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 $391,526 +36% $498,715 +7% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC $400,196 $400,196 $338,950 +18% $431,073 −7% —
003 ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. $306,824 $306,824 $260,247 +18% $371,366 −17% ≈138% of Medicare
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT $288,539 $288,539 $236,577 +22% $306,087 −6% —
004 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $205,623 $205,623 $170,027 +21% $245,241 −16% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $191,372 $191,372 $122,488 +56% $182,314 +5% —
007 LUNG TRANSPLANT $190,915 $190,915 $126,907 +50% $170,608 +12% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $160,770 $160,770 $102,715 +57% $171,338 −6% —
005 LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT $157,382 $157,382 $128,144 +23% $159,181 −1% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $156,625 $156,625 $116,471 +34% $191,314 −18% —
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC $143,545 $143,545 $113,415 +27% $175,437 −18% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC $140,127 $140,127 $114,404 +22% $169,977 −18% —
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 $105,048 +21% $146,474 −13% —
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC $127,164 $127,164 $111,108 +14% $151,029 −16% —
020 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC $121,507 $121,507 $96,999 +25% $134,914 −10% —
010 PANCREAS TRANSPLANT $120,286 $120,286 $69,287 +74% $99,940 +20% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $119,653 $119,653 $69,210 +73% $105,228 +14% —
233 CORONARY BYPASS W CARDIAC CATH W MCC $118,116 $118,116 $99,484 +19% $138,868 −15% —
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC $117,022 $117,022 $88,104 +33% $143,242 −18% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC $113,234 $113,234 $96,002 +18% $120,587 −6% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $107,729 $107,729 $62,554 +72% $131,961 −18% —
870 SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS $106,198 $106,198 $81,678 +30% $138,008 −23% ≈131% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $104,421 $104,421 $59,339 +76% $105,612 −1% —
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 $61,786 +65% $118,589 −14% —
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 $56,462 +76% $116,058 −14% —
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC $99,287 $99,287 $56,890 +75% $121,714 −18% —
969 HIV W EXTENSIVE O.R. PROCEDURE W MCC $97,435 $97,435 $76,100 +28% $109,331 −11% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $95,635 $95,635 $56,010 +71% $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 $53,665 +76% $106,238 −11% —
028 SPINAL PROCEDURES W MCC $94,042 $94,042 $74,391 +26% $95,858 −2% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC OR T-CELL IMMUNOTHERAPY $93,438 $93,438 $70,720 +32% $98,260 −5% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC $93,438 $93,438 $61,708 +51% $81,176 +15% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC $92,813 $92,813 $71,503 +30% $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 $73,928 +25% $92,238 +0% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $92,175 $92,175 $71,534 +29% $80,018 +15% —
235 CORONARY BYPASS W/O CARDIAC CATH W MCC $91,335 $91,335 $67,362 +36% $112,062 −18% —
820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC $90,477 $90,477 $71,838 +26% $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 $62,070 +40% $97,046 −10% —
834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC $86,389 $86,389 $46,891 +84% $76,583 +13% —
008 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT $85,194 $85,194 $53,926 +58% $86,459 −1% —
405 PANCREAS, LIVER & SHUNT PROCEDURES W MCC $85,022 $85,022 $69,661 +22% $94,927 −10% —
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC $84,638 $84,638 $46,936 +80% $78,582 +8% —
011 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC $84,567 $84,567 $46,225 +83% $86,953 −3% —
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC $84,559 $84,559 $46,886 +80% $82,527 +2% —
021 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC $83,805 $83,805 $57,383 +46% $101,235 −17% —
234 CORONARY BYPASS W CARDIAC CATH W/O MCC $83,518 $83,518 $61,822 +35% $102,573 −19% —
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC $83,192 $83,192 $47,356 +76% $102,177 −19% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC $80,924 $80,924 $59,897 +35% $99,423 −19% —
466 REVISION OF HIP OR KNEE REPLACEMENT W MCC $80,391 $80,391 $65,645 +22% $96,222 −16% —
326 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC $80,175 $80,175 $59,697 +34% $80,747 −1% —
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC $79,592 $79,592 $49,585 +61% $87,565 −9% —
837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC $79,180 $79,180 $43,716 +81% $70,735 +12% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $79,126 $79,126 $43,480 +82% $84,861 −7% —
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC $79,098 $79,098 $66,300 +19% $87,018 −9% ≈126% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES W MCC $78,849 $78,849 $57,822 +36% $96,905 −19% —
245 AICD GENERATOR PROCEDURES $77,511 $77,511 $61,075 +27% $72,076 +8% —
471 CERVICAL SPINAL FUSION W MCC $77,102 $77,102 $58,448 +32% $92,515 −17% —
006 LIVER TRANSPLANT W/O MCC $76,990 $76,990 $48,936 +57% $84,407 −9% —
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC $75,969 $75,969 $53,961 +41% $88,691 −14% —
799 SPLENECTOMY W MCC $75,682 $75,682 $63,003 +20% $78,821 −4% —
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $75,669 $75,669 $54,442 +39% $86,390 −12% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W/O MCC $74,987 $74,987 $56,801 +32% $92,217 −19% —
823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC $74,638 $74,638 $58,079 +29% $80,885 −8% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $74,255 $74,255 $49,595 +50% $91,329 −19% —
163 MAJOR CHEST PROCEDURES W MCC $73,664 $73,664 $54,801 +34% $88,341 −17% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $73,637 $73,637 $40,443 +82% $71,551 +3% —
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC $73,614 $73,614 $58,617 +26% $54,320 +36% —
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC $73,434 $73,434 $54,333 +35% $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 $50,907 +42% $72,859 −1% —
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC $71,938 $71,938 $44,319 +62% $76,954 −7% —
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC $71,766 $71,766 $44,906 +60% $88,307 −19% —
901 WOUND DEBRIDEMENTS FOR INJURIES W MCC $71,187 $71,187 $37,586 +89% $68,847 +3% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W MCC $70,664 $70,664 $46,152 +53% $75,585 −7% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT $69,751 $69,751 $33,230 +110% $59,352 +18% —
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC $69,628 $69,628 $55,653 +25% $83,441 −17% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC $68,903 $68,903 $52,759 +31% $82,561 −17% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $68,815 $68,815 $55,014 +25% $88,049 −22% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $68,397 $68,397 $34,907 +96% $60,098 +14% —
031 VENTRICULAR SHUNT PROCEDURES W MCC $67,862 $67,862 $50,459 +34% $68,659 −1% —
673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC $67,848 $67,848 $51,316 +32% $72,945 −7% —
793 FULL TERM NEONATE W MAJOR PROBLEMS $67,583 $67,583 $35,380 +91% $16,719 +304% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC $67,447 $67,447 $42,533 +59% $83,065 −19% —
236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC $66,774 $66,774 $46,520 +44% $82,247 −19% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC $66,742 $66,742 $41,582 +61% $66,853 −0% —
012 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC $66,657 $66,657 $35,828 +86% $73,029 −9% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC $66,154 $66,154 $48,943 +35% $72,011 −8% —
791 PREMATURITY W MAJOR PROBLEMS $66,050 $66,050 $45,159 +46% $39,563 +67% —
907 OTHER O.R. PROCEDURES FOR INJURIES W MCC $64,994 $64,994 $45,405 +43% $71,701 −9% —
739 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $64,955 $64,955 $47,902 +36% $57,521 +13% —
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC $64,467 $64,467 $35,390 +82% $68,006 −5% —
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC $64,355 $64,355 $47,381 +36% $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 $40,083 +60% $78,852 −19% —
034 CAROTID ARTERY STENT PROCEDURE W MCC $63,677 $63,677 $33,950 +88% $72,908 −13% —
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC $63,349 $63,349 $34,783 +82% $62,961 +1% —
904 SKIN GRAFTS FOR INJURIES W CC/MCC $63,295 $63,295 $33,398 +90% $55,097 +15% —
166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC $63,145 $63,145 $48,736 +30% $72,782 −13% —
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $62,759 $62,759 $35,111 +79% $75,103 −16% —
024 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC $62,472 $62,472 $47,667 +31% $74,755 −16% —
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC $62,061 $62,061 $44,874 +38% $74,257 −16% —
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC $61,644 $61,644 $46,834 +32% $60,861 +1% —
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC $60,479 $60,479 $50,803 +19% $50,815 +19% —
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC $60,351 $60,351 $36,817 +64% $62,524 −3% —
335 PERITONEAL ADHESIOLYSIS W MCC $60,000 $60,000 $46,502 +29% $71,755 −16% —
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC $59,465 $59,465 $30,575 +94% $59,425 +0% —
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC $59,463 $59,463 $29,586 +101% $57,855 +3% —
518 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM $59,454 $59,454 $31,290 +90% $64,776 −8% —
265 AICD LEAD PROCEDURES $59,221 $59,221 $31,144 +90% $56,695 +4% —
492 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC $59,000 $59,000 $35,670 +65% $70,540 −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 $43,922 +33% $56,964 +3% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC $58,343 $58,343 $31,947 +83% $68,399 −15% —
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $58,327 $58,327 $38,991 +50% $65,383 −11% —
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC $58,308 $58,308 $42,905 +36% $59,207 −2% —
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 $30,833 +88% $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 $30,877 +87% $49,065 +18% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC $57,519 $57,519 $30,072 +91% $71,014 −19% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $57,445 $57,445 $30,024 +91% $62,269 −8% —
665 PROSTATECTOMY W MCC $57,370 $57,370 $41,317 +39% $54,072 +6% —
252 OTHER VASCULAR PROCEDURES W MCC $57,325 $57,325 $42,633 +34% $68,508 −16% ≈106% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT W CC $57,253 $57,253 $42,906 +33% $68,880 −17% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC $56,990 $56,990 $38,294 +49% $67,901 −16% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC $56,793 $56,793 $43,918 +29% $70,132 −19% —
029 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS $56,304 $56,304 $28,756 +96% $64,152 −12% —
037 EXTRACRANIAL PROCEDURES W MCC $55,808 $55,808 $28,173 +98% $64,749 −14% —
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% $65,254 −16% —
579 OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC $54,955 $54,955 $38,910 +41% $54,129 +2% —
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC $54,936 $54,936 $28,474 +93% $64,465 −15% —
485 KNEE PROCEDURES W PDX OF INFECTION W MCC $54,399 $54,399 $27,579 +97% $64,956 −16% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $54,193 $54,193 $40,209 +35% $57,277 −5% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $54,064 $54,064 $27,766 +95% $66,819 −19% —
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 $27,638 +95% $44,472 +21% —
939 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC $53,772 $53,772 $26,927 +100% $51,142 +5% —
500 SOFT TISSUE PROCEDURES W MCC $53,698 $53,698 $27,145 +98% $57,479 −7% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $53,037 $53,037 $37,451 +42% $65,573 −19% —
662 MINOR BLADDER PROCEDURES W MCC $53,018 $53,018 $30,960 +71% $54,483 −3% —
229 OTHER CARDIOTHORACIC PROCEDURES W/O MCC $52,833 $52,833 $37,378 +41% $65,325 −19% —
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC $52,641 $52,641 $26,998 +95% $62,821 −16% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC $52,521 $52,521 $27,771 +89% $53,817 −2% —
652 KIDNEY TRANSPLANT $52,350 $52,350 $27,280 +92% $54,720 −4% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $52,311 $52,311 $32,419 +61% $53,555 −2% —
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC $52,172 $52,172 $34,191 +53% $63,475 −18% —
570 SKIN DEBRIDEMENT W MCC $51,501 $51,501 $26,159 +97% $52,435 −2% —
974 HIV W MAJOR RELATED CONDITION W MCC $51,169 $51,169 $25,951 +97% $46,402 +10% —
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC $50,648 $50,648 $25,014 +102% $54,313 −7% —
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC $50,542 $50,542 $36,997 +37% $63,984 −21% —
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC $50,431 $50,431 $26,562 +90% $60,140 −16% —
668 TRANSURETHRAL PROCEDURES W MCC $50,200 $50,200 $25,343 +98% $47,277 +6% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $50,178 $50,178 $35,073 +43% $67,764 −26% —
800 SPLENECTOMY W CC $50,165 $50,165 $25,439 +97% $49,184 +2% —
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC $50,143 $50,143 $25,425 +97% $54,475 −8% —
472 CERVICAL SPINAL FUSION W CC $49,935 $49,935 $25,060 +99% $59,537 −16% —
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC $49,518 $49,518 $24,323 +104% $58,968 −16% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC $49,472 $49,472 $29,422 +68% $56,758 −13% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $49,449 $49,449 $24,988 +98% $53,551 −8% —
510 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W MCC $49,393 $49,393 $24,247 +104% $49,055 +1% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUM $49,237 $49,237 $24,151 +104% $74,274 −34% —
654 MAJOR BLADDER PROCEDURES W CC $48,894 $48,894 $24,176 +102% $53,868 −9% —
406 PANCREAS, LIVER & SHUNT PROCEDURES W CC $48,704 $48,704 $24,059 +102% $58,043 −16% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC $48,664 $48,664 $32,590 +49% $48,907 −0% —
022 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC $48,061 $48,061 $48,061 +0% $62,404 −23% —
288 ACUTE & SUBACUTE ENDOCARDITIS W MCC $47,639 $47,639 $22,859 +108% $45,497 +5% —
619 O.R. PROCEDURES FOR OBESITY W MCC $47,569 $47,569 $23,568 +102% $44,973 +6% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC $47,433 $47,433 $23,718 +100% $43,491 +9% —
411 CHOLECYSTECTOMY W C.D.E. W MCC $47,388 $47,388 $23,780 +99% $48,358 −2% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC $47,249 $47,249 $28,045 +68% $57,963 −18% —
344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC $47,126 $47,126 $24,914 +89% $44,839 +5% —
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 $23,200 +102% $44,938 +4% —
849 RADIOTHERAPY $46,801 $46,801 $22,353 +109% $37,862 +24% —
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC $46,686 $46,686 $22,590 +107% $45,432 +3% —
970 HIV W EXTENSIVE O.R. PROCEDURE W/O MCC $46,555 $46,555 $22,509 +107% $40,947 +14% —
013 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W/O CC/MCC $46,509 $46,509 $22,177 +110% $45,290 +3% —
503 FOOT PROCEDURES W MCC $46,462 $46,462 $23,106 +101% $43,901 +6% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $46,424 $46,424 $29,424 +58% $40,277 +15% —
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC $46,139 $46,139 $22,797 +102% $54,929 −16% —
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC $46,045 $46,045 $21,896 +110% $43,697 +5% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC $45,658 $45,658 $21,960 +108% $41,703 +9% —
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC $45,598 $45,598 $22,354 +104% $48,094 −5% —
846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC $45,176 $45,176 $21,877 +106% $38,878 +16% —
253 OTHER VASCULAR PROCEDURES W CC $45,164 $45,164 $22,753 +98% $53,746 −16% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $45,098 $45,098 $22,247 +103% $57,149 −21% —
545 CONNECTIVE TISSUE DISORDERS W MCC $44,803 $44,803 $21,147 +112% $39,657 +13% —
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC $44,775 $44,775 $22,044 +103% $46,659 −4% —
164 MAJOR CHEST PROCEDURES W CC $44,666 $44,666 $21,353 +109% $53,141 −16% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC $44,487 $44,487 $20,668 +115% $39,409 +13% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC $44,460 $44,460 $21,745 +104% $55,162 −19% —
397 APPENDIX PROCEDURES WITH MCC $44,122 $44,122 $21,532 +105% $52,319 −16% —
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC $43,984 $43,984 $20,936 +110% $52,332 −16% —
792 PREMATURITY W/O MAJOR PROBLEMS $43,733 $43,733 $20,782 +110% $11,633 +276% —
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $43,713 $43,713 $21,375 +105% $51,985 −16% —
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC $43,433 $43,433 $20,599 +111% $54,824 −21% —
350 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC $43,303 $43,303 $20,519 +111% $46,591 −7% —
135 SINUS & MASTOID PROCEDURES W CC/MCC $43,198 $43,198 $20,655 +109% $40,065 +8% —
493 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC $43,058 $43,058 $28,417 +52% $56,394 −24% —
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% $39,093 +10% —
417 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC $42,718 $42,718 $28,596 +49% $52,313 −18% —
473 CERVICAL SPINAL FUSION W/O CC/MCC $42,592 $42,592 $20,281 +110% $50,624 −16% —
347 ANAL & STOMAL PROCEDURES W MCC $42,584 $42,584 $20,663 +106% $40,548 +5% —
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC $42,541 $42,541 $20,052 +112% $58,832 −28% —
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC $42,488 $42,488 $20,508 +107% $47,546 −11% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $42,193 $42,193 $20,417 +107% $50,139 −16% —
082 TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC $41,938 $41,938 $19,683 +113% $36,237 +16% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W/O MCC $41,863 $41,863 $20,257 +107% $36,080 +16% —
250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC $41,833 $41,833 $19,811 +111% $51,339 −19% —
674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC $41,774 $41,774 $27,750 +51% $49,631 −16% —
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC $41,576 $41,576 $19,273 +116% $37,080 +12% —
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC $41,523 $41,523 $19,811 +110% $36,334 +14% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC $41,426 $41,426 $19,842 +109% $39,253 +6% —
614 ADRENAL & PITUITARY PROCEDURES W CC/MCC $41,367 $41,367 $19,713 +110% $43,586 −5% —
035 CAROTID ARTERY STENT PROCEDURE W CC $41,309 $41,309 $19,487 +112% $46,430 −11% —
085 TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC $41,187 $41,187 $19,224 +114% $37,064 +11% —
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 $19,533 +110% $44,989 −9% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC $41,004 $41,004 $19,668 +108% $50,011 −18% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC $40,993 $40,993 $19,570 +109% $48,682 −16% —
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC $40,952 $40,952 $19,545 +110% $45,059 −9% —
709 PENIS PROCEDURES W CC/MCC $40,925 $40,925 $19,437 +111% $34,535 +19% —
113 ORBITAL PROCEDURES W CC/MCC $40,787 $40,787 $19,331 +111% $35,642 +14% —
821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC $40,721 $40,721 $18,682 +118% $44,053 −8% —
030 SPINAL PROCEDURES W/O CC/MCC $40,624 $40,624 $18,879 +115% $45,818 −11% —
286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC $40,456 $40,456 $19,498 +107% $44,600 −9% —
824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC $40,264 $40,264 $18,841 +114% $38,382 +5% —
935 NON-EXTENSIVE BURNS $40,222 $40,222 $18,633 +116% $29,458 +37% —
817 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC $40,076 $40,076 $18,088 +122% $36,097 +11% —
906 HAND PROCEDURES FOR INJURIES $40,029 $40,029 $18,264 +119% $31,520 +27% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $39,979 $39,979 $19,259 +108% $41,900 −5% —
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC $39,846 $39,846 $18,584 +114% $37,902 +5% —
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC $39,680 $39,680 $19,205 +107% $44,553 −11% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $39,627 $39,627 $18,627 +113% $38,357 +3% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $39,558 $39,558 $18,227 +117% $34,900 +13% —
934 FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ $39,521 $39,521 $18,382 +115% $31,044 +27% —
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC $39,500 $39,500 $18,191 +117% $36,850 +7% —
835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC $39,383 $39,383 $17,874 +120% $35,569 +11% —
407 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC $39,382 $39,382 $18,560 +112% $40,232 −2% —
032 VENTRICULAR SHUNT PROCEDURES W CC $39,379 $39,379 $18,559 +112% $45,622 −14% —
412 CHOLECYSTECTOMY W C.D.E. W CC $39,324 $39,324 $18,686 +110% $37,654 +4% —
333 RECTAL RESECTION W CC $39,237 $39,237 $18,469 +112% $34,352 +14% —
486 KNEE PROCEDURES W PDX OF INFECTION W CC $39,176 $39,176 $18,345 +114% $46,477 −16% —
595 MAJOR SKIN DISORDERS W MCC $39,095 $39,095 $17,943 +118% $31,785 +23% —
336 PERITONEAL ADHESIOLYSIS W CC $39,056 $39,056 $21,904 +78% $49,470 −21% —
374 DIGESTIVE MALIGNANCY W MCC $39,044 $39,044 $18,263 +114% $38,885 +0% —
940 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC $39,044 $39,044 $17,669 +121% $38,420 +2% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $38,998 $38,998 $17,642 +121% $56,519 −31% —
734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC $38,925 $38,925 $19,834 +96% $35,686 +9% —
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC $38,837 $38,837 $17,896 +117% $46,066 −16% —
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC $38,754 $38,754 $17,735 +119% $32,483 +19% —
655 MAJOR BLADDER PROCEDURES W/O CC/MCC $38,571 $38,571 $17,623 +119% $41,651 −7% —
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC $38,538 $38,538 $17,775 +117% $51,172 −25% ≈108% of Medicare
592 SKIN ULCERS W MCC $38,280 $38,280 $17,616 +117% $32,662 +17% —
584 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC $38,157 $38,157 $17,710 +115% $34,089 +12% —
838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT $37,891 $37,891 $17,206 +120% $30,661 +24% —
539 OSTEOMYELITIS W MCC $37,810 $37,810 $17,157 +120% $33,746 +12% —
908 OTHER O.R. PROCEDURES FOR INJURIES W CC $37,737 $37,737 $17,112 +121% $41,660 −9% —
548 SEPTIC ARTHRITIS W MCC $37,702 $37,702 $17,091 +121% $31,019 +22% —
052 SPINAL DISORDERS & INJURIES W CC/MCC $37,673 $37,673 $17,073 +121% $30,940 +22% —
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC $37,662 $37,662 $18,104 +108% $45,817 −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 $17,364 +116% $43,524 −14% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $37,454 $37,454 $17,271 +117% $29,109 +29% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $37,350 $37,350 $16,875 +121% $35,714 +5% ≈104% of Medicare
100 SEIZURES W MCC $37,296 $37,296 $17,172 +117% $35,194 +6% ≈101% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC $37,293 $37,293 $16,841 +121% $29,633 +26% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC $37,196 $37,196 $17,190 +116% $43,398 −14% —
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC $37,126 $37,126 $17,146 +117% $43,800 −15% —
519 BACK & NECK PROC EXC SPINAL FUSION W CC $37,110 $37,110 $17,136 +117% $43,775 −15% —
080 NONTRAUMATIC STUPOR & COMA W MCC $37,070 $37,070 $17,194 +116% $35,139 +5% —
488 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC $37,020 $37,020 $16,673 +122% $41,520 −11% —
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC $36,975 $36,975 $16,645 +122% $35,237 +5% ≈103% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC $36,962 $36,962 $16,964 +118% $43,538 −15% —
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $36,933 $36,933 $16,783 +120% $36,933 +0% ≈105% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC $36,882 $36,882 $16,589 +122% $35,014 +5% —
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 $16,902 +118% $33,050 +12% —
707 MAJOR MALE PELVIC PROCEDURES W CC/MCC $36,677 $36,677 $16,240 +126% $43,080 −15% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC $36,643 $36,643 $16,604 +121% $36,202 +1% —
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 $16,722 +118% $36,641 −1% —
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC $36,291 $36,291 $16,227 +124% $33,165 +9% —
711 TESTES PROCEDURES W CC/MCC $36,219 $36,219 $16,209 +123% $34,852 +4% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC $36,081 $36,081 $16,567 +118% $42,126 −14% —
902 WOUND DEBRIDEMENTS FOR INJURIES W CC $36,081 $36,081 $16,098 +124% $35,459 +2% —
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC $36,021 $36,021 $16,062 +124% $36,280 −1% —
441 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC $35,981 $35,981 $16,037 +124% $32,399 +11% ≈101% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $35,945 $35,945 $16,015 +124% $32,204 +12% —
686 KIDNEY & URINARY TRACT NEOPLASMS W MCC $35,916 $35,916 $15,997 +125% $32,981 +9% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC $35,913 $35,913 $16,152 +122% $49,197 −27% —
494 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC $35,911 $35,911 $16,152 +122% $45,963 −22% —
196 INTERSTITIAL LUNG DISEASE W MCC $35,893 $35,893 $16,297 +120% $30,766 +17% —
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC $35,630 $35,630 $15,978 +123% $35,114 +1% —
165 MAJOR CHEST PROCEDURES W/O CC/MCC $35,615 $35,615 $15,813 +125% $41,380 −14% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $35,508 $35,508 $15,902 +123% $30,974 +15% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC $35,497 $35,497 $15,528 +129% $32,538 +9% —
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $35,475 $35,475 $15,515 +129% $22,698 +56% —
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC $35,364 $35,364 $15,813 +124% $29,609 +19% —
783 CESAREAN SECTION W STERILIZATION W MCC $35,311 $35,311 $16,156 +119% $28,375 +24% —
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC $35,264 $35,264 $15,904 +122% $30,394 +16% —
036 CAROTID ARTERY STENT PROCEDURE W/O CC/MCC $35,187 $35,187 $15,340 +129% $40,694 −14% —
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC $35,117 $35,117 $15,661 +124% $40,583 −13% —
167 OTHER RESP SYSTEM O.R. PROCEDURES W CC $35,105 $35,105 $15,653 +124% $40,563 −13% —
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 $15,782 +122% $37,950 −8% —
919 COMPLICATIONS OF TREATMENT W MCC $35,055 $35,055 $15,622 +124% $29,031 +21% —
091 OTHER DISORDERS OF NERVOUS SYSTEM W MCC $35,045 $35,045 $15,616 +124% $36,375 −4% —
740 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC $34,981 $34,981 $15,426 +127% $36,597 −4% —
377 G.I. HEMORRHAGE W MCC $34,980 $34,980 $15,800 +121% $37,842 −8% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC $34,857 $34,857 $15,500 +125% $29,476 +18% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $34,855 $34,855 $15,140 +130% $54,772 −36% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC $34,793 $34,793 $15,683 +122% $40,063 −13% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $34,764 $34,764 $15,085 +130% $14,284 +143% —
886 BEHAVIORAL & DEVELOPMENTAL DISORDERS $34,679 $34,679 $15,241 +128% $24,836 +40% —
501 SOFT TISSUE PROCEDURES W CC $34,516 $34,516 $15,581 +122% $37,975 −9% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC $34,463 $34,463 $15,108 +128% $48,680 −29% —
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $34,462 $34,462 $15,107 +128% $30,275 +14% —
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC $34,451 $34,451 $15,101 +128% $33,564 +3% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $34,392 $34,392 $15,065 +128% $31,909 +8% —
580 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC $34,354 $34,354 $15,336 +124% $36,242 −5% —
199 PNEUMOTHORAX W MCC $34,247 $34,247 $15,123 +126% $31,491 +9% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC $34,142 $34,142 $14,911 +129% $35,673 −4% —
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC $34,140 $34,140 $15,203 +125% $39,018 −13% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $34,128 $34,128 $15,049 +127% $29,558 +15% —
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% $31,846 +7% —
504 FOOT PROCEDURES W CC $34,104 $34,104 $14,889 +129% $36,598 −7% —
505 FOOT PROCEDURES W/O CC/MCC $34,104 $34,104 $14,889 +129% $31,716 +8% —
582 MASTECTOMY FOR MALIGNANCY W CC/MCC $34,051 $34,051 $14,856 +129% $34,264 −1% —
254 OTHER VASCULAR PROCEDURES W/O CC/MCC $34,026 $34,026 $14,950 +128% $38,836 −12% —
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $34,007 $34,007 $15,120 +125% $31,758 +7% —
180 RESPIRATORY NEOPLASMS W MCC $34,004 $34,004 $14,973 +127% $36,658 −7% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $33,880 $33,880 $14,751 +130% $30,814 +10% —
915 ALLERGIC REACTIONS W MCC $33,867 $33,867 $14,888 +127% $30,944 +9% —
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC $33,842 $33,842 $14,728 +130% $32,839 +3% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC $33,742 $33,742 $14,811 +128% $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 $14,843 +126% $38,094 −12% —
551 MEDICAL BACK PROBLEMS W MCC $33,431 $33,431 $14,618 +129% $31,086 +8% —
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC $33,357 $33,357 $14,431 +131% $43,266 −23% —
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC $33,254 $33,254 $14,368 +131% $29,729 +12% —
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $33,209 $33,209 $14,340 +132% $28,578 +16% —
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC $33,195 $33,195 $14,613 +127% $29,409 +13% —
444 DISORDERS OF THE BILIARY TRACT W MCC $33,126 $33,126 $14,290 +132% $31,128 +6% —
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $33,077 $33,077 $14,260 +132% $30,058 +10% ≈107% of Medicare
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $32,990 $32,990 $14,485 +128% $29,916 +10% —
571 SKIN DEBRIDEMENT W CC $32,986 $32,986 $14,343 +130% $34,901 −5% —
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $32,929 $32,929 $14,169 +132% $25,208 +31% ≈108% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS W MCC $32,926 $32,926 $14,167 +132% $33,607 −2% —
116 INTRAOCULAR PROCEDURES W CC/MCC $32,907 $32,907 $14,294 +130% $28,103 +17% —
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $32,901 $32,901 $14,152 +132% $30,930 +6% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $32,839 $32,839 $14,391 +128% $32,502 +1% —
413 CHOLECYSTECTOMY W C.D.E. W/O CC/MCC $32,822 $32,822 $13,994 +135% $27,548 +19% —
075 VIRAL MENINGITIS W CC/MCC $32,818 $32,818 $14,216 +131% $29,853 +10% —
334 RECTAL RESECTION W/O CC/MCC $32,768 $32,768 $14,071 +133% $32,213 +2% —
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC $32,765 $32,765 $14,069 +133% $42,119 −22% —
643 ENDOCRINE DISORDERS W MCC $32,750 $32,750 $14,060 +133% $32,996 −1% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $32,732 $32,732 $14,049 +133% $32,689 +0% —
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 $13,793 +137% $25,197 +29% —
666 PROSTATECTOMY W CC $32,611 $32,611 $14,112 +131% $30,016 +9% —
583 MASTECTOMY FOR MALIGNANCY W/O CC/MCC $32,548 $32,548 $13,936 +134% $31,566 +3% —
801 SPLENECTOMY W/O CC/MCC $32,534 $32,534 $14,064 +131% $28,634 +14% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $32,530 $32,530 $14,198 +129% $28,967 +12% —
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC $32,506 $32,506 $13,910 +134% $28,134 +16% —
296 CARDIAC ARREST, UNEXPLAINED W MCC $32,488 $32,488 $14,036 +131% $30,910 +5% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC $32,477 $32,477 $13,893 +134% $36,333 −11% —
157 DENTAL & ORAL DISEASES W MCC $32,476 $32,476 $13,892 +134% $27,457 +18% —
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC $32,320 $32,320 $13,610 +137% $24,465 +32% —
855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC $32,311 $32,311 $13,926 +132% $27,168 +19% —
385 INFLAMMATORY BOWEL DISEASE W MCC $32,300 $32,300 $14,054 +130% $26,020 +24% —
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 $13,351 +141% $25,731 +25% —
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $32,184 $32,184 $13,714 +135% $31,840 +1% ≈112% of Medicare
786 CESAREAN SECTION W/O STERILIZATION W MCC $32,176 $32,176 $14,108 +128% $27,118 +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% $25,434 +26% —
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 $14,418 +121% $35,453 −10% —
033 VENTRICULAR SHUNT PROCEDURES W/O CC/MCC $31,893 $31,893 $13,535 +136% $33,984 −6% —
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC $31,866 $31,866 $13,518 +136% $35,375 −10% —
183 MAJOR CHEST TRAUMA W MCC $31,780 $31,780 $13,466 +136% $28,924 +10% —
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC $31,767 $31,767 $13,458 +136% $39,747 −20% —
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC $31,681 $31,681 $13,406 +136% $33,490 −5% —
186 PLEURAL EFFUSION W MCC $31,679 $31,679 $13,404 +136% $32,468 −2% —
289 ACUTE & SUBACUTE ENDOCARDITIS W CC $31,633 $31,633 $13,487 +135% $29,371 +8% —
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% $32,936 −4% —
841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC $31,512 $31,512 $13,302 +137% $31,059 +1% —
675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC $31,475 $31,475 $13,279 +137% $32,490 −3% —
251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC $31,437 $31,437 $13,256 +137% $41,380 −24% —
410 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC $31,278 $31,278 $13,417 +133% $34,434 −9% —
557 TENDONITIS, MYOSITIS & BURSITIS W MCC $31,259 $31,259 $13,276 +135% $28,646 +9% —
813 COAGULATION DISORDERS $31,235 $31,235 $13,132 +138% $30,128 +4% —
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% $24,036 +30% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC $31,205 $31,205 $13,114 +138% $25,484 +22% —
073 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC $31,202 $31,202 $13,241 +136% $28,252 +10% —
337 PERITONEAL ADHESIOLYSIS W/O CC/MCC $31,056 $31,056 $13,340 +133% $36,239 −14% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $30,999 $30,999 $13,243 +134% $24,879 +25% —
663 MINOR BLADDER PROCEDURES W CC $30,950 $30,950 $13,212 +134% $29,924 +3% —
945 REHABILITATION W CC/MCC $30,937 $30,937 $12,775 +142% $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% $30,972 −1% —
398 APPENDIX PROCEDURES WITH CC $30,753 $30,753 $12,663 +143% $39,107 −21% —
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC $30,707 $30,707 $12,810 +140% $24,229 +27% —
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC $30,699 $30,699 $12,930 +137% $27,279 +13% —
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC $30,647 $30,647 $13,023 +135% $33,424 −8% —
351 INGUINAL & FEMORAL HERNIA PROCEDURES W CC $30,632 $30,632 $12,763 +140% $33,792 −9% —
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC $30,625 $30,625 $12,884 +138% $35,528 −14% —
682 RENAL FAILURE W MCC $30,596 $30,596 $12,741 +140% $27,854 +10% ≈107% of Medicare
710 PENIS PROCEDURES W/O CC/MCC $30,589 $30,589 $12,737 +140% $23,814 +28% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC $30,571 $30,571 $12,726 +140% $25,854 +18% —
054 NERVOUS SYSTEM NEOPLASMS W MCC $30,557 $30,557 $12,842 +138% $29,484 +4% —
506 MAJOR THUMB OR JOINT PROCEDURES $30,557 $30,557 $12,842 +138% $28,983 +5% —
306 CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC $30,534 $30,534 $12,703 +140% $24,450 +25% —
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC $30,469 $30,469 $12,912 +136% $33,137 −8% —
345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC $30,413 $30,413 $12,753 +138% $31,062 −2% —
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 $12,700 +139% $32,911 −8% —
794 NEONATE W OTHER SIGNIFICANT PROBLEMS $30,240 $30,240 $12,888 +135% $7,961 +280% —
693 URINARY STONES W MCC $30,160 $30,160 $12,474 +142% $22,525 +34% —
388 G.I. OBSTRUCTION W MCC $30,153 $30,153 $12,592 +139% $28,780 +5% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC $30,146 $30,146 $12,466 +142% $25,152 +20% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC $30,146 $30,146 $12,466 +142% $25,786 +17% —
602 CELLULITIS W MCC $30,143 $30,143 $12,464 +142% $29,347 +3% —
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC $30,064 $30,064 $12,416 +142% $29,211 +3% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC $30,050 $30,050 $12,529 +140% $25,149 +19% —
621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC $30,040 $30,040 $12,523 +140% $32,451 −7% —
637 DIABETES W MCC $29,964 $29,964 $12,597 +138% $28,819 +4% ≈113% of Medicare
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC $29,945 $29,945 $12,175 +146% $24,941 +20% —
865 VIRAL ILLNESS W MCC $29,884 $29,884 $12,521 +139% $26,088 +15% —
713 TRANSURETHRAL PROSTATECTOMY W CC/MCC $29,821 $29,821 $12,387 +141% $29,663 +1% —
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 $12,424 +139% $25,243 +18% —
520 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC $29,644 $29,644 $12,397 +139% $31,816 −7% —
615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC $29,641 $29,641 $12,276 +141% $31,812 −7% —
975 HIV W MAJOR RELATED CONDITION W CC $29,480 $29,480 $11,895 +148% $25,010 +18% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC $29,451 $29,451 $12,041 +145% $21,615 +36% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC $29,396 $29,396 $12,007 +145% $23,734 +24% —
088 CONCUSSION W MCC $29,332 $29,332 $11,968 +145% $24,402 +20% —
885 PSYCHOSES $29,317 $29,317 $11,958 +145% $21,489 +36% ≈100% of Medicare
175 PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE $29,310 $29,310 $12,188 +140% $29,757 −2% —
811 RED BLOOD CELL DISORDERS W MCC $29,279 $29,279 $12,169 +141% $27,934 +5% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC $29,250 $29,250 $11,918 +145% $35,542 −18% —
895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY $29,229 $29,229 $12,117 +141% $21,986 +33% —
630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC $29,202 $29,202 $11,888 +146% $24,452 +19% —
137 MOUTH PROCEDURES W CC/MCC $29,164 $29,164 $11,981 +143% $24,348 +20% —
502 SOFT TISSUE PROCEDURES W/O CC/MCC $29,145 $29,145 $11,853 +146% $30,006 −3% —
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC $29,091 $29,091 $11,500 +153% $25,666 +13% —
083 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC $29,051 $29,051 $11,795 +146% $24,118 +20% —
150 EPISTAXIS W MCC $28,937 $28,937 $11,841 +144% $21,133 +37% —
769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE $28,855 $28,855 $11,903 +142% $24,561 +17% —
741 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC $28,818 $28,818 $11,881 +143% $29,050 −1% —
139 SALIVARY GLAND PROCEDURES $28,810 $28,810 $11,648 +147% $21,014 +37% —
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 $11,784 +143% $24,980 +15% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $28,561 $28,561 $11,609 +146% $29,374 −3% —
168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC $28,545 $28,545 $11,330 +152% $28,527 +0% —
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC $28,444 $28,444 $11,648 +144% $23,723 +20% —
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 $11,645 +143% $30,358 −7% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $28,275 $28,275 $11,320 +150% $25,426 +11% ≈100% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC $28,258 $28,258 $11,310 +150% $31,978 −12% —
535 FRACTURES OF HIP & PELVIS W MCC $28,212 $28,212 $11,503 +145% $23,350 +21% —
640 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC $28,186 $28,186 $11,487 +145% $24,480 +15% ≈102% of Medicare
193 SIMPLE PNEUMONIA & PLEURISY W MCC $28,043 $28,043 $11,179 +151% $26,158 +7% ≈109% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC $28,042 $28,042 $11,178 +151% $34,887 −20% —
086 TRAUMATIC STUPOR & COMA, COMA <1 HR W CC $27,959 $27,959 $10,976 +155% $23,115 +21% —
553 BONE DISEASES & ARTHROPATHIES W MCC $27,881 $27,881 $11,297 +147% $23,956 +16% —
291 HEART FAILURE & SHOCK W MCC $27,864 $27,864 $11,286 +147% $25,020 +11% ≈105% of Medicare
124 OTHER DISORDERS OF THE EYE W MCC $27,852 $27,852 $11,062 +152% $21,029 +32% —
540 OSTEOMYELITIS W CC $27,716 $27,716 $11,086 +150% $23,494 +18% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $27,652 $27,652 $11,047 +150% $23,920 +16% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC $27,637 $27,637 $10,930 +153% $23,924 +16% —
947 SIGNS & SYMPTOMS W MCC $27,606 $27,606 $11,018 +151% $25,474 +8% —
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $27,583 $27,583 $10,897 +153% $27,244 +1% —
847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC $27,392 $27,392 $10,780 +154% $22,275 +23% ≈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% $25,623 +7% —
383 UNCOMPLICATED PEPTIC ULCER W MCC $27,302 $27,302 $10,725 +155% $26,634 +3% —
725 BENIGN PROSTATIC HYPERTROPHY W MCC $27,279 $27,279 $10,566 +158% $19,894 +37% —
348 ANAL & STOMAL PROCEDURES W CC $27,228 $27,228 $10,889 +150% $27,947 −3% —
346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $27,040 $27,040 $10,668 +153% $26,146 +3% —
618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W/O CC/MCC $27,037 $27,037 $10,663 +154% $19,354 +40% —
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC $27,033 $27,033 $10,664 +154% $21,860 +24% —
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 $10,801 +150% $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% $22,032 +22% —
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC $26,944 $26,944 $10,506 +156% $27,492 −2% —
189 PULMONARY EDEMA & RESPIRATORY FAILURE $26,930 $26,930 $10,497 +157% $25,704 +5% ≈95% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC $26,854 $26,854 $10,451 +157% $20,147 +33% —
825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC $26,839 $26,839 $10,441 +157% $27,321 −2% —
375 DIGESTIVE MALIGNANCY W CC $26,810 $26,810 $10,526 +155% $27,219 −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% $26,322 +2% —
593 SKIN ULCERS W CC $26,726 $26,726 $10,474 +155% $20,470 +31% —
903 WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC $26,676 $26,676 $10,444 +155% $23,588 +13% —
735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC $26,604 $26,604 $10,399 +156% $23,297 +14% —
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $26,494 $26,494 $10,431 +154% $26,488 +0% —
549 SEPTIC ARTHRITIS W CC $26,482 $26,482 $10,085 +163% $20,938 +26% —
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC $26,394 $26,394 $10,169 +160% $27,369 −4% —
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC $26,345 $26,345 $10,139 +160% $20,421 +29% —
887 OTHER MENTAL DISORDER DIAGNOSES $26,265 $26,265 $10,090 +160% $20,602 +27% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $26,201 $26,201 $10,150 +158% $20,842 +26% —
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 $10,162 +156% $24,185 +8% —
689 KIDNEY & URINARY TRACT INFECTIONS W MCC $26,000 $26,000 $9,928 +162% $22,982 +13% —
302 ATHEROSCLEROSIS W MCC $25,903 $25,903 $10,062 +157% $20,844 +24% —
121 ACUTE MAJOR EYE INFECTIONS W CC/MCC $25,902 $25,902 $9,868 +162% $18,291 +42% —
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC $25,900 $25,900 $9,867 +162% $21,062 +23% —
102 HEADACHES W MCC $25,850 $25,850 $10,029 +158% $22,544 +15% —
546 CONNECTIVE TISSUE DISORDERS W CC $25,825 $25,825 $9,688 +167% $24,202 +7% —
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $25,795 $25,795 $9,899 +161% $25,307 +2% —
831 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC $25,733 $25,733 $9,405 +174% $18,133 +42% —
822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC $25,631 $25,631 $9,798 +162% $25,390 +1% —
572 SKIN DEBRIDEMENT W/O CC/MCC $25,613 $25,613 $9,692 +164% $24,432 +5% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $25,562 $25,562 $9,755 +162% $24,452 +5% —
039 EXTRACRANIAL PROCEDURES W/O CC/MCC $25,555 $25,555 $9,394 +172% $25,267 +1% —
152 OTITIS MEDIA & URI W MCC $25,508 $25,508 $9,627 +165% $19,795 +29% —
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC $25,411 $25,411 $9,661 +163% $20,741 +23% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC $25,410 $25,410 $9,567 +166% $24,017 +6% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $25,356 $25,356 $9,534 +166% $30,314 −16% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $25,345 $25,345 $9,714 +161% $24,190 +5% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC $25,343 $25,343 $9,526 +166% $19,317 +31% —
946 REHABILITATION W/O CC/MCC $25,254 $25,254 $9,323 +171% $17,685 +43% —
181 RESPIRATORY NEOPLASMS W CC $25,168 $25,168 $9,512 +165% $22,431 +12% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC $25,166 $25,166 $9,602 +162% $18,459 +36% —
200 PNEUMOTHORAX W CC $25,130 $25,130 $9,580 +162% $20,573 +22% —
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% $25,162 −0% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC $25,038 $25,038 $9,346 +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% $22,532 +11% —
672 URETHRAL PROCEDURES W/O CC/MCC $24,948 $24,948 $8,828 +183% $17,398 +43% —
055 NERVOUS SYSTEM NEOPLASMS W/O MCC $24,901 $24,901 $9,255 +169% $19,868 +25% —
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC $24,883 $24,883 $9,426 +164% $31,190 −20% —
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 $9,291 +167% $21,806 +14% —
784 CESAREAN SECTION W STERILIZATION W CC $24,790 $24,790 $12,774 +94% $22,560 +10% —
596 MAJOR SKIN DISORDERS W/O MCC $24,764 $24,764 $9,261 +167% $17,226 +44% —
664 MINOR BLADDER PROCEDURES W/O CC/MCC $24,746 $24,746 $9,250 +168% $18,126 +37% —
949 AFTERCARE W CC/MCC $24,735 $24,735 $9,243 +168% $23,953 +3% —
770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $24,693 $24,693 $9,128 +171% $17,943 +38% —
089 CONCUSSION W CC $24,639 $24,639 $8,849 +178% $18,293 +35% —
300 PERIPHERAL VASCULAR DISORDERS W CC $24,618 $24,618 $9,260 +166% $19,579 +26% —
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $24,607 $24,607 $9,254 +166% $23,749 +4% ≈106% of Medicare
184 MAJOR CHEST TRAUMA W CC $24,584 $24,584 $9,061 +171% $20,842 +18% —
787 CESAREAN SECTION W/O STERILIZATION W CC $24,496 $24,496 $9,775 +151% $23,571 +4% —
796 VAGINAL DELIVERY W STERILIZATION/D&C W MCC $24,485 $24,485 $11,094 +121% $22,557 +9% —
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $24,484 $24,484 $9,000 +172% $23,496 +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 $9,069 +170% $24,136 +1% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $24,387 $24,387 $8,941 +173% $23,396 +4% —
687 KIDNEY & URINARY TRACT NEOPLASMS W CC $24,370 $24,370 $8,689 +180% $18,478 +32% —
842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC $24,359 $24,359 $8,924 +173% $17,550 +39% —
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC $24,334 $24,334 $9,083 +168% $22,231 +9% —
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 $8,939 +170% $22,941 +5% —
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC $24,069 $24,069 $8,918 +170% $22,781 +6% ≈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 $8,805 +173% $16,703 +44% —
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC $24,008 $24,008 $8,880 +170% $24,022 −0% —
745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC $23,983 $23,983 $8,779 +173% $16,495 +45% —
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $23,916 $23,916 $8,737 +174% $20,732 +15% —
923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC $23,916 $23,916 $8,652 +176% $16,571 +44% —
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $23,913 $23,913 $8,651 +176% $21,545 +11% —
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC $23,911 $23,911 $8,819 +171% $20,080 +19% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC $23,907 $23,907 $8,732 +174% $19,091 +25% —
369 MAJOR ESOPHAGEAL DISORDERS W CC $23,884 $23,884 $8,633 +177% $22,713 +5% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS $23,874 $23,874 $8,711 +174% $23,469 +2% ≈96% of Medicare
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $23,863 $23,863 $8,620 +177% $18,017 +32% —
920 COMPLICATIONS OF TREATMENT W CC $23,860 $23,860 $8,787 +172% $21,181 +13% —
117 INTRAOCULAR PROCEDURES W/O CC/MCC $23,809 $23,809 $9,026 +164% $17,193 +38% —
768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C $23,795 $23,795 $11,271 +111% $17,103 +39% —
187 PLEURAL EFFUSION W CC $23,695 $23,695 $8,517 +178% $21,467 +10% —
976 HIV W MAJOR RELATED CONDITION W/O CC/MCC $23,681 $23,681 $8,278 +186% $16,212 +46% —
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC $23,638 $23,638 $8,483 +179% $20,007 +18% —
805 VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC $23,612 $23,612 $10,576 +123% $15,370 +54% —
078 HYPERTENSIVE ENCEPHALOPATHY W CC $23,611 $23,611 $8,351 +183% $17,434 +35% —
624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC $23,583 $23,583 $8,510 +177% $17,078 +38% —
386 INFLAMMATORY BOWEL DISEASE W CC $23,536 $23,536 $8,420 +180% $20,968 +12% —
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% $20,106 +17% —
818 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC $23,493 $23,493 $10,927 +115% $24,316 −3% —
378 G.I. HEMORRHAGE W CC $23,444 $23,444 $8,364 +180% $21,886 +7% ≈95% of Medicare
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC $23,440 $23,440 $8,361 +180% $18,282 +28% —
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 $8,380 +178% $15,890 +47% —
697 URETHRAL STRICTURE $23,263 $23,263 $8,499 +174% $17,705 +31% —
797 VAGINAL DELIVERY W STERILIZATION/D&C W CC $23,199 $23,199 $8,598 +170% $19,001 +22% —
798 VAGINAL DELIVERY W STERILIZATION/D&C W/O CC/MCC $23,199 $23,199 $10,124 +129% $18,238 +27% —
202 BRONCHITIS & ASTHMA W CC/MCC $23,178 $23,178 $8,281 +180% $17,273 +34% —
442 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC $23,171 $23,171 $8,357 +177% $21,449 +8% ≈92% of Medicare
552 MEDICAL BACK PROBLEMS W/O MCC $23,138 $23,138 $8,176 +183% $21,213 +9% ≈97% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $23,117 $23,117 $8,164 +183% $20,777 +11% —
882 NEUROSES EXCEPT DEPRESSIVE $23,113 $23,113 $8,241 +180% $15,680 +47% —
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $23,066 $23,066 $8,292 +178% $15,636 +48% —
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC $23,038 $23,038 $8,195 +181% $16,418 +40% —
084 TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC $23,031 $23,031 $8,111 +184% $18,191 +27% —
670 TRANSURETHRAL PROCEDURES W/O CC/MCC $23,026 $23,026 $8,108 +184% $20,371 +13% —
747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC $23,019 $23,019 $8,103 +184% $19,326 +19% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $23,016 $23,016 $8,181 +181% $15,589 +48% —
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC $22,972 $22,972 $8,075 +184% $18,428 +25% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $22,826 $22,826 $7,986 +186% $18,918 +21% —
158 DENTAL & ORAL DISEASES W CC $22,816 $22,816 $7,980 +186% $17,700 +29% —
714 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC $22,804 $22,804 $8,050 +183% $17,108 +33% —
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 $7,998 +184% $16,642 +37% —
307 CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC $22,620 $22,620 $7,859 +188% $18,608 +22% —
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $22,582 $22,582 $7,990 +183% $19,287 +17% —
812 RED BLOOD CELL DISORDERS W/O MCC $22,571 $22,571 $7,983 +183% $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% $19,954 +13% ≈97% of Medicare
053 SPINAL DISORDERS & INJURIES W/O CC/MCC $22,550 $22,550 $7,893 +186% $20,309 +11% —
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC $22,517 $22,517 $7,873 +186% $16,352 +38% —
638 DIABETES W CC $22,492 $22,492 $7,934 +184% $18,821 +20% ≈95% of Medicare
076 VIRAL MENINGITIS W/O CC/MCC $22,488 $22,488 $7,779 +189% $15,474 +45% —
914 TRAUMATIC INJURY W/O MCC $22,481 $22,481 $7,850 +186% $15,593 +44% —
881 DEPRESSIVE NEUROSES $22,449 $22,449 $7,831 +187% $15,058 +49% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $22,428 $22,428 $7,742 +190% $17,585 +28% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $22,334 $22,334 $7,835 +185% $17,731 +26% —
081 NONTRAUMATIC STUPOR & COMA W/O MCC $22,320 $22,320 $7,676 +191% $15,077 +48% —
788 CESAREAN SECTION W/O STERILIZATION W/O CC/MCC $22,319 $22,319 $8,017 +178% $20,084 +11% —
864 FEVER AND INFLAMMATORY CONDITIONS $22,226 $22,226 $7,618 +192% $17,412 +28% —
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $22,168 $22,168 $7,583 +192% $18,803 +18% —
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC $22,148 $22,148 $7,571 +193% $21,261 +4% —
683 RENAL FAILURE W CC $22,100 $22,100 $7,689 +187% $18,620 +19% ≈101% of Medicare
712 TESTES PROCEDURES W/O CC/MCC $22,061 $22,061 $8,951 +146% $18,898 +17% —
866 VIRAL ILLNESS W/O MCC $22,043 $22,043 $7,506 +194% $16,391 +34% —
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC $22,040 $22,040 $7,504 +194% $15,045 +46% —
087 TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $22,032 $22,032 $7,499 +194% $15,869 +39% —
376 DIGESTIVE MALIGNANCY W/O CC/MCC $22,018 $22,018 $7,491 +194% $15,608 +41% —
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC $22,007 $22,007 $7,484 +194% $16,049 +37% —
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 $7,620 +189% $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 $7,495 +192% $14,549 +51% —
785 CESAREAN SECTION W STERILIZATION W/O CC/MCC $21,886 $21,886 $10,545 +108% $19,815 +10% —
312 SYNCOPE & COLLAPSE $21,856 $21,856 $7,537 +190% $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 $7,475 +191% $15,284 +42% —
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC $21,752 $21,752 $7,328 +197% $17,367 +25% —
550 SEPTIC ARTHRITIS W/O CC/MCC $21,728 $21,728 $7,314 +197% $16,156 +34% —
292 HEART FAILURE & SHOCK W CC $21,716 $21,716 $7,306 +197% $16,212 +34% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $21,702 $21,702 $7,369 +195% $19,096 +14% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $21,687 $21,687 $7,431 +192% $18,278 +19% —
090 CONCUSSION W/O CC/MCC $21,662 $21,662 $7,344 +195% $14,873 +46% —
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% $20,111 +7% —
594 SKIN ULCERS W/O CC/MCC $21,543 $21,543 $7,271 +196% $14,209 +52% —
182 RESPIRATORY NEOPLASMS W/O CC/MCC $21,387 $21,387 $7,131 +200% $14,064 +52% —
845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC $21,378 $21,378 $7,169 +198% $14,055 +52% —
554 BONE DISEASES & ARTHROPATHIES W/O MCC $21,347 $21,347 $7,219 +196% $18,253 +17% —
125 OTHER DISORDERS OF THE EYE W/O MCC $21,224 $21,224 $7,073 +200% $15,876 +34% —
194 SIMPLE PNEUMONIA & PLEURISY W CC $21,145 $21,145 $7,093 +198% $18,204 +16% —
848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC $21,130 $21,130 $7,015 +201% $13,822 +53% —
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 $6,744 +213% $16,837 +25% —
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $21,096 $21,096 $6,927 +205% $17,715 +19% —
176 PULMONARY EMBOLISM W/O MCC $21,069 $21,069 $7,045 +199% $18,081 +17% —
534 FRACTURES OF FEMUR W/O MCC $21,062 $21,062 $6,906 +205% $17,195 +22% —
138 MOUTH PROCEDURES W/O CC/MCC $21,055 $21,055 $6,969 +202% $17,383 +21% —
204 RESPIRATORY SIGNS & SYMPTOMS $21,020 $21,020 $7,015 +200% $16,866 +25% —
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 $6,881 +204% $17,831 +17% —
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC $20,904 $20,904 $6,809 +207% $17,466 +20% ≈89% of Medicare
389 G.I. OBSTRUCTION W CC $20,890 $20,890 $6,800 +207% $17,388 +20% —
069 TRANSIENT ISCHEMIA W/O THROMBOLYTIC $20,869 $20,869 $6,696 +212% $20,278 +3% —
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC $20,830 $20,830 $6,896 +202% $17,700 +18% —
948 SIGNS & SYMPTOMS W/O MCC $20,791 $20,791 $6,872 +203% $17,727 +17% —
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 $6,267 +231% $13,445 +54% —
093 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $20,719 $20,719 $6,762 +206% $17,522 +18% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC $20,663 $20,663 $6,661 +210% $13,385 +54% —
641 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC $20,610 $20,610 $6,629 +211% $16,745 +23% ≈91% of Medicare
694 URINARY STONES W/O MCC $20,610 $20,610 $6,629 +211% $16,531 +25% —
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $20,595 $20,595 $6,685 +208% $17,322 +19% —
645 ENDOCRINE DISORDERS W/O CC/MCC $20,572 $20,572 $6,671 +208% $14,166 +45% —
185 MAJOR CHEST TRAUMA W/O CC/MCC $20,559 $20,559 $6,727 +206% $15,858 +30% —
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $20,448 $20,448 $6,594 +210% $14,444 +42% —
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 $6,494 +212% $13,032 +56% —
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC $20,254 $20,254 $6,537 +210% $16,776 +21% —
305 HYPERTENSION W/O MCC $20,184 $20,184 $6,493 +211% $17,144 +18% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $20,177 $20,177 $6,364 +217% $16,654 +21% —
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 $6,409 +214% $14,337 +41% —
149 DYSEQUILIBRIUM $20,140 $20,140 $6,256 +222% $17,203 +17% —
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% $14,861 +35% —
726 BENIGN PROSTATIC HYPERTROPHY W/O MCC $20,097 $20,097 $6,315 +218% $13,892 +45% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC $20,050 $20,050 $6,286 +219% $13,282 +51% —
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $20,026 $20,026 $6,333 +216% $16,865 +19% —
188 PLEURAL EFFUSION W/O CC/MCC $19,956 $19,956 $6,229 +220% $14,110 +41% —
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC $19,834 $19,834 $6,154 +222% $16,104 +23% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $19,830 $19,830 $6,272 +216% $18,623 +6% —
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 $9,343 +112% $13,090 +51% —
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC $19,753 $19,753 $6,105 +224% $12,537 +58% —
776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE $19,669 $19,669 $6,053 +225% $12,381 +59% —
301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $19,667 $19,667 $6,171 +219% $15,607 +26% —
313 CHEST PAIN $19,667 $19,667 $6,171 +219% $15,962 +23% —
153 OTITIS MEDIA & URI W/O MCC $19,644 $19,644 $6,038 +225% $14,473 +36% —
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 $6,020 +224% $15,600 +25% —
311 ANGINA PECTORIS $19,458 $19,458 $5,924 +228% $15,165 +28% —
370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC $19,454 $19,454 $5,921 +229% $15,072 +29% —
203 BRONCHITIS & ASTHMA W/O CC/MCC $19,435 $19,435 $6,025 +223% $12,279 +58% —
434 CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC $19,433 $19,433 $5,829 +233% $12,405 +57% —
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $19,401 $19,401 $5,889 +229% $13,303 +46% —
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC $19,368 $19,368 $5,984 +224% $14,441 +34% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $19,320 $19,320 $5,839 +231% $19,483 −1% —
921 COMPLICATIONS OF TREATMENT W/O CC/MCC $19,311 $19,311 $5,948 +225% $14,012 +38% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $19,242 $19,242 $5,792 +232% $12,797 +50% —
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 $5,857 +227% $13,081 +47% —
819 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC $19,141 $19,141 $6,927 +176% $17,928 +7% —
198 INTERSTITIAL LUNG DISEASE W/O CC/MCC $19,107 $19,107 $6,058 +215% $13,654 +40% —
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $19,099 $19,099 $5,760 +232% $13,198 +45% —
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 $5,798 +229% $14,880 +28% —
916 ALLERGIC REACTIONS W/O MCC $18,984 $18,984 $5,634 +237% $13,890 +37% —
079 HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC $18,949 $18,949 $5,589 +239% $11,847 +60% —
159 DENTAL & ORAL DISEASES W/O CC/MCC $18,922 $18,922 $5,651 +235% $13,368 +42% —
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC $18,919 $18,919 $5,704 +232% $13,485 +40% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC $18,884 $18,884 $6,242 +203% $12,650 +49% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $18,750 $18,750 $5,598 +235% $14,368 +31% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $18,650 $18,650 $5,562 +235% $14,208 +31% —
807 VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC $18,613 $18,613 $8,897 +109% $12,044 +55% —
379 G.I. HEMORRHAGE W/O CC/MCC $18,604 $18,604 $5,559 +235% $14,134 +32% —
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 $5,483 +239% $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 $5,424 +240% $12,013 +53% —
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 $5,370 +241% $15,070 +21% —
684 RENAL FAILURE W/O CC/MCC $18,198 $18,198 $5,153 +253% $13,623 +34% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC $18,191 $18,191 $5,274 +245% $11,071 +64% —
601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC $18,089 $18,089 $5,186 +249% $10,975 +65% —
950 AFTERCARE W/O CC/MCC $17,903 $17,903 $5,117 +250% $13,527 +32% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $17,638 $17,638 $4,950 +256% $9,385 +88% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC $17,561 $17,561 $4,763 +269% $10,039 +75% —
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $17,534 $17,534 $4,793 +266% $13,384 +31% —
293 HEART FAILURE & SHOCK W/O CC/MCC $17,385 $17,385 $4,790 +263% $11,955 +45% —
390 G.I. OBSTRUCTION W/O CC/MCC $17,364 $17,364 $4,642 +274% $13,318 +30% —
833 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC $16,984 $16,984 $4,496 +278% $9,076 +87% —
298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC $15,902 $15,902 $3,989 +299% $8,927 +78% —
795 NORMAL NEWBORN $12,549 $12,549 $3,492 +259% $4,530 +177% —