Procedures published 792
Lowest published price $2,404
Average published price $28,284
Highest published price $453,799

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 27 procedures, this hospital's negotiated rates average ≈130% 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 $453,799 $453,799 $391,526 +16% $498,715 −9% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $338,950 $338,950 $338,950 +0% $431,073 −21% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $285,457 $285,457 $236,577 +21% $306,087 −7% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $257,887 $257,887 $260,247 −1% $371,366 −31% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $170,027 $170,027 $170,027 +0% $245,241 −31% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $157,654 $157,654 $122,488 +29% $182,314 −14% —
007 Lung transplant $157,257 $157,257 $126,907 +24% $170,608 −8% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $132,600 $132,600 $114,404 +16% $169,977 −22% —
212 CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES $131,087 $131,087 $102,715 +28% $171,338 −23% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $128,144 $128,144 $128,144 +0% $159,181 −19% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $127,487 $127,487 $116,471 +9% $191,314 −33% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $126,051 $126,051 $99,176 +27% $142,326 −11% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $116,132 $116,132 $113,415 +2% $175,437 −34% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $110,847 $110,847 $77,091 +44% $121,563 −9% —
231 CORONARY BYPASS WITH PTCA WITH MCC $101,967 $101,967 $105,048 −3% $146,474 −30% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $101,910 $101,910 $111,108 −8% $151,029 −33% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $100,363 $100,363 $72,481 +38% $120,174 −16% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $96,999 $96,999 $96,999 +0% $134,914 −28% —
010 Pancreas transplant $95,939 $95,939 $69,287 +38% $99,940 −4% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $95,389 $95,389 $69,210 +38% $105,228 −9% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $94,055 $94,055 $99,484 −5% $138,868 −32% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $93,105 $93,105 $88,104 +6% $143,242 −35% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $89,817 $89,817 $96,002 −6% $120,587 −26% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $85,467 $85,467 $60,256 +42% $121,728 −30% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $85,037 $85,037 $62,554 +36% $131,961 −36% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $83,708 $83,708 $81,678 +2% $138,008 −39% ≈114% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $82,165 $82,165 $59,339 +38% $105,612 −22% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $80,678 $80,678 $69,607 +16% $114,914 −30% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $80,367 $80,367 $56,660 +42% $89,353 −10% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $80,231 $80,231 $61,786 +30% $118,589 −32% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $77,820 $77,820 $56,462 +38% $116,058 −33% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $77,708 $77,708 $56,890 +37% $121,714 −36% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $76,100 $76,100 $76,100 +0% $109,331 −30% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $74,537 $74,537 $56,010 +33% $117,280 −36% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $74,441 $74,441 $74,441 +0% $94,988 −22% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $74,102 $74,102 $76,220 −3% $98,912 −25% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $73,843 $73,843 $77,989 −5% $108,472 −32% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $73,506 $73,506 $53,665 +37% $106,238 −31% —
028 SPINAL PROCEDURES WITH MCC $73,155 $73,155 $74,391 −2% $95,858 −24% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $72,630 $72,630 $70,720 +3% $98,260 −26% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $72,630 $72,630 $61,708 +18% $81,176 −11% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $72,087 $72,087 $71,503 +1% $113,855 −37% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $71,588 $71,588 $73,928 −3% $92,238 −22% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $71,534 $71,534 $71,534 +0% $80,018 −11% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $70,805 $70,805 $67,362 +5% $112,062 −37% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $70,060 $70,060 $71,838 −2% $96,192 −27% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $69,062 $69,062 $69,568 −1% $107,355 −36% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $68,650 $68,650 $74,760 −8% $106,778 −36% —
653 MAJOR BLADDER PROCEDURES WITH MCC $67,079 $67,079 $62,070 +8% $97,046 −31% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $66,510 $66,510 $57,383 +16% $101,235 −34% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $66,510 $66,510 $46,891 +42% $76,583 −13% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $66,231 $66,231 $66,231 +0% $105,899 −37% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $65,827 $65,827 $65,827 +0% $93,783 −30% —
008 Simultaneous pancreas/kidney transplant $65,473 $65,473 $53,926 +21% $86,459 −24% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $65,324 $65,324 $69,661 −6% $94,927 −31% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $64,990 $64,990 $46,936 +38% $78,582 −17% —
011 Tracheostomy for face,mouth & neck diagnoses w MCC $64,929 $64,929 $46,225 +40% $86,953 −25% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $64,922 $64,922 $46,886 +38% $82,527 −21% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $64,018 $64,018 $61,822 +4% $102,573 −38% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $63,735 $63,735 $47,356 +35% $102,177 −38% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $61,971 $61,971 $44,547 +39% $79,944 −22% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $61,765 $61,765 $59,897 +3% $99,423 −38% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $61,303 $61,303 $65,645 −7% $96,222 −36% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $61,116 $61,116 $59,697 +2% $80,747 −24% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $60,609 $60,609 $49,585 +22% $87,565 −31% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $60,252 $60,252 $43,716 +38% $70,735 −15% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $60,205 $60,205 $43,480 +38% $84,861 −29% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $60,181 $60,181 $66,300 −9% $87,018 −31% ≈129% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $59,964 $59,964 $57,822 +4% $96,905 −38% —
245 AICD GENERATOR PROCEDURES $58,803 $58,803 $61,075 −4% $72,076 −18% —
471 CERVICAL SPINAL FUSION WITH MCC $58,448 $58,448 $58,448 +0% $92,515 −37% —
006 LIVER TRANSPLANT WITHOUT MCC $58,351 $58,351 $48,936 +19% $84,407 −31% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $57,464 $57,464 $53,961 +6% $88,691 −35% —
799 SPLENIC PROCEDURES WITH MCC $57,215 $57,215 $63,003 −9% $78,821 −27% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $57,204 $57,204 $54,442 +5% $86,390 −34% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $56,612 $56,612 $56,801 −0% $92,217 −39% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $56,309 $56,309 $58,079 −3% $80,885 −30% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $55,976 $55,976 $49,595 +13% $91,329 −39% —
163 MAJOR CHEST PROCEDURES WITH MCC $55,463 $55,463 $54,801 +1% $88,341 −37% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $55,440 $55,440 $40,443 +37% $71,551 −23% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $55,263 $55,263 $54,333 +2% $90,331 −39% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $55,254 $55,254 $62,792 −12% $88,050 −37% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $54,288 $54,288 $50,907 +7% $72,859 −25% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $53,964 $53,964 $44,319 +22% $76,954 −30% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $53,815 $53,815 $44,906 +20% $88,307 −39% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $53,312 $53,312 $37,586 +42% $68,847 −23% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $52,859 $52,859 $46,152 +15% $75,585 −30% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $52,066 $52,066 $33,230 +57% $59,352 −12% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $51,959 $51,959 $55,653 −7% $83,441 −38% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $51,329 $51,329 $52,759 −3% $82,561 −38% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $51,253 $51,253 $55,014 −7% $88,049 −42% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $50,890 $50,890 $34,907 +46% $60,098 −15% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $50,426 $50,426 $50,459 −0% $68,659 −27% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $50,414 $50,414 $51,316 −2% $72,945 −31% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $50,184 $50,184 $35,380 +42% $16,719 +200% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $50,066 $50,066 $42,533 +18% $83,065 −40% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $49,481 $49,481 $46,520 +6% $82,247 −40% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $49,453 $49,453 $41,582 +19% $66,853 −26% —
012 Tracheostomy for face,mouth & neck diagnoses w CC $49,380 $49,380 $35,828 +38% $73,029 −32% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,137 $49,137 $34,642 +42% $81,998 −40% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $48,943 $48,943 $48,943 +0% $72,011 −32% —
791 PREMATURITY WITH MAJOR PROBLEMS $48,853 $48,853 $45,159 +8% $39,563 +23% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $47,936 $47,936 $45,405 +6% $71,701 −33% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $47,902 $47,902 $47,902 +0% $57,521 −17% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $47,479 $47,479 $35,390 +34% $68,006 −30% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $47,381 $47,381 $47,381 +0% $61,832 −23% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $47,285 $47,285 $33,337 +42% $54,196 −13% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $47,076 $47,076 $33,189 +42% $75,492 −38% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $47,053 $47,053 $40,083 +17% $78,852 −40% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $46,793 $46,793 $33,950 +38% $72,908 −36% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $46,508 $46,508 $34,783 +34% $62,961 −26% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $46,461 $46,461 $33,398 +39% $55,097 −16% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $46,331 $46,331 $48,736 −5% $72,782 −36% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $45,995 $45,995 $35,111 +31% $75,103 −39% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $45,746 $45,746 $47,667 −4% $74,755 −39% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $45,390 $45,390 $44,874 +1% $74,257 −39% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $45,028 $45,028 $46,834 −4% $60,861 −26% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $43,905 $43,905 $36,817 +19% $62,524 −30% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $43,600 $43,600 $46,502 −6% $71,755 −39% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $43,136 $43,136 $30,575 +41% $59,425 −27% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $43,134 $43,134 $29,586 +46% $57,855 −25% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $43,126 $43,126 $31,290 +38% $64,776 −33% —
265 AICD LEAD PROCEDURES $42,924 $42,924 $31,144 +38% $56,695 −24% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $42,732 $42,732 $35,670 +20% $70,540 −39% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $42,481 $42,481 $48,061 −12% $62,404 −32% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $42,471 $42,471 $29,942 +42% $50,919 −17% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $42,363 $42,363 $43,922 −4% $56,964 −26% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $42,161 $42,161 $31,947 +32% $68,399 −38% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $42,148 $42,148 $38,991 +8% $65,383 −36% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $42,131 $42,131 $42,905 −2% $59,207 −29% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $42,057 $42,057 $29,651 +42% $51,953 −19% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $41,785 $41,785 $30,833 +36% $56,242 −26% —
332 RECTAL RESECTION WITH MCC $41,739 $41,739 $29,427 +42% $58,125 −28% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $41,693 $41,693 $30,877 +35% $49,065 −15% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $41,447 $41,447 $30,072 +38% $71,014 −42% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $41,382 $41,382 $30,024 +38% $62,269 −34% —
665 PROSTATECTOMY WITH MCC $41,317 $41,317 $41,317 +0% $54,072 −24% —
252 OTHER VASCULAR PROCEDURES WITH MCC $41,278 $41,278 $42,633 −3% $68,508 −40% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $41,216 $41,216 $42,906 −4% $68,880 −40% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $40,987 $40,987 $38,294 +7% $67,901 −40% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $40,816 $40,816 $43,918 −7% $70,132 −42% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $40,391 $40,391 $28,756 +40% $64,152 −37% —
037 EXTRACRANIAL PROCEDURES WITH MCC $39,960 $39,960 $28,173 +42% $64,749 −38% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $39,732 $39,732 $28,012 +42% $52,908 −25% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $39,332 $39,332 $33,894 +16% $65,254 −40% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $39,220 $39,220 $38,910 +1% $54,129 −28% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $39,204 $39,204 $28,474 +38% $64,465 −39% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $38,738 $38,738 $27,579 +40% $64,956 −40% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $38,559 $38,559 $40,209 −4% $57,277 −33% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $38,447 $38,447 $27,766 +38% $66,819 −42% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $38,373 $38,373 $27,054 +42% $49,710 −23% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $38,270 $38,270 $27,638 +38% $44,472 −14% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $38,193 $38,193 $26,927 +42% $51,142 −25% —
500 SOFT TISSUE PROCEDURES WITH MCC $38,129 $38,129 $27,145 +40% $57,479 −34% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $37,555 $37,555 $37,451 +0% $65,573 −43% —
662 MINOR BLADDER PROCEDURES WITH MCC $37,538 $37,538 $30,960 +21% $54,483 −31% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $37,378 $37,378 $37,378 +0% $65,325 −43% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $37,211 $37,211 $26,998 +38% $62,821 −41% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $37,134 $37,134 $26,180 +42% $65,216 −43% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $37,107 $37,107 $27,771 +34% $53,817 −31% —
652 KIDNEY TRANSPLANT $36,958 $36,958 $27,280 +35% $54,720 −32% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $36,925 $36,925 $32,419 +14% $53,555 −31% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $36,804 $36,804 $34,191 +8% $63,475 −42% —
570 SKIN DEBRIDEMENT WITH MCC $36,222 $36,222 $26,159 +38% $52,435 −31% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $35,933 $35,933 $25,951 +38% $46,402 −23% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $35,481 $35,481 $25,014 +42% $54,313 −35% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $35,389 $35,389 $36,997 −4% $63,984 −45% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $35,293 $35,293 $26,562 +33% $60,140 −41% —
668 TRANSURETHRAL PROCEDURES WITH MCC $35,092 $35,092 $25,343 +38% $47,277 −26% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $35,073 $35,073 $35,073 +0% $67,764 −48% —
800 SPLENIC PROCEDURES WITH CC $35,062 $35,062 $25,439 +38% $49,184 −29% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $35,043 $35,043 $25,425 +38% $54,475 −36% —
472 CERVICAL SPINAL FUSION WITH CC $34,862 $34,862 $25,060 +39% $59,537 −41% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $34,500 $34,500 $24,323 +42% $58,968 −41% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $34,460 $34,460 $29,422 +17% $56,758 −39% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $34,440 $34,440 $24,988 +38% $53,551 −36% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $34,392 $34,392 $24,247 +42% $49,055 −30% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $34,256 $34,256 $24,151 +42% $74,274 −54% —
654 MAJOR BLADDER PROCEDURES WITH CC $33,958 $33,958 $24,176 +40% $53,868 −37% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $33,794 $33,794 $24,059 +40% $58,043 −42% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $33,759 $33,759 $32,590 +4% $48,907 −31% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $32,927 $32,927 $23,780 +38% $48,358 −32% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $32,868 $32,868 $22,859 +44% $45,497 −28% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $32,808 $32,808 $23,568 +39% $44,973 −27% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $32,690 $32,690 $23,718 +38% $43,491 −25% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $32,530 $32,530 $28,045 +16% $57,963 −44% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,423 $32,423 $24,914 +30% $44,839 −28% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $32,294 $32,294 $22,768 +42% $52,405 −38% —
263 VEIN LIGATION AND STRIPPING $32,274 $32,274 $23,200 +39% $44,938 −28% —
849 RADIOTHERAPY $32,141 $32,141 $22,353 +44% $37,862 −15% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $32,042 $32,042 $22,590 +42% $45,432 −29% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $31,927 $31,927 $22,509 +42% $40,947 −22% —
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $31,888 $31,888 $22,177 +44% $45,290 −30% —
503 FOOT PROCEDURES WITH MCC $31,847 $31,847 $23,106 +38% $43,901 −27% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $31,814 $31,814 $29,424 +8% $40,277 −21% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $31,566 $31,566 $22,797 +38% $54,929 −43% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,484 $31,484 $21,896 +44% $43,697 −28% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $31,149 $31,149 $21,960 +42% $41,703 −25% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $31,097 $31,097 $22,354 +39% $48,094 −35% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $30,730 $30,730 $21,877 +40% $38,878 −21% —
253 OTHER VASCULAR PROCEDURES WITH CC $30,720 $30,720 $22,753 +35% $53,746 −43% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $30,663 $30,663 $22,247 +38% $57,149 −46% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $30,505 $30,505 $18,088 +69% $36,097 −15% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $30,406 $30,406 $21,147 +44% $39,657 −23% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $30,382 $30,382 $22,044 +38% $46,659 −35% —
164 MAJOR CHEST PROCEDURES WITH CC $30,287 $30,287 $21,353 +42% $53,141 −43% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $30,132 $30,132 $20,668 +46% $39,409 −24% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $30,109 $30,109 $21,745 +38% $55,162 −45% —
397 APPENDIX PROCEDURES WITH MCC $29,815 $29,815 $21,532 +38% $52,319 −43% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $29,695 $29,695 $20,936 +42% $52,332 −43% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $29,477 $29,477 $20,782 +42% $11,633 +153% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $29,460 $29,460 $21,375 +38% $51,985 −43% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $29,217 $29,217 $20,599 +42% $54,824 −47% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $29,104 $29,104 $20,519 +42% $46,591 −38% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $29,013 $29,013 $20,655 +40% $40,065 −28% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $28,891 $28,891 $28,417 +2% $56,394 −49% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $28,846 $28,846 $20,337 +42% $47,583 −39% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $28,846 $28,846 $20,337 +42% $39,093 −26% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $28,596 $28,596 $28,596 +0% $52,313 −45% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $28,487 $28,487 $20,281 +40% $50,624 −44% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $28,480 $28,480 $20,663 +38% $40,548 −30% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $28,442 $28,442 $20,052 +42% $58,832 −52% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $28,397 $28,397 $20,508 +38% $47,546 −40% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $28,140 $28,140 $20,417 +38% $50,139 −44% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $27,919 $27,919 $19,683 +42% $36,237 −23% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $27,854 $27,854 $20,257 +38% $36,080 −23% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $27,828 $27,828 $19,811 +40% $51,339 −46% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $27,777 $27,777 $27,750 +0% $49,631 −44% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $27,605 $27,605 $19,273 +43% $37,080 −26% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $27,559 $27,559 $19,811 +39% $36,334 −24% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $27,475 $27,475 $19,842 +38% $39,253 −30% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $27,423 $27,423 $19,713 +39% $43,586 −37% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $27,373 $27,373 $19,487 +40% $46,430 −41% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $27,267 $27,267 $19,224 +42% $37,064 −26% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $27,174 $27,174 $19,158 +42% $38,998 −30% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $27,173 $27,173 $19,533 +39% $44,989 −40% —
113 ORBITAL PROCEDURES WITH CC/MCC $27,154 $27,154 $19,331 +40% $35,642 −24% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $27,108 $27,108 $19,668 +38% $50,011 −46% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $27,098 $27,098 $19,570 +38% $48,682 −44% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $27,063 $27,063 $19,545 +38% $45,059 −40% —
709 PENIS PROCEDURES WITH CC/MCC $27,039 $27,039 $19,437 +39% $34,535 −22% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $26,863 $26,863 $18,682 +44% $44,053 −39% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $26,778 $26,778 $18,879 +42% $45,818 −42% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $26,633 $26,633 $19,498 +37% $44,600 −40% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $26,465 $26,465 $18,841 +40% $38,382 −31% —
935 NON-EXTENSIVE BURNS $26,429 $26,429 $18,633 +42% $29,458 −10% —
906 HAND PROCEDURES FOR INJURIES $26,262 $26,262 $18,264 +44% $31,520 −17% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $26,219 $26,219 $19,259 +36% $41,900 −37% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $26,103 $26,103 $18,584 +40% $37,902 −31% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $25,959 $25,959 $19,205 +35% $44,553 −42% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $25,913 $25,913 $18,627 +39% $38,357 −32% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $25,853 $25,853 $18,227 +42% $34,900 −26% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $25,820 $25,820 $18,382 +40% $31,044 −17% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $25,802 $25,802 $18,191 +42% $36,850 −30% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $25,701 $25,701 $17,874 +44% $35,569 −28% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $25,700 $25,700 $18,560 +38% $40,232 −36% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $25,698 $25,698 $18,559 +38% $45,622 −44% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $25,650 $25,650 $18,686 +37% $37,654 −32% —
333 RECTAL RESECTION WITH CC $25,574 $25,574 $18,469 +38% $34,352 −26% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $25,521 $25,521 $18,345 +39% $46,477 −45% —
595 MAJOR SKIN DISORDERS WITH MCC $25,451 $25,451 $17,943 +42% $31,785 −20% —
336 PERITONEAL ADHESIOLYSIS WITH CC $25,417 $25,417 $21,904 +16% $49,470 −49% —
374 DIGESTIVE MALIGNANCY WITH MCC $25,407 $25,407 $18,263 +39% $38,885 −35% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $25,407 $25,407 $17,669 +44% $38,420 −34% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $25,367 $25,367 $17,642 +44% $56,519 −55% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $25,303 $25,303 $19,834 +28% $35,686 −29% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $25,227 $25,227 $17,896 +41% $46,066 −45% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $25,155 $25,155 $17,735 +42% $32,483 −23% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $24,996 $24,996 $17,623 +42% $41,651 −40% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $24,967 $24,967 $17,775 +40% $51,172 −51% ≈126% of Medicare
592 SKIN ULCERS WITH MCC $24,744 $24,744 $17,616 +40% $32,662 −24% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $24,636 $24,636 $17,710 +39% $34,089 −28% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $24,405 $24,405 $17,206 +42% $30,661 −20% —
539 OSTEOMYELITIS WITH MCC $24,336 $24,336 $17,157 +42% $33,746 −28% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $24,272 $24,272 $17,112 +42% $41,660 −42% —
548 SEPTIC ARTHRITIS WITH MCC $24,242 $24,242 $17,091 +42% $31,019 −22% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $24,216 $24,216 $17,073 +42% $30,940 −22% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $24,207 $24,207 $18,104 +34% $45,817 −47% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $24,047 $24,047 $16,953 +42% $44,363 −46% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $24,043 $24,043 $17,364 +38% $43,524 −45% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $24,026 $24,026 $17,271 +39% $29,109 −17% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $23,936 $23,936 $16,875 +42% $35,714 −33% ≈124% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $23,919 $23,919 $17,194 +39% $35,139 −32% —
100 SEIZURES WITH MCC $23,889 $23,889 $17,172 +39% $35,194 −32% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $23,887 $23,887 $16,841 +42% $29,633 −19% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $23,803 $23,803 $17,190 +38% $43,398 −45% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $23,741 $23,741 $17,146 +38% $43,800 −46% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $23,728 $23,728 $17,136 +38% $43,775 −46% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $23,650 $23,650 $16,673 +42% $41,520 −43% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $23,610 $23,610 $16,645 +42% $35,237 −33% ≈127% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $23,599 $23,599 $16,964 +39% $43,538 −46% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $23,574 $23,574 $16,783 +40% $36,933 −36% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $23,529 $23,529 $16,589 +42% $35,014 −33% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $23,516 $23,516 $16,579 +42% $29,524 −20% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $23,513 $23,513 $16,902 +39% $33,050 −29% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $23,351 $23,351 $16,240 +44% $43,080 −46% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $23,322 $23,322 $16,604 +40% $36,202 −36% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $23,243 $23,243 $16,387 +42% $42,881 −46% —
380 COMPLICATED PEPTIC ULCER WITH MCC $23,155 $23,155 $16,722 +38% $36,641 −37% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $23,017 $23,017 $16,227 +42% $33,165 −31% —
711 TESTES PROCEDURES WITH CC/MCC $22,990 $22,990 $16,209 +42% $34,852 −34% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $22,834 $22,834 $16,567 +38% $42,126 −46% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $22,834 $22,834 $16,098 +42% $35,459 −36% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $22,782 $22,782 $16,062 +42% $36,280 −37% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $22,747 $22,747 $16,037 +42% $32,399 −30% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $22,716 $22,716 $16,015 +42% $32,204 −29% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $22,691 $22,691 $15,997 +42% $32,981 −31% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $22,688 $22,688 $16,152 +40% $49,197 −54% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $22,687 $22,687 $16,152 +40% $45,963 −51% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $22,671 $22,671 $16,297 +39% $30,766 −26% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $22,443 $22,443 $15,978 +40% $35,114 −36% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $22,430 $22,430 $15,813 +42% $41,380 −46% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,337 $22,337 $15,902 +40% $30,974 −28% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $22,327 $22,327 $15,528 +44% $32,538 −31% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $22,308 $22,308 $15,515 +44% $22,698 −2% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $22,212 $22,212 $15,813 +40% $29,609 −25% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,166 $22,166 $16,156 +37% $28,375 −22% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $22,125 $22,125 $15,904 +39% $30,394 −27% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $22,058 $22,058 $15,340 +44% $40,694 −46% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $21,998 $21,998 $15,661 +40% $40,583 −46% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $21,987 $21,987 $15,653 +40% $40,563 −46% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $21,981 $21,981 $15,497 +42% $40,552 −46% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $21,955 $21,955 $15,782 +39% $37,950 −42% —
919 COMPLICATIONS OF TREATMENT WITH MCC $21,943 $21,943 $15,622 +40% $29,031 −24% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $21,935 $21,935 $15,616 +40% $36,375 −40% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $21,880 $21,880 $15,426 +42% $36,597 −40% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $21,878 $21,878 $15,800 +38% $37,842 −42% ≈125% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,771 $21,771 $15,500 +40% $29,476 −26% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $21,770 $21,770 $15,140 +44% $54,772 −60% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $21,716 $21,716 $15,683 +38% $40,063 −46% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $21,691 $21,691 $15,085 +44% $14,284 +52% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $21,617 $21,617 $15,241 +42% $24,836 −13% —
501 SOFT TISSUE PROCEDURES WITH CC $21,475 $21,475 $15,581 +38% $37,975 −43% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $21,430 $21,430 $15,108 +42% $48,680 −56% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $21,428 $21,428 $15,107 +42% $30,275 −29% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $21,419 $21,419 $15,101 +42% $33,564 −36% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $21,368 $21,368 $15,065 +42% $31,909 −33% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $21,335 $21,335 $15,336 +39% $36,242 −41% —
199 PNEUMOTHORAX WITH MCC $21,242 $21,242 $15,123 +40% $31,491 −33% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $21,150 $21,150 $14,911 +42% $35,673 −41% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $21,149 $21,149 $15,203 +39% $39,018 −46% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $21,138 $21,138 $15,049 +40% $29,558 −28% —
509 ARTHROSCOPY $21,138 $21,138 $14,903 +42% $25,994 −19% —
597 MALIGNANT BREAST DISORDERS WITH MCC $21,138 $21,138 $14,903 +42% $31,846 −34% —
504 FOOT PROCEDURES WITH CC $21,118 $21,118 $14,889 +42% $36,598 −42% —
505 FOOT PROCEDURES WITHOUT CC/MCC $21,118 $21,118 $14,889 +42% $31,716 −33% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $21,072 $21,072 $14,856 +42% $34,264 −39% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $21,051 $21,051 $14,950 +41% $38,836 −46% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $21,034 $21,034 $15,120 +39% $31,758 −34% —
180 RESPIRATORY NEOPLASMS WITH MCC $21,031 $21,031 $14,973 +40% $36,658 −43% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $20,923 $20,923 $14,751 +42% $30,814 −32% —
915 ALLERGIC REACTIONS WITH MCC $20,912 $20,912 $14,888 +40% $30,944 −32% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $20,891 $20,891 $14,728 +42% $32,839 −36% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $20,804 $20,804 $14,811 +40% $29,826 −30% —
671 URETHRAL PROCEDURES WITH CC/MCC $20,741 $20,741 $14,623 +42% $27,233 −24% —
075 VIRAL MENINGITIS WITH CC/MCC $20,726 $20,726 $14,216 +46% $29,853 −31% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,649 $20,649 $14,843 +39% $38,094 −46% —
551 MEDICAL BACK PROBLEMS WITH MCC $20,533 $20,533 $14,618 +40% $31,086 −34% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $20,469 $20,469 $14,431 +42% $43,266 −53% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $20,380 $20,380 $14,368 +42% $29,729 −31% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $20,341 $20,341 $14,340 +42% $28,578 −29% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $20,329 $20,329 $14,613 +39% $29,409 −31% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $20,268 $20,268 $14,290 +42% $31,128 −35% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $20,226 $20,226 $14,260 +42% $30,058 −33% ≈133% of Medicare
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $20,151 $20,151 $14,485 +39% $29,916 −33% —
571 SKIN DEBRIDEMENT WITH CC $20,147 $20,147 $14,343 +40% $34,901 −42% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $20,098 $20,098 $14,169 +42% $25,208 −20% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $20,095 $20,095 $14,167 +42% $33,607 −40% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $20,078 $20,078 $14,294 +40% $28,103 −29% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,073 $20,073 $14,152 +42% $30,930 −35% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $20,019 $20,019 $14,391 +39% $32,502 −38% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $20,005 $20,005 $13,994 +43% $27,548 −27% —
334 RECTAL RESECTION WITHOUT CC/MCC $19,958 $19,958 $14,071 +42% $32,213 −38% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $19,956 $19,956 $14,069 +42% $42,119 −53% —
643 ENDOCRINE DISORDERS WITH MCC $19,942 $19,942 $14,060 +42% $32,996 −40% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $19,927 $19,927 $14,049 +42% $32,689 −39% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,867 $19,867 $14,006 +42% $44,117 −55% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $19,833 $19,833 $13,793 +44% $25,197 −21% —
666 PROSTATECTOMY WITH CC $19,822 $19,822 $14,112 +40% $30,016 −34% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $19,767 $19,767 $13,936 +42% $31,566 −37% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $19,755 $19,755 $14,064 +40% $28,634 −31% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $19,751 $19,751 $14,198 +39% $28,967 −32% ≈132% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $19,731 $19,731 $13,910 +42% $28,134 −30% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $19,715 $19,715 $14,036 +40% $30,910 −36% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $19,705 $19,705 $13,893 +42% $36,333 −46% —
157 DENTAL AND ORAL DISEASES WITH MCC $19,704 $19,704 $13,892 +42% $27,457 −28% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $19,569 $19,569 $13,610 +44% $24,465 −20% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $19,561 $19,561 $13,926 +40% $27,168 −28% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $19,551 $19,551 $14,054 +39% $26,020 −25% —
913 TRAUMATIC INJURY WITH MCC $19,473 $19,473 $13,729 +42% $24,198 −20% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $19,465 $19,465 $13,351 +46% $25,731 −24% ≈125% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $19,451 $19,451 $13,714 +42% $31,840 −39% ≈122% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $19,444 $19,444 $14,108 +38% $27,118 −28% —
038 EXTRACRANIAL PROCEDURES WITH CC $19,389 $19,389 $13,669 +42% $35,770 −46% —
606 MINOR SKIN DISORDERS WITH MCC $19,377 $19,377 $13,661 +42% $25,434 −24% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $19,347 $19,347 $13,640 +42% $35,692 −46% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $19,288 $19,288 $13,598 +42% $35,584 −46% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $19,217 $19,217 $14,418 +33% $35,453 −46% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $19,199 $19,199 $13,535 +42% $33,984 −44% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $19,175 $19,175 $13,518 +42% $35,375 −46% —
183 MAJOR CHEST TRAUMA WITH MCC $19,100 $19,100 $13,466 +42% $28,924 −34% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $19,089 $19,089 $13,458 +42% $39,747 −52% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,015 $19,015 $13,406 +42% $33,490 −43% —
186 PLEURAL EFFUSION WITH MCC $19,012 $19,012 $13,404 +42% $32,468 −41% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $18,972 $18,972 $13,487 +41% $29,371 −35% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $18,921 $18,921 $13,339 +42% $34,906 −46% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $18,882 $18,882 $13,312 +42% $32,936 −43% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $18,868 $18,868 $13,302 +42% $31,059 −39% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $18,835 $18,835 $13,279 +42% $32,490 −42% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $18,803 $18,803 $13,256 +42% $41,380 −55% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $18,664 $18,664 $13,417 +39% $34,434 −46% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $18,648 $18,648 $13,276 +40% $28,646 −35% —
813 COAGULATION DISORDERS $18,627 $18,627 $13,132 +42% $30,128 −38% —
669 TRANSURETHRAL PROCEDURES WITH CC $18,621 $18,621 $13,128 +42% $34,354 −46% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $18,607 $18,607 $13,118 +42% $24,036 −23% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $18,601 $18,601 $13,114 +42% $25,484 −27% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $18,598 $18,598 $13,241 +40% $28,252 −34% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $18,472 $18,472 $13,340 +38% $36,239 −49% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $18,423 $18,423 $13,243 +39% $24,879 −26% —
663 MINOR BLADDER PROCEDURES WITH CC $18,379 $18,379 $13,212 +39% $29,924 −39% —
945 REHABILITATION WITH CC/MCC $18,368 $18,368 $12,775 +44% $23,834 −23% —
533 FRACTURES OF FEMUR WITH MCC $18,349 $18,349 $12,936 +42% $25,945 −29% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $18,264 $18,264 $12,876 +42% $33,694 −46% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $18,253 $18,253 $12,869 +42% $30,972 −41% —
398 APPENDIX PROCEDURES WITH CC $18,208 $18,208 $12,663 +44% $39,107 −53% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $18,169 $18,169 $12,810 +42% $24,229 −25% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $18,161 $18,161 $12,930 +40% $27,279 −33% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $18,117 $18,117 $13,023 +39% $33,424 −46% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,104 $18,104 $12,763 +42% $33,792 −46% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $18,098 $18,098 $12,884 +40% $35,528 −49% —
682 RENAL FAILURE WITH MCC $18,072 $18,072 $12,741 +42% $27,854 −35% ≈127% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $18,066 $18,066 $12,737 +42% $23,814 −24% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,051 $18,051 $12,726 +42% $25,854 −30% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $18,039 $18,039 $12,842 +40% $29,484 −39% —
506 MAJOR THUMB OR JOINT PROCEDURES $18,039 $18,039 $12,842 +40% $28,983 −38% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $18,018 $18,018 $12,703 +42% $24,450 −26% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $17,962 $17,962 $12,912 +39% $33,137 −46% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,914 $17,914 $12,753 +40% $31,062 −42% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $17,877 $17,877 $12,604 +42% $28,140 −36% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $17,839 $17,839 $12,700 +40% $32,911 −46% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $17,763 $17,763 $12,888 +38% $7,961 +123% —
865 VIRAL ILLNESS WITH MCC $17,760 $17,760 $12,521 +42% $26,088 −32% —
693 URINARY STONES WITH MCC $17,693 $17,693 $12,474 +42% $22,525 −21% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $17,687 $17,687 $12,592 +40% $28,780 −39% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $17,681 $17,681 $12,466 +42% $25,152 −30% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $17,681 $17,681 $12,466 +42% $25,786 −31% —
602 CELLULITIS WITH MCC $17,679 $17,679 $12,464 +42% $29,347 −40% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $17,610 $17,610 $12,416 +42% $29,211 −40% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $17,598 $17,598 $12,529 +40% $25,149 −30% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $17,590 $17,590 $12,523 +40% $32,451 −46% —
637 DIABETES WITH MCC $17,524 $17,524 $12,597 +39% $28,819 −39% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $17,507 $17,507 $12,175 +44% $24,941 −30% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $17,423 $17,423 $12,117 +44% $21,986 −21% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $17,400 $17,400 $12,387 +40% $29,663 −41% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $17,350 $17,350 $12,232 +42% $22,525 −23% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $17,318 $17,318 $12,424 +39% $25,243 −31% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $17,246 $17,246 $12,397 +39% $31,816 −46% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $17,243 $17,243 $12,276 +40% $31,812 −46% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $17,104 $17,104 $11,895 +44% $25,010 −32% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $17,078 $17,078 $12,041 +42% $21,615 −21% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,030 $17,030 $12,007 +42% $23,734 −28% —
088 CONCUSSION WITH MCC $16,975 $16,975 $11,968 +42% $24,402 −30% —
885 PSYCHOSES $16,962 $16,962 $11,958 +42% $21,489 −21% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,956 $16,956 $12,188 +39% $29,757 −43% —
811 RED BLOOD CELL DISORDERS WITH MCC $16,929 $16,929 $12,169 +39% $27,934 −39% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $16,904 $16,904 $11,918 +42% $35,542 −52% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $16,862 $16,862 $11,888 +42% $24,452 −31% —
137 MOUTH PROCEDURES WITH CC/MCC $16,829 $16,829 $11,981 +40% $24,348 −31% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $16,813 $16,813 $11,853 +42% $30,006 −44% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $16,766 $16,766 $11,500 +46% $25,666 −35% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,731 $16,731 $11,795 +42% $24,118 −31% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $16,720 $16,720 $11,903 +40% $24,561 −32% —
150 EPISTAXIS WITH MCC $16,632 $16,632 $11,841 +40% $21,133 −21% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $16,529 $16,529 $11,881 +39% $29,050 −43% —
139 SALIVARY GLAND PROCEDURES $16,521 $16,521 $11,648 +42% $21,014 −21% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $16,490 $16,490 $11,626 +42% $20,980 −21% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $16,488 $16,488 $11,624 +42% $30,418 −46% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $16,393 $16,393 $11,784 +39% $24,980 −34% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,306 $16,306 $11,609 +40% $29,374 −44% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,292 $16,292 $11,330 +44% $28,527 −43% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,204 $16,204 $11,648 +39% $23,723 −32% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $16,156 $16,156 $11,390 +42% $29,805 −46% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $16,124 $16,124 $11,645 +38% $30,358 −47% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $16,057 $16,057 $11,320 +42% $25,426 −37% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $16,042 $16,042 $11,310 +42% $31,978 −50% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $16,003 $16,003 $11,503 +39% $23,350 −31% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $15,980 $15,980 $11,487 +39% $24,480 −35% ≈130% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,856 $15,856 $11,179 +42% $26,158 −39% ≈128% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $15,855 $15,855 $11,178 +42% $34,887 −55% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,783 $15,783 $10,976 +44% $23,115 −32% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $15,715 $15,715 $11,297 +39% $23,956 −34% —
291 HEART FAILURE AND SHOCK WITH MCC $15,701 $15,701 $11,286 +39% $25,020 −37% ≈133% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $15,690 $15,690 $11,062 +42% $21,029 −25% —
540 OSTEOMYELITIS WITH CC $15,572 $15,572 $11,086 +40% $23,494 −34% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $15,530 $15,530 $10,801 +44% $22,811 −32% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $15,517 $15,517 $11,047 +40% $23,920 −35% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $15,503 $15,503 $10,930 +42% $23,924 −35% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $15,499 $15,499 $10,927 +42% $24,316 −36% —
947 SIGNS AND SYMPTOMS WITH MCC $15,477 $15,477 $11,018 +40% $25,474 −39% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $15,456 $15,456 $10,897 +42% $27,244 −43% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $15,361 $15,361 $11,094 +38% $22,557 −32% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,290 $15,290 $10,780 +42% $19,686 −22% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $15,290 $15,290 $10,780 +42% $22,275 −31% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,261 $15,261 $10,760 +42% $28,156 −46% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,245 $15,245 $10,748 +42% $25,623 −41% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $15,212 $15,212 $10,725 +42% $26,634 −43% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $15,193 $15,193 $10,566 +44% $19,894 −24% —
348 ANAL AND STOMAL PROCEDURES WITH CC $15,148 $15,148 $10,889 +39% $27,947 −46% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $14,985 $14,985 $10,668 +40% $26,146 −43% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $14,982 $14,982 $10,663 +41% $19,354 −23% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $14,979 $14,979 $10,664 +40% $21,860 −31% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $14,934 $14,934 $10,529 +42% $20,727 −28% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $14,903 $14,903 $10,507 +42% $22,032 −32% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,902 $14,902 $10,506 +42% $27,492 −46% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,890 $14,890 $10,497 +42% $25,704 −42% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $14,823 $14,823 $10,451 +42% $20,147 −26% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $14,810 $14,810 $10,441 +42% $27,321 −46% —
375 DIGESTIVE MALIGNANCY WITH CC $14,785 $14,785 $10,526 +40% $27,219 −46% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $14,777 $14,777 $10,418 +42% $19,132 −23% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $14,724 $14,724 $10,380 +42% $26,322 −44% —
593 SKIN ULCERS WITH CC $14,713 $14,713 $10,474 +40% $20,470 −28% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $14,669 $14,669 $10,444 +40% $23,588 −38% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $14,607 $14,607 $10,399 +40% $23,297 −37% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $14,511 $14,511 $10,431 +39% $26,488 −45% ≈138% of Medicare
549 SEPTIC ARTHRITIS WITH CC $14,501 $14,501 $10,085 +44% $20,938 −31% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $14,424 $14,424 $10,169 +42% $27,369 −47% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $14,382 $14,382 $10,139 +42% $20,421 −30% —
887 OTHER MENTAL DISORDER DIAGNOSES $14,312 $14,312 $10,090 +42% $20,602 −31% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $14,257 $14,257 $10,150 +40% $20,842 −32% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $14,224 $14,224 $10,028 +42% $19,598 −27% —
304 HYPERTENSION WITH MCC $14,136 $14,136 $10,162 +39% $24,185 −42% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $14,082 $14,082 $9,928 +42% $22,982 −39% ≈133% of Medicare
302 ATHEROSCLEROSIS WITH MCC $13,998 $13,998 $10,062 +39% $20,844 −33% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $13,997 $13,997 $9,868 +42% $18,291 −23% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,996 $13,996 $9,867 +42% $21,062 −34% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $13,968 $13,968 $9,848 +42% $22,532 −38% —
102 HEADACHES WITH MCC $13,952 $13,952 $10,029 +39% $22,544 −38% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $13,931 $13,931 $9,688 +44% $24,202 −42% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,904 $13,904 $9,899 +40% $25,307 −45% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $13,850 $13,850 $9,405 +47% $18,133 −24% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $13,762 $13,762 $9,798 +40% $25,390 −46% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $13,747 $13,747 $9,692 +42% $24,432 −44% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,702 $13,702 $9,755 +40% $24,452 −44% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $13,696 $13,696 $9,394 +46% $25,267 −46% —
152 OTITIS MEDIA AND URI WITH MCC $13,655 $13,655 $9,627 +42% $19,795 −31% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $13,571 $13,571 $9,661 +40% $20,741 −35% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $13,570 $13,570 $9,567 +42% $24,017 −44% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $13,523 $13,523 $9,534 +42% $30,314 −55% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $13,513 $13,513 $9,714 +39% $24,190 −44% ≈125% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $13,512 $13,512 $9,526 +42% $19,317 −30% —
946 REHABILITATION WITHOUT CC/MCC $13,435 $13,435 $9,323 +44% $17,685 −24% —
181 RESPIRATORY NEOPLASMS WITH CC $13,360 $13,360 $9,512 +40% $22,431 −40% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,358 $13,358 $9,602 +39% $18,459 −28% —
200 PNEUMOTHORAX WITH CC $13,327 $13,327 $9,580 +39% $20,573 −35% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $13,304 $13,304 $9,379 +42% $24,544 −46% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $13,268 $13,268 $9,354 +42% $25,162 −47% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $13,247 $13,247 $9,346 +42% $17,483 −24% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,192 $13,192 $11,271 +17% $17,103 −23% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $13,169 $13,169 $8,828 +49% $17,398 −24% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $13,128 $13,128 $9,255 +42% $19,868 −34% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,112 $13,112 $9,426 +39% $31,190 −58% —
381 COMPLICATED PEPTIC ULCER WITH CC $13,105 $13,105 $9,239 +42% $24,177 −46% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $13,050 $13,050 $9,291 +40% $21,806 −40% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $13,032 $13,032 $12,774 +2% $22,560 −42% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $13,009 $13,009 $9,261 +40% $17,226 −24% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,993 $12,993 $9,250 +40% $18,126 −28% —
949 AFTERCARE WITH CC/MCC $12,984 $12,984 $9,243 +40% $23,953 −46% —
598 MALIGNANT BREAST DISORDERS WITH CC $12,982 $12,982 $9,153 +42% $19,073 −32% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $12,979 $12,979 $9,026 +44% $17,193 −25% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,948 $12,948 $9,128 +42% $17,943 −28% —
089 CONCUSSION WITH CC $12,901 $12,901 $8,849 +46% $18,293 −29% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $12,883 $12,883 $9,260 +39% $19,579 −34% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,873 $12,873 $9,254 +39% $23,749 −46% —
712 TESTES PROCEDURES WITHOUT CC/MCC $12,871 $12,871 $8,951 +44% $18,898 −32% —
184 MAJOR CHEST TRAUMA WITH CC $12,852 $12,852 $9,061 +42% $20,842 −38% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $12,777 $12,777 $9,775 +31% $23,571 −46% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,766 $12,766 $9,000 +42% $23,496 −46% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,739 $12,739 $9,069 +40% $24,136 −47% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $12,682 $12,682 $8,941 +42% $23,396 −46% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $12,667 $12,667 $8,689 +46% $18,478 −31% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $12,658 $12,658 $8,924 +42% $17,550 −28% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,636 $12,636 $9,083 +39% $22,231 −43% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $12,543 $12,543 $8,843 +42% $23,141 −46% —
644 ENDOCRINE DISORDERS WITH CC $12,435 $12,435 $8,939 +39% $22,941 −46% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,406 $12,406 $8,918 +39% $22,781 −46% ≈137% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $12,386 $12,386 $8,732 +42% $22,850 −46% —
667 PROSTATECTOMY WITHOUT CC/MCC $12,368 $12,368 $8,805 +40% $16,703 −26% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $12,353 $12,353 $8,880 +39% $24,022 −49% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $12,331 $12,331 $8,779 +40% $16,495 −25% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $12,272 $12,272 $8,737 +40% $20,732 −41% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,272 $12,272 $8,652 +42% $16,571 −26% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $12,270 $12,270 $8,651 +42% $21,545 −43% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,269 $12,269 $8,819 +39% $20,080 −39% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,265 $12,265 $8,732 +40% $19,091 −36% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,245 $12,245 $8,633 +42% $22,713 −46% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,236 $12,236 $8,711 +40% $23,469 −48% ≈136% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,227 $12,227 $8,620 +42% $18,017 −32% —
920 COMPLICATIONS OF TREATMENT WITH CC $12,224 $12,224 $8,787 +39% $21,181 −42% —
187 PLEURAL EFFUSION WITH CC $12,081 $12,081 $8,517 +42% $21,467 −44% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $12,070 $12,070 $8,510 +42% $17,078 −29% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $12,069 $12,069 $8,278 +46% $16,212 −26% —
697 URETHRAL STRICTURE $12,055 $12,055 $8,499 +42% $17,705 −32% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,032 $12,032 $8,483 +42% $20,007 −40% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $12,009 $12,009 $10,576 +14% $15,370 −22% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $12,008 $12,008 $8,351 +44% $17,434 −31% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $11,943 $11,943 $8,420 +42% $20,968 −43% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $11,938 $11,938 $8,416 +42% $22,024 −46% —
197 INTERSTITIAL LUNG DISEASE WITH CC $11,913 $11,913 $8,399 +42% $20,106 −41% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $11,863 $11,863 $8,364 +42% $21,886 −46% ≈138% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $11,860 $11,860 $8,361 +42% $18,282 −35% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,780 $11,780 $8,305 +42% $15,901 −26% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $11,771 $11,771 $8,380 +40% $15,890 −26% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,650 $11,650 $8,598 +36% $19,001 −39% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,650 $11,650 $10,124 +15% $18,238 −36% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,632 $11,632 $8,281 +40% $17,273 −33% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,626 $11,626 $8,357 +39% $21,449 −46% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,597 $11,597 $8,176 +42% $21,213 −45% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,579 $11,579 $8,164 +42% $20,777 −44% —
882 NEUROSES EXCEPT DEPRESSIVE $11,576 $11,576 $8,241 +40% $15,680 −26% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,535 $11,535 $8,292 +39% $15,636 −26% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $11,511 $11,511 $8,195 +40% $16,418 −30% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,505 $11,505 $8,111 +42% $18,191 −37% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $11,500 $11,500 $8,108 +42% $20,371 −44% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $11,494 $11,494 $8,103 +42% $19,326 −41% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,492 $11,492 $8,181 +40% $15,589 −26% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $11,453 $11,453 $8,075 +42% $18,428 −38% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,327 $11,327 $7,986 +42% $18,918 −40% —
158 DENTAL AND ORAL DISEASES WITH CC $11,318 $11,318 $7,980 +42% $17,700 −36% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $11,307 $11,307 $8,050 +40% $17,108 −34% —
779 ABORTION WITHOUT D&C $11,248 $11,248 $7,930 +42% $15,327 −27% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,234 $11,234 $7,998 +40% $16,642 −32% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,147 $11,147 $7,859 +42% $18,608 −40% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,115 $11,115 $7,990 +39% $19,287 −42% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,105 $11,105 $7,983 +39% $20,488 −46% ≈130% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,092 $11,092 $7,820 +42% $20,463 −46% —
101 SEIZURES WITHOUT MCC $11,091 $11,091 $7,819 +42% $19,954 −44% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $11,087 $11,087 $7,893 +40% $20,309 −45% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,058 $11,058 $7,873 +40% $16,352 −32% —
638 DIABETES WITH CC $11,037 $11,037 $7,934 +39% $18,821 −41% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $11,033 $11,033 $7,779 +42% $15,474 −29% —
914 TRAUMATIC INJURY WITHOUT MCC $11,027 $11,027 $7,850 +40% $15,593 −29% —
881 DEPRESSIVE NEUROSES $10,999 $10,999 $7,831 +40% $15,058 −27% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $10,981 $10,981 $7,742 +42% $17,585 −38% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $10,900 $10,900 $7,835 +39% $17,731 −39% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $10,887 $10,887 $7,676 +42% $15,077 −28% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $10,886 $10,886 $8,017 +36% $20,084 −46% —
864 FEVER AND INFLAMMATORY CONDITIONS $10,806 $10,806 $7,618 +42% $17,412 −38% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $10,755 $10,755 $7,583 +42% $18,803 −43% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $10,738 $10,738 $7,571 +42% $21,261 −49% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $10,732 $10,732 $7,566 +42% $15,764 −32% —
683 RENAL FAILURE WITH CC $10,696 $10,696 $7,689 +39% $18,620 −43% ≈129% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $10,647 $10,647 $7,506 +42% $16,391 −35% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,644 $10,644 $7,504 +42% $15,045 −29% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $10,637 $10,637 $7,499 +42% $15,869 −33% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $10,625 $10,625 $7,491 +42% $15,608 −32% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,616 $10,616 $7,484 +42% $16,049 −34% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,607 $10,607 $7,478 +42% $19,569 −46% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $10,600 $10,600 $7,620 +39% $19,854 −47% —
603 CELLULITIS WITHOUT MCC $10,599 $10,599 $7,472 +42% $18,530 −43% ≈137% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $10,528 $10,528 $7,495 +40% $14,549 −28% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $10,511 $10,511 $10,545 −0% $19,815 −47% —
312 SYNCOPE AND COLLAPSE $10,484 $10,484 $7,537 +39% $19,342 −46% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,464 $10,464 $7,377 +42% $19,305 −46% —
607 MINOR SKIN DISORDERS WITHOUT MCC $10,399 $10,399 $7,475 +39% $15,284 −32% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $10,394 $10,394 $7,328 +42% $17,367 −40% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,374 $10,374 $7,314 +42% $16,156 −36% —
292 HEART FAILURE AND SHOCK WITH CC $10,363 $10,363 $7,306 +42% $16,212 −36% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,351 $10,351 $7,369 +40% $19,096 −46% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,338 $10,338 $7,431 +39% $18,278 −43% —
090 CONCUSSION WITHOUT CC/MCC $10,316 $10,316 $7,344 +40% $14,873 −31% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,287 $10,287 $7,253 +42% $14,290 −28% —
103 HEADACHES WITHOUT MCC $10,230 $10,230 $7,213 +42% $20,111 −49% —
594 SKIN ULCERS WITHOUT CC/MCC $10,212 $10,212 $7,271 +40% $14,209 −28% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $10,078 $10,078 $7,131 +41% $14,064 −28% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $10,069 $10,069 $7,169 +40% $14,055 −28% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,043 $10,043 $7,219 +39% $18,253 −45% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,936 $9,936 $7,073 +40% $15,876 −37% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,867 $9,867 $7,093 +39% $18,204 −46% ≈145% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,854 $9,854 $7,015 +40% $13,822 −29% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,838 $9,838 $6,936 +42% $18,150 −46% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $9,832 $9,832 $6,744 +46% $16,837 −42% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $9,825 $9,825 $6,927 +42% $17,715 −45% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,825 $9,825 $6,927 +42% $17,928 −45% —
176 PULMONARY EMBOLISM WITHOUT MCC $9,801 $9,801 $7,045 +39% $18,081 −46% —
534 FRACTURES OF FEMUR WITHOUT MCC $9,795 $9,795 $6,906 +42% $17,195 −43% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $9,789 $9,789 $6,969 +40% $17,383 −44% —
204 RESPIRATORY SIGNS AND SYMPTOMS $9,759 $9,759 $7,015 +39% $16,866 −42% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,758 $9,758 $6,879 +42% $18,002 −46% —
123 NEUROLOGICAL EYE DISORDERS $9,665 $9,665 $6,881 +40% $17,831 −46% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $9,658 $9,658 $6,809 +42% $17,466 −45% ≈134% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,646 $9,646 $6,800 +42% $17,388 −45% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $9,635 $9,635 $6,793 +42% $13,586 −29% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $9,628 $9,628 $6,696 +44% $20,278 −53% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $9,594 $9,594 $6,896 +39% $17,700 −46% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,560 $9,560 $6,872 +39% $17,727 −46% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $9,504 $9,504 $6,267 +52% $13,445 −29% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,498 $9,498 $6,762 +40% $17,522 −46% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $9,448 $9,448 $6,661 +42% $13,385 −29% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,403 $9,403 $6,629 +42% $16,745 −44% —
694 URINARY STONES WITHOUT MCC $9,403 $9,403 $6,629 +42% $16,531 −43% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,389 $9,389 $6,685 +40% $17,322 −46% ≈133% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,370 $9,370 $6,671 +40% $14,166 −34% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,358 $9,358 $6,727 +39% $15,858 −41% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,262 $9,262 $6,594 +40% $14,444 −36% —
151 EPISTAXIS WITHOUT MCC $9,121 $9,121 $6,494 +40% $13,032 −30% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,093 $9,093 $6,537 +39% $16,776 −46% —
305 HYPERTENSION WITHOUT MCC $9,033 $9,033 $6,493 +39% $17,144 −47% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,027 $9,027 $6,364 +42% $16,654 −46% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,016 $9,016 $6,357 +42% $16,634 −46% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,002 $9,002 $6,409 +40% $14,337 −37% —
149 DYSEQUILIBRIUM $8,995 $8,995 $6,256 +44% $17,203 −48% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $8,993 $8,993 $6,341 +42% $12,895 −30% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,979 $8,979 $6,330 +42% $14,861 −40% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,957 $8,957 $6,315 +42% $13,892 −36% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $8,916 $8,916 $6,286 +42% $13,282 −33% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,896 $8,896 $6,333 +40% $16,865 −47% ≈137% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,835 $8,835 $6,229 +42% $14,110 −37% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,767 $8,767 $6,242 +40% $12,650 −31% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $8,729 $8,729 $6,154 +42% $16,104 −46% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,725 $8,725 $6,272 +39% $18,623 −53% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $8,714 $8,714 $6,144 +42% $12,593 −31% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $8,707 $8,707 $9,343 −7% $13,090 −33% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $8,659 $8,659 $6,105 +42% $12,537 −31% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,586 $8,586 $6,053 +42% $12,381 −31% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $8,584 $8,584 $6,171 +39% $15,607 −45% —
313 CHEST PAIN $8,584 $8,584 $6,171 +39% $15,962 −46% —
153 OTITIS MEDIA AND URI WITHOUT MCC $8,564 $8,564 $6,038 +42% $14,473 −41% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $8,476 $8,476 $5,976 +42% $12,336 −31% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,456 $8,456 $6,020 +40% $15,600 −46% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $8,428 $8,428 $6,058 +39% $13,654 −38% —
311 ANGINA PECTORIS $8,403 $8,403 $5,924 +42% $15,165 −45% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,399 $8,399 $5,921 +42% $15,072 −44% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,382 $8,382 $6,025 +39% $12,279 −32% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,381 $8,381 $5,829 +44% $12,405 −32% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,353 $8,353 $5,889 +42% $13,303 −37% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,324 $8,324 $5,984 +39% $14,441 −42% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,282 $8,282 $5,839 +42% $19,483 −57% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,275 $8,275 $5,948 +39% $14,012 −41% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,215 $8,215 $5,792 +42% $12,797 −36% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $8,162 $8,162 $5,754 +42% $11,997 −32% —
201 PNEUMOTHORAX WITHOUT CC/MCC $8,148 $8,148 $5,857 +39% $13,081 −38% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,091 $8,091 $5,760 +40% $13,198 −39% —
303 ATHEROSCLEROSIS WITHOUT MCC $8,091 $8,091 $5,704 +42% $14,927 −46% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,080 $8,080 $5,697 +42% $11,909 −32% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,066 $8,066 $5,798 +39% $14,880 −46% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $8,022 $8,022 $5,589 +44% $11,847 −32% —
916 ALLERGIC REACTIONS WITHOUT MCC $7,991 $7,991 $5,634 +42% $13,890 −42% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $7,937 $7,937 $5,651 +40% $13,368 −41% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $7,935 $7,935 $5,704 +39% $13,485 −41% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,788 $7,788 $5,598 +39% $14,368 −46% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,701 $7,701 $5,562 +38% $14,208 −46% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,669 $7,669 $8,897 −14% $12,044 −36% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $7,661 $7,661 $5,559 +38% $14,134 −46% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,658 $7,658 $5,399 +42% $14,128 −46% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,628 $7,628 $5,483 +39% $11,421 −33% —
639 DIABETES WITHOUT CC/MCC $7,540 $7,540 $5,316 +42% $13,910 −46% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,510 $7,510 $5,424 +38% $12,013 −37% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,493 $7,493 $5,283 +42% $13,824 −46% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,402 $7,402 $5,370 +38% $15,070 −51% —
684 RENAL FAILURE WITHOUT CC/MCC $7,309 $7,309 $5,153 +42% $13,623 −46% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,303 $7,303 $5,274 +38% $11,071 −34% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,214 $7,214 $5,186 +39% $10,975 −34% —
950 AFTERCARE WITHOUT CC/MCC $7,053 $7,053 $5,117 +38% $13,527 −48% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,823 $6,823 $4,950 +38% $9,385 −27% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,755 $6,755 $4,763 +42% $10,039 −33% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,732 $6,732 $4,793 +40% $13,384 −50% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,603 $6,603 $4,790 +38% $11,955 −45% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,584 $6,584 $4,642 +42% $13,318 −51% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,255 $6,255 $4,496 +39% $9,076 −31% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,315 $5,315 $3,989 +33% $8,927 −40% —
795 NORMAL NEWBORN $2,404 $2,404 $3,492 −31% $4,530 −47% —

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 $85,224 – $85,224 · median $85,224 2 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $62,868 – $62,868 · median $62,868 2 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $74,508 – $74,508 · median $74,508 2 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $56,945 – $56,945 · median $56,945 2 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $66,913 – $66,913 · median $66,913 2 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $53,151 – $53,151 · median $53,151 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $31,633 – $31,633 · median $31,633 2 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $20,121 – $20,121 · median $20,121 2 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $32,121 – $32,121 · median $32,121 2 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $19,019 – $19,019 · median $19,019 2 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $28,325 – $28,325 · median $28,325 2 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $17,154 – $17,154 · median $17,154 2 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,432 – $12,432 · median $12,432 2 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $23,441 – $23,441 · median $23,441 2 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $14,503 – $14,503 · median $14,503 2 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,227 – $11,227 · median $11,227 2 plans
453 Combined anterior/posterior spinal fusion w MCC $93,042 – $93,042 · median $93,042 2 plans
454 Combined anterior/posterior spinal fusion w CC $61,715 – $61,715 · median $61,715 2 plans
455 Combined anterior/posterior spinal fusion w/o CC/MCC $48,486 – $48,486 · median $48,486 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $68,128 – $68,128 · median $68,128 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $39,800 – $39,800 · median $39,800 2 plans