Kenmore Mercy Hospital (Acute Care) — Pricing

658 procedures published in this hospital's Machine-Readable File (MRF) — 658 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 658
Lowest published price $2,437
Average published price $47,990
Highest published price $628,664

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 658 procedures

Published charges

Showing all 658 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 29 procedures, this hospital's negotiated rates average ≈105% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $628,664 $614,687 $389,239 +62% $371,366 +69% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $580,329 $571,023 $256,977 +126% $245,241 +137% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $519,143 $512,077 $562,528 −8% $431,073 +20% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $428,565 $422,936 $89,295 +380% $80,885 +430% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $398,529 $392,082 $112,518 +254% $134,914 +195% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $387,540 $380,984 $54,862 +606% $57,521 +574% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $359,264 $356,028 $122,027 +194% $117,280 +206% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $339,564 $331,530 $72,552 +368% $59,207 +474% —
212 Concomitant Aortic And Mitral Valve Procedures $337,600 $327,202 $312,843 +8% $171,338 +97% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $328,422 $320,086 $122,881 +167% $101,235 +224% —
539 Osteomyelitis With McC $304,947 $56,927 $45,071 +577% $33,746 +804% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $287,511 $281,240 $197,899 +45% $131,961 +118% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $284,469 $173,851 $114,669 +148% $116,058 +145% —
215 Other Heart Assist System Implant $278,290 $276,638 $201,916 +38% $191,314 +45% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $247,154 $245,165 $86,544 +186% $76,954 +221% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $245,909 $238,658 $72,168 +241% $59,425 +314% —
277 Cardiac Defibrillator Implant Without McC $237,505 $230,717 $102,350 +132% $91,329 +160% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $232,707 $225,569 $192,933 +21% $121,714 +91% —
037 Extracranial Procedures With McC $232,231 $228,385 $89,423 +160% $64,749 +259% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $208,495 $208,428 $80,018 +161% $80,018 +161% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $207,064 $204,257 $176,606 +17% $138,008 +50% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $200,973 $197,959 $247,059 −19% $175,437 +15% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $191,345 $191,023 $177,288 +8% $118,589 +61% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $177,288 $174,846 $102,309 +73% $84,861 +109% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $174,388 $65,182 $49,222 +254% $54,929 +217% ≈133% of Medicare
232 Coronary Bypass With Ptca Without McC $166,415 $160,352 $173,445 −4% $106,238 +57% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $165,834 $164,074 $83,715 +98% $67,901 +144% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $161,277 $59,887 $111,682 +44% $96,192 +68% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $157,043 $152,462 $108,019 +45% $120,587 +30% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $153,493 $153,409 $142,453 +8% $92,217 +66% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $149,605 $144,999 $165,478 −10% $113,855 +31% —
235 Coronary Bypass Without Cardiac Catheterization With McC $149,185 $142,607 $142,880 +4% $112,062 +33% —
673 Other Kidney And Urinary Tract Procedures With McC $149,131 $37,316 $77,589 +92% $72,945 +104% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $147,547 $137,066 $152,440 −3% $92,238 +60% —
862 Postoperative And Post-Traumatic Infections With McC $147,187 $32,440 $32,602 +351% $30,394 +384% —
783 Cesarean Section With Sterilization With McC $144,545 $138,856 $25,515 +467% $28,375 +409% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $134,873 $162,442 $175,329 −23% $138,868 −3% —
243 Permanent Cardiac Pacemaker Implant With Cc $134,654 $84,448 $50,655 +166% $50,011 +169% —
231 Coronary Bypass With Ptca With McC $134,469 $161,851 $156,608 −14% $146,474 −8% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $131,924 $127,000 $135,515 −3% $106,778 +24% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $129,626 $159,429 $49,015 +164% $62,404 +108% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $129,059 $124,259 $160,266 −19% $102,573 +26% —
052 Spinal Disorders And Injuries With Cc/McC $128,946 $128,952 $29,314 +340% $30,940 +317% —
273 Percutaneous And Other Intracardiac Procedures With McC $127,180 $127,008 $104,086 +22% $78,852 +61% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $120,126 $125,990 $124,741 −4% $102,177 +18% —
288 Acute And Subacute Endocarditis With McC $111,621 $110,104 $45,238 +147% $45,497 +145% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $110,187 $103,927 $50,550 +118% $62,524 +76% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $109,137 $108,954 $104,981 +4% $82,247 +33% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $108,563 $108,405 $81,713 +33% $90,331 +20% —
707 Major Male Pelvic Procedures With Cc/McC $107,137 $106,107 $49,323 +117% $43,080 +149% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $107,049 $106,538 $84,844 +26% $45,290 +136% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $103,356 $99,678 $32,506 +218% $43,398 +138% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $102,790 $99,471 $51,311 +100% $62,821 +64% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $102,713 $102,355 $109,299 −6% $83,065 +24% —
799 Splenic Procedures With McC $101,627 $98,805 $76,574 +33% $78,821 +29% —
791 Prematurity With Major Problems $101,374 $101,343 $49,057 +107% $39,563 +156% —
907 Other O.R. Procedures For Injuries With McC $101,206 $97,984 $75,408 +34% $71,701 +41% —
271 Other Major Cardiovascular Procedures With Cc $100,893 $80,813 $68,489 +47% $71,014 +42% —
163 Major Chest Procedures With McC $99,477 $97,791 $90,851 +9% $88,341 +13% —
549 Septic Arthritis With Cc $97,836 $97,310 $27,777 +252% $20,938 +367% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $96,196 $94,638 $92,416 +4% $87,018 +11% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $94,677 $90,064 $97,799 −3% $88,307 +7% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $94,605 $89,159 $63,580 +49% $72,859 +30% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $93,951 $92,532 $61,206 +53% $68,006 +38% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $91,537 $106,867 $238,993 −62% $143,242 −36% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $91,503 $87,050 $112,108 −18% $88,049 +4% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $91,112 $88,742 $40,406 +125% $58,968 +55% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $90,160 $90,114 $51,101 +76% $57,149 +58% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $89,995 $86,880 $42,815 +110% $41,703 +116% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $89,446 $86,409 $31,159 +187% $36,097 +148% —
270 Other Major Cardiovascular Procedures With McC $89,328 $83,881 $115,907 −23% $99,423 −10% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $88,241 $87,742 $44,198 +100% $40,063 +120% —
466 Revision Of Hip Or Knee Replacement With McC $88,039 $86,333 $94,394 −7% $96,222 −9% —
319 Other Endovascular Cardiac Valve Procedures With McC $87,760 $86,395 $87,760 +0% $75,585 +16% —
748 Female Reproductive System Reconstructive Procedures $87,398 $83,995 $35,261 +148% $24,980 +250% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $85,432 $83,987 $112,119 −24% $151,029 −43% —
274 Percutaneous And Other Intracardiac Procedures Without McC $84,972 $84,677 $87,436 −3% $65,573 +30% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $84,626 $76,555 $72,297 +17% $53,551 +58% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $84,372 $84,225 $91,834 −8% $66,819 +26% —
405 Pancreas, Liver And Shunt Procedures With McC $84,088 $79,761 $94,162 −11% $94,927 −11% —
902 Wound Debridements For Injuries With Cc $83,810 $79,577 $41,665 +101% $35,459 +136% —
265 Aicd Lead Procedures $82,378 $80,723 $83,892 −2% $56,695 +45% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $82,321 $81,554 $24,888 +231% $25,623 +221% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $81,639 $78,457 $57,419 +42% $52,332 +56% —
665 Prostatectomy With McC $81,280 $79,312 $50,174 +62% $54,072 +50% —
454 Combined Anterior And Posterior Spinal Fusion With Cc $80,019 $78,944 $71,255 +12% $69,101 +16% —
229 Other Cardiothoracic Procedures Without McC $79,460 $79,269 $79,460 +0% $65,325 +22% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $78,454 $75,725 $69,526 +13% $65,383 +20% —
306 Cardiac Congenital And Valvular Disorders With McC $78,454 $77,248 $28,689 +173% $24,450 +221% —
459 Spinal Fusion Except Cervical With McC $77,927 $75,297 $77,927 +0% $75,251 +4% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $77,909 $72,673 $110,658 −30% $86,390 −10% —
242 Permanent Cardiac Pacemaker Implant With McC $77,155 $76,754 $69,584 +11% $70,132 +10% —
164 Major Chest Procedures With Cc $77,154 $76,725 $67,197 +15% $53,141 +45% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $76,390 $74,700 $44,644 +71% $41,520 +84% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $74,695 $72,909 $66,547 +12% $57,963 +29% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $74,271 $74,045 $54,320 +37% $54,320 +37% ≈106% of Medicare
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $74,070 $73,985 $56,193 +32% $54,313 +36% —
453 Combined Anterior And Posterior Spinal Fusion With McC $73,803 $73,556 $103,861 −29% $103,861 −29% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $73,716 $69,860 $85,781 −14% $74,755 −1% —
467 Revision Of Hip Or Knee Replacement With Cc $73,275 $73,226 $73,275 +0% $68,880 +6% —
653 Major Bladder Procedures With McC $72,153 $72,037 $84,904 −15% $97,046 −26% —
757 Infections, Female Reproductive System With McC $72,087 $68,597 $21,563 +234% $23,734 +204% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $71,355 $60,455 $60,497 +18% $64,152 +11% —
252 Other Vascular Procedures With McC $71,156 $69,487 $75,832 −6% $68,508 +4% —
504 Foot Procedures With Cc $71,139 $70,534 $29,220 +143% $36,598 +94% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $70,272 $64,474 $82,674 −15% $88,691 −21% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $70,113 $66,616 $27,330 +157% $24,465 +187% —
615 Adrenal And Pituitary Procedures Without Cc/McC $69,274 $67,917 $43,042 +61% $31,812 +118% —
356 Other Digestive System O.R. Procedures With McC $69,173 $66,814 $89,159 −22% $82,561 −16% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $69,130 $66,776 $33,306 +108% $44,989 +54% —
421 Hepatobiliary Diagnostic Procedures With Cc $67,867 $62,018 $54,499 +25% $36,333 +87% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $67,567 $65,162 $55,689 +21% $75,103 −10% —
259 Cardiac Pacemaker Device Replacement Without McC $67,316 $66,491 $43,498 +55% $35,673 +89% —
460 Spinal Fusion Except Cervical Without McC $67,271 $66,795 $42,901 +57% $50,815 +32% ≈130% of Medicare
901 Wound Debridements For Injuries With McC $67,220 $65,273 $60,697 +11% $68,847 −2% —
057 Degenerative Nervous System Disorders Without McC $66,912 $66,133 $29,561 +126% $25,426 +163% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $66,810 $66,084 $135,307 −51% $83,441 −20% —
840 Lymphoma And Non-Acute Leukemia With McC $66,431 $51,153 $44,584 +49% $49,710 +34% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $65,535 $58,985 $76,734 −15% $74,274 −12% —
245 Aicd Generator Procedures $65,480 $64,491 $66,564 −2% $72,076 −9% —
056 Degenerative Nervous System Disorders With McC $63,380 $63,069 $42,202 +50% $39,409 +61% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $63,310 $62,697 $61,575 +3% $63,475 −0% —
471 Cervical Spinal Fusion With McC $63,301 $63,077 $80,569 −21% $92,515 −32% —
228 Other Cardiothoracic Procedures With McC $63,238 $56,416 $111,145 −43% $96,905 −35% —
253 Other Vascular Procedures With Cc $63,047 $63,022 $56,289 +12% $53,746 +17% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $61,759 $60,775 $73,038 −15% $86,953 −29% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $61,470 $59,800 $51,761 +19% $60,861 +1% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $61,039 $60,813 $115,045 −47% $107,355 −43% —
035 Carotid Artery Stent Procedures With Cc $60,743 $60,719 $61,008 −0% $46,430 +31% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $60,258 $51,399 $54,300 +11% $61,832 −3% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $59,545 $58,522 $48,438 +23% $65,254 −9% —
711 Testes Procedures With Cc/McC $59,131 $57,420 $46,485 +27% $34,852 +70% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $59,025 $58,574 $54,475 +8% $54,475 +8% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $58,916 $56,241 $78,651 −25% $70,540 −16% —
167 Other Respiratory System O.R. Procedures With Cc $58,520 $58,334 $41,820 +40% $40,563 +44% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $58,274 $57,439 $46,181 +26% $40,277 +45% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $58,218 $55,419 $84,121 −31% $74,257 −22% —
480 Hip And Femur Procedures Except Major Joint With McC $58,142 $55,350 $64,529 −10% $63,984 −9% —
113 Orbital Procedures With Cc/McC $57,860 $57,762 $57,860 +0% $35,642 +62% —
614 Adrenal And Pituitary Procedures With Cc/McC $57,830 $56,969 $46,130 +25% $43,586 +33% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $57,412 $57,004 $24,888 +131% $27,279 +110% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $56,209 $55,394 $67,085 −16% $53,555 +5% —
503 Foot Procedures With McC $55,990 $54,812 $58,830 −5% $43,901 +28% —
254 Other Vascular Procedures Without Cc/McC $55,736 $55,687 $47,265 +18% $38,836 +44% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $55,564 $67,546 $44,472 +25% $39,253 +42% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $55,297 $52,414 $41,155 +34% $35,692 +55% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $55,096 $54,789 $29,800 +85% $30,974 +78% —
655 Major Bladder Procedures Without Cc/McC $55,028 $54,833 $45,797 +20% $41,651 +32% —
326 Stomach, Esophageal And Duodenal Procedures With McC $54,980 $53,232 $80,701 −32% $80,747 −32% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $54,958 $53,551 $53,594 +3% $48,680 +13% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $54,908 $54,605 $45,967 +19% $49,197 +12% —
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $54,640 $54,361 $34,171 +60% $21,986 +149% —
948 Signs And Symptoms Without McC $54,256 $53,880 $21,819 +149% $17,727 +206% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $54,132 $45,044 $73,532 −26% $47,546 +14% —
913 Traumatic Injury With McC $54,058 $51,896 $36,618 +48% $24,198 +123% —
506 Major Thumb Or Joint Procedures $54,028 $53,479 $47,364 +14% $28,983 +86% —
674 Other Kidney And Urinary Tract Procedures With Cc $53,906 $53,047 $42,884 +26% $49,631 +9% —
329 Major Small And Large Bowel Procedures With McC $53,498 $50,139 $75,766 −29% $88,050 −39% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $53,246 $48,580 $59,784 −11% $54,772 −3% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $53,221 $52,749 $46,757 +14% $45,059 +18% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $52,151 $51,956 $47,908 +9% $34,434 +51% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $51,853 $71,681 $35,817 +45% $29,524 +76% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $51,815 $50,463 $41,196 +26% $52,313 −1% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $51,739 $50,956 $24,581 +110% $22,557 +129% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $51,662 $51,419 $38,934 +33% $42,881 +20% —
345 Minor Small And Large Bowel Procedures With Cc $50,362 $45,578 $31,758 +59% $31,062 +62% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $50,107 $48,512 $52,634 −5% $56,519 −11% ≈113% of Medicare
146 Ear, Nose, Mouth And Throat Malignancy With McC $49,465 $49,238 $47,803 +3% $37,080 +33% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $49,190 $49,116 $38,106 +29% $35,528 +38% —
078 Hypertensive Encephalopathy With Cc $49,076 $47,823 $31,817 +54% $17,434 +181% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $48,926 $46,456 $48,696 +0% $25,149 +95% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $48,815 $47,773 $54,832 −11% $56,394 −13% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $48,738 $47,064 $50,041 −3% $39,018 +25% —
289 Acute And Subacute Endocarditis With Cc $48,720 $43,724 $23,658 +106% $29,371 +66% —
028 Spinal Procedures With McC $48,549 $47,378 $125,606 −61% $95,858 −49% —
272 Other Major Cardiovascular Procedures Without Cc/McC $48,182 $48,101 $46,501 +4% $55,162 −13% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $47,829 $49,128 $53,357 −10% $62,961 −24% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $47,702 $45,438 $49,711 −4% $64,776 −26% —
380 Complicated Peptic Ulcer With McC $47,534 $46,906 $33,696 +41% $36,641 +30% —
330 Major Small And Large Bowel Procedures With Cc $47,367 $47,268 $55,088 −14% $58,832 −19% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $47,318 $45,157 $76,169 −38% $62,269 −24% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $47,211 $46,573 $38,130 +24% $25,390 +86% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $46,551 $45,494 $63,485 −27% $67,764 −31% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $46,410 $45,834 $35,473 +31% $38,420 +21% —
350 Inguinal And Femoral Hernia Procedures With McC $46,352 $45,230 $66,902 −31% $46,591 −1% —
165 Major Chest Procedures Without Cc/McC $46,340 $46,340 $57,095 −19% $41,380 +12% —
347 Anal And Stomal Procedures With McC $46,081 $44,235 $49,639 −7% $40,548 +14% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $45,527 $45,453 $35,950 +27% $30,972 +47% —
039 Extracranial Procedures Without Cc/McC $45,340 $71,403 $31,640 +43% $25,267 +79% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $45,308 $45,283 $38,192 +19% $45,963 −1% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $45,290 $45,036 $65,588 −31% $57,277 −21% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $45,042 $42,457 $36,815 +22% $43,775 +3% —
662 Minor Bladder Procedures With McC $44,915 $44,370 $55,854 −20% $54,483 −18% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $44,554 $42,118 $43,429 +3% $48,094 −7% —
570 Skin Debridement With McC $43,955 $43,571 $42,263 +4% $52,435 −16% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $43,901 $43,783 $91,116 −52% $87,565 −50% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $43,816 $42,892 $43,492 +1% $31,909 +37% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $43,495 $43,409 $46,229 −6% $35,375 +23% —
545 Connective Tissue Disorders With McC $43,431 $39,542 $43,431 +0% $39,657 +10% —
663 Minor Bladder Procedures With Cc $43,372 $43,110 $29,153 +49% $29,924 +45% —
141 Major Head And Neck Procedures With Cc $43,293 $42,783 $38,653 +12% $34,900 +24% —
331 Major Small And Large Bowel Procedures Without Cc/McC $43,245 $43,195 $42,815 +1% $44,117 −2% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $43,216 $43,154 $27,369 +58% $40,552 +7% —
353 Hernia Procedures Except Inguinal And Femoral With McC $43,211 $43,113 $51,577 −16% $60,140 −28% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $42,967 $41,055 $46,694 −8% $33,564 +28% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $42,952 $41,862 $36,842 +17% $46,659 −8% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $42,805 $42,480 $36,311 +18% $27,492 +56% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $42,705 $42,656 $38,708 +10% $32,490 +31% —
472 Cervical Spinal Fusion With Cc $42,650 $46,137 $59,171 −28% $59,537 −28% —
357 Other Digestive System O.R. Procedures With Cc $42,646 $40,140 $62,284 −32% $48,682 −12% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $42,554 $42,366 $33,575 +27% $29,558 +44% —
142 Major Head And Neck Procedures Without Cc/McC $42,509 $42,378 $40,799 +4% $34,906 +22% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With McC $42,436 $40,423 $92,292 −54% $72,011 −41% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $42,347 $40,603 $52,030 −19% $54,129 −22% —
033 Ventricular Shunt Procedures Without Cc/McC $42,021 $40,923 $34,211 +23% $33,984 +24% —
032 Ventricular Shunt Procedures With Cc $41,960 $41,455 $43,988 −5% $45,622 −8% —
103 Headaches Without McC $41,892 $38,103 $21,111 +98% $20,111 +108% —
377 Gastrointestinal Hemorrhage With McC $41,450 $39,871 $38,268 +8% $37,842 +10% —
200 Pneumothorax With Cc $41,269 $38,801 $25,705 +61% $20,573 +101% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $41,200 $36,578 $55,306 −26% $51,339 −20% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $41,022 $74,686 $48,949 −16% $36,597 +12% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $40,967 $40,255 $59,209 −31% $47,583 −14% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $40,889 $36,856 $41,480 −1% $35,714 +14% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $40,700 $40,617 $27,614 +47% $32,839 +24% —
571 Skin Debridement With Cc $40,621 $40,165 $37,246 +9% $34,901 +16% —
473 Cervical Spinal Fusion Without Cc/McC $40,567 $50,025 $58,276 −30% $50,624 −20% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $40,513 $39,585 $46,090 −12% $45,817 −12% —
432 Cirrhosis And Alcoholic Hepatitis With McC $40,400 $36,173 $49,473 −18% $36,933 +9% —
137 Mouth Procedures With Cc/McC $40,092 $47,858 $34,700 +16% $24,348 +65% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $39,971 $39,910 $23,738 +68% $24,229 +65% —
337 Peritoneal Adhesiolysis Without Cc/McC $39,921 $39,847 $32,884 +21% $36,239 +10% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $39,815 $38,818 $31,637 +26% $24,316 +64% —
481 Hip And Femur Procedures Except Major Joint With Cc $39,797 $41,819 $53,106 −25% $51,172 −22% ≈97% of Medicare
344 Minor Small And Large Bowel Procedures With McC $39,743 $38,672 $38,706 +3% $44,839 −11% —
908 Other O.R. Procedures For Injuries With Cc $39,613 $38,420 $40,387 −2% $41,660 −5% —
881 Depressive Neuroses $39,412 $35,913 $15,058 +162% $15,058 +162% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $39,247 $34,285 $39,489 −1% $37,902 +4% —
336 Peritoneal Adhesiolysis With Cc $39,209 $38,108 $44,395 −12% $49,470 −21% —
621 O.R. Procedures For Obesity Without Cc/McC $38,862 $40,780 $36,535 +6% $32,451 +20% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $38,821 $38,389 $39,545 −2% $43,538 −11% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $38,786 $38,694 $47,968 −19% $44,363 −13% —
666 Prostatectomy With Cc $38,688 $37,176 $33,815 +14% $30,016 +29% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $38,528 $36,583 $39,826 −3% $34,089 +13% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $38,450 $38,450 $71,300 −46% $44,053 −13% —
284 Acute Myocardial Infarction, Expired With Cc $38,354 $36,770 $13,735 +179% $13,282 +189% —
038 Extracranial Procedures With Cc $38,154 $38,117 $39,339 −3% $35,770 +7% —
186 Pleural Effusion With McC $37,797 $36,623 $30,373 +24% $32,468 +16% —
654 Major Bladder Procedures With Cc $37,698 $37,558 $50,400 −25% $53,868 −30% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $37,689 $37,689 $36,561 +3% $30,930 +22% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $37,357 $37,172 $30,820 +21% $34,887 +7% —
335 Peritoneal Adhesiolysis With McC $37,251 $40,852 $82,458 −55% $71,755 −48% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $37,197 $42,566 $40,400 −8% $43,266 −14% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $37,180 $37,070 $27,377 +36% $27,369 +36% —
786 Cesarean Section Without Sterilization With McC $37,117 $36,903 $25,044 +48% $27,118 +37% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $37,053 $36,242 $24,215 +53% $25,243 +47% —
917 Poisoning And Toxic Effects Of Drugs With McC $36,870 $34,929 $30,645 +20% $28,134 +31% ≈52% of Medicare
115 Extraocular Procedures Except Orbit $36,765 $32,728 $23,065 +59% $24,879 +48% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $36,680 $36,494 $38,036 −4% $50,139 −27% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $36,575 $36,308 $27,584 +33% $31,816 +15% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $36,484 $35,200 $32,818 +11% $42,119 −13% —
698 Other Kidney And Urinary Tract Diagnoses With McC $36,475 $34,296 $30,494 +20% $30,058 +21% ≈81% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $36,365 $35,163 $48,770 −25% $46,066 −21% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $36,272 $48,187 $39,277 −8% $40,583 −11% —
668 Transurethral Procedures With McC $36,156 $35,252 $49,739 −27% $47,277 −24% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $36,132 $36,068 $49,647 −27% $54,824 −34% —
264 Other Circulatory System O.R. Procedures $36,025 $45,922 $48,557 −26% $51,953 −31% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $35,849 $32,015 $18,232 +97% $12,593 +185% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $35,727 $35,456 $21,046 +70% $19,001 +88% —
420 Hepatobiliary Diagnostic Procedures With McC $35,436 $34,042 $49,003 −28% $50,919 −30% —
557 Tendonitis, Myositis And Bursitis With McC $35,365 $31,967 $26,780 +32% $28,646 +23% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $35,347 $35,083 $39,285 −10% $39,747 −11% —
909 Other O.R. Procedures For Injuries Without Cc/McC $35,104 $35,062 $31,734 +11% $28,156 +25% —
815 Reticuloendothelial And Immunity Disorders With Cc $34,894 $33,287 $19,264 +81% $18,017 +94% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $34,848 $31,491 $58,553 −40% $51,985 −33% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $34,717 $33,830 $39,268 −12% $28,527 +22% —
671 Urethral Procedures With Cc/McC $34,470 $34,331 $26,412 +31% $27,233 +27% —
102 Headaches With McC $34,299 $31,605 $25,440 +35% $22,544 +52% —
398 Appendix Procedures With Cc $34,258 $31,762 $40,924 −16% $39,107 −12% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $34,204 $33,473 $53,604 −36% $49,055 −30% —
686 Kidney And Urinary Tract Neoplasms With McC $34,022 $32,715 $41,587 −18% $32,981 +3% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $33,796 $33,607 $29,484 +15% $23,924 +41% —
656 Kidney And Ureter Procedures For Neoplasm With McC $33,764 $31,910 $64,465 −48% $64,465 −48% —
669 Transurethral Procedures With Cc $33,602 $32,627 $47,653 −29% $34,354 −2% —
180 Respiratory Neoplasms With McC $33,385 $29,008 $40,315 −17% $36,658 −9% —
619 O.R. Procedures For Obesity With McC $33,332 $33,292 $38,581 −14% $44,973 −26% —
620 O.R. Procedures For Obesity With Cc $33,143 $44,839 $37,027 −10% $35,453 −7% —
551 Medical Back Problems With McC $33,108 $31,785 $33,102 +0% $31,086 +7% —
333 Rectal Resection With Cc $32,771 $31,616 $31,951 +3% $34,352 −5% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $32,729 $31,069 $35,183 −7% $32,538 +1% —
086 Traumatic Stupor And Coma <1 Hour With Cc $32,650 $28,787 $23,278 +40% $23,115 +41% —
368 Major Esophageal Disorders With McC $32,526 $31,970 $32,526 +0% $33,607 −3% —
080 Nontraumatic Stupor And Coma With McC $32,482 $27,610 $28,993 +12% $35,139 −8% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $32,475 $30,637 $28,798 +13% $29,409 +10% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $32,475 $30,637 $17,649 +84% $16,571 +96% —
500 Soft Tissue Procedures With McC $32,402 $31,365 $53,498 −39% $57,479 −44% —
713 Transurethral Prostatectomy With Cc/McC $32,114 $31,561 $28,811 +11% $29,663 +8% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $32,086 $31,044 $26,590 +21% $14,284 +125% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $32,061 $31,940 $27,156 +18% $24,452 +31% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $32,039 $26,595 $12,745 +151% $13,485 +138% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $31,987 $30,805 $26,332 +21% $29,729 +8% —
785 Cesarean Section With Sterilization Without Cc/McC $31,983 $31,829 $19,783 +62% $19,815 +61% —
841 Lymphoma And Non-Acute Leukemia With Cc $31,561 $30,311 $30,877 +2% $31,059 +2% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $31,456 $30,937 $22,448 +40% $17,928 +75% —
697 Urethral Stricture $31,434 $30,025 $21,435 +47% $17,705 +78% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $31,417 $30,297 $73,103 −57% $78,582 −60% —
863 Postoperative And Post-Traumatic Infections Without McC $30,991 $29,012 $19,304 +61% $20,007 +55% —
083 Traumatic Stupor And Coma >1 Hour With Cc $30,976 $23,575 $23,875 +30% $24,118 +28% —
294 Deep Vein Thrombophlebitis With Cc/McC $30,917 $26,481 $19,132 +62% $19,132 +62% —
606 Minor Skin Disorders With McC $30,798 $27,099 $38,677 −20% $25,434 +21% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $30,779 $27,666 $31,344 −2% $33,050 −7% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $30,745 $30,679 $28,482 +8% $31,978 −4% —
725 Benign Prostatic Hypertrophy With McC $30,620 $29,276 $19,581 +56% $19,894 +54% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $30,597 $29,107 $37,153 −18% $43,697 −30% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $30,590 $30,576 $25,986 +18% $24,452 +25% —
600 Non-Malignant Breast Disorders With Cc/McC $30,514 $29,487 $21,992 +39% $16,418 +86% —
100 Seizures With McC $30,087 $23,461 $31,211 −4% $35,194 −15% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $29,997 $29,804 $36,341 −17% $31,758 −6% —
784 Cesarean Section With Sterilization With Cc $29,993 $29,840 $21,782 +38% $22,560 +33% —
158 Dental And Oral Diseases With Cc $29,979 $28,387 $18,988 +58% $17,700 +69% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $29,809 $25,335 $42,413 −30% $41,380 −28% —
077 Hypertensive Encephalopathy With McC $29,789 $27,212 $35,852 −17% $24,036 +24% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $29,788 $27,380 $30,064 −1% $32,936 −10% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $29,749 $25,974 $16,495 +80% $16,495 +80% —
393 Other Digestive System Diagnoses With McC $29,727 $29,022 $30,510 −3% $32,689 −9% —
030 Spinal Procedures Without Cc/McC $29,656 $29,593 $38,567 −23% $45,818 −35% —
351 Inguinal And Femoral Hernia Procedures With Cc $29,446 $28,494 $37,278 −21% $33,792 −13% —
592 Skin Ulcers With McC $29,441 $27,841 $29,882 −1% $32,662 −10% —
166 Other Respiratory System O.R. Procedures With McC $29,247 $28,758 $67,154 −56% $72,782 −60% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $29,213 $27,697 $35,115 −17% $35,237 −17% ≈83% of Medicare
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $29,127 $29,127 $19,101 +52% $20,842 +40% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $29,044 $27,894 $30,251 −4% $25,162 +15% —
034 Carotid Artery Stent Procedures With McC $29,035 $26,998 $95,318 −70% $72,908 −60% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $28,991 $28,918 $39,369 −26% $44,553 −35% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC $28,854 $28,771 $48,887 −41% $56,964 −49% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $28,847 $28,751 $34,473 −16% $30,418 −5% —
188 Pleural Effusion Without Cc/McC $28,821 $28,691 $20,711 +39% $14,110 +104% —
307 Cardiac Congenital And Valvular Disorders Without McC $28,773 $27,678 $18,323 +57% $18,608 +55% —
670 Transurethral Procedures Without Cc/McC $28,729 $27,946 $18,223 +58% $20,371 +41% —
864 Fever And Inflammatory Conditions $28,725 $22,003 $24,489 +17% $17,412 +65% —
031 Ventricular Shunt Procedures With McC $28,685 $46,784 $113,929 −75% $68,659 −58% —
505 Foot Procedures Without Cc/McC $28,670 $27,996 $25,972 +10% $31,716 −10% —
756 Malignancy, Female Reproductive System Without Cc/McC $28,581 $28,447 $15,589 +83% $15,589 +83% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $28,566 $23,178 $22,237 +28% $16,865 +69% ≈103% of Medicare
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $28,499 $26,785 $33,894 −16% $29,757 −4% —
177 Respiratory Infections And Inflammations With McC $28,327 $28,088 $34,944 −19% $31,840 −11% ≈105% of Medicare
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $28,292 $27,114 $48,180 −41% $35,542 −20% —
375 Digestive Malignancy With Cc $28,266 $27,104 $27,902 +1% $27,219 +4% —
280 Acute Myocardial Infarction, Discharged Alive With McC $28,241 $27,114 $30,390 −7% $28,967 −3% ≈74% of Medicare
386 Inflammatory Bowel Disease With Cc $28,198 $27,357 $19,528 +44% $20,968 +34% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $28,192 $27,913 $44,442 −37% $42,126 −33% —
075 Viral Meningitis With Cc/McC $28,179 $27,079 $29,084 −3% $29,853 −6% —
290 Acute And Subacute Endocarditis Without Cc/McC $28,129 $26,767 $28,129 +0% $15,901 +77% —
358 Other Digestive System O.R. Procedures Without Cc/McC $28,020 $27,979 $28,020 +0% $29,374 −5% —
093 Other Disorders Of Nervous System Without Cc/McC $27,884 $23,987 $19,993 +39% $17,522 +59% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $27,856 $26,642 $49,908 −44% $68,399 −59% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $27,758 $56,151 $31,294 −11% $29,050 −4% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $27,676 $24,800 $34,120 −19% $36,280 −24% —
920 Complications Of Treatment With Cc $27,610 $27,352 $23,173 +19% $21,181 +30% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $27,467 $26,368 $49,467 −44% $46,477 −41% —
149 Dysequilibrium $27,456 $25,743 $23,926 +15% $17,203 +60% —
682 Renal Failure With McC $27,301 $25,729 $24,994 +9% $27,854 −2% ≈98% of Medicare
349 Anal And Stomal Procedures Without Cc/McC $27,104 $26,087 $24,016 +13% $19,854 +37% —
399 Appendix Procedures Without Cc/McC $27,097 $50,204 $27,097 +0% $30,314 −11% —
788 Cesarean Section Without Sterilization Without Cc/McC $26,974 $30,436 $22,795 +18% $20,084 +34% —
787 Cesarean Section Without Sterilization With Cc $26,955 $33,612 $24,974 +8% $23,571 +14% —
189 Pulmonary Edema And Respiratory Failure $26,933 $23,517 $24,336 +11% $25,704 +5% ≈110% of Medicare
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $26,769 $25,845 $24,370 +10% $30,358 −12% —
091 Other Disorders Of Nervous System With McC $26,633 $22,972 $32,429 −18% $36,375 −27% —
664 Minor Bladder Procedures Without Cc/McC $26,324 $25,621 $24,070 +9% $18,126 +45% —
919 Complications Of Treatment With McC $26,308 $25,936 $26,862 −2% $29,031 −9% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $26,273 $26,273 $43,479 −40% $33,694 −22% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $26,059 $24,227 $28,079 −7% $23,469 +11% ≈138% of Medicare
553 Bone Diseases And Arthropathies With McC $26,051 $25,159 $27,100 −4% $23,956 +9% —
296 Cardiac Arrest, Unexplained With McC $26,013 $23,767 $27,987 −7% $30,910 −16% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $25,829 $25,363 $23,771 +9% $15,764 +64% —
637 Diabetes With McC $25,778 $38,965 $26,438 −2% $28,819 −11% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $25,638 $31,285 $45,690 −44% $38,382 −33% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $25,488 $17,719 $30,745 −17% $31,190 −18% —
550 Septic Arthritis Without Cc/McC $25,367 $24,871 $26,032 −3% $16,156 +57% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $25,241 $22,857 $20,528 +23% $21,449 +18% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $25,231 $23,898 $52,219 −52% $43,800 −42% —
727 Inflammation Of The Male Reproductive System With McC $25,171 $24,114 $28,470 −12% $25,786 −2% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $25,126 $25,001 $34,307 −27% $39,093 −36% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $25,122 $24,115 $18,707 +34% $20,421 +23% —
304 Hypertension With McC $24,714 $22,052 $30,162 −18% $24,185 +2% —
123 Neurological Eye Disorders $24,638 $22,073 $24,443 +1% $17,831 +38% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $24,522 $23,311 $21,583 +14% $20,741 +18% —
397 Appendix Procedures With McC $24,438 $23,330 $52,457 −53% $52,319 −53% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $24,336 $23,957 $28,893 −16% $33,165 −27% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $24,261 $39,576 $42,315 −43% $41,900 −42% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $24,135 $22,748 $22,525 +7% $21,545 +12% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $24,054 $27,867 $38,023 −37% $43,524 −45% —
572 Skin Debridement Without Cc/McC $23,988 $23,937 $22,256 +8% $24,432 −2% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $23,984 $21,951 $26,717 −10% $29,211 −18% —
085 Traumatic Stupor And Coma <1 Hour With McC $23,950 $20,347 $47,618 −50% $37,064 −35% —
299 Peripheral Vascular Disorders With McC $23,949 $22,829 $36,771 −35% $25,731 −7% —
975 Hiv With Major Related Condition With Cc $23,937 $22,081 $25,117 −5% $25,010 −4% —
947 Signs And Symptoms With McC $23,898 $23,643 $30,911 −23% $25,474 −6% —
963 Other Multiple Significant Trauma With McC $23,619 $21,292 $38,454 −39% $43,491 −46% —
139 Salivary Gland Procedures $23,612 $22,030 $25,144 −6% $21,014 +12% —
814 Reticuloendothelial And Immunity Disorders With McC $23,436 $21,405 $35,509 −34% $32,483 −28% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $23,416 $21,772 $24,565 −5% $16,352 +43% —
305 Hypertension Without McC $23,366 $20,423 $24,338 −4% $17,144 +36% —
597 Malignant Breast Disorders With McC $23,250 $20,825 $35,093 −34% $31,846 −27% —
054 Nervous System Neoplasms With McC $22,682 $17,662 $28,195 −20% $29,484 −23% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $22,617 $21,268 $49,718 −55% $57,855 −61% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $22,556 $16,203 $19,792 +14% $15,636 +44% —
645 Endocrine Disorders Without Cc/McC $22,469 $20,503 $20,616 +9% $14,166 +59% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $22,385 $18,465 $23,908 −6% $16,654 +34% —
596 Major Skin Disorders Without McC $22,268 $21,871 $17,226 +29% $17,226 +29% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $22,120 $16,970 $18,925 +17% $15,600 +42% —
152 Otitis Media And Uri With McC $22,117 $16,989 $21,226 +4% $19,795 +12% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $22,105 $18,217 $42,416 −48% $24,941 −11% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $22,090 $29,145 $44,619 −50% $44,600 −50% ≈80% of Medicare
599 Malignant Breast Disorders Without Cc/McC $21,870 $18,542 $18,080 +21% $14,290 +53% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $21,806 $19,829 $26,971 −19% $28,140 −23% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $21,754 $19,767 $17,652 +23% $19,287 +13% —
303 Atherosclerosis Without McC $21,643 $18,730 $18,920 +14% $14,927 +45% —
887 Other Mental Disorder Diagnoses $21,391 $21,238 $18,631 +15% $20,602 +4% —
438 Disorders Of Pancreas Except Malignancy With McC $21,375 $18,479 $25,581 −16% $32,502 −34% —
501 Soft Tissue Procedures With Cc $21,373 $21,251 $45,517 −53% $37,975 −44% —
314 Other Circulatory System Diagnoses With McC $21,332 $19,917 $33,498 −36% $38,357 −44% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $21,323 $20,595 $18,133 +18% $18,133 +18% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $21,320 $21,209 $46,049 −54% $52,908 −60% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $21,308 $19,902 $31,148 −32% $33,137 −36% —
283 Acute Myocardial Infarction, Expired With McC $21,259 $20,106 $31,582 −33% $35,014 −39% —
915 Allergic Reactions With McC $21,203 $21,401 $25,750 −18% $30,944 −31% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $21,140 $18,007 $21,786 −3% $24,017 −12% —
201 Pneumothorax Without Cc/McC $20,973 $20,488 $13,089 +60% $13,081 +60% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $20,920 $20,770 $24,934 −16% $26,488 −21% —
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $20,818 $18,612 $34,822 −40% $37,950 −45% —
178 Respiratory Infections And Inflammations With Cc $20,753 $19,060 $20,666 +0% $22,024 −6% ≈129% of Medicare
204 Respiratory Signs And Symptoms $20,687 $18,878 $22,926 −10% $16,866 +23% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $20,676 $18,453 $23,422 −12% $18,191 +14% —
388 Gastrointestinal Obstruction With McC $20,541 $16,652 $27,615 −26% $28,780 −29% —
949 Aftercare With Cc/McC $20,520 $26,007 $21,946 −6% $23,953 −14% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $20,464 $20,260 $34,662 −41% $36,242 −44% —
150 Epistaxis With McC $20,456 $20,137 $21,133 −3% $21,133 −3% —
445 Disorders Of The Biliary Tract With Cc $20,450 $19,233 $21,478 −5% $21,806 −6% —
754 Malignancy, Female Reproductive System With McC $20,326 $18,234 $35,135 −42% $29,476 −31% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $20,247 $19,287 $34,886 −42% $35,114 −42% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $20,174 $19,736 $26,307 −23% $30,275 −33% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $20,151 $14,408 $13,676 +47% $12,405 +62% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $20,114 $19,520 $17,159 +17% $17,943 +12% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $20,050 $19,043 $24,089 −17% $23,749 −16% —
070 Nonspecific Cerebrovascular Disorders With McC $19,874 $17,331 $25,761 −23% $30,814 −36% —
190 Chronic Obstructive Pulmonary Disease With McC $19,703 $16,412 $21,554 −9% $24,190 −19% —
602 Cellulitis With McC $19,609 $19,064 $27,789 −29% $29,347 −33% —
974 Hiv With Major Related Condition With McC $19,568 $17,188 $46,103 −58% $46,402 −58% —
865 Viral Illness With McC $19,551 $18,874 $22,350 −13% $26,088 −25% —
193 Simple Pneumonia And Pleurisy With McC $19,460 $19,200 $24,801 −22% $26,158 −26% ≈109% of Medicare
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $19,345 $38,415 $32,919 −41% $36,334 −47% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $19,320 $19,091 $20,158 −4% $22,850 −15% —
381 Complicated Peptic Ulcer With Cc $19,144 $18,154 $23,283 −18% $24,177 −21% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $19,035 $18,899 $20,291 −6% $24,022 −21% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $18,971 $18,764 $28,768 −34% $29,805 −36% —
689 Kidney And Urinary Tract Infections With McC $18,916 $18,071 $20,718 −9% $22,982 −18% ≈103% of Medicare
292 Heart Failure And Shock With Cc $18,858 $17,721 $19,303 −2% $16,212 +16% —
693 Urinary Stones With McC $18,800 $13,204 $23,355 −20% $22,525 −17% —
196 Interstitial Lung Disease With McC $18,788 $18,625 $31,341 −40% $30,766 −39% —
374 Digestive Malignancy With McC $18,755 $30,457 $38,075 −51% $38,885 −52% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $18,692 $16,679 $27,729 −33% $32,399 −42% —
598 Malignant Breast Disorders With Cc $18,578 $17,215 $20,485 −9% $19,073 −3% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $18,556 $18,396 $15,278 +21% $15,655 +19% —
638 Diabetes With Cc $18,494 $17,604 $20,074 −8% $18,821 −2% ≈107% of Medicare
348 Anal And Stomal Procedures With Cc $18,473 $17,922 $32,613 −43% $27,947 −34% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $18,333 $16,656 $11,921 +54% $13,198 +39% —
079 Hypertensive Encephalopathy Without Cc/McC $18,289 $16,697 $13,350 +37% $11,847 +54% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $18,242 $17,929 $32,900 −45% $21,860 −17% —
076 Viral Meningitis Without Cc/McC $18,222 $17,434 $18,152 +0% $15,474 +18% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $18,202 $17,783 $18,541 −2% $22,781 −20% —
199 Pneumothorax With McC $18,151 $16,516 $29,170 −38% $31,491 −42% —
315 Other Circulatory System Diagnoses With Cc $17,994 $17,632 $22,831 −21% $20,777 −13% —
202 Bronchitis And Asthma With Cc/McC $17,968 $17,835 $15,954 +13% $17,273 +4% —
714 Transurethral Prostatectomy Without Cc/McC $17,944 $17,944 $23,601 −24% $17,108 +5% —
836 Acute Leukemia Without Cc/McC $17,944 $17,248 $19,686 −9% $19,686 −9% —
089 Concussion With Cc $17,924 $11,532 $17,109 +5% $18,293 −2% —
708 Major Male Pelvic Procedures Without Cc/McC $17,892 $40,799 $33,198 −46% $32,911 −46% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $17,882 $17,089 $28,382 −37% $29,916 −40% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $17,847 $16,858 $19,357 −8% $26,146 −32% —
916 Allergic Reactions Without McC $17,770 $17,592 $15,531 +14% $13,890 +28% —
176 Pulmonary Embolism Without McC $17,685 $14,522 $21,913 −19% $18,081 −2% —
376 Digestive Malignancy Without Cc/McC $17,651 $15,318 $23,883 −26% $15,608 +13% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $17,567 $16,430 $24,142 −27% $24,480 −28% —
055 Nervous System Neoplasms Without McC $17,475 $14,428 $20,673 −15% $19,868 −12% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $17,402 $13,986 $27,853 −38% $29,609 −41% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $17,287 $17,111 $15,319 +13% $15,370 +12% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $17,286 $8,481 $18,043 −4% $21,261 −19% —
092 Other Disorders Of Nervous System With Cc $17,270 $16,616 $27,612 −37% $24,136 −28% —
291 Heart Failure And Shock With McC $17,261 $25,805 $26,231 −34% $25,020 −31% ≈100% of Medicare
069 Transient Ischemia Without Thrombolytic $16,890 $13,544 $24,940 −32% $20,278 −17% —
977 Hiv With Or Without Other Related Condition $16,878 $15,068 $21,908 −23% $22,525 −25% —
554 Bone Diseases And Arthropathies Without McC $16,863 $16,406 $18,143 −7% $18,253 −8% —
203 Bronchitis And Asthma Without Cc/McC $16,852 $15,786 $13,119 +28% $12,279 +37% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $16,843 $14,155 $22,519 −25% $21,029 −20% —
073 Cranial And Peripheral Nerve Disorders With McC $16,809 $15,377 $29,289 −43% $28,252 −41% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $16,767 $16,614 $15,777 +6% $17,103 −2% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $16,767 $15,372 $16,767 +0% $16,104 +4% —
446 Disorders Of The Biliary Tract Without Cc/McC $16,731 $16,573 $19,221 −13% $17,700 −5% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $16,628 $16,425 $12,895 +29% $12,895 +29% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $16,615 $13,054 $46,235 −64% $38,094 −56% —
185 Major Chest Trauma Without Cc/McC $16,609 $15,717 $16,609 +0% $15,858 +5% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $16,597 $16,547 $18,522 −10% $19,326 −14% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $16,576 $13,373 $36,948 −55% $25,666 −35% —
964 Other Multiple Significant Trauma With Cc $16,552 $14,371 $24,997 −34% $25,854 −36% —
552 Medical Back Problems Without McC $16,517 $14,097 $21,141 −22% $21,213 −22% ≈101% of Medicare
884 Organic Disturbances And Intellectual Disability $16,467 $14,888 $23,378 −30% $25,208 −35% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $16,459 $16,285 $13,651 +21% $13,090 +26% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $16,395 $58,490 $54,297 −70% $52,405 −69% —
541 Osteomyelitis Without Cc/McC $16,292 $14,779 $15,754 +3% $14,549 +12% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $16,196 $13,601 $12,551 +29% $13,303 +22% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $16,192 $13,422 $17,696 −8% $17,715 −9% —
723 Malignancy, Male Reproductive System With Cc $15,978 $14,911 $19,179 −17% $19,317 −17% —
444 Disorders Of The Biliary Tract With McC $15,942 $20,172 $34,124 −53% $31,128 −49% —
312 Syncope And Collapse $15,865 $13,076 $23,545 −33% $19,342 −18% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $15,856 $11,444 $24,971 −36% $20,463 −23% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $15,817 $13,328 $16,822 −6% $16,745 −6% ≈114% of Medicare
755 Malignancy, Female Reproductive System With Cc $15,789 $13,166 $21,186 −25% $18,459 −14% —
302 Atherosclerosis With McC $15,731 $12,546 $23,828 −34% $20,844 −25% —
885 Psychoses $15,723 $14,654 $21,489 −27% $21,489 −27% —
722 Malignancy, Male Reproductive System With McC $15,666 $15,507 $25,633 −39% $29,826 −47% —
593 Skin Ulcers With Cc $15,485 $15,237 $24,087 −36% $20,470 −24% —
384 Uncomplicated Peptic Ulcer Without McC $15,456 $14,385 $17,796 −13% $19,305 −20% —
383 Uncomplicated Peptic Ulcer With McC $15,355 $14,257 $19,602 −22% $26,634 −42% —
547 Connective Tissue Disorders Without Cc/McC $15,353 $14,932 $19,855 −23% $14,861 +3% —
607 Minor Skin Disorders Without McC $15,276 $14,213 $19,884 −23% $15,284 −0% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $15,276 $35,853 $17,137 −11% $17,078 −11% —
886 Behavioral And Developmental Disorders $15,230 $12,040 $24,172 −37% $24,836 −39% —
639 Diabetes Without Cc/McC $15,228 $18,998 $16,811 −9% $13,910 +9% —
071 Nonspecific Cerebrovascular Disorders With Cc $15,126 $13,684 $21,138 −28% $23,396 −35% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $15,122 $14,248 $24,076 −37% $12,537 +21% —
378 Gastrointestinal Hemorrhage With Cc $15,096 $14,908 $24,838 −39% $21,886 −31% ≈118% of Medicare
183 Major Chest Trauma With McC $15,071 $12,724 $23,796 −37% $28,924 −48% —
313 Chest Pain $15,057 $12,319 $20,854 −28% $15,962 −6% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $15,001 $10,296 $43,218 −65% $53,817 −72% —
206 Other Respiratory System Diagnoses Without McC $14,980 $14,718 $19,449 −23% $17,731 −16% —
297 Cardiac Arrest, Unexplained With Cc $14,980 $12,705 $12,336 +21% $12,336 +21% —
187 Pleural Effusion With Cc $14,852 $10,993 $20,494 −28% $21,467 −31% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $14,840 $14,840 $23,274 −36% $21,062 −30% —
811 Red Blood Cell Disorders With McC $14,741 $12,348 $28,682 −49% $27,934 −47% —
687 Kidney And Urinary Tract Neoplasms With Cc $14,729 $12,663 $16,903 −13% $18,478 −20% —
382 Complicated Peptic Ulcer Without Cc/McC $14,728 $14,636 $15,817 −7% $16,634 −11% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $14,685 $14,855 $13,696 +7% $12,044 +22% —
369 Major Esophageal Disorders With Cc $14,625 $13,523 $26,899 −46% $22,713 −36% —
153 Otitis Media And Uri Without McC $14,613 $12,710 $13,277 +10% $14,473 +1% —
101 Seizures Without McC $14,594 $11,698 $17,204 −15% $19,954 −27% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $14,594 $12,516 $21,703 −33% $27,321 −47% —
643 Endocrine Disorders With McC $14,505 $30,226 $27,741 −48% $32,996 −56% —
036 Carotid Artery Stent Procedures Without Cc/McC $14,425 $63,422 $55,123 −74% $40,694 −65% —
179 Respiratory Infections And Inflammations Without Cc/McC $14,306 $13,892 $13,598 +5% $14,444 −1% —
197 Interstitial Lung Disease With Cc $14,247 $14,170 $25,701 −45% $20,106 −29% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $14,202 $12,934 $16,456 −14% $15,869 −11% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $14,153 $14,118 $12,685 +12% $12,013 +18% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $14,060 $12,369 $18,854 −25% $18,803 −25% —
125 Other Disorders Of The Eye Without McC $14,004 $11,483 $18,154 −23% $15,876 −12% —
194 Simple Pneumonia And Pleurisy With Cc $13,973 $15,047 $17,292 −19% $18,204 −23% ≈101% of Medicare
690 Kidney And Urinary Tract Infections Without McC $13,922 $13,384 $18,046 −23% $17,466 −20% ≈120% of Medicare
195 Simple Pneumonia And Pleurisy Without Cc/McC $13,910 $12,768 $14,132 −2% $13,824 +1% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $13,832 $11,779 $22,707 −39% $22,032 −37% —
594 Skin Ulcers Without Cc/McC $13,807 $13,124 $14,209 −3% $14,209 −3% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $13,805 $13,050 $27,007 −49% $27,244 −49% —
644 Endocrine Disorders With Cc $13,771 $12,764 $24,428 −44% $22,941 −40% —
759 Infections, Female Reproductive System Without Cc/McC $13,672 $12,115 $12,883 +6% $14,208 −4% —
379 Gastrointestinal Hemorrhage Without Cc/McC $13,663 $12,088 $20,210 −32% $14,134 −3% —
558 Tendonitis, Myositis And Bursitis Without McC $13,584 $12,462 $20,995 −35% $17,367 −22% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $13,579 $12,184 $16,336 −17% $13,385 +1% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $13,569 $15,774 $19,164 −29% $14,368 −6% —
181 Respiratory Neoplasms With Cc $13,258 $17,634 $27,871 −52% $22,431 −41% —
205 Other Respiratory System Diagnoses With McC $13,184 $43,906 $27,695 −52% $32,204 −59% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $13,150 $12,988 $24,574 −46% $17,550 −25% —
311 Angina Pectoris $13,130 $12,424 $15,425 −15% $15,165 −13% —
387 Inflammatory Bowel Disease Without Cc/McC $13,082 $12,857 $15,055 −13% $14,880 −12% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $13,067 $14,014 $37,707 −65% $36,850 −65% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $13,007 $11,918 $19,367 −33% $18,623 −30% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $12,861 $17,113 $22,530 −43% $19,483 −34% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $12,759 $12,237 $19,401 −34% $20,732 −38% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $12,668 $10,843 $22,337 −43% $26,322 −52% —
074 Cranial And Peripheral Nerve Disorders Without McC $12,572 $13,329 $25,890 −51% $23,141 −46% —
385 Inflammatory Bowel Disease With McC $12,549 $12,917 $24,282 −48% $26,020 −52% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $12,499 $12,345 $21,228 −41% $24,561 −49% —
601 Non-Malignant Breast Disorders Without Cc/McC $12,415 $18,277 $12,415 +0% $10,975 +13% —
683 Renal Failure With Cc $12,282 $10,720 $20,765 −41% $18,620 −34% ≈115% of Medicare
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $12,277 $12,780 $21,957 −44% $11,909 +3% —
918 Poisoning And Toxic Effects Of Drugs Without McC $12,276 $9,746 $14,675 −16% $15,045 −18% —
903 Wound Debridements For Injuries Without Cc/McC $12,172 $35,005 $32,316 −62% $23,588 −48% —
813 Coagulation Disorders $12,155 $24,696 $32,291 −62% $30,128 −60% —
546 Connective Tissue Disorders With Cc $12,142 $9,740 $31,617 −62% $24,202 −50% —
951 Other Factors Influencing Health Status $12,138 $7,505 $10,553 +15% $9,385 +29% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $12,107 $10,905 $66,230 −82% $40,232 −70% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $12,091 $12,060 $21,569 −44% $19,569 −38% —
198 Interstitial Lung Disease Without Cc/McC $12,080 $10,903 $13,654 −12% $13,654 −12% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $12,060 $10,376 $17,733 −32% $23,496 −49% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $12,047 $11,922 $23,338 −48% $23,723 −49% —
793 Full Term Neonate With Major Problems $12,024 $13,790 $22,283 −46% $16,719 −28% —
300 Peripheral Vascular Disorders With Cc $11,995 $13,969 $22,925 −48% $19,579 −39% —
191 Chronic Obstructive Pulmonary Disease With Cc $11,889 $11,461 $18,712 −36% $18,278 −35% —
812 Red Blood Cell Disorders Without McC $11,841 $11,143 $19,481 −39% $20,488 −42% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $11,786 $11,427 $28,958 −59% $29,633 −60% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $11,780 $11,210 $18,889 −38% $22,231 −47% —
603 Cellulitis Without McC $11,626 $10,792 $16,168 −28% $18,530 −37% ≈104% of Medicare
534 Fractures Of Femur Without McC $11,598 $10,229 $21,585 −46% $17,195 −33% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $11,375 $12,614 $12,915 −12% $13,384 −15% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $11,350 $16,934 $13,737 −17% $18,238 −38% —
394 Other Digestive System Diagnoses With Cc $11,328 $10,555 $20,595 −45% $18,918 −40% —
779 Abortion Without D&C $11,302 $11,147 $15,408 −27% $15,327 −26% —
694 Urinary Stones Without McC $11,298 $9,794 $14,472 −22% $16,531 −32% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $11,220 $10,187 $15,474 −27% $15,070 −26% —
642 Inborn And Other Disorders Of Metabolism $11,157 $11,012 $19,302 −42% $20,727 −46% —
834 Acute Leukemia With McC $11,117 $9,083 $74,709 −85% $76,583 −85% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $11,104 $15,851 $22,084 −50% $20,147 −45% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $11,080 $10,792 $14,681 −25% $17,322 −36% ≈131% of Medicare
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $10,881 $9,315 $15,819 −31% $16,049 −32% —
684 Renal Failure Without Cc/McC $10,628 $9,752 $12,049 −12% $13,623 −22% —
536 Fractures Of Hip And Pelvis Without McC $10,606 $9,762 $18,887 −44% $18,002 −41% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $10,585 $9,346 $44,389 −76% $51,142 −79% —
835 Acute Leukemia With Cc $10,584 $10,749 $41,313 −74% $35,569 −70% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $10,527 $8,508 $16,445 −36% $14,337 −27% —
395 Other Digestive System Diagnoses Without Cc/McC $10,478 $9,479 $11,454 −9% $14,128 −26% —
726 Benign Prostatic Hypertrophy Without McC $10,366 $9,334 $12,855 −19% $13,892 −25% —
533 Fractures Of Femur With McC $10,286 $9,320 $28,442 −64% $25,945 −60% —
866 Viral Illness Without McC $10,077 $15,490 $19,085 −47% $16,391 −39% —
758 Infections, Female Reproductive System With Cc $9,840 $12,178 $17,560 −44% $19,091 −48% —
976 Hiv With Major Related Condition Without Cc/McC $9,622 $8,148 $18,228 −47% $16,212 −41% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $9,546 $9,002 $12,381 −23% $12,381 −23% —
389 Gastrointestinal Obstruction With Cc $9,428 $7,955 $18,664 −49% $17,388 −46% ≈104% of Medicare
595 Major Skin Disorders With McC $9,407 $8,376 $37,345 −75% $31,785 −70% —
540 Osteomyelitis With Cc $9,365 $9,113 $19,990 −53% $23,494 −60% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $9,293 $8,268 $21,346 −56% $18,282 −49% —
728 Inflammation Of The Male Reproductive System Without McC $9,012 $8,621 $13,799 −35% $16,837 −46% —
792 Prematurity Without Major Problems $8,866 $8,840 $22,087 −60% $11,633 −24% —
390 Gastrointestinal Obstruction Without Cc/McC $8,862 $7,397 $13,471 −34% $13,318 −33% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $8,600 $8,500 $16,642 −48% $16,642 −48% —
370 Major Esophageal Disorders Without Cc/McC $8,565 $8,413 $23,345 −63% $15,072 −43% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $8,436 $8,319 $22,446 −62% $18,428 −54% —
316 Other Circulatory System Diagnoses Without Cc/McC $8,405 $8,182 $18,090 −54% $12,797 −34% —
081 Nontraumatic Stupor And Coma Without McC $8,215 $5,190 $16,935 −51% $15,077 −46% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $8,200 $7,500 $13,500 −39% $14,441 −43% —
301 Peripheral Vascular Disorders Without Cc/McC $8,192 $8,074 $19,031 −57% $15,607 −48% —
157 Dental And Oral Diseases With McC $8,172 $7,626 $27,457 −70% $27,457 −70% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $7,999 $7,696 $9,295 −14% $9,076 −12% —
439 Disorders Of Pancreas Except Malignancy With Cc $7,978 $7,831 $17,067 −53% $19,096 −58% —
729 Other Male Reproductive System Diagnoses With Cc/McC $7,920 $7,847 $25,085 −68% $17,483 −55% —
965 Other Multiple Significant Trauma Without Cc/McC $7,618 $6,249 $15,039 −49% $17,585 −57% —
914 Traumatic Injury Without McC $7,333 $5,683 $16,946 −57% $15,593 −53% —
293 Heart Failure And Shock Without Cc/McC $7,234 $7,105 $12,530 −42% $11,955 −39% —
535 Fractures Of Hip And Pelvis With McC $7,114 $6,594 $25,858 −72% $23,350 −70% —
082 Traumatic Stupor And Coma >1 Hour With McC $6,985 $6,316 $33,308 −79% $36,237 −81% —
950 Aftercare Without Cc/McC $6,862 $6,794 $18,599 −63% $13,527 −49% —
184 Major Chest Trauma With Cc $6,533 $5,232 $18,219 −64% $20,842 −69% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $6,213 $5,063 $16,795 −63% $16,776 −63% —
548 Septic Arthritis With McC $5,659 $5,573 $34,947 −84% $31,019 −82% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $5,397 $3,200 $11,421 −53% $11,421 −53% —
795 Normal Newborn $5,171 $5,152 $5,442 −5% $4,530 +14% —
794 Neonate With Other Significant Problems $3,995 $5,627 $9,053 −56% $7,961 −50% —
921 Complications Of Treatment Without Cc/McC $3,814 $3,579 $14,264 −73% $14,012 −73% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $3,260 $3,164 $19,521 −83% $18,150 −82% —
159 Dental And Oral Diseases Without Cc/McC $3,139 $2,514 $11,755 −73% $13,368 −77% —
151 Epistaxis Without McC $2,437 $2,371 $15,397 −84% $13,032 −81% —
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