Procedures published 765
Lowest published price $3,401
Average published price $148,936
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 756 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 261 procedures, this hospital's negotiated rates average ≈96% 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% $573,534 +308% ≈93% of Medicare
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 $1,703,556 +0% $194,769 +775%
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,537,842 $1,153,382 $585,894 +162% $461,389 +233% ≈83% of Medicare
004 Tracheostomy With Mv >96 Hours With Extensive Procedure,EXTREME $1,336,462 $467,237 +186% $248,521 +438% ≈161% of Medicare
161 Implantable Heart Assist Systems,EXTREME $1,181,300 $812,175 +45% $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% ≈80% of Medicare
325 Non-Elective Or Complex Knee Joint Replacement,EXTREME $996,211 $93,081 +970% $61,217 +1527%
005 Tracheostomy With Mv >96 Hours Without Extensive Procedure,EXTREME $833,838 $556,474 +50% $164,641 +406%
174 Percutaneous Cardiac Intervention With Ami,EXTREME $813,584 $91,004 +794% $74,377 +994%
614 Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,MAJOR $789,280 $45,152 +1648% $48,349 +1532% ≈187% of Medicare
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 $169,622 +290% $102,600 +545%
160 Major Cardiothoracic Repair Of Heart Anomaly,EXTREME $614,564 $614,564 +0% $6,461 +9413%
162 Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,EXTREME $597,047 $484,506 +23% $72,401 +725%
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 $23,047 +2462% $19,657 +2904%
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 $114,438 +380% $249,205 +120%
361 Skin Graft For Skin And Subcutaneous Tissue Diagnoses,EXTREME $528,118 $54,915 +862% $79,921 +561%
212 Concomitant Aortic And Mitral Valve Procedures $520,770 $390,577 $324,657 +60% $196,346 +165%
023 Spinal Procedures,EXTREME $503,682 $114,417 +340% $106,778 +372% ≈105% of Medicare
120 Major Respiratory And Chest Procedures,EXTREME $481,366 $123,675 +289% $71,194 +576%
260 Major Pancreas, Liver And Shunt Procedures,EXTREME $480,672 $82,301 +484% $70,371 +583%
680 Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,EXTREME $475,125 $88,040 +440% $112,564 +322%
220 Major Stomach, Esophageal And Duodenal Procedures,EXTREME $465,245 $181,335 +157% $111,320 +318%
007 Allogeneic Bone Marrow Transplant,EXTREME $460,444 $170,608 +170% $170,608 +170% ≈160% of Medicare
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $444,212 $333,159 $314,210 +41% $188,171 +136% ≈81% of Medicare
130 Respiratory System Diagnosis With Ventilator Support > 96 Hours,EXTREME $422,271 $186,705 +126% $23,289 +1713%
215 Other Heart Assist System Implant $421,526 $316,144 $340,077 +24% $208,939 +102% ≈103% of Medicare
447 Other Kidney, Urinary Tract And Related Non-Percutaneous Procedures,EXTREME $421,358 $116,243 +262% $126,098 +234%
681 Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,EXTREME $416,514 $39,935 +943% $49,288 +745%
163 Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,EXTREME $410,088 $138,484 +196% $90,195 +355% ≈360% of Medicare
169 Major Abdominal Vascular Procedures,EXTREME $406,578 $245,765 +65% $137,094 +197%
611 Neonate Birth Weight 1500-1999 Grams With Major Anomaly,EXTREME $406,414 $406,414 +0% $143,990 +182%
870 Septicemia Or Severe Sepsis With Mv >96 Hours $391,218 $293,414 $186,863 +109% $148,832 +163% ≈89% of Medicare
020 Open Craniotomy For Trauma,EXTREME $382,112 $325,686 +17% $148,686 +157% ≈48% of Medicare
014 Allogeneic Bone Marrow Transplant $380,132 $285,099 $380,132 +0% $182,314 +109% ≈81% of Medicare
429 Combined Anterior And Posterior Cervical Spinal Fusion With McC $378,490 $283,867 $244,486 +55% $144,774 +161%
304 Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,EXTREME $372,273 $54,990 +577% $26,080 +1327% ≈608% of Medicare
167 Other Cardiothoracic And Thoracic Circulatory Procedures,EXTREME $365,952 $45,038 +713% $40,642 +800% ≈526% of Medicare
792 Extensive O.R. Procedures For Other Complications Of Treatment,EXTREME $364,557 $18,944 +1824% $12,229 +2881%
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $361,664 $271,248 $113,568 +218% $144,569 +150% ≈137% of Medicare
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% $75,072 +373%
652 Kidney Transplant $353,890 $265,418 $274,134 +29% $54,720 +547% ≈131% of Medicare
121 Other Respiratory And Chest Procedures,EXTREME $351,121 $22,064 +1491% $19,412 +1709%
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $346,586 $259,939 $139,310 +149% $79,836 +334%
165 Coronary Bypass With Ami Or Complex Principal Diagnosis,EXTREME $346,290 $99,425 +248% $46,340 +647% ≈613% of Medicare
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 $16,592 +1939% $13,527 +2401%
082 Eye Infections And Other Eye Disorders,EXTREME $338,132 $24,039 +1307% $36,489 +827% ≈57% of Medicare
230 Major Small Bowel Procedures,EXTREME $337,763 $125,499 +169% $58,096 +481%
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% $14,648 +2197%
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 $17,818 +1787% $18,821 +1686%
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $333,295 $249,971 $146,105 +128% $101,576 +228%
181 Lower Vascular Procedures,EXTREME $329,884 $37,213 +786% $23,573 +1299% ≈610% of Medicare
183 Percutaneous Structural Cardiac Procedures,EXTREME $329,826 $38,398 +759% $29,933 +1002% ≈869% of Medicare
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $329,307 $246,980 $86,610 +280% $98,912 +233%
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $329,223 $246,917 $136,839 +141% $90,724 +263%
166 Coronary Bypass Without Ami Or Complex Principal Diagnosis,EXTREME $324,958 $70,432 +361% $75,573 +330% ≈293% of Medicare
511 Gynecologic Procedures For Malignancy,EXTREME $320,121 $49,382 +548% $43,538 +635%
321 Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,EXTREME $317,452 $101,032 +214% $81,706 +289% ≈154% of Medicare
021 Open Craniotomy Except Trauma,EXTREME $314,971 $159,308 +98% $106,057 +197%
308 Hip And Femur Fracture Repair,EXTREME $314,443 $38,221 +723% $26,770 +1075% ≈218% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $302,434 $226,826 $197,267 +53% $125,242 +141%
229 Other Digestive System And Abdominal Procedures,EXTREME $302,365 $101,858 +197% $65,325 +363% ≈125% of Medicare
264 Other Hepatobiliary, Pancreas And Abdominal Procedures,EXTREME $300,247 $73,423 +309% $51,953 +478% ≈103% of Medicare
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% $60,407 +395%
912 Musculoskeletal And Other Procedures For Multiple Significant Trauma,EXTREME $298,591 $182,072 +64% $88,781 +236%
519 Gynecologic Procedures For Leiomyoma,MAJOR $298,512 $47,463 +529% $44,139 +576% ≈102% of Medicare
633 Neonate Birth Weight > 2499 Grams With Major Anomaly,EXTREME $297,335 $94,646 +214% $31,241 +852%
270 Other Major Cardiovascular Procedures With McC $294,983 $221,237 $154,050 +91% $99,423 +197% ≈91% of Medicare
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% ≈89% of Medicare
028 Spinal Procedures With McC $287,918 $215,938 $158,431 +82% $113,077 +155%
695 Chemotherapy For Acute Leukemia,EXTREME $286,233 $32,512 +780% $24,566 +1065%
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $285,515 $214,136 $126,694 +125% $93,390 +206% ≈66% of Medicare
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $284,911 $213,683 $127,941 +123% $93,172 +206% ≈74% of Medicare
710 Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,EXTREME $284,344 $54,233 +424% $26,436 +976%
182 Other Upper Vascular Procedures,EXTREME $283,063 $53,655 +428% $14,064 +1913%
235 Coronary Bypass Without Cardiac Catheterization With McC $282,768 $212,076 $140,507 +101% $112,062 +152% ≈93% of Medicare
221 Major Small & Large Bowel Procedures,EXTREME $282,633 $104,012 +172% $90,331 +213%
008 Autologous Bone Marrow Transplant,EXTREME $282,497 $86,459 +227% $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% $153,282 +81%
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $275,229 $206,421 $244,842 +12% $123,995 +122%
412 Cholecystectomy With C.D.E. With Cc $272,244 $204,183 $54,636 +398% $42,906 +535%
711 Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure,EXTREME $269,878 $29,625 +811% $38,343 +604%
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $269,279 $201,959 $54,300 +396% $61,832 +336%
582 Mastectomy For Malignancy With Cc/McC $266,764 $200,073 $31,198 +755% $35,849 +644%
668 Transurethral Procedures With McC $266,652 $199,989 $42,031 +534% $51,608 +417%
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $264,931 $198,698 $45,071 +488% $103,455 +156%
583 Mastectomy For Malignancy Without Cc/McC $264,700 $198,525 $94,853 +179% $35,831 +639%
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $260,892 $195,669 $65,734 +297% $32,574 +701%
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $256,226 $192,169 $126,382 +103% $66,711 +284%
957 Other O.R. Procedures For Multiple Significant Trauma With McC $253,876 $190,407 $134,426 +89% $120,573 +111%
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $251,256 $188,442 $139,305 +80% $79,225 +217%
834 Acute Leukemia With McC $251,049 $188,286 $137,687 +82% $85,566 +193% ≈76% of Medicare
363 Breast Procedures Except Mastectomy,MAJOR $249,549 $31,258 +698% $80,707 +209%
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $249,065 $186,798 $126,739 +97% $48,687 +412%
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $247,543 $185,657 $49,178 +403% $35,030 +607%
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $247,524 $185,643 $76,545 +223% $55,289 +348%
952 Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $240,230 $55,893 +330% $45,364 +430%
319 Other Endovascular Cardiac Valve Procedures With McC $237,576 $178,182 $189,408 +25% $86,970 +173%
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $235,779 $176,835 $154,018 +53% $113,855 +107% ≈78% of Medicare
316 Hand And Wrist Procedures,MAJOR $235,480 $29,904 +687% $13,651 +1625%
323 Non-Elective Or Complex Hip Joint Replacement,EXTREME $234,558 $109,731 +114% $101,510 +131%
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $233,563 $175,172 $90,657 +158% $66,685 +250%
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $232,987 $174,740 $171,834 +36% $117,280 +99% ≈102% of Medicare
442 Kidney And Urinary Tract Procedures For Malignancy,EXTREME $232,535 $35,117 +562% $21,449 +984% ≈414% of Medicare
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $227,620 $170,715 $112,601 +102% $90,775 +151% ≈75% of Medicare
016 Autologous Bone Marrow Transplant With Cc/McC $222,660 $166,995 $128,339 +73% $98,260 +127% ≈100% of Medicare
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $221,173 $165,880 $70,455 +214% $73,120 +202%
326 Stomach, Esophageal And Duodenal Procedures With McC $221,161 $165,871 $102,442 +116% $80,793 +174% ≈82% of Medicare
634 Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $220,939 $18,376 +1102% $37,527 +489%
691 Lymphoma, Myeloma And Non-Acute Leukemia,EXTREME $220,909 $38,311 +477% $31,905 +592%
242 Major Esophageal Disorders,EXTREME $215,784 $75,541 +186% $70,132 +208% ≈76% of Medicare
343 Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,EXTREME $215,513 $30,596 +604% $12,397 +1638%
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% $10,160 +1993%
460 Renal Failure,EXTREME $212,595 $36,756 +478% $51,625 +312% ≈42% of Medicare
622 Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $212,479 $84,022 +153% $61,470 +246%
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $211,879 $158,909 $126,137 +68% $87,761 +141%
625 Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,MAJOR $207,244 $40,406 +413% $59,031 +251%
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $206,154 $154,615 $97,253 +112% $66,068 +212% ≈99% of Medicare
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $205,661 $154,246 $83,912 +145% $62,300 +230%
930 Multiple Significant Trauma Without O.R. Procedure,EXTREME $204,772 $29,306 +599% $72,498 +182%
090 Major Larynx & Trachea Procedures,MAJOR $204,501 $13,026 +1470% $15,412 +1227%
253 Other And Unspecified Gastrointestinal Hemorrhage,EXTREME $200,984 $82,612 +143% $57,454 +250% ≈64% of Medicare
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $199,675 $149,756 $91,036 +119% $76,001 +163% ≈97% of Medicare
356 Other Digestive System O.R. Procedures With McC $198,711 $149,033 $125,454 +58% $82,561 +141% ≈86% of Medicare
191 Cardiac Catheterization For Coronary Artery Disease,EXTREME $197,378 $24,337 +711% $18,807 +950% ≈261% of Medicare
485 Knee Procedures With Principal Diagnosis Of Infection With McC $197,199 $147,900 $127,452 +55% $72,424 +172%
362 Mastectomy Procedures,MINOR $196,237 $86,389 +127% $122,668 +60%
791 O.R. Procedure For Other Complications Of Treatment,EXTREME $195,472 $27,889 +601% $42,679 +358%
029 Other Percutaneous Intracranial Procedures,EXTREME $194,880 $112,438 +73% $67,268 +190% ≈203% of Medicare
503 Foot Procedures With McC $194,376 $145,782 $48,928 +297% $47,540 +309%
480 Major Male Pelvic Procedures,EXTREME $191,458 $80,928 +137% $65,653 +192% ≈134% of Medicare
724 Other Infectious And Parasitic Diseases,EXTREME $189,456 $30,437 +522% $12,768 +1384%
867 Other Infectious And Parasitic Diseases Diagnoses With McC $189,456 $142,092 $26,879 +605% $38,070 +398%
656 Kidney And Ureter Procedures For Neoplasm With McC $189,338 $142,004 $87,436 +117% $65,608 +189% ≈94% of Medicare
175 Percutaneous Cardiac Intervention Without Ami,EXTREME $188,104 $32,595 +477% $30,959 +508% ≈429% of Medicare
906 Hand Procedures For Injuries $188,082 $141,061 $57,528 +227% $32,065 +487%
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $187,766 $140,825 $72,255 +160% $45,877 +309%
296 Cardiac Arrest, Unexplained With McC $185,207 $138,905 $51,862 +257% $33,661 +450%
091 Other Major Head And Neck Procedures,EXTREME $184,058 $42,957 +328% $37,387 +392% ≈327% of Medicare
665 Prostatectomy With McC $183,097 $137,323 $39,785 +360% $54,072 +239%
022 Ventricular Shunt Procedures,EXTREME $182,012 $63,147 +188% $66,848 +172%
430 Combined Anterior And Posterior Cervical Spinal Fusion Without McC $181,512 $136,134 $138,679 +31% $101,618 +79%
653 Major Bladder Procedures With McC $180,119 $135,089 $58,133 +210% $104,583 +72% ≈95% of Medicare
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $179,848 $134,886 $39,207 +359% $31,563 +470%
329 Major Small And Large Bowel Procedures With McC $178,284 $133,713 $102,516 +74% $88,050 +102% ≈105% of Medicare
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $177,024 $132,768 $102,200 +73% $70,467 +151% ≈79% of Medicare
413 Cholecystectomy With C.D.E. Without Cc/McC $176,768 $132,576 $19,839 +791% $29,316 +503%
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $176,651 $132,488 $104,847 +68% $70,564 +150%
277 Cardiac Defibrillator Implant Without McC $176,160 $132,120 $145,523 +21% $91,329 +93% ≈88% of Medicare
462 Nephritis And Nephrosis,EXTREME $175,891 $43,664 +303% $58,975 +198%
025 Craniotomy And Endovascular Intracranial Procedures With McC $175,440 $131,580 $102,456 +71% $88,307 +99% ≈124% of Medicare
037 Extracranial Procedures With McC $175,376 $131,532 $121,742 +44% $66,666 +163%
024 Open Extracranial Vascular Procedures,EXTREME $174,521 $97,894 +78% $74,755 +133%
673 Other Kidney And Urinary Tract Procedures With McC $174,213 $130,660 $103,271 +69% $77,990 +123% ≈79% of Medicare
320 Other Musculoskeletal System And Connective Tissue Procedures,EXTREME $173,414 $34,848 +398% $40,060 +333%
441 Major Bladder Procedures,MAJOR $173,193 $55,018 +215% $33,985 +410% ≈332% of Medicare
301 Hip Joint Replacement,MAJOR $172,561 $25,165 +586% $15,837 +990%
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $172,440 $129,330 $121,891 +41% $75,103 +130%
273 Percutaneous And Other Intracardiac Procedures With McC $171,958 $128,969 $155,537 +11% $78,852 +118% ≈86% of Medicare
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $171,701 $128,776 $85,003 +102% $58,228 +195% ≈90% of Medicare
471 Cervical Spinal Fusion With McC $171,590 $128,692 $110,891 +55% $92,515 +85% ≈102% of Medicare
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $170,947 $128,210 $113,227 +51% $132,794 +29% ≈95% of Medicare
305 Amputation Of Lower Limb Except Toes,EXTREME $169,590 $27,277 +522% $18,086 +838% ≈583% of Medicare
595 Major Skin Disorders With McC $169,247 $126,935 $31,822 +432% $34,598 +389%
907 Other O.R. Procedures For Injuries With McC $169,140 $126,855 $60,421 +180% $77,817 +117% ≈116% of Medicare
262 Cholecystectomy Except Laparoscopic,EXTREME $168,380 $34,508 +388% $33,694 +400%
201 Cardiac Arrhythmia And Conduction Disorders,EXTREME $166,691 $22,393 +644% $14,053 +1086%
530 Female Reproductive System Malignancy,EXTREME $165,684 $90,989 +82% $40,040 +314%
406 Pancreas, Liver And Shunt Procedures With Cc $165,365 $124,023 $103,695 +59% $58,043 +185% ≈118% of Medicare
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% ≈91% of Medicare
231 Major Large Bowel Procedures,EXTREME $164,187 $164,187 +0% $147,227 +12%
749 Other Female Reproductive System O.R. Procedures With Cc/McC $163,863 $122,897 $49,369 +232% $45,167 +263%
662 Sickle Cell Anemia Crisis,EXTREME $162,474 $33,179 +390% $54,562 +198%
315 Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,EXTREME $161,856 $33,234 +387% $21,363 +658% ≈301% of Medicare
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $161,856 $121,392 $70,439 +130% $49,839 +225%
654 Major Bladder Procedures With Cc $161,515 $121,136 $63,842 +153% $58,274 +177% ≈109% of Medicare
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $160,432 $120,324 $49,874 +222% $69,743 +130%
740 Mental Illness Diagnosis With O.R. Procedure,MINOR $158,889 $43,148 +268% $40,365 +294% ≈199% of Medicare
317 Tendon, Muscle And Other Soft Tissue Procedures,EXTREME $157,331 $108,855 +45% $88,566 +78%
404 Thyroid, Parathyroid And Thyroglossal Procedures,MAJOR $156,452 $74,302 +111% $50,691 +209%
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $156,424 $117,318 $63,244 +147% $54,196 +189%
030 Percutaneous Intracranial And Extracranial Vascular Procedures,EXTREME $156,398 $62,996 +148% $45,866 +241%
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $154,952 $116,214 $127,374 +22% $68,653 +126%
170 Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock,MAJOR $154,856 $154,856 +0% $495 +31184%
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $154,417 $115,813 $69,044 +124% $58,745 +163% ≈105% of Medicare
335 Peritoneal Adhesiolysis With McC $154,235 $115,676 $104,881 +47% $71,755 +115% ≈91% of Medicare
332 Rectal Resection With McC $154,131 $115,598 $154,131 +0% $58,125 +165%
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $153,847 $115,385 $69,258 +122% $46,283 +232% ≈72% of Medicare
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 $32,264 +373% $44,363 +244% ≈97% of Medicare
280 Alcoholic Liver Disease,EXTREME $152,641 $61,087 +150% $30,828 +395% ≈158% of Medicare
893 Hiv With Multiple Significant Hiv Related Conditions,MAJOR $151,783 $104,680 +45% $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% $31,264 +381% ≈280% of Medicare
050 Non-Bacterial Infections Of Nervous System Except Viral Meningitis,EXTREME $149,567 $44,092 +239% $75,772 +97%
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $149,567 $112,175 $80,121 +87% $59,533 +151%
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $148,378 $111,283 $100,247 +48% $71,795 +107%
890 Hiv With Multiple Major Hiv Related Conditions,EXTREME $148,219 $148,219 +0% $48,975 +203%
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/McC $148,104 $111,078 $124,895 +19% $105,899 +40%
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $147,972 $110,979 $52,714 +181% $43,631 +239%
844 Partial Thickness Burns Without Skin Graft,EXTREME $147,747 $23,392 +532% $21,847 +576%
240 Digestive Malignancy,EXTREME $147,518 $62,271 +137% $59,790 +147%
655 Major Bladder Procedures Without Cc/McC $147,486 $110,614 $57,741 +155% $43,174 +242%
227 Hernia Procedures Except Inguinal, Femoral And Umbilical,MAJOR $146,991 $51,819 +184% $56,960 +158%
663 Other Anemia And Disorders Of Blood And Blood-Forming Organs,EXTREME $146,507 $33,704 +335% $33,103 +343%
271 Other Major Cardiovascular Procedures With Cc $144,195 $108,147 $112,278 +28% $71,014 +103% ≈126% of Medicare
031 Ventricular Shunt Procedures With McC $144,127 $108,095 $60,249 +139% $72,962 +98% ≈132% of Medicare
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 $111,301 +29% $30,000 +379%
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $143,568 $107,676 $106,748 +34% $85,159 +69% ≈123% of Medicare
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $142,853 $107,140 $100,945 +42% $62,264 +129%
405 Other Procedures For Endocrine, Nutritional And Metabolic Disorders,EXTREME $142,272 $116,863 +22% $102,128 +39% ≈31% of Medicare
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $142,116 $106,587 $139,381 +2% $92,217 +54% ≈86% of Medicare
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $142,051 $106,538 $84,300 +69% $62,821 +126% ≈95% of Medicare
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $141,859 $106,394 $25,176 +463% $32,944 +331%
314 Foot And Toe Procedures,MAJOR $141,452 $56,626 +150% $38,666 +266% ≈53% of Medicare
204 Syncope And Collapse,EXTREME $140,681 $25,544 +451% $18,004 +681%
344 Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,EXTREME $140,468 $33,024 +325% $44,546 +215%
098 Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures,MAJOR $140,030 $53,592 +161% $42,901 +226%
840 Lymphoma And Non-Acute Leukemia With McC $139,582 $104,686 $73,761 +89% $49,710 +181% ≈79% of Medicare
448 Multiple Level Spinal Fusion Except Cervical Without McC $138,048 $103,536 $89,022 +55% $81,998 +68% ≈93% of Medicare
055 Head Trauma With Coma > 1 Hour Or Hemorrhage,EXTREME $138,025 $46,998 +194% $20,926 +560% ≈213% of Medicare
403 Procedures For Obesity,MAJOR $137,981 $45,104 +206% $50,645 +172%
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $137,854 $103,390 $69,394 +99% $52,405 +163% ≈69% of Medicare
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $137,279 $102,959 $60,814 +126% $83,441 +65%
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $136,958 $102,718 $51,542 +166% $50,498 +171% ≈110% of Medicare
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $136,503 $102,378 $46,659 +193% $49,423 +176%
288 Acute And Subacute Endocarditis With McC $136,487 $102,365 $54,543 +150% $50,618 +170%
661 Coagulation And Platelet Disorders,EXTREME $135,955 $27,493 +395% $25,970 +424%
180 Other Peripheral Vascular And Circulatory Procedures,EXTREME $135,660 $62,915 +116% $36,658 +270% ≈247% of Medicare
110 Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,EXTREME $134,711 $35,880 +275% $126,895 +6%
038 Extracranial Procedures With Cc $134,635 $100,977 $56,337 +139% $35,770 +276% ≈93% of Medicare
902 Wound Debridements For Injuries With Cc $134,225 $100,669 $40,012 +235% $40,562 +231%
353 Hernia Procedures Except Inguinal And Femoral With McC $133,609 $100,206 $80,597 +66% $60,170 +122%
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $133,390 $100,043 $43,339 +208% $77,055 +73% ≈67% of Medicare
639 Neonate Birth Weight > 2499 Grams With Other Significant Condition,MAJOR $132,901 $14,532 +815% $13,910 +855%
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $132,573 $99,430 $42,437 +212% $33,674 +294%
302 Knee Joint Replacement,MAJOR $131,346 $17,355 +657% $22,446 +485%
467 Revision Of Hip Or Knee Replacement With Cc $131,346 $98,510 $116,723 +13% $70,847 +85% ≈93% of Medicare
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $130,744 $98,058 $58,814 +122% $59,651 +119% ≈97% of Medicare
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 $56,339 +130% $59,629 +117%
450 Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $129,440 $97,080 $68,277 +90% $99,943 +30%
720 Septicemia And Disseminated Infections,EXTREME $128,459 $69,865 +84% $45,066 +185%
346 Connective Tissue Disorders,EXTREME $127,905 $38,741 +230% $27,297 +369%
501 Soft Tissue Procedures With Cc $127,891 $95,918 $60,388 +112% $39,619 +223% ≈79% of Medicare
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $126,391 $94,793 $114,518 +10% $53,864 +135% ≈102% of Medicare
350 Inguinal And Femoral Hernia Procedures With McC $126,296 $94,722 $50,269 +151% $50,046 +152%
049 Bacterial And Tuberculous Infections Of Nervous System,EXTREME $126,295 $62,133 +103% $120,000 +5%
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $124,831 $93,623 $67,622 +85% $58,280 +114% ≈93% of Medicare
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $124,788 $93,591 $41,427 +201% $38,861 +221%
094 Bacterial And Tuberculous Infections Of Nervous System With McC $124,444 $93,333 $58,564 +112% $68,639 +81%
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $124,422 $93,317 $56,180 +121% $46,727 +166%
446 Urethral And Transurethral Procedures,EXTREME $124,269 $22,377 +455% $17,700 +602%
133 Respiratory Failure,EXTREME $123,679 $78,023 +59% $38,305 +223%
481 Hip And Femur Procedures Except Major Joint With Cc $123,241 $92,431 $73,364 +68% $52,751 +134% ≈118% of Medicare
026 Other Nervous System And Related Procedures,MAJOR $122,809 $100,641 +22% $64,523 +90% ≈143% of Medicare
472 Cervical Spinal Fusion With Cc $122,264 $91,698 $68,993 +77% $59,537 +105% ≈95% of Medicare
249 Other Gastroenteritis, Nausea And Vomiting,EXTREME $122,215 $36,009 +239% $20,610 +493%
420 Diabetes,EXTREME $121,639 $59,481 +104% $50,919 +139%
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $121,537 $91,153 $103,110 +18% $54,583 +123% ≈121% of Medicare
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $121,429 $91,072 $75,989 +60% $79,116 +53% ≈98% of Medicare
263 Cholecystectomy,MAJOR $121,132 $65,205 +86% $51,253 +136%
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% ≈215% of Medicare
816 Toxic Effects Of Non-Medicinal Substances,EXTREME $120,608 $17,592 +586% $14,638 +724%
248 Major Gastrointestinal And Peritoneal Infections,EXTREME $120,522 $46,450 +159% $34,146 +253%
696 Other Chemotherapy,EXTREME $119,859 $12,020 +897% $14,689 +716%
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $119,715 $89,787 $28,320 +323% $28,320 +323%
226 Anal And Perineal Procedures,MAJOR $119,575 $54,372 +120% $72,618 +65%
034 Carotid Artery Stent Procedures With McC $119,433 $89,575 $101,642 +18% $76,219 +57%
265 Aicd Lead Procedures $119,401 $89,551 $119,401 +0% $63,171 +89%
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $119,119 $89,339 $37,745 +216% $39,181 +204% ≈62% of Medicare
336 Peritoneal Adhesiolysis With Cc $118,866 $89,149 $48,929 +143% $50,463 +136% ≈131% of Medicare
282 Disorders Of Pancreas Except Malignancy,EXTREME $118,414 $42,436 +179% $19,227 +516%
861 Signs, Symptoms And Other Factors Influencing Health Status,EXTREME $117,399 $30,932 +280% $26,085 +350%
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $116,994 $87,745 $79,556 +47% $84,692 +38%
843 Extensive Third Degree Burns Without Skin Graft,EXTREME $116,781 $56,578 +106% $36,431 +221% ≈43% of Medicare
686 Kidney And Urinary Tract Neoplasms With McC $116,575 $87,431 $36,025 +224% $37,844 +208%
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 $65,168 +77% $65,216 +77% ≈100% of Medicare
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $115,598 $86,698 $102,398 +13% $58,707 +97% ≈96% 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% $47,789 +141% ≈92% of Medicare
504 Foot Procedures With Cc $115,277 $86,458 $42,056 +174% $38,960 +196%
164 Major Chest Procedures With Cc $113,855 $85,392 $55,568 +105% $56,755 +101% ≈120% of Medicare
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $113,683 $85,262 $81,607 +39% $52,075 +118%
247 Intestinal Obstruction,EXTREME $113,412 $51,212 +121% $21,663 +424%
385 Other Skin, Subcutaneous Tissue And Breast Disorders,EXTREME $113,341 $42,912 +164% $27,617 +310%
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $113,025 $84,769 $58,620 +93% $53,451 +111%
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $112,647 $84,485 $44,042 +156% $26,948 +318%
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% $70,177 +60%
134 Pulmonary Embolism,EXTREME $111,907 $79,495 +41% $23,289 +381%
333 Rectal Resection With Cc $111,641 $83,731 $51,827 +115% $37,154 +200%
500 Malignancy, Male Reproductive System,MAJOR $111,597 $83,283 +34% $61,872 +80%
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $111,352 $83,514 $61,067 +82% $47,945 +132% ≈86% of Medicare
650 Splenic Procedures,MAJOR $111,163 $111,163 +0% $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 $61,445 +81% $59,421 +87% ≈93% of Medicare
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $110,859 $83,144 $49,831 +122% $38,101 +191%
284 Disorders Of Gallbladder And Biliary Tract,EXTREME $110,069 $14,343 +667% $16,450 +569%
136 Respiratory Malignancy,EXTREME $109,877 $34,695 +217% $17,404 +531%
052 Alteration In Consciousness,EXTREME $109,715 $62,877 +74% $32,031 +243%
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 $52,055 +110% $46,090 +137% ≈101% of Medicare
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $109,105 $81,829 $80,488 +36% $58,809 +86% ≈88% of Medicare
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $108,579 $81,435 $73,030 +49% $90,401 +20%
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $108,363 $81,273 $61,172 +77% $43,800 +147%
674 Other Kidney And Urinary Tract Procedures With Cc $108,043 $81,032 $65,411 +65% $50,394 +114%
283 Other Disorders Of The Liver,EXTREME $107,515 $38,833 +177% $39,955 +169% ≈57% of Medicare
754 Malignancy, Female Reproductive System With McC $107,096 $80,322 $28,156 +280% $32,433 +230%
469 Acute Kidney Injury,EXTREME $106,736 $78,684 +36% $65,788 +62% ≈74% of Medicare
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $106,579 $79,934 $55,340 +93% $49,351 +116%
144 Respiratory Signs, Symptoms And Miscellaneous Diagnoses,EXTREME $106,563 $45,483 +134% $30,553 +249%
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $106,492 $79,869 $57,044 +87% $51,985 +105% ≈88% of Medicare
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $106,379 $79,784 $43,383 +145% $47,737 +123%
835 Acute Leukemia With Cc $106,340 $79,755 $37,975 +180% $35,569 +199% ≈80% of Medicare
357 Other Digestive System O.R. Procedures With Cc $105,949 $79,462 $40,757 +160% $48,682 +118% ≈104% of Medicare
849 Radiotherapy $105,784 $79,338 $101,397 +4% $37,862 +179%
432 Cirrhosis And Alcoholic Hepatitis With McC $105,387 $79,040 $56,589 +86% $40,213 +162% ≈101% of Medicare
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $105,259 $78,945 $49,070 +115% $43,943 +140%
145 Acute Bronchitis And Related Symptoms,EXTREME $105,246 $22,742 +363% $25,712 +309%
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 $47,711 +120% $47,711 +120%
114 Dental Diseases And Disorders,EXTREME $104,641 $18,623 +462% $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 $51,487 +103% $49,066 +113%
058 Other Disorders Of Nervous System,EXTREME $103,194 $61,562 +68% $30,243 +241%
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $102,562 $76,922 $46,189 +122% $38,094 +169% ≈95% of Medicare
206 Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,EXTREME $102,521 $23,694 +333% $18,488 +455% ≈281% of Medicare
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $102,015 $76,511 $46,488 +119% $47,583 +114%
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $101,368 $76,026 $43,290 +134% $45,333 +124% ≈101% of Medicare
571 Skin Debridement With Cc $100,521 $75,391 $42,097 +139% $37,169 +170%
279 Hepatic Coma And Other Major Acute Liver Disorders,EXTREME $100,424 $34,718 +189% $63,928 +57%
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $100,163 $75,122 $45,490 +120% $35,628 +181% ≈102% of Medicare
039 Extracranial Procedures Without Cc/McC $99,760 $74,820 $29,933 +233% $26,618 +275% ≈126% of Medicare
619 O.R. Procedures For Obesity With McC $99,662 $74,747 $62,574 +59% $51,746 +93%
274 Percutaneous And Other Intracardiac Procedures Without McC $99,552 $74,664 $87,217 +14% $65,573 +52% ≈88% of Medicare
545 Connective Tissue Disorders With McC $99,189 $74,392 $54,739 +81% $40,362 +146% ≈52% of Medicare
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $98,978 $74,233 $72,261 +37% $50,139 +97%
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $98,841 $74,131 $33,563 +194% $34,459 +187%
330 Major Small And Large Bowel Procedures With Cc $97,964 $73,473 $52,286 +87% $59,500 +65% ≈98% of Medicare
963 Other Multiple Significant Trauma With McC $97,910 $73,433 $55,818 +75% $43,491 +125% ≈111% of Medicare
463 Kidney And Urinary Tract Infections,EXTREME $97,708 $67,373 +45% $89,207 +10% ≈21% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $97,472 $73,104 $56,385 +73% $46,066 +112%
421 Malnutrition, Failure To Thrive And Other Nutritional Disorders,EXTREME $96,985 $34,909 +178% $36,354 +167%
190 Acute Myocardial Infarction,EXTREME $96,955 $28,215 +244% $24,386 +298% ≈192% of Medicare
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $96,645 $72,484 $55,905 +73% $52,178 +85% ≈60% of Medicare
904 Skin Grafts For Injuries With Cc/McC $96,293 $72,220 $53,307 +81% $59,594 +62%
137 Major Respiratory Infections And Inflammations,EXTREME $96,169 $41,302 +133% $27,861 +245%
817 Intentional Self-Harm And Attempted Suicide,EXTREME $95,919 $62,878 +53% $39,173 +145%
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 $37,864 +153% $30,493 +214%
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $95,800 $71,850 $46,680 +105% $40,552 +136% ≈102% of Medicare
139 Other Pneumonia,EXTREME $95,749 $28,523 +236% $23,612 +306%
751 Depressive Disorders,MODERATE $95,493 $36,752 +160% $15,939 +499%
885 Psychoses $95,493 $71,620 $37,862 +152% $21,729 +339% ≈55% of Medicare
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $95,294 $71,471 $42,725 +123% $41,955 +127% ≈94% of Medicare
570 Skin Debridement With McC $95,242 $71,431 $72,210 +32% $52,435 +82%
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $95,117 $71,338 $51,707 +84% $43,913 +117%
518 Other Female Reproductive System And Related Procedures,MAJOR $94,906 $68,086 +39% $71,092 +33% ≈37% of Medicare
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $94,561 $70,921 $33,690 +181% $35,584 +166% ≈104% of Medicare
354 Hernia Procedures Except Inguinal And Femoral With Cc $94,557 $70,918 $42,589 +122% $43,477 +117% ≈114% of Medicare
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% ≈196% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $93,864 $70,398 $50,732 +85% $44,606 +110% ≈96% of Medicare
135 Major Chest And Respiratory Trauma,EXTREME $93,726 $74,437 +26% $42,186 +122%
397 Appendix Procedures With McC $93,726 $70,294 $51,587 +82% $53,257 +76%
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 $101,547 −8% $68,508 +37% ≈56% of Medicare
606 Minor Skin Disorders With McC $93,431 $70,073 $32,471 +188% $27,975 +234% ≈111% of Medicare
198 Angina Pectoris And Coronary Atherosclerosis,EXTREME $93,402 $13,108 +613% $15,549 +501%
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $93,397 $70,047 $30,605 +205% $46,453 +101%
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $93,185 $69,889 $48,875 +91% $62,583 +49%
657 Kidney And Ureter Procedures For Neoplasm With Cc $92,903 $69,677 $52,575 +77% $43,298 +115% ≈99% of Medicare
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% $29,079 +217%
722 Fever And Inflammatory Conditions,EXTREME $91,867 $33,132 +177% $29,826 +208%
053 Seizure,EXTREME $91,369 $40,756 +124% $20,455 +347%
707 Major Male Pelvic Procedures With Cc/McC $91,237 $68,428 $57,424 +59% $43,080 +112% ≈92% of Medicare
222 Other Stomach, Esophageal And Duodenal Procedures,EXTREME $91,125 $77,351 +18% $86,864 +5%
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $90,407 $67,805 $10,479 +763% $21,230 +326%
422 Hypovolemia And Related Electrolyte Disorders,EXTREME $90,008 $25,152 +258% $25,073 +259%
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $89,869 $67,401 $44,638 +101% $43,650 +106%
200 Cardiac Structural And Valvular Disorders,EXTREME $89,817 $28,821 +212% $21,368 +320%
036 Carotid Artery Stent Procedures Without Cc/McC $89,406 $67,055 $53,877 +66% $40,694 +120% ≈124% of Medicare
032 Ventricular Shunt Procedures With Cc $89,367 $67,025 $52,972 +69% $46,724 +91% ≈86% of Medicare
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $89,313 $66,985 $50,682 +76% $31,170 +187%
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 $29,181 +205% $40,108 +122%
374 Digestive Malignancy With McC $88,855 $66,642 $48,871 +82% $39,958 +122% ≈103% of Medicare
040 Spinal Disorders And Injuries,MAJOR $88,665 $67,025 +32% $74,257 +19% ≈82% of Medicare
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $88,601 $66,450 $41,608 +113% $41,608 +113% ≈87% of Medicare
908 Other O.R. Procedures For Injuries With Cc $88,542 $66,406 $41,660 +113% $42,914 +106% ≈88% of Medicare
337 Peritoneal Adhesiolysis Without Cc/McC $88,054 $66,041 $37,524 +135% $39,211 +125%
466 Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure,EXTREME $87,949 $104,141 −16% $96,507 −9% ≈32% of Medicare
228 Inguinal, Femoral And Umbilical Hernia Procedures,MAJOR $87,820 $87,820 +0% $96,905 −9% ≈28% of Medicare
196 Interstitial Lung Disease With McC $87,779 $65,834 $69,890 +26% $32,637 +169% ≈84% 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 $22,644 +285% $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 $34,002 +154% $24,586 +252% ≈114% of Medicare
793 Moderately Extensive O.R. Procedures For Other Complications Of Treatment,EXTREME $86,081 $27,143 +217% $18,649 +362%
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $86,007 $64,505 $51,429 +67% $31,134 +176% ≈113% of Medicare
755 Malignancy, Female Reproductive System With Cc $85,760 $64,320 $27,083 +217% $18,459 +365%
033 Ventricular Shunt Procedures Without Cc/McC $85,710 $64,283 $43,282 +98% $35,419 +142% ≈91% of Medicare
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 $27,162 +215% $23,171 +269%
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $85,438 $64,078 $46,908 +82% $35,074 +144%
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $85,380 $64,035 $30,328 +182% $29,743 +187%
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $85,101 $63,826 $47,007 +81% $50,607 +68% ≈124% of Medicare
186 Pleural Effusion With McC $85,012 $63,759 $42,577 +100% $33,834 +151% ≈100% of Medicare
694 Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,EXTREME $84,936 $21,826 +289% $17,345 +390% ≈312% of Medicare
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $84,377 $63,283 $52,544 +61% $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% $30,100 +179% ≈93% of Medicare
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $83,785 $62,839 $44,384 +89% $36,253 +131%
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $83,475 $62,606 $46,400 +80% $36,937 +126%
080 Nontraumatic Stupor And Coma With McC $83,368 $62,526 $31,755 +163% $36,249 +130%
377 Gastrointestinal Hemorrhage With McC $83,330 $62,497 $58,908 +41% $37,842 +120% ≈94% of Medicare
892 Hiv With Major Hiv Related Condition,EXTREME $83,052 $30,629 +171% $39,896 +108%
261 Major Biliary Tract Procedures,MAJOR $82,788 $31,882 +160% $42,126 +97%
141 Asthma,EXTREME $82,754 $40,584 +104% $37,267 +122% ≈64% of Medicare
708 Major Male Pelvic Procedures Without Cc/McC $82,635 $61,976 $41,216 +100% $36,988 +123% ≈113% of Medicare
572 Skin Debridement Without Cc/McC $82,358 $61,768 $33,093 +149% $24,944 +230%
056 Degenerative Nervous System Disorders With McC $82,157 $61,617 $60,685 +35% $39,973 +106% ≈117% of Medicare
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $81,974 $61,480 $27,696 +196% $30,784 +166%
189 Pulmonary Edema And Respiratory Failure $81,716 $61,287 $30,023 +172% $26,580 +207% ≈103% of Medicare
841 Lymphoma And Non-Acute Leukemia With Cc $81,634 $61,225 $33,157 +146% $33,633 +143% ≈86% of Medicare
666 Prostatectomy With Cc $81,307 $60,980 $57,243 +42% $31,906 +155%
727 Inflammation Of The Male Reproductive System With McC $81,270 $60,952 $23,253 +250% $26,463 +207%
048 Peripheral, Cranial And Autonomic Nerve Disorders,EXTREME $81,095 $39,647 +105% $34,401 +136%
947 Signs And Symptoms With McC $80,921 $60,691 $23,334 +247% $27,401 +195% ≈83% of Medicare
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $80,907 $60,680 $29,648 +173% $34,607 +134%
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $80,897 $60,673 $49,074 +65% $39,106 +107% ≈88% of Medicare
760 Other Mental Health Conditions And Disorders,MAJOR $80,816 $21,962 +268% $20,895 +287%
887 Other Mental Disorder Diagnoses $80,816 $60,612 $21,835 +270% $20,616 +292%
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $80,551 $60,413 $39,071 +106% $52,036 +55%
398 Appendix Procedures With Cc $80,216 $60,162 $42,478 +89% $40,162 +100%
917 Poisoning And Toxic Effects Of Drugs With McC $80,104 $60,078 $37,942 +111% $30,235 +165% ≈84% of Medicare
513 Gynecologic Procedures Without Malignancy,MAJOR $79,556 $46,205 +72% $33,424 +138%
566 Antepartum Without O.R. Procedure,EXTREME $79,424 $23,784 +234% $14,716 +440%
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $79,308 $59,481 $29,859 +166% $39,515 +101%
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $79,305 $59,479 $53,452 +48% $33,555 +136% ≈119% of Medicare
388 Gastrointestinal Obstruction With McC $79,281 $59,460 $29,845 +166% $30,571 +159% ≈95% of Medicare
207 Other Circulatory System Diagnoses,EXTREME $78,971 $96,452 −18% $116,058 −32% ≈23% of Medicare
811 Red Blood Cell Disorders With McC $78,938 $59,203 $40,425 +95% $28,226 +180% ≈84% of Medicare
709 Penis Procedures With Cc/McC $78,590 $58,943 $35,243 +123% $34,535 +128%
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $78,483 $58,862 $21,684 +262% $23,443 +235%
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $78,431 $58,823 $52,949 +48% $38,878 +102% ≈98% of Medicare
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $78,385 $58,789 $58,123 +35% $32,021 +145% ≈97% of Medicare
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $78,379 $58,784 $39,873 +97% $39,006 +101% ≈132% of Medicare
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $77,630 $58,223 $49,413 +57% $37,950 +105% ≈91% of Medicare
919 Complications Of Treatment With McC $77,523 $58,143 $30,988 +150% $31,105 +149% ≈95% of Medicare
342 Fractures And Dislocations Except Femur, Pelvis And Back,MAJOR $77,428 $31,443 +146% $16,487 +370%
368 Major Esophageal Disorders With McC $77,390 $58,042 $30,007 +158% $33,876 +128% ≈83% of Medicare
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $77,036 $57,777 $35,465 +117% $35,465 +117% ≈97% of Medicare
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $76,786 $57,589 $41,585 +85% $27,323 +181%
041 Nervous System Malignancy,EXTREME $76,610 $58,950 +30% $49,418 +55%
241 Peptic Ulcer And Gastritis,EXTREME $76,212 $36,163 +111% $30,770 +148%
444 Disorders Of The Biliary Tract With McC $76,084 $57,063 $45,187 +68% $34,273 +122% ≈102% of Medicare
438 Disorders Of Pancreas Except Malignancy With McC $75,833 $56,874 $37,194 +104% $32,628 +132% ≈89% of Medicare
334 Rectal Resection Without Cc/McC $75,764 $56,823 $38,636 +96% $36,820 +106%
085 Traumatic Stupor And Coma <1 Hour With McC $75,760 $56,820 $45,245 +67% $41,892 +81% ≈88% of Medicare
814 Reticuloendothelial And Immunity Disorders With McC $75,728 $56,796 $30,026 +152% $33,851 +124% ≈100% of Medicare
669 Transurethral Procedures With Cc $75,590 $56,693 $31,218 +142% $34,354 +120% ≈93% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/McC $75,450 $56,588 $44,117 +71% $44,117 +71% ≈97% of Medicare
549 Septic Arthritis With Cc $75,404 $56,553 $18,835 +300% $24,056 +213%
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $75,095 $56,321 $30,984 +142% $36,670 +105%
291 Heart Failure And Shock With McC $75,059 $56,294 $38,049 +97% $26,776 +180% ≈111% of Medicare
380 Complicated Peptic Ulcer With McC $74,968 $56,226 $35,369 +112% $39,627 +89% ≈80% of Medicare
682 Renal Failure With McC $74,781 $56,086 $33,856 +121% $29,064 +157% ≈92% of Medicare
205 Other Respiratory System Diagnoses With McC $74,581 $55,936 $39,057 +91% $33,255 +124% ≈73% of Medicare
177 Respiratory Infections And Inflammations With McC $74,179 $55,634 $44,001 +69% $33,707 +120% ≈79% of Medicare
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $73,982 $55,486 $28,708 +158% $27,843 +166%
592 Skin Ulcers With McC $73,942 $55,456 $52,689 +40% $33,246 +122%
810 Hemorrhage Or Hematoma Due To Complication,EXTREME $73,814 $15,571 +374% $18,316 +303%
775 Alcohol Abuse And Dependence,EXTREME $73,753 $48,312 +53% $3,032 +2332%
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $73,695 $55,271 $41,211 +79% $28,125 +162%
289 Acute And Subacute Endocarditis With Cc $73,660 $55,245 $27,608 +167% $32,697 +125%
383 Cellulitis And Other Skin Infections,EXTREME $73,617 $30,085 +145% $27,426 +168%
199 Hypertension,EXTREME $73,302 $33,013 +122% $33,787 +117% ≈90% of Medicare
615 Adrenal And Pituitary Procedures Without Cc/McC $73,259 $54,944 $40,086 +83% $32,833 +123% ≈87% of Medicare
382 Malignant Breast Disorders,EXTREME $72,795 $18,925 +285% $16,634 +338%
597 Malignant Breast Disorders With McC $72,795 $54,596 $30,951 +135% $33,386 +118%
358 Other Digestive System O.R. Procedures Without Cc/McC $72,505 $54,378 $37,380 +94% $30,083 +141%
324 Elective Hip Joint Replacement,MAJOR $72,375 $85,136 −15% $71,464 +1% ≈69% of Medicare
100 Seizures With McC $71,889 $53,917 $50,531 +42% $35,481 +103% ≈80% of Medicare
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $71,776 $53,832 $39,644 +81% $33,393 +115% ≈140% of Medicare
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% $31,017 +129%
299 Peripheral Vascular Disorders With McC $70,926 $53,194 $34,674 +105% $27,316 +160% ≈77% of Medicare
465 Urinary Stones And Acquired Upper Urinary Tract Obstruction,EXTREME $70,642 $31,774 +122% $32,443 +118%
157 Dental And Oral Diseases With McC $70,444 $52,833 $24,447 +188% $31,300 +125%
234 Appendectomy Without Complex Principal Diagnosis,MAJOR $70,308 $70,308 +0% $102,573 −31%
188 Pleural Effusion Without Cc/McC $70,112 $52,584 $23,124 +203% $14,514 +383%
393 Other Digestive System Diagnoses With McC $69,976 $52,482 $49,207 +42% $34,192 +105% ≈85% of Medicare
557 Tendonitis, Myositis And Bursitis With McC $69,150 $51,862 $37,596 +84% $32,877 +110%
865 Viral Illness With McC $69,033 $51,774 $25,367 +172% $26,910 +157% ≈102% of Medicare
536 Fractures Of Hip And Pelvis Without McC $68,840 $51,630 $17,814 +286% $18,002 +282%
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $68,701 $51,526 $64,821 +6% $25,748 +167%
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $68,233 $51,175 $39,638 +72% $32,841 +108%
345 Minor Small And Large Bowel Procedures With Cc $67,931 $50,948 $31,108 +118% $33,048 +106%
401 Adrenal Procedures,MINOR $67,791 $48,064 +41% $28,293 +140%
425 Other Non-Hypovolemic Electrolyte Disorders,EXTREME $67,652 $28,899 +134% $26,598 +154%
070 Other Cerebrovascular Disorders With McC $67,634 $50,725 $25,761 +163% $31,951 +112% ≈71% of Medicare
292 Heart Failure And Shock With Cc $67,559 $50,669 $32,219 +110% $16,371 +313% ≈100% of Medicare
643 Endocrine Disorders With McC $67,538 $50,653 $38,745 +74% $33,563 +101% ≈93% of Medicare
232 Gastric Fundoplication,MINOR $67,333 $136,591 −51% $115,839 −42%
043 Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MAJOR $67,267 $47,233 +42% $46,703 +44%
553 Bone Diseases And Arthropathies With McC $67,088 $50,316 $33,365 +101% $26,051 +158%
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $66,830 $50,123 $24,803 +169% $31,159 +114%
546 Connective Tissue Disorders With Cc $66,600 $49,950 $34,947 +91% $25,700 +159% ≈104% of Medicare
113 Infections Of Upper Respiratory Tract,EXTREME $66,579 $31,605 +111% $36,167 +84%
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $66,568 $49,926 $38,439 +73% $41,620 +60%
813 Other Complications Of Treatment,EXTREME $66,415 $39,854 +67% $33,296 +99% ≈61% of Medicare
071 Other Cerebrovascular Disorders With Cc $65,577 $49,183 $22,359 +193% $23,488 +179%
376 Digestive Malignancy Without Cc/McC $65,405 $49,054 $25,989 +152% $16,998 +285%
884 Organic Disturbances And Intellectual Disability $65,284 $48,963 $35,058 +86% $26,682 +145% ≈87% of Medicare
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $65,237 $48,928 $22,318 +192% $22,763 +187%
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $64,919 $48,689 $26,418 +146% $29,611 +119%
245 Inflammatory Bowel Disease,EXTREME $64,735 $67,897 −5% $72,076 −10%
551 Medical Back Problems With McC $64,648 $48,486 $49,835 +30% $34,017 +90% ≈65% of Medicare
539 Cesarean Section With Sterilization,MAJOR $64,544 $34,182 +89% $37,609 +72%
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 $40,997 +57% $23,289 +177%
168 Other Respiratory System O.R. Procedures Without Cc/McC $64,319 $48,239 $32,277 +99% $29,949 +115%
258 Cardiac Pacemaker Device Replacement With McC $64,203 $48,152 $64,203 +0% $52,986 +21%
540 Cesarean Section Without Sterilization,EXTREME $63,997 $33,331 +92% $26,676 +140%
246 Gastrointestinal Vascular Insufficiency,EXTREME $63,750 $55,692 +14% $33,983 +88%
147 Ear, Nose, Mouth And Throat Malignancy With Cc $63,745 $47,809 $22,606 +182% $22,851 +179%
723 Viral Illness,MAJOR $63,599 $21,259 +199% $19,815 +221%
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $63,561 $47,671 $20,614 +208% $19,594 +224%
698 Other Kidney And Urinary Tract Diagnoses With McC $63,518 $47,639 $38,521 +65% $32,496 +95% ≈93% of Medicare
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $63,304 $47,478 $39,618 +60% $24,127 +162%
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $63,236 $47,427 $17,519 +261% $22,393 +182%
193 Simple Pneumonia And Pleurisy With McC $62,715 $47,036 $30,935 +103% $27,275 +130% ≈94% of Medicare
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $62,600 $46,950 $28,509 +120% $23,551 +166% ≈90% of Medicare
073 Cranial And Peripheral Nerve Disorders With McC $61,927 $46,445 $26,886 +130% $30,010 +106%
101 Seizures Without McC $61,920 $46,440 $25,137 +146% $20,461 +203% ≈122% of Medicare
351 Other Musculoskeletal System And Connective Tissue Diagnoses,EXTREME $61,571 $47,899 +29% $36,505 +69%
909 Other O.R. Procedures For Injuries Without Cc/McC $61,512 $46,134 $27,745 +122% $28,156 +118%
542 Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,EXTREME $61,234 $45,373 +35% $36,792 +66% ≈68% of Medicare
468 Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms,EXTREME $61,202 $61,202 +0% $54,929 +11% ≈43% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $60,854 $45,640 $33,830 +80% $23,940 +154% ≈111% of Medicare
689 Kidney And Urinary Tract Infections With McC $60,622 $45,466 $29,341 +107% $23,617 +157% ≈80% of Medicare
074 Cranial And Peripheral Nerve Disorders Without McC $60,321 $45,240 $27,670 +118% $23,141 +161% ≈94% of Medicare
225 Appendectomy,MODERATE $60,290 $48,084 +25% $57,380 +5%
399 Appendix Procedures Without Cc/McC $60,290 $45,218 $30,259 +99% $31,321 +92%
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $60,117 $45,088 $25,879 +132% $25,652 +134%
862 Postoperative And Post-Traumatic Infections With McC $59,135 $44,351 $49,084 +20% $32,859 +80% ≈84% of Medicare
664 Minor Bladder Procedures Without Cc/McC $58,413 $43,809 $17,541 +233% $22,314 +162%
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $58,332 $43,749 $26,874 +117% $29,524 +98%
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $58,275 $43,706 $39,309 +48% $33,047 +76%
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $58,191 $43,643 $30,879 +88% $18,072 +222%
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $58,187 $43,640 $36,902 +58% $28,050 +107% ≈90% of Medicare
140 Chronic Obstructive Pulmonary Disease,EXTREME $57,781 $57,781 +0% $60,098 −4%
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $57,533 $43,150 $24,198 +138% $27,119 +112%
092 Other Disorders Of Nervous System With Cc $57,481 $43,111 $28,389 +102% $24,914 +131% ≈94% of Medicare
783 Cesarean Section With Sterilization With McC $57,123 $42,842 $46,199 +24% $29,221 +95%
964 Other Multiple Significant Trauma With Cc $56,809 $42,607 $29,796 +91% $27,394 +107%
770 Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice,EXTREME $56,581 $30,874 +83% $18,956 +198%
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% $16,565 +239%
115 Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,EXTREME $55,716 $33,359 +67% $25,703 +117%
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $55,716 $41,787 $30,616 +82% $27,633 +102%
883 Disorders Of Personality And Impulse Control $55,422 $41,567 $25,909 +114% $23,206 +139%
197 Peripheral And Other Vascular Disorders,EXTREME $55,255 $28,997 +91% $21,941 +152%
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $55,169 $41,377 $13,778 +300% $17,737 +211%
786 Cesarean Section Without Sterilization With McC $55,088 $41,316 $44,672 +23% $27,152 +103%
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $55,070 $41,302 $31,432 +75% $22,888 +141% ≈113% of Medicare
386 Inflammatory Bowel Disease With Cc $54,990 $41,242 $30,103 +83% $22,033 +150%
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 $28,004 +94% $22,506 +142%
369 Major Esophageal Disorders With Cc $54,202 $40,652 $25,859 +110% $25,303 +114%
620 O.R. Procedures For Obesity With Cc $53,644 $40,233 $45,104 +19% $35,453 +51% ≈95% of Medicare
152 Otitis Media And Uri With McC $53,568 $40,176 $21,877 +145% $20,247 +165%
445 Disorders Of The Biliary Tract With Cc $53,062 $39,797 $25,888 +105% $23,319 +128% ≈93% of Medicare
651 Other Procedures Of Blood And Blood-Forming Organs,MINOR $53,055 $53,229 −0% $56,242 −6%
259 Cardiac Pacemaker Device Replacement Without McC $52,772 $39,579 $52,772 +0% $39,020 +35%
903 Wound Debridements For Injuries Without Cc/McC $52,574 $39,430 $19,017 +176% $25,581 +106%
178 Respiratory Infections And Inflammations With Cc $52,150 $39,113 $30,232 +73% $22,024 +137% ≈101% 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 $31,908 +61% $32,100 +60%
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $51,288 $38,466 $30,396 +69% $22,458 +128% ≈103% of Medicare
102 Headaches With McC $51,020 $38,265 $26,681 +91% $25,740 +98%
552 Medical Back Problems Without McC $50,702 $38,027 $28,869 +76% $21,396 +137% ≈98% of Medicare
243 Other Esophageal Disorders,EXTREME $50,543 $50,543 +0% $50,011 +1% ≈42% of Medicare
975 Hiv With Major Related Condition With Cc $49,913 $37,435 $24,799 +101% $27,808 +79%
866 Viral Illness Without McC $49,857 $37,392 $16,391 +204% $17,081 +192%
726 Benign Prostatic Hypertrophy Without McC $49,650 $37,238 $14,432 +244% $15,019 +231%
067 Precerebral Occlusion Without Infarction With McC $49,639 $37,229 $27,924 +78% $24,941 +99%
914 Traumatic Injury Without McC $49,220 $36,915 $14,052 +250% $15,855 +210%
670 Transurethral Procedures Without Cc/McC $49,141 $36,856 $27,462 +79% $20,911 +135%
348 Anal And Stomal Procedures With Cc $49,132 $36,849 $25,932 +89% $27,947 +76%
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $48,923 $36,692 $28,645 +71% $27,163 +80%
069 Transient Ischemia Without Thrombolytic $48,896 $36,672 $26,630 +84% $21,056 +132%
548 Postpartum And Post Abortion Diagnosis With O.R. Procedure,MAJOR $48,739 $40,250 +21% $31,346 +55%
560 Vaginal Delivery,EXTREME $48,729 $25,662 +90% $25,279 +93%
532 Menstrual And Other Female Reproductive System Disorders,MAJOR $48,724 $24,933 +95% $22,214 +119%
083 Traumatic Stupor And Coma >1 Hour With Cc $48,621 $36,465 $44,298 +10% $27,285 +78% ≈96% of Medicare
541 Vaginal Delivery With Sterilization And/Or D&C,MAJOR $48,571 $22,109 +120% $15,215 +219%
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $47,491 $35,618 $16,607 +186% $20,980 +126%
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $47,486 $35,614 $32,069 +48% $25,034 +90% ≈104% of Medicare
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $47,455 $35,591 $15,931 +198% $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 $31,563 +50% $28,140 +68%
057 Degenerative Nervous System Disorders Without McC $47,366 $35,525 $30,200 +57% $27,543 +72% ≈81% of Medicare
642 Inborn And Other Disorders Of Metabolism $47,205 $35,404 $24,803 +90% $20,727 +128%
051 Viral Meningitis,MODERATE $47,149 $24,628 +91% $28,594 +65%
075 Viral Meningitis With Cc/McC $47,149 $35,362 $16,679 +183% $30,447 +55%
312 Syncope And Collapse $47,089 $35,317 $30,210 +56% $19,342 +143% ≈110% of Medicare
596 Major Skin Disorders Without McC $46,781 $35,086 $16,011 +192% $17,226 +172%
535 Fractures Of Hip And Pelvis With McC $46,715 $35,036 $27,809 +68% $24,552 +90%
787 Cesarean Section Without Sterilization With Cc $46,631 $34,973 $34,767 +34% $23,571 +98%
378 Gastrointestinal Hemorrhage With Cc $46,381 $34,785 $28,960 +60% $22,098 +110% ≈98% of Medicare
638 Diabetes With Cc $46,317 $34,737 $25,396 +82% $19,661 +136% ≈115% of Medicare
375 Digestive Malignancy With Cc $46,244 $34,683 $34,560 +34% $27,277 +70% ≈103% of Medicare
424 Other Endocrine Disorders,EXTREME $46,100 $46,100 +0% $42,415 +9%
300 Peripheral Vascular Disorders With Cc $46,018 $34,514 $26,309 +75% $20,422 +125% ≈95% of Medicare
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $45,659 $34,244 $24,717 +85% $21,894 +109%
184 Major Chest Trauma With Cc $45,532 $34,149 $38,785 +17% $22,432 +103% ≈116% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $45,472 $34,104 $24,613 +85% $21,275 +114% ≈116% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $45,458 $34,093 $25,005 +82% $22,850 +99% ≈89% of Medicare
935 Non-Extensive Burns $45,311 $33,983 $20,078 +126% $31,701 +43%
815 Reticuloendothelial And Immunity Disorders With Cc $45,299 $33,974 $19,264 +135% $19,264 +135% ≈91% of Medicare
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $45,253 $33,940 $19,426 +133% $17,038 +166% ≈111% of Medicare
531 Female Reproductive System Infections,MAJOR $45,242 $29,326 +54% $35,138 +29%
758 Infections, Female Reproductive System With Cc $45,242 $33,932 $25,460 +78% $20,901 +116%
880 Acute Adjustment Reaction And Psychosocial Dysfunction $44,979 $33,734 $23,198 +94% $17,733 +154% ≈91% of Medicare
054 Migraine And Other Headaches,MAJOR $44,714 $30,144 +48% $30,502 +47% ≈100% of Medicare
788 Cesarean Section Without Sterilization Without Cc/McC $44,610 $33,457 $38,919 +15% $20,084 +122%
554 Bone Diseases And Arthropathies Without McC $44,561 $33,421 $21,371 +109% $18,528 +141% ≈98% of Medicare
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $44,321 $33,241 $18,223 +143% $16,699 +165%
176 Pulmonary Embolism Without McC $44,168 $33,126 $23,201 +90% $18,081 +144% ≈129% of Medicare
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $44,015 $33,011 $41,669 +6% $34,276 +28%
251 Abdominal Pain,MAJOR $43,973 $29,506 +49% $46,295 −5%
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $43,720 $32,790 $24,302 +80% $20,781 +110%
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $43,719 $32,789 $26,803 +63% $22,148 +97%
086 Traumatic Stupor And Coma <1 Hour With Cc $43,714 $32,785 $24,991 +75% $27,043 +62% ≈93% of Medicare
307 Cardiac Congenital And Valvular Disorders Without McC $43,555 $32,666 $18,880 +131% $20,566 +112%
244 Diverticulitis And Diverticulosis,EXTREME $43,382 $40,132 +8% $41,591 +4%
644 Endocrine Disorders With Cc $43,072 $32,304 $23,795 +81% $23,198 +86% ≈135% of Medicare
916 Allergic Reactions Without McC $42,830 $32,123 $16,374 +162% $13,942 +207%
948 Signs And Symptoms Without McC $42,769 $32,077 $22,745 +88% $17,921 +139% ≈94% of Medicare
915 Allergic Reactions With McC $42,564 $31,923 $42,564 +0% $32,645 +30%
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $42,446 $31,835 $21,092 +101% $14,014 +203%
461 Kidney And Urinary Tract Malignancy,MAJOR $41,932 $41,932 +0% $108,472 −61%
687 Kidney And Urinary Tract Neoplasms With Cc $41,932 $31,449 $17,794 +136% $20,232 +107%
812 Poisoning Of Medicinal Agents,EXTREME $41,929 $30,969 +35% $20,488 +105% ≈181% of Medicare
293 Heart Failure And Shock Without Cc/McC $41,855 $31,391 $11,127 +276% $12,999 +222%
303 Atherosclerosis Without McC $41,509 $31,132 $19,555 +112% $14,927 +178% ≈145% of Medicare
506 Major Thumb Or Joint Procedures $41,465 $31,098 $30,545 +36% $30,557 +36%
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% $19,130 +116% ≈111% 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 $22,207 +85% $15,502 +165%
202 Bronchitis And Asthma With Cc/McC $40,714 $30,536 $22,179 +84% $17,724 +130% ≈96% of Medicare
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $40,577 $30,433 $24,441 +66% $16,968 +139%
103 Headaches Without McC $40,509 $30,382 $26,347 +54% $21,280 +90% ≈107% of Medicare
158 Dental And Oral Diseases With Cc $40,412 $30,309 $25,343 +59% $18,466 +119%
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $40,338 $30,254 $21,175 +90% $16,846 +139%
920 Complications Of Treatment With Cc $39,822 $29,866 $24,464 +63% $22,468 +77% ≈95% of Medicare
598 Malignant Breast Disorders With Cc $39,772 $29,829 $18,925 +110% $19,073 +109%
756 Acute Anxiety And Stress Syndromes,MAJOR $39,689 $28,003 +42% $15,589 +155%
918 Poisoning And Toxic Effects Of Drugs Without McC $39,520 $29,640 $25,057 +58% $15,452 +156%
564 Abortion Without D&C, Aspiration Curettage Or Hysterotomy,MAJOR $39,421 $39,421 +0% $33,653 +17%
187 Pleural Effusion With Cc $39,416 $29,562 $23,711 +66% $21,789 +81%
603 Cellulitis Without McC $39,177 $29,383 $22,028 +78% $18,530 +111% ≈98% 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 $24,655 +58% $13,275 +193%
093 Other Disorders Of Nervous System Without Cc/McC $38,788 $29,091 $26,380 +47% $17,620 +120%
882 Neuroses Except Depressive $38,736 $29,052 $22,632 +71% $15,680 +147%
394 Other Digestive System Diagnoses With Cc $38,587 $28,940 $20,933 +84% $20,181 +91% ≈99% of Medicare
081 Nontraumatic Stupor And Coma Without McC $38,497 $28,873 $25,219 +53% $16,552 +133%
149 Dysequilibrium $38,352 $28,764 $26,497 +45% $18,096 +112%
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $38,233 $28,674 $22,699 +68% $17,322 +121% ≈127% 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 $21,563 +76% $26,280 +44%
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $37,797 $28,348 $23,775 +59% $12,078 +213%
714 Transurethral Prostatectomy Without Cc/McC $37,398 $28,049 $18,363 +104% $17,934 +109%
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $37,128 $27,846 $11,748 +216% $18,133 +105%
068 Precerebral Occlusion Without Infarction Without McC $36,874 $27,655 $28,548 +29% $19,569 +88% ≈98% of Medicare
389 Gastrointestinal Obstruction With Cc $36,859 $27,645 $21,314 +73% $17,578 +110% ≈97% of Medicare
125 Other Disorders Of The Eye Without McC $36,032 $27,024 $16,137 +123% $17,298 +108%
863 Postoperative And Post-Traumatic Infections Without McC $35,845 $26,884 $22,026 +63% $20,957 +71% ≈99% of Medicare
111 Vertigo And Other Labyrinth Disorders,MAJOR $35,725 $25,629 +39% $32,376 +10%
728 Inflammation Of The Male Reproductive System Without McC $35,668 $26,751 $22,119 +61% $17,118 +108%
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $35,358 $26,518 $27,522 +28% $23,498 +50% ≈92% of Medicare
558 Tendonitis, Myositis And Bursitis Without McC $35,093 $26,320 $17,754 +98% $18,602 +89%
046 Nonspecific Cva And Precerebral Occlusion Without Infarction,MAJOR $34,943 $34,943 +0% $29,050 +20%
138 Mouth Procedures Without Cc/McC $34,836 $26,127 $21,381 +63% $19,119 +82%
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $34,722 $26,041 $19,824 +75% $18,126 +92%
864 Fever And Inflammatory Conditions $34,507 $25,880 $19,050 +81% $18,640 +85% ≈96% of Medicare
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 $14,114 +141% $17,601 +93%
153 Otitis Media And Uri Without McC $33,880 $25,410 $15,085 +125% $14,583 +132%
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $33,869 $25,402 $18,646 +82% $16,767 +102%
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $33,510 $25,132 $33,510 +0% $31,044 +8%
759 Infections, Female Reproductive System Without Cc/McC $33,335 $25,001 $20,286 +64% $14,250 +134%
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $33,073 $24,805 $14,417 +129% $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 $15,603 +108% $19,924 +63%
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $32,321 $24,241 $32,321 +0% $34,434 −6%
387 Inflammatory Bowel Disease Without Cc/McC $32,157 $24,118 $21,971 +46% $16,288 +97%
123 Neurological Eye Disorders $32,121 $24,091 $29,012 +11% $19,745 +63%
600 Non-Malignant Breast Disorders With Cc/McC $31,927 $23,945 $13,799 +131% $16,700 +91%
379 Gastrointestinal Hemorrhage Without Cc/McC $31,746 $23,810 $16,381 +94% $15,038 +111%
894 Hiv With One Significant Hiv Condition Or Without Significant Related Conditions,MINOR $31,648 $15,166 +109% $12,324 +157%
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% $20,506 +50% ≈97% of Medicare
684 Renal Failure Without Cc/McC $29,030 $21,772 $12,321 +136% $13,642 +113%
395 Other Digestive System Diagnoses Without Cc/McC $29,016 $21,762 $15,125 +92% $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 $27,710 +2% $20,259 +40%
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $27,982 $20,986 $16,269 +72% $14,549 +92%
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 $13,127 +98% $14,415 +80%
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $25,077 $18,808 $15,922 +57% $14,797 +69%
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $24,807 $18,605 $15,766 +57% $16,520 +50%
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $24,331 $18,248 $11,491 +112% $12,895 +89%
645 Endocrine Disorders Without Cc/McC $24,176 $18,132 $17,001 +42% $15,428 +57%
185 Major Chest Trauma Without Cc/McC $23,974 $17,981 $23,266 +3% $17,124 +40%
390 Gastrointestinal Obstruction Without Cc/McC $23,543 $17,658 $14,942 +58% $13,361 +76% ≈108% of Medicare
697 Urethral Stricture $22,523 $16,892 $22,523 +0% $18,428 +22%
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $19,549 $14,662 $12,856 +52% $9,940 +97%
626 Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR $18,662 $27,279 −32% $33,454 −44%
945 Rehabilitation With Cc/McC $18,208 $13,656 $18,208 +0% $23,834 −24%
949 Aftercare With Cc/McC $17,779 $13,334 $17,779 +0% $23,953 −26%
203 Chest Pain,MAJOR $17,477 $11,397 +53% $12,252 +43%
563 Preterm Labor,MINOR $17,126 $20,446 −16% $19,842 −14% ≈104% of Medicare
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $17,082 $12,812 $14,426 +18% $12,454 +37%
640 Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR $16,271 $16,271 +0% $25,463 −36% ≈33% of Medicare
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $15,367 $11,525 $15,367 +0% $14,501 +6%
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 $21,162 −51% $26,932 −62%
794 Neonate With Other Significant Problems $9,504 $7,128 $9,504 +0% $8,445 +13%
795 Normal Newborn $8,593 $6,445 $5,663 +52% $4,720 +82%
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 $2,777 +22% $1,447,596 −100%

Procedures with negotiated rates only

These 9 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
192 Cardiac Catheterization For Other Non-Coronary Conditions,EXTREME $6,237 – $123,908 · median $22,558 29 plans
313 Knee And Lower Leg Procedures Except Foot,EXTREME $12,046 – $139,186 · median $45,471 21 plans
310 Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,EXTREME 17 plans
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