Procedures published 792
Lowest published price $1,449
Average published price $17,044
Highest published price $273,466

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 73 procedures, this hospital's negotiated rates average ≈146% 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 $273,466 $273,466 $391,526 −30% $498,715 −45% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $204,256 $204,256 $338,950 −40% $431,073 −53% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $172,020 $172,020 $236,577 −27% $306,087 −44% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $155,406 $155,406 $260,247 −40% $371,366 −58% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $102,460 $102,460 $170,027 −40% $245,241 −58% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $95,005 $95,005 $122,488 −22% $182,314 −48% —
007 Lung transplant $94,765 $94,765 $126,907 −25% $170,608 −44% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $79,907 $79,907 $114,404 −30% $169,977 −53% —
212 CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES $78,995 $78,995 $102,715 −23% $171,338 −54% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $77,222 $77,222 $128,144 −40% $159,181 −51% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $76,826 $76,826 $116,471 −34% $191,314 −60% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $75,960 $75,960 $99,176 −23% $142,326 −47% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $69,983 $69,983 $113,415 −38% $175,437 −60% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $66,798 $66,798 $77,091 −13% $121,563 −45% —
231 CORONARY BYPASS WITH PTCA WITH MCC $61,447 $61,447 $105,048 −42% $146,474 −58% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $61,412 $61,412 $111,108 −45% $151,029 −59% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $60,480 $60,480 $72,481 −17% $120,174 −50% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $58,453 $58,453 $96,999 −40% $134,914 −57% —
010 Pancreas transplant $57,814 $57,814 $69,287 −17% $99,940 −42% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $57,483 $57,483 $69,210 −17% $105,228 −45% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $56,679 $56,679 $99,484 −43% $138,868 −59% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $56,107 $56,107 $88,104 −36% $143,242 −61% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $54,125 $54,125 $96,002 −44% $120,587 −55% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $51,504 $51,504 $60,256 −15% $121,728 −58% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $51,245 $51,245 $62,554 −18% $131,961 −61% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $50,443 $50,443 $81,678 −38% $138,008 −63% ≈142% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $49,514 $49,514 $59,339 −17% $105,612 −53% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $48,618 $48,618 $69,607 −30% $114,914 −58% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $48,431 $48,431 $56,660 −15% $89,353 −46% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $48,349 $48,349 $61,786 −22% $118,589 −59% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $46,895 $46,895 $56,462 −17% $116,058 −60% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $46,828 $46,828 $56,890 −18% $121,714 −62% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $45,859 $45,859 $76,100 −40% $109,331 −58% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $44,917 $44,917 $56,010 −20% $117,280 −62% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $44,859 $44,859 $74,441 −40% $94,988 −53% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $44,655 $44,655 $76,220 −41% $98,912 −55% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $44,499 $44,499 $77,989 −43% $108,472 −59% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $44,296 $44,296 $53,665 −17% $106,238 −58% —
028 SPINAL PROCEDURES WITH MCC $44,084 $44,084 $74,391 −41% $95,858 −54% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $43,768 $43,768 $70,720 −38% $98,260 −55% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $43,768 $43,768 $61,708 −29% $81,176 −46% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $43,441 $43,441 $71,503 −39% $113,855 −62% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,140 $43,140 $73,928 −42% $92,238 −53% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $43,107 $43,107 $71,534 −40% $80,018 −46% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $42,668 $42,668 $67,362 −37% $112,062 −62% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $42,219 $42,219 $71,838 −41% $96,192 −56% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $41,618 $41,618 $69,568 −40% $107,355 −61% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $41,369 $41,369 $74,760 −45% $106,778 −61% —
653 MAJOR BLADDER PROCEDURES WITH MCC $40,423 $40,423 $62,070 −35% $97,046 −58% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $40,080 $40,080 $57,383 −30% $101,235 −60% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $40,080 $40,080 $46,891 −15% $76,583 −48% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $39,912 $39,912 $66,231 −40% $105,899 −62% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $39,668 $39,668 $65,827 −40% $93,783 −58% —
008 Simultaneous pancreas/kidney transplant $39,455 $39,455 $53,926 −27% $86,459 −54% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $39,365 $39,365 $69,661 −43% $94,927 −59% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $39,164 $39,164 $46,936 −17% $78,582 −50% —
011 Tracheostomy for face,mouth & neck diagnoses w MCC $39,127 $39,127 $46,225 −15% $86,953 −55% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $39,123 $39,123 $46,886 −17% $82,527 −53% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $38,578 $38,578 $61,822 −38% $102,573 −62% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $38,408 $38,408 $47,356 −19% $102,177 −62% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $37,345 $37,345 $44,547 −16% $79,944 −53% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $37,221 $37,221 $59,897 −38% $99,423 −63% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $36,942 $36,942 $65,645 −44% $96,222 −62% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $36,829 $36,829 $59,697 −38% $80,747 −54% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $36,524 $36,524 $49,585 −26% $87,565 −58% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $36,309 $36,309 $43,716 −17% $70,735 −49% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $36,280 $36,280 $43,480 −17% $84,861 −57% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $36,266 $36,266 $66,300 −45% $87,018 −58% ≈142% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $36,135 $36,135 $57,822 −38% $96,905 −63% —
245 AICD GENERATOR PROCEDURES $35,436 $35,436 $61,075 −42% $72,076 −51% —
471 CERVICAL SPINAL FUSION WITH MCC $35,222 $35,222 $58,448 −40% $92,515 −62% —
006 LIVER TRANSPLANT WITHOUT MCC $35,163 $35,163 $48,936 −28% $84,407 −58% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $34,628 $34,628 $53,961 −36% $88,691 −61% —
799 SPLENIC PROCEDURES WITH MCC $34,478 $34,478 $63,003 −45% $78,821 −56% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,472 $34,472 $54,442 −37% $86,390 −60% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,115 $34,115 $56,801 −40% $92,217 −63% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $33,932 $33,932 $58,079 −42% $80,885 −58% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $33,732 $33,732 $49,595 −32% $91,329 −63% —
163 MAJOR CHEST PROCEDURES WITH MCC $33,423 $33,423 $54,801 −39% $88,341 −62% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $33,409 $33,409 $40,443 −17% $71,551 −53% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $33,302 $33,302 $54,333 −39% $90,331 −63% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $33,297 $33,297 $62,792 −47% $88,050 −62% ≈154% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $32,715 $32,715 $50,907 −36% $72,859 −55% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,520 $32,520 $44,319 −27% $76,954 −58% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $32,430 $32,430 $44,906 −28% $88,307 −63% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $32,127 $32,127 $37,586 −15% $68,847 −53% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $31,853 $31,853 $46,152 −31% $75,585 −58% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $31,376 $31,376 $33,230 −6% $59,352 −47% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $31,311 $31,311 $55,653 −44% $83,441 −62% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $30,932 $30,932 $52,759 −41% $82,561 −63% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $30,886 $30,886 $55,014 −44% $88,049 −65% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $30,667 $30,667 $34,907 −12% $60,098 −49% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $30,387 $30,387 $50,459 −40% $68,659 −56% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,380 $30,380 $51,316 −41% $72,945 −58% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $30,241 $30,241 $35,380 −15% $16,719 +81% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,170 $30,170 $42,533 −29% $83,065 −64% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $29,818 $29,818 $46,520 −36% $82,247 −64% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $29,801 $29,801 $41,582 −28% $66,853 −55% —
012 Tracheostomy for face,mouth & neck diagnoses w CC $29,757 $29,757 $35,828 −17% $73,029 −59% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,611 $29,611 $34,642 −15% $81,998 −64% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $29,494 $29,494 $48,943 −40% $72,011 −59% —
791 PREMATURITY WITH MAJOR PROBLEMS $29,439 $29,439 $45,159 −35% $39,563 −26% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $28,887 $28,887 $45,405 −36% $71,701 −60% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $28,867 $28,867 $47,902 −40% $57,521 −50% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $28,611 $28,611 $35,390 −19% $68,006 −58% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $28,553 $28,553 $47,381 −40% $61,832 −54% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,495 $28,495 $33,337 −15% $54,196 −47% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $28,368 $28,368 $33,189 −15% $75,492 −62% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $28,355 $28,355 $40,083 −29% $78,852 −64% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,198 $28,198 $33,950 −17% $72,908 −61% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,026 $28,026 $34,783 −19% $62,961 −55% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $27,998 $27,998 $33,398 −16% $55,097 −49% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,920 $27,920 $48,736 −43% $72,782 −62% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,717 $27,717 $35,111 −21% $75,103 −63% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,567 $27,567 $47,667 −42% $74,755 −63% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $27,353 $27,353 $44,874 −39% $74,257 −63% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $27,134 $27,134 $46,834 −42% $60,861 −55% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $26,458 $26,458 $36,817 −28% $62,524 −58% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,274 $26,274 $46,502 −43% $71,755 −63% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,994 $25,994 $30,575 −15% $59,425 −56% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $25,993 $25,993 $29,586 −12% $57,855 −55% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $25,989 $25,989 $31,290 −17% $64,776 −60% —
265 AICD LEAD PROCEDURES $25,867 $25,867 $31,144 −17% $56,695 −54% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,751 $25,751 $35,670 −28% $70,540 −63% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $25,600 $25,600 $48,061 −47% $62,404 −59% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $25,593 $25,593 $29,942 −15% $50,919 −50% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $25,529 $25,529 $43,922 −42% $56,964 −55% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $25,407 $25,407 $31,947 −20% $68,399 −63% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,399 $25,399 $38,991 −35% $65,383 −61% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,389 $25,389 $42,905 −41% $59,207 −57% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,344 $25,344 $29,651 −15% $51,953 −51% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $25,180 $25,180 $30,833 −18% $56,242 −55% —
332 RECTAL RESECTION WITH MCC $25,152 $25,152 $29,427 −15% $58,125 −57% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,125 $25,125 $30,877 −19% $49,065 −49% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $24,976 $24,976 $30,072 −17% $71,014 −65% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,937 $24,937 $30,024 −17% $62,269 −60% —
665 PROSTATECTOMY WITH MCC $24,898 $24,898 $41,317 −40% $54,072 −54% —
252 OTHER VASCULAR PROCEDURES WITH MCC $24,875 $24,875 $42,633 −42% $68,508 −64% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,837 $24,837 $42,906 −42% $68,880 −64% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $24,699 $24,699 $38,294 −36% $67,901 −64% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,596 $24,596 $43,918 −44% $70,132 −65% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,340 $24,340 $28,756 −15% $64,152 −62% —
037 EXTRACRANIAL PROCEDURES WITH MCC $24,081 $24,081 $28,173 −15% $64,749 −63% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $23,943 $23,943 $28,012 −15% $52,908 −55% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $23,702 $23,702 $33,894 −30% $65,254 −64% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $23,635 $23,635 $38,910 −39% $54,129 −56% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,625 $23,625 $28,474 −17% $64,465 −63% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,344 $23,344 $27,579 −15% $64,956 −64% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $23,236 $23,236 $40,209 −42% $57,277 −59% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,169 $23,169 $27,766 −17% $66,819 −65% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,124 $23,124 $27,054 −15% $49,710 −53% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,062 $23,062 $27,638 −17% $44,472 −48% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $23,016 $23,016 $26,927 −15% $51,142 −55% —
500 SOFT TISSUE PROCEDURES WITH MCC $22,977 $22,977 $27,145 −15% $57,479 −60% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $22,631 $22,631 $37,451 −40% $65,573 −65% —
662 MINOR BLADDER PROCEDURES WITH MCC $22,621 $22,621 $30,960 −27% $54,483 −58% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,525 $22,525 $37,378 −40% $65,325 −66% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $22,424 $22,424 $26,998 −17% $62,821 −64% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,377 $22,377 $26,180 −15% $65,216 −66% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $22,361 $22,361 $27,771 −19% $53,817 −58% —
652 KIDNEY TRANSPLANT $22,272 $22,272 $27,280 −18% $54,720 −59% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $22,251 $22,251 $32,419 −31% $53,555 −58% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,179 $22,179 $34,191 −35% $63,475 −65% —
570 SKIN DEBRIDEMENT WITH MCC $21,828 $21,828 $26,159 −17% $52,435 −58% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,654 $21,654 $25,951 −17% $46,402 −53% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,381 $21,381 $25,014 −15% $54,313 −61% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,326 $21,326 $36,997 −42% $63,984 −67% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,268 $21,268 $26,562 −20% $60,140 −65% —
668 TRANSURETHRAL PROCEDURES WITH MCC $21,147 $21,147 $25,343 −17% $47,277 −55% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,135 $21,135 $35,073 −40% $67,764 −69% —
800 SPLENIC PROCEDURES WITH CC $21,129 $21,129 $25,439 −17% $49,184 −57% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $21,117 $21,117 $25,425 −17% $54,475 −61% —
472 CERVICAL SPINAL FUSION WITH CC $21,008 $21,008 $25,060 −16% $59,537 −65% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $20,790 $20,790 $24,323 −15% $58,968 −65% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,766 $20,766 $29,422 −29% $56,758 −63% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,754 $20,754 $24,988 −17% $53,551 −61% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $20,725 $20,725 $24,247 −15% $49,055 −58% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $20,643 $20,643 $24,151 −15% $74,274 −72% —
654 MAJOR BLADDER PROCEDURES WITH CC $20,464 $20,464 $24,176 −15% $53,868 −62% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,364 $20,364 $24,059 −15% $58,043 −65% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $20,343 $20,343 $32,590 −38% $48,907 −58% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,842 $19,842 $23,780 −17% $48,358 −59% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,807 $19,807 $22,859 −13% $45,497 −56% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,771 $19,771 $23,568 −16% $44,973 −56% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $19,700 $19,700 $23,718 −17% $43,491 −55% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $19,603 $19,603 $28,045 −30% $57,963 −66% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,539 $19,539 $24,914 −22% $44,839 −56% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,461 $19,461 $22,768 −15% $52,405 −63% ≈123% of Medicare
263 VEIN LIGATION AND STRIPPING $19,449 $19,449 $23,200 −16% $44,938 −57% —
849 RADIOTHERAPY $19,369 $19,369 $22,353 −13% $37,862 −49% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,309 $19,309 $22,590 −15% $45,432 −57% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,240 $19,240 $22,509 −15% $40,947 −53% —
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $19,216 $19,216 $22,177 −13% $45,290 −58% —
503 FOOT PROCEDURES WITH MCC $19,191 $19,191 $23,106 −17% $43,901 −56% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $19,172 $19,172 $29,424 −35% $40,277 −52% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,022 $19,022 $22,797 −17% $54,929 −65% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,973 $18,973 $21,896 −13% $43,697 −57% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,771 $18,771 $21,960 −15% $41,703 −55% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,739 $18,739 $22,354 −16% $48,094 −61% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,518 $18,518 $21,877 −15% $38,878 −52% —
253 OTHER VASCULAR PROCEDURES WITH CC $18,512 $18,512 $22,753 −19% $53,746 −66% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,478 $18,478 $22,247 −17% $57,149 −68% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $18,383 $18,383 $18,088 +2% $36,097 −49% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,323 $18,323 $21,147 −13% $39,657 −54% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $18,309 $18,309 $22,044 −17% $46,659 −61% —
164 MAJOR CHEST PROCEDURES WITH CC $18,251 $18,251 $21,353 −15% $53,141 −66% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,158 $18,158 $20,668 −12% $39,409 −54% ≈153% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,144 $18,144 $21,745 −17% $55,162 −67% —
397 APPENDIX PROCEDURES WITH MCC $17,967 $17,967 $21,532 −17% $52,319 −66% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,895 $17,895 $20,936 −15% $52,332 −66% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $17,763 $17,763 $20,782 −15% $11,633 +53% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,753 $17,753 $21,375 −17% $51,985 −66% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,607 $17,607 $20,599 −15% $54,824 −68% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,539 $17,539 $20,519 −15% $46,591 −62% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,484 $17,484 $20,655 −15% $40,065 −56% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,410 $17,410 $28,417 −39% $56,394 −69% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,383 $17,383 $20,337 −15% $47,583 −63% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,383 $17,383 $20,337 −15% $39,093 −56% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,233 $17,233 $28,596 −40% $52,313 −67% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,167 $17,167 $20,281 −15% $50,624 −66% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,162 $17,162 $20,663 −17% $40,548 −58% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,140 $17,140 $20,052 −15% $58,832 −71% ≈133% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,112 $17,112 $20,508 −17% $47,546 −64% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,958 $16,958 $20,417 −17% $50,139 −66% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,824 $16,824 $19,683 −15% $36,237 −54% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,785 $16,785 $20,257 −17% $36,080 −53% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,769 $16,769 $19,811 −15% $51,339 −67% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,739 $16,739 $27,750 −40% $49,631 −66% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,635 $16,635 $19,273 −14% $37,080 −55% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,608 $16,608 $19,811 −16% $36,334 −54% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,557 $16,557 $19,842 −17% $39,253 −58% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,526 $16,526 $19,713 −16% $43,586 −62% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,495 $16,495 $19,487 −15% $46,430 −64% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,431 $16,431 $19,224 −15% $37,064 −56% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,376 $16,376 $19,158 −15% $38,998 −58% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $16,375 $16,375 $19,533 −16% $44,989 −64% —
113 ORBITAL PROCEDURES WITH CC/MCC $16,363 $16,363 $19,331 −15% $35,642 −54% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,336 $16,336 $19,668 −17% $50,011 −67% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,330 $16,330 $19,570 −17% $48,682 −66% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,309 $16,309 $19,545 −17% $45,059 −64% —
709 PENIS PROCEDURES WITH CC/MCC $16,294 $16,294 $19,437 −16% $34,535 −53% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,188 $16,188 $18,682 −13% $44,053 −63% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,137 $16,137 $18,879 −15% $45,818 −65% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,049 $16,049 $19,498 −18% $44,600 −64% ≈133% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,948 $15,948 $18,841 −15% $38,382 −58% —
935 NON-EXTENSIVE BURNS $15,927 $15,927 $18,633 −15% $29,458 −46% —
906 HAND PROCEDURES FOR INJURIES $15,826 $15,826 $18,264 −13% $31,520 −50% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,800 $15,800 $19,259 −18% $41,900 −62% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $15,730 $15,730 $18,584 −15% $37,902 −58% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,643 $15,643 $19,205 −19% $44,553 −65% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,616 $15,616 $18,627 −16% $38,357 −59% ≈133% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,579 $15,579 $18,227 −15% $34,900 −55% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,560 $15,560 $18,382 −15% $31,044 −50% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,549 $15,549 $18,191 −15% $36,850 −58% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $15,488 $15,488 $17,874 −13% $35,569 −56% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,487 $15,487 $18,560 −17% $40,232 −62% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,486 $15,486 $18,559 −17% $45,622 −66% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,457 $15,457 $18,686 −17% $37,654 −59% —
333 RECTAL RESECTION WITH CC $15,411 $15,411 $18,469 −17% $34,352 −55% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,379 $15,379 $18,345 −16% $46,477 −67% —
595 MAJOR SKIN DISORDERS WITH MCC $15,337 $15,337 $17,943 −15% $31,785 −52% —
336 PERITONEAL ADHESIOLYSIS WITH CC $15,317 $15,317 $21,904 −30% $49,470 −69% —
374 DIGESTIVE MALIGNANCY WITH MCC $15,310 $15,310 $18,263 −16% $38,885 −61% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,310 $15,310 $17,669 −13% $38,420 −60% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,286 $15,286 $17,642 −13% $56,519 −73% ≈127% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,248 $15,248 $19,834 −23% $35,686 −57% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,202 $15,202 $17,896 −15% $46,066 −67% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,159 $15,159 $17,735 −15% $32,483 −53% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,063 $15,063 $17,623 −15% $41,651 −64% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,046 $15,046 $17,775 −15% $51,172 −71% ≈129% of Medicare
592 SKIN ULCERS WITH MCC $14,911 $14,911 $17,616 −15% $32,662 −54% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,846 $14,846 $17,710 −16% $34,089 −56% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,707 $14,707 $17,206 −15% $30,661 −52% —
539 OSTEOMYELITIS WITH MCC $14,665 $14,665 $17,157 −15% $33,746 −57% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,627 $14,627 $17,112 −15% $41,660 −65% —
548 SEPTIC ARTHRITIS WITH MCC $14,608 $14,608 $17,091 −15% $31,019 −53% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,593 $14,593 $17,073 −15% $30,940 −53% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,587 $14,587 $18,104 −19% $45,817 −68% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,491 $14,491 $16,953 −15% $44,363 −67% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,489 $14,489 $17,364 −17% $43,524 −67% ≈127% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,479 $14,479 $17,271 −16% $29,109 −50% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,424 $14,424 $16,875 −15% $35,714 −60% ≈152% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,414 $14,414 $17,194 −16% $35,139 −59% —
100 SEIZURES WITH MCC $14,396 $14,396 $17,172 −16% $35,194 −59% ≈137% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,395 $14,395 $16,841 −15% $29,633 −51% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,344 $14,344 $17,190 −17% $43,398 −67% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,307 $14,307 $17,146 −17% $43,800 −67% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,299 $14,299 $17,136 −17% $43,775 −67% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,252 $14,252 $16,673 −15% $41,520 −66% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,228 $14,228 $16,645 −15% $35,237 −60% ≈133% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,221 $14,221 $16,964 −16% $43,538 −67% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,206 $14,206 $16,783 −15% $36,933 −62% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,179 $14,179 $16,589 −15% $35,014 −60% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,171 $14,171 $16,579 −15% $29,524 −52% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,169 $14,169 $16,902 −16% $33,050 −57% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,072 $14,072 $16,240 −13% $43,080 −67% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,054 $14,054 $16,604 −15% $36,202 −61% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,007 $14,007 $16,387 −15% $42,881 −67% —
380 COMPLICATED PEPTIC ULCER WITH MCC $13,954 $13,954 $16,722 −17% $36,641 −62% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,870 $13,870 $16,227 −15% $33,165 −58% —
711 TESTES PROCEDURES WITH CC/MCC $13,854 $13,854 $16,209 −15% $34,852 −60% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,760 $13,760 $16,567 −17% $42,126 −67% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,760 $13,760 $16,098 −15% $35,459 −61% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,729 $13,729 $16,062 −15% $36,280 −62% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,708 $13,708 $16,037 −15% $32,399 −58% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,689 $13,689 $16,015 −15% $32,204 −57% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,674 $13,674 $15,997 −15% $32,981 −59% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,672 $13,672 $16,152 −15% $49,197 −72% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,672 $13,672 $16,152 −15% $45,963 −70% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,662 $13,662 $16,297 −16% $30,766 −56% ≈135% of Medicare
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,524 $13,524 $15,978 −15% $35,114 −61% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,516 $13,516 $15,813 −15% $41,380 −67% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,461 $13,461 $15,902 −15% $30,974 −57% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,455 $13,455 $15,528 −13% $32,538 −59% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,443 $13,443 $15,515 −13% $22,698 −41% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,385 $13,385 $15,813 −15% $29,609 −55% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,358 $13,358 $16,156 −17% $28,375 −53% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,333 $13,333 $15,904 −16% $30,394 −56% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,292 $13,292 $15,340 −13% $40,694 −67% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,256 $13,256 $15,661 −15% $40,583 −67% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,250 $13,250 $15,653 −15% $40,563 −67% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,246 $13,246 $15,497 −15% $40,552 −67% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,231 $13,231 $15,782 −16% $37,950 −65% —
919 COMPLICATIONS OF TREATMENT WITH MCC $13,223 $13,223 $15,622 −15% $29,031 −54% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,218 $13,218 $15,616 −15% $36,375 −64% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,185 $13,185 $15,426 −15% $36,597 −64% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,184 $13,184 $15,800 −17% $37,842 −65% ≈135% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,120 $13,120 $15,500 −15% $29,476 −55% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,119 $13,119 $15,140 −13% $54,772 −76% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,086 $13,086 $15,683 −17% $40,063 −67% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $13,071 $13,071 $15,085 −13% $14,284 −8% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,027 $13,027 $15,241 −15% $24,836 −48% —
501 SOFT TISSUE PROCEDURES WITH CC $12,941 $12,941 $15,581 −17% $37,975 −66% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,914 $12,914 $15,108 −15% $48,680 −73% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,913 $12,913 $15,107 −15% $30,275 −57% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,907 $12,907 $15,101 −15% $33,564 −62% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,877 $12,877 $15,065 −15% $31,909 −60% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,857 $12,857 $15,336 −16% $36,242 −65% —
199 PNEUMOTHORAX WITH MCC $12,801 $12,801 $15,123 −15% $31,491 −59% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,746 $12,746 $14,911 −15% $35,673 −64% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,745 $12,745 $15,203 −16% $39,018 −67% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,738 $12,738 $15,049 −15% $29,558 −57% —
509 ARTHROSCOPY $12,738 $12,738 $14,903 −15% $25,994 −51% —
597 MALIGNANT BREAST DISORDERS WITH MCC $12,738 $12,738 $14,903 −15% $31,846 −60% —
504 FOOT PROCEDURES WITH CC $12,726 $12,726 $14,889 −15% $36,598 −65% —
505 FOOT PROCEDURES WITHOUT CC/MCC $12,726 $12,726 $14,889 −15% $31,716 −60% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,698 $12,698 $14,856 −15% $34,264 −63% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,685 $12,685 $14,950 −15% $38,836 −67% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,675 $12,675 $15,120 −16% $31,758 −60% —
180 RESPIRATORY NEOPLASMS WITH MCC $12,674 $12,674 $14,973 −15% $36,658 −65% ≈127% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,609 $12,609 $14,751 −15% $30,814 −59% —
915 ALLERGIC REACTIONS WITH MCC $12,602 $12,602 $14,888 −15% $30,944 −59% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,589 $12,589 $14,728 −15% $32,839 −62% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,537 $12,537 $14,811 −15% $29,826 −58% —
671 URETHRAL PROCEDURES WITH CC/MCC $12,499 $12,499 $14,623 −15% $27,233 −54% —
075 VIRAL MENINGITIS WITH CC/MCC $12,490 $12,490 $14,216 −12% $29,853 −58% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,443 $12,443 $14,843 −16% $38,094 −67% —
551 MEDICAL BACK PROBLEMS WITH MCC $12,374 $12,374 $14,618 −15% $31,086 −60% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,335 $12,335 $14,431 −15% $43,266 −71% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,281 $12,281 $14,368 −15% $29,729 −59% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,258 $12,258 $14,340 −15% $28,578 −57% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,250 $12,250 $14,613 −16% $29,409 −58% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,214 $12,214 $14,290 −15% $31,128 −61% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,189 $12,189 $14,260 −15% $30,058 −59% ≈145% of Medicare
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,143 $12,143 $14,485 −16% $29,916 −59% —
571 SKIN DEBRIDEMENT WITH CC $12,141 $12,141 $14,343 −15% $34,901 −65% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,111 $12,111 $14,169 −15% $25,208 −52% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,110 $12,110 $14,167 −15% $33,607 −64% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,099 $12,099 $14,294 −15% $28,103 −57% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,097 $12,097 $14,152 −15% $30,930 −61% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,064 $12,064 $14,391 −16% $32,502 −63% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,055 $12,055 $13,994 −14% $27,548 −56% —
334 RECTAL RESECTION WITHOUT CC/MCC $12,027 $12,027 $14,071 −15% $32,213 −63% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,026 $12,026 $14,069 −15% $42,119 −71% ≈141% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $12,018 $12,018 $14,060 −15% $32,996 −64% ≈133% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,008 $12,008 $14,049 −15% $32,689 −63% ≈141% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,972 $11,972 $14,006 −15% $44,117 −73% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,952 $11,952 $13,793 −13% $25,197 −53% —
666 PROSTATECTOMY WITH CC $11,945 $11,945 $14,112 −15% $30,016 −60% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,912 $11,912 $13,936 −15% $31,566 −62% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $11,904 $11,904 $14,064 −15% $28,634 −58% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,902 $11,902 $14,198 −16% $28,967 −59% ≈148% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,890 $11,890 $13,910 −15% $28,134 −58% ≈169% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,880 $11,880 $14,036 −15% $30,910 −62% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,875 $11,875 $13,893 −15% $36,333 −67% —
157 DENTAL AND ORAL DISEASES WITH MCC $11,874 $11,874 $13,892 −15% $27,457 −57% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,793 $11,793 $13,610 −13% $24,465 −52% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,788 $11,788 $13,926 −15% $27,168 −57% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,782 $11,782 $14,054 −16% $26,020 −55% —
913 TRAUMATIC INJURY WITH MCC $11,735 $11,735 $13,729 −15% $24,198 −52% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,730 $11,730 $13,351 −12% $25,731 −54% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,722 $11,722 $13,714 −15% $31,840 −63% ≈132% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,717 $11,717 $14,108 −17% $27,118 −57% —
038 EXTRACRANIAL PROCEDURES WITH CC $11,684 $11,684 $13,669 −15% $35,770 −67% —
606 MINOR SKIN DISORDERS WITH MCC $11,677 $11,677 $13,661 −15% $25,434 −54% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,659 $11,659 $13,640 −15% $35,692 −67% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,623 $11,623 $13,598 −15% $35,584 −67% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,580 $11,580 $14,418 −20% $35,453 −67% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,569 $11,569 $13,535 −15% $33,984 −66% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,555 $11,555 $13,518 −15% $35,375 −67% —
183 MAJOR CHEST TRAUMA WITH MCC $11,510 $11,510 $13,466 −15% $28,924 −60% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,503 $11,503 $13,458 −15% $39,747 −71% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,458 $11,458 $13,406 −15% $33,490 −66% —
186 PLEURAL EFFUSION WITH MCC $11,457 $11,457 $13,404 −15% $32,468 −65% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,433 $11,433 $13,487 −15% $29,371 −61% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,402 $11,402 $13,339 −15% $34,906 −67% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,379 $11,379 $13,312 −15% $32,936 −65% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,370 $11,370 $13,302 −15% $31,059 −63% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,350 $11,350 $13,279 −15% $32,490 −65% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,331 $11,331 $13,256 −15% $41,380 −73% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,247 $11,247 $13,417 −16% $34,434 −67% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,237 $11,237 $13,276 −15% $28,646 −61% —
813 COAGULATION DISORDERS $11,225 $11,225 $13,132 −15% $30,128 −63% ≈104% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $11,221 $11,221 $13,128 −15% $34,354 −67% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,213 $11,213 $13,118 −15% $24,036 −53% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,209 $11,209 $13,114 −15% $25,484 −56% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,208 $11,208 $13,241 −15% $28,252 −60% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,131 $11,131 $13,340 −17% $36,239 −69% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,102 $11,102 $13,243 −16% $24,879 −55% —
663 MINOR BLADDER PROCEDURES WITH CC $11,076 $11,076 $13,212 −16% $29,924 −63% —
945 REHABILITATION WITH CC/MCC $11,069 $11,069 $12,775 −13% $23,834 −54% —
533 FRACTURES OF FEMUR WITH MCC $11,057 $11,057 $12,936 −15% $25,945 −57% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,006 $11,006 $12,876 −15% $33,694 −67% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,999 $10,999 $12,869 −15% $30,972 −64% —
398 APPENDIX PROCEDURES WITH CC $10,973 $10,973 $12,663 −13% $39,107 −72% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,949 $10,949 $12,810 −15% $24,229 −55% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,944 $10,944 $12,930 −15% $27,279 −60% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,918 $10,918 $13,023 −16% $33,424 −67% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,910 $10,910 $12,763 −15% $33,792 −68% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,906 $10,906 $12,884 −15% $35,528 −69% —
682 RENAL FAILURE WITH MCC $10,891 $10,891 $12,741 −15% $27,854 −61% ≈127% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $10,887 $10,887 $12,737 −15% $23,814 −54% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,878 $10,878 $12,726 −15% $25,854 −58% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,870 $10,870 $12,842 −15% $29,484 −63% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,870 $10,870 $12,842 −15% $28,983 −62% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,858 $10,858 $12,703 −15% $24,450 −56% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,824 $10,824 $12,912 −16% $33,137 −67% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,795 $10,795 $12,753 −15% $31,062 −65% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,773 $10,773 $12,604 −15% $28,140 −62% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,750 $10,750 $12,700 −15% $32,911 −67% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,704 $10,704 $12,888 −17% $7,961 +34% —
865 VIRAL ILLNESS WITH MCC $10,702 $10,702 $12,521 −15% $26,088 −59% —
693 URINARY STONES WITH MCC $10,662 $10,662 $12,474 −15% $22,525 −53% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,659 $10,659 $12,592 −15% $28,780 −63% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,655 $10,655 $12,466 −15% $25,152 −58% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,655 $10,655 $12,466 −15% $25,786 −59% —
602 CELLULITIS WITH MCC $10,654 $10,654 $12,464 −15% $29,347 −64% ≈142% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,612 $10,612 $12,416 −15% $29,211 −64% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,605 $10,605 $12,529 −15% $25,149 −58% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,600 $10,600 $12,523 −15% $32,451 −67% —
637 DIABETES WITH MCC $10,560 $10,560 $12,597 −16% $28,819 −63% ≈135% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,550 $10,550 $12,175 −13% $24,941 −58% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,499 $10,499 $12,117 −13% $21,986 −52% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,485 $10,485 $12,387 −15% $29,663 −65% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,456 $10,456 $12,232 −15% $22,525 −54% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,436 $10,436 $12,424 −16% $25,243 −59% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,393 $10,393 $12,397 −16% $31,816 −67% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,391 $10,391 $12,276 −15% $31,812 −67% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,307 $10,307 $11,895 −13% $25,010 −59% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,292 $10,292 $12,041 −15% $21,615 −52% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,263 $10,263 $12,007 −15% $23,734 −57% —
088 CONCUSSION WITH MCC $10,229 $10,229 $11,968 −15% $24,402 −58% —
885 PSYCHOSES $10,221 $10,221 $11,958 −15% $21,489 −52% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,218 $10,218 $12,188 −16% $29,757 −66% —
811 RED BLOOD CELL DISORDERS WITH MCC $10,202 $10,202 $12,169 −16% $27,934 −63% ≈137% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,187 $10,187 $11,918 −15% $35,542 −71% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,161 $10,161 $11,888 −15% $24,452 −58% —
137 MOUTH PROCEDURES WITH CC/MCC $10,142 $10,142 $11,981 −15% $24,348 −58% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,131 $10,131 $11,853 −15% $30,006 −66% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,103 $10,103 $11,500 −12% $25,666 −61% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,082 $10,082 $11,795 −15% $24,118 −58% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,076 $10,076 $11,903 −15% $24,561 −59% —
150 EPISTAXIS WITH MCC $10,023 $10,023 $11,841 −15% $21,133 −53% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,960 $9,960 $11,881 −16% $29,050 −66% —
139 SALIVARY GLAND PROCEDURES $9,956 $9,956 $11,648 −15% $21,014 −53% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,937 $9,937 $11,626 −15% $20,980 −53% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,936 $9,936 $11,624 −15% $30,418 −67% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,878 $9,878 $11,784 −16% $24,980 −60% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,826 $9,826 $11,609 −15% $29,374 −67% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,817 $9,817 $11,330 −13% $28,527 −66% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,765 $9,765 $11,648 −16% $23,723 −59% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,736 $9,736 $11,390 −15% $29,805 −67% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,717 $9,717 $11,645 −17% $30,358 −68% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,676 $9,676 $11,320 −15% $25,426 −62% ≈146% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,667 $9,667 $11,310 −15% $31,978 −70% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,643 $9,643 $11,503 −16% $23,350 −59% —
640 Nutritional & misc metabolic disorders w MCC $9,630 $9,630 $11,487 −16% $24,480 −61% ≈102% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,555 $9,555 $11,179 −15% $26,158 −63% ≈143% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,554 $9,554 $11,178 −15% $34,887 −73% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,511 $9,511 $10,976 −13% $23,115 −59% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,470 $9,470 $11,297 −16% $23,956 −60% —
291 HEART FAILURE AND SHOCK WITH MCC $9,461 $9,461 $11,286 −16% $25,020 −62% ≈140% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,455 $9,455 $11,062 −15% $21,029 −55% —
540 OSTEOMYELITIS WITH CC $9,384 $9,384 $11,086 −15% $23,494 −60% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,358 $9,358 $10,801 −13% $22,811 −59% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,351 $9,351 $11,047 −15% $23,920 −61% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,343 $9,343 $10,930 −15% $23,924 −61% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,340 $9,340 $10,927 −15% $24,316 −62% —
947 SIGNS AND SYMPTOMS WITH MCC $9,327 $9,327 $11,018 −15% $25,474 −63% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,314 $9,314 $10,897 −15% $27,244 −66% ≈140% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $9,257 $9,257 $11,094 −17% $22,557 −59% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,214 $9,214 $10,780 −15% $19,686 −53% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,214 $9,214 $10,780 −15% $22,275 −59% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,197 $9,197 $10,760 −15% $28,156 −67% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,187 $9,187 $10,748 −15% $25,623 −64% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,167 $9,167 $10,725 −15% $26,634 −66% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,155 $9,155 $10,566 −13% $19,894 −54% —
348 ANAL AND STOMAL PROCEDURES WITH CC $9,129 $9,129 $10,889 −16% $27,947 −67% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,030 $9,030 $10,668 −15% $26,146 −65% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,029 $9,029 $10,663 −15% $19,354 −53% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,026 $9,026 $10,664 −15% $21,860 −59% —
642 Inborn errors of metabolism $9,000 $9,000 $10,529 −15% $20,727 −57% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,981 $8,981 $10,507 −15% $22,032 −59% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,980 $8,980 $10,506 −15% $27,492 −67% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,973 $8,973 $10,497 −15% $25,704 −65% ≈140% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,933 $8,933 $10,451 −15% $20,147 −56% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,925 $8,925 $10,441 −15% $27,321 −67% —
375 DIGESTIVE MALIGNANCY WITH CC $8,910 $8,910 $10,526 −15% $27,219 −67% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,905 $8,905 $10,418 −15% $19,132 −53% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,873 $8,873 $10,380 −15% $26,322 −66% —
593 SKIN ULCERS WITH CC $8,866 $8,866 $10,474 −15% $20,470 −57% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,840 $8,840 $10,444 −15% $23,588 −63% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,802 $8,802 $10,399 −15% $23,297 −62% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,744 $8,744 $10,431 −16% $26,488 −67% ≈151% of Medicare
549 SEPTIC ARTHRITIS WITH CC $8,739 $8,739 $10,085 −13% $20,938 −58% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,692 $8,692 $10,169 −15% $27,369 −68% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,667 $8,667 $10,139 −15% $20,421 −58% —
887 OTHER MENTAL DISORDER DIAGNOSES $8,625 $8,625 $10,090 −15% $20,602 −58% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,591 $8,591 $10,150 −15% $20,842 −59% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,572 $8,572 $10,028 −15% $19,598 −56% —
304 HYPERTENSION WITH MCC $8,519 $8,519 $10,162 −16% $24,185 −65% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,486 $8,486 $9,928 −15% $22,982 −63% ≈141% of Medicare
302 ATHEROSCLEROSIS WITH MCC $8,435 $8,435 $10,062 −16% $20,844 −60% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,435 $8,435 $9,868 −15% $18,291 −54% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,434 $8,434 $9,867 −15% $21,062 −60% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,417 $8,417 $9,848 −15% $22,532 −63% —
102 HEADACHES WITH MCC $8,408 $8,408 $10,029 −16% $22,544 −63% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,395 $8,395 $9,688 −13% $24,202 −65% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,379 $8,379 $9,899 −15% $25,307 −67% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,346 $8,346 $9,405 −11% $18,133 −54% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,293 $8,293 $9,798 −15% $25,390 −67% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,284 $8,284 $9,692 −15% $24,432 −66% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,257 $8,257 $9,755 −15% $24,452 −66% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,253 $8,253 $9,394 −12% $25,267 −67% —
152 OTITIS MEDIA AND URI WITH MCC $8,229 $8,229 $9,627 −15% $19,795 −58% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,178 $8,178 $9,661 −15% $20,741 −61% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,177 $8,177 $9,567 −15% $24,017 −66% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,149 $8,149 $9,534 −15% $30,314 −73% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,143 $8,143 $9,714 −16% $24,190 −66% ≈142% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,142 $8,142 $9,526 −15% $19,317 −58% —
946 REHABILITATION WITHOUT CC/MCC $8,096 $8,096 $9,323 −13% $17,685 −54% —
181 RESPIRATORY NEOPLASMS WITH CC $8,051 $8,051 $9,512 −15% $22,431 −64% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,050 $8,050 $9,602 −16% $18,459 −56% —
200 PNEUMOTHORAX WITH CC $8,031 $8,031 $9,580 −16% $20,573 −61% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,017 $8,017 $9,379 −15% $24,544 −67% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $7,995 $7,995 $9,354 −15% $25,162 −68% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,983 $7,983 $9,346 −15% $17,483 −54% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,950 $7,950 $11,271 −29% $17,103 −54% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,936 $7,936 $8,828 −10% $17,398 −54% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,911 $7,911 $9,255 −15% $19,868 −60% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,902 $7,902 $9,426 −16% $31,190 −75% ≈148% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $7,897 $7,897 $9,239 −15% $24,177 −67% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,864 $7,864 $9,291 −15% $21,806 −64% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,853 $7,853 $12,774 −39% $22,560 −65% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,839 $7,839 $9,261 −15% $17,226 −54% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,830 $7,830 $9,250 −15% $18,126 −57% —
949 AFTERCARE WITH CC/MCC $7,824 $7,824 $9,243 −15% $23,953 −67% —
598 MALIGNANT BREAST DISORDERS WITH CC $7,823 $7,823 $9,153 −15% $19,073 −59% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,821 $7,821 $9,026 −13% $17,193 −55% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,802 $7,802 $9,128 −15% $17,943 −57% —
089 CONCUSSION WITH CC $7,774 $7,774 $8,849 −12% $18,293 −58% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,763 $7,763 $9,260 −16% $19,579 −60% ≈147% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,757 $7,757 $9,254 −16% $23,749 −67% —
712 TESTES PROCEDURES WITHOUT CC/MCC $7,756 $7,756 $8,951 −13% $18,898 −59% —
184 MAJOR CHEST TRAUMA WITH CC $7,745 $7,745 $9,061 −15% $20,842 −63% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,699 $7,699 $9,775 −21% $23,571 −67% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,693 $7,693 $9,000 −15% $23,496 −67% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,677 $7,677 $9,069 −15% $24,136 −68% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,642 $7,642 $8,941 −15% $23,396 −67% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,633 $7,633 $8,689 −12% $18,478 −59% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,628 $7,628 $8,924 −15% $17,550 −57% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,615 $7,615 $9,083 −16% $22,231 −66% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,559 $7,559 $8,843 −15% $23,141 −67% —
644 ENDOCRINE DISORDERS WITH CC $7,493 $7,493 $8,939 −16% $22,941 −67% ≈137% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,476 $7,476 $8,918 −16% $22,781 −67% ≈152% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,464 $7,464 $8,732 −15% $22,850 −67% ≈149% of Medicare
667 PROSTATECTOMY WITHOUT CC/MCC $7,453 $7,453 $8,805 −15% $16,703 −55% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,444 $7,444 $8,880 −16% $24,022 −69% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,431 $7,431 $8,779 −15% $16,495 −55% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,396 $7,396 $8,737 −15% $20,732 −64% ≈146% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,396 $7,396 $8,652 −15% $16,571 −55% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,394 $7,394 $8,651 −15% $21,545 −66% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,393 $7,393 $8,819 −16% $20,080 −63% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,391 $7,391 $8,732 −15% $19,091 −61% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,379 $7,379 $8,633 −15% $22,713 −68% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,374 $7,374 $8,711 −15% $23,469 −69% ≈156% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,368 $7,368 $8,620 −15% $18,017 −59% —
920 COMPLICATIONS OF TREATMENT WITH CC $7,367 $7,367 $8,787 −16% $21,181 −65% —
187 PLEURAL EFFUSION WITH CC $7,280 $7,280 $8,517 −15% $21,467 −66% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,274 $7,274 $8,510 −15% $17,078 −57% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,273 $7,273 $8,278 −12% $16,212 −55% —
697 Urethral stricture $7,264 $7,264 $8,499 −15% $17,705 −59% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,251 $7,251 $8,483 −15% $20,007 −64% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,237 $7,237 $10,576 −32% $15,370 −53% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,236 $7,236 $8,351 −13% $17,434 −58% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,197 $7,197 $8,420 −15% $20,968 −66% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,194 $7,194 $8,416 −15% $22,024 −67% ≈147% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $7,179 $7,179 $8,399 −15% $20,106 −64% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,149 $7,149 $8,364 −15% $21,886 −67% ≈141% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,147 $7,147 $8,361 −15% $18,282 −61% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,099 $7,099 $8,305 −15% $15,901 −55% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,093 $7,093 $8,380 −15% $15,890 −55% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,021 $7,021 $8,598 −18% $19,001 −63% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,021 $7,021 $10,124 −31% $18,238 −62% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,010 $7,010 $8,281 −15% $17,273 −59% ≈152% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,006 $7,006 $8,357 −16% $21,449 −67% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,989 $6,989 $8,176 −15% $21,213 −67% ≈151% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,978 $6,978 $8,164 −15% $20,777 −66% —
882 NEUROSES EXCEPT DEPRESSIVE $6,976 $6,976 $8,241 −15% $15,680 −56% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,951 $6,951 $8,292 −16% $15,636 −56% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,937 $6,937 $8,195 −15% $16,418 −58% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,933 $6,933 $8,111 −15% $18,191 −62% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,930 $6,930 $8,108 −15% $20,371 −66% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,926 $6,926 $8,103 −15% $19,326 −64% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,925 $6,925 $8,181 −15% $15,589 −56% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,902 $6,902 $8,075 −15% $18,428 −63% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,826 $6,826 $7,986 −15% $18,918 −64% ≈141% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $6,821 $6,821 $7,980 −15% $17,700 −61% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,814 $6,814 $8,050 −15% $17,108 −60% —
779 ABORTION WITHOUT D&C $6,778 $6,778 $7,930 −15% $15,327 −56% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,770 $6,770 $7,998 −15% $16,642 −59% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,718 $6,718 $7,859 −15% $18,608 −64% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,698 $6,698 $7,990 −16% $19,287 −65% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,692 $6,692 $7,983 −16% $20,488 −67% ≈150% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,684 $6,684 $7,820 −15% $20,463 −67% ≈151% of Medicare
101 SEIZURES WITHOUT MCC $6,684 $6,684 $7,819 −15% $19,954 −67% ≈154% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,681 $6,681 $7,893 −15% $20,309 −67% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,664 $6,664 $7,873 −15% $16,352 −59% —
638 DIABETES WITH CC $6,651 $6,651 $7,934 −16% $18,821 −65% ≈164% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,649 $6,649 $7,779 −15% $15,474 −57% —
914 TRAUMATIC INJURY WITHOUT MCC $6,645 $6,645 $7,850 −15% $15,593 −57% —
881 DEPRESSIVE NEUROSES $6,628 $6,628 $7,831 −15% $15,058 −56% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,618 $6,618 $7,742 −15% $17,585 −62% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,568 $6,568 $7,835 −16% $17,731 −63% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,561 $6,561 $7,676 −15% $15,077 −56% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,560 $6,560 $8,017 −18% $20,084 −67% —
864 FEVER AND INFLAMMATORY CONDITIONS $6,512 $6,512 $7,618 −15% $17,412 −63% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,481 $6,481 $7,583 −15% $18,803 −66% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,471 $6,471 $7,571 −15% $21,261 −70% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,467 $6,467 $7,566 −15% $15,764 −59% —
683 RENAL FAILURE WITH CC $6,446 $6,446 $7,689 −16% $18,620 −65% ≈150% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $6,416 $6,416 $7,506 −15% $16,391 −61% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,414 $6,414 $7,504 −15% $15,045 −57% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,410 $6,410 $7,499 −15% $15,869 −60% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,403 $6,403 $7,491 −15% $15,608 −59% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,397 $6,397 $7,484 −15% $16,049 −60% ≈147% of Medicare
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,392 $6,392 $7,478 −15% $19,569 −67% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,388 $6,388 $7,620 −16% $19,854 −68% —
603 CELLULITIS WITHOUT MCC $6,387 $6,387 $7,472 −15% $18,530 −66% ≈158% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $6,344 $6,344 $7,495 −15% $14,549 −56% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,334 $6,334 $10,545 −40% $19,815 −68% —
312 SYNCOPE AND COLLAPSE $6,318 $6,318 $7,537 −16% $19,342 −67% ≈143% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,306 $6,306 $7,377 −15% $19,305 −67% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,267 $6,267 $7,475 −16% $15,284 −59% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,264 $6,264 $7,328 −15% $17,367 −64% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,251 $6,251 $7,314 −15% $16,156 −61% —
292 HEART FAILURE AND SHOCK WITH CC $6,245 $6,245 $7,306 −15% $16,212 −61% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,238 $6,238 $7,369 −15% $19,096 −67% ≈193% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,230 $6,230 $7,431 −16% $18,278 −66% ≈149% of Medicare
090 CONCUSSION WITHOUT CC/MCC $6,217 $6,217 $7,344 −15% $14,873 −58% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,199 $6,199 $7,253 −15% $14,290 −57% —
103 HEADACHES WITHOUT MCC $6,165 $6,165 $7,213 −15% $20,111 −69% —
594 SKIN ULCERS WITHOUT CC/MCC $6,154 $6,154 $7,271 −15% $14,209 −57% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,073 $6,073 $7,131 −15% $14,064 −57% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,068 $6,068 $7,169 −15% $14,055 −57% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,052 $6,052 $7,219 −16% $18,253 −67% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,987 $5,987 $7,073 −15% $15,876 −62% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,946 $5,946 $7,093 −16% $18,204 −67% ≈159% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,938 $5,938 $7,015 −15% $13,822 −57% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,929 $5,929 $6,936 −15% $18,150 −67% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,925 $5,925 $6,744 −12% $16,837 −65% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,921 $5,921 $6,927 −15% $17,715 −67% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,921 $5,921 $6,927 −15% $17,928 −67% —
176 PULMONARY EMBOLISM WITHOUT MCC $5,906 $5,906 $7,045 −16% $18,081 −67% —
534 FRACTURES OF FEMUR WITHOUT MCC $5,903 $5,903 $6,906 −15% $17,195 −66% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,899 $5,899 $6,969 −15% $17,383 −66% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,881 $5,881 $7,015 −16% $16,866 −65% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,880 $5,880 $6,879 −15% $18,002 −67% —
123 NEUROLOGICAL EYE DISORDERS $5,824 $5,824 $6,881 −15% $17,831 −67% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,820 $5,820 $6,809 −15% $17,466 −67% ≈160% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,813 $5,813 $6,800 −15% $17,388 −67% ≈159% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,806 $5,806 $6,793 −15% $13,586 −57% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,802 $5,802 $6,696 −13% $20,278 −71% ≈160% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,781 $5,781 $6,896 −16% $17,700 −67% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,761 $5,761 $6,872 −16% $17,727 −68% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,727 $5,727 $6,267 −9% $13,445 −57% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,723 $5,723 $6,762 −15% $17,522 −67% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,694 $5,694 $6,661 −15% $13,385 −57% —
641 Nutritional & misc metabolic disorders w/o MCC $5,666 $5,666 $6,629 −15% $16,745 −66% ≈155% of Medicare
694 URINARY STONES WITHOUT MCC $5,666 $5,666 $6,629 −15% $16,531 −66% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,658 $5,658 $6,685 −15% $17,322 −67% ≈165% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,647 $5,647 $6,671 −15% $14,166 −60% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,639 $5,639 $6,727 −16% $15,858 −64% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,581 $5,581 $6,594 −15% $14,444 −61% —
151 EPISTAXIS WITHOUT MCC $5,496 $5,496 $6,494 −15% $13,032 −58% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,480 $5,480 $6,537 −16% $16,776 −67% —
305 HYPERTENSION WITHOUT MCC $5,444 $5,444 $6,493 −16% $17,144 −68% ≈179% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,440 $5,440 $6,364 −15% $16,654 −67% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,433 $5,433 $6,357 −15% $16,634 −67% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,425 $5,425 $6,409 −15% $14,337 −62% —
149 DYSEQUILIBRIUM $5,420 $5,420 $6,256 −13% $17,203 −68% ≈167% of Medicare
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,420 $5,420 $6,341 −15% $12,895 −58% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,411 $5,411 $6,330 −15% $14,861 −64% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,398 $5,398 $6,315 −15% $13,892 −61% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,373 $5,373 $6,286 −15% $13,282 −60% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,361 $5,361 $6,333 −15% $16,865 −68% ≈161% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,324 $5,324 $6,229 −15% $14,110 −62% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,283 $5,283 $6,242 −15% $12,650 −58% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,260 $5,260 $6,154 −15% $16,104 −67% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,258 $5,258 $6,272 −16% $18,623 −72% ≈175% of Medicare
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,251 $5,251 $6,144 −15% $12,593 −58% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,247 $5,247 $9,343 −44% $13,090 −60% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,218 $5,218 $6,105 −15% $12,537 −58% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,174 $5,174 $6,053 −15% $12,381 −58% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,173 $5,173 $6,171 −16% $15,607 −67% —
313 CHEST PAIN $5,173 $5,173 $6,171 −16% $15,962 −68% ≈150% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $5,161 $5,161 $6,038 −15% $14,473 −64% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,108 $5,108 $5,976 −15% $12,336 −59% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,095 $5,095 $6,020 −15% $15,600 −67% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,079 $5,079 $6,058 −16% $13,654 −63% —
311 ANGINA PECTORIS $5,064 $5,064 $5,924 −15% $15,165 −67% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,061 $5,061 $5,921 −15% $15,072 −66% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,051 $5,051 $6,025 −16% $12,279 −59% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,051 $5,051 $5,829 −13% $12,405 −59% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,034 $5,034 $5,889 −15% $13,303 −62% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,016 $5,016 $5,984 −16% $14,441 −65% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,991 $4,991 $5,839 −15% $19,483 −74% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,987 $4,987 $5,948 −16% $14,012 −64% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,950 $4,950 $5,792 −15% $12,797 −61% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,919 $4,919 $5,754 −15% $11,997 −59% —
201 PNEUMOTHORAX WITHOUT CC/MCC $4,910 $4,910 $5,857 −16% $13,081 −62% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,876 $4,876 $5,760 −15% $13,198 −63% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,876 $4,876 $5,704 −15% $14,927 −67% ≈167% of Medicare
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,869 $4,869 $5,697 −15% $11,909 −59% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,861 $4,861 $5,798 −16% $14,880 −67% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,834 $4,834 $5,589 −14% $11,847 −59% —
916 ALLERGIC REACTIONS WITHOUT MCC $4,816 $4,816 $5,634 −15% $13,890 −65% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,783 $4,783 $5,651 −15% $13,368 −64% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,781 $4,781 $5,704 −16% $13,485 −65% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,693 $4,693 $5,598 −16% $14,368 −67% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,641 $4,641 $5,562 −17% $14,208 −67% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,621 $4,621 $8,897 −48% $12,044 −62% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,617 $4,617 $5,559 −17% $14,134 −67% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,615 $4,615 $5,399 −15% $14,128 −67% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,597 $4,597 $5,483 −16% $11,421 −60% —
639 DIABETES WITHOUT CC/MCC $4,544 $4,544 $5,316 −15% $13,910 −67% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,526 $4,526 $5,424 −17% $12,013 −62% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,515 $4,515 $5,283 −15% $13,824 −67% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,460 $4,460 $5,370 −17% $15,070 −70% —
684 RENAL FAILURE WITHOUT CC/MCC $4,404 $4,404 $5,153 −15% $13,623 −68% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,401 $4,401 $5,274 −17% $11,071 −60% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,347 $4,347 $5,186 −16% $10,975 −60% —
950 AFTERCARE WITHOUT CC/MCC $4,250 $4,250 $5,117 −17% $13,527 −69% —
951 Other factors influencing health status $4,111 $4,111 $4,950 −17% $9,385 −56% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,071 $4,071 $4,763 −15% $10,039 −59% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,057 $4,057 $4,793 −15% $13,384 −70% ≈230% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,979 $3,979 $4,790 −17% $11,955 −67% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,968 $3,968 $4,642 −15% $13,318 −70% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,769 $3,769 $4,496 −16% $9,076 −58% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,203 $3,203 $3,989 −20% $8,927 −64% —
795 NORMAL NEWBORN $1,449 $1,449 $3,492 −59% $4,530 −68% —

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 $62,262 – $62,262 · median $62,262 2 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $45,930 – $45,930 · median $45,930 2 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $54,433 – $54,433 · median $54,433 2 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $41,602 – $41,602 · median $41,602 2 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,885 – $48,885 · median $48,885 2 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $38,830 – $38,830 · median $38,830 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $23,110 – $23,110 · median $23,110 2 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $14,700 – $14,700 · median $14,700 2 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $23,467 – $23,467 · median $23,467 2 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $13,895 – $13,895 · median $13,895 2 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $20,693 – $20,693 · median $20,693 2 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $12,532 – $12,532 · median $12,532 2 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,082 – $9,082 · median $9,082 2 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $17,125 – $17,125 · median $17,125 2 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $10,596 – $10,596 · median $10,596 2 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,202 – $8,202 · median $8,202 2 plans
453 Combined anterior/posterior spinal fusion w MCC $67,974 – $67,974 · median $67,974 2 plans
454 Combined anterior/posterior spinal fusion w CC $45,087 – $45,087 · median $45,087 2 plans
455 Combined anterior/posterior spinal fusion w/o CC/MCC $35,423 – $35,423 · median $35,423 2 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $49,772 – $49,772 · median $49,772 2 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,077 – $29,077 · median $29,077 2 plans