RRH Clifton Springs Hospital & Clinic — 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.

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 $519,143 +38% $461,389 +55% —
212 Concomitant Aortic And Mitral Valve Procedures $474,877 $308,670 $312,843 +52% $196,346 +142% —
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 $374,499 +0% $371,366 +1% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures $368,440 $239,486 $227,105 +62% $248,521 +48% —
215 Other Heart Assist System Implant $357,479 $232,361 $219,233 +63% $208,939 +71% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With McC $293,825 $190,987 $88,519 +232% $87,761 +235% —
258 Cardiac Pacemaker Device Replacement With McC $280,437 $182,284 $39,606 +608% $52,986 +429% —
028 Spinal Procedures With McC $238,676 $155,139 $165,843 +44% $113,077 +111% —
031 Ventricular Shunt Procedures With McC $236,419 $153,673 $58,786 +302% $72,962 +224% —
820 Lymphoma And Leukemia With Major O.R. Procedures With McC $221,910 $144,241 $78,460 +183% $96,192 +131% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC $221,390 $143,904 $140,167 +58% $148,686 +49% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With McC $195,377 $126,995 $72,168 +171% $66,711 +193% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $192,278 $124,981 $175,904 +9% $148,832 +29% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC $188,537 $122,549 $200,973 −6% $188,171 +0% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC $181,468 $117,954 $70,272 +158% $90,724 +100% —
653 Major Bladder Procedures With McC $181,119 $117,727 $94,497 +92% $104,583 +73% —
232 Coronary Bypass With Ptca Without McC $180,476 $117,309 $173,445 +4% $115,839 +56% —
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 $170,222 +1% $147,227 +17% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC $168,544 $109,553 $168,544 +0% $143,242 +18% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With McC $167,912 $109,143 $149,605 +12% $113,855 +47% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With McC $166,160 $108,004 $176,641 −6% $125,242 +33% —
799 Splenic Procedures With McC $162,739 $105,780 $76,574 +113% $82,218 +98% —
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $161,752 $105,139 $122,421 +32% $88,566 +83% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And McC $157,998 $102,698 $157,998 +0% $131,961 +20% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC $156,353 $101,629 $143,271 +9% $101,576 +54% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC $152,356 $99,031 $168,806 −10% $144,569 +5% —
834 Acute Leukemia With McC $146,017 $94,911 $74,709 +95% $85,566 +71% —
356 Other Digestive System O.R. Procedures With McC $144,625 $94,006 $108,198 +34% $82,561 +75% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC $144,432 $93,881 $140,473 +3% $92,217 +57% —
276 Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator $141,070 $91,696 $102,983 +37% $117,280 +20% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With McC $140,617 $91,401 $58,978 +138% $74,257 +89% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $140,370 $91,241 $140,370 +0% $132,794 +6% —
466 Revision Of Hip Or Knee Replacement With McC $139,710 $90,811 $80,478 +74% $96,507 +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 $50,347 +162% $47,583 +177% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With McC $125,009 $81,256 $106,393 +17% $90,401 +38% —
421 Hepatobiliary Diagnostic Procedures With Cc $123,422 $80,224 $64,566 +91% $36,354 +240% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $123,017 $79,961 $178,834 −31% $123,995 −1% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $122,881 $79,873 $118,645 +4% $106,057 +16% —
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 $122,419 +0% $106,778 +15% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC $121,977 $79,285 $102,713 +19% $85,159 +43% —
471 Cervical Spinal Fusion With McC $121,403 $78,912 $72,015 +69% $92,515 +31% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $119,835 $77,893 $119,835 +0% $79,836 +50% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With McC $118,465 $77,003 $94,887 +25% $84,692 +40% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC $115,401 $75,011 $36,319 +218% $36,431 +217% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $115,396 $75,008 $100,570 +15% $116,058 −1% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/McC $115,106 $74,819 $115,106 +0% $103,455 +11% —
277 Cardiac Defibrillator Implant Without McC $113,065 $73,492 $112,801 +0% $91,329 +24% —
853 Infectious And Parasitic Diseases With O.R. Procedures With McC $112,763 $73,296 $96,196 +17% $93,172 +21% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With McC $112,108 $72,870 $102,919 +9% $101,510 +10% —
270 Other Major Cardiovascular Procedures With McC $111,594 $72,536 $111,594 +0% $99,423 +12% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $111,320 $72,358 $124,145 −10% $111,320 +0% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc $111,217 $72,291 $111,217 +0% $107,355 +4% —
228 Other Cardiothoracic Procedures With McC $111,145 $72,244 $101,409 +10% $96,905 +15% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $108,531 $70,545 $53,048 +105% $41,608 +161% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $107,151 $69,648 $36,660 +192% $43,650 +145% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $105,908 $68,840 $105,908 +0% $90,775 +17% —
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 $94,677 +9% $88,307 +17% —
749 Other Female Reproductive System O.R. Procedures With Cc/McC $103,061 $66,990 $36,791 +180% $45,167 +128% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC $102,941 $66,912 $74,690 +38% $89,207 +15% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC $102,522 $66,639 $129,059 −21% $102,573 −0% —
252 Other Vascular Procedures With McC $102,400 $66,560 $72,690 +41% $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 $149,185 −32% $112,062 −10% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC $101,308 $65,851 $53,198 +90% $48,687 +108% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC $100,943 $65,613 $100,943 +0% $90,331 +12% —
146 Ear, Nose, Mouth And Throat Malignancy With McC $98,779 $64,207 $48,893 +102% $40,108 +146% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC $98,711 $64,162 $68,473 +44% $93,390 +6% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC $98,620 $64,103 $61,750 +60% $76,001 +30% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC $98,131 $63,785 $34,307 +186% $41,620 +136% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC $97,846 $63,600 $73,716 +33% $74,755 +31% —
319 Other Endovascular Cardiac Valve Procedures With McC $95,083 $61,804 $87,760 +8% $86,970 +9% —
274 Percutaneous And Other Intracardiac Procedures Without McC $94,862 $61,660 $57,726 +64% $65,573 +45% —
835 Acute Leukemia With Cc $94,102 $61,166 $36,186 +160% $35,569 +165% —
573 Skin Graft For Skin Ulcer Or Cellulitis With McC $93,310 $60,652 $82,731 +13% $98,912 −6% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC $92,826 $60,337 $92,826 +0% $62,821 +48% —
326 Stomach, Esophageal And Duodenal Procedures With McC $92,522 $60,139 $69,008 +34% $80,793 +15% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With McC Or 4+ Arteries/Intraluminal Devices $92,480 $60,112 $67,943 +36% $81,706 +13% —
518 Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator $92,029 $59,819 $76,715 +20% $71,092 +29% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without McC $91,834 $59,692 $91,834 +0% $71,464 +29% —
163 Major Chest Procedures With McC $90,851 $59,053 $90,851 +0% $90,195 +1% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC $90,089 $58,558 $99,515 −9% $153,282 −41% —
037 Extracranial Procedures With McC $89,423 $58,125 $89,423 +0% $66,666 +34% —
058 Multiple Sclerosis And Cerebellar Ataxia With McC $89,296 $58,043 $27,152 +229% $30,243 +195% —
288 Acute And Subacute Endocarditis With McC $89,116 $57,925 $71,241 +25% $50,618 +76% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With McC $88,843 $57,748 $49,447 +80% $46,453 +91% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC $88,358 $57,432 $50,029 +77% $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% $77,055 +15% —
480 Hip And Femur Procedures Except Major Joint With McC $88,053 $57,235 $72,286 +22% $65,653 +34% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With McC $87,722 $57,019 $74,502 +18% $68,653 +28% —
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 $85,236 +0% $68,639 +24% —
035 Carotid Artery Stent Procedures With Cc $80,026 $52,017 $60,743 +32% $49,066 +63% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $79,897 $51,933 $63,310 +26% $64,523 +24% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC $79,810 $51,876 $27,965 +185% $32,574 +145% —
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 $79,183 +0% $83,441 −5% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC $78,651 $51,123 $61,083 +29% $70,564 +11% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $78,486 $51,016 $75,492 +4% $79,116 −1% —
405 Pancreas, Liver And Shunt Procedures With McC $78,121 $50,779 $81,105 −4% $102,128 −24% —
673 Other Kidney And Urinary Tract Procedures With McC $77,589 $50,433 $68,137 +14% $77,990 −1% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC $76,350 $49,627 $74,451 +3% $62,583 +22% —
374 Digestive Malignancy With McC $76,207 $49,534 $34,183 +123% $39,958 +91% —
357 Other Digestive System O.R. Procedures With Cc $75,800 $49,270 $42,646 +78% $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 $65,002 +15% $51,746 +44% —
957 Other O.R. Procedures For Multiple Significant Trauma With McC $72,472 $47,107 $99,339 −27% $120,573 −40% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/McC $71,258 $46,318 $71,258 +0% $54,583 +31% —
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 $109,137 −35% $82,247 −14% —
976 Hiv With Major Related Condition Without Cc/McC $70,978 $46,136 $16,212 +338% $16,212 +338% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With McC $70,789 $46,013 $32,757 +116% $31,563 +124% —
907 Other O.R. Procedures For Injuries With McC $69,319 $45,058 $75,408 −8% $77,817 −11% —
329 Major Small And Large Bowel Procedures With McC $69,268 $45,024 $69,268 +0% $88,050 −21% —
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 $53,246 +29% $58,809 +17% —
686 Kidney And Urinary Tract Neoplasms With McC $68,782 $44,708 $30,841 +123% $37,844 +82% —
332 Rectal Resection With McC $68,212 $44,338 $48,214 +41% $58,125 +17% —
656 Kidney And Ureter Procedures For Neoplasm With McC $68,115 $44,275 $45,479 +50% $65,608 +4% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC $68,006 $44,204 $68,006 +0% $71,795 −5% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC $67,651 $43,973 $67,651 +0% $62,264 +9% —
583 Mastectomy For Malignancy Without Cc/McC $67,181 $43,668 $67,181 +0% $35,831 +87% —
166 Other Respiratory System O.R. Procedures With McC $67,154 $43,650 $65,839 +2% $75,573 −11% —
407 Pancreas, Liver And Shunt Procedures Without Cc/McC $66,230 $43,049 $66,230 +0% $46,727 +42% —
595 Major Skin Disorders With McC $65,569 $42,620 $30,646 +114% $34,598 +90% —
674 Other Kidney And Urinary Tract Procedures With Cc $65,522 $42,589 $41,721 +57% $50,394 +30% —
113 Orbital Procedures With Cc/McC $65,283 $42,434 $45,171 +45% $36,167 +81% —
955 Craniotomy For Multiple Significant Trauma $65,044 $42,279 $91,253 −29% $102,600 −37% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC $64,525 $41,941 $59,880 +8% $66,068 −2% —
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 $45,424 +42% $61,872 +4% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/McC $63,349 $41,177 $63,349 +0% $56,836 +11% —
260 Cardiac Pacemaker Revision Except Device Replacement With McC $63,195 $41,077 $78,755 −20% $70,371 −10% —
150 Epistaxis With McC $62,780 $40,807 $28,054 +124% $23,171 +171% —
422 Hepatobiliary Diagnostic Procedures Without Cc/McC $62,451 $40,593 $62,451 +0% $25,073 +149% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $61,840 $40,196 $61,840 +0% $59,651 +4% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC $61,547 $40,006 $44,334 +39% $42,795 +44% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $61,356 $39,882 $61,356 +0% $75,103 −18% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $60,906 $39,589 $72,297 −16% $61,217 −1% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $60,777 $39,505 $56,535 +8% $73,120 −17% —
347 Anal And Stomal Procedures With McC $60,437 $39,284 $33,912 +78% $40,548 +49% —
467 Revision Of Hip Or Knee Replacement With Cc $60,283 $39,184 $67,788 −11% $70,847 −15% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $60,096 $39,062 $32,503 +85% $49,418 +22% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC $60,073 $39,048 $36,743 +63% $39,181 +53% —
550 Septic Arthritis Without Cc/McC $59,904 $38,938 $17,825 +236% $19,138 +213% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $59,696 $38,803 $59,696 +0% $52,405 +14% —
906 Hand Procedures For Injuries $59,309 $38,551 $31,520 +88% $32,065 +85% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With McC $59,192 $38,475 $59,192 +0% $70,467 −16% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $59,034 $38,372 $39,731 +49% $42,901 +38% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With McC $58,856 $38,256 $41,205 +43% $59,629 −1% —
164 Major Chest Procedures With Cc $58,577 $38,075 $62,887 −7% $56,755 +3% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $58,336 $37,918 $49,467 +18% $49,351 +18% —
320 Other Endovascular Cardiac Valve Procedures Without McC $57,963 $37,676 $37,349 +55% $40,060 +45% —
229 Other Cardiothoracic Procedures Without McC $57,750 $37,538 $57,750 +0% $65,325 −12% —
271 Other Major Cardiovascular Procedures With Cc $57,401 $37,311 $81,781 −30% $71,014 −19% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $56,838 $36,945 $34,970 +63% $51,985 +9% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $56,756 $36,891 $66,974 −15% $80,018 −29% —
335 Peritoneal Adhesiolysis With McC $56,742 $36,882 $56,742 +0% $71,755 −21% —
412 Cholecystectomy With C.D.E. With Cc $56,706 $36,859 $56,706 +0% $42,906 +32% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc $56,193 $36,526 $56,193 +0% $58,228 −3% —
056 Degenerative Nervous System Disorders With McC $56,146 $36,495 $38,791 +45% $39,973 +40% —
242 Permanent Cardiac Pacemaker Implant With McC $56,103 $36,467 $62,843 −11% $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 $54,796 +0% $58,043 −6% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $54,643 $35,518 $36,172 +51% $50,139 +9% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC $54,631 $35,510 $54,631 +0% $66,685 −18% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $54,475 $35,409 $54,475 +0% $59,790 −9% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without McC $53,839 $34,996 $38,157 +41% $46,295 +16% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC $53,696 $34,902 $54,862 −2% $62,300 −14% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC $53,604 $34,843 $40,289 +33% $49,839 +8% —
841 Lymphoma And Non-Acute Leukemia With Cc $53,450 $34,743 $36,790 +45% $33,633 +59% —
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 $22,272 +138% $30,571 +74% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $52,497 $34,123 $49,188 +7% $47,737 +10% —
432 Cirrhosis And Alcoholic Hepatitis With McC $51,753 $33,640 $48,837 +6% $40,213 +29% —
655 Major Bladder Procedures Without Cc/McC $51,209 $33,286 $44,278 +16% $43,174 +19% —
283 Acute Myocardial Infarction, Expired With McC $51,183 $33,269 $39,782 +29% $39,955 +28% —
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 $51,445 −1% $52,075 −2% —
460 Spinal Fusion Except Cervical Without McC $50,777 $33,005 $50,777 +0% $51,625 −2% —
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 $44,678 +13% $41,892 +21% —
330 Major Small And Large Bowel Procedures With Cc $50,487 $32,816 $50,487 +0% $59,500 −15% —
481 Hip And Femur Procedures Except Major Joint With Cc $50,338 $32,720 $50,338 +0% $52,751 −5% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $50,208 $32,635 $71,355 −30% $67,268 −25% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With McC $49,908 $32,440 $48,670 +3% $69,743 −28% —
102 Headaches With McC $49,706 $32,309 $34,299 +45% $25,740 +93% —
253 Other Vascular Procedures With Cc $49,532 $32,196 $40,302 +23% $57,454 −14% —
243 Permanent Cardiac Pacemaker Implant With Cc $49,155 $31,951 $50,655 −3% $50,011 −2% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $48,770 $31,700 $36,365 +34% $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 $44,471 +8% $54,929 −13% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC $47,730 $31,024 $50,107 −5% $58,280 −18% —
077 Hypertensive Encephalopathy With McC $47,675 $30,989 $29,789 +60% $24,550 +94% —
502 Soft Tissue Procedures Without Cc/McC $46,846 $30,450 $29,865 +57% $31,017 +51% —
539 Osteomyelitis With McC $46,736 $30,379 $45,071 +4% $37,609 +24% —
754 Malignancy, Female Reproductive System With McC $46,564 $30,267 $26,677 +75% $32,433 +44% —
711 Testes Procedures With Cc/McC $46,485 $30,215 $46,485 +0% $38,343 +21% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC $46,269 $30,075 $46,269 +0% $39,887 +16% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC $46,181 $30,018 $46,181 +0% $41,422 +11% —
614 Adrenal And Pituitary Procedures With Cc/McC $46,130 $29,985 $46,130 +0% $48,349 −5% —
165 Major Chest Procedures Without Cc/McC $45,870 $29,815 $48,570 −6% $46,340 −1% —
506 Major Thumb Or Joint Procedures $45,620 $29,653 $31,961 +43% $30,557 +49% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $45,202 $29,381 $39,779 +14% $43,477 +4% —
904 Skin Grafts For Injuries With Cc/McC $44,630 $29,009 $71,186 −37% $59,594 −25% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With McC $44,619 $29,002 $44,619 +0% $46,283 −4% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With McC $44,480 $28,912 $29,997 +48% $33,555 +33% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $44,454 $28,895 $34,861 +28% $42,126 +6% —
336 Peritoneal Adhesiolysis With Cc $44,395 $28,857 $44,395 +0% $50,463 −12% —
244 Permanent Cardiac Pacemaker Implant Without Cc/McC $44,198 $28,728 $44,198 +0% $41,591 +6% —
842 Lymphoma And Non-Acute Leukemia Without Cc/McC $44,076 $28,649 $20,494 +115% $19,657 +124% —
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 $43,914 +0% $43,631 +1% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $43,730 $28,425 $47,785 −8% $58,707 −26% —
377 Gastrointestinal Hemorrhage With McC $43,730 $28,424 $38,041 +15% $37,842 +16% —
545 Connective Tissue Disorders With McC $43,605 $28,343 $38,759 +13% $40,362 +8% —
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC $43,375 $28,194 $49,015 −12% $66,848 −35% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement $42,810 $27,826 $45,618 −6% $65,788 −35% —
417 Laparoscopic Cholecystectomy Without C.D.E. With McC $42,681 $27,743 $42,068 +1% $53,451 −20% —
654 Major Bladder Procedures With Cc $42,660 $27,729 $39,822 +7% $58,274 −27% —
259 Cardiac Pacemaker Device Replacement Without McC $42,612 $27,698 $32,289 +32% $39,020 +9% —
485 Knee Procedures With Principal Diagnosis Of Infection With McC $42,370 $27,540 $44,977 −6% $72,424 −41% —
582 Mastectomy For Malignancy With Cc/McC $42,152 $27,399 $25,923 +63% $35,849 +18% —
064 Intracranial Hemorrhage Or Cerebral Infarction With McC $42,071 $27,346 $42,071 +0% $39,106 +8% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $41,921 $27,249 $28,020 +50% $34,459 +22% —
902 Wound Debridements For Injuries With Cc $41,665 $27,082 $41,665 +0% $40,562 +3% —
167 Other Respiratory System O.R. Procedures With Cc $41,640 $27,066 $41,640 +0% $40,642 +2% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $41,622 $27,054 $41,622 +0% $59,421 −30% —
397 Appendix Procedures With McC $41,491 $26,969 $35,353 +17% $53,257 −22% —
801 Splenic Procedures Without Cc/McC $41,456 $26,947 $32,979 +26% $36,445 +14% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC $41,301 $26,846 $41,301 +0% $47,711 −13% —
138 Mouth Procedures Without Cc/McC $41,117 $26,726 $13,752 +199% $19,119 +115% —
551 Medical Back Problems With McC $41,109 $26,721 $33,108 +24% $34,017 +21% —
905 Skin Grafts For Injuries Without Cc/McC $40,979 $26,637 $24,586 +67% $25,197 +63% —
473 Cervical Spinal Fusion Without Cc/McC $40,882 $26,573 $50,196 −19% $50,624 −19% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $40,849 $26,552 $40,849 +0% $46,090 −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 $40,745 +0% $35,453 +15% —
729 Other Male Reproductive System Diagnoses With Cc/McC $40,406 $26,264 $17,483 +131% $17,483 +131% —
668 Transurethral Procedures With McC $40,404 $26,263 $41,045 −2% $51,608 −22% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $39,964 $25,976 $47,048 −15% $50,498 −21% —
840 Lymphoma And Non-Acute Leukemia With McC $39,945 $25,964 $51,930 −23% $49,710 −20% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC $39,890 $25,929 $16,463 +142% $14,014 +185% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $39,812 $25,878 $27,009 +47% $38,094 +5% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/McC $39,781 $25,858 $41,638 −4% $39,006 +2% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC $39,719 $25,818 $33,190 +20% $30,418 +31% —
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $39,708 $25,810 $33,070 +20% $19,354 +105% —
482 Hip And Femur Procedures Except Major Joint Without Cc/McC $39,675 $25,789 $39,675 +0% $41,955 −5% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC $39,573 $25,723 $43,106 −8% $50,607 −22% —
791 Prematurity With Major Problems $39,563 $25,716 $39,563 +0% $42,679 −7% —
306 Cardiac Congenital And Valvular Disorders With McC $39,342 $25,572 $35,088 +12% $24,586 +60% —
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 $46,404 −16% $59,537 −35% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $38,761 $25,195 $39,277 −1% $43,298 −10% —
385 Inflammatory Bowel Disease With McC $38,708 $25,160 $24,282 +59% $27,617 +40% —
344 Minor Small And Large Bowel Procedures With McC $38,706 $25,159 $38,166 +1% $44,546 −13% —
606 Minor Skin Disorders With McC $38,677 $25,140 $30,798 +26% $27,975 +38% —
141 Major Head And Neck Procedures With Cc $38,653 $25,125 $38,653 +0% $37,267 +4% —
331 Major Small And Large Bowel Procedures Without Cc/McC $38,599 $25,089 $38,599 +0% $44,117 −13% —
030 Spinal Procedures Without Cc/McC $38,567 $25,069 $32,077 +20% $45,866 −16% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $38,502 $25,026 $38,786 −1% $44,363 −13% —
070 Nonspecific Cerebrovascular Disorders With McC $38,248 $24,861 $25,761 +48% $31,951 +20% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $38,246 $24,860 $41,821 −9% $42,881 −11% —
593 Skin Ulcers With Cc $37,915 $24,644 $23,101 +64% $22,886 +66% —
032 Ventricular Shunt Procedures With Cc $37,711 $24,512 $37,711 +0% $46,724 −19% —
345 Minor Small And Large Bowel Procedures With Cc $37,473 $24,357 $37,473 +0% $33,048 +13% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With McC $37,345 $24,274 $40,005 −7% $52,908 −29% —
571 Skin Debridement With Cc $37,317 $24,256 $37,317 +0% $37,169 +0% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC $37,271 $24,226 $49,718 −25% $59,533 −37% —
314 Other Circulatory System Diagnoses With McC $37,005 $24,054 $33,498 +10% $38,666 −4% —
813 Coagulation Disorders $36,937 $24,009 $32,291 +14% $33,296 +11% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $36,823 $23,935 $44,472 −17% $42,415 −13% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC $36,789 $23,913 $31,805 +16% $30,493 +21% —
814 Reticuloendothelial And Immunity Disorders With McC $36,703 $23,857 $30,326 +21% $33,851 +8% —
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 $33,787 +8% $33,787 +8% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With McC $36,465 $23,702 $36,465 +0% $35,628 +2% ≈106% 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 $36,359 +0% $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 $34,139 +5% $27,394 +31% —
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 $28,499 +25% $30,959 +15% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC $35,457 $23,047 $35,457 +0% $35,584 −0% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $35,365 $22,987 $23,785 +49% $25,279 +40% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/McC $35,025 $22,766 $36,253 −3% $36,253 −3% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC $34,886 $22,676 $34,886 +0% $36,792 −5% —
811 Red Blood Cell Disorders With McC $34,885 $22,675 $24,954 +40% $28,226 +24% —
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% $32,833 +6% —
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 $28,508 +22% $25,303 +37% —
865 Viral Illness With McC $34,695 $22,552 $22,350 +55% $26,910 +29% —
688 Kidney And Urinary Tract Neoplasms Without Cc/McC $34,672 $22,537 $17,790 +95% $12,593 +175% —
975 Hiv With Major Related Condition With Cc $34,671 $22,536 $25,319 +37% $27,808 +25% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC $34,657 $22,527 $34,657 +0% $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 $11,914 +187% $10,160 +237% —
919 Complications Of Treatment With McC $33,997 $22,098 $26,862 +27% $31,105 +9% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC $33,864 $22,012 $19,169 +77% $27,323 +24% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $33,762 $21,945 $21,228 +59% $25,094 +35% —
915 Allergic Reactions With McC $33,715 $21,915 $25,750 +31% $32,645 +3% —
177 Respiratory Infections And Inflammations With McC $33,707 $21,910 $33,707 +0% $33,707 +0% —
557 Tendonitis, Myositis And Bursitis With McC $33,619 $21,852 $33,619 +0% $32,877 +2% —
444 Disorders Of The Biliary Tract With McC $33,595 $21,837 $33,595 +0% $34,273 −2% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $33,575 $21,824 $33,575 +0% $30,553 +10% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $33,485 $21,765 $33,278 +1% $44,606 −25% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With McC $33,452 $21,744 $33,452 +0% $33,653 −1% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $33,279 $21,631 $38,932 −15% $45,333 −27% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $33,242 $21,607 $37,754 −12% $47,945 −31% —
708 Major Male Pelvic Procedures Without Cc/McC $33,198 $21,578 $33,198 +0% $36,988 −10% —
368 Major Esophageal Disorders With McC $33,132 $21,536 $32,526 +2% $33,876 −2% —
073 Cranial And Peripheral Nerve Disorders With McC $33,132 $21,536 $28,480 +16% $30,010 +10% —
501 Soft Tissue Procedures With Cc $32,970 $21,431 $32,970 +0% $39,619 −17% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $32,900 $21,385 $28,026 +17% $22,851 +44% —
546 Connective Tissue Disorders With Cc $32,794 $21,316 $32,794 +0% $25,700 +28% —
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 $23,224 +40% $19,598 +66% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With McC $32,576 $21,175 $45,498 −28% $58,745 −45% —
091 Other Disorders Of Nervous System With McC $32,465 $21,102 $32,465 +0% $37,387 −13% —
054 Nervous System Neoplasms With McC $32,430 $21,080 $22,682 +43% $30,502 +6% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $32,413 $21,069 $32,413 +0% $34,607 −6% —
263 Vein Ligation And Stripping $32,396 $21,057 $38,005 −15% $51,253 −37% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $32,394 $21,056 $41,177 −21% $40,365 −20% —
180 Respiratory Neoplasms With McC $32,255 $20,965 $33,385 −3% $36,658 −12% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $32,044 $20,828 $32,044 +0% $43,943 −27% —
034 Carotid Artery Stent Procedures With McC $31,969 $20,780 $53,665 −40% $76,219 −58% —
333 Rectal Resection With Cc $31,951 $20,768 $32,771 −3% $37,154 −14% —
600 Non-Malignant Breast Disorders With Cc/McC $31,793 $20,665 $16,461 +93% $16,700 +90% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC $31,720 $20,618 $21,101 +50% $18,316 +73% —
272 Other Major Cardiovascular Procedures Without Cc/McC $31,625 $20,556 $42,404 −25% $55,162 −43% —
884 Organic Disturbances And Intellectual Disability $31,599 $20,539 $24,125 +31% $26,682 +18% —
625 Thyroid, Parathyroid And Thyroglossal Procedures With McC $31,599 $20,539 $40,406 −22% $59,031 −46% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC $31,439 $20,435 $33,899 −7% $33,674 −7% —
337 Peritoneal Adhesiolysis Without Cc/McC $31,320 $20,358 $32,469 −4% $39,211 −20% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC $31,296 $20,343 $51,761 −40% $61,470 −49% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC $31,148 $20,246 $31,148 +0% $33,393 −7% —
196 Interstitial Lung Disease With McC $31,016 $20,160 $31,016 +0% $32,637 −5% —
299 Peripheral Vascular Disorders With McC $30,993 $20,146 $30,993 +0% $27,316 +13% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $30,972 $20,132 $36,710 −16% $43,538 −29% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $30,843 $20,048 $31,193 −1% $45,877 −33% —
393 Other Digestive System Diagnoses With McC $30,510 $19,831 $30,510 +0% $34,192 −11% —
280 Acute Myocardial Infarction, Discharged Alive With McC $30,500 $19,825 $30,500 +0% $30,828 −1% —
698 Other Kidney And Urinary Tract Diagnoses With McC $30,494 $19,821 $30,494 +0% $32,496 −6% —
602 Cellulitis With McC $30,444 $19,789 $26,232 +16% $30,598 −1% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $30,408 $19,765 $26,059 +17% $23,940 +27% —
375 Digestive Malignancy With Cc $30,392 $19,755 $30,392 +0% $27,277 +11% —
186 Pleural Effusion With McC $30,373 $19,742 $35,284 −14% $33,834 −10% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC $30,304 $19,698 $31,516 −4% $36,670 −17% —
181 Respiratory Neoplasms With Cc $30,260 $19,669 $30,260 +0% $23,573 +28% —
637 Diabetes With McC $29,918 $19,447 $29,918 +0% $30,100 −1% —
183 Major Chest Trauma With McC $29,891 $19,429 $23,796 +26% $29,933 −0% —
296 Cardiac Arrest, Unexplained With McC $29,888 $19,427 $29,888 +0% $33,661 −11% —
908 Other O.R. Procedures For Injuries With Cc $29,874 $19,418 $38,919 −23% $42,914 −30% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $29,854 $19,405 $45,042 −34% $44,139 −32% —
168 Other Respiratory System O.R. Procedures Without Cc/McC $29,843 $19,398 $29,843 +0% $29,949 −0% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $29,722 $19,319 $32,168 −8% $47,789 −38% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC $29,698 $19,303 $23,257 +28% $26,598 +12% —
949 Aftercare With Cc/McC $29,641 $19,266 $28,036 +6% $23,953 +24% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC $29,620 $19,253 $29,620 +0% $35,074 −16% —
057 Degenerative Nervous System Disorders Without McC $29,561 $19,214 $29,561 +0% $27,543 +7% —
659 Kidney And Ureter Procedures For Non-Neoplasm With McC $29,491 $19,169 $44,554 −34% $52,178 −43% —
666 Prostatectomy With Cc $29,072 $18,897 $29,763 −2% $31,906 −9% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/McC $28,985 $18,840 $26,167 +11% $19,924 +45% —
727 Inflammation Of The Male Reproductive System With McC $28,838 $18,745 $25,171 +15% $26,463 +9% —
713 Transurethral Prostatectomy With Cc/McC $28,814 $18,729 $28,808 +0% $32,100 −10% —
082 Traumatic Stupor And Coma >1 Hour With McC $28,811 $18,727 $33,308 −13% $36,489 −21% —
695 Kidney And Urinary Tract Signs And Symptoms With McC $28,718 $18,667 $28,352 +1% $24,566 +17% —
358 Other Digestive System O.R. Procedures Without Cc/McC $28,528 $18,543 $28,020 +2% $30,083 −5% —
533 Fractures Of Femur With McC $28,442 $18,487 $22,986 +24% $25,945 +10% —
193 Simple Pneumonia And Pleurisy With McC $28,415 $18,470 $28,415 +0% $27,275 +4% —
135 Sinus And Mastoid Procedures With Cc/McC $28,172 $18,312 $28,172 +0% $42,186 −33% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC $28,155 $18,301 $28,155 +0% $17,737 +59% —
376 Digestive Malignancy Without Cc/McC $28,056 $18,236 $18,015 +56% $16,998 +65% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With McC $28,000 $18,200 $22,477 +25% $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 $30,087 −7% $35,481 −21% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC $27,931 $18,155 $19,183 +46% $19,270 +45% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC $27,854 $18,105 $27,854 +0% $32,021 −13% —
038 Extracranial Procedures With Cc $27,679 $17,991 $35,924 −23% $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 $43,211 −37% $60,170 −55% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC $27,355 $17,781 $24,079 +14% $18,126 +51% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With McC $27,330 $17,765 $27,330 +0% $27,633 −1% —
682 Renal Failure With McC $27,315 $17,755 $27,301 +0% $29,064 −6% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $27,292 $17,740 $19,320 +41% $22,850 +19% —
380 Complicated Peptic Ulcer With McC $27,001 $17,551 $33,696 −20% $39,627 −32% —
351 Inguinal And Femoral Hernia Procedures With Cc $26,966 $17,528 $28,985 −7% $36,505 −26% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $26,907 $17,490 $26,907 +0% $38,101 −29% —
714 Transurethral Prostatectomy Without Cc/McC $26,857 $17,457 $17,944 +50% $17,934 +50% —
559 Aftercare, Musculoskeletal System And Connective Tissue With McC $26,848 $17,451 $30,389 −12% $33,047 −19% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC $26,784 $17,410 $36,603 −27% $36,937 −27% —
350 Inguinal And Femoral Hernia Procedures With McC $26,706 $17,359 $46,352 −42% $50,046 −47% —
553 Bone Diseases And Arthropathies With McC $26,469 $17,205 $26,469 +0% $26,051 +2% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC $26,346 $17,125 $29,667 −11% $38,861 −32% —
254 Other Vascular Procedures Without Cc/McC $26,341 $17,122 $43,831 −40% $38,836 −32% —
917 Poisoning And Toxic Effects Of Drugs With McC $26,258 $17,067 $26,798 −2% $30,235 −13% —
265 Aicd Lead Procedures $26,210 $17,037 $49,492 −47% $63,171 −59% —
080 Nontraumatic Stupor And Coma With McC $26,183 $17,019 $28,993 −10% $36,249 −28% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $26,079 $16,951 $38,446 −32% $39,515 −34% —
115 Extraocular Procedures Except Orbit $26,058 $16,937 $23,065 +13% $25,703 +1% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC $26,021 $16,914 $26,242 −1% $34,276 −24% —
885 Psychoses $25,987 $16,892 $23,973 +8% $21,729 +20% —
535 Fractures Of Hip And Pelvis With McC $25,858 $16,808 $25,858 +0% $24,552 +5% —
643 Endocrine Disorders With McC $25,825 $16,786 $25,825 +0% $33,563 −23% —
378 Gastrointestinal Hemorrhage With Cc $25,803 $16,772 $25,803 +0% $22,098 +17% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC $25,748 $16,736 $25,748 +0% $25,748 +0% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC $25,710 $16,712 $26,273 −2% $33,694 −24% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $25,547 $16,605 $25,547 +0% $33,454 −24% —
783 Cesarean Section With Sterilization With McC $25,515 $16,584 $22,780 +12% $29,221 −13% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC $25,511 $16,582 $13,441 +90% $11,909 +114% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC $25,463 $16,551 $23,010 +11% $25,463 +0% —
204 Respiratory Signs And Symptoms $25,344 $16,474 $22,720 +12% $18,004 +41% —
072 Nonspecific Cerebrovascular Disorders Without Cc/McC $25,302 $16,446 $24,325 +4% $19,037 +33% —
352 Inguinal And Femoral Hernia Procedures Without Cc/McC $25,267 $16,424 $29,044 −13% $27,843 −9% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $25,260 $16,419 $32,506 −22% $43,913 −42% —
812 Red Blood Cell Disorders Without McC $25,201 $16,380 $16,909 +49% $20,488 +23% ≈103% of Medicare
675 Other Kidney And Urinary Tract Procedures Without Cc/McC $25,169 $16,360 $25,169 +0% $34,749 −28% —
139 Salivary Gland Procedures $25,144 $16,344 $23,871 +5% $23,612 +6% —
665 Prostatectomy With McC $25,066 $16,293 $47,758 −48% $54,072 −54% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC $24,926 $16,202 $24,926 +0% $25,652 −3% —
308 Cardiac Arrhythmia And Conduction Disorders With McC $24,743 $16,083 $24,743 +0% $26,770 −8% —
398 Appendix Procedures With Cc $24,671 $16,036 $34,258 −28% $40,162 −39% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $24,628 $16,008 $21,094 +17% $23,749 +4% —
189 Pulmonary Edema And Respiratory Failure $24,603 $15,992 $24,603 +0% $26,580 −7% ≈106% of Medicare
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC $24,574 $15,973 $19,865 +24% $28,050 −12% —
069 Transient Ischemia Without Thrombolytic $24,568 $15,969 $16,890 +45% $21,056 +17% —
067 Nonspecific Cva And Precerebral Occlusion Without Infarction With McC $24,511 $15,932 $24,511 +0% $24,941 −2% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $24,435 $15,883 $24,435 +0% $20,463 +19% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $24,370 $15,840 $26,769 −9% $31,264 −22% —
304 Hypertension With McC $24,361 $15,835 $24,714 −1% $26,080 −7% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC $24,250 $15,763 $21,770 +11% $15,600 +55% —
399 Appendix Procedures Without Cc/McC $24,246 $15,760 $25,475 −5% $31,321 −23% —
724 Malignancy, Male Reproductive System Without Cc/McC $24,181 $15,718 $19,038 +27% $12,768 +89% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC $24,130 $15,685 $34,148 −29% $35,030 −31% —
664 Minor Bladder Procedures Without Cc/McC $24,070 $15,646 $19,882 +21% $22,314 +8% —
787 Cesarean Section Without Sterilization With Cc $24,023 $15,615 $24,376 −1% $23,571 +2% —
071 Nonspecific Cerebrovascular Disorders With Cc $23,943 $15,563 $16,872 +42% $23,488 +2% —
920 Complications Of Treatment With Cc $23,878 $15,521 $23,878 +0% $22,468 +6% —
644 Endocrine Disorders With Cc $23,815 $15,480 $23,815 +0% $23,198 +3% —
598 Malignant Breast Disorders With Cc $23,700 $15,405 $18,578 +28% $19,073 +24% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/McC $23,681 $15,392 $23,681 +0% $35,465 −33% —
974 Hiv With Major Related Condition With McC $23,633 $15,361 $39,630 −40% $46,402 −49% —
689 Kidney And Urinary Tract Infections With McC $23,617 $15,351 $18,916 +25% $23,617 +0% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC $23,584 $15,329 $34,049 −31% $40,552 −42% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC $23,508 $15,280 $23,984 −2% $29,743 −21% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC $23,456 $15,247 $13,602 +72% $18,452 +27% —
786 Cesarean Section Without Sterilization With McC $23,431 $15,230 $22,460 +4% $27,152 −14% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/McC $23,307 $15,150 $18,651 +25% $19,227 +21% —
311 Angina Pectoris $23,295 $15,142 $14,117 +65% $15,502 +50% —
086 Traumatic Stupor And Coma <1 Hour With Cc $23,278 $15,131 $23,278 +0% $27,043 −14% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC $23,274 $15,128 $27,384 −15% $30,784 −24% —
291 Heart Failure And Shock With McC $23,243 $15,108 $27,424 −15% $26,776 −13% ≈104% of Medicare
158 Dental And Oral Diseases With Cc $23,220 $15,093 $20,087 +16% $18,466 +26% —
300 Peripheral Vascular Disorders With Cc $22,956 $14,921 $22,956 +0% $20,422 +12% —
092 Other Disorders Of Nervous System With Cc $22,889 $14,878 $22,889 +0% $24,914 −8% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC $22,819 $14,833 $22,819 +0% $31,159 −27% —
558 Tendonitis, Myositis And Bursitis Without McC $22,797 $14,818 $19,672 +16% $18,602 +23% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC $22,744 $14,783 $22,744 +0% $33,424 −32% —
116 Intraocular Procedures With Cc/McC $22,701 $14,756 $24,851 −9% $29,126 −22% —
184 Major Chest Trauma With Cc $22,688 $14,747 $19,872 +14% $22,432 +1% —
370 Major Esophageal Disorders Without Cc/McC $22,637 $14,714 $19,848 +14% $15,495 +46% —
570 Skin Debridement With McC $22,539 $14,651 $42,044 −46% $52,435 −57% —
817 Other Antepartum Diagnoses With O.R. Procedures With McC $22,464 $14,601 $30,225 −26% $39,173 −43% —
755 Malignancy, Female Reproductive System With Cc $22,347 $14,525 $17,602 +27% $18,459 +21% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $22,282 $14,483 $25,176 −11% $32,944 −32% —
572 Skin Debridement Without Cc/McC $22,256 $14,466 $22,256 +0% $24,944 −11% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC $22,212 $14,438 $18,949 +17% $26,948 −18% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC $22,149 $14,397 $22,149 +0% $26,932 −18% —
862 Postoperative And Post-Traumatic Infections With McC $22,083 $14,354 $33,224 −34% $32,859 −33% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $22,064 $14,342 $51,525 −57% $54,196 −59% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $22,050 $14,332 $22,050 +0% $26,870 −18% —
383 Uncomplicated Peptic Ulcer With McC $21,922 $14,249 $21,076 +4% $27,426 −20% —
124 Other Disorders Of The Eye With McC Or Thrombolytic Agent $21,894 $14,231 $21,894 +0% $21,894 +0% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC $21,848 $14,201 $24,768 −12% $33,985 −36% —
123 Neurological Eye Disorders $21,796 $14,168 $24,638 −12% $19,745 +10% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC $21,713 $14,114 $21,713 +0% $15,764 +38% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC $21,630 $14,059 $35,964 −40% $49,423 −56% —
190 Chronic Obstructive Pulmonary Disease With McC $21,554 $14,010 $19,690 +9% $24,386 −12% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC $21,500 $13,975 $22,253 −3% $24,127 −11% —
157 Dental And Oral Diseases With McC $21,434 $13,932 $24,447 −12% $31,300 −32% —
103 Headaches Without McC $21,280 $13,832 $23,367 −9% $21,280 +0% —
302 Atherosclerosis With McC $21,279 $13,831 $21,279 +0% $22,446 −5% —
788 Cesarean Section Without Sterilization Without Cc/McC $21,221 $13,794 $21,303 −0% $20,084 +6% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC $21,153 $13,749 $21,153 +0% $28,320 −25% —
552 Medical Back Problems Without McC $21,141 $13,742 $21,141 +0% $21,396 −1% —
504 Foot Procedures With Cc $21,081 $13,703 $29,220 −28% $38,960 −46% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $21,046 $13,680 $21,046 +0% $19,962 +5% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC $20,951 $13,618 $25,625 −18% $28,125 −26% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC $20,932 $13,606 $48,926 −57% $31,170 −33% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $20,927 $13,603 $20,927 +0% $27,163 −23% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $20,817 $13,531 $20,399 +2% $17,733 +17% —
078 Hypertensive Encephalopathy With Cc $20,799 $13,520 $21,190 −2% $17,698 +18% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC $20,781 $13,507 $20,781 +0% $20,781 +0% —
178 Respiratory Infections And Inflammations With Cc $20,666 $13,433 $20,753 −0% $22,024 −6% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/McC $20,655 $13,425 $20,655 +0% $25,712 −20% —
909 Other O.R. Procedures For Injuries Without Cc/McC $20,652 $13,424 $28,736 −28% $28,156 −27% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/McC $20,629 $13,409 $24,594 −16% $32,841 −37% —
645 Endocrine Disorders Without Cc/McC $20,616 $13,400 $17,762 +16% $15,428 +34% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC $20,607 $13,394 $15,792 +30% $14,716 +40% —
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 $20,440 +0% $21,789 −6% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $20,457 $13,297 $15,869 +29% $16,968 +21% —
784 Cesarean Section With Sterilization With Cc $20,443 $13,288 $20,443 +0% $23,283 −12% —
137 Mouth Procedures With Cc/McC $20,392 $13,255 $21,600 −6% $27,861 −27% —
438 Disorders Of Pancreas Except Malignancy With McC $20,382 $13,249 $21,375 −5% $32,628 −38% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $20,364 $13,237 $24,135 −16% $22,506 −10% —
068 Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC $20,241 $13,156 $20,241 +0% $19,569 +3% —
315 Other Circulatory System Diagnoses With Cc $20,236 $13,153 $20,236 +0% $21,363 −5% —
379 Gastrointestinal Hemorrhage Without Cc/McC $20,210 $13,137 $20,210 +0% $15,038 +34% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC $20,201 $13,130 $39,286 −49% $53,864 −62% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $20,166 $13,108 $20,166 +0% $25,034 −19% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $20,153 $13,100 $20,153 +0% $21,275 −5% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC $20,096 $13,062 $25,727 −22% $32,443 −38% —
547 Connective Tissue Disorders Without Cc/McC $19,855 $12,906 $19,855 +0% $16,565 +20% —
074 Cranial And Peripheral Nerve Disorders Without McC $19,840 $12,896 $16,950 +17% $23,141 −14% —
785 Cesarean Section With Sterilization Without Cc/McC $19,783 $12,859 $19,783 +0% $19,846 −0% —
445 Disorders Of The Biliary Tract With Cc $19,672 $12,787 $20,142 −2% $23,319 −16% —
534 Fractures Of Femur Without McC $19,625 $12,756 $16,748 +17% $17,559 +12% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $19,624 $12,756 $26,355 −26% $31,134 −37% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC $19,596 $12,737 $18,935 +3% $25,970 −25% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC $19,593 $12,735 $19,593 +0% $25,390 −23% —
083 Traumatic Stupor And Coma >1 Hour With Cc $19,458 $12,648 $28,798 −32% $27,285 −29% —
554 Bone Diseases And Arthropathies Without McC $19,424 $12,625 $19,424 +0% $18,528 +5% —
815 Reticuloendothelial And Immunity Disorders With Cc $19,264 $12,522 $19,264 +0% $19,264 +0% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC $19,235 $12,503 $17,051 +13% $18,126 +6% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc $19,151 $12,448 $19,268 −1% $22,458 −15% —
947 Signs And Symptoms With McC $19,132 $12,436 $23,898 −20% $27,401 −30% —
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 $16,722 +14% $18,488 +3% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC $19,036 $12,374 $24,143 −21% $28,202 −33% —
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 $18,918 +0% $20,181 −6% —
159 Dental And Oral Diseases Without Cc/McC $18,902 $12,287 $11,755 +61% $13,633 +39% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $18,889 $12,278 $17,504 +8% $22,763 −17% —
536 Fractures Of Hip And Pelvis Without McC $18,887 $12,277 $13,719 +38% $18,002 +5% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC $18,854 $12,255 $18,854 +0% $19,842 −5% —
055 Nervous System Neoplasms Without McC $18,849 $12,252 $18,849 +0% $20,926 −10% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC $18,799 $12,220 $18,799 +0% $22,148 −15% —
179 Respiratory Infections And Inflammations Without Cc/McC $18,724 $12,170 $14,596 +28% $14,648 +28% —
863 Postoperative And Post-Traumatic Infections Without McC $18,672 $12,137 $19,304 −3% $20,957 −11% —
349 Anal And Stomal Procedures Without Cc/McC $18,669 $12,135 $18,669 +0% $19,854 −6% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC $18,541 $12,052 $18,180 +2% $22,888 −19% —
747 Vagina, Cervix And Vulva Procedures Without Cc/McC $18,522 $12,039 $18,522 +0% $19,594 −5% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $18,503 $12,027 $18,503 +0% $23,551 −21% —
601 Non-Malignant Breast Disorders Without Cc/McC $18,360 $11,934 $15,731 +17% $10,975 +67% —
723 Malignancy, Male Reproductive System With Cc $18,351 $11,928 $17,768 +3% $19,815 −7% —
307 Cardiac Congenital And Valvular Disorders Without McC $18,323 $11,910 $22,213 −18% $20,566 −11% —
746 Vagina, Cervix And Vulva Procedures With Cc/McC $18,312 $11,903 $24,928 −27% $29,916 −39% —
149 Dysequilibrium $18,236 $11,854 $23,926 −24% $18,096 +1% —
125 Other Disorders Of The Eye Without McC $18,154 $11,800 $18,154 +0% $17,298 +5% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC $18,139 $11,790 $14,554 +25% $18,150 −0% —
093 Other Disorders Of Nervous System Without Cc/McC $18,052 $11,734 $17,811 +1% $17,620 +2% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $18,039 $11,725 $19,686 −8% $23,498 −23% —
505 Foot Procedures Without Cc/McC $17,912 $11,643 $27,270 −34% $34,937 −49% —
081 Nontraumatic Stupor And Coma Without McC $17,880 $11,622 $14,937 +20% $16,552 +8% —
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 $17,764 +0% $22,033 −19% —
697 Urethral Stricture $17,701 $11,506 $17,701 +0% $18,428 −4% —
289 Acute And Subacute Endocarditis With Cc $17,693 $11,500 $23,658 −25% $32,697 −46% —
549 Septic Arthritis With Cc $17,655 $11,476 $24,217 −27% $24,056 −27% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/McC $17,617 $11,451 $14,866 +19% $12,460 +41% —
758 Infections, Female Reproductive System With Cc $17,560 $11,414 $16,992 +3% $20,901 −16% —
710 Penis Procedures Without Cc/McC $17,508 $11,380 $22,681 −23% $26,436 −34% —
197 Interstitial Lung Disease With Cc $17,431 $11,330 $17,431 +0% $21,941 −21% —
185 Major Chest Trauma Without Cc/McC $17,368 $11,289 $16,728 +4% $17,124 +1% —
312 Syncope And Collapse $17,340 $11,271 $17,340 +0% $19,342 −10% —
881 Depressive Neuroses $17,183 $11,169 $15,058 +14% $15,058 +14% —
671 Urethral Procedures With Cc/McC $17,168 $11,159 $25,566 −33% $27,233 −37% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC $17,157 $11,152 $22,791 −25% $30,770 −44% —
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 $21,381 −21% $22,393 −24% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC $16,936 $11,008 $16,936 +0% $18,072 −6% —
176 Pulmonary Embolism Without McC $16,701 $10,856 $17,685 −6% $18,081 −8% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $16,662 $10,831 $44,605 −63% $52,036 −68% —
670 Transurethral Procedures Without Cc/McC $16,584 $10,780 $21,685 −24% $20,911 −21% —
305 Hypertension Without McC $16,562 $10,765 $19,959 −17% $18,086 −8% —
395 Other Digestive System Diagnoses Without Cc/McC $16,504 $10,727 $16,504 +0% $14,128 +17% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/McC $16,456 $10,697 $14,668 +12% $16,520 −0% —
446 Disorders Of The Biliary Tract Without Cc/McC $16,405 $10,663 $16,731 −2% $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 $16,857 −4% $20,232 −20% —
194 Simple Pneumonia And Pleurisy With Cc $16,173 $10,512 $16,173 +0% $18,204 −11% —
205 Other Respiratory System Diagnoses With McC $16,134 $10,487 $28,430 −43% $33,255 −51% —
389 Gastrointestinal Obstruction With Cc $16,066 $10,443 $16,234 −1% $17,578 −9% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC $16,039 $10,425 $21,838 −27% $29,079 −45% —
805 Vaginal Delivery Without Sterilization Or D&C With McC $16,021 $10,414 $13,876 +15% $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 $15,913 +0% $19,130 −17% —
346 Minor Small And Large Bowel Procedures Without Cc/McC $15,831 $10,290 $19,263 −18% $27,297 −42% —
101 Seizures Without McC $15,817 $10,281 $15,777 +0% $20,461 −23% —
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 $15,788 +0% $13,651 +16% —
292 Heart Failure And Shock With Cc $15,779 $10,256 $15,779 +0% $16,371 −4% —
284 Acute Myocardial Infarction, Expired With Cc $15,776 $10,254 $15,776 +0% $16,450 −4% —
192 Chronic Obstructive Pulmonary Disease Without Cc/McC $15,712 $10,213 $16,076 −2% $14,368 +9% —
202 Bronchitis And Asthma With Cc/McC $15,701 $10,206 $16,255 −3% $17,724 −11% —
663 Minor Bladder Procedures With Cc $15,681 $10,192 $23,673 −34% $33,103 −53% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $15,644 $10,169 $15,107 +4% $16,846 −7% —
914 Traumatic Injury Without McC $15,633 $10,161 $15,088 +4% $15,855 −1% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC $15,614 $10,149 $15,817 −1% $17,038 −8% ≈106% of Medicare
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $15,590 $10,134 $17,159 −9% $18,956 −18% —
948 Signs And Symptoms Without McC $15,360 $9,984 $21,742 −29% $17,921 −14% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $15,308 $9,950 $19,628 −22% $17,303 −12% —
690 Kidney And Urinary Tract Infections Without McC $15,198 $9,879 $16,665 −9% $17,674 −14% —
638 Diabetes With Cc $15,157 $9,852 $18,494 −18% $19,661 −23% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC $15,091 $9,809 $28,559 −47% $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 $14,912 +0% $16,767 −11% —
696 Kidney And Urinary Tract Signs And Symptoms Without McC $14,910 $9,692 $12,411 +20% $14,689 +2% —
303 Atherosclerosis Without McC $14,893 $9,680 $19,063 −22% $14,927 −0% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC $14,796 $9,617 $16,427 −10% $22,635 −35% —
301 Peripheral Vascular Disorders Without Cc/McC $14,573 $9,473 $12,453 +17% $15,837 −8% —
603 Cellulitis Without McC $14,472 $9,407 $14,803 −2% $18,530 −22% —
726 Benign Prostatic Hypertrophy Without McC $14,349 $9,327 $13,602 +5% $15,019 −4% —
039 Extracranial Procedures Without Cc/McC $14,339 $9,320 $31,640 −55% $26,618 −46% —
191 Chronic Obstructive Pulmonary Disease With Cc $14,332 $9,316 $14,338 −0% $18,807 −24% —
088 Concussion With McC $14,313 $9,303 $21,503 −33% $24,402 −41% —
725 Benign Prostatic Hypertrophy With McC $14,169 $9,210 $27,823 −49% $22,320 −37% —
387 Inflammatory Bowel Disease Without Cc/McC $14,044 $9,129 $14,044 +0% $16,288 −14% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $14,038 $9,125 $18,707 −25% $21,847 −36% —
390 Gastrointestinal Obstruction Without Cc/McC $13,941 $9,062 $10,472 +33% $13,361 +4% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC $13,902 $9,036 $13,321 +4% $17,322 −20% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/McC $13,793 $8,965 $9,852 +40% $11,421 +21% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC $13,756 $8,942 $20,619 −33% $29,805 −54% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $13,651 $8,873 $13,651 +0% $13,275 +3% —
867 Other Infectious And Parasitic Diseases Diagnoses With McC $13,614 $8,849 $31,004 −56% $38,070 −64% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/McC $13,609 $8,846 $15,986 −15% $20,895 −35% —
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 $16,845 −19% $17,081 −20% —
200 Pneumothorax With Cc $13,302 $8,647 $18,636 −29% $21,368 −38% —
195 Simple Pneumonia And Pleurisy Without Cc/McC $13,274 $8,628 $13,910 −5% $13,824 −4% —
152 Otitis Media And Uri With McC $13,097 $8,513 $17,922 −27% $20,247 −35% —
201 Pneumothorax Without Cc/McC $13,089 $8,508 $13,089 +0% $14,053 −7% —
639 Diabetes Without Cc/McC $13,005 $8,453 $15,601 −17% $13,910 −7% —
694 Urinary Stones Without McC $12,961 $8,425 $13,336 −3% $17,345 −25% —
759 Infections, Female Reproductive System Without Cc/McC $12,883 $8,374 $13,672 −6% $14,250 −10% —
313 Chest Pain $12,875 $8,369 $15,639 −18% $16,440 −22% —
509 Arthroscopy $12,856 $8,356 $25,994 −51% $25,994 −51% —
748 Female Reproductive System Reconstructive Procedures $12,844 $8,348 $20,875 −38% $30,242 −58% —
076 Viral Meningitis Without Cc/McC $12,822 $8,335 $15,094 −15% $17,135 −25% —
816 Reticuloendothelial And Immunity Disorders Without Cc/McC $12,745 $8,284 $12,745 +0% $14,638 −13% —
151 Epistaxis Without McC $12,714 $8,264 $13,032 −2% $13,032 −2% —
440 Disorders Of Pancreas Except Malignancy Without Cc/McC $12,703 $8,257 $12,703 +0% $15,183 −16% —
541 Osteomyelitis Without Cc/McC $12,662 $8,230 $14,882 −15% $15,215 −17% —
607 Minor Skin Disorders Without McC $12,564 $8,166 $15,276 −18% $15,889 −21% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC $12,488 $8,117 $17,291 −28% $20,980 −40% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC $12,324 $8,010 $14,644 −16% $16,699 −26% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC $12,283 $7,984 $26,578 −54% $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 $12,588 −3% $12,078 +1% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC $12,137 $7,889 $18,260 −34% $21,230 −43% —
864 Fever And Inflammatory Conditions $11,926 $7,752 $26,826 −56% $18,640 −36% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without McC $11,826 $7,687 $21,754 −46% $20,506 −42% —
121 Acute Major Eye Infections With Cc/McC $11,797 $7,668 $14,081 −16% $19,412 −39% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC $11,620 $7,553 $13,002 −11% $16,776 −31% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/McC $11,337 $7,369 $12,015 −6% $13,384 −15% —
684 Renal Failure Without Cc/McC $11,276 $7,329 $11,276 +0% $13,642 −17% —
203 Bronchitis And Asthma Without Cc/McC $11,262 $7,321 $14,098 −20% $12,252 −8% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC $11,205 $7,283 $11,921 −6% $14,549 −23% —
540 Osteomyelitis With Cc $11,091 $7,209 $19,990 −45% $26,676 −58% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/McC $11,066 $7,193 $16,196 −32% $14,797 −25% —
599 Malignant Breast Disorders Without Cc/McC $10,922 $7,099 $14,290 −24% $14,290 −24% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without McC $10,865 $7,062 $16,813 −35% $17,601 −38% —
728 Inflammation Of The Male Reproductive System Without McC $10,624 $6,906 $13,799 −23% $17,118 −38% —
918 Poisoning And Toxic Effects Of Drugs Without McC $10,597 $6,888 $12,276 −14% $15,452 −31% —
887 Other Mental Disorder Diagnoses $10,483 $6,814 $18,631 −44% $20,616 −49% —
153 Otitis Media And Uri Without McC $10,457 $6,797 $13,931 −25% $14,583 −28% —
916 Allergic Reactions Without McC $9,997 $6,498 $13,750 −27% $13,942 −28% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $9,621 $6,254 $14,901 −35% $15,215 −37% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $9,310 $6,052 $11,294 −18% $12,324 −24% —
188 Pleural Effusion Without Cc/McC $9,215 $5,990 $12,723 −28% $14,514 −37% —
886 Behavioral And Developmental Disorders $9,051 $5,883 $22,229 −59% $26,510 −66% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC $8,928 $5,803 $13,822 −35% $14,501 −38% —
592 Skin Ulcers With McC $8,496 $5,522 $29,882 −72% $33,246 −74% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $8,298 $5,394 $12,595 −34% $12,895 −36% —
921 Complications Of Treatment Without Cc/McC $8,200 $5,330 $12,120 −32% $14,415 −43% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC $8,048 $5,231 $8,048 +0% $9,940 −19% —
293 Heart Failure And Shock Without Cc/McC $7,788 $5,062 $10,316 −25% $12,999 −40% —
779 Abortion Without D&C $7,450 $4,842 $11,302 −34% $15,327 −51% —
793 Full Term Neonate With Major Problems $6,997 $4,548 $13,828 −49% $18,649 −62% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $6,881 $4,472 $21,045 −67% $16,351 −58% —
792 Prematurity Without Major Problems $6,354 $4,130 $10,208 −38% $12,229 −48% —
597 Malignant Breast Disorders With McC $6,311 $4,102 $25,994 −76% $33,386 −81% —
122 Acute Major Eye Infections Without Cc/McC $5,733 $3,727 $11,072 −48% $11,997 −52% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $5,606 $3,644 $9,835 −43% $12,454 −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 $15,092 −69% $23,206 −80% —
794 Neonate With Other Significant Problems $3,642 $2,368 $5,725 −36% $8,445 −57% —
795 Normal Newborn $3,286 $2,136 $4,866 −32% $4,720 −30% —
182 Respiratory Neoplasms Without Cc/McC $2,325 $1,511 $14,064 −83% $14,064 −83% —
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