UR Medicine St James 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.

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% $498,715 −4% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $311,299 $311,299 $562,528 −45% $431,073 −28% —
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 $389,239 −39% $371,366 −36% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $154,477 $154,477 $256,977 −40% $245,241 −37% —
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% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $126,597 $126,597 $155,461 −19% $169,977 −26% —
209 COMPLEX AORTIC ARCH PROCEDURES $126,453 $126,453 $201,488 −37% $183,292 −31% —
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% $171,338 −29% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $115,296 $115,296 $139,842 −18% $159,181 −28% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $111,385 $111,385 $201,916 −45% $191,314 −42% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $109,457 $109,457 $247,059 −56% $175,437 −38% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $100,902 $100,902 $107,955 −7% $120,174 −16% —
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 $156,608 −40% $146,474 −35% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $94,194 $94,194 $112,119 −16% $151,029 −38% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $88,278 $88,278 $112,518 −22% $134,914 −35% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $86,170 $86,170 $238,993 −64% $143,242 −40% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $85,804 $85,804 $175,329 −51% $138,868 −38% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $85,524 $85,524 $108,019 −21% $120,587 −29% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $81,084 $81,084 $107,442 −25% $121,728 −33% —
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 $197,899 −60% $131,961 −39% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $77,689 $77,689 $176,606 −56% $138,008 −44% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $77,314 $77,314 $177,288 −56% $118,589 −35% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $75,689 $75,689 $91,253 −17% $105,612 −28% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $75,196 $75,196 $122,421 −39% $94,988 −21% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $75,142 $75,142 $89,681 −16% $114,914 −35% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $73,965 $73,965 $192,933 −62% $121,714 −39% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $73,965 $73,965 $152,440 −51% $92,238 −20% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,701 $73,701 $93,310 −21% $98,912 −25% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $72,410 $72,410 $114,669 −37% $116,058 −38% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $69,020 $69,020 $165,478 −58% $113,855 −39% —
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% $106,238 −36% —
028 SPINAL PROCEDURES WITH MCC $67,692 $67,692 $125,606 −46% $95,858 −29% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $67,673 $67,673 $122,027 −45% $117,280 −42% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $67,191 $67,191 $115,045 −42% $107,355 −37% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $66,974 $66,974 $80,018 −16% $80,018 −16% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $66,822 $66,822 $81,176 −18% $98,260 −32% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $66,146 $66,146 $142,880 −54% $112,062 −41% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $66,104 $66,104 $111,682 −41% $96,192 −31% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $65,023 $65,023 $85,352 −24% $93,783 −31% —
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 $135,515 −52% $106,778 −39% —
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $64,356 $64,356 $146,923 −56% $119,631 −46% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $64,275 $64,275 $73,103 −12% $78,582 −18% —
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 $102,309 −39% $84,861 −26% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $62,322 $62,322 $143,991 −57% $108,472 −43% —
834 ACUTE LEUKEMIA WITH MCC $61,955 $61,955 $74,709 −17% $76,583 −19% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $61,741 $61,741 $94,162 −34% $94,927 −35% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $61,654 $61,654 $160,266 −62% $102,573 −40% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $61,559 $61,559 $73,038 −16% $86,953 −29% —
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 $124,741 −52% $102,177 −41% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $60,182 $60,182 $69,912 −14% $79,944 −25% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $59,785 $59,785 $122,881 −51% $101,235 −41% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $59,592 $59,592 $115,907 −49% $99,423 −40% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $58,807 $58,807 $94,394 −38% $96,222 −39% —
653 MAJOR BLADDER PROCEDURES WITH MCC $58,708 $58,708 $84,904 −31% $97,046 −40% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $56,979 $56,979 $81,713 −30% $90,331 −37% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $56,395 $56,395 $80,701 −30% $80,747 −30% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $55,952 $55,952 $111,145 −50% $96,905 −42% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $55,855 $55,855 $92,416 −40% $87,018 −36% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $55,668 $55,668 $91,116 −39% $87,565 −36% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,441 $55,441 $115,701 −52% $82,527 −33% —
471 CERVICAL SPINAL FUSION WITH MCC $54,639 $54,639 $80,569 −32% $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% $70,735 −23% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $53,888 $53,888 $142,453 −62% $92,217 −42% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $53,230 $53,230 $62,992 −15% $71,551 −26% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $53,124 $53,124 $110,658 −52% $86,390 −39% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $52,969 $52,969 $82,674 −36% $88,691 −40% —
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 $102,350 −49% $91,329 −43% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $52,070 $52,070 $75,766 −31% $88,050 −41% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $51,940 $51,940 $89,295 −42% $80,885 −36% —
245 AICD GENERATOR PROCEDURES $51,692 $51,692 $66,564 −22% $72,076 −28% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $51,541 $51,541 $63,580 −19% $72,859 −29% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $51,519 $51,519 $97,799 −47% $88,307 −42% —
799 SPLENIC PROCEDURES WITH MCC $51,322 $51,322 $76,574 −33% $78,821 −35% —
163 MAJOR CHEST PROCEDURES WITH MCC $50,800 $50,800 $90,851 −44% $88,341 −42% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $50,786 $50,786 $113,929 −55% $68,659 −26% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $50,591 $50,591 $87,760 −42% $75,585 −33% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $49,816 $49,816 $89,159 −44% $82,561 −40% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $49,092 $49,092 $112,108 −56% $88,049 −44% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $48,710 $48,710 $86,544 −44% $76,954 −37% —
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 $109,299 −56% $83,065 −42% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $47,859 $47,859 $73,029 −34% $73,029 −34% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $47,836 $47,836 $58,656 −18% $66,853 −28% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $47,700 $47,700 $77,589 −39% $72,945 −35% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $47,645 $47,645 $60,697 −22% $68,847 −31% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $47,558 $47,558 $104,981 −55% $82,247 −42% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $47,379 $47,379 $135,307 −65% $83,441 −43% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $47,346 $47,346 $22,283 +112% $16,719 +183% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $47,162 $47,162 $92,292 −49% $72,011 −35% —
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 $49,057 −6% $39,563 +17% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $45,696 $45,696 $75,492 −39% $75,492 −39% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $45,293 $45,293 $72,168 −37% $59,425 −24% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $44,494 $44,494 $85,781 −48% $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 $95,318 −54% $72,908 −40% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $43,974 $43,974 $52,861 −17% $54,196 −19% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $43,933 $43,933 $84,121 −48% $74,257 −41% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $43,691 $43,691 $75,408 −42% $71,701 −39% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $42,847 $42,847 $55,689 −23% $75,103 −43% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $42,665 $42,665 $46,049 −7% $52,908 −19% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $42,567 $42,567 $67,154 −37% $72,782 −42% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $42,562 $42,562 $49,711 −14% $64,776 −34% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $42,446 $42,446 $61,206 −31% $68,006 −38% —
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 $89,065 −53% $55,097 −24% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $41,835 $41,835 $78,651 −47% $70,540 −41% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $41,359 $41,359 $44,389 −7% $51,142 −19% —
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 $58,213 −29% $58,125 −29% —
265 AICD LEAD PROCEDURES $41,245 $41,245 $83,892 −51% $56,695 −27% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $41,174 $41,174 $49,718 −17% $57,855 −29% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $41,114 $41,114 $65,588 −37% $57,277 −28% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $40,853 $40,853 $54,862 −26% $57,521 −29% —
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 $82,458 −51% $71,755 −43% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $40,663 $40,663 $72,552 −44% $59,207 −31% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $40,629 $40,629 $49,908 −19% $68,399 −41% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $40,592 $40,592 $51,761 −22% $60,861 −33% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $40,560 $40,560 $68,489 −41% $71,014 −43% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $40,231 $40,231 $73,275 −45% $68,880 −42% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $40,151 $40,151 $50,550 −21% $62,524 −36% —
252 OTHER VASCULAR PROCEDURES WITH MCC $39,807 $39,807 $75,832 −48% $68,508 −42% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $39,797 $39,797 $53,357 −25% $62,961 −37% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $39,620 $39,620 $48,165 −18% $49,065 −19% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $39,434 $39,434 $76,169 −48% $62,269 −37% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $39,257 $39,257 $58,599 −33% $110,732 −65% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $39,144 $39,144 $69,526 −44% $65,383 −40% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $38,958 $38,958 $60,497 −36% $64,152 −39% —
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% $64,749 −42% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $37,632 $37,632 $87,436 −57% $65,573 −43% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $37,201 $37,201 $83,715 −56% $67,901 −45% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $37,043 $37,043 $52,030 −29% $54,129 −32% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $37,003 $37,003 $44,584 −17% $49,710 −26% —
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% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $36,917 $36,917 $83,932 −56% $64,956 −43% —
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% $53,551 −31% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $36,537 $36,537 $69,584 −47% $70,132 −48% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $36,472 $36,472 $51,311 −29% $62,821 −42% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $36,438 $36,438 $64,465 −43% $64,465 −43% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $36,367 $36,367 $49,015 −26% $62,404 −42% —
500 SOFT TISSUE PROCEDURES WITH MCC $36,228 $36,228 $53,498 −32% $57,479 −37% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $36,174 $36,174 $43,218 −16% $53,817 −33% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $36,075 $36,075 $91,834 −61% $66,819 −46% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $36,058 $36,058 $79,460 −55% $65,325 −45% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $35,976 $35,976 $39,606 −9% $48,907 −26% —
665 PROSTATECTOMY WITH MCC $35,745 $35,745 $50,174 −29% $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% $54,313 −34% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $35,612 $35,612 $61,575 −42% $63,475 −44% —
662 MINOR BLADDER PROCEDURES WITH MCC $35,085 $35,085 $55,854 −37% $54,483 −36% —
263 VEIN LIGATION AND STRIPPING $35,039 $35,039 $38,005 −8% $44,938 −22% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $34,771 $34,771 $48,438 −28% $65,254 −47% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $34,631 $34,631 $53,604 −35% $49,055 −29% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $34,626 $34,626 $40,406 −14% $58,968 −41% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $34,590 $34,590 $36,842 −6% $46,659 −26% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $34,143 $34,143 $67,085 −49% $53,555 −36% —
472 CERVICAL SPINAL FUSION WITH CC $33,808 $33,808 $59,171 −43% $59,537 −43% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $33,785 $33,785 $46,181 −27% $40,277 −16% —
570 SKIN DEBRIDEMENT WITH MCC $33,752 $33,752 $42,263 −20% $52,435 −36% —
668 TRANSURETHRAL PROCEDURES WITH MCC $33,519 $33,519 $49,739 −33% $47,277 −29% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $33,434 $33,434 $64,529 −48% $63,984 −48% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $33,320 $33,320 $51,577 −35% $60,140 −45% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $33,300 $33,300 $47,220 −29% $58,043 −43% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $33,158 $33,158 $38,581 −14% $44,973 −26% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $33,143 $33,143 $46,103 −28% $46,402 −29% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $33,096 $33,096 $84,844 −61% $45,290 −27% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $32,968 $32,968 $63,485 −48% $67,764 −51% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $32,750 $32,750 $54,475 −40% $54,475 −40% —
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 $50,400 −36% $53,868 −40% —
503 FOOT PROCEDURES WITH MCC $32,093 $32,093 $58,830 −45% $43,901 −27% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $31,880 $31,880 $51,101 −38% $57,149 −44% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $31,716 $31,716 $66,547 −52% $57,963 −45% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $31,623 $31,623 $54,297 −42% $52,405 −40% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $31,616 $31,616 $49,222 −36% $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 $76,734 −59% $74,274 −58% —
849 RADIOTHERAPY $31,190 $31,190 $37,862 −18% $37,862 −18% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $31,153 $31,153 $45,238 −31% $45,497 −32% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,056 $31,056 $37,153 −16% $43,697 −29% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,642 $30,642 $59,254 −48% $56,758 −46% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $30,539 $30,539 $37,754 −19% $45,432 −33% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $30,392 $30,392 $37,631 −19% $40,947 −26% —
253 OTHER VASCULAR PROCEDURES WITH CC $29,929 $29,929 $56,289 −47% $53,746 −44% —
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 $38,706 −23% $44,839 −34% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $29,748 $29,748 $59,209 −50% $47,583 −37% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $29,748 $29,748 $34,307 −13% $39,093 −24% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $29,619 $29,619 $42,815 −31% $41,703 −29% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $29,458 $29,458 $46,501 −37% $55,162 −47% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $29,324 $29,324 $43,429 −32% $48,094 −39% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $29,271 $29,271 $54,832 −47% $56,394 −48% —
164 MAJOR CHEST PROCEDURES WITH CC $29,137 $29,137 $67,197 −57% $53,141 −45% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $29,125 $29,125 $57,419 −49% $52,332 −44% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $28,782 $28,782 $66,902 −57% $46,591 −38% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $28,669 $28,669 $43,431 −34% $39,657 −28% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $28,420 $28,420 $38,036 −25% $50,139 −43% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $28,412 $28,412 $58,553 −51% $51,985 −45% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $28,375 $28,375 $25,515 +11% $28,375 +0% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $28,309 $28,309 $22,087 +28% $11,633 +143% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $28,254 $28,254 $49,647 −43% $54,824 −48% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $28,222 $28,222 $58,276 −52% $50,624 −44% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $28,011 $28,011 $28,011 +0% $58,739 −52% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,923 $27,923 $65,209 −57% $93,769 −70% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $27,824 $27,824 $57,963 −52% $36,080 −23% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $27,734 $27,734 $55,088 −50% $58,832 −53% —
397 APPENDIX PROCEDURES WITH MCC $27,708 $27,708 $52,457 −47% $52,319 −47% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $27,660 $27,660 $61,008 −55% $46,430 −40% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $27,614 $27,614 $41,196 −33% $52,313 −47% —
113 ORBITAL PROCEDURES WITH CC/MCC $27,224 $27,224 $57,860 −53% $35,642 −24% —
333 RECTAL RESECTION WITH CC $27,125 $27,125 $31,951 −15% $34,352 −21% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $27,086 $27,086 $42,884 −37% $49,631 −45% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $27,067 $27,067 $35,473 −24% $38,420 −30% —
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 $62,284 −57% $48,682 −45% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $26,914 $26,914 $42,202 −36% $39,409 −32% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $26,782 $26,782 $73,532 −64% $47,546 −44% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $26,610 $26,610 $49,639 −46% $40,548 −34% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $26,602 $26,602 $39,489 −33% $37,902 −30% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $26,499 $26,499 $33,308 −20% $36,237 −27% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $26,455 $26,455 $31,159 −15% $36,097 −27% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $26,389 $26,389 $39,369 −33% $44,553 −41% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $26,347 $26,347 $47,618 −45% $37,064 −29% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $26,278 $26,278 $45,690 −42% $38,382 −32% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $25,979 $25,979 $71,300 −64% $44,053 −41% —
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% $40,232 −36% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $25,693 $25,693 $44,619 −42% $44,600 −42% —
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 $32,919 −22% $36,334 −29% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $25,537 $25,537 $33,306 −23% $44,989 −43% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $25,499 $25,499 $38,567 −34% $45,818 −44% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $25,461 $25,461 $46,130 −45% $43,586 −42% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $25,418 $25,418 $44,472 −43% $39,253 −35% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $25,358 $25,358 $55,306 −54% $51,339 −51% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $25,343 $25,343 $38,653 −34% $34,900 −27% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $25,317 $25,317 $46,757 −46% $45,059 −44% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $25,301 $25,301 $48,770 −48% $46,066 −45% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $25,220 $25,220 $29,979 −16% $40,065 −37% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $24,905 $24,905 $42,315 −41% $41,900 −41% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $24,896 $24,896 $39,826 −37% $34,089 −27% —
374 DIGESTIVE MALIGNANCY WITH MCC $24,874 $24,874 $38,075 −35% $38,885 −36% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $24,788 $24,788 $43,988 −44% $45,622 −46% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,787 $24,787 $50,655 −51% $50,011 −50% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $24,777 $24,777 $37,410 −34% $35,686 −31% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $24,741 $24,741 $35,509 −30% $32,483 −24% —
595 MAJOR SKIN DISORDERS WITH MCC $24,674 $24,674 $37,345 −34% $31,785 −22% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $24,641 $24,641 $52,634 −53% $56,519 −56% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $24,638 $24,638 $47,803 −48% $37,080 −34% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $24,629 $24,629 $45,797 −46% $41,651 −41% —
336 PERITONEAL ADHESIOLYSIS WITH CC $24,542 $24,542 $44,395 −45% $49,470 −50% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $24,473 $24,473 $57,394 −57% $37,654 −35% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $24,384 $24,384 $53,106 −54% $51,172 −52% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $24,370 $24,370 $37,707 −35% $36,850 −34% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $24,347 $24,347 $49,467 −51% $46,477 −48% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $24,306 $24,306 $29,518 −18% $30,661 −21% —
835 ACUTE LEUKEMIA WITH CC $24,288 $24,288 $41,313 −41% $35,569 −32% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $24,282 $24,282 $33,498 −28% $38,357 −37% —
711 TESTES PROCEDURES WITH CC/MCC $24,266 $24,266 $46,485 −48% $34,852 −30% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $24,217 $24,217 $39,545 −39% $43,538 −44% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $24,203 $24,203 $46,090 −47% $45,817 −47% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $24,172 $24,172 $24,172 +0% $24,836 −3% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $24,077 $24,077 $32,506 −26% $43,398 −45% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $24,009 $24,009 $47,968 −50% $44,363 −46% —
935 NON-EXTENSIVE BURNS $24,003 $24,003 $31,701 −24% $29,458 −19% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $23,882 $23,882 $31,344 −24% $33,050 −28% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $23,645 $23,645 $35,817 −34% $29,524 −20% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $23,583 $23,583 $43,498 −46% $35,673 −34% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $23,503 $23,503 $31,100 −24% $22,532 +4% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $23,461 $23,461 $41,480 −43% $35,714 −34% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $23,411 $23,411 $38,192 −39% $45,963 −49% —
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 $36,815 −37% $43,775 −47% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $23,318 $23,318 $38,023 −39% $43,524 −46% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $23,286 $23,286 $40,387 −42% $41,660 −44% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $23,281 $23,281 $34,120 −32% $36,280 −36% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $23,126 $23,126 $31,582 −27% $35,014 −34% —
539 OSTEOMYELITIS WITH MCC $23,004 $23,004 $45,071 −49% $33,746 −32% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $22,987 $22,987 $49,473 −54% $36,933 −38% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $22,966 $22,966 $27,256 −16% $22,698 +1% —
906 HAND PROCEDURES FOR INJURIES $22,944 $22,944 $31,792 −28% $31,520 −27% —
380 COMPLICATED PEPTIC ULCER WITH MCC $22,921 $22,921 $33,696 −32% $36,641 −37% —
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 $35,115 −35% $35,237 −36% ≈145% of Medicare
100 SEIZURES WITH MCC $22,639 $22,639 $31,211 −27% $35,194 −36% —
592 SKIN ULCERS WITH MCC $22,623 $22,623 $29,882 −24% $32,662 −31% —
548 SEPTIC ARTHRITIS WITH MCC $22,574 $22,574 $34,947 −35% $31,019 −27% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $22,554 $22,554 $28,958 −22% $29,633 −24% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $22,552 $22,552 $45,967 −51% $49,197 −54% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $22,527 $22,527 $30,024 −25% $34,264 −34% —
075 VIRAL MENINGITIS WITH CC/MCC $22,426 $22,426 $29,084 −23% $29,853 −25% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $22,393 $22,393 $41,665 −46% $35,459 −37% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $22,389 $22,389 $57,095 −61% $41,380 −46% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $22,331 $22,331 $41,456 −46% $28,634 −22% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $22,127 $22,127 $44,442 −50% $42,126 −47% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $22,127 $22,127 $35,183 −37% $32,538 −32% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $22,091 $22,091 $31,341 −30% $30,766 −28% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $21,904 $21,904 $38,934 −44% $42,881 −49% —
504 FOOT PROCEDURES WITH CC $21,891 $21,891 $29,220 −25% $36,598 −40% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,844 $21,844 $29,800 −27% $30,974 −29% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $21,778 $21,778 $43,492 −50% $31,909 −32% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $21,778 $21,778 $46,694 −53% $33,564 −35% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,587 $21,587 $35,135 −39% $29,476 −27% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $21,532 $21,532 $34,822 −38% $37,950 −43% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $21,511 $21,511 $27,369 −21% $40,552 −47% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $21,469 $21,469 $27,695 −22% $32,204 −33% —
919 COMPLICATIONS OF TREATMENT WITH MCC $21,467 $21,467 $26,862 −20% $29,031 −26% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $21,458 $21,458 $39,277 −45% $40,583 −47% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $21,436 $21,436 $38,268 −44% $37,842 −43% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,388 $21,388 $27,614 −23% $32,839 −35% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $21,388 $21,388 $32,602 −34% $30,394 −30% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $21,251 $21,251 $29,314 −28% $30,940 −31% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $21,236 $21,236 $28,993 −27% $35,139 −40% —
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 $48,949 −57% $36,597 −42% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $21,215 $21,215 $24,851 −15% $28,103 −25% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $21,209 $21,209 $44,198 −52% $40,063 −47% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $21,197 $21,197 $36,202 −41% $36,202 −41% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $21,169 $21,169 $52,219 −59% $43,800 −52% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $21,167 $21,167 $41,587 −49% $32,981 −36% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $21,163 $21,163 $41,820 −49% $40,563 −48% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $21,150 $21,150 $26,590 −20% $14,284 +48% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $21,093 $21,093 $29,109 −28% $29,109 −28% —
671 URETHRAL PROCEDURES WITH CC/MCC $21,070 $21,070 $26,412 −20% $27,233 −23% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $21,067 $21,067 $27,729 −24% $32,399 −35% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $21,058 $21,058 $28,893 −27% $33,165 −37% —
505 FOOT PROCEDURES WITHOUT CC/MCC $21,046 $21,046 $25,972 −19% $31,716 −34% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $20,923 $20,923 $47,265 −56% $38,836 −46% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $20,828 $20,828 $36,341 −43% $31,758 −34% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $20,782 $20,782 $44,644 −53% $41,520 −50% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $20,755 $20,755 $34,886 −41% $35,114 −41% —
180 RESPIRATORY NEOPLASMS WITH MCC $20,750 $20,750 $40,315 −49% $36,658 −43% —
199 PNEUMOTHORAX WITH MCC $20,729 $20,729 $29,170 −29% $31,491 −34% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $20,716 $20,716 $59,784 −65% $54,772 −62% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $20,652 $20,652 $53,594 −61% $48,680 −58% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $20,641 $20,641 $32,429 −36% $36,375 −43% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $20,566 $20,566 $28,798 −29% $29,409 −30% —
666 PROSTATECTOMY WITH CC $20,565 $20,565 $33,815 −39% $30,016 −31% —
501 SOFT TISSUE PROCEDURES WITH CC $20,551 $20,551 $45,517 −55% $37,975 −46% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $20,518 $20,518 $26,307 −22% $30,275 −32% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $20,434 $20,434 $54,499 −63% $36,333 −44% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $20,430 $20,430 $28,382 −28% $29,916 −32% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $20,383 $20,383 $33,575 −39% $29,558 −31% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $20,329 $20,329 $34,662 −41% $36,242 −44% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $20,326 $20,326 $50,041 −59% $39,018 −48% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $20,289 $20,289 $28,688 −29% $31,566 −36% —
157 DENTAL AND ORAL DISEASES WITH MCC $20,205 $20,205 $27,457 −26% $27,457 −26% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,174 $20,174 $36,561 −45% $30,930 −35% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $20,124 $20,124 $27,853 −28% $29,609 −32% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $20,096 $20,096 $23,658 −15% $29,371 −32% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,061 $20,061 $45,989 −56% $35,584 −44% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $19,996 $19,996 $26,332 −24% $29,729 −33% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $19,926 $19,926 $32,818 −39% $42,119 −53% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $19,906 $19,906 $21,228 −6% $24,561 −19% —
571 SKIN DEBRIDEMENT WITH CC $19,903 $19,903 $37,246 −47% $34,901 −43% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,830 $19,830 $42,815 −54% $44,117 −55% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $19,825 $19,825 $40,400 −51% $43,266 −54% —
915 ALLERGIC REACTIONS WITH MCC $19,816 $19,816 $25,750 −23% $30,944 −36% —
551 MEDICAL BACK PROBLEMS WITH MCC $19,755 $19,755 $33,102 −40% $31,086 −36% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $19,697 $19,697 $34,124 −42% $31,128 −37% —
597 MALIGNANT BREAST DISORDERS WITH MCC $19,655 $19,655 $35,093 −44% $31,846 −38% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $19,630 $19,630 $25,761 −24% $30,814 −36% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $19,609 $19,609 $34,211 −43% $33,984 −42% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $19,582 $19,582 $39,618 −51% $27,548 −29% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $19,526 $19,526 $41,155 −53% $35,692 −45% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $19,515 $19,515 $30,494 −36% $30,058 −35% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $19,460 $19,460 $25,044 −22% $27,118 −28% —
643 ENDOCRINE DISORDERS WITH MCC $19,423 $19,423 $27,741 −30% $32,996 −41% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,395 $19,395 $46,235 −58% $38,094 −49% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $19,371 $19,371 $38,708 −50% $32,490 −40% —
334 RECTAL RESECTION WITHOUT CC/MCC $19,332 $19,332 $47,039 −59% $32,213 −40% —
913 TRAUMATIC INJURY WITH MCC $19,296 $19,296 $36,618 −47% $24,198 −20% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $19,275 $19,275 $36,771 −48% $25,731 −25% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $19,260 $19,260 $30,877 −38% $31,059 −38% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $19,256 $19,256 $39,285 −51% $39,747 −52% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $19,247 $19,247 $25,581 −25% $32,502 −41% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $19,244 $19,244 $43,479 −56% $33,694 −43% —
038 EXTRACRANIAL PROCEDURES WITH CC $19,163 $19,163 $39,339 −51% $35,770 −46% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,011 $19,011 $23,378 −19% $25,208 −25% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,984 $18,984 $26,167 −27% $28,578 −34% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $18,960 $18,960 $29,289 −35% $28,252 −33% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,958 $18,958 $30,390 −38% $28,967 −35% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $18,938 $18,938 $46,229 −59% $35,375 −46% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $18,916 $18,916 $37,027 −49% $35,453 −47% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $18,905 $18,905 $30,510 −38% $32,689 −42% —
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% $33,607 −44% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $18,777 $18,777 $47,908 −61% $34,434 −45% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $18,717 $18,717 $24,282 −23% $26,020 −28% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $18,645 $18,645 $28,689 −35% $24,450 −24% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $18,628 $18,628 $27,447 −32% $33,424 −44% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $18,563 $18,563 $30,645 −39% $28,134 −34% —
533 FRACTURES OF FEMUR WITH MCC $18,555 $18,555 $28,442 −35% $25,945 −28% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $18,539 $18,539 $52,596 −65% $33,490 −45% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $18,509 $18,509 $27,330 −32% $24,465 −24% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $18,500 $18,500 $34,944 −47% $31,840 −42% ≈137% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,491 $18,491 $27,987 −34% $30,910 −40% —
186 PLEURAL EFFUSION WITH MCC $18,454 $18,454 $30,373 −39% $32,468 −43% —
669 TRANSURETHRAL PROCEDURES WITH CC $18,382 $18,382 $47,653 −61% $34,354 −46% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $18,379 $18,379 $38,106 −52% $35,528 −48% —
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 $30,064 −39% $32,936 −44% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $18,212 $18,212 $31,148 −42% $33,137 −45% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $18,193 $18,193 $32,884 −45% $36,239 −50% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $18,192 $18,192 $23,065 −21% $24,879 −27% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $18,185 $18,185 $33,198 −45% $32,911 −45% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,167 $18,167 $24,997 −27% $25,854 −30% —
183 MAJOR CHEST TRAUMA WITH MCC $18,137 $18,137 $23,796 −24% $28,924 −37% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $18,104 $18,104 $28,195 −36% $29,484 −39% —
813 COAGULATION DISORDERS $18,086 $18,086 $32,291 −44% $30,128 −40% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,077 $18,077 $37,278 −52% $33,792 −47% —
663 MINOR BLADDER PROCEDURES WITH CC $18,030 $18,030 $29,153 −38% $29,924 −40% —
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 $40,924 −56% $39,107 −54% —
606 MINOR SKIN DISORDERS WITH MCC $17,952 $17,952 $38,677 −54% $25,434 −29% —
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 $48,696 −63% $25,149 −29% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,858 $17,858 $31,758 −44% $31,062 −43% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $17,844 $17,844 $28,811 −38% $29,663 −40% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $17,810 $17,810 $26,477 −33% $25,484 −30% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $17,800 $17,800 $24,888 −28% $27,279 −35% —
865 VIRAL ILLNESS WITH MCC $17,787 $17,787 $22,350 −20% $26,088 −32% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $17,775 $17,775 $24,292 −27% $27,168 −35% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $17,745 $17,745 $42,413 −58% $41,380 −57% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $17,739 $17,739 $27,584 −36% $31,816 −44% —
137 MOUTH PROCEDURES WITH CC/MCC $17,731 $17,731 $34,700 −49% $24,348 −27% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $17,661 $17,661 $26,780 −34% $28,646 −38% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $17,623 $17,623 $32,783 −46% $25,197 −30% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $17,617 $17,617 $28,470 −38% $25,786 −32% —
682 RENAL FAILURE WITH MCC $17,596 $17,596 $24,994 −30% $27,854 −37% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $17,549 $17,549 $27,615 −36% $28,780 −39% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $17,540 $17,540 $9,053 +94% $7,961 +120% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,538 $17,538 $19,930 −12% $23,920 −27% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $17,497 $17,497 $26,971 −35% $28,140 −38% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $17,485 $17,485 $21,615 −19% $21,615 −19% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $17,460 $17,460 $42,416 −59% $24,941 −30% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,458 $17,458 $35,950 −51% $30,972 −44% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $17,358 $17,358 $25,986 −33% $24,452 −29% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $17,185 $17,185 $20,980 −18% $20,980 −18% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $17,177 $17,177 $24,215 −29% $25,243 −32% —
637 DIABETES WITH MCC $17,106 $17,106 $26,438 −35% $28,819 −41% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,053 $17,053 $21,563 −21% $23,734 −28% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $16,988 $16,988 $31,294 −46% $29,050 −42% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $16,974 $16,974 $26,717 −36% $29,211 −42% —
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 $27,789 −39% $29,347 −42% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,902 $16,902 $19,354 −13% $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 $28,682 −42% $27,934 −40% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $16,742 $16,742 $48,180 −65% $35,542 −53% —
710 PENIS PROCEDURES WITHOUT CC/MCC $16,713 $16,713 $30,970 −46% $23,814 −30% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $16,694 $16,694 $39,028 −57% $25,152 −34% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $16,692 $16,692 $43,042 −61% $31,812 −48% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,676 $16,676 $28,020 −40% $29,374 −43% —
885 PSYCHOSES $16,664 $16,664 $21,489 −22% $21,489 −22% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,653 $16,653 $23,875 −30% $24,118 −31% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $16,621 $16,621 $29,484 −44% $23,924 −31% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $16,559 $16,559 $35,261 −53% $24,980 −34% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $16,527 $16,527 $23,738 −30% $24,229 −32% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $16,486 $16,486 $19,602 −16% $26,634 −38% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,408 $16,408 $33,894 −52% $29,757 −45% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,328 $16,328 $39,268 −58% $28,527 −43% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $16,321 $16,321 $30,820 −47% $34,887 −53% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $16,294 $16,294 $34,473 −53% $30,418 −46% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $16,284 $16,284 $36,948 −56% $25,666 −37% —
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 $30,056 −46% $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 $21,703 −26% $27,321 −41% —
506 MAJOR THUMB OR JOINT PROCEDURES $16,138 $16,138 $47,364 −66% $28,983 −44% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $16,101 $16,101 $39,215 −59% $30,006 −46% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $16,097 $16,097 $18,949 −15% $23,297 −31% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $16,091 $16,091 $28,482 −44% $31,978 −50% —
693 URINARY STONES WITH MCC $16,086 $16,086 $23,355 −31% $22,525 −29% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $16,070 $16,070 $22,084 −27% $20,147 −20% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $15,987 $15,987 $24,142 −34% $24,480 −35% —
150 EPISTAXIS WITH MCC $15,942 $15,942 $21,133 −25% $21,133 −25% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,906 $15,906 $24,888 −36% $25,623 −38% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $15,849 $15,849 $22,519 −30% $21,029 −25% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $15,834 $15,834 $23,338 −32% $23,723 −33% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $15,833 $15,833 $24,370 −35% $30,358 −48% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,753 $15,753 $24,801 −36% $26,158 −40% ≈150% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,734 $15,734 $31,734 −50% $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 $21,831 −28% $22,275 −30% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,623 $15,623 $23,278 −33% $23,115 −32% —
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% $23,494 −34% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $15,552 $15,552 $27,100 −43% $23,956 −35% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $15,544 $15,544 $29,561 −47% $25,426 −39% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $15,538 $15,538 $25,117 −38% $25,010 −38% —
291 HEART FAILURE AND SHOCK WITH MCC $15,414 $15,414 $26,231 −41% $25,020 −38% ≈149% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,394 $15,394 $25,858 −40% $23,350 −34% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $15,278 $15,278 $32,900 −54% $21,860 −30% —
947 SIGNS AND SYMPTOMS WITH MCC $15,255 $15,255 $30,911 −51% $25,474 −40% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $15,242 $15,242 $27,007 −44% $27,244 −44% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $15,216 $15,216 $22,707 −33% $22,032 −31% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,061 $15,061 $17,137 −12% $17,078 −12% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $14,939 $14,939 $22,337 −33% $26,322 −43% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $14,937 $14,937 $27,377 −45% $27,369 −45% —
139 SALIVARY GLAND PROCEDURES $14,882 $14,882 $25,144 −41% $21,014 −29% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,878 $14,878 $24,336 −39% $25,704 −42% ≈150% 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% $20,421 −28% —
375 DIGESTIVE MALIGNANCY WITH CC $14,593 $14,593 $27,902 −48% $27,219 −46% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $14,578 $14,578 $28,768 −49% $29,805 −51% —
549 SEPTIC ARTHRITIS WITH CC $14,566 $14,566 $27,777 −48% $20,938 −30% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $14,531 $14,531 $24,934 −42% $26,488 −45% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,531 $14,531 $38,130 −62% $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 $19,101 −24% $20,842 −30% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,478 $14,478 $26,556 −45% $25,307 −43% —
302 ATHEROSCLEROSIS WITH MCC $14,449 $14,449 $23,828 −39% $20,844 −31% —
304 HYPERTENSION WITH MCC $14,376 $14,376 $30,162 −52% $24,185 −41% —
949 AFTERCARE WITH CC/MCC $14,373 $14,373 $21,946 −35% $23,953 −40% —
593 SKIN ULCERS WITH CC $14,335 $14,335 $24,087 −40% $20,470 −30% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $14,334 $14,334 $19,357 −26% $26,146 −45% —
152 OTITIS MEDIA AND URI WITH MCC $14,290 $14,290 $21,226 −33% $19,795 −28% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,268 $14,268 $23,274 −39% $21,062 −32% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $14,216 $14,216 $31,640 −55% $25,267 −44% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $14,157 $14,157 $19,581 −28% $19,894 −29% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $14,150 $14,150 $32,316 −56% $23,588 −40% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $14,130 $14,130 $30,251 −53% $25,162 −44% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $14,121 $14,121 $24,581 −43% $22,557 −37% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,081 $14,081 $18,291 −23% $18,291 −23% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $14,047 $14,047 $20,718 −32% $22,982 −39% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $14,035 $14,035 $31,637 −56% $24,316 −42% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $13,971 $13,971 $31,617 −56% $24,202 −42% —
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% $24,432 −43% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $13,875 $13,875 $27,097 −49% $30,314 −54% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $13,865 $13,865 $21,583 −36% $20,741 −33% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $13,853 $13,853 $19,179 −28% $19,317 −28% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,795 $13,795 $16,495 −16% $16,495 −16% —
598 MALIGNANT BREAST DISORDERS WITH CC $13,726 $13,726 $20,485 −33% $19,073 −28% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $13,724 $13,724 $21,786 −37% $24,017 −43% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,669 $13,669 $27,156 −50% $24,452 −44% —
102 HEADACHES WITH MCC $13,611 $13,611 $25,440 −46% $22,544 −40% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,566 $13,566 $36,311 −63% $27,492 −51% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,566 $13,566 $24,974 −46% $23,571 −42% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $13,465 $13,465 $21,554 −38% $24,190 −44% —
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 $25,705 −48% $20,573 −35% —
089 CONCUSSION WITH CC $13,365 $13,365 $17,109 −22% $18,293 −27% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $13,318 $13,318 $21,478 −38% $21,806 −39% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $13,294 $13,294 $23,771 −44% $15,764 −16% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,245 $13,245 $21,186 −37% $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 $15,319 −14% $15,370 −14% —
697 URETHRAL STRICTURE $13,134 $13,134 $21,435 −39% $17,705 −26% —
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 $15,777 −17% $17,103 −24% —
181 RESPIRATORY NEOPLASMS WITH CC $13,059 $13,059 $27,871 −53% $22,431 −42% —
887 OTHER MENTAL DISORDER DIAGNOSES $13,058 $13,058 $18,631 −30% $20,602 −37% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,049 $13,049 $30,745 −58% $31,190 −58% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $13,021 $13,021 $22,925 −43% $19,579 −33% —
184 MAJOR CHEST TRAUMA WITH CC $12,983 $12,983 $18,219 −29% $20,842 −38% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,939 $12,939 $21,782 −41% $22,560 −43% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $12,923 $12,923 $25,085 −48% $17,483 −26% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,909 $12,909 $23,601 −45% $17,108 −25% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,895 $12,895 $24,089 −46% $23,749 −46% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $12,803 $12,803 $16,903 −24% $18,478 −31% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,793 $12,793 $24,070 −47% $18,126 −29% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,789 $12,789 $22,446 −43% $18,428 −31% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,734 $12,734 $21,992 −42% $16,418 −22% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $12,665 $12,665 $20,291 −38% $24,022 −47% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,618 $12,618 $18,889 −33% $22,231 −43% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $12,614 $12,614 $25,890 −51% $23,141 −45% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,583 $12,583 $17,733 −29% $23,496 −46% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $12,561 $12,561 $21,138 −41% $23,396 −46% —
644 ENDOCRINE DISORDERS WITH CC $12,550 $12,550 $24,428 −49% $22,941 −45% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,531 $12,531 $18,541 −32% $22,781 −45% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,528 $12,528 $27,612 −55% $24,136 −48% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,520 $12,520 $18,052 −31% $20,080 −38% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $12,506 $12,506 $20,158 −38% $22,850 −45% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $12,490 $12,490 $20,673 −40% $19,868 −37% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,469 $12,469 $17,649 −29% $16,571 −25% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $12,443 $12,443 $22,597 −45% $15,890 −22% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $12,440 $12,440 $19,401 −36% $20,732 −40% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,429 $12,429 $19,264 −35% $18,017 −31% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $12,389 $12,389 $24,574 −50% $17,550 −29% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,388 $12,388 $28,079 −56% $23,469 −47% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,357 $12,357 $21,346 −42% $18,282 −32% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,303 $12,303 $17,159 −28% $17,943 −31% —
920 COMPLICATIONS OF TREATMENT WITH CC $12,299 $12,299 $23,173 −47% $21,181 −42% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,278 $12,278 $21,046 −42% $19,001 −35% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,276 $12,276 $26,899 −54% $22,713 −46% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,250 $12,250 $19,304 −37% $20,007 −39% —
187 PLEURAL EFFUSION WITH CC $12,153 $12,153 $20,494 −41% $21,467 −43% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $12,060 $12,060 $24,838 −51% $21,886 −45% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $12,043 $12,043 $15,286 −21% $20,309 −41% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,041 $12,041 $17,560 −31% $19,091 −37% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,022 $12,022 $18,223 −34% $20,371 −41% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,011 $12,011 $19,528 −38% $20,968 −43% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $12,008 $12,008 $20,666 −42% $22,024 −45% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $11,990 $11,990 $22,525 −47% $21,545 −44% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,955 $11,955 $15,954 −25% $17,273 −31% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,890 $11,890 $20,528 −42% $21,449 −45% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,868 $11,868 $22,831 −48% $20,777 −43% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,845 $11,845 $21,141 −44% $21,213 −44% —
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 $19,792 −40% $15,636 −24% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $11,818 $11,818 $22,795 −48% $20,084 −41% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,807 $11,807 $19,783 −40% $19,815 −40% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,799 $11,799 $13,737 −14% $18,238 −35% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,785 $11,785 $23,422 −50% $18,191 −35% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,768 $11,768 $24,565 −52% $16,352 −28% —
197 INTERSTITIAL LUNG DISEASE WITH CC $11,710 $11,710 $25,701 −54% $20,106 −42% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,622 $11,622 $19,449 −40% $17,731 −34% —
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% $17,585 −34% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,562 $11,562 $20,595 −44% $18,918 −39% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,496 $11,496 $28,129 −59% $15,901 −28% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,436 $11,436 $23,883 −52% $15,608 −27% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,386 $11,386 $18,043 −37% $21,261 −46% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,378 $11,378 $24,971 −54% $20,463 −44% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,368 $11,368 $19,481 −42% $20,488 −45% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,350 $11,350 $16,642 −32% $16,642 −32% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,344 $11,344 $17,652 −36% $19,287 −41% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,330 $11,330 $16,456 −31% $15,869 −29% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,313 $11,313 $18,323 −38% $18,608 −39% —
158 DENTAL AND ORAL DISEASES WITH CC $11,276 $11,276 $18,988 −41% $17,700 −36% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,238 $11,238 $19,884 −43% $15,284 −26% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $11,197 $11,197 $18,228 −39% $16,212 −31% —
101 SEIZURES WITHOUT MCC $11,196 $11,196 $17,204 −35% $19,954 −44% —
638 DIABETES WITH CC $11,125 $11,125 $20,074 −45% $18,821 −41% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,118 $11,118 $16,935 −34% $15,077 −26% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,117 $11,117 $18,854 −41% $18,803 −41% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,092 $11,092 $20,995 −47% $17,367 −36% —
864 FEVER AND INFLAMMATORY CONDITIONS $11,031 $11,031 $24,489 −55% $17,412 −37% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $11,014 $11,014 $13,752 −20% $17,383 −37% —
914 TRAUMATIC INJURY WITHOUT MCC $11,007 $11,007 $16,946 −35% $15,593 −29% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,977 $10,977 $15,819 −31% $16,049 −32% —
683 RENAL FAILURE WITH CC $10,899 $10,899 $20,765 −48% $18,620 −41% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,880 $10,880 $26,032 −58% $16,156 −33% —
312 SYNCOPE AND COLLAPSE $10,853 $10,853 $23,545 −54% $19,342 −44% —
603 CELLULITIS WITHOUT MCC $10,845 $10,845 $16,168 −33% $18,530 −41% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $10,842 $10,842 $24,016 −55% $19,854 −45% —
866 VIRAL ILLNESS WITHOUT MCC $10,831 $10,831 $19,085 −43% $16,391 −34% —
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 $21,569 −50% $19,569 −45% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,723 $10,723 $22,448 −52% $17,928 −40% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,721 $10,721 $18,522 −42% $19,326 −45% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,692 $10,692 $14,675 −27% $15,045 −29% —
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 $16,336 −35% $13,385 −20% —
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% $13,822 −23% —
292 HEART FAILURE AND SHOCK WITH CC $10,603 $10,603 $19,303 −45% $16,212 −35% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,536 $10,536 $18,712 −44% $18,278 −42% —
779 ABORTION WITHOUT D&C $10,518 $10,518 $15,408 −32% $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 $21,111 −50% $20,111 −48% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,461 $10,461 $19,855 −47% $14,861 −30% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,399 $10,399 $17,696 −41% $17,715 −41% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,394 $10,394 $18,143 −43% $18,253 −43% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,363 $10,363 $19,221 −46% $17,700 −41% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $10,339 $10,339 $18,152 −43% $15,474 −33% —
090 CONCUSSION WITHOUT CC/MCC $10,317 $10,317 $25,638 −60% $14,873 −31% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,184 $10,184 $13,799 −26% $16,837 −40% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,166 $10,166 $18,046 −44% $17,466 −42% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,145 $10,145 $18,887 −46% $18,002 −44% —
204 RESPIRATORY SIGNS AND SYMPTOMS $10,142 $10,142 $22,926 −56% $16,866 −40% —
534 FRACTURES OF FEMUR WITHOUT MCC $10,128 $10,128 $21,585 −53% $17,195 −41% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,126 $10,126 $17,292 −41% $18,204 −44% —
176 PULMONARY EMBOLISM WITHOUT MCC $10,116 $10,116 $21,913 −54% $18,081 −44% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,104 $10,104 $19,521 −48% $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 $21,819 −54% $17,727 −43% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,047 $10,047 $24,940 −60% $20,278 −50% —
123 NEUROLOGICAL EYE DISORDERS $10,045 $10,045 $24,443 −59% $17,831 −44% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,028 $10,028 $24,592 −59% $13,586 −26% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,020 $10,020 $19,993 −50% $17,522 −43% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,953 $9,953 $18,232 −45% $12,593 −21% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,948 $9,948 $18,664 −47% $17,388 −43% —
541 OSTEOMYELITIS WITHOUT CC/MCC $9,921 $9,921 $15,754 −37% $14,549 −32% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,911 $9,911 $16,609 −40% $15,858 −38% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,903 $9,903 $11,997 −17% $11,997 −17% —
694 URINARY STONES WITHOUT MCC $9,858 $9,858 $14,472 −32% $16,531 −40% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,835 $9,835 $14,681 −33% $17,322 −43% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,819 $9,819 $16,822 −42% $16,745 −41% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,722 $9,722 $18,080 −46% $14,290 −32% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,710 $9,710 $20,616 −53% $14,166 −31% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,704 $9,704 $18,154 −47% $15,876 −39% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,576 $9,576 $23,908 −60% $16,654 −43% —
305 HYPERTENSION WITHOUT MCC $9,564 $9,564 $24,338 −61% $17,144 −44% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,563 $9,563 $13,598 −30% $14,444 −34% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,558 $9,558 $16,795 −43% $16,776 −43% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,552 $9,552 $13,651 −30% $13,090 −27% —
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% $17,203 −45% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,500 $9,500 $16,445 −42% $14,337 −34% —
153 OTITIS MEDIA AND URI WITHOUT MCC $9,377 $9,377 $13,277 −29% $14,473 −35% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,349 $9,349 $22,237 −58% $16,865 −45% —
151 EPISTAXIS WITHOUT MCC $9,330 $9,330 $15,397 −39% $13,032 −28% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,283 $9,283 $24,076 −61% $12,537 −26% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,257 $9,257 $16,767 −45% $16,104 −43% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $9,210 $9,210 $19,367 −52% $18,623 −51% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,197 $9,197 $12,855 −28% $13,892 −34% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,193 $9,193 $12,895 −29% $12,895 −29% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $9,179 $9,179 $21,957 −58% $11,909 −23% —
313 CHEST PAIN $9,175 $9,175 $20,854 −56% $15,962 −43% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $9,172 $9,172 $19,031 −52% $15,607 −41% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,144 $9,144 $20,711 −56% $14,110 −35% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,133 $9,133 $13,654 −33% $13,654 −33% —
201 PNEUMOTHORAX WITHOUT CC/MCC $9,121 $9,121 $13,089 −30% $13,081 −30% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,092 $9,092 $13,676 −34% $12,405 −27% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,048 $9,048 $11,755 −23% $13,368 −32% —
311 ANGINA PECTORIS $8,975 $8,975 $15,425 −42% $15,165 −41% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,963 $8,963 $23,345 −62% $15,072 −41% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,951 $8,951 $18,925 −53% $15,600 −43% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $8,868 $8,868 $13,735 −35% $13,282 −33% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,856 $8,856 $11,921 −26% $13,198 −33% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,842 $8,842 $12,551 −30% $13,303 −34% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,832 $8,832 $13,500 −35% $14,441 −39% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,826 $8,826 $14,264 −38% $14,012 −37% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,781 $8,781 $22,530 −61% $19,483 −55% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,756 $8,756 $18,090 −52% $12,797 −32% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,747 $8,747 $15,055 −42% $14,880 −41% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,669 $8,669 $13,696 −37% $12,044 −28% —
303 ATHEROSCLEROSIS WITHOUT MCC $8,657 $8,657 $18,920 −54% $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 $13,119 −34% $12,279 −30% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,581 $8,581 $15,531 −45% $13,890 −38% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,551 $8,551 $12,883 −34% $14,208 −40% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,464 $8,464 $15,546 −46% $12,650 −33% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,453 $8,453 $12,381 −32% $12,381 −32% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,390 $8,390 $11,454 −27% $14,128 −41% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,312 $8,312 $19,164 −57% $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% $13,485 −39% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,184 $8,184 $20,210 −60% $14,134 −42% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,163 $8,163 $14,132 −42% $13,824 −41% —
950 AFTERCARE WITHOUT CC/MCC $8,154 $8,154 $18,599 −56% $13,527 −40% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,084 $8,084 $15,474 −48% $15,070 −46% —
639 DIABETES WITHOUT CC/MCC $8,082 $8,082 $16,811 −52% $13,910 −42% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $8,035 $8,035 $12,685 −37% $12,013 −33% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,903 $7,903 $12,415 −36% $10,975 −28% —
684 RENAL FAILURE WITHOUT CC/MCC $7,851 $7,851 $12,049 −35% $13,623 −42% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,835 $7,835 $10,480 −25% $10,039 −22% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,521 $7,521 $11,421 −34% $11,421 −34% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,472 $7,472 $12,915 −42% $13,384 −44% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,471 $7,471 $12,530 −40% $11,955 −38% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,361 $7,361 $10,553 −30% $9,385 −22% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,228 $7,228 $13,471 −46% $13,318 −46% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,994 $6,994 $9,295 −25% $9,076 −23% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,244 $6,244 $8,927 −30% $8,927 −30% —
795 NORMAL NEWBORN $3,419 $3,419 $5,442 −37% $4,530 −25% —

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
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