HMH JFK University Medical Center — Pricing

792 procedures published in this hospital's Machine-Readable File (MRF) — 771 with a comparable price, 21 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 792
Lowest published price $1,744
Average published price $20,521
Highest published price $329,253

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 792 procedures

Published charges

Showing all 771 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 107 procedures, this hospital's negotiated rates average ≈132% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $329,253 $329,253 $391,526 −16% $498,715 −34% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $245,925 $245,925 $338,950 −27% $431,073 −43% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $207,113 $207,113 $236,577 −12% $306,087 −32% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $187,110 $187,110 $260,247 −28% $371,366 −50% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $123,363 $123,363 $170,027 −27% $245,241 −50% ≈137% of Medicare
014 ALLOGENEIC BONE MARROW TRANSPLANT $114,386 $114,386 $122,488 −7% $182,314 −37% —
007 Lung transplant $114,098 $114,098 $126,907 −10% $170,608 −33% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $96,208 $96,208 $114,404 −16% $169,977 −43% —
212 Concomitant Aortic and Mitral Valve Procedures $95,110 $95,110 $102,715 −7% $171,338 −44% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $92,975 $92,975 $128,144 −27% $159,181 −42% —
215 Other heart assist system implant $92,498 $92,498 $116,471 −21% $191,314 −52% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $91,456 $91,456 $99,176 −8% $142,326 −36% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $84,259 $84,259 $113,415 −26% $175,437 −52% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $80,425 $80,425 $77,091 +4% $121,563 −34% —
231 CORONARY BYPASS WITH PTCA WITH MCC $73,982 $73,982 $105,048 −30% $146,474 −49% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $73,941 $73,941 $111,108 −33% $151,029 −51% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $72,818 $72,818 $72,481 +0% $120,174 −39% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $70,378 $70,378 $96,999 −27% $134,914 −48% —
010 Pancreas transplant $69,609 $69,609 $69,287 +0% $99,940 −30% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $69,210 $69,210 $69,210 +0% $105,228 −34% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $68,241 $68,241 $99,484 −31% $138,868 −51% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $67,553 $67,553 $88,104 −23% $143,242 −53% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $65,167 $65,167 $96,002 −32% $120,587 −46% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $62,010 $62,010 $60,256 +3% $121,728 −49% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $61,699 $61,699 $62,554 −1% $131,961 −53% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $60,734 $60,734 $81,678 −26% $138,008 −56% ≈120% of Medicare
955 Craniotomy for multiple significant trauma $59,615 $59,615 $59,339 +0% $105,612 −44% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $58,536 $58,536 $69,607 −16% $114,914 −49% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $58,310 $58,310 $56,660 +3% $89,353 −35% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $58,212 $58,212 $61,786 −6% $118,589 −51% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $56,462 $56,462 $56,462 +0% $116,058 −51% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $56,381 $56,381 $56,890 −1% $121,714 −54% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $55,215 $55,215 $76,100 −27% $109,331 −49% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $54,081 $54,081 $56,010 −3% $117,280 −54% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $54,011 $54,011 $74,441 −27% $94,988 −43% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $53,764 $53,764 $76,220 −29% $98,912 −46% —
461 Bilateral or multiple major joint procs of lower extremity w MCC $53,577 $53,577 $77,989 −31% $108,472 −51% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $53,332 $53,332 $53,665 −1% $106,238 −50% —
028 SPINAL PROCEDURES WITH MCC $53,077 $53,077 $74,391 −29% $95,858 −45% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $52,697 $52,697 $70,720 −25% $98,260 −46% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $52,697 $52,697 $61,708 −15% $81,176 −35% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $52,303 $52,303 $71,503 −27% $113,855 −54% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $51,941 $51,941 $73,928 −30% $92,238 −44% —
790 Extreme immaturity or respiratory distress syndrome, neonate $51,901 $51,901 $71,534 −27% $80,018 −35% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $51,372 $51,372 $67,362 −24% $112,062 −54% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $50,832 $50,832 $71,838 −29% $96,192 −47% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $50,108 $50,108 $69,568 −28% $107,355 −53% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $49,809 $49,809 $74,760 −33% $106,778 −53% ≈123% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $48,669 $48,669 $62,070 −22% $97,046 −50% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $48,256 $48,256 $57,383 −16% $101,235 −52% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $48,256 $48,256 $46,891 +3% $76,583 −37% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $48,054 $48,054 $66,231 −27% $105,899 −55% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $47,760 $47,760 $65,827 −27% $93,783 −49% —
008 Simultaneous pancreas/kidney transplant $47,504 $47,504 $53,926 −12% $86,459 −45% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $47,396 $47,396 $69,661 −32% $94,927 −50% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $47,154 $47,154 $46,936 +0% $78,582 −40% —
011 Tracheostomy for face,mouth & neck diagnoses w MCC $47,109 $47,109 $46,225 +2% $86,953 −46% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $47,104 $47,104 $46,886 +0% $82,527 −43% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $46,448 $46,448 $61,822 −25% $102,573 −55% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $46,243 $46,243 $47,356 −2% $102,177 −55% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $44,963 $44,963 $44,547 +1% $79,944 −44% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $44,814 $44,814 $59,897 −25% $99,423 −55% ≈119% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $44,479 $44,479 $65,645 −32% $96,222 −54% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $44,342 $44,342 $59,697 −26% $80,747 −45% ≈117% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $43,975 $43,975 $49,585 −11% $87,565 −50% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $43,716 $43,716 $43,716 +0% $70,735 −38% —
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $43,682 $43,682 $43,480 +0% $84,861 −49% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $43,664 $43,664 $66,300 −34% $87,018 −50% ≈108% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $43,507 $43,507 $57,822 −25% $96,905 −55% —
245 AICD generator procedures $42,664 $42,664 $61,075 −30% $72,076 −41% —
471 CERVICAL SPINAL FUSION WITH MCC $42,407 $42,407 $58,448 −27% $92,515 −54% —
006 LIVER TRANSPLANT WITHOUT MCC $42,336 $42,336 $48,936 −13% $84,407 −50% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $41,693 $41,693 $53,961 −23% $88,691 −53% —
799 SPLENIC PROCEDURES WITH MCC $41,512 $41,512 $63,003 −34% $78,821 −47% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $41,504 $41,504 $54,442 −24% $86,390 −52% ≈120% of Medicare
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $41,075 $41,075 $56,801 −28% $92,217 −55% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $40,855 $40,855 $58,079 −30% $80,885 −49% —
277 Cardiac Defibrillator Implant without MCC $40,614 $40,614 $49,595 −18% $91,329 −56% —
163 MAJOR CHEST PROCEDURES WITH MCC $40,241 $40,241 $54,801 −27% $88,341 −54% ≈115% of Medicare
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $40,224 $40,224 $40,443 −1% $71,551 −44% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $40,096 $40,096 $54,333 −26% $90,331 −56% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $40,090 $40,090 $62,792 −36% $88,050 −54% ≈127% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $39,389 $39,389 $50,907 −23% $72,859 −46% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $39,154 $39,154 $44,319 −12% $76,954 −49% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $39,046 $39,046 $44,906 −13% $88,307 −56% ≈127% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $38,681 $38,681 $37,586 +3% $68,847 −44% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $38,352 $38,352 $46,152 −17% $75,585 −49% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $37,776 $37,776 $33,230 +14% $59,352 −36% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $37,699 $37,699 $55,653 −32% $83,441 −55% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $37,242 $37,242 $52,759 −29% $82,561 −55% —
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $37,187 $37,187 $55,014 −32% $88,049 −58% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $36,923 $36,923 $34,907 +6% $60,098 −39% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $36,586 $36,586 $50,459 −27% $68,659 −47% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $36,578 $36,578 $51,316 −29% $72,945 −50% ≈128% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $36,411 $36,411 $35,380 +3% $16,719 +118% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $36,325 $36,325 $42,533 −15% $83,065 −56% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $35,901 $35,901 $46,520 −23% $82,247 −56% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $35,881 $35,881 $41,582 −14% $66,853 −46% —
012 Tracheostomy for face,mouth & neck diagnoses w CC $35,828 $35,828 $35,828 +0% $73,029 −51% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $35,651 $35,651 $34,642 +3% $81,998 −57% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,511 $35,511 $48,943 −27% $72,011 −51% —
791 PREMATURITY WITH MAJOR PROBLEMS $35,445 $35,445 $45,159 −22% $39,563 −10% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $34,780 $34,780 $45,405 −23% $71,701 −51% —
739 Uterine,adnexa proc for non-ovarian/adnexal malig w MCC $34,755 $34,755 $47,902 −27% $57,521 −40% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $34,448 $34,448 $35,390 −3% $68,006 −49% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $34,377 $34,377 $47,381 −27% $61,832 −44% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $34,308 $34,308 $33,337 +3% $54,196 −37% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $34,156 $34,156 $33,189 +3% $75,492 −55% —
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $34,139 $34,139 $40,083 −15% $78,852 −57% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $33,950 $33,950 $33,950 +0% $72,908 −53% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $33,744 $33,744 $34,783 −3% $62,961 −46% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $33,710 $33,710 $33,398 +1% $55,097 −39% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $33,615 $33,615 $48,736 −31% $72,782 −54% ≈105% of Medicare
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $33,372 $33,372 $35,111 −5% $75,103 −56% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,191 $33,191 $47,667 −30% $74,755 −56% ≈119% of Medicare
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $32,933 $32,933 $44,874 −27% $74,257 −56% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $32,670 $32,670 $46,834 −30% $60,861 −46% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $31,855 $31,855 $36,817 −13% $62,524 −49% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $31,634 $31,634 $46,502 −32% $71,755 −56% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $31,297 $31,297 $30,575 +2% $59,425 −47% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $31,296 $31,296 $29,586 +6% $57,855 −46% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $31,290 $31,290 $31,290 +0% $64,776 −52% —
265 AICD lead procedures $31,144 $31,144 $31,144 +0% $56,695 −45% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $31,004 $31,004 $35,670 −13% $70,540 −56% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $30,822 $30,822 $48,061 −36% $62,404 −51% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $30,814 $30,814 $29,942 +3% $50,919 −39% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $30,737 $30,737 $43,922 −30% $56,964 −46% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $30,590 $30,590 $31,947 −4% $68,399 −55% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,581 $30,581 $38,991 −22% $65,383 −53% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,568 $30,568 $42,905 −29% $59,207 −48% —
264 Other circulatory system O.R. procedures $30,514 $30,514 $29,651 +3% $51,953 −41% ≈135% of Medicare
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $30,317 $30,317 $30,833 −2% $56,242 −46% —
332 RECTAL RESECTION WITH MCC $30,284 $30,284 $29,427 +3% $58,125 −48% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $30,250 $30,250 $30,877 −2% $49,065 −38% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $30,072 $30,072 $30,072 +0% $71,014 −58% ≈122% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,024 $30,024 $30,024 +0% $62,269 −52% —
665 PROSTATECTOMY WITH MCC $29,977 $29,977 $41,317 −27% $54,072 −45% —
252 OTHER VASCULAR PROCEDURES WITH MCC $29,949 $29,949 $42,633 −30% $68,508 −56% ≈129% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $29,904 $29,904 $42,906 −30% $68,880 −57% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $29,738 $29,738 $38,294 −22% $67,901 −56% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $29,614 $29,614 $43,918 −33% $70,132 −58% ≈126% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $29,306 $29,306 $28,756 +2% $64,152 −54% —
037 EXTRACRANIAL PROCEDURES WITH MCC $28,993 $28,993 $28,173 +3% $64,749 −55% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $28,827 $28,827 $28,012 +3% $52,908 −46% —
469 Major joint replacement or reattachment of lower extremity w MCC $28,538 $28,538 $33,894 −16% $65,254 −56% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $28,456 $28,456 $38,910 −27% $54,129 −47% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $28,444 $28,444 $28,474 −0% $64,465 −56% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $28,106 $28,106 $27,579 +2% $64,956 −57% —
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $27,976 $27,976 $40,209 −30% $57,277 −51% —
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $27,895 $27,895 $27,766 +0% $66,819 −58% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $27,842 $27,842 $27,054 +3% $49,710 −44% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $27,767 $27,767 $27,638 +0% $44,472 −38% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $27,711 $27,711 $26,927 +3% $51,142 −46% —
500 SOFT TISSUE PROCEDURES WITH MCC $27,664 $27,664 $27,145 +2% $57,479 −52% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $27,248 $27,248 $37,451 −27% $65,573 −58% —
662 MINOR BLADDER PROCEDURES WITH MCC $27,236 $27,236 $30,960 −12% $54,483 −50% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $27,120 $27,120 $37,378 −27% $65,325 −58% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $26,998 $26,998 $26,998 +0% $62,821 −57% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,942 $26,942 $26,180 +3% $65,216 −59% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $26,923 $26,923 $27,771 −3% $53,817 −50% —
652 Kidney transplant $26,815 $26,815 $27,280 −2% $54,720 −51% —
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $26,791 $26,791 $32,419 −17% $53,555 −50% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $26,703 $26,703 $34,191 −22% $63,475 −58% —
570 SKIN DEBRIDEMENT WITH MCC $26,281 $26,281 $26,159 +0% $52,435 −50% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $26,071 $26,071 $25,951 +0% $46,402 −44% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $25,743 $25,743 $25,014 +3% $54,313 −53% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $25,677 $25,677 $36,997 −31% $63,984 −60% ≈128% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $25,607 $25,607 $26,562 −4% $60,140 −57% —
668 TRANSURETHRAL PROCEDURES WITH MCC $25,461 $25,461 $25,343 +0% $47,277 −46% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,447 $25,447 $35,073 −27% $67,764 −62% —
800 SPLENIC PROCEDURES WITH CC $25,439 $25,439 $25,439 +0% $49,184 −48% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $25,425 $25,425 $25,425 +0% $54,475 −53% —
472 CERVICAL SPINAL FUSION WITH CC $25,294 $25,294 $25,060 +1% $59,537 −58% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $25,031 $25,031 $24,323 +3% $58,968 −58% —
462 Bilateral or multiple major joint procs of lower extremity w/o MCC $25,003 $25,003 $29,422 −15% $56,758 −56% —
325 Coronary Intravascular Lithotripsy without Intraluminal Device $24,988 $24,988 $24,988 +0% $53,551 −53% —
510 Shoulder,elbow or forearm proc,exc major joint proc w MCC $24,953 $24,953 $24,247 +3% $49,055 −49% —
321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices $24,854 $24,854 $24,151 +3% $74,274 −67% ≈113% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $24,638 $24,638 $24,176 +2% $53,868 −54% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $24,519 $24,519 $24,059 +2% $58,043 −58% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,494 $24,494 $32,590 −25% $48,907 −50% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $23,890 $23,890 $23,780 +0% $48,358 −51% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,848 $23,848 $22,859 +4% $45,497 −48% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $23,804 $23,804 $23,568 +1% $44,973 −47% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $23,718 $23,718 $23,718 +0% $43,491 −45% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $23,602 $23,602 $28,045 −16% $57,963 −59% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $23,524 $23,524 $24,914 −6% $44,839 −48% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $23,431 $23,431 $22,768 +3% $52,405 −55% ≈124% of Medicare
263 VEIN LIGATION AND STRIPPING $23,416 $23,416 $23,200 +1% $44,938 −48% —
849 Radiotherapy $23,320 $23,320 $22,353 +4% $37,862 −38% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $23,248 $23,248 $22,590 +3% $45,432 −49% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $23,165 $23,165 $22,509 +3% $40,947 −43% —
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $23,136 $23,136 $22,177 +4% $45,290 −49% —
503 FOOT PROCEDURES WITH MCC $23,106 $23,106 $23,106 +0% $43,901 −47% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,083 $23,083 $29,424 −22% $40,277 −43% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $22,903 $22,903 $22,797 +0% $54,929 −58% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $22,843 $22,843 $21,896 +4% $43,697 −48% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,600 $22,600 $21,960 +3% $41,703 −46% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $22,562 $22,562 $22,354 +1% $48,094 −53% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,296 $22,296 $21,877 +2% $38,878 −43% —
253 OTHER VASCULAR PROCEDURES WITH CC $22,289 $22,289 $22,753 −2% $53,746 −59% ≈120% of Medicare
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $22,247 $22,247 $22,247 +0% $57,149 −61% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $22,133 $22,133 $18,088 +22% $36,097 −39% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,061 $22,061 $21,147 +4% $39,657 −44% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $22,044 $22,044 $22,044 +0% $46,659 −53% —
164 MAJOR CHEST PROCEDURES WITH CC $21,975 $21,975 $21,353 +3% $53,141 −59% ≈123% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $21,862 $21,862 $20,668 +6% $39,409 −45% ≈102% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $21,846 $21,846 $21,745 +0% $55,162 −60% —
397 Appendix Procedures with MCC $21,633 $21,633 $21,532 +0% $52,319 −59% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $21,545 $21,545 $20,936 +3% $52,332 −59% ≈168% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $21,387 $21,387 $20,782 +3% $11,633 +84% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $21,375 $21,375 $21,375 +0% $51,985 −59% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $21,199 $21,199 $20,599 +3% $54,824 −61% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,117 $21,117 $20,519 +3% $46,591 −55% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $21,050 $21,050 $20,655 +2% $40,065 −47% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $20,962 $20,962 $28,417 −26% $56,394 −63% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $20,929 $20,929 $20,337 +3% $47,583 −56% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,929 $20,929 $20,337 +3% $39,093 −46% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $20,748 $20,748 $28,596 −27% $52,313 −60% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $20,669 $20,669 $20,281 +2% $50,624 −59% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $20,663 $20,663 $20,663 +0% $40,548 −49% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,636 $20,636 $20,052 +3% $58,832 −65% ≈134% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $20,603 $20,603 $20,508 +0% $47,546 −57% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,417 $20,417 $20,417 +0% $50,139 −59% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $20,257 $20,257 $19,683 +3% $36,237 −44% ≈121% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,209 $20,209 $20,257 −0% $36,080 −44% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $20,190 $20,190 $19,811 +2% $51,339 −61% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $20,154 $20,154 $27,750 −27% $49,631 −59% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $20,029 $20,029 $19,273 +4% $37,080 −46% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,996 $19,996 $19,811 +1% $36,334 −45% ≈136% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,934 $19,934 $19,842 +0% $39,253 −49% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $19,897 $19,897 $19,713 +1% $43,586 −54% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $19,860 $19,860 $19,487 +2% $46,430 −57% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $19,783 $19,783 $19,224 +3% $37,064 −47% ≈127% of Medicare
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $19,716 $19,716 $19,158 +3% $38,998 −49% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,715 $19,715 $19,533 +1% $44,989 −56% —
113 ORBITAL PROCEDURES WITH CC/MCC $19,701 $19,701 $19,331 +2% $35,642 −45% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $19,668 $19,668 $19,668 +0% $50,011 −61% ≈129% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $19,661 $19,661 $19,570 +0% $48,682 −60% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $19,636 $19,636 $19,545 +0% $45,059 −56% —
709 PENIS PROCEDURES WITH CC/MCC $19,618 $19,618 $19,437 +1% $34,535 −43% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $19,490 $19,490 $18,682 +4% $44,053 −56% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,429 $19,429 $18,879 +3% $45,818 −58% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $19,323 $19,323 $19,498 −1% $44,600 −57% ≈143% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,202 $19,202 $18,841 +2% $38,382 −50% —
935 Non-extensive burns $19,176 $19,176 $18,633 +3% $29,458 −35% —
906 Hand procedures for injuries $19,054 $19,054 $18,264 +4% $31,520 −40% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,023 $19,023 $19,259 −1% $41,900 −55% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $18,939 $18,939 $18,584 +2% $37,902 −50% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $18,834 $18,834 $19,205 −2% $44,553 −58% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,801 $18,801 $18,627 +1% $38,357 −51% ≈124% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $18,758 $18,758 $18,227 +3% $34,900 −46% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $18,734 $18,734 $18,382 +2% $31,044 −40% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $18,721 $18,721 $18,191 +3% $36,850 −49% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $18,648 $18,648 $17,874 +4% $35,569 −48% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $18,647 $18,647 $18,560 +0% $40,232 −54% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,645 $18,645 $18,559 +0% $45,622 −59% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,610 $18,610 $18,686 −0% $37,654 −51% —
333 RECTAL RESECTION WITH CC $18,555 $18,555 $18,469 +0% $34,352 −46% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,517 $18,517 $18,345 +1% $46,477 −60% —
595 MAJOR SKIN DISORDERS WITH MCC $18,466 $18,466 $17,943 +3% $31,785 −42% —
336 PERITONEAL ADHESIOLYSIS WITH CC $18,442 $18,442 $21,904 −16% $49,470 −63% —
374 DIGESTIVE MALIGNANCY WITH MCC $18,434 $18,434 $18,263 +1% $38,885 −53% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $18,434 $18,434 $17,669 +4% $38,420 −52% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,405 $18,405 $17,642 +4% $56,519 −67% ≈119% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $18,359 $18,359 $19,834 −7% $35,686 −49% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $18,304 $18,304 $17,896 +2% $46,066 −60% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,251 $18,251 $17,735 +3% $32,483 −44% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,136 $18,136 $17,623 +3% $41,651 −56% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,115 $18,115 $17,775 +2% $51,172 −65% ≈135% of Medicare
592 SKIN ULCERS WITH MCC $17,953 $17,953 $17,616 +2% $32,662 −45% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,875 $17,875 $17,710 +1% $34,089 −48% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,707 $17,707 $17,206 +3% $30,661 −42% —
539 OSTEOMYELITIS WITH MCC $17,657 $17,657 $17,157 +3% $33,746 −48% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $17,610 $17,610 $17,112 +3% $41,660 −58% —
548 SEPTIC ARTHRITIS WITH MCC $17,589 $17,589 $17,091 +3% $31,019 −43% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $17,570 $17,570 $17,073 +3% $30,940 −43% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $17,563 $17,563 $18,104 −3% $45,817 −62% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $17,447 $17,447 $16,953 +3% $44,363 −61% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $17,445 $17,445 $17,364 +0% $43,524 −60% ≈121% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $17,432 $17,432 $17,271 +1% $29,109 −40% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,367 $17,367 $16,875 +3% $35,714 −51% ≈131% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $17,355 $17,355 $17,194 +1% $35,139 −51% —
100 SEIZURES WITH MCC $17,333 $17,333 $17,172 +1% $35,194 −51% ≈136% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $17,331 $17,331 $16,841 +3% $29,633 −42% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $17,270 $17,270 $17,190 +0% $43,398 −60% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $17,225 $17,225 $17,146 +0% $43,800 −61% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,216 $17,216 $17,136 +0% $43,775 −61% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $17,159 $17,159 $16,673 +3% $41,520 −59% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $17,130 $17,130 $16,645 +3% $35,237 −51% ≈127% of Medicare
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $17,122 $17,122 $16,964 +1% $43,538 −61% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,104 $17,104 $16,783 +2% $36,933 −54% ≈130% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $17,072 $17,072 $16,589 +3% $35,014 −51% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $17,062 $17,062 $16,579 +3% $29,524 −42% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $17,059 $17,059 $16,902 +1% $33,050 −48% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $16,943 $16,943 $16,240 +4% $43,080 −61% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $16,922 $16,922 $16,604 +2% $36,202 −53% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,864 $16,864 $16,387 +3% $42,881 −61% —
380 COMPLICATED PEPTIC ULCER WITH MCC $16,800 $16,800 $16,722 +0% $36,641 −54% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,700 $16,700 $16,227 +3% $33,165 −50% —
711 TESTES PROCEDURES WITH CC/MCC $16,681 $16,681 $16,209 +3% $34,852 −52% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $16,567 $16,567 $16,567 +0% $42,126 −61% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $16,567 $16,567 $16,098 +3% $35,459 −53% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $16,530 $16,530 $16,062 +3% $36,280 −54% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,504 $16,504 $16,037 +3% $32,399 −49% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,482 $16,482 $16,015 +3% $32,204 −49% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,463 $16,463 $15,997 +3% $32,981 −50% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $16,461 $16,461 $16,152 +2% $49,197 −67% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $16,461 $16,461 $16,152 +2% $45,963 −64% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $16,449 $16,449 $16,297 +1% $30,766 −47% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,283 $16,283 $15,978 +2% $35,114 −54% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $16,274 $16,274 $15,813 +3% $41,380 −61% ≈131% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,207 $16,207 $15,902 +2% $30,974 −48% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,200 $16,200 $15,528 +4% $32,538 −50% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,186 $16,186 $15,515 +4% $22,698 −29% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $16,116 $16,116 $15,813 +2% $29,609 −46% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $16,083 $16,083 $16,156 −0% $28,375 −43% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $16,053 $16,053 $15,904 +1% $30,394 −47% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $16,004 $16,004 $15,340 +4% $40,694 −61% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $15,960 $15,960 $15,661 +2% $40,583 −61% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $15,952 $15,952 $15,653 +2% $40,563 −61% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $15,948 $15,948 $15,497 +3% $40,552 −61% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $15,930 $15,930 $15,782 +1% $37,950 −58% ≈161% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $15,921 $15,921 $15,622 +2% $29,031 −45% ≈133% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $15,915 $15,915 $15,616 +2% $36,375 −56% —
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $15,875 $15,875 $15,426 +3% $36,597 −57% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $15,874 $15,874 $15,800 +0% $37,842 −58% ≈132% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,796 $15,796 $15,500 +2% $29,476 −46% —
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $15,795 $15,795 $15,140 +4% $54,772 −71% ≈143% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $15,756 $15,756 $15,683 +0% $40,063 −61% —
789 Neonates, died or transferred to another acute care facility $15,738 $15,738 $15,085 +4% $14,284 +10% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,684 $15,684 $15,241 +3% $24,836 −37% —
501 SOFT TISSUE PROCEDURES WITH CC $15,581 $15,581 $15,581 +0% $37,975 −59% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $15,548 $15,548 $15,108 +3% $48,680 −68% —
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $15,547 $15,547 $15,107 +3% $30,275 −49% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,540 $15,540 $15,101 +3% $33,564 −54% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $15,504 $15,504 $15,065 +3% $31,909 −51% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,479 $15,479 $15,336 +1% $36,242 −57% —
199 PNEUMOTHORAX WITH MCC $15,412 $15,412 $15,123 +2% $31,491 −51% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,346 $15,346 $14,911 +3% $35,673 −57% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $15,345 $15,345 $15,203 +1% $39,018 −61% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,337 $15,337 $15,049 +2% $29,558 −48% —
509 Arthroscopy $15,337 $15,337 $14,903 +3% $25,994 −41% —
597 MALIGNANT BREAST DISORDERS WITH MCC $15,337 $15,337 $14,903 +3% $31,846 −52% —
504 FOOT PROCEDURES WITH CC $15,322 $15,322 $14,889 +3% $36,598 −58% —
505 FOOT PROCEDURES WITHOUT CC/MCC $15,322 $15,322 $14,889 +3% $31,716 −52% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,289 $15,289 $14,856 +3% $34,264 −55% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $15,273 $15,273 $14,950 +2% $38,836 −61% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $15,261 $15,261 $15,120 +1% $31,758 −52% ≈135% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $15,259 $15,259 $14,973 +2% $36,658 −58% ≈125% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $15,181 $15,181 $14,751 +3% $30,814 −51% —
915 ALLERGIC REACTIONS WITH MCC $15,173 $15,173 $14,888 +2% $30,944 −51% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $15,157 $15,157 $14,728 +3% $32,839 −54% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $15,094 $15,094 $14,811 +2% $29,826 −49% —
671 URETHRAL PROCEDURES WITH CC/MCC $15,049 $15,049 $14,623 +3% $27,233 −45% —
075 VIRAL MENINGITIS WITH CC/MCC $15,038 $15,038 $14,216 +6% $29,853 −50% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $14,982 $14,982 $14,843 +1% $38,094 −61% —
551 MEDICAL BACK PROBLEMS WITH MCC $14,898 $14,898 $14,618 +2% $31,086 −52% ≈128% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $14,852 $14,852 $14,431 +3% $43,266 −66% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $14,787 $14,787 $14,368 +3% $29,729 −50% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,758 $14,758 $14,340 +3% $28,578 −48% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $14,749 $14,749 $14,613 +1% $29,409 −50% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $14,706 $14,706 $14,290 +3% $31,128 −53% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $14,675 $14,675 $14,260 +3% $30,058 −51% ≈131% of Medicare
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $14,620 $14,620 $14,485 +1% $29,916 −51% —
571 SKIN DEBRIDEMENT WITH CC $14,618 $14,618 $14,343 +2% $34,901 −58% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $14,582 $14,582 $14,169 +3% $25,208 −42% ≈119% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $14,580 $14,580 $14,167 +3% $33,607 −57% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $14,568 $14,568 $14,294 +2% $28,103 −48% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,564 $14,564 $14,152 +3% $30,930 −53% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $14,525 $14,525 $14,391 +1% $32,502 −55% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $14,515 $14,515 $13,994 +4% $27,548 −47% —
334 RECTAL RESECTION WITHOUT CC/MCC $14,480 $14,480 $14,071 +3% $32,213 −55% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $14,479 $14,479 $14,069 +3% $42,119 −66% ≈126% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $14,469 $14,469 $14,060 +3% $32,996 −56% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,458 $14,458 $14,049 +3% $32,689 −56% ≈129% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $14,414 $14,414 $14,006 +3% $44,117 −67% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,390 $14,390 $13,793 +4% $25,197 −43% —
666 PROSTATECTOMY WITH CC $14,382 $14,382 $14,112 +2% $30,016 −52% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $14,342 $14,342 $13,936 +3% $31,566 −55% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $14,333 $14,333 $14,064 +2% $28,634 −50% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $14,330 $14,330 $14,198 +1% $28,967 −51% ≈134% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,315 $14,315 $13,910 +3% $28,134 −49% ≈135% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $14,304 $14,304 $14,036 +2% $30,910 −54% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $14,297 $14,297 $13,893 +3% $36,333 −61% —
157 DENTAL AND ORAL DISEASES WITH MCC $14,296 $14,296 $13,892 +3% $27,457 −48% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $14,198 $14,198 $13,610 +4% $24,465 −42% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,192 $14,192 $13,926 +2% $27,168 −48% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,185 $14,185 $14,054 +1% $26,020 −45% —
913 TRAUMATIC INJURY WITH MCC $14,129 $14,129 $13,729 +3% $24,198 −42% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,123 $14,123 $13,351 +6% $25,731 −45% ≈133% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,113 $14,113 $13,714 +3% $31,840 −56% ≈120% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $14,108 $14,108 $14,108 +0% $27,118 −48% —
038 EXTRACRANIAL PROCEDURES WITH CC $14,068 $14,068 $13,669 +3% $35,770 −61% ≈120% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $14,059 $14,059 $13,661 +3% $25,434 −45% —
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $14,037 $14,037 $13,640 +3% $35,692 −61% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,994 $13,994 $13,598 +3% $35,584 −61% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $13,943 $13,943 $14,418 −3% $35,453 −61% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,930 $13,930 $13,535 +3% $33,984 −59% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $13,912 $13,912 $13,518 +3% $35,375 −61% —
183 MAJOR CHEST TRAUMA WITH MCC $13,858 $13,858 $13,466 +3% $28,924 −52% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $13,850 $13,850 $13,458 +3% $39,747 −65% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,796 $13,796 $13,406 +3% $33,490 −59% —
186 PLEURAL EFFUSION WITH MCC $13,794 $13,794 $13,404 +3% $32,468 −58% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,765 $13,765 $13,487 +2% $29,371 −53% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,728 $13,728 $13,339 +3% $34,906 −61% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $13,700 $13,700 $13,312 +3% $32,936 −58% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $13,690 $13,690 $13,302 +3% $31,059 −56% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,666 $13,666 $13,279 +3% $32,490 −58% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $13,642 $13,642 $13,256 +3% $41,380 −67% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $13,542 $13,542 $13,417 +1% $34,434 −61% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,530 $13,530 $13,276 +2% $28,646 −53% —
813 Coagulation disorders $13,515 $13,515 $13,132 +3% $30,128 −55% ≈140% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $13,511 $13,511 $13,128 +3% $34,354 −61% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $13,500 $13,500 $13,118 +3% $24,036 −44% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,496 $13,496 $13,114 +3% $25,484 −47% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $13,494 $13,494 $13,241 +2% $28,252 −52% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $13,402 $13,402 $13,340 +0% $36,239 −63% —
115 Extraocular procedures except orbit $13,366 $13,366 $13,243 +1% $24,879 −46% —
663 MINOR BLADDER PROCEDURES WITH CC $13,335 $13,335 $13,212 +1% $29,924 −55% —
945 REHABILITATION WITH CC/MCC $13,327 $13,327 $12,775 +4% $23,834 −44% —
533 FRACTURES OF FEMUR WITH MCC $13,313 $13,313 $12,936 +3% $25,945 −49% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,251 $13,251 $12,876 +3% $33,694 −61% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,243 $13,243 $12,869 +3% $30,972 −57% —
398 Appendix Procedures without MCC/CC $13,211 $13,211 $12,663 +4% $39,107 −66% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $13,182 $13,182 $12,810 +3% $24,229 −46% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,177 $13,177 $12,930 +2% $27,279 −52% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $13,145 $13,145 $13,023 +1% $33,424 −61% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,135 $13,135 $12,763 +3% $33,792 −61% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $13,131 $13,131 $12,884 +2% $35,528 −63% —
682 RENAL FAILURE WITH MCC $13,112 $13,112 $12,741 +3% $27,854 −53% ≈121% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $13,108 $13,108 $12,737 +3% $23,814 −45% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,097 $13,097 $12,726 +3% $25,854 −49% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $13,088 $13,088 $12,842 +2% $29,484 −56% ≈129% of Medicare
506 Major thumb or joint procedures $13,088 $13,088 $12,842 +2% $28,983 −55% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,073 $13,073 $12,703 +3% $24,450 −47% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $13,032 $13,032 $12,912 +1% $33,137 −61% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,997 $12,997 $12,753 +2% $31,062 −58% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,971 $12,971 $12,604 +3% $28,140 −54% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,943 $12,943 $12,700 +2% $32,911 −61% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,888 $12,888 $12,888 +0% $7,961 +62% —
865 VIRAL ILLNESS WITH MCC $12,885 $12,885 $12,521 +3% $26,088 −51% —
693 URINARY STONES WITH MCC $12,837 $12,837 $12,474 +3% $22,525 −43% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $12,833 $12,833 $12,592 +2% $28,780 −55% ≈133% of Medicare
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,829 $12,829 $12,466 +3% $25,152 −49% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,829 $12,829 $12,466 +3% $25,786 −50% —
602 CELLULITIS WITH MCC $12,827 $12,827 $12,464 +3% $29,347 −56% ≈127% of Medicare
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $12,777 $12,777 $12,416 +3% $29,211 −56% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,768 $12,768 $12,529 +2% $25,149 −49% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,762 $12,762 $12,523 +2% $32,451 −61% —
637 DIABETES WITH MCC $12,714 $12,714 $12,597 +1% $28,819 −56% ≈126% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,702 $12,702 $12,175 +4% $24,941 −49% —
895 Alcohol/drug abuse or dependence w rehabilitation therapy $12,641 $12,641 $12,117 +4% $21,986 −43% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,624 $12,624 $12,387 +2% $29,663 −57% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,589 $12,589 $12,232 +3% $22,525 −44% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,565 $12,565 $12,424 +1% $25,243 −50% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,513 $12,513 $12,397 +1% $31,816 −61% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,511 $12,511 $12,276 +2% $31,812 −61% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,410 $12,410 $11,895 +4% $25,010 −50% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,391 $12,391 $12,041 +3% $21,615 −43% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,356 $12,356 $12,007 +3% $23,734 −48% —
088 CONCUSSION WITH MCC $12,316 $12,316 $11,968 +3% $24,402 −50% —
885 Psychoses $12,307 $12,307 $11,958 +3% $21,489 −43% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,302 $12,302 $12,188 +1% $29,757 −59% ≈132% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $12,283 $12,283 $12,169 +1% $27,934 −56% ≈126% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,265 $12,265 $11,918 +3% $35,542 −65% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,234 $12,234 $11,888 +3% $24,452 −50% —
137 MOUTH PROCEDURES WITH CC/MCC $12,211 $12,211 $11,981 +2% $24,348 −50% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,198 $12,198 $11,853 +3% $30,006 −59% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $12,164 $12,164 $11,500 +6% $25,666 −53% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,139 $12,139 $11,795 +3% $24,118 −50% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,131 $12,131 $11,903 +2% $24,561 −51% —
150 EPISTAXIS WITH MCC $12,067 $12,067 $11,841 +2% $21,133 −43% —
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $11,992 $11,992 $11,881 +1% $29,050 −59% —
139 Salivary gland procedures $11,987 $11,987 $11,648 +3% $21,014 −43% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,964 $11,964 $11,626 +3% $20,980 −43% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $11,963 $11,963 $11,624 +3% $30,418 −61% —
748 Female reproductive system reconstructive procedures $11,894 $11,894 $11,784 +1% $24,980 −52% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,831 $11,831 $11,609 +2% $29,374 −60% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,820 $11,820 $11,330 +4% $28,527 −59% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,757 $11,757 $11,648 +1% $23,723 −50% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $11,722 $11,722 $11,390 +3% $29,805 −61% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $11,699 $11,699 $11,645 +0% $30,358 −61% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,650 $11,650 $11,320 +3% $25,426 −54% ≈133% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $11,640 $11,640 $11,310 +3% $31,978 −64% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,611 $11,611 $11,503 +1% $23,350 −50% —
640 Nutritional & misc metabolic disorders w MCC $11,594 $11,594 $11,487 +1% $24,480 −53% ≈128% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,504 $11,504 $11,179 +3% $26,158 −56% ≈133% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,503 $11,503 $11,178 +3% $34,887 −67% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,451 $11,451 $10,976 +4% $23,115 −50% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $11,402 $11,402 $11,297 +1% $23,956 −52% —
291 HEART FAILURE AND SHOCK WITH MCC $11,392 $11,392 $11,286 +1% $25,020 −54% ≈131% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $11,384 $11,384 $11,062 +3% $21,029 −46% —
540 OSTEOMYELITIS WITH CC $11,298 $11,298 $11,086 +2% $23,494 −52% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,268 $11,268 $10,801 +4% $22,811 −51% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,258 $11,258 $11,047 +2% $23,920 −53% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,248 $11,248 $10,930 +3% $23,924 −53% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $11,245 $11,245 $10,927 +3% $24,316 −54% —
947 SIGNS AND SYMPTOMS WITH MCC $11,229 $11,229 $11,018 +2% $25,474 −56% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,214 $11,214 $10,897 +3% $27,244 −59% ≈131% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,145 $11,145 $11,094 +0% $22,557 −51% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,094 $11,094 $10,780 +3% $19,686 −44% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $11,094 $11,094 $10,780 +3% $22,275 −50% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,073 $11,073 $10,760 +3% $28,156 −61% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,061 $11,061 $10,748 +3% $25,623 −57% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,037 $11,037 $10,725 +3% $26,634 −59% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,023 $11,023 $10,566 +4% $19,894 −45% —
348 ANAL AND STOMAL PROCEDURES WITH CC $10,991 $10,991 $10,889 +1% $27,947 −61% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,872 $10,872 $10,668 +2% $26,146 −58% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,870 $10,870 $10,663 +2% $19,354 −44% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,868 $10,868 $10,664 +2% $21,860 −50% —
642 Inborn errors of metabolism $10,835 $10,835 $10,529 +3% $20,727 −48% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $10,813 $10,813 $10,507 +3% $22,032 −51% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,812 $10,812 $10,506 +3% $27,492 −61% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $10,803 $10,803 $10,497 +3% $25,704 −58% ≈132% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $10,755 $10,755 $10,451 +3% $20,147 −47% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,746 $10,746 $10,441 +3% $27,321 −61% —
375 DIGESTIVE MALIGNANCY WITH CC $10,727 $10,727 $10,526 +2% $27,219 −61% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,721 $10,721 $10,418 +3% $19,132 −44% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,683 $10,683 $10,380 +3% $26,322 −59% —
593 SKIN ULCERS WITH CC $10,675 $10,675 $10,474 +2% $20,470 −48% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $10,643 $10,643 $10,444 +2% $23,588 −55% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,598 $10,598 $10,399 +2% $23,297 −55% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,528 $10,528 $10,431 +1% $26,488 −60% ≈114% of Medicare
549 SEPTIC ARTHRITIS WITH CC $10,521 $10,521 $10,085 +4% $20,938 −50% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,465 $10,465 $10,169 +3% $27,369 −62% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,435 $10,435 $10,139 +3% $20,421 −49% —
887 Other mental disorder diagnoses $10,384 $10,384 $10,090 +3% $20,602 −50% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $10,344 $10,344 $10,150 +2% $20,842 −50% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,320 $10,320 $10,028 +3% $19,598 −47% —
304 HYPERTENSION WITH MCC $10,257 $10,257 $10,162 +1% $24,185 −58% ≈128% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,217 $10,217 $9,928 +3% $22,982 −56% ≈132% of Medicare
302 ATHEROSCLEROSIS WITH MCC $10,156 $10,156 $10,062 +1% $20,844 −51% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $10,155 $10,155 $9,868 +3% $18,291 −44% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,155 $10,155 $9,867 +3% $21,062 −52% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,134 $10,134 $9,848 +3% $22,532 −55% —
102 HEADACHES WITH MCC $10,123 $10,123 $10,029 +1% $22,544 −55% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,107 $10,107 $9,688 +4% $24,202 −58% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,088 $10,088 $9,899 +2% $25,307 −60% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $10,049 $10,049 $9,405 +7% $18,133 −45% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,985 $9,985 $9,798 +2% $25,390 −61% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,974 $9,974 $9,692 +3% $24,432 −59% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,941 $9,941 $9,755 +2% $24,452 −59% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,937 $9,937 $9,394 +6% $25,267 −61% ≈145% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $9,907 $9,907 $9,627 +3% $19,795 −50% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,846 $9,846 $9,661 +2% $20,741 −53% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,845 $9,845 $9,567 +3% $24,017 −59% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,811 $9,811 $9,534 +3% $30,314 −68% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,804 $9,804 $9,714 +1% $24,190 −59% ≈132% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,804 $9,804 $9,526 +3% $19,317 −49% —
946 REHABILITATION WITHOUT CC/MCC $9,748 $9,748 $9,323 +5% $17,685 −45% —
181 RESPIRATORY NEOPLASMS WITH CC $9,694 $9,694 $9,512 +2% $22,431 −57% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,692 $9,692 $9,602 +1% $18,459 −47% —
200 PNEUMOTHORAX WITH CC $9,669 $9,669 $9,580 +1% $20,573 −53% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,653 $9,653 $9,379 +3% $24,544 −61% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,626 $9,626 $9,354 +3% $25,162 −62% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,611 $9,611 $9,346 +3% $17,483 −45% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $9,571 $9,571 $11,271 −15% $17,103 −44% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $9,555 $9,555 $8,828 +8% $17,398 −45% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,525 $9,525 $9,255 +3% $19,868 −52% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,514 $9,514 $9,426 +1% $31,190 −69% ≈134% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $9,508 $9,508 $9,239 +3% $24,177 −61% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,468 $9,468 $9,291 +2% $21,806 −57% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,455 $9,455 $12,774 −26% $22,560 −58% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,439 $9,439 $9,261 +2% $17,226 −45% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $9,427 $9,427 $9,250 +2% $18,126 −48% —
949 AFTERCARE WITH CC/MCC $9,420 $9,420 $9,243 +2% $23,953 −61% —
598 MALIGNANT BREAST DISORDERS WITH CC $9,419 $9,419 $9,153 +3% $19,073 −51% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,417 $9,417 $9,026 +4% $17,193 −45% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,394 $9,394 $9,128 +3% $17,943 −48% —
089 CONCUSSION WITH CC $9,360 $9,360 $8,849 +6% $18,293 −49% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,347 $9,347 $9,260 +1% $19,579 −52% ≈130% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,340 $9,340 $9,254 +1% $23,749 −61% —
712 TESTES PROCEDURES WITHOUT CC/MCC $9,338 $9,338 $8,951 +4% $18,898 −51% —
184 MAJOR CHEST TRAUMA WITH CC $9,325 $9,325 $9,061 +3% $20,842 −55% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,270 $9,270 $9,775 −5% $23,571 −61% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,262 $9,262 $9,000 +3% $23,496 −61% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,243 $9,243 $9,069 +2% $24,136 −62% ≈138% of Medicare
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $9,201 $9,201 $8,941 +3% $23,396 −61% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,191 $9,191 $8,689 +6% $18,478 −50% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $9,184 $9,184 $8,924 +3% $17,550 −48% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,168 $9,168 $9,083 +1% $22,231 −59% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,101 $9,101 $8,843 +3% $23,141 −61% —
644 ENDOCRINE DISORDERS WITH CC $9,022 $9,022 $8,939 +1% $22,941 −61% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,001 $9,001 $8,918 +1% $22,781 −60% ≈140% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,986 $8,986 $8,732 +3% $22,850 −61% ≈125% of Medicare
667 PROSTATECTOMY WITHOUT CC/MCC $8,973 $8,973 $8,805 +2% $16,703 −46% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,963 $8,963 $8,880 +1% $24,022 −63% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,947 $8,947 $8,779 +2% $16,495 −46% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,904 $8,904 $8,737 +2% $20,732 −57% ≈129% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,904 $8,904 $8,652 +3% $16,571 −46% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,903 $8,903 $8,651 +3% $21,545 −59% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,902 $8,902 $8,819 +1% $20,080 −56% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,899 $8,899 $8,732 +2% $19,091 −53% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,884 $8,884 $8,633 +3% $22,713 −61% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,878 $8,878 $8,711 +2% $23,469 −62% ≈148% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,871 $8,871 $8,620 +3% $18,017 −51% —
920 COMPLICATIONS OF TREATMENT WITH CC $8,869 $8,869 $8,787 +1% $21,181 −58% —
187 PLEURAL EFFUSION WITH CC $8,765 $8,765 $8,517 +3% $21,467 −59% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,758 $8,758 $8,510 +3% $17,078 −49% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,757 $8,757 $8,278 +6% $16,212 −46% —
697 Urethral stricture $8,746 $8,746 $8,499 +3% $17,705 −51% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,730 $8,730 $8,483 +3% $20,007 −56% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,713 $8,713 $10,576 −18% $15,370 −43% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,712 $8,712 $8,351 +4% $17,434 −50% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,665 $8,665 $8,420 +3% $20,968 −59% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,662 $8,662 $8,416 +3% $22,024 −61% ≈142% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $8,643 $8,643 $8,399 +3% $20,106 −57% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,607 $8,607 $8,364 +3% $21,886 −61% ≈138% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,605 $8,605 $8,361 +3% $18,282 −53% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $8,547 $8,547 $8,305 +3% $15,901 −46% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $8,540 $8,540 $8,380 +2% $15,890 −46% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,453 $8,453 $8,598 −2% $19,001 −56% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $8,453 $8,453 $10,124 −17% $18,238 −54% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,440 $8,440 $8,281 +2% $17,273 −51% ≈135% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,435 $8,435 $8,357 +1% $21,449 −61% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $8,415 $8,415 $8,176 +3% $21,213 −60% ≈138% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,401 $8,401 $8,164 +3% $20,777 −60% —
882 Neuroses except depressive $8,399 $8,399 $8,241 +2% $15,680 −46% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,369 $8,369 $8,292 +1% $15,636 −46% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,352 $8,352 $8,195 +2% $16,418 −49% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $8,347 $8,347 $8,111 +3% $18,191 −54% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,344 $8,344 $8,108 +3% $20,371 −59% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $8,339 $8,339 $8,103 +3% $19,326 −57% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,338 $8,338 $8,181 +2% $15,589 −47% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,310 $8,310 $8,075 +3% $18,428 −55% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,218 $8,218 $7,986 +3% $18,918 −57% ≈134% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $8,212 $8,212 $7,980 +3% $17,700 −54% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,204 $8,204 $8,050 +2% $17,108 −52% —
779 ABORTION WITHOUT D&C $8,161 $8,161 $7,930 +3% $15,327 −47% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,151 $8,151 $7,998 +2% $16,642 −51% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,088 $8,088 $7,859 +3% $18,608 −57% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,064 $8,064 $7,990 +1% $19,287 −58% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,057 $8,057 $7,983 +1% $20,488 −61% ≈144% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,048 $8,048 $7,820 +3% $20,463 −61% —
101 SEIZURES WITHOUT MCC $8,047 $8,047 $7,819 +3% $19,954 −60% ≈145% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,044 $8,044 $7,893 +2% $20,309 −60% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $8,023 $8,023 $7,873 +2% $16,352 −51% —
638 DIABETES WITH CC $8,008 $8,008 $7,934 +1% $18,821 −57% ≈146% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,005 $8,005 $7,779 +3% $15,474 −48% —
914 TRAUMATIC INJURY WITHOUT MCC $8,001 $8,001 $7,850 +2% $15,593 −49% —
881 Depressive neuroses $7,981 $7,981 $7,831 +2% $15,058 −47% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,968 $7,968 $7,742 +3% $17,585 −55% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,908 $7,908 $7,835 +1% $17,731 −55% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,899 $7,899 $7,676 +3% $15,077 −48% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,899 $7,899 $8,017 −1% $20,084 −61% —
864 FEVER AND INFLAMMATORY CONDITIONS $7,840 $7,840 $7,618 +3% $17,412 −55% —
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $7,803 $7,803 $7,583 +3% $18,803 −58% ≈151% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,791 $7,791 $7,571 +3% $21,261 −63% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,787 $7,787 $7,566 +3% $15,764 −51% —
683 RENAL FAILURE WITH CC $7,761 $7,761 $7,689 +1% $18,620 −58% ≈142% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $7,725 $7,725 $7,506 +3% $16,391 −53% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,723 $7,723 $7,504 +3% $15,045 −49% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,718 $7,718 $7,499 +3% $15,869 −51% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,709 $7,709 $7,491 +3% $15,608 −51% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $7,702 $7,702 $7,484 +3% $16,049 −52% ≈130% of Medicare
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,696 $7,696 $7,478 +3% $19,569 −61% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,691 $7,691 $7,620 +1% $19,854 −61% —
603 CELLULITIS WITHOUT MCC $7,690 $7,690 $7,472 +3% $18,530 −58% ≈155% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $7,638 $7,638 $7,495 +2% $14,549 −47% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,626 $7,626 $10,545 −28% $19,815 −62% —
312 SYNCOPE AND COLLAPSE $7,607 $7,607 $7,537 +1% $19,342 −61% ≈143% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,592 $7,592 $7,377 +3% $19,305 −61% —
607 MINOR SKIN DISORDERS WITHOUT MCC $7,545 $7,545 $7,475 +1% $15,284 −51% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,541 $7,541 $7,328 +3% $17,367 −57% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,527 $7,527 $7,314 +3% $16,156 −53% —
292 HEART FAILURE AND SHOCK WITH CC $7,519 $7,519 $7,306 +3% $16,212 −54% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,510 $7,510 $7,369 +2% $19,096 −61% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,500 $7,500 $7,431 +1% $18,278 −59% ≈135% of Medicare
090 CONCUSSION WITHOUT CC/MCC $7,485 $7,485 $7,344 +2% $14,873 −50% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,464 $7,464 $7,253 +3% $14,290 −48% —
103 HEADACHES WITHOUT MCC $7,423 $7,423 $7,213 +3% $20,111 −63% —
594 SKIN ULCERS WITHOUT CC/MCC $7,410 $7,410 $7,271 +2% $14,209 −48% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,312 $7,312 $7,131 +3% $14,064 −48% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,306 $7,306 $7,169 +2% $14,055 −48% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,287 $7,287 $7,219 +1% $18,253 −60% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,209 $7,209 $7,073 +2% $15,876 −55% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,159 $7,159 $7,093 +1% $18,204 −61% ≈143% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,149 $7,149 $7,015 +2% $13,822 −48% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,138 $7,138 $6,936 +3% $18,150 −61% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,134 $7,134 $6,744 +6% $16,837 −58% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,128 $7,128 $6,927 +3% $17,715 −60% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,128 $7,128 $6,927 +3% $17,928 −60% —
176 PULMONARY EMBOLISM WITHOUT MCC $7,111 $7,111 $7,045 +1% $18,081 −61% ≈142% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $7,107 $7,107 $6,906 +3% $17,195 −59% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,102 $7,102 $6,969 +2% $17,383 −59% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,080 $7,080 $7,015 +1% $16,866 −58% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,080 $7,080 $6,879 +3% $18,002 −61% ≈152% of Medicare
123 Neurological eye disorders $7,012 $7,012 $6,881 +2% $17,831 −61% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,007 $7,007 $6,809 +3% $17,466 −60% ≈134% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,998 $6,998 $6,800 +3% $17,388 −60% ≈142% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,991 $6,991 $6,793 +3% $13,586 −49% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,985 $6,985 $6,696 +4% $20,278 −66% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,961 $6,961 $6,896 +1% $17,700 −61% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,936 $6,936 $6,872 +1% $17,727 −61% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,895 $6,895 $6,267 +10% $13,445 −49% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,891 $6,891 $6,762 +2% $17,522 −61% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,855 $6,855 $6,661 +3% $13,385 −49% —
641 Nutritional & misc metabolic disorders w/o MCC $6,822 $6,822 $6,629 +3% $16,745 −59% ≈139% of Medicare
694 URINARY STONES WITHOUT MCC $6,822 $6,822 $6,629 +3% $16,531 −59% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,812 $6,812 $6,685 +2% $17,322 −61% ≈149% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,798 $6,798 $6,671 +2% $14,166 −52% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,790 $6,790 $6,727 +1% $15,858 −57% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,720 $6,720 $6,594 +2% $14,444 −53% —
151 EPISTAXIS WITHOUT MCC $6,618 $6,618 $6,494 +2% $13,032 −49% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,598 $6,598 $6,537 +1% $16,776 −61% —
305 HYPERTENSION WITHOUT MCC $6,554 $6,554 $6,493 +1% $17,144 −62% ≈150% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,550 $6,550 $6,364 +3% $16,654 −61% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,542 $6,542 $6,357 +3% $16,634 −61% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,531 $6,531 $6,409 +2% $14,337 −54% —
149 Dysequilibrium $6,526 $6,526 $6,256 +4% $17,203 −62% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,525 $6,525 $6,341 +3% $12,895 −49% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,515 $6,515 $6,330 +3% $14,861 −56% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,499 $6,499 $6,315 +3% $13,892 −53% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,469 $6,469 $6,286 +3% $13,282 −51% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,455 $6,455 $6,333 +2% $16,865 −62% ≈158% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,410 $6,410 $6,229 +3% $14,110 −55% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,361 $6,361 $6,242 +2% $12,650 −50% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,333 $6,333 $6,154 +3% $16,104 −61% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,331 $6,331 $6,272 +1% $18,623 −66% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,323 $6,323 $6,144 +3% $12,593 −50% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,317 $6,317 $9,343 −32% $13,090 −52% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,283 $6,283 $6,105 +3% $12,537 −50% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,229 $6,229 $6,053 +3% $12,381 −50% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,228 $6,228 $6,171 +1% $15,607 −60% —
313 Chest pain $6,228 $6,228 $6,171 +1% $15,962 −61% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,214 $6,214 $6,038 +3% $14,473 −57% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,150 $6,150 $5,976 +3% $12,336 −50% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,135 $6,135 $6,020 +2% $15,600 −61% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,115 $6,115 $6,058 +1% $13,654 −55% —
311 Angina pectoris $6,097 $6,097 $5,924 +3% $15,165 −60% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,094 $6,094 $5,921 +3% $15,072 −60% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,082 $6,082 $6,025 +1% $12,279 −50% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,081 $6,081 $5,829 +4% $12,405 −51% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,061 $6,061 $5,889 +3% $13,303 −54% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,040 $6,040 $5,984 +1% $14,441 −58% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,009 $6,009 $5,839 +3% $19,483 −69% ≈162% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,004 $6,004 $5,948 +1% $14,012 −57% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,960 $5,960 $5,792 +3% $12,797 −53% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,922 $5,922 $5,754 +3% $11,997 −51% —
201 PNEUMOTHORAX WITHOUT CC/MCC $5,911 $5,911 $5,857 +1% $13,081 −55% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,870 $5,870 $5,760 +2% $13,198 −56% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,870 $5,870 $5,704 +3% $14,927 −61% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,863 $5,863 $5,697 +3% $11,909 −51% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,852 $5,852 $5,798 +1% $14,880 −61% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,821 $5,821 $5,589 +4% $11,847 −51% —
916 ALLERGIC REACTIONS WITHOUT MCC $5,798 $5,798 $5,634 +3% $13,890 −58% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,759 $5,759 $5,651 +2% $13,368 −57% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,757 $5,757 $5,704 +1% $13,485 −57% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,650 $5,650 $5,598 +1% $14,368 −61% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,588 $5,588 $5,562 +0% $14,208 −61% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,564 $5,564 $8,897 −37% $12,044 −54% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,559 $5,559 $5,559 +0% $14,134 −61% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,556 $5,556 $5,399 +3% $14,128 −61% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,534 $5,534 $5,483 +1% $11,421 −52% —
639 DIABETES WITHOUT CC/MCC $5,471 $5,471 $5,316 +3% $13,910 −61% —
894 Alcohol/drug abuse or dependence, left AMA $5,449 $5,449 $5,424 +0% $12,013 −55% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,437 $5,437 $5,283 +3% $13,824 −61% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,370 $5,370 $5,370 +0% $15,070 −64% —
684 RENAL FAILURE WITHOUT CC/MCC $5,303 $5,303 $5,153 +3% $13,623 −61% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,299 $5,299 $5,274 +0% $11,071 −52% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,234 $5,234 $5,186 +1% $10,975 −52% —
950 AFTERCARE WITHOUT CC/MCC $5,117 $5,117 $5,117 +0% $13,527 −62% —
951 Other factors influencing health status $4,950 $4,950 $4,950 +0% $9,385 −47% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,901 $4,901 $4,763 +3% $10,039 −51% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,885 $4,885 $4,793 +2% $13,384 −64% ≈228% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,790 $4,790 $4,790 +0% $11,955 −60% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,777 $4,777 $4,642 +3% $13,318 −64% ≈186% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,538 $4,538 $4,496 +1% $9,076 −50% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,856 $3,856 $3,989 −3% $8,927 −57% —
795 Normal newborn $1,744 $1,744 $3,492 −50% $4,530 −61% —

Procedures with negotiated rates only

These 21 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
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $64,821 – $64,821 · median $64,821 2 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $47,818 – $47,818 · median $47,818 2 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $56,670 – $56,670 · median $56,670 2 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $43,312 – $43,312 · median $43,312 2 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $50,894 – $50,894 · median $50,894 2 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $40,426 – $40,426 · median $40,426 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $24,060 – $24,060 · median $24,060 2 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $15,304 – $15,304 · median $15,304 2 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $24,431 – $24,431 · median $24,431 2 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $14,466 – $14,466 · median $14,466 2 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $21,544 – $21,544 · median $21,544 2 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $13,047 – $13,047 · median $13,047 2 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,456 – $9,456 · median $9,456 2 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $17,829 – $17,829 · median $17,829 2 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $11,031 – $11,031 · median $11,031 2 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,540 – $8,540 · median $8,540 2 plans
453 Combined anterior/posterior spinal fusion w MCC $70,768 – $70,768 · median $70,768 2 plans
454 Combined anterior/posterior spinal fusion w CC $46,940 – $46,940 · median $46,940 2 plans
455 Combined anterior/posterior spinal fusion w/o CC/MCC $36,879 – $36,879 · median $36,879 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $51,818 – $51,818 · median $51,818 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,272 – $30,272 · median $30,272 2 plans
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