CentraState Medical Center — Pricing

736 procedures published in this hospital's Machine-Readable File (MRF) — 735 with a comparable price, 1 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 736
Lowest published price $5,897
Average published price $114,730
Highest published price $4,331,502

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 736 procedures

Published charges

Showing all 735 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 90 procedures, this hospital's negotiated rates average ≈264% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $4,331,502 — $319,936 +1254% $573,534 +655% —
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 $299,625 $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 $124,436 $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% —
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 $152,634 $167,292 +428% $248,521 +255% —
162 CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,EXTREME $881,716 — $445,799 — $72,401 +1118% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $639,334 $205,865 $252,455 +153% $371,366 +72% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $611,284 — $75,879 +706% $75,251 +712% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $561,369 $114,875 $91,898 +511% $208,939 +169% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $524,716 $118,110 $94,649 +454% $196,346 +167% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $489,213 $83,969 $69,461 +604% $143,242 +242% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $484,792 $104,667 $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% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $452,275 — $96,502 +369% $148,686 +204% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $416,900 $99,917 $78,149 +433% $121,563 +243% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $414,976 $84,822 $99,484 +317% $144,569 +187% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $381,936 $121,328 $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% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $358,325 $66,301 $52,744 +579% $115,839 +209% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $352,506 $82,438 $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% —
912 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,MAJOR $327,027 — $327,027 — $88,781 +268% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $326,499 $38,438 $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% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $304,984 — $43,082 +608% $93,390 +227% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $304,541 $66,251 $52,550 +480% $117,280 +160% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $299,351 — $63,765 +369% $102,573 +192% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME $293,826 — $261,633 +12% $77,914 +277% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $291,744 $51,165 $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 $28,349 $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 $45,590 $35,279 +698% $78,852 +257% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $276,684 $62,357 $69,568 +298% $107,355 +158% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $276,472 $58,641 $45,776 +504% $101,576 +172% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $276,414 $63,254 $73,617 +275% $96,192 +187% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $275,359 $64,530 $68,716 +301% $80,018 +244% —
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 $60,063 $46,891 +475% $85,566 +215% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $266,047 $11,448 $10,560 +2419% $22,851 +1064% —
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% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $257,266 $46,314 $56,745 +353% $101,510 +153% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $255,487 $23,487 $18,204 +1303% $31,044 +723% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $253,847 $66,887 $76,220 +233% $98,912 +157% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $253,749 $49,953 $53,402 +375% $90,331 +181% —
653 MAJOR BLADDER PROCEDURES WITH MCC $252,570 $50,720 $48,871 +417% $104,583 +142% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $250,612 $44,697 $41,582 +503% $73,120 +243% —
163 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MAJOR $250,211 — $48,368 +417% $90,195 +177% ≈140% of Medicare
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $248,228 $59,448 $46,409 +435% $101,618 +144% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $248,228 — $79,734 +211% $69,101 +259% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $241,787 $59,772 $66,247 +265% $105,899 +128% —
799 SPLENIC PROCEDURES WITH MCC $239,874 $51,707 $63,003 +281% $82,218 +192% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $233,853 $29,037 $26,927 +768% $55,289 +323% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $232,956 $51,852 $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 $66,035 $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% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $225,477 $50,594 $41,339 +445% $91,329 +147% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $224,599 $49,040 $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 $53,637 $70,274 +218% $109,331 +105% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $220,020 $37,732 $39,320 +460% $52,036 +323% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $219,536 — $58,617 +275% $56,836 +286% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $218,455 — $71,210 +207% $148,832 +47% ≈346% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $217,957 $52,733 $56,466 +286% $92,515 +136% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $216,105 $44,755 $41,546 +420% $82,247 +163% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $215,470 — $45,511 +373% $96,905 +122% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $210,919 $44,664 $40,461 +421% $79,836 +164% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $204,311 $38,273 $41,267 +395% $67,268 +204% —
231 MAJOR LARGE BOWEL PROCEDURES,EXTREME $203,856 — $100,406 +103% $147,227 +38% —
665 PROSTATECTOMY WITH MCC $199,539 $37,388 $43,765 +356% $54,072 +269% —
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 $45,026 $52,205 +270% $79,225 +144% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $192,662 $54,437 $42,731 +351% $77,055 +150% —
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% —
021 OPEN CRANIOTOMY EXCEPT TRAUMA,EXTREME $191,875 — $74,709 +157% $106,057 +81% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $190,963 $49,643 $45,819 +317% $89,207 +114% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $190,526 $41,432 $49,588 +284% $74,755 +155% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $188,106 $25,002 $19,370 +871% $42,415 +343% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $186,574 $58,889 $69,661 +168% $102,128 +83% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $186,329 $34,035 $33,425 +457% $65,573 +184% —
193 ACUTE AND SUBACUTE ENDOCARDITIS,EXTREME $184,631 — $11,179 +1552% $27,275 +577% ≈268% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $182,892 $35,333 $32,789 +458% $66,685 +174% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $181,815 $42,551 $33,189 +448% $79,116 +130% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $181,576 $21,536 $16,673 +989% $43,631 +316% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $179,815 — $22,481 +700% $48,687 +269% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $178,537 $22,045 $17,073 +946% $32,031 +457% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $177,573 $33,305 $29,221 +508% $71,014 +150% ≈239% of Medicare
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $173,680 $39,943 $41,778 +316% $68,639 +153% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $173,617 $23,774 $18,403 +843% $42,901 +305% —
175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE $173,161 — $11,954 +1349% $30,959 +459% ≈238% of Medicare
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 $38,377 $45,480 +279% $56,964 +203% —
892 HIV WITH MAJOR HIV RELATED CONDITION,EXTREME $169,520 — $169,520 — $39,896 +325% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $169,520 $27,240 $25,333 +569% $46,402 +265% —
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 $168,108 $40,188 $52,219 +222% $77,990 +116% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $167,153 — $24,706 +577% $59,790 +180% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $165,553 $33,443 $27,913 +493% $60,407 +174% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $163,456 $48,241 $66,300 +147% $93,172 +75% ≈237% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $163,020 $34,652 $30,412 +436% $66,711 +144% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $162,011 $33,790 $48,637 +233% $62,583 +159% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $160,424 $81,510 $111,108 +44% $153,282 +5% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $159,684 $26,206 $20,337 +685% $47,583 +236% —
325 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MODERATE $159,139 — $40,065 +297% $61,217 +160% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $158,316 $38,688 $31,382 +404% $70,564 +124% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $157,711 — $50,803 +210% $51,625 +205% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $156,951 $40,752 $31,745 +394% $61,470 +155% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $156,661 — $42,875 +265% $77,817 +101% —
865 VIRAL ILLNESS WITH MCC $155,778 $16,322 $12,521 +1144% $26,910 +479% —
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 $28,255 $10,939 +1310% $27,989 +451% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $153,268 $25,272 $19,619 +681% $59,629 +157% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $152,407 — $15,241 +900% $26,510 +475% —
509 ARTHROSCOPY $150,322 $19,278 $14,903 +909% $25,994 +478% —
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MODERATE $149,596 — $35,878 +317% $60,098 +149% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $149,093 $28,277 $21,960 +579% $45,167 +230% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $147,024 — $24,882 +491% $60,170 +144% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $146,387 $41,622 $33,769 +333% $75,103 +95% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $145,296 $38,425 $29,942 +385% $50,919 +185% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $145,273 $33,608 $26,161 +455% $53,864 +170% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $143,816 $17,237 $13,256 +985% $46,295 +211% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $143,222 $23,594 $18,301 +683% $45,877 +212% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $143,073 $48,749 $38,916 +268% $84,692 +69% —
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 $30,779 $23,941 +491% $58,274 +143% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA,MAJOR $141,116 — $20,455 +590% $42,186 +235% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $140,310 $45,867 $48,640 +188% $90,775 +55% ≈224% of Medicare
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $139,879 $32,131 $23,825 +487% $58,043 +141% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $139,472 $27,819 $21,618 +545% $58,707 +138% —
669 TRANSURETHRAL PROCEDURES WITH CC $139,000 $14,218 $13,128 +959% $34,354 +305% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $138,337 $41,184 $54,189 +155% $82,561 +68% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $136,665 $25,315 $19,638 +596% $40,060 +241% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $135,989 $14,962 $11,062 +1129% $21,894 +521% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $135,251 — $44,359 +205% $74,257 +82% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $133,869 $44,313 $62,792 +113% $88,050 +52% ≈257% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $133,453 — $37,941 +252% $88,307 +51% —
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 $28,606 $20,337 +554% $41,620 +220% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $132,224 $20,468 $17,993 +635% $49,351 +168% —
245 AICD GENERATOR PROCEDURES $131,479 $53,135 $57,711 +128% $72,076 +82% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $130,541 $37,199 $50,951 +156% $75,573 +73% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $130,467 $21,469 $16,589 +686% $39,955 +227% —
397 APPENDIX PROCEDURES WITH MCC $130,430 $27,097 $21,020 +520% $53,257 +145% —
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 $58,635 $58,205 +122% $90,401 +43% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $128,937 $33,864 $29,715 +334% $66,068 +95% —
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% ≈250% of Medicare
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $126,721 $25,597 $19,839 +539% $50,139 +153% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $125,210 — $39,757 +215% $58,745 +113% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $124,447 $28,289 $39,985 +211% $65,653 +90% ≈206% of Medicare
058 OTHER DISORDERS OF NERVOUS SYSTEM,EXTREME $123,919 — $15,660 +691% $30,243 +310% —
380 COMPLICATED PEPTIC ULCER WITH MCC $123,769 $21,091 $16,325 +658% $39,627 +212% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $122,671 $35,633 $33,894 +262% $65,788 +86% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $121,458 $21,948 $24,247 +401% $49,839 +144% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $121,334 $25,877 $20,079 +504% $40,548 +199% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $121,115 $19,655 $16,781 +622% $43,913 +176% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $120,057 $33,701 $26,234 +358% $62,821 +91% —
800 SPLENIC PROCEDURES WITH CC $119,280 $31,785 $24,719 +383% $49,184 +143% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $119,071 — $10,028 +1087% $19,598 +508% —
314 FOOT AND TOE PROCEDURES,MAJOR $118,901 — $18,269 +551% $38,666 +208% ≈116% of Medicare
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $118,766 $23,877 $18,485 +543% $45,333 +162% —
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 $33,858 $22,754 +409% $51,253 +126% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $115,794 — $12,343 +838% $24,941 +364% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $115,588 — $44,454 +160% $70,177 +65% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $115,539 $24,890 $21,924 +427% $52,178 +121% ≈219% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $115,464 — $28,056 +312% $65,608 +76% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $115,294 $24,636 $19,105 +503% $48,682 +137% —
044 INTRACRANIAL HEMORRHAGE,MODERATE $115,166 — $119,296 — $85,065 +35% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $114,548 — $22,590 +407% $47,945 +139% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $114,215 — $15,997 +614% $37,844 +202% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $113,360 $24,703 $19,157 +492% $49,418 +129% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $113,310 — $32,756 +246% $59,594 +90% —
374 DIGESTIVE MALIGNANCY WITH MCC $112,854 $23,150 $17,912 +530% $39,958 +182% —
227 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR $112,006 — $66,898 +67% $56,960 +97% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $111,194 $26,008 $22,768 +388% $52,405 +112% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $111,110 — $14,114 +687% $32,628 +241% —
595 MAJOR SKIN DISORDERS WITH MCC $110,256 $19,339 $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% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $109,517 $31,230 $40,277 +172% $58,975 +86% —
503 FOOT PROCEDURES WITH MCC $108,872 $25,542 $22,452 +385% $47,540 +129% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $107,800 $40,176 $40,079 +169% $85,159 +27% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $107,785 — $13,118 +722% $24,550 +339% —
157 DENTAL AND ORAL DISEASES WITH MCC $107,565 $17,989 $13,892 +674% $31,300 +244% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $107,402 $48,986 $58,279 +84% $80,793 +33% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $107,260 $26,323 $23,047 +365% $43,491 +147% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $107,053 $29,603 $25,948 +313% $64,523 +66% —
533 FRACTURES OF FEMUR WITH MCC $106,505 $16,771 $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 $24,704 $19,158 +455% $38,998 +173% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $106,007 $16,942 $14,751 +619% $31,951 +232% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $105,802 $15,128 $13,147 +705% $32,877 +222% —
023 SPINAL PROCEDURES,MODERATE $105,734 — $74,760 +41% $106,778 −1% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $105,125 $18,792 $16,387 +542% $42,881 +145% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $104,904 $45,154 $59,849 +75% $87,761 +20% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $104,736 $37,959 $33,337 +214% $54,196 +93% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $104,515 $24,633 $19,080 +448% $47,737 +119% —
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 $22,745 $16,638 +527% $43,538 +140% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $103,906 $24,882 $19,298 +438% $49,066 +112% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $103,601 $8,522 $7,491 +1283% $16,998 +509% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $103,485 $33,120 $46,123 +124% $70,847 +46% —
466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MAJOR $102,631 — $67,426 +52% $96,507 +6% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $102,624 $53,113 $58,029 +77% $99,423 +3% ≈250% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $102,512 $23,504 $18,191 +464% $38,070 +169% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $102,469 $27,715 $17,794 +476% $39,173 +162% —
592 SKIN ULCERS WITH MCC $101,467 $22,519 $17,445 +482% $33,246 +205% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $101,417 $32,665 $27,054 +275% $49,710 +104% —
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 $9,223 $8,108 +1136% $20,911 +379% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $99,782 $25,050 $19,430 +414% $39,181 +155% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $99,589 $20,802 $16,098 +519% $42,126 +136% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $99,506 — $13,936 +614% $35,831 +178% —
504 FOOT PROCEDURES WITH CC $99,300 — $14,889 +567% $38,960 +155% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $99,291 $21,590 $16,729 +494% $44,139 +125% —
180 RESPIRATORY NEOPLASMS WITH MCC $99,232 $17,028 $14,827 +569% $36,658 +171% ≈226% of Medicare
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MAJOR $98,651 — $19,144 +415% $36,167 +173% —
043 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE $98,362 — $98,362 +0% $46,703 +111% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $98,192 $20,105 $15,551 +531% $40,694 +141% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $98,163 $18,336 $15,984 +514% $32,637 +201% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $97,994 $25,865 $20,084 +388% $50,624 +94% —
548 SEPTIC ARTHRITIS WITH MCC $97,541 $22,051 $17,091 +471% $31,346 +211% —
336 PERITONEAL ADHESIOLYSIS WITH CC $96,640 — $17,920 +439% $50,463 +92% ≈379% of Medicare
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 $17,042 $13,159 +634% $34,434 +181% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $96,150 $17,528 $16,227 +493% $34,459 +179% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $96,073 $13,560 $10,418 +822% $19,132 +402% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $96,037 $23,749 $20,770 +362% $51,985 +85% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $96,021 $25,072 $19,462 +393% $40,108 +139% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $95,953 $17,674 $15,501 +519% $40,642 +136% —
139 SALIVARY GLAND PROCEDURES $95,458 $15,235 $11,648 +720% $23,612 +304% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $95,439 $23,060 $20,161 +373% $53,451 +79% ≈214% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $95,394 $16,461 $12,703 +651% $24,586 +288% —
204 SYNCOPE AND COLLAPSE,MODERATE $95,005 — $6,880 +1281% $18,004 +428% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $94,537 — $20,052 +371% $59,500 +59% ≈386% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $94,358 $12,026 $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% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $93,544 $23,465 $20,519 +356% $50,046 +87% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $93,503 $17,765 $15,479 +504% $37,950 +146% ≈270% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $92,885 $19,833 $15,349 +505% $32,433 +186% —
447 OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES,EXTREME $92,690 — $56,879 +63% $126,098 −26% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $92,649 $32,647 $29,651 +212% $51,953 +78% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $92,549 $13,737 $10,564 +776% $27,297 +239% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $92,303 — $14,667 +529% $29,826 +209% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $92,182 $19,560 $17,066 +440% $46,090 +100% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $91,987 $27,908 $21,665 +325% $38,878 +137% —
501 SOFT TISSUE PROCEDURES WITH CC $91,328 $16,993 $15,140 +503% $39,619 +131% —
199 PNEUMOTHORAX WITH MCC $91,317 $19,371 $14,976 +510% $33,787 +170% —
597 MALIGNANT BREAST DISORDERS WITH MCC $91,242 $19,328 $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 $25,681 $25,537 +256% $52,435 +73% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $90,731 $18,377 $14,206 +539% $29,916 +203% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $90,399 $15,318 $14,167 +538% $33,876 +167% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $90,361 $18,114 $15,509 +483% $43,298 +109% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $90,246 — $24,727 +265% $70,467 +28% ≈353% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $90,244 $11,154 $8,466 +966% $17,698 +410% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $89,511 $18,597 $14,368 +523% $32,944 +172% —
540 OSTEOMYELITIS WITH CC $89,304 $14,254 $10,978 +713% $26,676 +235% —
666 PROSTATECTOMY WITH CC $89,015 $15,111 $13,975 +537% $31,906 +179% —
308 HIP AND FEMUR FRACTURE REPAIR,MINOR $88,742 — $10,230 +767% $26,770 +231% ≈191% of Medicare
186 PLEURAL EFFUSION WITH MCC $88,663 $15,248 $13,404 +561% $33,834 +162% —
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 $43,336 $45,999 +92% $62,300 +42% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $88,103 $16,950 $14,856 +493% $35,849 +146% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $88,093 $17,337 $15,425 +471% $37,842 +133% ≈260% of Medicare
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $87,637 $26,196 $22,934 +282% $62,264 +41% —
152 OTITIS MEDIA AND URI WITH MCC $87,411 $13,024 $9,627 +808% $20,247 +332% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $87,371 $23,316 $18,083 +383% $42,906 +104% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $86,464 $16,468 $14,332 +503% $31,563 +174% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $85,836 $58,270 $77,989 +10% $108,472 −21% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $85,815 — $15,748 +445% $33,047 +160% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $85,621 $21,412 $16,577 +417% $38,861 +120% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $85,568 $22,454 $17,369 +393% $35,030 +144% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $85,225 $29,866 $26,180 +226% $65,216 +31% —
334 RECTAL RESECTION WITHOUT CC/MCC $84,717 — $14,071 +502% $36,820 +130% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $84,590 $23,377 $18,117 +367% $46,724 +81% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $84,441 $17,056 $13,376 +531% $32,697 +158% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $84,284 — $14,152 +496% $34,607 +144% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $83,943 — $13,112 +540% $30,010 +180% —
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MODERATE $83,853 — $179,426 −53% $74,377 +13% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $83,577 $23,143 $20,369 +310% $59,651 +40% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $83,549 $6,546 $5,754 +1352% $11,997 +596% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $83,309 $12,790 $11,079 +652% $26,051 +220% —
539 OSTEOMYELITIS WITH MCC $82,920 $11,818 $17,157 +383% $37,609 +120% —
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 $18,211 $14,728 +460% $32,443 +154% —
813 COAGULATION DISORDERS $82,428 $15,111 $13,132 +528% $33,296 +148% ≈223% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $82,052 — $15,995 +413% $47,711 +72% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $81,708 $13,289 $10,529 +676% $20,727 +294% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $81,644 $22,095 $17,112 +377% $42,914 +90% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $81,206 — $12,804 +534% $33,454 +143% —
150 EPISTAXIS WITH MCC $80,876 $12,712 $11,726 +590% $23,171 +249% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $80,544 $17,985 $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% ≈44% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $80,103 — $13,535 +492% $35,419 +126% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $79,687 $12,078 $9,255 +761% $20,926 +281% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $79,415 $22,406 $31,742 +150% $50,394 +58% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $79,351 $11,302 $8,647 +818% $20,901 +280% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $78,964 — $16,645 +374% $35,628 +122% ≈340% of Medicare
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $78,842 $21,873 $19,112 +313% $50,011 +58% ≈229% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $78,157 $16,284 $12,466 +527% $26,463 +195% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $78,004 $11,008 $9,567 +715% $25,034 +212% —
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MAJOR $77,962 — $20,346 +283% $20,610 +278% —
663 MINOR BLADDER PROCEDURES WITH CC $77,759 $14,741 $12,958 +500% $33,103 +135% —
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% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $76,249 — $23,214 +228% $48,358 +58% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $75,776 $26,004 $22,859 +231% $44,546 +70% —
100 SEIZURES WITH MCC $75,666 $19,026 $16,842 +349% $35,481 +113% ≈247% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $75,491 $16,386 $14,260 +429% $32,496 +132% ≈261% of Medicare
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 $16,236 $13,640 +452% $35,692 +111% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $75,267 $22,000 $19,224 +292% $41,892 +80% —
906 HAND PROCEDURES FOR INJURIES $75,257 $21,199 $18,515 +306% $32,065 +135% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $75,053 $11,226 $9,867 +661% $23,443 +220% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $74,599 — $17,623 +323% $43,174 +73% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $74,522 $21,876 $16,953 +340% $44,363 +68% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $74,244 $10,233 $9,418 +688% $18,459 +302% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $74,229 $14,066 $10,760 +590% $28,156 +164% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $74,173 $22,961 $16,939 +338% $29,611 +150% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $73,998 $16,580 $14,431 +413% $43,477 +70% —
443 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,MINOR $73,812 — $5,961 +1138% $15,600 +373% —
134 PULMONARY EMBOLISM,MODERATE $73,768 — $44,426 — $23,289 +217% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $73,727 $13,590 $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% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $73,452 $10,148 $7,742 +849% $20,259 +263% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $73,129 — $18,776 +289% $46,283 +58% ≈360% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $72,792 — $13,114 +455% $26,598 +174% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $72,699 — $15,108 +381% $52,075 +40% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $72,613 $11,360 $10,563 +587% $19,354 +275% —
692 RADIOTHERAPY,MODERATE $72,604 — $72,604 +0% $25,916 +180% —
382 MALIGNANT BREAST DISORDERS,MAJOR $72,383 — $6,357 +1039% $16,634 +335% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $72,247 $27,175 $23,800 +204% $52,986 +36% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $72,194 $34,792 $49,404 +46% $71,755 +1% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $71,868 — $12,267 +486% $32,100 +124% —
682 RENAL FAILURE WITH MCC $71,279 $14,669 $12,741 +459% $29,064 +145% ≈245% of Medicare
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $71,262 $31,291 $24,323 +193% $59,031 +21% —
120 MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR $71,194 — $71,194 +0% $71,194 +0% —
915 ALLERGIC REACTIONS WITH MCC $71,164 $15,917 $14,743 +383% $32,645 +118% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $71,093 $32,802 $47,020 +51% $70,132 +1% ≈250% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $70,878 — $10,380 +583% $27,163 +161% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $70,398 $14,726 $12,876 +447% $33,694 +109% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $70,395 $22,520 $19,683 +258% $36,489 +93% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $70,311 — $17,602 +299% $52,751 +33% ≈366% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $70,308 $10,243 $7,817 +799% $20,455 +244% —
791 PREMATURITY WITH MAJOR PROBLEMS $70,114 $44,191 $45,159 +55% $42,679 +64% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $70,026 $24,378 $18,879 +271% $45,866 +53% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $69,878 $17,615 $13,598 +414% $35,584 +96% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $69,509 $15,390 $11,853 +486% $31,017 +124% —
197 PERIPHERAL AND OTHER VASCULAR DISORDERS,MODERATE $69,464 — $8,399 +727% $21,941 +217% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $68,927 — $11,918 +478% $39,887 +73% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $68,913 $17,450 $14,829 +365% $33,555 +105% —
181 RESPIRATORY NEOPLASMS WITH CC $68,890 $12,364 $9,419 +631% $23,573 +192% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $68,613 $13,948 $9,848 +597% $21,230 +223% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $68,558 $10,205 $7,676 +793% $16,552 +314% —
042 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MINOR $68,513 — $14,911 +359% $39,018 +76% —
505 FOOT PROCEDURES WITHOUT CC/MCC $68,430 $16,937 $14,889 +360% $34,937 +96% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $68,006 $18,349 $15,996 +325% $50,607 +34% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $67,913 $24,266 $21,227 +220% $55,162 +23% —
811 RED BLOOD CELL DISORDERS WITH MCC $67,413 $13,758 $11,935 +465% $28,226 +139% ≈236% of Medicare
253 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE $67,394 — $21,658 +211% $57,454 +17% ≈44% of Medicare
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 $24,374 $17,839 +276% $42,795 +57% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $67,076 $16,066 $14,069 +377% $44,606 +50% ≈275% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $66,770 $10,189 $7,774 +759% $15,855 +321% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $66,757 — $16,841 +296% $32,574 +105% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $66,655 $18,045 $13,893 +380% $36,354 +83% —
643 ENDOCRINE DISORDERS WITH MCC $66,394 $15,925 $14,060 +372% $33,563 +98% ≈224% of Medicare
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $66,348 $8,145 $7,473 +788% $19,854 +234% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $66,193 $8,408 $7,253 +813% $14,290 +363% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $66,115 $11,362 $8,694 +660% $18,348 +260% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $65,918 — $13,714 +381% $33,707 +96% ≈384% of Medicare
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $65,880 $14,007 $10,506 +527% $28,320 +133% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $65,820 $18,025 $15,813 +316% $46,340 +42% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $65,783 — $10,139 +549% $21,847 +201% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $65,673 $19,851 $16,863 +289% $36,249 +81% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $65,545 $14,891 $13,023 +403% $39,211 +67% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $65,333 $19,516 $15,101 +333% $39,515 +65% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $65,230 $10,352 $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 $15,693 $12,041 +441% $22,620 +188% —
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $65,090 — $38,975 +67% $58,096 +12% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $65,052 $14,403 $15,107 +331% $31,159 +109% —
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% ≈106% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $64,760 $10,350 $8,981 +621% $24,914 +160% —
693 URINARY STONES WITH MCC $64,730 $14,367 $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% —
304 HYPERTENSION WITH MCC $64,495 $11,531 $9,966 +547% $26,080 +147% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $64,369 $10,371 $8,941 +620% $23,488 +174% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $64,200 $15,175 $13,339 +381% $34,906 +84% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $63,635 $13,092 $10,051 +533% $25,712 +147% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $63,587 $15,315 $13,312 +378% $33,653 +89% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $63,023 — $16,951 +272% $43,943 +43% ≈375% of Medicare
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $62,928 $6,243 $5,697 +1005% $11,909 +428% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $62,898 $14,581 $12,663 +397% $33,393 +88% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $62,807 — $12,629 +397% $33,048 +90% —
913 TRAUMATIC INJURY WITH MCC $62,797 $17,902 $13,729 +357% $24,198 +160% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $62,679 $10,043 $8,651 +625% $22,506 +179% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $62,659 — $11,624 +439% $30,418 +106% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $62,658 — $9,339 +571% $17,483 +258% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $62,418 $16,685 $12,869 +385% $33,674 +85% —
187 PLEURAL EFFUSION WITH CC $62,197 — $8,517 +630% $21,789 +185% —
184 MAJOR CHEST TRAUMA WITH CC $62,077 — $9,061 +585% $22,432 +177% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $62,034 $17,297 $15,065 +312% $34,276 +81% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $61,977 $6,711 $5,704 +986% $14,549 +326% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $61,800 — $15,497 +299% $40,552 +52% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $61,694 — $12,604 +389% $28,140 +119% —
602 CELLULITIS WITH MCC $61,341 $14,356 $12,464 +392% $30,598 +100% ≈220% of Medicare
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $61,334 $12,452 $11,496 +434% $30,083 +104% —
123 NEUROLOGICAL EYE DISORDERS $61,184 — $6,814 +798% $19,745 +210% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $61,041 — $15,465 +295% $37,387 +63% —
341 FRACTURE OF PELVIS OR DISLOCATION OF HIP,EXTREME $60,576 — $60,576 +0% $25,628 +136% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $60,318 $16,100 $14,006 +331% $44,117 +37% ≈265% of Medicare
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $60,256 — $11,653 +417% $30,493 +98% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $60,248 $18,417 $14,156 +326% $29,126 +107% —
472 CERVICAL SPINAL FUSION WITH CC $60,056 — $24,578 +144% $59,537 +1% —
102 HEADACHES WITH MCC $60,029 $12,819 $9,837 +510% $25,740 +133% —
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 $13,536 $10,342 +477% $25,581 +133% —
385 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE $59,574 — $13,784 +332% $27,617 +116% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $59,240 $8,148 $7,478 +692% $19,569 +203% —
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MINOR $59,238 — $59,238 +0% $34,401 +72% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $59,150 — $8,909 +564% $22,763 +160% —
772 ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,MODERATE $58,931 — $32,910 — $671,086 −91% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $58,803 $13,958 $12,416 +374% $29,743 +98% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $58,728 $9,587 $7,377 +696% $19,305 +204% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $58,690 $14,085 $10,830 +442% $22,557 +160% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $58,601 $14,209 $10,927 +436% $26,870 +118% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $58,593 — $23,341 +151% $51,746 +13% —
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $58,356 — $58,356 +0% $13,613 +329% —
866 VIRAL ILLNESS WITHOUT MCC $58,242 — $7,506 +676% $17,081 +241% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $58,217 $10,912 $8,299 +602% $17,404 +235% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $58,184 $14,599 $12,763 +356% $36,505 +59% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $58,035 $15,856 $13,791 +321% $28,202 +106% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $57,958 $17,270 $15,041 +285% $38,101 +52% —
887 OTHER MENTAL DISORDER DIAGNOSES $57,815 $13,142 $10,090 +473% $20,616 +180% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $57,740 $14,095 $15,599 +270% $32,859 +76% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $57,731 — $10,725 +438% $27,426 +110% —
088 CONCUSSION WITH MCC $57,593 — $11,968 +381% $24,402 +136% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $57,546 $9,930 $7,571 +660% $22,148 +160% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $57,315 $11,226 $9,868 +481% $19,412 +195% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $57,285 $16,084 $12,407 +362% $31,170 +84% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MINOR $56,964 — $35,306 +61% $45,066 +26% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $56,701 $10,633 $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 $17,266 $13,279 +326% $34,749 +63% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $56,570 $18,931 $16,620 +240% $40,213 +41% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $56,519 — $8,627 +555% $23,940 +136% ≈395% of Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $56,260 $20,303 $15,627 +260% $29,221 +93% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $56,145 $18,465 $16,098 +249% $40,562 +38% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $56,029 $23,936 $20,936 +168% $54,583 +3% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $56,009 $6,129 $5,596 +901% $13,633 +311% —
534 FRACTURES OF FEMUR WITHOUT MCC $55,994 $7,856 $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% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $55,839 $9,959 $8,633 +547% $25,303 +121% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $55,637 $18,371 $16,015 +247% $33,255 +67% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $55,519 $8,556 $7,005 +693% $17,298 +221% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $55,203 $15,235 $13,458 +310% $41,955 +32% ≈300% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $55,082 — $8,197 +572% $21,449 +157% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $54,964 $9,493 $8,164 +573% $21,363 +157% ≈274% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $54,921 $17,538 $13,548 +305% $35,453 +55% —
291 HEART FAILURE AND SHOCK WITH MCC $54,731 $12,778 $11,069 +394% $26,776 +104% ≈261% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $54,477 $16,723 $14,558 +274% $38,094 +43% ≈326% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $54,453 $12,839 $11,865 +359% $27,861 +95% —
375 DIGESTIVE MALIGNANCY WITH CC $54,291 $10,083 $10,424 +421% $27,277 +99% —
241 PEPTIC ULCER AND GASTRITIS,MODERATE $54,156 — $12,809 +323% $30,770 +76% —
158 DENTAL AND ORAL DISEASES WITH CC $53,941 $9,211 $7,980 +576% $18,466 +192% —
571 SKIN DEBRIDEMENT WITH CC $53,932 $17,184 $14,204 +280% $37,169 +45% —
054 MIGRAINE AND OTHER HEADACHES,MINOR $53,927 — $12,718 +324% $30,502 +77% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $53,698 $10,665 $9,200 +484% $23,319 +130% ≈276% of Medicare
224 PERITONEAL ADHESIOLYSIS,MINOR $53,680 — $53,680 +0% $80,427 −33% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $53,627 $16,284 $14,169 +278% $26,682 +101% ≈110% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $53,599 $12,132 $10,497 +411% $26,580 +102% ≈260% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $53,553 $17,742 $13,708 +291% $27,152 +97% —
403 PROCEDURES FOR OBESITY,MINOR $53,392 — $50,645 +5% $50,645 +5% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $53,390 $12,996 $11,424 +367% $24,127 +121% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $53,203 $15,100 $11,626 +358% $20,980 +154% —
947 SIGNS AND SYMPTOMS WITH MCC $53,199 — $10,911 +388% $27,401 +94% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $53,154 $11,306 $8,650 +515% $22,635 +135% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $53,044 $10,874 $9,527 +457% $24,386 +118% ≈254% of Medicare
312 SYNCOPE AND COLLAPSE $52,762 $8,620 $7,392 +614% $19,342 +173% ≈271% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $52,684 $10,290 $7,859 +570% $20,566 +156% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $52,622 $13,116 $11,368 +363% $31,264 +68% ≈211% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $52,455 $7,220 $6,346 +727% $14,716 +256% —
513 GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MODERATE $52,283 — $12,773 +309% $33,424 +56% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $52,091 $15,303 $13,302 +292% $33,633 +55% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $52,007 $11,509 $9,928 +424% $23,617 +120% ≈258% of Medicare
244 DIVERTICULITIS AND DIVERTICULOSIS,MINOR $51,936 — $15,310 +239% $41,591 +25% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $51,935 $10,532 $9,082 +472% $20,422 +154% ≈263% of Medicare
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $51,659 $9,258 $8,510 +507% $17,737 +191% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $51,515 $19,009 $16,579 +211% $29,524 +74% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $51,398 $14,022 $10,780 +377% $23,498 +119% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $51,367 $11,565 $9,160 +461% $22,314 +130% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $51,282 $8,392 $6,364 +706% $19,037 +169% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $51,227 — $8,115 +531% $16,700 +207% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $51,106 — $11,178 +357% $36,937 +38% ≈406% of Medicare
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $51,039 $12,796 $12,470 +309% $30,571 +67% ≈227% of Medicare
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $50,984 $7,722 $6,598 +673% $17,124 +198% —
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR $50,632 — $14,841 +241% $38,836 +30% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $50,558 — $11,795 +329% $27,285 +85% ≈352% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $50,322 $19,632 $14,623 +244% $27,233 +85% —
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% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $49,950 $13,001 $11,266 +343% $25,463 +96% ≈263% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $49,916 $18,600 $15,470 +223% $31,105 +60% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $49,839 $13,670 $10,451 +377% $19,270 +159% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $49,734 $12,648 $9,703 +413% $25,390 +96% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $49,666 $6,885 $6,052 +721% $15,837 +214% —
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE $49,550 — $21,927 +126% $26,085 +90% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $49,316 $15,777 $12,157 +306% $32,833 +50% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $49,156 $9,070 $6,901 +612% $19,119 +157% —
551 MEDICAL BACK PROBLEMS WITH MCC $49,009 — $14,476 +239% $34,017 +44% —
506 MAJOR THUMB OR JOINT PROCEDURES $48,885 $14,642 $12,718 +284% $30,557 +60% —
999 UNGROUPABLE $48,800 $10,239 $48,800 +0% $29,674 +64% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $48,767 — $8,598 +467% $18,452 +164% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $48,742 $12,621 $10,930 +346% $25,748 +89% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $48,513 $8,747 $7,504 +546% $15,452 +214% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $48,296 $12,594 $9,660 +400% $25,279 +91% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $48,268 — $5,839 +727% $20,781 +132% ≈529% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $48,207 $10,135 $8,732 +452% $22,850 +111% ≈266% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $48,154 $9,670 $8,364 +476% $22,098 +118% ≈258% of Medicare
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MINOR $48,037 — $139,112 −65% $30,000 +60% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $47,999 $8,292 $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% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $47,799 $11,042 $9,534 +401% $31,321 +53% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $47,711 $10,750 $8,598 +455% $19,962 +139% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $47,506 $7,419 $6,330 +650% $16,565 +187% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $47,395 — $8,509 +457% $16,212 +192% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $47,232 $9,790 $8,483 +457% $20,957 +125% —
637 DIABETES WITH MCC $47,165 — $12,354 +282% $30,100 +57% ≈340% of Medicare
313 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MINOR $47,049 — $6,052 +677% $16,440 +186% ≈402% of Medicare
644 ENDOCRINE DISORDERS WITH CC $46,954 — $8,767 +436% $23,198 +102% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $46,817 — $11,127 +321% $27,043 +73% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $46,800 $9,832 $7,499 +524% $16,520 +183% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $46,788 $8,513 $7,297 +541% $19,096 +145% ≈272% of Medicare
696 OTHER CHEMOTHERAPY,MODERATE $46,671 — $5,869 +695% $14,689 +218% —
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 $16,837 $12,988 +258% $25,703 +81% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $46,351 $14,010 $12,159 +281% $35,465 +31% —
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR $46,155 — $12,466 +270% $25,073 +84% —
305 HYPERTENSION WITHOUT MCC $46,132 — $6,369 +624% $18,086 +155% ≈374% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $46,010 $10,152 $8,746 +426% $22,888 +101% ≈287% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $45,842 — $12,759 +259% $36,253 +26% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $45,820 $7,134 $5,378 +752% $11,421 +301% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $45,593 $9,232 $7,986 +471% $20,181 +126% ≈268% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $45,562 $6,585 $7,829 +482% $20,488 +122% ≈259% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $45,379 $9,392 $8,075 +462% $18,316 +148% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $45,330 $12,941 $10,507 +331% $22,458 +102% —
950 AFTERCARE WITHOUT CC/MCC $45,297 $6,617 $4,972 +811% $13,527 +235% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $45,280 $13,981 $10,748 +321% $28,125 +61% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $45,123 $7,194 $5,429 +731% $14,250 +217% —
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% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $44,696 $10,693 $8,103 +452% $19,594 +128% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $44,680 $8,127 $6,956 +542% $18,204 +145% ≈268% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $44,674 — $8,176 +446% $21,396 +109% ≈384% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $44,654 $7,727 $6,793 +557% $13,586 +229% —
773 OPIOID ABUSE AND DEPENDENCE,MAJOR $44,651 — $130,556 −66% $87,384 −49% —
920 COMPLICATIONS OF TREATMENT WITH CC $44,583 $10,007 $8,618 +417% $22,468 +98% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $44,449 $9,981 $8,652 +414% $21,275 +109% ≈237% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $44,305 — $13,910 +219% $30,235 +47% ≈326% of Medicare
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $44,115 $7,402 $6,315 +599% $15,019 +194% —
133 RESPIRATORY FAILURE,MODERATE $44,049 — $35,227 — $38,305 +15% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $43,890 $7,910 $6,764 +549% $17,700 +148% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $43,833 — $5,792 +657% $13,651 +221% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $43,789 $7,951 $6,800 +544% $17,578 +149% ≈289% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $43,597 $8,451 $6,411 +580% $16,776 +160% —
756 ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR $43,321 — $8,102 +435% $15,589 +178% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $43,074 — $9,076 +375% $23,749 +81% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $43,061 $9,396 $8,132 +430% $17,733 +143% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $43,004 $7,086 $6,229 +590% $14,514 +196% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $42,982 $8,389 $7,288 +490% $18,807 +129% ≈251% of Medicare
779 ABORTION WITHOUT D&C $42,870 $9,229 $7,930 +441% $15,327 +180% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $42,853 — $9,244 +364% $32,021 +34% ≈428% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $42,732 $6,088 $5,153 +729% $13,642 +213% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $42,443 $10,254 $8,843 +380% $23,141 +83% —
607 MINOR SKIN DISORDERS WITHOUT MCC $42,348 $8,551 $7,331 +478% $15,889 +167% —
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% —
639 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,MODERATE $41,973 — $5,316 +690% $13,910 +202% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $41,893 — $5,834 +618% $14,415 +191% —
683 RENAL FAILURE WITH CC $41,882 — $7,541 +455% $19,130 +119% ≈369% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $41,810 $8,061 $6,105 +585% $12,559 +233% —
176 PULMONARY EMBOLISM WITHOUT MCC $41,706 $8,075 $6,910 +504% $18,081 +131% ≈371% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $41,490 $14,022 $10,780 +285% $19,686 +111% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $41,444 $22,124 $19,334 +114% $48,349 −14% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $41,365 $6,936 $5,942 +596% $15,549 +166% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $41,361 $9,104 $7,820 +429% $20,463 +102% ≈252% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $41,311 $10,187 $7,779 +431% $17,135 +141% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $40,868 $8,835 $7,583 +439% $19,842 +106% ≈273% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $40,865 $11,212 $4,655 +778% $12,999 +214% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $40,766 $6,162 $5,218 +681% $15,183 +168% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $40,671 — $6,272 +548% $17,303 +135% ≈421% of Medicare
885 PSYCHOSES $40,627 $13,784 $11,958 +240% $21,729 +87% ≈79% of Medicare
593 SKIN ULCERS WITH CC $40,197 $11,991 $10,373 +288% $22,886 +76% —
638 DIABETES WITH CC $40,174 $9,173 $7,781 +416% $19,661 +104% ≈296% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $40,141 $7,397 $6,606 +508% $15,428 +160% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $40,113 — $11,310 +255% $32,841 +22% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $39,679 $11,072 $8,598 +361% $15,370 +158% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $39,619 $7,747 $6,620 +499% $17,322 +129% ≈277% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $39,614 — $8,161 +385% $15,680 +153% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $39,598 $12,314 $9,379 +322% $24,544 +61% —
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MODERATE $39,597 — $45,105 −12% $34,146 +16% —
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 $18,561 $14,340 +175% $29,079 +36% —
292 HEART FAILURE AND SHOCK WITH CC $39,323 — $7,306 +438% $16,371 +140% —
101 SEIZURES WITHOUT MCC $39,230 $9,103 $7,819 +402% $20,461 +92% ≈264% of Medicare
311 ANGINA PECTORIS $39,120 $6,960 $5,924 +560% $15,502 +152% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $39,115 $8,984 $9,000 +335% $23,551 +66% —
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,MODERATE $38,772 — $38,772 — $72,498 −47% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $38,634 — $8,201 +371% $17,724 +118% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $38,608 $8,215 $7,080 +445% $18,528 +108% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $38,438 $14,260 $10,298 +273% $26,948 +43% —
667 PROSTATECTOMY WITHOUT CC/MCC $38,329 $11,472 $8,719 +340% $16,703 +129% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $38,208 — $5,401 +607% $15,038 +154% —
229 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MINOR $38,140 — $38,140 +0% $65,325 −42% —
753 BIPOLAR DISORDERS,MAJOR $38,035 — $24,612 +55% $14,949 +154% —
111 VERTIGO AND OTHER LABYRINTH DISORDERS,MINOR $37,981 — $37,981 +0% $32,376 +17% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $37,893 $7,757 $6,629 +472% $17,038 +122% ≈288% of Medicare
757 ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,MODERATE $37,860 — $12,007 +215% $26,280 +44% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $37,854 — $12,577 +201% $36,988 +2% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $37,788 $12,135 $9,300 +306% $16,846 +124% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $37,241 — $6,661 +459% $14,014 +166% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $37,240 $10,962 $9,526 +291% $19,815 +88% —
090 CONCUSSION WITHOUT CC/MCC $37,232 $8,431 $7,273 +412% $15,412 +142% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $37,151 $13,019 $11,282 +229% $24,552 +51% —
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $37,084 — $37,084 +0% $35,138 +6% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $36,991 $7,596 $6,530 +466% $14,648 +153% ≈360% of Medicare
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $36,964 — $5,149 +618% $11,071 +234% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $36,947 $14,068 $12,209 +203% $26,932 +37% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $36,945 $6,899 $5,910 +525% $12,252 +202% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $36,884 $7,922 $5,921 +523% $15,495 +138% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $36,728 $6,470 $5,491 +569% $14,368 +156% —
935 NON-EXTENSIVE BURNS $36,580 $24,065 $18,633 +96% $31,701 +15% —
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% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $36,365 — $12,726 +186% $27,394 +33% —
153 OTITIS MEDIA AND URI WITHOUT MCC $36,297 — $6,038 +501% $14,583 +149% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $36,167 $9,053 $8,111 +346% $19,924 +82% —
103 HEADACHES WITHOUT MCC $35,984 — $7,213 +399% $21,280 +69% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $35,930 $8,946 $6,144 +485% $12,593 +185% —
201 PNEUMOTHORAX WITHOUT CC/MCC $35,923 $7,697 $5,744 +525% $14,053 +156% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $35,816 $12,776 $9,803 +265% $25,652 +40% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $35,740 $11,685 $10,169 +251% $30,784 +16% —
038 EXTRACRANIAL PROCEDURES WITH CC $35,734 $15,719 $13,669 +161% $35,770 −0% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $35,661 $6,012 $5,086 +601% $10,975 +225% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,578 — $9,656 +268% $26,618 +34% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $35,449 $9,702 $7,314 +385% $19,138 +85% —
760 OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,MODERATE $35,376 — $8,361 +323% $20,895 +69% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $35,211 $10,009 $8,620 +308% $19,264 +83% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $35,208 $6,949 $5,889 +498% $14,797 +138% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $35,071 $9,104 $7,484 +369% $16,699 +110% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $34,925 $8,094 $6,927 +404% $18,126 +93% —
751 DEPRESSIVE DISORDERS,MINOR $34,676 — $15,939 +118% $15,939 +118% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $34,568 — $6,927 +399% $18,126 +91% —
280 ALCOHOLIC LIVER DISEASE,MINOR $34,166 — $13,925 +145% $30,828 +11% ≈54% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $34,052 — $5,283 +545% $13,824 +146% —
541 OSTEOMYELITIS WITHOUT CC/MCC $33,601 $9,741 $7,422 +353% $15,215 +121% —
200 PNEUMOTHORAX WITH CC $33,438 $10,547 $9,395 +256% $21,368 +56% —
724 OTHER INFECTIOUS AND PARASITIC DISEASES,MINOR $33,433 — $6,181 +441% $12,768 +162% —
561 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,MODERATE $33,273 — $6,936 +380% $18,150 +83% —
302 ATHEROSCLEROSIS WITH MCC $33,191 $11,421 $9,869 +236% $22,446 +48% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $33,153 — $5,686 +483% $16,288 +104% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $33,077 $6,613 $6,053 +446% $12,454 +166% —
046 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,MODERATE $32,714 — $32,714 — $29,050 +13% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $32,566 $9,981 $8,652 +276% $17,601 +85% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $32,495 $5,476 $4,642 +600% $13,361 +143% ≈301% of Medicare
151 EPISTAXIS WITHOUT MCC $32,401 $7,533 $6,430 +404% $13,032 +149% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $32,240 — $6,740 +378% $17,921 +80% —
697 URETHRAL STRICTURE $31,718 — $8,499 +273% $18,428 +72% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $31,571 $11,907 $9,128 +246% $18,956 +67% —
775 ALCOHOL ABUSE AND DEPENDENCE,MINOR $31,569 — $31,569 +0% $3,032 +941% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $31,393 — $4,747 +561% $13,384 +135% ≈564% of Medicare
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $30,989 $8,641 $7,410 +318% $19,846 +56% —
594 SKIN ULCERS WITHOUT CC/MCC $30,983 $8,088 $7,200 +330% $14,209 +118% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $30,069 $9,122 $7,836 +284% $20,506 +47% ≈284% of Medicare
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $30,021 $7,203 $8,598 +249% $13,275 +126% —
247 INTESTINAL OBSTRUCTION,MAJOR $29,924 — $31,429 −5% $21,663 +38% —
542 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MINOR $29,810 — $15,823 +88% $36,792 −19% —
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE $29,709 — $12,737 +133% $26,436 +12% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $29,024 $6,248 $5,295 +448% $12,324 +135% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $28,753 $10,380 $12,517 +130% $23,571 +22% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $28,495 $7,220 $6,154 +363% $16,767 +70% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $27,993 $8,940 $12,517 +124% $20,084 +39% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $27,961 — $8,598 +225% $12,078 +131% —
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 $13,704 $11,888 +123% $22,393 +18% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $26,390 $9,217 $7,920 +233% $16,968 +56% —
916 ALLERGIC REACTIONS WITHOUT MCC $26,072 $6,632 $5,634 +363% $13,942 +87% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $26,006 $9,128 $6,947 +274% $14,501 +79% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $25,908 $6,479 $5,399 +380% $14,128 +83% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $25,281 $5,700 $4,810 +426% $10,160 +149% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $25,075 $15,307 $11,788 +113% $25,094 −0% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $25,015 $7,431 $6,341 +295% $12,895 +94% —
881 DEPRESSIVE NEUROSES $24,832 $9,030 $7,755 +220% $15,058 +65% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $22,519 $7,833 $6,696 +236% $17,620 +28% —
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% —
226 ANAL AND PERINEAL PROCEDURES,MINOR $19,012 — $19,012 +0% $72,618 −74% —
282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MAJOR $18,595 — $6,151 +202% $19,227 −3% ≈254% of Medicare
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $17,849 — $4,763 +275% $10,480 +70% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $17,552 — $5,976 +194% $12,336 +42% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $16,397 $16,397 $35,380 −54% $18,649 −12% —
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 $13,628 — $4,410 +209% $9,940 +37% —
427 THYROID DISORDERS,MODERATE $13,601 — $60,256 −77% $132,794 −90% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,335 $9,425 $7,105 +88% $14,064 −5% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $12,341 — $3,747 +229% $8,927 +38% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,346 — $12,523 −33% $8,445 −1% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $6,132 $6,132 $20,782 −70% $12,229 −50% —
795 NORMAL NEWBORN $5,897 $2,178 $3,492 +69% $4,720 +25% —

Procedures with negotiated rates only

These 1 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 $5,902 – $24,217 · median $13,550 18 plans
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