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 $389,239 +38% $371,366 +44% —
212 concomitant aortic and mitral valve-áprocedures $528,610 $264,305 $312,843 +69% $171,338 +209% —
876 o.r. procedures with principal diagnosis of mental illness $406,806 $203,403 $52,861 +670% $54,196 +651% —
001 heart transplant or implant of heart assist system with mcc $393,323 $196,662 $562,528 −30% $431,073 −9% —
004 tracheostomy with mechanical ventilation >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $370,487 $185,243 $256,977 +44% $245,241 +51% —
974 hiv with major related condition with mcc $323,053 $161,527 $46,103 +601% $46,402 +596% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $321,209 $160,605 $86,544 +271% $76,954 +317% —
276 cardiac defibrillator implant with mcc $302,166 $151,083 $122,027 +148% $117,280 +158% —
215 other heart assist system implant $301,737 $150,868 $201,916 +49% $191,314 +58% —
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $283,975 $141,987 $247,059 +15% $175,437 +62% —
233 coronary bypass with cardiac catheterization or open ablation with mcc $279,948 $139,974 $175,329 +60% $138,868 +102% —
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $279,763 $139,882 $238,993 +17% $143,242 +95% —
867 other infectious and parasitic diseases diagnoses with mcc $238,559 $119,279 $37,707 +533% $36,850 +547% —
231 coronary bypass with ptca with mcc $222,999 $111,500 $156,608 +42% $146,474 +52% —
204 respiratory signs and symptoms $221,101 $110,551 $22,926 +864% $16,866 +1211% —
097 nonbacterial infection of nervous system except viral meningitis with mcc $210,130 $105,065 $49,718 +323% $57,855 +263% —
356 other digestive system o.r. procedures with mcc $197,364 $98,682 $89,159 +121% $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 $160,266 +19% $102,573 +86% —
232 coronary bypass with ptca without mcc $190,829 $95,414 $173,445 +10% $106,238 +80% —
488 knee procedures without principal diagnosis of infection with cc/mcc $182,391 $91,195 $44,644 +309% $41,520 +339% —
870 septicemia or severe sepsis with mechanical ventilation >96 hours $177,309 $88,655 $176,606 +0% $138,008 +28% ≈158% of Medicare
218 cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc $168,950 $84,475 $152,440 +11% $92,238 +83% —
922 other injury, poisoning and toxic effect diagnoses with mcc $167,422 $83,711 $28,798 +481% $29,409 +469% —
907 other o.r. procedures for injuries with mcc $165,732 $82,866 $75,408 +120% $71,701 +131% —
619 o.r. procedures for obesity with mcc $164,997 $82,499 $38,581 +328% $44,973 +267% —
235 coronary bypass without cardiac catheterization with mcc $163,901 $81,951 $142,880 +15% $112,062 +46% —
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $162,283 $81,141 $192,933 −16% $121,714 +33% —
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $154,088 $77,044 $110,658 +39% $86,390 +78% —
545 connective tissue disorders with mcc $152,923 $76,462 $43,431 +252% $39,657 +286% —
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $146,829 $73,415 $61,206 +140% $68,006 +116% —
269 aortic and heart assist procedures except pulsation balloon without mcc $144,751 $72,376 $109,299 +32% $83,065 +74% —
236 coronary bypass without cardiac catheterization without mcc $144,405 $72,202 $104,981 +38% $82,247 +76% —
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $139,848 $69,924 $51,761 +170% $60,861 +130% —
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 $197,899 −30% $131,961 +5% —
987 nonextensive o.r. procedures unrelated to principal diagnosis with mcc $137,048 $68,524 $69,526 +97% $65,383 +110% —
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $135,090 $67,545 $73,103 +85% $78,582 +72% —
799 splenectomy with mcc $130,997 $65,499 $76,574 +71% $78,821 +66% —
252 other vascular procedures with mcc $127,502 $63,751 $75,832 +68% $68,508 +86% —
902 wound debridements for injuries with cc $127,099 $63,549 $41,665 +205% $35,459 +258% —
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $125,337 $62,669 $124,741 +0% $102,177 +23% —
270 other major cardiovascular procedures with mcc $123,964 $61,982 $115,907 +7% $99,423 +25% —
323 coronary intravascular lithotripsy with intraluminal device with mcc $123,006 $61,503 $112,108 +10% $88,049 +40% —
037 extracranial procedures with mcc $116,727 $58,364 $89,423 +31% $64,749 +80% —
242 permanent cardiac pacemaker implant with mcc $116,100 $58,050 $69,584 +67% $70,132 +66% —
164 major chest procedures with cc $115,898 $57,949 $67,197 +72% $53,141 +118% —
239 amputation for circulatory system disorders except upper limb and toe with mcc $111,129 $55,565 $91,116 +22% $87,565 +27% —
207 respiratory system diagnosis with ventilator support >96 hours $111,107 $55,553 $114,669 −3% $116,058 −4% —
790 extreme immaturity or respiratory distress syndrome, neonate $110,497 $55,249 $80,018 +38% $80,018 +38% —
253 other vascular procedures with cc $104,409 $52,204 $56,289 +85% $53,746 +94% —
163 major chest procedures with mcc $102,700 $51,350 $90,851 +13% $88,341 +16% —
853 infectious and parasitic diseases with o.r. procedures with mcc $102,334 $51,167 $92,416 +11% $87,018 +18% ≈134% of Medicare
271 other major cardiovascular procedures with cc $101,158 $50,579 $68,489 +48% $71,014 +42% —
466 revision of hip or knee replacement with mcc $100,750 $50,375 $94,394 +7% $96,222 +5% —
055 nervous system neoplasms without mcc $100,420 $50,210 $20,673 +386% $19,868 +405% —
279 ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc $98,356 $49,178 $65,588 +50% $57,277 +72% —
165 major chest procedures without cc/mcc $91,715 $45,857 $57,095 +61% $41,380 +122% —
288 acute and subacute endocarditis with mcc $91,710 $45,855 $45,238 +103% $45,497 +102% —
228 other cardiothoracic procedures with mcc $91,673 $45,836 $111,145 −18% $96,905 −5% —
277 cardiac defibrillator implant without mcc $91,305 $45,652 $102,350 −11% $91,329 −0% —
266 endovascular cardiac valve replacement and supplement procedures with mcc $88,968 $44,484 $165,478 −46% $113,855 −22% ≈82% of Medicare
335 peritoneal adhesiolysis with mcc $87,042 $43,521 $82,458 +6% $71,755 +21% —
330 major small and large bowel procedures with cc $87,041 $43,520 $55,088 +58% $58,832 +48% —
329 major small and large bowel procedures with mcc $85,504 $42,752 $75,766 +13% $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 $83,892 +2% $56,695 +51% —
551 medical back problems with mcc $84,668 $42,334 $33,102 +156% $31,086 +172% —
325 coronary intravascular lithotripsy without intraluminal device $83,672 $41,836 $72,297 +16% $53,551 +56% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $83,277 $41,638 $28,893 +188% $33,165 +151% —
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 $142,453 −42% $92,217 −11% ≈102% of Medicare
260 cardiac pacemaker revision except device replacement with mcc $81,913 $40,956 $83,715 −2% $67,901 +21% —
823 lymphoma and nonacute leukemia with other procedures with mcc $80,874 $40,437 $89,295 −9% $80,885 −0% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $80,690 $40,345 $84,121 −4% $74,257 +9% —
486 knee procedures with principal diagnosis of infection with cc $78,754 $39,377 $49,467 +59% $46,477 +69% —
570 skin debridement with mcc $77,984 $38,992 $42,263 +85% $52,435 +49% —
659 kidney and ureter procedures for non-neoplasm with mcc $77,486 $38,743 $43,429 +78% $48,094 +61% —
261 cardiac pacemaker revision except device replacement with cc $76,466 $38,233 $44,442 +72% $42,126 +82% —
167 other respiratory system o.r. procedures with cc $75,766 $37,883 $41,820 +81% $40,563 +87% —
240 amputation for circulatory system disorders except upper limb and toe with cc $75,714 $37,857 $54,475 +39% $54,475 +39% —
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $74,767 $37,383 $50,041 +49% $39,018 +92% —
749 other female reproductive system o.r. procedures with cc/mcc $73,840 $36,920 $42,815 +72% $41,703 +77% —
750 other female reproductive system o.r. procedures without cc/mcc $73,778 $36,889 $19,930 +270% $23,920 +208% —
503 foot procedures with mcc $73,497 $36,749 $58,830 +25% $43,901 +67% —
374 digestive malignancy with mcc $72,776 $36,388 $38,075 +91% $38,885 +87% —
173 ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism $72,112 $36,056 $67,085 +7% $53,555 +35% —
272 other major cardiovascular procedures without cc/mcc $71,980 $35,990 $46,501 +55% $55,162 +30% —
956 limb reattachment, hip and femur procedures for multiple significant trauma $70,373 $35,186 $55,689 +26% $75,103 −6% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $69,374 $34,687 $76,734 −10% $74,274 −7% ≈151% of Medicare
480 hip and femur procedures except major joint with mcc $68,737 $34,369 $64,529 +7% $63,984 +7% ≈163% of Medicare
149 dysequilibrium $68,665 $34,333 $23,926 +187% $17,203 +299% —
500 soft tissue procedures with mcc $68,470 $34,235 $53,498 +28% $57,479 +19% —
841 lymphoma and nonacute leukemia with cc $68,382 $34,191 $30,877 +121% $31,059 +120% —
421 hepatobiliary diagnostic procedures with cc $68,328 $34,164 $54,499 +25% $36,333 +88% —
336 peritoneal adhesiolysis with cc $67,322 $33,661 $44,395 +52% $49,470 +36% —
350 inguinal and femoral hernia procedures with mcc $66,902 $33,451 $66,902 +0% $46,591 +44% —
251 percutaneous cardiovascular procedures without coronary artery stent without mcc $66,777 $33,388 $42,413 +57% $41,380 +61% —
467 revision of hip or knee replacement with cc $66,346 $33,173 $73,275 −9% $68,880 −4% —
616 amputation of lower limb for endocrine, nutritional, and metabolic disorders with mcc $66,247 $33,123 $53,357 +24% $62,961 +5% —
168 other respiratory system o.r. procedures without cc/mcc $65,736 $32,868 $39,268 +67% $28,527 +130% —
477 biopsies of musculoskeletal system and connective tissue with mcc $65,551 $32,775 $76,169 −14% $62,269 +5% —
620 o.r. procedures for obesity with cc $65,526 $32,763 $37,027 +77% $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 $34,120 +91% $36,280 +80% —
769 postpartum and postabortion diagnoses with o.r. procedures $65,116 $32,558 $21,228 +207% $24,561 +165% —
504 foot procedures with cc $65,059 $32,530 $29,220 +123% $36,598 +78% —
386 inflammatory bowel disease with cc $65,026 $32,513 $19,528 +233% $20,968 +210% —
560 aftercare, musculoskeletal system and connective tissue with cc $64,498 $32,249 $27,156 +138% $24,452 +164% —
035 carotid artery stent procedures with cc $64,212 $32,106 $61,008 +5% $46,430 +38% —
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 $43,479 +45% $33,694 +87% —
481 hip and femur procedures except major joint with cc $62,249 $31,125 $53,106 +17% $51,172 +22% ≈199% of Medicare
673 other kidney and urinary tract procedures with mcc $62,113 $31,056 $77,589 −20% $72,945 −15% —
397 appendix procedures with mcc $62,102 $31,051 $52,457 +18% $52,319 +19% —
357 other digestive system o.r. procedures with cc $61,757 $30,878 $62,284 −1% $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 $52,634 +17% $56,519 +9% ≈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 $67,154 −9% $72,782 −16% —
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $60,850 $30,425 $39,545 +54% $43,538 +40% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $60,678 $30,339 $58,553 +4% $51,985 +17% —
080 nontraumatic stupor and coma with mcc $60,558 $30,279 $28,993 +109% $35,139 +72% —
501 soft tissue procedures with cc $60,554 $30,277 $45,517 +33% $37,975 +59% —
322 percutaneous cardiovascular procedures with intraluminal device without mcc $60,385 $30,193 $59,784 +1% $54,772 +10% ≈213% of Medicare
320 other endovascular cardiac valve procedures without mcc $60,206 $30,103 $57,963 +4% $36,080 +67% —
835 acute leukemia without major o.r. procedures with cc $60,168 $30,084 $41,313 +46% $35,569 +69% —
658 kidney and ureter procedures for neoplasm without cc/mcc $59,291 $29,645 $38,106 +56% $35,528 +67% —
180 respiratory neoplasms with mcc $59,121 $29,561 $40,315 +47% $36,658 +61% ≈204% of Medicare
656 kidney and ureter procedures for neoplasm with mcc $58,768 $29,384 $64,465 −9% $64,465 −9% —
669 transurethral procedures with cc $58,761 $29,380 $47,653 +23% $34,354 +71% —
328 stomach, esophageal and duodenal procedures without cc/mcc $58,392 $29,196 $46,229 +26% $35,375 +65% —
082 traumatic stupor and coma >1 hour with mcc $57,834 $28,917 $33,308 +74% $36,237 +60% —
331 major small and large bowel procedures without cc/mcc $57,571 $28,785 $42,815 +34% $44,117 +30% —
057 degenerative nervous system disorders without mcc $57,312 $28,656 $29,561 +94% $25,426 +125% —
698 other kidney and urinary tract diagnoses with mcc $57,053 $28,527 $30,494 +87% $30,058 +90% ≈205% of Medicare
516 other musculoskeletal system and connective tissue o.r. procedures with cc $56,651 $28,326 $46,090 +23% $45,817 +24% —
175 pulmonary embolism with mcc or acute cor pulmonale $56,536 $28,268 $33,894 +67% $29,757 +90% —
326 stomach, esophageal and duodenal procedures with mcc $56,340 $28,170 $80,701 −30% $80,747 −30% —
654 major bladder procedures with cc $56,124 $28,062 $50,400 +11% $53,868 +4% —
492 lower extremity and humerus procedures except hip, foot, femur with mcc $55,283 $27,641 $78,651 −30% $70,540 −22% —
380 complicated peptic ulcer with mcc $55,126 $27,563 $33,696 +64% $36,641 +50% —
502 soft tissue procedures without cc/mcc $55,085 $27,542 $39,215 +40% $30,006 +84% —
371 major gastrointestinal disorders and peritoneal infections with mcc $54,742 $27,371 $36,341 +51% $31,758 +72% —
181 respiratory neoplasms with cc $54,446 $27,223 $27,871 +95% $22,431 +143% —
324 coronary intravascular lithotripsy with intraluminal device without mcc $54,243 $27,121 $91,834 −41% $66,819 −19% —
256 upper limb and toe amputation for circulatory system disorders with cc $54,118 $27,059 $26,332 +106% $29,729 +82% —
857 postoperative or posttraumatic infections with o.r. procedures with cc $53,676 $26,838 $42,315 +27% $41,900 +28% —
856 postoperative or posttraumatic infections with o.r. procedures with mcc $53,248 $26,624 $63,580 −16% $72,859 −27% —
058 multiple sclerosis and cerebellar ataxia with mcc $53,156 $26,578 $27,853 +91% $29,609 +80% —
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $52,849 $26,425 $33,306 +59% $44,989 +17% —
665 prostatectomy with mcc $52,765 $26,383 $50,174 +5% $54,072 −2% —
537 sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc $52,597 $26,299 $24,565 +114% $16,352 +222% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $52,499 $26,250 $24,215 +117% $25,243 +108% —
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $52,319 $26,160 $45,967 +14% $49,197 +6% —
957 other o.r. procedures for multiple significant trauma with mcc $51,293 $25,647 $108,019 −53% $120,587 −57% —
274 percutaneous and other intracardiac procedures without mcc $51,229 $25,615 $87,436 −41% $65,573 −22% ≈103% of Medicare
418 laparoscopic cholecystectomy without c.d.e. with cc $51,225 $25,613 $32,818 +56% $42,119 +22% —
393 other digestive system diagnoses with mcc $51,152 $25,576 $30,510 +68% $32,689 +56% —
417 laparoscopic cholecystectomy without c.d.e. with mcc $50,973 $25,487 $41,196 +24% $52,313 −3% —
347 anal and stomal procedures with mcc $50,853 $25,427 $49,639 +2% $40,548 +25% —
073 cranial and peripheral nerve disorders with mcc $50,807 $25,403 $29,289 +73% $28,252 +80% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $50,362 $25,181 $34,886 +44% $35,114 +43% —
368 major esophageal disorders with mcc $50,344 $25,172 $32,526 +55% $33,607 +50% —
493 lower extremity and humerus procedures except hip, foot, femur with cc $49,832 $24,916 $54,832 −9% $56,394 −12% —
801 splenectomy without cc/mcc $49,748 $24,874 $41,456 +20% $28,634 +74% —
668 transurethral procedures with mcc $49,739 $24,870 $49,739 +0% $47,277 +5% —
306 cardiac congenital and valvular disorders with mcc $49,627 $24,813 $28,689 +73% $24,450 +103% —
521 hip replacement with principal diagnosis of hip fracture with mcc $49,560 $24,780 $63,485 −22% $67,764 −27% —
663 minor bladder procedures with cc $49,231 $24,615 $29,153 +69% $29,924 +65% —
064 intracranial hemorrhage or cerebral infarction with mcc $48,885 $24,443 $41,480 +18% $35,714 +37% ≈155% of Medicare
283 acute myocardial infarction, expired with mcc $48,747 $24,373 $31,582 +54% $35,014 +39% —
327 stomach, esophageal and duodenal procedures with cc $47,926 $23,963 $49,647 −3% $54,824 −13% —
592 skin ulcers with mcc $47,908 $23,954 $29,882 +60% $32,662 +47% —
250 percutaneous cardiovascular procedures without coronary artery stent with mcc $47,662 $23,831 $55,306 −14% $51,339 −7% —
708 major male pelvic procedures without cc/mcc $47,588 $23,794 $33,198 +43% $32,911 +45% —
696 kidney and urinary tract signs and symptoms without mcc $47,574 $23,787 $13,500 +252% $14,441 +229% —
657 kidney and ureter procedures for neoplasm with cc $47,438 $23,719 $39,277 +21% $40,583 +17% —
229 other cardiothoracic procedures without mcc $47,436 $23,718 $79,460 −40% $65,325 −27% —
307 cardiac congenital and valvular disorders without mcc $47,409 $23,705 $18,323 +159% $18,608 +155% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $47,249 $23,625 $46,757 +1% $45,059 +5% —
742 uterine and adnexa procedures for nonmalignancy with cc/mcc $47,029 $23,514 $27,369 +72% $40,552 +16% —
146 ear, nose, mouth and throat malignancy with mcc $46,713 $23,356 $47,803 −2% $37,080 +26% —
286 circulatory disorders except acute myocardial infarction, with cardiac catheterization with mcc $46,658 $23,329 $44,619 +5% $44,600 +5% ≈137% of Medicare
091 other disorders of nervous system with mcc $46,601 $23,300 $32,429 +44% $36,375 +28% —
580 other skin, subcutaneous tissue and breast procedures with cc $46,459 $23,230 $34,662 +34% $36,242 +28% —
358 other digestive system o.r. procedures without cc/mcc $46,268 $23,134 $28,020 +65% $29,374 +58% —
854 infectious and parasitic diseases with o.r. procedures with cc $46,118 $23,059 $38,023 +21% $43,524 +6% ≈139% of Medicare
208 respiratory system diagnosis with ventilator support < = 96 hours $46,113 $23,057 $54,297 −15% $52,405 −12% ≈94% of Medicare
757 infections, female reproductive system with mcc $45,893 $22,947 $21,563 +113% $23,734 +93% —
824 lymphoma and nonacute leukemia with other procedures with cc $45,855 $22,928 $45,690 +0% $38,382 +19% —
432 cirrhosis and alcoholic hepatitis with mcc $45,746 $22,873 $49,473 −8% $36,933 +24% —
205 other respiratory system diagnoses with mcc $45,516 $22,758 $27,695 +64% $32,204 +41% —
398 appendix procedures with cc $45,432 $22,716 $40,924 +11% $39,107 +16% —
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 $47,618 −5% $37,064 +22% —
539 osteomyelitis with mcc $44,955 $22,477 $45,071 −0% $33,746 +33% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $44,511 $22,256 $48,438 −8% $65,254 −32% —
686 kidney and urinary tract neoplasms with mcc $44,511 $22,256 $41,587 +7% $32,981 +35% —
095 bacterial and tuberculous infections of nervous system with cc $44,153 $22,077 $59,209 −25% $47,583 −7% —
077 hypertensive encephalopathy with mcc $43,461 $21,730 $35,852 +21% $24,036 +81% —
353 hernia procedures except inguinal and femoral with mcc $43,344 $21,672 $51,577 −16% $60,140 −28% —
725 benign prostatic hypertrophy with mcc $43,167 $21,584 $19,581 +120% $19,894 +117% —
354 hernia procedures except inguinal and femoral with cc $43,140 $21,570 $40,400 +7% $43,266 −0% —
791 prematurity with major problems $42,974 $21,487 $49,057 −12% $39,563 +9% —
670 transurethral procedures without cc/mcc $42,929 $21,464 $18,223 +136% $20,371 +111% —
351 inguinal and femoral hernia procedures with cc $42,928 $21,464 $37,278 +15% $33,792 +27% —
840 lymphoma and nonacute leukemia with mcc $42,887 $21,443 $44,584 −4% $49,710 −14% —
070 nonspecific cerebrovascular disorders with mcc $42,025 $21,013 $25,761 +63% $30,814 +36% —
319 other endovascular cardiac valve procedures with mcc $41,917 $20,959 $87,760 −52% $75,585 −45% —
617 amputation of lower limb for endocrine, nutritional, and metabolic disorders with cc $41,821 $20,910 $38,934 +7% $42,881 −2% —
444 disorders of the biliary tract with mcc $41,730 $20,865 $34,124 +22% $31,128 +34% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $41,615 $20,807 $28,958 +44% $29,633 +40% —
029 spinal procedures with cc or spinal neurostimulators $41,555 $20,777 $60,497 −31% $64,152 −35% —
553 bone diseases and arthropathies with mcc $41,368 $20,684 $27,100 +53% $23,956 +73% —
337 peritoneal adhesiolysis without cc/mcc $41,295 $20,647 $32,884 +26% $36,239 +14% —
917 poisoning and toxic effects of drugs with mcc $41,203 $20,602 $30,645 +34% $28,134 +46% —
099 nonbacterial infection of nervous system except viral meningitis without cc/mcc $40,941 $20,471 $36,948 +11% $25,666 +60% —
313 chest pain $40,755 $20,378 $20,854 +95% $15,962 +155% —
177 respiratory infections and inflammations with mcc $40,675 $20,338 $34,944 +16% $31,840 +28% ≈152% of Medicare
494 lower extremity and humerus procedures except hip, foot, femur without cc/mcc $40,556 $20,278 $38,192 +6% $45,963 −12% —
314 other circulatory system diagnoses with mcc $40,338 $20,169 $33,498 +20% $38,357 +5% ≈127% of Medicare
557 tendonitis, myositis and bursitis with mcc $40,030 $20,015 $26,780 +49% $28,646 +40% —
312 syncope and collapse $40,003 $20,001 $23,545 +70% $19,342 +107% —
438 disorders of pancreas except malignancy with mcc $39,977 $19,989 $25,581 +56% $32,502 +23% —
415 cholecystectomy except by laparoscope without c.d.e. with cc $39,885 $19,943 $32,506 +23% $43,398 −8% —
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $39,815 $19,908 $28,079 +42% $23,469 +70% ≈247% of Medicare
755 malignancy, female reproductive system with cc $39,773 $19,886 $21,186 +88% $18,459 +115% —
472 cervical spinal fusion with cc $39,638 $19,819 $59,171 −33% $59,537 −33% —
100 seizures with mcc $39,620 $19,810 $31,211 +27% $35,194 +13% —
597 malignant breast disorders with mcc $39,267 $19,633 $35,093 +12% $31,846 +23% —
908 other o.r. procedures for injuries with cc $38,919 $19,459 $40,387 −4% $41,660 −7% —
186 pleural effusion with mcc $38,882 $19,441 $30,373 +28% $32,468 +20% —
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $38,759 $19,380 $30,820 +26% $34,887 +11% —
505 foot procedures without cc/mcc $38,313 $19,157 $25,972 +48% $31,716 +21% —
377 gastrointestinal hemorrhage with mcc $38,041 $19,021 $38,268 −1% $37,842 +1% ≈133% of Medicare
920 complications of treatment with cc $37,733 $18,866 $23,173 +63% $21,181 +78% —
546 connective tissue disorders with cc $37,534 $18,767 $31,617 +19% $24,202 +55% —
919 complications of treatment with mcc $37,346 $18,673 $26,862 +39% $29,031 +29% —
842 lymphoma and nonacute leukemia without cc/mcc $37,222 $18,611 $24,574 +51% $17,550 +112% —
352 inguinal and femoral hernia procedures without cc/mcc $37,061 $18,531 $30,251 +23% $25,162 +47% —
299 peripheral vascular disorders with mcc $36,771 $18,386 $36,771 +0% $25,731 +43% —
078 hypertensive encephalopathy with cc $36,754 $18,377 $31,817 +16% $17,434 +111% —
071 nonspecific cerebrovascular disorders with cc $36,528 $18,264 $21,138 +73% $23,396 +56% —
599 malignant breast disorders without cc/mcc $36,459 $18,230 $18,080 +102% $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 $30,390 +18% $28,967 +24% ≈143% of Medicare
818 other antepartum diagnoses with o.r. procedures with cc $35,928 $17,964 $31,637 +14% $24,316 +48% —
862 postoperative and posttraumatic infections with mcc $35,821 $17,911 $32,602 +10% $30,394 +18% —
254 other vascular procedures without cc/mcc $35,744 $17,872 $47,265 −24% $38,836 −8% —
598 malignant breast disorders with cc $35,565 $17,782 $20,485 +74% $19,073 +86% —
723 malignancy, male reproductive system with cc $35,548 $17,774 $19,179 +85% $19,317 +84% —
682 renal failure with mcc $35,451 $17,726 $24,994 +42% $27,854 +27% ≈142% of Medicare
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $35,433 $17,717 $36,561 −3% $30,930 +15% —
637 diabetes with mcc $35,352 $17,676 $26,438 +34% $28,819 +23% —
478 biopsies of musculoskeletal system and connective tissue with cc $35,214 $17,607 $38,036 −7% $50,139 −30% —
746 vagina, cervix and vulva procedures with cc/mcc $35,003 $17,502 $28,382 +23% $29,916 +17% —
069 transient ischemia without thrombolytic $34,949 $17,475 $24,940 +40% $20,278 +72% —
796 vaginal delivery with sterilization and/or d&c with mcc $34,818 $17,409 $24,581 +42% $22,557 +54% —
644 endocrine disorders with cc $34,755 $17,378 $24,428 +42% $22,941 +51% —
372 major gastrointestinal disorders and peritoneal infections with cc $34,749 $17,375 $20,158 +72% $22,850 +52% —
674 other kidney and urinary tract procedures with cc $34,744 $17,372 $42,884 −19% $49,631 −30% —
571 skin debridement with cc $34,705 $17,352 $37,246 −7% $34,901 −1% —
468 revision of hip or knee replacement without cc/mcc $34,682 $17,341 $49,222 −30% $54,929 −37% —
199 pneumothorax with mcc $34,662 $17,331 $29,170 +19% $31,491 +10% —
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $34,548 $17,274 $53,594 −36% $48,680 −29% —
582 mastectomy for malignancy with cc/mcc $34,503 $17,252 $30,024 +15% $34,264 +1% —
552 medical back problems without mcc $34,061 $17,030 $21,141 +61% $21,213 +61% —
595 major skin disorders with mcc $33,836 $16,918 $37,345 −9% $31,785 +6% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $33,770 $16,885 $27,007 +25% $27,244 +24% —
666 prostatectomy with cc $33,770 $16,885 $33,815 −0% $30,016 +13% —
858 postoperative or posttraumatic infections with o.r. procedures without cc/mcc $33,422 $16,711 $29,484 +13% $23,924 +40% —
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 $24,838 +34% $21,886 +52% ≈233% of Medicare
388 gastrointestinal obstruction with mcc $33,139 $16,569 $27,615 +20% $28,780 +15% —
871 septicemia or severe sepsis without mechanical ventilation >96 hours with mcc $33,077 $16,539 $35,115 −6% $35,237 −6% ≈97% of Medicare
604 trauma to the skin, subcutaneous tissue and breast with mcc $32,810 $16,405 $26,971 +22% $28,140 +17% —
811 red blood cell disorders with mcc $32,718 $16,359 $28,682 +14% $27,934 +17% —
786 cesarean section without sterilization with mcc $32,658 $16,329 $25,044 +30% $27,118 +20% —
056 degenerative nervous system disorders with mcc $32,395 $16,198 $42,202 −23% $39,409 −18% —
184 major chest trauma with cc $32,323 $16,161 $18,219 +77% $20,842 +55% —
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $32,297 $16,148 $32,919 −2% $36,334 −11% —
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $32,251 $16,126 $31,148 +4% $33,137 −3% —
153 otitis media and upper respiratory infection without mcc $32,158 $16,079 $13,277 +142% $14,473 +122% —
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $32,146 $16,073 $22,707 +42% $22,032 +46% —
787 cesarean section without sterilization with cc $32,136 $16,068 $24,974 +29% $23,571 +36% —
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $32,125 $16,062 $26,307 +22% $30,275 +6% —
596 major skin disorders without mcc $32,025 $16,013 $17,226 +86% $17,226 +86% —
200 pneumothorax with cc $31,768 $15,884 $25,705 +24% $20,573 +54% —
086 traumatic stupor and coma <1 hour with cc $31,747 $15,873 $23,278 +36% $23,115 +37% —
441 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with mcc $31,582 $15,791 $27,729 +14% $32,399 −3% —
689 kidney and urinary tract infections with mcc $31,562 $15,781 $20,718 +52% $22,982 +37% ≈169% of Medicare
886 behavioral and developmental disorders $31,532 $15,766 $24,172 +30% $24,836 +27% —
687 kidney and urinary tract neoplasms with cc $31,417 $15,709 $16,903 +86% $18,478 +70% —
183 major chest trauma with mcc $31,369 $15,685 $23,796 +32% $28,924 +8% —
292 heart failure and shock with cc $31,279 $15,639 $19,303 +62% $16,212 +93% —
244 permanent cardiac pacemaker implant without cc/mcc $31,270 $15,635 $44,198 −29% $40,063 −22% —
868 other infectious and parasitic diseases diagnoses with cc $31,266 $15,633 $18,889 +66% $22,231 +41% —
602 cellulitis with mcc $30,736 $15,368 $27,789 +11% $29,347 +5% —
436 malignancy of hepatobiliary system or pancreas with cc $30,712 $15,356 $21,786 +41% $24,017 +28% —
819 other antepartum diagnoses with o.r. procedures without cc/mcc $30,663 $15,331 $22,448 +37% $17,928 +71% —
660 kidney and ureter procedures for non-neoplasm with cc $30,656 $15,328 $24,370 +26% $30,358 +1% ≈144% of Medicare
788 cesarean section without sterilization without cc/mcc $30,523 $15,261 $22,795 +34% $20,084 +52% —
559 aftercare, musculoskeletal system and connective tissue with mcc $30,389 $15,194 $29,800 +2% $30,974 −2% —
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 $21,782 +38% $22,560 +34% —
783 cesarean section with sterilization with mcc $30,153 $15,076 $25,515 +18% $28,375 +6% —
885 psychoses $29,997 $14,998 $21,489 +40% $21,489 +40% ≈136% of Medicare
760 menstrual and other female reproductive system disorders with cc/mcc $29,982 $14,991 $21,346 +40% $18,282 +64% —
915 allergic reactions with mcc $29,886 $14,943 $25,750 +16% $30,944 −3% —
152 otitis media and upper respiratory infection with mcc $29,796 $14,898 $21,226 +40% $19,795 +51% —
743 uterine and adnexa procedures for nonmalignancy without cc/mcc $29,743 $14,871 $27,377 +9% $27,369 +9% —
713 transurethral prostatectomy with cc/mcc $29,625 $14,813 $28,811 +3% $29,663 −0% —
291 heart failure and shock with mcc $29,619 $14,810 $26,231 +13% $25,020 +18% ≈140% of Medicare
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $29,611 $14,806 $27,447 +8% $33,424 −11% —
482 hip and femur procedures except major joint without cc/mcc $29,598 $14,799 $39,285 −25% $39,747 −26% —
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% $19,815 +49% —
881 depressive neuroses $29,532 $14,766 $15,058 +96% $15,058 +96% —
671 urethral procedures with cc/mcc $29,514 $14,757 $26,412 +12% $27,233 +8% —
394 other digestive system diagnoses with cc $29,507 $14,754 $20,595 +43% $18,918 +56% —
039 extracranial procedures without cc/mcc $29,463 $14,732 $31,640 −7% $25,267 +17% —
287 circulatory disorders except acute myocardial infarction, with cardiac catheterization without mcc $29,441 $14,721 $30,745 −4% $31,190 −6% ≈179% of Medicare
797 vaginal delivery with sterilization and/or d&c with cc $29,318 $14,659 $21,046 +39% $19,001 +54% —
817 other antepartum diagnoses with o.r. procedures with mcc $29,291 $14,646 $31,159 −6% $36,097 −19% —
305 hypertension without mcc $29,201 $14,600 $24,338 +20% $17,144 +70% —
593 skin ulcers with cc $29,095 $14,547 $24,087 +21% $20,470 +42% —
514 hand or wrist procedures, except major thumb or joint procedures without cc/mcc $28,977 $14,488 $18,052 +61% $20,080 +44% —
699 other kidney and urinary tract diagnoses with cc $28,852 $14,426 $19,401 +49% $20,732 +39% —
259 cardiac pacemaker device replacement without mcc $28,801 $14,400 $43,498 −34% $35,673 −19% —
196 interstitial lung disease with mcc $28,734 $14,367 $31,341 −8% $30,766 −7% —
303 atherosclerosis without mcc $28,621 $14,310 $18,920 +51% $14,927 +92% —
355 hernia procedures except inguinal and femoral without cc/mcc $28,483 $14,242 $28,482 +0% $31,978 −11% —
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $28,382 $14,191 $27,614 +3% $32,839 −14% —
379 gastrointestinal hemorrhage without cc/mcc $28,371 $14,185 $20,210 +40% $14,134 +101% —
369 major esophageal disorders with cc $28,355 $14,177 $26,899 +5% $22,713 +25% —
921 complications of treatment without cc/mcc $28,341 $14,171 $14,264 +99% $14,012 +102% —
535 fractures of hip and pelvis with mcc $28,327 $14,164 $25,858 +10% $23,350 +21% —
074 cranial and peripheral nerve disorders without mcc $28,105 $14,052 $25,890 +9% $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 $31,758 −12% $31,062 −10% —
883 disorders of personality and impulse control $27,789 $13,895 $27,256 +2% $22,698 +22% —
443 disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis without cc/mcc $27,691 $13,846 $18,925 +46% $15,600 +78% —
661 kidney and ureter procedures for non-neoplasm without cc/mcc $27,384 $13,692 $20,291 +35% $24,022 +14% —
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $27,313 $13,657 $17,733 +54% $23,496 +16% —
536 fractures of hip and pelvis without mcc $27,272 $13,636 $18,887 +44% $18,002 +51% —
281 acute myocardial infarction, discharged alive with cc $27,186 $13,593 $24,971 +9% $20,463 +33% ≈201% of Medicare
564 other musculoskeletal system and connective tissue diagnoses with mcc $27,147 $13,573 $30,064 −10% $32,936 −18% —
884 organic disturbances and intellectual disability $27,020 $13,510 $23,378 +16% $25,208 +7% —
387 inflammatory bowel disease without cc/mcc $26,932 $13,466 $15,055 +79% $14,880 +81% —
038 extracranial procedures with cc $26,916 $13,458 $39,339 −32% $35,770 −25% —
918 poisoning and toxic effects of drugs without mcc $26,724 $13,362 $14,675 +82% $15,045 +78% —
643 endocrine disorders with mcc $26,684 $13,342 $27,741 −4% $32,996 −19% —
605 trauma to the skin, subcutaneous tissue & breast without mcc $26,655 $13,328 $17,652 +51% $19,287 +38% —
308 cardiac arrhythmia and conduction disorders with mcc $26,621 $13,310 $24,934 +7% $26,488 +0% ≈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 $51,101 −48% $57,149 −54% —
815 reticuloendothelial and immunity disorders with cc $26,425 $13,213 $19,264 +37% $18,017 +47% —
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 $27,097 −3% $30,314 −14% —
579 other skin, subcutaneous tissue and breast procedures with mcc $26,165 $13,082 $52,030 −50% $54,129 −52% —
534 fractures of femur without mcc $26,155 $13,078 $21,585 +21% $17,195 +52% —
123 neurological eye disorders $25,920 $12,960 $24,443 +6% $17,831 +45% —
638 diabetes with cc $25,760 $12,880 $20,074 +28% $18,821 +37% —
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 $22,446 +13% $18,428 +38% —
975 hiv with major related condition with cc $25,319 $12,659 $25,117 +1% $25,010 +1% —
282 acute myocardial infarction, discharged alive without cc/mcc $25,247 $12,624 $19,367 +30% $18,623 +36% —
066 intracranial hemorrhage or cerebral infarction without cc/mcc $25,098 $12,549 $22,530 +11% $19,483 +29% ≈274% of Medicare
813 coagulation disorders $25,045 $12,523 $32,291 −22% $30,128 −17% —
872 septicemia or severe sepsis without mechanical ventilation >96 hours without mcc $24,901 $12,451 $18,541 +34% $22,781 +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% $54,313 −54% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $24,650 $12,325 $39,369 −37% $44,553 −45% —
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 $13,737 +79% $18,238 +35% —
148 ear, nose, mouth and throat malignancy without cc/mcc $24,592 $12,296 $24,592 +0% $13,586 +81% —
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $24,409 $12,205 $23,338 +5% $23,723 +3% —
092 other disorders of nervous system with cc $24,136 $12,068 $27,612 −13% $24,136 +0% —
072 nonspecific cerebrovascular disorders without cc/mcc $23,964 $11,982 $23,908 +0% $16,654 +44% —
197 interstitial lung disease with cc $23,957 $11,978 $25,701 −7% $20,106 +19% —
346 minor small and large bowel procedures without cc/mcc $23,753 $11,876 $19,357 +23% $26,146 −9% —
300 peripheral vascular disorders with cc $23,733 $11,866 $22,925 +4% $19,579 +21% —
607 minor skin disorders without mcc $23,338 $11,669 $19,884 +17% $15,284 +53% —
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 $22,519 +3% $21,029 +11% —
914 traumatic injury without mcc $22,867 $11,434 $16,946 +35% $15,593 +47% —
728 inflammation of the male reproductive system without mcc $22,861 $11,430 $13,799 +66% $16,837 +36% —
880 acute adjustment reaction and psychosocial dysfunction $22,842 $11,421 $19,792 +15% $15,636 +46% —
683 renal failure with cc $22,839 $11,419 $20,765 +10% $18,620 +23% ≈157% of Medicare
304 hypertension with mcc $22,816 $11,408 $30,162 −24% $24,185 −6% —
201 pneumothorax without cc/mcc $22,741 $11,370 $13,089 +74% $13,081 +74% —
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $22,680 $11,340 $26,717 −15% $29,211 −22% —
193 simple pneumonia and pleurisy with mcc $22,641 $11,321 $24,801 −9% $26,158 −13% ≈109% of Medicare
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $22,552 $11,276 $14,681 +54% $17,322 +30% ≈190% of Medicare
385 inflammatory bowel disease with mcc $22,546 $11,273 $24,282 −7% $26,020 −13% —
603 cellulitis without mcc $22,391 $11,195 $16,168 +38% $18,530 +21% —
664 minor bladder procedures without cc/mcc $22,358 $11,179 $24,070 −7% $18,126 +23% —
190 chronic obstructive pulmonary disease with mcc $22,279 $11,139 $21,554 +3% $24,190 −8% —
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% $13,090 +70% —
093 other disorders of nervous system without cc/mcc $22,242 $11,121 $19,993 +11% $17,522 +27% —
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $22,212 $11,106 $15,777 +41% $17,103 +30% —
309 cardiac arrhythmia and conduction disorders with cc $22,191 $11,095 $22,237 −0% $16,865 +32% ≈204% of Medicare
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $22,187 $11,093 $41,155 −46% $35,692 −38% —
446 disorders of the biliary tract without cc/mcc $22,083 $11,041 $19,221 +15% $17,700 +25% —
176 pulmonary embolism without mcc $21,954 $10,977 $21,913 +0% $18,081 +21% —
640 miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes with mcc $21,885 $10,942 $24,142 −9% $24,480 −11% ≈100% of Medicare
189 pulmonary edema and respiratory failure $21,525 $10,763 $24,336 −12% $25,704 −16% ≈110% of Medicare
754 malignancy, female reproductive system with mcc $21,472 $10,736 $35,135 −39% $29,476 −27% —
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 $39,826 −47% $34,089 −38% —
059 multiple sclerosis and cerebellar ataxia with cc $21,212 $10,606 $22,337 −5% $26,322 −19% —
178 respiratory infections and inflammations with cc $21,211 $10,606 $20,666 +3% $22,024 −4% ≈148% of Medicare
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $21,198 $10,599 $16,767 +26% $16,104 +32% —
684 renal failure without cc/mcc $20,888 $10,444 $12,049 +73% $13,623 +53% —
863 postoperative and posttraumatic infections without mcc $20,853 $10,427 $19,304 +8% $20,007 +4% —
855 infectious and parasitic diseases with o.r. procedures without cc/mcc $20,850 $10,425 $24,292 −14% $27,168 −23% —
572 skin debridement without cc/mcc $20,724 $10,362 $22,256 −7% $24,432 −15% —
548 septic arthritis with mcc $20,558 $10,279 $34,947 −41% $31,019 −34% —
805 vaginal delivery without sterilization or d&c with mcc $20,345 $10,173 $15,319 +33% $15,370 +32% —
383 uncomplicated peptic ulcer with mcc $20,229 $10,115 $19,602 +3% $26,634 −24% —
301 peripheral vascular disorders without cc/mcc $20,030 $10,015 $19,031 +5% $15,607 +28% —
775 vaginal delivery without complicating diagnoses $19,872 $9,936 $3,032 +555% $3,242 +513% —
807 vaginal delivery without sterilization or d&c without cc/mcc $19,872 $9,936 $13,696 +45% $12,044 +65% —
206 other respiratory system diagnoses without mcc $19,861 $9,930 $19,449 +2% $17,731 +12% —
832 other antepartum diagnoses without o.r. procedures with cc $19,565 $9,782 $12,895 +52% $12,895 +52% —
812 red blood cell disorders without mcc $19,481 $9,741 $19,481 +0% $20,488 −5% ≈145% of Medicare
179 respiratory infections and inflammations without cc/mcc $19,459 $9,730 $13,598 +43% $14,444 +35% —
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $19,441 $9,721 $17,696 +10% $17,715 +10% —
054 nervous system neoplasms with mcc $19,078 $9,539 $28,195 −32% $29,484 −35% —
191 chronic obstructive pulmonary disease with cc $19,031 $9,515 $18,712 +2% $18,278 +4% —
433 cirrhosis and alcoholic hepatitis with cc $18,978 $9,489 $24,089 −21% $23,749 −20% —
445 disorders of the biliary tract with cc $18,968 $9,484 $21,478 −12% $21,806 −13% —
440 disorders of pancreas except malignancy without cc/mcc $18,870 $9,435 $15,474 +22% $15,070 +25% —
084 traumatic stupor and coma >1 hour without cc/mcc $18,797 $9,399 $23,422 −20% $18,191 +3% —
389 gastrointestinal obstruction with cc $18,780 $9,390 $18,664 +1% $17,388 +8% ≈150% of Medicare
999 ungroupable $18,716 $9,358 $13,627 +37% $28,822 −35% —
187 pleural effusion with cc $18,652 $9,326 $20,494 −9% $21,467 −13% —
814 reticuloendothelial and immunity disorders with mcc $18,347 $9,174 $35,509 −48% $32,483 −44% —
540 osteomyelitis with cc $18,115 $9,057 $19,990 −9% $23,494 −23% —
827 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with cc $17,863 $8,931 $73,532 −76% $47,546 −62% —
639 diabetes without cc/mcc $17,769 $8,885 $16,811 +6% $13,910 +28% —
203 bronchitis and asthma without cc/mcc $17,582 $8,791 $13,119 +34% $12,279 +43% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $17,501 $8,751 $15,819 +11% $16,049 +9% —
103 headaches without mcc $17,457 $8,728 $21,111 −17% $20,111 −13% —
894 alcohol, drug abuse or dependence, left against medical advice $17,416 $8,708 $12,685 +37% $12,013 +45% —
315 other circulatory system diagnoses with cc $17,277 $8,638 $22,831 −24% $20,777 −17% —
434 cirrhosis and alcoholic hepatitis without cc/mcc $17,251 $8,626 $13,676 +26% $12,405 +39% —
641 miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes without mcc $17,163 $8,581 $16,822 +2% $16,745 +2% ≈141% of Medicare
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $16,795 $8,397 $16,795 +0% $16,776 +0% —
690 kidney and urinary tract infections without mcc $16,665 $8,333 $18,046 −8% $17,466 −5% ≈127% of Medicare
101 seizures without mcc $16,307 $8,153 $17,204 −5% $19,954 −18% —
202 bronchitis and asthma with cc/mcc $16,168 $8,084 $15,954 +1% $17,273 −6% —
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 $18,090 −12% $12,797 +25% —
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $15,989 $7,995 $19,521 −18% $18,150 −12% —
779 abortion without d&c $15,489 $7,744 $15,408 +1% $15,327 +1% —
964 other multiple significant trauma with cc $15,337 $7,669 $24,997 −39% $25,854 −41% —
601 nonmalignant breast disorders without cc/mcc $14,981 $7,491 $12,415 +21% $10,975 +37% —
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $14,960 $7,480 $16,445 −9% $14,337 +4% —
192 chronic obstructive pulmonary disease without cc/mcc $14,824 $7,412 $19,164 −23% $14,368 +3% —
776 postpartum and postabortion diagnoses without o.r. procedures $14,635 $7,318 $12,381 +18% $12,381 +18% —
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $14,554 $7,277 $18,854 −23% $18,803 −23% ≈112% of Medicare
349 anal and stomal procedures without cc/mcc $14,520 $7,260 $24,016 −40% $19,854 −27% —
718 other male reproductive system o.r. procedures except malignancy without cc/mcc $14,444 $7,222 $22,084 −35% $20,147 −28% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $14,231 $7,115 $9,295 +53% $9,076 +57% —
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 $22,087 −39% $11,633 +17% —
194 simple pneumonia and pleurisy with cc $13,518 $6,759 $17,292 −22% $18,204 −26% ≈109% of Medicare
793 full term neonate with major problems $13,482 $6,741 $22,283 −39% $16,719 −19% —
375 digestive malignancy with cc $13,141 $6,570 $27,902 −53% $27,219 −52% —
390 gastrointestinal obstruction without cc/mcc $13,001 $6,501 $13,471 −3% $13,318 −2% —
844 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc $12,890 $6,445 $18,707 −31% $20,421 −37% —
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 $14,472 −14% $16,531 −25% —
558 tendonitis, myositis and bursitis without mcc $12,276 $6,138 $20,995 −42% $17,367 −29% —
645 endocrine disorders without cc/mcc $12,239 $6,120 $20,616 −41% $14,166 −14% —
311 angina pectoris $11,792 $5,896 $15,425 −24% $15,165 −22% —
310 cardiac arrhythmia and conduction disorders without cc/mcc $11,791 $5,896 $12,915 −9% $13,384 −12% ≈173% of Medicare
550 septic arthritis without cc/mcc $11,784 $5,892 $26,032 −55% $16,156 −27% —
087 traumatic stupor and coma <1 hour without cc/mcc $11,765 $5,882 $16,456 −29% $15,869 −26% —
549 septic arthritis with cc $11,059 $5,529 $27,777 −60% $20,938 −47% —
541 osteomyelitis without cc/mcc $10,679 $5,340 $15,754 −32% $14,549 −27% —
916 allergic reactions without mcc $10,377 $5,188 $15,531 −33% $13,890 −25% —
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 $22,525 −55% $21,545 −53% —
688 kidney and urinary tract neoplasms without cc/mcc $9,122 $4,561 $18,232 −50% $12,593 −28% —
195 simple pneumonia and pleurisy without cc/mcc $8,804 $4,402 $14,132 −38% $13,824 −36% —
794 neonate with other significant problems $8,591 $4,295 $9,053 −5% $7,961 +8% —
789 neonates, died or transferred to another acute care facility $8,219 $4,109 $26,590 −69% $14,284 −42% —
887 other mental disorder diagnoses $7,707 $3,853 $18,631 −59% $20,602 −63% —
864 fever and inflammatory conditions $7,677 $3,838 $24,489 −69% $17,412 −56% —
554 bone diseases and arthropathies without mcc $7,506 $3,753 $18,143 −59% $18,253 −59% —
847 chemotherapy without acute leukemia as secondary diagnosis with cc $6,635 $3,318 $21,831 −70% $22,275 −70% —
795 normal newborn $6,344 $3,172 $5,442 +17% $4,530 +40% —
951 other factors influencing health status $5,901 $2,951 $10,553 −44% $9,385 −37% —
761 menstrual and other female reproductive system disorders without cc/mcc $5,555 $2,777 $11,421 −51% $11,421 −51% —
395 other digestive system diagnoses without cc/mcc $5,293 $2,646 $11,454 −54% $14,128 −63% —