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 $31,252
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 $319,936 +49% $573,534 −17% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $352,182 $400,732 $307,776 +14% $461,389 −24% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $284,729 $337,746 $201,252 +41% $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 $252,455 +4% $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% $172,973 +0% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $171,500 $201,830 $167,292 +3% $248,521 −31% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $168,893 $157,761 $93,485 +81% $194,769 −13% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $163,352 $187,261 $111,149 +47% $182,314 −10% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $162,142 $151,741 $91,898 +76% $208,939 −22% —
007 LUNG TRANSPLANT $158,981 $186,794 $110,869 +43% $170,608 −7% —
850 UnGrouped $139,772 $132,147 $78,149 +79% $121,563 +15% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $134,671 $152,515 $118,003 +14% $164,641 −18% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $131,178 $115,842 $96,502 +36% $148,686 −12% —
429 UnGrouped $126,714 $119,802 $70,757 +79% $144,774 −12% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $123,797 $138,370 $99,015 +25% $188,171 −34% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $119,496 — $103,861 +15% $103,861 +15% —
359 UnGrouped $111,363 — $111,363 — $111,760 −0% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $111,152 $113,946 $67,251 +65% $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% $153,282 −28% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $108,550 $155,979 $94,649 +15% $196,346 −45% —
231 CORONARY BYPASS WITH PTCA WITH MCC $108,130 $121,691 $100,406 +8% $147,227 −27% —
426 UnGrouped $106,896 $150,049 $88,868 +20% $142,326 −25% —
222 UnGrouped $102,388 — $86,864 +18% $86,864 +18% —
447 UnGrouped $102,199 $96,624 $56,879 +80% $126,098 −19% —
681 UnGrouped $101,913 — $101,913 — $49,288 +107% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $99,484 $112,375 $99,484 +0% $144,569 −31% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $99,474 $79,942 $74,709 +33% $106,057 −6% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $98,899 $111,257 $69,461 +42% $143,242 −31% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $96,002 $107,385 $96,002 +0% $120,573 −20% —
224 UnGrouped $93,423 — $53,680 +74% $80,427 +16% —
010 PANCREAS TRANSPLANT $91,224 $114,594 $67,639 +35% $99,940 −9% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $88,735 $101,757 $59,953 +48% $131,961 −33% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $88,135 $86,509 $56,331 +56% $113,855 −23% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $87,092 $100,191 $71,210 +22% $148,832 −41% —
226 UnGrouped $85,791 — $19,012 +351% $72,618 +18% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $85,250 $98,375 $57,928 +47% $102,600 −17% —
635 UnGrouped $84,225 — $84,225 — $1,054 +7891% —
430 UnGrouped $83,703 $79,137 $46,409 +80% $101,618 −18% —
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 $45,511 +82% $96,905 −15% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $82,548 $93,127 $54,785 +51% $123,995 −33% —
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 $51,205 +61% $98,260 −16% —
317 UnGrouped $81,816 $89,280 $52,482 +56% $88,566 −8% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $80,244 $93,259 $54,864 +46% $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 $29,459 +169% $56,242 +41% —
450 UnGrouped $78,902 $74,597 $43,691 +81% $99,943 −21% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $78,888 $91,234 $70,274 +12% $109,331 −28% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $78,586 $88,179 $52,744 +49% $115,839 −32% —
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 $70,773 +8% $103,455 −26% —
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 $52,550 +44% $117,280 −35% —
028 SPINAL PROCEDURES WITH MCC $75,626 $87,766 $75,626 +0% $113,077 −33% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $75,351 $84,999 $53,056 +42% $112,062 −33% —
427 UnGrouped $74,511 $102,263 $60,256 +24% $132,794 −44% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $73,617 $84,122 $73,617 +0% $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 $51,205 +41% $81,176 −11% —
225 UnGrouped $71,965 — $270,181 −73% $57,380 +25% —
653 MAJOR BLADDER PROCEDURES WITH MCC $71,396 $80,612 $48,871 +46% $104,583 −32% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $71,148 $96,098 $56,564 +26% $125,242 −43% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $71,004 $79,942 $46,891 +51% $85,566 −17% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $69,661 $78,545 $69,661 +0% $102,128 −32% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $69,374 $78,720 $46,159 +50% $86,459 −20% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $68,626 $78,152 $45,819 +50% $89,207 −23% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $67,903 $77,008 $63,765 +6% $102,573 −34% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $67,891 $78,080 $45,776 +48% $101,576 −33% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $67,860 $76,675 $47,356 +43% $111,320 −39% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $67,787 $78,072 $58,205 +16% $90,401 −25% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $67,620 $72,573 $42,731 +58% $77,055 −12% —
227 UnGrouped $66,898 — $66,898 +0% $56,960 +17% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $66,133 $73,590 $58,279 +13% $80,793 −18% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $65,645 $73,811 $67,426 −3% $96,507 −32% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $64,895 $51,649 $48,538 +34% $66,848 −3% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $64,580 $72,489 $66,300 −3% $93,172 −31% ≈140% of Medicare
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $64,438 $62,808 $59,237 +9% $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 $43,082 +48% $93,390 −32% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,739 $67,539 $41,339 +54% $91,329 −30% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $63,354 $72,517 $42,445 +49% $93,238 −32% —
245 AICD GENERATOR PROCEDURES $63,348 $70,867 $57,711 +10% $72,076 −12% —
471 CERVICAL SPINAL FUSION WITH MCC $63,062 $70,449 $56,466 +12% $92,515 −32% —
448 UnGrouped $62,918 $59,485 $18,981 +231% $81,998 −23% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $62,913 — $58,617 +7% $56,836 +11% —
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 $41,138 +52% $84,407 −26% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $62,258 $69,290 $45,486 +37% $90,724 −31% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $61,790 $63,868 $39,446 +57% $86,970 −29% —
799 SPLENIC PROCEDURES WITH MCC $61,120 $68,997 $63,003 −3% $82,218 −26% —
163 MAJOR CHEST PROCEDURES WITH MCC $61,059 $66,934 $48,368 +26% $90,195 −32% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $60,077 $68,984 $48,640 +24% $90,775 −34% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $59,849 $67,930 $59,849 +0% $87,761 −32% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $59,279 $66,698 $53,402 +11% $90,331 −34% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $58,531 $85,857 $68,716 −15% $80,018 −27% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $58,489 $45,640 $38,140 +53% $65,325 −10% —
428 UnGrouped $58,079 $79,613 $66,247 −12% $105,899 −45% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $57,288 $64,402 $44,454 +29% $70,177 −18% —
230 UnGrouped $57,284 — $38,975 +47% $58,096 −1% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $57,101 $64,994 $37,941 +51% $88,307 −35% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $56,990 $68,287 $56,990 +0% $92,217 −38% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $56,441 $65,551 $38,274 +47% $76,001 −26% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $55,714 $65,170 $38,916 +43% $84,692 −34% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $55,014 $61,977 $56,745 −3% $101,510 −46% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $54,189 $62,067 $54,189 +0% $82,561 −34% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $53,339 $59,858 $41,582 +28% $73,120 −27% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $53,333 $66,907 $39,086 +36% $71,551 −25% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $53,050 $58,071 $42,875 +24% $77,817 −32% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $52,570 $59,890 $41,546 +27% $82,247 −36% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $52,219 $60,989 $52,219 +0% $77,990 −33% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $52,205 $59,257 $52,205 +0% $79,225 −34% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $52,138 $59,771 $40,461 +29% $79,836 −35% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $52,032 $56,389 $32,789 +59% $66,685 −22% —
361 UnGrouped $52,011 — $52,011 — $79,921 −35% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $51,803 $74,355 $58,029 −11% $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 $35,085 +46% $59,352 −14% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $51,231 $57,418 $48,003 +7% $61,832 −17% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $50,916 $51,236 $48,637 +5% $62,583 −19% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $50,803 — $50,803 +0% $51,625 −2% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $50,459 $61,003 $54,021 −7% $72,962 −31% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $50,307 $40,399 $23,214 +117% $48,358 +4% —
360 UnGrouped $50,301 — $50,301 — $98,737 −49% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $50,293 $58,032 $45,999 +9% $62,300 −19% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $50,198 $57,533 $33,473 +50% $71,795 −30% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $49,790 $57,031 $35,279 +41% $78,852 −37% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $49,588 $55,493 $49,588 +0% $74,755 −34% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $49,427 $55,073 $44,359 +11% $74,257 −33% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $49,420 $56,725 $32,990 +50% $76,219 −35% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $49,404 $52,966 $49,404 +0% $71,755 −31% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $49,362 $55,786 $33,769 +46% $75,103 −34% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $48,736 $56,181 $50,951 −4% $75,573 −36% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $48,640 $54,647 $31,745 +53% $61,470 −21% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $47,990 $56,334 $32,756 +47% $59,594 −19% —
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 $41,778 +13% $68,639 −31% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $47,020 $49,688 $47,020 +0% $70,132 −33% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $46,330 $52,417 $30,410 +52% $59,533 −22% —
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 $30,412 +50% $66,711 −31% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $45,679 $51,272 $31,947 +43% $69,743 −35% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $45,548 $51,943 $31,382 +45% $70,564 −35% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $45,543 $49,889 $34,180 +33% $70,371 −35% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $45,480 $51,510 $45,480 +0% $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 $31,743 +42% $71,092 −37% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $44,905 $51,256 $29,715 +51% $66,068 −32% —
265 AICD LEAD PROCEDURES $44,846 $52,170 $36,401 +23% $63,171 −29% —
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 $27,106 +65% $71,464 −37% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $44,596 $50,158 $46,123 −3% $70,847 −37% —
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 $45,852 −4% $68,508 −36% —
665 PROSTATECTOMY WITH MCC $43,765 $50,277 $43,765 +0% $54,072 −19% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $43,691 $50,354 $29,175 +50% $68,653 −36% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,615 $45,106 $27,913 +56% $60,407 −28% —
402 UnGrouped $43,489 $57,058 $33,189 +31% $79,116 −45% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $43,419 $61,550 $35,878 +21% $60,098 −28% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $42,960 $49,188 $41,267 +4% $67,268 −36% —
037 EXTRACRANIAL PROCEDURES WITH MCC $42,787 $48,680 $28,173 +52% $66,666 −36% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $42,533 $60,579 $40,079 +6% $85,159 −50% —
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% $65,788 −36% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $42,113 $47,241 $27,311 +54% $72,424 −42% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $42,044 $42,925 $24,727 +70% $70,467 −40% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $41,860 $47,030 $27,184 +54% $63,928 −35% —
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 $26,056 +60% $54,720 −24% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $41,610 $60,718 $35,380 +18% $18,649 +123% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $41,602 $46,599 $26,927 +55% $55,289 −25% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $41,364 $50,721 $39,320 +5% $52,036 −21% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $40,915 $47,809 $39,757 +3% $58,745 −30% —
500 SOFT TISSUE PROCEDURES WITH MCC $40,893 $46,524 $26,882 +52% $61,872 −34% —
662 MINOR BLADDER PROCEDURES WITH MCC $40,771 $45,828 $26,465 +54% $54,562 −25% —
246 UnGrouped $40,753 — $192,321 −79% $33,983 +20% —
791 PREMATURITY WITH MAJOR PROBLEMS $40,555 $59,151 $45,159 −10% $42,679 −5% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $40,505 $47,789 $28,056 +44% $65,608 −38% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $40,214 $45,321 $26,161 +54% $53,864 −25% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $40,209 $45,443 $26,234 +53% $62,821 −36% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,191 $42,204 $40,277 −0% $58,975 −32% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $40,158 $45,848 $33,425 +20% $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 $26,981 +48% $44,472 −10% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $39,789 $42,180 $40,065 −1% $61,217 −35% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $39,680 $44,964 $25,948 +53% $64,523 −39% —
570 SKIN DEBRIDEMENT WITH MCC $39,278 $44,278 $25,537 +54% $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 $39,985 −3% $65,653 −41% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $38,407 $43,405 $25,014 +54% $58,228 −34% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $38,327 $43,184 $24,882 +54% $60,170 −36% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $38,076 $43,938 $25,333 +50% $46,402 −18% —
472 CERVICAL SPINAL FUSION WITH CC $37,926 $42,677 $24,578 +54% $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 $29,135 +29% $51,608 −27% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $37,607 $41,378 $23,800 +58% $52,986 −29% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $37,480 $39,805 $22,859 +64% $44,546 −16% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $37,438 $42,890 $24,706 +52% $59,790 −37% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $37,133 $41,963 $24,151 +54% $81,706 −55% ≈125% of Medicare
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $37,128 $42,251 $24,323 +53% $59,031 −37% —
800 SPLENIC PROCEDURES WITH CC $37,085 $42,912 $24,719 +50% $49,184 −25% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $36,883 $42,123 $24,247 +52% $49,839 −26% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $36,750 $40,259 $23,341 +57% $51,746 −29% —
608 UnGrouped $36,749 — $36,749 — $117,471 −69% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $36,722 $41,419 $23,825 +54% $58,043 −37% —
654 MAJOR BLADDER PROCEDURES WITH CC $36,584 $41,613 $23,941 +53% $58,274 −37% —
338 UnGrouped $36,047 — $30,138 +20% $30,138 +20% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $35,962 $50,430 $29,221 +23% $71,014 −49% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $35,832 $39,931 $22,934 +56% $62,264 −42% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $35,730 $40,120 $23,047 +55% $43,491 −18% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $35,557 $40,329 $23,173 +53% $50,618 −30% —
648 UnGrouped $35,502 — $35,502 — $25,606 — —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $35,123 $38,796 $22,255 +58% $54,929 −36% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $35,103 $39,221 $22,509 +56% $44,222 −21% —
503 FOOT PROCEDURES WITH MCC $34,335 $39,126 $22,452 +53% $47,540 −28% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $34,324 $39,356 $22,590 +52% $47,945 −28% —
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 $22,754 +50% $51,253 −33% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $33,980 $38,700 $22,197 +53% $46,453 −27% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $33,961 $39,088 $33,961 +0% $41,422 −18% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $33,632 $37,812 $21,665 +55% $38,878 −13% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $33,632 $39,175 $22,481 +50% $48,687 −31% —
397 APPENDIX PROCEDURES WITH MCC $33,620 $36,735 $21,020 +60% $53,257 −37% —
253 OTHER VASCULAR PROCEDURES WITH CC $33,543 $37,800 $21,658 +55% $57,454 −42% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $33,263 $38,244 $21,924 +52% $52,178 −36% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $33,133 $37,081 $21,227 +56% $55,162 −40% —
164 MAJOR CHEST PROCEDURES WITH CC $33,120 $37,290 $21,353 +55% $56,755 −42% —
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% $45,167 −27% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $32,934 $37,430 $21,437 +54% $40,362 −18% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $32,839 $37,732 $21,618 +52% $58,707 −44% —
318 UnGrouped $32,793 — $32,793 — $102,597 −68% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $32,767 $34,425 $19,638 +67% $40,060 −18% —
849 RADIOTHERAPY $32,720 $39,474 $22,660 +44% $37,862 −14% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $32,549 $34,394 $19,619 +66% $59,629 −45% —
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 $21,420 +51% $49,423 −35% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $32,141 $36,593 $20,936 +54% $54,583 −41% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,140 $33,547 $19,112 +68% $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 $20,770 +55% $51,985 −38% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $32,008 $36,031 $20,599 +55% $59,421 −46% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $31,801 $35,897 $20,519 +55% $50,046 −36% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $31,750 $35,118 $20,052 +58% $59,500 −47% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $31,610 $37,107 $21,243 +49% $39,973 −21% —
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 $20,161 +55% $53,451 −41% —
396 UnGrouped $31,273 — $31,273 — $31,273 — —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $31,265 $35,790 $20,455 +53% $42,186 −26% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $31,081 $35,171 $20,084 +55% $50,624 −39% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $31,015 $35,162 $20,079 +54% $40,548 −24% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $31,006 $35,647 $20,369 +52% $59,651 −48% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $30,632 $35,064 $24,054 +27% $50,498 −39% —
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% $41,620 −27% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $30,514 $34,763 $19,839 +54% $50,139 −39% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $30,329 $34,335 $31,742 −4% $50,394 −40% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,230 $31,497 $17,884 +69% $58,280 −48% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $30,209 $33,918 $19,334 +56% $48,349 −38% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $30,127 $33,258 $18,939 +59% $47,789 −37% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $30,020 $37,547 $17,794 +69% $39,173 −23% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $29,995 $33,623 $19,157 +57% $49,418 −39% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $29,971 $31,830 $18,083 +66% $42,906 −30% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $29,962 $34,502 $19,683 +52% $36,489 −18% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $29,846 $33,494 $19,080 +56% $47,737 −37% —
113 ORBITAL PROCEDURES WITH CCMCC $29,806 $33,601 $19,144 +56% $36,167 −18% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $29,722 $33,859 $19,298 +54% $49,066 −39% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $29,712 $33,979 $19,370 +53% $42,415 −30% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $29,648 $34,078 $19,430 +53% $39,181 −24% —
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% $41,892 −30% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $29,244 $33,536 $19,105 +53% $48,682 −40% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $29,226 $31,332 $17,786 +64% $46,066 −37% —
363 UnGrouped $29,181 — $29,181 — $80,707 −64% —
030 SPINAL PROCEDURES WITHOUT CCMCC $29,112 $33,159 $18,879 +54% $45,866 −37% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $29,014 $31,422 $17,839 +63% $42,795 −32% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $28,967 $31,886 $18,117 +60% $46,724 −38% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $28,922 $32,790 $18,659 +55% $41,608 −30% —
336 PERITONEAL ADHESIOLYSIS WITH CC $28,917 $31,556 $17,920 +61% $50,463 −43% —
709 PENIS PROCEDURES WITH CCMCC $28,869 $33,466 $19,063 +51% $34,535 −16% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $28,789 $34,132 $19,462 +48% $40,108 −28% —
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% $38,070 −26% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $28,174 $32,500 $18,485 +52% $45,333 −38% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $28,134 $31,891 $18,120 +55% $35,569 −21% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $28,088 $32,194 $18,301 +53% $45,877 −39% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $28,021 $31,543 $17,912 +56% $43,650 −36% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $27,949 $32,140 $18,269 +53% $38,666 −28% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $27,730 $31,889 $18,119 +53% $46,727 −41% —
935 NON-EXTENSIVE BURNS $27,730 $32,748 $18,633 +49% $31,701 −13% —
374 DIGESTIVE MALIGNANCY WITH MCC $27,679 $31,543 $17,912 +55% $39,958 −31% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $27,561 $32,364 $18,403 +50% $42,901 −36% —
595 MAJOR SKIN DISORDERS WITH MCC $27,470 $31,596 $17,943 +53% $34,598 −21% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $27,392 $31,060 $17,623 +55% $43,174 −37% —
333 RECTAL RESECTION WITH CC $27,383 $31,740 $18,030 +52% $37,154 −26% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $27,347 $31,678 $17,993 +52% $49,351 −45% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $27,322 $31,026 $17,602 +55% $52,751 −48% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $27,143 $29,938 $16,951 +60% $43,943 −38% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,888 $30,365 $17,206 +56% $31,134 −14% —
906 HAND PROCEDURES FOR INJURIES $26,881 $32,551 $18,515 +45% $32,065 −16% —
548 SEPTIC ARTHRITIS WITH MCC $26,763 $30,172 $17,091 +57% $31,346 −15% —
539 OSTEOMYELITIS WITH MCC $26,687 $30,282 $17,157 +56% $37,609 −29% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $26,581 $29,475 $16,673 +59% $43,631 −39% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $26,559 $27,198 $15,310 +73% $41,591 −36% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $26,554 $30,207 $17,112 +55% $42,914 −38% —
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 $17,369 +52% $35,030 −24% —
133 UnGrouped $26,406 — $35,227 — $38,305 −31% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $26,386 $26,532 $14,911 +77% $39,020 −32% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $26,263 $29,655 $16,781 +57% $43,913 −40% —
985 UnGrouped $26,255 — $26,255 — $23,289 +13% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $26,224 $31,247 $17,735 +48% $33,851 −23% —
711 TESTES PROCEDURES WITH CCMCC $26,216 $28,698 $16,209 +62% $38,343 −32% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $26,167 $30,131 $17,066 +53% $46,090 −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 $17,445 +49% $33,246 −22% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $26,034 $29,583 $16,738 +56% $43,800 −41% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $25,902 $29,812 $16,875 +53% $39,106 −34% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $25,868 $29,792 $16,863 +53% $36,249 −29% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $25,715 $29,567 $16,729 +54% $44,139 −42% —
100 SEIZURES WITH MCC $25,688 $29,757 $16,842 +53% $35,481 −28% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $25,645 $29,089 $16,443 +56% $37,240 −31% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $25,628 $29,918 $16,939 +51% $29,611 −13% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $25,611 $32,987 $18,776 +36% $46,283 −45% ≈138% of Medicare
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $25,604 $29,428 $16,645 +54% $35,628 −28% ≈125% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $25,597 $30,142 $17,073 +50% $32,031 −20% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $25,567 $29,415 $16,638 +54% $43,538 −41% —
380 COMPLICATED PEPTIC ULCER WITH MCC $25,523 $28,893 $16,325 +56% $39,627 −36% —
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 $16,620 +53% $40,213 −37% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $25,411 $28,514 $16,098 +58% $42,126 −40% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $25,378 $29,333 $16,589 +53% $39,955 −36% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $25,342 $28,730 $16,227 +56% $34,459 −26% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $25,290 $28,343 $15,996 +58% $50,607 −50% —
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% $12,229 +106% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $25,196 $29,123 $16,463 +53% $43,080 −42% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $25,188 $28,514 $16,098 +56% $40,562 −38% —
249 UnGrouped $25,041 — $20,346 +23% $20,610 +21% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $25,008 $29,313 $16,577 +51% $38,861 −36% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $24,922 $28,412 $16,037 +55% $33,985 −27% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $24,915 $29,754 $16,841 +48% $32,574 −24% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $24,915 $28,453 $16,062 +55% $36,431 −32% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $24,893 $27,918 $15,741 +58% $36,670 −32% —
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% $46,340 −47% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $24,610 $27,530 $15,509 +59% $43,298 −43% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $24,582 $28,054 $15,823 +55% $36,792 −33% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $24,552 $28,341 $15,995 +54% $47,711 −49% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $24,457 $26,861 $15,108 +62% $52,075 −53% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $24,446 $27,517 $15,501 +58% $40,642 −40% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $24,442 $28,346 $15,997 +53% $37,844 −35% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,415 $27,929 $15,748 +55% $33,047 −26% —
398 APPENDIX PROCEDURES WITH CC $24,344 $23,068 $12,837 +90% $40,162 −39% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $24,193 $27,782 $15,660 +54% $30,243 −20% —
919 COMPLICATIONS OF TREATMENT WITH MCC $24,183 $27,466 $15,470 +56% $31,105 −22% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $24,077 $32,031 $18,204 +32% $31,044 −22% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,038 $25,289 $14,167 +70% $33,876 −29% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $24,020 $27,389 $15,425 +56% $37,842 −37% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $23,998 $27,262 $15,348 +56% $58,809 −59% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $23,966 $27,600 $15,551 +54% $40,694 −41% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $23,932 $28,323 $15,984 +50% $32,637 −27% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $23,878 $27,391 $15,426 +55% $40,365 −41% —
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% $33,255 −28% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $23,797 $27,480 $15,479 +54% $37,950 −37% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $23,717 $27,680 $15,599 +52% $32,859 −28% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $23,701 $26,531 $14,911 +59% $39,018 −39% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $23,645 $26,789 $15,065 +57% $34,276 −31% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $23,513 $27,456 $15,465 +52% $37,387 −37% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $23,448 $26,848 $15,101 +55% $39,515 −41% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $23,430 $26,414 $14,841 +58% $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% $32,443 −28% —
501 SOFT TISSUE PROCEDURES WITH CC $23,384 $26,915 $15,140 +54% $39,619 −41% —
504 FOOT PROCEDURES WITH CC $23,233 $26,494 $14,889 +56% $38,960 −40% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $23,184 $32,069 $18,227 +27% $37,267 −38% —
509 ARTHROSCOPY $23,064 $26,518 $14,903 +55% $25,994 −11% —
180 RESPIRATORY NEOPLASMS WITH MCC $23,059 $26,392 $14,827 +56% $36,658 −37% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $22,968 $26,749 $15,041 +53% $38,101 −40% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $22,815 $26,264 $14,751 +55% $31,951 −29% —
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 $13,548 +68% $35,453 −36% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $22,766 $26,124 $14,667 +55% $29,826 −24% —
505 FOOT PROCEDURES WITHOUT CCMCC $22,765 $26,494 $14,889 +53% $34,937 −35% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,747 $25,941 $14,558 +56% $38,094 −40% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $22,723 $25,730 $14,431 +57% $43,477 −48% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $22,708 $25,625 $14,368 +58% $32,944 −31% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $22,697 $26,440 $14,856 +53% $35,849 −37% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $22,629 $27,263 $15,349 +47% $32,433 −30% —
597 MALIGNANT BREAST DISORDERS WITH MCC $22,607 $26,518 $14,903 +52% $33,386 −32% —
915 ALLERGIC REACTIONS WITH MCC $22,597 $26,252 $14,743 +53% $32,645 −31% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $22,528 $26,395 $14,829 +52% $33,555 −33% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,449 $27,728 $15,627 +44% $29,221 −23% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $22,436 $24,531 $13,714 +64% $33,707 −33% ≈137% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $22,386 $24,830 $13,893 +61% $36,354 −38% —
666 PROSTATECTOMY WITH CC $22,386 $24,968 $13,975 +60% $31,906 −30% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $22,341 $25,270 $14,156 +58% $29,126 −23% —
551 MEDICAL BACK PROBLEMS WITH MCC $22,338 $25,805 $14,476 +54% $34,017 −34% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $22,338 $24,981 $13,982 +60% $25,197 −11% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $22,304 $25,355 $14,206 +57% $29,916 −25% —
199 PNEUMOTHORAX WITH MCC $22,298 $26,640 $14,976 +49% $33,787 −34% —
571 SKIN DEBRIDEMENT WITH CC $22,289 $25,350 $14,204 +57% $37,169 −40% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $22,215 $25,183 $14,104 +58% $29,316 −24% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $22,189 $25,493 $14,290 +55% $34,273 −35% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $22,169 $25,444 $14,260 +55% $32,496 −32% —
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 $14,903 +48% $30,553 −28% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $22,107 $25,125 $14,069 +57% $44,606 −50% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $22,077 $25,200 $14,114 +56% $32,628 −32% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $22,073 $25,564 $14,332 +54% $31,563 −30% —
104 UnGrouped $22,045 — $22,045 — $45,286 — —
643 ENDOCRINE DISORDERS WITH MCC $22,003 $25,110 $14,060 +56% $33,563 −34% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $21,993 $25,579 $14,340 +53% $29,079 −24% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $21,986 $25,091 $14,049 +56% $34,192 −36% —
157 DENTAL AND ORAL DISEASES WITH MCC $21,936 $24,829 $13,892 +58% $31,300 −30% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $21,923 $24,884 $13,925 +57% $30,828 −29% ≈144% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $21,904 $25,264 $14,152 +55% $34,607 −37% —
339 UnGrouped $21,901 — $18,474 +19% $18,474 +19% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $21,892 $24,649 $13,784 +59% $27,617 −21% —
038 EXTRACRANIAL PROCEDURES WITH CC $21,682 $24,458 $13,669 +59% $35,770 −39% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $21,611 $24,888 $13,927 +55% $36,445 −41% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $21,581 $24,234 $13,535 +59% $35,419 −39% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $21,515 $23,968 $13,376 +61% $32,697 −34% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $21,515 $24,842 $13,899 +55% $33,661 −36% —
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 $13,791 +56% $28,202 −24% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $21,422 $24,105 $13,458 +59% $41,955 −49% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $21,334 $24,860 $13,910 +53% $30,235 −29% —
075 VIRAL MENINGITIS WITH CCMCC $21,276 $26,032 $14,612 +46% $30,447 −30% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $21,236 $23,768 $13,256 +60% $46,295 −54% —
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% $35,074 −40% —
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% $33,633 −37% —
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% $39,006 −46% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $21,098 $23,806 $13,279 +59% $34,749 −39% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $21,064 $24,903 $13,936 +51% $35,831 −41% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,051 $24,547 $13,723 +53% $27,316 −23% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $21,048 $23,605 $13,159 +60% $34,434 −39% —
186 PLEURAL EFFUSION WITH MCC $21,033 $24,014 $13,404 +57% $33,834 −38% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $21,014 $24,670 $13,797 +52% $27,633 −24% —
710 PENIS PROCEDURES WITHOUT CCMCC $21,007 $22,901 $12,737 +65% $26,436 −21% —
334 RECTAL RESECTION WITHOUT CCMCC $20,992 $25,128 $14,071 +49% $36,820 −43% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $20,969 $23,861 $13,312 +58% $33,653 −38% —
183 MAJOR CHEST TRAUMA WITH MCC $20,888 $24,118 $13,466 +55% $29,933 −30% —
663 MINOR BLADDER PROCEDURES WITH CC $20,783 $23,269 $12,958 +60% $33,103 −37% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $20,741 $23,378 $13,023 +59% $39,211 −47% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $20,688 $23,537 $13,118 +58% $24,550 −16% —
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 $12,773 +62% $33,424 −38% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,605 $22,721 $12,629 +63% $33,048 −38% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,518 $23,013 $12,804 +60% $33,454 −39% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $20,499 $23,530 $13,114 +56% $26,598 −23% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $20,484 $21,532 $11,918 +72% $39,887 −49% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $20,478 $23,021 $12,809 +60% $30,770 −33% —
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 $12,759 +59% $36,253 −44% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,292 $24,523 $13,708 +48% $27,152 −25% —
813 COAGULATION DISORDERS $20,282 $23,561 $13,132 +54% $33,296 −39% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $20,241 $23,527 $13,112 +54% $30,010 −33% —
682 RENAL FAILURE WITH MCC $20,202 $22,908 $12,741 +59% $29,064 −30% —
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% $36,505 −45% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $20,007 $22,882 $12,726 +57% $27,394 −27% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $19,964 $22,340 $12,401 +61% $32,451 −38% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $19,949 $23,320 $12,988 +54% $25,703 −22% —
945 REHABILITATION WITH CCMCC $19,915 $23,256 $12,950 +54% $23,834 −16% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $19,909 $23,120 $12,869 +55% $33,674 −41% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $19,893 $22,454 $12,470 +60% $30,571 −35% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $19,823 $21,315 $11,788 +68% $25,094 −21% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $19,816 $22,447 $12,466 +59% $25,073 −21% —
506 MAJOR THUMB OR JOINT PROCEDURES $19,749 $22,868 $12,718 +55% $30,557 −35% —
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 $12,663 +55% $33,393 −41% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $19,625 $22,633 $12,577 +56% $36,988 −47% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $19,599 $22,447 $12,466 +57% $26,463 −26% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $19,503 $22,868 $12,718 +53% $30,502 −36% —
606 MINOR SKIN DISORDERS WITH MCC $19,501 $24,444 $13,661 +43% $27,975 −30% —
865 VIRAL ILLNESS WITH MCC $19,487 $22,539 $12,521 +56% $26,910 −28% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $19,473 $22,349 $12,407 +57% $31,170 −38% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $19,455 $22,116 $12,267 +59% $32,100 −39% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $19,451 $27,895 $15,728 +24% $23,206 −16% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $19,449 $22,364 $12,416 +57% $29,743 −35% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $19,387 $21,932 $12,157 +59% $32,833 −41% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $19,354 $23,585 $13,147 +47% $32,877 −41% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $19,308 $21,482 $11,888 +62% $22,393 −14% —
637 DIABETES WITH MCC $19,297 $22,262 $12,354 +56% $30,100 −36% ≈127% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $19,252 $22,844 $12,703 +52% $24,586 −22% —
693 URINARY STONES WITH MCC $19,251 $22,461 $12,474 +54% $23,892 −19% —
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% $22,620 −15% —
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% $30,598 −37% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $19,092 $21,681 $12,007 +59% $26,280 −27% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $19,043 $21,593 $11,954 +59% $30,959 −38% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $19,028 $27,168 $15,292 +24% $16,351 +16% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $18,903 $27,082 $15,241 +24% $26,510 −29% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $18,867 $21,934 $12,159 +55% $35,465 −47% —
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% $31,159 −40% —
811 RED BLOOD CELL DISORDERS WITH MCC $18,747 $21,562 $11,935 +57% $28,226 −34% —
137 MOUTH PROCEDURES WITH CCMCC $18,733 $21,444 $11,865 +58% $27,861 −33% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $18,681 $22,019 $12,209 +53% $26,932 −31% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $18,679 $21,767 $12,058 +55% $27,808 −33% —
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% $31,017 −41% —
150 EPISTAXIS WITH MCC $18,422 $21,212 $11,726 +57% $23,171 −20% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $18,399 $21,328 $11,795 +56% $27,285 −33% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $18,395 $20,614 $11,368 +62% $31,264 −41% —
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 $11,820 +55% $27,119 −32% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $18,341 $21,090 $11,653 +57% $30,493 −40% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $18,251 $22,242 $12,343 +48% $24,941 −27% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $18,229 $20,828 $11,496 +59% $30,083 −39% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $18,212 $19,914 $10,949 +66% $22,811 −20% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $18,196 $20,811 $11,486 +58% $29,949 −39% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,128 $20,930 $11,557 +57% $30,242 −40% —
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% $32,841 −45% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $17,932 $20,707 $11,424 +57% $24,127 −26% —
767 UnGrouped $17,903 — $3,032 +490% $3,032 +490% —
342 UnGrouped $17,852 — $44,982 −60% $16,487 +8% —
139 SALIVARY GLAND PROCEDURES $17,813 $21,081 $11,648 +53% $23,612 −25% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $17,773 $20,298 $11,179 +59% $27,275 −35% ≈137% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $17,733 $20,296 $11,178 +59% $36,937 −52% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $17,699 $25,292 $14,169 +25% $26,682 −34% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $17,696 $20,471 $11,282 +57% $24,552 −28% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $17,692 $19,883 $10,930 +62% $25,748 −31% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $17,687 $20,102 $11,062 +60% $21,894 −19% —
291 HEART FAILURE AND SHOCK WITH MCC $17,681 $20,115 $11,069 +60% $26,776 −34% ≈143% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $17,616 $19,465 $10,680 +65% $27,947 −37% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,596 $20,534 $11,320 +55% $27,543 −36% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $17,581 $19,877 $10,927 +61% $26,870 −35% —
540 OSTEOMYELITIS WITH CC $17,486 $19,963 $10,978 +59% $26,676 −34% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $17,485 $20,211 $11,127 +57% $27,043 −35% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $17,477 $20,444 $11,266 +55% $25,463 −31% ≈128% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $17,415 $20,132 $11,079 +57% $26,051 −33% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $17,370 $19,540 $10,725 +62% $27,426 −37% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $17,356 $19,632 $10,780 +61% $23,498 −26% —
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 $10,939 +57% $27,989 −38% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $17,175 $18,827 $10,298 +67% $26,948 −36% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $17,159 $19,827 $10,897 +57% $28,050 −39% —
947 SIGNS AND SYMPTOMS WITH MCC $17,126 $19,852 $10,911 +57% $27,401 −37% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $17,100 $19,067 $10,441 +64% $27,323 −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% $28,320 −40% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $16,928 $19,517 $10,711 +58% $22,320 −24% —
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 $10,560 +60% $22,851 −26% —
986 UnGrouped $16,742 — $16,742 — $23,289 −28% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $16,698 $19,716 $10,830 +54% $22,557 −26% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $16,693 $19,082 $10,451 +60% $19,270 −13% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $16,668 $19,176 $10,507 +59% $22,458 −26% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $16,590 $19,269 $10,563 +57% $19,354 −14% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $16,565 $19,578 $10,748 +54% $28,125 −41% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $16,505 $19,272 $10,564 +56% $27,297 −40% —
401 UnGrouped $16,494 — $16,494 — $28,293 −42% —
549 SEPTIC ARTHRITIS WITH CC $16,473 $18,702 $10,223 +61% $24,056 −32% —
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 $10,342 +58% $25,581 −36% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $16,354 $18,714 $10,230 +60% $26,770 −39% —
375 DIGESTIVE MALIGNANCY WITH CC $16,337 $19,037 $10,424 +57% $27,277 −40% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $16,307 $15,840 $8,510 +92% $17,737 −8% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $16,288 $18,377 $10,028 +62% $19,598 −17% —
593 SKIN ULCERS WITH CC $16,283 $18,952 $10,373 +57% $22,886 −29% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $16,197 $18,965 $10,380 +56% $27,163 −40% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $16,175 $18,562 $10,139 +60% $21,847 −26% —
692 UnGrouped $16,154 — $72,604 −78% $25,916 −38% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $16,084 $19,160 $10,497 +53% $26,580 −39% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $16,011 $18,612 $10,169 +57% $30,784 −48% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,928 $18,031 $9,821 +62% $25,700 −38% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $15,915 $22,544 $12,523 +27% $8,445 +88% —
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% $23,443 −33% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $15,780 $17,833 $9,703 +63% $25,390 −38% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $15,727 $18,209 $9,928 +58% $23,617 −33% ≈126% of Medicare
304 HYPERTENSION WITH MCC $15,675 $18,273 $9,966 +57% $26,080 −40% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $15,670 $17,814 $9,692 +62% $24,944 −37% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $15,660 $18,075 $9,848 +59% $21,230 −26% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $15,579 $22,143 $12,283 +27% $21,986 −29% —
302 ATHEROSCLEROSIS WITH MCC $15,529 $18,110 $9,869 +57% $22,446 −31% —
102 HEADACHES WITH MCC $15,515 $18,056 $9,837 +58% $25,740 −40% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $15,512 $17,539 $9,527 +63% $24,386 −36% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $15,486 $17,755 $9,656 +60% $26,618 −42% —
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 $9,568 +61% $24,566 −37% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $15,397 $17,606 $9,567 +61% $25,034 −38% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $15,365 $18,000 $9,803 +57% $25,652 −40% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $15,323 $17,551 $9,534 +61% $31,321 −51% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $15,257 $15,488 $8,299 +84% $17,404 −12% —
181 RESPIRATORY NEOPLASMS WITH CC $15,247 $17,359 $9,419 +62% $23,573 −35% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $15,244 $17,538 $9,526 +60% $19,815 −23% —
885 PSYCHOSES $15,214 $21,600 $11,958 +27% $21,729 −30% —
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 $9,660 +57% $25,279 −40% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $15,096 $16,927 $9,160 +65% $22,314 −32% —
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 $9,472 +58% $17,685 −15% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $14,973 $17,226 $9,339 +60% $17,483 −14% —
949 AFTERCARE WITH CCMCC $14,965 $16,916 $9,154 +63% $23,953 −38% —
152 OTITIS MEDIA AND URI WITH MCC $14,948 $17,706 $9,627 +55% $20,247 −26% —
340 UnGrouped $14,946 — $58,356 −74% $13,613 +10% —
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% $27,843 −46% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $14,896 $17,067 $9,244 +61% $32,021 −53% ≈151% of Medicare
672 URETHRAL PROCEDURES WITHOUT CCMCC $14,833 $17,134 $9,284 +60% $17,398 −15% —
200 PNEUMOTHORAX WITH CC $14,827 $17,320 $9,395 +58% $21,368 −31% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $14,772 $16,994 $9,200 +61% $23,319 −37% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $14,770 $17,086 $9,255 +60% $20,926 −29% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $14,747 $16,973 $12,517 +18% $23,283 −37% —
712 TESTES PROCEDURES WITHOUT CCMCC $14,658 $16,783 $9,074 +62% $18,898 −22% —
089 CONCUSSION WITH CC $14,653 $16,818 $9,095 +61% $18,821 −22% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $14,628 $16,532 $8,924 +64% $19,657 −26% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,562 $16,659 $9,000 +62% $23,551 −38% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $14,512 $16,910 $9,150 +59% $17,193 −16% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,509 $17,356 $9,418 +54% $18,459 −21% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $14,508 $16,786 $9,076 +60% $23,749 −39% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $14,502 $16,797 $9,082 +60% $20,422 −29% —
685 UnGrouped $14,501 — $14,501 — $21,385 −32% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $14,473 $16,506 $8,909 +62% $22,763 −36% —
184 MAJOR CHEST TRAUMA WITH CC $14,418 $16,761 $9,061 +59% $22,432 −36% —
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 $9,585 +50% $18,133 −21% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $14,317 $18,415 $10,051 +42% $25,712 −44% —
111 UnGrouped $14,306 — $37,981 −62% $32,376 −56% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $14,278 $18,109 $9,868 +45% $19,412 −26% —
667 PROSTATECTOMY WITHOUT CCMCC $14,271 $16,190 $8,719 +64% $16,703 −15% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $14,236 $16,173 $8,709 +63% $25,970 −45% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $14,224 $16,560 $8,941 +59% $23,488 −39% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $14,208 $16,148 $8,694 +63% $18,348 −23% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $14,179 $16,873 $9,128 +55% $18,956 −25% —
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 $8,981 +57% $24,914 −43% —
644 ENDOCRINE DISORDERS WITH CC $14,112 $16,270 $8,767 +61% $23,198 −39% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $14,088 $16,236 $8,746 +61% $22,888 −38% ≈139% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $14,087 $16,543 $8,931 +58% $20,232 −30% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,085 $16,946 $9,171 +54% $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 $8,627 +62% $23,940 −41% —
187 PLEURAL EFFUSION WITH CC $13,962 $15,853 $8,517 +64% $21,789 −36% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,959 $16,672 $12,517 +12% $23,571 −41% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $13,941 $16,074 $8,650 +61% $22,635 −38% —
920 COMPLICATIONS OF TREATMENT WITH CC $13,916 $16,022 $8,618 +61% $22,468 −38% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,867 $16,076 $8,651 +60% $22,506 −38% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $13,839 $16,025 $8,620 +61% $19,264 −28% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $13,837 $16,078 $8,652 +60% $21,275 −35% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $13,700 $17,161 $9,300 +47% $16,846 −19% —
197 INTERSTITIAL LUNG DISEASE WITH CC $13,665 $15,655 $8,399 +63% $21,941 −38% —
343 UnGrouped $13,656 — $44,735 −69% $12,397 +10% —
697 URETHRAL STRICTURE $13,647 $15,822 $8,499 +61% $18,428 −26% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $13,641 $15,767 $8,466 +61% $17,698 −23% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $13,640 $16,046 $8,633 +58% $25,303 −46% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $13,621 $15,690 $8,420 +62% $22,033 −38% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,598 $16,070 $8,647 +57% $20,901 −35% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $13,592 $15,839 $8,509 +60% $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% $22,098 −39% ≈137% of Medicare
213 UnGrouped $13,565 — $13,565 — $139,857 −90% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $13,419 $15,795 $8,483 +58% $20,957 −36% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,258 $15,262 $8,164 +62% $21,363 −38% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $13,246 $15,325 $8,201 +62% $17,724 −25% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $13,242 $15,318 $8,197 +62% $21,449 −38% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,233 $16,078 $8,652 +53% $17,601 −25% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $13,218 $15,169 $8,108 +63% $20,911 −37% —
777 UnGrouped $13,213 — $13,213 — $19,358 −32% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $13,197 $15,162 $8,103 +63% $19,594 −33% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $13,137 $15,346 $8,598 +53% $19,962 −34% —
887 OTHER MENTAL DISORDER DIAGNOSES $13,114 $18,480 $10,090 +30% $20,616 −36% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,100 $15,284 $8,176 +60% $21,396 −39% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $13,097 $15,175 $8,111 +61% $19,924 −34% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $13,033 $15,114 $8,075 +61% $18,316 −29% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $13,011 $14,965 $7,986 +63% $20,181 −36% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $12,969 $15,346 $8,598 +51% $18,452 −30% —
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 $7,972 +62% $17,934 −28% —
158 DENTAL AND ORAL DISEASES WITH CC $12,844 $14,955 $7,980 +61% $18,466 −30% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $12,841 $14,558 $7,742 +66% $20,259 −37% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $12,757 $14,856 $7,920 +61% $16,968 −25% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $12,750 $15,768 $8,598 +48% $15,370 −17% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $12,737 $14,683 $7,817 +63% $20,455 −38% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $12,732 $15,592 $8,361 +52% $20,895 −39% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $12,703 $14,649 $7,796 +63% $18,072 −30% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $12,655 $14,704 $7,829 +62% $20,488 −38% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $12,639 $15,159 $8,102 +56% $15,589 −19% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,603 $14,754 $7,859 +60% $20,566 −39% —
101 SEIZURES WITHOUT MCC $12,600 $14,687 $7,819 +61% $20,461 −38% ≈126% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $12,592 $14,715 $7,836 +61% $20,506 −39% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $12,462 $14,109 $7,473 +67% $19,854 −37% —
914 TRAUMATIC INJURY WITHOUT MCC $12,451 $14,612 $7,774 +60% $15,855 −21% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $12,438 $15,182 $8,115 +53% $16,700 −26% —
683 RENAL FAILURE WITH CC $12,411 $14,222 $7,541 +65% $19,130 −35% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $12,376 $14,139 $7,491 +65% $16,998 −27% —
864 FEVER AND INFLAMMATORY CONDITIONS $12,358 $14,351 $7,618 +62% $18,640 −34% —
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% $19,842 −38% —
638 DIABETES WITH CC $12,225 $14,623 $7,781 +57% $19,661 −38% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $12,206 $14,272 $7,571 +61% $22,148 −45% —
541 OSTEOMYELITIS WITHOUT CCMCC $12,196 $14,024 $7,422 +64% $15,215 −20% —
292 HEART FAILURE AND SHOCK WITH CC $12,181 $13,830 $7,306 +67% $16,371 −26% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $12,166 $14,153 $7,499 +62% $16,520 −26% —
076 VIRAL MENINGITIS WITHOUT CCMCC $12,164 $14,619 $7,779 +56% $17,135 −29% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,099 $13,800 $7,288 +66% $18,807 −36% —
866 VIRAL ILLNESS WITHOUT MCC $12,095 $14,164 $7,506 +61% $17,081 −29% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $12,066 $14,004 $7,410 +63% $19,846 −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 $7,297 +64% $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% $16,552 −28% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $11,927 $14,446 $12,517 −5% $20,084 −41% —
312 SYNCOPE AND COLLAPSE $11,908 $13,973 $7,392 +61% $19,342 −38% ≈133% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,864 $14,161 $7,504 +58% $15,452 −23% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,862 $14,462 $7,684 +54% $18,488 −36% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $11,781 $13,484 $7,099 +66% $14,055 −16% —
090 CONCUSSION WITHOUT CCMCC $11,749 $13,775 $7,273 +62% $15,412 −24% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $11,727 $13,246 $6,956 +69% $18,204 −36% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $11,721 $13,843 $7,314 +60% $19,138 −39% —
594 SKIN ULCERS WITHOUT CCMCC $11,719 $13,653 $7,200 +63% $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% $21,280 −45% —
781 UnGrouped $11,635 — $11,635 — $16,875 −31% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $11,565 $13,494 $7,105 +63% $14,064 −18% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $11,502 $13,197 $6,927 +66% $18,126 −37% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,500 $13,327 $7,005 +64% $17,298 −34% —
138 MOUTH PROCEDURES WITHOUT CCMCC $11,493 $13,154 $6,901 +67% $19,119 −40% —
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 $6,910 +66% $18,081 −36% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,428 $13,872 $7,331 +56% $15,889 −28% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,418 $13,453 $7,080 +61% $18,528 −38% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $11,387 $12,534 $6,530 +74% $14,648 −22% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,320 $13,231 $6,947 +63% $14,501 −22% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $11,287 $12,753 $6,661 +69% $14,014 −19% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,280 $13,197 $6,927 +63% $18,126 −38% —
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% $18,602 −40% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $11,182 $12,925 $6,764 +65% $17,700 −37% —
766 UnGrouped $11,144 — $5,336 +109% $5,336 +109% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,116 $12,964 $6,788 +64% $21,056 −47% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,109 $12,885 $6,740 +65% $17,921 −38% —
123 NEUROLOGICAL EYE DISORDERS $11,107 $13,008 $6,814 +63% $19,745 −44% —
534 FRACTURES OF FEMUR WITHOUT MCC $11,093 $13,161 $6,906 +61% $17,559 −37% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,087 $13,000 $6,809 +63% $17,674 −37% ≈139% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,059 $12,985 $6,800 +63% $17,578 −37% ≈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 $8,161 +34% $15,680 −30% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $10,927 $12,811 $6,696 +63% $17,620 −38% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,915 $13,205 $6,932 +57% $17,118 −36% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $10,913 $15,210 $8,132 +34% $17,733 −38% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,896 $12,684 $6,620 +65% $17,322 −37% ≈139% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,896 $12,699 $6,629 +64% $17,038 −36% ≈130% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $10,891 $13,119 $6,880 +58% $18,004 −40% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $10,890 $12,201 $6,330 +72% $16,565 −34% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $10,799 $12,647 $6,598 +64% $17,124 −37% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $10,796 $12,335 $6,411 +68% $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% $17,345 −38% —
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 $6,346 +67% $14,716 −28% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $10,582 $12,175 $6,315 +68% $15,019 −30% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $10,567 $12,257 $6,364 +66% $19,037 −44% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,556 $12,127 $6,286 +68% $16,450 −36% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $10,540 $12,661 $6,606 +60% $15,428 −32% —
151 EPISTAXIS WITHOUT MCC $10,522 $12,368 $6,430 +64% $13,032 −19% —
305 HYPERTENSION WITHOUT MCC $10,503 $12,264 $6,369 +65% $18,086 −42% ≈148% of Medicare
188 PLEURAL EFFUSION WITHOUT CCMCC $10,493 $12,031 $6,229 +68% $14,514 −28% —
881 DEPRESSIVE NEUROSES $10,488 $14,579 $7,755 +35% $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 $6,272 +67% $17,303 −40% ≈133% of Medicare
149 DYSEQUILIBRIUM $10,445 $12,219 $6,341 +65% $18,096 −42% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $10,350 $11,902 $6,151 +68% $19,227 −46% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $10,349 $12,818 $6,700 +54% $13,445 −23% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $10,196 $11,951 $6,181 +65% $12,768 −20% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,184 $14,127 $7,484 +36% $16,699 −39% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $10,167 $11,736 $6,052 +68% $15,837 −36% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $10,144 $11,552 $5,942 +71% $15,549 −35% —
313 CHEST PAIN $10,108 $11,736 $6,052 +67% $16,440 −39% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $10,088 $11,464 $5,889 +71% $14,797 −32% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $10,076 $11,906 $6,154 +64% $16,767 −40% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $10,073 $11,518 $5,921 +70% $15,495 −35% —
679 UnGrouped $10,025 — $10,025 — $7,907 — —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,970 $11,584 $5,961 +67% $15,600 −36% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $9,952 $11,301 $5,792 +72% $13,651 −27% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $9,929 $11,380 $5,839 +70% $20,781 −52% —
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 $8,598 +15% $13,275 −25% —
162 UnGrouped $9,881 — $445,799 — $72,401 −86% —
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 $5,869 +68% $14,689 −33% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $9,785 $11,074 $5,656 +73% $11,847 −17% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,771 $11,496 $5,909 +65% $12,460 −22% —
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% $15,502 −37% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $9,741 $11,824 $6,105 +60% $12,559 −22% —
201 PNEUMOTHORAX WITHOUT CCMCC $9,704 $11,222 $5,744 +69% $14,053 −31% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $9,664 $11,125 $5,686 +70% $16,288 −41% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,596 $11,737 $6,053 +59% $12,454 −23% —
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 $5,704 +68% $14,549 −34% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $9,550 $11,372 $5,834 +64% $14,415 −34% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $9,504 $10,974 $5,596 +70% $13,633 −30% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $9,423 $11,498 $5,910 +59% $12,252 −23% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $9,393 $10,971 $5,594 +68% $14,638 −36% —
153 OTITIS MEDIA AND URI WITHOUT MCC $9,380 $11,712 $6,038 +55% $14,583 −36% —
950 AFTERCARE WITHOUT CCMCC $9,373 $9,932 $4,972 +89% $13,527 −31% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $9,286 $10,696 $5,429 +71% $14,250 −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 $5,491 +68% $14,368 −36% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $9,207 $10,649 $5,401 +70% $15,038 −39% —
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% $13,942 −35% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $9,067 $9,662 $4,810 +88% $10,160 −11% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $8,902 $10,343 $5,218 +71% $15,183 −41% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $8,857 $10,609 $5,378 +65% $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% $13,642 −35% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $8,803 $10,658 $8,598 +2% $12,078 −27% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $8,658 $10,227 $5,149 +68% $11,071 −22% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $8,648 $10,122 $5,086 +70% $10,975 −21% —
775 UnGrouped $8,599 — $31,569 −73% $3,032 +184% —
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% $10,480 −21% —
771 UnGrouped $8,300 — $8,300 — $8,300 — —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $8,187 $9,555 $4,747 +72% $13,384 −39% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $8,096 $9,381 $4,642 +74% $13,361 −39% —
782 UnGrouped $8,061 — $8,061 — $10,060 −20% —
400 UnGrouped $7,931 — $7,931 — $129 +6048% —
778 UnGrouped $7,901 — $7,901 — $10,997 −28% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $7,795 $9,402 $4,655 +67% $12,999 −40% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,723 $10,471 $5,295 +46% $12,324 −37% —
108 UnGrouped $7,718 — $7,718 — $7,095 — —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $7,213 $8,993 $4,410 +64% $9,940 −27% —
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 $3,747 +82% $8,927 −24% —
680 UnGrouped $6,730 — $6,730 — $112,564 −94% —
160 UnGrouped $6,256 — $6,256 — $6,461 −3% —
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 — —
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 — $250,946 −99% —
780 UnGrouped $3,616 — $3,616 — $4,253 −15% —
171 UnGrouped $3,537 — $229,971 −98% $75,072 −95% —
795 NORMAL NEWBORN $3,492 $4,459 $3,492 +0% $4,720 −26% —
174 UnGrouped $3,410 — $179,426 −98% $74,377 −95% —
170 UnGrouped $3,220 — $3,220 — $495 +551% —
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
169 UnGrouped $4,371 – $4,371 · median $4,371 1 plans
611 UnGrouped $1,939 – $1,939 · median $1,939 1 plans
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