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 $338,950 +329% $431,073 +238% —
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 $19,437 +5372% $34,535 +2980% —
005 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,EXTREME $1,035,351 — $128,144 +708% $159,181 +550% —
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 $260,247 +282% $371,366 +168% —
169 MAJOR ABDOMINAL VASCULAR PROCEDURES,MAJOR $892,154 — $892,154 +0% $128,246 +596% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $882,583 — $170,027 +419% $245,241 +260% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $561,369 $124,864 $116,471 +382% $191,314 +193% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $558,634 $25,841 $18,584 +2906% $37,902 +1374% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $552,097 — $96,999 +469% $134,914 +309% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $524,716 $128,380 $102,715 +411% $171,338 +206% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $489,213 $91,271 $88,104 +455% $143,242 +242% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $484,792 $113,769 $113,415 +327% $175,437 +176% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $473,847 — $71,503 +563% $113,855 +316% —
611 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,MAJOR $468,822 — $468,822 — $124,961 +275% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $416,900 $108,605 $77,091 +441% $121,563 +243% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $414,976 $92,198 $99,484 +317% $138,868 +199% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $400,693 — $81,678 +391% $138,008 +190% ≈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 $99,176 +285% $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% $120,587 +192% —
631 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,MAJOR $347,562 — $347,562 +0% $312,990 +11% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $346,884 — $47,381 +632% $61,832 +461% —
530 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR $333,949 — $333,949 +0% $47,318 +606% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $326,499 $41,780 $48,061 +579% $62,404 +423% —
050 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,MAJOR $314,492 — $314,492 +0% $97,974 +221% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $314,071 — $73,928 +325% $92,238 +241% —
165 CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MODERATE $305,441 — $15,813 +1832% $41,380 +638% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $305,139 $40,761 $30,072 +915% $71,014 +330% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $299,351 — $61,822 +384% $102,573 +192% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $291,744 $55,614 $56,801 +414% $92,217 +216% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $288,877 — $46,152 +526% $75,585 +282% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $284,665 $30,814 $29,424 +867% $40,277 +607% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $281,992 — $67,362 +319% $112,062 +152% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $281,385 $49,554 $40,083 +602% $78,852 +257% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $276,414 $68,754 $71,838 +285% $96,192 +187% —
183 PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,MODERATE $273,300 — $13,466 +1930% $28,924 +845% —
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% $76,583 +252% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $266,047 $12,443 $10,664 +2395% $21,860 +1117% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $266,040 $29,739 $21,745 +1123% $55,162 +382% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $264,843 — $55,653 +376% $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 $55,014 +368% $88,049 +192% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $255,487 $25,529 $18,382 +1290% $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 — $54,333 +367% $90,331 +181% —
653 MAJOR BLADDER PROCEDURES WITH MCC $252,570 $55,130 $62,070 +307% $97,046 +160% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $250,612 $48,584 $41,582 +503% $66,853 +275% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $250,515 $48,548 $35,828 +599% $73,029 +243% —
163 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MAJOR $250,211 — $54,801 +357% $88,341 +183% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $249,826 $60,547 $59,897 +317% $99,423 +151% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $249,253 $50,391 $52,759 +372% $82,561 +202% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $248,228 $64,618 $65,827 +277% $93,783 +165% —
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% $78,821 +204% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $238,271 $49,147 $42,533 +460% $83,065 +187% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $233,853 $31,562 $26,927 +768% $51,142 +357% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $233,490 — $58,617 +298% $54,320 +330% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $232,956 $56,361 $53,961 +332% $88,691 +163% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $231,114 — $38,294 +504% $67,901 +240% —
028 SPINAL PROCEDURES WITH MCC $230,622 $71,778 $74,391 +210% $95,858 +141% —
171 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MAJOR $229,971 — $229,971 — $82,174 +180% —
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 $66,231 +241% $105,899 +113% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $225,477 $54,993 $49,595 +355% $91,329 +147% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $225,142 $55,318 $58,079 +288% $80,885 +178% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $224,853 — $50,907 +342% $72,859 +209% —
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,EXTREME $223,633 — $223,633 — $57,033 +292% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $223,633 $58,301 $76,100 +194% $109,331 +105% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $220,020 $41,013 $30,877 +613% $49,065 +348% —
471 CERVICAL SPINAL FUSION WITH MCC $217,957 $57,319 $58,448 +273% $92,515 +136% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $216,105 $48,647 $46,520 +365% $82,247 +163% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $215,470 — $57,822 +273% $96,905 +122% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $214,436 $72,083 $71,534 +200% $80,018 +168% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $207,056 — $34,907 +493% $60,098 +245% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $206,135 $59,005 $66,300 +211% $87,018 +137% ≈398% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $204,311 $41,601 $28,756 +611% $64,152 +218% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $203,531 $27,068 $19,487 +944% $46,430 +338% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $203,048 $44,957 $47,667 +326% $74,755 +172% —
665 PROSTATECTOMY WITH MCC $199,539 $40,639 $41,317 +383% $54,072 +269% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $197,013 $43,417 $36,817 +435% $62,524 +215% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $196,868 $35,407 $25,951 +659% $46,402 +324% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $196,708 $28,612 $23,718 +729% $43,491 +352% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $193,830 — $18,841 +929% $38,382 +405% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $193,096 $48,941 $48,943 +295% $72,011 +168% —
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR $192,564 — $192,564 +0% $50,048 +285% —
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 — $34,191 +459% $63,475 +201% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $188,106 $27,176 $19,842 +848% $39,253 +379% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $187,409 $26,035 $54,442 +244% $86,390 +117% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $186,574 $64,010 $69,661 +168% $94,927 +97% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $186,329 $36,995 $37,451 +398% $65,573 +184% —
193 ACUTE AND SUBACUTE ENDOCARDITIS,EXTREME $184,631 — $11,179 +1552% $26,158 +606% ≈308% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $179,933 $46,237 $33,189 +442% $75,492 +138% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $179,547 $40,548 $42,906 +318% $68,880 +161% —
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% $30,940 +477% —
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 — $45,405 +290% $71,701 +147% —
030 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,MODERATE $173,799 — $18,879 +821% $45,818 +279% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $173,232 $32,086 $28,045 +518% $57,963 +199% —
175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE $173,161 — $12,188 +1321% $29,757 +482% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $172,693 — $50,459 +242% $68,659 +152% —
500 SOFT TISSUE PROCEDURES WITH MCC $172,519 — $27,145 +536% $57,479 +200% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $172,441 $41,714 $43,922 +293% $56,964 +203% —
021 OPEN CRANIOTOMY EXCEPT TRAUMA,EXTREME $171,613 — $57,383 +199% $101,235 +70% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $168,743 $33,315 $24,059 +601% $58,043 +191% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $168,417 — $22,044 +664% $46,659 +261% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $167,515 — $51,316 +226% $72,945 +130% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $165,553 $36,351 $32,419 +411% $53,555 +209% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $163,020 $37,665 $30,575 +433% $59,425 +174% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $162,011 $36,729 $42,905 +278% $59,207 +174% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $160,424 — $111,108 +44% $151,029 +6% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $159,829 $30,269 $22,247 +618% $57,149 +180% —
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 — $24,988 +537% $53,551 +197% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $158,149 $45,685 $34,783 +355% $62,961 +151% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $156,448 — $15,108 +936% $48,680 +221% —
472 CERVICAL SPINAL FUSION WITH CC $155,550 — $25,060 +521% $59,537 +161% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $155,290 $44,258 $46,834 +232% $60,861 +155% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $155,104 — $31,947 +386% $68,399 +127% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $154,289 $30,712 $11,047 +1297% $23,920 +545% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $153,268 $27,470 $19,811 +674% $51,339 +199% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $152,407 — $15,241 +900% $24,836 +514% —
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% $41,703 +258% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $147,563 $28,554 $28,417 +419% $56,394 +162% —
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% $41,380 +248% —
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 $19,205 +646% $44,553 +221% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $143,073 $52,988 $44,319 +223% $76,954 +86% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $142,757 — $50,803 +181% $50,815 +181% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $141,689 $20,532 $14,843 +855% $38,094 +272% —
711 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MAJOR $141,483 — $16,209 +773% $34,852 +306% —
654 MAJOR BLADDER PROCEDURES WITH CC $141,406 $33,456 $24,176 +485% $53,868 +163% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA,MAJOR $141,116 — $20,655 +583% $40,065 +252% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR $139,112 — $139,112 +0% $51,822 +168% —
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 $20,257 +575% $36,080 +279% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $135,989 $16,263 $11,062 +1129% $21,029 +547% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $135,619 $59,915 $59,697 +127% $80,747 +68% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $135,562 $23,336 $16,589 +717% $35,014 +287% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $133,328 — $11,918 +1019% $35,542 +275% —
949 AFTERCARE WITH CC/MCC $133,243 — $9,243 +1341% $23,953 +456% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $133,086 $31,093 $20,337 +554% $39,093 +240% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $132,590 $29,336 $20,936 +533% $52,332 +153% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $132,224 $22,248 $18,345 +621% $46,477 +184% —
773 OPIOID ABUSE AND DEPENDENCE,EXTREME $130,556 — $130,556 +0% $87,384 +49% —
397 APPENDIX PROCEDURES WITH MCC $130,430 $29,453 $21,532 +506% $52,319 +149% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $130,265 $28,128 $20,663 +530% $40,548 +221% —
220 MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MODERATE $129,794 — $47,356 +174% $102,177 +27% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $129,469 $63,734 $46,886 +176% $82,527 +57% —
668 TRANSURETHRAL PROCEDURES WITH MCC $128,541 — $25,343 +407% $47,277 +172% —
661 COAGULATION AND PLATELET DISORDERS,MAJOR $128,165 — $8,880 +1343% $24,022 +434% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $127,165 $53,960 $46,936 +171% $78,582 +62% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $126,721 $27,823 $20,417 +521% $50,139 +153% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $126,340 — $35,073 +260% $67,764 +86% —
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 — $38,910 +222% $54,129 +131% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $124,846 — $19,498 +540% $44,600 +180% —
058 OTHER DISORDERS OF NERVOUS SYSTEM,EXTREME $123,919 — $15,813 +684% $29,609 +319% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $123,426 — $44,874 +175% $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% $65,254 +88% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $121,881 $40,955 $38,991 +213% $65,383 +86% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $121,115 $21,365 $17,190 +605% $43,398 +179% —
231 MAJOR LARGE BOWEL PROCEDURES,EXTREME $120,412 — $105,048 +15% $146,474 −18% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $120,057 $36,631 $26,998 +345% $62,821 +91% —
314 FOOT AND TOE PROCEDURES,MAJOR $118,901 — $18,627 +538% $38,357 +210% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $118,766 $25,953 $19,259 +517% $41,900 +183% —
336 PERITONEAL ADHESIOLYSIS WITH CC $118,308 — $21,904 +440% $49,470 +139% —
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE $117,403 — $12,737 +822% $23,814 +393% —
037 EXTRACRANIAL PROCEDURES WITH MCC $116,950 — $28,173 +315% $64,749 +81% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $116,327 — $17,896 +550% $46,066 +153% —
263 VEIN LIGATION AND STRIPPING $115,926 $36,802 $23,200 +400% $44,938 +158% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $115,726 $22,501 $16,297 +610% $30,766 +276% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $115,588 — $37,586 +208% $68,847 +68% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $115,460 $19,165 $16,783 +588% $36,933 +213% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $114,880 $31,314 $36,997 +211% $63,984 +80% —
813 COAGULATION DISORDERS $114,559 $18,560 $13,132 +772% $30,128 +280% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $114,548 — $22,590 +407% $45,432 +152% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $114,486 $29,108 $21,375 +436% $51,985 +120% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $114,215 — $15,997 +614% $32,981 +246% —
919 COMPLICATIONS OF TREATMENT WITH MCC $114,147 $21,792 $15,622 +631% $29,031 +293% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $113,859 — $26,562 +329% $60,140 +89% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $113,310 — $33,398 +239% $55,097 +106% —
100 SEIZURES WITH MCC $112,285 $23,058 $17,172 +554% $35,194 +219% —
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 $12,424 +799% $25,243 +342% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $111,110 — $14,391 +672% $32,502 +242% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $110,503 $45,526 $48,736 +127% $72,782 +52% —
595 MAJOR SKIN DISORDERS WITH MCC $110,256 $21,020 $17,943 +514% $31,785 +247% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $109,845 — $17,146 +541% $43,800 +151% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $109,590 — $18,104 +505% $45,817 +139% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $109,517 $33,945 $29,422 +272% $56,758 +93% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $108,936 $21,804 $15,782 +590% $37,950 +187% —
503 FOOT PROCEDURES WITH MCC $108,872 $27,763 $23,106 +371% $43,901 +148% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $107,878 — $20,052 +438% $58,832 +83% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $107,785 — $13,118 +722% $24,036 +348% —
157 DENTAL AND ORAL DISEASES WITH MCC $107,565 — $13,892 +674% $27,457 +292% —
374 DIGESTIVE MALIGNANCY WITH MCC $107,324 $25,163 $18,263 +488% $38,885 +176% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $106,664 — $16,645 +541% $35,237 +203% ≈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 — $7,835 +1258% $17,731 +500% —
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 $13,276 +697% $28,646 +269% —
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 $35,111 +200% $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 $19,545 +435% $45,059 +132% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $104,455 $21,200 $15,336 +581% $36,242 +188% —
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 $16,964 +515% $43,538 +140% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $104,050 $36,550 $27,771 +275% $53,817 +93% —
571 SKIN DEBRIDEMENT WITH CC $102,565 $20,044 $14,343 +615% $34,901 +194% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $102,512 $25,548 $18,191 +464% $36,850 +178% —
380 COMPLICATED PEPTIC ULCER WITH MCC $101,966 $22,972 $16,722 +510% $36,641 +178% —
592 SKIN ULCERS WITH MCC $101,467 $24,477 $17,616 +476% $32,662 +211% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $101,458 $29,694 $46,502 +118% $71,755 +41% —
324 ELECTIVE HIP JOINT REPLACEMENT,MODERATE $101,113 — $27,766 +264% $66,819 +51% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $100,920 — $16,604 +508% $36,202 +179% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $100,800 — $20,508 +392% $47,546 +112% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $100,221 $10,025 $8,108 +1136% $20,371 +392% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $99,544 $27,117 $19,713 +405% $43,586 +128% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $99,506 — $13,936 +614% $31,566 +215% —
101 SEIZURES WITHOUT MCC $99,478 $11,231 $7,819 +1172% $19,954 +399% —
643 ENDOCRINE DISORDERS WITH MCC $98,774 $19,839 $14,060 +603% $32,996 +199% —
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MAJOR $98,651 — $19,331 +410% $35,642 +177% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $98,563 — $17,364 +468% $43,524 +126% —
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 — $17,775 +452% $51,172 +92% ≈362% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $97,994 $28,114 $20,281 +383% $50,624 +94% —
776 OTHER DRUG ABUSE AND DEPENDENCE,MODERATE $97,667 — $6,053 +1514% $12,381 +689% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $97,008 $19,852 $14,069 +590% $42,119 +130% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $96,780 $23,556 $17,136 +465% $43,775 +121% —
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 $13,417 +620% $34,434 +181% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $96,450 $21,787 $15,800 +510% $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 $16,152 +494% $49,197 +95% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $95,394 $17,893 $12,703 +651% $24,450 +290% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $95,316 — $10,380 +818% $26,322 +262% —
204 SYNCOPE AND COLLAPSE,MODERATE $95,005 — $7,015 +1254% $16,866 +463% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $94,809 $26,965 $19,224 +393% $37,064 +156% —
282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MAJOR $94,411 — $6,272 +1405% $18,623 +407% —
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% $34,900 +170% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $94,281 — $28,596 +230% $52,313 +80% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $93,874 $30,701 $22,354 +320% $48,094 +95% —
666 PROSTATECTOMY WITH CC $93,573 $16,425 $14,112 +563% $30,016 +212% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $93,349 — $27,750 +236% $49,631 +88% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $92,911 $8,065 $6,330 +1368% $14,861 +525% —
447 OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES,EXTREME $92,690 — $69,607 +33% $114,914 −19% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $92,549 $14,931 $10,668 +768% $26,146 +254% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $92,303 — $14,811 +523% $29,826 +209% —
597 MALIGNANT BREAST DISORDERS WITH MCC $91,242 $21,009 $14,903 +512% $31,846 +187% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $90,904 — $18,560 +390% $40,232 +126% —
570 SKIN DEBRIDEMENT WITH MCC $90,873 $27,914 $26,159 +247% $52,435 +73% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $90,731 $19,975 $14,485 +526% $29,916 +203% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $90,728 $26,809 $19,570 +364% $48,682 +86% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $89,947 $21,845 $15,661 +474% $40,583 +122% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $89,818 $21,291 $15,107 +495% $30,275 +197% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $89,523 $19,988 $14,167 +532% $33,607 +166% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $89,511 $20,214 $14,368 +523% $29,729 +201% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $89,347 $27,608 $19,683 +354% $36,237 +147% —
540 OSTEOMYELITIS WITH CC $89,304 $15,494 $11,086 +706% $23,494 +280% —
201 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MINOR $89,228 — $5,857 +1424% $13,081 +582% —
308 HIP AND FEMUR FRACTURE REPAIR,MINOR $88,742 — $10,431 +751% $26,488 +235% ≈211% of Medicare
682 RENAL FAILURE WITH MCC $88,697 $18,025 $12,741 +596% $27,854 +218% ≈435% of Medicare
317 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES,MAJOR $88,538 — $74,441 +19% $94,988 −7% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $88,342 $47,105 $47,902 +84% $57,521 +54% —
152 OTITIS MEDIA AND URI WITH MCC $87,411 $14,157 $9,627 +808% $19,795 +342% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $87,371 $25,344 $18,686 +368% $37,654 +132% —
180 RESPIRATORY NEOPLASMS WITH MCC $86,845 — $14,973 +480% $36,658 +137% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $86,610 — $14,198 +510% $28,967 +199% ≈407% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $86,464 $17,900 $14,613 +492% $29,409 +194% —
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 — $15,902 +440% $30,974 +177% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $85,648 $9,774 $6,896 +1142% $17,700 +384% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $85,621 $23,274 $16,902 +407% $33,050 +159% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $85,568 $24,406 $17,710 +383% $34,089 +151% —
501 SOFT TISSUE PROCEDURES WITH CC $85,394 $21,337 $15,581 +448% $37,975 +125% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $85,019 $18,414 $13,340 +537% $36,239 +135% —
334 RECTAL RESECTION WITHOUT CC/MCC $84,717 — $14,071 +502% $32,213 +163% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $84,441 $18,539 $13,487 +526% $29,371 +188% —
551 MEDICAL BACK PROBLEMS WITH MCC $84,394 — $14,618 +477% $31,086 +171% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $84,284 — $14,152 +496% $30,930 +172% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $83,685 $20,793 $14,751 +467% $30,814 +172% —
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 $11,297 +637% $23,956 +248% —
539 OSTEOMYELITIS WITH MCC $82,920 $12,845 $17,157 +383% $33,746 +146% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $82,852 — $12,726 +551% $25,854 +220% —
265 AICD LEAD PROCEDURES $82,548 — $31,144 +165% $56,695 +46% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $82,467 $19,794 $14,728 +460% $32,839 +151% —
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 — $15,616 +423% $36,375 +124% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $81,544 $13,137 $9,291 +778% $21,806 +274% —
865 VIRAL ILLNESS WITH MCC $81,386 $17,741 $12,521 +550% $26,088 +212% —
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 — $12,930 +528% $27,279 +198% —
150 EPISTAXIS WITH MCC $80,876 $13,818 $11,841 +583% $21,133 +283% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $80,544 $19,549 $14,036 +474% $30,910 +161% —
252 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MAJOR $80,422 — $42,633 +89% $68,508 +17% —
637 DIABETES WITH MCC $80,265 — $12,597 +537% $28,819 +179% ≈391% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $80,103 — $13,535 +492% $33,984 +136% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $80,058 — $14,260 +461% $30,058 +166% ≈333% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $79,351 $12,285 $8,732 +809% $19,091 +316% —
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% $41,660 +89% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $78,420 — $8,711 +800% $23,469 +234% ≈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% $3,242 +2310% —
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 $13,212 +486% $29,924 +159% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $77,354 — $7,990 +868% $19,287 +301% —
245 INFLAMMATORY BOWEL DISEASE,MODERATE $77,149 — $61,075 +26% $72,076 +7% —
333 RECTAL RESECTION WITH CC $76,649 — $18,469 +315% $34,352 +123% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $76,554 — $13,994 +447% $27,548 +178% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $76,411 — $12,700 +502% $32,911 +132% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $76,305 $17,221 $12,397 +516% $31,816 +140% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $76,249 — $23,780 +221% $48,358 +58% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $76,109 $9,680 $6,762 +1026% $17,522 +334% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $75,776 $28,265 $24,914 +204% $44,839 +69% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $75,728 $12,861 $9,000 +741% $23,496 +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 $18,264 +312% $31,520 +139% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $75,080 $18,961 $18,559 +305% $45,622 +65% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $75,053 $12,203 $9,867 +661% $21,062 +256% —
304 HYPERTENSION WITH MCC $74,778 $14,195 $10,162 +636% $24,185 +209% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $74,755 $22,544 $16,015 +367% $32,204 +132% —
811 RED BLOOD CELL DISORDERS WITH MCC $74,534 $16,913 $12,169 +512% $27,934 +167% —
466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MAJOR $74,484 — $65,645 +13% $96,222 −23% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $74,338 $27,258 $19,811 +275% $36,334 +105% —
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% $18,017 +312% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $74,173 $24,957 $17,271 +329% $29,109 +155% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $73,966 $20,907 $15,120 +389% $31,758 +133% —
443 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,MINOR $73,812 — $6,020 +1126% $15,600 +373% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $73,727 $14,772 $10,441 +606% $27,321 +170% —
662 SICKLE CELL ANEMIA CRISIS,MODERATE $73,717 — $30,960 +138% $54,483 +35% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $73,546 — $13,406 +449% $33,490 +120% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $73,507 — $9,254 +694% $23,749 +210% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $73,474 — $14,431 +409% $43,266 +70% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $73,452 $11,031 $7,742 +849% $17,585 +318% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $73,313 — $9,426 +678% $31,190 +135% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $73,280 $12,779 $8,941 +720% $23,396 +213% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $72,792 — $13,114 +455% $25,484 +186% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $72,613 $12,347 $10,663 +581% $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 — $8,357 +768% $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 $32,590 +122% $48,907 +48% —
186 PLEURAL EFFUSION WITH MCC $72,053 $18,934 $13,404 +438% $32,468 +122% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $71,868 — $12,387 +480% $29,663 +142% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $71,804 $18,056 $12,763 +463% $33,792 +112% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $71,758 $17,700 $12,466 +476% $25,786 +178% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $71,262 $34,012 $24,323 +193% $58,968 +21% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $71,261 $13,597 $9,534 +647% $30,314 +135% —
120 MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR $71,194 — $71,194 +0% $71,194 +0% —
915 ALLERGIC REACTIONS WITH MCC $71,164 $17,301 $14,888 +378% $30,944 +130% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $71,059 — $12,884 +452% $35,528 +100% —
103 HEADACHES WITHOUT MCC $70,426 — $7,213 +876% $20,111 +250% —
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 $11,487 +512% $24,480 +187% ≈384% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $70,308 $11,134 $7,893 +791% $20,309 +246% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $70,298 $18,808 $13,312 +428% $32,936 +113% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $70,094 $15,318 $10,780 +550% $22,275 +215% —
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% $30,006 +132% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $69,148 $18,716 $13,458 +414% $39,747 +74% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $68,757 — $11,178 +515% $34,887 +97% —
593 SKIN ULCERS WITH CC $68,616 $14,756 $10,474 +555% $20,470 +235% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $68,613 $15,161 $9,848 +597% $22,532 +205% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $68,558 $11,092 $7,676 +793% $15,077 +355% —
042 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MINOR $68,513 — $15,203 +351% $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% $29,211 +133% —
197 PERIPHERAL AND OTHER VASCULAR DISORDERS,MODERATE $67,863 — $8,399 +708% $20,106 +238% —
375 DIGESTIVE MALIGNANCY WITH CC $67,793 $14,826 $10,526 +544% $27,219 +149% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $67,634 $40,159 $43,918 +54% $70,132 −4% —
253 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE $67,394 — $22,753 +196% $53,746 +25% —
816 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MAJOR $67,194 — $5,704 +1078% $13,485 +398% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $67,127 $26,494 $19,834 +238% $35,686 +88% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $66,774 $22,659 $16,567 +303% $42,126 +59% —
914 TRAUMATIC INJURY WITHOUT MCC $66,770 $11,075 $7,850 +751% $15,593 +328% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $66,655 $19,614 $13,893 +380% $36,333 +83% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $66,645 $16,073 $11,503 +479% $23,350 +185% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $66,585 $10,510 $7,369 +804% $19,096 +249% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $66,551 $19,990 $14,169 +370% $25,208 +164% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $66,348 $8,853 $7,620 +771% $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 $8,779 +653% $16,495 +301% —
638 DIABETES WITH CC $66,060 $11,178 $7,934 +733% $18,821 +251% ≈450% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $66,002 $21,947 $15,500 +326% $29,476 +124% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $65,880 $15,224 $10,506 +527% $27,492 +140% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $65,673 $21,577 $17,194 +282% $35,139 +87% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $65,333 $21,213 $15,101 +333% $33,564 +95% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $65,230 $11,252 $8,924 +631% $17,550 +272% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $65,171 — $14,064 +363% $28,634 +128% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $65,140 $17,058 $12,041 +441% $21,615 +201% —
947 SIGNS AND SYMPTOMS WITH MCC $65,051 — $11,018 +490% $25,474 +155% —
057 CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA,MODERATE $65,017 — $11,320 +474% $25,426 +156% —
291 HEART FAILURE AND SHOCK WITH MCC $64,896 $15,431 $11,286 +475% $25,020 +159% ≈378% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $64,796 $13,213 $9,255 +600% $19,868 +226% —
693 URINARY STONES WITH MCC $64,730 $15,616 $12,474 +419% $22,525 +187% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $64,697 — $11,784 +449% $24,980 +159% —
348 ANAL AND STOMAL PROCEDURES WITH CC $64,656 — $10,889 +494% $27,947 +131% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $64,619 $14,142 $9,928 +551% $22,982 +181% ≈366% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $64,579 $13,639 $9,567 +575% $24,017 +169% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $64,520 $22,837 $16,227 +298% $33,165 +95% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $64,457 $11,663 $8,292 +677% $15,636 +312% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $64,230 — $16,841 +281% $29,633 +117% —
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% $15,165 +323% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $63,833 — $11,881 +437% $29,050 +120% —
184 MAJOR CHEST TRAUMA WITH CC $63,681 — $9,061 +603% $20,842 +206% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $63,635 $14,231 $10,150 +527% $20,842 +205% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $63,057 — $13,241 +376% $28,252 +123% —
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 $12,912 +387% $33,137 +90% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $62,807 — $12,753 +392% $31,062 +102% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $62,803 $11,915 $9,526 +559% $19,317 +225% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $62,658 — $9,346 +570% $17,483 +258% —
302 ATHEROSCLEROSIS WITH MCC $62,630 $14,056 $10,062 +522% $20,844 +200% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $62,418 $18,135 $12,869 +385% $30,972 +102% —
187 PLEURAL EFFUSION WITH CC $62,197 — $8,517 +630% $21,467 +190% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $62,067 $21,835 $15,653 +297% $40,563 +53% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $62,034 $18,801 $15,065 +312% $31,909 +94% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $61,962 $9,901 $6,927 +795% $17,715 +250% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $61,679 $12,511 $8,918 +592% $22,781 +171% ≈430% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $61,570 $9,451 $6,594 +834% $14,444 +326% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $61,334 $13,535 $11,609 +428% $29,374 +109% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $61,178 — $13,910 +340% $28,134 +117% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $60,920 $11,983 $8,364 +628% $21,886 +178% ≈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 $15,904 +280% $30,394 +99% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $60,248 $20,019 $14,294 +321% $28,103 +114% —
199 PNEUMOTHORAX WITH MCC $60,161 $21,104 $15,123 +298% $31,491 +91% —
102 HEADACHES WITH MCC $60,029 $13,934 $10,029 +499% $22,544 +166% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $59,995 — $11,310 +430% $31,978 +88% —
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 $10,444 +471% $23,588 +153% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $59,659 $12,835 $9,069 +558% $24,136 +147% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $59,584 — $5,839 +920% $19,483 +206% —
385 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE $59,574 — $14,054 +324% $26,020 +129% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $59,325 $22,009 $16,156 +267% $28,375 +109% —
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MINOR $59,238 — $59,238 +0% $31,203 +90% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $58,801 $17,149 $12,276 +379% $31,812 +85% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $58,690 $15,310 $11,094 +429% $22,557 +160% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $58,601 $15,444 $10,927 +436% $24,316 +141% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $58,522 $13,374 $9,714 +502% $24,190 +142% ≈407% of Medicare
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $58,356 — $58,356 +0% $16,240 +259% —
123 NEUROLOGICAL EYE DISORDERS $58,329 — $6,881 +748% $17,831 +227% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $58,217 $11,860 $8,380 +595% $15,890 +266% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $58,035 $17,235 $13,926 +317% $27,168 +114% —
312 SYNCOPE AND COLLAPSE $58,027 $10,637 $7,537 +670% $19,342 +200% ≈396% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $57,976 $11,688 $8,164 +610% $20,777 +179% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $57,902 $16,125 $11,645 +397% $30,358 +91% —
887 OTHER MENTAL DISORDER DIAGNOSES $57,815 $14,285 $10,090 +473% $20,602 +181% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $57,731 — $10,725 +438% $26,634 +117% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $57,628 — $6,872 +739% $17,727 +225% —
088 CONCUSSION WITH MCC $57,593 — $11,968 +381% $24,402 +136% —
920 COMPLICATIONS OF TREATMENT WITH CC $57,386 $12,334 $8,787 +553% $21,181 +171% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $57,380 $17,650 $12,592 +356% $28,780 +99% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $57,359 $9,404 $7,073 +711% $15,876 +261% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $57,315 $12,202 $9,868 +481% $18,291 +213% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $57,310 — $11,795 +386% $24,118 +138% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $57,285 $17,483 $12,529 +357% $25,149 +128% —
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% $25,434 +123% —
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% $32,490 +74% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $56,419 $12,905 $9,260 +509% $19,579 +188% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $56,387 $11,245 $7,983 +606% $20,488 +175% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $56,376 — $7,484 +653% $16,049 +251% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $56,263 — $9,083 +519% $22,231 +153% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $56,145 $20,071 $16,098 +249% $35,459 +58% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $56,125 — $8,176 +586% $21,213 +165% ≈407% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $56,009 $6,661 $5,651 +891% $13,368 +319% —
534 FRACTURES OF FEMUR WITHOUT MCC $55,994 $8,539 $6,906 +711% $17,195 +226% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $55,992 — $7,873 +611% $16,352 +242% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $55,545 — $6,333 +777% $16,865 +229% ≈399% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $55,510 — $7,045 +688% $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 $14,418 +279% $35,453 +54% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $54,590 — $10,139 +438% $20,421 +167% —
137 MOUTH PROCEDURES WITH CC/MCC $54,453 $13,956 $11,981 +354% $24,348 +124% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $54,179 $12,671 $8,737 +520% $20,732 +161% ≈455% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $53,976 $11,542 $8,111 +565% $18,191 +197% —
054 MIGRAINE AND OTHER HEADACHES,MINOR $53,927 — $12,842 +320% $29,484 +83% —
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 $11,648 +358% $23,723 +125% —
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 $8,819 +503% $20,080 +165% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $52,684 $11,185 $7,859 +570% $18,608 +183% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $52,455 $7,848 $6,409 +718% $14,337 +266% —
513 GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MODERATE $52,283 — $13,023 +301% $33,424 +56% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $51,992 $8,016 $5,598 +829% $14,368 +262% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $51,886 $11,370 $7,998 +549% $16,642 +212% —
866 VIRAL ILLNESS WITHOUT MCC $51,691 — $7,506 +589% $16,391 +215% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $51,659 $10,063 $8,510 +507% $17,078 +202% —
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 $9,250 +455% $18,126 +183% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $51,227 — $8,195 +525% $16,418 +212% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $51,194 $14,941 $10,507 +387% $22,032 +132% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $50,984 $8,393 $6,727 +658% $15,858 +222% —
683 RENAL FAILURE WITH CC $50,693 — $7,689 +559% $18,620 +172% ≈362% of Medicare
403 PROCEDURES FOR OBESITY,MINOR $50,645 — $50,645 +0% $50,645 +0% —
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR $50,632 — $14,950 +239% $38,836 +30% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $50,572 $11,460 $7,986 +533% $18,918 +167% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $50,518 $10,495 $7,431 +580% $18,278 +176% —
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 — $8,939 +463% $22,941 +119% —
207 OTHER CIRCULATORY SYSTEM DIAGNOSES,MODERATE $50,190 — $56,462 −11% $116,058 −57% —
279 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,MINOR $50,140 — $40,209 +25% $57,277 −12% —
158 DENTAL AND ORAL DISEASES WITH CC $49,896 $11,452 $7,980 +525% $17,700 +182% —
305 HYPERTENSION WITHOUT MCC $49,862 — $6,493 +668% $17,144 +191% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $49,839 $14,859 $10,451 +377% $20,147 +147% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $49,836 $10,040 $7,093 +603% $18,204 +174% ≈429% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $49,734 $13,748 $9,798 +408% $25,390 +96% —
916 ALLERGIC REACTIONS WITHOUT MCC $49,595 $8,219 $5,634 +780% $13,890 +257% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $48,930 $8,932 $6,154 +695% $16,104 +204% —
506 MAJOR THUMB OR JOINT PROCEDURES $48,885 $15,916 $12,842 +281% $28,983 +69% —
999 UNGROUPABLE $48,800 $11,129 $48,800 +0% $28,822 +69% —
244 DIVERTICULITIS AND DIVERTICULOSIS,MINOR $48,780 — $15,683 +211% $40,063 +22% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $48,742 $13,719 $10,930 +346% $23,924 +104% —
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 $6,685 +625% $17,322 +180% ≈427% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $48,390 $9,588 $6,629 +630% $16,745 +189% ≈416% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $48,296 $13,689 $9,755 +395% $24,452 +98% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $47,999 $9,013 $6,286 +664% $13,282 +261% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $47,828 — $7,169 +567% $14,055 +240% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $47,711 $11,684 $8,598 +455% $19,001 +151% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $47,478 — $5,948 +698% $14,012 +239% —
241 PEPTIC ULCER AND GASTRITIS,MODERATE $47,463 — $12,810 +271% $24,229 +96% —
313 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MINOR $47,049 — $6,171 +662% $15,962 +195% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $46,950 $12,375 $8,651 +443% $21,545 +118% —
696 OTHER CHEMOTHERAPY,MODERATE $46,671 — $5,984 +680% $14,441 +223% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $46,663 $10,297 $7,219 +546% $18,253 +156% —
468 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS,MINOR $46,639 — $22,797 +105% $54,929 −15% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $46,505 $18,301 $13,243 +251% $24,879 +87% —
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR $46,155 — $12,466 +270% $25,152 +84% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $45,820 $7,754 $5,483 +736% $11,421 +301% —
181 RESPIRATORY NEOPLASMS WITH CC $45,540 $13,435 $9,512 +379% $22,431 +103% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $45,379 $10,209 $8,075 +462% $18,428 +146% —
950 AFTERCARE WITHOUT CC/MCC $45,297 $7,192 $5,117 +785% $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 $5,370 +742% $15,070 +200% —
791 PREMATURITY WITH MAJOR PROBLEMS $45,159 $45,159 $45,159 +0% $39,563 +14% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $45,123 $7,820 $5,562 +711% $14,208 +218% —
200 PNEUMOTHORAX WITH CC $45,033 $13,407 $9,580 +370% $20,573 +119% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $44,982 — $44,982 +0% $19,454 +131% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $44,735 — $44,735 +0% $13,735 +226% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $44,706 — $5,798 +671% $14,880 +200% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $44,696 $11,623 $8,103 +452% $19,326 +131% —
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 $6,171 +621% $15,607 +185% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $44,196 — $10,169 +335% $27,369 +61% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $43,833 — $5,792 +657% $12,797 +243% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $43,597 $9,186 $6,537 +567% $16,776 +160% —
756 ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR $43,321 — $8,181 +430% $15,589 +178% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $43,086 $9,824 $6,800 +534% $17,388 +148% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $43,004 $7,702 $6,229 +590% $14,110 +205% —
779 ABORTION WITHOUT D&C $42,870 $10,031 $7,930 +441% $15,327 +180% —
695 CHEMOTHERAPY FOR ACUTE LEUKEMIA,MODERATE $42,344 — $9,661 +338% $20,741 +104% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $41,982 — $9,261 +353% $17,226 +144% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $41,810 $8,762 $6,105 +585% $12,537 +233% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $41,490 $15,241 $10,780 +285% $19,686 +111% —
041 NERVOUS SYSTEM MALIGNANCY,MAJOR $41,406 — $19,533 +112% $44,989 −8% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $41,365 $7,539 $6,058 +583% $13,654 +203% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $41,311 $11,073 $7,779 +431% $15,474 +167% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $40,907 — $8,281 +394% $17,273 +137% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $40,875 — $5,559 +635% $14,134 +189% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $40,865 $12,187 $4,790 +753% $11,955 +242% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $40,583 $8,207 $5,760 +605% $13,198 +208% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $40,141 — $6,671 +502% $14,166 +183% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $39,834 $10,848 $7,499 +431% $15,869 +151% —
882 NEUROSES EXCEPT DEPRESSIVE $39,614 — $8,241 +381% $15,680 +153% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $39,447 — $9,692 +307% $24,432 +61% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $39,446 $20,175 $14,340 +175% $28,578 +38% —
541 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,MODERATE $39,425 — $7,495 +426% $14,549 +171% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $39,425 — $10,124 +289% $18,238 +116% —
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $38,975 — $38,975 +0% $88,720 −56% —
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,MODERATE $38,772 — $38,772 — $89,307 −57% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $38,577 $7,746 $5,424 +611% $12,013 +221% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $38,438 $15,500 $10,399 +270% $23,297 +65% —
667 PROSTATECTOMY WITHOUT CC/MCC $38,329 $12,470 $8,805 +335% $16,703 +129% —
229 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MINOR $38,140 — $37,378 +2% $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% $23,734 +60% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $37,439 $12,871 $9,775 +283% $23,571 +59% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $37,435 $13,437 $9,602 +290% $18,459 +103% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $37,241 — $6,661 +459% $13,385 +178% —
090 CONCUSSION WITHOUT CC/MCC $37,232 $9,164 $7,344 +407% $14,873 +150% —
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $37,084 — $37,084 +0% $37,084 +0% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $36,964 — $5,274 +601% $11,071 +234% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $36,884 $8,611 $5,921 +523% $15,072 +145% —
404 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES,MINOR $36,580 — $36,580 — $35,667 +3% —
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 — $4,793 +650% $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 $9,899 +262% $25,307 +42% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $35,661 $6,535 $5,186 +588% $10,975 +225% —
760 OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,MODERATE $35,376 — $8,361 +323% $18,282 +94% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MINOR $35,306 — $35,306 +0% $47,150 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,043 $10,557 $7,475 +369% $15,284 +129% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $34,865 $13,275 $11,271 +209% $17,103 +104% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $34,568 — $6,927 +399% $17,928 +93% —
243 OTHER ESOPHAGEAL DISORDERS,MINOR $33,796 — $19,668 +72% $50,011 −32% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $33,666 $8,911 $9,343 +260% $13,090 +157% —
770 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MODERATE $33,469 — $9,128 +267% $17,943 +87% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $33,437 $12,124 $10,576 +216% $15,370 +118% —
724 OTHER INFECTIOUS AND PARASITIC DISEASES,MINOR $33,433 — $6,242 +436% $12,650 +164% —
247 INTESTINAL OBSTRUCTION,MAJOR $32,933 — $31,429 +5% $21,663 +52% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $32,837 $11,032 $8,017 +310% $20,084 +63% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $32,566 $10,848 $8,652 +276% $16,571 +97% —
151 EPISTAXIS WITHOUT MCC $32,401 $8,188 $6,494 +399% $13,032 +149% —
153 OTITIS MEDIA AND URI WITHOUT MCC $32,083 — $6,038 +431% $14,473 +122% —
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% $17,705 +79% —
594 SKIN ULCERS WITHOUT CC/MCC $30,983 $8,791 $7,271 +326% $14,209 +118% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $29,670 $6,843 $4,642 +539% $13,318 +123% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $29,643 — $8,897 +233% $12,044 +146% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,575 $10,666 $10,545 +180% $19,815 +49% —
881 DEPRESSIVE NEUROSES $28,985 $11,139 $7,831 +270% $15,058 +92% —
542 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MINOR $28,114 — $15,978 +76% $35,114 −20% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $27,652 — $8,050 +243% $17,108 +62% —
144 RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR $27,515 — $15,049 +83% $29,558 −7% —
621 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,MODERATE $26,664 — $12,523 +113% $32,451 −18% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,480 $14,896 $11,888 +123% $24,452 +8% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $26,006 $9,922 $7,015 +271% $13,822 +88% —
885 PSYCHOSES $25,976 $16,944 $11,958 +117% $21,489 +21% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $25,075 $16,638 $11,903 +111% $24,561 +2% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $24,779 $9,222 $6,364 +289% $16,654 +49% —
753 BIPOLAR DISORDERS,MODERATE $24,612 — $24,612 +0% $34,651 −29% —
138 BRONCHIOLITIS AND RSV PNEUMONIA,MINOR $23,503 — $6,969 +237% $17,383 +35% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $23,503 $8,595 $6,025 +290% $12,279 +91% —
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE $21,927 — $21,927 +0% $27,175 −19% —
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% $16,719 +11% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $18,270 $7,077 $4,950 +269% $9,385 +95% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $17,849 — $4,763 +275% $10,039 +78% —
817 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,MINOR $17,794 — $18,088 −2% $36,097 −51% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $17,552 — $5,976 +194% $12,336 +42% —
139 OTHER PNEUMONIA,MINOR $16,308 — $11,648 +40% $21,014 −22% —
751 DEPRESSIVE DISORDERS,MINOR $15,939 — $15,939 +0% $33,812 −53% —
532 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MODERATE $15,829 — $15,829 +0% $23,165 −32% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $14,954 — $4,496 +233% $9,076 +65% —
427 THYROID DISORDERS,MODERATE $13,601 — $60,256 −77% $121,728 −89% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,335 $10,245 $7,131 +87% $14,064 −5% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $12,341 — $3,989 +209% $8,927 +38% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $11,633 $11,633 $20,782 −44% $11,633 +0% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,017 — $12,888 −46% $7,961 −12% —
795 NORMAL NEWBORN $5,823 $2,771 $3,492 +67% $4,530 +29% —

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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