Umass Memorial Medical Center/University Campus — 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 212 procedures, this hospital's negotiated rates average ≈71% 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% $498,715 +537% —
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% ≈70% of Medicare
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 $362,255 +62% $171,338 +242% —
005 Liver Transplant With McC Or Intestinal Transplant $556,474 $556,474 $556,474 +0% $159,181 +250% ≈59% of Medicare
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $473,119 $473,119 $325,686 +45% $135,380 +249% —
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% $245,189 +91% ≈83% of Medicare
001 Heart Transplant Or Implant Of Heart Assist System With McC $459,375 $459,375 $894,192 −49% $431,073 +7% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $448,154 $448,154 $415,326 +8% $175,437 +155% —
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 $191,080 +96% $106,219 +253% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $371,825 $371,825 $159,308 +133% $101,280 +267% —
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% $191,314 +78% —
651 Kidney Transplant With Hemodialysis Without McC $339,874 $339,874 $309,984 +10% $56,242 +504% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $339,369 $339,369 $258,275 +31% $121,714 +179% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $334,173 $334,173 $126,391 +164% $53,817 +521% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $330,381 $330,381 $230,197 +44% $151,029 +119% —
650 Kidney Transplant With Hemodialysis With McC $326,670 $326,670 $295,300 +11% $71,551 +357% ≈69% of Medicare
231 Coronary Bypass With Ptca With McC $320,470 $320,470 $245,091 +31% $145,864 +120% —
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 $223,096 +35% $115,937 +161% —
016 Autologous Bone Marrow Transplant With Cc/McC $288,682 $288,682 $180,613 +60% $98,260 +194% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $279,833 $279,833 $242,313 +15% $131,961 +112% ≈73% of Medicare
265 Aicd Lead Procedures $278,039 $278,039 $125,402 +122% $56,216 +395% —
652 Kidney Transplant $274,134 $274,134 $274,134 +0% $54,720 +401% ≈70% of Medicare
969 Hiv With Extensive O.R. Procedures With McC $263,380 $263,380 $246,663 +7% $109,331 +141% —
955 Craniotomy For Multiple Significant Trauma $261,194 $261,194 $215,408 +21% $104,881 +149% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $258,417 $258,417 $139,310 +85% $73,029 +254% —
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 $166,477 +53% $76,004 +234% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $253,984 $253,984 $113,568 +124% $138,868 +83% ≈69% of Medicare
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $253,874 $253,874 $108,834 +133% $83,065 +206% ≈64% of Medicare
260 Cardiac Pacemaker Revision Except Device Replacement With McC $249,263 $249,263 $82,301 +203% $67,215 +271% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $244,630 $244,630 $242,781 +1% $143,242 +71% ≈76% of Medicare
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $241,743 $241,743 $126,137 +92% $80,885 +199% —
471 Cervical Spinal Fusion With McC $233,988 $233,988 $111,445 +110% $92,515 +153% —
263 Vein Ligation And Stripping $230,942 $230,942 $79,784 +189% $44,938 +414% —
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% ≈63% of Medicare
319 Other Endovascular Cardiac Valve Procedures With McC $222,488 $222,488 $189,408 +17% $75,585 +194% —
028 Spinal Procedures With McC $217,896 $217,896 $188,164 +16% $95,858 +127% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $213,943 $213,943 $98,523 +117% $116,058 +84% ≈63% of Medicare
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $208,072 $208,072 $189,055 +10% $117,280 +77% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $199,538 $199,538 $109,731 +82% $87,495 +128% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $198,888 $198,888 $94,789 +110% $58,968 +237% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $196,417 $196,417 $193,112 +2% $137,160 +43% ≈73% of Medicare
273 Percutaneous And Other Intracardiac Procedures With McC $196,390 $196,390 $171,958 +14% $78,852 +149% ≈69% of Medicare
791 Prematurity With Major Problems $194,049 $194,049 $41,495 +368% $39,254 +394% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $185,602 $185,602 $72,075 +158% $102,573 +81% ≈69% of Medicare
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% ≈69% of Medicare
270 Other Major Cardiovascular Procedures With McC $182,363 $182,363 $154,050 +18% $99,423 +83% ≈63% of Medicare
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $181,960 $181,960 $181,960 +0% $113,855 +60% ≈70% of Medicare
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $180,389 $180,389 $97,708 +85% $78,327 +130% —
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% ≈73% of Medicare
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $175,349 $175,349 $181,335 −3% $102,177 +72% ≈73% of Medicare
140 Major Head And Neck Procedures With McC $173,367 $173,367 $58,085 +198% $60,098 +188% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $171,441 $171,441 $142,116 +21% $92,217 +86% ≈70% of Medicare
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $171,083 $171,083 $110,046 +55% $90,331 +89% —
727 Inflammation Of The Male Reproductive System With McC $170,016 $170,016 $24,331 +599% $25,786 +559% —
548 Septic Arthritis With McC $169,735 $169,735 $44,494 +281% $31,019 +447% —
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% $84,825 +97% ≈66% of Medicare
029 Spinal Procedures With Cc Or Spinal Neurostimulators $164,314 $164,314 $113,914 +44% $62,790 +162% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $160,394 $160,394 $160,394 +0% $87,575 +83% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $157,204 $157,204 $128,461 +22% $45,558 +245% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $156,158 $156,158 $101,032 +55% $74,274 +110% ≈67% of Medicare
025 Craniotomy And Endovascular Intracranial Procedures With McC $155,110 $155,110 $102,456 +51% $88,307 +76% ≈66% of Medicare
656 Kidney And Ureter Procedures For Neoplasm With McC $153,690 $153,690 $92,514 +66% $64,465 +138% —
460 Spinal Fusion Except Cervical Without McC $152,373 $152,373 $42,725 +257% $50,815 +200% ≈73% of Medicare
957 Other O.R. Procedures For Multiple Significant Trauma With McC $151,957 $151,957 $151,957 +0% $120,573 +26% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $150,508 $150,508 $102,414 +47% $54,320 +177% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $150,253 $150,253 $95,511 +57% $61,206 +145% —
840 Lymphoma And Non-Acute Leukemia With McC $148,703 $148,703 $110,870 +34% $49,710 +199% ≈32% of Medicare
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $147,698 $147,698 $38,439 +284% $39,093 +278% —
654 Major Bladder Procedures With Cc $146,358 $146,358 $63,842 +129% $53,868 +172% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $146,105 $146,105 $156,447 −7% $86,953 +68% —
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 $59,507 +143% $41,520 +249% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $143,144 $143,144 $103,110 +39% $52,332 +174% ≈72% of Medicare
405 Pancreas, Liver And Shunt Procedures With McC $143,120 $143,120 $116,863 +22% $95,375 +50% —
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 $92,869 +52% $76,954 +84% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $140,622 $140,622 $139,305 +1% $71,873 +96% —
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 $109,195 +28% $66,819 +110% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $138,905 $138,905 $100,247 +39% $68,331 +103% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $138,712 $138,712 $127,452 +9% $64,956 +114% —
163 Major Chest Procedures With McC $138,484 $138,484 $138,484 +0% $88,341 +57% ≈67% of Medicare
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $138,473 $138,473 $127,941 +8% $86,938 +59% ≈66% of Medicare
306 Cardiac Congenital And Valvular Disorders With McC $137,317 $137,317 $37,396 +267% $24,450 +462% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $136,839 $136,839 $167,007 −18% $85,882 +59% —
228 Other Cardiothoracic Procedures With McC $136,774 $136,774 $111,645 +23% $96,905 +41% ≈64% of Medicare
242 Permanent Cardiac Pacemaker Implant With McC $136,723 $136,723 $82,443 +66% $70,132 +95% ≈65% of Medicare
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $135,170 $135,170 $85,107 +59% $64,488 +110% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $133,457 $133,457 $54,657 +144% $37,839 +253% —
166 Other Respiratory System O.R. Procedures With McC $131,168 $131,168 $70,432 +86% $72,274 +81% ≈80% of Medicare
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $130,751 $130,751 $88,671 +47% $51,339 +155% —
472 Cervical Spinal Fusion With Cc $130,423 $130,423 $68,993 +89% $59,537 +119% ≈74% of Medicare
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $128,290 $128,290 $108,579 +18% $82,527 +55% —
252 Other Vascular Procedures With McC $127,933 $127,933 $110,822 +15% $68,508 +87% ≈65% of Medicare
026 Craniotomy And Endovascular Intracranial Procedures With Cc $127,525 $127,525 $104,420 +22% $63,310 +101% ≈68% of Medicare
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $127,374 $127,374 $127,374 +0% $61,353 +108% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $126,407 $126,407 $80,488 +57% $54,772 +131% ≈75% of Medicare
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $126,382 $126,382 $126,382 +0% $59,425 +113% —
164 Major Chest Procedures With Cc $124,974 $124,974 $70,456 +77% $53,141 +135% ≈74% of Medicare
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $124,939 $124,939 $70,455 +77% $66,853 +87% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $124,152 $124,152 $29,506 +321% $40,801 +204% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $123,616 $123,616 $98,196 +26% $62,961 +96% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $123,570 $123,570 $123,570 +0% $75,103 +65% ≈78% of Medicare
326 Stomach, Esophageal And Duodenal Procedures With McC $122,728 $122,728 $102,442 +20% $80,747 +52% ≈66% of Medicare
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $122,470 $122,470 $122,470 +0% $72,843 +68% ≈81% of Medicare
037 Extracranial Procedures With McC $121,742 $121,742 $169,700 −28% $64,749 +88% —
258 Cardiac Pacemaker Device Replacement With McC $121,661 $121,661 $81,908 +49% $48,907 +149% —
835 Acute Leukemia With Cc $120,169 $120,169 $72,158 +67% $35,569 +238% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $119,489 $119,489 $114,244 +5% $84,861 +41% —
080 Nontraumatic Stupor And Coma With McC $118,778 $118,778 $53,136 +124% $35,139 +238% —
245 Aicd Generator Procedures $118,220 $118,220 $78,656 +50% $72,076 +64% —
466 Revision Of Hip Or Knee Replacement With McC $117,259 $117,259 $104,141 +13% $94,320 +24% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $116,962 $116,962 $41,608 +181% $38,382 +205% —
467 Revision Of Hip Or Knee Replacement With Cc $116,723 $116,723 $116,723 +0% $68,421 +71% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $116,012 $116,012 $110,657 +5% $56,197 +106% ≈72% of Medicare
236 Coronary Bypass Without Cardiac Catheterization Without McC $115,978 $115,978 $115,978 +0% $82,247 +41% ≈73% of Medicare
907 Other O.R. Procedures For Injuries With McC $115,445 $115,445 $115,147 +0% $71,519 +61% ≈74% of Medicare
271 Other Major Cardiovascular Procedures With Cc $115,170 $115,170 $112,278 +3% $71,014 +62% ≈68% of Medicare
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $114,406 $114,406 $114,406 +0% $74,755 +53% ≈72% of Medicare
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $113,487 $113,487 $110,169 +3% $70,540 +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 $57,222 +94% $37,681 +194% —
963 Other Multiple Significant Trauma With McC $110,579 $110,579 $55,818 +98% $43,491 +154% ≈59% of Medicare
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $110,523 $110,523 $110,523 +0% $54,196 +104% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $110,047 $110,047 $43,240 +155% $25,484 +332% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $109,895 $109,895 $88,665 +24% $74,257 +48% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $108,627 $108,627 $93,185 +17% $59,207 +83% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $106,577 $106,577 $25,427 +319% $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 $42,842 +149% $31,909 +234% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $106,201 $106,201 $52,575 +102% $40,583 +162% ≈92% of Medicare
799 Splenic Procedures With McC $106,066 $106,066 $106,066 +0% $78,821 +35% —
035 Carotid Artery Stent Procedures With Cc $105,132 $105,132 $66,355 +58% $46,306 +127% —
335 Peritoneal Adhesiolysis With McC $104,881 $104,881 $107,968 −3% $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 $115,031 −10% $58,043 +79% —
673 Other Kidney And Urinary Tract Procedures With McC $103,271 $103,271 $103,271 +0% $72,879 +42% ≈59% of Medicare
329 Major Small And Large Bowel Procedures With McC $102,516 $102,516 $102,516 +0% $88,050 +16% ≈72% of Medicare
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $102,200 $102,200 $102,200 +0% $66,765 +53% ≈72% of Medicare
229 Other Cardiothoracic Procedures Without McC $101,858 $101,858 $101,978 −0% $65,325 +56% ≈72% of Medicare
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $101,692 $101,692 $49,929 +104% $43,538 +134% —
034 Carotid Artery Stent Procedures With McC $101,642 $101,642 $109,383 −7% $72,908 +39% —
480 Hip And Femur Procedures Except Major Joint With McC $101,326 $101,326 $95,816 +6% $63,984 +58% ≈68% of Medicare
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $100,945 $100,945 $103,152 −2% $57,030 +77% —
077 Hypertensive Encephalopathy With McC $100,222 $100,222 $49,835 +101% $24,036 +317% —
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% $41,380 +140% ≈76% of Medicare
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% $41,660 +138% ≈72% of Medicare
506 Major Thumb Or Joint Procedures $98,543 $98,543 $30,545 +223% $28,983 +240% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $97,920 $97,920 $97,920 +0% $65,383 +50% ≈77% of Medicare
259 Cardiac Pacemaker Device Replacement Without McC $97,112 $97,112 $57,308 +69% $35,673 +172% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $96,294 $96,294 $46,100 +109% $39,253 +145% —
253 Other Vascular Procedures With Cc $96,027 $96,027 $96,027 +0% $53,746 +79% ≈76% of Medicare
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $95,595 $95,595 $46,637 +105% $35,528 +169% —
570 Skin Debridement With McC $95,513 $95,513 $75,932 +26% $51,501 +85% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $94,666 $94,666 $84,300 +12% $62,266 +52% —
053 Spinal Disorders And Injuries Without Cc/McC $94,209 $94,209 $40,756 +131% $20,313 +364% —
243 Permanent Cardiac Pacemaker Implant With Cc $93,914 $93,914 $50,543 +86% $50,011 +88% ≈69% of Medicare
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $93,546 $93,546 $79,107 +18% $44,553 +110% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $93,087 $93,087 $52,207 +78% $14,121 +559% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $93,081 $93,081 $93,081 +0% $53,787 +73% —
150 Epistaxis With McC $92,975 $92,975 $30,050 +209% $21,133 +340% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $92,551 $92,551 $89,321 +4% $49,055 +89% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $92,403 $92,403 $86,333 +7% $52,405 +76% ≈67% of Medicare
157 Dental And Oral Diseases With McC $92,054 $92,054 $31,090 +196% $27,457 +235% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $91,616 $91,616 $91,616 +0% $35,989 +155% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $90,467 $90,467 $39,421 +129% $32,804 +176% ≈71% of Medicare
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $90,088 $90,088 $54,533 +65% $44,927 +101% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $88,976 $88,976 $72,578 +23% $39,923 +123% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $88,742 $88,742 $49,413 +80% $37,950 +134% ≈68% of Medicare
503 Foot Procedures With McC $88,711 $88,711 $54,430 +63% $43,982 +102% —
374 Digestive Malignancy With McC $88,593 $88,593 $48,871 +81% $38,885 +128% ≈67% of Medicare
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 $88,458 +0% $54,313 +63% ≈62% of Medicare
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $88,241 $88,241 $64,849 +36% $56,394 +56% ≈68% of Medicare
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $87,855 $87,855 $67,622 +30% $55,147 +59% ≈70% of Medicare
545 Connective Tissue Disorders With McC $87,782 $87,782 $87,782 +0% $39,657 +121% —
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% $64,468 +36% —
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 $74,833 +17% $30,362 +188% —
274 Percutaneous And Other Intracardiac Procedures Without McC $87,217 $87,217 $90,560 −4% $65,573 +33% ≈69% of Medicare
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 $86,329 +0% $55,002 +57% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $86,120 $86,120 $69,258 +24% $44,600 +93% ≈67% of Medicare
481 Hip And Femur Procedures Except Major Joint With Cc $85,905 $85,905 $85,905 +0% $50,998 +68% ≈73% of Medicare
353 Hernia Procedures Except Inguinal And Femoral With McC $85,116 $85,116 $80,597 +6% $60,140 +42% —
663 Minor Bladder Procedures With Cc $84,907 $84,907 $33,704 +152% $29,924 +184% —
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 $87,683 −4% $60,861 +38% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $83,934 $83,934 $63,124 +33% $32,189 +161% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $83,912 $83,912 $83,912 +0% $57,521 +46% —
135 Sinus And Mastoid Procedures With Cc/McC $83,811 $83,811 $74,437 +13% $40,065 +109% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $83,290 $83,290 $76,545 +9% $51,142 +63% —
500 Soft Tissue Procedures With McC $83,283 $83,283 $83,283 +0% $57,181 +46% —
055 Nervous System Neoplasms Without McC $83,119 $83,119 $46,998 +77% $19,868 +318% —
141 Major Head And Neck Procedures With Cc $82,797 $82,797 $62,274 +33% $34,900 +137% —
501 Soft Tissue Procedures With Cc $82,581 $82,581 $60,388 +37% $37,975 +117% —
606 Minor Skin Disorders With McC $81,888 $81,888 $36,596 +124% $25,434 +222% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $81,607 $81,607 $86,737 −6% $47,635 +71% ≈75% of Medicare
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $81,454 $81,454 $81,454 +0% $53,763 +52% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $80,960 $80,960 $66,392 +22% $42,881 +89% ≈69% of Medicare
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $80,491 $80,491 $61,552 +31% $43,252 +86% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $80,121 $80,121 $80,121 +0% $57,855 +38% —
082 Traumatic Stupor And Coma >1 Hour With McC $80,087 $80,087 $24,039 +233% $36,237 +121% ≈63% of Medicare
841 Lymphoma And Non-Acute Leukemia With Cc $79,937 $79,937 $33,157 +141% $30,224 +164% —
116 Intraocular Procedures With Cc/McC $79,912 $79,912 $24,851 +222% $28,103 +184% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $79,650 $79,650 $44,042 +81% $22,920 +248% —
052 Spinal Disorders And Injuries With Cc/McC $79,185 $79,185 $62,877 +26% $30,940 +156% —
444 Disorders Of The Biliary Tract With McC $79,062 $79,062 $45,187 +75% $31,029 +155% ≈65% of Medicare
722 Malignancy, Male Reproductive System With McC $78,813 $78,813 $59,282 +33% $29,826 +164% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $78,487 $78,487 $61,067 +29% $45,271 +73% —
032 Ventricular Shunt Procedures With Cc $78,136 $78,136 $74,306 +5% $44,719 +75% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $77,552 $77,552 $55,905 +39% $47,574 +63% ≈66% of Medicare
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $77,209 $77,209 $77,209 +0% $50,139 +54% —
036 Carotid Artery Stent Procedures Without Cc/McC $77,152 $77,152 $61,151 +26% $40,694 +90% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $77,136 $77,136 $51,542 +50% $47,546 +62% —
377 Gastrointestinal Hemorrhage With McC $76,807 $76,807 $73,848 +4% $37,842 +103% ≈66% of Medicare
314 Other Circulatory System Diagnoses With McC $76,690 $76,690 $56,626 +35% $38,166 +101% ≈62% of Medicare
668 Transurethral Procedures With McC $76,611 $76,611 $59,814 +28% $47,126 +63% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $76,174 $76,174 $71,319 +7% $25,149 +203% —
906 Hand Procedures For Injuries $76,080 $76,080 $76,080 +0% $31,520 +141% —
033 Ventricular Shunt Procedures Without Cc/McC $75,699 $75,699 $62,193 +22% $33,962 +123% —
592 Skin Ulcers With McC $75,543 $75,543 $63,315 +19% $32,662 +131% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $75,211 $75,211 $49,074 +53% $35,714 +111% ≈67% of Medicare
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $75,123 $75,123 $48,043 +56% $35,693 +110% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $74,957 $74,957 $55,362 +35% $46,477 +61% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $74,748 $74,748 $44,787 +67% $27,597 +171% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $74,607 $74,607 $62,790 +19% $51,950 +44% —
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 $53,946 +37% $40,063 +85% —
421 Hepatobiliary Diagnostic Procedures With Cc $74,027 $74,027 $35,770 +107% $36,333 +104% —
167 Other Respiratory System O.R. Procedures With Cc $73,959 $73,959 $45,038 +64% $40,563 +82% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $73,610 $73,610 $37,346 +97% $27,492 +168% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $73,605 $73,605 $73,605 +0% $54,681 +35% ≈70% of Medicare
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $73,498 $73,498 $71,635 +3% $83,441 −12% —
264 Other Circulatory System O.R. Procedures $73,423 $73,423 $126,573 −42% $51,953 +41% ≈55% of Medicare
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $73,278 $73,278 $46,908 +56% $33,425 +119% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $73,275 $73,275 $28,422 +158% $36,850 +99% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $73,239 $73,239 $62,271 +18% $54,475 +34% ≈76% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $72,793 $72,793 $72,793 +0% $46,066 +58% —
674 Other Kidney And Urinary Tract Procedures With Cc $72,742 $72,742 $65,411 +11% $49,631 +47% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $72,568 $72,568 $72,568 +0% $34,434 +111% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $72,088 $72,088 $37,110 +94% $35,584 +103% —
180 Respiratory Neoplasms With McC $71,572 $71,572 $62,915 +14% $36,658 +95% ≈72% of Medicare
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 $40,449 +74% $35,029 +101% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $70,279 $70,279 $47,123 +49% $48,801 +44% ≈73% of Medicare
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $70,230 $70,230 $58,123 +21% $31,190 +125% ≈69% of Medicare
420 Hepatobiliary Diagnostic Procedures With McC $69,863 $69,863 $69,863 +0% $50,919 +37% —
619 O.R. Procedures For Obesity With McC $69,651 $69,651 $62,574 +11% $44,973 +55% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $69,562 $69,562 $66,702 +4% $31,913 +118% ≈49% of Medicare
597 Malignant Breast Disorders With McC $68,654 $68,654 $33,763 +103% $31,846 +116% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $68,035 $68,035 $57,720 +18% $36,097 +88% —
280 Acute Myocardial Infarction, Discharged Alive With McC $67,887 $67,887 $61,087 +11% $28,802 +136% ≈64% of Medicare
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $67,697 $67,697 $47,440 +43% $47,583 +42% —
397 Appendix Procedures With McC $67,471 $67,471 $67,471 +0% $52,319 +29% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $67,429 $67,429 $67,429 +0% $43,320 +56% —
183 Major Chest Trauma With McC $67,306 $67,306 $38,398 +75% $28,924 +133% ≈70% of Medicare
330 Major Small And Large Bowel Procedures With Cc $67,169 $67,169 $52,286 +28% $58,713 +14% ≈76% of Medicare
754 Malignancy, Female Reproductive System With McC $66,994 $66,994 $37,407 +79% $29,476 +127% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $66,910 $66,910 $49,070 +36% $43,444 +54% ≈76% of Medicare
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $66,902 $66,902 $55,535 +20% $51,985 +29% ≈71% of Medicare
553 Bone Diseases And Arthropathies With McC $65,747 $65,747 $33,365 +97% $23,956 +174% —
030 Spinal Procedures Without Cc/McC $65,735 $65,735 $65,735 +0% $45,842 +43% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $65,734 $65,734 $65,734 +0% $29,598 +122% —
557 Tendonitis, Myositis And Bursitis With McC $65,711 $65,711 $37,596 +75% $28,385 +131% —
283 Acute Myocardial Infarction, Expired With McC $65,495 $65,495 $38,833 +69% $35,108 +87% ≈74% of Medicare
432 Cirrhosis And Alcoholic Hepatitis With McC $65,415 $65,415 $61,002 +7% $36,880 +77% ≈65% of Medicare
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 $37,853 +72% $23,734 +174% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $64,968 $64,968 $40,736 +59% $41,114 +58% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $64,821 $64,821 $64,821 +0% $23,474 +176% —
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 $53,437 +21% $42,119 +54% ≈82% of Medicare
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $64,655 $64,655 $53,546 +21% $30,888 +109% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $63,804 $63,804 $41,434 +54% $28,509 +124% —
199 Pneumothorax With McC $63,603 $63,603 $50,186 +27% $31,085 +105% ≈70% of Medicare
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $63,538 $63,538 $63,538 +0% $43,697 +45% —
708 Major Male Pelvic Procedures Without Cc/McC $63,518 $63,518 $50,857 +25% $32,911 +93% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $63,147 $63,147 $80,556 −22% $62,404 +1% —
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 $53,090 +19% $45,594 +38% ≈70% of Medicare
350 Inguinal And Femoral Hernia Procedures With McC $62,815 $62,815 $62,815 +0% $45,937 +37% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $62,792 $62,792 $53,347 +18% $38,094 +65% ≈69% of Medicare
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $62,601 $71,553 $60,676 +3% $45,916 +36% ≈69% of Medicare
655 Major Bladder Procedures Without Cc/McC $62,368 $62,368 $62,368 +0% $41,701 +50% —
085 Traumatic Stupor And Coma <1 Hour With McC $62,171 $62,171 $45,245 +37% $36,318 +71% ≈70% of Medicare
336 Peritoneal Adhesiolysis With Cc $62,063 $62,063 $49,470 +25% $49,071 +26% ≈69% of Medicare
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $61,995 $61,995 $45,490 +36% $34,876 +78% ≈69% of Medicare
749 Other Female Reproductive System O.R. Procedures With Cc/McC $61,946 $61,946 $61,946 +0% $41,596 +49% —
620 O.R. Procedures For Obesity With Cc $61,829 $61,829 $49,374 +25% $35,453 +74% ≈71% of Medicare
058 Multiple Sclerosis And Cerebellar Ataxia With McC $61,562 $61,562 $61,562 +0% $29,609 +108% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $61,401 $61,401 $57,016 +8% $40,552 +51% —
056 Degenerative Nervous System Disorders With McC $60,685 $60,685 $50,817 +19% $39,409 +54% ≈74% of Medicare
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% $16,156 +274% —
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% $68,590 −12% —
974 Hiv With Major Related Condition With McC $60,208 $60,208 $60,208 +0% $46,402 +30% ≈66% of Medicare
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $59,893 $59,893 $48,955 +22% $32,839 +82% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $59,697 $59,697 $44,490 +34% $39,675 +50% ≈72% of Medicare
614 Adrenal And Pituitary Procedures With Cc/McC $59,563 $59,563 $59,563 +0% $43,313 +38% —
445 Disorders Of The Biliary Tract With Cc $59,527 $59,527 $25,888 +130% $21,666 +175% ≈67% of Medicare
100 Seizures With McC $59,068 $59,068 $59,068 +0% $35,194 +68% ≈57% of Medicare
885 Psychoses $58,976 $58,976 $37,862 +56% $21,489 +174% ≈272% of Medicare
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $58,950 $58,950 $55,121 +7% $44,989 +31% —
288 Acute And Subacute Endocarditis With McC $58,942 $58,942 $58,942 +0% $45,497 +30% —
398 Appendix Procedures With Cc $58,925 $58,925 $58,925 +0% $38,574 +53% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $58,847 $58,847 $28,630 +106% $20,463 +188% ≈73% of Medicare
519 Back And Neck Procedures Except Spinal Fusion With Cc $58,803 $58,803 $47,463 +24% $43,775 +34% —
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% $97,028 −40% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $57,823 $57,823 $45,483 +27% $29,558 +96% —
333 Rectal Resection With Cc $57,697 $57,697 $56,648 +2% $34,352 +68% —
669 Transurethral Procedures With Cc $57,527 $57,527 $47,142 +22% $34,354 +67% —
331 Major Small And Large Bowel Procedures Without Cc/McC $57,386 $57,386 $46,541 +23% $44,087 +30% ≈76% of Medicare
666 Prostatectomy With Cc $57,243 $57,243 $57,243 +0% $30,016 +91% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $57,177 $57,177 $54,587 +5% $29,029 +97% —
884 Organic Disturbances And Intellectual Disability $57,042 $57,042 $35,058 +63% $25,146 +127% ≈62% of Medicare
813 Coagulation Disorders $57,005 $57,005 $39,854 +43% $30,128 +89% ≈67% of Medicare
182 Respiratory Neoplasms Without Cc/McC $56,676 $56,676 $55,165 +3% $14,064 +303% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $56,578 $56,578 $56,578 +0% $36,241 +56% —
038 Extracranial Procedures With Cc $56,455 $56,455 $56,455 +0% $35,770 +58% ≈82% of Medicare
380 Complicated Peptic Ulcer With McC $56,103 $56,103 $31,769 +77% $36,537 +54% —
535 Fractures Of Hip And Pelvis With McC $56,092 $56,092 $27,850 +101% $22,874 +145% —
393 Other Digestive System Diagnoses With McC $55,926 $55,926 $55,926 +0% $32,689 +71% ≈48% of Medicare
385 Inflammatory Bowel Disease With McC $55,906 $55,906 $42,912 +30% $25,998 +115% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $55,409 $55,409 $49,804 +11% $32,901 +68% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $55,377 $55,377 $30,328 +83% $29,011 +91% ≈76% of Medicare
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $55,108 $55,108 $47,424 +16% $34,564 +59% —
304 Hypertension With McC $54,990 $54,990 $54,990 +0% $23,945 +130% ≈74% of Medicare
438 Disorders Of Pancreas Except Malignancy With McC $54,791 $54,791 $39,766 +38% $32,417 +69% ≈58% of Medicare
713 Transurethral Prostatectomy With Cc/McC $54,756 $54,756 $45,543 +20% $29,630 +85% —
186 Pleural Effusion With McC $54,511 $54,511 $50,379 +8% $32,385 +68% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $54,033 $54,033 $39,309 +37% $30,681 +76% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $53,770 $53,770 $45,891 +17% $36,355 +48% ≈75% of Medicare
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $53,751 $53,751 $47,321 +14% $35,381 +52% —
296 Cardiac Arrest, Unexplained With McC $53,528 $53,528 $53,528 +0% $30,768 +74% —
337 Peritoneal Adhesiolysis Without Cc/McC $53,472 $53,472 $42,284 +26% $35,961 +49% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $53,452 $53,452 $53,452 +0% $31,627 +69% ≈69% of Medicare
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 $45,209 +17% $43,266 +22% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $52,757 $52,757 $41,036 +29% $29,409 +79% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $52,700 $52,700 $44,056 +20% $27,319 +93% —
786 Cesarean Section Without Sterilization With McC $52,682 $52,682 $44,672 +18% $27,118 +94% —
901 Wound Debridements For Injuries With McC $52,653 $52,653 $52,653 +0% $68,847 −24% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $52,624 $52,624 $50,418 +4% $18,288 +188% ≈72% of Medicare
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $52,544 $52,544 $53,237 −1% $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 $30,779 +70% $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 $26,105 +99% $17,700 +194% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $51,858 $51,858 $30,299 +71% $30,930 +68% —
975 Hiv With Major Related Condition With Cc $51,791 $51,791 $27,957 +85% $25,071 +107% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $51,707 $51,707 $51,707 +0% $41,847 +24% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $51,582 $51,582 $51,582 +0% $33,424 +54% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $51,559 $51,559 $38,300 +35% $36,202 +42% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $51,429 $51,429 $51,429 +0% $30,661 +68% —
862 Postoperative And Post-Traumatic Infections With McC $51,424 $51,424 $49,084 +5% $29,867 +72% ≈48% of Medicare
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $51,011 $51,011 $30,396 +68% $22,010 +132% ≈26% of Medicare
602 Cellulitis With McC $50,905 $50,905 $26,545 +92% $29,347 +73% ≈53% of Medicare
177 Respiratory Infections And Inflammations With McC $50,807 $50,807 $44,001 +15% $31,754 +60% ≈71% of Medicare
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $50,698 $50,698 $39,705 +28% $27,369 +85% ≈78% of Medicare
670 Transurethral Procedures Without Cc/McC $50,488 $50,488 $27,462 +84% $20,371 +148% —
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 $36,898 +37% $25,854 +95% ≈71% of Medicare
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $50,368 $50,368 $37,745 +33% $36,195 +39% ≈64% of Medicare
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $50,309 $50,309 $47,659 +6% $35,375 +42% —
089 Concussion With Cc $50,105 $50,105 $23,825 +110% $18,293 +174% —
615 Adrenal And Pituitary Procedures Without Cc/McC $49,983 $49,983 $42,740 +17% $31,812 +57% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $49,874 $49,874 $40,133 +24% $30,418 +64% —
551 Medical Back Problems With McC $49,835 $49,835 $47,497 +5% $31,067 +60% ≈75% of Medicare
915 Allergic Reactions With McC $49,663 $49,663 $48,588 +2% $30,944 +60% —
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 $30,222 +63% $30,814 +60% ≈77% of Medicare
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $49,193 $49,193 $40,558 +21% $23,646 +108% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $49,178 $49,178 $49,178 +0% $34,089 +44% —
642 Inborn And Other Disorders Of Metabolism $49,114 $49,114 $32,388 +52% $20,727 +137% —
571 Skin Debridement With Cc $48,847 $48,847 $42,097 +16% $34,773 +40% —
698 Other Kidney And Urinary Tract Diagnoses With McC $48,331 $48,331 $38,521 +25% $29,929 +61% ≈69% of Medicare
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $48,217 $48,217 $101,757 −53% $61,832 −22% —
637 Diabetes With McC $48,064 $48,064 $34,925 +38% $28,772 +67% ≈69% of Medicare
351 Inguinal And Femoral Hernia Procedures With Cc $47,899 $47,899 $47,899 +0% $33,790 +42% —
643 Endocrine Disorders With McC $47,800 $47,800 $38,745 +23% $32,953 +45% ≈61% of Medicare
811 Red Blood Cell Disorders With McC $47,410 $47,410 $40,425 +17% $27,674 +71% ≈69% of Medicare
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $47,342 $47,342 $27,522 +72% $22,226 +113% ≈71% of Medicare
546 Connective Tissue Disorders With Cc $47,031 $47,031 $34,947 +35% $24,146 +95% —
039 Extracranial Procedures Without Cc/McC $46,911 $46,911 $42,638 +10% $25,267 +86% ≈79% of Medicare
725 Benign Prostatic Hypertrophy With McC $46,752 $46,752 $30,086 +55% $19,894 +135% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $46,659 $46,659 $46,659 +0% $46,659 +0% —
999 Ungroupable $46,384 $46,384 $46,384 +0% $28,387 +63% —
783 Cesarean Section With Sterilization With McC $46,199 $46,199 $46,199 +0% $28,375 +63% —
381 Complicated Peptic Ulcer With Cc $45,867 $45,867 $26,583 +73% $24,177 +90% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $45,789 $45,789 $40,742 +12% $26,158 +75% —
594 Skin Ulcers Without Cc/McC $45,666 $45,666 $14,080 +224% $14,209 +221% —
686 Kidney And Urinary Tract Neoplasms With McC $45,526 $45,526 $36,025 +26% $32,976 +38% —
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% $24,561 +85% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $45,422 $45,422 $38,221 +19% $26,098 +74% ≈63% of Medicare
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $45,373 $45,373 $45,373 +0% $34,886 +30% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $45,316 $45,316 $40,214 +13% $20,148 +125% —
205 Other Respiratory System Diagnoses With McC $44,892 $44,892 $34,161 +31% $31,743 +41% ≈69% of Medicare
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $44,800 $44,800 $32,069 +40% $24,017 +87% —
787 Cesarean Section Without Sterilization With Cc $44,682 $44,682 $37,365 +20% $23,571 +90% —
054 Nervous System Neoplasms With McC $44,630 $44,630 $29,723 +50% $29,049 +54% ≈75% of Medicare
919 Complications Of Treatment With McC $44,573 $44,573 $30,988 +44% $29,031 +54% ≈67% of Medicare
784 Cesarean Section With Sterilization With Cc $44,562 $44,562 $44,275 +1% $22,587 +97% —
399 Appendix Procedures Without Cc/McC $44,394 $44,394 $34,274 +30% $30,259 +47% —
083 Traumatic Stupor And Coma >1 Hour With Cc $44,298 $44,298 $44,298 +0% $24,118 +84% ≈73% of Medicare
088 Concussion With McC $44,263 $44,263 $35,805 +24% $24,402 +81% —
113 Orbital Procedures With Cc/McC $44,241 $44,241 $33,274 +33% $35,642 +24% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $44,116 $44,116 $26,496 +66% $21,860 +102% —
073 Cranial And Peripheral Nerve Disorders With McC $43,572 $43,572 $31,038 +40% $28,252 +54% —
917 Poisoning And Toxic Effects Of Drugs With McC $43,457 $43,457 $37,942 +15% $28,001 +55% ≈60% of Medicare
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $43,437 $43,437 $43,086 +1% $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% $70,779 −39% —
181 Respiratory Neoplasms With Cc $43,236 $43,236 $43,236 +0% $22,065 +96% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $43,111 $43,111 $30,616 +41% $24,465 +76% —
344 Minor Small And Large Bowel Procedures With McC $43,057 $43,057 $33,024 +30% $44,839 −4% —
378 Gastrointestinal Hemorrhage With Cc $42,986 $42,986 $28,960 +48% $21,886 +96% ≈70% of Medicare
091 Other Disorders Of Nervous System With McC $42,957 $42,957 $42,957 +0% $35,990 +19% ≈52% of Medicare
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $42,879 $42,879 $36,861 +16% $29,957 +43% ≈72% of Medicare
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $42,775 $42,775 $20,614 +108% $19,326 +121% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $42,389 $42,389 $35,498 +19% $28,578 +48% —
914 Traumatic Injury Without McC $42,319 $42,319 $15,088 +180% $15,586 +172% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $42,149 $42,149 $27,067 +56% $30,275 +39% ≈61% of Medicare
682 Renal Failure With McC $42,147 $42,147 $33,856 +24% $27,640 +52% ≈63% of Medicare
504 Foot Procedures With Cc $42,056 $42,056 $47,340 −11% $36,519 +15% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $41,963 $41,963 $32,595 +29% $29,521 +42% ≈72% of Medicare
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $41,940 $41,940 $35,824 +17% $21,323 +97% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $41,934 $41,934 $27,279 +54% $26,998 +55% —
388 Gastrointestinal Obstruction With McC $41,920 $41,920 $33,244 +26% $28,403 +48% ≈70% of Medicare
865 Viral Illness With McC $41,916 $41,916 $25,367 +65% $26,088 +61% —
291 Heart Failure And Shock With McC $41,779 $41,779 $38,049 +10% $24,932 +68% ≈70% of Medicare
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $41,744 $41,744 $41,154 +1% $25,152 +66% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $41,561 $41,561 $39,644 +5% $33,137 +25% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $41,500 $41,500 $34,309 +21% $25,666 +62% —
184 Major Chest Trauma With Cc $41,419 $41,419 $38,785 +7% $20,842 +99% ≈76% of Medicare
137 Mouth Procedures With Cc/McC $41,302 $41,302 $41,302 +0% $24,348 +70% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $41,211 $41,211 $41,211 +0% $25,621 +61% —
882 Neuroses Except Depressive $41,191 $41,191 $28,253 +46% $15,680 +163% —
505 Foot Procedures Without Cc/McC $41,130 $41,130 $31,716 +30% $31,716 +30% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $41,129 $41,129 $41,129 +0% $48,745 −16% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $40,979 $40,979 $24,299 +69% $19,001 +116% —
785 Cesarean Section With Sterilization Without Cc/McC $40,701 $40,701 $38,808 +5% $19,815 +105% —
788 Cesarean Section Without Sterilization Without Cc/McC $40,377 $40,377 $39,319 +3% $20,084 +101% —
710 Penis Procedures Without Cc/McC $40,360 $40,360 $54,233 −26% $23,814 +69% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $40,336 $40,336 $39,987 +1% $31,978 +26% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $40,315 $40,315 $35,465 +14% $31,816 +27% —
689 Kidney And Urinary Tract Infections With McC $40,259 $40,259 $29,341 +37% $22,870 +76% ≈67% of Medicare
386 Inflammatory Bowel Disease With Cc $40,245 $40,245 $30,103 +34% $20,917 +92% ≈73% of Medicare
299 Peripheral Vascular Disorders With McC $40,243 $40,243 $34,674 +16% $25,596 +57% ≈56% of Medicare
596 Major Skin Disorders Without McC $40,118 $40,118 $16,618 +141% $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% $17,705 +125% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $39,587 $39,587 $39,587 +0% $24,229 +63% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $39,372 $39,372 $16,271 +142% $24,244 +62% ≈70% 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% $16,451 +139% —
189 Pulmonary Edema And Respiratory Failure $39,163 $39,163 $30,023 +30% $24,603 +59% ≈69% of Medicare
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $39,149 $39,149 $19,359 +102% $23,646 +66% —
102 Headaches With McC $39,106 $39,106 $26,994 +45% $21,983 +78% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $38,741 $38,741 $38,741 +0% $26,146 +48% —
334 Rectal Resection Without Cc/McC $38,636 $38,636 $39,094 −1% $32,213 +20% —
071 Nonspecific Cerebrovascular Disorders With Cc $38,583 $38,583 $27,569 +40% $23,396 +65% ≈71% of Medicare
687 Kidney And Urinary Tract Neoplasms With Cc $38,469 $38,469 $17,794 +116% $18,000 +114% —
534 Fractures Of Femur Without McC $38,468 $38,468 $19,835 +94% $17,194 +124% —
709 Penis Procedures With Cc/McC $38,128 $38,128 $38,128 +0% $34,535 +10% —
086 Traumatic Stupor And Coma <1 Hour With Cc $38,026 $38,026 $24,991 +52% $23,039 +65% ≈74% of Medicare
693 Urinary Stones With McC $37,703 $37,703 $21,079 +79% $22,525 +67% —
369 Major Esophageal Disorders With Cc $37,619 $37,619 $30,164 +25% $22,590 +67% —
092 Other Disorders Of Nervous System With Cc $37,504 $37,504 $28,389 +32% $24,000 +56% ≈71% of Medicare
358 Other Digestive System O.R. Procedures Without Cc/McC $37,380 $37,380 $39,612 −6% $29,374 +27% —
748 Female Reproductive System Reconstructive Procedures $37,370 $37,370 $34,985 +7% $24,928 +50% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $37,337 $37,337 $13,591 +175% $12,405 +201% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $36,902 $36,902 $36,902 +0% $27,041 +36% ≈73% of Medicare
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $36,814 $36,814 $30,320 +21% $18,038 +104% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $36,813 $36,813 $33,065 +11% $21,029 +75% —
375 Digestive Malignancy With Cc $36,800 $36,800 $34,560 +6% $27,125 +36% ≈75% of Medicare
345 Minor Small And Large Bowel Procedures With Cc $36,748 $36,748 $31,108 +18% $31,062 +18% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $36,721 $36,721 $27,141 +35% $22,850 +61% ≈69% of Medicare
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $36,318 $36,318 $29,874 +22% $25,390 +43% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $36,231 $36,231 $27,552 +32% $19,287 +88% ≈75% of Medicare
178 Respiratory Infections And Inflammations With Cc $36,200 $36,200 $30,232 +20% $22,024 +64% ≈68% of Medicare
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $36,176 $36,176 $15,367 +135% $13,822 +162% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $36,034 $36,034 $24,441 +47% $16,622 +117% ≈81% of Medicare
190 Chronic Obstructive Pulmonary Disease With McC $35,801 $35,801 $28,215 +27% $24,103 +49% ≈72% of Medicare
695 Kidney And Urinary Tract Signs And Symptoms With McC $35,752 $35,752 $35,752 +0% $20,741 +72% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $35,717 $35,717 $19,183 +86% $20,147 +77% —
549 Septic Arthritis With Cc $35,672 $35,672 $21,668 +65% $20,808 +71% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $35,660 $35,660 $28,509 +25% $23,400 +52% ≈74% of Medicare
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $35,615 $35,615 $26,536 +34% $29,671 +20% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $35,599 $35,599 $21,175 +68% $17,006 +109% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $35,494 $35,494 $28,438 +25% $23,456 +51% —
368 Major Esophageal Disorders With McC $35,463 $35,463 $30,937 +15% $33,339 +6% —
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 $30,386 +16% $15,608 +126% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $35,276 $35,276 $33,830 +4% $22,610 +56% ≈74% of Medicare
880 Acute Adjustment Reaction And Psychosocial Dysfunction $35,183 $35,183 $23,198 +52% $15,636 +125% ≈86% of Medicare
552 Medical Back Problems Without McC $35,141 $35,141 $28,869 +22% $20,632 +70% ≈75% of Medicare
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $35,117 $35,117 $35,117 +0% $21,449 +64% ≈71% of Medicare
947 Signs And Symptoms With McC $35,061 $35,061 $23,334 +50% $25,474 +38% ≈87% of Medicare
200 Pneumothorax With Cc $35,023 $35,023 $28,821 +22% $20,573 +70% ≈73% of Medicare
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $34,891 $34,891 $20,446 +71% $18,243 +91% ≈77% of Medicare
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 $22,607 +53% $16,622 +108% —
536 Fractures Of Hip And Pelvis Without McC $34,551 $34,551 $19,228 +80% $17,754 +95% ≈81% of Medicare
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $34,508 $34,508 $47,766 −28% $33,694 +2% —
539 Osteomyelitis With McC $34,487 $34,487 $34,487 +0% $33,614 +3% —
382 Complicated Peptic Ulcer Without Cc/McC $34,307 $34,307 $24,386 +41% $16,634 +106% —
595 Major Skin Disorders With McC $34,082 $34,082 $31,822 +7% $31,772 +7% —
057 Degenerative Nervous System Disorders Without McC $34,052 $34,052 $30,200 +13% $25,412 +34% ≈78% of Medicare
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $33,770 $33,770 $33,770 +0% $24,874 +36% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $33,563 $33,563 $33,563 +0% $33,236 +1% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $33,464 $33,464 $23,784 +41% $14,337 +133% —
540 Osteomyelitis With Cc $33,331 $33,331 $33,331 +0% $23,494 +42% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $33,255 $33,255 $31,432 +6% $22,623 +47% ≈75% of Medicare
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $33,255 $33,255 $27,359 +22% $21,499 +55% ≈77% of Medicare
315 Other Circulatory System Diagnoses With Cc $33,234 $33,234 $33,234 +0% $20,716 +60% ≈71% of Medicare
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% $24,426 +35% —
115 Extraocular Procedures Except Orbit $32,736 $32,736 $33,359 −2% $24,879 +32% —
755 Malignancy, Female Reproductive System With Cc $32,616 $32,616 $32,616 +0% $18,459 +77% —
292 Heart Failure And Shock With Cc $32,440 $32,440 $32,219 +1% $15,878 +104% ≈77% of Medicare
074 Cranial And Peripheral Nerve Disorders Without McC $32,180 $32,180 $30,058 +7% $23,141 +39% ≈73% of Medicare
638 Diabetes With Cc $32,108 $32,108 $25,396 +26% $18,763 +71% ≈73% of Medicare
949 Aftercare With Cc/McC $32,091 $32,091 $23,784 +35% $23,953 +34% —
593 Skin Ulcers With Cc $32,058 $32,058 $24,443 +31% $20,470 +57% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $31,678 $31,678 $31,678 +0% $23,749 +33% ≈72% of Medicare
312 Syncope And Collapse $31,674 $31,674 $30,210 +5% $19,342 +64% ≈71% of Medicare
193 Simple Pneumonia And Pleurisy With McC $31,670 $31,670 $30,935 +2% $25,766 +23% ≈71% of Medicare
300 Peripheral Vascular Disorders With Cc $31,641 $31,641 $26,309 +20% $19,448 +63% ≈70% of Medicare
394 Other Digestive System Diagnoses With Cc $31,605 $31,605 $20,933 +51% $18,815 +68% ≈71% of Medicare
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $31,565 $31,565 $31,565 +0% $25,038 +26% —
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% $16,495 +89% —
726 Benign Prostatic Hypertrophy Without McC $31,020 $31,020 $17,878 +74% $13,892 +123% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $30,984 $30,984 $30,984 +0% $32,538 −5% —
812 Red Blood Cell Disorders Without McC $30,969 $30,969 $30,969 +0% $20,408 +52% ≈70% of Medicare
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $30,879 $30,879 $30,879 +0% $16,352 +89% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $30,874 $30,874 $30,874 +0% $17,719 +74% —
920 Complications Of Treatment With Cc $30,550 $30,550 $24,464 +25% $20,879 +46% ≈72% of Medicare
138 Mouth Procedures Without Cc/McC $30,289 $30,289 $25,835 +17% $17,383 +74% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $30,284 $30,284 $29,422 +3% $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% —
714 Transurethral Prostatectomy Without Cc/McC $30,102 $30,102 $18,363 +64% $17,108 +76% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $30,062 $30,062 $29,856 +1% $20,076 +50% —
603 Cellulitis Without McC $30,055 $30,055 $22,028 +36% $18,359 +64% ≈71% of Medicare
814 Reticuloendothelial And Immunity Disorders With McC $30,026 $30,026 $30,026 +0% $32,506 −8% —
316 Other Circulatory System Diagnoses Without Cc/McC $29,952 $29,952 $29,952 +0% $12,794 +134% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $29,876 $29,876 $22,742 +31% $20,837 +43% —
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% $20,732 +43% ≈74% of Medicare
187 Pleural Effusion With Cc $29,485 $29,485 $29,485 +0% $21,467 +37% —
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% $17,693 +66% ≈78% of Medicare
439 Disorders Of Pancreas Except Malignancy With Cc $29,283 $29,283 $24,615 +19% $19,096 +53% ≈72% of Medicare
502 Soft Tissue Procedures Without Cc/McC $29,234 $29,234 $29,234 +0% $29,777 −2% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $29,181 $29,181 $32,462 −10% $37,080 −21% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $29,086 $29,086 $24,176 +20% $18,199 +60% —
158 Dental And Oral Diseases With Cc $29,028 $29,028 $25,343 +15% $17,751 +64% —
123 Neurological Eye Disorders $29,012 $29,012 $29,012 +0% $17,831 +63% —
197 Interstitial Lung Disease With Cc $28,997 $28,997 $28,997 +0% $20,105 +44% —
948 Signs And Symptoms Without McC $28,941 $28,941 $22,745 +27% $17,719 +63% ≈76% of Medicare
758 Infections, Female Reproductive System With Cc $28,729 $28,729 $27,094 +6% $19,091 +50% —
711 Testes Procedures With Cc/McC $28,659 $28,659 $29,625 −3% $34,846 −18% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $28,614 $28,614 $28,445 +1% $25,206 +14% —
320 Other Endovascular Cardiac Valve Procedures Without McC $28,334 $28,334 $34,848 −19% $35,806 −21% —
683 Renal Failure With Cc $28,219 $28,219 $22,859 +23% $18,322 +54% ≈74% of Medicare
582 Mastectomy For Malignancy With Cc/McC $28,133 $28,133 $34,264 −18% $34,158 −18% —
191 Chronic Obstructive Pulmonary Disease With Cc $28,117 $28,117 $24,337 +16% $18,104 +55% ≈71% of Medicare
756 Malignancy, Female Reproductive System Without Cc/McC $28,003 $28,003 $30,078 −7% $15,589 +80% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $27,963 $27,963 $25,199 +11% $13,090 +114% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $27,831 $27,831 $22,264 +25% $18,060 +54% —
149 Dysequilibrium $27,830 $27,830 $27,384 +2% $17,203 +62% ≈74% of Medicare
159 Dental And Oral Diseases Without Cc/McC $27,760 $27,760 $18,805 +48% $13,362 +108% —
965 Other Multiple Significant Trauma Without Cc/McC $27,710 $27,710 $27,993 −1% $17,585 +58% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $27,606 $27,606 $18,223 +51% $15,923 +73% ≈73% of Medicare
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $27,493 $27,493 $27,493 +0% $24,008 +15% —
305 Hypertension Without McC $27,277 $27,277 $27,277 +0% $16,897 +61% ≈73% of Medicare
093 Other Disorders Of Nervous System Without Cc/McC $27,224 $27,224 $26,380 +3% $17,522 +55% —
793 Full Term Neonate With Major Problems $27,143 $27,143 $27,143 +0% $16,708 +62% —
554 Bone Diseases And Arthropathies Without McC $26,931 $26,931 $21,371 +26% $17,579 +53% —
690 Kidney And Urinary Tract Infections Without McC $26,866 $26,866 $20,057 +34% $17,379 +55% ≈74% of Medicare
389 Gastrointestinal Obstruction With Cc $26,812 $26,812 $21,314 +26% $17,345 +55% ≈71% of Medicare
935 Non-Extensive Burns $26,773 $26,773 $26,773 +0% $29,458 −9% —
547 Connective Tissue Disorders Without Cc/McC $26,755 $26,755 $26,755 +0% $14,861 +80% —
383 Uncomplicated Peptic Ulcer With McC $26,677 $26,677 $30,085 −11% $26,616 +0% —
069 Transient Ischemia Without Thrombolytic $26,630 $26,630 $26,630 +0% $20,253 +31% ≈79% of Medicare
724 Malignancy, Male Reproductive System Without Cc/McC $26,614 $26,614 $30,437 −13% $12,650 +110% —
125 Other Disorders Of The Eye Without McC $26,553 $26,553 $21,703 +22% $15,876 +67% ≈68% of Medicare
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $26,403 $26,403 $26,403 +0% $44,022 −40% —
103 Headaches Without McC $26,347 $26,347 $26,347 +0% $20,076 +31% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $26,127 $26,127 $26,127 +0% $19,483 +34% ≈74% of Medicare
101 Seizures Without McC $25,967 $25,967 $25,967 +0% $19,930 +30% ≈77% of Medicare
348 Anal And Stomal Procedures With Cc $25,932 $25,932 $27,156 −5% $27,947 −7% —
883 Disorders Of Personality And Impulse Control $25,909 $25,909 $25,909 +0% $22,698 +14% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $25,903 $25,903 $19,426 +33% $16,718 +55% ≈77% of Medicare
395 Other Digestive System Diagnoses Without Cc/McC $25,792 $25,792 $19,448 +33% $14,128 +83% —
644 Endocrine Disorders With Cc $25,746 $25,746 $23,795 +8% $22,941 +12% ≈73% of Medicare
387 Inflammatory Bowel Disease Without Cc/McC $25,691 $25,691 $22,284 +15% $14,880 +73% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $25,662 $25,662 $25,662 +0% $24,277 +6% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $25,614 $25,614 $32,453 −21% $27,074 −5% —
204 Respiratory Signs And Symptoms $25,544 $25,544 $25,544 +0% $16,804 +52% —
185 Major Chest Trauma Without Cc/McC $25,506 $25,506 $23,266 +10% $15,858 +61% —
887 Other Mental Disorder Diagnoses $25,493 $25,493 $22,486 +13% $20,557 +24% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $25,434 $25,434 $15,766 +61% $15,818 +61% —
311 Angina Pectoris $25,386 $25,386 $23,332 +9% $15,165 +67% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $25,313 $25,313 $22,318 +13% $22,231 +14% —
202 Bronchitis And Asthma With Cc/McC $25,276 $25,276 $22,179 +14% $17,183 +47% ≈75% of Medicare
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $25,221 $25,221 $20,835 +21% $17,562 +44% —
081 Nontraumatic Stupor And Coma Without McC $25,219 $25,219 $25,219 +0% $15,007 +68% —
301 Peripheral Vascular Disorders Without Cc/McC $25,165 $25,165 $25,165 +0% $15,598 +61% —
918 Poisoning And Toxic Effects Of Drugs Without McC $25,057 $25,057 $25,057 +0% $15,045 +67% ≈73% of Medicare
684 Renal Failure Without Cc/McC $24,975 $24,975 $14,411 +73% $13,455 +86% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $24,889 $24,889 $23,775 +5% $11,957 +108% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $24,836 $24,836 $18,155 +37% $16,654 +49% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $24,728 $24,728 $22,699 +9% $17,322 +43% ≈76% of Medicare
639 Diabetes Without Cc/McC $24,571 $24,571 $17,217 +43% $13,910 +77% —
558 Tendonitis, Myositis And Bursitis Without McC $24,546 $24,546 $20,722 +18% $17,296 +42% —
864 Fever And Inflammatory Conditions $24,199 $24,199 $19,050 +27% $17,412 +39% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $24,183 $24,183 $15,422 +57% $18,133 +33% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $24,145 $24,145 $35,305 −32% $23,920 +1% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $24,020 $24,020 $23,534 +2% $17,308 +39% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $23,979 $23,979 $18,257 +31% $13,198 +82% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $23,974 $23,974 $23,974 +0% $21,025 +14% —
313 Chest Pain $23,897 $23,897 $23,897 +0% $15,837 +51% ≈74% of Medicare
792 Prematurity Without Major Problems $23,787 $23,787 $23,523 +1% $11,633 +104% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $23,762 $23,762 $15,105 +57% $12,895 +84% —
206 Other Respiratory System Diagnoses Without McC $23,694 $23,694 $23,694 +0% $17,731 +34% —
078 Hypertensive Encephalopathy With Cc $23,693 $23,693 $16,868 +40% $17,268 +37% —
379 Gastrointestinal Hemorrhage Without Cc/McC $23,351 $23,351 $17,819 +31% $14,134 +65% —
863 Postoperative And Post-Traumatic Infections Without McC $23,294 $23,294 $22,026 +6% $20,007 +16% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $23,288 $23,288 $19,640 +19% $13,303 +75% —
188 Pleural Effusion Without Cc/McC $23,124 $23,124 $23,124 +0% $14,252 +62% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $22,963 $22,963 $20,762 +11% $16,645 +38% ≈77% of Medicare
194 Simple Pneumonia And Pleurisy With Cc $22,854 $22,854 $22,854 +0% $18,204 +26% ≈73% of Medicare
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $22,721 $22,721 $12,537 +81% $12,536 +81% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $22,589 $22,589 $33,303 −32% $33,415 −32% —
201 Pneumothorax Without Cc/McC $22,393 $22,393 $22,393 +0% $13,081 +71% —
541 Osteomyelitis Without Cc/McC $22,109 $22,109 $22,109 +0% $14,549 +52% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $22,054 $22,054 $21,873 +1% $25,243 −13% —
303 Atherosclerosis Without McC $22,051 $22,051 $19,555 +13% $14,927 +48% ≈92% of Medicare
998 Principal Diagnosis Invalid As Discharge Diagnosis $22,024 $22,024 $10,630 +107% $15,594 +41% —
152 Otitis Media And Uri With McC $21,877 $21,877 $21,877 +0% $19,657 +11% —
598 Malignant Breast Disorders With Cc $21,820 $21,820 $21,820 +0% $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 $19,064 +12% $16,104 +32% —
289 Acute And Subacute Endocarditis With Cc $21,218 $21,218 $31,558 −33% $29,891 −29% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $20,992 $20,992 $13,092 +60% $14,210 +48% —
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 $15,595 +32% $18,316 +13% —
886 Behavioral And Developmental Disorders $20,529 $20,529 $20,529 +0% $24,447 −16% —
759 Infections, Female Reproductive System Without Cc/McC $20,286 $20,286 $20,286 +0% $14,208 +43% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $19,965 $19,965 $15,891 +26% $17,851 +12% —
921 Complications Of Treatment Without Cc/McC $19,932 $19,932 $13,895 +43% $14,012 +42% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $19,442 $19,442 $15,989 +22% $14,770 +32% —
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% $14,411 +34% —
390 Gastrointestinal Obstruction Without Cc/McC $19,330 $19,330 $15,214 +27% $13,318 +45% ≈78% of Medicare
645 Endocrine Disorders Without Cc/McC $19,326 $19,326 $17,001 +14% $14,166 +36% —
916 Allergic Reactions Without McC $19,313 $19,313 $19,120 +1% $13,890 +39% —
815 Reticuloendothelial And Immunity Disorders With Cc $19,264 $19,264 $19,264 +0% $18,005 +7% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $19,168 $19,168 $15,166 +26% $12,013 +60% ≈83% of Medicare
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $19,029 $19,029 $26,893 −29% $15,600 +22% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $18,975 $18,975 $18,975 +0% $13,384 +42% ≈77% of Medicare
307 Cardiac Congenital And Valvular Disorders Without McC $18,880 $18,880 $18,880 +0% $18,323 +3% —
607 Minor Skin Disorders Without McC $18,797 $18,797 $17,326 +8% $15,276 +23% —
076 Viral Meningitis Without Cc/McC $18,178 $18,178 $16,201 +12% $15,474 +17% —
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% $13,485 +30% —
302 Atherosclerosis With McC $17,355 $17,355 $18,292 −5% $20,810 −17% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $17,312 $17,312 $17,312 +0% $14,368 +20% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $17,257 $17,257 $14,426 +20% $12,205 +41% —
075 Viral Meningitis With Cc/McC $16,679 $16,679 $16,679 +0% $29,751 −44% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $16,607 $16,607 $19,361 −14% $20,980 −21% —
866 Viral Illness Without McC $16,391 $16,391 $16,391 +0% $16,348 +0% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $15,562 $15,562 $12,856 +21% $9,063 +72% —
153 Otitis Media And Uri Without McC $15,085 $15,085 $15,085 +0% $14,251 +6% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $14,417 $14,417 $17,424 −17% $11,421 +26% —
600 Non-Malignant Breast Disorders With Cc/McC $13,799 $13,799 $13,799 +0% $16,418 −16% —
950 Aftercare Without Cc/McC $13,643 $13,643 $18,592 −27% $13,527 +1% —
794 Neonate With Other Significant Problems $13,342 $13,342 $10,882 +23% $7,896 +69% —
121 Acute Major Eye Infections With Cc/McC $13,012 $13,012 $33,924 −62% $18,291 −29% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $12,102 $12,102 $14,632 −17% $16,431 −26% —
951 Other Factors Influencing Health Status $11,477 $11,477 $11,477 +0% $9,385 +22% ≈73% of Medicare
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $11,343 $11,343 $16,583 −32% $17,078 −34% —
293 Heart Failure And Shock Without Cc/McC $11,323 $11,323 $11,263 +1% $11,826 −4% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $11,293 $11,293 $12,412 −9% $13,747 −18% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $10,237 $10,237 $19,507 −48% $14,055 −27% —
795 Normal Newborn $10,219 $10,219 $5,663 +80% $4,521 +126% —
203 Bronchitis And Asthma Without Cc/McC $10,133 $10,133 $12,571 −19% $12,275 −17% —
198 Interstitial Lung Disease Without Cc/McC $2,883 $2,883 $13,931 −79% $13,654 −79% —
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