Procedures published 739
Lowest published price $2,189
Average published price $86,858
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 35 procedures, this hospital's negotiated rates average ≈279% 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% $573,534 +148%
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 $678,931 +8% $371,366 +97%
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% $194,769 +188%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $527,344 $263,672 $299,897 +76% $90,401 +483%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $522,444 $261,222 $268,712 +94% $196,346 +166%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $520,884 $260,442 $245,968 +112% $188,171 +177%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $436,168 $218,084 $286,862 +52% $143,242 +204%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $420,314 $210,157 $355,728 +18% $248,521 +69%
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $419,667 $209,833 $538,381 −22% $103,861 +304%
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $417,496 $208,748 $293,456 +42% $75,251 +455%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $389,533 $194,767 $281,448 +38% $148,686 +162%
231 CORONARY BYPASS WITH PTCA WITH MCC $385,619 $192,809 $179,995 +114% $147,227 +162%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $379,558 $189,779 $461,389 −18% $461,389 −18%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $373,441 $186,721 $219,702 +70% $144,569 +158%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $337,028 $168,514 $265,632 +27% $153,282 +120%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $323,839 $161,920 $187,980 +72% $123,995 +161%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $319,134 $159,567 $120,621 +165% $48,358 +560%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $313,320 $156,660 $263,448 +19% $109,331 +187%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $312,571 $156,286 $161,928 +93% $102,128 +206%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $302,588 $151,294 $132,032 +129% $96,507 +214%
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $297,101 $148,551 $315,644 −6% $69,101 +330%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $293,684 $146,842 $147,356 +99% $115,839 +154%
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 $164,594 +74% $111,320 +157%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $281,816 $140,908 $187,375 +50% $56,836 +396%
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 $109,948 +154% $93,238 +200%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $270,892 $135,446 $166,424 +63% $90,331 +200%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $269,939 $134,970 $154,205 +75% $102,573 +163%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $267,526 $133,763 $44,349 +503% $32,443 +725%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $265,903 $132,952 $265,903 +0% $131,961 +102%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $252,781 $126,391 $75,377 +235% $42,906 +489%
654 MAJOR BLADDER PROCEDURES WITH CC $245,564 $122,782 $79,317 +210% $58,274 +321%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $241,397 $120,698 $58,596 +312% $61,470 +293%
028 SPINAL PROCEDURES WITH MCC $239,578 $119,789 $210,482 +14% $113,077 +112%
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 $223,939 +4% $106,778 +118%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $227,121 $113,560 $201,810 +13% $113,855 +99%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $225,840 $112,920 $106,135 +113% $90,724 +149%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $223,645 $111,823 $223,645 +0% $107,355 +108%
030 SPINAL PROCEDURES WITHOUT CC/MCC $217,757 $108,879 $47,889 +355% $45,866 +375%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $216,911 $108,456 $116,893 +86% $55,289 +292%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $216,642 $108,321 $204,145 +6% $106,057 +104%
215 OTHER HEART ASSIST SYSTEM IMPLANT $216,046 $108,023 $227,466 −5% $208,939 +3%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $215,725 $107,862 $112,669 +91% $60,098 +259%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $212,190 $106,095 $156,877 +35% $51,625 +311% ≈447% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $211,638 $105,819 $95,410 +122% $70,847 +199%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $210,639 $105,319 $77,910 +170% $68,639 +207%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $209,043 $104,522 $117,955 +77% $82,247 +154%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $205,398 $102,699 $194,967 +5% $125,242 +64%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $203,580 $101,790 $105,834 +92% $88,307 +131%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $201,500 $100,750 $111,341 +81% $70,371 +186%
653 MAJOR BLADDER PROCEDURES WITH MCC $201,307 $100,653 $100,861 +100% $104,583 +92%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $199,473 $99,737 $199,473 +0% $96,192 +107%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $196,967 $98,484 $95,645 +106% $89,207 +121%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $196,897 $98,448 $196,897 +0% $102,600 +92%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $195,995 $97,998 $195,995 +0% $98,912 +98%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $192,820 $96,410 $168,543 +14% $99,423 +94%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $191,831 $95,915 $162,298 +18% $77,055 +149%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $191,628 $95,814 $205,851 −7% $120,573 +59%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $188,781 $94,391 $141,583 +33% $92,217 +105%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $188,439 $94,219 $117,337 +61% $71,795 +162%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $188,197 $94,099 $169,372 +11% $116,058 +62%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $187,520 $93,760 $59,345 +216% $56,964 +229%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $182,090 $91,045 $170,734 +7% $148,832 +22%
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $182,059 $91,029 $182,059 +0% $98,260 +85%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $179,922 $89,961 $85,697 +110% $54,929 +228%
799 SPLENIC PROCEDURES WITH MCC $178,068 $89,034 $67,322 +165% $82,218 +117%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $174,777 $87,388 $148,324 +18% $85,159 +105%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $170,435 $85,218 $119,451 +43% $88,050 +94%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $167,484 $83,742 $136,564 +23% $101,576 +65%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $167,196 $83,598 $167,196 +0% $117,280 +43%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $167,119 $83,560 $76,824 +118% $77,990 +114%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $166,876 $83,438 $155,053 +8% $93,390 +79%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $164,904 $82,452 $116,842 +41% $91,329 +81%
471 CERVICAL SPINAL FUSION WITH MCC $164,758 $82,379 $113,322 +45% $92,515 +78%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $163,393 $81,696 $78,648 +108% $58,043 +182%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $163,311 $81,655 $64,694 +152% $54,583 +199%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $161,669 $80,834 $62,977 +157% $65,608 +146%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $160,858 $80,429 $50,208 +220% $40,362 +299%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $159,665 $79,833 $133,868 +19% $101,510 +57%
500 SOFT TISSUE PROCEDURES WITH MCC $157,259 $78,629 $70,494 +123% $61,872 +154%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $157,076 $78,538 $94,235 +67% $61,217 +157%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $156,812 $78,406 $37,623 +317% $36,445 +330%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $155,536 $77,768 $155,536 +0% $103,455 +50%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $155,331 $77,665 $82,004 +89% $69,743 +123%
164 MAJOR CHEST PROCEDURES WITH CC $155,215 $77,608 $71,945 +116% $56,755 +173%
539 OSTEOMYELITIS WITH MCC $154,960 $77,480 $42,316 +266% $37,609 +312%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $153,791 $76,895 $70,498 +118% $32,574 +372%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $153,524 $76,762 $52,791 +191% $31,170 +393%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $153,095 $76,547 $112,625 +36% $58,975 +160%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $152,718 $76,359 $66,260 +130% $64,523 +137%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $152,630 $76,315 $152,630 +0% $70,177 +117%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $150,906 $75,453 $85,423 +77% $60,170 +151%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $150,733 $75,367 $60,720 +148% $37,240 +305%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $150,191 $75,095 $111,445 +35% $41,422 +263%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $149,828 $74,914 $93,172 +61% $93,172 +61% ≈260% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $148,201 $74,101 $70,144 +111% $58,228 +155%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $147,698 $73,849 $116,549 +27% $70,564 +109%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $147,213 $73,607 $125,538 +17% $75,103 +96%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $146,244 $73,122 $70,126 +109% $76,219 +92%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $146,230 $73,115 $69,228 +111% $35,849 +308%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $145,606 $72,803 $60,207 +142% $48,682 +199%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $145,236 $72,618 $35,147 +313% $58,745 +147%
252 OTHER VASCULAR PROCEDURES WITH MCC $145,079 $72,540 $120,467 +20% $68,508 +112%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $144,751 $72,376 $121,712 +19% $82,561 +75%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $144,294 $72,147 $83,323 +73% $70,467 +105%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $144,190 $72,095 $95,743 +51% $59,533 +142%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $143,266 $71,633 $69,289 +107% $90,775 +58%
037 EXTRACRANIAL PROCEDURES WITH MCC $143,234 $71,617 $103,899 +38% $66,666 +115%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $142,918 $71,459 $97,243 +47% $47,789 +199%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $142,460 $71,230 $27,763 +413% $22,320 +538%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $142,208 $71,104 $119,957 +19% $71,014 +100%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $141,522 $70,761 $80,626 +76% $46,727 +203%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $140,467 $70,233 $90,621 +55% $67,268 +109%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $139,752 $69,876 $107,615 +30% $50,919 +174%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $139,580 $69,790 $145,265 −4% $87,761 +59%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $138,068 $69,034 $58,687 +135% $66,685 +107%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $137,384 $68,692 $86,974 +58% $72,424 +90%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $136,160 $68,080 $112,168 +21% $35,831 +280%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $135,703 $67,851 $113,027 +20% $79,225 +71%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $135,313 $67,657 $51,589 +162% $42,795 +216%
800 SPLENIC PROCEDURES WITH CC $134,201 $67,100 $65,879 +104% $49,184 +173%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $133,227 $66,614 $58,569 +127% $49,839 +167%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $132,314 $66,157 $132,314 +0% $86,970 +52%
472 CERVICAL SPINAL FUSION WITH CC $131,849 $65,925 $87,747 +50% $59,537 +121%
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% $36,354 +262%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $131,567 $65,783 $93,464 +41% $84,692 +55%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $131,194 $65,597 $50,370 +160% $43,298 +203%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $131,179 $65,589 $53,797 +144% $50,046 +162%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $130,985 $65,493 $57,277 +129% $63,928 +105%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $128,774 $64,387 $63,587 +103% $52,908 +143%
335 PERITONEAL ADHESIOLYSIS WITH MCC $128,750 $64,375 $121,663 +6% $71,755 +79%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $128,589 $64,294 $90,442 +42% $62,821 +105%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $128,552 $64,276 $62,199 +107% $50,498 +155%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $128,288 $64,144 $52,350 +145% $52,036 +147%
570 SKIN DEBRIDEMENT WITH MCC $127,889 $63,945 $101,088 +27% $52,435 +144%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $127,526 $63,763 $152,541 −16% $60,407 +111%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $127,356 $63,678 $56,325 +126% $47,945 +166%
113 ORBITAL PROCEDURES WITH CC/MCC $126,748 $63,374 $61,854 +105% $36,167 +250%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $125,800 $62,900 $75,715 +66% $62,583 +101%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $125,577 $62,789 $83,640 +50% $61,832 +103%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $124,964 $62,482 $107,849 +16% $74,755 +67%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $124,853 $62,427 $115,634 +8% $76,001 +64%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $124,750 $62,375 $125,956 −1% $71,464 +75%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $122,862 $61,431 $84,712 +45% $46,724 +163%
668 TRANSURETHRAL PROCEDURES WITH MCC $121,743 $60,871 $84,080 +45% $51,608 +136%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $121,286 $60,643 $104,530 +16% $66,848 +81%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $120,927 $60,464 $72,392 +67% $47,583 +154%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $120,534 $60,267 $92,897 +30% $72,962 +65%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $118,464 $59,232 $56,402 +110% $37,267 +218%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $118,170 $59,085 $57,229 +106% $43,080 +174%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $118,080 $59,040 $79,477 +49% $58,280 +103%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $117,171 $58,586 $117,171 +0% $65,573 +79%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $116,630 $58,315 $63,863 +83% $43,174 +170%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $116,434 $58,217 $88,155 +32% $68,653 +70%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $116,285 $58,142 $51,473 +126% $48,687 +139%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $116,243 $58,121 $58,281 +99% $42,186 +176%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $116,195 $58,097 $88,387 +31% $59,651 +95%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $116,114 $58,057 $54,215 +114% $49,423 +135%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $115,765 $57,882 $58,694 +97% $34,906 +232%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $113,645 $56,823 $31,469 +261% $27,323 +316%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $113,545 $56,772 $74,617 +52% $59,500 +91%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $113,328 $56,664 $50,832 +123% $51,985 +118%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $112,653 $56,326 $71,884 +57% $49,066 +130%
665 PROSTATECTOMY WITH MCC $112,547 $56,274 $102,095 +10% $54,072 +108%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $112,254 $56,127 $68,265 +64% $80,793 +39%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $112,109 $56,055 $57,989 +93% $66,068 +70%
333 RECTAL RESECTION WITH CC $111,942 $55,971 $63,363 +77% $37,154 +201%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $111,817 $55,909 $65,373 +71% $58,707 +90%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $111,596 $55,798 $47,628 +134% $34,434 +224%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $111,311 $55,656 $43,524 +156% $32,833 +239%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $111,290 $55,645 $61,165 +82% $48,349 +130%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $111,180 $55,590 $59,206 +88% $44,363 +151%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $110,834 $55,417 $47,881 +131% $35,030 +216%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $110,558 $55,279 $59,374 +86% $43,477 +154%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $110,553 $55,276 $39,617 +179% $36,988 +199%
163 MAJOR CHEST PROCEDURES WITH MCC $109,809 $54,904 $133,292 −18% $90,195 +22%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $109,634 $54,817 $90,039 +22% $53,864 +104%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $109,559 $54,779 $63,680 +72% $46,453 +136%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $109,245 $54,622 $100,691 +8% $59,421 +84%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $109,216 $54,608 $90,438 +21% $65,653 +66%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $109,181 $54,591 $75,345 +45% $50,618 +116%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $109,005 $54,503 $78,013 +40% $65,788 +66%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $108,946 $54,473 $70,578 +54% $50,624 +115%
620 O.R. PROCEDURES FOR OBESITY WITH CC $108,573 $54,287 $48,590 +123% $35,453 +206%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $108,387 $54,194 $66,342 +63% $44,117 +146%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $107,539 $53,769 $42,812 +151% $36,253 +197%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $107,473 $53,736 $57,719 +86% $50,607 +112% ≈435% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $107,305 $53,652 $113,961 −6% $57,454 +87%
263 VEIN LIGATION AND STRIPPING $106,384 $53,192 $38,005 +180% $51,253 +108%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $105,897 $52,948 $51,289 +106% $51,953 +104%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $105,659 $52,830 $65,980 +60% $41,608 +154%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $104,704 $52,352 $54,091 +94% $45,333 +131%
245 AICD GENERATOR PROCEDURES $104,346 $52,173 $104,346 +0% $72,076 +45%
336 PERITONEAL ADHESIOLYSIS WITH CC $104,305 $52,152 $70,773 +47% $50,463 +107%
150 EPISTAXIS WITH MCC $104,033 $52,017 $25,823 +303% $23,171 +349%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $103,115 $51,557 $49,701 +107% $34,459 +199%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $102,697 $51,348 $70,940 +45% $46,283 +122%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $102,053 $51,027 $60,105 +70% $38,836 +163%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $102,004 $51,002 $46,870 +118% $39,006 +162%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $100,939 $50,469 $56,173 +80% $42,881 +135%
332 RECTAL RESECTION WITH MCC $100,020 $50,010 $100,020 +0% $58,125 +72%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $100,016 $50,008 $39,181 +155% $39,181 +155%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,531 $49,766 $49,732 +100% $35,584 +180%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $99,513 $49,756 $108,418 −8% $81,706 +22%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $99,485 $49,743 $128,104 −22% $75,573 +32%
334 RECTAL RESECTION WITHOUT CC/MCC $98,996 $49,498 $45,782 +116% $36,820 +169%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $98,034 $49,017 $127,440 −23% $73,120 +34%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $97,474 $48,737 $62,201 +57% $47,711 +104%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $97,393 $48,696 $85,978 +13% $53,451 +82%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $96,953 $48,477 $76,409 +27% $50,139 +93%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $96,617 $48,308 $58,723 +65% $51,746 +87%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $96,477 $48,238 $61,626 +57% $47,737 +102%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $95,910 $47,955 $88,106 +9% $40,060 +139%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $95,898 $47,949 $45,423 +111% $33,454 +187%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $95,477 $47,739 $71,679 +33% $31,563 +202%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $95,423 $47,712 $50,739 +88% $40,365 +136%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $95,200 $47,600 $74,133 +28% $52,751 +80% ≈359% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $94,921 $47,461 $59,686 +59% $44,139 +115%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $94,833 $47,417 $93,180 +2% $65,325 +45%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $94,802 $47,401 $68,009 +39% $49,351 +92%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $94,796 $47,398 $43,588 +117% $46,402 +104%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $94,764 $47,382 $50,054 +89% $35,692 +166%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $93,201 $46,601 $40,602 +130% $25,073 +272%
265 AICD LEAD PROCEDURES $92,742 $46,371 $85,580 +8% $63,171 +47%
501 SOFT TISSUE PROCEDURES WITH CC $92,298 $46,149 $47,828 +93% $39,619 +133%
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%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $91,264 $45,632 $53,766 +70% $35,419 +158%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $91,092 $45,546 $41,097 +122% $34,276 +166%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $91,001 $45,500 $45,696 +99% $32,451 +180%
540 OSTEOMYELITIS WITH CC $90,548 $45,274 $29,401 +208% $26,676 +239%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $89,786 $44,893 $42,974 +109% $42,914 +109%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $89,707 $44,854 $62,875 +43% $55,162 +63%
197 INTERSTITIAL LUNG DISEASE WITH CC $88,809 $44,404 $22,530 +294% $21,941 +305%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $88,470 $44,235 $84,140 +5% $43,538 +103%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $88,342 $44,171 $46,252 +91% $32,031 +176%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $87,245 $43,623 $34,177 +155% $32,433 +169%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $87,232 $43,616 $54,862 +59% $62,300 +40%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $86,933 $43,467 $39,801 +118% $25,094 +246%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $86,902 $43,451 $44,319 +96% $31,017 +180%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $86,892 $43,446 $43,086 +102% $36,505 +138%
397 APPENDIX PROCEDURES WITH MCC $86,738 $43,369 $52,855 +64% $53,257 +63%
157 DENTAL AND ORAL DISEASES WITH MCC $86,698 $43,349 $45,924 +89% $31,300 +177%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $86,538 $43,269 $85,866 +1% $71,092 +22%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $86,410 $43,205 $74,218 +16% $40,694 +112%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $86,305 $43,153 $40,124 +115% $38,861 +122%
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $86,127 $43,063 $51,529 +67% $35,569 +142%
380 COMPLICATED PEPTIC ULCER WITH MCC $86,015 $43,007 $44,130 +95% $39,627 +117%
504 FOOT PROCEDURES WITH CC $85,866 $42,933 $43,650 +97% $38,960 +120%
038 EXTRACRANIAL PROCEDURES WITH CC $85,527 $42,764 $60,827 +41% $35,770 +139%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $85,348 $42,674 $82,225 +4% $59,031 +45%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $85,337 $42,668 $65,842 +30% $52,178 +64%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $85,327 $42,664 $43,163 +98% $40,562 +110%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $85,121 $42,560 $56,403 +51% $38,094 +123%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $84,935 $42,468 $64,233 +32% $33,674 +152%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $84,403 $42,202 $46,342 +82% $34,607 +144%
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%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $83,687 $41,843 $46,765 +79% $42,901 +95%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $83,276 $41,638 $56,307 +48% $41,955 +98%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $83,144 $41,572 $42,205 +97% $29,805 +179%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $83,113 $41,557 $58,653 +42% $43,943 +89%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $83,060 $41,530 $80,027 +4% $50,394 +65%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $83,050 $41,525 $44,609 +86% $30,243 +175%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $83,040 $41,520 $82,669 +0% $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%
866 VIRAL ILLNESS WITHOUT MCC $82,526 $41,263 $21,238 +289% $17,081 +383%
503 FOOT PROCEDURES WITH MCC $82,091 $41,046 $54,558 +50% $47,540 +73%
398 APPENDIX PROCEDURES WITH CC $82,042 $41,021 $53,293 +54% $40,162 +104%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $81,931 $40,966 $34,273 +139% $34,273 +139%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $81,555 $40,777 $42,218 +93% $30,770 +165%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $81,398 $40,699 $39,391 +107% $32,841 +148%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $81,274 $40,637 $44,105 +84% $35,074 +132%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $79,612 $39,806 $79,612 +0% $17,404 +357%
374 DIGESTIVE MALIGNANCY WITH MCC $79,489 $39,744 $45,291 +76% $39,958 +99%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $79,432 $39,716 $56,127 +42% $39,211 +103%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $79,396 $39,698 $54,690 +45% $43,800 +81%
180 RESPIRATORY NEOPLASMS WITH MCC $78,684 $39,342 $38,001 +107% $36,658 +115%
671 URETHRAL PROCEDURES WITH CC/MCC $78,518 $39,259 $37,773 +108% $27,233 +188%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $78,185 $39,093 $37,599 +108% $33,653 +132%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $78,164 $39,082 $45,133 +73% $41,620 +88%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $78,129 $39,064 $56,867 +37% $46,340 +69%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $78,050 $39,025 $52,937 +47% $25,748 +203%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $77,220 $38,610 $52,805 +46% $29,079 +166%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $76,781 $38,390 $38,165 +101% $26,051 +195%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $76,535 $38,268 $79,373 −4% $58,809 +30% ≈444% of Medicare
116 INTRAOCULAR PROCEDURES WITH CC/MCC $75,920 $37,960 $42,596 +78% $29,126 +161%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $75,881 $37,940 $42,273 +80% $29,949 +153%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $75,706 $37,853 $39,014 +94% $52,405 +44%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $75,453 $37,727 $52,403 +44% $38,070 +98%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $75,340 $37,670 $48,553 +55% $30,493 +147%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $74,767 $37,384 $44,471 +68% $14,014 +434%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $74,301 $37,150 $38,853 +91% $30,418 +144%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $74,171 $37,086 $42,277 +75% $19,657 +277%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $74,079 $37,040 $15,815 +368% $14,638 +406%
505 FOOT PROCEDURES WITHOUT CC/MCC $73,979 $36,989 $50,640 +46% $34,937 +112%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $73,760 $36,880 $73,760 +0% $43,913 +68%
187 PLEURAL EFFUSION WITH CC $73,593 $36,797 $21,390 +244% $21,789 +238%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $73,590 $36,795 $52,557 +40% $38,101 +93%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $73,354 $36,677 $36,054 +103% $27,297 +169%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $72,315 $36,158 $85,282 −15% $59,790 +21%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $72,166 $36,083 $45,810 +58% $39,018 +85%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $72,122 $36,061 $37,257 +94% $36,670 +97%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $72,036 $36,018 $52,577 +37% $36,431 +98%
592 SKIN ULCERS WITH MCC $71,895 $35,948 $40,195 +79% $33,246 +116%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $71,878 $35,939 $106,316 −32% $77,817 −8%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $71,679 $35,839 $43,132 +66% $39,515 +81%
710 PENIS PROCEDURES WITHOUT CC/MCC $71,451 $35,726 $27,926 +156% $26,436 +170%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $71,425 $35,712 $56,842 +26% $25,390 +181%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $71,178 $35,589 $91,781 −22% $70,132 +1%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $71,031 $35,516 $38,458 +85% $33,393 +113%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $70,967 $35,483 $62,317 +14% $46,295 +53%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $70,785 $35,392 $45,522 +55% $28,320 +150%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $70,095 $35,048 $65,143 +8% $42,415 +65%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $70,055 $35,027 $70,055 +0% $52,986 +32%
506 MAJOR THUMB OR JOINT PROCEDURES $69,989 $34,994 $34,520 +103% $30,557 +129%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $69,788 $34,894 $76,865 −9% $62,264 +12%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $69,283 $34,641 $74,020 −6% $50,011 +39%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $69,126 $34,563 $38,980 +77% $39,973 +73%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $68,664 $34,332 $35,222 +95% $30,571 +125%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $68,185 $34,092 $71,743 −5% $33,661 +103%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $67,252 $33,626 $38,798 +73% $26,948 +150%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $66,792 $33,396 $71,229 −6% $52,075 +28%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $66,535 $33,267 $37,417 +78% $26,598 +150%
548 SEPTIC ARTHRITIS WITH MCC $65,803 $32,902 $32,344 +103% $31,346 +110%
947 SIGNS AND SYMPTOMS WITH MCC $65,474 $32,737 $33,290 +97% $27,401 +139%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $65,239 $32,620 $55,656 +17% $37,844 +72%
606 MINOR SKIN DISORDERS WITH MCC $65,200 $32,600 $36,265 +80% $27,975 +133%
375 DIGESTIVE MALIGNANCY WITH CC $65,183 $32,591 $33,946 +92% $27,277 +139%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $65,095 $32,547 $42,652 +53% $35,628 +83% ≈253% of Medicare
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $65,019 $32,509 $43,675 +49% $31,044 +109%
347 ANAL AND STOMAL PROCEDURES WITH MCC $65,008 $32,504 $52,597 +24% $40,548 +60%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $64,814 $32,407 $40,116 +62% $38,666 +68%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $64,317 $32,159 $58,215 +10% $43,631 +47%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $64,254 $32,127 $47,114 +36% $31,264 +106% ≈373% of Medicare
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $63,925 $31,962 $54,859 +17% $37,950 +68%
643 ENDOCRINE DISORDERS WITH MCC $63,716 $31,858 $38,587 +65% $33,563 +90%
663 MINOR BLADDER PROCEDURES WITH CC $63,572 $31,786 $37,661 +69% $33,103 +92%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $63,350 $31,675 $44,600 +42% $25,703 +146%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $62,968 $31,484 $38,060 +65% $24,127 +161%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $62,894 $31,447 $45,497 +38% $22,811 +176%
541 OSTEOMYELITIS WITHOUT CC/MCC $62,617 $31,309 $14,549 +330% $15,215 +312%
075 VIRAL MENINGITIS WITH CC/MCC $62,477 $31,238 $26,570 +135% $30,447 +105%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $62,302 $31,151 $62,302 +0% $39,020 +60%
088 CONCUSSION WITH MCC $62,146 $31,073 $40,071 +55% $24,402 +155%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $62,131 $31,065 $41,370 +50% $26,618 +133%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $62,112 $31,056 $27,155 +129% $32,100 +93%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $61,892 $30,946 $56,538 +9% $33,876 +83%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $61,717 $30,859 $26,480 +133% $17,737 +248%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $61,492 $30,746 $49,956 +23% $37,842 +62% ≈281% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $61,247 $30,624 $41,381 +48% $29,826 +105%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $61,133 $30,567 $59,187 +3% $44,546 +37%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $61,122 $30,561 $51,019 +20% $36,937 +65%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $61,056 $30,528 $27,707 +120% $22,458 +172%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $61,048 $30,524 $40,724 +50% $39,106 +56%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $61,000 $30,500 $53,878 +13% $39,887 +53%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $60,859 $30,430 $57,547 +6% $44,606 +36%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $60,707 $30,354 $24,707 +146% $22,763 +167%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $60,700 $30,350 $46,028 +32% $31,321 +94%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $60,605 $30,303 $51,347 +18% $25,712 +136%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $60,462 $30,231 $35,762 +69% $36,249 +67%
666 PROSTATECTOMY WITH CC $60,442 $30,221 $47,721 +27% $31,906 +89%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $60,305 $30,153 $45,061 +34% $24,544 +146%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $60,222 $30,111 $34,439 +75% $25,970 +132%
906 HAND PROCEDURES FOR INJURIES $60,139 $30,069 $42,058 +43% $32,065 +88%
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%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $59,902 $29,951 $61,102 −2% $40,642 +47%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $59,883 $29,941 $59,883 +0% $59,594 +0%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $59,662 $29,831 $46,920 +27% $27,633 +116%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $59,410 $29,705 $33,673 +76% $27,543 +116%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $59,242 $29,621 $24,822 +139% $23,498 +152%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $58,956 $29,478 $59,197 −0% $29,316 +101%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $58,769 $29,385 $81,168 −28% $59,629 −1%
697 URETHRAL STRICTURE $58,040 $29,020 $27,006 +115% $18,428 +215%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $57,958 $28,979 $44,938 +29% $14,055 +312%
711 TESTES PROCEDURES WITH CC/MCC $57,925 $28,963 $53,392 +8% $38,343 +51%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $57,846 $28,923 $66,680 −13% $41,591 +39%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $57,791 $28,895 $53,121 +9% $45,877 +26%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $57,230 $28,615 $65,056 −12% $44,222 +29%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $57,060 $28,530 $28,348 +101% $30,828 +85% ≈283% of Medicare
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $57,055 $28,527 $49,112 +16% $34,749 +64%
919 COMPLICATIONS OF TREATMENT WITH MCC $56,778 $28,389 $31,120 +82% $31,105 +83%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $56,521 $28,261 $31,888 +77% $25,034 +126%
571 SKIN DEBRIDEMENT WITH CC $56,049 $28,025 $25,326 +121% $37,169 +51%
662 MINOR BLADDER PROCEDURES WITH MCC $55,902 $27,951 $54,483 +3% $54,562 +2%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $55,877 $27,938 $31,314 +78% $27,989 +100%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $55,770 $27,885 $30,650 +82% $30,502 +83%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $55,651 $27,825 $46,222 +20% $32,021 +74%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $55,642 $27,821 $28,567 +95% $33,047 +68%
102 HEADACHES WITH MCC $55,316 $27,658 $25,874 +114% $25,740 +115%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $55,240 $27,620 $44,221 +25% $31,134 +77%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $55,167 $27,583 $23,954 +130% $21,847 +153%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $54,803 $27,402 $43,586 +26% $37,387 +47%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $54,504 $27,252 $38,993 +40% $26,932 +102%
183 MAJOR CHEST TRAUMA WITH MCC $54,384 $27,192 $48,610 +12% $29,933 +82%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $53,827 $26,914 $53,246 +1% $40,108 +34%
709 PENIS PROCEDURES WITH CC/MCC $53,733 $26,866 $38,553 +39% $34,535 +56%
196 INTERSTITIAL LUNG DISEASE WITH MCC $53,547 $26,774 $48,779 +10% $32,637 +64%
090 CONCUSSION WITHOUT CC/MCC $53,487 $26,744 $41,229 +30% $15,412 +247%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $53,343 $26,672 $50,414 +6% $40,552 +32%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $53,293 $26,646 $61,508 −13% $43,650 +22%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $53,243 $26,622 $44,870 +19% $40,213 +32%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $53,204 $26,602 $39,789 +34% $32,496 +64% ≈231% of Medicare
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $53,182 $26,591 $57,037 −7% $46,090 +15%
669 TRANSURETHRAL PROCEDURES WITH CC $53,129 $26,564 $34,700 +53% $34,354 +55%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $53,007 $26,503 $31,265 +70% $25,279 +110%
100 SEIZURES WITH MCC $52,872 $26,436 $38,584 +37% $35,481 +49%
139 SALIVARY GLAND PROCEDURES $52,819 $26,409 $28,647 +84% $23,612 +124%
598 MALIGNANT BREAST DISORDERS WITH CC $52,743 $26,371 $23,178 +128% $19,073 +177%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $52,718 $26,359 $46,449 +13% $28,156 +87%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $52,572 $26,286 $60,571 −13% $49,418 +6%
348 ANAL AND STOMAL PROCEDURES WITH CC $52,483 $26,242 $38,236 +37% $27,947 +88%
551 MEDICAL BACK PROBLEMS WITH MCC $52,453 $26,227 $37,053 +42% $34,017 +54%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $52,374 $26,187 $24,922 +110% $16,450 +218%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $52,360 $26,180 $36,795 +42% $33,985 +54%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $52,347 $26,173 $40,015 +31% $30,959 +69% ≈278% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $52,304 $26,152 $45,388 +15% $33,555 +56%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $52,214 $26,107 $51,830 +1% $45,167 +16%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $52,133 $26,066 $38,164 +37% $29,611 +76%
199 PNEUMOTHORAX WITH MCC $51,560 $25,780 $42,335 +22% $33,787 +53%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $51,558 $25,779 $43,425 +19% $26,870 +92%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $51,542 $25,771 $42,273 +22% $33,424 +54%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $51,373 $25,687 $51,373 +0% $24,550 +109%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $51,369 $25,685 $34,204 +50% $39,955 +29%
682 RENAL FAILURE WITH MCC $51,267 $25,634 $32,167 +59% $29,064 +76% ≈254% of Medicare
186 PLEURAL EFFUSION WITH MCC $51,051 $25,526 $43,109 +18% $33,834 +51%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $50,746 $25,373 $44,770 +13% $39,173 +30%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $50,381 $25,190 $46,206 +9% $29,916 +68%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $50,251 $25,126 $27,741 +81% $27,808 +81%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $50,193 $25,096 $20,998 +139% $26,463 +90%
381 COMPLICATED PEPTIC ULCER WITH CC $50,140 $25,070 $31,494 +59% $24,177 +107%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $49,914 $24,957 $36,875 +35% $27,843 +79%
593 SKIN ULCERS WITH CC $49,769 $24,884 $27,448 +81% $22,886 +117%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $49,670 $24,835 $26,253 +89% $22,148 +124%
204 RESPIRATORY SIGNS AND SYMPTOMS $49,666 $24,833 $23,130 +115% $18,004 +176%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $49,551 $24,775 $49,551 +0% $31,951 +55%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $49,525 $24,762 $54,949 −10% $35,465 +40%
597 MALIGNANT BREAST DISORDERS WITH MCC $49,401 $24,701 $57,714 −14% $33,386 +48%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $49,380 $24,690 $45,521 +8% $33,707 +46% ≈222% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $49,143 $24,571 $20,348 +142% $17,601 +179%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $48,776 $24,388 $21,011 +132% $20,566 +137%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $48,697 $24,349 $17,446 +179% $19,132 +155%
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $48,169 $24,085 $93,528 −48% $85,566 −44%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $48,032 $24,016 $33,852 +42% $27,316 +76%
138 MOUTH PROCEDURES WITHOUT CC/MCC $47,986 $23,993 $25,814 +86% $19,119 +151%
123 NEUROLOGICAL EYE DISORDERS $47,411 $23,706 $20,417 +132% $19,745 +140%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $47,381 $23,690 $42,360 +12% $33,633 +41%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $46,828 $23,414 $29,518 +59% $32,628 +44%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $46,816 $23,408 $24,654 +90% $15,600 +200%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $46,726 $23,363 $23,838 +96% $18,126 +158%
533 FRACTURES OF FEMUR WITH MCC $46,344 $23,172 $24,541 +89% $25,945 +79%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $46,343 $23,172 $26,014 +78% $19,569 +137%
535 FRACTURES OF HIP AND PELVIS WITH MCC $46,097 $23,048 $21,957 +110% $24,552 +88%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $45,827 $22,913 $18,520 +147% $11,071 +314%
813 COAGULATION DISORDERS $45,770 $22,885 $34,947 +31% $33,296 +37%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $45,608 $22,804 $33,736 +35% $20,463 +123% ≈420% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $45,562 $22,781 $45,562 +0% $33,694 +35%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $45,229 $22,614 $30,314 +49% $19,227 +135%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $45,202 $22,601 $37,645 +20% $24,941 +81%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $45,188 $22,594 $30,275 +49% $31,159 +45%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $45,184 $22,592 $32,902 +37% $25,463 +77% ≈264% of Medicare
913 TRAUMATIC INJURY WITH MCC $44,813 $22,407 $24,198 +85% $24,198 +85%
949 AFTERCARE WITH CC/MCC $44,707 $22,353 $36,227 +23% $23,953 +87%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $44,688 $22,344 $42,314 +6% $27,119 +65%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $44,176 $22,088 $31,748 +39% $13,586 +225%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $44,172 $22,086 $42,298 +4% $22,393 +97%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $44,116 $22,058 $23,114 +91% $18,528 +138%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $43,909 $21,955 $24,118 +82% $27,285 +61%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $43,772 $21,886 $106,659 −59% $74,257 −41%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $43,729 $21,864 $31,237 +40% $26,280 +66%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $43,347 $21,674 $26,438 +64% $16,968 +155%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $43,183 $21,591 $32,566 +33% $27,275 +58% ≈263% of Medicare
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $43,113 $21,557 $34,374 +25% $28,125 +53%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $43,109 $21,555 $23,003 +87% $19,270 +124%
637 DIABETES WITH MCC $43,002 $21,501 $34,484 +25% $30,100 +43%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $42,976 $21,488 $31,698 +36% $19,854 +116%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $42,836 $21,418 $37,673 +14% $30,235 +42%
920 COMPLICATIONS OF TREATMENT WITH CC $42,714 $21,357 $17,295 +147% $22,468 +90%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $42,709 $21,354 $35,666 +20% $36,489 +17%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $42,612 $21,306 $35,833 +19% $23,617 +80% ≈271% of Medicare
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $42,487 $21,244 $42,487 +0% $15,901 +167%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $42,475 $21,238 $26,990 +57% $17,934 +137%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $42,223 $21,111 $30,617 +38% $19,037 +122%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $42,146 $21,073 $27,175 +55% $22,506 +87%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $42,006 $21,003 $31,521 +33% $26,580 +58% ≈243% of Medicare
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $41,926 $20,963 $38,663 +8% $15,549 +170%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $41,555 $20,777 $33,211 +25% $17,193 +142%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $41,522 $20,761 $30,263 +37% $25,652 +62%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $41,384 $20,692 $40,598 +2% $34,192 +21%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $41,379 $20,690 $43,597 −5% $30,784 +34%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $41,351 $20,676 $30,579 +35% $26,770 +54% ≈276% of Medicare
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $41,258 $20,629 $42,025 −2% $21,230 +94%
811 RED BLOOD CELL DISORDERS WITH MCC $41,083 $20,541 $32,589 +26% $28,226 +46%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $40,964 $20,482 $40,964 +0% $30,083 +36%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $40,954 $20,477 $34,677 +18% $25,581 +60%
644 ENDOCRINE DISORDERS WITH CC $40,859 $20,429 $29,273 +40% $23,198 +76% ≈301% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $40,850 $20,425 $29,733 +37% $22,888 +78% ≈320% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $40,788 $20,394 $18,322 +123% $15,837 +158%
152 OTITIS MEDIA AND URI WITH MCC $40,708 $20,354 $27,012 +51% $20,247 +101%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $40,697 $20,348 $27,628 +47% $20,181 +102%
103 HEADACHES WITHOUT MCC $40,485 $20,242 $29,265 +38% $21,280 +90%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $40,418 $20,209 $17,425 +132% $16,552 +144%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $40,296 $20,148 $36,344 +11% $28,050 +44%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $40,285 $20,143 $37,440 +8% $22,635 +78%
602 CELLULITIS WITH MCC $40,276 $20,138 $37,206 +8% $30,598 +32%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $40,061 $20,031 $34,030 +18% $23,443 +71%
642 INBORN AND OTHER DISORDERS OF METABOLISM $40,023 $20,012 $26,597 +50% $20,727 +93%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $39,975 $19,987 $18,172 +120% $17,700 +126%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $39,859 $19,930 $36,783 +8% $23,940 +66% ≈319% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $39,834 $19,917 $31,308 +27% $26,776 +49% ≈230% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $39,612 $19,806 $37,630 +5% $24,914 +59%
712 TESTES PROCEDURES WITHOUT CC/MCC $39,220 $19,610 $39,220 +0% $18,898 +108%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $39,135 $19,567 $38,570 +1% $36,792 +6%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $39,101 $19,550 $49,303 −21% $54,196 −28%
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%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $38,972 $19,486 $29,165 +34% $19,264 +102%
445 DISORDERS OF THE BILIARY TRACT WITH CC $38,829 $19,415 $29,507 +32% $23,319 +67%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $38,788 $19,394 $33,585 +15% $21,396 +81%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $38,783 $19,392 $36,258 +7% $24,944 +55%
864 FEVER AND INFLAMMATORY CONDITIONS $38,752 $19,376 $20,117 +93% $18,640 +108%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $38,691 $19,345 $32,239 +20% $16,634 +133%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $38,633 $19,317 $30,482 +27% $20,980 +84%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $38,481 $19,241 $30,731 +25% $24,586 +57%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $38,428 $19,214 $27,354 +40% $17,298 +122%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $38,376 $19,188 $28,476 +35% $22,850 +68%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $38,211 $19,106 $30,330 +26% $20,901 +83%
292 HEART FAILURE AND SHOCK WITH CC $38,152 $19,076 $27,360 +39% $16,371 +133%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $38,145 $19,072 $94,936 −60% $79,836 −52%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $38,036 $19,018 $26,297 +45% $24,566 +55%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $38,033 $19,017 $38,606 −1% $21,894 +74%
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $37,883 $18,942 $37,883 +0% $19,686 +92%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $37,863 $18,931 $24,432 +55% $32,859 +15%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $37,857 $18,929 $35,392 +7% $25,303 +50%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $37,652 $18,826 $16,337 +130% $20,232 +86%
304 HYPERTENSION WITH MCC $37,227 $18,613 $28,318 +31% $26,080 +43%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $37,100 $18,550 $37,100 +0% $27,163 +37%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $37,081 $18,540 $33,652 +10% $22,098 +68% ≈279% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $37,035 $18,518 $19,746 +88% $18,466 +101%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $36,966 $18,483 $30,042 +23% $18,126 +104%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $36,903 $18,451 $29,920 +23% $21,056 +75%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $36,848 $18,424 $29,075 +27% $23,488 +57%
935 NON-EXTENSIVE BURNS $36,833 $18,417 $29,361 +25% $31,701 +16%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $36,729 $18,364 $395,416 −91% $66,711 −45%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $36,590 $18,295 $30,719 +19% $29,221 +25%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $36,587 $18,294 $25,314 +45% $17,620 +108%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $36,587 $18,293 $25,679 +42% $21,275 +72%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $36,559 $18,280 $34,148 +7% $20,506 +78%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $36,370 $18,185 $36,370 +0% $19,815 +84%
312 SYNCOPE AND COLLAPSE $36,156 $18,078 $28,759 +26% $19,342 +87% ≈275% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $36,060 $18,030 $31,306 +15% $23,141 +56%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $35,976 $17,988 $18,978 +90% $17,118 +110%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $35,959 $17,980 $19,416 +85% $20,422 +76%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $35,809 $17,905 $27,174 +32% $26,682 +34%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $35,646 $17,823 $35,646 +0% $28,202 +26%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $35,626 $17,813 $44,595 −20% $32,877 +8%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $35,302 $17,651 $48,039 −27% $33,851 +4%
683 RENAL FAILURE WITH CC $35,285 $17,642 $26,395 +34% $19,130 +84% ≈309% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $35,133 $17,567 $35,133 +0% $41,892 −16%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $35,015 $17,507 $26,380 +33% $19,962 +75%
684 RENAL FAILURE WITHOUT CC/MCC $34,936 $17,468 $21,444 +63% $13,642 +156%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $34,803 $17,402 $25,464 +37% $14,064 +147%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $34,597 $17,299 $31,221 +11% $30,242 +14%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $34,577 $17,288 $24,630 +40% $17,698 +95%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $34,574 $17,287 $25,509 +36% $15,183 +128%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $34,565 $17,283 $36,216 −5% $33,048 +5%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $34,560 $17,280 $35,673 −3% $23,749 +46%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $34,381 $17,191 $27,087 +27% $18,204 +89% ≈327% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $34,219 $17,109 $30,661 +12% $24,386 +40% ≈226% of Medicare
200 PNEUMOTHORAX WITH CC $34,164 $17,082 $22,299 +53% $21,368 +60%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $34,088 $17,044 $15,705 +117% $15,019 +127%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $33,998 $16,999 $29,363 +16% $19,096 +78%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $33,854 $16,927 $30,132 +12% $23,551 +44%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $33,315 $16,658 $17,061 +95% $16,700 +99%
305 HYPERTENSION WITHOUT MCC $33,262 $16,631 $26,555 +25% $18,086 +84%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $33,235 $16,618 $13,756 +142% $18,602 +79%
176 PULMONARY EMBOLISM WITHOUT MCC $32,880 $16,440 $27,128 +21% $18,081 +82%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $32,813 $16,407 $22,043 +49% $14,648 +124%
101 SEIZURES WITHOUT MCC $32,508 $16,254 $23,267 +40% $20,461 +59%
667 PROSTATECTOMY WITHOUT CC/MCC $32,449 $16,225 $32,449 +0% $16,703 +94%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $32,350 $16,175 $16,946 +91% $15,495 +109%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $32,340 $16,170 $25,394 +27% $16,776 +93%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $32,249 $16,124 $30,021 +7% $20,781 +55%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $32,200 $16,100 $16,940 +90% $20,895 +54%
693 URINARY STONES WITH MCC $32,070 $16,035 $28,415 +13% $23,892 +34%
184 MAJOR CHEST TRAUMA WITH CC $31,985 $15,993 $28,391 +13% $22,432 +43%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $31,965 $15,983 $30,689 +4% $27,426 +17%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $31,944 $15,972 $29,239 +9% $18,488 +73%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $31,934 $15,967 $36,815 −13% $29,743 +7%
188 PLEURAL EFFUSION WITHOUT CC/MCC $31,917 $15,959 $19,721 +62% $14,514 +120%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $31,778 $15,889 $31,778 +0% $11,847 +168%
311 ANGINA PECTORIS $31,718 $15,859 $20,944 +51% $15,502 +105%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $31,649 $15,824 $30,293 +4% $27,152 +17%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $31,558 $15,779 $31,191 +1% $22,024 +43%
694 URINARY STONES WITHOUT MCC $31,557 $15,778 $26,930 +17% $17,345 +82%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $31,376 $15,688 $108,895 −71% $43,491 −28%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $31,200 $15,600 $24,144 +29% $19,594 +59%
386 INFLAMMATORY BOWEL DISEASE WITH CC $31,188 $15,594 $21,795 +43% $22,033 +42%
595 MAJOR SKIN DISORDERS WITH MCC $31,181 $15,590 $31,181 +0% $34,598 −10%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $31,038 $15,519 $23,545 +32% $17,322 +79% ≈326% of Medicare
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $30,999 $15,499 $26,510 +17% $26,510 +17%
313 CHEST PAIN $30,931 $15,466 $21,293 +45% $16,440 +88%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $30,885 $15,442 $24,350 +27% $17,674 +75% ≈292% of Medicare
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $30,879 $15,440 $13,413 +130% $14,549 +112%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $30,763 $15,382 $25,566 +20% $18,072 +70%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,652 $15,326 $24,877 +23% $16,565 +85%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $30,647 $15,324 $11,571 +165% $10,975 +179%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $30,600 $15,300 $28,585 +7% $23,283 +31%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $30,499 $15,249 $27,710 +10% $23,571 +29%
865 VIRAL ILLNESS WITH MCC $30,489 $15,244 $30,489 +0% $26,910 +13%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,418 $15,209 $30,418 +0% $16,998 +79%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $30,385 $15,193 $19,796 +53% $12,460 +144%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $30,238 $15,119 $35,459 −15% $27,043 +12%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $30,191 $15,095 $29,133 +4% $22,557 +34%
638 DIABETES WITH CC $29,829 $14,915 $27,043 +10% $19,661 +52%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $29,823 $14,911 $16,212 +84% $16,212 +84%
607 MINOR SKIN DISORDERS WITHOUT MCC $29,811 $14,906 $13,589 +119% $15,889 +88%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $29,766 $14,883 $28,762 +3% $20,957 +42%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $29,726 $14,863 $25,586 +16% $21,363 +39%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $29,702 $14,851 $13,947 +113% $14,415 +106%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $29,635 $14,818 $30,555 −3% $30,010 −1%
603 CELLULITIS WITHOUT MCC $29,629 $14,814 $24,429 +21% $18,530 +60%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $29,370 $14,685 $24,948 +18% $18,459 +59%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $29,313 $14,656 $25,748 +14% $17,303 +69% ≈319% of Medicare
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $29,287 $14,643 $17,530 +67% $17,483 +68%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $29,237 $14,618 $21,908 +33% $22,525 +30%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $29,136 $14,568 $33,894 −14% $33,255 −12%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $29,098 $14,549 $15,445 +88% $13,384 +117% ≈386% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $28,992 $14,496 $22,256 +30% $15,855 +83%
303 ATHEROSCLEROSIS WITHOUT MCC $28,955 $14,478 $22,788 +27% $14,927 +94%
546 CONNECTIVE TISSUE DISORDERS WITH CC $28,758 $14,379 $19,745 +46% $25,700 +12%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $28,742 $14,371 $28,742 +0% $15,764 +82%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $28,711 $14,356 $52,615 −45% $38,878 −26%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $28,620 $14,310 $24,490 +17% $18,956 +51%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $28,547 $14,273 $30,125 −5% $20,488 +39%
950 AFTERCARE WITHOUT CC/MCC $28,509 $14,255 $22,706 +26% $13,527 +111%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $28,442 $14,221 $27,750 +2% $13,651 +108%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $28,321 $14,161 $27,554 +3% $20,084 +41%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $28,296 $14,148 $28,889 −2% $21,449 +32%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $28,111 $14,056 $20,313 +38% $14,689 +91%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $28,087 $14,043 $14,968 +88% $12,559 +124%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $28,008 $14,004 $25,718 +9% $19,846 +41%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $27,869 $13,934 $17,734 +57% $18,133 +54%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $27,859 $13,930 $24,594 +13% $19,842 +40%
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% $18,348 +51%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $27,554 $13,777 $27,554 +0% $18,452 +49%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $27,412 $13,706 $15,550 +76% $12,324 +122%
915 ALLERGIC REACTIONS WITH MCC $27,401 $13,701 $32,645 −16% $32,645 −16%
149 DYSEQUILIBRIUM $27,344 $13,672 $27,340 +0% $18,096 +51%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $27,324 $13,662 $42,250 −35% $32,697 −16%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $27,313 $13,656 $42,274 −35% $30,553 −11%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $27,057 $13,528 $33,527 −19% $20,926 +29%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $26,993 $13,496 $26,993 +0% $17,578 +54% ≈253% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $26,821 $13,410 $22,093 +21% $13,633 +97%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $26,524 $13,262 $19,191 +38% $14,797 +79%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $26,478 $13,239 $23,674 +12% $22,851 +16%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $26,474 $13,237 $24,777 +7% $20,455 +29%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $26,451 $13,225 $43,821 −40% $27,617 −4%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $26,399 $13,199 $22,742 +16% $18,002 +47%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $26,329 $13,165 $29,362 −10% $32,944 −20%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $26,278 $13,139 $20,657 +27% $17,124 +53%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $26,257 $13,129 $26,257 +0% $20,259 +30%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $26,221 $13,111 $21,355 +23% $17,038 +54% ≈260% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $25,923 $12,962 $12,844 +102% $15,428 +68%
596 MAJOR SKIN DISORDERS WITHOUT MCC $25,916 $12,958 $21,959 +18% $17,226 +50%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $25,801 $12,901 $23,065 +12% $16,520 +56%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $25,676 $12,838 $25,676 +0% $20,911 +23%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $25,598 $12,799 $19,272 +33% $16,767 +53%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $25,516 $12,758 $22,600 +13% $13,824 +85%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $25,096 $12,548 $25,096 +0% $22,314 +12%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $24,982 $12,491 $24,675 +1% $19,924 +25%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $24,981 $12,491 $23,775 +5% $17,724 +41%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $24,816 $12,408 $18,315 +35% $17,733 +40%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $24,722 $12,361 $24,507 +1% $19,305 +28%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $24,679 $12,339 $21,890 +13% $14,290 +73%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $24,574 $12,287 $129,200 −81% $96,905 −75%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $24,309 $12,154 $23,872 +2% $18,807 +29%
076 VIRAL MENINGITIS WITHOUT CC/MCC $23,879 $11,940 $17,627 +35% $17,135 +39%
302 ATHEROSCLEROSIS WITH MCC $23,836 $11,918 $32,132 −26% $22,446 +6%
948 SIGNS AND SYMPTOMS WITHOUT MCC $23,466 $11,733 $25,689 −9% $17,921 +31%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $23,386 $11,693 $32,284 −28% $12,336 +90%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $23,319 $11,659 $28,730 −19% $18,150 +28%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $23,174 $11,587 $35,742 −35% $27,394 −15%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $22,619 $11,309 $18,908 +20% $15,452 +46%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $22,507 $11,253 $20,597 +9% $15,038 +50%
089 CONCUSSION WITH CC $22,435 $11,217 $27,042 −17% $18,821 +19%
639 DIABETES WITHOUT CC/MCC $22,388 $11,194 $19,853 +13% $13,910 +61%
153 OTITIS MEDIA AND URI WITHOUT MCC $22,114 $11,057 $18,842 +17% $14,583 +52%
181 RESPIRATORY NEOPLASMS WITH CC $22,050 $11,025 $27,133 −19% $23,573 −6%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $22,050 $11,025 $15,036 +47% $13,361 +65%
137 MOUTH PROCEDURES WITH CC/MCC $21,317 $10,659 $26,958 −21% $27,861 −23%
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%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $20,273 $10,136 $18,396 +10% $14,368 +41%
885 PSYCHOSES $20,258 $10,129 $18,408 +10% $21,729 −7% ≈111% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $19,875 $9,938 $15,157 +31% $12,999 +53%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $19,718 $9,859 $11,127 +77% $8,927 +121%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $19,017 $9,509 $14,382 +32% $14,128 +35%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $18,322 $9,161 $21,114 −13% $16,846 +9%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $18,006 $9,003 $20,648 −13% $14,250 +26%
151 EPISTAXIS WITHOUT MCC $17,832 $8,916 $16,459 +8% $13,032 +37%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $17,692 $8,846 $22,581 −22% $16,288 +9%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $17,144 $8,572 $21,806 −21% $16,699 +3%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $16,997 $8,499 $12,216 +39% $11,997 +42%
201 PNEUMOTHORAX WITHOUT CC/MCC $16,982 $8,491 $16,175 +5% $14,053 +21%
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% $14,501 +14%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $16,594 $8,297 $12,895 +29% $12,895 +29%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,531 $7,765 $38,654 −60% $28,140 −45%
549 SEPTIC ARTHRITIS WITH CC $15,060 $7,530 $24,261 −38% $24,056 −37%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $14,373 $7,186 $13,528 +6% $12,252 +17%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,069 $7,035 $16,366 −14% $19,412 −28%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $14,017 $7,009 $18,498 −24% $13,275 +6%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,933 $6,967 $20,849 −33% $15,370 −9%
534 FRACTURES OF FEMUR WITHOUT MCC $13,844 $6,922 $18,894 −27% $17,559 −21%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $13,255 $6,627 $12,640 +5% $12,454 +6%
881 DEPRESSIVE NEUROSES $12,676 $6,338 $15,058 −16% $15,058 −16%
916 ALLERGIC REACTIONS WITHOUT MCC $12,560 $6,280 $13,510 −7% $13,942 −10%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $12,560 $6,280 $16,757 −25% $12,078 +4%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $12,087 $6,043 $14,716 −18% $14,716 −18%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $11,500 $5,750 $29,079 −60% $19,138 −40%
779 ABORTION WITHOUT D&C $11,391 $5,695 $14,464 −21% $15,327 −26%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,853 $5,426 $22,482 −52% $23,206 −53%
882 NEUROSES EXCEPT DEPRESSIVE $9,148 $4,574 $14,798 −38% $15,680 −42%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $8,278 $4,139 $9,715 −15% $9,940 −17%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,315 $3,158 $8,532 −26% $10,160 −38%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $6,261 $3,131 $60,052 −90% $49,710 −87%
791 PREMATURITY WITH MAJOR PROBLEMS $6,148 $3,074 $30,459 −80% $42,679 −86%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,943 $2,971 $4,889 +22% $16,351 −64%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $5,141 $2,570 $8,962 −43% $18,649 −72%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,020 $2,510 $5,399 −7% $12,229 −59%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,996 $2,498 $7,557 −34% $15,589 −68%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,729 $2,364 $163,664 −97% $80,018 −94%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,093 $2,047 $4,134 −1% $8,445 −52%
887 OTHER MENTAL DISORDER DIAGNOSES $3,475 $1,737 $20,006 −83% $20,616 −83%
795 NORMAL NEWBORN $3,319 $1,660 $3,473 −4% $4,720 −30%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,189 $1,094 $10,764 −80% $12,593 −83%