Southcoast Hospitals Group — Pricing

700 procedures published in this hospital's Machine-Readable File (MRF) — 700 with a comparable price, 0 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 700
Lowest published price $1,455
Average published price $74,799
Highest published price $2,695,534

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 700 procedures

Published charges

Showing all 700 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 193 procedures, this hospital's negotiated rates average ≈142% of what Medicare pays.

DRG Description Published price Cash price vs. MA median vs. National median vs Medicare
009 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)-EXTREME $2,695,534 $1,347,767 $1,102,517 +144% $487,874 +453% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $956,549 $103,678 $467,237 +105% $245,241 +290% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $894,192 $447,096 $894,192 +0% $431,073 +107% —
161 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT-MODERATE $443,051 $89,274 $1,181,300 −62% $1,181,300 −62% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $408,671 $168,611 $340,077 +20% $191,314 +114% —
162 CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS-MAJOR $371,965 $130,575 $554,548 −33% $371,965 +0% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $362,255 $181,127 $362,255 +0% $171,338 +111% —
222 OTHER STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES-MODERATE $361,688 $22,413 $88,995 +306% $86,864 +316% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $352,997 $5,662 $55,165 +540% $14,064 +2410% —
710 PENIS PROCEDURES WITHOUT CC/MCC $350,745 $19,062 $54,233 +547% $23,814 +1373% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $347,831 $43,248 $99,425 +250% $41,380 +741% ≈438% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $324,903 $133,188 $111,445 +192% $92,515 +251% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $314,210 $157,105 $415,326 −24% $175,437 +79% —
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS-EXTREME $303,691 $151,845 $148,219 +105% $57,033 +432% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $303,691 $151,845 $60,208 +404% $46,402 +554% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $287,544 $131,811 $375,261 −23% $371,366 −23% —
163 MAJOR CHEST PROCEDURES WITH MCC $279,340 $59,682 $138,484 +102% $88,341 +216% ≈166% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $278,994 $16,063 $111,645 +150% $96,905 +188% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $268,725 $23,101 $45,038 +497% $40,563 +562% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $266,375 $35,361 $101,032 +164% $74,274 +259% ≈141% of Medicare
951 OTHER FACTORS INFLUENCING HEALTH STATUS $265,030 $2,457 $11,477 +2209% $9,385 +2724% ≈293% of Medicare
950 AFTERCARE WITHOUT CC/MCC $262,286 $2,171 $18,592 +1311% $13,527 +1839% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $256,619 $15,395 $101,978 +152% $65,325 +293% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $254,567 $80,614 $171,958 +48% $78,852 +223% ≈143% of Medicare
231 CORONARY BYPASS WITH PTCA WITH MCC $253,736 $28,099 $245,091 +4% $146,474 +73% —
169 MAJOR ABDOMINAL VASCULAR PROCEDURES-EXTREME $245,765 $18,377 $324,024 −24% $128,246 +92% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $244,842 $122,421 $258,275 −5% $121,714 +101% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $242,781 $112,203 $242,781 +0% $143,242 +69% ≈118% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $242,372 $16,068 $43,236 +461% $22,431 +981% ≈226% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $242,313 $115,933 $242,313 +0% $131,961 +84% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $241,202 $18,921 $126,573 +91% $51,953 +364% ≈147% of Medicare
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $241,202 $7,402 $69,863 +245% $50,919 +374% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $240,074 $52,765 $223,096 +8% $118,589 +102% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $237,846 $118,923 $191,080 +24% $106,238 +124% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $229,734 $12,319 $113,568 +102% $138,868 +65% ≈124% of Medicare
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $226,908 $27,041 $110,046 +106% $90,331 +151% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $221,133 $110,566 $26,403 +738% $44,053 +402% —
628 OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $220,834 $57,519 $100,247 +120% $68,006 +225% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $218,509 — $104,141 +110% $96,222 +127% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $218,186 $10,122 $108,855 +100% $94,988 +130% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $217,438 $10,732 $38,221 +469% $26,488 +721% ≈171% of Medicare
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $214,781 $30,741 $70,432 +205% $72,782 +195% ≈171% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $214,114 $6,361 $97,708 +119% $78,582 +172% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $213,976 $12,775 $72,075 +197% $102,573 +109% ≈127% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $210,521 $7,253 $19,357 +988% $14,444 +1358% ≈200% of Medicare
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $206,275 $82,244 $189,055 +9% $117,280 +76% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $205,202 $14,668 $32,595 +530% $29,757 +590% ≈235% of Medicare
021 OPEN CRANIOTOMY EXCEPT TRAUMA-MAJOR $202,518 $33,870 $159,308 +27% $101,235 +100% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $201,632 $16,914 $85,107 +137% $64,776 +211% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $201,632 $100,816 $61,946 +225% $41,703 +383% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $196,892 $6,726 $53,946 +265% $40,063 +391% ≈120% of Medicare
834 ACUTE LEUKEMIA WITH MCC $195,267 $8,702 $166,477 +17% $76,583 +155% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $192,603 $23,339 $181,335 +6% $102,177 +88% ≈120% of Medicare
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $189,408 $94,704 $189,408 +0% $75,585 +151% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $187,083 $83,593 $145,523 +29% $91,329 +105% —
176 PULMONARY EMBOLISM WITHOUT MCC $186,489 $7,741 $23,201 +704% $18,081 +931% ≈150% of Medicare
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $184,342 $78,538 $140,507 +31% $112,062 +65% ≈143% of Medicare
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI-MAJOR $183,426 $36,191 $183,426 +0% $74,377 +147% —
130 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS-EXTREME $182,000 $27,296 $258,639 −30% $23,289 +681% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $181,242 $5,883 $72,604 +150% $57,277 +216% —
183 MAJOR CHEST TRAUMA WITH MCC $179,086 $14,551 $38,398 +366% $28,924 +519% ≈220% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $178,437 $18,486 $34,848 +412% $36,080 +395% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $175,987 $80,463 $112,278 +57% $71,014 +148% ≈128% of Medicare
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $175,335 $79,240 $91,441 +92% $68,399 +156% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $173,829 $12,740 $30,232 +475% $22,024 +689% ≈149% of Medicare
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $171,526 $68,948 $114,244 +50% $84,861 +102% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $167,306 $83,653 $167,306 +0% $114,914 +46% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $166,295 $4,962 $30,969 +437% $20,488 +712% ≈138% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $165,445 $15,127 $29,625 +458% $34,852 +375% —
180 RESPIRATORY NEOPLASMS WITH MCC $163,608 $19,509 $62,915 +160% $36,658 +346% ≈166% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $162,332 $19,659 $53,452 +204% $31,758 +411% ≈133% of Medicare
263 VEIN LIGATION AND STRIPPING $162,154 $11,996 $79,784 +103% $44,938 +261% —
230 MAJOR SMALL BOWEL PROCEDURES-EXTREME $161,429 $13,415 $161,429 +0% $88,720 +82% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $160,390 $60,436 $154,050 +4% $99,423 +61% ≈122% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $159,782 $44,928 $99,774 +60% $55,162 +190% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $158,862 $76,048 $108,834 +46% $83,065 +91% ≈140% of Medicare
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $158,698 — $98,523 +61% $116,058 +37% ≈60% of Medicare
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $156,088 $61,009 $193,112 −19% $138,008 +13% ≈133% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $155,381 $4,985 $57,720 +169% $36,097 +330% —
799 SPLENIC PROCEDURES WITH MCC $154,208 $77,104 $106,066 +45% $78,821 +96% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $148,704 $71,138 $181,960 −18% $113,855 +31% ≈126% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $147,781 $72,475 $115,978 +27% $82,247 +80% ≈136% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $146,354 $28,524 $109,731 +33% $88,049 +66% ≈122% of Medicare
775 ALCOHOL ABUSE AND DEPENDENCE-MINOR $146,277 $3,758 $48,312 +203% $3,242 +4412% —
252 OTHER VASCULAR PROCEDURES WITH MCC $140,355 $7,117 $110,822 +27% $68,508 +105% ≈121% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $139,848 $69,924 $110,523 +27% $54,196 +158% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $139,381 $69,655 $142,116 −2% $92,217 +51% ≈127% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $137,989 $11,094 $139,305 −1% $72,011 +92% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $137,200 $4,177 $66,690 +106% $38,836 +253% ≈139% of Medicare
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $136,712 $20,004 $79,107 +73% $44,553 +207% —
142 INTERSTITIAL AND ALVEOLAR LUNG DISEASES-EXTREME $135,370 $11,832 $43,415 +212% $34,906 +288% —
134 PULMONARY EMBOLISM-MINOR $134,444 $6,123 $106,143 +27% $23,289 +477% —
327 STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $131,313 $35,729 $73,605 +78% $54,824 +140% —
614 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION-MINOR $131,293 $14,407 $59,563 +120% $43,586 +201% —
280 ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC $129,860 $2,884 $61,087 +113% $28,967 +348% ≈139% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $129,436 $8,192 $33,924 +282% $18,291 +608% —
653 MAJOR BLADDER PROCEDURES WITH MCC $129,327 $64,664 $58,133 +122% $97,046 +33% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $129,111 $30,974 $109,195 +18% $66,819 +93% ≈133% of Medicare
326 STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $129,049 $28,726 $102,442 +26% $80,747 +60% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $128,919 $44,815 $125,454 +3% $82,561 +56% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $127,502 $61,320 $102,516 +24% $88,050 +45% ≈137% of Medicare
770 ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY $127,017 $5,175 $30,874 +311% $17,943 +608% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $126,694 $53,114 $160,394 −21% $87,565 +45% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $126,503 $26,463 $93,081 +36% $53,551 +136% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA-EXTREME $125,840 $62,920 $74,437 +69% $40,065 +214% —
362 MASTECTOMY PROCEDURES-MODERATE $125,230 $62,615 $131,425 −5% $122,668 +2% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $123,775 $9,518 $61,202 +102% $54,929 +125% —
120 MAJOR RESPIRATORY AND CHEST PROCEDURES-EXTREME $123,675 $12,060 $329,576 −62% $71,194 +74% —
956 LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $121,312 $14,526 $123,570 −2% $75,103 +62% ≈134% of Medicare
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $121,111 $57,649 $127,941 −5% $87,018 +39% ≈124% of Medicare
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $120,670 $45,332 $57,769 +109% $53,555 +125% —
245 AICD GENERATOR PROCEDURES $120,168 — $78,656 +53% $72,076 +67% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $118,259 $59,129 $52,653 +125% $68,847 +72% —
197 INTERSTITIAL LUNG DISEASE WITH CC $118,195 $3,090 $28,997 +308% $20,106 +488% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $117,421 $27,064 $62,825 +87% $48,682 +141% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $117,344 $20,871 $112,601 +4% $86,390 +36% ≈139% of Medicare
593 SKIN ULCERS WITH CC $117,115 $15,401 $24,443 +379% $20,470 +472% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC $115,939 $57,970 $124,458 −7% $107,355 +8% —
612 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION-MODERATE $114,438 $57,219 $309,804 −63% $249,205 −54% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $112,515 $39,433 $116,723 −4% $68,880 +63% ≈148% of Medicare
721 POST-OPERATIVE- POST-TRAUMATIC- OTHER DEVICE INFECTIONS-EXTREME $111,301 $4,764 $121,318 −8% $51,822 +115% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $111,055 $55,528 $107,968 +3% $71,755 +55% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $110,200 $4,971 $27,143 +306% $16,719 +559% —
115 OTHER EAR- NOSE- MOUTH- THROAT AND CRANIAL OR FACIAL DIAGNOSES-MODERATE $108,476 $9,064 $33,359 +225% $24,879 +336% —
150 EPISTAXIS WITH MCC $108,476 $54,238 $30,050 +261% $21,133 +413% —
305 HYPERTENSION WITHOUT MCC $106,227 $5,184 $27,277 +289% $17,144 +520% ≈195% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $105,462 $38,332 $105,462 +0% $81,998 +29% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $104,743 $47,431 $54,636 +92% $37,654 +178% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $103,173 $46,572 $88,671 +16% $51,339 +101% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $103,116 $33,503 $109,383 −6% $72,908 +41% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $102,733 $42,363 $114,417 −10% $106,778 −4% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $102,398 $51,199 $110,657 −7% $57,149 +79% —
265 AICD LEAD PROCEDURES $99,823 $49,912 $125,402 −20% $56,695 +76% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $99,618 — $113,227 −12% $121,728 −18% —
613 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION-MODERATE $99,071 $49,536 $99,071 — $245,258 −60% —
040 PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $98,778 $49,389 $88,665 +11% $74,257 +33% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $98,754 $10,557 $82,443 +20% $70,132 +41% ≈117% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $97,591 $21,426 $92,514 +5% $64,465 +51% —
011 TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $97,344 $48,672 $156,447 −38% $86,953 +12% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $97,248 $48,624 $102,456 −5% $88,307 +10% ≈132% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $97,075 $24,091 $55,535 +75% $51,985 +87% ≈128% of Medicare
557 TENDONITIS- MYOSITIS AND BURSITIS WITH MCC $96,758 $9,286 $37,596 +157% $28,646 +238% ≈124% of Medicare
282 ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC $96,675 $4,323 $50,418 +92% $18,623 +419% ≈259% of Medicare
028 SPINAL PROCEDURES WITH MCC $95,695 $47,848 $188,164 −49% $95,858 −0% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $95,041 $14,644 $95,816 −1% $63,984 +49% ≈126% of Medicare
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY-MODERATE $94,646 $2,004 $156,546 −40% $31,241 +203% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $93,823 $6,214 $62,271 +51% $54,475 +72% —
500 SOFT TISSUE PROCEDURES WITH MCC $92,840 $17,467 $83,283 +11% $57,479 +62% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $92,821 $46,410 $35,305 +163% $23,920 +288% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $92,246 $31,870 $126,137 −27% $80,885 +14% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION-MODERATE $92,239 $7,799 $95,856 −4% $77,914 +18% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $91,617 $2,035 $74,833 +22% $30,766 +198% ≈128% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $91,006 $10,070 $27,493 +231% $24,022 +279% ≈169% of Medicare
304 HYPERTENSION WITH MCC $90,913 $9,091 $54,990 +65% $24,185 +276% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $90,913 $43,504 $90,913 +0% $75,492 +20% —
952 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS-MODERATE $90,841 $28,367 $79,794 +14% $50,048 +82% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $90,560 $41,392 $90,560 +0% $65,573 +38% ≈136% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $88,660 $37,235 $68,993 +29% $59,537 +49% ≈139% of Medicare
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $88,488 $43,779 $81,491 +9% $65,216 +36% —
680 MAJOR O.R. PROCEDURES FOR LYMPHATIC- HEMATOPOIETIC OR OTHER NEOPLASMS-MINOR $88,040 $27,658 $379,153 −77% $112,564 −22% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS-MAJOR $87,994 $5,090 $69,865 +26% $47,150 +87% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $87,871 $43,674 $80,488 +9% $54,772 +60% ≈136% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $87,643 $7,332 $17,592 +398% $13,485 +550% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $87,371 $43,685 $72,793 +20% $46,066 +90% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $86,610 $27,530 $96,252 −10% $98,912 −12% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $86,526 $29,579 $65,411 +32% $49,631 +74% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $86,373 $42,402 $52,286 +65% $58,832 +47% ≈139% of Medicare
224 PERITONEAL ADHESIOLYSIS-MAJOR $86,231 $12,723 $83,329 +3% $80,427 +7% —
164 MAJOR CHEST PROCEDURES WITH CC $85,343 $33,025 $70,456 +21% $53,141 +61% ≈134% of Medicare
709 PENIS PROCEDURES WITH CC/MCC $85,310 $42,655 $38,128 +124% $34,535 +147% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $85,307 $8,252 $29,506 +189% $41,380 +106% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $85,299 $40,226 $82,301 +4% $67,901 +26% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $84,965 $7,315 $22,854 +272% $18,204 +367% ≈193% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $84,400 $33,870 $103,110 −18% $52,332 +61% —
724 OTHER INFECTIOUS & PARASITIC DISEASES-MAJOR $84,385 $5,279 $30,437 +177% $12,650 +567% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $84,379 $5,482 $25,165 +235% $15,607 +441% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $84,177 $27,438 $55,818 +51% $43,491 +94% —
514 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES-MODERATE $83,939 $41,969 $29,856 +181% $20,080 +318% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $83,939 $41,969 $34,985 +140% $24,980 +236% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $83,091 $41,546 $51,542 +61% $47,546 +75% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $82,724 $15,980 $31,108 +166% $31,062 +166% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $82,660 $8,537 $17,312 +377% $14,368 +475% ≈293% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $82,612 $5,337 $96,027 −14% $53,746 +54% ≈128% of Medicare
171 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI- HEART FAILURE OR SHOCK-MODERATE $82,174 $32,415 $226,177 −64% $82,174 +0% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $81,476 $40,738 $71,319 +14% $25,149 +224% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $80,639 $27,418 $50,817 +59% $39,409 +105% ≈136% of Medicare
030 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES-MODERATE $80,103 $16,783 $65,735 +22% $45,818 +75% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $79,918 $39,959 $121,455 −34% $96,192 −17% —
946 REHABILITATION WITHOUT CC/MCC $79,884 $15,001 $11,537 +592% $17,685 +352% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $79,701 $23,042 $36,546 +118% $32,451 +146% ≈147% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $79,556 $39,778 $92,869 −14% $76,954 +3% —
137 MOUTH PROCEDURES WITH CC/MCC $79,383 $5,641 $41,302 +92% $24,348 +226% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $79,375 $39,687 $127,452 −38% $64,956 +22% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $79,345 $38,219 $167,007 −52% $88,691 −11% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $78,771 $27,854 $47,766 +65% $33,694 +134% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $78,752 $7,316 $20,762 +279% $16,865 +367% ≈193% of Medicare
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $78,684 $4,032 $78,684 +0% $65,254 +21% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $78,320 $5,474 $23,523 +233% $11,633 +573% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $77,671 $38,777 $51,574 +51% $50,624 +53% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $77,629 $13,796 $30,935 +151% $26,158 +197% ≈145% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $77,090 $16,628 $44,001 +75% $31,840 +142% ≈144% of Medicare
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC $76,658 $38,329 $110,169 −30% $70,540 +9% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $76,545 $38,273 $76,545 +0% $51,142 +50% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $76,266 $38,133 $58,942 +29% $45,497 +68% —
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE-MODERATE $75,281 $7,236 $58,085 +30% $60,098 +25% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $74,546 $6,423 $28,215 +164% $24,190 +208% ≈160% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $74,440 $15,705 $40,425 +84% $27,934 +166% ≈132% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $73,625 $6,273 $61,562 +20% $29,609 +149% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $73,346 $31,789 $66,355 +11% $46,430 +58% ≈133% of Medicare
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $72,865 $36,432 $83,912 −13% $57,521 +27% —
561 AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $72,858 $3,051 $16,648 +338% $18,150 +301% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $72,585 $4,310 $46,100 +57% $39,253 +85% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $71,755 $9,820 $53,136 +35% $35,139 +104% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $71,614 $5,485 $22,026 +225% $20,007 +258% ≈212% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $71,523 $35,762 $32,453 +120% $27,168 +163% —
397 APPENDIX PROCEDURES WITH MCC $71,309 $35,655 $67,471 +6% $52,319 +36% —
284 ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC $70,654 $4,360 $18,718 +277% $13,282 +432% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC $70,602 $32,637 $64,849 +9% $56,394 +25% ≈150% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $70,475 $35,238 $74,306 −5% $45,622 +54% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $70,306 $13,291 $50,543 +39% $50,011 +41% ≈133% of Medicare
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $69,904 $34,952 $103,271 −32% $72,945 −4% ≈134% of Medicare
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $69,856 $28,218 $77,209 −10% $50,139 +39% —
061 ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $68,561 $34,281 $103,152 −34% $57,963 +18% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $67,659 $24,172 $49,374 +37% $35,453 +91% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $67,516 $6,421 $20,474 +230% $13,384 +404% ≈266% of Medicare
913 TRAUMATIC INJURY WITH MCC $67,304 $33,652 $52,236 +29% $24,198 +178% —
511 SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH CC $67,166 $31,721 $49,929 +35% $43,538 +54% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $67,124 $21,741 $98,196 −32% $62,961 +7% —
639 DIABETES WITHOUT CC/MCC $66,843 $2,349 $17,217 +288% $13,910 +381% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $66,168 $24,932 $47,424 +40% $34,887 +90% ≈160% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $65,756 $29,354 $67,622 −3% $56,519 +16% ≈135% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $65,748 $5,541 $47,899 +37% $33,792 +95% —
584 BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $65,717 $32,858 $49,178 +34% $34,089 +93% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $65,248 $8,013 $26,893 +143% $15,600 +318% —
850 PROCEDURE WITH DIAGNOSIS OF REHABILITATION- AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES-MAJOR $65,076 $32,538 $65,076 +0% $121,563 −46% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $64,411 $2,544 $26,755 +141% $14,861 +333% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $63,842 $19,193 $66,702 −4% $32,399 +97% ≈150% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $63,842 $31,921 $63,842 +0% $53,868 +19% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $63,783 $24,477 $122,470 −48% $72,859 −12% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $63,749 $28,050 $102,200 −38% $67,764 −6% ≈122% of Medicare
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $63,567 $24,792 $81,908 −22% $48,907 +30% —
024 OPEN EXTRACRANIAL VASCULAR PROCEDURES-MINOR $63,485 $19,049 $114,406 −45% $74,755 −15% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $63,359 $31,209 $127,374 −50% $62,269 +2% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $63,232 $30,659 $46,541 +36% $44,117 +43% ≈136% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $62,790 $29,576 $62,790 +0% $52,313 +20% ≈132% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $62,102 $27,173 $86,333 −28% $52,405 +19% ≈137% of Medicare
302 ATHEROSCLEROSIS WITH MCC $62,091 $6,854 $18,292 +239% $20,844 +198% —
313 CHEST PAIN $62,077 $5,656 $23,897 +160% $15,962 +289% ≈168% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC $61,851 $30,111 $60,676 +2% $45,963 +35% ≈147% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $61,773 $5,887 $47,123 +31% $49,197 +26% ≈132% of Medicare
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $61,223 $28,386 $61,151 +0% $40,694 +50% ≈143% of Medicare
041 PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $60,890 $11,002 $55,121 +10% $44,989 +35% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $60,823 $26,934 $85,905 −29% $51,172 +19% ≈138% of Medicare
328 STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $60,584 $21,209 $47,659 +27% $35,375 +71% —
426 NON-HYPOVOLEMIC SODIUM DISORDERS-MINOR $60,536 — $55,535 +9% $142,326 −57% —
800 SPLENIC PROCEDURES WITH CC $60,286 $27,782 $89,665 −33% $49,184 +23% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $59,777 $4,716 $35,117 +70% $21,449 +179% ≈195% of Medicare
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $59,483 $19,621 $31,882 +87% $42,126 +41% ≈139% of Medicare
722 FEVER AND INFLAMMATORY CONDITIONS-MAJOR $59,282 $10,207 $59,282 +0% $29,826 +99% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $58,806 $29,403 $57,016 +3% $40,552 +45% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $58,324 $5,663 $46,998 +24% $19,868 +194% —
062 ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $57,981 $14,370 $86,737 −33% $48,680 +19% —
336 PERITONEAL ADHESIOLYSIS WITH CC $57,938 $25,006 $49,470 +17% $49,470 +17% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $57,923 $22,351 $97,920 −41% $65,383 −11% ≈117% of Medicare
893 HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS-MAJOR $57,577 $28,789 $120,962 −52% $49,110 +17% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $57,222 $5,641 $57,222 +0% $37,902 +51% —
227 HERNIA PROCEDURES EXCEPT INGUINAL- FEMORAL AND UMBILICAL-MINOR $56,861 $19,770 $56,910 −0% $56,960 −0% —
579 OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $56,634 $28,317 $81,454 −30% $54,129 +5% —
133 RESPIRATORY FAILURE-MAJOR $55,903 $6,764 $78,023 −28% $23,289 +140% —
405 PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC $55,646 $27,823 $116,863 −52% $94,927 −41% —
484 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES-MODERATE $55,368 $16,283 $75,312 −26% $23,289 +138% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $55,316 $27,658 $37,110 +49% $35,584 +55% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $54,882 $23,592 $56,578 −3% $36,280 +51% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $54,657 $27,329 $54,657 +0% $38,420 +42% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $54,530 $27,265 $43,359 +26% $29,805 +83% —
361 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES-MINOR $54,521 $14,167 $56,071 −3% $79,921 −32% —
043 MULTIPLE SCLEROSIS- OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES-MINOR $54,173 $13,108 $46,703 +16% $46,703 +16% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $54,031 $10,413 $26,105 +107% $17,700 +205% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $53,233 $26,617 $62,193 −14% $33,984 +57% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $53,218 $14,462 $27,141 +96% $22,850 +133% ≈139% of Medicare
581 OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $53,189 $1,455 $21,873 +143% $25,243 +111% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $53,090 $26,248 $53,090 +0% $45,817 +16% —
999 UNGROUPABLE $52,847 $26,424 $46,384 +14% $28,822 +83% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $52,709 $9,056 $38,741 +36% $26,146 +102% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $52,419 $2,171 $49,084 +7% $30,394 +72% —
204 RESPIRATORY SIGNS AND SYMPTOMS $52,336 $4,705 $25,544 +105% $16,866 +210% —
136 RESPIRATORY MALIGNANCY-MAJOR $52,310 $10,028 $36,453 +43% $15,890 +229% —
860 REHABILITATION-MAJOR $52,160 $14,649 $52,160 — $265 +19620% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $51,996 $25,998 $54,587 −5% $29,050 +79% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $51,920 $17,693 $61,002 −15% $36,933 +41% ≈135% of Medicare
247 INTESTINAL OBSTRUCTION-MAJOR $51,739 $5,344 $51,475 +1% $21,663 +139% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $51,703 $18,109 $57,424 −10% $43,080 +20% —
114 DENTAL & ORAL DISEASES & INJURIES-MINOR $51,523 $5,398 $32,560 +58% $19,598 +163% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $51,487 $25,744 $46,659 +10% $46,659 +10% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $51,454 $25,727 $24,771 +108% $27,548 +87% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $51,247 $25,624 $115,147 −55% $71,701 −29% —
049 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM-MODERATE $51,059 $25,530 $66,578 −23% $120,000 −57% —
374 DIGESTIVE MALIGNANCY WITH MCC $50,637 $23,389 $48,871 +4% $38,885 +30% ≈134% of Medicare
694 URINARY STONES WITHOUT MCC $50,526 $6,104 $21,826 +131% $16,531 +206% —
559 AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $50,395 $24,875 $39,309 +28% $30,974 +63% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $50,292 $20,608 $39,644 +27% $33,137 +52% —
744 D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $50,292 $25,146 $49,804 +1% $33,050 +52% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $50,266 $25,029 $53,437 −6% $42,119 +19% ≈141% of Medicare
283 ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC $50,010 $4,932 $38,833 +29% $35,014 +43% —
286 CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC $49,155 $23,648 $69,258 −29% $44,600 +10% ≈135% of Medicare
147 EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC $48,932 $24,466 $26,496 +85% $21,860 +124% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $48,854 $14,916 $30,200 +62% $25,426 +92% ≈151% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $48,627 $9,662 $60,388 −19% $37,975 +28% ≈133% of Medicare
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $48,347 $24,173 $42,842 +13% $31,909 +52% —
947 SIGNS AND SYMPTOMS WITH MCC $48,337 $17,657 $23,334 +107% $25,474 +90% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $48,183 $24,091 $46,637 +3% $35,528 +36% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $48,048 $4,845 $15,595 +208% $18,428 +161% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $47,914 $23,957 $34,309 +40% $25,666 +87% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $47,829 $23,915 $45,209 +6% $43,266 +11% —
050 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS-MAJOR $47,646 $7,017 $83,337 −43% $97,974 −51% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $47,630 $22,662 $52,575 −9% $40,583 +17% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $47,567 $21,278 $33,244 +43% $28,780 +65% ≈147% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $46,988 $23,494 $56,455 −17% $35,770 +31% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $46,926 $21,071 $73,848 −36% $37,842 +24% ≈134% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $46,820 $23,410 $42,284 +11% $36,239 +29% —
773 OPIOID ABUSE AND DEPENDENCE-MAJOR $46,659 $9,287 $87,384 −47% $87,384 −47% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $46,607 $3,571 $29,723 +57% $29,484 +58% ≈151% of Medicare
444 DISORDERS OF THE BILIARY TRACT WITH MCC $46,495 $12,963 $45,187 +3% $31,128 +49% ≈143% of Medicare
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $46,297 $23,148 $246,663 −81% $109,331 −58% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $46,255 $4,691 $44,490 +4% $39,747 +16% ≈146% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $46,213 $14,138 $47,463 −3% $43,775 +6% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $46,208 $22,237 $55,905 −17% $48,094 −4% ≈128% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $46,173 $21,675 $39,987 +15% $31,978 +44% —
403 PROCEDURES FOR OBESITY-MINOR $46,170 $19,551 $46,170 +0% $50,645 −9% —
580 OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $45,891 $22,437 $45,891 +0% $36,242 +27% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $45,811 $22,906 $80,121 −43% $57,855 −21% —
311 ANGINA PECTORIS $45,803 $10,337 $23,332 +96% $15,165 +202% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $45,673 $12,284 $42,957 +6% $36,375 +26% ≈125% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $45,553 $22,776 $39,421 +16% $32,936 +38% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $45,536 $22,768 $47,440 −4% $47,583 −4% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $45,335 $22,667 $57,308 −21% $35,673 +27% —
551 MEDICAL BACK PROBLEMS WITH MCC $45,158 $16,933 $47,497 −5% $31,086 +45% ≈136% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $45,110 $22,555 $61,067 −26% $45,432 −1% —
691 LYMPHOMA- MYELOMA AND NON-ACUTE LEUKEMIA-MAJOR $44,920 $6,721 $132,914 −66% $31,905 +41% —
143 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS- SYMPTOMS AND MISCELLANEOUS DIAGNOSES-MAJOR $44,723 $2,947 $41,842 +7% $52,908 −15% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE $44,678 $22,339 $100,048 −55% $80,018 −44% —
945 REHABILITATION WITH CC/MCC $44,676 $22,169 $18,208 +145% $23,834 +87% —
139 OTHER PNEUMONIA-MAJOR $44,247 $7,711 $33,798 +31% $21,014 +111% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $44,230 $22,115 $80,597 −45% $60,140 −26% —
560 AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $44,092 $6,289 $25,662 +72% $24,452 +80% —
144 OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC $43,825 $4,230 $45,483 −4% $29,558 +48% —
138 BRONCHIOLITIS & RSV PNEUMONIA-EXTREME $43,640 $9,638 $25,835 +69% $17,383 +151% —
364 OTHER SKIN- SUBCUTANEOUS TISSUE AND RELATED PROCEDURES-MINOR $43,554 $3,232 $58,021 −25% $46,852 −7% —
570 SKIN DEBRIDEMENT WITH MCC $43,538 $15,211 $75,932 −43% $52,435 −17% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $43,358 $4,641 $24,386 +78% $16,634 +161% —
597 MALIGNANT BREAST DISORDERS WITH MCC $43,358 $21,679 $33,763 +28% $31,846 +36% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $43,065 $21,532 $49,070 −12% $43,524 −1% ≈135% of Medicare
668 TRANSURETHRAL PROCEDURES WITH MCC $43,017 $21,509 $59,814 −28% $47,277 −9% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $42,805 $12,004 $88,458 −52% $54,313 −21% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $42,684 $21,342 $35,824 +19% $21,261 +101% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $42,489 $18,097 $55,926 −24% $32,689 +30% ≈128% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $42,426 $11,123 $41,434 +2% $28,527 +49% —
919 COMPLICATIONS OF TREATMENT WITH MCC $42,390 $12,127 $30,988 +37% $29,031 +46% ≈127% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $42,263 $4,845 $36,861 +15% $30,358 +39% ≈156% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $42,059 $18,458 $37,396 +12% $24,450 +72% —
223 OTHER SMALL AND LARGE BOWEL PROCEDURES-MINOR $42,018 $7,797 $102,526 −59% $59,206 −29% —
571 SKIN DEBRIDEMENT WITH CC $41,981 $20,991 $42,097 −0% $34,901 +20% —
063 ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $41,889 $20,944 $48,043 −13% $35,542 +18% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $41,617 $9,423 $24,337 +71% $18,278 +128% ≈184% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $41,608 $20,804 $41,608 +0% $38,382 +8% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $41,586 $11,264 $56,626 −27% $38,357 +8% ≈130% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $41,495 $17,547 $41,495 +0% $39,563 +5% —
605 TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $41,384 $16,345 $27,552 +50% $19,287 +115% ≈157% of Medicare
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $41,122 $20,561 $84,300 −51% $62,821 −35% —
102 HEADACHES WITH MCC $41,105 $13,005 $26,994 +52% $22,544 +82% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $40,883 $6,449 $45,373 −10% $35,114 +16% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $40,742 $20,371 $40,742 +0% $26,322 +55% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $40,736 $13,148 $40,736 +0% $41,900 −3% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $40,581 $20,291 $36,025 +13% $32,981 +23% —
398 APPENDIX PROCEDURES WITH CC $40,472 $19,543 $58,925 −31% $39,107 +3% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $40,449 $20,224 $40,449 +0% $35,459 +14% —
651 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS-MINOR $40,393 $20,196 $309,984 −87% $56,242 −28% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $40,367 $20,184 $87,683 −54% $60,861 −34% —
548 POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE-MODERATE $40,250 $20,125 $44,494 −10% $31,019 +30% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $40,250 $20,125 $26,808 +50% $24,561 +64% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $40,059 $20,030 $70,455 −43% $66,853 −40% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $40,017 $18,140 $45,490 −12% $35,237 +14% ≈136% of Medicare
681 OTHER O.R. PROCEDURES FOR LYMPHATIC- HEMATOPOIETIC OR OTHER NEOPLASMS-MAJOR $39,935 $13,488 $416,514 −90% $80,278 −50% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $39,935 $19,967 $126,391 −68% $53,817 −26% —
813 COAGULATION DISORDERS $39,854 $5,208 $39,854 +0% $30,128 +32% ≈121% of Medicare
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $39,753 $19,876 $62,815 −37% $46,591 −15% —
625 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION-MINOR $39,738 $15,491 $94,789 −58% $58,968 −33% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $39,659 $5,200 $19,264 +106% $18,017 +120% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $39,499 $19,750 $59,507 −34% $41,520 −5% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $39,404 $13,347 $30,058 +31% $23,141 +70% ≈143% of Medicare
592 SKIN ULCERS WITH MCC $39,248 $13,456 $63,315 −38% $32,662 +20% —
896 ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $39,138 $13,654 $27,067 +45% $30,275 +29% ≈131% of Medicare
391 ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $39,012 $13,620 $36,902 +6% $27,244 +43% ≈142% of Medicare
186 PLEURAL EFFUSION WITH MCC $38,907 $16,719 $50,379 −23% $32,468 +20% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $38,800 $6,426 $29,952 +30% $12,797 +203% —
225 APPENDECTOMY-MODERATE $38,788 $15,146 $58,835 −34% $57,380 −32% —
042 PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $38,687 $7,486 $58,283 −34% $39,018 −1% —
693 URINARY STONES WITH MCC $38,631 $12,035 $21,079 +83% $22,525 +72% —
044 INTRACRANIAL HEMORRHAGE-MAJOR $38,622 $7,520 $80,084 −52% $85,065 −55% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $38,381 $5,266 $30,085 +28% $26,634 +44% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $38,366 $17,999 $42,638 −10% $25,267 +52% ≈160% of Medicare
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $38,129 $10,445 $49,413 −23% $37,950 +0% ≈131% of Medicare
513 HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $38,103 $12,139 $51,582 −26% $33,424 +14% —
349 MALFUNCTION- REACTION- COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE-MINOR $38,019 $11,179 $31,173 +22% $19,854 +91% —
885 PSYCHOSES $37,862 $14,267 $37,862 +0% $21,489 +76% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $37,656 $16,103 $41,660 −10% $41,660 −10% —
540 OSTEOMYELITIS WITH CC $37,645 $8,611 $33,331 +13% $23,494 +60% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $37,602 $18,801 $46,908 −20% $33,490 +12% —
723 MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC $37,559 $7,032 $25,356 +48% $19,317 +94% —
512 SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $37,536 $18,768 $39,065 −4% $35,692 +5% —
663 MINOR BLADDER PROCEDURES WITH CC $37,530 $4,857 $33,704 +11% $29,924 +25% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $37,462 $13,335 $33,365 +12% $23,956 +56% —
922 OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $37,377 $18,689 $41,036 −9% $29,409 +27% —
048 PERIPHERAL- CRANIAL AND AUTONOMIC NERVE DISORDERS-MODERATE $37,336 $10,003 $39,647 −6% $31,203 +20% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $37,104 $15,994 $38,521 −4% $30,058 +23% ≈138% of Medicare
113 INFECTIONS OF UPPER RESPIRATORY TRACT-MINOR $36,805 $3,828 $34,066 +8% $35,642 +3% —
460 RENAL FAILURE-EXTREME $36,756 $17,286 $42,725 −14% $50,815 −28% ≈116% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $36,632 $13,445 $30,984 +18% $32,538 +13% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $36,580 $17,928 $37,942 −4% $28,134 +30% ≈136% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $36,135 $3,895 $23,694 +53% $17,731 +104% ≈146% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $36,126 $17,189 $32,617 +11% $29,109 +24% —
226 ANAL AND PERINEAL PROCEDURES-MAJOR $36,126 $18,063 $58,750 −39% $72,618 −50% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $36,120 $15,852 $34,274 +5% $30,314 +19% —
682 RENAL FAILURE WITH MCC $36,045 $13,330 $33,856 +6% $27,854 +29% ≈142% of Medicare
461 KIDNEY & URINARY TRACT MALIGNANCY-MAJOR $35,882 $11,022 $82,458 −56% $108,472 −67% —
110 EAR- NOSE- MOUTH- THROAT AND CRANIAL OR FACIAL MALIGNANCIES-MAJOR $35,880 $13,865 $88,772 −60% $126,895 −72% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $35,664 $10,560 $18,880 +89% $18,608 +92% —
532 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS-MODERATE $35,610 $8,399 $35,610 +0% $23,165 +54% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $35,482 $17,741 $63,124 −44% $32,490 +9% —
643 ENDOCRINE DISORDERS WITH MCC $35,398 $12,456 $38,745 −9% $32,996 +7% ≈148% of Medicare
539 OSTEOMYELITIS WITH MCC $35,385 $8,987 $34,487 +3% $33,746 +5% —
380 COMPLICATED PEPTIC ULCER WITH MCC $35,369 $8,898 $31,769 +11% $36,641 −3% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $35,026 $9,856 $110,870 −68% $49,710 −30% ≈139% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $34,580 $6,651 $45,245 −24% $37,064 −7% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $34,251 $17,125 $31,565 +9% $25,162 +36% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $34,131 $15,099 $28,960 +18% $21,886 +56% ≈142% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $33,831 $16,915 $113,914 −70% $64,152 −47% —
949 AFTERCARE WITH CC/MCC $33,722 $15,621 $23,784 +42% $23,953 +41% —
296 CARDIAC ARREST- UNEXPLAINED WITH MCC $33,706 $16,830 $53,528 −37% $30,910 +9% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $33,689 $14,633 $25,888 +30% $21,806 +54% ≈149% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $33,501 $10,086 $25,057 +34% $15,045 +123% ≈153% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $33,441 $16,266 $53,347 −37% $38,094 −12% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $33,229 $6,034 $17,001 +95% $14,166 +135% —
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS-MINOR $33,193 $6,066 $35,748 −7% $37,084 −10% —
758 INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC $33,193 $12,776 $27,094 +23% $19,091 +74% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $32,897 $8,104 $95,511 −66% $62,524 −47% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $32,739 $9,093 $39,587 −17% $24,229 +35% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $32,648 $16,324 $39,766 −18% $32,502 +0% ≈127% of Medicare
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $32,164 $16,082 $38,439 −16% $39,093 −18% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $32,098 $14,469 $50,857 −37% $32,911 −2% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $32,041 $16,020 $86,329 −63% $55,097 −42% —
287 CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC $31,972 $15,815 $58,123 −45% $31,190 +3% ≈145% of Medicare
629 OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $31,965 $15,594 $54,533 −41% $45,059 −29% —
312 SYNCOPE AND COLLAPSE $31,774 $9,472 $30,210 +5% $19,342 +64% ≈167% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $31,774 $8,759 $48,955 −35% $32,839 −3% —
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS-MODERATE $31,754 $5,449 $58,755 −46% $34,146 −7% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $31,663 $15,278 $37,745 −16% $36,334 −13% ≈123% of Medicare
626 NEONATE BIRTH WEIGHT 2000-2499 GRAMS- NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM-MAJOR $31,568 $2,584 $27,279 +16% $27,279 +16% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $31,558 $15,779 $31,558 +0% $29,371 +7% —
697 URETHRAL STRICTURE $31,554 $15,777 $22,523 +40% $17,705 +78% —
149 DYSEQUILIBRIUM $31,492 $13,182 $27,384 +15% $17,203 +83% ≈165% of Medicare
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $31,390 $15,695 $29,234 +7% $30,006 +5% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $31,209 $4,917 $44,298 −30% $24,118 +29% ≈141% of Medicare
637 DIABETES WITH MCC $31,154 $12,718 $34,925 −11% $28,819 +8% ≈128% of Medicare
199 PNEUMOTHORAX WITH MCC $31,143 $6,924 $50,186 −38% $31,491 −1% —
665 PROSTATECTOMY WITH MCC $30,949 $15,474 $39,785 −22% $54,072 −43% —
154 OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC $30,616 $13,734 $30,616 +0% $24,465 +25% —
343 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG-MAJOR $30,536 $5,137 $82,198 −63% $13,735 +122% —
640 MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC $30,485 $2,199 $16,271 +87% $24,480 +25% ≈90% of Medicare
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $30,185 $15,092 $31,038 −3% $28,252 +7% —
598 MALIGNANT BREAST DISORDERS WITH CC $30,110 $7,246 $21,820 +38% $19,073 +58% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $30,033 $2,394 $3,060 +881% $12,593 +138% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $29,919 $10,443 $42,912 −30% $26,020 +15% —
865 VIRAL ILLNESS WITH MCC $29,910 $14,955 $25,367 +18% $26,088 +15% —
344 OSTEOMYELITIS- SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS-MAJOR $29,908 $5,162 $33,024 −9% $44,839 −33% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $29,843 $8,143 $47,241 −37% $40,548 −26% —
089 CONCUSSION WITH CC $29,832 $14,916 $23,825 +25% $18,293 +63% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $29,773 $14,886 $41,129 −28% $49,065 −39% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $29,728 $14,864 $21,703 +37% $15,876 +87% —
375 DIGESTIVE MALIGNANCY WITH CC $29,658 $13,633 $34,560 −14% $27,219 +9% ≈143% of Medicare
754 MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC $29,636 $14,818 $37,407 −21% $29,476 +1% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $29,532 $12,354 $30,396 −3% $22,032 +34% ≈155% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $29,506 $14,726 $49,074 −40% $35,714 −17% ≈145% of Medicare
281 ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC $29,410 $10,391 $28,630 +3% $20,463 +44% ≈205% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $29,326 $12,743 $26,630 +10% $20,278 +45% ≈158% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $29,317 $14,658 $33,065 −11% $21,029 +39% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,316 $14,658 $30,937 −5% $33,607 −13% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $29,294 $10,267 $37,365 −22% $23,571 +24% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $29,265 $14,633 $34,161 −14% $32,204 −9% ≈130% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $29,240 $11,890 $47,142 −38% $34,354 −15% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $28,972 $14,486 $44,056 −34% $27,321 +6% —
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS-MINOR $28,899 $5,230 $43,240 −33% $25,484 +13% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $28,711 $14,355 $39,705 −28% $27,369 +5% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $28,567 $14,284 $17,819 +60% $14,134 +102% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $28,334 $14,167 $35,498 −20% $28,578 −1% —
604 TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC $28,279 $14,140 $44,787 −37% $28,140 +0% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $28,182 $14,091 $27,359 +3% $21,545 +31% ≈149% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $28,156 $9,835 $26,583 +6% $24,177 +16% ≈145% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,075 $12,608 $66,392 −58% $42,881 −35% ≈139% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $28,054 $1,665 $23,784 +18% $14,337 +96% —
541 OSTEOMYELITIS WITHOUT CC/MCC $27,986 $8,225 $22,109 +27% $14,549 +92% —
662 MINOR BLADDER PROCEDURES WITH MCC $27,756 $7,757 $33,179 −16% $54,483 −49% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $27,745 $13,872 $30,779 −10% $28,156 −1% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,734 $11,174 $33,563 −17% $33,165 −16% —
146 EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC $27,730 $13,865 $32,462 −15% $37,080 −25% —
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE-MODERATE $27,721 $13,860 $152,335 −82% $89,307 −69% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $27,721 $10,336 $36,898 −25% $25,854 +7% —
602 CELLULITIS WITH MCC $27,641 $13,163 $26,545 +4% $29,347 −6% ≈137% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $27,614 $8,273 $35,058 −21% $25,208 +10% ≈132% of Medicare
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $27,499 $13,750 $35,465 −22% $31,816 −14% —
156 OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $27,376 $13,688 $18,257 +50% $13,198 +107% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $27,350 $13,675 $15,891 +72% $17,928 +53% —
861 SIGNS- SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS-MODERATE $27,175 $3,615 $35,270 −23% $27,175 +0% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $27,086 $10,501 $30,164 −10% $22,713 +19% —
291 HEART FAILURE AND SHOCK WITH MCC $27,043 $11,566 $38,049 −29% $25,020 +8% ≈138% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $26,879 $6,905 $28,422 −5% $36,850 −27% —
916 ALLERGIC REACTIONS WITHOUT MCC $26,840 $7,156 $19,120 +40% $13,890 +93% ≈164% of Medicare
103 HEADACHES WITHOUT MCC $26,759 $10,106 $26,347 +2% $20,111 +33% —
052 ALTERATION IN CONSCIOUSNESS-EXTREME $26,617 $5,916 $62,877 −58% $30,940 −14% —
562 FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH WITH MCC $26,601 $13,300 $30,328 −12% $29,211 −9% ≈139% of Medicare
201 PNEUMOTHORAX WITHOUT CC/MCC $26,559 $3,804 $22,393 +19% $13,081 +103% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $26,536 $13,268 $26,536 +0% $29,729 −11% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $26,498 $7,181 $24,039 +10% $36,237 −27% ≈113% of Medicare
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $26,471 $12,570 $14,197 +86% $22,532 +17% —
249 OTHER GASTROENTERITIS- NAUSEA AND VOMITING-MINOR $26,431 $4,694 $56,548 −53% $20,610 +28% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $26,414 $13,207 $33,303 −21% $33,564 −21% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $26,401 $11,357 $30,023 −12% $25,704 +3% ≈141% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $26,306 $13,153 $30,386 −13% $15,608 +69% —
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR- PELVIS AND BACK-MAJOR $26,253 $13,127 $32,056 −18% $19,454 +35% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $26,242 $11,431 $31,678 −17% $23,749 +10% ≈142% of Medicare
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $26,233 $13,116 $35,752 −27% $20,741 +26% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $25,923 $12,961 $30,026 −14% $32,483 −20% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $25,899 $4,372 $40,756 −36% $20,309 +28% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $25,826 $11,411 $33,157 −22% $31,059 −17% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $25,768 $11,234 $24,613 +5% $20,732 +24% ≈144% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $25,740 $7,173 $32,069 −20% $24,017 +7% —
100 SEIZURES WITH MCC $25,708 $8,224 $59,068 −56% $35,194 −27% ≈127% of Medicare
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $25,603 $12,802 $55,362 −54% $46,477 −45% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $25,506 $10,666 $29,341 −13% $22,982 +11% ≈145% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $25,471 $10,075 $27,850 −9% $23,350 +9% ≈141% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $25,410 $12,705 $24,331 +4% $25,786 −1% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $25,310 $12,655 $19,359 +31% $24,316 +4% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $25,176 $12,588 $25,219 −0% $15,077 +67% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $25,085 $12,543 $32,388 −23% $20,727 +21% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $24,991 $12,496 $24,991 +0% $23,115 +8% ≈154% of Medicare
111 VERTIGO AND OTHER LABYRINTH DISORDERS-MINOR $24,883 $12,441 $35,725 −30% $32,376 −23% —
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION-MINOR $24,674 $5,668 $122,806 −80% $37,527 −34% —
636 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION-MINOR $24,594 $12,297 $59,755 — $59,860 −59% —
666 PROSTATECTOMY WITH CC $24,412 $12,206 $57,243 −57% $30,016 −19% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $24,329 $10,918 $20,933 +16% $18,918 +29% ≈143% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $24,221 $8,351 $25,601 −5% $15,370 +58% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $24,146 $9,980 $34,947 −31% $24,202 −0% —
756 ACUTE ANXIETY AND DELIRIUM STATES-MINOR $23,948 $11,974 $30,078 −20% $15,589 +54% —
774 COCAINE ABUSE AND DEPENDENCE-MAJOR $23,792 $9,860 $18,030 +32% $3,032 +685% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $23,604 $11,802 $18,155 +30% $16,654 +42% —
422 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS-MAJOR $23,561 $3,906 $41,154 −43% $25,152 −6% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $23,558 $10,951 $31,432 −25% $22,781 +3% ≈147% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $23,519 $10,117 $22,745 +3% $17,727 +33% ≈158% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $23,453 $9,644 $30,222 −22% $30,814 −24% ≈125% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $23,445 $11,405 $28,389 −17% $24,136 −3% ≈155% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $23,441 $6,638 $28,509 −18% $23,496 −0% ≈133% of Medicare
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $23,392 $8,590 $40,214 −42% $20,421 +15% —
297 CARDIAC ARREST- UNEXPLAINED WITH CC $23,360 $11,680 $9,799 +138% $12,336 +89% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $23,139 $11,570 $44,672 −48% $27,118 −15% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $23,051 $10,742 $22,318 +3% $22,231 +4% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $23,047 $11,524 $23,534 −2% $17,550 +31% —
638 DIABETES WITH CC $22,872 $9,895 $25,396 −10% $18,821 +22% ≈145% of Medicare
563 FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH WITHOUT MCC $22,815 $9,935 $20,446 +12% $18,803 +21% ≈158% of Medicare
157 DENTAL AND ORAL DISEASES WITH MCC $22,666 $11,333 $31,090 −27% $27,457 −17% —
882 NEUROSES EXCEPT DEPRESSIVE $22,632 $11,316 $28,253 −20% $15,680 +44% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $22,541 $10,702 $33,830 −33% $23,469 −4% ≈148% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $22,529 $11,264 $31,716 −29% $31,716 −29% —
141 ASTHMA-MINOR $22,523 $5,358 $62,274 −64% $34,900 −35% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,509 $11,254 $87,782 −74% $39,657 −43% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $22,248 $11,124 $19,183 +16% $20,147 +10% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $21,983 $10,991 $27,462 −20% $20,371 +8% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $21,962 $10,981 $24,176 −9% $18,282 +20% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $21,931 $10,960 $30,103 −27% $20,968 +5% ≈171% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $21,879 $8,208 $28,869 −24% $21,213 +3% ≈153% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $21,852 $9,889 $24,464 −11% $21,181 +3% ≈135% of Medicare
155 OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC $21,850 $6,762 $24,441 −11% $16,642 +31% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $21,808 $10,904 $16,201 +35% $15,474 +41% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $21,731 $10,866 $46,199 −53% $28,375 −23% —
184 MAJOR CHEST TRAUMA WITH CC $21,716 $10,220 $38,785 −44% $20,842 +4% ≈146% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $21,713 $10,857 $39,094 −44% $32,213 −33% —
683 RENAL FAILURE WITH CC $21,653 $9,225 $22,859 −5% $18,620 +16% ≈145% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $21,647 $10,824 $19,448 +11% $14,128 +53% —
897 ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $21,576 $9,631 $18,223 +18% $16,049 +34% ≈151% of Medicare
051 VIRAL MENINGITIS-MODERATE $21,539 $10,770 $28,594 −25% $47,149 −54% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $21,353 $8,364 $33,770 −37% $24,941 −14% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $21,327 $10,158 $33,234 −36% $20,777 +3% ≈138% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $21,279 $10,639 $15,088 +41% $15,593 +36% —
153 OTITIS MEDIA AND URI WITHOUT MCC $21,195 $5,514 $15,085 +41% $14,473 +46% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $21,177 $10,589 $16,583 +28% $17,078 +24% —
292 HEART FAILURE AND SHOCK WITH CC $21,144 $9,741 $32,219 −34% $16,212 +30% ≈163% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $21,136 $6,790 $21,371 −1% $18,253 +16% ≈149% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $21,118 $10,499 $24,615 −14% $19,096 +11% ≈157% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $21,061 $10,531 $13,895 +52% $14,012 +50% —
101 SEIZURES WITHOUT MCC $20,977 $10,087 $25,967 −19% $19,954 +5% ≈148% of Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $20,965 $10,013 $44,275 −53% $22,560 −7% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $20,886 $10,443 $17,892 +17% $10,975 +90% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $20,886 $9,541 $12,412 +68% $13,824 +51% ≈169% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $20,820 $10,410 $19,050 +9% $17,412 +20% ≈162% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $20,670 $9,384 $29,524 −30% $16,776 +23% —
603 CELLULITIS WITHOUT MCC $20,665 $8,080 $22,028 −6% $18,530 +12% ≈151% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $20,548 $8,912 $26,127 −21% $19,483 +5% ≈171% of Medicare
200 PNEUMOTHORAX WITH CC $20,497 $8,440 $28,821 −29% $20,573 −0% —
712 TESTES PROCEDURES WITHOUT CC/MCC $20,223 $9,675 $14,395 +40% $18,898 +7% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $20,198 $10,099 $26,571 −24% $19,305 +5% —
606 MINOR SKIN DISORDERS WITH MCC $19,928 $9,964 $36,596 −46% $25,434 −22% —
246 GASTROINTESTINAL VASCULAR INSUFFICIENCY-MAJOR $19,617 — $63,750 −69% $33,983 −42% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $19,542 $9,749 $22,179 −12% $17,273 +13% ≈153% of Medicare
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $19,429 $9,563 $34,674 −44% $25,731 −24% ≈145% of Medicare
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $19,394 $9,697 $23,974 −19% $21,062 −8% —
759 INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $19,340 $5,087 $20,286 −5% $14,208 +36% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $19,324 $7,751 $22,607 −15% $16,837 +15% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $19,144 $8,351 $20,057 −5% $17,466 +10% ≈154% of Medicare
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $18,813 $9,191 $20,835 −10% $17,715 +6% —
392 ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $18,785 $9,110 $22,699 −17% $17,322 +8% ≈155% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $18,783 $9,392 $27,522 −32% $22,275 −16% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $18,624 $9,312 $38,808 −52% $19,815 −6% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $18,582 $9,291 $27,569 −33% $23,396 −21% ≈132% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $18,573 $9,286 $39,319 −53% $20,084 −8% —
348 ANAL AND STOMAL PROCEDURES WITH CC $18,534 $9,267 $27,156 −32% $27,947 −34% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $18,472 $9,236 $23,198 −20% $15,636 +18% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $18,277 $7,362 $26,309 −31% $19,579 −7% ≈136% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $18,275 $7,111 $21,877 −16% $19,795 −8% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $18,229 $9,115 $19,064 −4% $16,104 +13% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,024 $9,012 $26,380 −32% $17,522 +3% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $18,010 $8,612 $21,314 −16% $17,388 +4% ≈154% of Medicare
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $17,871 $8,185 $28,548 −37% $19,569 −9% —
534 FRACTURES OF FEMUR WITHOUT MCC $17,831 $3,999 $19,835 −10% $17,195 +4% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $17,808 $8,904 $19,507 −9% $14,055 +27% —
123 NEUROLOGICAL EYE DISORDERS $17,429 $8,714 $29,012 −40% $17,831 −2% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $17,360 $8,446 $15,214 +14% $13,318 +30% ≈181% of Medicare
751 MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES-MODERATE $17,293 $8,647 $95,493 −82% $33,812 −49% —
935 NON-EXTENSIVE BURNS $17,180 $8,590 $26,773 −36% $29,458 −42% —
641 MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC $17,042 $6,753 $19,426 −12% $16,745 +2% ≈155% of Medicare
894 ALCOHOL- DRUG ABUSE OR DEPENDENCE- LEFT AMA $16,790 $7,033 $15,166 +11% $12,013 +40% —
046 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION-MAJOR $16,729 $8,364 $35,524 −53% $46,173 −64% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $16,685 $7,945 $17,541 −5% $18,126 −8% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $16,638 $8,319 $23,266 −28% $15,858 +5% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $16,569 $7,073 $15,989 +4% $15,070 +10% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $16,542 $4,221 $14,426 +15% $12,381 +34% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $16,167 $8,083 $21,175 −24% $17,103 −5% —
187 PLEURAL EFFUSION WITH CC $16,077 $5,355 $29,485 −45% $21,467 −25% —
088 CONCUSSION WITH MCC $16,035 $8,017 $35,805 −55% $24,402 −34% —
504 FOOT PROCEDURES WITH CC $15,883 $7,941 $47,340 −66% $36,598 −57% —
607 MINOR SKIN DISORDERS WITHOUT MCC $15,855 $7,928 $17,326 −8% $15,284 +4% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $15,854 $7,927 $30,086 −47% $19,894 −20% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $15,803 $7,901 $10,235 +54% $14,290 +11% —
421 MALNUTRITION- FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS-MAJOR $15,772 $5,701 $35,770 −56% $36,333 −57% —
866 VIRAL ILLNESS WITHOUT MCC $15,681 $7,841 $16,391 −4% $16,391 −4% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $15,459 $7,443 $25,199 −39% $13,090 +18% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $15,317 $7,659 $17,794 −14% $18,478 −17% —
145 OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,219 $3,828 $22,742 −33% $20,842 −27% —
047 TRANSIENT ISCHEMIA-MINOR $15,179 $7,296 $32,473 −53% $56,677 −73% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $15,168 $7,327 $45,543 −67% $29,663 −49% —
558 TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC $14,618 $5,664 $20,722 −29% $17,367 −16% ≈189% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $14,433 $7,216 $23,775 −39% $12,044 +20% —
644 ENDOCRINE DISORDERS WITH CC $14,271 $6,245 $23,795 −40% $22,941 −38% ≈136% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $14,216 $7,093 $19,228 −26% $18,002 −21% ≈158% of Medicare
923 OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $14,114 $7,057 $14,632 −4% $16,571 −15% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $14,083 $7,042 $33,093 −57% $24,432 −42% —
594 SKIN ULCERS WITHOUT CC/MCC $14,080 $7,040 $14,080 +0% $14,209 −1% —
303 ATHEROSCLEROSIS WITHOUT MCC $14,034 $4,279 $19,555 −28% $14,927 −6% ≈158% of Medicare
753 BIPOLAR DISORDERS-MODERATE $13,893 $6,947 $48,423 −71% $34,651 −60% —
835 ACUTE LEUKEMIA WITH CC $13,709 $6,854 $72,158 −81% $35,569 −61% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $13,616 $6,091 $22,284 −39% $14,880 −8% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $13,611 $4,894 $15,766 −14% $15,869 −14% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $13,591 $6,796 $13,591 +0% $12,405 +10% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $13,474 $2,458 $12,571 +7% $12,279 +10% —
684 RENAL FAILURE WITHOUT CC/MCC $12,869 $6,388 $14,411 −11% $13,623 −6% ≈166% of Medicare
757 INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,131 $6,066 $37,853 −68% $23,734 −49% —
158 DENTAL AND ORAL DISEASES WITH CC $12,003 $6,001 $25,343 −53% $17,700 −32% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,868 $5,626 $13,092 −9% $14,441 −18% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,482 $5,741 $27,957 −59% $25,010 −54% —
198 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS-MODERATE $11,312 $5,656 $13,931 −19% $13,654 −17% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $11,203 $5,602 $11,263 −1% $11,955 −6% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,795 $5,398 $18,805 −43% $13,368 −19% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $10,558 $5,279 $12,537 −16% $12,537 −16% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $10,374 $5,187 $19,640 −47% $13,303 −22% —
887 OTHER MENTAL DISORDER DIAGNOSES $10,174 $5,087 $22,486 −55% $20,602 −51% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $10,061 $4,800 $30,320 −67% $18,238 −45% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,028 $5,014 $22,264 −55% $18,191 −45% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,297 $4,648 $15,105 −38% $12,895 −28% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,119 $4,354 $10,558 −14% $11,997 −24% —
849 RADIOTHERAPY $9,091 $4,342 $101,397 −91% $37,862 −76% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,075 $4,538 $15,863 −43% $19,354 −53% —
151 EPISTAXIS WITHOUT MCC $9,048 $4,524 $15,523 −42% $13,032 −31% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,833 $1,890 $17,878 −51% $13,892 −36% —
755 MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC $8,438 $4,219 $32,616 −74% $18,459 −54% —
285 ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC $6,819 $3,409 $8,798 −22% $10,039 −32% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,196 $3,098 $10,882 −43% $7,961 −22% —
631 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE-MINOR $6,103 $3,051 $261,368 — $312,990 −98% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,309 $2,654 $12,856 −59% $9,076 −42% —
789 NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,836 $2,418 $52,207 −91% $14,284 −66% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,745 $2,372 $15,422 −69% $18,133 −74% —
795 NORMAL NEWBORN $4,567 $2,284 $5,663 −19% $4,530 +1% —
589 NEONATE BIRTH WEIGHT < 500 GRAMS- OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS- OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION-EXTREME $1,455 $728 $3,401 −57% $1,447,596 −100% —
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