Procedures published 590
Lowest published price $4,347
Average published price $46,039
Highest published price $617,306

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 590 procedures

Published charges

Showing all 590 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 139 procedures, this hospital's negotiated rates average ≈117% of what Medicare pays.

DRG Description Published price Cash price vs. MA median vs. National median vs Medicare
220 Major Stomach, Esophageal And Duodenal Procedures,EXTREME $617,306 — $181,335 +240% $102,177 +504% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $320,357 $240,268 $375,261 −15% $371,366 −14% —
248 Major Gastrointestinal And Peritoneal Infections,EXTREME $294,976 — $58,755 +402% $34,146 +764% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $206,118 $154,589 $223,096 −8% $118,589 +74% —
890 Hiv With Multiple Major Hiv Related Conditions,EXTREME $198,414 — $148,219 +34% $57,033 +248% —
313 Knee And Lower Leg Procedures Except Foot,EXTREME $186,465 — $23,897 +680% $15,962 +1068% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $185,179 $138,884 $193,112 −4% $138,008 +34% —
009 Extracorporeal Membrane Oxygenation (Ecmo),EXTREME $183,943 — $1,102,517 −83% $487,874 −62% —
863 Neonatal Aftercare,EXTREME $171,947 — $22,026 +681% $20,007 +759% ≈1002% of Medicare
351 Other Musculoskeletal System And Connective Tissue Diagnoses,EXTREME $152,134 — $47,899 +218% $33,792 +350% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $144,509 $108,382 $91,441 +58% $68,399 +111% —
304 Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,MAJOR $143,369 — $54,990 +161% $24,185 +493% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $135,052 $101,289 $124,458 +9% $107,355 +26% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $126,837 $95,127 $113,227 +12% $121,728 +4% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $125,527 $94,145 $160,394 −22% $87,565 +43% —
230 Major Small Bowel Procedures,EXTREME $125,499 — $161,429 −22% $88,720 +41% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $122,922 $92,191 $230,197 −47% $151,029 −19% —
050 Non-Bacterial Infections Of Nervous System Except Viral Meningitis,EXTREME $119,028 — $83,337 +43% $97,974 +21% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $119,028 $89,271 $80,121 +49% $57,855 +106% —
447 Multiple Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $116,243 $87,182 $167,306 −31% $114,914 +1% —
045 Cva And Precerebral Occlusion With Infarction,EXTREME $114,148 — $95,856 +19% $77,914 +47% —
271 Other Major Cardiovascular Procedures With Cc $112,278 $84,209 $112,278 +0% $71,014 +58% —
252 Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure,EXTREME $109,578 — $110,822 −1% $68,508 +60% —
263 Cholecystectomy,EXTREME $107,304 — $79,784 +34% $44,938 +139% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $106,698 $80,024 $108,834 −2% $83,065 +28% —
170 Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock,MAJOR $106,343 — $154,856 −31% $435 +24347% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $105,735 $79,301 $98,196 +8% $62,961 +68% —
028 Spinal Procedures With McC $103,372 $77,529 $188,164 −45% $95,858 +8% —
270 Other Major Cardiovascular Procedures With McC $103,159 $77,369 $154,050 −33% $99,423 +4% —
834 Acute Leukemia With McC $102,733 $77,050 $166,477 −38% $76,583 +34% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/McC $101,687 $76,265 $148,104 −31% $105,899 −4% —
711 Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure,EXTREME $98,200 — $29,625 +231% $34,852 +182% —
570 Skin Debridement With McC $97,102 $72,826 $75,932 +28% $52,435 +85% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $96,325 $72,244 $103,152 −7% $57,963 +66% —
323 Non-Elective Or Complex Hip Joint Replacement,MAJOR $95,388 — $109,731 −13% $88,049 +8% —
625 Neonate Birth Weight 2000-2499 Grams With Other Significant Condition,MAJOR $94,789 — $94,789 +0% $58,968 +61% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $94,503 $70,877 $189,055 −50% $117,280 −19% —
037 Extracranial Procedures With McC $93,486 $70,115 $145,721 −36% $64,749 +44% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $92,869 $69,652 $92,869 +0% $76,954 +21% —
058 Other Disorders Of Nervous System,EXTREME $92,456 — $61,562 +50% $29,609 +212% —
174 Percutaneous Cardiac Intervention With Ami,MAJOR $91,004 — $183,426 −50% $74,377 +22% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $89,108 $66,831 $86,737 +3% $48,680 +83% —
448 Multiple Level Spinal Fusion Except Cervical Without McC $89,022 $66,766 $105,462 −16% $81,998 +9% —
182 Other Upper Vascular Procedures,MAJOR $88,873 — $55,165 +61% $14,064 +532% —
817 Intentional Self-Harm And Attempted Suicide,EXTREME $88,782 — $57,720 +54% $36,097 +146% —
622 Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,MAJOR $87,683 — $87,683 +0% $60,861 +44% —
710 Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,EXTREME $87,480 — $54,233 +61% $23,814 +267% —
411 Cholecystectomy With C.D.E. With McC $87,271 $65,453 $76,955 +13% $48,358 +80% —
169 Major Abdominal Vascular Procedures,MAJOR $87,240 — $324,024 −73% $128,246 −32% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $86,091 $64,568 $89,321 −4% $49,055 +75% —
673 Other Kidney And Urinary Tract Procedures With McC $85,276 $63,957 $103,271 −17% $72,945 +17% —
242 Permanent Cardiac Pacemaker Implant With McC $84,451 $63,338 $82,443 +2% $70,132 +20% ≈107% of Medicare
321 Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,MAJOR $83,752 — $101,032 −17% $74,274 +13% —
611 Neonate Birth Weight 1500-1999 Grams With Major Anomaly,MAJOR $83,090 — $333,028 −75% $124,961 −34% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $80,488 $60,366 $80,488 +0% $54,772 +47% —
163 Major Chest Procedures With McC $80,342 $60,257 $138,484 −42% $88,341 −9% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $80,225 $60,169 $127,941 −37% $87,018 −8% ≈108% of Medicare
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $79,972 $59,979 $97,920 −18% $65,383 +22% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $79,726 $59,795 $72,568 +10% $34,434 +132% —
134 Pulmonary Embolism,EXTREME $79,495 — $106,143 −25% $23,289 +241% —
383 Cellulitis And Other Skin Infections,EXTREME $79,404 — $30,085 +164% $26,634 +198% —
224 Peritoneal Adhesiolysis,EXTREME $78,675 — $83,329 −6% $80,427 −2% —
426 Non-Hypovolemic Sodium Disorders,EXTREME $78,550 — $55,535 +41% $142,326 −45% —
612 Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,MAJOR $78,317 — $309,804 −75% $249,205 −69% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $78,282 $58,712 $102,200 −23% $67,764 +16% ≈109% of Medicare
443 Kidney And Urinary Tract Procedures For Non-Malignancy,EXTREME $76,562 — $26,893 +185% $15,600 +391% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $76,251 $57,188 $51,707 +47% $43,398 +76% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $75,989 $56,992 $90,913 −16% $75,492 +1% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $75,832 $56,874 $69,258 +9% $44,600 +70% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $75,309 $56,481 $85,107 −12% $64,776 +16% —
280 Alcoholic Liver Disease,EXTREME $75,108 — $61,087 +23% $28,967 +159% ≈94% of Medicare
302 Knee Joint Replacement,MAJOR $74,909 — $18,292 +310% $20,844 +259% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $74,759 $56,069 $122,470 −39% $72,859 +3% —
471 Cervical Spinal Fusion With McC $74,753 $56,065 $111,445 −33% $92,515 −19% —
301 Hip Joint Replacement,MAJOR $73,371 — $25,165 +192% $15,607 +370% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $73,067 $54,800 $33,065 +121% $21,029 +247% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $72,247 $54,186 $127,374 −43% $62,269 +16% —
253 Other Vascular Procedures With Cc $72,020 $54,015 $96,027 −25% $53,746 +34% ≈112% of Medicare
467 Revision Of Hip Or Knee Replacement With Cc $72,007 $54,006 $116,723 −38% $68,880 +5% ≈112% of Medicare
329 Major Small And Large Bowel Procedures With McC $71,865 $53,898 $102,516 −30% $88,050 −18% ≈117% of Medicare
221 Major Small & Large Bowel Procedures,MAJOR $71,733 — $110,046 −35% $90,331 −21% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $71,635 $53,727 $71,635 +0% $83,441 −14% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $71,607 $53,705 $102,456 −30% $88,307 −19% —
548 Postpartum And Post Abortion Diagnosis With O.R. Procedure,MAJOR $70,867 — $44,494 +59% $31,019 +128% —
166 Other Respiratory System O.R. Procedures With McC $70,427 $52,820 $70,432 −0% $72,782 −3% —
023 Spinal Procedures,MINOR $70,375 — $114,417 −38% $106,778 −34% —
030 Spinal Procedures Without Cc/McC $70,375 $52,781 $65,735 +7% $45,818 +54% —
401 Adrenal Procedures,MINOR $70,229 — $67,791 +4% $48,020 +46% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $69,349 $52,012 $56,578 +23% $36,280 +91% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $69,290 $51,967 $46,659 +49% $46,659 +49% —
423 Inborn Errors Of Metabolism,MAJOR $69,241 — $139,305 −50% $72,011 −4% —
791 O.R. Procedure For Other Complications Of Treatment,MINOR $69,008 — $41,495 +66% $39,563 +74% —
472 Cervical Spinal Fusion With Cc $68,993 $51,745 $68,993 +0% $59,537 +16% ≈117% of Medicare
952 Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $68,747 — $79,794 −14% $50,048 +37% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $68,335 $51,251 $123,570 −45% $75,103 −9% —
450 Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $68,277 $51,208 $69,912 −2% $79,944 −15% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $67,875 $50,906 $48,043 +41% $35,542 +91% —
222 Other Stomach, Esophageal And Duodenal Procedures,MAJOR $67,839 — $88,995 −24% $86,864 −22% —
480 Hip And Femur Procedures Except Major Joint With McC $66,814 $50,111 $95,816 −30% $63,984 +4% ≈115% of Medicare
049 Bacterial And Tuberculous Infections Of Nervous System,MAJOR $66,578 — $66,578 +0% $120,000 −45% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $66,578 $49,933 $95,511 −30% $62,524 +6% —
346 Connective Tissue Disorders,MAJOR $66,569 — $38,741 +72% $26,146 +155% —
950 Extensive O.R. Procedure Unrelated To Principal Diagnosis,MAJOR $65,945 — $18,592 +255% $13,527 +387% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $65,945 $49,459 $112,601 −41% $86,390 −24% ≈107% of Medicare
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $65,923 $49,443 $110,169 −40% $70,540 −7% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $65,771 $49,328 $67,622 −3% $56,519 +16% ≈115% of Medicare
912 Musculoskeletal And Other Procedures For Multiple Significant Trauma,MAJOR $65,554 — $298,591 −78% $88,781 −26% —
451 Single Level Spinal Fusion Except Cervical Without McC $65,168 $48,876 $81,491 −20% $65,216 −0% —
413 Cholecystectomy With C.D.E. Without Cc/McC $65,075 $48,806 $24,771 +163% $27,548 +136% —
135 Major Chest And Respiratory Trauma,EXTREME $65,062 — $74,437 −13% $40,065 +62% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $64,888 $48,666 $88,458 −27% $54,313 +19% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $64,849 $48,637 $64,849 +0% $56,394 +15% —
501 Male Reproductive System Diagnoses Except Malignancy,MAJOR $64,708 — $60,388 +7% $37,975 +70% —
042 Degenerative Nervous System Disorders Except Multiple Sclerosis,EXTREME $64,627 — $58,283 +11% $39,018 +66% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $64,585 $48,439 $62,790 +3% $52,313 +23% —
231 Major Large Bowel Procedures,EXTREME $64,502 — $245,091 −74% $146,474 −56% —
969 Hiv With Extensive O.R. Procedures With McC $64,207 $48,155 $246,663 −74% $109,331 −41% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $63,928 $47,946 $110,657 −42% $57,149 +12% ≈133% of Medicare
171 Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock,MODERATE $62,417 — $226,177 −72% $82,174 −24% —
654 Major Bladder Procedures With Cc $62,148 $46,611 $63,842 −3% $53,868 +15% —
974 Hiv With Major Related Condition With McC $62,120 $46,590 $60,208 +3% $46,402 +34% —
335 Peritoneal Adhesiolysis With McC $61,899 $46,424 $107,968 −43% $71,755 −14% —
204 Syncope And Collapse,MAJOR $61,654 — $25,544 +141% $16,866 +266% —
241 Peptic Ulcer And Gastritis,EXTREME $61,444 — $39,587 +55% $24,229 +154% —
173 Other Vascular Procedures,MINOR $61,218 — $57,769 +6% $53,555 +14% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $61,158 $45,869 $86,333 −29% $52,405 +17% ≈98% of Medicare
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $60,792 $45,594 $61,552 −1% $43,800 +39% —
816 Toxic Effects Of Non-Medicinal Substances,MAJOR $60,057 — $17,592 +241% $13,485 +345% —
194 Heart Failure,EXTREME $60,003 — $22,854 +163% $18,204 +230% ≈242% of Medicare
657 Kidney And Ureter Procedures For Neoplasm With Cc $59,668 $44,751 $52,575 +13% $40,583 +47% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $59,500 $44,625 $60,676 −2% $45,963 +29% —
812 Poisoning Of Medicinal Agents,EXTREME $59,427 — $30,969 +92% $20,488 +190% ≈121% of Medicare
035 Carotid Artery Stent Procedures With Cc $59,363 $44,522 $66,355 −11% $46,430 +28% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $59,280 $44,460 $39,065 +52% $35,692 +66% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $58,833 $44,125 $55,362 +6% $46,477 +27% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $58,697 $44,023 $41,036 +43% $29,409 +100% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $58,696 $44,022 $26,496 +122% $21,860 +169% —
038 Extracranial Procedures With Cc $58,429 $43,822 $56,455 +3% $35,770 +63% —
951 Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,MAJOR $58,422 — $11,477 +409% $9,385 +522% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $58,123 $43,592 $58,123 +0% $31,190 +86% —
481 Hip And Femur Procedures Except Major Joint With Cc $57,441 $43,081 $85,905 −33% $51,172 +12% ≈117% of Medicare
519 Gynecologic Procedures For Leiomyoma,MINOR $56,352 — $47,463 +19% $43,775 +29% ≈114% of Medicare
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $56,352 $42,264 $39,705 +42% $27,369 +106% —
361 Skin Graft For Skin And Subcutaneous Tissue Diagnoses,EXTREME $56,071 — $56,071 +0% $79,921 −30% —
330 Major Small And Large Bowel Procedures With Cc $55,719 $41,789 $52,286 +7% $58,832 −5% ≈117% of Medicare
333 Rectal Resection With Cc $55,598 $41,699 $56,648 −2% $34,352 +62% —
284 Disorders Of Gallbladder And Biliary Tract,EXTREME $55,388 — $18,718 +196% $13,282 +317% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $55,226 $41,419 $57,016 −3% $40,552 +36% —
085 Traumatic Stupor And Coma <1 Hour With McC $55,052 $41,289 $45,245 +22% $37,064 +49% —
674 Other Kidney And Urinary Tract Procedures With Cc $54,772 $41,079 $65,411 −16% $49,631 +10% —
207 Other Circulatory System Diagnoses,EXTREME $54,512 — $98,523 −45% $116,058 −53% —
034 Carotid Artery Stent Procedures With McC $54,091 $40,568 $109,383 −51% $72,908 −26% —
724 Other Infectious And Parasitic Diseases,EXTREME $54,059 — $30,437 +78% $12,650 +327% —
053 Seizure,EXTREME $53,886 — $40,756 +32% $20,309 +165% —
036 Carotid Artery Stent Procedures Without Cc/McC $53,877 $40,408 $61,151 −12% $40,694 +32% —
356 Other Digestive System O.R. Procedures With McC $53,657 $40,243 $125,454 −57% $82,561 −35% —
500 Soft Tissue Procedures With McC $53,400 $40,050 $83,283 −36% $57,479 −7% —
281 Malignancy Of Hepatobiliary System And Pancreas,EXTREME $53,130 — $28,630 +86% $20,463 +160% ≈345% of Medicare
502 Soft Tissue Procedures Without Cc/McC $53,112 $39,834 $29,234 +82% $30,006 +77% —
282 Disorders Of Pancreas Except Malignancy,EXTREME $53,003 — $50,418 +5% $18,623 +185% ≈268% of Medicare
468 Revision Of Hip Or Knee Replacement Without Cc/McC $52,627 $39,470 $61,202 −14% $54,929 −4% ≈120% of Medicare
024 Open Extracranial Vascular Procedures,MAJOR $52,595 — $114,406 −54% $74,755 −30% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $52,587 $39,440 $77,209 −32% $50,139 +5% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $52,068 $39,051 $44,490 +17% $39,747 +31% ≈122% of Medicare
310 Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,MAJOR $52,055 — $20,474 +154% $13,384 +289% ≈941% of Medicare
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $52,055 $39,042 $53,090 −2% $45,817 +14% ≈108% of Medicare
397 Appendix Procedures With McC $51,587 $38,690 $67,471 −24% $52,319 −1% —
041 Nervous System Malignancy,MAJOR $51,293 — $55,121 −7% $44,989 +14% —
513 Gynecologic Procedures Without Malignancy,MINOR $51,244 — $51,582 −1% $33,424 +53% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $51,198 $38,399 $53,437 −4% $42,119 +22% ≈121% of Medicare
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $51,124 $38,343 $39,421 +30% $32,936 +55% —
288 Acute And Subacute Endocarditis With McC $50,947 $38,210 $58,942 −14% $45,497 +12% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $50,897 $38,173 $45,209 +13% $43,266 +18% —
540 Cesarean Section Without Sterilization,EXTREME $50,827 — $33,331 +52% $23,494 +116% —
289 Acute And Subacute Endocarditis With Cc $50,615 $37,961 $31,558 +60% $29,371 +72% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $50,577 $37,933 $35,465 +43% $31,816 +59% —
720 Septicemia And Disseminated Infections,EXTREME $50,485 — $69,865 −28% $47,150 +7% —
121 Other Respiratory And Chest Procedures,EXTREME $50,443 — $33,924 +49% $18,291 +176% —
325 Non-Elective Or Complex Knee Joint Replacement,MINOR $50,369 — $93,081 −46% $53,551 −6% —
039 Extracranial Procedures Without Cc/McC $49,885 $37,414 $42,638 +17% $25,267 +97% —
750 Schizophrenia And Other Severe Psychotic Disorders,MAJOR $49,791 — $35,305 +41% $23,920 +108% —
633 Neonate Birth Weight > 2499 Grams With Major Anomaly,EXTREME $49,646 — $156,546 −68% $31,241 +59% —
336 Peritoneal Adhesiolysis With Cc $49,470 $37,102 $49,470 +0% $49,470 +0% —
571 Skin Debridement With Cc $49,067 $36,800 $42,097 +17% $34,901 +41% —
572 Skin Debridement Without Cc/McC $49,030 $36,773 $33,093 +48% $24,432 +101% —
331 Major Small And Large Bowel Procedures Without Cc/McC $48,966 $36,725 $46,541 +5% $44,117 +11% ≈112% of Medicare
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $48,826 $36,620 $66,392 −26% $42,881 +14% ≈114% of Medicare
469 Acute Kidney Injury,EXTREME $48,748 — $78,684 −38% $65,254 −25% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $48,618 $36,463 $82,301 −41% $67,901 −28% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $48,448 $36,336 $47,424 +2% $34,887 +39% ≈137% of Medicare
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $48,272 $36,204 $39,644 +22% $33,137 +46% —
243 Permanent Cardiac Pacemaker Implant With Cc $48,241 $36,180 $50,543 −5% $50,011 −4% ≈98% of Medicare
907 Other O.R. Procedures For Injuries With McC $48,054 $36,040 $115,147 −58% $71,701 −33% —
283 Other Disorders Of The Liver,EXTREME $47,975 — $38,833 +24% $35,014 +37% —
473 Cervical Spinal Fusion Without Cc/McC $47,829 $35,872 $51,574 −7% $50,624 −6% —
137 Major Respiratory Infections And Inflammations,EXTREME $47,759 — $41,302 +16% $24,348 +96% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $47,642 $35,732 $49,929 −5% $43,538 +9% —
246 Gastrointestinal Vascular Insufficiency,MAJOR $47,634 — $63,750 −25% $33,983 +40% —
240 Digestive Malignancy,MAJOR $46,986 — $62,271 −25% $54,475 −14% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $46,890 $35,168 $47,123 −0% $49,197 −5% ≈126% of Medicare
227 Hernia Procedures Except Inguinal, Femoral And Umbilical,MAJOR $46,777 — $56,910 −18% $56,960 −18% —
091 Other Disorders Of Nervous System With McC $46,759 $35,070 $42,957 +9% $36,375 +29% ≈103% of Medicare
052 Alteration In Consciousness,MAJOR $46,569 — $62,877 −26% $30,940 +51% —
661 Coagulation And Platelet Disorders,EXTREME $46,463 — $27,493 +69% $24,022 +93% ≈264% of Medicare
120 Major Respiratory And Chest Procedures,MINOR $46,414 — $329,576 −86% $71,194 −35% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $46,355 $34,766 $76,545 −39% $51,142 −9% —
245 Inflammatory Bowel Disease,EXTREME $46,334 — $78,656 −41% $72,076 −36% —
164 Major Chest Procedures With Cc $46,269 $34,701 $70,456 −34% $53,141 −13% ≈115% of Medicare
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $46,256 $34,692 $84,300 −45% $62,821 −26% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $46,215 $34,661 $30,984 +49% $32,538 +42% —
272 Other Major Cardiovascular Procedures Without Cc/McC $46,062 $34,546 $99,774 −54% $55,162 −16% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $45,960 $34,470 $79,107 −42% $44,553 +3% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $45,844 $34,383 $40,736 +13% $41,900 +9% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $45,798 $34,348 $49,413 −7% $37,950 +21% ≈119% of Medicare
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $45,757 $34,317 $53,452 −14% $31,758 +44% ≈108% of Medicare
249 Other Gastroenteritis, Nausea And Vomiting,EXTREME $45,587 — $56,548 −19% $20,610 +121% —
232 Gastric Fundoplication,MINOR $45,438 — $191,080 −76% $106,238 −57% —
754 Malignancy, Female Reproductive System With McC $45,178 $33,883 $37,407 +21% $29,476 +53% —
167 Other Respiratory System O.R. Procedures With Cc $45,038 $33,778 $45,038 +0% $40,563 +11% —
963 Other Multiple Significant Trauma With McC $44,919 $33,690 $55,818 −20% $43,491 +3% —
143 Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,EXTREME $44,604 — $41,842 +7% $52,908 −16% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $44,464 $33,348 $53,347 −17% $38,094 +17% —
115 Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,MAJOR $43,929 — $33,359 +32% $24,879 +77% —
908 Other O.R. Procedures For Injuries With Cc $43,307 $32,480 $41,660 +4% $41,660 +4% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $42,868 $32,151 $45,490 −6% $35,237 +22% ≈116% of Medicare
615 Adrenal And Pituitary Procedures Without Cc/McC $42,740 $32,055 $42,740 +0% $31,812 +34% —
317 Tendon, Muscle And Other Soft Tissue Procedures,MINOR $42,545 — $108,855 −61% $94,988 −55% —
398 Appendix Procedures With Cc $42,478 $31,858 $58,925 −28% $39,107 +9% —
840 Lymphoma And Non-Acute Leukemia With McC $42,459 $31,844 $110,870 −62% $49,710 −15% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $42,186 $31,640 $55,905 −25% $48,094 −12% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $42,132 $31,599 $46,637 −10% $35,528 +19% —
165 Major Chest Procedures Without Cc/McC $42,132 $31,599 $99,425 −58% $41,380 +2% —
100 Seizures With McC $41,995 $31,496 $59,068 −29% $35,194 +19% ≈101% of Medicare
340 Fracture Of Femur,EXTREME $41,869 — $41,869 +0% $16,240 +158% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $41,668 $31,251 $49,074 −15% $35,714 +17% ≈116% of Medicare
444 Disorders Of The Biliary Tract With McC $41,644 $31,233 $45,187 −8% $31,128 +34% ≈115% of Medicare
377 Gastrointestinal Hemorrhage With McC $41,549 $31,161 $73,848 −44% $37,842 +10% ≈127% of Medicare
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $41,488 $31,116 $51,542 −20% $47,546 −13% —
707 Major Male Pelvic Procedures With Cc/McC $41,350 $31,012 $57,424 −28% $43,080 −4% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $41,213 $30,910 $30,396 +36% $22,032 +87% ≈111% of Medicare
056 Degenerative Nervous System Disorders With McC $40,948 $30,711 $50,817 −19% $39,409 +4% ≈181% of Medicare
069 Transient Ischemia Without Thrombolytic $40,869 $30,652 $26,630 +53% $20,278 +102% —
200 Cardiac Structural And Valvular Disorders,EXTREME $40,793 — $28,821 +42% $20,573 +98% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $40,755 $30,566 $39,987 +2% $31,978 +27% —
326 Elective Knee Joint Replacement,MINOR $40,740 — $102,442 −60% $80,747 −50% —
504 Foot Procedures With Cc $40,688 $30,516 $47,340 −14% $36,598 +11% —
357 Other Digestive System O.R. Procedures With Cc $40,678 $30,508 $62,825 −35% $48,682 −16% —
432 Cirrhosis And Alcoholic Hepatitis With McC $40,669 $30,502 $61,002 −33% $36,933 +10% ≈108% of Medicare
438 Disorders Of Pancreas Except Malignancy With McC $40,639 $30,479 $39,766 +2% $32,502 +25% ≈116% of Medicare
708 Major Male Pelvic Procedures Without Cc/McC $40,600 $30,450 $50,857 −20% $32,911 +23% —
850 Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Health Services,MINOR $40,574 — $65,076 −38% $121,563 −67% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $40,442 $30,332 $41,434 −2% $28,527 +42% —
353 Hernia Procedures Except Inguinal And Femoral With McC $40,396 $30,297 $80,597 −50% $60,140 −33% —
111 Vertigo And Other Labyrinth Disorders,MAJOR $40,388 — $35,725 +13% $32,376 +25% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $40,376 $30,282 $73,605 −45% $54,824 −26% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $40,334 $30,250 $40,558 −1% $23,723 +70% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $40,214 $30,161 $40,214 +0% $20,421 +97% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $40,172 $30,129 $126,137 −68% $80,885 −50% —
462 Nephritis And Nephrosis,MAJOR $40,050 — $46,966 −15% $56,758 −29% —
229 Other Digestive System And Abdominal Procedures,MINOR $39,775 — $101,978 −61% $65,325 −39% —
048 Peripheral, Cranial And Autonomic Nerve Disorders,MAJOR $39,647 — $39,647 +0% $31,203 +27% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $39,445 $29,584 $104,420 −62% $63,475 −38% —
815 Reticuloendothelial And Immunity Disorders With Cc $39,349 $29,511 $19,264 +104% $18,017 +118% —
374 Digestive Malignancy With McC $39,296 $29,472 $48,871 −20% $38,885 +1% ≈109% of Medicare
316 Hand And Wrist Procedures,MINOR $39,253 — $29,952 +31% $12,797 +207% —
484 Other Male Reproductive System And Related Procedures,MODERATE $39,142 — $75,312 −48% $23,289 +68% —
180 Respiratory Neoplasms With McC $39,122 $29,342 $62,915 −38% $36,658 +7% ≈114% of Medicare
723 Viral Illness,EXTREME $39,104 — $25,356 +54% $19,317 +102% —
315 Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement,MINOR $38,643 — $33,234 +16% $20,777 +86% ≈235% of Medicare
183 Major Chest Trauma With McC $38,398 $28,799 $38,398 +0% $28,924 +33% ≈103% of Medicare
885 Psychoses $38,271 $28,703 $37,862 +1% $21,489 +78% ≈267% of Medicare
314 Other Circulatory System Diagnoses With McC $37,947 $28,461 $56,626 −33% $38,357 −1% ≈117% of Medicare
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $37,745 $28,309 $37,745 +0% $36,334 +4% —
145 Acute Bronchitis And Related Symptoms,EXTREME $37,679 — $22,742 +66% $20,842 +81% —
054 Migraine And Other Headaches,MAJOR $37,637 — $29,723 +27% $29,484 +28% —
384 Uncomplicated Peptic Ulcer Without McC $37,468 $28,101 $26,571 +41% $19,305 +94% —
546 Connective Tissue Disorders With Cc $37,458 $28,094 $34,947 +7% $24,202 +55% ≈128% of Medicare
660 Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagulation,MAJOR $37,251 — $36,861 +1% $30,358 +23% ≈175% of Medicare
424 Other Endocrine Disorders,MAJOR $36,949 — $46,100 −20% $39,253 −6% —
073 Cranial And Peripheral Nerve Disorders With McC $36,947 $27,710 $31,038 +19% $28,252 +31% ≈101% of Medicare
964 Other Multiple Significant Trauma With Cc $36,898 $27,673 $36,898 +0% $25,854 +43% —
545 Connective Tissue Disorders With McC $36,885 $27,664 $87,782 −58% $39,657 −7% —
244 Diverticulitis And Diverticulosis,EXTREME $36,882 — $53,946 −32% $40,063 −8% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $36,824 $27,618 $29,454 +25% $24,544 +50% —
680 Major O.R. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms,MINOR $36,751 — $379,153 −90% $112,564 −67% —
136 Respiratory Malignancy,EXTREME $36,453 — $36,453 +0% $15,890 +129% —
663 Other Anemia And Disorders Of Blood And Blood-Forming Organs,MAJOR $36,440 — $33,704 +8% $29,924 +22% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $35,922 $26,942 $43,359 −17% $29,805 +21% —
551 Medical Back Problems With McC $35,658 $26,744 $47,497 −25% $31,086 +15% ≈115% of Medicare
046 Nonspecific Cva And Precerebral Occlusion Without Infarction,MAJOR $35,524 — $35,524 +0% $46,173 −23% —
067 Precerebral Occlusion Without Infarction With McC $35,296 $26,472 $33,770 +5% $24,941 +42% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $35,222 $26,416 $55,535 −37% $51,985 −32% —
902 Wound Debridements For Injuries With Cc $35,203 $26,402 $40,449 −13% $35,459 −1% —
421 Malnutrition, Failure To Thrive And Other Nutritional Disorders,EXTREME $34,909 — $35,770 −2% $36,333 −4% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $34,900 $26,175 $45,891 −24% $36,242 −4% —
177 Respiratory Infections And Inflammations With McC $34,842 $26,132 $44,001 −21% $31,840 +9% ≈113% of Medicare
123 Neurological Eye Disorders $34,816 $26,112 $29,012 +20% $17,831 +95% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $34,660 $25,995 $39,309 −12% $30,974 +12% —
753 Bipolar Disorders,MODERATE $34,651 — $48,423 −28% $34,651 +0% —
466 Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure,EXTREME $34,646 — $104,141 −67% $96,222 −64% —
113 Infections Of Upper Respiratory Tract,EXTREME $34,618 — $34,066 +2% $35,642 −3% —
196 Interstitial Lung Disease With McC $34,599 $25,949 $74,833 −54% $30,766 +12% ≈106% of Medicare
592 Skin Ulcers With McC $34,589 $25,942 $63,315 −45% $32,662 +6% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $34,551 $25,913 $59,507 −42% $41,520 −17% —
080 Nontraumatic Stupor And Coma With McC $34,517 $25,888 $53,136 −35% $35,139 −2% —
643 Endocrine Disorders With McC $34,425 $25,819 $38,745 −11% $32,996 +4% ≈120% of Medicare
291 Heart Failure And Shock With McC $34,407 $25,805 $38,049 −10% $25,020 +38% ≈118% of Medicare
814 Reticuloendothelial And Immunity Disorders With McC $34,387 $25,790 $30,026 +15% $32,483 +6% —
786 Cesarean Section Without Sterilization With McC $34,319 $25,739 $44,672 −23% $27,118 +27% —
399 Appendix Procedures Without Cc/McC $34,274 $25,705 $34,274 +0% $30,314 +13% —
614 Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition,MINOR $34,075 — $59,563 −43% $43,586 −22% —
751 Depressive Disorders,MODERATE $33,812 — $95,493 −65% $33,812 +0% —
070 Other Cerebrovascular Disorders With McC $33,652 $25,239 $30,222 +11% $30,814 +9% —
198 Angina Pectoris And Coronary Atherosclerosis,MAJOR $33,497 — $13,931 +140% $13,654 +145% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $33,389 $25,042 $35,752 −7% $20,741 +61% —
541 Vaginal Delivery With Sterilization And/Or D&C,MAJOR $33,355 — $22,109 +51% $14,549 +129% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $33,303 $24,978 $33,303 +0% $33,564 −1% —
783 Cesarean Section With Sterilization With McC $33,282 $24,962 $46,199 −28% $28,375 +17% —
132 Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period,MODERATE $33,181 — $33,181 — $23,289 +42% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $33,050 $24,788 $49,804 −34% $33,050 +0% —
199 Hypertension,MAJOR $33,013 — $50,186 −34% $31,491 +5% —
234 Appendectomy Without Complex Principal Diagnosis,MINOR $32,976 — $72,075 −54% $102,573 −68% —
637 Diabetes With McC $32,867 $24,650 $34,925 −6% $28,819 +14% ≈108% of Medicare
337 Peritoneal Adhesiolysis Without Cc/McC $32,765 $24,574 $42,284 −23% $36,239 −10% —
140 Chronic Obstructive Pulmonary Disease,EXTREME $32,695 — $58,085 −44% $60,098 −46% —
342 Fractures And Dislocations Except Femur, Pelvis And Back,MAJOR $32,670 — $32,056 +2% $19,454 +68% —
919 Complications Of Treatment With McC $32,657 $24,493 $30,988 +5% $29,031 +12% ≈103% of Medicare
433 Cirrhosis And Alcoholic Hepatitis With Cc $32,619 $24,464 $31,678 +3% $23,749 +37% —
542 Vaginal Delivery With O.R. Procedure Except Sterilization And/Or D&C,MAJOR $32,453 — $45,373 −28% $35,114 −8% ≈84% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $32,384 $24,288 $33,830 −4% $23,469 +38% ≈128% of Medicare
375 Digestive Malignancy With Cc $32,321 $24,241 $34,560 −6% $27,219 +19% ≈124% of Medicare
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $32,292 $24,219 $26,127 +24% $19,483 +66% —
787 Cesarean Section Without Sterilization With Cc $32,168 $24,126 $37,365 −14% $23,571 +36% —
756 Acute Anxiety And Stress Syndromes,MINOR $32,153 — $30,078 +7% $15,589 +106% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $32,087 $24,065 $47,659 −33% $35,375 −9% —
292 Heart Failure And Shock With Cc $31,999 $23,999 $32,219 −1% $16,212 +97% ≈115% of Medicare
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $31,934 $23,951 $30,328 +5% $29,211 +9% ≈134% of Medicare
043 Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MINOR $31,916 — $46,703 −32% $46,703 −32% —
595 Major Skin Disorders With McC $31,822 $23,867 $31,822 +0% $31,785 +0% —
306 Cardiac Congenital And Valvular Disorders With McC $31,784 $23,838 $37,396 −15% $24,450 +30% —
691 Lymphoma, Myeloma And Non-Acute Leukemia,EXTREME $31,703 — $132,914 −76% $31,905 −1% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $31,679 $23,759 $49,070 −35% $43,524 −27% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $31,648 $23,736 $29,856 +6% $20,080 +58% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $31,563 $23,673 $44,787 −30% $28,140 +12% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $31,547 $23,660 $35,117 −10% $21,449 +47% ≈122% of Medicare
393 Other Digestive System Diagnoses With McC $31,526 $23,644 $55,926 −44% $32,689 −4% ≈106% of Medicare
348 Anal And Stomal Procedures With Cc $31,393 $23,545 $27,156 +16% $27,947 +12% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $31,361 $23,521 $19,726 +59% $16,495 +90% —
669 Transurethral Procedures With Cc $31,218 $23,414 $47,142 −34% $34,354 −9% —
320 Other Musculoskeletal System And Connective Tissue Procedures,MINOR $31,193 — $34,848 −10% $36,080 −14% —
181 Respiratory Neoplasms With Cc $31,190 $23,392 $43,236 −28% $22,431 +39% —
682 Renal Failure With McC $31,184 $23,388 $33,856 −8% $27,854 +12% ≈111% of Medicare
345 Minor Small And Large Bowel Procedures With Cc $31,183 $23,388 $31,108 +0% $31,062 +0% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $31,149 $23,361 $32,595 −4% $29,757 +5% ≈120% of Medicare
693 Urinary Stones With McC $31,133 $23,349 $21,079 +48% $22,525 +38% —
344 Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,MAJOR $31,109 — $33,024 −6% $44,839 −31% —
157 Dental And Oral Diseases With McC $31,090 $23,317 $31,090 +0% $27,457 +13% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $30,994 $23,246 $23,198 +34% $15,636 +98% ≈18% of Medicare
553 Bone Diseases And Arthropathies With McC $30,945 $23,209 $33,365 −7% $23,956 +29% —
861 Signs, Symptoms And Other Factors Influencing Health Status,MAJOR $30,932 — $35,270 −12% $27,175 +14% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $30,861 $23,146 $66,702 −54% $32,399 −5% ≈114% of Medicare
917 Poisoning And Toxic Effects Of Drugs With McC $30,804 $23,103 $37,942 −19% $28,134 +9% ≈190% of Medicare
909 Other O.R. Procedures For Injuries Without Cc/McC $30,779 $23,084 $30,779 +0% $28,156 +9% —
225 Appendectomy,MINOR $30,681 — $58,835 −48% $57,380 −47% —
343 Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Malignancy,MAJOR $30,655 — $82,198 −63% $13,735 +123% —
883 Disorders Of Personality And Impulse Control $30,651 $22,988 $25,909 +18% $22,698 +35% —
892 Hiv With Major Hiv Related Condition,MODERATE $30,629 — $45,153 −32% $39,896 −23% —
977 Hiv With Or Without Other Related Condition $30,629 $22,972 $25,592 +20% $22,525 +36% —
083 Traumatic Stupor And Coma >1 Hour With Cc $30,432 $22,824 $44,298 −31% $24,118 +26% —
535 Fractures Of Hip And Pelvis With McC $30,401 $22,801 $27,850 +9% $23,350 +30% ≈158% of Medicare
788 Cesarean Section Without Sterilization Without Cc/McC $30,367 $22,775 $39,319 −23% $20,084 +51% —
425 Other Non-Hypovolemic Electrolyte Disorders,EXTREME $30,279 — $43,240 −30% $25,484 +19% —
686 Kidney And Urinary Tract Neoplasms With McC $30,231 $22,673 $36,025 −16% $32,981 −8% —
368 Major Esophageal Disorders With McC $30,007 $22,506 $30,937 −3% $33,607 −11% —
557 Tendonitis, Myositis And Bursitis With McC $29,940 $22,455 $37,596 −20% $28,646 +5% —
727 Inflammation Of The Male Reproductive System With McC $29,938 $22,454 $24,331 +23% $25,786 +16% —
446 Urethral And Transurethral Procedures,MAJOR $29,833 — $26,105 +14% $17,700 +69% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $29,758 $22,319 $42,842 −31% $31,909 −7% —
103 Headaches Without McC $29,724 $22,293 $26,347 +13% $20,111 +48% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $29,708 $22,281 $35,824 −17% $21,261 +40% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $29,664 $22,248 $81,454 −64% $54,129 −45% —
539 Cesarean Section With Sterilization,MAJOR $29,635 — $34,487 −14% $33,746 −12% —
698 Other Kidney And Urinary Tract Diagnoses With McC $29,537 $22,153 $38,521 −23% $30,058 −2% ≈112% of Medicare
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $29,413 $22,060 $36,902 −20% $27,244 +8% ≈109% of Medicare
882 Neuroses Except Depressive $29,391 $22,043 $28,253 +4% $15,680 +87% —
813 Coagulation Disorders $29,330 $21,998 $39,854 −26% $30,128 −3% ≈110% of Medicare
930 Multiple Significant Trauma Without O.R. Procedure,MODERATE $29,306 — $152,335 −81% $89,307 −67% —
233 Appendectomy With Complex Principal Diagnosis,MAJOR $29,288 — $113,568 −74% $138,868 −79% —
347 Other Back And Neck Disorders, Fractures And Injuries,EXTREME $29,243 — $47,241 −38% $40,548 −28% —
420 Diabetes,MAJOR $29,119 — $69,863 −58% $50,919 −43% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $29,106 $21,829 $52,949 −45% $38,878 −25% —
884 Organic Disturbances And Intellectual Disability $28,906 $21,679 $35,058 −18% $25,208 +15% ≈160% of Medicare
187 Pleural Effusion With Cc $28,858 $21,643 $29,485 −2% $21,467 +34% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $28,831 $21,623 $38,221 −25% $26,488 +9% ≈117% of Medicare
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $28,645 $21,484 $40,742 −30% $26,322 +9% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $28,640 $21,480 $30,616 −6% $24,465 +17% —
051 Viral Meningitis,MINOR $28,594 — $28,594 +0% $47,149 −39% —
139 Other Pneumonia,EXTREME $28,523 — $33,798 −16% $21,014 +36% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $28,509 $21,381 $28,509 +0% $23,496 +21% ≈114% of Medicare
841 Lymphoma And Non-Acute Leukemia With Cc $28,486 $21,364 $33,157 −14% $31,059 −8% —
190 Acute Myocardial Infarction,EXTREME $28,440 — $28,215 +1% $24,190 +18% ≈206% of Medicare
867 Other Infectious And Parasitic Diseases Diagnoses With McC $28,422 $21,316 $28,422 +0% $36,850 −23% —
915 Allergic Reactions With McC $28,400 $21,300 $48,588 −42% $30,944 −8% —
547 Antepartum With O.R. Procedure,MAJOR $28,357 — $26,755 +6% $14,861 +91% —
862 Postoperative And Post-Traumatic Infections With McC $28,254 $21,191 $49,084 −42% $30,394 −7% ≈117% of Medicare
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $28,180 $21,135 $38,300 −26% $36,202 −22% —
597 Malignant Breast Disorders With McC $28,138 $21,104 $33,763 −17% $31,846 −12% —
086 Traumatic Stupor And Coma <1 Hour With Cc $28,085 $21,064 $24,991 +12% $23,115 +22% —
687 Kidney And Urinary Tract Neoplasms With Cc $28,069 $21,052 $17,794 +58% $18,478 +52% —
178 Respiratory Infections And Inflammations With Cc $28,004 $21,003 $30,232 −7% $22,024 +27% ≈121% of Medicare
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $27,949 $20,962 $37,346 −25% $27,492 +2% —
158 Dental And Oral Diseases With Cc $27,943 $20,957 $25,343 +10% $17,700 +58% —
205 Other Respiratory System Diagnoses With McC $27,896 $20,922 $34,161 −18% $32,204 −13% ≈125% of Medicare
881 Depressive Neuroses $27,848 $20,886 $27,265 +2% $15,058 +85% —
774 Cocaine Abuse And Dependence,MAJOR $27,827 — $18,030 +54% $3,032 +818% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $27,827 $20,870 $27,067 +3% $30,275 −8% ≈144% of Medicare
811 Allergic Reactions,MAJOR $27,691 — $40,425 −32% $27,934 −1% ≈67% of Medicare
689 Kidney And Urinary Tract Infections With McC $27,539 $20,654 $29,341 −6% $22,982 +20% ≈117% of Medicare
784 Cesarean Section With Sterilization With Cc $27,403 $20,552 $44,275 −38% $22,560 +21% —
403 Procedures For Obesity,MINOR $27,291 — $46,170 −41% $50,645 −46% —
785 Cesarean Section With Sterilization Without Cc/McC $27,268 $20,451 $38,808 −30% $19,815 +38% —
068 Precerebral Occlusion Without Infarction Without McC $27,226 $20,419 $28,548 −5% $19,569 +39% —
865 Viral Illness With McC $27,218 $20,414 $25,367 +7% $26,088 +4% ≈112% of Medicare
755 Malignancy, Female Reproductive System With Cc $27,083 $20,312 $32,616 −17% $18,459 +47% —
349 Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure,EXTREME $27,028 — $31,173 −13% $19,854 +36% —
465 Urinary Stones And Acquired Upper Urinary Tract Obstruction,MAJOR $26,981 — $48,955 −45% $32,839 −18% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $26,893 $20,170 $27,359 −2% $21,545 +25% —
536 Fractures Of Hip And Pelvis Without McC $26,831 $20,123 $19,228 +40% $18,002 +49% ≈145% of Medicare
092 Other Disorders Of Nervous System With Cc $26,811 $20,109 $28,389 −6% $24,136 +11% ≈117% of Medicare
057 Degenerative Nervous System Disorders Without McC $26,637 $19,978 $30,200 −12% $25,426 +5% ≈13% of Medicare
602 Cellulitis With McC $26,545 $19,909 $26,545 +0% $29,347 −10% ≈118% of Medicare
184 Major Chest Trauma With Cc $26,462 $19,846 $38,785 −32% $20,842 +27% ≈114% of Medicare
388 Gastrointestinal Obstruction With McC $26,446 $19,835 $33,244 −20% $28,780 −8% ≈116% of Medicare
560 Vaginal Delivery,EXTREME $26,391 — $25,662 +3% $24,452 +8% —
299 Peripheral Vascular Disorders With McC $26,357 $19,768 $34,674 −24% $25,731 +2% ≈137% of Medicare
805 Vaginal Delivery Without Sterilization Or D&C With McC $26,351 $19,763 $25,601 +3% $15,370 +71% —
300 Peripheral Vascular Disorders With Cc $26,309 $19,732 $26,309 +0% $19,579 +34% ≈116% of Medicare
251 Abdominal Pain,MINOR $26,213 — $29,506 −11% $41,380 −37% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $26,184 $19,638 $21,175 +24% $17,103 +53% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $26,098 $19,573 $19,640 +33% $13,303 +96% —
505 Foot Procedures Without Cc/McC $25,997 $19,498 $31,716 −18% $31,716 −18% —
141 Asthma,EXTREME $25,854 — $62,274 −58% $34,900 −26% —
552 Medical Back Problems Without McC $25,708 $19,281 $28,869 −11% $21,213 +21% ≈118% of Medicare
149 Dysequilibrium $25,610 $19,207 $27,384 −6% $17,203 +49% ≈127% of Medicare
947 Signs And Symptoms With McC $25,540 $19,155 $23,334 +9% $25,474 +0% ≈14% of Medicare
445 Disorders Of The Biliary Tract With Cc $25,419 $19,064 $25,888 −2% $21,806 +17% ≈119% of Medicare
312 Syncope And Collapse $25,379 $19,035 $30,210 −16% $19,342 +31% ≈126% of Medicare
074 Cranial And Peripheral Nerve Disorders Without McC $25,282 $18,961 $30,058 −16% $23,141 +9% ≈113% of Medicare
102 Headaches With McC $25,270 $18,953 $26,994 −6% $22,544 +12% —
226 Anal And Perineal Procedures,MODERATE $25,227 — $58,750 −57% $72,618 −65% —
948 Signs And Symptoms Without McC $25,178 $18,884 $22,745 +11% $17,727 +42% ≈22% of Medicare
386 Inflammatory Bowel Disease With Cc $24,754 $18,566 $30,103 −18% $20,968 +18% —
186 Pleural Effusion With McC $24,715 $18,536 $50,379 −51% $32,468 −24% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $24,689 $18,517 $88,665 −72% $74,257 −67% —
638 Diabetes With Cc $24,683 $18,513 $25,396 −3% $18,821 +31% ≈128% of Medicare
279 Hepatic Coma And Other Major Acute Liver Disorders,MAJOR $24,652 — $72,604 −66% $57,277 −57% —
369 Major Esophageal Disorders With Cc $24,631 $18,474 $30,164 −18% $22,713 +8% —
378 Gastrointestinal Hemorrhage With Cc $24,494 $18,371 $28,960 −15% $21,886 +12% ≈110% of Medicare
311 Angina Pectoris $24,456 $18,342 $23,332 +5% $15,165 +61% —
193 Simple Pneumonia And Pleurisy With McC $24,454 $18,341 $30,935 −21% $26,158 −7% ≈117% of Medicare
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $24,441 $18,331 $24,441 +0% $16,642 +47% —
189 Pulmonary Edema And Respiratory Failure $24,369 $18,276 $30,023 −19% $25,704 −5% ≈111% of Medicare
101 Seizures Without McC $24,308 $18,231 $25,967 −6% $19,954 +22% ≈112% of Medicare
721 Post-Operative, Post-Traumatic, Other Device Infections,EXTREME $24,289 — $121,318 −80% $51,822 −53% —
920 Complications Of Treatment With Cc $24,211 $18,158 $24,464 −1% $21,181 +14% ≈108% of Medicare
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $24,203 $18,152 $32,069 −25% $24,017 +1% —
228 Inguinal, Femoral And Umbilical Hernia Procedures,MINOR $24,136 — $111,645 −78% $96,905 −75% —
422 Hypovolemia And Related Electrolyte Disorders,EXTREME $24,132 — $41,154 −41% $25,152 −4% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $24,110 $18,083 $25,199 −4% $13,090 +84% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $24,099 $18,074 $31,432 −23% $22,781 +6% ≈124% of Medicare
593 Skin Ulcers With Cc $24,045 $18,034 $24,443 −2% $20,470 +17% —
439 Disorders Of Pancreas Except Malignancy With Cc $24,035 $18,026 $24,615 −2% $19,096 +26% ≈124% of Medicare
644 Endocrine Disorders With Cc $24,020 $18,015 $23,795 +1% $22,941 +5% ≈119% of Medicare
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $24,011 $18,009 $20,446 +17% $18,803 +28% ≈138% of Medicare
385 Other Skin, Subcutaneous Tissue And Breast Disorders,MAJOR $23,449 — $42,912 −45% $26,020 −10% —
607 Minor Skin Disorders Without McC $23,449 $17,587 $17,326 +35% $15,284 +53% —
606 Minor Skin Disorders With McC $23,429 $17,572 $36,596 −36% $25,434 −8% —
071 Other Cerebrovascular Disorders With Cc $23,424 $17,568 $27,569 −15% $23,396 +0% —
197 Peripheral And Other Vascular Disorders,MAJOR $23,385 — $28,997 −19% $20,106 +16% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $23,359 $17,519 $20,835 +12% $17,715 +32% —
303 Atherosclerosis Without McC $23,303 $17,477 $19,555 +19% $14,927 +56% ≈126% of Medicare
376 Digestive Malignancy Without Cc/McC $23,117 $17,338 $30,386 −24% $15,608 +48% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $22,869 $17,152 $27,141 −16% $22,850 +0% ≈109% of Medicare
201 Cardiac Arrhythmia And Conduction Disorders,EXTREME $22,747 — $22,393 +2% $13,081 +74% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $22,590 $16,943 $27,552 −18% $19,287 +17% ≈128% of Medicare
185 Major Chest Trauma Without Cc/McC $22,558 $16,918 $23,266 −3% $15,858 +42% —
775 Alcohol Abuse And Dependence,MAJOR $22,535 — $48,312 −53% $3,242 +595% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $22,471 $16,854 $23,775 −5% $12,044 +87% —
133 Respiratory Failure,EXTREME $22,341 — $78,023 −71% $23,289 −4% —
261 Major Biliary Tract Procedures,MINOR $22,322 — $31,882 −30% $42,126 −47% —
055 Head Trauma With Coma > 1 Hour Or Hemorrhage,MINOR $22,264 — $46,998 −53% $19,868 +12% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $22,264 $16,698 $22,264 +0% $18,191 +22% —
264 Other Circulatory System O.R. Procedures $22,219 $16,664 $126,573 −82% $51,953 −57% —
728 Inflammation Of The Male Reproductive System Without McC $22,119 $16,589 $22,607 −2% $16,837 +31% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $22,047 $16,535 $24,613 −10% $20,732 +6% ≈127% of Medicare
598 Malignant Breast Disorders With Cc $21,953 $16,465 $21,820 +1% $19,073 +15% —
125 Other Disorders Of The Eye Without McC $21,703 $16,277 $21,703 +0% $15,876 +37% —
387 Inflammatory Bowel Disease Without Cc/McC $21,658 $16,244 $22,284 −3% $14,880 +46% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $21,612 $16,209 $29,524 −27% $16,776 +29% ≈139% of Medicare
176 Pulmonary Embolism Without McC $21,425 $16,069 $23,201 −8% $18,081 +18% ≈127% of Medicare
554 Bone Diseases And Arthropathies Without McC $21,371 $16,028 $21,371 +0% $18,253 +17% ≈139% of Medicare
305 Hypertension Without McC $20,972 $15,729 $27,277 −23% $17,144 +22% ≈126% of Medicare
690 Kidney And Urinary Tract Infections Without McC $20,971 $15,728 $20,057 +5% $17,466 +20% ≈133% of Medicare
460 Renal Failure,MAJOR $20,776 — $42,725 −51% $50,815 −59% ≈46% of Medicare
463 Kidney And Urinary Tract Infections,EXTREME $20,728 — $97,708 −79% $78,582 −74% —
683 Renal Failure With Cc $20,703 $15,527 $22,859 −9% $18,620 +11% ≈128% of Medicare
394 Other Digestive System Diagnoses With Cc $20,635 $15,476 $20,933 −1% $18,918 +9% ≈112% of Medicare
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $20,525 $15,394 $22,318 −8% $22,231 −8% —
621 Neonate Birth Weight 2000-2499 Grams With Major Anomaly,MAJOR $20,427 — $36,546 −44% $32,451 −37% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $20,223 $15,168 $30,879 −35% $16,352 +24% —
558 Tendonitis, Myositis And Bursitis Without McC $20,186 $15,139 $20,722 −3% $17,367 +16% —
223 Other Small And Large Bowel Procedures,MAJOR $20,160 — $102,526 −80% $59,206 −66% —
603 Cellulitis Without McC $20,068 $15,051 $22,028 −9% $18,530 +8% ≈121% of Medicare
609 Neonate Birth Weight 1500-2499 Grams With Major Procedure,MAJOR $19,964 — $420,476 — $1,256,233 −98% —
642 Inborn And Other Disorders Of Metabolism $19,743 $14,807 $32,388 −39% $20,727 −5% —
179 Respiratory Infections And Inflammations Without Cc/McC $19,717 $14,788 $19,357 +2% $14,444 +37% ≈136% of Medicare
887 Other Mental Disorder Diagnoses $19,596 $14,697 $22,486 −13% $20,602 −5% —
534 Fractures Of Femur Without McC $19,442 $14,581 $19,835 −2% $17,195 +13% —
152 Otitis Media And Uri With McC $19,294 $14,470 $21,877 −12% $19,795 −3% —
566 Antepartum Without O.R. Procedure,MAJOR $19,115 — $23,784 −20% $14,337 +33% —
866 Viral Illness Without McC $19,047 $14,285 $16,391 +16% $16,391 +16% —
864 Fever And Inflammatory Conditions $18,948 $14,211 $19,050 −1% $17,412 +9% —
916 Allergic Reactions Without McC $18,927 $14,195 $19,120 −1% $13,890 +36% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $18,802 $14,102 $12,537 +50% $12,537 +50% —
114 Dental Diseases And Disorders,EXTREME $18,711 — $32,560 −43% $19,598 −5% —
364 Other Skin, Subcutaneous Tissue And Related Procedures,MINOR $18,608 — $58,021 −68% $46,852 −60% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $18,561 $13,921 $20,762 −11% $16,865 +10% ≈134% of Medicare
906 Hand Procedures For Injuries $18,512 $13,884 $76,080 −76% $31,520 −41% —
191 Chronic Obstructive Pulmonary Disease With Cc $18,272 $13,704 $24,337 −25% $18,278 −0% ≈121% of Medicare
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $18,129 $13,597 $18,223 −1% $16,049 +13% ≈17% of Medicare
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $17,953 $13,465 $22,699 −21% $17,322 +4% ≈119% of Medicare
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $17,873 $13,405 $15,989 +12% $15,070 +19% —
206 Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure,EXTREME $17,789 — $23,694 −25% $17,731 +0% ≈300% of Medicare
093 Other Disorders Of Nervous System Without Cc/McC $17,618 $13,213 $26,380 −33% $17,522 +1% —
532 Menstrual And Other Female Reproductive System Disorders,MINOR $17,567 — $35,610 −51% $23,165 −24% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $17,525 $13,144 $19,426 −10% $16,745 +5% ≈127% of Medicare
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $17,316 $12,987 $15,105 +15% $12,895 +34% —
395 Other Digestive System Diagnoses Without Cc/McC $17,248 $12,936 $19,448 −11% $14,128 +22% —
389 Gastrointestinal Obstruction With Cc $17,239 $12,929 $21,314 −19% $17,388 −1% ≈125% of Medicare
142 Interstitial And Alveolar Lung Diseases,MAJOR $16,989 — $43,415 −61% $34,906 −51% —
645 Endocrine Disorders Without Cc/McC $16,741 $12,556 $17,001 −2% $14,166 +18% —
151 Epistaxis Without McC $16,721 $12,540 $15,523 +8% $13,032 +28% —
379 Gastrointestinal Hemorrhage Without Cc/McC $16,623 $12,467 $17,819 −7% $14,134 +18% —
247 Intestinal Obstruction,MINOR $16,612 — $51,475 −68% $21,663 −23% —
082 Eye Infections And Other Eye Disorders,MINOR $16,504 — $24,039 −31% $36,237 −54% —
623 Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection,MODERATE $16,397 — $33,563 −51% $33,165 −51% —
581 Neonate, Transferred < 5 Days Old, Born Here,EXTREME $16,321 — $21,873 −25% $25,243 −35% —
530 Female Reproductive System Malignancy,EXTREME $16,295 — $121,731 −87% $47,318 −66% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $16,269 $12,202 $18,257 −11% $13,198 +23% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $16,228 $12,171 $17,312 −6% $14,368 +13% —
918 Poisoning And Toxic Effects Of Drugs Without McC $16,044 $12,033 $25,057 −36% $15,045 +7% —
694 Urinary Stones Without McC $16,009 $12,006 $21,826 −27% $16,531 −3% ≈126% of Medicare
684 Renal Failure Without Cc/McC $15,953 $11,965 $14,411 +11% $13,623 +17% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $15,908 $11,931 $23,534 −32% $17,550 −9% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $15,766 $11,825 $15,766 +0% $15,869 −1% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $15,760 $11,820 $24,176 −35% $18,282 −14% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $15,666 $11,750 $32,462 −52% $37,080 −58% —
202 Bronchitis And Asthma With Cc/McC $15,626 $11,719 $22,179 −30% $17,273 −10% ≈114% of Medicare
390 Gastrointestinal Obstruction Without Cc/McC $15,485 $11,614 $15,214 +2% $13,318 +16% ≈158% of Medicare
894 Alcohol, Drug Abuse Or Dependence, Left Ama $15,166 $11,374 $15,166 +0% $12,013 +26% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $15,042 $11,281 $19,064 −21% $16,104 −7% —
531 Female Reproductive System Infections,MAJOR $14,881 — $35,748 −58% $37,084 −60% —
596 Major Skin Disorders Without McC $14,504 $10,878 $16,618 −13% $17,226 −16% —
726 Benign Prostatic Hypertrophy Without McC $14,432 $10,824 $17,878 −19% $13,892 +4% —
254 Other Digestive System Diagnoses,EXTREME $14,360 — $66,690 −78% $38,836 −63% —
293 Heart Failure And Shock Without Cc/McC $14,222 $10,666 $11,263 +26% $11,955 +19% —
921 Complications Of Treatment Without Cc/McC $13,895 $10,421 $13,895 +0% $14,012 −1% —
381 Major Skin Disorders,MINOR $13,824 — $26,583 −48% $24,177 −43% —
626 Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR $13,474 — $27,279 −51% $27,279 −51% —
138 Bronchiolitis And Rsv Pneumonia,EXTREME $13,401 — $25,835 −48% $17,383 −23% —
153 Otitis Media And Uri Without McC $13,158 $9,869 $15,085 −13% $14,473 −9% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $12,931 $9,699 $12,412 +4% $13,824 −6% ≈136% of Medicare
159 Dental And Oral Diseases Without Cc/McC $12,725 $9,544 $18,805 −32% $13,368 −5% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $12,712 $9,534 $15,422 −18% $18,133 −30% —
662 Sickle Cell Anemia Crisis,MINOR $12,623 — $33,179 −62% $54,483 −77% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $12,401 $9,300 $12,856 −4% $9,076 +37% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $12,194 $9,145 $14,426 −15% $12,381 −2% —
634 Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,EXTREME $12,079 — $122,806 −90% $37,527 −68% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $11,964 $8,973 $14,632 −18% $16,571 −28% —
188 Pleural Effusion Without Cc/McC $11,818 $8,863 $23,124 −49% $14,110 −16% —
380 Skin Ulcers,MAJOR $11,186 — $31,769 −65% $36,641 −69% —
949 Aftercare With Cc/McC $10,821 $8,115 $23,784 −55% $23,953 −55% —
722 Fever And Inflammatory Conditions,MAJOR $10,626 — $59,282 −82% $29,826 −64% —
203 Bronchitis And Asthma Without Cc/McC $10,559 $7,919 $12,571 −16% $12,279 −14% —
144 Respiratory Signs, Symptoms And Miscellaneous Diagnoses,MINOR $10,554 — $45,483 −77% $29,558 −64% —
561 Postpartum And Post Abortion Diagnoses Without Procedure,EXTREME $9,617 — $16,648 −42% $18,150 −47% —
640 Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,MAJOR $8,798 — $16,271 −46% $24,480 −64% ≈33% of Medicare
696 Other Chemotherapy,MODERATE $5,393 — $13,092 −59% $14,441 −63% —
794 Neonate With Other Significant Problems $4,990 $3,742 $10,882 −54% $7,961 −37% —
639 Neonate Birth Weight > 2499 Grams With Other Significant Condition,MAJOR $4,347 — $17,217 −75% $13,910 −69% —