ECU Health Edgecombe 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 ≈31% 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% $169,977 +197% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $461,389 $461,389 $379,558 +22% $431,073 +7% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $395,416 $395,416 $395,416 +0% $59,425 +565% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $299,897 $299,897 $299,897 +0% $82,527 +263% —
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 $525,648 −50% $371,366 −30% —
215 Other Heart Assist System Implant $213,355 $213,355 $221,756 −4% $191,314 +12% —
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 $388,023 −47% $245,241 −16% —
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% $175,437 +3% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $180,902 $180,902 $281,448 −36% $134,914 +34% —
955 Craniotomy For Multiple Significant Trauma $178,611 $178,611 $196,897 −9% $105,612 +69% —
901 Wound Debridements For Injuries With McC $177,414 $177,414 $152,630 +16% $68,847 +158% —
212 Concomitant Aortic And Mitral Valve Procedures $169,317 $169,317 $268,712 −37% $171,338 −1% —
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 $169,463 −6% $146,474 +9% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $146,532 $146,532 $204,145 −28% $101,235 +45% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $142,999 $142,999 $198,739 −28% $120,587 +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 $168,862 −19% $121,714 +12% —
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 $248,089 −49% $151,029 −16% —
232 Coronary Bypass With Ptca Without McC $125,585 $125,585 $125,585 +0% $106,238 +18% —
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 $219,681 −44% $138,868 −12% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $120,917 $120,917 $160,160 −25% $102,177 +18% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $119,023 $119,023 $184,253 −35% $113,855 +5% —
028 Spinal Procedures With McC $116,465 $116,465 $194,362 −40% $95,858 +21% —
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% $118,589 −3% —
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 $144,048 −21% $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% $31,566 +255% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $111,243 $111,243 $142,820 −22% $80,885 +38% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $108,304 $108,304 $148,324 −27% $83,065 +30% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $108,276 $108,276 $170,734 −37% $138,008 −22% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $107,983 $107,983 $107,983 +0% $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 $223,937 −52% $106,778 +1% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $106,135 $106,135 $125,107 −15% $88,691 +20% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $104,580 $104,580 $110,670 −6% $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% $73,029 +30% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $94,303 $94,303 $202,306 −53% $107,355 −12% —
270 Other Major Cardiovascular Procedures With McC $93,289 $93,289 $162,376 −43% $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 $166,794 −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% $58,968 +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% $96,222 −15% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $80,660 $80,660 $88,504 −9% $64,152 +26% —
653 Major Bladder Procedures With McC $78,740 $78,740 $97,063 −19% $97,046 −19% —
834 Acute Leukemia With McC $78,441 $78,441 $78,441 +0% $76,583 +2% —
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% $62,404 +23% —
265 Aicd Lead Procedures $76,543 $76,543 $76,543 +0% $56,695 +35% —
356 Other Digestive System O.R. Procedures With McC $76,138 $76,138 $113,837 −33% $82,561 −8% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $75,468 $75,468 $83,660 −10% $61,832 +22% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $75,215 $75,215 $111,525 −33% $82,247 −9% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $74,684 $74,684 $133,868 −44% $88,049 −15% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $72,817 $72,817 $72,817 +0% $68,399 +6% —
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% $66,819 +7% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $70,517 $70,517 $118,406 −40% $74,257 −5% —
163 Major Chest Procedures With McC $70,310 $70,310 $133,292 −47% $88,341 −20% —
467 Revision Of Hip Or Knee Replacement With Cc $69,865 $69,865 $95,410 −27% $68,880 +1% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $69,353 $69,353 $88,070 −21% $57,855 +20% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $69,289 $69,289 $69,289 +0% $86,390 −20% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $68,580 $68,580 $107,896 −36% $70,540 −3% —
326 Stomach, Esophageal And Duodenal Procedures With McC $68,265 $68,265 $68,265 +0% $80,747 −15% —
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% $78,821 −15% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $66,853 $66,853 $112,737 −41% $66,853 +0% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $66,751 $66,751 $103,961 −36% $74,274 −10% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $66,544 $66,544 $103,833 −36% $53,817 +24% —
406 Pancreas, Liver And Shunt Procedures With Cc $65,947 $65,947 $78,243 −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% $51,142 +29% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $65,566 $65,566 $70,144 −7% $54,313 +21% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $65,458 $65,458 $151,545 −57% $86,953 −25% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $65,254 $65,254 $89,366 −27% $65,254 +0% —
970 Hiv With Extensive O.R. Procedures Without McC $65,056 $65,056 $65,056 +0% $40,947 +59% —
037 Extracranial Procedures With McC $64,749 $64,749 $103,899 −38% $64,749 +0% —
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 $99,638 −35% $67,901 −5% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $63,919 $63,919 $79,086 −19% $54,929 +16% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $63,905 $63,905 $102,617 −38% $78,582 −19% —
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 $73,402 −15% $50,624 +23% —
034 Carotid Artery Stent Procedures With McC $61,587 $61,587 $70,126 −12% $72,908 −16% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $61,278 $61,278 $93,172 −34% $87,018 −30% —
353 Hernia Procedures Except Inguinal And Femoral With McC $61,200 $61,200 $85,423 −28% $60,140 +2% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $60,980 $60,980 $86,997 −30% $64,956 −6% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $60,351 $60,351 $77,367 −22% $51,339 +18% —
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% $72,859 −18% —
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% $27,548 +116% —
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 $72,530 −19% $62,269 −5% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $58,520 $58,520 $64,694 −10% $52,332 +12% —
614 Adrenal And Pituitary Procedures With Cc/McC $58,307 $58,307 $61,165 −5% $43,586 +34% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $57,989 $57,989 $57,989 +0% $65,383 −11% —
480 Hip And Femur Procedures Except Major Joint With McC $57,803 $57,803 $89,377 −35% $63,984 −10% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $57,277 $57,277 $57,277 +0% $57,277 +0% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $56,758 $56,758 $74,065 −23% $56,758 +0% —
245 Aicd Generator Procedures $56,531 $56,531 $67,840 −17% $72,076 −22% —
656 Kidney And Ureter Procedures For Neoplasm With McC $56,322 $56,322 $62,977 −11% $64,465 −13% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $56,001 $56,001 $85,869 −35% $64,776 −14% —
686 Kidney And Urinary Tract Neoplasms With McC $55,656 $55,656 $55,656 +0% $32,981 +69% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $55,185 $55,185 $64,067 −14% $63,475 −13% —
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% $72,011 −24% —
405 Pancreas, Liver And Shunt Procedures With McC $54,892 $54,892 $161,964 −66% $94,927 −42% —
335 Peritoneal Adhesiolysis With McC $54,659 $54,659 $106,663 −49% $71,755 −24% —
662 Minor Bladder Procedures With McC $54,483 $54,483 $54,483 +0% $54,483 +0% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $54,215 $54,215 $54,215 +0% $46,659 +16% —
654 Major Bladder Procedures With Cc $53,868 $53,868 $69,871 −23% $53,868 +0% —
350 Inguinal And Femoral Hernia Procedures With McC $53,797 $53,797 $53,797 +0% $46,591 +15% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $53,576 $53,576 $65,373 −18% $57,149 −6% —
258 Cardiac Pacemaker Device Replacement With McC $53,553 $53,553 $70,055 −24% $48,907 +9% —
711 Testes Procedures With Cc/McC $53,392 $53,392 $53,392 +0% $34,852 +53% —
242 Permanent Cardiac Pacemaker Implant With McC $53,346 $53,346 $90,788 −41% $70,132 −24% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $53,337 $53,337 $90,501 −41% $76,954 −31% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $53,246 $53,246 $53,246 +0% $37,080 +44% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $52,805 $52,805 $52,805 +0% $28,578 +85% —
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% $35,686 +45% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $51,569 $51,569 $97,243 −47% $44,053 +17% —
904 Skin Grafts For Injuries With Cc/McC $51,106 $51,106 $59,883 −15% $55,097 −7% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $50,864 $50,864 $51,718 −2% $44,989 +13% —
135 Sinus And Mastoid Procedures With Cc/McC $50,838 $50,838 $50,838 +0% $40,065 +27% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $50,739 $50,739 $50,739 +0% $36,597 +39% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $50,649 $50,649 $78,348 −35% $54,772 −8% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $50,498 $50,498 $64,872 −22% $62,524 −19% —
907 Other O.R. Procedures For Injuries With McC $50,309 $50,309 $106,316 −53% $71,701 −30% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $50,255 $50,255 $41,258 +22% $22,532 +123% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $49,875 $49,875 $81,538 −39% $67,764 −26% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $49,776 $49,776 $49,776 +0% $45,290 +10% —
288 Acute And Subacute Endocarditis With McC $49,549 $49,549 $75,345 −34% $45,497 +9% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $49,463 $49,463 $162,298 −70% $70,735 −30% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $49,369 $49,369 $58,844 −16% $56,964 −13% —
791 Prematurity With Major Problems $49,305 $49,305 $28,043 +76% $39,563 +25% —
166 Other Respiratory System O.R. Procedures With McC $48,955 $48,955 $128,104 −62% $72,782 −33% —
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% $45,432 +6% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $47,897 $47,897 $99,645 −52% $84,861 −44% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $47,798 $47,798 $94,235 −49% $53,551 −11% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $47,741 $47,741 $58,569 −18% $49,055 −3% —
963 Other Multiple Significant Trauma With McC $47,663 $47,663 $55,519 −14% $43,491 +10% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $47,546 $47,546 $62,199 −24% $47,546 +0% —
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 $155,043 −70% $87,565 −46% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $47,083 $47,083 $58,415 −19% $41,380 +14% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $46,924 $46,924 $47,635 −1% $32,490 +44% —
253 Other Vascular Procedures With Cc $46,904 $46,904 $113,961 −59% $53,746 −13% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $46,791 $46,791 $52,673 −11% $35,584 +31% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $46,765 $46,765 $54,536 −14% $37,902 +23% —
164 Major Chest Procedures With Cc $46,646 $46,646 $71,934 −35% $53,141 −12% —
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 $101,959 −54% $68,006 −32% —
052 Spinal Disorders And Injuries With Cc/McC $46,252 $46,252 $46,252 +0% $30,940 +49% —
674 Other Kidney And Urinary Tract Procedures With Cc $46,201 $46,201 $80,027 −42% $49,631 −7% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $46,158 $46,158 $85,788 −46% $62,821 −27% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $46,030 $46,030 $55,179 −17% $60,861 −24% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $45,979 $45,979 $85,978 −47% $52,313 −12% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $45,918 $45,918 $51,830 −11% $41,703 +10% —
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% $32,213 +42% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $45,714 $45,714 $54,862 −17% $57,521 −21% —
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% $27,279 +67% —
748 Female Reproductive System Reconstructive Procedures $45,216 $45,216 $31,221 +45% $24,980 +81% —
330 Major Small And Large Bowel Procedures With Cc $44,851 $44,851 $74,617 −40% $58,832 −24% —
344 Minor Small And Large Bowel Procedures With McC $44,839 $44,839 $53,399 −16% $44,839 +0% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $44,833 $44,833 $49,195 −9% $40,583 +10% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $44,660 $44,660 $75,684 −41% $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% $40,563 +10% —
296 Cardiac Arrest, Unexplained With McC $44,326 $44,326 $68,185 −35% $30,910 +43% —
481 Hip And Femur Procedures Except Major Joint With Cc $44,262 $44,262 $73,393 −40% $51,172 −14% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $44,182 $44,182 $72,194 −39% $56,394 −22% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $44,139 $44,139 $59,686 −26% $43,775 +1% —
412 Cholecystectomy With C.D.E. With Cc $44,099 $44,099 $75,680 −42% $37,654 +17% —
421 Hepatobiliary Diagnostic Procedures With Cc $44,092 $44,092 $62,731 −30% $36,333 +21% —
673 Other Kidney And Urinary Tract Procedures With McC $43,738 $43,738 $76,824 −43% $72,945 −40% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $43,680 $43,680 $58,637 −26% $38,420 +14% —
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% $31,812 +37% —
031 Ventricular Shunt Procedures With McC $43,431 $43,431 $92,897 −53% $68,659 −37% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $43,266 $43,266 $59,374 −27% $43,266 +0% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $42,792 $42,792 $62,645 −32% $30,972 +38% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $42,604 $42,604 $97,218 −56% $62,961 −32% —
141 Major Head And Neck Procedures With Cc $42,520 $42,520 $53,657 −21% $34,900 +22% —
500 Soft Tissue Procedures With McC $42,499 $42,499 $70,494 −40% $57,479 −26% —
841 Lymphoma And Non-Acute Leukemia With Cc $42,360 $42,360 $42,360 +0% $31,059 +36% —
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% $45,817 −8% —
319 Other Endovascular Cardiac Valve Procedures With McC $42,103 $42,103 $132,314 −68% $75,585 −44% —
906 Hand Procedures For Injuries $42,058 $42,058 $42,058 +0% $31,520 +33% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $41,833 $41,833 $79,477 −47% $56,519 −26% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $41,738 $41,738 $45,050 −7% $34,434 +21% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $41,718 $41,718 $76,865 −46% $57,963 −28% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $41,654 $41,654 $57,456 −28% $37,950 +10% —
668 Transurethral Procedures With McC $41,626 $41,626 $59,497 −30% $47,277 −12% —
090 Concussion Without Cc/McC $41,484 $41,484 $41,229 +1% $14,873 +179% —
035 Carotid Artery Stent Procedures With Cc $40,850 $40,850 $71,884 −43% $46,430 −12% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $40,847 $40,847 $63,949 −36% $43,398 −6% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $40,596 $40,596 $80,626 −50% $40,232 +1% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $40,500 $40,500 $40,500 +0% $33,694 +20% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $40,326 $40,326 $41,439 −3% $29,558 +36% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $40,284 $40,284 $80,523 −50% $42,126 −4% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $39,801 $39,801 $39,801 +0% $24,561 +62% —
708 Major Male Pelvic Procedures Without Cc/McC $39,617 $39,617 $39,617 +0% $32,911 +20% —
655 Major Bladder Procedures Without Cc/McC $39,395 $39,395 $63,863 −38% $41,651 −5% —
723 Malignancy, Male Reproductive System With Cc $39,306 $39,306 $36,370 +8% $19,317 +103% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $39,181 $39,181 $39,181 +0% $36,334 +8% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $39,093 $39,093 $55,313 −29% $39,093 +0% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $39,035 $39,035 $45,825 −15% $38,878 +0% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $38,955 $38,955 $65,842 −41% $48,094 −19% —
374 Digestive Malignancy With McC $38,885 $38,885 $46,856 −17% $38,885 +0% —
165 Major Chest Procedures Without Cc/McC $38,793 $38,793 $56,867 −32% $41,380 −6% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $38,730 $38,730 $60,048 −36% $41,520 −7% —
357 Other Digestive System O.R. Procedures With Cc $38,707 $38,707 $69,395 −44% $48,682 −20% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $38,682 $38,682 $57,598 −33% $51,985 −26% —
198 Interstitial Lung Disease Without Cc/McC $38,663 $38,663 $38,663 +0% $13,654 +183% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $38,520 $38,520 $79,396 −51% $43,800 −12% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $38,452 $38,452 $69,519 −45% $50,139 −23% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $38,382 $38,382 $65,980 −42% $38,382 +0% —
553 Bone Diseases And Arthropathies With McC $38,165 $38,165 $38,165 +0% $23,956 +59% —
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% $43,901 −14% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $37,729 $37,729 $75,715 −50% $59,207 −36% —
116 Intraocular Procedures With Cc/McC $37,678 $37,678 $41,813 −10% $28,103 +34% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $37,672 $37,672 $55,527 −32% $44,553 −15% —
545 Connective Tissue Disorders With McC $37,642 $37,642 $43,112 −13% $39,657 −5% —
801 Splenic Procedures Without Cc/McC $37,623 $37,623 $37,623 +0% $28,634 +31% —
142 Major Head And Neck Procedures Without Cc/McC $37,598 $37,598 $52,534 −28% $34,906 +8% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $37,588 $37,588 $68,009 −45% $46,477 −19% —
724 Malignancy, Male Reproductive System Without Cc/McC $37,465 $37,465 $37,465 +0% $12,650 +196% —
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% $13,822 +170% —
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 $49,525 −25% $31,816 +17% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $36,511 $36,511 $168,826 −78% $96,192 −62% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $36,247 $36,247 $57,719 −37% $49,197 −26% —
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% $42,119 −14% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $36,063 $36,063 $38,798 −7% $23,297 +55% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $35,978 $35,978 $43,055 −16% $33,490 +7% —
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% $54,475 −34% —
582 Mastectomy For Malignancy With Cc/McC $35,849 $35,849 $69,228 −48% $34,264 +5% —
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 $42,709 −17% $36,237 −2% —
397 Appendix Procedures With McC $35,613 $35,613 $71,597 −50% $52,319 −32% —
033 Ventricular Shunt Procedures Without Cc/McC $35,567 $35,567 $48,272 −26% $33,984 +5% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $35,528 $35,528 $43,003 −17% $35,528 +0% —
337 Peritoneal Adhesiolysis Without Cc/McC $35,441 $35,441 $56,127 −37% $36,239 −2% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $35,429 $35,429 $47,200 −25% $29,916 +18% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $35,147 $35,147 $35,147 +0% $54,129 −35% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $35,121 $35,121 $100,691 −65% $54,824 −36% —
056 Degenerative Nervous System Disorders With McC $35,025 $35,025 $39,632 −12% $39,409 −11% —
157 Dental And Oral Diseases With McC $35,013 $35,013 $41,338 −15% $27,457 +28% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $34,881 $34,881 $38,001 −8% $24,544 +42% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $34,872 $34,872 $70,940 −51% $44,600 −22% —
669 Transurethral Procedures With Cc $34,565 $34,565 $40,685 −15% $34,354 +1% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $34,467 $34,467 $40,724 −15% $35,714 −3% ≈23% of Medicare
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $34,357 $34,357 $38,458 −11% $33,137 +4% —
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% $45,622 −25% —
030 Spinal Procedures Without Cc/McC $34,281 $34,281 $47,889 −28% $45,818 −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 $34,562 −1% $35,014 −2% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $34,200 $34,200 $62,230 −45% $45,963 −26% —
754 Malignancy, Female Reproductive System With McC $34,177 $34,177 $34,177 +0% $29,476 +16% —
205 Other Respiratory System Diagnoses With McC $33,894 $33,894 $33,894 +0% $32,204 +5% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $33,879 $33,879 $45,522 −26% $27,492 +23% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $33,803 $33,803 $58,452 −42% $36,280 −7% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $33,803 $33,803 $71,229 −53% $48,680 −31% —
903 Wound Debridements For Injuries Without Cc/McC $33,682 $33,682 $34,677 −3% $23,588 +43% —
908 Other O.R. Procedures For Injuries With Cc $33,675 $33,675 $43,820 −23% $41,660 −19% —
709 Penis Procedures With Cc/McC $33,673 $33,673 $33,673 +0% $34,535 −2% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $33,655 $33,655 $63,535 −47% $52,908 −36% —
376 Digestive Malignancy Without Cc/McC $33,509 $33,509 $30,418 +10% $15,608 +115% —
947 Signs And Symptoms With McC $33,290 $33,290 $33,290 +0% $25,474 +31% —
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 $36,067 −8% $26,146 +27% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $33,140 $33,140 $56,307 −41% $39,747 −17% —
398 Appendix Procedures With Cc $32,785 $32,785 $53,293 −38% $39,107 −16% —
289 Acute And Subacute Endocarditis With Cc $32,697 $32,697 $42,833 −24% $29,371 +11% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $32,443 $32,443 $35,010 −7% $32,839 −1% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $32,436 $32,436 $33,872 −4% $26,322 +23% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $32,368 $32,368 $66,233 −51% $40,063 −19% —
336 Peritoneal Adhesiolysis With Cc $32,348 $32,348 $70,773 −54% $49,470 −35% —
320 Other Endovascular Cardiac Valve Procedures Without McC $32,305 $32,305 $60,672 −47% $36,080 −10% —
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% $20,844 +54% —
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% $32,538 −2% —
333 Rectal Resection With Cc $31,891 $31,891 $63,363 −50% $34,352 −7% —
597 Malignant Breast Disorders With McC $31,846 $31,846 $44,796 −29% $31,846 +0% —
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 $36,465 −14% $31,062 +1% —
619 O.R. Procedures For Obesity With McC $31,206 $31,206 $58,107 −46% $44,973 −31% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $31,190 $31,190 $46,222 −33% $31,190 +0% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $31,169 $31,169 $38,060 −18% $23,723 +31% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $31,147 $31,147 $67,823 −54% $45,059 −31% —
551 Medical Back Problems With McC $31,067 $31,067 $38,941 −20% $31,086 −0% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $30,933 $30,933 $31,765 −3% $24,452 +27% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $30,930 $30,930 $46,972 −34% $30,930 +0% —
380 Complicated Peptic Ulcer With McC $30,796 $30,796 $44,130 −30% $36,641 −16% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $30,763 $30,763 $108,569 −72% $40,277 −24% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $30,661 $30,661 $44,221 −31% $30,661 +0% —
505 Foot Procedures Without Cc/McC $30,579 $30,579 $46,679 −34% $31,716 −4% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $30,537 $30,537 $30,537 +0% $28,140 +9% —
091 Other Disorders Of Nervous System With McC $30,468 $30,468 $48,165 −37% $36,375 −16% —
054 Nervous System Neoplasms With McC $30,447 $30,447 $36,604 −17% $29,484 +3% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $30,436 $30,436 $51,019 −40% $34,887 −13% —
969 Hiv With Extensive O.R. Procedures With McC $30,395 $30,395 $174,917 −83% $109,331 −72% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $30,275 $30,275 $30,275 +0% $30,275 +0% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $30,021 $30,021 $30,021 +0% $19,483 +54% —
550 Septic Arthritis Without Cc/McC $29,975 $29,975 $29,079 +3% $16,156 +86% —
263 Vein Ligation And Stripping $29,783 $29,783 $38,005 −22% $44,938 −34% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $29,705 $29,705 $48,792 −39% $29,050 +2% —
783 Cesarean Section With Sterilization With McC $29,593 $29,593 $30,719 −4% $28,375 +4% —
506 Major Thumb Or Joint Procedures $29,565 $29,565 $40,543 −27% $28,983 +2% —
383 Uncomplicated Peptic Ulcer With McC $29,413 $29,413 $30,064 −2% $26,634 +10% —
314 Other Circulatory System Diagnoses With McC $29,412 $29,412 $50,001 −41% $38,357 −23% —
501 Soft Tissue Procedures With Cc $29,410 $29,410 $47,828 −39% $37,975 −23% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $29,409 $29,409 $67,353 −56% $29,409 +0% —
444 Disorders Of The Biliary Tract With McC $29,285 $29,285 $36,617 −20% $31,128 −6% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $29,215 $29,215 $39,939 −27% $25,666 +14% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $29,176 $29,176 $48,986 −40% $39,253 −26% —
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 $39,240 −26% $28,527 +1% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $28,567 $28,567 $28,567 +0% $30,974 −8% —
085 Traumatic Stupor And Coma <1 Hour With McC $28,540 $28,540 $35,133 −19% $37,064 −23% —
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 $32,893 −14% $25,484 +11% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $28,350 $28,350 $43,413 −35% $32,399 −12% —
280 Acute Myocardial Infarction, Discharged Alive With McC $28,348 $28,348 $28,348 +0% $28,967 −2% —
080 Nontraumatic Stupor And Coma With McC $28,234 $28,234 $35,762 −21% $35,139 −20% —
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 $51,842 −46% $36,933 −24% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $28,078 $28,078 $44,418 −37% $33,050 −15% —
750 Other Female Reproductive System O.R. Procedures Without Cc/McC $28,026 $28,026 $31,311 −10% $23,920 +17% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $27,959 $27,959 $47,288 −41% $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 $41,533 −33% $29,031 −4% —
975 Hiv With Major Related Condition With Cc $27,741 $27,741 $34,552 −20% $25,010 +11% —
540 Osteomyelitis With Cc $27,479 $27,479 $31,763 −13% $23,494 +17% —
643 Endocrine Disorders With McC $27,424 $27,424 $41,195 −33% $32,996 −17% —
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% $30,358 −10% —
713 Transurethral Prostatectomy With Cc/McC $27,155 $27,155 $27,155 +0% $29,663 −8% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $27,096 $27,096 $34,599 −22% $30,418 −11% —
835 Acute Leukemia With Cc $27,073 $27,073 $30,915 −12% $35,569 −24% —
351 Inguinal And Femoral Hernia Procedures With Cc $27,060 $27,060 $47,377 −43% $33,792 −20% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $27,010 $27,010 $27,658 −2% $16,495 +64% —
438 Disorders Of Pancreas Except Malignancy With McC $26,991 $26,991 $29,518 −9% $32,502 −17% —
557 Tendonitis, Myositis And Bursitis With McC $26,990 $26,990 $49,779 −46% $28,646 −6% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $26,841 $26,841 $61,169 −56% $43,524 −38% —
902 Wound Debridements For Injuries With Cc $26,739 $26,739 $52,784 −49% $35,459 −25% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $26,728 $26,728 $52,557 −49% $36,242 −26% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $26,622 $26,622 $46,870 −43% $35,375 −25% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $26,527 $26,527 $38,120 −30% $25,152 +5% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $26,452 $26,452 $49,731 −47% $35,114 −25% —
113 Orbital Procedures With Cc/McC $26,377 $26,377 $61,854 −57% $35,642 −26% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $26,297 $26,297 $52,403 −50% $36,850 −29% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $26,208 $26,208 $39,407 −33% $31,978 −18% —
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 $28,192 −7% $25,307 +3% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $26,016 $26,016 $53,878 −52% $35,542 −27% —
504 Foot Procedures With Cc $25,886 $25,886 $45,088 −43% $36,598 −29% —
964 Other Multiple Significant Trauma With Cc $25,854 $25,854 $26,562 −3% $25,854 +0% —
150 Epistaxis With McC $25,823 $25,823 $25,823 +0% $21,133 +22% —
038 Extracranial Procedures With Cc $25,796 $25,796 $66,487 −61% $35,770 −28% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $25,766 $25,766 $30,314 −15% $18,623 +38% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $25,677 $25,677 $26,253 −2% $21,261 +21% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $25,643 $25,643 $54,091 −53% $41,900 −39% —
786 Cesarean Section Without Sterilization With McC $25,634 $25,634 $30,293 −15% $27,118 −5% —
199 Pneumothorax With McC $25,539 $25,539 $42,335 −40% $31,491 −19% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $25,509 $25,509 $25,509 +0% $18,428 +38% —
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 $65,375 −61% $43,697 −42% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $25,468 $25,468 $26,380 −3% $19,001 +34% —
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% $20,470 +24% —
571 Skin Debridement With Cc $25,326 $25,326 $25,326 +0% $34,901 −27% —
196 Interstitial Lung Disease With McC $24,982 $24,982 $47,330 −47% $30,766 −19% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $24,972 $24,972 $42,298 −41% $24,452 +2% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $24,957 $24,957 $36,875 −32% $25,162 −1% —
284 Acute Myocardial Infarction, Expired With Cc $24,922 $24,922 $24,922 +0% $13,282 +88% —
502 Soft Tissue Procedures Without Cc/McC $24,787 $24,787 $45,451 −45% $30,006 −17% —
186 Pleural Effusion With McC $24,737 $24,737 $41,882 −41% $32,468 −24% —
078 Hypertensive Encephalopathy With Cc $24,630 $24,630 $24,630 +0% $17,434 +41% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $24,476 $24,476 $27,554 −11% $18,238 +34% —
784 Cesarean Section With Sterilization With Cc $24,452 $24,452 $28,585 −14% $22,560 +8% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $24,412 $24,412 $38,606 −37% $21,029 +16% —
137 Mouth Procedures With Cc/McC $24,348 $24,348 $26,958 −10% $24,348 +0% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $24,229 $24,229 $42,829 −43% $24,229 +0% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC $24,175 $24,175 $31,948 −24% $29,109 −17% —
358 Other Digestive System O.R. Procedures Without Cc/McC $24,060 $24,060 $40,964 −41% $29,374 −18% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $23,958 $23,958 $23,958 +0% $24,941 −4% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $23,954 $23,954 $23,954 +0% $20,421 +17% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $23,941 $23,941 $32,199 −26% $23,496 +2% —
813 Coagulation Disorders $23,866 $23,866 $37,983 −37% $30,128 −21% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $23,824 $23,824 $35,646 −33% $27,168 −12% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $23,694 $23,694 $43,132 −45% $33,564 −29% —
965 Other Multiple Significant Trauma Without Cc/McC $23,678 $23,678 $26,257 −10% $17,585 +35% —
299 Peripheral Vascular Disorders With McC $23,554 $23,554 $33,852 −30% $25,731 −8% —
259 Cardiac Pacemaker Device Replacement Without McC $23,497 $23,497 $62,302 −62% $35,673 −34% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $23,474 $23,474 $52,937 −56% $23,924 −2% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $23,427 $23,427 $45,388 −48% $31,758 −26% —
592 Skin Ulcers With McC $23,241 $23,241 $40,204 −42% $32,662 −29% —
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 $27,470 −16% $11,847 +96% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $22,884 $22,884 $31,917 −28% $20,463 +12% —
348 Anal And Stomal Procedures With Cc $22,875 $22,875 $38,286 −40% $27,947 −18% —
393 Other Digestive System Diagnoses With McC $22,857 $22,857 $40,598 −44% $32,689 −30% —
381 Complicated Peptic Ulcer With Cc $22,819 $22,819 $32,085 −29% $24,177 −6% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $22,800 $22,800 $40,015 −43% $29,757 −23% —
595 Major Skin Disorders With McC $22,744 $22,744 $31,181 −27% $31,785 −28% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $22,726 $22,726 $40,947 −44% $22,275 +2% —
189 Pulmonary Edema And Respiratory Failure $22,695 $22,695 $32,457 −30% $25,704 −12% —
181 Respiratory Neoplasms With Cc $22,649 $22,649 $24,396 −7% $22,431 +1% —
089 Concussion With Cc $22,568 $22,568 $27,042 −17% $18,293 +23% —
138 Mouth Procedures Without Cc/McC $22,456 $22,456 $25,811 −13% $17,383 +29% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $22,441 $22,441 $47,148 −52% $33,165 −32% —
115 Extraocular Procedures Except Orbit $22,358 $22,358 $38,064 −41% $24,879 −10% —
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 $24,889 −11% $22,231 +0% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $22,205 $22,205 $34,686 −36% $24,022 −8% —
388 Gastrointestinal Obstruction With McC $22,194 $22,194 $36,088 −39% $28,780 −23% —
535 Fractures Of Hip And Pelvis With McC $21,957 $21,957 $21,957 +0% $23,350 −6% —
399 Appendix Procedures Without Cc/McC $21,942 $21,942 $46,028 −52% $30,314 −28% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $21,768 $21,768 $43,425 −50% $24,316 −10% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $21,723 $21,723 $29,636 −27% $22,032 −1% —
757 Infections, Female Reproductive System With McC $21,694 $21,694 $32,033 −32% $23,734 −9% —
073 Cranial And Peripheral Nerve Disorders With McC $21,563 $21,563 $30,555 −29% $28,252 −24% —
102 Headaches With McC $21,492 $21,492 $25,874 −17% $22,544 −5% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $21,475 $21,475 $36,815 −42% $29,211 −26% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $21,417 $21,417 $31,469 −32% $27,321 −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 $38,292 −45% $24,402 −13% —
548 Septic Arthritis With McC $21,188 $21,188 $32,344 −34% $31,019 −32% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $21,182 $21,182 $29,362 −28% $29,729 −29% —
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% $25,786 −19% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $20,998 $20,998 $21,114 −1% $17,103 +23% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $20,931 $20,931 $43,597 −52% $27,369 −24% —
083 Traumatic Stupor And Coma >1 Hour With Cc $20,851 $20,851 $24,118 −14% $24,118 −14% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $20,840 $20,840 $52,350 −60% $49,065 −58% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $20,837 $20,837 $40,433 −48% $36,097 −42% —
039 Extracranial Procedures Without Cc/McC $20,688 $20,688 $39,527 −48% $25,267 −18% —
103 Headaches Without McC $20,667 $20,667 $29,265 −29% $20,111 +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 $39,667 −48% $28,924 −29% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $20,515 $20,515 $23,838 −14% $17,715 +16% —
785 Cesarean Section With Sterilization Without Cc/McC $20,473 $20,473 $25,718 −20% $19,815 +3% —
606 Minor Skin Disorders With McC $20,403 $20,403 $34,720 −41% $25,434 −20% —
862 Postoperative And Post-Traumatic Infections With McC $20,401 $20,401 $24,432 −16% $30,394 −33% —
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% $25,623 −21% —
053 Spinal Disorders And Injuries Without Cc/McC $20,313 $20,313 $25,625 −21% $20,309 +0% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $20,287 $20,287 $37,839 −46% $27,244 −26% —
663 Minor Bladder Procedures With Cc $20,212 $20,212 $37,661 −46% $29,924 −32% —
884 Organic Disturbances And Intellectual Disability $20,153 $20,153 $27,174 −26% $25,208 −20% —
368 Major Esophageal Disorders With McC $20,081 $20,081 $56,538 −64% $33,607 −40% —
865 Viral Illness With McC $20,072 $20,072 $31,371 −36% $26,088 −23% —
948 Signs And Symptoms Without McC $20,067 $20,067 $25,689 −22% $17,727 +13% —
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 $32,814 −39% $32,483 −38% —
055 Nervous System Neoplasms Without McC $19,868 $19,868 $36,165 −45% $19,868 +0% —
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% $20,842 −5% —
539 Osteomyelitis With McC $19,554 $19,554 $42,316 −54% $33,746 −42% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $19,380 $19,380 $30,579 −37% $26,488 −27% —
637 Diabetes With McC $19,287 $19,287 $34,031 −43% $28,819 −33% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $19,152 $19,152 $46,920 −59% $24,465 −22% —
598 Malignant Breast Disorders With Cc $19,150 $19,150 $24,687 −22% $19,073 +0% —
621 O.R. Procedures For Obesity Without Cc/McC $19,129 $19,129 $45,639 −58% $32,451 −41% —
599 Malignant Breast Disorders Without Cc/McC $19,102 $19,102 $19,102 +0% $14,290 +34% —
369 Major Esophageal Disorders With Cc $19,035 $19,035 $35,724 −47% $22,713 −16% —
728 Inflammation Of The Male Reproductive System Without McC $18,978 $18,978 $18,978 +0% $16,837 +13% —
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 $30,572 −38% $17,550 +8% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $18,837 $18,837 $34,059 −45% $19,287 −2% —
546 Connective Tissue Disorders With Cc $18,766 $18,766 $20,168 −7% $24,202 −22% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $18,664 $18,664 $27,152 −31% $29,609 −37% —
394 Other Digestive System Diagnoses With Cc $18,637 $18,637 $27,628 −33% $18,918 −1% —
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 $27,494 −32% $23,115 −20% —
306 Cardiac Congenital And Valvular Disorders With McC $18,540 $18,540 $29,055 −36% $24,450 −24% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $18,498 $18,498 $18,498 +0% $13,090 +41% —
303 Atherosclerosis Without McC $18,488 $18,488 $20,298 −9% $14,927 +24% —
915 Allergic Reactions With McC $18,469 $18,469 $30,420 −39% $30,944 −40% —
755 Malignancy, Female Reproductive System With Cc $18,459 $18,459 $29,370 −37% $18,459 +0% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $18,432 $18,432 $8,934 +106% $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 $30,601 −40% $22,024 −17% —
190 Chronic Obstructive Pulmonary Disease With McC $18,116 $18,116 $30,661 −41% $24,190 −25% ≈36% of Medicare
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $18,078 $18,078 $52,791 −66% $25,149 −28% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $17,981 $17,981 $34,035 −47% $21,062 −15% —
385 Inflammatory Bowel Disease With McC $17,911 $17,911 $36,102 −50% $26,020 −31% —
378 Gastrointestinal Hemorrhage With Cc $17,847 $17,847 $33,652 −47% $21,886 −18% —
315 Other Circulatory System Diagnoses With Cc $17,777 $17,777 $28,370 −37% $20,777 −14% —
313 Chest Pain $17,751 $17,751 $22,190 −20% $15,962 +11% —
311 Angina Pectoris $17,734 $17,734 $21,118 −16% $15,165 +17% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $17,648 $17,648 $41,097 −57% $31,909 −45% —
121 Acute Major Eye Infections With Cc/McC $17,549 $17,549 $16,366 +7% $18,291 −4% —
384 Uncomplicated Peptic Ulcer Without McC $17,536 $17,536 $25,101 −30% $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% $30,016 −42% —
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 $41,181 −58% $36,202 −52% —
081 Nontraumatic Stupor And Coma Without McC $17,425 $17,425 $17,425 +0% $15,077 +16% —
920 Complications Of Treatment With Cc $17,295 $17,295 $17,295 +0% $21,181 −18% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $17,263 $17,263 $37,440 −54% $20,080 −14% —
149 Dysequilibrium $17,203 $17,203 $27,340 −37% $17,203 +0% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $17,202 $17,202 $28,873 −40% $19,569 −12% —
300 Peripheral Vascular Disorders With Cc $17,196 $17,196 $19,416 −11% $19,579 −12% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $17,189 $17,189 $26,297 −35% $20,741 −17% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $17,176 $17,176 $24,675 −30% $18,191 −6% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $17,088 $17,088 $31,918 −46% $14,055 +22% —
600 Non-Malignant Breast Disorders With Cc/McC $17,061 $17,061 $17,061 +0% $16,418 +4% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $16,956 $16,956 $43,335 −61% $35,237 −52% ≈22% 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% $20,573 −18% —
693 Urinary Stones With McC $16,834 $16,834 $30,715 −45% $22,525 −25% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $16,757 $16,757 $16,757 +0% $12,044 +39% —
204 Respiratory Signs And Symptoms $16,757 $16,757 $23,272 −28% $16,866 −1% —
101 Seizures Without McC $16,752 $16,752 $23,267 −28% $19,954 −16% —
184 Major Chest Trauma With Cc $16,748 $16,748 $26,116 −36% $20,842 −20% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $16,732 $16,732 $17,773 −6% $18,133 −8% —
883 Disorders Of Personality And Impulse Control $16,714 $16,714 $22,482 −26% $22,698 −26% —
714 Transurethral Prostatectomy Without Cc/McC $16,672 $16,672 $17,934 −7% $17,108 −3% —
698 Other Kidney And Urinary Tract Diagnoses With McC $16,665 $16,665 $39,789 −58% $30,058 −45% ≈25% of Medicare
305 Hypertension Without McC $16,595 $16,595 $26,555 −38% $17,144 −3% —
304 Hypertension With McC $16,440 $16,440 $28,318 −42% $24,185 −32% —
187 Pleural Effusion With Cc $16,382 $16,382 $24,444 −33% $21,467 −24% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $16,364 $16,364 $37,422 −56% $25,243 −35% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $16,347 $16,347 $30,042 −46% $17,928 −9% —
197 Interstitial Lung Disease With Cc $16,128 $16,128 $33,908 −52% $20,106 −20% —
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 $19,791 −20% $15,876 +0% —
069 Transient Ischemia Without Thrombolytic $15,869 $15,869 $30,031 −47% $20,278 −22% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $15,780 $15,780 $23,003 −31% $20,147 −22% —
294 Deep Vein Thrombophlebitis With Cc/McC $15,760 $15,760 $19,132 −18% $19,132 −18% —
445 Disorders Of The Biliary Tract With Cc $15,670 $15,670 $29,507 −47% $21,806 −28% —
864 Fever And Inflammatory Conditions $15,658 $15,658 $24,049 −35% $17,412 −10% —
077 Hypertensive Encephalopathy With McC $15,637 $15,637 $44,448 −65% $24,036 −35% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $15,569 $15,569 $17,658 −12% $15,636 −0% —
572 Skin Debridement Without Cc/McC $15,566 $15,566 $37,464 −58% $24,432 −36% —
206 Other Respiratory System Diagnoses Without McC $15,495 $15,495 $31,555 −51% $17,731 −13% —
726 Benign Prostatic Hypertrophy Without McC $15,481 $15,481 $15,705 −1% $13,892 +11% —
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 $24,680 −38% $18,253 −15% —
193 Simple Pneumonia And Pleurisy With McC $15,383 $15,383 $32,566 −53% $26,158 −41% ≈30% of Medicare
123 Neurological Eye Disorders $15,288 $15,288 $20,417 −25% $17,831 −14% —
758 Infections, Female Reproductive System With Cc $15,208 $15,208 $30,330 −50% $19,091 −20% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $15,086 $15,086 $23,674 −36% $21,860 −31% —
070 Nonspecific Cerebrovascular Disorders With McC $15,086 $15,086 $49,551 −70% $30,814 −51% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $15,022 $15,022 $24,144 −38% $19,326 −22% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $15,003 $15,003 $70,498 −79% $29,633 −49% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $14,885 $14,885 $29,702 −50% $16,654 −11% —
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 $24,891 −40% $14,861 +0% —
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 $19,715 −25% $14,110 +5% —
670 Transurethral Procedures Without Cc/McC $14,726 $14,726 $25,676 −43% $20,371 −28% —
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% $14,337 +3% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $14,689 $14,689 $22,158 −34% $14,441 +2% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $14,682 $14,682 $37,599 −61% $32,936 −55% —
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 $38,598 −62% $23,469 −38% ≈43% of Medicare
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $14,452 $14,452 $18,691 −23% $16,642 −13% —
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 $29,544 −51% $22,941 −37% —
710 Penis Procedures Without Cc/McC $14,305 $14,305 $26,055 −45% $23,814 −40% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $14,302 $14,302 $26,249 −46% $18,803 −24% —
596 Major Skin Disorders Without McC $14,295 $14,295 $22,967 −38% $17,226 −17% —
759 Infections, Female Reproductive System Without Cc/McC $14,250 $14,250 $20,962 −32% $14,208 +0% —
533 Fractures Of Femur With McC $14,220 $14,220 $22,986 −38% $25,945 −45% —
887 Other Mental Disorder Diagnoses $14,198 $14,198 $18,631 −24% $20,602 −31% —
291 Heart Failure And Shock With McC $14,187 $14,187 $31,339 −55% $25,020 −43% ≈31% of Medicare
999 Ungroupable $14,162 $14,162 $14,162 +0% $28,822 −51% —
158 Dental And Oral Diseases With Cc $14,143 $14,143 $15,699 −10% $17,700 −20% —
694 Urinary Stones Without McC $14,135 $14,135 $24,767 −43% $16,531 −14% —
307 Cardiac Congenital And Valvular Disorders Without McC $14,125 $14,125 $23,261 −39% $18,608 −24% —
152 Otitis Media And Uri With McC $14,104 $14,104 $25,826 −45% $19,795 −29% —
100 Seizures With McC $14,049 $14,049 $42,679 −67% $35,194 −60% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $13,958 $13,958 $26,480 −47% $17,078 −18% —
185 Major Chest Trauma Without Cc/McC $13,944 $13,944 $20,657 −32% $15,858 −12% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $13,903 $13,903 $25,566 −46% $16,352 −15% —
687 Kidney And Urinary Tract Neoplasms With Cc $13,872 $13,872 $16,337 −15% $18,478 −25% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $13,867 $13,867 $22,508 −38% $16,776 −17% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $13,853 $13,853 $21,756 −36% $15,764 −12% —
914 Traumatic Injury Without McC $13,746 $13,746 $26,297 −48% $15,593 −12% —
536 Fractures Of Hip And Pelvis Without McC $13,683 $13,683 $24,925 −45% $18,002 −24% —
552 Medical Back Problems Without McC $13,633 $13,633 $30,459 −55% $21,213 −36% —
607 Minor Skin Disorders Without McC $13,589 $13,589 $13,589 +0% $15,284 −11% —
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% $15,655 −14% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $13,481 $13,481 $19,272 −30% $16,104 −16% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $13,438 $13,438 $24,486 −45% $17,943 −25% —
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 $29,713 −55% $25,426 −47% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $13,338 $13,338 $23,545 −43% $17,322 −23% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $13,328 $13,328 $44,471 −70% $13,385 −0% —
191 Chronic Obstructive Pulmonary Disease With Cc $13,301 $13,301 $23,872 −44% $18,278 −27% —
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 $6,559 +99% $15,589 −16% —
541 Osteomyelitis Without Cc/McC $12,859 $12,859 $14,632 −12% $14,549 −12% —
092 Other Disorders Of Nervous System With Cc $12,854 $12,854 $37,630 −66% $24,136 −47% —
645 Endocrine Disorders Without Cc/McC $12,844 $12,844 $12,844 +0% $14,166 −9% —
863 Postoperative And Post-Traumatic Infections Without McC $12,827 $12,827 $28,762 −55% $20,007 −36% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $12,815 $12,815 $20,329 −37% $15,869 −19% —
387 Inflammatory Bowel Disease Without Cc/McC $12,785 $12,785 $22,581 −43% $14,880 −14% —
534 Fractures Of Femur Without McC $12,764 $12,764 $17,058 −25% $17,195 −26% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $12,694 $12,694 $16,940 −25% $18,282 −31% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $12,686 $12,686 $31,399 −60% $34,089 −63% —
558 Tendonitis, Myositis And Bursitis Without McC $12,660 $12,660 $13,756 −8% $17,367 −27% —
602 Cellulitis With McC $12,646 $12,646 $38,507 −67% $29,347 −57% —
811 Red Blood Cell Disorders With McC $12,640 $12,640 $33,985 −63% $27,934 −55% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $12,546 $12,546 $20,878 −40% $16,049 −22% —
159 Dental And Oral Diseases Without Cc/McC $12,397 $12,397 $18,063 −31% $13,368 −7% —
815 Reticuloendothelial And Immunity Disorders With Cc $12,395 $12,395 $27,003 −54% $18,017 −31% —
549 Septic Arthritis With Cc $12,390 $12,390 $22,825 −46% $20,938 −41% —
689 Kidney And Urinary Tract Infections With McC $12,387 $12,387 $35,833 −65% $22,982 −46% ≈35% of Medicare
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% $17,273 −29% —
386 Inflammatory Bowel Disease With Cc $12,232 $12,232 $27,178 −55% $20,968 −42% —
866 Viral Illness Without McC $12,131 $12,131 $21,238 −43% $16,391 −26% —
683 Renal Failure With Cc $12,031 $12,031 $26,395 −54% $18,620 −35% ≈45% of Medicare
882 Neuroses Except Depressive $12,013 $12,013 $14,551 −17% $15,680 −23% —
390 Gastrointestinal Obstruction Without Cc/McC $11,954 $11,954 $15,036 −20% $13,318 −10% —
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% $15,607 −24% —
071 Nonspecific Cerebrovascular Disorders With Cc $11,761 $11,761 $29,075 −60% $23,396 −50% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $11,663 $11,663 $19,785 −41% $13,303 −12% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $11,647 $11,647 $32,902 −65% $24,480 −52% ≈31% of Medicare
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $11,583 $11,583 $19,566 −41% $12,405 −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 $22,523 −49% $14,444 −21% —
935 Non-Extensive Burns $11,257 $11,257 $29,361 −62% $29,458 −62% —
664 Minor Bladder Procedures Without Cc/McC $11,245 $11,245 $25,096 −55% $18,126 −38% —
293 Heart Failure And Shock Without Cc/McC $11,171 $11,171 $15,535 −28% $11,955 −7% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $11,126 $11,126 $30,204 −63% $22,781 −51% ≈40% 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% $12,797 −14% —
379 Gastrointestinal Hemorrhage Without Cc/McC $10,808 $10,808 $20,597 −48% $14,134 −24% —
690 Kidney And Urinary Tract Infections Without McC $10,768 $10,768 $24,350 −56% $17,466 −38% ≈49% of Medicare
918 Poisoning And Toxic Effects Of Drugs Without McC $10,489 $10,489 $19,649 −47% $15,045 −30% —
122 Acute Major Eye Infections Without Cc/McC $10,439 $10,439 $11,997 −13% $11,997 −13% —
921 Complications Of Treatment Without Cc/McC $10,375 $10,375 $14,430 −28% $14,012 −26% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $10,371 $10,371 $16,244 −36% $13,485 −23% —
885 Psychoses $10,238 $10,238 $18,408 −44% $21,489 −52% —
682 Renal Failure With McC $10,134 $10,134 $32,167 −68% $27,854 −64% —
153 Otitis Media And Uri Without McC $10,130 $10,130 $18,842 −46% $14,473 −30% —
375 Digestive Malignancy With Cc $10,115 $10,115 $33,783 −70% $27,219 −63% —
177 Respiratory Infections And Inflammations With McC $10,106 $10,106 $45,521 −78% $31,840 −68% ≈25% of Medicare
075 Viral Meningitis With Cc/McC $9,958 $9,958 $26,570 −63% $29,853 −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% $16,571 −40% —
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 $15,949 −39% $13,081 −25% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $9,721 $9,721 $25,679 −62% $20,732 −53% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $9,615 $9,615 $9,715 −1% $9,076 +6% —
684 Renal Failure Without Cc/McC $9,561 $9,561 $21,444 −55% $13,623 −30% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $9,525 $9,525 $31,044 −69% $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% $16,212 −42% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $9,313 $9,313 $25,509 −63% $15,070 −38% —
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% $18,821 −51% —
916 Allergic Reactions Without McC $9,060 $9,060 $13,510 −33% $13,890 −35% —
793 Full Term Neonate With Major Problems $8,962 $8,962 $8,962 +0% $16,719 −46% —
725 Benign Prostatic Hypertrophy With McC $8,930 $8,930 $27,763 −68% $19,894 −55% —
601 Non-Malignant Breast Disorders Without Cc/McC $8,766 $8,766 $10,975 −20% $10,975 −20% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $8,710 $8,710 $21,843 −60% $16,745 −48% —
697 Urethral Stricture $8,703 $8,703 $21,601 −60% $17,705 −51% —
389 Gastrointestinal Obstruction With Cc $8,634 $8,634 $26,993 −68% $17,388 −50% —
370 Major Esophageal Disorders Without Cc/McC $8,490 $8,490 $16,975 −50% $15,072 −44% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $8,469 $8,469 $14,896 −43% $12,013 −30% —
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% $24,017 −65% —
917 Poisoning And Toxic Effects Of Drugs With McC $8,291 $8,291 $37,550 −78% $28,134 −71% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $8,130 $8,130 $25,748 −68% $16,865 −52% —
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% $13,198 −41% —
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 $15,094 −51% $15,474 −52% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $7,433 $7,433 $27,175 −73% $21,545 −65% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $7,168 $7,168 $12,640 −43% $12,381 −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% $12,279 −42% —
729 Other Male Reproductive System Diagnoses With Cc/McC $6,883 $6,883 $17,755 −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% $17,522 −63% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $5,717 $5,717 $14,968 −62% $12,537 −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% $24,836 −78% —
792 Prematurity Without Major Problems $5,399 $5,399 $5,399 +0% $11,633 −54% —
139 Salivary Gland Procedures $5,254 $5,254 $28,909 −82% $21,014 −75% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $4,682 $4,682 $4,889 −4% $14,284 −67% —
951 Other Factors Influencing Health Status $3,457 $3,457 $8,532 −59% $9,385 −63% —
794 Neonate With Other Significant Problems $3,444 $3,444 $4,134 −17% $7,961 −57% —
285 Acute Myocardial Infarction, Expired Without Cc/McC $3,338 $3,338 $3,338 +0% $10,039 −67% —
298 Cardiac Arrest, Unexplained Without Cc/McC $3,123 $3,123 $8,927 −65% $8,927 −65% —
795 Normal Newborn $2,967 $2,967 $3,473 −15% $4,530 −34% —
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