Procedures published 498
Lowest published price $5,293
Average published price $55,309
Highest published price $536,599

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 498 procedures

Published charges

Showing all 498 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 47 procedures, this hospital's negotiated rates average ≈146% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
003 ecmo or tracheostomy with mechanical ventilation >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $536,599 $268,299 $374,499 +43% $371,366 +44%
212 concomitant aortic and mitral valve-áprocedures $528,610 $264,305 $312,843 +69% $196,346 +169%
876 o.r. procedures with principal diagnosis of mental illness $406,806 $203,403 $51,525 +690% $54,196 +651%
001 heart transplant or implant of heart assist system with mcc $393,323 $196,662 $519,143 −24% $461,389 −15%
004 tracheostomy with mechanical ventilation >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $370,487 $185,243 $227,105 +63% $248,521 +49%
974 hiv with major related condition with mcc $323,053 $161,527 $39,630 +715% $46,402 +596%
474 amputation for musculoskeletal system and connective tissue disorders with mcc $321,209 $160,605 $94,887 +239% $84,692 +279%
276 cardiac defibrillator implant with mcc $302,166 $151,083 $102,983 +193% $117,280 +158%
215 other heart assist system implant $301,737 $150,868 $219,233 +38% $208,939 +44%
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $283,975 $141,987 $200,973 +41% $188,171 +51%
233 coronary bypass with cardiac catheterization or open ablation with mcc $279,948 $139,974 $168,806 +66% $144,569 +94%
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $279,763 $139,882 $168,544 +66% $143,242 +95%
867 other infectious and parasitic diseases diagnoses with mcc $238,559 $119,279 $31,004 +669% $38,070 +527%
231 coronary bypass with ptca with mcc $222,999 $111,500 $170,222 +31% $147,227 +51%
204 respiratory signs and symptoms $221,101 $110,551 $22,720 +873% $18,004 +1128%
097 nonbacterial infection of nervous system except viral meningitis with mcc $210,130 $105,065 $49,718 +323% $59,533 +253%
356 other digestive system o.r. procedures with mcc $197,364 $98,682 $108,198 +82% $82,561 +139%
264 other circulatory system o.r. procedures $191,584 $95,792 $48,557 +295% $51,953 +269%
234 coronary bypass with cardiac catheterization or open ablation without mcc $190,890 $95,445 $129,059 +48% $102,573 +86%
232 coronary bypass with ptca without mcc $190,829 $95,414 $173,445 +10% $115,839 +65%
488 knee procedures without principal diagnosis of infection with cc/mcc $182,391 $91,195 $43,914 +315% $43,631 +318%
870 septicemia or severe sepsis with mechanical ventilation >96 hours $177,309 $88,655 $175,904 +1% $148,832 +19% ≈158% of Medicare
218 cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc $168,950 $84,475 $115,106 +47% $103,455 +63%
922 other injury, poisoning and toxic effect diagnoses with mcc $167,422 $83,711 $32,757 +411% $31,563 +430%
907 other o.r. procedures for injuries with mcc $165,732 $82,866 $75,408 +120% $77,817 +113%
619 o.r. procedures for obesity with mcc $164,997 $82,499 $65,002 +154% $51,746 +219%
235 coronary bypass without cardiac catheterization with mcc $163,901 $81,951 $149,185 +10% $112,062 +46%
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $162,283 $81,141 $178,834 −9% $123,995 +31%
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $154,088 $77,044 $105,908 +45% $90,775 +70%
545 connective tissue disorders with mcc $152,923 $76,462 $38,759 +295% $40,362 +279%
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $146,829 $73,415 $68,006 +116% $71,795 +105%
269 aortic and heart assist procedures except pulsation balloon without mcc $144,751 $72,376 $102,713 +41% $85,159 +70%
236 coronary bypass without cardiac catheterization without mcc $144,405 $72,202 $109,137 +32% $82,247 +76%
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $139,848 $69,924 $51,761 +170% $61,470 +128%
273 percutaneous and other intracardiac procedures with mcc $139,084 $69,542 $104,086 +34% $78,852 +76%
275 cardiac defibrillator implant with cardiac catheterization and mcc $139,038 $69,519 $157,998 −12% $131,961 +5%
987 nonextensive o.r. procedures unrelated to principal diagnosis with mcc $137,048 $68,524 $59,880 +129% $66,068 +107%
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $135,090 $67,545 $74,690 +81% $89,207 +51%
799 splenectomy with mcc $130,997 $65,499 $76,574 +71% $82,218 +59%
252 other vascular procedures with mcc $127,502 $63,751 $72,690 +75% $68,508 +86%
902 wound debridements for injuries with cc $127,099 $63,549 $41,665 +205% $40,562 +213%
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $125,337 $62,669 $124,145 +1% $111,320 +13%
270 other major cardiovascular procedures with mcc $123,964 $61,982 $111,594 +11% $99,423 +25%
323 coronary intravascular lithotripsy with intraluminal device with mcc $123,006 $61,503 $102,919 +20% $101,510 +21%
037 extracranial procedures with mcc $116,727 $58,364 $89,423 +31% $66,666 +75%
242 permanent cardiac pacemaker implant with mcc $116,100 $58,050 $62,843 +85% $70,132 +66%
164 major chest procedures with cc $115,898 $57,949 $62,887 +84% $56,755 +104%
239 amputation for circulatory system disorders except upper limb and toe with mcc $111,129 $55,565 $68,473 +62% $93,390 +19%
207 respiratory system diagnosis with ventilator support >96 hours $111,107 $55,553 $100,570 +10% $116,058 −4%
790 extreme immaturity or respiratory distress syndrome, neonate $110,497 $55,249 $66,974 +65% $80,018 +38%
253 other vascular procedures with cc $104,409 $52,204 $40,302 +159% $57,454 +82%
163 major chest procedures with mcc $102,700 $51,350 $90,851 +13% $90,195 +14%
853 infectious and parasitic diseases with o.r. procedures with mcc $102,334 $51,167 $96,196 +6% $93,172 +10% ≈134% of Medicare
271 other major cardiovascular procedures with cc $101,158 $50,579 $81,781 +24% $71,014 +42%
466 revision of hip or knee replacement with mcc $100,750 $50,375 $80,478 +25% $96,507 +4%
055 nervous system neoplasms without mcc $100,420 $50,210 $18,849 +433% $20,926 +380%
279 ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc $98,356 $49,178 $45,290 +117% $63,928 +54%
165 major chest procedures without cc/mcc $91,715 $45,857 $48,570 +89% $46,340 +98%
288 acute and subacute endocarditis with mcc $91,710 $45,855 $71,241 +29% $50,618 +81%
228 other cardiothoracic procedures with mcc $91,673 $45,836 $101,409 −10% $96,905 −5%
277 cardiac defibrillator implant without mcc $91,305 $45,652 $112,801 −19% $91,329 −0%
266 endovascular cardiac valve replacement and supplement procedures with mcc $88,968 $44,484 $149,605 −41% $113,855 −22% ≈82% of Medicare
335 peritoneal adhesiolysis with mcc $87,042 $43,521 $56,742 +53% $71,755 +21%
330 major small and large bowel procedures with cc $87,041 $43,520 $50,487 +72% $59,500 +46%
329 major small and large bowel procedures with mcc $85,504 $42,752 $69,268 +23% $88,050 −3%
142 major head and neck procedures without cc/mcc $85,490 $42,745 $40,799 +110% $34,906 +145%
265 aicd lead procedures $85,407 $42,703 $49,492 +73% $63,171 +35%
551 medical back problems with mcc $84,668 $42,334 $33,108 +156% $34,017 +149%
325 coronary intravascular lithotripsy without intraluminal device $83,672 $41,836 $72,297 +16% $61,217 +37%
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $83,277 $41,638 $28,020 +197% $34,459 +142%
036 carotid artery stent procedures without cc/mcc $82,811 $41,405 $55,123 +50% $40,694 +103%
267 endovascular cardiac valve replacement and supplement procedures without mcc $81,979 $40,989 $140,473 −42% $92,217 −11% ≈102% of Medicare
260 cardiac pacemaker revision except device replacement with mcc $81,913 $40,956 $78,755 +4% $70,371 +16%
823 lymphoma and nonacute leukemia with other procedures with mcc $80,874 $40,437 $88,519 −9% $87,761 −8%
040 peripheral, cranial nerve and other nervous system procedures with mcc $80,690 $40,345 $58,978 +37% $74,257 +9%
486 knee procedures with principal diagnosis of infection with cc $78,754 $39,377 $49,467 +59% $49,351 +60%
570 skin debridement with mcc $77,984 $38,992 $42,044 +85% $52,435 +49%
659 kidney and ureter procedures for non-neoplasm with mcc $77,486 $38,743 $44,554 +74% $52,178 +49%
261 cardiac pacemaker revision except device replacement with cc $76,466 $38,233 $34,861 +119% $42,126 +82%
167 other respiratory system o.r. procedures with cc $75,766 $37,883 $41,640 +82% $40,642 +86%
240 amputation for circulatory system disorders except upper limb and toe with cc $75,714 $37,857 $54,475 +39% $59,790 +27%
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $74,767 $37,383 $26,578 +181% $39,018 +92%
749 other female reproductive system o.r. procedures with cc/mcc $73,840 $36,920 $36,791 +101% $45,167 +63%
750 other female reproductive system o.r. procedures without cc/mcc $73,778 $36,889 $19,930 +270% $27,989 +164%
503 foot procedures with mcc $73,497 $36,749 $39,757 +85% $47,540 +55%
374 digestive malignancy with mcc $72,776 $36,388 $34,183 +113% $39,958 +82%
173 ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism $72,112 $36,056 $56,209 +28% $60,407 +19%
272 other major cardiovascular procedures without cc/mcc $71,980 $35,990 $42,404 +70% $55,162 +30%
956 limb reattachment, hip and femur procedures for multiple significant trauma $70,373 $35,186 $61,356 +15% $75,103 −6%
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $69,374 $34,687 $67,943 +2% $81,706 −15% ≈151% of Medicare
480 hip and femur procedures except major joint with mcc $68,737 $34,369 $72,286 −5% $65,653 +5% ≈163% of Medicare
149 dysequilibrium $68,665 $34,333 $23,926 +187% $18,096 +279%
500 soft tissue procedures with mcc $68,470 $34,235 $45,424 +51% $61,872 +11%
841 lymphoma and nonacute leukemia with cc $68,382 $34,191 $36,790 +86% $33,633 +103%
421 hepatobiliary diagnostic procedures with cc $68,328 $34,164 $64,566 +6% $36,354 +88%
336 peritoneal adhesiolysis with cc $67,322 $33,661 $44,395 +52% $50,463 +33%
350 inguinal and femoral hernia procedures with mcc $66,902 $33,451 $46,352 +44% $50,046 +34%
251 percutaneous cardiovascular procedures without coronary artery stent without mcc $66,777 $33,388 $38,157 +75% $46,295 +44%
467 revision of hip or knee replacement with cc $66,346 $33,173 $67,788 −2% $70,847 −6%
616 amputation of lower limb for endocrine, nutritional, and metabolic disorders with mcc $66,247 $33,123 $54,631 +21% $66,685 −1%
168 other respiratory system o.r. procedures without cc/mcc $65,736 $32,868 $29,843 +120% $29,949 +119%
477 biopsies of musculoskeletal system and connective tissue with mcc $65,551 $32,775 $74,502 −12% $68,653 −5%
620 o.r. procedures for obesity with cc $65,526 $32,763 $40,745 +61% $35,453 +85%
435 malignancy of hepatobiliary system or pancreas with mcc $65,359 $32,679 $34,822 +88% $37,950 +72%
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $65,249 $32,624 $36,319 +80% $36,431 +79%
769 postpartum and postabortion diagnoses with o.r. procedures $65,116 $32,558 $21,228 +207% $25,094 +159%
504 foot procedures with cc $65,059 $32,530 $29,220 +123% $38,960 +67%
386 inflammatory bowel disease with cc $65,026 $32,513 $17,764 +266% $22,033 +195%
560 aftercare, musculoskeletal system and connective tissue with cc $64,498 $32,249 $23,785 +171% $25,279 +155%
035 carotid artery stent procedures with cc $64,212 $32,106 $60,743 +6% $49,066 +31%
243 permanent cardiac pacemaker implant with cc $63,788 $31,894 $50,655 +26% $50,011 +28%
262 cardiac pacemaker revision except device replacement without cc/mcc $62,913 $31,456 $26,273 +139% $33,694 +87%
481 hip and femur procedures except major joint with cc $62,249 $31,125 $50,338 +24% $52,751 +18% ≈199% of Medicare
673 other kidney and urinary tract procedures with mcc $62,113 $31,056 $68,137 −9% $77,990 −20%
397 appendix procedures with mcc $62,102 $31,051 $35,353 +76% $53,257 +17%
357 other digestive system o.r. procedures with cc $61,757 $30,878 $42,646 +45% $48,682 +27%
804 other o.r. procedures of the blood and blood-forming organs without cc/mcc $61,566 $30,783 $32,471 +90% $24,544 +151%
522 hip replacement with principal diagnosis of hip fracture without mcc $61,375 $30,688 $50,107 +22% $58,280 +5% ≈179% of Medicare
621 o.r. procedures for obesity without cc/mcc $61,150 $30,575 $36,535 +67% $32,451 +88%
166 other respiratory system o.r. procedures with mcc $60,933 $30,467 $65,839 −7% $75,573 −19%
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $60,850 $30,425 $36,710 +66% $43,538 +40%
982 extensive o.r. procedures unrelated to principal diagnosis with cc $60,678 $30,339 $34,970 +74% $51,985 +17%
080 nontraumatic stupor and coma with mcc $60,558 $30,279 $28,993 +109% $36,249 +67%
501 soft tissue procedures with cc $60,554 $30,277 $32,970 +84% $39,619 +53%
322 percutaneous cardiovascular procedures with intraluminal device without mcc $60,385 $30,193 $53,246 +13% $58,809 +3% ≈213% of Medicare
320 other endovascular cardiac valve procedures without mcc $60,206 $30,103 $37,349 +61% $40,060 +50%
835 acute leukemia without major o.r. procedures with cc $60,168 $30,084 $36,186 +66% $35,569 +69%
658 kidney and ureter procedures for neoplasm without cc/mcc $59,291 $29,645 $36,253 +64% $36,253 +64%
180 respiratory neoplasms with mcc $59,121 $29,561 $33,385 +77% $36,658 +61% ≈204% of Medicare
656 kidney and ureter procedures for neoplasm with mcc $58,768 $29,384 $45,479 +29% $65,608 −10%
669 transurethral procedures with cc $58,761 $29,380 $36,359 +62% $34,354 +71%
328 stomach, esophageal and duodenal procedures without cc/mcc $58,392 $29,196 $41,638 +40% $39,006 +50%
082 traumatic stupor and coma >1 hour with mcc $57,834 $28,917 $33,308 +74% $36,489 +58%
331 major small and large bowel procedures without cc/mcc $57,571 $28,785 $38,599 +49% $44,117 +30%
057 degenerative nervous system disorders without mcc $57,312 $28,656 $29,561 +94% $27,543 +108%
698 other kidney and urinary tract diagnoses with mcc $57,053 $28,527 $30,494 +87% $32,496 +76% ≈205% of Medicare
516 other musculoskeletal system and connective tissue o.r. procedures with cc $56,651 $28,326 $40,849 +39% $46,090 +23%
175 pulmonary embolism with mcc or acute cor pulmonale $56,536 $28,268 $28,499 +98% $30,959 +83%
326 stomach, esophageal and duodenal procedures with mcc $56,340 $28,170 $69,008 −18% $80,793 −30%
654 major bladder procedures with cc $56,124 $28,062 $39,822 +41% $58,274 −4%
492 lower extremity and humerus procedures except hip, foot, femur with mcc $55,283 $27,641 $61,083 −9% $70,564 −22%
380 complicated peptic ulcer with mcc $55,126 $27,563 $33,696 +64% $39,627 +39%
502 soft tissue procedures without cc/mcc $55,085 $27,542 $29,865 +84% $31,017 +78%
371 major gastrointestinal disorders and peritoneal infections with mcc $54,742 $27,371 $29,997 +82% $33,555 +63%
181 respiratory neoplasms with cc $54,446 $27,223 $30,260 +80% $23,573 +131%
324 coronary intravascular lithotripsy with intraluminal device without mcc $54,243 $27,121 $91,834 −41% $71,464 −24%
256 upper limb and toe amputation for circulatory system disorders with cc $54,118 $27,059 $25,176 +115% $32,944 +64%
857 postoperative or posttraumatic infections with o.r. procedures with cc $53,676 $26,838 $38,932 +38% $45,333 +18%
856 postoperative or posttraumatic infections with o.r. procedures with mcc $53,248 $26,624 $61,750 −14% $76,001 −30%
058 multiple sclerosis and cerebellar ataxia with mcc $53,156 $26,578 $27,152 +96% $30,243 +76%
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $52,849 $26,425 $32,503 +63% $49,418 +7%
665 prostatectomy with mcc $52,765 $26,383 $47,758 +10% $54,072 −2%
537 sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc $52,597 $26,299 $16,936 +211% $18,072 +191%
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $52,499 $26,250 $22,149 +137% $26,932 +95%
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $52,319 $26,160 $43,106 +21% $50,607 +3%
957 other o.r. procedures for multiple significant trauma with mcc $51,293 $25,647 $99,339 −48% $120,573 −57%
274 percutaneous and other intracardiac procedures without mcc $51,229 $25,615 $57,726 −11% $65,573 −22% ≈103% of Medicare
418 laparoscopic cholecystectomy without c.d.e. with cc $51,225 $25,613 $33,278 +54% $44,606 +15%
393 other digestive system diagnoses with mcc $51,152 $25,576 $30,510 +68% $34,192 +50%
417 laparoscopic cholecystectomy without c.d.e. with mcc $50,973 $25,487 $42,068 +21% $53,451 −5%
347 anal and stomal procedures with mcc $50,853 $25,427 $33,912 +50% $40,548 +25%
073 cranial and peripheral nerve disorders with mcc $50,807 $25,403 $28,480 +78% $30,010 +69%
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $50,362 $25,181 $34,886 +44% $36,792 +37%
368 major esophageal disorders with mcc $50,344 $25,172 $32,526 +55% $33,876 +49%
493 lower extremity and humerus procedures except hip, foot, femur with cc $49,832 $24,916 $61,840 −19% $59,651 −16%
801 splenectomy without cc/mcc $49,748 $24,874 $32,979 +51% $36,445 +37%
668 transurethral procedures with mcc $49,739 $24,870 $41,045 +21% $51,608 −4%
306 cardiac congenital and valvular disorders with mcc $49,627 $24,813 $35,088 +41% $24,586 +102%
521 hip replacement with principal diagnosis of hip fracture with mcc $49,560 $24,780 $59,192 −16% $70,467 −30%
663 minor bladder procedures with cc $49,231 $24,615 $23,673 +108% $33,103 +49%
064 intracranial hemorrhage or cerebral infarction with mcc $48,885 $24,443 $42,071 +16% $39,106 +25% ≈155% of Medicare
283 acute myocardial infarction, expired with mcc $48,747 $24,373 $39,782 +23% $39,955 +22%
327 stomach, esophageal and duodenal procedures with cc $47,926 $23,963 $41,622 +15% $59,421 −19%
592 skin ulcers with mcc $47,908 $23,954 $29,882 +60% $33,246 +44%
250 percutaneous cardiovascular procedures without coronary artery stent with mcc $47,662 $23,831 $41,205 +16% $59,629 −20%
708 major male pelvic procedures without cc/mcc $47,588 $23,794 $33,198 +43% $36,988 +29%
696 kidney and urinary tract signs and symptoms without mcc $47,574 $23,787 $12,411 +283% $14,689 +224%
657 kidney and ureter procedures for neoplasm with cc $47,438 $23,719 $39,277 +21% $43,298 +10%
229 other cardiothoracic procedures without mcc $47,436 $23,718 $57,750 −18% $65,325 −27%
307 cardiac congenital and valvular disorders without mcc $47,409 $23,705 $22,213 +113% $20,566 +131%
629 other endocrine, nutritional and metabolic o.r. procedures with cc $47,249 $23,625 $49,188 −4% $47,737 −1%
742 uterine and adnexa procedures for nonmalignancy with cc/mcc $47,029 $23,514 $34,049 +38% $40,552 +16%
146 ear, nose, mouth and throat malignancy with mcc $46,713 $23,356 $48,893 −4% $40,108 +16%
286 circulatory disorders except acute myocardial infarction, with cardiac catheterization with mcc $46,658 $23,329 $44,619 +5% $46,283 +1% ≈137% of Medicare
091 other disorders of nervous system with mcc $46,601 $23,300 $32,465 +44% $37,387 +25%
580 other skin, subcutaneous tissue and breast procedures with cc $46,459 $23,230 $26,907 +73% $38,101 +22%
358 other digestive system o.r. procedures without cc/mcc $46,268 $23,134 $28,020 +65% $30,083 +54%
854 infectious and parasitic diseases with o.r. procedures with cc $46,118 $23,059 $32,044 +44% $43,943 +5% ≈139% of Medicare
208 respiratory system diagnosis with ventilator support < = 96 hours $46,113 $23,057 $59,696 −23% $52,405 −12% ≈94% of Medicare
757 infections, female reproductive system with mcc $45,893 $22,947 $42,870 +7% $26,280 +75%
824 lymphoma and nonacute leukemia with other procedures with cc $45,855 $22,928 $53,048 −14% $41,608 +10%
432 cirrhosis and alcoholic hepatitis with mcc $45,746 $22,873 $48,837 −6% $40,213 +14%
205 other respiratory system diagnoses with mcc $45,516 $22,758 $28,430 +60% $33,255 +37%
398 appendix procedures with cc $45,432 $22,716 $34,258 +33% $40,162 +13%
348 anal and stomal procedures with cc $45,365 $22,682 $32,613 +39% $27,947 +62%
085 traumatic stupor and coma <1 hour with mcc $45,123 $22,561 $44,678 +1% $41,892 +8%
539 osteomyelitis with mcc $44,955 $22,477 $45,071 −0% $37,609 +20%
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $44,511 $22,256 $45,618 −2% $65,788 −32%
686 kidney and urinary tract neoplasms with mcc $44,511 $22,256 $30,841 +44% $37,844 +18%
095 bacterial and tuberculous infections of nervous system with cc $44,153 $22,077 $50,347 −12% $47,583 −7%
077 hypertensive encephalopathy with mcc $43,461 $21,730 $29,789 +46% $24,550 +77%
353 hernia procedures except inguinal and femoral with mcc $43,344 $21,672 $43,211 +0% $60,170 −28%
725 benign prostatic hypertrophy with mcc $43,167 $21,584 $27,823 +55% $22,320 +93%
354 hernia procedures except inguinal and femoral with cc $43,140 $21,570 $39,779 +8% $43,477 −1%
791 prematurity with major problems $42,974 $21,487 $39,563 +9% $42,679 +1%
670 transurethral procedures without cc/mcc $42,929 $21,464 $21,685 +98% $20,911 +105%
351 inguinal and femoral hernia procedures with cc $42,928 $21,464 $28,985 +48% $36,505 +18%
840 lymphoma and nonacute leukemia with mcc $42,887 $21,443 $51,930 −17% $49,710 −14%
070 nonspecific cerebrovascular disorders with mcc $42,025 $21,013 $25,761 +63% $31,951 +32%
319 other endovascular cardiac valve procedures with mcc $41,917 $20,959 $87,760 −52% $86,970 −52%
617 amputation of lower limb for endocrine, nutritional, and metabolic disorders with cc $41,821 $20,910 $41,821 +0% $42,881 −2%
444 disorders of the biliary tract with mcc $41,730 $20,865 $33,595 +24% $34,273 +22%
585 breast biopsy, local excision and other breast procedures without cc/mcc $41,615 $20,807 $27,965 +49% $32,574 +28%
029 spinal procedures with cc or spinal neurostimulators $41,555 $20,777 $71,355 −42% $67,268 −38%
553 bone diseases and arthropathies with mcc $41,368 $20,684 $26,469 +56% $26,051 +59%
337 peritoneal adhesiolysis without cc/mcc $41,295 $20,647 $32,469 +27% $39,211 +5%
917 poisoning and toxic effects of drugs with mcc $41,203 $20,602 $26,798 +54% $30,235 +36%
099 nonbacterial infection of nervous system except viral meningitis without cc/mcc $40,941 $20,471 $21,277 +92% $27,119 +51%
313 chest pain $40,755 $20,378 $15,639 +161% $16,440 +148%
177 respiratory infections and inflammations with mcc $40,675 $20,338 $33,707 +21% $33,707 +21% ≈152% of Medicare
494 lower extremity and humerus procedures except hip, foot, femur without cc/mcc $40,556 $20,278 $41,301 −2% $47,711 −15%
314 other circulatory system diagnoses with mcc $40,338 $20,169 $33,498 +20% $38,666 +4% ≈127% of Medicare
557 tendonitis, myositis and bursitis with mcc $40,030 $20,015 $33,619 +19% $32,877 +22%
312 syncope and collapse $40,003 $20,001 $17,340 +131% $19,342 +107%
438 disorders of pancreas except malignancy with mcc $39,977 $19,989 $21,375 +87% $32,628 +23%
415 cholecystectomy except by laparoscope without c.d.e. with cc $39,885 $19,943 $32,506 +23% $43,913 −9%
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $39,815 $19,908 $26,059 +53% $23,940 +66% ≈247% of Medicare
755 malignancy, female reproductive system with cc $39,773 $19,886 $17,602 +126% $18,459 +115%
472 cervical spinal fusion with cc $39,638 $19,819 $46,404 −15% $59,537 −33%
100 seizures with mcc $39,620 $19,810 $30,087 +32% $35,481 +12%
597 malignant breast disorders with mcc $39,267 $19,633 $25,994 +51% $33,386 +18%
908 other o.r. procedures for injuries with cc $38,919 $19,459 $38,919 +0% $42,914 −9%
186 pleural effusion with mcc $38,882 $19,441 $35,284 +10% $33,834 +15%
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $38,759 $19,380 $36,603 +6% $36,937 +5%
505 foot procedures without cc/mcc $38,313 $19,157 $27,270 +40% $34,937 +10%
377 gastrointestinal hemorrhage with mcc $38,041 $19,021 $38,041 +0% $37,842 +1% ≈133% of Medicare
920 complications of treatment with cc $37,733 $18,866 $23,878 +58% $22,468 +68%
546 connective tissue disorders with cc $37,534 $18,767 $32,794 +14% $25,700 +46%
919 complications of treatment with mcc $37,346 $18,673 $26,862 +39% $31,105 +20%
842 lymphoma and nonacute leukemia without cc/mcc $37,222 $18,611 $20,494 +82% $19,657 +89%
352 inguinal and femoral hernia procedures without cc/mcc $37,061 $18,531 $29,044 +28% $27,843 +33%
299 peripheral vascular disorders with mcc $36,771 $18,386 $30,993 +19% $27,316 +35%
078 hypertensive encephalopathy with cc $36,754 $18,377 $21,190 +73% $17,698 +108%
071 nonspecific cerebrovascular disorders with cc $36,528 $18,264 $16,872 +116% $23,488 +56%
599 malignant breast disorders without cc/mcc $36,459 $18,230 $14,290 +155% $14,290 +155%
963 other multiple significant trauma with mcc $36,442 $18,221 $38,454 −5% $43,491 −16%
280 acute myocardial infarction, discharged alive with mcc $35,935 $17,967 $30,500 +18% $30,828 +17% ≈143% of Medicare
818 other antepartum diagnoses with o.r. procedures with cc $35,928 $17,964 $22,050 +63% $26,870 +34%
862 postoperative and posttraumatic infections with mcc $35,821 $17,911 $33,224 +8% $32,859 +9%
254 other vascular procedures without cc/mcc $35,744 $17,872 $43,831 −18% $38,836 −8%
598 malignant breast disorders with cc $35,565 $17,782 $18,578 +91% $19,073 +86%
723 malignancy, male reproductive system with cc $35,548 $17,774 $17,768 +100% $19,815 +79%
682 renal failure with mcc $35,451 $17,726 $27,301 +30% $29,064 +22% ≈142% of Medicare
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $35,433 $17,717 $32,413 +9% $34,607 +2%
637 diabetes with mcc $35,352 $17,676 $29,918 +18% $30,100 +17%
478 biopsies of musculoskeletal system and connective tissue with cc $35,214 $17,607 $36,172 −3% $50,139 −30%
746 vagina, cervix and vulva procedures with cc/mcc $35,003 $17,502 $24,928 +40% $29,916 +17%
069 transient ischemia without thrombolytic $34,949 $17,475 $16,890 +107% $21,056 +66%
796 vaginal delivery with sterilization and/or d&c with mcc $34,818 $17,409 $16,434 +112% $22,557 +54%
644 endocrine disorders with cc $34,755 $17,378 $23,815 +46% $23,198 +50%
372 major gastrointestinal disorders and peritoneal infections with cc $34,749 $17,375 $19,320 +80% $22,850 +52%
674 other kidney and urinary tract procedures with cc $34,744 $17,372 $41,721 −17% $50,394 −31%
571 skin debridement with cc $34,705 $17,352 $37,317 −7% $37,169 −7%
468 revision of hip or knee replacement without cc/mcc $34,682 $17,341 $44,471 −22% $54,929 −37%
199 pneumothorax with mcc $34,662 $17,331 $33,787 +3% $33,787 +3%
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $34,548 $17,274 $51,445 −33% $52,075 −34%
582 mastectomy for malignancy with cc/mcc $34,503 $17,252 $25,923 +33% $35,849 −4%
552 medical back problems without mcc $34,061 $17,030 $21,141 +61% $21,396 +59%
595 major skin disorders with mcc $33,836 $16,918 $30,646 +10% $34,598 −2%
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $33,770 $16,885 $19,865 +70% $28,050 +20%
666 prostatectomy with cc $33,770 $16,885 $29,763 +13% $31,906 +6%
858 postoperative or posttraumatic infections with o.r. procedures without cc/mcc $33,422 $16,711 $25,748 +30% $25,748 +30%
384 uncomplicated peptic ulcer without mcc $33,344 $16,672 $17,796 +87% $19,305 +73%
378 gastrointestinal hemorrhage with cc $33,308 $16,654 $25,803 +29% $22,098 +51% ≈233% of Medicare
388 gastrointestinal obstruction with mcc $33,139 $16,569 $22,272 +49% $30,571 +8%
871 septicemia or severe sepsis without mechanical ventilation >96 hours with mcc $33,077 $16,539 $36,465 −9% $35,628 −7% ≈97% of Medicare
604 trauma to the skin, subcutaneous tissue and breast with mcc $32,810 $16,405 $22,477 +46% $28,140 +17%
811 red blood cell disorders with mcc $32,718 $16,359 $24,954 +31% $28,226 +16%
786 cesarean section without sterilization with mcc $32,658 $16,329 $22,460 +45% $27,152 +20%
056 degenerative nervous system disorders with mcc $32,395 $16,198 $38,791 −16% $39,973 −19%
184 major chest trauma with cc $32,323 $16,161 $19,872 +63% $22,432 +44%
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $32,297 $16,148 $36,743 −12% $39,181 −18%
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $32,251 $16,126 $31,148 +4% $33,393 −3%
153 otitis media and upper respiratory infection without mcc $32,158 $16,079 $13,931 +131% $14,583 +121%
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $32,146 $16,073 $19,268 +67% $22,458 +43%
787 cesarean section without sterilization with cc $32,136 $16,068 $24,376 +32% $23,571 +36%
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $32,125 $16,062 $22,819 +41% $31,159 +3%
596 major skin disorders without mcc $32,025 $16,013 $17,226 +86% $17,226 +86%
200 pneumothorax with cc $31,768 $15,884 $18,636 +70% $21,368 +49%
086 traumatic stupor and coma <1 hour with cc $31,747 $15,873 $23,278 +36% $27,043 +17%
441 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with mcc $31,582 $15,791 $24,768 +28% $33,985 −7%
689 kidney and urinary tract infections with mcc $31,562 $15,781 $18,916 +67% $23,617 +34% ≈169% of Medicare
886 behavioral and developmental disorders $31,532 $15,766 $22,229 +42% $26,510 +19%
687 kidney and urinary tract neoplasms with cc $31,417 $15,709 $16,857 +86% $20,232 +55%
183 major chest trauma with mcc $31,369 $15,685 $23,796 +32% $29,933 +5%
292 heart failure and shock with cc $31,279 $15,639 $15,779 +98% $16,371 +91%
244 permanent cardiac pacemaker implant without cc/mcc $31,270 $15,635 $44,198 −29% $41,591 −25%
868 other infectious and parasitic diseases diagnoses with cc $31,266 $15,633 $17,504 +79% $22,763 +37%
602 cellulitis with mcc $30,736 $15,368 $26,232 +17% $30,598 +0%
436 malignancy of hepatobiliary system or pancreas with cc $30,712 $15,356 $20,166 +52% $25,034 +23%
819 other antepartum diagnoses with o.r. procedures without cc/mcc $30,663 $15,331 $24,079 +27% $18,126 +69%
660 kidney and ureter procedures for non-neoplasm with cc $30,656 $15,328 $26,769 +15% $31,264 −2% ≈144% of Medicare
788 cesarean section without sterilization without cc/mcc $30,523 $15,261 $21,303 +43% $20,084 +52%
559 aftercare, musculoskeletal system and connective tissue with mcc $30,389 $15,194 $30,389 +0% $33,047 −8%
765 cesarean section with cc/mcc $30,156 $15,078 $5,336 +465% $5,336 +465%
784 cesarean section with sterilization with cc $30,156 $15,078 $20,443 +48% $23,283 +30%
783 cesarean section with sterilization with mcc $30,153 $15,076 $22,780 +32% $29,221 +3%
885 psychoses $29,997 $14,998 $23,973 +25% $21,729 +38% ≈136% of Medicare
760 menstrual and other female reproductive system disorders with cc/mcc $29,982 $14,991 $15,986 +88% $20,895 +43%
915 allergic reactions with mcc $29,886 $14,943 $25,750 +16% $32,645 −8%
152 otitis media and upper respiratory infection with mcc $29,796 $14,898 $17,922 +66% $20,247 +47%
743 uterine and adnexa procedures for nonmalignancy without cc/mcc $29,743 $14,871 $27,384 +9% $30,784 −3%
713 transurethral prostatectomy with cc/mcc $29,625 $14,813 $28,808 +3% $32,100 −8%
291 heart failure and shock with mcc $29,619 $14,810 $27,424 +8% $26,776 +11% ≈140% of Medicare
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $29,611 $14,806 $22,744 +30% $33,424 −11%
482 hip and femur procedures except major joint without cc/mcc $29,598 $14,799 $39,675 −25% $41,955 −29%
766 cesarean section without cc/mcc $29,587 $14,794 $5,336 +454% $5,336 +454%
785 cesarean section with sterilization without cc/mcc $29,587 $14,794 $19,783 +50% $19,846 +49%
881 depressive neuroses $29,532 $14,766 $15,058 +96% $15,058 +96%
671 urethral procedures with cc/mcc $29,514 $14,757 $25,566 +15% $27,233 +8%
394 other digestive system diagnoses with cc $29,507 $14,754 $18,918 +56% $20,181 +46%
039 extracranial procedures without cc/mcc $29,463 $14,732 $31,640 −7% $26,618 +11%
287 circulatory disorders except acute myocardial infarction, with cardiac catheterization without mcc $29,441 $14,721 $27,854 +6% $32,021 −8% ≈179% of Medicare
797 vaginal delivery with sterilization and/or d&c with cc $29,318 $14,659 $21,046 +39% $19,962 +47%
817 other antepartum diagnoses with o.r. procedures with mcc $29,291 $14,646 $30,225 −3% $39,173 −25%
305 hypertension without mcc $29,201 $14,600 $19,959 +46% $18,086 +61%
593 skin ulcers with cc $29,095 $14,547 $23,101 +26% $22,886 +27%
514 hand or wrist procedures, except major thumb or joint procedures without cc/mcc $28,977 $14,488 $16,427 +76% $22,635 +28%
699 other kidney and urinary tract diagnoses with cc $28,852 $14,426 $20,153 +43% $21,275 +36%
259 cardiac pacemaker device replacement without mcc $28,801 $14,400 $32,289 −11% $39,020 −26%
196 interstitial lung disease with mcc $28,734 $14,367 $31,016 −7% $32,637 −12%
303 atherosclerosis without mcc $28,621 $14,310 $19,063 +50% $14,927 +92%
355 hernia procedures except inguinal and femoral without cc/mcc $28,483 $14,242 $24,594 +16% $32,841 −13%
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $28,382 $14,191 $25,727 +10% $32,443 −13%
379 gastrointestinal hemorrhage without cc/mcc $28,371 $14,185 $20,210 +40% $15,038 +89%
369 major esophageal disorders with cc $28,355 $14,177 $28,508 −1% $25,303 +12%
921 complications of treatment without cc/mcc $28,341 $14,171 $12,120 +134% $14,415 +97%
535 fractures of hip and pelvis with mcc $28,327 $14,164 $25,858 +10% $24,552 +15%
074 cranial and peripheral nerve disorders without mcc $28,105 $14,052 $16,950 +66% $23,141 +21%
882 neuroses except depressive $28,046 $14,023 $15,680 +79% $15,680 +79%
345 minor small and large bowel procedures with cc $27,907 $13,953 $37,473 −26% $33,048 −16%
883 disorders of personality and impulse control $27,789 $13,895 $15,092 +84% $23,206 +20%
443 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis without cc/mcc $27,691 $13,846 $21,770 +27% $15,600 +78%
661 kidney and ureter procedures for non-neoplasm without cc/mcc $27,384 $13,692 $18,935 +45% $25,970 +5%
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $27,313 $13,657 $18,503 +48% $23,551 +16%
536 fractures of hip and pelvis without mcc $27,272 $13,636 $13,719 +99% $18,002 +51%
281 acute myocardial infarction, discharged alive with cc $27,186 $13,593 $24,435 +11% $20,463 +33% ≈201% of Medicare
564 other musculoskeletal system and connective tissue diagnoses with mcc $27,147 $13,573 $33,452 −19% $33,653 −19%
884 organic disturbances and intellectual disability $27,020 $13,510 $24,125 +12% $26,682 +1%
387 inflammatory bowel disease without cc/mcc $26,932 $13,466 $14,044 +92% $16,288 +65%
038 extracranial procedures with cc $26,916 $13,458 $35,924 −25% $35,770 −25%
918 poisoning and toxic effects of drugs without mcc $26,724 $13,362 $12,276 +118% $15,452 +73%
643 endocrine disorders with mcc $26,684 $13,342 $25,825 +3% $33,563 −20%
605 trauma to the skin, subcutaneous tissue & breast without mcc $26,655 $13,328 $21,754 +23% $20,506 +30%
308 cardiac arrhythmia and conduction disorders with mcc $26,621 $13,310 $24,743 +8% $26,770 −1% ≈146% of Medicare
382 complicated peptic ulcer without cc/mcc $26,589 $13,295 $15,817 +68% $16,634 +60%
483 major joint or limb reattachment procedures of upper extremities $26,476 $13,238 $47,785 −45% $58,707 −55%
815 reticuloendothelial and immunity disorders with cc $26,425 $13,213 $19,264 +37% $19,264 +37%
642 inborn and other disorders of metabolism $26,219 $13,109 $19,302 +36% $20,727 +26%
399 appendix procedures without cc/mcc $26,193 $13,097 $25,475 +3% $31,321 −16%
579 other skin, subcutaneous tissue and breast procedures with mcc $26,165 $13,082 $45,498 −42% $58,745 −55%
534 fractures of femur without mcc $26,155 $13,078 $16,748 +56% $17,559 +49%
123 neurological eye disorders $25,920 $12,960 $24,638 +5% $19,745 +31%
638 diabetes with cc $25,760 $12,880 $18,494 +39% $19,661 +31%
439 disorders of pancreas except malignancy with cc $25,588 $12,794 $17,067 +50% $19,096 +34%
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $25,350 $12,675 $21,101 +20% $18,316 +38%
975 hiv with major related condition with cc $25,319 $12,659 $25,319 +0% $27,808 −9%
282 acute myocardial infarction, discharged alive without cc/mcc $25,247 $12,624 $18,651 +35% $19,227 +31%
066 intracranial hemorrhage or cerebral infarction without cc/mcc $25,098 $12,549 $20,781 +21% $20,781 +21% ≈274% of Medicare
813 coagulation disorders $25,045 $12,523 $32,291 −22% $33,296 −25%
872 septicemia or severe sepsis without mechanical ventilation >96 hours without mcc $24,901 $12,451 $18,180 +37% $22,888 +9% ≈152% of Medicare
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $24,777 $12,389 $56,193 −56% $58,228 −57%
475 amputation for musculoskeletal system and connective tissue disorders with cc $24,650 $12,325 $31,193 −21% $45,877 −46%
767 vaginal delivery with sterilization and/or d&c $24,615 $12,307 $3,032 +712% $3,032 +712%
798 vaginal delivery with sterilization and/or d&c without cc/mcc $24,615 $12,307 $13,602 +81% $18,452 +33%
148 ear, nose, mouth and throat malignancy without cc/mcc $24,592 $12,296 $13,586 +81% $13,586 +81%
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $24,409 $12,205 $22,253 +10% $24,127 +1%
092 other disorders of nervous system with cc $24,136 $12,068 $22,889 +5% $24,914 −3%
072 nonspecific cerebrovascular disorders without cc/mcc $23,964 $11,982 $24,325 −1% $19,037 +26%
197 interstitial lung disease with cc $23,957 $11,978 $17,431 +37% $21,941 +9%
346 minor small and large bowel procedures without cc/mcc $23,753 $11,876 $19,263 +23% $27,297 −13%
300 peripheral vascular disorders with cc $23,733 $11,866 $22,956 +3% $20,422 +16%
607 minor skin disorders without mcc $23,338 $11,669 $15,276 +53% $15,889 +47%
381 complicated peptic ulcer with cc $23,285 $11,642 $23,283 +0% $24,177 −4%
124 other disorders of the eye with mcc $23,272 $11,636 $21,894 +6% $21,894 +6%
914 traumatic injury without mcc $22,867 $11,434 $15,088 +52% $15,855 +44%
728 inflammation of the male reproductive system without mcc $22,861 $11,430 $13,799 +66% $17,118 +34%
880 acute adjustment reaction and psychosocial dysfunction $22,842 $11,421 $20,399 +12% $17,733 +29%
683 renal failure with cc $22,839 $11,419 $15,913 +44% $19,130 +19% ≈157% of Medicare
304 hypertension with mcc $22,816 $11,408 $24,714 −8% $26,080 −13%
201 pneumothorax without cc/mcc $22,741 $11,370 $13,089 +74% $14,053 +62%
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $22,680 $11,340 $23,984 −5% $29,743 −24%
193 simple pneumonia and pleurisy with mcc $22,641 $11,321 $28,415 −20% $27,275 −17% ≈109% of Medicare
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $22,552 $11,276 $13,321 +69% $17,322 +30% ≈190% of Medicare
385 inflammatory bowel disease with mcc $22,546 $11,273 $24,282 −7% $27,617 −18%
603 cellulitis without mcc $22,391 $11,195 $14,803 +51% $18,530 +21%
664 minor bladder procedures without cc/mcc $22,358 $11,179 $19,882 +12% $22,314 +0%
190 chronic obstructive pulmonary disease with mcc $22,279 $11,139 $19,690 +13% $24,386 −9%
774 vaginal delivery with complicating diagnoses $22,265 $11,133 $3,032 +634% $3,032 +634%
806 vaginal delivery without sterilization or d&c with cc $22,265 $11,133 $13,651 +63% $13,275 +68%
093 other disorders of nervous system without cc/mcc $22,242 $11,121 $17,811 +25% $17,620 +26%
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $22,212 $11,106 $15,107 +47% $16,846 +32%
309 cardiac arrhythmia and conduction disorders with cc $22,191 $11,095 $19,628 +13% $17,303 +28% ≈204% of Medicare
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $22,187 $11,093 $34,657 −36% $35,692 −38%
446 disorders of the biliary tract without cc/mcc $22,083 $11,041 $16,731 +32% $17,700 +25%
176 pulmonary embolism without mcc $21,954 $10,977 $17,685 +24% $18,081 +21%
640 miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes with mcc $21,885 $10,942 $23,010 −5% $25,463 −14% ≈100% of Medicare
189 pulmonary edema and respiratory failure $21,525 $10,763 $24,603 −13% $26,580 −19% ≈110% of Medicare
754 malignancy, female reproductive system with mcc $21,472 $10,736 $26,677 −20% $32,433 −34%
442 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with cc $21,394 $10,697 $20,528 +4% $21,449 −0%
584 breast biopsy, local excision and other breast procedures with cc/mcc $21,224 $10,612 $34,148 −38% $35,030 −39%
059 multiple sclerosis and cerebellar ataxia with cc $21,212 $10,606 $20,927 +1% $27,163 −22%
178 respiratory infections and inflammations with cc $21,211 $10,606 $20,753 +2% $22,024 −4% ≈148% of Medicare
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $21,198 $10,599 $14,912 +42% $16,767 +26%
684 renal failure without cc/mcc $20,888 $10,444 $11,276 +85% $13,642 +53%
863 postoperative and posttraumatic infections without mcc $20,853 $10,427 $19,304 +8% $20,957 −0%
855 infectious and parasitic diseases with o.r. procedures without cc/mcc $20,850 $10,425 $24,143 −14% $28,202 −26%
572 skin debridement without cc/mcc $20,724 $10,362 $22,256 −7% $24,944 −17%
548 septic arthritis with mcc $20,558 $10,279 $29,341 −30% $31,346 −34%
805 vaginal delivery without sterilization or d&c with mcc $20,345 $10,173 $13,876 +47% $15,370 +32%
383 uncomplicated peptic ulcer with mcc $20,229 $10,115 $21,076 −4% $27,426 −26%
301 peripheral vascular disorders without cc/mcc $20,030 $10,015 $12,453 +61% $15,837 +26%
775 vaginal delivery without complicating diagnoses $19,872 $9,936 $3,032 +555% $3,032 +555%
807 vaginal delivery without sterilization or d&c without cc/mcc $19,872 $9,936 $12,588 +58% $12,078 +65%
206 other respiratory system diagnoses without mcc $19,861 $9,930 $16,722 +19% $18,488 +7%
832 other antepartum diagnoses without o.r. procedures with cc $19,565 $9,782 $12,595 +55% $12,895 +52%
812 red blood cell disorders without mcc $19,481 $9,741 $16,909 +15% $20,488 −5% ≈145% of Medicare
179 respiratory infections and inflammations without cc/mcc $19,459 $9,730 $14,596 +33% $14,648 +33%
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $19,441 $9,721 $17,051 +14% $18,126 +7%
054 nervous system neoplasms with mcc $19,078 $9,539 $22,682 −16% $30,502 −37%
191 chronic obstructive pulmonary disease with cc $19,031 $9,515 $14,338 +33% $18,807 +1%
433 cirrhosis and alcoholic hepatitis with cc $18,978 $9,489 $21,094 −10% $23,749 −20%
445 disorders of the biliary tract with cc $18,968 $9,484 $20,142 −6% $23,319 −19%
440 disorders of pancreas except malignancy without cc/mcc $18,870 $9,435 $12,703 +49% $15,183 +24%
084 traumatic stupor and coma >1 hour without cc/mcc $18,797 $9,399 $26,167 −28% $19,924 −6%
389 gastrointestinal obstruction with cc $18,780 $9,390 $16,234 +16% $17,578 +7% ≈150% of Medicare
999 ungroupable $18,716 $9,358 $13,627 +37% $29,674 −37%
187 pleural effusion with cc $18,652 $9,326 $20,440 −9% $21,789 −14%
814 reticuloendothelial and immunity disorders with mcc $18,347 $9,174 $30,326 −40% $33,851 −46%
540 osteomyelitis with cc $18,115 $9,057 $19,990 −9% $26,676 −32%
827 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with cc $17,863 $8,931 $47,048 −62% $50,498 −65%
639 diabetes without cc/mcc $17,769 $8,885 $15,601 +14% $13,910 +28%
203 bronchitis and asthma without cc/mcc $17,582 $8,791 $14,098 +25% $12,252 +43%
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $17,501 $8,751 $14,644 +20% $16,699 +5%
103 headaches without mcc $17,457 $8,728 $23,367 −25% $21,280 −18%
894 alcohol, drug abuse or dependence, left against medical advice $17,416 $8,708 $11,294 +54% $12,324 +41%
315 other circulatory system diagnoses with cc $17,277 $8,638 $20,236 −15% $21,363 −19%
434 cirrhosis and alcoholic hepatitis without cc/mcc $17,251 $8,626 $14,866 +16% $12,460 +38%
641 miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes without mcc $17,163 $8,581 $15,817 +9% $17,038 +1% ≈141% of Medicare
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $16,795 $8,397 $13,002 +29% $16,776 +0%
690 kidney and urinary tract infections without mcc $16,665 $8,333 $16,665 +0% $17,674 −6% ≈127% of Medicare
101 seizures without mcc $16,307 $8,153 $15,777 +3% $20,461 −20%
202 bronchitis and asthma with cc/mcc $16,168 $8,084 $16,255 −1% $17,724 −9%
722 malignancy, male reproductive system with mcc $16,040 $8,020 $25,633 −37% $29,826 −46%
316 other circulatory system diagnoses without cc/mcc $15,994 $7,997 $15,788 +1% $13,651 +17%
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $15,989 $7,995 $14,554 +10% $18,150 −12%
779 abortion without d&c $15,489 $7,744 $11,302 +37% $15,327 +1%
964 other multiple significant trauma with cc $15,337 $7,669 $34,139 −55% $27,394 −44%
601 nonmalignant breast disorders without cc/mcc $14,981 $7,491 $15,731 −5% $10,975 +37%
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $14,960 $7,480 $15,792 −5% $14,716 +2%
192 chronic obstructive pulmonary disease without cc/mcc $14,824 $7,412 $16,076 −8% $14,368 +3%
776 postpartum and postabortion diagnoses without o.r. procedures $14,635 $7,318 $9,835 +49% $12,454 +18%
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $14,554 $7,277 $18,854 −23% $19,842 −27% ≈112% of Medicare
349 anal and stomal procedures without cc/mcc $14,520 $7,260 $18,669 −22% $19,854 −27%
718 other male reproductive system o.r. procedures except malignancy without cc/mcc $14,444 $7,222 $19,183 −25% $19,270 −25%
833 other antepartum diagnoses without o.r. procedures without cc/mcc $14,231 $7,115 $8,048 +77% $9,940 +43%
831 other antepartum diagnoses without o.r. procedures with mcc $13,965 $6,982 $18,133 −23% $18,133 −23%
792 prematurity without major problems $13,556 $6,778 $10,208 +33% $12,229 +11%
194 simple pneumonia and pleurisy with cc $13,518 $6,759 $16,173 −16% $18,204 −26% ≈109% of Medicare
793 full term neonate with major problems $13,482 $6,741 $13,828 −3% $18,649 −28%
375 digestive malignancy with cc $13,141 $6,570 $30,392 −57% $27,277 −52%
390 gastrointestinal obstruction without cc/mcc $13,001 $6,501 $10,472 +24% $13,361 −3%
844 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc $12,890 $6,445 $18,707 −31% $21,847 −41%
594 skin ulcers without cc/mcc $12,754 $6,377 $14,209 −10% $14,209 −10%
694 urinary stones without mcc $12,470 $6,235 $13,336 −6% $17,345 −28%
558 tendonitis, myositis and bursitis without mcc $12,276 $6,138 $19,672 −38% $18,602 −34%
645 endocrine disorders without cc/mcc $12,239 $6,120 $17,762 −31% $15,428 −21%
311 angina pectoris $11,792 $5,896 $14,117 −16% $15,502 −24%
310 cardiac arrhythmia and conduction disorders without cc/mcc $11,791 $5,896 $12,015 −2% $13,384 −12% ≈173% of Medicare
550 septic arthritis without cc/mcc $11,784 $5,892 $17,825 −34% $19,138 −38%
087 traumatic stupor and coma <1 hour without cc/mcc $11,765 $5,882 $14,668 −20% $16,520 −29%
549 septic arthritis with cc $11,059 $5,529 $24,217 −54% $24,056 −54%
541 osteomyelitis without cc/mcc $10,679 $5,340 $14,882 −28% $15,215 −30%
916 allergic reactions without mcc $10,377 $5,188 $13,750 −25% $13,942 −26%
730 other male reproductive system diagnoses without cc/mcc $10,072 $5,036 $11,071 −9% $11,071 −9%
565 other musculoskeletal system and connective tissue diagnoses with cc $10,064 $5,032 $24,135 −58% $22,506 −55%
688 kidney and urinary tract neoplasms without cc/mcc $9,122 $4,561 $17,790 −49% $12,593 −28%
195 simple pneumonia and pleurisy without cc/mcc $8,804 $4,402 $13,910 −37% $13,824 −36%
794 neonate with other significant problems $8,591 $4,295 $5,725 +50% $8,445 +2%
789 neonates, died or transferred to another acute care facility $8,219 $4,109 $21,045 −61% $16,351 −50%
887 other mental disorder diagnoses $7,707 $3,853 $18,631 −59% $20,616 −63%
864 fever and inflammatory conditions $7,677 $3,838 $26,826 −71% $18,640 −59%
554 bone diseases and arthropathies without mcc $7,506 $3,753 $19,424 −61% $18,528 −59%
847 chemotherapy without acute leukemia as secondary diagnosis with cc $6,635 $3,318 $19,686 −66% $23,498 −72%
795 normal newborn $6,344 $3,172 $4,866 +30% $4,720 +34%
951 other factors influencing health status $5,901 $2,951 $11,914 −50% $10,160 −42%
761 menstrual and other female reproductive system disorders without cc/mcc $5,555 $2,777 $9,852 −44% $11,421 −51%
395 other digestive system diagnoses without cc/mcc $5,293 $2,646 $16,504 −68% $14,128 −63%