Cooper University Hospital — Pricing

717 procedures published in this hospital's Machine-Readable File (MRF) — 717 with a comparable price, 0 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 717
Lowest published price $3,016
Average published price $26,022
Highest published price $307,776

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 717 procedures

Published charges

Showing all 717 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 163 procedures, this hospital's negotiated rates average ≈128% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY $307,776 $307,776 $307,776 +0% $461,389 −33% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $299,393 $299,393 $201,252 +49% $306,087 −2% —
003 ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE, MOUTH & NECK WITH MAJ O.R. $242,304 $242,304 $252,455 −4% $371,366 −35% ≈141% of Medicare
004 TRACH WITH MV >96 HRS OR PDX EXC FACE, MOUTH & NECK WITHOUT MAJ O.R. $167,292 $167,292 $167,292 +0% $248,521 −33% ≈142% of Medicare
007 LUNG TRANSPLANT $139,717 $139,717 $110,869 +26% $170,608 −18% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $139,464 $139,464 $93,485 +49% $194,769 −28% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $130,590 $130,590 $111,149 +17% $182,314 −28% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $118,003 $118,003 $118,003 +0% $164,641 −28% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $116,471 $116,471 $91,898 +27% $208,939 −44% —
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY $110,698 $110,698 $99,015 +12% $188,171 −41% ≈114% of Medicare
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $101,136 $101,136 $103,861 −3% $103,861 −3% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY $96,502 $96,502 $96,502 +0% $148,686 −35% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $96,241 $96,241 $111,108 −13% $153,282 −37% —
231 CORONARY BYPASS WITH PTCA WITH COMORBITY $92,681 $92,681 $100,406 −8% $147,227 −37% —
233 CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY $89,105 $89,105 $99,484 −10% $144,569 −38% ≈133% of Medicare
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY $88,104 $88,104 $69,461 +27% $143,242 −38% ≈125% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $82,680 $82,680 $96,002 −14% $120,573 −31% ≈119% of Medicare
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $79,648 $79,648 $71,210 +12% $148,832 −46% ≈118% of Medicare
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $79,135 $79,135 $56,660 +40% $89,353 −11% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $79,003 $79,003 $54,864 +44% $116,058 −32% ≈113% of Medicare
969 HIV WITH EXTENSIVE O.R. PROCEDURE WITH COMORBITY $78,602 $78,602 $70,274 +12% $109,331 −28% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY $78,399 $78,399 $56,564 +39% $125,242 −37% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY $77,989 $77,989 $77,989 +0% $108,472 −28% —
459 SPINAL FUSION EXCEPT CERVICAL WITH COMORBITY $75,879 $75,879 $75,879 +0% $75,251 +1% —
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION $72,854 $72,854 $54,785 +33% $123,995 −41% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY $71,503 $71,503 $56,331 +27% $113,855 −37% ≈119% of Medicare
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $71,186 $71,186 $76,220 −7% $98,912 −28% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $70,720 $70,720 $51,205 +38% $98,260 −28% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $70,720 $70,720 $51,205 +38% $81,176 −13% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION $70,317 $70,317 $74,709 −6% $106,057 −34% —
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION $70,032 $70,032 $79,734 −12% $69,101 +1% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $69,737 $69,737 $57,928 +20% $102,600 −32% —
457 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION $69,568 $69,568 $69,568 +0% $107,355 −35% —
820 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY $69,244 $69,244 $73,617 −6% $96,192 −28% —
028 SPINAL PROCEDURES WITH COMORBITY $69,010 $69,010 $75,626 −9% $113,077 −39% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $68,716 $68,716 $68,716 +0% $80,018 −14% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $68,132 $68,132 $52,744 +29% $115,839 −41% —
235 CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY $67,362 $67,362 $53,056 +27% $112,062 −40% ≈125% of Medicare
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $65,278 $65,278 $70,773 −8% $103,455 −37% —
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY $65,124 $65,124 $58,205 +12% $90,401 −28% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $64,962 $64,962 $74,760 −13% $106,778 −39% ≈106% of Medicare
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS WITH COMORBITY $64,904 $64,904 $45,819 +42% $89,207 −27% ≈101% of Medicare
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY $64,171 $64,171 $46,891 +37% $85,566 −25% ≈116% of Medicare
405 PANCREAS, LIVER & SHUNT PROCEDURES WITH COMORBITY $63,108 $63,108 $69,661 −9% $102,128 −38% ≈124% of Medicare
653 MAJOR BLADDER PROCEDURES WITH COMORBITY $62,070 $62,070 $48,871 +27% $104,583 −41% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $60,349 $60,349 $46,159 +31% $86,459 −30% —
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION $60,155 $60,155 $47,356 +27% $111,320 −46% ≈130% of Medicare
234 CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY $59,626 $59,626 $63,765 −6% $102,573 −42% ≈154% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $59,498 $59,498 $67,426 −12% $96,507 −38% ≈115% of Medicare
011 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY $59,155 $59,155 $45,776 +29% $101,576 −42% —
326 STOMACH, ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $58,279 $58,279 $58,279 +0% $80,793 −28% ≈116% of Medicare
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY $58,029 $58,029 $58,029 +0% $99,423 −42% ≈108% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY $57,822 $57,822 $45,511 +27% $96,905 −40% ≈114% of Medicare
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $57,376 $57,376 $66,300 −13% $93,172 −38% ≈114% of Medicare
799 SPLENECTOMY WITH COMORBITY $56,869 $56,869 $63,003 −10% $82,218 −31% —
471 CERVICAL SPINAL FUSION WITH COMORBITY $56,466 $56,466 $56,466 +0% $92,515 −39% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY $56,026 $56,026 $56,990 −2% $92,217 −39% ≈124% of Medicare
006 LIVER TRANSPLANT WITHOUT MCC $55,536 $55,536 $41,138 +35% $84,407 −34% —
010 PANCREAS TRANSPLANT $55,272 $55,272 $67,639 −18% $99,940 −45% —
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY $55,195 $55,195 $43,082 +28% $93,390 −41% —
837 CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY $54,626 $54,626 $42,731 +28% $77,055 −29% —
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $54,442 $54,442 $48,640 +12% $90,775 −40% ≈134% of Medicare
163 MAJOR CHEST PROCEDURES WITH COMORBITY $54,139 $54,139 $48,368 +12% $90,195 −40% ≈122% of Medicare
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY $53,402 $53,402 $53,402 +0% $90,331 −41% —
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $52,915 $52,915 $58,617 −10% $56,836 −7% —
245 AICD GENERATOR PROCEDURES $52,074 $52,074 $57,711 −10% $72,076 −28% —
458 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY $52,070 $52,070 $59,237 −12% $83,441 −38% —
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $51,909 $51,909 $62,792 −17% $88,050 −41% ≈135% of Medicare
823 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY $51,740 $51,740 $59,849 −14% $87,761 −41% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY $50,907 $50,907 $38,274 +33% $76,001 −33% ≈116% of Medicare
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY $50,767 $50,767 $37,941 +34% $88,307 −43% ≈107% of Medicare
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY $50,459 $50,459 $45,486 +11% $90,724 −44% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY $49,767 $49,767 $44,454 +12% $70,177 −29% —
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY $49,484 $49,484 $38,916 +27% $84,692 −42% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY $49,211 $49,211 $54,189 −9% $82,561 −40% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $48,425 $48,425 $35,380 +37% $18,649 +160% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY $47,850 $47,850 $40,079 +19% $85,159 −44% ≈128% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH COMORBITY $47,374 $47,374 $54,021 −12% $72,962 −35% —
791 PREMATURITY WITH MAJOR PROBLEMS $47,160 $47,160 $45,159 +4% $42,679 +11% —
166 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY $46,708 $46,708 $50,951 −8% $75,573 −38% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $46,561 $46,561 $41,582 +12% $73,120 −36% —
236 CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY $46,520 $46,520 $41,546 +12% $82,247 −43% ≈129% of Medicare
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC WITH COMORBITY $46,217 $46,217 $33,473 +38% $71,795 −36% —
012 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION $46,109 $46,109 $40,461 +14% $79,836 −42% —
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS WITH COMORBITY $45,574 $45,574 $32,789 +39% $66,685 −32% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY $45,044 $45,044 $52,205 −14% $79,225 −43% —
034 CAROTID ARTERY STENT PROCEDURE WITH COMORBITY $44,936 $44,936 $32,990 +36% $76,219 −41% —
273 PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY $44,886 $44,886 $35,279 +27% $78,852 −43% ≈120% of Medicare
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY $44,775 $44,775 $48,003 −7% $61,832 −28% —
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $44,673 $44,673 $33,769 +32% $75,103 −41% ≈128% of Medicare
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY $44,359 $44,359 $44,359 +0% $74,257 −40% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $44,077 $44,077 $31,745 +39% $61,470 −28% —
024 CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY $43,660 $43,660 $49,588 −12% $74,755 −42% ≈124% of Medicare
876 O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $43,011 $43,011 $33,337 +29% $54,196 −21% —
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY $42,905 $42,905 $48,637 −12% $62,583 −31% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY $42,875 $42,875 $42,875 +0% $77,817 −45% ≈114% of Medicare
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY $42,631 $42,631 $52,219 −18% $77,990 −45% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY $42,177 $42,177 $50,803 −17% $51,625 −18% ≈124% of Medicare
518 BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM $42,108 $42,108 $31,743 +33% $71,092 −41% —
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY $41,939 $41,939 $30,410 +38% $59,533 −30% —
332 RECTAL RESECTION WITH MCC $41,834 $41,834 $29,427 +42% $58,125 −28% —
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY $41,778 $41,778 $41,778 +0% $68,639 −39% —
739 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMORBITY $41,706 $41,706 $45,999 −9% $62,300 −33% —
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY $41,308 $41,308 $45,480 −9% $56,964 −27% —
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $41,238 $41,238 $49,404 −17% $71,755 −43% —
265 AICD LEAD PROCEDURES $40,774 $40,774 $36,401 +12% $63,171 −35% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY $40,673 $40,673 $31,947 +27% $69,743 −42% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $40,233 $40,233 $46,123 −13% $70,847 −43% ≈120% of Medicare
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $40,124 $40,124 $48,538 −17% $66,848 −40% —
492 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR WITH COMORBITY $39,958 $39,958 $31,382 +27% $70,564 −43% ≈134% of Medicare
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION $39,892 $39,892 $29,221 +37% $71,014 −44% ≈123% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY $39,879 $39,879 $47,020 −15% $70,132 −43% ≈121% of Medicare
029 SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS $39,574 $39,574 $41,267 −4% $67,268 −41% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $39,320 $39,320 $39,320 +0% $52,036 −24% —
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY $39,145 $39,145 $30,412 +29% $66,711 −41% —
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $38,991 $38,991 $29,715 +31% $66,068 −41% ≈128% of Medicare
037 EXTRACRANIAL PROCEDURES WITH COMORBITY $38,978 $38,978 $28,173 +38% $66,666 −42% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $38,903 $38,903 $29,175 +33% $68,653 −43% ≈122% of Medicare
252 OTHER VASCULAR PROCEDURES WITH COMORBITY $38,731 $38,731 $45,852 −16% $68,508 −43% ≈107% of Medicare
579 OTHER SKIN, SUBCUT TISS & BREAST PROC WITH COMORBITY $38,600 $38,600 $39,757 −3% $58,745 −34% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT $38,459 $38,459 $33,894 +13% $65,788 −42% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY $38,294 $38,294 $34,180 +12% $70,371 −46% —
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $38,054 $38,054 $27,311 +39% $72,424 −47% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $37,736 $37,736 $29,651 +27% $51,953 −27% —
904 SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY $37,625 $37,625 $32,756 +15% $59,594 −37% —
500 SOFT TISSUE PROCEDURES WITH COMORBITY $37,474 $37,474 $26,882 +39% $61,872 −39% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY $37,451 $37,451 $33,425 +12% $65,573 −43% ≈127% of Medicare
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $37,164 $37,164 $26,981 +38% $44,472 −16% —
939 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY $37,162 $37,162 $26,927 +38% $55,289 −33% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY $36,998 $36,998 $29,942 +24% $50,919 −27% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY $36,757 $36,757 $38,140 −4% $65,325 −44% —
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $36,552 $36,552 $26,234 +39% $62,821 −42% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY $36,465 $36,465 $26,161 +39% $53,864 −32% —
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY $36,282 $36,282 $28,056 +29% $65,608 −45% —
840 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY $36,141 $36,141 $27,054 +34% $49,710 −27% ≈125% of Medicare
665 PROSTATECTOMY WITH MCC $35,732 $35,732 $43,765 −18% $54,072 −34% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $35,085 $35,085 $35,085 +0% $59,352 −41% —
652 KIDNEY TRANSPLANT $34,772 $34,772 $26,056 +33% $54,720 −36% —
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $34,738 $34,738 $25,014 +39% $58,228 −40% ≈122% of Medicare
662 MINOR BLADDER PROCEDURES WITH COMORBITY $34,685 $34,685 $26,465 +31% $54,562 −36% —
472 CERVICAL SPINAL FUSION WITH COMPLICATION $34,217 $34,217 $24,578 +39% $59,537 −43% ≈125% of Medicare
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION $34,191 $34,191 $25,948 +32% $64,523 −47% —
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $34,143 $34,143 $39,985 −15% $65,653 −48% ≈120% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $33,865 $33,865 $24,882 +36% $60,170 −44% —
570 SKIN DEBRIDEMENT WITH COMORBITY $33,841 $33,841 $25,537 +33% $52,435 −35% —
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY $33,830 $33,830 $24,323 +39% $59,031 −43% —
974 HIV WITH MAJOR RELATED CONDITION WITH COMORBITY $33,776 $33,776 $25,333 +33% $46,402 −27% —
406 PANCREAS, LIVER & SHUNT PROCEDURES WITH COMPLICATION $33,447 $33,447 $23,825 +40% $58,043 −42% ≈124% of Medicare
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $33,368 $33,368 $23,214 +44% $48,358 −31% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY $32,981 $32,981 $40,277 −18% $58,975 −44% —
263 VEIN LIGATION & STRIPPING $32,742 $32,742 $22,754 +44% $51,253 −36% —
668 TRANSURETHRAL PROCEDURES WITH COMORBITY $32,660 $32,660 $29,135 +12% $51,608 −37% —
800 SPLENIC PROCEDURES WITH CC $32,657 $32,657 $24,719 +32% $49,184 −34% —
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION $32,561 $32,561 $24,706 +32% $59,790 −46% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY $32,488 $32,488 $22,934 +42% $62,264 −48% —
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY $31,860 $31,860 $22,197 +44% $46,453 −31% —
344 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $31,781 $31,781 $22,859 +39% $44,546 −29% —
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION $31,748 $31,748 $23,941 +33% $58,274 −46% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $31,712 $31,712 $23,047 +38% $43,491 −27% ≈116% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC WITH COMORBITY $31,557 $31,557 $24,247 +30% $49,839 −37% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH COMORBITY $31,421 $31,421 $23,800 +32% $52,986 −41% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $31,366 $31,366 $22,768 +38% $52,405 −40% ≈120% of Medicare
849 RADIOTHERAPY $31,226 $31,226 $22,660 +38% $37,862 −18% —
013 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT COMPLICATION/COMORBITY $31,161 $31,161 $22,481 +39% $48,687 −36% —
503 FOOT PROCEDURES WITH COMORBITY $31,118 $31,118 $22,452 +39% $47,540 −35% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $30,979 $30,979 $22,255 +39% $54,929 −44% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $30,781 $30,781 $20,455 +50% $42,186 −27% —
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $30,747 $30,747 $22,590 +36% $47,945 −36% —
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY $30,315 $30,315 $21,420 +42% $49,423 −39% —
288 ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY $30,111 $30,111 $23,173 +30% $50,618 −41% —
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY $30,064 $30,064 $21,924 +37% $52,178 −42% —
619 O.R. PROCEDURES FOR OBESITY WITH COMORBITY $30,060 $30,060 $23,341 +29% $51,746 −42% —
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION $29,636 $29,636 $21,658 +37% $57,454 −48% ≈128% of Medicare
164 MAJOR CHEST PROCEDURES WITH COMPLICATION $29,628 $29,628 $21,353 +39% $56,755 −48% ≈140% of Medicare
347 ANAL & STOMAL PROCEDURES WITH COMORBITY $29,613 $29,613 $20,079 +47% $40,548 −27% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $29,424 $29,424 $33,961 −13% $41,422 −29% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $29,252 $29,252 $21,960 +33% $45,167 −35% —
113 ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY $29,140 $29,140 $19,144 +52% $36,167 −19% —
327 STOMACH, ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $29,028 $29,028 $20,599 +41% $59,421 −51% ≈136% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH COMORBITY $28,980 $28,980 $21,437 +35% $40,362 −28% —
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $28,898 $28,898 $20,770 +39% $51,985 −44% ≈123% of Medicare
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $28,878 $28,878 $21,618 +34% $58,707 −51% ≈125% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $28,746 $28,746 $20,782 +38% $12,229 +135% —
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $28,611 $28,611 $20,084 +42% $50,624 −43% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY $28,423 $28,423 $21,665 +31% $38,878 −27% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $28,372 $28,372 $21,227 +34% $55,162 −49% —
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $28,297 $28,297 $20,936 +35% $54,583 −48% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $27,974 $27,974 $22,509 +24% $44,222 −37% —
493 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR WITH COMPLICATION $27,943 $27,943 $20,369 +37% $59,651 −53% ≈134% of Medicare
350 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY $27,924 $27,924 $20,519 +36% $50,046 −44% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY $27,856 $27,856 $21,243 +31% $39,973 −30% ≈135% of Medicare
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION $27,745 $27,745 $20,337 +36% $47,583 −42% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $27,739 $27,739 $19,839 +40% $50,139 −45% ≈132% of Medicare
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION $27,722 $27,722 $31,742 −13% $50,394 −45% —
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $27,608 $27,608 $20,052 +38% $59,500 −54% ≈125% of Medicare
250 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY $27,367 $27,367 $19,619 +39% $59,629 −54% —
030 SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $27,006 $27,006 $18,879 +43% $45,866 −41% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $26,993 $26,993 $20,161 +34% $53,451 −49% —
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION $26,986 $26,986 $24,054 +12% $50,498 −47% —
035 CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION $26,785 $26,785 $19,298 +39% $49,066 −45% ≈140% of Medicare
082 TRAUMATIC STUPOR & COMA, COMA >1 HR WITH COMORBITY $26,545 $26,545 $19,683 +35% $36,489 −27% ≈113% of Medicare
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION $26,537 $26,537 $19,112 +39% $50,011 −47% ≈131% of Medicare
085 TRAUMATIC STUPOR & COMA, COMA <1 HR WITH COMORBITY $26,483 $26,483 $19,224 +38% $41,892 −37% ≈107% of Medicare
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC WITH COMPLICATION $26,369 $26,369 $19,080 +38% $47,737 −45% —
614 ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY $26,252 $26,252 $19,334 +36% $48,349 −46% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION $26,060 $26,060 $18,120 +44% $35,569 −27% —
824 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION $26,031 $26,031 $18,659 +40% $41,608 −37% —
821 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION $26,022 $26,022 $18,939 +37% $47,789 −46% —
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM $26,006 $26,006 $19,157 +36% $49,418 −47% ≈126% of Medicare
080 NONTRAUMATIC STUPOR & COMA WITH COMORBITY $25,756 $25,756 $16,863 +53% $36,249 −29% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITH COMPLICATION/COMORBITY $25,743 $25,743 $19,158 +34% $38,998 −34% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION $25,622 $25,622 $19,105 +34% $48,682 −47% —
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY $25,546 $25,546 $19,430 +31% $39,181 −35% —
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $25,428 $25,428 $20,337 +25% $41,620 −39% —
595 MAJOR SKIN DISORDERS WITH COMORBITY $25,375 $25,375 $17,943 +41% $34,598 −27% —
734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY WITH COMPLICATION/COMORBITY $25,359 $25,359 $17,839 +42% $42,795 −41% —
940 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION $25,279 $25,279 $17,912 +41% $43,650 −42% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARD CATH WITH COMORBITY $25,155 $25,155 $18,776 +34% $46,283 −46% ≈115% of Medicare
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION $25,142 $25,142 $18,403 +37% $42,901 −41% —
032 VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION $25,134 $25,134 $18,117 +39% $46,724 −46% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $25,103 $25,103 $18,119 +39% $46,727 −46% —
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION $25,031 $25,031 $18,301 +37% $45,877 −45% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $24,929 $24,929 $18,485 +35% $45,333 −45% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION/COMORBITY $24,884 $24,884 $16,443 +51% $37,240 −33% —
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY $24,843 $24,843 $17,735 +40% $33,851 −27% —
711 TESTES PROCEDURES WITH CC/MCC $24,784 $24,784 $16,209 +53% $38,343 −35% —
709 PENIS PROCEDURES WITH CC/MCC $24,751 $24,751 $19,063 +30% $34,535 −28% —
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY WITH COMORBITY $24,649 $24,649 $19,462 +27% $40,108 −39% —
655 MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY $24,613 $24,613 $17,623 +40% $43,174 −43% —
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $24,600 $24,600 $16,673 +48% $43,631 −44% —
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION $24,585 $24,585 $17,920 +37% $50,463 −51% —
374 DIGESTIVE MALIGNANCY WITH COMORBITY $24,514 $24,514 $17,912 +37% $39,958 −39% ≈126% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY $24,451 $24,451 $18,269 +34% $38,666 −37% ≈120% of Medicare
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $24,440 $24,440 $18,204 +34% $31,044 −21% —
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY $24,438 $24,438 $18,191 +34% $38,070 −36% —
592 SKIN ULCERS WITH MCC $24,413 $24,413 $17,445 +40% $33,246 −27% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION $24,381 $24,381 $19,370 +26% $42,415 −43% —
333 RECTAL RESECTION WITH COMPLICATION $24,293 $24,293 $18,030 +35% $37,154 −35% —
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $24,240 $24,240 $17,602 +38% $52,751 −54% ≈128% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $23,913 $23,913 $16,939 +41% $29,611 −19% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION $23,907 $23,907 $18,083 +32% $42,906 −44% —
935 NON-EXTENSIVE BURNS $23,857 $23,857 $18,633 +28% $31,701 −25% —
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $23,854 $23,854 $17,066 +40% $46,090 −48% ≈142% of Medicare
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION $23,825 $23,825 $16,951 +41% $43,943 −46% ≈128% of Medicare
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $23,486 $23,486 $17,993 +31% $49,351 −52% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $23,438 $23,438 $17,112 +37% $42,914 −45% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY $23,426 $23,426 $16,875 +39% $39,106 −40% ≈122% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC WITH COMPLICATION $23,322 $23,322 $16,638 +40% $43,538 −46% —
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $23,250 $23,250 $16,738 +39% $43,800 −47% —
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS WITH COMPLICATION $23,216 $23,216 $16,387 +42% $42,881 −46% —
539 OSTEOMYELITIS WITH COMORBITY $23,215 $23,215 $17,157 +35% $37,609 −38% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $23,195 $23,195 $16,645 +39% $35,628 −35% ≈125% of Medicare
100 SEIZURES WITH COMORBITY $23,193 $23,193 $16,842 +38% $35,481 −35% ≈92% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION $23,118 $23,118 $16,781 +38% $43,913 −47% —
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION $23,095 $23,095 $16,953 +36% $44,363 −48% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH COMORBITY $23,068 $23,068 $16,589 +39% $39,955 −42% —
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $23,036 $23,036 $16,729 +38% $44,139 −48% —
707 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY $22,960 $22,960 $16,463 +39% $43,080 −47% —
584 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY $22,923 $22,923 $17,369 +32% $35,030 −35% —
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION $22,908 $22,908 $17,786 +29% $46,066 −50% —
838 CHEMO WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR HIGH DOSE CHEMO AGENT $22,852 $22,852 $17,206 +33% $31,134 −27% —
548 SEPTIC ARTHRITIS WITH MCC $22,823 $22,823 $17,091 +34% $31,346 −27% —
380 COMPLICATED PEPTIC ULCER WITH COMORBITY $22,808 $22,808 $16,325 +40% $39,627 −42% ≈128% of Medicare
052 SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY $22,763 $22,763 $17,073 +33% $32,031 −29% —
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY $22,440 $22,440 $16,620 +35% $40,213 −44% ≈121% of Medicare
075 VIRAL MENINGITIS WITH CC/MCC $22,415 $22,415 $14,612 +53% $30,447 −26% —
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY $22,207 $22,207 $15,984 +39% $32,637 −32% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION $22,085 $22,085 $16,098 +37% $40,562 −46% —
744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY $22,059 $22,059 $16,577 +33% $38,861 −43% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION $22,052 $22,052 $16,098 +37% $42,126 −48% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $22,051 $22,051 $15,996 +38% $50,607 −56% ≈126% of Medicare
906 HAND PROCEDURES FOR INJURIES $22,050 $22,050 $18,515 +19% $32,065 −31% —
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY $21,991 $21,991 $15,813 +39% $46,340 −53% ≈128% of Medicare
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $21,980 $21,980 $15,728 +40% $23,206 −5% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $21,973 $21,973 $14,667 +50% $29,826 −26% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION $21,938 $21,938 $15,108 +45% $52,075 −58% —
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY $21,928 $21,928 $14,728 +49% $32,443 −32% —
494 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR WITHOUT COMPLICATION/COMORBITY $21,910 $21,910 $15,995 +37% $47,711 −54% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY $21,880 $21,880 $14,911 +47% $39,020 −44% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $21,851 $21,851 $15,065 +45% $34,276 −36% —
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS WITH COMPLICATION $21,821 $21,821 $16,227 +34% $34,459 −37% —
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY $21,812 $21,812 $16,062 +36% $36,431 −40% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $21,785 $21,785 $15,101 +44% $39,515 −45% —
941 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY $21,760 $21,760 $16,579 +31% $29,524 −26% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $21,720 $21,720 $15,349 +42% $32,433 −33% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $21,698 $21,698 $15,748 +38% $33,047 −34% —
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION $21,626 $21,626 $15,509 +39% $43,298 −50% ≈128% of Medicare
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $21,602 $21,602 $15,599 +38% $32,859 −34% ≈125% of Medicare
686 KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY $21,572 $21,572 $15,997 +35% $37,844 −43% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $21,475 $21,475 $14,156 +52% $29,126 −26% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY $21,460 $21,460 $15,310 +40% $41,591 −48% —
441 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA WITH COMORBITY $21,445 $21,445 $16,037 +34% $33,985 −37% ≈124% of Medicare
919 COMPLICATIONS OF TREATMENT WITH COMORBITY $21,405 $21,405 $15,470 +38% $31,105 −31% ≈121% of Medicare
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY $21,394 $21,394 $15,823 +35% $36,792 −42% ≈132% of Medicare
167 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION $21,350 $21,350 $15,501 +38% $40,642 −47% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $21,345 $21,345 $15,292 +40% $16,351 +31% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY $21,281 $21,281 $15,741 +35% $36,670 −42% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY $21,242 $21,242 $16,015 +33% $33,255 −36% ≈128% of Medicare
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY $21,219 $21,219 $15,551 +36% $40,694 −48% ≈135% of Medicare
377 G.I. HEMORRHAGE WITH COMORBITY $21,016 $21,016 $15,425 +36% $37,842 −44% ≈136% of Medicare
801 SPLENECTOMY WITHOUT COMPLICATION/COMORBITY $21,009 $21,009 $13,927 +51% $36,445 −42% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY $21,007 $21,007 $14,751 +42% $31,951 −34% ≈129% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY $21,003 $21,003 $15,465 +36% $37,387 −44% ≈116% of Medicare
740 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION $20,978 $20,978 $15,426 +36% $40,365 −48% —
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY $20,921 $20,921 $15,497 +35% $40,552 −48% —
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $20,877 $20,877 $15,107 +38% $31,159 −33% —
199 PNEUMOTHORAX WITH COMORBITY $20,832 $20,832 $14,976 +39% $33,787 −38% —
915 ALLERGIC REACTIONS WITH COMORBITY $20,831 $20,831 $14,743 +41% $32,645 −36% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY $20,671 $20,671 $15,479 +34% $37,950 −46% ≈122% of Medicare
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $20,637 $20,637 $14,169 +46% $26,682 −23% ≈116% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY $20,533 $20,533 $14,829 +38% $33,555 −39% —
580 OTHER SKIN, SUBCUT TISS & BREAST PROC WITH COMPLICATION $20,521 $20,521 $15,041 +36% $38,101 −46% —
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG WITH COMORBITY $20,501 $20,501 $14,332 +43% $31,563 −35% —
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY $20,444 $20,444 $14,911 +37% $39,018 −48% —
180 RESPIRATORY NEOPLASMS WITH COMORBITY $20,425 $20,425 $14,827 +38% $36,658 −44% ≈128% of Medicare
501 SOFT TISSUE PROCEDURES WITH COMPLICATION $20,397 $20,397 $15,140 +35% $39,619 −49% —
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $20,390 $20,390 $14,841 +37% $38,836 −47% —
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY $20,309 $20,309 $15,660 +30% $30,243 −33% —
504 FOOT PROCEDURES WITH COMPLICATION $20,300 $20,300 $14,889 +36% $38,960 −48% —
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION $20,194 $20,194 $14,431 +40% $43,477 −54% —
666 PROSTATECTOMY WITH CC $20,190 $20,190 $13,975 +44% $31,906 −37% —
671 URETHRAL PROCEDURES WITH CC/MCC $20,127 $20,127 $14,623 +38% $27,233 −26% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION $20,101 $20,101 $13,893 +45% $36,354 −45% —
157 DENTAL & ORAL DISEASES WITH COMORBITY $20,072 $20,072 $13,892 +44% $31,300 −36% —
505 FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY $20,057 $20,057 $14,889 +35% $34,937 −43% —
551 MEDICAL BACK PROBLEMS WITH COMORBITY $20,014 $20,014 $14,476 +38% $34,017 −41% ≈135% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $20,013 $20,013 $13,791 +45% $28,202 −29% —
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $19,959 $19,959 $14,558 +37% $38,094 −48% —
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $19,952 $19,952 $13,714 +45% $33,707 −41% ≈122% of Medicare
571 SKIN DEBRIDEMENT WITH COMPLICATION $19,901 $19,901 $14,204 +40% $37,169 −46% —
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY $19,811 $19,811 $16,841 +18% $32,574 −39% —
886 BEHAVIORAL & DEVELOPMENTAL DISORDERS $19,785 $19,785 $15,241 +30% $26,510 −25% —
746 VAGINA, CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY $19,722 $19,722 $14,206 +39% $29,916 −34% —
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $19,675 $19,675 $14,006 +40% $44,117 −55% ≈141% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $19,639 $19,639 $14,114 +39% $32,628 −40% —
582 MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY $19,620 $19,620 $14,856 +32% $35,849 −45% —
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $19,476 $19,476 $14,260 +37% $32,496 −40% ≈137% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY $19,449 $19,449 $14,167 +37% $33,876 −43% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $19,373 $19,373 $12,876 +50% $33,694 −43% —
643 ENDOCRINE DISORDERS WITH COMORBITY $19,371 $19,371 $14,060 +38% $33,563 −42% —
828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY $19,317 $19,317 $13,598 +42% $35,584 −46% —
865 VIRAL ILLNESS WITH COMORBITY $19,312 $19,312 $12,521 +54% $26,910 −28% —
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION $19,309 $19,309 $14,368 +34% $32,944 −41% —
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $19,258 $19,258 $14,152 +36% $34,607 −44% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $19,253 $19,253 $14,069 +37% $44,606 −57% ≈127% of Medicare
444 DISORDERS OF THE BILIARY TRACT WITH COMORBITY $19,236 $19,236 $14,290 +35% $34,273 −44% ≈121% of Medicare
533 FRACTURES OF FEMUR WITH COMORBITY $19,215 $19,215 $12,936 +49% $25,945 −26% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY $19,119 $19,119 $13,535 +41% $35,419 −46% —
620 O.R. PROCEDURES FOR OBESITY WITH COMPLICATION $19,111 $19,111 $13,548 +41% $35,453 −46% —
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY $19,097 $19,097 $12,773 +50% $33,424 −43% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY $19,097 $19,097 $12,466 +53% $26,463 −28% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $19,082 $19,082 $14,049 +36% $34,192 −44% ≈120% of Medicare
512 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY $19,016 $19,016 $13,640 +39% $35,692 −47% —
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY $18,978 $18,978 $14,340 +32% $29,079 −35% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $18,959 $18,959 $12,283 +54% $21,986 −14% —
334 RECTAL RESECTION WITHOUT CC/MCC $18,917 $18,917 $14,071 +34% $36,820 −49% —
296 CARDIAC ARREST, UNEXPLAINED WITH COMORBITY $18,896 $18,896 $13,899 +36% $33,661 −44% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $18,881 $18,881 $13,114 +44% $26,598 −29% —
597 MALIGNANT BREAST DISORDERS WITH COMORBITY $18,865 $18,865 $14,903 +27% $33,386 −43% —
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION $18,858 $18,858 $13,669 +38% $35,770 −47% —
328 STOMACH, ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY $18,829 $18,829 $13,518 +39% $39,006 −52% —
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $18,813 $18,813 $13,910 +35% $30,235 −38% ≈122% of Medicare
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $18,728 $18,728 $13,458 +39% $41,955 −55% —
251 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY $18,711 $18,711 $13,256 +41% $46,295 −60% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMORBITY $18,707 $18,707 $13,925 +34% $30,828 −39% ≈120% of Medicare
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $18,707 $18,707 $13,279 +41% $34,749 −46% —
606 MINOR SKIN DISORDERS WITH COMORBITY $18,699 $18,699 $13,661 +37% $27,975 −33% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $18,675 $18,675 $13,982 +34% $25,197 −26% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITHOUT COMPLICATION/COMORBITY $18,646 $18,646 $12,407 +50% $31,170 −40% —
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY $18,590 $18,590 $13,723 +35% $27,316 −32% ≈110% of Medicare
183 MAJOR CHEST TRAUMA WITH COMORBITY $18,571 $18,571 $13,466 +38% $29,933 −38% ≈129% of Medicare
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION $18,559 $18,559 $13,302 +40% $33,633 −45% —
385 INFLAMMATORY BOWEL DISEASE WITH COMORBITY $18,484 $18,484 $13,784 +34% $27,617 −33% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $18,465 $18,465 $13,159 +40% $34,434 −46% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $18,456 $18,456 $12,988 +42% $25,703 −28% —
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY $18,428 $18,428 $13,312 +38% $33,653 −45% —
813 COAGULATION DISORDERS $18,406 $18,406 $13,132 +40% $33,296 −45% ≈128% of Medicare
557 TENDONITIS, MYOSITIS & BURSITIS WITH COMORBITY $18,370 $18,370 $13,147 +40% $32,877 −44% —
186 PLEURAL EFFUSION WITH COMORBITY $18,317 $18,317 $13,404 +37% $33,834 −46% —
487 KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $18,235 $18,235 $13,406 +36% $35,074 −48% —
769 POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE $18,224 $18,224 $11,788 +55% $25,094 −27% —
345 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $18,186 $18,186 $12,629 +44% $33,048 −45% —
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITH COMORBITY $18,159 $18,159 $13,797 +32% $27,633 −34% —
306 CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY $18,143 $18,143 $12,703 +43% $24,586 −26% —
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION $18,118 $18,118 $13,128 +38% $34,354 −47% —
088 CONCUSSION WITH MCC $18,109 $18,109 $11,968 +51% $24,402 −26% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY $17,975 $17,975 $13,936 +29% $35,831 −50% —
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH WITH COMORBITY $17,961 $17,961 $12,416 +45% $29,743 −40% ≈136% of Medicare
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY $17,922 $17,922 $12,401 +45% $32,451 −45% —
073 CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY $17,874 $17,874 $13,112 +36% $30,010 −40% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY $17,850 $17,850 $13,118 +36% $24,550 −27% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $17,835 $17,835 $14,104 +26% $29,316 −39% —
945 REHABILITATION WITH CC/MCC $17,834 $17,834 $12,950 +38% $23,834 −25% —
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST WITH COMORBITY $17,797 $17,797 $12,604 +41% $28,140 −37% —
137 MOUTH PROCEDURES WITH COMPLICATION/COMORBITY $17,780 $17,780 $11,865 +50% $27,861 −36% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $17,738 $17,738 $12,726 +39% $27,394 −35% ≈151% of Medicare
682 RENAL FAILURE WITH COMORBITY $17,735 $17,735 $12,741 +39% $29,064 −39% ≈128% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY $17,686 $17,686 $13,023 +36% $39,211 −55% —
913 TRAUMATIC INJURY WITH COMORBITY $17,664 $17,664 $13,729 +29% $24,198 −27% —
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $17,663 $17,663 $12,663 +39% $33,393 −47% —
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION $17,635 $17,635 $12,804 +38% $33,454 −47% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $17,631 $17,631 $12,007 +47% $26,280 −33% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $17,612 $17,612 $12,523 +41% $8,445 +109% —
602 CELLULITIS WITH COMORBITY $17,585 $17,585 $12,464 +41% $30,598 −43% ≈135% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY $17,577 $17,577 $11,918 +47% $39,887 −56% —
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY $17,504 $17,504 $12,759 +37% $36,253 −52% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $17,474 $17,474 $13,376 +31% $32,697 −47% —
054 NERVOUS SYSTEM NEOPLASMS WITH COMORBITY $17,426 $17,426 $12,718 +37% $30,502 −43% ≈129% of Medicare
615 ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY $17,399 $17,399 $12,157 +43% $32,833 −47% —
506 MAJOR THUMB OR JOINT PROCEDURES $17,303 $17,303 $12,718 +36% $30,557 −43% —
663 MINOR BLADDER PROCEDURES WITH COMPLICATION $17,262 $17,262 $12,958 +33% $33,103 −48% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $17,256 $17,256 $12,577 +37% $36,988 −53% —
351 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION $17,223 $17,223 $12,763 +35% $36,505 −53% —
388 G.I. OBSTRUCTION WITH COMORBITY $17,200 $17,200 $12,470 +38% $30,571 −44% ≈129% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $17,168 $17,168 $12,267 +40% $32,100 −47% —
637 DIABETES WITH COMORBITY $17,152 $17,152 $12,354 +39% $30,100 −43% ≈133% of Medicare
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $16,979 $16,979 $10,949 +55% $22,811 −26% —
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $16,950 $16,950 $12,159 +39% $35,465 −52% —
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $16,904 $16,904 $11,390 +48% $29,805 −43% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $16,845 $16,845 $12,041 +40% $22,620 −26% —
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY $16,785 $16,785 $12,343 +36% $24,941 −33% —
693 URINARY STONES WITH COMORBITY $16,778 $16,778 $12,474 +35% $23,892 −30% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $16,776 $16,776 $12,232 +37% $22,525 −26% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $16,718 $16,718 $12,466 +34% $25,073 −33% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $16,649 $16,649 $11,557 +44% $30,242 −45% —
811 RED BLOOD CELL DISORDERS WITH COMORBITY $16,634 $16,634 $11,935 +39% $28,226 −41% ≈132% of Medicare
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $16,627 $16,627 $11,954 +39% $30,959 −46% ≈128% of Medicare
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY $16,582 $16,582 $11,424 +45% $24,127 −31% —
383 UNCOMPLICATED PEPTIC ULCER WITH COMORBITY $16,573 $16,573 $10,725 +55% $27,426 −40% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $16,551 $16,551 $11,888 +39% $22,393 −26% —
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY $16,478 $16,478 $12,809 +29% $30,770 −46% —
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $16,397 $16,397 $11,853 +38% $31,017 −47% —
885 PSYCHOSES $16,213 $16,213 $11,958 +36% $21,729 −25% ≈132% of Medicare
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY $16,192 $16,192 $12,869 +26% $33,674 −52% —
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION $16,178 $16,178 $12,058 +34% $27,808 −42% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY $16,176 $16,176 $11,320 +43% $27,543 −41% ≈131% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY $16,170 $16,170 $11,310 +43% $32,841 −51% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $16,140 $16,140 $10,939 +48% $27,989 −42% —
083 TRAUMATIC STUPOR & COMA, COMA >1 HR WITH COMPLICATION $16,099 $16,099 $11,795 +36% $27,285 −41% ≈131% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $16,098 $16,098 $10,760 +50% $28,156 −43% —
168 OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $16,091 $16,091 $11,486 +40% $29,949 −46% —
553 BONE DISEASES & ARTHROPATHIES WITH COMORBITY $16,044 $16,044 $11,079 +45% $26,051 −38% —
581 OTHER SKIN, SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY $15,989 $15,989 $12,209 +31% $26,932 −41% —
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION $15,980 $15,980 $11,368 +41% $31,264 −49% ≈127% of Medicare
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $15,904 $15,904 $11,624 +37% $30,418 −48% —
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $15,762 $15,762 $11,179 +41% $27,275 −42% ≈128% of Medicare
509 ARTHROSCOPY $15,757 $15,757 $14,903 +6% $25,994 −39% —
124 OTHER DISORDERS OF THE EYE WITH COMORBITY $15,708 $15,708 $11,062 +42% $21,894 −28% —
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY $15,689 $15,689 $11,820 +33% $27,119 −42% —
086 TRAUMATIC STUPOR & COMA, COMA <1 HR WITH COMPLICATION $15,654 $15,654 $11,127 +41% $27,043 −42% ≈137% of Medicare
640 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES WITH COMORBITY $15,633 $15,633 $11,266 +39% $25,463 −39% ≈132% of Medicare
150 EPISTAXIS WITH COMORBITY $15,625 $15,625 $11,726 +33% $23,171 −33% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $15,610 $15,610 $11,178 +40% $36,937 −58% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $15,498 $15,498 $10,529 +47% $20,727 −25% —
839 CHEMO WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION/COMORBITY $15,495 $15,495 $11,626 +33% $20,980 −26% —
348 ANAL & STOMAL PROCEDURES WITH COMPLICATION $15,476 $15,476 $10,680 +45% $27,947 −45% —
741 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITHOUT COMPLICATION/COMORBITY $15,452 $15,452 $11,653 +33% $30,493 −49% —
540 OSTEOMYELITIS WITH COMPLICATION $15,440 $15,440 $10,978 +41% $26,676 −42% —
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $15,423 $15,423 $11,282 +37% $24,552 −37% —
887 OTHER MENTAL DISORDER DIAGNOSES $15,410 $15,410 $10,090 +53% $20,616 −25% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $15,363 $15,363 $10,441 +47% $27,323 −44% —
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $15,345 $15,345 $9,848 +56% $21,230 −28% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,322 $15,322 $10,564 +45% $27,297 −44% —
291 HEART FAILURE & SHOCK WITH COMORBITY $15,278 $15,278 $11,069 +38% $26,776 −43% ≈130% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY $15,272 $15,272 $10,930 +40% $25,748 −41% —
121 ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY $15,247 $15,247 $9,868 +55% $19,412 −21% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,246 $15,246 $11,496 +33% $30,083 −49% —
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY $15,185 $15,185 $10,897 +39% $28,050 −46% ≈118% of Medicare
735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY WITHOUT COMPLICATION/COMORBITY $15,009 $15,009 $10,298 +46% $26,948 −44% —
947 SIGNS & SYMPTOMS WITH COMORBITY $14,912 $14,912 $10,911 +37% $27,401 −46% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY $14,797 $14,797 $10,342 +43% $25,581 −42% —
725 BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY $14,791 $14,791 $10,711 +38% $22,320 −34% —
822 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $14,767 $14,767 $9,703 +52% $25,390 −42% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,754 $14,754 $10,506 +40% $28,320 −48% —
627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $14,735 $14,735 $10,748 +37% $28,125 −48% —
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY WITH COMPLICATION $14,733 $14,733 $10,560 +40% $22,851 −36% —
710 PENIS PROCEDURES WITHOUT CC/MCC $14,716 $14,716 $12,737 +16% $26,436 −44% —
189 PULMONARY EDEMA & RESPIRATORY FAILURE $14,690 $14,690 $10,497 +40% $26,580 −45% ≈131% of Medicare
114 ORBITAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $14,688 $14,688 $10,028 +46% $19,598 −25% —
768 VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C $14,532 $14,532 $9,300 +56% $16,846 −14% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION $14,470 $14,470 $10,780 +34% $23,498 −38% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $14,445 $14,445 $9,379 +54% $24,544 −41% —
593 SKIN ULCERS WITH COMPLICATION $14,439 $14,439 $10,373 +39% $22,886 −37% —
102 HEADACHES WITH COMORBITY $14,402 $14,402 $9,837 +46% $25,740 −44% —
549 SEPTIC ARTHRITIS WITH COMPLICATION $14,397 $14,397 $10,223 +41% $24,056 −40% —
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION $14,377 $14,377 $10,507 +37% $22,458 −36% —
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $14,352 $14,352 $10,230 +40% $26,770 −46% ≈130% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH COMPLICATION $14,319 $14,319 $9,821 +46% $25,700 −44% —
598 MALIGNANT BREAST DISORDERS WITH COMPLICATION $14,314 $14,314 $9,153 +56% $19,073 −25% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $14,309 $14,309 $9,150 +56% $17,193 −17% —
375 DIGESTIVE MALIGNANCY WITH COMPLICATION $14,308 $14,308 $10,424 +37% $27,277 −48% ≈139% of Medicare
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,297 $14,297 $10,780 +33% $19,686 −27% —
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY $14,282 $14,282 $9,568 +49% $24,566 −42% —
712 TESTES PROCEDURES WITHOUT CC/MCC $14,196 $14,196 $9,074 +56% $18,898 −25% —
152 OTITIS MEDIA & URI WITH COMORBITY $14,194 $14,194 $9,627 +47% $20,247 −30% —
139 SALIVARY GLAND PROCEDURES $14,188 $14,188 $11,648 +22% $23,612 −40% —
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION $14,182 $14,182 $10,380 +37% $27,163 −48% —
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY $14,065 $14,065 $9,867 +43% $23,443 −40% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITHOUT COMPLICATION/COMORBITY $14,053 $14,053 $10,451 +34% $19,270 −27% —
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $14,037 $14,037 $9,928 +41% $23,617 −41% ≈132% of Medicare
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY $13,897 $13,897 $10,169 +37% $30,784 −55% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $13,891 $13,891 $10,563 +32% $19,354 −28% —
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION $13,842 $13,842 $10,139 +37% $21,847 −37% —
089 CONCUSSION WITH COMPLICATION $13,760 $13,760 $9,095 +51% $18,821 −27% —
304 HYPERTENSION WITH COMORBITY $13,749 $13,749 $9,966 +38% $26,080 −47% —
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,659 $13,659 $9,656 +41% $26,618 −49% ≈146% of Medicare
572 SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY $13,643 $13,643 $9,692 +41% $24,944 −45% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $13,558 $13,558 $9,660 +40% $25,279 −46% —
302 ATHEROSCLEROSIS WITH COMORBITY $13,433 $13,433 $9,869 +36% $22,446 −40% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $13,358 $13,358 $8,510 +57% $17,737 −25% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $13,356 $13,356 $9,526 +40% $19,815 −33% —
697 URETHRAL STRICTURE $13,343 $13,343 $8,499 +57% $18,428 −28% —
352 INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,296 $13,296 $9,354 +42% $27,843 −52% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $13,217 $13,217 $9,527 +39% $24,386 −46% ≈125% of Medicare
181 RESPIRATORY NEOPLASMS WITH COMPLICATION $13,207 $13,207 $9,419 +40% $23,573 −44% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION $13,202 $13,202 $9,567 +38% $25,034 −47% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $13,123 $13,123 $10,418 +26% $19,132 −31% —
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION $13,089 $13,089 $9,000 +45% $23,551 −44% ≈135% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION $13,045 $13,045 $9,200 +42% $23,319 −44% ≈126% of Medicare
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION $13,030 $13,030 $8,909 +46% $22,763 −43% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $13,021 $13,021 $9,418 +38% $18,459 −29% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARD CATH WITHOUT COMORBITY $12,986 $12,986 $9,244 +40% $32,021 −59% ≈140% of Medicare
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $12,971 $12,971 $9,803 +32% $25,652 −49% —
200 PNEUMOTHORAX WITH COMPLICATION $12,934 $12,934 $9,395 +38% $21,368 −39% ≈144% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY $12,890 $12,890 $9,255 +39% $20,926 −38% —
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION $12,888 $12,888 $9,239 +39% $24,177 −47% —
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION $12,820 $12,820 $9,082 +41% $20,422 −37% ≈129% of Medicare
842 LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY $12,813 $12,813 $8,924 +44% $19,657 −35% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION $12,761 $12,761 $8,941 +43% $23,488 −46% —
644 ENDOCRINE DISORDERS WITH COMPLICATION $12,760 $12,760 $8,767 +46% $23,198 −45% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,759 $12,759 $9,160 +39% $22,314 −43% —
184 MAJOR CHEST TRAUMA WITH COMPLICATION $12,649 $12,649 $9,061 +40% $22,432 −44% ≈147% of Medicare
667 PROSTATECTOMY WITHOUT CC/MCC $12,623 $12,623 $8,719 +45% $16,703 −24% —
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $12,609 $12,609 $8,709 +45% $25,970 −51% —
687 KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION $12,574 $12,574 $8,931 +41% $20,232 −38% —
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $12,540 $12,540 $8,732 +44% $22,850 −45% ≈131% of Medicare
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY $12,531 $12,531 $8,650 +45% $22,635 −45% —
949 AFTERCARE WITH COMPLICATION/COMORBITY $12,470 $12,470 $9,154 +36% $23,953 −48% —
745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION WITHOUT COMPLICATION/COMORBITY $12,468 $12,468 $8,694 +43% $18,348 −32% —
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $12,444 $12,444 $8,618 +44% $22,468 −45% ≈129% of Medicare
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION $12,412 $12,412 $9,076 +37% $23,749 −48% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $12,400 $12,400 $8,746 +42% $22,888 −46% ≈148% of Medicare
074 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY $12,358 $12,358 $8,843 +40% $23,141 −47% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $12,357 $12,357 $8,981 +38% $24,914 −50% ≈141% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,350 $12,350 $8,115 +52% $16,700 −26% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $12,347 $12,347 $8,305 +49% $15,901 −22% —
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $12,297 $12,297 $8,652 +42% $21,275 −42% ≈130% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION $12,253 $12,253 $8,466 +45% $17,698 −31% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $12,247 $12,247 $8,627 +42% $23,940 −49% ≈138% of Medicare
946 REHABILITATION WITHOUT CC/MCC $12,205 $12,205 $9,472 +29% $17,685 −31% —
923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY $12,190 $12,190 $8,652 +41% $17,601 −31% —
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY $12,163 $12,163 $9,171 +33% $17,226 −29% —
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $12,123 $12,123 $8,483 +43% $20,957 −42% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,112 $12,112 $8,075 +50% $18,316 −34% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $12,105 $12,105 $9,339 +30% $17,483 −31% —
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION $12,054 $12,054 $8,651 +39% $22,506 −46% ≈159% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION $12,033 $12,033 $8,399 +43% $21,941 −45% —
187 PLEURAL EFFUSION WITH COMPLICATION $12,019 $12,019 $8,517 +41% $21,789 −45% —
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY $12,009 $12,009 $8,361 +44% $20,895 −43% —
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION $11,995 $11,995 $8,620 +39% $19,264 −38% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $11,977 $11,977 $8,647 +39% $20,901 −43% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $11,959 $11,959 $7,566 +58% $15,764 −24% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,944 $11,944 $8,102 +47% $15,589 −23% —
779 ABORTION WITHOUT D&C $11,939 $11,939 $7,930 +51% $15,327 −22% —
369 MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION $11,929 $11,929 $8,633 +38% $25,303 −53% —
178 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION $11,910 $11,910 $8,416 +42% $22,024 −46% —
053 SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY $11,878 $11,878 $7,817 +52% $20,455 −42% —
378 G.I. HEMORRHAGE WITH COMPLICATION $11,878 $11,878 $8,364 +42% $22,098 −46% ≈130% of Medicare
349 ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,787 $11,787 $7,473 +58% $19,854 −41% —
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION $11,739 $11,739 $8,420 +39% $22,033 −47% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION $11,691 $11,691 $8,164 +43% $21,363 −45% ≈133% of Medicare
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH WITH COMPLICATION/COMORBITY $11,687 $11,687 $7,796 +50% $18,072 −35% —
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $11,679 $11,679 $8,176 +43% $21,396 −45% ≈135% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $11,637 $11,637 $8,108 +44% $20,911 −44% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $11,591 $11,591 $7,972 +45% $17,934 −35% —
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $11,580 $11,580 $8,201 +41% $17,724 −35% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,561 $11,561 $7,742 +49% $20,259 −43% —
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $11,547 $11,547 $8,132 +42% $17,733 −35% —
442 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA WITH COMPLICATION $11,512 $11,512 $8,197 +40% $21,449 −46% —
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITH COMPLICATION $11,456 $11,456 $7,920 +45% $16,968 −32% —
307 CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY $11,411 $11,411 $7,859 +45% $20,566 −45% —
882 NEUROSES EXCEPT DEPRESSIVE $11,373 $11,373 $8,161 +39% $15,680 −27% —
136 SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,371 $11,371 $8,299 +37% $17,404 −35% —
158 DENTAL & ORAL DISEASES WITH COMPLICATION $11,364 $11,364 $7,980 +42% $18,466 −38% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $11,346 $11,346 $7,986 +42% $20,181 −44% ≈143% of Medicare
090 CONCUSSION WITHOUT COMPLICATION/COMORBITY $11,322 $11,322 $7,273 +56% $15,412 −27% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $11,185 $11,185 $9,284 +20% $17,398 −36% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $11,183 $11,183 $7,779 +44% $17,135 −35% —
550 SEPTIC ARTHRITIS WITHOUT COMPLICATION/COMORBITY $11,164 $11,164 $7,314 +53% $19,138 −42% —
084 TRAUMATIC STUPOR & COMA, COMA >1 HR WITHOUT COMPLICATION/COMORBITY $11,151 $11,151 $8,111 +37% $19,924 −44% —
866 VIRAL ILLNESS WITHOUT COMORBITY $11,129 $11,129 $7,506 +48% $17,081 −35% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $11,081 $11,081 $7,684 +44% $18,488 −40% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION $11,075 $11,075 $7,820 +42% $20,463 −46% ≈132% of Medicare
101 SEIZURES WITHOUT COMORBITY $11,037 $11,037 $7,819 +41% $20,461 −46% ≈134% of Medicare
081 NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY $11,036 $11,036 $7,676 +44% $16,552 −33% —
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST WITHOUT COMORBITY $11,028 $11,028 $7,836 +41% $20,506 −46% ≈157% of Medicare
914 TRAUMATIC INJURY WITHOUT COMORBITY $11,015 $11,015 $7,774 +42% $15,855 −31% —
881 DEPRESSIVE NEUROSES $11,002 $11,002 $7,755 +42% $15,058 −27% —
683 RENAL FAILURE WITH COMPLICATION $10,937 $10,937 $7,541 +45% $19,130 −43% ≈143% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $10,936 $10,936 $7,829 +40% $20,488 −47% ≈136% of Medicare
638 DIABETES WITH COMPLICATION $10,921 $10,921 $7,781 +40% $19,661 −44% ≈146% of Medicare
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY $10,899 $10,899 $7,571 +44% $22,148 −51% —
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH WITHOUT COMORBITY $10,878 $10,878 $7,583 +43% $19,842 −45% ≈157% of Medicare
607 MINOR SKIN DISORDERS WITHOUT COMORBITY $10,854 $10,854 $7,331 +48% $15,889 −32% —
376 DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY $10,831 $10,831 $7,491 +45% $16,998 −36% —
148 EAR, NOSE, MOUTH & THROAT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $10,811 $10,811 $6,793 +59% $13,586 −20% —
747 VAGINA, CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY $10,783 $10,783 $8,103 +33% $19,594 −45% —
087 TRAUMATIC STUPOR & COMA, COMA <1 HR WITHOUT COMPLICATION/COMORBITY $10,772 $10,772 $7,499 +44% $16,520 −35% —
603 CELLULITIS WITHOUT COMORBITY $10,755 $10,755 $7,472 +44% $18,530 −42% ≈148% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $10,733 $10,733 $7,618 +41% $18,640 −42% —
558 TENDONITIS, MYOSITIS & BURSITIS WITHOUT COMORBITY $10,683 $10,683 $7,328 +46% $18,602 −43% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY $10,653 $10,653 $7,377 +44% $19,305 −45% —
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY $10,599 $10,599 $7,478 +42% $19,569 −46% —
138 MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY $10,539 $10,539 $6,901 +53% $19,119 −45% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $10,530 $10,530 $7,099 +48% $14,055 −25% —
312 SYNCOPE & COLLAPSE $10,514 $10,514 $7,392 +42% $19,342 −46% ≈137% of Medicare
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $10,485 $10,485 $7,504 +40% $15,452 −32% —
541 OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY $10,451 $10,451 $7,422 +41% $15,215 −31% —
292 HEART FAILURE & SHOCK WITH COMPLICATION $10,435 $10,435 $7,306 +43% $16,371 −36% —
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $10,425 $10,425 $7,484 +39% $16,699 −38% ≈140% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $10,420 $10,420 $7,297 +43% $19,096 −45% ≈146% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $10,350 $10,350 $7,288 +42% $18,807 −45% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION/COMORBITY $10,308 $10,308 $8,509 +21% $16,212 −36% —
103 HEADACHES WITHOUT COMORBITY $10,275 $10,275 $7,213 +42% $21,280 −52% ≈143% of Medicare
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY $10,147 $10,147 $6,661 +52% $14,014 −28% —
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY $10,071 $10,071 $6,927 +45% $18,126 −44% —
204 RESPIRATORY SIGNS & SYMPTOMS $10,054 $10,054 $6,880 +46% $18,004 −44% —
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $10,046 $10,046 $6,956 +44% $18,204 −45% ≈141% of Medicare
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $10,042 $10,042 $7,080 +42% $18,528 −46% —
176 PULMONARY EMBOLISM WITHOUT COMORBITY $9,972 $9,972 $6,910 +44% $18,081 −45% ≈138% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY $9,947 $9,947 $6,330 +57% $16,565 −40% —
534 FRACTURES OF FEMUR WITHOUT COMORBITY $9,908 $9,908 $6,906 +43% $17,559 −44% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,903 $9,903 $6,181 +60% $12,768 −22% —
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $9,873 $9,873 $6,809 +45% $17,674 −44% ≈132% of Medicare
123 NEUROLOGICAL EYE DISORDERS $9,840 $9,840 $6,814 +44% $19,745 −50% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY $9,812 $9,812 $6,764 +45% $17,700 −45% —
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $9,806 $9,806 $6,740 +45% $17,921 −45% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY $9,796 $9,796 $6,932 +41% $17,118 −43% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,780 $9,780 $6,788 +44% $21,056 −54% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,780 $9,780 $9,128 +7% $18,956 −48% —
125 OTHER DISORDERS OF THE EYE WITHOUT COMORBITY $9,767 $9,767 $7,005 +39% $17,298 −44% —
389 G.I. OBSTRUCTION WITH COMPLICATION $9,754 $9,754 $6,800 +43% $17,578 −45% —
594 SKIN ULCERS WITHOUT CC/MCC $9,652 $9,652 $7,200 +34% $14,209 −32% —
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $9,649 $9,649 $6,879 +40% $18,002 −46% ≈142% of Medicare
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $9,632 $9,632 $6,620 +46% $17,322 −44% ≈140% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $9,602 $9,602 $6,364 +51% $19,037 −50% —
694 URINARY STONES WITHOUT COMORBITY $9,599 $9,599 $6,629 +45% $17,345 −45% —
641 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES WITHOUT COMORBITY $9,584 $9,584 $6,629 +45% $17,038 −44% ≈141% of Medicare
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,579 $9,579 $6,144 +56% $12,593 −24% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $9,571 $9,571 $6,936 +38% $18,150 −47% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,548 $9,548 $5,942 +61% $15,549 −39% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $9,505 $9,505 $6,696 +42% $17,620 −46% —
151 EPISTAXIS WITHOUT COMORBITY $9,463 $9,463 $6,430 +47% $13,032 −27% —
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY $9,427 $9,427 $6,411 +47% $16,776 −44% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,379 $9,379 $6,530 +44% $14,648 −36% —
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $9,352 $9,352 $6,606 +42% $15,428 −39% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,336 $9,336 $6,947 +34% $14,501 −36% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,330 $9,330 $7,105 +31% $14,064 −34% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,309 $9,309 $6,357 +46% $16,634 −44% —
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY $9,293 $9,293 $6,598 +41% $17,124 −46% —
305 HYPERTENSION WITHOUT COMORBITY $9,268 $9,268 $6,369 +46% $18,086 −49% —
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY $9,234 $9,234 $6,346 +45% $14,716 −37% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,189 $9,189 $6,229 +48% $14,514 −37% —
149 DYSEQUILIBRIUM $9,168 $9,168 $6,341 +45% $18,096 −49% —
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $9,168 $9,168 $6,272 +46% $17,303 −47% ≈147% of Medicare
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,166 $9,166 $5,754 +59% $11,997 −24% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY $9,157 $9,157 $5,921 +55% $15,495 −41% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $9,124 $9,124 $5,656 +61% $11,847 −23% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $9,112 $9,112 $6,286 +45% $16,450 −45% —
153 OTITIS MEDIA & URI WITHOUT COMORBITY $9,056 $9,056 $6,038 +50% $14,583 −38% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $9,012 $9,012 $6,315 +43% $15,019 −40% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $8,986 $8,986 $5,976 +50% $12,336 −27% —
313 CHEST PAIN $8,929 $8,929 $6,052 +48% $16,440 −46% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $8,867 $8,867 $6,151 +44% $19,227 −54% ≈134% of Medicare
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $8,851 $8,851 $6,053 +46% $12,454 −29% —
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY $8,849 $8,849 $6,154 +44% $16,767 −47% —
443 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA WITHOUT COMPLICATION/COMORBITY $8,828 $8,828 $5,961 +48% $15,600 −43% —
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY $8,777 $8,777 $5,594 +57% $14,638 −40% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $8,773 $8,773 $6,052 +45% $15,837 −45% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,765 $8,765 $5,697 +54% $11,909 −26% —
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $8,756 $8,756 $5,889 +49% $14,797 −41% —
201 PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY $8,731 $8,731 $5,744 +52% $14,053 −38% —
311 ANGINA PECTORIS $8,640 $8,640 $5,924 +46% $15,502 −44% —
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $8,637 $8,637 $5,834 +48% $14,415 −40% —
203 BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY $8,604 $8,604 $5,910 +46% $12,252 −30% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $8,579 $8,579 $5,792 +48% $13,651 −37% —
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY $8,572 $8,572 $5,869 +46% $14,689 −42% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $8,556 $8,556 $6,105 +40% $12,559 −32% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $8,520 $8,520 $5,839 +46% $20,781 −59% ≈161% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY $8,482 $8,482 $5,686 +49% $16,288 −48% —
159 DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY $8,381 $8,381 $5,596 +50% $13,633 −39% —
434 CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY $8,316 $8,316 $5,909 +41% $12,460 −33% —
916 ALLERGIC REACTIONS WITHOUT COMORBITY $8,195 $8,195 $5,634 +45% $13,942 −41% —
303 ATHEROSCLEROSIS WITHOUT COMORBITY $8,187 $8,187 $5,704 +44% $14,927 −45% —
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $8,158 $8,158 $5,704 +43% $14,549 −44% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $8,067 $8,067 $5,399 +49% $14,128 −43% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,052 $8,052 $5,429 +48% $14,250 −43% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY $8,002 $8,002 $5,491 +46% $14,368 −44% —
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $7,905 $7,905 $5,401 +46% $15,038 −47% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,886 $7,886 $6,700 +18% $13,445 −41% —
950 AFTERCARE WITHOUT COMPLICATION/COMORBITY $7,848 $7,848 $4,972 +58% $13,527 −42% —
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $7,819 $7,819 $5,283 +48% $13,824 −43% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,785 $7,785 $5,086 +53% $10,975 −29% —
639 DIABETES WITHOUT COMPLICATION/COMORBITY $7,784 $7,784 $5,316 +46% $13,910 −44% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $7,774 $7,774 $5,149 +51% $11,071 −30% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,771 $7,771 $7,253 +7% $14,290 −46% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $7,706 $7,706 $5,218 +48% $15,183 −49% —
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $7,625 $7,625 $5,153 +48% $13,642 −44% —
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY $7,592 $7,592 $5,378 +41% $11,421 −34% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,415 $7,415 $4,810 +54% $10,160 −27% —
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,240 $7,240 $5,295 +37% $12,324 −41% —
293 HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY $7,093 $7,093 $4,655 +52% $12,999 −45% —
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $7,064 $7,064 $4,642 +52% $13,361 −47% —
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $6,996 $6,996 $4,747 +47% $13,384 −48% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,268 $6,268 $4,763 +32% $10,480 −40% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,703 $5,703 $3,747 +52% $8,927 −36% —
795 NORMAL NEWBORN $3,016 $3,016 $3,492 −14% $4,720 −36% —
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