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 ≈264% 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 $413,344 +46% $573,534 +5%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $451,462 $451,462 $320,731 +41% $461,389 −2%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $380,213 $380,213 $250,907 +52% $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% $248,521 −9%
014 ALLOGENEIC BONE MARROW TRANSPLANT $209,987 $209,987 $156,264 +34% $182,314 +15%
007 LUNG TRANSPLANT $209,458 $209,458 $140,478 +49% $170,608 +23%
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $176,616 $176,616 $155,461 +14% $194,769 −9%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $174,600 $174,600 $124,403 +40% $196,346 −11%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $170,681 $170,681 $126,523 +35% $164,641 +4%
215 OTHER HEART ASSIST SYSTEM IMPLANT $169,806 $169,806 $139,148 +22% $208,939 −19%
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% $188,171 −18%
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $147,642 $147,642 $113,379 +30% $121,563 +21%
231 CORONARY BYPASS WITH PTCA WITH MCC $135,814 $135,814 $85,426 +59% $147,227 −8%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $135,739 $135,739 $112,119 +21% $153,282 −11%
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $133,677 $133,677 $95,245 +40% $144,774 −8%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $129,198 $129,198 $106,929 +21% $148,686 −13%
010 PANCREAS TRANSPLANT $127,786 $127,786 $63,234 +102% $99,940 +28%
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $127,053 $127,053 $82,946 +53% $105,228 +21%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $125,276 $125,276 $66,864 +87% $144,569 −13%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $124,011 $124,011 $94,884 +31% $143,242 −13%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $119,631 $119,631 $82,171 +46% $120,573 −1%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $113,837 $113,837 $87,925 +29% $132,794 −14%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $113,265 $113,265 $71,091 +59% $131,961 −14%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $111,494 $111,494 $72,622 +54% $148,832 −25%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $109,439 $109,439 $69,627 +57% $102,600 +7%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $107,458 $107,458 $76,564 +40% $126,098 −15%
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $107,045 $107,045 $72,265 +48% $89,353 +20%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $106,864 $106,864 $72,361 +48% $125,242 −15%
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 $68,644 +51% $123,995 −17%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $101,362 $101,362 $72,559 +40% $109,331 −7%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $99,280 $99,280 $62,313 +59% $117,280 −15%
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $99,151 $99,151 $72,826 +36% $88,566 +12%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $98,699 $98,699 $63,888 +54% $98,912 −0%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $98,355 $98,355 $67,282 +46% $108,472 −9%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $97,906 $97,906 $60,418 +62% $115,839 −15%
028 SPINAL PROCEDURES WITH MCC $97,438 $97,438 $57,312 +70% $113,077 −14%
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $96,739 $96,739 $74,479 +30% $98,260 −2%
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $96,739 $96,739 $53,485 +81% $81,176 +19%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $96,016 $96,016 $67,157 +43% $113,855 −16%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $95,351 $95,351 $57,489 +66% $103,455 −8%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $95,279 $95,279 $38,163 +150% $80,018 +19%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $94,308 $94,308 $60,369 +56% $112,062 −16%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $93,316 $93,316 $70,718 +32% $96,192 −3%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $91,987 $91,987 $74,701 +23% $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 $54,911 +63% $104,583 −15%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $88,588 $88,588 $74,709 +19% $106,057 −16%
834 ACUTE LEUKEMIA WITH MCC $88,588 $88,588 $70,851 +25% $85,566 +4%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $88,216 $88,216 $68,634 +29% $105,899 −17%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $87,677 $87,677 $62,470 +40% $101,618 −14%
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $87,206 $87,206 $60,091 +45% $86,459 +1%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $87,008 $87,008 $73,455 +18% $102,128 −15%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $86,564 $86,564 $46,473 +86% $89,207 −3%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $86,482 $86,482 $63,721 +36% $101,576 −15%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $86,472 $86,472 $62,020 +39% $90,401 −4%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $85,269 $85,269 $52,703 +62% $102,573 −17%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $84,892 $84,892 $57,531 +48% $111,320 −24%
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $82,542 $82,542 $55,309 +49% $99,943 −17%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $82,268 $82,268 $66,980 +23% $99,423 −17%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $81,653 $81,653 $64,196 +27% $96,507 −15%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $81,403 $81,403 $59,547 +37% $80,793 +1%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $80,728 $80,728 $53,247 +52% $93,390 −14%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $80,252 $80,252 $65,601 +22% $77,055 +4%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $80,190 $80,190 $50,127 +60% $93,238 −14%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $80,157 $80,157 $54,752 +46% $93,172 −14%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $79,869 $79,869 $67,791 +18% $96,905 −18%
245 AICD GENERATOR PROCEDURES $78,322 $78,322 $47,309 +66% $72,076 +9%
471 CERVICAL SPINAL FUSION WITH MCC $77,850 $77,850 $55,551 +40% $92,515 −16%
006 LIVER TRANSPLANT WITHOUT MCC $77,720 $77,720 $51,951 +50% $84,407 −8%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $76,538 $76,538 $45,495 +68% $90,724 −16%
799 SPLENIC PROCEDURES WITH MCC $76,207 $76,207 $56,958 +34% $82,218 −7%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $76,192 $76,192 $46,591 +64% $90,775 −16%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $75,404 $75,404 $52,018 +45% $92,217 −18%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $75,000 $75,000 $56,308 +33% $87,761 −15%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $74,558 $74,558 $46,796 +59% $91,329 −18%
163 MAJOR CHEST PROCEDURES WITH MCC $73,873 $73,873 $45,840 +61% $90,195 −18%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $73,843 $73,843 $49,974 +48% $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% $76,001 −5%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $71,878 $71,878 $45,098 +59% $84,692 −15%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $71,679 $71,679 $45,518 +57% $88,307 −19%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $71,009 $71,009 $60,190 +18% $70,177 +1%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $70,405 $70,405 $48,875 +44% $86,970 −19%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $69,349 $69,349 $31,670 +119% $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 $51,762 +32% $82,561 −17%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $68,267 $68,267 $43,598 +57% $101,510 −33%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $67,783 $67,783 $43,139 +57% $60,098 +13%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $67,164 $67,164 $42,803 +57% $72,962 −8%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $67,148 $67,148 $34,531 +94% $77,990 −14%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $66,842 $66,842 $26,237 +155% $18,649 +258%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $66,685 $66,685 $37,612 +77% $85,159 −22%
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 $51,550 +28% $73,120 −10%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $65,771 $65,771 $47,461 +39% $79,836 −18%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $65,448 $65,448 $51,412 +27% $81,998 −20%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $65,190 $65,190 $50,631 +29% $79,225 −18%
791 PREMATURITY WITH MAJOR PROBLEMS $65,069 $65,069 $27,643 +135% $42,679 +52%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $63,848 $63,848 $43,817 +46% $77,817 −18%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $63,803 $63,803 $47,238 +35% $62,300 +2%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $63,239 $63,239 $40,949 +54% $71,795 −12%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $63,109 $63,109 $50,725 +24% $61,832 +2%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $62,981 $62,981 $31,737 +98% $54,196 +16%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $62,702 $62,702 $49,323 +27% $79,116 −21%
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 $48,838 +28% $76,219 −18%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $61,946 $61,946 $44,168 +40% $66,685 −7%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $61,883 $61,883 $48,741 +27% $59,594 +4%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $61,710 $61,710 $35,340 +75% $75,573 −18%
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 $39,348 +55% $74,755 −18%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $60,457 $60,457 $47,988 +26% $74,257 −19%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $59,974 $59,974 $30,328 +98% $61,470 −2%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $58,479 $58,479 $50,550 +16% $68,639 −15%
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 $37,950 +51% $66,711 −14%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $57,452 $57,452 $40,118 +43% $59,533 −3%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $57,442 $57,442 $41,839 +37% $71,092 −19%
265 AICD LEAD PROCEDURES $57,173 $57,173 $42,814 +34% $63,171 −9%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $56,916 $56,916 $28,302 +101% $70,564 −19%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $56,583 $56,583 $49,015 +15% $66,848 −15%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $56,568 $56,568 $43,957 +29% $50,919 +11%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $56,426 $56,426 $29,627 +90% $56,964 −1%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $56,157 $56,157 $44,407 +26% $69,743 −19%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $56,139 $56,139 $41,612 +35% $66,068 −15%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $56,116 $56,116 $48,637 +15% $62,583 −10%
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 $38,482 +45% $56,242 −1%
332 RECTAL RESECTION WITH MCC $55,594 $55,594 $39,662 +40% $58,125 −4%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $55,533 $55,533 $46,164 +20% $52,036 +7%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $55,205 $55,205 $35,891 +54% $71,014 −22%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $55,118 $55,118 $37,171 +48% $68,653 −20%
665 PROSTATECTOMY WITH MCC $55,031 $55,031 $39,653 +39% $54,072 +2%
252 OTHER VASCULAR PROCEDURES WITH MCC $54,980 $54,980 $34,562 +59% $68,508 −20%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $54,897 $54,897 $46,844 +17% $70,847 −23%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $54,592 $54,592 $35,462 +54% $70,371 −22%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $54,365 $54,365 $37,700 +44% $70,132 −22%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $53,799 $53,799 $41,623 +29% $67,268 −20%
037 EXTRACRANIAL PROCEDURES WITH MCC $53,225 $53,225 $32,138 +66% $66,666 −20%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $52,921 $52,921 $34,525 +53% $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% $65,788 −20%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $52,239 $52,239 $32,420 +61% $58,745 −11%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $52,217 $52,217 $42,682 +22% $65,608 −20%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $51,597 $51,597 $37,732 +37% $72,424 −29%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $51,358 $51,358 $32,235 +59% $63,928 −20%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $51,209 $51,209 $32,011 +60% $71,464 −28%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $51,111 $51,111 $32,109 +59% $49,710 +3%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $50,973 $50,973 $33,318 +53% $44,472 +15%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $50,871 $50,871 $37,495 +36% $55,289 −8%
500 SOFT TISSUE PROCEDURES WITH MCC $50,786 $50,786 $38,926 +30% $61,872 −18%
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 $38,018 +32% $54,562 −8%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $49,786 $49,786 $43,510 +14% $65,325 −24%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $49,563 $49,563 $38,474 +29% $62,821 −21%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,460 $49,460 $33,142 +49% $65,216 −24%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $49,425 $49,425 $32,264 +53% $53,864 −8%
652 KIDNEY TRANSPLANT $49,226 $49,226 $35,233 +40% $54,720 −10%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $49,181 $49,181 $30,869 +59% $60,407 −19%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $49,021 $49,021 $31,071 +58% $64,523 −24%
570 SKIN DEBRIDEMENT WITH MCC $48,245 $48,245 $40,434 +19% $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 $40,853 +16% $58,228 −19%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $47,136 $47,136 $37,428 +26% $65,653 −28%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $47,008 $47,008 $41,261 +14% $60,170 −22%
668 TRANSURETHRAL PROCEDURES WITH MCC $46,740 $46,740 $34,563 +35% $51,608 −9%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $46,715 $46,715 $32,382 +44% $70,467 −34%
800 SPLENIC PROCEDURES WITH CC $46,700 $46,700 $35,906 +30% $49,184 −5%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $46,675 $46,675 $27,106 +72% $59,790 −22%
472 CERVICAL SPINAL FUSION WITH CC $46,434 $46,434 $37,272 +25% $59,537 −22%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $45,952 $45,952 $29,958 +53% $59,031 −22%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $45,899 $45,899 $35,706 +29% $58,975 −22%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $45,872 $45,872 $30,737 +49% $61,217 −25%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $45,808 $45,808 $30,237 +51% $49,839 −8%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $45,627 $45,627 $27,123 +68% $81,706 −44%
654 MAJOR BLADDER PROCEDURES WITH CC $45,231 $45,231 $35,863 +26% $58,274 −22%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $45,011 $45,011 $35,751 +26% $58,043 −22%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $44,965 $44,965 $35,448 +27% $52,986 −15%
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 $38,646 +13% $50,618 −14%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $43,699 $43,699 $36,238 +21% $51,746 −16%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $43,541 $43,541 $30,165 +44% $43,491 +0%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $43,328 $43,328 $31,981 +35% $62,264 −30%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $43,186 $43,186 $31,014 +39% $44,546 −3%
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 $28,515 +51% $51,253 −16%
849 RADIOTHERAPY $42,811 $42,811 $27,544 +55% $37,862 +13%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $42,678 $42,678 $36,692 +16% $47,945 −11%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $42,525 $42,525 $34,739 +22% $44,222 −4%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $42,472 $42,472 $30,124 +41% $48,687 −13%
503 FOOT PROCEDURES WITH MCC $42,418 $42,418 $35,170 +21% $47,540 −11%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $42,375 $42,375 $27,829 +52% $41,422 +2%
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 $28,159 +49% $46,453 −10%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $41,488 $41,488 $33,327 +24% $45,167 −8%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $41,419 $41,419 $29,507 +40% $52,178 −21%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $40,931 $40,931 $32,058 +28% $38,878 +5%
253 OTHER VASCULAR PROCEDURES WITH CC $40,918 $40,918 $26,283 +56% $57,454 −29%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $40,841 $40,841 $35,631 +15% $58,707 −30%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $40,631 $40,631 $30,742 +32% $39,173 +4%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $40,499 $40,499 $30,973 +31% $40,362 +0%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $40,467 $40,467 $27,679 +46% $49,423 −18%
164 MAJOR CHEST PROCEDURES WITH CC $40,341 $40,341 $23,218 +74% $56,755 −29%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $40,134 $40,134 $28,722 +40% $39,973 +0%
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 $24,925 +59% $53,257 −25%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $39,552 $39,552 $27,813 +42% $54,583 −28%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $39,262 $39,262 $15,564 +152% $12,229 +221%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,240 $39,240 $27,532 +43% $51,985 −25%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $38,916 $38,916 $31,373 +24% $59,421 −35%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $38,765 $38,765 $30,871 +26% $50,046 −23%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $38,643 $38,643 $28,288 +37% $42,186 −8%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $38,482 $38,482 $25,747 +49% $59,651 −35%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $38,421 $38,421 $34,307 +12% $47,583 −19%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $38,421 $38,421 $22,748 +69% $41,620 −8%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $38,089 $38,089 $30,380 +25% $53,451 −29%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $37,943 $37,943 $32,885 +15% $50,624 −25%
347 ANAL AND STOMAL PROCEDURES WITH MCC $37,933 $37,933 $25,200 +51% $40,548 −6%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $37,884 $37,884 $30,993 +22% $59,500 −36% ≈273% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $37,823 $37,823 $22,415 +69% $50,498 −25%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $37,482 $37,482 $26,098 +44% $50,139 −25%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $37,187 $37,187 $28,152 +32% $36,489 +2%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $37,100 $37,100 $28,214 +31% $40,060 −7%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $37,065 $37,065 $26,268 +41% $59,629 −38%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $36,997 $36,997 $26,358 +40% $50,394 −27%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $36,768 $36,768 $25,692 +43% $40,108 −8%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $36,707 $36,707 $22,510 +63% $39,181 −6%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $36,595 $36,595 $25,264 +45% $42,415 −14%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $36,526 $36,526 $26,429 +38% $48,349 −24%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $36,459 $36,459 $20,608 +77% $49,066 −26%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $36,318 $36,318 $25,539 +42% $41,892 −13%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $36,195 $36,195 $26,809 +35% $38,998 −7%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $36,193 $36,193 $22,089 +64% $49,418 −27%
113 ORBITAL PROCEDURES WITH CC/MCC $36,167 $36,167 $24,270 +49% $36,167 +0%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $36,106 $36,106 $25,683 +41% $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% $47,737 −24%
709 PENIS PROCEDURES WITH CC/MCC $36,015 $36,015 $32,317 +11% $34,535 +4%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $35,779 $35,779 $22,233 +61% $47,789 −25%
030 SPINAL PROCEDURES WITHOUT CC/MCC $35,667 $35,667 $28,401 +26% $45,866 −22%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $35,473 $35,473 $21,886 +62% $46,283 −23%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $35,251 $35,251 $26,162 +35% $41,608 −15%
935 NON-EXTENSIVE BURNS $35,202 $35,202 $21,407 +64% $31,701 +11%
906 HAND PROCEDURES FOR INJURIES $34,980 $34,980 $23,238 +51% $32,065 +9%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $34,922 $34,922 $22,530 +55% $45,333 −23%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $34,768 $34,768 $23,374 +49% $42,901 −19%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $34,576 $34,576 $24,290 +42% $45,877 −25%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $34,515 $34,515 $16,729 +106% $38,666 −11%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $34,435 $34,435 $21,888 +57% $37,267 −8%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $34,391 $34,391 $21,485 +60% $31,044 +11%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $34,367 $34,367 $30,205 +14% $38,070 −10%
835 ACUTE LEUKEMIA WITH CC $34,233 $34,233 $26,770 +28% $35,569 −4%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $34,231 $34,231 $29,176 +17% $46,727 −27%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $34,228 $34,228 $24,496 +40% $46,724 −27%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $34,164 $34,164 $25,199 +36% $42,906 −20%
333 RECTAL RESECTION WITH CC $34,063 $34,063 $20,258 +68% $37,154 −8%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $33,992 $33,992 $21,541 +58% $49,351 −31%
595 MAJOR SKIN DISORDERS WITH MCC $33,899 $33,899 $20,595 +65% $34,598 −2%
336 PERITONEAL ADHESIOLYSIS WITH CC $33,855 $33,855 $25,279 +34% $50,463 −33%
374 DIGESTIVE MALIGNANCY WITH MCC $33,840 $33,840 $20,421 +66% $39,958 −15%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $33,840 $33,840 $30,598 +11% $43,650 −22%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $33,787 $33,787 $23,107 +46% $58,280 −42% ≈257% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $33,702 $33,702 $24,613 +37% $42,795 −21%
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% $33,851 −1%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $33,294 $33,294 $21,374 +56% $43,174 −23%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $33,255 $33,255 $27,682 +20% $52,751 −37% ≈256% of Medicare
592 SKIN ULCERS WITH MCC $32,957 $32,957 $23,449 +41% $33,246 −1%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $32,814 $32,814 $20,267 +62% $35,030 −6%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $32,507 $32,507 $25,012 +30% $31,134 +4%
539 OSTEOMYELITIS WITH MCC $32,414 $32,414 $29,443 +10% $37,609 −14%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $32,329 $32,329 $28,752 +12% $42,914 −25%
548 SEPTIC ARTHRITIS WITH MCC $32,289 $32,289 $28,872 +12% $31,346 +3%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $32,255 $32,255 $21,986 +47% $32,031 +1%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $32,242 $32,242 $21,715 +48% $46,090 −30%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $32,029 $32,029 $28,013 +14% $44,363 −28%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $32,024 $32,024 $26,159 +22% $43,943 −27%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $32,002 $32,002 $19,505 +64% $29,611 +8%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $31,882 $31,882 $27,532 +16% $39,106 −18% ≈238% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $31,859 $31,859 $27,360 +16% $36,249 −12%
100 SEIZURES WITH MCC $31,819 $31,819 $26,892 +18% $35,481 −10%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $31,816 $31,816 $19,292 +65% $32,574 −2%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $31,704 $31,704 $22,499 +41% $43,913 −28%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $31,622 $31,622 $28,058 +13% $43,800 −28%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $31,604 $31,604 $24,007 +32% $44,139 −28%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $31,500 $31,500 $25,055 +26% $43,631 −28%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $31,447 $31,447 $15,729 +100% $35,628 −12% ≈234% 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% $40,213 −22%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $31,340 $31,340 $17,649 +78% $39,955 −22%
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 $19,865 +58% $38,861 −19%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $31,103 $31,103 $23,728 +31% $43,080 −28%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $31,064 $31,064 $24,663 +26% $37,240 −17%
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% $39,627 −22%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $30,657 $30,657 $23,570 +30% $34,459 −11%
711 TESTES PROCEDURES WITH CC/MCC $30,622 $30,622 $25,790 +19% $38,343 −20%
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 $19,137 +59% $40,562 −25%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $30,345 $30,345 $21,071 +44% $36,431 −17%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $30,298 $30,298 $12,729 +138% $33,985 −11%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $30,256 $30,256 $18,628 +62% $33,255 −9%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $30,223 $30,223 $17,671 +71% $37,844 −20%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $30,220 $30,220 $27,666 +9% $50,607 −40% ≈250% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $30,218 $30,218 $23,002 +31% $47,711 −37%
196 INTERSTITIAL LUNG DISEASE WITH MCC $30,197 $30,197 $17,908 +69% $32,637 −7%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $29,893 $29,893 $22,974 +30% $36,792 −19%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $29,875 $29,875 $17,878 +67% $46,340 −36%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,752 $29,752 $16,452 +81% $33,047 −10%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $29,739 $29,739 $19,915 +49% $36,670 −19%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $29,713 $29,713 $14,941 +99% $23,206 +28%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $29,585 $29,585 $19,230 +54% $30,243 −2%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $29,524 $29,524 $21,758 +36% $29,221 +1%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $29,469 $29,469 $20,804 +42% $32,859 −10%
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 $24,168 +21% $43,298 −32%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $29,285 $29,285 $17,800 +65% $40,642 −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 $18,054 +62% $37,950 −23%
919 COMPLICATIONS OF TREATMENT WITH MCC $29,227 $29,227 $14,296 +104% $31,105 −6%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $29,216 $29,216 $23,064 +27% $37,387 −22%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $29,142 $29,142 $26,794 +9% $40,365 −28%
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 $20,164 +44% $32,433 −11%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $28,997 $28,997 $17,490 +66% $58,809 −51%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $28,925 $28,925 $19,157 +51% $41,591 −30%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $28,891 $28,891 $12,130 +138% $16,351 +77%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $28,793 $28,793 $11,826 +143% $26,510 +9%
501 SOFT TISSUE PROCEDURES WITH CC $28,604 $28,604 $21,864 +31% $39,619 −28%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $28,543 $28,543 $22,004 +30% $52,075 −45%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $28,541 $28,541 $23,851 +20% $31,159 −8%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $28,529 $28,529 $18,637 +53% $39,515 −28%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $28,461 $28,461 $20,034 +42% $34,276 −17%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $28,416 $28,416 $22,110 +29% $38,101 −25%
199 PNEUMOTHORAX WITH MCC $28,293 $28,293 $14,424 +96% $33,787 −16%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $28,171 $28,171 $20,655 +36% $39,020 −28%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $28,170 $28,170 $23,439 +20% $39,018 −28%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $28,155 $28,155 $19,383 +45% $30,553 −8%
509 ARTHROSCOPY $28,155 $28,155 $22,130 +27% $25,994 +8%
597 MALIGNANT BREAST DISORDERS WITH MCC $28,155 $28,155 $17,055 +65% $33,386 −16%
504 FOOT PROCEDURES WITH CC $28,128 $28,128 $19,745 +42% $38,960 −28%
505 FOOT PROCEDURES WITHOUT CC/MCC $28,128 $28,128 $24,302 +16% $34,937 −19%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $28,067 $28,067 $18,177 +54% $35,849 −22%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $28,038 $28,038 $16,266 +72% $38,836 −28%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $28,016 $28,016 $19,112 +47% $33,555 −17%
180 RESPIRATORY NEOPLASMS WITH MCC $28,013 $28,013 $21,748 +29% $36,658 −24% ≈254% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $27,868 $27,868 $15,566 +79% $31,951 −13%
915 ALLERGIC REACTIONS WITH MCC $27,854 $27,854 $19,852 +40% $32,645 −15%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $27,825 $27,825 $18,905 +47% $32,443 −14%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $27,710 $27,710 $18,924 +46% $29,826 −7%
671 URETHRAL PROCEDURES WITH CC/MCC $27,626 $27,626 $19,673 +40% $27,233 +1%
075 VIRAL MENINGITIS WITH CC/MCC $27,605 $27,605 $18,005 +53% $30,447 −9%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $27,503 $27,503 $17,404 +58% $38,094 −28%
551 MEDICAL BACK PROBLEMS WITH MCC $27,349 $27,349 $25,341 +8% $34,017 −20%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $27,264 $27,264 $19,743 +38% $43,477 −37%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $27,145 $27,145 $18,194 +49% $32,944 −18%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $27,093 $27,093 $17,619 +54% $29,079 −7%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $27,077 $27,077 $17,579 +54% $31,563 −14%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $26,996 $26,996 $12,408 +118% $34,273 −21%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $26,940 $26,940 $16,359 +65% $32,496 −17%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $26,839 $26,839 $20,893 +28% $29,916 −10%
571 SKIN DEBRIDEMENT WITH CC $26,835 $26,835 $20,709 +30% $37,169 −28%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $26,769 $26,769 $13,180 +103% $26,682 +0%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $26,766 $26,766 $21,507 +24% $33,876 −21%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $26,743 $26,743 $20,786 +29% $29,126 −8%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $26,737 $26,737 $18,324 +46% $34,607 −23%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $26,665 $26,665 $12,857 +107% $32,628 −18%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $26,645 $26,645 $21,521 +24% $29,316 −9%
334 RECTAL RESECTION WITHOUT CC/MCC $26,583 $26,583 $17,819 +49% $36,820 −28%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $26,580 $26,580 $21,170 +26% $44,606 −40%
643 ENDOCRINE DISORDERS WITH MCC $26,562 $26,562 $13,875 +91% $33,563 −21%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $26,541 $26,541 $24,687 +8% $34,192 −22%
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 $19,892 +33% $25,197 +5%
666 PROSTATECTOMY WITH CC $26,402 $26,402 $19,204 +37% $31,906 −17%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $26,328 $26,328 $17,070 +54% $35,831 −27%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $26,312 $26,312 $21,294 +24% $36,445 −28%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $26,307 $26,307 $16,121 +63% $30,828 −15%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $26,280 $26,280 $12,890 +104% $30,235 −13%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $26,259 $26,259 $14,750 +78% $33,661 −22%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $26,246 $26,246 $21,137 +24% $36,354 −28%
157 DENTAL AND ORAL DISEASES WITH MCC $26,245 $26,245 $17,411 +51% $31,300 −16%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $26,065 $26,065 $12,248 +113% $27,633 −6%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $26,054 $26,054 $18,896 +38% $28,202 −8%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $26,041 $26,041 $13,466 +93% $27,617 −6%
913 TRAUMATIC INJURY WITH MCC $25,937 $25,937 $18,375 +41% $24,198 +7%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $25,926 $25,926 $13,410 +93% $27,316 −5%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $25,908 $25,908 $15,367 +69% $33,707 −23% ≈283% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $25,899 $25,899 $19,160 +35% $27,152 −5%
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 $20,594 +25% $27,975 −8%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $25,769 $25,769 $17,232 +50% $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 $19,053 +34% $35,419 −28%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $25,540 $25,540 $18,442 +38% $39,006 −35%
183 MAJOR CHEST TRAUMA WITH MCC $25,440 $25,440 $12,207 +108% $29,933 −15%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $25,426 $25,426 $20,807 +22% $41,955 −39%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $25,326 $25,326 $18,163 +39% $35,074 −28%
186 PLEURAL EFFUSION WITH MCC $25,323 $25,323 $12,717 +99% $33,834 −25%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $25,270 $25,270 $23,626 +7% $32,697 −23%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $25,201 $25,201 $17,007 +48% $34,906 −28%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $25,150 $25,150 $14,998 +68% $33,653 −25%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $25,131 $25,131 $13,823 +82% $33,633 −25%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $25,088 $25,088 $21,202 +18% $34,749 −28%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $25,044 $25,044 $15,651 +60% $46,295 −46%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $24,860 $24,860 $23,326 +7% $34,434 −28%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $24,838 $24,838 $22,824 +9% $32,877 −24%
813 COAGULATION DISORDERS $24,810 $24,810 $13,514 +84% $33,296 −25%
669 TRANSURETHRAL PROCEDURES WITH CC $24,802 $24,802 $16,963 +46% $34,354 −28%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $24,783 $24,783 $15,890 +56% $24,550 +1%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $24,775 $24,775 $17,089 +45% $26,598 −7%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $24,772 $24,772 $12,170 +104% $30,010 −17%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $24,604 $24,604 $20,366 +21% $39,211 −37%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $24,538 $24,538 $18,743 +31% $25,703 −5%
663 MINOR BLADDER PROCEDURES WITH CC $24,480 $24,480 $20,339 +20% $33,103 −26%
945 REHABILITATION WITH CC/MCC $24,466 $24,466 $11,933 +105% $23,834 +3%
533 FRACTURES OF FEMUR WITH MCC $24,440 $24,440 $18,220 +34% $25,945 −6%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $24,326 $24,326 $14,334 +70% $33,694 −28%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $24,312 $24,312 $16,350 +49% $33,674 −28%
398 APPENDIX PROCEDURES WITH CC $24,253 $24,253 $15,755 +54% $40,162 −40%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $24,200 $24,200 $16,476 +47% $30,770 −21%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $24,190 $24,190 $18,296 +32% $33,454 −28%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $24,131 $24,131 $17,263 +40% $33,424 −28%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $24,113 $24,113 $16,503 +46% $36,505 −34%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $24,105 $24,105 $15,821 +52% $36,253 −34%
682 RENAL FAILURE WITH MCC $24,071 $24,071 $15,310 +57% $29,064 −17% ≈248% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $24,063 $24,063 $21,400 +12% $26,436 −9%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,043 $24,043 $14,775 +63% $27,394 −12%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $24,027 $24,027 $17,289 +39% $30,502 −21%
506 MAJOR THUMB OR JOINT PROCEDURES $24,027 $24,027 $16,340 +47% $30,557 −21%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $23,999 $23,999 $15,966 +50% $24,586 −2%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $23,924 $23,924 $20,646 +16% $33,393 −28%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $23,860 $23,860 $17,470 +37% $33,048 −28%
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 $18,300 +30% $36,988 −36%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $23,660 $23,660 $10,317 +129% $8,445 +180%
865 VIRAL ILLNESS WITH MCC $23,655 $23,655 $18,804 +26% $26,910 −12%
693 URINARY STONES WITH MCC $23,567 $23,567 $17,257 +37% $23,892 −1%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $23,559 $23,559 $22,272 +6% $30,571 −23%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $23,551 $23,551 $18,918 +24% $25,073 −6%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $23,551 $23,551 $20,689 +14% $26,463 −11%
602 CELLULITIS WITH MCC $23,547 $23,547 $20,839 +13% $30,598 −23%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $23,456 $23,456 $21,069 +11% $29,743 −21%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $23,440 $23,440 $16,349 +43% $31,170 −25%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $23,429 $23,429 $22,079 +6% $32,451 −28%
637 DIABETES WITH MCC $23,341 $23,341 $18,353 +27% $30,100 −22%
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 $14,727 +58% $21,986 +6%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $23,176 $23,176 $18,424 +26% $32,100 −28%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $23,110 $23,110 $16,844 +37% $22,525 +3%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $23,067 $23,067 $16,121 +43% $26,932 −14%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $22,970 $22,970 $17,345 +32% $35,465 −35%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $22,967 $22,967 $19,109 +20% $32,833 −30%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $22,781 $22,781 $16,871 +35% $27,808 −18%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $22,748 $22,748 $14,135 +61% $22,620 +1%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $22,683 $22,683 $18,737 +21% $26,280 −14%
088 CONCUSSION WITH MCC $22,610 $22,610 $16,159 +40% $24,402 −7%
885 PSYCHOSES $22,592 $22,592 $12,762 +77% $21,729 +4%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $22,584 $22,584 $12,480 +81% $30,959 −27% ≈275% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $22,549 $22,549 $15,254 +48% $28,226 −20%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $22,515 $22,515 $18,934 +19% $39,887 −44%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $22,459 $22,459 $18,480 +22% $22,393 +0%
137 MOUTH PROCEDURES WITH CC/MCC $22,416 $22,416 $17,894 +25% $27,861 −20%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $22,393 $22,393 $18,515 +21% $31,017 −28%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $22,331 $22,331 $15,472 +44% $27,119 −18%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $22,284 $22,284 $14,857 +50% $27,285 −18%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $22,270 $22,270 $16,110 +38% $25,094 −11%
150 EPISTAXIS WITH MCC $22,153 $22,153 $19,047 +16% $23,171 −4%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $22,015 $22,015 $18,424 +19% $30,493 −28%
139 SALIVARY GLAND PROCEDURES $22,006 $22,006 $13,584 +62% $23,612 −7%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $21,964 $21,964 $16,458 +33% $20,980 +5%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $21,961 $21,961 $15,748 +39% $30,418 −28%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $21,834 $21,834 $14,930 +46% $30,242 −28%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,719 $21,719 $19,796 +10% $30,083 −28%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,699 $21,699 $12,679 +71% $29,949 −28%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,582 $21,582 $15,698 +37% $24,127 −11%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $21,518 $21,518 $20,076 +7% $29,805 −28%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $21,477 $21,477 $15,198 +41% $31,264 −31%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $21,387 $21,387 $16,919 +26% $27,543 −22%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $21,368 $21,368 $16,936 +26% $32,841 −35%
535 FRACTURES OF HIP AND PELVIS WITH MCC $21,315 $21,315 $12,744 +67% $24,552 −13%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $21,284 $21,284 $13,299 +60% $25,463 −16% ≈251% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $21,119 $21,119 $15,116 +40% $27,275 −23% ≈257% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $21,118 $21,118 $16,583 +27% $36,937 −43%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $21,021 $21,021 $14,095 +49% $27,043 −22%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,932 $20,932 $18,392 +14% $26,051 −20%
291 HEART FAILURE AND SHOCK WITH MCC $20,912 $20,912 $12,420 +68% $26,776 −22% ≈269% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,898 $20,898 $13,658 +53% $21,894 −5%
540 OSTEOMYELITIS WITH CC $20,741 $20,741 $18,365 +13% $26,676 −22%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $20,685 $20,685 $19,945 +4% $22,811 −9%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,667 $20,667 $18,431 +12% $27,989 −26%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $20,650 $20,650 $14,931 +38% $25,748 −20%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $20,643 $20,643 $14,578 +42% $26,870 −23%
947 SIGNS AND SYMPTOMS WITH MCC $20,614 $20,614 $17,151 +20% $27,401 −25%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $20,587 $20,587 $15,403 +34% $28,050 −27%
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 $13,306 +53% $23,498 −13%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $20,327 $20,327 $19,655 +3% $28,156 −28%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $20,305 $20,305 $13,086 +55% $28,125 −28%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $20,262 $20,262 $14,516 +40% $27,426 −26%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $20,236 $20,236 $14,194 +43% $22,320 −9%
348 ANAL AND STOMAL PROCEDURES WITH CC $20,177 $20,177 $14,864 +36% $27,947 −28%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,959 $19,959 $15,182 +31% $27,297 −27%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,956 $19,956 $14,428 +38% $19,354 +3%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $19,951 $19,951 $16,078 +24% $22,851 −13%
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% $22,458 −12%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,848 $19,848 $13,997 +42% $28,320 −30%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,832 $19,832 $14,929 +33% $26,580 −25% ≈244% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,744 $19,744 $12,757 +55% $19,270 +2%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,726 $19,726 $16,779 +18% $27,323 −28%
375 DIGESTIVE MALIGNANCY WITH CC $19,693 $19,693 $11,826 +67% $27,277 −28%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,682 $19,682 $14,197 +39% $19,132 +3%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,611 $19,611 $13,136 +49% $27,163 −28%
593 SKIN ULCERS WITH CC $19,597 $19,597 $10,759 +82% $22,886 −14%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,539 $19,539 $12,194 +60% $25,581 −24%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $19,456 $19,456 $15,652 +24% $26,948 −28%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $19,327 $19,327 $13,237 +46% $26,770 −28% ≈264% of Medicare
549 SEPTIC ARTHRITIS WITH CC $19,315 $19,315 $15,414 +25% $24,056 −20%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $19,212 $19,212 $18,771 +2% $30,784 −38%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $19,156 $19,156 $18,029 +6% $21,847 −12%
887 OTHER MENTAL DISORDER DIAGNOSES $19,063 $19,063 $11,944 +60% $20,616 −8%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,989 $18,989 $12,562 +51% $25,712 −26%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,946 $18,946 $16,902 +12% $19,598 −3%
304 HYPERTENSION WITH MCC $18,829 $18,829 $11,979 +57% $26,080 −28%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,757 $18,757 $10,576 +77% $23,617 −21% ≈248% of Medicare
302 ATHEROSCLEROSIS WITH MCC $18,645 $18,645 $11,967 +56% $22,446 −17%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,643 $18,643 $13,162 +42% $19,412 −4%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,641 $18,641 $12,334 +51% $23,443 −20%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $18,605 $18,605 $13,273 +40% $21,230 −12%
102 HEADACHES WITH MCC $18,584 $18,584 $14,121 +32% $25,740 −28%
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,555 $18,555 $11,826 +57% $25,700 −28%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,520 $18,520 $11,826 +57% $25,652 −28%
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 $15,542 +18% $25,390 −28%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,310 $18,310 $16,570 +10% $24,944 −27%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,250 $18,250 $16,292 +12% $25,279 −28%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,242 $18,242 $10,950 +67% $26,618 −31%
152 OTITIS MEDIA AND URI WITH MCC $18,188 $18,188 $15,287 +19% $20,247 −10%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $18,076 $18,076 $14,519 +24% $24,566 −26%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $18,074 $18,074 $12,115 +49% $25,034 −28%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $18,012 $18,012 $11,826 +52% $31,321 −42%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,999 $17,999 $12,954 +39% $24,386 −26% ≈274% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $17,997 $17,997 $12,060 +49% $19,815 −9%
946 REHABILITATION WITHOUT CC/MCC $17,895 $17,895 $8,837 +103% $17,685 +1%
181 RESPIRATORY NEOPLASMS WITH CC $17,795 $17,795 $14,326 +24% $23,573 −25%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,792 $17,792 $14,069 +26% $18,459 −4%
200 PNEUMOTHORAX WITH CC $17,750 $17,750 $11,903 +49% $21,368 −17%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,720 $17,720 $15,106 +17% $24,544 −28%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $17,672 $17,672 $12,214 +45% $27,843 −37%
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 $14,778 +19% $16,846 +4%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $17,540 $17,540 $12,744 +38% $17,398 +1%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,486 $17,486 $11,554 +51% $20,926 −16%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,465 $17,465 $11,978 +46% $32,021 −45%
381 COMPLICATED PEPTIC ULCER WITH CC $17,455 $17,455 $13,597 +28% $24,177 −28%
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,382 $17,382 $13,536 +28% $23,319 −25%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $17,358 $17,358 $11,975 +45% $23,283 −25%
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,327 $17,327 $11,826 +47% $17,226 +1%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,306 $17,306 $15,161 +14% $22,314 −22%
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 $12,065 +43% $19,073 −9%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $17,287 $17,287 $11,826 +46% $17,193 +1%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $17,245 $17,245 $12,395 +39% $18,956 −9%
089 CONCUSSION WITH CC $17,183 $17,183 $11,789 +46% $18,821 −9%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,159 $17,159 $14,691 +17% $20,422 −16%
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 $11,826 +45% $18,898 −9%
184 MAJOR CHEST TRAUMA WITH CC $17,119 $17,119 $10,391 +65% $22,432 −24%
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% $23,551 −28%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,968 $16,968 $12,342 +37% $24,914 −32%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,891 $16,891 $13,037 +30% $23,488 −28%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,872 $16,872 $11,826 +43% $20,232 −17%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,859 $16,859 $13,903 +21% $19,657 −14%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,830 $16,830 $11,826 +42% $22,763 −26%
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% $23,198 −29%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,524 $16,524 $12,479 +32% $22,888 −28% ≈264% 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 $13,033 +26% $16,703 −1%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,454 $16,454 $12,373 +33% $25,970 −37%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,425 $16,425 $12,500 +31% $18,348 −10%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,346 $16,346 $11,352 +44% $21,275 −23%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,346 $16,346 $12,431 +31% $17,601 −7%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $16,343 $16,343 $11,826 +38% $22,506 −27%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,341 $16,341 $14,487 +13% $22,635 −28%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $16,337 $16,337 $11,267 +45% $20,901 −22%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,309 $16,309 $11,923 +37% $25,303 −36%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,298 $16,298 $15,227 +7% $23,940 −32% ≈262% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,285 $16,285 $11,408 +43% $19,264 −15%
920 COMPLICATIONS OF TREATMENT WITH CC $16,282 $16,282 $14,272 +14% $22,468 −28%
187 PLEURAL EFFUSION WITH CC $16,091 $16,091 $11,826 +36% $21,789 −26%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,077 $16,077 $14,097 +14% $17,737 −9%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,075 $16,075 $11,826 +36% $16,212 −1%
697 URETHRAL STRICTURE $16,056 $16,056 $11,826 +36% $18,428 −13%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,026 $16,026 $11,325 +42% $20,957 −24%
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 $11,167 +43% $17,698 −10%
386 INFLAMMATORY BOWEL DISEASE WITH CC $15,907 $15,907 $12,812 +24% $22,033 −28%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,901 $15,901 $15,343 +4% $22,024 −28% ≈346% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $15,867 $15,867 $15,113 +5% $21,941 −28%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,801 $15,801 $9,695 +63% $22,098 −28% ≈273% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,797 $15,797 $12,731 +24% $20,895 −24%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,691 $15,691 $11,580 +35% $15,901 −1%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,678 $15,678 $14,790 +6% $17,404 −10%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $15,518 $15,518 $12,433 +25% $19,962 −22%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $15,518 $15,518 $12,184 +27% $18,452 −16%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,494 $15,494 $9,827 +58% $17,724 −13%
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% $21,396 −28%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,423 $15,423 $10,234 +51% $21,363 −28%
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% $17,733 −13%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,332 $15,332 $12,902 +19% $16,700 −8%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $15,324 $15,324 $13,026 +18% $19,924 −23%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,317 $15,317 $12,845 +19% $20,911 −27%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,309 $15,309 $13,244 +16% $19,594 −22%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,306 $15,306 $10,592 +45% $15,589 −2%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,255 $15,255 $12,621 +21% $18,316 −17%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,087 $15,087 $12,611 +20% $20,181 −25%
158 DENTAL AND ORAL DISEASES WITH CC $15,075 $15,075 $11,826 +27% $18,466 −18%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,061 $15,061 $11,826 +27% $17,934 −16%
779 ABORTION WITHOUT D&C $14,982 $14,982 $11,520 +30% $15,327 −2%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $14,963 $14,963 $11,826 +27% $16,968 −12%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $14,848 $14,848 $11,826 +26% $20,566 −28%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $14,804 $14,804 $12,086 +22% $20,506 −28%
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% $20,461 −28%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $14,768 $14,768 $13,215 +12% $20,455 −28%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $14,729 $14,729 $12,690 +16% $18,072 −18%
638 DIABETES WITH CC $14,700 $14,700 $11,158 +32% $19,661 −25% ≈253% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $14,695 $14,695 $11,826 +24% $17,135 −14%
914 TRAUMATIC INJURY WITHOUT MCC $14,687 $14,687 $10,833 +36% $15,855 −7%
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 $11,826 +24% $20,259 −28%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,518 $14,518 $9,791 +48% $18,488 −21%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,502 $14,502 $11,594 +25% $16,552 −12%
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 $12,482 +15% $18,640 −23%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $14,325 $14,325 $11,996 +19% $19,842 −28% ≈261% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,303 $14,303 $10,982 +30% $22,148 −35%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,295 $14,295 $12,856 +11% $15,764 −9%
683 RENAL FAILURE WITH CC $14,247 $14,247 $10,122 +41% $19,130 −26% ≈263% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $14,181 $14,181 $11,728 +21% $17,081 −17%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,178 $14,178 $9,870 +44% $15,452 −8%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,168 $14,168 $11,934 +19% $16,520 −14%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,152 $14,152 $12,475 +13% $16,998 −17%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $14,139 $14,139 $11,027 +28% $16,699 −15%
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 $11,826 +19% $19,854 −29%
603 CELLULITIS WITHOUT MCC $14,117 $14,117 $12,116 +17% $18,530 −24% ≈291% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $14,022 $14,022 $14,120 −1% $15,215 −8%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $14,000 $14,000 $13,009 +8% $19,846 −29%
312 SYNCOPE AND COLLAPSE $13,965 $13,965 $11,631 +20% $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 $9,142 +52% $15,889 −13%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $13,844 $13,844 $12,799 +8% $18,602 −26%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $13,817 $13,817 $12,640 +9% $19,138 −28%
292 HEART FAILURE AND SHOCK WITH CC $13,803 $13,803 $9,549 +45% $16,371 −16%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $13,787 $13,787 $11,952 +15% $19,096 −28% ≈297% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $13,769 $13,769 $12,035 +14% $18,807 −27% ≈306% of Medicare
090 CONCUSSION WITHOUT CC/MCC $13,740 $13,740 $11,826 +16% $15,412 −11%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $13,702 $13,702 $11,193 +22% $14,290 −4%
103 HEADACHES WITHOUT MCC $13,626 $13,626 $11,684 +17% $21,280 −36%
594 SKIN ULCERS WITHOUT CC/MCC $13,602 $13,602 $11,154 +22% $14,209 −4%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,423 $13,423 $10,273 +31% $14,064 −5%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $13,412 $13,412 $10,605 +26% $14,055 −5%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $13,376 $13,376 $13,376 +0% $18,528 −28%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $13,234 $13,234 $12,401 +7% $17,298 −23%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,142 $13,142 $13,014 +1% $18,204 −28% ≈296% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,125 $13,125 $11,826 +11% $14,501 −9%
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% $17,118 −23%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,086 $13,086 $11,249 +16% $18,126 −28%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,086 $13,086 $11,829 +11% $18,126 −28%
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% $17,559 −26%
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,038 $13,038 $11,826 +10% $19,119 −32%
204 RESPIRATORY SIGNS AND SYMPTOMS $12,998 $12,998 $10,319 +26% $18,004 −28%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $12,997 $12,997 $8,544 +52% $18,002 −28% ≈280% of Medicare
123 NEUROLOGICAL EYE DISORDERS $12,873 $12,873 $11,951 +8% $19,745 −35%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $12,864 $12,864 $9,409 +37% $17,674 −27% ≈267% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $12,848 $12,848 $8,130 +58% $17,578 −27% ≈290% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $12,833 $12,833 $11,515 +11% $13,586 −6%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,823 $12,823 $8,704 +47% $21,056 −39%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $12,779 $12,779 $11,826 +8% $17,700 −28%
948 SIGNS AND SYMPTOMS WITHOUT MCC $12,734 $12,734 $12,357 +3% $17,921 −29%
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $12,658 $12,658 $11,182 +13% $13,445 −6%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,650 $12,650 $8,917 +42% $17,620 −28%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $12,585 $12,585 $10,866 +16% $14,014 −10%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $12,524 $12,524 $10,751 +16% $17,038 −26% ≈268% of Medicare
694 URINARY STONES WITHOUT MCC $12,524 $12,524 $11,436 +10% $17,345 −28%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $12,506 $12,506 $10,748 +16% $17,322 −28% ≈263% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $12,480 $12,480 $11,916 +5% $15,428 −19%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $12,464 $12,464 $11,345 +10% $17,124 −27%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $12,336 $12,336 $9,646 +28% $14,648 −16%
151 EPISTAXIS WITHOUT MCC $12,149 $12,149 $11,566 +5% $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 $8,177 +47% $18,086 −33%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,024 $12,024 $10,763 +12% $19,037 −37%
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% $14,716 −19%
149 DYSEQUILIBRIUM $11,980 $11,980 $11,826 +1% $18,096 −34%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $11,979 $11,979 $9,485 +26% $12,895 −7%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,960 $11,960 $11,299 +6% $16,565 −28%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,931 $11,931 $11,585 +3% $15,019 −21%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $11,876 $11,876 $9,562 +24% $16,450 −28%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,849 $11,849 $12,319 −4% $17,303 −32% ≈278% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $11,767 $11,767 $11,088 +6% $14,514 −19%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,678 $11,678 $10,435 +12% $12,768 −9%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $11,626 $11,626 $11,095 +5% $16,767 −31%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $11,621 $11,621 $9,338 +24% $19,227 −40%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,607 $11,607 $10,832 +7% $12,593 −8%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,597 $11,597 $11,355 +2% $13,275 −13%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $11,533 $11,533 $9,480 +22% $12,559 −8%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,436 $11,436 $8,513 +34% $12,454 −8%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,434 $11,434 $10,845 +5% $15,837 −28%
313 CHEST PAIN $11,434 $11,434 $11,200 +2% $16,440 −30%
153 OTITIS MEDIA AND URI WITHOUT MCC $11,407 $11,407 $9,376 +22% $14,583 −22%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $11,290 $11,290 $9,534 +18% $12,336 −8%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,262 $11,262 $6,921 +63% $15,600 −28%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $11,226 $11,226 $9,499 +18% $15,549 −28%
311 ANGINA PECTORIS $11,192 $11,192 $6,608 +69% $15,502 −28%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $11,187 $11,187 $10,800 +4% $15,495 −28%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,165 $11,165 $10,825 +3% $12,252 −9%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,163 $11,163 $9,212 +21% $12,460 −10%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $11,126 $11,126 $9,471 +17% $14,797 −25%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,088 $11,088 $7,759 +43% $14,689 −25%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $11,032 $11,032 $11,440 −4% $20,781 −47%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,022 $11,022 $8,824 +25% $14,415 −24%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,942 $10,942 $8,299 +32% $13,651 −20%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,871 $10,871 $10,334 +5% $11,997 −9%
201 PNEUMOTHORAX WITHOUT CC/MCC $10,852 $10,852 $10,655 +2% $14,053 −23%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,777 $10,777 $7,520 +43% $14,549 −26%
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 $8,792 +22% $11,909 −10%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,743 $10,743 $9,038 +19% $16,288 −34%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $10,685 $10,685 $10,685 +0% $11,847 −10%
916 ALLERGIC REACTIONS WITHOUT MCC $10,644 $10,644 $8,796 +21% $13,942 −24%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,572 $10,572 $5,742 +84% $13,633 −22%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $10,568 $10,568 $10,046 +5% $14,638 −28%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $10,373 $10,373 $10,184 +2% $14,368 −28%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,257 $10,257 $8,711 +18% $14,250 −28%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,214 $10,214 $10,214 +0% $12,078 −15%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $10,205 $10,205 $10,064 +1% $15,038 −32%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,200 $10,200 $9,429 +8% $14,128 −28%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $10,160 $10,160 $9,232 +10% $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 $8,352 +20% $12,324 −19%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,980 $9,980 $9,727 +3% $13,824 −28%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,858 $9,858 $7,814 +26% $15,183 −35%
684 RENAL FAILURE WITHOUT CC/MCC $9,735 $9,735 $7,367 +32% $13,642 −29%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,727 $9,727 $8,959 +9% $11,071 −12%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,608 $9,608 $9,608 +0% $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 $6,181 +47% $10,160 −11%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,998 $8,998 $5,564 +62% $10,480 −14%
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 $10,033 −12% $12,999 −32%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,770 $8,770 $8,852 −1% $13,361 −34%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $8,331 $8,331 $6,463 +29% $9,940 −16%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $7,079 $7,079 $6,059 +17% $8,927 −21%
795 NORMAL NEWBORN $3,202 $3,202 $2,718 +18% $4,720 −32%

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 $154,654 1 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $97,990 – $143,779 · median $114,085 1 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $116,131 – $170,398 · median $135,207 1 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $88,757 – $130,232 · median $103,336 1 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $104,295 – $153,030 · median $121,426 1 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $82,843 – $121,555 · median $96,451 1 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $49,305 – $72,344 · median $57,403 1 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $31,362 – $46,017 · median $36,513 1 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $50,065 – $73,460 · median $58,289 1 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $29,644 – $43,496 · median $34,513 1 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $44,148 – $64,778 · median $51,400 1 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $26,737 – $39,231 · median $31,129 1 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $19,377 – $28,431 · median $22,560 1 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $36,536 – $53,608 · median $42,537 1 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $22,606 – $33,169 · median $26,319 1 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $17,500 – $25,677 · median $20,374 1 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $145,020 – $212,786 · median $168,840 1 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $96,191 – $141,141 · median $111,992 1 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $75,573 – $110,888 · median $87,987 1 plans
459 Spinal Fusion Except Cervical With MCC $106,187 – $155,808 · median $123,630 1 plans
460 Spinal Fusion Except Cervical Without MCC $62,034 – $91,022 · median $72,224 1 plans