Wentworth-Douglass Hospital — Pricing

500 procedures published in this hospital's Machine-Readable File (MRF) — 500 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 500
Lowest published price $7,707
Average published price $48,315
Highest published price $733,374

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 500 procedures

Published charges

Showing all 500 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 84 procedures, this hospital's negotiated rates average ≈151% of what Medicare pays.

DRG Description Published price Cash price vs. NH median vs. National median vs Medicare
220 Major Stomach, Esophageal And Duodenal Procedures,EXTREME $733,374 — $733,374 — $111,320 +559% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $522,523 $391,892 $333,054 — $248,521 +110% —
750 Schizophrenia And Other Severe Psychotic Disorders,EXTREME $295,482 — $295,482 — $27,989 +956% —
313 Knee And Lower Leg Procedures Except Foot,EXTREME $226,339 — $113,778 — $16,440 +1277% ≈541% of Medicare
870 Septicemia Or Severe Sepsis With Mv >96 Hours $186,863 $140,147 $186,863 — $148,832 +26% —
130 Respiratory System Diagnosis With Ventilator Support > 96 Hours,EXTREME $186,705 — $186,705 — $23,289 +702% —
380 Skin Ulcers,EXTREME $186,566 — $186,566 — $39,627 +371% —
305 Amputation Of Lower Limb Except Toes,EXTREME $173,205 — $5,619 +2982% $18,086 +858% —
052 Alteration In Consciousness,EXTREME $163,185 — $90,469 — $32,031 +409% —
264 Other Hepatobiliary, Pancreas And Abdominal Procedures,EXTREME $159,834 — $35,911 +345% $51,953 +208% —
711 Post-Operative, Post-Trauma, Other Device Infections With O.R. Procedure,EXTREME $158,186 — $158,186 — $38,343 +313% —
246 Gastrointestinal Vascular Insufficiency,MAJOR $152,344 — $152,344 — $33,983 +348% —
710 Infectious And Parasitic Diseases Including Hiv With O.R. Procedure,EXTREME $142,702 — $142,702 — $26,436 +440% —
042 Degenerative Nervous System Disorders Except Multiple Sclerosis,MAJOR $140,478 — $140,478 — $39,018 +260% —
279 Hepatic Coma And Other Major Acute Liver Disorders,EXTREME $133,841 — $133,841 — $63,928 +109% —
721 Post-Operative, Post-Traumatic, Other Device Infections,EXTREME $132,904 — $132,904 — $30,000 +343% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $127,578 $95,683 $127,578 — $66,711 +91% —
385 Other Skin, Subcutaneous Tissue And Breast Disorders,EXTREME $127,353 — $69,990 — $27,617 +361% —
442 Kidney And Urinary Tract Procedures For Malignancy,EXTREME $125,206 — $9,254 +1253% $21,449 +484% —
753 Bipolar Disorders,EXTREME $122,901 — $122,901 — $14,949 +722% —
471 Cervical Spinal Fusion With McC $110,891 $83,169 $110,891 — $92,515 +20% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $110,701 $83,026 $27,835 +298% $70,467 +57% —
121 Other Respiratory And Chest Procedures,EXTREME $110,440 — $110,440 — $19,412 +469% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $110,169 $82,627 $71,066 — $70,564 +56% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $109,925 $82,444 $109,925 — $56,964 +93% —
356 Other Digestive System O.R. Procedures With McC $103,673 $77,755 $103,673 — $82,561 +26% —
136 Respiratory Malignancy,MAJOR $103,581 — $103,581 — $17,404 +495% —
314 Foot And Toe Procedures,MAJOR $97,455 — $97,455 — $38,666 +152% ≈147% of Medicare
480 Hip And Femur Procedures Except Major Joint With McC $96,591 $72,443 $29,094 +232% $65,653 +47% ≈157% of Medicare
673 Other Kidney And Urinary Tract Procedures With McC $96,276 $72,207 $80,962 — $77,990 +23% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $92,542 $69,407 $92,542 — $58,745 +58% —
230 Major Small Bowel Procedures,EXTREME $92,097 — $92,097 — $58,096 +59% —
329 Major Small And Large Bowel Procedures With McC $91,318 $68,489 $42,697 +114% $88,050 +4% ≈129% of Medicare
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $90,657 $67,993 $90,657 — $66,685 +36% —
186 Pleural Effusion With McC $90,095 $67,572 $90,095 — $33,834 +166% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $89,655 $67,241 $57,537 — $93,172 −4% ≈160% of Medicare
241 Peptic Ulcer And Gastritis,EXTREME $88,872 — $88,872 — $30,770 +189% —
656 Kidney And Ureter Procedures For Neoplasm With McC $87,436 $65,577 $87,436 — $65,608 +33% —
697 Urethral Stricture $84,710 $63,532 $84,710 — $18,428 +360% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $84,548 $63,411 $84,548 — $75,103 +13% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $84,300 $63,225 $52,649 — $62,821 +34% —
053 Seizure,EXTREME $83,088 — $83,088 — $20,455 +306% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $82,518 $61,889 $82,518 — $132,794 −38% —
469 Acute Kidney Injury,EXTREME $81,482 — $42,190 +93% $65,788 +24% —
353 Hernia Procedures Except Inguinal And Femoral With McC $80,597 $60,448 $80,597 — $60,170 +34% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $80,144 $60,108 $80,144 — $59,533 +35% —
351 Other Musculoskeletal System And Connective Tissue Diagnoses,EXTREME $79,831 — $46,349 — $36,505 +119% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC $78,569 $58,927 $78,569 — $58,975 +33% —
133 Respiratory Failure,EXTREME $78,023 — $78,023 — $38,305 +104% —
951 Moderately Extensive O.R. Procedure Unrelated To Principal Diagnosis,EXTREME $75,664 — $3,964 +1809% $10,160 +645% —
484 Other Male Reproductive System And Related Procedures,MAJOR $75,312 — $75,312 — $23,289 +223% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $75,250 $56,438 $44,114 +71% $90,775 −17% —
067 Precerebral Occlusion Without Infarction With McC $74,323 $55,742 $74,323 — $24,941 +198% —
404 Thyroid, Parathyroid And Thyroglossal Procedures,MODERATE $74,302 — $74,302 — $50,691 +47% —
447 Multiple Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $74,249 $55,687 $74,249 — $126,098 −41% —
252 Other Vascular Procedures With McC $74,199 $55,649 $51,690 — $68,508 +8% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $73,757 $55,318 $73,757 — $23,443 +215% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $72,261 $54,196 $72,261 — $50,139 +44% —
570 Skin Debridement With McC $72,210 $54,157 $72,210 — $52,435 +38% —
722 Fever And Inflammatory Conditions,EXTREME $71,928 — $71,928 — $29,826 +141% —
500 Soft Tissue Procedures With McC $71,658 $53,743 $71,658 — $61,872 +16% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $70,587 $52,940 $70,587 — $107,355 −34% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $70,455 $52,841 $70,455 — $73,120 −4% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $69,579 $52,184 $56,220 — $79,116 −12% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $69,555 $52,166 $50,819 — $66,068 +5% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $69,473 $52,105 $13,163 +428% $58,280 +19% ≈154% of Medicare
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $69,394 $52,045 $17,172 +304% $52,405 +32% ≈164% of Medicare
650 Splenic Procedures,MINOR $68,818 — $68,818 — $71,551 −4% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $68,232 $51,174 $68,232 — $42,881 +59% —
346 Connective Tissue Disorders,MAJOR $68,214 — $68,214 — $27,297 +150% —
249 Other Gastroenteritis, Nausea And Vomiting,EXTREME $67,509 — $67,509 — $20,610 +228% —
254 Other Digestive System Diagnoses,EXTREME $66,690 — $66,690 — $38,836 +72% —
950 Extensive O.R. Procedure Unrelated To Principal Diagnosis,MODERATE $66,240 — $66,240 — $13,527 +390% —
142 Interstitial And Alveolar Lung Diseases,EXTREME $65,862 — $65,862 — $34,906 +89% —
322 Shoulder And Elbow Joint Replacement,MINOR $65,425 — $52,489 — $58,809 +11% ≈397% of Medicare
347 Other Back And Neck Disorders, Fractures And Injuries,MAJOR $65,166 — $65,166 — $40,548 +61% —
231 Major Large Bowel Procedures,MINOR $64,973 — $64,973 — $147,227 −56% —
137 Major Respiratory Infections And Inflammations,EXTREME $64,581 — $64,581 — $27,861 +132% —
350 Inguinal And Femoral Hernia Procedures With McC $64,006 $48,004 $64,006 — $50,046 +28% —
707 Major Male Pelvic Procedures With Cc/McC $63,145 $47,359 $63,145 — $43,080 +47% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $63,124 $47,343 $63,124 — $34,749 +82% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $63,022 $47,267 $63,022 — $26,932 +134% —
253 Other And Unspecified Gastrointestinal Hemorrhage,EXTREME $63,008 — $43,795 — $57,454 +10% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $62,976 $47,232 $47,852 — $58,707 +7% —
450 Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device $62,738 $47,053 $62,738 — $99,943 −37% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $62,685 $47,013 $41,184 — $46,283 +35% ≈135% of Medicare
448 Multiple Level Spinal Fusion Except Cervical Without McC $62,632 $46,974 $41,184 +52% $81,998 −24% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $62,504 $46,878 $40,189 — $76,001 −18% —
551 Medical Back Problems With McC $62,345 $46,758 $16,409 +280% $34,017 +83% ≈135% of Medicare
049 Bacterial And Tuberculous Infections Of Nervous System,MAJOR $62,133 — $62,133 — $120,000 −48% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $61,872 $46,404 $61,872 — $58,228 +6% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $61,445 $46,084 $61,445 — $59,421 +3% —
582 Mastectomy For Malignancy With Cc/McC $61,436 $46,077 $61,436 — $35,849 +71% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $60,863 $45,647 $60,863 — $71,092 −14% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $60,814 $45,611 $60,814 — $83,441 −27% —
194 Heart Failure,EXTREME $60,684 — $5,817 +943% $18,204 +233% ≈197% of Medicare
907 Other O.R. Procedures For Injuries With McC $60,421 $45,316 $35,298 — $77,817 −22% —
501 Male Reproductive System Diagnoses Except Malignancy,MINOR $60,388 — $36,265 — $39,619 +52% —
166 Other Respiratory System O.R. Procedures With McC $59,320 $44,490 $48,248 — $75,573 −22% —
850 Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Health Services,MINOR $58,861 — $58,861 — $121,563 −52% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $58,814 $44,111 $30,943 +90% $59,651 −1% —
248 Major Gastrointestinal And Peritoneal Infections,MAJOR $58,755 — $58,755 — $34,146 +72% —
263 Cholecystectomy,MAJOR $58,620 — $58,620 — $51,253 +14% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $58,620 $43,965 $30,403 +93% $53,451 +10% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $58,288 $43,716 $34,399 — $32,021 +82% ≈152% of Medicare
674 Other Kidney And Urinary Tract Procedures With Cc $58,081 $43,560 $58,081 — $50,394 +15% —
364 Other Skin, Subcutaneous Tissue And Related Procedures,MAJOR $58,021 — $58,021 — $46,852 +24% —
173 Other Vascular Procedures,MAJOR $57,769 — $57,769 — $60,407 −4% —
224 Peritoneal Adhesiolysis,MODERATE $57,671 — $57,671 — $80,427 −28% —
472 Cervical Spinal Fusion With Cc $57,608 $43,206 $57,608 — $59,537 −3% —
890 Hiv With Multiple Major Hiv Related Conditions,EXTREME $57,345 — $57,345 — $48,975 +17% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $57,022 $42,766 $57,022 — $43,913 +30% —
713 Transurethral Prostatectomy With Cc/McC $56,939 $42,704 $56,939 — $32,100 +77% —
432 Cirrhosis And Alcoholic Hepatitis With McC $56,589 $42,441 $17,239 +228% $40,213 +41% ≈141% of Medicare
664 Minor Bladder Procedures Without Cc/McC $56,587 $42,441 $56,587 — $22,314 +154% —
304 Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,MINOR $56,296 — $56,296 — $26,080 +116% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $55,905 $41,929 $55,905 — $52,178 +7% —
963 Other Multiple Significant Trauma With McC $55,818 $41,863 $55,818 — $43,491 +28% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $55,677 $41,758 $27,632 +101% $44,606 +25% ≈160% of Medicare
164 Major Chest Procedures With Cc $55,568 $41,676 $39,086 — $56,755 −2% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $55,535 $41,651 $39,559 — $51,985 +7% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $55,362 $41,522 $27,406 +102% $49,351 +12% —
044 Intracranial Hemorrhage,MAJOR $55,139 — $55,139 — $85,065 −35% —
361 Skin Graft For Skin And Subcutaneous Tissue Diagnoses,MINOR $54,915 — $54,915 — $79,921 −31% —
545 Connective Tissue Disorders With McC $54,739 $41,054 $54,739 — $40,362 +36% —
503 Foot Procedures With McC $54,430 $40,823 $54,430 — $47,540 +14% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $54,276 $40,707 $54,276 — $43,800 +24% —
181 Respiratory Neoplasms With Cc $54,275 $40,707 $54,275 — $23,573 +130% —
180 Respiratory Neoplasms With McC $54,258 $40,693 $16,807 +223% $36,658 +48% —
467 Revision Of Hip Or Knee Replacement With Cc $53,739 $40,304 $53,739 — $70,847 −24% —
182 Other Upper Vascular Procedures,MAJOR $53,655 — $53,655 — $14,064 +282% —
451 Single Level Spinal Fusion Except Cervical Without McC $53,199 $39,899 $53,199 — $65,216 −18% —
655 Major Bladder Procedures Without Cc/McC $53,113 $39,835 $53,113 — $43,174 +23% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $53,029 $39,772 $53,029 — $37,950 +40% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $52,714 $39,535 $52,714 — $43,631 +21% —
504 Foot Procedures With Cc $52,625 $39,468 $52,625 — $38,960 +35% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $52,575 $39,431 $52,575 — $43,298 +21% —
204 Syncope And Collapse,MAJOR $52,563 — $33,198 — $18,004 +192% —
199 Hypertension,MAJOR $52,025 — $34,540 — $33,787 +54% —
547 Antepartum With O.R. Procedure,MAJOR $51,961 — $51,961 — $16,565 +214% —
720 Septicemia And Disseminated Infections,EXTREME $51,737 — $51,737 — $45,066 +15% —
473 Cervical Spinal Fusion Without Cc/McC $51,574 $38,681 $51,574 — $50,624 +2% —
817 Intentional Self-Harm And Attempted Suicide,EXTREME $51,254 — $51,254 — $39,173 +31% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $51,228 $38,421 $32,700 — $34,459 +49% —
247 Intestinal Obstruction,MAJOR $51,212 — $51,212 — $21,663 +136% —
242 Major Esophageal Disorders,MAJOR $51,111 — $51,111 — $70,132 −27% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $50,797 $38,098 $50,797 — $49,418 +3% —
282 Disorders Of Pancreas Except Malignancy,EXTREME $50,781 — $6,997 +626% $19,227 +164% —
816 Toxic Effects Of Non-Medicinal Substances,MAJOR $50,606 — $50,606 — $14,638 +246% —
426 Non-Hypovolemic Sodium Disorders,EXTREME $50,533 — $50,533 — $142,326 −64% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $50,321 $37,741 $50,321 — $33,454 +50% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $50,092 $37,569 $50,092 — $71,795 −30% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $49,961 $37,471 $28,228 — $42,901 +16% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $49,929 $37,447 $34,245 — $43,538 +15% —
140 Chronic Obstructive Pulmonary Disease,EXTREME $49,807 — $49,807 — $60,098 −17% —
321 Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures,MINOR $49,660 — $38,550 — $81,706 −39% ≈222% of Medicare
465 Urinary Stones And Acquired Upper Urinary Tract Obstruction,MAJOR $49,623 — $49,623 — $32,443 +53% —
139 Other Pneumonia,EXTREME $49,150 — $49,150 — $23,612 +108% —
862 Postoperative And Post-Traumatic Infections With McC $49,084 $36,813 $10,652 +361% $32,859 +49% —
045 Cva And Precerebral Occlusion With Infarction,EXTREME $49,074 — $49,074 — $77,914 −37% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $49,074 $36,805 $10,205 +381% $39,106 +25% ≈146% of Medicare
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $49,070 $36,802 $19,246 +155% $43,943 +12% —
336 Peritoneal Adhesiolysis With Cc $48,929 $36,697 $48,929 — $50,463 −3% —
221 Major Small & Large Bowel Procedures,MAJOR $48,854 — $48,854 — $90,331 −46% —
330 Major Small And Large Bowel Procedures With Cc $48,854 $36,641 $20,400 +139% $59,500 −18% ≈133% of Medicare
755 Malignancy, Female Reproductive System With Cc $48,715 $36,536 $28,895 — $18,459 +164% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $48,437 $36,327 $48,437 — $36,670 +32% —
424 Other Endocrine Disorders,MAJOR $48,372 — $48,372 — $42,415 +14% —
775 Alcohol Abuse And Dependence,EXTREME $48,312 — $48,312 — $3,032 +1493% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $47,887 $35,915 $16,558 +189% $35,628 +34% ≈149% of Medicare
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $47,794 $35,846 $47,794 — $19,270 +148% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $47,711 $35,783 $32,937 — $47,711 +0% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $47,659 $35,745 $47,659 — $39,006 +22% —
023 Spinal Procedures,MAJOR $47,646 — $47,646 — $106,778 −55% —
083 Traumatic Stupor And Coma >1 Hour With Cc $47,617 $35,713 $47,617 — $27,285 +75% —
362 Mastectomy Procedures,MINOR $47,548 — $47,548 — $122,668 −61% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $47,527 $35,645 $16,992 +180% $33,555 +42% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $47,440 $35,580 $27,196 — $47,583 −0% —
669 Transurethral Procedures With Cc $47,142 $35,357 $47,142 — $34,354 +37% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $47,123 $35,342 $30,440 +55% $50,607 −7% ≈158% of Medicare
374 Digestive Malignancy With McC $47,104 $35,328 $33,704 — $39,958 +18% —
375 Digestive Malignancy With Cc $47,008 $35,256 $9,661 +387% $27,277 +72% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $46,908 $35,181 $46,908 — $35,074 +34% —
280 Acute Myocardial Infarction, Discharged Alive With McC $46,711 $35,033 $15,145 +208% $30,828 +52% ≈142% of Medicare
043 Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies,MAJOR $46,703 — $46,703 — $46,703 +0% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $46,703 $35,027 $13,832 +238% $27,163 +72% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $46,637 $34,978 $46,637 — $36,253 +29% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $46,400 $34,800 $14,968 +210% $36,937 +26% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $46,189 $34,642 $31,345 — $38,094 +21% —
046 Nonspecific Cva And Precerebral Occlusion Without Infarction,MODERATE $46,173 — $46,173 — $29,050 +59% —
326 Elective Knee Joint Replacement,MINOR $46,081 — $46,081 — $80,793 −43% —
349 Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure,MAJOR $45,930 — $45,930 — $19,854 +131% —
481 Hip And Femur Procedures Except Major Joint With Cc $45,520 $34,140 $16,934 +169% $52,751 −14% ≈145% of Medicare
444 Disorders Of The Biliary Tract With McC $45,187 $33,890 $30,697 — $34,273 +32% —
403 Procedures For Obesity,MAJOR $45,104 — $45,104 — $50,645 −11% —
620 O.R. Procedures For Obesity With Cc $45,104 $33,828 $45,104 — $35,453 +27% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $45,073 $33,805 $29,282 — $33,653 +34% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $44,787 $33,590 $44,787 — $28,140 +59% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $44,751 $33,563 $44,751 — $29,079 +54% —
138 Bronchiolitis And Rsv Pneumonia,MAJOR $44,639 — $44,639 — $19,119 +133% —
331 Major Small And Large Bowel Procedures Without Cc/McC $44,117 $33,088 $12,222 +261% $44,117 +0% —
177 Respiratory Infections And Inflammations With McC $44,001 $33,001 $11,153 +295% $33,707 +31% ≈135% of Medicare
443 Kidney And Urinary Tract Procedures For Non-Malignancy,MINOR $43,534 — $23,022 — $15,600 +179% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $43,510 $32,633 $33,872 — $54,929 −21% —
233 Appendectomy With Complex Principal Diagnosis,MINOR $43,484 — $43,484 — $144,569 −70% —
812 Poisoning Of Medicinal Agents,EXTREME $43,413 — $8,681 +400% $20,488 +112% ≈118% of Medicare
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $43,383 $32,537 $43,383 — $47,737 −9% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $43,359 $32,519 $28,482 — $29,805 +45% —
201 Cardiac Arrhythmia And Conduction Disorders,EXTREME $43,357 — $43,357 — $14,053 +209% —
197 Peripheral And Other Vascular Disorders,EXTREME $43,298 — $43,298 — $21,941 +97% —
075 Viral Meningitis With Cc/McC $43,054 $32,290 $43,054 — $30,447 +41% —
952 Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis,MODERATE $43,038 — $43,038 — $45,364 −5% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $43,021 $32,266 $43,021 — $32,574 +32% —
245 Inflammatory Bowel Disease,MAJOR $42,983 — $42,983 — $72,076 −40% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $42,589 $31,942 $42,589 — $43,477 −2% —
505 Foot Procedures Without Cc/McC $42,351 $31,763 $42,351 — $34,937 +21% —
337 Peritoneal Adhesiolysis Without Cc/McC $42,284 $31,713 $42,284 — $39,211 +8% —
519 Gynecologic Procedures For Leiomyoma,MINOR $42,251 — $27,757 +52% $44,139 −4% —
571 Skin Debridement With Cc $42,097 $31,573 $26,342 — $37,169 +13% —
643 Endocrine Disorders With McC $42,091 $31,568 $16,621 +153% $33,563 +25% —
323 Non-Elective Or Complex Hip Joint Replacement,MINOR $42,074 — $42,074 — $101,510 −59% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $41,938 $31,454 $28,027 — $38,101 +10% —
377 Gastrointestinal Hemorrhage With McC $41,828 $31,371 $29,507 — $37,842 +11% ≈155% of Medicare
291 Heart Failure And Shock With McC $41,691 $31,268 $10,073 +314% $26,776 +56% ≈146% of Medicare
908 Other O.R. Procedures For Injuries With Cc $41,660 $31,245 $31,325 +33% $42,914 −3% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $41,648 $31,236 $23,940 — $36,792 +13% —
047 Transient Ischemia,MODERATE $41,582 — $41,582 — $56,677 −27% —
301 Hip Joint Replacement,MINOR $41,481 — $24,975 — $15,837 +162% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $41,036 $30,777 $41,036 — $31,563 +30% —
463 Kidney And Urinary Tract Infections,EXTREME $40,865 — $48,260 — $89,207 −54% —
813 Other Complications Of Treatment,MAJOR $40,841 — $25,839 — $33,296 +23% ≈130% of Medicare
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $40,783 $30,587 $40,783 — $24,127 +69% —
229 Other Digestive System And Abdominal Procedures,MODERATE $40,757 — $40,757 — $65,325 −38% —
357 Other Digestive System O.R. Procedures With Cc $40,757 $30,568 $40,757 — $48,682 −16% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $40,715 $30,536 $14,907 +173% $33,985 +20% —
793 Moderately Extensive O.R. Procedures For Other Complications Of Treatment,MINOR $40,607 — $8,439 +381% $18,649 +118% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $40,600 $30,450 $40,600 — $45,333 −10% —
141 Asthma,EXTREME $40,584 — $40,584 — $37,267 +9% —
708 Major Male Pelvic Procedures Without Cc/McC $40,574 $30,431 $40,574 — $36,988 +10% —
050 Non-Bacterial Infections Of Nervous System Except Viral Meningitis,MAJOR $40,538 — $40,538 — $75,772 −47% —
310 Vertebral And Intervertebral Spinal Procedures Including Disc Procedures,MAJOR $40,522 — $4,597 +782% $13,384 +203% ≈782% of Medicare
398 Appendix Procedures With Cc $40,522 $30,391 $24,342 +66% $40,162 +1% —
811 Red Blood Cell Disorders With McC $40,425 $30,319 $13,572 +198% $28,226 +43% ≈153% of Medicare
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $39,950 $29,962 $19,937 +100% $46,090 −13% —
466 Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure,EXTREME $39,939 — $39,939 — $96,507 −59% —
698 Other Kidney And Urinary Tract Diagnoses With McC $39,939 $29,954 $11,002 +263% $32,496 +23% ≈151% of Medicare
502 Soft Tissue Procedures Without Cc/McC $39,792 $29,844 $39,792 — $31,017 +28% —
438 Disorders Of Pancreas Except Malignancy With McC $39,766 $29,825 $12,702 +213% $32,628 +22% —
642 Inborn And Other Disorders Of Metabolism $39,691 $29,768 $23,178 — $20,727 +91% —
539 Osteomyelitis With McC $39,682 $29,761 $19,621 +102% $37,609 +6% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $39,638 $29,728 $39,638 — $32,841 +21% —
056 Degenerative Nervous System Disorders With McC $39,409 $29,557 $22,480 +75% $39,973 −1% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $39,309 $29,481 $17,850 +120% $33,047 +19% —
917 Poisoning And Toxic Effects Of Drugs With McC $39,304 $29,478 $17,189 +129% $30,235 +30% —
069 Transient Ischemia Without Thrombolytic $39,131 $29,348 $7,952 +392% $21,056 +86% ≈162% of Medicare
324 Elective Hip Joint Replacement,MINOR $39,105 — $39,105 — $71,464 −45% —
205 Other Respiratory System Diagnoses With McC $39,057 $29,293 $16,554 +136% $33,255 +17% ≈168% of Medicare
909 Other O.R. Procedures For Injuries Without Cc/McC $39,004 $29,253 $39,004 — $28,156 +39% —
184 Major Chest Trauma With Cc $38,785 $29,089 $10,355 +275% $22,432 +73% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $38,772 $29,079 $21,203 — $25,034 +55% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $38,439 $28,830 $38,439 — $41,620 −8% —
100 Seizures With McC $38,420 $28,815 $17,491 +120% $35,481 +8% ≈153% of Medicare
885 Psychoses $38,224 $28,668 $26,511 — $21,729 +76% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $38,221 $28,666 $10,029 +281% $26,770 +43% ≈143% of Medicare
302 Atherosclerosis With McC $37,699 $28,274 $37,699 — $22,446 +68% —
557 Tendonitis, Myositis And Bursitis With McC $37,596 $28,197 $26,265 — $32,877 +14% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $37,346 $28,010 $37,346 — $28,320 +32% —
386 Inflammatory Bowel Disease With Cc $37,325 $27,994 $7,085 +427% $22,033 +69% —
724 Other Infectious And Parasitic Diseases,MAJOR $37,056 — $37,056 — $12,768 +190% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $36,999 $27,749 $36,999 — $33,424 +11% —
420 Diabetes,EXTREME $36,983 — $36,983 — $50,919 −27% —
637 Diabetes With McC $36,983 $27,737 $21,945 +69% $30,100 +23% ≈142% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $36,948 $27,711 $7,850 +371% $23,940 +54% ≈151% of Medicare
243 Other Esophageal Disorders,MAJOR $36,764 — $29,259 — $50,011 −26% ≈62% of Medicare
292 Heart Failure And Shock With Cc $36,626 $27,470 $7,091 +417% $16,371 +124% —
393 Other Digestive System Diagnoses With McC $36,584 $27,438 $36,584 — $34,192 +7% ≈145% of Medicare
540 Osteomyelitis With Cc $36,550 $27,412 $23,271 — $26,676 +37% —
621 O.R. Procedures For Obesity Without Cc/McC $36,546 $27,409 $36,546 — $32,451 +13% ≈156% of Medicare
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $36,472 $27,354 $25,511 — $31,264 +17% ≈140% of Medicare
183 Major Chest Trauma With McC $36,382 $27,286 $15,296 +138% $29,933 +22% —
299 Peripheral Vascular Disorders With McC $36,340 $27,255 $25,562 — $27,316 +33% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $35,866 $26,900 $35,866 — $23,749 +51% —
228 Inguinal, Femoral And Umbilical Hernia Procedures,MINOR $35,735 — $35,735 — $96,905 −63% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $35,729 $26,797 $35,729 — $27,633 +29% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $35,587 $26,690 $35,587 — $18,072 +97% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $35,465 $26,599 $20,782 +71% $35,465 +0% —
369 Major Esophageal Disorders With Cc $35,305 $26,479 $35,305 — $25,303 +40% —
091 Other Disorders Of Nervous System With McC $35,299 $26,474 $20,285 — $37,387 −6% ≈147% of Medicare
861 Signs, Symptoms And Other Factors Influencing Health Status,MAJOR $35,270 — $35,270 — $26,085 +35% —
222 Other Stomach, Esophageal And Duodenal Procedures,MAJOR $35,172 — $35,172 — $86,864 −60% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $35,141 $26,356 $10,993 +220% $25,463 +38% ≈147% of Medicare
884 Organic Disturbances And Intellectual Disability $35,058 $26,293 $25,575 — $26,682 +31% ≈223% of Medicare
546 Connective Tissue Disorders With Cc $34,947 $26,210 $34,947 — $25,700 +36% —
320 Other Musculoskeletal System And Connective Tissue Procedures,MINOR $34,848 — $34,848 — $40,060 −13% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $34,535 $25,902 $21,650 — $22,506 +53% —
317 Tendon, Muscle And Other Soft Tissue Procedures,MAJOR $34,425 — $34,425 — $88,566 −61% —
883 Disorders Of Personality And Impulse Control $34,260 $25,695 $34,260 — $23,206 +48% —
682 Renal Failure With McC $33,856 $25,392 $27,835 +22% $29,064 +16% ≈144% of Medicare
421 Malnutrition, Failure To Thrive And Other Nutritional Disorders,MAJOR $33,721 — $33,721 — $36,354 −7% —
663 Other Anemia And Disorders Of Blood And Blood-Forming Organs,MAJOR $33,704 — $33,704 — $33,103 +2% —
189 Pulmonary Edema And Respiratory Failure $33,645 $25,233 $9,553 +252% $26,580 +27% ≈141% of Medicare
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $33,587 $25,190 $7,868 +327% $20,781 +62% —
115 Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses,MAJOR $33,460 — $33,460 — $25,703 +30% —
553 Bone Diseases And Arthropathies With McC $33,365 $25,024 $19,049 — $26,051 +28% —
388 Gastrointestinal Obstruction With McC $33,244 $24,933 $32,137 — $30,571 +9% ≈156% of Medicare
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $33,048 $24,786 $33,048 — $50,498 −35% —
344 Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections,MAJOR $33,024 — $33,024 — $44,546 −26% —
157 Dental And Oral Diseases With McC $32,827 $24,620 $32,827 — $31,300 +5% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $32,654 $24,490 $8,870 +268% $23,551 +39% ≈136% of Medicare
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $32,595 $24,446 $12,448 +162% $30,959 +5% ≈109% of Medicare
227 Hernia Procedures Except Inguinal, Femoral And Umbilical,MINOR $32,511 — $32,511 — $56,960 −43% —
207 Other Circulatory System Diagnoses,EXTREME $32,475 — $63,362 — $116,058 −72% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $32,105 $24,079 $32,105 — $35,030 −8% —
123 Neurological Eye Disorders $31,918 $23,938 $31,918 — $19,745 +62% —
071 Other Cerebrovascular Disorders With Cc $31,714 $23,786 $19,386 — $23,488 +35% —
342 Fractures And Dislocations Except Femur, Pelvis And Back,MAJOR $31,443 — $31,443 — $16,487 +91% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $31,432 $23,574 $9,015 +249% $22,888 +37% ≈156% of Medicare
068 Precerebral Occlusion Without Infarction Without McC $31,346 $23,510 $8,530 +267% $19,569 +60% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $31,262 $23,446 $20,283 — $33,393 −6% —
363 Breast Procedures Except Mastectomy,MINOR $31,258 — $31,258 — $80,707 −61% —
048 Peripheral, Cranial And Autonomic Nerve Disorders,MAJOR $31,203 — $31,203 — $34,401 −9% —
689 Kidney And Urinary Tract Infections With McC $31,143 $23,357 $8,269 +277% $23,617 +32% ≈150% of Medicare
103 Headaches Without McC $31,120 $23,340 $18,841 — $21,280 +46% —
134 Pulmonary Embolism,MAJOR $30,961 — $30,961 — $23,289 +33% —
325 Non-Elective Or Complex Knee Joint Replacement,MINOR $30,947 — $30,947 — $61,217 −49% —
368 Major Esophageal Disorders With McC $30,937 $23,203 $23,771 — $33,876 −9% —
193 Simple Pneumonia And Pleurisy With McC $30,935 $23,201 $11,262 +175% $27,275 +13% ≈148% of Medicare
405 Pancreas, Liver And Shunt Procedures With McC $30,737 $23,053 $30,737 — $102,128 −70% —
602 Cellulitis With McC $30,616 $22,962 $30,570 +0% $30,598 +0% ≈145% of Medicare
101 Seizures Without McC $30,590 $22,942 $19,306 — $20,461 +50% ≈152% of Medicare
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $30,396 $22,797 $19,846 — $22,458 +35% ≈148% of Medicare
381 Complicated Peptic Ulcer With Cc $30,330 $22,747 $30,330 — $24,177 +25% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $30,328 $22,746 $30,328 — $29,743 +2% —
399 Appendix Procedures Without Cc/McC $30,259 $22,694 $8,677 +249% $31,321 −3% —
178 Respiratory Infections And Inflammations With Cc $30,232 $22,674 $5,774 +424% $22,024 +37% ≈143% of Medicare
070 Other Cerebrovascular Disorders With McC $30,222 $22,667 $30,222 — $31,951 −5% —
312 Syncope And Collapse $30,210 $22,657 $10,054 +200% $19,342 +56% ≈155% of Medicare
057 Degenerative Nervous System Disorders Without McC $30,200 $22,650 $11,232 +169% $27,543 +10% ≈282% of Medicare
383 Cellulitis And Other Skin Infections,MAJOR $30,085 — $30,085 — $27,426 +10% —
074 Cranial And Peripheral Nerve Disorders Without McC $30,058 $22,544 $10,099 +198% $23,141 +30% —
058 Other Disorders Of Nervous System,MAJOR $29,964 — $29,964 — $30,243 −1% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $29,961 $22,471 $29,961 — $20,895 +43% —
152 Otitis Media And Uri With McC $29,938 $22,453 $6,682 +348% $20,247 +48% —
316 Hand And Wrist Procedures,MINOR $29,856 — $18,227 — $13,651 +119% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $29,856 $22,392 $29,856 — $22,635 +32% —
460 Renal Failure,MAJOR $29,816 — $29,816 — $51,625 −42% ≈55% of Medicare
881 Depressive Neuroses $29,804 $22,353 $29,804 — $15,058 +98% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $29,704 $22,278 $29,704 — $16,776 +77% —
723 Viral Illness,MAJOR $29,453 — $19,326 — $19,815 +49% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $29,055 $21,791 $8,973 +224% $28,050 +4% ≈140% of Medicare
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $28,996 $21,747 $28,996 — $34,607 −16% —
866 Viral Illness Without McC $28,994 $21,746 $28,994 — $17,081 +70% —
378 Gastrointestinal Hemorrhage With Cc $28,960 $21,720 $7,363 +293% $22,098 +31% ≈156% of Medicare
552 Medical Back Problems Without McC $28,869 $21,651 $18,132 +59% $21,396 +35% ≈156% of Medicare
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $28,839 $21,629 $15,533 — $9,940 +190% —
179 Respiratory Infections And Inflammations Without Cc/McC $28,729 $21,547 $28,729 — $14,648 +96% —
185 Major Chest Trauma Without Cc/McC $28,723 $21,542 $28,723 — $17,124 +68% —
234 Appendectomy Without Complex Principal Diagnosis,MINOR $28,680 — $28,680 — $102,573 −72% —
092 Other Disorders Of Nervous System With Cc $28,389 $21,292 $6,099 +365% $24,914 +14% ≈122% of Medicare
606 Minor Skin Disorders With McC $28,346 $21,260 $28,346 — $27,975 +1% —
506 Major Thumb Or Joint Procedures $28,266 $21,200 $28,266 — $30,557 −7% —
882 Neuroses Except Depressive $28,253 $21,190 $28,253 — $15,680 +80% —
401 Adrenal Procedures,MINOR $28,249 — $28,249 — $28,293 −0% —
561 Postpartum And Post Abortion Diagnoses Without Procedure,MAJOR $28,242 — $17,383 — $18,150 +56% —
244 Diverticulitis And Diverticulosis,MAJOR $28,217 — $21,986 — $41,591 −32% —
190 Chronic Obstructive Pulmonary Disease With McC $27,990 $20,992 $9,882 +183% $24,386 +15% ≈156% of Medicare
281 Acute Myocardial Infarction, Discharged Alive With Cc $27,851 $20,888 $8,995 +210% $20,463 +36% ≈182% of Medicare
535 Fractures Of Hip And Pelvis With McC $27,850 $20,887 $18,953 — $24,552 +13% —
919 Complications Of Treatment With McC $27,829 $20,872 $17,917 +55% $31,105 −11% —
196 Interstitial Lung Disease With McC $27,641 $20,730 $11,106 +149% $32,637 −15% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $27,552 $20,664 $14,675 — $20,506 +34% ≈154% of Medicare
149 Dysequilibrium $27,384 $20,538 $16,820 — $18,096 +51% —
150 Epistaxis With McC $27,162 $20,372 $27,162 — $23,171 +17% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $27,141 $20,356 $9,983 +172% $22,850 +19% —
102 Headaches With McC $26,994 $20,246 $26,994 — $25,740 +5% —
686 Kidney And Urinary Tract Neoplasms With McC $26,945 $20,209 $26,945 — $37,844 −29% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $26,918 $20,189 $26,918 — $17,733 +52% —
607 Minor Skin Disorders Without McC $26,668 $20,001 $16,385 — $15,889 +68% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $26,654 $19,990 $17,463 — $25,970 +3% —
554 Bone Diseases And Arthropathies Without McC $26,646 $19,984 $8,026 +232% $18,528 +44% —
384 Uncomplicated Peptic Ulcer Without McC $26,571 $19,928 $26,571 — $19,305 +38% —
840 Lymphoma And Non-Acute Leukemia With McC $26,436 $19,827 $26,436 — $49,710 −47% —
918 Poisoning And Toxic Effects Of Drugs Without McC $26,411 $19,808 $8,506 +210% $15,452 +71% —
093 Other Disorders Of Nervous System Without Cc/McC $26,380 $19,785 $18,049 — $17,620 +50% —
300 Peripheral Vascular Disorders With Cc $26,333 $19,750 $18,198 — $20,422 +29% —
425 Other Non-Hypovolemic Electrolyte Disorders,MAJOR $26,312 — $26,312 — $26,598 −1% —
638 Diabetes With Cc $26,108 $19,581 $7,448 +251% $19,661 +33% ≈143% of Medicare
284 Disorders Of Gallbladder And Biliary Tract,MAJOR $25,888 — $25,888 — $16,450 +57% —
445 Disorders Of The Biliary Tract With Cc $25,888 $19,416 $11,850 +118% $23,319 +11% ≈143% of Medicare
892 Hiv With Major Hiv Related Condition,MAJOR $25,878 — $25,878 — $39,896 −35% —
376 Digestive Malignancy Without Cc/McC $25,671 $19,253 $25,671 — $16,998 +51% —
111 Vertigo And Other Labyrinth Disorders,MAJOR $25,629 — $25,629 — $32,376 −21% —
977 Hiv With Or Without Other Related Condition $25,592 $19,194 $25,592 — $22,525 +14% —
531 Female Reproductive System Infections,MAJOR $25,460 — $25,460 — $35,138 −28% —
758 Infections, Female Reproductive System With Cc $25,460 $19,095 $13,040 +95% $20,901 +22% —
865 Viral Illness With McC $25,367 $19,026 $25,367 — $26,910 −6% —
558 Tendonitis, Myositis And Bursitis Without McC $25,355 $19,017 $4,810 +427% $18,602 +36% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $25,233 $18,925 $25,233 — $17,601 +43% —
439 Disorders Of Pancreas Except Malignancy With Cc $25,195 $18,896 $6,135 +311% $19,096 +32% ≈163% of Medicare
422 Hypovolemia And Related Electrolyte Disorders,MAJOR $25,152 — $25,152 — $25,073 +0% —
729 Other Male Reproductive System Diagnoses With Cc/McC $24,976 $18,732 $24,976 — $17,483 +43% —
144 Respiratory Signs, Symptoms And Miscellaneous Diagnoses,MAJOR $24,963 — $24,963 — $30,553 −18% —
532 Menstrual And Other Female Reproductive System Disorders,MAJOR $24,933 — $24,933 — $22,214 +12% —
307 Cardiac Congenital And Valvular Disorders Without McC $24,906 $18,680 $16,398 — $20,566 +21% —
202 Bronchitis And Asthma With Cc/McC $24,815 $18,612 $12,197 +103% $17,724 +40% ≈148% of Medicare
251 Abdominal Pain,MAJOR $24,666 — $20,009 — $46,295 −47% —
206 Other Respiratory System Diagnoses Without McC $24,639 $18,479 $14,686 — $18,488 +33% —
051 Viral Meningitis,MAJOR $24,628 — $24,628 — $28,594 −14% —
389 Gastrointestinal Obstruction With Cc $24,618 $18,464 $6,501 +279% $17,578 +40% ≈157% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $24,613 $18,460 $9,930 +148% $21,275 +16% ≈154% of Medicare
309 Cardiac Arrhythmia And Conduction Disorders With Cc $24,588 $18,441 $4,988 +393% $17,303 +42% ≈161% of Medicare
593 Skin Ulcers With Cc $24,443 $18,332 $21,865 — $22,886 +7% —
191 Chronic Obstructive Pulmonary Disease With Cc $24,337 $18,253 $6,632 +267% $18,807 +29% ≈176% of Medicare
694 Urinary Stones Without McC $24,135 $18,102 $7,199 +235% $17,345 +39% —
113 Infections Of Upper Respiratory Tract,EXTREME $24,103 — $24,103 — $36,167 −33% —
683 Renal Failure With Cc $24,064 $18,048 $6,862 +251% $19,130 +26% ≈148% of Medicare
315 Other Circulatory System Diagnoses With Cc $23,895 $17,921 $4,426 +440% $21,363 +12% ≈142% of Medicare
644 Endocrine Disorders With Cc $23,795 $17,847 $15,582 — $23,198 +3% —
566 Antepartum Without O.R. Procedure,MAJOR $23,784 — $23,784 — $14,716 +62% —
073 Cranial And Peripheral Nerve Disorders With McC $23,587 $17,691 $19,225 — $30,010 −21% —
143 Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses,EXTREME $23,569 — $23,569 — $52,908 −55% —
603 Cellulitis Without McC $23,391 $17,544 $9,237 +153% $18,530 +26% ≈151% of Medicare
690 Kidney And Urinary Tract Infections Without McC $23,310 $17,483 $6,725 +247% $17,674 +32% ≈156% of Medicare
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $23,299 $17,474 $16,827 +38% $31,159 −25% —
176 Pulmonary Embolism Without McC $23,201 $17,400 $6,654 +249% $18,081 +28% ≈151% of Medicare
200 Cardiac Structural And Valvular Disorders,MODERATE $23,006 — $23,006 — $21,368 +8% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $22,790 $17,092 $10,089 +126% $19,842 +15% ≈168% of Medicare
948 Signs And Symptoms Without McC $22,745 $17,059 $6,133 +271% $17,921 +27% ≈339% of Medicare
145 Acute Bronchitis And Related Symptoms,MODERATE $22,742 — $22,742 — $25,712 −12% —
261 Major Biliary Tract Procedures,MODERATE $22,714 — $22,714 — $42,126 −46% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $22,699 $17,024 $7,794 +191% $17,322 +31% ≈148% of Medicare
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $22,696 $17,022 $14,323 — $14,014 +62% —
920 Complications Of Treatment With Cc $22,656 $16,992 $22,656 — $22,468 +1% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $22,636 $16,977 $22,636 — $35,692 −37% —
728 Inflammation Of The Male Reproductive System Without McC $22,607 $16,955 $22,607 — $17,118 +32% —
976 Hiv With Major Related Condition Without Cc/McC $22,519 $16,889 $22,519 — $16,212 +39% —
446 Disorders Of The Biliary Tract Without Cc/McC $22,377 $16,783 $22,377 — $17,700 +26% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $22,318 $16,738 $14,502 +54% $22,763 −2% —
387 Inflammatory Bowel Disease Without Cc/McC $22,284 $16,713 $22,284 — $16,288 +37% —
198 Angina Pectoris And Coronary Atherosclerosis,MINOR $22,207 — $22,207 — $15,549 +43% —
311 Angina Pectoris $22,207 $16,655 $14,660 — $15,502 +43% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $21,965 $16,474 $6,033 +264% $17,038 +29% ≈164% of Medicare
054 Migraine And Other Headaches,MAJOR $21,665 — $13,990 — $30,502 −29% —
863 Postoperative And Post-Traumatic Infections Without McC $21,151 $15,863 $13,026 +62% $20,957 +1% —
947 Signs And Symptoms With McC $21,127 $15,845 $11,823 +79% $27,401 −23% —
394 Other Digestive System Diagnoses With Cc $20,933 $15,700 $8,582 +144% $20,181 +4% ≈160% of Medicare
600 Non-Malignant Breast Disorders With Cc/McC $20,843 $15,633 $15,037 — $16,700 +25% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $20,835 $15,626 $19,603 +6% $18,126 +15% —
727 Inflammation Of The Male Reproductive System With McC $20,682 $15,511 $20,682 — $26,463 −22% —
597 Malignant Breast Disorders With McC $20,561 $15,420 $16,004 — $33,386 −38% —
757 Infections, Female Reproductive System With McC $20,095 $15,071 $20,095 — $26,280 −24% —
086 Traumatic Stupor And Coma <1 Hour With Cc $20,038 $15,029 $20,038 — $27,043 −26% —
693 Urinary Stones With McC $19,880 $14,910 $19,880 — $23,892 −17% —
684 Renal Failure Without Cc/McC $19,703 $14,777 $5,872 +236% $13,642 +44% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $19,640 $14,730 $11,064 — $14,797 +33% —
303 Atherosclerosis Without McC $19,555 $14,666 $13,010 — $14,927 +31% —
153 Otitis Media And Uri Without McC $19,353 $14,515 $8,286 +134% $14,583 +33% —
482 Transurethral Prostatectomy,MINOR $19,252 — $17,270 — $41,955 −54% —
240 Digestive Malignancy,EXTREME $19,159 — $19,159 — $59,790 −68% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $19,064 $14,298 $12,298 — $16,767 +14% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $18,986 $14,240 $4,808 +295% $13,824 +37% —
639 Diabetes Without Cc/McC $18,975 $14,231 $12,213 +55% $13,910 +36% —
382 Malignant Breast Disorders,MAJOR $18,925 — $11,279 — $16,634 +14% —
598 Malignant Breast Disorders With Cc $18,925 $14,194 $18,925 — $19,073 −1% —
864 Fever And Inflammatory Conditions $18,765 $14,074 $14,798 +27% $18,640 +1% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $18,476 $13,857 $18,476 — $16,968 +9% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $18,223 $13,668 $6,810 +168% $16,699 +9% —
774 Cocaine Abuse And Dependence,MAJOR $18,030 — $18,030 — $3,032 +495% —
726 Benign Prostatic Hypertrophy Without McC $17,878 $13,408 $17,878 — $15,019 +19% —
089 Concussion With Cc $17,818 $13,364 $17,818 — $18,821 −5% —
687 Kidney And Urinary Tract Neoplasms With Cc $17,794 $13,345 $17,794 — $20,232 −12% —
423 Inborn Errors Of Metabolism,MODERATE $17,748 — $17,748 — $79,225 −78% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $17,478 $13,109 $5,926 +195% $14,368 +22% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $17,097 $12,823 $11,493 — $38,070 −55% —
645 Endocrine Disorders Without Cc/McC $17,001 $12,751 $10,352 — $15,428 +10% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $16,690 $12,517 $16,690 — $12,460 +34% —
814 Reticuloendothelial And Immunity Disorders With McC $16,648 $12,486 $16,648 +0% $33,851 −51% —
536 Fractures Of Hip And Pelvis Without McC $16,399 $12,300 $6,297 +160% $18,002 −9% ≈192% of Medicare
283 Other Disorders Of The Liver,EXTREME $16,160 — $16,160 — $39,955 −60% —
345 Minor Small And Large Bowel Procedures With Cc $16,027 $12,020 $16,027 — $33,048 −52% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $15,989 $11,992 $5,956 +168% $15,183 +5% —
596 Major Skin Disorders Without McC $15,612 $11,709 $15,612 — $17,226 −9% —
815 Reticuloendothelial And Immunity Disorders With Cc $15,585 $11,689 $15,585 — $19,264 −19% —
662 Sickle Cell Anemia Crisis,MINOR $15,489 — $15,489 — $54,562 −72% —
390 Gastrointestinal Obstruction Without Cc/McC $14,942 $11,207 $4,079 +266% $13,361 +12% ≈175% of Medicare
174 Percutaneous Cardiac Intervention With Ami,MODERATE $14,693 — $14,693 — $74,377 −80% —
776 Other Drug Abuse And Dependence,MODERATE $14,426 — $10,913 — $12,454 +16% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $14,011 $10,508 $11,136 — $14,689 −5% —
916 Allergic Reactions Without McC $13,822 $10,366 $13,822 — $13,942 −1% —
395 Other Digestive System Diagnoses Without Cc/McC $13,002 $9,752 $4,913 +165% $14,128 −8% —
085 Traumatic Stupor And Coma <1 Hour With McC $12,861 $9,645 $14,930 — $41,892 −69% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $12,264 $9,198 $4,757 +158% $12,324 −0% —
770 Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice,MINOR $12,210 — $12,210 — $18,956 −36% —
040 Spinal Disorders And Injuries,MINOR $10,055 — $10,055 — $74,257 −86% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $9,951 $7,463 $9,951 — $19,657 −49% —
203 Chest Pain,MAJOR $9,840 — $4,590 +114% $12,252 −20% —
810 Hemorrhage Or Hematoma Due To Complication,MODERATE $8,274 — $8,274 — $18,316 −55% —
082 Eye Infections And Other Eye Disorders,MINOR $8,177 — $8,177 — $36,489 −78% —
125 Other Disorders Of The Eye Without McC $8,177 $6,133 $8,177 — $17,298 −53% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $7,707 $5,780 $7,707 — $24,566 −69% —
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