MelroseWakefield Hospital — Pricing

739 procedures published in this hospital's Machine-Readable File (MRF) — 738 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 739
Lowest published price $2,000
Average published price $54,841
Highest published price $1,749,699

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 739 procedures

Published charges

Showing all 738 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 64 procedures, this hospital's negotiated rates average ≈222% 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 $1,749,699 $1,224,790 $2,341,833 −25% $573,534 +205% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,002,772 $701,940 $585,894 +71% $461,389 +117% —
006 Liver Transplant Without McC $445,588 $311,911 $312,542 +43% $84,407 +428% —
969 Hiv With Extensive O.R. Procedures With McC $435,148 $304,604 $146,030 +198% $109,331 +298% —
673 Other Kidney And Urinary Tract Procedures With McC $407,969 $285,578 $103,271 +295% $77,990 +423% —
005 Liver Transplant With McC Or Intestinal Transplant $402,687 $281,881 $556,474 −28% $164,641 +145% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck With Major $375,261 $262,683 $375,261 +0% $371,366 +1% —
061 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $345,043 $241,530 $100,945 +242% $62,264 +454% —
651 Kidney Transplant With Hemodialysis Without McC $340,165 $238,115 $53,229 +539% $56,242 +505% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $324,978 $227,484 $325,686 −0% $148,686 +119% —
231 Coronary Bypass With Ptca With McC $311,225 $217,857 $164,187 +90% $147,227 +111% —
650 Kidney Transplant With Hemodialysis With McC $295,300 $206,710 $111,163 +166% $71,551 +313% —
215 Other Heart Assist System Implant $283,453 $198,417 $340,077 −17% $208,939 +36% —
037 Extracranial Procedures With McC $274,925 $192,447 $121,742 +126% $66,666 +312% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $259,079 $181,355 $96,452 +169% $116,058 +123% —
652 Kidney Transplant $258,845 $181,191 $274,134 −6% $54,720 +373% —
014 Allogeneic Bone Marrow Transplant $251,738 $176,216 $380,132 −34% $182,314 +38% —
999 Ungroupable $246,199 $172,339 $46,384 +431% $29,674 +730% —
038 Extracranial Procedures With Cc $237,401 $166,181 $56,337 +321% $35,770 +564% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $233,836 $163,686 $41,932 +458% $108,472 +116% —
212 Concomitant Aortic And Mitral Valve Procedures $232,544 $162,781 $324,657 −28% $196,346 +18% —
264 Other Circulatory System O.R. Procedures $232,204 $162,543 $73,423 +216% $51,953 +347% —
456 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $230,197 $161,138 $230,197 +0% $153,282 +50% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $229,018 $160,313 $53,452 +328% $33,555 +583% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $228,988 $160,292 $314,210 −27% $188,171 +22% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $222,676 $155,873 $46,189 +382% $38,094 +485% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $216,844 $151,791 $244,842 −11% $123,995 +75% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $211,991 $148,394 $242,313 −13% $131,961 +61% —
580 Other Skin Subcutaneous Tissue And Breast Procedures With Cc $200,674 $140,472 $49,831 +303% $38,101 +427% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $194,015 $135,810 $127,374 +52% $68,653 +183% —
011 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With McC $193,217 $135,252 $146,105 +32% $101,576 +90% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $193,112 $135,179 $186,863 +3% $148,832 +30% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $191,921 $134,345 $97,894 +96% $74,755 +157% —
232 Coronary Bypass With Ptca Without McC $191,080 $133,756 $136,591 +40% $115,839 +65% —
956 Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma $185,247 $129,673 $121,891 +52% $75,103 +147% —
332 Rectal Resection With McC $182,525 $127,768 $154,131 +18% $58,125 +214% —
140 Major Head And Neck Procedures With McC $175,496 $122,847 $57,781 +204% $60,098 +192% —
622 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With McC $174,501 $122,151 $84,022 +108% $61,470 +184% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $171,834 $120,284 $171,834 +0% $117,280 +47% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $171,360 $119,952 $67,373 +154% $89,207 +92% —
955 Craniotomy For Multiple Significant Trauma $169,622 $118,735 $169,622 +0% $102,600 +65% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $167,007 $116,905 $136,839 +22% $90,724 +84% —
585 Breast Biopsy Local Excision And Other Breast Procedures Without Cc/McC $164,148 $114,904 $65,734 +150% $32,574 +404% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $160,018 $112,013 $139,305 +15% $79,225 +102% —
034 Carotid Artery Stent Procedures With McC $159,244 $111,471 $101,642 +57% $76,219 +109% —
028 Spinal Procedures With McC $158,431 $110,902 $158,431 +0% $113,077 +40% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $154,394 $108,076 $45,373 +240% $36,792 +320% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $154,018 $107,812 $154,018 +0% $113,855 +35% —
327 Stomach Esophageal And Duodenal Procedures With Cc $152,298 $106,609 $61,445 +148% $59,421 +156% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $151,152 $105,807 $97,253 +55% $66,068 +129% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $149,782 $104,848 $102,398 +46% $58,707 +155% —
277 Cardiac Defibrillator Implant Without McC $143,755 $100,628 $145,523 −1% $91,329 +57% —
584 Breast Biopsy Local Excision And Other Breast Procedures With Cc/McC $143,098 $100,169 $49,178 +191% $35,030 +309% —
012 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc $139,310 $97,517 $139,310 +0% $79,836 +74% —
545 Connective Tissue Disorders With McC $138,074 $96,652 $54,739 +152% $40,362 +242% —
834 Acute Leukemia With McC $137,687 $96,381 $137,687 +0% $85,566 +61% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $136,478 $95,535 $242,781 −44% $143,242 −5% —
228 Other Cardiothoracic Procedures With McC $135,471 $94,830 $87,820 +54% $96,905 +40% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $135,377 $94,764 $114,518 +18% $53,864 +151% —
319 Other Endovascular Cardiac Valve Procedures With McC $132,706 $92,894 $189,408 −30% $86,970 +53% —
770 Abortion With D&C Aspiration Curettage Or Hysterotomy $132,293 $92,605 $30,874 +328% $18,956 +598% —
187 Pleural Effusion With Cc $130,048 $91,034 $23,711 +448% $21,789 +497% —
623 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With Cc $129,867 $90,907 $33,563 +287% $34,459 +277% —
062 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $128,721 $90,105 $81,607 +58% $52,075 +147% —
016 Autologous Bone Marrow Transplant With Cc/McC $128,339 $89,837 $128,339 +0% $98,260 +31% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $127,941 $89,559 $127,941 +0% $93,172 +37% ≈253% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $127,779 $89,445 $197,267 −35% $125,242 +2% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $127,452 $89,217 $127,452 +0% $72,424 +76% —
013 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $126,739 $88,717 $126,739 +0% $48,687 +160% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $126,472 $88,530 $83,912 +51% $62,300 +103% —
406 Pancreas Liver And Shunt Procedures With Cc $126,367 $88,457 $103,695 +22% $58,043 +118% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $126,313 $88,419 $91,036 +39% $76,001 +66% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $126,137 $88,296 $126,137 +0% $87,761 +44% —
356 Other Digestive System O.R. Procedures With McC $125,454 $87,818 $125,454 +0% $82,561 +52% —
265 Aicd Lead Procedures $125,402 $87,782 $119,401 +5% $63,171 +99% —
432 Cirrhosis And Alcoholic Hepatitis With McC $125,039 $87,527 $56,589 +121% $40,213 +211% —
273 Percutaneous And Other Intracardiac Procedures With McC $124,252 $86,977 $155,537 −20% $78,852 +58% —
915 Allergic Reactions With McC $123,929 $86,751 $42,564 +191% $32,645 +280% —
391 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With McC $122,913 $86,039 $36,902 +233% $28,050 +338% ≈170% of Medicare
393 Other Digestive System Diagnoses With McC $122,481 $85,737 $49,207 +149% $34,192 +258% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $122,471 $85,730 $63,147 +94% $66,848 +83% —
467 Revision Of Hip Or Knee Replacement With Cc $122,420 $85,694 $116,723 +5% $70,847 +73% —
296 Cardiac Arrest Unexplained With McC $122,337 $85,636 $51,862 +136% $33,661 +263% —
270 Other Major Cardiovascular Procedures With McC $122,130 $85,491 $154,050 −21% $99,423 +23% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $121,455 $85,018 $121,455 +0% $96,192 +26% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $120,492 $84,345 $85,136 +42% $71,464 +69% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $120,472 $84,331 $181,335 −34% $111,320 +8% —
335 Peritoneal Adhesiolysis With McC $119,369 $83,558 $104,881 +14% $71,755 +66% —
840 Lymphoma And Non-Acute Leukemia With McC $118,802 $83,162 $73,761 +61% $49,710 +139% —
746 Vagina Cervix And Vulva Procedures With Cc/McC $118,201 $82,741 $49,269 +140% $29,916 +295% —
377 Gastrointestinal Hemorrhage With McC $117,391 $82,174 $58,908 +99% $37,842 +210% ≈249% of Medicare
405 Pancreas Liver And Shunt Procedures With McC $116,863 $81,804 $116,863 +0% $102,128 +14% —
907 Other O.R. Procedures For Injuries With McC $116,784 $81,749 $60,421 +93% $77,817 +50% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $116,098 $81,269 $159,308 −27% $106,057 +9% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $115,899 $81,130 $126,694 −9% $93,390 +24% —
481 Hip And Femur Procedures Except Major Joint With Cc $115,728 $81,010 $73,364 +58% $52,751 +119% ≈202% of Medicare
457 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $114,919 $80,443 $124,458 −8% $107,355 +7% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemothera $114,417 $80,092 $114,417 +0% $106,778 +7% —
272 Other Major Cardiovascular Procedures Without Cc/McC $114,372 $80,061 $99,774 +15% $55,162 +107% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $114,044 $79,831 $72,261 +58% $50,139 +127% ≈327% of Medicare
245 Aicd Generator Procedures $113,884 $79,719 $67,897 +68% $72,076 +58% —
583 Mastectomy For Malignancy Without Cc/McC $113,780 $79,646 $94,853 +20% $35,831 +218% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $113,568 $79,498 $113,568 +0% $144,569 −21% —
100 Seizures With McC $112,630 $78,841 $50,531 +123% $35,481 +217% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $112,601 $78,820 $112,601 +0% $90,775 +24% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $112,438 $78,706 $112,438 +0% $67,268 +67% —
252 Other Vascular Procedures With McC $112,066 $78,446 $101,547 +10% $68,508 +64% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $111,475 $78,032 $56,578 +97% $36,431 +206% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $111,409 $77,986 $64,821 +72% $25,748 +333% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $110,046 $77,033 $104,012 +6% $90,331 +22% —
235 Coronary Bypass Without Cardiac Catheterization With McC $109,645 $76,752 $140,507 −22% $112,062 −2% —
253 Other Vascular Procedures With Cc $109,480 $76,636 $82,612 +33% $57,454 +91% —
163 Major Chest Procedures With McC $109,160 $76,412 $138,484 −21% $90,195 +21% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $108,998 $76,299 $114,244 −5% $93,238 +17% —
196 Interstitial Lung Disease With McC $108,644 $76,051 $69,890 +55% $32,637 +233% —
420 Hepatobiliary Diagnostic Procedures With McC $108,155 $75,709 $59,481 +82% $50,919 +112% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $107,376 $75,163 $139,381 −23% $92,217 +16% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $107,137 $74,996 $115,978 −8% $82,247 +30% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $106,748 $74,724 $106,748 +0% $85,159 +25% —
329 Major Small And Large Bowel Procedures With McC $105,764 $74,035 $102,516 +3% $88,050 +20% ≈160% of Medicare
492 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With McC $104,847 $73,393 $104,847 +0% $70,564 +49% —
466 Revision Of Hip Or Knee Replacement With McC $104,141 $72,898 $104,141 +0% $96,507 +8% —
471 Cervical Spinal Fusion With McC $103,533 $72,473 $110,891 −7% $92,515 +12% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $103,110 $72,177 $103,110 +0% $54,583 +89% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $102,456 $71,719 $102,456 +0% $88,307 +16% —
326 Stomach Esophageal And Duodenal Procedures With McC $102,442 $71,709 $102,442 +0% $80,793 +27% —
141 Major Head And Neck Procedures With Cc $102,125 $71,487 $40,584 +152% $37,267 +174% —
229 Other Cardiothoracic Procedures Without McC $102,098 $71,469 $101,858 +0% $65,325 +56% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $101,909 $71,336 $70,308 +45% $102,573 −1% —
165 Major Chest Procedures Without Cc/McC $101,892 $71,325 $99,425 +2% $46,340 +120% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $101,757 $71,230 $54,300 +87% $61,832 +65% —
398 Appendix Procedures With Cc $101,752 $71,226 $42,478 +140% $40,162 +153% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $101,404 $70,983 $109,731 −8% $101,510 −0% —
849 Radiotherapy $101,397 $70,978 $101,397 +0% $37,862 +168% —
441 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With McC $101,396 $70,977 $55,018 +84% $33,985 +198% —
500 Soft Tissue Procedures With McC $101,301 $70,911 $83,283 +22% $61,872 +64% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal $101,032 $70,723 $101,032 +0% $81,706 +24% —
274 Percutaneous And Other Intracardiac Procedures Without McC $100,794 $70,556 $87,217 +16% $65,573 +54% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $100,641 $70,449 $100,641 +0% $64,523 +56% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $100,552 $70,387 $85,003 +18% $58,228 +73% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $100,390 $70,273 $134,426 −25% $120,573 −17% —
628 Other Endocrine Nutritional And Metabolic O.R. Procedures With McC $100,247 $70,173 $100,247 +0% $71,795 +40% —
790 Extreme Immaturity Or Respiratory Distress Syndrome Neonate $100,048 $70,034 $100,048 +0% $80,018 +25% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $100,009 $70,006 $69,394 +44% $52,405 +91% ≈185% of Medicare
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $96,252 $67,376 $86,610 +11% $98,912 −3% —
290 Acute And Subacute Endocarditis Without Cc/McC $84,476 $59,133 $15,444 +447% $15,901 +431% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $83,118 $58,183 $61,562 +35% $30,243 +175% —
258 Cardiac Pacemaker Device Replacement With McC $81,908 $57,336 $64,203 +28% $52,986 +55% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $79,304 $55,513 $82,301 −4% $70,371 +13% —
411 Cholecystectomy With C.D.E. With McC $76,955 $53,869 $76,955 +0% $48,358 +59% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $75,720 $53,004 $102,200 −26% $70,467 +7% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $75,690 $52,983 $109,925 −31% $56,964 +33% —
903 Wound Debridements For Injuries Without Cc/McC $75,356 $52,749 $19,017 +296% $25,581 +195% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $73,982 $51,788 $32,321 +129% $34,434 +115% —
800 Splenic Procedures With Cc $72,763 $50,934 $89,665 −19% $49,184 +48% —
040 Peripheral Cranial Nerve And Other Nervous System Procedures With McC $67,025 $46,918 $67,025 +0% $74,257 −10% —
242 Permanent Cardiac Pacemaker Implant With McC $66,631 $46,642 $75,541 −12% $70,132 −5% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $66,438 $46,506 $61,202 +9% $54,929 +21% —
263 Vein Ligation And Stripping $65,205 $45,643 $65,205 +0% $51,253 +27% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $64,509 $45,156 $40,132 +61% $41,591 +55% —
757 Infections Female Reproductive System With McC $63,621 $44,535 $21,563 +195% $26,280 +142% —
504 Foot Procedures With Cc $63,163 $44,214 $42,056 +50% $38,960 +62% —
655 Major Bladder Procedures Without Cc/McC $62,740 $43,918 $57,741 +9% $43,174 +45% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $61,552 $43,086 $61,172 +1% $43,800 +41% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $61,067 $42,747 $61,067 +0% $47,945 +27% —
243 Permanent Cardiac Pacemaker Implant With Cc $60,398 $42,279 $50,543 +19% $50,011 +21% —
259 Cardiac Pacemaker Device Replacement Without McC $60,372 $42,260 $52,772 +14% $39,020 +55% —
513 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures With Cc/McC $59,728 $41,809 $46,205 +29% $33,424 +79% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $59,507 $41,655 $52,714 +13% $43,631 +36% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $58,447 $40,913 $73,030 −20% $90,401 −35% —
756 Malignancy Female Reproductive System Without Cc/McC $57,390 $40,173 $28,003 +105% $15,589 +268% —
480 Hip And Femur Procedures Except Major Joint With McC $57,047 $39,933 $80,928 −30% $65,653 −13% ≈261% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $56,385 $39,470 $56,385 +0% $46,066 +22% —
407 Pancreas Liver And Shunt Procedures Without Cc/McC $56,180 $39,326 $56,180 +0% $46,727 +20% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $56,174 $39,322 $57,769 −3% $60,407 −7% —
619 O.R. Procedures For Obesity With McC $55,496 $38,847 $62,574 −11% $51,746 +7% —
510 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With McC $54,787 $38,351 $70,439 −22% $49,839 +10% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $54,772 $38,341 $80,488 −32% $58,809 −7% ≈231% of Medicare
412 Cholecystectomy With C.D.E. With Cc $54,636 $38,245 $54,636 +0% $42,906 +27% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $53,237 $37,266 $52,544 +1% $38,998 +37% —
906 Hand Procedures For Injuries $53,207 $37,245 $57,528 −8% $32,065 +66% —
592 Skin Ulcers With McC $52,689 $36,882 $52,689 +0% $33,246 +58% —
799 Splenic Procedures With McC $52,298 $36,608 $106,066 −51% $82,218 −36% —
653 Major Bladder Procedures With McC $52,263 $36,584 $58,133 −10% $104,583 −50% —
789 Neonates Died Or Transferred To Another Acute Care Facility $52,207 $36,545 $26,590 +96% $16,351 +219% —
710 Penis Procedures Without Cc/McC $52,203 $36,542 $54,233 −4% $26,436 +97% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $52,030 $36,421 $29,859 +74% $39,515 +32% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $51,882 $36,318 $63,244 −18% $54,196 −4% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $51,615 $36,130 $32,512 +59% $24,566 +110% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $51,542 $36,079 $51,542 +0% $50,498 +2% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $51,303 $35,912 $62,271 −18% $59,790 −14% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $51,295 $35,907 $67,622 −24% $58,280 −12% ≈218% of Medicare
708 Major Male Pelvic Procedures Without Cc/McC $50,857 $35,600 $41,216 +23% $36,988 +37% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Repl $50,749 $35,525 $78,684 −36% $65,788 −23% —
166 Other Respiratory System O.R. Procedures With McC $50,714 $35,500 $70,432 −28% $75,573 −33% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $50,682 $35,478 $50,682 +0% $31,170 +63% —
320 Other Endovascular Cardiac Valve Procedures Without McC $50,591 $35,414 $34,848 +45% $40,060 +26% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $50,003 $35,002 $25,152 +99% $25,073 +99% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $49,874 $34,912 $49,874 +0% $69,743 −28% —
077 Hypertensive Encephalopathy With McC $49,835 $34,885 $49,835 +0% $24,550 +103% —
783 Cesarean Section With Sterilization With McC $49,581 $34,706 $46,199 +7% $29,221 +70% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $49,510 $34,657 $58,564 −15% $68,639 −28% —
294 Deep Vein Thrombophlebitis With Cc/McC $49,158 $34,410 $39,300 +25% $19,132 +157% —
511 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc $48,835 $34,185 $49,382 −1% $43,538 +12% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $48,259 $33,782 $52,055 −7% $46,090 +5% —
333 Rectal Resection With Cc $48,056 $33,639 $51,827 −7% $37,154 +29% —
063 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $48,043 $33,630 $44,966 +7% $39,887 +20% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $47,766 $33,436 $34,508 +38% $33,694 +42% —
288 Acute And Subacute Endocarditis With McC $47,552 $33,287 $54,543 −13% $50,618 −6% —
784 Cesarean Section With Sterilization With Cc $47,424 $33,197 $24,184 +96% $23,283 +104% —
579 Other Skin Subcutaneous Tissue And Breast Procedures With McC $47,137 $32,996 $69,044 −32% $58,745 −20% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $46,966 $32,876 $43,664 +8% $58,975 −20% —
674 Other Kidney And Urinary Tract Procedures With Cc $46,772 $32,740 $65,411 −28% $50,394 −7% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $46,243 $32,370 $58,620 −21% $53,451 −13% —
042 Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc/McC $46,091 $32,264 $58,283 −21% $39,018 +18% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $45,629 $31,940 $79,556 −43% $84,692 −46% —
707 Major Male Pelvic Procedures With Cc/McC $45,606 $31,924 $57,424 −21% $43,080 +6% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $45,490 $31,843 $45,490 +0% $35,628 +28% ≈256% of Medicare
144 Other Ear Nose Mouth And Throat O.R. Procedures With Cc $45,483 $31,838 $45,483 +0% $30,553 +49% —
085 Traumatic Stupor And Coma <1 Hour With McC $45,245 $31,672 $45,245 +0% $41,892 +8% —
614 Adrenal And Pituitary Procedures With Cc/McC $45,152 $31,606 $45,152 +0% $48,349 −7% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $45,071 $31,550 $45,071 +0% $103,455 −56% —
786 Cesarean Section Without Sterilization With McC $44,672 $31,271 $44,672 +0% $27,152 +65% —
146 Ear Nose Mouth And Throat Malignancy With McC $44,605 $31,223 $29,181 +53% $40,108 +11% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $44,380 $31,066 $40,944 +8% $41,422 +7% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $44,298 $31,009 $68,086 −35% $71,092 −38% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $44,056 $30,840 $41,585 +6% $27,323 +61% —
735 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $44,042 $30,829 $44,042 +0% $26,948 +63% —
035 Carotid Artery Stent Procedures With Cc $43,612 $30,529 $51,487 −15% $49,066 −11% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $43,298 $30,309 $52,575 −18% $43,298 +0% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $43,240 $30,268 $28,899 +50% $26,598 +63% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $43,148 $30,204 $43,148 +0% $40,365 +7% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $43,086 $30,160 $33,510 +29% $31,044 +39% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $42,725 $29,907 $42,725 +0% $41,955 +2% —
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC $42,566 $29,796 $16,966 +151% $22,620 +88% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $42,437 $29,706 $42,437 +0% $33,674 +26% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $42,159 $29,511 $46,400 −9% $36,937 +14% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $41,934 $29,354 $72,255 −42% $45,877 −9% —
358 Other Digestive System O.R. Procedures Without Cc/McC $41,843 $29,290 $37,380 +12% $30,083 +39% —
654 Major Bladder Procedures With Cc $41,305 $28,913 $63,842 −35% $58,274 −29% —
167 Other Respiratory System O.R. Procedures With Cc $41,185 $28,830 $45,038 −9% $40,642 +1% —
734 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/McC $40,891 $28,624 $40,891 +0% $42,795 −4% —
974 Hiv With Major Related Condition With McC $40,807 $28,565 $60,208 −32% $46,402 −12% —
494 Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc/McC $40,565 $28,395 $47,711 −15% $47,711 −15% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $40,489 $28,342 $51,707 −22% $43,913 −8% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $40,133 $28,093 $30,555 +31% $30,418 +32% —
615 Adrenal And Pituitary Procedures Without Cc/McC $40,086 $28,060 $40,086 +0% $32,833 +22% —
665 Prostatectomy With McC $39,785 $27,849 $39,785 +0% $54,072 −26% —
493 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc $39,677 $27,774 $58,814 −33% $59,651 −33% —
334 Rectal Resection Without Cc/McC $39,552 $27,687 $38,636 +2% $36,820 +7% —
788 Cesarean Section Without Sterilization Without Cc/McC $39,319 $27,523 $38,919 +1% $20,084 +96% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $39,291 $27,504 $25,614 +53% $28,202 +39% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $39,226 $27,458 $48,875 −20% $62,583 −37% —
572 Skin Debridement Without Cc/McC $39,130 $27,391 $33,093 +18% $24,944 +57% —
143 Other Ear Nose Mouth And Throat O.R. Procedures With McC $39,080 $27,356 $41,842 −7% $52,908 −26% —
512 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures Without Cc/McC $39,065 $27,346 $39,065 +0% $35,692 +9% —
671 Urethral Procedures With Cc/McC $39,060 $27,342 $39,060 +0% $27,233 +43% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $38,869 $27,208 $42,589 −9% $43,477 −11% —
785 Cesarean Section With Sterilization Without Cc/McC $38,808 $27,166 $27,268 +42% $19,846 +96% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $38,724 $27,107 $84,300 −54% $62,821 −38% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $38,508 $26,955 $56,339 −32% $59,629 −35% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $38,300 $26,810 $38,300 +0% $37,240 +3% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $38,203 $26,742 $70,455 −46% $73,120 −48% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $38,134 $26,694 $46,680 −18% $40,552 −6% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $38,037 $26,626 $80,121 −53% $59,533 −36% —
835 Acute Leukemia With Cc $37,975 $26,582 $37,975 +0% $35,569 +7% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $37,953 $26,567 $19,946 +90% $18,452 +106% —
616 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With McC $37,893 $26,525 $90,657 −58% $66,685 −43% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $37,838 $26,486 $29,454 +28% $24,544 +54% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $37,672 $26,371 $55,340 −32% $49,351 −24% —
031 Ventricular Shunt Procedures With McC $37,478 $26,235 $60,249 −38% $72,962 −49% —
787 Cesarean Section Without Sterilization With Cc $37,365 $26,156 $34,767 +7% $23,571 +59% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $37,013 $25,909 $39,071 −5% $52,036 −29% —
186 Pleural Effusion With McC $36,967 $25,877 $42,577 −13% $33,834 +9% —
353 Hernia Procedures Except Inguinal And Femoral With McC $36,810 $25,767 $80,597 −54% $60,170 −39% —
538 Sprains Strains And Dislocations Of Hip Pelvis And Thigh Without Cc/McC $36,773 $25,741 $11,909 +209% $11,909 +209% —
606 Minor Skin Disorders With McC $36,596 $25,618 $32,471 +13% $27,975 +31% —
383 Uncomplicated Peptic Ulcer With McC $36,313 $25,419 $30,085 +21% $27,426 +32% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $36,035 $25,224 $44,384 −19% $36,253 −1% —
686 Kidney And Urinary Tract Neoplasms With McC $36,025 $25,217 $36,025 +0% $37,844 −5% —
088 Concussion With McC $35,805 $25,063 $28,654 +25% $24,402 +47% —
421 Hepatobiliary Diagnostic Procedures With Cc $35,770 $25,039 $34,909 +2% $36,354 −2% —
458 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $35,558 $24,891 $60,814 −42% $83,441 −57% —
656 Kidney And Ureter Procedures For Neoplasm With McC $35,539 $24,877 $87,436 −59% $65,608 −46% —
032 Ventricular Shunt Procedures With Cc $35,469 $24,829 $52,972 −33% $46,724 −24% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $35,305 $24,713 $29,725 +19% $27,989 +26% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck Without Major O.R. $35,043 $24,530 $467,237 −92% $248,521 −86% —
136 Sinus And Mastoid Procedures Without Cc/McC $34,695 $24,286 $34,695 +0% $17,404 +99% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $34,618 $24,233 $44,638 −22% $43,650 −21% —
254 Other Vascular Procedures Without Cc/McC $34,384 $24,069 $66,690 −48% $38,836 −11% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $34,339 $24,037 $50,732 −32% $44,606 −23% —
582 Mastectomy For Malignancy With Cc/McC $34,264 $23,985 $31,198 +10% $35,849 −4% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $34,041 $23,829 $47,007 −28% $50,607 −33% —
306 Cardiac Congenital And Valvular Disorders With McC $34,002 $23,801 $34,002 +0% $24,586 +38% —
135 Sinus And Mastoid Procedures With Cc/McC $33,997 $23,798 $74,437 −54% $42,186 −19% —
121 Acute Major Eye Infections With Cc/McC $33,924 $23,747 $22,064 +54% $19,412 +75% —
336 Peritoneal Adhesiolysis With Cc $33,849 $23,694 $48,929 −31% $50,463 −33% —
597 Malignant Breast Disorders With McC $33,763 $23,634 $30,951 +9% $33,386 +1% —
376 Digestive Malignancy Without Cc/McC $33,695 $23,586 $25,989 +30% $16,998 +98% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $33,690 $23,583 $33,690 +0% $35,584 −5% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $33,388 $23,371 $41,669 −20% $34,276 −3% —
115 Extraocular Procedures Except Orbit $33,359 $23,351 $33,359 +0% $25,703 +30% —
033 Ventricular Shunt Procedures Without Cc/McC $33,331 $23,331 $43,282 −23% $35,419 −6% —
662 Minor Bladder Procedures With McC $33,179 $23,225 $33,179 +0% $54,562 −39% —
841 Lymphoma And Non-Acute Leukemia With Cc $33,157 $23,210 $33,157 +0% $33,633 −1% —
643 Endocrine Disorders With McC $32,815 $22,971 $38,745 −15% $33,563 −2% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $32,752 $22,927 $53,592 −39% $42,901 −24% —
748 Female Reproductive System Reconstructive Procedures $32,600 $22,820 $32,600 +0% $30,242 +8% —
114 Orbital Procedures Without Cc/McC $32,560 $22,792 $18,623 +75% $19,598 +66% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $32,523 $22,766 $46,659 −30% $49,423 −34% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $32,390 $22,673 $38,439 −16% $41,620 −22% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $32,264 $22,585 $32,264 +0% $44,363 −27% —
289 Acute And Subacute Endocarditis With Cc $32,196 $22,537 $27,608 +17% $32,697 −2% —
142 Major Head And Neck Procedures Without Cc/McC $32,127 $22,489 $43,415 −26% $34,906 −8% —
337 Peritoneal Adhesiolysis Without Cc/McC $31,968 $22,378 $37,524 −15% $39,211 −18% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $31,882 $22,318 $31,882 +0% $42,126 −24% —
905 Skin Grafts For Injuries Without Cc/McC $31,810 $22,267 $31,810 +0% $25,197 +26% —
505 Foot Procedures Without Cc/McC $31,716 $22,201 $31,716 +0% $34,937 −9% —
283 Acute Myocardial Infarction Expired With McC $31,681 $22,177 $38,833 −18% $39,955 −21% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $31,621 $22,134 $31,774 −0% $32,443 −3% —
501 Soft Tissue Procedures With Cc $31,590 $22,113 $60,388 −48% $39,619 −20% —
548 Septic Arthritis With McC $31,346 $21,942 $40,250 −22% $31,346 +0% —
036 Carotid Artery Stent Procedures Without Cc/McC $31,197 $21,838 $53,877 −42% $40,694 −23% —
473 Cervical Spinal Fusion Without Cc/McC $31,111 $21,777 $51,574 −40% $50,624 −39% —
345 Minor Small And Large Bowel Procedures With Cc $31,108 $21,775 $31,108 +0% $33,048 −6% —
164 Major Chest Procedures With Cc $30,730 $21,511 $55,568 −45% $56,755 −46% —
113 Orbital Procedures With Cc/McC $30,727 $21,509 $31,605 −3% $36,167 −15% —
181 Respiratory Neoplasms With Cc $30,690 $21,483 $37,213 −18% $23,573 +30% —
506 Major Thumb Or Joint Procedures $30,545 $21,382 $30,545 +0% $30,557 −0% —
724 Malignancy Male Reproductive System Without Cc/McC $30,437 $21,306 $30,437 +0% $12,768 +138% —
286 Circulatory Disorders Except Ami With Cardiac Catheterization With McC $30,314 $21,220 $69,258 −56% $46,283 −35% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $30,299 $21,210 $29,648 +2% $34,607 −12% —
357 Other Digestive System O.R. Procedures With Cc $30,203 $21,142 $40,757 −26% $48,682 −38% —
725 Benign Prostatic Hypertrophy With McC $30,086 $21,060 $24,834 +21% $22,320 +35% —
964 Other Multiple Significant Trauma With Cc $29,796 $20,857 $29,796 +0% $27,394 +9% —
375 Digestive Malignancy With Cc $29,785 $20,850 $34,560 −14% $27,277 +9% —
965 Other Multiple Significant Trauma Without Cc/McC $29,584 $20,709 $27,710 +7% $20,259 +46% —
902 Wound Debridements For Injuries With Cc $29,549 $20,684 $40,012 −26% $40,562 −27% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $29,528 $20,670 $49,074 −40% $39,106 −24% ≈236% of Medicare
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $29,506 $20,654 $29,506 +0% $46,295 −36% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $29,012 $20,308 $39,644 −27% $33,393 −13% —
081 Nontraumatic Stupor And Coma Without McC $28,656 $20,060 $25,219 +14% $16,552 +73% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $28,607 $20,025 $35,498 −19% $29,079 −2% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $28,320 $19,824 $28,320 +0% $28,320 +0% —
271 Other Major Cardiovascular Procedures With Cc $28,101 $19,670 $112,278 −75% $71,014 −60% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $28,095 $19,667 $51,429 −45% $31,134 −10% —
347 Anal And Stomal Procedures With McC $27,972 $19,580 $47,241 −41% $40,548 −31% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $27,820 $19,474 $57,044 −51% $51,985 −46% —
351 Inguinal And Femoral Hernia Procedures With Cc $27,819 $19,473 $47,899 −42% $36,505 −24% —
535 Fractures Of Hip And Pelvis With McC $27,767 $19,437 $27,809 −0% $24,552 +13% —
056 Degenerative Nervous System Disorders With McC $27,694 $19,386 $60,685 −54% $39,973 −31% —
595 Major Skin Disorders With McC $27,681 $19,376 $31,822 −13% $34,598 −20% —
814 Reticuloendothelial And Immunity Disorders With McC $27,477 $19,234 $30,026 −8% $33,851 −19% —
670 Transurethral Procedures Without Cc/McC $27,462 $19,223 $27,462 +0% $20,911 +31% —
139 Salivary Gland Procedures $27,290 $19,103 $28,523 −4% $23,612 +16% —
626 Thyroid Parathyroid And Thyroglossal Procedures With Cc $27,279 $19,096 $27,279 +0% $33,454 −18% —
348 Anal And Stomal Procedures With Cc $27,156 $19,009 $25,932 +5% $27,947 −3% —
443 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $26,893 $18,825 $22,961 +17% $15,600 +72% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $26,879 $18,816 $43,359 −38% $29,805 −10% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $26,748 $18,724 $11,719 +128% $15,764 +70% —
344 Minor Small And Large Bowel Procedures With McC $26,746 $18,722 $33,024 −19% $44,546 −40% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $26,681 $18,676 $27,696 −4% $30,784 −13% —
102 Headaches With McC $26,367 $18,457 $26,681 −1% $25,740 +2% —
399 Appendix Procedures Without Cc/McC $26,268 $18,388 $30,259 −13% $31,321 −16% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $26,169 $18,318 $46,488 −44% $47,583 −45% —
380 Complicated Peptic Ulcer With McC $26,162 $18,314 $35,369 −26% $39,627 −34% —
397 Appendix Procedures With McC $25,971 $18,180 $51,587 −50% $53,257 −51% —
287 Circulatory Disorders Except Ami With Cardiac Catheterization Without McC $25,860 $18,102 $58,123 −56% $32,021 −19% ≈143% of Medicare
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $25,852 $18,096 $28,708 −10% $27,843 −7% —
621 O.R. Procedures For Obesity Without Cc/McC $25,817 $18,072 $36,546 −29% $32,451 −20% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $25,680 $17,976 $41,608 −38% $41,608 −38% —
472 Cervical Spinal Fusion With Cc $25,469 $17,828 $68,993 −63% $59,537 −57% —
328 Stomach Esophageal And Duodenal Procedures Without Cc/McC $25,447 $17,813 $39,873 −36% $39,006 −35% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $25,427 $17,799 $22,686 +12% $22,811 +11% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $25,413 $17,789 $32,069 −21% $25,034 +2% —
919 Complications Of Treatment With McC $25,375 $17,763 $30,988 −18% $31,105 −18% —
295 Deep Vein Thrombophlebitis Without Cc/McC $25,242 $17,670 $9,735 +159% $13,445 +88% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $25,199 $17,639 $24,655 +2% $13,275 +90% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $25,189 $17,633 $26,874 −6% $29,524 −15% —
188 Pleural Effusion Without Cc/McC $25,072 $17,551 $23,124 +8% $14,514 +73% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $24,962 $17,473 $32,595 −23% $30,959 −19% —
041 Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $24,852 $17,396 $58,950 −58% $49,418 −50% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $24,851 $17,396 $25,601 −3% $15,370 +62% —
190 Chronic Obstructive Pulmonary Disease With McC $24,578 $17,205 $28,215 −13% $24,386 +1% ≈180% of Medicare
330 Major Small And Large Bowel Procedures With Cc $24,494 $17,146 $52,286 −53% $59,500 −59% ≈132% of Medicare
920 Complications Of Treatment With Cc $24,464 $17,125 $24,464 +0% $22,468 +9% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $24,420 $17,094 $28,004 −13% $22,506 +9% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $24,336 $17,035 $49,413 −51% $37,950 −36% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $24,299 $17,009 $18,985 +28% $19,962 +22% —
502 Soft Tissue Procedures Without Cc/McC $24,196 $16,937 $29,234 −17% $31,017 −22% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $24,112 $16,879 $32,277 −25% $29,949 −19% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $24,080 $16,856 $76,545 −69% $55,289 −56% —
184 Major Chest Trauma With Cc $23,985 $16,789 $38,785 −38% $22,432 +7% —
030 Spinal Procedures Without Cc/McC $23,951 $16,766 $62,996 −62% $45,866 −48% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $23,916 $16,741 $126,382 −81% $66,711 −64% —
949 Aftercare With Cc/McC $23,784 $16,649 $17,779 +34% $23,953 −1% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $23,775 $16,642 $23,775 +0% $12,078 +97% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $23,731 $16,612 $37,864 −37% $30,493 −22% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $23,728 $16,610 $25,176 −6% $32,944 −28% —
116 Intraocular Procedures With Cc/McC $23,515 $16,460 $24,183 −3% $29,126 −19% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $23,490 $16,443 $62,878 −63% $39,173 −40% —
178 Respiratory Infections And Inflammations With Cc $23,487 $16,441 $30,232 −22% $22,024 +7% ≈267% of Medicare
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $23,481 $16,437 $25,879 −9% $25,652 −8% —
381 Complicated Peptic Ulcer With Cc $23,388 $16,372 $24,730 −5% $24,177 −3% —
727 Inflammation Of The Male Reproductive System With McC $23,253 $16,277 $23,253 +0% $26,463 −12% —
908 Other O.R. Procedures For Injuries With Cc $23,225 $16,257 $41,660 −44% $42,914 −46% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $23,020 $16,114 $47,463 −51% $44,139 −48% —
093 Other Disorders Of Nervous System Without Cc/McC $22,956 $16,069 $26,380 −13% $17,620 +30% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $22,942 $16,059 $39,638 −42% $32,841 −30% —
158 Dental And Oral Diseases With Cc $22,743 $15,920 $25,343 −10% $18,466 +23% —
901 Wound Debridements For Injuries With McC $22,721 $15,905 $52,653 −57% $70,177 −68% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $22,694 $15,886 $26,879 −16% $38,070 −40% —
627 Thyroid Parathyroid And Thyroglossal Procedures Without Cc/McC $22,666 $15,866 $41,211 −45% $28,125 −19% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $22,644 $15,851 $22,644 +0% $25,390 −11% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $22,527 $15,769 $46,100 −51% $42,415 −47% —
887 Other Mental Disorder Diagnoses $22,486 $15,740 $21,835 +3% $20,616 +9% —
350 Inguinal And Femoral Hernia Procedures With McC $22,465 $15,725 $50,269 −55% $50,046 −55% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $22,441 $15,709 $30,984 −28% $36,670 −39% —
625 Thyroid Parathyroid And Thyroglossal Procedures With McC $22,405 $15,684 $40,406 −45% $59,031 −62% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $22,352 $15,646 $46,908 −52% $35,074 −36% —
617 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With Cc $22,332 $15,632 $66,392 −66% $42,881 −48% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $22,200 $15,540 $49,369 −55% $45,167 −51% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $22,146 $15,502 $26,803 −17% $22,148 −0% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $21,860 $15,302 $28,509 −23% $23,551 −7% —
299 Peripheral Vascular Disorders With McC $21,744 $15,221 $34,674 −37% $27,316 −20% —
503 Foot Procedures With McC $21,726 $15,208 $48,928 −56% $47,540 −54% —
091 Other Disorders Of Nervous System With McC $21,713 $15,199 $42,957 −49% $37,387 −42% —
637 Diabetes With McC $21,683 $15,178 $34,925 −38% $30,100 −28% ≈205% of Medicare
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $21,664 $15,165 $30,605 −29% $46,453 −53% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $21,606 $15,124 $26,808 −19% $25,094 −14% —
082 Traumatic Stupor And Coma >1 Hour With McC $21,579 $15,105 $24,039 −10% $36,489 −41% —
682 Renal Failure With McC $21,516 $15,061 $33,856 −36% $29,064 −26% ≈192% of Medicare
039 Extracranial Procedures Without Cc/McC $21,500 $15,050 $29,933 −28% $26,618 −19% —
138 Mouth Procedures Without Cc/McC $21,381 $14,967 $21,381 +0% $19,119 +12% —
723 Malignancy Male Reproductive System With Cc $21,259 $14,881 $21,259 +0% $19,815 +7% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $21,207 $14,845 $15,931 +33% $14,055 +51% —
644 Endocrine Disorders With Cc $21,203 $14,842 $23,795 −11% $23,198 −9% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $21,166 $14,817 $26,403 −20% $47,789 −56% —
581 Other Skin Subcutaneous Tissue And Breast Procedures Without Cc/McC $21,162 $14,813 $21,162 +0% $26,932 −21% —
620 O.R. Procedures For Obesity With Cc $21,135 $14,795 $45,104 −53% $35,453 −40% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $21,092 $14,765 $21,092 +0% $14,014 +51% —
904 Skin Grafts For Injuries With Cc/McC $21,076 $14,753 $53,307 −60% $59,594 −65% —
280 Acute Myocardial Infarction Discharged Alive With McC $21,060 $14,742 $61,087 −66% $30,828 −32% ≈237% of Medicare
758 Infections Female Reproductive System With Cc $20,663 $14,464 $25,460 −19% $20,901 −1% —
147 Ear Nose Mouth And Throat Malignancy With Cc $20,663 $14,464 $22,606 −9% $22,851 −10% —
157 Dental And Oral Diseases With McC $20,647 $14,453 $24,447 −16% $31,300 −34% —
747 Vagina Cervix And Vulva Procedures Without Cc/McC $20,614 $14,430 $20,614 +0% $19,594 +5% —
369 Major Esophageal Disorders With Cc $20,607 $14,425 $25,859 −20% $25,303 −19% —
713 Transurethral Prostatectomy With Cc/McC $20,511 $14,357 $31,908 −36% $32,100 −36% —
909 Other O.R. Procedures For Injuries Without Cc/McC $20,422 $14,296 $27,745 −26% $28,156 −27% —
562 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh With McC $20,413 $14,289 $30,328 −33% $29,743 −31% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $20,323 $14,226 $43,290 −53% $45,333 −55% —
669 Transurethral Procedures With Cc $20,272 $14,190 $31,218 −35% $34,354 −41% —
083 Traumatic Stupor And Coma >1 Hour With Cc $20,244 $14,171 $44,298 −54% $27,285 −26% —
722 Malignancy Male Reproductive System With McC $20,217 $14,152 $33,132 −39% $29,826 −32% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $20,162 $14,114 $39,421 −49% $33,653 −40% ≈218% of Medicare
387 Inflammatory Bowel Disease Without Cc/McC $20,110 $14,077 $21,971 −8% $16,288 +23% —
117 Intraocular Procedures Without Cc/McC $20,088 $14,061 $17,193 +17% $17,193 +17% —
180 Respiratory Neoplasms With McC $20,086 $14,060 $62,915 −68% $36,658 −45% —
570 Skin Debridement With McC $20,027 $14,019 $72,210 −72% $52,435 −62% —
305 Hypertension Without McC $19,895 $13,926 $27,277 −27% $18,086 +10% ≈189% of Medicare
534 Fractures Of Femur Without McC $19,835 $13,885 $19,639 +1% $17,559 +13% —
745 D&C Conization Laparoscopy And Tubal Interruption Without Cc/McC $19,726 $13,808 $19,726 +0% $18,348 +8% —
080 Nontraumatic Stupor And Coma With McC $19,690 $13,783 $31,755 −38% $36,249 −46% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $19,684 $13,779 $28,645 −31% $27,163 −28% —
189 Pulmonary Edema And Respiratory Failure $19,625 $13,737 $30,023 −35% $26,580 −26% ≈166% of Medicare
663 Minor Bladder Procedures With Cc $19,594 $13,716 $33,704 −42% $33,103 −41% —
205 Other Respiratory System Diagnoses With McC $19,526 $13,668 $39,057 −50% $33,255 −41% —
865 Viral Illness With McC $19,450 $13,615 $25,367 −23% $26,910 −28% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $19,431 $13,602 $25,005 −22% $22,850 −15% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $19,411 $13,588 $39,618 −51% $24,127 −20% —
559 Aftercare Musculoskeletal System And Connective Tissue With McC $19,392 $13,574 $39,309 −51% $33,047 −41% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $19,361 $13,553 $16,607 +17% $20,980 −8% —
281 Acute Myocardial Infarction Discharged Alive With Cc $19,320 $13,524 $28,630 −33% $20,463 −6% ≈280% of Medicare
536 Fractures Of Hip And Pelvis Without McC $19,228 $13,459 $17,814 +8% $18,002 +7% ≈230% of Medicare
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $19,191 $13,434 $30,396 −37% $22,458 −15% —
885 Psychoses $19,042 $13,329 $37,862 −50% $21,729 −12% —
052 Spinal Disorders And Injuries With Cc/McC $18,949 $13,264 $62,877 −70% $32,031 −41% —
054 Nervous System Neoplasms With McC $18,896 $13,227 $30,144 −37% $30,502 −38% —
374 Digestive Malignancy With McC $18,876 $13,214 $48,871 −61% $39,958 −53% —
514 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures Without Cc/McC $18,859 $13,201 $29,856 −37% $22,635 −17% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $18,808 $13,165 $19,911 −6% $26,870 −30% —
159 Dental And Oral Diseases Without Cc/McC $18,805 $13,163 $12,725 +48% $13,633 +38% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $18,791 $13,154 $21,962 −14% $20,895 −10% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $18,786 $13,150 $21,684 −13% $23,443 −20% —
145 Other Ear Nose Mouth And Throat O.R. Procedures Without Cc/McC $18,607 $13,025 $22,742 −18% $25,712 −28% —
950 Aftercare Without Cc/McC $18,592 $13,014 $16,592 +12% $13,527 +37% —
638 Diabetes With Cc $18,467 $12,927 $25,396 −27% $19,661 −6% ≈298% of Medicare
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $18,430 $12,901 $49,070 −62% $43,943 −58% —
714 Transurethral Prostatectomy Without Cc/McC $18,363 $12,854 $18,363 +0% $17,934 +2% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $18,138 $12,697 $35,465 −49% $35,465 −49% —
629 Other Endocrine Nutritional And Metabolic O.R. Procedures With Cc $18,118 $12,682 $43,383 −58% $47,737 −62% —
563 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without McC $18,103 $12,672 $20,446 −11% $19,842 −9% ≈182% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/McC $18,094 $12,666 $44,117 −59% $44,117 −59% —
182 Respiratory Neoplasms Without Cc/McC $18,009 $12,607 $53,655 −66% $14,064 +28% —
895 Alcohol Drug Abuse Or Dependence With Rehabilitation Therapy $17,878 $12,515 $13,457 +33% $21,986 −19% —
073 Cranial And Peripheral Nerve Disorders With McC $17,780 $12,446 $26,886 −34% $30,010 −41% —
070 Nonspecific Cerebrovascular Disorders With McC $17,758 $12,430 $25,761 −31% $31,951 −44% —
560 Aftercare Musculoskeletal System And Connective Tissue With Cc $17,724 $12,406 $25,662 −31% $25,279 −30% —
744 D&C Conization Laparoscopy And Tubal Interruption With Cc/McC $17,604 $12,323 $41,427 −58% $38,861 −55% —
664 Minor Bladder Procedures Without Cc/McC $17,541 $12,279 $17,541 +0% $22,314 −21% —
057 Degenerative Nervous System Disorders Without McC $17,442 $12,210 $30,200 −42% $27,543 −37% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $17,424 $12,196 $14,417 +21% $11,421 +53% —
179 Respiratory Infections And Inflammations Without Cc/McC $17,383 $12,168 $19,357 −10% $14,648 +19% —
069 Transient Ischemia Without Thrombolytic $17,370 $12,159 $26,630 −35% $21,056 −18% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $17,353 $12,147 $38,221 −55% $26,770 −35% ≈225% of Medicare
917 Poisoning And Toxic Effects Of Drugs With McC $17,308 $12,116 $37,942 −54% $30,235 −43% ≈289% of Medicare
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $17,263 $12,084 $55,905 −69% $52,178 −67% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $17,225 $12,058 $27,522 −37% $23,498 −27% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $17,184 $12,029 $36,163 −52% $30,770 −44% —
089 Concussion With Cc $17,137 $11,996 $17,818 −4% $18,821 −9% —
079 Hypertensive Encephalopathy Without Cc/McC $17,040 $11,928 $17,040 +0% $11,847 +44% —
624 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $16,953 $11,867 $13,778 +23% $17,737 −4% —
667 Prostatectomy Without Cc/McC $16,942 $11,859 $12,502 +36% $16,703 +1% —
913 Traumatic Injury With McC $16,905 $11,833 $52,236 −68% $24,198 −30% —
103 Headaches Without McC $16,875 $11,812 $26,347 −36% $21,280 −21% —
078 Hypertensive Encephalopathy With Cc $16,868 $11,807 $16,868 +0% $17,698 −5% —
546 Connective Tissue Disorders With Cc $16,800 $11,760 $34,947 −52% $25,700 −35% —
886 Behavioral And Developmental Disorders $16,765 $11,735 $20,529 −18% $26,510 −37% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $16,596 $11,617 $36,861 −55% $31,264 −47% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $16,574 $11,602 $34,718 −52% $63,928 −74% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $16,560 $11,592 $24,717 −33% $21,894 −24% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $16,513 $11,559 $24,198 −32% $27,119 −39% —
550 Septic Arthritis Without Cc/McC $16,502 $11,552 $16,502 +0% $19,138 −14% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $16,460 $11,522 $31,678 −48% $23,749 −31% —
811 Red Blood Cell Disorders With McC $16,427 $11,499 $40,425 −59% $28,226 −42% ≈279% of Medicare
571 Skin Debridement With Cc $16,323 $11,426 $42,097 −61% $37,169 −56% —
593 Skin Ulcers With Cc $16,298 $11,409 $24,443 −33% $22,886 −29% —
385 Inflammatory Bowel Disease With McC $16,273 $11,391 $42,912 −62% $27,617 −41% —
177 Respiratory Infections And Inflammations With McC $16,255 $11,379 $44,001 −63% $33,707 −52% ≈256% of Medicare
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $16,213 $11,349 $26,418 −39% $29,611 −45% —
687 Kidney And Urinary Tract Neoplasms With Cc $16,211 $11,348 $17,794 −9% $20,232 −20% —
076 Viral Meningitis Without Cc/McC $16,201 $11,340 $16,201 +0% $17,135 −5% —
183 Major Chest Trauma With McC $16,188 $11,332 $38,398 −58% $29,933 −46% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $16,043 $11,230 $23,392 −31% $21,847 −27% —
596 Major Skin Disorders Without McC $16,011 $11,208 $16,011 +0% $17,226 −7% —
553 Bone Diseases And Arthropathies With McC $15,955 $11,168 $33,365 −52% $26,051 −39% —
388 Gastrointestinal Obstruction With McC $15,940 $11,158 $29,845 −47% $30,571 −48% —
866 Viral Illness Without McC $15,914 $11,140 $16,391 −3% $17,081 −7% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $15,891 $11,124 $15,891 +0% $18,126 −12% —
071 Nonspecific Cerebrovascular Disorders With Cc $15,870 $11,109 $22,359 −29% $23,488 −32% —
618 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $15,863 $11,104 $9,075 +75% $19,354 −18% —
948 Signs And Symptoms Without McC $15,813 $11,069 $22,745 −30% $17,921 −12% ≈152% of Medicare
445 Disorders Of The Biliary Tract With Cc $15,798 $11,058 $25,888 −39% $23,319 −32% —
541 Osteomyelitis Without Cc/McC $15,795 $11,057 $22,109 −29% $15,215 +4% —
711 Testes Procedures With Cc/McC $15,758 $11,031 $29,625 −47% $38,343 −59% —
683 Renal Failure With Cc $15,691 $10,983 $22,859 −31% $19,130 −18% ≈261% of Medicare
075 Viral Meningitis With Cc/McC $15,686 $10,980 $16,679 −6% $30,447 −48% —
368 Major Esophageal Disorders With McC $15,675 $10,973 $30,007 −48% $33,876 −54% —
689 Kidney And Urinary Tract Infections With McC $15,638 $10,947 $29,341 −47% $23,617 −34% ≈173% of Medicare
709 Penis Procedures With Cc/McC $15,624 $10,937 $35,243 −56% $34,535 −55% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $15,595 $10,916 $15,571 +0% $18,316 −15% —
668 Transurethral Procedures With McC $15,577 $10,904 $42,031 −63% $51,608 −70% —
640 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With McC $15,575 $10,903 $16,271 −4% $25,463 −39% ≈181% of Medicare
151 Epistaxis Without McC $15,523 $10,866 $15,523 +0% $13,032 +19% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $15,494 $10,845 $31,432 −51% $22,888 −32% ≈198% of Medicare
092 Other Disorders Of Nervous System With Cc $15,465 $10,825 $28,389 −46% $24,914 −38% —
314 Other Circulatory System Diagnoses With McC $15,410 $10,787 $56,626 −73% $38,666 −60% —
123 Neurological Eye Disorders $15,394 $10,776 $29,012 −47% $19,745 −22% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $15,348 $10,743 $38,741 −60% $27,297 −44% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $15,312 $10,719 $29,524 −48% $16,776 −9% —
754 Malignancy Female Reproductive System With McC $15,277 $10,694 $28,156 −46% $32,433 −53% —
055 Nervous System Neoplasms Without McC $15,269 $10,688 $46,998 −68% $20,926 −27% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $15,243 $10,670 $24,302 −37% $20,781 −27% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $15,240 $10,668 $28,548 −47% $19,569 −22% —
896 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $15,192 $10,634 $24,803 −39% $31,159 −51% —
202 Bronchitis And Asthma With Cc/McC $15,168 $10,618 $22,179 −32% $17,724 −14% ≈157% of Medicare
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $15,104 $10,573 $52,949 −71% $38,878 −61% —
155 Other Ear Nose Mouth And Throat Diagnoses With Cc $15,022 $10,516 $24,441 −39% $16,968 −11% —
300 Peripheral Vascular Disorders With Cc $14,986 $10,490 $26,309 −43% $20,422 −27% ≈248% of Medicare
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $14,903 $10,432 $21,175 −30% $16,846 −12% —
863 Postoperative And Post-Traumatic Infections Without McC $14,901 $10,430 $22,026 −32% $20,957 −29% —
793 Full Term Neonate With Major Problems $14,876 $10,413 $27,143 −45% $18,649 −20% —
303 Atherosclerosis Without McC $14,868 $10,408 $19,555 −24% $14,927 −0% —
922 Other Injury Poisoning And Toxic Effect Diagnoses With McC $14,759 $10,331 $39,207 −62% $31,563 −53% —
153 Otitis Media And Uri Without McC $14,684 $10,279 $15,085 −3% $14,583 +1% —
698 Other Kidney And Urinary Tract Diagnoses With McC $14,677 $10,274 $38,521 −62% $32,496 −55% ≈167% of Medicare
923 Other Injury Poisoning And Toxic Effect Diagnoses Without McC $14,632 $10,242 $14,114 +4% $17,601 −17% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $14,623 $10,236 $15,529 −6% $22,557 −35% —
672 Urethral Procedures Without Cc/McC $14,579 $10,205 $11,077 +32% $17,398 −16% —
053 Spinal Disorders And Injuries Without Cc/McC $14,572 $10,200 $40,756 −64% $20,455 −29% —
203 Bronchitis And Asthma Without Cc/McC $14,510 $10,157 $11,397 +27% $12,252 +18% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $14,487 $10,141 $16,770 −14% $14,368 +1% —
191 Chronic Obstructive Pulmonary Disease With Cc $14,473 $10,131 $24,337 −41% $18,807 −23% ≈284% of Medicare
413 Cholecystectomy With C.D.E. Without Cc/McC $14,468 $10,128 $19,839 −27% $29,316 −51% —
152 Otitis Media And Uri With McC $14,440 $10,108 $21,877 −34% $20,247 −29% —
947 Signs And Symptoms With McC $14,423 $10,096 $23,334 −38% $27,401 −47% —
540 Osteomyelitis With Cc $14,351 $10,046 $33,331 −57% $26,676 −46% —
074 Cranial And Peripheral Nerve Disorders Without McC $14,333 $10,033 $27,670 −48% $23,141 −38% —
561 Aftercare Musculoskeletal System And Connective Tissue Without Cc/McC $14,195 $9,936 $16,648 −15% $18,150 −22% —
370 Major Esophageal Disorders Without Cc/McC $14,193 $9,935 $12,253 +16% $15,495 −8% —
539 Osteomyelitis With McC $14,183 $9,928 $34,182 −59% $37,609 −62% —
301 Peripheral Vascular Disorders Without Cc/McC $14,163 $9,914 $25,165 −44% $15,837 −11% —
791 Prematurity With Major Problems $14,134 $9,894 $27,889 −49% $42,679 −67% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $14,134 $9,894 $27,493 −49% $25,970 −46% —
552 Medical Back Problems Without McC $14,109 $9,876 $28,869 −51% $21,396 −34% ≈156% of Medicare
291 Heart Failure And Shock With McC $14,072 $9,851 $38,049 −63% $26,776 −47% ≈238% of Medicare
918 Poisoning And Toxic Effects Of Drugs Without McC $14,052 $9,836 $25,057 −44% $15,452 −9% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $13,989 $9,792 $23,198 −40% $17,733 −21% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $13,943 $9,760 $13,943 +0% $19,037 −27% —
198 Interstitial Lung Disease Without Cc/McC $13,931 $9,752 $13,108 +6% $15,549 −10% —
693 Urinary Stones With McC $13,864 $9,705 $19,880 −30% $23,892 −42% —
882 Neuroses Except Depressive $13,855 $9,698 $22,632 −39% $15,680 −12% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $13,849 $9,694 $22,318 −38% $22,763 −39% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $13,766 $9,636 $33,830 −59% $23,940 −42% ≈279% of Medicare
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $13,716 $9,601 $15,989 −14% $15,183 −10% —
558 Tendonitis Myositis And Bursitis Without McC $13,679 $9,575 $17,754 −23% $18,602 −26% —
639 Diabetes Without Cc/McC $13,605 $9,524 $14,532 −6% $13,910 −2% —
197 Interstitial Lung Disease With Cc $13,568 $9,497 $28,997 −53% $21,941 −38% —
884 Organic Disturbances And Intellectual Disability $13,559 $9,491 $35,058 −61% $26,682 −49% —
125 Other Disorders Of The Eye Without McC $13,552 $9,486 $16,137 −16% $17,298 −22% —
439 Disorders Of Pancreas Except Malignancy With Cc $13,504 $9,453 $24,615 −45% $19,096 −29% ≈219% of Medicare
533 Fractures Of Femur With McC $13,490 $9,443 $37,488 −64% $25,945 −48% —
313 Chest Pain $13,440 $9,408 $23,897 −44% $16,440 −18% ≈162% of Medicare
307 Cardiac Congenital And Valvular Disorders Without McC $13,419 $9,393 $18,880 −29% $20,566 −35% —
977 Hiv With Or Without Other Related Condition $13,390 $9,373 $25,592 −48% $22,525 −41% —
547 Connective Tissue Disorders Without Cc/McC $13,334 $9,334 $26,755 −50% $16,565 −20% —
645 Endocrine Disorders Without Cc/McC $13,286 $9,300 $17,001 −22% $15,428 −14% —
557 Tendonitis Myositis And Bursitis With McC $13,281 $9,297 $37,596 −65% $32,877 −60% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $13,118 $9,183 $18,975 −31% $13,384 −2% ≈198% of Medicare
897 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $13,111 $9,178 $18,223 −28% $16,699 −21% ≈24% of Medicare
630 Other Endocrine Nutritional And Metabolic O.R. Procedures Without Cc/McC $13,110 $9,177 $17,519 −25% $22,393 −41% —
607 Minor Skin Disorders Without McC $12,970 $9,079 $15,749 −18% $15,889 −18% —
315 Other Circulatory System Diagnoses With Cc $12,956 $9,069 $33,234 −61% $21,363 −39% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $12,946 $9,062 $18,646 −31% $16,767 −23% —
382 Complicated Peptic Ulcer Without Cc/McC $12,874 $9,012 $18,925 −32% $16,634 −23% —
284 Acute Myocardial Infarction Expired With Cc $12,770 $8,939 $14,343 −11% $16,450 −22% —
176 Pulmonary Embolism Without McC $12,736 $8,915 $23,201 −45% $18,081 −30% ≈277% of Medicare
384 Uncomplicated Peptic Ulcer Without McC $12,644 $8,851 $26,571 −52% $19,305 −35% —
311 Angina Pectoris $12,632 $8,842 $22,207 −43% $15,502 −19% —
394 Other Digestive System Diagnoses With Cc $12,562 $8,794 $20,933 −40% $20,181 −38% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $12,537 $8,776 $12,536 +0% $12,559 −0% —
726 Benign Prostatic Hypertrophy Without McC $12,437 $8,706 $14,432 −14% $15,019 −17% —
554 Bone Diseases And Arthropathies Without McC $12,425 $8,698 $21,371 −42% $18,528 −33% —
282 Acute Myocardial Infarction Discharged Alive Without Cc/McC $12,421 $8,694 $42,436 −71% $19,227 −35% ≈191% of Medicare
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $12,409 $8,687 $19,183 −35% $19,270 −36% —
697 Urethral Stricture $12,385 $8,670 $22,523 −45% $18,428 −33% —
395 Other Digestive System Diagnoses Without Cc/McC $12,361 $8,652 $15,125 −18% $14,128 −13% —
101 Seizures Without McC $12,325 $8,628 $25,137 −51% $20,461 −40% ≈290% of Medicare
963 Other Multiple Significant Trauma With McC $12,321 $8,625 $55,818 −78% $43,491 −72% —
378 Gastrointestinal Hemorrhage With Cc $12,320 $8,624 $28,960 −57% $22,098 −44% ≈190% of Medicare
379 Gastrointestinal Hemorrhage Without Cc/McC $12,283 $8,598 $16,381 −25% $15,038 −18% —
302 Atherosclerosis With McC $12,261 $8,583 $17,355 −29% $22,446 −45% —
836 Acute Leukemia Without Cc/McC $12,256 $8,579 $15,971 −23% $19,686 −38% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $12,178 $8,524 $17,592 −31% $14,638 −17% —
199 Pneumothorax With McC $12,130 $8,491 $33,013 −63% $33,787 −64% —
914 Traumatic Injury Without McC $12,082 $8,457 $14,052 −14% $15,855 −24% —
148 Ear Nose Mouth And Throat Malignancy Without Cc/McC $12,079 $8,455 $12,079 +0% $13,586 −11% —
598 Malignant Breast Disorders With Cc $12,079 $8,455 $18,925 −36% $19,073 −37% —
755 Malignancy Female Reproductive System With Cc $12,046 $8,432 $27,083 −56% $18,459 −35% —
935 Non-Extensive Burns $12,045 $8,431 $20,078 −40% $31,701 −62% —
204 Respiratory Signs And Symptoms $12,012 $8,408 $25,544 −53% $18,004 −33% —
137 Mouth Procedures With Cc/McC $12,002 $8,401 $41,302 −71% $27,861 −57% —
200 Pneumothorax With Cc $11,998 $8,399 $28,821 −58% $21,368 −44% —
149 Dysequilibrium $11,959 $8,371 $26,497 −55% $18,096 −34% ≈237% of Medicare
641 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes Without McC $11,939 $8,358 $19,426 −39% $17,038 −30% ≈216% of Medicare
193 Simple Pneumonia And Pleurisy With McC $11,911 $8,337 $30,935 −61% $27,275 −56% ≈166% of Medicare
195 Simple Pneumonia And Pleurisy Without Cc/McC $11,893 $8,325 $12,412 −4% $13,824 −14% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $11,864 $8,305 $43,339 −73% $77,055 −85% —
602 Cellulitis With McC $11,852 $8,296 $26,545 −55% $30,598 −61% ≈248% of Medicare
349 Anal And Stomal Procedures Without Cc/McC $11,846 $8,292 $31,173 −62% $19,854 −40% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $11,812 $8,268 $24,613 −52% $21,275 −44% ≈161% of Medicare
684 Renal Failure Without Cc/McC $11,773 $8,241 $12,321 −4% $13,642 −14% —
090 Concussion Without Cc/McC $11,732 $8,212 $13,026 −10% $15,412 −24% —
712 Testes Procedures Without Cc/McC $11,714 $8,200 $14,395 −19% $18,898 −38% —
862 Postoperative And Post-Traumatic Infections With McC $11,685 $8,180 $49,084 −76% $32,859 −64% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $11,655 $8,158 $12,020 −3% $14,689 −21% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $11,649 $8,154 $13,591 −14% $12,460 −7% —
600 Non-Malignant Breast Disorders With Cc/McC $11,633 $8,143 $13,799 −16% $16,700 −30% —
185 Major Chest Trauma Without Cc/McC $11,617 $8,132 $23,266 −50% $17,124 −32% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $11,575 $8,103 $20,762 −44% $17,303 −33% ≈187% of Medicare
792 Prematurity Without Major Problems $11,552 $8,086 $18,944 −39% $12,229 −6% —
086 Traumatic Stupor And Coma <1 Hour With Cc $11,461 $8,023 $24,991 −54% $27,043 −58% —
389 Gastrointestinal Obstruction With Cc $11,416 $7,991 $21,314 −46% $17,578 −35% ≈244% of Medicare
150 Epistaxis With McC $11,392 $7,975 $27,162 −58% $23,171 −51% —
921 Complications Of Treatment Without Cc/McC $11,362 $7,954 $13,127 −13% $14,415 −21% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $11,352 $7,946 $37,745 −70% $39,181 −71% —
438 Disorders Of Pancreas Except Malignancy With McC $11,257 $7,880 $37,194 −70% $32,628 −65% —
894 Alcohol Drug Abuse Or Dependence Left Ama $11,221 $7,855 $15,166 −26% $12,324 −9% —
442 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Cc $11,154 $7,808 $35,117 −68% $21,449 −48% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $11,133 $7,793 $15,766 −29% $16,520 −33% —
728 Inflammation Of The Male Reproductive System Without McC $11,096 $7,767 $22,119 −50% $17,118 −35% —
864 Fever And Inflammatory Conditions $11,069 $7,748 $19,050 −42% $18,640 −41% —
779 Abortion Without D&C $11,058 $7,741 $11,964 −8% $15,327 −28% —
293 Heart Failure And Shock Without Cc/McC $11,051 $7,736 $11,127 −1% $12,999 −15% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $11,006 $7,704 $15,603 −29% $19,924 −45% —
881 Depressive Neuroses $10,991 $7,694 $27,265 −60% $15,058 −27% —
883 Disorders Of Personality And Impulse Control $10,989 $7,692 $25,909 −58% $23,206 −53% —
312 Syncope And Collapse $10,963 $7,674 $30,210 −64% $19,342 −43% ≈227% of Medicare
549 Septic Arthritis With Cc $10,947 $7,663 $18,835 −42% $24,056 −54% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $10,942 $7,659 $14,426 −24% $12,454 −12% —
812 Red Blood Cell Disorders Without McC $10,926 $7,648 $30,969 −65% $20,488 −47% ≈238% of Medicare
794 Neonate With Other Significant Problems $10,882 $7,617 $9,504 +15% $8,445 +29% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $10,859 $7,602 $15,922 −32% $14,797 −27% —
304 Hypertension With McC $10,797 $7,558 $54,990 −80% $26,080 −59% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $10,796 $7,557 $19,824 −46% $18,126 −40% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $10,783 $7,548 $11,748 −8% $18,133 −41% —
759 Infections Female Reproductive System Without Cc/McC $10,768 $7,537 $20,286 −47% $14,250 −24% —
551 Medical Back Problems With McC $10,767 $7,537 $49,835 −78% $34,017 −68% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $10,767 $7,537 $23,784 −55% $14,716 −27% —
206 Other Respiratory System Diagnoses Without McC $10,756 $7,529 $23,694 −55% $18,488 −42% —
642 Inborn And Other Disorders Of Metabolism $10,698 $7,489 $24,803 −57% $20,727 −48% —
604 Trauma To The Skin Subcutaneous Tissue And Breast With McC $10,681 $7,477 $31,563 −66% $28,140 −62% —
916 Allergic Reactions Without McC $10,672 $7,471 $16,374 −35% $13,942 −23% —
390 Gastrointestinal Obstruction Without Cc/McC $10,666 $7,466 $14,942 −29% $13,361 −20% ≈258% of Medicare
998 Principal Diagnosis Invalid As Discharge Diagnosis $10,630 $7,441 $10,630 +0% $15,215 −30% —
392 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders Without McC $10,569 $7,398 $22,699 −53% $17,322 −39% ≈229% of Medicare
446 Disorders Of The Biliary Tract Without Cc/McC $10,466 $7,327 $22,377 −53% $17,700 −41% —
316 Other Circulatory System Diagnoses Without Cc/McC $10,430 $7,301 $29,904 −65% $13,651 −24% —
605 Trauma To The Skin Subcutaneous Tissue And Breast Without McC $10,381 $7,267 $27,552 −62% $20,506 −49% —
815 Reticuloendothelial And Immunity Disorders With Cc $10,355 $7,248 $19,264 −46% $19,264 −46% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $10,354 $7,248 $27,924 −63% $24,941 −58% —
292 Heart Failure And Shock With Cc $10,333 $7,233 $32,219 −68% $16,371 −37% —
154 Other Ear Nose Mouth And Throat Diagnoses With McC $10,316 $7,221 $30,616 −66% $27,633 −63% —
194 Simple Pneumonia And Pleurisy With Cc $10,304 $7,213 $22,854 −55% $18,204 −43% ≈353% of Medicare
975 Hiv With Major Related Condition With Cc $10,268 $7,188 $24,799 −59% $27,808 −63% —
603 Cellulitis Without McC $10,222 $7,155 $22,028 −54% $18,530 −45% ≈237% of Medicare
201 Pneumothorax Without Cc/McC $10,197 $7,138 $22,393 −54% $14,053 −27% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $10,134 $7,094 $10,479 −3% $21,230 −52% —
694 Urinary Stones Without McC $10,134 $7,093 $21,826 −54% $17,345 −42% —
444 Disorders Of The Biliary Tract With McC $10,129 $7,090 $45,187 −78% $34,273 −70% —
386 Inflammatory Bowel Disease With Cc $10,094 $7,066 $30,103 −66% $22,033 −54% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $10,087 $7,061 $11,491 −12% $12,895 −22% —
156 Other Ear Nose Mouth And Throat Diagnoses Without Cc/McC $10,070 $7,049 $16,269 −38% $14,549 −31% —
976 Hiv With Major Related Condition Without Cc/McC $10,026 $7,018 $10,026 +0% $16,212 −38% —
690 Kidney And Urinary Tract Infections Without McC $10,024 $7,016 $20,057 −50% $17,674 −43% ≈205% of Medicare
813 Coagulation Disorders $10,002 $7,001 $39,854 −75% $33,296 −70% —
297 Cardiac Arrest Unexplained With Cc $9,799 $6,859 $9,799 +0% $12,336 −21% —
537 Sprains Strains And Dislocations Of Hip Pelvis And Thigh With Cc/McC $9,761 $6,833 $30,879 −68% $18,072 −46% —
285 Acute Myocardial Infarction Expired Without Cc/McC $8,798 $6,158 $6,819 +29% $10,480 −16% —
729 Other Male Reproductive System Diagnoses With Cc/McC $7,734 $5,414 $21,229 −64% $17,483 −56% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $7,027 $4,919 $5,881 +19% $11,071 −37% —
795 Normal Newborn $5,539 $3,877 $5,663 −2% $4,720 +17% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $4,800 $3,360 $12,856 −63% $9,940 −52% —
601 Non-Malignant Breast Disorders Without Cc/McC $4,666 $3,266 $17,892 −74% $10,975 −57% —
594 Skin Ulcers Without Cc/McC $3,977 $2,784 $10,346 −62% $14,209 −72% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $2,897 $2,028 $3,060 −5% $12,593 −77% —
951 Other Factors Influencing Health Status $2,000 $1,400 $11,477 −83% $10,160 −80% —

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
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $4,284 – $29,622 · median $16,048 121 plans
← Back to MelroseWakefield Hospital profile