Brigham and Women's Hospital — Pricing
765 procedures published in this hospital's Machine-Readable File (MRF) — 756 with a comparable price, 9 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
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 |
No procedures match that keyword.