Procedures published 764
Lowest published price $12,549
Average published price $41,683
Highest published price $532,484

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 764 procedures

Published charges

Showing all 764 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 35 procedures, this hospital's negotiated rates average ≈102% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $532,484 $532,484 $319,936 +66% $573,534 −7%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC $400,196 $400,196 $307,776 +30% $461,389 −13%
003 ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. $306,824 $306,824 $252,455 +22% $371,366 −17% ≈138% of Medicare
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT $288,539 $288,539 $201,252 +43% $306,087 −6%
004 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $205,623 $205,623 $167,292 +23% $248,521 −17%
014 ALLOGENEIC BONE MARROW TRANSPLANT $191,372 $191,372 $111,149 +72% $182,314 +5%
007 LUNG TRANSPLANT $190,915 $190,915 $110,869 +72% $170,608 +12%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $160,770 $160,770 $94,649 +70% $196,346 −18%
005 LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT $157,382 $157,382 $118,003 +33% $164,641 −4%
215 OTHER HEART ASSIST SYSTEM IMPLANT $156,625 $156,625 $91,898 +70% $208,939 −25%
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC $143,545 $143,545 $99,015 +45% $188,171 −24%
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC $140,127 $140,127 $93,485 +50% $194,769 −28%
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC $132,600 $132,600 $103,861 +28% $103,861 +28%
231 CORONARY BYPASS W PTCA W MCC $127,229 $127,229 $100,406 +27% $147,227 −14%
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC $127,164 $127,164 $111,108 +14% $153,282 −17%
020 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC $121,507 $121,507 $96,502 +26% $148,686 −18%
010 PANCREAS TRANSPLANT $120,286 $120,286 $67,639 +78% $99,940 +20%
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $119,653 $119,653 $67,251 +78% $105,228 +14%
233 CORONARY BYPASS W CARDIAC CATH W MCC $118,116 $118,116 $99,484 +19% $144,569 −18%
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC $117,022 $117,022 $69,461 +68% $143,242 −18%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC $113,234 $113,234 $96,002 +18% $120,573 −6%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $107,729 $107,729 $59,953 +80% $131,961 −18%
870 SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS $106,198 $106,198 $71,210 +49% $148,832 −29% ≈131% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $104,421 $104,421 $57,928 +80% $102,600 +2%
928 FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC $102,350 $102,350 $56,660 +81% $89,353 +15%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC $102,193 $102,193 $56,564 +81% $125,242 −18%
459 SPINAL FUSION EXCEPT CERVICAL W MCC $101,704 $101,704 $75,879 +34% $75,251 +35%
207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS $99,416 $99,416 $54,864 +81% $116,058 −14%
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC $99,287 $99,287 $54,785 +81% $123,995 −20%
969 HIV W EXTENSIVE O.R. PROCEDURE W MCC $97,435 $97,435 $70,274 +39% $109,331 −11%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $95,635 $95,635 $52,550 +82% $117,280 −18%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC $95,133 $95,133 $76,220 +25% $98,912 −4%
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC $94,552 $94,552 $79,734 +19% $69,101 +37%
232 CORONARY BYPASS W PTCA W/O MCC $94,447 $94,447 $52,744 +79% $115,839 −18%
028 SPINAL PROCEDURES W MCC $94,042 $94,042 $75,626 +24% $113,077 −17%
016 AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC OR T-CELL IMMUNOTHERAPY $93,438 $93,438 $51,205 +82% $98,260 −5%
017 AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC $93,438 $93,438 $51,205 +82% $81,176 +15%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC $92,813 $92,813 $56,331 +65% $113,855 −18%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC $92,813 $92,813 $77,989 +19% $108,472 −14%
218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC $92,238 $92,238 $70,773 +30% $103,455 −11%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $92,175 $92,175 $68,716 +34% $80,018 +15%
235 CORONARY BYPASS W/O CARDIAC CATH W MCC $91,335 $91,335 $53,056 +72% $112,062 −18%
820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC $90,477 $90,477 $73,617 +23% $96,192 −6%
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC $89,328 $89,328 $69,568 +28% $107,355 −17%
023 CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPIL $88,853 $88,853 $74,760 +19% $106,778 −17%
653 MAJOR BLADDER PROCEDURES W MCC $87,044 $87,044 $48,871 +78% $104,583 −17%
834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC $86,389 $86,389 $46,891 +84% $85,566 +1%
008 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT $85,194 $85,194 $46,159 +85% $86,459 −1%
405 PANCREAS, LIVER & SHUNT PROCEDURES W MCC $85,022 $85,022 $69,661 +22% $102,128 −17%
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC $84,638 $84,638 $45,819 +85% $89,207 −5%
011 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC $84,567 $84,567 $45,776 +85% $101,576 −17%
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC $84,559 $84,559 $58,205 +45% $90,401 −6%
021 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC $83,805 $83,805 $74,709 +12% $106,057 −21%
234 CORONARY BYPASS W CARDIAC CATH W/O MCC $83,518 $83,518 $63,765 +31% $102,573 −19%
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC $83,192 $83,192 $47,356 +76% $111,320 −25%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC $80,924 $80,924 $58,029 +39% $99,423 −19%
466 REVISION OF HIP OR KNEE REPLACEMENT W MCC $80,391 $80,391 $67,426 +19% $96,507 −17%
326 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC $80,175 $80,175 $58,279 +38% $80,793 −1%
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC $79,592 $79,592 $43,082 +85% $93,390 −15%
837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC $79,180 $79,180 $42,731 +85% $77,055 +3%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $79,126 $79,126 $42,445 +86% $93,238 −15%
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC $79,098 $79,098 $66,300 +19% $93,172 −15% ≈126% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES W MCC $78,849 $78,849 $45,511 +73% $96,905 −19%
245 AICD GENERATOR PROCEDURES $77,511 $77,511 $57,711 +34% $72,076 +8%
471 CERVICAL SPINAL FUSION W MCC $77,102 $77,102 $56,466 +37% $92,515 −17%
006 LIVER TRANSPLANT W/O MCC $76,990 $76,990 $41,138 +87% $84,407 −9%
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC $75,969 $75,969 $45,486 +67% $90,724 −16%
799 SPLENECTOMY W MCC $75,682 $75,682 $63,003 +20% $82,218 −8%
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $75,669 $75,669 $48,640 +56% $90,775 −17%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W/O MCC $74,987 $74,987 $56,990 +32% $92,217 −19%
823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC $74,638 $74,638 $59,849 +25% $87,761 −15%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $74,255 $74,255 $41,339 +80% $91,329 −19%
163 MAJOR CHEST PROCEDURES W MCC $73,664 $73,664 $48,368 +52% $90,195 −18%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $73,637 $73,637 $39,086 +88% $71,551 +3%
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC $73,614 $73,614 $58,617 +26% $56,836 +30%
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC $73,434 $73,434 $53,402 +38% $90,331 −19%
329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC $73,424 $73,424 $62,792 +17% $88,050 −17%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC $72,311 $72,311 $38,274 +89% $76,001 −5%
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC $71,938 $71,938 $38,916 +85% $84,692 −15%
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC $71,766 $71,766 $37,941 +89% $88,307 −19%
901 WOUND DEBRIDEMENTS FOR INJURIES W MCC $71,187 $71,187 $44,454 +60% $70,177 +1%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W MCC $70,664 $70,664 $39,446 +79% $86,970 −19%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT $69,751 $69,751 $35,085 +99% $59,352 +18%
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC $69,628 $69,628 $59,237 +18% $83,441 −17%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC $68,903 $68,903 $54,189 +27% $82,561 −17%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $68,815 $68,815 $56,745 +21% $101,510 −32%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $68,397 $68,397 $35,878 +91% $60,098 +14%
031 VENTRICULAR SHUNT PROCEDURES W MCC $67,862 $67,862 $54,021 +26% $72,962 −7%
673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC $67,848 $67,848 $52,219 +30% $77,990 −13%
793 FULL TERM NEONATE W MAJOR PROBLEMS $67,583 $67,583 $35,380 +91% $18,649 +262%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC $67,447 $67,447 $40,079 +68% $85,159 −21%
236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC $66,774 $66,774 $41,546 +61% $82,247 −19%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC $66,742 $66,742 $41,582 +61% $73,120 −9%
012 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC $66,657 $66,657 $40,461 +65% $79,836 −17%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC $66,154 $66,154 $52,205 +27% $79,225 −16%
791 PREMATURITY W MAJOR PROBLEMS $66,050 $66,050 $45,159 +46% $42,679 +55%
907 OTHER O.R. PROCEDURES FOR INJURIES W MCC $64,994 $64,994 $42,875 +52% $77,817 −16%
739 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $64,955 $64,955 $45,999 +41% $62,300 +4%
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC $64,467 $64,467 $33,473 +93% $71,795 −10%
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC $64,355 $64,355 $48,003 +34% $61,832 +4%
876 O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $64,244 $64,244 $33,337 +93% $54,196 +19%
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $63,977 $63,977 $35,279 +81% $78,852 −19%
034 CAROTID ARTERY STENT PROCEDURE W MCC $63,677 $63,677 $32,990 +93% $76,219 −16%
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC $63,349 $63,349 $32,789 +93% $66,685 −5%
904 SKIN GRAFTS FOR INJURIES W CC/MCC $63,295 $63,295 $32,756 +93% $59,594 +6%
166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC $63,145 $63,145 $50,951 +24% $75,573 −16%
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $62,759 $62,759 $33,769 +86% $75,103 −16%
024 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC $62,472 $62,472 $49,588 +26% $74,755 −16%
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC $62,061 $62,061 $44,359 +40% $74,257 −16%
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC $61,644 $61,644 $31,745 +94% $61,470 +0%
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC $60,479 $60,479 $50,803 +19% $51,625 +17%
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC $60,351 $60,351 $41,778 +44% $68,639 −12%
335 PERITONEAL ADHESIOLYSIS W MCC $60,000 $60,000 $49,404 +21% $71,755 −16%
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC $59,465 $59,465 $30,412 +96% $66,711 −11%
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC $59,463 $59,463 $30,410 +96% $59,533 −0%
518 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM $59,454 $59,454 $31,743 +87% $71,092 −16%
265 AICD LEAD PROCEDURES $59,221 $59,221 $36,401 +63% $63,171 −6%
492 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC $59,000 $59,000 $31,382 +88% $70,564 −16%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC $58,699 $58,699 $29,942 +96% $50,919 +15%
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC $58,576 $58,576 $45,480 +29% $56,964 +3%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC $58,343 $58,343 $31,947 +83% $69,743 −16%
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $58,327 $58,327 $29,715 +96% $66,068 −12%
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC $58,308 $58,308 $48,637 +20% $62,583 −7%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $58,222 $58,222 $29,651 +96% $51,953 +12%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $57,909 $57,909 $29,459 +97% $56,242 +3%
332 RECTAL RESECTION W MCC $57,856 $57,856 $29,427 +97% $58,125 −0%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC $57,804 $57,804 $39,320 +47% $52,036 +11%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC $57,519 $57,519 $29,221 +97% $71,014 −19%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $57,445 $57,445 $29,175 +97% $68,653 −16%
665 PROSTATECTOMY W MCC $57,370 $57,370 $43,765 +31% $54,072 +6%
252 OTHER VASCULAR PROCEDURES W MCC $57,325 $57,325 $45,852 +25% $68,508 −16% ≈106% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT W CC $57,253 $57,253 $46,123 +24% $70,847 −19%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC $56,990 $56,990 $34,180 +67% $70,371 −19%
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC $56,793 $56,793 $47,020 +21% $70,132 −19%
029 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS $56,304 $56,304 $41,267 +36% $67,268 −16%
037 EXTRACRANIAL PROCEDURES W MCC $55,808 $55,808 $28,173 +98% $66,666 −16%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $55,544 $55,544 $28,012 +98% $52,908 +5%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REP $55,084 $55,084 $33,894 +63% $65,788 −16%
579 OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC $54,955 $54,955 $39,757 +38% $58,745 −6%
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC $54,936 $54,936 $28,056 +96% $65,608 −16%
485 KNEE PROCEDURES W PDX OF INFECTION W MCC $54,399 $54,399 $27,311 +99% $72,424 −25%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $54,193 $54,193 $27,184 +99% $63,928 −15%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $54,064 $54,064 $27,106 +99% $71,464 −24%
840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC $53,980 $53,980 $27,054 +100% $49,710 +9%
929 FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC $53,860 $53,860 $26,981 +100% $44,472 +21%
939 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC $53,772 $53,772 $26,927 +100% $55,289 −3%
500 SOFT TISSUE PROCEDURES W MCC $53,698 $53,698 $26,882 +100% $61,872 −13%
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $53,037 $53,037 $33,425 +59% $65,573 −19%
662 MINOR BLADDER PROCEDURES W MCC $53,018 $53,018 $26,465 +100% $54,562 −3%
229 OTHER CARDIOTHORACIC PROCEDURES W/O MCC $52,833 $52,833 $38,140 +39% $65,325 −19%
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC $52,641 $52,641 $26,234 +101% $62,821 −16%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC $52,521 $52,521 $26,161 +101% $53,864 −2%
652 KIDNEY TRANSPLANT $52,350 $52,350 $26,056 +101% $54,720 −4%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $52,311 $52,311 $27,913 +87% $60,407 −13%
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC $52,172 $52,172 $25,948 +101% $64,523 −19%
570 SKIN DEBRIDEMENT W MCC $51,501 $51,501 $25,537 +102% $52,435 −2%
974 HIV W MAJOR RELATED CONDITION W MCC $51,169 $51,169 $25,333 +102% $46,402 +10%
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC $50,648 $50,648 $25,014 +102% $58,228 −13%
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC $50,542 $50,542 $39,985 +26% $65,653 −23%
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC $50,431 $50,431 $24,882 +103% $60,170 −16%
668 TRANSURETHRAL PROCEDURES W MCC $50,200 $50,200 $29,135 +72% $51,608 −3%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $50,178 $50,178 $24,727 +103% $70,467 −29%
800 SPLENECTOMY W CC $50,165 $50,165 $24,719 +103% $49,184 +2%
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC $50,143 $50,143 $24,706 +103% $59,790 −16%
472 CERVICAL SPINAL FUSION W CC $49,935 $49,935 $24,578 +103% $59,537 −16%
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC $49,518 $49,518 $24,323 +104% $59,031 −16%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC $49,472 $49,472 $40,277 +23% $58,975 −16%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $49,449 $49,449 $40,065 +23% $61,217 −19%
510 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W MCC $49,393 $49,393 $24,247 +104% $49,839 −1%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUM $49,237 $49,237 $24,151 +104% $81,706 −40%
654 MAJOR BLADDER PROCEDURES W CC $48,894 $48,894 $23,941 +104% $58,274 −16%
406 PANCREAS, LIVER & SHUNT PROCEDURES W CC $48,704 $48,704 $23,825 +104% $58,043 −16%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC $48,664 $48,664 $23,800 +104% $52,986 −8%
022 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC $48,061 $48,061 $48,538 −1% $66,848 −28%
288 ACUTE & SUBACUTE ENDOCARDITIS W MCC $47,639 $47,639 $23,173 +106% $50,618 −6%
619 O.R. PROCEDURES FOR OBESITY W MCC $47,569 $47,569 $23,341 +104% $51,746 −8%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC $47,433 $47,433 $23,047 +106% $43,491 +9%
411 CHOLECYSTECTOMY W C.D.E. W MCC $47,388 $47,388 $23,214 +104% $48,358 −2%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC $47,249 $47,249 $22,934 +106% $62,264 −24%
344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC $47,126 $47,126 $22,859 +106% $44,546 +6%
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS $46,977 $46,977 $22,768 +106% $52,405 −10% ≈98% of Medicare
263 VEIN LIGATION & STRIPPING $46,954 $46,954 $22,754 +106% $51,253 −8%
849 RADIOTHERAPY $46,801 $46,801 $22,660 +107% $37,862 +24%
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC $46,686 $46,686 $22,590 +107% $47,945 −3%
970 HIV W EXTENSIVE O.R. PROCEDURE W/O MCC $46,555 $46,555 $22,509 +107% $44,222 +5%
013 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W/O CC/MCC $46,509 $46,509 $22,481 +107% $48,687 −4%
503 FOOT PROCEDURES W MCC $46,462 $46,462 $22,452 +107% $47,540 −2%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $46,424 $46,424 $33,961 +37% $41,422 +12%
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC $46,139 $46,139 $22,255 +107% $54,929 −16%
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC $46,045 $46,045 $22,197 +107% $46,453 −1%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC $45,658 $45,658 $21,960 +108% $45,167 +1%
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC $45,598 $45,598 $21,924 +108% $52,178 −13%
846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC $45,176 $45,176 $21,665 +109% $38,878 +16%
253 OTHER VASCULAR PROCEDURES W CC $45,164 $45,164 $21,658 +109% $57,454 −21%
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $45,098 $45,098 $21,618 +109% $58,707 −23%
545 CONNECTIVE TISSUE DISORDERS W MCC $44,803 $44,803 $21,437 +109% $40,362 +11%
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC $44,775 $44,775 $21,420 +109% $49,423 −9%
164 MAJOR CHEST PROCEDURES W CC $44,666 $44,666 $21,353 +109% $56,755 −21%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC $44,487 $44,487 $21,243 +109% $39,973 +11%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC $44,460 $44,460 $21,227 +109% $55,162 −19%
397 APPENDIX PROCEDURES WITH MCC $44,122 $44,122 $21,020 +110% $53,257 −17%
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC $43,984 $43,984 $20,936 +110% $54,583 −19%
792 PREMATURITY W/O MAJOR PROBLEMS $43,733 $43,733 $20,782 +110% $12,229 +258%
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $43,713 $43,713 $20,770 +110% $51,985 −16%
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC $43,433 $43,433 $20,599 +111% $59,421 −27%
350 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC $43,303 $43,303 $20,519 +111% $50,046 −13%
135 SINUS & MASTOID PROCEDURES W CC/MCC $43,198 $43,198 $20,455 +111% $42,186 +2%
493 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC $43,058 $43,058 $20,369 +111% $59,651 −28%
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC $43,005 $43,005 $20,337 +111% $47,583 −10%
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC $43,005 $43,005 $20,337 +111% $41,620 +3%
417 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC $42,718 $42,718 $20,161 +112% $53,451 −20%
473 CERVICAL SPINAL FUSION W/O CC/MCC $42,592 $42,592 $20,084 +112% $50,624 −16%
347 ANAL & STOMAL PROCEDURES W MCC $42,584 $42,584 $20,079 +112% $40,548 +5%
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC $42,541 $42,541 $20,052 +112% $59,500 −29%
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC $42,488 $42,488 $24,054 +77% $50,498 −16%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $42,193 $42,193 $19,839 +113% $50,139 −16%
082 TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC $41,938 $41,938 $19,683 +113% $36,489 +15%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W/O MCC $41,863 $41,863 $19,638 +113% $40,060 +5%
250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC $41,833 $41,833 $19,619 +113% $59,629 −30%
674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC $41,774 $41,774 $31,742 +32% $50,394 −17%
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC $41,576 $41,576 $19,462 +114% $40,108 +4%
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC $41,523 $41,523 $19,430 +114% $39,181 +6%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC $41,426 $41,426 $19,370 +114% $42,415 −2%
614 ADRENAL & PITUITARY PROCEDURES W CC/MCC $41,367 $41,367 $19,334 +114% $48,349 −14%
035 CAROTID ARTERY STENT PROCEDURE W CC $41,309 $41,309 $19,298 +114% $49,066 −16%
085 TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC $41,187 $41,187 $19,224 +114% $41,892 −2%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC $41,080 $41,080 $19,158 +114% $38,998 +5%
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM $41,079 $41,079 $19,157 +114% $49,418 −17%
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC $41,004 $41,004 $19,112 +115% $50,011 −18%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC $40,993 $40,993 $19,105 +115% $48,682 −16%
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC $40,952 $40,952 $19,080 +115% $47,737 −14%
709 PENIS PROCEDURES W CC/MCC $40,925 $40,925 $19,063 +115% $34,535 +19%
113 ORBITAL PROCEDURES W CC/MCC $40,787 $40,787 $19,144 +113% $36,167 +13%
821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC $40,721 $40,721 $18,939 +115% $47,789 −15%
030 SPINAL PROCEDURES W/O CC/MCC $40,624 $40,624 $18,879 +115% $45,866 −11%
286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC $40,456 $40,456 $18,776 +115% $46,283 −13%
824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC $40,264 $40,264 $18,659 +116% $41,608 −3%
935 NON-EXTENSIVE BURNS $40,222 $40,222 $18,633 +116% $31,701 +27%
817 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC $40,076 $40,076 $17,794 +125% $39,173 +2%
906 HAND PROCEDURES FOR INJURIES $40,029 $40,029 $18,515 +116% $32,065 +25%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $39,979 $39,979 $18,485 +116% $45,333 −12%
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC $39,846 $39,846 $18,403 +117% $42,901 −7%
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC $39,680 $39,680 $18,301 +117% $45,877 −14%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $39,627 $39,627 $18,269 +117% $38,666 +2%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $39,558 $39,558 $18,227 +117% $37,267 +6%
934 FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ $39,521 $39,521 $18,204 +117% $31,044 +27%
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC $39,500 $39,500 $18,191 +117% $38,070 +4%
835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC $39,383 $39,383 $18,120 +117% $35,569 +11%
407 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC $39,382 $39,382 $18,119 +117% $46,727 −16%
032 VENTRICULAR SHUNT PROCEDURES W CC $39,379 $39,379 $18,117 +117% $46,724 −16%
412 CHOLECYSTECTOMY W C.D.E. W CC $39,324 $39,324 $18,083 +117% $42,906 −8%
333 RECTAL RESECTION W CC $39,237 $39,237 $18,030 +118% $37,154 +6%
486 KNEE PROCEDURES W PDX OF INFECTION W CC $39,176 $39,176 $17,993 +118% $49,351 −21%
595 MAJOR SKIN DISORDERS W MCC $39,095 $39,095 $17,943 +118% $34,598 +13%
336 PERITONEAL ADHESIOLYSIS W CC $39,056 $39,056 $17,920 +118% $50,463 −23%
374 DIGESTIVE MALIGNANCY W MCC $39,044 $39,044 $17,912 +118% $39,958 −2%
940 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC $39,044 $39,044 $17,912 +118% $43,650 −11%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $38,998 $38,998 $17,884 +118% $58,280 −33%
734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC $38,925 $38,925 $17,839 +118% $42,795 −9%
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC $38,837 $38,837 $17,786 +118% $46,066 −16%
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC $38,754 $38,754 $17,735 +119% $33,851 +14%
655 MAJOR BLADDER PROCEDURES W/O CC/MCC $38,571 $38,571 $17,623 +119% $43,174 −11%
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC $38,538 $38,538 $17,602 +119% $52,751 −27% ≈108% of Medicare
592 SKIN ULCERS W MCC $38,280 $38,280 $17,445 +119% $33,246 +15%
584 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC $38,157 $38,157 $17,369 +120% $35,030 +9%
838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT $37,891 $37,891 $17,206 +120% $31,134 +22%
539 OSTEOMYELITIS W MCC $37,810 $37,810 $17,157 +120% $37,609 +1%
908 OTHER O.R. PROCEDURES FOR INJURIES W CC $37,737 $37,737 $17,112 +121% $42,914 −12%
548 SEPTIC ARTHRITIS W MCC $37,702 $37,702 $17,091 +121% $31,346 +20%
052 SPINAL DISORDERS & INJURIES W CC/MCC $37,673 $37,673 $17,073 +121% $32,031 +18%
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC $37,662 $37,662 $17,066 +121% $46,090 −18%
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC $37,478 $37,478 $16,953 +121% $44,363 −16%
854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC $37,473 $37,473 $16,951 +121% $43,943 −15%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $37,454 $37,454 $16,939 +121% $29,611 +26%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $37,350 $37,350 $16,875 +121% $39,106 −4% ≈104% of Medicare
100 SEIZURES W MCC $37,296 $37,296 $16,842 +121% $35,481 +5% ≈101% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC $37,293 $37,293 $16,841 +121% $32,574 +14%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC $37,196 $37,196 $16,781 +122% $43,913 −15%
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC $37,126 $37,126 $16,738 +122% $43,800 −15%
519 BACK & NECK PROC EXC SPINAL FUSION W CC $37,110 $37,110 $16,729 +122% $44,139 −16%
080 NONTRAUMATIC STUPOR & COMA W MCC $37,070 $37,070 $16,863 +120% $36,249 +2%
488 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC $37,020 $37,020 $16,673 +122% $43,631 −15%
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC $36,975 $36,975 $16,645 +122% $35,628 +4% ≈103% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC $36,962 $36,962 $16,638 +122% $43,538 −15%
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $36,933 $36,933 $16,620 +122% $40,213 −8% ≈105% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC $36,882 $36,882 $16,589 +122% $39,955 −8%
941 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC $36,866 $36,866 $16,579 +122% $29,524 +25%
744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC $36,862 $36,862 $16,577 +122% $38,861 −5%
707 MAJOR MALE PELVIC PROCEDURES W CC/MCC $36,677 $36,677 $16,463 +123% $43,080 −15%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC $36,643 $36,643 $16,443 +123% $37,240 −2%
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC $36,552 $36,552 $16,387 +123% $42,881 −15%
380 COMPLICATED PEPTIC ULCER W MCC $36,451 $36,451 $16,325 +123% $39,627 −8%
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC $36,291 $36,291 $16,227 +124% $34,459 +5%
711 TESTES PROCEDURES W CC/MCC $36,219 $36,219 $16,209 +123% $38,343 −6%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC $36,081 $36,081 $16,098 +124% $42,126 −14%
902 WOUND DEBRIDEMENTS FOR INJURIES W CC $36,081 $36,081 $16,098 +124% $40,562 −11%
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC $36,021 $36,021 $16,062 +124% $36,431 −1%
441 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC $35,981 $35,981 $16,037 +124% $33,985 +6% ≈101% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $35,945 $35,945 $16,015 +124% $33,255 +8%
686 KIDNEY & URINARY TRACT NEOPLASMS W MCC $35,916 $35,916 $15,997 +125% $37,844 −5%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC $35,913 $35,913 $15,996 +125% $50,607 −29%
494 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC $35,911 $35,911 $15,995 +125% $47,711 −25%
196 INTERSTITIAL LUNG DISEASE W MCC $35,893 $35,893 $15,984 +125% $32,637 +10%
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC $35,630 $35,630 $15,823 +125% $36,792 −3%
165 MAJOR CHEST PROCEDURES W/O CC/MCC $35,615 $35,615 $15,813 +125% $46,340 −23%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $35,508 $35,508 $15,748 +125% $33,047 +7%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC $35,497 $35,497 $15,741 +126% $36,670 −3%
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $35,475 $35,475 $15,728 +126% $23,206 +53%
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC $35,364 $35,364 $15,660 +126% $30,243 +17%
783 CESAREAN SECTION W STERILIZATION W MCC $35,311 $35,311 $15,627 +126% $29,221 +21%
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC $35,264 $35,264 $15,599 +126% $32,859 +7%
036 CAROTID ARTERY STENT PROCEDURE W/O CC/MCC $35,187 $35,187 $15,551 +126% $40,694 −14%
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC $35,117 $35,117 $15,509 +126% $43,298 −19%
167 OTHER RESP SYSTEM O.R. PROCEDURES W CC $35,105 $35,105 $15,501 +126% $40,642 −14%
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC $35,098 $35,098 $15,497 +126% $40,552 −13%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC $35,069 $35,069 $15,479 +127% $37,950 −8%
919 COMPLICATIONS OF TREATMENT W MCC $35,055 $35,055 $15,470 +127% $31,105 +13%
091 OTHER DISORDERS OF NERVOUS SYSTEM W MCC $35,045 $35,045 $15,465 +127% $37,387 −6%
740 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC $34,981 $34,981 $15,426 +127% $40,365 −13%
377 G.I. HEMORRHAGE W MCC $34,980 $34,980 $15,425 +127% $37,842 −8%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC $34,857 $34,857 $15,349 +127% $32,433 +7%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $34,855 $34,855 $15,348 +127% $58,809 −41%
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC $34,793 $34,793 $15,310 +127% $41,591 −16%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $34,764 $34,764 $15,292 +127% $16,351 +113%
886 BEHAVIORAL & DEVELOPMENTAL DISORDERS $34,679 $34,679 $15,241 +128% $26,510 +31%
501 SOFT TISSUE PROCEDURES W CC $34,516 $34,516 $15,140 +128% $39,619 −13%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC $34,463 $34,463 $15,108 +128% $52,075 −34%
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $34,462 $34,462 $15,107 +128% $31,159 +11%
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC $34,451 $34,451 $15,101 +128% $39,515 −13%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $34,392 $34,392 $15,065 +128% $34,276 +0%
580 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC $34,354 $34,354 $15,041 +128% $38,101 −10%
199 PNEUMOTHORAX W MCC $34,247 $34,247 $14,976 +129% $33,787 +1%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC $34,142 $34,142 $14,911 +129% $39,020 −13%
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC $34,140 $34,140 $14,911 +129% $39,018 −13%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $34,128 $34,128 $14,903 +129% $30,553 +12%
509 ARTHROSCOPY $34,128 $34,128 $14,903 +129% $25,994 +31%
597 MALIGNANT BREAST DISORDERS W MCC $34,128 $34,128 $14,903 +129% $33,386 +2%
504 FOOT PROCEDURES W CC $34,104 $34,104 $14,889 +129% $38,960 −12%
505 FOOT PROCEDURES W/O CC/MCC $34,104 $34,104 $14,889 +129% $34,937 −2%
582 MASTECTOMY FOR MALIGNANCY W CC/MCC $34,051 $34,051 $14,856 +129% $35,849 −5%
254 OTHER VASCULAR PROCEDURES W/O CC/MCC $34,026 $34,026 $14,841 +129% $38,836 −12%
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $34,007 $34,007 $14,829 +129% $33,555 +1%
180 RESPIRATORY NEOPLASMS W MCC $34,004 $34,004 $14,827 +129% $36,658 −7%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $33,880 $33,880 $14,751 +130% $31,951 +6%
915 ALLERGIC REACTIONS W MCC $33,867 $33,867 $14,743 +130% $32,645 +4%
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC $33,842 $33,842 $14,728 +130% $32,443 +4%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC $33,742 $33,742 $14,667 +130% $29,826 +13%
671 URETHRAL PROCEDURES W CC/MCC $33,670 $33,670 $14,623 +130% $27,233 +24%
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC $33,564 $33,564 $14,558 +131% $38,094 −12%
551 MEDICAL BACK PROBLEMS W MCC $33,431 $33,431 $14,476 +131% $34,017 −2%
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC $33,357 $33,357 $14,431 +131% $43,477 −23%
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC $33,254 $33,254 $14,368 +131% $32,944 +1%
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $33,209 $33,209 $14,340 +132% $29,079 +14%
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC $33,195 $33,195 $14,332 +132% $31,563 +5%
444 DISORDERS OF THE BILIARY TRACT W MCC $33,126 $33,126 $14,290 +132% $34,273 −3%
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $33,077 $33,077 $14,260 +132% $32,496 +2% ≈107% of Medicare
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $32,990 $32,990 $14,206 +132% $29,916 +10%
571 SKIN DEBRIDEMENT W CC $32,986 $32,986 $14,204 +132% $37,169 −11%
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $32,929 $32,929 $14,169 +132% $26,682 +23% ≈108% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS W MCC $32,926 $32,926 $14,167 +132% $33,876 −3%
116 INTRAOCULAR PROCEDURES W CC/MCC $32,907 $32,907 $14,156 +132% $29,126 +13%
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $32,901 $32,901 $14,152 +132% $34,607 −5%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $32,839 $32,839 $14,114 +133% $32,628 +1%
413 CHOLECYSTECTOMY W C.D.E. W/O CC/MCC $32,822 $32,822 $14,104 +133% $29,316 +12%
075 VIRAL MENINGITIS W CC/MCC $32,818 $32,818 $14,612 +125% $30,447 +8%
334 RECTAL RESECTION W/O CC/MCC $32,768 $32,768 $14,071 +133% $36,820 −11%
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC $32,765 $32,765 $14,069 +133% $44,606 −27%
643 ENDOCRINE DISORDERS W MCC $32,750 $32,750 $14,060 +133% $33,563 −2%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $32,732 $32,732 $14,049 +133% $34,192 −4%
331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $32,663 $32,663 $14,006 +133% $44,117 −26%
905 SKIN GRAFTS FOR INJURIES W/O CC/MCC $32,624 $32,624 $13,982 +133% $25,197 +29%
666 PROSTATECTOMY W CC $32,611 $32,611 $13,975 +133% $31,906 +2%
583 MASTECTOMY FOR MALIGNANCY W/O CC/MCC $32,548 $32,548 $13,936 +134% $35,831 −9%
801 SPLENECTOMY W/O CC/MCC $32,534 $32,534 $13,927 +134% $36,445 −11%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $32,530 $32,530 $13,925 +134% $30,828 +6%
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC $32,506 $32,506 $13,910 +134% $30,235 +8%
296 CARDIAC ARREST, UNEXPLAINED W MCC $32,488 $32,488 $13,899 +134% $33,661 −3%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC $32,477 $32,477 $13,893 +134% $36,354 −11%
157 DENTAL & ORAL DISEASES W MCC $32,476 $32,476 $13,892 +134% $31,300 +4%
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC $32,320 $32,320 $13,797 +134% $27,633 +17%
855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC $32,311 $32,311 $13,791 +134% $28,202 +15%
385 INFLAMMATORY BOWEL DISEASE W MCC $32,300 $32,300 $13,784 +134% $27,617 +17%
913 TRAUMATIC INJURY W MCC $32,209 $32,209 $13,729 +135% $24,198 +33%
299 PERIPHERAL VASCULAR DISORDERS W MCC $32,200 $32,200 $13,723 +135% $27,316 +18%
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $32,184 $32,184 $13,714 +135% $33,707 −5% ≈112% of Medicare
786 CESAREAN SECTION W/O STERILIZATION W MCC $32,176 $32,176 $13,708 +135% $27,152 +19%
038 EXTRACRANIAL PROCEDURES W CC $32,112 $32,112 $13,669 +135% $35,770 −10%
606 MINOR SKIN DISORDERS W MCC $32,099 $32,099 $13,661 +135% $27,975 +15%
512 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC $32,064 $32,064 $13,640 +135% $35,692 −10%
828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC $31,996 $31,996 $13,598 +135% $35,584 −10%
620 O.R. PROCEDURES FOR OBESITY W CC $31,914 $31,914 $13,548 +136% $35,453 −10%
033 VENTRICULAR SHUNT PROCEDURES W/O CC/MCC $31,893 $31,893 $13,535 +136% $35,419 −10%
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC $31,866 $31,866 $13,518 +136% $39,006 −18%
183 MAJOR CHEST TRAUMA W MCC $31,780 $31,780 $13,466 +136% $29,933 +6%
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC $31,767 $31,767 $13,458 +136% $41,955 −24%
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC $31,681 $31,681 $13,406 +136% $35,074 −10%
186 PLEURAL EFFUSION W MCC $31,679 $31,679 $13,404 +136% $33,834 −6%
289 ACUTE & SUBACUTE ENDOCARDITIS W CC $31,633 $31,633 $13,376 +136% $32,697 −3%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATIONS $31,573 $31,573 $13,339 +137% $34,906 −10%
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC $31,529 $31,529 $13,312 +137% $33,653 −6%
841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC $31,512 $31,512 $13,302 +137% $33,633 −6%
675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC $31,475 $31,475 $13,279 +137% $34,749 −9%
251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC $31,437 $31,437 $13,256 +137% $46,295 −32%
410 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC $31,278 $31,278 $13,159 +138% $34,434 −9%
557 TENDONITIS, MYOSITIS & BURSITIS W MCC $31,259 $31,259 $13,147 +138% $32,877 −5%
813 COAGULATION DISORDERS $31,235 $31,235 $13,132 +138% $33,296 −6%
669 TRANSURETHRAL PROCEDURES W CC $31,228 $31,228 $13,128 +138% $34,354 −9%
077 HYPERTENSIVE ENCEPHALOPATHY W MCC $31,211 $31,211 $13,118 +138% $24,550 +27%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC $31,205 $31,205 $13,114 +138% $26,598 +17%
073 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC $31,202 $31,202 $13,112 +138% $30,010 +4%
337 PERITONEAL ADHESIOLYSIS W/O CC/MCC $31,056 $31,056 $13,023 +138% $39,211 −21%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $30,999 $30,999 $12,988 +139% $25,703 +21%
663 MINOR BLADDER PROCEDURES W CC $30,950 $30,950 $12,958 +139% $33,103 −7%
945 REHABILITATION W CC/MCC $30,937 $30,937 $12,950 +139% $23,834 +30%
533 FRACTURES OF FEMUR W MCC $30,915 $30,915 $12,936 +139% $25,945 +19%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC $30,816 $30,816 $12,876 +139% $33,694 −9%
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC $30,804 $30,804 $12,869 +139% $33,674 −9%
398 APPENDIX PROCEDURES WITH CC $30,753 $30,753 $12,837 +140% $40,162 −23%
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC $30,707 $30,707 $12,809 +140% $30,770 −0%
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC $30,699 $30,699 $12,804 +140% $33,454 −8%
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC $30,647 $30,647 $12,773 +140% $33,424 −8%
351 INGUINAL & FEMORAL HERNIA PROCEDURES W CC $30,632 $30,632 $12,763 +140% $36,505 −16%
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC $30,625 $30,625 $12,759 +140% $36,253 −16%
682 RENAL FAILURE W MCC $30,596 $30,596 $12,741 +140% $29,064 +5% ≈107% of Medicare
710 PENIS PROCEDURES W/O CC/MCC $30,589 $30,589 $12,737 +140% $26,436 +16%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC $30,571 $30,571 $12,726 +140% $27,394 +12%
054 NERVOUS SYSTEM NEOPLASMS W MCC $30,557 $30,557 $12,718 +140% $30,502 +0%
506 MAJOR THUMB OR JOINT PROCEDURES $30,557 $30,557 $12,718 +140% $30,557 +0%
306 CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC $30,534 $30,534 $12,703 +140% $24,586 +24%
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC $30,469 $30,469 $12,663 +141% $33,393 −9%
345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC $30,413 $30,413 $12,629 +141% $33,048 −8%
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC $30,372 $30,372 $12,604 +141% $28,140 +8%
708 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC $30,327 $30,327 $12,577 +141% $36,988 −18%
794 NEONATE W OTHER SIGNIFICANT PROBLEMS $30,240 $30,240 $12,523 +141% $8,445 +258%
693 URINARY STONES W MCC $30,160 $30,160 $12,474 +142% $23,892 +26%
388 G.I. OBSTRUCTION W MCC $30,153 $30,153 $12,470 +142% $30,571 −1%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC $30,146 $30,146 $12,466 +142% $25,073 +20%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC $30,146 $30,146 $12,466 +142% $26,463 +14%
602 CELLULITIS W MCC $30,143 $30,143 $12,464 +142% $30,598 −1%
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC $30,064 $30,064 $12,416 +142% $29,743 +1%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC $30,050 $30,050 $12,407 +142% $31,170 −4%
621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC $30,040 $30,040 $12,401 +142% $32,451 −7%
637 DIABETES W MCC $29,964 $29,964 $12,354 +143% $30,100 −0% ≈113% of Medicare
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC $29,945 $29,945 $12,343 +143% $24,941 +20%
865 VIRAL ILLNESS W MCC $29,884 $29,884 $12,521 +139% $26,910 +11%
713 TRANSURETHRAL PROSTATECTOMY W CC/MCC $29,821 $29,821 $12,267 +143% $32,100 −7%
977 HIV W OR W/O OTHER RELATED CONDITION $29,764 $29,764 $12,232 +143% $22,525 +32%
581 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC $29,727 $29,727 $12,209 +143% $26,932 +10%
520 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC $29,644 $29,644 $12,159 +144% $35,465 −16%
615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC $29,641 $29,641 $12,157 +144% $32,833 −10%
975 HIV W MAJOR RELATED CONDITION W CC $29,480 $29,480 $12,058 +144% $27,808 +6%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC $29,451 $29,451 $12,041 +145% $22,620 +30%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC $29,396 $29,396 $12,007 +145% $26,280 +12%
088 CONCUSSION W MCC $29,332 $29,332 $11,968 +145% $24,402 +20%
885 PSYCHOSES $29,317 $29,317 $11,958 +145% $21,729 +35% ≈100% of Medicare
175 PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE $29,310 $29,310 $11,954 +145% $30,959 −5%
811 RED BLOOD CELL DISORDERS W MCC $29,279 $29,279 $11,935 +145% $28,226 +4%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC $29,250 $29,250 $11,918 +145% $39,887 −27%
895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY $29,229 $29,229 $12,283 +138% $21,986 +33%
630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC $29,202 $29,202 $11,888 +146% $22,393 +30%
137 MOUTH PROCEDURES W CC/MCC $29,164 $29,164 $11,865 +146% $27,861 +5%
502 SOFT TISSUE PROCEDURES W/O CC/MCC $29,145 $29,145 $11,853 +146% $31,017 −6%
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC $29,091 $29,091 $11,820 +146% $27,119 +7%
083 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC $29,051 $29,051 $11,795 +146% $27,285 +6%
150 EPISTAXIS W MCC $28,937 $28,937 $11,726 +147% $23,171 +25%
769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE $28,855 $28,855 $11,788 +145% $25,094 +15%
741 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC $28,818 $28,818 $11,653 +147% $30,493 −5%
139 SALIVARY GLAND PROCEDURES $28,810 $28,810 $11,648 +147% $23,612 +22%
839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC $28,774 $28,774 $11,626 +147% $20,980 +37%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC $28,771 $28,771 $11,624 +148% $30,418 −5%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $28,661 $28,661 $11,557 +148% $30,242 −5%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $28,561 $28,561 $11,496 +148% $30,083 −5%
168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC $28,545 $28,545 $11,486 +149% $29,949 −5%
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC $28,444 $28,444 $11,424 +149% $24,127 +18%
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC $28,388 $28,388 $11,390 +149% $29,805 −5%
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC $28,352 $28,352 $11,368 +149% $31,264 −9%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $28,275 $28,275 $11,320 +150% $27,543 +3% ≈100% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC $28,258 $28,258 $11,310 +150% $32,841 −14%
535 FRACTURES OF HIP & PELVIS W MCC $28,212 $28,212 $11,282 +150% $24,552 +15%
640 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC $28,186 $28,186 $11,266 +150% $25,463 +11% ≈102% of Medicare
193 SIMPLE PNEUMONIA & PLEURISY W MCC $28,043 $28,043 $11,179 +151% $27,275 +3% ≈109% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC $28,042 $28,042 $11,178 +151% $36,937 −24%
086 TRAUMATIC STUPOR & COMA, COMA <1 HR W CC $27,959 $27,959 $11,127 +151% $27,043 +3%
553 BONE DISEASES & ARTHROPATHIES W MCC $27,881 $27,881 $11,079 +152% $26,051 +7%
291 HEART FAILURE & SHOCK W MCC $27,864 $27,864 $11,069 +152% $26,776 +4% ≈105% of Medicare
124 OTHER DISORDERS OF THE EYE W MCC $27,852 $27,852 $11,062 +152% $21,894 +27%
540 OSTEOMYELITIS W CC $27,716 $27,716 $10,978 +152% $26,676 +4%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $27,652 $27,652 $10,939 +153% $27,989 −1%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC $27,637 $27,637 $10,930 +153% $25,748 +7%
947 SIGNS & SYMPTOMS W MCC $27,606 $27,606 $10,911 +153% $27,401 +1%
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $27,583 $27,583 $10,897 +153% $28,050 −2%
847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC $27,392 $27,392 $10,780 +154% $23,498 +17% ≈100% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC $27,358 $27,358 $10,760 +154% $28,156 −3%
627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC $27,339 $27,339 $10,748 +154% $28,125 −3%
383 UNCOMPLICATED PEPTIC ULCER W MCC $27,302 $27,302 $10,725 +155% $27,426 −0%
725 BENIGN PROSTATIC HYPERTROPHY W MCC $27,279 $27,279 $10,711 +155% $22,320 +22%
348 ANAL & STOMAL PROCEDURES W CC $27,228 $27,228 $10,680 +155% $27,947 −3%
346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $27,040 $27,040 $10,564 +156% $27,297 −1%
618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W/O CC/MCC $27,037 $27,037 $10,563 +156% $19,354 +40%
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC $27,033 $27,033 $10,560 +156% $22,851 +18%
836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC $26,999 $26,999 $10,780 +150% $19,686 +37%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC $26,987 $26,987 $10,949 +146% $22,811 +18%
642 INBORN AND OTHER DISORDERS OF METABOLISM $26,981 $26,981 $10,529 +156% $20,727 +30%
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $26,945 $26,945 $10,507 +156% $22,458 +20%
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC $26,944 $26,944 $10,506 +156% $28,320 −5%
189 PULMONARY EDEMA & RESPIRATORY FAILURE $26,930 $26,930 $10,497 +157% $26,580 +1% ≈95% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC $26,854 $26,854 $10,451 +157% $19,270 +39%
825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC $26,839 $26,839 $10,441 +157% $27,323 −2%
375 DIGESTIVE MALIGNANCY W CC $26,810 $26,810 $10,424 +157% $27,277 −2%
294 DEEP VEIN THROMBOPHLEBITIS W CC/MCC $26,800 $26,800 $10,418 +157% $19,132 +40%
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC $26,739 $26,739 $10,380 +158% $27,163 −2%
593 SKIN ULCERS W CC $26,726 $26,726 $10,373 +158% $22,886 +17%
903 WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC $26,676 $26,676 $10,342 +158% $25,581 +4%
735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC $26,604 $26,604 $10,298 +158% $26,948 −1%
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $26,494 $26,494 $10,230 +159% $26,770 −1%
549 SEPTIC ARTHRITIS W CC $26,482 $26,482 $10,223 +159% $24,056 +10%
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC $26,394 $26,394 $10,169 +160% $30,784 −14%
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC $26,345 $26,345 $10,139 +160% $21,847 +21%
887 OTHER MENTAL DISORDER DIAGNOSES $26,265 $26,265 $10,090 +160% $20,616 +27%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $26,201 $26,201 $10,051 +161% $25,712 +2%
114 ORBITAL PROCEDURES W/O CC/MCC $26,164 $26,164 $10,028 +161% $19,598 +34%
304 HYPERTENSION W MCC $26,062 $26,062 $9,966 +162% $26,080 −0%
689 KIDNEY & URINARY TRACT INFECTIONS W MCC $26,000 $26,000 $9,928 +162% $23,617 +10%
302 ATHEROSCLEROSIS W MCC $25,903 $25,903 $9,869 +162% $22,446 +15%
121 ACUTE MAJOR EYE INFECTIONS W CC/MCC $25,902 $25,902 $9,868 +162% $19,412 +33%
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC $25,900 $25,900 $9,867 +162% $23,443 +10%
102 HEADACHES W MCC $25,850 $25,850 $9,837 +163% $25,740 +0%
546 CONNECTIVE TISSUE DISORDERS W CC $25,825 $25,825 $9,821 +163% $25,700 +0%
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $25,795 $25,795 $9,803 +163% $25,652 +1%
831 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC $25,733 $25,733 $9,585 +168% $18,133 +42%
822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC $25,631 $25,631 $9,703 +164% $25,390 +1%
572 SKIN DEBRIDEMENT W/O CC/MCC $25,613 $25,613 $9,692 +164% $24,944 +3%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $25,562 $25,562 $9,660 +165% $25,279 +1%
039 EXTRACRANIAL PROCEDURES W/O CC/MCC $25,555 $25,555 $9,656 +165% $26,618 −4%
152 OTITIS MEDIA & URI W MCC $25,508 $25,508 $9,627 +165% $20,247 +26%
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC $25,411 $25,411 $9,568 +166% $24,566 +3%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC $25,410 $25,410 $9,567 +166% $25,034 +1%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $25,356 $25,356 $9,534 +166% $31,321 −19%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $25,345 $25,345 $9,527 +166% $24,386 +4%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC $25,343 $25,343 $9,526 +166% $19,815 +28%
946 REHABILITATION W/O CC/MCC $25,254 $25,254 $9,472 +167% $17,685 +43%
181 RESPIRATORY NEOPLASMS W CC $25,168 $25,168 $9,419 +167% $23,573 +7%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC $25,166 $25,166 $9,418 +167% $18,459 +36%
200 PNEUMOTHORAX W CC $25,130 $25,130 $9,395 +167% $21,368 +18%
804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC $25,103 $25,103 $9,379 +168% $24,544 +2%
352 INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC $25,062 $25,062 $9,354 +168% $27,843 −10%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC $25,038 $25,038 $9,339 +168% $17,483 +43%
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC $25,008 $25,008 $9,848 +154% $21,230 +18%
672 URETHRAL PROCEDURES W/O CC/MCC $24,948 $24,948 $9,284 +169% $17,398 +43%
055 NERVOUS SYSTEM NEOPLASMS W/O MCC $24,901 $24,901 $9,255 +169% $20,926 +19%
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC $24,883 $24,883 $9,244 +169% $32,021 −22%
381 COMPLICATED PEPTIC ULCER W CC $24,875 $24,875 $9,239 +169% $24,177 +3%
445 DISORDERS OF THE BILIARY TRACT W CC $24,811 $24,811 $9,200 +170% $23,319 +6%
784 CESAREAN SECTION W STERILIZATION W CC $24,790 $24,790 $12,517 +98% $23,283 +6%
596 MAJOR SKIN DISORDERS W/O MCC $24,764 $24,764 $9,171 +170% $17,226 +44%
664 MINOR BLADDER PROCEDURES W/O CC/MCC $24,746 $24,746 $9,160 +170% $22,314 +11%
949 AFTERCARE W CC/MCC $24,735 $24,735 $9,154 +170% $23,953 +3%
770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $24,693 $24,693 $9,128 +171% $18,956 +30%
089 CONCUSSION W CC $24,639 $24,639 $9,095 +171% $18,821 +31%
300 PERIPHERAL VASCULAR DISORDERS W CC $24,618 $24,618 $9,082 +171% $20,422 +21%
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $24,607 $24,607 $9,076 +171% $23,749 +4% ≈106% of Medicare
184 MAJOR CHEST TRAUMA W CC $24,584 $24,584 $9,061 +171% $22,432 +10%
787 CESAREAN SECTION W/O STERILIZATION W CC $24,496 $24,496 $12,517 +96% $23,571 +4%
796 VAGINAL DELIVERY W STERILIZATION/D&C W MCC $24,485 $24,485 $10,830 +126% $22,557 +9%
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $24,484 $24,484 $9,000 +172% $23,551 +4%
598 MALIGNANT BREAST DISORDERS W CC $24,482 $24,482 $9,153 +167% $19,073 +28%
092 OTHER DISORDERS OF NERVOUS SYSTEM W CC $24,453 $24,453 $8,981 +172% $24,914 −2%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $24,387 $24,387 $8,941 +173% $23,488 +4%
687 KIDNEY & URINARY TRACT NEOPLASMS W CC $24,370 $24,370 $8,931 +173% $20,232 +20%
842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC $24,359 $24,359 $8,924 +173% $19,657 +24%
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC $24,334 $24,334 $8,909 +173% $22,763 +7%
074 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $24,227 $24,227 $8,843 +174% $23,141 +5%
644 ENDOCRINE DISORDERS W CC $24,103 $24,103 $8,767 +175% $23,198 +4%
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC $24,069 $24,069 $8,746 +175% $22,888 +5% ≈102% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $24,046 $24,046 $8,732 +175% $22,850 +5%
667 PROSTATECTOMY W/O CC/MCC $24,025 $24,025 $8,719 +176% $16,703 +44%
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC $24,008 $24,008 $8,709 +176% $25,970 −8%
745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC $23,983 $23,983 $8,694 +176% $18,348 +31%
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $23,916 $23,916 $8,652 +176% $21,275 +12%
923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC $23,916 $23,916 $8,652 +176% $17,601 +36%
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $23,913 $23,913 $8,651 +176% $22,506 +6%
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC $23,911 $23,911 $8,650 +176% $22,635 +6%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC $23,907 $23,907 $8,647 +176% $20,901 +14%
369 MAJOR ESOPHAGEAL DISORDERS W CC $23,884 $23,884 $8,633 +177% $25,303 −6%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS $23,874 $23,874 $8,627 +177% $23,940 −0% ≈96% of Medicare
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $23,863 $23,863 $8,620 +177% $19,264 +24%
920 COMPLICATIONS OF TREATMENT W CC $23,860 $23,860 $8,618 +177% $22,468 +6%
117 INTRAOCULAR PROCEDURES W/O CC/MCC $23,809 $23,809 $9,150 +160% $17,193 +38%
768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C $23,795 $23,795 $9,300 +156% $16,846 +41%
187 PLEURAL EFFUSION W CC $23,695 $23,695 $8,517 +178% $21,789 +9%
976 HIV W MAJOR RELATED CONDITION W/O CC/MCC $23,681 $23,681 $8,509 +178% $16,212 +46%
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC $23,638 $23,638 $8,483 +179% $20,957 +13%
805 VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC $23,612 $23,612 $8,598 +175% $15,370 +54%
078 HYPERTENSIVE ENCEPHALOPATHY W CC $23,611 $23,611 $8,466 +179% $17,698 +33%
624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC $23,583 $23,583 $8,510 +177% $17,737 +33%
386 INFLAMMATORY BOWEL DISEASE W CC $23,536 $23,536 $8,420 +180% $22,033 +7%
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $23,530 $23,530 $8,416 +180% $22,024 +7%
197 INTERSTITIAL LUNG DISEASE W CC $23,501 $23,501 $8,399 +180% $21,941 +7%
818 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC $23,493 $23,493 $10,927 +115% $26,870 −13%
378 G.I. HEMORRHAGE W CC $23,444 $23,444 $8,364 +180% $22,098 +6% ≈95% of Medicare
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC $23,440 $23,440 $8,361 +180% $20,895 +12%
290 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC $23,349 $23,349 $8,305 +181% $15,901 +47%
136 SINUS & MASTOID PROCEDURES W/O CC/MCC $23,338 $23,338 $8,299 +181% $17,404 +34%
697 URETHRAL STRICTURE $23,263 $23,263 $8,499 +174% $18,428 +26%
797 VAGINAL DELIVERY W STERILIZATION/D&C W CC $23,199 $23,199 $8,598 +170% $19,962 +16%
798 VAGINAL DELIVERY W STERILIZATION/D&C W/O CC/MCC $23,199 $23,199 $8,598 +170% $18,452 +26%
202 BRONCHITIS & ASTHMA W CC/MCC $23,178 $23,178 $8,201 +183% $17,724 +31%
442 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC $23,171 $23,171 $8,197 +183% $21,449 +8% ≈92% of Medicare
552 MEDICAL BACK PROBLEMS W/O MCC $23,138 $23,138 $8,176 +183% $21,396 +8% ≈97% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $23,117 $23,117 $8,164 +183% $21,363 +8%
882 NEUROSES EXCEPT DEPRESSIVE $23,113 $23,113 $8,161 +183% $15,680 +47%
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $23,066 $23,066 $8,132 +184% $17,733 +30%
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC $23,038 $23,038 $8,115 +184% $16,700 +38%
084 TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC $23,031 $23,031 $8,111 +184% $19,924 +16%
670 TRANSURETHRAL PROCEDURES W/O CC/MCC $23,026 $23,026 $8,108 +184% $20,911 +10%
747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC $23,019 $23,019 $8,103 +184% $19,594 +17%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $23,016 $23,016 $8,102 +184% $15,589 +48%
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC $22,972 $22,972 $8,075 +184% $18,316 +25%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $22,826 $22,826 $7,986 +186% $20,181 +13%
158 DENTAL & ORAL DISEASES W CC $22,816 $22,816 $7,980 +186% $18,466 +24%
714 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC $22,804 $22,804 $7,972 +186% $17,934 +27%
779 ABORTION W/O D&C $22,736 $22,736 $7,930 +187% $15,327 +48%
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC $22,719 $22,719 $7,920 +187% $16,968 +34%
307 CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC $22,620 $22,620 $7,859 +188% $20,566 +10%
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $22,582 $22,582 $7,836 +188% $20,506 +10%
812 RED BLOOD CELL DISORDERS W/O MCC $22,571 $22,571 $7,829 +188% $20,488 +10%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC $22,556 $22,556 $7,820 +188% $20,463 +10%
101 SEIZURES W/O MCC $22,554 $22,554 $7,819 +188% $20,461 +10% ≈97% of Medicare
053 SPINAL DISORDERS & INJURIES W/O CC/MCC $22,550 $22,550 $7,817 +188% $20,455 +10%
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC $22,517 $22,517 $7,796 +189% $18,072 +25%
638 DIABETES W CC $22,492 $22,492 $7,781 +189% $19,661 +14% ≈95% of Medicare
076 VIRAL MENINGITIS W/O CC/MCC $22,488 $22,488 $7,779 +189% $17,135 +31%
914 TRAUMATIC INJURY W/O MCC $22,481 $22,481 $7,774 +189% $15,855 +42%
881 DEPRESSIVE NEUROSES $22,449 $22,449 $7,755 +189% $15,058 +49%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $22,428 $22,428 $7,742 +190% $20,259 +11%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $22,334 $22,334 $7,684 +191% $18,488 +21%
081 NONTRAUMATIC STUPOR & COMA W/O MCC $22,320 $22,320 $7,676 +191% $16,552 +35%
788 CESAREAN SECTION W/O STERILIZATION W/O CC/MCC $22,319 $22,319 $12,517 +78% $20,084 +11%
864 FEVER AND INFLAMMATORY CONDITIONS $22,226 $22,226 $7,618 +192% $18,640 +19%
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $22,168 $22,168 $7,583 +192% $19,842 +12%
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC $22,148 $22,148 $7,571 +193% $22,148 +0%
683 RENAL FAILURE W CC $22,100 $22,100 $7,541 +193% $19,130 +16% ≈101% of Medicare
712 TESTES PROCEDURES W/O CC/MCC $22,061 $22,061 $9,074 +143% $18,898 +17%
866 VIRAL ILLNESS W/O MCC $22,043 $22,043 $7,506 +194% $17,081 +29%
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC $22,040 $22,040 $7,504 +194% $15,452 +43%
087 TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $22,032 $22,032 $7,499 +194% $16,520 +33%
376 DIGESTIVE MALIGNANCY W/O CC/MCC $22,018 $22,018 $7,491 +194% $16,998 +30%
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC $22,007 $22,007 $7,484 +194% $16,699 +32%
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC $21,997 $21,997 $7,478 +194% $19,569 +12%
349 ANAL & STOMAL PROCEDURES W/O CC/MCC $21,989 $21,989 $7,473 +194% $19,854 +11%
603 CELLULITIS W/O MCC $21,988 $21,988 $7,472 +194% $18,530 +19%
541 OSTEOMYELITIS W/O CC/MCC $21,906 $21,906 $7,422 +195% $15,215 +44%
785 CESAREAN SECTION W STERILIZATION W/O CC/MCC $21,886 $21,886 $7,410 +195% $19,846 +10%
312 SYNCOPE & COLLAPSE $21,856 $21,856 $7,392 +196% $19,342 +13% ≈95% of Medicare
384 UNCOMPLICATED PEPTIC ULCER W/O MCC $21,832 $21,832 $7,377 +196% $19,305 +13%
607 MINOR SKIN DISORDERS W/O MCC $21,758 $21,758 $7,331 +197% $15,889 +37%
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC $21,752 $21,752 $7,328 +197% $18,602 +17%
550 SEPTIC ARTHRITIS W/O CC/MCC $21,728 $21,728 $7,314 +197% $19,138 +14%
292 HEART FAILURE & SHOCK W CC $21,716 $21,716 $7,306 +197% $16,371 +33%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $21,702 $21,702 $7,297 +197% $19,096 +14%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $21,687 $21,687 $7,288 +198% $18,807 +15%
090 CONCUSSION W/O CC/MCC $21,662 $21,662 $7,273 +198% $15,412 +41%
599 MALIGNANT BREAST DISORDERS W/O CC/MCC $21,629 $21,629 $7,253 +198% $14,290 +51%
103 HEADACHES W/O MCC $21,563 $21,563 $7,213 +199% $21,280 +1%
594 SKIN ULCERS W/O CC/MCC $21,543 $21,543 $7,200 +199% $14,209 +52%
182 RESPIRATORY NEOPLASMS W/O CC/MCC $21,387 $21,387 $7,105 +201% $14,064 +52%
845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC $21,378 $21,378 $7,099 +201% $14,055 +52%
554 BONE DISEASES & ARTHROPATHIES W/O MCC $21,347 $21,347 $7,080 +202% $18,528 +15%
125 OTHER DISORDERS OF THE EYE W/O MCC $21,224 $21,224 $7,005 +203% $17,298 +23%
194 SIMPLE PNEUMONIA & PLEURISY W CC $21,145 $21,145 $6,956 +204% $18,204 +16%
848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC $21,130 $21,130 $6,947 +204% $14,501 +46%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $21,112 $21,112 $6,936 +204% $18,150 +16%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $21,105 $21,105 $6,932 +204% $17,118 +23%
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $21,096 $21,096 $6,927 +205% $18,126 +16%
176 PULMONARY EMBOLISM W/O MCC $21,069 $21,069 $6,910 +205% $18,081 +17%
534 FRACTURES OF FEMUR W/O MCC $21,062 $21,062 $6,906 +205% $17,559 +20%
138 MOUTH PROCEDURES W/O CC/MCC $21,055 $21,055 $6,901 +205% $19,119 +10%
204 RESPIRATORY SIGNS & SYMPTOMS $21,020 $21,020 $6,880 +206% $18,004 +17%
536 FRACTURES OF HIP & PELVIS W/O MCC $21,019 $21,019 $6,879 +206% $18,002 +17%
123 NEUROLOGICAL EYE DISORDERS $20,912 $20,912 $6,814 +207% $19,745 +6%
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC $20,904 $20,904 $6,809 +207% $17,674 +18% ≈89% of Medicare
389 G.I. OBSTRUCTION W CC $20,890 $20,890 $6,800 +207% $17,578 +19%
069 TRANSIENT ISCHEMIA W/O THROMBOLYTIC $20,869 $20,869 $6,788 +207% $21,056 −1%
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC $20,830 $20,830 $6,764 +208% $17,700 +18%
948 SIGNS & SYMPTOMS W/O MCC $20,791 $20,791 $6,740 +208% $17,921 +16%
257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC $20,765 $20,765 $7,566 +174% $15,764 +32%
295 DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC $20,726 $20,726 $6,700 +209% $13,445 +54%
093 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $20,719 $20,719 $6,696 +209% $17,620 +18%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC $20,663 $20,663 $6,661 +210% $14,014 +47%
641 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC $20,610 $20,610 $6,629 +211% $17,038 +21% ≈91% of Medicare
694 URINARY STONES W/O MCC $20,610 $20,610 $6,629 +211% $17,345 +19%
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $20,595 $20,595 $6,620 +211% $17,322 +19%
645 ENDOCRINE DISORDERS W/O CC/MCC $20,572 $20,572 $6,606 +211% $15,428 +33%
185 MAJOR CHEST TRAUMA W/O CC/MCC $20,559 $20,559 $6,598 +212% $17,124 +20%
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $20,448 $20,448 $6,530 +213% $14,648 +40%
148 EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC $20,359 $20,359 $6,793 +200% $13,586 +50%
151 EPISTAXIS W/O MCC $20,286 $20,286 $6,430 +215% $13,032 +56%
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC $20,254 $20,254 $6,411 +216% $16,776 +21%
305 HYPERTENSION W/O MCC $20,184 $20,184 $6,369 +217% $18,086 +12%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $20,177 $20,177 $6,364 +217% $19,037 +6%
382 COMPLICATED PEPTIC ULCER W/O CC/MCC $20,165 $20,165 $6,357 +217% $16,634 +21%
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC $20,148 $20,148 $6,346 +217% $14,716 +37%
149 DYSEQUILIBRIUM $20,140 $20,140 $6,341 +218% $18,096 +11%
832 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC $20,139 $20,139 $6,341 +218% $12,895 +56%
547 CONNECTIVE TISSUE DISORDERS W/O CC/MCC $20,122 $20,122 $6,330 +218% $16,565 +21%
726 BENIGN PROSTATIC HYPERTROPHY W/O MCC $20,097 $20,097 $6,315 +218% $15,019 +34%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC $20,050 $20,050 $6,286 +219% $16,450 +22%
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $20,026 $20,026 $6,272 +219% $17,303 +16%
188 PLEURAL EFFUSION W/O CC/MCC $19,956 $19,956 $6,229 +220% $14,514 +37%
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC $19,834 $19,834 $6,154 +222% $16,767 +18%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $19,830 $19,830 $6,151 +222% $19,227 +3%
688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC $19,817 $19,817 $6,144 +223% $12,593 +57%
806 VAGINAL DELIVERY W/O STERILIZATION/D&C W CC $19,809 $19,809 $8,598 +130% $13,275 +49%
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC $19,753 $19,753 $6,105 +224% $12,559 +57%
776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE $19,669 $19,669 $6,053 +225% $12,454 +58%
301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $19,667 $19,667 $6,052 +225% $15,837 +24%
313 CHEST PAIN $19,667 $19,667 $6,052 +225% $16,440 +20%
153 OTITIS MEDIA & URI W/O MCC $19,644 $19,644 $6,038 +225% $14,583 +35%
297 CARDIAC ARREST, UNEXPLAINED W CC $19,543 $19,543 $5,976 +227% $12,336 +58%
443 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC $19,519 $19,519 $5,961 +227% $15,600 +25%
311 ANGINA PECTORIS $19,458 $19,458 $5,924 +228% $15,502 +26%
370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC $19,454 $19,454 $5,921 +229% $15,495 +26%
203 BRONCHITIS & ASTHMA W/O CC/MCC $19,435 $19,435 $5,910 +229% $12,252 +59%
434 CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC $19,433 $19,433 $5,909 +229% $12,460 +56%
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $19,401 $19,401 $5,889 +229% $14,797 +31%
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC $19,368 $19,368 $5,869 +230% $14,689 +32%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $19,320 $19,320 $5,839 +231% $20,781 −7%
921 COMPLICATIONS OF TREATMENT W/O CC/MCC $19,311 $19,311 $5,834 +231% $14,415 +34%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $19,242 $19,242 $5,792 +232% $13,651 +41%
122 ACUTE MAJOR EYE INFECTIONS W/O CC/MCC $19,181 $19,181 $5,754 +233% $11,997 +60%
201 PNEUMOTHORAX W/O CC/MCC $19,164 $19,164 $5,744 +234% $14,053 +36%
819 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC $19,141 $19,141 $6,927 +176% $18,126 +6%
198 INTERSTITIAL LUNG DISEASE W/O CC/MCC $19,107 $19,107 $5,942 +222% $15,549 +23%
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $19,099 $19,099 $5,704 +235% $14,549 +31%
303 ATHEROSCLEROSIS W/O MCC $19,099 $19,099 $5,704 +235% $14,927 +28%
538 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC $19,087 $19,087 $5,697 +235% $11,909 +60%
387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC $19,070 $19,070 $5,686 +235% $16,288 +17%
916 ALLERGIC REACTIONS W/O MCC $18,984 $18,984 $5,634 +237% $13,942 +36%
079 HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC $18,949 $18,949 $5,656 +235% $11,847 +60%
159 DENTAL & ORAL DISEASES W/O CC/MCC $18,922 $18,922 $5,596 +238% $13,633 +39%
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC $18,919 $18,919 $5,594 +238% $14,638 +29%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC $18,884 $18,884 $6,181 +206% $12,768 +48%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $18,750 $18,750 $5,491 +241% $14,368 +31%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $18,650 $18,650 $5,429 +243% $14,250 +31%
807 VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC $18,613 $18,613 $8,598 +116% $12,078 +54%
379 G.I. HEMORRHAGE W/O CC/MCC $18,604 $18,604 $5,401 +244% $15,038 +24%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $18,600 $18,600 $5,399 +245% $14,128 +32%
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC $18,566 $18,566 $5,378 +245% $11,421 +63%
639 DIABETES W/O CC/MCC $18,464 $18,464 $5,316 +247% $13,910 +33%
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA $18,430 $18,430 $5,295 +248% $12,324 +50%
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $18,410 $18,410 $5,283 +249% $13,824 +33%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $18,305 $18,305 $5,218 +251% $15,183 +21%
684 RENAL FAILURE W/O CC/MCC $18,198 $18,198 $5,153 +253% $13,642 +33%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC $18,191 $18,191 $5,149 +253% $11,071 +64%
601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC $18,089 $18,089 $5,086 +256% $10,975 +65%
950 AFTERCARE W/O CC/MCC $17,903 $17,903 $4,972 +260% $13,527 +32%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $17,638 $17,638 $4,810 +267% $10,160 +74%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC $17,561 $17,561 $4,763 +269% $10,480 +68%
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $17,534 $17,534 $4,747 +269% $13,384 +31%
293 HEART FAILURE & SHOCK W/O CC/MCC $17,385 $17,385 $4,655 +273% $12,999 +34%
390 G.I. OBSTRUCTION W/O CC/MCC $17,364 $17,364 $4,642 +274% $13,361 +30%
833 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC $16,984 $16,984 $4,410 +285% $9,940 +71%
298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC $15,902 $15,902 $3,747 +324% $8,927 +78%
795 NORMAL NEWBORN $12,549 $12,549 $3,492 +259% $4,720 +166%