Procedures published 603
Lowest published price $3,124
Average published price $81,863
Highest published price $682,764

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 603 procedures

Published charges

Showing all 603 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 66 procedures, this hospital's negotiated rates average ≈225% of what Medicare pays.

DRG Description Published price Cash price vs. LA median vs. National median vs Medicare
002 heart transplant or implant of heart assist system without mcc $682,764 $273,106 $94,922 +619% $169,977 +302% —
426 multiple level combined anterior and posterior spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $583,754 $233,502 $193,816 +201% $142,326 +310% —
459 spinal fusion except cervical $583,754 $233,502 $57,121 +922% $75,251 +676% —
212 concomitant aortic and mitral valve procedures $536,449 $214,579 $91,497 +486% $171,338 +213% —
004 tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $458,499 $183,399 $292,218 +57% $245,241 +87% —
231 coronary bypass with ptca with mcc $447,743 $179,097 $319,687 +40% $146,474 +206% —
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $430,238 $172,095 $236,851 +82% $121,714 +253% —
218 cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc $402,682 $161,073 $113,337 +255% $92,238 +337% —
275 cardiac defibrillator implant with cardiac catheterization and mcc $380,732 $152,293 $136,357 +179% $131,961 +189% —
215 other heart assist system implant $379,416 $151,766 $179,884 +111% $191,314 +98% —
841 lymphoma and non-acute leukemia with cc $356,204 $142,482 $47,448 +651% $31,059 +1047% —
024 craniotomy with major device implant or acute complex cns principal diagnosis without mcc $340,758 $136,303 $91,640 +272% $74,755 +356% —
011 tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc $339,965 $135,986 $55,874 +508% $86,953 +291% —
458 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc $332,135 $132,854 $55,139 +502% $83,441 +298% —
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $327,032 $130,813 $157,878 +107% $175,437 +86% —
457 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc $321,154 $128,462 $104,685 +207% $107,355 +199% —
266 endovascular cardiac valve replacement and supplement procedures with mcc $316,202 $126,481 $187,889 +68% $113,855 +178% ≈246% of Medicare
003 ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $312,050 $124,820 $462,770 −33% $371,366 −16% —
545 connective tissue disorders with mcc $309,733 $123,893 $45,200 +585% $39,657 +681% —
267 endovascular cardiac valve replacement and supplement procedures without mcc $305,365 $122,146 $157,538 +94% $92,217 +231% ≈384% of Medicare
429 combined anterior and posterior cervical spinal fusion with mcc $301,198 $120,479 $162,344 +86% $120,174 +151% —
453 combined anterior and posterio $301,198 $120,479 $61,831 +387% $103,861 +190% —
454 combined anterior and posterio $300,218 $120,087 $42,770 +602% $69,101 +334% —
245 aicd generator procedures $299,978 $119,991 $146,998 +104% $72,076 +316% —
001 heart transplant or implant of heart assist system with mcc $293,304 $117,322 $289,205 +1% $431,073 −32% —
870 septicemia or severe sepsis with mv >96 hours $290,950 $116,380 $126,146 +131% $138,008 +111% —
427 multiple level combined anterior and posterior spinal fusion except cervical with cc $287,692 $115,077 $208,044 +38% $121,728 +136% —
317 concomitant left atrial appendage closure and cardiac ablation $280,579 $112,231 $278,602 +1% $94,988 +195% —
821 lymphoma and leukemia with major o.r. procedures with cc $264,571 $105,828 $34,524 +666% $44,053 +501% —
492 lower extremity and humerus procedures except hip, foot and femur with mcc $258,920 $103,568 $78,830 +228% $70,540 +267% —
233 coronary bypass with cardiac catheterization or open ablation with mcc $257,758 $103,103 $242,380 +6% $138,868 +86% —
826 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with mcc $254,220 $101,688 $82,639 +208% $88,691 +187% —
268 aortic and heart assist procedures except pulsation balloon with mcc $249,994 $99,997 $167,931 +49% $118,589 +111% —
028 spinal procedures with mcc $248,855 $99,542 $153,674 +62% $95,858 +160% —
350 inguinal and femoral hernia procedures with mcc $246,842 $98,737 $32,099 +669% $46,591 +430% —
277 cardiac defibrillator implant without mcc $239,264 $95,706 $154,961 +54% $91,329 +162% —
500 soft tissue procedures with mcc $236,197 $94,479 $77,970 +203% $57,479 +311% —
232 coronary bypass with ptca without mcc $236,154 $94,462 $149,666 +58% $106,238 +122% —
428 multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc $234,023 $93,609 $144,151 +62% $105,899 +121% —
276 cardiac defibrillator implant with mcc or carotid sinus neurostimulator $233,351 $93,340 $148,704 +57% $117,280 +99% —
583 mastectomy for malignancy without cc/mcc $225,208 $90,083 $39,213 +474% $31,566 +613% —
584 breast biopsy, local excision and other breast procedures with cc/mcc $224,665 $89,866 $36,483 +516% $34,089 +559% —
234 coronary bypass with cardiac catheterization or open ablation without mcc $221,557 $88,623 $213,273 +4% $102,573 +116% —
402 single level combined anterior and posterior spinal fusion except cervical $220,738 $88,295 $125,971 +75% $75,492 +192% —
023 craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator $220,535 $88,214 $185,245 +19% $106,778 +107% —
073 cranial and peripheral nerve disorders with mcc $220,206 $88,083 $35,519 +520% $28,252 +679% —
430 combined anterior and posterior cervical spinal fusion without mcc $219,723 $87,889 $219,723 +0% $93,783 +134% —
455 combined anterior and posterio $219,723 $87,889 $32,280 +581% $54,320 +304% —
095 bacterial and tuberculous infections of nervous system with cc $218,954 $87,582 $54,420 +302% $47,583 +360% —
813 coagulation disorders $217,831 $87,132 $47,828 +355% $30,128 +623% —
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $215,747 $86,299 $215,747 +0% $143,242 +51% —
958 other o.r. procedures for multiple significant trauma with cc $209,694 $83,877 $83,988 +150% $66,853 +214% —
580 other skin, subcutaneous tissue and breast procedures with cc $206,595 $82,638 $59,184 +249% $36,242 +470% —
518 back and neck procedures except spinal fusion with mcc or disc device or neurostimulator $202,871 $81,149 $51,471 +294% $64,776 +213% —
235 coronary bypass without cardiac catheterization with mcc $201,168 $80,467 $177,119 +14% $112,062 +80% —
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $200,558 $80,223 $175,384 +14% $102,177 +96% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $199,845 $79,938 $39,701 +403% $29,633 +574% —
278 ultrasound accelerated and other thrombolysis of peripheral vascular structures with mcc $195,875 $78,350 $130,728 +50% $84,861 +131% —
269 aortic and heart assist procedures except pulsation balloon without mcc $194,453 $77,781 $153,747 +26% $83,065 +134% —
673 other kidney and urinary tract procedures with mcc $190,846 $76,338 $88,662 +115% $72,945 +162% —
451 single level spinal fusion except cervical without mcc $186,589 $74,635 $96,629 +93% $65,216 +186% —
460 spinal fusion except cervical $186,589 $74,635 $25,775 +624% $50,815 +267% —
955 craniotomy for multiple significant trauma $183,241 $73,297 $126,896 +44% $105,612 +74% —
096 bacterial and tuberculous infections of nervous system without cc/mcc $181,812 $72,725 $34,861 +422% $39,093 +365% —
221 cardiac valve and other major cardiothoracic procedures without cardiac catheterization without cc/mcc $179,150 $71,660 $113,397 +58% $90,331 +98% —
056 degenerative nervous system disorders with mcc $178,968 $71,587 $62,652 +186% $39,409 +354% —
236 coronary bypass without cardiac catheterization without mcc $178,804 $71,522 $115,972 +54% $82,247 +117% ≈297% of Medicare
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $178,695 $71,478 $93,631 +91% $86,390 +107% —
448 multiple level spinal fusion except cervical without mcc $177,697 $71,079 $129,588 +37% $81,998 +117% —
823 lymphoma and non-acute leukemia with other procedures with mcc $177,505 $71,002 $92,884 +91% $80,885 +119% —
323 coronary intravascular lithotripsy with intraluminal device with mcc $171,608 $68,643 $171,608 +0% $88,049 +95% —
166 other respiratory system o.r. procedures with mcc $170,793 $68,317 $93,180 +83% $72,782 +135% —
867 other infectious and parasitic diseases diagnoses with mcc $170,072 $68,029 $31,559 +439% $36,850 +362% —
228 other cardiothoracic procedures with mcc $169,704 $67,881 $125,919 +35% $96,905 +75% —
977 hiv with or without other related condition $165,891 $66,356 $29,805 +457% $22,525 +636% —
324 coronary intravascular lithotripsy with intraluminal device without mcc $164,539 $65,816 $133,566 +23% $66,819 +146% —
034 carotid artery stent procedures with mcc $164,537 $65,815 $46,821 +251% $72,908 +126% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $164,254 $65,702 $37,749 +335% $25,243 +551% —
029 spinal procedures with cc or spinal neurostimulators $161,483 $64,593 $75,174 +115% $64,152 +152% —
466 revision of hip or knee replacement with mcc $159,827 $63,931 $116,776 +37% $96,222 +66% —
483 major joint or limb reattachment procedures of upper extremities $158,987 $63,595 $83,829 +90% $57,149 +178% —
496 local excision and removal of internal fixation devices except hip and femur with cc $155,974 $62,390 $75,709 +106% $43,800 +256% —
273 percutaneous and other intracardiac procedures with mcc $154,240 $61,696 $107,876 +43% $78,852 +96% —
957 other o.r. procedures for multiple significant trauma with mcc $153,055 $61,222 $85,573 +79% $120,587 +27% —
347 anal and stomal procedures with mcc $152,355 $60,942 $29,842 +411% $40,548 +276% —
240 amputation for circulatory system disorders except upper limb and toe with cc $151,197 $60,479 $63,977 +136% $54,475 +178% —
666 prostatectomy with cc $150,975 $60,390 $24,495 +516% $30,016 +403% —
757 infections, female reproductive system with mcc $149,918 $59,967 $13,652 +998% $23,734 +532% —
263 vein ligation and stripping $148,766 $59,506 $17,428 +754% $44,938 +231% —
242 permanent cardiac pacemaker implant with mcc $147,976 $59,190 $88,237 +68% $70,132 +111% ≈283% of Medicare
207 respiratory system diagnosis with ventilator support >96 hours $147,774 $59,110 $160,739 −8% $116,058 +27% —
274 percutaneous and other intracardiac procedures without mcc $147,659 $59,063 $138,495 +7% $65,573 +125% ≈317% of Medicare
271 other major cardiovascular procedures with cc $145,048 $58,019 $139,299 +4% $71,014 +104% —
582 mastectomy for malignancy with cc/mcc $144,102 $57,641 $18,530 +678% $34,264 +321% —
790 extreme immaturity or respiratory distress syndrome, neonate $143,785 $57,514 $61,499 +134% $80,018 +80% —
025 craniotomy and endovascular intracranial procedures with mcc $143,302 $57,321 $110,608 +30% $88,307 +62% ≈234% of Medicare
472 cervical spinal fusion with cc $141,390 $56,556 $84,790 +67% $59,537 +137% —
803 other o.r. procedures of the blood and blood forming organs with cc $139,221 $55,688 $23,566 +491% $33,564 +315% —
027 craniotomy and endovascular intracranial procedures without cc/mcc $138,080 $55,232 $118,597 +16% $52,332 +164% —
655 major bladder procedures without cc/mcc $138,007 $55,203 $65,265 +111% $41,651 +231% —
497 local excision and removal of internal fixation devices except hip and femur without cc/mcc $137,901 $55,161 $28,222 +389% $29,805 +363% —
325 coronary intravascular lithotripsy without intraluminal device $137,079 $54,831 $64,163 +114% $53,551 +156% —
799 splenic procedures with mcc $137,038 $54,815 $86,439 +59% $78,821 +74% —
270 other major cardiovascular procedures with mcc $136,083 $54,433 $136,083 +0% $99,423 +37% —
471 cervical spinal fusion with mcc $135,214 $54,086 $117,238 +15% $92,515 +46% —
856 postoperative or post-traumatic infections with o.r. procedures with mcc $135,132 $54,053 $54,047 +150% $72,859 +85% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $134,788 $53,915 $84,993 +59% $65,254 +107% —
824 lymphoma and non-acute leukemia with other procedures with cc $134,433 $53,773 $29,534 +355% $38,382 +250% —
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $133,555 $53,422 $36,687 +264% $54,313 +146% —
653 major bladder procedures with mcc $133,101 $53,240 $133,101 +0% $97,046 +37% —
820 lymphoma and leukemia with major o.r. procedures with mcc $132,837 $53,135 $96,540 +38% $96,192 +38% —
163 major chest procedures with mcc $129,809 $51,924 $165,068 −21% $88,341 +47% —
253 other vascular procedures with cc $128,914 $51,566 $80,670 +60% $53,746 +140% —
473 cervical spinal fusion without cc/mcc $128,224 $51,290 $64,026 +100% $50,624 +153% —
319 other endovascular cardiac valve procedures with mcc $127,819 $51,128 $45,597 +180% $75,585 +69% —
333 rectal resection with cc $127,259 $50,904 $22,363 +469% $34,352 +270% —
026 craniotomy and endovascular intracranial procedures with cc $127,193 $50,877 $94,208 +35% $63,475 +100% —
902 wound debridements for injuries with cc $126,669 $50,668 $43,774 +189% $35,459 +257% —
098 non-bacterial infection of nervous system except viral meningitis with cc $125,440 $50,176 $47,716 +163% $37,902 +231% —
468 revision of hip or knee replacement without cc/mcc $124,990 $49,996 $108,088 +16% $54,929 +128% —
467 revision of hip or knee replacement with cc $124,439 $49,775 $78,622 +58% $68,880 +81% ≈245% of Medicare
272 other major cardiovascular procedures without cc/mcc $121,884 $48,754 $67,960 +79% $55,162 +121% —
659 kidney and ureter procedures for non-neoplasm with mcc $121,657 $48,663 $38,026 +220% $48,094 +153% —
031 ventricular shunt procedures with mcc $119,614 $47,846 $43,525 +175% $68,659 +74% —
164 major chest procedures with cc $119,566 $47,826 $109,748 +9% $53,141 +125% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $118,975 $47,590 $71,631 +66% $74,274 +60% ≈273% of Medicare
239 amputation for circulatory system disorders except upper limb and toe with mcc $118,208 $47,283 $104,080 +14% $87,565 +35% —
173 ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism $117,879 $47,152 $36,914 +219% $53,555 +120% —
327 stomach, esophageal and duodenal procedures with cc $116,934 $46,774 $54,417 +115% $54,824 +113% —
397 appendix procedures with mcc $115,825 $46,330 $88,532 +31% $52,319 +121% —
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $115,264 $46,106 $72,579 +59% $62,961 +83% —
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $113,598 $45,439 $77,962 +46% $49,197 +131% ≈350% of Medicare
033 ventricular shunt procedures without cc/mcc $111,603 $44,641 $71,097 +57% $33,984 +228% —
614 adrenal and pituitary procedures with cc/mcc $111,326 $44,530 $82,051 +36% $43,586 +155% —
320 other endovascular cardiac valve procedures without mcc $111,282 $44,513 $19,673 +466% $36,080 +208% —
229 other cardiothoracic procedures without mcc $111,149 $44,459 $71,782 +55% $65,325 +70% —
102 headaches with mcc $110,661 $44,264 $25,215 +339% $22,544 +391% —
522 hip replacement with principal diagnosis of hip fracture without mcc $110,630 $44,252 $50,240 +120% $56,519 +96% ≈349% of Medicare
335 peritoneal adhesiolysis with mcc $109,476 $43,790 $44,541 +146% $71,755 +53% —
037 extracranial procedures with mcc $109,260 $43,704 $49,605 +120% $64,749 +69% —
256 upper limb and toe amputation for circulatory system disorders with cc $109,199 $43,680 $30,683 +256% $29,729 +267% —
262 cardiac pacemaker revision except device replacement without cc/mcc $108,138 $43,255 $31,686 +241% $33,694 +221% —
909 other o.r. procedures for injuries without cc/mcc $107,224 $42,890 $31,959 +236% $28,156 +281% —
032 ventricular shunt procedures with cc $104,473 $41,789 $49,303 +112% $45,622 +129% —
707 major male pelvic procedures with cc/mcc $103,925 $41,570 $103,925 +0% $43,080 +141% —
503 foot procedures with mcc $102,888 $41,155 $54,196 +90% $43,901 +134% —
251 percutaneous cardiovascular procedures without intraluminal device without mcc $102,877 $41,151 $62,279 +65% $41,380 +149% —
570 skin debridement with mcc $100,928 $40,371 $60,240 +68% $52,435 +92% —
846 chemotherapy without acute leukemia as secondary diagnosis with mcc $99,529 $39,811 $26,624 +274% $38,878 +156% —
740 uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with cc $99,374 $39,750 $22,395 +344% $36,597 +172% —
521 hip replacement with principal diagnosis of hip fracture with mcc $99,351 $39,740 $64,282 +55% $67,764 +47% —
592 skin ulcers with mcc $98,994 $39,598 $34,631 +186% $32,662 +203% —
482 hip and femur procedures except major joint without cc/mcc $98,704 $39,482 $60,104 +64% $39,747 +148% —
499 local excision and removal of internal fixation devices of hip and femur without cc/mcc $98,658 $39,463 $33,727 +193% $22,532 +338% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $98,451 $39,380 $64,647 +52% $76,954 +28% —
853 infectious and parasitic diseases with o.r. procedures with mcc $98,121 $39,248 $102,538 −4% $87,018 +13% ≈148% of Medicare
480 hip and femur procedures except major joint with mcc $98,060 $39,224 $92,273 +6% $63,984 +53% ≈209% of Medicare
322 percutaneous cardiovascular procedures with intraluminal device without mcc $97,609 $39,044 $96,624 +1% $54,772 +78% ≈433% of Medicare
593 skin ulcers with cc $96,494 $38,598 $17,855 +440% $20,470 +371% —
057 degenerative nervous system disorders without mcc $96,461 $38,585 $32,819 +194% $25,426 +279% —
615 adrenal and pituitary procedures without cc/mcc $96,399 $38,560 $48,469 +99% $31,812 +203% —
485 knee procedures with principal diagnosis of infection with mcc $95,847 $38,339 $68,179 +41% $64,956 +48% —
279 ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc $94,910 $37,964 $87,704 +8% $57,277 +66% —
654 major bladder procedures with cc $94,760 $37,904 $51,569 +84% $53,868 +76% —
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $94,636 $37,855 $41,958 +126% $39,018 +143% —
283 acute myocardial infarction, expired with mcc $94,446 $37,778 $75,916 +24% $35,014 +170% —
801 splenic procedures without cc/mcc $94,067 $37,627 $14,038 +570% $28,634 +229% —
504 foot procedures with cc $93,432 $37,373 $48,796 +91% $36,598 +155% —
662 minor bladder procedures with mcc $93,078 $37,231 $62,814 +48% $54,483 +71% —
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $92,572 $37,029 $66,425 +39% $78,582 +18% —
250 percutaneous cardiovascular procedures without intraluminal device with mcc $91,876 $36,750 $67,602 +36% $51,339 +79% —
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $90,361 $36,145 $33,657 +168% $43,538 +108% —
244 permanent cardiac pacemaker implant without cc/mcc $90,107 $36,043 $70,333 +28% $40,063 +125% —
035 carotid artery stent procedures with cc $89,935 $35,974 $57,688 +56% $46,430 +94% —
260 cardiac pacemaker revision except device replacement with mcc $89,217 $35,687 $51,394 +74% $67,901 +31% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $89,001 $35,600 $64,579 +38% $35,114 +153% —
963 other multiple significant trauma with mcc $88,892 $35,557 $89,571 −1% $43,491 +104% —
030 spinal procedures without cc/mcc $88,229 $35,292 $68,218 +29% $45,818 +93% —
143 other ear, nose, mouth and throat o.r. procedures with mcc $87,940 $35,176 $63,177 +39% $52,908 +66% —
708 major male pelvic procedures without cc/mcc $87,643 $35,057 $53,000 +65% $32,911 +166% —
663 minor bladder procedures with cc $87,091 $34,836 $25,988 +235% $29,924 +191% —
481 hip and femur procedures except major joint with cc $85,719 $34,287 $74,029 +16% $51,172 +68% ≈279% of Medicare
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $85,566 $34,227 $71,549 +20% $65,383 +31% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $85,520 $34,208 $85,520 +0% $74,257 +15% —
657 kidney and ureter procedures for neoplasm with cc $85,352 $34,141 $61,965 +38% $40,583 +110% —
956 limb reattachment, hip and femur procedures for multiple significant trauma $84,057 $33,623 $78,808 +7% $75,103 +12% —
012 tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc $83,658 $33,463 $83,658 +0% $73,029 +15% —
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $83,565 $33,426 $41,256 +103% $44,989 +86% —
334 rectal resection without cc/mcc $83,473 $33,389 $66,089 +26% $32,213 +159% —
243 permanent cardiac pacemaker implant with cc $82,973 $33,189 $58,293 +42% $50,011 +66% ≈323% of Medicare
306 cardiac congenital and valvular disorders with mcc $82,386 $32,954 $24,497 +236% $24,450 +237% —
559 aftercare, musculoskeletal system and connective tissue with mcc $81,336 $32,534 $37,740 +116% $30,974 +163% —
674 other kidney and urinary tract procedures with cc $80,955 $32,382 $51,964 +56% $49,631 +63% —
907 other o.r. procedures for injuries with mcc $80,418 $32,167 $62,830 +28% $71,701 +12% —
094 bacterial and tuberculous infections of nervous system with mcc $80,350 $32,140 $38,370 +109% $62,524 +29% —
380 complicated peptic ulcer with mcc $79,666 $31,866 $24,670 +223% $36,641 +117% —
579 other skin, subcutaneous tissue and breast procedures with mcc $79,040 $31,616 $61,592 +28% $54,129 +46% —
351 inguinal and femoral hernia procedures with cc $78,981 $31,592 $35,407 +123% $33,792 +134% —
493 lower extremity and humerus procedures except hip, foot and femur with cc $78,932 $31,573 $68,944 +14% $56,394 +40% —
328 stomach, esophageal and duodenal procedures without cc/mcc $78,501 $31,401 $34,509 +127% $35,375 +122% —
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $77,693 $31,077 $77,820 −0% $60,861 +28% —
296 cardiac arrest, unexplained with mcc $77,348 $30,939 $46,939 +65% $30,910 +150% —
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $76,805 $30,722 $43,616 +76% $48,680 +58% —
208 respiratory system diagnosis with ventilator support <=96 hours $76,382 $30,553 $55,384 +38% $52,405 +46% —
789 neonates, died or transferred to another acute care facility $76,106 $30,443 $9,865 +671% $14,284 +433% —
330 major small and large bowel procedures with cc $75,804 $30,322 $75,804 +0% $58,832 +29% ≈220% of Medicare
505 foot procedures without cc/mcc $75,787 $30,315 $27,050 +180% $31,716 +139% —
668 transurethral procedures with mcc $75,514 $30,206 $33,851 +123% $47,277 +60% —
181 respiratory neoplasms with cc $75,090 $30,036 $35,809 +110% $22,431 +235% —
331 major small and large bowel procedures without cc/mcc $74,463 $29,785 $51,631 +44% $44,117 +69% ≈309% of Medicare
061 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc $74,236 $29,694 $65,981 +13% $57,963 +28% —
494 lower extremity and humerus procedures except hip, foot and femur without cc/mcc $73,793 $29,517 $61,521 +20% $45,963 +61% —
165 major chest procedures without cc/mcc $73,388 $29,355 $92,143 −20% $41,380 +77% —
358 other digestive system o.r. procedures without cc/mcc $73,063 $29,225 $41,902 +74% $29,374 +149% —
478 biopsies of musculoskeletal system and connective tissue with cc $72,984 $29,194 $72,984 +0% $50,139 +46% —
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $72,797 $29,119 $36,675 +98% $32,839 +122% —
749 other female reproductive system o.r. procedures with cc/mcc $71,515 $28,606 $46,767 +53% $41,703 +71% —
329 major small and large bowel procedures with mcc $71,332 $28,533 $147,076 −51% $88,050 −19% —
658 kidney and ureter procedures for neoplasm without cc/mcc $71,266 $28,506 $48,020 +48% $35,528 +101% —
488 knee procedures without principal diagnosis of infection with cc/mcc $71,128 $28,451 $45,073 +58% $41,520 +71% —
089 concussion with cc $70,773 $28,309 $13,262 +434% $18,293 +287% —
252 other vascular procedures with mcc $70,246 $28,098 $79,687 −12% $68,508 +3% —
741 uterine and adnexa procedures for non-ovarian and non-adnexal malignancy without cc/mcc $69,558 $27,823 $14,722 +372% $29,050 +139% —
082 traumatic stupor and coma >1 hour with mcc $69,400 $27,760 $24,360 +185% $36,237 +92% —
336 peritoneal adhesiolysis with cc $69,230 $27,692 $54,942 +26% $49,470 +40% —
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $69,001 $27,600 $14,692 +370% $17,715 +289% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $68,912 $27,565 $65,618 +5% $44,553 +55% —
196 interstitial lung disease with mcc $68,808 $27,523 $22,869 +201% $30,766 +124% ≈251% of Medicare
398 appendix procedures with cc $68,703 $27,481 $52,201 +32% $39,107 +76% —
827 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with cc $67,989 $27,196 $64,043 +6% $47,546 +43% —
642 inborn and other disorders of metabolism $66,349 $26,539 $16,969 +291% $20,727 +220% —
167 other respiratory system o.r. procedures with cc $65,931 $26,373 $51,057 +29% $40,563 +63% —
349 anal and stomal procedures without cc/mcc $65,340 $26,136 $27,972 +134% $19,854 +229% —
617 amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $65,219 $26,088 $37,649 +73% $42,881 +52% —
552 medical back problems without mcc $65,089 $26,035 $28,929 +125% $21,213 +207% ≈580% of Medicare
519 back and neck procedures except spinal fusion with cc $65,045 $26,018 $55,926 +16% $43,775 +49% —
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $64,085 $25,634 $70,566 −9% $68,006 −6% —
259 cardiac pacemaker device replacement without mcc $63,952 $25,581 $18,597 +244% $35,673 +79% —
432 cirrhosis and alcoholic hepatitis with mcc $63,330 $25,332 $35,757 +77% $36,933 +71% —
314 other circulatory system diagnoses with mcc $63,330 $25,332 $66,687 −5% $38,357 +65% —
520 back and neck procedures except spinal fusion without cc/mcc $62,272 $24,909 $33,999 +83% $31,816 +96% —
146 ear, nose, mouth and throat malignancy with mcc $61,469 $24,588 $21,919 +180% $37,080 +66% —
725 benign prostatic hypertrophy with mcc $61,340 $24,536 $14,166 +333% $19,894 +208% —
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $61,299 $24,519 $36,908 +66% $35,542 +72% —
738 uterine and adnexa procedures for ovarian or adnexal malignancy without cc/mcc $60,776 $24,310 $12,993 +368% $30,972 +96% —
418 laparoscopic cholecystectomy without c.d.e. with cc $60,525 $24,210 $46,416 +30% $42,119 +44% —
486 knee procedures with principal diagnosis of infection with cc $60,495 $24,198 $69,602 −13% $46,477 +30% —
368 major esophageal disorders with mcc $60,474 $24,189 $43,300 +40% $33,607 +80% —
417 laparoscopic cholecystectomy without c.d.e. with mcc $60,388 $24,155 $60,767 −1% $52,313 +15% —
489 knee procedures without principal diagnosis of infection without cc/mcc $60,295 $24,118 $29,734 +103% $27,492 +119% —
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $58,831 $23,533 $36,340 +62% $34,887 +69% —
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $58,664 $23,466 $32,285 +82% $35,692 +64% —
769 postpartum and post abortion diagnoses with o.r. procedures $58,353 $23,341 $30,170 +93% $24,561 +138% —
713 transurethral prostatectomy with cc/mcc $58,085 $23,234 $33,716 +72% $29,663 +96% —
180 respiratory neoplasms with mcc $57,321 $22,928 $43,392 +32% $36,658 +56% —
288 acute and subacute endocarditis with mcc $57,226 $22,890 $29,404 +95% $45,497 +26% —
477 biopsies of musculoskeletal system and connective tissue with mcc $57,117 $22,847 $62,783 −9% $62,269 −8% —
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $56,203 $22,481 $47,723 +18% $38,094 +48% —
080 nontraumatic stupor and coma with mcc $56,187 $22,475 $23,369 +140% $35,139 +60% —
286 circulatory disorders except ami, with cardiac catheterization with mcc $55,904 $22,361 $47,632 +17% $44,600 +25% ≈174% of Medicare
069 transient ischemia without thrombolytic $54,884 $21,954 $22,611 +143% $20,278 +171% —
884 organic disturbances and intellectual disability $54,670 $21,868 $28,404 +92% $25,208 +117% —
534 fractures of femur without mcc $54,539 $21,816 $7,010 +678% $17,195 +217% —
546 connective tissue disorders with cc $54,449 $21,780 $36,114 +51% $24,202 +125% —
547 connective tissue disorders without cc/mcc $54,426 $21,770 $10,853 +401% $14,861 +266% —
415 cholecystectomy except by laparoscope without c.d.e. with cc $53,578 $21,431 $45,283 +18% $43,398 +23% —
551 medical back problems with mcc $53,147 $21,259 $44,103 +21% $31,086 +71% —
446 disorders of the biliary tract without cc/mcc $53,064 $21,226 $10,130 +424% $17,700 +200% —
370 major esophageal disorders without cc/mcc $52,779 $21,112 $17,816 +196% $15,072 +250% —
871 septicemia or severe sepsis without mv >96 hours with mcc $52,660 $21,064 $47,280 +11% $35,237 +49% ≈196% of Medicare
261 cardiac pacemaker revision except device replacement with cc $51,947 $20,779 $51,947 +0% $42,126 +23% —
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $51,940 $20,776 $27,017 +92% $29,211 +78% —
193 simple pneumonia and pleurisy with mcc $51,598 $20,639 $31,866 +62% $26,158 +97% ≈295% of Medicare
501 soft tissue procedures with cc $51,357 $20,543 $49,159 +4% $37,975 +35% —
744 d&c, conization, laparoscopy and tubal interruption with cc/mcc $51,296 $20,518 $29,511 +74% $33,050 +55% —
100 seizures with mcc $51,271 $20,508 $37,366 +37% $35,194 +46% —
435 malignancy of hepatobiliary system or pancreas with mcc $51,068 $20,427 $33,073 +54% $37,950 +35% —
507 major shoulder or elbow joint procedures with cc/mcc $50,916 $20,367 $45,280 +12% $36,202 +41% —
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $50,563 $20,225 $54,848 −8% $62,821 −20% —
868 other infectious and parasitic diseases diagnoses with cc $50,237 $20,095 $17,665 +184% $22,231 +126% —
135 sinus and mastoid procedures with cc/mcc $50,039 $20,015 $50,039 +0% $40,065 +25% —
560 aftercare, musculoskeletal system and connective tissue with cc $49,826 $19,930 $26,439 +88% $24,452 +104% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $49,812 $19,925 $35,001 +42% $45,059 +11% —
760 menstrual and other female reproductive system disorders with cc/mcc $49,642 $19,857 $17,571 +183% $18,282 +172% —
811 red blood cell disorders with mcc $49,485 $19,794 $23,654 +109% $27,934 +77% —
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $49,139 $19,656 $48,960 +0% $23,723 +107% —
876 o.r. procedures with principal diagnosis of mental illness $49,043 $19,617 $29,940 +64% $54,196 −10% —
847 chemotherapy without acute leukemia as secondary diagnosis with cc $48,895 $19,558 $23,881 +105% $22,275 +120% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $48,375 $19,350 $48,375 +0% $51,985 −7% —
393 other digestive system diagnoses with mcc $48,161 $19,265 $40,098 +20% $32,689 +47% —
374 digestive malignancy with mcc $48,143 $19,257 $42,166 +14% $38,885 +24% —
150 epistaxis with mcc $47,901 $19,161 $19,562 +145% $21,133 +127% —
791 prematurity with major problems $47,892 $19,157 $39,169 +22% $39,563 +21% —
669 transurethral procedures with cc $47,880 $19,152 $35,716 +34% $34,354 +39% —
502 soft tissue procedures without cc/mcc $47,856 $19,142 $28,835 +66% $30,006 +59% —
908 other o.r. procedures for injuries with cc $47,649 $19,060 $37,636 +27% $41,660 +14% —
356 other digestive system o.r. procedures with mcc $47,307 $18,923 $58,115 −19% $82,561 −43% —
036 carotid artery stent procedures without cc/mcc $47,207 $18,883 $44,950 +5% $40,694 +16% —
797 vaginal delivery with sterilization and/or d&c with cc $47,190 $18,876 $20,839 +126% $19,001 +148% —
857 postoperative or post-traumatic infections with o.r. procedures with cc $47,151 $18,860 $26,079 +81% $41,900 +13% —
354 hernia procedures except inguinal and femoral with cc $47,146 $18,858 $41,931 +12% $43,266 +9% —
190 chronic obstructive pulmonary disease with mcc $47,112 $18,845 $21,887 +115% $24,190 +95% ≈313% of Medicare
854 infectious and parasitic diseases with o.r. procedures with cc $46,822 $18,729 $61,736 −24% $43,524 +8% —
508 major shoulder or elbow joint procedures without cc/mcc $46,434 $18,574 $13,811 +236% $22,811 +104% —
068 nonspecific cva and precerebral occlusion without infarction without mcc $46,145 $18,458 $22,001 +110% $19,569 +136% —
141 major head and neck procedures with cc $46,137 $18,455 $34,369 +34% $34,900 +32% —
187 pleural effusion with cc $45,691 $18,276 $18,800 +143% $21,467 +113% —
070 nonspecific cerebrovascular disorders with mcc $45,630 $18,252 $25,907 +76% $30,814 +48% ≈215% of Medicare
516 other musculoskeletal system and connective tissue o.r. procedures with cc $45,435 $18,174 $50,042 −9% $45,817 −1% —
698 other kidney and urinary tract diagnoses with mcc $45,283 $18,113 $28,616 +58% $30,058 +51% ≈219% of Medicare
974 hiv with major related condition with mcc $45,082 $18,033 $56,055 −20% $46,402 −3% —
964 other multiple significant trauma with cc $44,864 $17,945 $30,411 +48% $25,854 +74% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $44,824 $17,929 $43,775 +2% $33,165 +35% —
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $44,819 $17,927 $29,910 +50% $36,280 +24% —
564 other musculoskeletal system and connective tissue diagnoses with mcc $44,712 $17,885 $18,475 +142% $32,936 +36% —
862 postoperative and post-traumatic infections with mcc $44,631 $17,852 $30,606 +46% $30,394 +47% —
326 stomach, esophageal and duodenal procedures with mcc $44,608 $17,843 $85,356 −48% $80,747 −45% —
540 osteomyelitis with cc $44,516 $17,806 $23,875 +86% $23,494 +89% —
842 lymphoma and non-acute leukemia without cc/mcc $44,291 $17,716 $14,637 +203% $17,550 +152% —
346 minor small and large bowel procedures without cc/mcc $44,134 $17,654 $20,366 +117% $26,146 +69% —
746 vagina, cervix and vulva procedures with cc/mcc $44,075 $17,630 $32,278 +37% $29,916 +47% —
624 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders without cc/mcc $43,991 $17,596 $15,087 +192% $17,078 +158% —
039 extracranial procedures without cc/mcc $43,920 $17,568 $23,726 +85% $25,267 +74% —
177 respiratory infections and inflammations with mcc $43,727 $17,491 $40,636 +8% $31,840 +37% ≈179% of Medicare
742 uterine and adnexa procedures for non-malignancy with cc/mcc $43,646 $17,458 $43,855 −0% $40,552 +8% —
914 traumatic injury without mcc $43,382 $17,353 $7,966 +445% $15,593 +178% —
498 local excision and removal of internal fixation devices of hip and femur with cc/mcc $43,303 $17,321 $51,021 −15% $46,659 −7% —
882 neuroses except depressive $43,176 $17,270 $9,320 +363% $15,680 +175% —
337 peritoneal adhesiolysis without cc/mcc $43,114 $17,246 $35,118 +23% $36,239 +19% —
280 acute myocardial infarction, discharged alive with mcc $43,059 $17,224 $30,357 +42% $28,967 +49% ≈132% of Medicare
078 hypertensive encephalopathy with cc $42,794 $17,118 $20,059 +113% $17,434 +145% —
814 reticuloendothelial and immunity disorders with mcc $42,389 $16,956 $27,663 +53% $32,483 +30% —
410 biliary tract procedures except only cholecystectomy with or without c.d.e. without cc/mcc $42,352 $16,941 $16,480 +157% $34,434 +23% —
444 disorders of the biliary tract with mcc $42,163 $16,865 $49,470 −15% $31,128 +35% —
578 skin graft except for skin ulcer or cellulitis without cc/mcc $41,685 $16,674 $27,371 +52% $28,578 +46% —
643 endocrine disorders with mcc $41,559 $16,623 $39,492 +5% $32,996 +26% —
661 kidney and ureter procedures for non-neoplasm without cc/mcc $41,374 $16,549 $27,285 +52% $24,022 +72% —
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $41,253 $16,501 $14,790 +179% $16,776 +146% —
371 major gastrointestinal disorders and peritoneal infections with mcc $41,249 $16,500 $34,208 +21% $31,758 +30% ≈122% of Medicare
168 other respiratory system o.r. procedures without cc/mcc $41,182 $16,473 $40,599 +1% $28,527 +44% —
835 acute leukemia with cc $40,998 $16,399 $26,553 +54% $35,569 +15% —
514 hand or wrist procedures, except major thumb or joint procedures without cc/mcc $40,867 $16,347 $29,605 +38% $20,080 +104% —
282 acute myocardial infarction, discharged alive without cc/mcc $40,786 $16,314 $13,973 +192% $18,623 +119% —
289 acute and subacute endocarditis with cc $40,687 $16,275 $22,592 +80% $29,371 +39% —
699 other kidney and urinary tract diagnoses with cc $40,676 $16,270 $24,373 +67% $20,732 +96% —
038 extracranial procedures with cc $40,657 $16,263 $23,998 +69% $35,770 +14% —
399 appendix procedures without cc/mcc $40,573 $16,229 $28,191 +44% $30,314 +34% —
287 circulatory disorders except ami, with cardiac catheterization without mcc $40,539 $16,216 $40,539 +0% $31,190 +30% ≈274% of Medicare
834 acute leukemia with mcc $40,525 $16,210 $40,525 +0% $76,583 −47% —
179 respiratory infections and inflammations without cc/mcc $40,186 $16,074 $16,262 +147% $14,444 +178% —
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $40,125 $16,050 $28,244 +42% $32,399 +24% —
264 other circulatory system o.r. procedures $40,041 $16,016 $59,308 −32% $51,953 −23% —
754 malignancy, female reproductive system with mcc $39,561 $15,824 $24,089 +64% $29,476 +34% —
185 major chest trauma without cc/mcc $39,522 $15,809 $8,555 +362% $15,858 +149% —
064 intracranial hemorrhage or cerebral infarction with mcc $39,434 $15,774 $36,919 +7% $35,714 +10% ≈138% of Medicare
828 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures without cc/mcc $39,413 $15,765 $28,212 +40% $35,584 +11% —
840 lymphoma and non-acute leukemia with mcc $39,296 $15,718 $37,712 +4% $49,710 −21% —
818 other antepartum diagnoses with o.r. procedures with cc $39,269 $15,708 $27,021 +45% $24,316 +61% —
660 kidney and ureter procedures for non-neoplasm with cc $39,167 $15,667 $36,171 +8% $30,358 +29% —
067 nonspecific cva and precerebral occlusion without infarction with mcc $39,133 $15,653 $15,494 +153% $24,941 +57% —
595 major skin disorders with mcc $38,903 $15,561 $23,318 +67% $31,785 +22% —
254 other vascular procedures without cc/mcc $38,711 $15,484 $34,944 +11% $38,836 −0% —
175 pulmonary embolism with mcc or acute cor pulmonale $38,703 $15,481 $21,442 +81% $29,757 +30% ≈188% of Medicare
598 malignant breast disorders with cc $38,605 $15,442 $20,539 +88% $19,073 +102% —
059 multiple sclerosis and cerebellar ataxia with cc $38,340 $15,336 $28,290 +36% $26,322 +46% —
357 other digestive system o.r. procedures with cc $38,297 $15,319 $56,437 −32% $48,682 −21% —
506 major thumb or joint procedures $38,295 $15,318 $19,915 +92% $28,983 +32% —
445 disorders of the biliary tract with cc $38,079 $15,231 $18,217 +109% $21,806 +75% ≈233% of Medicare
626 thyroid, parathyroid and thyroglossal procedures with cc $38,067 $15,227 $22,809 +67% $27,279 +40% —
682 renal failure with mcc $37,932 $15,173 $27,953 +36% $27,854 +36% ≈193% of Medicare
737 uterine and adnexa procedures for ovarian or adnexal malignancy with cc $37,909 $15,164 $29,051 +30% $44,363 −15% —
202 bronchitis and asthma with cc/mcc $37,841 $15,136 $23,318 +62% $17,273 +119% —
097 non-bacterial infection of nervous system except viral meningitis with mcc $37,750 $15,100 $55,801 −32% $57,855 −35% —
571 skin debridement with cc $37,596 $15,038 $37,596 +0% $34,901 +8% —
553 bone diseases and arthropathies with mcc $37,427 $14,971 $13,969 +168% $23,956 +56% —
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $37,162 $14,865 $37,162 +0% $36,334 +2% —
602 cellulitis with mcc $37,057 $14,823 $25,010 +48% $29,347 +26% —
549 septic arthritis with cc $37,024 $14,810 $21,289 +74% $20,938 +77% —
919 complications of treatment with mcc $36,651 $14,660 $31,482 +16% $29,031 +26% —
817 other antepartum diagnoses with o.r. procedures with mcc $36,606 $14,643 $36,606 +0% $36,097 +1% —
565 other musculoskeletal system and connective tissue diagnoses with cc $36,452 $14,581 $23,859 +53% $21,545 +69% —
300 peripheral vascular disorders with cc $36,300 $14,520 $23,860 +52% $19,579 +85% —
798 vaginal delivery with sterilization and/or d&c without cc/mcc $36,086 $14,434 $17,559 +106% $18,238 +98% —
192 chronic obstructive pulmonary disease without cc/mcc $35,688 $14,275 $14,790 +141% $14,368 +148% —
605 trauma to the skin, subcutaneous tissue and breast without mcc $35,646 $14,258 $24,757 +44% $19,287 +85% —
292 heart failure and shock with cc $35,641 $14,256 $19,922 +79% $16,212 +120% —
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $35,617 $14,247 $30,033 +19% $30,930 +15% —
348 anal and stomal procedures with cc $35,493 $14,197 $34,549 +3% $27,947 +27% —
191 chronic obstructive pulmonary disease with cc $35,458 $14,183 $18,365 +93% $18,278 +94% —
479 biopsies of musculoskeletal system and connective tissue without cc/mcc $35,446 $14,178 $27,358 +30% $31,909 +11% —
154 other ear, nose, mouth and throat diagnoses with mcc $35,396 $14,158 $35,396 +0% $24,465 +45% —
989 non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $35,138 $14,055 $17,190 +104% $25,307 +39% —
694 urinary stones without mcc $35,011 $14,005 $10,566 +231% $16,531 +112% —
189 pulmonary edema and respiratory failure $34,870 $13,948 $34,870 +0% $25,704 +36% ≈200% of Medicare
355 hernia procedures except inguinal and femoral without cc/mcc $34,468 $13,787 $37,878 −9% $31,978 +8% —
535 fractures of hip and pelvis with mcc $34,398 $13,759 $29,423 +17% $23,350 +47% —
416 cholecystectomy except by laparoscope without c.d.e. without cc/mcc $34,300 $13,720 $28,539 +20% $30,418 +13% —
572 skin debridement without cc/mcc $34,192 $13,677 $28,378 +20% $24,432 +40% —
142 major head and neck procedures without cc/mcc $33,679 $13,472 $46,585 −28% $34,906 −4% —
377 gastrointestinal hemorrhage with mcc $33,611 $13,444 $46,940 −28% $37,842 −11% ≈129% of Medicare
352 inguinal and femoral hernia procedures without cc/mcc $33,165 $13,266 $30,099 +10% $25,162 +32% —
255 upper limb and toe amputation for circulatory system disorders with mcc $33,061 $13,224 $36,325 −9% $43,697 −24% —
436 malignancy of hepatobiliary system or pancreas with cc $32,986 $13,194 $21,276 +55% $24,017 +37% —
281 acute myocardial infarction, discharged alive with cc $32,962 $13,185 $24,038 +37% $20,463 +61% ≈276% of Medicare
554 bone diseases and arthropathies without mcc $32,929 $13,172 $24,653 +34% $18,253 +80% —
205 other respiratory system diagnoses with mcc $32,922 $13,169 $18,573 +77% $32,204 +2% —
083 traumatic stupor and coma >1 hour with cc $32,918 $13,167 $22,765 +45% $24,118 +36% —
917 poisoning and toxic effects of drugs with mcc $32,661 $13,065 $35,324 −8% $28,134 +16% —
693 urinary stones with mcc $32,628 $13,051 $12,362 +164% $22,525 +45% —
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $32,614 $13,046 $32,614 +0% $33,424 −2% —
204 respiratory signs and symptoms $32,531 $13,013 $9,981 +226% $16,866 +93% —
689 kidney and urinary tract infections with mcc $32,378 $12,951 $24,198 +34% $22,982 +41% ≈212% of Medicare
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $32,325 $12,930 $22,779 +42% $22,032 +47% ≈202% of Medicare
147 ear, nose, mouth and throat malignancy with cc $31,990 $12,796 $19,462 +64% $21,860 +46% —
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $31,987 $12,795 $53,017 −40% $33,137 −3% —
922 other injury, poisoning and toxic effect diagnoses with mcc $31,839 $12,736 $31,839 +0% $29,409 +8% —
369 major esophageal disorders with cc $31,798 $12,719 $24,636 +29% $22,713 +40% —
308 cardiac arrhythmia and conduction disorders with mcc $31,743 $12,697 $19,824 +60% $26,488 +20% ≈181% of Medicare
438 disorders of pancreas except malignancy with mcc $31,731 $12,692 $31,731 +0% $32,502 −2% —
864 fever and inflammatory conditions $31,524 $12,610 $14,916 +111% $17,412 +81% —
855 infectious and parasitic diseases with o.r. procedures without cc/mcc $31,323 $12,529 $28,696 +9% $27,168 +15% —
086 traumatic stupor and coma <1 hour with cc $31,234 $12,494 $18,282 +71% $23,115 +35% —
157 dental and oral diseases with mcc $30,994 $12,398 $17,365 +78% $27,457 +13% —
081 nontraumatic stupor and coma without mcc $30,991 $12,396 $16,725 +85% $15,077 +106% —
743 uterine and adnexa procedures for non-malignancy without cc/mcc $30,778 $12,311 $30,778 +0% $27,369 +12% —
092 other disorders of nervous system with cc $30,742 $12,297 $25,748 +19% $24,136 +27% ≈233% of Medicare
099 non-bacterial infection of nervous system except viral meningitis without cc/mcc $30,730 $12,292 $23,471 +31% $25,666 +20% —
607 minor skin disorders without mcc $30,561 $12,224 $14,778 +107% $15,284 +100% —
149 dysequilibrium $30,457 $12,183 $16,577 +84% $17,203 +77% ≈350% of Medicare
920 complications of treatment with cc $30,246 $12,098 $21,587 +40% $21,181 +43% —
883 disorders of personality and impulse control $29,925 $11,970 $12,046 +148% $22,698 +32% —
077 hypertensive encephalopathy with mcc $29,880 $11,952 $16,431 +82% $24,036 +24% —
178 respiratory infections and inflammations with cc $29,875 $11,950 $23,848 +25% $22,024 +36% ≈222% of Medicare
872 septicemia or severe sepsis without mv >96 hours without mcc $29,812 $11,925 $28,123 +6% $22,781 +31% ≈231% of Medicare
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $29,725 $11,890 $25,712 +16% $23,469 +27% ≈246% of Medicare
965 other multiple significant trauma without cc/mcc $29,567 $11,827 $11,744 +152% $17,585 +68% —
054 nervous system neoplasms with mcc $29,510 $11,804 $22,729 +30% $29,484 +0% —
381 complicated peptic ulcer with cc $29,448 $11,779 $29,448 +0% $24,177 +22% —
487 knee procedures with principal diagnosis of infection without cc/mcc $29,412 $11,765 $29,148 +1% $33,490 −12% —
316 other circulatory system diagnoses without cc/mcc $29,382 $11,753 $12,331 +138% $12,797 +130% —
291 heart failure and shock with mcc $29,333 $11,733 $27,049 +8% $25,020 +17% ≈167% of Medicare
378 gastrointestinal hemorrhage with cc $29,277 $11,711 $21,582 +36% $21,886 +34% ≈212% of Medicare
071 nonspecific cerebrovascular disorders with cc $29,212 $11,685 $22,186 +32% $23,396 +25% ≈209% of Medicare
074 cranial and peripheral nerve disorders without mcc $29,209 $11,684 $20,035 +46% $23,141 +26% —
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $29,162 $11,665 $25,592 +14% $23,496 +24% —
072 nonspecific cerebrovascular disorders without cc/mcc $29,114 $11,645 $15,984 +82% $16,654 +75% —
717 other male reproductive system o.r. procedures except malignancy with cc/mcc $29,023 $11,609 $25,434 +14% $32,538 −11% —
395 other digestive system diagnoses without cc/mcc $28,989 $11,596 $10,099 +187% $14,128 +105% —
199 pneumothorax with mcc $28,898 $11,559 $23,280 +24% $31,491 −8% —
863 postoperative and post-traumatic infections without mcc $28,888 $11,555 $28,888 +0% $20,007 +44% —
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $28,867 $11,547 $28,867 +0% $18,150 +59% —
906 hand procedures for injuries $28,724 $11,489 $28,715 +0% $31,520 −9% —
637 diabetes with mcc $28,692 $11,477 $39,314 −27% $28,819 −0% —
145 other ear, nose, mouth and throat o.r. procedures without cc/mcc $28,445 $11,378 $22,293 +28% $20,842 +36% —
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $28,373 $11,349 $24,957 +14% $21,449 +32% —
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $28,373 $11,349 $20,366 +39% $30,275 −6% —
345 minor small and large bowel procedures with cc $28,323 $11,329 $26,767 +6% $31,062 −9% —
880 acute adjustment reaction and psychosocial dysfunction $28,036 $11,214 $15,116 +85% $15,636 +79% —
052 spinal disorders and injuries with cc/mcc $27,935 $11,174 $24,571 +14% $30,940 −10% —
539 osteomyelitis with mcc $27,935 $11,174 $27,935 +0% $33,746 −17% —
770 abortion with d&c, aspiration curettage or hysterotomy $27,892 $11,157 $24,714 +13% $17,943 +55% —
194 simple pneumonia and pleurisy with cc $27,820 $11,128 $19,357 +44% $18,204 +53% ≈289% of Medicare
315 other circulatory system diagnoses with cc $27,656 $11,062 $20,942 +32% $20,777 +33% ≈191% of Medicare
206 other respiratory system diagnoses without mcc $27,612 $11,045 $10,667 +159% $17,731 +56% —
476 amputation for musculoskeletal system and connective tissue disorders without cc/mcc $27,469 $10,988 $27,469 +0% $21,062 +30% —
830 myeloproliferative disorders or poorly differentiated neoplasms with other procedures without cc/mcc $27,277 $10,911 $21,425 +27% $25,149 +8% —
186 pleural effusion with mcc $27,126 $10,850 $39,683 −32% $32,468 −16% —
796 vaginal delivery with sterilization and/or d&c with mcc $27,074 $10,829 $21,405 +26% $22,557 +20% —
125 other disorders of the eye without mcc $27,069 $10,827 $18,156 +49% $15,876 +71% —
388 gastrointestinal obstruction with mcc $27,030 $10,812 $20,298 +33% $28,780 −6% —
091 other disorders of nervous system with mcc $26,946 $10,779 $34,501 −22% $36,375 −26% —
188 pleural effusion without cc/mcc $26,944 $10,778 $8,110 +232% $14,110 +91% —
728 inflammation of the male reproductive system without mcc $26,911 $10,765 $13,061 +106% $16,837 +60% —
759 infections, female reproductive system without cc/mcc $26,897 $10,759 $11,815 +128% $14,208 +89% —
093 other disorders of nervous system without cc/mcc $26,844 $10,737 $15,799 +70% $17,522 +53% —
197 interstitial lung disease with cc $26,781 $10,713 $17,819 +50% $20,106 +33% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $26,767 $10,707 $26,767 +0% $27,244 −2% ≈152% of Medicare
304 hypertension with mcc $26,659 $10,663 $26,659 +0% $24,185 +10% —
433 cirrhosis and alcoholic hepatitis with cc $26,587 $10,635 $23,582 +13% $23,749 +12% —
947 signs and symptoms with mcc $26,431 $10,573 $26,617 −1% $25,474 +4% —
627 thyroid, parathyroid and thyroglossal procedures without cc/mcc $26,357 $10,543 $26,357 +0% $25,623 +3% —
385 inflammatory bowel disease with mcc $26,355 $10,542 $22,792 +16% $26,020 +1% —
755 malignancy, female reproductive system with cc $26,094 $10,437 $19,028 +37% $18,459 +41% —
687 kidney and urinary tract neoplasms with cc $25,913 $10,365 $21,164 +22% $18,478 +40% —
176 pulmonary embolism without mcc $25,892 $10,357 $18,538 +40% $18,081 +43% —
557 tendonitis, myositis and bursitis with mcc $25,772 $10,309 $24,871 +4% $28,646 −10% —
305 hypertension without mcc $25,768 $10,307 $15,455 +67% $17,144 +50% —
084 traumatic stupor and coma >1 hour without cc/mcc $25,644 $10,258 $12,504 +105% $18,191 +41% —
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $25,430 $10,172 $17,026 +49% $17,103 +49% —
372 major gastrointestinal disorders and peritoneal infections with cc $25,271 $10,108 $25,271 +0% $22,850 +11% ≈209% of Medicare
301 peripheral vascular disorders without cc/mcc $25,239 $10,095 $11,377 +122% $15,607 +62% —
312 syncope and collapse $25,149 $10,060 $20,728 +21% $19,342 +30% ≈231% of Medicare
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $24,993 $9,997 $10,879 +130% $16,104 +55% —
394 other digestive system diagnoses with cc $24,864 $9,946 $15,999 +55% $18,918 +31% ≈199% of Medicare
787 cesarean section without sterilization with cc $24,695 $9,878 $22,755 +9% $23,571 +5% —
921 complications of treatment without cc/mcc $24,616 $9,846 $10,735 +129% $14,012 +76% —
439 disorders of pancreas except malignancy with cc $24,599 $9,840 $19,517 +26% $19,096 +29% ≈229% of Medicare
123 neurological eye disorders $24,486 $9,794 $19,922 +23% $17,831 +37% —
806 vaginal delivery without sterilization or d&c with cc $24,396 $9,759 $15,247 +60% $13,090 +86% —
299 peripheral vascular disorders with mcc $24,346 $9,738 $21,036 +16% $25,731 −5% —
389 gastrointestinal obstruction with cc $24,343 $9,737 $17,413 +40% $17,388 +40% ≈228% of Medicare
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $24,268 $9,707 $12,232 +98% $18,803 +29% —
184 major chest trauma with cc $24,225 $9,690 $13,293 +82% $20,842 +16% —
152 otitis media and uri with mcc $24,066 $9,626 $14,444 +67% $19,795 +22% —
603 cellulitis without mcc $24,064 $9,626 $19,952 +21% $18,530 +30% ≈230% of Medicare
060 multiple sclerosis and cerebellar ataxia without cc/mcc $24,061 $9,625 $26,051 −8% $21,261 +13% —
101 seizures without mcc $23,906 $9,563 $24,986 −4% $19,954 +20% —
865 viral illness with mcc $23,758 $9,503 $15,709 +51% $26,088 −9% —
885 psychoses $23,699 $9,480 $16,075 +47% $21,489 +10% —
144 other ear, nose, mouth and throat o.r. procedures with cc $23,693 $9,477 $29,134 −19% $29,558 −20% —
600 non-malignant breast disorders with cc/mcc $23,464 $9,386 $13,684 +71% $16,418 +43% —
915 allergic reactions with mcc $23,148 $9,259 $59,689 −61% $30,944 −25% —
103 headaches without mcc $23,073 $9,229 $8,786 +163% $20,111 +15% —
066 intracranial hemorrhage or cerebral infarction without cc/mcc $22,975 $9,190 $20,913 +10% $19,483 +18% —
786 cesarean section without sterilization with mcc $22,942 $9,177 $22,942 +0% $27,118 −15% —
783 cesarean section with sterilization with mcc $22,695 $9,078 $21,730 +4% $28,375 −20% —
670 transurethral procedures without cc/mcc $22,622 $9,049 $15,214 +49% $20,371 +11% —
684 renal failure without cc/mcc $22,613 $9,045 $15,085 +50% $13,623 +66% —
805 vaginal delivery without sterilization or d&c with mcc $22,370 $8,948 $14,302 +56% $15,370 +46% —
949 aftercare with cc/mcc $22,261 $8,904 $26,724 −17% $23,953 −7% —
379 gastrointestinal hemorrhage without cc/mcc $22,157 $8,863 $20,711 +7% $14,134 +57% —
313 chest pain $22,146 $8,858 $11,202 +98% $15,962 +39% ≈323% of Medicare
788 cesarean section without sterilization without cc/mcc $22,058 $8,823 $19,083 +16% $20,084 +10% —
085 traumatic stupor and coma <1 hour with mcc $22,057 $8,823 $22,931 −4% $37,064 −40% —
812 red blood cell disorders without mcc $22,034 $8,814 $21,472 +3% $20,488 +8% ≈184% of Medicare
550 septic arthritis without cc/mcc $21,963 $8,785 $13,934 +58% $16,156 +36% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $21,875 $8,750 $13,087 +67% $16,049 +36% —
203 bronchitis and asthma without cc/mcc $21,865 $8,746 $14,737 +48% $12,279 +78% —
690 kidney and urinary tract infections without mcc $21,760 $8,704 $18,582 +17% $17,466 +25% ≈219% of Medicare
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $21,713 $8,685 $22,535 −4% $17,322 +25% ≈221% of Medicare
440 disorders of pancreas except malignancy without cc/mcc $21,661 $8,664 $16,162 +34% $15,070 +44% —
121 acute major eye infections with cc/mcc $21,654 $8,662 $16,800 +29% $18,291 +18% —
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $21,613 $8,645 $35,544 −39% $24,480 −12% ≈103% of Medicare
536 fractures of hip and pelvis without mcc $21,571 $8,628 $20,702 +4% $18,002 +20% —
831 other antepartum diagnoses without o.r. procedures with mcc $21,530 $8,612 $16,000 +35% $18,133 +19% —
638 diabetes with cc $21,526 $8,610 $21,692 −1% $18,821 +14% ≈214% of Medicare
307 cardiac congenital and valvular disorders without mcc $21,355 $8,542 $11,238 +90% $18,608 +15% —
822 lymphoma and leukemia with major o.r. procedures without cc/mcc $21,151 $8,460 $12,306 +72% $25,390 −17% —
309 cardiac arrhythmia and conduction disorders with cc $21,110 $8,444 $22,998 −8% $16,865 +25% ≈233% of Medicare
916 allergic reactions without mcc $21,096 $8,438 $19,973 +6% $13,890 +52% —
443 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc $20,984 $8,394 $16,983 +24% $15,600 +35% —
386 inflammatory bowel disease with cc $20,968 $8,387 $16,577 +26% $20,968 +0% —
807 vaginal delivery without sterilization or d&c without cc/mcc $20,889 $8,356 $15,414 +36% $12,044 +73% —
183 major chest trauma with mcc $20,766 $8,306 $26,970 −23% $28,924 −28% —
382 complicated peptic ulcer without cc/mcc $20,651 $8,260 $9,897 +109% $16,634 +24% —
848 chemotherapy without acute leukemia as secondary diagnosis without cc/mcc $20,180 $8,072 $11,499 +76% $13,822 +46% —
158 dental and oral diseases with cc $20,027 $8,011 $18,032 +11% $17,700 +13% —
201 pneumothorax without cc/mcc $19,975 $7,990 $11,438 +75% $13,081 +53% —
866 viral illness without mcc $19,621 $7,848 $18,361 +7% $16,391 +20% —
541 osteomyelitis without cc/mcc $19,519 $7,808 $12,684 +54% $14,549 +34% —
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $19,350 $7,740 $20,308 −5% $18,428 +5% —
683 renal failure with cc $19,137 $7,655 $16,875 +13% $18,620 +3% ≈163% of Medicare
948 signs and symptoms without mcc $19,068 $7,627 $19,901 −4% $17,727 +8% —
644 endocrine disorders with cc $19,030 $7,612 $19,297 −1% $22,941 −17% —
087 traumatic stupor and coma <1 hour without cc/mcc $18,733 $7,493 $18,733 +0% $15,869 +18% —
832 other antepartum diagnoses without o.r. procedures with cc $18,719 $7,487 $18,719 +0% $12,895 +45% —
815 reticuloendothelial and immunity disorders with cc $18,599 $7,440 $18,875 −1% $18,017 +3% —
710 penis procedures without cc/mcc $18,533 $7,413 $17,252 +7% $23,814 −22% —
387 inflammatory bowel disease without cc/mcc $18,390 $7,356 $16,402 +12% $14,880 +24% —
311 angina pectoris $18,309 $7,323 $11,421 +60% $15,165 +21% —
918 poisoning and toxic effects of drugs without mcc $18,191 $7,276 $11,452 +59% $15,045 +21% —
604 trauma to the skin, subcutaneous tissue and breast with mcc $17,934 $7,174 $17,934 +0% $28,140 −36% —
784 cesarean section with sterilization with cc $17,853 $7,141 $18,030 −1% $22,560 −21% —
779 abortion without d&c $17,666 $7,066 $8,337 +112% $15,327 +15% —
195 simple pneumonia and pleurisy without cc/mcc $17,560 $7,024 $18,452 −5% $13,824 +27% —
151 epistaxis without mcc $17,429 $6,972 $8,657 +101% $13,032 +34% —
785 cesarean section with sterilization without cc/mcc $16,977 $6,791 $18,130 −6% $19,815 −14% —
293 heart failure and shock without cc/mcc $16,977 $6,791 $10,349 +64% $11,955 +42% —
639 diabetes without cc/mcc $16,801 $6,721 $15,755 +7% $13,910 +21% —
894 alcohol, drug abuse or dependence, left ama $16,789 $6,716 $11,440 +47% $12,013 +40% —
076 viral meningitis without cc/mcc $16,629 $6,651 $9,982 +67% $15,474 +7% —
390 gastrointestinal obstruction without cc/mcc $16,576 $6,630 $12,107 +37% $13,318 +24% —
599 malignant breast disorders without cc/mcc $16,457 $6,583 $5,555 +196% $14,290 +15% —
200 pneumothorax with cc $16,286 $6,514 $22,598 −28% $20,573 −21% —
700 other kidney and urinary tract diagnoses without cc/mcc $15,607 $6,243 $13,149 +19% $13,303 +17% —
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $15,584 $6,234 $16,702 −7% $16,745 −7% ≈161% of Medicare
310 cardiac arrhythmia and conduction disorders without cc/mcc $15,088 $6,035 $11,589 +30% $13,384 +13% ≈254% of Medicare
303 atherosclerosis without mcc $14,381 $5,753 $14,621 −2% $14,927 −4% —
558 tendonitis, myositis and bursitis without mcc $14,331 $5,732 $16,479 −13% $17,367 −17% —
153 otitis media and uri without mcc $14,239 $5,696 $14,829 −4% $14,473 −2% —
793 full term neonate with major problems $14,229 $5,691 $22,925 −38% $16,719 −15% —
727 inflammation of the male reproductive system with mcc $14,081 $5,633 $20,678 −32% $25,786 −45% —
375 digestive malignancy with cc $14,022 $5,609 $17,545 −20% $27,219 −48% —
159 dental and oral diseases without cc/mcc $13,908 $5,563 $11,962 +16% $13,368 +4% —
923 other injury, poisoning and toxic effect diagnoses without mcc $13,856 $5,542 $17,668 −22% $16,571 −16% —
533 fractures of femur with mcc $13,153 $5,261 $14,682 −10% $25,945 −49% —
645 endocrine disorders without cc/mcc $12,950 $5,180 $9,171 +41% $14,166 −9% —
597 malignant breast disorders with mcc $12,610 $5,044 $19,303 −35% $31,846 −60% —
696 kidney and urinary tract signs and symptoms without mcc $12,278 $4,911 $9,118 +35% $14,441 −15% —
726 benign prostatic hypertrophy without mcc $12,141 $4,857 $13,637 −11% $13,892 −13% —
761 menstrual and other female reproductive system disorders without cc/mcc $12,019 $4,808 $7,082 +70% $11,421 +5% —
816 reticuloendothelial and immunity disorders without cc/mcc $11,919 $4,767 $7,343 +62% $13,485 −12% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $11,421 $4,569 $10,165 +12% $9,076 +26% —
596 major skin disorders without mcc $11,295 $4,518 $11,664 −3% $17,226 −34% —
055 nervous system neoplasms without mcc $11,167 $4,467 $12,752 −12% $19,868 −44% —
155 other ear, nose, mouth and throat diagnoses with cc $10,784 $4,313 $10,785 −0% $16,642 −35% —
881 depressive neuroses $10,770 $4,308 $8,250 +31% $15,058 −28% —
723 malignancy, male reproductive system with cc $10,079 $4,032 $18,079 −44% $19,317 −48% —
776 postpartum and post abortion diagnoses without o.r. procedures $9,052 $3,621 $9,052 +0% $12,381 −27% —
792 prematurity without major problems $8,704 $3,482 $13,310 −35% $11,633 −25% —
794 neonate with other significant problems $5,773 $2,309 $8,809 −34% $7,961 −27% —
951 other factors influencing health status $4,325 $1,730 $10,551 −59% $9,385 −54% —
795 normal newborn $3,124 $1,250 $2,778 +12% $4,530 −31% —