Procedures published 792
Lowest published price $3,202
Average published price $37,672
Highest published price $604,435

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 792 procedures

Published charges

Showing all 771 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 34 procedures, this hospital's negotiated rates average ≈278% of what Medicare pays.

DRG Description Published price Cash price vs. OK median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $604,435 $604,435 $400,267 +51% $498,715 +21% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $451,462 $451,462 $294,368 +53% $431,073 +5% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $380,213 $380,213 $232,875 +63% $306,087 +24% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $343,491 $343,491 $237,331 +45% $371,366 −8% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $226,466 $226,466 $150,879 +50% $245,241 −8% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $209,987 $209,987 $141,500 +48% $182,314 +15% —
007 LUNG TRANSPLANT $209,458 $209,458 $128,162 +63% $170,608 +23% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $176,616 $176,616 $155,461 +14% $169,977 +4% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $174,600 $174,600 $118,525 +47% $171,338 +2% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $170,681 $170,681 $113,203 +51% $159,181 +7% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $169,806 $169,806 $139,148 +22% $191,314 −11% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $167,893 $167,893 $119,623 +40% $142,326 +18% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $154,681 $154,681 $98,882 +56% $175,437 −12% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $147,642 $147,642 $105,195 +40% $121,563 +21% —
231 CORONARY BYPASS WITH PTCA WITH MCC $135,814 $135,814 $76,840 +77% $146,474 −7% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $135,739 $135,739 $95,207 +43% $151,029 −10% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $133,677 $133,677 $91,195 +47% $120,174 +11% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $129,198 $129,198 $106,929 +21% $134,914 −4% —
010 PANCREAS TRANSPLANT $127,786 $127,786 $51,389 +149% $99,940 +28% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $127,053 $127,053 $73,767 +72% $105,228 +21% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $125,276 $125,276 $66,864 +87% $138,868 −10% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $124,011 $124,011 $92,039 +35% $143,242 −13% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $119,631 $119,631 $74,535 +61% $120,587 −1% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $113,837 $113,837 $81,109 +40% $121,728 −6% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $113,265 $113,265 $65,585 +73% $131,961 −14% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $111,494 $111,494 $72,622 +54% $138,008 −19% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $109,439 $109,439 $64,571 +69% $105,612 +4% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $107,458 $107,458 $72,005 +49% $114,914 −6% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $107,045 $107,045 $62,403 +72% $89,353 +20% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $106,864 $106,864 $69,068 +55% $118,589 −10% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $103,652 $103,652 $59,494 +74% $116,058 −11% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $103,503 $103,503 $65,394 +58% $121,714 −15% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $101,362 $101,362 $64,084 +58% $109,331 −7% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $99,280 $99,280 $56,523 +76% $117,280 −15% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $99,151 $99,151 $72,826 +36% $94,988 +4% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $98,699 $98,699 $61,315 +61% $98,912 −0% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $98,355 $98,355 $60,981 +61% $108,472 −9% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $97,906 $97,906 $55,525 +76% $106,238 −8% —
028 SPINAL PROCEDURES WITH MCC $97,438 $97,438 $50,179 +94% $95,858 +2% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $96,739 $96,739 $67,164 +44% $98,260 −2% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $96,739 $96,739 $52,249 +85% $81,176 +19% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $96,016 $96,016 $62,970 +52% $113,855 −16% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $95,351 $95,351 $57,489 +66% $92,238 +3% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $95,279 $95,279 $35,182 +171% $80,018 +19% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $94,308 $94,308 $53,965 +75% $112,062 −16% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $93,316 $93,316 $62,975 +48% $96,192 −3% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $91,987 $91,987 $71,997 +28% $107,355 −14% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $91,437 $91,437 $54,616 +67% $106,778 −14% —
653 MAJOR BLADDER PROCEDURES WITH MCC $89,346 $89,346 $49,483 +81% $97,046 −8% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $88,588 $88,588 $68,333 +30% $101,235 −12% —
834 ACUTE LEUKEMIA WITH MCC $88,588 $88,588 $66,993 +32% $76,583 +16% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $88,216 $88,216 $62,854 +40% $105,899 −17% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $87,677 $87,677 $58,750 +49% $93,783 −7% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $87,206 $87,206 $53,104 +64% $86,459 +1% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $87,008 $87,008 $68,454 +27% $94,927 −8% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $86,564 $86,564 $42,319 +105% $78,582 +10% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $86,482 $86,482 $55,547 +56% $86,953 −1% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $86,472 $86,472 $56,030 +54% $82,527 +5% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $85,269 $85,269 $46,527 +83% $102,573 −17% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $84,892 $84,892 $55,270 +54% $102,177 −17% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $82,542 $82,542 $51,807 +59% $79,944 +3% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $82,268 $82,268 $64,265 +28% $99,423 −17% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $81,653 $81,653 $59,185 +38% $96,222 −15% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $81,403 $81,403 $59,547 +37% $80,747 +1% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $80,728 $80,728 $45,405 +78% $87,565 −8% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $80,252 $80,252 $63,106 +27% $70,735 +13% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $80,190 $80,190 $49,924 +61% $84,861 −6% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $80,157 $80,157 $54,752 +46% $87,018 −8% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $79,869 $79,869 $68,307 +17% $96,905 −18% —
245 AICD GENERATOR PROCEDURES $78,322 $78,322 $44,378 +76% $72,076 +9% —
471 CERVICAL SPINAL FUSION WITH MCC $77,850 $77,850 $48,678 +60% $92,515 −16% —
006 LIVER TRANSPLANT WITHOUT MCC $77,720 $77,720 $48,335 +61% $84,407 −8% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $76,538 $76,538 $43,197 +77% $88,691 −14% —
799 SPLENIC PROCEDURES WITH MCC $76,207 $76,207 $48,395 +57% $78,821 −3% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $76,192 $76,192 $37,498 +103% $86,390 −12% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $75,404 $75,404 $49,198 +53% $92,217 −18% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $75,000 $75,000 $49,796 +51% $80,885 −7% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $74,558 $74,558 $43,847 +70% $91,329 −18% —
163 MAJOR CHEST PROCEDURES WITH MCC $73,873 $73,873 $44,351 +67% $88,341 −16% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $73,843 $73,843 $48,627 +52% $71,551 +3% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $73,607 $73,607 $47,032 +57% $90,331 −19% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $73,596 $73,596 $58,250 +26% $88,050 −16% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $72,309 $72,309 $46,799 +55% $72,859 −1% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $71,878 $71,878 $45,098 +59% $76,954 −7% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $71,679 $71,679 $41,300 +74% $88,307 −19% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $71,009 $71,009 $53,693 +32% $68,847 +3% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $70,405 $70,405 $47,789 +47% $75,585 −7% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $69,349 $69,349 $29,859 +132% $59,352 +17% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $69,206 $69,206 $59,237 +17% $83,441 −17% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $68,368 $68,368 $47,519 +44% $82,561 −17% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $68,267 $68,267 $43,223 +58% $88,049 −22% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $67,783 $67,783 $42,200 +61% $60,098 +13% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $67,164 $67,164 $37,260 +80% $68,659 −2% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $67,148 $67,148 $34,531 +94% $72,945 −8% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $66,842 $66,842 $22,081 +203% $16,719 +300% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $66,685 $66,685 $37,490 +78% $83,065 −20% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $65,906 $65,906 $36,013 +83% $82,247 −20% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $65,869 $65,869 $46,566 +41% $66,853 −1% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $65,771 $65,771 $42,431 +55% $73,029 −10% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $65,448 $65,448 $46,631 +40% $81,998 −20% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $65,190 $65,190 $46,274 +41% $72,011 −9% —
791 PREMATURITY WITH MAJOR PROBLEMS $65,069 $65,069 $25,551 +155% $39,563 +64% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $63,848 $63,848 $43,817 +46% $71,701 −11% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $63,803 $63,803 $42,318 +51% $57,521 +11% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $63,239 $63,239 $35,748 +77% $68,006 −7% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $63,109 $63,109 $47,151 +34% $61,832 +2% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $62,981 $62,981 $27,361 +130% $54,196 +16% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $62,702 $62,702 $44,675 +40% $75,492 −17% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $62,672 $62,672 $35,791 +75% $78,852 −21% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $62,325 $62,325 $44,011 +42% $72,908 −15% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $61,946 $61,946 $39,091 +58% $62,961 −2% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $61,883 $61,883 $44,974 +38% $55,097 +12% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $61,710 $61,710 $35,048 +76% $72,782 −15% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $61,263 $61,263 $42,618 +44% $75,103 −18% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $60,931 $60,931 $35,151 +73% $74,755 −18% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $60,457 $60,457 $43,825 +38% $74,257 −19% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $59,974 $59,974 $29,323 +105% $60,861 −1% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $58,479 $58,479 $50,019 +17% $62,524 −6% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $58,073 $58,073 $50,222 +16% $71,755 −19% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $57,455 $57,455 $34,833 +65% $59,425 −3% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $57,452 $57,452 $38,683 +49% $57,855 −1% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $57,442 $57,442 $39,689 +45% $64,776 −11% —
265 AICD LEAD PROCEDURES $57,173 $57,173 $37,235 +54% $56,695 +1% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $56,916 $56,916 $25,230 +126% $70,540 −19% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $56,583 $56,583 $46,443 +22% $62,404 −9% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $56,568 $56,568 $38,912 +45% $50,919 +11% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $56,426 $56,426 $27,053 +109% $56,964 −1% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $56,157 $56,157 $40,145 +40% $68,399 −18% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $56,139 $56,139 $41,612 +35% $65,383 −14% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $56,116 $56,116 $45,078 +24% $59,207 −5% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $56,017 $56,017 $41,424 +35% $51,953 +8% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $55,655 $55,655 $36,064 +54% $56,242 −1% —
332 RECTAL RESECTION WITH MCC $55,594 $55,594 $33,263 +67% $58,125 −4% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $55,533 $55,533 $44,162 +26% $49,065 +13% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $55,205 $55,205 $32,312 +71% $71,014 −22% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $55,118 $55,118 $33,166 +66% $62,269 −11% —
665 PROSTATECTOMY WITH MCC $55,031 $55,031 $33,625 +64% $54,072 +2% —
252 OTHER VASCULAR PROCEDURES WITH MCC $54,980 $54,980 $32,353 +70% $68,508 −20% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $54,897 $54,897 $42,819 +28% $68,880 −20% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $54,592 $54,592 $31,236 +75% $67,901 −20% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $54,365 $54,365 $34,180 +59% $70,132 −22% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $53,799 $53,799 $36,486 +47% $64,152 −16% —
037 EXTRACRANIAL PROCEDURES WITH MCC $53,225 $53,225 $32,138 +66% $64,749 −18% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $52,921 $52,921 $33,671 +57% $52,908 +0% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $52,389 $52,389 $34,154 +53% $65,254 −20% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $52,239 $52,239 $29,303 +78% $54,129 −3% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $52,217 $52,217 $39,510 +32% $64,465 −19% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $51,597 $51,597 $34,230 +51% $64,956 −21% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $51,358 $51,358 $32,003 +60% $57,277 −10% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $51,209 $51,209 $32,011 +60% $66,819 −23% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $51,111 $51,111 $28,611 +79% $49,710 +3% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $50,973 $50,973 $28,940 +76% $44,472 +15% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $50,871 $50,871 $33,919 +50% $51,142 −1% —
500 SOFT TISSUE PROCEDURES WITH MCC $50,786 $50,786 $34,923 +45% $57,479 −12% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $50,021 $50,021 $27,943 +79% $65,573 −24% —
662 MINOR BLADDER PROCEDURES WITH MCC $49,999 $49,999 $32,442 +54% $54,483 −8% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $49,786 $49,786 $43,835 +14% $65,325 −24% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $49,563 $49,563 $34,736 +43% $62,821 −21% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,460 $49,460 $31,044 +59% $65,216 −24% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $49,425 $49,425 $29,031 +70% $53,817 −8% —
652 KIDNEY TRANSPLANT $49,226 $49,226 $32,976 +49% $54,720 −10% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $49,181 $49,181 $29,154 +69% $53,555 −8% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $49,021 $49,021 $28,280 +73% $63,475 −23% —
570 SKIN DEBRIDEMENT WITH MCC $48,245 $48,245 $38,606 +25% $52,435 −8% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $47,861 $47,861 $35,020 +37% $46,402 +3% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $47,258 $47,258 $36,895 +28% $54,313 −13% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $47,136 $47,136 $37,428 +26% $63,984 −26% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $47,008 $47,008 $41,261 +14% $60,140 −22% —
668 TRANSURETHRAL PROCEDURES WITH MCC $46,740 $46,740 $30,507 +53% $47,277 −1% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $46,715 $46,715 $32,382 +44% $67,764 −31% —
800 SPLENIC PROCEDURES WITH CC $46,700 $46,700 $32,681 +43% $49,184 −5% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $46,675 $46,675 $27,106 +72% $54,475 −14% —
472 CERVICAL SPINAL FUSION WITH CC $46,434 $46,434 $33,808 +37% $59,537 −22% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $45,952 $45,952 $28,456 +61% $58,968 −22% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $45,899 $45,899 $34,816 +32% $56,758 −19% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $45,872 $45,872 $28,791 +59% $53,551 −14% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $45,808 $45,808 $27,273 +68% $49,055 −7% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $45,627 $45,627 $27,123 +68% $74,274 −39% —
654 MAJOR BLADDER PROCEDURES WITH CC $45,231 $45,231 $32,114 +41% $53,868 −16% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $45,011 $45,011 $31,857 +41% $58,043 −22% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $44,965 $44,965 $31,145 +44% $48,907 −8% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $43,857 $43,857 $38,709 +13% $48,358 −9% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $43,779 $43,779 $38,586 +13% $45,497 −4% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $43,699 $43,699 $33,896 +29% $44,973 −3% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $43,541 $43,541 $27,678 +57% $43,491 +0% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $43,328 $43,328 $31,981 +35% $57,963 −25% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $43,186 $43,186 $31,014 +39% $44,839 −4% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $43,014 $43,014 $25,381 +69% $52,405 −18% —
263 VEIN LIGATION AND STRIPPING $42,987 $42,987 $27,021 +59% $44,938 −4% —
849 RADIOTHERAPY $42,811 $42,811 $24,936 +72% $37,862 +13% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $42,678 $42,678 $35,630 +20% $45,432 −6% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $42,525 $42,525 $32,611 +30% $40,947 +4% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $42,472 $42,472 $29,440 +44% $45,290 −6% —
503 FOOT PROCEDURES WITH MCC $42,418 $42,418 $35,170 +21% $43,901 −3% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $42,375 $42,375 $25,383 +67% $40,277 +5% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $42,044 $42,044 $31,049 +35% $54,929 −23% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $41,935 $41,935 $24,424 +72% $43,697 −4% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $41,488 $41,488 $29,979 +38% $41,703 −1% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $41,419 $41,419 $29,507 +40% $48,094 −14% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $40,931 $40,931 $29,564 +38% $38,878 +5% —
253 OTHER VASCULAR PROCEDURES WITH CC $40,918 $40,918 $23,181 +77% $53,746 −24% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $40,841 $40,841 $34,995 +17% $57,149 −29% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $40,631 $40,631 $25,488 +59% $36,097 +13% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $40,499 $40,499 $27,677 +46% $39,657 +2% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $40,467 $40,467 $27,679 +46% $46,659 −13% —
164 MAJOR CHEST PROCEDURES WITH CC $40,341 $40,341 $22,624 +78% $53,141 −24% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $40,134 $40,134 $28,722 +40% $39,409 +2% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $40,104 $40,104 $29,423 +36% $55,162 −27% —
397 APPENDIX PROCEDURES WITH MCC $39,713 $39,713 $24,825 +60% $52,319 −24% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $39,552 $39,552 $26,607 +49% $52,332 −24% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $39,262 $39,262 $13,176 +198% $11,633 +238% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,240 $39,240 $26,925 +46% $51,985 −25% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $38,916 $38,916 $30,135 +29% $54,824 −29% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $38,765 $38,765 $27,155 +43% $46,591 −17% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $38,643 $38,643 $23,703 +63% $40,065 −4% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $38,482 $38,482 $25,747 +49% $56,394 −32% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $38,421 $38,421 $33,959 +13% $47,583 −19% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $38,421 $38,421 $19,679 +95% $39,093 −2% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $38,089 $38,089 $30,380 +25% $52,313 −27% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $37,943 $37,943 $30,506 +24% $50,624 −25% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $37,933 $37,933 $23,142 +64% $40,548 −6% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $37,884 $37,884 $30,993 +22% $58,832 −36% ≈288% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $37,823 $37,823 $21,816 +73% $47,546 −20% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $37,482 $37,482 $22,982 +63% $50,139 −25% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $37,187 $37,187 $28,152 +32% $36,237 +3% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $37,100 $37,100 $27,637 +34% $36,080 +3% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $37,065 $37,065 $26,268 +41% $51,339 −28% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $36,997 $36,997 $26,358 +40% $49,631 −25% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $36,768 $36,768 $22,513 +63% $37,080 −1% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $36,707 $36,707 $22,510 +63% $36,334 +1% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $36,595 $36,595 $22,670 +61% $39,253 −7% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $36,526 $36,526 $24,240 +51% $43,586 −16% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $36,459 $36,459 $20,608 +77% $46,430 −21% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $36,318 $36,318 $23,812 +53% $37,064 −2% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $36,195 $36,195 $22,355 +62% $38,998 −7% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $36,193 $36,193 $22,089 +64% $44,989 −20% —
113 ORBITAL PROCEDURES WITH CC/MCC $36,167 $36,167 $21,927 +65% $35,642 +1% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $36,106 $36,106 $23,323 +55% $50,011 −28% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $36,094 $36,094 $24,955 +45% $48,682 −26% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $36,047 $36,047 $21,746 +66% $45,059 −20% —
709 PENIS PROCEDURES WITH CC/MCC $36,015 $36,015 $28,958 +24% $34,535 +4% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $35,779 $35,779 $20,602 +74% $44,053 −19% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $35,667 $35,667 $26,100 +37% $45,818 −22% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $35,473 $35,473 $21,886 +62% $44,600 −20% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $35,251 $35,251 $23,402 +51% $38,382 −8% —
935 NON-EXTENSIVE BURNS $35,202 $35,202 $18,092 +95% $29,458 +20% —
906 HAND PROCEDURES FOR INJURIES $34,980 $34,980 $19,863 +76% $31,520 +11% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $34,922 $34,922 $22,530 +55% $41,900 −17% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $34,768 $34,768 $23,374 +49% $37,902 −8% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $34,576 $34,576 $24,290 +42% $44,553 −22% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $34,515 $34,515 $16,729 +106% $38,357 −10% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $34,435 $34,435 $21,315 +62% $34,900 −1% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $34,391 $34,391 $18,381 +87% $31,044 +11% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $34,367 $34,367 $27,446 +25% $36,850 −7% —
835 ACUTE LEUKEMIA WITH CC $34,233 $34,233 $23,405 +46% $35,569 −4% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $34,231 $34,231 $26,303 +30% $40,232 −15% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $34,228 $34,228 $21,453 +60% $45,622 −25% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $34,164 $34,164 $22,904 +49% $37,654 −9% —
333 RECTAL RESECTION WITH CC $34,063 $34,063 $19,185 +78% $34,352 −1% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $33,992 $33,992 $21,541 +58% $46,477 −27% —
595 MAJOR SKIN DISORDERS WITH MCC $33,899 $33,899 $18,910 +79% $31,785 +7% —
336 PERITONEAL ADHESIOLYSIS WITH CC $33,855 $33,855 $25,279 +34% $49,470 −32% —
374 DIGESTIVE MALIGNANCY WITH MCC $33,840 $33,840 $20,421 +66% $38,885 −13% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $33,840 $33,840 $27,577 +23% $38,420 −12% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $33,787 $33,787 $23,107 +46% $56,519 −40% ≈270% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $33,702 $33,702 $21,930 +54% $35,686 −6% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $33,601 $33,601 $30,404 +11% $46,066 −27% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $33,505 $33,505 $21,394 +57% $32,483 +3% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $33,294 $33,294 $19,715 +69% $41,651 −20% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $33,255 $33,255 $27,682 +20% $51,172 −35% ≈270% of Medicare
592 SKIN ULCERS WITH MCC $32,957 $32,957 $22,386 +47% $32,662 +1% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $32,814 $32,814 $17,506 +87% $34,089 −4% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $32,507 $32,507 $21,545 +51% $30,661 +6% —
539 OSTEOMYELITIS WITH MCC $32,414 $32,414 $30,568 +6% $33,746 −4% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $32,329 $32,329 $28,752 +12% $41,660 −22% —
548 SEPTIC ARTHRITIS WITH MCC $32,289 $32,289 $25,673 +26% $31,019 +4% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $32,255 $32,255 $20,431 +58% $30,940 +4% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $32,242 $32,242 $19,967 +61% $45,817 −30% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $32,029 $32,029 $25,402 +26% $44,363 −28% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $32,024 $32,024 $26,159 +22% $43,524 −26% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $32,002 $32,002 $18,198 +76% $29,109 +10% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $31,882 $31,882 $27,532 +16% $35,714 −11% ≈250% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $31,859 $31,859 $25,726 +24% $35,139 −9% —
100 SEIZURES WITH MCC $31,819 $31,819 $26,892 +18% $35,194 −10% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $31,816 $31,816 $16,175 +97% $29,633 +7% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $31,704 $31,704 $22,499 +41% $43,398 −27% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $31,622 $31,622 $25,022 +26% $43,800 −28% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $31,604 $31,604 $19,427 +63% $43,775 −28% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $31,500 $31,500 $21,865 +44% $41,520 −24% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $31,447 $31,447 $15,729 +100% $35,237 −11% ≈246% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $31,433 $31,433 $21,194 +48% $43,538 −28% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $31,399 $31,399 $16,583 +89% $36,933 −15% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $31,340 $31,340 $17,649 +78% $35,014 −10% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $31,322 $31,322 $21,312 +47% $29,524 +6% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $31,317 $31,317 $17,346 +81% $33,050 −5% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $31,103 $31,103 $21,267 +46% $43,080 −28% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $31,064 $31,064 $22,393 +39% $36,202 −14% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $30,958 $30,958 $26,625 +16% $42,881 −28% —
380 COMPLICATED PEPTIC ULCER WITH MCC $30,841 $30,841 $27,073 +14% $36,641 −16% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $30,657 $30,657 $23,570 +30% $33,165 −8% —
711 TESTES PROCEDURES WITH CC/MCC $30,622 $30,622 $23,589 +30% $34,852 −12% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $30,413 $30,413 $18,080 +68% $42,126 −28% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $30,413 $30,413 $16,544 +84% $35,459 −14% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $30,345 $30,345 $15,261 +99% $36,280 −16% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $30,298 $30,298 $12,729 +138% $32,399 −6% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $30,256 $30,256 $18,628 +62% $32,204 −6% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $30,223 $30,223 $17,671 +71% $32,981 −8% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $30,220 $30,220 $28,495 +6% $49,197 −39% ≈263% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $30,218 $30,218 $23,002 +31% $45,963 −34% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $30,197 $30,197 $17,908 +69% $30,766 −2% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $29,893 $29,893 $19,990 +50% $35,114 −15% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $29,875 $29,875 $17,878 +67% $41,380 −28% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,752 $29,752 $16,452 +81% $30,974 −4% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $29,739 $29,739 $19,915 +49% $32,538 −9% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $29,713 $29,713 $14,941 +99% $22,698 +31% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $29,585 $29,585 $17,686 +67% $29,609 −0% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $29,524 $29,524 $20,736 +42% $28,375 +4% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $29,469 $29,469 $20,804 +42% $30,394 −3% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $29,380 $29,380 $15,690 +87% $40,694 −28% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $29,300 $29,300 $21,416 +37% $40,583 −28% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $29,285 $29,285 $16,580 +77% $40,563 −28% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $29,277 $29,277 $20,895 +40% $40,552 −28% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $29,243 $29,243 $16,699 +75% $37,950 −23% —
919 COMPLICATIONS OF TREATMENT WITH MCC $29,227 $29,227 $14,296 +104% $29,031 +1% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $29,216 $29,216 $20,497 +43% $36,375 −20% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $29,142 $29,142 $25,831 +13% $36,597 −20% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $29,141 $29,141 $22,616 +29% $37,842 −23% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $28,998 $28,998 $17,426 +66% $29,476 −2% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $28,997 $28,997 $17,490 +66% $54,772 −47% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $28,925 $28,925 $19,157 +51% $40,063 −28% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $28,891 $28,891 $11,248 +157% $14,284 +102% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $28,793 $28,793 $11,784 +144% $24,836 +16% —
501 SOFT TISSUE PROCEDURES WITH CC $28,604 $28,604 $19,322 +48% $37,975 −25% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $28,543 $28,543 $22,004 +30% $48,680 −41% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $28,541 $28,541 $20,398 +40% $30,275 −6% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $28,529 $28,529 $16,404 +74% $33,564 −15% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $28,461 $28,461 $17,880 +59% $31,909 −11% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $28,416 $28,416 $22,110 +29% $36,242 −22% —
199 PNEUMOTHORAX WITH MCC $28,293 $28,293 $14,063 +101% $31,491 −10% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $28,171 $28,171 $17,834 +58% $35,673 −21% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $28,170 $28,170 $20,872 +35% $39,018 −28% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $28,155 $28,155 $18,125 +55% $29,558 −5% —
509 ARTHROSCOPY $28,155 $28,155 $18,534 +52% $25,994 +8% —
597 MALIGNANT BREAST DISORDERS WITH MCC $28,155 $28,155 $15,988 +76% $31,846 −12% —
504 FOOT PROCEDURES WITH CC $28,128 $28,128 $19,745 +42% $36,598 −23% —
505 FOOT PROCEDURES WITHOUT CC/MCC $28,128 $28,128 $22,632 +24% $31,716 −11% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $28,067 $28,067 $16,121 +74% $34,264 −18% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $28,038 $28,038 $16,208 +73% $38,836 −28% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $28,016 $28,016 $19,112 +47% $31,758 −12% —
180 RESPIRATORY NEOPLASMS WITH MCC $28,013 $28,013 $19,892 +41% $36,658 −24% ≈267% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $27,868 $27,868 $15,566 +79% $30,814 −10% —
915 ALLERGIC REACTIONS WITH MCC $27,854 $27,854 $18,798 +48% $30,944 −10% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $27,825 $27,825 $17,396 +60% $32,839 −15% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $27,710 $27,710 $17,205 +61% $29,826 −7% —
671 URETHRAL PROCEDURES WITH CC/MCC $27,626 $27,626 $16,967 +63% $27,233 +1% —
075 VIRAL MENINGITIS WITH CC/MCC $27,605 $27,605 $15,856 +74% $29,853 −8% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $27,503 $27,503 $16,198 +70% $38,094 −28% —
551 MEDICAL BACK PROBLEMS WITH MCC $27,349 $27,349 $25,341 +8% $31,086 −12% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $27,264 $27,264 $19,743 +38% $43,266 −37% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $27,145 $27,145 $16,568 +64% $29,729 −9% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $27,093 $27,093 $17,580 +54% $28,578 −5% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $27,077 $27,077 $16,136 +68% $29,409 −8% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $26,996 $26,996 $12,408 +118% $31,128 −13% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $26,940 $26,940 $16,359 +65% $30,058 −10% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $26,839 $26,839 $18,391 +46% $29,916 −10% —
571 SKIN DEBRIDEMENT WITH CC $26,835 $26,835 $20,709 +30% $34,901 −23% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $26,769 $26,769 $13,180 +103% $25,208 +6% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $26,766 $26,766 $18,631 +44% $33,607 −20% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $26,743 $26,743 $17,807 +50% $28,103 −5% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $26,737 $26,737 $18,059 +48% $30,930 −14% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $26,665 $26,665 $12,857 +107% $32,502 −18% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $26,645 $26,645 $21,521 +24% $27,548 −3% —
334 RECTAL RESECTION WITHOUT CC/MCC $26,583 $26,583 $17,723 +50% $32,213 −17% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $26,580 $26,580 $21,170 +26% $42,119 −37% —
643 ENDOCRINE DISORDERS WITH MCC $26,562 $26,562 $13,875 +91% $32,996 −19% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $26,541 $26,541 $23,764 +12% $32,689 −19% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $26,461 $26,461 $18,936 +40% $44,117 −40% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $26,416 $26,416 $18,233 +45% $25,197 +5% —
666 PROSTATECTOMY WITH CC $26,402 $26,402 $19,204 +37% $30,016 −12% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $26,328 $26,328 $15,008 +75% $31,566 −17% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $26,312 $26,312 $18,641 +41% $28,634 −8% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $26,307 $26,307 $16,121 +63% $28,967 −9% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $26,280 $26,280 $12,890 +104% $28,134 −7% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $26,259 $26,259 $14,562 +80% $30,910 −15% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $26,246 $26,246 $19,128 +37% $36,333 −28% —
157 DENTAL AND ORAL DISEASES WITH MCC $26,245 $26,245 $16,173 +62% $27,457 −4% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $26,065 $26,065 $12,037 +117% $24,465 +7% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $26,054 $26,054 $16,554 +57% $27,168 −4% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $26,041 $26,041 $13,466 +93% $26,020 +0% —
913 TRAUMATIC INJURY WITH MCC $25,937 $25,937 $18,120 +43% $24,198 +7% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $25,926 $25,926 $13,410 +93% $25,731 +1% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $25,908 $25,908 $15,367 +69% $31,840 −19% ≈298% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $25,899 $25,899 $19,160 +35% $27,118 −4% —
038 EXTRACRANIAL PROCEDURES WITH CC $25,825 $25,825 $15,326 +69% $35,770 −28% —
606 MINOR SKIN DISORDERS WITH MCC $25,809 $25,809 $18,663 +38% $25,434 +1% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $25,769 $25,769 $15,203 +69% $35,692 −28% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $25,690 $25,690 $14,897 +72% $35,584 −28% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $25,596 $25,596 $23,921 +7% $35,453 −28% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $25,572 $25,572 $18,248 +40% $33,984 −25% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $25,540 $25,540 $15,696 +63% $35,375 −28% —
183 MAJOR CHEST TRAUMA WITH MCC $25,440 $25,440 $12,207 +108% $28,924 −12% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $25,426 $25,426 $20,807 +22% $39,747 −36% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $25,326 $25,326 $18,163 +39% $33,490 −24% —
186 PLEURAL EFFUSION WITH MCC $25,323 $25,323 $11,842 +114% $32,468 −22% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $25,270 $25,270 $23,594 +7% $29,371 −14% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $25,201 $25,201 $16,199 +56% $34,906 −28% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $25,150 $25,150 $13,233 +90% $32,936 −24% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $25,131 $25,131 $13,823 +82% $31,059 −19% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $25,088 $25,088 $19,400 +29% $32,490 −23% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $25,044 $25,044 $15,651 +60% $41,380 −39% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $24,860 $24,860 $20,331 +22% $34,434 −28% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $24,838 $24,838 $22,824 +9% $28,646 −13% —
813 COAGULATION DISORDERS $24,810 $24,810 $13,514 +84% $30,128 −18% —
669 TRANSURETHRAL PROCEDURES WITH CC $24,802 $24,802 $15,063 +65% $34,354 −28% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $24,783 $24,783 $14,818 +67% $24,036 +3% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $24,775 $24,775 $15,631 +59% $25,484 −3% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $24,772 $24,772 $11,998 +106% $28,252 −12% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $24,604 $24,604 $20,366 +21% $36,239 −32% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $24,538 $24,538 $16,092 +52% $24,879 −1% —
663 MINOR BLADDER PROCEDURES WITH CC $24,480 $24,480 $20,339 +20% $29,924 −18% —
945 REHABILITATION WITH CC/MCC $24,466 $24,466 $11,826 +107% $23,834 +3% —
533 FRACTURES OF FEMUR WITH MCC $24,440 $24,440 $15,642 +56% $25,945 −6% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $24,326 $24,326 $14,250 +71% $33,694 −28% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $24,312 $24,312 $14,546 +67% $30,972 −22% —
398 APPENDIX PROCEDURES WITH CC $24,253 $24,253 $15,755 +54% $39,107 −38% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $24,200 $24,200 $15,331 +58% $24,229 −0% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $24,190 $24,190 $18,296 +32% $27,279 −11% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $24,131 $24,131 $15,276 +58% $33,424 −28% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $24,113 $24,113 $16,503 +46% $33,792 −29% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $24,105 $24,105 $14,157 +70% $35,528 −32% —
682 RENAL FAILURE WITH MCC $24,071 $24,071 $15,310 +57% $27,854 −14% ≈261% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $24,063 $24,063 $19,558 +23% $23,814 +1% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,043 $24,043 $14,775 +63% $25,854 −7% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $24,027 $24,027 $15,124 +59% $29,484 −19% —
506 MAJOR THUMB OR JOINT PROCEDURES $24,027 $24,027 $14,224 +69% $28,983 −17% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $23,999 $23,999 $15,281 +57% $24,450 −2% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $23,924 $23,924 $18,056 +33% $33,137 −28% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $23,860 $23,860 $17,470 +37% $31,062 −23% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $23,812 $23,812 $21,322 +12% $28,140 −15% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $23,761 $23,761 $16,514 +44% $32,911 −28% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $23,660 $23,660 $8,736 +171% $7,961 +197% —
865 VIRAL ILLNESS WITH MCC $23,655 $23,655 $16,376 +44% $26,088 −9% —
693 URINARY STONES WITH MCC $23,567 $23,567 $14,049 +68% $22,525 +5% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $23,559 $23,559 $22,272 +6% $28,780 −18% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $23,551 $23,551 $16,071 +47% $25,152 −6% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $23,551 $23,551 $20,689 +14% $25,786 −9% —
602 CELLULITIS WITH MCC $23,547 $23,547 $20,839 +13% $29,347 −20% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $23,456 $23,456 $21,069 +11% $29,211 −20% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $23,440 $23,440 $14,754 +59% $25,149 −7% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $23,429 $23,429 $21,991 +7% $32,451 −28% —
637 DIABETES WITH MCC $23,341 $23,341 $18,353 +27% $28,819 −19% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $23,318 $23,318 $15,439 +51% $24,941 −7% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $23,206 $23,206 $11,826 +96% $21,986 +6% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $23,176 $23,176 $16,516 +40% $29,663 −22% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $23,110 $23,110 $14,625 +58% $22,525 +3% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $23,067 $23,067 $13,951 +65% $25,243 −9% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $22,970 $22,970 $15,695 +46% $31,816 −28% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $22,967 $22,967 $17,430 +32% $31,812 −28% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $22,781 $22,781 $14,163 +61% $25,010 −9% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $22,748 $22,748 $13,427 +69% $21,615 +5% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $22,683 $22,683 $16,854 +35% $23,734 −4% —
088 CONCUSSION WITH MCC $22,610 $22,610 $15,650 +44% $24,402 −7% —
885 PSYCHOSES $22,592 $22,592 $12,762 +77% $21,489 +5% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $22,584 $22,584 $12,480 +81% $29,757 −24% ≈290% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $22,549 $22,549 $15,254 +48% $27,934 −19% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $22,515 $22,515 $16,428 +37% $35,542 −37% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $22,459 $22,459 $15,579 +44% $24,452 −8% —
137 MOUTH PROCEDURES WITH CC/MCC $22,416 $22,416 $16,262 +38% $24,348 −8% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $22,393 $22,393 $16,626 +35% $30,006 −25% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $22,331 $22,331 $13,649 +64% $25,666 −13% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $22,284 $22,284 $14,857 +50% $24,118 −8% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $22,270 $22,270 $14,276 +56% $24,561 −9% —
150 EPISTAXIS WITH MCC $22,153 $22,153 $16,858 +31% $21,133 +5% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $22,015 $22,015 $16,296 +35% $29,050 −24% —
139 SALIVARY GLAND PROCEDURES $22,006 $22,006 $12,705 +73% $21,014 +5% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $21,964 $21,964 $14,142 +55% $20,980 +5% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $21,961 $21,961 $14,420 +52% $30,418 −28% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $21,834 $21,834 $13,378 +63% $24,980 −13% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,719 $21,719 $17,312 +25% $29,374 −26% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,699 $21,699 $12,679 +71% $28,527 −24% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,582 $21,582 $15,090 +43% $23,723 −9% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $21,518 $21,518 $19,532 +10% $29,805 −28% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $21,477 $21,477 $15,198 +41% $30,358 −29% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $21,387 $21,387 $16,919 +26% $25,426 −16% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $21,368 $21,368 $16,936 +26% $31,978 −33% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $21,315 $21,315 $12,744 +67% $23,350 −9% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $21,284 $21,284 $13,299 +60% $24,480 −13% ≈260% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $21,119 $21,119 $15,116 +40% $26,158 −19% ≈271% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $21,118 $21,118 $16,583 +27% $34,887 −39% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $21,021 $21,021 $13,557 +55% $23,115 −9% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,932 $20,932 $16,218 +29% $23,956 −13% —
291 HEART FAILURE AND SHOCK WITH MCC $20,912 $20,912 $12,420 +68% $25,020 −16% ≈283% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,898 $20,898 $13,658 +53% $21,029 −1% —
540 OSTEOMYELITIS WITH CC $20,741 $20,741 $16,354 +27% $23,494 −12% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $20,685 $20,685 $17,801 +16% $22,811 −9% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,667 $20,667 $17,331 +19% $23,920 −14% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $20,650 $20,650 $13,593 +52% $23,924 −14% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $20,643 $20,643 $13,202 +56% $24,316 −15% —
947 SIGNS AND SYMPTOMS WITH MCC $20,614 $20,614 $17,151 +20% $25,474 −19% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $20,587 $20,587 $15,403 +34% $27,244 −24% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $20,460 $20,460 $11,826 +73% $22,557 −9% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $20,366 $20,366 $15,789 +29% $19,686 +3% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $20,366 $20,366 $11,826 +72% $22,275 −9% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $20,327 $20,327 $19,537 +4% $28,156 −28% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $20,305 $20,305 $12,456 +63% $25,623 −21% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $20,262 $20,262 $14,516 +40% $26,634 −24% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $20,236 $20,236 $13,010 +56% $19,894 +2% —
348 ANAL AND STOMAL PROCEDURES WITH CC $20,177 $20,177 $14,138 +43% $27,947 −28% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,959 $19,959 $14,118 +41% $26,146 −24% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,956 $19,956 $13,127 +52% $19,354 +3% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $19,951 $19,951 $16,078 +24% $21,860 −9% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $19,892 $19,892 $12,445 +60% $20,727 −4% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,850 $19,850 $11,826 +68% $22,032 −10% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,848 $19,848 $13,997 +42% $27,492 −28% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,832 $19,832 $14,929 +33% $25,704 −23% ≈256% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,744 $19,744 $11,826 +67% $20,147 −2% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,726 $19,726 $15,510 +27% $27,321 −28% —
375 DIGESTIVE MALIGNANCY WITH CC $19,693 $19,693 $11,826 +67% $27,219 −28% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,682 $19,682 $13,012 +51% $19,132 +3% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,611 $19,611 $13,136 +49% $26,322 −25% —
593 SKIN ULCERS WITH CC $19,597 $19,597 $9,782 +100% $20,470 −4% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,539 $19,539 $11,826 +65% $23,588 −17% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $19,456 $19,456 $13,739 +42% $23,297 −16% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $19,327 $19,327 $13,237 +46% $26,488 −27% ≈278% of Medicare
549 SEPTIC ARTHRITIS WITH CC $19,315 $19,315 $15,414 +25% $20,938 −8% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $19,212 $19,212 $18,791 +2% $27,369 −30% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $19,156 $19,156 $17,567 +9% $20,421 −6% —
887 OTHER MENTAL DISORDER DIAGNOSES $19,063 $19,063 $11,944 +60% $20,602 −7% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,989 $18,989 $12,194 +56% $20,842 −9% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,946 $18,946 $16,006 +18% $19,598 −3% —
304 HYPERTENSION WITH MCC $18,829 $18,829 $11,979 +57% $24,185 −22% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,757 $18,757 $10,576 +77% $22,982 −18% ≈261% of Medicare
302 ATHEROSCLEROSIS WITH MCC $18,645 $18,645 $11,826 +58% $20,844 −11% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,643 $18,643 $12,494 +49% $18,291 +2% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,641 $18,641 $11,826 +58% $21,062 −11% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $18,605 $18,605 $12,550 +48% $22,532 −17% —
102 HEADACHES WITH MCC $18,584 $18,584 $13,186 +41% $22,544 −18% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,555 $18,555 $11,428 +62% $24,202 −23% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,520 $18,520 $10,604 +75% $25,307 −27% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,447 $18,447 $12,120 +52% $18,133 +2% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $18,330 $18,330 $13,859 +32% $25,390 −28% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,310 $18,310 $16,570 +10% $24,432 −25% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,250 $18,250 $16,292 +12% $24,452 −25% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,242 $18,242 $10,073 +81% $25,267 −28% —
152 OTITIS MEDIA AND URI WITH MCC $18,188 $18,188 $13,606 +34% $19,795 −8% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $18,076 $18,076 $12,582 +44% $20,741 −13% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $18,074 $18,074 $11,826 +53% $24,017 −25% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $18,012 $18,012 $11,826 +52% $30,314 −41% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,999 $17,999 $12,954 +39% $24,190 −26% ≈289% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $17,997 $17,997 $11,943 +51% $19,317 −7% —
946 REHABILITATION WITHOUT CC/MCC $17,895 $17,895 $8,672 +106% $17,685 +1% —
181 RESPIRATORY NEOPLASMS WITH CC $17,795 $17,795 $12,412 +43% $22,431 −21% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,792 $17,792 $12,486 +42% $18,459 −4% —
200 PNEUMOTHORAX WITH CC $17,750 $17,750 $11,903 +49% $20,573 −14% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,720 $17,720 $13,466 +32% $24,544 −28% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $17,672 $17,672 $12,020 +47% $25,162 −30% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,644 $17,644 $13,509 +31% $17,483 +1% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $17,571 $17,571 $13,871 +27% $17,103 +3% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $17,540 $17,540 $12,285 +43% $17,398 +1% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,486 $17,486 $10,478 +67% $19,868 −12% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,465 $17,465 $11,978 +46% $31,190 −44% —
381 COMPLICATED PEPTIC ULCER WITH CC $17,455 $17,455 $11,826 +48% $24,177 −28% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,382 $17,382 $13,536 +28% $21,806 −20% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $17,358 $17,358 $11,826 +47% $22,560 −23% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,327 $17,327 $10,953 +58% $17,226 +1% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,306 $17,306 $13,113 +32% $18,126 −5% —
949 AFTERCARE WITH CC/MCC $17,293 $17,293 $17,135 +1% $23,953 −28% —
598 MALIGNANT BREAST DISORDERS WITH CC $17,292 $17,292 $11,826 +46% $19,073 −9% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $17,287 $17,287 $11,665 +48% $17,193 +1% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $17,245 $17,245 $12,395 +39% $17,943 −4% —
089 CONCUSSION WITH CC $17,183 $17,183 $11,751 +46% $18,293 −6% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,159 $17,159 $14,691 +17% $19,579 −12% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $17,146 $17,146 $14,100 +22% $23,749 −28% —
712 TESTES PROCEDURES WITHOUT CC/MCC $17,143 $17,143 $11,768 +46% $18,898 −9% —
184 MAJOR CHEST TRAUMA WITH CC $17,119 $17,119 $10,391 +65% $20,842 −18% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $17,018 $17,018 $15,449 +10% $23,571 −28% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $17,003 $17,003 $11,689 +45% $23,496 −28% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,968 $16,968 $11,826 +43% $24,136 −30% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,891 $16,891 $13,037 +30% $23,396 −28% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,872 $16,872 $11,714 +44% $18,478 −9% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,859 $16,859 $12,128 +39% $17,550 −4% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,830 $16,830 $11,773 +43% $22,231 −24% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,707 $16,707 $13,383 +25% $23,141 −28% —
644 ENDOCRINE DISORDERS WITH CC $16,563 $16,563 $9,885 +68% $22,941 −28% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,524 $16,524 $12,479 +32% $22,781 −27% ≈278% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,497 $16,497 $10,681 +54% $22,850 −28% —
667 PROSTATECTOMY WITHOUT CC/MCC $16,473 $16,473 $11,826 +39% $16,703 −1% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,454 $16,454 $12,373 +33% $24,022 −32% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,425 $16,425 $12,039 +36% $16,495 −0% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,346 $16,346 $11,352 +44% $20,732 −21% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,346 $16,346 $12,431 +31% $16,571 −1% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $16,343 $16,343 $11,485 +42% $21,545 −24% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,341 $16,341 $13,157 +24% $20,080 −19% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $16,337 $16,337 $11,267 +45% $19,091 −14% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,309 $16,309 $11,923 +37% $22,713 −28% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,298 $16,298 $15,227 +7% $23,469 −31% ≈275% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,285 $16,285 $10,990 +48% $18,017 −10% —
920 COMPLICATIONS OF TREATMENT WITH CC $16,282 $16,282 $14,272 +14% $21,181 −23% —
187 PLEURAL EFFUSION WITH CC $16,091 $16,091 $11,628 +38% $21,467 −25% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,077 $16,077 $14,097 +14% $17,078 −6% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,075 $16,075 $11,168 +44% $16,212 −1% —
697 URETHRAL STRICTURE $16,056 $16,056 $11,433 +40% $17,705 −9% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,026 $16,026 $11,325 +42% $20,007 −20% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $15,995 $15,995 $11,826 +35% $15,370 +4% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $15,994 $15,994 $10,508 +52% $17,434 −8% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $15,907 $15,907 $12,812 +24% $20,968 −24% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,901 $15,901 $15,343 +4% $22,024 −28% ≈364% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $15,867 $15,867 $14,622 +9% $20,106 −21% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,801 $15,801 $9,695 +63% $21,886 −28% ≈287% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,797 $15,797 $12,279 +29% $18,282 −14% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,691 $15,691 $11,334 +38% $15,901 −1% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,678 $15,678 $13,902 +13% $15,890 −1% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $15,518 $15,518 $12,325 +26% $19,001 −18% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $15,518 $15,518 $11,826 +31% $18,238 −15% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,494 $15,494 $9,827 +58% $17,273 −10% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,486 $15,486 $10,316 +50% $21,449 −28% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $15,447 $15,447 $15,105 +2% $21,213 −27% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,423 $15,423 $10,234 +51% $20,777 −26% —
882 NEUROSES EXCEPT DEPRESSIVE $15,418 $15,418 $9,594 +61% $15,680 −2% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,364 $15,364 $11,701 +31% $15,636 −2% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,332 $15,332 $12,206 +26% $16,418 −7% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $15,324 $15,324 $12,426 +23% $18,191 −16% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,317 $15,317 $11,826 +30% $20,371 −25% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,309 $15,309 $12,535 +22% $19,326 −21% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,306 $15,306 $10,356 +48% $15,589 −2% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,255 $15,255 $11,826 +29% $18,428 −17% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,087 $15,087 $11,826 +28% $18,918 −20% —
158 DENTAL AND ORAL DISEASES WITH CC $15,075 $15,075 $10,836 +39% $17,700 −15% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,061 $15,061 $11,054 +36% $17,108 −12% —
779 ABORTION WITHOUT D&C $14,982 $14,982 $11,089 +35% $15,327 −2% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $14,963 $14,963 $10,934 +37% $16,642 −10% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $14,848 $14,848 $11,826 +26% $18,608 −20% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $14,804 $14,804 $12,086 +22% $19,287 −23% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $14,792 $14,792 $11,678 +27% $20,488 −28% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $14,774 $14,774 $10,566 +40% $20,463 −28% —
101 SEIZURES WITHOUT MCC $14,772 $14,772 $9,822 +50% $19,954 −26% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $14,768 $14,768 $12,898 +14% $20,309 −27% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $14,729 $14,729 $11,826 +25% $16,352 −10% —
638 DIABETES WITH CC $14,700 $14,700 $11,158 +32% $18,821 −22% ≈267% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $14,695 $14,695 $11,344 +30% $15,474 −5% —
914 TRAUMATIC INJURY WITHOUT MCC $14,687 $14,687 $9,839 +49% $15,593 −6% —
881 DEPRESSIVE NEUROSES $14,651 $14,651 $11,075 +32% $15,058 −3% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $14,627 $14,627 $10,968 +33% $17,585 −17% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,518 $14,518 $9,473 +53% $17,731 −18% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,502 $14,502 $11,362 +28% $15,077 −4% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,500 $14,500 $12,818 +13% $20,084 −28% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,393 $14,393 $12,154 +18% $17,412 −17% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $14,325 $14,325 $11,996 +19% $18,803 −24% ≈275% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,303 $14,303 $10,138 +41% $21,261 −33% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,295 $14,295 $12,341 +16% $15,764 −9% —
683 RENAL FAILURE WITH CC $14,247 $14,247 $10,122 +41% $18,620 −23% ≈277% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $14,181 $14,181 $10,499 +35% $16,391 −13% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,178 $14,178 $9,870 +44% $15,045 −6% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,168 $14,168 $11,826 +20% $15,869 −11% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,152 $14,152 $11,826 +20% $15,608 −9% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $14,139 $14,139 $11,027 +28% $16,049 −12% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,128 $14,128 $12,250 +15% $19,569 −28% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $14,118 $14,118 $11,335 +25% $19,854 −29% —
603 CELLULITIS WITHOUT MCC $14,117 $14,117 $12,116 +17% $18,530 −24% ≈306% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $14,022 $14,022 $14,022 +0% $14,549 −4% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $14,000 $14,000 $12,133 +15% $19,815 −29% —
312 SYNCOPE AND COLLAPSE $13,965 $13,965 $11,469 +22% $19,342 −28% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $13,937 $13,937 $11,826 +18% $19,305 −28% —
607 MINOR SKIN DISORDERS WITHOUT MCC $13,851 $13,851 $7,903 +75% $15,284 −9% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $13,844 $13,844 $12,799 +8% $17,367 −20% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $13,817 $13,817 $12,233 +13% $16,156 −14% —
292 HEART FAILURE AND SHOCK WITH CC $13,803 $13,803 $9,549 +45% $16,212 −15% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $13,787 $13,787 $11,952 +15% $19,096 −28% ≈312% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $13,769 $13,769 $12,035 +14% $18,278 −25% ≈323% of Medicare
090 CONCUSSION WITHOUT CC/MCC $13,740 $13,740 $11,670 +18% $14,873 −8% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $13,702 $13,702 $9,473 +45% $14,290 −4% —
103 HEADACHES WITHOUT MCC $13,626 $13,626 $11,684 +17% $20,111 −32% —
594 SKIN ULCERS WITHOUT CC/MCC $13,602 $13,602 $10,110 +35% $14,209 −4% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,423 $13,423 $8,720 +54% $14,064 −5% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $13,412 $13,412 $9,383 +43% $14,055 −5% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $13,376 $13,376 $13,376 +0% $18,253 −27% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $13,234 $13,234 $12,401 +7% $15,876 −17% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,142 $13,142 $13,014 +1% $18,204 −28% ≈311% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,125 $13,125 $11,610 +13% $13,822 −5% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,104 $13,104 $12,764 +3% $18,150 −28% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $13,096 $13,096 $10,304 +27% $16,837 −22% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,086 $13,086 $11,249 +16% $17,715 −26% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,086 $13,086 $11,826 +11% $17,928 −27% —
176 PULMONARY EMBOLISM WITHOUT MCC $13,054 $13,054 $7,786 +68% $18,081 −28% —
534 FRACTURES OF FEMUR WITHOUT MCC $13,046 $13,046 $11,826 +10% $17,195 −24% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,038 $13,038 $10,581 +23% $17,383 −25% —
204 RESPIRATORY SIGNS AND SYMPTOMS $12,998 $12,998 $9,562 +36% $16,866 −23% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $12,997 $12,997 $8,544 +52% $18,002 −28% ≈295% of Medicare
123 NEUROLOGICAL EYE DISORDERS $12,873 $12,873 $11,951 +8% $17,831 −28% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $12,864 $12,864 $9,409 +37% $17,466 −26% ≈281% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $12,848 $12,848 $8,130 +58% $17,388 −26% ≈305% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $12,833 $12,833 $10,111 +27% $13,586 −6% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,823 $12,823 $8,704 +47% $20,278 −37% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $12,779 $12,779 $11,550 +11% $17,700 −28% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $12,734 $12,734 $12,357 +3% $17,727 −28% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $12,658 $12,658 $11,024 +15% $13,445 −6% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,650 $12,650 $8,917 +42% $17,522 −28% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $12,585 $12,585 $9,905 +27% $13,385 −6% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $12,524 $12,524 $10,751 +16% $16,745 −25% ≈282% of Medicare
694 URINARY STONES WITHOUT MCC $12,524 $12,524 $11,436 +10% $16,531 −24% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $12,506 $12,506 $10,748 +16% $17,322 −28% ≈277% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $12,480 $12,480 $11,826 +6% $14,166 −12% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $12,464 $12,464 $11,345 +10% $15,858 −21% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $12,336 $12,336 $9,646 +28% $14,444 −15% —
151 EPISTAXIS WITHOUT MCC $12,149 $12,149 $11,038 +10% $13,032 −7% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $12,112 $12,112 $11,826 +2% $16,776 −28% —
305 HYPERTENSION WITHOUT MCC $12,032 $12,032 $7,665 +57% $17,144 −30% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,024 $12,024 $10,763 +12% $16,654 −28% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,009 $12,009 $11,191 +7% $16,634 −28% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,990 $11,990 $11,990 +0% $14,337 −16% —
149 DYSEQUILIBRIUM $11,980 $11,980 $11,826 +1% $17,203 −30% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $11,979 $11,979 $9,455 +27% $12,895 −7% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,960 $11,960 $10,262 +17% $14,861 −20% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,931 $11,931 $11,047 +8% $13,892 −14% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $11,876 $11,876 $8,130 +46% $13,282 −11% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,849 $11,849 $12,319 −4% $16,865 −30% ≈293% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $11,767 $11,767 $9,575 +23% $14,110 −17% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,678 $11,678 $8,813 +33% $12,650 −8% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $11,626 $11,626 $11,095 +5% $16,104 −28% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $11,621 $11,621 $9,338 +24% $18,623 −38% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,607 $11,607 $9,210 +26% $12,593 −8% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,597 $11,597 $11,392 +2% $13,090 −11% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $11,533 $11,533 $8,039 +43% $12,537 −8% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,436 $11,436 $6,435 +78% $12,381 −8% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,434 $11,434 $10,257 +11% $15,607 −27% —
313 CHEST PAIN $11,434 $11,434 $11,200 +2% $15,962 −28% —
153 OTITIS MEDIA AND URI WITHOUT MCC $11,407 $11,407 $9,376 +22% $14,473 −21% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $11,290 $11,290 $8,668 +30% $12,336 −8% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,262 $11,262 $6,503 +73% $15,600 −28% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $11,226 $11,226 $8,219 +37% $13,654 −18% —
311 ANGINA PECTORIS $11,192 $11,192 $6,608 +69% $15,165 −26% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $11,187 $11,187 $10,413 +7% $15,072 −26% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,165 $11,165 $10,695 +4% $12,279 −9% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,163 $11,163 $8,037 +39% $12,405 −10% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $11,126 $11,126 $8,247 +35% $13,303 −16% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,088 $11,088 $7,759 +43% $14,441 −23% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $11,032 $11,032 $11,440 −4% $19,483 −43% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,022 $11,022 $7,656 +44% $14,012 −21% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,942 $10,942 $8,299 +32% $12,797 −14% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,871 $10,871 $10,168 +7% $11,997 −9% —
201 PNEUMOTHORAX WITHOUT CC/MCC $10,852 $10,852 $10,457 +4% $13,081 −17% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,777 $10,777 $7,520 +43% $13,198 −18% —
303 ATHEROSCLEROSIS WITHOUT MCC $10,777 $10,777 $6,694 +61% $14,927 −28% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $10,762 $10,762 $7,988 +35% $11,909 −10% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,743 $10,743 $7,901 +36% $14,880 −28% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $10,685 $10,685 $10,591 +1% $11,847 −10% —
916 ALLERGIC REACTIONS WITHOUT MCC $10,644 $10,644 $8,796 +21% $13,890 −23% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,572 $10,572 $5,701 +85% $13,368 −21% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $10,568 $10,568 $10,046 +5% $13,485 −22% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $10,373 $10,373 $9,496 +9% $14,368 −28% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,257 $10,257 $7,565 +36% $14,208 −28% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,214 $10,214 $10,214 +0% $12,044 −15% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $10,205 $10,205 $10,064 +1% $14,134 −28% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,200 $10,200 $9,749 +5% $14,128 −28% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $10,160 $10,160 $9,096 +12% $11,421 −11% —
639 DIABETES WITHOUT CC/MCC $10,043 $10,043 $6,257 +60% $13,910 −28% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $10,003 $10,003 $7,919 +26% $12,013 −17% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,980 $9,980 $9,400 +6% $13,824 −28% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,858 $9,858 $7,814 +26% $15,070 −35% —
684 RENAL FAILURE WITHOUT CC/MCC $9,735 $9,735 $7,367 +32% $13,623 −29% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,727 $9,727 $8,940 +9% $11,071 −12% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,608 $9,608 $9,214 +4% $10,975 −12% —
950 AFTERCARE WITHOUT CC/MCC $9,394 $9,394 $9,559 −2% $13,527 −31% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $9,088 $9,088 $6,143 +48% $9,385 −3% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,998 $8,998 $5,564 +62% $10,039 −10% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $8,967 $8,967 $8,176 +10% $13,384 −33% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $8,794 $8,794 $9,751 −10% $11,955 −26% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,770 $8,770 $8,852 −1% $13,318 −34% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $8,331 $8,331 $6,463 +29% $9,076 −8% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $7,079 $7,079 $5,406 +31% $8,927 −21% —
795 NORMAL NEWBORN $3,202 $3,202 $2,718 +18% $4,530 −29% —

Procedures with negotiated rates only

These 21 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
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $132,834 – $194,906 · median $139,824 5 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $97,990 – $143,779 · median $103,146 5 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $116,131 – $170,398 · median $122,242 5 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $88,757 – $130,232 · median $93,427 5 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $104,295 – $153,030 · median $109,782 5 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $82,843 – $121,555 · median $87,203 5 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $49,305 – $72,344 · median $51,899 5 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $31,362 – $46,017 · median $33,012 5 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $50,065 – $73,460 · median $52,699 5 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $29,644 – $43,496 · median $31,204 5 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $44,148 – $64,778 · median $46,471 5 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $26,737 – $39,231 · median $28,144 5 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $19,377 – $28,431 · median $20,396 5 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $36,536 – $53,608 · median $38,458 5 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $22,606 – $33,169 · median $23,795 5 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $17,500 – $25,677 · median $18,420 5 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $145,020 – $212,786 · median $152,651 5 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $96,191 – $141,141 · median $101,253 5 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $75,573 – $110,888 · median $79,550 5 plans
459 Spinal Fusion Except Cervical With MCC $106,187 – $155,808 · median $111,775 5 plans
460 Spinal Fusion Except Cervical Without MCC $62,034 – $91,022 · median $65,299 5 plans