Procedures published 771
Lowest published price $8,630
Average published price $179,491
Highest published price $4,859,154

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 771 procedures

Published charges

Showing all 701 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 107 procedures, this hospital's negotiated rates average ≈124% of what Medicare pays.

DRG Description Published price Cash price vs. PA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $4,859,154 $4,859,154 $2,762,278 +76% $573,534 +747%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,940,757 $51,515 +7550% $54,196 +7171%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,694,305 $1,050,469 $1,694,305 +0% $461,389 +267%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,283,855 $795,990 $384,339 +234% $371,366 +246%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $1,224,847 $759,405 $1,224,847 +0% $164,641 +644%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $859,020 $532,593 $859,020 +0% $71,551 +1101%
014 ALLOGENEIC BONE MARROW TRANSPLANT $846,335 $524,728 $846,335 +0% $182,314 +364%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $779,032 $483,000 $710,506 +10% $109,331 +613%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $726,916 $450,688 $219,105 +232% $248,521 +192%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $719,966 $446,379 $719,966 +0% $56,242 +1180%
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $696,870 $432,059 $172,907 +303% $142,326 +390%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $665,838 $412,820 $210,591 +216% $90,401 +637%
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $658,677 $408,380 $658,677 +0% $121,563 +442%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $648,024 $401,775 $533,733 +21% $148,686 +336%
006 LIVER TRANSPLANT WITHOUT MCC $640,760 $397,271 $640,760 +0% $84,407 +659%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $633,040 $392,485 $426,949 +48% $102,600 +517%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $631,711 $391,661 $78,810 +702% $80,018 +689%
834 ACUTE LEUKEMIA WITH MCC $610,342 $378,412 $103,811 +488% $85,566 +613%
231 CORONARY BYPASS WITH PTCA WITH MCC $583,195 $361,581 $583,195 +0% $147,227 +296%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $580,760 $360,071 $305,730 +90% $188,171 +209%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $577,517 $358,061 $110,367 +423% $126,098 +358%
333 RECTAL RESECTION WITH CC $576,556 $555,454 +4% $37,154 +1452%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $570,918 $353,969 $137,693 +315% $131,961 +333%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $564,697 $350,112 $145,381 +288% $153,282 +268%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $559,378 $346,815 $250,535 +123% $120,573 +364%
652 KIDNEY TRANSPLANT $533,230 $330,603 $533,230 +0% $54,720 +874%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $501,234 $310,765 $212,913 +135% $144,569 +247%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $499,382 $309,617 $499,382 +0% $196,346 +154%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $499,155 $309,476 $89,065 +460% $59,594 +738%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $497,081 $308,190 $139,264 +257% $116,058 +328%
471 CERVICAL SPINAL FUSION WITH MCC $496,335 $307,728 $81,285 +511% $92,515 +436%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $495,678 $307,321 $102,924 +382% $89,207 +456%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $485,601 $79,883 +508% $30,243 +1506%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $473,144 $293,349 $243,653 +94% $19,686 +2303%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $469,816 $291,286 $213,354 +120% $96,507 +387% ≈35% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $467,653 $289,945 $233,714 +100% $107,355 +336%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $463,047 $287,089 $297,710 +56% $123,995 +273%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $460,046 $285,229 $281,849 +63% $83,441 +451%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $451,965 $280,218 $138,008 +227% $148,832 +204% ≈27% of Medicare
028 SPINAL PROCEDURES WITH MCC $449,821 $278,889 $350,420 +28% $113,077 +298%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $444,129 $275,360 $112,577 +295% $66,711 +566%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $441,264 $273,584 $431,251 +2% $70,177 +529%
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $437,821 $271,449 $143,271 +206% $101,576 +331%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $435,281 $269,874 $301,734 +44% $143,242 +204%
215 OTHER HEART ASSIST SYSTEM IMPLANT $434,381 $269,316 $430,185 +1% $208,939 +108%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $425,076 $263,547 $107,205 +297% $93,238 +356%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $422,331 $261,845 $355,369 +19% $69,743 +506%
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $412,555 $255,784 $109,290 +277% $75,103 +449%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $404,896 $251,036 $133,524 +203% $79,225 +411%
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $403,544 $250,197 $403,544 +0% $98,260 +311%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $388,833 $241,076 $157,747 +146% $99,423 +291% ≈36% of Medicare
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $388,526 $240,886 $200,042 +94% $102,573 +279%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $387,339 $240,150 $274,467 +41% $125,242 +209%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $386,312 $239,513 $275,203 +40% $113,855 +239% ≈28% of Medicare
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $384,880 $238,626 $95,155 +304% $61,470 +526%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $383,394 $237,705 $212,612 +80% $60,098 +538%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $383,366 $237,687 $201,894 +90% $112,062 +242%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $371,650 $230,423 $66,817 +456% $93,172 +299% ≈38% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $370,693 $34,291 +981% $18,316 +1924%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $370,677 $229,820 $257,334 +44% $108,472 +242%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $368,384 $228,398 $54,937 +571% $78,852 +367%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $367,098 $227,601 $50,532 +626% $51,953 +607%
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $366,673 $227,337 $73,489 +399% $80,793 +354%
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $362,863 $224,975 $338,732 +7% $79,836 +355%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $359,713 $223,022 $113,871 +216% $96,192 +274%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $358,204 $222,086 $140,076 +156% $90,775 +295%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $354,241 $219,629 $169,413 +109% $111,320 +218% ≈44% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $353,086 $218,913 $171,771 +106% $104,583 +238%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $349,168 $216,484 $66,989 +421% $59,533 +487%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $348,459 $216,045 $91,440 +281% $88,307 +295% ≈34% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $346,450 $214,799 $84,324 +311% $67,268 +415%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $346,113 $214,590 $38,043 +810% $41,620 +732%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $342,330 $212,245 $130,154 +163% $105,899 +223%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $341,478 $211,717 $38,759 +781% $40,362 +746%
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $341,362 $211,644 $52,481 +550% $35,030 +874%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $341,109 $211,487 $166,484 +105% $87,761 +289%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $334,503 $207,392 $165,488 +102% $106,778 +213%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $330,653 $205,005 $122,711 +169% $70,847 +367% ≈55% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $329,271 $204,148 $90,735 +263% $79,116 +316%
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $328,773 $203,839 $210,217 +56% $102,128 +222%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $327,326 $202,942 $127,723 +156% $19,132 +1611%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $327,292 $202,921 $312,852 +5% $77,055 +325%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $327,268 $202,906 $86,544 +278% $84,692 +286%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $325,508 $201,815 $122,370 +166% $82,561 +294%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $325,330 $201,705 $102,620 +217% $62,821 +418%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $324,609 $201,258 $97,437 +233% $65,608 +395%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $323,867 $200,797 $110,896 +192% $70,467 +360%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $323,713 $200,702 $246,999 +31% $106,057 +205%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $320,745 $198,862 $274,164 +17% $90,331 +255%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $316,257 $196,080 $237,283 +33% $115,839 +173%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $313,453 $194,341 $67,452 +365% $88,050 +256% ≈40% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $309,331 $191,785 $149,625 +107% $63,928 +384%
037 EXTRACRANIAL PROCEDURES WITH MCC $309,252 $191,736 $150,741 +105% $66,666 +364%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $308,218 $191,095 $92,771 +232% $46,402 +564%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $307,114 $190,411 $178,236 +72% $92,217 +233% ≈38% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $304,338 $188,690 $178,432 +71% $81,998 +271%
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $303,685 $188,285 $56,395 +438% $32,574 +832%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $300,394 $186,244 $105,590 +184% $77,817 +286%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $298,417 $185,019 $298,417 +0% $61,832 +383%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $294,978 $182,887 $160,856 +83% $82,247 +259% ≈50% of Medicare
500 SOFT TISSUE PROCEDURES WITH MCC $294,487 $182,582 $95,436 +209% $61,872 +376%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $294,214 $182,413 $74,070 +297% $66,685 +341%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $292,699 $181,474 $67,871 +331% $76,001 +285%
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $286,317 $177,516 $107,210 +167% $74,257 +286%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $286,246 $177,473 $286,246 +0% $132,794 +116%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $283,388 $175,701 $151,112 +88% $53,864 +426%
163 MAJOR CHEST PROCEDURES WITH MCC $281,879 $174,765 $112,373 +151% $90,195 +213% ≈34% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $280,985 $174,211 $157,841 +78% $70,371 +299%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $280,874 $174,142 $160,685 +75% $85,159 +230% ≈45% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $280,614 $173,981 $208,728 +34% $96,905 +190%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $277,865 $172,276 $99,541 +179% $65,653 +323% ≈64% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $276,950 $171,709 $96,162 +188% $71,755 +286%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $276,057 $171,155 $81,864 +237% $41,608 +563%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $275,757 $170,970 $95,470 +189% $58,975 +368%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $274,493 $170,185 $38,216 +618% $52,178 +426% ≈71% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $273,389 $169,501 $69,243 +295% $58,228 +370%
533 FRACTURES OF FEMUR WITH MCC $272,833 $169,157 $72,401 +277% $25,945 +952%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $271,328 $168,224 $139,518 +94% $117,280 +131%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $270,105 $167,465 $78,623 +244% $37,267 +625%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $267,558 $165,886 $163,981 +63% $70,564 +279%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $267,096 $165,599 $43,242 +518% $49,710 +437% ≈65% of Medicare
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $266,110 $164,988 $48,760 +446% $64,523 +312%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $265,947 $164,887 $125,410 +112% $35,849 +642%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $262,481 $162,738 $92,880 +183% $54,929 +378% ≈79% of Medicare
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $262,236 $162,586 $74,887 +250% $65,216 +302%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $261,289 $161,999 $176,407 +48% $35,831 +629%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $261,137 $161,905 $112,537 +132% $91,329 +186%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $259,413 $160,836 $107,706 +141% $71,092 +265%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $257,316 $159,536 $67,119 +283% $49,351 +421%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $256,672 $159,137 $144,482 +78% $93,390 +175%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $255,923 $158,672 $40,463 +532% $33,555 +663%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $252,466 $156,529 $85,156 +196% $43,174 +485%
654 MAJOR BLADDER PROCEDURES WITH CC $251,755 $156,088 $103,575 +143% $58,274 +332%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $250,945 $155,586 $250,945 +0% $86,970 +189%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $250,399 $155,247 $217,830 +15% $50,919 +392%
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $249,573 $154,735 $249,573 +0% $49,839 +401%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $249,483 $154,680 $49,303 +406% $48,349 +416%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $246,541 $152,856 $77,506 +218% $73,120 +237%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $245,526 $152,226 $245,526 +0% $72,962 +237%
252 OTHER VASCULAR PROCEDURES WITH MCC $243,725 $151,109 $73,390 +232% $68,508 +256%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $243,579 $151,019 $117,913 +107% $101,510 +140%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $243,245 $150,812 $74,652 +226% $54,583 +346%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $242,180 $150,152 $72,825 +233% $30,418 +696%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $242,139 $150,126 $209,116 +16% $90,724 +167%
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $240,114 $148,871 $156,459 +53% $58,745 +309%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $238,243 $147,711 $74,137 +221% $58,707 +306%
263 VEIN LIGATION AND STRIPPING $238,129 $147,640 $103,068 +131% $51,253 +365%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $237,980 $147,547 $132,947 +79% $71,014 +235%
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $237,969 $147,541 $61,138 +289% $31,563 +654%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $237,698 $147,373 $23,112 +928% $24,586 +867%
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $236,745 $146,782 $208,104 +14% $48,687 +386%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $234,418 $145,339 $77,879 +201% $75,573 +210%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $234,133 $145,163 $177,248 +32% $74,755 +213%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $230,649 $143,003 $67,092 +244% $68,653 +236%
472 CERVICAL SPINAL FUSION WITH CC $228,065 $141,400 $45,228 +404% $59,537 +283%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $227,808 $141,241 $128,979 +77% $47,583 +379%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $227,454 $141,022 $189,608 +20% $72,424 +214%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $226,746 $140,583 $175,556 +29% $76,219 +197%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $224,858 $139,412 $91,060 +147% $71,464 +215%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $223,960 $138,855 $83,845 +167% $81,706 +174% ≈66% of Medicare
799 SPLENIC PROCEDURES WITH MCC $223,094 $138,318 $204,792 +9% $82,218 +171%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $222,034 $137,661 $55,229 +302% $65,788 +238%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $221,406 $137,272 $65,383 +239% $66,068 +235%
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $220,832 $136,916 $170,924 +29% $59,031 +274%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $219,197 $135,902 $99,897 +119% $65,325 +236%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $219,043 $135,807 $72,502 +202% $58,280 +276% ≈90% of Medicare
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $218,171 $135,266 $67,316 +224% $50,139 +335%
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $215,208 $133,429 $98,338 +119% $29,916 +619%
813 COAGULATION DISORDERS $214,528 $133,007 $40,699 +427% $33,296 +544% ≈33% of Medicare
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $214,157 $132,778 $76,350 +180% $71,795 +198%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $213,843 $132,582 $119,003 +80% $34,276 +524%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $213,731 $132,513 $52,334 +308% $44,139 +384%
397 APPENDIX PROCEDURES WITH MCC $212,905 $132,001 $66,179 +222% $53,257 +300%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $211,065 $130,860 $132,625 +59% $34,906 +505%
030 SPINAL PROCEDURES WITHOUT CC/MCC $209,542 $129,916 $92,980 +125% $45,866 +357%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $208,267 $129,125 $114,100 +83% $55,162 +278%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $207,440 $128,613 $58,674 +254% $43,491 +377%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $207,243 $128,490 $67,860 +205% $52,751 +293% ≈89% of Medicare
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $206,974 $128,324 $68,050 +204% $39,018 +430%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $206,911 $128,285 $72,024 +187% $27,119 +663%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $202,724 $125,689 $156,374 +30% $49,423 +310%
347 ANAL AND STOMAL PROCEDURES WITH MCC $202,622 $125,626 $88,030 +130% $40,548 +400%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $202,258 $125,400 $202,258 +0% $43,913 +361%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $201,812 $125,124 $59,979 +236% $45,877 +340%
253 OTHER VASCULAR PROCEDURES WITH CC $201,285 $124,797 $112,254 +79% $57,454 +250%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $200,636 $124,394 $40,359 +397% $39,973 +402% ≈79% of Medicare
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $199,612 $123,759 $118,201 +69% $55,289 +261%
570 SKIN DEBRIDEMENT WITH MCC $199,049 $123,411 $39,384 +405% $52,435 +280%
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $198,981 $123,368 $181,922 +9% $52,908 +276%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $198,887 $123,310 $86,280 +131% $47,945 +315%
164 MAJOR CHEST PROCEDURES WITH CC $198,086 $122,813 $86,329 +129% $56,755 +249% ≈76% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $197,223 $122,278 $71,163 +177% $43,538 +353%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $196,996 $122,137 $76,694 +157% $59,651 +230% ≈72% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $196,869 $122,059 $108,015 +82% $42,415 +364%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $196,796 $122,013 $54,668 +260% $42,901 +359%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $195,259 $121,061 $76,563 +155% $50,607 +286% ≈104% of Medicare
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $194,727 $120,731 $131,865 +48% $65,573 +197%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $194,570 $120,633 $80,877 +141% $51,985 +274%
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $194,410 $120,534 $72,225 +169% $62,264 +212%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $192,554 $119,383 $140,683 +37% $32,833 +486%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $191,766 $118,895 $87,106 +120% $103,455 +85%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $191,024 $118,435 $86,056 +122% $60,170 +217%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $189,914 $117,746 $60,972 +211% $50,624 +275%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $188,232 $116,704 $78,056 +141% $61,217 +207%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $187,802 $116,437 $67,900 +177% $29,079 +546%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $185,130 $114,781 $91,613 +102% $59,629 +210%
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $184,577 $114,438 $84,427 +119% $58,043 +218%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $183,196 $113,582 $56,468 +224% $42,914 +327%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $182,535 $113,172 $101,263 +80% $38,878 +370%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $181,473 $112,513 $67,997 +167% $59,790 +204%
835 ACUTE LEUKEMIA WITH CC $181,173 $112,327 $33,551 +440% $35,569 +409%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $180,839 $112,120 $82,087 +120% $77,990 +132%
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $180,604 $111,975 $53,400 +238% $47,737 +278%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $179,529 $111,308 $62,838 +186% $53,451 +236% ≈85% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $179,099 $111,042 $77,958 +130% $43,298 +314%
139 SALIVARY GLAND PROCEDURES $178,575 $110,717 $79,446 +125% $23,612 +656%
505 FOOT PROCEDURES WITHOUT CC/MCC $178,429 $110,626 $50,588 +253% $34,937 +411%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $177,955 $110,332 $48,619 +266% $28,202 +531%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $177,298 $109,925 $34,487 +414% $42,186 +320%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $177,080 $109,790 $177,080 +0% $68,639 +158%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $176,589 $109,485 $36,741 +381% $36,489 +384% ≈79% of Medicare
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $175,633 $108,893 $55,562 +216% $33,454 +425%
919 COMPLICATIONS OF TREATMENT WITH MCC $175,389 $108,741 $24,805 +607% $31,105 +464% ≈104% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $174,971 $108,482 $40,048 +337% $33,851 +417%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $173,300 $107,446 $78,741 +120% $38,998 +344%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $173,069 $107,303 $99,021 +75% $59,500 +191% ≈87% of Medicare
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $172,477 $106,935 $79,339 +117% $59,421 +190%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $172,007 $106,644 $56,452 +205% $37,387 +360%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $171,839 $106,540 $66,509 +158% $34,459 +399%
882 NEUROSES EXCEPT DEPRESSIVE $170,964 $105,998 $14,865 +1050% $15,680 +990%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $169,871 $105,320 $130,829 +30% $40,562 +319%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $169,027 $104,797 $40,731 +315% $32,443 +421%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $168,605 $104,535 $66,571 +153% $34,749 +385%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $168,523 $104,484 $77,976 +116% $43,080 +291%
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $167,460 $103,825 $67,548 +148% $39,955 +319%
501 SOFT TISSUE PROCEDURES WITH CC $167,398 $103,786 $37,750 +343% $39,619 +323%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $167,328 $103,743 $122,414 +37% $27,808 +502%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $165,770 $102,777 $51,978 +219% $36,253 +357%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $164,985 $102,291 $94,398 +75% $25,390 +550%
503 FOOT PROCEDURES WITH MCC $164,927 $102,255 $77,559 +113% $47,540 +247%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $164,082 $101,731 $118,045 +39% $46,340 +254%
662 MINOR BLADDER PROCEDURES WITH MCC $163,998 $101,679 $163,998 +0% $54,562 +201%
038 EXTRACRANIAL PROCEDURES WITH CC $163,801 $101,557 $58,674 +179% $35,770 +358%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $163,715 $101,503 $89,000 +84% $34,607 +373%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $163,643 $101,459 $34,794 +370% $23,443 +598%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $163,540 $101,395 $58,683 +179% $45,333 +261%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $163,209 $101,190 $47,856 +241% $50,394 +224%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $163,040 $101,085 $94,682 +72% $27,426 +494%
791 PREMATURITY WITH MAJOR PROBLEMS $162,797 $100,934 $48,371 +237% $42,679 +281%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $162,120 $100,515 $121,088 +34% $47,789 +239%
336 PERITONEAL ADHESIOLYSIS WITH CC $161,949 $100,409 $78,344 +107% $50,463 +221%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $159,777 $99,062 $49,985 +220% $43,477 +268%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $159,761 $99,052 $26,920 +493% $23,206 +588%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $159,212 $98,711 $75,941 +110% $58,809 +171% ≈107% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $159,109 $98,647 $108,910 +46% $70,132 +127% ≈52% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $157,906 $97,901 $37,921 +316% $43,943 +259% ≈98% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $157,903 $97,900 $77,402 +104% $48,682 +224%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $157,275 $97,511 $41,794 +276% $32,944 +377%
380 COMPLICATED PEPTIC ULCER WITH MCC $157,255 $97,498 $40,981 +284% $39,627 +297%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $157,246 $97,492 $157,246 +0% $56,964 +176%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $156,404 $96,970 $36,001 +334% $38,070 +311%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $155,779 $96,583 $147,417 +6% $50,498 +208%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $155,753 $96,567 $25,237 +517% $27,152 +474%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $154,917 $96,048 $69,799 +122% $52,405 +196% ≈65% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $154,904 $96,040 $123,449 +25% $49,066 +216%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $154,092 $95,537 $35,948 +329% $43,650 +253%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $154,038 $95,504 $39,935 +286% $40,642 +279%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $152,451 $94,520 $128,626 +19% $46,066 +231%
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $152,355 $94,460 $64,594 +136% $40,108 +280%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $151,953 $94,211 $43,043 +253% $40,552 +275%
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $151,680 $94,042 $77,160 +97% $49,418 +207%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $150,705 $93,437 $62,211 +142% $41,892 +260%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $150,523 $93,324 $42,070 +258% $39,181 +284%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $150,397 $93,246 $82,127 +83% $46,090 +226%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $149,935 $92,960 $91,573 +64% $40,694 +268%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $149,529 $92,708 $27,577 +442% $19,657 +661%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $149,322 $92,580 $48,099 +210% $42,881 +248%
100 SEIZURES WITH MCC $148,640 $92,157 $38,042 +291% $35,481 +319%
504 FOOT PROCEDURES WITH CC $148,303 $91,948 $36,434 +307% $38,960 +281%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $147,970 $91,742 $54,572 +171% $44,606 +232% ≈122% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $146,928 $91,095 $50,724 +190% $46,724 +214%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $146,785 $91,006 $16,774 +775% $12,593 +1066%
374 DIGESTIVE MALIGNANCY WITH MCC $146,611 $90,899 $55,499 +164% $39,958 +267%
571 SKIN DEBRIDEMENT WITH CC $146,555 $90,864 $46,529 +215% $37,169 +294%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $146,300 $90,706 $136,082 +8% $33,674 +334%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $146,045 $90,548 $47,033 +211% $26,618 +449% ≈174% of Medicare
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $146,015 $90,530 $34,740 +320% $27,633 +428%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $145,598 $90,271 $45,730 +218% $39,211 +271%
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $145,464 $90,188 $54,879 +165% $30,553 +376%
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $145,094 $89,958 $52,667 +175% $46,283 +213% ≈89% of Medicare
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $144,964 $89,878 $30,729 +372% $33,424 +334%
398 APPENDIX PROCEDURES WITH CC $144,799 $89,776 $51,963 +179% $40,162 +261%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $144,594 $89,648 $144,594 +0% $51,746 +179%
113 ORBITAL PROCEDURES WITH CC/MCC $142,751 $88,506 $117,456 +22% $36,167 +295%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $142,393 $88,283 $45,779 +211% $36,431 +291%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $141,934 $87,999 $36,255 +291% $33,633 +322%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $141,815 $87,926 $72,755 +95% $37,844 +275%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $141,645 $87,820 $68,906 +106% $38,836 +265%
709 PENIS PROCEDURES WITH CC/MCC $141,223 $87,558 $76,621 +84% $34,535 +309%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $140,786 $87,288 $58,650 +140% $36,792 +283% ≈106% of Medicare
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $140,677 $87,220 $135,789 +4% $17,193 +718%
800 SPLENIC PROCEDURES WITH CC $140,223 $86,938 $75,357 +86% $49,184 +185%
620 O.R. PROCEDURES FOR OBESITY WITH CC $139,647 $86,581 $70,442 +98% $35,453 +294%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $138,727 $86,011 $46,335 +199% $39,106 +255% ≈97% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $138,647 $85,961 $38,640 +259% $38,666 +259% ≈88% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $138,217 $85,695 $76,815 +80% $25,748 +437%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $138,171 $85,666 $46,643 +196% $33,876 +308%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $137,994 $85,556 $41,441 +233% $44,117 +213% ≈126% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $137,455 $85,222 $58,571 +135% $36,505 +277%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $137,452 $85,220 $54,941 +150% $50,618 +172%
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $136,853 $84,849 $136,853 +0% $46,727 +193%
669 TRANSURETHRAL PROCEDURES WITH CC $136,778 $84,802 $34,464 +297% $34,354 +298%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $136,168 $84,424 $130,375 +4% $34,434 +295%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $136,077 $84,368 $67,258 +102% $36,988 +268%
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $134,812 $83,584 $58,337 +131% $38,101 +254%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $134,398 $83,327 $65,542 +105% $47,711 +182%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $134,114 $83,151 $48,171 +178% $32,841 +308%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $134,008 $83,085 $37,807 +254% $35,419 +278%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $132,832 $82,356 $114,860 +16% $31,170 +326%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $132,744 $82,301 $44,722 +197% $37,950 +250%
663 MINOR BLADDER PROCEDURES WITH CC $132,100 $81,902 $40,478 +226% $33,103 +299%
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $131,669 $81,635 $58,712 +124% $52,075 +153%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $131,094 $81,278 $15,608 +740% $16,998 +671%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $130,963 $81,197 $52,852 +148% $21,847 +499%
180 RESPIRATORY NEOPLASMS WITH MCC $130,640 $80,997 $74,080 +76% $36,658 +256% ≈101% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $129,940 $80,563 $47,804 +172% $33,048 +293%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $129,819 $80,488 $72,811 +78% $43,800 +196%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $129,286 $80,157 $48,918 +164% $29,949 +332%
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $128,713 $79,802 $128,713 +0% $22,393 +475%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $128,426 $79,624 $38,062 +237% $29,611 +334%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $128,368 $79,588 $49,330 +160% $35,465 +262%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $128,133 $79,443 $40,215 +219% $35,628 +260% ≈96% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $127,560 $79,087 $36,912 +246% $36,820 +246%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $127,181 $78,852 $76,344 +67% $29,126 +337%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $126,773 $78,599 $69,265 +83% $33,985 +273%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $126,737 $78,577 $95,703 +32% $22,557 +462%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $126,408 $78,373 $55,209 +129% $40,213 +214% ≈92% of Medicare
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $126,326 $78,322 $53,712 +135% $31,159 +305%
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $126,029 $78,138 $22,434 +462% $20,901 +503%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $126,003 $78,122 $72,566 +74% $44,546 +183%
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $125,941 $78,084 $47,554 +165% $28,140 +348%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $125,940 $78,083 $31,976 +294% $33,393 +277%
602 CELLULITIS WITH MCC $125,788 $77,989 $36,257 +247% $30,598 +311% ≈129% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $125,043 $77,527 $36,177 +246% $33,255 +276%
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $124,853 $77,409 $73,367 +70% $35,692 +250%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $124,578 $77,238 $112,005 +11% $35,584 +250%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $124,400 $77,128 $65,100 +91% $32,451 +283%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $123,719 $76,706 $75,930 +63% $50,046 +147%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $123,267 $76,426 $34,009 +262% $31,017 +297%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $123,136 $76,344 $89,704 +37% $43,631 +182%
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $122,911 $76,205 $37,392 +229% $32,877 +274%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $122,833 $76,157 $122,833 +0% $44,363 +177%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $122,148 $75,731 $41,303 +196% $30,784 +297%
265 AICD LEAD PROCEDURES $121,677 $75,440 $121,677 +0% $63,171 +93%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $121,323 $75,220 $25,593 +374% $23,283 +421%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $120,791 $74,890 $51,075 +136% $37,842 +219% ≈108% of Medicare
801 SPLENIC PROCEDURES WITHOUT CC/MCC $120,184 $74,514 $120,184 +0% $36,445 +230%
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $120,112 $74,470 $29,013 +314% $26,932 +346%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $119,960 $74,375 $39,656 +203% $31,951 +275% ≈115% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $118,858 $73,692 $49,949 +138% $41,955 +183%
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $118,848 $73,686 $23,996 +395% $22,635 +425%
296 CARDIAC ARREST UNEXPLAINED WITH MCC $118,708 $73,599 $40,692 +192% $33,661 +253%
199 PNEUMOTHORAX WITH MCC $118,437 $73,431 $23,929 +395% $33,787 +251%
906 HAND PROCEDURES FOR INJURIES $118,400 $73,408 $40,612 +192% $32,065 +269%
551 MEDICAL BACK PROBLEMS WITH MCC $117,578 $72,899 $36,807 +219% $34,017 +246%
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $117,116 $72,612 $50,979 +130% $39,006 +200%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $116,997 $72,538 $39,246 +198% $36,937 +217%
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $116,793 $72,412 $63,637 +84% $10,480 +1014%
506 MAJOR THUMB OR JOINT PROCEDURES $116,768 $72,396 $55,622 +110% $30,557 +282%
597 MALIGNANT BREAST DISORDERS WITH MCC $116,287 $72,098 $38,428 +203% $33,386 +248%
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $116,280 $72,093 $50,020 +132% $29,743 +291%
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $116,145 $72,010 $66,511 +75% $39,887 +191%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $116,089 $71,975 $37,743 +208% $29,524 +293%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $116,059 $71,956 $34,718 +234% $29,221 +297%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $115,721 $71,747 $39,000 +197% $30,083 +285%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $115,301 $71,487 $31,011 +272% $25,094 +359%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $114,914 $71,246 $45,307 +154% $34,273 +235%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $114,670 $71,096 $104,839 +9% $39,173 +193%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $114,173 $70,787 $36,911 +209% $29,805 +283%
348 ANAL AND STOMAL PROCEDURES WITH CC $114,139 $70,766 $41,123 +178% $27,947 +308%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $113,204 $70,186 $28,217 +301% $32,859 +245%
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $112,548 $69,780 $44,033 +156% $38,861 +190%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $112,415 $69,697 $32,876 +242% $32,496 +246% ≈111% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $112,267 $69,605 $90,897 +24% $39,515 +184%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $111,567 $69,172 $25,299 +341% $23,571 +373%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $111,376 $69,053 $23,560 +373% $16,565 +572%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $110,379 $68,435 $22,503 +391% $27,316 +304% ≈126% of Medicare
712 TESTES PROCEDURES WITHOUT CC/MCC $109,674 $67,998 $100,041 +10% $18,898 +480%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $109,622 $67,966 $38,133 +187% $28,320 +287%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $109,273 $67,749 $36,414 +200% $26,870 +307%
643 ENDOCRINE DISORDERS WITH MCC $109,043 $67,607 $30,412 +259% $33,563 +225%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $108,833 $67,477 $46,010 +137% $39,020 +179%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $108,275 $67,131 $53,587 +102% $27,394 +295%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $107,643 $66,739 $21,902 +391% $26,051 +313%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $107,505 $66,653 $44,066 +144% $32,628 +229%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $107,477 $66,636 $65,518 +64% $11,997 +796%
137 MOUTH PROCEDURES WITH CC/MCC $107,314 $66,535 $59,510 +80% $27,861 +285%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $106,892 $66,273 $63,996 +67% $19,962 +435%
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $106,504 $66,033 $78,010 +37% $29,826 +257%
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $106,463 $66,007 $26,123 +308% $33,047 +222%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $106,343 $65,933 $57,943 +84% $32,100 +231%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $105,981 $65,708 $48,975 +116% $46,295 +129%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $105,797 $65,594 $77,326 +37% $24,941 +324%
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $105,346 $65,314 $36,515 +189% $30,828 +242% ≈118% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $104,919 $65,049 $24,931 +321% $20,084 +422%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $104,767 $64,956 $30,980 +238% $31,264 +235% ≈140% of Medicare
913 TRAUMATIC INJURY WITH MCC $104,512 $64,797 $52,261 +100% $24,198 +332%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $104,304 $64,668 $34,934 +199% $27,843 +275%
539 OSTEOMYELITIS WITH MCC $104,198 $64,602 $54,560 +91% $37,609 +177%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $103,389 $64,101 $29,184 +254% $34,192 +202% ≈116% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $102,963 $63,837 $43,429 +137% $35,074 +194%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $102,790 $63,730 $102,790 +0% $41,591 +147%
887 OTHER MENTAL DISORDER DIAGNOSES $101,330 $62,825 $95,948 +6% $20,616 +392%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $101,222 $62,758 $24,065 +321% $19,846 +410%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $101,061 $62,658 $50,519 +100% $24,944 +305%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $100,694 $62,430 $38,347 +163% $33,707 +199% ≈115% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $100,100 $62,062 $46,875 +114% $38,094 +163%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $99,644 $61,779 $75,802 +31% $25,073 +297%
642 INBORN AND OTHER DISORDERS OF METABOLISM $99,149 $61,472 $28,022 +254% $20,727 +378%
885 PSYCHOSES $98,770 $61,238 $24,971 +296% $21,729 +355%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $97,921 $60,711 $45,987 +113% $27,285 +259% ≈133% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $97,736 $60,597 $27,953 +250% $28,156 +247%
668 TRANSURETHRAL PROCEDURES WITH MCC $97,668 $60,554 $73,806 +32% $51,608 +89%
540 OSTEOMYELITIS WITH CC $97,645 $60,540 $18,888 +417% $26,676 +266%
196 INTERSTITIAL LUNG DISEASE WITH MCC $97,590 $60,506 $38,270 +155% $32,637 +199% ≈111% of Medicare
682 RENAL FAILURE WITH MCC $96,977 $60,126 $32,015 +203% $29,064 +234% ≈124% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $96,904 $60,081 $27,678 +250% $30,502 +218%
549 SEPTIC ARTHRITIS WITH CC $96,476 $59,815 $48,687 +98% $24,056 +301%
183 MAJOR CHEST TRAUMA WITH MCC $96,332 $59,726 $49,133 +96% $29,933 +222% ≈114% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $95,928 $59,476 $34,113 +181% $20,911 +359%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $95,642 $59,298 $42,094 +127% $30,235 +216%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $95,259 $59,061 $95,259 +0% $24,550 +288%
186 PLEURAL EFFUSION WITH MCC $95,082 $58,951 $33,084 +187% $33,834 +181%
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $94,592 $58,647 $60,102 +57% $19,594 +383%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $94,236 $58,426 $53,331 +77% $50,011 +88% ≈81% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $93,579 $58,019 $32,308 +190% $28,226 +232% ≈111% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $92,266 $57,205 $92,266 +0% $19,598 +371%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $92,156 $57,137 $92,156 +0% $24,544 +275%
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $91,925 $56,994 $25,069 +267% $19,815 +364%
445 DISORDERS OF THE BILIARY TRACT WITH CC $91,842 $56,942 $26,786 +243% $23,319 +294%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $91,620 $56,804 $61,265 +50% $36,354 +152%
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $91,561 $56,768 $34,177 +168% $32,433 +182%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $90,745 $56,262 $31,179 +191% $27,043 +236% ≈154% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $90,647 $56,201 $29,841 +204% $19,264 +371%
606 MINOR SKIN DISORDERS WITH MCC $89,767 $55,656 $30,367 +196% $27,975 +221%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $88,657 $54,967 $31,485 +182% $22,458 +295%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $88,555 $54,904 $61,111 +45% $26,463 +235%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $88,508 $54,875 $22,943 +286% $18,126 +388%
088 CONCUSSION WITH MCC $88,482 $54,859 $49,394 +79% $24,402 +263%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $88,397 $54,806 $29,540 +199% $27,543 +221% ≈144% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $88,366 $54,787 $38,853 +127% $30,959 +185% ≈157% of Medicare
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $88,094 $54,618 $33,227 +165% $30,010 +194%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $87,144 $54,029 $34,471 +153% $33,653 +159%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $87,027 $53,957 $46,197 +88% $27,617 +215%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $86,631 $53,711 $50,848 +70% $25,652 +238%
152 OTITIS MEDIA AND URI WITH MCC $86,543 $53,656 $20,317 +326% $20,247 +327%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $86,525 $53,646 $24,651 +251% $25,970 +233%
375 DIGESTIVE MALIGNANCY WITH CC $86,399 $53,567 $35,509 +143% $27,277 +217%
291 HEART FAILURE AND SHOCK WITH MCC $86,017 $53,331 $27,270 +215% $26,776 +221% ≈151% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $85,538 $53,034 $79,923 +7% $32,031 +167%
865 VIRAL ILLNESS WITH MCC $85,393 $52,944 $36,697 +133% $26,910 +217%
158 DENTAL AND ORAL DISEASES WITH CC $85,040 $52,725 $20,087 +323% $18,466 +361%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $83,485 $51,761 $27,008 +209% $26,682 +213% ≈65% of Medicare
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $82,376 $51,073 $32,570 +153% $18,956 +335%
711 TESTES PROCEDURES WITH CC/MCC $81,559 $50,566 $81,559 +0% $38,343 +113%
304 HYPERTENSION WITH MCC $81,530 $50,548 $35,870 +127% $26,080 +213% ≈165% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $80,917 $50,169 $26,532 +205% $24,914 +225%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $80,892 $50,153 $51,841 +56% $15,549 +420%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $80,648 $50,002 $24,729 +226% $26,580 +203% ≈151% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $79,872 $49,521 $28,486 +180% $32,021 +149% ≈190% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $79,793 $49,472 $39,276 +103% $25,463 +213% ≈160% of Medicare
157 DENTAL AND ORAL DISEASES WITH MCC $79,620 $49,364 $72,824 +9% $31,300 +154%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $79,522 $49,303 $79,522 +0% $42,126 +89%
535 FRACTURES OF HIP AND PELVIS WITH MCC $79,012 $48,987 $40,440 +95% $24,552 +222%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $78,526 $48,686 $31,186 +152% $22,763 +245%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $78,380 $48,596 $31,820 +146% $25,034 +213%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $78,351 $48,577 $49,728 +58% $17,698 +343%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $78,262 $48,522 $25,997 +201% $23,551 +232% ≈193% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $78,129 $48,440 $20,219 +286% $18,649 +319%
947 SIGNS AND SYMPTOMS WITH MCC $77,528 $48,067 $21,963 +253% $27,401 +183%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $77,373 $47,971 $71,179 +9% $23,498 +229%
181 RESPIRATORY NEOPLASMS WITH CC $77,272 $47,908 $26,398 +193% $23,573 +228%
386 INFLAMMATORY BOWEL DISEASE WITH CC $77,205 $47,867 $33,537 +130% $22,033 +250%
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $77,120 $47,815 $62,207 +24% $28,125 +174%
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $76,639 $47,516 $76,639 +0% $25,712 +198%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $76,586 $47,483 $27,067 +183% $23,488 +226%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $76,173 $47,227 $26,094 +192% $26,770 +185% ≈152% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $76,115 $47,191 $30,957 +146% $23,940 +218% ≈220% of Medicare
302 ATHEROSCLEROSIS WITH MCC $76,037 $47,143 $35,347 +115% $22,446 +239%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $76,031 $47,139 $27,167 +180% $27,275 +179% ≈140% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $75,754 $46,968 $34,893 +117% $23,617 +221% ≈177% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $75,321 $46,699 $31,428 +140% $36,249 +108%
915 ALLERGIC REACTIONS WITH MCC $75,144 $46,589 $42,047 +79% $32,645 +130%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $75,133 $46,583 $64,704 +16% $27,989 +168%
138 MOUTH PROCEDURES WITHOUT CC/MCC $74,760 $46,351 $46,207 +62% $19,119 +291%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $74,639 $46,276 $36,099 +107% $30,571 +144%
381 COMPLICATED PEPTIC ULCER WITH CC $74,568 $46,232 $25,598 +191% $24,177 +208%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $74,506 $46,194 $28,401 +162% $20,566 +262%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $74,489 $46,183 $74,489 +0% $32,697 +128%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $74,345 $46,094 $44,272 +68% $26,598 +180%
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $74,036 $45,902 $28,208 +162% $20,463 +262% ≈214% of Medicare
151 EPISTAXIS WITHOUT MCC $73,497 $45,568 $15,177 +384% $13,032 +464%
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $73,494 $45,566 $30,100 +144% $28,050 +162% ≈165% of Medicare
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $73,297 $45,444 $21,633 +239% $18,459 +297%
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $73,164 $45,362 $31,520 +132% $25,279 +189%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $72,800 $45,136 $72,800 +0% $25,581 +185%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $72,713 $45,082 $29,947 +143% $21,449 +239%
007 LUNG TRANSPLANT $72,369 $44,869 $83,402 −13% $170,608 −58%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $71,799 $44,515 $38,735 +85% $23,141 +210% ≈193% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $71,782 $44,505 $30,600 +135% $22,468 +219%
637 DIABETES WITH MCC $71,545 $44,358 $34,156 +109% $30,100 +138% ≈123% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $71,391 $44,262 $57,278 +25% $20,455 +249%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $71,220 $44,156 $71,220 +0% $20,980 +239%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $71,084 $44,072 $34,322 +107% $31,321 +127%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $70,368 $43,628 $39,013 +80% $27,163 +159%
693 URINARY STONES WITH MCC $70,283 $43,575 $47,160 +49% $23,892 +194%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $70,205 $43,527 $26,962 +160% $19,924 +252%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $70,082 $43,451 $27,746 +153% $18,452 +280%
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $70,070 $43,443 $28,478 +146% $19,227 +264%
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $70,067 $43,441 $70,067 +0% $22,851 +207%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $70,002 $43,401 $32,835 +113% $19,569 +258%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $69,938 $43,362 $36,145 +93% $22,148 +216%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $69,629 $43,170 $28,561 +144% $22,850 +205% ≈193% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $69,596 $43,150 $22,988 +203% $21,275 +227% ≈208% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $69,506 $43,094 $33,736 +106% $20,232 +244%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $69,446 $43,057 $26,886 +158% $17,700 +292%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $69,410 $43,034 $25,661 +170% $22,506 +208% ≈188% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $69,361 $43,004 $22,534 +208% $22,024 +215% ≈201% of Medicare
595 MAJOR SKIN DISORDERS WITH MCC $68,755 $42,628 $68,755 +0% $34,598 +99%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $67,961 $42,136 $32,045 +112% $22,098 +208% ≈199% of Medicare
592 SKIN ULCERS WITH MCC $67,459 $41,824 $35,156 +92% $33,246 +103%
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $66,780 $41,404 $14,209 +370% $18,150 +268%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $66,740 $41,379 $27,574 +142% $20,181 +231% ≈217% of Medicare
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $66,559 $41,267 $52,865 +26% $26,280 +153%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $66,340 $41,131 $42,379 +57% $20,259 +227%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $66,132 $41,002 $22,258 +197% $15,837 +318%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $65,613 $40,680 $30,123 +118% $21,894 +200%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $64,935 $40,260 $38,124 +70% $36,670 +77%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $64,773 $40,159 $64,773 +0% $33,694 +92%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $64,158 $39,778 $64,158 +0% $31,134 +106%
534 FRACTURES OF FEMUR WITHOUT MCC $63,780 $39,544 $55,274 +15% $17,559 +263%
593 SKIN ULCERS WITH CC $63,659 $39,469 $30,584 +108% $22,886 +178%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $63,533 $39,391 $27,603 +130% $23,749 +168% ≈183% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $63,446 $39,337 $22,832 +178% $22,888 +177% ≈199% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $63,322 $39,259 $36,202 +75% $37,240 +70%
184 MAJOR CHEST TRAUMA WITH CC $63,116 $39,132 $27,435 +130% $22,432 +181% ≈246% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $62,882 $38,987 $27,570 +128% $18,002 +249% ≈256% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $62,309 $38,631 $14,009 +345% $16,371 +281%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $61,938 $38,402 $26,885 +130% $17,620 +252%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $61,847 $38,345 $20,809 +197% $15,183 +307%
200 PNEUMOTHORAX WITH CC $61,645 $38,220 $28,074 +120% $21,368 +188%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $61,531 $38,149 $20,915 +194% $21,363 +188%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $61,276 $37,991 $33,424 +83% $20,422 +200%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $61,148 $37,912 $45,775 +34% $27,297 +124%
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $61,126 $37,898 $34,431 +78% $20,506 +198%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $60,565 $37,550 $26,249 +131% $20,488 +196% ≈226% of Medicare
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $60,427 $37,465 $43,145 +40% $16,450 +267%
546 CONNECTIVE TISSUE DISORDERS WITH CC $60,426 $37,464 $30,441 +99% $25,700 +135%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $59,969 $37,181 $59,969 +0% $11,847 +406%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $59,784 $37,066 $23,563 +154% $24,127 +148%
187 PLEURAL EFFUSION WITH CC $59,691 $37,009 $27,686 +116% $21,789 +174%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $59,667 $36,994 $22,872 +161% $16,767 +256%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $59,445 $36,856 $23,602 +152% $21,396 +178% ≈214% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $59,149 $36,672 $35,613 +66% $25,303 +134%
197 INTERSTITIAL LUNG DISEASE WITH CC $58,810 $36,462 $23,570 +150% $21,941 +168%
123 NEUROLOGICAL EYE DISORDERS $58,601 $36,333 $20,741 +183% $19,745 +197%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $58,384 $36,198 $31,828 +83% $16,520 +253%
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $58,302 $36,147 $45,455 +28% $18,072 +223%
864 FEVER AND INFLAMMATORY CONDITIONS $58,286 $36,137 $29,017 +101% $18,640 +213%
644 ENDOCRINE DISORDERS WITH CC $58,263 $36,123 $26,209 +122% $23,198 +151%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $58,085 $36,013 $22,477 +158% $20,957 +177%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $56,995 $35,337 $34,012 +68% $19,854 +187%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $56,690 $35,148 $23,926 +137% $24,386 +132% ≈192% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $56,367 $34,947 $24,724 +128% $12,229 +361%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $56,268 $34,886 $23,962 +135% $20,895 +169%
204 RESPIRATORY SIGNS AND SYMPTOMS $56,074 $34,766 $16,866 +232% $18,004 +211%
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $56,017 $34,731 $17,707 +216% $17,601 +218%
914 TRAUMATIC INJURY WITHOUT MCC $55,950 $34,689 $21,603 +159% $15,855 +253%
935 NON-EXTENSIVE BURNS $55,895 $34,655 $39,987 +40% $31,701 +76%
076 VIRAL MENINGITIS WITHOUT CC/MCC $55,612 $34,479 $18,082 +208% $17,135 +225%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $55,517 $34,421 $25,651 +116% $17,733 +213%
176 PULMONARY EMBOLISM WITHOUT MCC $55,422 $34,362 $27,961 +98% $18,081 +207% ≈260% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $55,307 $34,291 $33,475 +65% $13,633 +306%
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $55,287 $34,278 $39,273 +41% $19,842 +179%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $55,077 $34,148 $12,794 +330% $13,651 +303%
101 SEIZURES WITHOUT MCC $54,740 $33,939 $24,167 +127% $20,461 +168% ≈216% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $54,618 $33,863 $28,128 +94% $19,305 +183%
881 DEPRESSIVE NEUROSES $53,741 $33,319 $19,989 +169% $15,058 +257%
683 RENAL FAILURE WITH CC $53,354 $33,079 $25,886 +106% $19,130 +179% ≈187% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $52,969 $32,841 $21,905 +142% $20,781 +155%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $52,293 $32,422 $39,446 +33% $14,501 +261%
603 CELLULITIS WITHOUT MCC $51,872 $32,161 $17,643 +194% $18,530 +180% ≈238% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $51,870 $32,160 $41,637 +25% $19,073 +172%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $51,677 $32,040 $16,819 +207% $17,674 +192% ≈236% of Medicare
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $51,342 $31,832 $51,342 +0% $18,348 +180%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $50,382 $31,237 $28,953 +74% $19,037 +165%
638 DIABETES WITH CC $50,360 $31,223 $20,282 +148% $19,661 +156% ≈222% of Medicare
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $50,158 $31,098 $28,026 +79% $16,351 +207%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $49,895 $30,935 $20,643 +142% $12,999 +284%
312 SYNCOPE AND COLLAPSE $49,104 $30,445 $28,263 +74% $19,342 +154% ≈202% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $49,001 $30,380 $44,098 +11% $16,776 +192%
594 SKIN ULCERS WITHOUT CC/MCC $48,972 $30,363 $23,114 +112% $14,209 +245%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $48,844 $30,283 $17,082 +186% $15,370 +218%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $48,803 $30,258 $48,803 +0% $22,525 +117%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $48,770 $30,237 $35,526 +37% $18,126 +169%
103 HEADACHES WITHOUT MCC $48,726 $30,210 $29,873 +63% $21,280 +129%
201 PNEUMOTHORAX WITHOUT CC/MCC $48,586 $30,123 $14,485 +235% $14,053 +246%
866 VIRAL ILLNESS WITHOUT MCC $48,251 $29,916 $18,465 +161% $17,081 +182%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $48,058 $29,796 $24,910 +93% $18,807 +156%
948 SIGNS AND SYMPTOMS WITHOUT MCC $48,056 $29,795 $20,760 +131% $17,921 +168%
596 MAJOR SKIN DISORDERS WITHOUT MCC $48,051 $29,792 $30,347 +58% $17,226 +179%
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $47,768 $29,616 $35,313 +35% $16,968 +182%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $47,663 $29,551 $18,291 +161% $19,412 +146%
089 CONCUSSION WITH CC $47,577 $29,498 $47,577 +0% $18,821 +153%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $47,332 $29,346 $35,009 +35% $21,056 +125% ≈234% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $47,241 $29,289 $16,547 +185% $17,303 +173% ≈246% of Medicare
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $47,125 $29,217 $36,209 +30% $11,909 +296%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $46,598 $28,891 $24,449 +91% $19,096 +144% ≈246% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $46,526 $28,846 $24,638 +89% $18,528 +151%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $46,519 $28,842 $24,435 +90% $14,716 +216%
697 URETHRAL STRICTURE $46,477 $28,816 $46,477 +0% $18,428 +152%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $46,476 $28,815 $18,753 +148% $16,846 +176%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $46,444 $28,795 $26,043 +78% $15,428 +201%
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $46,406 $28,772 $16,049 +189% $17,038 +172% ≈255% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $46,042 $28,546 $46,042 +0% $19,270 +139%
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $45,618 $28,283 $22,449 +103% $17,322 +163% ≈239% of Medicare
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $45,534 $28,231 $19,030 +139% $18,602 +145%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $45,504 $28,213 $18,641 +144% $18,488 +146%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $45,382 $28,137 $26,493 +71% $18,204 +149% ≈251% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $45,175 $28,009 $24,303 +86% $12,559 +260%
305 HYPERTENSION WITHOUT MCC $44,930 $27,857 $21,108 +113% $18,086 +148% ≈228% of Medicare
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $44,646 $27,680 $16,602 +169% $16,699 +167%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $44,467 $27,569 $25,128 +77% $17,298 +157%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $43,829 $27,174 $21,921 +100% $17,578 +149% ≈243% of Medicare
950 AFTERCARE WITHOUT CC/MCC $43,355 $26,880 $40,992 +6% $13,527 +220%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $43,246 $26,813 $13,652 +217% $13,275 +226%
607 MINOR SKIN DISORDERS WITHOUT MCC $42,890 $26,592 $24,167 +77% $15,889 +170%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $42,813 $26,544 $19,012 +125% $14,797 +189%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $42,767 $26,516 $26,466 +62% $15,038 +184%
916 ALLERGIC REACTIONS WITHOUT MCC $42,378 $26,274 $15,792 +168% $13,942 +204%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $42,191 $26,159 $40,099 +5% $22,320 +89%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $41,827 $25,933 $23,178 +80% $18,133 +131%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $41,721 $25,867 $15,702 +166% $14,128 +195%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $41,534 $25,751 $19,153 +117% $15,019 +177%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $41,057 $25,455 $26,772 +53% $20,926 +96%
694 URINARY STONES WITHOUT MCC $40,739 $25,258 $22,651 +80% $17,345 +135%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $40,684 $25,224 $40,684 +0% $16,700 +144%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $40,556 $25,145 $29,170 +39% $15,600 +160%
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $40,497 $25,108 $25,986 +56% $14,549 +178%
153 OTITIS MEDIA AND URI WITHOUT MCC $40,215 $24,933 $18,755 +114% $14,583 +176%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $39,589 $24,545 $39,589 +0% $40,365 −2%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $39,377 $24,414 $20,289 +94% $17,724 +122% ≈210% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $39,098 $24,241 $22,957 +70% $15,452 +153%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $39,062 $24,218 $24,303 +61% $17,118 +128%
075 VIRAL MENINGITIS WITH CC/MCC $38,765 $24,034 $38,765 +0% $30,447 +27%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $38,618 $23,943 $21,817 +77% $16,288 +137%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $38,474 $23,854 $16,678 +131% $14,648 +163%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $38,253 $23,717 $28,352 +35% $24,566 +56%
313 CHEST PAIN $38,239 $23,708 $21,597 +77% $16,440 +133%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $37,556 $23,285 $37,556 +0% $17,124 +119%
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $37,504 $23,253 $37,504 +0% $13,586 +176%
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $37,465 $23,228 $25,400 +48% $14,250 +163%
149 DYSEQUILIBRIUM $37,458 $23,224 $32,411 +16% $18,096 +107%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $37,431 $23,207 $14,924 +151% $14,368 +161%
311 ANGINA PECTORIS $37,422 $23,202 $35,368 +6% $15,502 +141%
303 ATHEROSCLEROSIS WITHOUT MCC $37,116 $23,012 $18,634 +99% $14,927 +149%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $37,106 $23,006 $16,800 +121% $14,415 +157%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $37,028 $22,957 $37,028 +0% $16,212 +128%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $36,941 $22,903 $15,427 +139% $12,460 +196%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $36,548 $22,660 $21,832 +67% $16,634 +120%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $36,441 $22,593 $14,635 +149% $12,454 +193%
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $35,898 $22,257 $35,219 +2% $15,589 +130%
684 RENAL FAILURE WITHOUT CC/MCC $35,661 $22,110 $14,416 +147% $13,642 +161%
102 HEADACHES WITH MCC $35,629 $22,090 $35,629 +0% $25,740 +38%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $34,935 $21,659 $12,347 +183% $12,078 +189%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $34,351 $21,297 $14,309 +140% $13,361 +157% ≈346% of Medicare
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $33,878 $21,004 $25,524 +33% $12,324 +175%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $33,036 $20,483 $20,830 +59% $11,421 +189%
639 DIABETES WITHOUT CC/MCC $32,748 $20,304 $18,483 +77% $13,910 +135%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $32,588 $20,205 $17,493 +86% $14,689 +122%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $31,383 $19,458 $21,696 +45% $14,638 +114%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $30,521 $18,923 $14,635 +109% $13,384 +128% ≈372% of Medicare
090 CONCUSSION WITHOUT CC/MCC $30,305 $18,789 $30,305 +0% $15,412 +97%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $30,243 $18,751 $14,397 +110% $10,160 +198%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $29,828 $18,493 $11,029 +170% $13,824 +116%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $29,699 $18,413 $14,781 +101% $12,895 +130%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $28,214 $17,493 $28,214 +0% $16,552 +70%
150 EPISTAXIS WITH MCC $28,164 $17,462 $28,164 +0% $23,171 +22%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $25,800 $15,996 $10,317 +150% $9,940 +160%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $25,766 $15,975 $25,766 +0% $14,014 +84%
188 PLEURAL EFFUSION WITHOUT CC/MCC $25,757 $15,969 $18,488 +39% $14,514 +77%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $23,322 $14,459 $23,322 +0% $11,071 +111%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $21,479 $13,317 $14,744 +46% $12,252 +75%
779 ABORTION WITHOUT D&C $21,033 $13,040 $19,258 +9% $15,327 +37%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $20,798 $12,895 $12,288 +69% $10,975 +90%
949 AFTERCARE WITH CC/MCC $20,718 $12,845 $20,718 +0% $23,953 −14%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $19,484 $12,080 $19,484 +0% $14,064 +39%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,719 $9,746 $29,792 −47% $31,044 −49%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,517 $8,381 $13,517 +0% $8,445 +60%
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $13,125 $8,138 $13,125 +0% $12,768 +3%
795 NORMAL NEWBORN $8,630 $5,351 $4,205 +105% $4,720 +83%

Procedures with negotiated rates only

These 70 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
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $6,041 – $334,414 · median $13,437 18 plans
010 PANCREAS TRANSPLANT $6,041 – $189,124 · median $13,437 18 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $6,041 – $185,652 · median $13,437 18 plans
945 REHABILITATION WITH CC/MCC $500 – $52,596 · median $11,474 18 plans
946 REHABILITATION WITHOUT CC/MCC $500 – $39,420 · median $11,474 18 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $6,041 – $351,128 · median $12,678 17 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $6,041 – $334,414 · median $12,678 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $6,041 – $163,632 · median $12,678 17 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $6,041 – $52,206 · median $12,678 17 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,041 – $42,502 · median $12,678 17 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $6,041 – $81,478 · median $12,678 17 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $6,041 – $55,323 · median $12,678 17 plans
245 AICD GENERATOR PROCEDURES $6,041 – $178,897 · median $12,678 17 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $6,041 – $70,855 · median $12,678 17 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,041 – $27,343 · median $12,678 17 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $6,041 – $106,184 · median $12,678 17 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,041 – $38,783 · median $12,678 17 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,041 – $31,416 · median $10,269 17 plans
297 CARDIAC ARREST UNEXPLAINED WITH CC $6,041 – $24,898 · median $10,269 17 plans
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $6,041 – $24,898 · median $9,853 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $6,041 – $86,279 · median $12,678 17 plans
332 RECTAL RESECTION WITH MCC $6,041 – $143,692 · median $12,678 17 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,041 – $25,607 · median $11,916 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $6,041 – $110,511 · median $12,678 17 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $6,041 – $126,478 · median $12,678 17 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $6,041 – $81,462 · median $12,678 17 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $6,041 – $59,078 · median $12,678 17 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $6,041 – $44,379 · median $12,678 17 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $6,041 – $51,286 · median $12,678 17 plans
509 ARTHROSCOPY $6,041 – $56,138 · median $12,678 17 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,041 – $26,145 · median $11,970 17 plans
548 SEPTIC ARTHRITIS WITH MCC $6,041 – $63,788 · median $12,678 17 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,041 – $24,898 · median $12,678 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $6,041 – $187,398 · median $12,678 17 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $6,041 – $104,944 · median $12,678 17 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,041 – $25,466 · median $10,422 17 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,041 – $33,514 · median $12,678 17 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,041 – $27,045 · median $12,678 17 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,041 – $40,837 · median $12,678 17 plans
665 PROSTATECTOMY WITH MCC $6,041 – $108,096 · median $12,678 17 plans
666 PROSTATECTOMY WITH CC $6,041 – $61,415 · median $12,678 17 plans
671 URETHRAL PROCEDURES WITH CC/MCC $6,041 – $63,717 · median $12,678 17 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $6,041 – $38,287 · median $12,678 17 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $6,041 – $53,694 · median $12,678 17 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,041 – $26,847 · median $11,783 17 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,041 – $46,504 · median $12,678 17 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $6,041 – $37,225 · median $12,678 17 plans
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $6,041 – $68,555 · median $12,678 17 plans
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $6,041 – $42,148 · median $12,678 17 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $6,041 – $136,041 · median $12,678 17 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $6,041 – $36,481 · median $12,678 17 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,041 – $45,371 · median $12,678 17 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $6,041 – $70,412 · median $12,678 17 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $6,041 – $42,785 · median $12,678 17 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,041 – $30,141 · median $12,464 17 plans
849 RADIOTHERAPY $6,041 – $83,374 · median $12,678 17 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,566 – $34,232 · median $6,826 17 plans
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $6,041 – $49,869 · median $12,678 17 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $6,041 – $56,704 · median $12,678 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $6,041 – $697,207 17 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $6,041 – $154,955 · median $12,678 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $6,041 – $59,278 · median $12,678 17 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $6,041 – $97,365 · median $12,678 17 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,041 – $93,114 · median $12,678 17 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $6,041 – $106,467 · median $12,678 17 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,041 – $35,064 · median $11,474 16 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $6,041 – $184,767 · median $10,269 15 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $6,041 – $223,804 · median $10,269 15 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $6,041 – $146,790 · median $10,269 15 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $6,041 – $138,193 · median $10,269 15 plans