Barnes-Jewish West County Hospital — Pricing

354 procedures published in this hospital's Machine-Readable File (MRF) — 354 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 354
Lowest published price $2,923
Average published price $46,052
Highest published price $249,881

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 354 procedures

Published charges

Showing all 354 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 25 procedures, this hospital's negotiated rates average ≈180% of what Medicare pays.

DRG Description Published price Cash price vs. MO median vs. National median vs Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $249,881 $149,929 $166,176 +50% $121,728 +105% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $241,938 $145,163 $126,051 +92% $151,029 +60% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $228,414 $137,049 $154,510 +48% $93,783 +144% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $182,542 $109,525 $150,097 +22% $105,899 +72% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $178,788 $107,273 $89,447 +100% $107,355 +67% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $169,211 $101,527 $165,318 +2% $142,326 +19% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $158,645 $95,187 $79,257 +100% $96,222 +65% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $149,476 $89,686 $120,893 +24% $81,998 +82% —
500 SOFT TISSUE PROCEDURES WITH MCC $134,796 $80,878 $67,787 +99% $57,479 +135% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $126,162 $75,697 $70,218 +80% $63,984 +97% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $124,127 $74,476 $103,747 +20% $65,216 +90% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $122,780 $73,668 $60,673 +102% $68,880 +78% ≈137% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $118,143 $70,886 $118,196 −0% $75,492 +56% —
501 SOFT TISSUE PROCEDURES WITH CC $117,895 $70,737 $38,549 +206% $37,975 +210% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $117,014 $70,208 $70,776 +65% $70,540 +66% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $115,914 $69,548 $58,613 +98% $71,755 +62% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $112,768 $67,661 $27,175 +315% $36,242 +211% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $102,908 $61,745 $29,198 +252% $40,552 +154% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $101,584 $60,950 $58,467 +74% $57,855 +76% —
472 CERVICAL SPINAL FUSION WITH CC $98,036 $58,822 $71,377 +37% $59,537 +65% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $97,489 $58,494 $64,650 +51% $64,956 +50% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $96,550 $57,930 $80,581 +20% $50,624 +91% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $96,486 $57,892 $37,361 +158% $54,929 +76% ≈164% of Medicare
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $91,214 $54,728 $81,680 +12% $64,776 +41% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $89,824 $53,894 $32,928 +173% $45,818 +96% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $89,085 $53,451 $77,429 +15% $87,018 +2% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $88,546 $53,127 $87,758 +1% $71,014 +25% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $87,684 $52,611 $60,913 +44% $83,441 +5% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $87,217 $52,330 $70,277 +24% $43,775 +99% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $86,807 $52,084 $95,039 −9% $99,423 −13% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $86,573 $51,944 $55,535 +56% $54,475 +59% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $84,701 $50,820 $19,945 +325% $22,811 +271% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $84,215 $50,529 $60,197 +40% $62,821 +34% —
186 PLEURAL EFFUSION WITH MCC $83,911 $50,347 $37,170 +126% $32,468 +158% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $83,509 $50,105 $46,618 +79% $64,465 +30% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $82,448 $49,469 $30,005 +175% $43,080 +91% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $82,397 $49,438 $72,936 +13% $57,149 +44% ≈141% of Medicare
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $81,629 $48,978 $39,638 +106% $31,909 +156% —
253 OTHER VASCULAR PROCEDURES WITH CC $81,249 $48,750 $69,829 +16% $53,746 +51% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $81,108 $48,665 $40,946 +98% $44,973 +80% —
336 PERITONEAL ADHESIOLYSIS WITH CC $81,041 $48,625 $41,991 +93% $49,470 +64% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $80,682 $48,409 $59,303 +36% $56,394 +43% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $79,392 $47,635 $47,637 +67% $54,313 +46% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $78,313 $46,988 $31,901 +145% $32,483 +141% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $77,221 $46,333 $51,096 +51% $51,172 +51% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $76,678 $46,007 $21,189 +262% $29,524 +160% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $75,922 $45,553 $89,854 −16% $86,390 −12% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $75,658 $45,395 $53,866 +40% $62,269 +22% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $75,450 $45,270 $38,673 +95% $35,584 +112% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $75,448 $45,269 $75,448 +0% $88,050 −14% ≈161% of Medicare
333 RECTAL RESECTION WITH CC $75,174 $45,104 $31,512 +139% $34,352 +119% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $74,471 $44,682 $22,632 +229% $18,478 +303% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $74,116 $44,469 $42,718 +73% $37,654 +97% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $74,062 $44,437 $62,076 +19% $80,747 −8% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $71,695 $43,017 $71,695 +0% $65,254 +10% —
654 MAJOR BLADDER PROCEDURES WITH CC $70,948 $42,569 $41,990 +69% $53,868 +32% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $70,781 $42,469 $38,722 +83% $54,824 +29% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $69,876 $41,925 $47,117 +48% $46,066 +52% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $69,232 $41,539 $63,314 +9% $56,519 +22% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $69,213 $41,528 $39,849 +74% $40,583 +71% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $68,389 $41,034 $35,572 +92% $32,538 +110% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $68,358 $41,015 $30,146 +127% $32,839 +108% —
665 PROSTATECTOMY WITH MCC $67,553 $40,532 $46,818 +44% $54,072 +25% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $66,949 $40,170 $24,928 +169% $29,916 +124% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $66,908 $40,145 $17,608 +280% $24,432 +174% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $66,855 $40,113 $21,760 +207% $25,243 +165% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $66,528 $39,917 $51,937 +28% $45,817 +45% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $66,373 $39,824 $34,146 +94% $46,477 +43% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $65,864 $39,519 $44,748 +47% $48,094 +37% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $65,859 $39,515 $20,978 +214% $30,418 +117% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $65,511 $39,307 $33,545 +95% $35,375 +85% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $64,490 $38,694 $46,529 +39% $45,059 +43% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $64,308 $38,585 $71,887 −11% $68,006 −5% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $64,285 $38,571 $64,285 +0% $71,701 −10% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $64,078 $38,447 $52,273 +23% $49,197 +30% ≈160% of Medicare
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $62,740 $37,644 $69,995 −10% $46,659 +34% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $62,646 $37,587 $53,307 +18% $55,097 +14% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $62,530 $37,518 $20,842 +200% $24,980 +150% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $62,509 $37,506 $43,948 +42% $43,524 +44% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $62,208 $37,325 $52,411 +19% $52,313 +19% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $61,011 $36,607 $61,011 +0% $64,152 −5% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $60,945 $36,567 $28,937 +111% $29,633 +106% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $60,370 $36,222 $24,216 +149% $33,165 +82% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $58,837 $35,302 $47,664 +23% $49,710 +18% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $58,654 $35,192 $60,051 −2% $58,832 −0% ≈175% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $58,285 $34,971 $23,921 +144% $35,453 +64% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $58,203 $34,922 $40,221 +45% $39,747 +46% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $58,071 $34,842 $15,861 +266% $17,108 +239% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $57,962 $34,777 $51,176 +13% $43,266 +34% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $56,971 $34,183 $43,858 +30% $33,137 +72% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $56,359 $33,815 $39,809 +42% $60,140 −6% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $56,125 $33,675 $35,601 +58% $34,887 +61% —
551 MEDICAL BACK PROBLEMS WITH MCC $55,993 $33,596 $25,341 +121% $31,086 +80% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $55,746 $33,448 $37,463 +49% $42,119 +32% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $55,676 $33,406 $55,676 +0% $31,816 +75% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $55,450 $33,270 $36,149 +53% $36,239 +53% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $55,300 $33,180 $71,975 −23% $67,764 −18% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $55,235 $33,141 $20,533 +169% $25,010 +121% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $54,862 $32,917 $47,162 +16% $43,538 +26% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $54,835 $32,901 $25,771 +113% $30,275 +81% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $54,583 $32,750 $22,167 +146% $32,451 +68% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $54,496 $32,698 $24,241 +125% $22,532 +142% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $54,355 $32,613 $25,315 +115% $30,006 +81% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $53,420 $32,052 $36,888 +45% $50,139 +7% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $52,713 $31,628 $21,228 +148% $24,561 +115% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $52,619 $31,572 $26,949 +95% $35,114 +50% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $52,327 $31,396 $31,842 +64% $29,663 +76% —
180 RESPIRATORY NEOPLASMS WITH MCC $52,240 $31,344 $33,069 +58% $36,658 +43% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $51,900 $31,140 $30,952 +68% $41,651 +25% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $51,636 $30,981 $49,081 +5% $44,117 +17% ≈127% of Medicare
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $51,416 $30,849 $22,724 +126% $32,911 +56% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $51,325 $30,795 $36,878 +39% $51,985 −1% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $51,125 $30,675 $45,468 +12% $45,963 +11% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $50,989 $30,593 $34,082 +50% $38,357 +33% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $50,908 $30,545 $61,750 −18% $72,859 −30% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $50,719 $30,431 $25,133 +102% $28,578 +77% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $50,454 $30,273 $32,152 +57% $32,936 +53% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $50,419 $30,251 $26,083 +93% $35,528 +42% —
669 TRANSURETHRAL PROCEDURES WITH CC $50,364 $30,219 $25,289 +99% $34,354 +47% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $50,135 $30,081 $31,788 +58% $33,490 +50% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $50,125 $30,075 $35,226 +42% $25,162 +99% —
252 OTHER VASCULAR PROCEDURES WITH MCC $50,122 $30,073 $62,914 −20% $68,508 −27% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $50,017 $30,010 $15,113 +231% $18,282 +174% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $49,940 $29,964 $47,703 +5% $41,660 +20% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $49,522 $29,713 $39,040 +27% $31,978 +55% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $49,315 $29,589 $63,024 −22% $72,945 −32% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $48,909 $29,345 $33,617 +45% $41,900 +17% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $47,617 $28,570 $16,001 +198% $17,550 +171% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $47,452 $28,471 $30,256 +57% $36,933 +28% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $47,312 $28,387 $55,985 −15% $72,011 −34% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $47,288 $28,373 $34,668 +36% $47,546 −1% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $46,643 $27,986 $17,360 +169% $20,278 +130% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $46,587 $27,952 $46,993 −1% $53,817 −13% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $46,306 $27,783 $28,568 +62% $37,842 +22% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $46,289 $27,773 $28,283 +64% $37,950 +22% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $46,066 $27,640 $41,588 +11% $43,800 +5% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $46,038 $27,623 $32,259 +43% $31,812 +45% —
643 ENDOCRINE DISORDERS WITH MCC $45,614 $27,368 $26,013 +75% $32,996 +38% —
597 MALIGNANT BREAST DISORDERS WITH MCC $44,284 $26,571 $25,994 +70% $31,846 +39% —
398 APPENDIX PROCEDURES WITH CC $44,074 $26,444 $35,228 +25% $39,107 +13% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $42,649 $25,590 $17,141 +149% $19,317 +121% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $41,971 $25,183 $37,473 +12% $47,583 −12% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $41,277 $24,766 $57,379 −28% $65,383 −37% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $41,190 $24,714 $25,525 +61% $31,128 +32% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $39,913 $23,948 $20,333 +96% $23,469 +70% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $39,467 $23,680 $30,228 +31% $30,314 +30% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $39,424 $23,654 $25,994 +52% $29,558 +33% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $39,205 $23,523 $29,224 +34% $32,399 +21% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $39,118 $23,471 $22,628 +73% $24,450 +60% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $39,111 $23,466 $11,921 +228% $13,198 +196% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $39,084 $23,450 $33,893 +15% $41,520 −6% —
571 SKIN DEBRIDEMENT WITH CC $39,051 $23,431 $29,818 +31% $34,901 +12% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $38,913 $23,348 $32,252 +21% $31,758 +23% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $38,798 $23,279 $20,139 +93% $31,566 +23% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $38,423 $23,054 $17,400 +121% $16,865 +128% —
549 SEPTIC ARTHRITIS WITH CC $38,311 $22,987 $21,860 +75% $20,938 +83% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $38,255 $22,953 $29,138 +31% $35,237 +9% ≈181% of Medicare
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $38,163 $22,898 $22,010 +73% $22,032 +73% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $38,163 $22,898 $22,988 +66% $31,059 +23% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,126 $22,875 $41,231 −8% $52,405 −27% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $37,952 $22,771 $24,187 +57% $25,152 +51% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $37,946 $22,767 $28,204 +35% $28,156 +35% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $37,855 $22,713 $48,493 −22% $49,631 −24% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $37,231 $22,339 $23,818 +56% $21,545 +73% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $36,938 $22,163 $15,220 +143% $15,077 +145% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $36,705 $22,023 $27,294 +34% $38,094 −4% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $36,424 $21,854 $34,642 +5% $30,358 +20% ≈189% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $36,334 $21,800 $15,684 +132% $20,777 +75% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $36,275 $21,765 $23,581 +54% $31,840 +14% ≈178% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $36,261 $21,756 $27,844 +30% $33,607 +8% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $36,124 $21,674 $19,025 +90% $27,244 +33% ≈180% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $36,040 $21,624 $23,049 +56% $24,177 +49% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $36,018 $21,611 $30,262 +19% $32,502 +11% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $35,856 $21,513 $34,920 +3% $38,382 −7% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $35,825 $21,495 $35,825 +0% $48,682 −26% —
919 COMPLICATIONS OF TREATMENT WITH MCC $35,593 $21,356 $29,558 +20% $29,031 +23% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $35,582 $21,349 $23,785 +50% $23,496 +51% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $35,457 $21,274 $27,834 +27% $30,814 +15% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $35,440 $21,264 $27,782 +28% $25,426 +39% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $35,437 $21,262 $23,197 +53% $18,253 +94% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $35,369 $21,222 $25,926 +36% $26,488 +34% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $35,299 $21,179 $25,449 +39% $20,371 +73% —
187 PLEURAL EFFUSION WITH CC $35,078 $21,047 $20,943 +67% $21,467 +63% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $34,878 $20,927 $16,416 +112% $21,806 +60% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $34,862 $20,917 $25,131 +39% $23,749 +47% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $34,825 $20,895 $27,974 +24% $30,974 +12% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $34,643 $20,786 $26,727 +30% $25,704 +35% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $34,553 $20,732 $30,224 +14% $27,492 +26% —
813 COAGULATION DISORDERS $34,382 $20,629 $22,196 +55% $30,128 +14% —
153 OTITIS MEDIA AND URI WITHOUT MCC $34,319 $20,592 $14,197 +142% $14,473 +137% —
663 MINOR BLADDER PROCEDURES WITH CC $34,214 $20,528 $24,960 +37% $29,924 +14% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $34,056 $20,433 $22,892 +49% $26,020 +31% —
291 HEART FAILURE AND SHOCK WITH MCC $34,001 $20,401 $19,972 +70% $25,020 +36% ≈230% of Medicare
682 RENAL FAILURE WITH MCC $33,963 $20,378 $22,451 +51% $27,854 +22% —
539 OSTEOMYELITIS WITH MCC $33,614 $20,168 $35,286 −5% $33,746 −0% —
811 RED BLOOD CELL DISORDERS WITH MCC $33,116 $19,870 $32,284 +3% $27,934 +19% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $32,887 $19,732 $22,855 +44% $28,967 +14% —
374 DIGESTIVE MALIGNANCY WITH MCC $32,857 $19,714 $30,598 +7% $38,885 −16% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $32,836 $19,702 $62,225 −47% $82,561 −60% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $32,578 $19,547 $24,816 +31% $30,058 +8% ≈189% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $32,561 $19,536 $16,262 +100% $23,396 +39% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $32,406 $19,443 $27,837 +16% $22,024 +47% ≈184% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $32,379 $19,427 $15,987 +103% $18,278 +77% —
637 DIABETES WITH MCC $32,343 $19,406 $23,106 +40% $28,819 +12% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $32,194 $19,316 $20,485 +57% $24,190 +33% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $31,964 $19,178 $22,304 +43% $28,646 +12% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $31,745 $19,047 $31,745 +0% $24,022 +32% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $31,408 $18,845 $29,858 +5% $30,766 +2% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $30,992 $18,595 $22,272 +39% $28,780 +8% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $30,857 $18,514 $30,359 +2% $29,805 +4% —
540 OSTEOMYELITIS WITH CC $30,843 $18,506 $19,990 +54% $23,494 +31% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $30,655 $18,393 $20,782 +48% $29,374 +4% —
644 ENDOCRINE DISORDERS WITH CC $30,564 $18,338 $19,755 +55% $22,941 +33% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $30,513 $18,308 $20,777 +47% $21,449 +42% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $30,331 $18,199 $16,903 +79% $17,700 +71% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $30,117 $18,070 $21,923 +37% $24,452 +23% —
683 RENAL FAILURE WITH CC $29,932 $17,959 $14,966 +100% $18,620 +61% ≈205% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $29,745 $17,847 $24,621 +21% $21,886 +36% ≈207% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $29,595 $17,757 $18,587 +59% $22,982 +29% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $29,580 $17,748 $24,936 +19% $29,757 −1% —
204 RESPIRATORY SIGNS AND SYMPTOMS $29,572 $17,743 $15,714 +88% $16,866 +75% —
103 HEADACHES WITHOUT MCC $29,540 $17,724 $21,901 +35% $20,111 +47% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $29,394 $17,636 $21,246 +38% $26,158 +12% ≈170% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $29,343 $17,606 $15,826 +85% $15,608 +88% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $29,204 $17,522 $13,766 +112% $19,091 +53% —
302 ATHEROSCLEROSIS WITH MCC $29,170 $17,502 $24,786 +18% $20,844 +40% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $29,169 $17,501 $16,145 +81% $22,231 +31% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $28,958 $17,375 $21,872 +32% $19,305 +50% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $28,856 $17,314 $28,604 +1% $32,204 −10% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $28,805 $17,283 $28,270 +2% $35,459 −19% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $28,506 $17,103 $11,173 +155% $14,128 +102% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,442 $17,065 $29,810 −5% $54,196 −48% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $28,404 $17,043 $13,002 +118% $16,776 +69% —
920 COMPLICATIONS OF TREATMENT WITH CC $28,022 $16,813 $16,379 +71% $21,181 +32% —
694 URINARY STONES WITHOUT MCC $27,939 $16,764 $17,295 +62% $16,531 +69% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $27,763 $16,658 $27,832 −0% $37,902 −27% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $27,748 $16,649 $30,159 −8% $38,420 −28% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $27,618 $16,571 $16,249 +70% $17,367 +59% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $27,478 $16,487 $17,526 +57% $19,579 +40% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $27,390 $16,434 $17,597 +56% $22,781 +20% ≈202% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $27,264 $16,359 $19,155 +42% $24,480 +11% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $27,242 $16,345 $8,490 +221% $11,955 +128% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $27,240 $16,344 $21,937 +24% $22,850 +19% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $26,665 $15,999 $20,226 +32% $20,968 +27% ≈168% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $26,625 $15,975 $25,578 +4% $32,689 −19% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $26,320 $15,792 $18,220 +44% $24,202 +9% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $26,276 $15,766 $15,875 +66% $18,803 +40% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $26,245 $15,747 $13,955 +88% $19,096 +37% —
312 SYNCOPE AND COLLAPSE $26,229 $15,737 $17,019 +54% $19,342 +36% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $25,582 $15,349 $25,633 −0% $20,421 +25% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $25,502 $15,301 $22,254 +15% $25,786 −1% —
199 PNEUMOTHORAX WITH MCC $25,354 $15,213 $26,106 −3% $31,491 −19% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $25,313 $15,188 $15,923 +59% $18,918 +34% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $25,138 $15,083 $24,298 +3% $17,273 +46% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $25,103 $15,062 $33,119 −24% $36,334 −31% —
594 SKIN ULCERS WITHOUT CC/MCC $25,040 $15,024 $12,615 +98% $14,209 +76% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $25,028 $15,017 $20,187 +24% $18,204 +37% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $24,973 $14,984 $13,598 +84% $17,388 +44% ≈198% of Medicare
100 SEIZURES WITH MCC $24,813 $14,888 $28,935 −14% $35,194 −29% —
865 VIRAL ILLNESS WITH MCC $24,811 $14,886 $22,927 +8% $26,088 −5% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $24,527 $14,716 $24,065 +2% $28,252 −13% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $24,448 $14,669 $21,747 +12% $17,727 +38% —
638 DIABETES WITH CC $24,446 $14,668 $14,856 +65% $18,821 +30% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $24,344 $14,606 $20,988 +16% $16,049 +52% —
866 VIRAL ILLNESS WITHOUT MCC $24,171 $14,503 $17,492 +38% $16,391 +47% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $23,989 $14,394 $23,798 +1% $20,732 +16% ≈161% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $23,898 $14,339 $22,523 +6% $26,146 −9% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $23,737 $14,242 $27,207 −13% $30,394 −22% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $23,703 $14,222 $15,666 +51% $17,466 +36% ≈179% of Medicare
947 SIGNS AND SYMPTOMS WITH MCC $23,666 $14,200 $22,891 +3% $25,474 −7% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $23,646 $14,187 $16,402 +44% $22,713 +4% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $23,408 $14,045 $15,129 +55% $15,070 +55% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $23,303 $13,982 $11,908 +96% $13,384 +74% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $23,233 $13,940 $19,443 +19% $21,213 +10% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $23,195 $13,917 $14,346 +62% $17,322 +34% ≈197% of Medicare
885 PSYCHOSES $23,195 $13,917 $22,477 +3% $21,489 +8% —
197 INTERSTITIAL LUNG DISEASE WITH CC $23,182 $13,909 $23,182 +0% $20,106 +15% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $23,056 $13,834 $15,714 +47% $14,368 +60% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $22,966 $13,780 $18,008 +28% $13,303 +73% —
157 DENTAL AND ORAL DISEASES WITH MCC $22,944 $13,766 $23,543 −3% $27,457 −16% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $22,799 $13,679 $11,254 +103% $14,441 +58% —
348 ANAL AND STOMAL PROCEDURES WITH CC $22,692 $13,615 $23,822 −5% $27,947 −19% —
200 PNEUMOTHORAX WITH CC $22,583 $13,550 $19,414 +16% $20,573 +10% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $22,517 $13,510 $7,382 +205% $12,013 +87% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $22,490 $13,494 $15,733 +43% $14,880 +51% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $22,451 $13,471 $17,038 +32% $16,745 +34% ≈182% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $22,201 $13,321 $21,799 +2% $18,081 +23% —
864 FEVER AND INFLAMMATORY CONDITIONS $22,087 $13,252 $15,696 +41% $17,412 +27% —
184 MAJOR CHEST TRAUMA WITH CC $21,983 $13,190 $23,963 −8% $20,842 +5% —
603 CELLULITIS WITHOUT MCC $21,849 $13,109 $15,793 +38% $18,530 +18% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $21,810 $13,086 $16,498 +32% $12,279 +78% —
380 COMPLICATED PEPTIC ULCER WITH MCC $21,530 $12,918 $29,433 −27% $36,641 −41% —
570 SKIN DEBRIDEMENT WITH MCC $21,446 $12,868 $43,190 −50% $52,435 −59% —
292 HEART FAILURE AND SHOCK WITH CC $21,431 $12,858 $17,409 +23% $16,212 +32% —
693 URINARY STONES WITH MCC $21,430 $12,858 $20,168 +6% $22,525 −5% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $21,334 $12,801 $20,175 +6% $23,588 −10% —
304 HYPERTENSION WITH MCC $21,306 $12,784 $22,669 −6% $24,185 −12% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $21,198 $12,719 $14,028 +51% $13,318 +59% —
375 DIGESTIVE MALIGNANCY WITH CC $21,057 $12,634 $26,219 −20% $27,219 −23% —
313 CHEST PAIN $21,035 $12,621 $12,453 +69% $15,962 +32% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $20,810 $12,486 $17,138 +21% $20,007 +4% —
181 RESPIRATORY NEOPLASMS WITH CC $20,798 $12,479 $20,798 +0% $22,431 −7% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $20,746 $12,448 $12,765 +63% $13,485 +54% —
916 ALLERGIC REACTIONS WITHOUT MCC $20,698 $12,419 $17,490 +18% $13,890 +49% —
592 SKIN ULCERS WITH MCC $20,667 $12,400 $22,039 −6% $32,662 −37% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,340 $12,204 $26,677 −24% $29,476 −31% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $20,173 $12,104 $16,723 +21% $23,141 −13% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,025 $12,015 $13,438 +49% $17,522 +14% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $19,805 $11,883 $13,483 +47% $16,837 +18% —
935 NON-EXTENSIVE BURNS $19,789 $11,873 $20,942 −6% $29,458 −33% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $19,717 $11,830 $14,533 +36% $17,731 +11% —
602 CELLULITIS WITH MCC $19,409 $11,645 $21,559 −10% $29,347 −34% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $19,309 $11,585 $23,804 −19% $29,484 −35% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,276 $11,566 $24,360 −21% $25,208 −24% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $19,259 $11,555 $16,732 +15% $17,226 +12% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $19,231 $11,539 $16,967 +13% $24,017 −20% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $19,218 $11,531 $15,072 +28% $20,488 −6% ≈180% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $18,937 $11,362 $11,525 +64% $14,166 +34% —
639 DIABETES WITHOUT CC/MCC $18,901 $11,341 $14,109 +34% $13,910 +36% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $18,706 $11,223 $14,121 +32% $14,134 +32% —
684 RENAL FAILURE WITHOUT CC/MCC $18,664 $11,198 $10,480 +78% $13,623 +37% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,577 $11,146 $35,694 −48% $39,409 −53% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $18,135 $10,881 $20,040 −10% $23,350 −22% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $17,967 $10,780 $17,730 +1% $14,012 +28% —
149 DYSEQUILIBRIUM $17,867 $10,720 $18,504 −3% $17,203 +4% —
158 DENTAL AND ORAL DISEASES WITH CC $17,802 $10,681 $17,176 +4% $17,700 +1% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $17,510 $10,506 $23,418 −25% $37,080 −53% —
305 HYPERTENSION WITHOUT MCC $17,489 $10,493 $18,086 −3% $17,144 +2% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $17,264 $10,358 $17,111 +1% $24,136 −28% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $16,754 $10,052 $15,549 +8% $16,352 +2% —
653 MAJOR BLADDER PROCEDURES WITH MCC $16,510 $9,906 $59,809 −72% $97,046 −83% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,442 $9,865 $16,385 +0% $18,017 −9% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $16,073 $9,644 $13,766 +17% $15,045 +7% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $15,894 $9,537 $15,701 +1% $16,104 −1% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $15,779 $9,467 $13,557 +16% $19,287 −18% —
598 MALIGNANT BREAST DISORDERS WITH CC $14,968 $8,981 $16,097 −7% $19,073 −22% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $14,776 $8,866 $16,164 −9% $19,894 −26% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,563 $8,738 $15,255 −5% $22,698 −36% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,414 $8,648 $13,807 +4% $18,150 −21% —
607 MINOR SKIN DISORDERS WITHOUT MCC $14,362 $8,617 $11,950 +20% $15,284 −6% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $14,245 $8,547 $12,800 +11% $13,385 +6% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $13,409 $8,046 $20,997 −36% $18,291 −27% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $12,916 $7,750 $11,437 +13% $10,975 +18% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $12,136 $7,282 $12,136 +0% $18,133 −33% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $11,718 $7,031 $14,627 −20% $19,854 −41% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,561 $6,937 $12,813 −10% $28,134 −59% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $10,383 $6,230 $16,472 −37% $13,824 −25% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,814 $5,888 $12,879 −24% $14,861 −34% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $9,804 $5,882 $17,058 −43% $32,490 −70% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,719 $5,231 $14,472 −40% $20,463 −57% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,511 $2,706 $19,028 −76% $17,715 −75% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,466 $2,680 $16,644 −73% $15,607 −71% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,179 $2,508 $29,353 −86% $30,930 −86% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,923 $1,754 $14,403 −80% $15,636 −81% —
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