Strong Memorial Hospital — Pricing

781 procedures published in this hospital's Machine-Readable File (MRF) — 770 with a comparable price, 11 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 781
Lowest published price $3,419
Average published price $27,637
Highest published price $479,035

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 781 procedures

Published charges

Showing all 770 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 135 procedures, this hospital's negotiated rates average ≈136% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $479,035 $479,035 $483,987 −1% $573,534 −16% ≈202% of Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $311,299 $311,299 $519,143 −40% $461,389 −33% ≈117% of Medicare
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $237,456 $237,456 $306,087 −22% $306,087 −22% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $236,070 $236,070 $374,499 −37% $371,366 −36% ≈107% of Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $154,477 $154,477 $227,105 −32% $248,521 −38% ≈104% of Medicare
007 LUNG TRANSPLANT $144,505 $144,505 $170,608 −15% $170,608 −15% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $134,189 $134,189 $171,028 −22% $182,314 −26% ≈121% of Medicare
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $126,597 $126,597 $155,461 −19% $194,769 −35% —
209 COMPLEX AORTIC ARCH PROCEDURES $126,453 $126,453 $126,453 +0% $250,946 −50% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $123,160 $123,160 $137,630 −11% $142,326 −13% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $121,533 $121,533 $312,843 −61% $196,346 −38% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $115,296 $115,296 $139,842 −18% $164,641 −30% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $111,385 $111,385 $219,233 −49% $208,939 −47% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $109,457 $109,457 $200,973 −46% $188,171 −42% ≈158% of Medicare
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $100,902 $100,902 $110,483 −9% $144,774 −30% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $97,028 $97,028 $121,563 −20% $121,563 −20% —
231 CORONARY BYPASS WITH PTCA WITH MCC $94,487 $94,487 $170,222 −44% $147,227 −36% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $94,194 $94,194 $99,515 −5% $153,282 −39% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $88,278 $88,278 $140,167 −37% $148,686 −41% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $86,170 $86,170 $168,544 −49% $143,242 −40% ≈143% of Medicare
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $85,804 $85,804 $168,806 −49% $144,569 −41% ≈147% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $85,524 $85,524 $99,339 −14% $120,573 −29% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $81,084 $81,084 $140,370 −42% $132,794 −39% —
010 PANCREAS TRANSPLANT $80,609 $80,609 $99,940 −19% $99,940 −19% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $80,576 $80,576 $89,353 −10% $89,353 −10% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $80,154 $80,154 $105,228 −24% $105,228 −24% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $80,108 $80,108 $157,998 −49% $131,961 −39% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $77,689 $77,689 $175,904 −56% $148,832 −48% ≈128% of Medicare
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $77,314 $77,314 $176,641 −56% $125,242 −38% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $75,689 $75,689 $91,253 −17% $102,600 −26% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $75,196 $75,196 $122,421 −39% $88,566 −15% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $75,142 $75,142 $89,681 −16% $126,098 −40% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $73,965 $73,965 $178,834 −59% $123,995 −40% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $73,965 $73,965 $115,106 −36% $103,455 −29% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,701 $73,701 $82,731 −11% $98,912 −25% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $72,410 $72,410 $100,570 −28% $116,058 −38% ≈101% of Medicare
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $69,020 $69,020 $149,605 −54% $113,855 −39% ≈124% of Medicare
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $68,942 $68,942 $87,759 −21% $109,331 −37% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $68,292 $68,292 $173,445 −61% $115,839 −41% —
028 SPINAL PROCEDURES WITH MCC $67,692 $67,692 $165,843 −59% $113,077 −40% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $67,673 $67,673 $102,983 −34% $117,280 −42% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $67,191 $67,191 $111,217 −40% $107,355 −37% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $66,974 $66,974 $66,974 +0% $80,018 −16% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $66,822 $66,822 $81,176 −18% $98,260 −32% ≈117% of Medicare
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $66,146 $66,146 $149,185 −56% $112,062 −41% ≈154% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $66,104 $66,104 $78,460 −16% $96,192 −31% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $65,023 $65,023 $85,352 −24% $101,618 −36% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $64,615 $64,615 $122,419 −47% $106,778 −39% ≈118% of Medicare
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $64,356 $64,356 $64,356 +0% $139,857 −54% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $64,275 $64,275 $74,690 −14% $89,207 −28% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $63,417 $63,417 $99,075 −36% $105,899 −40% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $63,224 $63,224 $86,459 −27% $86,459 −27% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $62,800 $62,800 $106,019 −41% $93,238 −33% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $62,322 $62,322 $82,458 −24% $108,472 −43% —
834 ACUTE LEUKEMIA WITH MCC $61,955 $61,955 $74,709 −17% $85,566 −28% ≈136% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $61,741 $61,741 $81,105 −24% $102,128 −40% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $61,654 $61,654 $129,059 −52% $102,573 −40% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $61,559 $61,559 $143,271 −57% $101,576 −39% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $61,318 $61,318 $81,176 −24% $81,176 −24% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $60,217 $60,217 $124,145 −51% $111,320 −46% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $60,182 $60,182 $69,912 −14% $99,943 −40% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $59,785 $59,785 $118,645 −50% $106,057 −44% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $59,592 $59,592 $111,594 −47% $99,423 −40% ≈129% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $58,807 $58,807 $80,478 −27% $96,507 −39% —
653 MAJOR BLADDER PROCEDURES WITH MCC $58,708 $58,708 $94,497 −38% $104,583 −44% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $56,979 $56,979 $100,943 −44% $90,331 −37% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $56,395 $56,395 $69,008 −18% $80,793 −30% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $55,952 $55,952 $101,409 −45% $96,905 −42% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $55,855 $55,855 $96,196 −42% $93,172 −40% ≈107% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $55,668 $55,668 $68,473 −19% $93,390 −40% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,441 $55,441 $106,393 −48% $90,401 −39% —
471 CERVICAL SPINAL FUSION WITH MCC $54,639 $54,639 $72,015 −24% $92,515 −41% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $54,369 $54,369 $68,095 −20% $77,055 −29% ≈168% of Medicare
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $53,888 $53,888 $140,473 −62% $92,217 −42% ≈125% of Medicare
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $53,230 $53,230 $62,992 −15% $71,551 −26% ≈146% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $53,124 $53,124 $105,908 −50% $90,775 −41% ≈129% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $52,969 $52,969 $70,272 −25% $90,724 −42% —
006 LIVER TRANSPLANT WITHOUT MCC $52,518 $52,518 $84,407 −38% $84,407 −38% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $52,313 $52,313 $112,801 −54% $91,329 −43% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $52,070 $52,070 $69,268 −25% $88,050 −41% ≈125% of Medicare
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $51,940 $51,940 $88,519 −41% $87,761 −41% —
245 AICD GENERATOR PROCEDURES $51,692 $51,692 $65,480 −21% $72,076 −28% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $51,541 $51,541 $61,750 −17% $76,001 −32% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $51,519 $51,519 $94,677 −46% $88,307 −42% ≈161% of Medicare
799 SPLENIC PROCEDURES WITH MCC $51,322 $51,322 $76,574 −33% $82,218 −38% —
163 MAJOR CHEST PROCEDURES WITH MCC $50,800 $50,800 $90,851 −44% $90,195 −44% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $50,786 $50,786 $58,786 −14% $72,962 −30% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $50,591 $50,591 $87,760 −42% $86,970 −42% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $49,816 $49,816 $108,198 −54% $82,561 −40% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $49,092 $49,092 $102,919 −52% $101,510 −52% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $48,710 $48,710 $94,887 −49% $84,692 −42% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $48,405 $48,405 $58,085 −17% $60,098 −19% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $48,134 $48,134 $56,194 −14% $81,998 −41% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $47,939 $47,939 $102,713 −53% $85,159 −44% ≈110% of Medicare
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $47,859 $47,859 $119,835 −60% $79,836 −40% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $47,836 $47,836 $56,535 −15% $73,120 −35% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $47,700 $47,700 $68,137 −30% $77,990 −39% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $47,645 $47,645 $60,697 −22% $70,177 −32% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $47,558 $47,558 $109,137 −56% $82,247 −42% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $47,379 $47,379 $79,183 −40% $83,441 −43% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $47,346 $47,346 $13,828 +242% $18,649 +154% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $47,162 $47,162 $55,985 −16% $79,225 −40% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $46,858 $46,858 $104,086 −55% $78,852 −41% —
791 PREMATURITY WITH MAJOR PROBLEMS $46,122 $46,122 $39,563 +17% $42,679 +8% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $45,696 $45,696 $75,492 −39% $79,116 −42% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $45,293 $45,293 $72,168 −37% $66,711 −32% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $44,494 $44,494 $73,716 −40% $74,755 −40% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $44,299 $44,299 $59,352 −25% $59,352 −25% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $44,039 $44,039 $53,665 −18% $76,219 −42% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $43,974 $43,974 $51,525 −15% $54,196 −19% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $43,933 $43,933 $58,978 −26% $74,257 −41% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $43,691 $43,691 $75,408 −42% $77,817 −44% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $42,847 $42,847 $61,356 −30% $75,103 −43% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $42,665 $42,665 $40,005 +7% $52,908 −19% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $42,567 $42,567 $65,839 −35% $75,573 −44% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $42,562 $42,562 $76,715 −45% $71,092 −40% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $42,446 $42,446 $68,006 −38% $71,795 −41% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $42,214 $42,214 $56,242 −25% $56,242 −25% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $41,852 $41,852 $71,186 −41% $59,594 −30% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $41,835 $41,835 $61,083 −32% $70,564 −41% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $41,359 $41,359 $44,389 −7% $55,289 −25% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $41,328 $41,328 $48,887 −15% $56,964 −27% —
332 RECTAL RESECTION WITH MCC $41,272 $41,272 $48,214 −14% $58,125 −29% —
265 AICD LEAD PROCEDURES $41,245 $41,245 $49,492 −17% $63,171 −35% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $41,174 $41,174 $49,718 −17% $59,533 −31% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $41,114 $41,114 $45,290 −9% $63,928 −36% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $40,853 $40,853 $54,862 −26% $62,300 −34% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $40,761 $40,761 $54,300 −25% $61,832 −34% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $40,721 $40,721 $56,742 −28% $71,755 −43% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $40,663 $40,663 $74,451 −45% $62,583 −35% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $40,629 $40,629 $48,670 −17% $69,743 −42% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $40,592 $40,592 $51,761 −22% $61,470 −34% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $40,560 $40,560 $81,781 −50% $71,014 −43% ≈149% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $40,231 $40,231 $67,788 −41% $70,847 −43% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $40,151 $40,151 $85,236 −53% $68,639 −42% —
252 OTHER VASCULAR PROCEDURES WITH MCC $39,807 $39,807 $72,690 −45% $68,508 −42% ≈120% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $39,797 $39,797 $54,631 −27% $66,685 −40% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $39,620 $39,620 $44,605 −11% $52,036 −24% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $39,434 $39,434 $74,502 −47% $68,653 −43% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $39,257 $39,257 $65,293 −40% $111,760 −65% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $39,144 $39,144 $59,880 −35% $66,068 −41% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $38,958 $38,958 $71,355 −45% $67,268 −42% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $38,909 $38,909 $49,003 −21% $50,919 −24% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $38,173 $38,173 $48,557 −21% $51,953 −27% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $37,760 $37,760 $67,831 −44% $48,358 −22% —
037 EXTRACRANIAL PROCEDURES WITH MCC $37,636 $37,636 $89,423 −58% $66,666 −44% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $37,632 $37,632 $57,726 −35% $65,573 −43% ≈119% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $37,201 $37,201 $78,755 −53% $70,371 −47% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $37,043 $37,043 $45,498 −19% $58,745 −37% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $37,003 $37,003 $51,930 −29% $49,710 −26% ≈152% of Medicare
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,953 $36,953 $48,725 −24% $65,216 −43% —
652 KIDNEY TRANSPLANT $36,944 $36,944 $54,720 −32% $54,720 −32% ≈178% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $36,917 $36,917 $44,977 −18% $72,424 −49% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $36,847 $36,847 $44,472 −17% $44,472 −17% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $36,732 $36,732 $72,297 −49% $61,217 −40% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $36,537 $36,537 $62,843 −42% $70,132 −48% ≈117% of Medicare
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $36,472 $36,472 $92,826 −61% $62,821 −42% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $36,438 $36,438 $45,479 −20% $65,608 −44% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $36,367 $36,367 $49,015 −26% $66,848 −46% —
500 SOFT TISSUE PROCEDURES WITH MCC $36,228 $36,228 $45,424 −20% $61,872 −41% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $36,174 $36,174 $39,286 −8% $53,864 −33% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $36,075 $36,075 $91,834 −61% $71,464 −50% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $36,058 $36,058 $57,750 −38% $65,325 −45% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $35,976 $35,976 $39,606 −9% $52,986 −32% —
665 PROSTATECTOMY WITH MCC $35,745 $35,745 $47,758 −25% $54,072 −34% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $35,673 $35,673 $56,193 −37% $58,228 −39% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $35,612 $35,612 $63,310 −44% $64,523 −45% ≈177% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $35,085 $35,085 $44,915 −22% $54,562 −36% —
263 VEIN LIGATION AND STRIPPING $35,039 $35,039 $38,005 −8% $51,253 −32% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $34,771 $34,771 $45,618 −24% $65,788 −47% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $34,631 $34,631 $40,289 −14% $49,839 −31% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $34,626 $34,626 $40,406 −14% $59,031 −41% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $34,590 $34,590 $35,964 −4% $49,423 −30% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $34,143 $34,143 $56,209 −39% $60,407 −43% —
472 CERVICAL SPINAL FUSION WITH CC $33,808 $33,808 $46,404 −27% $59,537 −43% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $33,785 $33,785 $46,181 −27% $41,422 −18% —
570 SKIN DEBRIDEMENT WITH MCC $33,752 $33,752 $42,044 −20% $52,435 −36% —
668 TRANSURETHRAL PROCEDURES WITH MCC $33,519 $33,519 $41,045 −18% $51,608 −35% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $33,434 $33,434 $72,286 −54% $65,653 −49% ≈110% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $33,320 $33,320 $43,211 −23% $60,170 −45% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $33,300 $33,300 $54,796 −39% $58,043 −43% ≈137% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $33,158 $33,158 $65,002 −49% $51,746 −36% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $33,143 $33,143 $39,630 −16% $46,402 −29% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $33,096 $33,096 $53,198 −38% $48,687 −32% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $32,968 $32,968 $59,192 −44% $70,467 −53% ≈125% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $32,750 $32,750 $54,475 −40% $59,790 −45% —
800 SPLENIC PROCEDURES WITH CC $32,295 $32,295 $41,012 −21% $49,184 −34% —
654 MAJOR BLADDER PROCEDURES WITH CC $32,183 $32,183 $39,822 −19% $58,274 −45% —
503 FOOT PROCEDURES WITH MCC $32,093 $32,093 $39,757 −19% $47,540 −32% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $31,880 $31,880 $47,785 −33% $58,707 −46% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $31,716 $31,716 $67,651 −53% $62,264 −49% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $31,623 $31,623 $59,696 −47% $52,405 −40% ≈125% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $31,616 $31,616 $44,471 −29% $54,929 −42% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $31,458 $31,458 $38,454 −18% $43,491 −28% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $31,315 $31,315 $67,943 −54% $81,706 −62% ≈136% of Medicare
849 RADIOTHERAPY $31,190 $31,190 $37,862 −18% $37,862 −18% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $31,153 $31,153 $71,241 −56% $50,618 −38% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,056 $31,056 $49,447 −37% $46,453 −33% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,642 $30,642 $40,363 −24% $58,975 −48% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $30,539 $30,539 $37,754 −19% $47,945 −36% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $30,392 $30,392 $37,631 −19% $44,222 −31% —
253 OTHER VASCULAR PROCEDURES WITH CC $29,929 $29,929 $40,302 −26% $57,454 −48% ≈165% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $29,895 $29,895 $36,339 −18% $38,878 −23% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,788 $29,788 $38,166 −22% $44,546 −33% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $29,748 $29,748 $50,347 −41% $47,583 −37% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $29,748 $29,748 $34,307 −13% $41,620 −29% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $29,619 $29,619 $36,791 −19% $45,167 −34% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $29,458 $29,458 $42,404 −31% $55,162 −47% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $29,324 $29,324 $44,554 −34% $52,178 −44% ≈119% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $29,271 $29,271 $61,840 −53% $59,651 −51% ≈141% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $29,137 $29,137 $62,887 −54% $56,755 −49% ≈132% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $29,125 $29,125 $71,258 −59% $54,583 −47% ≈146% of Medicare
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $28,782 $28,782 $46,352 −38% $50,046 −42% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $28,669 $28,669 $38,759 −26% $40,362 −29% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $28,420 $28,420 $36,172 −21% $50,139 −43% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $28,412 $28,412 $34,970 −19% $51,985 −45% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $28,375 $28,375 $22,780 +25% $29,221 −3% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $28,309 $28,309 $10,208 +177% $12,229 +131% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $28,254 $28,254 $41,622 −32% $59,421 −52% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $28,222 $28,222 $50,196 −44% $50,624 −44% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $28,011 $28,011 $28,011 +0% $102,597 −73% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,923 $27,923 $61,738 −55% $98,737 −72% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $27,824 $27,824 $37,349 −26% $40,060 −31% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $27,734 $27,734 $50,487 −45% $59,500 −53% ≈161% of Medicare
397 APPENDIX PROCEDURES WITH MCC $27,708 $27,708 $35,353 −22% $53,257 −48% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $27,660 $27,660 $60,743 −54% $49,066 −44% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $27,614 $27,614 $42,068 −34% $53,451 −48% —
113 ORBITAL PROCEDURES WITH CC/MCC $27,224 $27,224 $45,171 −40% $36,167 −25% —
333 RECTAL RESECTION WITH CC $27,125 $27,125 $32,771 −17% $37,154 −27% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $27,086 $27,086 $41,721 −35% $50,394 −46% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $27,067 $27,067 $36,660 −26% $43,650 −38% —
709 PENIS PROCEDURES WITH CC/MCC $26,958 $26,958 $32,359 −17% $34,535 −22% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $26,941 $26,941 $42,646 −37% $48,682 −45% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $26,914 $26,914 $38,791 −31% $39,973 −33% ≈137% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $26,782 $26,782 $47,048 −43% $50,498 −47% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $26,610 $26,610 $33,912 −22% $40,548 −34% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $26,602 $26,602 $39,731 −33% $42,901 −38% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $26,499 $26,499 $33,308 −20% $36,489 −27% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $26,455 $26,455 $30,225 −12% $39,173 −32% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $26,389 $26,389 $31,193 −15% $45,877 −42% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $26,347 $26,347 $44,678 −41% $41,892 −37% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $26,278 $26,278 $53,048 −50% $41,608 −37% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $25,979 $25,979 $32,168 −19% $47,789 −46% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $25,965 $25,965 $32,504 −20% $38,998 −33% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $25,769 $25,769 $66,230 −61% $46,727 −45% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $25,693 $25,693 $44,619 −42% $46,283 −44% ≈117% of Medicare
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $25,669 $25,669 $31,044 −17% $31,044 −17% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $25,639 $25,639 $36,743 −30% $39,181 −35% ≈106% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $25,537 $25,537 $32,503 −21% $49,418 −48% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $25,499 $25,499 $32,077 −21% $45,866 −44% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $25,461 $25,461 $46,130 −45% $48,349 −47% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $25,418 $25,418 $44,472 −43% $42,415 −40% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $25,358 $25,358 $41,205 −38% $59,629 −57% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $25,343 $25,343 $38,653 −34% $37,267 −32% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $25,317 $25,317 $49,188 −49% $47,737 −47% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $25,301 $25,301 $36,365 −30% $46,066 −45% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $25,220 $25,220 $28,172 −10% $42,186 −40% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $24,905 $24,905 $38,932 −36% $45,333 −45% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $24,896 $24,896 $34,148 −27% $35,030 −29% —
374 DIGESTIVE MALIGNANCY WITH MCC $24,874 $24,874 $34,183 −27% $39,958 −38% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $24,788 $24,788 $37,711 −34% $46,724 −47% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,787 $24,787 $50,655 −51% $50,011 −50% ≈135% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $24,777 $24,777 $44,334 −44% $42,795 −42% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $24,741 $24,741 $30,326 −18% $33,851 −27% —
595 MAJOR SKIN DISORDERS WITH MCC $24,674 $24,674 $30,646 −19% $34,598 −29% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $24,641 $24,641 $50,107 −51% $58,280 −58% ≈160% of Medicare
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $24,638 $24,638 $48,893 −50% $40,108 −39% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $24,629 $24,629 $44,278 −44% $43,174 −43% —
336 PERITONEAL ADHESIOLYSIS WITH CC $24,542 $24,542 $44,395 −45% $50,463 −51% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $24,473 $24,473 $56,706 −57% $42,906 −43% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $24,384 $24,384 $50,338 −52% $52,751 −54% ≈138% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $24,370 $24,370 $31,004 −21% $38,070 −36% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $24,347 $24,347 $49,467 −51% $49,351 −51% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $24,306 $24,306 $26,355 −8% $31,134 −22% —
835 ACUTE LEUKEMIA WITH CC $24,288 $24,288 $36,186 −33% $35,569 −32% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $24,282 $24,282 $33,498 −28% $38,666 −37% ≈121% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $24,266 $24,266 $46,485 −48% $38,343 −37% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $24,217 $24,217 $36,710 −34% $43,538 −44% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $24,203 $24,203 $40,849 −41% $46,090 −47% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $24,172 $24,172 $22,229 +9% $26,510 −9% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $24,077 $24,077 $32,506 −26% $43,913 −45% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $24,009 $24,009 $38,786 −38% $44,363 −46% —
935 NON-EXTENSIVE BURNS $24,003 $24,003 $35,844 −33% $31,701 −24% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $23,882 $23,882 $29,667 −19% $38,861 −39% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $23,645 $23,645 $28,559 −17% $29,524 −20% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $23,583 $23,583 $32,289 −27% $39,020 −40% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $23,503 $23,503 $18,260 +29% $21,230 +11% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $23,461 $23,461 $42,071 −44% $39,106 −40% ≈136% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $23,411 $23,411 $41,301 −43% $47,711 −51% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $23,342 $23,342 $49,323 −53% $43,080 −46% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $23,341 $23,341 $45,042 −48% $44,139 −47% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $23,318 $23,318 $32,044 −27% $43,943 −47% ≈140% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $23,286 $23,286 $38,919 −40% $42,914 −46% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $23,281 $23,281 $36,319 −36% $36,431 −36% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $23,126 $23,126 $39,782 −42% $39,955 −42% —
539 OSTEOMYELITIS WITH MCC $23,004 $23,004 $45,071 −49% $37,609 −39% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $22,987 $22,987 $48,837 −53% $40,213 −43% ≈152% of Medicare
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $22,966 $22,966 $15,092 +52% $23,206 −1% —
906 HAND PROCEDURES FOR INJURIES $22,944 $22,944 $31,520 −27% $32,065 −28% —
380 COMPLICATED PEPTIC ULCER WITH MCC $22,921 $22,921 $33,696 −32% $39,627 −42% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $22,706 $22,706 $55,123 −59% $40,694 −44% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $22,703 $22,703 $36,465 −38% $35,628 −36% ≈123% of Medicare
100 SEIZURES WITH MCC $22,639 $22,639 $30,087 −25% $35,481 −36% ≈135% of Medicare
592 SKIN ULCERS WITH MCC $22,623 $22,623 $29,882 −24% $33,246 −32% —
548 SEPTIC ARTHRITIS WITH MCC $22,574 $22,574 $29,341 −23% $31,346 −28% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $22,554 $22,554 $27,965 −19% $32,574 −31% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $22,552 $22,552 $43,106 −48% $50,607 −55% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $22,527 $22,527 $25,923 −13% $35,849 −37% —
075 VIRAL MENINGITIS WITH CC/MCC $22,426 $22,426 $28,179 −20% $30,447 −26% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $22,393 $22,393 $41,665 −46% $40,562 −45% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $22,389 $22,389 $48,570 −54% $46,340 −52% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $22,331 $22,331 $32,979 −32% $36,445 −39% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $22,127 $22,127 $34,861 −37% $42,126 −47% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $22,127 $22,127 $31,516 −30% $36,670 −40% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $22,091 $22,091 $31,016 −29% $32,637 −32% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $21,904 $21,904 $41,821 −48% $42,881 −49% ≈125% of Medicare
504 FOOT PROCEDURES WITH CC $21,891 $21,891 $29,220 −25% $38,960 −44% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,844 $21,844 $30,389 −28% $33,047 −34% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $21,778 $21,778 $26,242 −17% $34,276 −36% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $21,778 $21,778 $38,446 −43% $39,515 −45% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,587 $21,587 $26,677 −19% $32,433 −33% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $21,532 $21,532 $34,822 −38% $37,950 −43% ≈177% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $21,511 $21,511 $34,049 −37% $40,552 −47% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $21,469 $21,469 $28,430 −24% $33,255 −35% —
919 COMPLICATIONS OF TREATMENT WITH MCC $21,467 $21,467 $26,862 −20% $31,105 −31% ≈59% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $21,458 $21,458 $39,277 −45% $43,298 −50% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $21,436 $21,436 $38,041 −44% $37,842 −43% ≈142% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,388 $21,388 $25,727 −17% $32,443 −34% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $21,388 $21,388 $33,224 −36% $32,859 −35% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $21,251 $21,251 $52,533 −60% $32,031 −34% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $21,236 $21,236 $28,993 −27% $36,249 −41% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $21,233 $21,233 $25,633 −17% $29,826 −29% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $21,232 $21,232 $41,177 −48% $40,365 −47% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $21,215 $21,215 $24,851 −15% $29,126 −27% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $21,209 $21,209 $44,198 −52% $41,591 −49% ≈194% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $21,197 $21,197 $32,276 −34% $37,240 −43% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $21,169 $21,169 $35,865 −41% $43,800 −52% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $21,167 $21,167 $30,841 −31% $37,844 −44% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $21,163 $21,163 $41,640 −49% $40,642 −48% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $21,150 $21,150 $21,045 +0% $16,351 +29% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $21,093 $21,093 $21,809 −3% $29,611 −29% —
671 URETHRAL PROCEDURES WITH CC/MCC $21,070 $21,070 $25,566 −18% $27,233 −23% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $21,067 $21,067 $24,768 −15% $33,985 −38% ≈161% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $21,058 $21,058 $28,020 −25% $34,459 −39% —
505 FOOT PROCEDURES WITHOUT CC/MCC $21,046 $21,046 $27,270 −23% $34,937 −40% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $20,923 $20,923 $43,831 −52% $38,836 −46% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $20,828 $20,828 $29,997 −31% $33,555 −38% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $20,782 $20,782 $43,914 −53% $43,631 −52% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $20,755 $20,755 $34,886 −41% $36,792 −44% ≈129% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $20,750 $20,750 $33,385 −38% $36,658 −43% ≈132% of Medicare
199 PNEUMOTHORAX WITH MCC $20,729 $20,729 $33,787 −39% $33,787 −39% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $20,716 $20,716 $53,246 −61% $58,809 −65% ≈156% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $20,652 $20,652 $51,445 −60% $52,075 −60% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $20,641 $20,641 $32,465 −36% $37,387 −45% ≈120% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $20,566 $20,566 $32,757 −37% $31,563 −35% —
666 PROSTATECTOMY WITH CC $20,565 $20,565 $29,763 −31% $31,906 −36% —
501 SOFT TISSUE PROCEDURES WITH CC $20,551 $20,551 $32,970 −38% $39,619 −48% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $20,518 $20,518 $22,819 −10% $31,159 −34% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $20,434 $20,434 $64,566 −68% $36,354 −44% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $20,430 $20,430 $24,928 −18% $29,916 −32% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $20,383 $20,383 $33,575 −39% $30,553 −33% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $20,329 $20,329 $26,907 −24% $38,101 −47% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $20,326 $20,326 $26,578 −24% $39,018 −48% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $20,289 $20,289 $67,181 −70% $35,831 −43% —
157 DENTAL AND ORAL DISEASES WITH MCC $20,205 $20,205 $24,447 −17% $31,300 −35% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,174 $20,174 $32,413 −38% $34,607 −42% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $20,124 $20,124 $27,152 −26% $30,243 −33% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $20,096 $20,096 $23,658 −15% $32,697 −39% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,061 $20,061 $35,457 −43% $35,584 −44% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $19,996 $19,996 $25,176 −21% $32,944 −39% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $19,926 $19,926 $33,278 −40% $44,606 −55% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $19,906 $19,906 $21,228 −6% $25,094 −21% —
571 SKIN DEBRIDEMENT WITH CC $19,903 $19,903 $37,317 −47% $37,169 −46% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,830 $19,830 $38,599 −49% $44,117 −55% ≈124% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $19,825 $19,825 $39,779 −50% $43,477 −54% —
915 ALLERGIC REACTIONS WITH MCC $19,816 $19,816 $25,750 −23% $32,645 −39% —
551 MEDICAL BACK PROBLEMS WITH MCC $19,755 $19,755 $33,108 −40% $34,017 −42% ≈148% of Medicare
444 DISORDERS OF THE BILIARY TRACT WITH MCC $19,697 $19,697 $33,595 −41% $34,273 −43% ≈118% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $19,655 $19,655 $25,994 −24% $33,386 −41% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $19,630 $19,630 $25,761 −24% $31,951 −39% ≈115% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $19,609 $19,609 $28,465 −31% $35,419 −45% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $19,582 $19,582 $39,618 −51% $29,316 −33% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $19,526 $19,526 $34,657 −44% $35,692 −45% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $19,515 $19,515 $30,494 −36% $32,496 −40% ≈134% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $19,460 $19,460 $22,460 −13% $27,152 −28% —
643 ENDOCRINE DISORDERS WITH MCC $19,423 $19,423 $25,825 −25% $33,563 −42% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,395 $19,395 $27,009 −28% $38,094 −49% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $19,371 $19,371 $25,169 −23% $34,749 −44% —
334 RECTAL RESECTION WITHOUT CC/MCC $19,332 $19,332 $24,721 −22% $36,820 −47% —
913 TRAUMATIC INJURY WITH MCC $19,296 $19,296 $24,198 −20% $24,198 −20% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $19,275 $19,275 $30,993 −38% $27,316 −29% ≈134% of Medicare
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $19,260 $19,260 $36,790 −48% $33,633 −43% ≈144% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $19,256 $19,256 $39,675 −51% $41,955 −54% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $19,247 $19,247 $21,375 −10% $32,628 −41% ≈128% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $19,244 $19,244 $26,273 −27% $33,694 −43% —
038 EXTRACRANIAL PROCEDURES WITH CC $19,163 $19,163 $35,924 −47% $35,770 −46% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,011 $19,011 $24,125 −21% $26,682 −29% ≈129% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,984 $18,984 $21,838 −13% $29,079 −35% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $18,960 $18,960 $28,480 −33% $30,010 −37% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,958 $18,958 $30,500 −38% $30,828 −39% ≈142% of Medicare
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $18,938 $18,938 $41,638 −55% $39,006 −51% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $18,916 $18,916 $40,745 −54% $35,453 −47% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $18,905 $18,905 $30,510 −38% $34,192 −45% ≈130% of Medicare
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $18,873 $18,873 $40,799 −54% $34,906 −46% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $18,823 $18,823 $32,526 −42% $33,876 −44% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $18,777 $18,777 $50,029 −62% $34,434 −45% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $18,717 $18,717 $24,282 −23% $27,617 −32% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $18,645 $18,645 $35,088 −47% $24,586 −24% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $18,628 $18,628 $22,744 −18% $33,424 −44% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $18,563 $18,563 $26,798 −31% $30,235 −39% ≈113% of Medicare
533 FRACTURES OF FEMUR WITH MCC $18,555 $18,555 $22,986 −19% $25,945 −28% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $18,539 $18,539 $29,620 −37% $35,074 −47% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $18,509 $18,509 $27,330 −32% $27,633 −33% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $18,500 $18,500 $33,707 −45% $33,707 −45% ≈129% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,491 $18,491 $29,888 −38% $33,661 −45% —
186 PLEURAL EFFUSION WITH MCC $18,454 $18,454 $35,284 −48% $33,834 −45% —
669 TRANSURETHRAL PROCEDURES WITH CC $18,382 $18,382 $36,359 −49% $34,354 −46% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $18,379 $18,379 $36,253 −49% $36,253 −49% —
945 REHABILITATION WITH CC/MCC $18,344 $18,344 $23,834 −23% $23,834 −23% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $18,289 $18,289 $33,452 −45% $33,653 −46% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $18,212 $18,212 $31,148 −42% $33,393 −45% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $18,193 $18,193 $32,469 −44% $39,211 −54% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $18,192 $18,192 $23,065 −21% $25,703 −29% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $18,185 $18,185 $33,198 −45% $36,988 −51% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,167 $18,167 $34,139 −47% $27,394 −34% —
183 MAJOR CHEST TRAUMA WITH MCC $18,137 $18,137 $23,796 −24% $29,933 −39% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $18,104 $18,104 $22,682 −20% $30,502 −41% ≈129% of Medicare
813 COAGULATION DISORDERS $18,086 $18,086 $32,291 −44% $33,296 −46% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,077 $18,077 $28,985 −38% $36,505 −50% —
663 MINOR BLADDER PROCEDURES WITH CC $18,030 $18,030 $23,673 −24% $33,103 −46% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $17,966 $17,966 $19,945 −10% $22,811 −21% —
398 APPENDIX PROCEDURES WITH CC $17,957 $17,957 $34,258 −48% $40,162 −55% —
606 MINOR SKIN DISORDERS WITH MCC $17,952 $17,952 $30,798 −42% $27,975 −36% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $17,899 $17,899 $36,535 −51% $32,451 −45% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $17,862 $17,862 $48,926 −63% $31,170 −43% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,858 $17,858 $37,473 −52% $33,048 −46% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $17,844 $17,844 $28,808 −38% $32,100 −44% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $17,810 $17,810 $23,257 −23% $26,598 −33% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $17,800 $17,800 $25,547 −30% $33,454 −47% —
865 VIRAL ILLNESS WITH MCC $17,787 $17,787 $22,350 −20% $26,910 −34% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $17,775 $17,775 $24,143 −26% $28,202 −37% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $17,745 $17,745 $38,157 −53% $46,295 −62% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $17,739 $17,739 $23,681 −25% $35,465 −50% —
137 MOUTH PROCEDURES WITH CC/MCC $17,731 $17,731 $21,600 −18% $27,861 −36% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $17,661 $17,661 $33,619 −47% $32,877 −46% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $17,623 $17,623 $24,586 −28% $25,197 −30% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $17,617 $17,617 $25,171 −30% $26,463 −33% —
682 RENAL FAILURE WITH MCC $17,596 $17,596 $27,301 −36% $29,064 −39% ≈129% of Medicare
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $17,549 $17,549 $22,272 −21% $30,571 −43% ≈129% of Medicare
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $17,540 $17,540 $5,725 +206% $8,445 +108% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,538 $17,538 $19,930 −12% $27,989 −37% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $17,497 $17,497 $22,477 −22% $28,140 −38% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $17,485 $17,485 $21,615 −19% $22,620 −23% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $17,460 $17,460 $24,511 −29% $24,941 −30% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,458 $17,458 $33,899 −49% $33,674 −48% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $17,358 $17,358 $21,381 −19% $22,393 −22% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $17,185 $17,185 $17,291 −1% $20,980 −18% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $17,177 $17,177 $22,149 −22% $26,932 −36% —
637 DIABETES WITH MCC $17,106 $17,106 $29,918 −43% $30,100 −43% ≈145% of Medicare
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,053 $17,053 $42,870 −60% $26,280 −35% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $16,988 $16,988 $31,805 −47% $30,493 −44% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $16,974 $16,974 $23,984 −29% $29,743 −43% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $16,944 $16,944 $19,302 −12% $20,727 −18% —
602 CELLULITIS WITH MCC $16,935 $16,935 $26,232 −35% $30,598 −45% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,902 $16,902 $33,070 −49% $19,354 −13% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $16,872 $16,872 $34,171 −51% $21,986 −23% —
811 RED BLOOD CELL DISORDERS WITH MCC $16,747 $16,747 $24,954 −33% $28,226 −41% ≈121% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $16,742 $16,742 $46,269 −64% $39,887 −58% —
710 PENIS PROCEDURES WITHOUT CC/MCC $16,713 $16,713 $22,681 −26% $26,436 −37% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $16,694 $16,694 $62,451 −73% $25,073 −33% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $16,692 $16,692 $43,042 −61% $32,833 −49% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,676 $16,676 $28,020 −40% $30,083 −45% —
885 PSYCHOSES $16,664 $16,664 $23,973 −30% $21,729 −23% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,653 $16,653 $28,798 −42% $27,285 −39% ≈150% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $16,621 $16,621 $25,748 −35% $25,748 −35% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $16,559 $16,559 $20,875 −21% $30,242 −45% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $16,527 $16,527 $22,791 −27% $30,770 −46% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $16,486 $16,486 $21,076 −22% $27,426 −40% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,408 $16,408 $28,499 −42% $30,959 −47% ≈148% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,328 $16,328 $29,843 −45% $29,949 −45% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $16,321 $16,321 $36,603 −55% $36,937 −56% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $16,294 $16,294 $33,190 −51% $30,418 −46% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $16,284 $16,284 $21,277 −23% $27,119 −40% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $16,213 $16,213 $32,471 −50% $24,544 −34% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $16,180 $16,180 $23,224 −30% $19,598 −17% —
088 CONCUSSION WITH MCC $16,166 $16,166 $21,503 −25% $24,402 −34% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $16,140 $16,140 $19,169 −16% $27,323 −41% —
506 MAJOR THUMB OR JOINT PROCEDURES $16,138 $16,138 $31,961 −50% $30,557 −47% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $16,101 $16,101 $29,865 −46% $31,017 −48% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $16,097 $16,097 $18,949 −15% $26,948 −40% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $16,091 $16,091 $24,594 −35% $32,841 −51% —
693 URINARY STONES WITH MCC $16,086 $16,086 $22,278 −28% $23,892 −33% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $16,070 $16,070 $19,183 −16% $19,270 −17% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $15,987 $15,987 $23,010 −31% $25,463 −37% ≈123% of Medicare
150 EPISTAXIS WITH MCC $15,942 $15,942 $28,054 −43% $23,171 −31% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,906 $15,906 $25,625 −38% $28,125 −43% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $15,849 $15,849 $21,894 −28% $21,894 −28% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $15,834 $15,834 $22,253 −29% $24,127 −34% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $15,833 $15,833 $26,769 −41% $31,264 −49% ≈129% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,753 $15,753 $28,415 −45% $27,275 −42% ≈138% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,734 $15,734 $28,736 −45% $28,156 −44% —
348 ANAL AND STOMAL PROCEDURES WITH CC $15,691 $15,691 $32,613 −52% $27,947 −44% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $15,684 $15,684 $19,686 −20% $23,498 −33% ≈255% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,623 $15,623 $23,278 −33% $27,043 −42% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $15,568 $15,568 $21,908 −29% $22,525 −31% —
540 OSTEOMYELITIS WITH CC $15,552 $15,552 $19,990 −22% $26,676 −42% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $15,552 $15,552 $26,469 −41% $26,051 −40% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $15,544 $15,544 $29,561 −47% $27,543 −44% ≈130% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $15,538 $15,538 $25,319 −39% $27,808 −44% —
291 HEART FAILURE AND SHOCK WITH MCC $15,414 $15,414 $27,424 −44% $26,776 −42% ≈121% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,394 $15,394 $25,858 −40% $24,552 −37% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $15,278 $15,278 $28,026 −45% $22,851 −33% —
947 SIGNS AND SYMPTOMS WITH MCC $15,255 $15,255 $23,898 −36% $27,401 −44% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $15,242 $15,242 $19,865 −23% $28,050 −46% ≈97% of Medicare
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $15,216 $15,216 $19,268 −21% $22,458 −32% ≈127% of Medicare
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,061 $15,061 $28,155 −47% $17,737 −15% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $14,939 $14,939 $20,927 −29% $27,163 −45% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $14,937 $14,937 $27,384 −45% $30,784 −51% —
139 SALIVARY GLAND PROCEDURES $14,882 $14,882 $23,871 −38% $23,612 −37% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,878 $14,878 $24,603 −40% $26,580 −44% ≈132% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $14,702 $14,702 $19,686 −25% $19,686 −25% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $14,679 $14,679 $18,707 −22% $21,847 −33% —
375 DIGESTIVE MALIGNANCY WITH CC $14,593 $14,593 $30,392 −52% $27,277 −47% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $14,578 $14,578 $20,619 −29% $29,805 −51% —
549 SEPTIC ARTHRITIS WITH CC $14,566 $14,566 $24,217 −40% $24,056 −39% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $14,531 $14,531 $24,743 −41% $26,770 −46% ≈134% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,531 $14,531 $19,593 −26% $25,390 −43% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,514 $14,514 $18,133 −20% $18,133 −20% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $14,512 $14,512 $20,655 −30% $25,712 −44% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,478 $14,478 $24,926 −42% $25,652 −44% —
302 ATHEROSCLEROSIS WITH MCC $14,449 $14,449 $21,279 −32% $22,446 −36% —
304 HYPERTENSION WITH MCC $14,376 $14,376 $24,714 −42% $26,080 −45% ≈154% of Medicare
949 AFTERCARE WITH CC/MCC $14,373 $14,373 $28,036 −49% $23,953 −40% —
593 SKIN ULCERS WITH CC $14,335 $14,335 $23,101 −38% $22,886 −37% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $14,334 $14,334 $19,263 −26% $27,297 −47% —
152 OTITIS MEDIA AND URI WITH MCC $14,290 $14,290 $17,922 −20% $20,247 −29% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,268 $14,268 $18,290 −22% $23,443 −39% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $14,216 $14,216 $31,640 −55% $26,618 −47% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $14,157 $14,157 $27,823 −49% $22,320 −37% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $14,150 $14,150 $19,017 −26% $25,581 −45% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $14,130 $14,130 $29,044 −51% $27,843 −49% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $14,121 $14,121 $16,434 −14% $22,557 −37% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,081 $14,081 $14,081 +0% $19,412 −27% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $14,047 $14,047 $18,916 −26% $23,617 −41% ≈134% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $14,035 $14,035 $22,050 −36% $26,870 −48% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $13,971 $13,971 $32,794 −57% $25,700 −46% —
946 REHABILITATION WITHOUT CC/MCC $13,898 $13,898 $17,685 −21% $17,685 −21% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $13,892 $13,892 $22,256 −38% $24,944 −44% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $13,875 $13,875 $25,475 −46% $31,321 −56% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $13,865 $13,865 $28,352 −51% $24,566 −44% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $13,853 $13,853 $17,768 −22% $19,815 −30% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,795 $13,795 $16,495 −16% $18,348 −25% —
598 MALIGNANT BREAST DISORDERS WITH CC $13,726 $13,726 $18,578 −26% $19,073 −28% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $13,724 $13,724 $20,166 −32% $25,034 −45% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,669 $13,669 $23,785 −43% $25,279 −46% —
102 HEADACHES WITH MCC $13,611 $13,611 $34,299 −60% $25,740 −47% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,566 $13,566 $21,153 −36% $28,320 −52% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,566 $13,566 $24,376 −44% $23,571 −42% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $13,465 $13,465 $19,690 −32% $24,386 −45% ≈131% of Medicare
667 PROSTATECTOMY WITHOUT CC/MCC $13,449 $13,449 $16,534 −19% $16,703 −19% —
712 TESTES PROCEDURES WITHOUT CC/MCC $13,377 $13,377 $17,076 −22% $18,898 −29% —
200 PNEUMOTHORAX WITH CC $13,372 $13,372 $18,636 −28% $21,368 −37% —
089 CONCUSSION WITH CC $13,365 $13,365 $17,109 −22% $18,821 −29% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $13,318 $13,318 $20,142 −34% $23,319 −43% ≈163% of Medicare
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $13,294 $13,294 $21,713 −39% $15,764 −16% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,245 $13,245 $17,602 −25% $18,459 −28% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $13,213 $13,213 $17,193 −23% $17,193 −23% —
381 COMPLICATED PEPTIC ULCER WITH CC $13,198 $13,198 $23,283 −43% $24,177 −45% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $13,186 $13,186 $17,226 −23% $17,226 −23% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $13,153 $13,153 $17,398 −24% $17,398 −24% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,150 $13,150 $13,876 −5% $15,370 −14% —
697 URETHRAL STRICTURE $13,134 $13,134 $17,701 −26% $18,428 −29% —
882 NEUROSES EXCEPT DEPRESSIVE $13,090 $13,090 $15,680 −17% $15,680 −17% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,066 $13,066 $15,107 −14% $16,846 −22% —
181 RESPIRATORY NEOPLASMS WITH CC $13,059 $13,059 $30,260 −57% $23,573 −45% —
887 OTHER MENTAL DISORDER DIAGNOSES $13,058 $13,058 $18,631 −30% $20,616 −37% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,049 $13,049 $27,854 −53% $32,021 −59% ≈199% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $13,021 $13,021 $22,956 −43% $20,422 −36% ≈125% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $12,983 $12,983 $19,872 −35% $22,432 −42% ≈181% of Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,939 $12,939 $20,443 −37% $23,283 −44% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $12,923 $12,923 $17,483 −26% $17,483 −26% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,909 $12,909 $17,944 −28% $17,934 −28% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,895 $12,895 $21,094 −39% $23,749 −46% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $12,803 $12,803 $16,857 −24% $20,232 −37% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,793 $12,793 $19,882 −36% $22,314 −43% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,789 $12,789 $21,101 −39% $18,316 −30% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,734 $12,734 $16,461 −23% $16,700 −24% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $12,665 $12,665 $18,935 −33% $25,970 −51% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,618 $12,618 $17,504 −28% $22,763 −45% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $12,614 $12,614 $16,950 −26% $23,141 −45% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,583 $12,583 $18,503 −32% $23,551 −47% ≈123% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $12,561 $12,561 $16,872 −26% $23,488 −47% ≈129% of Medicare
644 ENDOCRINE DISORDERS WITH CC $12,550 $12,550 $23,815 −47% $23,198 −46% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,531 $12,531 $18,180 −31% $22,888 −45% ≈141% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,528 $12,528 $22,889 −45% $24,914 −50% ≈150% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,520 $12,520 $16,427 −24% $22,635 −45% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $12,506 $12,506 $19,320 −35% $22,850 −45% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $12,490 $12,490 $18,849 −34% $20,926 −40% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,469 $12,469 $16,813 −26% $17,601 −29% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $12,443 $12,443 $15,890 −22% $17,404 −29% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $12,440 $12,440 $20,153 −38% $21,275 −42% ≈155% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,429 $12,429 $19,264 −35% $19,264 −35% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $12,389 $12,389 $20,494 −40% $19,657 −37% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,388 $12,388 $26,059 −52% $23,940 −48% ≈144% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,357 $12,357 $15,986 −23% $20,895 −41% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,303 $12,303 $17,159 −28% $18,956 −35% —
920 COMPLICATIONS OF TREATMENT WITH CC $12,299 $12,299 $23,878 −48% $22,468 −45% ≈151% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,278 $12,278 $21,046 −42% $19,962 −38% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,276 $12,276 $28,508 −57% $25,303 −51% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,250 $12,250 $19,304 −37% $20,957 −42% —
187 PLEURAL EFFUSION WITH CC $12,153 $12,153 $20,440 −41% $21,789 −44% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $12,060 $12,060 $25,803 −53% $22,098 −45% ≈145% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $12,043 $12,043 $15,153 −21% $20,455 −41% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,041 $12,041 $16,992 −29% $20,901 −42% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,022 $12,022 $21,685 −45% $20,911 −43% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,011 $12,011 $17,764 −32% $22,033 −45% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $12,008 $12,008 $20,753 −42% $22,024 −45% ≈139% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $11,990 $11,990 $24,135 −50% $22,506 −47% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,955 $11,955 $16,255 −26% $17,724 −33% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,890 $11,890 $20,528 −42% $21,449 −45% ≈138% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,868 $11,868 $20,236 −41% $21,363 −44% ≈132% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,845 $11,845 $21,141 −44% $21,396 −45% ≈139% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,837 $11,837 $15,589 −24% $15,589 −24% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,833 $11,833 $20,399 −42% $17,733 −33% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $11,818 $11,818 $21,303 −45% $20,084 −41% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,807 $11,807 $19,783 −40% $19,846 −41% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,799 $11,799 $13,602 −13% $18,452 −36% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,785 $11,785 $26,167 −55% $19,924 −41% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,768 $11,768 $16,936 −31% $18,072 −35% —
197 INTERSTITIAL LUNG DISEASE WITH CC $11,710 $11,710 $17,431 −33% $21,941 −47% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,622 $11,622 $16,722 −30% $18,488 −37% —
881 DEPRESSIVE NEUROSES $11,620 $11,620 $15,058 −23% $15,058 −23% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,615 $11,615 $15,039 −23% $20,259 −43% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,562 $11,562 $18,918 −39% $20,181 −43% ≈140% of Medicare
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,496 $11,496 $15,901 −28% $15,901 −28% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,436 $11,436 $18,015 −37% $16,998 −33% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,386 $11,386 $18,799 −39% $22,148 −49% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,378 $11,378 $24,435 −53% $20,463 −44% ≈140% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,368 $11,368 $16,909 −33% $20,488 −45% ≈166% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,350 $11,350 $15,869 −28% $16,968 −33% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,344 $11,344 $21,754 −48% $20,506 −45% ≈190% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,330 $11,330 $14,668 −23% $16,520 −31% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,313 $11,313 $22,213 −49% $20,566 −45% —
158 DENTAL AND ORAL DISEASES WITH CC $11,276 $11,276 $20,087 −44% $18,466 −39% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,238 $11,238 $15,276 −26% $15,889 −29% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $11,197 $11,197 $16,212 −31% $16,212 −31% —
101 SEIZURES WITHOUT MCC $11,196 $11,196 $15,777 −29% $20,461 −45% ≈155% of Medicare
638 DIABETES WITH CC $11,125 $11,125 $18,494 −40% $19,661 −43% ≈142% of Medicare
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,118 $11,118 $14,937 −26% $16,552 −33% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,117 $11,117 $18,854 −41% $19,842 −44% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,092 $11,092 $19,672 −44% $18,602 −40% —
864 FEVER AND INFLAMMATORY CONDITIONS $11,031 $11,031 $26,826 −59% $18,640 −41% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $11,014 $11,014 $13,752 −20% $19,119 −42% —
914 TRAUMATIC INJURY WITHOUT MCC $11,007 $11,007 $15,088 −27% $15,855 −31% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,977 $10,977 $14,644 −25% $16,699 −34% ≈177% of Medicare
683 RENAL FAILURE WITH CC $10,899 $10,899 $15,913 −32% $19,130 −43% ≈146% of Medicare
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,880 $10,880 $17,825 −39% $19,138 −43% —
312 SYNCOPE AND COLLAPSE $10,853 $10,853 $17,340 −37% $19,342 −44% ≈136% of Medicare
603 CELLULITIS WITHOUT MCC $10,845 $10,845 $14,803 −27% $18,530 −41% ≈139% of Medicare
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $10,842 $10,842 $18,669 −42% $19,854 −45% —
866 VIRAL ILLNESS WITHOUT MCC $10,831 $10,831 $16,845 −36% $17,081 −37% —
594 SKIN ULCERS WITHOUT CC/MCC $10,800 $10,800 $14,209 −24% $14,209 −24% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,773 $10,773 $20,241 −47% $19,569 −45% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,723 $10,723 $24,079 −55% $18,126 −41% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,721 $10,721 $18,522 −42% $19,594 −45% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,692 $10,692 $12,276 −13% $15,452 −31% ≈166% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,667 $10,667 $17,796 −40% $19,305 −45% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,650 $10,650 $16,463 −35% $14,014 −24% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $10,632 $10,632 $14,055 −24% $14,055 −24% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,607 $10,607 $13,822 −23% $14,501 −27% —
292 HEART FAILURE AND SHOCK WITH CC $10,603 $10,603 $15,779 −33% $16,371 −35% ≈139% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,536 $10,536 $14,338 −27% $18,807 −44% —
779 ABORTION WITHOUT D&C $10,518 $10,518 $11,302 −7% $15,327 −31% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,516 $10,516 $17,067 −38% $19,096 −45% —
103 HEADACHES WITHOUT MCC $10,462 $10,462 $23,367 −55% $21,280 −51% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,461 $10,461 $19,855 −47% $16,565 −37% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,399 $10,399 $17,051 −39% $18,126 −43% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,394 $10,394 $19,424 −46% $18,528 −44% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,363 $10,363 $16,731 −38% $17,700 −41% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $10,339 $10,339 $15,094 −32% $17,135 −40% —
090 CONCUSSION WITHOUT CC/MCC $10,317 $10,317 $25,638 −60% $15,412 −33% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,184 $10,184 $13,799 −26% $17,118 −41% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,166 $10,166 $16,665 −39% $17,674 −42% ≈139% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,145 $10,145 $13,719 −26% $18,002 −44% —
204 RESPIRATORY SIGNS AND SYMPTOMS $10,142 $10,142 $22,720 −55% $18,004 −44% —
534 FRACTURES OF FEMUR WITHOUT MCC $10,128 $10,128 $16,748 −40% $17,559 −42% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,126 $10,126 $16,173 −37% $18,204 −44% ≈147% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $10,116 $10,116 $17,685 −43% $18,081 −44% ≈140% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,104 $10,104 $14,554 −31% $18,150 −44% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $10,067 $10,067 $15,817 −36% $16,634 −39% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,066 $10,066 $21,742 −54% $17,921 −44% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,047 $10,047 $16,890 −41% $21,056 −52% —
123 NEUROLOGICAL EYE DISORDERS $10,045 $10,045 $24,638 −59% $19,745 −49% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,028 $10,028 $13,586 −26% $13,586 −26% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,020 $10,020 $17,811 −44% $17,620 −43% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,953 $9,953 $17,790 −44% $12,593 −21% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,948 $9,948 $16,234 −39% $17,578 −43% ≈143% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $9,921 $9,921 $14,882 −33% $15,215 −35% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,911 $9,911 $16,728 −41% $17,124 −42% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,903 $9,903 $11,072 −11% $11,997 −17% —
694 URINARY STONES WITHOUT MCC $9,858 $9,858 $13,336 −26% $17,345 −43% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,835 $9,835 $13,321 −26% $17,322 −43% ≈134% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,819 $9,819 $15,817 −38% $17,038 −42% ≈142% of Medicare
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,722 $9,722 $14,290 −32% $14,290 −32% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,710 $9,710 $17,762 −45% $15,428 −37% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,704 $9,704 $18,154 −47% $17,298 −44% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,576 $9,576 $24,325 −61% $19,037 −50% —
305 HYPERTENSION WITHOUT MCC $9,564 $9,564 $19,959 −52% $18,086 −47% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,563 $9,563 $14,596 −34% $14,648 −35% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,558 $9,558 $13,002 −26% $16,776 −43% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,552 $9,552 $13,651 −30% $13,275 −28% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,549 $9,549 $14,064 −32% $14,064 −32% —
149 DYSEQUILIBRIUM $9,525 $9,525 $23,926 −60% $18,096 −47% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,500 $9,500 $15,792 −40% $14,716 −35% —
153 OTITIS MEDIA AND URI WITHOUT MCC $9,377 $9,377 $13,931 −33% $14,583 −36% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,349 $9,349 $19,628 −52% $17,303 −46% ≈165% of Medicare
151 EPISTAXIS WITHOUT MCC $9,330 $9,330 $13,032 −28% $13,032 −28% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,283 $9,283 $15,122 −39% $12,559 −26% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,257 $9,257 $14,912 −38% $16,767 −45% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $9,210 $9,210 $18,651 −51% $19,227 −52% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,197 $9,197 $13,602 −32% $15,019 −39% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,193 $9,193 $12,595 −27% $12,895 −29% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $9,179 $9,179 $13,441 −32% $11,909 −23% —
313 CHEST PAIN $9,175 $9,175 $15,639 −41% $16,440 −44% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $9,172 $9,172 $12,453 −26% $15,837 −42% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,144 $9,144 $12,723 −28% $14,514 −37% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,133 $9,133 $12,284 −26% $15,549 −41% —
201 PNEUMOTHORAX WITHOUT CC/MCC $9,121 $9,121 $13,089 −30% $14,053 −35% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,092 $9,092 $14,866 −39% $12,460 −27% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,048 $9,048 $11,755 −23% $13,633 −34% —
311 ANGINA PECTORIS $8,975 $8,975 $14,117 −36% $15,502 −42% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,963 $8,963 $19,848 −55% $15,495 −42% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,951 $8,951 $21,770 −59% $15,600 −43% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $8,868 $8,868 $15,776 −44% $16,450 −46% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,856 $8,856 $11,921 −26% $14,549 −39% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,842 $8,842 $16,196 −45% $14,797 −40% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,832 $8,832 $12,411 −29% $14,689 −40% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,826 $8,826 $12,120 −27% $14,415 −39% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,781 $8,781 $20,781 −58% $20,781 −58% ≈170% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,756 $8,756 $15,788 −45% $13,651 −36% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,747 $8,747 $14,044 −38% $16,288 −46% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,669 $8,669 $12,588 −31% $12,078 −28% —
303 ATHEROSCLEROSIS WITHOUT MCC $8,657 $8,657 $19,063 −55% $14,927 −42% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,644 $8,644 $11,071 −22% $11,071 −22% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,622 $8,622 $14,098 −39% $12,252 −30% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,581 $8,581 $13,750 −38% $13,942 −38% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,551 $8,551 $13,672 −37% $14,250 −40% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,464 $8,464 $19,038 −56% $12,768 −34% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,453 $8,453 $9,835 −14% $12,454 −32% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,390 $8,390 $16,504 −49% $14,128 −41% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,312 $8,312 $16,076 −48% $14,368 −42% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $8,224 $8,224 $12,336 −33% $12,336 −33% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,202 $8,202 $12,745 −36% $14,638 −44% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,184 $8,184 $20,210 −60% $15,038 −46% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,163 $8,163 $13,910 −41% $13,824 −41% —
950 AFTERCARE WITHOUT CC/MCC $8,154 $8,154 $10,801 −25% $13,527 −40% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,084 $8,084 $12,703 −36% $15,183 −47% —
639 DIABETES WITHOUT CC/MCC $8,082 $8,082 $15,601 −48% $13,910 −42% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $8,035 $8,035 $11,294 −29% $12,324 −35% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,903 $7,903 $15,731 −50% $10,975 −28% —
684 RENAL FAILURE WITHOUT CC/MCC $7,851 $7,851 $11,276 −30% $13,642 −42% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,835 $7,835 $9,167 −15% $10,480 −25% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,521 $7,521 $9,852 −24% $11,421 −34% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,472 $7,472 $12,015 −38% $13,384 −44% ≈226% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,471 $7,471 $10,316 −28% $12,999 −43% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,361 $7,361 $11,914 −38% $10,160 −28% ≈132% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,228 $7,228 $10,472 −31% $13,361 −46% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,994 $6,994 $8,048 −13% $9,940 −30% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,244 $6,244 $8,927 −30% $8,927 −30% —
795 NORMAL NEWBORN $3,419 $3,419 $4,866 −30% $4,720 −28% —

Procedures with negotiated rates only

These 11 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $21,090 – $21,090 · median $21,090 1 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $14,660 – $14,660 · median $14,660 1 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,065 – $11,065 · median $11,065 1 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $15,659 – $15,659 · median $15,659 1 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,798 – $11,798 · median $11,798 1 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $116,778 – $116,778 · median $116,778 1 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $81,043 – $81,043 · median $81,043 1 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $61,377 – $61,377 · median $61,377 1 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $87,760 – $87,760 · median $87,760 1 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,040 – $49,040 · median $49,040 1 plans
509 ARTHROSCOPY $19,205 – $19,205 · median $19,205 1 plans
← Back to Strong Memorial Hospital profile