Mount St. Mary's Hospital — 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 $47,856
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 16 procedures, this hospital's negotiated rates average ≈255% 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 $374,499 +68% $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 $227,105 +156% $248,521 +134% —
001 Heart Transplant Or Implant Of Heart Assist System With McC $519,143 $512,077 $519,143 +0% $461,389 +13% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $428,565 $422,936 $88,519 +384% $87,761 +388% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $398,529 $392,082 $140,167 +184% $148,686 +168% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $387,540 $380,984 $54,862 +606% $62,300 +522% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $359,264 $356,028 $102,983 +249% $117,280 +206% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $339,564 $331,530 $74,451 +356% $62,583 +443% —
212 Concomitant Aortic And Mitral Valve Procedures $337,600 $327,202 $312,843 +8% $196,346 +72% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $328,422 $320,086 $118,645 +177% $106,057 +210% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $287,511 $281,240 $157,998 +82% $131,961 +118% —
215 Other Heart Assist System Implant $278,290 $276,638 $219,233 +27% $208,939 +33% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $247,154 $245,165 $94,887 +160% $84,692 +192% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $245,909 $238,658 $72,168 +241% $66,711 +269% —
277 Cardiac Defibrillator Implant Without McC $237,505 $230,717 $112,801 +111% $91,329 +160% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $232,707 $225,569 $178,834 +30% $123,995 +88% —
037 Extracranial Procedures With McC $232,231 $228,385 $89,423 +160% $66,666 +248% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $208,495 $208,428 $66,974 +211% $80,018 +161% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $207,064 $204,257 $175,904 +18% $148,832 +39% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $200,973 $197,959 $200,973 +0% $188,171 +7% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $191,345 $191,023 $176,641 +8% $125,242 +53% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With McC $177,288 $174,846 $106,019 +67% $93,238 +90% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $176,200 $173,851 $100,570 +75% $116,058 +52% —
231 Coronary Bypass With Ptca With McC $168,856 $161,851 $170,222 −1% $147,227 +15% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $168,806 $162,442 $168,806 +0% $144,569 +17% —
232 Coronary Bypass With Ptca Without McC $166,415 $160,352 $173,445 −4% $115,839 +44% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $165,834 $164,074 $78,755 +111% $70,371 +136% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $160,437 $159,429 $49,015 +227% $66,848 +140% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $157,043 $152,462 $99,339 +58% $120,573 +30% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $153,493 $153,409 $140,473 +9% $92,217 +66% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $149,605 $144,999 $149,605 +0% $113,855 +31% —
235 Coronary Bypass Without Cardiac Catheterization With McC $149,185 $142,607 $149,185 +0% $112,062 +33% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $147,547 $137,066 $115,106 +28% $103,455 +43% —
783 Cesarean Section With Sterilization With McC $144,545 $138,856 $22,780 +535% $29,221 +395% —
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 $122,419 +8% $106,778 +24% —
052 Spinal Disorders And Injuries With Cc/McC $129,794 $128,952 $52,533 +147% $32,031 +305% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $129,059 $124,259 $129,059 +0% $102,573 +26% —
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 $126,250 $125,990 $124,145 +2% $111,320 +13% —
288 Acute And Subacute Endocarditis With McC $111,621 $110,104 $71,241 +57% $50,618 +121% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $110,187 $103,927 $85,236 +29% $68,639 +61% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $109,137 $108,954 $109,137 +0% $82,247 +33% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $108,627 $106,867 $168,544 −36% $143,242 −24% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $108,563 $108,405 $100,943 +8% $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 $53,198 +101% $48,687 +120% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $103,356 $99,678 $32,506 +218% $43,913 +135% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $102,790 $99,471 $92,826 +11% $62,821 +64% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $102,713 $102,355 $102,713 +0% $85,159 +21% —
799 Splenic Procedures With McC $101,627 $98,805 $76,574 +33% $82,218 +24% —
791 Prematurity With Major Problems $101,374 $101,343 $39,563 +156% $42,679 +138% —
907 Other O.R. Procedures For Injuries With McC $101,206 $97,984 $75,408 +34% $77,817 +30% —
163 Major Chest Procedures With McC $99,477 $97,791 $90,851 +9% $90,195 +10% —
549 Septic Arthritis With Cc $97,836 $97,310 $24,217 +304% $24,056 +307% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $96,196 $94,638 $96,196 +0% $93,172 +3% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $94,677 $90,064 $94,677 +0% $88,307 +7% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $94,605 $89,159 $61,750 +53% $76,001 +24% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $93,951 $92,532 $68,006 +38% $71,795 +31% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $91,503 $87,050 $102,919 −11% $101,510 −10% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $91,112 $88,742 $40,406 +125% $59,031 +54% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $90,160 $90,114 $47,785 +89% $58,707 +54% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $89,995 $86,880 $36,791 +145% $45,167 +99% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $89,446 $86,409 $30,225 +196% $39,173 +128% —
270 Other Major Cardiovascular Procedures With McC $89,328 $83,881 $111,594 −20% $99,423 −10% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $88,241 $87,742 $44,198 +100% $41,591 +112% —
466 Revision Of Hip Or Knee Replacement With McC $88,039 $86,333 $80,478 +9% $96,507 −9% —
319 Other Endovascular Cardiac Valve Procedures With McC $87,760 $86,395 $87,760 +0% $86,970 +1% —
748 Female Reproductive System Reconstructive Procedures $87,398 $83,995 $20,875 +319% $30,242 +189% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $85,432 $83,987 $99,515 −14% $153,282 −44% —
243 Permanent Cardiac Pacemaker Implant With Cc $85,193 $84,448 $50,655 +68% $50,011 +70% —
274 Percutaneous And Other Intracardiac Procedures Without McC $84,972 $84,677 $57,726 +47% $65,573 +30% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $84,626 $76,555 $72,297 +17% $61,217 +38% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $84,372 $84,225 $91,834 −8% $71,464 +18% —
405 Pancreas, Liver And Shunt Procedures With McC $84,088 $79,761 $81,105 +4% $102,128 −18% —
902 Wound Debridements For Injuries With Cc $83,810 $79,577 $41,665 +101% $40,562 +107% —
265 Aicd Lead Procedures $82,378 $80,723 $49,492 +66% $63,171 +30% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $82,321 $81,554 $25,625 +221% $28,125 +193% —
271 Other Major Cardiovascular Procedures With Cc $81,781 $80,813 $81,781 +0% $71,014 +15% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $81,639 $78,457 $71,258 +15% $54,583 +50% —
665 Prostatectomy With McC $81,280 $79,312 $47,758 +70% $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 $57,750 +38% $65,325 +22% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $78,454 $75,725 $59,880 +31% $66,068 +19% —
306 Cardiac Congenital And Valvular Disorders With McC $78,454 $77,248 $35,088 +124% $24,586 +219% —
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 $105,908 −26% $90,775 −14% —
242 Permanent Cardiac Pacemaker Implant With McC $77,155 $76,754 $62,843 +23% $70,132 +10% —
164 Major Chest Procedures With Cc $77,154 $76,725 $62,887 +23% $56,755 +36% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $76,390 $74,700 $43,914 +74% $43,631 +75% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $76,256 $74,686 $41,177 +85% $40,365 +89% —
039 Extracranial Procedures Without Cc/McC $75,048 $71,403 $31,640 +137% $26,618 +182% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $74,695 $72,909 $67,651 +10% $62,264 +20% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $74,271 $74,045 $63,349 +17% $56,836 +31% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $74,070 $73,985 $56,193 +32% $58,228 +27% —
453 Combined Anterior And Posterior Spinal Fusion With McC $73,804 $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 $73,716 +0% $74,755 −1% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $73,556 $67,546 $44,472 +65% $42,415 +73% —
467 Revision Of Hip Or Knee Replacement With Cc $73,275 $73,226 $67,788 +8% $70,847 +3% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $72,162 $71,681 $28,559 +153% $29,524 +144% —
653 Major Bladder Procedures With McC $72,153 $72,037 $94,497 −24% $104,583 −31% —
757 Infections, Female Reproductive System With McC $72,087 $68,597 $42,870 +68% $26,280 +174% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $71,355 $60,455 $71,355 +0% $67,268 +6% —
252 Other Vascular Procedures With McC $71,156 $69,487 $72,690 −2% $68,508 +4% —
504 Foot Procedures With Cc $71,139 $70,534 $29,220 +143% $38,960 +83% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $70,272 $64,474 $70,272 +0% $90,724 −23% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $70,113 $66,616 $27,330 +157% $27,633 +154% —
615 Adrenal And Pituitary Procedures Without Cc/McC $69,274 $67,917 $43,042 +61% $32,833 +111% —
356 Other Digestive System O.R. Procedures With McC $69,173 $66,814 $108,198 −36% $82,561 −16% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $69,130 $66,776 $32,503 +113% $49,418 +40% —
421 Hepatobiliary Diagnostic Procedures With Cc $67,867 $62,018 $64,566 +5% $36,354 +87% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $67,567 $65,162 $61,356 +10% $75,103 −10% —
259 Cardiac Pacemaker Device Replacement Without McC $67,316 $66,491 $32,289 +108% $39,020 +73% —
460 Spinal Fusion Except Cervical Without McC $67,271 $66,795 $50,777 +32% $51,625 +30% —
901 Wound Debridements For Injuries With McC $67,220 $65,273 $60,697 +11% $70,177 −4% —
057 Degenerative Nervous System Disorders Without McC $66,912 $66,133 $29,561 +126% $27,543 +143% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $66,810 $66,084 $79,183 −16% $83,441 −20% —
840 Lymphoma And Non-Acute Leukemia With McC $66,431 $51,153 $51,930 +28% $49,710 +34% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $65,535 $58,985 $67,943 −4% $81,706 −20% —
245 Aicd Generator Procedures $65,480 $64,491 $65,480 +0% $72,076 −9% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $65,246 $65,182 $44,471 +47% $54,929 +19% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $63,851 $59,887 $78,460 −19% $96,192 −34% —
036 Carotid Artery Stent Procedures Without Cc/McC $63,479 $63,422 $55,123 +15% $40,694 +56% —
056 Degenerative Nervous System Disorders With McC $63,380 $63,069 $38,791 +63% $39,973 +59% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $63,310 $62,697 $63,310 +0% $64,523 −2% —
471 Cervical Spinal Fusion With McC $63,301 $63,077 $72,015 −12% $92,515 −32% —
228 Other Cardiothoracic Procedures With McC $63,238 $56,416 $101,409 −38% $96,905 −35% —
253 Other Vascular Procedures With Cc $63,047 $63,022 $40,302 +56% $57,454 +10% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $61,759 $60,775 $143,271 −57% $101,576 −39% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $61,470 $59,800 $51,761 +19% $61,470 +0% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $61,039 $60,813 $111,217 −45% $107,355 −43% —
035 Carotid Artery Stent Procedures With Cc $60,743 $60,719 $60,743 +0% $49,066 +24% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $60,258 $51,399 $54,300 +11% $61,832 −3% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $59,577 $58,490 $59,696 −0% $52,405 +14% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $59,545 $58,522 $45,618 +31% $65,788 −9% —
711 Testes Procedures With Cc/McC $59,131 $57,420 $46,485 +27% $38,343 +54% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $59,025 $58,574 $54,475 +8% $59,790 −1% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $58,916 $56,241 $61,083 −4% $70,564 −17% —
167 Other Respiratory System O.R. Procedures With Cc $58,520 $58,334 $41,640 +41% $40,642 +44% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $58,274 $57,439 $46,181 +26% $41,422 +41% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $58,218 $55,419 $58,978 −1% $74,257 −22% —
539 Osteomyelitis With McC $58,154 $56,927 $45,071 +29% $37,609 +55% —
480 Hip And Femur Procedures Except Major Joint With McC $58,142 $55,350 $72,286 −20% $65,653 −11% —
113 Orbital Procedures With Cc/McC $57,860 $57,762 $45,171 +28% $36,167 +60% —
614 Adrenal And Pituitary Procedures With Cc/McC $57,830 $56,969 $46,130 +25% $48,349 +20% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $57,412 $57,004 $25,547 +125% $33,454 +72% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $56,214 $56,151 $31,805 +77% $30,493 +84% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $56,209 $55,394 $56,209 +0% $60,407 −7% —
503 Foot Procedures With McC $56,093 $54,812 $39,757 +41% $47,540 +18% —
254 Other Vascular Procedures Without Cc/McC $55,736 $55,687 $43,831 +27% $38,836 +44% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $55,297 $52,414 $34,657 +60% $35,692 +55% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $55,096 $54,789 $30,389 +81% $33,047 +67% —
655 Major Bladder Procedures Without Cc/McC $55,028 $54,833 $44,278 +24% $43,174 +27% —
326 Stomach, Esophageal And Duodenal Procedures With McC $54,980 $53,232 $69,008 −20% $80,793 −32% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $54,958 $53,551 $51,445 +7% $52,075 +6% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $54,908 $54,605 $43,106 +27% $50,607 +8% —
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $54,640 $54,361 $34,171 +60% $21,986 +149% ≈159% of Medicare
913 Traumatic Injury With McC $54,589 $51,896 $24,198 +126% $24,198 +126% —
948 Signs And Symptoms Without McC $54,256 $53,880 $21,742 +150% $17,921 +203% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $54,132 $45,044 $47,048 +15% $50,498 +7% —
506 Major Thumb Or Joint Procedures $54,028 $53,479 $31,961 +69% $30,557 +77% —
674 Other Kidney And Urinary Tract Procedures With Cc $53,906 $53,047 $41,721 +29% $50,394 +7% —
329 Major Small And Large Bowel Procedures With McC $53,498 $50,139 $69,268 −23% $88,050 −39% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $53,246 $48,580 $53,246 +0% $58,809 −9% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $53,221 $52,749 $49,188 +8% $47,737 +11% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $52,151 $51,956 $50,029 +4% $34,434 +51% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $51,815 $50,463 $42,068 +23% $53,451 −3% —
796 Vaginal Delivery With Sterilization And/Or D&C With McC $51,739 $50,956 $16,434 +215% $22,557 +129% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $51,662 $51,419 $41,821 +24% $42,881 +20% —
345 Minor Small And Large Bowel Procedures With Cc $50,362 $45,578 $37,473 +34% $33,048 +52% —
473 Cervical Spinal Fusion Without Cc/McC $50,196 $50,025 $50,196 +0% $50,624 −1% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $50,167 $48,187 $39,277 +28% $43,298 +16% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $50,107 $48,512 $50,107 +0% $58,280 −14% —
205 Other Respiratory System Diagnoses With McC $49,984 $43,906 $28,430 +76% $33,255 +50% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $49,619 $49,128 $54,631 −9% $66,685 −26% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $49,465 $49,238 $48,893 +1% $40,108 +23% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $49,190 $49,116 $36,253 +36% $36,253 +36% —
078 Hypertensive Encephalopathy With Cc $49,076 $47,823 $21,190 +132% $17,698 +177% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $48,926 $46,456 $48,926 +0% $31,170 +57% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $48,815 $47,773 $61,840 −21% $59,651 −18% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $48,738 $47,064 $26,578 +83% $39,018 +25% —
289 Acute And Subacute Endocarditis With Cc $48,720 $43,724 $23,658 +106% $32,697 +49% —
137 Mouth Procedures With Cc/McC $48,555 $47,858 $21,600 +125% $27,861 +74% —
028 Spinal Procedures With McC $48,549 $47,378 $165,843 −71% $113,077 −57% —
272 Other Major Cardiovascular Procedures Without Cc/McC $48,182 $48,101 $42,404 +14% $55,162 −13% —
031 Ventricular Shunt Procedures With McC $47,792 $46,784 $58,786 −19% $72,962 −34% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $47,702 $45,438 $76,715 −38% $71,092 −33% —
380 Complicated Peptic Ulcer With McC $47,534 $46,906 $33,696 +41% $39,627 +20% —
330 Major Small And Large Bowel Procedures With Cc $47,367 $47,268 $50,487 −6% $59,500 −20% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $47,318 $45,157 $74,502 −36% $68,653 −31% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $47,211 $46,573 $19,593 +141% $25,390 +86% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $46,551 $45,494 $59,192 −21% $70,467 −34% —
264 Other Circulatory System O.R. Procedures $46,526 $45,922 $48,557 −4% $51,953 −10% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $46,410 $45,834 $36,660 +27% $43,650 +6% —
472 Cervical Spinal Fusion With Cc $46,404 $46,137 $46,404 +0% $59,537 −22% —
350 Inguinal And Femoral Hernia Procedures With McC $46,352 $45,230 $46,352 +0% $50,046 −7% —
165 Major Chest Procedures Without Cc/McC $46,340 $46,340 $48,570 −5% $46,340 +0% —
347 Anal And Stomal Procedures With McC $46,081 $44,235 $33,912 +36% $40,548 +14% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $45,527 $45,453 $33,899 +34% $33,674 +35% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $45,308 $45,283 $41,301 +10% $47,711 −5% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without McC $45,290 $45,036 $45,290 +0% $63,928 −29% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $45,042 $42,457 $45,042 +0% $44,139 +2% —
662 Minor Bladder Procedures With McC $44,915 $44,370 $44,915 +0% $54,562 −18% —
620 O.R. Procedures For Obesity With Cc $44,879 $44,839 $40,745 +10% $35,453 +27% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $44,554 $42,118 $44,554 +0% $52,178 −15% —
570 Skin Debridement With McC $43,955 $43,571 $42,044 +5% $52,435 −16% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $43,901 $43,783 $68,473 −36% $93,390 −53% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $43,816 $42,892 $26,242 +67% $34,276 +28% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $43,495 $43,409 $41,638 +4% $39,006 +12% —
545 Connective Tissue Disorders With McC $43,431 $39,542 $38,759 +12% $40,362 +8% —
663 Minor Bladder Procedures With Cc $43,372 $43,110 $23,673 +83% $33,103 +31% —
141 Major Head And Neck Procedures With Cc $43,293 $42,783 $38,653 +12% $37,267 +16% —
331 Major Small And Large Bowel Procedures Without Cc/McC $43,245 $43,195 $38,599 +12% $44,117 −2% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $43,216 $43,154 $34,049 +27% $40,552 +7% —
353 Hernia Procedures Except Inguinal And Femoral With McC $43,211 $43,113 $43,211 +0% $60,170 −28% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $42,967 $41,055 $38,446 +12% $39,515 +9% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $42,952 $41,862 $35,964 +19% $49,423 −13% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $42,805 $42,480 $21,153 +102% $28,320 +51% —
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $42,705 $42,656 $25,169 +70% $34,749 +23% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $42,681 $42,566 $39,779 +7% $43,477 −2% —
357 Other Digestive System O.R. Procedures With Cc $42,646 $40,140 $42,646 +0% $48,682 −12% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $42,595 $39,576 $38,932 +9% $45,333 −6% —
481 Hip And Femur Procedures Except Major Joint With Cc $42,559 $41,819 $50,338 −15% $52,751 −19% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $42,554 $42,366 $33,575 +27% $30,553 +39% —
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 $55,985 −24% $79,225 −46% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $42,347 $40,603 $45,498 −7% $58,745 −28% —
335 Peritoneal Adhesiolysis With McC $42,318 $40,852 $56,742 −25% $71,755 −41% —
033 Ventricular Shunt Procedures Without Cc/McC $42,021 $40,923 $28,465 +48% $35,419 +19% —
032 Ventricular Shunt Procedures With Cc $41,960 $41,455 $37,711 +11% $46,724 −10% —
103 Headaches Without McC $41,892 $38,103 $23,367 +79% $21,280 +97% —
377 Gastrointestinal Hemorrhage With McC $41,450 $39,871 $38,041 +9% $37,842 +10% —
200 Pneumothorax With Cc $41,269 $38,801 $18,636 +121% $21,368 +93% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $41,200 $36,578 $41,205 −0% $59,629 −31% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $40,967 $40,255 $50,347 −19% $47,583 −14% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $40,889 $36,856 $42,071 −3% $39,106 +5% —
708 Major Male Pelvic Procedures Without Cc/McC $40,823 $40,799 $33,198 +23% $36,988 +10% —
621 O.R. Procedures For Obesity Without Cc/McC $40,819 $40,780 $36,535 +12% $32,451 +26% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $40,700 $40,617 $25,727 +58% $32,443 +25% —
571 Skin Debridement With Cc $40,621 $40,165 $37,317 +9% $37,169 +9% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $40,513 $39,585 $40,849 −1% $46,090 −12% —
432 Cirrhosis And Alcoholic Hepatitis With McC $40,400 $36,173 $48,837 −17% $40,213 +0% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $39,971 $39,910 $22,791 +75% $30,770 +30% —
337 Peritoneal Adhesiolysis Without Cc/McC $39,921 $39,847 $32,469 +23% $39,211 +2% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $39,815 $38,818 $22,050 +81% $26,870 +48% —
637 Diabetes With McC $39,772 $38,965 $29,918 +33% $30,100 +32% —
881 Depressive Neuroses $39,753 $35,913 $15,058 +164% $15,058 +164% —
344 Minor Small And Large Bowel Procedures With McC $39,743 $38,672 $38,166 +4% $44,546 −11% —
908 Other O.R. Procedures For Injuries With Cc $39,613 $38,420 $38,919 +2% $42,914 −8% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $39,455 $38,415 $36,743 +7% $39,181 +1% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $39,247 $34,285 $39,731 −1% $42,901 −9% —
336 Peritoneal Adhesiolysis With Cc $39,209 $38,108 $44,395 −12% $50,463 −22% —
666 Prostatectomy With Cc $39,140 $37,176 $29,763 +32% $31,906 +23% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $38,821 $38,389 $36,710 +6% $43,538 −11% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $38,786 $38,694 $38,786 +0% $44,363 −13% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $38,528 $36,583 $34,148 +13% $35,030 +10% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $38,450 $38,450 $32,168 +20% $47,789 −20% —
673 Other Kidney And Urinary Tract Procedures With McC $38,367 $37,316 $68,137 −44% $77,990 −51% —
284 Acute Myocardial Infarction, Expired With Cc $38,354 $36,770 $15,776 +143% $16,450 +133% —
038 Extracranial Procedures With Cc $38,154 $38,117 $35,924 +6% $35,770 +7% —
186 Pleural Effusion With McC $37,797 $36,623 $35,284 +7% $33,834 +12% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $37,730 $32,015 $17,790 +112% $12,593 +200% —
654 Major Bladder Procedures With Cc $37,698 $37,558 $39,822 −5% $58,274 −35% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $37,689 $37,689 $32,413 +16% $34,607 +9% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $37,357 $37,172 $36,603 +2% $36,937 +1% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $37,180 $37,070 $27,384 +36% $30,784 +21% —
786 Cesarean Section Without Sterilization With McC $37,117 $36,903 $22,460 +65% $27,152 +37% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $37,053 $36,242 $22,149 +67% $26,932 +38% —
917 Poisoning And Toxic Effects Of Drugs With McC $36,870 $34,929 $26,798 +38% $30,235 +22% —
115 Extraocular Procedures Except Orbit $36,765 $32,728 $23,065 +59% $25,703 +43% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $36,680 $36,494 $36,172 +1% $50,139 −27% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $36,575 $36,308 $23,681 +54% $35,465 +3% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $36,484 $35,200 $33,278 +10% $44,606 −18% —
698 Other Kidney And Urinary Tract Diagnoses With McC $36,475 $34,296 $30,494 +20% $32,496 +12% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $36,365 $35,163 $36,365 +0% $46,066 −21% —
668 Transurethral Procedures With McC $36,156 $35,252 $41,045 −12% $51,608 −30% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $36,132 $36,068 $41,622 −13% $59,421 −39% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $35,853 $35,853 $28,155 +27% $17,737 +102% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $35,800 $29,145 $44,619 −20% $46,283 −23% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $35,727 $35,456 $21,046 +70% $19,962 +79% —
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 $33,619 +5% $32,877 +8% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $35,347 $35,083 $39,675 −11% $41,955 −16% —
909 Other O.R. Procedures For Injuries Without Cc/McC $35,104 $35,062 $28,736 +22% $28,156 +25% —
903 Wound Debridements For Injuries Without Cc/McC $35,005 $35,005 $19,017 +84% $25,581 +37% —
815 Reticuloendothelial And Immunity Disorders With Cc $34,894 $33,287 $19,264 +81% $19,264 +81% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $34,848 $31,491 $34,970 −0% $51,985 −33% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $34,717 $33,830 $29,843 +16% $29,949 +16% —
671 Urethral Procedures With Cc/McC $34,470 $34,331 $25,566 +35% $27,233 +27% —
102 Headaches With McC $34,299 $31,605 $34,299 +0% $25,740 +33% —
398 Appendix Procedures With Cc $34,258 $31,762 $34,258 +0% $40,162 −15% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $34,204 $33,473 $40,289 −15% $49,839 −31% —
374 Digestive Malignancy With McC $34,183 $30,457 $34,183 +0% $39,958 −14% —
686 Kidney And Urinary Tract Neoplasms With McC $34,022 $32,715 $30,841 +10% $37,844 −10% —
862 Postoperative And Post-Traumatic Infections With McC $33,995 $32,440 $33,224 +2% $32,859 +3% —
787 Cesarean Section Without Sterilization With Cc $33,914 $33,612 $24,376 +39% $23,571 +44% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $33,796 $33,607 $25,748 +31% $25,748 +31% —
656 Kidney And Ureter Procedures For Neoplasm With McC $33,764 $31,910 $45,479 −26% $65,608 −49% —
669 Transurethral Procedures With Cc $33,602 $32,627 $36,359 −8% $34,354 −2% —
180 Respiratory Neoplasms With McC $33,385 $29,008 $33,385 +0% $36,658 −9% —
619 O.R. Procedures For Obesity With McC $33,332 $33,292 $65,002 −49% $51,746 −36% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $33,264 $31,285 $53,048 −37% $41,608 −20% —
551 Medical Back Problems With McC $33,108 $31,785 $33,108 +0% $34,017 −3% —
333 Rectal Resection With Cc $32,771 $31,616 $32,771 +0% $37,154 −12% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $32,729 $31,069 $31,516 +4% $36,670 −11% —
086 Traumatic Stupor And Coma <1 Hour With Cc $32,650 $28,787 $23,278 +40% $27,043 +21% —
368 Major Esophageal Disorders With McC $32,526 $31,970 $32,526 +0% $33,876 −4% —
500 Soft Tissue Procedures With McC $32,521 $31,365 $45,424 −28% $61,872 −47% —
643 Endocrine Disorders With McC $32,482 $30,226 $25,825 +26% $33,563 −3% —
080 Nontraumatic Stupor And Coma With McC $32,482 $27,610 $28,993 +12% $36,249 −10% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $32,475 $30,637 $32,757 −1% $31,563 +3% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $32,475 $30,637 $16,813 +93% $17,601 +85% —
713 Transurethral Prostatectomy With Cc/McC $32,114 $31,561 $28,808 +11% $32,100 +0% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $32,086 $31,044 $21,045 +52% $16,351 +96% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $32,061 $31,940 $23,785 +35% $25,279 +27% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $32,039 $26,595 $12,745 +151% $14,638 +119% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $31,987 $30,805 $25,176 +27% $32,944 −3% —
785 Cesarean Section With Sterilization Without Cc/McC $31,983 $31,829 $19,783 +62% $19,846 +61% —
841 Lymphoma And Non-Acute Leukemia With Cc $31,561 $30,311 $36,790 −14% $33,633 −6% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $31,456 $30,937 $24,079 +31% $18,126 +74% —
697 Urethral Stricture $31,436 $30,025 $17,701 +78% $18,428 +71% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $31,417 $30,297 $74,690 −58% $89,207 −65% —
863 Postoperative And Post-Traumatic Infections Without McC $30,991 $29,012 $19,304 +61% $20,957 +48% —
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 $30,798 +0% $27,975 +10% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $30,779 $27,666 $29,667 +4% $38,861 −21% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $30,745 $30,679 $24,594 +25% $32,841 −6% —
788 Cesarean Section Without Sterilization Without Cc/McC $30,621 $30,436 $21,303 +44% $20,084 +52% —
725 Benign Prostatic Hypertrophy With McC $30,620 $29,276 $27,823 +10% $22,320 +37% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $30,597 $29,107 $49,447 −38% $46,453 −34% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $30,589 $30,576 $21,381 +43% $22,393 +37% —
600 Non-Malignant Breast Disorders With Cc/McC $30,514 $29,487 $16,461 +85% $16,700 +83% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $30,321 $27,867 $32,044 −5% $43,943 −31% —
100 Seizures With McC $30,087 $23,461 $30,087 +0% $35,481 −15% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $29,997 $29,804 $29,997 +0% $33,555 −11% —
784 Cesarean Section With Sterilization With Cc $29,993 $29,840 $20,443 +47% $23,283 +29% —
158 Dental And Oral Diseases With Cc $29,979 $28,387 $20,087 +49% $18,466 +62% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $29,809 $25,335 $38,157 −22% $46,295 −36% —
077 Hypertensive Encephalopathy With McC $29,789 $27,212 $29,789 +0% $24,550 +21% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $29,788 $27,380 $33,452 −11% $33,653 −11% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC $29,749 $25,974 $16,495 +80% $18,348 +62% —
393 Other Digestive System Diagnoses With McC $29,727 $29,022 $30,510 −3% $34,192 −13% —
030 Spinal Procedures Without Cc/McC $29,656 $29,593 $32,077 −8% $45,866 −35% —
351 Inguinal And Femoral Hernia Procedures With Cc $29,446 $28,494 $28,985 +2% $36,505 −19% —
592 Skin Ulcers With McC $29,441 $27,841 $29,882 −1% $33,246 −11% —
166 Other Respiratory System O.R. Procedures With McC $29,247 $28,758 $65,839 −56% $75,573 −61% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $29,213 $27,697 $36,465 −20% $35,628 −18% ≈262% of Medicare
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $29,127 $29,127 $20,655 +41% $25,712 +13% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $29,044 $27,894 $29,044 +0% $27,843 +4% —
034 Carotid Artery Stent Procedures With McC $29,035 $26,998 $53,665 −46% $76,219 −62% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $28,991 $28,918 $31,193 −7% $45,877 −37% —
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 $33,190 −13% $30,418 −5% —
188 Pleural Effusion Without Cc/McC $28,821 $28,691 $12,723 +127% $14,514 +99% —
083 Traumatic Stupor And Coma >1 Hour With Cc $28,798 $23,575 $28,798 +0% $27,285 +6% —
307 Cardiac Congenital And Valvular Disorders Without McC $28,773 $27,678 $22,213 +30% $20,566 +40% —
670 Transurethral Procedures Without Cc/McC $28,729 $27,946 $21,685 +32% $20,911 +37% —
864 Fever And Inflammatory Conditions $28,725 $22,003 $26,826 +7% $18,640 +54% —
505 Foot Procedures Without Cc/McC $28,670 $27,996 $27,270 +5% $34,937 −18% —
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 $19,628 +46% $17,303 +65% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $28,499 $26,785 $28,499 +0% $30,959 −8% —
177 Respiratory Infections And Inflammations With McC $28,327 $28,088 $33,707 −16% $33,707 −16% ≈254% of Medicare
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $28,292 $27,114 $46,269 −39% $39,887 −29% —
375 Digestive Malignancy With Cc $28,266 $27,104 $30,392 −7% $27,277 +4% —
280 Acute Myocardial Infarction, Discharged Alive With McC $28,241 $27,114 $30,500 −7% $30,828 −8% —
399 Appendix Procedures Without Cc/McC $28,200 $50,204 $25,475 +11% $31,321 −10% —
386 Inflammatory Bowel Disease With Cc $28,198 $27,357 $17,764 +59% $22,033 +28% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $28,192 $27,913 $34,861 −19% $42,126 −33% —
075 Viral Meningitis With Cc/McC $28,179 $27,079 $28,179 +0% $30,447 −7% —
290 Acute And Subacute Endocarditis Without Cc/McC $28,129 $26,767 $15,901 +77% $15,901 +77% —
358 Other Digestive System O.R. Procedures Without Cc/McC $28,020 $27,979 $28,020 +0% $30,083 −7% —
093 Other Disorders Of Nervous System Without Cc/McC $27,884 $23,987 $17,811 +57% $17,620 +58% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $27,856 $26,642 $48,670 −43% $69,743 −60% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $27,676 $24,800 $36,319 −24% $36,431 −24% —
920 Complications Of Treatment With Cc $27,610 $27,352 $23,878 +16% $22,468 +23% —
291 Heart Failure And Shock With McC $27,511 $25,805 $27,424 +0% $26,776 +3% ≈277% of Medicare
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $27,467 $26,368 $49,467 −44% $49,351 −44% —
149 Dysequilibrium $27,456 $25,743 $23,926 +15% $18,096 +52% —
682 Renal Failure With McC $27,301 $25,729 $27,301 +0% $29,064 −6% ≈266% of Medicare
349 Anal And Stomal Procedures Without Cc/McC $27,104 $26,087 $18,669 +45% $19,854 +37% —
189 Pulmonary Edema And Respiratory Failure $26,933 $23,517 $24,603 +9% $26,580 +1% ≈228% of Medicare
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $26,769 $25,845 $26,769 +0% $31,264 −14% —
091 Other Disorders Of Nervous System With McC $26,633 $22,972 $32,465 −18% $37,387 −29% —
949 Aftercare With Cc/McC $26,459 $26,007 $28,036 −6% $23,953 +10% —
664 Minor Bladder Procedures Without Cc/McC $26,324 $25,621 $19,882 +32% $22,314 +18% —
919 Complications Of Treatment With McC $26,308 $25,936 $26,862 −2% $31,105 −15% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $26,273 $26,273 $26,273 +0% $33,694 −22% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $26,059 $24,227 $26,059 +0% $23,940 +9% ≈255% of Medicare
553 Bone Diseases And Arthropathies With McC $26,051 $25,159 $26,469 −2% $26,051 +0% —
296 Cardiac Arrest, Unexplained With McC $26,013 $23,767 $29,888 −13% $33,661 −23% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $25,829 $25,363 $21,713 +19% $15,764 +64% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $25,488 $17,719 $27,854 −8% $32,021 −20% —
550 Septic Arthritis Without Cc/McC $25,367 $24,871 $17,825 +42% $19,138 +33% —
813 Coagulation Disorders $25,332 $24,696 $32,291 −22% $33,296 −24% —
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 $35,865 −30% $43,800 −42% —
727 Inflammation Of The Male Reproductive System With McC $25,171 $24,114 $25,171 +0% $26,463 −5% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $25,126 $25,001 $34,307 −27% $41,620 −40% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $25,122 $24,115 $18,707 +34% $21,847 +15% —
304 Hypertension With McC $24,714 $22,052 $24,714 +0% $26,080 −5% —
123 Neurological Eye Disorders $24,638 $22,073 $24,638 +0% $19,745 +25% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $24,522 $23,311 $28,352 −14% $24,566 −0% —
397 Appendix Procedures With McC $24,438 $23,330 $35,353 −31% $53,257 −54% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $24,336 $23,957 $28,020 −13% $34,459 −29% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $24,135 $22,748 $24,135 +0% $22,506 +7% —
572 Skin Debridement Without Cc/McC $23,988 $23,937 $22,256 +8% $24,944 −4% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $23,984 $21,951 $23,984 +0% $29,743 −19% —
085 Traumatic Stupor And Coma <1 Hour With McC $23,950 $20,347 $44,678 −46% $41,892 −43% —
299 Peripheral Vascular Disorders With McC $23,949 $22,829 $30,993 −23% $27,316 −12% —
975 Hiv With Major Related Condition With Cc $23,937 $22,081 $25,319 −5% $27,808 −14% —
947 Signs And Symptoms With McC $23,898 $23,643 $23,898 +0% $27,401 −13% —
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 $23,871 −1% $23,612 +0% —
814 Reticuloendothelial And Immunity Disorders With McC $23,436 $21,405 $30,326 −23% $33,851 −31% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $23,416 $21,772 $16,936 +38% $18,072 +30% —
305 Hypertension Without McC $23,366 $20,423 $19,959 +17% $18,086 +29% —
597 Malignant Breast Disorders With McC $23,250 $20,825 $25,994 −11% $33,386 −30% —
054 Nervous System Neoplasms With McC $22,682 $17,662 $22,682 +0% $30,502 −26% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $22,617 $21,268 $49,718 −55% $59,533 −62% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $22,556 $16,203 $20,399 +11% $17,733 +27% —
645 Endocrine Disorders Without Cc/McC $22,469 $20,503 $17,762 +26% $15,428 +46% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $22,385 $18,465 $24,325 −8% $19,037 +18% —
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 $21,770 +2% $15,600 +42% —
152 Otitis Media And Uri With McC $22,117 $16,989 $17,922 +23% $20,247 +9% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $22,105 $18,217 $24,511 −10% $24,941 −11% —
599 Malignant Breast Disorders Without Cc/McC $22,082 $18,542 $14,290 +55% $14,290 +55% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $21,806 $19,829 $22,477 −3% $28,140 −23% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $21,754 $19,767 $21,754 +0% $20,506 +6% —
444 Disorders Of The Biliary Tract With McC $21,698 $20,172 $33,595 −35% $34,273 −37% —
303 Atherosclerosis Without McC $21,643 $18,730 $19,063 +14% $14,927 +45% —
915 Allergic Reactions With McC $21,559 $21,401 $25,750 −16% $32,645 −34% —
887 Other Mental Disorder Diagnoses $21,391 $21,238 $18,631 +15% $20,616 +4% —
438 Disorders Of Pancreas Except Malignancy With McC $21,375 $18,479 $21,375 +0% $32,628 −34% —
501 Soft Tissue Procedures With Cc $21,373 $21,251 $32,970 −35% $39,619 −46% —
314 Other Circulatory System Diagnoses With McC $21,332 $19,917 $33,498 −36% $38,666 −45% —
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 $40,005 −47% $52,908 −60% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $21,308 $19,902 $31,148 −32% $33,393 −36% —
283 Acute Myocardial Infarction, Expired With McC $21,259 $20,106 $39,782 −47% $39,955 −47% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $21,140 $18,007 $20,166 +5% $25,034 −16% —
201 Pneumothorax Without Cc/McC $20,973 $20,488 $13,089 +60% $14,053 +49% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $20,920 $20,770 $24,743 −15% $26,770 −22% —
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 $20,753 +0% $22,024 −6% —
204 Respiratory Signs And Symptoms $20,687 $18,878 $22,720 −9% $18,004 +15% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $20,676 $18,453 $26,167 −21% $19,924 +4% —
388 Gastrointestinal Obstruction With McC $20,541 $16,652 $22,272 −8% $30,571 −33% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $20,464 $20,260 $26,907 −24% $38,101 −46% —
150 Epistaxis With McC $20,456 $20,137 $28,054 −27% $23,171 −12% —
445 Disorders Of The Biliary Tract With Cc $20,450 $19,233 $20,142 +2% $23,319 −12% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $20,338 $17,113 $20,781 −2% $20,781 −2% —
754 Malignancy, Female Reproductive System With McC $20,326 $18,234 $26,677 −24% $32,433 −37% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $20,247 $19,287 $34,886 −42% $36,792 −45% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $20,174 $19,736 $22,819 −12% $31,159 −35% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $20,151 $14,408 $14,866 +36% $12,460 +62% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $20,114 $19,520 $17,159 +17% $18,956 +6% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $20,050 $19,043 $21,094 −5% $23,749 −16% —
070 Nonspecific Cerebrovascular Disorders With McC $19,874 $17,331 $25,761 −23% $31,951 −38% —
381 Complicated Peptic Ulcer With Cc $19,862 $18,154 $23,283 −15% $24,177 −18% —
602 Cellulitis With McC $19,609 $19,064 $26,232 −25% $30,598 −36% —
974 Hiv With Major Related Condition With McC $19,568 $17,188 $39,630 −51% $46,402 −58% —
865 Viral Illness With McC $19,551 $18,874 $22,350 −13% $26,910 −27% —
193 Simple Pneumonia And Pleurisy With McC $19,460 $19,200 $28,415 −32% $27,275 −29% ≈255% of Medicare
639 Diabetes Without Cc/McC $19,457 $18,998 $15,601 +25% $13,910 +40% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $19,320 $19,091 $19,320 +0% $22,850 −15% —
181 Respiratory Neoplasms With Cc $19,303 $17,634 $30,260 −36% $23,573 −18% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $19,192 $16,656 $11,921 +61% $14,549 +32% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $18,971 $18,764 $20,619 −8% $29,805 −36% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $18,935 $18,899 $18,935 +0% $25,970 −27% —
689 Kidney And Urinary Tract Infections With McC $18,916 $18,071 $18,916 +0% $23,617 −20% —
601 Non-Malignant Breast Disorders Without Cc/McC $18,866 $18,277 $15,731 +20% $10,975 +72% —
292 Heart Failure And Shock With Cc $18,858 $17,721 $15,779 +20% $16,371 +15% —
693 Urinary Stones With McC $18,800 $13,204 $22,278 −16% $23,892 −21% —
196 Interstitial Lung Disease With McC $18,788 $18,625 $31,016 −39% $32,637 −42% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $18,692 $16,679 $24,768 −25% $33,985 −45% —
079 Hypertensive Encephalopathy Without Cc/McC $18,613 $16,697 $15,981 +16% $11,847 +57% —
598 Malignant Breast Disorders With Cc $18,578 $17,215 $18,578 +0% $19,073 −3% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $18,556 $18,396 $14,901 +25% $15,215 +22% —
638 Diabetes With Cc $18,494 $17,604 $18,494 −0% $19,661 −6% ≈260% of Medicare
348 Anal And Stomal Procedures With Cc $18,473 $17,922 $32,613 −43% $27,947 −34% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $18,242 $17,929 $28,026 −35% $22,851 −20% —
076 Viral Meningitis Without Cc/McC $18,222 $17,434 $15,094 +21% $17,135 +6% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $18,202 $17,783 $18,180 +0% $22,888 −20% ≈307% of Medicare
199 Pneumothorax With McC $18,151 $16,516 $33,787 −46% $33,787 −46% —
315 Other Circulatory System Diagnoses With Cc $17,994 $17,632 $20,236 −11% $21,363 −16% —
202 Bronchitis And Asthma With Cc/McC $17,968 $17,835 $16,255 +11% $17,724 +1% —
714 Transurethral Prostatectomy Without Cc/McC $17,944 $17,944 $17,944 +0% $17,934 +0% —
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% $18,821 −5% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $17,882 $17,089 $24,928 −28% $29,916 −40% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $17,847 $16,858 $19,263 −7% $27,297 −35% —
916 Allergic Reactions Without McC $17,770 $17,592 $13,750 +29% $13,942 +27% —
176 Pulmonary Embolism Without McC $17,685 $14,522 $17,685 +0% $18,081 −2% —
376 Digestive Malignancy Without Cc/McC $17,651 $15,318 $18,015 −2% $16,998 +4% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $17,567 $16,430 $23,010 −24% $25,463 −31% —
055 Nervous System Neoplasms Without McC $17,475 $14,428 $18,849 −7% $20,926 −16% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $17,402 $13,986 $27,152 −36% $30,243 −42% —
190 Chronic Obstructive Pulmonary Disease With McC $17,299 $16,412 $19,690 −12% $24,386 −29% ≈238% of Medicare
805 Vaginal Delivery Without Sterilization Or D&C With McC $17,287 $17,111 $13,876 +25% $15,370 +12% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $17,286 $8,481 $18,799 −8% $22,148 −22% —
092 Other Disorders Of Nervous System With Cc $17,270 $16,616 $22,889 −25% $24,914 −31% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $17,088 $16,934 $13,602 +26% $18,452 −7% —
069 Transient Ischemia Without Thrombolytic $16,890 $13,544 $16,890 +0% $21,056 −20% —
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 $19,424 −13% $18,528 −9% —
203 Bronchitis And Asthma Without Cc/McC $16,852 $15,786 $14,098 +20% $12,252 +38% —
866 Viral Illness Without McC $16,845 $15,490 $16,845 +0% $17,081 −1% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $16,843 $14,155 $21,894 −23% $21,894 −23% —
073 Cranial And Peripheral Nerve Disorders With McC $16,809 $15,377 $28,480 −41% $30,010 −44% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $16,804 $15,851 $19,183 −12% $19,270 −13% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $16,767 $16,614 $15,107 +11% $16,846 −0% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $16,767 $15,372 $14,912 +12% $16,767 +0% —
446 Disorders Of The Biliary Tract Without Cc/McC $16,731 $16,573 $16,731 +0% $17,700 −5% —
185 Major Chest Trauma Without Cc/McC $16,728 $15,717 $16,728 +0% $17,124 −2% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $16,628 $16,425 $12,595 +32% $12,895 +29% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $16,615 $13,054 $27,009 −38% $38,094 −56% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $16,597 $16,547 $18,522 −10% $19,594 −15% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC $16,576 $13,373 $21,277 −22% $27,119 −39% —
964 Other Multiple Significant Trauma With Cc $16,552 $14,371 $34,139 −52% $27,394 −40% —
552 Medical Back Problems Without McC $16,517 $14,097 $21,141 −22% $21,396 −23% —
884 Organic Disturbances And Intellectual Disability $16,467 $14,888 $24,125 −32% $26,682 −38% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $16,459 $16,285 $13,651 +21% $13,275 +24% —
302 Atherosclerosis With McC $16,403 $12,546 $21,279 −23% $22,446 −27% —
541 Osteomyelitis Without Cc/McC $16,292 $14,779 $14,882 +9% $15,215 +7% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $16,196 $13,601 $16,196 +0% $14,797 +9% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $16,192 $13,422 $17,051 −5% $18,126 −11% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $16,076 $15,774 $16,076 +0% $14,368 +12% —
723 Malignancy, Male Reproductive System With Cc $15,978 $14,911 $17,768 −10% $19,815 −19% —
312 Syncope And Collapse $15,865 $13,076 $17,340 −9% $19,342 −18% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $15,856 $11,444 $24,435 −35% $20,463 −23% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $15,817 $13,328 $15,817 +0% $17,038 −7% ≈274% of Medicare
755 Malignancy, Female Reproductive System With Cc $15,789 $13,166 $17,602 −10% $18,459 −14% —
885 Psychoses $15,723 $14,654 $23,973 −34% $21,729 −28% —
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 $23,101 −33% $22,886 −32% —
384 Uncomplicated Peptic Ulcer Without McC $15,456 $14,385 $17,796 −13% $19,305 −20% —
194 Simple Pneumonia And Pleurisy With Cc $15,407 $15,047 $16,173 −5% $18,204 −15% ≈292% of Medicare
385 Inflammatory Bowel Disease With McC $15,358 $12,917 $24,282 −37% $27,617 −44% —
383 Uncomplicated Peptic Ulcer With McC $15,355 $14,257 $21,076 −27% $27,426 −44% —
547 Connective Tissue Disorders Without Cc/McC $15,353 $14,932 $19,855 −23% $16,565 −7% —
607 Minor Skin Disorders Without McC $15,276 $14,213 $15,276 +0% $15,889 −4% —
886 Behavioral And Developmental Disorders $15,230 $12,040 $22,229 −31% $26,510 −43% —
071 Nonspecific Cerebrovascular Disorders With Cc $15,126 $13,684 $16,872 −10% $23,488 −36% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC $15,122 $14,248 $15,122 +0% $12,559 +20% —
378 Gastrointestinal Hemorrhage With Cc $15,096 $14,908 $25,803 −41% $22,098 −32% —
183 Major Chest Trauma With McC $15,071 $12,724 $23,796 −37% $29,933 −50% —
313 Chest Pain $15,057 $12,319 $15,639 −4% $16,440 −8% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $15,008 $14,855 $12,588 +19% $12,078 +24% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $15,001 $10,296 $39,286 −62% $53,864 −72% —
206 Other Respiratory System Diagnoses Without McC $14,980 $14,718 $16,722 −10% $18,488 −19% —
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 $20,440 −27% $21,789 −32% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC $14,840 $14,840 $18,290 −19% $23,443 −37% —
811 Red Blood Cell Disorders With McC $14,741 $12,348 $24,954 −41% $28,226 −48% —
687 Kidney And Urinary Tract Neoplasms With Cc $14,729 $12,663 $16,857 −13% $20,232 −27% —
382 Complicated Peptic Ulcer Without Cc/McC $14,728 $14,636 $15,817 −7% $16,634 −11% —
369 Major Esophageal Disorders With Cc $14,625 $13,523 $28,508 −49% $25,303 −42% —
153 Otitis Media And Uri Without McC $14,613 $12,710 $13,931 +5% $14,583 +0% —
101 Seizures Without McC $14,594 $11,698 $15,777 −7% $20,461 −29% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $14,594 $12,516 $19,169 −24% $27,323 −47% —
300 Peripheral Vascular Disorders With Cc $14,509 $13,969 $22,956 −37% $20,422 −29% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $14,337 $14,014 $31,004 −54% $38,070 −62% —
179 Respiratory Infections And Inflammations Without Cc/McC $14,306 $13,892 $14,596 −2% $14,648 −2% —
197 Interstitial Lung Disease With Cc $14,247 $14,170 $17,431 −18% $21,941 −35% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $14,202 $12,934 $14,668 −3% $16,520 −14% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $14,153 $14,118 $11,294 +25% $12,324 +15% ≈125% of Medicare
125 Other Disorders Of The Eye Without McC $14,122 $11,483 $18,154 −22% $17,298 −18% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $14,060 $12,369 $18,854 −25% $19,842 −29% —
690 Kidney And Urinary Tract Infections Without McC $13,922 $13,384 $16,665 −16% $17,674 −21% ≈246% of Medicare
195 Simple Pneumonia And Pleurisy Without Cc/McC $13,910 $12,768 $13,910 +0% $13,824 +1% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $13,832 $11,779 $19,268 −28% $22,458 −38% —
793 Full Term Neonate With Major Problems $13,828 $13,790 $13,828 +0% $18,649 −26% —
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 $19,865 −31% $28,050 −51% —
644 Endocrine Disorders With Cc $13,771 $12,764 $23,815 −42% $23,198 −41% —
759 Infections, Female Reproductive System Without Cc/McC $13,672 $12,115 $13,672 +0% $14,250 −4% —
379 Gastrointestinal Hemorrhage Without Cc/McC $13,663 $12,088 $20,210 −32% $15,038 −9% —
558 Tendonitis, Myositis And Bursitis Without McC $13,584 $12,462 $19,672 −31% $18,602 −27% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $13,579 $12,184 $16,463 −18% $14,014 −3% —
074 Cranial And Peripheral Nerve Disorders Without McC $13,527 $13,329 $16,950 −20% $23,141 −42% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $13,441 $12,780 $13,441 +0% $11,909 +13% —
758 Infections, Female Reproductive System With Cc $13,242 $12,178 $16,992 −22% $20,901 −37% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $13,150 $12,988 $20,494 −36% $19,657 −33% —
311 Angina Pectoris $13,130 $12,424 $14,117 −7% $15,502 −15% —
387 Inflammatory Bowel Disease Without Cc/McC $13,082 $12,857 $14,044 −7% $16,288 −20% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $13,007 $11,918 $18,651 −30% $19,227 −32% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $12,890 $12,614 $12,015 +7% $13,384 −4% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $12,759 $12,237 $20,153 −37% $21,275 −40% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $12,668 $10,843 $20,927 −39% $27,163 −53% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $12,499 $12,345 $21,228 −41% $25,094 −50% —
683 Renal Failure With Cc $12,282 $10,720 $15,913 −23% $19,130 −36% ≈248% of Medicare
918 Poisoning And Toxic Effects Of Drugs Without McC $12,276 $9,746 $12,276 +0% $15,452 −21% —
546 Connective Tissue Disorders With Cc $12,213 $9,740 $32,794 −63% $25,700 −52% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $12,107 $10,905 $66,230 −82% $46,727 −74% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $12,091 $12,060 $20,241 −40% $19,569 −38% —
198 Interstitial Lung Disease Without Cc/McC $12,080 $10,903 $12,284 −2% $15,549 −22% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $12,060 $10,376 $18,503 −35% $23,551 −49% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $12,047 $11,922 $22,253 −46% $24,127 −50% —
191 Chronic Obstructive Pulmonary Disease With Cc $11,889 $11,461 $14,338 −17% $18,807 −37% —
812 Red Blood Cell Disorders Without McC $11,841 $11,143 $16,909 −30% $20,488 −42% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $11,786 $11,427 $27,965 −58% $32,574 −64% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $11,780 $11,210 $17,504 −33% $22,763 −48% —
603 Cellulitis Without McC $11,626 $10,792 $14,803 −21% $18,530 −37% —
534 Fractures Of Femur Without McC $11,598 $10,229 $16,748 −31% $17,559 −34% —
394 Other Digestive System Diagnoses With Cc $11,328 $10,555 $18,918 −40% $20,181 −44% —
779 Abortion Without D&C $11,302 $11,147 $11,302 +0% $15,327 −26% —
694 Urinary Stones Without McC $11,298 $9,794 $13,336 −15% $17,345 −35% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $11,220 $10,187 $12,703 −12% $15,183 −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% $85,566 −87% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $11,080 $10,792 $13,321 −17% $17,322 −36% —
835 Acute Leukemia With Cc $11,012 $10,749 $36,186 −70% $35,569 −69% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $10,881 $9,315 $14,644 −26% $16,699 −35% —
684 Renal Failure Without Cc/McC $10,628 $9,752 $11,276 −6% $13,642 −22% —
536 Fractures Of Hip And Pelvis Without McC $10,606 $9,762 $13,719 −23% $18,002 −41% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC $10,585 $9,346 $44,389 −76% $55,289 −81% —
533 Fractures Of Femur With McC $10,528 $9,320 $22,986 −54% $25,945 −59% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $10,527 $8,508 $15,792 −33% $14,716 −28% —
395 Other Digestive System Diagnoses Without Cc/McC $10,478 $9,479 $16,504 −37% $14,128 −26% —
726 Benign Prostatic Hypertrophy Without McC $10,366 $9,334 $13,602 −24% $15,019 −31% —
976 Hiv With Major Related Condition Without Cc/McC $9,622 $8,148 $16,212 −41% $16,212 −41% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $9,546 $9,002 $9,835 −3% $12,454 −23% —
389 Gastrointestinal Obstruction With Cc $9,428 $7,955 $16,234 −42% $17,578 −46% —
595 Major Skin Disorders With McC $9,407 $8,376 $30,646 −69% $34,598 −73% —
540 Osteomyelitis With Cc $9,365 $9,113 $19,990 −53% $26,676 −65% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $9,293 $8,268 $15,986 −42% $20,895 −56% —
728 Inflammation Of The Male Reproductive System Without McC $9,012 $8,621 $13,799 −35% $17,118 −47% —
792 Prematurity Without Major Problems $8,866 $8,840 $10,208 −13% $12,229 −27% —
390 Gastrointestinal Obstruction Without Cc/McC $8,862 $7,397 $10,472 −15% $13,361 −34% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $8,600 $8,500 $15,869 −46% $16,968 −49% —
370 Major Esophageal Disorders Without Cc/McC $8,565 $8,413 $19,848 −57% $15,495 −45% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $8,555 $8,319 $21,101 −59% $18,316 −53% —
316 Other Circulatory System Diagnoses Without Cc/McC $8,405 $8,182 $15,788 −47% $13,651 −38% —
081 Nontraumatic Stupor And Coma Without McC $8,383 $5,190 $14,937 −44% $16,552 −49% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $8,200 $7,500 $12,411 −34% $14,689 −44% —
301 Peripheral Vascular Disorders Without Cc/McC $8,192 $8,074 $12,453 −34% $15,837 −48% —
157 Dental And Oral Diseases With McC $8,172 $7,626 $24,447 −67% $31,300 −74% —
951 Other Factors Influencing Health Status $8,075 $7,505 $11,914 −32% $10,160 −21% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $7,999 $7,696 $8,048 −1% $9,940 −20% —
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 $17,483 −55% $17,483 −55% —
965 Other Multiple Significant Trauma Without Cc/McC $7,618 $6,249 $15,039 −49% $20,259 −62% —
914 Traumatic Injury Without McC $7,333 $5,683 $15,088 −51% $15,855 −54% —
293 Heart Failure And Shock Without Cc/McC $7,234 $7,105 $10,316 −30% $12,999 −44% —
535 Fractures Of Hip And Pelvis With McC $7,114 $6,594 $25,858 −72% $24,552 −71% —
082 Traumatic Stupor And Coma >1 Hour With McC $6,985 $6,316 $33,308 −79% $36,489 −81% —
950 Aftercare Without Cc/McC $6,862 $6,794 $10,801 −36% $13,527 −49% —
184 Major Chest Trauma With Cc $6,533 $5,232 $19,872 −67% $22,432 −71% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $6,213 $5,063 $13,002 −52% $16,776 −63% —
548 Septic Arthritis With McC $5,659 $5,573 $29,341 −81% $31,346 −82% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $5,397 $3,200 $9,852 −45% $11,421 −53% —
795 Normal Newborn $5,171 $5,152 $4,866 +6% $4,720 +10% —
794 Neonate With Other Significant Problems $3,995 $5,627 $5,725 −30% $8,445 −53% —
921 Complications Of Treatment Without Cc/McC $3,814 $3,579 $12,120 −69% $14,415 −74% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $3,260 $3,164 $14,554 −78% $18,150 −82% —
159 Dental And Oral Diseases Without Cc/McC $3,139 $2,514 $11,755 −73% $13,633 −77% —
151 Epistaxis Without McC $2,437 $2,371 $13,032 −81% $13,032 −81% —
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