Cooper University Hospital Cape Regional — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 676 with a comparable price, 102 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 778
Lowest published price $2,163
Average published price $19,071
Highest published price $236,577

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 778 procedures

Published charges

Showing all 676 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 56 procedures, this hospital's negotiated rates average ≈173% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $236,577 $236,577 $236,577 +0% $306,087 −23% —
212 CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES $96,880 $96,880 $102,715 −6% $171,338 −43% —
215 Other heart assist system implant $91,898 $91,898 $116,471 −21% $191,314 −52% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $87,332 $87,332 $113,415 −23% $175,437 −50% —
453 Combined anterior/posterior spinal fusion w MCC $79,769 $79,769 $103,861 −23% $103,861 −23% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $75,898 $75,898 $111,108 −32% $151,029 −50% —
231 CORONARY BYPASS WITH PTCA WITH MCC $73,082 $73,082 $105,048 −30% $146,474 −50% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $70,254 $70,254 $99,484 −29% $138,868 −49% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $69,461 $69,461 $88,104 −21% $143,242 −52% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $65,171 $65,171 $96,002 −32% $120,587 −46% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $63,409 $63,409 $62,554 +1% $131,961 −52% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $62,773 $62,773 $81,678 −23% $138,008 −55% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $62,368 $62,368 $56,660 +10% $89,353 −30% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $62,263 $62,263 $56,462 +10% $116,058 −46% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $61,946 $61,946 $76,100 −19% $109,331 −43% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $61,786 $61,786 $61,786 +0% $118,589 −48% —
461 Bilateral or multiple major joint procs of lower extremity w MCC $61,461 $61,461 $77,989 −21% $108,472 −43% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $59,792 $59,792 $75,879 −21% $75,251 −21% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $57,400 $57,400 $56,890 +1% $121,714 −53% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $56,331 $56,331 $71,503 −21% $113,855 −51% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $56,080 $56,080 $76,220 −26% $98,912 −43% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $56,010 $56,010 $56,010 +0% $117,280 −52% —
454 Combined anterior/posterior spinal fusion w CC $55,168 $55,168 $79,734 −31% $69,101 −20% —
955 Craniotomy for multiple significant trauma $54,934 $54,934 $59,339 −7% $105,612 −48% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $54,801 $54,801 $69,568 −21% $107,355 −49% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $54,544 $54,544 $71,838 −24% $96,192 −43% —
790 Extreme immaturity or respiratory distress syndrome, neonate $54,127 $54,127 $71,534 −24% $80,018 −32% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $53,665 $53,665 $53,665 +0% $106,238 −49% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $53,056 $53,056 $67,362 −21% $112,062 −53% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $51,408 $51,408 $73,928 −30% $92,238 −44% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $51,286 $51,286 $46,886 +9% $82,527 −38% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,112 $51,112 $46,936 +9% $78,582 −35% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $50,532 $50,532 $46,891 +8% $76,583 −34% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $49,692 $49,692 $69,661 −29% $94,927 −48% —
653 MAJOR BLADDER PROCEDURES WITH MCC $48,871 $48,871 $62,070 −21% $97,046 −50% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $47,356 $47,356 $47,356 +0% $102,177 −54% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $46,938 $46,938 $61,822 −24% $102,573 −54% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $46,836 $46,836 $65,645 −29% $96,222 −51% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $45,872 $45,872 $59,697 −23% $80,747 −43% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $45,674 $45,674 $59,897 −24% $99,423 −54% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $45,511 $45,511 $57,822 −21% $96,905 −53% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $45,158 $45,158 $66,300 −32% $87,018 −48% ≈170% of Medicare
799 SPLENECTOMY WITH MCC $44,757 $44,757 $63,003 −29% $78,821 −43% —
471 CERVICAL SPINAL FUSION WITH MCC $44,438 $44,438 $58,448 −24% $92,515 −52% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $44,090 $44,090 $56,801 −22% $92,217 −52% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $43,433 $43,433 $49,585 −12% $87,565 −50% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $43,214 $43,214 $49,595 −13% $91,329 −53% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $42,983 $42,983 $43,716 −2% $70,735 −39% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $42,838 $42,838 $54,442 −21% $86,390 −50% —
163 MAJOR CHEST PROCEDURES WITH MCC $42,597 $42,597 $54,801 −22% $88,341 −52% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $42,015 $42,015 $54,333 −23% $90,331 −53% —
455 Combined anterior/posterior spinal fusion w/o CC/MCC $41,630 $41,630 $58,617 −29% $54,320 −23% —
245 AICD generator procedures $40,965 $40,965 $61,075 −33% $72,076 −43% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $40,961 $40,961 $55,653 −26% $83,441 −51% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $40,834 $40,834 $62,792 −35% $88,050 −54% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $40,700 $40,700 $58,079 −30% $80,885 −50% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $40,661 $40,661 $40,443 +1% $71,551 −43% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $40,328 $40,328 $43,480 −7% $84,861 −52% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $40,041 $40,041 $50,907 −21% $72,859 −45% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $39,687 $39,687 $53,961 −26% $88,691 −55% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $39,446 $39,446 $46,152 −15% $75,585 −48% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $39,140 $39,140 $37,586 +4% $68,847 −43% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,916 $38,916 $44,319 −12% $76,954 −49% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $38,700 $38,700 $52,759 −27% $82,561 −53% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,078 $38,078 $35,380 +8% $16,719 +128% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $37,624 $37,624 $42,533 −12% $83,065 −55% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $37,457 $37,457 $55,014 −32% $88,049 −57% —
791 PREMATURITY WITH MAJOR PROBLEMS $37,078 $37,078 $45,159 −18% $39,563 −6% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $36,720 $36,720 $48,736 −25% $72,782 −50% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $36,604 $36,604 $41,582 −12% $66,853 −45% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $36,571 $36,571 $46,520 −21% $82,247 −56% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $36,332 $36,332 $35,390 +3% $68,006 −47% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $35,823 $35,823 $34,783 +3% $62,961 −43% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,404 $35,404 $48,943 −28% $72,011 −51% —
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $35,279 $35,279 $40,083 −12% $78,852 −55% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $35,191 $35,191 $47,381 −26% $61,832 −43% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $35,111 $35,111 $35,111 +0% $75,103 −53% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $34,639 $34,639 $46,834 −26% $60,861 −43% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $34,214 $34,214 $34,907 −2% $60,098 −43% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $33,796 $33,796 $33,337 +1% $54,196 −38% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $33,713 $33,713 $42,905 −21% $59,207 −43% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $33,688 $33,688 $45,405 −26% $71,701 −53% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $33,496 $33,496 $51,316 −35% $72,945 −54% ≈148% of Medicare
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $33,136 $33,136 $50,803 −35% $50,815 −35% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $33,082 $33,082 $31,290 +6% $64,776 −49% —
332 RECTAL RESECTION WITH MCC $32,865 $32,865 $29,427 +12% $58,125 −43% —
739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $32,764 $32,764 $47,902 −32% $57,521 −43% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $32,449 $32,449 $43,922 −26% $56,964 −43% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $32,394 $32,394 $46,502 −30% $71,755 −55% —
265 AICD lead procedures $32,027 $32,027 $31,144 +3% $56,695 −44% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $31,947 $31,947 $31,947 +0% $68,399 −53% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $31,599 $31,599 $42,906 −26% $68,880 −54% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $31,382 $31,382 $35,670 −12% $70,540 −56% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $31,349 $31,349 $30,833 +2% $56,242 −44% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $31,329 $31,329 $30,072 +4% $71,014 −56% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $31,319 $31,319 $43,918 −29% $70,132 −55% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $30,877 $30,877 $30,877 +0% $49,065 −37% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,738 $30,738 $30,575 +1% $59,425 −48% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,616 $30,616 $38,991 −21% $65,383 −53% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,547 $30,547 $30,024 +2% $62,269 −51% —
252 OTHER VASCULAR PROCEDURES WITH MCC $30,411 $30,411 $42,633 −29% $68,508 −56% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $30,307 $30,307 $38,910 −22% $54,129 −44% —
469 Major joint replacement or reattachment of lower extremity w MCC $30,196 $30,196 $33,894 −11% $65,254 −54% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $30,158 $30,158 $28,012 +8% $52,908 −43% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $30,065 $30,065 $38,294 −21% $67,901 −56% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,875 $29,875 $27,579 +8% $64,956 −54% —
264 Other circulatory system O.R. procedures $29,624 $29,624 $29,651 −0% $51,953 −43% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,536 $29,536 $33,398 −12% $55,097 −46% —
500 SOFT TISSUE PROCEDURES WITH MCC $29,416 $29,416 $27,145 +8% $57,479 −49% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $29,398 $29,398 $37,451 −22% $65,573 −55% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $29,172 $29,172 $27,638 +6% $44,472 −34% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $29,170 $29,170 $26,927 +8% $51,142 −43% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $29,040 $29,040 $29,942 −3% $50,919 −43% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $29,038 $29,038 $40,209 −28% $57,277 −49% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $28,850 $28,850 $37,378 −23% $65,325 −56% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $28,688 $28,688 $26,998 +6% $62,821 −54% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $28,619 $28,619 $27,771 +3% $53,817 −47% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $28,474 $28,474 $28,474 +0% $64,465 −56% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $28,362 $28,362 $27,054 +5% $49,710 −43% —
665 PROSTATECTOMY WITH MCC $28,039 $28,039 $41,317 −32% $54,072 −48% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $27,913 $27,913 $32,419 −14% $53,555 −48% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $27,527 $27,527 $33,230 −17% $59,352 −54% —
652 Kidney transplant $27,280 $27,280 $27,280 +0% $54,720 −50% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $27,253 $27,253 $25,014 +9% $54,313 −50% —
662 MINOR BLADDER PROCEDURES WITH MCC $27,211 $27,211 $30,960 −12% $54,483 −50% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $27,188 $27,188 $35,073 −22% $67,764 −60% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $26,959 $26,959 $27,766 −3% $66,819 −60% —
472 CERVICAL SPINAL FUSION WITH CC $26,841 $26,841 $25,060 +7% $59,537 −55% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $26,783 $26,783 $36,997 −28% $63,984 −58% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $26,562 $26,562 $26,562 +0% $60,140 −56% —
570 SKIN DEBRIDEMENT WITH MCC $26,543 $26,543 $26,159 +1% $52,435 −49% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $26,534 $26,534 $24,323 +9% $58,968 −55% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $26,492 $26,492 $25,951 +2% $46,402 −43% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $26,231 $26,231 $24,059 +9% $58,043 −55% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,170 $26,170 $23,780 +10% $48,358 −46% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $26,118 $26,118 $24,151 +8% $74,274 −65% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC $25,863 $25,863 $29,422 −12% $56,758 −54% —
263 VEIN LIGATION AND STRIPPING $25,674 $25,674 $23,200 +11% $44,938 −43% —
668 TRANSURETHRAL PROCEDURES WITH MCC $25,609 $25,609 $25,343 +1% $47,277 −46% —
800 SPLENECTOMY WITH CC $25,607 $25,607 $25,439 +1% $49,184 −48% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $25,531 $25,531 $25,425 +0% $54,475 −53% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $24,977 $24,977 $21,896 +14% $43,697 −43% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,914 $24,914 $24,914 +0% $44,839 −44% —
654 MAJOR BLADDER PROCEDURES WITH CC $24,888 $24,888 $24,176 +3% $53,868 −54% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $24,859 $24,859 $23,718 +5% $43,491 −43% —
510 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC $24,737 $24,737 $24,247 +2% $49,055 −50% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,629 $24,629 $32,590 −24% $48,907 −50% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $24,586 $24,586 $22,768 +8% $52,405 −53% ≈173% of Medicare
849 RADIOTHERAPY $24,475 $24,475 $22,353 +9% $37,862 −35% —
503 FOOT PROCEDURES WITH MCC $24,390 $24,390 $23,106 +6% $43,901 −44% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $24,279 $24,279 $22,797 +7% $54,929 −56% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $24,123 $24,123 $20,655 +17% $40,065 −40% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $24,096 $24,096 $22,590 +7% $45,432 −47% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,053 $24,053 $24,988 −4% $53,551 −55% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $23,754 $23,754 $22,044 +8% $46,659 −49% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,593 $23,593 $22,859 +3% $45,497 −48% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $23,556 $23,556 $22,354 +5% $48,094 −51% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $23,553 $23,553 $23,568 −0% $44,973 −48% —
253 OTHER VASCULAR PROCEDURES WITH CC $23,218 $23,218 $22,753 +2% $53,746 −57% —
164 MAJOR CHEST PROCEDURES WITH CC $23,211 $23,211 $21,353 +9% $53,141 −56% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $23,200 $23,200 $20,663 +12% $40,548 −43% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,050 $23,050 $29,424 −22% $40,277 −43% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,914 $22,914 $21,960 +4% $41,703 −45% —
113 ORBITAL PROCEDURES WITH CC/MCC $22,825 $22,825 $19,331 +18% $35,642 −36% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $22,736 $22,736 $20,599 +10% $54,824 −59% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,699 $22,699 $21,147 +7% $39,657 −43% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,634 $22,634 $21,375 +6% $51,985 −56% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $22,618 $22,618 $22,247 +2% $57,149 −60% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,513 $22,513 $20,782 +8% $11,633 +94% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $22,406 $22,406 $20,281 +10% $50,624 −56% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,258 $22,258 $21,877 +2% $38,878 −43% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,217 $22,217 $21,745 +2% $55,162 −60% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $21,903 $21,903 $22,509 −3% $40,947 −47% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $21,879 $21,879 $28,417 −23% $56,394 −61% ≈161% of Medicare
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,863 $21,863 $20,519 +7% $46,591 −53% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,717 $21,717 $20,417 +6% $50,139 −57% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $21,704 $21,704 $27,750 −22% $49,631 −56% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,613 $21,613 $20,052 +8% $58,832 −63% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $21,422 $21,422 $19,811 +8% $51,339 −58% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $21,127 $21,127 $28,596 −26% $52,313 −60% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $21,121 $21,121 $20,508 +3% $47,546 −56% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $20,766 $20,766 $19,668 +6% $50,011 −58% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $20,634 $20,634 $19,545 +6% $45,059 −54% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,564 $20,564 $18,088 +14% $36,097 −43% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $20,541 $20,541 $19,713 +4% $43,586 −53% —
397 APPENDIX PROCEDURES WITH MCC $20,489 $20,489 $21,532 −5% $52,319 −61% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $20,389 $20,389 $17,874 +14% $35,569 −43% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $20,366 $20,366 $18,841 +8% $38,382 −47% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $20,359 $20,359 $18,682 +9% $44,053 −54% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,304 $20,304 $20,257 +0% $36,080 −44% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $20,138 $20,138 $19,158 +5% $38,998 −48% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $20,042 $20,042 $19,570 +2% $48,682 −59% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,982 $19,982 $19,811 +1% $36,334 −45% —
595 MAJOR SKIN DISORDERS WITH MCC $19,847 $19,847 $17,943 +11% $31,785 −38% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $19,834 $19,834 $19,834 +0% $35,686 −44% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $19,772 $19,772 $17,669 +12% $38,420 −49% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $19,673 $19,673 $19,498 +1% $44,600 −56% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,632 $19,632 $18,560 +6% $40,232 −51% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $19,575 $19,575 $19,205 +2% $44,553 −56% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,495 $19,495 $19,259 +1% $41,900 −53% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $19,459 $19,459 $16,604 +17% $36,202 −46% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $19,427 $19,427 $17,735 +10% $32,483 −40% —
711 TESTES PROCEDURES WITH CC/MCC $19,380 $19,380 $16,209 +20% $34,852 −44% —
709 PENIS PROCEDURES WITH CC/MCC $19,354 $19,354 $19,437 −0% $34,535 −44% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $19,284 $19,284 $17,642 +9% $56,519 −66% ≈111% of Medicare
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $19,273 $19,273 $19,273 +0% $37,080 −48% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,245 $19,245 $17,623 +9% $41,651 −54% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $19,234 $19,234 $16,673 +15% $41,520 −54% —
336 PERITONEAL ADHESIOLYSIS WITH CC $19,222 $19,222 $21,904 −12% $49,470 −61% —
374 DIGESTIVE MALIGNANCY WITH MCC $19,166 $19,166 $18,263 +5% $38,885 −51% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $19,117 $19,117 $18,627 +3% $38,357 −50% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $19,108 $19,108 $18,382 +4% $31,044 −38% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $19,106 $19,106 $18,191 +5% $36,850 −48% —
592 SKIN ULCERS WITH MCC $19,086 $19,086 $17,616 +8% $32,662 −42% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,061 $19,061 $19,842 −4% $39,253 −51% —
333 RECTAL RESECTION WITH CC $18,991 $18,991 $18,469 +3% $34,352 −45% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,950 $18,950 $17,775 +7% $51,172 −63% ≈162% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $18,921 $18,921 $18,227 +4% $34,900 −46% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,691 $18,691 $17,271 +8% $29,109 −36% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,686 $18,686 $18,686 +0% $37,654 −50% —
935 Non-extensive burns $18,647 $18,647 $18,633 +0% $29,458 −37% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,644 $18,644 $18,104 +3% $45,817 −59% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,621 $18,621 $17,364 +7% $43,524 −57% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,353 $18,353 $18,345 +0% $46,477 −61% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,315 $18,315 $17,112 +7% $41,660 −56% —
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $18,223 $18,223 $16,964 +7% $43,538 −58% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $18,167 $18,167 $17,146 +6% $43,800 −59% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $18,140 $18,140 $16,387 +11% $42,881 −58% —
539 OSTEOMYELITIS WITH MCC $18,139 $18,139 $17,157 +6% $33,746 −46% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $18,123 $18,123 $16,645 +9% $35,237 −49% ≈164% of Medicare
100 SEIZURES WITH MCC $18,122 $18,122 $17,172 +6% $35,194 −49% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $18,062 $18,062 $17,190 +5% $43,398 −58% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $18,044 $18,044 $16,953 +6% $44,363 −59% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $18,022 $18,022 $16,589 +9% $35,014 −49% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,997 $17,997 $17,136 +5% $43,775 −59% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,937 $17,937 $16,240 +10% $43,080 −58% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,908 $17,908 $17,710 +1% $34,089 −47% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,896 $17,896 $17,896 +0% $46,066 −61% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,852 $17,852 $17,206 +4% $30,661 −42% —
548 SEPTIC ARTHRITIS WITH MCC $17,829 $17,829 $17,091 +4% $31,019 −43% —
380 COMPLICATED PEPTIC ULCER WITH MCC $17,817 $17,817 $16,722 +7% $36,641 −51% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,526 $17,526 $16,783 +4% $36,933 −53% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,341 $17,341 $16,297 +6% $30,766 −44% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $17,245 $17,245 $16,098 +7% $35,459 −51% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $17,225 $17,225 $16,902 +2% $33,050 −48% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $17,219 $17,219 $16,567 +4% $42,126 −59% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $17,218 $17,218 $16,152 +7% $49,197 −65% ≈160% of Medicare
906 Hand procedures for injuries $17,218 $17,218 $18,264 −6% $31,520 −45% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,171 $17,171 $15,813 +9% $41,380 −59% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,162 $17,162 $15,515 +11% $22,698 −24% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $17,157 $17,157 $14,811 +16% $29,826 −42% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,121 $17,121 $14,728 +16% $32,839 −48% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $17,106 $17,106 $16,152 +6% $45,963 −63% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $17,083 $17,083 $14,911 +15% $35,673 −52% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,060 $17,060 $15,065 +13% $31,909 −47% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,037 $17,037 $16,227 +5% $33,165 −49% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $17,029 $17,029 $16,062 +6% $36,280 −53% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,008 $17,008 $15,101 +13% $33,564 −49% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $16,988 $16,988 $16,579 +2% $29,524 −42% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,957 $16,957 $15,500 +9% $29,476 −42% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,939 $16,939 $15,902 +7% $30,974 −45% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $16,882 $16,882 $15,661 +8% $40,583 −58% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $16,863 $16,863 $15,904 +6% $30,394 −45% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,839 $16,839 $15,997 +5% $32,981 −49% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $16,762 $16,762 $14,294 +17% $28,103 −40% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,751 $16,751 $15,683 +7% $40,063 −58% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,739 $16,739 $16,037 +4% $32,399 −48% —
919 COMPLICATIONS OF TREATMENT WITH MCC $16,708 $16,708 $15,622 +7% $29,031 −42% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,699 $16,699 $15,978 +5% $35,114 −52% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,696 $16,696 $15,140 +10% $54,772 −70% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,664 $16,664 $15,653 +6% $40,563 −59% —
789 Neonates, died or transferred to another acute care facility $16,660 $16,660 $15,085 +10% $14,284 +17% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,609 $16,609 $15,528 +7% $32,538 −49% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,579 $16,579 $16,015 +4% $32,204 −49% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $16,399 $16,399 $15,800 +4% $37,842 −57% ≈156% of Medicare
801 SPLENECTOMY WITHOUT CC/MCC $16,394 $16,394 $14,064 +17% $28,634 −43% —
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $16,370 $16,370 $15,426 +6% $36,597 −55% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $16,324 $16,324 $15,497 +5% $40,552 −60% —
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $16,290 $16,290 $15,107 +8% $30,275 −46% —
199 PNEUMOTHORAX WITH MCC $16,254 $16,254 $15,123 +7% $31,491 −48% —
915 ALLERGIC REACTIONS WITH MCC $16,253 $16,253 $14,888 +9% $30,944 −47% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $16,234 $16,234 $16,156 +0% $28,375 −43% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,127 $16,127 $15,782 +2% $37,950 −58% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $16,100 $16,100 $14,169 +14% $25,208 −36% ≈164% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $16,034 $16,034 $14,108 +14% $27,118 −41% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $16,018 $16,018 $15,120 +6% $31,758 −50% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $16,008 $16,008 $15,336 +4% $36,242 −56% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $15,993 $15,993 $14,613 +9% $29,409 −46% —
180 RESPIRATORY NEOPLASMS WITH MCC $15,932 $15,932 $14,973 +6% $36,658 −57% ≈159% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $15,910 $15,910 $15,581 +2% $37,975 −58% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $15,905 $15,905 $14,950 +6% $38,836 −59% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,863 $15,863 $15,049 +5% $29,558 −46% —
504 FOOT PROCEDURES WITH CC $15,833 $15,833 $14,889 +6% $36,598 −57% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,750 $15,750 $14,431 +9% $43,266 −64% —
666 PROSTATECTOMY WITH CC $15,746 $15,746 $14,112 +12% $30,016 −48% —
671 URETHRAL PROCEDURES WITH CC/MCC $15,697 $15,697 $14,623 +7% $27,233 −42% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $15,676 $15,676 $13,893 +13% $36,333 −57% —
157 DENTAL AND ORAL DISEASES WITH MCC $15,653 $15,653 $13,892 +13% $27,457 −43% —
505 FOOT PROCEDURES WITHOUT CC/MCC $15,641 $15,641 $14,889 +5% $31,716 −51% —
551 MEDICAL BACK PROBLEMS WITH MCC $15,607 $15,607 $14,618 +7% $31,086 −50% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $15,606 $15,606 $13,926 +12% $27,168 −43% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,563 $15,563 $14,843 +5% $38,094 −59% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $15,558 $15,558 $13,714 +13% $31,840 −51% ≈169% of Medicare
571 SKIN DEBRIDEMENT WITH CC $15,518 $15,518 $14,343 +8% $34,901 −56% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,447 $15,447 $16,841 −8% $29,633 −48% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,426 $15,426 $15,241 +1% $24,836 −38% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,376 $15,376 $14,485 +6% $29,916 −49% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,339 $15,339 $14,006 +10% $44,117 −65% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $15,311 $15,311 $14,391 +6% $32,502 −53% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,295 $15,295 $14,856 +3% $34,264 −55% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,181 $15,181 $14,260 +6% $30,058 −49% ≈163% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $15,160 $15,160 $14,167 +7% $33,607 −55% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $15,100 $15,100 $12,876 +17% $33,694 −55% —
643 ENDOCRINE DISORDERS WITH MCC $15,098 $15,098 $14,060 +7% $32,996 −54% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,056 $15,056 $13,598 +11% $35,584 −58% —
865 VIRAL ILLNESS WITH MCC $15,052 $15,052 $12,521 +20% $26,088 −42% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,050 $15,050 $14,368 +5% $29,729 −49% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,009 $15,009 $14,152 +6% $30,930 −51% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,005 $15,005 $14,069 +7% $42,119 −64% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $14,991 $14,991 $14,290 +5% $31,128 −52% —
533 FRACTURES OF FEMUR WITH MCC $14,975 $14,975 $12,936 +16% $25,945 −42% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $14,893 $14,893 $14,418 +3% $35,453 −58% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,882 $14,882 $13,023 +14% $33,424 −55% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,882 $14,882 $12,466 +19% $25,786 −42% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,870 $14,870 $14,049 +6% $32,689 −55% —
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $14,818 $14,818 $13,640 +9% $35,692 −58% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,788 $14,788 $14,340 +3% $28,578 −48% —
895 Alcohol/drug abuse or dependence w rehabilitation therapy $14,773 $14,773 $12,117 +22% $21,986 −33% —
334 RECTAL RESECTION WITHOUT CC/MCC $14,740 $14,740 $14,071 +5% $32,213 −54% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $14,723 $14,723 $14,036 +5% $30,910 −52% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,711 $14,711 $13,114 +12% $25,484 −42% —
597 MALIGNANT BREAST DISORDERS WITH MCC $14,698 $14,698 $14,903 −1% $31,846 −54% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $14,670 $14,670 $13,518 +9% $35,375 −59% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,657 $14,657 $13,910 +5% $28,134 −48% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,590 $14,590 $13,458 +8% $39,747 −63% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $14,577 $14,577 $13,256 +10% $41,380 −65% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $14,573 $14,573 $14,198 +3% $28,967 −50% ≈193% of Medicare
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,573 $14,573 $13,279 +10% $32,490 −55% —
606 MINOR SKIN DISORDERS WITH MCC $14,567 $14,567 $13,661 +7% $25,434 −43% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,548 $14,548 $13,793 +5% $25,197 −42% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $14,525 $14,525 $12,529 +16% $25,149 −42% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,481 $14,481 $13,351 +8% $25,731 −44% —
183 MAJOR CHEST TRAUMA WITH MCC $14,465 $14,465 $13,466 +7% $28,924 −50% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,456 $14,456 $13,302 +9% $31,059 −53% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,397 $14,397 $14,054 +2% $26,020 −45% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $14,382 $14,382 $13,417 +7% $34,434 −58% —
115 Extraocular procedures except orbit $14,375 $14,375 $13,243 +9% $24,879 −42% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,352 $14,352 $13,312 +8% $32,936 −56% —
813 Coagulation disorders $14,335 $14,335 $13,132 +9% $30,128 −52% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $14,307 $14,307 $13,276 +8% $28,646 −50% —
186 PLEURAL EFFUSION WITH MCC $14,265 $14,265 $13,404 +6% $32,468 −56% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $14,201 $14,201 $13,339 +6% $34,906 −59% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,200 $14,200 $13,406 +6% $33,490 −58% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $14,191 $14,191 $11,903 +19% $24,561 −42% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,162 $14,162 $12,753 +11% $31,062 −54% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $14,140 $14,140 $13,610 +4% $24,465 −42% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $14,128 $14,128 $12,703 +11% $24,450 −42% —
669 TRANSURETHRAL PROCEDURES WITH CC $14,108 $14,108 $13,128 +7% $34,354 −59% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,994 $13,994 $13,936 +0% $31,566 −56% —
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $13,983 $13,983 $12,416 +13% $29,211 −52% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $13,953 $13,953 $12,523 +11% $32,451 −57% —
398 APPENDIX PROCEDURES WITH CC $13,917 $13,917 $12,663 +10% $39,107 −64% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,884 $13,884 $13,994 −1% $27,548 −50% —
945 REHABILITATION WITH CC/MCC $13,883 $13,883 $12,775 +9% $23,834 −42% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,853 $13,853 $12,604 +10% $28,140 −51% —
137 MOUTH PROCEDURES WITH CC/MCC $13,840 $13,840 $11,981 +16% $24,348 −43% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,807 $13,807 $12,726 +8% $25,854 −47% —
682 RENAL FAILURE WITH MCC $13,805 $13,805 $12,741 +8% $27,854 −50% ≈158% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $13,765 $13,765 $13,340 +3% $36,239 −62% —
913 TRAUMATIC INJURY WITH MCC $13,748 $13,748 $13,729 +0% $24,198 −43% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $13,748 $13,748 $12,912 +6% $33,137 −59% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,725 $13,725 $12,930 +6% $27,279 −50% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,722 $13,722 $12,007 +14% $23,734 −42% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,707 $13,707 $12,888 +6% $7,961 +72% —
602 CELLULITIS WITH MCC $13,686 $13,686 $12,464 +10% $29,347 −53% ≈176% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,622 $13,622 $12,884 +6% $35,528 −62% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,598 $13,598 $13,487 +1% $29,371 −54% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,539 $13,539 $12,276 +10% $31,812 −57% —
506 Major thumb or joint procedures $13,463 $13,463 $12,842 +5% $28,983 −54% —
663 MINOR BLADDER PROCEDURES WITH CC $13,430 $13,430 $13,212 +2% $29,924 −55% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $13,426 $13,426 $12,700 +6% $32,911 −59% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,400 $13,400 $12,763 +5% $33,792 −60% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,381 $13,381 $12,592 +6% $28,780 −54% ≈184% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $13,356 $13,356 $12,387 +8% $29,663 −55% —
637 DIABETES WITH MCC $13,343 $13,343 $12,597 +6% $28,819 −54% ≈168% of Medicare
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,206 $13,206 $10,801 +22% $22,811 −42% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,184 $13,184 $12,397 +6% $31,816 −59% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $13,147 $13,147 $11,390 +15% $29,805 −56% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,101 $13,101 $12,041 +9% $21,615 −39% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $13,066 $13,066 $11,094 +18% $22,557 −42% —
693 URINARY STONES WITH MCC $13,048 $13,048 $12,474 +5% $22,525 −42% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $13,046 $13,046 $12,232 +7% $22,525 −42% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,000 $13,000 $12,466 +4% $25,152 −48% —
748 Female reproductive system reconstructive procedures $12,945 $12,945 $11,784 +10% $24,980 −48% —
811 RED BLOOD CELL DISORDERS WITH MCC $12,934 $12,934 $12,169 +6% $27,934 −54% ≈173% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,928 $12,928 $12,188 +6% $29,757 −57% ≈187% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,893 $12,893 $11,648 +11% $23,723 −46% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,885 $12,885 $10,725 +20% $26,634 −52% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,868 $12,868 $11,888 +8% $24,452 −47% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $12,810 $12,810 $12,810 +0% $24,229 −47% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,747 $12,747 $11,853 +8% $30,006 −58% —
885 Psychoses $12,600 $12,600 $11,958 +5% $21,489 −41% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,584 $12,584 $12,869 −2% $30,972 −59% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,573 $12,573 $11,895 +6% $25,010 −50% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,566 $12,566 $11,310 +11% $31,978 −61% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,543 $12,543 $11,047 +14% $23,920 −48% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,510 $12,510 $10,760 +16% $28,156 −56% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,505 $12,505 $11,330 +10% $28,527 −56% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,467 $12,467 $11,297 +10% $23,956 −48% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,424 $12,424 $12,424 +0% $25,243 −51% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,417 $12,417 $11,645 +7% $30,358 −59% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,357 $12,357 $11,624 +6% $30,418 −59% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,244 $12,244 $11,179 +10% $26,158 −53% ≈177% of Medicare
509 Arthroscopy $12,240 $12,240 $14,903 −18% $25,994 −53% —
124 OTHER DISORDERS OF THE EYE WITH MCC $12,202 $12,202 $11,062 +10% $21,029 −42% —
640 Nutritional & misc metabolic disorders w MCC $12,142 $12,142 $11,487 +6% $24,480 −50% ≈179% of Medicare
150 EPISTAXIS WITH MCC $12,135 $12,135 $11,841 +2% $21,133 −43% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,124 $12,124 $11,178 +8% $34,887 −65% —
642 Inborn errors of metabolism $12,035 $12,035 $10,529 +14% $20,727 −42% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $12,033 $12,033 $11,626 +4% $20,980 −43% —
348 ANAL AND STOMAL PROCEDURES WITH CC $12,018 $12,018 $10,889 +10% $27,947 −57% —
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $11,999 $11,999 $11,881 +1% $29,050 −59% —
540 OSTEOMYELITIS WITH CC $11,989 $11,989 $11,086 +8% $23,494 −49% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,976 $11,976 $11,503 +4% $23,350 −49% —
887 OTHER MENTAL DISORDER DIAGNOSES $11,966 $11,966 $10,090 +19% $20,602 −42% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,928 $11,928 $10,441 +14% $27,321 −56% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,914 $11,914 $9,848 +21% $22,532 −47% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,896 $11,896 $10,668 +12% $26,146 −55% —
291 HEART FAILURE AND SHOCK WITH MCC $11,861 $11,861 $11,286 +5% $25,020 −53% ≈173% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,857 $11,857 $10,930 +8% $23,924 −50% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,837 $11,837 $9,868 +20% $18,291 −35% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,836 $11,836 $11,609 +2% $29,374 −60% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,788 $11,788 $10,897 +8% $27,244 −57% ≈159% of Medicare
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,649 $11,649 $10,399 +12% $23,297 −50% —
947 SIGNS AND SYMPTOMS WITH MCC $11,572 $11,572 $11,018 +5% $25,474 −55% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,481 $11,481 $10,444 +10% $23,588 −51% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,476 $11,476 $10,566 +9% $19,894 −42% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,457 $11,457 $9,798 +17% $25,390 −55% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,447 $11,447 $10,506 +9% $27,492 −58% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,432 $11,432 $10,748 +6% $25,623 −55% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $11,430 $11,430 $10,664 +7% $21,860 −48% —
710 PENIS PROCEDURES WITHOUT CC/MCC $11,417 $11,417 $12,737 −10% $23,814 −52% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,396 $11,396 $10,497 +9% $25,704 −56% ≈167% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,394 $11,394 $10,028 +14% $19,598 −42% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,298 $11,298 $10,150 +11% $20,842 −46% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $11,271 $11,271 $11,271 +0% $17,103 −34% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $11,222 $11,222 $10,780 +4% $22,275 −50% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $11,202 $11,202 $9,379 +19% $24,544 −54% —
593 SKIN ULCERS WITH CC $11,198 $11,198 $10,474 +7% $20,470 −45% —
102 HEADACHES WITH MCC $11,168 $11,168 $10,029 +11% $22,544 −50% —
549 SEPTIC ARTHRITIS WITH CC $11,165 $11,165 $10,085 +11% $20,938 −47% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $11,149 $11,149 $10,507 +6% $22,032 −49% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,129 $11,129 $10,431 +7% $26,488 −58% ≈192% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $11,103 $11,103 $9,688 +15% $24,202 −54% —
598 MALIGNANT BREAST DISORDERS WITH CC $11,098 $11,098 $9,153 +21% $19,073 −42% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $11,095 $11,095 $9,026 +23% $17,193 −35% —
375 DIGESTIVE MALIGNANCY WITH CC $11,094 $11,094 $10,526 +5% $27,219 −59% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,085 $11,085 $10,780 +3% $19,686 −44% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,073 $11,073 $9,661 +15% $20,741 −47% —
712 TESTES PROCEDURES WITHOUT CC/MCC $11,005 $11,005 $8,951 +23% $18,898 −42% —
152 OTITIS MEDIA AND URI WITH MCC $11,003 $11,003 $9,627 +14% $19,795 −44% —
139 Salivary gland procedures $10,999 $10,999 $11,648 −6% $21,014 −48% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,902 $10,902 $9,867 +10% $21,062 −48% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,892 $10,892 $10,451 +4% $20,147 −46% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,880 $10,880 $9,928 +10% $22,982 −53% ≈168% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,868 $10,868 $10,927 −1% $24,316 −55% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,769 $10,769 $10,169 +6% $27,369 −61% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,764 $10,764 $10,663 +1% $19,354 −44% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,726 $10,726 $10,139 +6% $20,421 −47% —
304 HYPERTENSION WITH MCC $10,652 $10,652 $10,162 +5% $24,185 −56% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,568 $10,568 $9,692 +9% $24,432 −57% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,501 $10,501 $9,755 +8% $24,452 −57% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,431 $10,431 $9,899 +5% $25,307 −59% —
302 ATHEROSCLEROSIS WITH MCC $10,402 $10,402 $10,062 +3% $20,844 −50% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,343 $10,343 $8,510 +22% $17,078 −39% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,341 $10,341 $9,526 +9% $19,317 −46% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,330 $10,330 $9,534 +8% $30,314 −66% —
697 Urethral stricture $10,330 $10,330 $8,499 +22% $17,705 −42% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,294 $10,294 $9,354 +10% $25,162 −59% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,231 $10,231 $9,714 +5% $24,190 −58% ≈175% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $10,223 $10,223 $9,512 +7% $22,431 −54% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,219 $10,219 $9,567 +7% $24,017 −57% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,157 $10,157 $10,418 −3% $19,132 −47% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $10,130 $10,130 $9,000 +13% $23,496 −57% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,095 $10,095 $9,291 +9% $21,806 −54% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,083 $10,083 $9,083 +11% $22,231 −55% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,076 $10,076 $9,602 +5% $18,459 −45% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,048 $10,048 $9,426 +7% $31,190 −68% —
200 PNEUMOTHORAX WITH CC $10,007 $10,007 $9,580 +4% $20,573 −51% —
381 COMPLICATED PEPTIC ULCER WITH CC $9,971 $9,971 $9,239 +8% $24,177 −59% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,917 $9,917 $9,260 +7% $19,579 −49% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,912 $9,912 $8,924 +11% $17,550 −44% —
644 ENDOCRINE DISORDERS WITH CC $9,870 $9,870 $8,939 +10% $22,941 −57% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $9,869 $9,869 $9,250 +7% $18,126 −46% —
184 MAJOR CHEST TRAUMA WITH CC $9,782 $9,782 $9,061 +8% $20,842 −53% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,775 $9,775 $9,775 +0% $23,571 −59% —
667 PROSTATECTOMY WITHOUT CC/MCC $9,761 $9,761 $8,805 +11% $16,703 −42% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,751 $9,751 $8,880 +10% $24,022 −59% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,723 $9,723 $8,689 +12% $18,478 −47% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,696 $9,696 $8,732 +11% $22,850 −58% ≈170% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $9,689 $9,689 $8,819 +10% $20,080 −52% —
949 AFTERCARE WITH CC/MCC $9,640 $9,640 $9,243 +4% $23,953 −60% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,639 $9,639 $8,779 +10% $16,495 −42% —
920 COMPLICATIONS OF TREATMENT WITH CC $9,620 $9,620 $8,787 +9% $21,181 −55% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,595 $9,595 $9,254 +4% $23,749 −60% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,585 $9,585 $8,918 +7% $22,781 −58% ≈172% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,545 $9,545 $8,195 +16% $16,418 −42% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,543 $9,543 $8,305 +15% $15,901 −40% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,533 $9,533 $12,774 −25% $22,560 −58% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,503 $9,503 $8,737 +9% $20,732 −54% ≈174% of Medicare
946 REHABILITATION WITHOUT CC/MCC $9,431 $9,431 $9,323 +1% $17,685 −47% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,419 $9,419 $8,652 +9% $16,571 −43% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,405 $9,405 $9,405 +0% $18,133 −48% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,398 $9,398 $9,261 +1% $17,226 −45% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,390 $9,390 $10,576 −11% $15,370 −39% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,366 $9,366 $8,483 +10% $20,007 −53% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $9,357 $9,357 $8,075 +16% $18,428 −49% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,352 $9,352 $9,346 +0% $17,483 −47% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,311 $9,311 $8,651 +8% $21,545 −57% —
197 INTERSTITIAL LUNG DISEASE WITH CC $9,294 $9,294 $8,399 +11% $20,106 −54% —
187 PLEURAL EFFUSION WITH CC $9,284 $9,284 $8,517 +9% $21,467 −57% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $9,280 $9,280 $8,598 +8% $19,001 −51% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,276 $9,276 $8,361 +11% $18,282 −49% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,265 $9,265 $8,620 +7% $18,017 −49% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,251 $9,251 $8,732 +6% $19,091 −52% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,236 $9,236 $7,566 +22% $15,764 −41% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,225 $9,225 $8,181 +13% $15,589 −41% —
779 ABORTION WITHOUT D&C $9,220 $9,220 $7,930 +16% $15,327 −40% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,212 $9,212 $8,633 +7% $22,713 −59% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,198 $9,198 $8,416 +9% $22,024 −58% ≈174% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,172 $9,172 $8,364 +10% $21,886 −58% ≈176% of Medicare
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,100 $9,100 $7,620 +19% $19,854 −54% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,062 $9,062 $8,420 +8% $20,968 −57% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,024 $9,024 $8,164 +11% $20,777 −57% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,021 $9,021 $7,873 +15% $16,352 −45% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $9,015 $9,015 $8,176 +10% $21,213 −58% ≈169% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,982 $8,982 $8,108 +11% $20,371 −56% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,945 $8,945 $8,050 +11% $17,108 −48% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,936 $8,936 $8,281 +8% $17,273 −48% ≈189% of Medicare
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,922 $8,922 $7,742 +15% $17,585 −49% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,910 $8,910 $8,292 +7% $15,636 −43% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,882 $8,882 $8,357 +6% $21,449 −59% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,838 $8,838 $7,998 +11% $16,642 −47% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,802 $8,802 $7,859 +12% $18,608 −53% —
882 Neuroses except depressive $8,773 $8,773 $8,241 +6% $15,680 −44% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,771 $8,771 $8,380 +5% $15,890 −45% —
158 DENTAL AND ORAL DISEASES WITH CC $8,766 $8,766 $7,980 +10% $17,700 −50% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,751 $8,751 $7,986 +10% $18,918 −54% ≈178% of Medicare
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,624 $8,624 $8,828 −2% $17,398 −50% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,607 $8,607 $7,314 +18% $16,156 −47% —
866 VIRAL ILLNESS WITHOUT MCC $8,579 $8,579 $7,506 +14% $16,391 −48% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,542 $8,542 $7,835 +9% $17,731 −52% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,537 $8,537 $7,820 +9% $20,463 −58% ≈172% of Medicare
101 SEIZURES WITHOUT MCC $8,507 $8,507 $7,819 +9% $19,954 −57% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,500 $8,500 $7,990 +6% $19,287 −56% —
914 TRAUMATIC INJURY WITHOUT MCC $8,490 $8,490 $7,850 +8% $15,593 −46% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,485 $8,485 $6,927 +22% $17,928 −53% —
881 Depressive neuroses $8,479 $8,479 $7,831 +8% $15,058 −44% —
683 RENAL FAILURE WITH CC $8,428 $8,428 $7,689 +10% $18,620 −55% ≈169% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,427 $8,427 $7,983 +6% $20,488 −59% ≈169% of Medicare
638 DIABETES WITH CC $8,415 $8,415 $7,934 +6% $18,821 −55% ≈171% of Medicare
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $8,381 $8,381 $7,583 +11% $18,803 −55% ≈176% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $8,362 $8,362 $7,475 +12% $15,284 −45% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,344 $8,344 $7,491 +11% $15,608 −47% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $8,328 $8,328 $6,793 +23% $13,586 −39% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,306 $8,306 $8,103 +2% $19,326 −57% —
603 CELLULITIS WITHOUT MCC $8,284 $8,284 $7,472 +11% $18,530 −55% ≈182% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $8,267 $8,267 $7,618 +9% $17,412 −53% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,227 $8,227 $7,328 +12% $17,367 −53% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,203 $8,203 $7,377 +11% $19,305 −58% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,119 $8,119 $10,545 −23% $19,815 −59% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,113 $8,113 $6,969 +16% $17,383 −53% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $8,106 $8,106 $7,169 +13% $14,055 −42% —
312 SYNCOPE AND COLLAPSE $8,094 $8,094 $7,537 +7% $19,342 −58% ≈180% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,070 $8,070 $7,504 +8% $15,045 −46% —
541 OSTEOMYELITIS WITHOUT CC/MCC $8,043 $8,043 $7,495 +7% $14,549 −45% —
292 HEART FAILURE AND SHOCK WITH CC $8,031 $8,031 $7,306 +10% $16,212 −50% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $8,023 $8,023 $7,484 +7% $16,049 −50% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,019 $8,019 $7,369 +9% $19,096 −58% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,017 $8,017 $8,017 +0% $20,084 −60% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,964 $7,964 $7,431 +7% $18,278 −56% ≈178% of Medicare
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,930 $7,930 $8,278 −4% $16,212 −51% —
103 HEADACHES WITHOUT MCC $7,904 $7,904 $7,213 +10% $20,111 −61% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,803 $7,803 $6,661 +17% $13,385 −42% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,743 $7,743 $6,927 +12% $17,715 −56% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,730 $7,730 $7,015 +10% $16,866 −54% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,723 $7,723 $7,093 +9% $18,204 −58% ≈187% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,720 $7,720 $7,219 +7% $18,253 −58% —
176 PULMONARY EMBOLISM WITHOUT MCC $7,664 $7,664 $7,045 +9% $18,081 −58% ≈163% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,645 $7,645 $6,330 +21% $14,861 −49% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,625 $7,625 $10,124 −25% $18,238 −58% —
534 FRACTURES OF FEMUR WITHOUT MCC $7,614 $7,614 $6,906 +10% $17,195 −56% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,610 $7,610 $6,242 +22% $12,650 −40% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,586 $7,586 $6,809 +11% $17,466 −57% ≈181% of Medicare
123 Neurological eye disorders $7,560 $7,560 $6,881 +10% $17,831 −58% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,538 $7,538 $6,896 +9% $17,700 −57% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,533 $7,533 $6,872 +10% $17,727 −58% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,525 $7,525 $6,744 +12% $16,837 −55% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,513 $7,513 $9,128 −18% $17,943 −58% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,502 $7,502 $7,073 +6% $15,876 −53% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,492 $7,492 $6,800 +10% $17,388 −57% ≈174% of Medicare
594 SKIN ULCERS WITHOUT CC/MCC $7,412 $7,412 $7,271 +2% $14,209 −48% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,409 $7,409 $6,879 +8% $18,002 −59% ≈181% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,395 $7,395 $6,685 +11% $17,322 −57% ≈192% of Medicare
694 URINARY STONES WITHOUT MCC $7,369 $7,369 $6,629 +11% $16,531 −55% —
641 Nutritional & misc metabolic disorders w/o MCC $7,358 $7,358 $6,629 +11% $16,745 −56% ≈187% of Medicare
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,353 $7,353 $6,144 +20% $12,593 −42% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,347 $7,347 $6,936 +6% $18,150 −60% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $7,329 $7,329 $6,058 +21% $13,654 −46% —
151 EPISTAXIS WITHOUT MCC $7,262 $7,262 $6,494 +12% $13,032 −44% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,233 $7,233 $6,537 +11% $16,776 −57% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,196 $7,196 $6,594 +9% $14,444 −50% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,174 $7,174 $6,671 +8% $14,166 −49% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,162 $7,162 $7,015 +2% $13,822 −48% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,157 $7,157 $7,131 +0% $14,064 −49% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $7,140 $7,140 $6,357 +12% $16,634 −57% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $7,127 $7,127 $6,727 +6% $15,858 −55% —
305 HYPERTENSION WITHOUT MCC $7,108 $7,108 $6,493 +9% $17,144 −59% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,081 $7,081 $6,409 +10% $14,337 −51% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,047 $7,047 $9,343 −25% $13,090 −46% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,045 $7,045 $6,229 +13% $14,110 −50% —
149 Dysequilibrium $7,029 $7,029 $6,256 +12% $17,203 −59% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,029 $7,029 $6,333 +11% $16,865 −58% ≈183% of Medicare
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $7,027 $7,027 $5,754 +22% $11,997 −41% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $7,020 $7,020 $5,921 +19% $15,072 −53% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,984 $6,984 $6,286 +11% $13,282 −47% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,966 $6,966 $6,341 +10% $12,895 −46% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,940 $6,940 $6,038 +15% $14,473 −52% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,905 $6,905 $6,315 +9% $13,892 −50% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,885 $6,885 $5,976 +15% $12,336 −44% —
313 Chest pain $6,840 $6,840 $6,171 +11% $15,962 −57% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,791 $6,791 $6,272 +8% $18,623 −64% ≈188% of Medicare
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,778 $6,778 $6,053 +12% $12,381 −45% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,776 $6,776 $6,154 +10% $16,104 −58% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,760 $6,760 $6,020 +12% $15,600 −57% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,720 $6,720 $5,704 +18% $13,485 −50% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,716 $6,716 $6,171 +9% $15,607 −57% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,710 $6,710 $5,697 +18% $11,909 −44% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,703 $6,703 $5,889 +14% $13,303 −50% —
201 PNEUMOTHORAX WITHOUT CC/MCC $6,683 $6,683 $5,857 +14% $13,081 −49% —
311 Angina pectoris $6,611 $6,611 $5,924 +12% $15,165 −56% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,609 $6,609 $5,948 +11% $14,012 −53% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,583 $6,583 $6,025 +9% $12,279 −46% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,563 $6,563 $5,792 +13% $12,797 −49% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,558 $6,558 $5,984 +10% $14,441 −55% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,545 $6,545 $6,105 +7% $12,537 −48% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,486 $6,486 $5,798 +12% $14,880 −56% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,406 $6,406 $5,651 +13% $13,368 −52% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,355 $6,355 $5,829 +9% $12,405 −49% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,259 $6,259 $5,634 +11% $13,890 −55% —
303 ATHEROSCLEROSIS WITHOUT MCC $6,253 $6,253 $5,704 +10% $14,927 −58% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,230 $6,230 $5,760 +8% $13,198 −53% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,219 $6,219 $8,897 −30% $12,044 −48% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,158 $6,158 $5,399 +14% $14,128 −56% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,146 $6,146 $5,562 +11% $14,208 −57% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,107 $6,107 $5,598 +9% $14,368 −57% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,030 $6,030 $5,559 +8% $14,134 −57% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,014 $6,014 $6,267 −4% $13,445 −55% —
950 AFTERCARE WITHOUT CC/MCC $5,985 $5,985 $5,117 +17% $13,527 −56% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,962 $5,962 $5,283 +13% $13,824 −57% ≈204% of Medicare
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,935 $5,935 $5,186 +14% $10,975 −46% —
639 DIABETES WITHOUT CC/MCC $5,934 $5,934 $5,316 +12% $13,910 −57% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,926 $5,926 $5,274 +12% $11,071 −46% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,924 $5,924 $7,253 −18% $14,290 −59% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,872 $5,872 $5,370 +9% $15,070 −61% —
684 RENAL FAILURE WITHOUT CC/MCC $5,808 $5,808 $5,153 +13% $13,623 −57% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,782 $5,782 $5,483 +5% $11,421 −49% —
951 Other factors influencing health status $5,643 $5,643 $4,950 +14% $9,385 −40% —
894 Alcohol/drug abuse or dependence, left AMA $5,504 $5,504 $5,424 +1% $12,013 −54% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,387 $5,387 $4,790 +12% $11,955 −55% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,365 $5,365 $4,642 +16% $13,318 −60% ≈196% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,311 $5,311 $4,793 +11% $13,384 −60% ≈190% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,942 $4,942 $4,496 +10% $9,076 −46% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,735 $4,735 $4,763 −1% $10,039 −53% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,288 $4,288 $3,989 +8% $8,927 −52% —
795 Normal newborn $2,163 $2,163 $3,492 −38% $4,530 −52% —

Procedures with negotiated rates only

These 102 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
010 Pancreas transplant $4,432 – $74,409 · median $55,176 18 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $4,432 – $41,516 · median $30,785 18 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,916 – $39,839 · median $9,515 18 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,916 – $37,697 · median $21,317 18 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,916 – $45,805 · median $12,649 18 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,916 – $40,789 · median $18,024 18 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,916 – $28,302 · median $12,225 18 plans
075 VIRAL MENINGITIS WITH CC/MCC $3,916 – $29,584 · median $21,229 18 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,916 – $30,969 · median $8,825 18 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,916 – $35,218 · median $26,115 18 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,916 – $31,776 · median $10,956 18 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,916 – $23,226 · median $15,690 18 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,916 – $20,842 · median $10,557 18 plans
088 CONCUSSION WITH MCC $3,916 – $23,709 · median $17,868 18 plans
089 CONCUSSION WITH CC $3,916 – $17,775 · median $13,698 18 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,916 – $67,740 · median $21,314 18 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,916 – $38,555 · median $12,223 18 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,916 – $17,184 · median $9,225 18 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,916 – $37,338 · median $27,853 18 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,916 – $33,694 · median $24,985 18 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,916 – $56,219 · median $41,688 18 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $4,432 – $418,890 · median $313,666 17 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC — 17 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $4,432 – $329,569 · median $246,782 17 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $4,432 – $227,233 · median $158,949 17 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $4,432 – $159,990 · median $119,801 17 plans
006 LIVER TRANSPLANT WITHOUT MCC $4,432 – $77,261 · median $55,987 17 plans
007 Lung transplant $4,432 – $189,614 · median $141,984 17 plans
008 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT $4,432 – $83,017 · median $60,904 17 plans
011 Tracheostomy for face,mouth & neck diagnoses w MCC $4,432 – $79,706 · median $59,684 17 plans
012 Tracheostomy for face,mouth & neck diagnoses w CC $4,432 – $61,908 · median $46,357 17 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $4,432 – $185,850 · median $132,660 17 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $4,432 – $102,969 · median $71,499 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $4,432 – $60,308 · median $44,281 17 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $4,432 – $134,350 · median $39,073 17 plans
038 EXTRACRANIAL PROCEDURES WITH CC $4,432 – $48,593 · median $18,519 17 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,432 – $23,137 · median $13,207 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $4,432 – $78,494 · median $44,570 17 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $4,432 – $37,665 · median $20,138 17 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,916 – $23,025 · median $17,056 17 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,916 – $17,042 · median $12,422 17 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,916 – $60,879 · median $27,711 17 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,916 – $61,035 · median $15,779 17 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,916 – $41,690 · median $20,000 17 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,916 – $30,374 · median $13,742 17 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,916 – $43,401 · median $10,387 17 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,916 – $48,948 · median $23,185 17 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,916 – $42,308 · median $11,765 17 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,916 – $34,985 · median $7,958 17 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,916 – $32,463 · median $10,082 17 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,916 – $12,104 · median $9,063 17 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,916 – $14,260 · median $10,678 17 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,916 – $24,409 · median $17,489 17 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,916 – $15,719 · median $11,771 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,916 – $34,142 · median $25,005 17 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,916 – $14,059 · median $10,527 17 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,916 – $20,967 · median $15,700 17 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,916 – $35,133 · median $26,308 17 plans
090 CONCUSSION WITHOUT CC/MCC $3,916 – $14,450 · median $10,820 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,916 – $56,965 · median $41,933 17 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,916 – $33,304 · median $24,938 17 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,916 – $20,408 · median $15,281 17 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $4,432 – $95,484 · median $66,338 16 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $4,432 – $163,634 · median $96,886 16 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $4,432 – $117,511 · median $70,396 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $4,432 – $81,911 · median $44,964 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $4,432 – $87,628 · median $64,979 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $4,432 – $60,545 · median $43,429 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $4,432 – $68,263 · median $50,618 16 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $4,432 – $46,018 · median $33,850 16 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,432 – $37,953 · median $27,887 16 plans
028 SPINAL PROCEDURES WITH MCC $4,432 – $93,151 · median $69,074 16 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,432 – $52,993 · median $39,296 16 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,432 – $35,847 · median $26,582 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $4,432 – $63,671 · median $47,187 16 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $4,432 – $35,070 · median $24,688 16 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $4,432 – $26,716 · median $18,602 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $4,432 – $35,546 · median $26,358 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $4,432 – $27,951 · median $20,726 16 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $4,432 – $36,634 · median $25,569 16 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,916 – $30,058 · median $22,289 16 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,916 – $15,208 · median $11,277 16 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $3,916 – $44,097 · median $32,127 16 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,916 – $30,285 · median $21,454 16 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,916 – $25,693 · median $17,042 16 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,916 – $23,067 · median $16,241 16 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $5,021 – $569,514 · median $398,196 10 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $5,696 – $123,564 · median $86,394 10 plans
129 MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE $33,559 – $37,868 · median $35,713 2 plans
130 MAJOR HEAD & NECK PROCEDURES W/O CC/MCC $20,822 – $23,496 · median $22,159 2 plans
131 CRANIAL/FACIAL PROCEDURES W CC/MCC $36,937 – $41,680 · median $39,308 2 plans
132 CRANIAUFACIAL PROCEDURES W/O CC/MCC $21,517 – $24,279 · median $22,898 2 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $29,260 – $33,017 · median $31,138 2 plans
134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC $16,781 – $18,936 · median $17,859 2 plans
691 URINARY STONES W ESW LITHOTRIPSY W CC/MCC $22,467 – $25,352 · median $23,910 2 plans
692 URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC $15,844 – $17,878 · median $16,861 2 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $29,783 – $29,783 · median $29,783 1 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $48,101 – $48,101 · median $48,101 1 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS $45,413 – $45,413 · median $45,413 1 plans
247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC $29,177 – $29,177 · median $29,177 1 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $39,635 – $39,635 · median $39,635 1 plans
568 -1 $23,046 – $23,046 · median $23,046 1 plans
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