Duke University Hospital — Pricing

757 procedures published in this hospital's Machine-Readable File (MRF) — 757 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 757
Lowest published price $2,027
Average published price $72,486
Highest published price $3,242,932

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 757 procedures

Published charges

Showing all 757 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 248 procedures, this hospital's negotiated rates average ≈71% of what Medicare pays.

DRG Description Published price Cash price vs. NC median vs. National median vs Medicare
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $3,242,932 $875,592 $1,422,622 +128% $573,534 +465% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $1,113,236 $300,574 $461,389 +141% $461,389 +141% ≈82% of Medicare
007 Lung Transplant $847,306 $228,773 $170,608 +397% $170,608 +397% ≈220% of Medicare
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $696,869 $188,155 $678,931 +3% $371,366 +88% ≈80% of Medicare
002 Heart Transplant Or Implant Of Heart Assist System Without McC $670,569 $181,054 $560,182 +20% $194,769 +244% —
014 Allogeneic Bone Marrow Transplant $658,804 $177,877 $585,410 +13% $182,314 +261% —
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $536,412 $144,831 $211,083 +154% $105,228 +410% —
008 Simultaneous Pancreas And Kidney Transplant $520,427 $140,515 $188,873 +176% $86,459 +502% —
005 Liver Transplant With McC Or Intestinal Transplant $519,317 $140,216 $153,761 +238% $164,641 +215% ≈188% of Medicare
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $508,645 $137,334 $199,473 +155% $96,192 +429% —
006 Liver Transplant Without McC $449,599 $121,392 $84,407 +433% $84,407 +433% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $401,702 $108,460 $163,664 +145% $80,018 +402% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $382,210 $103,197 $112,625 +239% $58,975 +548% —
650 Kidney Transplant With Hemodialysis With McC $376,748 $101,722 $138,711 +172% $71,551 +427% ≈263% of Medicare
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $355,728 $96,046 $355,728 +0% $248,521 +43% —
651 Kidney Transplant With Hemodialysis Without McC $346,359 $93,517 $130,339 +166% $56,242 +516% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $333,903 $90,154 $167,196 +100% $117,280 +185% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $314,472 $84,907 $265,903 +18% $131,961 +138% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $312,716 $84,433 $265,632 +18% $153,282 +104% —
652 Kidney Transplant $311,789 $84,183 $125,049 +149% $54,720 +470% ≈331% of Medicare
212 Concomitant Aortic And Mitral Valve Procedures $306,829 $82,844 $268,712 +14% $196,346 +56% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $303,046 $81,822 $201,810 +50% $113,855 +166% ≈96% of Medicare
010 Pancreas Transplant $298,895 $80,702 $190,570 +57% $99,940 +199% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $281,448 $75,991 $281,448 +0% $148,686 +89% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $279,496 $75,464 $245,968 +14% $188,171 +49% ≈97% of Medicare
955 Craniotomy For Multiple Significant Trauma $264,457 $71,403 $196,897 +34% $102,600 +158% —
969 Hiv With Extensive O.R. Procedures With McC $263,448 $71,131 $263,448 +0% $109,331 +141% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $256,215 $69,178 $223,645 +15% $107,355 +139% ≈42% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $253,573 $68,465 $194,967 +30% $125,242 +102% ≈109% of Medicare
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $253,462 $68,435 $195,081 +30% $132,794 +91% ≈83% of Medicare
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $253,213 $68,368 $141,583 +79% $92,217 +175% ≈87% of Medicare
215 Other Heart Assist System Implant $252,263 $68,111 $227,466 +11% $208,939 +21% —
834 Acute Leukemia With McC $248,737 $67,159 $93,528 +166% $85,566 +191% ≈88% of Medicare
277 Cardiac Defibrillator Implant Without McC $245,626 $66,319 $116,842 +110% $91,329 +169% ≈138% of Medicare
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $240,312 $64,884 $286,862 −16% $143,242 +68% ≈86% of Medicare
870 Septicemia Or Severe Sepsis With Mv >96 Hours $239,226 $64,591 $170,734 +40% $148,832 +61% ≈93% of Medicare
228 Other Cardiothoracic Procedures With McC $235,356 $63,546 $129,200 +82% $96,905 +143% ≈13% of Medicare
028 Spinal Procedures With McC $226,602 $61,183 $210,482 +8% $113,077 +100% —
319 Other Endovascular Cardiac Valve Procedures With McC $226,400 $61,128 $132,314 +71% $86,970 +160% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $215,069 $58,069 $223,939 −4% $106,778 +101% ≈113% of Medicare
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $211,648 $57,145 $219,702 −4% $144,569 +46% ≈85% of Medicare
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $207,099 $55,917 $187,980 +10% $123,995 +67% ≈14% of Medicare
957 Other O.R. Procedures For Multiple Significant Trauma With McC $205,851 $55,580 $205,851 +0% $120,573 +71% —
245 Aicd Generator Procedures $198,457 $53,583 $104,346 +90% $72,076 +175% —
835 Acute Leukemia With Cc $196,746 $53,121 $51,529 +282% $35,569 +453% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $191,648 $51,745 $204,145 −6% $106,057 +81% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $191,368 $51,669 $49,303 +288% $54,196 +253% —
231 Coronary Bypass With Ptca With McC $179,995 $48,599 $179,995 +0% $147,227 +22% —
017 Autologous Bone Marrow Transplant Without Cc/McC $179,026 $48,337 $179,026 +0% $81,176 +121% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $178,580 $48,217 $148,324 +20% $85,159 +110% ≈15% of Medicare
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $170,878 $46,137 $113,027 +51% $79,225 +116% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $169,372 $45,731 $169,372 +0% $116,058 +46% ≈74% of Medicare
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $169,028 $45,638 $164,594 +3% $111,320 +52% ≈12% of Medicare
270 Other Major Cardiovascular Procedures With McC $168,543 $45,507 $168,543 +0% $99,423 +70% ≈13% of Medicare
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $166,424 $44,934 $166,424 +0% $90,331 +84% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $166,272 $44,893 $125,538 +32% $75,103 +121% ≈156% of Medicare
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $164,362 $44,378 $154,205 +7% $102,573 +60% ≈101% of Medicare
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $160,619 $43,367 $107,849 +49% $74,755 +115% ≈17% of Medicare
235 Coronary Bypass Without Cardiac Catheterization With McC $160,037 $43,210 $189,145 −15% $112,062 +43% ≈92% of Medicare
274 Percutaneous And Other Intracardiac Procedures Without McC $159,135 $42,967 $117,171 +36% $65,573 +143% ≈98% of Medicare
471 Cervical Spinal Fusion With McC $158,595 $42,821 $113,322 +40% $92,515 +71% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $156,468 $42,246 $117,337 +33% $71,795 +118% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $151,207 $40,826 $160,364 −6% $83,441 +81% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $150,950 $40,757 $145,265 +4% $87,761 +72% ≈88% of Medicare
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $150,838 $40,726 $93,172 +62% $93,172 +62% ≈92% of Medicare
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $148,335 $40,051 $155,053 −4% $93,390 +59% ≈15% of Medicare
335 Peritoneal Adhesiolysis With McC $147,760 $39,895 $121,663 +21% $71,755 +106% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/McC $147,686 $39,875 $147,686 +0% $105,899 +39% ≈76% of Medicare
232 Coronary Bypass With Ptca Without McC $147,356 $39,786 $147,356 +0% $115,839 +27% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $144,179 $38,928 $93,464 +54% $84,692 +70% ≈100% of Medicare
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $143,721 $38,805 $69,289 +107% $90,775 +58% ≈98% of Medicare
258 Cardiac Pacemaker Device Replacement With McC $143,708 $38,801 $70,055 +105% $52,986 +171% —
163 Major Chest Procedures With McC $143,356 $38,706 $133,292 +8% $90,195 +59% ≈16% of Medicare
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $142,407 $38,450 $133,868 +6% $101,510 +40% —
273 Percutaneous And Other Intracardiac Procedures With McC $142,005 $38,341 $131,675 +8% $78,852 +80% ≈11% of Medicare
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $138,600 $37,422 $155,536 −11% $103,455 +34% —
466 Revision Of Hip Or Knee Replacement With McC $138,196 $37,313 $132,032 +5% $96,507 +43% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $136,724 $36,915 $162,298 −16% $77,055 +77% ≈48% of Medicare
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $135,093 $36,475 $97,995 +38% $79,116 +71% ≈17% of Medicare
229 Other Cardiothoracic Procedures Without McC $133,979 $36,174 $93,180 +44% $65,325 +105% ≈134% of Medicare
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $133,889 $36,150 $116,893 +15% $55,289 +142% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $129,668 $35,010 $116,549 +11% $70,564 +84% —
799 Splenic Procedures With McC $128,845 $34,788 $67,322 +91% $82,218 +57% —
326 Stomach, Esophageal And Duodenal Procedures With McC $127,839 $34,517 $68,265 +87% $80,793 +58% ≈73% of Medicare
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $127,440 $34,409 $127,440 +0% $73,120 +74% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $127,419 $34,403 $58,569 +118% $49,839 +156% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $127,356 $34,386 $125,956 +1% $71,464 +78% —
016 Autologous Bone Marrow Transplant With Cc/McC $124,795 $33,695 $182,059 −31% $98,260 +27% —
242 Permanent Cardiac Pacemaker Implant With McC $124,575 $33,635 $91,781 +36% $70,132 +78% ≈19% of Medicare
236 Coronary Bypass Without Cardiac Catheterization Without McC $124,385 $33,584 $117,955 +5% $82,247 +51% ≈121% of Medicare
034 Carotid Artery Stent Procedures With McC $123,615 $33,376 $70,126 +76% $76,219 +62% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $123,044 $33,222 $111,341 +11% $70,371 +75% ≈64% of Medicare
356 Other Digestive System O.R. Procedures With McC $121,712 $32,862 $121,712 +0% $82,561 +47% ≈17% of Medicare
271 Other Major Cardiovascular Procedures With Cc $121,466 $32,796 $119,957 +1% $71,014 +71% ≈131% of Medicare
411 Cholecystectomy With C.D.E. With McC $120,621 $32,568 $120,621 +0% $48,358 +149% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $120,250 $32,468 $88,155 +36% $68,653 +75% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $114,415 $30,892 $82,225 +39% $59,031 +94% —
405 Pancreas, Liver And Shunt Procedures With McC $112,424 $30,355 $161,928 −31% $102,128 +10% ≈29% of Medicare
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $112,156 $30,282 $44,938 +150% $14,055 +698% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $111,445 $30,090 $111,445 +0% $41,422 +169% —
329 Major Small And Large Bowel Procedures With McC $110,448 $29,821 $119,451 −8% $88,050 +25% ≈76% of Medicare
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $110,336 $29,791 $94,235 +17% $61,217 +80% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $109,176 $29,477 $57,989 +88% $66,068 +65% ≈85% of Medicare
963 Other Multiple Significant Trauma With McC $108,895 $29,402 $108,895 +0% $43,491 +150% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $108,418 $29,273 $108,418 +0% $81,706 +33% ≈18% of Medicare
999 Ungroupable $107,459 $29,014 $14,162 +659% $29,674 +262% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $106,659 $28,798 $106,659 +0% $74,257 +44% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $105,644 $28,524 $136,564 −23% $101,576 +4% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $105,579 $28,506 $90,442 +17% $62,821 +68% —
500 Soft Tissue Procedures With McC $105,348 $28,444 $70,494 +49% $61,872 +70% —
907 Other O.R. Procedures For Injuries With McC $105,339 $28,441 $106,316 −1% $77,817 +35% ≈72% of Medicare
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $104,184 $28,130 $65,373 +59% $58,707 +77% ≈29% of Medicare
252 Other Vascular Procedures With McC $102,956 $27,798 $120,467 −15% $68,508 +50% ≈61% of Medicare
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $102,785 $27,752 $65,980 +56% $41,608 +147% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $101,606 $27,434 $195,995 −48% $98,912 +3% —
243 Permanent Cardiac Pacemaker Implant With Cc $101,480 $27,400 $74,020 +37% $50,011 +103% ≈22% of Medicare
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $101,310 $27,354 $47,881 +112% $35,030 +189% —
668 Transurethral Procedures With McC $101,041 $27,281 $84,080 +20% $51,608 +96% —
653 Major Bladder Procedures With McC $100,861 $27,232 $100,861 +0% $104,583 −4% —
974 Hiv With Major Related Condition With McC $99,957 $26,988 $43,588 +129% $46,402 +115% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $99,421 $26,844 $71,679 +39% $31,563 +215% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $99,169 $26,776 $395,416 −75% $66,711 +49% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $99,122 $26,763 $85,282 +16% $59,790 +66% ≈22% of Medicare
472 Cervical Spinal Fusion With Cc $98,386 $26,564 $87,747 +12% $59,537 +65% ≈105% of Medicare
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $98,241 $26,525 $114,140 −14% $108,472 −9% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $97,650 $26,365 $81,168 +20% $59,629 +64% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $97,506 $26,327 $106,135 −8% $90,724 +7% —
031 Ventricular Shunt Procedures With McC $96,098 $25,946 $92,897 +3% $72,962 +32% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $96,093 $25,945 $76,865 +25% $62,264 +54% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $96,029 $25,928 $35,147 +173% $58,745 +63% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $95,743 $25,851 $95,743 +0% $59,533 +61% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $95,645 $25,824 $95,645 +0% $89,207 +7% ≈62% of Medicare
467 Revision Of Hip Or Knee Replacement With Cc $95,410 $25,761 $95,410 +0% $70,847 +35% ≈13% of Medicare
037 Extracranial Procedures With McC $95,112 $25,680 $103,899 −8% $66,666 +43% —
597 Malignant Breast Disorders With McC $94,361 $25,478 $57,714 +63% $33,386 +183% —
430 Combined Anterior And Posterior Cervical Spinal Fusion Without McC $94,024 $25,386 $94,024 +0% $101,618 −7% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $92,723 $25,035 $105,834 −12% $88,307 +5% ≈56% of Medicare
332 Rectal Resection With McC $91,927 $24,820 $100,020 −8% $58,125 +58% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $91,277 $24,645 $115,634 −21% $76,001 +20% ≈66% of Medicare
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $91,233 $24,633 $60,720 +50% $37,240 +145% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $91,190 $24,621 $82,004 +11% $69,743 +31% —
533 Fractures Of Femur With McC $90,879 $24,537 $24,541 +270% $25,945 +250% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $90,621 $24,468 $90,621 +0% $67,268 +35% —
480 Hip And Femur Procedures Except Major Joint With McC $90,438 $24,418 $90,438 +0% $65,653 +38% ≈95% of Medicare
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $89,507 $24,167 $62,317 +44% $46,295 +93% —
259 Cardiac Pacemaker Device Replacement Without McC $89,196 $24,083 $62,302 +43% $39,020 +129% —
654 Major Bladder Procedures With Cc $88,764 $23,966 $79,317 +12% $58,274 +52% ≈98% of Medicare
420 Hepatobiliary Diagnostic Procedures With McC $88,750 $23,962 $107,615 −18% $50,919 +74% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $88,554 $23,910 $82,669 +7% $42,126 +110% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $88,387 $23,864 $88,387 +0% $59,651 +48% ≈26% of Medicare
264 Other Circulatory System O.R. Procedures $88,144 $23,799 $51,289 +72% $51,953 +70% ≈18% of Medicare
320 Other Endovascular Cardiac Valve Procedures Without McC $88,106 $23,789 $88,106 +0% $40,060 +120% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $87,774 $23,699 $104,530 −16% $66,848 +31% —
347 Anal And Stomal Procedures With McC $87,175 $23,537 $52,597 +66% $40,548 +115% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $86,974 $23,483 $86,974 +0% $72,424 +20% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $86,962 $23,480 $65,143 +33% $42,415 +105% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $86,860 $23,452 $94,936 −9% $79,836 +9% ≈12% of Medicare
904 Skin Grafts For Injuries With Cc/McC $86,196 $23,273 $59,883 +44% $59,594 +45% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $85,866 $23,184 $85,866 +0% $71,092 +21% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $85,697 $23,138 $85,697 +0% $54,929 +56% ≈112% of Medicare
265 Aicd Lead Procedures $85,580 $23,107 $85,580 +0% $63,171 +35% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $84,690 $22,866 $83,323 +2% $70,467 +20% ≈88% of Medicare
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $84,629 $22,850 $73,760 +15% $43,913 +93% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $84,205 $22,735 $84,140 +0% $43,538 +93% —
166 Other Respiratory System O.R. Procedures With McC $84,091 $22,705 $128,104 −34% $75,573 +11% ≈48% of Medicare
970 Hiv With Extensive O.R. Procedures Without McC $83,947 $22,666 $65,056 +29% $44,222 +90% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $83,640 $22,583 $83,640 +0% $61,832 +35% —
849 Radiotherapy $82,420 $22,253 $59,196 +39% $37,862 +118% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $80,563 $21,752 $75,715 +6% $62,583 +29% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $80,442 $21,719 $70,498 +14% $32,574 +147% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $80,330 $21,689 $39,014 +106% $52,405 +53% ≈47% of Medicare
035 Carotid Artery Stent Procedures With Cc $79,972 $21,592 $71,884 +11% $49,066 +63% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $79,799 $21,546 $79,373 +1% $58,809 +36% ≈188% of Medicare
406 Pancreas, Liver And Shunt Procedures With Cc $79,052 $21,344 $78,648 +1% $58,043 +36% ≈27% of Medicare
140 Major Head And Neck Procedures With McC $78,836 $21,286 $112,669 −30% $60,098 +31% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $78,495 $21,194 $54,215 +45% $49,423 +59% —
656 Kidney And Ureter Procedures For Neoplasm With McC $78,212 $21,117 $62,977 +24% $65,608 +19% ≈65% of Medicare
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $78,085 $21,083 $53,878 +45% $39,887 +96% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $77,953 $21,047 $71,229 +9% $52,075 +50% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $77,910 $21,036 $77,910 +0% $68,639 +14% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $77,710 $20,982 $66,680 +17% $41,591 +87% ≈31% of Medicare
841 Lymphoma And Non-Acute Leukemia With Cc $77,560 $20,941 $42,360 +83% $33,633 +131% ≈157% of Medicare
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $76,840 $20,747 $78,013 −2% $65,788 +17% ≈74% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $76,658 $20,698 $76,658 +0% $46,066 +66% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $76,409 $20,630 $76,409 +0% $50,139 +52% —
583 Mastectomy For Malignancy Without Cc/McC $76,383 $20,623 $112,168 −32% $35,831 +113% —
036 Carotid Artery Stent Procedures Without Cc/McC $75,630 $20,420 $74,218 +2% $40,694 +86% —
451 Single Level Spinal Fusion Except Cervical Without McC $75,564 $20,402 $75,564 +0% $65,216 +16% ≈15% of Medicare
412 Cholecystectomy With C.D.E. With Cc $75,074 $20,270 $75,377 −0% $42,906 +75% —
481 Hip And Femur Procedures Except Major Joint With Cc $74,872 $20,216 $74,133 +1% $52,751 +42% ≈116% of Medicare
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $74,185 $20,030 $57,037 +30% $46,090 +61% ≈113% of Medicare
253 Other Vascular Procedures With Cc $73,454 $19,833 $113,961 −36% $57,454 +28% ≈19% of Medicare
448 Multiple Level Spinal Fusion Except Cervical Without McC $73,228 $19,771 $79,254 −8% $81,998 −11% ≈53% of Medicare
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $71,935 $19,422 $70,144 +3% $58,228 +24% ≈16% of Medicare
296 Cardiac Arrest, Unexplained With McC $71,743 $19,371 $71,743 +0% $33,661 +113% —
473 Cervical Spinal Fusion Without Cc/McC $70,578 $19,056 $70,578 +0% $50,624 +39% ≈109% of Medicare
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $69,722 $18,825 $61,508 +13% $43,650 +60% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $69,322 $18,717 $59,345 +17% $56,964 +22% —
619 O.R. Procedures For Obesity With McC $69,234 $18,693 $58,723 +18% $51,746 +34% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $68,897 $18,602 $60,571 +14% $49,418 +39% —
164 Major Chest Procedures With Cc $68,803 $18,577 $71,945 −4% $56,755 +21% ≈32% of Medicare
901 Wound Debridements For Injuries With McC $68,523 $18,501 $152,630 −55% $70,177 −2% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $68,454 $18,483 $66,260 +3% $64,523 +6% ≈85% of Medicare
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $68,334 $18,450 $49,112 +39% $34,749 +97% —
655 Major Bladder Procedures Without Cc/McC $68,215 $18,418 $63,863 +7% $43,174 +58% —
353 Hernia Procedures Except Inguinal And Femoral With McC $67,821 $18,312 $85,423 −21% $60,170 +13% —
330 Major Small And Large Bowel Procedures With Cc $67,587 $18,248 $74,617 −9% $59,500 +14% ≈21% of Medicare
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $67,388 $18,195 $54,949 +23% $35,465 +90% ≈125% of Medicare
077 Hypertensive Encephalopathy With McC $66,366 $17,919 $51,373 +29% $24,550 +170% —
182 Respiratory Neoplasms Without Cc/McC $66,096 $17,846 $25,464 +160% $14,064 +370% —
413 Cholecystectomy With C.D.E. Without Cc/McC $65,806 $17,768 $59,197 +11% $29,316 +124% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $65,545 $17,697 $52,615 +25% $38,878 +69% ≈53% of Medicare
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $65,357 $17,646 $79,477 −18% $58,280 +12% ≈93% of Medicare
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $64,906 $17,525 $72,392 −10% $47,583 +36% —
142 Major Head And Neck Procedures Without Cc/McC $64,855 $17,511 $58,694 +10% $34,906 +86% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $64,258 $17,350 $90,039 −29% $53,864 +19% —
033 Ventricular Shunt Procedures Without Cc/McC $63,915 $17,257 $53,766 +19% $35,419 +80% ≈222% of Medicare
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $62,450 $16,862 $70,940 −12% $46,283 +35% ≈28% of Medicare
183 Major Chest Trauma With McC $62,383 $16,843 $48,610 +28% $29,933 +108% ≈30% of Medicare
167 Other Respiratory System O.R. Procedures With Cc $62,303 $16,822 $61,102 +2% $40,642 +53% ≈39% of Medicare
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $62,201 $16,794 $62,201 +0% $47,711 +30% ≈135% of Medicare
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $62,199 $16,794 $62,199 +0% $50,498 +23% ≈81% of Medicare
288 Acute And Subacute Endocarditis With McC $61,943 $16,724 $75,345 −18% $50,618 +22% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $61,639 $16,643 $64,694 −5% $54,583 +13% ≈99% of Medicare
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $61,490 $16,602 $56,307 +9% $41,955 +47% —
113 Orbital Procedures With Cc/McC $61,191 $16,522 $61,854 −1% $36,167 +69% —
814 Reticuloendothelial And Immunity Disorders With McC $60,936 $16,453 $48,039 +27% $33,851 +80% —
135 Sinus And Mastoid Procedures With Cc/McC $60,792 $16,414 $58,281 +4% $42,186 +44% —
665 Prostatectomy With McC $60,545 $16,347 $102,095 −41% $54,072 +12% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $60,407 $16,310 $152,541 −60% $60,407 +0% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $60,270 $16,273 $80,626 −25% $46,727 +29% ≈36% of Medicare
582 Mastectomy For Malignancy With Cc/McC $60,149 $16,240 $69,228 −13% $35,849 +68% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $59,686 $16,115 $59,686 +0% $44,139 +35% ≈30% of Medicare
570 Skin Debridement With McC $59,356 $16,026 $101,088 −41% $52,435 +13% —
344 Minor Small And Large Bowel Procedures With McC $59,187 $15,981 $59,187 +0% $44,546 +33% —
141 Major Head And Neck Procedures With Cc $59,147 $15,970 $56,402 +5% $37,267 +59% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $59,012 $15,933 $46,920 +26% $27,633 +114% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $58,611 $15,825 $39,181 +50% $39,181 +50% ≈74% of Medicare
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $58,596 $15,821 $58,596 +0% $61,470 −5% —
030 Spinal Procedures Without Cc/McC $58,382 $15,763 $47,889 +22% $45,866 +27% —
545 Connective Tissue Disorders With McC $58,381 $15,763 $50,208 +16% $40,362 +45% ≈47% of Medicare
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $57,879 $15,627 $68,009 −15% $49,351 +17% —
503 Foot Procedures With McC $57,864 $15,623 $54,558 +6% $47,540 +22% —
088 Concussion With McC $57,403 $15,499 $40,071 +43% $24,402 +135% —
707 Major Male Pelvic Procedures With Cc/McC $57,229 $15,452 $57,229 +0% $43,080 +33% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $56,857 $15,351 $45,562 +25% $33,694 +69% —
032 Ventricular Shunt Procedures With Cc $56,852 $15,350 $84,712 −33% $46,724 +22% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $56,783 $15,331 $42,314 +34% $27,119 +109% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $56,721 $15,315 $85,978 −34% $53,451 +6% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $56,638 $15,292 $51,830 +9% $45,167 +25% —
165 Major Chest Procedures Without Cc/McC $55,968 $15,111 $56,867 −2% $46,340 +21% ≈40% of Medicare
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $55,745 $15,051 $63,680 −12% $46,453 +20% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $55,518 $14,990 $299,897 −81% $90,401 −39% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $54,690 $14,766 $54,690 +0% $43,800 +25% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $54,401 $14,688 $37,257 +46% $36,670 +48% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $53,945 $14,565 $43,675 +24% $31,044 +74% —
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $53,881 $14,548 $53,881 +0% $19,354 +178% —
505 Foot Procedures Without Cc/McC $53,339 $14,402 $50,640 +5% $34,937 +53% —
377 Gastrointestinal Hemorrhage With McC $53,145 $14,349 $49,956 +6% $37,842 +40% ≈76% of Medicare
397 Appendix Procedures With McC $52,855 $14,271 $52,855 +0% $53,257 −1% —
964 Other Multiple Significant Trauma With Cc $52,804 $14,257 $35,742 +48% $27,394 +93% ≈107% of Medicare
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $52,577 $14,196 $52,577 +0% $36,431 +44% ≈42% of Medicare
254 Other Vascular Procedures Without Cc/McC $52,508 $14,177 $60,105 −13% $38,836 +35% ≈88% of Medicare
673 Other Kidney And Urinary Tract Procedures With McC $52,424 $14,154 $76,824 −32% $77,990 −33% ≈26% of Medicare
867 Other Infectious And Parasitic Diseases Diagnoses With McC $52,403 $14,149 $52,403 +0% $38,070 +38% —
800 Splenic Procedures With Cc $52,387 $14,144 $65,879 −20% $49,184 +7% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $52,350 $14,134 $52,350 +0% $52,036 +1% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $52,333 $14,130 $42,298 +24% $22,393 +134% —
686 Kidney And Urinary Tract Neoplasms With McC $52,326 $14,128 $55,656 −6% $37,844 +38% —
272 Other Major Cardiovascular Procedures Without Cc/McC $52,293 $14,119 $62,875 −17% $55,162 −5% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $52,120 $14,072 $45,061 +16% $24,544 +112% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $52,113 $14,071 $58,215 −10% $43,631 +19% —
196 Interstitial Lung Disease With McC $52,101 $14,067 $48,779 +7% $32,637 +60% ≈70% of Medicare
614 Adrenal And Pituitary Procedures With Cc/McC $51,670 $13,951 $61,165 −16% $48,349 +7% ≈75% of Medicare
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $51,644 $13,944 $57,277 −10% $63,928 −19% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $51,545 $13,917 $50,370 +2% $43,298 +19% ≈60% of Medicare
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $51,473 $13,898 $51,473 +0% $48,687 +6% —
086 Traumatic Stupor And Coma <1 Hour With Cc $51,336 $13,861 $35,459 +45% $27,043 +90% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $51,074 $13,790 $58,687 −13% $66,685 −23% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $50,948 $13,756 $52,321 −3% $29,524 +73% —
501 Soft Tissue Procedures With Cc $50,600 $13,662 $47,828 +6% $39,619 +28% —
620 O.R. Procedures For Obesity With Cc $50,477 $13,629 $48,590 +4% $35,453 +42% —
038 Extracranial Procedures With Cc $50,466 $13,626 $60,827 −17% $35,770 +41% —
709 Penis Procedures With Cc/McC $50,438 $13,618 $38,553 +31% $34,535 +46% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $50,428 $13,616 $45,810 +10% $39,018 +29% —
336 Peritoneal Adhesiolysis With Cc $50,383 $13,604 $70,773 −29% $50,463 −0% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $50,292 $13,579 $63,587 −21% $52,908 −5% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $50,217 $13,559 $61,626 −19% $47,737 +5% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $50,207 $13,556 $47,628 +5% $34,434 +46% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $50,054 $13,515 $50,054 +0% $35,692 +40% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $50,030 $13,508 $57,719 −13% $50,607 −1% ≈83% of Medicare
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $49,835 $13,455 $42,812 +16% $36,253 +37% ≈54% of Medicare
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $49,790 $13,443 $49,701 +0% $34,459 +44% —
906 Hand Procedures For Injuries $49,637 $13,402 $42,058 +18% $32,065 +55% —
599 Malignant Breast Disorders Without Cc/McC $49,537 $13,375 $21,890 +126% $14,290 +247% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $49,139 $13,267 $54,859 −10% $37,950 +29% ≈84% of Medicare
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $48,206 $13,016 $53,121 −9% $45,877 +5% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $48,166 $13,005 $59,206 −19% $44,363 +9% —
674 Other Kidney And Urinary Tract Procedures With Cc $48,100 $12,987 $80,027 −40% $50,394 −5% ≈37% of Medicare
836 Acute Leukemia Without Cc/McC $48,063 $12,977 $37,883 +27% $19,686 +144% —
621 O.R. Procedures For Obesity Without Cc/McC $48,054 $12,975 $45,696 +5% $32,451 +48% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $47,991 $12,958 $44,770 +7% $39,173 +23% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $47,983 $12,956 $37,599 +28% $33,653 +43% —
965 Other Multiple Significant Trauma Without Cc/McC $47,749 $12,892 $26,257 +82% $20,259 +136% —
666 Prostatectomy With Cc $47,721 $12,885 $47,721 +0% $31,906 +50% —
357 Other Digestive System O.R. Procedures With Cc $47,646 $12,865 $60,207 −21% $48,682 −2% ≈47% of Medicare
662 Minor Bladder Procedures With McC $47,643 $12,864 $54,483 −13% $54,562 −13% —
595 Major Skin Disorders With McC $47,434 $12,807 $31,181 +52% $34,598 +37% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $47,362 $12,788 $42,025 +13% $21,230 +123% —
350 Inguinal And Femoral Hernia Procedures With McC $47,101 $12,717 $53,797 −12% $50,046 −6% —
333 Rectal Resection With Cc $46,964 $12,680 $63,363 −26% $37,154 +26% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $46,942 $12,674 $44,105 +6% $35,074 +34% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $46,497 $12,554 $49,732 −7% $35,584 +31% —
331 Major Small And Large Bowel Procedures Without Cc/McC $46,486 $12,551 $66,342 −30% $44,117 +5% ≈40% of Medicare
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $46,407 $12,530 $64,233 −28% $33,674 +38% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $46,342 $12,512 $46,342 +0% $34,607 +34% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $46,309 $12,503 $30,263 +53% $25,652 +81% —
157 Dental And Oral Diseases With McC $45,924 $12,399 $45,924 +0% $31,300 +47% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $45,812 $12,369 $100,691 −55% $59,421 −23% ≈46% of Medicare
380 Complicated Peptic Ulcer With McC $45,651 $12,326 $44,130 +3% $39,627 +15% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $45,570 $12,304 $54,862 −17% $62,300 −27% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $45,569 $12,304 $50,832 −10% $51,985 −12% ≈45% of Medicare
180 Respiratory Neoplasms With McC $45,567 $12,303 $38,001 +20% $36,658 +24% ≈48% of Medicare
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $45,433 $12,267 $45,522 −0% $28,320 +60% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $45,432 $12,267 $56,325 −19% $47,945 −5% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $45,381 $12,253 $50,739 −11% $40,365 +12% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $45,152 $12,191 $44,471 +2% $14,014 +222% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $45,133 $12,186 $45,133 +0% $41,620 +8% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $45,000 $12,150 $57,547 −22% $44,606 +1% ≈48% of Medicare
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC $44,992 $12,148 $31,583 +42% $22,620 +99% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $44,686 $12,065 $56,173 −20% $42,881 +4% ≈45% of Medicare
058 Multiple Sclerosis And Cerebellar Ataxia With McC $44,609 $12,045 $44,609 +0% $30,243 +48% —
115 Extraocular Procedures Except Orbit $44,600 $12,042 $44,600 +0% $25,703 +74% —
085 Traumatic Stupor And Coma <1 Hour With McC $44,595 $12,041 $35,133 +27% $41,892 +6% —
557 Tendonitis, Myositis And Bursitis With McC $44,595 $12,041 $44,595 +0% $32,877 +36% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $44,349 $11,974 $44,349 +0% $32,443 +37% —
502 Soft Tissue Procedures Without Cc/McC $44,319 $11,966 $44,319 +0% $31,017 +43% —
184 Major Chest Trauma With Cc $44,292 $11,959 $28,391 +56% $22,432 +97% ≈64% of Medicare
039 Extracranial Procedures Without Cc/McC $44,239 $11,945 $41,370 +7% $26,618 +66% ≈70% of Medicare
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $44,151 $11,921 $42,205 +5% $29,805 +48% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $44,131 $11,915 $31,469 +40% $27,323 +62% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $44,114 $11,911 $38,998 +13% $38,998 +13% —
712 Testes Procedures Without Cc/McC $44,078 $11,901 $39,220 +12% $18,898 +133% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $43,986 $11,876 $38,164 +15% $29,611 +49% —
667 Prostatectomy Without Cc/McC $43,886 $11,849 $32,449 +35% $16,703 +163% —
385 Inflammatory Bowel Disease With McC $43,821 $11,832 $43,821 +0% $27,617 +59% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $43,787 $11,822 $4,889 +796% $16,351 +168% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $43,766 $11,817 $59,374 −26% $43,477 +1% —
504 Foot Procedures With Cc $43,650 $11,786 $43,650 +0% $38,960 +12% —
935 Non-Extensive Burns $43,645 $11,784 $29,361 +49% $31,701 +38% —
116 Intraocular Procedures With Cc/McC $43,379 $11,712 $42,596 +2% $29,126 +49% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $43,341 $11,702 $52,791 −18% $31,170 +39% —
186 Pleural Effusion With McC $43,182 $11,659 $43,109 +0% $33,834 +28% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $43,132 $11,646 $43,132 +0% $39,515 +9% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $43,085 $11,633 $40,602 +6% $25,073 +72% —
908 Other O.R. Procedures For Injuries With Cc $42,974 $11,603 $42,974 +0% $42,914 +0% ≈44% of Medicare
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $42,912 $11,586 $40,724 +5% $39,106 +10% ≈36% of Medicare
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $42,739 $11,539 $42,277 +1% $19,657 +117% —
615 Adrenal And Pituitary Procedures Without Cc/McC $42,641 $11,513 $43,524 −2% $32,833 +30% ≈99% of Medicare
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $42,558 $11,491 $38,458 +11% $33,393 +27% ≈118% of Medicare
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $42,529 $11,483 $27,658 +54% $18,348 +132% —
801 Splenic Procedures Without Cc/McC $42,448 $11,461 $37,623 +13% $36,445 +16% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $42,298 $11,421 $45,423 −7% $33,454 +26% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $42,274 $11,414 $42,274 +0% $30,553 +38% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $42,273 $11,414 $42,273 +0% $29,949 +41% ≈60% of Medicare
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $42,273 $11,414 $42,273 +0% $33,424 +26% —
289 Acute And Subacute Endocarditis With Cc $42,250 $11,408 $42,250 +0% $32,697 +29% —
949 Aftercare With Cc/McC $42,208 $11,396 $36,227 +17% $23,953 +76% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $42,031 $11,348 $46,206 −9% $29,916 +40% —
571 Skin Debridement With Cc $41,965 $11,330 $25,326 +66% $37,169 +13% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $41,587 $11,228 $46,870 −11% $39,006 +7% ≈100% of Medicare
080 Nontraumatic Stupor And Coma With McC $41,337 $11,161 $35,762 +16% $36,249 +14% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $41,302 $11,152 $58,653 −30% $43,943 −6% ≈57% of Medicare
398 Appendix Procedures With Cc $41,169 $11,116 $53,293 −23% $40,162 +3% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $41,106 $11,099 $48,553 −15% $30,493 +35% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $41,097 $11,096 $41,097 +0% $34,276 +20% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $40,975 $11,063 $29,362 +40% $32,944 +24% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $40,940 $11,054 $52,557 −22% $38,101 +7% —
334 Rectal Resection Without Cc/McC $40,925 $11,050 $45,782 −11% $36,820 +11% —
297 Cardiac Arrest, Unexplained With Cc $40,911 $11,046 $32,284 +27% $12,336 +232% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $40,885 $11,039 $25,566 +60% $18,072 +126% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $40,564 $10,952 $38,993 +4% $26,932 +51% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $40,450 $10,921 $40,015 +1% $30,959 +31% ≈36% of Medicare
073 Cranial And Peripheral Nerve Disorders With McC $40,280 $10,876 $30,555 +32% $30,010 +34% —
114 Orbital Procedures Without Cc/McC $40,240 $10,865 $34,210 +18% $19,598 +105% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $40,157 $10,842 $47,114 −15% $31,264 +28% ≈126% of Medicare
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $40,107 $10,829 $28,742 +40% $15,764 +154% —
337 Peritoneal Adhesiolysis Without Cc/McC $40,062 $10,817 $56,127 −29% $39,211 +2% —
057 Degenerative Nervous System Disorders Without McC $40,049 $10,813 $33,673 +19% $27,543 +45% ≈59% of Medicare
687 Kidney And Urinary Tract Neoplasms With Cc $39,972 $10,792 $16,337 +145% $20,232 +98% —
052 Spinal Disorders And Injuries With Cc/McC $39,894 $10,771 $46,252 −14% $32,031 +25% —
711 Testes Procedures With Cc/McC $39,863 $10,763 $53,392 −25% $38,343 +4% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $39,825 $10,753 $54,091 −26% $45,333 −12% ≈50% of Medicare
146 Ear, Nose, Mouth And Throat Malignancy With McC $39,340 $10,622 $53,246 −26% $40,108 −2% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $39,247 $10,597 $65,842 −40% $52,178 −25% ≈39% of Medicare
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $39,120 $10,562 $40,124 −3% $38,861 +1% —
374 Digestive Malignancy With McC $38,985 $10,526 $45,291 −14% $39,958 −2% ≈38% of Medicare
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $38,921 $10,509 $46,222 −16% $32,021 +22% ≈90% of Medicare
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $38,918 $10,508 $51,019 −24% $36,937 +5% ≈110% of Medicare
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $38,853 $10,490 $38,853 +0% $30,418 +28% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $38,798 $10,476 $38,798 +0% $26,948 +44% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $38,786 $10,472 $37,645 +3% $24,941 +56% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $38,672 $10,441 $97,243 −60% $47,789 −19% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $38,654 $10,436 $38,654 +0% $28,140 +37% —
100 Seizures With McC $38,584 $10,418 $38,584 +0% $35,481 +9% ≈42% of Medicare
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $38,460 $10,384 $56,403 −32% $38,094 +1% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $38,409 $10,370 $30,314 +27% $19,227 +100% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $38,347 $10,354 $28,567 +34% $33,047 +16% —
056 Degenerative Nervous System Disorders With McC $38,328 $10,349 $38,980 −2% $39,973 −4% ≈43% of Medicare
348 Anal And Stomal Procedures With Cc $38,236 $10,324 $38,236 +0% $27,947 +37% —
722 Malignancy, Male Reproductive System With McC $38,162 $10,304 $41,381 −8% $29,826 +28% —
136 Sinus And Mastoid Procedures Without Cc/McC $38,135 $10,296 $79,612 −52% $17,404 +119% —
723 Malignancy, Male Reproductive System With Cc $38,129 $10,295 $36,370 +5% $19,815 +92% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $38,075 $10,280 $23,674 +61% $22,851 +67% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $38,005 $10,261 $38,570 −1% $36,792 +3% ≈42% of Medicare
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $37,989 $10,257 $39,391 −4% $32,841 +16% —
432 Cirrhosis And Alcoholic Hepatitis With McC $37,898 $10,233 $44,870 −16% $40,213 −6% ≈35% of Medicare
199 Pneumothorax With McC $37,879 $10,227 $42,335 −11% $33,787 +12% —
345 Minor Small And Large Bowel Procedures With Cc $37,867 $10,224 $36,216 +5% $33,048 +15% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $37,781 $10,201 $37,100 +2% $27,163 +39% —
671 Urethral Procedures With Cc/McC $37,773 $10,199 $37,773 +0% $27,233 +39% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $37,692 $10,177 $51,589 −27% $42,795 −12% —
917 Poisoning And Toxic Effects Of Drugs With McC $37,673 $10,172 $37,673 +0% $30,235 +25% ≈83% of Medicare
351 Inguinal And Femoral Hernia Procedures With Cc $37,644 $10,164 $43,086 −13% $36,505 +3% —
909 Other O.R. Procedures For Injuries Without Cc/McC $37,597 $10,151 $46,449 −19% $28,156 +34% ≈58% of Medicare
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $37,566 $10,143 $45,388 −17% $33,555 +12% ≈48% of Medicare
393 Other Digestive System Diagnoses With McC $37,499 $10,125 $40,598 −8% $34,192 +10% ≈46% of Medicare
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $37,417 $10,103 $37,417 +0% $26,598 +41% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $37,393 $10,096 $44,221 −15% $31,134 +20% ≈34% of Medicare
358 Other Digestive System O.R. Procedures Without Cc/McC $36,890 $9,960 $40,964 −10% $30,083 +23% —
756 Malignancy, Female Reproductive System Without Cc/McC $36,861 $9,953 $7,557 +388% $15,589 +136% —
092 Other Disorders Of Nervous System With Cc $36,842 $9,947 $37,630 −2% $24,914 +48% ≈97% of Medicare
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $36,795 $9,935 $36,795 +0% $33,985 +8% ≈48% of Medicare
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $36,618 $9,887 $52,937 −31% $25,748 +42% —
399 Appendix Procedures Without Cc/McC $36,562 $9,872 $46,028 −21% $31,321 +17% —
606 Minor Skin Disorders With McC $36,265 $9,792 $36,265 +0% $27,975 +30% —
572 Skin Debridement Without Cc/McC $36,258 $9,790 $36,258 +0% $24,944 +45% —
976 Hiv With Major Related Condition Without Cc/McC $36,190 $9,771 $16,212 +123% $16,212 +123% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $36,147 $9,760 $42,652 −15% $35,628 +1% ≈41% of Medicare
346 Minor Small And Large Bowel Procedures Without Cc/McC $36,054 $9,735 $36,054 +0% $27,297 +32% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $35,780 $9,661 $30,275 +18% $31,159 +15% —
082 Traumatic Stupor And Coma >1 Hour With McC $35,666 $9,630 $35,666 +0% $36,489 −2% —
663 Minor Bladder Procedures With Cc $35,579 $9,606 $37,661 −6% $33,103 +7% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $35,555 $9,600 $33,736 +5% $20,463 +74% ≈98% of Medicare
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $35,513 $9,589 $56,842 −38% $25,390 +40% ≈186% of Medicare
553 Bone Diseases And Arthropathies With McC $35,432 $9,567 $38,165 −7% $26,051 +36% —
368 Major Esophageal Disorders With McC $35,274 $9,524 $56,538 −38% $33,876 +4% —
314 Other Circulatory System Diagnoses With McC $34,976 $9,443 $40,116 −13% $38,666 −10% ≈45% of Medicare
091 Other Disorders Of Nervous System With McC $34,820 $9,401 $43,586 −20% $37,387 −7% ≈43% of Medicare
669 Transurethral Procedures With Cc $34,700 $9,369 $34,700 +0% $34,354 +1% ≈52% of Medicare
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $34,594 $9,340 $37,440 −8% $22,635 +53% —
637 Diabetes With McC $34,484 $9,311 $34,484 +0% $30,100 +15% ≈97% of Medicare
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $34,417 $9,293 $50,414 −32% $40,552 −15% —
444 Disorders Of The Biliary Tract With McC $34,273 $9,254 $34,273 +0% $34,273 +0% ≈46% of Medicare
713 Transurethral Prostatectomy With Cc/McC $34,256 $9,249 $27,155 +26% $32,100 +7% —
915 Allergic Reactions With McC $34,245 $9,246 $32,645 +5% $32,645 +5% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $34,148 $9,220 $34,148 +0% $20,506 +67% ≈121% of Medicare
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $34,143 $9,219 $52,805 −35% $29,079 +17% —
280 Acute Myocardial Infarction, Discharged Alive With McC $34,141 $9,218 $28,348 +20% $30,828 +11% ≈56% of Medicare
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $34,135 $9,217 $39,801 −14% $25,094 +36% —
283 Acute Myocardial Infarction, Expired With McC $34,073 $9,200 $34,204 −0% $39,955 −15% —
643 Endocrine Disorders With McC $34,037 $9,190 $38,587 −12% $33,563 +1% ≈50% of Medicare
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $34,030 $9,188 $34,030 +0% $23,443 +45% —
375 Digestive Malignancy With Cc $33,946 $9,165 $33,946 +0% $27,277 +24% ≈63% of Medicare
079 Hypertensive Encephalopathy Without Cc/McC $33,864 $9,143 $31,778 +7% $11,847 +186% —
178 Respiratory Infections And Inflammations With Cc $33,851 $9,140 $31,191 +9% $22,024 +54% ≈128% of Medicare
506 Major Thumb Or Joint Procedures $33,824 $9,132 $34,520 −2% $30,557 +11% —
727 Inflammation Of The Male Reproductive System With McC $33,780 $9,121 $20,998 +61% $26,463 +28% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $33,777 $9,120 $45,497 −26% $22,811 +48% —
177 Respiratory Infections And Inflammations With McC $33,588 $9,069 $45,521 −26% $33,707 −0% ≈48% of Medicare
552 Medical Back Problems Without McC $33,585 $9,068 $33,585 +0% $21,396 +57% ≈285% of Medicare
308 Cardiac Arrhythmia And Conduction Disorders With McC $33,572 $9,065 $30,579 +10% $26,770 +25% ≈124% of Medicare
055 Nervous System Neoplasms Without McC $33,527 $9,052 $33,527 +0% $20,926 +60% ≈63% of Medicare
070 Nonspecific Cerebrovascular Disorders With McC $33,062 $8,927 $49,551 −33% $31,951 +3% ≈44% of Medicare
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $32,996 $8,909 $38,606 −15% $21,894 +51% —
815 Reticuloendothelial And Immunity Disorders With Cc $32,883 $8,878 $29,165 +13% $19,264 +71% —
902 Wound Debridements For Injuries With Cc $32,687 $8,826 $43,163 −24% $40,562 −19% —
383 Uncomplicated Peptic Ulcer With McC $32,682 $8,824 $30,689 +6% $27,426 +19% —
263 Vein Ligation And Stripping $32,604 $8,803 $38,005 −14% $51,253 −36% —
811 Red Blood Cell Disorders With McC $32,589 $8,799 $32,589 +0% $28,226 +15% ≈55% of Medicare
123 Neurological Eye Disorders $32,500 $8,775 $20,417 +59% $19,745 +65% ≈87% of Medicare
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $32,473 $8,768 $23,003 +41% $19,270 +69% —
548 Septic Arthritis With McC $32,344 $8,733 $32,344 +0% $31,346 +3% —
445 Disorders Of The Biliary Tract With Cc $32,275 $8,714 $29,507 +9% $23,319 +38% ≈73% of Medicare
117 Intraocular Procedures Without Cc/McC $32,207 $8,696 $33,211 −3% $17,193 +87% —
509 Arthroscopy $32,097 $8,666 $29,045 +11% $25,994 +23% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $32,092 $8,665 $43,597 −26% $30,784 +4% —
205 Other Respiratory System Diagnoses With McC $32,079 $8,661 $33,894 −5% $33,255 −4% ≈42% of Medicare
977 Hiv With Or Without Other Related Condition $32,002 $8,640 $21,908 +46% $22,525 +42% —
947 Signs And Symptoms With McC $31,962 $8,630 $33,290 −4% $27,401 +17% ≈61% of Medicare
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $31,884 $8,609 $26,438 +21% $16,968 +88% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $31,732 $8,568 $34,374 −8% $28,125 +13% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $31,595 $8,531 $43,425 −27% $26,870 +18% —
304 Hypertension With McC $31,586 $8,528 $28,318 +12% $26,080 +21% —
439 Disorders Of Pancreas Except Malignancy With Cc $31,542 $8,516 $29,363 +7% $19,096 +65% ≈84% of Medicare
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $31,507 $8,507 $38,060 −17% $24,127 +31% —
783 Cesarean Section With Sterilization With McC $31,442 $8,489 $30,719 +2% $29,221 +8% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $31,314 $8,455 $31,314 +0% $27,989 +12% —
757 Infections, Female Reproductive System With McC $31,237 $8,434 $31,237 +0% $26,280 +19% —
551 Medical Back Problems With McC $31,203 $8,425 $37,053 −16% $34,017 −8% ≈49% of Medicare
181 Respiratory Neoplasms With Cc $31,166 $8,415 $27,133 +15% $23,573 +32% ≈78% of Medicare
381 Complicated Peptic Ulcer With Cc $30,902 $8,343 $31,494 −2% $24,177 +28% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $30,744 $8,301 $31,265 −2% $25,279 +22% —
054 Nervous System Neoplasms With McC $30,650 $8,275 $30,650 +0% $30,502 +0% ≈55% of Medicare
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $30,617 $8,267 $30,617 +0% $19,037 +61% —
083 Traumatic Stupor And Coma >1 Hour With Cc $30,610 $8,265 $24,118 +27% $27,285 +12% —
791 Prematurity With Major Problems $30,459 $8,224 $30,459 +0% $42,679 −29% —
193 Simple Pneumonia And Pleurisy With McC $30,370 $8,200 $32,566 −7% $27,275 +11% ≈101% of Medicare
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $30,346 $8,193 $23,954 +27% $21,847 +39% —
200 Pneumothorax With Cc $30,320 $8,186 $22,299 +36% $21,368 +42% ≈121% of Medicare
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $30,310 $8,184 $42,218 −28% $30,770 −1% —
152 Otitis Media And Uri With McC $30,277 $8,175 $27,012 +12% $20,247 +50% —
089 Concussion With Cc $30,194 $8,152 $27,042 +12% $18,821 +60% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $30,177 $8,148 $35,673 −15% $23,749 +27% ≈57% of Medicare
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $30,132 $8,136 $30,132 +0% $23,551 +28% ≈75% of Medicare
158 Dental And Oral Diseases With Cc $30,125 $8,134 $19,746 +53% $18,466 +63% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $30,087 $8,124 $36,344 −17% $28,050 +7% ≈65% of Medicare
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $29,865 $8,064 $30,021 −1% $20,781 +44% ≈188% of Medicare
549 Septic Arthritis With Cc $29,688 $8,016 $24,261 +22% $24,056 +23% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $29,625 $7,999 $28,889 +3% $21,449 +38% ≈87% of Medicare
421 Hepatobiliary Diagnostic Procedures With Cc $29,486 $7,961 $62,731 −53% $36,354 −19% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $29,346 $7,924 $36,783 −20% $23,940 +23% ≈85% of Medicare
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $29,281 $7,906 $51,347 −43% $25,712 +14% —
865 Viral Illness With McC $29,083 $7,852 $30,489 −5% $26,910 +8% —
550 Septic Arthritis Without Cc/McC $29,079 $7,851 $29,079 +0% $19,138 +52% —
664 Minor Bladder Procedures Without Cc/McC $29,054 $7,845 $25,096 +16% $22,314 +30% —
602 Cellulitis With McC $29,009 $7,832 $37,206 −22% $30,598 −5% ≈54% of Medicare
642 Inborn And Other Disorders Of Metabolism $28,965 $7,820 $26,597 +9% $20,727 +40% —
189 Pulmonary Edema And Respiratory Failure $28,766 $7,767 $31,521 −9% $26,580 +8% ≈64% of Medicare
708 Major Male Pelvic Procedures Without Cc/McC $28,762 $7,766 $39,617 −27% $36,988 −22% ≈114% of Medicare
139 Salivary Gland Procedures $28,647 $7,735 $28,647 +0% $23,612 +21% —
884 Organic Disturbances And Intellectual Disability $28,575 $7,715 $27,174 +5% $26,682 +7% ≈55% of Medicare
903 Wound Debridements For Injuries Without Cc/McC $28,461 $7,684 $34,677 −18% $25,581 +11% —
137 Mouth Procedures With Cc/McC $28,408 $7,670 $26,958 +5% $27,861 +2% —
813 Coagulation Disorders $28,247 $7,627 $34,947 −19% $33,296 −15% ≈47% of Medicare
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $28,202 $7,615 $35,646 −21% $28,202 +0% —
185 Major Chest Trauma Without Cc/McC $28,184 $7,610 $20,657 +36% $17,124 +65% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $28,162 $7,604 $16,940 +66% $20,895 +35% —
387 Inflammatory Bowel Disease Without Cc/McC $28,027 $7,567 $22,581 +24% $16,288 +72% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $27,966 $7,551 $23,065 +21% $16,520 +69% —
710 Penis Procedures Without Cc/McC $27,926 $7,540 $27,926 +0% $26,436 +6% —
885 Psychoses $27,883 $7,528 $18,408 +51% $21,729 +28% —
725 Benign Prostatic Hypertrophy With McC $27,763 $7,496 $27,763 +0% $22,320 +24% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $27,473 $7,418 $36,815 −25% $29,743 −8% —
693 Urinary Stones With McC $27,469 $7,417 $28,415 −3% $23,892 +15% —
176 Pulmonary Embolism Without McC $27,446 $7,410 $27,128 +1% $18,081 +52% ≈149% of Medicare
125 Other Disorders Of The Eye Without McC $27,354 $7,386 $27,354 +0% $17,298 +58% ≈190% of Medicare
920 Complications Of Treatment With Cc $27,275 $7,364 $17,295 +58% $22,468 +21% ≈62% of Medicare
394 Other Digestive System Diagnoses With Cc $27,179 $7,338 $27,628 −2% $20,181 +35% ≈70% of Medicare
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $27,041 $7,301 $20,348 +33% $17,601 +54% —
697 Urethral Stricture $27,006 $7,292 $27,006 +0% $18,428 +47% —
714 Transurethral Prostatectomy Without Cc/McC $26,990 $7,287 $26,990 +0% $17,934 +50% —
349 Anal And Stomal Procedures Without Cc/McC $26,922 $7,269 $31,698 −15% $19,854 +36% —
698 Other Kidney And Urinary Tract Diagnoses With McC $26,886 $7,259 $39,789 −32% $32,496 −17% ≈50% of Medicare
539 Osteomyelitis With McC $26,803 $7,237 $42,316 −37% $37,609 −29% —
975 Hiv With Major Related Condition With Cc $26,773 $7,229 $27,741 −3% $27,808 −4% —
905 Skin Grafts For Injuries Without Cc/McC $26,668 $7,200 $104,212 −74% $25,197 +6% —
312 Syncope And Collapse $26,634 $7,191 $28,759 −7% $19,342 +38% ≈166% of Medicare
075 Viral Meningitis With Cc/McC $26,623 $7,188 $26,570 +0% $30,447 −13% —
670 Transurethral Procedures Without Cc/McC $26,543 $7,167 $25,676 +3% $20,911 +27% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $26,480 $7,150 $26,480 +0% $17,737 +49% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $26,374 $7,121 $24,144 +9% $19,594 +35% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $26,300 $7,101 $24,675 +7% $19,924 +32% —
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/McC $26,292 $7,099 $31,748 −17% $13,586 +94% —
306 Cardiac Congenital And Valvular Disorders With McC $26,269 $7,093 $30,731 −15% $24,586 +7% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $26,253 $7,088 $26,253 +0% $22,148 +19% —
376 Digestive Malignancy Without Cc/McC $26,138 $7,057 $30,418 −14% $16,998 +54% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $26,128 $7,055 $30,042 −13% $18,126 +44% —
149 Dysequilibrium $26,009 $7,023 $27,340 −5% $18,096 +44% —
301 Peripheral Vascular Disorders Without Cc/McC $25,953 $7,007 $18,322 +42% $15,837 +64% —
138 Mouth Procedures Without Cc/McC $25,704 $6,940 $25,814 −0% $19,119 +34% —
948 Signs And Symptoms Without McC $25,689 $6,936 $25,689 +0% $17,921 +43% ≈120% of Medicare
950 Aftercare Without Cc/McC $25,654 $6,926 $22,706 +13% $13,527 +90% —
198 Interstitial Lung Disease Without Cc/McC $25,488 $6,882 $38,663 −34% $15,549 +64% —
382 Complicated Peptic Ulcer Without Cc/McC $25,431 $6,866 $32,239 −21% $16,634 +53% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $25,394 $6,856 $25,394 +0% $16,776 +51% —
882 Neuroses Except Depressive $25,181 $6,799 $14,798 +70% $15,680 +61% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $25,073 $6,770 $26,014 −4% $19,569 +28% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $24,950 $6,736 $26,380 −5% $19,962 +25% —
755 Malignancy, Female Reproductive System With Cc $24,948 $6,736 $24,948 +0% $18,459 +35% —
204 Respiratory Signs And Symptoms $24,902 $6,723 $23,130 +8% $18,004 +38% ≈98% of Medicare
547 Connective Tissue Disorders Without Cc/McC $24,877 $6,717 $24,877 +0% $16,565 +50% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $24,822 $6,702 $24,822 +0% $23,498 +6% ≈85% of Medicare
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $24,781 $6,691 $32,902 −25% $25,463 −3% ≈62% of Medicare
053 Spinal Disorders And Injuries Without Cc/McC $24,777 $6,690 $24,777 +0% $20,455 +21% —
081 Nontraumatic Stupor And Coma Without McC $24,775 $6,689 $17,425 +42% $16,552 +50% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $24,772 $6,688 $24,490 +1% $18,956 +31% —
694 Urinary Stones Without McC $24,767 $6,687 $26,930 −8% $17,345 +43% ≈126% of Medicare
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $24,629 $6,650 $24,707 −0% $22,763 +8% —
438 Disorders Of Pancreas Except Malignancy With McC $24,560 $6,631 $29,518 −17% $32,628 −25% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $24,560 $6,631 $25,509 −4% $18,316 +34% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $24,543 $6,626 $34,439 −29% $25,970 −5% ≈74% of Medicare
369 Major Esophageal Disorders With Cc $24,524 $6,621 $35,392 −31% $25,303 −3% —
919 Complications Of Treatment With McC $24,484 $6,611 $31,120 −21% $31,105 −21% ≈41% of Medicare
728 Inflammation Of The Male Reproductive System Without McC $24,367 $6,579 $18,978 +28% $17,118 +42% —
384 Uncomplicated Peptic Ulcer Without McC $24,292 $6,559 $24,507 −1% $19,305 +26% —
299 Peripheral Vascular Disorders With McC $24,228 $6,542 $33,852 −28% $27,316 −11% ≈64% of Medicare
378 Gastrointestinal Hemorrhage With Cc $24,213 $6,538 $33,652 −28% $22,098 +10% ≈80% of Medicare
862 Postoperative And Post-Traumatic Infections With McC $24,202 $6,535 $24,432 −1% $32,859 −26% ≈44% of Medicare
689 Kidney And Urinary Tract Infections With McC $23,999 $6,480 $35,833 −33% $23,617 +2% ≈70% of Medicare
796 Vaginal Delivery With Sterilization And/Or D&C With McC $23,997 $6,479 $29,133 −18% $22,557 +6% —
883 Disorders Of Personality And Impulse Control $23,975 $6,473 $22,482 +7% $23,206 +3% —
388 Gastrointestinal Obstruction With McC $23,929 $6,461 $35,222 −32% $30,571 −22% ≈56% of Medicare
784 Cesarean Section With Sterilization With Cc $23,923 $6,459 $28,585 −16% $23,283 +3% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $23,895 $6,452 $26,297 −9% $24,566 −3% —
300 Peripheral Vascular Disorders With Cc $23,891 $6,451 $19,416 +23% $20,422 +17% ≈93% of Medicare
682 Renal Failure With McC $23,842 $6,437 $32,167 −26% $29,064 −18% ≈55% of Medicare
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $23,830 $6,434 $24,654 −3% $15,600 +53% —
840 Lymphoma And Non-Acute Leukemia With McC $23,805 $6,427 $60,052 −60% $49,710 −52% ≈21% of Medicare
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $23,759 $6,415 $27,707 −14% $22,458 +6% ≈53% of Medicare
672 Urethral Procedures Without Cc/McC $23,732 $6,408 $23,732 +0% $17,398 +36% —
103 Headaches Without McC $23,551 $6,359 $29,265 −20% $21,280 +11% ≈100% of Medicare
071 Nonspecific Cerebrovascular Disorders With Cc $23,470 $6,337 $29,075 −19% $23,488 −0% ≈65% of Medicare
191 Chronic Obstructive Pulmonary Disease With Cc $23,436 $6,328 $23,872 −2% $18,807 +25% ≈181% of Medicare
598 Malignant Breast Disorders With Cc $23,178 $6,258 $23,178 +0% $19,073 +22% —
787 Cesarean Section Without Sterilization With Cc $22,993 $6,208 $27,710 −17% $23,571 −2% —
179 Respiratory Infections And Inflammations Without Cc/McC $22,876 $6,176 $22,043 +4% $14,648 +56% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $22,818 $6,161 $20,340 +12% $11,421 +100% —
303 Atherosclerosis Without McC $22,788 $6,153 $22,788 +0% $14,927 +53% —
534 Fractures Of Femur Without McC $22,676 $6,123 $18,894 +20% $17,559 +29% —
197 Interstitial Lung Disease With Cc $22,530 $6,083 $22,530 +0% $21,941 +3% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $22,496 $6,074 $29,733 −24% $22,888 −2% ≈79% of Medicare
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $22,306 $6,023 $46,765 −52% $42,901 −48% —
446 Disorders Of The Biliary Tract Without Cc/McC $22,284 $6,017 $18,172 +23% $17,700 +26% —
748 Female Reproductive System Reconstructive Procedures $22,280 $6,016 $31,221 −29% $30,242 −26% —
159 Dental And Oral Diseases Without Cc/McC $22,093 $5,965 $22,093 +0% $13,633 +62% —
596 Major Skin Disorders Without McC $21,959 $5,929 $21,959 +0% $17,226 +27% —
151 Epistaxis Without McC $21,840 $5,897 $16,459 +33% $13,032 +68% —
786 Cesarean Section Without Sterilization With McC $21,826 $5,893 $30,293 −28% $27,152 −20% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $21,815 $5,890 $19,796 +10% $12,460 +75% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $21,806 $5,888 $21,806 +0% $16,699 +31% ≈77% of Medicare
386 Inflammatory Bowel Disease With Cc $21,795 $5,885 $21,795 +0% $22,033 −1% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $21,795 $5,885 $36,875 −41% $27,843 −22% —
812 Red Blood Cell Disorders Without McC $21,630 $5,840 $30,125 −28% $20,488 +6% ≈73% of Medicare
190 Chronic Obstructive Pulmonary Disease With McC $21,537 $5,815 $30,661 −30% $24,386 −12% ≈71% of Medicare
187 Pleural Effusion With Cc $21,390 $5,775 $21,390 +0% $21,789 −2% —
887 Other Mental Disorder Diagnoses $21,380 $5,773 $20,006 +7% $20,616 +4% —
069 Transient Ischemia Without Thrombolytic $21,350 $5,764 $29,920 −29% $21,056 +1% ≈91% of Medicare
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $21,273 $5,744 $23,545 −10% $17,322 +23% ≈97% of Medicare
194 Simple Pneumonia And Pleurisy With Cc $21,047 $5,683 $27,087 −22% $18,204 +16% ≈81% of Medicare
754 Malignancy, Female Reproductive System With McC $21,042 $5,681 $34,177 −38% $32,433 −35% —
291 Heart Failure And Shock With McC $20,997 $5,669 $31,308 −33% $26,776 −22% ≈71% of Medicare
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $20,988 $5,667 $28,730 −27% $18,150 +16% —
101 Seizures Without McC $20,944 $5,655 $23,267 −10% $20,461 +2% ≈76% of Medicare
150 Epistaxis With McC $20,880 $5,638 $25,823 −19% $23,171 −10% —
302 Atherosclerosis With McC $20,879 $5,637 $32,132 −35% $22,446 −7% —
644 Endocrine Disorders With Cc $20,811 $5,619 $29,273 −29% $23,198 −10% ≈79% of Medicare
102 Headaches With McC $20,732 $5,598 $25,874 −20% $25,740 −19% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $20,731 $5,597 $27,554 −25% $18,452 +12% —
866 Viral Illness Without McC $20,703 $5,590 $21,238 −3% $17,081 +21% ≈108% of Medicare
389 Gastrointestinal Obstruction With Cc $20,614 $5,566 $26,993 −24% $17,578 +17% ≈74% of Medicare
309 Cardiac Arrhythmia And Conduction Disorders With Cc $20,591 $5,560 $25,748 −20% $17,303 +19% ≈190% of Medicare
074 Cranial And Peripheral Nerve Disorders Without McC $20,584 $5,558 $31,306 −34% $23,141 −11% ≈62% of Medicare
311 Angina Pectoris $20,564 $5,552 $20,944 −2% $15,502 +33% —
395 Other Digestive System Diagnoses Without Cc/McC $20,541 $5,546 $14,382 +43% $14,128 +45% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $20,533 $5,544 $28,476 −28% $22,850 −10% ≈82% of Medicare
202 Bronchitis And Asthma With Cc/McC $20,416 $5,512 $23,775 −14% $17,724 +15% ≈107% of Medicare
090 Concussion Without Cc/McC $20,396 $5,507 $41,229 −51% $15,412 +32% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $20,313 $5,484 $20,313 +0% $14,689 +38% —
785 Cesarean Section With Sterilization Without Cc/McC $20,041 $5,411 $25,718 −22% $19,846 +1% —
206 Other Respiratory System Diagnoses Without McC $19,879 $5,367 $29,239 −32% $18,488 +8% ≈43% of Medicare
546 Connective Tissue Disorders With Cc $19,745 $5,331 $19,745 +0% $25,700 −23% ≈67% of Medicare
188 Pleural Effusion Without Cc/McC $19,721 $5,325 $19,721 +0% $14,514 +36% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $19,645 $5,304 $10,764 +83% $12,593 +56% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $19,485 $5,261 $25,509 −24% $15,183 +28% —
788 Cesarean Section Without Sterilization Without Cc/McC $19,429 $5,246 $27,554 −29% $20,084 −3% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $19,272 $5,203 $19,272 +0% $16,767 +15% —
536 Fractures Of Hip And Pelvis Without McC $19,086 $5,153 $22,742 −16% $18,002 +6% ≈80% of Medicare
592 Skin Ulcers With McC $19,021 $5,136 $40,195 −53% $33,246 −43% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $18,974 $5,123 $13,413 +41% $14,549 +30% —
313 Chest Pain $18,946 $5,116 $21,293 −11% $16,440 +15% ≈121% of Medicare
593 Skin Ulcers With Cc $18,910 $5,106 $27,448 −31% $22,886 −17% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $18,769 $5,068 $30,482 −38% $20,980 −11% —
379 Gastrointestinal Hemorrhage Without Cc/McC $18,700 $5,049 $20,597 −9% $15,038 +24% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $18,396 $4,967 $18,396 +0% $14,368 +28% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $18,370 $4,960 $21,355 −14% $17,038 +8% ≈75% of Medicare
880 Acute Adjustment Reaction And Psychosocial Dysfunction $18,315 $4,945 $18,315 +0% $17,733 +3% —
558 Tendonitis, Myositis And Bursitis Without McC $18,298 $4,940 $13,756 +33% $18,602 −2% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $18,274 $4,934 $15,550 +18% $12,324 +48% —
078 Hypertensive Encephalopathy With Cc $17,973 $4,853 $24,630 −27% $17,698 +2% —
759 Infections, Female Reproductive System Without Cc/McC $17,919 $4,838 $20,648 −13% $14,250 +26% —
886 Behavioral And Developmental Disorders $17,855 $4,821 $26,510 −33% $26,510 −33% —
315 Other Circulatory System Diagnoses With Cc $17,848 $4,819 $25,586 −30% $21,363 −16% ≈91% of Medicare
093 Other Disorders Of Nervous System Without Cc/McC $17,790 $4,803 $25,314 −30% $17,620 +1% —
638 Diabetes With Cc $17,756 $4,794 $27,043 −34% $19,661 −10% ≈75% of Medicare
863 Postoperative And Post-Traumatic Infections Without McC $17,649 $4,765 $28,762 −39% $20,957 −16% ≈61% of Medicare
076 Viral Meningitis Without Cc/McC $17,627 $4,759 $17,627 +0% $17,135 +3% —
729 Other Male Reproductive System Diagnoses With Cc/McC $17,530 $4,733 $17,530 +0% $17,483 +0% —
307 Cardiac Congenital And Valvular Disorders Without McC $17,415 $4,702 $21,011 −17% $20,566 −15% —
864 Fever And Inflammatory Conditions $17,319 $4,676 $20,117 −14% $18,640 −7% ≈80% of Medicare
535 Fractures Of Hip And Pelvis With McC $17,272 $4,664 $21,957 −21% $24,552 −30% —
690 Kidney And Urinary Tract Infections Without McC $17,152 $4,631 $24,350 −30% $17,674 −3% ≈75% of Medicare
758 Infections, Female Reproductive System With Cc $17,148 $4,630 $30,330 −43% $20,901 −18% —
305 Hypertension Without McC $17,144 $4,629 $26,555 −35% $18,086 −5% ≈125% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $17,120 $4,622 $25,679 −33% $21,275 −20% ≈81% of Medicare
390 Gastrointestinal Obstruction Without Cc/McC $17,099 $4,617 $15,036 +14% $13,361 +28% ≈255% of Medicare
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $17,096 $4,616 $19,191 −11% $14,797 +16% —
370 Major Esophageal Disorders Without Cc/McC $16,946 $4,575 $16,946 +0% $15,495 +9% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $16,907 $4,565 $17,734 −5% $18,133 −7% —
683 Renal Failure With Cc $16,876 $4,557 $26,395 −36% $19,130 −12% ≈73% of Medicare
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $16,831 $4,544 $24,594 −32% $19,842 −15% ≈69% of Medicare
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $16,811 $4,539 $27,175 −38% $22,506 −25% —
726 Benign Prostatic Hypertrophy Without McC $16,769 $4,528 $15,705 +7% $15,019 +12% —
600 Non-Malignant Breast Disorders With Cc/McC $16,405 $4,429 $17,061 −4% $16,700 −2% —
316 Other Circulatory System Diagnoses Without Cc/McC $16,400 $4,428 $27,750 −41% $13,651 +20% —
554 Bone Diseases And Arthropathies Without McC $16,327 $4,408 $23,114 −29% $18,528 −12% ≈77% of Medicare
201 Pneumothorax Without Cc/McC $16,175 $4,367 $16,175 +0% $14,053 +15% —
540 Osteomyelitis With Cc $16,046 $4,332 $29,401 −45% $26,676 −40% —
292 Heart Failure And Shock With Cc $16,030 $4,328 $27,360 −41% $16,371 −2% ≈108% of Medicare
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $15,815 $4,270 $15,815 +0% $14,638 +8% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $15,658 $4,228 $21,114 −26% $16,846 −7% —
603 Cellulitis Without McC $15,592 $4,210 $24,429 −36% $18,530 −16% ≈69% of Medicare
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $15,561 $4,201 $23,838 −35% $18,126 −14% —
203 Bronchitis And Asthma Without Cc/McC $15,488 $4,182 $13,528 +14% $12,252 +26% —
290 Acute And Subacute Endocarditis Without Cc/McC $15,380 $4,153 $42,487 −64% $15,901 −3% —
645 Endocrine Disorders Without Cc/McC $15,180 $4,099 $12,844 +18% $15,428 −2% —
293 Heart Failure And Shock Without Cc/McC $15,157 $4,092 $15,157 +0% $12,999 +17% —
594 Skin Ulcers Without Cc/McC $15,153 $4,091 $16,834 −10% $14,209 +7% —
294 Deep Vein Thrombophlebitis With Cc/McC $14,956 $4,038 $17,446 −14% $19,132 −22% —
153 Otitis Media And Uri Without McC $14,807 $3,998 $18,842 −21% $14,583 +2% —
284 Acute Myocardial Infarction, Expired With Cc $14,755 $3,984 $24,922 −41% $16,450 −10% —
724 Malignancy, Male Reproductive System Without Cc/McC $14,690 $3,966 $37,465 −61% $12,768 +15% —
121 Acute Major Eye Infections With Cc/McC $14,289 $3,858 $16,366 −13% $19,412 −26% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $14,270 $3,853 $14,716 −3% $14,716 −3% —
541 Osteomyelitis Without Cc/McC $14,206 $3,836 $14,549 −2% $15,215 −7% —
916 Allergic Reactions Without McC $14,160 $3,823 $13,510 +5% $13,942 +2% —
639 Diabetes Without Cc/McC $13,891 $3,751 $19,853 −30% $13,910 −0% —
913 Traumatic Injury With McC $13,837 $3,736 $24,198 −43% $24,198 −43% —
779 Abortion Without D&C $13,803 $3,727 $14,464 −5% $15,327 −10% —
914 Traumatic Injury Without McC $13,674 $3,692 $22,256 −39% $15,855 −14% —
607 Minor Skin Disorders Without McC $13,666 $3,690 $13,589 +1% $15,889 −14% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $13,302 $3,592 $25,506 −48% $11,909 +12% —
918 Poisoning And Toxic Effects Of Drugs Without McC $13,112 $3,540 $18,908 −31% $15,452 −15% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $12,717 $3,434 $15,445 −18% $13,384 −5% ≈165% of Medicare
684 Renal Failure Without Cc/McC $12,689 $3,426 $21,444 −41% $13,642 −7% —
122 Acute Major Eye Infections Without Cc/McC $12,434 $3,357 $12,216 +2% $11,997 +4% —
601 Non-Malignant Breast Disorders Without Cc/McC $12,168 $3,285 $11,571 +5% $10,975 +11% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $12,080 $3,262 $31,888 −62% $25,034 −52% ≈71% of Medicare
793 Full Term Neonate With Major Problems $11,377 $3,072 $8,962 +27% $18,649 −39% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $11,299 $3,051 $20,849 −46% $15,370 −26% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $10,986 $2,966 $14,968 −27% $12,559 −13% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $10,661 $2,878 $18,498 −42% $13,275 −20% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $9,886 $2,669 $22,600 −56% $13,824 −28% —
921 Complications Of Treatment Without Cc/McC $9,435 $2,548 $13,947 −32% $14,415 −35% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $9,136 $2,467 $13,530 −32% $15,215 −40% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $8,895 $2,402 $16,757 −47% $12,078 −26% —
881 Depressive Neuroses $8,512 $2,298 $15,058 −43% $15,058 −43% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $8,222 $2,220 $16,604 −50% $14,501 −43% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $7,202 $1,945 $9,715 −26% $9,940 −28% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $7,012 $1,893 $12,895 −46% $12,895 −46% —
730 Other Male Reproductive System Diagnoses Without Cc/McC $6,898 $1,863 $18,520 −63% $11,071 −38% —
792 Prematurity Without Major Problems $5,589 $1,509 $5,399 +4% $12,229 −54% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $5,047 $1,363 $12,640 −60% $12,454 −59% —
794 Neonate With Other Significant Problems $3,284 $887 $4,134 −21% $8,445 −61% —
795 Normal Newborn $2,819 $761 $3,473 −19% $4,720 −40% —
285 Acute Myocardial Infarction, Expired Without Cc/McC $2,326 $628 $3,338 −30% $10,480 −78% —
951 Other Factors Influencing Health Status $2,027 $547 $8,532 −76% $10,160 −80% —
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