Ohio State University State Health System — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 731 with a comparable price, 40 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 771
Lowest published price $1,490
Average published price $36,080
Highest published price $762,789

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 771 procedures

Published charges

Showing all 731 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. Cash-pay prices not published for this hospital.

Across 191 procedures, this hospital's negotiated rates average ≈242% of what Medicare pays.

DRG Description Published price vs. OH median vs. National median vs Medicare
007 LUNG TRANSPLANT $762,789 $170,608 +347% $170,608 +347% —
849 RADIOTHERAPY $709,583 $37,862 +1774% $37,862 +1774% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $661,558 $139,842 +373% $164,641 +302% ≈375% of Medicare
014 ALLOGENEIC BONE MARROW TRANSPLANT $592,108 $171,028 +246% $182,314 +225% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $588,645 $105,228 +459% $105,228 +459% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $571,856 $121,563 +370% $121,563 +370% —
006 LIVER TRANSPLANT WITHOUT MCC $529,529 $84,407 +527% $84,407 +527% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $522,093 $28,350 +1742% $37,240 +1302% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $485,082 $86,459 +461% $86,459 +461% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $392,344 $306,087 +28% $306,087 +28% —
010 PANCREAS TRANSPLANT $377,322 $99,940 +278% $99,940 +278% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $358,429 $25,923 +1283% $35,849 +900% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $322,254 $78,460 +311% $96,192 +235% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $283,022 $29,767 +851% $35,030 +708% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $259,550 $81,176 +220% $98,260 +164% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $248,708 $28,958 +759% $32,574 +664% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $231,534 $62,792 +269% $88,050 +163% ≈250% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $226,633 $24,514 +824% $35,831 +533% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $224,779 $37,588 +498% $48,687 +362% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $219,306 $15,547 +1311% $18,316 +1097% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $196,184 $69,912 +181% $99,943 +96% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $183,983 $89,681 +105% $126,098 +46% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $181,891 $68,095 +167% $77,055 +136% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $173,001 $54,862 +215% $62,300 +178% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $160,679 $23,326 +589% $34,434 +367% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $158,414 $33,823 +368% $50,498 +214% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $151,048 $30,914 +389% $46,727 +223% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $149,157 $54,300 +175% $61,832 +141% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $148,553 $32,168 +362% $47,789 +211% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $140,225 $26,921 +421% $43,298 +224% —
501 SOFT TISSUE PROCEDURES WITH CC $139,608 $26,358 +430% $39,619 +252% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $137,071 $23,998 +471% $35,584 +285% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $134,557 $22,435 +500% $36,988 +264% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $132,607 $110,483 +20% $144,774 −8% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $131,447 $29,131 +351% $44,363 +196% —
671 URETHRAL PROCEDURES WITH CC/MCC $128,783 $25,566 +404% $27,233 +373% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $128,400 $16,427 +682% $22,635 +467% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $128,158 $74,634 +72% $105,899 +21% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $124,643 $30,860 +304% $42,906 +191% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $124,137 $33,343 +272% $38,878 +219% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $122,308 $15,890 +670% $17,404 +603% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $119,181 $27,664 +331% $47,711 +150% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $118,625 $24,502 +384% $36,445 +225% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $115,813 $21,793 +431% $32,833 +253% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $109,436 $18,038 +507% $25,390 +331% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $105,993 $26,794 +296% $40,365 +163% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $105,776 $24,928 +324% $29,916 +254% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $104,536 $19,169 +445% $27,323 +283% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $103,719 $30,486 +240% $42,795 +142% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $100,678 $49,721 +102% $66,711 +51% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $100,599 $16,495 +510% $18,348 +448% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $99,816 $21,022 +375% $30,493 +227% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $99,142 $23,510 +322% $34,749 +185% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $98,596 $17,768 +455% $19,815 +398% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $96,138 $84,844 +13% $109,331 −12% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $95,564 $91,253 +5% $102,600 −7% —
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $95,452 $483,987 −80% $573,534 −83% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $94,222 $22,882 +312% $33,674 +180% —
597 MALIGNANT BREAST DISORDERS WITH MCC $93,611 $25,994 +260% $33,386 +180% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $93,437 $29,518 +217% $31,134 +200% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $92,005 $21,381 +330% $22,393 +311% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $90,734 $17,544 +417% $24,544 +270% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $89,862 $142,952 −37% $196,346 −54% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $88,608 $184,103 −52% $248,521 −64% ≈253% of Medicare
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $88,321 $18,949 +366% $26,948 +228% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $82,790 $24,884 +233% $32,944 +151% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $82,507 $19,686 +319% $23,498 +251% —
799 SPLENIC PROCEDURES WITH MCC $78,773 $64,885 +21% $82,218 −4% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $78,067 $26,676 +193% $58,809 +33% ≈254% of Medicare
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $76,406 $17,867 +328% $33,047 +131% —
157 DENTAL AND ORAL DISEASES WITH MCC $75,805 $24,447 +210% $31,300 +142% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $75,034 $137,630 −45% $142,326 −47% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $74,913 $24,586 +205% $25,197 +197% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $74,220 $112,119 −34% $153,282 −52% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $72,939 $52,255 +40% $66,848 +9% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $72,228 $362,617 −80% $461,389 −84% —
332 RECTAL RESECTION WITH MCC $70,526 $48,214 +46% $58,125 +21% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $68,702 $127,148 −46% $188,171 −63% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $66,701 $24,292 +175% $28,202 +137% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $65,331 $139,148 −53% $208,939 −69% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $65,063 $25,633 +154% $29,826 +118% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $63,421 $24,061 +164% $35,692 +78% —
637 DIABETES WITH MCC $62,018 $22,095 +181% $30,100 +106% ≈260% of Medicare
150 EPISTAXIS WITH MCC $61,098 $21,133 +189% $23,171 +164% —
151 EPISTAXIS WITHOUT MCC $60,046 $12,787 +370% $13,032 +361% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $59,173 $37,631 +57% $44,222 +34% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $57,975 $19,075 +204% $27,163 +113% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $56,422 $82,102 −31% $115,839 −51% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $56,035 $20,980 +167% $20,980 +167% —
662 MINOR BLADDER PROCEDURES WITH MCC $55,728 $43,683 +28% $54,562 +2% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $55,023 $13,822 +298% $14,501 +279% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $53,628 $86,542 −38% $123,995 −57% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $53,300 $80,075 −33% $103,455 −48% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $52,932 $40,363 +31% $58,975 −10% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $52,390 $16,211 +223% $23,319 +125% ≈252% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $52,017 $45,479 +14% $65,608 −21% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $51,605 $82,731 −38% $98,912 −48% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $51,410 $99,339 −48% $120,573 −57% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $51,408 $83,090 −38% $88,566 −42% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $50,908 $94,288 −46% $131,961 −61% ≈230% of Medicare
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $50,400 $106,929 −53% $148,686 −66% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $49,484 $92,883 −47% $148,832 −67% ≈221% of Medicare
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $49,218 $89,353 −45% $89,353 −45% ≈208% of Medicare
231 CORONARY BYPASS WITH PTCA WITH MCC $48,956 $112,178 −56% $147,227 −67% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $48,748 $89,209 −45% $125,242 −61% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $47,238 $73,030 −35% $90,401 −48% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $46,995 $86,374 −46% $116,058 −60% ≈224% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $46,507 $15,598 +198% $20,911 +122% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $46,057 $16,434 +180% $22,557 +104% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $46,023 $60,208 −24% $86,970 −47% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $45,608 $58,476 −22% $101,510 −55% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $44,900 $79,247 −43% $112,062 −60% ≈262% of Medicare
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $44,754 $83,192 −46% $117,280 −62% ≈219% of Medicare
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,517 $80,603 −45% $113,855 −61% ≈205% of Medicare
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $44,189 $74,709 −41% $106,057 −58% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $43,750 $77,406 −43% $107,355 −59% ≈252% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $43,669 $56,194 −22% $81,998 −47% —
028 SPINAL PROCEDURES WITH MCC $42,955 $81,731 −47% $113,077 −62% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $42,934 $73,038 −41% $101,576 −58% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $41,944 $67,791 −38% $96,905 −57% ≈286% of Medicare
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $41,415 $96,607 −57% $144,569 −71% ≈223% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $41,410 $64,273 −36% $104,583 −60% —
598 MALIGNANT BREAST DISORDERS WITH CC $40,797 $17,197 +137% $19,073 +114% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $40,480 $76,970 −47% $106,778 −62% ≈237% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $40,306 $36,097 +12% $39,173 +3% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $39,884 $63,571 −37% $91,329 −56% ≈222% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $39,853 $49,237 −19% $54,196 −26% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $39,725 $32,969 +20% $40,108 −1% —
887 OTHER MENTAL DISORDER DIAGNOSES $39,421 $14,190 +178% $20,616 +91% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $39,361 $73,986 −47% $101,618 −61% —
152 OTITIS MEDIA AND URI WITH MCC $39,244 $17,922 +119% $20,247 +94% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $39,080 $13,791 +183% $18,126 +116% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $38,333 $13,602 +182% $18,452 +108% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $37,905 $72,075 −47% $102,573 −63% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $37,799 $59,237 −36% $83,441 −55% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $37,558 $62,992 −40% $71,551 −48% ≈394% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $37,480 $69,206 −46% $96,507 −61% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $37,060 $69,008 −46% $80,793 −54% ≈222% of Medicare
503 FOOT PROCEDURES WITH MCC $37,045 $37,295 −1% $47,540 −22% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $36,850 $34,307 +7% $41,620 −11% —
834 ACUTE LEUKEMIA WITH MCC $36,780 $62,164 −41% $85,566 −57% —
471 CERVICAL SPINAL FUSION WITH MCC $35,590 $66,189 −46% $92,515 −62% —
835 ACUTE LEUKEMIA WITH CC $35,542 $30,915 +15% $35,569 −0% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $34,949 $62,801 −44% $90,331 −61% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,936 $64,248 −46% $92,217 −62% ≈189% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $34,797 $68,473 −49% $93,390 −63% ≈221% of Medicare
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $34,697 $26,510 +31% $26,510 +31% —
305 HYPERTENSION WITHOUT MCC $34,388 $12,937 +166% $18,086 +90% ≈258% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,326 $64,874 −47% $90,775 −62% ≈196% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,105 $13,438 +154% $17,620 +94% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $33,840 $65,149 −48% $90,724 −63% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $33,781 $36,791 −8% $45,167 −25% —
163 MAJOR CHEST PROCEDURES WITH MCC $33,761 $63,017 −46% $90,195 −63% ≈229% of Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $33,750 $94,742 −64% $132,794 −75% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $33,683 $68,020 −50% $93,172 −64% ≈273% of Medicare
245 AICD GENERATOR PROCEDURES $32,855 $66,564 −51% $72,076 −54% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $32,815 $53,970 −39% $79,116 −59% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $32,769 $55,985 −41% $79,225 −59% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $32,659 $50,089 −35% $76,219 −57% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $32,632 $14,064 +132% $14,064 +132% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $32,350 $71,776 −55% $111,320 −71% ≈247% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $32,126 $61,750 −48% $76,001 −58% ≈256% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $32,040 $61,240 −48% $88,307 −64% ≈238% of Medicare
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $32,040 $50,398 −36% $61,470 −48% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $31,929 $19,686 +62% $19,686 +62% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $31,685 $47,288 −33% $60,098 −47% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $31,584 $22,780 +39% $29,221 +8% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $31,196 $48,637 −36% $62,583 −50% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $31,182 $59,352 −47% $59,352 −47% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $31,076 $60,697 −49% $70,177 −56% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $30,652 $49,711 −38% $71,092 −57% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $30,560 $56,565 −46% $82,247 −63% ≈282% of Medicare
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,491 $57,196 −47% $85,159 −64% ≈219% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $30,321 $16,990 +78% $20,455 +48% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,202 $61,401 −51% $84,692 −64% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $30,162 $57,584 −48% $72,962 −59% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $29,994 $49,106 −39% $71,755 −58% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $29,846 $276,951 −89% $371,366 −92% ≈252% of Medicare
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $29,505 $53,167 −45% $75,573 −61% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $29,206 $54,405 −46% $71,795 −59% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $29,134 $56,456 −48% $79,836 −64% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $29,091 $56,535 −49% $73,120 −60% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $29,075 $56,242 −48% $56,242 −48% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,835 $53,357 −46% $66,685 −57% —
037 EXTRACRANIAL PROCEDURES WITH MCC $28,399 $35,207 −19% $66,666 −57% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $28,376 $53,945 −47% $78,852 −64% ≈203% of Medicare
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $28,075 $22,783 +23% $33,454 −16% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $27,825 $46,049 −40% $52,908 −47% —
950 AFTERCARE WITHOUT CC/MCC $27,576 $10,801 +155% $13,527 +104% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $27,513 $25,994 +6% $30,553 −10% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,309 $52,536 −48% $74,755 −63% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $27,197 $12,605 +116% $19,227 +41% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,174 $52,805 −49% $75,103 −64% ≈421% of Medicare
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $27,092 $44,472 −39% $44,472 −39% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $27,084 $54,898 −51% $77,817 −65% ≈196% of Medicare
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $27,058 $44,389 −39% $55,289 −51% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $27,055 $40,662 −33% $63,928 −58% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $26,952 $44,663 −40% $71,464 −62% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $26,787 $14,055 +91% $14,055 +91% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $26,661 $57,570 −54% $77,990 −66% ≈209% of Medicare
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $26,398 $50,550 −48% $68,639 −62% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $26,370 $53,307 −51% $59,594 −56% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,327 $46,760 −44% $67,268 −61% ≈246% of Medicare
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $25,921 $36,798 −30% $59,533 −56% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $25,898 $27,244 −5% $32,031 −19% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $25,739 $48,670 −47% $69,743 −63% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $25,698 $29,520 −13% $49,710 −48% —
265 AICD LEAD PROCEDURES $25,524 $49,492 −48% $63,171 −60% —
652 KIDNEY TRANSPLANT $25,368 $54,720 −54% $54,720 −54% ≈671% of Medicare
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,259 $47,899 −47% $71,014 −64% ≈223% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,221 $47,828 −47% $68,653 −63% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $25,214 $46,494 −46% $70,847 −64% ≈234% of Medicare
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $25,201 $20,978 +20% $30,418 −17% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $25,135 $19,132 +31% $19,132 +31% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $24,702 $48,655 −49% $66,068 −63% ≈285% of Medicare
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $24,697 $38,933 −37% $52,036 −53% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,522 $47,218 −48% $70,132 −65% ≈261% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $24,298 $47,403 −49% $70,371 −65% —
252 OTHER VASCULAR PROCEDURES WITH MCC $24,289 $39,129 −38% $68,508 −65% ≈205% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $24,119 $44,977 −46% $72,424 −67% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $24,011 $45,618 −47% $65,788 −64% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $23,719 $58,558 −59% $82,561 −71% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $23,674 $34,470 −31% $51,953 −54% —
945 REHABILITATION WITH CC/MCC $23,487 $23,834 −1% $23,834 −1% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,484 $43,701 −46% $65,573 −64% ≈191% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $23,469 $26,296 −11% $39,515 −41% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $23,457 $39,827 −41% $50,919 −54% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $23,433 $68,045 −66% $93,238 −75% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $23,144 $43,330 −47% $62,821 −63% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,135 $43,218 −46% $53,864 −57% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $23,121 $38,581 −40% $51,746 −55% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $23,046 $43,510 −47% $65,325 −65% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,992 $19,930 +15% $27,989 −18% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,948 $46,361 −51% $65,216 −65% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $22,919 $39,606 −42% $52,986 −57% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $22,716 $73,455 −69% $102,128 −78% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $22,515 $21,908 +3% $22,525 −0% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $22,491 $34,487 −35% $42,186 −47% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $22,427 $40,341 −44% $61,217 −63% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $22,340 $43,021 −48% $60,407 −63% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $22,332 $12,253 +82% $15,495 +44% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,086 $35,670 −38% $55,162 −60% —
711 TESTES PROCEDURES WITH CC/MCC $22,010 $27,991 −21% $38,343 −43% —
710 PENIS PROCEDURES WITHOUT CC/MCC $21,773 $22,681 −4% $26,436 −18% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $21,713 $42,891 −49% $64,523 −66% ≈249% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,490 $41,261 −48% $60,170 −64% —
472 CERVICAL SPINAL FUSION WITH CC $21,483 $56,206 −62% $59,537 −64% ≈292% of Medicare
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,457 $41,365 −48% $65,653 −67% ≈315% of Medicare
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,413 $34,285 −38% $46,402 −54% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $21,373 $69,695 −69% $99,423 −79% ≈194% of Medicare
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $21,303 $52,152 −59% $74,257 −71% —
113 ORBITAL PROCEDURES WITH CC/MCC $21,276 $32,032 −34% $36,167 −41% —
570 SKIN DEBRIDEMENT WITH MCC $21,239 $40,626 −48% $52,435 −59% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,137 $41,464 −49% $58,228 −64% ≈403% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $20,927 $33,920 −38% $50,624 −59% —
668 TRANSURETHRAL PROCEDURES WITH MCC $20,927 $41,045 −49% $51,608 −59% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $20,753 $19,911 +4% $26,870 −23% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,652 $38,281 −46% $62,264 −67% —
263 VEIN LIGATION AND STRIPPING $20,584 $38,005 −46% $51,253 −60% —
800 SPLENIC PROCEDURES WITH CC $20,527 $41,012 −50% $49,184 −58% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $20,433 $34,586 −41% $50,046 −59% —
303 ATHEROSCLEROSIS WITHOUT MCC $20,303 $11,921 +70% $14,927 +36% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $20,231 $38,709 −48% $48,358 −58% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $20,213 $38,166 −47% $44,546 −55% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,128 $38,454 −48% $43,491 −54% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $20,068 $14,937 +34% $16,552 +21% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,953 $34,905 −43% $52,405 −62% ≈247% of Medicare
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,899 $41,024 −51% $70,467 −72% —
654 MAJOR BLADDER PROCEDURES WITH CC $19,875 $39,822 −50% $58,274 −66% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $19,870 $40,991 −52% $59,790 −67% ≈282% of Medicare
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $19,865 $40,289 −51% $49,839 −60% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,771 $32,077 −38% $45,866 −57% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $19,615 $10,296 +91% $13,361 +47% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $19,588 $44,609 −56% $89,207 −78% ≈304% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,586 $19,183 +2% $19,270 +2% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $19,584 $18,536 +6% $19,598 −0% —
500 SOFT TISSUE PROCEDURES WITH MCC $19,569 $42,092 −54% $61,872 −68% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,565 $37,754 −48% $47,945 −59% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $19,401 $40,142 −52% $81,706 −76% ≈221% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $19,273 $21,228 −9% $25,094 −23% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $19,229 $32,773 −41% $48,349 −60% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,193 $37,242 −48% $54,929 −65% —
397 APPENDIX PROCEDURES WITH MCC $19,182 $35,353 −46% $53,257 −64% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,172 $33,207 −42% $50,618 −62% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,036 $31,740 −40% $41,608 −54% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $18,933 $35,964 −47% $49,423 −62% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $18,888 $16,604 +14% $26,932 −30% —
253 OTHER VASCULAR PROCEDURES WITH CC $18,875 $36,329 −48% $57,454 −67% ≈284% of Medicare
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,837 $18,572 +1% $25,712 −27% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $18,807 $45,498 −59% $58,745 −68% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $18,774 $25,347 −26% $48,682 −61% —
949 AFTERCARE WITH CC/MCC $18,535 $17,198 +8% $23,953 −23% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,426 $35,990 −49% $40,362 −54% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,222 $34,970 −48% $51,985 −65% ≈230% of Medicare
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,214 $36,267 −50% $58,707 −69% ≈263% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $18,099 $30,243 −40% $50,463 −64% ≈258% of Medicare
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $18,039 $28,703 −37% $43,631 −59% —
915 ALLERGIC REACTIONS WITH MCC $18,009 $25,750 −30% $32,645 −45% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,849 $35,224 −49% $54,583 −67% ≈265% of Medicare
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,840 $34,708 −49% $59,421 −70% ≈268% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $17,837 $30,598 −42% $43,650 −59% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $17,813 $30,155 −41% $43,174 −59% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $17,754 $28,988 −39% $37,267 −52% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $17,632 $34,357 −49% $59,651 −70% ≈259% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,611 $34,307 −49% $47,583 −63% —
181 RESPIRATORY NEOPLASMS WITH CC $17,506 $17,555 −0% $23,573 −26% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,496 $33,155 −47% $50,394 −65% ≈216% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $17,480 $32,890 −47% $43,943 −60% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $17,437 $12,534 +39% $12,559 +39% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,393 $33,912 −49% $40,548 −57% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,387 $32,279 −46% $59,629 −71% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,251 $33,872 −49% $59,500 −71% ≈284% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $17,154 $35,862 −52% $56,755 −70% ≈250% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $17,117 $28,648 −40% $43,538 −61% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,096 $32,719 −48% $49,066 −65% ≈239% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $17,051 $22,123 −23% $39,973 −57% ≈215% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,971 $28,868 −41% $43,913 −61% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,902 $23,776 −29% $50,011 −66% ≈227% of Medicare
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $16,856 $28,381 −41% $43,080 −61% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,786 $30,404 −45% $46,066 −64% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,778 $33,308 −50% $36,489 −54% ≈286% of Medicare
709 PENIS PROCEDURES WITH CC/MCC $16,716 $32,359 −48% $34,535 −52% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $16,613 $32,503 −49% $49,418 −66% ≈280% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $16,532 $31,920 −48% $46,283 −64% ≈241% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $16,397 $27,767 −41% $36,431 −55% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $16,344 $27,823 −41% $42,126 −61% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,327 $32,385 −50% $47,737 −66% —
533 FRACTURES OF FEMUR WITH MCC $16,319 $22,986 −29% $25,945 −37% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $16,291 $27,322 −40% $36,249 −55% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,276 $32,504 −50% $38,998 −58% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $16,208 $28,555 −43% $38,861 −58% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $16,194 $26,863 −40% $40,562 −60% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $16,158 $27,387 −41% $46,340 −65% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,113 $25,727 −37% $32,443 −50% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,985 $15,985 +0% $25,279 −37% ≈297% of Medicare
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $15,884 $31,349 −49% $42,901 −63% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,841 $31,193 −49% $45,877 −65% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $15,800 $102,814 −85% $143,242 −89% ≈250% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,772 $31,025 −49% $38,070 −59% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,670 $30,721 −49% $49,351 −68% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $15,615 $24,341 −36% $36,670 −57% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $15,611 $37,153 −58% $46,453 −66% —
374 DIGESTIVE MALIGNANCY WITH MCC $15,585 $23,726 −34% $39,958 −61% —
333 RECTAL RESECTION WITH CC $15,547 $30,778 −49% $37,154 −58% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,375 $23,677 −35% $53,451 −71% ≈226% of Medicare
595 MAJOR SKIN DISORDERS WITH MCC $15,365 $29,614 −48% $34,598 −56% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,272 $29,304 −48% $46,090 −67% ≈295% of Medicare
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,270 $23,853 −36% $32,433 −53% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,247 $25,294 −40% $33,851 −55% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,187 $15,591 −3% $19,594 −22% —
505 FOOT PROCEDURES WITHOUT CC/MCC $15,178 $25,972 −42% $34,937 −57% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,060 $30,912 −51% $46,724 −68% ≈250% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $15,043 $36,735 −59% $52,178 −71% ≈244% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,999 $29,012 −48% $39,106 −62% ≈246% of Medicare
539 OSTEOMYELITIS WITH MCC $14,991 $28,990 −48% $37,609 −60% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $14,946 $27,152 −45% $30,243 −51% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,877 $28,801 −48% $43,800 −66% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $14,864 $25,272 −41% $43,477 −66% ≈289% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $14,765 $24,147 −39% $36,354 −59% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,712 $30,124 −51% $52,751 −72% ≈311% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $14,695 $18,646 −21% $38,094 −61% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $14,667 $22,361 −34% $39,955 −63% ≈230% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $14,636 $13,752 +6% $19,119 −23% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,632 $31,353 −53% $45,333 −68% ≈194% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $14,631 $23,672 −38% $31,346 −53% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,493 $28,621 −49% $40,213 −64% ≈230% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,373 $32,829 −56% $42,415 −66% —
075 VIRAL MENINGITIS WITH CC/MCC $14,373 $25,549 −44% $30,447 −53% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $14,272 $22,893 −38% $33,694 −58% —
380 COMPLICATED PEPTIC ULCER WITH MCC $14,263 $28,169 −49% $39,627 −64% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,246 $27,093 −47% $32,637 −56% ≈261% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,208 $26,909 −47% $40,642 −65% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $14,123 $49,285 −71% $70,564 −80% ≈223% of Medicare
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $14,118 $14,383 −2% $19,138 −26% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,110 $31,144 −55% $38,666 −64% ≈258% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $14,083 $23,921 −41% $35,453 −60% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $14,081 $26,308 −46% $52,075 −73% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $14,041 $17,928 −22% $27,152 −48% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,020 $17,397 −19% $34,276 −59% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,007 $22,047 −36% $34,459 −59% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,974 $27,666 −49% $50,607 −72% ≈268% of Medicare
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $13,903 $48,887 −72% $56,964 −76% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,863 $26,007 −47% $39,020 −64% —
606 MINOR SKIN DISORDERS WITH MCC $13,787 $20,159 −32% $27,975 −51% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,700 $17,596 −22% $36,792 −63% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,689 $27,668 −51% $37,844 −64% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $13,686 $17,198 −20% $33,633 −59% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,627 $30,555 −55% $58,280 −77% ≈288% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,612 $29,374 −54% $42,914 −68% ≈271% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,602 $25,046 −46% $41,591 −67% ≈229% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,542 $13,602 −0% $19,962 −32% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,453 $23,602 −43% $34,906 −61% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,453 $23,703 −43% $35,074 −62% —
199 PNEUMOTHORAX WITH MCC $13,390 $26,106 −49% $33,787 −60% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,385 $22,516 −41% $33,048 −59% —
669 TRANSURETHRAL PROCEDURES WITH CC $13,368 $23,279 −43% $34,354 −61% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $13,365 $17,053 −22% $31,951 −58% ≈261% of Medicare
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,364 $26,006 −49% $39,018 −66% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,286 $23,143 −43% $37,950 −65% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,270 $28,660 −54% $35,628 −63% ≈253% of Medicare
592 SKIN ULCERS WITH MCC $13,235 $29,882 −56% $33,246 −60% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,235 $21,645 −39% $50,139 −74% —
398 APPENDIX PROCEDURES WITH CC $13,195 $22,834 −42% $40,162 −67% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $13,192 $23,254 −43% $30,010 −56% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,185 $28,559 −54% $29,524 −55% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,158 $25,121 −48% $31,563 −58% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,110 $21,935 −40% $38,836 −66% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $13,073 $19,916 −34% $25,748 −49% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,062 $27,955 −53% $42,881 −70% ≈249% of Medicare
504 FOOT PROCEDURES WITH CC $13,054 $25,876 −50% $38,960 −66% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,051 $26,206 −50% $38,101 −66% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $13,001 $40,406 −68% $59,031 −78% —
180 RESPIRATORY NEOPLASMS WITH MCC $12,992 $25,879 −50% $36,658 −65% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,978 $21,427 −39% $39,887 −67% —
666 PROSTATECTOMY WITH CC $12,955 $24,574 −47% $31,906 −59% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,932 $25,133 −49% $29,079 −56% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,926 $18,496 −30% $36,253 −64% —
865 VIRAL ILLNESS WITH MCC $12,855 $22,350 −42% $26,910 −52% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,619 $21,961 −43% $32,100 −61% —
571 SKIN DEBRIDEMENT WITH CC $12,606 $24,925 −49% $37,169 −66% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,600 $23,838 −47% $33,985 −63% ≈219% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,540 $25,010 −50% $32,496 −61% ≈224% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,527 $24,869 −50% $33,876 −63% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $12,509 $10,316 +21% $12,999 −4% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,479 $25,985 −52% $40,552 −69% —
693 URINARY STONES WITH MCC $12,403 $22,278 −44% $23,892 −48% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,402 $24,718 −50% $44,606 −72% ≈286% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,382 $21,670 −43% $34,607 −64% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,362 $24,622 −50% $44,117 −72% ≈291% of Medicare
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,344 $22,735 −46% $33,424 −63% —
643 ENDOCRINE DISORDERS WITH MCC $12,321 $24,704 −50% $33,563 −63% ≈283% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,310 $20,875 −41% $30,242 −59% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,299 $22,379 −45% $34,192 −64% ≈226% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $12,267 $17,347 −29% $31,105 −61% ≈238% of Medicare
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,267 $22,401 −45% $37,842 −68% ≈247% of Medicare
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $12,186 $20,380 −40% $40,694 −70% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,157 $23,902 −49% $35,419 −66% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,133 $27,058 −55% $32,859 −63% ≈222% of Medicare
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $12,129 $21,328 −43% $31,017 −61% —
038 EXTRACRANIAL PROCEDURES WITH CC $12,126 $24,107 −50% $35,770 −66% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,118 $23,876 −49% $39,006 −69% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,067 $26,853 −55% $37,387 −68% ≈226% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $12,042 $24,721 −51% $36,820 −67% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $12,039 $22,841 −47% $33,661 −64% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,029 $22,175 −46% $31,170 −61% —
935 NON-EXTENSIVE BURNS $11,990 $26,396 −55% $31,701 −62% ≈241% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,945 $23,784 −50% $41,955 −72% —
183 MAJOR CHEST TRAUMA WITH MCC $11,939 $14,367 −17% $29,933 −60% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,933 $14,025 −15% $31,159 −62% ≈165% of Medicare
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $11,932 $21,187 −44% $30,828 −61% ≈238% of Medicare
946 REHABILITATION WITHOUT CC/MCC $11,915 $17,685 −33% $17,685 −33% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,915 $21,215 −44% $46,295 −74% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,880 $19,655 −40% $28,156 −58% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,876 $20,766 −43% $29,949 −60% —
186 PLEURAL EFFUSION WITH MCC $11,822 $23,701 −50% $33,834 −65% ≈261% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,780 $25,881 −54% $33,555 −65% ≈290% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,776 $17,302 −32% $27,617 −57% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $11,724 $15,028 −22% $27,633 −58% —
813 COAGULATION DISORDERS $11,688 $23,285 −50% $33,296 −65% ≈266% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,618 $21,277 −45% $27,119 −57% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $11,590 $16,587 −30% $18,956 −39% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,561 $20,295 −43% $36,937 −69% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,458 $22,202 −48% $27,394 −58% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,427 $22,167 −48% $32,451 −65% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,420 $23,118 −51% $39,211 −71% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,395 $21,563 −47% $26,280 −57% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,394 $16,237 −30% $24,552 −54% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $11,390 $14,761 −23% $17,483 −35% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,389 $25,440 −55% $33,393 −66% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,371 $22,477 −49% $28,140 −60% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,370 $17,806 −36% $21,230 −46% —
602 CELLULITIS WITH MCC $11,365 $22,262 −49% $30,598 −63% ≈216% of Medicare
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,341 $22,272 −49% $30,571 −63% ≈244% of Medicare
682 RENAL FAILURE WITH MCC $11,331 $19,763 −43% $29,064 −61% ≈216% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,291 $11,752 −4% $14,638 −23% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,276 $22,628 −50% $24,586 −54% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,256 $23,658 −52% $32,697 −66% —
506 MAJOR THUMB OR JOINT PROCEDURES $11,191 $22,651 −51% $30,557 −63% —
663 MINOR BLADDER PROCEDURES WITH CC $11,147 $23,018 −52% $33,103 −66% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,141 $22,721 −51% $36,505 −69% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $11,085 $28,787 −61% $44,139 −75% ≈281% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $11,001 $19,533 −44% $27,947 −61% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,945 $19,267 −43% $28,320 −61% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $10,897 $19,350 −44% $22,851 −52% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,837 $21,795 −50% $35,465 −69% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $10,812 $18,614 −42% $29,743 −64% ≈262% of Medicare
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $10,764 $19,017 −43% $25,581 −58% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,737 $21,483 −50% $30,959 −65% ≈240% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,736 $18,091 −41% $27,426 −61% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,732 $11,423 −6% $33,653 −68% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,684 $12,946 −17% $27,543 −61% ≈260% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,668 $24,174 −56% $33,707 −68% ≈237% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $10,653 $18,473 −42% $28,226 −62% ≈224% of Medicare
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,630 $18,752 −43% $30,784 −65% —
375 DIGESTIVE MALIGNANCY WITH CC $10,623 $13,647 −22% $27,277 −61% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,471 $20,619 −49% $29,805 −65% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,458 $20,497 −49% $32,841 −68% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,399 $21,240 −51% $27,285 −62% ≈255% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,371 $21,642 −52% $27,808 −63% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,340 $20,586 −50% $31,264 −67% ≈282% of Medicare
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,288 $15,377 −33% $21,847 −53% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,256 $19,931 −49% $26,051 −61% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,230 $20,296 −50% $27,275 −62% ≈239% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,181 $22,265 −54% $26,463 −62% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,147 $12,397 −18% $27,043 −62% ≈238% of Medicare
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,143 $18,021 −44% $24,944 −59% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,088 $24,475 −59% $30,235 −67% ≈232% of Medicare
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,017 $17,780 −44% $31,321 −68% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $10,014 $32,604 −69% $41,892 −76% —
779 ABORTION WITHOUT D&C $9,937 $12,637 −21% $15,327 −35% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,932 $22,077 −55% $24,941 −60% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,920 $19,302 −49% $20,727 −52% —
697 URETHRAL STRICTURE $9,894 $16,196 −39% $18,428 −46% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,894 $17,505 −43% $27,843 −64% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,842 $18,202 −46% $27,297 −64% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $9,837 $21,965 −55% $24,550 −60% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $9,837 $63,928 −85% $87,761 −89% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,828 $19,865 −51% $28,050 −65% ≈210% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,804 $18,291 −46% $19,412 −49% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,670 $11,583 −17% $22,763 −58% —
947 SIGNS AND SYMPTOMS WITH MCC $9,660 $12,290 −21% $27,401 −65% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,659 $18,191 −47% $25,652 −62% —
137 MOUTH PROCEDURES WITH CC/MCC $9,649 $20,200 −52% $27,861 −65% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,648 $17,193 −44% $17,193 −44% —
885 PSYCHOSES $9,639 $16,501 −42% $21,729 −56% ≈198% of Medicare
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $9,614 $21,611 −56% $31,044 −69% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,563 $18,497 −48% $26,580 −64% ≈240% of Medicare
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,456 $19,637 −52% $28,125 −66% —
184 MAJOR CHEST TRAUMA WITH CC $9,428 $15,014 −37% $22,432 −58% ≈259% of Medicare
102 HEADACHES WITH MCC $9,371 $11,859 −21% $25,740 −64% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,368 $16,000 −41% $22,458 −58% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $9,355 $12,418 −25% $16,846 −44% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,316 $16,553 −44% $22,850 −59% ≈242% of Medicare
593 SKIN ULCERS WITH CC $9,286 $19,063 −51% $22,886 −59% —
549 SEPTIC ARTHRITIS WITH CC $9,277 $18,835 −51% $24,056 −61% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,268 $18,845 −51% $26,770 −65% ≈239% of Medicare
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,267 $20,782 −55% $30,083 −69% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,223 $14,665 −37% $25,970 −64% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,205 $13,806 −33% $18,150 −49% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,201 $15,015 −39% $23,283 −60% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,169 $18,290 −50% $23,443 −61% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,153 $11,997 −24% $11,997 −24% —
139 SALIVARY GLAND PROCEDURES $9,118 $21,014 −57% $23,612 −61% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $9,109 $10,035 −9% $17,698 −49% —
540 OSTEOMYELITIS WITH CC $9,005 $19,990 −55% $26,676 −66% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,983 $16,043 −44% $21,941 −59% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $8,979 $32,919 −73% $39,181 −77% —
304 HYPERTENSION WITH MCC $8,977 $18,442 −51% $26,080 −66% ≈232% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,967 $15,986 −44% $20,895 −57% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,923 $14,158 −37% $21,894 −59% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,904 $17,967 −50% $26,618 −67% —
791 PREMATURITY WITH MAJOR PROBLEMS $8,884 $34,928 −75% $42,679 −79% —
089 CONCUSSION WITH CC $8,880 $17,109 −48% $18,821 −53% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,807 $14,627 −40% $19,854 −56% —
551 MEDICAL BACK PROBLEMS WITH MCC $8,801 $25,341 −65% $34,017 −74% ≈236% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $8,681 $11,200 −22% $12,229 −29% —
291 HEART FAILURE AND SHOCK WITH MCC $8,661 $20,129 −57% $26,776 −68% ≈231% of Medicare
302 ATHEROSCLEROSIS WITH MCC $8,652 $17,761 −51% $22,446 −61% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,641 $17,654 −51% $24,386 −65% ≈234% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,634 $8,743 −1% $17,733 −51% ≈182% of Medicare
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $8,617 $53,277 −84% $80,018 −89% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $8,563 $16,999 −50% $18,459 −54% —
882 NEUROSES EXCEPT DEPRESSIVE $8,476 $9,719 −13% $15,680 −46% —
100 SEIZURES WITH MCC $8,465 $28,961 −71% $35,481 −76% ≈249% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,452 $17,354 −51% $20,926 −60% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,415 $11,694 −28% $18,133 −54% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,398 $12,227 −31% $20,422 −59% ≈241% of Medicare
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,363 $16,872 −50% $23,488 −64% ≈250% of Medicare
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $8,343 $15,121 −45% $18,072 −54% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,333 $16,963 −51% $23,551 −65% ≈245% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,306 $15,217 −45% $20,566 −60% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,300 $16,847 −51% $19,657 −58% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,271 $9,635 −14% $20,232 −59% —
644 ENDOCRINE DISORDERS WITH CC $8,258 $16,607 −50% $23,198 −64% —
914 TRAUMATIC INJURY WITHOUT MCC $8,251 $12,958 −36% $15,855 −48% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,166 $14,776 −45% $22,148 −63% —
920 COMPLICATIONS OF TREATMENT WITH CC $8,150 $16,379 −50% $22,468 −64% ≈225% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,117 $14,654 −45% $16,998 −52% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,106 $15,418 −47% $23,571 −66% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,093 $18,220 −56% $25,700 −69% ≈247% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $8,075 $14,668 −45% $16,520 −51% —
864 FEVER AND INFLAMMATORY CONDITIONS $8,047 $14,849 −46% $18,640 −57% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,047 $17,388 −54% $24,127 −67% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,015 $15,715 −49% $22,888 −65% ≈243% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,989 $16,723 −52% $23,141 −65% ≈292% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,983 $13,537 −41% $15,370 −48% —
541 OSTEOMYELITIS WITHOUT CC/MCC $7,982 $13,738 −42% $15,215 −48% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,981 $24,787 −68% $32,628 −76% ≈234% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,962 $16,171 −51% $20,957 −62% ≈242% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,921 $16,429 −52% $22,506 −65% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,906 $13,643 −42% $17,601 −55% —
381 COMPLICATED PEPTIC ULCER WITH CC $7,902 $17,329 −54% $24,177 −67% —
200 PNEUMOTHORAX WITH CC $7,889 $14,483 −46% $21,368 −63% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,870 $18,383 −57% $23,617 −67% ≈246% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,869 $12,825 −39% $17,226 −54% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,842 $13,385 −41% $14,014 −44% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,827 $16,070 −51% $22,024 −64% ≈257% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,824 $9,256 −15% $25,303 −69% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $7,780 $16,423 −53% $20,901 −63% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,747 $17,079 −55% $23,749 −67% ≈237% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,718 $15,990 −52% $22,098 −65% ≈230% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,703 $12,567 −39% $22,033 −65% ≈238% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,694 $15,684 −51% $21,363 −64% ≈256% of Medicare
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,655 $10,530 −27% $17,724 −57% ≈234% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,610 $16,935 −55% $24,914 −69% ≈275% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,596 $15,347 −51% $21,396 −64% ≈264% of Medicare
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $7,544 $15,311 −51% $16,968 −56% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,529 $12,879 −42% $16,565 −55% —
866 VIRAL ILLNESS WITHOUT MCC $7,452 $13,782 −46% $17,081 −56% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $7,419 $11,266 −34% $25,034 −70% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,384 $13,542 −45% $17,700 −58% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,376 $13,586 −46% $13,586 −46% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,368 $17,398 −58% $17,398 −58% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $7,362 $16,262 −55% $32,877 −78% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,352 $11,921 −38% $14,549 −49% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $7,345 $15,235 −52% $32,021 −77% ≈264% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,324 $15,603 −53% $19,924 −63% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $7,311 $13,699 −47% $20,463 −64% ≈269% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,227 $14,950 −52% $18,488 −61% ≈257% of Medicare
638 DIABETES WITH CC $7,197 $15,098 −52% $19,661 −63% ≈206% of Medicare
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,172 $14,635 −51% $19,569 −63% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,168 $22,469 −68% $33,255 −78% ≈242% of Medicare
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,139 $22,529 −68% $34,273 −79% ≈233% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,135 $15,172 −53% $20,488 −65% ≈256% of Medicare
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $7,114 $14,795 −52% $19,842 −64% ≈240% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,072 $13,184 −46% $14,648 −52% —
683 RENAL FAILURE WITH CC $7,017 $14,731 −52% $19,130 −63% ≈236% of Medicare
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,989 $11,948 −42% $16,634 −58% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,956 $11,282 −38% $19,096 −64% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,955 $13,884 −50% $19,846 −65% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,917 $14,675 −53% $15,452 −55% —
292 HEART FAILURE AND SHOCK WITH CC $6,911 $13,422 −49% $16,371 −58% ≈252% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $6,894 $13,541 −49% $15,889 −57% ≈228% of Medicare
312 SYNCOPE AND COLLAPSE $6,886 $14,502 −53% $19,342 −64% ≈242% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,866 $12,824 −46% $19,264 −64% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,859 $14,344 −52% $18,807 −64% ≈239% of Medicare
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $6,856 $14,405 −52% $18,602 −63% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,822 $13,306 −49% $20,084 −66% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,807 $12,855 −47% $15,019 −55% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $6,750 $20,430 −67% $25,463 −73% ≈232% of Medicare
103 HEADACHES WITHOUT MCC $6,708 $14,229 −53% $21,280 −68% ≈302% of Medicare
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,703 $13,911 −52% $17,298 −61% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,689 $10,747 −38% $16,767 −60% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,675 $12,314 −46% $15,600 −57% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,655 $13,791 −52% $18,126 −63% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,642 $14,026 −53% $18,528 −64% ≈204% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,635 $8,900 −25% $15,837 −58% —
204 RESPIRATORY SIGNS AND SYMPTOMS $6,599 $9,672 −32% $18,004 −63% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,571 $13,837 −53% $18,204 −64% ≈226% of Medicare
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,556 $12,284 −47% $15,549 −58% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,518 $13,506 −52% $17,921 −64% ≈251% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $6,518 $12,624 −48% $18,081 −64% ≈218% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,472 $13,799 −53% $17,118 −62% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,466 $13,611 −52% $17,674 −63% ≈229% of Medicare
123 NEUROLOGICAL EYE DISORDERS $6,450 $13,618 −53% $19,745 −67% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,435 $13,579 −53% $21,056 −69% ≈272% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,419 $12,120 −47% $14,415 −55% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,418 $13,719 −53% $18,002 −64% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,406 $15,734 −59% $21,449 −70% ≈232% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,378 $12,055 −47% $13,651 −53% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $6,350 $24,189 −74% $27,316 −77% ≈197% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,308 $12,931 −51% $19,037 −67% —
694 URINARY STONES WITHOUT MCC $6,285 $13,336 −53% $17,345 −64% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,273 $12,234 −49% $12,460 −50% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,225 $15,589 −60% $15,589 −60% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,222 $11,755 −47% $13,633 −54% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,206 $13,002 −52% $16,776 −63% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,165 $13,300 −54% $15,428 −60% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,150 $13,612 −55% $20,181 −70% ≈240% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,150 $16,973 −64% $21,275 −71% ≈231% of Medicare
906 HAND PROCEDURES FOR INJURIES $6,150 $31,520 −80% $32,065 −81% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,137 $9,691 −37% $13,275 −54% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,115 $11,501 −47% $14,250 −57% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,027 $12,389 −51% $16,699 −64% ≈162% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,027 $15,215 −60% $23,940 −75% ≈243% of Medicare
187 PLEURAL EFFUSION WITH CC $6,027 $16,225 −63% $21,789 −72% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $5,979 $12,811 −53% $16,450 −64% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,968 $12,431 −52% $14,583 −59% ≈221% of Medicare
603 CELLULITIS WITHOUT MCC $5,958 $14,626 −59% $18,530 −68% ≈226% of Medicare
313 CHEST PAIN $5,954 $12,453 −52% $16,440 −64% —
684 RENAL FAILURE WITHOUT CC/MCC $5,775 $11,077 −48% $13,642 −58% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,709 $10,551 −46% $12,252 −53% —
311 ANGINA PECTORIS $5,707 $12,174 −53% $15,502 −63% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,686 $11,888 −52% $12,895 −56% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,655 $12,127 −53% $20,781 −73% ≈261% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,655 $12,204 −54% $14,797 −62% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,628 $10,975 −49% $10,975 −49% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,605 $17,832 −69% $24,566 −77% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,603 $8,566 −35% $16,288 −66% —
534 FRACTURES OF FEMUR WITHOUT MCC $5,564 $10,860 −49% $17,559 −68% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,542 $12,173 −54% $14,689 −62% —
916 ALLERGIC REACTIONS WITHOUT MCC $5,516 $11,813 −53% $13,942 −60% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,419 $9,058 −40% $12,078 −55% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,418 $11,454 −53% $14,128 −62% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $5,362 $39,644 −86% $58,043 −91% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,335 $13,288 −60% $17,124 −69% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,314 $13,321 −60% $17,322 −69% ≈218% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,295 $11,510 −54% $14,368 −63% —
639 DIABETES WITHOUT CC/MCC $5,220 $11,327 −54% $13,910 −62% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,186 $11,225 −54% $13,824 −62% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,140 $8,316 −38% $15,183 −66% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,060 $9,063 −44% $11,421 −56% —
149 DYSEQUILIBRIUM $5,046 $12,896 −61% $18,096 −72% ≈250% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,023 $12,789 −61% $17,303 −71% ≈224% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,019 $5,116 −2% $9,940 −50% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $4,994 $13,336 −63% $17,038 −71% ≈238% of Medicare
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $4,753 $11,804 −60% $21,986 −78% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,689 $10,456 −55% $13,384 −65% ≈248% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,620 $13,598 −66% $17,578 −74% ≈218% of Medicare
101 SEIZURES WITHOUT MCC $4,551 $15,157 −70% $20,461 −78% ≈222% of Medicare
201 PNEUMOTHORAX WITHOUT CC/MCC $4,401 $11,982 −63% $14,053 −69% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,391 $10,110 −57% $20,506 −79% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $4,232 $10,480 −60% $10,480 −60% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $4,172 $11,294 −63% $12,324 −66% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,047 $9,155 −56% $12,454 −68% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,930 $16,295 −76% $16,351 −76% —
881 DEPRESSIVE NEUROSES $3,923 $9,069 −57% $15,058 −74% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,687 $24,851 −85% $29,126 −87% ≈213% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $3,687 $15,402 −76% $18,466 −80% ≈244% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,368 $15,610 −78% $16,700 −80% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,286 $23,065 −86% $25,703 −87% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,241 $8,218 −61% $15,038 −78% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,075 $12,903 −76% $14,716 −79% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,007 $9,653 −69% $10,160 −70% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,621 $22,651 −88% $30,502 −91% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,403 $4,964 −52% $8,445 −72% —
795 NORMAL NEWBORN $2,403 $3,472 −31% $4,720 −49% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,130 $22,671 −91% $26,682 −92% ≈265% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,054 $14,480 −86% $19,305 −89% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,046 $16,839 −88% $23,206 −91% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $1,490 $9,054 −84% $18,649 −92% —

Procedures with negotiated rates only

These 40 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
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $68,443 – $392,101 · median $115,975 17 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,695 – $18,238 · median $13,025 14 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,141 – $13,261 · median $9,471 14 plans
088 CONCUSSION WITH MCC $8,762 – $28,060 · median $20,040 14 plans
090 CONCUSSION WITHOUT CC/MCC $5,325 – $17,052 · median $12,179 14 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,560 – $14,604 · median $10,430 14 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,378 – $30,033 · median $21,449 14 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,540 – $17,740 · median $12,670 14 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,081 – $19,473 · median $13,908 14 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,905 – $15,710 · median $11,220 14 plans
297 CARDIAC ARREST UNEXPLAINED WITH CC $4,375 – $14,011 · median $10,007 14 plans
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $2,743 – $8,786 · median $6,275 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $14,377 – $46,043 · median $32,884 14 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $10,326 – $33,068 · median $23,617 14 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,126 – $29,227 · median $20,874 14 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $9,601 – $30,747 · median $21,959 14 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $38,115 – $122,063 · median $87,177 14 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,016 – $25,671 · median $18,334 14 plans
509 ARTHROSCOPY $10,911 – $34,942 · median $24,955 14 plans
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $4,171 – $13,357 · median $9,539 14 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,401 – $39,716 · median $28,365 14 plans
594 SKIN ULCERS WITHOUT CC/MCC $5,271 – $16,881 · median $12,056 14 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,310 – $17,005 · median $12,145 14 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,733 – $24,766 · median $17,688 14 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,230 – $19,952 · median $14,250 14 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,707 – $21,478 · median $15,339 14 plans
665 PROSTATECTOMY WITH MCC $21,326 – $68,296 · median $48,777 14 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,384 – $20,444 · median $14,601 14 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,498 – $14,405 · median $10,288 14 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $6,643 – $21,275 · median $15,195 14 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,836 – $18,691 · median $13,349 14 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,815 – $28,231 · median $20,162 14 plans
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,525 – $14,492 · median $10,350 14 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $7,842 – $25,114 · median $17,936 14 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,769 – $12,072 · median $8,622 14 plans
913 TRAUMATIC INJURY WITH MCC $10,051 – $32,189 · median $20,010 14 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,230 – $19,950 · median $14,248 14 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $37,489 – $119,543 · median $58,959 13 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,421 – $52,589 · median $27,825 13 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,668 – $18,152 · median $9,604 13 plans
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