Tufts Medical Center — Pricing

739 procedures published in this hospital's Machine-Readable File (MRF) — 739 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 739
Lowest published price $436
Average published price $15,251
Highest published price $996,888

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

Showing all 739 procedures

Published charges

Showing all 739 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 112 procedures, this hospital's negotiated rates average ≈166% of what Medicare pays.

DRG Description Published price Cash price vs. MA median vs. National median vs Medicare
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck Without Major O.R. $996,888 $24,530 $467,237 +113% $248,521 +301% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck With Major $198,244 $262,683 $375,261 −47% $371,366 −47% ≈124% of Medicare
001 Heart Transplant Or Implant Of Heart Assist System With McC $160,505 $224,483 $585,894 −73% $461,389 −65% ≈59% of Medicare
957 Other O.R. Procedures For Multiple Significant Trauma With McC $116,895 $52,873 $134,426 −13% $120,573 −3% —
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $101,855 $1,224,790 $2,341,833 −96% $573,534 −82% —
005 Liver Transplant With McC Or Intestinal Transplant $98,727 $281,881 $556,474 −82% $164,641 −40% —
215 Other Heart Assist System Implant $98,223 $198,417 $340,077 −71% $208,939 −53% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $88,346 $4,742 $80,121 +10% $59,533 +48% —
456 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $75,457 $161,138 $230,197 −67% $153,282 −51% —
014 Allogeneic Bone Marrow Transplant $72,299 $176,216 $380,132 −81% $182,314 −60% —
231 Coronary Bypass With Ptca With McC $71,487 $217,857 $164,187 −56% $147,227 −51% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $65,662 $148,394 $242,313 −73% $131,961 −50% —
955 Craniotomy For Multiple Significant Trauma $63,459 $118,735 $169,622 −63% $102,600 −38% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $61,976 $89,445 $197,267 −69% $125,242 −51% —
212 Concomitant Aortic And Mitral Valve Procedures $60,552 $162,781 $324,657 −81% $196,346 −69% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $60,126 $181,355 $96,452 −38% $116,058 −48% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $60,041 $151,791 $244,842 −75% $123,995 −52% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $59,481 $160,292 $314,210 −81% $188,171 −68% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $57,608 $120,284 $171,834 −66% $117,280 −51% —
906 Hand Procedures For Injuries $57,528 $37,245 $57,528 +0% $32,065 +79% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $56,368 $227,484 $325,686 −83% $148,686 −62% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $56,286 $163,686 $41,932 +34% $108,472 −48% —
016 Autologous Bone Marrow Transplant With Cc/McC $56,146 $89,837 $128,339 −56% $98,260 −43% —
790 Extreme Immaturity Or Respiratory Distress Syndrome Neonate $55,305 $39,324 $100,048 −45% $80,018 −31% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $53,930 $107,812 $154,018 −65% $113,855 −53% ≈123% of Medicare
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $51,780 $95,535 $242,781 −79% $143,242 −64% ≈118% of Medicare
551 Medical Back Problems With McC $51,750 $7,537 $49,835 +4% $34,017 +52% ≈146% of Medicare
834 Acute Leukemia With McC $51,451 $60,388 $137,687 −63% $85,566 −40% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $48,126 $67,376 $86,610 −44% $98,912 −51% —
232 Coronary Bypass With Ptca Without McC $46,884 $133,756 $136,591 −66% $115,839 −60% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $46,596 $89,559 $127,941 −64% $93,172 −50% ≈184% of Medicare
006 Liver Transplant Without McC $45,193 $311,911 $312,542 −86% $84,407 −46% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $44,512 $116,905 $136,839 −67% $90,724 −51% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $43,626 $18,322 $126,137 −65% $87,761 −50% —
650 Kidney Transplant With Hemodialysis With McC $42,960 $206,710 $111,163 −61% $71,551 −40% —
277 Cardiac Defibrillator Implant Without McC $41,526 $100,628 $145,523 −71% $91,329 −55% —
270 Other Major Cardiovascular Procedures With McC $41,307 $64,014 $154,050 −73% $99,423 −58% ≈243% of Medicare
319 Other Endovascular Cardiac Valve Procedures With McC $40,980 $61,614 $189,408 −78% $86,970 −53% —
235 Coronary Bypass Without Cardiac Catheterization With McC $40,009 $76,752 $140,507 −72% $112,062 −64% ≈228% of Medicare
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $39,450 $46,982 $121,455 −68% $96,192 −59% —
969 Hiv With Extensive O.R. Procedures With McC $39,395 $55,153 $146,030 −73% $109,331 −64% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $39,324 $79,498 $113,568 −65% $144,569 −73% ≈125% of Medicare
011 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With McC $39,209 $58,649 $146,105 −73% $101,576 −61% —
028 Spinal Procedures With McC $39,202 $54,882 $158,431 −75% $113,077 −65% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $37,977 $41,616 $139,305 −73% $79,225 −52% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $37,178 $88,530 $83,912 −56% $62,300 −40% —
622 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With McC $34,973 $122,151 $84,022 −58% $61,470 −43% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $34,727 $76,299 $114,244 −70% $93,238 −63% —
457 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $34,275 $80,443 $124,458 −72% $107,355 −68% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $34,059 $70,983 $109,731 −69% $101,510 −66% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $33,206 $119,952 $67,373 −51% $89,207 −63% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $33,191 $71,336 $70,308 −53% $102,573 −68% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $32,592 $55,415 $112,601 −71% $90,775 −64% ≈185% of Medicare
651 Kidney Transplant With Hemodialysis Without McC $32,486 $238,115 $53,229 −39% $56,242 −42% —
956 Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma $32,055 $69,792 $121,891 −74% $75,103 −57% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $30,864 $74,996 $115,978 −73% $82,247 −62% ≈170% of Medicare
485 Knee Procedures With Principal Diagnosis Of Infection With McC $30,149 $89,217 $127,452 −76% $72,424 −58% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $29,945 $55,857 $106,748 −72% $85,159 −65% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $29,926 $55,285 $85,136 −65% $71,464 −58% —
405 Pancreas Liver And Shunt Procedures With McC $29,871 $65,841 $116,863 −74% $102,128 −71% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $29,223 $40,913 $73,030 −60% $90,401 −68% —
652 Kidney Transplant $28,784 $181,191 $274,134 −90% $54,720 −47% ≈348% of Medicare
012 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Cc $28,414 $97,517 $139,310 −80% $79,836 −64% —
252 Other Vascular Procedures With McC $27,944 $32,176 $101,547 −72% $68,508 −59% ≈173% of Medicare
467 Revision Of Hip Or Knee Replacement With Cc $27,688 $64,099 $116,723 −76% $70,847 −61% ≈148% of Medicare
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $27,559 $62,382 $97,894 −72% $74,755 −63% ≈160% of Medicare
034 Carotid Artery Stent Procedures With McC $27,559 $44,211 $101,642 −73% $76,219 −64% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $27,338 $53,004 $102,200 −73% $70,467 −61% —
466 Revision Of Hip Or Knee Replacement With McC $26,928 $65,451 $104,141 −74% $96,507 −72% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $26,900 $81,269 $159,308 −83% $106,057 −75% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $26,900 $34,097 $100,641 −73% $64,523 −58% ≈139% of Medicare
143 Other Ear Nose Mouth And Throat O.R. Procedures With McC $26,636 $27,356 $41,842 −36% $52,908 −50% —
510 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With McC $26,597 $38,351 $70,439 −62% $49,839 −47% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $26,468 $135,179 $186,863 −86% $148,832 −82% —
668 Transurethral Procedures With McC $26,468 $10,904 $42,031 −37% $51,608 −49% —
458 Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Extensive Fusions With $26,415 $24,891 $60,814 −57% $83,441 −68% —
258 Cardiac Pacemaker Device Replacement With McC $26,330 $57,336 $64,203 −59% $52,986 −50% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $26,235 $46,081 $127,374 −79% $68,653 −62% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $26,175 $39,518 $102,456 −74% $88,307 −70% ≈177% of Medicare
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $25,941 $36,318 $63,244 −59% $54,196 −52% —
329 Major Small And Large Bowel Procedures With McC $25,939 $31,728 $102,516 −75% $88,050 −71% ≈212% of Medicare
029 Spinal Procedures With Cc Or Spinal Neurostimulators $25,037 $56,692 $112,438 −78% $67,268 −63% —
013 Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $24,895 $67,893 $126,739 −80% $48,687 −49% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $24,697 $31,472 $54,300 −55% $61,832 −60% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $24,504 $27,791 $114,518 −79% $53,864 −55% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $24,212 $61,151 $126,694 −81% $93,390 −74% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $24,077 $55,513 $82,301 −71% $70,371 −66% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $23,955 $54,260 $102,398 −77% $58,707 −59% —
840 Lymphoma And Non-Acute Leukemia With McC $23,951 $48,670 $73,761 −68% $49,710 −52% ≈289% of Medicare
907 Other O.R. Procedures For Injuries With McC $23,743 $27,044 $60,421 −61% $77,817 −69% —
061 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $23,554 $25,711 $100,945 −77% $62,264 −62% —
420 Hepatobiliary Diagnostic Procedures With McC $23,510 $30,115 $59,481 −60% $50,919 −54% —
229 Other Cardiothoracic Procedures Without McC $23,359 $27,814 $101,858 −77% $65,325 −64% ≈154% of Medicare
242 Permanent Cardiac Pacemaker Implant With McC $23,359 $46,642 $75,541 −69% $70,132 −67% ≈122% of Medicare
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $23,322 $16,055 $97,253 −76% $66,068 −65% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $23,293 $27,107 $84,300 −72% $62,821 −63% —
406 Pancreas Liver And Shunt Procedures With Cc $23,222 $39,075 $103,695 −78% $58,043 −60% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $22,724 $31,009 $68,086 −67% $71,092 −68% —
472 Cervical Spinal Fusion With Cc $22,724 $17,828 $68,993 −67% $59,537 −62% ≈154% of Medicare
273 Percutaneous And Other Intracardiac Procedures With McC $22,717 $86,977 $155,537 −85% $78,852 −71% ≈95% of Medicare
480 Hip And Femur Procedures Except Major Joint With McC $22,651 $39,933 $80,928 −72% $65,653 −65% ≈234% of Medicare
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal $22,472 $68,128 $101,032 −78% $81,706 −72% ≈177% of Medicare
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemothera $22,455 $80,092 $114,417 −80% $106,778 −79% ≈178% of Medicare
253 Other Vascular Procedures With Cc $22,436 $16,925 $82,612 −73% $57,454 −61% ≈198% of Medicare
228 Other Cardiothoracic Procedures With McC $22,224 $58,484 $87,820 −75% $96,905 −77% ≈94% of Medicare
471 Cervical Spinal Fusion With McC $21,802 $30,426 $110,891 −80% $92,515 −76% —
320 Other Endovascular Cardiac Valve Procedures Without McC $21,801 $35,414 $34,848 −37% $40,060 −46% —
272 Other Major Cardiovascular Procedures Without Cc/McC $21,798 $23,236 $99,774 −78% $55,162 −60% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $21,780 $26,955 $56,339 −61% $59,629 −63% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $21,762 $52,983 $109,925 −80% $56,964 −62% —
265 Aicd Lead Procedures $21,595 $52,217 $119,401 −82% $63,171 −66% —
799 Splenic Procedures With McC $21,047 $36,608 $106,066 −80% $82,218 −74% —
800 Splenic Procedures With Cc $20,921 $50,934 $89,665 −77% $49,184 −57% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $20,872 $27,458 $48,875 −57% $62,583 −67% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $20,697 $39,541 $103,110 −80% $54,583 −62% ≈160% of Medicare
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $20,347 $29,354 $72,255 −72% $45,877 −56% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $20,227 $15,886 $26,879 −25% $38,070 −47% —
835 Acute Leukemia With Cc $20,150 $26,582 $37,975 −47% $35,569 −43% —
665 Prostatectomy With McC $19,892 $27,849 $39,785 −50% $54,072 −63% —
545 Connective Tissue Disorders With McC $19,890 $31,796 $54,739 −64% $40,362 −51% —
344 Minor Small And Large Bowel Procedures With McC $19,853 $18,722 $33,024 −40% $44,546 −55% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $19,851 $35,907 $67,622 −71% $58,280 −66% ≈196% of Medicare
332 Rectal Resection With McC $19,821 $27,749 $154,131 −87% $58,125 −66% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $19,786 $39,470 $56,385 −65% $46,066 −57% —
579 Other Skin Subcutaneous Tissue And Breast Procedures With McC $19,689 $32,996 $69,044 −71% $58,745 −66% —
473 Cervical Spinal Fusion Without Cc/McC $19,542 $21,777 $51,574 −62% $50,624 −61% —
592 Skin Ulcers With McC $19,415 $36,882 $52,689 −63% $33,246 −42% —
288 Acute And Subacute Endocarditis With McC $19,413 $33,287 $54,543 −64% $50,618 −62% —
653 Major Bladder Procedures With McC $19,369 $36,584 $58,133 −67% $104,583 −81% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $19,003 $33,782 $52,055 −63% $46,090 −59% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $18,907 $85,730 $63,147 −70% $66,848 −72% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $18,836 $26,371 $55,340 −66% $49,351 −62% —
585 Breast Biopsy Local Excision And Other Breast Procedures Without Cc/McC $18,758 $114,904 $65,734 −71% $32,574 −42% —
146 Ear Nose Mouth And Throat Malignancy With McC $18,746 $31,223 $29,181 −36% $40,108 −53% —
031 Ventricular Shunt Procedures With McC $18,739 $26,235 $60,249 −69% $72,962 −74% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $18,576 $41,655 $52,714 −65% $43,631 −57% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $18,545 $31,843 $45,490 −59% $35,628 −48% ≈211% of Medicare
655 Major Bladder Procedures Without Cc/McC $18,319 $43,918 $57,741 −68% $43,174 −58% —
243 Permanent Cardiac Pacemaker Implant With Cc $18,205 $42,279 $50,543 −64% $50,011 −64% —
245 Aicd Generator Procedures $18,149 $79,719 $67,897 −73% $72,076 −75% —
629 Other Endocrine Nutritional And Metabolic O.R. Procedures With Cc $18,147 $12,682 $43,383 −58% $47,737 −62% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $18,020 $25,909 $39,071 −54% $52,036 −65% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Repl $17,923 $35,525 $78,684 −77% $65,788 −73% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $17,910 $52,907 $56,578 −68% $36,431 −51% —
356 Other Digestive System O.R. Procedures With McC $17,740 $17,788 $125,454 −86% $82,561 −79% ≈98% of Medicare
058 Multiple Sclerosis And Cerebellar Ataxia With McC $17,473 $58,183 $61,562 −72% $30,243 −42% —
347 Anal And Stomal Procedures With McC $17,334 $19,580 $47,241 −63% $40,548 −57% —
974 Hiv With Major Related Condition With McC $17,039 $28,565 $60,208 −72% $46,402 −63% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $16,886 $16,741 $126,382 −87% $66,711 −75% —
163 Major Chest Procedures With McC $16,868 $76,412 $138,484 −88% $90,195 −81% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $16,868 $39,322 $57,769 −71% $60,407 −72% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $16,865 $36,421 $29,859 −44% $39,515 −57% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $16,842 $16,856 $76,545 −78% $55,289 −70% —
597 Malignant Breast Disorders With McC $16,650 $23,634 $30,951 −46% $33,386 −50% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $16,608 $22,585 $32,264 −49% $44,363 −63% —
333 Rectal Resection With Cc $16,530 $33,639 $51,827 −68% $37,154 −56% —
330 Major Small And Large Bowel Procedures With Cc $16,530 $17,146 $52,286 −68% $59,500 −72% ≈162% of Medicare
616 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With McC $16,499 $26,525 $90,657 −82% $66,685 −75% —
628 Other Endocrine Nutritional And Metabolic O.R. Procedures With McC $16,499 $33,098 $100,247 −84% $71,795 −77% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $16,383 $17,976 $41,608 −61% $41,608 −61% —
271 Other Major Cardiovascular Procedures With Cc $16,301 $19,670 $112,278 −85% $71,014 −77% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $16,261 $22,766 $46,659 −65% $49,423 −67% —
141 Major Head And Neck Procedures With Cc $16,207 $33,510 $40,584 −60% $37,267 −57% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $16,122 $45,156 $40,132 −60% $41,591 −61% ≈229% of Medicare
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $16,046 $29,907 $42,725 −62% $41,955 −62% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $15,922 $28,294 $91,036 −83% $76,001 −79% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $15,873 $34,170 $69,394 −77% $52,405 −70% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $15,842 $19,667 $51,429 −69% $31,134 −49% —
283 Acute Myocardial Infarction Expired With McC $15,841 $22,177 $38,833 −59% $39,955 −60% —
335 Peritoneal Adhesiolysis With McC $15,799 $44,736 $104,881 −85% $71,755 −78% —
671 Urethral Procedures With Cc/McC $15,783 $27,342 $39,060 −60% $27,233 −42% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $15,679 $34,657 $58,564 −73% $68,639 −77% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $15,650 $35,912 $62,271 −75% $59,790 −74% —
056 Degenerative Nervous System Disorders With McC $15,598 $19,386 $60,685 −74% $39,973 −61% —
492 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With McC $15,589 $61,578 $104,847 −85% $70,564 −78% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $15,589 $43,086 $61,172 −75% $43,800 −64% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $15,589 $26,810 $38,300 −59% $37,240 −58% —
296 Cardiac Arrest Unexplained With McC $15,558 $15,613 $51,862 −70% $33,661 −54% —
421 Hepatobiliary Diagnostic Procedures With Cc $15,550 $25,039 $34,909 −55% $36,354 −57% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $15,421 $32,637 $85,003 −82% $58,228 −74% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $15,403 $36,079 $51,542 −70% $50,498 −69% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $15,305 $26,742 $70,455 −78% $73,120 −79% —
963 Other Multiple Significant Trauma With McC $15,305 $8,625 $55,818 −73% $43,491 −65% —
512 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures Without Cc/McC $15,275 $27,346 $39,065 −61% $35,692 −57% —
037 Extracranial Procedures With McC $15,216 $36,123 $121,742 −88% $66,666 −77% —
135 Sinus And Mastoid Procedures With Cc/McC $15,204 $23,798 $74,437 −80% $42,186 −64% —
030 Spinal Procedures Without Cc/McC $15,084 $16,766 $62,996 −76% $45,866 −67% —
042 Peripheral Cranial Nerve And Other Nervous System Procedures Without Cc/McC $15,084 $32,264 $58,283 −74% $39,018 −61% —
290 Acute And Subacute Endocarditis Without Cc/McC $14,988 $59,133 $15,444 −3% $15,901 −6% —
142 Major Head And Neck Procedures Without Cc/McC $14,949 $22,489 $43,415 −66% $34,906 −57% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $14,858 $20,654 $29,506 −50% $46,295 −68% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $14,774 $31,940 $79,556 −81% $84,692 −83% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $14,752 $51,788 $32,321 −54% $34,434 −57% —
040 Peripheral Cranial Nerve And Other Nervous System Procedures With McC $14,670 $46,918 $67,025 −78% $74,257 −80% —
503 Foot Procedures With McC $14,624 $15,208 $48,928 −70% $47,540 −69% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $14,461 $22,318 $31,882 −55% $42,126 −66% —
263 Vein Ligation And Stripping $14,461 $45,643 $65,205 −78% $51,253 −72% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $14,436 $29,706 $42,437 −66% $33,674 −57% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $14,340 $34,912 $49,874 −71% $69,743 −79% —
077 Hypertensive Encephalopathy With McC $14,329 $34,885 $49,835 −71% $24,550 −42% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $14,285 $27,208 $42,589 −66% $43,477 −67% —
964 Other Multiple Significant Trauma With Cc $14,281 $20,857 $29,796 −52% $27,394 −48% —
506 Major Thumb Or Joint Procedures $14,272 $21,382 $30,545 −53% $30,557 −53% —
374 Digestive Malignancy With McC $14,230 $13,214 $48,871 −71% $39,958 −64% —
353 Hernia Procedures Except Inguinal And Femoral With McC $14,220 $25,767 $80,597 −82% $60,170 −76% —
614 Adrenal And Pituitary Procedures With Cc/McC $14,190 $31,606 $45,152 −69% $48,349 −71% —
032 Ventricular Shunt Procedures With Cc $14,134 $24,829 $52,972 −73% $46,724 −70% —
724 Malignancy Male Reproductive System Without Cc/McC $14,119 $21,306 $30,437 −54% $12,768 +11% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $14,028 $38,341 $80,488 −83% $58,809 −76% ≈198% of Medicare
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $13,998 $35,002 $25,152 −44% $25,073 −44% —
813 Coagulation Disorders $13,972 $7,001 $39,854 −65% $33,296 −58% ≈120% of Medicare
786 Cesarean Section Without Sterilization With McC $13,948 $31,271 $44,672 −69% $27,152 −49% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $13,934 $35,478 $50,682 −73% $31,170 −55% —
744 D&C Conization Laparoscopy And Tubal Interruption With Cc/McC $13,903 $12,323 $41,427 −66% $38,861 −64% —
494 Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc/McC $13,855 $28,395 $47,711 −71% $47,711 −71% —
501 Soft Tissue Procedures With Cc $13,801 $22,113 $60,388 −77% $39,619 −65% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $13,792 $22,927 $53,592 −74% $42,901 −68% —
444 Disorders Of The Biliary Tract With McC $13,757 $7,090 $45,187 −70% $34,273 −60% ≈290% of Medicare
814 Reticuloendothelial And Immunity Disorders With McC $13,738 $19,234 $30,026 −54% $33,851 −59% —
513 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures With Cc/McC $13,738 $41,809 $46,205 −70% $33,424 −59% —
539 Osteomyelitis With McC $13,628 $9,928 $34,182 −60% $37,609 −64% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $13,624 $30,309 $52,575 −74% $43,298 −69% —
054 Nervous System Neoplasms With McC $13,615 $13,227 $30,144 −55% $30,502 −55% ≈248% of Medicare
385 Inflammatory Bowel Disease With McC $13,532 $11,391 $42,912 −68% $27,617 −51% —
623 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders With Cc $13,513 $22,580 $33,563 −60% $34,459 −61% —
656 Kidney And Ureter Procedures For Neoplasm With McC $13,499 $24,877 $87,436 −85% $65,608 −79% —
686 Kidney And Urinary Tract Neoplasms With McC $13,499 $25,217 $36,025 −63% $37,844 −64% —
583 Mastectomy For Malignancy Without Cc/McC $13,461 $28,809 $94,853 −86% $35,831 −62% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $13,128 $22,134 $31,774 −59% $32,443 −60% —
180 Respiratory Neoplasms With McC $13,116 $14,060 $62,915 −79% $36,658 −64% —
334 Rectal Resection Without Cc/McC $13,090 $27,687 $38,636 −66% $36,820 −64% —
380 Complicated Peptic Ulcer With McC $13,019 $18,314 $35,369 −63% $39,627 −67% —
393 Other Digestive System Diagnoses With McC $13,019 $26,462 $49,207 −74% $34,192 −62% ≈165% of Medicare
397 Appendix Procedures With McC $12,986 $18,180 $51,587 −75% $53,257 −76% —
358 Other Digestive System O.R. Procedures Without Cc/McC $12,943 $29,290 $37,380 −65% $30,083 −57% —
331 Major Small And Large Bowel Procedures Without Cc/McC $12,921 $12,666 $44,117 −71% $44,117 −71% —
849 Radiotherapy $12,885 $14,711 $101,397 −87% $37,862 −66% —
165 Major Chest Procedures Without Cc/McC $12,849 $33,541 $99,425 −87% $46,340 −72% ≈196% of Medicare
999 Ungroupable $12,849 $40,781 $46,384 −72% $29,674 −57% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $12,760 $31,066 $40,944 −69% $41,422 −69% —
919 Complications Of Treatment With McC $12,709 $17,763 $30,988 −59% $31,105 −59% ≈127% of Medicare
481 Hip And Femur Procedures Except Major Joint With Cc $12,685 $29,366 $73,364 −83% $52,751 −76% ≈173% of Medicare
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $12,595 $5,740 $26,874 −53% $29,524 −57% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $12,575 $20,670 $49,074 −74% $39,106 −68% ≈170% of Medicare
617 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With Cc $12,452 $15,632 $66,392 −81% $42,881 −71% —
505 Foot Procedures Without Cc/McC $12,452 $22,201 $31,716 −61% $34,937 −64% —
615 Adrenal And Pituitary Procedures Without Cc/McC $12,369 $28,060 $40,086 −69% $32,833 −62% —
432 Cirrhosis And Alcoholic Hepatitis With McC $12,350 $12,015 $56,589 −78% $40,213 −69% ≈230% of Medicare
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $12,348 $17,799 $22,686 −46% $22,811 −46% —
504 Foot Procedures With Cc $12,173 $44,214 $42,056 −71% $38,960 −69% —
922 Other Injury Poisoning And Toxic Effect Diagnoses With McC $12,159 $10,331 $39,207 −69% $31,563 −61% —
286 Circulatory Disorders Except Ami With Cardiac Catheterization With McC $12,143 $21,220 $69,258 −82% $46,283 −74% ≈140% of Medicare
166 Other Respiratory System O.R. Procedures With McC $12,128 $35,500 $70,432 −83% $75,573 −84% —
186 Pleural Effusion With McC $12,128 $25,877 $42,577 −72% $33,834 −64% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $12,051 $14,226 $43,290 −72% $45,333 −73% —
327 Stomach Esophageal And Duodenal Procedures With Cc $12,041 $32,304 $61,445 −80% $59,421 −80% —
326 Stomach Esophageal And Duodenal Procedures With McC $12,041 $25,329 $102,442 −88% $80,793 −85% —
411 Cholecystectomy With C.D.E. With McC $12,034 $53,869 $76,955 −84% $48,358 −75% —
412 Cholecystectomy With C.D.E. With Cc $12,034 $38,245 $54,636 −78% $42,906 −72% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $12,034 $28,342 $51,707 −77% $43,913 −73% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $12,034 $32,370 $58,620 −79% $53,451 −77% —
377 Gastrointestinal Hemorrhage With McC $11,931 $11,438 $58,908 −80% $37,842 −68% ≈273% of Medicare
289 Acute And Subacute Endocarditis With Cc $11,890 $6,223 $27,608 −57% $32,697 −64% —
841 Lymphoma And Non-Acute Leukemia With Cc $11,890 $23,210 $33,157 −64% $33,633 −65% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $11,866 $19,824 $28,320 −58% $28,320 −58% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $11,864 $16,610 $25,176 −53% $32,944 −64% —
336 Peritoneal Adhesiolysis With Cc $11,861 $23,694 $48,929 −76% $50,463 −76% —
196 Interstitial Lung Disease With McC $11,804 $8,903 $69,890 −83% $32,637 −64% —
754 Malignancy Female Reproductive System With McC $11,778 $10,694 $28,156 −58% $32,433 −64% —
438 Disorders Of Pancreas Except Malignancy With McC $11,768 $7,880 $37,194 −68% $32,628 −64% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $11,729 $22,229 $53,452 −78% $33,555 −65% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $11,710 $30,840 $41,585 −72% $27,323 −57% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $11,659 $28,093 $30,555 −62% $30,418 −62% —
746 Vagina Cervix And Vulva Procedures With Cc/McC $11,612 $45,540 $49,269 −76% $29,916 −61% —
357 Other Digestive System O.R. Procedures With Cc $11,596 $21,142 $40,757 −72% $48,682 −76% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $11,592 $13,434 $30,396 −62% $22,458 −48% —
903 Wound Debridements For Injuries Without Cc/McC $11,582 $52,749 $19,017 −39% $25,581 −55% —
082 Traumatic Stupor And Coma >1 Hour With McC $11,529 $15,105 $24,039 −52% $36,489 −68% ≈224% of Medicare
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $11,471 $30,204 $43,148 −73% $40,365 −72% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $11,471 $26,694 $46,680 −75% $40,552 −72% —
441 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With McC $11,460 $27,901 $55,018 −79% $33,985 −66% ≈141% of Medicare
306 Cardiac Congenital And Valvular Disorders With McC $11,413 $23,801 $34,002 −66% $24,586 −54% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $11,399 $19,474 $57,044 −80% $51,985 −78% —
140 Major Head And Neck Procedures With McC $11,377 $58,952 $57,781 −80% $60,098 −81% —
500 Soft Tissue Procedures With McC $11,370 $30,101 $83,283 −86% $61,872 −82% —
088 Concussion With McC $11,327 $25,063 $28,654 −60% $24,402 −54% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $11,285 $30,160 $33,510 −66% $31,044 −64% —
368 Major Esophageal Disorders With McC $11,226 $10,973 $30,007 −63% $33,876 −67% —
977 Hiv With Or Without Other Related Condition $11,110 $9,373 $25,592 −57% $22,525 −51% —
511 Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc $11,083 $34,185 $49,382 −78% $43,538 −75% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $11,067 $7,946 $37,745 −71% $39,181 −72% —
570 Skin Debridement With McC $10,959 $14,019 $72,210 −85% $52,435 −79% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $10,919 $14,114 $39,421 −72% $33,653 −68% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $10,832 $15,165 $30,605 −65% $46,453 −77% —
337 Peritoneal Adhesiolysis Without Cc/McC $10,828 $22,378 $37,524 −71% $39,211 −72% —
100 Seizures With McC $10,821 $8,831 $50,531 −79% $35,481 −70% ≈83% of Medicare
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC $10,787 $29,796 $16,966 −36% $22,620 −52% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $10,753 $20,308 $39,644 −73% $33,393 −68% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $10,753 $16,114 $47,463 −77% $44,139 −76% —
908 Other O.R. Procedures For Injuries With Cc $10,745 $16,257 $41,660 −74% $42,914 −75% —
673 Other Kidney And Urinary Tract Procedures With McC $10,674 $35,167 $103,271 −90% $77,990 −86% —
723 Malignancy Male Reproductive System With Cc $10,629 $14,881 $21,259 −50% $19,815 −46% —
291 Heart Failure And Shock With McC $10,598 $9,851 $38,049 −72% $26,776 −60% ≈156% of Medicare
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $10,583 $14,817 $26,403 −60% $47,789 −78% —
557 Tendonitis Myositis And Bursitis With McC $10,494 $9,297 $37,596 −72% $32,877 −68% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $10,494 $13,588 $39,618 −74% $24,127 −57% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $10,466 $5,725 $32,595 −68% $30,959 −66% —
299 Peripheral Vascular Disorders With McC $10,464 $5,307 $34,674 −70% $27,316 −62% ≈155% of Medicare
115 Extraocular Procedures Except Orbit $10,369 $23,351 $33,359 −69% $25,703 −60% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $10,353 $12,084 $55,905 −81% $52,178 −80% —
619 O.R. Procedures For Obesity With McC $10,304 $38,847 $62,574 −84% $51,746 −80% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $10,302 $21,719 $46,189 −78% $38,094 −73% —
580 Other Skin Subcutaneous Tissue And Breast Procedures With Cc $10,302 $16,941 $49,831 −79% $38,101 −73% —
915 Allergic Reactions With McC $10,265 $11,176 $42,564 −76% $32,645 −69% —
144 Other Ear Nose Mouth And Throat O.R. Procedures With Cc $10,264 $31,838 $45,483 −77% $30,553 −66% —
787 Cesarean Section Without Sterilization With Cc $10,236 $26,156 $34,767 −71% $23,571 −57% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $10,144 — $23,047 −56% $19,657 −48% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $10,117 $24,062 $45,373 −78% $36,792 −73% ≈192% of Medicare
722 Malignancy Male Reproductive System With McC $10,109 $14,152 $33,132 −69% $29,826 −66% —
137 Mouth Procedures With Cc/McC $10,002 $8,401 $41,302 −76% $27,861 −64% —
783 Cesarean Section With Sterilization With McC $10,002 $34,706 $46,199 −78% $29,221 −66% —
784 Cesarean Section With Sterilization With Cc $10,002 $33,197 $24,184 −59% $23,283 −57% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $9,990 $16,437 $25,879 −61% $25,652 −61% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $9,977 $13,967 $64,821 −85% $25,748 −61% —
789 Neonates Died Or Transferred To Another Acute Care Facility $9,942 $36,545 $26,590 −63% $16,351 −39% —
350 Inguinal And Femoral Hernia Procedures With McC $9,935 $15,725 $50,269 −80% $50,046 −80% —
071 Nonspecific Cerebrovascular Disorders With Cc $9,846 $11,109 $22,359 −56% $23,488 −58% —
091 Other Disorders Of Nervous System With McC $9,846 $15,199 $42,957 −77% $37,387 −74% ≈172% of Medicare
796 Vaginal Delivery With Sterilization And/Or D&C With McC $9,833 $10,236 $15,529 −37% $22,557 −56% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $9,812 $11,522 $31,678 −69% $23,749 −59% —
663 Minor Bladder Procedures With Cc $9,797 $13,716 $33,704 −71% $33,103 −70% —
280 Acute Myocardial Infarction Discharged Alive With McC $9,704 $14,742 $61,087 −84% $30,828 −69% ≈169% of Medicare
187 Pleural Effusion With Cc $9,702 $25,129 $23,711 −59% $21,789 −55% —
640 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes With McC $9,692 $6,463 $16,271 −40% $25,463 −62% ≈141% of Medicare
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $9,681 $13,553 $16,607 −42% $20,980 −54% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $9,653 $15,709 $30,984 −69% $36,670 −74% —
725 Benign Prostatic Hypertrophy With McC $9,653 $21,060 $24,834 −61% $22,320 −57% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $9,612 $17,035 $49,413 −81% $37,950 −75% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $9,612 $17,789 $32,069 −70% $25,034 −62% —
662 Minor Bladder Procedures With McC $9,539 $23,225 $33,179 −71% $54,562 −83% —
264 Other Circulatory System O.R. Procedures $9,509 $25,214 $73,423 −87% $51,953 −82% —
033 Ventricular Shunt Procedures Without Cc/McC $9,499 $23,331 $43,282 −78% $35,419 −73% —
035 Carotid Artery Stent Procedures With Cc $9,499 $30,529 $51,487 −82% $49,066 −81% —
036 Carotid Artery Stent Procedures Without Cc/McC $9,499 $21,838 $53,877 −82% $40,694 −77% ≈130% of Medicare
113 Orbital Procedures With Cc/McC $9,499 $21,509 $31,605 −70% $36,167 −74% —
116 Intraocular Procedures With Cc/McC $9,499 $16,460 $24,183 −61% $29,126 −67% —
117 Intraocular Procedures Without Cc/McC $9,499 $14,061 $17,193 −45% $17,193 −45% —
139 Salivary Gland Procedures $9,499 $19,103 $28,523 −67% $23,612 −60% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $9,499 $31,550 $45,071 −79% $103,455 −91% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $9,499 $52,226 $104,012 −91% $90,331 −89% —
254 Other Vascular Procedures Without Cc/McC $9,499 $24,069 $66,690 −86% $38,836 −76% —
259 Cardiac Pacemaker Device Replacement Without McC $9,499 $42,260 $52,772 −82% $39,020 −76% —
328 Stomach Esophageal And Duodenal Procedures Without Cc/McC $9,499 $17,813 $39,873 −76% $39,006 −76% —
398 Appendix Procedures With Cc $9,499 $18,241 $42,478 −78% $40,162 −76% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $9,499 $32,876 $43,664 −78% $58,975 −84% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $9,499 $46,506 $61,202 −84% $54,929 −83% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $9,499 $23,829 $47,007 −80% $50,607 −81% ≈167% of Medicare
493 Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc $9,499 $27,774 $58,814 −84% $59,651 −84% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $9,499 $18,816 $43,359 −78% $29,805 −68% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $9,499 $12,697 $35,465 −73% $35,465 −73% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $9,499 $42,747 $61,067 −84% $47,945 −80% —
581 Other Skin Subcutaneous Tissue And Breast Procedures Without Cc/McC $9,499 $14,813 $21,162 −55% $26,932 −65% —
582 Mastectomy For Malignancy With Cc/McC $9,499 $23,985 $31,198 −70% $35,849 −74% —
621 O.R. Procedures For Obesity Without Cc/McC $9,499 $18,072 $36,546 −74% $32,451 −71% —
626 Thyroid Parathyroid And Thyroglossal Procedures With Cc $9,499 $19,096 $27,279 −65% $33,454 −72% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $9,499 $25,224 $44,384 −79% $36,253 −74% —
707 Major Male Pelvic Procedures With Cc/McC $9,499 $31,924 $57,424 −83% $43,080 −78% —
708 Major Male Pelvic Procedures Without Cc/McC $9,499 $35,600 $41,216 −77% $36,988 −74% —
710 Penis Procedures Without Cc/McC $9,499 $36,542 $54,233 −82% $26,436 −64% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $9,499 $37,266 $52,544 −82% $38,998 −76% —
735 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $9,499 $30,829 $44,042 −78% $26,948 −65% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $9,499 $26,486 $29,454 −68% $24,544 −61% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $9,499 $15,851 $22,644 −58% $25,390 −63% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $9,499 $24,233 $44,638 −79% $43,650 −78% —
136 Sinus And Mastoid Procedures Without Cc/McC $9,464 $24,286 $34,695 −73% $17,404 −46% —
038 Extracranial Procedures With Cc $9,439 $22,443 $56,337 −83% $35,770 −74% —
039 Extracranial Procedures Without Cc/McC $9,439 $15,050 $29,933 −68% $26,618 −65% ≈209% of Medicare
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $9,435 $15,930 $72,261 −87% $50,139 −81% —
548 Septic Arthritis With McC $9,435 $21,942 $40,250 −77% $31,346 −70% —
514 Hand Or Wrist Procedures Except Major Thumb Or Joint Procedures Without Cc/McC $9,430 $13,201 $29,856 −68% $22,635 −58% —
620 O.R. Procedures For Obesity With Cc $9,411 $14,795 $45,104 −79% $35,453 −73% —
887 Other Mental Disorder Diagnoses $9,397 $15,740 $21,835 −57% $20,616 −54% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $9,394 $29,511 $46,400 −80% $36,937 −75% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $9,394 $24,037 $50,732 −81% $44,606 −79% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $9,393 $13,150 $21,684 −57% $23,443 −60% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $9,390 $17,396 $25,601 −63% $15,370 −39% —
351 Inguinal And Femoral Hernia Procedures With Cc $9,372 $19,473 $47,899 −80% $36,505 −74% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $9,372 $17,009 $18,985 −51% $19,962 −53% —
445 Disorders Of The Biliary Tract With Cc $9,348 $11,058 $25,888 −64% $23,319 −60% ≈211% of Medicare
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $9,320 $13,779 $28,645 −67% $27,163 −66% —
756 Malignancy Female Reproductive System Without Cc/McC $9,250 $40,173 $28,003 −67% $15,589 −41% —
177 Respiratory Infections And Inflammations With McC $9,226 $11,379 $44,001 −79% $33,707 −73% ≈216% of Medicare
674 Other Kidney And Urinary Tract Procedures With Cc $9,086 $32,740 $65,411 −86% $50,394 −82% —
386 Inflammatory Bowel Disease With Cc $9,062 $7,066 $30,103 −70% $22,033 −59% —
747 Vagina Cervix And Vulva Procedures Without Cc/McC $9,062 $14,430 $20,614 −56% $19,594 −54% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $9,062 $24,713 $29,725 −70% $27,989 −68% —
757 Infections Female Reproductive System With McC $9,009 $44,535 $21,563 −58% $26,280 −66% —
975 Hiv With Major Related Condition With Cc $8,949 $7,188 $24,799 −64% $27,808 −68% —
070 Nonspecific Cerebrovascular Disorders With McC $8,879 $12,430 $25,761 −66% $31,951 −72% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $8,847 $18,676 $27,696 −68% $30,784 −71% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $8,803 $16,612 $37,864 −77% $30,493 −71% —
081 Nontraumatic Stupor And Coma Without McC $8,787 $20,060 $25,219 −65% $16,552 −47% —
083 Traumatic Stupor And Coma >1 Hour With Cc $8,778 $6,323 $44,298 −80% $27,285 −68% ≈145% of Medicare
085 Traumatic Stupor And Coma <1 Hour With McC $8,778 $31,672 $45,245 −81% $41,892 −79% —
664 Minor Bladder Procedures Without Cc/McC $8,770 $12,279 $17,541 −50% $22,314 −61% —
788 Cesarean Section Without Sterilization Without Cc/McC $8,723 $27,523 $38,919 −78% $20,084 −57% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $8,672 $15,502 $26,803 −68% $22,148 −61% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $8,668 $18,724 $11,719 −26% $15,764 −45% —
748 Female Reproductive System Reconstructive Procedures $8,651 $22,820 $32,600 −73% $30,242 −71% —
755 Malignancy Female Reproductive System With Cc $8,645 $8,432 $27,083 −68% $18,459 −53% —
627 Thyroid Parathyroid And Thyroglossal Procedures Without Cc/McC $8,615 $15,866 $41,211 −79% $28,125 −69% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $8,613 $6,138 $27,522 −69% $23,498 −63% ≈230% of Medicare
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $8,592 $12,029 $36,163 −76% $30,770 −72% —
637 Diabetes With McC $8,577 $15,178 $34,925 −75% $30,100 −72% —
154 Other Ear Nose Mouth And Throat Diagnoses With McC $8,567 $7,221 $30,616 −72% $27,633 −69% —
086 Traumatic Stupor And Coma <1 Hour With Cc $8,507 $8,023 $24,991 −66% $27,043 −69% ≈121% of Medicare
965 Other Multiple Significant Trauma Without Cc/McC $8,506 $20,709 $27,710 −69% $20,259 −58% —
785 Cesarean Section With Sterilization Without Cc/McC $8,488 $27,166 $27,268 −69% $19,846 −57% —
667 Prostatectomy Without Cc/McC $8,471 $11,859 $12,502 −32% $16,703 −49% —
913 Traumatic Injury With McC $8,452 $11,833 $52,236 −84% $24,198 −65% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $8,419 $10,432 $21,175 −60% $16,846 −50% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $8,419 $26,567 $19,946 −58% $18,452 −54% —
546 Connective Tissue Disorders With Cc $8,400 $11,760 $34,947 −76% $25,700 −67% —
102 Headaches With McC $8,381 $6,339 $26,681 −69% $25,740 −67% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $8,363 $63,985 $181,335 −95% $111,320 −92% ≈99% of Medicare
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $8,346 $4,842 $21,962 −62% $20,895 −60% —
181 Respiratory Neoplasms With Cc $8,314 $21,483 $37,213 −78% $23,573 −65% —
304 Hypertension With McC $8,284 $7,558 $54,990 −85% $26,080 −68% —
550 Septic Arthritis Without Cc/McC $8,251 $11,552 $16,502 −50% $19,138 −57% —
862 Postoperative And Post-Traumatic Infections With McC $8,238 $8,180 $49,084 −83% $32,859 −75% —
863 Postoperative And Post-Traumatic Infections Without McC $8,238 $10,430 $22,026 −63% $20,957 −61% —
375 Digestive Malignancy With Cc $8,176 $20,850 $34,560 −76% $27,277 −70% —
376 Digestive Malignancy Without Cc/McC $8,176 $3,993 $25,989 −69% $16,998 −52% —
535 Fractures Of Hip And Pelvis With McC $8,164 $19,437 $27,809 −71% $24,552 −67% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $8,158 $8,305 $43,339 −81% $77,055 −89% —
902 Wound Debridements For Injuries With Cc $8,128 $20,684 $40,012 −80% $40,562 −80% —
901 Wound Debridements For Injuries With McC $8,128 $15,905 $52,653 −85% $70,177 −88% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $8,107 $11,349 $26,418 −69% $29,611 −73% —
348 Anal And Stomal Procedures With Cc $8,091 $19,009 $25,932 −69% $27,947 −71% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $8,081 $18,318 $46,488 −83% $47,583 −83% —
274 Percutaneous And Other Intracardiac Procedures Without McC $8,046 $65,230 $87,217 −91% $65,573 −88% ≈107% of Medicare
714 Transurethral Prostatectomy Without Cc/McC $8,020 $12,854 $18,363 −56% $17,934 −55% —
540 Osteomyelitis With Cc $8,011 $10,046 $33,331 −76% $26,676 −70% —
145 Other Ear Nose Mouth And Throat O.R. Procedures Without Cc/McC $7,967 $13,025 $22,742 −65% $25,712 −69% —
595 Major Skin Disorders With McC $7,959 $19,376 $31,822 −75% $34,598 −77% —
866 Viral Illness Without McC $7,957 $11,140 $16,391 −51% $17,081 −53% —
534 Fractures Of Femur Without McC $7,949 $13,885 $19,639 −60% $17,559 −55% —
138 Mouth Procedures Without Cc/McC $7,944 $14,967 $21,381 −63% $19,119 −58% —
407 Pancreas Liver And Shunt Procedures Without Cc/McC $7,870 $39,326 $56,180 −86% $46,727 −83% —
055 Nervous System Neoplasms Without McC $7,843 $3,777 $46,998 −83% $20,926 −63% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $7,839 $60,199 $139,381 −94% $92,217 −91% ≈99% of Medicare
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $7,797 $10,916 $15,571 −50% $18,316 −57% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $7,790 $11,592 $24,717 −68% $21,894 −64% —
062 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $7,789 $39,254 $81,607 −90% $52,075 −85% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $7,789 $9,636 $33,830 −77% $23,940 −67% ≈228% of Medicare
345 Minor Small And Large Bowel Procedures With Cc $7,776 $21,775 $31,108 −75% $33,048 −76% —
394 Other Digestive System Diagnoses With Cc $7,776 $8,794 $20,933 −63% $20,181 −61% ≈184% of Medicare
197 Interstitial Lung Disease With Cc $7,741 $9,497 $28,997 −73% $21,941 −65% —
560 Aftercare Musculoskeletal System And Connective Tissue With Cc $7,741 $12,406 $25,662 −70% $25,279 −69% —
442 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With Cc $7,726 $7,808 $35,117 −78% $21,449 −64% —
917 Poisoning And Toxic Effects Of Drugs With McC $7,699 $12,116 $37,942 −80% $30,235 −75% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $7,641 $13,165 $19,911 −62% $26,870 −72% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $7,641 $16,443 $62,878 −88% $39,173 −80% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $7,641 $11,124 $15,891 −52% $18,126 −58% —
292 Heart Failure And Shock With Cc $7,579 $7,233 $32,219 −76% $16,371 −54% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $7,552 $10,573 $52,949 −86% $38,878 −81% ≈156% of Medicare
179 Respiratory Infections And Inflammations Without Cc/McC $7,540 $6,362 $19,357 −61% $14,648 −49% —
152 Otitis Media And Uri With McC $7,509 $10,108 $21,877 −66% $20,247 −63% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $7,493 $13,602 $25,005 −70% $22,850 −67% —
151 Epistaxis Without McC $7,432 $10,866 $15,523 −52% $13,032 −43% —
073 Cranial And Peripheral Nerve Disorders With McC $7,419 $12,446 $26,886 −72% $30,010 −75% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $7,404 $18,096 $28,708 −74% $27,843 −73% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $7,404 $16,059 $39,638 −81% $32,841 −77% —
315 Other Circulatory System Diagnoses With Cc $7,380 $9,069 $33,234 −78% $21,363 −65% ≈165% of Medicare
157 Dental And Oral Diseases With McC $7,361 $14,453 $24,447 −70% $31,300 −76% —
378 Gastrointestinal Hemorrhage With Cc $7,308 $8,624 $28,960 −75% $22,098 −67% ≈150% of Medicare
381 Complicated Peptic Ulcer With Cc $7,308 $16,372 $24,730 −70% $24,177 −70% —
383 Uncomplicated Peptic Ulcer With McC $7,308 $25,419 $30,085 −76% $27,426 −73% —
199 Pneumothorax With McC $7,298 $8,491 $33,013 −78% $33,787 −78% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $7,298 $4,366 $28,004 −74% $22,506 −68% —
413 Cholecystectomy With C.D.E. Without Cc/McC $7,234 $10,128 $19,839 −64% $29,316 −75% —
791 Prematurity With Major Problems $7,216 $5,081 $27,889 −74% $42,679 −83% —
188 Pleural Effusion Without Cc/McC $7,209 $17,551 $23,124 −69% $14,514 −50% —
205 Other Respiratory System Diagnoses With McC $7,184 $13,668 $39,057 −82% $33,255 −78% —
815 Reticuloendothelial And Immunity Disorders With Cc $7,147 $7,248 $19,264 −63% $19,264 −63% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $7,131 $4,459 $18,646 −62% $16,767 −57% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $7,114 $17,639 $24,655 −71% $13,275 −46% —
923 Other Injury Poisoning And Toxic Effect Diagnoses Without McC $7,094 $2,708 $14,114 −50% $17,601 −60% —
294 Deep Vein Thrombophlebitis With Cc/McC $7,059 $34,410 $39,300 −82% $19,132 −63% —
300 Peripheral Vascular Disorders With Cc $7,059 $10,490 $26,309 −73% $20,422 −65% ≈175% of Medicare
559 Aftercare Musculoskeletal System And Connective Tissue With McC $7,040 $13,574 $39,309 −82% $33,047 −79% —
382 Complicated Peptic Ulcer Without Cc/McC $7,033 $9,012 $18,925 −63% $16,634 −58% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $6,991 $23,371 $41,669 −83% $34,276 −80% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $6,925 $5,004 $22,318 −69% $22,763 −70% —
287 Circulatory Disorders Except Ami With Cardiac Catheterization Without McC $6,895 $18,102 $58,123 −88% $32,021 −78% ≈146% of Medicare
920 Complications Of Treatment With Cc $6,887 $17,125 $24,464 −72% $22,468 −69% ≈214% of Medicare
949 Aftercare With Cc/McC $6,887 $16,649 $17,779 −61% $23,953 −71% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $6,886 $15,769 $46,100 −85% $42,415 −84% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $6,886 $30,268 $28,899 −76% $26,598 −74% —
446 Disorders Of The Biliary Tract Without Cc/McC $6,886 $4,387 $22,377 −69% $17,700 −61% —
311 Angina Pectoris $6,881 $8,842 $22,207 −69% $15,502 −56% —
167 Other Respiratory System O.R. Procedures With Cc $6,845 $28,830 $45,038 −85% $40,642 −83% —
178 Respiratory Infections And Inflammations With Cc $6,843 $16,441 $30,232 −77% $22,024 −69% ≈196% of Medicare
896 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $6,816 $10,634 $24,803 −73% $31,159 −78% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $6,810 $12,901 $49,070 −86% $43,943 −85% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $6,810 $10,845 $31,432 −78% $22,888 −70% —
947 Signs And Symptoms With McC $6,792 $10,096 $23,334 −71% $27,401 −75% —
176 Pulmonary Embolism Without McC $6,781 $8,915 $23,201 −71% $18,081 −62% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $6,745 $3,542 $11,748 −43% $18,133 −63% —
734 Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/McC $6,693 $28,624 $40,891 −84% $42,795 −84% —
057 Degenerative Nervous System Disorders Without McC $6,685 $4,307 $30,200 −78% $27,543 −76% —
041 Peripheral Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $6,685 $17,396 $58,950 −89% $49,418 −86% —
053 Spinal Disorders And Injuries Without Cc/McC $6,685 $10,200 $40,756 −84% $20,455 −67% —
399 Appendix Procedures Without Cc/McC $6,684 $18,388 $30,259 −78% $31,321 −79% —
391 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders With McC $6,676 $14,491 $36,902 −82% $28,050 −76% ≈146% of Medicare
865 Viral Illness With McC $6,667 $13,615 $25,367 −74% $26,910 −75% —
547 Connective Tissue Disorders Without Cc/McC $6,667 $5,066 $26,755 −75% $16,565 −60% —
584 Breast Biopsy Local Excision And Other Breast Procedures With Cc/McC $6,665 $16,351 $49,178 −86% $35,030 −81% —
606 Minor Skin Disorders With McC $6,665 $25,618 $32,471 −79% $27,975 −76% —
198 Interstitial Lung Disease Without Cc/McC $6,650 $9,752 $13,108 −49% $15,549 −57% —
709 Penis Procedures With Cc/McC $6,637 $10,937 $35,243 −81% $34,535 −81% —
598 Malignant Breast Disorders With Cc $6,628 $8,455 $18,925 −65% $19,073 −65% —
643 Endocrine Disorders With McC $6,626 $22,971 $38,745 −83% $33,563 −80% ≈133% of Medicare
644 Endocrine Disorders With Cc $6,626 $14,842 $23,795 −72% $23,198 −71% —
281 Acute Myocardial Infarction Discharged Alive With Cc $6,625 $4,486 $28,630 −77% $20,463 −68% ≈275% of Medicare
387 Inflammatory Bowel Disease Without Cc/McC $6,622 $14,077 $21,971 −70% $16,288 −59% —
600 Non-Malignant Breast Disorders With Cc/McC $6,592 $8,143 $13,799 −52% $16,700 −61% —
602 Cellulitis With McC $6,549 $6,658 $26,545 −75% $30,598 −79% ≈244% of Medicare
159 Dental And Oral Diseases Without Cc/McC $6,524 $5,315 $12,725 −49% $13,633 −52% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $6,500 $5,896 $32,512 −80% $24,566 −74% —
727 Inflammation Of The Male Reproductive System With McC $6,485 $16,277 $23,253 −72% $26,463 −75% —
183 Major Chest Trauma With McC $6,449 $11,332 $38,398 −83% $29,933 −78% —
625 Thyroid Parathyroid And Thyroglossal Procedures With McC $6,442 $15,684 $40,406 −84% $59,031 −89% —
886 Behavioral And Developmental Disorders $6,440 $11,735 $20,529 −69% $26,510 −76% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $6,440 $14,845 $15,931 −60% $14,055 −54% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $6,421 $9,760 $13,943 −54% $19,037 −66% —
080 Nontraumatic Stupor And Coma With McC $6,421 $13,783 $31,755 −80% $36,249 −82% —
092 Other Disorders Of Nervous System With Cc $6,421 $10,825 $28,389 −77% $24,914 −74% ≈157% of Medicare
698 Other Kidney And Urinary Tract Diagnoses With McC $6,400 $10,274 $38,521 −83% $32,496 −80% ≈135% of Medicare
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $6,368 $22,673 $38,439 −83% $41,620 −85% —
182 Respiratory Neoplasms Without Cc/McC $6,364 $12,607 $53,655 −88% $14,064 −55% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $6,318 $16,642 $23,775 −73% $12,078 −48% —
553 Bone Diseases And Arthropathies With McC $6,313 $11,168 $33,365 −81% $26,051 −76% —
558 Tendonitis Myositis And Bursitis Without McC $6,313 $5,683 $17,754 −64% $18,602 −66% —
190 Chronic Obstructive Pulmonary Disease With McC $6,308 $17,205 $28,215 −78% $24,386 −74% ≈152% of Medicare
654 Major Bladder Procedures With Cc $6,297 $28,913 $63,842 −90% $58,274 −89% —
443 Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $6,279 $3,865 $22,961 −73% $15,600 −60% —
638 Diabetes With Cc $6,260 $12,927 $25,396 −75% $19,661 −68% ≈220% of Medicare
864 Fever And Inflammatory Conditions $6,227 $7,748 $19,050 −67% $18,640 −67% —
639 Diabetes Without Cc/McC $6,219 $9,524 $14,532 −57% $13,910 −55% —
726 Benign Prostatic Hypertrophy Without McC $6,218 $8,706 $14,432 −57% $15,019 −59% —
895 Alcohol Drug Abuse Or Dependence With Rehabilitation Therapy $6,215 $12,515 $13,457 −54% $21,986 −72% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $6,201 $11,602 $34,718 −82% $63,928 −90% —
184 Major Chest Trauma With Cc $6,198 $16,789 $38,785 −84% $22,432 −72% ≈166% of Medicare
697 Urethral Stricture $6,193 $8,670 $22,523 −73% $18,428 −66% —
121 Acute Major Eye Infections With Cc/McC $6,152 $23,747 $22,064 −72% $19,412 −68% —
123 Neurological Eye Disorders $6,152 $6,129 $29,012 −79% $19,745 −69% —
125 Other Disorders Of The Eye Without McC $6,152 $9,486 $16,137 −62% $17,298 −64% —
388 Gastrointestinal Obstruction With McC $6,127 $11,158 $29,845 −79% $30,571 −80% —
389 Gastrointestinal Obstruction With Cc $6,127 $7,991 $21,314 −71% $17,578 −65% ≈196% of Medicare
916 Allergic Reactions Without McC $6,100 $5,275 $16,374 −63% $13,942 −56% —
885 Psychoses $6,078 $13,329 $37,862 −84% $21,729 −72% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $6,065 $14,765 $21,092 −71% $14,014 −57% —
904 Skin Grafts For Injuries With Cc/McC $6,060 $14,753 $53,307 −89% $59,594 −90% —
604 Trauma To The Skin Subcutaneous Tissue And Breast With McC $6,055 $7,477 $31,563 −81% $28,140 −78% —
148 Ear Nose Mouth And Throat Malignancy Without Cc/McC $6,039 $8,455 $12,079 −50% $13,586 −56% —
314 Other Circulatory System Diagnoses With McC $6,034 $4,934 $56,626 −89% $38,666 −84% ≈85% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $6,034 $6,515 $24,613 −75% $21,275 −72% ≈141% of Medicare
295 Deep Vein Thrombophlebitis Without Cc/McC $6,026 $17,670 $9,735 −38% $13,445 −55% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $5,988 $7,704 $15,603 −62% $19,924 −70% —
562 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh With McC $5,988 $14,289 $30,328 −80% $29,743 −80% —
682 Renal Failure With McC $5,973 $5,351 $33,856 −82% $29,064 −79% ≈123% of Medicare
811 Red Blood Cell Disorders With McC $5,960 $11,499 $40,425 −85% $28,226 −79% —
758 Infections Female Reproductive System With Cc $5,941 $14,464 $25,460 −77% $20,901 −72% —
147 Ear Nose Mouth And Throat Malignancy With Cc $5,941 $14,464 $22,606 −74% $22,851 −74% —
193 Simple Pneumonia And Pleurisy With McC $5,926 $6,998 $30,935 −81% $27,275 −78% ≈125% of Medicare
909 Other O.R. Procedures For Injuries Without Cc/McC $5,872 $6,405 $27,745 −79% $28,156 −79% —
712 Testes Procedures Without Cc/McC $5,857 $8,200 $14,395 −59% $18,898 −69% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $5,855 $20,025 $35,498 −84% $29,079 −80% —
185 Major Chest Trauma Without Cc/McC $5,808 $8,132 $23,266 −75% $17,124 −66% —
078 Hypertensive Encephalopathy With Cc $5,794 $11,807 $16,868 −66% $17,698 −67% —
305 Hypertension Without McC $5,794 $13,926 $27,277 −79% $18,086 −68% ≈144% of Medicare
689 Kidney And Urinary Tract Infections With McC $5,778 $10,947 $29,341 −80% $23,617 −76% ≈133% of Medicare
392 Esophagitis Gastroenteritis And Miscellaneous Digestive Disorders Without McC $5,772 $6,327 $22,699 −75% $17,322 −67% ≈182% of Medicare
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $5,765 $23,583 $33,690 −83% $35,584 −84% —
150 Epistaxis With McC $5,696 $7,975 $27,162 −79% $23,171 −75% —
745 D&C Conization Laparoscopy And Tubal Interruption Without Cc/McC $5,672 $13,808 $19,726 −71% $18,348 −69% —
201 Pneumothorax Without Cc/McC $5,662 $6,818 $22,393 −75% $14,053 −60% —
063 Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $5,655 $33,630 $44,966 −87% $39,887 −86% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $5,655 $10,670 $24,302 −77% $20,781 −73% —
713 Transurethral Prostatectomy With Cc/McC $5,647 $14,357 $31,908 −82% $32,100 −82% —
693 Urinary Stones With McC $5,584 $9,705 $19,880 −72% $23,892 −77% —
572 Skin Debridement Without Cc/McC $5,581 $27,391 $33,093 −83% $24,944 −78% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $5,566 $7,793 $15,766 −65% $16,520 −66% —
561 Aftercare Musculoskeletal System And Connective Tissue Without Cc/McC $5,566 $9,936 $16,648 −67% $18,150 −69% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $5,563 $7,248 $27,924 −80% $24,941 −78% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $5,563 $10,668 $28,548 −81% $19,569 −72% —
301 Peripheral Vascular Disorders Without Cc/McC $5,563 $9,914 $25,165 −78% $15,837 −65% —
379 Gastrointestinal Hemorrhage Without Cc/McC $5,556 $8,598 $16,381 −66% $15,038 −63% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $5,549 $15,302 $28,509 −81% $23,551 −76% ≈145% of Medicare
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $5,549 $10,719 $29,524 −81% $16,776 −67% —
552 Medical Back Problems Without McC $5,549 $9,876 $28,869 −81% $21,396 −74% ≈129% of Medicare
749 Other Female Reproductive System O.R. Procedures With Cc/McC $5,543 $15,540 $49,369 −89% $45,167 −88% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $5,515 $15,124 $26,808 −79% $25,094 −78% —
549 Septic Arthritis With Cc $5,474 $3,610 $18,835 −71% $24,056 −77% —
074 Cranial And Peripheral Nerve Disorders Without McC $5,473 $10,033 $27,670 −80% $23,141 −76% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $5,473 $21,210 $29,648 −82% $34,607 −84% —
812 Red Blood Cell Disorders Without McC $5,431 $7,648 $30,969 −82% $20,488 −73% ≈192% of Medicare
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $5,431 $4,705 $17,592 −69% $14,638 −63% —
153 Otitis Media And Uri Without McC $5,427 $5,143 $15,085 −64% $14,583 −63% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $5,422 $12,147 $38,221 −86% $26,770 −80% ≈168% of Medicare
303 Atherosclerosis Without McC $5,336 $10,408 $19,555 −73% $14,927 −64% ≈217% of Medicare
076 Viral Meningitis Without Cc/McC $5,298 $6,512 $16,201 −67% $17,135 −69% —
114 Orbital Procedures Without Cc/McC $5,292 $22,792 $18,623 −72% $19,598 −73% —
204 Respiratory Signs And Symptoms $5,282 $8,408 $25,544 −79% $18,004 −71% —
093 Other Disorders Of Nervous System Without Cc/McC $5,270 $5,887 $26,380 −80% $17,620 −70% —
384 Uncomplicated Peptic Ulcer Without McC $5,269 $8,851 $26,571 −80% $19,305 −73% —
155 Other Ear Nose Mouth And Throat Diagnoses With Cc $5,262 $10,516 $24,441 −78% $16,968 −69% —
914 Traumatic Injury Without McC $5,262 $5,068 $14,052 −63% $15,855 −67% —
563 Fracture Sprain Strain And Dislocation Except Femur Hip Pelvis And Thigh Without McC $5,242 $5,153 $20,446 −74% $19,842 −74% ≈151% of Medicare
897 Alcohol Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $5,222 $4,262 $18,223 −71% $16,699 −69% ≈147% of Medicare
069 Transient Ischemia Without Thrombolytic $5,200 $12,159 $26,630 −80% $21,056 −75% —
502 Soft Tissue Procedures Without Cc/McC $5,184 $16,937 $29,234 −82% $31,017 −83% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $5,184 $5,151 $19,824 −74% $18,126 −71% —
554 Bone Diseases And Arthropathies Without McC $5,184 $6,199 $21,371 −76% $18,528 −72% —
670 Transurethral Procedures Without Cc/McC $5,181 $19,223 $27,462 −81% $20,911 −75% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $5,181 $8,158 $12,020 −57% $14,689 −65% —
149 Dysequilibrium $5,175 $8,371 $26,497 −80% $18,096 −71% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $5,143 $8,154 $13,591 −62% $12,460 −59% —
156 Other Ear Nose Mouth And Throat Diagnoses Without Cc/McC $5,142 $1,363 $16,269 −68% $14,549 −65% —
571 Skin Debridement With Cc $5,141 $11,426 $42,097 −88% $37,169 −86% —
593 Skin Ulcers With Cc $5,130 $5,371 $24,443 −79% $22,886 −78% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $5,123 $7,061 $11,491 −55% $12,895 −60% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $5,123 $9,792 $23,198 −78% $17,733 −71% —
312 Syncope And Collapse $5,092 $4,698 $30,210 −83% $19,342 −74% ≈204% of Medicare
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $5,090 $27,504 $25,614 −80% $28,202 −82% —
439 Disorders Of Pancreas Except Malignancy With Cc $5,075 $6,849 $24,615 −79% $19,096 −73% ≈165% of Medicare
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $5,075 $5,845 $15,989 −68% $15,183 −67% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $5,067 $7,094 $10,479 −52% $21,230 −76% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $5,065 $6,571 $23,784 −79% $14,716 −66% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $5,042 $11,617 $36,861 −86% $31,264 −84% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $5,042 $9,894 $27,493 −82% $25,970 −81% —
694 Urinary Stones Without McC $5,042 $6,628 $21,826 −77% $17,345 −71% —
191 Chronic Obstructive Pulmonary Disease With Cc $5,033 $6,273 $24,337 −79% $18,807 −73% ≈199% of Medicare
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $5,033 $10,141 $16,770 −70% $14,368 −65% —
976 Hiv With Major Related Condition Without Cc/McC $5,013 $7,018 $10,026 −50% $16,212 −69% —
282 Acute Myocardial Infarction Discharged Alive Without Cc/McC $5,011 $8,694 $42,436 −88% $19,227 −74% —
302 Atherosclerosis With McC $4,990 $8,583 $17,355 −71% $22,446 −78% —
395 Other Digestive System Diagnoses Without Cc/McC $4,980 $6,156 $15,125 −67% $14,128 −65% —
370 Major Esophageal Disorders Without Cc/McC $4,948 $5,926 $12,253 −60% $15,495 −68% —
603 Cellulitis Without McC $4,941 $7,155 $22,028 −78% $18,530 −73% ≈166% of Medicare
158 Dental And Oral Diseases With Cc $4,901 $15,920 $25,343 −81% $18,466 −73% —
297 Cardiac Arrest Unexplained With Cc $4,899 $6,859 $9,799 −50% $12,336 −60% —
537 Sprains Strains And Dislocations Of Hip Pelvis And Thigh With Cc/McC $4,881 $6,833 $30,879 −84% $18,072 −73% —
624 Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $4,874 $11,867 $13,778 −65% $17,737 −73% —
103 Headaches Without McC $4,854 $6,999 $26,347 −82% $21,280 −77% —
536 Fractures Of Hip And Pelvis Without McC $4,831 $13,459 $17,814 −73% $18,002 −73% —
164 Major Chest Procedures With Cc $4,823 $21,511 $55,568 −91% $56,755 −92% ≈132% of Medicare
168 Other Respiratory System O.R. Procedures Without Cc/McC $4,823 $16,879 $32,277 −85% $29,949 −84% —
759 Infections Female Reproductive System Without Cc/McC $4,785 $4,147 $20,286 −76% $14,250 −66% —
770 Abortion With D&C Aspiration Curettage Or Hysterotomy $4,785 $9,941 $30,874 −85% $18,956 −75% —
728 Inflammation Of The Male Reproductive System Without McC $4,773 $7,767 $22,119 −78% $17,118 −72% —
349 Anal And Stomal Procedures Without Cc/McC $4,773 $8,292 $31,173 −85% $19,854 −76% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $4,748 $11,559 $24,198 −80% $27,119 −82% —
538 Sprains Strains And Dislocations Of Hip Pelvis And Thigh Without Cc/McC $4,721 $25,741 $11,909 −60% $11,909 −60% —
883 Disorders Of Personality And Impulse Control $4,714 $7,692 $25,909 −82% $23,206 −80% —
630 Other Endocrine Nutritional And Metabolic O.R. Procedures Without Cc/McC $4,701 $9,177 $17,519 −73% $22,393 −79% —
687 Kidney And Urinary Tract Neoplasms With Cc $4,661 $11,348 $17,794 −74% $20,232 −77% —
642 Inborn And Other Disorders Of Metabolism $4,652 $5,309 $24,803 −81% $20,727 −78% —
369 Major Esophageal Disorders With Cc $4,647 $6,931 $25,859 −82% $25,303 −82% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $4,613 $11,230 $23,392 −80% $21,847 −79% —
596 Major Skin Disorders Without McC $4,604 $5,491 $16,011 −71% $17,226 −73% —
690 Kidney And Urinary Tract Infections Without McC $4,602 $6,719 $20,057 −77% $17,674 −74% ≈176% of Medicare
605 Trauma To The Skin Subcutaneous Tissue And Breast Without McC $4,562 $7,267 $27,552 −83% $20,506 −78% —
618 Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders Without Cc/McC $4,561 $11,104 $9,075 −50% $19,354 −76% —
541 Osteomyelitis Without Cc/McC $4,541 $11,057 $22,109 −79% $15,215 −70% —
641 Miscellaneous Disorders Of Nutrition Metabolism Fluids And Electrolytes Without McC $4,536 $8,358 $19,426 −77% $17,038 −73% ≈149% of Medicare
711 Testes Procedures With Cc/McC $4,531 $11,031 $29,625 −85% $38,343 −88% —
203 Bronchitis And Asthma Without Cc/McC $4,530 $10,157 $11,397 −60% $12,252 −63% —
683 Renal Failure With Cc $4,530 $5,748 $22,859 −80% $19,130 −76% ≈190% of Medicare
202 Bronchitis And Asthma With Cc/McC $4,530 $10,618 $22,179 −80% $17,724 −74% —
390 Gastrointestinal Obstruction Without Cc/McC $4,513 $7,466 $14,942 −70% $13,361 −66% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $4,505 $15,646 $46,908 −90% $35,074 −87% —
645 Endocrine Disorders Without Cc/McC $4,504 $5,000 $17,001 −74% $15,428 −71% —
285 Acute Myocardial Infarction Expired Without Cc/McC $4,399 $6,158 $6,819 −35% $10,480 −58% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $4,391 $6,974 $14,417 −70% $11,421 −62% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $4,375 $10,743 $38,741 −89% $27,297 −84% —
684 Renal Failure Without Cc/McC $4,363 $2,783 $12,321 −65% $13,642 −68% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $4,363 $8,325 $12,412 −65% $13,824 −68% —
079 Hypertensive Encephalopathy Without Cc/McC $4,244 $11,928 $17,040 −75% $11,847 −64% —
672 Urethral Procedures Without Cc/McC $4,192 $10,205 $11,077 −62% $17,398 −76% —
089 Concussion With Cc $4,177 $11,996 $17,818 −77% $18,821 −78% —
881 Depressive Neuroses $4,168 $6,040 $27,265 −85% $15,058 −72% —
101 Seizures Without McC $4,148 $8,628 $25,137 −83% $20,461 −80% ≈160% of Medicare
293 Heart Failure And Shock Without Cc/McC $4,130 $4,508 $11,127 −63% $12,999 −68% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $4,107 $33,436 $34,508 −88% $33,694 −88% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $4,107 $4,477 $18,975 −78% $13,384 −69% ≈185% of Medicare
779 Abortion Without D&C $4,087 $3,766 $11,964 −66% $15,327 −73% —
090 Concussion Without Cc/McC $4,082 $8,212 $13,026 −69% $15,412 −74% —
669 Transurethral Procedures With Cc $4,065 $14,190 $31,218 −87% $34,354 −88% —
075 Viral Meningitis With Cc/McC $4,025 $10,980 $16,679 −76% $30,447 −87% —
594 Skin Ulcers Without Cc/McC $3,977 $2,784 $10,346 −62% $14,209 −72% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $3,962 $4,628 $20,762 −81% $17,303 −77% ≈504% of Medicare
194 Simple Pneumonia And Pleurisy With Cc $3,946 $6,530 $22,854 −83% $18,204 −78% ≈234% of Medicare
533 Fractures Of Femur With McC $3,879 $9,443 $37,488 −90% $25,945 −85% —
729 Other Male Reproductive System Diagnoses With Cc/McC $3,867 $5,414 $21,229 −82% $17,483 −78% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $3,860 $4,268 $14,426 −73% $12,454 −69% —
950 Aftercare Without Cc/McC $3,819 $13,014 $16,592 −77% $13,527 −72% —
607 Minor Skin Disorders Without McC $3,729 $4,852 $15,749 −76% $15,889 −77% —
206 Other Respiratory System Diagnoses Without McC $3,689 $7,529 $23,694 −84% $18,488 −80% —
313 Chest Pain $3,689 $5,238 $23,897 −85% $16,440 −78% —
307 Cardiac Congenital And Valvular Disorders Without McC $3,684 $9,393 $18,880 −80% $20,566 −82% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $3,568 $8,687 $19,183 −81% $19,270 −81% —
836 Acute Leukemia Without Cc/McC $3,524 $8,579 $15,971 −78% $19,686 −82% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $3,513 $4,919 $5,881 −40% $11,071 −68% —
935 Non-Extensive Burns $3,454 $6,712 $20,078 −83% $31,701 −89% —
052 Spinal Disorders And Injuries With Cc/McC $3,441 $13,264 $62,877 −95% $32,031 −89% —
200 Pneumothorax With Cc $3,380 $8,399 $28,821 −88% $21,368 −84% —
894 Alcohol Drug Abuse Or Dependence Left Ama $3,368 $7,855 $15,166 −78% $12,324 −73% —
921 Complications Of Treatment Without Cc/McC $3,267 $7,954 $13,127 −75% $14,415 −77% —
882 Neuroses Except Depressive $3,214 $6,186 $22,632 −86% $15,680 −80% —
189 Pulmonary Edema And Respiratory Failure $3,185 $6,102 $30,023 −89% $26,580 −88% ≈105% of Medicare
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $3,122 $6,916 $15,922 −80% $14,797 −79% —
284 Acute Myocardial Infarction Expired With Cc $3,026 $8,939 $14,343 −79% $16,450 −82% —
316 Other Circulatory System Diagnoses Without Cc/McC $2,999 $6,292 $29,904 −90% $13,651 −78% —
905 Skin Grafts For Injuries Without Cc/McC $2,898 $22,267 $31,810 −91% $25,197 −88% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $2,476 $3,360 $12,856 −81% $9,940 −75% —
601 Non-Malignant Breast Disorders Without Cc/McC $2,333 $3,266 $17,892 −87% $10,975 −79% —
793 Full Term Neonate With Major Problems $2,332 $10,413 $27,143 −91% $18,649 −87% —
884 Organic Disturbances And Intellectual Disability $2,259 $4,017 $35,058 −94% $26,682 −92% —
951 Other Factors Influencing Health Status $2,133 $340 $11,477 −81% $10,160 −79% —
794 Neonate With Other Significant Problems $1,980 $3,354 $9,504 −79% $8,445 −77% —
792 Prematurity Without Major Problems $1,831 $3,582 $18,944 −90% $12,229 −85% —
795 Normal Newborn $1,831 $3,877 $5,663 −68% $4,720 −61% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $1,776 $880 $12,536 −86% $12,559 −86% —
918 Poisoning And Toxic Effects Of Drugs Without McC $1,736 $4,903 $25,057 −93% $15,452 −89% —
948 Signs And Symptoms Without McC $1,580 $11,069 $22,745 −93% $17,921 −91% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $1,448 $2,028 $3,060 −53% $12,593 −88% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $436 $7,441 $10,630 −96% $15,215 −97% —
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