Novant Health Presbyterian Medical Center (Acute Care) — Pricing

739 procedures published in this hospital's Machine-Readable File (MRF) — 739 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 739
Lowest published price $2,189
Average published price $90,930
Highest published price $1,422,622

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 739 procedures

Published charges

Showing all 739 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 106 procedures, this hospital's negotiated rates average ≈289% of what Medicare pays.

DRG Description Published price Cash price vs. NC median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $1,422,622 $711,311 $1,422,622 +0% $498,715 +185% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $1,409,054 $704,527 $395,416 +256% $59,425 +2271% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $729,992 $364,996 $525,648 +39% $371,366 +97% ≈207% of Medicare
014 ALLOGENEIC BONE MARROW TRANSPLANT $585,410 $292,705 $585,410 +0% $182,314 +221% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $560,182 $280,091 $560,182 +0% $169,977 +230% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $538,381 $269,190 $538,381 +0% $103,861 +418% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $527,344 $263,672 $299,897 +76% $82,527 +539% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $522,444 $261,222 $268,712 +94% $171,338 +205% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $520,884 $260,442 $245,968 +112% $175,437 +197% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $501,781 $250,891 $388,023 +29% $245,189 +105% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $436,168 $218,084 $286,862 +52% $143,242 +204% ≈396% of Medicare
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $395,304 $197,652 $293,456 +35% $75,251 +425% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $389,533 $194,767 $281,448 +38% $135,380 +188% —
231 CORONARY BYPASS WITH PTCA WITH MCC $385,619 $192,809 $169,463 +128% $145,864 +164% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $379,558 $189,779 $379,558 +0% $431,073 −12% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $373,441 $186,721 $219,681 +70% $138,868 +169% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $354,871 $177,435 $174,917 +103% $109,331 +225% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $335,450 $167,725 $221,756 +51% $191,314 +75% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $323,839 $161,920 $168,862 +92% $121,714 +166% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $319,595 $159,797 $248,089 +29% $151,029 +112% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $319,134 $159,567 $120,621 +165% $48,358 +560% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $315,644 $157,822 $315,644 +0% $69,101 +357% ≈310% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $312,571 $156,286 $161,964 +93% $95,375 +228% —
028 SPINAL PROCEDURES WITH MCC $299,577 $149,789 $194,362 +54% $95,858 +213% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $296,929 $148,464 $198,739 +49% $120,573 +146% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $293,684 $146,842 $125,585 +134% $106,219 +176% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $286,272 $143,136 $160,364 +79% $83,441 +243% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $285,590 $142,795 $160,160 +78% $102,177 +180% ≈365% of Medicare
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $281,802 $140,901 $189,145 +49% $112,062 +151% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $279,293 $139,646 $99,645 +180% $84,861 +229% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $278,255 $139,127 $194,967 +43% $115,937 +140% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $270,892 $135,446 $110,670 +145% $90,331 +200% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $269,939 $134,970 $144,048 +87% $102,573 +163% ≈422% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $265,903 $132,952 $265,903 +0% $131,961 +102% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $263,938 $131,969 $151,545 +74% $86,953 +204% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $260,848 $130,424 $202,306 +29% $107,355 +143% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $258,028 $129,014 $78,441 +229% $76,004 +239% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $252,781 $126,391 $75,680 +234% $37,654 +571% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $241,397 $120,698 $55,179 +337% $60,861 +297% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $233,017 $116,509 $163,664 +42% $80,018 +191% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $232,809 $116,404 $223,937 +4% $106,778 +118% ≈308% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $228,865 $114,433 $113,322 +102% $92,515 +147% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $228,645 $114,323 $187,375 +22% $54,320 +321% ≈408% of Medicare
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $227,121 $113,560 $184,253 +23% $113,855 +99% ≈272% of Medicare
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $226,781 $113,390 $148,324 +53% $83,065 +173% ≈380% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $225,840 $112,920 $125,107 +81% $85,882 +163% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $221,559 $110,779 $170,734 +30% $137,160 +62% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $220,981 $110,491 $132,032 +67% $94,320 +134% ≈319% of Medicare
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $216,911 $108,456 $116,893 +86% $51,142 +324% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $216,642 $108,321 $204,145 +6% $101,280 +114% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $215,725 $107,862 $112,669 +91% $60,098 +259% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $213,090 $106,545 $162,376 +31% $99,423 +114% ≈291% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $212,361 $106,181 $103,899 +104% $64,749 +228% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $211,406 $105,703 $102,617 +106% $78,327 +170% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $209,043 $104,522 $111,525 +87% $82,247 +154% ≈388% of Medicare
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $208,243 $104,122 $156,877 +33% $50,815 +310% ≈407% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $203,580 $101,790 $105,834 +92% $88,307 +131% ≈356% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $201,500 $100,750 $99,638 +102% $67,215 +200% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $199,812 $99,906 $112,737 +77% $66,853 +199% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $199,473 $99,737 $168,826 +18% $96,192 +107% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $198,232 $99,116 $51,289 +287% $51,953 +282% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $197,455 $98,727 $166,794 +18% $116,058 +70% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $196,897 $98,448 $196,897 +0% $104,881 +88% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $195,995 $97,998 $195,995 +0% $98,912 +98% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $191,831 $95,915 $162,298 +18% $70,779 +171% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $191,698 $95,849 $88,504 +117% $62,790 +205% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $188,781 $94,391 $107,983 +75% $92,217 +105% ≈289% of Medicare
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $187,520 $93,760 $58,844 +219% $56,964 +229% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $183,739 $91,869 $57,277 +221% $57,277 +221% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $182,059 $91,029 $182,059 +0% $98,260 +85% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $180,543 $90,271 $142,820 +26% $80,885 +123% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $180,074 $90,037 $133,868 +35% $87,495 +106% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $179,450 $89,725 $94,936 +89% $73,029 +146% —
163 MAJOR CHEST PROCEDURES WITH MCC $177,522 $88,761 $133,292 +33% $88,341 +101% ≈300% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $175,082 $87,541 $129,200 +36% $96,905 +81% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $174,649 $87,324 $113,837 +53% $82,561 +112% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $171,633 $85,817 $97,218 +77% $62,961 +173% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $169,012 $84,506 $119,957 +41% $71,014 +138% ≈353% of Medicare
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $167,196 $83,598 $167,196 +0% $117,280 +43% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $167,190 $83,595 $79,086 +111% $54,929 +204% ≈461% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $163,840 $81,920 $97,063 +69% $97,028 +69% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $163,393 $81,696 $78,243 +109% $58,043 +182% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $163,311 $81,655 $64,694 +152% $52,332 +212% ≈516% of Medicare
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $162,256 $81,128 $107,849 +50% $74,755 +117% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $161,771 $80,886 $155,043 +4% $87,575 +85% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $161,669 $80,834 $62,977 +157% $64,465 +151% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $161,277 $80,638 $53,797 +200% $45,937 +251% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $160,858 $80,429 $43,112 +273% $39,657 +306% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $160,594 $80,297 $119,451 +34% $88,050 +82% ≈279% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $159,981 $79,990 $85,423 +87% $60,140 +166% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $159,910 $79,955 $50,838 +215% $40,065 +299% —
500 SOFT TISSUE PROCEDURES WITH MCC $157,259 $78,629 $70,494 +123% $57,181 +175% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $157,076 $78,538 $94,235 +67% $53,787 +192% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $156,812 $78,406 $37,623 +317% $28,554 +449% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $156,464 $78,232 $72,817 +115% $68,399 +129% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $155,536 $77,768 $155,536 +0% $92,238 +69% —
164 MAJOR CHEST PROCEDURES WITH CC $155,215 $77,608 $71,934 +116% $53,141 +192% ≈479% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $153,791 $76,895 $70,498 +118% $29,598 +420% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $153,524 $76,762 $52,791 +191% $25,149 +510% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $153,095 $76,547 $74,065 +107% $56,758 +170% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $152,718 $76,359 $64,067 +138% $63,310 +141% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $152,630 $76,315 $152,630 +0% $68,847 +122% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $152,541 $76,270 $152,541 +0% $53,555 +185% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $151,222 $75,611 $88,070 +72% $57,855 +161% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $150,733 $75,367 $41,181 +266% $36,202 +316% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $150,461 $75,231 $70,144 +115% $54,313 +177% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $150,191 $75,095 $108,569 +38% $40,277 +273% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $149,533 $74,766 $89,366 +67% $64,468 +132% ≈373% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $149,273 $74,636 $32,814 +355% $32,506 +359% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $148,521 $74,261 $30,915 +380% $35,569 +318% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $148,395 $74,197 $76,824 +93% $72,879 +104% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $146,244 $73,122 $70,126 +109% $72,908 +101% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $146,230 $73,115 $69,228 +111% $34,158 +328% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $145,946 $72,973 $46,920 +211% $24,465 +497% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $145,453 $72,726 $116,842 +24% $91,329 +59% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $144,571 $72,286 $65,373 +121% $56,197 +157% ≈427% of Medicare
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $144,160 $72,080 $106,316 +36% $71,519 +102% —
799 SPLENIC PROCEDURES WITH MCC $143,627 $71,813 $67,322 +113% $78,821 +82% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $142,918 $71,459 $97,243 +47% $44,022 +225% —
472 CERVICAL SPINAL FUSION WITH CC $142,804 $71,402 $87,747 +63% $59,537 +140% ≈423% of Medicare
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $141,522 $70,761 $80,626 +76% $39,923 +254% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $141,498 $70,749 $56,867 +149% $41,380 +242% ≈569% of Medicare
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $141,436 $70,718 $118,406 +19% $74,257 +90% —
252 OTHER VASCULAR PROCEDURES WITH MCC $140,633 $70,316 $120,467 +17% $68,508 +105% ≈296% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $139,903 $69,952 $125,956 +11% $66,819 +109% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $139,752 $69,876 $107,615 +30% $50,919 +174% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $139,508 $69,754 $101,959 +37% $68,331 +104% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $139,469 $69,734 $60,052 +132% $49,710 +181% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $137,384 $68,692 $86,997 +58% $64,956 +112% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $136,742 $68,371 $115,634 +18% $72,843 +88% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $136,402 $68,201 $95,410 +43% $68,421 +99% ≈315% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $136,160 $68,080 $112,168 +21% $31,566 +331% —
668 TRANSURETHRAL PROCEDURES WITH MCC $135,814 $67,907 $59,497 +128% $47,126 +188% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $135,703 $67,851 $113,027 +20% $71,873 +89% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $135,313 $67,657 $51,589 +162% $35,381 +282% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $134,920 $67,460 $128,104 +5% $72,274 +87% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $134,517 $67,259 $85,869 +57% $64,488 +109% —
800 SPLENIC PROCEDURES WITH CC $134,201 $67,100 $65,879 +104% $49,184 +173% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $132,314 $66,157 $132,314 +0% $75,585 +75% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $131,675 $65,837 $131,675 +0% $78,852 +67% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $131,647 $65,823 $62,731 +110% $36,333 +262% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $130,753 $65,376 $106,663 +23% $71,755 +82% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $129,397 $64,699 $47,889 +170% $45,842 +182% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $128,917 $64,458 $85,282 +51% $54,475 +137% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $128,774 $64,387 $63,535 +103% $52,908 +143% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $128,589 $64,294 $85,788 +50% $62,266 +107% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $128,552 $64,276 $62,199 +107% $47,546 +170% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $128,197 $64,099 $107,896 +19% $70,540 +82% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $128,165 $64,082 $89,377 +43% $63,984 +100% ≈331% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $127,356 $63,678 $56,325 +126% $45,271 +181% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $126,943 $63,471 $90,501 +40% $76,954 +65% —
113 ORBITAL PROCEDURES WITH CC/MCC $126,748 $63,374 $61,854 +105% $35,642 +256% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $125,800 $62,900 $75,715 +66% $59,207 +112% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $125,577 $62,789 $83,660 +50% $61,832 +103% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $125,538 $62,769 $125,538 +0% $75,103 +67% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $125,149 $62,575 $75,345 +66% $45,497 +175% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $122,862 $61,431 $84,712 +45% $44,719 +175% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $121,554 $60,777 $103,961 +17% $74,274 +64% ≈318% of Medicare
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $121,286 $60,643 $104,530 +16% $62,404 +94% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $121,000 $60,500 $58,107 +108% $44,973 +169% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $120,534 $60,267 $92,897 +30% $68,590 +76% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $118,464 $59,232 $53,657 +121% $34,900 +239% ≈456% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $117,737 $58,868 $100,691 +17% $54,681 +115% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $117,353 $58,677 $90,788 +29% $70,132 +67% ≈272% of Medicare
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $117,171 $58,586 $117,171 +0% $65,573 +79% ≈269% of Medicare
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $116,630 $58,315 $63,863 +83% $41,701 +180% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $116,285 $58,142 $49,776 +134% $45,558 +155% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $116,114 $58,057 $54,215 +114% $46,659 +149% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $115,765 $57,882 $52,534 +120% $34,906 +232% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $115,441 $57,721 $52,350 +121% $48,745 +137% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $115,081 $57,541 $72,530 +59% $61,353 +88% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $114,158 $57,079 $55,519 +106% $43,491 +162% —
253 OTHER VASCULAR PROCEDURES WITH CC $113,961 $56,980 $113,961 +0% $53,746 +112% ≈341% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $113,667 $56,834 $35,010 +225% $32,839 +246% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $113,645 $56,823 $31,469 +261% $27,319 +316% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $113,245 $56,623 $74,617 +52% $58,713 +93% ≈334% of Medicare
504 FOOT PROCEDURES WITH CC $113,181 $56,591 $45,088 +151% $36,519 +210% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $112,952 $56,476 $81,538 +39% $66,765 +69% —
654 MAJOR BLADDER PROCEDURES WITH CC $112,748 $56,374 $69,871 +61% $53,868 +109% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $112,653 $56,326 $71,884 +57% $46,306 +143% —
665 PROSTATECTOMY WITH MCC $112,547 $56,274 $102,095 +10% $54,072 +108% —
333 RECTAL RESECTION WITH CC $111,942 $55,971 $63,363 +77% $34,352 +226% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $111,672 $55,836 $51,830 +115% $41,596 +168% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $111,668 $55,834 $49,195 +127% $40,583 +175% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $111,596 $55,798 $45,050 +148% $34,434 +224% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $111,437 $55,718 $73,402 +52% $50,624 +120% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $111,334 $55,667 $64,872 +72% $61,206 +82% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $111,311 $55,656 $43,524 +156% $31,812 +250% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $111,290 $55,645 $61,165 +82% $43,313 +157% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $111,180 $55,590 $59,206 +88% $43,320 +157% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $110,910 $55,455 $39,617 +180% $32,911 +237% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $110,834 $55,417 $31,399 +253% $34,089 +225% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $110,314 $55,157 $59,686 +85% $43,775 +152% ≈413% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $110,093 $55,047 $57,598 +91% $51,985 +112% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $109,634 $54,817 $103,833 +6% $53,817 +104% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $109,559 $54,779 $65,375 +68% $43,697 +151% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $109,176 $54,588 $47,148 +132% $33,236 +228% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $108,292 $54,146 $69,395 +56% $48,682 +122% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $107,140 $53,570 $67,823 +58% $44,927 +138% —
662 MINOR BLADDER PROCEDURES WITH MCC $105,865 $52,933 $54,483 +94% $54,483 +94% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $105,819 $52,910 $79,477 +33% $55,147 +92% ≈362% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $105,797 $52,898 $72,194 +47% $56,394 +88% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $105,659 $52,830 $65,980 +60% $38,382 +175% —
263 VEIN LIGATION AND STRIPPING $105,043 $52,522 $38,005 +176% $44,938 +134% —
245 AICD GENERATOR PROCEDURES $104,346 $52,173 $67,840 +54% $72,076 +45% —
570 SKIN DEBRIDEMENT WITH MCC $104,274 $52,137 $101,088 +3% $51,501 +102% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $103,771 $51,886 $57,229 +81% $43,080 +141% —
332 RECTAL RESECTION WITH MCC $100,020 $50,010 $100,020 +0% $58,125 +72% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $100,012 $50,006 $85,978 +16% $51,950 +93% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $99,774 $49,887 $51,718 +93% $44,989 +122% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $99,601 $49,800 $77,367 +29% $51,339 +94% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,531 $49,766 $52,673 +89% $35,584 +180% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $99,515 $49,758 $62,230 +60% $45,916 +117% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $99,287 $49,644 $74,218 +34% $40,694 +144% —
334 RECTAL RESECTION WITHOUT CC/MCC $98,996 $49,498 $45,782 +116% $32,213 +207% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $98,895 $49,447 $68,009 +45% $46,477 +113% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $98,756 $49,378 $42,709 +131% $36,237 +173% ≈310% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $98,516 $49,258 $70,773 +39% $49,071 +101% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $98,136 $49,068 $75,684 +30% $43,538 +125% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $96,383 $48,192 $72,392 +33% $47,583 +103% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $96,035 $48,018 $57,719 +66% $48,801 +97% ≈380% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $95,910 $47,955 $60,672 +58% $35,806 +168% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $95,709 $47,855 $62,875 +52% $55,162 +74% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $95,550 $47,775 $52,937 +80% $23,474 +307% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $95,423 $47,712 $50,739 +88% $35,989 +165% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $95,139 $47,570 $60,105 +58% $38,836 +145% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $94,833 $47,417 $93,180 +2% $65,325 +45% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $94,764 $47,382 $50,054 +89% $35,692 +166% —
397 APPENDIX PROCEDURES WITH MCC $94,433 $47,217 $71,597 +32% $52,319 +80% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $94,019 $47,009 $66,342 +42% $44,087 +113% ≈456% of Medicare
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $93,311 $46,656 $54,536 +71% $37,681 +148% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $93,201 $46,601 $38,120 +144% $25,152 +271% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $93,186 $46,593 $48,590 +92% $35,453 +163% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $93,172 $46,586 $93,172 +0% $86,938 +7% ≈126% of Medicare
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $93,129 $46,564 $46,870 +99% $35,375 +163% —
265 AICD LEAD PROCEDURES $92,742 $46,371 $76,543 +21% $56,216 +65% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $92,553 $46,276 $70,940 +30% $44,600 +108% ≈316% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $92,221 $46,111 $52,321 +76% $29,524 +212% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $92,093 $46,046 $43,003 +114% $35,528 +159% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $91,369 $45,684 $53,399 +71% $44,839 +104% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $91,264 $45,632 $48,272 +89% $33,962 +169% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $90,765 $45,382 $65,842 +38% $47,574 +91% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $90,657 $45,329 $37,422 +142% $25,243 +259% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $90,541 $45,270 $80,027 +13% $49,631 +82% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $90,256 $45,128 $73,393 +23% $50,998 +77% ≈326% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $90,104 $45,052 $56,173 +60% $42,881 +110% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $89,575 $44,787 $74,020 +21% $50,011 +79% ≈290% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $88,809 $44,404 $33,908 +162% $20,105 +342% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $88,659 $44,330 $79,396 +12% $43,252 +105% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $88,342 $44,171 $46,252 +91% $30,940 +186% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $87,710 $43,855 $43,820 +100% $41,660 +111% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $87,232 $43,616 $54,862 +59% $57,521 +52% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $86,902 $43,451 $45,451 +91% $29,777 +192% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $86,850 $43,425 $53,246 +63% $37,080 +134% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $85,836 $42,918 $49,303 +74% $54,196 +58% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $85,348 $42,674 $82,225 +4% $58,968 +45% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $85,016 $42,508 $54,091 +57% $41,114 +107% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $84,935 $42,468 $62,645 +36% $30,888 +175% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $84,717 $42,358 $78,348 +8% $54,772 +55% ≈346% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $84,598 $42,299 $44,796 +89% $31,846 +166% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $84,522 $42,261 $37,257 +127% $32,538 +160% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $84,496 $42,248 $19,132 +342% $19,132 +342% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $84,403 $42,202 $46,972 +80% $30,930 +173% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $84,250 $42,125 $76,658 +10% $46,066 +83% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $84,153 $42,077 $45,639 +84% $32,451 +159% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $83,774 $41,887 $57,456 +46% $37,950 +121% ≈393% of Medicare
398 APPENDIX PROCEDURES WITH CC $83,660 $41,830 $53,293 +57% $38,574 +117% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $83,355 $41,678 $55,527 +50% $44,553 +87% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $83,050 $41,525 $27,152 +206% $29,609 +180% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $83,040 $41,520 $80,523 +3% $42,126 +97% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $82,592 $41,296 $53,881 +53% $19,354 +327% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $82,335 $41,168 $60,048 +37% $41,520 +98% —
503 FOOT PROCEDURES WITH MCC $82,091 $41,046 $54,558 +50% $43,982 +87% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $81,991 $40,996 $67,353 +22% $29,409 +179% —
374 DIGESTIVE MALIGNANCY WITH MCC $81,955 $40,978 $46,856 +75% $38,885 +111% —
533 FRACTURES OF FEMUR WITH MCC $81,881 $40,941 $22,986 +256% $25,945 +216% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $81,583 $40,792 $50,414 +62% $40,552 +101% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $81,555 $40,777 $42,829 +90% $24,229 +237% —
038 EXTRACRANIAL PROCEDURES WITH CC $81,215 $40,607 $66,487 +22% $35,770 +127% —
709 PENIS PROCEDURES WITH CC/MCC $81,055 $40,528 $33,673 +141% $34,535 +135% —
663 MINOR BLADDER PROCEDURES WITH CC $80,664 $40,332 $37,661 +114% $29,924 +170% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $80,155 $40,078 $69,519 +15% $50,139 +60% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $79,946 $39,973 $57,547 +39% $42,119 +90% ≈345% of Medicare
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $79,612 $39,806 $79,612 +0% $15,890 +401% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $78,841 $39,420 $27,763 +184% $19,894 +296% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $78,696 $39,348 $45,522 +73% $27,492 +186% —
671 URETHRAL PROCEDURES WITH CC/MCC $78,518 $39,259 $37,773 +108% $27,233 +188% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $78,164 $39,082 $55,313 +41% $39,093 +100% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $77,908 $38,954 $43,055 +81% $33,425 +133% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $77,383 $38,691 $38,458 +101% $33,137 +134% ≈374% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $77,220 $38,610 $52,805 +46% $28,578 +170% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $76,865 $38,433 $76,865 +0% $57,030 +35% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $76,340 $38,170 $68,185 +12% $30,768 +148% —
348 ANAL AND STOMAL PROCEDURES WITH CC $76,266 $38,133 $38,286 +99% $27,947 +173% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $76,263 $38,132 $59,374 +28% $43,266 +76% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $75,920 $37,960 $41,813 +82% $28,103 +170% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $75,901 $37,950 $49,525 +53% $31,816 +139% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $75,881 $37,940 $39,240 +93% $28,509 +166% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $75,807 $37,903 $52,784 +44% $35,029 +116% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $75,540 $37,770 $58,415 +29% $40,801 +85% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $75,340 $37,670 $48,792 +54% $29,029 +160% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $74,973 $37,486 $50,001 +50% $38,166 +96% ≈210% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $74,664 $37,332 $61,102 +22% $40,563 +84% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $74,539 $37,270 $40,433 +84% $36,097 +106% —
501 SOFT TISSUE PROCEDURES WITH CC $74,314 $37,157 $47,828 +55% $37,975 +96% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $74,301 $37,150 $34,599 +115% $30,418 +144% —
864 FEVER AND INFLAMMATORY CONDITIONS $74,206 $37,103 $24,049 +209% $17,412 +326% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $74,171 $37,086 $30,572 +143% $17,308 +329% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $74,074 $37,037 $35,133 +111% $36,318 +104% ≈258% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $73,829 $36,915 $36,465 +102% $31,062 +138% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $73,804 $36,902 $45,825 +61% $38,878 +90% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $73,772 $36,886 $47,377 +56% $33,790 +118% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $73,760 $36,880 $63,949 +15% $41,847 +76% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $73,354 $36,677 $36,067 +103% $26,146 +181% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $73,163 $36,582 $56,307 +30% $39,675 +84% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $72,970 $36,485 $45,423 +61% $26,998 +170% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $72,448 $36,224 $47,330 +53% $30,362 +139% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $72,166 $36,083 $45,810 +58% $39,018 +85% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $72,062 $36,031 $66,233 +9% $40,063 +80% ≈310% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $72,036 $36,018 $58,452 +23% $36,241 +99% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $71,973 $35,986 $58,637 +23% $37,839 +90% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $71,679 $35,839 $43,132 +66% $33,415 +115% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $71,533 $35,767 $34,177 +109% $29,476 +143% —
710 PENIS PROCEDURES WITHOUT CC/MCC $71,451 $35,726 $26,055 +174% $23,814 +200% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $71,425 $35,712 $56,842 +26% $25,390 +181% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $71,267 $35,634 $51,019 +40% $34,564 +106% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $71,229 $35,615 $71,229 +0% $47,635 +50% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $71,141 $35,570 $56,538 +26% $33,339 +113% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $70,104 $35,052 $48,165 +46% $35,990 +95% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $70,095 $35,048 $48,986 +43% $39,253 +79% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $70,055 $35,027 $70,055 +0% $48,907 +43% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $69,880 $34,940 $34,374 +103% $25,621 +173% —
506 MAJOR THUMB OR JOINT PROCEDURES $69,210 $34,605 $40,543 +71% $28,983 +139% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $68,839 $34,420 $42,298 +63% $23,456 +193% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $68,448 $34,224 $36,604 +87% $29,049 +136% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $68,223 $34,111 $49,731 +37% $34,886 +96% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $67,911 $33,955 $56,127 +21% $35,961 +89% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $67,725 $33,862 $56,403 +20% $38,094 +78% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $67,252 $33,626 $38,798 +73% $22,920 +193% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $67,148 $33,574 $36,102 +86% $25,998 +158% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $66,535 $33,267 $32,893 +102% $25,484 +161% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $66,294 $33,147 $41,381 +60% $29,826 +122% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $66,018 $33,009 $44,418 +49% $32,901 +101% —
669 TRANSURETHRAL PROCEDURES WITH CC $65,346 $32,673 $40,685 +61% $34,354 +90% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $65,239 $32,620 $55,656 +17% $32,976 +98% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $65,019 $32,509 $31,044 +109% $31,044 +109% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $65,008 $32,504 $52,597 +24% $40,548 +60% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $64,971 $32,486 $34,562 +88% $35,108 +85% —
100 SEIZURES WITH MCC $64,796 $32,398 $42,679 +52% $35,194 +84% ≈241% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $63,988 $31,994 $69,289 −8% $84,825 −25% ≈89% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $63,595 $31,797 $53,878 +18% $35,693 +78% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $63,350 $31,675 $38,064 +66% $24,879 +155% —
643 ENDOCRINE DISORDERS WITH MCC $63,285 $31,643 $41,195 +54% $32,953 +92% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $63,177 $31,589 $39,527 +60% $25,267 +150% ≈398% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $62,968 $31,484 $38,060 +65% $23,646 +166% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $62,894 $31,447 $45,497 +38% $22,811 +176% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $62,302 $31,151 $62,302 +0% $35,673 +75% —
088 CONCUSSION WITH MCC $62,146 $31,073 $38,292 +62% $24,402 +155% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $62,039 $31,020 $33,872 +83% $26,158 +137% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $61,880 $30,940 $39,407 +57% $31,978 +94% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $61,853 $30,927 $47,114 +31% $29,957 +106% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $61,717 $30,859 $26,480 +133% $17,078 +261% —
157 DENTAL AND ORAL DISEASES WITH MCC $61,447 $30,723 $41,338 +49% $27,457 +124% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $61,302 $30,651 $49,551 +24% $30,814 +99% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $61,169 $30,585 $61,169 +0% $43,444 +41% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $60,824 $30,412 $28,192 +116% $25,206 +141% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $60,812 $30,406 $52,403 +16% $36,850 +65% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $60,690 $30,345 $24,889 +144% $22,231 +173% —
666 PROSTATECTOMY WITH CC $60,442 $30,221 $47,721 +27% $30,016 +101% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $60,305 $30,153 $38,001 +59% $24,544 +146% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $60,090 $30,045 $35,762 +68% $35,139 +71% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $59,969 $29,984 $25,509 +135% $18,316 +227% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $59,883 $29,941 $59,883 +0% $55,002 +9% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $59,825 $29,913 $27,554 +117% $18,038 +232% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $59,462 $29,731 $39,801 +49% $24,561 +142% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $59,242 $29,621 $40,947 +45% $22,226 +167% ≈203% of Medicare
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $58,956 $29,478 $59,197 −0% $27,277 +116% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $58,569 $29,285 $58,569 +0% $49,055 +19% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $58,402 $29,201 $26,562 +120% $25,854 +126% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $57,958 $28,979 $31,918 +82% $14,055 +312% —
711 TESTES PROCEDURES WITH CC/MCC $57,925 $28,963 $53,392 +8% $34,846 +66% —
548 SEPTIC ARTHRITIS WITH MCC $57,703 $28,852 $32,344 +78% $31,019 +86% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $57,646 $28,823 $46,028 +25% $30,259 +91% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $57,459 $28,729 $29,362 +96% $29,671 +94% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $57,230 $28,615 $65,056 −12% $40,947 +40% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $57,055 $28,527 $47,635 +20% $32,189 +77% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $57,037 $28,519 $57,037 +0% $45,594 +25% ≈202% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $56,713 $28,356 $27,155 +109% $29,630 +91% —
592 SKIN ULCERS WITH MCC $56,668 $28,334 $40,204 +41% $32,662 +73% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $56,521 $28,261 $31,888 +77% $24,017 +135% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $56,317 $28,159 $46,222 +22% $31,190 +81% ≈370% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $55,877 $27,938 $31,311 +78% $23,920 +134% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $55,354 $27,677 $40,964 +35% $29,374 +88% —
102 HEADACHES WITH MCC $55,316 $27,658 $25,874 +114% $21,983 +152% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $55,289 $27,644 $41,097 +35% $31,909 +73% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $55,280 $27,640 $41,439 +33% $29,558 +87% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $55,240 $27,620 $44,221 +25% $30,661 +80% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $55,167 $27,583 $23,954 +130% $20,148 +174% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $54,850 $27,425 $44,448 +23% $24,036 +128% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $54,065 $27,033 $57,989 −7% $65,383 −17% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $53,815 $26,908 $35,673 +51% $23,749 +127% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $53,172 $26,586 $38,165 +39% $23,956 +122% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $53,126 $26,563 $30,537 +74% $27,597 +93% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $53,089 $26,544 $43,597 +22% $27,369 +94% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $52,956 $26,478 $36,875 +44% $25,038 +112% —
139 SALIVARY GLAND PROCEDURES $52,819 $26,409 $28,909 +83% $21,014 +151% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $52,772 $26,386 $47,288 +12% $33,424 +58% —
598 MALIGNANT BREAST DISORDERS WITH CC $52,743 $26,371 $24,687 +114% $19,073 +177% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $52,718 $26,359 $46,449 +13% $28,156 +87% —
199 PNEUMOTHORAX WITH MCC $52,568 $26,284 $42,335 +24% $31,085 +69% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $52,557 $26,278 $52,557 +0% $36,355 +45% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $52,472 $26,236 $38,606 +36% $21,029 +150% —
183 MAJOR CHEST TRAUMA WITH MCC $52,306 $26,153 $39,667 +32% $28,924 +81% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $52,133 $26,066 $31,948 +63% $29,109 +79% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $51,842 $25,921 $51,842 +0% $36,880 +41% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $51,430 $25,715 $51,347 +0% $20,837 +147% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $50,876 $25,438 $31,698 +60% $19,854 +156% —
302 ATHEROSCLEROSIS WITH MCC $50,792 $25,396 $32,132 +58% $20,810 +144% —
505 FOOT PROCEDURES WITHOUT CC/MCC $50,640 $25,320 $46,679 +8% $31,716 +60% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $50,582 $25,291 $68,265 −26% $80,747 −37% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $50,508 $25,254 $44,471 +14% $13,385 +277% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $50,381 $25,190 $47,200 +7% $29,916 +68% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $50,066 $25,033 $34,035 +47% $21,025 +138% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $49,956 $24,978 $49,956 +0% $37,842 +32% ≈204% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $49,779 $24,889 $49,779 +0% $28,385 +75% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $49,444 $24,722 $31,555 +57% $17,731 +179% —
549 SEPTIC ARTHRITIS WITH CC $49,389 $24,695 $22,825 +116% $20,808 +137% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $49,236 $24,618 $43,425 +13% $23,646 +108% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $49,053 $24,526 $33,894 +45% $31,743 +55% —
150 EPISTAXIS WITH MCC $48,881 $24,441 $25,823 +89% $21,133 +131% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $48,776 $24,388 $23,261 +110% $18,323 +166% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $48,452 $24,226 $37,464 +29% $24,426 +98% —
919 COMPLICATIONS OF TREATMENT WITH MCC $48,250 $24,125 $41,533 +16% $29,031 +66% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $48,098 $24,049 $20,168 +138% $24,146 +99% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $47,986 $23,993 $25,811 +86% $17,383 +176% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $47,826 $23,913 $45,388 +5% $31,627 +51% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $47,383 $23,692 $36,165 +31% $19,868 +138% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $47,337 $23,669 $18,520 +156% $11,071 +328% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $47,273 $23,637 $21,908 +116% $22,525 +110% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $47,187 $23,594 $27,494 +72% $23,039 +105% —
181 RESPIRATORY NEOPLASMS WITH CC $46,458 $23,229 $24,396 +90% $22,065 +111% —
811 RED BLOOD CELL DISORDERS WITH MCC $46,404 $23,202 $33,985 +37% $27,674 +68% ≈147% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $46,315 $23,157 $34,720 +33% $25,434 +82% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $46,051 $23,025 $42,833 +8% $29,891 +54% —
697 URETHRAL STRICTURE $45,983 $22,992 $21,601 +113% $17,705 +160% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $45,967 $22,983 $39,939 +15% $25,666 +79% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $45,693 $22,847 $18,691 +144% $16,622 +175% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $45,625 $22,813 $37,839 +21% $27,041 +69% ≈256% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $45,611 $22,806 $27,003 +69% $18,005 +153% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $45,562 $22,781 $40,500 +12% $33,694 +35% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $45,521 $22,761 $45,521 +0% $31,754 +43% ≈197% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $44,853 $22,427 $23,958 +87% $24,874 +80% —
913 TRAUMATIC INJURY WITH MCC $44,813 $22,407 $24,198 +85% $24,198 +85% —
540 OSTEOMYELITIS WITH CC $44,746 $22,373 $31,763 +41% $23,494 +90% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $44,176 $22,088 $31,748 +39% $13,586 +225% —
380 COMPLICATED PEPTIC ULCER WITH MCC $44,130 $22,065 $44,130 +0% $36,537 +21% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $44,123 $22,062 $30,314 +46% $18,288 +141% —
541 OSTEOMYELITIS WITHOUT CC/MCC $44,063 $22,032 $14,632 +201% $14,549 +203% —
593 SKIN ULCERS WITH CC $43,819 $21,910 $27,448 +60% $20,470 +114% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $43,729 $21,864 $32,033 +37% $23,734 +84% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $43,588 $21,794 $43,588 +0% $46,402 −6% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $43,490 $21,745 $35,724 +22% $22,590 +93% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $43,413 $21,707 $43,413 +0% $31,913 +36% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $43,335 $21,667 $43,335 +0% $34,876 +24% ≈165% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $43,332 $21,666 $25,101 +73% $19,305 +124% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $43,274 $21,637 $31,765 +36% $24,277 +78% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $43,118 $21,559 $29,702 +45% $16,654 +159% —
186 PLEURAL EFFUSION WITH MCC $43,109 $21,554 $41,882 +3% $32,385 +33% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $43,006 $21,503 $30,293 +42% $27,118 +59% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $42,681 $21,340 $22,523 +90% $14,411 +196% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $42,618 $21,309 $37,509 +14% $24,000 +78% —
313 CHEST PAIN $42,606 $21,303 $22,190 +92% $15,837 +169% ≈406% of Medicare
947 SIGNS AND SYMPTOMS WITH MCC $42,591 $21,295 $33,290 +28% $25,474 +67% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $42,562 $21,281 $31,306 +36% $23,141 +84% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $42,544 $21,272 $38,598 +10% $22,610 +88% ≈302% of Medicare
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $42,525 $21,263 $17,773 +139% $18,133 +135% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $42,487 $21,244 $42,487 +0% $15,901 +167% —
539 OSTEOMYELITIS WITH MCC $42,316 $21,158 $42,316 +0% $33,614 +26% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $42,277 $21,139 $39,789 +6% $29,929 +41% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $42,269 $21,134 $29,370 +44% $18,459 +129% —
551 MEDICAL BACK PROBLEMS WITH MCC $42,235 $21,118 $38,941 +8% $31,067 +36% ≈178% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $42,118 $21,059 $34,059 +24% $19,287 +118% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $41,999 $21,000 $15,094 +178% $15,474 +171% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $41,926 $20,963 $38,663 +8% $13,654 +207% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $41,861 $20,930 $37,550 +11% $28,001 +49% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $41,799 $20,900 $29,055 +44% $24,450 +71% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $41,555 $20,777 $33,211 +25% $17,193 +142% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $41,376 $20,688 $26,510 +56% $24,447 +69% —
866 VIRAL ILLNESS WITHOUT MCC $41,299 $20,650 $21,238 +94% $16,348 +153% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $41,258 $20,629 $41,258 +0% $22,532 +83% —
090 CONCUSSION WITHOUT CC/MCC $41,229 $20,615 $41,229 +0% $14,873 +177% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $41,079 $20,539 $17,934 +129% $17,108 +140% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $40,954 $20,477 $34,677 +18% $23,588 +74% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $40,874 $20,437 $26,253 +56% $21,323 +92% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $40,724 $20,362 $40,724 +0% $35,714 +14% ≈159% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $40,655 $20,327 $30,125 +35% $20,408 +99% ≈290% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $40,604 $20,302 $18,396 +121% $14,368 +183% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $40,598 $20,299 $40,598 +0% $32,689 +24% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $40,579 $20,289 $42,360 −4% $30,224 +34% —
813 COAGULATION DISORDERS $40,532 $20,266 $37,983 +7% $30,128 +35% —
906 HAND PROCEDURES FOR INJURIES $40,361 $20,181 $42,058 −4% $31,520 +28% —
602 CELLULITIS WITH MCC $40,331 $20,165 $38,507 +5% $29,347 +37% ≈194% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $40,285 $20,143 $37,440 +8% $20,076 +101% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $40,209 $20,104 $17,425 +131% $15,007 +168% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $40,015 $20,008 $40,015 +0% $29,521 +36% ≈204% of Medicare
637 DIABETES WITH MCC $39,998 $19,999 $34,031 +18% $28,772 +39% ≈186% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $39,756 $19,878 $26,958 +47% $24,348 +63% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $39,632 $19,816 $39,632 +0% $39,409 +1% —
375 DIGESTIVE MALIGNANCY WITH CC $39,584 $19,792 $33,783 +17% $27,125 +46% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $39,402 $19,701 $29,133 +35% $22,557 +75% —
712 TESTES PROCEDURES WITHOUT CC/MCC $39,220 $19,610 $39,220 +0% $18,898 +108% —
694 URINARY STONES WITHOUT MCC $39,199 $19,599 $24,767 +58% $16,451 +138% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $39,014 $19,507 $39,014 +0% $52,405 −26% ≈86% of Medicare
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $39,003 $19,502 $25,506 +53% $11,909 +227% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $38,998 $19,499 $38,998 +0% $38,998 +0% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $38,789 $19,394 $24,891 +56% $14,861 +161% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $38,691 $19,345 $32,239 +20% $16,634 +133% —
176 PULMONARY EMBOLISM WITHOUT MCC $38,685 $19,343 $27,128 +43% $17,693 +119% ≈326% of Medicare
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $38,633 $19,317 $30,482 +27% $20,980 +84% —
534 FRACTURES OF FEMUR WITHOUT MCC $38,485 $19,242 $17,058 +126% $17,194 +124% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $38,265 $19,132 $36,617 +4% $31,029 +23% ≈158% of Medicare
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $38,184 $19,092 $42,205 −10% $29,805 +28% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $38,142 $19,071 $25,314 +51% $17,522 +118% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $37,883 $18,942 $37,883 +0% $19,686 +92% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $37,782 $18,891 $30,459 +24% $20,632 +83% ≈281% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $37,599 $18,800 $37,599 +0% $32,804 +15% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $37,274 $18,637 $16,212 +130% $16,212 +130% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $36,966 $18,483 $30,042 +23% $17,851 +107% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $36,815 $18,408 $36,815 +0% $29,011 +27% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $36,660 $18,330 $35,833 +2% $22,870 +60% ≈232% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $36,614 $18,307 $31,339 +17% $24,932 +47% ≈200% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $36,592 $18,296 $31,917 +15% $20,463 +79% ≈302% of Medicare
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $36,570 $18,285 $23,838 +53% $17,562 +108% —
184 MAJOR CHEST TRAUMA WITH CC $36,432 $18,216 $26,116 +40% $20,842 +75% ≈245% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $36,371 $18,185 $30,031 +21% $20,253 +80% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $36,370 $18,185 $36,370 +0% $19,317 +88% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $36,314 $18,157 $34,552 +5% $25,071 +45% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $36,275 $18,138 $28,762 +26% $20,007 +81% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $36,170 $18,085 $25,509 +42% $14,770 +145% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $36,155 $18,078 $36,088 +0% $28,403 +27% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $36,134 $18,067 $27,178 +33% $20,917 +73% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $35,935 $17,968 $26,597 +35% $20,727 +73% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $35,646 $17,823 $35,646 +0% $27,074 +32% —
644 ENDOCRINE DISORDERS WITH CC $35,635 $17,818 $29,544 +21% $22,941 +55% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $35,593 $17,796 $14,968 +138% $12,536 +184% —
158 DENTAL AND ORAL DISEASES WITH CC $35,575 $17,788 $15,699 +127% $17,751 +100% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $35,424 $17,712 $24,922 +42% $13,278 +167% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $35,407 $17,704 $33,652 +5% $21,886 +62% ≈245% of Medicare
683 RENAL FAILURE WITH CC $35,348 $17,674 $26,395 +34% $18,322 +93% ≈289% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $35,130 $17,565 $27,710 +27% $23,571 +49% —
865 VIRAL ILLNESS WITH MCC $35,128 $17,564 $31,371 +12% $26,088 +35% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $34,813 $17,406 $10,975 +217% $10,975 +217% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $34,803 $17,402 $25,464 +37% $14,064 +147% —
312 SYNCOPE AND COLLAPSE $34,730 $17,365 $28,759 +21% $19,342 +80% ≈287% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $34,686 $17,343 $34,686 +0% $24,008 +44% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $34,218 $17,109 $28,889 +18% $21,449 +60% —
204 RESPIRATORY SIGNS AND SYMPTOMS $34,076 $17,038 $23,272 +46% $16,804 +103% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $33,979 $16,990 $28,873 +18% $19,569 +74% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $33,852 $16,926 $33,852 +0% $25,596 +32% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $33,798 $16,899 $22,158 +53% $14,210 +138% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $33,774 $16,887 $32,457 +4% $24,603 +37% ≈199% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $33,697 $16,848 $21,444 +57% $13,455 +150% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $33,673 $16,836 $29,713 +13% $25,412 +33% ≈172% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $33,464 $16,732 $20,878 +60% $15,923 +110% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $33,370 $16,685 $25,748 +30% $16,645 +100% ≈298% of Medicare
949 AFTERCARE WITH CC/MCC $33,353 $16,676 $36,227 −8% $23,953 +39% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $33,320 $16,660 $32,566 +2% $25,766 +29% ≈184% of Medicare
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $33,308 $16,654 $17,755 +88% $17,483 +91% —
305 HYPERTENSION WITHOUT MCC $33,304 $16,652 $26,555 +25% $16,897 +97% ≈313% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $33,268 $16,634 $25,689 +30% $17,719 +88% ≈295% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $33,230 $16,615 $18,063 +84% $13,362 +149% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $33,108 $16,554 $32,199 +3% $23,400 +41% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $33,083 $16,541 $24,675 +34% $18,060 +83% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $33,013 $16,507 $30,601 +8% $22,024 +50% ≈239% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $32,917 $16,458 $30,661 +7% $24,103 +37% ≈212% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $32,902 $16,451 $32,902 +0% $24,244 +36% ≈174% of Medicare
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $32,803 $16,402 $24,654 +33% $15,600 +110% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $32,693 $16,346 $23,545 +39% $17,322 +89% ≈283% of Medicare
915 ALLERGIC REACTIONS WITH MCC $32,645 $16,322 $30,420 +7% $30,944 +5% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $32,578 $16,289 $30,330 +7% $19,091 +71% —
667 PROSTATECTOMY WITHOUT CC/MCC $32,449 $16,225 $32,449 +0% $16,703 +94% —
303 ATHEROSCLEROSIS WITHOUT MCC $32,361 $16,181 $20,298 +59% $14,927 +117% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $32,350 $16,175 $16,975 +91% $15,072 +115% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $32,340 $16,170 $22,508 +44% $16,776 +93% —
682 RENAL FAILURE WITH MCC $32,167 $16,084 $32,167 +0% $27,640 +16% ≈140% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $32,085 $16,043 $32,085 +0% $24,177 +33% —
693 URINARY STONES WITH MCC $32,070 $16,035 $30,715 +4% $22,525 +42% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $31,965 $15,983 $30,064 +6% $26,616 +20% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $31,917 $15,959 $19,715 +62% $14,252 +124% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $31,778 $15,889 $27,470 +16% $11,847 +168% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $31,727 $15,863 $30,555 +4% $28,252 +12% —
153 OTITIS MEDIA AND URI WITHOUT MCC $31,614 $15,807 $18,842 +68% $14,251 +122% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $31,545 $15,773 $19,791 +59% $15,876 +99% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $31,453 $15,726 $24,680 +27% $17,579 +79% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $31,408 $15,704 $28,370 +11% $20,716 +52% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $31,269 $15,634 $24,925 +25% $17,754 +76% ≈292% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $31,221 $15,610 $31,221 +0% $24,928 +25% —
595 MAJOR SKIN DISORDERS WITH MCC $31,181 $15,590 $31,181 +0% $31,772 −2% —
638 DIABETES WITH CC $31,095 $15,548 $27,043 +15% $18,763 +66% ≈224% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $31,075 $15,538 $26,380 +18% $19,001 +64% —
187 PLEURAL EFFUSION WITH CC $30,945 $15,472 $24,444 +27% $21,467 +44% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $30,838 $15,419 $14,896 +107% $12,013 +157% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $30,823 $15,411 $29,636 +4% $22,010 +40% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $30,820 $15,410 $27,554 +12% $20,084 +53% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $30,763 $15,382 $25,566 +20% $16,352 +88% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $30,719 $15,360 $30,719 +0% $28,375 +8% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $30,716 $15,358 $26,993 +14% $17,345 +77% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $30,676 $15,338 $30,204 +2% $22,623 +36% ≈218% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $30,621 $15,310 $20,329 +51% $15,818 +94% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $30,579 $15,290 $30,579 +0% $26,098 +17% ≈173% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $30,498 $15,249 $14,716 +107% $14,337 +113% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $30,425 $15,212 $35,147 −13% $53,763 −43% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,418 $15,209 $30,418 +0% $15,608 +95% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $30,385 $15,193 $19,566 +55% $12,405 +145% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $30,275 $15,138 $27,087 +12% $18,204 +66% ≈266% of Medicare
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $30,227 $15,113 $25,718 +18% $19,815 +53% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $30,208 $15,104 $21,114 +43% $17,006 +78% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $30,008 $15,004 $13,528 +122% $12,275 +144% —
103 HEADACHES WITHOUT MCC $30,004 $15,002 $29,265 +3% $20,076 +49% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $29,988 $14,994 $25,679 +17% $20,732 +45% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $29,917 $14,958 $39,181 −24% $36,195 −17% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $29,719 $14,859 $24,350 +22% $17,379 +71% ≈254% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $29,612 $14,806 $27,360 +8% $15,878 +86% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $29,552 $14,776 $19,272 +53% $16,104 +84% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $29,524 $14,762 $26,249 +12% $18,243 +62% ≈235% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $29,518 $14,759 $29,518 +0% $32,417 −9% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $29,507 $14,753 $29,507 +0% $21,666 +36% ≈222% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $29,363 $14,681 $29,363 +0% $19,096 +54% —
935 NON-EXTENSIVE BURNS $29,361 $14,680 $29,361 +0% $29,458 −0% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $29,358 $14,679 $23,872 +23% $18,104 +62% —
311 ANGINA PECTORIS $29,338 $14,669 $21,118 +39% $15,165 +93% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $29,256 $14,628 $28,730 +2% $18,150 +61% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $29,175 $14,588 $30,021 −3% $19,483 +50% ≈306% of Medicare
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $29,092 $14,546 $24,486 +19% $17,719 +64% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $29,075 $14,538 $29,075 +0% $23,396 +24% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $28,742 $14,371 $21,756 +32% $15,764 +82% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $28,585 $14,292 $28,585 +0% $22,587 +27% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $28,564 $14,282 $15,705 +82% $13,892 +106% —
950 AFTERCARE WITHOUT CC/MCC $28,509 $14,255 $22,706 +26% $13,527 +111% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $28,476 $14,238 $28,476 +0% $22,850 +25% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $28,442 $14,221 $27,750 +2% $12,794 +122% —
304 HYPERTENSION WITH MCC $28,318 $14,159 $28,318 +0% $23,945 +18% ≈168% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $28,291 $14,146 $21,843 +30% $16,718 +69% ≈254% of Medicare
603 CELLULITIS WITHOUT MCC $28,257 $14,129 $24,429 +16% $18,359 +54% ≈236% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $27,992 $13,996 $15,535 +80% $11,826 +137% —
914 TRAUMATIC INJURY WITHOUT MCC $27,878 $13,939 $26,297 +6% $15,586 +79% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $27,764 $13,882 $22,581 +23% $14,880 +87% —
849 RADIOTHERAPY $27,684 $13,842 $59,196 −53% $37,862 −27% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $27,658 $13,829 $27,658 +0% $16,495 +68% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $27,628 $13,814 $27,628 +0% $18,815 +47% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $27,608 $13,804 $24,630 +12% $17,268 +60% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $27,587 $13,794 $20,849 +32% $15,370 +79% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $27,552 $13,776 $23,775 +16% $17,183 +60% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $27,371 $13,686 $20,962 +31% $14,208 +93% —
149 DYSEQUILIBRIUM $27,340 $13,670 $27,340 +0% $17,203 +59% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $27,175 $13,588 $16,244 +67% $13,485 +102% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $27,175 $13,587 $27,175 +0% $21,499 +26% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $27,174 $13,587 $27,174 +0% $25,146 +8% —
089 CONCUSSION WITH CC $27,042 $13,521 $27,042 +0% $18,293 +48% —
152 OTITIS MEDIA AND URI WITH MCC $27,012 $13,506 $25,826 +5% $19,657 +37% —
075 VIRAL MENINGITIS WITH CC/MCC $26,570 $13,285 $26,570 +0% $29,751 −11% —
887 OTHER MENTAL DISORDER DIAGNOSES $26,536 $13,268 $18,631 +42% $20,557 +29% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $26,502 $13,251 $22,600 +17% $13,747 +93% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $26,478 $13,239 $23,674 +12% $21,860 +21% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $26,474 $13,237 $25,625 +3% $20,313 +30% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $26,297 $13,148 $26,297 +0% $20,741 +27% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $26,277 $13,139 $17,061 +54% $16,418 +60% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $26,257 $13,129 $26,257 +0% $17,585 +49% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $25,977 $12,988 $20,597 +26% $14,134 +84% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $25,729 $12,864 $17,658 +46% $15,636 +65% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $25,716 $12,858 $19,649 +31% $15,045 +71% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $25,676 $12,838 $25,676 +0% $20,371 +26% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $25,617 $12,809 $30,275 −15% $30,275 −15% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $25,616 $12,808 $19,785 +29% $13,303 +93% —
180 RESPIRATORY NEOPLASMS WITH MCC $25,606 $12,803 $38,001 −33% $36,658 −30% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $25,096 $12,548 $25,096 +0% $18,126 +38% —
571 SKIN DEBRIDEMENT WITH CC $25,079 $12,540 $25,326 −1% $34,773 −28% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $24,852 $12,426 $13,413 +85% $13,198 +88% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $24,679 $12,339 $19,102 +29% $14,290 +73% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $24,432 $12,216 $24,432 +0% $29,867 −18% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $24,144 $12,072 $24,144 +0% $19,326 +25% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $24,118 $12,059 $24,118 +0% $24,118 +0% ≈123% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $23,975 $11,988 $22,967 +4% $17,226 +39% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $23,626 $11,813 $29,079 −19% $16,156 +46% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $23,581 $11,790 $28,348 −17% $28,802 −18% ≈105% of Medicare
297 CARDIAC ARREST, UNEXPLAINED WITH CC $23,386 $11,693 $32,284 −28% $12,336 +90% —
101 SEIZURES WITHOUT MCC $23,267 $11,634 $23,267 +0% $19,930 +17% ≈176% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $23,003 $11,501 $23,003 +0% $20,147 +14% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $22,577 $11,288 $14,430 +56% $14,012 +61% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $22,482 $11,241 $22,482 +0% $22,698 −1% —
200 PNEUMOTHORAX WITH CC $22,299 $11,150 $22,299 +0% $20,573 +8% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $21,930 $10,965 $18,498 +19% $13,090 +68% —
639 DIABETES WITHOUT CC/MCC $21,780 $10,890 $19,853 +10% $13,910 +57% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $21,712 $10,856 $16,940 +28% $18,199 +19% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $21,343 $10,672 $21,957 −3% $22,874 −7% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $20,742 $10,371 $15,445 +34% $13,384 +55% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $20,657 $10,328 $20,657 +0% $15,858 +30% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $20,656 $10,328 $12,640 +63% $12,205 +69% —
123 NEUROLOGICAL EYE DISORDERS $20,417 $10,208 $20,417 +0% $17,831 +15% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $20,348 $10,174 $20,348 +0% $16,431 +24% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $20,340 $10,170 $20,340 +0% $11,421 +78% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $20,327 $10,163 $20,327 +0% $13,445 +51% —
201 PNEUMOTHORAX WITHOUT CC/MCC $19,909 $9,954 $15,949 +25% $13,081 +52% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $19,718 $9,859 $8,927 +121% $8,927 +121% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $19,710 $9,855 $16,757 +18% $11,957 +65% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $19,416 $9,708 $19,416 +0% $19,448 −0% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $19,047 $9,523 $9,715 +96% $9,063 +110% —
885 PSYCHOSES $18,408 $9,204 $18,408 +0% $21,489 −14% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $18,322 $9,161 $18,322 +0% $15,598 +17% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $18,172 $9,086 $18,172 +0% $17,700 +3% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $17,856 $8,928 $20,998 −15% $25,786 −31% —
881 DEPRESSIVE NEUROSES $17,006 $8,503 $15,058 +13% $15,058 +13% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $16,997 $8,499 $11,997 +42% $11,997 +42% —
594 SKIN ULCERS WITHOUT CC/MCC $16,834 $8,417 $16,834 +0% $14,209 +18% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $16,604 $8,302 $16,604 +0% $13,822 +20% —
151 EPISTAXIS WITHOUT MCC $16,459 $8,230 $16,459 +0% $13,032 +26% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,337 $8,168 $16,337 +0% $18,000 −9% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $15,036 $7,518 $15,036 +0% $13,318 +13% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $14,812 $7,406 $12,895 +15% $12,895 +15% —
882 NEUROSES EXCEPT DEPRESSIVE $14,798 $7,399 $14,551 +2% $15,680 −6% —
779 ABORTION WITHOUT D&C $14,464 $7,232 $14,464 +0% $15,327 −6% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,069 $7,035 $16,366 −14% $18,291 −23% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $13,756 $6,878 $13,756 +0% $17,296 −20% —
916 ALLERGIC REACTIONS WITHOUT MCC $13,510 $6,755 $13,510 +0% $13,890 −3% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $13,376 $6,688 $14,382 −7% $14,128 −5% —
920 COMPLICATIONS OF TREATMENT WITH CC $13,188 $6,594 $17,295 −24% $20,879 −37% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $12,601 $6,300 $18,978 −34% $16,622 −24% —
607 MINOR SKIN DISORDERS WITHOUT MCC $12,265 $6,132 $13,589 −10% $15,276 −20% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $12,119 $6,059 $8,532 +42% $9,385 +29% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,409 $5,705 $28,567 −60% $30,681 −63% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,390 $3,695 $12,844 −42% $14,166 −48% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $5,277 $2,639 $8,962 −41% $16,708 −68% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,996 $2,498 $6,559 −24% $15,589 −68% —
791 PREMATURITY WITH MAJOR PROBLEMS $4,860 $2,430 $28,043 −83% $39,254 −88% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,780 $2,390 $4,889 −2% $14,121 −66% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,134 $2,067 $4,134 +0% $7,896 −48% —
795 NORMAL NEWBORN $3,473 $1,737 $3,473 +0% $4,521 −23% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,211 $1,605 $5,399 −41% $11,633 −72% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,189 $1,094 $8,934 −76% $12,593 −83% —
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