Procedures published 470
Lowest published price $7,163
Average published price $47,335
Highest published price $286,936

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 470 procedures

Published charges

Showing all 470 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 40 procedures, this hospital's negotiated rates average ≈89% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
800 SPLENIC PROCEDURES WITH CC $286,936 $84,015 $41,012 +600% $49,184 +483%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $265,244 $265,244 $374,499 −29% $371,366 −29%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $209,254 $96,901 $61,083 +243% $70,564 +197%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $199,744 $99,028 $66,974 +198% $80,018 +150%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $199,628 $199,628 $227,105 −12% $248,521 −20% ≈159% of Medicare
028 SPINAL PROCEDURES WITH MCC $184,435 $96,861 $165,843 +11% $113,077 +63%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $154,095 $42,610 $35,865 +330% $43,800 +252%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $149,526 $71,307 $59,192 +153% $70,467 +112%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $146,264 $126,078 $87,759 +67% $109,331 +34%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $142,355 $92,622 $63,349 +125% $56,836 +150%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $141,006 $82,698 $58,978 +139% $74,257 +90%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $135,778 $55,984 $39,286 +246% $53,864 +152%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $134,077 $61,818 $71,186 +88% $59,594 +125%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $132,583 $81,769 $68,473 +94% $93,390 +42%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $131,234 $63,597 $51,930 +153% $49,710 +164%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $129,813 $59,573 $74,502 +74% $68,653 +89%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $119,999 $74,575 $60,697 +98% $70,177 +71%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $117,746 $98,702 $96,196 +22% $93,172 +26% ≈122% of Medicare
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $115,030 $66,548 $75,408 +53% $77,817 +48%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $110,587 $95,175 $122,419 −10% $106,778 +4%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $109,573 $40,898 $36,319 +202% $36,431 +201%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $109,527 $104,875 $69,008 +59% $80,793 +36%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $109,029 $72,737 $102,713 +6% $85,159 +28%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $105,123 $88,653 $111,594 −6% $99,423 +6%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $104,648 $56,774 $31,004 +238% $38,070 +175%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $100,804 $66,631 $81,781 +23% $71,014 +42%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $100,506 $40,111 $52,533 +91% $32,031 +214%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $100,453 $84,974 $105,908 −5% $90,775 +11%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $99,478 $68,770 $54,631 +82% $66,685 +49%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $97,374 $83,207 $88,519 +10% $87,761 +11%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $95,976 $91,801 $81,105 +18% $102,128 −6%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $95,543 $59,107 $48,557 +97% $51,953 +84%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $94,887 $74,777 $94,887 +0% $84,692 +12%
253 OTHER VASCULAR PROCEDURES WITH CC $94,356 $51,962 $40,302 +134% $57,454 +64%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $94,194 $51,177 $48,893 +93% $40,108 +135%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $92,903 $92,903 $69,268 +34% $88,050 +6%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $92,292 $82,709 $55,985 +65% $79,225 +16%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $91,985 $68,388 $50,777 +81% $51,625 +78%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $91,345 $91,345 $112,801 −19% $91,329 +0%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $91,086 $49,773 $33,595 +171% $34,273 +166%
472 CERVICAL SPINAL FUSION WITH CC $90,819 $62,537 $46,404 +96% $59,537 +53%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $90,556 $90,556 $74,690 +21% $89,207 +2%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $90,082 $90,082 $100,570 −10% $116,058 −22%
265 AICD LEAD PROCEDURES $90,022 $59,259 $49,492 +82% $63,171 +43%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $88,715 $39,038 $28,993 +206% $36,249 +145%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $88,506 $76,838 $62,843 +41% $70,132 +26%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $88,204 $49,030 $36,172 +144% $50,139 +76%
500 SOFT TISSUE PROCEDURES WITH MCC $84,283 $56,587 $45,424 +86% $61,872 +36%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $83,516 $40,593 $30,841 +171% $37,844 +121%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $83,110 $46,656 $33,619 +147% $32,877 +153%
570 SKIN DEBRIDEMENT WITH MCC $82,537 $52,253 $42,044 +96% $52,435 +57%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $82,231 $82,231 $175,904 −53% $148,832 −45% ≈116% of Medicare
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $81,260 $45,450 $34,822 +133% $37,950 +114%
791 PREMATURITY WITH MAJOR PROBLEMS $81,124 $70,263 $39,563 +105% $42,679 +90%
038 EXTRACRANIAL PROCEDURES WITH CC $79,898 $32,943 $35,924 +122% $35,770 +123%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $78,926 $39,459 $28,020 +182% $34,459 +129%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $78,755 $77,979 $78,755 +0% $70,371 +12%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $78,351 $41,288 $33,452 +134% $33,653 +133%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $77,490 $47,039 $49,188 +58% $47,737 +62%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $77,264 $77,264 $101,409 −24% $96,905 −20%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $77,090 $68,101 $68,006 +13% $71,795 +7%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $76,534 $53,313 $56,193 +36% $58,228 +31%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $75,873 $75,873 $94,677 −20% $88,307 −14%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $75,448 $56,797 $59,696 +26% $52,405 +44% ≈131% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $74,654 $40,827 $24,768 +201% $33,985 +120%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $74,547 $39,183 $41,821 +78% $42,881 +74%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $73,754 $73,754 $61,750 +19% $76,001 −3%
113 ORBITAL PROCEDURES WITH CC/MCC $73,443 $42,131 $45,171 +63% $36,167 +103%
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $73,336 $73,336 $74,709 −2% $85,566 −14%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $73,203 $47,423 $42,404 +73% $55,162 +33%
252 OTHER VASCULAR PROCEDURES WITH MCC $72,690 $62,690 $72,690 +0% $68,508 +6%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $71,947 $55,792 $45,498 +58% $58,745 +22%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $71,175 $42,532 $50,107 +42% $58,280 +22%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $70,974 $51,480 $54,475 +30% $59,790 +19%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $70,435 $46,960 $49,447 +42% $46,453 +52%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $69,526 $61,795 $59,880 +16% $66,068 +5%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $69,229 $62,933 $67,788 +2% $70,847 −2%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $67,869 $65,753 $68,137 −0% $77,990 −13%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $67,743 $67,743 $76,715 −12% $71,092 −5%
571 SKIN DEBRIDEMENT WITH CC $67,626 $44,237 $37,317 +81% $37,169 +82%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $67,160 $45,716 $31,193 +115% $45,877 +46%
592 SKIN ULCERS WITH MCC $65,590 $35,182 $29,882 +119% $33,246 +97%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $65,185 $51,544 $61,840 +5% $59,651 +9%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $64,979 $39,178 $32,044 +103% $43,943 +48%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $64,525 $63,322 $65,839 −2% $75,573 −15%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $64,224 $43,255 $34,886 +84% $36,792 +75%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $64,213 $49,777 $46,130 +39% $48,349 +33%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $64,094 $64,094 $70,272 −9% $90,724 −29%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $63,966 $63,966 $54,862 +17% $62,300 +3%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $63,582 $52,366 $44,554 +43% $52,178 +22%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $63,346 $47,486 $32,503 +95% $49,418 +28%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $62,811 $45,825 $42,646 +47% $48,682 +29%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $62,208 $40,410 $39,782 +56% $39,955 +56%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $61,733 $42,164 $30,326 +104% $33,851 +82%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $60,563 $47,108 $49,467 +22% $49,351 +23%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $60,468 $38,161 $41,665 +45% $40,562 +49%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $60,321 $52,706 $72,286 −17% $65,653 −8%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $59,999 $32,319 $22,744 +164% $33,424 +80%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $59,293 $55,277 $92,826 −36% $62,821 −6%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $59,171 $52,488 $67,651 −13% $62,264 −5%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $59,115 $28,482 $18,503 +219% $23,551 +151%
602 CELLULITIS WITH MCC $58,909 $34,562 $26,232 +125% $30,598 +93%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $58,820 $44,124 $33,498 +76% $38,666 +52% ≈108% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $57,598 $35,223 $33,385 +73% $36,658 +57%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $57,386 $42,910 $36,465 +57% $35,628 +61% ≈98% of Medicare
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $57,326 $28,333 $21,153 +171% $28,320 +102%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $57,283 $44,175 $50,338 +14% $52,751 +9%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $57,154 $57,154 $51,761 +10% $61,470 −7%
336 PERITONEAL ADHESIOLYSIS WITH CC $57,044 $40,349 $44,395 +28% $50,463 +13%
374 DIGESTIVE MALIGNANCY WITH MCC $56,956 $43,717 $34,183 +67% $39,958 +43%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $55,769 $33,862 $27,009 +106% $38,094 +46%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $55,487 $53,853 $39,731 +40% $42,901 +29%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $55,106 $35,891 $41,640 +32% $40,642 +36%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $55,088 $53,583 $50,487 +9% $59,500 −7%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $53,883 $53,356 $50,196 +7% $50,624 +6%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $53,841 $53,841 $39,630 +36% $46,402 +16% ≈97% of Medicare
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $53,738 $53,738 $67,943 −21% $81,706 −34%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $53,287 $53,287 $38,791 +37% $39,973 +33% ≈142% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $53,072 $42,689 $42,071 +26% $39,106 +36%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $52,631 $34,991 $30,494 +73% $32,496 +62% ≈90% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $52,075 $42,565 $51,445 +1% $52,075 +0%
885 PSYCHOSES $51,970 $29,836 $23,973 +117% $21,729 +139%
501 SOFT TISSUE PROCEDURES WITH CC $51,741 $33,231 $32,970 +57% $39,619 +31%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $51,575 $51,575 $45,618 +13% $65,788 −22%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $51,186 $32,894 $25,176 +103% $32,944 +55%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $50,891 $25,531 $20,927 +143% $27,163 +87%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $50,629 $50,629 $44,471 +14% $54,929 −8%
598 MALIGNANT BREAST DISORDERS WITH CC $50,490 $24,395 $18,578 +172% $19,073 +165%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $50,484 $22,323 $16,196 +212% $14,797 +241%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $50,001 $34,854 $21,908 +128% $22,525 +122%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $49,730 $43,618 $50,655 −2% $50,011 −1%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $49,258 $35,364 $32,979 +49% $36,445 +35%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $49,214 $24,912 $24,926 +97% $25,652 +92%
163 MAJOR CHEST PROCEDURES WITH MCC $49,123 $49,123 $90,851 −46% $90,195 −46%
380 COMPLICATED PEPTIC ULCER WITH MCC $48,647 $36,991 $33,696 +44% $39,627 +23%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $48,606 $34,426 $36,790 +32% $33,633 +45%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $48,560 $36,459 $21,375 +127% $32,628 +49%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $48,524 $30,654 $28,026 +73% $22,851 +112%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $48,484 $36,905 $29,667 +63% $38,861 +25%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $48,279 $37,949 $40,849 +18% $46,090 +5%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $48,125 $47,092 $33,308 +44% $36,489 +32%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $47,547 $24,555 $18,015 +164% $16,998 +180%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $47,473 $36,971 $25,761 +84% $31,951 +49%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $47,230 $40,366 $48,837 −3% $40,213 +17%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $46,868 $40,256 $43,106 +9% $50,607 −7%
157 DENTAL AND ORAL DISEASES WITH MCC $46,738 $33,491 $24,447 +91% $31,300 +49%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $46,411 $45,519 $44,334 +5% $42,795 +8%
643 ENDOCRINE DISORDERS WITH MCC $46,306 $38,029 $25,825 +79% $33,563 +38%
593 SKIN ULCERS WITH CC $45,861 $26,647 $23,101 +99% $22,886 +100%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $45,845 $29,040 $33,190 +38% $30,418 +51%
535 FRACTURES OF HIP AND PELVIS WITH MCC $45,825 $29,384 $25,858 +77% $24,552 +87%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $45,525 $45,525 $53,048 −14% $41,608 +9%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $45,354 $45,354 $38,454 +18% $43,491 +4%
199 PNEUMOTHORAX WITH MCC $45,210 $38,509 $33,787 +34% $33,787 +34%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $45,116 $45,116 $108,198 −58% $82,561 −45%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $45,047 $37,960 $38,041 +18% $37,842 +19%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $44,867 $41,137 $32,465 +38% $37,387 +20%
947 SIGNS AND SYMPTOMS WITH MCC $44,755 $27,590 $23,898 +87% $27,401 +63%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $44,613 $32,844 $33,198 +34% $36,988 +21%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $44,470 $44,470 $47,785 −7% $58,707 −24%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $44,440 $23,260 $21,190 +110% $17,698 +151%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $44,430 $30,909 $34,861 +27% $42,126 +5%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $44,402 $34,034 $25,633 +73% $29,826 +49%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $44,339 $38,364 $49,323 −10% $43,080 +3%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $44,080 $22,810 $15,869 +178% $16,968 +160%
381 COMPLICATED PEPTIC ULCER WITH CC $44,066 $24,206 $23,283 +89% $24,177 +82%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $44,044 $39,300 $33,707 +31% $33,707 +31% ≈100% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $43,975 $37,935 $30,510 +44% $34,192 +29%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $43,738 $28,695 $23,785 +84% $25,279 +73%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $43,678 $42,035 $44,619 −2% $46,283 −6%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $43,629 $27,555 $19,268 +126% $22,458 +94%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $43,458 $27,822 $16,872 +158% $23,488 +85%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $43,399 $34,991 $24,511 +77% $24,941 +74%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $43,263 $25,665 $17,768 +143% $19,815 +118%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $43,228 $25,604 $28,352 +52% $24,566 +76%
811 RED BLOOD CELL DISORDERS WITH MCC $43,056 $32,665 $24,954 +73% $28,226 +53% ≈87% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $42,873 $42,873 $44,678 −4% $41,892 +2%
551 MEDICAL BACK PROBLEMS WITH MCC $42,683 $37,416 $33,108 +29% $34,017 +25%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $42,177 $30,949 $22,682 +86% $30,502 +38%
682 RENAL FAILURE WITH MCC $42,143 $32,422 $27,301 +54% $29,064 +45% ≈108% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $42,097 $42,097 $38,759 +9% $40,362 +4%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $41,909 $41,909 $38,653 +8% $37,267 +12%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $41,852 $37,778 $29,997 +40% $33,555 +25%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $41,749 $41,749 $41,205 +1% $59,629 −30%
100 SEIZURES WITH MCC $41,714 $41,714 $30,087 +39% $35,481 +18% ≈97% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $41,689 $41,689 $41,622 +0% $59,421 −30%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $41,656 $41,656 $71,241 −42% $50,618 −18%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $41,617 $34,316 $30,993 +34% $27,316 +52%
642 INBORN AND OTHER DISORDERS OF METABOLISM $41,445 $31,675 $19,302 +115% $20,727 +100%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $41,398 $37,580 $39,675 +4% $41,955 −1%
539 OSTEOMYELITIS WITH MCC $41,381 $38,374 $45,071 −8% $37,609 +10%
919 COMPLICATIONS OF TREATMENT WITH MCC $41,290 $35,326 $26,862 +54% $31,105 +33%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $41,235 $34,699 $39,779 +4% $43,477 −5%
540 OSTEOMYELITIS WITH CC $41,221 $30,079 $19,990 +106% $26,676 +55%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $40,801 $35,106 $38,157 +7% $46,295 −12%
813 COAGULATION DISORDERS $40,774 $32,449 $32,291 +26% $33,296 +22%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $40,560 $35,701 $32,526 +25% $33,876 +20%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $40,552 $22,094 $13,602 +198% $15,019 +170%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $40,545 $40,545 $31,148 +30% $33,393 +21%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $40,511 $24,882 $20,166 +101% $25,034 +62%
503 FOOT PROCEDURES WITH MCC $40,208 $40,208 $39,757 +1% $47,540 −15%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $40,201 $36,003 $38,599 +4% $44,117 −9%
920 COMPLICATIONS OF TREATMENT WITH CC $40,164 $23,430 $23,878 +68% $22,468 +79%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $40,125 $40,125 $42,068 −5% $53,451 −25%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $40,048 $30,739 $23,278 +72% $27,043 +48%
881 DEPRESSIVE NEUROSES $40,001 $24,281 $15,058 +166% $15,058 +166%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $39,894 $28,494 $26,059 +53% $23,940 +67% ≈82% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $39,849 $39,849 $13,828 +188% $18,649 +114%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $39,837 $39,837 $61,356 −35% $75,103 −47%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,799 $39,799 $34,970 +14% $51,985 −23%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $39,677 $35,519 $41,638 −5% $39,006 +2%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $39,488 $25,779 $21,094 +87% $23,749 +66%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $39,427 $39,427 $53,246 −26% $58,809 −33%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $39,401 $26,115 $18,849 +109% $20,926 +88%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $39,397 $39,238 $38,446 +2% $39,515 −0%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $38,887 $38,471 $22,819 +70% $31,159 +25%
375 DIGESTIVE MALIGNANCY WITH CC $38,819 $28,764 $30,392 +28% $27,277 +42%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $38,744 $30,613 $28,499 +36% $30,959 +25%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $38,631 $28,354 $24,743 +56% $26,770 +44%
398 APPENDIX PROCEDURES WITH CC $38,574 $38,574 $34,258 +13% $40,162 −4%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $38,340 $38,340 $41,721 −8% $50,394 −24%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $38,315 $25,678 $24,135 +59% $22,506 +70%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $38,297 $24,541 $17,483 +119% $17,483 +119%
291 HEART FAILURE AND SHOCK WITH MCC $38,247 $31,127 $27,424 +39% $26,776 +43% ≈92% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $38,207 $38,207 $31,016 +23% $32,637 +17%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $38,190 $34,284 $28,415 +34% $27,275 +40% ≈90% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $38,076 $30,529 $23,010 +65% $25,463 +50% ≈89% of Medicare
637 DIABETES WITH MCC $38,059 $33,172 $29,918 +27% $30,100 +26% ≈104% of Medicare
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $38,047 $21,839 $14,937 +155% $16,552 +130%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $38,031 $35,476 $24,125 +58% $26,682 +43% ≈106% of Medicare
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $38,009 $38,009 $33,224 +14% $32,859 +16%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $37,880 $35,213 $30,500 +24% $30,828 +23% ≈93% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $37,829 $33,329 $33,278 +14% $44,606 −15%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $37,809 $30,453 $28,985 +30% $36,505 +4%
644 ENDOCRINE DISORDERS WITH CC $37,801 $26,148 $23,815 +59% $23,198 +63%
541 OSTEOMYELITIS WITHOUT CC/MCC $37,790 $23,756 $14,882 +154% $15,215 +148%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $37,714 $32,060 $23,984 +57% $29,743 +27%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $37,597 $29,038 $24,603 +53% $26,580 +41%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $37,495 $19,933 $24,325 +54% $19,037 +97%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $37,264 $32,658 $18,949 +97% $26,948 +38%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $37,154 $26,777 $19,264 +93% $19,264 +93%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $37,138 $37,138 $19,865 +87% $28,050 +32%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $37,099 $28,486 $18,916 +96% $23,617 +57%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $37,092 $31,135 $19,882 +87% $22,314 +66%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $37,090 $29,701 $16,992 +118% $20,901 +77%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $36,892 $25,813 $18,180 +103% $22,888 +61% ≈79% of Medicare
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $36,566 $26,632 $16,212 +126% $16,212 +126%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $36,485 $30,752 $25,319 +44% $27,808 +31%
546 CONNECTIVE TISSUE DISORDERS WITH CC $36,296 $28,451 $32,794 +11% $25,700 +41%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $36,278 $27,204 $15,092 +140% $23,206 +56%
864 FEVER AND INFLAMMATORY CONDITIONS $36,188 $21,082 $26,826 +35% $18,640 +94%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $36,000 $26,218 $27,854 +29% $32,021 +12%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $35,967 $32,310 $22,272 +61% $30,571 +18%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $35,849 $29,535 $36,603 −2% $36,937 −3%
471 CERVICAL SPINAL FUSION WITH MCC $35,794 $35,794 $72,015 −50% $92,515 −61%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $35,654 $35,654 $39,277 −9% $43,298 −18%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $35,646 $22,498 $17,067 +109% $19,096 +87%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $35,619 $35,619 $54,796 −35% $58,043 −39%
164 MAJOR CHEST PROCEDURES WITH CC $35,466 $35,466 $62,887 −44% $56,755 −38%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $35,144 $34,100 $23,681 +48% $35,465 −1%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $35,094 $21,691 $13,002 +170% $16,776 +109%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $35,043 $35,043 $71,355 −51% $67,268 −48%
200 PNEUMOTHORAX WITH CC $35,032 $28,449 $18,636 +88% $21,368 +64%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $35,009 $25,003 $22,956 +53% $20,422 +71% ≈83% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $34,714 $21,084 $16,890 +106% $21,056 +65%
597 MALIGNANT BREAST DISORDERS WITH MCC $34,700 $33,675 $25,994 +33% $33,386 +4%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $34,557 $24,503 $25,803 +34% $22,098 +56% ≈79% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $34,391 $22,611 $21,754 +58% $20,506 +68%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $34,264 $32,070 $28,798 +19% $27,285 +26%
683 RENAL FAILURE WITH CC $34,264 $23,356 $15,913 +115% $19,130 +79% ≈75% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $34,242 $24,170 $20,528 +67% $21,449 +60%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $34,187 $20,010 $13,719 +149% $18,002 +90%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $34,075 $29,728 $29,561 +15% $27,543 +24% ≈99% of Medicare
123 NEUROLOGICAL EYE DISORDERS $33,866 $22,623 $24,638 +37% $19,745 +72%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $33,847 $22,022 $16,234 +108% $17,578 +93%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $33,807 $33,807 $34,657 −2% $35,692 −5%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $33,802 $33,802 $44,198 −24% $41,591 −19%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $33,735 $23,247 $19,672 +71% $18,602 +81%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $33,620 $22,306 $18,154 +85% $17,298 +94%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $33,406 $33,406 $41,177 −19% $40,365 −17%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $33,396 $33,396 $34,049 −2% $40,552 −18%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $33,340 $22,978 $22,213 +50% $20,566 +62%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $33,085 $29,564 $26,769 +24% $31,264 +6%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $33,048 $22,012 $15,039 +120% $20,259 +63%
445 DISORDERS OF THE BILIARY TRACT WITH CC $32,987 $26,000 $20,142 +64% $23,319 +41%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $32,910 $19,833 $20,781 +58% $20,781 +58%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $32,909 $30,537 $35,088 −6% $24,586 +34%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $32,891 $24,590 $17,602 +87% $18,459 +78%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $32,757 $31,743 $32,757 +0% $31,563 +4%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $32,600 $26,200 $19,320 +69% $22,850 +43%
183 MAJOR CHEST TRAUMA WITH MCC $32,595 $32,595 $23,796 +37% $29,933 +9%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $32,589 $30,892 $28,480 +14% $30,010 +9%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $32,508 $32,508 $26,798 +21% $30,235 +8% ≈95% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $32,428 $26,454 $17,431 +86% $21,941 +48%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $32,411 $26,443 $20,753 +56% $22,024 +47% ≈85% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $32,393 $32,393 $14,596 +122% $14,648 +121%
386 INFLAMMATORY BOWEL DISEASE WITH CC $32,364 $23,124 $17,764 +82% $22,033 +47%
662 MINOR BLADDER PROCEDURES WITH MCC $32,283 $32,283 $44,915 −28% $54,562 −41%
620 O.R. PROCEDURES FOR OBESITY WITH CC $32,150 $32,150 $40,745 −21% $35,453 −9%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $32,055 $24,993 $20,153 +59% $21,275 +51%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $31,885 $23,232 $16,909 +89% $20,488 +56%
102 HEADACHES WITH MCC $31,818 $31,487 $34,299 −7% $25,740 +24%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $31,807 $27,622 $21,141 +50% $21,396 +49% ≈85% of Medicare
951 OTHER FACTORS INFLUENCING HEALTH STATUS $31,607 $17,769 $11,914 +165% $10,160 +211%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $31,567 $31,567 $38,932 −19% $45,333 −30%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $31,422 $26,027 $22,889 +37% $24,914 +26%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $31,392 $31,392 $36,535 −14% $32,451 −3%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $31,172 $28,359 $22,253 +40% $24,127 +29%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $31,049 $28,514 $29,044 +7% $27,843 +12%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $30,863 $22,991 $20,241 +52% $19,569 +58%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $30,745 $21,737 $16,665 +84% $17,674 +74% ≈81% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $30,720 $18,545 $15,788 +95% $13,651 +125%
603 CELLULITIS WITHOUT MCC $30,716 $22,560 $14,803 +107% $18,530 +66% ≈85% of Medicare
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $30,600 $30,600 $40,799 −25% $34,906 −12%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $30,539 $22,083 $16,173 +89% $18,204 +68%
596 MAJOR SKIN DISORDERS WITHOUT MCC $30,500 $24,753 $17,226 +77% $17,226 +77%
638 DIABETES WITH CC $30,493 $22,891 $18,494 +65% $19,661 +55% ≈74% of Medicare
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $30,450 $30,450 $26,907 +13% $38,101 −20%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $30,390 $23,311 $18,918 +61% $20,181 +51%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $30,261 $26,280 $19,690 +54% $24,386 +24% ≈82% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $30,199 $21,521 $17,685 +71% $18,081 +67%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $30,159 $24,467 $15,981 +89% $11,847 +155%
302 ATHEROSCLEROSIS WITH MCC $30,114 $30,114 $21,279 +42% $22,446 +34%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $30,024 $30,024 $25,923 +16% $35,849 −16%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $29,691 $21,124 $14,912 +99% $16,767 +77%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $29,548 $20,954 $15,817 +87% $17,038 +73% ≈77% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $29,544 $29,544 $21,101 +40% $18,316 +61%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $29,479 $16,825 $9,852 +199% $11,421 +158%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $29,473 $29,473 $28,172 +5% $42,186 −30%
948 SIGNS AND SYMPTOMS WITHOUT MCC $29,396 $21,678 $21,742 +35% $17,921 +64%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $29,364 $23,702 $28,508 +3% $25,303 +16%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $29,345 $25,913 $24,435 +20% $20,463 +43%
312 SYNCOPE AND COLLAPSE $29,272 $21,924 $17,340 +69% $19,342 +51% ≈78% of Medicare
304 HYPERTENSION WITH MCC $29,233 $26,722 $24,714 +18% $26,080 +12%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $29,219 $23,117 $17,051 +71% $18,126 +61%
915 ALLERGIC REACTIONS WITH MCC $28,996 $28,996 $25,750 +13% $32,645 −11%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $28,915 $25,163 $15,986 +81% $20,895 +38%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $28,809 $28,809 $22,229 +30% $26,510 +9%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $28,781 $28,781 $26,469 +9% $26,051 +10%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $28,774 $21,047 $16,463 +75% $14,014 +105%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $28,764 $28,764 $21,894 +31% $21,894 +31%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $28,707 $28,707 $28,430 +1% $33,255 −14%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $28,682 $28,169 $26,167 +10% $19,924 +44%
865 VIRAL ILLNESS WITH MCC $28,672 $28,672 $22,350 +28% $26,910 +7%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $28,633 $22,227 $16,728 +71% $17,124 +67%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $28,576 $22,206 $19,424 +47% $18,528 +54%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $28,551 $28,083 $31,805 −10% $30,493 −6%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $28,528 $23,593 $16,813 +70% $17,601 +62%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $28,465 $28,465 $28,465 +0% $35,419 −20%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $28,438 $22,510 $14,338 +98% $18,807 +51% ≈79% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $28,215 $23,394 $18,799 +50% $22,148 +27%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $28,195 $28,195 $36,743 −23% $39,181 −28%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $28,155 $20,142 $12,453 +126% $15,837 +78%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $28,075 $28,075 $22,149 +27% $26,932 +4%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $28,060 $23,561 $20,236 +39% $21,363 +31%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $27,960 $27,960 $38,919 −28% $42,914 −35%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $27,948 $27,948 $28,736 −3% $28,156 −1%
181 RESPIRATORY NEOPLASMS WITH CC $27,871 $25,383 $30,260 −8% $23,573 +18%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $27,849 $23,672 $19,628 +42% $17,303 +61%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $27,789 $21,238 $13,799 +101% $17,118 +62%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $27,744 $25,111 $16,950 +64% $23,141 +20%
101 SEIZURES WITHOUT MCC $27,549 $23,177 $15,777 +75% $20,461 +35% ≈79% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $27,494 $20,700 $12,120 +127% $14,415 +91%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $27,459 $22,656 $17,796 +54% $19,305 +42%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $27,421 $20,229 $18,651 +47% $19,227 +43%
914 TRAUMATIC INJURY WITHOUT MCC $27,398 $21,698 $15,088 +82% $15,855 +73%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $27,296 $27,296 $18,935 +44% $25,970 +5%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $27,289 $26,778 $27,384 −0% $30,784 −11%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $27,242 $27,242 $26,273 +4% $33,694 −19%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $27,203 $17,594 $10,472 +160% $13,361 +104%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $27,108 $25,287 $17,790 +52% $12,593 +115%
303 ATHEROSCLEROSIS WITHOUT MCC $27,006 $19,855 $19,063 +42% $14,927 +81%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $26,973 $26,973 $27,965 −4% $32,574 −17%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $26,971 $26,971 $22,477 +20% $28,140 −4%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $26,942 $21,369 $13,321 +102% $17,322 +56% ≈73% of Medicare
202 BRONCHITIS AND ASTHMA WITH CC/MCC $26,868 $24,170 $16,255 +65% $17,724 +52%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $26,847 $26,847 $25,727 +4% $32,443 −17%
153 OTITIS MEDIA AND URI WITHOUT MCC $26,815 $20,113 $13,931 +92% $14,583 +84%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $26,806 $22,558 $18,854 +42% $19,842 +35%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $26,745 $21,273 $16,731 +60% $17,700 +51%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $26,737 $26,737 $20,875 +28% $30,242 −12%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $26,699 $18,124 $21,770 +23% $15,600 +71%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $26,638 $23,889 $16,722 +59% $18,488 +44%
149 DYSEQUILIBRIUM $26,617 $20,786 $23,926 +11% $18,096 +47%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $26,585 $26,585 $45,290 −41% $63,928 −58%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $26,409 $26,409 $16,857 +57% $20,232 +31%
313 CHEST PAIN $26,361 $19,948 $15,639 +69% $16,440 +60%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $26,249 $26,215 $12,276 +114% $15,452 +70%
305 HYPERTENSION WITHOUT MCC $26,195 $20,429 $19,959 +31% $18,086 +45% ≈76% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $26,192 $26,192 $29,888 −12% $33,661 −22%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $26,165 $19,598 $17,811 +47% $17,620 +48%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $26,116 $16,744 $10,316 +153% $12,999 +101%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $26,106 $21,284 $17,762 +47% $15,428 +69%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $26,103 $26,103 $10,208 +156% $12,229 +113%
311 ANGINA PECTORIS $26,038 $19,880 $14,117 +84% $15,502 +68%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $26,012 $19,463 $15,122 +72% $12,559 +107%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $25,934 $24,418 $26,677 −3% $32,433 −20%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $25,912 $22,756 $17,159 +51% $18,956 +37%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $25,907 $19,582 $19,848 +31% $15,495 +67%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $25,805 $18,743 $12,411 +108% $14,689 +76%
184 MAJOR CHEST TRAUMA WITH CC $25,700 $25,700 $19,872 +29% $22,432 +15%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $25,625 $25,625 $25,625 +0% $28,125 −9%
684 RENAL FAILURE WITHOUT CC/MCC $25,607 $17,966 $11,276 +127% $13,642 +88%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $25,593 $25,593 $25,475 +0% $31,321 −18%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $25,465 $18,977 $13,910 +83% $13,824 +84%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $25,452 $25,452 $25,547 −0% $33,454 −24%
935 NON-EXTENSIVE BURNS $25,451 $25,451 $35,844 −29% $31,701 −20%
347 ANAL AND STOMAL PROCEDURES WITH MCC $25,371 $25,371 $33,912 −25% $40,548 −37%
090 CONCUSSION WITHOUT CC/MCC $25,293 $25,293 $25,638 −1% $15,412 +64%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $25,270 $17,002 $12,015 +110% $13,384 +89%
292 HEART FAILURE AND SHOCK WITH CC $25,231 $22,096 $15,779 +60% $16,371 +54%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $25,166 $19,656 $14,098 +79% $12,252 +105%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $25,163 $21,320 $11,921 +111% $14,549 +73%
607 MINOR SKIN DISORDERS WITHOUT MCC $25,107 $22,556 $15,276 +64% $15,889 +58%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $24,866 $19,382 $15,776 +58% $16,450 +51%
204 RESPIRATORY SIGNS AND SYMPTOMS $24,862 $21,223 $22,720 +9% $18,004 +38%
694 URINARY STONES WITHOUT MCC $24,848 $21,817 $13,336 +86% $17,345 +43%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $24,765 $20,207 $14,554 +70% $18,150 +36%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $24,594 $24,594 $24,594 +0% $32,841 −25%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $24,570 $18,225 $20,210 +22% $15,038 +63%
103 HEADACHES WITHOUT MCC $24,492 $21,918 $23,367 +5% $21,280 +15%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $24,473 $23,457 $19,304 +27% $20,957 +17%
152 OTITIS MEDIA AND URI WITH MCC $24,443 $24,443 $17,922 +36% $20,247 +21%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,438 $21,689 $24,079 +1% $18,126 +35%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $24,431 $19,112 $16,504 +48% $14,128 +73%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $24,409 $24,409 $20,655 +18% $25,712 −5%
663 MINOR BLADDER PROCEDURES WITH CC $24,327 $24,327 $23,673 +3% $33,103 −27%
866 VIRAL ILLNESS WITHOUT MCC $24,259 $24,259 $16,845 +44% $17,081 +42%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $24,158 $19,900 $15,817 +53% $16,634 +45%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $24,042 $18,710 $11,072 +117% $11,997 +100%
639 DIABETES WITHOUT CC/MCC $23,995 $17,818 $15,601 +54% $13,910 +73%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $23,973 $23,973 $27,330 −12% $27,633 −13%
913 TRAUMATIC INJURY WITH MCC $23,956 $15,956 $24,198 −1% $24,198 −1%
158 DENTAL AND ORAL DISEASES WITH CC $23,941 $23,941 $20,087 +19% $18,466 +30%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $23,488 $19,196 $16,076 +46% $14,368 +63%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $23,191 $18,647 $12,703 +83% $15,183 +53%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $23,064 $23,064 $18,707 +23% $21,847 +6%
151 EPISTAXIS WITHOUT MCC $22,820 $19,918 $13,032 +75% $13,032 +75%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $22,634 $18,723 $14,044 +61% $16,288 +39%
779 ABORTION WITHOUT D&C $22,256 $22,256 $11,302 +97% $15,327 +45%
916 ALLERGIC REACTIONS WITHOUT MCC $22,211 $18,965 $13,750 +62% $13,942 +59%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $22,203 $19,601 $11,755 +89% $13,633 +63%
137 MOUTH PROCEDURES WITH CC/MCC $21,854 $21,854 $21,600 +1% $27,861 −22%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $21,797 $20,620 $13,586 +60% $13,586 +60%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $21,386 $21,090 $21,303 +0% $20,084 +6%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $21,267 $17,212 $17,825 +19% $19,138 +11%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $21,172 $21,172 $18,522 +14% $19,594 +8%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $20,998 $20,998 $67,181 −69% $35,831 −41%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $20,993 $20,993 $28,808 −27% $32,100 −35%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $20,981 $19,083 $20,399 +3% $17,733 +18%
594 SKIN ULCERS WITHOUT CC/MCC $20,187 $19,962 $14,209 +42% $14,209 +42%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $19,861 $19,861 $21,685 −8% $20,911 −5%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $17,436 $17,436 $22,460 −22% $27,152 −36%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $17,386 $17,386 $8,048 +116% $9,940 +75%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $17,303 $17,303 $12,595 +37% $12,895 +34%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $17,103 $17,103 $15,107 +13% $16,846 +2%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $16,891 $16,891 $24,376 −31% $23,571 −28%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $16,779 $16,779 $12,588 +33% $12,078 +39%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $16,573 $16,573 $18,133 −9% $18,133 −9%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $16,346 $16,346 $21,228 −23% $25,094 −35%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $16,200 $16,200 $20,443 −21% $23,283 −30%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $16,030 $16,030 $9,835 +63% $12,454 +29%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $15,900 $15,900 $13,651 +16% $13,275 +20%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $15,819 $15,819 $14,644 +8% $16,699 −5% ≈106% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $15,116 $15,116 $13,876 +9% $15,370 −2%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $14,798 $14,798 $19,783 −25% $19,846 −25%
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,447 $9,447 $34,171 −72% $21,986 −57%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,742 $8,742 $5,725 +53% $8,445 +4%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,502 $7,502 $11,294 −34% $12,324 −39% ≈7% of Medicare
795 NORMAL NEWBORN $7,163 $7,163 $4,866 +47% $4,720 +52%