ECU Health Duplin Hospital — Pricing

737 procedures published in this hospital's Machine-Readable File (MRF) — 737 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 737
Lowest published price $2,967
Average published price $39,325
Highest published price $504,434

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 737 procedures

Published charges

Showing all 737 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 13 procedures, this hospital's negotiated rates average ≈42% of what Medicare pays.

DRG Description Published price Cash price vs. NC median vs. National median vs Medicare
002 Heart Transplant Or Implant Of Heart Assist System Without McC $504,434 $504,434 $560,182 −10% $194,769 +159% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $461,389 $461,389 $461,389 +0% $461,389 +0% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $395,416 $395,416 $395,416 +0% $66,711 +493% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $299,897 $299,897 $299,897 +0% $90,401 +232% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $261,275 $261,275 $678,931 −62% $371,366 −30% —
215 Other Heart Assist System Implant $213,355 $213,355 $227,466 −6% $208,939 +2% —
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $211,083 $211,083 $211,083 +0% $105,228 +101% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $206,732 $206,732 $355,728 −42% $248,521 −17% —
010 Pancreas Transplant $190,570 $190,570 $190,570 +0% $99,940 +91% —
008 Simultaneous Pancreas And Kidney Transplant $188,873 $188,873 $188,873 +0% $86,459 +118% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $181,279 $181,279 $245,968 −26% $188,171 −4% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $180,902 $180,902 $281,448 −36% $148,686 +22% —
955 Craniotomy For Multiple Significant Trauma $178,611 $178,611 $196,897 −9% $102,600 +74% —
901 Wound Debridements For Injuries With McC $177,414 $177,414 $152,630 +16% $70,177 +153% —
212 Concomitant Aortic And Mitral Valve Procedures $169,317 $169,317 $268,712 −37% $196,346 −14% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $163,664 $163,664 $163,664 +0% $80,018 +105% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $160,364 $160,364 $160,364 +0% $83,441 +92% —
231 Coronary Bypass With Ptca With McC $158,932 $158,932 $179,995 −12% $147,227 +8% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $146,532 $146,532 $204,145 −28% $106,057 +38% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $142,999 $142,999 $205,851 −31% $120,573 +19% —
650 Kidney Transplant With Hemodialysis With McC $138,711 $138,711 $138,711 +0% $71,551 +94% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $136,016 $136,016 $187,980 −28% $123,995 +10% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $132,987 $132,987 $286,862 −54% $143,242 −7% —
651 Kidney Transplant With Hemodialysis Without McC $130,339 $130,339 $130,339 +0% $56,242 +132% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $127,349 $127,349 $265,632 −52% $153,282 −17% —
232 Coronary Bypass With Ptca Without McC $125,585 $125,585 $147,356 −15% $115,839 +8% —
652 Kidney Transplant $125,049 $125,049 $125,049 +0% $54,720 +129% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $121,973 $121,973 $219,702 −44% $144,569 −16% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $120,917 $120,917 $164,594 −27% $111,320 +9% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $119,023 $119,023 $201,810 −41% $113,855 +5% —
028 Spinal Procedures With McC $116,465 $116,465 $210,482 −45% $113,077 +3% —
332 Rectal Resection With McC $114,903 $114,903 $100,020 +15% $58,125 +98% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $114,899 $114,899 $194,967 −41% $125,242 −8% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC $114,140 $114,140 $114,140 +0% $108,472 +5% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $114,059 $114,059 $154,205 −26% $102,573 +11% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $114,007 $114,007 $265,903 −57% $131,961 −14% —
583 Mastectomy For Malignancy Without Cc/McC $112,168 $112,168 $112,168 +0% $35,831 +213% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $111,243 $111,243 $145,265 −23% $87,761 +27% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $108,304 $108,304 $148,324 −27% $85,159 +27% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $108,276 $108,276 $170,734 −37% $148,832 −27% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $107,983 $107,983 $141,583 −24% $92,217 +17% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $107,862 $107,862 $223,939 −52% $106,778 +1% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $106,135 $106,135 $106,135 +0% $90,724 +17% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $104,580 $104,580 $166,424 −37% $90,331 +16% —
905 Skin Grafts For Injuries Without Cc/McC $104,212 $104,212 $104,212 +0% $25,197 +314% —
665 Prostatectomy With McC $102,095 $102,095 $102,095 +0% $54,072 +89% —
570 Skin Debridement With McC $101,088 $101,088 $101,088 +0% $52,435 +93% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $94,936 $94,936 $94,936 +0% $79,836 +19% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $94,303 $94,303 $223,645 −58% $107,355 −12% —
270 Other Major Cardiovascular Procedures With McC $93,289 $93,289 $168,543 −45% $99,423 −6% —
836 Acute Leukemia Without Cc/McC $92,540 $92,540 $37,883 +144% $19,686 +370% —
849 Radiotherapy $91,040 $91,040 $59,196 +54% $37,862 +140% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $90,643 $90,643 $169,372 −46% $116,058 −22% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $89,610 $89,610 $167,196 −46% $117,280 −24% —
140 Major Head And Neck Procedures With McC $89,511 $89,511 $112,669 −21% $60,098 +49% —
235 Coronary Bypass Without Cardiac Catheterization With McC $87,667 $87,667 $189,145 −54% $112,062 −22% —
273 Percutaneous And Other Intracardiac Procedures With McC $87,029 $87,029 $131,675 −34% $78,852 +10% —
471 Cervical Spinal Fusion With McC $86,137 $86,137 $113,322 −24% $92,515 −7% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $82,225 $82,225 $82,225 +0% $59,031 +39% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $81,577 $81,577 $107,849 −24% $74,755 +9% —
466 Revision Of Hip Or Knee Replacement With McC $81,432 $81,432 $132,032 −38% $96,507 −16% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $80,660 $80,660 $90,621 −11% $67,268 +20% —
653 Major Bladder Procedures With McC $78,740 $78,740 $100,861 −22% $104,583 −25% —
834 Acute Leukemia With McC $78,441 $78,441 $93,528 −16% $85,566 −8% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $77,403 $77,403 $105,834 −27% $88,307 −12% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $77,142 $77,142 $125,538 −39% $75,103 +3% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $76,556 $76,556 $104,530 −27% $66,848 +15% —
265 Aicd Lead Procedures $76,543 $76,543 $85,580 −11% $63,171 +21% —
356 Other Digestive System O.R. Procedures With McC $76,138 $76,138 $121,712 −37% $82,561 −8% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $75,468 $75,468 $83,640 −10% $61,832 +22% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $75,215 $75,215 $117,955 −36% $82,247 −9% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $74,684 $74,684 $133,868 −44% $101,510 −26% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $72,817 $72,817 $82,004 −11% $69,743 +4% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $72,392 $72,392 $72,392 +0% $47,583 +52% —
277 Cardiac Defibrillator Implant Without McC $72,037 $72,037 $116,842 −38% $91,329 −21% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $71,464 $71,464 $125,956 −43% $71,464 +0% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $70,517 $70,517 $106,659 −34% $74,257 −5% —
163 Major Chest Procedures With McC $70,310 $70,310 $133,292 −47% $90,195 −22% —
467 Revision Of Hip Or Knee Replacement With Cc $69,865 $69,865 $95,410 −27% $70,847 −1% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $69,353 $69,353 $95,743 −28% $59,533 +16% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $69,289 $69,289 $69,289 +0% $90,775 −24% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $68,580 $68,580 $116,549 −41% $70,564 −3% —
326 Stomach, Esophageal And Duodenal Procedures With McC $68,265 $68,265 $68,265 +0% $80,793 −16% —
228 Other Cardiothoracic Procedures With McC $68,094 $68,094 $129,200 −47% $96,905 −30% —
799 Splenic Procedures With McC $67,322 $67,322 $67,322 +0% $82,218 −18% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $66,853 $66,853 $127,440 −48% $73,120 −9% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $66,751 $66,751 $108,418 −38% $81,706 −18% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $66,544 $66,544 $90,039 −26% $53,864 +24% —
406 Pancreas, Liver And Shunt Procedures With Cc $65,947 $65,947 $78,648 −16% $58,043 +14% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $65,787 $65,787 $116,893 −44% $55,289 +19% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $65,566 $65,566 $70,144 −7% $58,228 +13% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $65,458 $65,458 $136,564 −52% $101,576 −36% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $65,254 $65,254 $78,013 −16% $65,788 −1% —
970 Hiv With Extensive O.R. Procedures Without McC $65,056 $65,056 $65,056 +0% $44,222 +47% —
037 Extracranial Procedures With McC $64,749 $64,749 $103,899 −38% $66,666 −3% —
420 Hepatobiliary Diagnostic Procedures With McC $64,453 $64,453 $107,615 −40% $50,919 +27% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $64,270 $64,270 $111,341 −42% $70,371 −9% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $63,919 $63,919 $85,697 −25% $54,929 +16% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $63,905 $63,905 $95,645 −33% $89,207 −28% —
329 Major Small And Large Bowel Procedures With McC $63,776 $63,776 $119,451 −47% $88,050 −28% —
472 Cervical Spinal Fusion With Cc $63,369 $63,369 $87,747 −28% $59,537 +6% —
272 Other Major Cardiovascular Procedures Without Cc/McC $62,875 $62,875 $62,875 +0% $55,162 +14% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $62,790 $62,790 $76,658 −18% $46,066 +36% —
473 Cervical Spinal Fusion Without Cc/McC $62,276 $62,276 $70,578 −12% $50,624 +23% —
034 Carotid Artery Stent Procedures With McC $61,587 $61,587 $70,126 −12% $76,219 −19% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $61,278 $61,278 $93,172 −34% $93,172 −34% —
353 Hernia Procedures Except Inguinal And Femoral With McC $61,200 $61,200 $85,423 −28% $60,170 +2% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $60,980 $60,980 $86,974 −30% $72,424 −16% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $60,351 $60,351 $81,168 −26% $59,629 +1% —
840 Lymphoma And Non-Acute Leukemia With McC $60,052 $60,052 $60,052 +0% $49,710 +21% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $59,943 $59,943 $115,634 −48% $76,001 −21% —
252 Other Vascular Procedures With McC $59,913 $59,913 $120,467 −50% $68,508 −13% —
413 Cholecystectomy With C.D.E. Without Cc/McC $59,439 $59,439 $59,197 +0% $29,316 +103% —
274 Percutaneous And Other Intracardiac Procedures Without McC $59,397 $59,397 $117,171 −49% $65,573 −9% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $59,103 $59,103 $88,155 −33% $68,653 −14% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $58,520 $58,520 $64,694 −10% $54,583 +7% —
614 Adrenal And Pituitary Procedures With Cc/McC $58,307 $58,307 $61,165 −5% $48,349 +21% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $57,989 $57,989 $57,989 +0% $66,068 −12% —
480 Hip And Femur Procedures Except Major Joint With McC $57,803 $57,803 $90,438 −36% $65,653 −12% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $57,277 $57,277 $57,277 +0% $63,928 −10% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $56,758 $56,758 $112,625 −50% $58,975 −4% —
245 Aicd Generator Procedures $56,531 $56,531 $104,346 −46% $72,076 −22% —
656 Kidney And Ureter Procedures For Neoplasm With McC $56,322 $56,322 $62,977 −11% $65,608 −14% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $56,001 $56,001 $85,866 −35% $71,092 −21% —
686 Kidney And Urinary Tract Neoplasms With McC $55,656 $55,656 $55,656 +0% $37,844 +47% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $55,185 $55,185 $66,260 −17% $64,523 −14% —
271 Other Major Cardiovascular Procedures With Cc $55,104 $55,104 $119,957 −54% $71,014 −22% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $55,082 $55,082 $113,027 −51% $79,225 −30% —
405 Pancreas, Liver And Shunt Procedures With McC $54,892 $54,892 $161,928 −66% $102,128 −46% —
335 Peritoneal Adhesiolysis With McC $54,659 $54,659 $121,663 −55% $71,755 −24% —
662 Minor Bladder Procedures With McC $54,483 $54,483 $54,483 +0% $54,562 −0% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $54,215 $54,215 $54,215 +0% $49,423 +10% —
654 Major Bladder Procedures With Cc $53,868 $53,868 $79,317 −32% $58,274 −8% —
350 Inguinal And Femoral Hernia Procedures With McC $53,797 $53,797 $53,797 +0% $50,046 +7% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $53,576 $53,576 $65,373 −18% $58,707 −9% —
258 Cardiac Pacemaker Device Replacement With McC $53,553 $53,553 $70,055 −24% $52,986 +1% —
711 Testes Procedures With Cc/McC $53,392 $53,392 $53,392 +0% $38,343 +39% —
242 Permanent Cardiac Pacemaker Implant With McC $53,346 $53,346 $91,781 −42% $70,132 −24% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $53,337 $53,337 $93,464 −43% $84,692 −37% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $53,246 $53,246 $53,246 +0% $40,108 +33% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $52,805 $52,805 $52,805 +0% $29,079 +82% —
229 Other Cardiothoracic Procedures Without McC $52,213 $52,213 $93,180 −44% $65,325 −20% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $51,589 $51,589 $51,589 +0% $42,795 +21% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $51,569 $51,569 $97,243 −47% $47,789 +8% —
904 Skin Grafts For Injuries With Cc/McC $51,106 $51,106 $59,883 −15% $59,594 −14% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $50,864 $50,864 $60,571 −16% $49,418 +3% —
135 Sinus And Mastoid Procedures With Cc/McC $50,838 $50,838 $58,281 −13% $42,186 +21% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $50,739 $50,739 $50,739 +0% $40,365 +26% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $50,649 $50,649 $79,373 −36% $58,809 −14% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $50,498 $50,498 $77,910 −35% $68,639 −26% —
907 Other O.R. Procedures For Injuries With McC $50,309 $50,309 $106,316 −53% $77,817 −35% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $50,255 $50,255 $42,025 +20% $21,230 +137% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $49,875 $49,875 $83,323 −40% $70,467 −29% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $49,776 $49,776 $51,473 −3% $48,687 +2% —
288 Acute And Subacute Endocarditis With McC $49,549 $49,549 $75,345 −34% $50,618 −2% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $49,463 $49,463 $162,298 −70% $77,055 −36% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $49,369 $49,369 $59,345 −17% $56,964 −13% —
791 Prematurity With Major Problems $49,305 $49,305 $30,459 +62% $42,679 +16% —
166 Other Respiratory System O.R. Procedures With McC $48,955 $48,955 $128,104 −62% $75,573 −35% —
411 Cholecystectomy With C.D.E. With McC $48,867 $48,867 $120,621 −59% $48,358 +1% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $47,945 $47,945 $56,325 −15% $47,945 +0% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $47,897 $47,897 $109,948 −56% $93,238 −49% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $47,798 $47,798 $94,235 −49% $61,217 −22% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $47,741 $47,741 $58,569 −18% $49,839 −4% —
963 Other Multiple Significant Trauma With McC $47,663 $47,663 $108,895 −56% $43,491 +10% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $47,546 $47,546 $62,199 −24% $50,498 −6% —
264 Other Circulatory System O.R. Procedures $47,331 $47,331 $51,289 −8% $51,953 −9% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $47,108 $47,108 $155,053 −70% $93,390 −50% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $47,083 $47,083 $62,317 −24% $46,295 +2% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $46,924 $46,924 $49,112 −4% $34,749 +35% —
253 Other Vascular Procedures With Cc $46,904 $46,904 $113,961 −59% $57,454 −18% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $46,791 $46,791 $49,732 −6% $35,584 +31% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $46,765 $46,765 $46,765 +0% $42,901 +9% —
164 Major Chest Procedures With Cc $46,646 $46,646 $71,945 −35% $56,755 −18% —
800 Splenic Procedures With Cc $46,543 $46,543 $65,879 −29% $49,184 −5% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $46,446 $46,446 $117,337 −60% $71,795 −35% —
052 Spinal Disorders And Injuries With Cc/McC $46,252 $46,252 $46,252 +0% $32,031 +44% —
674 Other Kidney And Urinary Tract Procedures With Cc $46,201 $46,201 $80,027 −42% $50,394 −8% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $46,158 $46,158 $90,442 −49% $62,821 −27% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $46,030 $46,030 $58,596 −21% $61,470 −25% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $45,979 $45,979 $85,978 −47% $53,451 −14% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $45,918 $45,918 $51,830 −11% $45,167 +2% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $45,810 $45,810 $45,810 +0% $39,018 +17% —
334 Rectal Resection Without Cc/McC $45,782 $45,782 $45,782 +0% $36,820 +24% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $45,714 $45,714 $54,862 −17% $62,300 −27% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/McC $45,497 $45,497 $45,497 +0% $22,811 +99% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $45,423 $45,423 $45,423 +0% $33,454 +36% —
748 Female Reproductive System Reconstructive Procedures $45,216 $45,216 $31,221 +45% $30,242 +50% —
330 Major Small And Large Bowel Procedures With Cc $44,851 $44,851 $74,617 −40% $59,500 −25% —
344 Minor Small And Large Bowel Procedures With McC $44,839 $44,839 $59,187 −24% $44,546 +1% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $44,833 $44,833 $50,370 −11% $43,298 +4% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $44,660 $44,660 $84,140 −47% $43,538 +3% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $44,617 $44,617 $59,206 −25% $44,363 +1% —
167 Other Respiratory System O.R. Procedures With Cc $44,608 $44,608 $61,102 −27% $40,642 +10% —
296 Cardiac Arrest, Unexplained With McC $44,326 $44,326 $71,743 −38% $33,661 +32% —
481 Hip And Femur Procedures Except Major Joint With Cc $44,262 $44,262 $74,133 −40% $52,751 −16% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $44,182 $44,182 $88,387 −50% $59,651 −26% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $44,139 $44,139 $59,686 −26% $44,139 +0% —
412 Cholecystectomy With C.D.E. With Cc $44,099 $44,099 $75,377 −41% $42,906 +3% —
421 Hepatobiliary Diagnostic Procedures With Cc $44,092 $44,092 $62,731 −30% $36,354 +21% —
673 Other Kidney And Urinary Tract Procedures With McC $43,738 $43,738 $76,824 −43% $77,990 −44% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $43,680 $43,680 $61,508 −29% $43,650 +0% —
974 Hiv With Major Related Condition With McC $43,528 $43,528 $43,588 −0% $46,402 −6% —
615 Adrenal And Pituitary Procedures Without Cc/McC $43,524 $43,524 $43,524 +0% $32,833 +33% —
031 Ventricular Shunt Procedures With McC $43,431 $43,431 $92,897 −53% $72,962 −40% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $43,266 $43,266 $59,374 −27% $43,477 −0% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $42,792 $42,792 $64,233 −33% $33,674 +27% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $42,604 $42,604 $58,687 −27% $66,685 −36% —
141 Major Head And Neck Procedures With Cc $42,520 $42,520 $56,402 −25% $37,267 +14% —
500 Soft Tissue Procedures With McC $42,499 $42,499 $70,494 −40% $61,872 −31% —
841 Lymphoma And Non-Acute Leukemia With Cc $42,360 $42,360 $42,360 +0% $33,633 +26% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $42,205 $42,205 $42,205 +0% $29,805 +42% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $42,130 $42,130 $57,037 −26% $46,090 −9% —
319 Other Endovascular Cardiac Valve Procedures With McC $42,103 $42,103 $132,314 −68% $86,970 −52% —
906 Hand Procedures For Injuries $42,058 $42,058 $42,058 +0% $32,065 +31% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $41,833 $41,833 $79,477 −47% $58,280 −28% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $41,738 $41,738 $47,628 −12% $34,434 +21% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $41,718 $41,718 $76,865 −46% $62,264 −33% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $41,654 $41,654 $54,859 −24% $37,950 +10% —
668 Transurethral Procedures With McC $41,626 $41,626 $84,080 −50% $51,608 −19% —
090 Concussion Without Cc/McC $41,484 $41,484 $41,229 +1% $15,412 +169% —
035 Carotid Artery Stent Procedures With Cc $40,850 $40,850 $71,884 −43% $49,066 −17% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $40,847 $40,847 $73,760 −45% $43,913 −7% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $40,596 $40,596 $80,626 −50% $46,727 −13% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $40,500 $40,500 $45,562 −11% $33,694 +20% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $40,326 $40,326 $42,274 −5% $30,553 +32% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $40,284 $40,284 $82,669 −51% $42,126 −4% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $39,801 $39,801 $39,801 +0% $25,094 +59% —
708 Major Male Pelvic Procedures Without Cc/McC $39,617 $39,617 $39,617 +0% $36,988 +7% —
655 Major Bladder Procedures Without Cc/McC $39,395 $39,395 $63,863 −38% $43,174 −9% —
723 Malignancy, Male Reproductive System With Cc $39,306 $39,306 $36,370 +8% $19,815 +98% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $39,181 $39,181 $39,181 +0% $39,181 +0% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $39,093 $39,093 $45,133 −13% $41,620 −6% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $39,035 $39,035 $52,615 −26% $38,878 +0% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $38,955 $38,955 $65,842 −41% $52,178 −25% —
374 Digestive Malignancy With McC $38,885 $38,885 $45,291 −14% $39,958 −3% —
165 Major Chest Procedures Without Cc/McC $38,793 $38,793 $56,867 −32% $46,340 −16% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $38,730 $38,730 $58,215 −33% $43,631 −11% —
357 Other Digestive System O.R. Procedures With Cc $38,707 $38,707 $60,207 −36% $48,682 −20% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $38,682 $38,682 $50,832 −24% $51,985 −26% —
198 Interstitial Lung Disease Without Cc/McC $38,663 $38,663 $38,663 +0% $15,549 +149% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $38,520 $38,520 $54,690 −30% $43,800 −12% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $38,452 $38,452 $76,409 −50% $50,139 −23% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $38,382 $38,382 $65,980 −42% $41,608 −8% —
553 Bone Diseases And Arthropathies With McC $38,165 $38,165 $38,165 +0% $26,051 +47% —
180 Respiratory Neoplasms With McC $38,001 $38,001 $38,001 +0% $36,658 +4% —
503 Foot Procedures With McC $37,802 $37,802 $54,558 −31% $47,540 −20% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $37,729 $37,729 $75,715 −50% $62,583 −40% —
116 Intraocular Procedures With Cc/McC $37,678 $37,678 $42,596 −12% $29,126 +29% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $37,672 $37,672 $53,121 −29% $45,877 −18% —
545 Connective Tissue Disorders With McC $37,642 $37,642 $50,208 −25% $40,362 −7% —
801 Splenic Procedures Without Cc/McC $37,623 $37,623 $37,623 +0% $36,445 +3% —
142 Major Head And Neck Procedures Without Cc/McC $37,598 $37,598 $58,694 −36% $34,906 +8% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $37,588 $37,588 $68,009 −45% $49,351 −24% —
724 Malignancy, Male Reproductive System Without Cc/McC $37,465 $37,465 $37,465 +0% $12,768 +193% —
243 Permanent Cardiac Pacemaker Implant With Cc $37,393 $37,393 $74,020 −49% $50,011 −25% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $37,346 $37,346 $16,604 +125% $14,501 +158% —
036 Carotid Artery Stent Procedures Without Cc/McC $37,337 $37,337 $74,218 −50% $40,694 −8% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $37,110 $37,110 $54,949 −32% $35,465 +5% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $36,511 $36,511 $199,473 −82% $96,192 −62% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $36,247 $36,247 $57,719 −37% $50,607 −28% —
949 Aftercare With Cc/McC $36,227 $36,227 $36,227 +0% $23,953 +51% —
254 Other Vascular Procedures Without Cc/McC $36,143 $36,143 $60,105 −40% $38,836 −7% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $36,102 $36,102 $57,547 −37% $44,606 −19% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $36,063 $36,063 $38,798 −7% $26,948 +34% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $35,978 $35,978 $44,105 −18% $35,074 +3% —
331 Major Small And Large Bowel Procedures Without Cc/McC $35,941 $35,941 $66,342 −46% $44,117 −19% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $35,880 $35,880 $85,282 −58% $59,790 −40% —
582 Mastectomy For Malignancy With Cc/McC $35,849 $35,849 $69,228 −48% $35,849 +0% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $35,769 $35,769 $50,054 −29% $35,692 +0% —
082 Traumatic Stupor And Coma >1 Hour With McC $35,648 $35,648 $35,666 −0% $36,489 −2% —
397 Appendix Procedures With McC $35,613 $35,613 $52,855 −33% $53,257 −33% —
033 Ventricular Shunt Procedures Without Cc/McC $35,567 $35,567 $53,766 −34% $35,419 +0% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $35,528 $35,528 $42,812 −17% $36,253 −2% —
337 Peritoneal Adhesiolysis Without Cc/McC $35,441 $35,441 $56,127 −37% $39,211 −10% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $35,429 $35,429 $46,206 −23% $29,916 +18% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $35,147 $35,147 $35,147 +0% $58,745 −40% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $35,121 $35,121 $100,691 −65% $59,421 −41% —
056 Degenerative Nervous System Disorders With McC $35,025 $35,025 $38,980 −10% $39,973 −12% —
157 Dental And Oral Diseases With McC $35,013 $35,013 $45,924 −24% $31,300 +12% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $34,881 $34,881 $45,061 −23% $24,544 +42% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $34,872 $34,872 $70,940 −51% $46,283 −25% —
669 Transurethral Procedures With Cc $34,565 $34,565 $34,700 −0% $34,354 +1% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $34,467 $34,467 $40,724 −15% $39,106 −12% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $34,357 $34,357 $38,458 −11% $33,393 +3% —
707 Major Male Pelvic Procedures With Cc/McC $34,353 $34,353 $57,229 −40% $43,080 −20% —
032 Ventricular Shunt Procedures With Cc $34,347 $34,347 $84,712 −59% $46,724 −26% —
030 Spinal Procedures Without Cc/McC $34,281 $34,281 $47,889 −28% $45,866 −25% —
114 Orbital Procedures Without Cc/McC $34,210 $34,210 $34,210 +0% $19,598 +75% —
283 Acute Myocardial Infarction, Expired With McC $34,204 $34,204 $34,204 +0% $39,955 −14% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $34,200 $34,200 $62,201 −45% $47,711 −28% —
754 Malignancy, Female Reproductive System With McC $34,177 $34,177 $34,177 +0% $32,433 +5% —
205 Other Respiratory System Diagnoses With McC $33,894 $33,894 $33,894 +0% $33,255 +2% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $33,879 $33,879 $45,522 −26% $28,320 +20% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $33,803 $33,803 $52,577 −36% $36,431 −7% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $33,803 $33,803 $71,229 −53% $52,075 −35% —
903 Wound Debridements For Injuries Without Cc/McC $33,682 $33,682 $34,677 −3% $25,581 +32% —
908 Other O.R. Procedures For Injuries With Cc $33,675 $33,675 $42,974 −22% $42,914 −22% —
709 Penis Procedures With Cc/McC $33,673 $33,673 $38,553 −13% $34,535 −2% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $33,655 $33,655 $63,587 −47% $52,908 −36% —
376 Digestive Malignancy Without Cc/McC $33,509 $33,509 $30,418 +10% $16,998 +97% —
947 Signs And Symptoms With McC $33,290 $33,290 $33,290 +0% $27,401 +21% —
117 Intraocular Procedures Without Cc/McC $33,211 $33,211 $33,211 +0% $17,193 +93% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $33,173 $33,173 $36,054 −8% $27,297 +22% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $33,140 $33,140 $56,307 −41% $41,955 −21% —
398 Appendix Procedures With Cc $32,785 $32,785 $53,293 −38% $40,162 −18% —
289 Acute And Subacute Endocarditis With Cc $32,697 $32,697 $42,250 −23% $32,697 +0% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $32,443 $32,443 $44,349 −27% $32,443 +0% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $32,436 $32,436 $37,100 −13% $27,163 +19% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $32,368 $32,368 $66,680 −51% $41,591 −22% —
336 Peritoneal Adhesiolysis With Cc $32,348 $32,348 $70,773 −54% $50,463 −36% —
320 Other Endovascular Cardiac Valve Procedures Without McC $32,305 $32,305 $88,106 −63% $40,060 −19% —
297 Cardiac Arrest, Unexplained With Cc $32,284 $32,284 $32,284 +0% $12,336 +162% —
382 Complicated Peptic Ulcer Without Cc/McC $32,239 $32,239 $32,239 +0% $16,634 +94% —
302 Atherosclerosis With McC $32,132 $32,132 $32,132 +0% $22,446 +43% —
347 Anal And Stomal Procedures With McC $32,107 $32,107 $52,597 −39% $40,548 −21% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $31,984 $31,984 $50,414 −37% $40,552 −21% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $31,924 $31,924 $37,257 −14% $36,670 −13% —
333 Rectal Resection With Cc $31,891 $31,891 $63,363 −50% $37,154 −14% —
597 Malignant Breast Disorders With McC $31,846 $31,846 $57,714 −45% $33,386 −5% —
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/McC $31,748 $31,748 $31,748 +0% $13,586 +134% —
345 Minor Small And Large Bowel Procedures With Cc $31,221 $31,221 $36,216 −14% $33,048 −6% —
619 O.R. Procedures For Obesity With McC $31,206 $31,206 $58,723 −47% $51,746 −40% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $31,190 $31,190 $46,222 −33% $32,021 −3% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $31,169 $31,169 $38,060 −18% $24,127 +29% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $31,147 $31,147 $61,626 −49% $47,737 −35% —
551 Medical Back Problems With McC $31,067 $31,067 $37,053 −16% $34,017 −9% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $30,933 $30,933 $31,265 −1% $25,279 +22% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $30,930 $30,930 $46,342 −33% $34,607 −11% —
380 Complicated Peptic Ulcer With McC $30,796 $30,796 $44,130 −30% $39,627 −22% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $30,763 $30,763 $111,445 −72% $41,422 −26% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $30,661 $30,661 $44,221 −31% $31,134 −2% —
505 Foot Procedures Without Cc/McC $30,579 $30,579 $50,640 −40% $34,937 −12% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $30,537 $30,537 $38,654 −21% $28,140 +9% —
091 Other Disorders Of Nervous System With McC $30,468 $30,468 $43,586 −30% $37,387 −19% —
054 Nervous System Neoplasms With McC $30,447 $30,447 $30,650 −1% $30,502 −0% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $30,436 $30,436 $51,019 −40% $36,937 −18% —
969 Hiv With Extensive O.R. Procedures With McC $30,395 $30,395 $263,448 −88% $109,331 −72% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $30,275 $30,275 $30,275 +0% $31,159 −3% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $30,021 $30,021 $30,021 +0% $20,781 +44% —
550 Septic Arthritis Without Cc/McC $29,975 $29,975 $29,079 +3% $19,138 +57% —
263 Vein Ligation And Stripping $29,783 $29,783 $38,005 −22% $51,253 −42% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $29,705 $29,705 $48,553 −39% $30,493 −3% —
783 Cesarean Section With Sterilization With McC $29,593 $29,593 $30,719 −4% $29,221 +1% —
506 Major Thumb Or Joint Procedures $29,565 $29,565 $34,520 −14% $30,557 −3% —
383 Uncomplicated Peptic Ulcer With McC $29,413 $29,413 $30,689 −4% $27,426 +7% —
314 Other Circulatory System Diagnoses With McC $29,412 $29,412 $40,116 −27% $38,666 −24% —
501 Soft Tissue Procedures With Cc $29,410 $29,410 $47,828 −39% $39,619 −26% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $29,409 $29,409 $71,679 −59% $31,563 −7% —
444 Disorders Of The Biliary Tract With McC $29,285 $29,285 $34,273 −15% $34,273 −15% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $29,215 $29,215 $42,314 −31% $27,119 +8% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $29,176 $29,176 $65,143 −55% $42,415 −31% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $29,133 $29,133 $29,133 +0% $22,557 +29% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $28,950 $28,950 $42,273 −32% $29,949 −3% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $28,567 $28,567 $28,567 +0% $33,047 −14% —
085 Traumatic Stupor And Coma <1 Hour With McC $28,540 $28,540 $35,133 −19% $41,892 −32% —
909 Other O.R. Procedures For Injuries Without Cc/McC $28,523 $28,523 $46,449 −39% $28,156 +1% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $28,464 $28,464 $56,173 −49% $42,881 −34% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $28,365 $28,365 $37,417 −24% $26,598 +7% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $28,350 $28,350 $36,795 −23% $33,985 −17% —
280 Acute Myocardial Infarction, Discharged Alive With McC $28,348 $28,348 $28,348 +0% $30,828 −8% —
080 Nontraumatic Stupor And Coma With McC $28,234 $28,234 $35,762 −21% $36,249 −22% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $28,203 $28,203 $28,730 −2% $18,150 +55% —
432 Cirrhosis And Alcoholic Hepatitis With McC $28,135 $28,135 $44,870 −37% $40,213 −30% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $28,078 $28,078 $40,124 −30% $38,861 −28% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $28,026 $28,026 $31,314 −10% $27,989 +0% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $27,959 $27,959 $42,273 −34% $33,424 −16% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $27,914 $27,914 $56,403 −51% $38,094 −27% —
919 Complications Of Treatment With McC $27,856 $27,856 $31,120 −10% $31,105 −10% —
975 Hiv With Major Related Condition With Cc $27,741 $27,741 $27,741 +0% $27,808 −0% —
540 Osteomyelitis With Cc $27,479 $27,479 $29,401 −7% $26,676 +3% —
643 Endocrine Disorders With McC $27,424 $27,424 $38,587 −29% $33,563 −18% —
377 Gastrointestinal Hemorrhage With McC $27,379 $27,379 $49,956 −45% $37,842 −28% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $27,371 $27,371 $47,114 −42% $31,264 −12% —
713 Transurethral Prostatectomy With Cc/McC $27,155 $27,155 $27,155 +0% $32,100 −15% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $27,096 $27,096 $38,853 −30% $30,418 −11% —
835 Acute Leukemia With Cc $27,073 $27,073 $51,529 −47% $35,569 −24% —
351 Inguinal And Femoral Hernia Procedures With Cc $27,060 $27,060 $43,086 −37% $36,505 −26% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $27,010 $27,010 $27,658 −2% $18,348 +47% —
438 Disorders Of Pancreas Except Malignancy With McC $26,991 $26,991 $29,518 −9% $32,628 −17% —
557 Tendonitis, Myositis And Bursitis With McC $26,990 $26,990 $44,595 −39% $32,877 −18% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $26,841 $26,841 $58,653 −54% $43,943 −39% —
902 Wound Debridements For Injuries With Cc $26,739 $26,739 $43,163 −38% $40,562 −34% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $26,728 $26,728 $52,557 −49% $38,101 −30% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $26,622 $26,622 $46,870 −43% $39,006 −32% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $26,527 $26,527 $40,602 −35% $25,073 +6% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $26,452 $26,452 $38,570 −31% $36,792 −28% —
113 Orbital Procedures With Cc/McC $26,377 $26,377 $61,854 −57% $36,167 −27% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $26,297 $26,297 $52,403 −50% $38,070 −31% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $26,208 $26,208 $39,391 −33% $32,841 −20% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC $26,176 $26,176 $38,998 −33% $38,998 −33% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $26,121 $26,121 $30,263 −14% $25,652 +2% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $26,016 $26,016 $53,878 −52% $39,887 −35% —
504 Foot Procedures With Cc $25,886 $25,886 $43,650 −41% $38,960 −34% —
964 Other Multiple Significant Trauma With Cc $25,854 $25,854 $35,742 −28% $27,394 −6% —
150 Epistaxis With McC $25,823 $25,823 $25,823 +0% $23,171 +11% —
038 Extracranial Procedures With Cc $25,796 $25,796 $60,827 −58% $35,770 −28% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $25,766 $25,766 $30,314 −15% $19,227 +34% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $25,677 $25,677 $26,253 −2% $22,148 +16% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $25,643 $25,643 $54,091 −53% $45,333 −43% —
786 Cesarean Section Without Sterilization With McC $25,634 $25,634 $30,293 −15% $27,152 −6% —
199 Pneumothorax With McC $25,539 $25,539 $42,335 −40% $33,787 −24% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $25,509 $25,509 $25,509 +0% $18,316 +39% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $25,506 $25,506 $25,506 +0% $11,909 +114% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $25,470 $25,470 $63,680 −60% $46,453 −45% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $25,468 $25,468 $26,380 −3% $19,962 +28% —
182 Respiratory Neoplasms Without Cc/McC $25,464 $25,464 $25,464 +0% $14,064 +81% —
593 Skin Ulcers With Cc $25,378 $25,378 $27,448 −8% $22,886 +11% —
571 Skin Debridement With Cc $25,326 $25,326 $25,326 +0% $37,169 −32% —
196 Interstitial Lung Disease With McC $24,982 $24,982 $48,779 −49% $32,637 −23% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $24,972 $24,972 $42,298 −41% $22,393 +12% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $24,957 $24,957 $36,875 −32% $27,843 −10% —
284 Acute Myocardial Infarction, Expired With Cc $24,922 $24,922 $24,922 +0% $16,450 +52% —
502 Soft Tissue Procedures Without Cc/McC $24,787 $24,787 $44,319 −44% $31,017 −20% —
186 Pleural Effusion With McC $24,737 $24,737 $43,109 −43% $33,834 −27% —
078 Hypertensive Encephalopathy With Cc $24,630 $24,630 $24,630 +0% $17,698 +39% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $24,476 $24,476 $27,554 −11% $18,452 +33% —
784 Cesarean Section With Sterilization With Cc $24,452 $24,452 $28,585 −14% $23,283 +5% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $24,412 $24,412 $38,606 −37% $21,894 +11% —
137 Mouth Procedures With Cc/McC $24,348 $24,348 $26,958 −10% $27,861 −13% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $24,229 $24,229 $42,218 −43% $30,770 −21% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $24,175 $24,175 $38,164 −37% $29,611 −18% —
358 Other Digestive System O.R. Procedures Without Cc/McC $24,060 $24,060 $40,964 −41% $30,083 −20% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $23,958 $23,958 $37,645 −36% $24,941 −4% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $23,954 $23,954 $23,954 +0% $21,847 +10% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $23,941 $23,941 $30,132 −21% $23,551 +2% —
813 Coagulation Disorders $23,866 $23,866 $34,947 −32% $33,296 −28% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $23,824 $23,824 $35,646 −33% $28,202 −16% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $23,694 $23,694 $43,132 −45% $39,515 −40% —
965 Other Multiple Significant Trauma Without Cc/McC $23,678 $23,678 $26,257 −10% $20,259 +17% —
299 Peripheral Vascular Disorders With McC $23,554 $23,554 $33,852 −30% $27,316 −14% —
259 Cardiac Pacemaker Device Replacement Without McC $23,497 $23,497 $62,302 −62% $39,020 −40% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $23,474 $23,474 $52,937 −56% $25,748 −9% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $23,427 $23,427 $45,388 −48% $33,555 −30% —
592 Skin Ulcers With McC $23,241 $23,241 $40,195 −42% $33,246 −30% —
787 Cesarean Section Without Sterilization With Cc $23,181 $23,181 $27,710 −16% $23,571 −2% —
079 Hypertensive Encephalopathy Without Cc/McC $23,161 $23,161 $31,778 −27% $11,847 +96% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $22,884 $22,884 $33,736 −32% $20,463 +12% —
348 Anal And Stomal Procedures With Cc $22,875 $22,875 $38,236 −40% $27,947 −18% —
393 Other Digestive System Diagnoses With McC $22,857 $22,857 $40,598 −44% $34,192 −33% —
381 Complicated Peptic Ulcer With Cc $22,819 $22,819 $31,494 −28% $24,177 −6% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $22,800 $22,800 $40,015 −43% $30,959 −26% —
595 Major Skin Disorders With McC $22,744 $22,744 $31,181 −27% $34,598 −34% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $22,726 $22,726 $24,822 −8% $23,498 −3% —
189 Pulmonary Edema And Respiratory Failure $22,695 $22,695 $31,521 −28% $26,580 −15% —
181 Respiratory Neoplasms With Cc $22,649 $22,649 $27,133 −17% $23,573 −4% —
089 Concussion With Cc $22,568 $22,568 $27,042 −17% $18,821 +20% —
138 Mouth Procedures Without Cc/McC $22,456 $22,456 $25,814 −13% $19,119 +17% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $22,441 $22,441 $49,701 −55% $34,459 −35% —
115 Extraocular Procedures Except Orbit $22,358 $22,358 $44,600 −50% $25,703 −13% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $22,332 $22,332 $30,482 −27% $20,980 +6% —
620 O.R. Procedures For Obesity With Cc $22,252 $22,252 $48,590 −54% $35,453 −37% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $22,231 $22,231 $24,707 −10% $22,763 −2% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $22,205 $22,205 $34,439 −36% $25,970 −14% —
388 Gastrointestinal Obstruction With McC $22,194 $22,194 $35,222 −37% $30,571 −27% —
535 Fractures Of Hip And Pelvis With McC $21,957 $21,957 $21,957 +0% $24,552 −11% —
399 Appendix Procedures Without Cc/McC $21,942 $21,942 $46,028 −52% $31,321 −30% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $21,768 $21,768 $43,425 −50% $26,870 −19% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $21,723 $21,723 $27,707 −22% $22,458 −3% —
757 Infections, Female Reproductive System With McC $21,694 $21,694 $31,237 −31% $26,280 −17% —
073 Cranial And Peripheral Nerve Disorders With McC $21,563 $21,563 $30,555 −29% $30,010 −28% —
102 Headaches With McC $21,492 $21,492 $25,874 −17% $25,740 −17% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $21,475 $21,475 $36,815 −42% $29,743 −28% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $21,417 $21,417 $31,469 −32% $27,323 −22% —
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $21,316 $21,316 $53,881 −60% $19,354 +10% —
088 Concussion With McC $21,230 $21,230 $40,071 −47% $24,402 −13% —
548 Septic Arthritis With McC $21,188 $21,188 $32,344 −34% $31,346 −32% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $21,182 $21,182 $29,362 −28% $32,944 −36% —
074 Cranial And Peripheral Nerve Disorders Without McC $21,136 $21,136 $31,306 −32% $23,141 −9% —
727 Inflammation Of The Male Reproductive System With McC $20,998 $20,998 $20,998 +0% $26,463 −21% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $20,998 $20,998 $21,114 −1% $16,846 +25% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $20,931 $20,931 $43,597 −52% $30,784 −32% —
083 Traumatic Stupor And Coma >1 Hour With Cc $20,851 $20,851 $24,118 −14% $27,285 −24% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $20,840 $20,840 $52,350 −60% $52,036 −60% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $20,837 $20,837 $44,770 −53% $39,173 −47% —
039 Extracranial Procedures Without Cc/McC $20,688 $20,688 $41,370 −50% $26,618 −22% —
103 Headaches Without McC $20,667 $20,667 $29,265 −29% $21,280 −3% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $20,624 $20,624 $20,849 −1% $15,370 +34% —
183 Major Chest Trauma With McC $20,546 $20,546 $48,610 −58% $29,933 −31% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $20,515 $20,515 $23,838 −14% $18,126 +13% —
785 Cesarean Section With Sterilization Without Cc/McC $20,473 $20,473 $25,718 −20% $19,846 +3% —
606 Minor Skin Disorders With McC $20,403 $20,403 $36,265 −44% $27,975 −27% —
862 Postoperative And Post-Traumatic Infections With McC $20,401 $20,401 $24,432 −16% $32,859 −38% —
788 Cesarean Section Without Sterilization Without Cc/McC $20,336 $20,336 $27,554 −26% $20,084 +1% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $20,319 $20,319 $34,374 −41% $28,125 −28% —
053 Spinal Disorders And Injuries Without Cc/McC $20,313 $20,313 $24,777 −18% $20,455 −1% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $20,287 $20,287 $36,344 −44% $28,050 −28% —
663 Minor Bladder Procedures With Cc $20,212 $20,212 $37,661 −46% $33,103 −39% —
884 Organic Disturbances And Intellectual Disability $20,153 $20,153 $27,174 −26% $26,682 −24% —
368 Major Esophageal Disorders With McC $20,081 $20,081 $56,538 −64% $33,876 −41% —
865 Viral Illness With McC $20,072 $20,072 $30,489 −34% $26,910 −25% —
948 Signs And Symptoms Without McC $20,067 $20,067 $25,689 −22% $17,921 +12% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $19,997 $19,997 $56,842 −65% $25,390 −21% —
814 Reticuloendothelial And Immunity Disorders With McC $19,992 $19,992 $48,039 −58% $33,851 −41% —
055 Nervous System Neoplasms Without McC $19,868 $19,868 $33,527 −41% $20,926 −5% —
950 Aftercare Without Cc/McC $19,758 $19,758 $22,706 −13% $13,527 +46% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $19,737 $19,737 $51,347 −62% $25,712 −23% —
539 Osteomyelitis With McC $19,554 $19,554 $42,316 −54% $37,609 −48% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $19,380 $19,380 $30,579 −37% $26,770 −28% ≈37% of Medicare
637 Diabetes With McC $19,287 $19,287 $34,484 −44% $30,100 −36% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $19,152 $19,152 $46,920 −59% $27,633 −31% —
598 Malignant Breast Disorders With Cc $19,150 $19,150 $23,178 −17% $19,073 +0% —
621 O.R. Procedures For Obesity Without Cc/McC $19,129 $19,129 $45,696 −58% $32,451 −41% —
599 Malignant Breast Disorders Without Cc/McC $19,102 $19,102 $21,890 −13% $14,290 +34% —
369 Major Esophageal Disorders With Cc $19,035 $19,035 $35,392 −46% $25,303 −25% —
728 Inflammation Of The Male Reproductive System Without McC $18,978 $18,978 $18,978 +0% $17,118 +11% —
722 Malignancy, Male Reproductive System With McC $18,888 $18,888 $41,381 −54% $29,826 −37% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $18,868 $18,868 $42,277 −55% $19,657 −4% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $18,837 $18,837 $34,148 −45% $20,506 −8% —
546 Connective Tissue Disorders With Cc $18,766 $18,766 $19,745 −5% $25,700 −27% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $18,664 $18,664 $44,609 −58% $30,243 −38% —
394 Other Digestive System Diagnoses With Cc $18,637 $18,637 $27,628 −33% $20,181 −8% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $18,621 $18,621 $35,673 −48% $23,749 −22% —
086 Traumatic Stupor And Coma <1 Hour With Cc $18,600 $18,600 $35,459 −48% $27,043 −31% —
306 Cardiac Congenital And Valvular Disorders With McC $18,540 $18,540 $30,731 −40% $24,586 −25% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $18,498 $18,498 $18,498 +0% $13,275 +39% —
303 Atherosclerosis Without McC $18,488 $18,488 $22,788 −19% $14,927 +24% —
915 Allergic Reactions With McC $18,469 $18,469 $32,645 −43% $32,645 −43% —
755 Malignancy, Female Reproductive System With Cc $18,459 $18,459 $24,948 −26% $18,459 +0% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $18,432 $18,432 $10,764 +71% $12,593 +46% —
913 Traumatic Injury With McC $18,396 $18,396 $24,198 −24% $24,198 −24% —
178 Respiratory Infections And Inflammations With Cc $18,261 $18,261 $31,191 −41% $22,024 −17% —
190 Chronic Obstructive Pulmonary Disease With McC $18,116 $18,116 $30,661 −41% $24,386 −26% ≈41% of Medicare
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $18,078 $18,078 $52,791 −66% $31,170 −42% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $17,981 $17,981 $34,030 −47% $23,443 −23% —
385 Inflammatory Bowel Disease With McC $17,911 $17,911 $43,821 −59% $27,617 −35% —
378 Gastrointestinal Hemorrhage With Cc $17,847 $17,847 $33,652 −47% $22,098 −19% —
315 Other Circulatory System Diagnoses With Cc $17,777 $17,777 $25,586 −31% $21,363 −17% —
313 Chest Pain $17,751 $17,751 $21,293 −17% $16,440 +8% —
311 Angina Pectoris $17,734 $17,734 $20,944 −15% $15,502 +14% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $17,648 $17,648 $41,097 −57% $34,276 −49% —
121 Acute Major Eye Infections With Cc/McC $17,549 $17,549 $16,366 +7% $19,412 −10% —
384 Uncomplicated Peptic Ulcer Without McC $17,536 $17,536 $24,507 −28% $19,305 −9% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $17,489 $17,489 $52,321 −67% $29,524 −41% —
666 Prostatectomy With Cc $17,487 $17,487 $47,721 −63% $31,906 −45% —
446 Disorders Of The Biliary Tract Without Cc/McC $17,437 $17,437 $18,172 −4% $17,700 −1% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/McC $17,426 $17,426 $60,720 −71% $37,240 −53% —
081 Nontraumatic Stupor And Coma Without McC $17,425 $17,425 $17,425 +0% $16,552 +5% —
920 Complications Of Treatment With Cc $17,295 $17,295 $17,295 +0% $22,468 −23% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $17,263 $17,263 $37,440 −54% $22,635 −24% —
149 Dysequilibrium $17,203 $17,203 $27,340 −37% $18,096 −5% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $17,202 $17,202 $26,014 −34% $19,569 −12% —
300 Peripheral Vascular Disorders With Cc $17,196 $17,196 $19,416 −11% $20,422 −16% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $17,189 $17,189 $26,297 −35% $24,566 −30% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $17,176 $17,176 $24,675 −30% $19,924 −14% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $17,088 $17,088 $44,938 −62% $14,055 +22% —
600 Non-Malignant Breast Disorders With Cc/McC $17,061 $17,061 $17,061 +0% $16,700 +2% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $16,956 $16,956 $42,652 −60% $35,628 −52% ≈24% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $16,867 $16,867 $28,476 −41% $22,850 −26% —
200 Pneumothorax With Cc $16,855 $16,855 $22,299 −24% $21,368 −21% —
693 Urinary Stones With McC $16,834 $16,834 $28,415 −41% $23,892 −30% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $16,757 $16,757 $16,757 +0% $12,078 +39% —
204 Respiratory Signs And Symptoms $16,757 $16,757 $23,130 −28% $18,004 −7% —
101 Seizures Without McC $16,752 $16,752 $23,267 −28% $20,461 −18% —
184 Major Chest Trauma With Cc $16,748 $16,748 $28,391 −41% $22,432 −25% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $16,732 $16,732 $17,734 −6% $18,133 −8% —
883 Disorders Of Personality And Impulse Control $16,714 $16,714 $22,482 −26% $23,206 −28% —
714 Transurethral Prostatectomy Without Cc/McC $16,672 $16,672 $26,990 −38% $17,934 −7% —
698 Other Kidney And Urinary Tract Diagnoses With McC $16,665 $16,665 $39,789 −58% $32,496 −49% ≈29% of Medicare
305 Hypertension Without McC $16,595 $16,595 $26,555 −38% $18,086 −8% —
304 Hypertension With McC $16,440 $16,440 $28,318 −42% $26,080 −37% —
187 Pleural Effusion With Cc $16,382 $16,382 $21,390 −23% $21,789 −25% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $16,364 $16,364 $38,993 −58% $26,932 −39% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $16,347 $16,347 $30,042 −46% $18,126 −10% —
197 Interstitial Lung Disease With Cc $16,128 $16,128 $22,530 −28% $21,941 −26% —
977 Hiv With Or Without Other Related Condition $16,112 $16,112 $21,908 −26% $22,525 −28% —
349 Anal And Stomal Procedures Without Cc/McC $15,898 $15,898 $31,698 −50% $19,854 −20% —
125 Other Disorders Of The Eye Without McC $15,876 $15,876 $27,354 −42% $17,298 −8% —
069 Transient Ischemia Without Thrombolytic $15,869 $15,869 $29,920 −47% $21,056 −25% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $15,780 $15,780 $23,003 −31% $19,270 −18% —
294 Deep Vein Thrombophlebitis With Cc/McC $15,760 $15,760 $17,446 −10% $19,132 −18% —
445 Disorders Of The Biliary Tract With Cc $15,670 $15,670 $29,507 −47% $23,319 −33% —
864 Fever And Inflammatory Conditions $15,658 $15,658 $20,117 −22% $18,640 −16% —
077 Hypertensive Encephalopathy With McC $15,637 $15,637 $51,373 −70% $24,550 −36% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $15,569 $15,569 $18,315 −15% $17,733 −12% —
572 Skin Debridement Without Cc/McC $15,566 $15,566 $36,258 −57% $24,944 −38% —
206 Other Respiratory System Diagnoses Without McC $15,495 $15,495 $29,239 −47% $18,488 −16% —
726 Benign Prostatic Hypertrophy Without McC $15,481 $15,481 $15,705 −1% $15,019 +3% —
671 Urethral Procedures With Cc/McC $15,429 $15,429 $37,773 −59% $27,233 −43% —
554 Bone Diseases And Arthropathies Without McC $15,424 $15,424 $23,114 −33% $18,528 −17% —
193 Simple Pneumonia And Pleurisy With McC $15,383 $15,383 $32,566 −53% $27,275 −44% —
123 Neurological Eye Disorders $15,288 $15,288 $20,417 −25% $19,745 −23% —
758 Infections, Female Reproductive System With Cc $15,208 $15,208 $30,330 −50% $20,901 −27% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $15,086 $15,086 $23,674 −36% $22,851 −34% —
070 Nonspecific Cerebrovascular Disorders With McC $15,086 $15,086 $49,551 −70% $31,951 −53% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $15,022 $15,022 $24,144 −38% $19,594 −23% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $15,003 $15,003 $70,498 −79% $32,574 −54% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $14,885 $14,885 $30,617 −51% $19,037 −22% —
642 Inborn And Other Disorders Of Metabolism $14,875 $14,875 $26,597 −44% $20,727 −28% —
547 Connective Tissue Disorders Without Cc/McC $14,861 $14,861 $24,877 −40% $16,565 −10% —
812 Red Blood Cell Disorders Without McC $14,793 $14,793 $30,125 −51% $20,488 −28% —
188 Pleural Effusion Without Cc/McC $14,767 $14,767 $19,721 −25% $14,514 +2% —
670 Transurethral Procedures Without Cc/McC $14,726 $14,726 $25,676 −43% $20,911 −30% —
439 Disorders Of Pancreas Except Malignancy With Cc $14,722 $14,722 $29,363 −50% $19,096 −23% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $14,716 $14,716 $14,716 +0% $14,716 +0% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $14,689 $14,689 $20,313 −28% $14,689 +0% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $14,682 $14,682 $37,599 −61% $33,653 −56% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $14,571 $14,571 $28,889 −50% $21,449 −32% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $14,550 $14,550 $36,783 −60% $23,940 −39% ≈42% of Medicare
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $14,452 $14,452 $26,438 −45% $16,968 −15% —
395 Other Digestive System Diagnoses Without Cc/McC $14,382 $14,382 $14,382 +0% $14,128 +2% —
644 Endocrine Disorders With Cc $14,381 $14,381 $29,273 −51% $23,198 −38% —
710 Penis Procedures Without Cc/McC $14,305 $14,305 $27,926 −49% $26,436 −46% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $14,302 $14,302 $24,594 −42% $19,842 −28% —
596 Major Skin Disorders Without McC $14,295 $14,295 $21,959 −35% $17,226 −17% —
759 Infections, Female Reproductive System Without Cc/McC $14,250 $14,250 $20,648 −31% $14,250 +0% —
533 Fractures Of Femur With McC $14,220 $14,220 $24,541 −42% $25,945 −45% —
887 Other Mental Disorder Diagnoses $14,198 $14,198 $20,006 −29% $20,616 −31% —
291 Heart Failure And Shock With McC $14,187 $14,187 $31,308 −55% $26,776 −47% ≈33% of Medicare
999 Ungroupable $14,162 $14,162 $14,162 +0% $29,674 −52% —
158 Dental And Oral Diseases With Cc $14,143 $14,143 $19,746 −28% $18,466 −23% —
694 Urinary Stones Without McC $14,135 $14,135 $26,930 −48% $17,345 −19% —
307 Cardiac Congenital And Valvular Disorders Without McC $14,125 $14,125 $21,011 −33% $20,566 −31% —
152 Otitis Media And Uri With McC $14,104 $14,104 $27,012 −48% $20,247 −30% —
100 Seizures With McC $14,049 $14,049 $38,584 −64% $35,481 −60% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $13,958 $13,958 $26,480 −47% $17,737 −21% —
185 Major Chest Trauma Without Cc/McC $13,944 $13,944 $20,657 −32% $17,124 −19% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $13,903 $13,903 $25,566 −46% $18,072 −23% —
687 Kidney And Urinary Tract Neoplasms With Cc $13,872 $13,872 $16,337 −15% $20,232 −31% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $13,867 $13,867 $25,394 −45% $16,776 −17% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $13,853 $13,853 $28,742 −52% $15,764 −12% —
914 Traumatic Injury Without McC $13,746 $13,746 $22,256 −38% $15,855 −13% —
536 Fractures Of Hip And Pelvis Without McC $13,683 $13,683 $22,742 −40% $18,002 −24% —
552 Medical Back Problems Without McC $13,633 $13,633 $33,585 −59% $21,396 −36% —
607 Minor Skin Disorders Without McC $13,589 $13,589 $13,589 +0% $15,889 −14% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $13,556 $13,556 $18,396 −26% $14,368 −6% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $13,530 $13,530 $13,530 +0% $15,215 −11% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $13,481 $13,481 $19,272 −30% $16,767 −20% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $13,438 $13,438 $24,490 −45% $18,956 −29% —
779 Abortion Without D&C $13,418 $13,418 $14,464 −7% $15,327 −12% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $13,378 $13,378 $22,600 −41% $13,824 −3% —
057 Degenerative Nervous System Disorders Without McC $13,355 $13,355 $33,673 −60% $27,543 −52% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $13,338 $13,338 $23,545 −43% $17,322 −23% ≈56% of Medicare
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $13,328 $13,328 $44,471 −70% $14,014 −5% —
191 Chronic Obstructive Pulmonary Disease With Cc $13,301 $13,301 $23,872 −44% $18,807 −29% —
194 Simple Pneumonia And Pleurisy With Cc $13,094 $13,094 $27,087 −52% $18,204 −28% —
756 Malignancy, Female Reproductive System Without Cc/McC $13,029 $13,029 $7,557 +72% $15,589 −16% —
541 Osteomyelitis Without Cc/McC $12,859 $12,859 $14,549 −12% $15,215 −15% —
092 Other Disorders Of Nervous System With Cc $12,854 $12,854 $37,630 −66% $24,914 −48% —
645 Endocrine Disorders Without Cc/McC $12,844 $12,844 $12,844 +0% $15,428 −17% —
863 Postoperative And Post-Traumatic Infections Without McC $12,827 $12,827 $28,762 −55% $20,957 −39% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $12,815 $12,815 $23,065 −44% $16,520 −22% —
387 Inflammatory Bowel Disease Without Cc/McC $12,785 $12,785 $22,581 −43% $16,288 −22% —
534 Fractures Of Femur Without McC $12,764 $12,764 $18,894 −32% $17,559 −27% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $12,694 $12,694 $16,940 −25% $20,895 −39% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $12,686 $12,686 $47,881 −74% $35,030 −64% —
558 Tendonitis, Myositis And Bursitis Without McC $12,660 $12,660 $13,756 −8% $18,602 −32% —
602 Cellulitis With McC $12,646 $12,646 $37,206 −66% $30,598 −59% —
811 Red Blood Cell Disorders With McC $12,640 $12,640 $32,589 −61% $28,226 −55% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $12,546 $12,546 $21,806 −42% $16,699 −25% —
159 Dental And Oral Diseases Without Cc/McC $12,397 $12,397 $22,093 −44% $13,633 −9% —
815 Reticuloendothelial And Immunity Disorders With Cc $12,395 $12,395 $29,165 −57% $19,264 −36% —
549 Septic Arthritis With Cc $12,390 $12,390 $24,261 −49% $24,056 −48% —
689 Kidney And Urinary Tract Infections With McC $12,387 $12,387 $35,833 −65% $23,617 −48% —
667 Prostatectomy Without Cc/McC $12,366 $12,366 $32,449 −62% $16,703 −26% —
176 Pulmonary Embolism Without McC $12,328 $12,328 $27,128 −55% $18,081 −32% —
202 Bronchitis And Asthma With Cc/McC $12,273 $12,273 $23,775 −48% $17,724 −31% —
386 Inflammatory Bowel Disease With Cc $12,232 $12,232 $21,795 −44% $22,033 −44% —
866 Viral Illness Without McC $12,131 $12,131 $21,238 −43% $17,081 −29% —
683 Renal Failure With Cc $12,031 $12,031 $26,395 −54% $19,130 −37% ≈44% of Medicare
882 Neuroses Except Depressive $12,013 $12,013 $14,798 −19% $15,680 −23% —
390 Gastrointestinal Obstruction Without Cc/McC $11,954 $11,954 $15,036 −20% $13,361 −11% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $11,891 $11,891 $24,654 −52% $15,600 −24% —
301 Peripheral Vascular Disorders Without Cc/McC $11,845 $11,845 $18,322 −35% $15,837 −25% —
071 Nonspecific Cerebrovascular Disorders With Cc $11,761 $11,761 $29,075 −60% $23,488 −50% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $11,663 $11,663 $19,191 −39% $14,797 −21% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $11,647 $11,647 $32,902 −65% $25,463 −54% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $11,583 $11,583 $19,796 −41% $12,460 −7% —
312 Syncope And Collapse $11,548 $11,548 $28,759 −60% $19,342 −40% —
179 Respiratory Infections And Inflammations Without Cc/McC $11,405 $11,405 $22,043 −48% $14,648 −22% —
935 Non-Extensive Burns $11,257 $11,257 $29,361 −62% $31,701 −64% —
664 Minor Bladder Procedures Without Cc/McC $11,245 $11,245 $25,096 −55% $22,314 −50% —
293 Heart Failure And Shock Without Cc/McC $11,171 $11,171 $15,157 −26% $12,999 −14% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $11,126 $11,126 $29,733 −63% $22,888 −51% ≈42% of Medicare
712 Testes Procedures Without Cc/McC $11,072 $11,072 $39,220 −72% $18,898 −41% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $11,068 $11,068 $12,895 −14% $12,895 −14% —
316 Other Circulatory System Diagnoses Without Cc/McC $10,962 $10,962 $27,750 −60% $13,651 −20% —
379 Gastrointestinal Hemorrhage Without Cc/McC $10,808 $10,808 $20,597 −48% $15,038 −28% —
690 Kidney And Urinary Tract Infections Without McC $10,768 $10,768 $24,350 −56% $17,674 −39% ≈50% of Medicare
918 Poisoning And Toxic Effects Of Drugs Without McC $10,489 $10,489 $18,908 −45% $15,452 −32% —
122 Acute Major Eye Infections Without Cc/McC $10,439 $10,439 $12,216 −15% $11,997 −13% —
921 Complications Of Treatment Without Cc/McC $10,375 $10,375 $13,947 −26% $14,415 −28% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $10,371 $10,371 $15,815 −34% $14,638 −29% —
885 Psychoses $10,238 $10,238 $18,408 −44% $21,729 −53% —
682 Renal Failure With McC $10,134 $10,134 $32,167 −68% $29,064 −65% —
153 Otitis Media And Uri Without McC $10,130 $10,130 $18,842 −46% $14,583 −31% —
375 Digestive Malignancy With Cc $10,115 $10,115 $33,946 −70% $27,277 −63% —
177 Respiratory Infections And Inflammations With McC $10,106 $10,106 $45,521 −78% $33,707 −70% ≈28% of Medicare
075 Viral Meningitis With Cc/McC $9,958 $9,958 $26,570 −63% $30,447 −67% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $9,955 $9,955 $15,445 −36% $13,384 −26% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $9,923 $9,923 $20,348 −51% $17,601 −44% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $9,890 $9,890 $39,014 −75% $52,405 −81% —
201 Pneumothorax Without Cc/McC $9,795 $9,795 $16,175 −39% $14,053 −30% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $9,721 $9,721 $25,679 −62% $21,275 −54% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $9,615 $9,615 $9,715 −1% $9,940 −3% —
684 Renal Failure Without Cc/McC $9,561 $9,561 $21,444 −55% $13,642 −30% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $9,525 $9,525 $43,675 −78% $31,044 −69% —
976 Hiv With Major Related Condition Without Cc/McC $9,399 $9,399 $16,212 −42% $16,212 −42% —
292 Heart Failure And Shock With Cc $9,344 $9,344 $27,360 −66% $16,371 −43% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $9,313 $9,313 $25,509 −63% $15,183 −39% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $9,293 $9,293 $20,340 −54% $11,421 −19% —
638 Diabetes With Cc $9,206 $9,206 $27,043 −66% $19,661 −53% —
916 Allergic Reactions Without McC $9,060 $9,060 $13,510 −33% $13,942 −35% —
793 Full Term Neonate With Major Problems $8,962 $8,962 $8,962 +0% $18,649 −52% —
725 Benign Prostatic Hypertrophy With McC $8,930 $8,930 $27,763 −68% $22,320 −60% —
601 Non-Malignant Breast Disorders Without Cc/McC $8,766 $8,766 $11,571 −24% $10,975 −20% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $8,710 $8,710 $21,355 −59% $17,038 −49% ≈56% of Medicare
697 Urethral Stricture $8,703 $8,703 $27,006 −68% $18,428 −53% —
389 Gastrointestinal Obstruction With Cc $8,634 $8,634 $26,993 −68% $17,578 −51% —
370 Major Esophageal Disorders Without Cc/McC $8,490 $8,490 $16,946 −50% $15,495 −45% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $8,469 $8,469 $15,550 −46% $12,324 −31% —
603 Cellulitis Without McC $8,354 $8,354 $24,429 −66% $18,530 −55% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $8,314 $8,314 $31,888 −74% $25,034 −67% —
917 Poisoning And Toxic Effects Of Drugs With McC $8,291 $8,291 $37,673 −78% $30,235 −73% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $8,130 $8,130 $25,748 −68% $17,303 −53% ≈57% of Medicare
730 Other Male Reproductive System Diagnoses Without Cc/McC $7,949 $7,949 $18,520 −57% $11,071 −28% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $7,850 $7,850 $13,413 −41% $14,549 −46% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $7,488 $7,488 $49,303 −85% $54,196 −86% —
076 Viral Meningitis Without Cc/McC $7,437 $7,437 $17,627 −58% $17,135 −57% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $7,433 $7,433 $27,175 −73% $22,506 −67% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $7,168 $7,168 $12,640 −43% $12,454 −42% —
639 Diabetes Without Cc/McC $7,131 $7,131 $19,853 −64% $13,910 −49% —
203 Bronchitis And Asthma Without Cc/McC $7,067 $7,067 $13,528 −48% $12,252 −42% —
729 Other Male Reproductive System Diagnoses With Cc/McC $6,883 $6,883 $17,530 −61% $17,483 −61% —
881 Depressive Neuroses $6,621 $6,621 $15,058 −56% $15,058 −56% —
093 Other Disorders Of Nervous System Without Cc/McC $6,570 $6,570 $25,314 −74% $17,620 −63% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $5,717 $5,717 $14,968 −62% $12,559 −54% —
151 Epistaxis Without McC $5,581 $5,581 $16,459 −66% $13,032 −57% —
886 Behavioral And Developmental Disorders $5,400 $5,400 $26,510 −80% $26,510 −80% —
792 Prematurity Without Major Problems $5,399 $5,399 $5,399 +0% $12,229 −56% —
139 Salivary Gland Procedures $5,254 $5,254 $28,647 −82% $23,612 −78% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $4,682 $4,682 $4,889 −4% $16,351 −71% —
951 Other Factors Influencing Health Status $3,457 $3,457 $8,532 −59% $10,160 −66% —
794 Neonate With Other Significant Problems $3,444 $3,444 $4,134 −17% $8,445 −59% —
285 Acute Myocardial Infarction, Expired Without Cc/McC $3,338 $3,338 $3,338 +0% $10,480 −68% —
298 Cardiac Arrest, Unexplained Without Cc/McC $3,123 $3,123 $11,127 −72% $8,927 −65% —
795 Normal Newborn $2,967 $2,967 $3,473 −15% $4,720 −37% —
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