38,861 +74% —
315 Other Circulatory System Diagnoses With Cc $67,544 $13,509 $16,776 +303% $21,363 +216% ≈98% of Medicare
308 Cardiac Arrhythmia And Conduction Disorders With McC $67,456 $13,491 $22,406 +201% $26,770 +152% ≈93% of Medicare
393 Other Digestive System Diagnoses With McC $67,389 $13,478 $18,629 +262% $34,192 +97% ≈87% of Medicare
754 Malignancy, Female Reproductive System With McC $67,378 $13,476 $50,876 +32% $32,433 +108% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $67,223 $13,445 $40,130 +68% $34,434 +95% —
193 Simple Pneumonia And Pleurisy With McC $67,218 $13,444 $18,069 +272% $27,275 +146% ≈81% of Medicare
908 Other O.R. Procedures For Injuries With Cc $67,115 $13,423 $31,069 +116% $42,914 +56% ≈82% of Medicare
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $67,015 $13,403 $37,932 +77% $25,712 +161% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $66,485 $13,297 $40,386 +65% $31,264 +113% ≈83% of Medicare
086 Traumatic Stupor And Coma <1 Hour With Cc $66,426 $13,285 $34,184 +94% $27,043 +146% ≈87% of Medicare
904 Skin Grafts For Injuries With Cc/McC $66,072 $13,214 $31,513 +110% $59,594 +11% —
137 Mouth Procedures With Cc/McC $65,956 $13,191 $12,342 +434% $27,861 +137% —
949 Aftercare With Cc/McC $65,662 $13,132 $30,481 +115% $23,953 +174% —
620 O.R. Procedures For Obesity With Cc $65,608 $13,122 $65,608 +0% $35,453 +85% —
141 Major Head And Neck Procedures With Cc $65,183 $13,037 $16,107 +305% $37,267 +75% ≈90% of Medicare
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $65,071 $13,014 $14,459 +350% $29,079 +124% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $64,710 $12,942 $19,440 +233% $27,163 +138% —
552 Medical Back Problems Without McC $64,680 $12,936 $11,139 +481% $21,396 +202% ≈86% of Medicare
254 Other Vascular Procedures Without Cc/McC $64,528 $12,906 $21,043 +207% $38,836 +66% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $64,438 $12,888 $18,395 +250% $16,520 +290% —
535 Fractures Of Hip And Pelvis With McC $64,301 $12,860 $15,103 +326% $24,552 +162% —
344 Minor Small And Large Bowel Procedures With McC $64,058 $12,812 $55,793 +15% $44,546 +44% —
306 Cardiac Congenital And Valvular Disorders With McC $64,034 $12,807 $28,374 +126% $24,586 +160% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $63,993 $12,799 $26,634 +140% $25,279 +153% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $63,918 $12,784 $36,925 +73% $33,393 +91% ≈83% of Medicare
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $63,810 $12,762 $14,906 +328% $20,895 +205% —
534 Fractures Of Femur Without McC $63,741 $12,748 $17,167 +271% $17,559 +263% —
950 Aftercare Without Cc/McC $63,571 $12,714 $23,790 +167% $13,527 +370% —
069 Transient Ischemia Without Thrombolytic $63,485 $12,697 $15,072 +321% $21,056 +201% ≈103% of Medicare
378 Gastrointestinal Hemorrhage With Cc $63,436 $12,687 $15,742 +303% $22,098 +187% ≈84% of Medicare
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $63,357 $12,671 $26,402 +140% $34,459 +84% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $63,306 $12,661 $19,641 +222% $23,498 +169% ≈76% of Medicare
815 Reticuloendothelial And Immunity Disorders With Cc $62,846 $12,569 $10,445 +502% $19,264 +226% —
606 Minor Skin Disorders With McC $62,799 $12,560 $22,390 +180% $27,975 +124% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $62,744 $12,549 $15,920 +294% $19,569 +221% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $62,680 $12,536 $19,199 +226% $22,458 +179% ≈72% of Medicare
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $62,675 $12,535 $16,538 +279% $29,524 +112% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $62,584 $12,517 $28,709 +118% $55,289 +13% —
412 Cholecystectomy With C.D.E. With Cc $62,558 $12,512 $17,755 +252% $42,906 +46% —
092 Other Disorders Of Nervous System With Cc $62,459 $12,492 $19,125 +227% $24,914 +151% ≈88% of Medicare
197 Interstitial Lung Disease With Cc $62,421 $12,484 $20,106 +210% $21,941 +184% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $62,373 $12,475 $14,528 +329% $19,842 +214% ≈98% of Medicare
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $62,320 $12,464 $13,307 +368% $14,716 +323% —
142 Major Head And Neck Procedures Without Cc/McC $62,255 $12,451 $26,590 +134% $34,906 +78% ≈96% of Medicare
349 Anal And Stomal Procedures Without Cc/McC $62,212 $12,442 $22,968 +171% $19,854 +213% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $61,965 $12,393 $42,772 +45% $32,841 +89% ≈82% of Medicare
693 Urinary Stones With McC $61,618 $12,324 $41,470 +49% $23,892 +158% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $61,579 $12,316 $22,378 +175% $23,749 +159% ≈93% of Medicare
312 Syncope And Collapse $61,492 $12,298 $9,946 +518% $19,342 +218% ≈91% of Medicare
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $61,453 $12,291 $9,199 +568% $22,763 +170% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $61,161 $12,232 $23,136 +164% $30,784 +99% —
550 Septic Arthritis Without Cc/McC $61,129 $12,226 $22,506 +172% $19,138 +219% —
865 Viral Illness With McC $61,085 $12,217 $17,877 +242% $26,910 +127% —
075 Viral Meningitis With Cc/McC $61,053 $12,211 $40,018 +53% $30,447 +101% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $61,022 $12,204 $23,375 +161% $59,031 +3% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $60,779 $12,156 $33,474 +82% $49,351 +23% —
812 Red Blood Cell Disorders Without McC $60,351 $12,070 $9,610 +528% $20,488 +195% ≈91% of Medicare
074 Cranial And Peripheral Nerve Disorders Without McC $60,110 $12,022 $13,367 +350% $23,141 +160% ≈70% of Medicare
383 Uncomplicated Peptic Ulcer With McC $60,035 $12,007 $11,648 +415% $27,426 +119% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $59,846 $11,969 $33,715 +78% $28,140 +113% ≈80% of Medicare
088 Concussion With McC $59,660 $11,932 $31,792 +88% $24,402 +144% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $59,657 $11,931 $49,598 +20% $43,650 +37% —
150 Epistaxis With McC $59,497 $11,899 $33,780 +76% $23,171 +157% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $59,298 $11,860 $13,587 +336% $33,694 +76% —
541 Osteomyelitis Without Cc/McC $59,239 $11,848 $9,749 +508% $15,215 +289% —
358 Other Digestive System O.R. Procedures Without Cc/McC $59,041 $11,808 $29,374 +101% $30,083 +96% —
539 Osteomyelitis With McC $58,988 $11,798 $22,192 +166% $37,609 +57% ≈38% of Medicare
115 Extraocular Procedures Except Orbit $58,961 $11,792 $13,333 +342% $25,703 +129% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $58,696 $11,739 $29,171 +101% $24,566 +139% —
375 Digestive Malignancy With Cc $58,479 $11,696 $20,733 +182% $27,277 +114% ≈83% of Medicare
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $58,471 $11,694 $13,076 +347% $20,781 +181% ≈128% of Medicare
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $58,448 $11,690 $25,919 +125% $36,937 +58% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $58,356 $11,671 $25,131 +132% $31,159 +87% ≈90% of Medicare
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $58,024 $11,605 $13,080 +344% $26,598 +118% —
999 Ungroupable $58,009 $11,602 $9,092 +538% $29,674 +95% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $57,969 $11,594 $28,947 +100% $22,811 +154% —
300 Peripheral Vascular Disorders With Cc $57,929 $11,586 $15,628 +271% $20,422 +184% ≈94% of Medicare
621 O.R. Procedures For Obesity Without Cc/McC $57,928 $11,586 $16,679 +247% $32,451 +79% —
947 Signs And Symptoms With McC $57,877 $11,575 $28,727 +101% $27,401 +111% ≈71% of Medicare
351 Inguinal And Femoral Hernia Procedures With Cc $57,402 $11,480 $27,746 +107% $36,505 +57% —
664 Minor Bladder Procedures Without Cc/McC $57,110 $11,422 $17,993 +217% $22,314 +156% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $57,106 $11,421 $23,915 +139% $41,620 +37% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $57,014 $11,403 $18,853 +202% $22,148 +157% —
619 O.R. Procedures For Obesity With McC $56,871 $11,374 $21,831 +161% $51,746 +10% —
672 Urethral Procedures Without Cc/McC $56,799 $11,360 $9,753 +482% $17,398 +226% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $56,779 $11,356 $13,450 +322% $30,770 +85% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $56,694 $11,339 $18,860 +201% $25,034 +126% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $56,423 $11,285 $16,366 +245% $34,749 +62% —
549 Septic Arthritis With Cc $56,417 $11,283 $16,906 +234% $24,056 +135% —
190 Chronic Obstructive Pulmonary Disease With McC $56,006 $11,201 $15,757 +255% $24,386 +130% ≈84% of Medicare
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $55,960 $11,192 $10,623 +427% $20,506 +173% ≈94% of Medicare
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $55,918 $11,184 $35,009 +60% $35,692 +57% —
185 Major Chest Trauma Without Cc/McC $55,887 $11,177 $24,614 +127% $17,124 +226% —
303 Atherosclerosis Without McC $55,816 $11,163 $8,701 +542% $14,927 +274% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $55,705 $11,141 $43,904 +27% $35,074 +59% —
103 Headaches Without McC $55,701 $11,140 $8,932 +524% $21,280 +162% ≈97% of Medicare
077 Hypertensive Encephalopathy With McC $55,659 $11,132 $35,273 +58% $24,550 +127% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $55,517 $11,103 $8,539 +550% $19,657 +182% —
536 Fractures Of Hip And Pelvis Without McC $55,512 $11,102 $14,527 +282% $18,002 +208% ≈93% of Medicare
906 Hand Procedures For Injuries $55,412 $11,082 $18,238 +204% $32,065 +73% —
398 Appendix Procedures With Cc $55,342 $11,068 $27,573 +101% $40,162 +38% —
176 Pulmonary Embolism Without McC $55,243 $11,049 $13,878 +298% $18,081 +206% ≈104% of Medicare
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $55,195 $11,039 $25,619 +115% $46,453 +19% —
036 Carotid Artery Stent Procedures Without Cc/McC $55,170 $11,034 $31,185 +77% $40,694 +36% —
399 Appendix Procedures Without Cc/McC $55,164 $11,033 $15,508 +256% $31,321 +76% —
920 Complications Of Treatment With Cc $55,124 $11,025 $11,169 +394% $22,468 +145% ≈82% of Medicare
817 Other Antepartum Diagnoses With O.R. Procedures With McC $54,767 $10,953 $21,320 +157% $39,173 +40% —
149 Dysequilibrium $54,630 $10,926 $12,104 +351% $18,096 +202% ≈101% of Medicare
386 Inflammatory Bowel Disease With Cc $54,583 $10,917 $11,108 +391% $22,033 +148% —
313 Chest Pain $54,377 $10,875 $11,332 +380% $16,440 +231% ≈183% of Medicare
301 Peripheral Vascular Disorders Without Cc/McC $54,146 $10,829 $7,065 +666% $15,837 +242% —
913 Traumatic Injury With McC $54,012 $10,802 $21,504 +151% $24,198 +123% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $53,852 $10,770 $14,693 +267% $25,748 +109% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $53,846 $10,769 $15,765 +242% $34,276 +57% —
554 Bone Diseases And Arthropathies Without McC $53,803 $10,761 $9,829 +447% $18,528 +190% ≈92% of Medicare
347 Anal And Stomal Procedures With McC $53,564 $10,713 $34,900 +53% $40,548 +32% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $53,384 $10,677 $34,994 +53% $27,843 +92% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $53,291 $10,658 $13,452 +296% $22,850 +133% ≈77% of Medicare
101 Seizures Without McC $53,185 $10,637 $9,473 +461% $20,461 +160% ≈96% of Medicare
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $53,141 $10,628 $18,572 +186% $28,125 +89% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $52,932 $10,586 $17,261 +207% $17,601 +201% —
593 Skin Ulcers With Cc $52,816 $10,563 $36,848 +43% $22,886 +131% —
975 Hiv With Major Related Condition With Cc $52,705 $10,541 $17,376 +203% $27,808 +90% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $52,606 $10,521 $50,052 +5% $49,423 +6% —
078 Hypertensive Encephalopathy With Cc $52,293 $10,459 $9,033 +479% $17,698 +195% —
305 Hypertension Without McC $52,184 $10,437 $10,625 +391% $18,086 +189% ≈98% of Medicare
316 Other Circulatory System Diagnoses Without Cc/McC $52,011 $10,402 $6,758 +670% $13,651 +281% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $51,939 $10,388 $33,563 +55% $25,970 +100% ≈86% of Medicare
384 Uncomplicated Peptic Ulcer Without McC $51,724 $10,345 $20,255 +155% $19,305 +168% —
292 Heart Failure And Shock With Cc $51,607 $10,321 $13,210 +291% $16,371 +215% ≈119% of Medicare
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $51,269 $10,254 $11,715 +338% $17,038 +201% ≈95% of Medicare
683 Renal Failure With Cc $51,252 $10,250 $11,498 +346% $19,130 +168% ≈81% of Medicare
194 Simple Pneumonia And Pleurisy With Cc $51,152 $10,230 $12,930 +296% $18,204 +181% ≈96% of Medicare
687 Kidney And Urinary Tract Neoplasms With Cc $51,146 $10,229 $10,454 +389% $20,232 +153% —
311 Angina Pectoris $51,085 $10,217 $9,265 +451% $15,502 +230% —
369 Major Esophageal Disorders With Cc $50,847 $10,169 $27,074 +88% $25,303 +101% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $50,813 $10,163 $24,478 +108% $14,055 +262% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $50,795 $10,159 $16,909 +200% $22,888 +122% ≈87% of Medicare
152 Otitis Media And Uri With McC $50,743 $10,149 $21,266 +139% $20,247 +151% —
866 Viral Illness Without McC $50,565 $10,113 $10,487 +382% $17,081 +196% ≈79% of Medicare
965 Other Multiple Significant Trauma Without Cc/McC $50,213 $10,043 $7,781 +545% $20,259 +148% —
379 Gastrointestinal Hemorrhage Without Cc/McC $49,937 $9,987 $5,374 +829% $15,038 +232% —
644 Endocrine Disorders With Cc $49,813 $9,963 $19,755 +152% $23,198 +115% ≈71% of Medicare
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $49,619 $9,924 $12,168 +308% $17,322 +186% ≈103% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $49,511 $9,902 $16,868 +194% $21,275 +133% ≈88% of Medicare
191 Chronic Obstructive Pulmonary Disease With Cc $49,498 $9,900 $12,041 +311% $18,807 +163% —
690 Kidney And Urinary Tract Infections Without McC $49,000 $9,800 $11,534 +325% $17,674 +177% ≈91% of Medicare
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $48,863 $9,773 $29,489 +66% $25,390 +92% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $48,832 $9,766 $13,634 +258% $18,126 +169% ≈75% of Medicare
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $48,776 $9,755 $13,944 +250% $19,037 +156% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $48,715 $9,743 $18,157 +168% $22,506 +116% —
642 Inborn And Other Disorders Of Metabolism $48,512 $9,702 $11,411 +325% $20,727 +134% —
864 Fever And Inflammatory Conditions $48,439 $9,688 $16,411 +195% $18,640 +160% —
055 Nervous System Neoplasms Without McC $48,295 $9,659 $10,432 +363% $20,926 +131% —
547 Connective Tissue Disorders Without Cc/McC $48,184 $9,637 $7,047 +584% $16,565 +191% —
158 Dental And Oral Diseases With Cc $47,952 $9,590 $16,019 +199% $18,466 +160% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $47,709 $9,542 $35,511 +34% $30,418 +57% —
786 Cesarean Section Without Sterilization With McC $47,674 $9,535 $29,906 +59% $27,152 +76% —
187 Pleural Effusion With Cc $47,590 $9,518 $13,020 +266% $21,789 +118% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $47,361 $9,472 $16,602 +185% $33,424 +42% —
977 Hiv With Or Without Other Related Condition $47,267 $9,453 $26,790 +76% $22,525 +110% —
139 Salivary Gland Procedures $47,250 $9,450 $29,365 +61% $23,612 +100% —
439 Disorders Of Pancreas Except Malignancy With Cc $47,166 $9,433 $12,782 +269% $19,096 +147% ≈79% of Medicare
725 Benign Prostatic Hypertrophy With McC $46,960 $9,392 $15,265 +208% $22,320 +110% —
540 Osteomyelitis With Cc $46,701 $9,340 $23,866 +96% $26,676 +75% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $46,274 $9,255 $11,380 +307% $17,737 +161% —
726 Benign Prostatic Hypertrophy Without McC $46,190 $9,238 $6,751 +584% $15,019 +208% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $46,055 $9,211 $29,009 +59% $29,805 +55% —
394 Other Digestive System Diagnoses With Cc $45,897 $9,179 $15,649 +193% $20,181 +127% ≈86% of Medicare
076 Viral Meningitis Without Cc/McC $45,861 $9,172 $25,278 +81% $17,135 +168% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $45,848 $9,170 $13,504 +240% $27,633 +66% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $45,847 $9,169 $16,698 +175% $21,449 +114% ≈88% of Medicare
783 Cesarean Section With Sterilization With McC $45,771 $9,154 $19,533 +134% $29,221 +57% —
921 Complications Of Treatment Without Cc/McC $45,626 $9,125 $12,315 +270% $14,415 +217% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $45,602 $9,120 $9,077 +402% $19,924 +129% —
202 Bronchitis And Asthma With Cc/McC $45,563 $9,113 $17,297 +163% $17,724 +157% ≈93% of Medicare
506 Major Thumb Or Joint Procedures $45,268 $9,054 $32,830 +38% $30,557 +48% —
302 Atherosclerosis With McC $45,212 $9,042 $19,107 +137% $22,446 +101% —
081 Nontraumatic Stupor And Coma Without McC $45,131 $9,026 $13,553 +233% $16,552 +173% —
188 Pleural Effusion Without Cc/McC $45,054 $9,011 $16,444 +174% $14,514 +210% —
670 Transurethral Procedures Without Cc/McC $45,007 $9,001 $12,260 +267% $20,911 +115% —
863 Postoperative And Post-Traumatic Infections Without McC $44,764 $8,953 $10,091 +344% $20,957 +114% ≈76% of Medicare
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $44,647 $8,929 $13,239 +237% $16,767 +166% —
204 Respiratory Signs And Symptoms $44,593 $8,919 $7,627 +485% $18,004 +148% —
558 Tendonitis, Myositis And Bursitis Without McC $44,524 $8,905 $14,106 +216% $18,602 +139% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $44,270 $8,854 $19,006 +133% $22,635 +96% —
638 Diabetes With Cc $44,143 $8,829 $15,219 +190% $19,661 +125% ≈90% of Medicare
038 Extracranial Procedures With Cc $43,993 $8,799 $14,102 +212% $35,770 +23% ≈99% of Medicare
697 Urethral Stricture $43,932 $8,786 $13,843 +217% $18,428 +138% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $43,851 $8,770 $15,129 +190% $27,297 +61% —
784 Cesarean Section With Sterilization With Cc $43,669 $8,734 $22,615 +93% $23,283 +88% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $43,523 $8,705 $6,567 +563% $15,600 +179% —
159 Dental And Oral Diseases Without Cc/McC $43,458 $8,692 $14,832 +193% $13,633 +219% —
153 Otitis Media And Uri Without McC $43,376 $8,675 $12,738 +241% $14,583 +197% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $43,329 $8,666 $26,930 +61% $19,270 +125% —
884 Organic Disturbances And Intellectual Disability $43,284 $8,657 $9,362 +362% $26,682 +62% ≈71% of Medicare
201 Pneumothorax Without Cc/McC $42,663 $8,533 $14,044 +204% $14,053 +204% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $42,347 $8,470 $22,260 +90% $18,452 +130% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $42,015 $8,403 $21,100 +99% $23,443 +79% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $42,014 $8,403 $27,312 +54% $26,932 +56% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $41,963 $8,393 $29,674 +41% $29,611 +42% —
694 Urinary Stones Without McC $41,933 $8,387 $18,833 +123% $17,345 +142% —
755 Malignancy, Female Reproductive System With Cc $41,526 $8,305 $9,313 +346% $18,459 +125% —
709 Penis Procedures With Cc/McC $41,523 $8,305 $30,398 +37% $34,535 +20% —
603 Cellulitis Without McC $41,496 $8,299 $15,184 +173% $18,530 +124% ≈87% of Medicare
293 Heart Failure And Shock Without Cc/McC $41,219 $8,244 $9,493 +334% $12,999 +217% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $40,939 $8,188 $12,484 +228% $18,316 +124% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $40,864 $8,173 $11,309 +261% $27,989 +46% —
151 Epistaxis Without McC $40,543 $8,109 $7,644 +430% $13,032 +211% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $40,247 $8,049 $24,514 +64% $18,150 +122% —
948 Signs And Symptoms Without McC $40,140 $8,028 $12,960 +210% $17,921 +124% ≈97% of Medicare
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $39,936 $7,987 $14,351 +178% $19,962 +100% —
684 Renal Failure Without Cc/McC $39,506 $7,901 $11,052 +257% $13,642 +190% —
125 Other Disorders Of The Eye Without McC $39,487 $7,897 $11,965 +230% $17,298 +128% —
728 Inflammation Of The Male Reproductive System Without McC $39,296 $7,859 $22,818 +72% $17,118 +130% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $38,749 $7,750 $6,671 +481% $12,460 +211% —
200 Pneumothorax With Cc $38,686 $7,737 $14,720 +163% $21,368 +81% —
596 Major Skin Disorders Without McC $38,610 $7,722 $14,458 +167% $17,226 +124% —
909 Other O.R. Procedures For Injuries Without Cc/McC $38,557 $7,711 $14,547 +165% $28,156 +37% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $38,480 $7,696 $14,705 +162% $16,968 +127% —
607 Minor Skin Disorders Without McC $38,380 $7,676 $20,056 +91% $15,889 +142% ≈82% of Medicare
307 Cardiac Congenital And Valvular Disorders Without McC $38,285 $7,657 $17,125 +124% $20,566 +86% —
787 Cesarean Section Without Sterilization With Cc $38,120 $7,624 $27,015 +41% $23,571 +62% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $38,071 $7,614 $38,071 +0% $32,443 +17% —
389 Gastrointestinal Obstruction With Cc $38,055 $7,611 $12,831 +197% $17,578 +116% ≈90% of Medicare
446 Disorders Of The Biliary Tract Without Cc/McC $37,958 $7,592 $18,072 +110% $17,700 +114% —
121 Acute Major Eye Infections With Cc/McC $37,940 $7,588 $23,704 +60% $19,412 +95% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $37,803 $7,561 $8,124 +365% $19,594 +93% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $37,511 $7,502 $13,681 +174% $18,133 +107% —
290 Acute And Subacute Endocarditis Without Cc/McC $37,055 $7,411 $9,206 +303% $15,901 +133% —
785 Cesarean Section With Sterilization Without Cc/McC $36,929 $7,386 $19,559 +89% $19,846 +86% —
553 Bone Diseases And Arthropathies With McC $36,790 $7,358 $18,324 +101% $26,051 +41% —
918 Poisoning And Toxic Effects Of Drugs Without McC $36,595 $7,319 $10,229 +258% $15,452 +137% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $36,426 $7,285 $9,692 +276% $16,776 +117% —
039 Extracranial Procedures Without Cc/McC $36,399 $7,280 $9,983 +265% $26,618 +37% ≈101% of Medicare
887 Other Mental Disorder Diagnoses $35,777 $7,155 $9,962 +259% $20,616 +74% —
903 Wound Debridements For Injuries Without Cc/McC $35,494 $7,099 $23,634 +50% $25,581 +39% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $35,395 $7,079 $11,609 +205% $15,183 +133% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $35,005 $7,001 $17,429 +101% $17,303 +102% ≈113% of Medicare
645 Endocrine Disorders Without Cc/McC $34,441 $6,888 $11,392 +202% $15,428 +123% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $34,216 $6,843 $13,903 +146% $16,846 +103% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $34,202 $6,840 $20,019 +71% $21,230 +61% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $34,170 $6,834 $12,433 +175% $15,370 +122% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $33,796 $6,759 $33,796 +0% $26,870 +26% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $33,670 $6,734 $17,029 +98% $18,956 +78% —
138 Mouth Procedures Without Cc/McC $33,580 $6,716 $7,227 +365% $19,119 +76% —
758 Infections, Female Reproductive System With Cc $33,230 $6,646 $14,227 +134% $20,901 +59% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $33,197 $6,639 $15,966 +108% $14,797 +124% —
788 Cesarean Section Without Sterilization Without Cc/McC $32,866 $6,573 $16,352 +101% $20,084 +64% —
296 Cardiac Arrest, Unexplained With McC $32,291 $6,458 $20,052 +61% $33,661 −4% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $32,107 $6,421 $20,859 +54% $22,557 +42% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $32,094 $6,419 $8,445 +280% $16,699 +92% ≈85% of Medicare
598 Malignant Breast Disorders With Cc $32,082 $6,416 $19,368 +66% $19,073 +68% —
333 Rectal Resection With Cc $31,498 $6,300 $31,498 +0% $37,154 −15% —
639 Diabetes Without Cc/McC $31,406 $6,281 $11,029 +185% $13,910 +126% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $31,299 $6,260 $20,545 +52% $24,544 +28% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $31,268 $6,254 $14,788 +111% $14,368 +118% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $31,074 $6,215 $6,772 +359% $14,501 +114% —
600 Non-Malignant Breast Disorders With Cc/McC $30,871 $6,174 $14,916 +107% $16,700 +85% —
914 Traumatic Injury Without McC $30,855 $6,171 $11,833 +161% $15,855 +95% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $30,664 $6,133 $11,315 +171% $22,393 +37% —
935 Non-Extensive Burns $30,617 $6,123 $24,385 +26% $31,701 −3% ≈67% of Medicare
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $30,609 $6,122 $13,209 +132% $24,127 +27% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $30,175 $6,035 $14,693 +105% $14,689 +105% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $29,451 $5,890 $7,977 +269% $12,324 +139% —
390 Gastrointestinal Obstruction Without Cc/McC $29,283 $5,857 $10,546 +178% $13,361 +119% ≈114% of Medicare
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $29,146 $5,829 $6,208 +369% $12,559 +132% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $28,883 $5,777 $22,666 +27% $31,044 −7% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $28,830 $5,766 $20,515 +41% $25,073 +15% —
759 Infections, Female Reproductive System Without Cc/McC $28,805 $5,761 $10,413 +177% $14,250 +102% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $28,588 $5,718 $7,581 +277% $13,384 +114% ≈122% of Medicare
916 Allergic Reactions Without McC $28,266 $5,653 $8,202 +245% $13,942 +103% —
599 Malignant Breast Disorders Without Cc/McC $28,244 $5,649 $11,609 +143% $14,290 +98% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $27,626 $5,525 $14,685 +88% $13,275 +108% —
976 Hiv With Major Related Condition Without Cc/McC $27,449 $5,490 $8,123 +238% $16,212 +69% —
723 Malignancy, Male Reproductive System With Cc $27,371 $5,474 $18,396 +49% $19,815 +38% —
594 Skin Ulcers Without Cc/McC $26,826 $5,365 $8,562 +213% $14,209 +89% —
117 Intraocular Procedures Without Cc/McC $26,551 $5,310 $9,356 +184% $17,193 +54% —
382 Complicated Peptic Ulcer Without Cc/McC $26,543 $5,309 $6,889 +285% $16,634 +60% —
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/McC $26,440 $5,288 $7,005 +277% $13,586 +95% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $25,978 $5,196 $13,443 +93% $14,549 +79% —
376 Digestive Malignancy Without Cc/McC $25,628 $5,126 $25,628 +0% $16,998 +51% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $25,576 $5,115 $13,908 +84% $13,824 +85% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $25,308 $5,062 $11,850 +114% $12,078 +110% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $24,173 $4,835 $24,173 +0% $11,421 +112% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $23,926 $4,785 $9,891 +142% $11,909 +101% —
885 Psychoses $23,288 $4,658 $13,133 +77% $21,729 +7% ≈91% of Medicare
395 Other Digestive System Diagnoses Without Cc/McC $22,465 $4,493 $10,251 +119% $14,128 +59% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $21,789 $4,358 $20,912 +4% $18,126 +20% —
601 Non-Malignant Breast Disorders Without Cc/McC $21,374 $4,275 $8,551 +150% $10,975 +95% —
881 Depressive Neuroses $21,322 $4,264 $7,369 +189% $15,058 +42% —
883 Disorders Of Personality And Impulse Control $21,033 $4,207 $13,468 +56% $23,206 −9% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $20,891 $4,178 $16,406 +27% $17,733 +18% —
387 Inflammatory Bowel Disease Without Cc/McC $20,876 $4,175 $11,284 +85% $16,288 +28% —
882 Neuroses Except Depressive $20,519 $4,104 $7,493 +174% $15,680 +31% ≈83% of Medicare
370 Major Esophageal Disorders Without Cc/McC $20,422 $4,084 $6,581 +210% $15,495 +32% —
779 Abortion Without D&C $19,923 $3,985 $10,328 +93% $15,327 +30% —
203 Bronchitis And Asthma Without Cc/McC $19,806 $3,961 $12,472 +59% $12,252 +62% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $19,414 $3,883 $6,858 +183% $12,454 +56% —
886 Behavioral And Developmental Disorders $19,223 $3,845 $12,522 +54% $26,510 −27% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $17,286 $3,457 $7,702 +124% $12,895 +34% —
793 Full Term Neonate With Major Problems $14,963 $2,993 $14,963 +0% $18,649 −20% —
792 Prematurity Without Major Problems $14,660 $2,932 $14,660 +0% $12,229 +20% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $14,310 $2,862 $6,834 +109% $12,593 +14% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $14,169 $2,834 $11,536 +23% $18,348 −23% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $13,485 $2,697 $5,893 +129% $14,638 −8% —
951 Other Factors Influencing Health Status $12,665 $2,533 $6,993 +81% $10,160 +25% —
849 Radiotherapy $12,439 $2,488 $12,439 +0% $37,862 −67% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $11,129 $2,226 $5,464 +104% $11,071 +1% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $10,530 $2,106 $5,007 +110% $9,940 +6% —
198 Interstitial Lung Disease Without Cc/McC $10,493 $2,099 $10,493 +0% $15,549 −33% —
794 Neonate With Other Significant Problems $7,961 $1,592 $7,029 +13% $8,445 −6% —
795 Normal Newborn $7,471 $1,494 $3,550 +110% $4,720 +58% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $7,238 $1,448 $2,975 +143% $15,215 −52% —
915 Allergic Reactions With McC $7,149 — $10,990 −35% $32,645 −78% —
182 Respiratory Neoplasms Without Cc/McC $7,098 $1,420 $7,098 +0% $14,064 −50% —
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