St. Mary's General Hospital — Pricing

879 procedures published in this hospital's Machine-Readable File (MRF) — 877 with a comparable price, 2 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 879
Lowest published price $2,694
Average published price $31,253
Highest published price $476,300

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 879 procedures

Published charges

Showing all 877 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 24 procedures, this hospital's negotiated rates average ≈137% 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 AND OTHER IMMUNOTHERAPIES $476,300 $535,964 $391,526 +22% $498,715 −4% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $352,182 $400,732 $338,950 +4% $431,073 −18% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $284,729 $337,746 $236,577 +20% $306,087 −7% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $262,607 $305,283 $260,247 +1% $371,366 −29% —
612 UnGrouped $215,371 — $215,371 — $249,205 −14% —
636 UnGrouped $197,631 — $197,631 — $59,860 +230% —
633 UnGrouped $177,559 — $36,562 +386% $31,241 +468% —
631 UnGrouped $172,973 — $347,562 −50% $312,990 −45% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $171,500 $201,830 $170,027 +1% $245,241 −30% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $168,893 $157,761 $114,404 +48% $169,977 −1% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $163,352 $187,261 $122,488 +33% $182,314 −10% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $162,142 $151,741 $116,471 +39% $191,314 −15% —
007 LUNG TRANSPLANT $158,981 $186,794 $126,907 +25% $170,608 −7% —
850 UnGrouped $139,772 $132,147 $77,091 +81% $121,563 +15% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $134,671 $152,515 $128,144 +5% $159,181 −15% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $131,178 $115,842 $96,999 +35% $134,914 −3% —
429 UnGrouped $126,714 $119,802 $72,481 +75% $120,174 +5% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $123,797 $138,370 $113,415 +9% $175,437 −29% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $119,496 — $103,861 +15% $103,861 +15% —
359 UnGrouped $111,363 — $111,363 — $110,732 +1% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $111,152 $113,946 $69,210 +61% $105,228 +6% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $110,097 $121,624 $111,108 −1% $151,029 −27% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $108,550 $155,979 $102,715 +6% $171,338 −37% —
231 CORONARY BYPASS WITH PTCA WITH MCC $108,130 $121,691 $105,048 +3% $146,474 −26% —
426 UnGrouped $106,896 $150,049 $99,176 +8% $142,326 −25% —
222 UnGrouped $102,388 — $86,864 +18% $86,864 +18% —
447 UnGrouped $102,199 $96,624 $69,607 +47% $114,914 −11% —
681 UnGrouped $101,913 — $101,913 — $80,278 +27% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $99,484 $112,375 $99,484 +0% $138,868 −28% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $99,474 $79,942 $57,383 +73% $101,235 −2% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $98,899 $111,257 $88,104 +12% $143,242 −31% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $96,002 $107,385 $96,002 +0% $120,587 −20% —
224 UnGrouped $93,423 — $53,680 +74% $80,427 +16% —
010 PANCREAS TRANSPLANT $91,224 $114,594 $69,287 +32% $99,940 −9% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $88,735 $101,757 $62,554 +42% $131,961 −33% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $88,135 $86,509 $71,503 +23% $113,855 −23% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $87,092 $100,191 $81,678 +7% $138,008 −37% —
226 UnGrouped $85,791 — $19,012 +351% $72,618 +18% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $85,250 $98,375 $59,339 +44% $105,612 −19% —
635 UnGrouped $84,225 — $84,225 — $822 +10146% —
430 UnGrouped $83,703 $79,137 $65,827 +27% $93,783 −11% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $83,134 $96,258 $56,660 +47% $89,353 −7% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $82,746 $72,234 $57,822 +43% $96,905 −15% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $82,548 $93,127 $56,890 +45% $121,714 −32% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $82,348 $82,947 $69,568 +18% $107,355 −23% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $82,283 $87,148 $70,720 +16% $98,260 −16% —
317 UnGrouped $81,816 $89,280 $74,441 +10% $94,988 −14% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $80,244 $93,259 $56,462 +42% $116,058 −31% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $80,211 — $75,879 +6% $75,251 +7% —
223 UnGrouped $79,978 — $69,592 +15% $59,206 +35% —
634 UnGrouped $79,944 — $20,469 +291% $37,527 +113% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $79,734 — $79,734 +0% $69,101 +15% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $79,229 $50,828 $30,833 +157% $56,242 +41% —
450 UnGrouped $78,902 $74,597 $44,547 +77% $79,944 −1% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $78,888 $91,234 $76,100 +4% $109,331 −28% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $78,586 $88,179 $53,665 +46% $106,238 −26% —
613 UnGrouped $76,388 — $76,388 — $245,258 −69% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $76,269 $85,921 $73,928 +3% $92,238 −17% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $76,220 $88,881 $76,220 +0% $98,912 −23% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $75,722 $89,394 $56,010 +35% $117,280 −35% —
028 SPINAL PROCEDURES WITH MCC $75,626 $87,766 $74,391 +2% $95,858 −21% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $75,351 $84,999 $67,362 +12% $112,062 −33% —
427 UnGrouped $74,511 $102,263 $60,256 +24% $121,728 −39% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $73,617 $84,122 $71,838 +2% $96,192 −23% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $73,614 $88,576 $77,989 −6% $108,472 −32% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $72,550 $82,461 $74,760 −3% $106,778 −32% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $72,336 $87,148 $61,708 +17% $81,176 −11% —
225 UnGrouped $71,965 — $270,181 −73% $57,380 +25% —
653 MAJOR BLADDER PROCEDURES WITH MCC $71,396 $80,612 $62,070 +15% $97,046 −26% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $71,148 $96,098 $61,786 +15% $118,589 −40% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $71,004 $79,942 $46,891 +51% $76,583 −7% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $69,661 $78,545 $69,661 +0% $94,927 −27% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $69,374 $78,720 $53,926 +29% $86,459 −20% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $68,626 $78,152 $46,936 +46% $78,582 −13% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $67,903 $77,008 $61,822 +10% $102,573 −34% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $67,891 $78,080 $46,225 +47% $86,953 −22% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $67,860 $76,675 $47,356 +43% $102,177 −34% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $67,787 $78,072 $46,886 +45% $82,527 −18% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $67,620 $72,573 $43,716 +55% $70,735 −4% —
227 UnGrouped $66,898 — $66,898 +0% $56,960 +17% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $66,133 $73,590 $59,697 +11% $80,747 −18% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $65,645 $73,811 $65,645 +0% $96,222 −32% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $64,895 $51,649 $48,061 +35% $62,404 +4% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $64,580 $72,489 $66,300 −3% $87,018 −26% ≈140% of Medicare
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $64,438 $62,808 $55,653 +16% $83,441 −23% —
632 UnGrouped $64,202 — $64,202 — $50,322 — —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $63,834 $72,994 $49,585 +29% $87,565 −27% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,739 $67,539 $49,595 +29% $91,329 −30% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $63,354 $72,517 $43,480 +46% $84,861 −25% —
245 AICD GENERATOR PROCEDURES $63,348 $70,867 $61,075 +4% $72,076 −12% —
471 CERVICAL SPINAL FUSION WITH MCC $63,062 $70,449 $58,448 +8% $92,515 −32% —
448 UnGrouped $62,918 $59,485 $34,642 +82% $81,998 −23% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $62,913 — $58,617 +7% $54,320 +16% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $62,822 $66,689 $62,792 +0% $88,050 −29% —
006 LIVER TRANSPLANT WITHOUT MCC $62,532 $70,334 $48,936 +28% $84,407 −26% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $62,258 $69,290 $53,961 +15% $88,691 −30% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $61,790 $63,868 $46,152 +34% $75,585 −18% —
799 SPLENIC PROCEDURES WITH MCC $61,120 $68,997 $63,003 −3% $78,821 −22% —
163 MAJOR CHEST PROCEDURES WITH MCC $61,059 $66,934 $54,801 +11% $88,341 −31% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $60,077 $68,984 $54,442 +10% $86,390 −30% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $59,849 $67,930 $58,079 +3% $80,885 −26% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $59,279 $66,698 $54,333 +9% $90,331 −34% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $58,531 $85,857 $71,534 −18% $80,018 −27% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $58,489 $45,640 $37,378 +56% $65,325 −10% —
428 UnGrouped $58,079 $79,613 $66,231 −12% $105,899 −45% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $57,288 $64,402 $37,586 +52% $68,847 −17% —
230 UnGrouped $57,284 — $38,975 +47% $88,720 −35% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $57,101 $64,994 $44,906 +27% $88,307 −35% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $56,990 $68,287 $56,801 +0% $92,217 −38% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $56,441 $65,551 $50,907 +11% $72,859 −23% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $55,714 $65,170 $44,319 +26% $76,954 −28% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $55,014 $61,977 $55,014 +0% $88,049 −38% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $54,189 $62,067 $52,759 +3% $82,561 −34% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $53,339 $59,858 $41,582 +28% $66,853 −20% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $53,333 $66,907 $40,443 +32% $71,551 −25% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $53,050 $58,071 $45,405 +17% $71,701 −26% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $52,570 $59,890 $46,520 +13% $82,247 −36% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $52,219 $60,989 $51,316 +2% $72,945 −28% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $52,205 $59,257 $48,943 +7% $72,011 −28% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $52,138 $59,771 $35,828 +46% $73,029 −29% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $52,032 $56,389 $34,783 +50% $62,961 −17% —
361 UnGrouped $52,011 — $52,011 — $79,921 −35% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $51,803 $74,355 $59,897 −14% $99,423 −48% —
647 UnGrouped $51,637 — $51,637 — $37,122 — —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $51,290 $62,934 $33,230 +54% $59,352 −14% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $51,231 $57,418 $47,381 +8% $61,832 −17% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $50,916 $51,236 $42,905 +19% $59,207 −14% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $50,803 — $50,803 +0% $50,815 −0% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $50,459 $61,003 $50,459 +0% $68,659 −27% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $50,307 $40,399 $23,780 +112% $48,358 +4% —
360 UnGrouped $50,301 — $50,301 — $93,769 −46% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $50,293 $58,032 $47,902 +5% $57,521 −13% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $50,198 $57,533 $35,390 +42% $68,006 −26% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $49,790 $57,031 $40,083 +24% $78,852 −37% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $49,588 $55,493 $47,667 +4% $74,755 −34% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $49,427 $55,073 $44,874 +10% $74,257 −33% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $49,420 $56,725 $33,950 +46% $72,908 −32% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $49,404 $52,966 $46,502 +6% $71,755 −31% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $49,362 $55,786 $35,111 +41% $75,103 −34% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $48,736 $56,181 $48,736 +0% $72,782 −33% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $48,640 $54,647 $46,834 +4% $60,861 −20% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $47,990 $56,334 $33,398 +44% $55,097 −13% —
451 UnGrouped $47,969 $45,352 $26,180 +83% $65,216 −26% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $47,375 $53,325 $36,817 +29% $62,524 −24% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $47,020 $49,688 $43,918 +7% $70,132 −33% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $46,330 $52,417 $29,586 +57% $57,855 −20% —
646 UnGrouped $46,308 — $46,308 — $45,984 — —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $45,738 $51,636 $29,942 +53% $50,919 −10% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $45,733 $52,419 $30,575 +50% $59,425 −23% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $45,679 $51,272 $31,947 +43% $68,399 −33% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $45,548 $51,943 $35,670 +28% $70,540 −35% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $45,543 $49,889 $38,294 +19% $67,901 −33% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $45,480 $51,510 $43,922 +4% $56,964 −20% —
984 UnGrouped $45,263 — $45,263 — $23,289 +94% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $44,954 $52,408 $31,290 +44% $64,776 −31% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $44,905 $51,256 $38,991 +15% $65,383 −31% —
265 AICD LEAD PROCEDURES $44,846 $52,170 $31,144 +44% $56,695 −21% —
332 RECTAL RESECTION WITH MCC $44,785 $50,774 $29,427 +52% $58,125 −23% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $44,665 $46,898 $27,766 +61% $66,819 −33% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $44,596 $50,158 $42,906 +4% $68,880 −35% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $44,289 $51,148 $29,651 +49% $51,953 −15% —
252 OTHER VASCULAR PROCEDURES WITH MCC $43,988 $50,232 $42,633 +3% $68,508 −36% —
665 PROSTATECTOMY WITH MCC $43,765 $50,277 $41,317 +6% $54,072 −19% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $43,691 $50,354 $30,024 +46% $62,269 −30% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,615 $45,106 $32,419 +35% $53,555 −19% —
402 UnGrouped $43,489 $57,058 $33,189 +31% $75,492 −42% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $43,419 $61,550 $34,907 +24% $60,098 −28% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $42,960 $49,188 $28,756 +49% $64,152 −33% —
037 EXTRACRANIAL PROCEDURES WITH MCC $42,787 $48,680 $28,173 +52% $64,749 −34% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $42,533 $60,579 $42,533 +0% $83,065 −49% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $42,179 $47,941 $33,894 +24% $65,254 −35% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $42,113 $47,241 $27,579 +53% $64,956 −35% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $42,044 $42,925 $35,073 +20% $67,764 −38% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $41,860 $47,030 $40,209 +4% $57,277 −27% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $41,789 $46,811 $27,054 +54% $49,710 −16% —
652 KIDNEY TRANSPLANT $41,707 $45,145 $27,280 +53% $54,720 −24% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $41,610 $60,718 $35,380 +18% $16,719 +149% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $41,602 $46,599 $26,927 +55% $51,142 −19% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $41,364 $50,721 $30,877 +34% $49,065 −16% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $40,915 $47,809 $38,910 +5% $54,129 −24% —
500 SOFT TISSUE PROCEDURES WITH MCC $40,893 $46,524 $27,145 +51% $57,479 −29% —
662 MINOR BLADDER PROCEDURES WITH MCC $40,771 $45,828 $30,960 +32% $54,483 −25% —
246 UnGrouped $40,753 — $192,321 −79% $33,983 +20% —
791 PREMATURITY WITH MAJOR PROBLEMS $40,555 $59,151 $45,159 −10% $39,563 +3% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $40,505 $47,789 $28,474 +42% $64,465 −37% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $40,214 $45,321 $27,771 +45% $53,817 −25% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $40,209 $45,443 $26,998 +49% $62,821 −36% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,191 $42,204 $29,422 +37% $56,758 −29% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $40,158 $45,848 $37,451 +7% $65,573 −39% —
248 UnGrouped $39,920 — $45,105 −11% $34,146 +17% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $39,907 $46,690 $27,638 +44% $44,472 −10% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $39,789 $42,180 $24,988 +59% $53,551 −26% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $39,680 $44,964 $34,191 +16% $63,475 −37% —
570 SKIN DEBRIDEMENT WITH MCC $39,278 $44,278 $26,159 +50% $52,435 −25% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $39,246 $57,305 $33,337 +18% $54,196 −28% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $38,604 $43,298 $36,997 +4% $63,984 −40% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $38,407 $43,405 $25,014 +54% $54,313 −29% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $38,327 $43,184 $26,562 +44% $60,140 −36% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $38,076 $43,938 $25,951 +47% $46,402 −18% —
472 CERVICAL SPINAL FUSION WITH CC $37,926 $42,677 $25,060 +51% $59,537 −36% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $37,915 $48,411 $28,012 +35% $52,908 −28% —
668 TRANSURETHRAL PROCEDURES WITH MCC $37,695 $42,948 $25,343 +49% $47,277 −20% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $37,607 $41,378 $32,590 +15% $48,907 −23% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $37,480 $39,805 $24,914 +50% $44,839 −16% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $37,438 $42,890 $25,425 +47% $54,475 −31% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $37,133 $41,963 $24,151 +54% $74,274 −50% ≈125% of Medicare
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $37,128 $42,251 $24,323 +53% $58,968 −37% —
800 SPLENIC PROCEDURES WITH CC $37,085 $42,912 $25,439 +46% $49,184 −25% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $36,883 $42,123 $24,247 +52% $49,055 −25% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $36,750 $40,259 $23,568 +56% $44,973 −18% —
608 UnGrouped $36,749 — $36,749 — $117,471 −69% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $36,722 $41,419 $24,059 +53% $58,043 −37% —
654 MAJOR BLADDER PROCEDURES WITH CC $36,584 $41,613 $24,176 +51% $53,868 −32% —
338 UnGrouped $36,047 — $30,138 +20% $30,138 +20% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $35,962 $50,430 $30,072 +20% $71,014 −49% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $35,832 $39,931 $28,045 +28% $57,963 −38% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $35,730 $40,120 $23,718 +51% $43,491 −18% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $35,557 $40,329 $22,859 +56% $45,497 −22% —
648 UnGrouped $35,502 — $35,502 — $25,606 — —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $35,123 $38,796 $22,797 +54% $54,929 −36% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $35,103 $39,221 $22,509 +56% $40,947 −14% —
503 FOOT PROCEDURES WITH MCC $34,335 $39,126 $23,106 +49% $43,901 −22% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $34,324 $39,356 $22,590 +52% $45,432 −24% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $34,300 $39,654 $22,768 +51% $52,405 −35% —
263 VEIN LIGATION AND STRIPPING $34,143 $39,629 $23,200 +47% $44,938 −24% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $33,980 $38,700 $21,896 +55% $43,697 −22% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $33,961 $39,088 $29,424 +15% $40,277 −16% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $33,632 $37,812 $21,877 +54% $38,878 −13% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $33,632 $39,175 $22,177 +52% $45,290 −26% —
397 APPENDIX PROCEDURES WITH MCC $33,620 $36,735 $21,532 +56% $52,319 −36% —
253 OTHER VASCULAR PROCEDURES WITH CC $33,543 $37,800 $22,753 +47% $53,746 −38% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $33,263 $38,244 $22,354 +49% $48,094 −31% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $33,133 $37,081 $21,745 +52% $55,162 −40% —
164 MAJOR CHEST PROCEDURES WITH CC $33,120 $37,290 $21,353 +55% $53,141 −38% —
131 UnGrouped $33,072 — $33,072 — $23,289 +42% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $32,993 $38,305 $21,960 +50% $41,703 −21% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $32,934 $37,430 $21,147 +56% $39,657 −17% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $32,839 $37,732 $22,247 +48% $57,149 −43% —
318 UnGrouped $32,793 — $32,793 — $58,739 −44% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $32,767 $34,425 $20,257 +62% $36,080 −9% —
849 RADIOTHERAPY $32,720 $39,474 $22,353 +46% $37,862 −14% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $32,549 $34,394 $19,811 +64% $51,339 −37% —
677 UnGrouped $32,330 — $32,330 — $23,111 — —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $32,287 $37,402 $22,044 +46% $46,659 −31% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $32,141 $36,593 $20,936 +54% $52,332 −39% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,140 $33,547 $19,668 +63% $50,011 −36% —
362 UnGrouped $32,113 — $32,113 — $122,668 −74% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $32,103 $36,317 $21,375 +50% $51,985 −38% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $32,008 $36,031 $20,599 +55% $54,824 −42% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $31,801 $35,897 $20,519 +55% $46,591 −32% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $31,750 $35,118 $20,052 +58% $58,832 −46% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $31,610 $37,107 $20,668 +53% $39,409 −20% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $31,391 $35,593 $20,337 +54% $47,583 −34% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $31,326 $35,300 $28,596 +10% $52,313 −40% —
396 UnGrouped $31,273 — $31,273 — $31,273 — —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $31,265 $35,790 $20,655 +51% $40,065 −22% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $31,081 $35,171 $20,281 +53% $50,624 −39% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $31,015 $35,162 $20,663 +50% $40,548 −24% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $31,006 $35,647 $28,417 +9% $56,394 −45% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $30,632 $35,064 $20,508 +49% $47,546 −36% —
129 UnGrouped $30,589 — $30,589 — $23,289 +31% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $30,548 $35,593 $20,337 +50% $39,093 −22% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $30,514 $34,763 $20,417 +49% $50,139 −39% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $30,329 $34,335 $27,750 +9% $49,631 −39% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,230 $31,497 $17,642 +71% $56,519 −47% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $30,209 $33,918 $19,713 +53% $43,586 −31% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $30,127 $33,258 $18,682 +61% $44,053 −32% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $30,020 $37,547 $18,088 +66% $36,097 −17% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $29,995 $33,623 $19,533 +54% $44,989 −33% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $29,971 $31,830 $18,686 +60% $37,654 −20% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $29,962 $34,502 $19,683 +52% $36,237 −17% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $29,846 $33,494 $19,545 +53% $45,059 −34% —
113 ORBITAL PROCEDURES WITH CCMCC $29,806 $33,601 $19,331 +54% $35,642 −16% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $29,722 $33,859 $19,487 +53% $46,430 −36% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $29,712 $33,979 $19,842 +50% $39,253 −24% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $29,648 $34,078 $19,811 +50% $36,334 −18% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $29,532 $33,625 $19,158 +54% $38,998 −24% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $29,512 $33,734 $19,224 +54% $37,064 −20% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $29,244 $33,536 $19,570 +49% $48,682 −40% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $29,226 $31,332 $17,896 +63% $46,066 −37% —
363 UnGrouped $29,181 — $29,181 — $80,707 −64% —
030 SPINAL PROCEDURES WITHOUT CCMCC $29,112 $33,159 $18,879 +54% $45,818 −36% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $29,014 $31,422 $19,834 +46% $35,686 −19% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $28,967 $31,886 $18,559 +56% $45,622 −37% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $28,922 $32,790 $18,841 +54% $38,382 −25% —
336 PERITONEAL ADHESIOLYSIS WITH CC $28,917 $31,556 $21,904 +32% $49,470 −42% —
709 PENIS PROCEDURES WITH CCMCC $28,869 $33,466 $19,437 +49% $34,535 −16% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $28,789 $34,132 $19,273 +49% $37,080 −22% —
341 UnGrouped $28,745 — $60,576 −53% $25,628 +12% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $28,205 $32,010 $18,191 +55% $36,850 −23% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $28,174 $32,500 $19,259 +46% $41,900 −33% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $28,134 $31,891 $17,874 +57% $35,569 −21% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $28,088 $32,194 $19,205 +46% $44,553 −37% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $28,021 $31,543 $17,669 +59% $38,420 −27% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $27,949 $32,140 $18,627 +50% $38,357 −27% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $27,730 $31,889 $18,560 +49% $40,232 −31% —
935 NON-EXTENSIVE BURNS $27,730 $32,748 $18,633 +49% $29,458 −6% —
374 DIGESTIVE MALIGNANCY WITH MCC $27,679 $31,543 $18,263 +52% $38,885 −29% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $27,561 $32,364 $18,584 +48% $37,902 −27% —
595 MAJOR SKIN DISORDERS WITH MCC $27,470 $31,596 $17,943 +53% $31,785 −14% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $27,392 $31,060 $17,623 +55% $41,651 −34% —
333 RECTAL RESECTION WITH CC $27,383 $31,740 $18,469 +48% $34,352 −20% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $27,347 $31,678 $18,345 +49% $46,477 −41% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $27,322 $31,026 $17,775 +54% $51,172 −47% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $27,143 $29,938 $17,364 +56% $43,524 −38% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,888 $30,365 $17,206 +56% $30,661 −12% —
906 HAND PROCEDURES FOR INJURIES $26,881 $32,551 $18,264 +47% $31,520 −15% —
548 SEPTIC ARTHRITIS WITH MCC $26,763 $30,172 $17,091 +57% $31,019 −14% —
539 OSTEOMYELITIS WITH MCC $26,687 $30,282 $17,157 +56% $33,746 −21% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $26,581 $29,475 $16,673 +59% $41,520 −36% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $26,559 $27,198 $15,683 +69% $40,063 −34% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $26,554 $30,207 $17,112 +55% $41,660 −36% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $26,496 $29,942 $16,953 +56% $44,363 −40% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $26,464 $30,637 $17,710 +49% $34,089 −22% —
133 UnGrouped $26,406 — $35,227 — $23,289 +13% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $26,386 $26,532 $14,911 +77% $35,673 −26% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $26,263 $29,655 $17,190 +53% $43,398 −39% —
985 UnGrouped $26,255 — $26,255 — $23,289 +13% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $26,224 $31,247 $17,735 +48% $32,483 −19% —
711 TESTES PROCEDURES WITH CCMCC $26,216 $28,698 $16,209 +62% $34,852 −25% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $26,167 $30,131 $18,104 +45% $45,817 −43% —
247 UnGrouped $26,136 — $31,429 −17% $21,663 +21% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $26,092 $28,996 $16,387 +59% $42,881 −39% —
649 UnGrouped $26,085 — $26,085 — $19,697 — —
592 SKIN ULCERS WITH MCC $26,039 $30,763 $17,616 +48% $32,662 −20% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $26,034 $29,583 $17,146 +52% $43,800 −41% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $25,902 $29,812 $16,875 +53% $35,714 −27% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $25,868 $29,792 $17,194 +50% $35,139 −26% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $25,715 $29,567 $17,136 +50% $43,775 −41% —
100 SEIZURES WITH MCC $25,688 $29,757 $17,172 +50% $35,194 −27% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $25,645 $29,089 $16,604 +54% $36,202 −29% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $25,628 $29,918 $17,271 +48% $29,109 −12% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $25,611 $32,987 $19,498 +31% $44,600 −43% ≈138% of Medicare
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $25,604 $29,428 $16,645 +54% $35,237 −27% ≈125% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $25,597 $30,142 $17,073 +50% $30,940 −17% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $25,567 $29,415 $16,964 +51% $43,538 −41% —
380 COMPLICATED PEPTIC ULCER WITH MCC $25,523 $28,893 $16,722 +53% $36,641 −30% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $25,514 $29,318 $16,579 +54% $29,524 −14% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $25,480 $29,386 $16,783 +52% $36,933 −31% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $25,411 $28,514 $16,567 +53% $42,126 −40% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $25,378 $29,333 $16,589 +53% $35,014 −28% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $25,342 $28,730 $16,227 +56% $33,165 −24% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $25,290 $28,343 $16,152 +57% $49,197 −49% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $25,286 $23,907 $13,339 +90% $34,906 −28% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $25,199 $36,337 $20,782 +21% $11,633 +117% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $25,196 $29,123 $16,240 +55% $43,080 −42% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $25,188 $28,514 $16,098 +56% $35,459 −29% —
249 UnGrouped $25,041 — $20,346 +23% $20,610 +21% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $25,008 $29,313 $16,902 +48% $33,050 −24% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $24,922 $28,412 $16,037 +55% $32,399 −23% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $24,915 $29,754 $16,841 +48% $29,633 −16% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $24,915 $28,453 $16,062 +55% $36,280 −31% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $24,893 $27,918 $15,528 +60% $32,538 −23% —
364 UnGrouped $24,846 — $21,270 +17% $46,852 −47% —
676 UnGrouped $24,726 — $24,726 — $25,040 — —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $24,656 $28,038 $15,813 +56% $41,380 −40% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $24,610 $27,530 $15,661 +57% $40,583 −39% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $24,582 $28,054 $15,978 +54% $35,114 −30% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $24,552 $28,341 $16,152 +52% $45,963 −47% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $24,457 $26,861 $15,108 +62% $48,680 −50% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $24,446 $27,517 $15,653 +56% $40,563 −40% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $24,442 $28,346 $15,997 +53% $32,981 −26% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,415 $27,929 $15,902 +54% $30,974 −21% —
398 APPENDIX PROCEDURES WITH CC $24,344 $23,068 $12,663 +92% $39,107 −38% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $24,193 $27,782 $15,813 +53% $29,609 −18% —
919 COMPLICATIONS OF TREATMENT WITH MCC $24,183 $27,466 $15,622 +55% $29,031 −17% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $24,077 $32,031 $18,382 +31% $31,044 −22% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,038 $25,289 $14,167 +70% $33,607 −28% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $24,020 $27,389 $15,800 +52% $37,842 −37% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $23,998 $27,262 $15,140 +59% $54,772 −56% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $23,966 $27,600 $15,340 +56% $40,694 −41% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $23,932 $28,323 $16,297 +47% $30,766 −22% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $23,878 $27,391 $15,426 +55% $36,597 −35% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $23,868 $27,510 $15,497 +54% $40,552 −41% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $23,838 $28,375 $16,015 +49% $32,204 −26% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $23,797 $27,480 $15,782 +51% $37,950 −37% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $23,717 $27,680 $15,904 +49% $30,394 −22% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $23,701 $26,531 $15,203 +56% $39,018 −39% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $23,645 $26,789 $15,065 +57% $31,909 −26% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $23,513 $27,456 $15,616 +51% $36,375 −35% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $23,448 $26,848 $15,101 +55% $33,564 −30% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $23,430 $26,414 $14,950 +57% $38,836 −40% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $23,389 $26,226 $14,728 +59% $32,839 −29% —
501 SOFT TISSUE PROCEDURES WITH CC $23,384 $26,915 $15,581 +50% $37,975 −38% —
504 FOOT PROCEDURES WITH CC $23,233 $26,494 $14,889 +56% $36,598 −37% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $23,184 $32,069 $18,227 +27% $34,900 −34% —
509 ARTHROSCOPY $23,064 $26,518 $14,903 +55% $25,994 −11% —
180 RESPIRATORY NEOPLASMS WITH MCC $23,059 $26,392 $14,973 +54% $36,658 −37% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $22,968 $26,749 $15,336 +50% $36,242 −37% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $22,815 $26,264 $14,751 +55% $30,814 −26% —
671 URETHRAL PROCEDURES WITH CCMCC $22,790 $26,050 $14,623 +56% $27,233 −16% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $22,769 $24,255 $14,418 +58% $35,453 −36% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $22,766 $26,124 $14,811 +54% $29,826 −24% —
505 FOOT PROCEDURES WITHOUT CCMCC $22,765 $26,494 $14,889 +53% $31,716 −28% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,747 $25,941 $14,843 +53% $38,094 −40% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $22,723 $25,730 $14,431 +57% $43,266 −47% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $22,708 $25,625 $14,368 +58% $29,729 −24% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $22,697 $26,440 $14,856 +53% $34,264 −34% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $22,629 $27,263 $15,500 +46% $29,476 −23% —
597 MALIGNANT BREAST DISORDERS WITH MCC $22,607 $26,518 $14,903 +52% $31,846 −29% —
915 ALLERGIC REACTIONS WITH MCC $22,597 $26,252 $14,888 +52% $30,944 −27% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $22,528 $26,395 $15,120 +49% $31,758 −29% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,449 $27,728 $16,156 +39% $28,375 −21% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $22,436 $24,531 $13,714 +64% $31,840 −30% ≈137% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $22,386 $24,830 $13,893 +61% $36,333 −38% —
666 PROSTATECTOMY WITH CC $22,386 $24,968 $14,112 +59% $30,016 −25% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $22,341 $25,270 $14,294 +56% $28,103 −21% —
551 MEDICAL BACK PROBLEMS WITH MCC $22,338 $25,805 $14,618 +53% $31,086 −28% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $22,338 $24,981 $13,793 +62% $25,197 −11% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $22,304 $25,355 $14,485 +54% $29,916 −25% —
199 PNEUMOTHORAX WITH MCC $22,298 $26,640 $15,123 +47% $31,491 −29% —
571 SKIN DEBRIDEMENT WITH CC $22,289 $25,350 $14,343 +55% $34,901 −36% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $22,215 $25,183 $13,994 +59% $27,548 −19% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $22,189 $25,493 $14,290 +55% $31,128 −29% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $22,169 $25,444 $14,260 +55% $30,058 −26% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $22,132 $25,020 $14,006 +58% $44,117 −50% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $22,119 $26,518 $15,049 +47% $29,558 −25% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $22,107 $25,125 $14,069 +57% $42,119 −48% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $22,077 $25,200 $14,391 +53% $32,502 −32% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $22,073 $25,564 $14,613 +51% $29,409 −25% —
104 UnGrouped $22,045 — $22,045 — $45,286 — —
643 ENDOCRINE DISORDERS WITH MCC $22,003 $25,110 $14,060 +56% $32,996 −33% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $21,993 $25,579 $14,340 +53% $28,578 −23% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $21,986 $25,091 $14,049 +56% $32,689 −33% —
157 DENTAL AND ORAL DISEASES WITH MCC $21,936 $24,829 $13,892 +58% $27,457 −20% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $21,923 $24,884 $14,198 +54% $28,967 −24% ≈144% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $21,904 $25,264 $14,152 +55% $30,930 −29% —
339 UnGrouped $21,901 — $18,474 +19% $18,474 +19% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $21,892 $24,649 $14,054 +56% $26,020 −16% —
038 EXTRACRANIAL PROCEDURES WITH CC $21,682 $24,458 $13,669 +59% $35,770 −39% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $21,611 $24,888 $14,064 +54% $28,634 −25% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $21,581 $24,234 $13,535 +59% $33,984 −36% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $21,515 $23,968 $13,487 +60% $29,371 −27% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $21,515 $24,842 $14,036 +53% $30,910 −30% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $21,488 $24,339 $13,598 +58% $35,584 −40% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $21,469 $24,660 $13,926 +54% $27,168 −21% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $21,422 $24,105 $13,458 +59% $39,747 −46% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $21,334 $24,860 $13,910 +53% $28,134 −24% —
075 VIRAL MENINGITIS WITH CCMCC $21,276 $26,032 $14,216 +50% $29,853 −29% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $21,236 $23,768 $13,256 +60% $41,380 −49% —
691 UnGrouped $21,218 — $21,218 — $31,905 −33% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $21,194 $24,017 $13,406 +58% $33,490 −37% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $21,181 $24,408 $13,640 +55% $35,692 −41% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $21,153 $23,844 $13,302 +59% $31,059 −32% —
913 TRAUMATIC INJURY WITH MCC $21,125 $24,557 $13,729 +54% $24,198 −13% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $21,107 $24,206 $13,518 +56% $35,375 −40% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $21,098 $23,806 $13,279 +59% $32,490 −35% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $21,064 $24,903 $13,936 +51% $31,566 −33% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,051 $24,547 $13,351 +58% $25,731 −18% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $21,048 $23,605 $13,417 +57% $34,434 −39% —
186 PLEURAL EFFUSION WITH MCC $21,033 $24,014 $13,404 +57% $32,468 −35% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $21,014 $24,670 $13,610 +54% $24,465 −14% —
710 PENIS PROCEDURES WITHOUT CCMCC $21,007 $22,901 $12,737 +65% $23,814 −12% —
334 RECTAL RESECTION WITHOUT CCMCC $20,992 $25,128 $14,071 +49% $32,213 −35% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $20,969 $23,861 $13,312 +58% $32,936 −36% —
183 MAJOR CHEST TRAUMA WITH MCC $20,888 $24,118 $13,466 +55% $28,924 −28% —
663 MINOR BLADDER PROCEDURES WITH CC $20,783 $23,269 $13,212 +57% $29,924 −31% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $20,741 $23,378 $13,340 +55% $36,239 −43% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $20,688 $23,537 $13,118 +58% $24,036 −14% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $20,663 $23,133 $12,876 +60% $33,694 −39% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $20,631 $22,960 $13,023 +58% $33,424 −38% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,605 $22,721 $12,753 +62% $31,062 −34% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,518 $23,013 $12,930 +59% $27,279 −25% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $20,499 $23,530 $13,114 +56% $25,484 −20% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $20,484 $21,532 $11,918 +72% $35,542 −42% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $20,478 $23,021 $12,810 +60% $24,229 −15% —
533 FRACTURES OF FEMUR WITH MCC $20,417 $23,234 $12,936 +58% $25,945 −21% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $20,330 $22,937 $12,884 +58% $35,528 −43% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,292 $24,523 $14,108 +44% $27,118 −25% —
813 COAGULATION DISORDERS $20,282 $23,561 $13,132 +54% $30,128 −33% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $20,241 $23,527 $13,241 +53% $28,252 −28% —
682 RENAL FAILURE WITH MCC $20,202 $22,908 $12,741 +59% $27,854 −27% —
669 TRANSURETHRAL PROCEDURES WITH CC $20,142 $23,554 $13,128 +53% $34,354 −41% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $20,127 $22,945 $12,763 +58% $33,792 −40% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $20,007 $22,882 $12,726 +57% $25,854 −23% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $19,964 $22,340 $12,523 +59% $32,451 −38% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $19,949 $23,320 $13,243 +51% $24,879 −20% —
945 REHABILITATION WITH CCMCC $19,915 $23,256 $12,775 +56% $23,834 −16% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $19,909 $23,120 $12,869 +55% $30,972 −36% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $19,893 $22,454 $12,592 +58% $28,780 −31% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $19,823 $21,315 $11,903 +67% $24,561 −19% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $19,816 $22,447 $12,466 +59% $25,152 −21% —
506 MAJOR THUMB OR JOINT PROCEDURES $19,749 $22,868 $12,842 +54% $28,983 −32% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $19,688 $22,678 $12,604 +56% $28,140 −30% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $19,643 $22,777 $12,912 +52% $33,137 −41% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $19,625 $22,633 $12,700 +55% $32,911 −40% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $19,599 $22,447 $12,466 +57% $25,786 −24% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $19,503 $22,868 $12,842 +52% $29,484 −34% —
606 MINOR SKIN DISORDERS WITH MCC $19,501 $24,444 $13,661 +43% $25,434 −23% —
865 VIRAL ILLNESS WITH MCC $19,487 $22,539 $12,521 +56% $26,088 −25% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $19,473 $22,349 $12,529 +55% $25,149 −23% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $19,455 $22,116 $12,387 +57% $29,663 −34% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $19,451 $27,895 $15,515 +25% $22,698 −14% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $19,449 $22,364 $12,416 +57% $29,211 −33% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $19,387 $21,932 $12,276 +58% $31,812 −39% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $19,354 $23,585 $13,276 +46% $28,646 −32% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $19,308 $21,482 $11,888 +62% $24,452 −21% —
637 DIABETES WITH MCC $19,297 $22,262 $12,597 +53% $28,819 −33% ≈127% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $19,252 $22,844 $12,703 +52% $24,450 −21% —
693 URINARY STONES WITH MCC $19,251 $22,461 $12,474 +54% $22,525 −15% —
132 UnGrouped $19,234 — $19,234 — $23,289 −17% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $19,199 $21,737 $12,041 +59% $21,615 −11% —
609 UnGrouped $19,182 — $19,182 — $1,256,233 −98% —
088 CONCUSSION WITH MCC $19,169 $21,616 $11,968 +60% $24,402 −21% —
602 CELLULITIS WITH MCC $19,160 $22,444 $12,464 +54% $29,347 −35% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $19,092 $21,681 $12,007 +59% $23,734 −20% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $19,043 $21,593 $12,188 +56% $29,757 −36% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $19,028 $27,168 $15,085 +26% $14,284 +33% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $18,903 $27,082 $15,241 +24% $24,836 −24% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $18,867 $21,934 $12,397 +52% $31,816 −41% —
130 UnGrouped $18,763 — $18,763 — $23,289 −19% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $18,754 $26,859 $15,107 +24% $30,275 −38% —
811 RED BLOOD CELL DISORDERS WITH MCC $18,747 $21,562 $12,169 +54% $27,934 −33% —
137 MOUTH PROCEDURES WITH CCMCC $18,733 $21,444 $11,981 +56% $24,348 −23% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $18,681 $22,019 $12,424 +50% $25,243 −26% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $18,679 $21,767 $11,895 +57% $25,010 −25% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $18,513 $21,042 $11,624 +59% $30,418 −39% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $18,499 $22,058 $12,232 +51% $22,525 −18% —
678 UnGrouped $18,472 — $18,472 — $13,557 — —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $18,452 $21,424 $11,853 +56% $30,006 −39% —
150 EPISTAXIS WITH MCC $18,422 $21,212 $11,841 +56% $21,133 −13% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $18,399 $21,328 $11,795 +56% $24,118 −24% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $18,395 $20,614 $11,645 +58% $30,358 −39% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $18,380 $20,651 $11,390 +61% $29,805 −38% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $18,358 $21,369 $11,500 +60% $25,666 −28% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $18,341 $21,090 $11,881 +54% $29,050 −37% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $18,251 $22,242 $12,175 +50% $24,941 −27% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $18,229 $20,828 $11,609 +57% $29,374 −38% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $18,212 $19,914 $10,801 +69% $22,811 −20% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $18,196 $20,811 $11,330 +61% $28,527 −36% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,128 $20,930 $11,784 +54% $24,980 −27% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $18,086 $21,045 $11,626 +56% $20,980 −14% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $18,040 $20,517 $11,310 +60% $31,978 −44% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $17,932 $20,707 $11,648 +54% $23,723 −24% —
767 UnGrouped $17,903 — $3,032 +490% $3,032 +490% —
342 UnGrouped $17,852 — $44,982 −60% $19,454 −8% —
139 SALIVARY GLAND PROCEDURES $17,813 $21,081 $11,648 +53% $21,014 −15% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $17,773 $20,298 $11,179 +59% $26,158 −32% ≈137% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $17,733 $20,296 $11,178 +59% $34,887 −49% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $17,699 $25,292 $14,169 +25% $25,208 −30% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $17,696 $20,471 $11,503 +54% $23,350 −24% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $17,692 $19,883 $10,930 +62% $23,924 −26% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $17,687 $20,102 $11,062 +60% $21,029 −16% —
291 HEART FAILURE AND SHOCK WITH MCC $17,681 $20,115 $11,286 +57% $25,020 −29% ≈143% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $17,616 $19,465 $10,889 +62% $27,947 −37% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,596 $20,534 $11,320 +55% $25,426 −31% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $17,581 $19,877 $10,927 +61% $24,316 −28% —
540 OSTEOMYELITIS WITH CC $17,486 $19,963 $11,086 +58% $23,494 −26% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $17,485 $20,211 $10,976 +59% $23,115 −24% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $17,477 $20,444 $11,487 +52% $24,480 −29% ≈128% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $17,415 $20,132 $11,297 +54% $23,956 −27% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $17,370 $19,540 $10,725 +62% $26,634 −35% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $17,356 $19,632 $10,780 +61% $22,275 −22% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $17,329 $19,598 $10,760 +61% $28,156 −38% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $17,215 $19,898 $11,047 +56% $23,920 −28% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $17,175 $18,827 $10,399 +65% $23,297 −26% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $17,159 $19,827 $10,897 +57% $27,244 −37% —
947 SIGNS AND SYMPTOMS WITH MCC $17,126 $19,852 $11,018 +55% $25,474 −33% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $17,100 $19,067 $10,441 +64% $27,321 −37% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $17,000 $19,632 $10,780 +58% $19,686 −14% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $16,957 $19,174 $10,506 +61% $27,492 −38% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $16,928 $19,517 $10,566 +60% $19,894 −15% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $16,877 $19,213 $10,529 +60% $20,727 −19% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $16,871 $19,265 $10,664 +58% $21,860 −23% —
986 UnGrouped $16,742 — $16,742 — $23,289 −28% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $16,698 $19,716 $11,094 +51% $22,557 −26% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $16,693 $19,082 $10,451 +60% $20,147 −17% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $16,668 $19,176 $10,507 +59% $22,032 −24% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $16,590 $19,269 $10,663 +56% $19,354 −14% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $16,565 $19,578 $10,748 +54% $25,623 −35% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $16,505 $19,272 $10,668 +55% $26,146 −37% —
401 UnGrouped $16,494 — $16,494 — $48,020 −66% —
549 SEPTIC ARTHRITIS WITH CC $16,473 $18,702 $10,085 +63% $20,938 −21% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $16,431 $19,027 $10,418 +58% $19,132 −14% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $16,356 $18,901 $10,444 +57% $23,588 −31% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $16,354 $18,714 $10,431 +57% $26,488 −38% —
375 DIGESTIVE MALIGNANCY WITH CC $16,337 $19,037 $10,526 +55% $27,219 −40% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $16,307 $15,840 $8,510 +92% $17,078 −5% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $16,288 $18,377 $10,028 +62% $19,598 −17% —
593 SKIN ULCERS WITH CC $16,283 $18,952 $10,474 +55% $20,470 −20% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $16,197 $18,965 $10,380 +56% $26,322 −38% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $16,175 $18,562 $10,139 +60% $20,421 −21% —
692 UnGrouped $16,154 — $72,604 −78% $25,916 −38% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $16,084 $19,160 $10,497 +53% $25,704 −37% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $16,011 $18,612 $10,169 +57% $27,369 −42% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,928 $18,031 $9,688 +64% $24,202 −34% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $15,915 $22,544 $12,888 +23% $7,961 +100% —
765 UnGrouped $15,907 — $5,336 +198% $5,336 +198% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $15,781 $18,107 $9,867 +60% $21,062 −25% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $15,780 $17,833 $9,798 +61% $25,390 −38% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $15,727 $18,209 $9,928 +58% $22,982 −32% ≈126% of Medicare
304 HYPERTENSION WITH MCC $15,675 $18,273 $10,162 +54% $24,185 −35% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $15,670 $17,814 $9,692 +62% $24,432 −36% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $15,660 $18,075 $9,848 +59% $22,532 −30% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $15,579 $22,143 $12,117 +29% $21,986 −29% —
302 ATHEROSCLEROSIS WITH MCC $15,529 $18,110 $10,062 +54% $20,844 −25% —
102 HEADACHES WITH MCC $15,515 $18,056 $10,029 +55% $22,544 −31% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $15,512 $17,539 $9,714 +60% $24,190 −36% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $15,486 $17,755 $9,394 +65% $25,267 −39% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $15,483 $17,293 $9,379 +65% $24,544 −37% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $15,438 $17,607 $9,661 +60% $20,741 −26% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $15,397 $17,606 $9,567 +61% $24,017 −36% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $15,365 $18,000 $9,899 +55% $25,307 −39% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $15,323 $17,551 $9,534 +61% $30,314 −49% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $15,257 $15,488 $8,380 +82% $15,890 −4% —
181 RESPIRATORY NEOPLASMS WITH CC $15,247 $17,359 $9,512 +60% $22,431 −32% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $15,244 $17,538 $9,526 +60% $19,317 −21% —
885 PSYCHOSES $15,214 $21,600 $11,958 +27% $21,489 −29% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,176 $15,685 $8,416 +80% $22,024 −31% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,145 $17,762 $9,755 +55% $24,452 −38% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $15,096 $16,927 $9,250 +63% $18,126 −17% —
134 UnGrouped $15,083 — $44,426 — $23,289 −35% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,014 $16,914 $9,153 +64% $19,073 −21% —
946 REHABILITATION WITHOUT CCMCC $14,999 $17,447 $9,323 +61% $17,685 −15% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $14,973 $17,226 $9,346 +60% $17,483 −14% —
949 AFTERCARE WITH CCMCC $14,965 $16,916 $9,243 +62% $23,953 −38% —
152 OTITIS MEDIA AND URI WITH MCC $14,948 $17,706 $9,627 +55% $19,795 −24% —
340 UnGrouped $14,946 — $58,356 −74% $16,240 −8% —
381 COMPLICATED PEPTIC ULCER WITH CC $14,901 $17,059 $9,239 +61% $24,177 −38% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $14,900 $17,250 $9,354 +59% $25,162 −41% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $14,896 $17,067 $9,426 +58% $31,190 −52% ≈151% of Medicare
672 URETHRAL PROCEDURES WITHOUT CCMCC $14,833 $17,134 $8,828 +68% $17,398 −15% —
200 PNEUMOTHORAX WITH CC $14,827 $17,320 $9,580 +55% $20,573 −28% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $14,772 $16,994 $9,291 +59% $21,806 −32% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $14,770 $17,086 $9,255 +60% $19,868 −26% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $14,747 $16,973 $12,774 +15% $22,560 −35% —
712 TESTES PROCEDURES WITHOUT CCMCC $14,658 $16,783 $8,951 +64% $18,898 −22% —
089 CONCUSSION WITH CC $14,653 $16,818 $8,849 +66% $18,293 −20% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $14,628 $16,532 $8,924 +64% $17,550 −17% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,562 $16,659 $9,000 +62% $23,496 −38% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $14,512 $16,910 $9,026 +61% $17,193 −16% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,509 $17,356 $9,602 +51% $18,459 −21% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $14,508 $16,786 $9,254 +57% $23,749 −39% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $14,502 $16,797 $9,260 +57% $19,579 −26% —
685 UnGrouped $14,501 — $14,501 — $21,385 −32% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $14,473 $16,506 $9,083 +59% $22,231 −35% —
184 MAJOR CHEST TRAUMA WITH CC $14,418 $16,761 $9,061 +59% $20,842 −31% —
161 UnGrouped $14,382 — $1,729,175 −99% $1,181,300 −99% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,366 $17,936 $9,405 +53% $18,133 −21% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $14,317 $18,415 $10,150 +41% $20,842 −31% —
111 UnGrouped $14,306 — $37,981 −62% $32,376 −56% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $14,278 $18,109 $9,868 +45% $18,291 −22% —
667 PROSTATECTOMY WITHOUT CCMCC $14,271 $16,190 $8,805 +62% $16,703 −15% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $14,236 $16,173 $8,880 +60% $24,022 −41% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $14,224 $16,560 $8,941 +59% $23,396 −39% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $14,208 $16,148 $8,779 +62% $16,495 −14% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $14,179 $16,873 $9,128 +55% $17,943 −21% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $14,169 $14,265 $7,566 +87% $15,764 −10% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $14,154 $16,212 $8,732 +62% $22,850 −38% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $14,138 $16,628 $9,069 +56% $24,136 −41% —
644 ENDOCRINE DISORDERS WITH CC $14,112 $16,270 $8,939 +58% $22,941 −38% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $14,088 $16,236 $8,918 +58% $22,781 −38% ≈139% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $14,087 $16,543 $8,689 +62% $18,478 −24% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,085 $16,946 $9,261 +52% $17,226 −18% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $14,078 $16,397 $8,843 +59% $23,141 −39% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $14,014 $16,036 $8,711 +61% $23,469 −40% —
187 PLEURAL EFFUSION WITH CC $13,962 $15,853 $8,517 +64% $21,467 −35% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,959 $16,672 $9,775 +43% $23,571 −41% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $13,941 $16,074 $8,819 +58% $20,080 −31% —
920 COMPLICATIONS OF TREATMENT WITH CC $13,916 $16,022 $8,787 +58% $21,181 −34% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,867 $16,076 $8,651 +60% $21,545 −36% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $13,839 $16,025 $8,620 +61% $18,017 −23% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $13,837 $16,078 $8,737 +58% $20,732 −33% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $13,700 $17,161 $11,271 +22% $17,103 −20% —
197 INTERSTITIAL LUNG DISEASE WITH CC $13,665 $15,655 $8,399 +63% $20,106 −32% —
343 UnGrouped $13,656 — $44,735 −69% $13,735 −1% —
697 URETHRAL STRICTURE $13,647 $15,822 $8,499 +61% $17,705 −23% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $13,641 $15,767 $8,351 +63% $17,434 −22% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $13,640 $16,046 $8,633 +58% $22,713 −40% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $13,621 $15,690 $8,420 +62% $20,968 −35% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,598 $16,070 $8,732 +56% $19,091 −29% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $13,592 $15,839 $8,278 +64% $16,212 −16% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $13,590 $15,499 $8,305 +64% $15,901 −15% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $13,590 $15,597 $8,364 +62% $21,886 −38% ≈137% of Medicare
213 UnGrouped $13,565 — $13,565 — $119,631 −89% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $13,419 $15,795 $8,483 +58% $20,007 −33% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,258 $15,262 $8,164 +62% $20,777 −36% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $13,246 $15,325 $8,281 +60% $17,273 −23% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $13,242 $15,318 $8,357 +58% $21,449 −38% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,233 $16,078 $8,652 +53% $16,571 −20% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $13,218 $15,169 $8,108 +63% $20,371 −35% —
777 UnGrouped $13,213 — $13,213 — $19,358 −32% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $13,197 $15,162 $8,103 +63% $19,326 −32% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $13,137 $15,346 $8,598 +53% $19,001 −31% —
887 OTHER MENTAL DISORDER DIAGNOSES $13,114 $18,480 $10,090 +30% $20,602 −36% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,100 $15,284 $8,176 +60% $21,213 −38% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $13,097 $15,175 $8,111 +61% $18,191 −28% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $13,033 $15,114 $8,075 +61% $18,428 −29% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $13,011 $14,965 $7,986 +63% $18,918 −31% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $12,969 $15,346 $10,124 +28% $18,238 −29% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $12,945 $14,689 $7,820 +66% $20,463 −37% ≈144% of Medicare
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $12,900 $14,942 $8,050 +60% $17,108 −25% —
158 DENTAL AND ORAL DISEASES WITH CC $12,844 $14,955 $7,980 +61% $17,700 −27% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $12,841 $14,558 $7,742 +66% $17,585 −27% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $12,757 $14,856 $7,998 +60% $16,642 −23% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $12,750 $15,768 $10,576 +21% $15,370 −17% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $12,737 $14,683 $7,893 +61% $20,309 −37% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $12,732 $15,592 $8,361 +52% $18,282 −30% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $12,703 $14,649 $7,873 +61% $16,352 −22% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $12,655 $14,704 $7,983 +59% $20,488 −38% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $12,639 $15,159 $8,181 +54% $15,589 −19% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,603 $14,754 $7,859 +60% $18,608 −32% —
101 SEIZURES WITHOUT MCC $12,600 $14,687 $7,819 +61% $19,954 −37% ≈126% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $12,592 $14,715 $7,990 +58% $19,287 −35% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $12,462 $14,109 $7,620 +64% $19,854 −37% —
914 TRAUMATIC INJURY WITHOUT MCC $12,451 $14,612 $7,850 +59% $15,593 −20% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $12,438 $15,182 $8,195 +52% $16,418 −24% —
683 RENAL FAILURE WITH CC $12,411 $14,222 $7,689 +61% $18,620 −33% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $12,376 $14,139 $7,491 +65% $15,608 −21% —
864 FEVER AND INFLAMMATORY CONDITIONS $12,358 $14,351 $7,618 +62% $17,412 −29% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $12,308 $14,118 $7,478 +65% $19,569 −37% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,237 $14,292 $7,583 +61% $18,803 −35% —
638 DIABETES WITH CC $12,225 $14,623 $7,934 +54% $18,821 −35% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $12,206 $14,272 $7,571 +61% $21,261 −43% —
541 OSTEOMYELITIS WITHOUT CCMCC $12,196 $14,024 $7,495 +63% $14,549 −16% —
292 HEART FAILURE AND SHOCK WITH CC $12,181 $13,830 $7,306 +67% $16,212 −25% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $12,166 $14,153 $7,499 +62% $15,869 −23% —
076 VIRAL MENINGITIS WITHOUT CCMCC $12,164 $14,619 $7,779 +56% $15,474 −21% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,099 $13,800 $7,431 +63% $18,278 −34% —
866 VIRAL ILLNESS WITHOUT MCC $12,095 $14,164 $7,506 +61% $16,391 −26% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $12,066 $14,004 $10,545 +14% $19,815 −39% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $12,059 $13,949 $7,377 +63% $19,305 −38% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,992 $13,816 $7,369 +63% $19,096 −37% —
603 CELLULITIS WITHOUT MCC $11,975 $14,108 $7,472 +60% $18,530 −35% ≈137% of Medicare
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,974 $14,448 $7,676 +56% $15,077 −21% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $11,927 $14,446 $8,017 +49% $20,084 −41% —
312 SYNCOPE AND COLLAPSE $11,908 $13,973 $7,537 +58% $19,342 −38% ≈133% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,864 $14,161 $7,504 +58% $15,045 −21% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,862 $14,462 $7,835 +51% $17,731 −33% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $11,781 $13,484 $7,169 +64% $14,055 −16% —
090 CONCUSSION WITHOUT CCMCC $11,749 $13,775 $7,344 +60% $14,873 −21% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $11,727 $13,246 $7,093 +65% $18,204 −36% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $11,721 $13,843 $7,314 +60% $16,156 −27% —
594 SKIN ULCERS WITHOUT CCMCC $11,719 $13,653 $7,271 +61% $14,209 −18% —
779 ABORTION WITHOUT D&C $11,683 $14,873 $7,930 +47% $15,327 −24% —
103 HEADACHES WITHOUT MCC $11,644 $13,674 $7,213 +61% $20,111 −42% —
781 UnGrouped $11,635 — $11,635 — $16,875 −31% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $11,565 $13,494 $7,131 +62% $14,064 −18% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $11,502 $13,197 $6,927 +66% $17,928 −36% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,500 $13,327 $7,073 +63% $15,876 −28% —
138 MOUTH PROCEDURES WITHOUT CCMCC $11,493 $13,154 $6,969 +65% $17,383 −34% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $11,486 $13,741 $7,253 +58% $14,290 −20% —
176 PULMONARY EMBOLISM WITHOUT MCC $11,483 $13,168 $7,045 +63% $18,081 −36% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,428 $13,872 $7,475 +53% $15,284 −25% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,418 $13,453 $7,219 +58% $18,253 −37% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $11,387 $12,534 $6,594 +73% $14,444 −21% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,320 $13,231 $7,015 +61% $13,822 −18% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $11,287 $12,753 $6,661 +69% $13,385 −16% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,280 $13,197 $6,927 +63% $17,715 −36% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $11,254 $13,212 $6,936 +62% $18,150 −38% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $11,193 $13,117 $6,879 +63% $18,002 −38% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,183 $13,867 $7,328 +53% $17,367 −36% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $11,182 $12,925 $6,896 +62% $17,700 −37% —
766 UnGrouped $11,144 — $5,336 +109% $5,336 +109% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,116 $12,964 $6,696 +66% $20,278 −45% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,109 $12,885 $6,872 +62% $17,727 −37% —
123 NEUROLOGICAL EYE DISORDERS $11,107 $13,008 $6,881 +61% $17,831 −38% —
534 FRACTURES OF FEMUR WITHOUT MCC $11,093 $13,161 $6,906 +61% $17,195 −35% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,087 $13,000 $6,809 +63% $17,466 −37% ≈139% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,059 $12,985 $6,800 +63% $17,388 −36% ≈153% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $10,992 $12,973 $6,793 +62% $13,586 −19% —
882 NEUROSES EXCEPT DEPRESSIVE $10,945 $15,258 $8,241 +33% $15,680 −30% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $10,927 $12,811 $6,762 +62% $17,522 −38% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,915 $13,205 $6,744 +62% $16,837 −35% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $10,913 $15,210 $8,292 +32% $15,636 −30% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,896 $12,684 $6,685 +63% $17,322 −37% ≈139% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,896 $12,699 $6,629 +64% $16,745 −35% ≈130% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $10,891 $13,119 $7,015 +55% $16,866 −35% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $10,890 $12,201 $6,330 +72% $14,861 −27% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $10,799 $12,647 $6,727 +61% $15,858 −32% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $10,796 $12,335 $6,537 +65% $16,776 −36% —
774 UnGrouped $10,753 — $10,753 +0% $3,032 +255% —
694 URINARY STONES WITHOUT MCC $10,671 $12,699 $6,629 +61% $16,531 −35% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $10,639 $12,244 $6,357 +67% $16,634 −36% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $10,610 $12,227 $6,409 +66% $14,337 −26% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $10,582 $12,175 $6,315 +68% $13,892 −24% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $10,567 $12,257 $6,364 +66% $16,654 −37% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,556 $12,127 $6,286 +68% $13,282 −21% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $10,540 $12,661 $6,671 +58% $14,166 −26% —
151 EPISTAXIS WITHOUT MCC $10,522 $12,368 $6,494 +62% $13,032 −19% —
305 HYPERTENSION WITHOUT MCC $10,503 $12,264 $6,493 +62% $17,144 −39% ≈148% of Medicare
188 PLEURAL EFFUSION WITHOUT CCMCC $10,493 $12,031 $6,229 +68% $14,110 −26% —
881 DEPRESSIVE NEUROSES $10,488 $14,579 $7,831 +34% $15,058 −30% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $10,472 $11,889 $6,144 +70% $12,593 −17% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,454 $12,103 $6,333 +65% $16,865 −38% ≈133% of Medicare
149 DYSEQUILIBRIUM $10,445 $12,219 $6,256 +67% $17,203 −39% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $10,350 $11,902 $6,272 +65% $18,623 −44% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $10,349 $12,818 $6,267 +65% $13,445 −23% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $10,196 $11,951 $6,242 +63% $12,650 −19% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,184 $14,127 $7,484 +36% $16,049 −37% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $10,167 $11,736 $6,171 +65% $15,607 −35% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $10,144 $11,552 $6,058 +67% $13,654 −26% —
313 CHEST PAIN $10,108 $11,736 $6,171 +64% $15,962 −37% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $10,088 $11,464 $5,889 +71% $13,303 −24% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $10,076 $11,906 $6,154 +64% $16,104 −37% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $10,073 $11,518 $5,921 +70% $15,072 −33% —
679 UnGrouped $10,025 — $10,025 — $7,907 — —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,970 $11,584 $6,020 +66% $15,600 −36% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $9,952 $11,301 $5,792 +72% $12,797 −22% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $9,929 $11,380 $5,839 +70% $19,483 −49% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,914 $12,218 $6,341 +56% $12,895 −23% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,902 $11,880 $9,343 +6% $13,090 −24% —
162 UnGrouped $9,881 — $445,799 — $371,965 −97% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $9,851 $11,608 $5,976 +65% $12,336 −20% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $9,843 $11,430 $5,984 +64% $14,441 −32% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $9,785 $11,074 $5,589 +75% $11,847 −17% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,771 $11,496 $5,829 +68% $12,405 −21% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $9,770 $11,142 $5,697 +71% $11,909 −18% —
311 ANGINA PECTORIS $9,741 $11,522 $5,924 +64% $15,165 −36% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $9,741 $11,824 $6,105 +60% $12,537 −22% —
201 PNEUMOTHORAX WITHOUT CCMCC $9,704 $11,222 $5,857 +66% $13,081 −26% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $9,664 $11,125 $5,798 +67% $14,880 −35% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,596 $11,737 $6,053 +59% $12,381 −22% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,586 $11,155 $5,704 +68% $14,927 −36% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $9,569 $11,155 $5,760 +66% $13,198 −27% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $9,550 $11,372 $5,948 +61% $14,012 −32% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $9,504 $10,974 $5,651 +68% $13,368 −29% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $9,423 $11,498 $6,025 +56% $12,279 −23% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $9,393 $10,971 $5,704 +65% $13,485 −30% —
153 OTITIS MEDIA AND URI WITHOUT MCC $9,380 $11,712 $6,038 +55% $14,473 −35% —
950 AFTERCARE WITHOUT CCMCC $9,373 $9,932 $5,117 +83% $13,527 −31% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $9,286 $10,696 $5,562 +67% $14,208 −35% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $9,277 $10,645 $5,399 +72% $14,128 −34% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $9,238 $10,798 $5,598 +65% $14,368 −36% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $9,207 $10,649 $5,559 +66% $14,134 −35% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $9,130 $10,451 $5,283 +73% $13,824 −34% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $9,109 $11,239 $5,754 +58% $11,997 −24% —
916 ALLERGIC REACTIONS WITHOUT MCC $9,096 $11,037 $5,634 +61% $13,890 −35% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $9,067 $9,662 $4,950 +83% $9,385 −3% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $8,902 $10,343 $5,370 +66% $15,070 −41% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $8,857 $10,609 $5,483 +62% $11,421 −22% —
639 DIABETES WITHOUT CCMCC $8,830 $10,506 $5,316 +66% $13,910 −37% —
684 RENAL FAILURE WITHOUT CCMCC $8,824 $10,234 $5,153 +71% $13,623 −35% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $8,803 $10,658 $8,897 −1% $12,044 −27% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $8,658 $10,227 $5,274 +64% $11,071 −22% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $8,648 $10,122 $5,186 +67% $10,975 −21% —
775 UnGrouped $8,599 — $31,569 −73% $3,242 +165% —
109 UnGrouped $8,598 — $8,598 — $5,792 — —
762 UnGrouped $8,351 — $8,351 — $16,970 — —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $8,312 $9,582 $4,763 +75% $10,039 −17% —
771 UnGrouped $8,300 — $8,300 — $8,300 — —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $8,187 $9,555 $4,793 +71% $13,384 −39% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $8,096 $9,381 $4,642 +74% $13,318 −39% —
782 UnGrouped $8,061 — $8,061 — $10,599 −24% —
400 UnGrouped $7,931 — $7,931 — $126 +6220% —
778 UnGrouped $7,901 — $7,901 — $10,997 −28% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $7,795 $9,402 $4,790 +63% $11,955 −35% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,723 $10,471 $5,424 +42% $12,013 −36% —
108 UnGrouped $7,718 — $7,718 — $7,095 — —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $7,213 $8,993 $4,496 +60% $9,076 −21% —
899 UnGrouped $7,145 — $7,145 — $5,063 — —
772 UnGrouped $6,890 — $32,910 — $671,086 −99% —
898 UnGrouped $6,888 — $6,888 — $5,576 — —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $6,815 $7,886 $3,989 +71% $8,927 −24% —
680 UnGrouped $6,730 — $6,730 — $112,564 −94% —
160 UnGrouped $6,256 — $6,256 — $6,256 +0% —
211 UnGrouped $6,137 — $6,137 — $6,137 — —
773 UnGrouped $5,840 — $130,556 −96% $87,384 −93% —
763 UnGrouped $5,806 — $5,806 — $5,806 — —
764 UnGrouped $5,773 — $5,773 — $5,773 — —
210 UnGrouped $5,355 — $5,355 — $5,041 — —
120 UnGrouped $5,338 — $71,194 −93% $71,194 −93% —
106 UnGrouped $5,137 — $5,137 — $4,122 — —
118 UnGrouped $5,136 — $5,136 — $21,817 — —
119 UnGrouped $4,878 — $4,878 — $4,878 — —
169 UnGrouped $4,371 — $892,154 −100% $128,246 −97% —
105 UnGrouped $4,281 — $4,281 — $4,345 — —
107 UnGrouped $4,257 — $4,257 — $42,346 — —
172 UnGrouped $4,174 — $4,174 — $11,491 −64% —
214 UnGrouped $4,138 — $4,138 — $19,680 −79% —
209 UnGrouped $3,661 — $3,661 — $183,292 −98% —
780 UnGrouped $3,616 — $3,616 — $4,253 −15% —
795 NORMAL NEWBORN $3,492 $4,459 $3,492 +0% $4,530 −23% —
174 UnGrouped $3,410 — $179,426 −98% $74,377 −95% —
170 UnGrouped $3,220 — $3,220 — $435 +640% —
112 UnGrouped $2,725 — $2,725 — $2,707 — —
610 UnGrouped $2,694 — $2,694 — $2,029 — —

Procedures with negotiated rates only

These 2 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
171 UnGrouped $3,537 – $3,537 · median $3,537 1 plans
611 UnGrouped $1,939 – $1,939 · median $1,939 1 plans
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