Genesis Hospital — Pricing

650 procedures published in this hospital's Machine-Readable File (MRF) — 650 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 650
Lowest published price $829
Average published price $59,217
Highest published price $670,721

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 650 procedures

Published charges

Showing all 650 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 68 procedures, this hospital's negotiated rates average ≈101% of what Medicare pays.

DRG Description Published price Cash price vs. OH median vs. National median vs Medicare
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $670,721 $402,433 $298,601 +125% $371,366 +81% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $528,836 $317,302 $82,102 +544% $106,238 +398% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $441,416 $264,850 $60,208 +633% $75,585 +484% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $397,738 $238,643 $80,075 +397% $92,238 +331% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $391,947 $235,168 $48,670 +705% $68,399 +473% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $347,031 $208,219 $179,930 +93% $175,437 +98% —
231 CORONARY BYPASS WITH PTCA WITH MCC $321,950 $193,170 $112,178 +187% $146,474 +120% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $279,051 $167,431 $86,542 +222% $121,714 +129% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $274,156 $164,493 $67,791 +304% $96,905 +183% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $272,754 $163,652 $94,288 +189% $131,961 +107% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $257,831 $154,698 $73,038 +253% $86,953 +197% —
209 COMPLEX AORTIC ARCH PROCEDURES $250,946 $150,567 $163,638 +53% $183,292 +37% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $249,430 $149,658 $62,801 +297% $90,331 +176% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $245,414 $147,248 $67,682 +263% $91,329 +169% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $239,728 $143,837 $83,192 +188% $117,280 +104% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $234,196 $140,518 $153,273 +53% $191,314 +22% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $223,085 $133,851 $56,561 +294% $63,475 +251% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $220,272 $132,163 $73,048 +202% $102,177 +116% —
028 SPINAL PROCEDURES WITH MCC $217,142 $130,285 $81,731 +166% $95,858 +127% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $201,741 $121,045 $123,733 +63% $143,242 +41% —
653 MAJOR BLADDER PROCEDURES WITH MCC $201,430 $120,858 $75,310 +167% $97,046 +108% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $193,358 $116,015 $23,510 +722% $32,490 +495% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $192,169 $115,301 $184,103 +4% $245,241 −22% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $191,821 $115,092 $119,815 +60% $138,008 +39% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $191,554 $114,933 $137,630 +39% $142,326 +35% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $191,402 $114,841 $89,681 +113% $114,914 +67% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $188,192 $112,915 $92,271 +104% $107,355 +75% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $187,709 $112,626 $105,110 +79% $121,728 +54% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $180,329 $108,198 $126,132 +43% $110,732 +63% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $175,238 $105,143 $83,090 +111% $94,988 +84% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $175,083 $105,050 $86,661 +102% $116,058 +51% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $172,696 $103,618 $110,483 +56% $120,174 +44% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $172,562 $103,537 $78,460 +120% $96,192 +79% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $167,598 $100,559 $87,201 +92% $105,899 +58% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $165,548 $99,329 $70,780 +134% $82,247 +101% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $160,932 $96,559 $49,721 +224% $59,425 +171% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $156,188 $93,713 $116,302 +34% $88,307 +77% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $153,247 $91,948 $99,339 +54% $120,587 +27% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $152,200 $91,320 $89,209 +71% $118,589 +28% —
999 UNGROUPABLE $152,171 $91,303 $11,742 +1196% $28,822 +428% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $148,469 $89,081 $70,047 +112% $93,769 +58% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $147,798 $88,679 $19,350 +664% $21,860 +576% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $145,685 $87,411 $112,466 +30% $112,062 +30% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $145,508 $87,305 $69,206 +110% $96,222 +51% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $145,205 $87,123 $54,405 +167% $68,006 +114% —
906 HAND PROCEDURES FOR INJURIES $143,371 $86,023 $31,520 +355% $31,520 +355% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $141,003 $84,602 $40,406 +249% $58,968 +139% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $138,470 $83,082 $58,558 +136% $82,561 +68% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $138,251 $82,950 $53,945 +156% $78,852 +75% ≈100% of Medicare
799 SPLENIC PROCEDURES WITH MCC $136,534 $81,921 $64,885 +110% $78,821 +73% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $134,397 $80,638 $78,716 +71% $75,492 +78% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $132,136 $79,282 $58,476 +126% $88,049 +50% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $131,587 $78,952 $69,695 +89% $99,423 +32% ≈79% of Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $131,581 $78,948 $63,017 +109% $88,341 +49% —
471 CERVICAL SPINAL FUSION WITH MCC $128,903 $77,342 $93,070 +39% $92,515 +39% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $128,045 $76,827 $72,668 — $58,739 +118% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $125,837 $75,502 $80,603 +56% $113,855 +11% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $124,486 $74,691 $81,401 +53% $81,998 +52% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $124,182 $74,509 $27,668 +349% $32,981 +277% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $122,903 $73,742 $34,307 +258% $47,583 +158% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $122,399 $73,439 $44,663 +174% $66,819 +83% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $120,462 $72,277 $25,633 +370% $29,826 +304% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $119,871 $71,923 $70,464 +70% $86,390 +39% ≈83% of Medicare
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $119,530 $71,718 $81,365 +47% $87,018 +37% ≈86% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $119,332 $71,599 $47,218 +153% $70,132 +70% ≈85% of Medicare
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $119,201 $71,521 $53,167 +124% $72,782 +64% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $119,107 $71,464 $40,341 +195% $53,551 +122% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $119,062 $71,437 $68,852 +73% $83,441 +43% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $118,334 $71,000 $64,248 +84% $92,217 +28% ≈87% of Medicare
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $117,673 $70,604 $36,267 +224% $57,149 +106% —
245 AICD GENERATOR PROCEDURES $117,453 $70,472 $66,564 +76% $72,076 +63% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $114,196 $68,517 $45,618 +150% $65,254 +75% —
570 SKIN DEBRIDEMENT WITH MCC $114,176 $68,506 $42,263 +170% $52,435 +118% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $112,539 $67,524 $39,827 +183% $50,919 +121% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $112,424 $67,454 $112,424 +0% $151,029 −26% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $111,547 $66,928 $47,649 +134% $68,880 +62% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $109,331 $65,599 $76,970 +42% $106,778 +2% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $109,092 $65,455 $73,986 +47% $93,783 +16% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $107,932 $64,759 $49,623 +118% $74,274 +45% ≈91% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $106,614 $63,968 $60,697 +76% $68,847 +55% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $104,899 $62,939 $57,196 +83% $83,065 +26% ≈98% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $103,748 $62,249 $61,750 +68% $72,859 +42% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $103,468 $62,081 $33,209 +212% $51,339 +102% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $101,840 $61,104 $48,887 +108% $56,964 +79% —
472 CERVICAL SPINAL FUSION WITH CC $101,555 $60,933 $63,839 +59% $59,537 +71% —
265 AICD LEAD PROCEDURES $101,264 $60,758 $49,492 +105% $56,695 +79% —
252 OTHER VASCULAR PROCEDURES WITH MCC $100,126 $60,076 $47,717 +110% $68,508 +46% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $99,416 $59,650 $47,403 +110% $67,901 +46% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $97,167 $58,300 $45,498 +114% $54,129 +80% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $96,902 $58,141 $56,535 +71% $66,853 +45% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $96,694 $58,016 $57,570 +68% $72,945 +33% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $96,527 $57,916 $22,783 +324% $27,279 +254% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $96,453 $57,872 $68,045 +42% $84,861 +14% —
800 SPLENIC PROCEDURES WITH CC $96,393 $57,836 $41,012 +135% $49,184 +96% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $95,933 $57,560 $23,475 +309% $41,380 +132% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $95,487 $57,292 $53,357 +79% $62,961 +52% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $94,142 $56,485 $46,760 +101% $64,152 +47% —
540 OSTEOMYELITIS WITH CC $93,990 $56,394 $19,990 +370% $23,494 +300% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $93,913 $56,348 $34,307 +174% $39,093 +140% —
302 ATHEROSCLEROSIS WITH MCC $93,703 $56,222 $18,292 +412% $20,844 +350% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $93,403 $56,042 $65,149 +43% $88,691 +5% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $92,267 $55,360 $71,617 +29% $65,216 +41% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $92,206 $55,324 $27,387 +237% $41,380 +123% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $92,191 $55,315 $29,416 +213% $54,772 +68% ≈100% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $90,894 $54,537 $25,566 +256% $27,233 +234% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $90,556 $54,334 $34,736 +161% $44,989 +101% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $90,238 $54,143 $32,433 +178% $50,011 +80% ≈107% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $89,923 $53,954 $50,222 +79% $71,755 +25% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,687 $53,812 $69,912 +28% $79,944 +12% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $89,186 $53,512 $68,473 +30% $87,565 +2% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $89,185 $53,511 $26,617 +235% $40,063 +123% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $88,815 $53,289 $34,586 +157% $46,591 +91% —
164 MAJOR CHEST PROCEDURES WITH CC $88,647 $53,188 $39,462 +125% $53,141 +67% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $87,969 $52,781 $87,969 +0% $88,050 −0% ≈88% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $87,958 $52,775 $73,455 +20% $94,927 −7% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $87,773 $52,664 $47,899 +83% $71,014 +24% ≈93% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $87,582 $52,549 $61,401 +43% $76,954 +14% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $86,167 $51,700 $24,502 +252% $28,634 +201% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $86,023 $51,614 $38,454 +124% $43,491 +98% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $85,517 $51,310 $36,791 +132% $41,703 +105% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $85,443 $51,266 $44,977 +90% $64,956 +32% —
334 RECTAL RESECTION WITHOUT CC/MCC $85,388 $51,233 $24,721 +245% $32,213 +165% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $84,207 $50,524 $35,265 +139% $43,538 +93% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $83,096 $49,858 $44,783 +86% $57,277 +45% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $82,603 $49,562 $44,389 +86% $51,142 +62% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $80,081 $48,049 $48,780 +64% $78,582 +2% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $79,949 $47,969 $40,363 +98% $56,758 +41% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $77,682 $46,609 $47,751 +63% $50,624 +53% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $77,243 $46,346 $49,711 +55% $64,776 +19% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $77,059 $46,235 $38,077 +102% $51,985 +48% ≈86% of Medicare
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $76,129 $45,678 $52,805 +44% $75,103 +1% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $75,820 $45,492 $43,701 +73% $65,573 +16% ≈92% of Medicare
397 APPENDIX PROCEDURES WITH MCC $75,250 $45,150 $35,353 +113% $52,319 +44% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $74,787 $44,872 $34,039 +120% $52,313 +43% —
665 PROSTATECTOMY WITH MCC $74,765 $44,859 $47,758 +57% $54,072 +38% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $74,656 $44,794 $28,381 +163% $43,080 +73% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $73,353 $44,012 $47,828 +53% $62,269 +18% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $72,763 $43,658 $32,504 +124% $38,998 +87% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $71,780 $43,068 $30,486 +135% $35,686 +101% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $71,759 $43,055 $69,008 +4% $80,747 −11% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $71,673 $43,004 $12,919 +455% $16,634 +331% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $71,272 $42,763 $48,637 +47% $59,207 +20% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $70,753 $42,452 $48,655 +45% $65,383 +8% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $70,424 $42,255 $39,606 +78% $48,907 +44% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $69,477 $41,686 $35,943 +93% $46,477 +49% —
181 RESPIRATORY NEOPLASMS WITH CC $69,249 $41,549 $17,604 +293% $22,431 +209% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $69,000 $41,400 $31,025 +122% $36,850 +87% —
150 EPISTAXIS WITH MCC $68,834 $41,300 $20,913 +229% $21,133 +226% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $68,717 $41,230 $38,027 +81% $52,405 +31% ≈103% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $67,966 $40,780 $28,787 +136% $43,775 +55% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $67,764 $40,658 $41,024 +65% $67,764 +0% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $67,761 $40,656 $28,350 +139% $36,202 +87% —
253 OTHER VASCULAR PROCEDURES WITH CC $67,479 $40,488 $38,674 +74% $53,746 +26% ≈113% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $67,190 $40,314 $16,823 +299% $22,231 +202% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $67,169 $40,301 $65,770 +2% $56,394 +19% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $67,119 $40,272 $44,521 +51% $33,137 +103% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $67,028 $40,217 $45,278 +48% $56,519 +19% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $66,597 $39,958 $34,993 +90% $42,119 +58% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $66,290 $39,774 $35,670 +86% $55,162 +20% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $66,268 $39,761 $27,820 +138% $49,197 +35% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $66,121 $39,673 $43,330 +53% $62,821 +5% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $66,006 $39,604 $47,789 +38% $58,832 +12% ≈94% of Medicare
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $65,391 $39,235 $41,415 +58% $31,816 +106% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $65,360 $39,216 $43,334 +51% $51,172 +28% ≈96% of Medicare
030 SPINAL PROCEDURES WITHOUT CC/MCC $64,763 $38,858 $32,680 +98% $45,818 +41% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $63,997 $38,398 $54,898 +17% $71,701 −11% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $63,721 $38,233 $37,153 +72% $43,697 +46% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $63,691 $38,214 $41,365 +54% $63,984 −0% ≈92% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $63,375 $38,025 $43,288 +46% $44,600 +42% ≈97% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $63,198 $37,919 $33,734 +87% $41,660 +52% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $63,106 $37,864 $39,644 +59% $58,043 +9% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $62,873 $37,724 $37,509 +68% $40,277 +56% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $62,823 $37,694 $12,931 +386% $16,654 +277% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $62,803 $37,682 $49,285 +27% $70,540 −11% —
500 SOFT TISSUE PROCEDURES WITH MCC $62,786 $37,671 $44,320 +42% $57,479 +9% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $62,680 $37,608 $35,941 +74% $54,824 +14% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $62,539 $37,523 $27,823 +125% $42,126 +48% —
336 PERITONEAL ADHESIOLYSIS WITH CC $62,371 $37,423 $30,609 +104% $49,470 +26% —
654 MAJOR BLADDER PROCEDURES WITH CC $62,281 $37,368 $39,822 +56% $53,868 +16% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $62,230 $37,338 $63,928 −3% $80,885 −23% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $62,217 $37,330 $52,152 +19% $74,257 −16% —
811 RED BLOOD CELL DISORDERS WITH MCC $62,015 $37,209 $21,454 +189% $27,934 +122% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $61,914 $37,149 $33,155 +87% $49,631 +25% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $61,643 $36,986 $32,385 +90% $45,059 +37% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $61,336 $36,801 $33,237 +85% $36,080 +70% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $61,114 $36,668 $17,544 +248% $24,544 +149% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $60,921 $36,553 $22,791 +167% $24,229 +151% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $60,607 $36,364 $30,159 +101% $34,887 +74% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $60,260 $36,156 $22,516 +168% $31,062 +94% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $60,183 $36,110 $16,990 +254% $20,309 +196% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $59,721 $35,833 $31,474 +90% $41,900 +43% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $58,846 $35,307 $40,662 +45% $44,117 +33% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $58,607 $35,164 $30,404 +93% $46,066 +27% —
835 ACUTE LEUKEMIA WITH CC $58,333 $35,000 $30,915 +89% $35,569 +64% —
533 FRACTURES OF FEMUR WITH MCC $58,271 $34,963 $22,986 +154% $25,945 +125% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $57,680 $34,608 $48,317 +19% $45,817 +26% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $57,593 $34,556 $26,242 +119% $31,909 +80% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $57,536 $34,522 $25,478 +126% $35,014 +64% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $57,410 $34,446 $32,604 +76% $37,064 +55% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $57,396 $34,438 $23,634 +143% $24,465 +135% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $57,287 $34,372 $19,017 +201% $23,588 +143% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $57,286 $34,372 $35,224 +63% $52,332 +9% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $56,517 $33,910 $20,497 +176% $31,978 +77% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $56,132 $33,679 $30,912 +82% $45,622 +23% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $56,033 $33,620 $40,289 +39% $49,055 +14% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $56,018 $33,611 $38,213 +47% $54,929 +2% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $55,834 $33,500 $41,952 +33% $46,402 +20% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $55,645 $33,387 $23,118 +141% $36,239 +54% —
506 MAJOR THUMB OR JOINT PROCEDURES $55,592 $33,355 $22,651 +145% $28,983 +92% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $55,528 $33,317 $26,921 +106% $40,583 +37% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $55,514 $33,309 $41,464 +34% $54,313 +2% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $55,359 $33,215 $13,002 +326% $16,776 +230% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $54,057 $32,434 $21,228 +155% $24,561 +120% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $54,043 $32,426 $25,466 +112% $38,094 +42% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $53,985 $32,391 $33,912 +59% $40,548 +33% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $53,913 $32,348 $26,792 +101% $37,842 +42% ≈97% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $53,894 $32,337 $23,902 +125% $33,984 +59% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $53,764 $32,259 $22,893 +135% $33,694 +60% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $53,266 $31,960 $35,964 +48% $46,659 +14% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $52,899 $31,740 $55,985 −6% $72,011 −27% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $52,739 $31,643 $41,261 +28% $60,140 −12% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $52,648 $31,589 $25,899 +103% $38,836 +36% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $52,602 $31,561 $10,316 +410% $11,955 +340% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $52,330 $31,398 $12,879 +306% $14,861 +252% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $52,080 $31,248 $41,516 +25% $54,475 −4% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $52,016 $31,209 $39,820 +31% $57,963 −10% —
199 PNEUMOTHORAX WITH MCC $51,979 $31,187 $26,943 +93% $31,491 +65% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $51,795 $31,077 $22,714 +128% $35,528 +46% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $51,736 $31,041 $12,253 +322% $15,072 +243% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $51,626 $30,976 $53,277 −3% $80,018 −35% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $51,418 $30,851 $26,903 +91% $40,552 +27% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $51,220 $30,732 $48,350 +6% $64,465 −21% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $50,980 $30,588 $23,703 +115% $33,490 +52% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $50,832 $30,499 $26,909 +89% $40,563 +25% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $50,749 $30,449 $21,022 +141% $29,050 +75% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $50,605 $30,363 $33,792 +50% $45,963 +10% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $50,580 $30,348 $23,998 +111% $35,584 +42% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $50,541 $30,324 $36,735 +38% $48,094 +5% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $50,521 $30,312 $38,166 +32% $44,839 +13% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $50,484 $30,291 $26,986 +87% $40,694 +24% ≈109% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $50,308 $30,185 $15,217 +231% $18,608 +170% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $50,108 $30,065 $22,721 +121% $33,792 +48% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $50,089 $30,053 $53,665 −7% $72,908 −31% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $50,018 $30,011 $37,072 +35% $47,546 +5% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $49,883 $29,930 $20,766 +140% $28,527 +75% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $49,737 $29,842 $28,559 +74% $29,524 +68% —
183 MAJOR CHEST TRAUMA WITH MCC $49,376 $29,625 $23,796 +107% $28,924 +71% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $49,248 $29,549 $24,497 +101% $28,967 +70% ≈99% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $49,237 $29,542 $54,196 −9% $54,196 −9% —
037 EXTRACRANIAL PROCEDURES WITH MCC $48,778 $29,267 $46,296 +5% $64,749 −25% —
505 FOOT PROCEDURES WITHOUT CC/MCC $48,645 $29,187 $25,972 +87% $31,716 +53% —
398 APPENDIX PROCEDURES WITH CC $48,508 $29,105 $22,834 +112% $39,107 +24% —
089 CONCUSSION WITH CC $48,099 $28,860 $17,109 +181% $18,293 +163% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $47,852 $28,711 $28,703 +67% $41,520 +15% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $47,745 $28,647 $22,077 +116% $24,941 +91% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $47,723 $28,634 $26,308 +81% $48,680 −2% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $47,592 $28,555 $26,875 +77% $37,950 +25% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $47,484 $28,491 $23,545 +102% $31,059 +53% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $47,462 $28,477 $19,581 +142% $19,894 +139% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $47,440 $28,464 $26,794 +77% $36,597 +30% —
100 SEIZURES WITH MCC $47,426 $28,456 $30,016 +58% $35,194 +35% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $47,326 $28,396 $25,761 +84% $30,814 +54% ≈90% of Medicare
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $47,215 $28,329 $30,155 +57% $41,651 +13% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $47,080 $28,248 $28,801 +63% $43,800 +7% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $47,041 $28,224 $28,993 +62% $35,139 +34% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $46,956 $28,173 $25,056 +87% $31,128 +51% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $46,937 $28,162 $14,480 +224% $19,305 +143% —
180 RESPIRATORY NEOPLASMS WITH MCC $46,533 $27,920 $25,879 +80% $36,658 +27% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $46,358 $27,815 $31,619 +47% $48,682 −5% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $46,093 $27,656 $22,882 +101% $30,972 +49% —
504 FOOT PROCEDURES WITH CC $46,082 $27,649 $25,972 +77% $36,598 +26% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $46,073 $27,644 $51,761 −11% $60,861 −24% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $46,060 $27,636 $32,719 +41% $46,430 −1% —
791 PREMATURITY WITH MAJOR PROBLEMS $45,759 $27,455 $28,338 +61% $39,563 +16% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $45,550 $27,330 $46,319 −2% $65,325 −30% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $45,503 $27,302 $33,308 +37% $36,237 +26% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $44,812 $26,887 $15,603 +187% $18,191 +146% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $44,690 $26,814 $20,374 +119% $27,369 +63% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $44,623 $26,774 $36,386 +23% $38,357 +16% ≈91% of Medicare
865 VIRAL ILLNESS WITH MCC $44,297 $26,578 $22,350 +98% $26,088 +70% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $44,234 $26,541 $17,337 +155% $31,190 +42% ≈120% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $44,216 $26,530 $25,994 +70% $31,846 +39% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $44,077 $26,446 $35,456 +24% $39,747 +11% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $43,991 $26,395 $32,168 +37% $44,053 −0% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $43,949 $26,369 $22,624 +94% $28,646 +53% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $43,547 $26,128 $26,296 +66% $33,564 +30% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $43,139 $25,883 $23,658 +82% $29,371 +47% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $43,120 $25,872 $28,660 +50% $35,237 +22% ≈96% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $43,027 $25,816 $22,208 +94% $25,666 +68% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $42,964 $25,779 $28,020 +53% $33,165 +30% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $42,894 $25,736 $45,132 −5% $43,524 −1% ≈82% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $42,748 $25,649 $13,300 +221% $14,166 +202% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $42,740 $25,644 $24,475 +75% $28,134 +52% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $42,619 $25,571 $32,773 +30% $43,586 −2% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $42,261 $25,356 $30,076 +41% $36,933 +14% ≈97% of Medicare
666 PROSTATECTOMY WITH CC $42,038 $25,223 $24,574 +71% $30,016 +40% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $41,979 $25,188 $21,793 +93% $31,812 +32% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $41,683 $25,010 $12,593 +231% $12,593 +231% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,486 $24,891 $41,045 +1% $47,277 −12% —
663 MINOR BLADDER PROCEDURES WITH CC $41,389 $24,833 $23,018 +80% $29,924 +38% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $40,973 $24,584 $27,695 +48% $32,204 +27% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $40,886 $24,532 $24,687 +66% $32,689 +25% —
669 TRANSURETHRAL PROCEDURES WITH CC $40,882 $24,529 $23,279 +76% $34,354 +19% —
551 MEDICAL BACK PROBLEMS WITH MCC $40,745 $24,447 $25,341 +61% $31,086 +31% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $40,436 $24,261 $24,108 +68% $30,910 +31% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $40,398 $24,239 $33,546 +20% $50,139 −19% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $40,306 $24,184 $38,646 +4% $45,497 −11% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $40,292 $24,175 $16,427 +145% $20,080 +101% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $40,246 $24,148 $20,875 +93% $24,980 +61% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $40,237 $24,142 $19,267 +109% $27,492 +46% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $40,010 $24,006 $24,910 +61% $30,006 +33% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $39,937 $23,962 $13,791 +190% $17,928 +123% —
637 DIABETES WITH MCC $39,796 $23,878 $22,095 +80% $28,819 +38% ≈94% of Medicare
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $39,708 $23,825 $27,058 +47% $30,394 +31% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $39,323 $23,594 $24,279 +62% $31,840 +23% ≈95% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $39,291 $23,575 $22,265 +76% $25,786 +52% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $39,279 $23,567 $28,264 +39% $42,881 −8% ≈93% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $39,270 $23,562 $25,272 +55% $43,266 −9% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $39,244 $23,546 $22,735 +73% $33,424 +17% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $39,171 $23,503 $20,586 +90% $30,358 +29% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $39,114 $23,468 $27,152 +44% $29,609 +32% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $39,097 $23,458 $24,086 +62% $30,314 +29% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $39,072 $23,443 $35,990 +9% $39,657 −1% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $38,958 $23,375 $20,646 +89% $32,936 +18% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $38,861 $23,317 $28,555 +36% $33,050 +18% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $38,855 $23,313 $22,803 +70% $28,375 +37% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $38,782 $23,269 $18,021 +115% $24,432 +59% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $38,720 $23,232 $29,085 +33% $39,018 −1% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $38,577 $23,146 $25,358 +52% $24,118 +60% —
935 NON-EXTENSIVE BURNS $38,518 $23,111 $31,701 +22% $29,458 +31% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $38,407 $23,044 $20,473 +88% $27,244 +41% ≈98% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $38,373 $23,024 $32,919 +17% $36,334 +6% —
204 RESPIRATORY SIGNS AND SYMPTOMS $38,126 $22,876 $13,720 +178% $16,866 +126% —
549 SEPTIC ARTHRITIS WITH CC $38,069 $22,841 $18,835 +102% $20,938 +82% —
375 DIGESTIVE MALIGNANCY WITH CC $37,827 $22,696 $19,141 +98% $27,219 +39% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $37,549 $22,530 $36,097 +4% $36,097 +4% —
643 ENDOCRINE DISORDERS WITH MCC $37,124 $22,274 $24,704 +50% $32,996 +13% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $37,090 $22,254 $19,077 +94% $26,488 +40% ≈111% of Medicare
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $37,050 $22,230 $25,923 +43% $34,264 +8% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $37,044 $22,226 $17,565 +111% $21,886 +69% ≈107% of Medicare
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $36,988 $22,193 $44,584 −17% $49,710 −26% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $36,920 $22,152 $35,694 +3% $39,409 −6% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $36,900 $22,140 $16,212 +128% $16,212 +128% —
380 COMPLICATED PEPTIC ULCER WITH MCC $36,745 $22,047 $28,169 +30% $36,641 +0% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $36,737 $22,042 $17,603 +109% $19,091 +92% —
348 ANAL AND STOMAL PROCEDURES WITH CC $36,720 $22,032 $19,533 +88% $27,947 +31% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $36,646 $21,987 $36,646 +0% $35,714 +3% ≈101% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $36,489 $21,893 $13,602 +168% $19,001 +92% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $36,349 $21,810 $15,158 +140% $20,463 +78% ≈117% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $36,243 $21,746 $15,088 +140% $15,593 +132% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $36,243 $21,746 $31,740 +14% $38,382 −6% —
305 HYPERTENSION WITHOUT MCC $36,119 $21,671 $20,359 +77% $17,144 +111% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $36,075 $21,645 $28,751 +25% $35,542 +1% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $36,064 $21,638 $19,686 +83% $22,275 +62% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $36,027 $21,616 $30,598 +18% $38,420 −6% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $35,934 $21,561 $27,767 +29% $36,280 −1% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $35,922 $21,553 $29,894 +20% $34,089 +5% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $35,901 $21,541 $27,401 +31% $35,114 +2% —
813 COAGULATION DISORDERS $35,749 $21,449 $23,285 +54% $30,128 +19% ≈95% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $35,712 $21,427 $17,057 +109% $20,842 +71% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $35,656 $21,394 $21,995 +62% $30,275 +18% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $35,391 $21,235 $12,903 +174% $14,337 +147% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $35,359 $21,215 $20,619 +71% $29,805 +19% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $35,193 $21,116 $19,169 +84% $27,321 +29% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $35,099 $21,060 $20,702 +70% $27,118 +29% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $35,026 $21,016 $20,430 +71% $24,480 +43% ≈104% of Medicare
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $34,846 $20,907 $31,193 +12% $44,553 −22% —
501 SOFT TISSUE PROCEDURES WITH CC $34,828 $20,897 $34,828 +0% $37,975 −8% —
913 TRAUMATIC INJURY WITH MCC $34,814 $20,889 $24,198 +44% $24,198 +44% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,763 $20,858 $18,935 +84% $17,522 +98% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $34,742 $20,845 $28,903 +20% $29,757 +17% ≈97% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $34,652 $20,791 $28,868 +20% $43,398 −20% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $34,529 $20,717 $24,869 +39% $33,607 +3% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $34,528 $20,717 $27,849 +24% $32,839 +5% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $34,485 $20,691 $28,203 +22% $35,375 −3% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $34,470 $20,682 $48,557 −29% $51,953 −34% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $34,354 $20,612 $43,218 −21% $53,817 −36% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $34,252 $20,551 $16,382 +109% $18,017 +90% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $34,231 $20,539 $21,873 +56% $25,243 +36% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $34,112 $20,467 $14,383 +137% $16,156 +111% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $34,089 $20,454 $19,911 +71% $24,316 +40% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $34,068 $20,441 $19,637 +73% $25,623 +33% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $34,032 $20,419 $16,553 +106% $22,850 +49% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $33,947 $20,368 $22,664 +50% $25,854 +31% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $33,916 $20,350 $15,591 +118% $19,326 +75% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $33,814 $20,289 $24,787 +36% $32,502 +4% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $33,794 $20,277 $29,462 +15% $36,375 −7% ≈93% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $33,699 $20,219 $22,189 +52% $29,211 +15% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $33,628 $20,177 $19,254 +75% $25,704 +31% ≈102% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $33,611 $20,167 $25,881 +30% $31,758 +6% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $33,599 $20,159 $25,683 +31% $29,558 +14% —
594 SKIN ULCERS WITHOUT CC/MCC $33,572 $20,143 $14,209 +136% $14,209 +136% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $33,571 $20,143 $15,897 +111% $20,488 +64% —
137 MOUTH PROCEDURES WITH CC/MCC $33,559 $20,135 $21,346 +57% $24,348 +38% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $33,554 $20,132 $19,655 +71% $28,156 +19% —
200 PNEUMOTHORAX WITH CC $33,482 $20,089 $17,568 +91% $20,573 +63% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $33,411 $20,047 $15,703 +113% $21,213 +58% ≈113% of Medicare
186 PLEURAL EFFUSION WITH MCC $33,322 $19,993 $25,923 +29% $32,468 +3% —
644 ENDOCRINE DISORDERS WITH CC $33,312 $19,987 $22,494 +48% $22,941 +45% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $33,194 $19,916 $27,823 +19% $35,459 −6% —
103 HEADACHES WITHOUT MCC $33,047 $19,828 $14,229 +132% $20,111 +64% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $33,041 $19,824 $17,269 +91% $21,806 +52% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $33,003 $19,802 $24,142 +37% $29,484 +12% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $32,938 $19,763 $26,206 +26% $36,242 −9% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $32,831 $19,699 $27,647 +19% $30,766 +7% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $32,795 $19,677 $24,292 +35% $27,168 +21% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $32,779 $19,667 $12,605 +160% $18,623 +76% —
834 ACUTE LEUKEMIA WITH MCC $32,637 $19,582 $74,709 −56% $76,583 −57% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $32,530 $19,518 $20,296 +60% $26,158 +24% ≈104% of Medicare
682 RENAL FAILURE WITH MCC $32,500 $19,500 $22,687 +43% $27,854 +17% ≈97% of Medicare
187 PLEURAL EFFUSION WITH CC $32,432 $19,459 $22,534 +44% $21,467 +51% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $32,413 $19,448 $11,752 +176% $13,485 +140% —
919 COMPLICATIONS OF TREATMENT WITH MCC $32,396 $19,437 $26,862 +21% $29,031 +12% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $32,378 $19,427 $16,402 +97% $22,713 +43% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $32,324 $19,394 $27,729 +17% $32,399 −0% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $32,253 $19,352 $14,778 +118% $17,103 +89% —
291 HEART FAILURE AND SHOCK WITH MCC $32,238 $19,343 $20,129 +60% $25,020 +29% ≈102% of Medicare
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $32,221 $19,333 $32,969 −2% $37,080 −13% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $32,206 $19,323 $15,411 +109% $18,918 +70% ≈113% of Medicare
263 VEIN LIGATION AND STRIPPING $32,117 $19,270 $38,005 −15% $44,938 −29% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $32,087 $19,252 $17,770 +81% $24,190 +33% ≈113% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $32,023 $19,214 $17,329 +85% $24,177 +32% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $31,975 $19,185 $17,967 +78% $25,267 +27% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $31,957 $19,174 $19,183 +67% $20,147 +59% —
151 EPISTAXIS WITHOUT MCC $31,928 $19,157 $13,032 +145% $13,032 +145% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $31,829 $19,098 $12,474 +155% $15,636 +104% —
038 EXTRACRANIAL PROCEDURES WITH CC $31,827 $19,096 $24,107 +32% $35,770 −11% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $31,827 $19,096 $23,065 +38% $24,879 +28% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $31,749 $19,049 $18,707 +70% $20,421 +55% —
592 SKIN ULCERS WITH MCC $31,742 $19,045 $29,882 +6% $32,662 −3% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $31,655 $18,993 $11,458 +176% $14,134 +124% —
602 CELLULITIS WITH MCC $31,554 $18,932 $22,262 +42% $29,347 +8% —
947 SIGNS AND SYMPTOMS WITH MCC $31,505 $18,903 $19,887 +58% $25,474 +24% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $31,417 $18,850 $15,039 +109% $17,585 +79% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $31,198 $18,719 $12,811 +144% $13,282 +135% —
313 CHEST PAIN $31,045 $18,627 $13,168 +136% $15,962 +94% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $31,035 $18,621 $23,467 +32% $23,141 +34% —
157 DENTAL AND ORAL DISEASES WITH MCC $30,963 $18,578 $24,447 +27% $27,457 +13% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $30,932 $18,559 $17,830 +73% $24,017 +29% —
149 DYSEQUILIBRIUM $30,657 $18,394 $16,163 +90% $17,203 +78% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $30,511 $18,307 $25,176 +21% $29,729 +3% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $30,496 $18,298 $13,542 +125% $17,700 +72% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $30,485 $18,291 $15,613 +95% $23,571 +29% —
304 HYPERTENSION WITH MCC $30,299 $18,179 $23,368 +30% $24,185 +25% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $30,161 $18,097 $25,121 +20% $29,409 +3% —
693 URINARY STONES WITH MCC $30,007 $18,004 $22,278 +35% $22,525 +33% —
711 TESTES PROCEDURES WITH CC/MCC $29,938 $17,963 $28,965 +3% $34,852 −14% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $29,898 $17,939 $25,010 +20% $30,058 −1% ≈102% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $29,751 $17,851 $14,344 +107% $18,278 +63% ≈126% of Medicare
311 ANGINA PECTORIS $29,620 $17,772 $12,257 +142% $15,165 +95% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $29,612 $17,767 $15,808 +87% $22,560 +31% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $29,436 $17,661 $11,177 +163% $15,070 +95% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $29,433 $17,660 $12,204 +141% $13,303 +121% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $29,426 $17,656 $16,518 +78% $24,022 +22% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $29,355 $17,613 $13,602 +116% $18,238 +61% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $29,284 $17,570 $20,139 +45% $26,020 +13% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $29,260 $17,556 $16,392 +79% $23,469 +25% ≈111% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $29,212 $17,527 $17,079 +71% $23,749 +23% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $29,188 $17,513 $22,498 +30% $25,307 +15% —
088 CONCUSSION WITH MCC $29,097 $17,458 $21,503 +35% $24,402 +19% —
503 FOOT PROCEDURES WITH MCC $29,031 $17,419 $37,544 −23% $43,901 −34% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $28,964 $17,378 $13,506 +114% $17,727 +63% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $28,909 $17,345 $31,349 −8% $37,902 −24% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $28,777 $17,266 $17,768 +62% $19,317 +49% —
571 SKIN DEBRIDEMENT WITH CC $28,699 $17,219 $24,925 +15% $34,901 −18% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $28,699 $17,219 $20,782 +38% $29,374 −2% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $28,691 $17,215 $14,795 +94% $18,803 +53% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $28,665 $17,199 $14,776 +94% $21,261 +35% —
292 HEART FAILURE AND SHOCK WITH CC $28,544 $17,126 $14,372 +99% $16,212 +76% —
197 INTERSTITIAL LUNG DISEASE WITH CC $28,518 $17,111 $16,043 +78% $20,106 +42% —
779 ABORTION WITHOUT D&C $28,474 $17,084 $12,637 +125% $15,327 +86% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $28,454 $17,072 $14,654 +94% $15,608 +82% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $28,397 $17,038 $20,513 +38% $25,426 +12% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $28,353 $17,012 $11,276 +151% $13,824 +105% —
176 PULMONARY EMBOLISM WITHOUT MCC $28,316 $16,990 $13,765 +106% $18,081 +57% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $28,274 $16,964 $14,171 +100% $20,084 +41% —
638 DIABETES WITH CC $28,192 $16,915 $15,709 +79% $18,821 +50% ≈122% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $28,175 $16,905 $20,145 +40% $23,956 +18% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $28,104 $16,862 $18,290 +54% $21,062 +33% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $28,050 $16,830 $22,628 +24% $24,450 +15% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $27,973 $16,784 $15,121 +85% $16,352 +71% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $27,968 $16,781 $15,684 +78% $20,777 +35% —
312 SYNCOPE AND COLLAPSE $27,914 $16,748 $18,111 +54% $19,342 +44% ≈110% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $27,874 $16,725 $21,642 +29% $25,010 +11% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $27,797 $16,678 $11,355 +145% $13,090 +112% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $27,735 $16,641 $16,076 +73% $20,968 +32% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $27,720 $16,632 $24,928 +11% $29,916 −7% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $27,693 $16,616 $12,534 +121% $12,537 +121% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $27,665 $16,599 $21,961 +26% $29,663 −7% —
593 SKIN ULCERS WITH CC $27,616 $16,569 $19,063 +45% $20,470 +35% —
915 ALLERGIC REACTIONS WITH MCC $27,579 $16,547 $25,750 +7% $30,944 −11% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $27,566 $16,540 $15,519 +78% $18,204 +51% ≈111% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $27,431 $16,459 $13,876 +98% $15,370 +78% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $27,286 $16,372 $11,894 +129% $14,880 +83% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $27,250 $16,350 $14,358 +90% $19,096 +43% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $27,250 $16,350 $16,575 +64% $22,781 +20% ≈110% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $27,209 $16,325 $12,120 +124% $14,012 +94% —
606 MINOR SKIN DISORDERS WITH MCC $27,147 $16,288 $23,644 +15% $25,434 +7% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $27,109 $16,265 $16,070 +69% $22,024 +23% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $27,079 $16,247 $25,166 +8% $28,252 −4% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $27,043 $16,226 $20,217 +34% $23,115 +17% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $26,904 $16,143 $13,747 +96% $17,322 +55% ≈117% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $26,829 $16,098 $15,183 +77% $19,287 +39% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $26,669 $16,001 $14,668 +82% $15,869 +68% —
920 COMPLICATIONS OF TREATMENT WITH CC $26,647 $15,988 $16,379 +63% $21,181 +26% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $26,646 $15,987 $13,579 +96% $20,278 +31% —
374 DIGESTIVE MALIGNANCY WITH MCC $26,625 $15,975 $28,612 −7% $38,885 −32% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $26,599 $15,959 $13,611 +95% $17,466 +52% ≈116% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $26,469 $15,882 $18,383 +44% $22,982 +15% ≈102% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $26,383 $15,830 $26,383 +0% $23,396 +13% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $26,367 $15,820 $20,766 +27% $20,732 +27% ≈107% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $26,312 $15,787 $17,505 +50% $25,162 +5% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $26,310 $15,786 $24,189 +9% $25,731 +2% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $26,304 $15,783 $12,609 +109% $16,104 +63% —
916 ALLERGIC REACTIONS WITHOUT MCC $26,243 $15,746 $13,100 +100% $13,890 +89% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $26,229 $15,738 $17,089 +53% $19,579 +34% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $26,213 $15,728 $24,871 +5% $25,208 +4% ≈91% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $26,041 $15,624 $10,563 +147% $12,044 +116% —
639 DIABETES WITHOUT CC/MCC $25,992 $15,595 $14,668 +77% $13,910 +87% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $25,974 $15,584 $19,916 +30% $23,924 +9% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $25,903 $15,542 $26,510 −2% $24,836 +4% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $25,464 $15,278 $16,429 +55% $21,545 +18% —
864 FEVER AND INFLAMMATORY CONDITIONS $25,401 $15,240 $22,978 +11% $17,412 +46% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $25,309 $15,186 $21,623 +17% $24,136 +5% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $25,257 $15,154 $11,510 +119% $14,368 +76% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $25,150 $15,090 $25,150 +0% $23,496 +7% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $25,075 $15,045 $11,501 +118% $14,208 +76% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $24,911 $14,947 $11,454 +117% $14,128 +76% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $24,909 $14,945 $19,268 +29% $22,032 +13% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $24,810 $14,886 $15,311 +62% $16,642 +49% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,614 $14,768 $21,670 +14% $30,930 −20% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,535 $14,721 $12,314 +99% $15,600 +57% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $24,532 $14,719 $21,908 +12% $22,525 +9% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $24,511 $14,707 $19,075 +29% $26,322 −7% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $24,314 $14,589 $15,598 +56% $20,371 +19% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $24,270 $14,562 $11,071 +119% $11,071 +119% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $24,144 $14,486 $17,947 +35% $23,350 +3% —
949 AFTERCARE WITH CC/MCC $24,140 $14,484 $17,198 +40% $23,953 +1% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $24,093 $14,456 $14,635 +65% $19,569 +23% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $24,084 $14,450 $21,563 +12% $23,734 +1% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $24,033 $14,420 $17,354 +38% $19,868 +21% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $24,019 $14,412 $19,440 +24% $24,202 −1% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $23,979 $14,388 $13,884 +73% $19,815 +21% —
152 OTITIS MEDIA AND URI WITH MCC $23,958 $14,375 $17,922 +34% $19,795 +21% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $23,825 $14,295 $27,567 −14% $30,940 −23% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $23,622 $14,173 $13,813 +71% $19,483 +21% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $23,576 $14,146 $13,648 +73% $17,273 +36% —
683 RENAL FAILURE WITH CC $23,550 $14,130 $18,011 +31% $18,620 +26% ≈107% of Medicare
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $23,504 $14,102 $3,983 +490% $15,655 +50% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $23,391 $14,035 $13,385 +75% $13,385 +75% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $23,291 $13,975 $15,547 +50% $18,428 +26% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $23,270 $13,962 $26,545 −12% $32,483 −28% —
694 URINARY STONES WITHOUT MCC $23,244 $13,947 $13,336 +74% $16,531 +41% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $23,057 $13,834 $13,184 +75% $14,444 +60% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $23,028 $13,817 $14,950 +54% $17,731 +30% —
885 PSYCHOSES $22,830 $13,698 $18,995 +20% $21,489 +6% ≈103% of Medicare
603 CELLULITIS WITHOUT MCC $22,806 $13,683 $14,626 +56% $18,530 +23% ≈128% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $22,675 $13,605 $15,148 +50% $16,745 +35% ≈126% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $22,644 $13,586 $19,357 +17% $26,146 −13% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $22,629 $13,578 $12,173 +86% $14,441 +57% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $22,564 $13,538 $50,550 −55% $62,524 −64% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $22,535 $13,521 $16,798 +34% $20,007 +13% —
123 NEUROLOGICAL EYE DISORDERS $22,436 $13,461 $13,618 +65% $17,831 +26% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,338 $13,403 $22,272 +0% $28,780 −22% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $22,242 $13,345 $17,043 +31% $24,452 −9% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $21,975 $13,185 $19,302 +14% $20,727 +6% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $21,864 $13,118 $16,847 +30% $17,550 +25% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $21,834 $13,100 $16,067 +36% $17,388 +26% ≈138% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $21,772 $13,063 $22,477 −3% $28,140 −23% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $21,358 $12,815 $17,832 +20% $20,741 +3% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $21,293 $12,776 $15,610 +36% $16,418 +30% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $21,201 $12,721 $12,055 +76% $12,797 +66% —
101 SEIZURES WITHOUT MCC $21,139 $12,683 $15,526 +36% $19,954 +6% ≈108% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $21,030 $12,618 $15,734 +34% $21,449 −2% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,028 $12,617 $26,677 −21% $29,476 −29% —
303 ATHEROSCLEROSIS WITHOUT MCC $20,877 $12,526 $11,921 +75% $14,927 +40% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $20,741 $12,445 $40,157 −48% $57,855 −64% —
534 FRACTURES OF FEMUR WITHOUT MCC $20,725 $12,435 $13,759 +51% $17,195 +21% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,627 $12,376 $15,242 +35% $18,133 +14% —
075 VIRAL MENINGITIS WITH CC/MCC $20,491 $12,295 $25,549 −20% $29,853 −31% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $20,339 $12,204 $13,288 +53% $15,858 +28% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $20,023 $12,014 $19,275 +4% $15,474 +29% —
881 DEPRESSIVE NEUROSES $19,953 $11,972 $14,686 +36% $15,058 +33% —
598 MALIGNANT BREAST DISORDERS WITH CC $19,612 $11,767 $17,197 +14% $19,073 +3% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $19,585 $11,751 $16,633 +18% $16,865 +16% ≈119% of Medicare
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $19,387 $11,632 $12,234 +58% $12,405 +56% —
607 MINOR SKIN DISORDERS WITHOUT MCC $19,350 $11,610 $14,410 +34% $15,284 +27% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $19,234 $11,541 $13,911 +38% $15,876 +21% —
866 VIRAL ILLNESS WITHOUT MCC $19,110 $11,466 $14,678 +30% $16,391 +17% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $19,102 $11,461 $14,675 +30% $15,045 +27% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $19,046 $11,428 $14,180 +34% $16,049 +19% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $18,981 $11,389 $16,122 +18% $17,483 +9% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,896 $11,338 $32,464 −42% $38,878 −51% —
201 PNEUMOTHORAX WITHOUT CC/MCC $18,677 $11,206 $11,982 +56% $13,081 +43% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,543 $11,126 $18,543 +0% $30,974 −40% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $18,387 $11,032 $12,505 +47% $12,895 +43% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $18,362 $11,017 $17,600 +4% $22,698 −19% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $18,216 $10,930 $12,855 +42% $13,892 +31% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $18,091 $10,855 $18,846 −4% $26,634 −32% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $18,032 $10,819 $15,986 +13% $18,282 −1% —
882 NEUROSES EXCEPT DEPRESSIVE $17,775 $10,665 $13,211 +35% $15,680 +13% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $17,694 $10,617 $14,343 +23% $13,318 +33% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $17,619 $10,571 $26,167 −33% $32,538 −46% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $17,534 $10,521 $16,431 +7% $16,571 +6% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,507 $10,504 $17,555 −0% $18,459 −5% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $17,175 $10,305 $13,719 +25% $18,002 −5% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,170 $10,302 $14,081 +22% $17,226 −0% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $17,048 $10,229 $13,822 +23% $13,822 +23% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,881 $10,129 $16,213 +4% $17,078 −1% —
102 HEADACHES WITH MCC $16,709 $10,026 $17,476 −4% $22,544 −26% —
158 DENTAL AND ORAL DISEASES WITH CC $16,538 $9,923 $15,402 +7% $17,700 −7% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $16,430 $9,858 $11,921 +38% $13,198 +24% —
539 OSTEOMYELITIS WITH MCC $16,299 $9,779 $29,216 −44% $33,746 −52% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $16,240 $9,744 $11,421 +42% $11,421 +42% —
662 MINOR BLADDER PROCEDURES WITH MCC $15,859 $9,515 $43,683 −64% $54,483 −71% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $15,840 $9,504 $12,235 +29% $12,279 +29% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $15,829 $9,498 $13,799 +15% $16,837 −6% —
548 SEPTIC ARTHRITIS WITH MCC $15,583 $9,350 $29,341 −47% $31,019 −50% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,557 $9,334 $23,246 −33% $29,633 −48% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $15,132 $9,079 $11,294 +34% $12,013 +26% —
139 SALIVARY GLAND PROCEDURES $15,124 $9,074 $21,014 −28% $21,014 −28% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $15,091 $9,055 $14,624 +3% $21,029 −28% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,902 $8,941 $14,464 +3% $18,253 −18% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $14,721 $8,833 $14,405 +2% $17,367 −15% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $14,662 $8,797 $14,226 +3% $17,715 −17% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $14,392 $8,635 $13,752 +5% $17,383 −17% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $14,252 $8,551 $17,159 −17% $17,943 −21% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $14,148 $8,489 $10,553 +34% $9,385 +51% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $14,053 $8,432 $11,755 +20% $13,368 +5% —
684 RENAL FAILURE WITHOUT CC/MCC $14,017 $8,410 $11,077 +27% $13,623 +3% —
541 OSTEOMYELITIS WITHOUT CC/MCC $13,738 $8,243 $13,738 +0% $14,549 −6% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $13,719 $8,231 $10,337 +33% $11,633 +18% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $13,445 $8,067 $7,192 +87% $9,076 +48% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,319 $7,992 $14,064 −5% $14,064 −5% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $13,230 $7,938 $16,857 −22% $18,478 −28% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $12,941 $7,765 $12,336 +5% $12,336 +5% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $12,908 $7,745 $26,328 −51% $31,044 −58% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,770 $7,662 $12,793 −0% $14,284 −11% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $12,650 $7,590 $10,456 +21% $13,384 −5% ≈150% of Medicare
595 MAJOR SKIN DISORDERS WITH MCC $12,565 $7,539 $30,646 −59% $31,785 −60% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,542 $7,525 $12,431 +1% $14,473 −13% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,698 $7,019 $10,773 +9% $12,381 −6% —
887 OTHER MENTAL DISORDER DIAGNOSES $10,384 $6,231 $11,348 −8% $20,602 −50% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $10,100 $6,060 $9,238 +9% $16,719 −40% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,949 $5,969 $12,472 −20% $21,986 −55% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $8,845 $5,307 $12,453 −29% $15,607 −43% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,655 $4,593 $7,548 +1% $7,961 −4% —
795 NORMAL NEWBORN $6,501 $3,901 $4,526 +44% $4,530 +44% —
950 AFTERCARE WITHOUT CC/MCC $6,365 $3,819 $10,801 −41% $13,527 −53% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $829 $497 $13,806 −94% $18,150 −95% —
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