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 $201,252 +18% $306,087 −23% —
212 CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES $96,880 $96,880 $94,649 +2% $196,346 −51% —
215 Other heart assist system implant $91,898 $91,898 $91,898 +0% $208,939 −56% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $87,332 $87,332 $99,015 −12% $188,171 −54% —
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% $153,282 −50% —
231 CORONARY BYPASS WITH PTCA WITH MCC $73,082 $73,082 $100,406 −27% $147,227 −50% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $70,254 $70,254 $99,484 −29% $144,569 −51% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $69,461 $69,461 $69,461 +0% $143,242 −52% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $65,171 $65,171 $96,002 −32% $120,573 −46% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $63,409 $63,409 $59,953 +6% $131,961 −52% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $62,773 $62,773 $71,210 −12% $148,832 −58% —
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 $54,864 +13% $116,058 −46% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $61,946 $61,946 $70,274 −12% $109,331 −43% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $61,786 $61,786 $56,564 +9% $125,242 −51% —
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 $54,785 +5% $123,995 −54% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $56,331 $56,331 $56,331 +0% $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 $52,550 +7% $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 $57,928 −5% $102,600 −46% —
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 $73,617 −26% $96,192 −43% —
790 Extreme immaturity or respiratory distress syndrome, neonate $54,127 $54,127 $68,716 −21% $80,018 −32% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $53,665 $53,665 $52,744 +2% $115,839 −54% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $53,056 $53,056 $53,056 +0% $112,062 −53% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $51,408 $51,408 $70,773 −27% $103,455 −50% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $51,286 $51,286 $58,205 −12% $90,401 −43% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,112 $51,112 $45,819 +12% $89,207 −43% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $50,532 $50,532 $46,891 +8% $85,566 −41% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $49,692 $49,692 $69,661 −29% $102,128 −51% —
653 MAJOR BLADDER PROCEDURES WITH MCC $48,871 $48,871 $48,871 +0% $104,583 −53% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $47,356 $47,356 $47,356 +0% $111,320 −57% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $46,938 $46,938 $63,765 −26% $102,573 −54% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $46,836 $46,836 $67,426 −31% $96,507 −51% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $45,872 $45,872 $58,279 −21% $80,793 −43% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $45,674 $45,674 $58,029 −21% $99,423 −54% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $45,511 $45,511 $45,511 +0% $96,905 −53% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $45,158 $45,158 $66,300 −32% $93,172 −52% ≈170% of Medicare
799 SPLENECTOMY WITH MCC $44,757 $44,757 $63,003 −29% $82,218 −46% —
471 CERVICAL SPINAL FUSION WITH MCC $44,438 $44,438 $56,466 −21% $92,515 −52% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $44,090 $44,090 $56,990 −23% $92,217 −52% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $43,433 $43,433 $43,082 +1% $93,390 −53% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $43,214 $43,214 $41,339 +5% $91,329 −53% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $42,983 $42,983 $42,731 +1% $77,055 −44% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $42,838 $42,838 $48,640 −12% $90,775 −53% —
163 MAJOR CHEST PROCEDURES WITH MCC $42,597 $42,597 $48,368 −12% $90,195 −53% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $42,015 $42,015 $53,402 −21% $90,331 −53% —
455 Combined anterior/posterior spinal fusion w/o CC/MCC $41,630 $41,630 $58,617 −29% $56,836 −27% —
245 AICD generator procedures $40,965 $40,965 $57,711 −29% $72,076 −43% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $40,961 $40,961 $59,237 −31% $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 $59,849 −32% $87,761 −54% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $40,661 $40,661 $39,086 +4% $71,551 −43% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $40,328 $40,328 $42,445 −5% $93,238 −57% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $40,041 $40,041 $38,274 +5% $76,001 −47% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $39,687 $39,687 $45,486 −13% $90,724 −56% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $39,446 $39,446 $39,446 +0% $86,970 −55% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $39,140 $39,140 $44,454 −12% $70,177 −44% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,916 $38,916 $38,916 +0% $84,692 −54% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $38,700 $38,700 $54,189 −29% $82,561 −53% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,078 $38,078 $35,380 +8% $18,649 +104% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $37,624 $37,624 $40,079 −6% $85,159 −56% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $37,457 $37,457 $56,745 −34% $101,510 −63% —
791 PREMATURITY WITH MAJOR PROBLEMS $37,078 $37,078 $45,159 −18% $42,679 −13% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $36,720 $36,720 $50,951 −28% $75,573 −51% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $36,604 $36,604 $41,582 −12% $73,120 −50% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $36,571 $36,571 $41,546 −12% $82,247 −56% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $36,332 $36,332 $33,473 +9% $71,795 −49% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $35,823 $35,823 $32,789 +9% $66,685 −46% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,404 $35,404 $52,205 −32% $79,225 −55% —
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $35,279 $35,279 $35,279 +0% $78,852 −55% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $35,191 $35,191 $48,003 −27% $61,832 −43% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $35,111 $35,111 $33,769 +4% $75,103 −53% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $34,639 $34,639 $31,745 +9% $61,470 −44% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $34,214 $34,214 $35,878 −5% $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 $48,637 −31% $62,583 −46% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $33,688 $33,688 $42,875 −21% $77,817 −57% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $33,496 $33,496 $52,219 −36% $77,990 −57% ≈148% of Medicare
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $33,136 $33,136 $50,803 −35% $51,625 −36% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $33,082 $33,082 $31,743 +4% $71,092 −53% —
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 $45,999 −29% $62,300 −47% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $32,449 $32,449 $45,480 −29% $56,964 −43% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $32,394 $32,394 $49,404 −34% $71,755 −55% —
265 AICD lead procedures $32,027 $32,027 $36,401 −12% $63,171 −49% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $31,947 $31,947 $31,947 +0% $69,743 −54% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $31,599 $31,599 $46,123 −31% $70,847 −55% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $31,382 $31,382 $31,382 +0% $70,564 −56% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $31,349 $31,349 $29,459 +6% $56,242 −44% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $31,329 $31,329 $29,221 +7% $71,014 −56% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $31,319 $31,319 $47,020 −33% $70,132 −55% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $30,877 $30,877 $39,320 −21% $52,036 −41% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,738 $30,738 $30,412 +1% $66,711 −54% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,616 $30,616 $29,715 +3% $66,068 −54% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,547 $30,547 $29,175 +5% $68,653 −56% —
252 OTHER VASCULAR PROCEDURES WITH MCC $30,411 $30,411 $45,852 −34% $68,508 −56% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $30,307 $30,307 $39,757 −24% $58,745 −48% —
469 Major joint replacement or reattachment of lower extremity w MCC $30,196 $30,196 $33,894 −11% $65,788 −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 $34,180 −12% $70,371 −57% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $29,875 $29,875 $27,311 +9% $72,424 −59% —
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 $32,756 −10% $59,594 −50% —
500 SOFT TISSUE PROCEDURES WITH MCC $29,416 $29,416 $26,882 +9% $61,872 −52% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $29,398 $29,398 $33,425 −12% $65,573 −55% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $29,172 $29,172 $26,981 +8% $44,472 −34% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $29,170 $29,170 $26,927 +8% $55,289 −47% —
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 $27,184 +7% $63,928 −55% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $28,850 $28,850 $38,140 −24% $65,325 −56% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $28,688 $28,688 $26,234 +9% $62,821 −54% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $28,619 $28,619 $26,161 +9% $53,864 −47% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $28,474 $28,474 $28,056 +1% $65,608 −57% —
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 $43,765 −36% $54,072 −48% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $27,913 $27,913 $27,913 +0% $60,407 −54% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $27,527 $27,527 $35,085 −22% $59,352 −54% —
652 Kidney transplant $27,280 $27,280 $26,056 +5% $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% $58,228 −53% —
662 MINOR BLADDER PROCEDURES WITH MCC $27,211 $27,211 $26,465 +3% $54,562 −50% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $27,188 $27,188 $24,727 +10% $70,467 −61% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $26,959 $26,959 $27,106 −1% $71,464 −62% —
472 CERVICAL SPINAL FUSION WITH CC $26,841 $26,841 $24,578 +9% $59,537 −55% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $26,783 $26,783 $39,985 −33% $65,653 −59% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $26,562 $26,562 $24,882 +7% $60,170 −56% —
570 SKIN DEBRIDEMENT WITH MCC $26,543 $26,543 $25,537 +4% $52,435 −49% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $26,534 $26,534 $24,323 +9% $59,031 −55% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $26,492 $26,492 $25,333 +5% $46,402 −43% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $26,231 $26,231 $23,825 +10% $58,043 −55% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,170 $26,170 $23,214 +13% $48,358 −46% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $26,118 $26,118 $24,151 +8% $81,706 −68% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC $25,863 $25,863 $40,277 −36% $58,975 −56% —
263 VEIN LIGATION AND STRIPPING $25,674 $25,674 $22,754 +13% $51,253 −50% —
668 TRANSURETHRAL PROCEDURES WITH MCC $25,609 $25,609 $29,135 −12% $51,608 −50% —
800 SPLENECTOMY WITH CC $25,607 $25,607 $24,719 +4% $49,184 −48% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $25,531 $25,531 $24,706 +3% $59,790 −57% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $24,977 $24,977 $22,197 +13% $46,453 −46% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,914 $24,914 $22,859 +9% $44,546 −44% —
654 MAJOR BLADDER PROCEDURES WITH CC $24,888 $24,888 $23,941 +4% $58,274 −57% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $24,859 $24,859 $23,047 +8% $43,491 −43% —
510 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC $24,737 $24,737 $24,247 +2% $49,839 −50% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,629 $24,629 $23,800 +3% $52,986 −54% —
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 $22,660 +8% $37,862 −35% —
503 FOOT PROCEDURES WITH MCC $24,390 $24,390 $22,452 +9% $47,540 −49% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $24,279 $24,279 $22,255 +9% $54,929 −56% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $24,123 $24,123 $20,455 +18% $42,186 −43% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $24,096 $24,096 $22,590 +7% $47,945 −50% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,053 $24,053 $40,065 −40% $61,217 −61% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $23,754 $23,754 $21,420 +11% $49,423 −52% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,593 $23,593 $23,173 +2% $50,618 −53% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $23,556 $23,556 $21,924 +7% $52,178 −55% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $23,553 $23,553 $23,341 +1% $51,746 −54% —
253 OTHER VASCULAR PROCEDURES WITH CC $23,218 $23,218 $21,658 +7% $57,454 −60% —
164 MAJOR CHEST PROCEDURES WITH CC $23,211 $23,211 $21,353 +9% $56,755 −59% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $23,200 $23,200 $20,079 +16% $40,548 −43% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,050 $23,050 $33,961 −32% $41,422 −44% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,914 $22,914 $21,960 +4% $45,167 −49% —
113 ORBITAL PROCEDURES WITH CC/MCC $22,825 $22,825 $19,144 +19% $36,167 −37% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $22,736 $22,736 $20,599 +10% $59,421 −62% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,699 $22,699 $21,437 +6% $40,362 −44% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,634 $22,634 $20,770 +9% $51,985 −56% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $22,618 $22,618 $21,618 +5% $58,707 −61% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,513 $22,513 $20,782 +8% $12,229 +84% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $22,406 $22,406 $20,084 +12% $50,624 −56% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,258 $22,258 $21,665 +3% $38,878 −43% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,217 $22,217 $21,227 +5% $55,162 −60% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $21,903 $21,903 $22,509 −3% $44,222 −50% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $21,879 $21,879 $20,369 +7% $59,651 −63% ≈161% of Medicare
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,863 $21,863 $20,519 +7% $50,046 −56% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,717 $21,717 $19,839 +9% $50,139 −57% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $21,704 $21,704 $31,742 −32% $50,394 −57% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,613 $21,613 $20,052 +8% $59,500 −64% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $21,422 $21,422 $19,619 +9% $59,629 −64% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $21,127 $21,127 $20,161 +5% $53,451 −60% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $21,121 $21,121 $24,054 −12% $50,498 −58% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $20,766 $20,766 $19,112 +9% $50,011 −58% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $20,634 $20,634 $19,080 +8% $47,737 −57% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,564 $20,564 $17,794 +16% $39,173 −48% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $20,541 $20,541 $19,334 +6% $48,349 −58% —
397 APPENDIX PROCEDURES WITH MCC $20,489 $20,489 $21,020 −3% $53,257 −62% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $20,389 $20,389 $18,120 +13% $35,569 −43% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $20,366 $20,366 $18,659 +9% $41,608 −51% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $20,359 $20,359 $18,939 +7% $47,789 −57% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,304 $20,304 $19,638 +3% $40,060 −49% —
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 $19,105 +5% $48,682 −59% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,982 $19,982 $19,430 +3% $39,181 −49% —
595 MAJOR SKIN DISORDERS WITH MCC $19,847 $19,847 $17,943 +11% $34,598 −43% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $19,834 $19,834 $17,839 +11% $42,795 −54% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $19,772 $19,772 $17,912 +10% $43,650 −55% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $19,673 $19,673 $18,776 +5% $46,283 −57% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,632 $19,632 $18,119 +8% $46,727 −58% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $19,575 $19,575 $18,301 +7% $45,877 −57% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,495 $19,495 $18,485 +5% $45,333 −57% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $19,459 $19,459 $16,443 +18% $37,240 −48% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $19,427 $19,427 $17,735 +10% $33,851 −43% —
711 TESTES PROCEDURES WITH CC/MCC $19,380 $19,380 $16,209 +20% $38,343 −49% —
709 PENIS PROCEDURES WITH CC/MCC $19,354 $19,354 $19,063 +2% $34,535 −44% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $19,284 $19,284 $17,884 +8% $58,280 −67% ≈111% of Medicare
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $19,273 $19,273 $19,462 −1% $40,108 −52% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,245 $19,245 $17,623 +9% $43,174 −55% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $19,234 $19,234 $16,673 +15% $43,631 −56% —
336 PERITONEAL ADHESIOLYSIS WITH CC $19,222 $19,222 $17,920 +7% $50,463 −62% —
374 DIGESTIVE MALIGNANCY WITH MCC $19,166 $19,166 $17,912 +7% $39,958 −52% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $19,117 $19,117 $18,269 +5% $38,666 −51% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $19,108 $19,108 $18,204 +5% $31,044 −38% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $19,106 $19,106 $18,191 +5% $38,070 −50% —
592 SKIN ULCERS WITH MCC $19,086 $19,086 $17,445 +9% $33,246 −43% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,061 $19,061 $19,370 −2% $42,415 −55% —
333 RECTAL RESECTION WITH CC $18,991 $18,991 $18,030 +5% $37,154 −49% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,950 $18,950 $17,602 +8% $52,751 −64% ≈162% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $18,921 $18,921 $18,227 +4% $37,267 −49% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,691 $18,691 $16,939 +10% $29,611 −37% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,686 $18,686 $18,083 +3% $42,906 −56% —
935 Non-extensive burns $18,647 $18,647 $18,633 +0% $31,701 −41% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,644 $18,644 $17,066 +9% $46,090 −60% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,621 $18,621 $16,951 +10% $43,943 −58% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,353 $18,353 $17,993 +2% $49,351 −63% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,315 $18,315 $17,112 +7% $42,914 −57% —
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $18,223 $18,223 $16,638 +10% $43,538 −58% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $18,167 $18,167 $16,738 +9% $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% $37,609 −52% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $18,123 $18,123 $16,645 +9% $35,628 −49% ≈164% of Medicare
100 SEIZURES WITH MCC $18,122 $18,122 $16,842 +8% $35,481 −49% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $18,062 $18,062 $16,781 +8% $43,913 −59% —
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% $39,955 −55% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,997 $17,997 $16,729 +8% $44,139 −59% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $17,937 $17,937 $16,463 +9% $43,080 −58% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,908 $17,908 $17,369 +3% $35,030 −49% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,896 $17,896 $17,786 +1% $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% $31,134 −43% —
548 SEPTIC ARTHRITIS WITH MCC $17,829 $17,829 $17,091 +4% $31,346 −43% —
380 COMPLICATED PEPTIC ULCER WITH MCC $17,817 $17,817 $16,325 +9% $39,627 −55% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,526 $17,526 $16,620 +5% $40,213 −56% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,341 $17,341 $15,984 +8% $32,637 −47% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $17,245 $17,245 $16,098 +7% $40,562 −57% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $17,225 $17,225 $16,577 +4% $38,861 −56% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $17,219 $17,219 $16,098 +7% $42,126 −59% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $17,218 $17,218 $15,996 +8% $50,607 −66% ≈160% of Medicare
906 Hand procedures for injuries $17,218 $17,218 $18,515 −7% $32,065 −46% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,171 $17,171 $15,813 +9% $46,340 −63% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,162 $17,162 $15,728 +9% $23,206 −26% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $17,157 $17,157 $14,667 +17% $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% $32,443 −47% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $17,106 $17,106 $15,995 +7% $47,711 −64% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $17,083 $17,083 $14,911 +15% $39,020 −56% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,060 $17,060 $15,065 +13% $34,276 −50% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,037 $17,037 $16,227 +5% $34,459 −51% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $17,029 $17,029 $16,062 +6% $36,431 −53% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,008 $17,008 $15,101 +13% $39,515 −57% —
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 $15,349 +10% $32,433 −48% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,939 $16,939 $15,748 +8% $33,047 −49% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $16,882 $16,882 $15,509 +9% $43,298 −61% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $16,863 $16,863 $15,599 +8% $32,859 −49% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,839 $16,839 $15,997 +5% $37,844 −56% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $16,762 $16,762 $14,156 +18% $29,126 −42% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,751 $16,751 $15,310 +9% $41,591 −60% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,739 $16,739 $16,037 +4% $33,985 −51% —
919 COMPLICATIONS OF TREATMENT WITH MCC $16,708 $16,708 $15,470 +8% $31,105 −46% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,699 $16,699 $15,823 +6% $36,792 −55% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,696 $16,696 $15,348 +9% $58,809 −72% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,664 $16,664 $15,501 +8% $40,642 −59% —
789 Neonates, died or transferred to another acute care facility $16,660 $16,660 $15,292 +9% $16,351 +2% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,609 $16,609 $15,741 +6% $36,670 −55% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,579 $16,579 $16,015 +4% $33,255 −50% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $16,399 $16,399 $15,425 +6% $37,842 −57% ≈156% of Medicare
801 SPLENECTOMY WITHOUT CC/MCC $16,394 $16,394 $13,927 +18% $36,445 −55% —
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $16,370 $16,370 $15,426 +6% $40,365 −59% —
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% $31,159 −48% —
199 PNEUMOTHORAX WITH MCC $16,254 $16,254 $14,976 +9% $33,787 −52% —
915 ALLERGIC REACTIONS WITH MCC $16,253 $16,253 $14,743 +10% $32,645 −50% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $16,234 $16,234 $15,627 +4% $29,221 −44% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,127 $16,127 $15,479 +4% $37,950 −58% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $16,100 $16,100 $14,169 +14% $26,682 −40% ≈164% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $16,034 $16,034 $13,708 +17% $27,152 −41% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $16,018 $16,018 $14,829 +8% $33,555 −52% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $16,008 $16,008 $15,041 +6% $38,101 −58% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $15,993 $15,993 $14,332 +12% $31,563 −49% —
180 RESPIRATORY NEOPLASMS WITH MCC $15,932 $15,932 $14,827 +7% $36,658 −57% ≈159% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $15,910 $15,910 $15,140 +5% $39,619 −60% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $15,905 $15,905 $14,841 +7% $38,836 −59% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,863 $15,863 $14,903 +6% $30,553 −48% —
504 FOOT PROCEDURES WITH CC $15,833 $15,833 $14,889 +6% $38,960 −59% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,750 $15,750 $14,431 +9% $43,477 −64% —
666 PROSTATECTOMY WITH CC $15,746 $15,746 $13,975 +13% $31,906 −51% —
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% $36,354 −57% —
157 DENTAL AND ORAL DISEASES WITH MCC $15,653 $15,653 $13,892 +13% $31,300 −50% —
505 FOOT PROCEDURES WITHOUT CC/MCC $15,641 $15,641 $14,889 +5% $34,937 −55% —
551 MEDICAL BACK PROBLEMS WITH MCC $15,607 $15,607 $14,476 +8% $34,017 −54% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $15,606 $15,606 $13,791 +13% $28,202 −45% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,563 $15,563 $14,558 +7% $38,094 −59% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $15,558 $15,558 $13,714 +13% $33,707 −54% ≈169% of Medicare
571 SKIN DEBRIDEMENT WITH CC $15,518 $15,518 $14,204 +9% $37,169 −58% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,447 $15,447 $16,841 −8% $32,574 −53% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,426 $15,426 $15,241 +1% $26,510 −42% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,376 $15,376 $14,206 +8% $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 $14,114 +8% $32,628 −53% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,295 $15,295 $14,856 +3% $35,849 −57% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,181 $15,181 $14,260 +6% $32,496 −53% ≈163% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $15,160 $15,160 $14,167 +7% $33,876 −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% $33,563 −55% —
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% $26,910 −44% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,050 $15,050 $14,368 +5% $32,944 −54% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,009 $15,009 $14,152 +6% $34,607 −57% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,005 $15,005 $14,069 +7% $44,606 −66% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $14,991 $14,991 $14,290 +5% $34,273 −56% —
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 $13,548 +10% $35,453 −58% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,882 $14,882 $12,773 +17% $33,424 −55% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,882 $14,882 $12,466 +19% $26,463 −44% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,870 $14,870 $14,049 +6% $34,192 −57% —
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% $29,079 −49% —
895 Alcohol/drug abuse or dependence w rehabilitation therapy $14,773 $14,773 $12,283 +20% $21,986 −33% —
334 RECTAL RESECTION WITHOUT CC/MCC $14,740 $14,740 $14,071 +5% $36,820 −60% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $14,723 $14,723 $13,899 +6% $33,661 −56% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,711 $14,711 $13,114 +12% $26,598 −45% —
597 MALIGNANT BREAST DISORDERS WITH MCC $14,698 $14,698 $14,903 −1% $33,386 −56% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $14,670 $14,670 $13,518 +9% $39,006 −62% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,657 $14,657 $13,910 +5% $30,235 −52% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,590 $14,590 $13,458 +8% $41,955 −65% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $14,577 $14,577 $13,256 +10% $46,295 −69% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $14,573 $14,573 $13,925 +5% $30,828 −53% ≈193% of Medicare
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,573 $14,573 $13,279 +10% $34,749 −58% —
606 MINOR SKIN DISORDERS WITH MCC $14,567 $14,567 $13,661 +7% $27,975 −48% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,548 $14,548 $13,982 +4% $25,197 −42% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $14,525 $14,525 $12,407 +17% $31,170 −53% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,481 $14,481 $13,723 +6% $27,316 −47% —
183 MAJOR CHEST TRAUMA WITH MCC $14,465 $14,465 $13,466 +7% $29,933 −52% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,456 $14,456 $13,302 +9% $33,633 −57% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,397 $14,397 $13,784 +4% $27,617 −48% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $14,382 $14,382 $13,159 +9% $34,434 −58% —
115 Extraocular procedures except orbit $14,375 $14,375 $12,988 +11% $25,703 −44% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,352 $14,352 $13,312 +8% $33,653 −57% —
813 Coagulation disorders $14,335 $14,335 $13,132 +9% $33,296 −57% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $14,307 $14,307 $13,147 +9% $32,877 −56% —
186 PLEURAL EFFUSION WITH MCC $14,265 $14,265 $13,404 +6% $33,834 −58% —
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% $35,074 −60% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $14,191 $14,191 $11,788 +20% $25,094 −43% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,162 $14,162 $12,629 +12% $33,048 −57% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $14,140 $14,140 $13,797 +2% $27,633 −49% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $14,128 $14,128 $12,703 +11% $24,586 −43% —
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% $35,831 −61% —
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $13,983 $13,983 $12,416 +13% $29,743 −53% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $13,953 $13,953 $12,401 +13% $32,451 −57% —
398 APPENDIX PROCEDURES WITH CC $13,917 $13,917 $12,837 +8% $40,162 −65% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,884 $13,884 $14,104 −2% $29,316 −53% —
945 REHABILITATION WITH CC/MCC $13,883 $13,883 $12,950 +7% $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 $11,865 +17% $27,861 −50% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,807 $13,807 $12,726 +8% $27,394 −50% —
682 RENAL FAILURE WITH MCC $13,805 $13,805 $12,741 +8% $29,064 −53% ≈158% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $13,765 $13,765 $13,023 +6% $39,211 −65% —
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 $12,663 +9% $33,393 −59% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,725 $13,725 $12,804 +7% $33,454 −59% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,722 $13,722 $12,007 +14% $26,280 −48% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,707 $13,707 $12,523 +9% $8,445 +62% —
602 CELLULITIS WITH MCC $13,686 $13,686 $12,464 +10% $30,598 −55% ≈176% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,622 $13,622 $12,759 +7% $36,253 −62% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,598 $13,598 $13,376 +2% $32,697 −58% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,539 $13,539 $12,157 +11% $32,833 −59% —
506 Major thumb or joint procedures $13,463 $13,463 $12,718 +6% $30,557 −56% —
663 MINOR BLADDER PROCEDURES WITH CC $13,430 $13,430 $12,958 +4% $33,103 −59% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $13,426 $13,426 $12,577 +7% $36,988 −64% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,400 $13,400 $12,763 +5% $36,505 −63% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,381 $13,381 $12,470 +7% $30,571 −56% ≈184% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $13,356 $13,356 $12,267 +9% $32,100 −58% —
637 DIABETES WITH MCC $13,343 $13,343 $12,354 +8% $30,100 −56% ≈168% of Medicare
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,206 $13,206 $10,949 +21% $22,811 −42% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,184 $13,184 $12,159 +8% $35,465 −63% —
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% $22,620 −42% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $13,066 $13,066 $10,830 +21% $22,557 −42% —
693 URINARY STONES WITH MCC $13,048 $13,048 $12,474 +5% $23,892 −45% —
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% $25,073 −48% —
748 Female reproductive system reconstructive procedures $12,945 $12,945 $11,557 +12% $30,242 −57% —
811 RED BLOOD CELL DISORDERS WITH MCC $12,934 $12,934 $11,935 +8% $28,226 −54% ≈173% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,928 $12,928 $11,954 +8% $30,959 −58% ≈187% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,893 $12,893 $11,424 +13% $24,127 −47% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,885 $12,885 $10,725 +20% $27,426 −53% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,868 $12,868 $11,888 +8% $22,393 −43% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $12,810 $12,810 $12,809 +0% $30,770 −58% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,747 $12,747 $11,853 +8% $31,017 −59% —
885 Psychoses $12,600 $12,600 $11,958 +5% $21,729 −42% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,584 $12,584 $12,869 −2% $33,674 −63% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,573 $12,573 $12,058 +4% $27,808 −55% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,566 $12,566 $11,310 +11% $32,841 −62% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,543 $12,543 $10,939 +15% $27,989 −55% —
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 $11,486 +9% $29,949 −58% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,467 $12,467 $11,079 +13% $26,051 −52% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,424 $12,424 $12,209 +2% $26,932 −54% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,417 $12,417 $11,368 +9% $31,264 −60% —
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% $27,275 −55% ≈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% $21,894 −44% —
640 Nutritional & misc metabolic disorders w MCC $12,142 $12,142 $11,266 +8% $25,463 −52% ≈179% of Medicare
150 EPISTAXIS WITH MCC $12,135 $12,135 $11,726 +3% $23,171 −48% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,124 $12,124 $11,178 +8% $36,937 −67% —
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 $10,680 +13% $27,947 −57% —
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $11,999 $11,999 $11,653 +3% $30,493 −61% —
540 OSTEOMYELITIS WITH CC $11,989 $11,989 $10,978 +9% $26,676 −55% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,976 $11,976 $11,282 +6% $24,552 −51% —
887 OTHER MENTAL DISORDER DIAGNOSES $11,966 $11,966 $10,090 +19% $20,616 −42% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,928 $11,928 $10,441 +14% $27,323 −56% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,914 $11,914 $9,848 +21% $21,230 −44% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,896 $11,896 $10,564 +13% $27,297 −56% —
291 HEART FAILURE AND SHOCK WITH MCC $11,861 $11,861 $11,069 +7% $26,776 −56% ≈173% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,857 $11,857 $10,930 +8% $25,748 −54% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,837 $11,837 $9,868 +20% $19,412 −39% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,836 $11,836 $11,496 +3% $30,083 −61% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,788 $11,788 $10,897 +8% $28,050 −58% ≈159% of Medicare
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,649 $11,649 $10,298 +13% $26,948 −57% —
947 SIGNS AND SYMPTOMS WITH MCC $11,572 $11,572 $10,911 +6% $27,401 −58% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,481 $11,481 $10,342 +11% $25,581 −55% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,476 $11,476 $10,711 +7% $22,320 −49% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,457 $11,457 $9,703 +18% $25,390 −55% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,447 $11,447 $10,506 +9% $28,320 −60% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,432 $11,432 $10,748 +6% $28,125 −59% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $11,430 $11,430 $10,560 +8% $22,851 −50% —
710 PENIS PROCEDURES WITHOUT CC/MCC $11,417 $11,417 $12,737 −10% $26,436 −57% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,396 $11,396 $10,497 +9% $26,580 −57% ≈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 $10,051 +12% $25,712 −56% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $11,271 $11,271 $9,300 +21% $16,846 −33% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $11,222 $11,222 $10,780 +4% $23,498 −52% —
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 $10,373 +8% $22,886 −51% —
102 HEADACHES WITH MCC $11,168 $11,168 $9,837 +14% $25,740 −57% —
549 SEPTIC ARTHRITIS WITH CC $11,165 $11,165 $10,223 +9% $24,056 −54% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $11,149 $11,149 $10,507 +6% $22,458 −50% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,129 $11,129 $10,230 +9% $26,770 −58% ≈192% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $11,103 $11,103 $9,821 +13% $25,700 −57% —
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 $9,150 +21% $17,193 −35% —
375 DIGESTIVE MALIGNANCY WITH CC $11,094 $11,094 $10,424 +6% $27,277 −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 $9,568 +16% $24,566 −55% —
712 TESTES PROCEDURES WITHOUT CC/MCC $11,005 $11,005 $9,074 +21% $18,898 −42% —
152 OTITIS MEDIA AND URI WITH MCC $11,003 $11,003 $9,627 +14% $20,247 −46% —
139 Salivary gland procedures $10,999 $10,999 $11,648 −6% $23,612 −53% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,902 $10,902 $9,867 +10% $23,443 −53% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,892 $10,892 $10,451 +4% $19,270 −43% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,880 $10,880 $9,928 +10% $23,617 −54% ≈168% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,868 $10,868 $10,927 −1% $26,870 −60% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,769 $10,769 $10,169 +6% $30,784 −65% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,764 $10,764 $10,563 +2% $19,354 −44% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,726 $10,726 $10,139 +6% $21,847 −51% —
304 HYPERTENSION WITH MCC $10,652 $10,652 $9,966 +7% $26,080 −59% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,568 $10,568 $9,692 +9% $24,944 −58% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,501 $10,501 $9,660 +9% $25,279 −58% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,431 $10,431 $9,803 +6% $25,652 −59% —
302 ATHEROSCLEROSIS WITH MCC $10,402 $10,402 $9,869 +5% $22,446 −54% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,343 $10,343 $8,510 +22% $17,737 −42% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,341 $10,341 $9,526 +9% $19,815 −48% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,330 $10,330 $9,534 +8% $31,321 −67% —
697 Urethral stricture $10,330 $10,330 $8,499 +22% $18,428 −44% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $10,294 $10,294 $9,354 +10% $27,843 −63% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,231 $10,231 $9,527 +7% $24,386 −58% ≈175% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $10,223 $10,223 $9,419 +9% $23,573 −57% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,219 $10,219 $9,567 +7% $25,034 −59% —
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% $23,551 −57% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,095 $10,095 $9,200 +10% $23,319 −57% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,083 $10,083 $8,909 +13% $22,763 −56% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,076 $10,076 $9,418 +7% $18,459 −45% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,048 $10,048 $9,244 +9% $32,021 −69% —
200 PNEUMOTHORAX WITH CC $10,007 $10,007 $9,395 +7% $21,368 −53% —
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 $9,082 +9% $20,422 −51% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,912 $9,912 $8,924 +11% $19,657 −50% —
644 ENDOCRINE DISORDERS WITH CC $9,870 $9,870 $8,767 +13% $23,198 −57% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $9,869 $9,869 $9,160 +8% $22,314 −56% —
184 MAJOR CHEST TRAUMA WITH CC $9,782 $9,782 $9,061 +8% $22,432 −56% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,775 $9,775 $12,517 −22% $23,571 −59% —
667 PROSTATECTOMY WITHOUT CC/MCC $9,761 $9,761 $8,719 +12% $16,703 −42% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,751 $9,751 $8,709 +12% $25,970 −62% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,723 $9,723 $8,931 +9% $20,232 −52% —
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 $8,650 +12% $22,635 −57% —
949 AFTERCARE WITH CC/MCC $9,640 $9,640 $9,154 +5% $23,953 −60% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,639 $9,639 $8,694 +11% $18,348 −47% —
920 COMPLICATIONS OF TREATMENT WITH CC $9,620 $9,620 $8,618 +12% $22,468 −57% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,595 $9,595 $9,076 +6% $23,749 −60% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,585 $9,585 $8,746 +10% $22,888 −58% ≈172% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,545 $9,545 $8,115 +18% $16,700 −43% —
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 $12,517 −24% $23,283 −59% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,503 $9,503 $8,652 +10% $21,275 −55% ≈174% of Medicare
946 REHABILITATION WITHOUT CC/MCC $9,431 $9,431 $9,472 −0% $17,685 −47% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,419 $9,419 $8,652 +9% $17,601 −46% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,405 $9,405 $9,585 −2% $18,133 −48% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,398 $9,398 $9,171 +2% $17,226 −45% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,390 $9,390 $8,598 +9% $15,370 −39% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,366 $9,366 $8,483 +10% $20,957 −55% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $9,357 $9,357 $8,075 +16% $18,316 −49% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,352 $9,352 $9,339 +0% $17,483 −47% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,311 $9,311 $8,651 +8% $22,506 −59% —
197 INTERSTITIAL LUNG DISEASE WITH CC $9,294 $9,294 $8,399 +11% $21,941 −58% —
187 PLEURAL EFFUSION WITH CC $9,284 $9,284 $8,517 +9% $21,789 −57% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $9,280 $9,280 $8,598 +8% $19,962 −54% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,276 $9,276 $8,361 +11% $20,895 −56% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,265 $9,265 $8,620 +7% $19,264 −52% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,251 $9,251 $8,647 +7% $20,901 −56% —
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 $8,102 +14% $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% $25,303 −64% —
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% $22,098 −58% ≈176% of Medicare
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,100 $9,100 $7,473 +22% $19,854 −54% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,062 $9,062 $8,420 +8% $22,033 −59% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,024 $9,024 $8,164 +11% $21,363 −58% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,021 $9,021 $7,796 +16% $18,072 −50% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $9,015 $9,015 $8,176 +10% $21,396 −58% ≈169% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,982 $8,982 $8,108 +11% $20,911 −57% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,945 $8,945 $7,972 +12% $17,934 −50% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,936 $8,936 $8,201 +9% $17,724 −50% ≈189% of Medicare
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,922 $8,922 $7,742 +15% $20,259 −56% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,910 $8,910 $8,132 +10% $17,733 −50% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,882 $8,882 $8,197 +8% $21,449 −59% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,838 $8,838 $7,920 +12% $16,968 −48% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,802 $8,802 $7,859 +12% $20,566 −57% —
882 Neuroses except depressive $8,773 $8,773 $8,161 +7% $15,680 −44% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,771 $8,771 $8,299 +6% $17,404 −50% —
158 DENTAL AND ORAL DISEASES WITH CC $8,766 $8,766 $7,980 +10% $18,466 −53% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,751 $8,751 $7,986 +10% $20,181 −57% ≈178% of Medicare
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,624 $8,624 $9,284 −7% $17,398 −50% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,607 $8,607 $7,314 +18% $19,138 −55% —
866 VIRAL ILLNESS WITHOUT MCC $8,579 $8,579 $7,506 +14% $17,081 −50% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,542 $8,542 $7,684 +11% $18,488 −54% —
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% $20,461 −58% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,500 $8,500 $7,836 +8% $20,506 −59% —
914 TRAUMATIC INJURY WITHOUT MCC $8,490 $8,490 $7,774 +9% $15,855 −46% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,485 $8,485 $6,927 +22% $18,126 −53% —
881 Depressive neuroses $8,479 $8,479 $7,755 +9% $15,058 −44% —
683 RENAL FAILURE WITH CC $8,428 $8,428 $7,541 +12% $19,130 −56% ≈169% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,427 $8,427 $7,829 +8% $20,488 −59% ≈169% of Medicare
638 DIABETES WITH CC $8,415 $8,415 $7,781 +8% $19,661 −57% ≈171% of Medicare
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $8,381 $8,381 $7,583 +11% $19,842 −58% ≈176% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $8,362 $8,362 $7,331 +14% $15,889 −47% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,344 $8,344 $7,491 +11% $16,998 −51% —
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% $19,594 −58% —
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% $18,640 −56% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,227 $8,227 $7,328 +12% $18,602 −56% —
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 $7,410 +10% $19,846 −59% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,113 $8,113 $6,901 +18% $19,119 −58% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $8,106 $8,106 $7,099 +14% $14,055 −42% —
312 SYNCOPE AND COLLAPSE $8,094 $8,094 $7,392 +9% $19,342 −58% ≈180% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,070 $8,070 $7,504 +8% $15,452 −48% —
541 OSTEOMYELITIS WITHOUT CC/MCC $8,043 $8,043 $7,422 +8% $15,215 −47% —
292 HEART FAILURE AND SHOCK WITH CC $8,031 $8,031 $7,306 +10% $16,371 −51% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $8,023 $8,023 $7,484 +7% $16,699 −52% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,019 $8,019 $7,297 +10% $19,096 −58% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,017 $8,017 $12,517 −36% $20,084 −60% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,964 $7,964 $7,288 +9% $18,807 −58% ≈178% of Medicare
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,930 $7,930 $8,509 −7% $16,212 −51% —
103 HEADACHES WITHOUT MCC $7,904 $7,904 $7,213 +10% $21,280 −63% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,803 $7,803 $6,661 +17% $14,014 −44% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,743 $7,743 $6,927 +12% $18,126 −57% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,730 $7,730 $6,880 +12% $18,004 −57% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,723 $7,723 $6,956 +11% $18,204 −58% ≈187% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,720 $7,720 $7,080 +9% $18,528 −58% —
176 PULMONARY EMBOLISM WITHOUT MCC $7,664 $7,664 $6,910 +11% $18,081 −58% ≈163% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,645 $7,645 $6,330 +21% $16,565 −54% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,625 $7,625 $8,598 −11% $18,452 −59% —
534 FRACTURES OF FEMUR WITHOUT MCC $7,614 $7,614 $6,906 +10% $17,559 −57% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,610 $7,610 $6,181 +23% $12,768 −40% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,586 $7,586 $6,809 +11% $17,674 −57% ≈181% of Medicare
123 Neurological eye disorders $7,560 $7,560 $6,814 +11% $19,745 −62% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,538 $7,538 $6,764 +11% $17,700 −57% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,533 $7,533 $6,740 +12% $17,921 −58% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,525 $7,525 $6,932 +9% $17,118 −56% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,513 $7,513 $9,128 −18% $18,956 −60% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,502 $7,502 $7,005 +7% $17,298 −57% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,492 $7,492 $6,800 +10% $17,578 −57% ≈174% of Medicare
594 SKIN ULCERS WITHOUT CC/MCC $7,412 $7,412 $7,200 +3% $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 $6,620 +12% $17,322 −57% ≈192% of Medicare
694 URINARY STONES WITHOUT MCC $7,369 $7,369 $6,629 +11% $17,345 −58% —
641 Nutritional & misc metabolic disorders w/o MCC $7,358 $7,358 $6,629 +11% $17,038 −57% ≈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 $5,942 +23% $15,549 −53% —
151 EPISTAXIS WITHOUT MCC $7,262 $7,262 $6,430 +13% $13,032 −44% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,233 $7,233 $6,411 +13% $16,776 −57% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,196 $7,196 $6,530 +10% $14,648 −51% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,174 $7,174 $6,606 +9% $15,428 −53% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,162 $7,162 $6,947 +3% $14,501 −51% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,157 $7,157 $7,105 +1% $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 $6,598 +8% $17,124 −58% —
305 HYPERTENSION WITHOUT MCC $7,108 $7,108 $6,369 +12% $18,086 −61% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,081 $7,081 $6,346 +12% $14,716 −52% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,047 $7,047 $8,598 −18% $13,275 −47% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,045 $7,045 $6,229 +13% $14,514 −51% —
149 Dysequilibrium $7,029 $7,029 $6,341 +11% $18,096 −61% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,029 $7,029 $6,272 +12% $17,303 −59% ≈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% $15,495 −55% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,984 $6,984 $6,286 +11% $16,450 −58% —
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% $14,583 −52% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,905 $6,905 $6,315 +9% $15,019 −54% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,885 $6,885 $5,976 +15% $12,336 −44% —
313 Chest pain $6,840 $6,840 $6,052 +13% $16,440 −58% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,791 $6,791 $6,151 +10% $19,227 −65% ≈188% of Medicare
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,778 $6,778 $6,053 +12% $12,454 −46% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,776 $6,776 $6,154 +10% $16,767 −60% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,760 $6,760 $5,961 +13% $15,600 −57% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,720 $6,720 $5,594 +20% $14,638 −54% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,716 $6,716 $6,052 +11% $15,837 −58% —
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% $14,797 −55% —
201 PNEUMOTHORAX WITHOUT CC/MCC $6,683 $6,683 $5,744 +16% $14,053 −52% —
311 Angina pectoris $6,611 $6,611 $5,924 +12% $15,502 −57% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,609 $6,609 $5,834 +13% $14,415 −54% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,583 $6,583 $5,910 +11% $12,252 −46% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,563 $6,563 $5,792 +13% $13,651 −52% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,558 $6,558 $5,869 +12% $14,689 −55% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,545 $6,545 $6,105 +7% $12,559 −48% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,486 $6,486 $5,686 +14% $16,288 −60% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,406 $6,406 $5,596 +14% $13,633 −53% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,355 $6,355 $5,909 +8% $12,460 −49% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,259 $6,259 $5,634 +11% $13,942 −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 $5,704 +9% $14,549 −57% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,219 $6,219 $8,598 −28% $12,078 −49% —
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 $5,429 +13% $14,250 −57% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,107 $6,107 $5,491 +11% $14,368 −57% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,030 $6,030 $5,401 +12% $15,038 −60% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,014 $6,014 $6,700 −10% $13,445 −55% —
950 AFTERCARE WITHOUT CC/MCC $5,985 $5,985 $4,972 +20% $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 $5,086 +17% $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 $5,149 +15% $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 $5,218 +13% $15,183 −61% —
684 RENAL FAILURE WITHOUT CC/MCC $5,808 $5,808 $5,153 +13% $13,642 −57% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,782 $5,782 $5,378 +8% $11,421 −49% —
951 Other factors influencing health status $5,643 $5,643 $4,810 +17% $10,160 −44% —
894 Alcohol/drug abuse or dependence, left AMA $5,504 $5,504 $5,295 +4% $12,324 −55% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,387 $5,387 $4,655 +16% $12,999 −59% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,365 $5,365 $4,642 +16% $13,361 −60% ≈196% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,311 $5,311 $4,747 +12% $13,384 −60% ≈190% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,942 $4,942 $4,410 +12% $9,940 −50% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,735 $4,735 $4,763 −1% $10,480 −55% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,288 $4,288 $3,747 +14% $8,927 −52% —
795 Normal newborn $2,163 $2,163 $3,492 −38% $4,720 −54% —

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 — 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 — 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 — 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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