Ahs Hospital Corp — Pricing

677 procedures published in this hospital's Machine-Readable File (MRF) — 675 with a comparable price, 2 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 677
Lowest published price $5,823
Average published price $116,208
Highest published price $1,729,175

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 677 procedures

Published charges

Showing all 675 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 29 procedures, this hospital's negotiated rates average ≈396% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
161 IMPLANTABLE HEART ASSIST SYSTEMS,EXTREME $1,729,175 — $1,729,175 +0% $1,181,300 +46% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,455,590 $325,679 $307,776 +373% $461,389 +215% —
588 NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,MAJOR $1,196,961 — $1,196,961 +0% $1,196,961 +0% —
709 PENIS PROCEDURES WITH CC/MCC $1,063,584 $135,256 $19,063 +5479% $34,535 +2980% —
005 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,EXTREME $1,035,351 — $118,003 +777% $164,641 +529% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $994,177 $251,413 $252,455 +294% $371,366 +168% —
169 MAJOR ABDOMINAL VASCULAR PROCEDURES,MAJOR $892,154 — $892,154 +0% $137,094 +551% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $882,583 — $167,292 +428% $248,521 +255% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $561,369 $124,864 $91,898 +511% $208,939 +169% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $558,634 $25,841 $18,403 +2936% $42,901 +1202% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $552,097 — $96,502 +472% $148,686 +271% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $524,716 $128,380 $94,649 +454% $196,346 +167% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $489,213 $91,271 $69,461 +604% $143,242 +242% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $484,792 $113,769 $99,015 +390% $188,171 +158% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $473,847 — $56,331 +741% $113,855 +316% —
611 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,MAJOR $468,822 — $468,822 — $143,990 +226% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $416,900 $108,605 $78,149 +433% $121,563 +243% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $414,976 $92,198 $99,484 +317% $144,569 +187% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $400,693 — $71,210 +463% $148,832 +169% ≈365% of Medicare
913 TRAUMATIC INJURY WITH MCC $383,876 $19,459 $13,729 +2696% $24,198 +1486% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $381,936 $131,878 $88,868 +330% $142,326 +168% —
110 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES,EXTREME $381,874 — $381,874 +0% $126,895 +201% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $352,506 $89,607 $96,002 +267% $120,573 +192% —
631 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,MAJOR $347,562 — $347,562 +0% $172,973 +101% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $346,884 — $48,003 +623% $61,832 +461% —
530 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR $333,949 — $333,949 +0% $40,040 +734% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $326,499 $41,780 $48,538 +573% $66,848 +388% —
050 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,MAJOR $314,492 — $314,492 +0% $75,772 +315% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $314,071 — $70,773 +344% $103,455 +204% —
165 CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MODERATE $305,441 — $15,813 +1832% $46,340 +559% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $305,139 $40,761 $29,221 +944% $71,014 +330% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $299,351 — $63,765 +369% $102,573 +192% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $291,744 $55,614 $56,990 +412% $92,217 +216% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $288,877 — $39,446 +632% $86,970 +232% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $284,665 $30,814 $33,961 +738% $41,422 +587% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $281,992 — $53,056 +432% $112,062 +152% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $281,385 $49,554 $35,279 +698% $78,852 +257% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $276,414 $68,754 $73,617 +275% $96,192 +187% —
183 PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,MODERATE $273,300 — $13,466 +1930% $29,933 +813% —
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $270,181 — $270,181 +0% $57,380 +371% —
834 ACUTE LEUKEMIA WITH MCC $269,671 — $46,891 +475% $85,566 +215% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $266,047 $12,443 $10,560 +2419% $22,851 +1064% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $266,040 $29,739 $21,227 +1153% $55,162 +382% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $264,843 — $59,237 +347% $83,441 +217% —
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $263,482 — $69,592 +279% $59,206 +345% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME $261,633 — $261,633 +0% $77,914 +236% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $257,266 $50,341 $56,745 +353% $101,510 +153% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $255,487 $25,529 $18,204 +1303% $31,044 +723% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $253,847 $72,703 $76,220 +233% $98,912 +157% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $253,749 — $53,402 +375% $90,331 +181% —
653 MAJOR BLADDER PROCEDURES WITH MCC $252,570 $55,130 $48,871 +417% $104,583 +142% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $250,612 $48,584 $41,582 +503% $73,120 +243% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $250,515 $48,548 $40,461 +519% $79,836 +214% —
163 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MAJOR $250,211 — $48,368 +417% $90,195 +177% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $249,826 $60,547 $58,029 +331% $99,423 +151% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $249,253 $50,391 $54,189 +360% $82,561 +202% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $248,228 $64,618 $46,409 +435% $101,618 +144% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $248,228 — $79,734 +211% $69,101 +259% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $247,401 $67,728 $69,568 +256% $107,355 +130% —
799 SPLENIC PROCEDURES WITH MCC $239,874 $56,203 $63,003 +281% $82,218 +192% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $238,271 $49,147 $40,079 +495% $85,159 +180% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $233,853 $31,562 $26,927 +768% $55,289 +323% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $233,490 — $58,617 +298% $56,836 +311% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $232,956 $56,361 $45,486 +412% $90,724 +157% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $231,114 — $34,180 +576% $70,371 +228% —
028 SPINAL PROCEDURES WITH MCC $230,622 $71,778 $75,626 +205% $113,077 +104% —
171 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MAJOR $229,971 — $229,971 +0% $75,072 +206% —
303 DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,MINOR $229,621 — $5,704 +3925% $14,927 +1438% ≈1182% of Medicare
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $225,710 $64,893 $66,247 +241% $105,899 +113% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $225,477 $54,993 $41,339 +445% $91,329 +147% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $225,142 $55,318 $59,849 +276% $87,761 +157% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $224,853 — $38,274 +487% $76,001 +196% —
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,EXTREME $223,633 — $223,633 — $48,975 +357% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $223,633 $58,301 $70,274 +218% $109,331 +105% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $220,020 $41,013 $39,320 +460% $52,036 +323% —
471 CERVICAL SPINAL FUSION WITH MCC $217,957 $57,319 $56,466 +286% $92,515 +136% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $216,105 $48,647 $41,546 +420% $82,247 +163% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $215,470 — $45,511 +373% $96,905 +122% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $214,436 $72,083 $68,716 +212% $80,018 +168% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $207,056 — $35,878 +477% $60,098 +245% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $206,135 $59,005 $66,300 +211% $93,172 +121% ≈398% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $204,311 $41,601 $41,267 +395% $67,268 +204% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $203,531 $27,068 $19,298 +955% $49,066 +315% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $203,048 $44,957 $49,588 +309% $74,755 +172% —
665 PROSTATECTOMY WITH MCC $199,539 $40,639 $43,765 +356% $54,072 +269% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $197,013 $43,417 $41,778 +372% $68,639 +187% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $196,868 $35,407 $25,333 +677% $46,402 +324% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $196,708 $28,612 $23,047 +754% $43,491 +352% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $193,830 — $18,659 +939% $41,608 +366% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $193,096 $48,941 $52,205 +270% $79,225 +144% —
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR $192,564 — $192,564 +0% $45,364 +324% —
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $192,321 — $192,321 +0% $33,983 +466% —
026 OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,MAJOR $190,989 — $25,948 +636% $64,523 +196% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $188,106 $27,176 $19,370 +871% $42,415 +343% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $187,409 $26,035 $48,640 +285% $90,775 +106% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $186,574 $64,010 $69,661 +168% $102,128 +83% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $186,329 $36,995 $33,425 +457% $65,573 +184% —
193 ACUTE AND SUBACUTE ENDOCARDITIS,EXTREME $184,631 — $11,179 +1552% $27,275 +577% ≈308% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $179,933 $46,237 $33,189 +442% $79,116 +127% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $179,547 $40,548 $46,123 +289% $70,847 +153% —
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MAJOR $179,426 — $179,426 +0% $74,377 +141% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $178,537 $23,962 $17,073 +946% $32,031 +457% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $177,055 $31,866 $22,768 +678% $52,405 +238% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $176,872 — $42,875 +313% $77,817 +127% —
030 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,MODERATE $173,799 — $18,879 +821% $45,866 +279% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $173,232 $32,086 $22,934 +655% $62,264 +178% —
175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE $173,161 — $11,954 +1349% $30,959 +459% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $172,693 — $54,021 +220% $72,962 +137% —
500 SOFT TISSUE PROCEDURES WITH MCC $172,519 — $26,882 +542% $61,872 +179% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $172,441 $41,714 $45,480 +279% $56,964 +203% —
021 OPEN CRANIOTOMY EXCEPT TRAUMA,EXTREME $171,613 — $74,709 +130% $106,057 +62% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $168,743 $33,315 $23,825 +608% $58,043 +191% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $168,417 — $21,420 +686% $49,423 +241% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $167,515 — $52,219 +221% $77,990 +115% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $165,553 $36,351 $27,913 +493% $60,407 +174% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $163,020 $37,665 $30,412 +436% $66,711 +144% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $162,011 $36,729 $48,637 +233% $62,583 +159% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $160,424 — $111,108 +44% $153,282 +5% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $159,829 $30,269 $21,618 +639% $58,707 +172% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $159,684 $28,485 $20,337 +685% $47,583 +236% —
325 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MODERATE $159,139 — $40,065 +297% $61,217 +160% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $158,149 $45,685 $32,789 +382% $66,685 +137% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $156,448 — $15,108 +936% $52,075 +200% —
472 CERVICAL SPINAL FUSION WITH CC $155,550 — $24,578 +533% $59,537 +161% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $155,290 $44,258 $31,745 +389% $61,470 +153% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $155,104 — $31,947 +386% $69,743 +122% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $154,289 $30,712 $10,939 +1310% $27,989 +451% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $153,268 $27,470 $19,619 +681% $59,629 +157% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $152,407 — $15,241 +900% $26,510 +475% —
509 ARTHROSCOPY $150,322 $20,955 $14,903 +909% $25,994 +478% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $149,093 $30,735 $21,960 +579% $45,167 +230% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $147,563 $28,554 $20,369 +624% $59,651 +147% —
264 OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES,EXTREME $146,598 — $29,651 +394% $51,953 +182% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $145,296 $41,766 $29,942 +385% $50,919 +185% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $143,816 $18,736 $13,256 +985% $46,295 +211% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $143,367 $54,211 $62,792 +128% $88,050 +63% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $143,222 $25,645 $18,301 +683% $45,877 +212% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $143,073 $52,988 $38,916 +268% $84,692 +69% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $142,757 — $50,803 +181% $51,625 +177% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $141,689 $20,532 $14,558 +873% $38,094 +272% —
711 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MAJOR $141,483 — $16,209 +773% $38,343 +269% —
654 MAJOR BLADDER PROCEDURES WITH CC $141,406 $33,456 $23,941 +491% $58,274 +143% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA,MAJOR $141,116 — $20,455 +590% $42,186 +235% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR $139,112 — $139,112 +0% $30,000 +364% —
669 TRANSURETHRAL PROCEDURES WITH CC $139,000 $15,455 $13,128 +959% $34,354 +305% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $136,665 $27,516 $19,638 +596% $40,060 +241% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $135,989 $16,263 $11,062 +1129% $21,894 +521% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $135,619 $59,915 $58,279 +133% $80,793 +68% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $135,562 $23,336 $16,589 +717% $39,955 +239% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $133,328 — $11,918 +1019% $39,887 +234% —
949 AFTERCARE WITH CC/MCC $133,243 — $9,154 +1356% $23,953 +456% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $133,086 $31,093 $20,337 +554% $41,620 +220% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $132,590 $29,336 $20,936 +533% $54,583 +143% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $132,224 $22,248 $17,993 +635% $49,351 +168% —
773 OPIOID ABUSE AND DEPENDENCE,EXTREME $130,556 — $130,556 +0% $87,384 +49% —
397 APPENDIX PROCEDURES WITH MCC $130,430 $29,453 $21,020 +520% $53,257 +145% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $130,265 $28,128 $20,079 +549% $40,548 +221% —
220 MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MODERATE $129,794 — $47,356 +174% $111,320 +17% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $129,469 $63,734 $58,205 +122% $90,401 +43% —
668 TRANSURETHRAL PROCEDURES WITH MCC $128,541 — $29,135 +341% $51,608 +149% —
661 COAGULATION AND PLATELET DISORDERS,MAJOR $128,165 — $8,709 +1372% $25,970 +394% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $127,165 $53,960 $45,819 +178% $89,207 +43% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $126,721 $27,823 $19,839 +539% $50,139 +153% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $126,340 — $24,727 +411% $70,467 +79% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $125,714 $36,576 $26,180 +380% $65,216 +93% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $125,210 — $39,757 +215% $58,745 +113% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $124,846 — $18,776 +565% $46,283 +170% —
058 OTHER DISORDERS OF NERVOUS SYSTEM,EXTREME $123,919 — $15,660 +691% $30,243 +310% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $123,426 — $44,359 +178% $74,257 +66% —
044 INTRACRANIAL HEMORRHAGE,MODERATE $123,426 — $119,296 — $85,065 +45% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $122,671 $38,731 $33,894 +262% $65,788 +86% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $121,881 $40,955 $29,715 +310% $66,068 +84% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $121,115 $21,365 $16,781 +622% $43,913 +176% —
231 MAJOR LARGE BOWEL PROCEDURES,EXTREME $120,412 — $100,406 +20% $147,227 −18% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $120,057 $36,631 $26,234 +358% $62,821 +91% —
314 FOOT AND TOE PROCEDURES,MAJOR $118,901 — $18,269 +551% $38,666 +208% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $118,766 $25,953 $18,485 +543% $45,333 +162% —
336 PERITONEAL ADHESIOLYSIS WITH CC $118,308 — $17,920 +560% $50,463 +134% —
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE $117,403 — $12,737 +822% $26,436 +344% —
037 EXTRACRANIAL PROCEDURES WITH MCC $116,950 — $28,173 +315% $66,666 +75% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $116,327 — $17,786 +554% $46,066 +153% —
263 VEIN LIGATION AND STRIPPING $115,926 $36,802 $22,754 +409% $51,253 +126% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $115,726 $22,501 $15,984 +624% $32,637 +255% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $115,588 — $44,454 +160% $70,177 +65% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $115,460 $19,165 $16,620 +595% $40,213 +187% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $114,880 $31,314 $39,985 +187% $65,653 +75% —
813 COAGULATION DISORDERS $114,559 $18,560 $13,132 +772% $33,296 +244% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $114,548 — $22,590 +407% $47,945 +139% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $114,486 $29,108 $20,770 +451% $51,985 +120% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $114,215 — $15,997 +614% $37,844 +202% —
919 COMPLICATIONS OF TREATMENT WITH MCC $114,147 $21,792 $15,470 +638% $31,105 +267% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $113,859 — $24,882 +358% $60,170 +89% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $113,310 — $32,756 +246% $59,594 +90% —
100 SEIZURES WITH MCC $112,285 $23,058 $16,842 +567% $35,481 +216% —
227 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR $112,006 — $66,898 +67% $56,960 +97% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $111,638 $17,291 $12,209 +814% $26,932 +315% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $111,110 — $14,114 +687% $32,628 +241% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $110,503 $45,526 $50,951 +117% $75,573 +46% —
595 MAJOR SKIN DISORDERS WITH MCC $110,256 $21,020 $17,943 +514% $34,598 +219% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $109,845 — $16,738 +556% $43,800 +151% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $109,590 — $17,066 +542% $46,090 +138% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $109,517 $33,945 $40,277 +172% $58,975 +86% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $108,936 $21,804 $15,479 +604% $37,950 +187% —
503 FOOT PROCEDURES WITH MCC $108,872 $27,763 $22,452 +385% $47,540 +129% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $107,878 — $20,052 +438% $59,500 +81% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $107,785 — $13,118 +722% $24,550 +339% —
157 DENTAL AND ORAL DISEASES WITH MCC $107,565 — $13,892 +674% $31,300 +244% —
374 DIGESTIVE MALIGNANCY WITH MCC $107,324 $25,163 $17,912 +499% $39,958 +169% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $106,664 — $16,645 +541% $35,628 +199% ≈353% of Medicare
533 FRACTURES OF FEMUR WITH MCC $106,505 $18,230 $12,936 +723% $25,945 +311% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $106,483 — $12,232 +771% $22,525 +373% —
206 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE,EXTREME $106,398 — $7,684 +1285% $18,488 +475% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $106,352 $26,852 $19,158 +455% $38,998 +173% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $105,802 $16,443 $13,147 +705% $32,877 +222% —
023 SPINAL PROCEDURES,MODERATE $105,734 — $74,760 +41% $106,778 −1% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $105,326 $36,538 $33,769 +212% $75,103 +40% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $104,983 $38,218 $27,054 +288% $49,710 +111% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $104,736 $41,260 $33,337 +214% $54,196 +93% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $104,515 $26,775 $19,080 +448% $47,737 +119% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $104,455 $21,200 $15,041 +594% $38,101 +174% —
774 COCAINE ABUSE AND DEPENDENCE,MAJOR $104,414 — $10,753 +871% $3,032 +3344% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $104,326 $24,723 $16,638 +527% $43,538 +140% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $104,050 $36,550 $26,161 +298% $53,864 +93% —
571 SKIN DEBRIDEMENT WITH CC $102,565 $20,044 $14,204 +622% $37,169 +176% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $102,512 $25,548 $18,191 +464% $38,070 +169% —
380 COMPLICATED PEPTIC ULCER WITH MCC $101,966 $22,972 $16,325 +525% $39,627 +157% —
592 SKIN ULCERS WITH MCC $101,467 $24,477 $17,445 +482% $33,246 +205% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $101,458 $29,694 $49,404 +105% $71,755 +41% —
324 ELECTIVE HIP JOINT REPLACEMENT,MODERATE $101,113 — $27,106 +273% $71,464 +41% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $100,920 — $16,443 +514% $37,240 +171% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $100,800 — $24,054 +319% $50,498 +100% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $100,221 $10,025 $8,108 +1136% $20,911 +379% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $99,544 $27,117 $19,334 +415% $48,349 +106% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $99,506 — $13,936 +614% $35,831 +178% —
101 SEIZURES WITHOUT MCC $99,478 $11,231 $7,819 +1172% $20,461 +386% —
643 ENDOCRINE DISORDERS WITH MCC $98,774 $19,839 $14,060 +603% $33,563 +194% —
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MAJOR $98,651 — $19,144 +415% $36,167 +173% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $98,563 — $16,951 +481% $43,943 +124% —
043 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE $98,362 — $98,362 +0% $46,703 +111% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $98,037 — $17,602 +457% $52,751 +86% ≈362% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $97,994 $28,114 $20,084 +388% $50,624 +94% —
776 OTHER DRUG ABUSE AND DEPENDENCE,MODERATE $97,667 — $6,053 +1514% $12,454 +684% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $97,008 $19,852 $14,069 +590% $44,606 +117% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $96,780 $23,556 $16,729 +479% $44,139 +119% —
484 OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,MAJOR $96,597 — $96,597 +0% $23,289 +315% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $96,587 $18,524 $13,159 +634% $34,434 +181% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $96,450 $21,787 $15,425 +525% $37,842 +155% ≈368% of Medicare
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $96,073 $14,739 $10,418 +822% $19,132 +402% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $95,882 $22,511 $15,996 +499% $50,607 +89% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $95,394 $17,893 $12,703 +651% $24,586 +288% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $95,316 — $10,380 +818% $27,163 +251% —
204 SYNCOPE AND COLLAPSE,MODERATE $95,005 — $6,880 +1281% $18,004 +428% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $94,809 $26,965 $19,224 +393% $41,892 +126% —
282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MAJOR $94,411 — $6,151 +1435% $19,227 +391% —
598 MALIGNANT BREAST DISORDERS WITH CC $94,358 $13,072 $9,153 +931% $19,073 +395% —
381 MAJOR SKIN DISORDERS,MODERATE $94,309 — $9,239 +921% $24,177 +290% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $94,284 — $18,227 +417% $37,267 +153% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $94,281 — $20,161 +368% $53,451 +76% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $93,874 $30,701 $21,924 +328% $52,178 +80% —
666 PROSTATECTOMY WITH CC $93,573 $16,425 $13,975 +570% $31,906 +193% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $93,349 — $31,742 +194% $50,394 +85% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $92,911 $8,065 $6,330 +1368% $16,565 +461% —
447 OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES,EXTREME $92,690 — $56,879 +63% $126,098 −26% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $92,549 $14,931 $10,564 +776% $27,297 +239% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $92,303 — $14,667 +529% $29,826 +209% —
597 MALIGNANT BREAST DISORDERS WITH MCC $91,242 $21,009 $14,903 +512% $33,386 +173% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $90,904 — $18,119 +402% $46,727 +95% —
570 SKIN DEBRIDEMENT WITH MCC $90,873 $27,914 $25,537 +256% $52,435 +73% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $90,731 $19,975 $14,206 +539% $29,916 +203% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $90,728 $26,809 $19,105 +375% $48,682 +86% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $89,947 $21,845 $15,509 +480% $43,298 +108% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $89,818 $21,291 $15,107 +495% $31,159 +188% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $89,523 $19,988 $14,167 +532% $33,876 +164% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $89,511 $20,214 $14,368 +523% $32,944 +172% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $89,347 $27,608 $19,683 +354% $36,489 +145% —
540 OSTEOMYELITIS WITH CC $89,304 $15,494 $10,978 +713% $26,676 +235% —
201 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MINOR $89,228 — $5,744 +1453% $14,053 +535% —
308 HIP AND FEMUR FRACTURE REPAIR,MINOR $88,742 — $10,230 +767% $26,770 +231% ≈211% of Medicare
682 RENAL FAILURE WITH MCC $88,697 $18,025 $12,741 +596% $29,064 +205% ≈435% of Medicare
317 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES,MAJOR $88,538 — $52,482 +69% $88,566 −0% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $88,342 $47,105 $45,999 +92% $62,300 +42% —
152 OTITIS MEDIA AND URI WITH MCC $87,411 $14,157 $9,627 +808% $20,247 +332% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $87,371 $25,344 $18,083 +383% $42,906 +104% —
180 RESPIRATORY NEOPLASMS WITH MCC $86,845 — $14,827 +486% $36,658 +137% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $86,610 — $13,925 +522% $30,828 +181% ≈407% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $86,464 $17,900 $14,332 +503% $31,563 +174% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $85,836 $63,337 $77,989 +10% $108,472 −21% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $85,815 — $15,748 +445% $33,047 +160% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $85,648 $9,774 $6,764 +1166% $17,700 +384% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $85,621 $23,274 $16,577 +417% $38,861 +120% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $85,568 $24,406 $17,369 +393% $35,030 +144% —
501 SOFT TISSUE PROCEDURES WITH CC $85,394 $21,337 $15,140 +464% $39,619 +116% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $85,019 $18,414 $13,023 +553% $39,211 +117% —
334 RECTAL RESECTION WITHOUT CC/MCC $84,717 — $14,071 +502% $36,820 +130% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $84,441 $18,539 $13,376 +531% $32,697 +158% —
551 MEDICAL BACK PROBLEMS WITH MCC $84,394 — $14,476 +483% $34,017 +148% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $84,284 — $14,152 +496% $34,607 +144% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $83,685 $20,793 $14,751 +467% $31,951 +162% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $83,549 $7,115 $5,754 +1352% $11,997 +596% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $83,309 $13,902 $11,079 +652% $26,051 +220% —
539 OSTEOMYELITIS WITH MCC $82,920 $12,845 $17,157 +383% $37,609 +120% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $82,852 — $12,726 +551% $27,394 +202% —
265 AICD LEAD PROCEDURES $82,548 — $36,401 +127% $63,171 +31% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $82,467 $19,794 $14,728 +460% $32,443 +154% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $81,708 $14,444 $10,529 +676% $20,727 +294% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $81,622 — $15,465 +428% $37,387 +118% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $81,544 $13,137 $9,200 +786% $23,319 +250% —
865 VIRAL ILLNESS WITH MCC $81,386 $17,741 $12,521 +550% $26,910 +202% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $81,361 $11,232 $7,820 +940% $20,463 +298% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $81,206 — $12,804 +534% $33,454 +143% —
150 EPISTAXIS WITH MCC $80,876 $13,818 $11,726 +590% $23,171 +249% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $80,544 $19,549 $13,899 +479% $33,661 +139% —
252 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MAJOR $80,422 — $45,852 +75% $68,508 +17% —
637 DIABETES WITH MCC $80,265 — $12,354 +550% $30,100 +167% ≈391% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $80,103 — $13,535 +492% $35,419 +126% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $80,058 — $14,260 +461% $32,496 +146% ≈333% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $79,351 $12,285 $8,647 +818% $20,901 +280% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $79,094 $19,771 $14,006 +465% $44,117 +79% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $78,905 $24,058 $17,112 +361% $42,914 +84% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $78,420 — $8,627 +809% $23,940 +228% ≈372% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $78,266 $24,952 $16,953 +362% $44,363 +76% —
775 ALCOHOL ABUSE AND DEPENDENCE,MAJOR $78,113 — $31,569 +147% $3,032 +2476% —
561 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,EXTREME $77,710 — $6,936 +1020% $18,150 +328% —
663 MINOR BLADDER PROCEDURES WITH CC $77,362 $17,900 $12,958 +497% $33,103 +134% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $77,354 — $7,836 +887% $20,506 +277% —
245 INFLAMMATORY BOWEL DISEASE,MODERATE $77,149 — $57,711 +34% $72,076 +7% —
333 RECTAL RESECTION WITH CC $76,649 — $18,030 +325% $37,154 +106% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $76,554 — $14,104 +443% $29,316 +161% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $76,411 — $12,577 +508% $36,988 +107% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $76,305 $17,221 $12,159 +528% $35,465 +115% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $76,249 — $23,214 +228% $48,358 +58% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $76,109 $9,680 $6,696 +1037% $17,620 +332% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $75,776 $28,265 $22,859 +231% $44,546 +70% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $75,728 $12,861 $9,000 +741% $23,551 +222% ≈370% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $75,506 $23,057 $16,387 +361% $42,881 +76% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $75,427 — $7,566 +897% $15,764 +378% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $75,349 — $13,640 +452% $35,692 +111% —
906 HAND PROCEDURES FOR INJURIES $75,257 $23,042 $18,515 +306% $32,065 +135% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $75,080 $18,961 $18,117 +314% $46,724 +61% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $75,053 $12,203 $9,867 +661% $23,443 +220% —
304 HYPERTENSION WITH MCC $74,778 $14,195 $9,966 +650% $26,080 +187% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $74,755 $22,544 $16,015 +367% $33,255 +125% —
811 RED BLOOD CELL DISORDERS WITH MCC $74,534 $16,913 $11,935 +524% $28,226 +164% —
466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MAJOR $74,484 — $67,426 +10% $96,507 −23% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $74,338 $27,258 $19,430 +283% $39,181 +90% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $74,229 $15,290 $10,760 +590% $28,156 +164% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $74,214 $10,612 $8,620 +761% $19,264 +285% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $74,173 $24,957 $16,939 +338% $29,611 +150% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $73,966 $20,907 $14,829 +399% $33,555 +120% —
443 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,MINOR $73,812 — $5,961 +1138% $15,600 +373% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $73,727 $14,772 $10,441 +606% $27,323 +170% —
662 SICKLE CELL ANEMIA CRISIS,MODERATE $73,717 — $26,465 +179% $54,562 +35% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $73,546 — $13,406 +449% $35,074 +110% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $73,507 — $9,076 +710% $23,749 +210% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $73,474 — $14,431 +409% $43,477 +69% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $73,452 $11,031 $7,742 +849% $20,259 +263% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $73,313 — $9,244 +693% $32,021 +129% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $73,280 $12,779 $8,941 +720% $23,488 +212% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $72,792 — $13,114 +455% $26,598 +174% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $72,613 $12,347 $10,563 +587% $19,354 +275% —
692 RADIOTHERAPY,MODERATE $72,604 — $72,604 +0% $25,916 +180% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $72,517 — $8,197 +785% $21,449 +238% —
382 MALIGNANT BREAST DISORDERS,MAJOR $72,383 — $6,357 +1039% $16,634 +335% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $72,294 — $15,497 +367% $40,552 +78% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $72,247 $29,538 $23,800 +204% $52,986 +36% —
186 PLEURAL EFFUSION WITH MCC $72,053 $18,934 $13,404 +438% $33,834 +113% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $71,868 — $12,267 +486% $32,100 +124% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $71,804 $18,056 $12,763 +463% $36,505 +97% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $71,758 $17,700 $12,466 +476% $26,463 +171% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $71,262 $34,012 $24,323 +193% $59,031 +21% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $71,261 $13,597 $9,534 +647% $31,321 +128% —
120 MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR $71,194 — $71,194 +0% $71,194 +0% —
915 ALLERGIC REACTIONS WITH MCC $71,164 $17,301 $14,743 +383% $32,645 +118% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $71,059 — $12,759 +457% $36,253 +96% —
103 HEADACHES WITHOUT MCC $70,426 — $7,213 +876% $21,280 +231% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $70,398 $16,006 $12,876 +447% $33,694 +109% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $70,336 $16,036 $11,266 +524% $25,463 +176% ≈384% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $70,308 $11,134 $7,817 +799% $20,455 +244% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $70,298 $18,808 $13,312 +428% $33,653 +109% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $70,094 $15,318 $10,780 +550% $23,498 +198% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $70,083 — $12,604 +456% $28,140 +149% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $69,878 $19,147 $13,598 +414% $35,584 +96% —
038 EXTRACRANIAL PROCEDURES WITH CC $69,616 $19,306 $13,669 +409% $35,770 +95% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $69,509 $16,728 $11,853 +486% $31,017 +124% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $69,148 $18,716 $13,458 +414% $41,955 +65% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $68,757 — $11,178 +515% $36,937 +86% —
593 SKIN ULCERS WITH CC $68,616 $14,756 $10,373 +562% $22,886 +200% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $68,613 $15,161 $9,848 +597% $21,230 +223% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $68,558 $11,092 $7,676 +793% $16,552 +314% —
042 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MINOR $68,513 — $14,911 +359% $39,018 +76% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $68,247 $12,641 $8,843 +672% $23,141 +195% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $68,133 $17,575 $12,416 +449% $29,743 +129% —
197 PERIPHERAL AND OTHER VASCULAR DISORDERS,MODERATE $67,863 — $8,399 +708% $21,941 +209% —
375 DIGESTIVE MALIGNANCY WITH CC $67,793 $14,826 $10,424 +550% $27,277 +149% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $67,634 $40,159 $47,020 +44% $70,132 −4% —
253 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE $67,394 — $21,658 +211% $57,454 +17% —
816 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MAJOR $67,194 — $5,594 +1101% $14,638 +359% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $67,127 $26,494 $17,839 +276% $42,795 +57% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $66,774 $22,659 $16,098 +315% $42,126 +59% —
914 TRAUMATIC INJURY WITHOUT MCC $66,770 $11,075 $7,774 +759% $15,855 +321% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $66,655 $19,614 $13,893 +380% $36,354 +83% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $66,645 $16,073 $11,282 +491% $24,552 +171% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $66,585 $10,510 $7,297 +812% $19,096 +249% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $66,551 $19,990 $14,169 +370% $26,682 +149% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $66,348 $8,853 $7,473 +788% $19,854 +234% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $66,193 $9,139 $7,253 +813% $14,290 +363% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $66,115 $12,350 $8,694 +660% $18,348 +260% —
638 DIABETES WITH CC $66,060 $11,178 $7,781 +749% $19,661 +236% ≈450% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $66,002 $21,947 $15,349 +330% $32,433 +104% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $65,880 $15,224 $10,506 +527% $28,320 +133% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $65,673 $21,577 $16,863 +289% $36,249 +81% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $65,333 $21,213 $15,101 +333% $39,515 +65% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $65,230 $11,252 $8,924 +631% $19,657 +232% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $65,171 — $13,927 +368% $36,445 +79% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $65,140 $17,058 $12,041 +441% $22,620 +188% —
947 SIGNS AND SYMPTOMS WITH MCC $65,051 — $10,911 +496% $27,401 +137% —
057 CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA,MODERATE $65,017 — $11,320 +474% $27,543 +136% —
291 HEART FAILURE AND SHOCK WITH MCC $64,896 $15,431 $11,069 +486% $26,776 +142% ≈378% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $64,796 $13,213 $9,255 +600% $20,926 +210% —
693 URINARY STONES WITH MCC $64,730 $15,616 $12,474 +419% $23,892 +171% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $64,697 — $11,557 +460% $30,242 +114% —
348 ANAL AND STOMAL PROCEDURES WITH CC $64,656 — $10,680 +505% $27,947 +131% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $64,619 $14,142 $9,928 +551% $23,617 +174% ≈366% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $64,579 $13,639 $9,567 +575% $25,034 +158% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $64,520 $22,837 $16,227 +298% $34,459 +87% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $64,457 $11,663 $8,132 +693% $17,733 +263% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $64,230 — $16,841 +281% $32,574 +97% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $64,200 $16,495 $13,339 +381% $34,906 +84% —
311 ANGINA PECTORIS $64,107 $8,612 $5,924 +982% $15,502 +314% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $63,833 — $11,653 +448% $30,493 +109% —
184 MAJOR CHEST TRAUMA WITH CC $63,681 — $9,061 +603% $22,432 +184% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $63,635 $14,231 $10,051 +533% $25,712 +147% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $63,057 — $13,112 +381% $30,010 +110% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $62,928 $6,786 $5,697 +1005% $11,909 +428% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $62,898 $15,849 $12,663 +397% $33,393 +88% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $62,807 — $12,629 +397% $33,048 +90% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $62,803 $11,915 $9,526 +559% $19,815 +217% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $62,658 — $9,339 +571% $17,483 +258% —
302 ATHEROSCLEROSIS WITH MCC $62,630 $14,056 $9,869 +535% $22,446 +179% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $62,418 $18,135 $12,869 +385% $33,674 +85% —
187 PLEURAL EFFUSION WITH CC $62,197 — $8,517 +630% $21,789 +185% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $62,067 $21,835 $15,501 +300% $40,642 +53% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $62,034 $18,801 $15,065 +312% $34,276 +81% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $61,962 $9,901 $6,927 +795% $18,126 +242% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $61,679 $12,511 $8,746 +605% $22,888 +169% ≈430% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $61,570 $9,451 $6,530 +843% $14,648 +320% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $61,334 $13,535 $11,496 +434% $30,083 +104% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $61,178 — $13,910 +340% $30,235 +102% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $60,920 $11,983 $8,364 +628% $22,098 +176% ≈402% of Medicare
341 FRACTURE OF PELVIS OR DISLOCATION OF HIP,EXTREME $60,576 — $60,576 +0% $25,628 +136% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $60,475 $21,547 $15,599 +288% $32,859 +84% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $60,248 $20,019 $14,156 +326% $29,126 +107% —
199 PNEUMOTHORAX WITH MCC $60,161 $21,104 $14,976 +302% $33,787 +78% —
102 HEADACHES WITH MCC $60,029 $13,934 $9,837 +510% $25,740 +133% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $59,995 — $11,310 +430% $32,841 +83% —
143 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MINOR $59,715 — $28,012 +113% $52,908 +13% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $59,674 $14,713 $10,342 +477% $25,581 +133% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $59,659 $12,835 $8,981 +564% $24,914 +139% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $59,584 — $5,839 +920% $20,781 +187% —
385 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE $59,574 — $13,784 +332% $27,617 +116% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $59,325 $22,009 $15,627 +280% $29,221 +103% —
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MINOR $59,238 — $59,238 +0% $34,401 +72% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $58,801 $17,149 $12,157 +384% $32,833 +79% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $58,690 $15,310 $10,830 +442% $22,557 +160% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $58,601 $15,444 $10,927 +436% $26,870 +118% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $58,522 $13,374 $9,527 +514% $24,386 +140% ≈407% of Medicare
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $58,356 — $58,356 +0% $13,613 +329% —
123 NEUROLOGICAL EYE DISORDERS $58,329 — $6,814 +756% $19,745 +195% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $58,217 $11,860 $8,299 +602% $17,404 +235% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $58,035 $17,235 $13,791 +321% $28,202 +106% —
312 SYNCOPE AND COLLAPSE $58,027 $10,637 $7,392 +685% $19,342 +200% ≈396% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $57,976 $11,688 $8,164 +610% $21,363 +171% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $57,902 $16,125 $11,368 +409% $31,264 +85% —
887 OTHER MENTAL DISORDER DIAGNOSES $57,815 $14,285 $10,090 +473% $20,616 +180% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $57,731 — $10,725 +438% $27,426 +110% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $57,628 — $6,740 +755% $17,921 +222% —
088 CONCUSSION WITH MCC $57,593 — $11,968 +381% $24,402 +136% —
920 COMPLICATIONS OF TREATMENT WITH CC $57,386 $12,334 $8,618 +566% $22,468 +155% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $57,380 $17,650 $12,470 +360% $30,571 +88% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $57,359 $9,404 $7,005 +719% $17,298 +232% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $57,315 $12,202 $9,868 +481% $19,412 +195% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $57,310 — $11,795 +386% $27,285 +110% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $57,285 $17,483 $12,407 +362% $31,170 +84% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $56,852 $12,487 $8,732 +551% $22,850 +149% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $56,701 $11,558 $8,305 +583% $15,901 +257% —
606 MINOR SKIN DISORDERS WITH MCC $56,699 — $13,661 +315% $27,975 +103% —
047 TRANSIENT ISCHEMIA,MODERATE $56,677 — $56,677 +0% $56,677 +0% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $56,599 $18,768 $13,279 +326% $34,749 +63% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $56,419 $12,905 $9,082 +521% $20,422 +176% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $56,387 $11,245 $7,829 +620% $20,488 +175% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $56,376 — $7,484 +653% $16,699 +238% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $56,263 — $8,909 +532% $22,763 +147% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $56,145 $20,071 $16,098 +249% $40,562 +38% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $56,125 — $8,176 +586% $21,396 +162% ≈407% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $56,009 $6,661 $5,596 +901% $13,633 +311% —
534 FRACTURES OF FEMUR WITHOUT MCC $55,994 $8,539 $6,906 +711% $17,559 +219% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $55,992 — $7,796 +618% $18,072 +210% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $55,545 — $6,272 +786% $17,303 +221% ≈399% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $55,510 — $6,910 +703% $18,081 +207% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $54,967 $10,618 $7,377 +645% $19,305 +185% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $54,636 $19,139 $13,548 +303% $35,453 +54% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $54,590 — $10,139 +438% $21,847 +150% —
137 MOUTH PROCEDURES WITH CC/MCC $54,453 $13,956 $11,865 +359% $27,861 +95% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $54,179 $12,671 $8,652 +526% $21,275 +155% ≈455% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $53,976 $11,542 $8,111 +565% $19,924 +171% —
054 MIGRAINE AND OTHER HEADACHES,MINOR $53,927 — $12,718 +324% $30,502 +77% —
224 PERITONEAL ADHESIOLYSIS,MINOR $53,680 — $53,680 +0% $80,427 −33% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $53,390 $14,126 $11,424 +367% $24,127 +121% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $53,203 $16,413 $11,626 +358% $20,980 +154% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $53,154 $12,289 $8,650 +515% $22,635 +135% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $52,684 $11,185 $7,859 +570% $20,566 +156% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $52,455 $7,848 $6,346 +727% $14,716 +256% —
513 GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MODERATE $52,283 — $12,773 +309% $33,424 +56% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $51,992 $8,016 $5,491 +847% $14,368 +262% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $51,886 $11,370 $7,920 +555% $16,968 +206% —
866 VIRAL ILLNESS WITHOUT MCC $51,691 — $7,506 +589% $17,081 +203% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $51,659 $10,063 $8,510 +507% $17,737 +191% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $51,515 — $16,579 +211% $29,524 +74% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $51,367 $12,571 $9,160 +461% $22,314 +130% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $51,227 — $8,115 +531% $16,700 +207% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $51,194 $14,941 $10,507 +387% $22,458 +128% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $50,984 $8,393 $6,598 +673% $17,124 +198% —
683 RENAL FAILURE WITH CC $50,693 — $7,541 +572% $19,130 +165% ≈362% of Medicare
403 PROCEDURES FOR OBESITY,MINOR $50,645 — $50,645 +0% $50,645 +0% —
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR $50,632 — $14,841 +241% $38,836 +30% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $50,572 $11,460 $7,986 +533% $20,181 +151% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $50,518 $10,495 $7,288 +593% $18,807 +169% —
671 URETHRAL PROCEDURES WITH CC/MCC $50,322 $21,339 $14,623 +244% $27,233 +85% —
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MODERATE $50,291 — $45,105 +11% $34,146 +47% —
644 ENDOCRINE DISORDERS WITH CC $50,284 — $8,767 +474% $23,198 +117% —
207 OTHER CIRCULATORY SYSTEM DIAGNOSES,MODERATE $50,190 — $54,864 −9% $116,058 −57% —
279 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,MINOR $50,140 — $27,184 +84% $63,928 −22% —
158 DENTAL AND ORAL DISEASES WITH CC $49,896 $11,452 $7,980 +525% $18,466 +170% —
305 HYPERTENSION WITHOUT MCC $49,862 — $6,369 +683% $18,086 +176% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $49,839 $14,859 $10,451 +377% $19,270 +159% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $49,836 $10,040 $6,956 +616% $18,204 +174% ≈429% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $49,734 $13,748 $9,703 +413% $25,390 +96% —
916 ALLERGIC REACTIONS WITHOUT MCC $49,595 $8,219 $5,634 +780% $13,942 +256% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $48,930 $8,932 $6,154 +695% $16,767 +192% —
506 MAJOR THUMB OR JOINT PROCEDURES $48,885 $15,916 $12,718 +284% $30,557 +60% —
999 UNGROUPABLE $48,800 $11,129 $48,800 +0% $29,674 +64% —
244 DIVERTICULITIS AND DIVERTICULOSIS,MINOR $48,780 — $15,310 +219% $41,591 +17% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $48,742 $13,719 $10,930 +346% $25,748 +89% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $48,514 $10,760 $7,478 +549% $19,569 +148% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $48,450 $9,575 $6,620 +632% $17,322 +180% ≈427% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $48,390 $9,588 $6,629 +630% $17,038 +184% ≈416% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $48,296 $13,689 $9,660 +400% $25,279 +91% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $47,999 $9,013 $6,286 +664% $16,450 +192% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $47,828 — $7,099 +574% $14,055 +240% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $47,711 $11,684 $8,598 +455% $19,962 +139% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $47,478 — $5,834 +714% $14,415 +229% —
241 PEPTIC ULCER AND GASTRITIS,MODERATE $47,463 — $12,809 +271% $30,770 +54% —
313 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MINOR $47,049 — $6,052 +677% $16,440 +186% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $46,950 $12,375 $8,651 +443% $22,506 +109% —
696 OTHER CHEMOTHERAPY,MODERATE $46,671 — $5,869 +695% $14,689 +218% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $46,663 $10,297 $7,080 +559% $18,528 +152% —
468 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS,MINOR $46,639 — $22,255 +110% $54,929 −15% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $46,505 $18,301 $12,988 +258% $25,703 +81% —
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR $46,155 — $12,466 +270% $25,073 +84% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $45,820 $7,754 $5,378 +752% $11,421 +301% —
181 RESPIRATORY NEOPLASMS WITH CC $45,540 $13,435 $9,419 +383% $23,573 +93% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $45,379 $10,209 $8,075 +462% $18,316 +148% —
950 AFTERCARE WITHOUT CC/MCC $45,297 $7,192 $4,972 +811% $13,527 +235% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $45,243 $7,890 $5,399 +738% $14,128 +220% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $45,228 $7,695 $5,218 +767% $15,183 +198% —
791 PREMATURITY WITH MAJOR PROBLEMS $45,159 $45,159 $45,159 +0% $42,679 +6% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $45,123 $7,820 $5,429 +731% $14,250 +217% —
200 PNEUMOTHORAX WITH CC $45,033 $13,407 $9,395 +379% $21,368 +111% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $44,982 — $44,982 +0% $16,487 +173% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $44,735 — $44,735 +0% $12,397 +261% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $44,706 — $5,686 +686% $16,288 +174% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $44,696 $11,623 $8,103 +452% $19,594 +128% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $44,654 $8,399 $6,793 +557% $13,586 +229% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $44,482 $8,791 $6,052 +635% $15,837 +181% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $44,196 — $10,169 +335% $30,784 +44% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $43,833 — $5,792 +657% $13,651 +221% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $43,597 $9,186 $6,411 +580% $16,776 +160% —
756 ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR $43,321 — $8,102 +435% $15,589 +178% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $43,086 $9,824 $6,800 +534% $17,578 +145% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $43,004 $7,702 $6,229 +590% $14,514 +196% —
779 ABORTION WITHOUT D&C $42,870 $10,031 $7,930 +441% $15,327 +180% —
695 CHEMOTHERAPY FOR ACUTE LEUKEMIA,MODERATE $42,344 — $9,568 +343% $24,566 +72% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $41,982 — $9,171 +358% $17,226 +144% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $41,810 $8,762 $6,105 +585% $12,559 +233% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $41,490 $15,241 $10,780 +285% $19,686 +111% —
041 NERVOUS SYSTEM MALIGNANCY,MAJOR $41,406 — $19,157 +116% $49,418 −16% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $41,365 $7,539 $5,942 +596% $15,549 +166% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $41,311 $11,073 $7,779 +431% $17,135 +141% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $40,907 — $8,201 +399% $17,724 +131% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $40,875 — $5,401 +657% $15,038 +172% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $40,865 $12,187 $4,655 +778% $12,999 +214% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $40,583 $8,207 $5,704 +611% $14,549 +179% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $40,141 — $6,606 +508% $15,428 +160% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $39,834 $10,848 $7,499 +431% $16,520 +141% —
882 NEUROSES EXCEPT DEPRESSIVE $39,614 — $8,161 +385% $15,680 +153% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $39,447 — $9,692 +307% $24,944 +58% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $39,446 $20,175 $14,340 +175% $29,079 +36% —
541 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,MODERATE $39,425 — $7,422 +431% $15,215 +159% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $39,425 — $8,598 +359% $18,452 +114% —
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $38,975 — $38,975 +0% $58,096 −33% —
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,MODERATE $38,772 — $38,772 — $72,498 −47% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $38,577 $7,746 $5,295 +629% $12,324 +213% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $38,438 $15,500 $10,298 +273% $26,948 +43% —
667 PROSTATECTOMY WITHOUT CC/MCC $38,329 $12,470 $8,719 +340% $16,703 +129% —
229 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MINOR $38,140 — $38,140 +0% $65,325 −42% —
111 VERTIGO AND OTHER LABYRINTH DISORDERS,MINOR $37,981 — $37,981 +0% $32,376 +17% —
757 ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,MODERATE $37,860 — $12,007 +215% $26,280 +44% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $37,439 $12,871 $12,517 +199% $23,571 +59% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $37,435 $13,437 $9,418 +298% $18,459 +103% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $37,241 — $6,661 +459% $14,014 +166% —
090 CONCUSSION WITHOUT CC/MCC $37,232 $9,164 $7,273 +412% $15,412 +142% —
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $37,084 — $37,084 +0% $35,138 +6% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $36,964 — $5,149 +618% $11,071 +234% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $36,884 $8,611 $5,921 +523% $15,495 +138% —
404 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES,MINOR $36,580 — $36,580 — $50,691 −28% —
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MODERATE $36,562 — $36,562 +0% $31,241 +17% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $36,119 — $5,283 +584% $13,824 +161% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $35,967 — $4,747 +658% $13,384 +169% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $35,930 $9,724 $6,144 +485% $12,593 +185% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $35,816 $13,887 $9,803 +265% $25,652 +40% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $35,661 $6,535 $5,086 +601% $10,975 +225% —
760 OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,MODERATE $35,376 — $8,361 +323% $20,895 +69% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MINOR $35,306 — $35,306 +0% $45,066 −22% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,043 $10,557 $7,331 +378% $15,889 +121% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $34,865 $13,275 $9,300 +275% $16,846 +107% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $34,568 — $6,927 +399% $18,126 +91% —
243 OTHER ESOPHAGEAL DISORDERS,MINOR $33,796 — $19,112 +77% $50,011 −32% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $33,666 $8,911 $8,598 +292% $13,275 +154% —
770 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MODERATE $33,469 — $9,128 +267% $18,956 +77% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $33,437 $12,124 $8,598 +289% $15,370 +118% —
724 OTHER INFECTIOUS AND PARASITIC DISEASES,MINOR $33,433 — $6,181 +441% $12,768 +162% —
247 INTESTINAL OBSTRUCTION,MAJOR $32,933 — $31,429 +5% $21,663 +52% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $32,837 $11,032 $12,517 +162% $20,084 +63% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $32,566 $10,848 $8,652 +276% $17,601 +85% —
151 EPISTAXIS WITHOUT MCC $32,401 $8,188 $6,430 +404% $13,032 +149% —
153 OTITIS MEDIA AND URI WITHOUT MCC $32,083 — $6,038 +431% $14,583 +120% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $31,987 $9,293 $6,341 +404% $12,895 +148% —
697 URETHRAL STRICTURE $31,718 — $8,499 +273% $18,428 +72% —
594 SKIN ULCERS WITHOUT CC/MCC $30,983 $8,791 $7,200 +330% $14,209 +118% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $29,670 $6,843 $4,642 +539% $13,361 +122% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $29,643 — $8,598 +245% $12,078 +145% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,575 $10,666 $7,410 +299% $19,846 +49% —
881 DEPRESSIVE NEUROSES $28,985 $11,139 $7,755 +274% $15,058 +92% —
542 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MINOR $28,114 — $15,823 +78% $36,792 −24% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $27,652 — $7,972 +247% $17,934 +54% —
144 RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR $27,515 — $14,903 +85% $30,553 −10% —
621 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,MODERATE $26,664 — $12,401 +115% $32,451 −18% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,480 $14,896 $11,888 +123% $22,393 +18% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $26,006 $9,922 $6,947 +274% $14,501 +79% —
885 PSYCHOSES $25,976 $16,944 $11,958 +117% $21,729 +20% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $25,075 $16,638 $11,788 +113% $25,094 −0% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $24,779 $9,222 $6,364 +289% $19,037 +30% —
753 BIPOLAR DISORDERS,MODERATE $24,612 — $24,612 +0% $14,949 +65% —
138 BRONCHIOLITIS AND RSV PNEUMONIA,MINOR $23,503 — $6,901 +241% $19,119 +23% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $23,503 $8,595 $5,910 +298% $12,252 +92% —
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE $21,927 — $21,927 +0% $26,085 −16% —
364 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MINOR $21,270 — $21,270 +0% $46,852 −55% —
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $20,469 — $20,469 +0% $37,527 −45% —
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MAJOR $20,082 — $20,346 −1% $20,610 −3% —
226 ANAL AND PERINEAL PROCEDURES,MINOR $19,012 — $19,012 +0% $72,618 −74% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $18,632 $18,632 $35,380 −47% $18,649 −0% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $18,270 $7,077 $4,810 +280% $10,160 +80% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $17,849 — $4,763 +275% $10,480 +70% —
817 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,MINOR $17,794 — $17,794 +0% $39,173 −55% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $17,552 — $5,976 +194% $12,336 +42% —
139 OTHER PNEUMONIA,MINOR $16,308 — $11,648 +40% $23,612 −31% —
751 DEPRESSIVE DISORDERS,MINOR $15,939 — $15,939 +0% $15,939 +0% —
532 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MODERATE $15,829 — $15,829 +0% $22,214 −29% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $14,954 — $4,410 +239% $9,940 +50% —
427 THYROID DISORDERS,MODERATE $13,601 — $60,256 −77% $132,794 −90% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,335 $10,245 $7,105 +88% $14,064 −5% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $12,341 — $3,747 +229% $8,927 +38% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $11,633 $11,633 $20,782 −44% $12,229 −5% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,017 — $12,523 −44% $8,445 −17% —
795 NORMAL NEWBORN $5,823 $2,771 $3,492 +67% $4,720 +23% —

Procedures with negotiated rates only

These 2 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
694 LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,EXTREME $13,550 – $29,060 · median $20,239 16 plans
602 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,MAJOR $1,531 – $134,902 · median $112,418 15 plans
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