Massachusetts General Hospital — Pricing

765 procedures published in this hospital's Machine-Readable File (MRF) — 764 with a comparable price, 1 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 765
Lowest published price $378
Average published price $75,733
Highest published price $2,352,689

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

Showing all 765 procedures

Published charges

Showing all 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.

Across 296 procedures, this hospital's negotiated rates average ≈97% 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 $2,352,689 $1,764,517 $2,341,833 +0% $573,534 +310% ≈106% of Medicare
002 Heart And/Or Lung Transplant,EXTREME $1,736,382 — $1,703,556 +2% $194,769 +792% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,458,092 $1,093,569 $585,894 +149% $461,389 +216% ≈87% of Medicare
003 Bone Marrow Transplant,EXTREME $985,388 $739,041 $375,261 +163% $371,366 +165% ≈76% of Medicare
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $939,470 $430,932 $467,237 +101% $248,521 +278% ≈133% of Medicare
005 Liver Transplant With McC Or Intestinal Transplant $788,525 $591,394 $556,474 +42% $164,641 +379% ≈108% of Medicare
215 Other Heart Assist System Implant $516,474 $387,355 $340,077 +52% $208,939 +147% ≈93% of Medicare
611 Neonate Birth Weight 1500-1999 Grams With Major Anomaly,EXTREME $479,223 — $406,414 +18% $143,990 +233% —
850 Acute Leukemia With Other Procedures $479,055 $359,291 $65,076 +636% $121,563 +294% —
014 Allogeneic Bone Marrow Transplant $477,716 $358,287 $380,132 +26% $182,314 +162% ≈101% of Medicare
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Antineoplastic Implant Or Epilepsy With Neurostimulator $462,655 $154,420 $114,417 +304% $106,778 +333% ≈82% of Medicare
842 Burns With Skin Graft Except Extensive Third Degree Burns,EXTREME $459,671 $48,587 $23,047 +1894% $19,657 +2238% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $446,615 $57,396 $45,373 +884% $36,792 +1114% ≈85% of Medicare
165 Coronary Bypass With Ami Or Complex Principal Diagnosis,EXTREME $413,384 $57,489 $99,425 +316% $46,340 +792% ≈430% of Medicare
304 Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,EXTREME $410,266 $54,952 $54,990 +646% $26,080 +1473% ≈619% of Medicare
711 Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure,EXTREME $406,108 — $29,625 +1271% $38,343 +959% —
167 Other Cardiothoracic And Thoracic Circulatory Procedures,EXTREME $384,344 $55,346 $45,038 +753% $40,642 +846% ≈597% of Medicare
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $364,721 $126,208 $101,032 +261% $81,706 +346% ≈172% of Medicare
163 Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,EXTREME $363,166 $112,296 $138,484 +162% $90,195 +303% ≈298% of Medicare
260 Cardiac Pacemaker Revision Except Device Replacement With McC $358,645 $119,790 $82,301 +336% $70,371 +410% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $355,250 $266,437 $121,455 +192% $96,192 +269% —
233 Appendectomy With Complex Principal Diagnosis,MAJOR $341,075 $255,806 $113,568 +200% $144,569 +136% ≈54% of Medicare
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $337,738 $253,303 $242,313 +39% $131,961 +156% ≈87% of Medicare
834 Acute Leukemia With McC $337,006 $252,754 $137,687 +145% $85,566 +294% ≈62% of Medicare
710 Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,EXTREME $327,618 $46,116 $54,233 +504% $26,436 +1139% —
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $324,812 $243,609 $55,535 +485% $142,326 +128% —
093 Other Disorders Of Nervous System Without Cc/McC $310,253 $21,470 $26,380 +1076% $17,620 +1661% —
092 Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures,EXTREME $305,675 $36,274 $28,389 +977% $24,914 +1127% ≈425% of Medicare
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $302,007 $226,486 $242,781 +24% $143,242 +111% ≈90% of Medicare
166 Coronary Bypass Without Ami Or Complex Principal Diagnosis,EXTREME $298,882 $129,021 $70,432 +324% $75,573 +295% ≈259% of Medicare
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $297,799 $206,825 $159,308 +87% $106,057 +181% —
652 Kidney Transplant $293,460 $220,095 $274,134 +7% $54,720 +436% ≈142% of Medicare
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $278,969 $180,569 $181,335 +54% $111,320 +151% ≈102% of Medicare
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $272,132 $204,099 $124,458 +119% $107,355 +153% ≈97% of Medicare
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $265,749 $149,219 $108,855 +144% $88,566 +200% —
270 Other Major Cardiovascular Procedures With McC $265,024 $198,768 $154,050 +72% $99,423 +167% ≈72% of Medicare
207 Other Circulatory System Diagnoses,EXTREME $260,352 $195,264 $96,452 +170% $116,058 +124% ≈40% of Medicare
694 Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior,EXTREME $260,195 $28,665 $21,826 +1092% $17,345 +1400% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $259,671 $194,753 $43,339 +499% $77,055 +237% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $258,379 $56,887 $36,861 +601% $31,264 +726% ≈175% of Medicare
091 Other Disorders Of Nervous System With McC $255,571 $52,947 $42,957 +495% $37,387 +584% ≈91% of Medicare
661 Coagulation And Platelet Disorders,EXTREME $254,316 $41,116 $27,493 +825% $25,970 +879% ≈332% of Medicare
229 Other Cardiothoracic Procedures Without McC $251,357 $120,255 $101,858 +147% $65,325 +285% ≈120% of Medicare
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $249,363 $187,022 $109,731 +127% $101,510 +146% ≈88% of Medicare
305 Amputation Of Lower Limb Except Toes,EXTREME $243,697 $27,627 $27,277 +793% $18,086 +1247% ≈600% of Medicare
175 Percutaneous Cardiac Intervention Without Ami,EXTREME $243,183 $55,947 $32,595 +646% $30,959 +685% ≈503% of Medicare
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $241,601 $181,076 $80,121 +202% $59,533 +306% ≈95% of Medicare
977 Hiv With Or Without Other Related Condition $239,644 $45,456 $25,592 +836% $22,525 +964% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $237,390 $178,043 $126,137 +88% $87,761 +170% ≈69% of Medicare
951 Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $230,076 $8,765 $11,477 +1905% $10,160 +2165% ≈628% of Medicare
466 Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure,EXTREME $229,411 $172,058 $104,141 +120% $96,507 +138% ≈51% of Medicare
583 Neonate With Ecmo,MODERATE $228,516 — $94,853 +141% $35,831 +538% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $228,108 $171,081 $127,941 +78% $93,172 +145% ≈78% of Medicare
815 Other Injury, Poisoning And Toxic Effect Diagnoses,EXTREME $227,971 $44,360 $19,264 +1083% $19,264 +1083% ≈129% of Medicare
326 Elective Knee Joint Replacement,MINOR $227,703 $170,777 $102,442 +122% $80,793 +182% ≈90% of Medicare
171 Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,EXTREME $226,177 — $226,177 +0% $75,072 +201% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $225,033 $58,073 $55,018 +309% $33,985 +562% ≈102% of Medicare
405 Other Procedures For Endocrine, Nutritional And Metabolic Disorders,EXTREME $223,901 $167,926 $116,863 +92% $102,128 +119% ≈105% of Medicare
609 Neonate Birth Weight 1500-2499 Grams With Major Procedure,EXTREME $223,668 — $121,816 — $1,256,233 −82% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $221,638 $166,229 $113,227 +96% $132,794 +67% —
191 Cardiac Catheterization For Coronary Artery Disease,EXTREME $220,520 $30,193 $24,337 +806% $18,807 +1073% ≈279% of Medicare
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $214,267 $116,035 $93,081 +130% $61,217 +250% —
190 Acute Myocardial Infarction,EXTREME $209,698 $36,561 $28,215 +643% $24,386 +760% ≈205% of Medicare
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $205,961 $154,471 $114,244 +80% $93,238 +121% —
623 Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,MINOR $204,405 $66,271 $33,563 +509% $34,459 +493% ≈113% of Medicare
347 Anal And Stomal Procedures With McC $197,041 $147,780 $47,241 +317% $40,548 +386% —
901 Wound Debridements For Injuries With McC $194,705 $146,029 $52,653 +270% $70,177 +177% —
183 Major Chest Trauma With McC $194,507 $68,144 $38,398 +407% $29,933 +550% ≈412% of Medicare
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $193,967 $145,475 $127,374 +52% $68,653 +183% ≈87% of Medicare
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $193,913 $93,470 $103,110 +88% $54,583 +255% ≈157% of Medicare
252 Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure,EXTREME $193,804 $145,353 $101,547 +91% $68,508 +183% ≈67% of Medicare
115 Extraocular Procedures Except Orbit $193,504 $71,010 $33,359 +480% $25,703 +653% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $191,963 $143,972 $97,253 +97% $66,068 +191% ≈85% of Medicare
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $188,234 $141,175 $112,601 +67% $90,775 +107% ≈81% of Medicare
654 Major Bladder Procedures With Cc $188,126 $141,095 $63,842 +195% $58,274 +223% ≈97% of Medicare
180 Other Peripheral Vascular And Circulatory Procedures,EXTREME $187,111 $59,594 $62,915 +197% $36,658 +410% ≈118% of Medicare
142 Interstitial And Alveolar Lung Diseases,EXTREME $186,837 $99,332 $43,415 +330% $34,906 +435% —
192 Cardiac Catheterization For Other Non-Coronary Conditions,EXTREME $185,481 $24,383 $16,770 +1006% $14,368 +1191% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $185,216 $41,424 $35,117 +427% $21,449 +764% ≈574% of Medicare
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $182,578 $136,934 $54,300 +236% $61,832 +195% —
045 Cva And Precerebral Occlusion With Infarction,EXTREME $179,270 — $95,856 +87% $77,914 +130% —
421 Hepatobiliary Diagnostic Procedures With Cc $177,823 $68,483 $34,909 +409% $36,354 +389% —
177 Cardiac Pacemaker And Defibrillator Revision Except Device Replacement,MAJOR $176,717 $54,277 $44,001 +302% $33,707 +424% ≈111% of Medicare
176 Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices,MAJOR $176,216 $35,401 $23,201 +660% $18,081 +875% ≈842% of Medicare
198 Angina Pectoris And Coronary Atherosclerosis,EXTREME $175,669 $13,192 $13,108 +1240% $15,549 +1030% —
469 Acute Kidney Injury,EXTREME $175,398 $131,548 $78,684 +123% $65,788 +167% ≈89% of Medicare
364 Other Skin, Subcutaneous Tissue And Related Procedures,EXTREME $174,928 — $58,021 +201% $46,852 +273% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $170,541 $127,905 $91,036 +87% $76,001 +124% ≈77% of Medicare
320 Other Endovascular Cardiac Valve Procedures Without McC $169,037 $113,536 $34,848 +385% $40,060 +322% —
673 Other Kidney And Urinary Tract Procedures With McC $168,934 $126,701 $103,271 +64% $77,990 +117% ≈99% of Medicare
423 Inborn Errors Of Metabolism,EXTREME $168,819 $126,569 $139,305 +21% $79,225 +113% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $167,092 $73,625 $31,882 +424% $42,126 +297% —
011 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,EXTREME $166,789 $166,789 $146,105 +14% $101,576 +64% —
383 Cellulitis And Other Skin Infections,EXTREME $164,801 $55,141 $30,085 +448% $27,426 +501% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $162,092 $121,569 $102,200 +59% $70,467 +130% ≈91% of Medicare
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $161,468 $121,101 $85,136 +90% $71,464 +126% ≈95% of Medicare
271 Other Major Cardiovascular Procedures With Cc $161,432 $121,074 $112,278 +44% $71,014 +127% ≈92% of Medicare
055 Head Trauma With Coma > 1 Hour Or Hemorrhage,EXTREME $160,519 $36,375 $46,998 +242% $20,926 +667% —
799 Splenic Procedures With McC $159,524 $119,643 $106,066 +50% $82,218 +94% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $159,254 $119,440 $41,842 +281% $52,908 +201% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $158,791 $119,093 $102,456 +55% $88,307 +80% ≈99% of Medicare
467 Revision Of Hip Or Knee Replacement With Cc $158,235 $118,676 $116,723 +36% $70,847 +123% ≈84% of Medicare
500 Malignancy, Male Reproductive System,EXTREME $157,720 $118,290 $83,283 +89% $61,872 +155% —
344 Minor Small And Large Bowel Procedures With McC $157,152 $117,864 $33,024 +376% $44,546 +253% —
840 Lymphoma And Non-Acute Leukemia With McC $155,599 $116,699 $73,761 +111% $49,710 +213% ≈77% of Medicare
026 Craniotomy And Endovascular Intracranial Procedures With Cc $154,444 $102,421 $100,641 +53% $64,523 +139% ≈140% of Medicare
312 Skin Graft For Musculoskeletal And Connective Tissue Diagnoses,MAJOR $152,994 $33,256 $30,210 +406% $19,342 +691% ≈393% of Medicare
007 Allogeneic Bone Marrow Transplant,EXTREME $152,531 $811,050 $170,608 −11% $170,608 −11% ≈183% of Medicare
329 Major Small And Large Bowel Procedures With McC $152,418 $114,313 $102,516 +49% $88,050 +73% ≈92% of Medicare
133 Respiratory Failure,EXTREME $152,247 — $78,023 +95% $38,305 +297% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $151,091 $113,318 $62,271 +143% $59,790 +153% ≈87% of Medicare
204 Respiratory Signs And Symptoms $150,274 $30,160 $25,544 +488% $18,004 +735% —
052 Alteration In Consciousness,EXTREME $147,821 $32,150 $62,877 +135% $32,031 +361% —
280 Acute Myocardial Infarction, Discharged Alive With McC $146,103 $70,871 $61,087 +139% $30,828 +374% ≈118% of Medicare
223 Other Small And Large Bowel Procedures,EXTREME $145,847 — $102,526 +42% $59,206 +146% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $145,553 $109,165 $84,300 +73% $62,821 +132% ≈91% of Medicare
420 Diabetes,EXTREME $145,280 $94,742 $59,481 +144% $50,919 +185% —
720 Septicemia And Disseminated Infections,EXTREME $144,459 — $69,865 +107% $45,066 +221% —
351 Inguinal And Femoral Hernia Procedures With Cc $143,637 $63,845 $47,899 +200% $36,505 +293% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $143,394 $107,545 $41,608 +245% $41,608 +245% ≈89% of Medicare
662 Sickle Cell Anemia Crisis,EXTREME $142,359 — $33,179 +329% $54,562 +161% —
817 Intentional Self-Harm And Attempted Suicide,EXTREME $142,206 — $62,878 +126% $39,173 +263% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $141,884 $80,803 $80,488 +76% $58,809 +141% ≈116% of Medicare
301 Hip Joint Replacement,MAJOR $137,064 $27,544 $25,165 +445% $15,837 +765% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $135,437 $101,578 $55,905 +142% $52,178 +160% ≈100% of Medicare
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $135,060 $101,295 $46,659 +189% $49,423 +173% —
472 Cervical Spinal Fusion With Cc $133,781 $100,336 $68,993 +94% $59,537 +125% ≈96% of Medicare
058 Multiple Sclerosis And Cerebellar Ataxia With McC $133,377 $33,840 $61,562 +117% $30,243 +341% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $132,242 $99,181 $85,003 +56% $58,228 +127% ≈92% of Medicare
206 Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,EXTREME $131,466 $32,989 $23,694 +455% $18,488 +611% ≈249% of Medicare
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $130,096 $97,572 $69,258 +88% $46,283 +181% ≈86% of Medicare
406 Pancreas, Liver And Shunt Procedures With Cc $128,929 $96,697 $103,695 +24% $58,043 +122% ≈92% of Medicare
445 Disorders Of The Biliary Tract With Cc $127,090 $39,229 $25,888 +391% $23,319 +445% ≈103% of Medicare
044 Intracranial Hemorrhage,EXTREME $126,632 — $80,084 +58% $85,065 +49% —
245 Aicd Generator Procedures $123,433 $92,575 $67,897 +82% $72,076 +71% —
380 Complicated Peptic Ulcer With McC $123,242 $64,202 $35,369 +248% $39,627 +211% —
224 Peritoneal Adhesiolysis,EXTREME $121,646 — $83,329 +46% $80,427 +51% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $120,839 $90,630 $67,622 +79% $58,280 +107% ≈93% of Medicare
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $118,584 $88,938 $109,925 +8% $56,964 +108% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $118,409 $75,654 $47,463 +149% $44,139 +168% ≈124% of Medicare
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $117,035 $87,776 $51,542 +127% $50,498 +132% ≈85% of Medicare
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $116,264 $87,198 $57,044 +104% $51,985 +124% ≈88% of Medicare
031 Ventricular Shunt Procedures With McC $116,201 $87,151 $60,249 +93% $72,962 +59% ≈102% of Medicare
135 Major Chest And Respiratory Trauma,EXTREME $113,573 $56,383 $74,437 +53% $42,186 +169% —
193 Acute And Subacute Endocarditis,EXTREME $111,876 $40,354 $30,935 +262% $27,275 +310% ≈120% of Medicare
481 Hip And Femur Procedures Except Major Joint With Cc $111,701 $83,776 $73,364 +52% $52,751 +112% ≈96% of Medicare
194 Heart Failure,EXTREME $111,636 $28,268 $22,854 +388% $18,204 +513% ≈196% of Medicare
281 Acute Myocardial Infarction, Discharged Alive With Cc $111,341 $46,316 $28,630 +289% $20,463 +444% ≈296% of Medicare
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $110,657 $82,993 $102,398 +8% $58,707 +88% ≈109% of Medicare
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $109,820 $82,365 $49,070 +124% $43,943 +150% ≈104% of Medicare
254 Other Digestive System Diagnoses,EXTREME $109,425 $82,069 $66,690 +64% $38,836 +182% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $107,722 $80,792 $66,392 +62% $42,881 +151% ≈95% of Medicare
841 Lymphoma And Non-Acute Leukemia With Cc $107,199 $80,399 $33,157 +223% $33,633 +219% ≈92% of Medicare
663 Minor Bladder Procedures With Cc $106,496 $79,872 $33,704 +216% $33,103 +222% —
200 Cardiac Structural And Valvular Disorders,EXTREME $104,957 $26,164 $28,821 +264% $21,368 +391% ≈174% of Medicare
357 Other Digestive System O.R. Procedures With Cc $104,836 $78,627 $40,757 +157% $48,682 +115% ≈98% of Medicare
314 Foot And Toe Procedures,EXTREME $103,666 $72,836 $56,626 +83% $38,666 +168% ≈105% of Medicare
353 Hernia Procedures Except Inguinal And Femoral With McC $102,903 $77,178 $80,597 +28% $60,170 +71% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $102,646 $76,984 $114,518 −10% $53,864 +91% ≈49% of Medicare
201 Cardiac Arrhythmia And Conduction Disorders,EXTREME $100,712 $16,070 $22,393 +350% $14,053 +617% —
374 Digestive Malignancy With McC $100,670 $75,503 $48,871 +106% $39,958 +152% ≈84% of Medicare
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $100,484 $75,363 $76,545 +31% $55,289 +82% —
812 Poisoning Of Medicinal Agents,EXTREME $100,119 $33,638 $30,969 +223% $20,488 +389% ≈104% of Medicare
283 Acute Myocardial Infarction, Expired With McC $99,792 $51,745 $38,833 +157% $39,955 +150% ≈92% of Medicare
212 Concomitant Aortic And Mitral Valve Procedures $98,161 $386,153 $324,657 −70% $196,346 −50% —
724 Other Infectious And Parasitic Diseases,EXTREME $97,168 — $30,437 +219% $12,768 +661% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $96,759 $72,569 $51,707 +87% $43,913 +120% ≈102% of Medicare
330 Major Small And Large Bowel Procedures With Cc $94,603 $70,952 $52,286 +81% $59,500 +59% ≈92% of Medicare
164 Major Chest Procedures With Cc $94,463 $70,847 $55,568 +70% $56,755 +66% ≈94% of Medicare
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $93,369 $70,027 $52,544 +78% $38,998 +139% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $91,870 $68,902 $43,290 +112% $45,333 +103% ≈85% of Medicare
814 Reticuloendothelial And Immunity Disorders With McC $91,738 $68,804 $30,026 +206% $33,851 +171% ≈50% of Medicare
424 Other Endocrine Disorders,EXTREME $91,362 $68,521 $46,100 +98% $42,415 +115% —
274 Percutaneous And Other Intracardiac Procedures Without McC $91,360 $68,520 $87,217 +5% $65,573 +39% ≈89% of Medicare
674 Other Kidney And Urinary Tract Procedures With Cc $91,137 $68,352 $65,411 +39% $50,394 +81% ≈95% of Medicare
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $90,889 $68,166 $29,859 +204% $39,515 +130% —
557 Tendonitis, Myositis And Bursitis With McC $90,698 $68,024 $37,596 +141% $32,877 +176% —
137 Major Respiratory Infections And Inflammations,EXTREME $90,672 $37,804 $41,302 +120% $27,861 +225% —
053 Seizure,EXTREME $90,588 — $40,756 +122% $20,455 +343% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $90,548 $192,004 $100,048 −9% $80,018 +13% —
885 Psychoses $89,688 $67,266 $37,862 +137% $21,729 +313% ≈410% of Medicare
504 Foot Procedures With Cc $89,654 $67,240 $42,056 +113% $38,960 +130% —
517 Dilation And Curettage For Non-Obstetric Diagnoses,EXTREME $89,399 $65,308 $39,644 +126% $33,393 +168% ≈125% of Medicare
707 Major Male Pelvic Procedures With Cc/McC $88,839 $66,629 $57,424 +55% $43,080 +106% ≈116% of Medicare
082 Eye Infections And Other Eye Disorders,EXTREME $87,527 $65,645 $24,039 +264% $36,489 +140% ≈88% of Medicare
041 Nervous System Malignancy,EXTREME $86,999 $65,249 $58,950 +48% $49,418 +76% ≈111% of Medicare
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $86,974 $65,231 $45,490 +91% $35,628 +144% ≈90% of Medicare
042 Degenerative Nervous System Disorders Except Multiple Sclerosis,EXTREME $86,550 $64,912 $58,283 +48% $39,018 +122% —
908 Other O.R. Procedures For Injuries With Cc $86,516 $64,887 $41,660 +108% $42,914 +102% ≈100% of Medicare
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $85,320 $63,990 $51,429 +66% $31,134 +174% ≈113% of Medicare
843 Extensive Third Degree Burns Without Skin Graft,MAJOR $84,051 $63,038 $56,578 +49% $36,431 +131% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $83,501 $62,626 $37,745 +121% $39,181 +113% ≈93% of Medicare
580 Neonate, Transferred < 5 Days Old, Not Born Here,EXTREME $82,247 $61,686 $49,831 +65% $38,101 +116% ≈59% of Medicare
571 Skin Debridement With Cc $81,939 $61,454 $42,097 +95% $37,169 +120% ≈102% of Medicare
551 Medical Back Problems With McC $81,356 $61,017 $49,835 +63% $34,017 +139% ≈93% of Medicare
243 Other Esophageal Disorders,EXTREME $80,361 $53,500 $50,543 +59% $50,011 +61% ≈87% of Medicare
100 Seizures With McC $80,213 $60,160 $50,531 +59% $35,481 +126% ≈78% of Medicare
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $78,732 $59,049 $49,074 +60% $39,106 +101% ≈96% of Medicare
643 Endocrine Disorders With McC $78,222 $58,666 $38,745 +102% $33,563 +133% ≈92% of Medicare
377 Gastrointestinal Hemorrhage With McC $78,160 $58,620 $58,908 +33% $37,842 +107% ≈91% of Medicare
056 Degenerative Nervous System Disorders With McC $77,727 $58,295 $60,685 +28% $39,973 +94% ≈224% of Medicare
637 Diabetes With McC $77,497 $58,123 $34,925 +122% $30,100 +157% ≈90% of Medicare
196 Cardiac Arrest And Shock,EXTREME $77,445 $58,084 $69,890 +11% $32,637 +137% ≈79% of Medicare
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $77,139 $57,854 $52,949 +46% $38,878 +98% ≈97% of Medicare
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $77,046 $57,785 $41,211 +87% $28,125 +174% —
444 Disorders Of The Biliary Tract With McC $76,744 $57,558 $45,187 +70% $34,273 +124% ≈104% of Medicare
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $76,307 $247,429 $230,197 −67% $153,282 −50% ≈85% of Medicare
197 Interstitial Lung Disease With Cc $75,457 $34,428 $28,997 +160% $21,941 +244% —
591 Neonate Birth Weight 500-749 Grams Without Major Procedure,EXTREME $75,276 — $2,080,883 −96% $1,159,755 −94% —
048 Peripheral, Cranial And Autonomic Nerve Disorders,EXTREME $75,223 — $39,647 +90% $34,401 +119% —
429 Combined Anterior And Posterior Cervical Spinal Fusion With McC $75,122 $263,687 $244,486 −69% $144,774 −48% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $74,633 $55,975 $58,123 +28% $32,021 +133% ≈90% of Medicare
299 Peripheral Vascular Disorders With McC $74,088 $55,566 $34,674 +114% $27,316 +171% ≈85% of Medicare
205 Cardiomyopathy,MINOR $73,993 $55,495 $39,057 +89% $33,255 +123% ≈93% of Medicare
385 Inflammatory Bowel Disease With McC $73,217 $47,238 $42,912 +71% $27,617 +165% —
540 Cesarean Section Without Sterilization,EXTREME $73,198 $38,380 $33,331 +120% $26,676 +174% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $72,985 $54,739 $49,413 +48% $37,950 +92% ≈95% of Medicare
341 Fracture Of Pelvis Or Dislocation Of Hip,MAJOR $70,524 — $18,912 +273% $25,628 +175% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $70,363 $52,772 $65,734 +7% $32,574 +116% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $70,147 $52,610 $53,452 +31% $33,555 +109% ≈99% of Medicare
291 Heart Failure And Shock With McC $69,955 $52,466 $38,049 +84% $26,776 +161% ≈94% of Medicare
546 Connective Tissue Disorders With Cc $69,938 $52,454 $34,947 +100% $25,700 +172% ≈97% of Medicare
811 Allergic Reactions,EXTREME $68,353 $51,265 $40,425 +69% $28,226 +142% ≈83% of Medicare
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $68,299 $51,224 $16,271 +320% $25,463 +168% ≈35% of Medicare
917 Poisoning And Toxic Effects Of Drugs With McC $67,825 $50,869 $37,942 +79% $30,235 +124% ≈253% of Medicare
813 Coagulation Disorders $67,759 $45,768 $39,854 +70% $33,296 +104% ≈105% of Medicare
393 Other Digestive System Diagnoses With McC $67,675 $50,748 $49,207 +38% $34,192 +98% ≈82% of Medicare
547 Antepartum With O.R. Procedure,MAJOR $67,666 $36,215 $26,755 +153% $16,565 +308% —
595 Major Skin Disorders With McC $67,419 $50,564 $31,822 +112% $34,598 +95% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $66,858 $50,144 $30,616 +118% $27,633 +142% —
698 Other Kidney And Urinary Tract Diagnoses With McC $66,689 $50,017 $38,521 +73% $32,496 +105% ≈88% of Medicare
919 Complications Of Treatment With McC $64,930 $48,697 $30,988 +110% $31,105 +109% ≈88% of Medicare
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $64,668 $48,501 $36,902 +75% $28,050 +131% ≈93% of Medicare
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/McC $64,361 $116,565 $124,895 −48% $105,899 −39% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $64,272 $20,875 $15,166 +324% $12,324 +422% —
384 Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue,EXTREME $64,046 $42,851 $26,571 +141% $19,305 +232% —
430 Combined Anterior And Posterior Cervical Spinal Fusion Without McC $63,971 $195,014 $138,679 −54% $101,618 −37% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $63,619 $311,494 $314,210 −80% $188,171 −66% ≈91% of Medicare
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $63,099 $116,629 $73,030 −14% $90,401 −30% —
862 Other Aftercare And Convalescence,EXTREME $62,874 $40,730 $49,084 +28% $32,859 +91% ≈118% of Medicare
054 Migraine And Other Headaches,MAJOR $62,511 $46,883 $30,144 +107% $30,502 +105% ≈104% of Medicare
682 Renal Failure With McC $62,438 $46,828 $33,856 +84% $29,064 +115% ≈90% of Medicare
955 Craniotomy For Multiple Significant Trauma $61,784 $295,206 $169,622 −64% $102,600 −40% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC $60,715 $137,799 $112,830 −46% $89,353 −32% ≈97% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $60,002 $241,777 $197,267 −70% $125,242 −52% ≈85% of Medicare
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $59,880 $44,910 $32,069 +87% $25,034 +139% ≈99% of Medicare
189 Pulmonary Edema And Respiratory Failure $59,548 $44,661 $30,023 +98% $26,580 +124% ≈100% of Medicare
543 Abortion With D&C, Aspiration Curettage Or Hysterotomy,MINOR $59,358 $44,519 $28,509 +108% $23,551 +152% ≈103% of Medicare
386 Inflammatory Bowel Disease With Cc $59,311 $44,483 $30,103 +97% $22,033 +169% ≈97% of Medicare
865 Viral Illness With McC $59,039 $44,279 $25,367 +133% $26,910 +119% ≈90% of Medicare
870 Septicemia Or Severe Sepsis With Mv >96 Hours $59,020 $210,272 $186,863 −68% $148,832 −60% ≈90% of Medicare
881 Depressive Neuroses $58,692 $44,019 $27,265 +115% $15,058 +290% —
375 Digestive Malignancy With Cc $58,469 $43,852 $34,560 +69% $27,277 +114% ≈101% of Medicare
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $58,121 $193,706 $244,842 −76% $123,995 −53% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $57,460 $20,704 $16,648 +245% $18,150 +217% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $57,371 $43,028 $31,678 +81% $23,749 +142% ≈103% of Medicare
969 Hiv With Extensive O.R. Procedures With McC $57,309 $172,460 $146,030 −61% $109,331 −48% —
259 Cardiac Pacemaker Device Replacement Without McC $57,308 $42,981 $52,772 +9% $39,020 +47% —
884 Organic Disturbances And Intellectual Disability $57,131 $42,848 $35,058 +63% $26,682 +114% ≈233% of Medicare
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $56,207 $29,650 $25,662 +119% $25,279 +122% ≈109% of Medicare
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $56,165 $42,124 $30,396 +85% $22,458 +150% ≈63% of Medicare
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $55,858 $171,114 $171,834 −67% $117,280 −52% —
588 Neonate Birth Weight < 1500 Grams With Major Procedure,EXTREME $55,421 — $1,811,180 −97% $1,196,961 −95% —
016 Autologous Bone Marrow Transplant With Cc/McC $54,807 $135,460 $128,339 −57% $98,260 −44% —
184 Major Chest Trauma With Cc $54,761 $41,071 $38,785 +41% $22,432 +144% ≈97% of Medicare
566 Antepartum Without O.R. Procedure,EXTREME $54,713 $20,619 $23,784 +130% $14,716 +272% —
582 Mastectomy For Malignancy With Cc/McC $54,701 $376,070 $31,198 +75% $35,849 +53% —
028 Spinal Procedures With McC $54,620 $168,033 $158,431 −66% $113,077 −52% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $54,023 $40,517 $22,318 +142% $22,763 +137% —
300 Peripheral Vascular Disorders With Cc $53,923 $40,442 $26,309 +105% $20,422 +164% ≈95% of Medicare
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $53,844 $158,521 $154,018 −65% $113,855 −53% ≈83% of Medicare
947 Signs And Symptoms With McC $53,787 $40,340 $23,334 +131% $27,401 +96% ≈291% of Medicare
484 Other Male Reproductive System And Related Procedures,MAJOR $53,387 — $75,312 −29% $23,289 +129% —
541 Osteomyelitis Without Cc/McC $53,049 $33,142 $22,109 +140% $15,215 +249% —
689 Kidney And Urinary Tract Infections With McC $53,009 $39,757 $29,341 +81% $23,617 +124% ≈98% of Medicare
086 Traumatic Stupor And Coma <1 Hour With Cc $52,650 $39,487 $24,991 +111% $27,043 +95% ≈94% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $52,645 $39,484 $33,830 +56% $23,940 +120% ≈100% of Medicare
606 Minor Skin Disorders With McC $51,865 $38,899 $32,471 +60% $27,975 +85% —
631 Neonate Birth Weight > 2499 Grams With Other Major Procedure,EXTREME $51,676 — $28,889 — $172,973 −70% —
160 Major Cardiothoracic Repair Of Heart Anomaly,EXTREME $51,673 — $614,564 −92% $6,461 +700% —
552 Medical Back Problems Without McC $51,500 $38,625 $28,869 +78% $21,396 +141% ≈102% of Medicare
152 Otitis Media And Uri With McC $51,401 $38,551 $21,877 +135% $20,247 +154% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $51,292 $38,469 $38,439 +33% $41,620 +23% —
510 Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Procedures,MAJOR $51,113 $113,427 $70,439 −27% $49,839 +3% —
057 Concussion, Closed Skull Fracture Nos, And Uncomplicated Intracranial Injury, Coma < 1 Hour Or No Coma,MAJOR $50,904 $38,178 $30,200 +69% $27,543 +85% ≈27% of Medicare
602 Cellulitis With McC $50,871 $50,871 $26,545 +92% $30,598 +66% ≈624% of Medicare
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $50,795 $60,644 $23,674 +115% $59,352 −14% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $50,786 $38,090 $21,092 +141% $14,014 +262% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $50,567 $37,925 $23,198 +118% $17,733 +185% ≈320% of Medicare
292 Heart Failure And Shock With Cc $50,464 $37,848 $32,219 +57% $16,371 +208% ≈106% of Medicare
653 Major Bladder Procedures With McC $50,304 $174,235 $58,133 −13% $104,583 −52% —
439 Disorders Of Pancreas Except Malignancy With Cc $50,275 $37,707 $24,615 +104% $19,096 +163% ≈98% of Medicare
158 Dental And Oral Diseases With Cc $49,970 $37,478 $25,343 +97% $18,466 +171% —
083 Traumatic Stupor And Coma >1 Hour With Cc $49,671 $37,253 $44,298 +12% $27,285 +82% ≈110% of Medicare
619 O.R. Procedures For Obesity With McC $49,000 $36,750 $62,574 −22% $51,746 −5% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $48,875 $131,671 $48,875 +0% $62,583 −22% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $48,308 $36,231 $31,432 +54% $22,888 +111% ≈104% of Medicare
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $48,113 $155,175 $139,310 −65% $79,836 −40% —
162 Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis,EXTREME $48,082 — $484,506 −90% $72,401 −34% —
638 Diabetes With Cc $47,932 $35,949 $25,396 +89% $19,661 +144% ≈92% of Medicare
378 Gastrointestinal Hemorrhage With Cc $47,926 $35,945 $28,960 +65% $22,098 +117% ≈103% of Medicare
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $47,811 $168,724 $126,694 −62% $93,390 −49% ≈78% of Medicare
043 Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MAJOR $47,764 — $47,233 +1% $46,703 +2% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $46,988 $46,988 $38,221 +23% $26,770 +76% ≈258% of Medicare
450 Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $46,787 $145,955 $68,277 −31% $99,943 −53% —
565 False Labor,MINOR $46,499 $34,875 $28,004 +66% $22,506 +107% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $46,317 $34,738 $30,879 +50% $18,072 +156% —
683 Renal Failure With Cc $45,431 $34,073 $22,859 +99% $19,130 +137% ≈98% of Medicare
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $45,072 $33,804 $18,223 +147% $16,699 +170% ≈364% of Medicare
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $44,770 $33,577 $27,522 +63% $23,498 +91% ≈98% of Medicare
948 Signs And Symptoms Without McC $44,271 $33,203 $22,745 +95% $17,921 +147% ≈423% of Medicare
471 Cervical Spinal Fusion With McC $43,934 $143,646 $110,891 −60% $92,515 −53% ≈84% of Medicare
123 Neurological Eye Disorders $43,889 $32,917 $29,012 +51% $19,745 +122% —
235 Coronary Bypass Without Cardiac Catheterization With McC $43,829 $199,673 $140,507 −69% $112,062 −61% ≈94% of Medicare
006 Liver Transplant Without McC $43,683 $436,867 $312,542 −86% $84,407 −48% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $43,493 $32,619 $20,446 +113% $19,842 +119% ≈104% of Medicare
404 Thyroid, Parathyroid And Thyroglossal Procedures,MAJOR $43,296 — $74,302 −42% $50,691 −15% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $43,170 $140,239 $136,839 −68% $90,724 −52% —
394 Other Digestive System Diagnoses With Cc $42,890 $32,168 $20,933 +105% $20,181 +113% ≈92% of Medicare
644 Endocrine Disorders With Cc $42,873 $32,155 $23,795 +80% $23,198 +85% ≈96% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $42,552 $31,914 $24,613 +73% $21,275 +100% ≈95% of Medicare
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $42,397 $130,730 $139,381 −70% $92,217 −54% ≈86% of Medicare
554 Bone Diseases And Arthropathies Without McC $42,208 $31,656 $21,371 +98% $18,528 +128% ≈116% of Medicare
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $42,201 $95,161 $126,382 −67% $66,711 −37% —
277 Cardiac Defibrillator Implant Without McC $41,909 $127,112 $145,523 −71% $91,329 −54% ≈84% of Medicare
687 Kidney And Urinary Tract Neoplasms With Cc $41,440 $31,080 $17,794 +133% $20,232 +105% —
362 Mastectomy Procedures,MAJOR $41,242 — $86,389 −52% $122,668 −66% —
009 Extracorporeal Membrane Oxygenation (Ecmo),EXTREME $41,161 — $1,102,517 −96% $487,874 −92% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $41,147 $30,861 $19,426 +112% $17,038 +141% ≈106% of Medicare
315 Other Circulatory System Diagnoses With Cc $40,900 $40,900 $33,234 +23% $21,363 +91% ≈338% of Medicare
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $40,691 $163,163 $325,686 −88% $148,686 −73% ≈82% of Medicare
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $40,667 $30,500 $21,175 +92% $16,846 +141% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $40,452 $30,339 $25,601 +58% $15,370 +163% —
068 Precerebral Occlusion Without Infarction Without McC $40,414 $30,310 $28,548 +42% $19,569 +107% —
665 Prostatectomy With McC $40,338 $111,317 $39,785 +1% $54,072 −25% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $40,318 $30,239 $24,441 +65% $16,968 +138% —
920 Complications Of Treatment With Cc $40,120 $30,090 $24,464 +64% $22,468 +79% ≈87% of Medicare
319 Other Endovascular Cardiac Valve Procedures With McC $39,807 $127,548 $189,408 −79% $86,970 −54% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $39,731 $180,090 $60,814 −35% $83,441 −52% —
008 Autologous Bone Marrow Transplant,EXTREME $39,220 — $86,459 −55% $86,459 −55% —
178 External Heart Assist Devices,EXTREME $39,043 $39,043 $30,232 +29% $22,024 +77% ≈111% of Medicare
356 Other Digestive System O.R. Procedures With McC $38,585 $166,876 $125,454 −69% $82,561 −53% ≈75% of Medicare
656 Kidney And Ureter Procedures For Neoplasm With McC $38,370 $101,972 $87,436 −56% $65,608 −42% ≈82% of Medicare
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $37,838 $28,379 $22,699 +67% $17,322 +118% ≈102% of Medicare
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $37,558 $146,576 $106,748 −65% $85,159 −56% ≈91% of Medicare
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/McC $37,400 $73,940 $40,110 −7% $44,472 −16% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $37,370 $163,911 $115,978 −68% $82,247 −55% ≈95% of Medicare
448 Multiple Level Spinal Fusion Except Cervical Without McC $37,038 $116,885 $89,022 −58% $81,998 −55% ≈89% of Medicare
751 Depressive Disorders,EXTREME $36,752 — $36,752 +0% $15,939 +131% —
202 Bronchitis And Asthma With Cc/McC $36,419 $27,314 $22,179 +64% $17,724 +105% ≈99% of Medicare
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $36,396 $212,777 $121,891 −70% $75,103 −52% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $36,251 $148,450 $83,912 −57% $62,300 −42% —
918 Poisoning And Toxic Effects Of Drugs Without McC $36,044 $27,033 $25,057 +44% $15,452 +133% —
907 Other O.R. Procedures For Injuries With McC $35,959 $173,962 $60,421 −40% $77,817 −54% ≈103% of Medicare
866 Viral Illness Without McC $35,871 $26,904 $16,391 +119% $17,081 +110% ≈95% of Medicare
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $35,621 $135,887 $100,247 −64% $71,795 −50% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $35,617 $111,535 $63,244 −44% $54,196 −34% —
593 Neonate Birth Weight 750-999 Grams Without Major Procedure,EXTREME $35,608 $35,608 $24,443 +46% $22,886 +56% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $35,379 $105,761 $75,989 −53% $79,116 −55% ≈88% of Medicare
273 Percutaneous And Other Intracardiac Procedures With McC $35,322 $134,725 $155,537 −77% $78,852 −55% ≈88% of Medicare
034 Carotid Artery Stent Procedures With McC $35,145 $124,700 $101,642 −65% $76,219 −54% —
904 Skin Grafts For Injuries With Cc/McC $34,905 $121,828 $53,307 −35% $59,594 −41% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $34,834 $26,125 $27,552 +26% $20,506 +70% ≈111% of Medicare
864 Fever And Inflammatory Conditions $34,672 $26,004 $19,050 +82% $18,640 +86% ≈101% of Medicare
307 Cardiac Congenital And Valvular Disorders Without McC $34,543 $25,907 $18,880 +83% $20,566 +68% —
668 Transurethral Procedures With McC $34,398 $114,729 $42,031 −18% $51,608 −33% —
103 Headaches Without McC $33,939 $25,455 $26,347 +29% $21,280 +59% —
185 Major Chest Trauma Without Cc/McC $33,370 $25,027 $23,266 +43% $17,124 +95% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $33,349 $179,324 $104,012 −68% $90,331 −63% —
603 Cellulitis Without McC $33,157 $33,157 $22,028 +51% $18,530 +79% ≈112% of Medicare
258 Cardiac Pacemaker Device Replacement With McC $33,136 $99,868 $64,203 −48% $52,986 −37% —
335 Peritoneal Adhesiolysis With McC $33,057 $132,874 $104,881 −68% $71,755 −54% —
265 Aicd Lead Procedures $32,983 $132,538 $119,401 −72% $63,171 −48% —
389 Gastrointestinal Obstruction With Cc $32,896 $24,672 $21,314 +54% $17,578 +87% ≈101% of Medicare
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $32,403 $159,512 $104,847 −69% $70,564 −54% —
288 Acute And Subacute Endocarditis With McC $32,275 $83,907 $54,543 −41% $50,618 −36% —
836 Acute Leukemia Without Cc/McC $32,107 $24,080 $15,971 +101% $19,686 +63% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $31,948 $123,537 $100,945 −68% $62,264 −49% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $31,773 $157,625 $90,657 −65% $66,685 −52% —
303 Atherosclerosis Without McC $31,476 $31,476 $19,555 +61% $14,927 +111% ≈460% of Medicare
313 Chest Pain $31,404 $31,404 $23,897 +31% $16,440 +91% ≈658% of Medicare
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $31,377 $88,508 $39,071 −20% $52,036 −40% ≈97% of Medicare
370 Major Esophageal Disorders Without Cc/McC $31,339 $23,504 $12,253 +156% $15,495 +102% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $31,246 $97,637 $126,739 −75% $48,687 −36% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $30,589 $91,748 $49,369 −38% $45,167 −32% —
037 Extracranial Procedures With McC $30,155 $127,275 $121,742 −75% $66,666 −55% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $29,785 $103,475 $69,044 −57% $58,745 −49% ≈111% of Medicare
863 Neonatal Aftercare,MAJOR $29,741 $29,741 $22,026 +35% $20,957 +42% ≈101% of Medicare
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $29,652 $29,652 $22,961 +29% $15,600 +90% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $29,524 $22,143 $29,524 +0% $16,776 +76% —
650 Kidney Transplant With Hemodialysis With McC $29,515 $232,000 $111,163 −73% $71,551 −59% ≈75% of Medicare
485 Knee Procedures With Principal Diagnosis Of Infection With McC $29,254 $72,338 $127,452 −77% $72,424 −60% —
397 Appendix Procedures With McC $29,248 $59,448 $51,587 −43% $53,257 −45% —
203 Bronchitis And Asthma Without Cc/McC $29,144 $14,174 $11,397 +156% $12,252 +138% —
401 Adrenal Procedures,MAJOR $28,337 — $48,064 −41% $28,293 +0% —
451 Single Level Spinal Fusion Except Cervical Without McC $28,085 $83,714 $65,168 −57% $65,216 −57% ≈96% of Medicare
690 Acute Leukemia,EXTREME $28,013 $28,013 $20,057 +40% $17,674 +58% ≈721% of Medicare
473 Cervical Spinal Fusion Without Cc/McC $27,967 $81,101 $51,574 −46% $50,624 −45% —
974 Hiv With Major Related Condition With McC $27,419 $80,342 $60,208 −54% $46,402 −41% —
570 Skin Debridement With McC $27,379 $91,654 $72,210 −62% $52,435 −48% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $27,203 $87,376 $26,590 +2% $16,351 +66% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $27,186 $85,607 $29,181 −7% $40,108 −32% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $26,943 $146,118 $70,455 −62% $73,120 −63% —
047 Transient Ischemia,MAJOR $26,434 — $32,473 −19% $56,677 −53% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $26,353 $26,353 $20,762 +27% $17,303 +52% ≈580% of Medicare
447 Multiple Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $25,881 $196,232 $116,243 −78% $126,098 −79% —
775 Alcohol Abuse And Dependence,MAJOR $25,580 — $48,312 −47% $3,032 +744% —
412 Cholecystectomy With C.D.E. With Cc $25,231 $116,928 $54,636 −54% $42,906 −41% —
622 Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,MAJOR $25,227 $99,487 $84,022 −70% $61,470 −59% —
963 Other Multiple Significant Trauma With McC $25,118 $88,969 $55,818 −55% $43,491 −42% ≈97% of Medicare
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $25,061 $100,725 $44,638 −44% $43,650 −43% —
333 Rectal Resection With Cc $24,800 $79,418 $51,827 −52% $37,154 −33% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $24,789 $24,789 $15,989 +55% $15,183 +63% —
480 Hip And Femur Procedures Except Major Joint With McC $24,760 $120,035 $80,928 −69% $65,653 −62% ≈112% of Medicare
957 Other O.R. Procedures For Multiple Significant Trauma With McC $24,686 $223,252 $134,426 −82% $120,573 −80% —
655 Major Bladder Procedures Without Cc/McC $24,601 $76,944 $57,741 −57% $43,174 −43% —
150 Epistaxis With McC $24,493 $24,703 $27,162 −10% $23,171 +6% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $24,464 $74,905 $69,394 −65% $52,405 −53% ≈98% of Medicare
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $24,384 $102,752 $61,067 −60% $47,945 −49% ≈81% of Medicare
970 Hiv With Extensive O.R. Procedures Without McC $24,311 $42,300 $24,311 +0% $44,222 −45% —
503 Foot Procedures With McC $24,117 $173,562 $48,928 −51% $47,540 −49% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $24,057 $73,994 $30,605 −21% $46,453 −48% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $23,727 $102,977 $26,418 −10% $29,611 −20% —
545 Connective Tissue Disorders With McC $23,202 $106,355 $54,739 −58% $40,362 −43% ≈87% of Medicare
608 Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition,MINOR $23,144 — $23,144 — $117,471 −80% —
272 Other Major Cardiovascular Procedures Without Cc/McC $22,848 $88,326 $99,774 −77% $55,162 −59% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $22,848 $48,492 $26,874 −15% $29,524 −23% —
651 Kidney Transplant With Hemodialysis Without McC $22,356 $232,488 $53,229 −58% $56,242 −60% —
681 Other O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,EXTREME $22,336 — $39,935 −44% $49,288 −55% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $22,336 $90,209 $61,445 −64% $59,421 −62% ≈92% of Medicare
195 Simple Pneumonia And Pleurisy Without Cc/McC $22,249 $16,687 $12,412 +79% $13,824 +61% —
030 Percutaneous Intracranial And Extracranial Vascular Procedures,EXTREME $22,149 $87,433 $62,996 −65% $45,866 −52% —
350 Inguinal And Femoral Hernia Procedures With McC $22,117 $54,479 $50,269 −56% $50,046 −56% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $22,068 $107,164 $58,564 −62% $68,639 −68% —
756 Acute Anxiety And Stress Syndromes,MAJOR $21,803 — $28,003 −22% $15,589 +40% —
036 Carotid Artery Stent Procedures Without Cc/McC $21,768 $45,863 $53,877 −60% $40,694 −47% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $21,688 $85,487 $58,620 −63% $53,451 −59% ≈101% of Medicare
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $21,311 $95,999 $72,261 −71% $50,139 −57% ≈104% of Medicare
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $21,157 $61,263 $41,669 −49% $34,276 −38% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $21,096 $121,548 $56,339 −63% $59,629 −65% ≈77% of Medicare
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $21,029 $15,771 $15,766 +33% $16,520 +27% —
035 Carotid Artery Stent Procedures With Cc $20,890 $60,655 $51,487 −59% $49,066 −57% —
597 Malignant Breast Disorders With McC $20,862 $48,470 $30,951 −33% $33,386 −38% —
505 Foot Procedures Without Cc/McC $20,861 $62,890 $31,716 −34% $34,937 −40% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $20,722 $112,156 $26,403 −22% $47,789 −57% —
709 Penis Procedures With Cc/McC $20,600 $42,708 $35,243 −42% $34,535 −40% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $20,580 $73,760 $43,383 −53% $47,737 −57% —
363 Breast Procedures Except Mastectomy,MAJOR $20,162 — $31,258 −35% $80,707 −75% —
625 Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,MINOR $20,153 $102,982 $40,406 −50% $59,031 −66% —
935 Non-Extensive Burns $20,078 $31,128 $20,078 +0% $31,701 −37% —
296 Cardiac Arrest, Unexplained With McC $19,991 $50,531 $51,862 −61% $33,661 −41% —
906 Hand Procedures For Injuries $19,960 $84,802 $57,528 −65% $32,065 −38% —
413 Cholecystectomy With C.D.E. Without Cc/McC $19,839 $61,500 $19,839 +0% $29,316 −32% —
334 Rectal Resection Without Cc/McC $19,793 $51,281 $38,636 −49% $36,820 −46% —
169 Major Abdominal Vascular Procedures,EXTREME $19,685 — $245,765 −92% $137,094 −86% —
905 Skin Grafts For Injuries Without Cc/McC $19,672 $49,965 $31,810 −38% $25,197 −22% —
835 Acute Leukemia With Cc $19,648 $165,448 $37,975 −48% $35,569 −45% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $19,634 $60,417 $63,147 −69% $66,848 −71% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $19,582 $100,159 $55,340 −65% $49,351 −60% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $19,577 $74,549 $40,891 −52% $42,795 −54% —
032 Ventricular Shunt Procedures With Cc $19,510 $64,581 $52,972 −63% $46,724 −58% ≈91% of Medicare
336 Peritoneal Adhesiolysis With Cc $19,348 $88,611 $48,929 −60% $50,463 −62% ≈96% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $19,334 $98,072 $56,385 −66% $46,066 −58% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $19,140 $97,243 $86,610 −78% $98,912 −81% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $18,953 $81,918 $52,714 −64% $43,631 −57% —
791 O.R. Procedure For Other Complications Of Treatment,EXTREME $18,692 — $27,889 −33% $42,679 −56% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $18,496 $71,872 $32,321 −43% $34,434 −46% —
883 Disorders Of Personality And Impulse Control $18,422 $45,976 $25,909 −29% $23,206 −21% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $18,407 $76,825 $52,055 −65% $46,090 −60% ≈91% of Medicare
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $18,362 $88,289 $32,264 −43% $44,363 −59% ≈105% of Medicare
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $18,241 $53,979 $41,427 −56% $38,861 −53% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $18,224 $75,884 $61,172 −70% $43,800 −58% —
511 Gynecologic Procedures For Malignancy,EXTREME $18,119 $84,200 $49,382 −63% $43,538 −58% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $18,109 $48,595 $34,508 −48% $33,694 −46% —
090 Major Larynx & Trachea Procedures,MAJOR $18,012 — $13,026 +38% $15,412 +17% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $17,994 $84,595 $38,300 −53% $37,240 −52% —
513 Gynecologic Procedures Without Malignancy,EXTREME $17,968 $74,933 $46,205 −61% $33,424 −46% —
964 Other Multiple Significant Trauma With Cc $17,904 $42,743 $29,796 −40% $27,394 −35% —
343 Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,EXTREME $17,598 — $30,596 −42% $12,397 +42% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $17,468 $53,489 $50,682 −66% $31,170 −44% —
902 Wound Debridements For Injuries With Cc $17,422 $75,982 $40,012 −56% $40,562 −57% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $17,417 $74,327 $47,711 −63% $47,711 −63% ≈97% of Medicare
432 Cirrhosis And Alcoholic Hepatitis With McC $17,383 $72,788 $56,589 −69% $40,213 −57% ≈88% of Medicare
686 Kidney And Urinary Tract Neoplasms With McC $17,316 $67,196 $36,025 −52% $37,844 −54% —
713 Transurethral Prostatectomy With Cc/McC $17,276 $36,924 $31,908 −46% $32,100 −46% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $17,257 $109,020 $30,984 −44% $36,670 −53% —
890 Hiv With Multiple Major Hiv Related Conditions,EXTREME $17,039 — $148,219 −89% $48,975 −65% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $17,031 $48,031 $39,309 −57% $33,047 −48% —
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC $16,966 $78,332 $16,966 +0% $22,620 −25% —
740 Mental Illness Diagnosis With O.R. Procedure,MAJOR $16,850 $81,645 $43,148 −61% $40,365 −58% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $16,841 $63,730 $44,966 −63% $39,887 −58% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $16,820 $138,176 $67,025 −75% $74,257 −77% ≈58% of Medicare
754 Malignancy, Female Reproductive System With McC $16,752 $58,333 $28,156 −41% $32,433 −48% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $16,665 $33,250 $24,198 −31% $27,119 −39% —
502 Soft Tissue Procedures Without Cc/McC $16,528 $58,151 $29,234 −43% $31,017 −47% ≈106% of Medicare
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $16,424 $77,214 $81,607 −80% $52,075 −68% —
748 Female Reproductive System Reconstructive Procedures $16,347 $64,068 $32,600 −50% $30,242 −46% —
915 Allergic Reactions With McC $16,232 $55,229 $42,564 −62% $32,645 −50% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $16,164 $58,881 $39,618 −59% $24,127 −33% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $16,031 $69,470 $46,680 −66% $40,552 −60% ≈86% of Medicare
680 Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,EXTREME $16,027 — $88,040 −82% $112,564 −86% —
070 Other Cerebrovascular Disorders With McC $16,022 $77,890 $25,761 −38% $31,951 −50% ≈71% of Medicare
354 Hernia Procedures Except Inguinal And Femoral With Cc $16,007 $63,109 $42,589 −62% $43,477 −63% ≈96% of Medicare
225 Appendectomy,EXTREME $15,946 — $48,084 −67% $57,380 −72% —
695 Chemotherapy For Acute Leukemia,EXTREME $15,841 — $32,512 −51% $24,566 −36% —
116 Intraocular Procedures With Cc/McC $15,590 $64,756 $24,183 −36% $29,126 −46% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $15,531 $50,384 $39,207 −60% $31,563 −51% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $15,473 $60,332 $22,686 −32% $22,811 −32% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $15,448 $62,937 $64,821 −76% $25,748 −40% —
793 Moderately Extensive O.R. Procedures For Other Complications Of Treatment,MAJOR $15,401 — $27,143 −43% $18,649 −17% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $15,399 $68,651 $49,269 −69% $29,916 −49% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $15,350 $61,235 $29,648 −48% $34,607 −56% ≈106% of Medicare
438 Disorders Of Pancreas Except Malignancy With McC $15,342 $55,724 $37,194 −59% $32,628 −53% ≈92% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/McC $15,259 $55,315 $44,117 −65% $44,117 −65% ≈95% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $15,255 $61,220 $50,732 −70% $44,606 −66% ≈100% of Medicare
157 Dental And Oral Diseases With McC $15,193 $64,774 $24,447 −38% $31,300 −51% —
725 Benign Prostatic Hypertrophy With McC $15,148 $28,809 $24,834 −39% $22,320 −32% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $15,129 $94,132 $58,814 −74% $59,651 −75% ≈112% of Medicare
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $14,829 $50,623 $33,690 −56% $35,584 −58% ≈103% of Medicare
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $14,817 $44,158 $41,585 −64% $27,323 −46% —
620 O.R. Procedures For Obesity With Cc $14,762 $42,971 $45,104 −67% $35,453 −58% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $14,761 $64,123 $42,437 −65% $33,674 −56% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $14,758 $98,204 $26,879 −45% $38,070 −61% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $14,717 $52,676 $39,873 −63% $39,006 −62% —
033 Ventricular Shunt Procedures Without Cc/McC $14,711 $54,764 $43,282 −66% $35,419 −58% ≈97% of Medicare
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $14,642 $53,044 $30,328 −52% $29,743 −51% —
186 Pleural Effusion With McC $14,557 $46,183 $42,577 −66% $33,834 −57% —
669 Transurethral Procedures With Cc $14,482 $50,905 $31,218 −54% $34,354 −58% ≈104% of Medicare
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $14,443 $65,265 $27,696 −48% $30,784 −53% —
232 Gastric Fundoplication,MINOR $14,397 — $136,591 −89% $115,839 −88% —
727 Inflammation Of The Male Reproductive System With McC $14,375 $58,974 $23,253 −38% $26,463 −46% —
337 Peritoneal Adhesiolysis Without Cc/McC $14,245 $55,957 $37,524 −62% $39,211 −64% ≈93% of Medicare
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $14,094 $64,502 $42,725 −67% $41,955 −66% —
398 Appendix Procedures With Cc $14,091 $50,245 $42,478 −67% $40,162 −65% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $14,008 $63,724 $44,384 −68% $36,253 −61% —
302 Atherosclerosis With McC $13,996 $43,728 $17,355 −19% $22,446 −38% ≈391% of Medicare
306 Cardiac Congenital And Valvular Disorders With McC $13,978 $59,123 $34,002 −59% $24,586 −43% ≈121% of Medicare
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $13,906 $42,738 $25,879 −46% $25,652 −46% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $13,901 $72,549 $52,575 −74% $43,298 −68% ≈97% of Medicare
231 Coronary Bypass With Ptca With McC $13,875 $315,468 $164,187 −92% $147,227 −91% —
345 Minor Small And Large Bowel Procedures With Cc $13,817 $54,872 $31,108 −56% $33,048 −58% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $13,804 $53,306 $22,644 −39% $25,390 −46% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $13,786 $67,681 $31,563 −56% $28,140 −51% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $13,707 $111,697 $72,255 −81% $45,877 −70% ≈105% of Medicare
708 Major Male Pelvic Procedures Without Cc/McC $13,705 $62,022 $41,216 −67% $36,988 −63% ≈119% of Medicare
693 Chemotherapy,EXTREME $13,658 $61,174 $19,880 −31% $23,892 −43% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $13,657 $32,974 $17,519 −22% $22,393 −39% —
388 Gastrointestinal Obstruction With McC $13,577 $45,957 $29,845 −55% $30,571 −56% ≈101% of Medicare
621 Neonate Birth Weight 2000-2499 Grams With Major Anomaly,EXTREME $13,556 $35,703 $36,546 −63% $32,451 −58% —
051 Viral Meningitis,MAJOR $13,541 — $24,628 −45% $28,594 −53% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $13,499 $458,530 $41,932 −68% $108,472 −88% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $13,306 $64,941 $35,465 −62% $35,465 −62% ≈122% of Medicare
757 Infections, Female Reproductive System With McC $13,218 $50,923 $21,563 −39% $26,280 −50% —
975 Hiv With Major Related Condition With Cc $13,158 $48,332 $24,799 −47% $27,808 −53% —
136 Respiratory Malignancy,EXTREME $13,116 — $34,695 −62% $17,404 −25% —
173 Other Vascular Procedures,EXTREME $13,075 $117,289 $57,769 −77% $60,407 −78% —
598 Malignant Breast Disorders With Cc $13,017 $52,409 $18,925 −31% $19,073 −32% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $12,895 $167,548 $79,556 −84% $84,692 −85% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $12,891 $99,756 $49,874 −74% $69,743 −82% —
787 Cesarean Section Without Sterilization With Cc $12,851 $35,560 $34,767 −63% $23,571 −45% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $12,836 $58,764 $37,864 −66% $30,493 −58% —
792 Extensive O.R. Procedures For Other Complications Of Treatment,EXTREME $12,758 — $18,944 −33% $12,229 +4% —
358 Other Digestive System O.R. Procedures Without Cc/McC $12,711 $49,039 $37,380 −66% $30,083 −58% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $12,704 $57,639 $30,555 −58% $30,418 −58% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $12,697 $66,296 $39,065 −67% $35,692 −64% —
120 Major Respiratory And Chest Procedures,EXTREME $12,592 — $123,675 −90% $71,194 −82% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $12,573 $60,333 $39,638 −68% $32,841 −62% ≈94% of Medicare
553 Bone Diseases And Arthropathies With McC $12,566 $39,552 $33,365 −62% $26,051 −52% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $12,544 $48,137 $32,277 −61% $29,949 −58% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $12,489 $64,639 $43,359 −71% $29,805 −58% —
535 Fractures Of Hip And Pelvis With McC $12,369 $49,612 $27,809 −56% $24,552 −50% —
758 Infections, Female Reproductive System With Cc $12,325 $39,147 $25,460 −52% $20,901 −41% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $12,248 $50,800 $24,717 −50% $21,894 −44% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $12,157 $22,132 $14,114 −14% $17,601 −31% —
080 Acute Major Eye Infections,MAJOR $12,154 $35,726 $31,755 −62% $36,249 −66% —
348 Anal And Stomal Procedures With Cc $11,994 $41,469 $25,932 −54% $27,947 −57% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $11,964 $40,552 $21,962 −46% $20,895 −43% —
368 Major Esophageal Disorders With McC $11,884 $46,367 $30,007 −60% $33,876 −65% —
642 Inborn And Other Disorders Of Metabolism $11,645 $38,557 $24,803 −53% $20,727 −44% ≈69% of Medicare
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $11,637 $69,689 $28,320 −59% $28,320 −59% —
670 Transurethral Procedures Without Cc/McC $11,617 $20,022 $27,462 −58% $20,911 −44% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $11,611 $37,549 $20,614 −44% $19,594 −41% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $11,592 $19,199 $15,603 −26% $19,924 −42% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $11,572 $22,230 $22,606 −49% $22,851 −49% —
085 Traumatic Stupor And Coma <1 Hour With McC $11,544 $67,793 $45,245 −74% $41,892 −72% ≈90% of Medicare
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $11,544 $88,062 $56,180 −79% $46,727 −75% ≈104% of Medicare
810 Hemorrhage Or Hematoma Due To Complication,EXTREME $11,542 $32,048 $15,571 −26% $18,316 −37% —
549 Septic Arthritis With Cc $11,484 $70,746 $18,835 −39% $24,056 −52% —
903 Wound Debridements For Injuries Without Cc/McC $11,448 $50,272 $19,017 −40% $25,581 −55% —
059 Anoxic And Other Severe Brain Damage,EXTREME $11,408 $34,287 $28,645 −60% $27,163 −58% —
253 Other And Unspecified Gastrointestinal Hemorrhage,EXTREME $11,306 $107,537 $82,612 −86% $57,454 −80% ≈90% of Medicare
548 Postpartum And Post Abortion Diagnosis With O.R. Procedure,MAJOR $11,305 $40,953 $40,250 −72% $31,346 −64% —
102 Headaches With McC $11,200 $37,804 $26,681 −58% $25,740 −56% —
887 Other Mental Disorder Diagnoses $11,113 $30,579 $21,835 −49% $20,616 −46% —
081 Nontraumatic Stupor And Coma Without McC $11,024 $25,601 $25,219 −56% $16,552 −33% —
174 Percutaneous Cardiac Intervention With Ami,EXTREME $10,950 — $91,004 −88% $74,377 −85% —
634 Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $10,940 — $18,376 −40% $37,527 −71% —
131 Cystic Fibrosis - Pulmonary Disease,EXTREME $10,918 — $40,997 −73% $23,289 −53% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $10,853 $35,974 $26,803 −60% $22,148 −51% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $10,849 $68,645 $21,684 −50% $23,443 −54% —
227 Hernia Procedures Except Inguinal, Femoral And Umbilical,EXTREME $10,828 — $51,819 −79% $56,960 −81% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $10,824 $49,573 $10,479 +3% $21,230 −49% —
376 Digestive Malignancy Without Cc/McC $10,662 $25,199 $25,989 −59% $16,998 −37% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $10,645 $174,545 $97,894 −89% $74,755 −86% —
038 Extracranial Procedures With Cc $10,613 $80,564 $56,337 −81% $35,770 −70% ≈98% of Medicare
558 Tendonitis, Myositis And Bursitis Without McC $10,521 $29,804 $17,754 −41% $18,602 −43% —
539 Cesarean Section With Sterilization,MAJOR $10,413 $71,346 $34,182 −70% $37,609 −72% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $10,386 $55,026 $28,708 −64% $27,843 −63% —
755 Malignancy, Female Reproductive System With Cc $10,373 $41,117 $27,083 −62% $18,459 −44% —
594 Skin Ulcers Without Cc/McC $10,346 $19,897 $10,346 +0% $14,209 −27% —
784 Cesarean Section With Sterilization With Cc $10,326 $33,901 $24,184 −57% $23,283 −56% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $10,302 $77,815 $46,189 −78% $38,094 −73% ≈92% of Medicare
182 Other Upper Vascular Procedures,EXTREME $10,241 $28,604 $53,655 −81% $14,064 −27% —
949 Aftercare With Cc/McC $10,236 $31,986 $17,779 −42% $23,953 −57% —
691 Lymphoma, Myeloma And Non-Acute Leukemia,EXTREME $10,189 — $38,311 −73% $31,905 −68% —
089 Concussion With Cc $10,152 $34,204 $17,818 −43% $18,821 −46% —
596 Major Skin Disorders Without McC $10,148 $25,270 $16,011 −37% $17,226 −41% —
071 Other Cerebrovascular Disorders With Cc $10,049 $45,849 $22,359 −55% $23,488 −57% —
230 Major Small Bowel Procedures,EXTREME $9,947 — $125,499 −92% $58,096 −83% —
074 Cranial And Peripheral Nerve Disorders Without McC $9,947 $46,214 $27,670 −64% $23,141 −57% ≈91% of Medicare
930 Multiple Significant Trauma Without O.R. Procedure,EXTREME $9,935 — $29,306 −66% $72,498 −86% —
536 Fractures Of Hip And Pelvis Without McC $9,932 $34,493 $17,814 −44% $18,002 −45% —
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/McC $9,789 $14,420 $12,079 −19% $13,586 −28% —
246 Gastrointestinal Vascular Insufficiency,EXTREME $9,754 — $55,692 −82% $33,983 −71% —
462 Nephritis And Nephrosis,MAJOR $9,720 — $43,664 −78% $58,975 −84% —
381 Complicated Peptic Ulcer With Cc $9,677 $36,934 $24,730 −61% $24,177 −60% —
187 Pleural Effusion With Cc $9,673 $35,611 $23,711 −59% $21,789 −56% ≈90% of Medicare
403 Procedures For Obesity,MAJOR $9,631 — $45,104 −79% $50,645 −81% —
514 Female Reproductive System Reconstructive Procedures,MAJOR $9,612 $54,631 $29,856 −68% $22,635 −58% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $9,553 $77,749 $25,176 −62% $32,944 −71% —
645 Endocrine Disorders Without Cc/McC $9,534 $20,483 $17,001 −44% $15,428 −38% —
222 Other Stomach, Esophageal And Duodenal Procedures,EXTREME $9,481 — $77,351 −88% $86,864 −89% —
263 Cholecystectomy,MAJOR $9,394 — $65,205 −86% $51,253 −82% —
446 Disorders Of The Biliary Tract Without Cc/McC $9,357 $36,577 $22,377 −58% $17,700 −47% ≈445% of Medicare
284 Disorders Of Gallbladder And Biliary Tract,EXTREME $9,348 — $14,343 −35% $16,450 −43% —
794 Non-Extensive O.R. Procedures For Other Complications Of Treatment,MINOR $9,270 — $9,504 −2% $8,445 +10% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $9,193 $19,928 $11,491 −20% $12,895 −29% —
149 Dysequilibrium $9,172 $36,769 $26,497 −65% $18,096 −49% —
636 Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,MAJOR $9,136 — $16,865 — $59,860 −85% —
600 Non-Malignant Breast Disorders With Cc/McC $9,090 $23,652 $13,799 −34% $16,700 −46% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $9,017 $98,396 $68,086 −87% $71,092 −87% —
121 Acute Major Eye Infections With Cc/McC $8,990 $57,477 $22,064 −59% $19,412 −54% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $8,848 $19,262 $12,536 −29% $12,559 −30% —
914 Traumatic Injury Without McC $8,805 $24,511 $14,052 −37% $15,855 −44% —
592 Skin Ulcers With McC $8,796 $92,431 $52,689 −83% $33,246 −74% —
226 Anal And Perineal Procedures,MINOR $8,632 — $54,372 −84% $72,618 −88% —
965 Other Multiple Significant Trauma Without Cc/McC $8,630 $23,991 $27,710 −69% $20,259 −57% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $8,553 $15,951 $15,922 −46% $14,797 −42% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $8,547 $32,774 $12,020 −29% $14,689 −42% —
264 Other Circulatory System O.R. Procedures $8,517 $117,203 $73,423 −88% $51,953 −84% ≈99% of Medicare
130 Respiratory System Diagnosis With Ventilator Support > 96 Hours,EXTREME $8,424 — $186,705 −95% $23,289 −64% —
346 Connective Tissue Disorders,EXTREME $8,334 $63,569 $38,741 −78% $27,297 −69% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $8,300 $21,087 $16,269 −49% $14,549 −43% —
460 Renal Failure,EXTREME $8,264 — $36,756 −78% $51,625 −84% ≈42% of Medicare
607 Minor Skin Disorders Without McC $8,203 $36,755 $15,749 −48% $15,889 −48% ≈445% of Medicare
159 Dental And Oral Diseases Without Cc/McC $8,172 $29,650 $12,725 −36% $13,633 −40% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $8,149 $57,008 $46,400 −82% $36,937 −78% ≈96% of Medicare
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $8,116 $31,534 $11,748 −31% $18,133 −55% —
181 Lower Vascular Procedures,EXTREME $8,069 $50,664 $37,213 −78% $23,573 −66% ≈553% of Medicare
029 Other Percutaneous Intracranial Procedures,EXTREME $8,042 $97,228 $112,438 −93% $67,268 −88% ≈179% of Medicare
125 Other Disorders Of The Eye Without McC $7,985 $30,596 $16,137 −51% $17,298 −54% ≈99% of Medicare
110 Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies,EXTREME $7,967 — $35,880 −78% $126,895 −94% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $7,867 $35,111 $14,417 −45% $11,421 −31% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $7,820 $22,926 $19,824 −61% $18,126 −57% —
728 Inflammation Of The Male Reproductive System Without McC $7,790 $38,040 $22,119 −65% $17,118 −54% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $7,788 $36,011 $25,005 −69% $22,850 −66% ≈103% of Medicare
534 Fractures Of Femur Without McC $7,737 $34,655 $19,639 −61% $17,559 −56% —
279 Hepatic Coma And Other Major Acute Liver Disorders,EXTREME $7,726 $132,704 $34,718 −78% $63,928 −88% —
069 Transient Ischemia Without Thrombolytic $7,691 $29,191 $26,630 −71% $21,056 −63% —
073 Cranial And Peripheral Nerve Disorders With McC $7,681 $77,802 $26,886 −71% $30,010 −74% —
572 Skin Debridement Without Cc/McC $7,572 $48,803 $33,093 −77% $24,944 −70% —
179 Defibrillator Implants,EXTREME $7,456 $20,622 $19,357 −61% $14,648 −49% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $7,334 $35,406 $33,510 −78% $31,044 −76% —
382 Complicated Peptic Ulcer Without Cc/McC $7,237 $38,520 $18,925 −62% $16,634 −56% —
530 Female Reproductive System Malignancy,EXTREME $7,213 — $90,989 −92% $40,040 −82% —
072 Other Cerebrovascular Disorders Without Cc/McC $7,184 $25,694 $13,943 −48% $19,037 −62% —
234 Appendectomy Without Complex Principal Diagnosis,MAJOR $7,085 $226,536 $70,308 −90% $102,573 −93% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $7,029 $28,999 $24,655 −71% $13,275 −47% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $7,007 $16,479 $18,975 −63% $13,384 −48% ≈989% of Medicare
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $6,969 $23,980 $18,646 −63% $16,767 −58% —
470 Chronic Kidney Disease,MAJOR $6,957 $58,443 $47,007 −85% $50,607 −86% ≈98% of Medicare
399 Appendix Procedures Without Cc/McC $6,929 $38,896 $30,259 −77% $31,321 −78% —
293 Heart Failure And Shock Without Cc/McC $6,877 $17,775 $11,127 −38% $12,999 −47% —
311 Angina Pectoris $6,767 $46,656 $22,207 −70% $15,502 −56% —
501 Male Reproductive System Diagnoses Except Malignancy,EXTREME $6,637 $83,288 $60,388 −89% $39,619 −83% ≈92% of Medicare
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $6,621 $30,607 $24,302 −73% $20,781 −68% ≈118% of Medicare
722 Fever And Inflammatory Conditions,EXTREME $6,600 $12,410 $33,132 −80% $29,826 −78% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $6,522 $74,910 $46,488 −86% $47,583 −86% —
387 Inflammatory Bowel Disease Without Cc/McC $6,520 $33,283 $21,971 −70% $16,288 −60% —
916 Allergic Reactions Without McC $6,502 $18,932 $16,374 −60% $13,942 −53% —
228 Inguinal, Femoral And Umbilical Hernia Procedures,MAJOR $6,485 $160,466 $87,820 −93% $96,905 −93% ≈59% of Medicare
468 Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms,MAJOR $6,462 $66,935 $61,202 −89% $54,929 −88% ≈103% of Medicare
241 Peptic Ulcer And Gastritis,EXTREME $6,406 — $36,163 −82% $30,770 −79% —
532 Menstrual And Other Female Reproductive System Disorders,MAJOR $6,404 — $24,933 −74% $22,214 −71% —
379 Gastrointestinal Hemorrhage Without Cc/McC $6,379 $14,261 $16,381 −61% $15,038 −58% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $6,042 $60,660 $53,592 −89% $42,901 −86% —
101 Seizures Without McC $5,879 $37,031 $25,137 −77% $20,461 −71% ≈89% of Medicare
199 Hypertension,EXTREME $5,794 $66,219 $33,013 −82% $33,787 −83% ≈84% of Medicare
639 Neonate Birth Weight > 2499 Grams With Other Significant Condition,MAJOR $5,766 — $14,532 −60% $13,910 −59% —
114 Dental Diseases And Disorders,EXTREME $5,741 $64,442 $18,623 −69% $19,598 −71% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $5,655 $59,900 $45,483 −88% $30,553 −81% —
390 Gastrointestinal Obstruction Without Cc/McC $5,391 $16,982 $14,942 −64% $13,361 −60% ≈124% of Medicare
340 Fracture Of Femur,EXTREME $5,289 — $13,613 −61% $13,613 −61% —
145 Acute Bronchitis And Related Symptoms,EXTREME $5,282 — $22,742 −77% $25,712 −79% —
612 Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $5,273 — $114,438 −95% $249,205 −98% —
342 Fractures And Dislocations Except Femur, Pelvis And Back,EXTREME $5,242 — $31,443 −83% $16,487 −68% —
039 Extracranial Procedures Without Cc/McC $5,241 $68,898 $29,933 −82% $26,618 −80% ≈102% of Medicare
909 Other O.R. Procedures For Injuries Without Cc/McC $5,217 $53,280 $27,745 −81% $28,156 −81% —
615 Adrenal And Pituitary Procedures Without Cc/McC $5,199 $52,469 $40,086 −87% $32,833 −84% ≈90% of Medicare
067 Precerebral Occlusion Without Infarction With McC $5,184 $26,775 $27,924 −81% $24,941 −79% —
111 Vertigo And Other Labyrinth Disorders,MODERATE $5,175 — $25,629 −80% $32,376 −84% —
248 Major Gastrointestinal And Peritoneal Infections,EXTREME $5,169 — $46,450 −89% $34,146 −85% —
861 Signs, Symptoms And Other Factors Influencing Health Status,EXTREME $5,162 — $30,932 −83% $26,085 −80% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $5,131 $65,538 $25,152 −80% $25,073 −80% —
564 Abortion Without D&C, Aspiration Curettage Or Hysterotomy,MINOR $5,090 $97,477 $39,421 −87% $33,653 −85% ≈52% of Medicare
465 Urinary Stones And Acquired Upper Urinary Tract Obstruction,MAJOR $5,042 $65,716 $31,774 −84% $32,443 −84% —
140 Chronic Obstructive Pulmonary Disease,EXTREME $5,033 $166,828 $57,781 −91% $60,098 −92% —
614 Adrenal And Pituitary Procedures With Cc/McC $5,030 $60,486 $45,152 −89% $48,349 −90% ≈159% of Medicare
531 Female Reproductive System Infections,MAJOR $4,897 — $29,326 −83% $35,138 −86% —
463 Kidney And Urinary Tract Infections,EXTREME $4,878 $204,723 $67,373 −93% $89,207 −95% ≈22% of Medicare
141 Asthma,EXTREME $4,801 $125,856 $40,584 −88% $37,267 −87% —
244 Diverticulitis And Diverticulosis,EXTREME $4,776 $45,232 $40,132 −88% $41,591 −89% —
242 Major Esophageal Disorders,EXTREME $4,756 $105,642 $75,541 −94% $70,132 −93% ≈78% of Medicare
134 Pulmonary Embolism,EXTREME $4,651 — $79,495 −94% $23,289 −80% —
046 Nonspecific Cva And Precerebral Occlusion Without Infarction,EXTREME $4,612 — $34,943 −87% $29,050 −84% —
050 Non-Bacterial Infections Of Nervous System Except Viral Meningitis,EXTREME $4,603 — $44,092 −90% $75,772 −94% —
247 Intestinal Obstruction,EXTREME $4,513 — $51,212 −91% $21,663 −79% —
139 Other Pneumonia,EXTREME $4,363 — $28,523 −85% $23,612 −82% —
816 Toxic Effects Of Non-Medicinal Substances,EXTREME $4,341 — $17,592 −75% $14,638 −70% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $3,851 $53,892 $23,392 −84% $21,847 −82% —
113 Infections Of Upper Respiratory Tract,EXTREME $3,832 $83,457 $31,605 −88% $36,167 −89% —
153 Otitis Media And Uri Without McC $3,832 $18,729 $15,085 −75% $14,583 −74% ≈132% of Medicare
723 Malignancy, Male Reproductive System With Cc $3,820 $34,393 $21,259 −82% $19,815 −81% —
892 Hiv With Major Hiv Related Condition,EXTREME $3,795 — $30,629 −88% $39,896 −90% —
138 Bronchiolitis And Rsv Pneumonia,EXTREME $3,739 — $21,381 −83% $19,119 −80% —
369 Major Esophageal Disorders With Cc $3,734 $36,935 $25,859 −86% $25,303 −85% —
633 Neonate Birth Weight > 2499 Grams With Major Anomaly,EXTREME $3,684 — $94,646 −96% $31,241 −88% —
950 Aftercare Without Cc/McC $3,254 $25,023 $16,592 −80% $13,527 −76% —
684 Renal Failure Without Cc/McC $3,210 $18,062 $12,321 −74% $13,642 −76% —
249 Other Gastroenteritis, Nausea And Vomiting,EXTREME $3,117 — $36,009 −91% $20,610 −85% —
726 Benign Prostatic Hypertrophy Without McC $3,084 $18,623 $14,432 −79% $15,019 −79% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $3,037 $50,034 $24,803 −88% $31,159 −90% ≈269% of Medicare
882 Neuroses Except Depressive $2,970 $41,852 $22,632 −87% $15,680 −81% —
626 Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR $2,566 $69,043 $27,279 −91% $33,454 −92% —
349 Anal And Stomal Procedures Without Cc/McC $2,476 $55,747 $31,173 −92% $19,854 −88% —
161 Implantable Heart Assist Systems,EXTREME $2,438 — $812,175 −100% $1,181,300 −100% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $2,384 $69,037 $28,899 −92% $26,598 −91% —
581 Neonate, Transferred < 5 Days Old, Born Here,EXTREME $2,259 $48,645 $21,162 −89% $26,932 −92% —
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 $2,154 — $2,777 −22% $1,447,596 −100% —
251 Abdominal Pain,EXTREME $1,934 $85,601 $29,506 −93% $46,295 −96% —
753 Bipolar Disorders,MODERATE $1,786 — $34,651 −95% $14,949 −88% —
912 Musculoskeletal And Other Procedures For Multiple Significant Trauma,EXTREME $1,391 — $182,072 −99% $88,781 −98% —
316 Hand And Wrist Procedures,EXTREME $1,347 $25,987 $29,904 −95% $13,651 −90% —
395 Other Digestive System Diagnoses Without Cc/McC $1,307 $19,221 $15,125 −91% $14,128 −91% ≈105% of Medicare
921 Complications Of Treatment Without Cc/McC $1,033 $17,131 $13,127 −92% $14,415 −93% —
361 Skin Graft For Skin And Subcutaneous Tissue Diagnoses,EXTREME $982 — $54,915 −98% $79,921 −99% —
752 Personality Disorders,MODERATE $950 — $950 — $129 +636% —
910 Craniotomy For Multiple Significant Trauma,EXTREME $799 — $661,344 −100% $372,934 −100% —
952 Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $715 — $55,893 −99% $45,364 −98% —
049 Bacterial And Tuberculous Infections Of Nervous System,EXTREME $695 — $62,133 −99% $120,000 −99% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $695 $37,813 $42,436 −98% $19,227 −96% ≈310% of Medicare
721 Post-Operative, Post-Traumatic, Other Device Infections,EXTREME $695 — $111,301 −99% $30,000 −98% —
893 Hiv With Multiple Significant Hiv Related Conditions,MAJOR $695 — $104,680 −99% $49,110 −99% —
911 Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma,EXTREME $378 — $358,577 −100% $346,251 −100% —

Procedures with negotiated rates only

These 1 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
913 Traumatic Injury With McC $19,708 – $19,708 · median $19,708 1 plans
← Back to Massachusetts General Hospital profile