Hurley Medical Center (Acute Care) — Pricing

688 procedures published in this hospital's Machine-Readable File (MRF) — 688 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 688
Lowest published price $5,280
Average published price $64,092
Highest published price $631,986

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 688 procedures

Published charges

Showing all 688 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 48 procedures, this hospital's negotiated rates average ≈177% of what Medicare pays.

DRG Description Published price Cash price vs. MI median vs. National median vs Medicare
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $631,986 $631,986 $306,087 +106% $306,087 +106% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $400,830 $400,830 $137,630 +191% $142,326 +182% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $376,188 $376,188 $111,366 +238% $71,873 +423% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $344,217 $344,217 $212,958 +62% $151,029 +128% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $332,868 $332,868 $134,574 +147% $53,817 +519% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $323,668 $323,668 $184,103 +76% $245,189 +32% ≈264% of Medicare
028 SPINAL PROCEDURES WITH MCC $270,606 $270,606 $81,731 +231% $95,858 +182% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $264,041 $264,041 $94,925 +178% $34,158 +673% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $262,903 $262,903 $186,693 +41% $119,071 +121% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $262,546 $262,546 $183,850 +43% $79,944 +228% —
662 MINOR BLADDER PROCEDURES WITH MCC $262,035 $262,035 $75,429 +247% $54,483 +381% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $243,588 $243,588 $91,253 +167% $104,881 +132% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $231,547 $231,547 $170,748 +36% $121,728 +90% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $227,041 $227,041 $53,307 +326% $55,002 +313% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $221,745 $221,745 $78,460 +183% $96,192 +131% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $216,654 $216,654 $74,709 +190% $101,280 +114% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $198,942 $198,942 $149,784 +33% $120,573 +65% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $195,897 $195,897 $117,187 +67% $116,058 +69% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $195,644 $195,644 $89,198 +119% $48,907 +300% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $195,594 $195,594 $58,609 +234% $45,558 +329% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $193,706 $193,706 $59,352 +226% $59,352 +226% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $192,755 $192,755 $79,971 +141% $82,527 +134% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $192,451 $192,451 $274,267 −30% $114,665 +68% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $189,462 $189,462 $115,658 +64% $73,029 +159% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $188,482 $188,482 $89,353 +111% $89,353 +111% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $187,815 $187,815 $218,677 −14% $106,778 +76% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $185,731 $185,731 $75,379 +146% $71,755 +159% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $183,207 $183,207 $274,256 −33% $143,242 +28% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $181,573 $181,573 $147,597 +23% $88,307 +106% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $178,110 $178,110 $366,972 −51% $135,380 +32% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $173,296 $173,296 $171,442 +1% $105,899 +64% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $168,256 $168,256 $37,754 +346% $45,271 +272% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $168,076 $168,076 $221,124 −24% $102,177 +64% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $166,772 $166,772 $34,089 +389% $34,089 +389% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $165,221 $165,221 $354,545 −53% $175,437 −6% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $164,943 $164,943 $162,299 +2% $137,160 +20% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $162,784 $162,784 $4,337 +3653% $14,121 +1053% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $162,294 $162,294 $153,953 +5% $72,908 +123% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $159,314 $159,314 $53,970 +195% $75,492 +111% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $159,106 $159,106 $162,979 −2% $83,441 +91% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $159,067 $159,067 $83,031 +92% $86,938 +83% ≈129% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $158,768 $158,768 $212,606 −25% $107,355 +48% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $158,762 $158,762 $31,566 +403% $31,566 +403% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $158,638 $158,638 $71,037 +123% $88,050 +80% ≈179% of Medicare
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $158,615 $158,615 $68,045 +133% $84,861 +87% —
471 CERVICAL SPINAL FUSION WITH MCC $157,668 $157,668 $147,872 +7% $92,515 +70% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $152,105 $152,105 $146,641 +4% $115,937 +31% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $150,960 $150,960 $80,018 +89% $80,018 +89% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $150,118 $150,118 $103,645 +45% $44,022 +241% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $150,078 $150,078 $138,039 +9% $86,953 +73% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $148,982 $148,982 $185,423 −20% $93,783 +59% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $147,585 $147,585 $133,441 +11% $75,585 +95% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $146,415 $146,415 $150,100 −2% $81,998 +79% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $145,533 $145,533 $85,055 +71% $58,968 +147% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $144,950 $144,950 $78,688 +84% $61,206 +137% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $142,047 $142,047 $296,350 −52% $131,961 +8% —
799 SPLENIC PROCEDURES WITH MCC $141,399 $141,399 $90,477 +56% $78,821 +79% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $141,239 $141,239 $28,958 +388% $29,598 +377% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $140,112 $140,112 $69,008 +103% $80,747 +74% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $139,700 $139,700 $92,754 +51% $47,583 +194% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $137,814 $137,814 $53,357 +158% $62,961 +119% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $137,215 $137,215 $79,591 +72% $75,103 +83% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $136,303 $136,303 $257,668 −47% $117,280 +16% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $135,074 $135,074 $19,945 +577% $22,811 +492% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $134,675 $134,675 $127,345 +6% $83,065 +62% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $134,491 $134,491 $121,672 +11% $64,488 +109% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $133,930 $133,930 $56,535 +137% $66,853 +100% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $132,194 $132,194 $28,801 +359% $43,252 +206% —
037 EXTRACRANIAL PROCEDURES WITH MCC $130,378 $130,378 $108,163 +21% $64,749 +101% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $129,560 $129,560 $104,150 +24% $62,790 +106% —
668 TRANSURETHRAL PROCEDURES WITH MCC $128,656 $128,656 $41,045 +213% $47,126 +173% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $127,726 $127,726 $84,193 +52% $70,540 +81% —
472 CERVICAL SPINAL FUSION WITH CC $126,787 $126,787 $92,134 +38% $59,537 +113% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $126,669 $126,669 $86,074 +47% $99,423 +27% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $125,530 $125,530 $101,400 +24% $94,320 +33% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $124,465 $124,465 $80,243 +55% $64,468 +93% —
163 MAJOR CHEST PROCEDURES WITH MCC $122,455 $122,455 $90,195 +36% $88,341 +39% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $120,472 $120,472 $102,861 +17% $87,575 +38% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $120,064 $120,064 $91,158 +32% $46,659 +157% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $116,618 $116,618 $94,334 +24% $43,491 +168% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $116,270 $116,270 $86,618 +34% $68,421 +70% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $116,257 $116,257 $118,114 −2% $65,216 +78% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $116,181 $116,181 $57,621 +102% $44,839 +159% —
834 ACUTE LEUKEMIA WITH MCC $115,237 $115,237 $122,373 −6% $76,004 +52% —
333 RECTAL RESECTION WITH CC $115,162 $115,162 $49,879 +131% $34,352 +235% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $114,851 $114,851 $279,095 −59% $191,314 −40% —
653 MAJOR BLADDER PROCEDURES WITH MCC $114,651 $114,651 $107,328 +7% $97,028 +18% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $113,927 $113,927 $87,999 +29% $57,030 +100% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $113,525 $113,525 $113,525 +0% $84,825 +34% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $113,297 $113,297 $50,483 +124% $39,093 +190% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $113,267 $113,267 $95,914 +18% $63,310 +79% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $112,061 $112,061 $64,911 +73% $63,984 +75% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $110,512 $110,512 $56,106 +97% $71,519 +55% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $110,475 $110,475 $132,067 −16% $70,132 +58% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $109,891 $109,891 $71,164 +54% $65,573 +68% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $109,724 $109,724 $41,520 +164% $41,520 +164% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $107,251 $107,251 $239,704 −55% $91,329 +17% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $106,705 $106,705 $94,685 +13% $78,327 +36% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $106,334 $106,334 $103,661 +3% $76,954 +38% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $105,949 $105,949 $63,552 +67% $43,313 +145% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $105,747 $105,747 $46,654 +127% $54,929 +93% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $105,266 $105,266 $68,568 +54% $53,555 +97% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $104,794 — $10,480 +900% $10,039 +944% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $104,338 $104,338 $60,844 +71% $66,765 +56% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $103,799 $103,799 $39,103 +165% $47,635 +118% —
252 OTHER VASCULAR PROCEDURES WITH MCC $103,480 $103,480 $52,229 +98% $68,508 +51% ≈177% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $103,128 $103,128 $20,828 +395% $25,038 +312% —
113 ORBITAL PROCEDURES WITH CC/MCC $102,795 $102,795 $32,482 +216% $35,642 +188% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $102,358 $102,358 $70,600 +45% $36,237 +182% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $102,095 $102,095 $114,073 −11% $82,561 +24% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $100,901 $100,901 $40,864 +147% $55,147 +83% ≈173% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $100,025 $100,025 $45,899 +118% $35,693 +180% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $99,363 $99,363 $25,727 +286% $32,839 +203% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $98,961 $98,961 $59,928 +65% $41,701 +137% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $98,523 $98,523 $96,641 +2% $48,358 +104% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $97,474 $97,474 $215,073 −55% $96,905 +1% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $97,158 $97,158 $24,163 +302% $19,894 +388% —
570 SKIN DEBRIDEMENT WITH MCC $96,862 $96,862 $63,989 +51% $51,501 +88% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $96,734 $96,734 $63,524 +52% $34,900 +177% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $96,597 $96,597 $62,983 +53% $56,394 +71% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $96,346 $96,346 $38,581 +150% $44,973 +114% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $96,002 $96,002 $69,053 +39% $54,475 +76% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $95,983 $95,983 $73,066 +31% $53,763 +79% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $95,596 $95,596 $67,013 +43% $38,836 +146% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $95,589 $95,589 $49,003 +95% $50,919 +88% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $95,368 $95,368 $69,283 +38% $65,383 +46% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $94,809 $94,809 $76,123 +25% $50,624 +87% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $93,398 $93,398 $51,622 +81% $39,253 +138% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $93,010 $93,010 $47,828 +94% $61,353 +52% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $92,020 $92,020 $81,288 +13% $56,197 +64% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $91,942 $91,942 $111,897 −18% $74,257 +24% —
253 OTHER VASCULAR PROCEDURES WITH CC $91,911 $91,911 $101,135 −9% $53,746 +71% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $91,347 $91,347 $20,117 +354% $21,029 +334% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $90,952 $90,952 $50,540 +80% $54,313 +67% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $90,819 $90,819 $45,416 +100% $43,266 +110% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $90,764 $90,764 $90,764 +0% $72,843 +25% —
088 CONCUSSION WITH MCC $89,330 $89,330 $21,503 +315% $24,402 +266% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $89,200 $89,200 $60,697 +47% $68,847 +30% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $89,200 $89,200 $49,136 +82% $25,390 +251% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $88,824 $88,824 $90,945 −2% $72,879 +22% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $88,021 $88,021 $88,561 −1% $57,277 +54% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $87,913 $87,913 $88,436 −1% $62,266 +41% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $87,699 $87,699 $19,017 +361% $23,588 +272% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $87,495 $87,495 $139,593 −37% $87,495 +0% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $87,126 $87,126 $52,918 +65% $60,140 +45% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $86,926 $86,926 $44,490 +95% $45,497 +91% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $86,919 $86,919 $47,899 +81% $71,014 +22% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $86,856 $86,856 $42,390 +105% $58,713 +48% ≈187% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $85,550 $85,550 $135,184 −37% $60,098 +42% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $85,151 $85,151 $87,012 −2% $67,215 +27% —
164 MAJOR CHEST PROCEDURES WITH CC $84,957 $84,957 $65,590 +30% $53,141 +60% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $84,753 $84,753 $48,887 +73% $56,964 +49% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $84,403 $84,403 $99,623 −15% $68,590 +23% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $84,187 $84,187 $44,472 +89% $44,472 +89% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $83,955 $83,955 $57,655 +46% $54,681 +54% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $83,695 $83,695 $88,691 −6% $85,882 −3% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $83,327 $83,327 $43,999 +89% $35,584 +134% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $83,313 $83,313 $45,617 +83% $41,847 +99% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $83,255 $83,255 $26,510 +214% $24,447 +241% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $83,110 $83,110 $16,434 +406% $22,557 +268% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $82,747 $82,747 $40,974 +102% $52,332 +58% —
038 EXTRACRANIAL PROCEDURES WITH CC $82,570 $82,570 $59,118 +40% $35,770 +131% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $81,943 $81,943 $49,325 +66% $50,998 +61% ≈173% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $81,775 $81,775 $69,111 +18% $47,546 +72% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $81,492 $81,492 $71,035 +15% $45,594 +79% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $81,441 $81,441 $139,788 −42% $95,375 −15% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $80,191 $80,191 $51,359 +56% $34,906 +130% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $79,610 $79,610 $52,818 +51% $52,405 +52% ≈188% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $79,240 $79,240 $40,289 +97% $49,055 +62% —
245 AICD GENERATOR PROCEDURES $79,079 $79,079 $120,641 −34% $72,076 +10% —
712 TESTES PROCEDURES WITHOUT CC/MCC $77,943 $77,943 $17,076 +356% $18,898 +312% —
336 PERITONEAL ADHESIOLYSIS WITH CC $77,866 $77,866 $58,686 +33% $49,071 +59% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $77,674 $77,674 $55,837 +39% $51,950 +50% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $77,622 $77,622 $96,937 −20% $65,325 +19% —
397 APPENDIX PROCEDURES WITH MCC $77,569 $77,569 $63,467 +22% $52,319 +48% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $77,434 $77,434 $63,159 +23% $57,521 +35% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $77,350 $77,350 $46,274 +67% $41,660 +86% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $77,347 $77,347 $58,069 +33% $46,477 +66% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $77,256 $77,256 $87,798 −12% $68,331 +13% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $77,197 $77,197 $49,778 +55% $27,277 +183% —
504 FOOT PROCEDURES WITH CC $76,982 $76,982 $49,559 +55% $36,519 +111% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $76,898 $76,898 $64,661 +19% $43,775 +76% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $76,791 $76,791 $39,942 +92% $48,801 +57% ≈178% of Medicare
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $76,424 $76,424 $52,036 +47% $25,621 +198% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $76,271 $76,271 $76,271 +0% $72,274 +6% —
671 URETHRAL PROCEDURES WITH CC/MCC $76,082 $76,082 $25,566 +198% $27,233 +179% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $76,006 $76,006 $99,486 −24% $74,274 +2% ≈172% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $75,973 $75,973 $65,225 +16% $44,719 +70% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $75,039 $75,039 $47,027 +60% $42,119 +78% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $74,654 $74,654 $52,535 +42% $41,380 +80% —
800 SPLENIC PROCEDURES WITH CC $74,359 $74,359 $41,012 +81% $49,184 +51% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $74,294 $74,294 $36,339 +104% $38,878 +91% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $73,828 $73,828 $43,981 +68% $30,681 +141% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $73,618 $73,618 $80,082 −8% $37,839 +95% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $73,390 $73,390 $39,493 +86% $36,202 +103% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $73,339 $73,339 $49,918 +47% $45,916 +60% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $73,304 $73,304 $83,778 −13% $64,956 +13% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $73,135 $73,135 $19,686 +271% $19,686 +271% —
915 ALLERGIC REACTIONS WITH MCC $72,851 $72,851 $30,774 +137% $30,944 +135% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $72,819 $72,819 $71,818 +1% $36,850 +98% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $72,183 $72,183 $72,183 — $110,102 −34% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $72,179 $72,179 $72,839 −1% $47,574 +52% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $71,714 $71,714 $58,469 +23% $51,985 +38% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $71,657 $71,657 $65,153 +10% $43,538 +65% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $71,342 $71,342 $48,431 +47% $26,998 +164% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $71,178 $71,178 $41,952 +70% $46,402 +53% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $70,898 $70,898 $39,564 +79% $35,453 +100% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $70,873 $70,873 $48,468 +46% $35,989 +97% —
265 AICD LEAD PROCEDURES $70,785 $70,785 $106,195 −33% $56,216 +26% —
571 SKIN DEBRIDEMENT WITH CC $70,658 $70,658 $37,934 +86% $34,773 +103% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $69,947 $69,947 $22,175 +215% $25,149 +178% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $69,790 $69,790 $24,502 +185% $28,554 +144% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $69,733 $69,733 $27,668 +152% $32,976 +111% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $69,473 $69,473 $44,989 +54% $44,989 +54% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $69,278 $69,278 $61,143 +13% $36,318 +91% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $69,135 $69,135 $45,866 +51% $33,415 +107% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $69,046 $69,046 $101,415 −32% $78,852 −12% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $68,945 $68,945 $33,334 +107% $29,374 +135% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $68,553 $68,553 $51,062 +34% $44,553 +54% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $67,968 $67,968 $26,146 +160% $26,146 +160% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $67,927 $67,927 $58,867 +15% $48,682 +40% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $67,783 $67,783 $48,129 +41% $31,816 +113% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $67,680 $67,680 $140,604 −52% $49,710 +36% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $67,591 $67,591 $28,660 +136% $34,876 +94% ≈165% of Medicare
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $67,469 $67,469 $65,508 +3% $80,885 −17% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $67,276 $67,276 $23,902 +181% $33,962 +98% —
597 MALIGNANT BREAST DISORDERS WITH MCC $67,266 $67,266 $25,994 +159% $31,846 +111% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $67,170 $67,170 $25,121 +167% $29,409 +128% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $66,962 $66,962 $41,878 +60% $40,552 +65% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $66,919 $66,919 $38,599 +73% $32,451 +106% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $66,870 $66,870 $70,062 −5% $53,787 +24% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $66,851 $66,851 $80,994 −17% $68,399 −2% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $66,838 $66,838 $109,577 −39% $57,855 +16% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $66,584 $66,584 $31,978 +108% $31,978 +108% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $66,531 $66,531 $37,509 +77% $40,277 +65% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $66,426 $66,426 $66,855 −1% $46,306 +43% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $66,417 $66,417 $48,557 +37% $51,953 +28% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $66,264 $66,264 $47,426 +40% $41,114 +61% —
398 APPENDIX PROCEDURES WITH CC $65,947 $65,947 $37,297 +77% $38,574 +71% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $65,626 $65,626 $36,193 +81% $32,804 +100% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $65,423 $65,423 $44,357 +47% $33,137 +97% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $65,047 $65,047 $54,712 +19% $25,267 +157% —
654 MAJOR BLADDER PROCEDURES WITH CC $64,461 $64,461 $78,609 −18% $53,868 +20% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $64,346 $64,346 $76,717 −16% $51,142 +26% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $63,583 $63,583 $35,694 +78% $39,409 +61% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $63,511 $63,511 $32,852 +93% $30,418 +109% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $63,183 $63,183 $42,564 +48% $24,229 +161% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $63,047 $63,047 $68,549 −8% $40,548 +55% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $63,000 $63,000 $63,000 — $58,739 +7% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $62,482 $62,482 $26,783 +133% $36,355 +72% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $61,897 $61,897 $89,398 −31% $66,819 −7% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $61,869 $61,869 $21,228 +191% $24,561 +152% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $61,768 $61,768 $96,949 −36% $50,139 +23% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $61,753 $61,753 $53,961 +14% $52,908 +17% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $61,626 $61,626 $61,626 — $93,769 −34% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $61,357 $61,357 $26,894 +128% $27,492 +123% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $61,125 $61,125 $21,908 +179% $22,525 +171% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $60,864 $60,864 $55,862 +9% $49,631 +23% —
595 MAJOR SKIN DISORDERS WITH MCC $60,763 $60,763 $30,646 +98% $31,772 +91% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $60,468 $60,468 $39,917 +51% $42,881 +41% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $60,458 $60,458 $32,504 +86% $38,998 +55% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $60,455 $60,455 $30,847 +96% $44,087 +37% —
533 FRACTURES OF FEMUR WITH MCC $60,427 $60,427 $22,986 +163% $25,945 +133% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $60,022 $60,022 $24,458 +145% $30,768 +95% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $59,251 $59,251 $50,714 +17% $35,108 +69% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $59,152 $59,152 $57,360 +3% $36,241 +63% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $58,997 $58,997 $39,532 +49% $45,937 +28% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $58,926 $58,926 $14,383 +310% $16,156 +265% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $58,835 $58,835 $38,222 +54% $39,675 +48% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $58,825 $58,825 $25,606 +130% $34,564 +70% —
183 MAJOR CHEST TRAUMA WITH MCC $58,610 $58,610 $38,574 +52% $28,924 +103% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $58,101 $58,101 $87,832 −34% $50,011 +16% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $58,018 $58,018 $85,722 −32% $59,425 −2% —
501 SOFT TISSUE PROCEDURES WITH CC $57,942 $57,942 $26,358 +120% $37,975 +53% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $57,866 $57,866 $22,265 +160% $25,152 +130% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $57,804 $57,804 $26,291 +120% $30,259 +91% —
791 PREMATURITY WITH MAJOR PROBLEMS $57,748 $57,748 $25,580 +126% $39,254 +47% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $57,684 $57,684 $28,559 +102% $29,524 +95% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $57,555 $57,555 $46,560 +24% $35,692 +61% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $57,536 $57,536 $53,084 +8% $40,563 +42% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $57,371 $57,371 $44,660 +28% $35,528 +61% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $57,291 $57,291 $11,909 +381% $11,909 +381% —
139 SALIVARY GLAND PROCEDURES $56,795 $56,795 $21,014 +170% $21,014 +170% —
697 URETHRAL STRICTURE $56,406 $56,406 $16,196 +248% $17,705 +219% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $56,316 $56,316 $342,659 −84% $121,714 −54% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $56,256 $56,256 $44,395 +27% $38,094 +48% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $56,165 $56,165 $32,548 +73% $33,790 +66% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $55,895 $55,895 $26,908 +108% $23,456 +138% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $55,481 $55,481 $42,340 +31% $35,375 +57% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $55,232 $55,232 $28,555 +93% $32,901 +68% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $55,191 $55,191 $40,463 +36% $30,224 +83% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $54,966 $54,966 $29,127 +89% $43,444 +27% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $54,796 $54,796 $52,133 +5% $43,320 +26% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $54,307 $54,307 $13,602 +299% $19,001 +186% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $54,249 $54,249 $69,969 −22% $60,861 −11% —
949 AFTERCARE WITH CC/MCC $54,215 $54,215 $39,809 +36% $23,953 +126% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $54,169 $54,169 $29,012 +87% $35,714 +52% ≈177% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $54,046 $54,046 $34,722 +56% $31,062 +74% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $53,970 $53,970 $56,346 −4% $32,189 +68% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $53,596 $53,596 $71,716 −25% $45,842 +17% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $53,561 $53,561 $152,432 −65% $74,755 −28% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $53,296 $53,296 $37,153 +43% $43,697 +22% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $53,141 $53,141 $47,001 +13% $25,854 +106% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $53,125 $53,125 $67,958 −22% $41,596 +28% —
592 SKIN ULCERS WITH MCC $53,078 $53,078 $32,662 +63% $32,662 +63% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $52,905 $52,905 $42,239 +25% $39,018 +36% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $52,289 $52,289 $48,165 +9% $48,745 +7% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $52,213 $52,213 $32,248 +62% $29,805 +75% —
137 MOUTH PROCEDURES WITH CC/MCC $52,040 $52,040 $21,346 +144% $24,348 +114% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $51,675 $51,675 $21,642 +139% $25,071 +106% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $51,619 $51,619 $51,619 +0% $36,880 +40% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $51,485 $51,485 $36,330 +42% $35,961 +43% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $51,428 $51,428 $20,145 +155% $23,956 +115% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $51,370 $51,370 $37,496 +37% $27,597 +86% —
666 PROSTATECTOMY WITH CC $51,135 $51,135 $34,978 +46% $30,016 +70% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $50,976 $50,976 $53,573 −5% $33,694 +51% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $50,970 $50,970 $22,780 +124% $28,375 +80% —
549 SEPTIC ARTHRITIS WITH CC $50,947 $50,947 $18,835 +170% $20,808 +145% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $50,879 $50,879 $18,191 +180% $25,206 +102% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $50,857 $50,857 $33,439 +52% $18,150 +180% —
551 MEDICAL BACK PROBLEMS WITH MCC $50,769 $50,769 $39,793 +28% $31,067 +63% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $50,680 $50,680 $37,387 +36% $35,990 +41% ≈198% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $50,622 $50,622 $37,106 +36% $25,412 +99% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $50,428 $50,428 $47,329 +7% $40,583 +24% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $50,075 $50,075 $31,098 +61% $24,277 +106% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $49,982 $49,982 $36,091 +38% $35,673 +40% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $49,811 $49,811 $42,230 +18% $29,029 +72% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $49,772 $49,772 $54,120 −8% $40,694 +22% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $49,631 $49,631 $25,633 +94% $29,826 +66% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $49,535 $49,535 $21,706 +128% $22,874 +117% —
835 ACUTE LEUKEMIA WITH CC $49,419 $49,419 $38,466 +28% $35,569 +39% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $49,391 $49,391 $40,550 +22% $27,369 +80% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $49,387 $49,387 $27,058 +83% $29,867 +65% —
090 CONCUSSION WITHOUT CC/MCC $49,269 $49,269 $25,669 +92% $14,873 +231% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $49,162 $49,162 $55,152 −11% $44,600 +10% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $49,002 $49,002 $32,494 +51% $28,156 +74% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $48,841 $48,841 $45,199 +8% $36,195 +35% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $48,453 $48,453 $29,314 +65% $30,940 +57% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $48,423 $48,423 $48,423 +0% $38,166 +27% ≈176% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $47,834 $47,834 $30,577 +56% $30,362 +58% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $47,751 $47,751 $20,702 +131% $27,118 +76% —
075 VIRAL MENINGITIS WITH CC/MCC $47,610 $47,610 $30,633 +55% $29,751 +60% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $47,577 $47,577 $67,264 −29% $40,063 +19% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $47,230 $47,230 $47,230 +0% $44,927 +5% —
709 PENIS PROCEDURES WITH CC/MCC $47,166 $47,166 $32,359 +46% $34,535 +37% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $46,931 $46,931 $96,785 −52% $35,029 +34% —
505 FOOT PROCEDURES WITHOUT CC/MCC $46,885 $46,885 $58,847 −20% $31,716 +48% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $46,788 $46,788 $17,209 +172% $18,126 +158% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $46,565 $46,565 $24,174 +93% $31,754 +47% ≈170% of Medicare
947 SIGNS AND SYMPTOMS WITH MCC $46,063 $46,063 $28,845 +60% $25,474 +81% —
380 COMPLICATED PEPTIC ULCER WITH MCC $45,579 $45,579 $66,162 −31% $36,537 +25% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $45,458 $45,458 $27,276 +67% $32,538 +40% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $45,297 $45,297 $21,873 +107% $25,243 +79% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $45,294 $45,294 $49,550 −9% $24,450 +85% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $45,032 $45,032 $79,333 −43% $54,772 −18% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $44,883 $44,883 $33,744 +33% $37,842 +19% ≈172% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $44,592 $44,592 $24,846 +79% $30,930 +44% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $43,922 $43,922 $16,495 +166% $16,495 +166% —
935 NON-EXTENSIVE BURNS $43,711 $43,711 $31,701 +38% $29,458 +48% —
669 TRANSURETHRAL PROCEDURES WITH CC $43,591 $43,591 $46,302 −6% $34,354 +27% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $43,579 $43,579 $65,531 −33% $40,801 +7% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $43,537 $43,537 $15,039 +189% $17,585 +148% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $43,265 $43,265 $20,672 +109% $23,646 +83% —
500 SOFT TISSUE PROCEDURES WITH MCC $43,263 $43,263 $65,663 −34% $57,181 −24% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $43,248 $43,248 $43,600 −1% $35,139 +23% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $43,167 $43,167 $28,841 +50% $21,025 +105% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $43,127 $43,127 $15,808 +173% $22,587 +91% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $43,117 $43,117 $18,260 +136% $22,532 +91% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $43,013 $43,013 $37,064 +16% $39,657 +8% —
180 RESPIRATORY NEOPLASMS WITH MCC $42,988 $42,988 $42,988 +0% $36,658 +17% —
506 MAJOR THUMB OR JOINT PROCEDURES $42,941 $42,941 $22,651 +90% $28,983 +48% —
100 SEIZURES WITH MCC $42,875 $42,875 $44,206 −3% $35,194 +22% ≈176% of Medicare
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $42,792 $42,792 $114,346 −63% $62,404 −31% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $42,773 $42,773 $14,237 +200% $14,861 +188% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $42,665 $42,665 $40,762 +5% $46,066 −7% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $42,643 $42,643 $35,423 +20% $29,916 +43% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $42,416 $42,416 $45,535 −7% $24,118 +76% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $42,300 $42,300 $77,121 −45% $51,339 −18% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $42,215 $42,215 $20,108 +110% $23,571 +79% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $41,991 $41,991 $73,453 −43% $37,681 +11% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $41,667 $41,667 $13,638 +206% $15,608 +167% —
200 PNEUMOTHORAX WITH CC $41,566 $41,566 $19,070 +118% $20,573 +102% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $41,564 $41,564 $33,930 +22% $33,424 +24% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $41,388 $41,388 $41,388 +0% $31,913 +30% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $41,013 $41,013 $19,254 +113% $24,603 +67% ≈173% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $40,548 $40,548 $27,617 +47% $25,998 +56% —
186 PLEURAL EFFUSION WITH MCC $40,520 $40,520 $33,231 +22% $32,385 +25% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $40,417 $40,417 $32,588 +24% $28,252 +43% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $40,342 $40,342 $22,551 +79% $23,400 +72% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $40,263 $40,263 $29,341 +37% $29,011 +39% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $40,139 $40,139 $24,586 +63% $25,197 +59% —
906 HAND PROCEDURES FOR INJURIES $39,924 $39,924 $31,520 +27% $31,520 +27% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $39,825 $39,825 $37,516 +6% $30,275 +32% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $39,803 $39,803 $54,196 −27% $54,196 −27% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $39,778 $39,778 $58,111 −32% $42,126 −6% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $39,639 $39,639 $24,497 +62% $28,802 +38% ≈181% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $39,437 $39,437 $37,988 +4% $38,885 +1% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $38,943 $38,943 $36,097 +8% $36,097 +8% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $38,919 $38,919 $28,690 +36% $20,313 +92% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $38,840 $38,840 $21,961 +77% $29,630 +31% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $38,774 $38,774 $14,719 +163% $20,084 +93% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $38,428 $38,428 $15,547 +147% $18,316 +110% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $38,341 $38,341 $33,797 +13% $29,558 +30% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $38,016 $38,016 $18,300 +108% $17,183 +121% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $37,968 $37,968 $12,534 +203% $12,536 +203% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $37,915 $37,915 $23,065 +64% $24,879 +52% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $37,849 $37,849 $26,208 +44% $21,666 +75% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $37,691 $37,691 $17,770 +112% $24,103 +56% ≈192% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $37,678 $37,678 $38,301 −2% $23,039 +64% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $37,653 $37,653 $31,044 +21% $31,044 +21% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $37,631 $37,631 $14,739 +155% $19,815 +90% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $37,588 $37,588 $32,642 +15% $31,743 +18% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $37,506 $37,506 $85,849 −56% $55,162 −32% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $37,411 $37,411 $41,055 −9% $37,080 +1% —
637 DIABETES WITH MCC $37,341 $37,341 $29,571 +26% $28,772 +30% ≈176% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $37,124 $37,124 $19,183 +94% $20,147 +84% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $37,103 $37,103 $31,216 +19% $29,671 +25% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $37,098 $37,098 $26,677 +39% $29,476 +26% —
158 DENTAL AND ORAL DISEASES WITH CC $36,992 $36,992 $18,267 +103% $17,751 +108% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $36,752 $36,752 $16,427 +124% $20,076 +83% —
348 ANAL AND STOMAL PROCEDURES WITH CC $36,738 $36,738 $45,523 −19% $27,947 +31% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $36,699 $36,699 $29,257 +25% $19,326 +90% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $36,665 $36,665 $32,689 +12% $32,689 +12% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $36,570 $36,570 $16,100 +127% $14,880 +146% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $36,557 $36,557 $20,296 +80% $25,766 +42% ≈179% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $36,543 $36,543 $81,021 −55% $28,578 +28% —
682 RENAL FAILURE WITH MCC $36,509 $36,509 $29,037 +26% $27,640 +32% ≈164% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $36,436 $36,436 $30,326 +20% $32,506 +12% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $36,403 $36,403 $24,292 +50% $27,074 +34% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $36,392 $36,392 $20,256 +80% $18,243 +99% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $36,378 $36,378 $36,378 +0% $31,029 +17% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $36,095 $36,095 $39,687 −9% $29,777 +21% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $35,884 $35,884 $50,798 −29% $37,950 −5% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $35,875 $35,875 $19,515 +84% $24,426 +47% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $35,860 $35,860 $30,814 +16% $30,814 +16% ≈166% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $35,831 $35,831 $13,506 +165% $17,719 +102% ≈312% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $35,723 $35,723 $30,255 +18% $32,417 +10% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $35,721 $35,721 $13,719 +160% $17,754 +101% —
602 CELLULITIS WITH MCC $35,691 $35,691 $32,026 +11% $29,347 +22% ≈163% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $35,641 $35,641 $25,181 +42% $15,636 +128% —
643 ENDOCRINE DISORDERS WITH MCC $35,639 $35,639 $26,594 +34% $32,953 +8% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $35,553 $35,553 $27,430 +30% $29,609 +20% —
302 ATHEROSCLEROSIS WITH MCC $35,424 $35,424 $18,292 +94% $20,810 +70% —
663 MINOR BLADDER PROCEDURES WITH CC $35,405 $35,405 $26,362 +34% $29,924 +18% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $35,393 $35,393 $22,563 +57% $18,060 +96% —
304 HYPERTENSION WITH MCC $35,363 $35,363 $23,759 +49% $23,945 +48% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $35,358 $35,358 $16,575 +113% $22,623 +56% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $35,250 $35,250 $20,980 +68% $20,980 +68% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $35,199 $35,199 $14,344 +145% $18,104 +94% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $34,891 $34,891 $14,627 +139% $19,854 +76% —
813 COAGULATION DISORDERS $34,727 $34,727 $34,727 +0% $30,128 +15% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $34,658 $34,658 $25,885 +34% $26,158 +32% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $34,610 $34,610 $29,460 +17% $28,001 +24% ≈176% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $34,542 $34,542 $31,740 +9% $38,382 −10% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $34,265 $34,265 $38,130 −10% $24,544 +40% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $34,138 $34,138 $40,056 −15% $31,627 +8% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $34,123 $34,123 $34,768 −2% $29,521 +16% —
184 MAJOR CHEST TRAUMA WITH CC $34,115 $34,115 $33,974 +0% $20,842 +64% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $34,043 $34,043 $15,311 +122% $16,622 +105% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $34,021 $34,021 $18,545 +83% $20,463 +66% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $33,984 $33,984 $23,703 +43% $33,425 +2% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $33,871 $33,871 $33,871 +0% $31,190 +9% ≈180% of Medicare
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $33,808 $33,808 $25,645 +32% $17,851 +89% —
711 TESTES PROCEDURES WITH CC/MCC $33,776 $33,776 $27,991 +21% $34,846 −3% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $33,645 $33,645 $29,208 +15% $29,957 +12% —
811 RED BLOOD CELL DISORDERS WITH MCC $33,589 $33,589 $29,603 +13% $27,674 +21% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $33,470 $33,470 $23,658 +41% $29,891 +12% —
503 FOOT PROCEDURES WITH MCC $33,284 $33,284 $37,544 −11% $43,982 −24% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $33,280 $33,280 $16,392 +103% $22,610 +47% ≈186% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $33,158 $33,158 $32,286 +3% $24,000 +38% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $32,979 $32,979 $22,285 +48% $17,383 +90% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $32,979 $32,979 $12,336 +167% $12,336 +167% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $32,977 $32,977 $20,483 +61% $15,858 +108% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $32,973 $32,973 $28,810 +14% $29,929 +10% ≈200% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $32,935 $32,935 $20,129 +64% $24,932 +32% ≈172% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $32,932 $32,932 $29,494 +12% $23,646 +39% —
199 PNEUMOTHORAX WITH MCC $32,918 $32,918 $32,918 +0% $31,085 +6% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $32,820 $32,820 $20,430 +61% $24,244 +35% ≈172% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $32,782 $32,782 $12,835 +155% $14,549 +125% —
914 TRAUMATIC INJURY WITHOUT MCC $32,763 $32,763 $20,532 +60% $15,586 +110% —
598 MALIGNANT BREAST DISORDERS WITH CC $32,736 $32,736 $17,197 +90% $19,073 +72% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $32,703 $32,703 $15,703 +108% $20,632 +59% ≈177% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $32,512 $32,512 $32,512 +0% $29,049 +12% —
887 OTHER MENTAL DISORDER DIAGNOSES $32,484 $32,484 $18,631 +74% $20,557 +58% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $32,396 $32,396 $23,003 +41% $27,041 +20% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $32,389 $32,389 $27,631 +17% $22,870 +42% ≈173% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $32,303 $32,303 $11,594 +179% $14,368 +125% —
375 DIGESTIVE MALIGNANCY WITH CC $32,262 $32,262 $32,433 −1% $27,125 +19% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $32,258 $32,258 $20,449 +58% $23,734 +36% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $31,889 $31,889 $26,150 +22% $21,323 +50% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $31,879 $31,879 $33,190 −4% $25,666 +24% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $31,821 $31,821 $24,384 +31% $18,459 +72% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $31,725 $31,725 $19,916 +59% $23,474 +35% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $31,579 $31,579 $17,483 +81% $17,483 +81% —
123 NEUROLOGICAL EYE DISORDERS $31,509 $31,509 $25,756 +22% $17,831 +77% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $31,386 $31,386 $20,262 +55% $22,850 +37% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $31,321 $31,321 $24,775 +26% $16,654 +88% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $31,183 $31,183 $33,010 −6% $22,010 +42% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $31,036 $31,036 $20,875 +49% $24,928 +25% —
187 PLEURAL EFFUSION WITH CC $30,849 $30,849 $25,181 +23% $21,467 +44% —
089 CONCUSSION WITH CC $30,654 $30,654 $45,136 −32% $18,293 +68% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $30,637 $30,637 $21,345 +44% $18,288 +68% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $30,025 $30,025 $22,698 +32% $13,362 +125% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $29,934 $29,934 $24,932 +20% $23,920 +25% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $29,849 $29,849 $18,845 +58% $26,098 +14% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $29,806 $29,806 $28,263 +5% $24,008 +24% —
919 COMPLICATIONS OF TREATMENT WITH MCC $29,788 $29,788 $31,711 −6% $29,031 +3% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $29,773 $29,773 $20,232 +47% $18,000 +65% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $29,758 $29,758 $33,037 −10% $25,786 +15% —
381 COMPLICATED PEPTIC ULCER WITH CC $29,645 $29,645 $22,591 +31% $24,177 +23% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $29,592 $29,592 $25,377 +17% $28,509 +4% —
149 DYSEQUILIBRIUM $29,571 $29,571 $21,518 +37% $17,203 +72% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $29,557 $29,557 $29,557 +0% $24,017 +23% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $29,539 $29,539 $18,398 +61% $19,091 +55% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $29,489 $29,489 $39,936 −26% $34,886 −15% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $29,463 $29,463 $19,980 +47% $20,837 +41% —
865 VIRAL ILLNESS WITH MCC $29,213 $29,213 $34,426 −15% $26,088 +12% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $29,133 $29,133 $19,618 +49% $21,886 +33% ≈176% of Medicare
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $29,098 $29,098 $25,685 +13% $28,403 +2% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $29,095 $29,095 $19,302 +51% $20,727 +40% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $28,960 $28,960 $18,242 +59% $23,396 +24% ≈175% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $28,851 $28,851 $35,662 −19% $33,339 −13% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $28,816 $28,816 $29,737 −3% $17,719 +63% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $28,511 $28,511 $18,133 +57% $18,133 +57% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $28,490 $28,490 $16,212 +76% $16,212 +76% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $28,136 $28,136 $31,616 −11% $26,616 +6% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $28,075 $28,075 $28,604 −2% $19,569 +43% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $28,001 $28,001 $21,763 +29% $23,141 +21% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $27,995 $27,995 $22,827 +23% $21,860 +28% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $27,817 $27,817 $18,722 +49% $17,731 +57% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $27,777 $27,777 $29,032 −4% $25,596 +9% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $27,740 $27,740 $20,471 +36% $20,253 +37% ≈169% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $27,733 $27,733 $20,764 +34% $20,879 +33% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $27,645 $27,645 $15,411 +79% $18,815 +47% ≈171% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $27,618 $27,618 $14,480 +91% $19,305 +43% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $27,349 $27,349 $13,535 +102% $14,128 +94% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $27,307 $27,307 $22,130 +23% $15,589 +75% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $27,206 $27,206 $23,637 +15% $20,007 +36% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $27,120 $27,120 $20,270 +34% $20,917 +30% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,113 $27,113 $28,020 −3% $33,236 −18% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $27,069 $27,069 $27,002 +0% $25,146 +8% ≈162% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $26,990 $26,990 $14,394 +88% $14,252 +89% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $26,911 $26,911 $25,791 +4% $17,522 +54% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $26,896 $26,896 $19,815 +36% $18,005 +49% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $26,733 $26,733 $24,737 +8% $19,287 +39% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $26,717 $26,717 $17,932 +49% $20,148 +33% —
913 TRAUMATIC INJURY WITH MCC $26,422 $26,422 $24,198 +9% $24,198 +9% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $26,389 $26,389 $16,041 +65% $19,483 +35% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $26,328 $26,328 $16,431 +60% $16,431 +60% —
305 HYPERTENSION WITHOUT MCC $26,284 $26,284 $12,937 +103% $16,897 +56% —
312 SYNCOPE AND COLLAPSE $26,196 $26,196 $22,408 +17% $19,342 +35% ≈177% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $25,978 $25,978 $13,598 +91% $17,345 +50% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $25,970 $25,970 $36,181 −28% $24,146 +8% —
311 ANGINA PECTORIS $25,868 $25,868 $20,709 +25% $15,165 +71% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $25,849 $25,849 $17,098 +51% $20,732 +25% —
181 RESPIRATORY NEOPLASMS WITH CC $25,736 $25,736 $23,573 +9% $22,065 +17% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $25,613 $25,613 $12,253 +109% $15,072 +70% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $25,103 $25,103 $18,602 +35% $17,296 +45% —
539 OSTEOMYELITIS WITH MCC $25,093 $25,093 $46,919 −47% $33,614 −25% —
534 FRACTURES OF FEMUR WITHOUT MCC $25,059 $25,059 $27,798 −10% $17,194 +46% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $24,995 $24,995 $15,665 +60% $14,210 +76% —
103 HEADACHES WITHOUT MCC $24,988 $24,988 $21,911 +14% $20,076 +24% —
683 RENAL FAILURE WITH CC $24,947 $24,947 $14,731 +69% $18,322 +36% ≈171% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $24,824 $24,824 $20,480 +21% $20,105 +23% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $24,671 $24,671 $21,965 +12% $18,323 +35% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $24,602 $24,602 $25,962 −5% $15,818 +56% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $24,545 $24,545 $13,837 +77% $18,204 +35% ≈196% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $24,511 $24,511 $20,800 +18% $19,448 +26% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $24,401 $24,401 $40,585 −40% $24,465 −0% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $24,142 $24,142 $15,817 +53% $17,562 +37% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $23,895 $23,895 $13,602 +76% $18,038 +32% —
152 OTITIS MEDIA AND URI WITH MCC $23,820 $23,820 $18,569 +28% $19,657 +21% —
313 CHEST PAIN $23,808 $23,808 $14,976 +59% $15,837 +50% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $23,689 $23,689 $23,689 +0% $21,449 +10% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $23,563 $23,563 $18,428 +28% $14,134 +67% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $23,464 $23,464 $26,053 −10% $22,231 +6% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $23,448 $23,448 $12,855 +82% $13,892 +69% —
157 DENTAL AND ORAL DISEASES WITH MCC $23,437 $23,437 $32,211 −27% $27,457 −15% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $23,410 $23,410 $23,410 +0% $28,385 −18% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $23,404 $23,404 $14,995 +56% $17,006 +38% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $23,401 $23,401 $10,316 +127% $11,826 +98% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $23,386 $23,386 $15,890 +47% $15,890 +47% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $23,385 $23,385 $18,887 +24% $20,408 +15% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $23,342 $23,342 $8,927 +161% $8,927 +161% —
638 DIABETES WITH CC $23,295 $23,295 $15,098 +54% $18,763 +24% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $23,165 $23,165 $20,739 +12% $17,700 +31% —
201 PNEUMOTHORAX WITHOUT CC/MCC $23,038 $23,038 $11,982 +92% $13,081 +76% —
150 EPISTAXIS WITH MCC $22,996 $22,996 $21,133 +9% $21,133 +9% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $22,749 $22,749 $13,321 +71% $17,322 +31% ≈180% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $22,723 $22,723 $21,035 +8% $21,499 +6% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $22,670 $22,670 $26,242 −14% $31,909 −29% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $22,624 $22,624 $33,426 −32% $17,308 +31% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $22,611 $22,611 $13,817 +64% $12,275 +84% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $22,530 $22,530 $17,226 +31% $17,226 +31% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,482 $22,482 $15,032 +50% $11,633 +93% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $22,472 $22,472 $21,701 +4% $23,749 −5% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $22,432 $22,432 $20,741 +8% $20,741 +8% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $22,326 $22,326 $20,421 +9% $22,024 +1% —
292 HEART FAILURE AND SHOCK WITH CC $22,062 $22,062 $18,217 +21% $15,878 +39% —
950 AFTERCARE WITHOUT CC/MCC $21,968 $21,968 $31,701 −31% $13,527 +62% —
881 DEPRESSIVE NEUROSES $21,790 $21,790 $15,058 +45% $15,058 +45% —
885 PSYCHOSES $21,327 $21,327 $21,802 −2% $21,489 −1% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $21,299 $21,299 $21,299 +0% $15,600 +37% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $21,052 $21,052 $14,607 +44% $16,645 +26% ≈177% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $21,047 $21,047 $13,611 +55% $17,379 +21% ≈181% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $20,996 $20,996 $14,365 +46% $17,693 +19% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $20,983 $20,983 $14,358 +46% $19,096 +10% —
644 ENDOCRINE DISORDERS WITH CC $20,883 $20,883 $18,745 +11% $22,941 −9% —
101 SEIZURES WITHOUT MCC $20,879 $20,879 $19,954 +5% $19,930 +5% ≈177% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $20,789 $20,789 $15,447 +35% $14,927 +39% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $20,698 $20,698 $15,121 +37% $16,352 +27% —
603 CELLULITIS WITHOUT MCC $20,672 $20,672 $14,626 +41% $18,359 +13% ≈183% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $20,623 $20,623 $20,185 +2% $15,680 +32% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $20,622 $20,622 $13,027 +58% $13,485 +53% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $20,599 $20,599 $19,800 +4% $14,208 +45% —
694 URINARY STONES WITHOUT MCC $20,557 $20,557 $17,181 +20% $16,451 +25% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $20,468 $20,468 $10,456 +96% $13,384 +53% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $20,444 $20,444 $8,803 +132% $16,708 +22% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $20,357 $20,357 $25,534 −20% $16,634 +22% —
606 MINOR SKIN DISORDERS WITH MCC $20,139 $20,139 $24,094 −16% $25,434 −21% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $20,065 $20,065 $12,055 +66% $12,794 +57% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $19,993 $19,993 $21,059 −5% $16,622 +20% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $19,746 $19,746 $27,027 −27% $22,590 −13% —
102 HEADACHES WITH MCC $19,736 $19,736 $37,333 −47% $21,983 −10% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $19,437 $19,437 $13,058 +49% $15,370 +26% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $19,429 $19,429 $19,432 −0% $13,385 +45% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $19,366 $19,366 $24,053 −19% $18,199 +6% —
684 RENAL FAILURE WITHOUT CC/MCC $19,364 $19,364 $15,091 +28% $13,455 +44% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $19,319 $19,319 $14,958 +29% $16,104 +20% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $19,317 $19,317 $23,493 −18% $19,317 +0% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $18,935 $18,935 $15,452 +23% $15,045 +26% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $18,860 $18,860 $38,371 −51% $19,868 −5% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $18,854 $18,854 $17,269 +9% $20,716 −9% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $18,821 $18,821 $13,911 +35% $15,876 +19% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $18,673 $18,673 $16,658 +12% $15,923 +17% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $18,580 $18,580 $13,586 +37% $13,586 +37% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $18,557 $18,557 $19,941 −7% $15,598 +19% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $18,544 $18,544 $12,593 +47% $12,593 +47% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $18,540 $18,540 $12,499 +48% $13,090 +42% —
151 EPISTAXIS WITHOUT MCC $18,473 $18,473 $13,891 +33% $13,032 +42% —
639 DIABETES WITHOUT CC/MCC $18,169 $18,169 $11,327 +60% $13,910 +31% —
540 OSTEOMYELITIS WITH CC $18,153 $18,153 $30,974 −41% $23,494 −23% —
204 RESPIRATORY SIGNS AND SYMPTOMS $17,981 $17,981 $15,170 +19% $16,804 +7% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $17,872 $17,872 $18,904 −5% $16,776 +7% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,855 $17,855 $27,256 −34% $22,698 −21% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $17,618 $17,618 $10,563 +67% $11,957 +47% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $17,500 $17,500 $15,365 +14% $13,303 +32% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $17,327 $17,327 $14,937 +16% $15,007 +15% —
864 FEVER AND INFLAMMATORY CONDITIONS $16,911 $16,911 $15,880 +6% $17,412 −3% —
153 OTITIS MEDIA AND URI WITHOUT MCC $16,896 $16,896 $12,595 +34% $14,251 +19% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $16,826 $16,826 $16,152 +4% $14,770 +14% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $16,809 $16,809 $24,942 −33% $22,226 −24% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $16,477 $16,477 $16,121 +2% $13,198 +25% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $16,109 $16,109 $13,336 +21% $16,718 −4% ≈177% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $16,082 $16,082 $12,455 +29% $13,318 +21% —
693 URINARY STONES WITH MCC $16,061 $16,061 $29,174 −45% $22,525 −29% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $15,984 $15,984 $15,094 +6% $15,474 +3% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $15,953 $15,953 $12,895 +24% $12,895 +24% —
594 SKIN ULCERS WITHOUT CC/MCC $15,946 $15,946 $14,209 +12% $14,209 +12% —
593 SKIN ULCERS WITH CC $15,903 $15,903 $20,470 −22% $20,470 −22% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $15,840 $15,840 $16,700 −5% $17,579 −10% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $15,534 $15,534 $17,388 −11% $15,594 −0% —
866 VIRAL ILLNESS WITHOUT MCC $15,112 $15,112 $16,616 −9% $16,348 −8% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $14,781 $14,781 $14,781 +0% $14,166 +4% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,635 $14,635 $29,109 −50% $29,109 −50% —
607 MINOR SKIN DISORDERS WITHOUT MCC $14,546 $14,546 $19,868 −27% $15,276 −5% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $14,336 $14,336 $19,857 −28% $16,418 −13% —
779 ABORTION WITHOUT D&C $13,981 $13,981 $15,327 −9% $15,327 −9% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,522 $13,522 $56,492 −76% $24,874 −46% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $13,415 $13,415 $15,271 −12% $14,012 −4% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $13,119 $13,119 $12,013 +9% $12,013 +9% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $12,760 $12,760 $7,064 +81% $9,063 +41% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $12,692 $12,692 $11,732 +8% $10,975 +16% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $12,406 $12,406 $13,734 −10% $11,421 +9% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $12,348 $12,348 $12,672 −3% $13,747 −10% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,256 $12,256 $12,284 −0% $13,654 −10% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $10,827 $10,827 $19,510 −45% $14,411 −25% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $10,794 $10,794 $8,504 +27% $12,205 −12% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,751 $10,751 $31,134 −65% $30,661 −65% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,095 $9,095 $14,064 −35% $14,064 −35% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,920 $8,920 $13,890 −36% $13,890 −36% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $8,908 $8,908 $4,995 +78% $9,385 −5% —
548 SEPTIC ARTHRITIS WITH MCC $7,913 $7,913 $29,341 −73% $31,019 −74% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,471 $7,471 $18,932 −61% $14,337 −48% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,432 $7,432 $19,048 −61% $12,405 −40% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,845 $6,845 $6,499 +5% $7,896 −13% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,235 $6,235 $17,985 −65% $20,371 −69% —
795 NORMAL NEWBORN $5,280 $5,280 $5,485 −4% $4,521 +17% —
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