Brigham and Women's Faulkner Hospital — Pricing

765 procedures published in this hospital's Machine-Readable File (MRF) — 759 with a comparable price, 6 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 765
Lowest published price $3,401
Average published price $149,369
Highest published price $2,341,833

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 765 procedures

Published charges

Showing all 759 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 72 procedures, this hospital's negotiated rates average ≈121% of what Medicare pays.

DRG Description Published price Cash price vs. MA median vs. National median vs Medicare
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $2,341,833 $1,756,375 $2,341,833 +0% $498,715 +370% —
591 Neonate Birth Weight 500-749 Grams Without Major Procedure,EXTREME $2,080,883 — $2,080,883 +0% $1,159,755 +79% —
588 Neonate Birth Weight < 1500 Grams With Major Procedure,EXTREME $1,811,180 — $1,811,180 +0% $1,196,961 +51% —
002 Heart And/Or Lung Transplant,EXTREME $1,703,556 — $1,327,941 +28% $169,977 +902% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,537,842 $1,153,382 $894,192 +72% $431,073 +257% —
004 Tracheostomy With Mv >96 Hours With Extensive Procedure,EXTREME $1,336,462 — $467,237 +186% $245,241 +445% —
161 Implantable Heart Assist Systems,EXTREME $1,181,300 — $1,181,300 +0% $1,181,300 +0% —
009 Extracorporeal Membrane Oxygenation (Ecmo),EXTREME $1,102,517 — $1,102,517 +0% $487,874 +126% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $1,099,429 $824,571 $375,261 +193% $371,366 +196% —
325 Non-Elective Or Complex Knee Joint Replacement,EXTREME $996,211 — $93,081 +970% $53,551 +1760% —
005 Tracheostomy With Mv >96 Hours Without Extensive Procedure,EXTREME $833,838 — $556,474 +50% $159,181 +424% —
174 Percutaneous Cardiac Intervention With Ami,EXTREME $813,584 — $183,426 +344% $74,377 +994% —
614 Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,MAJOR $789,280 — $59,563 +1225% $43,586 +1711% —
910 Craniotomy For Multiple Significant Trauma,EXTREME $661,344 — $661,344 +0% $372,934 +77% —
955 Craniotomy For Multiple Significant Trauma $661,344 $496,008 $215,408 +207% $105,612 +526% —
160 Major Cardiothoracic Repair Of Heart Anomaly,EXTREME $614,564 — $614,564 +0% $6,256 +9723% —
162 Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,EXTREME $597,047 — $554,548 +8% $371,965 +61% —
621 Neonate Birth Weight 2000-2499 Grams With Major Anomaly,EXTREME $593,852 — $36,546 +1525% $32,451 +1730% —
842 Burns With Skin Graft Except Extensive Third Degree Burns,EXTREME $590,523 — $23,534 +2409% $17,550 +3265% —
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $590,523 $442,892 $448,305 +32% $306,087 +93% —
612 Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $548,916 — $309,804 +77% $249,205 +120% —
361 Skin Graft For Skin And Subcutaneous Tissue Diagnoses,EXTREME $528,118 — $56,071 +842% $79,921 +561% —
212 Concomitant Aortic And Mitral Valve Procedures $520,770 $390,577 $362,255 +44% $171,338 +204% —
023 Spinal Procedures,EXTREME $503,682 — $114,417 +340% $106,778 +372% —
120 Major Respiratory And Chest Procedures,EXTREME $481,366 — $329,576 +46% $71,194 +576% —
260 Major Pancreas, Liver And Shunt Procedures,EXTREME $480,672 — $82,301 +484% $67,901 +608% —
680 Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,EXTREME $475,125 — $379,153 +25% $112,564 +322% —
220 Major Stomach, Esophageal And Duodenal Procedures,EXTREME $465,245 — $181,335 +157% $102,177 +355% —
007 Allogeneic Bone Marrow Transplant,EXTREME $460,444 — $460,444 +0% $170,608 +170% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $444,212 $333,159 $415,326 +7% $175,437 +153% —
130 Respiratory System Diagnosis With Ventilator Support > 96 Hours,EXTREME $422,271 — $258,639 +63% $23,289 +1713% —
215 Other Heart Assist System Implant $421,526 $316,144 $340,077 +24% $191,314 +120% —
447 Other Kidney, Urinary Tract And Related Non-Percutaneous Procedures,EXTREME $421,358 — $167,306 +152% $114,914 +267% —
681 Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,EXTREME $416,514 — $416,514 +0% $80,278 +419% —
163 Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,EXTREME $410,088 — $138,484 +196% $88,341 +364% —
169 Major Abdominal Vascular Procedures,EXTREME $406,578 — $324,024 +25% $128,246 +217% —
611 Neonate Birth Weight 1500-1999 Grams With Major Anomaly,EXTREME $406,414 — $333,028 +22% $124,961 +225% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $391,218 $293,414 $193,112 +103% $138,008 +183% —
020 Open Craniotomy For Trauma,EXTREME $382,112 — $325,686 +17% $134,914 +183% —
014 Allogeneic Bone Marrow Transplant $380,132 $285,099 $380,132 +0% $182,314 +109% —
429 Combined Anterior And Posterior Cervical Spinal Fusion With McC $378,490 $283,867 $365,036 +4% $120,174 +215% —
304 Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,EXTREME $372,273 — $54,990 +577% $24,185 +1439% —
167 Other Cardiothoracic And Thoracic Circulatory Procedures,EXTREME $365,952 — $45,038 +713% $40,563 +802% —
792 Extensive O.R. Procedures For Other Complications Of Treatment,EXTREME $364,557 — $23,523 +1450% $11,633 +3034% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $361,664 $271,248 $113,568 +218% $138,868 +160% —
911 Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,EXTREME $358,577 — $358,577 +0% $346,251 +4% —
171 Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,EXTREME $355,020 — $226,177 +57% $82,174 +332% —
652 Kidney Transplant $353,890 $265,418 $274,134 +29% $54,720 +547% —
121 Other Respiratory And Chest Procedures,EXTREME $351,121 — $33,924 +935% $18,291 +1820% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $346,586 $259,939 $139,310 +149% $73,029 +375% —
165 Coronary Bypass With Ami Or Complex Principal Diagnosis,EXTREME $346,290 — $99,425 +248% $41,380 +737% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $338,598 $253,948 $121,455 +179% $96,192 +252% —
950 Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $338,382 — $18,592 +1720% $13,527 +2401% —
082 Eye Infections And Other Eye Disorders,EXTREME $338,132 — $24,039 +1307% $36,237 +833% —
230 Major Small Bowel Procedures,EXTREME $337,763 — $161,429 +109% $88,720 +281% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $337,525 $253,143 $100,048 +237% $80,018 +322% —
179 Defibrillator Implants,EXTREME $336,478 — $19,357 +1638% $14,444 +2230% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $336,478 $252,359 $242,313 +39% $131,961 +155% —
089 Major Cranial Or Facial Bone Procedures,MAJOR $336,153 — $23,825 +1311% $18,293 +1738% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $333,295 $249,971 $156,447 +113% $86,953 +283% —
181 Lower Vascular Procedures,EXTREME $329,884 — $43,236 +663% $22,431 +1371% —
183 Percutaneous Structural Cardiac Procedures,EXTREME $329,826 — $38,398 +759% $28,924 +1040% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $329,307 $246,980 $96,252 +242% $98,912 +233% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $329,223 $246,917 $167,007 +97% $88,691 +271% —
166 Coronary Bypass Without Ami Or Complex Principal Diagnosis,EXTREME $324,958 — $70,432 +361% $72,782 +346% —
511 Gynecologic Procedures For Malignancy,EXTREME $320,121 — $49,929 +541% $43,538 +635% —
321 Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,EXTREME $317,452 — $101,032 +214% $74,274 +327% —
021 Open Craniotomy Except Trauma,EXTREME $314,971 — $159,308 +98% $101,235 +211% —
308 Hip And Femur Fracture Repair,EXTREME $314,443 — $38,221 +723% $26,488 +1087% ≈293% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $302,434 $226,826 $223,096 +36% $118,589 +155% —
229 Other Digestive System And Abdominal Procedures,EXTREME $302,365 — $101,978 +196% $65,325 +363% —
264 Other Hepatobiliary, Pancreas And Abdominal Procedures,EXTREME $300,247 — $126,573 +137% $51,953 +478% —
313 Knee And Lower Leg Procedures Except Foot,EXTREME $299,595 — $23,897 +1154% $15,962 +1777% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC $299,567 $224,675 $112,830 +166% $89,353 +235% —
173 Other Vascular Procedures,EXTREME $298,937 — $57,769 +417% $53,555 +458% —
912 Musculoskeletal And Other Procedures For Multiple Significant Trauma,EXTREME $298,591 — $298,591 +0% $88,781 +236% —
519 Gynecologic Procedures For Leiomyoma,MAJOR $298,512 — $47,463 +529% $43,775 +582% —
633 Neonate Birth Weight > 2499 Grams With Major Anomaly,EXTREME $297,335 — $156,546 +90% $31,241 +852% —
270 Other Major Cardiovascular Procedures With McC $294,983 $221,237 $154,050 +91% $99,423 +197% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $290,410 $217,808 $115,978 +150% $82,247 +253% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $289,476 $217,107 $242,781 +19% $143,242 +102% —
028 Spinal Procedures With McC $287,918 $215,938 $188,164 +53% $95,858 +200% —
695 Chemotherapy For Acute Leukemia,EXTREME $286,233 — $35,752 +701% $20,741 +1280% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $285,515 $214,136 $160,394 +78% $87,565 +226% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $284,911 $213,683 $127,941 +123% $87,018 +227% ≈115% of Medicare
710 Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,EXTREME $284,344 — $54,233 +424% $23,814 +1094% —
182 Other Upper Vascular Procedures,EXTREME $283,063 — $55,165 +413% $14,064 +1913% —
235 Coronary Bypass Without Cardiac Catheterization With McC $282,768 $212,076 $140,507 +101% $112,062 +152% —
221 Major Small & Large Bowel Procedures,EXTREME $282,633 — $110,046 +157% $90,331 +213% —
008 Autologous Bone Marrow Transplant,EXTREME $282,497 — $282,497 +0% $86,459 +227% —
974 Hiv With Major Related Condition With McC $277,909 $208,432 $60,208 +362% $46,402 +499% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $276,890 $207,667 $230,197 +20% $151,029 +83% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $275,229 $206,421 $258,275 +7% $121,714 +126% —
412 Cholecystectomy With C.D.E. With Cc $272,244 $204,183 $54,636 +398% $37,654 +623% —
711 Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure,EXTREME $269,878 — $29,625 +811% $34,852 +674% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $269,279 $201,959 $101,757 +165% $61,832 +336% —
582 Mastectomy For Malignancy With Cc/McC $266,764 $200,073 $34,264 +679% $34,264 +679% —
668 Transurethral Procedures With McC $266,652 $199,989 $59,814 +346% $47,277 +464% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $264,931 $198,698 $45,071 +488% $92,238 +187% —
583 Mastectomy For Malignancy Without Cc/McC $264,700 $198,525 $113,780 +133% $31,566 +739% —
310 Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,EXTREME $262,405 — $20,474 +1182% $13,384 +1861% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $260,892 $195,669 $65,734 +297% $29,633 +780% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $256,226 $192,169 $126,382 +103% $59,425 +331% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $253,876 $190,407 $151,957 +67% $120,587 +111% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $251,256 $188,442 $139,305 +80% $72,011 +249% —
834 Acute Leukemia With McC $251,049 $188,286 $166,477 +51% $76,583 +228% —
363 Breast Procedures Except Mastectomy,MAJOR $249,549 — $246,462 +1% $80,707 +209% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $249,065 $186,798 $128,461 +94% $45,290 +450% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $247,543 $185,657 $49,178 +403% $34,089 +626% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $247,524 $185,643 $76,545 +223% $51,142 +384% —
952 Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $240,230 — $79,794 +201% $50,048 +380% —
319 Other Endovascular Cardiac Valve Procedures With McC $237,576 $178,182 $189,408 +25% $75,585 +214% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $235,779 $176,835 $181,960 +30% $113,855 +107% —
316 Hand And Wrist Procedures,MAJOR $235,480 — $29,952 +686% $12,797 +1740% —
323 Non-Elective Or Complex Hip Joint Replacement,EXTREME $234,558 — $109,731 +114% $88,049 +166% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $233,563 $175,172 $98,196 +138% $62,961 +271% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $232,987 $174,740 $189,055 +23% $117,280 +99% —
442 Kidney And Urinary Tract Procedures For Malignancy,EXTREME $232,535 — $35,117 +562% $21,449 +984% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $227,620 $170,715 $112,601 +102% $86,390 +163% —
016 Autologous Bone Marrow Transplant With Cc/McC $222,660 $166,995 $180,613 +23% $98,260 +127% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $221,173 $165,880 $70,455 +214% $66,853 +231% —
326 Stomach, Esophageal And Duodenal Procedures With McC $221,161 $165,871 $102,442 +116% $80,747 +174% —
634 Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $220,939 — $122,806 +80% $37,527 +489% —
691 Lymphoma, Myeloma And Non-Acute Leukemia,EXTREME $220,909 — $132,914 +66% $31,905 +592% —
242 Major Esophageal Disorders,EXTREME $215,784 — $82,443 +162% $70,132 +208% —
343 Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,EXTREME $215,513 — $82,198 +162% $13,735 +1469% —
192 Cardiac Catheterization For Other Non-Coronary Conditions,EXTREME $213,307 — $17,312 +1132% $14,368 +1385% —
692 Radiotherapy,EXTREME $212,677 — $212,677 — $25,916 +721% —
951 Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $212,643 — $11,477 +1753% $9,385 +2166% —
460 Renal Failure,EXTREME $212,595 — $42,725 +398% $50,815 +318% ≈46% of Medicare
622 Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $212,479 — $87,683 +142% $60,861 +249% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $211,879 $158,909 $126,137 +68% $80,885 +162% —
625 Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,MAJOR $207,244 — $94,789 +119% $58,968 +251% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $206,154 $154,615 $97,920 +111% $65,383 +215% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $205,661 $154,246 $83,912 +145% $57,521 +258% —
930 Multiple Significant Trauma Without O.R. Procedure,EXTREME $204,772 — $152,335 +34% $89,307 +129% —
090 Major Larynx & Trachea Procedures,MAJOR $204,501 — $13,026 +1470% $14,873 +1275% —
253 Other And Unspecified Gastrointestinal Hemorrhage,EXTREME $200,984 — $96,027 +109% $53,746 +274% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $199,675 $149,756 $122,470 +63% $72,859 +174% —
356 Other Digestive System O.R. Procedures With McC $198,711 $149,033 $125,454 +58% $82,561 +141% —
191 Cardiac Catheterization For Coronary Artery Disease,EXTREME $197,378 — $24,337 +711% $18,278 +980% ≈267% of Medicare
485 Knee Procedures With Principal Diagnosis Of Infection With McC $197,199 $147,900 $127,452 +55% $64,956 +204% —
362 Mastectomy Procedures,MINOR $196,237 — $131,425 +49% $122,668 +60% —
791 O.R. Procedure For Other Complications Of Treatment,EXTREME $195,472 — $41,495 +371% $39,563 +394% —
029 Other Percutaneous Intracranial Procedures,EXTREME $194,880 — $113,914 +71% $64,152 +204% —
503 Foot Procedures With McC $194,376 $145,782 $54,430 +257% $43,901 +343% —
480 Major Male Pelvic Procedures,EXTREME $191,458 — $95,816 +100% $63,984 +199% —
724 Other Infectious And Parasitic Diseases,EXTREME $189,456 — $30,437 +522% $12,650 +1398% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $189,456 $142,092 $28,422 +567% $36,850 +414% —
656 Kidney And Ureter Procedures For Neoplasm With McC $189,338 $142,004 $92,514 +105% $64,465 +194% —
175 Percutaneous Cardiac Intervention Without Ami,EXTREME $188,104 — $32,595 +477% $29,757 +532% ≈513% of Medicare
906 Hand Procedures For Injuries $188,082 $141,061 $76,080 +147% $31,520 +497% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $187,766 $140,825 $79,107 +137% $44,553 +321% —
296 Cardiac Arrest, Unexplained With McC $185,207 $138,905 $53,528 +246% $30,910 +499% —
091 Other Major Head And Neck Procedures,EXTREME $184,058 — $42,957 +328% $36,375 +406% ≈372% of Medicare
665 Prostatectomy With McC $183,097 $137,323 $39,785 +360% $54,072 +239% —
022 Ventricular Shunt Procedures,EXTREME $182,012 — $80,556 +126% $62,404 +192% —
430 Combined Anterior And Posterior Cervical Spinal Fusion Without McC $181,512 $136,134 $181,512 +0% $93,783 +94% —
653 Major Bladder Procedures With McC $180,119 $135,089 $58,133 +210% $97,046 +86% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $179,848 $134,886 $41,036 +338% $29,409 +512% —
329 Major Small And Large Bowel Procedures With McC $178,284 $133,713 $102,516 +74% $88,050 +102% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $177,024 $132,768 $102,200 +73% $67,764 +161% —
413 Cholecystectomy With C.D.E. Without Cc/McC $176,768 $132,576 $24,771 +614% $27,548 +542% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $176,651 $132,488 $110,169 +60% $70,540 +150% —
277 Cardiac Defibrillator Implant Without McC $176,160 $132,120 $145,523 +21% $91,329 +93% —
462 Nephritis And Nephrosis,EXTREME $175,891 — $46,966 +275% $56,758 +210% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $175,440 $131,580 $102,456 +71% $88,307 +99% —
037 Extracranial Procedures With McC $175,376 $131,532 $145,721 +20% $64,749 +171% —
024 Open Extracranial Vascular Procedures,EXTREME $174,521 — $114,406 +53% $74,755 +133% —
673 Other Kidney And Urinary Tract Procedures With McC $174,213 $130,660 $103,271 +69% $72,945 +139% ≈107% of Medicare
320 Other Musculoskeletal System And Connective Tissue Procedures,EXTREME $173,414 — $34,848 +398% $36,080 +381% —
441 Major Bladder Procedures,MAJOR $173,193 — $66,702 +160% $32,399 +435% —
301 Hip Joint Replacement,MAJOR $172,561 — $25,165 +586% $15,607 +1006% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $172,440 $129,330 $123,570 +40% $75,103 +130% —
273 Percutaneous And Other Intracardiac Procedures With McC $171,958 $128,969 $171,958 +0% $78,852 +118% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $171,701 $128,776 $88,458 +94% $54,313 +216% —
471 Cervical Spinal Fusion With McC $171,590 $128,692 $111,445 +54% $92,515 +85% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $170,947 $128,210 $113,227 +51% $121,728 +40% —
305 Amputation Of Lower Limb Except Toes,EXTREME $169,590 — $27,277 +522% $17,144 +889% ≈685% of Medicare
595 Major Skin Disorders With McC $169,247 $126,935 $31,822 +432% $31,785 +432% —
907 Other O.R. Procedures For Injuries With McC $169,140 $126,855 $115,147 +47% $71,701 +136% —
262 Cholecystectomy Except Laparoscopic,EXTREME $168,380 — $47,766 +253% $33,694 +400% —
201 Cardiac Arrhythmia And Conduction Disorders,EXTREME $166,691 — $22,393 +644% $13,081 +1174% —
530 Female Reproductive System Malignancy,EXTREME $165,684 — $121,731 +36% $47,318 +250% —
406 Pancreas, Liver And Shunt Procedures With Cc $165,365 $124,023 $115,031 +44% $58,043 +185% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $165,266 $123,950 $124,458 +33% $107,355 +54% —
231 Major Large Bowel Procedures,EXTREME $164,187 — $245,091 −33% $146,474 +12% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $163,863 $122,897 $61,946 +165% $41,703 +293% —
662 Sickle Cell Anemia Crisis,EXTREME $162,474 — $33,179 +390% $54,483 +198% —
315 Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,EXTREME $161,856 — $33,234 +387% $20,777 +679% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $161,856 $121,392 $89,321 +81% $49,055 +230% —
654 Major Bladder Procedures With Cc $161,515 $121,136 $63,842 +153% $53,868 +200% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $160,432 $120,324 $91,441 +75% $68,399 +135% —
740 Mental Illness Diagnosis With O.R. Procedure,MINOR $158,889 — $91,616 +73% $36,597 +334% —
317 Tendon, Muscle And Other Soft Tissue Procedures,EXTREME $157,331 — $108,855 +45% $94,988 +66% —
404 Thyroid, Parathyroid And Thyroglossal Procedures,MAJOR $156,452 — $87,684 +78% $35,667 +339% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $156,424 $117,318 $110,523 +42% $54,196 +189% —
030 Percutaneous Intracranial And Extracranial Vascular Procedures,EXTREME $156,398 — $65,735 +138% $45,818 +241% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $154,952 $116,214 $127,374 +22% $62,269 +149% —
170 Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock,MAJOR $154,856 — $154,856 +0% $435 +35499% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $154,417 $115,813 $81,454 +90% $54,129 +185% —
335 Peritoneal Adhesiolysis With McC $154,235 $115,676 $107,968 +43% $71,755 +115% —
332 Rectal Resection With McC $154,131 $115,598 $161,517 −5% $58,125 +165% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $153,847 $115,385 $69,258 +122% $44,600 +245% —
223 Other Small And Large Bowel Procedures,EXTREME $153,717 — $102,526 +50% $59,206 +160% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $152,771 $114,579 $67,429 +127% $44,363 +244% —
280 Alcoholic Liver Disease,EXTREME $152,641 — $61,087 +150% $28,967 +427% ≈199% of Medicare
893 Hiv With Multiple Significant Hiv Related Conditions,MAJOR $151,783 — $120,962 +25% $49,110 +209% —
512 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy,MAJOR $150,785 — $39,065 +286% $35,692 +322% —
660 Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,EXTREME $150,318 — $36,861 +308% $30,358 +395% —
050 Non-Bacterial Infections Of Nervous System Except Viral Meningitis,EXTREME $149,567 — $83,337 +79% $97,974 +53% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $149,567 $112,175 $80,121 +87% $57,855 +159% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $148,378 $111,283 $100,247 +48% $68,006 +118% —
890 Hiv With Multiple Major Hiv Related Conditions,EXTREME $148,219 — $148,219 +0% $57,033 +160% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/McC $148,104 $111,078 $148,104 +0% $105,899 +40% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $147,972 $110,979 $59,507 +149% $41,520 +256% —
844 Partial Thickness Burns Without Skin Graft,EXTREME $147,747 — $40,214 +267% $20,421 +624% —
240 Digestive Malignancy,EXTREME $147,518 — $62,271 +137% $54,475 +171% —
655 Major Bladder Procedures Without Cc/McC $147,486 $110,614 $62,368 +136% $41,651 +254% —
227 Hernia Procedures Except Inguinal, Femoral And Umbilical,MAJOR $146,991 — $56,910 +158% $56,960 +158% —
663 Other Anemia And Disorders Of Blood And Blood-Forming Organs,EXTREME $146,507 — $33,704 +335% $29,924 +390% —
271 Other Major Cardiovascular Procedures With Cc $144,195 $108,147 $112,278 +28% $71,014 +103% —
031 Ventricular Shunt Procedures With McC $144,127 $108,095 $60,249 +139% $68,659 +110% —
671 Urethral Procedures With Cc/McC $144,092 $108,069 $39,060 +269% $27,233 +429% —
721 Post-Operative, Post-Traumatic, Other Device Infections,EXTREME $143,703 — $121,318 +18% $51,822 +177% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $143,568 $107,676 $108,834 +32% $83,065 +73% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $142,853 $107,140 $103,152 +38% $57,963 +146% —
405 Other Procedures For Endocrine, Nutritional And Metabolic Disorders,EXTREME $142,272 — $116,863 +22% $94,927 +50% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $142,116 $106,587 $142,116 +0% $92,217 +54% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $142,051 $106,538 $84,300 +69% $62,821 +126% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $141,859 $106,394 $26,536 +435% $29,729 +377% —
314 Foot And Toe Procedures,MAJOR $141,452 — $56,626 +150% $38,357 +269% ≈87% of Medicare
204 Syncope And Collapse,EXTREME $140,681 — $25,544 +451% $16,866 +734% —
344 Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,EXTREME $140,468 — $33,024 +325% $44,839 +213% —
098 Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures,MAJOR $140,030 — $57,222 +145% $37,902 +269% —
840 Lymphoma And Non-Acute Leukemia With McC $139,582 $104,686 $110,870 +26% $49,710 +181% —
448 Multiple Level Spinal Fusion Except Cervical Without McC $138,048 $103,536 $105,462 +31% $81,998 +68% —
055 Head Trauma With Coma > 1 Hour Or Hemorrhage,EXTREME $138,025 — $46,998 +194% $19,868 +595% —
403 Procedures For Obesity,MAJOR $137,981 — $46,170 +199% $50,645 +172% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $137,854 $103,390 $86,333 +60% $52,405 +163% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $137,279 $102,959 $71,635 +92% $83,441 +65% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $136,958 $102,718 $51,542 +166% $47,546 +188% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $136,503 $102,378 $46,659 +193% $46,659 +193% —
288 Acute And Subacute Endocarditis With McC $136,487 $102,365 $58,942 +132% $45,497 +200% —
661 Coagulation And Platelet Disorders,EXTREME $135,955 — $27,493 +395% $24,022 +466% —
180 Other Peripheral Vascular And Circulatory Procedures,EXTREME $135,660 — $62,915 +116% $36,658 +270% —
110 Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,EXTREME $134,711 — $88,772 +52% $126,895 +6% —
038 Extracranial Procedures With Cc $134,635 $100,977 $56,455 +138% $35,770 +276% —
902 Wound Debridements For Injuries With Cc $134,225 $100,669 $40,449 +232% $35,459 +279% —
353 Hernia Procedures Except Inguinal And Femoral With McC $133,609 $100,206 $80,597 +66% $60,140 +122% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $133,390 $100,043 $43,339 +208% $70,735 +89% —
639 Neonate Birth Weight > 2499 Grams With Other Significant Condition,MAJOR $132,901 — $17,217 +672% $13,910 +855% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $132,573 $99,430 $53,546 +148% $30,972 +328% —
302 Knee Joint Replacement,MAJOR $131,346 — $18,292 +618% $20,844 +530% —
467 Revision Of Hip Or Knee Replacement With Cc $131,346 $98,510 $116,723 +13% $68,880 +91% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $130,744 $98,058 $64,849 +102% $56,394 +132% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $130,237 $97,678 $109,925 +18% $56,964 +129% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $129,449 $97,087 $88,671 +46% $51,339 +152% —
450 Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $129,440 $97,080 $69,912 +85% $79,944 +62% —
720 Septicemia And Disseminated Infections,EXTREME $128,459 — $69,865 +84% $47,150 +172% —
346 Connective Tissue Disorders,EXTREME $127,905 — $38,741 +230% $26,146 +389% —
501 Soft Tissue Procedures With Cc $127,891 $95,918 $60,388 +112% $37,975 +237% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $126,391 $94,793 $126,391 +0% $53,817 +135% —
350 Inguinal And Femoral Hernia Procedures With McC $126,296 $94,722 $62,815 +101% $46,591 +171% —
049 Bacterial And Tuberculous Infections Of Nervous System,EXTREME $126,295 — $66,578 +90% $120,000 +5% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $124,831 $93,623 $67,622 +85% $56,519 +121% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $124,788 $93,591 $49,804 +151% $33,050 +278% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $124,444 $93,333 $95,511 +30% $62,524 +99% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $124,422 $93,317 $72,578 +71% $40,232 +209% —
446 Urethral And Transurethral Procedures,EXTREME $124,269 — $26,105 +376% $17,700 +602% —
133 Respiratory Failure,EXTREME $123,679 — $78,023 +59% $23,289 +431% —
481 Hip And Femur Procedures Except Major Joint With Cc $123,241 $92,431 $85,905 +43% $51,172 +141% —
026 Other Nervous System And Related Procedures,MAJOR $122,809 — $104,420 +18% $63,475 +93% —
472 Cervical Spinal Fusion With Cc $122,264 $91,698 $68,993 +77% $59,537 +105% —
249 Other Gastroenteritis, Nausea And Vomiting,EXTREME $122,215 — $56,548 +116% $20,610 +493% —
420 Diabetes,EXTREME $121,639 — $69,863 +74% $50,919 +139% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $121,537 $91,153 $103,110 +18% $52,332 +132% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $121,429 $91,072 $90,913 +34% $75,492 +61% —
263 Cholecystectomy,MAJOR $121,132 — $79,784 +52% $44,938 +170% —
850 Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Health Services,MAJOR $120,816 — $65,076 +86% $121,563 −1% —
272 Other Major Cardiovascular Procedures Without Cc/McC $120,637 $90,478 $99,774 +21% $55,162 +119% —
194 Heart Failure,EXTREME $120,625 — $22,854 +428% $18,204 +563% ≈241% of Medicare
816 Toxic Effects Of Non-Medicinal Substances,EXTREME $120,608 — $17,592 +586% $13,485 +794% —
248 Major Gastrointestinal And Peritoneal Infections,EXTREME $120,522 — $58,755 +105% $34,146 +253% —
696 Other Chemotherapy,EXTREME $119,859 — $13,092 +816% $14,441 +730% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $119,715 $89,787 $37,346 +221% $27,492 +335% —
226 Anal And Perineal Procedures,MAJOR $119,575 — $58,750 +104% $72,618 +65% —
034 Carotid Artery Stent Procedures With McC $119,433 $89,575 $109,383 +9% $72,908 +64% —
265 Aicd Lead Procedures $119,401 $89,551 $125,402 −5% $56,695 +111% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $119,119 $89,339 $37,745 +216% $36,334 +228% —
336 Peritoneal Adhesiolysis With Cc $118,866 $89,149 $49,470 +140% $49,470 +140% —
282 Disorders Of Pancreas Except Malignancy,EXTREME $118,414 — $50,418 +135% $18,623 +536% —
861 Signs, Symptoms And Other Factors Influencing Health Status,EXTREME $117,399 — $35,270 +233% $27,175 +332% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $116,994 $87,745 $92,869 +26% $76,954 +52% —
843 Extensive Third Degree Burns Without Skin Graft,EXTREME $116,781 — $56,578 +106% $36,280 +222% —
686 Kidney And Urinary Tract Neoplasms With McC $116,575 $87,431 $36,025 +224% $32,981 +253% —
042 Degenerative Nervous System Disorders Except Multiple Sclerosis,EXTREME $116,501 — $58,283 +100% $39,018 +199% —
451 Single Level Spinal Fusion Except Cervical Without McC $115,642 $86,731 $81,491 +42% $65,216 +77% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $115,598 $86,698 $110,657 +4% $57,149 +102% ≈121% of Medicare
142 Interstitial And Alveolar Lung Diseases,EXTREME $115,588 — $43,415 +166% $34,906 +231% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $115,297 $86,473 $26,403 +337% $44,053 +162% —
504 Foot Procedures With Cc $115,277 $86,458 $47,340 +144% $36,598 +215% —
164 Major Chest Procedures With Cc $113,855 $85,392 $70,456 +62% $53,141 +114% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $113,683 $85,262 $86,737 +31% $48,680 +134% —
247 Intestinal Obstruction,EXTREME $113,412 — $51,475 +120% $21,663 +424% —
385 Other Skin, Subcutaneous Tissue And Breast Disorders,EXTREME $113,341 — $42,912 +164% $26,020 +336% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $113,025 $84,769 $62,790 +80% $52,313 +116% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $112,647 $84,485 $44,042 +156% $23,297 +384% —
224 Peritoneal Adhesiolysis,EXTREME $112,616 — $83,329 +35% $80,427 +40% —
901 Wound Debridements For Injuries With McC $112,404 $84,303 $52,653 +113% $68,847 +63% —
134 Pulmonary Embolism,EXTREME $111,907 — $106,143 +5% $23,289 +381% —
333 Rectal Resection With Cc $111,641 $83,731 $56,648 +97% $34,352 +225% —
500 Malignancy, Male Reproductive System,MAJOR $111,597 — $83,283 +34% $57,479 +94% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $111,352 $83,514 $61,067 +82% $45,432 +145% —
650 Splenic Procedures,MAJOR $111,163 — $295,300 −62% $71,551 +55% —
800 Splenic Procedures With Cc $111,163 $83,372 $89,665 +24% $49,184 +126% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $111,119 $83,339 $66,392 +67% $42,881 +159% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $111,044 $83,283 $73,605 +51% $54,824 +103% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $110,859 $83,144 $45,891 +142% $36,242 +206% —
284 Disorders Of Gallbladder And Biliary Tract,EXTREME $110,069 — $18,718 +488% $13,282 +729% —
136 Respiratory Malignancy,EXTREME $109,877 — $36,453 +201% $15,890 +591% —
052 Alteration In Consciousness,EXTREME $109,715 — $62,877 +74% $30,940 +255% —
473 Cervical Spinal Fusion Without Cc/McC $109,688 $82,266 $51,574 +113% $50,624 +117% —
561 Postpartum And Post Abortion Diagnoses Without Procedure,EXTREME $109,679 — $16,648 +559% $18,150 +504% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $109,204 $81,903 $53,090 +106% $45,817 +138% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $109,105 $81,829 $80,488 +36% $54,772 +99% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $108,579 $81,435 $108,579 +0% $82,527 +32% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $108,363 $81,273 $61,552 +76% $43,800 +147% —
674 Other Kidney And Urinary Tract Procedures With Cc $108,043 $81,032 $65,411 +65% $49,631 +118% —
283 Other Disorders Of The Liver,EXTREME $107,515 — $38,833 +177% $35,014 +207% —
754 Malignancy, Female Reproductive System With McC $107,096 $80,322 $37,407 +186% $29,476 +263% —
469 Acute Kidney Injury,EXTREME $106,736 — $78,684 +36% $65,254 +64% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $106,579 $79,934 $55,362 +93% $46,477 +129% —
144 Respiratory Signs, Symptoms And Miscellaneous Diagnoses,EXTREME $106,563 — $45,483 +134% $29,558 +261% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $106,492 $79,869 $55,535 +92% $51,985 +105% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $106,379 $79,784 $54,533 +95% $45,059 +136% —
835 Acute Leukemia With Cc $106,340 $79,755 $72,158 +47% $35,569 +199% —
357 Other Digestive System O.R. Procedures With Cc $105,949 $79,462 $62,825 +69% $48,682 +118% —
849 Radiotherapy $105,784 $79,338 $101,397 +4% $37,862 +179% —
432 Cirrhosis And Alcoholic Hepatitis With McC $105,387 $79,040 $61,002 +73% $36,933 +185% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $105,259 $78,945 $49,070 +115% $43,524 +142% —
145 Acute Bronchitis And Related Symptoms,EXTREME $105,246 — $22,742 +363% $20,842 +405% —
044 Intracranial Hemorrhage,EXTREME $105,028 — $80,084 +31% $85,065 +23% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $104,887 $78,665 $60,676 +73% $45,963 +128% —
114 Dental Diseases And Disorders,EXTREME $104,641 — $32,560 +221% $19,598 +434% —
905 Skin Grafts For Injuries Without Cc/McC $104,625 $78,469 $31,810 +229% $25,197 +315% —
035 Carotid Artery Stent Procedures With Cc $104,360 $78,270 $66,355 +57% $46,430 +125% —
058 Other Disorders Of Nervous System,EXTREME $103,194 — $61,562 +68% $29,609 +249% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $102,562 $76,922 $53,347 +92% $38,094 +169% —
206 Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,EXTREME $102,521 — $23,694 +333% $17,731 +478% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $102,015 $76,511 $47,440 +115% $47,583 +114% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $101,368 $76,026 $40,736 +149% $41,900 +142% —
571 Skin Debridement With Cc $100,521 $75,391 $42,097 +139% $34,901 +188% —
279 Hepatic Coma And Other Major Acute Liver Disorders,EXTREME $100,424 — $72,604 +38% $57,277 +75% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $100,163 $75,122 $45,490 +120% $35,237 +184% ≈140% of Medicare
039 Extracranial Procedures Without Cc/McC $99,760 $74,820 $42,638 +134% $25,267 +295% —
619 O.R. Procedures For Obesity With McC $99,662 $74,747 $62,574 +59% $44,973 +122% —
274 Percutaneous And Other Intracardiac Procedures Without McC $99,552 $74,664 $90,560 +10% $65,573 +52% —
545 Connective Tissue Disorders With McC $99,189 $74,392 $87,782 +13% $39,657 +150% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $98,978 $74,233 $77,209 +28% $50,139 +97% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $98,841 $74,131 $33,563 +194% $33,165 +198% —
330 Major Small And Large Bowel Procedures With Cc $97,964 $73,473 $52,286 +87% $58,832 +67% —
963 Other Multiple Significant Trauma With McC $97,910 $73,433 $55,818 +75% $43,491 +125% —
463 Kidney And Urinary Tract Infections,EXTREME $97,708 — $97,708 +0% $78,582 +24% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $97,472 $73,104 $72,793 +34% $46,066 +112% —
421 Malnutrition, Failure To Thrive And Other Nutritional Disorders,EXTREME $96,985 — $35,770 +171% $36,333 +167% —
190 Acute Myocardial Infarction,EXTREME $96,955 — $28,215 +244% $24,190 +301% ≈236% of Medicare
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $96,645 $72,484 $55,905 +73% $48,094 +101% ≈101% of Medicare
904 Skin Grafts For Injuries With Cc/McC $96,293 $72,220 $86,329 +12% $55,097 +75% —
137 Major Respiratory Infections And Inflammations,EXTREME $96,169 — $41,302 +133% $24,348 +295% —
817 Intentional Self-Harm And Attempted Suicide,EXTREME $95,919 — $57,720 +66% $36,097 +166% —
045 Cva And Precerebral Occlusion With Infarction,EXTREME $95,856 — $95,856 +0% $77,914 +23% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $95,828 $71,871 $54,587 +76% $29,050 +230% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $95,800 $71,850 $57,016 +68% $40,552 +136% —
139 Other Pneumonia,EXTREME $95,749 — $33,798 +183% $21,014 +356% —
751 Depressive Disorders,MODERATE $95,493 — $95,493 +0% $33,812 +182% —
885 Psychoses $95,493 $71,620 $37,862 +152% $21,489 +344% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $95,294 $71,471 $44,490 +114% $39,747 +140% —
570 Skin Debridement With McC $95,242 $71,431 $75,932 +25% $52,435 +82% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $95,117 $71,338 $51,707 +84% $43,398 +119% —
518 Other Female Reproductive System And Related Procedures,MAJOR $94,906 — $85,107 +12% $64,776 +47% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $94,561 $70,921 $37,110 +155% $35,584 +166% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $94,557 $70,918 $45,209 +109% $43,266 +119% —
349 Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure,MAJOR $94,334 — $31,173 +203% $19,854 +375% —
281 Malignancy Of Hepatobiliary System And Pancreas,EXTREME $93,977 — $28,630 +228% $20,463 +359% ≈246% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $93,864 $70,398 $53,437 +76% $42,119 +123% —
135 Major Chest And Respiratory Trauma,EXTREME $93,726 — $74,437 +26% $40,065 +134% —
397 Appendix Procedures With McC $93,726 $70,294 $67,471 +39% $52,319 +79% —
143 Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,EXTREME $93,633 — $41,842 +124% $52,908 +77% —
252 Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure,EXTREME $93,517 — $110,822 −16% $68,508 +37% ≈74% of Medicare
606 Minor Skin Disorders With McC $93,431 $70,073 $36,596 +155% $25,434 +267% —
198 Angina Pectoris And Coronary Atherosclerosis,EXTREME $93,402 — $13,931 +570% $13,654 +584% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $93,397 $70,047 $63,538 +47% $43,697 +114% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $93,185 $69,889 $93,185 +0% $59,207 +57% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $92,903 $69,677 $52,575 +77% $40,583 +129% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $92,241 $69,181 $49,269 +87% $29,916 +208% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $92,097 $69,073 $35,498 +159% $28,578 +222% —
722 Fever And Inflammatory Conditions,EXTREME $91,867 — $59,282 +55% $29,826 +208% —
053 Seizure,EXTREME $91,369 — $40,756 +124% $20,309 +350% —
707 Major Male Pelvic Procedures With Cc/McC $91,237 $68,428 $57,424 +59% $43,080 +112% —
222 Other Stomach, Esophageal And Duodenal Procedures,EXTREME $91,125 — $88,995 +2% $86,864 +5% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $90,407 $67,805 $14,197 +537% $22,532 +301% —
422 Hypovolemia And Related Electrolyte Disorders,EXTREME $90,008 — $41,154 +119% $25,152 +258% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $89,869 $67,401 $54,657 +64% $38,420 +134% —
200 Cardiac Structural And Valvular Disorders,EXTREME $89,817 — $28,821 +212% $20,573 +337% —
036 Carotid Artery Stent Procedures Without Cc/McC $89,406 $67,055 $61,151 +46% $40,694 +120% —
032 Ventricular Shunt Procedures With Cc $89,367 $67,025 $74,306 +20% $45,622 +96% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $89,313 $66,985 $71,319 +25% $25,149 +255% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $89,258 $66,944 $43,359 +106% $29,805 +199% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $89,098 $66,824 $32,462 +174% $37,080 +140% —
374 Digestive Malignancy With McC $88,855 $66,642 $48,871 +82% $38,885 +129% —
040 Spinal Disorders And Injuries,MAJOR $88,665 — $88,665 +0% $74,257 +19% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $88,601 $66,450 $41,608 +113% $38,382 +131% —
908 Other O.R. Procedures For Injuries With Cc $88,542 $66,406 $41,660 +113% $41,660 +113% —
337 Peritoneal Adhesiolysis Without Cc/McC $88,054 $66,041 $42,284 +108% $36,239 +143% —
466 Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure,EXTREME $87,949 — $104,141 −16% $96,222 −9% —
228 Inguinal, Femoral And Umbilical Hernia Procedures,MAJOR $87,820 — $111,645 −21% $96,905 −9% —
196 Interstitial Lung Disease With McC $87,779 $65,834 $74,833 +17% $30,766 +185% ≈111% of Medicare
773 Opioid Abuse And Dependence,EXTREME $87,384 — $87,384 +0% $87,384 +0% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $87,240 $65,430 $29,874 +192% $25,390 +244% —
484 Other Male Reproductive System And Related Procedures,MAJOR $87,195 — $75,312 +16% $23,289 +274% —
306 Cardiac Congenital And Valvular Disorders With McC $86,482 $64,861 $37,396 +131% $24,450 +254% —
793 Moderately Extensive O.R. Procedures For Other Complications Of Treatment,EXTREME $86,081 — $27,143 +217% $16,719 +415% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $86,007 $64,505 $51,429 +67% $30,661 +181% —
755 Malignancy, Female Reproductive System With Cc $85,760 $64,320 $32,616 +163% $18,459 +365% —
033 Ventricular Shunt Procedures Without Cc/McC $85,710 $64,283 $62,193 +38% $33,984 +152% —
347 Other Back And Neck Disorders, Fractures And Injuries,EXTREME $85,579 — $47,241 +81% $40,548 +111% —
150 Epistaxis With McC $85,554 $64,166 $30,050 +185% $21,133 +305% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $85,438 $64,078 $46,908 +82% $33,490 +155% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $85,380 $64,035 $30,328 +182% $29,211 +192% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $85,101 $63,826 $47,123 +81% $49,197 +73% ≈150% of Medicare
186 Pleural Effusion With McC $85,012 $63,759 $50,379 +69% $32,468 +162% —
694 Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,EXTREME $84,936 — $21,826 +289% $16,531 +414% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $84,377 $63,283 $53,237 +58% $38,998 +116% —
254 Other Digestive System Diagnoses,EXTREME $84,069 — $66,690 +26% $38,836 +116% —
637 Diabetes With McC $84,021 $63,016 $34,925 +141% $28,819 +192% ≈112% of Medicare
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $83,785 $62,839 $46,637 +80% $35,528 +136% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $83,475 $62,606 $47,424 +76% $34,887 +139% —
080 Nontraumatic Stupor And Coma With McC $83,368 $62,526 $53,136 +57% $35,139 +137% —
377 Gastrointestinal Hemorrhage With McC $83,330 $62,497 $73,848 +13% $37,842 +120% ≈124% of Medicare
892 Hiv With Major Hiv Related Condition,EXTREME $83,052 — $45,153 +84% $39,896 +108% —
261 Major Biliary Tract Procedures,MAJOR $82,788 — $31,882 +160% $42,126 +97% —
141 Asthma,EXTREME $82,754 — $62,274 +33% $34,900 +137% —
708 Major Male Pelvic Procedures Without Cc/McC $82,635 $61,976 $50,857 +62% $32,911 +151% —
572 Skin Debridement Without Cc/McC $82,358 $61,768 $33,093 +149% $24,432 +237% —
056 Degenerative Nervous System Disorders With McC $82,157 $61,617 $50,817 +62% $39,409 +108% ≈136% of Medicare
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $81,974 $61,480 $39,705 +106% $27,369 +200% —
189 Pulmonary Edema And Respiratory Failure $81,716 $61,287 $30,023 +172% $25,704 +218% ≈137% of Medicare
841 Lymphoma And Non-Acute Leukemia With Cc $81,634 $61,225 $33,157 +146% $31,059 +163% —
666 Prostatectomy With Cc $81,307 $60,980 $57,243 +42% $30,016 +171% —
727 Inflammation Of The Male Reproductive System With McC $81,270 $60,952 $24,331 +234% $25,786 +215% —
048 Peripheral, Cranial And Autonomic Nerve Disorders,EXTREME $81,095 — $39,647 +105% $31,203 +160% —
947 Signs And Symptoms With McC $80,921 $60,691 $23,334 +247% $25,474 +218% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $80,907 $60,680 $30,299 +167% $30,930 +162% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $80,897 $60,673 $49,074 +65% $35,714 +127% ≈129% of Medicare
760 Other Mental Health Conditions And Disorders,MAJOR $80,816 — $24,176 +234% $18,282 +342% —
887 Other Mental Disorder Diagnoses $80,816 $60,612 $22,486 +259% $20,602 +292% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $80,551 $60,413 $41,129 +96% $49,065 +64% —
398 Appendix Procedures With Cc $80,216 $60,162 $58,925 +36% $39,107 +105% —
917 Poisoning And Toxic Effects Of Drugs With McC $80,104 $60,078 $37,942 +111% $28,134 +185% —
513 Gynecologic Procedures Without Malignancy,MAJOR $79,556 — $51,582 +54% $33,424 +138% —
566 Antepartum Without O.R. Procedure,EXTREME $79,424 — $23,784 +234% $14,337 +454% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $79,308 $59,481 $33,303 +138% $33,564 +136% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $79,305 $59,479 $53,452 +48% $31,758 +150% ≈123% of Medicare
388 Gastrointestinal Obstruction With McC $79,281 $59,460 $33,244 +138% $28,780 +175% ≈113% of Medicare
207 Other Circulatory System Diagnoses,EXTREME $78,971 — $98,523 −20% $116,058 −32% —
811 Red Blood Cell Disorders With McC $78,938 $59,203 $40,425 +95% $27,934 +183% ≈102% of Medicare
709 Penis Procedures With Cc/McC $78,590 $58,943 $38,128 +106% $34,535 +128% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $78,483 $58,862 $23,974 +227% $21,062 +273% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $78,431 $58,823 $52,949 +48% $38,878 +102% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $78,385 $58,789 $58,123 +35% $31,190 +151% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $78,379 $58,784 $47,659 +64% $35,375 +122% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $77,630 $58,223 $49,413 +57% $37,950 +105% —
919 Complications Of Treatment With McC $77,523 $58,143 $30,988 +150% $29,031 +167% —
342 Fractures And Dislocations Except Femur, Pelvis And Back,MAJOR $77,428 — $32,056 +142% $19,454 +298% —
368 Major Esophageal Disorders With McC $77,390 $58,042 $30,937 +150% $33,607 +130% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $77,036 $57,777 $35,465 +117% $31,816 +142% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $76,786 $57,589 $44,056 +74% $27,321 +181% —
041 Nervous System Malignancy,EXTREME $76,610 — $55,121 +39% $44,989 +70% —
241 Peptic Ulcer And Gastritis,EXTREME $76,212 — $39,587 +93% $24,229 +215% —
444 Disorders Of The Biliary Tract With McC $76,084 $57,063 $45,187 +68% $31,128 +144% —
438 Disorders Of Pancreas Except Malignancy With McC $75,833 $56,874 $39,766 +91% $32,502 +133% —
334 Rectal Resection Without Cc/McC $75,764 $56,823 $39,094 +94% $32,213 +135% —
085 Traumatic Stupor And Coma <1 Hour With McC $75,760 $56,820 $45,245 +67% $37,064 +104% —
814 Reticuloendothelial And Immunity Disorders With McC $75,728 $56,796 $30,026 +152% $32,483 +133% —
669 Transurethral Procedures With Cc $75,590 $56,693 $47,142 +60% $34,354 +120% —
331 Major Small And Large Bowel Procedures Without Cc/McC $75,450 $56,588 $46,541 +62% $44,117 +71% —
549 Septic Arthritis With Cc $75,404 $56,553 $21,668 +248% $20,938 +260% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $75,095 $56,321 $30,984 +142% $32,538 +131% —
291 Heart Failure And Shock With McC $75,059 $56,294 $38,049 +97% $25,020 +200% ≈144% of Medicare
380 Complicated Peptic Ulcer With McC $74,968 $56,226 $31,769 +136% $36,641 +105% —
682 Renal Failure With McC $74,781 $56,086 $33,856 +121% $27,854 +168% ≈114% of Medicare
205 Other Respiratory System Diagnoses With McC $74,581 $55,936 $34,161 +118% $32,204 +132% —
177 Respiratory Infections And Inflammations With McC $74,179 $55,634 $44,001 +69% $31,840 +133% ≈103% of Medicare
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $73,982 $55,486 $31,565 +134% $25,162 +194% —
592 Skin Ulcers With McC $73,942 $55,456 $63,315 +17% $32,662 +126% —
810 Hemorrhage Or Hematoma Due To Complication,EXTREME $73,814 — $15,595 +373% $18,428 +301% —
775 Alcohol Abuse And Dependence,EXTREME $73,753 — $48,312 +53% $3,242 +2175% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $73,695 $55,271 $41,211 +79% $25,623 +188% —
289 Acute And Subacute Endocarditis With Cc $73,660 $55,245 $31,558 +133% $29,371 +151% —
383 Cellulitis And Other Skin Infections,EXTREME $73,617 — $30,085 +145% $26,634 +176% —
199 Hypertension,EXTREME $73,302 — $50,186 +46% $31,491 +133% —
615 Adrenal And Pituitary Procedures Without Cc/McC $73,259 $54,944 $42,740 +71% $31,812 +130% —
382 Malignant Breast Disorders,EXTREME $72,795 — $24,386 +199% $16,634 +338% —
597 Malignant Breast Disorders With McC $72,795 $54,596 $33,763 +116% $31,846 +129% —
358 Other Digestive System O.R. Procedures Without Cc/McC $72,505 $54,378 $39,612 +83% $29,374 +147% —
324 Elective Hip Joint Replacement,MAJOR $72,375 — $109,195 −34% $66,819 +8% —
100 Seizures With McC $71,889 $53,917 $59,068 +22% $35,194 +104% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $71,776 $53,832 $39,644 +81% $33,137 +117% —
364 Other Skin, Subcutaneous Tissue And Related Procedures,EXTREME $71,213 — $58,021 +23% $46,852 +52% —
502 Soft Tissue Procedures Without Cc/McC $71,051 $53,288 $29,234 +143% $30,006 +137% —
299 Peripheral Vascular Disorders With McC $70,926 $53,194 $34,674 +105% $25,731 +176% ≈115% of Medicare
465 Urinary Stones And Acquired Upper Urinary Tract Obstruction,EXTREME $70,642 — $48,955 +44% $32,839 +115% —
157 Dental And Oral Diseases With McC $70,444 $52,833 $31,090 +127% $27,457 +157% —
234 Appendectomy Without Complex Principal Diagnosis,MAJOR $70,308 — $72,075 −2% $102,573 −31% —
188 Pleural Effusion Without Cc/McC $70,112 $52,584 $23,124 +203% $14,110 +397% —
393 Other Digestive System Diagnoses With McC $69,976 $52,482 $55,926 +25% $32,689 +114% ≈113% of Medicare
557 Tendonitis, Myositis And Bursitis With McC $69,150 $51,862 $37,596 +84% $28,646 +141% —
865 Viral Illness With McC $69,033 $51,774 $25,367 +172% $26,088 +165% —
536 Fractures Of Hip And Pelvis Without McC $68,840 $51,630 $19,228 +258% $18,002 +282% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $68,701 $51,526 $64,821 +6% $23,924 +187% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $68,233 $51,175 $39,987 +71% $31,978 +113% —
345 Minor Small And Large Bowel Procedures With Cc $67,931 $50,948 $31,108 +118% $31,062 +119% —
401 Adrenal Procedures,MINOR $67,791 — $67,791 +0% $48,020 +41% —
425 Other Non-Hypovolemic Electrolyte Disorders,EXTREME $67,652 — $43,240 +56% $25,484 +165% —
070 Other Cerebrovascular Disorders With McC $67,634 $50,725 $30,222 +124% $30,814 +119% —
292 Heart Failure And Shock With Cc $67,559 $50,669 $32,219 +110% $16,212 +317% —
643 Endocrine Disorders With McC $67,538 $50,653 $38,745 +74% $32,996 +105% ≈117% of Medicare
232 Gastric Fundoplication,MINOR $67,333 — $191,080 −65% $106,238 −37% —
043 Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MAJOR $67,267 — $46,703 +44% $46,703 +44% —
553 Bone Diseases And Arthropathies With McC $67,088 $50,316 $33,365 +101% $23,956 +180% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $66,830 $50,123 $27,067 +147% $30,275 +121% ≈112% of Medicare
546 Connective Tissue Disorders With Cc $66,600 $49,950 $34,947 +91% $24,202 +175% —
113 Infections Of Upper Respiratory Tract,EXTREME $66,579 — $34,066 +95% $35,642 +87% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $66,568 $49,926 $38,439 +73% $39,093 +70% —
813 Other Complications Of Treatment,EXTREME $66,415 — $39,854 +67% $30,128 +120% ≈141% of Medicare
071 Other Cerebrovascular Disorders With Cc $65,577 $49,183 $27,569 +138% $23,396 +180% —
376 Digestive Malignancy Without Cc/McC $65,405 $49,054 $30,386 +115% $15,608 +319% —
884 Organic Disturbances And Intellectual Disability $65,284 $48,963 $35,058 +86% $25,208 +159% ≈129% of Medicare
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $65,237 $48,928 $22,318 +192% $22,231 +193% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $64,919 $48,689 $32,617 +99% $29,109 +123% —
245 Inflammatory Bowel Disease,EXTREME $64,735 — $78,656 −18% $72,076 −10% —
551 Medical Back Problems With McC $64,648 $48,486 $47,497 +36% $31,086 +108% —
539 Cesarean Section With Sterilization,MAJOR $64,544 — $34,487 +87% $33,746 +91% —
977 Hiv With Or Without Other Related Condition $64,531 $48,398 $25,592 +152% $22,525 +186% —
131 Cystic Fibrosis - Pulmonary Disease,EXTREME $64,400 — $64,400 +0% $23,289 +177% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $64,319 $48,239 $41,434 +55% $28,527 +125% —
258 Cardiac Pacemaker Device Replacement With McC $64,203 $48,152 $81,908 −22% $48,907 +31% —
540 Cesarean Section Without Sterilization,EXTREME $63,997 — $33,331 +92% $23,494 +172% —
246 Gastrointestinal Vascular Insufficiency,EXTREME $63,750 — $63,750 +0% $33,983 +88% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $63,745 $47,809 $26,496 +141% $21,860 +192% —
723 Viral Illness,MAJOR $63,599 — $25,356 +151% $19,317 +229% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $63,561 $47,671 $20,614 +208% $19,326 +229% —
698 Other Kidney And Urinary Tract Diagnoses With McC $63,518 $47,639 $38,521 +65% $30,058 +111% ≈121% of Medicare
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $63,304 $47,478 $40,558 +56% $23,723 +167% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $63,236 $47,427 $28,438 +122% $24,452 +159% —
193 Simple Pneumonia And Pleurisy With McC $62,715 $47,036 $30,935 +103% $26,158 +140% ≈114% of Medicare
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $62,600 $46,950 $28,509 +120% $23,496 +166% ≈112% of Medicare
073 Cranial And Peripheral Nerve Disorders With McC $61,927 $46,445 $31,038 +100% $28,252 +119% —
101 Seizures Without McC $61,920 $46,440 $25,967 +138% $19,954 +210% ≈146% of Medicare
351 Other Musculoskeletal System And Connective Tissue Diagnoses,EXTREME $61,571 — $47,899 +29% $33,792 +82% —
909 Other O.R. Procedures For Injuries Without Cc/McC $61,512 $46,134 $30,779 +100% $28,156 +118% —
542 Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,EXTREME $61,234 — $45,373 +35% $35,114 +74% ≈82% of Medicare
468 Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms,EXTREME $61,202 — $61,202 +0% $54,929 +11% ≈49% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $60,854 $45,640 $33,830 +80% $23,469 +159% ≈150% of Medicare
689 Kidney And Urinary Tract Infections With McC $60,622 $45,466 $29,341 +107% $22,982 +164% ≈111% of Medicare
074 Cranial And Peripheral Nerve Disorders Without McC $60,321 $45,240 $30,058 +101% $23,141 +161% ≈119% of Medicare
225 Appendectomy,MODERATE $60,290 — $58,835 +2% $57,380 +5% —
399 Appendix Procedures Without Cc/McC $60,290 $45,218 $34,274 +76% $30,314 +99% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $60,117 $45,088 $28,445 +111% $25,307 +138% —
862 Postoperative And Post-Traumatic Infections With McC $59,135 $44,351 $49,084 +20% $30,394 +95% —
664 Minor Bladder Procedures Without Cc/McC $58,413 $43,809 $17,541 +233% $18,126 +222% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $58,332 $43,749 $29,422 +98% $29,524 +98% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $58,275 $43,706 $39,309 +48% $30,974 +88% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $58,191 $43,643 $30,879 +88% $16,352 +256% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $58,187 $43,640 $36,902 +58% $27,244 +114% ≈114% of Medicare
140 Chronic Obstructive Pulmonary Disease,EXTREME $57,781 — $58,085 −1% $60,098 −4% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $57,533 $43,150 $34,309 +68% $25,666 +124% —
092 Other Disorders Of Nervous System With Cc $57,481 $43,111 $28,389 +102% $24,136 +138% ≈119% of Medicare
783 Cesarean Section With Sterilization With McC $57,123 $42,842 $46,199 +24% $28,375 +101% —
964 Other Multiple Significant Trauma With Cc $56,809 $42,607 $36,898 +54% $25,854 +120% —
770 Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice,EXTREME $56,581 — $30,874 +83% $17,943 +215% —
913 Traumatic Injury With McC $56,469 $42,352 $52,236 +8% $24,198 +133% —
547 Antepartum With O.R. Procedure,MAJOR $56,160 — $26,755 +110% $14,861 +278% —
115 Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,EXTREME $55,716 — $33,359 +67% $24,879 +124% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $55,716 $41,787 $30,616 +82% $24,465 +128% —
883 Disorders Of Personality And Impulse Control $55,422 $41,567 $25,909 +114% $22,698 +144% —
197 Peripheral And Other Vascular Disorders,EXTREME $55,255 — $28,997 +91% $20,106 +175% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $55,169 $41,377 $16,583 +233% $17,078 +223% —
786 Cesarean Section Without Sterilization With McC $55,088 $41,316 $44,672 +23% $27,118 +103% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $55,070 $41,302 $31,432 +75% $22,781 +142% ≈144% of Medicare
386 Inflammatory Bowel Disease With Cc $54,990 $41,242 $30,103 +83% $20,968 +162% ≈114% of Medicare
433 Cirrhosis And Alcoholic Hepatitis With Cc $54,512 $40,884 $31,678 +72% $23,749 +130% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $54,419 $40,815 $27,359 +99% $21,545 +153% —
369 Major Esophageal Disorders With Cc $54,202 $40,652 $30,164 +80% $22,713 +139% —
620 O.R. Procedures For Obesity With Cc $53,644 $40,233 $49,374 +9% $35,453 +51% —
152 Otitis Media And Uri With McC $53,568 $40,176 $21,877 +145% $19,795 +171% —
445 Disorders Of The Biliary Tract With Cc $53,062 $39,797 $25,888 +105% $21,806 +143% ≈134% of Medicare
651 Other Procedures Of Blood And Blood-Forming Organs,MINOR $53,055 — $309,984 −83% $56,242 −6% —
259 Cardiac Pacemaker Device Replacement Without McC $52,772 $39,579 $57,308 −8% $35,673 +48% —
903 Wound Debridements For Injuries Without Cc/McC $52,574 $39,430 $52,574 +0% $23,588 +123% —
178 Respiratory Infections And Inflammations With Cc $52,150 $39,113 $30,232 +73% $22,024 +137% ≈116% of Medicare
533 Fractures Of Femur With McC $51,991 $38,993 $37,488 +39% $25,945 +100% —
713 Transurethral Prostatectomy With Cc/McC $51,448 $38,586 $45,543 +13% $29,663 +73% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $51,288 $38,466 $30,396 +69% $22,032 +133% —
102 Headaches With McC $51,020 $38,265 $26,994 +89% $22,544 +126% —
552 Medical Back Problems Without McC $50,702 $38,027 $28,869 +76% $21,213 +139% ≈130% of Medicare
243 Other Esophageal Disorders,EXTREME $50,543 — $50,543 +0% $50,011 +1% —
975 Hiv With Major Related Condition With Cc $49,913 $37,435 $27,957 +79% $25,010 +100% —
866 Viral Illness Without McC $49,857 $37,392 $16,391 +204% $16,391 +204% —
726 Benign Prostatic Hypertrophy Without McC $49,650 $37,238 $17,878 +178% $13,892 +257% —
067 Precerebral Occlusion Without Infarction With McC $49,639 $37,229 $33,770 +47% $24,941 +99% —
914 Traumatic Injury Without McC $49,220 $36,915 $15,088 +226% $15,593 +216% —
670 Transurethral Procedures Without Cc/McC $49,141 $36,856 $27,462 +79% $20,371 +141% —
348 Anal And Stomal Procedures With Cc $49,132 $36,849 $27,156 +81% $27,947 +76% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $48,923 $36,692 $40,742 +20% $26,322 +86% —
069 Transient Ischemia Without Thrombolytic $48,896 $36,672 $26,630 +84% $20,278 +141% —
548 Postpartum And Post Abortion Diagnosis With O.R. Procedure,MAJOR $48,739 — $44,494 +10% $31,019 +57% —
560 Vaginal Delivery,EXTREME $48,729 — $25,662 +90% $24,452 +99% —
532 Menstrual And Other Female Reproductive System Disorders,MAJOR $48,724 — $35,610 +37% $23,165 +110% —
083 Traumatic Stupor And Coma >1 Hour With Cc $48,621 $36,465 $44,298 +10% $24,118 +102% —
541 Vaginal Delivery With Sterilization And/Or D&C,MAJOR $48,571 — $22,109 +120% $14,549 +234% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $47,491 $35,618 $19,361 +145% $20,980 +126% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $47,486 $35,614 $32,069 +48% $24,017 +98% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $47,455 $35,591 $19,507 +143% $14,055 +238% —
384 Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue,MAJOR $47,373 — $26,571 +78% $19,305 +145% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $47,373 $35,529 $44,787 +6% $28,140 +68% —
057 Degenerative Nervous System Disorders Without McC $47,366 $35,525 $30,200 +57% $25,426 +86% ≈103% of Medicare
642 Inborn And Other Disorders Of Metabolism $47,205 $35,404 $32,388 +46% $20,727 +128% —
051 Viral Meningitis,MODERATE $47,149 — $28,594 +65% $47,149 +0% —
075 Viral Meningitis With Cc/McC $47,149 $35,362 $16,679 +183% $29,853 +58% —
312 Syncope And Collapse $47,089 $35,317 $30,210 +56% $19,342 +143% ≈135% of Medicare
596 Major Skin Disorders Without McC $46,781 $35,086 $16,618 +182% $17,226 +172% —
535 Fractures Of Hip And Pelvis With McC $46,715 $35,036 $27,850 +68% $23,350 +100% —
787 Cesarean Section Without Sterilization With Cc $46,631 $34,973 $37,365 +25% $23,571 +98% —
378 Gastrointestinal Hemorrhage With Cc $46,381 $34,785 $28,960 +60% $21,886 +112% ≈117% of Medicare
638 Diabetes With Cc $46,317 $34,737 $25,396 +82% $18,821 +146% ≈129% of Medicare
375 Digestive Malignancy With Cc $46,244 $34,683 $34,560 +34% $27,219 +70% —
424 Other Endocrine Disorders,EXTREME $46,100 — $46,100 +0% $39,253 +17% —
300 Peripheral Vascular Disorders With Cc $46,018 $34,514 $26,309 +75% $19,579 +135% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $45,659 $34,244 $33,065 +38% $21,029 +117% —
184 Major Chest Trauma With Cc $45,532 $34,149 $38,785 +17% $20,842 +118% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $45,472 $34,104 $24,613 +85% $20,732 +119% ≈144% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $45,458 $34,093 $27,141 +67% $22,850 +99% —
935 Non-Extensive Burns $45,311 $33,983 $26,773 +69% $29,458 +54% —
815 Reticuloendothelial And Immunity Disorders With Cc $45,299 $33,974 $19,264 +135% $18,017 +151% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $45,253 $33,940 $19,426 +133% $16,745 +170% ≈141% of Medicare
531 Female Reproductive System Infections,MAJOR $45,242 — $35,748 +27% $37,084 +22% —
758 Infections, Female Reproductive System With Cc $45,242 $33,932 $27,094 +67% $19,091 +137% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $44,979 $33,734 $23,198 +94% $15,636 +188% —
054 Migraine And Other Headaches,MAJOR $44,714 — $29,723 +50% $29,484 +52% —
788 Cesarean Section Without Sterilization Without Cc/McC $44,610 $33,457 $39,319 +13% $20,084 +122% —
554 Bone Diseases And Arthropathies Without McC $44,561 $33,421 $21,371 +109% $18,253 +144% ≈119% of Medicare
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $44,321 $33,241 $18,223 +143% $16,049 +176% ≈116% of Medicare
176 Pulmonary Embolism Without McC $44,168 $33,126 $23,201 +90% $18,081 +144% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $44,015 $33,011 $42,842 +3% $31,909 +38% —
251 Abdominal Pain,MAJOR $43,973 — $29,506 +49% $41,380 +6% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $43,720 $32,790 $26,127 +67% $19,483 +124% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $43,719 $32,789 $35,824 +22% $21,261 +106% —
086 Traumatic Stupor And Coma <1 Hour With Cc $43,714 $32,785 $24,991 +75% $23,115 +89% —
307 Cardiac Congenital And Valvular Disorders Without McC $43,555 $32,666 $18,880 +131% $18,608 +134% —
244 Diverticulitis And Diverticulosis,EXTREME $43,382 — $53,946 −20% $40,063 +8% —
644 Endocrine Disorders With Cc $43,072 $32,304 $23,795 +81% $22,941 +88% ≈202% of Medicare
916 Allergic Reactions Without McC $42,830 $32,123 $19,120 +124% $13,890 +208% —
948 Signs And Symptoms Without McC $42,769 $32,077 $22,745 +88% $17,727 +141% ≈113% of Medicare
915 Allergic Reactions With McC $42,564 $31,923 $48,588 −12% $30,944 +38% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $42,446 $31,835 $21,092 +101% $13,385 +217% —
461 Kidney And Urinary Tract Malignancy,MAJOR $41,932 — $82,458 −49% $108,472 −61% —
687 Kidney And Urinary Tract Neoplasms With Cc $41,932 $31,449 $17,794 +136% $18,478 +127% —
812 Poisoning Of Medicinal Agents,EXTREME $41,929 — $30,969 +35% $20,488 +105% ≈207% of Medicare
293 Heart Failure And Shock Without Cc/McC $41,855 $31,391 $11,263 +272% $11,955 +250% —
303 Atherosclerosis Without McC $41,509 $31,132 $19,555 +112% $14,927 +178% —
506 Major Thumb Or Joint Procedures $41,465 $31,098 $30,545 +36% $28,983 +43% —
439 Disorders Of Pancreas Except Malignancy With Cc $41,361 $31,021 $24,615 +68% $19,096 +117% —
683 Renal Failure With Cc $41,243 $30,932 $22,859 +80% $18,620 +121% ≈132% of Medicare
805 Vaginal Delivery Without Sterilization Or D&C With McC $41,211 $30,908 $25,601 +61% $15,370 +168% —
311 Angina Pectoris $41,055 $30,792 $23,332 +76% $15,165 +171% —
202 Bronchitis And Asthma With Cc/McC $40,714 $30,536 $22,179 +84% $17,273 +136% ≈120% of Medicare
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $40,577 $30,433 $24,441 +66% $16,642 +144% —
103 Headaches Without McC $40,509 $30,382 $26,347 +54% $20,111 +101% —
158 Dental And Oral Diseases With Cc $40,412 $30,309 $25,343 +59% $17,700 +128% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $40,338 $30,254 $21,175 +90% $17,103 +136% —
920 Complications Of Treatment With Cc $39,822 $29,866 $24,464 +63% $21,181 +88% —
598 Malignant Breast Disorders With Cc $39,772 $29,829 $21,820 +82% $19,073 +109% —
756 Acute Anxiety And Stress Syndromes,MAJOR $39,689 — $30,078 +32% $15,589 +155% —
918 Poisoning And Toxic Effects Of Drugs Without McC $39,520 $29,640 $25,057 +58% $15,045 +163% —
564 Abortion Without D&C, Aspiration Curettage Or Hysterotomy,MAJOR $39,421 — $39,421 +0% $32,936 +20% —
187 Pleural Effusion With Cc $39,416 $29,562 $29,485 +34% $21,467 +84% —
603 Cellulitis Without McC $39,177 $29,383 $22,028 +78% $18,530 +111% ≈130% of Medicare
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $39,138 $29,354 $29,524 +33% $16,776 +133% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $38,863 $29,148 $25,199 +54% $13,090 +197% —
093 Other Disorders Of Nervous System Without Cc/McC $38,788 $29,091 $26,380 +47% $17,522 +121% —
882 Neuroses Except Depressive $38,736 $29,052 $28,253 +37% $15,680 +147% —
394 Other Digestive System Diagnoses With Cc $38,587 $28,940 $20,933 +84% $18,918 +104% ≈119% of Medicare
081 Nontraumatic Stupor And Coma Without McC $38,497 $28,873 $25,219 +53% $15,077 +155% —
149 Dysequilibrium $38,352 $28,764 $27,384 +40% $17,203 +123% ≈113% of Medicare
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $38,233 $28,674 $22,699 +68% $17,322 +121% ≈143% of Medicare
881 Depressive Neuroses $38,064 $28,548 $27,265 +40% $15,058 +153% —
757 Infections, Female Reproductive System With McC $37,853 $28,390 $37,853 +0% $23,734 +59% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $37,797 $28,348 $23,775 +59% $12,044 +214% —
714 Transurethral Prostatectomy Without Cc/McC $37,398 $28,049 $18,363 +104% $17,108 +119% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $37,128 $27,846 $15,422 +141% $18,133 +105% —
068 Precerebral Occlusion Without Infarction Without McC $36,874 $27,655 $28,548 +29% $19,569 +88% —
389 Gastrointestinal Obstruction With Cc $36,859 $27,645 $21,314 +73% $17,388 +112% ≈123% of Medicare
125 Other Disorders Of The Eye Without McC $36,032 $27,024 $21,703 +66% $15,876 +127% —
863 Postoperative And Post-Traumatic Infections Without McC $35,845 $26,884 $22,026 +63% $20,007 +79% —
111 Vertigo And Other Labyrinth Disorders,MAJOR $35,725 — $35,725 +0% $32,376 +10% —
728 Inflammation Of The Male Reproductive System Without McC $35,668 $26,751 $22,607 +58% $16,837 +112% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $35,358 $26,518 $27,522 +28% $22,275 +59% —
558 Tendonitis, Myositis And Bursitis Without McC $35,093 $26,320 $20,722 +69% $17,367 +102% —
046 Nonspecific Cva And Precerebral Occlusion Without Infarction,MAJOR $34,943 — $35,524 −2% $46,173 −24% —
138 Mouth Procedures Without Cc/McC $34,836 $26,127 $25,835 +35% $17,383 +100% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $34,722 $26,041 $20,835 +67% $17,715 +96% —
864 Fever And Inflammatory Conditions $34,507 $25,880 $19,050 +81% $17,412 +98% —
729 Other Male Reproductive System Diagnoses With Cc/McC $34,316 $25,737 $21,229 +62% $17,483 +96% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $34,014 $25,511 $14,632 +132% $16,571 +105% —
153 Otitis Media And Uri Without McC $33,880 $25,410 $15,085 +125% $14,473 +134% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $33,869 $25,402 $19,064 +78% $16,104 +110% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $33,510 $25,132 $43,086 −22% $31,044 +8% —
759 Infections, Female Reproductive System Without Cc/McC $33,335 $25,001 $20,286 +64% $14,208 +135% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $33,073 $24,805 $17,424 +90% $11,421 +190% —
047 Transient Ischemia,MAJOR $32,473 — $32,473 +0% $56,677 −43% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $32,472 $24,354 $22,264 +46% $18,191 +79% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $32,321 $24,241 $72,568 −55% $34,434 −6% —
387 Inflammatory Bowel Disease Without Cc/McC $32,157 $24,118 $22,284 +44% $14,880 +116% —
123 Neurological Eye Disorders $32,121 $24,091 $29,012 +11% $17,831 +80% —
600 Non-Malignant Breast Disorders With Cc/McC $31,927 $23,945 $13,799 +131% $16,418 +94% —
379 Gastrointestinal Hemorrhage Without Cc/McC $31,746 $23,810 $17,819 +78% $14,134 +125% —
894 Hiv With One Significant Hiv Condition Or Without Significant Related Conditions,MINOR $31,648 — $15,166 +109% $12,013 +163% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $31,270 $23,453 $12,412 +152% $13,824 +126% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $30,716 $23,037 $27,552 +11% $19,287 +59% —
684 Renal Failure Without Cc/McC $29,030 $21,772 $14,411 +101% $13,623 +113% —
395 Other Digestive System Diagnoses Without Cc/McC $29,016 $21,762 $19,448 +49% $14,128 +105% —
426 Non-Hypovolemic Sodium Disorders,EXTREME $28,973 — $55,535 −48% $142,326 −80% —
965 Other Multiple Significant Trauma Without Cc/McC $28,276 $21,207 $27,993 +1% $17,585 +61% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $27,982 $20,986 $18,257 +53% $13,198 +112% —
601 Non-Malignant Breast Disorders Without Cc/McC $26,946 $20,209 $17,892 +51% $10,975 +146% —
921 Complications Of Treatment Without Cc/McC $25,984 $19,488 $13,895 +87% $14,012 +85% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $25,077 $18,808 $19,640 +28% $13,303 +89% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $24,807 $18,605 $15,766 +57% $15,869 +56% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $24,331 $18,248 $15,105 +61% $12,895 +89% —
645 Endocrine Disorders Without Cc/McC $24,176 $18,132 $17,001 +42% $14,166 +71% —
185 Major Chest Trauma Without Cc/McC $23,974 $17,981 $23,266 +3% $15,858 +51% —
390 Gastrointestinal Obstruction Without Cc/McC $23,543 $17,658 $15,214 +55% $13,318 +77% —
697 Urethral Stricture $22,523 $16,892 $22,523 +0% $17,705 +27% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $19,549 $14,662 $12,856 +52% $9,076 +115% —
626 Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR $18,662 — $27,279 −32% $27,279 −32% —
945 Rehabilitation With Cc/McC $18,208 $13,656 $18,208 +0% $23,834 −24% —
949 Aftercare With Cc/McC $17,779 $13,334 $23,784 −25% $23,953 −26% —
203 Chest Pain,MAJOR $17,477 — $12,571 +39% $12,279 +42% —
563 Preterm Labor,MINOR $17,126 — $20,446 −16% $18,803 −9% ≈134% of Medicare
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $17,082 $12,812 $14,426 +18% $12,381 +38% —
640 Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR $16,271 — $16,271 +0% $24,480 −34% ≈42% of Medicare
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $15,367 $11,525 $15,367 +0% $13,822 +11% —
341 Fracture Of Pelvis Or Dislocation Of Hip,MODERATE $12,197 — $18,912 −36% $25,628 −52% —
581 Neonate, Transferred < 5 Days Old, Born Here,EXTREME $10,293 — $21,873 −53% $25,243 −59% —
794 Neonate With Other Significant Problems $9,504 $7,128 $10,882 −13% $7,961 +19% —
795 Normal Newborn $8,593 $6,445 $5,663 +52% $4,530 +90% —
589 Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention,EXTREME $3,401 — $3,401 +0% $1,447,596 −100% —

Procedures with negotiated rates only

These 6 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
443 Kidney And Urinary Tract Procedures For Non-Malignancy,EXTREME $10,216 – $70,677 · median $27,244 17 plans
607 Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly,EXTREME — 15 plans
690 Acute Leukemia,EXTREME — 14 plans
309 Other Significant Hip And Femur Surgery,EXTREME $24,308 – $146,549 · median $26,696 10 plans
381 Major Skin Disorders,EXTREME $4,747 – $76,383 · median $38,879 9 plans
693 Chemotherapy,EXTREME $15,581 – $48,214 · median $15,971 8 plans
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