Umass Memorial Health - Harrington Hospital — Pricing

707 procedures published in this hospital's Machine-Readable File (MRF) — 707 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 707
Lowest published price $2,883
Average published price $82,798
Highest published price $3,175,485

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 707 procedures

Published charges

Showing all 707 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 31 procedures, this hospital's negotiated rates average ≈105% of what Medicare pays.

DRG Description Published price Cash price vs. MA median vs. National median vs Medicare
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $3,175,485 $3,175,485 $2,341,833 +36% $573,534 +454% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $648,595 $648,595 $375,261 +73% $371,366 +75% —
014 Allogeneic Bone Marrow Transplant $607,203 $607,203 $380,132 +60% $182,314 +233% —
212 Concomitant Aortic And Mitral Valve Procedures $585,648 $585,648 $324,657 +80% $196,346 +198% —
005 Liver Transplant With McC Or Intestinal Transplant $556,474 $556,474 $556,474 +0% $164,641 +238% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $473,119 $473,119 $325,686 +45% $148,686 +218% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $467,237 $467,237 $467,237 +0% $248,521 +88% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $459,375 $459,375 $585,894 −22% $461,389 −0% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $448,154 $448,154 $314,210 +43% $188,171 +138% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $406,074 $406,074 $100,048 +306% $80,018 +407% —
232 Coronary Bypass With Ptca Without McC $375,325 $375,325 $136,591 +175% $115,839 +224% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $371,825 $371,825 $159,308 +133% $106,057 +251% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $344,469 $344,469 $121,455 +184% $96,192 +258% —
215 Other Heart Assist System Implant $340,077 $340,077 $340,077 +0% $208,939 +63% —
651 Kidney Transplant With Hemodialysis Without McC $339,874 $339,874 $53,229 +539% $56,242 +504% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $339,369 $339,369 $244,842 +39% $123,995 +174% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $334,173 $334,173 $114,518 +192% $53,864 +520% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $330,381 $330,381 $230,197 +44% $153,282 +116% —
650 Kidney Transplant With Hemodialysis With McC $326,670 $326,670 $111,163 +194% $71,551 +357% —
231 Coronary Bypass With Ptca With McC $320,470 $320,470 $164,187 +95% $147,227 +118% —
006 Liver Transplant Without McC $312,542 $312,542 $312,542 +0% $84,407 +270% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $302,167 $302,167 $197,267 +53% $125,242 +141% —
016 Autologous Bone Marrow Transplant With Cc/McC $288,682 $288,682 $128,339 +125% $98,260 +194% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $279,833 $279,833 $242,313 +15% $131,961 +112% —
265 Aicd Lead Procedures $278,039 $278,039 $119,401 +133% $63,171 +340% —
652 Kidney Transplant $274,134 $274,134 $274,134 +0% $54,720 +401% —
969 Hiv With Extensive O.R. Procedures With McC $263,380 $263,380 $146,030 +80% $109,331 +141% —
955 Craniotomy For Multiple Significant Trauma $261,194 $261,194 $169,622 +54% $102,600 +155% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $258,417 $258,417 $139,310 +85% $79,836 +224% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $254,863 $254,863 $124,458 +105% $107,355 +137% —
834 Acute Leukemia With McC $254,194 $254,194 $137,687 +85% $85,566 +197% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $253,984 $253,984 $113,568 +124% $144,569 +76% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $253,874 $253,874 $106,748 +138% $85,159 +198% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $249,263 $249,263 $82,301 +203% $70,371 +254% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $244,630 $244,630 $242,781 +1% $143,242 +71% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $241,743 $241,743 $126,137 +92% $87,761 +175% —
471 Cervical Spinal Fusion With McC $233,988 $233,988 $110,891 +111% $92,515 +153% —
263 Vein Ligation And Stripping $230,942 $230,942 $65,205 +254% $51,253 +351% —
459 Spinal Fusion Except Cervical With McC $226,778 $226,778 $151,014 +50% $75,251 +201% —
356 Other Digestive System O.R. Procedures With McC $223,419 $223,419 $125,454 +78% $82,561 +171% —
319 Other Endovascular Cardiac Valve Procedures With McC $222,488 $222,488 $189,408 +17% $86,970 +156% —
028 Spinal Procedures With McC $217,896 $217,896 $158,431 +38% $113,077 +93% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $213,943 $213,943 $96,452 +122% $116,058 +84% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $208,072 $208,072 $171,834 +21% $117,280 +77% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $199,538 $199,538 $109,731 +82% $101,510 +97% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $198,888 $198,888 $40,406 +392% $59,031 +237% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $196,417 $196,417 $186,863 +5% $148,832 +32% —
273 Percutaneous And Other Intracardiac Procedures With McC $196,390 $196,390 $155,537 +26% $78,852 +149% —
791 Prematurity With Major Problems $194,049 $194,049 $27,889 +596% $42,679 +355% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $185,602 $185,602 $70,308 +164% $102,573 +81% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $183,333 $183,333 $114,417 +60% $106,778 +72% —
270 Other Major Cardiovascular Procedures With McC $182,363 $182,363 $154,050 +18% $99,423 +83% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $181,960 $181,960 $154,018 +18% $113,855 +60% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $180,389 $180,389 $67,373 +168% $89,207 +102% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $178,137 $178,137 $109,925 +62% $56,964 +213% —
454 Combined Anterior And Posterior Spinal Fusion With Cc $177,437 $177,437 $177,437 +0% $69,101 +157% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $175,349 $175,349 $181,335 −3% $111,320 +58% —
140 Major Head And Neck Procedures With McC $173,367 $173,367 $57,781 +200% $60,098 +188% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $171,441 $171,441 $139,381 +23% $92,217 +86% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $171,083 $171,083 $104,012 +64% $90,331 +89% —
727 Inflammation Of The Male Reproductive System With McC $170,016 $170,016 $23,253 +631% $26,463 +542% —
548 Septic Arthritis With McC $169,735 $169,735 $40,250 +322% $31,346 +441% —
453 Combined Anterior And Posterior Spinal Fusion With McC $167,541 $167,541 $167,541 +0% $103,861 +61% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $167,070 $167,070 $112,601 +48% $90,775 +84% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $164,314 $164,314 $112,438 +46% $67,268 +144% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $160,394 $160,394 $126,694 +27% $93,390 +72% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $157,204 $157,204 $126,739 +24% $48,687 +223% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $156,158 $156,158 $101,032 +55% $81,706 +91% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $155,110 $155,110 $102,456 +51% $88,307 +76% —
656 Kidney And Ureter Procedures For Neoplasm With McC $153,690 $153,690 $87,436 +76% $65,608 +134% —
460 Spinal Fusion Except Cervical Without McC $152,373 $152,373 $36,756 +315% $51,625 +195% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $151,957 $151,957 $134,426 +13% $120,573 +26% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $150,508 $150,508 $102,414 +47% $56,836 +165% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $150,253 $150,253 $58,564 +157% $68,639 +119% —
840 Lymphoma And Non-Acute Leukemia With McC $148,703 $148,703 $73,761 +102% $49,710 +199% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $147,698 $147,698 $38,439 +284% $41,620 +255% —
654 Major Bladder Procedures With Cc $146,358 $146,358 $63,842 +129% $58,274 +151% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $146,105 $146,105 $146,105 +0% $101,576 +44% —
277 Cardiac Defibrillator Implant Without McC $145,523 $145,523 $145,523 +0% $91,329 +59% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $144,853 $144,853 $52,714 +175% $43,631 +232% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $143,144 $143,144 $103,110 +39% $54,583 +162% —
405 Pancreas, Liver And Shunt Procedures With McC $143,120 $143,120 $116,863 +22% $102,128 +40% —
849 Radiotherapy $142,202 $142,202 $101,397 +40% $37,862 +276% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $141,299 $141,299 $79,556 +78% $84,692 +67% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $140,622 $140,622 $139,305 +1% $79,225 +77% —
235 Coronary Bypass Without Cardiac Catheterization With McC $140,507 $140,507 $140,507 +0% $112,062 +25% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $140,008 $140,008 $85,136 +64% $71,464 +96% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $138,905 $138,905 $100,247 +39% $71,795 +93% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $138,712 $138,712 $127,452 +9% $72,424 +92% —
163 Major Chest Procedures With McC $138,484 $138,484 $138,484 +0% $90,195 +54% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $138,473 $138,473 $127,941 +8% $93,172 +49% —
306 Cardiac Congenital And Valvular Disorders With McC $137,317 $137,317 $34,002 +304% $24,586 +459% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $136,839 $136,839 $136,839 +0% $90,724 +51% —
228 Other Cardiothoracic Procedures With McC $136,774 $136,774 $87,820 +56% $96,905 +41% —
242 Permanent Cardiac Pacemaker Implant With McC $136,723 $136,723 $75,541 +81% $70,132 +95% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $135,170 $135,170 $68,086 +99% $71,092 +90% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $133,457 $133,457 $44,638 +199% $43,650 +206% —
166 Other Respiratory System O.R. Procedures With McC $131,168 $131,168 $70,432 +86% $75,573 +74% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $130,751 $130,751 $56,339 +132% $59,629 +119% —
472 Cervical Spinal Fusion With Cc $130,423 $130,423 $68,993 +89% $59,537 +119% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $128,290 $128,290 $73,030 +76% $90,401 +42% —
252 Other Vascular Procedures With McC $127,933 $127,933 $101,547 +26% $68,508 +87% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $127,525 $127,525 $100,641 +27% $64,523 +98% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $127,374 $127,374 $127,374 +0% $68,653 +86% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $126,407 $126,407 $80,488 +57% $58,809 +115% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $126,382 $126,382 $126,382 +0% $66,711 +89% —
164 Major Chest Procedures With Cc $124,974 $124,974 $55,568 +125% $56,755 +120% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $124,939 $124,939 $70,455 +77% $73,120 +71% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $124,152 $124,152 $29,506 +321% $46,295 +168% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $123,616 $123,616 $90,657 +36% $66,685 +85% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $123,570 $123,570 $121,891 +1% $75,103 +65% —
326 Stomach, Esophageal And Duodenal Procedures With McC $122,728 $122,728 $102,442 +20% $80,793 +52% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $122,470 $122,470 $91,036 +35% $76,001 +61% —
037 Extracranial Procedures With McC $121,742 $121,742 $121,742 +0% $66,666 +83% —
258 Cardiac Pacemaker Device Replacement With McC $121,661 $121,661 $64,203 +89% $52,986 +130% —
835 Acute Leukemia With Cc $120,169 $120,169 $37,975 +216% $35,569 +238% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $119,489 $119,489 $114,244 +5% $93,238 +28% —
080 Nontraumatic Stupor And Coma With McC $118,778 $118,778 $31,755 +274% $36,249 +228% —
245 Aicd Generator Procedures $118,220 $118,220 $67,897 +74% $72,076 +64% —
466 Revision Of Hip Or Knee Replacement With McC $117,259 $117,259 $104,141 +13% $96,507 +22% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $116,962 $116,962 $41,608 +181% $41,608 +181% —
467 Revision Of Hip Or Knee Replacement With Cc $116,723 $116,723 $116,723 +0% $70,847 +65% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $116,012 $116,012 $102,398 +13% $58,707 +98% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $115,978 $115,978 $115,978 +0% $82,247 +41% —
907 Other O.R. Procedures For Injuries With McC $115,445 $115,445 $60,421 +91% $77,817 +48% —
271 Other Major Cardiovascular Procedures With Cc $115,170 $115,170 $112,278 +3% $71,014 +62% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $114,406 $114,406 $97,894 +17% $74,755 +53% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $113,487 $113,487 $104,847 +8% $70,564 +61% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC $112,830 $112,830 $112,830 +0% $89,353 +26% —
357 Other Digestive System O.R. Procedures With Cc $111,155 $111,155 $40,757 +173% $48,682 +128% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $110,900 $110,900 $53,592 +107% $42,901 +158% —
963 Other Multiple Significant Trauma With McC $110,579 $110,579 $55,818 +98% $43,491 +154% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $110,523 $110,523 $63,244 +75% $54,196 +104% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $110,047 $110,047 $28,899 +281% $26,598 +314% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $109,895 $109,895 $67,025 +64% $74,257 +48% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $108,627 $108,627 $48,875 +122% $62,583 +74% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $106,577 $106,577 $22,686 +370% $22,811 +367% —
800 Splenic Procedures With Cc $106,568 $106,568 $89,665 +19% $49,184 +117% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $106,509 $106,509 $41,669 +156% $34,276 +211% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $106,201 $106,201 $52,575 +102% $43,298 +145% —
799 Splenic Procedures With McC $106,066 $106,066 $106,066 +0% $82,218 +29% —
035 Carotid Artery Stent Procedures With Cc $105,132 $105,132 $51,487 +104% $49,066 +114% —
335 Peritoneal Adhesiolysis With McC $104,881 $104,881 $104,881 +0% $71,755 +46% —
671 Urethral Procedures With Cc/McC $104,769 $104,769 $39,060 +168% $27,233 +285% —
406 Pancreas, Liver And Shunt Procedures With Cc $103,695 $103,695 $103,695 +0% $58,043 +79% —
673 Other Kidney And Urinary Tract Procedures With McC $103,271 $103,271 $103,271 +0% $77,990 +32% —
329 Major Small And Large Bowel Procedures With McC $102,516 $102,516 $102,516 +0% $88,050 +16% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $102,200 $102,200 $102,200 +0% $70,467 +45% —
229 Other Cardiothoracic Procedures Without McC $101,858 $101,858 $101,858 +0% $65,325 +56% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $101,692 $101,692 $49,382 +106% $43,538 +134% —
034 Carotid Artery Stent Procedures With McC $101,642 $101,642 $101,642 +0% $76,219 +33% —
480 Hip And Femur Procedures Except Major Joint With McC $101,326 $101,326 $80,928 +25% $65,653 +54% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $100,945 $100,945 $100,945 +0% $62,264 +62% —
077 Hypertensive Encephalopathy With McC $100,222 $100,222 $49,835 +101% $24,550 +308% —
272 Other Major Cardiovascular Procedures Without Cc/McC $99,774 $99,774 $99,774 +0% $55,162 +81% —
165 Major Chest Procedures Without Cc/McC $99,425 $99,425 $99,425 +0% $46,340 +115% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $99,067 $99,067 $31,882 +211% $42,126 +135% —
908 Other O.R. Procedures For Injuries With Cc $99,066 $99,066 $41,660 +138% $42,914 +131% —
506 Major Thumb Or Joint Procedures $98,543 $98,543 $30,545 +223% $30,557 +222% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $97,920 $97,920 $97,253 +1% $66,068 +48% —
259 Cardiac Pacemaker Device Replacement Without McC $97,112 $97,112 $52,772 +84% $39,020 +149% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $96,294 $96,294 $46,100 +109% $42,415 +127% —
253 Other Vascular Procedures With Cc $96,027 $96,027 $82,612 +16% $57,454 +67% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $95,595 $95,595 $44,384 +115% $36,253 +164% —
570 Skin Debridement With McC $95,513 $95,513 $72,210 +32% $52,435 +82% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $94,666 $94,666 $84,300 +12% $62,821 +51% —
053 Spinal Disorders And Injuries Without Cc/McC $94,209 $94,209 $40,756 +131% $20,455 +361% —
243 Permanent Cardiac Pacemaker Implant With Cc $93,914 $93,914 $50,543 +86% $50,011 +88% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $93,546 $93,546 $72,255 +29% $45,877 +104% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $93,087 $93,087 $26,590 +250% $16,351 +469% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $93,081 $93,081 $93,081 +0% $61,217 +52% —
150 Epistaxis With McC $92,975 $92,975 $27,162 +242% $23,171 +301% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $92,551 $92,551 $70,439 +31% $49,839 +86% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $92,403 $92,403 $69,394 +33% $52,405 +76% —
157 Dental And Oral Diseases With McC $92,054 $92,054 $24,447 +277% $31,300 +194% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $91,616 $91,616 $43,148 +112% $40,365 +127% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $90,467 $90,467 $39,421 +129% $33,653 +169% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $90,088 $90,088 $43,383 +108% $47,737 +89% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $88,976 $88,976 $56,180 +58% $46,727 +90% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $88,742 $88,742 $49,413 +80% $37,950 +134% —
503 Foot Procedures With McC $88,711 $88,711 $48,928 +81% $47,540 +87% —
374 Digestive Malignancy With McC $88,593 $88,593 $48,871 +81% $39,958 +122% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $88,532 $88,532 $41,842 +112% $52,908 +67% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $88,458 $88,458 $85,003 +4% $58,228 +52% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $88,241 $88,241 $58,814 +50% $59,651 +48% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $87,855 $87,855 $67,622 +30% $58,280 +51% —
545 Connective Tissue Disorders With McC $87,782 $87,782 $54,739 +60% $40,362 +117% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $87,483 $87,483 $78,684 +11% $65,788 +33% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $87,413 $87,413 $61,202 +43% $54,929 +59% —
196 Interstitial Lung Disease With McC $87,332 $87,332 $69,890 +25% $32,637 +168% —
274 Percutaneous And Other Intracardiac Procedures Without McC $87,217 $87,217 $87,217 +0% $65,573 +33% —
712 Testes Procedures Without Cc/McC $86,802 $86,802 $14,395 +503% $18,898 +359% —
904 Skin Grafts For Injuries With Cc/McC $86,329 $86,329 $53,307 +62% $59,594 +45% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $86,120 $86,120 $69,258 +24% $46,283 +86% —
481 Hip And Femur Procedures Except Major Joint With Cc $85,905 $85,905 $73,364 +17% $52,751 +63% ≈102% of Medicare
353 Hernia Procedures Except Inguinal And Femoral With McC $85,116 $85,116 $80,597 +6% $60,170 +41% —
663 Minor Bladder Procedures With Cc $84,907 $84,907 $33,704 +152% $33,103 +156% —
254 Other Vascular Procedures Without Cc/McC $84,197 $84,197 $66,690 +26% $38,836 +117% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $84,022 $84,022 $84,022 +0% $61,470 +37% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $83,934 $83,934 $63,124 +33% $34,749 +142% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $83,912 $83,912 $83,912 +0% $62,300 +35% —
135 Sinus And Mastoid Procedures With Cc/McC $83,811 $83,811 $74,437 +13% $42,186 +99% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $83,290 $83,290 $76,545 +9% $55,289 +51% —
500 Soft Tissue Procedures With McC $83,283 $83,283 $83,283 +0% $61,872 +35% —
055 Nervous System Neoplasms Without McC $83,119 $83,119 $46,998 +77% $20,926 +297% —
141 Major Head And Neck Procedures With Cc $82,797 $82,797 $40,584 +104% $37,267 +122% —
501 Soft Tissue Procedures With Cc $82,581 $82,581 $60,388 +37% $39,619 +108% —
606 Minor Skin Disorders With McC $81,888 $81,888 $32,471 +152% $27,975 +193% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $81,607 $81,607 $81,607 +0% $52,075 +57% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $81,454 $81,454 $69,044 +18% $58,745 +39% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $80,960 $80,960 $66,392 +22% $42,881 +89% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $80,491 $80,491 $61,172 +32% $43,800 +84% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $80,121 $80,121 $80,121 +0% $59,533 +35% —
082 Traumatic Stupor And Coma >1 Hour With McC $80,087 $80,087 $24,039 +233% $36,489 +119% —
841 Lymphoma And Non-Acute Leukemia With Cc $79,937 $79,937 $33,157 +141% $33,633 +138% —
116 Intraocular Procedures With Cc/McC $79,912 $79,912 $24,183 +230% $29,126 +174% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $79,650 $79,650 $44,042 +81% $26,948 +196% —
052 Spinal Disorders And Injuries With Cc/McC $79,185 $79,185 $62,877 +26% $32,031 +147% —
444 Disorders Of The Biliary Tract With McC $79,062 $79,062 $45,187 +75% $34,273 +131% —
722 Malignancy, Male Reproductive System With McC $78,813 $78,813 $33,132 +138% $29,826 +164% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $78,487 $78,487 $61,067 +29% $47,945 +64% —
032 Ventricular Shunt Procedures With Cc $78,136 $78,136 $52,972 +48% $46,724 +67% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $77,552 $77,552 $55,905 +39% $52,178 +49% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $77,209 $77,209 $72,261 +7% $50,139 +54% —
036 Carotid Artery Stent Procedures Without Cc/McC $77,152 $77,152 $53,877 +43% $40,694 +90% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $77,136 $77,136 $51,542 +50% $50,498 +53% —
377 Gastrointestinal Hemorrhage With McC $76,807 $76,807 $58,908 +30% $37,842 +103% —
314 Other Circulatory System Diagnoses With McC $76,690 $76,690 $56,626 +35% $38,666 +98% —
668 Transurethral Procedures With McC $76,611 $76,611 $42,031 +82% $51,608 +48% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $76,174 $76,174 $50,682 +50% $31,170 +144% —
906 Hand Procedures For Injuries $76,080 $76,080 $57,528 +32% $32,065 +137% —
033 Ventricular Shunt Procedures Without Cc/McC $75,699 $75,699 $43,282 +75% $35,419 +114% —
592 Skin Ulcers With McC $75,543 $75,543 $52,689 +43% $33,246 +127% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $75,211 $75,211 $49,074 +53% $39,106 +92% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $75,123 $75,123 $44,966 +67% $39,887 +88% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $74,957 $74,957 $55,340 +35% $49,351 +52% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $74,748 $74,748 $31,563 +137% $28,140 +166% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $74,607 $74,607 $58,620 +27% $53,451 +40% —
533 Fractures Of Femur With McC $74,176 $74,176 $37,488 +98% $25,945 +186% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $74,154 $74,154 $40,132 +85% $41,591 +78% —
421 Hepatobiliary Diagnostic Procedures With Cc $74,027 $74,027 $34,909 +112% $36,354 +104% —
167 Other Respiratory System O.R. Procedures With Cc $73,959 $73,959 $45,038 +64% $40,642 +82% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $73,610 $73,610 $28,320 +160% $28,320 +160% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $73,605 $73,605 $61,445 +20% $59,421 +24% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $73,498 $73,498 $60,814 +21% $83,441 −12% —
264 Other Circulatory System O.R. Procedures $73,423 $73,423 $73,423 +0% $51,953 +41% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $73,278 $73,278 $46,908 +56% $35,074 +109% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $73,275 $73,275 $26,879 +173% $38,070 +92% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $73,239 $73,239 $62,271 +18% $59,790 +22% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $72,793 $72,793 $56,385 +29% $46,066 +58% —
674 Other Kidney And Urinary Tract Procedures With Cc $72,742 $72,742 $65,411 +11% $50,394 +44% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $72,568 $72,568 $32,321 +125% $34,434 +111% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $72,088 $72,088 $33,690 +114% $35,584 +103% —
180 Respiratory Neoplasms With McC $71,572 $71,572 $62,915 +14% $36,658 +95% —
707 Major Male Pelvic Procedures With Cc/McC $70,442 $70,442 $57,424 +23% $43,080 +64% —
902 Wound Debridements For Injuries With Cc $70,440 $70,440 $40,012 +76% $40,562 +74% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $70,279 $70,279 $47,007 +50% $50,607 +39% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $70,230 $70,230 $58,123 +21% $32,021 +119% —
420 Hepatobiliary Diagnostic Procedures With McC $69,863 $69,863 $59,481 +17% $50,919 +37% —
619 O.R. Procedures For Obesity With McC $69,651 $69,651 $62,574 +11% $51,746 +35% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $69,562 $69,562 $55,018 +26% $33,985 +105% —
597 Malignant Breast Disorders With McC $68,654 $68,654 $30,951 +122% $33,386 +106% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $68,035 $68,035 $62,878 +8% $39,173 +74% —
280 Acute Myocardial Infarction, Discharged Alive With McC $67,887 $67,887 $61,087 +11% $30,828 +120% ≈104% of Medicare
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $67,697 $67,697 $46,488 +46% $47,583 +42% —
397 Appendix Procedures With McC $67,471 $67,471 $51,587 +31% $53,257 +27% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $67,429 $67,429 $32,264 +109% $44,363 +52% —
183 Major Chest Trauma With McC $67,306 $67,306 $38,398 +75% $29,933 +125% —
330 Major Small And Large Bowel Procedures With Cc $67,169 $67,169 $52,286 +28% $59,500 +13% —
754 Malignancy, Female Reproductive System With McC $66,994 $66,994 $28,156 +138% $32,433 +107% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $66,910 $66,910 $49,070 +36% $43,943 +52% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $66,902 $66,902 $57,044 +17% $51,985 +29% —
553 Bone Diseases And Arthropathies With McC $65,747 $65,747 $33,365 +97% $26,051 +152% —
030 Spinal Procedures Without Cc/McC $65,735 $65,735 $62,996 +4% $45,866 +43% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $65,734 $65,734 $65,734 +0% $32,574 +102% —
557 Tendonitis, Myositis And Bursitis With McC $65,711 $65,711 $37,596 +75% $32,877 +100% —
283 Acute Myocardial Infarction, Expired With McC $65,495 $65,495 $38,833 +69% $39,955 +64% —
432 Cirrhosis And Alcoholic Hepatitis With McC $65,415 $65,415 $56,589 +16% $40,213 +63% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $65,261 $65,261 $43,359 +51% $29,805 +119% —
757 Infections, Female Reproductive System With McC $65,114 $65,114 $21,563 +202% $26,280 +148% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $64,968 $64,968 $43,290 +50% $45,333 +43% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $64,821 $64,821 $64,821 +0% $25,748 +152% —
473 Cervical Spinal Fusion Without Cc/McC $64,753 $64,753 $51,574 +26% $50,624 +28% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $64,693 $64,693 $50,732 +28% $44,606 +45% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $64,655 $64,655 $42,437 +52% $33,674 +92% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $63,804 $63,804 $32,277 +98% $29,949 +113% —
199 Pneumothorax With McC $63,603 $63,603 $33,013 +93% $33,787 +88% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $63,538 $63,538 $30,605 +108% $46,453 +37% —
708 Major Male Pelvic Procedures Without Cc/McC $63,518 $63,518 $41,216 +54% $36,988 +72% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $63,147 $63,147 $63,147 +0% $66,848 −6% —
905 Skin Grafts For Injuries Without Cc/McC $63,138 $63,138 $31,810 +98% $25,197 +151% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $63,084 $63,084 $52,055 +21% $46,090 +37% —
350 Inguinal And Femoral Hernia Procedures With McC $62,815 $62,815 $50,269 +25% $50,046 +26% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $62,792 $62,792 $46,189 +36% $38,094 +65% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $62,601 $71,553 $47,711 +31% $47,711 +31% —
655 Major Bladder Procedures Without Cc/McC $62,368 $62,368 $57,741 +8% $43,174 +44% —
085 Traumatic Stupor And Coma <1 Hour With McC $62,171 $62,171 $45,245 +37% $41,892 +48% —
336 Peritoneal Adhesiolysis With Cc $62,063 $62,063 $48,929 +27% $50,463 +23% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $61,995 $61,995 $45,490 +36% $35,628 +74% ≈104% of Medicare
749 Other Female Reproductive System O.R. Procedures With Cc/McC $61,946 $61,946 $49,369 +25% $45,167 +37% —
620 O.R. Procedures For Obesity With Cc $61,829 $61,829 $45,104 +37% $35,453 +74% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $61,562 $61,562 $61,562 +0% $30,243 +104% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $61,401 $61,401 $46,680 +32% $40,552 +51% —
056 Degenerative Nervous System Disorders With McC $60,685 $60,685 $60,685 +0% $39,973 +52% —
836 Acute Leukemia Without Cc/McC $60,654 $60,654 $15,971 +280% $19,686 +208% —
347 Anal And Stomal Procedures With McC $60,570 $60,570 $47,241 +28% $40,548 +49% —
550 Septic Arthritis Without Cc/McC $60,432 $60,432 $16,502 +266% $19,138 +216% —
621 O.R. Procedures For Obesity Without Cc/McC $60,330 $60,330 $36,546 +65% $32,451 +86% —
031 Ventricular Shunt Procedures With McC $60,249 $60,249 $60,249 +0% $72,962 −17% —
974 Hiv With Major Related Condition With McC $60,208 $60,208 $60,208 +0% $46,402 +30% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $59,893 $59,893 $31,774 +88% $32,443 +85% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $59,697 $59,697 $42,725 +40% $41,955 +42% —
614 Adrenal And Pituitary Procedures With Cc/McC $59,563 $59,563 $45,152 +32% $48,349 +23% —
445 Disorders Of The Biliary Tract With Cc $59,527 $59,527 $25,888 +130% $23,319 +155% —
100 Seizures With McC $59,068 $59,068 $50,531 +17% $35,481 +66% —
885 Psychoses $58,976 $58,976 $37,862 +56% $21,729 +171% ≈525% of Medicare
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $58,950 $58,950 $58,950 +0% $49,418 +19% —
288 Acute And Subacute Endocarditis With McC $58,942 $58,942 $54,543 +8% $50,618 +16% —
398 Appendix Procedures With Cc $58,925 $58,925 $42,478 +39% $40,162 +47% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $58,847 $58,847 $28,630 +106% $20,463 +188% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $58,803 $58,803 $47,463 +24% $44,139 +33% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $58,283 $58,283 $58,283 +0% $39,018 +49% —
653 Major Bladder Procedures With McC $58,133 $58,133 $58,133 +0% $104,583 −44% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $57,823 $57,823 $45,483 +27% $30,553 +89% —
333 Rectal Resection With Cc $57,697 $57,697 $51,827 +11% $37,154 +55% —
669 Transurethral Procedures With Cc $57,527 $57,527 $31,218 +84% $34,354 +67% —
331 Major Small And Large Bowel Procedures Without Cc/McC $57,386 $57,386 $44,117 +30% $44,117 +30% —
666 Prostatectomy With Cc $57,243 $57,243 $57,243 +0% $31,906 +79% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $57,177 $57,177 $37,864 +51% $30,493 +88% —
884 Organic Disturbances And Intellectual Disability $57,042 $57,042 $35,058 +63% $26,682 +114% —
813 Coagulation Disorders $57,005 $57,005 $39,854 +43% $33,296 +71% —
182 Respiratory Neoplasms Without Cc/McC $56,676 $56,676 $53,655 +6% $14,064 +303% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $56,578 $56,578 $56,578 +0% $36,431 +55% —
038 Extracranial Procedures With Cc $56,455 $56,455 $56,337 +0% $35,770 +58% —
380 Complicated Peptic Ulcer With McC $56,103 $56,103 $35,369 +59% $39,627 +42% —
535 Fractures Of Hip And Pelvis With McC $56,092 $56,092 $27,809 +102% $24,552 +128% —
393 Other Digestive System Diagnoses With McC $55,926 $55,926 $49,207 +14% $34,192 +64% —
385 Inflammatory Bowel Disease With McC $55,906 $55,906 $42,912 +30% $27,617 +102% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $55,409 $55,409 $41,427 +34% $38,861 +43% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $55,377 $55,377 $30,328 +83% $29,743 +86% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $55,108 $55,108 $46,400 +19% $36,937 +49% —
304 Hypertension With McC $54,990 $54,990 $54,990 +0% $26,080 +111% —
438 Disorders Of Pancreas Except Malignancy With McC $54,791 $54,791 $37,194 +47% $32,628 +68% —
713 Transurethral Prostatectomy With Cc/McC $54,756 $54,756 $31,908 +72% $32,100 +71% —
186 Pleural Effusion With McC $54,511 $54,511 $42,577 +28% $33,834 +61% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $54,033 $54,033 $39,309 +37% $33,047 +64% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $53,770 $53,770 $49,831 +8% $38,101 +41% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $53,751 $53,751 $40,891 +31% $42,795 +26% —
296 Cardiac Arrest, Unexplained With McC $53,528 $53,528 $51,862 +3% $33,661 +59% —
337 Peritoneal Adhesiolysis Without Cc/McC $53,472 $53,472 $37,524 +43% $39,211 +36% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $53,452 $53,452 $53,452 +0% $33,555 +59% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $52,949 $52,949 $52,949 +0% $38,878 +36% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $52,782 $52,782 $42,589 +24% $43,477 +21% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $52,757 $52,757 $39,207 +35% $31,563 +67% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $52,700 $52,700 $41,585 +27% $27,323 +93% —
786 Cesarean Section Without Sterilization With McC $52,682 $52,682 $44,672 +18% $27,152 +94% —
901 Wound Debridements For Injuries With McC $52,653 $52,653 $52,653 +0% $70,177 −25% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $52,624 $52,624 $42,436 +24% $19,227 +174% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $52,544 $52,544 $52,544 +0% $38,998 +35% —
977 Hiv With Or Without Other Related Condition $52,436 $52,436 $25,592 +105% $22,525 +133% —
909 Other O.R. Procedures For Injuries Without Cc/McC $52,274 $52,274 $27,745 +88% $28,156 +86% —
913 Traumatic Injury With McC $52,236 $52,236 $52,236 +0% $24,198 +116% —
446 Disorders Of The Biliary Tract Without Cc/McC $52,002 $52,002 $22,377 +132% $17,700 +194% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $51,858 $51,858 $29,648 +75% $34,607 +50% —
975 Hiv With Major Related Condition With Cc $51,791 $51,791 $24,799 +109% $27,808 +86% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $51,707 $51,707 $51,707 +0% $43,913 +18% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $51,582 $51,582 $46,205 +12% $33,424 +54% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $51,559 $51,559 $38,300 +35% $37,240 +38% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $51,429 $51,429 $51,429 +0% $31,134 +65% —
862 Postoperative And Post-Traumatic Infections With McC $51,424 $51,424 $49,084 +5% $32,859 +56% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $51,011 $51,011 $30,396 +68% $22,458 +127% —
602 Cellulitis With McC $50,905 $50,905 $26,545 +92% $30,598 +66% ≈101% of Medicare
177 Respiratory Infections And Inflammations With McC $50,807 $50,807 $44,001 +15% $33,707 +51% ≈106% of Medicare
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $50,698 $50,698 $27,696 +83% $30,784 +65% —
670 Transurethral Procedures Without Cc/McC $50,488 $50,488 $27,462 +84% $20,911 +141% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $50,435 $50,435 $39,065 +29% $35,692 +41% —
964 Other Multiple Significant Trauma With Cc $50,423 $50,423 $29,796 +69% $27,394 +84% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $50,368 $50,368 $37,745 +33% $39,181 +29% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $50,309 $50,309 $39,873 +26% $39,006 +29% —
089 Concussion With Cc $50,105 $50,105 $17,818 +181% $18,821 +166% —
615 Adrenal And Pituitary Procedures Without Cc/McC $49,983 $49,983 $40,086 +25% $32,833 +52% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $49,874 $49,874 $30,555 +63% $30,418 +64% —
551 Medical Back Problems With McC $49,835 $49,835 $49,835 +0% $34,017 +47% —
915 Allergic Reactions With McC $49,663 $49,663 $42,564 +17% $32,645 +52% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $49,269 $49,269 $49,269 +0% $29,916 +65% —
070 Nonspecific Cerebrovascular Disorders With McC $49,252 $49,252 $25,761 +91% $31,951 +54% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $49,193 $49,193 $39,618 +24% $24,127 +104% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $49,178 $49,178 $49,178 +0% $35,030 +40% —
642 Inborn And Other Disorders Of Metabolism $49,114 $49,114 $24,803 +98% $20,727 +137% —
571 Skin Debridement With Cc $48,847 $48,847 $42,097 +16% $37,169 +31% —
698 Other Kidney And Urinary Tract Diagnoses With McC $48,331 $48,331 $38,521 +25% $32,496 +49% ≈106% of Medicare
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $48,217 $48,217 $54,300 −11% $61,832 −22% —
637 Diabetes With McC $48,064 $48,064 $34,925 +38% $30,100 +60% —
351 Inguinal And Femoral Hernia Procedures With Cc $47,899 $47,899 $47,899 +0% $36,505 +31% —
643 Endocrine Disorders With McC $47,800 $47,800 $38,745 +23% $33,563 +42% —
811 Red Blood Cell Disorders With McC $47,410 $47,410 $40,425 +17% $28,226 +68% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $47,342 $47,342 $27,522 +72% $23,498 +101% —
546 Connective Tissue Disorders With Cc $47,031 $47,031 $34,947 +35% $25,700 +83% —
039 Extracranial Procedures Without Cc/McC $46,911 $46,911 $29,933 +57% $26,618 +76% —
725 Benign Prostatic Hypertrophy With McC $46,752 $46,752 $24,834 +88% $22,320 +109% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $46,659 $46,659 $46,659 +0% $49,423 −6% —
999 Ungroupable $46,384 $46,384 $46,384 +0% $29,674 +56% —
783 Cesarean Section With Sterilization With McC $46,199 $46,199 $46,199 +0% $29,221 +58% —
381 Complicated Peptic Ulcer With Cc $45,867 $45,867 $24,730 +85% $24,177 +90% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $45,789 $45,789 $28,645 +60% $27,163 +69% —
594 Skin Ulcers Without Cc/McC $45,666 $45,666 $10,346 +341% $14,209 +221% —
686 Kidney And Urinary Tract Neoplasms With McC $45,526 $45,526 $36,025 +26% $37,844 +20% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $45,455 $45,455 $15,529 +193% $22,557 +102% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $45,428 $45,428 $26,808 +69% $25,094 +81% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $45,422 $45,422 $38,221 +19% $26,770 +70% ≈112% of Medicare
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $45,373 $45,373 $45,373 +0% $36,792 +23% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $45,316 $45,316 $23,392 +94% $21,847 +107% —
205 Other Respiratory System Diagnoses With McC $44,892 $44,892 $39,057 +15% $33,255 +35% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $44,800 $44,800 $32,069 +40% $25,034 +79% —
787 Cesarean Section Without Sterilization With Cc $44,682 $44,682 $34,767 +29% $23,571 +90% —
054 Nervous System Neoplasms With McC $44,630 $44,630 $30,144 +48% $30,502 +46% —
919 Complications Of Treatment With McC $44,573 $44,573 $30,988 +44% $31,105 +43% —
784 Cesarean Section With Sterilization With Cc $44,562 $44,562 $24,184 +84% $23,283 +91% —
399 Appendix Procedures Without Cc/McC $44,394 $44,394 $30,259 +47% $31,321 +42% —
083 Traumatic Stupor And Coma >1 Hour With Cc $44,298 $44,298 $44,298 +0% $27,285 +62% —
088 Concussion With McC $44,263 $44,263 $28,654 +54% $24,402 +81% —
113 Orbital Procedures With Cc/McC $44,241 $44,241 $31,605 +40% $36,167 +22% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $44,116 $44,116 $22,606 +95% $22,851 +93% —
073 Cranial And Peripheral Nerve Disorders With McC $43,572 $43,572 $26,886 +62% $30,010 +45% —
917 Poisoning And Toxic Effects Of Drugs With McC $43,457 $43,457 $37,942 +15% $30,235 +44% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $43,437 $43,437 $33,510 +30% $31,044 +40% —
142 Major Head And Neck Procedures Without Cc/McC $43,415 $43,415 $43,415 +0% $34,906 +24% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $43,339 $43,339 $43,339 +0% $77,055 −44% —
181 Respiratory Neoplasms With Cc $43,236 $43,236 $37,213 +16% $23,573 +83% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $43,111 $43,111 $30,616 +41% $27,633 +56% —
344 Minor Small And Large Bowel Procedures With McC $43,057 $43,057 $33,024 +30% $44,546 −3% —
378 Gastrointestinal Hemorrhage With Cc $42,986 $42,986 $28,960 +48% $22,098 +95% ≈102% of Medicare
091 Other Disorders Of Nervous System With McC $42,957 $42,957 $42,957 +0% $37,387 +15% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $42,879 $42,879 $36,861 +16% $31,264 +37% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $42,775 $42,775 $20,614 +108% $19,594 +118% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $42,389 $42,389 $35,498 +19% $29,079 +46% —
914 Traumatic Injury Without McC $42,319 $42,319 $14,052 +201% $15,855 +167% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $42,149 $42,149 $24,803 +70% $31,159 +35% —
682 Renal Failure With McC $42,147 $42,147 $33,856 +24% $29,064 +45% ≈117% of Medicare
504 Foot Procedures With Cc $42,056 $42,056 $42,056 +0% $38,960 +8% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $41,963 $41,963 $32,595 +29% $30,959 +36% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $41,940 $41,940 $26,803 +56% $22,148 +89% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $41,934 $41,934 $27,279 +54% $33,454 +25% —
388 Gastrointestinal Obstruction With McC $41,920 $41,920 $29,845 +40% $30,571 +37% —
865 Viral Illness With McC $41,916 $41,916 $25,367 +65% $26,910 +56% —
291 Heart Failure And Shock With McC $41,779 $41,779 $38,049 +10% $26,776 +56% ≈100% of Medicare
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $41,744 $41,744 $25,152 +66% $25,073 +66% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $41,561 $41,561 $39,644 +5% $33,393 +24% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $41,500 $41,500 $24,198 +72% $27,119 +53% —
184 Major Chest Trauma With Cc $41,419 $41,419 $38,785 +7% $22,432 +85% —
137 Mouth Procedures With Cc/McC $41,302 $41,302 $41,302 +0% $27,861 +48% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $41,211 $41,211 $41,211 +0% $28,125 +47% —
882 Neuroses Except Depressive $41,191 $41,191 $22,632 +82% $15,680 +163% —
505 Foot Procedures Without Cc/McC $41,130 $41,130 $31,716 +30% $34,937 +18% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $41,129 $41,129 $39,071 +5% $52,036 −21% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $40,979 $40,979 $18,985 +116% $19,962 +105% —
785 Cesarean Section With Sterilization Without Cc/McC $40,701 $40,701 $27,268 +49% $19,846 +105% —
788 Cesarean Section Without Sterilization Without Cc/McC $40,377 $40,377 $38,919 +4% $20,084 +101% —
710 Penis Procedures Without Cc/McC $40,360 $40,360 $54,233 −26% $26,436 +53% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $40,336 $40,336 $39,638 +2% $32,841 +23% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $40,315 $40,315 $35,465 +14% $35,465 +14% —
689 Kidney And Urinary Tract Infections With McC $40,259 $40,259 $29,341 +37% $23,617 +70% ≈97% of Medicare
386 Inflammatory Bowel Disease With Cc $40,245 $40,245 $30,103 +34% $22,033 +83% —
299 Peripheral Vascular Disorders With McC $40,243 $40,243 $34,674 +16% $27,316 +47% —
596 Major Skin Disorders Without McC $40,118 $40,118 $16,011 +151% $17,226 +133% —
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/McC $40,110 $40,110 $40,110 +0% $44,472 −10% —
697 Urethral Stricture $39,922 $39,922 $22,523 +77% $18,428 +117% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $39,587 $39,587 $36,163 +9% $30,770 +29% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $39,372 $39,372 $16,271 +142% $25,463 +55% ≈105% of Medicare
294 Deep Vein Thrombophlebitis With Cc/McC $39,300 $39,300 $39,300 +0% $19,132 +105% —
694 Urinary Stones Without McC $39,263 $39,263 $21,826 +80% $17,345 +126% —
189 Pulmonary Edema And Respiratory Failure $39,163 $39,163 $30,023 +30% $26,580 +47% ≈98% of Medicare
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $39,149 $39,149 $19,911 +97% $26,870 +46% —
102 Headaches With McC $39,106 $39,106 $26,681 +47% $25,740 +52% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $38,741 $38,741 $38,741 +0% $27,297 +42% —
334 Rectal Resection Without Cc/McC $38,636 $38,636 $38,636 +0% $36,820 +5% —
071 Nonspecific Cerebrovascular Disorders With Cc $38,583 $38,583 $22,359 +73% $23,488 +64% —
687 Kidney And Urinary Tract Neoplasms With Cc $38,469 $38,469 $17,794 +116% $20,232 +90% —
534 Fractures Of Femur Without McC $38,468 $38,468 $19,639 +96% $17,559 +119% —
709 Penis Procedures With Cc/McC $38,128 $38,128 $35,243 +8% $34,535 +10% —
086 Traumatic Stupor And Coma <1 Hour With Cc $38,026 $38,026 $24,991 +52% $27,043 +41% —
693 Urinary Stones With McC $37,703 $37,703 $19,880 +90% $23,892 +58% —
369 Major Esophageal Disorders With Cc $37,619 $37,619 $25,859 +45% $25,303 +49% —
092 Other Disorders Of Nervous System With Cc $37,504 $37,504 $28,389 +32% $24,914 +51% —
358 Other Digestive System O.R. Procedures Without Cc/McC $37,380 $37,380 $37,380 +0% $30,083 +24% —
748 Female Reproductive System Reconstructive Procedures $37,370 $37,370 $32,600 +15% $30,242 +24% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $37,337 $37,337 $13,591 +175% $12,460 +200% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $36,902 $36,902 $36,902 +0% $28,050 +32% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $36,814 $36,814 $19,946 +85% $18,452 +100% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $36,813 $36,813 $24,717 +49% $21,894 +68% —
375 Digestive Malignancy With Cc $36,800 $36,800 $34,560 +6% $27,277 +35% —
345 Minor Small And Large Bowel Procedures With Cc $36,748 $36,748 $31,108 +18% $33,048 +11% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $36,721 $36,721 $25,005 +47% $22,850 +61% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $36,318 $36,318 $22,644 +60% $25,390 +43% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $36,231 $36,231 $27,552 +32% $20,506 +77% —
178 Respiratory Infections And Inflammations With Cc $36,200 $36,200 $30,232 +20% $22,024 +64% ≈109% of Medicare
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $36,176 $36,176 $15,367 +135% $14,501 +149% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $36,034 $36,034 $24,441 +47% $16,968 +112% —
190 Chronic Obstructive Pulmonary Disease With McC $35,801 $35,801 $28,215 +27% $24,386 +47% ≈108% of Medicare
695 Kidney And Urinary Tract Signs And Symptoms With McC $35,752 $35,752 $32,512 +10% $24,566 +46% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $35,717 $35,717 $19,183 +86% $19,270 +85% —
549 Septic Arthritis With Cc $35,672 $35,672 $18,835 +89% $24,056 +48% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $35,660 $35,660 $28,509 +25% $23,551 +51% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $35,615 $35,615 $25,176 +41% $32,944 +8% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $35,599 $35,599 $21,175 +68% $16,846 +111% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $35,494 $35,494 $17,519 +103% $22,393 +59% —
368 Major Esophageal Disorders With McC $35,463 $35,463 $30,007 +18% $33,876 +5% —
384 Uncomplicated Peptic Ulcer Without McC $35,406 $35,406 $26,571 +33% $19,305 +83% —
376 Digestive Malignancy Without Cc/McC $35,335 $35,335 $25,989 +36% $16,998 +108% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $35,276 $35,276 $33,830 +4% $23,940 +47% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $35,183 $35,183 $23,198 +52% $17,733 +98% —
552 Medical Back Problems Without McC $35,141 $35,141 $28,869 +22% $21,396 +64% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $35,117 $35,117 $35,117 +0% $21,449 +64% —
947 Signs And Symptoms With McC $35,061 $35,061 $23,334 +50% $27,401 +28% —
200 Pneumothorax With Cc $35,023 $35,023 $28,821 +22% $21,368 +64% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $34,891 $34,891 $20,446 +71% $19,842 +76% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $34,769 $34,769 $29,524 +18% $16,776 +107% —
728 Inflammation Of The Male Reproductive System Without McC $34,634 $34,634 $22,119 +57% $17,118 +102% —
536 Fractures Of Hip And Pelvis Without McC $34,551 $34,551 $17,814 +94% $18,002 +92% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $34,508 $34,508 $34,508 +0% $33,694 +2% —
539 Osteomyelitis With McC $34,487 $34,487 $34,182 +1% $37,609 −8% —
382 Complicated Peptic Ulcer Without Cc/McC $34,307 $34,307 $18,925 +81% $16,634 +106% —
595 Major Skin Disorders With McC $34,082 $34,082 $31,822 +7% $34,598 −1% —
057 Degenerative Nervous System Disorders Without McC $34,052 $34,052 $30,200 +13% $27,543 +24% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $33,770 $33,770 $27,924 +21% $24,941 +35% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $33,563 $33,563 $33,563 +0% $34,459 −3% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $33,464 $33,464 $23,784 +41% $14,716 +127% —
540 Osteomyelitis With Cc $33,331 $33,331 $33,331 +0% $26,676 +25% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $33,255 $33,255 $31,432 +6% $22,888 +45% ≈107% of Medicare
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $33,255 $33,255 $28,004 +19% $22,506 +48% —
315 Other Circulatory System Diagnoses With Cc $33,234 $33,234 $33,234 +0% $21,363 +56% —
151 Epistaxis Without McC $33,159 $33,159 $15,523 +114% $13,032 +154% —
572 Skin Debridement Without Cc/McC $33,093 $33,093 $33,093 +0% $24,944 +33% —
115 Extraocular Procedures Except Orbit $32,736 $32,736 $33,359 −2% $25,703 +27% —
755 Malignancy, Female Reproductive System With Cc $32,616 $32,616 $27,083 +20% $18,459 +77% —
292 Heart Failure And Shock With Cc $32,440 $32,440 $32,219 +1% $16,371 +98% —
074 Cranial And Peripheral Nerve Disorders Without McC $32,180 $32,180 $27,670 +16% $23,141 +39% —
638 Diabetes With Cc $32,108 $32,108 $25,396 +26% $19,661 +63% ≈109% of Medicare
949 Aftercare With Cc/McC $32,091 $32,091 $17,779 +81% $23,953 +34% —
593 Skin Ulcers With Cc $32,058 $32,058 $24,443 +31% $22,886 +40% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $31,678 $31,678 $31,678 +0% $23,749 +33% —
312 Syncope And Collapse $31,674 $31,674 $30,210 +5% $19,342 +64% ≈104% of Medicare
193 Simple Pneumonia And Pleurisy With McC $31,670 $31,670 $30,935 +2% $27,275 +16% ≈99% of Medicare
300 Peripheral Vascular Disorders With Cc $31,641 $31,641 $26,309 +20% $20,422 +55% —
394 Other Digestive System Diagnoses With Cc $31,605 $31,605 $20,933 +51% $20,181 +57% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $31,565 $31,565 $28,708 +10% $27,843 +13% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $31,388 $31,388 $25,601 +23% $15,370 +104% —
349 Anal And Stomal Procedures Without Cc/McC $31,173 $31,173 $31,173 +0% $19,854 +57% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $31,093 $31,093 $19,726 +58% $18,348 +69% —
726 Benign Prostatic Hypertrophy Without McC $31,020 $31,020 $14,432 +115% $15,019 +107% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $30,984 $30,984 $30,984 +0% $36,670 −16% —
812 Red Blood Cell Disorders Without McC $30,969 $30,969 $30,969 +0% $20,488 +51% ≈99% of Medicare
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $30,879 $30,879 $30,879 +0% $18,072 +71% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $30,874 $30,874 $30,874 +0% $18,956 +63% —
920 Complications Of Treatment With Cc $30,550 $30,550 $24,464 +25% $22,468 +36% —
138 Mouth Procedures Without Cc/McC $30,289 $30,289 $21,381 +42% $19,119 +58% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $30,284 $30,284 $26,874 +13% $29,524 +3% —
729 Other Male Reproductive System Diagnoses With Cc/McC $30,222 $30,222 $21,229 +42% $17,483 +73% —
881 Depressive Neuroses $30,113 $30,113 $27,265 +10% $15,058 +100% ≈14% of Medicare
714 Transurethral Prostatectomy Without Cc/McC $30,102 $30,102 $18,363 +64% $17,934 +68% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $30,062 $30,062 $29,856 +1% $22,635 +33% —
603 Cellulitis Without McC $30,055 $30,055 $22,028 +36% $18,530 +62% ≈109% of Medicare
814 Reticuloendothelial And Immunity Disorders With McC $30,026 $30,026 $30,026 +0% $33,851 −11% —
316 Other Circulatory System Diagnoses Without Cc/McC $29,952 $29,952 $29,904 +0% $13,651 +119% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $29,876 $29,876 $22,742 +31% $25,712 +16% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $29,871 $29,871 $28,548 +5% $19,569 +53% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $29,747 $29,747 $24,613 +21% $21,275 +40% —
187 Pleural Effusion With Cc $29,485 $29,485 $23,711 +24% $21,789 +35% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $29,454 $29,454 $29,454 +0% $24,544 +20% —
176 Pulmonary Embolism Without McC $29,404 $29,404 $23,201 +27% $18,081 +63% —
439 Disorders Of Pancreas Except Malignancy With Cc $29,283 $29,283 $24,615 +19% $19,096 +53% —
502 Soft Tissue Procedures Without Cc/McC $29,234 $29,234 $29,234 +0% $31,017 −6% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $29,181 $29,181 $29,181 +0% $40,108 −27% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $29,086 $29,086 $21,962 +32% $20,895 +39% —
158 Dental And Oral Diseases With Cc $29,028 $29,028 $25,343 +15% $18,466 +57% —
123 Neurological Eye Disorders $29,012 $29,012 $29,012 +0% $19,745 +47% —
197 Interstitial Lung Disease With Cc $28,997 $28,997 $28,997 +0% $21,941 +32% —
948 Signs And Symptoms Without McC $28,941 $28,941 $22,745 +27% $17,921 +61% —
758 Infections, Female Reproductive System With Cc $28,729 $28,729 $25,460 +13% $20,901 +37% —
711 Testes Procedures With Cc/McC $28,659 $28,659 $29,625 −3% $38,343 −25% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $28,614 $28,614 $25,879 +11% $25,652 +12% —
320 Other Endovascular Cardiac Valve Procedures Without McC $28,334 $28,334 $34,848 −19% $40,060 −29% —
683 Renal Failure With Cc $28,219 $28,219 $22,859 +23% $19,130 +48% ≈105% of Medicare
582 Mastectomy For Malignancy With Cc/McC $28,133 $28,133 $31,198 −10% $35,849 −22% —
191 Chronic Obstructive Pulmonary Disease With Cc $28,117 $28,117 $24,337 +16% $18,807 +50% ≈103% of Medicare
756 Malignancy, Female Reproductive System Without Cc/McC $28,003 $28,003 $28,003 +0% $15,589 +80% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $27,963 $27,963 $24,655 +13% $13,275 +111% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $27,831 $27,831 $15,603 +78% $19,924 +40% —
149 Dysequilibrium $27,830 $27,830 $26,497 +5% $18,096 +54% —
159 Dental And Oral Diseases Without Cc/McC $27,760 $27,760 $12,725 +118% $13,633 +104% —
965 Other Multiple Significant Trauma Without Cc/McC $27,710 $27,710 $27,710 +0% $20,259 +37% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $27,606 $27,606 $18,223 +51% $16,699 +65% ≈98% of Medicare
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $27,493 $27,493 $27,493 +0% $25,970 +6% —
305 Hypertension Without McC $27,277 $27,277 $27,277 +0% $18,086 +51% —
093 Other Disorders Of Nervous System Without Cc/McC $27,224 $27,224 $26,380 +3% $17,620 +55% —
793 Full Term Neonate With Major Problems $27,143 $27,143 $27,143 +0% $18,649 +46% —
554 Bone Diseases And Arthropathies Without McC $26,931 $26,931 $21,371 +26% $18,528 +45% —
690 Kidney And Urinary Tract Infections Without McC $26,866 $26,866 $20,057 +34% $17,674 +52% ≈112% of Medicare
389 Gastrointestinal Obstruction With Cc $26,812 $26,812 $21,314 +26% $17,578 +53% —
935 Non-Extensive Burns $26,773 $26,773 $20,078 +33% $31,701 −16% —
547 Connective Tissue Disorders Without Cc/McC $26,755 $26,755 $26,755 +0% $16,565 +62% —
383 Uncomplicated Peptic Ulcer With McC $26,677 $26,677 $30,085 −11% $27,426 −3% —
069 Transient Ischemia Without Thrombolytic $26,630 $26,630 $26,630 +0% $21,056 +26% —
724 Malignancy, Male Reproductive System Without Cc/McC $26,614 $26,614 $30,437 −13% $12,768 +108% —
125 Other Disorders Of The Eye Without McC $26,553 $26,553 $16,137 +65% $17,298 +54% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $26,403 $26,403 $26,403 +0% $47,789 −45% —
103 Headaches Without McC $26,347 $26,347 $26,347 +0% $21,280 +24% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $26,127 $26,127 $24,302 +8% $20,781 +26% —
101 Seizures Without McC $25,967 $25,967 $25,137 +3% $20,461 +27% —
348 Anal And Stomal Procedures With Cc $25,932 $25,932 $25,932 +0% $27,947 −7% —
883 Disorders Of Personality And Impulse Control $25,909 $25,909 $25,909 +0% $23,206 +12% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $25,903 $25,903 $19,426 +33% $17,038 +52% ≈101% of Medicare
395 Other Digestive System Diagnoses Without Cc/McC $25,792 $25,792 $15,125 +71% $14,128 +83% —
644 Endocrine Disorders With Cc $25,746 $25,746 $23,795 +8% $23,198 +11% ≈108% of Medicare
387 Inflammatory Bowel Disease Without Cc/McC $25,691 $25,691 $21,971 +17% $16,288 +58% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $25,662 $25,662 $25,662 +0% $25,279 +2% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $25,614 $25,614 $25,614 +0% $28,202 −9% —
204 Respiratory Signs And Symptoms $25,544 $25,544 $25,544 +0% $18,004 +42% —
185 Major Chest Trauma Without Cc/McC $25,506 $25,506 $23,266 +10% $17,124 +49% —
887 Other Mental Disorder Diagnoses $25,493 $25,493 $21,835 +17% $20,616 +24% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $25,434 $25,434 $15,766 +61% $16,520 +54% —
311 Angina Pectoris $25,386 $25,386 $22,207 +14% $15,502 +64% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $25,313 $25,313 $22,318 +13% $22,763 +11% —
202 Bronchitis And Asthma With Cc/McC $25,276 $25,276 $22,179 +14% $17,724 +43% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $25,221 $25,221 $19,824 +27% $18,126 +39% —
081 Nontraumatic Stupor And Coma Without McC $25,219 $25,219 $25,219 +0% $16,552 +52% —
301 Peripheral Vascular Disorders Without Cc/McC $25,165 $25,165 $25,165 +0% $15,837 +59% —
918 Poisoning And Toxic Effects Of Drugs Without McC $25,057 $25,057 $25,057 +0% $15,452 +62% —
684 Renal Failure Without Cc/McC $24,975 $24,975 $12,321 +103% $13,642 +83% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $24,889 $24,889 $23,775 +5% $12,078 +106% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $24,836 $24,836 $13,943 +78% $19,037 +30% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $24,728 $24,728 $22,699 +9% $17,322 +43% ≈107% of Medicare
639 Diabetes Without Cc/McC $24,571 $24,571 $14,532 +69% $13,910 +77% —
558 Tendonitis, Myositis And Bursitis Without McC $24,546 $24,546 $17,754 +38% $18,602 +32% —
864 Fever And Inflammatory Conditions $24,199 $24,199 $19,050 +27% $18,640 +30% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $24,183 $24,183 $11,748 +106% $18,133 +33% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $24,145 $24,145 $29,725 −19% $27,989 −14% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $24,020 $24,020 $23,047 +4% $19,657 +22% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $23,979 $23,979 $16,269 +47% $14,549 +65% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $23,974 $23,974 $21,684 +11% $23,443 +2% —
313 Chest Pain $23,897 $23,897 $23,897 +0% $16,440 +45% —
792 Prematurity Without Major Problems $23,787 $23,787 $18,944 +26% $12,229 +95% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $23,762 $23,762 $11,491 +107% $12,895 +84% —
206 Other Respiratory System Diagnoses Without McC $23,694 $23,694 $23,694 +0% $18,488 +28% —
078 Hypertensive Encephalopathy With Cc $23,693 $23,693 $16,868 +40% $17,698 +34% —
379 Gastrointestinal Hemorrhage Without Cc/McC $23,351 $23,351 $16,381 +43% $15,038 +55% —
863 Postoperative And Post-Traumatic Infections Without McC $23,294 $23,294 $22,026 +6% $20,957 +11% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $23,288 $23,288 $15,922 +46% $14,797 +57% —
188 Pleural Effusion Without Cc/McC $23,124 $23,124 $23,124 +0% $14,514 +59% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $22,963 $22,963 $20,762 +11% $17,303 +33% —
194 Simple Pneumonia And Pleurisy With Cc $22,854 $22,854 $22,854 +0% $18,204 +26% ≈106% of Medicare
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $22,721 $22,721 $12,536 +81% $12,559 +81% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $22,589 $22,589 $29,859 −24% $39,515 −43% —
201 Pneumothorax Without Cc/McC $22,393 $22,393 $22,393 +0% $14,053 +59% —
541 Osteomyelitis Without Cc/McC $22,109 $22,109 $22,109 +0% $15,215 +45% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $22,054 $22,054 $21,162 +4% $26,932 −18% —
303 Atherosclerosis Without McC $22,051 $22,051 $19,555 +13% $14,927 +48% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $22,024 $22,024 $10,630 +107% $15,215 +45% —
152 Otitis Media And Uri With McC $21,877 $21,877 $21,877 +0% $20,247 +8% —
598 Malignant Breast Disorders With Cc $21,820 $21,820 $18,925 +15% $19,073 +14% —
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $21,705 $21,705 $23,674 −8% $59,352 −63% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $21,282 $21,282 $18,646 +14% $16,767 +27% —
289 Acute And Subacute Endocarditis With Cc $21,218 $21,218 $27,608 −23% $32,697 −35% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $20,992 $20,992 $12,020 +75% $14,689 +43% —
779 Abortion Without D&C $20,713 $20,713 $11,964 +73% $15,327 +35% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $20,605 $20,605 $15,571 +32% $18,316 +13% —
886 Behavioral And Developmental Disorders $20,529 $20,529 $20,529 +0% $26,510 −23% —
759 Infections, Female Reproductive System Without Cc/McC $20,286 $20,286 $20,286 +0% $14,250 +42% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $19,965 $19,965 $15,891 +26% $18,126 +10% —
921 Complications Of Treatment Without Cc/McC $19,932 $19,932 $13,127 +52% $14,415 +38% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $19,442 $19,442 $15,989 +22% $15,183 +28% —
079 Hypertensive Encephalopathy Without Cc/McC $19,427 $19,427 $17,040 +14% $11,847 +64% —
179 Respiratory Infections And Inflammations Without Cc/McC $19,357 $19,357 $19,357 +0% $14,648 +32% —
390 Gastrointestinal Obstruction Without Cc/McC $19,330 $19,330 $14,942 +29% $13,361 +45% —
645 Endocrine Disorders Without Cc/McC $19,326 $19,326 $17,001 +14% $15,428 +25% —
916 Allergic Reactions Without McC $19,313 $19,313 $16,374 +18% $13,942 +39% —
815 Reticuloendothelial And Immunity Disorders With Cc $19,264 $19,264 $19,264 +0% $19,264 −0% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $19,168 $19,168 $15,166 +26% $12,324 +56% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $19,029 $19,029 $22,961 −17% $15,600 +22% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $18,975 $18,975 $18,975 +0% $13,384 +42% —
307 Cardiac Congenital And Valvular Disorders Without McC $18,880 $18,880 $18,880 +0% $20,566 −8% —
607 Minor Skin Disorders Without McC $18,797 $18,797 $15,749 +19% $15,889 +18% —
076 Viral Meningitis Without Cc/McC $18,178 $18,178 $16,201 +12% $17,135 +6% —
601 Non-Malignant Breast Disorders Without Cc/McC $18,115 $18,115 $17,892 +1% $10,975 +65% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $17,592 $17,592 $17,592 +0% $14,638 +20% —
302 Atherosclerosis With McC $17,355 $17,355 $17,355 +0% $22,446 −23% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $17,312 $17,312 $16,770 +3% $14,368 +20% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $17,257 $17,257 $14,426 +20% $12,454 +39% —
075 Viral Meningitis With Cc/McC $16,679 $16,679 $16,679 +0% $30,447 −45% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $16,607 $16,607 $16,607 +0% $20,980 −21% —
866 Viral Illness Without McC $16,391 $16,391 $16,391 +0% $17,081 −4% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $15,562 $15,562 $12,856 +21% $9,940 +57% —
153 Otitis Media And Uri Without McC $15,085 $15,085 $15,085 +0% $14,583 +3% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $14,417 $14,417 $14,417 +0% $11,421 +26% —
600 Non-Malignant Breast Disorders With Cc/McC $13,799 $13,799 $13,799 +0% $16,700 −17% —
950 Aftercare Without Cc/McC $13,643 $13,643 $16,592 −18% $13,527 +1% —
794 Neonate With Other Significant Problems $13,342 $13,342 $9,504 +40% $8,445 +58% —
121 Acute Major Eye Infections With Cc/McC $13,012 $13,012 $22,064 −41% $19,412 −33% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $12,102 $12,102 $14,114 −14% $17,601 −31% —
951 Other Factors Influencing Health Status $11,477 $11,477 $11,477 +0% $10,160 +13% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $11,343 $11,343 $13,778 −18% $17,737 −36% —
293 Heart Failure And Shock Without Cc/McC $11,323 $11,323 $11,127 +2% $12,999 −13% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $11,293 $11,293 $12,412 −9% $13,824 −18% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $10,237 $10,237 $15,931 −36% $14,055 −27% —
795 Normal Newborn $10,219 $10,219 $5,663 +80% $4,720 +116% —
203 Bronchitis And Asthma Without Cc/McC $10,133 $10,133 $11,397 −11% $12,252 −17% —
198 Interstitial Lung Disease Without Cc/McC $2,883 $2,883 $13,108 −78% $15,549 −81% —
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