Procedures published 754
Lowest published price $11,837
Average published price $76,716
Highest published price $1,287,608

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 754 procedures

Published charges

Showing all 754 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 75 procedures, this hospital's negotiated rates average ≈311% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $1,287,608 $1,287,608 $483,987 +166% $498,715 +158%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $933,786 $933,786 $562,528 +66% $431,073 +117%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $897,416 $897,416 $389,239 +131% $371,366 +142%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $786,452 $786,452 $306,087 +157% $306,087 +157%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $591,749 $591,749 $256,977 +130% $245,189 +141%
014 ALLOGENEIC BONE MARROW TRANSPLANT $447,475 $447,475 $171,028 +162% $182,314 +145%
007 LUNG TRANSPLANT $433,354 $433,354 $170,608 +154% $170,608 +154%
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $365,443 $365,443 $155,461 +135% $169,977 +115%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $361,273 $361,273 $312,843 +15% $171,338 +111%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $353,170 $353,170 $139,842 +153% $159,181 +122%
215 OTHER HEART ASSIST SYSTEM IMPLANT $351,360 $351,360 $201,916 +74% $191,314 +84%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $350,238 $350,238 $247,059 +42% $175,437 +100%
231 CORONARY BYPASS WITH PTCA WITH MCC $281,069 $281,069 $156,608 +79% $145,864 +93%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $280,913 $280,913 $112,119 +151% $151,029 +86%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $276,384 $276,384 $175,329 +58% $138,868 +99%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $267,388 $267,388 $112,518 +138% $135,380 +98%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $256,663 $256,663 $238,993 +7% $143,242 +79%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $249,092 $249,092 $80,018 +211% $80,018 +211%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $247,605 $247,605 $108,019 +129% $120,573 +105%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $237,696 $237,696 $176,606 +35% $137,160 +73% ≈246% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $234,441 $234,441 $197,899 +18% $131,961 +78%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $226,530 $226,530 $91,253 +148% $104,881 +116%
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $221,579 $221,579 $89,353 +148% $89,353 +148%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $221,204 $221,204 $177,288 +25% $115,937 +91%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $220,993 $220,993 $114,669 +93% $116,058 +90%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $214,254 $214,254 $192,933 +11% $121,714 +76%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $209,827 $209,827 $87,759 +139% $109,331 +92%
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $206,270 $206,270 $81,176 +154% $98,260 +110%
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $206,270 $206,270 $81,176 +154% $81,176 +154%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $205,521 $205,521 $122,027 +68% $117,280 +75%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $204,477 $204,477 $102,350 +100% $91,329 +124%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $204,322 $204,322 $93,310 +119% $98,912 +107%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $203,609 $203,609 $143,991 +41% $108,472 +88%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $202,681 $202,681 $173,445 +17% $106,219 +91%
028 SPINAL PROCEDURES WITH MCC $201,713 $201,713 $125,606 +61% $95,858 +110%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $198,774 $198,774 $165,478 +20% $113,855 +75%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $197,398 $197,398 $152,440 +29% $92,238 +114%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $195,241 $195,241 $142,880 +37% $112,062 +74%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $193,189 $193,189 $111,682 +73% $96,192 +101%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $190,442 $190,442 $115,045 +66% $107,355 +77%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $189,305 $189,305 $135,515 +40% $106,778 +77%
834 ACUTE LEUKEMIA WITH MCC $188,908 $188,908 $74,709 +153% $76,004 +149%
653 MAJOR BLADDER PROCEDURES WITH MCC $184,980 $184,980 $84,904 +118% $97,028 +91%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $183,412 $183,412 $122,881 +49% $101,280 +81%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $180,144 $180,144 $94,162 +91% $95,375 +89%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $179,226 $179,226 $73,103 +145% $78,327 +129%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $179,057 $179,057 $73,038 +145% $86,953 +106%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $179,037 $179,037 $115,701 +55% $82,527 +117%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $176,548 $176,548 $160,266 +10% $102,573 +72%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $175,770 $175,770 $124,741 +41% $102,177 +72%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $174,815 $174,815 $22,283 +685% $16,708 +946%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $174,726 $174,726 $75,766 +131% $88,050 +98%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $173,310 $173,310 $92,416 +88% $86,938 +99% ≈306% of Medicare
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $171,153 $171,153 $68,095 +151% $70,779 +142%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $170,344 $170,344 $115,907 +47% $99,423 +71%
791 PREMATURITY WITH MAJOR PROBLEMS $170,185 $170,185 $49,057 +247% $39,254 +334%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $169,071 $169,071 $94,394 +79% $94,320 +79%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $168,554 $168,554 $80,701 +109% $80,747 +109%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $167,159 $167,159 $91,116 +83% $87,575 +91%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $166,046 $166,046 $102,309 +62% $84,861 +96%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $165,383 $165,383 $111,145 +49% $96,905 +71%
245 AICD GENERATOR PROCEDURES $162,185 $162,185 $66,564 +144% $72,076 +125%
471 CERVICAL SPINAL FUSION WITH MCC $161,207 $161,207 $80,569 +100% $92,515 +74%
006 LIVER TRANSPLANT WITHOUT MCC $160,938 $160,938 $84,407 +91% $84,407 +91%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $158,860 $158,860 $97,799 +62% $88,307 +80%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $158,496 $158,496 $82,674 +92% $85,882 +85%
799 SPLENIC PROCEDURES WITH MCC $157,810 $157,810 $76,574 +106% $78,821 +100%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $157,780 $157,780 $110,658 +43% $84,825 +86%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $156,149 $156,149 $142,453 +10% $92,217 +69%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $155,314 $155,314 $89,295 +74% $80,885 +92%
163 MAJOR CHEST PROCEDURES WITH MCC $152,984 $152,984 $90,851 +68% $88,341 +73%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $152,921 $152,921 $62,992 +143% $71,551 +114%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $152,434 $152,434 $81,713 +87% $90,331 +69%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $149,750 $149,750 $63,580 +136% $72,843 +106%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $148,858 $148,858 $86,544 +72% $76,954 +93%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $147,930 $147,930 $59,352 +149% $59,352 +149%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $147,062 $147,062 $60,697 +142% $68,847 +114%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $145,812 $145,812 $87,760 +66% $75,585 +93%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $143,333 $143,333 $135,307 +6% $83,441 +72%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $141,600 $141,600 $89,159 +59% $82,561 +72%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $141,391 $141,391 $112,108 +26% $87,495 +62%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $140,390 $140,390 $58,085 +142% $60,098 +134%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $139,111 $139,111 $113,929 +22% $68,590 +103%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $139,078 $139,078 $77,589 +79% $72,879 +91%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $138,120 $138,120 $109,299 +26% $83,065 +66%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $136,509 $136,509 $104,981 +30% $82,247 +66%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $136,433 $136,433 $58,656 +133% $66,853 +104%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $136,231 $136,231 $73,029 +87% $73,029 +87%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $135,028 $135,028 $92,292 +46% $71,873 +88%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $132,254 $132,254 $75,408 +75% $71,519 +85%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $132,161 $132,161 $54,862 +141% $57,521 +130%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $130,994 $130,994 $61,206 +114% $68,331 +92%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $130,726 $130,726 $54,300 +141% $61,832 +111%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $130,461 $130,461 $52,861 +147% $54,196 +141%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $129,821 $129,821 $104,086 +25% $78,852 +65%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $129,105 $129,105 $95,318 +35% $72,908 +77%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $128,320 $128,320 $53,357 +140% $62,961 +104%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $128,191 $128,191 $89,065 +44% $55,002 +133%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $127,833 $127,833 $67,154 +90% $72,274 +77%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $126,908 $126,908 $55,689 +128% $75,103 +69%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $126,222 $126,222 $85,781 +47% $74,755 +69%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $125,241 $125,241 $84,121 +49% $74,257 +69%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $124,779 $124,779 $50,550 +147% $61,206 +104%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $124,243 $124,243 $51,761 +140% $60,861 +104%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $122,591 $122,591 $49,718 +147% $57,855 +112%
335 PERITONEAL ADHESIOLYSIS WITH MCC $120,313 $120,313 $82,458 +46% $71,755 +68%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $119,033 $119,033 $72,168 +65% $59,425 +100%
265 AICD LEAD PROCEDURES $118,450 $118,450 $83,892 +41% $56,216 +111%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $117,920 $117,920 $78,651 +50% $70,540 +67%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $117,230 $117,230 $49,015 +139% $62,404 +88%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $117,201 $117,201 $49,003 +139% $50,919 +130%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $116,906 $116,906 $48,887 +139% $56,964 +105%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $116,349 $116,349 $49,908 +133% $68,399 +70%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $116,312 $116,312 $69,526 +67% $65,383 +78%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $116,266 $116,266 $72,552 +60% $59,207 +96%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $116,060 $116,060 $48,557 +139% $51,953 +123%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $115,311 $115,311 $56,242 +105% $56,242 +105%
332 RECTAL RESECTION WITH MCC $115,186 $115,186 $58,213 +98% $58,125 +98%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $115,060 $115,060 $48,165 +139% $48,745 +136%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $114,380 $114,380 $68,489 +67% $71,014 +61%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $114,201 $114,201 $76,169 +50% $61,353 +86%
665 PROSTATECTOMY WITH MCC $114,022 $114,022 $50,174 +127% $54,072 +111%
252 OTHER VASCULAR PROCEDURES WITH MCC $113,916 $113,916 $75,832 +50% $68,508 +66%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $113,744 $113,744 $73,275 +55% $68,421 +66%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $113,114 $113,114 $83,715 +35% $67,215 +68%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $112,643 $112,643 $69,584 +62% $70,132 +61%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $111,474 $111,474 $60,497 +84% $62,790 +78%
037 EXTRACRANIAL PROCEDURES WITH MCC $110,287 $110,287 $89,423 +23% $64,749 +70%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $109,657 $109,657 $46,049 +138% $52,908 +107%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $109,086 $109,086 $44,584 +145% $49,710 +119% ≈265% of Medicare
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $108,249 $108,249 $52,030 +108% $53,763 +101%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $108,202 $108,202 $64,465 +68% $64,465 +68%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $106,920 $106,920 $83,932 +27% $64,956 +65%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $106,823 $106,823 $61,575 +73% $63,310 +69%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $106,426 $106,426 $65,588 +62% $57,277 +86%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $106,118 $106,118 $91,834 +16% $66,819 +59%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $105,631 $105,631 $44,472 +138% $44,472 +138%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $105,418 $105,418 $44,389 +137% $51,142 +106%
500 SOFT TISSUE PROCEDURES WITH MCC $105,243 $105,243 $53,498 +97% $57,181 +84%
662 MINOR BLADDER PROCEDURES WITH MCC $103,616 $103,616 $55,854 +86% $54,483 +90%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $103,175 $103,175 $79,460 +30% $65,325 +58%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $102,777 $102,777 $22,087 +365% $11,633 +784%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $102,714 $102,714 $51,311 +100% $62,266 +65%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $102,429 $102,429 $43,218 +137% $53,817 +90%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $102,163 $102,163 $46,103 +122% $46,402 +120%
652 KIDNEY TRANSPLANT $102,018 $102,018 $54,720 +86% $54,720 +86%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $101,925 $101,925 $67,085 +52% $53,555 +90%
570 SKIN DEBRIDEMENT WITH MCC $99,990 $99,990 $42,263 +137% $51,501 +94%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $97,948 $97,948 $56,193 +74% $54,313 +80%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $97,696 $97,696 $64,529 +51% $63,984 +53% ≈297% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $97,431 $97,431 $51,577 +89% $60,140 +62%
668 TRANSURETHRAL PROCEDURES WITH MCC $96,878 $96,878 $49,739 +95% $47,126 +106%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $96,825 $96,825 $63,485 +53% $66,765 +45%
800 SPLENIC PROCEDURES WITH CC $96,795 $96,795 $41,012 +136% $49,184 +97%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $96,742 $96,742 $54,475 +78% $54,475 +78%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $96,634 $96,634 $42,413 +128% $40,801 +137%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $96,634 $96,634 $87,436 +11% $65,573 +47%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $95,247 $95,247 $40,406 +136% $58,968 +62%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $95,138 $95,138 $59,254 +61% $56,758 +68%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $95,081 $95,081 $72,297 +32% $53,787 +77%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $94,949 $94,949 $53,604 +77% $49,055 +94%
654 MAJOR BLADDER PROCEDURES WITH CC $93,756 $93,756 $50,400 +86% $53,868 +74%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $93,469 $93,469 $45,238 +107% $45,497 +105%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $93,302 $93,302 $47,220 +98% $58,043 +61%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $93,206 $93,206 $39,606 +135% $48,907 +91%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $92,964 $92,964 $38,454 +142% $43,491 +114%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $92,510 $92,510 $66,547 +39% $57,030 +62%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $91,841 $91,841 $54,297 +69% $52,405 +75%
849 RADIOTHERAPY $91,407 $91,407 $37,862 +141% $37,862 +141%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $90,915 $90,915 $67,831 +34% $48,358 +88%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $90,587 $90,587 $38,581 +135% $44,973 +101%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $89,527 $89,527 $38,706 +131% $44,839 +100%
263 VEIN LIGATION AND STRIPPING $89,116 $89,116 $38,005 +134% $44,938 +98%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $88,937 $88,937 $55,088 +61% $58,713 +51% ≈314% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $88,476 $88,476 $37,754 +134% $45,271 +95%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $88,161 $88,161 $37,631 +134% $40,947 +115%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $88,052 $88,052 $84,844 +4% $45,558 +93%
503 FOOT PROCEDURES WITH MCC $87,939 $87,939 $58,830 +49% $43,982 +100%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $87,850 $87,850 $46,181 +90% $40,277 +118%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $87,715 $87,715 $57,419 +53% $52,332 +68%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $87,403 $87,403 $36,339 +141% $38,878 +125%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $86,942 $86,942 $37,153 +134% $43,697 +99%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $86,485 $86,485 $43,431 +99% $39,657 +118%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $86,017 $86,017 $42,815 +101% $41,596 +107%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $85,875 $85,875 $43,429 +98% $47,574 +81%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $85,706 $85,706 $42,202 +103% $39,409 +117%
253 OTHER VASCULAR PROCEDURES WITH CC $84,837 $84,837 $56,289 +51% $53,746 +58%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $84,678 $84,678 $51,101 +66% $56,197 +51%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $84,644 $84,644 $76,734 +10% $74,274 +14%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $84,644 $84,644 $59,784 +42% $54,772 +55% ≈368% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $84,244 $84,244 $31,159 +170% $36,097 +133%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $83,906 $83,906 $36,842 +128% $46,659 +80%
164 MAJOR CHEST PROCEDURES WITH CC $83,644 $83,644 $67,197 +24% $53,141 +57%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $83,154 $83,154 $46,501 +79% $55,162 +51%
397 APPENDIX PROCEDURES WITH MCC $82,345 $82,345 $52,457 +57% $52,319 +57%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $82,057 $82,057 $59,209 +39% $47,583 +72%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $82,057 $82,057 $34,307 +139% $39,093 +110%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $81,367 $81,367 $58,553 +39% $51,985 +57%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $80,698 $80,698 $49,647 +63% $54,681 +48%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $80,386 $80,386 $66,902 +20% $45,937 +75%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $80,134 $80,134 $29,979 +167% $40,065 +100%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $79,800 $79,800 $54,832 +46% $56,394 +42%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $79,429 $79,429 $33,308 +138% $36,237 +119%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $78,988 $78,988 $41,196 +92% $51,950 +52%
347 ANAL AND STOMAL PROCEDURES WITH MCC $78,666 $78,666 $49,639 +58% $40,548 +94%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $78,538 $78,538 $47,803 +64% $37,080 +112%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $78,437 $78,437 $73,532 +7% $47,546 +65%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $78,408 $78,408 $32,919 +138% $36,195 +117%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $77,731 $77,731 $38,036 +104% $50,139 +55%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $77,578 $77,578 $47,618 +63% $36,318 +114%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $76,943 $76,943 $57,963 +33% $35,806 +115%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $76,870 $76,870 $55,306 +39% $51,339 +50%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $76,731 $76,731 $42,884 +79% $49,631 +55%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $76,392 $76,392 $44,619 +71% $44,600 +71% ≈304% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $75,899 $75,899 $44,472 +71% $39,253 +93%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $75,894 $75,894 $49,222 +54% $54,929 +38%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $75,894 $75,894 $48,438 +57% $64,468 +18%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $75,894 $75,894 $45,967 +65% $48,801 +56% ≈338% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $75,756 $75,756 $46,130 +64% $43,313 +75%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $75,687 $75,687 $26,590 +185% $14,121 +436%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $75,617 $75,617 $61,008 +24% $46,306 +63%
472 CERVICAL SPINAL FUSION WITH CC $75,573 $75,573 $59,171 +28% $59,537 +27%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $75,573 $75,573 $58,276 +30% $50,624 +49%
935 NON-EXTENSIVE BURNS $75,202 $75,202 $31,701 +137% $29,458 +155%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $75,070 $75,070 $32,504 +131% $38,998 +92%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $75,067 $75,067 $33,306 +125% $44,989 +67%
113 ORBITAL PROCEDURES WITH CC/MCC $75,014 $75,014 $57,860 +30% $35,642 +110%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $74,888 $74,888 $50,655 +48% $50,011 +50%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $74,861 $74,861 $62,284 +20% $48,682 +54%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $74,765 $74,765 $46,757 +60% $44,927 +66%
709 PENIS PROCEDURES WITH CC/MCC $74,699 $74,699 $32,359 +131% $34,535 +116%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $74,642 $74,642 $44,198 +69% $40,063 +86%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $74,642 $74,642 $43,479 +72% $33,694 +122%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $74,277 $74,277 $39,489 +88% $37,681 +97%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $74,212 $74,212 $71,300 +4% $44,022 +69%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $74,036 $74,036 $38,023 +95% $43,444 +70% ≈313% of Medicare
030 SPINAL PROCEDURES WITHOUT CC/MCC $73,980 $73,980 $38,567 +92% $45,842 +61%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $73,738 $73,738 $33,498 +120% $38,166 +93% ≈283% of Medicare
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $73,475 $73,475 $31,044 +137% $31,044 +137%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $73,424 $73,424 $37,707 +95% $36,850 +99%
835 ACUTE LEUKEMIA WITH CC $73,137 $73,137 $41,313 +77% $35,569 +106%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $73,118 $73,118 $45,690 +60% $38,382 +90%
906 HAND PROCEDURES FOR INJURIES $72,558 $72,558 $31,792 +128% $31,520 +130%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $72,439 $72,439 $42,315 +71% $41,114 +76%
595 MAJOR SKIN DISORDERS WITH MCC $72,427 $72,427 $37,345 +94% $31,772 +128%
374 DIGESTIVE MALIGNANCY WITH MCC $72,301 $72,301 $38,075 +90% $38,885 +86%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $71,723 $71,723 $39,369 +82% $44,553 +61%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $71,587 $71,587 $35,509 +102% $32,506 +120%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $71,431 $71,431 $38,653 +85% $34,900 +105%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $71,010 $71,010 $66,230 +7% $39,923 +78%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $71,004 $71,004 $43,988 +61% $44,719 +59%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $70,871 $70,871 $57,394 +23% $37,654 +88%
333 RECTAL RESECTION WITH CC $70,662 $70,662 $31,951 +121% $34,352 +106%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $70,516 $70,516 $49,467 +43% $46,477 +52%
592 SKIN ULCERS WITH MCC $70,420 $70,420 $29,882 +136% $32,662 +116%
336 PERITONEAL ADHESIOLYSIS WITH CC $70,231 $70,231 $44,395 +58% $49,071 +43%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $70,202 $70,202 $35,473 +98% $37,839 +86%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $70,092 $70,092 $52,634 +33% $55,147 +27%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $69,917 $69,917 $37,410 +87% $35,381 +98%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $69,708 $69,708 $48,770 +43% $46,066 +51%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $69,461 $69,461 $29,518 +135% $30,661 +127%
539 OSTEOMYELITIS WITH MCC $69,263 $69,263 $45,071 +54% $33,614 +106%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $69,071 $69,071 $45,797 +51% $41,701 +66%
548 SEPTIC ARTHRITIS WITH MCC $68,996 $68,996 $34,947 +97% $31,019 +122%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $68,992 $68,992 $53,106 +30% $50,998 +35% ≈314% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $68,925 $68,925 $29,314 +135% $30,940 +123%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $68,581 $68,581 $35,115 +95% $34,876 +97% ≈270% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $68,129 $68,129 $41,480 +64% $35,714 +91% ≈292% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $68,082 $68,082 $28,993 +135% $35,139 +94%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $68,080 $68,080 $39,826 +71% $34,089 +100%
100 SEIZURES WITH MCC $67,996 $67,996 $31,211 +118% $35,194 +93%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $67,102 $67,102 $49,473 +36% $36,880 +82%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $67,076 $67,076 $40,387 +66% $41,660 +61%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $66,976 $66,976 $31,582 +112% $35,108 +91%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $66,897 $66,897 $46,090 +45% $45,594 +47%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $66,456 $66,456 $47,968 +39% $43,320 +53%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $66,400 $66,400 $29,109 +128% $29,109 +128%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $66,121 $66,121 $34,128 +94% $31,754 +108% ≈282% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $66,016 $66,016 $28,958 +128% $29,598 +123%
380 COMPLICATED PEPTIC ULCER WITH MCC $65,914 $65,914 $33,696 +96% $36,537 +80%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $65,784 $65,784 $32,506 +102% $41,847 +57%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $65,615 $65,615 $52,219 +26% $43,252 +52%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $65,363 $65,363 $44,644 +46% $41,520 +57%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $65,224 $65,224 $39,545 +65% $43,538 +50%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $64,995 $64,995 $35,817 +81% $29,524 +120%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $64,985 $64,985 $31,344 +107% $32,901 +98%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $64,856 $64,856 $34,120 +90% $36,241 +79%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $64,757 $64,757 $27,729 +134% $31,913 +103%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $64,668 $64,668 $27,695 +133% $31,743 +104%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $64,596 $64,596 $41,587 +55% $32,976 +96%
196 INTERSTITIAL LUNG DISEASE WITH MCC $64,542 $64,542 $31,341 +106% $30,362 +113%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $64,541 $64,541 $49,323 +31% $43,080 +50%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $64,461 $64,461 $36,202 +78% $36,202 +78%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $64,243 $64,243 $38,934 +65% $42,881 +50% ≈318% of Medicare
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $63,893 $63,893 $34,886 +83% $34,886 +83%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $63,619 $63,619 $28,893 +120% $33,236 +91%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $63,593 $63,593 $29,800 +113% $30,681 +107%
711 TESTES PROCEDURES WITH CC/MCC $63,547 $63,547 $46,485 +37% $34,846 +82%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $63,511 $63,511 $27,256 +133% $22,698 +180%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $63,238 $63,238 $27,853 +127% $29,609 +114%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $63,116 $63,116 $44,442 +42% $42,126 +50%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $63,116 $63,116 $41,665 +51% $35,029 +80%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $62,992 $62,992 $32,602 +93% $29,867 +111%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $62,657 $62,657 $36,535 +71% $32,451 +93%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $62,510 $62,510 $34,822 +80% $37,950 +65%
919 COMPLICATIONS OF TREATMENT WITH MCC $62,476 $62,476 $26,862 +133% $29,031 +115%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $62,452 $62,452 $32,429 +93% $35,990 +74%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $62,292 $62,292 $38,268 +63% $37,842 +65% ≈282% of Medicare
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $62,002 $62,002 $57,095 +9% $41,380 +50%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $61,988 $61,988 $35,135 +76% $29,476 +110%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $61,720 $61,720 $35,183 +75% $32,538 +90%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $61,551 $61,551 $24,172 +155% $24,447 +152%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $61,276 $61,276 $25,515 +140% $28,375 +116%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $61,019 $61,019 $53,594 +14% $47,635 +28%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $61,015 $61,015 $26,307 +132% $30,275 +102%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $60,978 $60,978 $55,123 +11% $40,694 +50%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $60,812 $60,812 $39,277 +55% $40,583 +50%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $60,783 $60,783 $41,820 +45% $40,563 +50%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $60,488 $60,488 $48,949 +24% $35,989 +68%
199 PNEUMOTHORAX WITH MCC $60,486 $60,486 $29,170 +107% $31,085 +95%
597 MALIGNANT BREAST DISORDERS WITH MCC $60,193 $60,193 $35,093 +72% $31,846 +89%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $59,896 $59,896 $36,341 +65% $31,627 +89%
180 RESPIRATORY NEOPLASMS WITH MCC $59,889 $59,889 $40,315 +49% $36,658 +63%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $59,674 $59,674 $42,815 +39% $44,087 +35%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $59,582 $59,582 $25,761 +131% $30,814 +93%
915 ALLERGIC REACTIONS WITH MCC $59,551 $59,551 $25,750 +131% $30,944 +92%
501 SOFT TISSUE PROCEDURES WITH CC $59,374 $59,374 $45,517 +30% $37,975 +56%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $59,244 $59,244 $25,633 +131% $29,826 +99%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $59,218 $59,218 $46,694 +27% $33,415 +77%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $59,079 $59,079 $43,492 +36% $31,909 +85%
075 VIRAL MENINGITIS WITH CC/MCC $59,022 $59,022 $29,084 +103% $29,751 +98%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $58,986 $58,986 $34,662 +70% $36,355 +62%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $58,479 $58,479 $43,498 +34% $35,673 +64%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $58,476 $58,476 $50,041 +17% $39,018 +50%
551 MEDICAL BACK PROBLEMS WITH MCC $58,476 $58,476 $33,102 +77% $31,067 +88% ≈295% of Medicare
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $58,446 $58,446 $33,575 +74% $29,558 +98%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $58,404 $58,404 $25,044 +133% $27,118 +115%
504 FOOT PROCEDURES WITH CC $58,390 $58,390 $29,220 +100% $36,519 +60%
505 FOOT PROCEDURES WITHOUT CC/MCC $58,390 $58,390 $25,972 +125% $31,716 +84%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $58,264 $58,264 $30,024 +94% $34,158 +71%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $58,204 $58,204 $47,265 +23% $38,836 +50%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $57,895 $57,895 $28,798 +101% $29,409 +97%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $57,763 $57,763 $27,614 +109% $32,839 +76%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $57,725 $57,725 $34,124 +69% $31,029 +86%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $57,605 $57,605 $30,494 +89% $29,929 +92% ≈298% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $57,352 $57,352 $26,412 +117% $27,233 +111%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $57,240 $57,240 $23,378 +145% $25,146 +128% ≈332% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $57,233 $57,233 $32,526 +76% $33,339 +72%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $57,097 $57,097 $46,235 +23% $38,094 +50%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $57,018 $57,018 $25,581 +123% $32,417 +76%
643 ENDOCRINE DISORDERS WITH MCC $56,799 $56,799 $27,741 +105% $32,953 +72%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $56,755 $56,755 $30,510 +86% $32,689 +74% ≈289% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $56,603 $56,603 $40,400 +40% $43,266 +31%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $56,358 $56,358 $26,332 +114% $29,671 +90%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $56,257 $56,257 $30,390 +85% $28,802 +95% ≈320% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $56,249 $56,249 $26,167 +115% $28,578 +97%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $56,199 $56,199 $30,645 +83% $28,001 +101%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $56,154 $56,154 $27,987 +101% $30,768 +83%
157 DENTAL AND ORAL DISEASES WITH MCC $56,124 $56,124 $27,457 +104% $27,457 +104%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $55,741 $55,741 $27,330 +104% $24,465 +128%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $55,725 $55,725 $28,382 +96% $29,916 +86%
571 SKIN DEBRIDEMENT WITH CC $55,715 $55,715 $37,246 +50% $34,773 +60%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $55,690 $55,690 $24,282 +129% $25,998 +114%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $55,526 $55,526 $24,851 +123% $28,103 +98%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $55,513 $55,513 $36,561 +52% $30,930 +79%
913 TRAUMATIC INJURY WITH MCC $55,468 $55,468 $36,618 +51% $24,198 +129%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $55,444 $55,444 $36,771 +51% $25,596 +117% ≈287% of Medicare
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $55,324 $55,324 $39,618 +40% $27,277 +103%
334 RECTAL RESECTION WITHOUT CC/MCC $55,195 $55,195 $47,039 +17% $32,213 +71%
606 MINOR SKIN DISORDERS WITH MCC $55,195 $55,195 $38,677 +43% $25,434 +117%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $54,850 $54,850 $32,783 +67% $25,197 +118%
666 PROSTATECTOMY WITH CC $54,820 $54,820 $33,815 +62% $30,016 +83%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $54,668 $54,668 $28,688 +91% $31,566 +73%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $54,635 $54,635 $41,456 +32% $28,554 +91%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $54,499 $54,499 $54,499 +0% $36,333 +50%
183 MAJOR CHEST TRAUMA WITH MCC $54,410 $54,410 $23,796 +129% $28,924 +88%
186 PLEURAL EFFUSION WITH MCC $54,161 $54,161 $30,373 +78% $32,385 +67%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $54,101 $54,101 $24,292 +123% $27,074 +100%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $54,048 $54,048 $23,658 +128% $29,891 +81%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $53,792 $53,792 $30,064 +79% $32,804 +64%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $53,751 $53,751 $30,877 +74% $30,224 +78%
038 EXTRACRANIAL PROCEDURES WITH CC $53,627 $53,627 $39,339 +36% $35,770 +50%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $53,511 $53,511 $41,155 +30% $35,692 +50%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $53,349 $53,349 $45,989 +16% $35,584 +50%
620 O.R. PROCEDURES FOR OBESITY WITH CC $53,153 $53,153 $37,027 +44% $35,453 +50%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $53,126 $53,126 $26,780 +98% $28,385 +87%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $53,103 $53,103 $34,211 +55% $33,962 +56%
813 COAGULATION DISORDERS $53,068 $53,068 $32,291 +64% $30,128 +76%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $53,037 $53,037 $46,229 +15% $35,375 +50%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $53,010 $53,010 $35,852 +48% $24,036 +121%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $52,986 $52,986 $29,289 +81% $28,252 +88%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $52,802 $52,802 $39,285 +34% $39,675 +33% ≈320% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $52,596 $52,596 $52,596 +0% $33,425 +57%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $52,338 $52,338 $40,799 +28% $34,906 +50%
945 REHABILITATION WITH CC/MCC $52,334 $52,334 $23,834 +120% $23,834 +120%
533 FRACTURES OF FEMUR WITH MCC $52,280 $52,280 $28,442 +84% $25,945 +102%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $52,103 $52,103 $38,708 +35% $32,189 +62%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $51,632 $51,632 $47,908 +8% $34,434 +50%
669 TRANSURETHRAL PROCEDURES WITH CC $51,513 $51,513 $47,653 +8% $34,354 +50%
682 RENAL FAILURE WITH MCC $51,495 $51,495 $24,994 +106% $27,640 +86% ≈290% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $51,456 $51,456 $26,477 +94% $25,484 +102%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $51,433 $51,433 $24,997 +106% $25,854 +99%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $51,399 $51,399 $28,195 +82% $29,049 +77%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $51,341 $51,341 $28,689 +79% $24,450 +110%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $51,102 $51,102 $32,884 +55% $35,961 +42%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $50,966 $50,966 $23,065 +121% $24,879 +105%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $50,942 $50,942 $26,971 +89% $27,597 +85%
663 MINOR BLADDER PROCEDURES WITH CC $50,846 $50,846 $29,153 +74% $29,924 +70%
865 VIRAL ILLNESS WITH MCC $50,607 $50,607 $22,350 +126% $26,088 +94%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $50,498 $50,498 $35,950 +40% $30,888 +63%
693 URINARY STONES WITH MCC $50,419 $50,419 $23,355 +116% $22,525 +124%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $50,402 $50,402 $27,615 +83% $28,403 +77%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $50,385 $50,385 $28,470 +77% $25,786 +95%
602 CELLULITIS WITH MCC $50,378 $50,378 $27,789 +81% $29,347 +72% ≈289% of Medicare
398 APPENDIX PROCEDURES WITH CC $50,376 $50,376 $40,924 +23% $38,574 +31%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $50,266 $50,266 $23,738 +112% $24,229 +107%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $50,184 $50,184 $26,717 +88% $29,011 +73%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $50,124 $50,124 $27,447 +83% $33,424 +50%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $50,088 $50,088 $37,278 +34% $33,790 +48%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $50,071 $50,071 $38,106 +31% $35,528 +41%
710 PENIS PROCEDURES WITHOUT CC/MCC $49,985 $49,985 $30,970 +61% $23,814 +110%
637 DIABETES WITH MCC $49,938 $49,938 $26,438 +89% $28,772 +74% ≈370% of Medicare
506 MAJOR THUMB OR JOINT PROCEDURES $49,909 $49,909 $47,364 +5% $28,983 +72%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $49,890 $49,890 $42,416 +18% $24,874 +101%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $49,696 $49,696 $31,148 +60% $33,137 +50%
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $49,651 $49,651 $34,171 +45% $21,986 +126%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $49,564 $49,564 $31,758 +56% $31,062 +60%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $49,446 $49,446 $21,908 +126% $22,525 +120%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $49,358 $49,358 $33,198 +49% $32,911 +50%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $48,924 $48,924 $39,028 +25% $25,152 +95%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $48,747 $48,747 $25,117 +94% $25,071 +94%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $48,696 $48,696 $48,696 +0% $25,149 +94%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $48,538 $48,538 $21,563 +125% $23,734 +105%
088 CONCUSSION WITH MCC $48,381 $48,381 $21,503 +125% $24,402 +98%
885 PSYCHOSES $48,344 $48,344 $21,489 +125% $21,489 +125%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $48,327 $48,327 $33,894 +43% $29,521 +64% ≈301% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $48,252 $48,252 $28,682 +68% $27,674 +74% ≈281% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $48,180 $48,180 $48,180 +0% $35,693 +35%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $48,149 $48,149 $28,811 +67% $29,630 +62%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $47,923 $47,923 $24,215 +98% $25,243 +90%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $47,787 $47,787 $36,948 +29% $25,666 +86%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $47,718 $47,718 $43,042 +11% $31,812 +50%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $47,688 $47,688 $23,875 +100% $24,118 +98%
150 EPISTAXIS WITH MCC $47,408 $47,408 $21,133 +124% $21,133 +124%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $47,264 $47,264 $21,615 +119% $21,615 +119%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $47,006 $47,006 $20,980 +124% $20,980 +124%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $46,667 $46,667 $25,986 +80% $23,456 +99%
137 MOUTH PROCEDURES WITH CC/MCC $46,578 $46,578 $34,700 +34% $24,348 +91%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $46,531 $46,531 $39,215 +19% $29,777 +56%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $46,276 $46,276 $21,228 +118% $24,561 +88%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $46,193 $46,193 $23,338 +98% $23,646 +95%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $45,777 $45,777 $29,561 +55% $25,412 +80% ≈283% of Medicare
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $45,749 $45,749 $31,294 +46% $29,029 +58%
139 SALIVARY GLAND PROCEDURES $45,729 $45,729 $25,144 +82% $21,014 +118%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $45,637 $45,637 $34,473 +32% $30,418 +50%
535 FRACTURES OF HIP AND PELVIS WITH MCC $45,623 $45,623 $25,858 +76% $22,874 +99%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $45,558 $45,558 $24,142 +89% $24,244 +88% ≈277% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $45,375 $45,375 $35,261 +29% $24,928 +82%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $45,207 $45,207 $24,801 +82% $25,766 +75% ≈297% of Medicare
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $45,136 $45,136 $28,020 +61% $29,374 +54%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $45,096 $45,096 $39,268 +15% $28,509 +58%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $44,998 $44,998 $23,278 +93% $23,039 +95%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $44,807 $44,807 $27,100 +65% $23,956 +87%
291 HEART FAILURE AND SHOCK WITH MCC $44,766 $44,766 $26,231 +71% $24,932 +80% ≈290% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $44,736 $44,736 $22,519 +99% $21,029 +113%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $44,722 $44,722 $28,768 +55% $29,805 +50%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $44,410 $44,410 $28,482 +56% $31,978 +39%
540 OSTEOMYELITIS WITH CC $44,401 $44,401 $19,990 +122% $23,494 +89%
947 SIGNS AND SYMPTOMS WITH MCC $44,131 $44,131 $30,911 +43% $25,474 +73%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $44,073 $44,073 $27,007 +63% $27,041 +63% ≈301% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $43,602 $43,602 $19,686 +121% $19,686 +121%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $43,602 $43,602 $21,831 +100% $22,226 +96%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $43,380 $43,380 $19,602 +121% $26,616 +63%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $43,326 $43,326 $19,581 +121% $19,894 +118%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $42,998 $42,998 $19,945 +116% $22,811 +88%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $42,962 $42,962 $19,930 +116% $23,920 +80%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $42,925 $42,925 $29,484 +46% $23,474 +83%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $42,912 $42,912 $31,637 +36% $23,646 +81%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $42,718 $42,718 $32,900 +30% $21,860 +95%
642 INBORN AND OTHER DISORDERS OF METABOLISM $42,592 $42,592 $19,302 +121% $20,727 +105%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $42,534 $42,534 $24,581 +73% $22,557 +89%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $42,503 $42,503 $22,707 +87% $22,010 +93%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $42,466 $42,466 $24,336 +74% $24,603 +73% ≈314% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $42,259 $42,259 $31,734 +33% $28,156 +50%
375 DIGESTIVE MALIGNANCY WITH CC $42,169 $42,169 $27,902 +51% $27,125 +55%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $42,145 $42,145 $19,132 +120% $19,132 +120%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $41,994 $41,994 $22,337 +88% $26,158 +61%
593 SKIN ULCERS WITH CC $41,964 $41,964 $24,087 +74% $20,470 +105%
348 ANAL AND STOMAL PROCEDURES WITH CC $41,948 $41,948 $32,613 +29% $27,947 +50%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $41,497 $41,497 $19,357 +114% $26,146 +59%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $41,490 $41,490 $19,354 +114% $19,354 +114%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $41,390 $41,390 $24,934 +66% $26,098 +59% ≈311% of Medicare
549 SEPTIC ARTHRITIS WITH CC $41,363 $41,363 $27,777 +49% $20,808 +99%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $41,268 $41,268 $36,311 +14% $27,492 +50%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $41,053 $41,053 $22,084 +86% $20,147 +104%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $41,025 $41,025 $18,707 +119% $20,148 +104%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $41,016 $41,016 $21,703 +89% $27,319 +50%
887 OTHER MENTAL DISORDER DIAGNOSES $40,827 $40,827 $18,631 +119% $20,557 +99%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $40,629 $40,629 $32,316 +26% $23,588 +72%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $40,456 $40,456 $18,949 +113% $22,920 +77%
304 HYPERTENSION WITH MCC $40,329 $40,329 $30,162 +34% $23,945 +68%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $40,175 $40,175 $20,718 +94% $22,870 +76% ≈298% of Medicare
302 ATHEROSCLEROSIS WITH MCC $39,936 $39,936 $23,828 +68% $20,810 +92%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $39,933 $39,933 $18,291 +118% $18,291 +118%
102 HEADACHES WITH MCC $39,806 $39,806 $25,440 +56% $21,983 +81%
546 CONNECTIVE TISSUE DISORDERS WITH CC $39,745 $39,745 $31,617 +26% $24,146 +65%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $39,516 $39,516 $18,133 +118% $18,133 +118%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $39,492 $39,492 $19,101 +107% $20,837 +90%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $39,402 $39,402 $30,056 +31% $19,598 +101%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $39,096 $39,096 $27,156 +44% $24,277 +61%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $38,990 $38,990 $24,974 +56% $23,571 +65%
152 OTITIS MEDIA AND URI WITH MCC $38,963 $38,963 $21,226 +84% $19,657 +98%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $38,773 $38,773 $23,274 +67% $21,025 +84%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $38,724 $38,724 $21,583 +79% $20,741 +87%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $38,721 $38,721 $21,786 +78% $24,017 +61%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $38,697 $38,697 $31,100 +24% $22,532 +72%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $38,560 $38,560 $21,554 +79% $24,103 +60% ≈311% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $38,557 $38,557 $19,179 +101% $19,317 +100%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $38,521 $38,521 $26,556 +45% $25,206 +53%
946 REHABILITATION WITHOUT CC/MCC $38,338 $38,338 $17,685 +117% $17,685 +117%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $38,130 $38,130 $38,130 +0% $25,390 +50%
181 RESPIRATORY NEOPLASMS WITH CC $38,127 $38,127 $27,871 +37% $22,065 +73%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $38,120 $38,120 $21,186 +80% $18,459 +107%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $38,087 $38,087 $22,256 +71% $24,426 +56%
200 PNEUMOTHORAX WITH CC $38,031 $38,031 $25,705 +48% $20,573 +85%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $37,948 $37,948 $31,640 +20% $25,267 +50%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $37,806 $37,806 $25,085 +51% $17,483 +116%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $37,726 $37,726 $15,319 +146% $15,370 +145%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $37,470 $37,470 $27,097 +38% $30,259 +24%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $37,468 $37,468 $20,673 +81% $19,868 +89%
381 COMPLICATED PEPTIC ULCER WITH CC $37,403 $37,403 $23,283 +61% $24,177 +55%
445 DISORDERS OF THE BILIARY TRACT WITH CC $37,246 $37,246 $21,478 +73% $21,666 +72% ≈299% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $37,130 $37,130 $17,226 +116% $17,226 +116%
949 AFTERCARE WITH CC/MCC $37,058 $37,058 $21,946 +69% $23,953 +55%
598 MALIGNANT BREAST DISORDERS WITH CC $37,055 $37,055 $20,485 +81% $19,073 +94%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $36,867 $36,867 $32,471 +14% $24,544 +50%
089 CONCUSSION WITH CC $36,823 $36,823 $17,109 +115% $18,293 +101%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $36,815 $36,815 $49,711 −26% $64,488 −43%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $36,815 $36,815 $36,815 +0% $43,775 −16%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $36,815 $36,815 $27,584 +33% $31,816 +16%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $36,772 $36,772 $22,925 +60% $19,448 +89% ≈304% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $36,768 $36,768 $30,251 +22% $25,038 +47%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $36,744 $36,744 $24,089 +53% $23,749 +55%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $36,700 $36,700 $18,541 +98% $22,623 +62% ≈318% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $36,686 $36,686 $18,219 +101% $20,842 +76%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $36,559 $36,559 $15,777 +132% $17,006 +115%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $36,496 $36,496 $17,398 +110% $17,398 +110%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $36,440 $36,440 $17,733 +105% $23,400 +56%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $36,365 $36,365 $27,612 +32% $24,000 +52%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $36,201 $36,201 $21,138 +71% $23,396 +55%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $36,161 $36,161 $16,903 +114% $18,000 +101%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $36,133 $36,133 $24,574 +47% $17,308 +109%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $36,118 $36,118 $21,782 +66% $22,587 +60%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $36,072 $36,072 $18,889 +91% $22,231 +62%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $36,012 $36,012 $24,070 +50% $18,126 +99%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $35,972 $35,972 $17,193 +109% $17,193 +109%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $35,886 $35,886 $17,159 +109% $17,719 +103%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $35,827 $35,827 $38,192 −6% $45,916 −22%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $35,809 $35,809 $25,890 +38% $23,141 +55%
712 TESTES PROCEDURES WITHOUT CC/MCC $35,674 $35,674 $17,076 +109% $18,898 +89%
644 ENDOCRINE DISORDERS WITH CC $35,502 $35,502 $24,428 +45% $22,941 +55%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $35,362 $35,362 $20,158 +75% $22,850 +55% ≈305% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $35,041 $35,041 $19,401 +81% $20,732 +69% ≈296% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $35,041 $35,041 $17,649 +99% $16,431 +113%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $35,034 $35,034 $22,525 +56% $21,499 +63%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $35,020 $35,020 $17,560 +99% $19,091 +83%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $35,013 $35,013 $30,745 +14% $31,190 +12% ≈382% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $34,962 $34,962 $26,899 +30% $22,590 +55%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $34,938 $34,938 $28,079 +24% $22,610 +55% ≈319% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $34,911 $34,911 $19,264 +81% $18,005 +94%
920 COMPLICATIONS OF TREATMENT WITH CC $34,904 $34,904 $23,173 +51% $20,879 +67%
187 PLEURAL EFFUSION WITH CC $34,498 $34,498 $20,494 +68% $21,467 +61%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $34,464 $34,464 $18,228 +89% $16,212 +113%
697 URETHRAL STRICTURE $34,423 $34,423 $21,435 +61% $17,705 +94%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $34,358 $34,358 $19,304 +78% $20,007 +72%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $34,290 $34,290 $31,817 +8% $17,268 +99%
667 PROSTATECTOMY WITHOUT CC/MCC $34,289 $34,289 $16,534 +107% $16,703 +105%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $34,189 $34,189 $16,495 +107% $16,495 +107%
386 INFLAMMATORY BOWEL DISEASE WITH CC $34,105 $34,105 $19,528 +75% $20,917 +63%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $34,092 $34,092 $20,666 +65% $22,024 +55% ≈330% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $34,020 $34,020 $25,701 +32% $20,105 +69%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $34,017 $34,017 $18,052 +88% $20,076 +69%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $33,880 $33,880 $24,838 +36% $21,886 +55% ≈302% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $33,870 $33,870 $21,346 +59% $18,199 +86%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $33,645 $33,645 $28,129 +20% $15,901 +112%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $33,470 $33,470 $17,137 +95% $17,078 +96%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $33,225 $33,225 $15,954 +108% $17,183 +93% ≈324% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $33,208 $33,208 $20,528 +62% $21,449 +55%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $33,126 $33,126 $21,141 +57% $20,632 +61% ≈323% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $33,075 $33,075 $22,831 +45% $20,716 +60%
882 NEUROSES EXCEPT DEPRESSIVE $33,064 $33,064 $15,680 +111% $15,680 +111%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $32,948 $32,948 $19,792 +66% $15,636 +111%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $32,880 $32,880 $21,992 +50% $16,418 +100%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $32,863 $32,863 $23,422 +40% $18,060 +82%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $32,825 $32,825 $15,589 +111% $15,589 +111%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $32,716 $32,716 $22,446 +46% $18,316 +79%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $32,645 $32,645 $22,597 +44% $15,890 +105%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $32,507 $32,507 $22,795 +43% $20,084 +62%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $32,358 $32,358 $20,595 +57% $18,815 +72% ≈328% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $32,334 $32,334 $18,988 +70% $17,751 +82%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $32,313 $32,313 $21,046 +54% $19,001 +70%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $32,313 $32,313 $13,737 +135% $18,038 +79%
779 ABORTION WITHOUT D&C $32,136 $32,136 $15,408 +109% $15,327 +110%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $32,095 $32,095 $16,642 +93% $16,622 +93%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $31,899 $31,899 $18,223 +75% $20,371 +57%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $31,882 $31,882 $18,522 +72% $19,326 +65%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $31,849 $31,849 $18,323 +74% $18,323 +74%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $31,757 $31,757 $17,652 +80% $19,287 +65% ≈333% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $31,730 $31,730 $19,481 +63% $20,408 +55% ≈305% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $31,692 $31,692 $24,971 +27% $20,463 +55% ≈343% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $31,678 $31,678 $15,286 +107% $20,313 +56%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $31,596 $31,596 $24,565 +29% $16,352 +93%
638 DIABETES WITH CC $31,535 $31,535 $20,074 +57% $18,763 +68% ≈367% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $31,525 $31,525 $18,152 +74% $15,474 +104%
914 TRAUMATIC INJURY WITHOUT MCC $31,508 $31,508 $16,946 +86% $15,586 +102%
881 DEPRESSIVE NEUROSES $31,429 $31,429 $15,058 +109% $15,058 +109%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $31,378 $31,378 $15,039 +109% $17,585 +78%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $31,369 $31,369 $23,601 +33% $17,108 +83%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $31,146 $31,146 $19,449 +60% $17,731 +76%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $31,112 $31,112 $16,935 +84% $15,007 +107%
864 FEVER AND INFLAMMATORY CONDITIONS $30,880 $30,880 $24,489 +26% $17,412 +77%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $30,820 $30,820 $32,818 −6% $42,119 −27% ≈214% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $30,820 $30,820 $30,820 +0% $34,564 −11%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $30,736 $30,736 $18,854 +63% $18,243 +68% ≈329% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $30,688 $30,688 $18,043 +70% $21,323 +44%
683 RENAL FAILURE WITH CC $30,569 $30,569 $20,765 +47% $18,322 +67% ≈298% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $30,429 $30,429 $19,085 +59% $16,348 +86%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $30,422 $30,422 $14,675 +107% $15,045 +102%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $30,402 $30,402 $16,456 +85% $15,818 +92%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,368 $30,368 $23,883 +27% $15,608 +95%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $30,340 $30,340 $15,819 +92% $15,923 +91%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $30,316 $30,316 $21,569 +41% $19,569 +55%
603 CELLULITIS WITHOUT MCC $30,292 $30,292 $16,168 +87% $18,359 +65% ≈315% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $30,091 $30,091 $15,754 +91% $14,549 +107%
312 SYNCOPE AND COLLAPSE $29,968 $29,968 $23,545 +27% $19,342 +55% ≈281% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $29,910 $29,910 $17,796 +68% $19,305 +55%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $29,785 $29,785 $23,771 +25% $15,764 +89%
607 MINOR SKIN DISORDERS WITHOUT MCC $29,726 $29,726 $19,884 +49% $15,276 +95%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $29,712 $29,712 $20,995 +42% $17,296 +72%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $29,654 $29,654 $26,032 +14% $16,156 +84%
292 HEART FAILURE AND SHOCK WITH CC $29,623 $29,623 $19,303 +53% $15,878 +87%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $29,589 $29,589 $17,067 +73% $19,096 +55%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $29,552 $29,552 $18,712 +58% $18,104 +63%
090 CONCUSSION WITHOUT CC/MCC $29,490 $29,490 $25,638 +15% $14,873 +98%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $29,420 $29,420 $24,016 +23% $19,854 +48%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $29,408 $29,408 $18,080 +63% $14,290 +106%
103 HEADACHES WITHOUT MCC $29,248 $29,248 $21,111 +39% $20,076 +46%
594 SKIN ULCERS WITHOUT CC/MCC $29,197 $29,197 $14,209 +105% $14,209 +105%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,175 $29,175 $19,783 +47% $19,815 +47%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $28,814 $28,814 $14,064 +105% $14,064 +105%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $28,790 $28,790 $14,055 +105% $14,055 +105%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $28,715 $28,715 $18,143 +58% $17,579 +63%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $28,412 $28,412 $18,154 +57% $15,876 +79%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $28,217 $28,217 $17,292 +63% $18,204 +55% ≈345% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $28,179 $28,179 $13,822 +104% $13,822 +104%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $28,135 $28,135 $19,521 +44% $18,150 +55%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $28,118 $28,118 $13,799 +104% $16,622 +69%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $28,097 $28,097 $17,696 +59% $17,562 +60% ≈310% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $28,029 $28,029 $21,913 +28% $17,693 +58% ≈341% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $28,012 $28,012 $21,585 +30% $17,194 +63%
204 RESPIRATORY SIGNS AND SYMPTOMS $27,910 $27,910 $22,926 +22% $16,804 +66%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $27,906 $27,906 $18,887 +48% $17,754 +57% ≈379% of Medicare
101 SEIZURES WITHOUT MCC $27,894 $27,894 $17,204 +62% $19,930 +40% ≈309% of Medicare
123 NEUROLOGICAL EYE DISORDERS $27,643 $27,643 $24,443 +13% $17,831 +55%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $27,623 $27,623 $18,046 +53% $17,379 +59% ≈318% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $27,589 $27,589 $18,664 +48% $17,345 +59% ≈349% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $27,558 $27,558 $24,592 +12% $13,586 +103%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $27,538 $27,538 $24,940 +10% $20,253 +36% ≈342% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $27,442 $27,442 $19,221 +43% $17,700 +55%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $27,369 $27,369 $27,369 +0% $40,552 −33%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $27,369 $27,369 $27,377 −0% $27,369 +0%
948 SIGNS AND SYMPTOMS WITHOUT MCC $27,346 $27,346 $21,819 +25% $17,719 +54% ≈324% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $27,186 $27,186 $13,752 +98% $17,383 +56%
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $27,186 $27,186 $19,889 +37% $13,445 +102%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $27,169 $27,169 $19,993 +36% $17,522 +55%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $27,029 $27,029 $16,336 +65% $13,385 +102%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $27,019 $27,019 $12,381 +118% $12,205 +121%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $26,909 $26,909 $13,651 +97% $13,090 +106%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $26,899 $26,899 $16,822 +60% $16,718 +61% ≈325% of Medicare
694 URINARY STONES WITHOUT MCC $26,899 $26,899 $14,472 +86% $16,451 +64%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $26,807 $26,807 $20,616 +30% $14,166 +89%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $26,773 $26,773 $16,609 +61% $15,858 +69%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $26,500 $26,500 $13,598 +95% $14,411 +84%
151 EPISTAXIS WITHOUT MCC $26,100 $26,100 $15,397 +70% $13,032 +100%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $26,022 $26,022 $16,795 +55% $16,776 +55%
305 HYPERTENSION WITHOUT MCC $25,851 $25,851 $24,338 +6% $16,897 +53% ≈360% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $25,834 $25,834 $23,908 +8% $16,654 +55%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $25,803 $25,803 $15,817 +63% $16,634 +55%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $25,763 $25,763 $16,445 +57% $14,337 +80%
149 DYSEQUILIBRIUM $25,742 $25,742 $23,926 +8% $17,203 +50% ≈345% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,698 $25,698 $19,855 +29% $14,861 +73%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $25,636 $25,636 $12,855 +99% $13,892 +85%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $25,520 $25,520 $13,735 +86% $13,278 +92%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $25,462 $25,462 $22,237 +15% $16,645 +53% ≈327% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $25,288 $25,288 $20,711 +22% $14,252 +77%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $25,097 $25,097 $15,546 +61% $12,650 +98%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $24,988 $24,988 $16,767 +49% $16,104 +55%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $24,977 $24,977 $19,367 +29% $18,288 +37%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $24,947 $24,947 $18,232 +37% $12,593 +98%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $24,888 $24,888 $24,888 +0% $26,998 −8%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $24,888 $24,888 $24,888 +0% $25,621 −3%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $24,790 $24,790 $24,076 +3% $12,536 +98%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $24,578 $24,578 $19,031 +29% $15,598 +58%
153 OTITIS MEDIA AND URI WITHOUT MCC $24,520 $24,520 $13,277 +85% $14,251 +72%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $24,437 $24,437 $12,895 +90% $12,895 +90%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $24,271 $24,271 $12,336 +97% $12,336 +97%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,213 $24,213 $18,925 +28% $15,600 +55%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $24,134 $24,134 $13,654 +77% $13,654 +77%
311 ANGINA PECTORIS $24,063 $24,063 $15,425 +56% $15,165 +59%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $24,052 $24,052 $23,345 +3% $15,072 +60%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $24,044 $24,044 $14,681 +64% $17,322 +39% ≈318% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $24,004 $24,004 $13,119 +83% $12,275 +96%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,001 $24,001 $13,676 +75% $12,405 +93%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $23,923 $23,923 $12,551 +91% $13,303 +80%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $23,841 $23,841 $13,500 +77% $14,210 +68%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $23,721 $23,721 $22,530 +5% $19,483 +22%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $23,701 $23,701 $14,264 +66% $14,012 +69%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $23,530 $23,530 $18,090 +30% $12,794 +84%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $23,529 $23,529 $13,696 +72% $11,957 +97%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $23,380 $23,380 $11,997 +95% $11,997 +95%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $23,374 $23,374 $22,448 +4% $17,851 +31%
201 PNEUMOTHORAX WITHOUT CC/MCC $23,339 $23,339 $13,089 +78% $13,081 +78%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $23,178 $23,178 $11,921 +94% $13,198 +76%
303 ATHEROSCLEROSIS WITHOUT MCC $23,178 $23,178 $18,920 +23% $14,927 +55%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $23,148 $23,148 $21,957 +5% $11,909 +94%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $23,107 $23,107 $15,055 +53% $14,880 +55%
916 ALLERGIC REACTIONS WITHOUT MCC $22,895 $22,895 $15,531 +47% $13,890 +65%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $22,741 $22,741 $11,755 +93% $13,362 +70%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $22,735 $22,735 $12,745 +78% $13,485 +69%
313 CHEST PAIN $22,651 $22,651 $20,854 +9% $15,837 +43%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $22,318 $22,318 $19,164 +16% $14,368 +55%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $22,072 $22,072 $12,883 +71% $14,208 +55%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $21,960 $21,960 $20,210 +9% $14,134 +55%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $21,949 $21,949 $11,454 +92% $14,128 +55%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $21,864 $21,864 $11,421 +91% $11,421 +91%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $21,735 $21,735 $24,370 −11% $29,957 −27% ≈180% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $21,735 $21,735 $20,291 +7% $24,008 −9%
639 DIABETES WITHOUT CC/MCC $21,615 $21,615 $16,811 +29% $13,910 +55%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $21,530 $21,530 $12,685 +70% $12,013 +79%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $21,482 $21,482 $14,132 +52% $13,747 +56%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $21,222 $21,222 $15,474 +37% $14,770 +44%
684 RENAL FAILURE WITHOUT CC/MCC $20,960 $20,960 $12,049 +74% $13,455 +56%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $20,942 $20,942 $11,071 +89% $11,071 +89%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $20,690 $20,690 $12,415 +67% $10,975 +89%
950 AFTERCARE WITHOUT CC/MCC $20,232 $20,232 $18,599 +9% $13,527 +50%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $19,580 $19,580 $10,553 +86% $9,385 +109% ≈303% of Medicare
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $19,389 $19,389 $10,480 +85% $10,039 +93%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $19,324 $19,324 $12,915 +50% $13,384 +44% ≈315% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $18,956 $18,956 $12,530 +51% $11,826 +60%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $18,904 $18,904 $13,471 +40% $13,318 +42%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $16,860 $16,860 $9,295 +81% $9,063 +86%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $15,303 $15,303 $8,927 +71% $8,927 +71%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,837 $11,837 $9,053 +31% $7,896 +50%
795 NORMAL NEWBORN $11,837 $11,837 $5,442 +118% $4,521 +162%