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% $498,715 +251% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,002,772 $701,940 $894,192 +12% $431,073 +133% —
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 $246,663 +76% $109,331 +298% —
673 Other Kidney And Urinary Tract Procedures With McC $407,969 $285,578 $103,271 +295% $72,945 +459% —
005 Liver Transplant With McC Or Intestinal Transplant $402,687 $281,881 $556,474 −28% $159,181 +153% —
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 $103,152 +235% $57,963 +495% —
651 Kidney Transplant With Hemodialysis Without McC $340,165 $238,115 $309,984 +10% $56,242 +505% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $324,978 $227,484 $325,686 −0% $134,914 +141% —
231 Coronary Bypass With Ptca With McC $311,225 $217,857 $245,091 +27% $146,474 +112% —
650 Kidney Transplant With Hemodialysis With McC $295,300 $206,710 $295,300 +0% $71,551 +313% —
215 Other Heart Assist System Implant $283,453 $198,417 $340,077 −17% $191,314 +48% —
037 Extracranial Procedures With McC $274,925 $192,447 $145,721 +89% $64,749 +325% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $259,079 $181,355 $98,523 +163% $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% $28,822 +754% —
038 Extracranial Procedures With Cc $237,401 $166,181 $56,455 +321% $35,770 +564% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $233,836 $163,686 $82,458 +184% $108,472 +116% —
212 Concomitant Aortic And Mitral Valve Procedures $232,544 $162,781 $362,255 −36% $171,338 +36% —
264 Other Circulatory System O.R. Procedures $232,204 $162,543 $126,573 +83% $51,953 +347% —
456 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $230,197 $161,138 $230,197 +0% $151,029 +52% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $229,018 $160,313 $53,452 +328% $31,758 +621% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $228,988 $160,292 $415,326 −45% $175,437 +31% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $222,676 $155,873 $53,347 +317% $38,094 +485% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $216,844 $151,791 $258,275 −16% $121,714 +78% —
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 $45,891 +337% $36,242 +454% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $194,015 $135,810 $127,374 +52% $62,269 +212% —
011 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With McC $193,217 $135,252 $156,447 +24% $86,953 +122% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $193,112 $135,179 $193,112 +0% $138,008 +40% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $191,921 $134,345 $114,406 +68% $74,755 +157% —
232 Coronary Bypass With Ptca Without McC $191,080 $133,756 $191,080 +0% $106,238 +80% —
956 Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma $185,247 $129,673 $123,570 +50% $75,103 +147% —
332 Rectal Resection With McC $182,525 $127,768 $161,517 +13% $58,125 +214% —
140 Major Head And Neck Procedures With McC $175,496 $122,847 $58,085 +202% $60,098 +192% —
622 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With McC $174,501 $122,151 $87,683 +99% $60,861 +187% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $171,834 $120,284 $189,055 −9% $117,280 +47% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $171,360 $119,952 $97,708 +75% $78,582 +118% —
955 Craniotomy For Multiple Significant Trauma $169,622 $118,735 $215,408 −21% $105,612 +61% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $167,007 $116,905 $167,007 +0% $88,691 +88% —
585 Breast Biopsy Local Excision And Other Breast Procedures Without Cc/McC $164,148 $114,904 $65,734 +150% $29,633 +454% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $160,018 $112,013 $139,305 +15% $72,011 +122% —
034 Carotid Artery Stent Procedures With McC $159,244 $111,471 $109,383 +46% $72,908 +118% —
028 Spinal Procedures With McC $158,431 $110,902 $188,164 −16% $95,858 +65% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $154,394 $108,076 $45,373 +240% $35,114 +340% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $154,018 $107,812 $181,960 −15% $113,855 +35% —
327 Stomach Esophageal And Duodenal Procedures With Cc $152,298 $106,609 $73,605 +107% $54,824 +178% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $151,152 $105,807 $97,920 +54% $65,383 +131% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $149,782 $104,848 $110,657 +35% $57,149 +162% —
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% $34,089 +320% —
012 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc $139,310 $97,517 $139,310 +0% $73,029 +91% —
545 Connective Tissue Disorders With McC $138,074 $96,652 $87,782 +57% $39,657 +248% —
834 Acute Leukemia With McC $137,687 $96,381 $166,477 −17% $76,583 +80% —
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 $111,645 +21% $96,905 +40% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $135,377 $94,764 $126,391 +7% $53,817 +152% —
319 Other Endovascular Cardiac Valve Procedures With McC $132,706 $92,894 $189,408 −30% $75,585 +76% —
770 Abortion With D&C Aspiration Curettage Or Hysterotomy $132,293 $92,605 $30,874 +328% $17,943 +637% —
187 Pleural Effusion With Cc $130,048 $91,034 $29,485 +341% $21,467 +506% —
623 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With Cc $129,867 $90,907 $33,563 +287% $33,165 +292% —
062 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $128,721 $90,105 $86,737 +48% $48,680 +164% —
016 Autologous Bone Marrow Transplant With Cc/McC $128,339 $89,837 $180,613 −29% $98,260 +31% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $127,941 $89,559 $127,941 +0% $87,018 +47% ≈253% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $127,779 $89,445 $223,096 −43% $118,589 +8% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $127,452 $89,217 $127,452 +0% $64,956 +96% —
013 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $126,739 $88,717 $128,461 −1% $45,290 +180% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $126,472 $88,530 $83,912 +51% $57,521 +120% —
406 Pancreas Liver And Shunt Procedures With Cc $126,367 $88,457 $115,031 +10% $58,043 +118% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $126,313 $88,419 $122,470 +3% $72,859 +73% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $126,137 $88,296 $126,137 +0% $80,885 +56% —
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 $125,402 +0% $56,695 +121% —
432 Cirrhosis And Alcoholic Hepatitis With McC $125,039 $87,527 $61,002 +105% $36,933 +239% —
273 Percutaneous And Other Intracardiac Procedures With McC $124,252 $86,977 $171,958 −28% $78,852 +58% —
915 Allergic Reactions With McC $123,929 $86,751 $48,588 +155% $30,944 +301% —
391 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With McC $122,913 $86,039 $36,902 +233% $27,244 +351% ≈170% of Medicare
393 Other Digestive System Diagnoses With McC $122,481 $85,737 $55,926 +119% $32,689 +275% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $122,471 $85,730 $80,556 +52% $62,404 +96% —
467 Revision Of Hip Or Knee Replacement With Cc $122,420 $85,694 $116,723 +5% $68,880 +78% —
296 Cardiac Arrest Unexplained With McC $122,337 $85,636 $53,528 +129% $30,910 +296% —
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 $109,195 +10% $66,819 +80% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $120,472 $84,331 $181,335 −34% $102,177 +18% —
335 Peritoneal Adhesiolysis With McC $119,369 $83,558 $107,968 +11% $71,755 +66% —
840 Lymphoma And Non-Acute Leukemia With McC $118,802 $83,162 $110,870 +7% $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 $73,848 +59% $37,842 +210% ≈249% of Medicare
405 Pancreas Liver And Shunt Procedures With McC $116,863 $81,804 $116,863 +0% $94,927 +23% —
907 Other O.R. Procedures For Injuries With McC $116,784 $81,749 $115,147 +1% $71,701 +63% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $116,098 $81,269 $159,308 −27% $101,235 +15% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $115,899 $81,130 $160,394 −28% $87,565 +32% —
481 Hip And Femur Procedures Except Major Joint With Cc $115,728 $81,010 $85,905 +35% $51,172 +126% ≈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 $77,209 +48% $50,139 +127% ≈327% of Medicare
245 Aicd Generator Procedures $113,884 $79,719 $78,656 +45% $72,076 +58% —
583 Mastectomy For Malignancy Without Cc/McC $113,780 $79,646 $113,780 +0% $31,566 +260% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $113,568 $79,498 $113,568 +0% $138,868 −18% —
100 Seizures With McC $112,630 $78,841 $59,068 +91% $35,194 +220% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $112,601 $78,820 $112,601 +0% $86,390 +30% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $112,438 $78,706 $113,914 −1% $64,152 +75% —
252 Other Vascular Procedures With McC $112,066 $78,446 $110,822 +1% $68,508 +64% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $111,475 $78,032 $56,578 +97% $36,280 +207% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $111,409 $77,986 $64,821 +72% $23,924 +366% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $110,046 $77,033 $110,046 +0% $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 $96,027 +14% $53,746 +104% —
163 Major Chest Procedures With McC $109,160 $76,412 $138,484 −21% $88,341 +24% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $108,998 $76,299 $114,244 −5% $84,861 +28% —
196 Interstitial Lung Disease With McC $108,644 $76,051 $74,833 +45% $30,766 +253% —
420 Hepatobiliary Diagnostic Procedures With McC $108,155 $75,709 $69,863 +55% $50,919 +112% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $107,376 $75,163 $142,116 −24% $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 $108,834 −2% $83,065 +29% —
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 $110,169 −5% $70,540 +49% —
466 Revision Of Hip Or Knee Replacement With McC $104,141 $72,898 $104,141 +0% $96,222 +8% —
471 Cervical Spinal Fusion With McC $103,533 $72,473 $111,445 −7% $92,515 +12% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $103,110 $72,177 $103,110 +0% $52,332 +97% —
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% $80,747 +27% —
141 Major Head And Neck Procedures With Cc $102,125 $71,487 $62,274 +64% $34,900 +193% —
229 Other Cardiothoracic Procedures Without McC $102,098 $71,469 $101,978 +0% $65,325 +56% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $101,909 $71,336 $72,075 +41% $102,573 −1% —
165 Major Chest Procedures Without Cc/McC $101,892 $71,325 $99,425 +2% $41,380 +146% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $101,757 $71,230 $101,757 +0% $61,832 +65% —
398 Appendix Procedures With Cc $101,752 $71,226 $58,925 +73% $39,107 +160% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $101,404 $70,983 $109,731 −8% $88,049 +15% —
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 $66,702 +52% $32,399 +213% —
500 Soft Tissue Procedures With McC $101,301 $70,911 $83,283 +22% $57,479 +76% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal $101,032 $70,723 $101,032 +0% $74,274 +36% —
274 Percutaneous And Other Intracardiac Procedures Without McC $100,794 $70,556 $90,560 +11% $65,573 +54% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $100,641 $70,449 $104,420 −4% $63,475 +59% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $100,552 $70,387 $88,458 +14% $54,313 +85% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $100,390 $70,273 $151,957 −34% $120,587 −17% —
628 Other Endocrine Nutritional And Metabolic O.R. Procedures With McC $100,247 $70,173 $100,247 +0% $68,006 +47% —
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 $86,333 +16% $52,405 +91% ≈185% of Medicare
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $96,252 $67,376 $96,252 +0% $98,912 −3% —
290 Acute And Subacute Endocarditis Without Cc/McC $84,476 $59,133 $50,188 +68% $15,901 +431% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $83,118 $58,183 $61,562 +35% $29,609 +181% —
258 Cardiac Pacemaker Device Replacement With McC $81,908 $57,336 $81,908 +0% $48,907 +67% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $79,304 $55,513 $82,301 −4% $67,901 +17% —
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% $67,764 +12% —
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 $52,574 +43% $23,588 +219% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $73,982 $51,788 $72,568 +2% $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 $88,665 −24% $74,257 −10% —
242 Permanent Cardiac Pacemaker Implant With McC $66,631 $46,642 $82,443 −19% $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 $79,784 −18% $44,938 +45% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $64,509 $45,156 $53,946 +20% $40,063 +61% —
757 Infections Female Reproductive System With McC $63,621 $44,535 $37,853 +68% $23,734 +168% —
504 Foot Procedures With Cc $63,163 $44,214 $47,340 +33% $36,598 +73% —
655 Major Bladder Procedures Without Cc/McC $62,740 $43,918 $62,368 +1% $41,651 +51% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $61,552 $43,086 $61,552 +0% $43,800 +41% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $61,067 $42,747 $61,067 +0% $45,432 +34% —
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 $57,308 +5% $35,673 +69% —
513 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures With Cc/McC $59,728 $41,809 $51,582 +16% $33,424 +79% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $59,507 $41,655 $59,507 +0% $41,520 +43% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $58,447 $40,913 $108,579 −46% $82,527 −29% —
756 Malignancy Female Reproductive System Without Cc/McC $57,390 $40,173 $30,078 +91% $15,589 +268% —
480 Hip And Femur Procedures Except Major Joint With McC $57,047 $39,933 $95,816 −40% $63,984 −11% ≈261% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $56,385 $39,470 $72,793 −23% $46,066 +22% —
407 Pancreas Liver And Shunt Procedures Without Cc/McC $56,180 $39,326 $72,578 −23% $40,232 +40% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $56,174 $39,322 $57,769 −3% $53,555 +5% —
619 O.R. Procedures For Obesity With McC $55,496 $38,847 $62,574 −11% $44,973 +23% —
510 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With McC $54,787 $38,351 $89,321 −39% $49,055 +12% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $54,772 $38,341 $80,488 −32% $54,772 +0% ≈231% of Medicare
412 Cholecystectomy With C.D.E. With Cc $54,636 $38,245 $54,636 +0% $37,654 +45% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $53,237 $37,266 $53,237 +0% $38,998 +37% —
906 Hand Procedures For Injuries $53,207 $37,245 $76,080 −30% $31,520 +69% —
592 Skin Ulcers With McC $52,689 $36,882 $63,315 −17% $32,662 +61% —
799 Splenic Procedures With McC $52,298 $36,608 $106,066 −51% $78,821 −34% —
653 Major Bladder Procedures With McC $52,263 $36,584 $58,133 −10% $97,046 −46% —
789 Neonates Died Or Transferred To Another Acute Care Facility $52,207 $36,545 $52,207 +0% $14,284 +265% —
710 Penis Procedures Without Cc/McC $52,203 $36,542 $54,233 −4% $23,814 +119% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $52,030 $36,421 $33,303 +56% $33,564 +55% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $51,882 $36,318 $110,523 −53% $54,196 −4% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $51,615 $36,130 $35,752 +44% $20,741 +149% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $51,542 $36,079 $51,542 +0% $47,546 +8% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $51,303 $35,912 $62,271 −18% $54,475 −6% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $51,295 $35,907 $67,622 −24% $56,519 −9% ≈218% of Medicare
708 Major Male Pelvic Procedures Without Cc/McC $50,857 $35,600 $50,857 +0% $32,911 +55% —
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% $65,254 −22% —
166 Other Respiratory System O.R. Procedures With McC $50,714 $35,500 $70,432 −28% $72,782 −30% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $50,682 $35,478 $71,319 −29% $25,149 +102% —
320 Other Endovascular Cardiac Valve Procedures Without McC $50,591 $35,414 $34,848 +45% $36,080 +40% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $50,003 $35,002 $41,154 +22% $25,152 +99% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $49,874 $34,912 $91,441 −45% $68,399 −27% —
077 Hypertensive Encephalopathy With McC $49,835 $34,885 $49,835 +0% $24,036 +107% —
783 Cesarean Section With Sterilization With McC $49,581 $34,706 $46,199 +7% $28,375 +75% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $49,510 $34,657 $95,511 −48% $62,524 −21% —
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 $49,929 −2% $43,538 +12% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $48,259 $33,782 $53,090 −9% $45,817 +5% —
333 Rectal Resection With Cc $48,056 $33,639 $56,648 −15% $34,352 +40% —
063 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $48,043 $33,630 $48,043 +0% $35,542 +35% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $47,766 $33,436 $47,766 +0% $33,694 +42% —
288 Acute And Subacute Endocarditis With McC $47,552 $33,287 $58,942 −19% $45,497 +5% —
784 Cesarean Section With Sterilization With Cc $47,424 $33,197 $44,275 +7% $22,560 +110% —
579 Other Skin Subcutaneous Tissue And Breast Procedures With McC $47,137 $32,996 $81,454 −42% $54,129 −13% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $46,966 $32,876 $46,966 +0% $56,758 −17% —
674 Other Kidney And Urinary Tract Procedures With Cc $46,772 $32,740 $65,411 −28% $49,631 −6% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $46,243 $32,370 $62,790 −26% $52,313 −12% —
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 $92,869 −51% $76,954 −41% —
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% $35,237 +29% ≈256% of Medicare
144 Other Ear Nose Mouth And Throat O.R. Procedures With Cc $45,483 $31,838 $45,483 +0% $29,558 +54% —
085 Traumatic Stupor And Coma <1 Hour With McC $45,245 $31,672 $45,245 +0% $37,064 +22% —
614 Adrenal And Pituitary Procedures With Cc/McC $45,152 $31,606 $59,563 −24% $43,586 +4% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $45,071 $31,550 $45,071 +0% $92,238 −51% —
786 Cesarean Section Without Sterilization With McC $44,672 $31,271 $44,672 +0% $27,118 +65% —
146 Ear Nose Mouth And Throat Malignancy With McC $44,605 $31,223 $32,462 +37% $37,080 +20% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $44,380 $31,066 $44,380 +0% $40,277 +10% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $44,298 $31,009 $85,107 −48% $64,776 −32% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $44,056 $30,840 $44,056 +0% $27,321 +61% —
735 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $44,042 $30,829 $44,042 +0% $23,297 +89% —
035 Carotid Artery Stent Procedures With Cc $43,612 $30,529 $66,355 −34% $46,430 −6% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $43,298 $30,309 $52,575 −18% $40,583 +7% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $43,240 $30,268 $43,240 +0% $25,484 +70% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $43,148 $30,204 $91,616 −53% $36,597 +18% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $43,086 $30,160 $43,086 +0% $31,044 +39% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $42,725 $29,907 $44,490 −4% $39,747 +7% —
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC $42,566 $29,796 $42,566 +0% $21,615 +97% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $42,437 $29,706 $53,546 −21% $30,972 +37% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $42,159 $29,511 $47,424 −11% $34,887 +21% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $41,934 $29,354 $79,107 −47% $44,553 −6% —
358 Other Digestive System O.R. Procedures Without Cc/McC $41,843 $29,290 $39,612 +6% $29,374 +42% —
654 Major Bladder Procedures With Cc $41,305 $28,913 $63,842 −35% $53,868 −23% —
167 Other Respiratory System O.R. Procedures With Cc $41,185 $28,830 $45,038 −9% $40,563 +2% —
734 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/McC $40,891 $28,624 $47,321 −14% $35,686 +15% —
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 $60,676 −33% $45,963 −12% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $40,489 $28,342 $51,707 −22% $43,398 −7% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $40,133 $28,093 $40,133 +0% $30,418 +32% —
615 Adrenal And Pituitary Procedures Without Cc/McC $40,086 $28,060 $42,740 −6% $31,812 +26% —
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 $64,849 −39% $56,394 −30% —
334 Rectal Resection Without Cc/McC $39,552 $27,687 $39,094 +1% $32,213 +23% —
788 Cesarean Section Without Sterilization Without Cc/McC $39,319 $27,523 $39,319 +0% $20,084 +96% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $39,291 $27,504 $32,453 +21% $27,168 +45% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $39,226 $27,458 $93,185 −58% $59,207 −34% —
572 Skin Debridement Without Cc/McC $39,130 $27,391 $33,093 +18% $24,432 +60% —
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 $45,209 −14% $43,266 −10% —
785 Cesarean Section With Sterilization Without Cc/McC $38,808 $27,166 $38,808 +0% $19,815 +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 $88,671 −57% $51,339 −25% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $38,300 $26,810 $38,300 +0% $36,202 +6% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $38,203 $26,742 $70,455 −46% $66,853 −43% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $38,134 $26,694 $57,016 −33% $40,552 −6% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $38,037 $26,626 $80,121 −53% $57,855 −34% —
835 Acute Leukemia With Cc $37,975 $26,582 $72,158 −47% $35,569 +7% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $37,953 $26,567 $30,320 +25% $18,238 +108% —
616 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With McC $37,893 $26,525 $98,196 −61% $62,961 −40% —
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 $55,362 −32% $46,477 −19% —
031 Ventricular Shunt Procedures With McC $37,478 $26,235 $60,249 −38% $68,659 −45% —
787 Cesarean Section Without Sterilization With Cc $37,365 $26,156 $37,365 +0% $23,571 +59% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $37,013 $25,909 $41,129 −10% $49,065 −25% —
186 Pleural Effusion With McC $36,967 $25,877 $50,379 −27% $32,468 +14% —
353 Hernia Procedures Except Inguinal And Femoral With McC $36,810 $25,767 $80,597 −54% $60,140 −39% —
538 Sprains Strains And Dislocations Of Hip Pelvis And Thigh Without Cc/McC $36,773 $25,741 $34,323 +7% $11,909 +209% —
606 Minor Skin Disorders With McC $36,596 $25,618 $36,596 +0% $25,434 +44% —
383 Uncomplicated Peptic Ulcer With McC $36,313 $25,419 $30,085 +21% $26,634 +36% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $36,035 $25,224 $46,637 −23% $35,528 +1% —
686 Kidney And Urinary Tract Neoplasms With McC $36,025 $25,217 $36,025 +0% $32,981 +9% —
088 Concussion With McC $35,805 $25,063 $35,805 +0% $24,402 +47% —
421 Hepatobiliary Diagnostic Procedures With Cc $35,770 $25,039 $35,770 +0% $36,333 −2% —
458 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $35,558 $24,891 $71,635 −50% $83,441 −57% —
656 Kidney And Ureter Procedures For Neoplasm With McC $35,539 $24,877 $92,514 −62% $64,465 −45% —
032 Ventricular Shunt Procedures With Cc $35,469 $24,829 $74,306 −52% $45,622 −22% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $35,305 $24,713 $35,305 +0% $23,920 +48% —
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% $245,241 −86% —
136 Sinus And Mastoid Procedures Without Cc/McC $34,695 $24,286 $36,453 −5% $15,890 +118% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $34,618 $24,233 $54,657 −37% $38,420 −10% —
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 $53,437 −36% $42,119 −18% —
582 Mastectomy For Malignancy With Cc/McC $34,264 $23,985 $34,264 +0% $34,264 +0% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $34,041 $23,829 $47,123 −28% $49,197 −31% —
306 Cardiac Congenital And Valvular Disorders With McC $34,002 $23,801 $37,396 −9% $24,450 +39% —
135 Sinus And Mastoid Procedures With Cc/McC $33,997 $23,798 $74,437 −54% $40,065 −15% —
121 Acute Major Eye Infections With Cc/McC $33,924 $23,747 $33,924 +0% $18,291 +85% —
336 Peritoneal Adhesiolysis With Cc $33,849 $23,694 $49,470 −32% $49,470 −32% —
597 Malignant Breast Disorders With McC $33,763 $23,634 $33,763 +0% $31,846 +6% —
376 Digestive Malignancy Without Cc/McC $33,695 $23,586 $30,386 +11% $15,608 +116% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $33,690 $23,583 $37,110 −9% $35,584 −5% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $33,388 $23,371 $42,842 −22% $31,909 +5% —
115 Extraocular Procedures Except Orbit $33,359 $23,351 $33,359 +0% $24,879 +34% —
033 Ventricular Shunt Procedures Without Cc/McC $33,331 $23,331 $62,193 −46% $33,984 −2% —
662 Minor Bladder Procedures With McC $33,179 $23,225 $33,179 +0% $54,483 −39% —
841 Lymphoma And Non-Acute Leukemia With Cc $33,157 $23,210 $33,157 +0% $31,059 +7% —
643 Endocrine Disorders With McC $32,815 $22,971 $38,745 −15% $32,996 −1% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $32,752 $22,927 $57,222 −43% $37,902 −14% —
748 Female Reproductive System Reconstructive Procedures $32,600 $22,820 $34,985 −7% $24,980 +31% —
114 Orbital Procedures Without Cc/McC $32,560 $22,792 $32,560 +0% $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% $46,659 −30% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $32,390 $22,673 $38,439 −16% $39,093 −17% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $32,264 $22,585 $67,429 −52% $44,363 −27% —
289 Acute And Subacute Endocarditis With Cc $32,196 $22,537 $31,558 +2% $29,371 +10% —
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 $42,284 −24% $36,239 −12% —
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% $31,716 +0% —
283 Acute Myocardial Infarction Expired With McC $31,681 $22,177 $38,833 −18% $35,014 −10% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $31,621 $22,134 $48,955 −35% $32,839 −4% —
501 Soft Tissue Procedures With Cc $31,590 $22,113 $60,388 −48% $37,975 −17% —
548 Septic Arthritis With McC $31,346 $21,942 $44,494 −30% $31,019 +1% —
036 Carotid Artery Stent Procedures Without Cc/McC $31,197 $21,838 $61,151 −49% $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% $31,062 +0% —
164 Major Chest Procedures With Cc $30,730 $21,511 $70,456 −56% $53,141 −42% —
113 Orbital Procedures With Cc/McC $30,727 $21,509 $34,066 −10% $35,642 −14% —
181 Respiratory Neoplasms With Cc $30,690 $21,483 $43,236 −29% $22,431 +37% —
506 Major Thumb Or Joint Procedures $30,545 $21,382 $30,545 +0% $28,983 +5% —
724 Malignancy Male Reproductive System Without Cc/McC $30,437 $21,306 $30,437 +0% $12,650 +141% —
286 Circulatory Disorders Except Ami With Cardiac Catheterization With McC $30,314 $21,220 $69,258 −56% $44,600 −32% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $30,299 $21,210 $30,299 +0% $30,930 −2% —
357 Other Digestive System O.R. Procedures With Cc $30,203 $21,142 $62,825 −52% $48,682 −38% —
725 Benign Prostatic Hypertrophy With McC $30,086 $21,060 $30,086 +0% $19,894 +51% —
964 Other Multiple Significant Trauma With Cc $29,796 $20,857 $36,898 −19% $25,854 +15% —
375 Digestive Malignancy With Cc $29,785 $20,850 $34,560 −14% $27,219 +9% —
965 Other Multiple Significant Trauma Without Cc/McC $29,584 $20,709 $27,993 +6% $17,585 +68% —
902 Wound Debridements For Injuries With Cc $29,549 $20,684 $40,449 −27% $35,459 −17% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $29,528 $20,670 $49,074 −40% $35,714 −17% ≈236% of Medicare
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $29,506 $20,654 $29,506 +0% $41,380 −29% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $29,012 $20,308 $39,644 −27% $33,137 −12% —
081 Nontraumatic Stupor And Coma Without McC $28,656 $20,060 $25,219 +14% $15,077 +90% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $28,607 $20,025 $35,498 −19% $28,578 +0% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $28,320 $19,824 $37,346 −24% $27,492 +3% —
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% $30,661 −8% —
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 $55,535 −50% $51,985 −46% —
351 Inguinal And Femoral Hernia Procedures With Cc $27,819 $19,473 $47,899 −42% $33,792 −18% —
535 Fractures Of Hip And Pelvis With McC $27,767 $19,437 $27,850 −0% $23,350 +19% —
056 Degenerative Nervous System Disorders With McC $27,694 $19,386 $50,817 −46% $39,409 −30% —
595 Major Skin Disorders With McC $27,681 $19,376 $31,822 −13% $31,785 −13% —
814 Reticuloendothelial And Immunity Disorders With McC $27,477 $19,234 $30,026 −8% $32,483 −15% —
670 Transurethral Procedures Without Cc/McC $27,462 $19,223 $27,462 +0% $20,371 +35% —
139 Salivary Gland Procedures $27,290 $19,103 $33,798 −19% $21,014 +30% —
626 Thyroid Parathyroid And Thyroglossal Procedures With Cc $27,279 $19,096 $27,279 +0% $27,279 +0% —
348 Anal And Stomal Procedures With Cc $27,156 $19,009 $27,156 +0% $27,947 −3% —
443 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $26,893 $18,825 $26,893 +0% $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 $20,759 +29% $15,764 +70% —
344 Minor Small And Large Bowel Procedures With McC $26,746 $18,722 $33,024 −19% $44,839 −40% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $26,681 $18,676 $39,705 −33% $27,369 −3% —
102 Headaches With McC $26,367 $18,457 $26,994 −2% $22,544 +17% —
399 Appendix Procedures Without Cc/McC $26,268 $18,388 $34,274 −23% $30,314 −13% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $26,169 $18,318 $47,440 −45% $47,583 −45% —
380 Complicated Peptic Ulcer With McC $26,162 $18,314 $31,769 −18% $36,641 −29% —
397 Appendix Procedures With McC $25,971 $18,180 $67,471 −62% $52,319 −50% —
287 Circulatory Disorders Except Ami With Cardiac Catheterization Without McC $25,860 $18,102 $58,123 −56% $31,190 −17% ≈143% of Medicare
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $25,852 $18,096 $31,565 −18% $25,162 +3% —
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% $38,382 −33% —
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 $47,659 −47% $35,375 −28% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $25,427 $17,799 $25,427 +0% $22,811 +11% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $25,413 $17,789 $32,069 −21% $24,017 +6% —
919 Complications Of Treatment With McC $25,375 $17,763 $30,988 −18% $29,031 −13% —
295 Deep Vein Thrombophlebitis Without Cc/McC $25,242 $17,670 $19,344 +30% $13,445 +88% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $25,199 $17,639 $25,199 +0% $13,090 +93% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $25,189 $17,633 $29,422 −14% $29,524 −15% —
188 Pleural Effusion Without Cc/McC $25,072 $17,551 $23,124 +8% $14,110 +78% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $24,962 $17,473 $32,595 −23% $29,757 −16% —
041 Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $24,852 $17,396 $55,121 −55% $44,989 −45% —
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% $24,190 +2% ≈180% of Medicare
330 Major Small And Large Bowel Procedures With Cc $24,494 $17,146 $52,286 −53% $58,832 −58% ≈132% of Medicare
920 Complications Of Treatment With Cc $24,464 $17,125 $24,464 +0% $21,181 +15% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $24,420 $17,094 $27,359 −11% $21,545 +13% —
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 $24,299 +0% $19,001 +28% —
502 Soft Tissue Procedures Without Cc/McC $24,196 $16,937 $29,234 −17% $30,006 −19% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $24,112 $16,879 $41,434 −42% $28,527 −15% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $24,080 $16,856 $76,545 −69% $51,142 −53% —
184 Major Chest Trauma With Cc $23,985 $16,789 $38,785 −38% $20,842 +15% —
030 Spinal Procedures Without Cc/McC $23,951 $16,766 $65,735 −64% $45,818 −48% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $23,916 $16,741 $126,382 −81% $59,425 −60% —
949 Aftercare With Cc/McC $23,784 $16,649 $23,784 +0% $23,953 −1% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $23,775 $16,642 $23,775 +0% $12,044 +97% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $23,731 $16,612 $54,587 −57% $29,050 −18% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $23,728 $16,610 $26,536 −11% $29,729 −20% —
116 Intraocular Procedures With Cc/McC $23,515 $16,460 $24,851 −5% $28,103 −16% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $23,490 $16,443 $57,720 −59% $36,097 −35% —
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 $28,445 −17% $25,307 −7% —
381 Complicated Peptic Ulcer With Cc $23,388 $16,372 $26,583 −12% $24,177 −3% —
727 Inflammation Of The Male Reproductive System With McC $23,253 $16,277 $24,331 −4% $25,786 −10% —
908 Other O.R. Procedures For Injuries With Cc $23,225 $16,257 $41,660 −44% $41,660 −44% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $23,020 $16,114 $47,463 −51% $43,775 −47% —
093 Other Disorders Of Nervous System Without Cc/McC $22,956 $16,069 $26,380 −13% $17,522 +31% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $22,942 $16,059 $39,987 −43% $31,978 −28% —
158 Dental And Oral Diseases With Cc $22,743 $15,920 $25,343 −10% $17,700 +28% —
901 Wound Debridements For Injuries With McC $22,721 $15,905 $52,653 −57% $68,847 −67% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $22,694 $15,886 $28,422 −20% $36,850 −38% —
627 Thyroid Parathyroid And Thyroglossal Procedures Without Cc/McC $22,666 $15,866 $41,211 −45% $25,623 −12% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $22,644 $15,851 $29,874 −24% $25,390 −11% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $22,527 $15,769 $46,100 −51% $39,253 −43% —
887 Other Mental Disorder Diagnoses $22,486 $15,740 $22,486 +0% $20,602 +9% —
350 Inguinal And Femoral Hernia Procedures With McC $22,465 $15,725 $62,815 −64% $46,591 −52% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $22,441 $15,709 $30,984 −28% $32,538 −31% —
625 Thyroid Parathyroid And Thyroglossal Procedures With McC $22,405 $15,684 $94,789 −76% $58,968 −62% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $22,352 $15,646 $46,908 −52% $33,490 −33% —
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 $61,946 −64% $41,703 −47% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $22,146 $15,502 $35,824 −38% $21,261 +4% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $21,860 $15,302 $28,509 −23% $23,496 −7% —
299 Peripheral Vascular Disorders With McC $21,744 $15,221 $34,674 −37% $25,731 −15% —
503 Foot Procedures With McC $21,726 $15,208 $54,430 −60% $43,901 −51% —
091 Other Disorders Of Nervous System With McC $21,713 $15,199 $42,957 −49% $36,375 −40% —
637 Diabetes With McC $21,683 $15,178 $34,925 −38% $28,819 −25% ≈205% of Medicare
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $21,664 $15,165 $63,538 −66% $43,697 −50% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $21,606 $15,124 $26,808 −19% $24,561 −12% —
082 Traumatic Stupor And Coma >1 Hour With McC $21,579 $15,105 $24,039 −10% $36,237 −40% —
682 Renal Failure With McC $21,516 $15,061 $33,856 −36% $27,854 −23% ≈192% of Medicare
039 Extracranial Procedures Without Cc/McC $21,500 $15,050 $42,638 −50% $25,267 −15% —
138 Mouth Procedures Without Cc/McC $21,381 $14,967 $25,835 −17% $17,383 +23% —
723 Malignancy Male Reproductive System With Cc $21,259 $14,881 $25,356 −16% $19,317 +10% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $21,207 $14,845 $19,507 +9% $14,055 +51% —
644 Endocrine Disorders With Cc $21,203 $14,842 $23,795 −11% $22,941 −8% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $21,166 $14,817 $26,403 −20% $44,053 −52% —
581 Other Skin Subcutaneous Tissue And Breast Procedures Without Cc/McC $21,162 $14,813 $21,873 −3% $25,243 −16% —
620 O.R. Procedures For Obesity With Cc $21,135 $14,795 $49,374 −57% $35,453 −40% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $21,092 $14,765 $21,092 +0% $13,385 +58% —
904 Skin Grafts For Injuries With Cc/McC $21,076 $14,753 $86,329 −76% $55,097 −62% —
280 Acute Myocardial Infarction Discharged Alive With McC $21,060 $14,742 $61,087 −66% $28,967 −27% ≈237% of Medicare
758 Infections Female Reproductive System With Cc $20,663 $14,464 $27,094 −24% $19,091 +8% —
147 Ear Nose Mouth And Throat Malignancy With Cc $20,663 $14,464 $26,496 −22% $21,860 −5% —
157 Dental And Oral Diseases With McC $20,647 $14,453 $31,090 −34% $27,457 −25% —
747 Vagina Cervix And Vulva Procedures Without Cc/McC $20,614 $14,430 $20,614 +0% $19,326 +7% —
369 Major Esophageal Disorders With Cc $20,607 $14,425 $30,164 −32% $22,713 −9% —
713 Transurethral Prostatectomy With Cc/McC $20,511 $14,357 $45,543 −55% $29,663 −31% —
909 Other O.R. Procedures For Injuries Without Cc/McC $20,422 $14,296 $30,779 −34% $28,156 −27% —
562 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh With McC $20,413 $14,289 $30,328 −33% $29,211 −30% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $20,323 $14,226 $40,736 −50% $41,900 −51% —
669 Transurethral Procedures With Cc $20,272 $14,190 $47,142 −57% $34,354 −41% —
083 Traumatic Stupor And Coma >1 Hour With Cc $20,244 $14,171 $44,298 −54% $24,118 −16% —
722 Malignancy Male Reproductive System With McC $20,217 $14,152 $59,282 −66% $29,826 −32% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $20,162 $14,114 $39,421 −49% $32,936 −39% ≈218% of Medicare
387 Inflammatory Bowel Disease Without Cc/McC $20,110 $14,077 $22,284 −10% $14,880 +35% —
117 Intraocular Procedures Without Cc/McC $20,088 $14,061 $20,088 +0% $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 $75,932 −74% $52,435 −62% —
305 Hypertension Without McC $19,895 $13,926 $27,277 −27% $17,144 +16% ≈189% of Medicare
534 Fractures Of Femur Without McC $19,835 $13,885 $19,835 +0% $17,195 +15% —
745 D&C Conization Laparoscopy And Tubal Interruption Without Cc/McC $19,726 $13,808 $19,726 +0% $16,495 +20% —
080 Nontraumatic Stupor And Coma With McC $19,690 $13,783 $53,136 −63% $35,139 −44% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $19,684 $13,779 $40,742 −52% $26,322 −25% —
189 Pulmonary Edema And Respiratory Failure $19,625 $13,737 $30,023 −35% $25,704 −24% ≈166% of Medicare
663 Minor Bladder Procedures With Cc $19,594 $13,716 $33,704 −42% $29,924 −35% —
205 Other Respiratory System Diagnoses With McC $19,526 $13,668 $34,161 −43% $32,204 −39% —
865 Viral Illness With McC $19,450 $13,615 $25,367 −23% $26,088 −25% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $19,431 $13,602 $27,141 −28% $22,850 −15% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $19,411 $13,588 $40,558 −52% $23,723 −18% —
559 Aftercare Musculoskeletal System And Connective Tissue With McC $19,392 $13,574 $39,309 −51% $30,974 −37% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $19,361 $13,553 $19,361 +0% $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 $19,228 +0% $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% $22,032 −13% —
885 Psychoses $19,042 $13,329 $37,862 −50% $21,489 −11% —
052 Spinal Disorders And Injuries With Cc/McC $18,949 $13,264 $62,877 −70% $30,940 −39% —
054 Nervous System Neoplasms With McC $18,896 $13,227 $29,723 −36% $29,484 −36% —
374 Digestive Malignancy With McC $18,876 $13,214 $48,871 −61% $38,885 −51% —
514 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures Without Cc/McC $18,859 $13,201 $29,856 −37% $20,080 −6% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $18,808 $13,165 $19,359 −3% $24,316 −23% —
159 Dental And Oral Diseases Without Cc/McC $18,805 $13,163 $18,805 +0% $13,368 +41% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $18,791 $13,154 $24,176 −22% $18,282 +3% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $18,786 $13,150 $23,974 −22% $21,062 −11% —
145 Other Ear Nose Mouth And Throat O.R. Procedures Without Cc/McC $18,607 $13,025 $22,742 −18% $20,842 −11% —
950 Aftercare Without Cc/McC $18,592 $13,014 $18,592 +0% $13,527 +37% —
638 Diabetes With Cc $18,467 $12,927 $25,396 −27% $18,821 −2% ≈298% of Medicare
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $18,430 $12,901 $49,070 −62% $43,524 −58% —
714 Transurethral Prostatectomy Without Cc/McC $18,363 $12,854 $18,363 +0% $17,108 +7% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $18,138 $12,697 $35,465 −49% $31,816 −43% —
629 Other Endocrine Nutritional And Metabolic O.R. Procedures With Cc $18,118 $12,682 $54,533 −67% $45,059 −60% —
563 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without McC $18,103 $12,672 $20,446 −11% $18,803 −4% ≈182% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/McC $18,094 $12,666 $46,541 −61% $44,117 −59% —
182 Respiratory Neoplasms Without Cc/McC $18,009 $12,607 $55,165 −67% $14,064 +28% —
895 Alcohol Drug Abuse Or Dependence With Rehabilitation Therapy $17,878 $12,515 $17,878 +0% $21,986 −19% —
073 Cranial And Peripheral Nerve Disorders With McC $17,780 $12,446 $31,038 −43% $28,252 −37% —
070 Nonspecific Cerebrovascular Disorders With McC $17,758 $12,430 $30,222 −41% $30,814 −42% —
560 Aftercare Musculoskeletal System And Connective Tissue With Cc $17,724 $12,406 $25,662 −31% $24,452 −28% —
744 D&C Conization Laparoscopy And Tubal Interruption With Cc/McC $17,604 $12,323 $49,804 −65% $33,050 −47% —
664 Minor Bladder Procedures Without Cc/McC $17,541 $12,279 $17,541 +0% $18,126 −3% —
057 Degenerative Nervous System Disorders Without McC $17,442 $12,210 $30,200 −42% $25,426 −31% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $17,424 $12,196 $17,424 +0% $11,421 +53% —
179 Respiratory Infections And Inflammations Without Cc/McC $17,383 $12,168 $19,357 −10% $14,444 +20% —
069 Transient Ischemia Without Thrombolytic $17,370 $12,159 $26,630 −35% $20,278 −14% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $17,353 $12,147 $38,221 −55% $26,488 −34% ≈225% of Medicare
917 Poisoning And Toxic Effects Of Drugs With McC $17,308 $12,116 $37,942 −54% $28,134 −38% ≈289% of Medicare
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $17,263 $12,084 $55,905 −69% $48,094 −64% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $17,225 $12,058 $27,522 −37% $22,275 −23% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $17,184 $12,029 $39,587 −57% $24,229 −29% —
089 Concussion With Cc $17,137 $11,996 $23,825 −28% $18,293 −6% —
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 $16,583 +2% $17,078 −1% —
667 Prostatectomy Without Cc/McC $16,942 $11,859 $16,738 +1% $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% $20,111 −16% —
078 Hypertensive Encephalopathy With Cc $16,868 $11,807 $16,868 +0% $17,434 −3% —
546 Connective Tissue Disorders With Cc $16,800 $11,760 $34,947 −52% $24,202 −31% —
886 Behavioral And Developmental Disorders $16,765 $11,735 $20,529 −18% $24,836 −32% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $16,596 $11,617 $36,861 −55% $30,358 −45% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $16,574 $11,602 $72,604 −77% $57,277 −71% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $16,560 $11,592 $33,065 −50% $21,029 −21% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $16,513 $11,559 $34,309 −52% $25,666 −36% —
550 Septic Arthritis Without Cc/McC $16,502 $11,552 $16,502 +0% $16,156 +2% —
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% $27,934 −41% ≈279% of Medicare
571 Skin Debridement With Cc $16,323 $11,426 $42,097 −61% $34,901 −53% —
593 Skin Ulcers With Cc $16,298 $11,409 $24,443 −33% $20,470 −20% —
385 Inflammatory Bowel Disease With McC $16,273 $11,391 $42,912 −62% $26,020 −37% —
177 Respiratory Infections And Inflammations With McC $16,255 $11,379 $44,001 −63% $31,840 −49% ≈256% of Medicare
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $16,213 $11,349 $32,617 −50% $29,109 −44% —
687 Kidney And Urinary Tract Neoplasms With Cc $16,211 $11,348 $17,794 −9% $18,478 −12% —
076 Viral Meningitis Without Cc/McC $16,201 $11,340 $16,201 +0% $15,474 +5% —
183 Major Chest Trauma With McC $16,188 $11,332 $38,398 −58% $28,924 −44% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $16,043 $11,230 $40,214 −60% $20,421 −21% —
596 Major Skin Disorders Without McC $16,011 $11,208 $16,618 −4% $17,226 −7% —
553 Bone Diseases And Arthropathies With McC $15,955 $11,168 $33,365 −52% $23,956 −33% —
388 Gastrointestinal Obstruction With McC $15,940 $11,158 $33,244 −52% $28,780 −45% —
866 Viral Illness Without McC $15,914 $11,140 $16,391 −3% $16,391 −3% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $15,891 $11,124 $15,891 +0% $17,928 −11% —
071 Nonspecific Cerebrovascular Disorders With Cc $15,870 $11,109 $27,569 −42% $23,396 −32% —
618 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $15,863 $11,104 $15,863 +0% $19,354 −18% —
948 Signs And Symptoms Without McC $15,813 $11,069 $22,745 −30% $17,727 −11% ≈152% of Medicare
445 Disorders Of The Biliary Tract With Cc $15,798 $11,058 $25,888 −39% $21,806 −28% —
541 Osteomyelitis Without Cc/McC $15,795 $11,057 $22,109 −29% $14,549 +9% —
711 Testes Procedures With Cc/McC $15,758 $11,031 $29,625 −47% $34,852 −55% —
683 Renal Failure With Cc $15,691 $10,983 $22,859 −31% $18,620 −16% ≈261% of Medicare
075 Viral Meningitis With Cc/McC $15,686 $10,980 $16,679 −6% $29,853 −47% —
368 Major Esophageal Disorders With McC $15,675 $10,973 $30,937 −49% $33,607 −53% —
689 Kidney And Urinary Tract Infections With McC $15,638 $10,947 $29,341 −47% $22,982 −32% ≈173% of Medicare
709 Penis Procedures With Cc/McC $15,624 $10,937 $38,128 −59% $34,535 −55% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $15,595 $10,916 $15,595 +0% $18,428 −15% —
668 Transurethral Procedures With McC $15,577 $10,904 $59,814 −74% $47,277 −67% —
640 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With McC $15,575 $10,903 $16,271 −4% $24,480 −36% ≈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% $22,781 −32% ≈198% of Medicare
092 Other Disorders Of Nervous System With Cc $15,465 $10,825 $28,389 −46% $24,136 −36% —
314 Other Circulatory System Diagnoses With McC $15,410 $10,787 $56,626 −73% $38,357 −60% —
123 Neurological Eye Disorders $15,394 $10,776 $29,012 −47% $17,831 −14% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $15,348 $10,743 $38,741 −60% $26,146 −41% —
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 $37,407 −59% $29,476 −48% —
055 Nervous System Neoplasms Without McC $15,269 $10,688 $46,998 −68% $19,868 −23% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $15,243 $10,670 $26,127 −42% $19,483 −22% —
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 $27,067 −44% $30,275 −50% —
202 Bronchitis And Asthma With Cc/McC $15,168 $10,618 $22,179 −32% $17,273 −12% ≈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% $16,642 −10% —
300 Peripheral Vascular Disorders With Cc $14,986 $10,490 $26,309 −43% $19,579 −23% ≈248% of Medicare
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $14,903 $10,432 $21,175 −30% $17,103 −13% —
863 Postoperative And Post-Traumatic Infections Without McC $14,901 $10,430 $22,026 −32% $20,007 −26% —
793 Full Term Neonate With Major Problems $14,876 $10,413 $27,143 −45% $16,719 −11% —
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 $41,036 −64% $29,409 −50% —
153 Otitis Media And Uri Without McC $14,684 $10,279 $15,085 −3% $14,473 +1% —
698 Other Kidney And Urinary Tract Diagnoses With McC $14,677 $10,274 $38,521 −62% $30,058 −51% ≈167% of Medicare
923 Other Injury Poisoning And Toxic Effect Diagnoses Without McC $14,632 $10,242 $14,632 +0% $16,571 −12% —
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 $14,579 +0% $17,398 −16% —
053 Spinal Disorders And Injuries Without Cc/McC $14,572 $10,200 $40,756 −64% $20,309 −28% —
203 Bronchitis And Asthma Without Cc/McC $14,510 $10,157 $12,571 +15% $12,279 +18% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $14,487 $10,141 $17,312 −16% $14,368 +1% —
191 Chronic Obstructive Pulmonary Disease With Cc $14,473 $10,131 $24,337 −41% $18,278 −21% ≈284% of Medicare
413 Cholecystectomy With C.D.E. Without Cc/McC $14,468 $10,128 $24,771 −42% $27,548 −47% —
152 Otitis Media And Uri With McC $14,440 $10,108 $21,877 −34% $19,795 −27% —
947 Signs And Symptoms With McC $14,423 $10,096 $23,334 −38% $25,474 −43% —
540 Osteomyelitis With Cc $14,351 $10,046 $33,331 −57% $23,494 −39% —
074 Cranial And Peripheral Nerve Disorders Without McC $14,333 $10,033 $30,058 −52% $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 $14,193 +0% $15,072 −6% —
539 Osteomyelitis With McC $14,183 $9,928 $34,487 −59% $33,746 −58% —
301 Peripheral Vascular Disorders Without Cc/McC $14,163 $9,914 $25,165 −44% $15,607 −9% —
791 Prematurity With Major Problems $14,134 $9,894 $41,495 −66% $39,563 −64% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $14,134 $9,894 $27,493 −49% $24,022 −41% —
552 Medical Back Problems Without McC $14,109 $9,876 $28,869 −51% $21,213 −33% ≈156% of Medicare
291 Heart Failure And Shock With McC $14,072 $9,851 $38,049 −63% $25,020 −44% ≈238% of Medicare
918 Poisoning And Toxic Effects Of Drugs Without McC $14,052 $9,836 $25,057 −44% $15,045 −7% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $13,989 $9,792 $23,198 −40% $15,636 −11% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $13,943 $9,760 $18,155 −23% $16,654 −16% —
198 Interstitial Lung Disease Without Cc/McC $13,931 $9,752 $13,931 +0% $13,654 +2% —
693 Urinary Stones With McC $13,864 $9,705 $21,079 −34% $22,525 −38% —
882 Neuroses Except Depressive $13,855 $9,698 $28,253 −51% $15,680 −12% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $13,849 $9,694 $22,318 −38% $22,231 −38% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $13,766 $9,636 $33,830 −59% $23,469 −41% ≈279% of Medicare
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $13,716 $9,601 $15,989 −14% $15,070 −9% —
558 Tendonitis Myositis And Bursitis Without McC $13,679 $9,575 $20,722 −34% $17,367 −21% —
639 Diabetes Without Cc/McC $13,605 $9,524 $17,217 −21% $13,910 −2% —
197 Interstitial Lung Disease With Cc $13,568 $9,497 $28,997 −53% $20,106 −33% —
884 Organic Disturbances And Intellectual Disability $13,559 $9,491 $35,058 −61% $25,208 −46% —
125 Other Disorders Of The Eye Without McC $13,552 $9,486 $21,703 −38% $15,876 −15% —
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% $15,962 −16% ≈162% of Medicare
307 Cardiac Congenital And Valvular Disorders Without McC $13,419 $9,393 $18,880 −29% $18,608 −28% —
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% $14,861 −10% —
645 Endocrine Disorders Without Cc/McC $13,286 $9,300 $17,001 −22% $14,166 −6% —
557 Tendonitis Myositis And Bursitis With McC $13,281 $9,297 $37,596 −65% $28,646 −54% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $13,118 $9,183 $20,474 −36% $13,384 −2% ≈198% of Medicare
897 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $13,111 $9,178 $18,223 −28% $16,049 −18% ≈24% of Medicare
630 Other Endocrine Nutritional And Metabolic O.R. Procedures Without Cc/McC $13,110 $9,177 $28,438 −54% $24,452 −46% —
607 Minor Skin Disorders Without McC $12,970 $9,079 $17,326 −25% $15,284 −15% —
315 Other Circulatory System Diagnoses With Cc $12,956 $9,069 $33,234 −61% $20,777 −38% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $12,946 $9,062 $19,064 −32% $16,104 −20% —
382 Complicated Peptic Ulcer Without Cc/McC $12,874 $9,012 $24,386 −47% $16,634 −23% —
284 Acute Myocardial Infarction Expired With Cc $12,770 $8,939 $18,718 −32% $13,282 −4% —
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 $23,332 −46% $15,165 −17% —
394 Other Digestive System Diagnoses With Cc $12,562 $8,794 $20,933 −40% $18,918 −34% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $12,537 $8,776 $12,537 +0% $12,537 +0% —
726 Benign Prostatic Hypertrophy Without McC $12,437 $8,706 $17,878 −30% $13,892 −10% —
554 Bone Diseases And Arthropathies Without McC $12,425 $8,698 $21,371 −42% $18,253 −32% —
282 Acute Myocardial Infarction Discharged Alive Without Cc/McC $12,421 $8,694 $50,418 −75% $18,623 −33% ≈191% of Medicare
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $12,409 $8,687 $19,183 −35% $20,147 −38% —
697 Urethral Stricture $12,385 $8,670 $22,523 −45% $17,705 −30% —
395 Other Digestive System Diagnoses Without Cc/McC $12,361 $8,652 $19,448 −36% $14,128 −13% —
101 Seizures Without McC $12,325 $8,628 $25,967 −53% $19,954 −38% ≈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% $21,886 −44% ≈190% of Medicare
379 Gastrointestinal Hemorrhage Without Cc/McC $12,283 $8,598 $17,819 −31% $14,134 −13% —
302 Atherosclerosis With McC $12,261 $8,583 $18,292 −33% $20,844 −41% —
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% $13,485 −10% —
199 Pneumothorax With McC $12,130 $8,491 $50,186 −76% $31,491 −61% —
914 Traumatic Injury Without McC $12,082 $8,457 $15,088 −20% $15,593 −23% —
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 $21,820 −45% $19,073 −37% —
755 Malignancy Female Reproductive System With Cc $12,046 $8,432 $32,616 −63% $18,459 −35% —
935 Non-Extensive Burns $12,045 $8,431 $26,773 −55% $29,458 −59% —
204 Respiratory Signs And Symptoms $12,012 $8,408 $25,544 −53% $16,866 −29% —
137 Mouth Procedures With Cc/McC $12,002 $8,401 $41,302 −71% $24,348 −51% —
200 Pneumothorax With Cc $11,998 $8,399 $28,821 −58% $20,573 −42% —
149 Dysequilibrium $11,959 $8,371 $27,384 −56% $17,203 −30% ≈237% of Medicare
641 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes Without McC $11,939 $8,358 $19,426 −39% $16,745 −29% ≈216% of Medicare
193 Simple Pneumonia And Pleurisy With McC $11,911 $8,337 $30,935 −61% $26,158 −54% ≈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% $70,735 −83% —
602 Cellulitis With McC $11,852 $8,296 $26,545 −55% $29,347 −60% ≈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% $20,732 −43% ≈161% of Medicare
684 Renal Failure Without Cc/McC $11,773 $8,241 $14,411 −18% $13,623 −14% —
090 Concussion Without Cc/McC $11,732 $8,212 $13,026 −10% $14,873 −21% —
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% $30,394 −62% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $11,655 $8,158 $13,092 −11% $14,441 −19% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $11,649 $8,154 $13,591 −14% $12,405 −6% —
600 Non-Malignant Breast Disorders With Cc/McC $11,633 $8,143 $13,799 −16% $16,418 −29% —
185 Major Chest Trauma Without Cc/McC $11,617 $8,132 $23,266 −50% $15,858 −27% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $11,575 $8,103 $20,762 −44% $16,865 −31% ≈187% of Medicare
792 Prematurity Without Major Problems $11,552 $8,086 $23,523 −51% $11,633 −1% —
086 Traumatic Stupor And Coma <1 Hour With Cc $11,461 $8,023 $24,991 −54% $23,115 −50% —
389 Gastrointestinal Obstruction With Cc $11,416 $7,991 $21,314 −46% $17,388 −34% ≈244% of Medicare
150 Epistaxis With McC $11,392 $7,975 $30,050 −62% $21,133 −46% —
921 Complications Of Treatment Without Cc/McC $11,362 $7,954 $13,895 −18% $14,012 −19% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $11,352 $7,946 $37,745 −70% $36,334 −69% —
438 Disorders Of Pancreas Except Malignancy With McC $11,257 $7,880 $39,766 −72% $32,502 −65% —
894 Alcohol Drug Abuse Or Dependence Left Ama $11,221 $7,855 $15,166 −26% $12,013 −7% —
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% $15,869 −30% —
728 Inflammation Of The Male Reproductive System Without McC $11,096 $7,767 $22,607 −51% $16,837 −34% —
864 Fever And Inflammatory Conditions $11,069 $7,748 $19,050 −42% $17,412 −36% —
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 $11,263 −2% $11,955 −8% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $11,006 $7,704 $22,264 −51% $18,191 −39% —
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% $22,698 −52% —
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 $21,668 −49% $20,938 −48% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $10,942 $7,659 $14,426 −24% $12,381 −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 $10,882 +0% $7,961 +37% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $10,859 $7,602 $19,640 −45% $13,303 −18% —
304 Hypertension With McC $10,797 $7,558 $54,990 −80% $24,185 −55% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $10,796 $7,557 $20,835 −48% $17,715 −39% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $10,783 $7,548 $15,422 −30% $18,133 −41% —
759 Infections Female Reproductive System Without Cc/McC $10,768 $7,537 $20,286 −47% $14,208 −24% —
551 Medical Back Problems With McC $10,767 $7,537 $47,497 −77% $31,086 −65% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $10,767 $7,537 $23,784 −55% $14,337 −25% —
206 Other Respiratory System Diagnoses Without McC $10,756 $7,529 $23,694 −55% $17,731 −39% —
642 Inborn And Other Disorders Of Metabolism $10,698 $7,489 $32,388 −67% $20,727 −48% —
604 Trauma To The Skin Subcutaneous Tissue And Breast With McC $10,681 $7,477 $44,787 −76% $28,140 −62% —
916 Allergic Reactions Without McC $10,672 $7,471 $19,120 −44% $13,890 −23% —
390 Gastrointestinal Obstruction Without Cc/McC $10,666 $7,466 $15,214 −30% $13,318 −20% ≈258% of Medicare
998 Principal Diagnosis Invalid As Discharge Diagnosis $10,630 $7,441 $10,630 +0% $15,655 −32% —
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 $26,105 −60% $17,700 −41% —
316 Other Circulatory System Diagnoses Without Cc/McC $10,430 $7,301 $29,952 −65% $12,797 −18% —
605 Trauma To The Skin Subcutaneous Tissue And Breast Without McC $10,381 $7,267 $27,552 −62% $19,287 −46% —
815 Reticuloendothelial And Immunity Disorders With Cc $10,355 $7,248 $19,264 −46% $18,017 −43% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $10,354 $7,248 $33,770 −69% $24,941 −58% —
292 Heart Failure And Shock With Cc $10,333 $7,233 $32,219 −68% $16,212 −36% —
154 Other Ear Nose Mouth And Throat Diagnoses With McC $10,316 $7,221 $30,616 −66% $24,465 −58% —
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 $27,957 −63% $25,010 −59% —
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% $13,081 −22% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $10,134 $7,094 $14,197 −29% $22,532 −55% —
694 Urinary Stones Without McC $10,134 $7,093 $21,826 −54% $16,531 −39% —
444 Disorders Of The Biliary Tract With McC $10,129 $7,090 $45,187 −78% $31,128 −67% —
386 Inflammatory Bowel Disease With Cc $10,094 $7,066 $30,103 −66% $20,968 −52% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $10,087 $7,061 $15,105 −33% $12,895 −22% —
156 Other Ear Nose Mouth And Throat Diagnoses Without Cc/McC $10,070 $7,049 $18,257 −45% $13,198 −24% —
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% $17,466 −43% ≈205% of Medicare
813 Coagulation Disorders $10,002 $7,001 $39,854 −75% $30,128 −67% —
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% $16,352 −40% —
285 Acute Myocardial Infarction Expired Without Cc/McC $8,798 $6,158 $8,798 +0% $10,039 −12% —
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 $7,027 +0% $11,071 −37% —
795 Normal Newborn $5,539 $3,877 $5,663 −2% $4,530 +22% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $4,800 $3,360 $12,856 −63% $9,076 −47% —
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 $14,080 −72% $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% $9,385 −79% —

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
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