Rochester General Hospital — Pricing

694 procedures published in this hospital's Machine-Readable File (MRF) — 694 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 694
Lowest published price $2,325
Average published price $46,921
Highest published price $714,772

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 694 procedures

Published charges

Showing all 694 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 89 procedures, this hospital's negotiated rates average ≈89% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
001 Heart Transplant Or Implant Of Heart Assist System With McC $714,772 $464,602 $562,528 +27% $431,073 +66% —
212 Concomitant Aortic And Mitral Valve Procedures $474,877 $308,670 $312,843 +52% $171,338 +177% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures $374,499 $243,424 $389,239 −4% $371,366 +1% ≈112% of Medicare
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $368,440 $239,486 $256,977 +43% $245,241 +50% ≈70% of Medicare
215 Other Heart Assist System Implant $357,479 $232,361 $201,916 +77% $191,314 +87% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $293,825 $190,987 $89,295 +229% $80,885 +263% —
258 Cardiac Pacemaker Device Replacement With McC $280,437 $182,284 $39,606 +608% $48,907 +473% —
028 Spinal Procedures With McC $238,676 $155,139 $125,606 +90% $95,858 +149% —
031 Ventricular Shunt Procedures With McC $236,419 $153,673 $113,929 +108% $68,659 +244% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $221,910 $144,241 $111,682 +99% $96,192 +131% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $221,390 $143,904 $112,518 +97% $134,914 +64% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $195,377 $126,995 $72,168 +171% $59,425 +229% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $192,278 $124,981 $176,606 +9% $138,008 +39% ≈69% of Medicare
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $188,537 $122,549 $247,059 −24% $175,437 +7% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $181,468 $117,954 $82,674 +119% $88,691 +105% —
653 Major Bladder Procedures With McC $181,119 $117,727 $84,904 +113% $97,046 +87% —
232 Coronary Bypass With Ptca Without McC $180,476 $117,309 $173,445 +4% $106,238 +70% —
850 Acute Leukemia With Other Procedures $174,484 $113,414 $121,563 +44% $121,563 +44% —
231 Coronary Bypass With Ptca With McC $171,588 $111,532 $156,608 +10% $146,474 +17% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $168,544 $109,553 $238,993 −29% $143,242 +18% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $167,912 $109,143 $165,478 +1% $113,855 +47% ≈84% of Medicare
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $166,160 $108,004 $177,288 −6% $118,589 +40% —
799 Splenic Procedures With McC $162,739 $105,780 $76,574 +113% $78,821 +106% —
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $161,752 $105,139 $122,421 +32% $94,988 +70% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $157,998 $102,698 $197,899 −20% $131,961 +20% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $156,353 $101,629 $73,038 +114% $86,953 +80% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $152,356 $99,031 $175,329 −13% $138,868 +10% —
834 Acute Leukemia With McC $146,017 $94,911 $74,709 +95% $76,583 +91% —
356 Other Digestive System O.R. Procedures With McC $144,625 $94,006 $89,159 +62% $82,561 +75% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $144,432 $93,881 $142,453 +1% $92,217 +57% ≈82% of Medicare
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $141,070 $91,696 $122,027 +16% $117,280 +20% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $140,617 $91,401 $84,121 +67% $74,257 +89% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $140,370 $91,241 $107,442 +31% $121,728 +15% —
466 Revision Of Hip Or Knee Replacement With McC $139,710 $90,811 $94,394 +48% $96,222 +45% —
453 Combined Anterior And Posterior Spinal Fusion With McC $139,196 $90,477 $103,861 +34% $103,861 +34% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $131,771 $85,651 $59,209 +123% $47,583 +177% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $125,009 $81,256 $115,701 +8% $82,527 +51% —
421 Hepatobiliary Diagnostic Procedures With Cc $123,422 $80,224 $54,499 +126% $36,333 +240% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $123,017 $79,961 $192,933 −36% $121,714 +1% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $122,881 $79,873 $122,881 +0% $101,235 +21% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator $122,419 $79,572 $135,515 −10% $106,778 +15% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $121,977 $79,285 $109,299 +12% $83,065 +47% ≈85% of Medicare
471 Cervical Spinal Fusion With McC $121,403 $78,912 $80,569 +51% $92,515 +31% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $119,835 $77,893 $73,029 +64% $73,029 +64% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $118,465 $77,003 $86,544 +37% $76,954 +54% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $115,401 $75,011 $34,120 +238% $36,280 +218% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $115,396 $75,008 $114,669 +1% $116,058 −1% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $115,106 $74,819 $152,440 −24% $92,238 +25% —
277 Cardiac Defibrillator Implant Without McC $113,065 $73,492 $102,350 +10% $91,329 +24% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $112,763 $73,296 $92,416 +22% $87,018 +30% ≈86% of Medicare
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $112,108 $72,870 $112,108 +0% $88,049 +27% —
270 Other Major Cardiovascular Procedures With McC $111,594 $72,536 $115,907 −4% $99,423 +12% ≈68% of Medicare
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $111,320 $72,358 $124,741 −11% $102,177 +9% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $111,217 $72,291 $115,045 −3% $107,355 +4% —
228 Other Cardiothoracic Procedures With McC $111,145 $72,244 $111,145 +0% $96,905 +15% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $108,531 $70,545 $45,690 +138% $38,382 +183% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $107,151 $69,648 $35,473 +202% $38,420 +179% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $105,908 $68,840 $110,658 −4% $86,390 +23% ≈79% of Medicare
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/McC $105,626 $68,657 $99,075 +7% $105,899 −0% —
273 Percutaneous And Other Intracardiac Procedures With McC $104,086 $67,656 $104,086 +0% $78,852 +32% —
025 Craniotomy And Endovascular Intracranial Procedures With McC $103,117 $67,026 $97,799 +5% $88,307 +17% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $103,061 $66,990 $42,815 +141% $41,703 +147% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $102,941 $66,912 $73,103 +41% $78,582 +31% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $102,522 $66,639 $160,266 −36% $102,573 −0% ≈103% of Medicare
252 Other Vascular Procedures With McC $102,400 $66,560 $75,832 +35% $68,508 +49% —
969 Hiv With Extensive O.R. Procedures With McC $102,025 $66,316 $87,759 +16% $109,331 −7% —
235 Coronary Bypass Without Cardiac Catheterization With McC $101,368 $65,889 $142,880 −29% $112,062 −10% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $101,308 $65,851 $84,844 +19% $45,290 +124% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $100,943 $65,613 $81,713 +24% $90,331 +12% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $98,779 $64,207 $47,803 +107% $37,080 +166% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $98,711 $64,162 $91,116 +8% $87,565 +13% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $98,620 $64,103 $63,580 +55% $72,859 +35% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $98,131 $63,785 $34,307 +186% $39,093 +151% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $97,846 $63,600 $85,781 +14% $74,755 +31% —
319 Other Endovascular Cardiac Valve Procedures With McC $95,083 $61,804 $87,760 +8% $75,585 +26% —
274 Percutaneous And Other Intracardiac Procedures Without McC $94,862 $61,660 $87,436 +8% $65,573 +45% ≈89% of Medicare
835 Acute Leukemia With Cc $94,102 $61,166 $41,313 +128% $35,569 +165% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $93,310 $60,652 $93,310 +0% $98,912 −6% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $92,826 $60,337 $51,311 +81% $62,821 +48% —
326 Stomach, Esophageal And Duodenal Procedures With McC $92,522 $60,139 $80,701 +15% $80,747 +15% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $92,480 $60,112 $76,734 +21% $74,274 +25% ≈85% of Medicare
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $92,029 $59,819 $49,711 +85% $64,776 +42% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $91,834 $59,692 $91,834 +0% $66,819 +37% —
163 Major Chest Procedures With McC $90,851 $59,053 $90,851 +0% $88,341 +3% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $90,089 $58,558 $112,119 −20% $151,029 −40% —
037 Extracranial Procedures With McC $89,423 $58,125 $89,423 +0% $64,749 +38% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $89,296 $58,043 $27,853 +221% $29,609 +202% —
288 Acute And Subacute Endocarditis With McC $89,116 $57,925 $45,238 +97% $45,497 +96% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $88,843 $57,748 $37,153 +139% $43,697 +103% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $88,358 $57,432 $47,908 +84% $34,434 +157% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC $88,260 $57,369 $68,095 +30% $70,735 +25% —
480 Hip And Femur Procedures Except Major Joint With McC $88,053 $57,235 $64,529 +36% $63,984 +38% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $87,722 $57,019 $76,169 +15% $62,269 +41% —
722 Malignancy, Male Reproductive System With McC $86,054 $55,935 $25,633 +236% $29,826 +189% —
094 Bacterial And Tuberculous Infections Of Nervous System With McC $85,236 $55,403 $50,550 +69% $62,524 +36% —
035 Carotid Artery Stent Procedures With Cc $80,026 $52,017 $61,008 +31% $46,430 +72% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $79,897 $51,933 $61,575 +30% $63,475 +26% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $79,810 $51,876 $28,958 +176% $29,633 +169% —
459 Spinal Fusion Except Cervical With McC $79,564 $51,717 $77,927 +2% $75,251 +6% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC $79,183 $51,469 $135,307 −41% $83,441 −5% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $78,651 $51,123 $78,651 +0% $70,540 +11% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $78,486 $51,016 $75,492 +4% $75,492 +4% —
405 Pancreas, Liver And Shunt Procedures With McC $78,121 $50,779 $94,162 −17% $94,927 −18% —
673 Other Kidney And Urinary Tract Procedures With McC $77,589 $50,433 $77,589 +0% $72,945 +6% ≈81% of Medicare
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $76,350 $49,627 $72,552 +5% $59,207 +29% —
374 Digestive Malignancy With McC $76,207 $49,534 $38,075 +100% $38,885 +96% —
357 Other Digestive System O.R. Procedures With Cc $75,800 $49,270 $62,284 +22% $48,682 +56% —
140 Major Head And Neck Procedures With McC $75,542 $49,102 $58,085 +30% $60,098 +26% —
619 O.R. Procedures For Obesity With McC $74,584 $48,480 $38,581 +93% $44,973 +66% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $72,472 $47,107 $108,019 −33% $120,587 −40% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $71,258 $46,318 $57,419 +24% $52,332 +36% —
454 Combined Anterior And Posterior Spinal Fusion With Cc $71,255 $46,316 $71,255 +0% $69,101 +3% —
236 Coronary Bypass Without Cardiac Catheterization Without McC $71,015 $46,160 $104,981 −32% $82,247 −14% ≈92% of Medicare
976 Hiv With Major Related Condition Without Cc/McC $70,978 $46,136 $18,228 +289% $16,212 +338% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $70,789 $46,013 $28,798 +146% $29,409 +141% —
907 Other O.R. Procedures For Injuries With McC $69,319 $45,058 $75,408 −8% $71,701 −3% —
329 Major Small And Large Bowel Procedures With McC $69,268 $45,024 $75,766 −9% $88,050 −21% ≈101% of Medicare
849 Radiotherapy $68,848 $44,751 $37,862 +82% $37,862 +82% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC $68,835 $44,743 $59,784 +15% $54,772 +26% ≈99% of Medicare
686 Kidney And Urinary Tract Neoplasms With McC $68,782 $44,708 $41,587 +65% $32,981 +109% —
332 Rectal Resection With McC $68,212 $44,338 $58,213 +17% $58,125 +17% —
656 Kidney And Ureter Procedures For Neoplasm With McC $68,115 $44,275 $64,465 +6% $64,465 +6% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $68,006 $44,204 $61,206 +11% $68,006 +0% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $67,651 $43,973 $66,547 +2% $57,963 +17% —
583 Mastectomy For Malignancy Without Cc/McC $67,181 $43,668 $28,688 +134% $31,566 +113% —
166 Other Respiratory System O.R. Procedures With McC $67,154 $43,650 $67,154 +0% $72,782 −8% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $66,230 $43,049 $66,230 +0% $40,232 +65% —
595 Major Skin Disorders With McC $65,569 $42,620 $37,345 +76% $31,785 +106% —
674 Other Kidney And Urinary Tract Procedures With Cc $65,522 $42,589 $42,884 +53% $49,631 +32% —
113 Orbital Procedures With Cc/McC $65,283 $42,434 $57,860 +13% $35,642 +83% —
955 Craniotomy For Multiple Significant Trauma $65,044 $42,279 $91,253 −29% $105,612 −38% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $64,525 $41,941 $69,526 −7% $65,383 −1% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC $64,429 $41,879 $14,055 +358% $14,055 +358% —
500 Soft Tissue Procedures With McC $64,414 $41,869 $53,498 +20% $57,479 +12% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $63,349 $41,177 $54,320 +17% $54,320 +17% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $63,195 $41,077 $83,715 −25% $67,901 −7% —
150 Epistaxis With McC $62,780 $40,807 $21,133 +197% $21,133 +197% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $62,451 $40,593 $39,028 +60% $25,152 +148% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $61,840 $40,196 $54,832 +13% $56,394 +10% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $61,547 $40,006 $37,410 +65% $35,686 +72% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $61,356 $39,882 $55,689 +10% $75,103 −18% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $60,906 $39,589 $72,297 −16% $53,551 +14% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $60,777 $39,505 $58,656 +4% $66,853 −9% —
347 Anal And Stomal Procedures With McC $60,437 $39,284 $49,639 +22% $40,548 +49% —
467 Revision Of Hip Or Knee Replacement With Cc $60,283 $39,184 $73,275 −18% $68,880 −12% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $60,096 $39,062 $33,306 +80% $44,989 +34% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $60,073 $39,048 $32,919 +82% $36,334 +65% —
550 Septic Arthritis Without Cc/McC $59,904 $38,938 $26,032 +130% $16,156 +271% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $59,696 $38,803 $54,297 +10% $52,405 +14% ≈89% of Medicare
906 Hand Procedures For Injuries $59,309 $38,551 $31,792 +87% $31,520 +88% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $59,192 $38,475 $63,485 −7% $67,764 −13% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $59,034 $38,372 $39,489 +49% $37,902 +56% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $58,856 $38,256 $55,306 +6% $51,339 +15% —
164 Major Chest Procedures With Cc $58,577 $38,075 $67,197 −13% $53,141 +10% ≈91% of Medicare
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $58,336 $37,918 $49,467 +18% $46,477 +26% —
320 Other Endovascular Cardiac Valve Procedures Without McC $57,963 $37,676 $57,963 +0% $36,080 +61% —
229 Other Cardiothoracic Procedures Without McC $57,750 $37,538 $79,460 −27% $65,325 −12% —
271 Other Major Cardiovascular Procedures With Cc $57,401 $37,311 $68,489 −16% $71,014 −19% ≈88% of Medicare
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $56,838 $36,945 $58,553 −3% $51,985 +9% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $56,756 $36,891 $80,018 −29% $80,018 −29% —
335 Peritoneal Adhesiolysis With McC $56,742 $36,882 $82,458 −31% $71,755 −21% —
412 Cholecystectomy With C.D.E. With Cc $56,706 $36,859 $57,394 −1% $37,654 +51% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $56,193 $36,526 $56,193 +0% $54,313 +3% —
056 Degenerative Nervous System Disorders With McC $56,146 $36,495 $42,202 +33% $39,409 +42% —
242 Permanent Cardiac Pacemaker Implant With McC $56,103 $36,467 $69,584 −19% $70,132 −20% —
420 Hepatobiliary Diagnostic Procedures With McC $55,624 $36,155 $49,003 +14% $50,919 +9% —
406 Pancreas, Liver And Shunt Procedures With Cc $54,796 $35,617 $47,220 +16% $58,043 −6% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $54,643 $35,518 $38,036 +44% $50,139 +9% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $54,631 $35,510 $53,357 +2% $62,961 −13% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $54,475 $35,409 $54,475 +0% $54,475 +0% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $53,839 $34,996 $42,413 +27% $41,380 +30% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $53,696 $34,902 $54,862 −2% $57,521 −7% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $53,604 $34,843 $53,604 +0% $49,055 +9% —
841 Lymphoma And Non-Acute Leukemia With Cc $53,450 $34,743 $30,877 +73% $31,059 +72% —
264 Other Circulatory System O.R. Procedures $53,069 $34,495 $48,557 +9% $51,953 +2% —
388 Gastrointestinal Obstruction With McC $53,062 $34,490 $27,615 +92% $28,780 +84% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $52,497 $34,123 $46,757 +12% $45,059 +17% —
432 Cirrhosis And Alcoholic Hepatitis With McC $51,753 $33,640 $49,473 +5% $36,933 +40% —
655 Major Bladder Procedures Without Cc/McC $51,209 $33,286 $45,797 +12% $41,651 +23% —
283 Acute Myocardial Infarction, Expired With McC $51,183 $33,269 $31,582 +62% $35,014 +46% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC $51,041 $33,176 $54,300 −6% $61,832 −17% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $50,816 $33,030 $53,594 −5% $48,680 +4% —
460 Spinal Fusion Except Cervical Without McC $50,777 $33,005 $42,901 +18% $50,815 −0% ≈99% of Medicare
756 Malignancy, Female Reproductive System Without Cc/McC $50,712 $32,963 $15,589 +225% $15,589 +225% —
085 Traumatic Stupor And Coma <1 Hour With McC $50,610 $32,896 $47,618 +6% $37,064 +37% —
330 Major Small And Large Bowel Procedures With Cc $50,487 $32,816 $55,088 −8% $58,832 −14% —
481 Hip And Femur Procedures Except Major Joint With Cc $50,338 $32,720 $53,106 −5% $51,172 −2% ≈86% of Medicare
029 Spinal Procedures With Cc Or Spinal Neurostimulators $50,208 $32,635 $60,497 −17% $64,152 −22% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $49,908 $32,440 $49,908 +0% $68,399 −27% —
102 Headaches With McC $49,706 $32,309 $25,440 +95% $22,544 +120% —
253 Other Vascular Procedures With Cc $49,532 $32,196 $56,289 −12% $53,746 −8% —
243 Permanent Cardiac Pacemaker Implant With Cc $49,155 $31,951 $50,655 −3% $50,011 −2% ≈103% of Medicare
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $48,770 $31,700 $48,770 +0% $46,066 +6% —
451 Single Level Spinal Fusion Except Cervical Without McC $48,725 $31,671 $48,725 +0% $65,216 −25% —
468 Revision Of Hip Or Knee Replacement Without Cc/McC $47,814 $31,079 $49,222 −3% $54,929 −13% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $47,730 $31,024 $52,634 −9% $56,519 −16% ≈85% of Medicare
077 Hypertensive Encephalopathy With McC $47,675 $30,989 $35,852 +33% $24,036 +98% —
502 Soft Tissue Procedures Without Cc/McC $46,846 $30,450 $39,215 +19% $30,006 +56% —
539 Osteomyelitis With McC $46,736 $30,379 $45,071 +4% $33,746 +38% —
754 Malignancy, Female Reproductive System With McC $46,564 $30,267 $35,135 +33% $29,476 +58% —
711 Testes Procedures With Cc/McC $46,485 $30,215 $46,485 +0% $34,852 +33% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $46,269 $30,075 $48,180 −4% $35,542 +30% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $46,181 $30,018 $46,181 +0% $40,277 +15% —
614 Adrenal And Pituitary Procedures With Cc/McC $46,130 $29,985 $46,130 +0% $43,586 +6% —
165 Major Chest Procedures Without Cc/McC $45,870 $29,815 $57,095 −20% $41,380 +11% —
506 Major Thumb Or Joint Procedures $45,620 $29,653 $47,364 −4% $28,983 +57% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $45,202 $29,381 $40,400 +12% $43,266 +4% —
904 Skin Grafts For Injuries With Cc/McC $44,630 $29,009 $89,065 −50% $55,097 −19% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $44,619 $29,002 $44,619 +0% $44,600 +0% ≈76% of Medicare
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $44,480 $28,912 $36,341 +22% $31,758 +40% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $44,454 $28,895 $44,442 +0% $42,126 +6% —
336 Peritoneal Adhesiolysis With Cc $44,395 $28,857 $44,395 +0% $49,470 −10% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $44,198 $28,728 $44,198 +0% $40,063 +10% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $44,076 $28,649 $24,574 +79% $17,550 +151% —
348 Anal And Stomal Procedures With Cc $43,935 $28,558 $32,613 +35% $27,947 +57% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC $43,914 $28,544 $44,644 −2% $41,520 +6% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $43,730 $28,425 $51,101 −14% $57,149 −23% —
377 Gastrointestinal Hemorrhage With McC $43,730 $28,424 $38,268 +14% $37,842 +16% ≈82% of Medicare
545 Connective Tissue Disorders With McC $43,605 $28,343 $43,431 +0% $39,657 +10% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $43,375 $28,194 $49,015 −12% $62,404 −30% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $42,810 $27,826 $48,438 −12% $65,254 −34% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $42,681 $27,743 $41,196 +4% $52,313 −18% —
654 Major Bladder Procedures With Cc $42,660 $27,729 $50,400 −15% $53,868 −21% —
259 Cardiac Pacemaker Device Replacement Without McC $42,612 $27,698 $43,498 −2% $35,673 +19% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $42,370 $27,540 $83,932 −50% $64,956 −35% —
582 Mastectomy For Malignancy With Cc/McC $42,152 $27,399 $30,024 +40% $34,264 +23% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $42,071 $27,346 $41,480 +1% $35,714 +18% ≈82% of Medicare
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $41,921 $27,249 $28,893 +45% $33,165 +26% —
902 Wound Debridements For Injuries With Cc $41,665 $27,082 $41,665 +0% $35,459 +18% —
167 Other Respiratory System O.R. Procedures With Cc $41,640 $27,066 $41,820 −0% $40,563 +3% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $41,622 $27,054 $49,647 −16% $54,824 −24% —
397 Appendix Procedures With McC $41,491 $26,969 $52,457 −21% $52,319 −21% —
801 Splenic Procedures Without Cc/McC $41,456 $26,947 $41,456 +0% $28,634 +45% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $41,301 $26,846 $38,192 +8% $45,963 −10% —
138 Mouth Procedures Without Cc/McC $41,117 $26,726 $13,752 +199% $17,383 +137% —
551 Medical Back Problems With McC $41,109 $26,721 $33,102 +24% $31,086 +32% —
905 Skin Grafts For Injuries Without Cc/McC $40,979 $26,637 $32,783 +25% $25,197 +63% —
473 Cervical Spinal Fusion Without Cc/McC $40,882 $26,573 $58,276 −30% $50,624 −19% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $40,849 $26,552 $46,090 −11% $45,817 −11% —
142 Major Head And Neck Procedures Without Cc/McC $40,799 $26,519 $40,799 +0% $34,906 +17% —
620 O.R. Procedures For Obesity With Cc $40,745 $26,484 $37,027 +10% $35,453 +15% —
729 Other Male Reproductive System Diagnoses With Cc/McC $40,406 $26,264 $25,085 +61% $17,483 +131% —
668 Transurethral Procedures With McC $40,404 $26,263 $49,739 −19% $47,277 −15% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $39,964 $25,976 $73,532 −46% $47,546 −16% —
840 Lymphoma And Non-Acute Leukemia With McC $39,945 $25,964 $44,584 −10% $49,710 −20% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $39,890 $25,929 $16,336 +144% $13,385 +198% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $39,812 $25,878 $46,235 −14% $38,094 +5% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $39,781 $25,858 $46,229 −14% $35,375 +12% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $39,719 $25,818 $34,473 +15% $30,418 +31% —
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $39,708 $25,810 $19,354 +105% $19,354 +105% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $39,675 $25,789 $39,285 +1% $39,747 −0% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $39,573 $25,723 $45,967 −14% $49,197 −20% ≈99% of Medicare
791 Prematurity With Major Problems $39,563 $25,716 $49,057 −19% $39,563 +0% —
306 Cardiac Congenital And Valvular Disorders With McC $39,342 $25,572 $28,689 +37% $24,450 +61% —
036 Carotid Artery Stent Procedures Without Cc/McC $38,956 $25,322 $55,123 −29% $40,694 −4% —
472 Cervical Spinal Fusion With Cc $38,905 $25,288 $59,171 −34% $59,537 −35% ≈102% of Medicare
657 Kidney And Ureter Procedures For Neoplasm With Cc $38,761 $25,195 $39,277 −1% $40,583 −4% —
385 Inflammatory Bowel Disease With McC $38,708 $25,160 $24,282 +59% $26,020 +49% —
344 Minor Small And Large Bowel Procedures With McC $38,706 $25,159 $38,706 +0% $44,839 −14% —
606 Minor Skin Disorders With McC $38,677 $25,140 $38,677 +0% $25,434 +52% —
141 Major Head And Neck Procedures With Cc $38,653 $25,125 $38,653 +0% $34,900 +11% —
331 Major Small And Large Bowel Procedures Without Cc/McC $38,599 $25,089 $42,815 −10% $44,117 −13% ≈109% of Medicare
030 Spinal Procedures Without Cc/McC $38,567 $25,069 $38,567 +0% $45,818 −16% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $38,502 $25,026 $47,968 −20% $44,363 −13% —
070 Nonspecific Cerebrovascular Disorders With McC $38,248 $24,861 $25,761 +48% $30,814 +24% ≈84% of Medicare
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $38,246 $24,860 $38,934 −2% $42,881 −11% ≈94% of Medicare
593 Skin Ulcers With Cc $37,915 $24,644 $24,087 +57% $20,470 +85% —
032 Ventricular Shunt Procedures With Cc $37,711 $24,512 $43,988 −14% $45,622 −17% —
345 Minor Small And Large Bowel Procedures With Cc $37,473 $24,357 $31,758 +18% $31,062 +21% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $37,345 $24,274 $46,049 −19% $52,908 −29% —
571 Skin Debridement With Cc $37,317 $24,256 $37,246 +0% $34,901 +7% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $37,271 $24,226 $49,718 −25% $57,855 −36% —
314 Other Circulatory System Diagnoses With McC $37,005 $24,054 $33,498 +10% $38,357 −4% ≈85% of Medicare
813 Coagulation Disorders $36,937 $24,009 $32,291 +14% $30,128 +23% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $36,823 $23,935 $44,472 −17% $39,253 −6% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $36,789 $23,913 $31,294 +18% $29,050 +27% —
814 Reticuloendothelial And Immunity Disorders With McC $36,703 $23,857 $35,509 +3% $32,483 +13% —
621 O.R. Procedures For Obesity Without Cc/McC $36,535 $23,748 $36,535 +0% $32,451 +13% —
199 Pneumothorax With McC $36,471 $23,706 $29,170 +25% $31,491 +16% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $36,465 $23,702 $35,115 +4% $35,237 +3% ≈86% of Medicare
977 Hiv With Or Without Other Related Condition $36,369 $23,640 $21,908 +66% $22,525 +61% —
669 Transurethral Procedures With Cc $36,359 $23,634 $47,653 −24% $34,354 +6% —
448 Multiple Level Spinal Fusion Except Cervical Without McC $36,356 $23,632 $56,194 −35% $81,998 −56% —
964 Other Multiple Significant Trauma With Cc $35,823 $23,285 $24,997 +43% $25,854 +39% —
800 Splenic Procedures With Cc $35,793 $23,265 $41,012 −13% $49,184 −27% —
175 Pulmonary Embolism With McC Or Acute Cor Pulmonale $35,676 $23,189 $33,894 +5% $29,757 +20% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $35,457 $23,047 $45,989 −23% $35,584 −0% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $35,365 $22,987 $27,156 +30% $24,452 +45% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $35,025 $22,766 $38,106 −8% $35,528 −1% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $34,886 $22,676 $34,886 +0% $35,114 −1% —
811 Red Blood Cell Disorders With McC $34,885 $22,675 $28,682 +22% $27,934 +25% ≈101% of Medicare
435 Malignancy Of Hepatobiliary System Or Pancreas With McC $34,822 $22,634 $34,822 +0% $37,950 −8% —
615 Adrenal And Pituitary Procedures Without Cc/McC $34,785 $22,610 $43,042 −19% $31,812 +9% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC $34,724 $22,570 $36,339 −4% $38,878 −11% —
369 Major Esophageal Disorders With Cc $34,696 $22,552 $26,899 +29% $22,713 +53% —
865 Viral Illness With McC $34,695 $22,552 $22,350 +55% $26,088 +33% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $34,672 $22,537 $18,232 +90% $12,593 +175% —
975 Hiv With Major Related Condition With Cc $34,671 $22,536 $25,117 +38% $25,010 +39% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $34,657 $22,527 $41,155 −16% $35,692 −3% —
707 Major Male Pelvic Procedures With Cc/McC $34,509 $22,431 $49,323 −30% $43,080 −20% —
951 Other Factors Influencing Health Status $34,190 $22,223 $10,553 +224% $9,385 +264% —
919 Complications Of Treatment With McC $33,997 $22,098 $26,862 +27% $29,031 +17% ≈86% of Medicare
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $33,864 $22,012 $21,703 +56% $27,321 +24% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $33,762 $21,945 $21,228 +59% $24,561 +37% —
915 Allergic Reactions With McC $33,715 $21,915 $25,750 +31% $30,944 +9% —
177 Respiratory Infections And Inflammations With McC $33,707 $21,910 $34,944 −4% $31,840 +6% ≈83% of Medicare
557 Tendonitis, Myositis And Bursitis With McC $33,619 $21,852 $26,780 +26% $28,646 +17% —
444 Disorders Of The Biliary Tract With McC $33,595 $21,837 $34,124 −2% $31,128 +8% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $33,575 $21,824 $33,575 +0% $29,558 +14% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $33,485 $21,765 $32,818 +2% $42,119 −20% ≈104% of Medicare
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $33,452 $21,744 $30,064 +11% $32,936 +2% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $33,279 $21,631 $42,315 −21% $41,900 −21% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $33,242 $21,607 $37,754 −12% $45,432 −27% —
708 Major Male Pelvic Procedures Without Cc/McC $33,198 $21,578 $33,198 +0% $32,911 +1% —
368 Major Esophageal Disorders With McC $33,132 $21,536 $32,526 +2% $33,607 −1% —
073 Cranial And Peripheral Nerve Disorders With McC $33,132 $21,536 $29,289 +13% $28,252 +17% —
501 Soft Tissue Procedures With Cc $32,970 $21,431 $45,517 −28% $37,975 −13% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $32,900 $21,385 $32,900 +0% $21,860 +51% —
546 Connective Tissue Disorders With Cc $32,794 $21,316 $31,617 +4% $24,202 +36% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC $32,731 $21,275 $32,471 +1% $24,544 +33% —
114 Orbital Procedures Without Cc/McC $32,577 $21,175 $30,056 +8% $19,598 +66% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $32,576 $21,175 $52,030 −37% $54,129 −40% —
091 Other Disorders Of Nervous System With McC $32,465 $21,102 $32,429 +0% $36,375 −11% —
054 Nervous System Neoplasms With McC $32,430 $21,080 $28,195 +15% $29,484 +10% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $32,413 $21,069 $36,561 −11% $30,930 +5% —
263 Vein Ligation And Stripping $32,396 $21,057 $38,005 −15% $44,938 −28% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $32,394 $21,056 $48,949 −34% $36,597 −11% —
180 Respiratory Neoplasms With McC $32,255 $20,965 $40,315 −20% $36,658 −12% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $32,044 $20,828 $38,023 −16% $43,524 −26% ≈92% of Medicare
034 Carotid Artery Stent Procedures With McC $31,969 $20,780 $95,318 −66% $72,908 −56% —
333 Rectal Resection With Cc $31,951 $20,768 $31,951 +0% $34,352 −7% —
600 Non-Malignant Breast Disorders With Cc/McC $31,793 $20,665 $21,992 +45% $16,418 +94% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $31,720 $20,618 $22,446 +41% $18,428 +72% —
272 Other Major Cardiovascular Procedures Without Cc/McC $31,625 $20,556 $46,501 −32% $55,162 −43% ≈122% of Medicare
884 Organic Disturbances And Intellectual Disability $31,599 $20,539 $23,378 +35% $25,208 +25% ≈90% of Medicare
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $31,599 $20,539 $40,406 −22% $58,968 −46% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $31,439 $20,435 $35,950 −13% $30,972 +2% —
337 Peritoneal Adhesiolysis Without Cc/McC $31,320 $20,358 $32,884 −5% $36,239 −14% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $31,296 $20,343 $51,761 −40% $60,861 −49% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $31,148 $20,246 $31,148 +0% $33,137 −6% —
196 Interstitial Lung Disease With McC $31,016 $20,160 $31,341 −1% $30,766 +1% —
299 Peripheral Vascular Disorders With McC $30,993 $20,146 $36,771 −16% $25,731 +20% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $30,972 $20,132 $39,545 −22% $43,538 −29% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $30,843 $20,048 $39,369 −22% $44,553 −31% —
393 Other Digestive System Diagnoses With McC $30,510 $19,831 $30,510 +0% $32,689 −7% ≈80% of Medicare
280 Acute Myocardial Infarction, Discharged Alive With McC $30,500 $19,825 $30,390 +0% $28,967 +5% ≈90% of Medicare
698 Other Kidney And Urinary Tract Diagnoses With McC $30,494 $19,821 $30,494 +0% $30,058 +1% ≈90% of Medicare
602 Cellulitis With McC $30,444 $19,789 $27,789 +10% $29,347 +4% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $30,408 $19,765 $28,079 +8% $23,469 +30% ≈104% of Medicare
375 Digestive Malignancy With Cc $30,392 $19,755 $27,902 +9% $27,219 +12% —
186 Pleural Effusion With McC $30,373 $19,742 $30,373 +0% $32,468 −6% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $30,304 $19,698 $35,183 −14% $32,538 −7% —
181 Respiratory Neoplasms With Cc $30,260 $19,669 $27,871 +9% $22,431 +35% —
637 Diabetes With McC $29,918 $19,447 $26,438 +13% $28,819 +4% ≈87% of Medicare
183 Major Chest Trauma With McC $29,891 $19,429 $23,796 +26% $28,924 +3% —
296 Cardiac Arrest, Unexplained With McC $29,888 $19,427 $27,987 +7% $30,910 −3% —
908 Other O.R. Procedures For Injuries With Cc $29,874 $19,418 $40,387 −26% $41,660 −28% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $29,854 $19,405 $36,815 −19% $43,775 −32% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $29,843 $19,398 $39,268 −24% $28,527 +5% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $29,722 $19,319 $71,300 −58% $44,053 −33% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $29,698 $19,303 $26,477 +12% $25,484 +17% —
949 Aftercare With Cc/McC $29,641 $19,266 $21,946 +35% $23,953 +24% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $29,620 $19,253 $52,596 −44% $33,490 −12% —
057 Degenerative Nervous System Disorders Without McC $29,561 $19,214 $29,561 +0% $25,426 +16% ≈87% of Medicare
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $29,491 $19,169 $43,429 −32% $48,094 −39% —
666 Prostatectomy With Cc $29,072 $18,897 $33,815 −14% $30,016 −3% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $28,985 $18,840 $23,422 +24% $18,191 +59% —
727 Inflammation Of The Male Reproductive System With McC $28,838 $18,745 $28,470 +1% $25,786 +12% —
713 Transurethral Prostatectomy With Cc/McC $28,814 $18,729 $28,811 +0% $29,663 −3% —
082 Traumatic Stupor And Coma >1 Hour With McC $28,811 $18,727 $33,308 −13% $36,237 −20% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $28,718 $18,667 $21,583 +33% $20,741 +38% —
358 Other Digestive System O.R. Procedures Without Cc/McC $28,528 $18,543 $28,020 +2% $29,374 −3% —
533 Fractures Of Femur With McC $28,442 $18,487 $28,442 +0% $25,945 +10% —
193 Simple Pneumonia And Pleurisy With McC $28,415 $18,470 $24,801 +15% $26,158 +9% ≈97% of Medicare
135 Sinus And Mastoid Procedures With Cc/McC $28,172 $18,312 $29,979 −6% $40,065 −30% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $28,155 $18,301 $17,137 +64% $17,078 +65% —
376 Digestive Malignancy Without Cc/McC $28,056 $18,236 $23,883 +17% $15,608 +80% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $28,000 $18,200 $26,971 +4% $28,140 −0% —
963 Other Multiple Significant Trauma With McC $27,990 $18,193 $38,454 −27% $43,491 −36% —
100 Seizures With McC $27,945 $18,164 $31,211 −10% $35,194 −21% ≈86% of Medicare
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $27,931 $18,155 $22,084 +26% $20,147 +39% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $27,854 $18,105 $30,745 −9% $31,190 −11% ≈98% of Medicare
038 Extracranial Procedures With Cc $27,679 $17,991 $39,339 −30% $35,770 −23% —
381 Complicated Peptic Ulcer With Cc $27,368 $17,789 $23,283 +18% $24,177 +13% —
353 Hernia Procedures Except Inguinal And Femoral With McC $27,368 $17,789 $51,577 −47% $60,140 −54% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $27,355 $17,781 $22,448 +22% $17,928 +53% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $27,330 $17,765 $27,330 +0% $24,465 +12% —
682 Renal Failure With McC $27,315 $17,755 $24,994 +9% $27,854 −2% ≈83% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $27,292 $17,740 $20,158 +35% $22,850 +19% —
380 Complicated Peptic Ulcer With McC $27,001 $17,551 $33,696 −20% $36,641 −26% —
351 Inguinal And Femoral Hernia Procedures With Cc $26,966 $17,528 $37,278 −28% $33,792 −20% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $26,907 $17,490 $34,662 −22% $36,242 −26% —
714 Transurethral Prostatectomy Without Cc/McC $26,857 $17,457 $23,601 +14% $17,108 +57% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $26,848 $17,451 $29,800 −10% $30,974 −13% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $26,784 $17,410 $30,820 −13% $34,887 −23% —
350 Inguinal And Femoral Hernia Procedures With McC $26,706 $17,359 $66,902 −60% $46,591 −43% —
553 Bone Diseases And Arthropathies With McC $26,469 $17,205 $27,100 −2% $23,956 +10% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $26,346 $17,125 $31,344 −16% $33,050 −20% —
254 Other Vascular Procedures Without Cc/McC $26,341 $17,122 $47,265 −44% $38,836 −32% —
917 Poisoning And Toxic Effects Of Drugs With McC $26,258 $17,067 $30,645 −14% $28,134 −7% ≈83% of Medicare
265 Aicd Lead Procedures $26,210 $17,037 $83,892 −69% $56,695 −54% —
080 Nontraumatic Stupor And Coma With McC $26,183 $17,019 $28,993 −10% $35,139 −25% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $26,079 $16,951 $46,694 −44% $33,564 −22% —
115 Extraocular Procedures Except Orbit $26,058 $16,937 $23,065 +13% $24,879 +5% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $26,021 $16,914 $43,492 −40% $31,909 −18% —
885 Psychoses $25,987 $16,892 $21,489 +21% $21,489 +21% —
535 Fractures Of Hip And Pelvis With McC $25,858 $16,808 $25,858 +0% $23,350 +11% —
643 Endocrine Disorders With McC $25,825 $16,786 $27,741 −7% $32,996 −22% —
378 Gastrointestinal Hemorrhage With Cc $25,803 $16,772 $24,838 +4% $21,886 +18% ≈101% of Medicare
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $25,748 $16,736 $29,484 −13% $23,924 +8% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $25,710 $16,712 $43,479 −41% $33,694 −24% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $25,547 $16,605 $24,888 +3% $27,279 −6% —
783 Cesarean Section With Sterilization With McC $25,515 $16,584 $25,515 +0% $28,375 −10% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $25,511 $16,582 $21,957 +16% $11,909 +114% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $25,463 $16,551 $24,142 +5% $24,480 +4% ≈89% of Medicare
204 Respiratory Signs And Symptoms $25,344 $16,474 $22,926 +11% $16,866 +50% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $25,302 $16,446 $23,908 +6% $16,654 +52% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $25,267 $16,424 $30,251 −16% $25,162 +0% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $25,260 $16,419 $32,506 −22% $43,398 −42% —
812 Red Blood Cell Disorders Without McC $25,201 $16,380 $19,481 +29% $20,488 +23% ≈78% of Medicare
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $25,169 $16,360 $38,708 −35% $32,490 −23% —
139 Salivary Gland Procedures $25,144 $16,344 $25,144 +0% $21,014 +20% —
665 Prostatectomy With McC $25,066 $16,293 $50,174 −50% $54,072 −54% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $24,926 $16,202 $26,556 −6% $25,307 −2% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $24,743 $16,083 $24,934 −1% $26,488 −7% ≈91% of Medicare
398 Appendix Procedures With Cc $24,671 $16,036 $40,924 −40% $39,107 −37% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $24,628 $16,008 $24,089 +2% $23,749 +4% —
189 Pulmonary Edema And Respiratory Failure $24,603 $15,992 $24,336 +1% $25,704 −4% ≈91% of Medicare
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $24,574 $15,973 $27,007 −9% $27,244 −10% ≈90% of Medicare
069 Transient Ischemia Without Thrombolytic $24,568 $15,969 $24,940 −1% $20,278 +21% ≈93% of Medicare
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $24,511 $15,932 $42,416 −42% $24,941 −2% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $24,435 $15,883 $24,971 −2% $20,463 +19% ≈89% of Medicare
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $24,370 $15,840 $24,370 +0% $30,358 −20% —
304 Hypertension With McC $24,361 $15,835 $30,162 −19% $24,185 +1% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $24,250 $15,763 $18,925 +28% $15,600 +55% —
399 Appendix Procedures Without Cc/McC $24,246 $15,760 $27,097 −11% $30,314 −20% —
724 Malignancy, Male Reproductive System Without Cc/McC $24,181 $15,718 $15,546 +56% $12,650 +91% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $24,130 $15,685 $39,826 −39% $34,089 −29% —
664 Minor Bladder Procedures Without Cc/McC $24,070 $15,646 $24,070 +0% $18,126 +33% —
787 Cesarean Section Without Sterilization With Cc $24,023 $15,615 $24,974 −4% $23,571 +2% —
071 Nonspecific Cerebrovascular Disorders With Cc $23,943 $15,563 $21,138 +13% $23,396 +2% ≈92% of Medicare
920 Complications Of Treatment With Cc $23,878 $15,521 $23,173 +3% $21,181 +13% —
644 Endocrine Disorders With Cc $23,815 $15,480 $24,428 −3% $22,941 +4% —
598 Malignant Breast Disorders With Cc $23,700 $15,405 $20,485 +16% $19,073 +24% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $23,681 $15,392 $27,584 −14% $31,816 −26% —
974 Hiv With Major Related Condition With McC $23,633 $15,361 $46,103 −49% $46,402 −49% —
689 Kidney And Urinary Tract Infections With McC $23,617 $15,351 $20,718 +14% $22,982 +3% ≈82% of Medicare
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $23,584 $15,329 $27,369 −14% $40,552 −42% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $23,508 $15,280 $26,717 −12% $29,211 −20% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $23,456 $15,247 $13,737 +71% $18,238 +29% —
786 Cesarean Section Without Sterilization With McC $23,431 $15,230 $25,044 −6% $27,118 −14% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $23,307 $15,150 $19,367 +20% $18,623 +25% —
311 Angina Pectoris $23,295 $15,142 $15,425 +51% $15,165 +54% —
086 Traumatic Stupor And Coma <1 Hour With Cc $23,278 $15,131 $23,278 +0% $23,115 +1% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $23,274 $15,128 $27,377 −15% $27,369 −15% —
291 Heart Failure And Shock With McC $23,243 $15,108 $26,231 −11% $25,020 −7% ≈85% of Medicare
158 Dental And Oral Diseases With Cc $23,220 $15,093 $18,988 +22% $17,700 +31% —
300 Peripheral Vascular Disorders With Cc $22,956 $14,921 $22,925 +0% $19,579 +17% —
092 Other Disorders Of Nervous System With Cc $22,889 $14,878 $27,612 −17% $24,136 −5% ≈83% of Medicare
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $22,819 $14,833 $26,307 −13% $30,275 −25% —
558 Tendonitis, Myositis And Bursitis Without McC $22,797 $14,818 $20,995 +9% $17,367 +31% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $22,744 $14,783 $27,447 −17% $33,424 −32% —
116 Intraocular Procedures With Cc/McC $22,701 $14,756 $24,851 −9% $28,103 −19% —
184 Major Chest Trauma With Cc $22,688 $14,747 $18,219 +25% $20,842 +9% —
370 Major Esophageal Disorders Without Cc/McC $22,637 $14,714 $23,345 −3% $15,072 +50% —
570 Skin Debridement With McC $22,539 $14,651 $42,263 −47% $52,435 −57% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $22,464 $14,601 $31,159 −28% $36,097 −38% —
755 Malignancy, Female Reproductive System With Cc $22,347 $14,525 $21,186 +5% $18,459 +21% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $22,282 $14,483 $26,332 −15% $29,729 −25% —
572 Skin Debridement Without Cc/McC $22,256 $14,466 $22,256 +0% $24,432 −9% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $22,212 $14,438 $18,949 +17% $23,297 −5% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $22,149 $14,397 $24,215 −9% $25,243 −12% —
862 Postoperative And Post-Traumatic Infections With McC $22,083 $14,354 $32,602 −32% $30,394 −27% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $22,064 $14,342 $52,861 −58% $54,196 −59% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $22,050 $14,332 $31,637 −30% $24,316 −9% —
383 Uncomplicated Peptic Ulcer With McC $21,922 $14,249 $19,602 +12% $26,634 −18% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $21,894 $14,231 $22,519 −3% $21,029 +4% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $21,848 $14,201 $27,729 −21% $32,399 −33% —
123 Neurological Eye Disorders $21,796 $14,168 $24,443 −11% $17,831 +22% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $21,713 $14,114 $23,771 −9% $15,764 +38% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $21,630 $14,059 $36,842 −41% $46,659 −54% —
190 Chronic Obstructive Pulmonary Disease With McC $21,554 $14,010 $21,554 +0% $24,190 −11% ≈87% of Medicare
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $21,500 $13,975 $23,338 −8% $23,723 −9% —
157 Dental And Oral Diseases With McC $21,434 $13,932 $27,457 −22% $27,457 −22% —
103 Headaches Without McC $21,280 $13,832 $21,111 +1% $20,111 +6% —
302 Atherosclerosis With McC $21,279 $13,831 $23,828 −11% $20,844 +2% —
788 Cesarean Section Without Sterilization Without Cc/McC $21,221 $13,794 $22,795 −7% $20,084 +6% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $21,153 $13,749 $36,311 −42% $27,492 −23% —
552 Medical Back Problems Without McC $21,141 $13,742 $21,141 +0% $21,213 −0% ≈89% of Medicare
504 Foot Procedures With Cc $21,081 $13,703 $29,220 −28% $36,598 −42% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $21,046 $13,680 $21,046 +0% $19,001 +11% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $20,951 $13,618 $24,888 −16% $25,623 −18% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $20,932 $13,606 $48,696 −57% $25,149 −17% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $20,927 $13,603 $22,337 −6% $26,322 −20% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $20,817 $13,531 $19,792 +5% $15,636 +33% —
078 Hypertensive Encephalopathy With Cc $20,799 $13,520 $31,817 −35% $17,434 +19% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $20,781 $13,507 $22,530 −8% $19,483 +7% —
178 Respiratory Infections And Inflammations With Cc $20,666 $13,433 $20,666 +0% $22,024 −6% ≈92% of Medicare
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $20,655 $13,425 $19,101 +8% $20,842 −1% —
909 Other O.R. Procedures For Injuries Without Cc/McC $20,652 $13,424 $31,734 −35% $28,156 −27% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $20,629 $13,409 $28,482 −28% $31,978 −35% —
645 Endocrine Disorders Without Cc/McC $20,616 $13,400 $20,616 +0% $14,166 +46% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $20,607 $13,394 $16,445 +25% $14,337 +44% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $20,528 $13,343 $20,528 +0% $21,449 −4% —
187 Pleural Effusion With Cc $20,494 $13,321 $20,494 +0% $21,467 −5% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $20,457 $13,297 $16,642 +23% $16,642 +23% —
784 Cesarean Section With Sterilization With Cc $20,443 $13,288 $21,782 −6% $22,560 −9% —
137 Mouth Procedures With Cc/McC $20,392 $13,255 $34,700 −41% $24,348 −16% —
438 Disorders Of Pancreas Except Malignancy With McC $20,382 $13,249 $25,581 −20% $32,502 −37% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $20,364 $13,237 $22,525 −10% $21,545 −5% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $20,241 $13,156 $21,569 −6% $19,569 +3% —
315 Other Circulatory System Diagnoses With Cc $20,236 $13,153 $22,831 −11% $20,777 −3% ≈82% of Medicare
379 Gastrointestinal Hemorrhage Without Cc/McC $20,210 $13,137 $20,210 +0% $14,134 +43% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $20,201 $13,130 $43,218 −53% $53,817 −62% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $20,166 $13,108 $21,786 −7% $24,017 −16% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $20,153 $13,100 $19,401 +4% $20,732 −3% ≈89% of Medicare
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $20,096 $13,062 $27,614 −27% $32,839 −39% —
547 Connective Tissue Disorders Without Cc/McC $19,855 $12,906 $19,855 +0% $14,861 +34% —
074 Cranial And Peripheral Nerve Disorders Without McC $19,840 $12,896 $25,890 −23% $23,141 −14% ≈98% of Medicare
785 Cesarean Section With Sterilization Without Cc/McC $19,783 $12,859 $19,783 +0% $19,815 −0% —
445 Disorders Of The Biliary Tract With Cc $19,672 $12,787 $21,478 −8% $21,806 −10% ≈90% of Medicare
534 Fractures Of Femur Without McC $19,625 $12,756 $21,585 −9% $17,195 +14% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $19,624 $12,756 $29,518 −34% $30,661 −36% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $19,596 $12,737 $20,291 −3% $24,022 −18% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $19,593 $12,735 $38,130 −49% $25,390 −23% —
083 Traumatic Stupor And Coma >1 Hour With Cc $19,458 $12,648 $23,875 −19% $24,118 −19% —
554 Bone Diseases And Arthropathies Without McC $19,424 $12,625 $18,143 +7% $18,253 +6% —
815 Reticuloendothelial And Immunity Disorders With Cc $19,264 $12,522 $19,264 +0% $18,017 +7% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $19,235 $12,503 $17,696 +9% $17,715 +9% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $19,151 $12,448 $22,707 −16% $22,032 −13% —
947 Signs And Symptoms With McC $19,132 $12,436 $30,911 −38% $25,474 −25% —
712 Testes Procedures Without Cc/McC $19,107 $12,419 $17,076 +12% $18,898 +1% —
206 Other Respiratory System Diagnoses Without McC $19,037 $12,374 $19,449 −2% $17,731 +7% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $19,036 $12,374 $24,292 −22% $27,168 −30% —
831 Other Antepartum Diagnoses Without O.R. Procedures With McC $19,021 $12,364 $18,133 +5% $18,133 +5% —
394 Other Digestive System Diagnoses With Cc $18,918 $12,297 $20,595 −8% $18,918 +0% ≈93% of Medicare
159 Dental And Oral Diseases Without Cc/McC $18,902 $12,287 $11,755 +61% $13,368 +41% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $18,889 $12,278 $18,889 +0% $22,231 −15% —
536 Fractures Of Hip And Pelvis Without McC $18,887 $12,277 $18,887 +0% $18,002 +5% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $18,854 $12,255 $18,854 +0% $18,803 +0% ≈90% of Medicare
055 Nervous System Neoplasms Without McC $18,849 $12,252 $20,673 −9% $19,868 −5% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $18,799 $12,220 $18,043 +4% $21,261 −12% —
179 Respiratory Infections And Inflammations Without Cc/McC $18,724 $12,170 $13,598 +38% $14,444 +30% —
863 Postoperative And Post-Traumatic Infections Without McC $18,672 $12,137 $19,304 −3% $20,007 −7% —
349 Anal And Stomal Procedures Without Cc/McC $18,669 $12,135 $24,016 −22% $19,854 −6% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $18,541 $12,052 $18,541 +0% $22,781 −19% ≈89% of Medicare
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $18,522 $12,039 $18,522 +0% $19,326 −4% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $18,503 $12,027 $17,733 +4% $23,496 −21% —
601 Non-Malignant Breast Disorders Without Cc/McC $18,360 $11,934 $12,415 +48% $10,975 +67% —
723 Malignancy, Male Reproductive System With Cc $18,351 $11,928 $19,179 −4% $19,317 −5% —
307 Cardiac Congenital And Valvular Disorders Without McC $18,323 $11,910 $18,323 +0% $18,608 −2% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $18,312 $11,903 $28,382 −35% $29,916 −39% —
149 Dysequilibrium $18,236 $11,854 $23,926 −24% $17,203 +6% ≈94% of Medicare
125 Other Disorders Of The Eye Without McC $18,154 $11,800 $18,154 +0% $15,876 +14% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $18,139 $11,790 $19,521 −7% $18,150 −0% —
093 Other Disorders Of Nervous System Without Cc/McC $18,052 $11,734 $19,993 −10% $17,522 +3% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $18,039 $11,725 $21,831 −17% $22,275 −19% —
505 Foot Procedures Without Cc/McC $17,912 $11,643 $25,972 −31% $31,716 −44% —
081 Nontraumatic Stupor And Coma Without McC $17,880 $11,622 $16,935 +6% $15,077 +19% —
384 Uncomplicated Peptic Ulcer Without McC $17,796 $11,568 $17,796 +0% $19,305 −8% —
386 Inflammatory Bowel Disease With Cc $17,764 $11,547 $19,528 −9% $20,968 −15% —
697 Urethral Stricture $17,701 $11,506 $21,435 −17% $17,705 −0% —
289 Acute And Subacute Endocarditis With Cc $17,693 $11,500 $23,658 −25% $29,371 −40% —
549 Septic Arthritis With Cc $17,655 $11,476 $27,777 −36% $20,938 −16% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $17,617 $11,451 $13,676 +29% $12,405 +42% —
758 Infections, Female Reproductive System With Cc $17,560 $11,414 $17,560 +0% $19,091 −8% —
710 Penis Procedures Without Cc/McC $17,508 $11,380 $30,970 −43% $23,814 −26% —
197 Interstitial Lung Disease With Cc $17,431 $11,330 $25,701 −32% $20,106 −13% —
185 Major Chest Trauma Without Cc/McC $17,368 $11,289 $16,609 +5% $15,858 +10% —
312 Syncope And Collapse $17,340 $11,271 $23,545 −26% $19,342 −10% ≈89% of Medicare
881 Depressive Neuroses $17,183 $11,169 $15,058 +14% $15,058 +14% —
671 Urethral Procedures With Cc/McC $17,168 $11,159 $26,412 −35% $27,233 −37% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $17,157 $11,152 $23,738 −28% $24,229 −29% —
439 Disorders Of Pancreas Except Malignancy With Cc $17,067 $11,094 $17,067 +0% $19,096 −11% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC $16,995 $11,047 $25,986 −35% $24,452 −30% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $16,936 $11,008 $24,565 −31% $16,352 +4% —
176 Pulmonary Embolism Without McC $16,701 $10,856 $21,913 −24% $18,081 −8% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $16,662 $10,831 $48,165 −65% $49,065 −66% —
670 Transurethral Procedures Without Cc/McC $16,584 $10,780 $18,223 −9% $20,371 −19% —
305 Hypertension Without McC $16,562 $10,765 $24,338 −32% $17,144 −3% —
395 Other Digestive System Diagnoses Without Cc/McC $16,504 $10,727 $11,454 +44% $14,128 +17% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $16,456 $10,697 $16,456 +0% $15,869 +4% —
446 Disorders Of The Biliary Tract Without Cc/McC $16,405 $10,663 $19,221 −15% $17,700 −7% —
667 Prostatectomy Without Cc/McC $16,393 $10,656 $16,534 −1% $16,703 −2% —
687 Kidney And Urinary Tract Neoplasms With Cc $16,220 $10,543 $16,903 −4% $18,478 −12% —
194 Simple Pneumonia And Pleurisy With Cc $16,173 $10,512 $17,292 −6% $18,204 −11% ≈101% of Medicare
205 Other Respiratory System Diagnoses With McC $16,134 $10,487 $27,695 −42% $32,204 −50% —
389 Gastrointestinal Obstruction With Cc $16,066 $10,443 $18,664 −14% $17,388 −8% ≈95% of Medicare
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $16,039 $10,425 $26,167 −39% $28,578 −44% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $16,021 $10,414 $15,319 +5% $15,370 +4% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $15,929 $10,354 $31,044 −49% $31,044 −49% —
683 Renal Failure With Cc $15,913 $10,343 $20,765 −23% $18,620 −15% ≈90% of Medicare
346 Minor Small And Large Bowel Procedures Without Cc/McC $15,831 $10,290 $19,357 −18% $26,146 −39% —
101 Seizures Without McC $15,817 $10,281 $17,204 −8% $19,954 −21% ≈87% of Medicare
382 Complicated Peptic Ulcer Without Cc/McC $15,817 $10,281 $15,817 +0% $16,634 −5% —
316 Other Circulatory System Diagnoses Without Cc/McC $15,788 $10,262 $18,090 −13% $12,797 +23% —
292 Heart Failure And Shock With Cc $15,779 $10,256 $19,303 −18% $16,212 −3% —
284 Acute Myocardial Infarction, Expired With Cc $15,776 $10,254 $13,735 +15% $13,282 +19% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $15,712 $10,213 $19,164 −18% $14,368 +9% —
202 Bronchitis And Asthma With Cc/McC $15,701 $10,206 $15,954 −2% $17,273 −9% —
663 Minor Bladder Procedures With Cc $15,681 $10,192 $29,153 −46% $29,924 −48% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $15,644 $10,169 $15,777 −1% $17,103 −9% —
914 Traumatic Injury Without McC $15,633 $10,161 $16,946 −8% $15,593 +0% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $15,614 $10,149 $16,822 −7% $16,745 −7% ≈84% of Medicare
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $15,590 $10,134 $17,159 −9% $17,943 −13% —
948 Signs And Symptoms Without McC $15,360 $9,984 $21,819 −30% $17,727 −13% ≈105% of Medicare
309 Cardiac Arrhythmia And Conduction Disorders With Cc $15,308 $9,950 $22,237 −31% $16,865 −9% ≈86% of Medicare
690 Kidney And Urinary Tract Infections Without McC $15,198 $9,879 $18,046 −16% $17,466 −13% ≈97% of Medicare
638 Diabetes With Cc $15,157 $9,852 $20,074 −24% $18,821 −19% ≈96% of Medicare
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $15,091 $9,809 $35,817 −58% $29,524 −49% —
596 Major Skin Disorders Without McC $15,006 $9,754 $17,226 −13% $17,226 −13% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC $14,912 $9,693 $16,767 −11% $16,104 −7% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $14,910 $9,692 $13,500 +10% $14,441 +3% —
303 Atherosclerosis Without McC $14,893 $9,680 $18,920 −21% $14,927 −0% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $14,796 $9,617 $18,052 −18% $20,080 −26% —
301 Peripheral Vascular Disorders Without Cc/McC $14,573 $9,473 $19,031 −23% $15,607 −7% —
603 Cellulitis Without McC $14,472 $9,407 $16,168 −10% $18,530 −22% ≈92% of Medicare
726 Benign Prostatic Hypertrophy Without McC $14,349 $9,327 $12,855 +12% $13,892 +3% —
039 Extracranial Procedures Without Cc/McC $14,339 $9,320 $31,640 −55% $25,267 −43% ≈106% of Medicare
191 Chronic Obstructive Pulmonary Disease With Cc $14,332 $9,316 $18,712 −23% $18,278 −22% ≈96% of Medicare
088 Concussion With McC $14,313 $9,303 $21,503 −33% $24,402 −41% —
725 Benign Prostatic Hypertrophy With McC $14,169 $9,210 $19,581 −28% $19,894 −29% —
387 Inflammatory Bowel Disease Without Cc/McC $14,044 $9,129 $15,055 −7% $14,880 −6% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $14,038 $9,125 $18,707 −25% $20,421 −31% —
390 Gastrointestinal Obstruction Without Cc/McC $13,941 $9,062 $13,471 +3% $13,318 +5% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $13,902 $9,036 $14,681 −5% $17,322 −20% ≈91% of Medicare
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $13,793 $8,965 $11,421 +21% $11,421 +21% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $13,756 $8,942 $28,768 −52% $29,805 −54% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $13,651 $8,873 $13,651 +0% $13,090 +4% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $13,614 $8,849 $37,707 −64% $36,850 −63% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $13,609 $8,846 $21,346 −36% $18,282 −26% —
642 Inborn And Other Disorders Of Metabolism $13,587 $8,832 $19,302 −30% $20,727 −34% —
866 Viral Illness Without McC $13,583 $8,829 $19,085 −29% $16,391 −17% —
200 Pneumothorax With Cc $13,302 $8,647 $25,705 −48% $20,573 −35% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $13,274 $8,628 $14,132 −6% $13,824 −4% —
152 Otitis Media And Uri With McC $13,097 $8,513 $21,226 −38% $19,795 −34% —
201 Pneumothorax Without Cc/McC $13,089 $8,508 $13,089 +0% $13,081 +0% —
639 Diabetes Without Cc/McC $13,005 $8,453 $16,811 −23% $13,910 −7% —
694 Urinary Stones Without McC $12,961 $8,425 $14,472 −10% $16,531 −22% —
759 Infections, Female Reproductive System Without Cc/McC $12,883 $8,374 $12,883 +0% $14,208 −9% —
313 Chest Pain $12,875 $8,369 $20,854 −38% $15,962 −19% —
509 Arthroscopy $12,856 $8,356 $25,994 −51% $25,994 −51% —
748 Female Reproductive System Reconstructive Procedures $12,844 $8,348 $35,261 −64% $24,980 −49% —
076 Viral Meningitis Without Cc/McC $12,822 $8,335 $18,152 −29% $15,474 −17% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $12,745 $8,284 $12,745 +0% $13,485 −5% —
151 Epistaxis Without McC $12,714 $8,264 $15,397 −17% $13,032 −2% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $12,703 $8,257 $15,474 −18% $15,070 −16% —
541 Osteomyelitis Without Cc/McC $12,662 $8,230 $15,754 −20% $14,549 −13% —
607 Minor Skin Disorders Without McC $12,564 $8,166 $19,884 −37% $15,284 −18% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $12,488 $8,117 $20,980 −40% $20,980 −40% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $12,324 $8,010 $15,819 −22% $16,049 −23% ≈89% of Medicare
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $12,283 $7,984 $50,041 −75% $39,018 −69% —
882 Neuroses Except Depressive $12,229 $7,949 $15,680 −22% $15,680 −22% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/McC $12,186 $7,921 $13,696 −11% $12,044 +1% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $12,137 $7,889 $31,100 −61% $22,532 −46% —
864 Fever And Inflammatory Conditions $11,926 $7,752 $24,489 −51% $17,412 −32% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $11,826 $7,687 $17,652 −33% $19,287 −39% —
121 Acute Major Eye Infections With Cc/McC $11,797 $7,668 $18,291 −36% $18,291 −36% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $11,620 $7,553 $16,795 −31% $16,776 −31% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $11,337 $7,369 $12,915 −12% $13,384 −15% —
684 Renal Failure Without Cc/McC $11,276 $7,329 $12,049 −6% $13,623 −17% —
203 Bronchitis And Asthma Without Cc/McC $11,262 $7,321 $13,119 −14% $12,279 −8% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $11,205 $7,283 $11,921 −6% $13,198 −15% —
540 Osteomyelitis With Cc $11,091 $7,209 $19,990 −45% $23,494 −53% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $11,066 $7,193 $12,551 −12% $13,303 −17% —
599 Malignant Breast Disorders Without Cc/McC $10,922 $7,099 $18,080 −40% $14,290 −24% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $10,865 $7,062 $17,649 −38% $16,571 −34% —
728 Inflammation Of The Male Reproductive System Without McC $10,624 $6,906 $13,799 −23% $16,837 −37% —
918 Poisoning And Toxic Effects Of Drugs Without McC $10,597 $6,888 $14,675 −28% $15,045 −30% —
887 Other Mental Disorder Diagnoses $10,483 $6,814 $18,631 −44% $20,602 −49% —
153 Otitis Media And Uri Without McC $10,457 $6,797 $13,277 −21% $14,473 −28% —
916 Allergic Reactions Without McC $9,997 $6,498 $15,531 −36% $13,890 −28% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $9,621 $6,254 $15,278 −37% $15,655 −39% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $9,310 $6,052 $12,685 −27% $12,013 −22% —
188 Pleural Effusion Without Cc/McC $9,215 $5,990 $20,711 −56% $14,110 −35% —
886 Behavioral And Developmental Disorders $9,051 $5,883 $24,172 −63% $24,836 −64% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $8,928 $5,803 $13,822 −35% $13,822 −35% —
592 Skin Ulcers With McC $8,496 $5,522 $29,882 −72% $32,662 −74% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $8,298 $5,394 $12,895 −36% $12,895 −36% —
921 Complications Of Treatment Without Cc/McC $8,200 $5,330 $14,264 −43% $14,012 −41% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $8,048 $5,231 $9,295 −13% $9,076 −11% —
293 Heart Failure And Shock Without Cc/McC $7,788 $5,062 $12,530 −38% $11,955 −35% —
779 Abortion Without D&C $7,450 $4,842 $15,408 −52% $15,327 −51% —
793 Full Term Neonate With Major Problems $6,997 $4,548 $22,283 −69% $16,719 −58% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $6,881 $4,472 $26,590 −74% $14,284 −52% —
792 Prematurity Without Major Problems $6,354 $4,130 $22,087 −71% $11,633 −45% —
597 Malignant Breast Disorders With McC $6,311 $4,102 $35,093 −82% $31,846 −80% —
122 Acute Major Eye Infections Without Cc/McC $5,733 $3,727 $11,997 −52% $11,997 −52% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $5,606 $3,644 $12,381 −55% $12,381 −55% —
836 Acute Leukemia Without Cc/McC $4,881 $3,172 $19,686 −75% $19,686 −75% —
883 Disorders Of Personality And Impulse Control $4,607 $2,994 $27,256 −83% $22,698 −80% —
794 Neonate With Other Significant Problems $3,642 $2,368 $9,053 −60% $7,961 −54% —
795 Normal Newborn $3,286 $2,136 $5,442 −40% $4,530 −27% —
182 Respiratory Neoplasms Without Cc/McC $2,325 $1,511 $14,064 −83% $14,064 −83% —
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