Heywood Hospital — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 764 with a comparable price, 2 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 766
Lowest published price $2,567
Average published price $14,400
Highest published price $220,900

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 766 procedures

Published charges

Showing all 764 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. Cash-pay prices not published for this hospital.

Across 23 procedures, this hospital's negotiated rates average ≈69% of what Medicare pays.

DRG Description Published price vs. MA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $220,900 $2,341,833 −91% $573,534 −61% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $165,297 $585,894 −72% $461,389 −64% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $139,400 $448,305 −69% $306,087 −54% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $126,052 $375,261 −66% $371,366 −66% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $83,516 $467,237 −82% $248,521 −66% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $77,526 $380,132 −80% $182,314 −57% —
007 LUNG TRANSPLANT $77,334 $170,608 −55% $170,608 −55% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $65,396 $1,703,556 −96% $194,769 −66% —
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $64,664 $324,657 −80% $196,346 −67% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $63,239 $556,474 −89% $164,641 −62% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $62,921 $340,077 −81% $208,939 −70% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $57,423 $314,210 −82% $188,171 −69% —
231 CORONARY BYPASS WITH PTCA WITH MCC $50,566 $164,187 −69% $147,227 −66% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $50,538 $230,197 −78% $153,282 −67% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $48,161 $325,686 −85% $148,686 −68% —
010 PANCREAS TRANSPLANT $47,648 $73,794 — $99,940 −52% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $47,381 $76,304 — $105,228 −55% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $46,735 $113,568 −59% $144,569 −68% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $46,276 $242,781 −81% $143,242 −68% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $44,683 $134,426 −67% $120,573 −63% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $42,370 $242,313 −83% $131,961 −68% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $41,726 $186,863 −78% $148,832 −72% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $40,979 $169,622 −76% $102,600 −60% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $40,109 $112,830 −64% $89,353 −55% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $40,043 $197,267 −80% $125,242 −68% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $38,875 $96,452 −60% $116,058 −67% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $38,821 $244,842 −84% $123,995 −69% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $38,043 $146,030 −74% $109,331 −65% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $37,286 $171,834 −78% $117,280 −68% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $37,075 $86,610 −57% $98,912 −63% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $36,950 $41,932 −12% $108,472 −66% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $36,787 $136,591 −73% $115,839 −68% —
028 SPINAL PROCEDURES WITH MCC $36,617 $158,431 −77% $113,077 −68% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $36,363 $128,339 −72% $98,260 −63% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $36,363 $58,769 — $81,176 −55% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $36,100 $154,018 −77% $113,855 −68% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,858 $45,071 −20% $103,455 −65% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $35,479 $140,507 −75% $112,062 −68% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $35,435 $100,048 −65% $80,018 −56% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $35,118 $121,455 −71% $96,192 −63% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $34,635 $124,458 −72% $107,355 −68% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $34,436 $114,417 −70% $106,778 −68% —
653 MAJOR BLADDER PROCEDURES WITH MCC $33,675 $58,133 −42% $104,583 −68% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $33,400 $159,308 −79% $106,057 −69% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $33,400 $137,687 −76% $85,566 −61% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $32,898 $86,459 −62% $86,459 −62% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $32,825 $116,863 −72% $102,128 −68% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,664 $67,373 −52% $89,207 −63% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $32,634 $146,105 −78% $101,576 −68% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $32,631 $73,030 −55% $90,401 −64% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $32,193 $70,308 −54% $102,573 −69% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $32,056 $181,335 −82% $111,320 −71% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,103 $154,050 −80% $99,423 −69% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $30,879 $104,141 −70% $96,507 −68% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $30,788 $102,442 −70% $80,793 −62% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $30,543 $126,694 −76% $93,390 −67% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $30,370 $43,339 −30% $77,055 −61% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $30,347 $114,244 −73% $93,238 −67% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $30,336 $127,941 −76% $93,172 −67% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $30,231 $87,820 −66% $96,905 −69% —
245 AICD GENERATOR PROCEDURES $29,669 $67,897 −56% $72,076 −59% —
471 CERVICAL SPINAL FUSION WITH MCC $29,497 $110,891 −73% $92,515 −68% —
006 LIVER TRANSPLANT WITHOUT MCC $29,450 $312,542 −91% $84,407 −65% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $29,020 $136,839 −79% $90,724 −68% —
799 SPLENECTOMY WITH MCC $28,900 $106,066 −73% $82,218 −65% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $28,894 $112,601 −74% $90,775 −68% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $28,608 $139,381 −79% $92,217 −69% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $28,461 $126,137 −77% $87,761 −68% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $28,300 $145,523 −81% $91,329 −69% —
163 MAJOR CHEST PROCEDURES WITH MCC $28,051 $138,484 −80% $90,195 −69% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $28,040 $111,163 −75% $71,551 −61% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $27,955 $104,012 −73% $90,331 −69% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $27,951 $102,516 −73% $88,050 −68% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $27,483 $91,036 −70% $76,001 −64% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $27,326 $79,556 −66% $84,692 −68% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $27,254 $102,456 −73% $88,307 −69% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $27,010 $52,653 −49% $70,177 −62% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $26,791 $189,408 −86% $86,970 −69% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $26,355 $60,814 −57% $83,441 −68% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $26,050 $125,454 −79% $82,561 −68% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $26,014 $109,731 −76% $101,510 −74% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $25,838 $57,781 −55% $60,098 −57% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $25,643 $23,674 +8% $59,352 −57% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $25,613 $60,249 −57% $72,962 −65% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $25,607 $103,271 −75% $77,990 −67% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $25,439 $106,748 −76% $85,159 −70% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $25,155 $115,978 −78% $82,247 −69% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $25,142 $70,455 −64% $73,120 −66% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $25,107 $139,310 −82% $79,836 −69% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $25,099 $27,143 −8% $18,649 +35% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $24,895 $139,305 −82% $79,225 −69% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $24,407 $60,421 −60% $77,817 −69% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $24,391 $83,912 −71% $62,300 −61% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $24,186 $100,247 −76% $71,795 −66% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $24,139 $54,300 −56% $61,832 −61% —
791 PREMATURITY WITH MAJOR PROBLEMS $24,010 $27,889 −14% $42,679 −44% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $23,980 $155,537 −85% $78,852 −70% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $23,854 $101,642 −77% $76,219 −69% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,716 $90,657 −74% $66,685 −64% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $23,693 $53,307 −56% $59,594 −60% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $23,630 $70,432 −66% $75,573 −69% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $23,468 $121,891 −81% $75,103 −69% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $23,347 $97,894 −76% $74,755 −69% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $23,175 $67,025 −65% $74,257 −69% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,999 $84,022 −73% $61,470 −63% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $22,456 $58,564 −62% $68,639 −67% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $22,308 $104,881 −79% $71,755 −69% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $22,084 $126,382 −83% $66,711 −67% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $22,082 $80,121 −72% $59,533 −63% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $22,079 $68,086 −68% $71,092 −69% —
265 AICD LEAD PROCEDURES $21,981 $119,401 −82% $63,171 −65% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $21,888 $104,847 −79% $70,564 −69% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $21,767 $63,147 −66% $66,848 −67% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,761 $59,481 −63% $50,919 −57% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $21,710 $109,925 −80% $56,964 −62% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $21,612 $49,874 −57% $69,743 −69% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,605 $97,253 −78% $66,068 −67% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $21,597 $48,875 −56% $62,583 −65% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $21,561 $73,423 −71% $51,953 −58% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $21,429 $53,229 −60% $56,242 −62% —
332 RECTAL RESECTION WITH MCC $21,407 $154,131 −86% $58,125 −63% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $21,385 $39,071 −45% $52,036 −59% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $21,266 $112,278 −81% $71,014 −70% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,234 $127,374 −83% $68,653 −69% —
665 PROSTATECTOMY WITH MCC $21,203 $39,785 −47% $54,072 −61% —
252 OTHER VASCULAR PROCEDURES WITH MCC $21,184 $101,547 −79% $68,508 −69% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $21,154 $116,723 −82% $70,847 −70% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $21,043 $82,301 −74% $70,371 −70% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $20,960 $75,541 −72% $70,132 −70% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $20,755 $112,438 −82% $67,268 −69% —
037 EXTRACRANIAL PROCEDURES WITH MCC $20,546 $121,742 −83% $66,666 −69% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,436 $41,842 −51% $52,908 −61% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,242 $78,684 −74% $65,788 −69% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $20,188 $69,044 −71% $58,745 −66% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,180 $87,436 −77% $65,608 −69% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $19,954 $127,452 −84% $72,424 −72% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $19,868 $34,718 −43% $63,928 −69% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,813 $85,136 −77% $71,464 −72% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $19,778 $73,761 −73% $49,710 −60% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,690 $76,545 −74% $55,289 −64% —
500 SOFT TISSUE PROCEDURES WITH MCC $19,660 $83,283 −76% $61,872 −68% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,382 $87,217 −78% $65,573 −70% —
662 MINOR BLADDER PROCEDURES WITH MCC $19,374 $33,179 −42% $54,562 −64% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,296 $101,858 −81% $65,325 −70% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $19,215 $84,300 −77% $62,821 −69% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $19,165 $114,518 −83% $53,864 −64% —
652 KIDNEY TRANSPLANT $19,093 $274,134 −93% $54,720 −65% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $19,076 $57,769 −67% $60,407 −68% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,018 $100,641 −81% $64,523 −71% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $18,964 $40,110 −53% $44,472 −57% —
570 SKIN DEBRIDEMENT WITH MCC $18,736 $72,210 −74% $52,435 −64% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,596 $60,208 −69% $46,402 −60% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $18,377 $85,003 −78% $58,228 −68% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $18,333 $80,928 −77% $65,653 −72% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,286 $80,597 −77% $60,170 −70% —
668 TRANSURETHRAL PROCEDURES WITH MCC $18,189 $42,031 −57% $51,608 −65% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,180 $102,200 −82% $70,467 −74% —
800 SPLENECTOMY WITH CC $18,175 $89,665 −80% $49,184 −63% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $18,165 $62,271 −71% $59,790 −70% —
472 CERVICAL SPINAL FUSION WITH CC $18,078 $68,993 −74% $59,537 −70% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $17,903 $40,406 −56% $59,031 −70% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $17,883 $43,664 −59% $58,975 −70% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $17,873 $93,081 −81% $61,217 −71% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,850 $70,439 −75% $49,839 −64% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $17,784 $101,032 −82% $81,706 −78% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $17,675 $63,244 −72% $54,196 −67% —
654 MAJOR BLADDER PROCEDURES WITH CC $17,640 $63,842 −72% $58,274 −70% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $17,561 $103,695 −83% $58,043 −70% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,544 $64,203 −73% $52,986 −67% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $17,141 $76,955 −78% $48,358 −65% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,113 $54,543 −69% $50,618 −66% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,084 $62,574 −73% $51,746 −67% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,026 $55,818 −69% $43,491 −61% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $16,949 $100,945 −83% $62,264 −73% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $16,897 $33,024 −49% $44,546 −62% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $16,835 $69,394 −76% $52,405 −68% —
263 VEIN LIGATION AND STRIPPING $16,825 $65,205 −74% $51,253 −67% —
849 RADIOTHERAPY $16,761 $101,397 −83% $37,862 −56% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,712 $61,067 −73% $47,945 −65% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,657 $24,311 −31% $44,222 −62% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $16,638 $126,739 −87% $48,687 −66% —
503 FOOT PROCEDURES WITH MCC $16,618 $48,928 −66% $47,540 −65% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,602 $40,944 −59% $41,422 −60% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $16,482 $61,202 −73% $54,929 −70% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,443 $30,605 −46% $46,453 −65% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $16,280 $49,369 −67% $45,167 −64% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,255 $55,905 −71% $52,178 −69% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,077 $52,949 −70% $38,878 −59% —
253 OTHER VASCULAR PROCEDURES WITH CC $16,073 $82,612 −81% $57,454 −72% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,045 $102,398 −84% $58,707 −73% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $15,921 $54,739 −71% $40,362 −61% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $15,909 $46,659 −66% $49,423 −68% —
164 MAJOR CHEST PROCEDURES WITH CC $15,863 $55,568 −71% $56,755 −72% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,788 $60,685 −74% $39,973 −61% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $15,777 $99,774 −84% $55,162 −71% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,725 $62,878 −75% $39,173 −60% —
397 APPENDIX PROCEDURES WITH MCC $15,635 $51,587 −70% $53,257 −71% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,576 $103,110 −85% $54,583 −71% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,463 $57,044 −73% $51,985 −70% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,345 $61,445 −75% $59,421 −74% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,290 $50,269 −70% $50,046 −69% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,246 $74,437 −80% $42,186 −64% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,187 $58,814 −74% $59,651 −75% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,165 $46,488 −67% $47,583 −68% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $15,165 $38,439 −61% $41,620 −64% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,045 $58,620 −74% $53,451 −72% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $14,992 $51,574 −71% $50,624 −70% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $14,988 $47,241 −68% $40,548 −63% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,970 $52,286 −71% $59,500 −75% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $14,948 $51,542 −71% $50,498 −70% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $14,824 $72,261 −79% $50,139 −70% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,717 $24,039 −39% $36,489 −60% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $14,685 $34,848 −58% $40,060 −63% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $14,672 $56,339 −74% $59,629 −75% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $14,648 $65,411 −78% $50,394 −71% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $14,629 $18,944 −23% $12,229 +20% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,565 $29,181 −50% $40,108 −64% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,542 $37,745 −61% $39,181 −63% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,502 $46,100 −69% $42,415 −66% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $14,477 $45,152 −68% $48,349 −70% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,452 $51,487 −72% $49,066 −71% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,401 $45,245 −68% $41,892 −66% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $14,356 $52,544 −73% $38,998 −63% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,355 $58,950 −76% $49,418 −71% —
113 ORBITAL PROCEDURES WITH CC/MCC $14,346 $31,605 −55% $36,167 −60% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,324 $50,543 −72% $50,011 −71% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,319 $40,757 −65% $48,682 −71% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,302 $43,383 −67% $47,737 −70% —
709 PENIS PROCEDURES WITH CC/MCC $14,291 $35,243 −59% $34,535 −59% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $14,205 $26,403 −46% $47,789 −70% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $14,164 $62,996 −78% $45,866 −69% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,094 $69,258 −80% $46,283 −70% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,013 $41,608 −66% $41,608 −66% —
935 NON-EXTENSIVE BURNS $13,995 $20,078 −30% $31,701 −56% —
906 HAND PROCEDURES FOR INJURIES $13,914 $57,528 −76% $32,065 −57% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,893 $43,290 −68% $45,333 −69% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $13,837 $53,592 −74% $42,901 −68% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,768 $72,255 −81% $45,877 −70% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,745 $56,626 −76% $38,666 −64% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $13,716 $40,584 −66% $37,267 −63% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $13,701 $33,510 −59% $31,044 −56% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $13,692 $26,879 −49% $38,070 −64% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $13,643 $37,975 −64% $35,569 −62% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,642 $56,180 −76% $46,727 −71% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $13,641 $52,972 −74% $46,724 −71% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,618 $54,636 −75% $42,906 −68% —
333 RECTAL RESECTION WITH CC $13,581 $51,827 −74% $37,154 −63% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $13,556 $55,340 −76% $49,351 −73% —
595 MAJOR SKIN DISORDERS WITH MCC $13,522 $31,822 −58% $34,598 −61% —
336 PERITONEAL ADHESIOLYSIS WITH CC $13,505 $48,929 −72% $50,463 −73% —
374 DIGESTIVE MALIGNANCY WITH MCC $13,500 $48,871 −72% $39,958 −66% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $13,500 $44,638 −70% $43,650 −69% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,481 $67,622 −80% $58,280 −77% ≈115% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,450 $40,891 −67% $42,795 −69% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,413 $56,385 −76% $46,066 −71% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,378 $30,026 −55% $33,851 −60% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,302 $57,741 −77% $43,174 −69% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,288 $73,364 −82% $52,751 −75% ≈120% of Medicare
592 SKIN ULCERS WITH MCC $13,179 $52,689 −75% $33,246 −60% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $13,127 $49,178 −73% $35,030 −63% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,015 $51,429 −75% $31,134 −58% —
539 OSTEOMYELITIS WITH MCC $12,982 $34,182 −62% $37,609 −65% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,951 $41,660 −69% $42,914 −70% —
548 SEPTIC ARTHRITIS WITH MCC $12,936 $40,250 −68% $31,346 −59% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,924 $62,877 −79% $32,031 −60% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $12,919 $52,055 −75% $46,090 −72% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,842 $32,264 −60% $44,363 −71% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,840 $49,070 −74% $43,943 −71% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,832 $26,418 −51% $29,611 −57% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,788 $49,074 −74% $39,106 −67% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $12,780 $31,755 −60% $36,249 −65% —
100 SEIZURES WITH MCC $12,766 $50,531 −75% $35,481 −64% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,764 $65,734 −81% $32,574 −61% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,724 $51,707 −75% $43,913 −71% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,694 $61,172 −79% $43,800 −71% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $12,688 $47,463 −73% $44,139 −71% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,650 $52,714 −76% $43,631 −71% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,630 $45,490 −72% $35,628 −65% ≈29% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,625 $49,382 −74% $43,538 −71% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,613 $56,589 −78% $40,213 −69% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $12,591 $38,833 −68% $39,955 −68% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,585 $26,874 −53% $29,524 −57% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,583 $41,427 −70% $38,861 −68% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,505 $57,424 −78% $43,080 −71% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,491 $38,300 −67% $37,240 −66% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,453 $66,392 −81% $42,881 −71% —
380 COMPLICATED PEPTIC ULCER WITH MCC $12,410 $35,369 −65% $39,627 −69% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,343 $33,563 −63% $34,459 −64% —
711 TESTES PROCEDURES WITH CC/MCC $12,330 $29,625 −58% $38,343 −68% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,255 $31,882 −62% $42,126 −71% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,255 $40,012 −69% $40,562 −70% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,230 $56,578 −78% $36,431 −66% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,213 $55,018 −78% $33,985 −64% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,198 $39,057 −69% $33,255 −63% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,185 $36,025 −66% $37,844 −68% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,184 $47,007 −74% $50,607 −76% ≈116% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,184 $47,711 −74% $47,711 −74% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,176 $69,890 −83% $32,637 −63% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,065 $45,373 −73% $36,792 −67% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,059 $99,425 −88% $46,340 −74% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,014 $39,309 −69% $33,047 −64% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,009 $30,984 −61% $36,670 −67% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,953 $61,562 −81% $30,243 −60% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $11,912 $49,084 −76% $32,859 −64% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,879 $53,877 −78% $40,694 −71% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,850 $52,575 −77% $43,298 −73% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,845 $45,038 −74% $40,642 −71% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,842 $46,680 −75% $40,552 −71% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $11,829 $49,413 −76% $37,950 −69% —
919 COMPLICATIONS OF TREATMENT WITH MCC $11,824 $30,988 −62% $31,105 −62% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,819 $42,957 −72% $37,387 −68% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,793 $43,148 −73% $40,365 −71% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,792 $58,908 −80% $37,842 −69% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,740 $28,156 −58% $32,433 −64% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,740 $80,488 −85% $58,809 −80% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,713 $40,132 −71% $41,591 −72% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,604 $46,199 −75% $29,221 −60% —
501 SOFT TISSUE PROCEDURES WITH CC $11,597 $60,388 −81% $39,619 −71% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,575 $81,607 −86% $52,075 −78% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,545 $41,669 −72% $34,276 −66% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,529 $49,831 −77% $38,101 −70% —
199 PNEUMOTHORAX WITH MCC $11,484 $33,013 −65% $33,787 −66% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $11,440 $52,772 −78% $39,020 −71% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,439 $58,283 −80% $39,018 −71% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,434 $45,483 −75% $30,553 −63% —
509 ARTHROSCOPY $11,434 $11,434 +0% $25,994 −56% —
597 MALIGNANT BREAST DISORDERS WITH MCC $11,434 $30,951 −63% $33,386 −66% —
504 FOOT PROCEDURES WITH CC $11,424 $42,056 −73% $38,960 −71% —
505 FOOT PROCEDURES WITHOUT CC/MCC $11,424 $31,716 −64% $34,937 −67% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,402 $31,198 −63% $35,849 −68% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,391 $66,690 −83% $38,836 −71% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,383 $53,452 −79% $33,555 −66% —
180 RESPIRATORY NEOPLASMS WITH MCC $11,382 $62,915 −82% $36,658 −69% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,330 $25,761 −56% $31,951 −65% —
915 ALLERGIC REACTIONS WITH MCC $11,324 $42,564 −73% $32,645 −65% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,314 $31,774 −64% $32,443 −65% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,304 $26,590 −57% $16,351 −31% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,272 $33,132 −66% $29,826 −62% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,242 $29,859 −62% $39,515 −72% —
671 URETHRAL PROCEDURES WITH CC/MCC $11,242 $39,060 −71% $27,233 −59% —
075 VIRAL MENINGITIS WITH CC/MCC $11,234 $16,679 −33% $30,447 −63% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,197 $46,189 −76% $38,094 −71% —
551 MEDICAL BACK PROBLEMS WITH MCC $11,141 $49,835 −78% $34,017 −67% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,110 $42,589 −74% $43,477 −74% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,067 $25,176 −56% $32,944 −66% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,048 $35,498 −69% $29,079 −62% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,042 $39,207 −72% $31,563 −65% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,013 $45,187 −76% $34,273 −68% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,992 $38,521 −71% $32,496 −66% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $10,974 $24,803 −56% $31,159 −65% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,956 $49,269 −78% $29,916 −63% —
571 SKIN DEBRIDEMENT WITH CC $10,954 $42,097 −74% $37,169 −71% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $10,929 $30,007 −64% $33,876 −68% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,921 $24,183 −55% $29,126 −63% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,918 $29,648 −63% $34,607 −68% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,892 $37,194 −71% $32,628 −67% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,885 $19,839 −45% $29,316 −63% —
334 RECTAL RESECTION WITHOUT CC/MCC $10,862 $38,636 −72% $36,820 −70% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $10,861 $50,732 −79% $44,606 −76% —
643 ENDOCRINE DISORDERS WITH MCC $10,855 $38,745 −72% $33,563 −68% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,847 $49,207 −78% $34,192 −68% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,818 $44,117 −75% $44,117 −75% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $10,802 $31,810 −66% $25,197 −57% —
666 PROSTATECTOMY WITH CC $10,797 $57,243 −81% $31,906 −66% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,770 $94,853 −89% $35,831 −70% —
801 SPLENECTOMY WITHOUT CC/MCC $10,764 $10,764 +0% $36,445 −70% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,762 $61,087 −82% $30,828 −65% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,752 $37,942 −72% $30,235 −64% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $10,745 $51,862 −79% $33,661 −68% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $10,740 $34,909 −69% $36,354 −70% —
157 DENTAL AND ORAL DISEASES WITH MCC $10,739 $24,447 −56% $31,300 −66% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $10,674 $30,616 −65% $27,633 −61% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,670 $25,614 −58% $28,202 −62% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,665 $42,912 −75% $27,617 −61% —
913 TRAUMATIC INJURY WITH MCC $10,628 $52,236 −80% $24,198 −56% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,623 $34,674 −69% $27,316 −61% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,617 $44,001 −76% $33,707 −69% ≈29% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $10,587 $56,337 −81% $35,770 −70% —
606 MINOR SKIN DISORDERS WITH MCC $10,581 $32,471 −67% $27,975 −62% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,566 $39,065 −73% $35,692 −70% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,538 $33,690 −69% $35,584 −70% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,503 $45,104 −77% $35,453 −70% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,495 $43,282 −76% $35,419 −70% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $10,483 $39,873 −74% $39,006 −73% —
183 MAJOR CHEST TRAUMA WITH MCC $10,447 $38,398 −73% $29,933 −65% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $10,442 $42,725 −76% $41,955 −75% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,406 $46,908 −78% $35,074 −70% —
186 PLEURAL EFFUSION WITH MCC $10,404 $42,577 −76% $33,834 −69% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,385 $27,608 −62% $32,697 −68% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $10,360 $43,415 −76% $34,906 −70% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,342 $39,421 −74% $33,653 −69% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,335 $33,157 −69% $33,633 −69% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,319 $63,124 −84% $34,749 −70% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $10,303 $29,506 −65% $46,295 −78% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,286 $44,672 −77% $27,152 −62% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,236 $32,321 −68% $34,434 −70% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $10,228 $37,596 −73% $32,877 −69% —
813 COAGULATION DISORDERS $10,218 $39,854 −74% $33,296 −69% —
669 TRANSURETHRAL PROCEDURES WITH CC $10,215 $31,218 −67% $34,354 −70% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,208 $49,835 −80% $24,550 −58% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,205 $28,899 −65% $26,598 −62% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,204 $26,886 −62% $30,010 −66% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,143 $37,524 −73% $39,211 −74% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,119 $33,359 −70% $25,703 −61% —
663 MINOR BLADDER PROCEDURES WITH CC $10,098 $33,704 −70% $33,103 −69% —
533 FRACTURES OF FEMUR WITH MCC $10,083 $37,488 −73% $25,945 −61% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $10,042 $34,508 −71% $33,694 −70% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,037 $42,437 −76% $33,674 −70% —
398 APPENDIX PROCEDURES WITH CC $10,015 $42,478 −76% $40,162 −75% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,996 $36,163 −72% $30,770 −68% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $9,993 $27,279 −63% $33,454 −70% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $9,971 $46,205 −78% $33,424 −70% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $9,965 $47,899 −79% $36,505 −73% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $9,962 $44,384 −78% $36,253 −73% —
682 RENAL FAILURE WITH MCC $9,949 $33,856 −71% $29,064 −66% —
710 PENIS PROCEDURES WITHOUT CC/MCC $9,947 $54,233 −82% $26,436 −62% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $9,939 $29,796 −67% $27,394 −64% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,933 $30,144 −67% $30,502 −67% —
506 MAJOR THUMB OR JOINT PROCEDURES $9,933 $30,545 −67% $30,557 −67% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,923 $34,002 −71% $24,586 −60% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $9,896 $39,644 −75% $33,393 −70% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,873 $31,108 −68% $33,048 −70% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $9,855 $31,563 −69% $28,140 −65% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,836 $41,216 −76% $36,988 −73% —
865 VIRAL ILLNESS WITH MCC $9,798 $25,367 −61% $26,910 −64% —
693 URINARY STONES WITH MCC $9,766 $19,880 −51% $23,892 −59% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,763 $29,845 −67% $30,571 −68% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,760 $25,152 −61% $25,073 −61% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,760 $23,253 −58% $26,463 −63% —
602 CELLULITIS WITH MCC $9,759 $26,545 −63% $30,598 −68% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,726 $30,328 −68% $29,743 −67% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,720 $50,682 −81% $31,170 −69% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $9,716 $36,546 −73% $32,451 −70% —
637 DIABETES WITH MCC $9,684 $34,925 −72% $30,100 −68% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,676 $27,924 −65% $24,941 −61% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,624 $31,908 −70% $32,100 −70% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,600 $25,592 −62% $22,525 −57% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,584 $21,162 −55% $26,932 −64% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,549 $35,465 −73% $35,465 −73% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,548 $40,086 −76% $32,833 −71% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,481 $24,799 −62% $27,808 −66% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $9,468 $16,966 −44% $22,620 −58% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,445 $21,563 −56% $26,280 −64% —
088 CONCUSSION WITH MCC $9,418 $28,654 −67% $24,402 −61% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,409 $32,595 −71% $30,959 −70% —
811 RED BLOOD CELL DISORDERS WITH MCC $9,396 $40,425 −77% $28,226 −67% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $9,384 $44,966 −79% $39,887 −76% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $9,363 $17,519 −47% $22,393 −58% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,350 $9,504 −2% $8,445 +11% —
137 MOUTH PROCEDURES WITH CC/MCC $9,348 $41,302 −77% $27,861 −66% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,340 $29,234 −68% $31,017 −70% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,317 $24,198 −61% $27,119 −66% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,300 $44,298 −79% $27,285 −66% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $9,295 $26,808 −65% $25,094 −63% —
150 EPISTAXIS WITH MCC $9,252 $27,162 −66% $23,171 −60% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,202 $37,864 −76% $30,493 −70% —
139 SALIVARY GLAND PROCEDURES $9,199 $28,523 −68% $23,612 −61% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,183 $16,607 −45% $20,980 −56% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,182 $30,555 −70% $30,418 −70% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,136 $32,600 −72% $30,242 −70% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,094 $37,380 −76% $30,083 −70% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,087 $32,277 −72% $29,949 −70% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,045 $39,618 −77% $24,127 −63% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,035 $13,457 −33% $21,986 −59% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,021 $43,359 −79% $29,805 −70% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,006 $36,861 −76% $31,264 −71% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,974 $30,200 −70% $27,543 −67% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,967 $39,638 −77% $32,841 −73% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $8,947 $27,809 −68% $24,552 −64% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,936 $16,271 −45% $25,463 −65% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,876 $30,935 −71% $27,275 −67% ≈36% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,876 $46,400 −81% $36,937 −76% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,841 $24,991 −65% $27,043 −67% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,808 $33,365 −74% $26,051 −66% —
291 HEART FAILURE AND SHOCK WITH MCC $8,801 $38,049 −77% $26,776 −67% ≈119% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC $8,796 $24,717 −64% $21,894 −60% —
540 OSTEOMYELITIS WITH CC $8,739 $33,331 −74% $26,676 −67% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,719 $22,686 −62% $22,811 −62% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,712 $29,725 −71% $27,989 −69% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $8,706 $64,821 −87% $25,748 −66% —
947 SIGNS AND SYMPTOMS WITH MCC $8,693 $23,334 −63% $27,401 −68% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,683 $36,902 −76% $28,050 −69% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,656 $25,909 −67% $23,206 −63% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,603 $15,971 −46% $19,686 −56% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,603 $27,522 −69% $23,498 −63% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,589 $27,745 −69% $28,156 −69% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,580 $41,211 −79% $28,125 −69% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,565 $30,085 −72% $27,426 −69% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,555 $24,834 −66% $22,320 −62% —
348 ANAL AND STOMAL PROCEDURES WITH CC $8,534 $25,932 −67% $27,947 −69% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,460 $19,911 −58% $26,870 −69% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,455 $38,741 −78% $27,297 −69% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,453 $9,075 −7% $19,354 −56% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,452 $22,606 −63% $22,851 −63% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,430 $24,803 −66% $20,727 −59% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,415 $30,396 −72% $22,458 −63% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,414 $28,320 −70% $28,320 −70% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,409 $30,023 −72% $26,580 −68% ≈42% of Medicare
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $8,406 $20,529 −59% $26,510 −68% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,377 $19,183 −56% $19,270 −57% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,370 $41,585 −80% $27,323 −69% —
375 DIGESTIVE MALIGNANCY WITH CC $8,358 $34,560 −76% $27,277 −69% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,354 $39,300 −79% $19,132 −56% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,328 $28,645 −71% $27,163 −69% —
593 SKIN ULCERS WITH CC $8,323 $24,443 −66% $22,886 −64% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,309 $15,529 −46% $22,557 −63% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,302 $19,017 −56% $25,581 −68% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,272 $44,042 −81% $26,948 −69% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,225 $38,221 −78% $26,770 −69% —
549 SEPTIC ARTHRITIS WITH CC $8,220 $18,835 −56% $24,056 −66% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,183 $27,696 −70% $30,784 −73% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,163 $23,392 −65% $21,847 −63% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,102 $22,742 −64% $25,712 −68% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,086 $18,623 −57% $19,598 −59% —
304 HYPERTENSION WITH MCC $8,044 $54,990 −85% $26,080 −69% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,018 $29,341 −73% $23,617 −66% ≈45% of Medicare
302 ATHEROSCLEROSIS WITH MCC $7,977 $17,355 −54% $22,446 −64% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,976 $22,064 −64% $19,412 −59% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,976 $21,684 −63% $23,443 −66% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,962 $10,479 −24% $21,230 −62% —
102 HEADACHES WITH MCC $7,955 $26,681 −70% $25,740 −69% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,944 $34,947 −77% $25,700 −69% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,931 $25,879 −69% $25,652 −69% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,863 $22,644 −65% $25,390 −69% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,857 $35,058 −78% $26,682 −71% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,855 $33,093 −76% $24,944 −69% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,834 $25,662 −69% $25,279 −69% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,831 $29,933 −74% $26,618 −71% —
152 OTITIS MEDIA AND URI WITH MCC $7,811 $21,877 −64% $20,247 −61% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,770 $32,512 −76% $24,566 −68% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,770 $32,069 −76% $25,034 −69% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,747 $30,259 −74% $31,321 −75% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $7,742 $28,215 −73% $24,386 −68% ≈43% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $7,742 $21,259 −64% $19,815 −61% —
181 RESPIRATORY NEOPLASMS WITH CC $7,668 $37,213 −79% $23,573 −67% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,667 $27,083 −72% $18,459 −58% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,662 $11,748 −35% $18,133 −58% —
200 PNEUMOTHORAX WITH CC $7,652 $28,821 −73% $21,368 −64% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,623 $28,708 −73% $27,843 −73% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,613 $21,229 −64% $17,483 −56% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,576 $11,077 −32% $17,398 −56% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,556 $46,998 −84% $20,926 −64% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,548 $58,123 −87% $32,021 −76% —
381 COMPLICATED PEPTIC ULCER WITH CC $7,545 $24,730 −69% $24,177 −69% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,518 $25,888 −71% $23,319 −68% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,498 $16,011 −53% $17,226 −56% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,490 $17,541 −57% $22,314 −66% —
949 AFTERCARE WITH CC/MCC $7,486 $17,779 −58% $23,953 −69% —
598 MALIGNANT BREAST DISORDERS WITH CC $7,485 $18,925 −60% $19,073 −61% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,483 $17,193 −56% $17,193 −56% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,468 $30,874 −76% $18,956 −61% —
089 CONCUSSION WITH CC $7,446 $17,818 −58% $18,821 −60% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,437 $26,309 −72% $20,422 −64% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,432 $31,678 −77% $23,749 −69% —
712 TESTES PROCEDURES WITHOUT CC/MCC $7,431 $14,395 −48% $18,898 −61% —
184 MAJOR CHEST TRAUMA WITH CC $7,422 $38,785 −81% $22,432 −67% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,380 $28,509 −74% $23,551 −69% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,368 $28,389 −74% $24,914 −70% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,340 $22,359 −67% $23,488 −69% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,333 $17,794 −59% $20,232 −64% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,328 $23,047 −68% $19,657 −63% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,317 $22,318 −67% $22,763 −68% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,313 $29,454 −75% $24,544 −70% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,273 $27,670 −74% $23,141 −69% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,259 $21,175 −66% $16,846 −57% —
644 ENDOCRINE DISORDERS WITH CC $7,220 $23,795 −70% $23,198 −69% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,206 $31,432 −77% $22,888 −69% ≈121% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,196 $25,005 −71% $22,850 −69% —
667 PROSTATECTOMY WITHOUT CC/MCC $7,188 $12,502 −43% $16,703 −57% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,182 $24,184 −70% $23,283 −69% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,181 $27,493 −74% $25,970 −72% —
945 REHABILITATION WITH CC/MCC $7,171 $18,208 −61% $23,834 −70% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,170 $19,726 −64% $18,348 −61% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,142 $24,613 −71% $21,275 −66% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,142 $14,114 −49% $17,601 −59% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,140 $28,004 −75% $22,506 −68% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,140 $29,856 −76% $22,635 −68% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,138 $25,460 −72% $20,901 −66% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,128 $25,859 −72% $25,303 −72% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,124 $33,830 −79% $23,940 −70% ≈120% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,119 $19,264 −63% $19,264 −63% —
920 COMPLICATIONS OF TREATMENT WITH CC $7,118 $24,464 −71% $22,468 −68% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,058 $34,767 −80% $23,571 −70% —
187 PLEURAL EFFUSION WITH CC $7,049 $23,711 −70% $21,789 −68% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,044 $13,778 −49% $17,737 −60% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,043 $10,026 −30% $16,212 −57% —
697 URETHRAL STRICTURE $7,036 $22,523 −69% $18,428 −62% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,025 $22,026 −68% $20,957 −66% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,013 $16,868 −58% $17,698 −60% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,982 $30,103 −77% $22,033 −68% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,980 $30,232 −77% $22,024 −68% ≈58% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $6,967 $28,997 −76% $21,941 −68% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,943 $28,960 −76% $22,098 −69% ≈123% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,942 $21,962 −68% $20,895 −67% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,903 $15,444 −55% $15,901 −57% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,899 $34,695 −80% $17,404 −60% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,832 $22,179 −69% $17,724 −61% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,829 $35,117 −81% $21,449 −68% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,815 $28,869 −76% $21,396 −68% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,806 $33,234 −80% $21,363 −68% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,773 $13,799 −51% $16,700 −59% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,770 $15,603 −57% $19,924 −66% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,768 $27,462 −75% $20,911 −68% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,765 $20,614 −67% $19,594 −65% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,763 $28,003 −76% $15,589 −57% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,745 $15,571 −57% $18,316 −63% —
885 PSYCHOSES $6,725 $37,862 −82% $21,729 −69% ≈32% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,686 $25,601 −74% $15,370 −56% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,684 $20,933 −68% $20,181 −67% —
158 DENTAL AND ORAL DISEASES WITH CC $6,680 $25,343 −74% $18,466 −64% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,674 $18,363 −64% $17,934 −63% —
779 ABORTION WITHOUT D&C $6,646 $11,964 −44% $15,327 −57% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,639 $24,441 −73% $16,968 −61% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,597 $18,880 −65% $20,566 −68% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,581 $27,552 −76% $20,506 −68% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,576 $30,969 −79% $20,488 −68% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,570 $28,630 −77% $20,463 −68% —
101 SEIZURES WITHOUT MCC $6,569 $25,137 −74% $20,461 −68% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,568 $40,756 −84% $20,455 −68% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,554 $30,879 −79% $18,072 −64% —
638 DIABETES WITH CC $6,543 $25,396 −74% $19,661 −67% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,541 $16,201 −60% $17,135 −62% —
914 TRAUMATIC INJURY WITHOUT MCC $6,539 $14,052 −53% $15,855 −59% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,516 $27,710 −76% $20,259 −68% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,513 $18,985 −66% $19,962 −67% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,513 $19,946 −67% $18,452 −65% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,477 $23,694 −73% $18,488 −65% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,471 $25,219 −74% $16,552 −61% —
864 FEVER AND INFLAMMATORY CONDITIONS $6,431 $19,050 −66% $18,640 −65% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,407 $20,446 −69% $19,842 −68% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,399 $26,803 −76% $22,148 −71% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,396 $11,719 −45% $15,764 −59% —
683 RENAL FAILURE WITH CC $6,378 $22,859 −72% $19,130 −67% ≈115% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $6,354 $16,391 −61% $17,081 −63% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,353 $25,057 −75% $15,452 −59% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,350 $15,766 −60% $16,520 −62% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,344 $25,989 −76% $16,998 −63% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,335 $28,548 −78% $19,569 −68% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,332 $31,173 −80% $19,854 −68% —
603 CELLULITIS WITHOUT MCC $6,331 $22,028 −71% $18,530 −66% ≈63% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $6,297 $22,109 −72% $15,215 −59% —
312 SYNCOPE AND COLLAPSE $6,276 $30,210 −79% $19,342 −68% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,266 $26,571 −76% $19,305 −68% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,234 $15,749 −60% $15,889 −61% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,232 $17,754 −65% $18,602 −66% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,222 $16,502 −62% $19,138 −67% —
292 HEART FAILURE AND SHOCK WITH CC $6,217 $32,219 −81% $16,371 −62% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,211 $24,615 −75% $19,096 −67% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,205 $24,337 −75% $18,807 −67% ≈63% of Medicare
090 CONCUSSION WITHOUT CC/MCC $6,194 $13,026 −52% $15,412 −60% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,180 $10,235 −40% $14,290 −57% —
103 HEADACHES WITHOUT MCC $6,153 $26,347 −77% $21,280 −71% —
594 SKIN ULCERS WITHOUT CC/MCC $6,144 $10,346 −41% $14,209 −57% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,143 $38,919 −84% $20,084 −69% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,100 $24,655 −75% $13,275 −54% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,100 $23,775 −74% $12,078 −49% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,079 $53,655 −89% $14,064 −57% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,075 $15,931 −62% $14,055 −57% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,062 $21,371 −72% $18,528 −67% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,010 $16,137 −63% $17,298 −65% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,977 $22,854 −74% $18,204 −67% ≈69% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,971 $15,367 −61% $14,501 −59% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,963 $16,648 −64% $18,150 −67% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,961 $27,268 −78% $19,846 −70% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,960 $22,119 −73% $17,118 −65% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,957 $19,824 −70% $18,126 −67% —
176 PULMONARY EMBOLISM WITHOUT MCC $5,945 $23,201 −74% $18,081 −67% —
534 FRACTURES OF FEMUR WITHOUT MCC $5,942 $19,639 −70% $17,559 −66% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,939 $21,381 −72% $19,119 −69% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,925 $25,544 −77% $18,004 −67% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,924 $17,814 −67% $18,002 −67% —
123 NEUROLOGICAL EYE DISORDERS $5,879 $29,012 −80% $19,745 −70% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,876 $20,057 −71% $17,674 −67% ≈125% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,870 $21,314 −72% $17,578 −67% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,865 $12,079 −51% $13,586 −57% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,861 $26,630 −78% $21,056 −72% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,845 $22,377 −74% $17,700 −67% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,828 $22,745 −74% $17,921 −67% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,801 $9,735 −40% $13,445 −57% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,798 $26,380 −78% $17,620 −67% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,774 $21,092 −73% $14,014 −59% —
887 OTHER MENTAL DISORDER DIAGNOSES $5,768 $21,835 −74% $20,616 −72% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,752 $19,426 −70% $17,038 −66% ≈128% of Medicare
694 URINARY STONES WITHOUT MCC $5,752 $21,826 −74% $17,345 −67% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,746 $22,699 −75% $17,322 −67% ≈66% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,739 $18,223 −69% $16,699 −66% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,736 $17,001 −66% $15,428 −63% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,731 $23,266 −75% $17,124 −67% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,713 $15,891 −64% $18,126 −68% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,684 $19,357 −71% $14,648 −61% —
151 EPISTAXIS WITHOUT MCC $5,616 $15,523 −64% $13,032 −57% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,602 $29,524 −81% $16,776 −67% —
305 HYPERTENSION WITHOUT MCC $5,573 $27,277 −80% $18,086 −69% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,570 $13,943 −60% $19,037 −71% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,565 $18,925 −71% $16,634 −67% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,558 $23,784 −77% $14,716 −62% —
149 DYSEQUILIBRIUM $5,555 $26,497 −79% $18,096 −69% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,547 $26,755 −79% $16,565 −67% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,537 $14,432 −62% $15,019 −63% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,517 $14,343 −62% $16,450 −66% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,507 $20,762 −73% $17,303 −68% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,477 $23,124 −76% $14,514 −62% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,445 $30,437 −82% $12,768 −57% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,426 $18,646 −71% $16,767 −68% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,424 $42,436 −87% $19,227 −72% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,419 $3,060 +77% $12,593 −57% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,392 $12,536 −57% $12,559 −57% —
946 REHABILITATION WITHOUT CC/MCC $5,390 $11,537 −53% $17,685 −70% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,357 $14,426 −63% $12,454 −57% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,356 $25,165 −79% $15,837 −66% —
313 CHEST PAIN $5,356 $23,897 −78% $16,440 −67% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,346 $15,085 −65% $14,583 −63% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,311 $11,491 −54% $12,895 −59% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,304 $9,799 −46% $12,336 −57% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,294 $22,961 −77% $15,600 −66% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,280 $13,108 −60% $15,549 −66% —
311 ANGINA PECTORIS $5,268 $22,207 −76% $15,502 −66% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,266 $12,253 −57% $15,495 −66% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,258 $11,397 −54% $12,252 −57% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,258 $13,591 −61% $12,460 −58% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,244 $15,922 −67% $14,797 −65% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,230 $12,020 −56% $14,689 −64% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,210 $24,302 −79% $20,781 −75% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,206 $13,127 −60% $14,415 −64% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,177 $29,904 −83% $13,651 −62% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,152 $10,558 −51% $11,997 −57% —
201 PNEUMOTHORAX WITHOUT CC/MCC $5,145 $22,393 −77% $14,053 −63% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,117 $16,269 −69% $14,549 −65% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,117 $19,555 −74% $14,927 −66% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,112 $11,909 −57% $11,909 −57% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,105 $21,971 −77% $16,288 −69% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,084 $17,040 −70% $11,847 −57% —
916 ALLERGIC REACTIONS WITHOUT MCC $5,069 $16,374 −69% $13,942 −64% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,043 $12,725 −60% $13,633 −63% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,041 $17,592 −71% $14,638 −66% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,970 $16,770 −70% $14,368 −65% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,928 $20,286 −76% $14,250 −65% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,909 $16,381 −70% $15,038 −67% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,907 $15,125 −68% $14,128 −65% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,893 $14,417 −66% $11,421 −57% —
639 DIABETES WITHOUT CC/MCC $4,850 $14,532 −67% $13,910 −65% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,828 $12,412 −61% $13,824 −65% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,783 $15,989 −70% $15,183 −68% —
882 NEUROSES EXCEPT DEPRESSIVE $4,780 $22,632 −79% $15,680 −70% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,765 $23,198 −79% $17,733 −73% —
684 RENAL FAILURE WITHOUT CC/MCC $4,738 $12,321 −62% $13,642 −65% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,736 $5,881 −19% $11,071 −57% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,692 $17,892 −74% $10,975 −57% —
950 AFTERCARE WITHOUT CC/MCC $4,614 $16,592 −72% $13,527 −66% —
881 DEPRESSIVE NEUROSES $4,572 $27,265 −83% $15,058 −70% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,503 $11,477 −61% $10,160 −56% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,470 $6,819 −34% $10,480 −57% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,459 $18,975 −76% $13,384 −67% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,397 $11,127 −60% $12,999 −66% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,388 $14,942 −71% $13,361 −67% ≈115% of Medicare
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,236 $15,166 −72% $12,324 −66% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,985 $12,856 −69% $9,940 −60% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,773 $6,350 −41% $8,927 −58% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $3,234 $10,630 −70% $15,215 −79% —
999 UNGROUPABLE $3,234 $46,384 −93% $29,674 −89% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $2,730 $102,414 −97% $56,836 −95% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $2,730 $151,014 −98% $75,251 −96% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $2,730 $36,756 −93% $51,625 −95% —
795 NORMAL NEWBORN $2,567 $5,663 −55% $4,720 −46% —

Procedures with negotiated rates only

These 2 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
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC — 2 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC — 2 plans
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