Dignity Health - St. Rose Dominican Hospital, San Martin Campus - Las Vegas, NV — Pricing

805 procedures published in this hospital's Machine-Readable File (MRF) — 805 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 805
Lowest published price $11,451
Average published price $46,516
Highest published price $641,743

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 805 procedures

Published charges

Showing all 805 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. Cash-pay prices not published for this hospital.

Across 38 procedures, this hospital's negotiated rates average ≈146% of what Medicare pays.

DRG Description Published price vs. NV median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $641,743 $613,908 +5% $498,715 +29% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $486,976 $459,024 +6% $431,073 +13% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $412,183 $412,183 +0% $306,087 +35% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $371,366 $355,255 +5% $371,366 +0% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $248,521 $241,180 +3% $245,241 +1% —
007 LUNG TRANSPLANT $230,667 $212,893 +8% $170,608 +35% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $227,681 $204,997 +11% $182,314 +25% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $198,463 $196,616 +1% $169,977 +17% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $196,346 $183,842 +7% $171,338 +15% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $191,314 $162,493 +18% $191,314 +0% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $189,963 $177,302 +7% $159,181 +19% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $189,537 $189,537 +0% $142,326 +33% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $175,437 $164,909 +6% $175,437 +0% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $168,048 $168,048 +0% $121,563 +38% —
231 CORONARY BYPASS WITH PTCA WITH MCC $155,631 $142,360 +9% $146,474 +6% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $153,621 $153,621 +0% $120,174 +28% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $153,282 $143,683 +7% $151,029 +1% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $148,686 $141,568 +5% $134,914 +10% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $146,435 $136,799 +7% $105,228 +39% —
010 PANCREAS TRANSPLANT $144,934 $144,934 +0% $99,940 +45% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $144,569 $134,323 +8% $138,868 +4% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $143,242 $132,952 +8% $143,242 +0% ≈131% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $136,374 $125,716 +8% $120,587 +13% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $132,794 $132,794 +0% $121,728 +9% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $131,961 $121,943 +8% $131,961 +0% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $126,098 $126,098 +0% $114,914 +10% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $125,675 $111,275 +13% $105,612 +19% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $125,432 $117,755 +7% $89,353 +40% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $125,242 $117,143 +7% $118,589 +6% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $124,290 $117,542 +6% $138,008 −10% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $121,714 $111,482 +9% $121,714 +0% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $117,280 $108,032 +9% $117,280 +0% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $117,196 $113,263 +3% $109,331 +7% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $117,146 $117,146 +0% $94,988 +23% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $116,058 $112,973 +3% $116,058 +0% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $115,839 $105,236 +10% $106,238 +9% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $114,401 $106,657 +7% $98,912 +16% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $114,040 $111,256 +3% $108,472 +5% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $113,855 $106,606 +7% $113,855 +0% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $113,157 $101,890 +11% $92,238 +23% —
028 SPINAL PROCEDURES WITH MCC $113,077 $104,467 +8% $95,858 +18% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $112,062 $102,806 +9% $112,062 +0% ≈154% of Medicare
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $108,802 $103,531 +5% $98,260 +11% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $108,802 $103,531 +5% $81,176 +34% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $108,750 $102,471 +6% $96,192 +13% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $107,355 $101,996 +5% $107,355 +0% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $107,269 $101,357 +6% $80,018 +34% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $106,778 $98,478 +8% $106,778 +0% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $106,057 $101,872 +4% $101,235 +5% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $105,899 $105,899 — $105,899 +0% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $105,333 $105,333 — $93,783 +12% —
653 MAJOR BLADDER PROCEDURES WITH MCC $104,583 $95,352 +10% $97,046 +8% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $102,573 $92,629 +11% $102,573 +0% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $102,337 $93,021 +10% $86,459 +18% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $102,177 $92,806 +10% $102,177 +0% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $102,128 $102,128 +0% $94,927 +8% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $101,662 $101,662 +0% $78,582 +29% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $101,576 $91,797 +11% $86,953 +17% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $101,566 $95,984 +6% $82,527 +23% —
834 ACUTE LEUKEMIA WITH MCC $100,245 $94,655 +6% $76,583 +31% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $99,943 $99,943 +0% $79,944 +25% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $99,423 $89,933 +11% $99,423 +0% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $97,241 $84,094 +16% $84,861 +15% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $96,905 $88,531 +9% $96,905 +0% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $96,507 $96,507 +0% $96,222 +0% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $96,245 $88,519 +9% $80,747 +19% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $95,536 $95,536 +0% $87,565 +9% —
245 AICD GENERATOR PROCEDURES $95,281 $83,679 +14% $72,076 +32% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $94,937 $87,229 +9% $87,018 +9% ≈172% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $92,515 $92,515 +0% $92,515 +0% —
006 LIVER TRANSPLANT WITHOUT MCC $92,378 $84,661 +9% $84,407 +9% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $92,217 $84,923 +9% $92,217 +0% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $91,495 $84,275 +9% $70,735 +29% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $91,329 $83,699 +9% $91,329 +0% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $91,138 $82,379 +11% $88,691 +3% —
799 SPLENIC PROCEDURES WITH MCC $90,790 $84,805 +7% $78,821 +15% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $90,775 $75,210 +21% $86,390 +5% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $90,579 $81,065 +12% $71,551 +27% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $90,331 $82,142 +10% $90,331 +0% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $89,523 $80,569 +11% $80,885 +11% —
163 MAJOR CHEST PROCEDURES WITH MCC $88,341 $81,664 +8% $88,341 +0% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $88,307 $79,277 +11% $88,307 +0% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $88,050 $88,050 +0% $88,050 +0% ≈149% of Medicare
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $86,970 $78,179 +11% $75,585 +15% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $86,699 $78,568 +10% $72,859 +19% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $86,246 $77,348 +12% $76,954 +12% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $85,334 $77,090 +11% $68,847 +24% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $84,725 $75,291 +13% $88,049 −4% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $84,217 $72,158 +17% $60,098 +40% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $83,441 $77,759 +7% $83,441 +0% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $83,065 $74,612 +11% $83,065 +0% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $82,561 $71,463 +16% $82,561 +0% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $82,247 $73,264 +12% $82,247 +0% ≈162% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $81,998 $81,998 +0% $81,998 +0% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $81,298 $73,394 +11% $68,659 +18% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $81,281 $58,825 +38% $72,945 +11% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $80,049 $80,049 +0% $59,352 +35% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $79,939 $72,142 +11% $66,853 +20% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $79,836 $71,772 +11% $73,029 +9% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $79,225 $70,719 +12% $72,011 +10% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $79,116 $79,116 +0% $75,492 +5% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $78,852 $70,421 +12% $78,852 +0% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $77,817 $59,175 +32% $71,701 +9% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $77,770 $67,645 +15% $57,521 +35% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $77,418 $66,954 +16% $16,719 +363% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $77,178 $70,523 +9% $68,006 +13% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $77,041 $69,437 +11% $61,832 +25% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $76,907 $68,136 +13% $54,196 +42% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $76,219 $69,137 +10% $72,908 +5% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $75,820 $69,391 +9% $62,961 +20% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $75,754 $63,774 +19% $55,097 +37% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $75,573 $64,552 +17% $72,782 +4% —
791 PREMATURITY WITH MAJOR PROBLEMS $75,557 $65,188 +16% $39,563 +91% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $75,103 $72,657 +3% $75,103 +0% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $74,755 $67,514 +11% $74,755 +0% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $74,257 $74,257 +0% $74,257 +0% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $73,751 $60,861 +21% $60,861 +21% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $72,461 $67,432 +7% $62,404 +16% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $71,755 $70,005 +3% $71,755 +0% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $71,486 $63,247 +13% $56,242 +27% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $71,106 $62,842 +13% $59,425 +20% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $71,092 $64,593 +10% $64,776 +10% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $71,014 $62,995 +13% $71,014 +0% —
265 AICD LEAD PROCEDURES $70,810 $63,513 +11% $56,695 +25% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $70,540 $70,540 +0% $70,540 +0% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $70,371 $61,552 +14% $67,901 +4% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $70,175 $60,547 +16% $50,919 +38% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $70,132 $62,546 +12% $70,132 +0% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $70,026 $63,495 +10% $56,964 +23% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $69,743 $69,743 +0% $68,399 +2% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $69,724 $59,170 +18% $65,383 +7% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $69,701 $64,454 +8% $59,207 +18% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $69,597 $51,953 +34% $51,953 +34% —
332 RECTAL RESECTION WITH MCC $69,152 $63,639 +9% $58,125 +19% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $69,089 $61,634 +12% $49,065 +41% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $68,653 $68,653 +0% $62,269 +10% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $68,639 $63,136 +9% $62,524 +10% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $68,616 $60,762 +13% $52,908 +30% —
665 PROSTATECTOMY WITH MCC $68,562 $58,850 +17% $54,072 +27% —
252 OTHER VASCULAR PROCEDURES WITH MCC $68,508 $60,931 +12% $68,508 +0% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $68,421 $65,138 +5% $68,880 −1% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $67,560 $62,708 +8% $57,855 +17% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $67,268 $60,899 +10% $64,152 +5% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $66,976 $66,976 +0% $57,277 +17% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $66,819 $57,024 +17% $66,819 +0% —
037 EXTRACRANIAL PROCEDURES WITH MCC $66,666 $60,184 +11% $64,749 +3% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $66,572 $58,865 +13% $44,472 +50% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $65,788 $59,379 +11% $65,254 +1% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $65,631 $59,397 +10% $54,129 +21% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $65,608 $57,762 +14% $64,465 +2% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $65,573 $58,564 +12% $65,573 +0% ≈133% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $65,325 $57,955 +13% $65,325 +0% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $65,216 $65,216 +0% $65,216 +0% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $64,956 $58,678 +11% $64,956 +0% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $64,691 $56,803 +14% $53,555 +21% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $64,523 $55,749 +16% $63,475 +2% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $64,194 $57,668 +11% $51,142 +26% —
500 SOFT TISSUE PROCEDURES WITH MCC $64,105 $57,846 +11% $57,479 +12% —
570 SKIN DEBRIDEMENT WITH MCC $63,709 $46,481 +37% $52,435 +22% —
662 MINOR BLADDER PROCEDURES WITH MCC $63,279 $55,477 +14% $54,483 +16% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $62,821 $56,560 +11% $62,821 +0% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $62,677 $56,424 +11% $53,817 +16% —
652 KIDNEY TRANSPLANT $62,468 $55,127 +13% $54,720 +14% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $62,334 $62,334 +0% $67,764 −8% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $61,217 $51,638 +19% $53,551 +14% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $60,959 $60,959 +0% $74,274 −18% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $60,905 $55,308 +10% $49,710 +23% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $60,402 $54,070 +12% $54,313 +11% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $60,274 $60,274 +0% $63,984 −6% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $60,265 $51,679 +17% $48,907 +23% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $60,140 $53,326 +13% $60,140 +0% —
668 TRANSURETHRAL PROCEDURES WITH MCC $59,859 $52,343 +14% $47,277 +27% —
800 SPLENIC PROCEDURES WITH CC $59,817 $52,322 +14% $49,184 +22% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $59,790 $52,237 +14% $54,475 +10% —
472 CERVICAL SPINAL FUSION WITH CC $59,537 $53,272 +12% $59,537 +0% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $59,031 $59,031 +0% $58,968 +0% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $58,975 $58,975 +0% $56,758 +4% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $58,935 $50,171 +17% $44,973 +31% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $58,880 $51,082 +15% $49,055 +20% —
654 MAJOR BLADDER PROCEDURES WITH CC $58,274 $50,914 +14% $53,868 +8% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $58,043 $51,984 +12% $58,043 +0% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $57,493 $46,402 +24% $46,402 +24% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $56,832 $52,595 +8% $48,358 +18% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $56,278 $56,278 +0% $36,097 +56% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $56,127 $49,857 +13% $44,839 +25% —
263 VEIN LIGATION AND STRIPPING $55,918 $50,428 +11% $44,938 +24% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $55,594 $48,866 +14% $45,432 +22% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $55,434 $49,828 +11% $40,947 +35% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $55,378 $49,053 +13% $45,290 +22% —
503 FOOT PROCEDURES WITH MCC $55,321 $48,992 +13% $43,901 +26% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $55,276 $55,276 +0% $40,277 +37% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $55,162 $46,988 +17% $55,162 +0% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $54,929 $54,929 +0% $54,929 +0% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $54,815 $49,256 +11% $43,697 +25% —
397 APPENDIX PROCEDURES WITH MCC $54,751 $45,248 +21% $52,319 +5% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $54,583 $46,643 +17% $52,332 +4% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $54,345 $47,192 +15% $41,703 +30% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $54,273 $47,729 +14% $48,094 +13% —
253 OTHER VASCULAR PROCEDURES WITH CC $53,746 $47,163 +14% $53,746 +0% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $53,666 $46,590 +15% $57,149 −6% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $53,274 $47,404 +12% $46,659 +14% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $53,208 $47,228 +13% $45,497 +17% —
164 MAJOR CHEST PROCEDURES WITH CC $53,141 $53,141 +0% $53,141 +0% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $52,959 $48,225 +10% $43,491 +22% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $52,735 $48,662 +8% $57,963 −9% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $52,405 $52,405 +0% $52,405 +0% —
849 RADIOTHERAPY $52,191 $47,499 +10% $37,862 +38% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $51,985 $45,077 +15% $51,985 +0% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $51,645 $51,645 +0% $54,824 −6% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $51,487 $44,832 +15% $46,591 +11% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $51,387 $43,399 +18% $36,080 +42% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $51,359 $46,773 +10% $40,065 +28% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $51,339 $51,339 +0% $51,339 +0% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $51,189 $51,189 +0% $56,394 −9% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $50,777 $49,915 +2% $52,313 −3% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $50,624 $44,886 +13% $50,624 +0% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $50,614 $40,548 +25% $40,548 +25% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $50,562 $50,562 +0% $58,832 −14% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $50,498 $50,498 +0% $47,546 +6% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $50,218 $44,548 +13% $38,878 +29% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $50,139 $37,923 +32% $50,139 +0% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $50,131 $42,810 +17% $44,989 +11% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $50,011 $50,011 +0% $50,011 +0% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $49,765 $44,711 +11% $39,657 +25% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $49,631 $43,761 +13% $49,631 +0% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $49,382 $40,772 +21% $39,409 +25% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $49,209 $41,562 +18% $39,253 +25% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $49,137 $42,480 +16% $43,586 +13% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $49,066 $42,826 +15% $46,430 +6% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $48,788 $41,956 +16% $38,998 +25% —
113 ORBITAL PROCEDURES WITH CC/MCC $48,760 $44,320 +10% $35,642 +37% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $48,682 $48,682 +0% $48,682 +0% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $48,634 $42,316 +15% $45,059 +8% —
709 PENIS PROCEDURES WITH CC/MCC $48,600 $41,567 +17% $34,535 +41% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $48,467 $39,339 +23% $11,633 +317% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $48,353 $41,929 +15% $44,053 +10% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $48,235 $42,562 +13% $45,818 +5% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $47,797 $41,659 +15% $38,382 +25% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $47,696 $40,328 +18% $34,900 +37% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $47,583 $42,753 +11% $47,583 +0% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $47,583 $41,131 +16% $39,093 +22% —
906 HAND PROCEDURES FOR INJURIES $47,513 $38,725 +23% $31,520 +51% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $47,452 $37,957 +25% $41,900 +13% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $47,089 $40,605 +16% $44,553 +6% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $46,799 $46,799 +0% $56,519 −17% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $46,727 $40,472 +15% $40,232 +16% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $46,724 $40,494 +15% $45,622 +2% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $46,657 $39,761 +17% $37,654 +24% —
333 RECTAL RESECTION WITH CC $46,551 $39,819 +17% $34,352 +36% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $46,477 $39,209 +19% $46,477 +0% —
336 PERITONEAL ADHESIOLYSIS WITH CC $46,332 $46,332 +0% $49,470 −6% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $46,317 $34,471 +34% $38,420 +21% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $46,288 $36,237 +28% $36,237 +28% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $46,172 $40,377 +14% $35,686 +29% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $46,066 $38,598 +19% $46,066 +0% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $45,849 $39,714 +15% $37,080 +24% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $45,785 $40,311 +14% $36,334 +26% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $45,743 $39,638 +15% $41,651 +10% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $45,703 $45,703 +0% $51,172 −11% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $45,376 $40,767 +11% $37,064 +22% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $45,240 $38,201 +18% $34,089 +33% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $44,730 $44,730 +0% $41,660 +7% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $44,639 $32,467 +37% $45,817 −3% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $44,489 $44,489 +0% $44,600 −0% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $44,363 $37,882 +17% $44,363 +0% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $44,357 $43,430 +2% $43,524 +2% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $44,326 $38,436 +15% $29,109 +52% —
935 NON-EXTENSIVE BURNS $44,205 $44,205 +0% $29,458 +50% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $44,068 $35,428 +24% $29,633 +49% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $43,913 $37,673 +17% $43,398 +1% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $43,800 $37,712 +16% $43,800 +0% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $43,775 $37,548 +17% $43,775 +0% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $43,749 $39,015 +12% $37,902 +15% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $43,631 $38,574 +13% $41,520 +5% —
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $43,538 $43,538 +0% $43,538 +0% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $43,483 $38,397 +13% $38,357 +13% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $43,384 $36,454 +19% $29,524 +47% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $43,378 $36,658 +18% $33,050 +31% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $43,354 $38,324 +13% $31,044 +40% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $43,328 $38,303 +13% $36,850 +18% —
835 ACUTE LEUKEMIA WITH CC $43,187 $39,378 +10% $35,569 +21% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $43,080 $37,145 +16% $43,080 +0% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $43,027 $38,471 +12% $36,202 +19% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $42,881 $42,881 +0% $42,881 +0% —
595 MAJOR SKIN DISORDERS WITH MCC $42,837 $38,718 +11% $31,785 +35% —
374 DIGESTIVE MALIGNANCY WITH MCC $42,775 $38,082 +12% $38,885 +10% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $42,463 $36,033 +18% $33,165 +28% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $42,423 $42,423 +0% $32,483 +31% —
711 TESTES PROCEDURES WITH CC/MCC $42,414 $38,093 +11% $34,852 +22% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $42,126 $36,032 +17% $42,126 +0% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $42,126 $36,056 +17% $35,459 +19% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $41,857 $41,840 +0% $49,197 −15% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $41,855 $41,855 +0% $45,963 −9% —
592 SKIN ULCERS WITH MCC $41,848 $37,547 +11% $32,662 +28% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $41,380 $35,611 +16% $41,380 +0% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $41,375 $36,611 +13% $30,661 +35% —
539 OSTEOMYELITIS WITH MCC $41,277 $36,419 +13% $33,746 +22% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $41,191 $35,024 +18% $32,538 +27% —
548 SEPTIC ARTHRITIS WITH MCC $41,146 $36,083 +14% $31,019 +33% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $41,111 $36,025 +14% $30,940 +33% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $40,894 $34,541 +18% $28,375 +44% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $40,719 $36,291 +12% $35,714 +14% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $40,695 $40,695 +0% $35,139 +16% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $40,694 $34,727 +17% $40,694 +0% —
100 SEIZURES WITH MCC $40,653 $36,099 +13% $35,194 +16% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $40,583 $34,958 +16% $40,583 +0% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $40,563 $40,563 +0% $40,563 +0% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $40,552 $40,552 +0% $40,552 +0% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $40,365 $34,396 +17% $36,597 +10% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $40,263 $37,559 +7% $35,237 +14% ≈140% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $40,213 $40,213 +0% $36,933 +9% ≈117% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $40,163 $40,163 +0% $54,772 −27% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $40,150 $40,150 +0% $35,014 +15% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $40,063 $34,587 +16% $40,063 +0% —
380 COMPLICATED PEPTIC ULCER WITH MCC $39,627 $31,003 +28% $36,641 +8% —
501 SOFT TISSUE PROCEDURES WITH CC $39,619 $27,615 +43% $37,975 +4% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $39,515 $39,515 +0% $33,564 +18% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $39,422 $34,537 +14% $31,909 +24% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $39,360 $33,972 +16% $36,242 +9% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $39,105 $39,105 +0% $36,280 +8% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $39,057 $27,728 +41% $32,399 +21% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $39,020 $34,360 +14% $35,673 +9% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $39,018 $33,348 +17% $39,018 +0% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $39,013 $39,013 +0% $32,204 +21% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $38,998 $38,998 +0% $29,558 +32% —
509 ARTHROSCOPY $38,998 $38,998 +0% $25,994 +50% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $38,978 $34,116 +14% $32,981 +18% —
504 FOOT PROCEDURES WITH CC $38,960 $38,960 +0% $36,598 +6% —
505 FOOT PROCEDURES WITHOUT CC/MCC $38,960 $27,138 +44% $31,716 +23% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $38,951 $30,144 +29% $30,766 +27% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $38,876 $33,285 +17% $34,264 +13% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $38,836 $33,217 +17% $38,836 +0% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $38,631 $33,823 +14% $35,114 +10% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $38,541 $34,152 +13% $32,839 +17% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $38,483 $37,758 +2% $30,974 +24% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $38,443 $34,134 +13% $22,698 +69% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $38,308 $32,898 +16% $29,609 +29% —
671 URETHRAL PROCEDURES WITH CC/MCC $38,265 $32,749 +17% $27,233 +41% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $38,187 $38,187 +0% $30,394 +26% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $38,094 $32,545 +17% $38,094 +0% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $37,950 $32,973 +15% $37,950 +0% —
919 COMPLICATIONS OF TREATMENT WITH MCC $37,933 $37,933 +0% $29,031 +31% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $37,921 $34,427 +10% $36,375 +4% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $37,842 $36,991 +2% $37,842 +0% ≈153% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $37,764 $37,764 +0% $43,266 −13% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $37,692 $33,584 +12% $29,476 +28% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $37,599 $31,844 +18% $29,729 +26% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $37,579 $28,935 +30% $14,284 +163% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $37,526 $31,576 +19% $28,578 +31% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $37,477 $32,116 +17% $24,836 +51% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $37,214 $33,496 +11% $48,680 −24% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $37,213 $36,339 +2% $30,275 +23% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $37,175 $31,918 +16% $29,916 +24% —
571 SKIN DEBRIDEMENT WITH CC $37,169 $26,915 +38% $34,901 +6% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $37,042 $33,084 +12% $28,103 +32% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $37,033 $31,521 +17% $30,930 +20% —
199 PNEUMOTHORAX WITH MCC $36,952 $35,590 +4% $31,491 +17% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $36,907 $30,463 +21% $27,548 +34% —
334 RECTAL RESECTION WITHOUT CC/MCC $36,820 $31,176 +18% $32,213 +14% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $36,816 $36,816 +0% $42,119 −13% ≈140% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $36,807 $31,137 +18% $31,846 +16% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $36,661 $29,543 +24% $31,758 +15% —
180 RESPIRATORY NEOPLASMS WITH MCC $36,658 $27,647 +33% $36,658 +0% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $36,651 $31,624 +16% $44,117 −17% ≈169% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $36,589 $36,589 +0% $25,197 +45% —
666 PROSTATECTOMY WITH CC $36,569 $31,941 +14% $30,016 +22% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $36,506 $32,490 +12% $30,814 +18% —
915 ALLERGIC REACTIONS WITH MCC $36,491 $32,355 +13% $30,944 +18% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $36,467 $30,339 +20% $31,566 +16% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $36,445 $32,460 +12% $28,634 +27% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $36,354 $31,778 +14% $36,333 +0% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $36,340 $33,083 +10% $29,826 +22% —
075 VIRAL MENINGITIS WITH CC/MCC $36,230 $33,338 +9% $29,853 +21% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $36,087 $31,581 +14% $27,168 +33% —
551 MEDICAL BACK PROBLEMS WITH MCC $35,961 $31,518 +14% $31,086 +16% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $35,872 $35,872 +0% $27,118 +32% —
038 EXTRACRANIAL PROCEDURES WITH CC $35,770 $30,611 +17% $35,770 +0% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $35,692 $35,692 +0% $35,692 +0% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $35,675 $27,758 +29% $29,409 +21% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $35,591 $30,784 +16% $31,128 +14% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $35,584 $30,836 +15% $35,584 +0% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $35,532 $35,532 +0% $30,058 +18% ≈145% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $35,453 $30,627 +16% $35,453 +0% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $35,419 $30,618 +16% $33,984 +4% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $35,375 $35,375 +0% $35,375 +0% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $35,352 $27,949 +26% $25,208 +40% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $35,349 $30,814 +15% $33,607 +5% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $35,243 $35,243 +0% $32,502 +8% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $35,217 $33,853 +4% $39,747 −11% —
643 ENDOCRINE DISORDERS WITH MCC $35,135 $32,267 +9% $32,996 +6% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $35,113 $35,113 +0% $32,689 +7% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $35,080 $29,828 +18% $33,490 +5% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $34,906 $29,742 +17% $34,906 +0% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $34,867 $27,561 +27% $28,967 +20% ≈148% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $34,839 $34,742 +0% $28,134 +24% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $34,817 $30,158 +15% $30,910 +13% —
157 DENTAL AND ORAL DISEASES WITH MCC $34,802 $30,978 +12% $27,457 +27% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $34,749 $29,997 +16% $32,490 +7% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $34,689 $29,967 +16% $41,380 −16% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $34,613 $29,539 +17% $24,465 +41% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $34,588 $24,927 +39% $26,020 +33% —
913 TRAUMATIC INJURY WITH MCC $34,479 $29,130 +18% $24,198 +42% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $34,467 $26,964 +28% $25,731 +34% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $34,448 $30,714 +12% $31,840 +8% ≈157% of Medicare
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $34,434 $29,664 +16% $34,434 +0% —
669 TRANSURETHRAL PROCEDURES WITH CC $34,354 $29,386 +17% $34,354 +0% —
606 MINOR SKIN DISORDERS WITH MCC $34,344 $30,253 +14% $25,434 +35% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $34,316 $34,316 +0% $25,484 +35% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $34,078 $33,071 +3% $36,239 −6% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $33,987 $29,433 +15% $24,879 +37% —
183 MAJOR CHEST TRAUMA WITH MCC $33,957 $33,957 +0% $28,924 +17% —
663 MINOR BLADDER PROCEDURES WITH CC $33,907 $28,558 +19% $29,924 +13% —
186 PLEURAL EFFUSION WITH MCC $33,834 $33,834 +0% $32,468 +4% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $33,779 $28,645 +18% $29,371 +15% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $33,694 $33,694 +0% $33,694 +0% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $33,674 $27,694 +22% $30,972 +9% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $33,653 $33,653 +0% $32,936 +2% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $33,633 $29,335 +15% $31,059 +8% —
398 APPENDIX PROCEDURES WITH CC $33,592 $33,592 +0% $39,107 −14% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $33,519 $27,847 +20% $24,229 +38% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $33,506 $28,620 +17% $27,279 +23% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $33,424 $29,605 +13% $33,424 +0% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $33,399 $33,399 +0% $33,792 −1% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $33,388 $28,465 +17% $35,528 −6% —
710 PENIS PROCEDURES WITHOUT CC/MCC $33,330 $26,981 +24% $23,814 +40% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $33,325 $29,046 +15% $28,646 +16% —
813 COAGULATION DISORDERS $33,296 $24,815 +34% $30,128 +11% —
506 MAJOR THUMB OR JOINT PROCEDURES $33,279 $32,280 +3% $28,983 +15% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $33,267 $28,652 +16% $24,036 +38% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $33,256 $28,662 +16% $28,252 +18% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $33,137 $33,137 +0% $33,137 +0% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,048 $28,781 +15% $31,062 +6% —
945 REHABILITATION WITH CC/MCC $32,934 $32,934 +0% $23,834 +38% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $32,911 $28,060 +17% $32,911 +0% —
533 FRACTURES OF FEMUR WITH MCC $32,907 $29,426 +12% $25,945 +27% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $32,620 $27,533 +18% $25,152 +30% —
682 RENAL FAILURE WITH MCC $32,520 $29,211 +11% $27,854 +17% ≈153% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,490 $23,877 +36% $25,854 +26% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $32,473 $32,473 +0% $29,484 +10% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $32,467 $32,467 +0% $25,149 +29% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $32,451 $28,291 +15% $32,451 +0% ≈170% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $32,445 $32,445 +0% $24,450 +33% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $32,248 $32,248 +0% $28,140 +15% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $32,100 $27,591 +16% $29,663 +8% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $32,088 $23,702 +35% $7,961 +303% —
865 VIRAL ILLNESS WITH MCC $32,083 $32,083 +0% $26,088 +23% —
693 URINARY STONES WITH MCC $31,990 $27,258 +17% $22,525 +42% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $31,982 $27,607 +16% $28,780 +11% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $31,974 $28,880 +11% $25,786 +24% —
602 CELLULITIS WITH MCC $31,970 $31,970 +0% $29,347 +9% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $31,950 $26,688 +20% $25,243 +27% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $31,874 $28,791 +11% $29,211 +9% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $31,816 $27,298 +17% $31,816 +0% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $31,812 $27,606 +15% $31,812 +0% —
637 DIABETES WITH MCC $31,753 $31,753 +0% $28,819 +10% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $31,730 $27,135 +17% $24,941 +27% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $31,612 $31,612 +0% $21,986 +44% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $31,511 $22,525 +40% $22,525 +40% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $31,508 $27,064 +16% $21,615 +46% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $31,166 $26,424 +18% $25,010 +25% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $31,108 $26,657 +17% $24,452 +27% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $31,063 $31,063 +0% $23,734 +31% —
137 MOUTH PROCEDURES WITH CC/MCC $31,048 $27,494 +13% $24,348 +28% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $31,017 $31,017 +0% $30,006 +3% —
088 CONCUSSION WITH MCC $30,986 $27,694 +12% $24,402 +27% —
885 PSYCHOSES $30,968 $30,492 +2% $21,489 +44% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $30,959 $30,959 +0% $29,757 +4% —
811 RED BLOOD CELL DISORDERS WITH MCC $30,922 $30,922 +0% $27,934 +11% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $30,887 $27,270 +13% $35,542 −13% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $30,846 $30,846 +0% $24,561 +26% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $30,693 $30,693 +0% $25,666 +20% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $30,645 $26,107 +17% $24,118 +27% —
150 EPISTAXIS WITH MCC $30,507 $20,918 +46% $21,133 +44% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $30,493 $25,578 +19% $29,050 +5% —
139 SALIVARY GLAND PROCEDURES $30,480 $24,689 +23% $21,014 +45% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $30,418 $30,418 +0% $30,418 +0% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $30,308 $30,308 +0% $20,980 +44% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $30,242 $26,296 +15% $24,980 +21% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $30,083 $25,230 +19% $29,374 +2% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $30,056 $25,813 +16% $28,527 +5% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,894 $20,985 +42% $23,723 +26% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $29,805 $26,252 +14% $29,805 +0% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $29,747 $25,579 +16% $30,358 −2% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $29,623 $21,682 +37% $25,426 +17% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $29,596 $29,596 +0% $31,978 −7% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $29,523 $29,523 +0% $23,350 +26% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $29,481 $28,822 +2% $24,480 +20% ≈139% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $29,252 $28,047 +4% $26,158 +12% ≈154% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $29,250 $29,250 +0% $34,887 −16% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $29,117 $20,950 +39% $23,115 +26% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $28,993 $28,993 +0% $23,956 +21% —
291 HEART FAILURE AND SHOCK WITH MCC $28,966 $27,162 +7% $25,020 +16% ≈143% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $28,946 $24,988 +16% $21,029 +38% —
540 OSTEOMYELITIS WITH CC $28,728 $24,688 +16% $23,494 +22% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $28,651 $25,731 +11% $22,811 +26% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $28,626 $25,130 +14% $23,920 +20% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $28,602 $28,602 +0% $23,924 +20% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $28,593 $28,593 +0% $24,316 +18% —
947 SIGNS AND SYMPTOMS WITH MCC $28,553 $28,553 +0% $25,474 +12% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $28,515 $26,202 +9% $27,244 +5% ≈135% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $28,340 $25,448 +11% $22,557 +26% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $28,209 $25,335 +11% $19,686 +43% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $28,209 $23,752 +19% $22,275 +27% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $28,156 $24,863 +13% $28,156 +0% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $28,125 $28,125 +0% $25,623 +10% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $28,065 $28,065 +0% $26,634 +5% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $28,029 $28,029 +0% $19,894 +41% —
348 ANAL AND STOMAL PROCEDURES WITH CC $27,947 $27,947 +0% $27,947 +0% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $27,645 $24,067 +15% $26,146 +6% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $27,641 $23,062 +20% $19,354 +43% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $27,634 $23,648 +17% $21,860 +26% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $27,552 $24,140 +14% $20,727 +33% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $27,494 $19,152 +44% $22,032 +25% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $27,492 $27,492 +0% $27,492 +0% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $27,470 $26,542 +3% $25,704 +7% ≈168% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $27,348 $23,027 +19% $20,147 +36% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $27,323 $23,930 +14% $27,321 +0% —
375 DIGESTIVE MALIGNANCY WITH CC $27,277 $27,277 +0% $27,219 +0% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $27,261 $22,332 +22% $19,132 +42% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $27,163 $23,023 +18% $26,322 +3% —
593 SKIN ULCERS WITH CC $27,143 $23,196 +17% $20,470 +33% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $27,063 $23,410 +16% $23,588 +15% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $26,948 $26,948 +0% $23,297 +16% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $26,770 $26,180 +2% $26,488 +1% ≈141% of Medicare
549 SEPTIC ARTHRITIS WITH CC $26,753 $26,753 +0% $20,938 +28% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $26,611 $26,611 +0% $27,369 −3% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $26,533 $22,469 +18% $20,421 +30% —
887 OTHER MENTAL DISORDER DIAGNOSES $26,404 $20,867 +27% $20,602 +28% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $26,302 $22,862 +15% $20,842 +26% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $26,242 $22,920 +14% $19,598 +34% —
304 HYPERTENSION WITH MCC $26,080 $26,080 +0% $24,185 +8% ≈130% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $25,980 $25,980 +0% $22,982 +13% ≈135% of Medicare
302 ATHEROSCLEROSIS WITH MCC $25,825 $25,825 +0% $20,844 +24% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $25,822 $23,100 +12% $18,291 +41% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,820 $22,272 +16% $21,062 +23% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $25,769 $23,145 +11% $22,532 +14% —
102 HEADACHES WITH MCC $25,740 $22,470 +15% $22,544 +14% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $25,700 $22,387 +15% $24,202 +6% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $25,652 $25,652 +0% $25,307 +1% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $25,552 $21,326 +20% $18,133 +41% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $25,390 $22,549 +13% $25,390 +0% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $25,361 $25,361 +0% $24,432 +4% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $25,279 $25,279 +0% $24,452 +3% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $25,267 $21,709 +16% $25,267 +0% ≈167% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $25,192 $25,192 +0% $19,795 +27% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $25,037 $22,031 +14% $20,741 +21% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $25,034 $25,034 +0% $24,017 +4% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $24,948 $24,948 +0% $30,314 −18% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $24,930 $24,930 +0% $24,190 +3% ≈156% of Medicare
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $24,928 $21,324 +17% $19,317 +29% —
946 REHABILITATION WITHOUT CC/MCC $24,786 $24,786 +0% $17,685 +40% —
181 RESPIRATORY NEOPLASMS WITH CC $24,648 $21,081 +17% $22,431 +10% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $24,644 $20,952 +18% $18,459 +34% —
200 PNEUMOTHORAX WITH CC $24,586 $24,586 +0% $20,573 +20% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $24,544 $21,896 +12% $24,544 +0% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $24,477 $21,059 +16% $25,162 −3% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $24,439 $20,205 +21% $17,483 +40% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $24,337 $24,337 +0% $17,103 +42% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $24,295 $19,608 +24% $17,398 +40% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $24,220 $20,644 +17% $19,868 +22% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $24,191 $24,191 +0% $31,190 −22% —
381 COMPLICATED PEPTIC ULCER WITH CC $24,177 $24,177 +0% $24,177 +0% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $24,075 $24,075 +0% $21,806 +10% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $24,042 $24,042 +0% $22,560 +7% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $24,000 $20,025 +20% $17,226 +39% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $23,971 $20,432 +17% $18,126 +32% —
949 AFTERCARE WITH CC/MCC $23,953 $20,511 +17% $23,953 +0% —
598 MALIGNANT BREAST DISORDERS WITH CC $23,951 $21,512 +11% $19,073 +26% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $23,944 $21,501 +11% $17,193 +39% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $23,887 $18,298 +31% $17,943 +33% —
089 CONCUSSION WITH CC $23,800 $23,800 +0% $18,293 +30% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $23,767 $22,234 +7% $19,579 +21% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $23,749 $23,749 +0% $23,749 +0% —
712 TESTES PROCEDURES WITHOUT CC/MCC $23,745 $21,321 +11% $18,898 +26% —
184 MAJOR CHEST TRAUMA WITH CC $23,711 $20,223 +17% $20,842 +14% —
222 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $86,864 −73% —
223 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $59,206 −60% —
224 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $80,427 −71% —
225 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $57,380 −59% —
226 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $72,618 −67% —
227 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $56,960 −58% —
246 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $33,983 −30% —
247 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $21,663 +9% —
248 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $34,146 −31% —
249 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 — $20,610 +15% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $23,571 $23,571 +0% $23,571 +0% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $23,551 $20,453 +15% $23,496 +0% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $23,503 $19,912 +18% $24,136 −3% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $23,396 $23,396 +0% $23,396 +0% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $23,369 $23,369 +0% $18,478 +26% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $23,352 $20,154 +16% $17,550 +33% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $23,312 $20,294 +15% $22,231 +5% —
015 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
129 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
130 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
131 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
132 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
133 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
134 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
338 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $30,138 −23% —
339 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $18,474 +26% —
340 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $16,240 +43% —
341 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $25,628 −9% —
342 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $19,454 +20% —
343 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $13,735 +70% —
453 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $103,861 −78% —
454 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $69,101 −66% —
455 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $54,320 −57% —
459 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $75,251 −69% —
460 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $50,815 −54% —
484 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
984 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
985 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
986 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 — $23,289 +0% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $23,141 $16,321 +42% $23,141 +0% —
644 ENDOCRINE DISORDERS WITH CC $22,941 $22,941 +0% $22,941 +0% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $22,888 $22,759 +1% $22,781 +0% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $22,850 $22,850 +0% $22,850 +0% —
667 PROSTATECTOMY WITHOUT CC/MCC $22,817 $19,760 +15% $16,703 +37% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $22,790 $19,730 +16% $24,022 −5% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $22,750 $19,615 +16% $16,495 +38% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $22,641 $20,367 +11% $20,732 +9% ≈142% of Medicare
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $22,641 $19,362 +17% $16,571 +37% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $22,637 $19,264 +18% $21,545 +5% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $22,635 $19,605 +15% $20,080 +13% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $22,628 $22,628 +0% $19,091 +19% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $22,590 $19,153 +18% $22,713 −1% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $22,575 $21,739 +4% $23,469 −4% ≈141% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $22,557 $19,184 +18% $18,017 +25% —
920 COMPLICATIONS OF TREATMENT WITH CC $22,552 $22,552 +0% $21,181 +6% —
187 PLEURAL EFFUSION WITH CC $22,288 $22,288 +0% $21,467 +4% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $22,268 $17,737 +26% $17,078 +30% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $22,266 $17,854 +25% $16,212 +37% —
697 URETHRAL STRICTURE $22,239 $19,972 +11% $17,705 +26% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $22,197 $22,197 +0% $20,007 +11% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $22,155 $22,155 +0% $15,370 +44% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $22,153 $22,153 +0% $17,434 +27% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $22,033 $18,747 +18% $20,968 +5% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $22,024 $22,024 +0% $22,024 +0% —
197 INTERSTITIAL LUNG DISEASE WITH CC $21,977 $18,927 +16% $20,106 +9% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $21,886 $20,872 +5% $21,886 +0% ≈146% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $21,880 $21,880 +0% $18,282 +20% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $21,733 $19,496 +11% $15,901 +37% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $21,716 $21,716 +0% $15,890 +37% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $21,494 $21,494 +0% $19,001 +13% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $21,494 $17,388 +24% $18,238 +18% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $21,460 $18,350 +17% $17,273 +24% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $21,449 $18,296 +17% $21,449 +0% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $21,396 $20,617 +4% $21,213 +1% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $21,363 $15,382 +39% $20,777 +3% —
882 NEUROSES EXCEPT DEPRESSIVE $21,356 $18,146 +18% $15,680 +36% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $21,280 $18,236 +17% $15,636 +36% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $21,236 $18,778 +13% $16,418 +29% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $21,225 $17,930 +18% $18,191 +17% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $21,216 $18,267 +16% $20,371 +4% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $21,205 $17,657 +20% $19,326 +10% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $21,201 $21,201 +0% $15,589 +36% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $21,129 $18,558 +14% $18,428 +15% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $20,896 $20,263 +3% $18,918 +10% ≈158% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $20,881 $20,711 +1% $17,700 +18% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $20,861 $18,058 +16% $17,108 +22% —
779 ABORTION WITHOUT D&C $20,752 $20,752 +0% $15,327 +35% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $20,725 $20,725 +0% $16,642 +25% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $20,566 $17,783 +16% $18,608 +11% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $20,506 $20,506 +0% $19,287 +6% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $20,488 $20,488 +0% $20,488 +0% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $20,463 $17,493 +17% $20,463 +0% ≈149% of Medicare
101 SEIZURES WITHOUT MCC $20,461 $17,468 +17% $19,954 +3% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $20,455 $18,054 +13% $20,309 +1% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $20,401 $20,401 +0% $16,352 +25% —
638 DIABETES WITH CC $20,361 $17,659 +15% $18,821 +8% ≈137% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $20,355 $17,519 +16% $15,474 +32% —
914 TRAUMATIC INJURY WITHOUT MCC $20,344 $20,344 +0% $15,593 +30% —
881 DEPRESSIVE NEUROSES $20,293 $17,360 +17% $15,058 +35% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,259 $17,733 +14% $17,585 +15% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $20,108 $17,324 +16% $17,731 +13% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $20,086 $19,630 +2% $15,077 +33% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $20,084 $20,084 +0% $20,084 +0% —
864 FEVER AND INFLAMMATORY CONDITIONS $19,935 $19,935 +0% $17,412 +14% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $19,914 $17,839 +12% $15,764 +26% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $19,854 $19,854 +0% $19,854 +0% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $19,842 $19,842 +0% $18,803 +6% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $19,815 $19,815 +0% $19,815 +0% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $19,811 $17,040 +16% $21,261 −7% —
683 RENAL FAILURE WITH CC $19,733 $19,428 +2% $18,620 +6% ≈150% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $19,642 $19,130 +3% $16,391 +20% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $19,638 $19,638 +0% $15,045 +31% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $19,624 $19,624 +0% $15,869 +24% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $19,602 $19,602 +0% $15,608 +26% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $19,584 $19,584 +0% $16,049 +22% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $19,569 $16,712 +17% $19,569 +0% —
603 CELLULITIS WITHOUT MCC $19,553 $19,553 +0% $18,530 +6% ≈145% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $19,492 $16,634 +17% $17,383 +12% —
541 OSTEOMYELITIS WITHOUT CC/MCC $19,422 $19,422 +0% $14,549 +33% —
312 SYNCOPE AND COLLAPSE $19,342 $16,543 +17% $19,342 +0% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $19,305 $19,305 +0% $19,305 +0% —
607 MINOR SKIN DISORDERS WITHOUT MCC $19,185 $16,703 +15% $15,284 +26% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $19,176 $19,176 +0% $17,367 +10% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $19,138 $17,077 +12% $16,156 +18% —
292 HEART FAILURE AND SHOCK WITH CC $19,118 $19,118 +0% $16,212 +18% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $19,096 $19,096 +0% $19,096 +0% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $19,072 $19,072 +0% $18,278 +4% —
090 CONCUSSION WITHOUT CC/MCC $19,032 $16,952 +12% $14,873 +28% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $18,978 $14,842 +28% $14,290 +33% —
103 HEADACHES WITHOUT MCC $18,874 $16,134 +17% $20,111 −6% —
594 SKIN ULCERS WITHOUT CC/MCC $18,841 $15,680 +20% $14,209 +33% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $18,592 $15,651 +19% $14,064 +32% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $18,577 $16,168 +15% $14,055 +32% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $18,528 $18,528 +0% $18,253 +2% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $18,330 $15,512 +18% $15,876 +15% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $18,204 $18,204 +0% $18,204 +0% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $18,179 $15,739 +16% $13,822 +32% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $18,150 $18,150 +0% $18,150 +0% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $18,139 $18,139 +0% $16,837 +8% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $18,126 $18,126 +0% $17,715 +2% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $18,126 $18,126 +0% $17,928 +1% —
176 PULMONARY EMBOLISM WITHOUT MCC $18,081 $17,081 +6% $18,081 +0% —
534 FRACTURES OF FEMUR WITHOUT MCC $18,070 $16,142 +12% $17,195 +5% —
204 RESPIRATORY SIGNS AND SYMPTOMS $18,004 $15,548 +16% $16,866 +7% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $18,002 $18,002 +0% $18,002 +0% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $17,953 $17,953 +0% $15,655 +15% —
999 UNGROUPABLE $17,953 $17,953 +0% $28,822 −38% —
123 NEUROLOGICAL EYE DISORDERS $17,831 $17,831 +0% $17,831 +0% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $17,817 $17,599 +1% $17,466 +2% ≈145% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $17,795 $17,770 +0% $17,388 +2% ≈148% of Medicare
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $17,775 $17,775 +0% $13,586 +31% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $17,762 $17,762 +0% $20,278 −12% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $17,700 $16,781 +5% $17,700 +0% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $17,638 $17,638 +0% $17,727 −1% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $17,533 $17,533 +0% $13,445 +30% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,522 $17,522 +0% $17,522 +0% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $17,431 $17,431 +0% $13,385 +30% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $17,347 $16,761 +3% $16,745 +4% ≈139% of Medicare
694 URINARY STONES WITHOUT MCC $17,347 $17,347 +0% $16,531 +5% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $17,322 $17,322 +0% $17,322 +0% ≈140% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $17,287 $17,287 +0% $14,166 +22% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $17,265 $17,265 +0% $15,858 +9% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $17,087 $12,137 +41% $14,444 +18% —
151 EPISTAXIS WITHOUT MCC $16,827 $14,546 +16% $13,032 +29% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $16,776 $16,776 +0% $16,776 +0% —
305 HYPERTENSION WITHOUT MCC $16,665 $14,686 +13% $17,144 −3% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $16,654 $16,654 +0% $16,654 +0% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $16,634 $14,338 +16% $16,634 +0% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $16,607 $16,607 +0% $14,337 +16% —
149 DYSEQUILIBRIUM $16,594 $14,223 +17% $17,203 −4% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $16,592 $11,740 +41% $12,895 +29% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,565 $14,828 +12% $14,861 +11% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $16,525 $14,077 +17% $13,892 +19% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $16,450 $14,111 +17% $13,282 +24% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $16,412 $16,331 +0% $16,865 −3% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $16,299 $14,091 +16% $14,110 +16% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,175 $14,530 +11% $12,650 +28% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $16,104 $16,104 +0% $16,104 +0% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $16,097 $16,097 +0% $18,623 −14% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $16,077 $14,250 +13% $12,593 +28% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $16,064 $16,064 +0% $13,090 +23% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $15,975 $10,992 +45% $12,537 +27% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $15,839 $15,839 +0% $12,381 +28% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $15,837 $13,566 +17% $15,607 +1% —
313 CHEST PAIN $15,837 $15,837 +0% $15,962 −1% —
153 OTITIS MEDIA AND URI WITHOUT MCC $15,799 $13,746 +15% $14,473 +9% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $15,637 $13,617 +15% $12,336 +27% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,600 $11,374 +37% $15,600 +0% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $15,549 $13,962 +11% $13,654 +14% —
311 ANGINA PECTORIS $15,502 $15,502 +0% $15,165 +2% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $15,495 $13,665 +13% $15,072 +3% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $15,464 $15,464 +0% $12,279 +26% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,462 $15,462 +0% $12,405 +25% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $15,411 $11,262 +37% $13,303 +16% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $15,358 $13,183 +16% $14,441 +6% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $15,280 $15,280 +0% $19,483 −22% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $15,267 $13,185 +16% $14,012 +9% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $15,156 $13,090 +16% $12,797 +18% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $15,058 $13,454 +12% $11,997 +26% —
201 PNEUMOTHORAX WITHOUT CC/MCC $15,031 $15,031 +0% $13,081 +15% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $14,927 $14,927 +0% $13,198 +13% —
303 ATHEROSCLEROSIS WITHOUT MCC $14,927 $14,927 +0% $14,927 +0% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $14,907 $13,093 +14% $11,909 +25% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,880 $12,880 +16% $14,880 +0% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $14,800 $13,294 +11% $11,847 +25% —
916 ALLERGIC REACTIONS WITHOUT MCC $14,743 $14,743 +0% $13,890 +6% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $14,643 $14,643 +0% $13,368 +10% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $14,638 $12,966 +13% $13,485 +9% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $14,368 $12,591 +14% $14,368 +0% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $14,208 $12,242 +16% $14,208 +0% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $14,148 $14,148 +0% $12,044 +17% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $14,134 $14,134 +0% $14,134 +0% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $14,128 $12,218 +16% $14,128 +0% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $14,072 $11,856 +19% $11,421 +23% —
639 DIABETES WITHOUT CC/MCC $13,910 $13,373 +4% $13,910 +0% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $13,855 $13,855 +0% $12,013 +15% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $13,824 $13,824 +0% $13,824 +0% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $13,683 $13,683 +0% $15,070 −9% —
684 RENAL FAILURE WITHOUT CC/MCC $13,642 $13,536 +1% $13,623 +0% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $13,639 $9,894 +38% $11,071 +23% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $13,599 $11,842 +15% $10,975 +24% —
950 AFTERCARE WITHOUT CC/MCC $13,527 $11,846 +14% $13,527 +0% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $13,425 $11,405 +18% $9,385 +43% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $13,395 $10,587 +27% $10,039 +33% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $13,384 $12,549 +7% $13,384 +0% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $13,326 $13,326 +0% $11,955 +11% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $13,318 $13,318 +0% $13,318 +0% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $12,751 $9,875 +29% $8,927 +43% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $11,539 $11,279 +2% $9,076 +27% —
795 NORMAL NEWBORN $11,451 $3,213 +256% $4,530 +153% —
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