Guthrie Cortland Medical Center — Pricing

742 procedures published in this hospital's Machine-Readable File (MRF) — 742 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 742
Lowest published price $2,111
Average published price $80,329
Highest published price $819,076

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 742 procedures

Published charges

Showing all 742 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 15 procedures, this hospital's negotiated rates average ≈109% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
215 OTHER HEART ASSIST SYSTEM IMPLANT $819,076 $655,261 $201,916 +306% $191,314 +328% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $606,157 $484,926 $562,528 +8% $431,073 +41% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $509,023 $407,218 $155,461 +227% $169,977 +199% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $439,306 $351,445 $94,162 +367% $94,927 +363% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $436,916 $349,533 $176,606 +147% $138,008 +217% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $421,238 $336,991 $60,697 +594% $68,847 +512% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $389,176 $311,340 $389,239 −0% $371,366 +5% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $382,941 $306,353 $238,993 +60% $143,242 +167% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $375,813 $300,651 $124,741 +201% $102,177 +268% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $373,302 $298,642 $30,024 +1143% $34,264 +989% —
252 OTHER VASCULAR PROCEDURES WITH MCC $350,689 $280,551 $75,832 +362% $68,508 +412% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $347,302 $277,841 $114,669 +203% $116,058 +199% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $343,342 $274,674 $95,318 +260% $72,908 +371% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $322,676 $258,141 $165,478 +95% $113,855 +183% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $312,843 $250,274 $312,843 +0% $171,338 +83% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $311,620 $249,296 $107,442 +190% $121,728 +156% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $292,750 $234,200 $92,292 +217% $72,011 +307% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $281,849 $225,479 $135,307 +108% $83,441 +238% —
231 CORONARY BYPASS WITH PTCA WITH MCC $275,944 $220,755 $156,608 +76% $146,474 +88% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $274,467 $219,574 $177,288 +55% $118,589 +131% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $272,701 $218,161 $91,253 +199% $105,612 +158% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $268,586 $214,869 $58,656 +358% $66,853 +302% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $259,506 $207,605 $61,575 +321% $63,475 +309% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $259,437 $207,549 $175,329 +48% $138,868 +87% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $251,581 $201,265 $34,307 +633% $39,093 +544% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $249,591 $199,673 $247,059 +1% $175,437 +42% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $246,910 $197,528 $61,206 +303% $68,006 +263% —
654 MAJOR BLADDER PROCEDURES WITH CC $244,759 $195,807 $50,400 +386% $53,868 +354% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $236,875 $189,500 $38,454 +516% $43,491 +445% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $233,199 $186,559 $122,421 +90% $94,988 +146% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $231,830 $185,464 $256,977 −10% $245,241 −5% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $231,585 $185,268 $142,880 +62% $112,062 +107% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $229,324 $183,459 $110,658 +107% $86,390 +165% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $229,073 $183,259 $160,266 +43% $102,573 +123% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $223,487 $178,790 $83,932 +166% $64,956 +244% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $217,854 $174,283 $49,003 +345% $50,919 +328% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $213,797 $171,038 $108,019 +98% $120,587 +77% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $212,612 $170,089 $58,085 +266% $60,098 +254% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $211,531 $169,225 $53,594 +295% $48,680 +335% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $210,591 $168,473 $115,701 +82% $82,527 +155% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $208,823 $167,058 $115,907 +80% $99,423 +110% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $208,078 $166,462 $38,567 +440% $45,818 +354% —
799 SPLENIC PROCEDURES WITH MCC $207,325 $165,860 $76,574 +171% $78,821 +163% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $206,669 $165,335 $67,831 +205% $48,358 +327% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $206,194 $164,955 $89,159 +131% $82,561 +150% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $200,328 $160,262 $137,630 +46% $142,326 +41% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $197,290 $157,832 $112,119 +76% $151,029 +31% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $197,193 $157,755 $80,701 +144% $80,747 +144% —
037 EXTRACRANIAL PROCEDURES WITH MCC $195,037 $156,029 $89,423 +118% $64,749 +201% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $193,852 $155,081 $63,580 +205% $72,859 +166% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $190,759 $152,607 $46,090 +314% $45,817 +316% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $189,242 $151,393 $89,295 +112% $80,885 +134% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $188,276 $150,620 $97,799 +93% $88,307 +113% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $183,123 $146,499 $73,038 +151% $86,953 +111% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $181,099 $144,879 $68,489 +164% $71,014 +155% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $178,668 $142,934 $48,438 +269% $65,254 +174% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $178,530 $142,824 $122,027 +46% $117,280 +52% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $178,432 $142,746 $56,194 +218% $81,998 +118% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $177,531 $142,025 $87,760 +102% $75,585 +135% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $176,093 $140,874 $82,674 +113% $88,691 +99% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $171,977 $137,581 $192,933 −11% $121,714 +41% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $171,726 $137,381 $102,309 +68% $84,861 +102% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $171,180 $136,944 $34,120 +402% $36,280 +372% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $170,178 $136,142 $109,299 +56% $83,065 +105% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $168,475 $134,780 $104,981 +60% $82,247 +105% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $166,530 $133,224 $77,927 +114% $75,251 +121% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $166,338 $133,070 $49,323 +237% $43,080 +286% —
028 SPINAL PROCEDURES WITH MCC $165,843 $132,675 $125,606 +32% $95,858 +73% —
163 MAJOR CHEST PROCEDURES WITH MCC $165,820 $132,656 $90,851 +83% $88,341 +88% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $165,601 $132,481 $19,101 +767% $20,842 +695% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $164,323 $131,459 $49,647 +231% $54,824 +200% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $164,271 $131,417 $135,515 +21% $106,778 +54% —
263 VEIN LIGATION AND STRIPPING $161,713 $129,370 $38,005 +326% $44,938 +260% —
653 MAJOR BLADDER PROCEDURES WITH MCC $160,947 $128,757 $84,904 +90% $97,046 +66% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $158,333 $126,666 $40,799 +288% $34,906 +354% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $158,308 $126,646 $173,445 −9% $106,238 +49% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $157,841 $126,273 $83,715 +89% $67,901 +132% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $156,800 $125,440 $142,453 +10% $92,217 +70% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $156,578 $125,262 $99,075 +58% $105,899 +48% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $156,374 $125,099 $36,842 +324% $46,659 +235% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $152,844 $122,275 $49,222 +211% $54,929 +178% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $152,094 $121,676 $47,220 +222% $58,043 +162% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $150,798 $120,638 $48,725 +209% $65,216 +131% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $150,414 $120,331 $72,552 +107% $59,207 +154% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $150,326 $120,261 $53,604 +180% $49,055 +206% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $150,206 $120,165 $93,310 +61% $98,912 +52% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $148,934 $119,147 $66,547 +124% $57,963 +157% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $148,568 $118,855 $73,029 +103% $73,029 +103% —
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $146,923 $117,539 $146,923 +0% $119,631 +23% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $146,818 $117,454 $71,255 +106% $69,101 +112% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $145,805 $116,644 $54,320 +168% $54,320 +168% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $145,360 $116,288 $115,045 +26% $107,355 +35% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $145,352 $116,281 $28,958 +402% $29,633 +391% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $144,576 $115,661 $81,713 +77% $90,331 +60% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $143,991 $115,193 $143,991 +0% $108,472 +33% —
471 CERVICAL SPINAL FUSION WITH MCC $143,392 $114,713 $80,569 +78% $92,515 +55% —
075 VIRAL MENINGITIS WITH CC/MCC $142,454 $113,963 $29,084 +390% $29,853 +377% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $142,270 $113,816 $47,803 +198% $37,080 +284% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $140,667 $112,534 $73,532 +91% $47,546 +196% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $140,170 $112,136 $35,509 +295% $32,483 +332% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $139,491 $111,593 $33,198 +320% $32,911 +324% —
865 VIRAL ILLNESS WITH MCC $137,554 $110,043 $22,350 +515% $26,088 +427% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,007 $109,605 $89,681 +53% $114,914 +19% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $136,512 $109,209 $67,154 +103% $72,782 +88% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $136,034 $108,828 $69,912 +95% $79,944 +70% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $135,334 $108,267 $43,429 +212% $48,094 +181% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $132,961 $106,369 $37,754 +252% $45,432 +193% —
113 ORBITAL PROCEDURES WITH CC/MCC $132,093 $105,674 $57,860 +128% $35,642 +271% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $130,708 $104,566 $94,394 +38% $96,222 +36% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $130,657 $104,525 $69,584 +88% $70,132 +86% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $130,404 $104,324 $47,908 +172% $34,434 +279% —
597 MALIGNANT BREAST DISORDERS WITH MCC $129,412 $103,530 $35,093 +269% $31,846 +306% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $129,340 $103,472 $73,275 +77% $68,880 +88% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $129,183 $103,346 $92,416 +40% $87,018 +48% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $129,152 $103,322 $197,899 −35% $131,961 −2% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $128,690 $102,952 $64,465 +100% $64,465 +100% —
773 OPIOID ABUSE AND DEPENDENCE,EXTREME $127,227 $101,781 $127,227 +0% $87,384 +46% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $126,594 $101,276 $42,901 +195% $50,815 +149% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $126,369 $101,095 $15,954 +692% $17,273 +632% —
265 AICD LEAD PROCEDURES $126,280 $101,024 $83,892 +51% $56,695 +123% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $126,145 $100,916 $50,550 +150% $62,524 +102% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $124,670 $99,736 $39,277 +217% $40,583 +207% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $124,414 $99,531 $75,408 +65% $71,701 +74% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $121,792 $97,433 $75,492 +61% $75,492 +61% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $121,088 $96,870 $71,300 +70% $44,053 +175% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $121,022 $96,818 $40,406 +200% $58,968 +105% —
332 RECTAL RESECTION WITH MCC $120,552 $96,441 $58,213 +107% $58,125 +107% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $120,362 $96,290 $85,781 +40% $74,755 +61% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $119,549 $95,640 $38,653 +209% $34,900 +243% —
885 PSYCHOSES $119,266 $95,413 $21,489 +455% $21,489 +455% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $118,915 $95,132 $48,180 +147% $35,542 +235% —
834 ACUTE LEUKEMIA WITH MCC $118,436 $94,749 $74,709 +59% $76,583 +55% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $118,136 $94,509 $37,278 +217% $33,792 +250% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $117,550 $94,040 $55,088 +113% $58,832 +100% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $115,659 $92,527 $111,145 +4% $96,905 +19% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $113,929 $91,143 $113,929 +0% $68,659 +66% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $113,317 $90,654 $51,761 +119% $60,861 +86% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $113,231 $90,585 $69,526 +63% $65,383 +73% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $112,669 $90,135 $31,734 +255% $28,156 +300% —
164 MAJOR CHEST PROCEDURES WITH CC $112,569 $90,055 $67,197 +68% $53,141 +112% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $112,486 $89,989 $78,651 +43% $70,540 +59% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $112,476 $89,981 $76,169 +48% $62,269 +81% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $112,381 $89,905 $45,989 +144% $35,584 +216% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $112,050 $89,640 $36,341 +208% $31,758 +253% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $112,031 $89,625 $26,477 +323% $25,484 +340% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $111,889 $89,511 $111,682 +0% $96,192 +16% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $111,759 $89,407 $55,689 +101% $75,103 +49% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $111,359 $89,088 $66,230 +68% $40,232 +177% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $111,070 $88,856 $43,042 +158% $31,812 +249% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $110,966 $88,773 $59,254 +87% $56,758 +96% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $110,937 $88,749 $57,394 +93% $37,654 +195% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $110,632 $88,506 $82,458 +34% $71,755 +54% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $110,441 $88,353 $32,783 +237% $25,197 +338% —
253 OTHER VASCULAR PROCEDURES WITH CC $110,289 $88,232 $56,289 +96% $53,746 +105% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $109,664 $87,731 $43,218 +154% $53,817 +104% —
667 PROSTATECTOMY WITHOUT CC/MCC $109,391 $87,513 $16,534 +562% $16,703 +555% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $108,941 $87,152 $52,219 +109% $43,800 +149% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $108,632 $86,905 $31,341 +247% $30,766 +253% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $108,148 $86,519 $52,634 +105% $56,519 +91% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $108,015 $86,412 $44,472 +143% $39,253 +175% —
139 SALIVARY GLAND PROCEDURES $107,575 $86,060 $25,144 +328% $21,014 +412% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $107,486 $85,989 $28,688 +275% $31,566 +241% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $107,210 $85,768 $84,121 +27% $74,257 +44% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $106,476 $85,181 $40,387 +164% $41,660 +156% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $106,359 $85,087 $39,369 +170% $44,553 +139% —
671 URETHRAL PROCEDURES WITH CC/MCC $106,261 $85,009 $26,412 +302% $27,233 +290% —
682 RENAL FAILURE WITH MCC $106,259 $85,007 $24,994 +325% $27,854 +281% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $105,935 $84,748 $54,475 +94% $54,475 +94% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $105,342 $84,274 $48,557 +117% $51,953 +103% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $105,322 $84,257 $60,497 +74% $64,152 +64% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $104,344 $83,475 $91,116 +15% $87,565 +19% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $104,245 $83,396 $49,711 +110% $64,776 +61% —
539 OSTEOMYELITIS WITH MCC $103,409 $82,727 $45,071 +129% $33,746 +206% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $103,038 $82,431 $61,008 +69% $46,430 +122% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $102,680 $82,144 $38,192 +169% $45,963 +123% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $102,503 $82,002 $51,577 +99% $60,140 +70% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $102,350 $81,880 $102,350 +0% $91,329 +12% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $102,190 $81,752 $53,357 +92% $62,961 +62% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $101,620 $81,296 $63,485 +60% $67,764 +50% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $101,392 $81,114 $48,696 +108% $25,149 +303% —
133 RESPIRATORY FAILURE,EXTREME $101,215 $80,972 $101,215 +0% $23,289 +335% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $100,631 $80,504 $39,489 +155% $37,902 +166% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $100,539 $80,432 $29,561 +240% $25,426 +295% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $100,422 $80,338 $45,238 +122% $45,497 +121% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $100,286 $80,229 $55,123 +82% $40,694 +146% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $99,816 $79,853 $27,330 +265% $24,465 +308% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $99,551 $79,641 $51,101 +95% $57,149 +74% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $99,412 $79,530 $28,482 +249% $31,978 +211% —
551 MEDICAL BACK PROBLEMS WITH MCC $99,106 $79,285 $33,102 +199% $31,086 +219% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $99,014 $79,211 $73,103 +35% $78,582 +26% —
186 PLEURAL EFFUSION WITH MCC $98,782 $79,026 $30,373 +225% $32,468 +204% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $97,656 $78,125 $44,644 +119% $41,520 +135% —
100 SEIZURES WITH MCC $96,736 $77,389 $31,211 +210% $35,194 +175% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $96,723 $77,378 $56,193 +72% $54,313 +78% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME $96,567 $77,254 $96,567 +0% $77,914 +24% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $96,055 $76,844 $39,285 +145% $39,747 +142% —
887 OTHER MENTAL DISORDER DIAGNOSES $95,948 $76,758 $18,631 +415% $20,602 +366% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $95,804 $76,643 $31,148 +208% $33,137 +189% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $95,178 $76,143 $46,501 +105% $55,162 +73% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $95,100 $76,080 $67,085 +42% $53,555 +78% —
158 DENTAL AND ORAL DISEASES WITH CC $94,854 $75,884 $18,988 +400% $17,700 +436% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $94,684 $75,747 $51,311 +85% $62,821 +51% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $94,606 $75,684 $17,226 +449% $17,226 +449% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $94,398 $75,518 $38,130 +148% $25,390 +272% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $94,127 $75,302 $42,884 +119% $49,631 +90% —
501 SOFT TISSUE PROCEDURES WITH CC $94,099 $75,280 $45,517 +107% $37,975 +148% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $93,731 $74,984 $112,108 −16% $88,049 +6% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $93,706 $74,965 $28,811 +225% $29,663 +216% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $93,480 $74,784 $48,949 +91% $36,597 +155% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $93,400 $74,720 $65,588 +42% $57,277 +63% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $92,838 $74,271 $27,447 +238% $33,424 +178% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $92,723 $74,178 $41,196 +125% $52,313 +77% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $92,385 $73,908 $46,235 +100% $38,094 +143% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $92,317 $73,854 $39,545 +133% $43,538 +112% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $92,219 $73,775 $79,460 +16% $65,325 +41% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $91,972 $73,578 $36,815 +150% $43,775 +110% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $91,930 $73,544 $52,030 +77% $54,129 +70% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $91,596 $73,277 $42,815 +114% $41,703 +120% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $91,032 $72,825 $53,106 +71% $51,172 +78% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $90,998 $72,798 $20,718 +339% $22,982 +296% ≈95% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $90,925 $72,740 $62,284 +46% $48,682 +87% —
343 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MODERATE $90,046 $72,037 $12,397 +626% $13,735 +556% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $89,619 $71,695 $32,884 +173% $36,239 +147% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $89,558 $71,646 $77,589 +15% $72,945 +23% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $89,320 $71,456 $54,297 +65% $52,405 +70% —
304 HYPERTENSION WITH MCC $89,220 $71,376 $30,162 +196% $24,185 +269% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $89,065 $71,252 $89,065 +0% $55,097 +62% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $88,961 $71,169 $66,902 +33% $46,591 +91% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $88,687 $70,950 $18,522 +379% $19,326 +359% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $88,556 $70,845 $46,757 +89% $45,059 +97% —
183 MAJOR CHEST TRAUMA WITH MCC $88,391 $70,713 $23,796 +271% $28,924 +206% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $88,284 $70,627 $49,908 +77% $68,399 +29% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $87,576 $70,060 $87,436 +0% $65,573 +34% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $87,165 $69,732 $32,900 +165% $21,860 +299% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $86,544 $69,236 $86,544 +0% $76,954 +12% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $86,373 $69,099 $103,861 −17% $103,861 −17% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $86,240 $68,992 $104,086 −17% $78,852 +9% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $86,158 $68,927 $46,181 +87% $40,277 +114% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $86,140 $68,912 $32,316 +167% $23,588 +265% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $85,452 $68,361 $54,832 +56% $56,394 +52% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $85,352 $68,282 $85,352 +0% $93,783 −9% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,EXTREME $85,341 $68,273 $50,070 +70% $47,150 +81% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $84,719 $67,775 $42,815 +98% $44,117 +92% —
038 EXTRACRANIAL PROCEDURES WITH CC $84,718 $67,775 $39,339 +115% $35,770 +137% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $84,615 $67,692 $25,581 +231% $32,502 +160% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $84,535 $67,628 $12,551 +574% $13,303 +535% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $84,361 $67,489 $38,106 +121% $35,528 +137% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $84,071 $67,257 $48,887 +72% $56,964 +48% —
398 APPENDIX PROCEDURES WITH CC $84,042 $67,234 $40,924 +105% $39,107 +115% —
397 APPENDIX PROCEDURES WITH MCC $84,031 $67,225 $52,457 +60% $52,319 +61% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $83,855 $67,084 $32,429 +159% $36,375 +131% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $83,421 $66,737 $64,529 +29% $63,984 +30% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $82,815 $66,252 $44,389 +87% $51,142 +62% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $82,577 $66,062 $23,338 +254% $23,723 +248% —
500 SOFT TISSUE PROCEDURES WITH MCC $81,987 $65,590 $53,498 +53% $57,479 +43% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $81,961 $65,569 $52,596 +56% $33,490 +145% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $81,722 $65,378 $72,168 +13% $59,425 +38% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $81,636 $65,309 $84,844 −4% $45,290 +80% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $81,561 $65,249 $21,478 +280% $21,806 +274% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $81,553 $65,243 $44,584 +83% $49,710 +64% —
336 PERITONEAL ADHESIOLYSIS WITH CC $81,047 $64,837 $44,395 +83% $49,470 +64% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $80,436 $64,348 $49,467 +63% $46,477 +73% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $80,024 $64,019 $58,553 +37% $51,985 +54% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $79,212 $63,370 $18,887 +319% $18,002 +340% —
548 SEPTIC ARTHRITIS WITH MCC $79,117 $63,293 $34,947 +126% $31,019 +155% —
669 TRANSURETHRAL PROCEDURES WITH CC $79,011 $63,209 $47,653 +66% $34,354 +130% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $78,874 $63,099 $37,027 +113% $35,453 +122% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $78,725 $62,980 $33,894 +132% $29,757 +165% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $78,452 $62,762 $55,306 +42% $51,339 +53% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $78,280 $62,624 $47,968 +63% $44,363 +76% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $77,882 $62,306 $22,084 +253% $20,147 +287% —
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT,MAJOR $77,733 $62,186 $13,735 +466% $13,282 +485% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $77,358 $61,887 $91,834 −16% $66,819 +16% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $77,337 $61,870 $57,419 +35% $52,332 +48% —
503 FOOT PROCEDURES WITH MCC $77,163 $61,730 $58,830 +31% $43,901 +76% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $77,020 $61,616 $38,036 +102% $50,139 +54% —
709 PENIS PROCEDURES WITH CC/MCC $76,621 $61,297 $32,359 +137% $34,535 +122% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $76,581 $61,265 $35,261 +117% $24,980 +207% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $76,545 $61,236 $57,095 +34% $41,380 +85% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $76,344 $61,075 $24,851 +207% $28,103 +172% —
180 RESPIRATORY NEOPLASMS WITH MCC $76,329 $61,063 $40,315 +89% $36,658 +108% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $76,088 $60,870 $20,995 +262% $17,367 +338% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $75,913 $60,730 $30,820 +146% $34,887 +118% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $75,802 $60,642 $39,028 +94% $25,152 +201% —
643 ENDOCRINE DISORDERS WITH MCC $75,711 $60,569 $27,741 +173% $32,996 +129% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $75,423 $60,338 $36,535 +106% $32,451 +132% —
800 SPLENIC PROCEDURES WITH CC $75,357 $60,285 $41,012 +84% $49,184 +53% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $75,346 $60,277 $27,614 +173% $32,839 +129% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $75,328 $60,263 $28,195 +167% $29,484 +155% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $75,229 $60,183 $31,344 +140% $33,050 +128% —
570 SKIN DEBRIDEMENT WITH MCC $74,950 $59,960 $42,263 +77% $52,435 +43% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $74,877 $59,901 $76,734 −2% $74,274 +1% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $74,586 $59,669 $75,766 −2% $88,050 −15% —
540 OSTEOMYELITIS WITH CC $74,501 $59,600 $19,990 +273% $23,494 +217% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $74,375 $59,500 $49,718 +50% $57,855 +29% —
375 DIGESTIVE MALIGNANCY WITH CC $74,152 $59,322 $27,902 +166% $27,219 +172% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $73,617 $58,894 $48,770 +51% $46,066 +60% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $73,441 $58,753 $36,339 +102% $38,878 +89% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $73,439 $58,751 $39,215 +87% $30,006 +145% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $72,866 $58,293 $31,817 +129% $17,434 +318% —
199 PNEUMOTHORAX WITH MCC $72,790 $58,232 $29,170 +150% $31,491 +131% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $72,650 $58,120 $34,822 +109% $37,950 +91% —
666 PROSTATECTOMY WITH CC $72,623 $58,098 $33,815 +115% $30,016 +142% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $72,593 $58,074 $38,581 +88% $44,973 +61% —
472 CERVICAL SPINAL FUSION WITH CC $72,559 $58,048 $59,171 +23% $59,537 +22% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $72,024 $57,619 $36,948 +95% $25,666 +181% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $71,349 $57,079 $48,165 +48% $49,065 +45% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $71,152 $56,922 $23,875 +198% $24,118 +195% —
598 MALIGNANT BREAST DISORDERS WITH CC $70,964 $56,772 $20,485 +246% $19,073 +272% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $70,883 $56,706 $47,265 +50% $38,836 +83% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $70,635 $56,508 $30,064 +135% $32,936 +114% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $69,196 $55,357 $24,070 +187% $18,126 +282% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $69,040 $55,232 $42,202 +64% $39,409 +75% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $68,448 $54,758 $42,315 +62% $41,900 +63% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $68,130 $54,504 $28,768 +137% $29,805 +129% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $68,050 $54,440 $50,041 +36% $39,018 +74% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $68,009 $54,408 $38,023 +79% $43,524 +56% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $67,817 $54,254 $21,186 +220% $18,459 +267% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $67,526 $54,020 $41,155 +64% $35,692 +89% —
088 CONCUSSION WITH MCC $67,264 $53,811 $21,503 +213% $24,402 +176% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $67,154 $53,723 $26,971 +149% $28,140 +139% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $67,072 $53,658 $17,067 +293% $19,096 +251% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $66,571 $53,257 $38,708 +72% $32,490 +105% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $66,157 $52,925 $46,130 +43% $43,586 +52% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $65,959 $52,768 $21,831 +202% $22,275 +196% —
090 CONCUSSION WITHOUT CC/MCC $65,844 $52,675 $25,638 +157% $14,873 +343% —
348 ANAL AND STOMAL PROCEDURES WITH CC $65,234 $52,187 $32,613 +100% $27,947 +133% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $65,204 $52,163 $23,065 +183% $24,879 +162% —
811 RED BLOOD CELL DISORDERS WITH MCC $65,135 $52,108 $28,682 +127% $27,934 +133% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $64,981 $51,985 $19,686 +230% $19,686 +230% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $64,922 $51,938 $41,665 +56% $35,459 +83% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $64,704 $51,763 $19,930 +225% $23,920 +171% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $64,466 $51,572 $19,264 +235% $18,017 +258% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $64,004 $51,203 $26,899 +138% $22,713 +182% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $63,996 $51,197 $21,046 +204% $19,001 +237% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $63,945 $51,156 $16,903 +278% $18,478 +246% —
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MAJOR $63,608 $50,886 $30,970 +105% $23,814 +167% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $63,591 $50,873 $45,690 +39% $38,382 +66% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $62,625 $50,100 $54,499 +15% $36,333 +72% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $62,527 $50,021 $35,473 +76% $38,420 +63% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $62,379 $49,903 $24,142 +158% $24,480 +155% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $62,324 $49,859 $31,582 +97% $35,014 +78% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $62,243 $49,794 $36,561 +70% $30,930 +101% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $62,207 $49,766 $24,888 +150% $25,623 +143% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $62,157 $49,726 $34,473 +80% $30,418 +104% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $62,058 $49,647 $26,780 +132% $28,646 +117% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $62,003 $49,602 $34,124 +82% $31,128 +99% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $61,915 $49,532 $22,337 +177% $26,322 +135% —
534 FRACTURES OF FEMUR WITHOUT MCC $61,786 $49,429 $21,585 +186% $17,195 +259% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $61,321 $49,057 $32,506 +89% $43,398 +41% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $61,296 $49,037 $39,826 +54% $34,089 +80% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $61,138 $48,910 $28,798 +112% $29,409 +108% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $60,972 $48,777 $58,276 +5% $50,624 +20% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $60,654 $48,523 $26,556 +128% $25,307 +140% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $60,602 $48,482 $38,706 +57% $44,839 +35% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $60,548 $48,439 $32,919 +84% $36,334 +67% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $60,486 $48,389 $25,633 +136% $29,826 +103% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $60,450 $48,360 $35,135 +72% $29,476 +105% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $60,309 $48,247 $34,944 +73% $31,840 +89% ≈114% of Medicare
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $60,092 $48,073 $89,353 −33% $89,353 −33% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $60,032 $48,026 $33,575 +79% $29,558 +103% —
919 COMPLICATIONS OF TREATMENT WITH MCC $60,021 $48,017 $26,862 +123% $29,031 +107% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $60,007 $48,006 $34,662 +73% $36,242 +66% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $60,004 $48,003 $32,602 +84% $30,394 +97% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $59,521 $47,617 $31,640 +88% $25,267 +136% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $59,376 $47,501 $46,694 +27% $33,564 +77% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $59,201 $47,361 $38,934 +52% $42,881 +38% —
374 DIGESTIVE MALIGNANCY WITH MCC $58,935 $47,148 $38,075 +55% $38,885 +52% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $58,774 $47,019 $22,256 +164% $24,432 +141% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $58,572 $46,858 $43,492 +35% $31,909 +84% —
914 TRAUMATIC INJURY WITHOUT MCC $58,524 $46,819 $16,946 +245% $15,593 +275% —
668 TRANSURETHRAL PROCEDURES WITH MCC $58,213 $46,570 $49,739 +17% $47,277 +23% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $57,936 $46,349 $38,268 +51% $37,842 +53% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $57,829 $46,263 $32,818 +76% $42,119 +37% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $57,244 $45,796 $24,282 +136% $26,020 +120% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $57,191 $45,753 $24,997 +129% $25,854 +121% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $57,021 $45,617 $31,100 +83% $22,532 +153% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $57,000 $45,600 $29,800 +91% $30,974 +84% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $56,902 $45,522 $19,179 +197% $19,317 +195% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $56,704 $45,363 $19,401 +192% $20,732 +174% —
504 FOOT PROCEDURES WITH CC $56,415 $45,132 $29,220 +93% $36,598 +54% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $56,272 $45,018 $26,167 +115% $28,578 +97% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $56,103 $44,882 $25,761 +118% $30,814 +82% —
197 INTERSTITIAL LUNG DISEASE WITH CC $55,973 $44,778 $25,701 +118% $20,106 +178% —
662 MINOR BLADDER PROCEDURES WITH MCC $55,854 $44,683 $55,854 +0% $54,483 +3% —
506 MAJOR THUMB OR JOINT PROCEDURES $55,622 $44,498 $47,364 +17% $28,983 +92% —
592 SKIN ULCERS WITH MCC $55,604 $44,483 $29,882 +86% $32,662 +70% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $55,562 $44,449 $24,888 +123% $27,279 +104% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $55,516 $44,413 $21,908 +153% $22,525 +146% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $55,395 $44,316 $45,967 +21% $49,197 +13% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $54,509 $43,607 $46,229 +18% $35,375 +54% —
947 SIGNS AND SYMPTOMS WITH MCC $54,262 $43,410 $30,911 +76% $25,474 +113% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $53,924 $43,139 $49,639 +9% $40,548 +33% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $53,873 $43,099 $29,484 +83% $23,924 +125% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $53,580 $42,864 $44,619 +20% $44,600 +20% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $53,531 $42,825 $50,655 +6% $50,011 +7% —
541 OSTEOMYELITIS WITHOUT CC/MCC $53,401 $42,720 $15,754 +239% $14,549 +267% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $52,792 $42,234 $29,314 +80% $30,940 +71% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $52,792 $42,234 $21,554 +145% $24,190 +118% ≈96% of Medicare
123 NEUROLOGICAL EYE DISORDERS $52,734 $42,187 $24,443 +116% $17,831 +196% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $52,600 $42,080 $40,400 +30% $43,266 +22% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $52,490 $41,992 $29,289 +79% $28,252 +86% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $52,430 $41,944 $30,877 +70% $31,059 +69% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $52,264 $41,811 $24,336 +115% $25,704 +103% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $51,812 $41,450 $22,446 +131% $18,428 +181% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $51,676 $41,341 $33,498 +54% $38,357 +35% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $51,642 $41,313 $22,831 +126% $20,777 +149% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $51,418 $41,134 $21,138 +143% $23,396 +120% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $51,137 $40,909 $33,308 +54% $36,237 +41% —
380 COMPLICATED PEPTIC ULCER WITH MCC $51,028 $40,823 $33,696 +51% $36,641 +39% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $50,967 $40,774 $20,291 +151% $24,022 +112% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $50,834 $40,667 $19,367 +162% $18,623 +173% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $50,834 $40,667 $16,609 +206% $15,858 +221% —
644 ENDOCRINE DISORDERS WITH CC $50,756 $40,605 $24,428 +108% $22,941 +121% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $50,724 $40,579 $43,988 +15% $45,622 +11% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $50,447 $40,358 $46,103 +9% $46,402 +9% —
303 ATHEROSCLEROSIS WITHOUT MCC $50,343 $40,274 $18,920 +166% $14,927 +237% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $50,332 $40,266 $19,357 +160% $26,146 +93% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $50,194 $40,156 $25,890 +94% $23,141 +117% —
245 AICD GENERATOR PROCEDURES $50,191 $40,153 $66,564 −25% $72,076 −30% —
089 CONCUSSION WITH CC $50,180 $40,144 $17,109 +193% $18,293 +174% —
665 PROSTATECTOMY WITH MCC $50,174 $40,139 $50,174 +0% $54,072 −7% —
102 HEADACHES WITH MCC $50,081 $40,065 $25,440 +97% $22,544 +122% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $50,040 $40,032 $24,089 +108% $23,749 +111% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $50,020 $40,016 $26,717 +87% $29,211 +71% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $49,878 $39,903 $39,268 +27% $28,527 +75% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $49,876 $39,901 $18,541 +169% $22,781 +119% ≈96% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $49,831 $39,864 $18,043 +176% $21,261 +134% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $49,677 $39,742 $27,987 +78% $30,910 +61% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $49,497 $39,598 $47,618 +4% $37,064 +34% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $49,473 $39,578 $49,473 +0% $36,933 +34% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $49,447 $39,558 $37,153 +33% $43,697 +13% —
602 CELLULITIS WITH MCC $49,390 $39,512 $27,789 +78% $29,347 +68% —
333 RECTAL RESECTION WITH CC $49,205 $39,364 $31,951 +54% $34,352 +43% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $49,015 $39,212 $19,581 +150% $19,894 +146% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $49,003 $39,202 $27,729 +77% $32,399 +51% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $48,973 $39,178 $35,183 +39% $32,538 +51% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $48,855 $39,084 $42,416 +15% $24,941 +96% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $48,816 $39,053 $34,886 +40% $35,114 +39% —
291 HEART FAILURE AND SHOCK WITH MCC $48,739 $38,991 $26,231 +86% $25,020 +95% ≈118% of Medicare
549 SEPTIC ARTHRITIS WITH CC $48,687 $38,950 $27,777 +75% $20,938 +133% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $48,619 $38,895 $24,292 +100% $27,168 +79% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $48,499 $38,799 $30,390 +60% $28,967 +67% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $48,448 $38,759 $32,471 +49% $24,544 +97% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $48,311 $38,649 $19,481 +148% $20,488 +136% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $48,283 $38,627 $28,893 +67% $33,165 +46% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $48,073 $38,458 $27,007 +78% $27,244 +76% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $47,974 $38,379 $44,198 +9% $40,063 +20% —
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $47,892 $38,314 $44,291 — $88,720 −46% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $47,828 $38,262 $27,584 +73% $31,816 +50% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $47,745 $38,196 $23,738 +101% $24,229 +97% —
200 PNEUMOTHORAX WITH CC $47,739 $38,191 $25,705 +86% $20,573 +132% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $47,675 $38,140 $23,658 +102% $29,371 +62% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $47,462 $37,970 $36,771 +29% $25,731 +84% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $47,316 $37,853 $45,797 +3% $41,651 +14% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $46,607 $37,285 $20,616 +126% $14,166 +229% —
711 TESTES PROCEDURES WITH CC/MCC $46,605 $37,284 $46,485 +0% $34,852 +34% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $46,552 $37,242 $24,215 +92% $25,243 +84% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $46,489 $37,191 $23,278 +100% $23,115 +101% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $46,325 $37,060 $59,209 −22% $47,583 −3% —
137 MOUTH PROCEDURES WITH CC/MCC $46,320 $37,056 $34,700 +33% $24,348 +90% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $46,207 $36,966 $13,752 +236% $17,383 +166% —
571 SKIN DEBRIDEMENT WITH CC $45,903 $36,723 $37,246 +23% $34,901 +32% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $45,821 $36,657 $21,786 +110% $24,017 +91% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $45,756 $36,605 $26,332 +74% $29,729 +54% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $45,748 $36,598 $28,470 +61% $25,786 +77% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $45,619 $36,495 $21,569 +112% $19,569 +133% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $45,484 $36,388 $36,311 +25% $27,492 +65% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $45,469 $36,375 $24,565 +85% $16,352 +178% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $45,391 $36,313 $17,696 +157% $17,715 +156% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $45,373 $36,298 $28,020 +62% $29,374 +54% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $45,246 $36,197 $59,784 −24% $54,772 −17% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $45,088 $36,070 $34,211 +32% $33,984 +33% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $44,837 $35,869 $68,095 −34% $70,735 −37% —
184 MAJOR CHEST TRAUMA WITH CC $44,774 $35,819 $18,219 +146% $20,842 +115% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $44,383 $35,506 $43,498 +2% $35,673 +24% —
594 SKIN ULCERS WITHOUT CC/MCC $44,329 $35,463 $14,209 +212% $14,209 +212% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $44,076 $35,261 $46,049 −4% $52,908 −17% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $44,045 $35,236 $14,681 +200% $17,322 +154% ≈131% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $44,002 $35,201 $57,963 −24% $36,080 +22% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $43,479 $34,783 $43,479 +0% $33,694 +29% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $43,383 $34,707 $65,209 −33% $93,769 −54% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $43,308 $34,646 $21,228 +104% $24,561 +76% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $43,173 $34,538 $27,612 +56% $24,136 +79% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $43,043 $34,434 $27,369 +57% $40,552 +6% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $42,870 $34,296 $21,563 +99% $23,734 +81% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $42,422 $33,938 $27,377 +55% $27,369 +55% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $42,236 $33,789 $41,820 +1% $40,563 +4% —
181 RESPIRATORY NEOPLASMS WITH CC $42,223 $33,778 $27,871 +51% $22,431 +88% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $42,204 $33,763 $22,530 +87% $19,483 +117% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $42,127 $33,702 $32,526 +30% $33,607 +25% —
697 URETHRAL STRICTURE $41,928 $33,543 $21,435 +96% $17,705 +137% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $41,703 $33,363 $15,039 +177% $17,585 +137% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $41,587 $33,270 $41,587 +0% $32,981 +26% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $41,247 $32,997 $12,883 +220% $14,208 +190% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $41,033 $32,826 $32,504 +26% $38,998 +5% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $40,975 $32,780 $19,031 +115% $15,607 +163% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $40,937 $32,749 $22,525 +82% $21,545 +90% —
835 ACUTE LEUKEMIA WITH CC $40,904 $32,724 $41,313 −1% $35,569 +15% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $40,721 $32,577 $19,221 +112% $17,700 +130% —
813 COAGULATION DISORDERS $40,699 $32,559 $32,291 +26% $30,128 +35% —
663 MINOR BLADDER PROCEDURES WITH CC $40,478 $32,382 $29,153 +39% $29,924 +35% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $40,438 $32,350 $28,382 +42% $29,916 +35% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $40,347 $32,277 $12,745 +217% $13,485 +199% —
505 FOOT PROCEDURES WITHOUT CC/MCC $40,258 $32,206 $25,972 +55% $31,716 +27% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $40,059 $32,047 $26,307 +52% $30,275 +32% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $40,051 $32,041 $13,350 +200% $11,847 +238% —
935 NON-EXTENSIVE BURNS $39,987 $31,989 $31,701 +26% $29,458 +36% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $39,984 $31,988 $18,707 +114% $20,421 +96% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $39,872 $31,897 $30,251 +32% $25,162 +58% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $39,618 $31,694 $39,618 +0% $27,548 +44% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $39,568 $31,655 $23,274 +70% $21,062 +88% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $39,547 $31,638 $37,707 +5% $36,850 +7% —
920 COMPLICATIONS OF TREATMENT WITH CC $39,463 $31,570 $23,173 +70% $21,181 +86% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $39,295 $31,436 $18,889 +108% $22,231 +77% —
187 PLEURAL EFFUSION WITH CC $39,243 $31,394 $20,494 +91% $21,467 +83% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $39,219 $31,375 $23,771 +65% $15,764 +149% —
152 OTITIS MEDIA AND URI WITH MCC $39,089 $31,271 $21,226 +84% $19,795 +97% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $39,059 $31,248 $22,597 +73% $15,890 +146% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $38,862 $31,090 $31,159 +25% $36,097 +8% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $38,759 $31,007 $43,431 −11% $39,657 −2% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $38,702 $30,962 $18,154 +113% $15,876 +144% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $38,583 $30,867 $31,044 +24% $31,044 +24% —
683 RENAL FAILURE WITH CC $38,454 $30,763 $20,765 +85% $18,620 +107% —
381 COMPLICATED PEPTIC ULCER WITH CC $38,028 $30,422 $23,283 +63% $24,177 +57% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $37,969 $30,375 $15,817 +140% $16,634 +128% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $37,945 $30,356 $27,615 +37% $28,780 +32% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $37,361 $29,889 $30,510 +22% $32,689 +14% —
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $37,309 $29,847 $31,544 — $37,084 +1% —
101 SEIZURES WITHOUT MCC $37,130 $29,704 $17,204 +116% $19,954 +86% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $37,123 $29,698 $25,858 +44% $23,350 +59% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $37,083 $29,667 $22,707 +63% $22,032 +68% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $37,035 $29,628 $30,745 +20% $31,190 +19% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $37,002 $29,602 $14,132 +162% $13,824 +168% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $36,977 $29,582 $27,853 +33% $29,609 +25% —
334 RECTAL RESECTION WITHOUT CC/MCC $36,912 $29,530 $47,039 −22% $32,213 +15% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $36,797 $29,437 $24,076 +53% $12,537 +193% —
913 TRAUMATIC INJURY WITH MCC $36,618 $29,294 $36,618 +0% $24,198 +51% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $36,451 $29,161 $21,819 +67% $17,727 +106% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $36,400 $29,120 $35,817 +2% $29,524 +23% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $36,369 $29,095 $28,079 +30% $23,469 +55% —
595 MAJOR SKIN DISORDERS WITH MCC $36,368 $29,094 $37,345 −3% $31,785 +14% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $36,202 $28,962 $36,202 +0% $36,202 +0% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $36,177 $28,942 $27,695 +31% $32,204 +12% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $35,852 $28,682 $35,852 +0% $24,036 +49% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $35,800 $28,640 $31,637 +13% $24,316 +47% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $35,656 $28,525 $20,210 +76% $14,134 +152% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $35,609 $28,487 $31,758 +12% $31,062 +15% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $35,386 $28,309 $27,097 +31% $30,314 +17% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $35,316 $28,253 $18,143 +95% $18,253 +93% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $35,139 $28,111 $14,264 +146% $14,012 +151% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $34,921 $27,937 $42,413 −18% $41,380 −16% —
593 SKIN ULCERS WITH CC $34,912 $27,929 $24,087 +45% $20,470 +71% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,743 $27,794 $19,993 +74% $17,522 +98% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $34,718 $27,774 $25,515 +36% $28,375 +22% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $34,679 $27,743 $41,480 −16% $35,714 −3% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $34,434 $27,547 $31,617 +9% $24,202 +42% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $34,272 $27,417 $27,156 +26% $24,452 +40% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $34,235 $27,388 $25,085 +36% $17,483 +96% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $34,210 $27,368 $17,652 +94% $19,287 +77% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $34,138 $27,311 $18,323 +86% $18,608 +83% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $34,001 $27,201 $19,449 +75% $17,731 +92% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $33,965 $27,172 $18,223 +86% $20,371 +67% —
312 SYNCOPE AND COLLAPSE $33,859 $27,087 $23,545 +44% $19,342 +75% —
157 DENTAL AND ORAL DISEASES WITH MCC $33,828 $27,062 $27,457 +23% $27,457 +23% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $33,822 $27,058 $16,456 +106% $15,869 +113% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $33,719 $26,975 $16,445 +105% $14,337 +135% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $33,634 $26,908 $15,546 +116% $12,650 +166% —
103 HEADACHES WITHOUT MCC $33,563 $26,851 $21,111 +59% $20,111 +67% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $33,511 $26,809 $35,115 −5% $35,237 −5% ≈111% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $33,388 $26,710 $17,733 +88% $23,496 +42% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $33,129 $26,503 $13,676 +142% $12,405 +167% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $33,082 $26,465 $20,595 +61% $18,918 +75% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $33,025 $26,420 $39,606 −17% $48,907 −32% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $32,943 $26,355 $18,090 +82% $12,797 +157% —
694 URINARY STONES WITHOUT MCC $32,871 $26,297 $14,472 +127% $16,531 +99% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $32,738 $26,190 $24,940 +31% $20,278 +61% —
302 ATHEROSCLEROSIS WITH MCC $32,604 $26,083 $23,828 +37% $20,844 +56% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $32,497 $25,998 $22,237 +46% $16,865 +93% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $32,451 $25,961 $19,302 +68% $20,727 +57% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $32,150 $25,720 $17,292 +86% $18,204 +77% ≈107% of Medicare
949 AFTERCARE WITH CC/MCC $32,136 $25,709 $21,946 +46% $23,953 +34% —
906 HAND PROCEDURES FOR INJURIES $32,065 $25,652 $31,792 +1% $31,520 +2% —
305 HYPERTENSION WITHOUT MCC $31,366 $25,093 $24,338 +29% $17,144 +83% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $31,293 $25,035 $13,799 +127% $16,837 +86% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $31,200 $24,960 $14,675 +113% $15,045 +107% —
149 DYSEQUILIBRIUM $31,193 $24,954 $23,926 +30% $17,203 +81% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $31,124 $24,899 $20,673 +51% $19,868 +57% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $31,118 $24,894 $24,838 +25% $21,886 +42% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,696 $24,557 $23,883 +29% $15,608 +97% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $30,579 $24,463 $17,649 +73% $16,571 +85% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $30,398 $24,318 $18,664 +63% $17,388 +75% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $30,393 $24,314 $24,370 +25% $30,358 +0% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $30,335 $24,268 $11,921 +154% $13,198 +130% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $30,185 $24,148 $16,795 +80% $16,776 +80% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $30,171 $24,137 $18,925 +59% $15,600 +93% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $30,156 $24,125 $22,519 +34% $21,029 +43% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $30,148 $24,118 $24,971 +21% $20,463 +47% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $30,056 $24,045 $30,056 +0% $19,598 +53% —
866 VIRAL ILLNESS WITHOUT MCC $29,910 $23,928 $19,085 +57% $16,391 +82% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $29,548 $23,639 $33,306 −11% $44,989 −34% —
204 RESPIRATORY SIGNS AND SYMPTOMS $29,384 $23,507 $22,926 +28% $16,866 +74% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $29,359 $23,487 $13,500 +117% $14,441 +103% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $28,953 $23,163 $23,908 +21% $16,654 +74% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $28,942 $23,154 $24,801 +17% $26,158 +11% ≈100% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $28,885 $23,108 $13,598 +112% $14,444 +100% —
607 MINOR SKIN DISORDERS WITHOUT MCC $28,782 $23,026 $19,884 +45% $15,284 +88% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,693 $22,955 $28,993 −1% $35,139 −18% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $28,546 $22,837 $13,119 +118% $12,279 +132% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $28,266 $22,613 $30,645 −8% $28,134 +0% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $28,147 $22,518 $25,044 +12% $27,118 +4% —
150 EPISTAXIS WITH MCC $28,054 $22,443 $21,133 +33% $21,133 +33% —
849 RADIOTHERAPY $27,960 $22,368 $37,862 −26% $37,862 −26% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $27,893 $22,314 $24,016 +16% $19,854 +40% —
151 EPISTAXIS WITHOUT MCC $27,871 $22,297 $15,397 +81% $13,032 +114% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $27,811 $22,249 $19,164 +45% $14,368 +94% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $27,793 $22,235 $15,474 +80% $15,070 +84% —
864 FEVER AND INFLAMMATORY CONDITIONS $27,616 $22,093 $24,489 +13% $17,412 +59% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $27,577 $22,061 $24,574 +12% $17,550 +57% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $27,362 $21,890 $24,934 +10% $26,488 +3% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $27,262 $21,810 $18,712 +46% $18,278 +49% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $27,112 $21,690 $17,796 +52% $19,305 +40% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $27,097 $21,677 $23,378 +16% $25,208 +7% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $26,811 $21,449 $19,304 +39% $20,007 +34% —
638 DIABETES WITH CC $26,790 $21,432 $20,074 +33% $18,821 +42% ≈109% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $26,775 $21,420 $16,642 +61% $16,642 +61% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $26,730 $21,384 $15,777 +69% $17,103 +56% —
603 CELLULITIS WITHOUT MCC $26,656 $21,325 $16,168 +65% $18,530 +44% ≈128% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $26,465 $21,172 $23,422 +13% $18,191 +45% —
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE $26,366 $21,093 $26,366 — $31,203 −15% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,355 $21,084 $29,518 −11% $30,661 −14% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $26,324 $21,059 $19,602 +34% $26,634 −1% —
311 ANGINA PECTORIS $26,083 $20,866 $15,425 +69% $15,165 +72% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $26,032 $20,826 $26,032 +0% $16,156 +61% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $25,877 $20,702 $13,737 +88% $18,238 +42% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $25,783 $20,627 $20,528 +26% $21,449 +20% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $25,765 $20,612 $21,583 +19% $20,741 +24% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $25,724 $20,580 $20,158 +28% $22,850 +13% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $25,548 $20,439 $12,530 +104% $11,955 +114% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $25,440 $20,352 $24,592 +3% $13,586 +87% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $25,351 $20,281 $12,336 +106% $12,336 +106% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $25,293 $20,234 $21,957 +15% $11,909 +112% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $25,224 $20,179 $24,974 +1% $23,571 +7% —
637 DIABETES WITH MCC $25,204 $20,164 $26,438 −5% $28,819 −13% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $25,134 $20,107 $11,997 +109% $11,997 +109% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $25,091 $20,073 $30,494 −18% $30,058 −17% ≈109% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $24,666 $19,733 $21,913 +13% $18,081 +36% —
313 CHEST PAIN $24,537 $19,630 $20,854 +18% $15,962 +54% —
693 URINARY STONES WITH MCC $24,432 $19,546 $23,355 +5% $22,525 +8% —
153 OTITIS MEDIA AND URI WITHOUT MCC $24,418 $19,535 $13,277 +84% $14,473 +69% —
779 ABORTION WITHOUT D&C $24,417 $19,534 $15,408 +58% $15,327 +59% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $24,401 $19,521 $16,767 +46% $16,104 +52% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $24,176 $19,341 $21,992 +10% $16,418 +47% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,079 $19,263 $22,448 +7% $17,928 +34% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $23,962 $19,170 $21,346 +12% $18,282 +31% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $23,866 $19,093 $16,935 +41% $15,077 +58% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $23,576 $18,861 $22,925 +3% $19,579 +20% —
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MINOR $23,570 $18,856 $16,487 +43% $19,454 +21% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $23,503 $18,803 $12,915 +82% $13,384 +76% —
684 RENAL FAILURE WITHOUT CC/MCC $23,411 $18,728 $12,049 +94% $13,623 +72% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $23,295 $18,636 $21,782 +7% $22,560 +3% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $23,221 $18,577 $18,854 +23% $18,803 +23% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $23,112 $18,490 $28,689 −19% $24,450 −5% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $22,795 $18,236 $22,795 +0% $20,084 +13% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $22,755 $18,204 $18,052 +26% $20,080 +13% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $22,468 $17,975 $21,141 +6% $21,213 +6% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $22,344 $17,875 $19,855 +13% $14,861 +50% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $22,281 $17,825 $16,495 +35% $16,495 +35% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $21,934 $17,547 $11,071 +98% $11,071 +98% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $21,902 $17,521 $27,100 −19% $23,956 −9% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $21,757 $17,406 $17,159 +27% $17,943 +21% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $21,509 $17,208 $15,278 +41% $15,655 +37% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $21,400 $17,120 $19,783 +8% $19,815 +8% —
639 DIABETES WITHOUT CC/MCC $21,344 $17,075 $16,811 +27% $13,910 +53% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $21,299 $17,039 $18,046 +18% $17,466 +22% ≈108% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $21,292 $17,033 $19,528 +9% $20,968 +2% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $20,919 $16,735 $16,336 +28% $13,385 +56% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $20,775 $16,620 $20,666 +1% $22,024 −6% ≈147% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $20,711 $16,569 $20,711 +0% $14,110 +47% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $20,529 $16,423 $15,819 +30% $16,049 +28% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $20,286 $16,229 $24,172 −16% $24,836 −18% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,079 $16,063 $18,133 +11% $18,133 +11% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $20,053 $16,042 $12,415 +62% $10,975 +83% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $19,821 $15,857 $13,654 +45% $13,654 +45% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $19,756 $15,805 $16,822 +17% $16,745 +18% ≈107% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $19,748 $15,798 $19,303 +2% $16,212 +22% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,702 $15,762 $17,193 +15% $17,193 +15% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $19,549 $15,639 $17,560 +11% $19,091 +2% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $19,365 $15,492 $12,855 +51% $13,892 +39% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $19,339 $15,471 $11,454 +69% $14,128 +37% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $19,239 $15,392 $15,055 +28% $14,880 +29% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $18,917 $15,134 $19,792 −4% $15,636 +21% —
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MODERATE $18,357 $14,686 $20,610 −11% $20,610 −11% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $18,228 $14,582 $18,228 +0% $16,212 +12% —
775 ALCOHOL ABUSE AND DEPENDENCE,MODERATE $18,104 $14,483 $3,032 +497% $3,242 +458% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $18,082 $14,466 $18,152 −0% $15,474 +17% —
201 PNEUMOTHORAX WITHOUT CC/MCC $17,799 $14,239 $13,089 +36% $13,081 +36% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $17,619 $14,095 $15,286 +15% $20,309 −13% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $17,384 $13,907 $52,861 −67% $54,196 −68% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $17,347 $13,878 $18,232 −5% $12,593 +38% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,216 $13,773 $19,521 −12% $18,150 −5% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $17,108 $13,687 $23,601 −28% $17,108 +0% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $17,083 $13,666 $25,117 −32% $25,010 −32% —
950 AFTERCARE WITHOUT CC/MCC $16,966 $13,573 $18,599 −9% $13,527 +25% —
533 FRACTURES OF FEMUR WITH MCC $16,850 $13,480 $28,442 −41% $25,945 −35% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $16,784 $13,427 $11,755 +43% $13,368 +26% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,700 $12,560 $19,354 −19% $19,354 −19% —
916 ALLERGIC REACTIONS WITHOUT MCC $15,633 $12,507 $15,531 +1% $13,890 +13% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,350 $12,280 $29,979 −49% $40,065 −62% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $15,336 $12,269 $23,345 −34% $15,072 +2% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,092 $12,074 $27,256 −45% $22,698 −34% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,009 $12,007 $13,696 +10% $12,044 +25% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $14,903 $11,922 $12,895 +16% $12,895 +16% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $14,667 $11,733 $13,471 +9% $13,318 +10% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $14,071 $11,257 $15,319 −8% $15,370 −8% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,998 $11,198 $11,421 +23% $11,421 +23% —
712 TESTES PROCEDURES WITHOUT CC/MCC $13,743 $10,994 $17,076 −20% $18,898 −27% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $13,720 $10,976 $18,291 −25% $18,291 −25% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $13,628 $10,902 $12,381 +10% $12,381 +10% —
999 UNGROUPABLE $13,627 $10,902 $13,627 +0% $28,822 −53% —
606 MINOR SKIN DISORDERS WITH MCC $13,166 $10,533 $38,677 −66% $25,434 −48% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $13,099 $10,479 $13,651 −4% $13,090 +0% —
915 ALLERGIC REACTIONS WITH MCC $12,909 $10,328 $25,750 −50% $30,944 −58% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,282 $9,026 $44,442 −75% $42,126 −73% —
882 NEUROSES EXCEPT DEPRESSIVE $11,102 $8,881 $15,680 −29% $15,680 −29% —
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MINOR $10,859 $8,687 $10,859 — $31,241 −65% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $10,438 $8,351 $12,685 −18% $12,013 −13% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,364 $7,491 $9,053 +3% $7,961 +18% —
881 DEPRESSIVE NEUROSES $9,235 $7,388 $15,058 −39% $15,058 −39% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $9,076 $7,261 $22,087 −59% $11,633 −22% —
247 INTESTINAL OBSTRUCTION,MINOR $8,508 $6,807 $21,663 −61% $21,663 −61% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,935 $6,348 $10,480 −24% $10,039 −21% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $7,634 $6,107 $19,132 −60% $19,132 −60% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,655 $5,324 $10,553 −37% $9,385 −29% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $6,459 $5,167 $22,283 −71% $16,719 −61% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,275 $5,020 $9,295 −32% $9,076 −31% —
795 NORMAL NEWBORN $6,088 $4,871 $5,442 +12% $4,530 +34% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,154 $4,123 $14,055 −63% $14,055 −63% —
791 PREMATURITY WITH MAJOR PROBLEMS $5,086 $4,069 $49,057 −90% $39,563 −87% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,858 $3,086 $80,018 −95% $80,018 −95% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,162 $2,530 $14,064 −78% $14,064 −78% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,111 $1,689 $26,590 −92% $14,284 −85% —
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