Geisinger Wyoming Valley Medical Center — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 701 with a comparable price, 70 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 771
Lowest published price $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 120 procedures, this hospital's negotiated rates average ≈116% 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 $665,402 +630% $498,715 +874% —
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% $431,073 +293% —
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 $373,542 +244% $371,366 +246% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $1,224,847 $759,405 $1,224,847 +0% $159,181 +669% —
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 $641,980 +21% $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% $245,189 +196% —
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 $145,486 +379% $142,326 +390% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $665,838 $412,820 $210,591 +216% $82,527 +707% —
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 $496,688 +30% $135,380 +379% —
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 $426,332 +48% $104,881 +504% —
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 $87,524 +597% $76,004 +703% —
231 CORONARY BYPASS WITH PTCA WITH MCC $583,195 $361,581 $429,570 +36% $145,864 +300% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $580,760 $360,071 $305,730 +90% $175,437 +231% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $577,517 $358,061 $89,681 +544% $114,665 +404% —
333 RECTAL RESECTION WITH CC $576,556 — $554,834 +4% $34,352 +1578% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $570,918 $353,969 $129,152 +342% $131,961 +333% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $564,697 $350,112 $128,750 +339% $151,029 +274% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $559,378 $346,815 $237,172 +136% $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 $190,979 +162% $138,868 +261% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $499,382 $309,617 $499,382 +0% $171,338 +191% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $499,155 $309,476 $78,182 +538% $55,002 +808% —
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 $81,060 +512% $92,515 +436% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $495,678 $307,321 $99,014 +401% $78,327 +533% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $485,601 $301,072 $79,883 +508% $29,609 +1540% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $473,144 $293,349 $243,191 +95% $19,686 +2303% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $469,816 $291,286 $213,354 +120% $94,320 +398% —
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% $121,714 +280% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $460,046 $285,229 $178,497 +158% $83,441 +451% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $451,965 $280,218 $138,008 +227% $137,160 +230% ≈25% of Medicare
028 SPINAL PROCEDURES WITH MCC $449,821 $278,889 $350,420 +28% $95,858 +369% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $444,129 $275,360 $112,577 +295% $59,425 +647% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $441,264 $273,584 $421,238 +5% $68,847 +541% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $437,821 $271,449 $143,271 +206% $86,953 +404% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $435,281 $269,874 $301,734 +44% $143,242 +204% ≈23% of Medicare
215 OTHER HEART ASSIST SYSTEM IMPLANT $434,381 $269,316 $327,059 +33% $191,314 +127% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $425,076 $263,547 $90,530 +370% $84,861 +401% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $422,331 $261,845 $344,917 +22% $68,399 +517% —
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 $124,915 +224% $71,873 +463% —
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 $145,033 +168% $99,423 +291% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $388,526 $240,886 $199,182 +95% $102,573 +279% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $387,339 $240,150 $249,481 +55% $115,937 +234% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $386,312 $239,513 $275,203 +40% $113,855 +239% ≈27% of Medicare
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $384,880 $238,626 $93,601 +311% $60,861 +532% —
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 $68,020 +446% $86,938 +327% ≈36% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $370,693 $229,829 $30,681 +1108% $18,316 +1924% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $370,677 $229,820 $143,991 +157% $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% $80,747 +354% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $362,863 $224,975 $314,602 +15% $73,029 +397% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $359,713 $223,022 $111,889 +221% $96,192 +274% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $358,204 $222,086 $140,076 +156% $84,825 +322% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $354,241 $219,629 $156,470 +126% $102,177 +247% —
653 MAJOR BLADDER PROCEDURES WITH MCC $353,086 $218,913 $160,947 +119% $97,028 +264% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $349,168 $216,484 $59,604 +486% $57,855 +504% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $348,459 $216,045 $91,440 +281% $88,307 +295% ≈43% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $346,450 $214,799 $84,324 +311% $62,790 +452% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $346,113 $214,590 $34,632 +899% $39,093 +785% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $342,330 $212,245 $104,911 +226% $105,899 +223% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $341,478 $211,717 $38,759 +781% $39,657 +761% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $341,362 $211,644 $52,481 +550% $34,089 +901% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $341,109 $211,487 $143,727 +137% $80,885 +322% —
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% ≈30% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $330,653 $205,005 $122,711 +169% $68,421 +383% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $329,271 $204,148 $90,735 +263% $75,492 +336% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $328,773 $203,839 $210,217 +56% $95,375 +245% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $327,326 — $112,292 +191% $19,132 +1611% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $327,292 $202,921 $299,736 +9% $70,779 +362% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $327,268 $202,906 $86,544 +278% $76,954 +325% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $325,508 $201,815 $121,101 +169% $82,561 +294% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $325,330 $201,705 $80,837 +302% $62,266 +422% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $324,609 $201,258 $96,685 +236% $64,465 +404% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $323,867 $200,797 $99,634 +225% $66,765 +385% ≈63% of Medicare
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $323,713 $200,702 $238,142 +36% $101,280 +220% —
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 $158,308 +100% $106,219 +198% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $313,453 $194,341 $65,122 +381% $88,050 +256% ≈37% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $309,331 $191,785 $149,625 +107% $57,277 +440% —
037 EXTRACRANIAL PROCEDURES WITH MCC $309,252 $191,736 $106,444 +191% $64,749 +378% —
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 $158,202 +94% $92,217 +233% ≈36% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $304,338 $188,690 $193,669 +57% $81,998 +271% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $303,685 $188,285 $56,395 +438% $29,598 +926% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $300,394 $186,244 $105,590 +184% $71,519 +320% —
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 $151,137 +95% $82,247 +259% —
500 SOFT TISSUE PROCEDURES WITH MCC $294,487 $182,582 $90,626 +225% $57,181 +415% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $294,214 $182,413 $74,070 +297% $62,961 +367% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $292,699 $181,474 $67,871 +331% $72,843 +302% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $286,317 $177,516 $109,674 +161% $74,257 +286% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $286,246 $177,473 $286,246 +0% $121,728 +135% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $283,388 $175,701 $115,747 +145% $53,817 +427% —
163 MAJOR CHEST PROCEDURES WITH MCC $281,879 $174,765 $112,373 +151% $88,341 +219% ≈40% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $280,985 $174,211 $129,725 +117% $67,215 +318% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $280,874 $174,142 $160,685 +75% $83,065 +238% ≈43% 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% $63,984 +334% ≈55% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $276,950 $171,709 $88,270 +214% $71,755 +286% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $276,057 $171,155 $81,864 +237% $38,382 +619% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $275,757 $170,970 $86,983 +217% $56,758 +386% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $274,493 $170,185 $36,735 +647% $47,574 +477% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $273,389 $169,501 $52,059 +425% $54,313 +403% —
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% $34,900 +674% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $267,558 $165,886 $163,981 +63% $70,540 +279% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $267,096 $165,599 $43,242 +518% $49,710 +437% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $266,110 $164,988 $48,167 +452% $63,310 +320% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $265,947 $164,887 $119,611 +122% $34,158 +679% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $262,481 $162,738 $81,138 +223% $54,929 +378% —
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 $141,947 +84% $31,566 +728% —
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% $64,488 +302% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $257,316 $159,536 $59,923 +329% $46,477 +454% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $256,672 $159,137 $132,153 +94% $87,575 +193% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $255,923 $158,672 $40,463 +532% $31,627 +709% ≈104% of Medicare
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $252,466 $156,529 $85,156 +196% $41,701 +505% —
654 MAJOR BLADDER PROCEDURES WITH CC $251,755 $156,088 $79,402 +217% $53,868 +367% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $250,945 $155,586 $250,945 +0% $75,585 +232% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $250,399 $155,247 $192,015 +30% $50,919 +392% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $249,573 $154,735 $249,573 +0% $49,055 +409% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $249,483 $154,680 $45,308 +451% $43,313 +476% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $246,541 $152,856 $77,506 +218% $66,853 +269% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $245,526 $152,226 $179,727 +37% $68,590 +258% —
252 OTHER VASCULAR PROCEDURES WITH MCC $243,725 $151,109 $72,090 +238% $68,508 +256% ≈45% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $243,579 $151,019 $117,913 +107% $87,495 +178% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $243,245 $150,812 $74,652 +226% $52,332 +365% ≈71% of Medicare
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 $176,093 +38% $85,882 +182% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $240,114 $148,871 $156,459 +53% $53,763 +347% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $238,243 $147,711 $74,137 +221% $56,197 +324% —
263 VEIN LIGATION AND STRIPPING $238,129 $147,640 $71,990 +231% $44,938 +430% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $237,980 $147,547 $120,268 +98% $71,014 +235% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $237,969 $147,541 $61,138 +289% $29,409 +709% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $237,698 $147,373 $23,112 +928% $24,450 +872% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $236,745 $146,782 $130,651 +81% $45,558 +420% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $234,418 $145,339 $77,879 +201% $72,274 +224% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $234,133 $145,163 $120,362 +95% $74,755 +213% ≈47% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $230,649 $143,003 $66,945 +245% $61,353 +276% —
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 $124,137 +84% $47,583 +379% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $227,454 $141,022 $189,608 +20% $64,956 +250% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $226,746 $140,583 $124,365 +82% $72,908 +211% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $224,858 $139,412 $68,468 +228% $66,819 +237% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $223,960 $138,855 $83,845 +167% $74,274 +202% ≈58% of Medicare
799 SPLENIC PROCEDURES WITH MCC $223,094 $138,318 $204,792 +9% $78,821 +183% —
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% $64,468 +244% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $221,406 $137,272 $65,383 +239% $65,383 +239% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $220,832 $136,916 $121,016 +82% $58,968 +274% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $219,197 $135,902 $84,795 +159% $65,325 +236% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $219,043 $135,807 $72,502 +202% $55,147 +297% ≈82% 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 $40,438 +432% $29,916 +619% —
813 COAGULATION DISORDERS $214,528 $133,007 $40,699 +427% $30,128 +612% ≈66% of Medicare
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $214,157 $132,778 $73,792 +190% $68,331 +213% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $213,843 $132,582 $119,003 +80% $31,909 +570% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $213,731 $132,513 $52,334 +308% $43,775 +388% —
397 APPENDIX PROCEDURES WITH MCC $212,905 $132,001 $66,179 +222% $52,319 +307% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $211,065 $130,860 $116,195 +82% $34,906 +505% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $209,542 $129,916 $45,866 +357% $45,842 +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% $50,998 +306% ≈86% 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% $25,666 +706% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $202,724 $125,689 $156,374 +30% $46,659 +334% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $202,622 $125,626 $78,350 +159% $40,548 +400% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $202,258 $125,400 $150,591 +34% $41,847 +383% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $201,812 $125,124 $59,979 +236% $44,553 +353% ≈122% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $201,285 $124,797 $112,254 +79% $53,746 +275% ≈75% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $200,636 $124,394 $40,359 +397% $39,409 +409% ≈77% of Medicare
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $199,612 $123,759 $82,815 +141% $51,142 +290% —
570 SKIN DEBRIDEMENT WITH MCC $199,049 $123,411 $39,384 +405% $51,501 +286% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $198,981 $123,368 $164,864 +21% $52,908 +276% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $198,887 $123,310 $86,280 +131% $45,271 +339% —
164 MAJOR CHEST PROCEDURES WITH CC $198,086 $122,813 $84,273 +135% $53,141 +273% —
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% $56,394 +249% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $196,869 $122,059 $108,015 +82% $39,253 +402% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $196,796 $122,013 $54,668 +260% $37,681 +422% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $195,259 $121,061 $76,396 +156% $48,801 +300% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $194,727 $120,731 $131,865 +48% $65,573 +197% ≈57% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $194,570 $120,633 $78,122 +149% $51,985 +274% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $194,410 $120,534 $66,234 +194% $57,030 +241% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $192,554 $119,383 $132,582 +45% $31,812 +505% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $191,766 $118,895 $87,106 +120% $92,238 +108% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $191,024 $118,435 $69,609 +174% $60,140 +218% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $189,914 $117,746 $69,024 +175% $50,624 +275% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $188,232 $116,704 $78,056 +141% $53,787 +250% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $187,802 $116,437 $67,900 +177% $28,578 +557% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $185,130 $114,781 $91,613 +102% $51,339 +261% —
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% $41,660 +340% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $182,535 $113,172 $93,524 +95% $38,878 +370% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $181,473 $112,513 $67,997 +167% $54,475 +233% —
835 ACUTE LEUKEMIA WITH CC $181,173 $112,327 $30,915 +486% $35,569 +409% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $180,839 $112,120 $77,990 +132% $72,879 +148% ≈42% of Medicare
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $180,604 $111,975 $52,395 +245% $44,927 +302% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $179,529 $111,308 $62,838 +186% $51,950 +246% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $179,099 $111,042 $77,958 +130% $40,583 +341% —
139 SALIVARY GLAND PROCEDURES $178,575 $110,717 $51,345 +248% $21,014 +750% —
505 FOOT PROCEDURES WITHOUT CC/MCC $178,429 $110,626 $50,588 +253% $31,716 +463% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $177,955 $110,332 $39,982 +345% $27,074 +557% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $177,298 $109,925 $31,873 +456% $40,065 +343% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $177,080 $109,790 $177,080 +0% $61,206 +189% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $176,589 $109,485 $36,741 +381% $36,237 +387% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $175,633 $108,893 $55,562 +216% $26,998 +551% —
919 COMPLICATIONS OF TREATMENT WITH MCC $175,389 $108,741 $24,805 +607% $29,031 +504% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $174,971 $108,482 $40,048 +337% $32,506 +438% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $173,300 $107,446 $78,620 +120% $38,998 +344% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $173,069 $107,303 $99,021 +75% $58,713 +195% ≈85% of Medicare
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $172,477 $106,935 $78,640 +119% $54,681 +215% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $172,007 $106,644 $48,725 +253% $35,990 +378% ≈106% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $171,839 $106,540 $61,034 +182% $33,236 +417% —
882 NEUROSES EXCEPT DEPRESSIVE $170,964 $105,998 $14,170 +1107% $15,680 +990% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $169,871 $105,320 $98,600 +72% $35,029 +385% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $169,027 $104,797 $40,731 +315% $32,839 +415% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $168,605 $104,535 $45,040 +274% $32,189 +424% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $168,523 $104,484 $69,364 +143% $43,080 +291% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $167,460 $103,825 $67,548 +148% $35,108 +377% —
501 SOFT TISSUE PROCEDURES WITH CC $167,398 $103,786 $37,750 +343% $37,975 +341% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $167,328 $103,743 $72,028 +132% $25,071 +567% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $165,770 $102,777 $51,978 +219% $35,528 +367% —
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 $69,562 +137% $43,982 +275% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $164,082 $101,731 $118,045 +39% $41,380 +297% —
662 MINOR BLADDER PROCEDURES WITH MCC $163,998 $101,679 $118,921 +38% $54,483 +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 $87,143 +88% $30,930 +429% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $163,643 $101,459 $34,794 +370% $21,025 +678% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $163,540 $101,395 $55,773 +193% $41,114 +298% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $163,209 $101,190 $47,856 +241% $49,631 +229% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $163,040 $101,085 $26,324 +519% $26,616 +513% —
791 PREMATURITY WITH MAJOR PROBLEMS $162,797 $100,934 $42,679 +281% $39,254 +315% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $162,120 $100,515 $121,088 +34% $44,022 +268% —
336 PERITONEAL ADHESIOLYSIS WITH CC $161,949 $100,409 $78,344 +107% $49,071 +230% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $159,777 $99,062 $47,371 +237% $43,266 +269% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $159,761 $99,052 $26,584 +501% $22,698 +604% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $159,212 $98,711 $67,320 +137% $54,772 +191% ≈112% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $159,109 $98,647 $108,910 +46% $70,132 +127% ≈53% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $157,906 $97,901 $37,921 +316% $43,444 +263% ≈87% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $157,903 $97,900 $70,333 +125% $48,682 +224% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $157,275 $97,511 $37,833 +316% $29,671 +430% —
380 COMPLICATED PEPTIC ULCER WITH MCC $157,255 $97,498 $38,425 +309% $36,537 +330% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $157,246 $97,492 $120,658 +30% $56,964 +176% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $156,404 $96,970 $32,455 +382% $36,850 +324% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $155,779 $96,583 $155,779 +0% $47,546 +228% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $155,753 $96,567 $24,673 +531% $27,118 +474% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $154,917 $96,048 $68,094 +128% $52,405 +196% ≈62% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $154,904 $96,040 $91,994 +68% $46,306 +235% ≈74% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $154,092 $95,537 $35,948 +329% $37,839 +307% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $154,038 $95,504 $39,935 +286% $40,563 +280% —
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% $37,080 +311% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $151,953 $94,211 $41,110 +270% $40,552 +275% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $151,680 $94,042 $73,902 +105% $44,989 +237% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $150,705 $93,437 $62,211 +142% $36,318 +315% ≈76% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $150,523 $93,324 $42,070 +258% $36,195 +316% ≈70% of Medicare
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $150,397 $93,246 $88,220 +70% $45,594 +230% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $149,935 $92,960 $91,573 +64% $40,694 +268% ≈103% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $149,529 $92,708 $27,577 +442% $17,308 +764% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $149,322 $92,580 $48,099 +210% $42,881 +248% ≈105% of Medicare
100 SEIZURES WITH MCC $148,640 $92,157 $37,837 +293% $35,194 +322% ≈96% of Medicare
504 FOOT PROCEDURES WITH CC $148,303 $91,948 $36,434 +307% $36,519 +306% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $147,970 $91,742 $54,572 +171% $42,119 +251% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $146,928 $91,095 $50,724 +190% $44,719 +229% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $146,785 $91,006 $16,200 +806% $12,593 +1066% —
374 DIGESTIVE MALIGNANCY WITH MCC $146,611 $90,899 $55,499 +164% $38,885 +277% —
571 SKIN DEBRIDEMENT WITH CC $146,555 $90,864 $46,216 +217% $34,773 +321% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $146,300 $90,706 $136,045 +8% $30,888 +374% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $146,045 $90,548 $39,542 +269% $25,267 +478% ≈188% of Medicare
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $146,015 $90,530 $33,651 +334% $24,465 +497% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $145,598 $90,271 $41,400 +252% $35,961 +305% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $145,464 $90,188 $49,248 +195% $29,558 +392% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $145,094 $89,958 $50,913 +185% $44,600 +225% ≈86% 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 $44,431 +226% $38,574 +275% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $144,594 $89,648 $144,594 +0% $44,973 +222% —
113 ORBITAL PROCEDURES WITH CC/MCC $142,751 $88,506 $97,932 +46% $35,642 +301% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $142,393 $88,283 $45,779 +211% $36,241 +293% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $141,934 $87,999 $36,255 +291% $30,224 +370% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $141,815 $87,926 $61,301 +131% $32,976 +330% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $141,645 $87,820 $66,959 +112% $38,836 +265% —
709 PENIS PROCEDURES WITH CC/MCC $141,223 $87,558 $73,377 +92% $34,535 +309% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $140,786 $87,288 $58,650 +140% $34,886 +304% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $140,677 $87,220 $77,745 +81% $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 $37,867 +266% $35,714 +288% ≈84% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $138,647 $85,961 $38,640 +259% $38,166 +263% ≈78% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $138,217 $85,695 $53,873 +157% $23,474 +489% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $138,171 $85,666 $46,643 +196% $33,339 +314% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $137,994 $85,556 $41,441 +233% $44,087 +213% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $137,455 $85,222 $58,571 +135% $33,790 +307% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $137,452 $85,220 $54,941 +150% $45,497 +202% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $136,853 $84,849 $128,808 +6% $39,923 +243% —
669 TRANSURETHRAL PROCEDURES WITH CC $136,778 $84,802 $33,509 +308% $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 $64,513 +111% $32,911 +313% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $134,812 $83,584 $58,085 +132% $36,355 +271% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $134,398 $83,327 $65,542 +105% $45,916 +193% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $134,114 $83,151 $48,171 +178% $31,978 +319% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $134,008 $83,085 $30,526 +339% $33,962 +295% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $132,832 $82,356 $114,775 +16% $25,149 +428% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $132,744 $82,301 $38,595 +244% $37,950 +250% ≈95% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $132,100 $81,902 $37,351 +254% $29,924 +341% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $131,669 $81,635 $48,680 +170% $47,635 +176% ≈102% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $131,094 $81,278 $15,608 +740% $15,608 +740% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $130,963 $81,197 $28,047 +367% $20,148 +550% —
180 RESPIRATORY NEOPLASMS WITH MCC $130,640 $80,997 $74,080 +76% $36,658 +256% ≈108% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $129,940 $80,563 $41,707 +212% $31,062 +318% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $129,819 $80,488 $63,521 +104% $43,252 +200% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $129,286 $80,157 $48,918 +164% $28,509 +353% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $128,713 $79,802 $128,713 +0% $23,456 +449% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $128,426 $79,624 $38,062 +237% $29,109 +341% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $128,368 $79,588 $47,828 +168% $31,816 +303% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $128,133 $79,443 $39,528 +224% $34,876 +267% ≈90% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $127,560 $79,087 $36,912 +246% $32,213 +296% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $127,181 $78,852 $76,344 +67% $28,103 +353% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $126,773 $78,599 $69,265 +83% $31,913 +297% ≈92% of Medicare
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% $36,880 +243% ≈104% of Medicare
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $126,326 $78,322 $46,212 +173% $30,275 +317% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $126,029 $78,138 $22,434 +462% $19,091 +560% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $126,003 $78,122 $72,566 +74% $44,839 +181% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $125,941 $78,084 $47,554 +165% $27,597 +356% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $125,940 $78,083 $31,976 +294% $33,137 +280% —
602 CELLULITIS WITH MCC $125,788 $77,989 $35,442 +255% $29,347 +329% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $125,043 $77,527 $36,177 +246% $31,743 +294% —
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 $99,432 +25% $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% $45,937 +169% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $123,267 $76,426 $29,075 +324% $29,777 +314% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $123,136 $76,344 $60,701 +103% $41,520 +197% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $122,911 $76,205 $37,392 +229% $28,385 +333% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $122,833 $76,157 $100,556 +22% $43,320 +184% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $122,148 $75,731 $40,184 +204% $27,369 +346% —
265 AICD LEAD PROCEDURES $121,677 $75,440 $117,922 +3% $56,216 +116% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $121,323 $75,220 $23,984 +406% $22,587 +437% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $120,791 $74,890 $49,365 +145% $37,842 +219% ≈97% of Medicare
801 SPLENIC PROCEDURES WITHOUT CC/MCC $120,184 $74,514 $83,031 +45% $28,554 +321% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $120,112 $74,470 $29,013 +314% $25,243 +376% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $119,960 $74,375 $37,068 +224% $30,814 +289% ≈93% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $118,858 $73,692 $51,915 +129% $39,675 +200% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $118,848 $73,686 $23,996 +395% $20,076 +492% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $118,708 $73,599 $35,112 +238% $30,768 +286% —
199 PNEUMOTHORAX WITH MCC $118,437 $73,431 $23,929 +395% $31,085 +281% —
906 HAND PROCEDURES FOR INJURIES $118,400 $73,408 $40,612 +192% $31,520 +276% —
551 MEDICAL BACK PROBLEMS WITH MCC $117,578 $72,899 $36,807 +219% $31,067 +278% ≈103% of Medicare
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $117,116 $72,612 $50,979 +130% $35,375 +231% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $116,997 $72,538 $39,169 +199% $34,564 +238% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $116,793 — $10,480 +1014% $10,039 +1063% —
506 MAJOR THUMB OR JOINT PROCEDURES $116,768 $72,396 $55,622 +110% $28,983 +303% —
597 MALIGNANT BREAST DISORDERS WITH MCC $116,287 $72,098 $32,211 +261% $31,846 +265% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $116,280 $72,093 $41,055 +183% $29,011 +301% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $116,145 $72,010 $66,511 +75% $35,693 +225% —
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% $28,375 +309% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $115,721 $71,747 $39,000 +197% $29,374 +294% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $115,301 $71,487 $27,677 +317% $24,561 +369% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $114,914 $71,246 $44,023 +161% $31,029 +270% ≈101% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $114,670 $71,096 $97,144 +18% $36,097 +218% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $114,173 $70,787 $29,456 +288% $29,805 +283% —
348 ANAL AND STOMAL PROCEDURES WITH CC $114,139 $70,766 $35,108 +225% $27,947 +308% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $113,204 $70,186 $28,004 +304% $29,867 +279% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $112,548 $69,780 $44,033 +156% $32,901 +242% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $112,415 $69,697 $30,436 +269% $29,929 +276% ≈112% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $112,267 $69,605 $90,897 +24% $33,415 +236% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $111,567 $69,172 $25,101 +344% $23,571 +373% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $111,376 $69,053 $23,560 +373% $14,861 +649% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $110,379 $68,435 $22,503 +391% $25,596 +331% —
712 TESTES PROCEDURES WITHOUT CC/MCC $109,674 $67,998 $90,408 +21% $18,898 +480% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $109,622 $67,966 $30,782 +256% $27,492 +299% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $109,273 $67,749 $36,414 +200% $23,646 +362% —
643 ENDOCRINE DISORDERS WITH MCC $109,043 $67,607 $25,187 +333% $32,953 +231% ≈103% of Medicare
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $108,833 $67,477 $46,010 +137% $35,673 +205% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $108,275 $67,131 $49,982 +117% $25,854 +319% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $107,643 $66,739 $21,902 +391% $23,956 +349% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $107,505 $66,653 $44,066 +144% $32,417 +232% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $107,477 $66,636 $45,326 +137% $11,997 +796% —
137 MOUTH PROCEDURES WITH CC/MCC $107,314 $66,535 $59,510 +80% $24,348 +341% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $106,892 $66,273 $49,681 +115% $19,001 +463% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $106,504 $66,033 $60,486 +76% $29,826 +257% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $106,463 $66,007 $25,688 +314% $30,681 +247% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $106,343 $65,933 $34,106 +212% $29,630 +259% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $105,981 $65,708 $48,975 +116% $40,801 +160% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $105,797 $65,594 $48,855 +117% $24,874 +325% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $105,346 $65,314 $36,515 +189% $28,802 +266% ≈111% 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% $29,957 +250% ≈144% 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 $34,604 +201% $25,038 +317% —
539 OSTEOMYELITIS WITH MCC $104,198 $64,602 $54,560 +91% $33,614 +210% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $103,389 $64,101 $24,687 +319% $32,689 +216% ≈109% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $102,963 $63,837 $43,429 +137% $33,425 +208% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $102,790 $63,730 $102,790 +0% $40,063 +157% —
887 OTHER MENTAL DISORDER DIAGNOSES $101,330 $62,825 $86,965 +17% $20,557 +393% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $101,222 $62,758 $24,065 +321% $19,815 +411% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $101,061 $62,658 $50,519 +100% $24,426 +314% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $100,694 $62,430 $35,519 +183% $31,754 +217% ≈111% 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 $59,794 +67% $25,152 +296% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $99,149 $61,472 $25,860 +283% $20,727 +378% —
885 PSYCHOSES $98,770 $61,238 $21,489 +360% $21,489 +360% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $97,921 $60,711 $45,987 +113% $24,118 +306% —
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% $47,126 +107% —
540 OSTEOMYELITIS WITH CC $97,645 $60,540 $17,786 +449% $23,494 +316% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $97,590 $60,506 $44,911 +117% $30,362 +221% ≈99% of Medicare
682 RENAL FAILURE WITH MCC $96,977 $60,126 $31,849 +204% $27,640 +251% ≈121% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $96,904 $60,081 $22,651 +328% $29,049 +234% ≈117% of Medicare
549 SEPTIC ARTHRITIS WITH CC $96,476 $59,815 $48,687 +98% $20,808 +364% —
183 MAJOR CHEST TRAUMA WITH MCC $96,332 $59,726 $40,821 +136% $28,924 +233% ≈115% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $95,928 $59,476 $23,429 +309% $20,371 +371% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $95,642 $59,298 $42,094 +127% $28,001 +242% ≈110% of Medicare
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $95,259 $59,061 $95,259 +0% $24,036 +296% —
186 PLEURAL EFFUSION WITH MCC $95,082 $58,951 $30,885 +208% $32,385 +194% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $94,592 $58,647 $31,517 +200% $19,326 +389% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $94,236 $58,426 $53,331 +77% $50,011 +88% ≈80% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $93,579 $58,019 $31,732 +195% $27,674 +238% ≈128% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $92,266 $57,205 $61,161 +51% $19,598 +371% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $92,156 $57,137 $70,302 +31% $24,544 +275% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $91,925 $56,994 $25,069 +267% $19,317 +376% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $91,842 $56,942 $23,532 +290% $21,666 +324% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $91,620 $56,804 $61,265 +50% $36,333 +152% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $91,561 $56,768 $34,177 +168% $29,476 +211% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $90,745 $56,262 $31,179 +191% $23,039 +294% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $90,647 $56,201 $29,841 +204% $18,005 +403% —
606 MINOR SKIN DISORDERS WITH MCC $89,767 $55,656 $30,367 +196% $25,434 +253% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $88,657 $54,967 $27,940 +217% $22,010 +303% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $88,555 $54,904 $45,748 +94% $25,786 +243% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $88,508 $54,875 $20,088 +341% $17,851 +396% —
088 CONCUSSION WITH MCC $88,482 $54,859 $31,525 +181% $24,402 +263% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $88,397 $54,806 $29,540 +199% $25,412 +248% ≈138% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $88,366 $54,787 $38,853 +127% $29,521 +199% ≈140% of Medicare
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $88,094 $54,618 $31,577 +179% $28,252 +212% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $87,144 $54,029 $30,882 +182% $32,804 +166% ≈109% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $87,027 $53,957 $35,151 +148% $25,998 +235% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $86,631 $53,711 $46,539 +86% $25,206 +244% —
152 OTITIS MEDIA AND URI WITH MCC $86,543 $53,656 $20,317 +326% $19,657 +340% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $86,525 $53,646 $24,651 +251% $24,008 +260% —
375 DIGESTIVE MALIGNANCY WITH CC $86,399 $53,567 $35,509 +143% $27,125 +219% —
291 HEART FAILURE AND SHOCK WITH MCC $86,017 $53,331 $27,270 +215% $24,932 +245% ≈139% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $85,538 $53,034 $74,308 +15% $30,940 +176% —
865 VIRAL ILLNESS WITH MCC $85,393 $52,944 $36,697 +133% $26,088 +227% —
158 DENTAL AND ORAL DISEASES WITH CC $85,040 $52,725 $20,087 +323% $17,751 +379% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $83,485 $51,761 $27,008 +209% $25,146 +232% ≈59% of Medicare
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $82,376 $51,073 $32,570 +153% $17,719 +365% —
711 TESTES PROCEDURES WITH CC/MCC $81,559 $50,566 $62,922 +30% $34,846 +134% —
304 HYPERTENSION WITH MCC $81,530 $50,548 $35,353 +131% $23,945 +240% ≈167% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $80,917 $50,169 $24,816 +226% $24,000 +237% ≈175% of Medicare
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $80,892 $50,153 $35,831 +126% $13,654 +492% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $80,648 $50,002 $23,857 +238% $24,603 +228% ≈142% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $79,872 $49,521 $28,434 +181% $31,190 +156% ≈182% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $79,793 $49,472 $35,677 +124% $24,244 +229% ≈147% of Medicare
157 DENTAL AND ORAL DISEASES WITH MCC $79,620 $49,364 $54,372 +46% $27,457 +190% —
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% $22,874 +245% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $78,526 $48,686 $26,077 +201% $22,231 +253% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $78,380 $48,596 $25,169 +211% $24,017 +226% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $78,351 $48,577 $26,587 +195% $17,268 +354% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $78,262 $48,522 $25,997 +201% $23,400 +234% ≈182% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $78,129 $48,440 $19,781 +295% $16,708 +368% —
947 SIGNS AND SYMPTOMS WITH MCC $77,528 $48,067 $21,963 +253% $25,474 +204% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $77,373 $47,971 $68,604 +13% $22,226 +248% ≈135% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $77,272 $47,908 $26,398 +193% $22,065 +250% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $77,205 $47,867 $33,537 +130% $20,917 +269% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $77,120 $47,815 $62,207 +24% $25,621 +201% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $76,639 $47,516 $72,405 +6% $20,837 +268% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $76,586 $47,483 $26,190 +192% $23,396 +227% ≈171% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $76,173 $47,227 $21,336 +257% $26,098 +192% ≈161% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $76,115 $47,191 $30,957 +146% $22,610 +237% ≈181% of Medicare
302 ATHEROSCLEROSIS WITH MCC $76,037 $47,143 $33,976 +124% $20,810 +265% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $76,031 $47,139 $25,058 +203% $25,766 +195% ≈136% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $75,754 $46,968 $34,893 +117% $22,870 +231% ≈157% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $75,321 $46,699 $30,210 +149% $35,139 +114% —
915 ALLERGIC REACTIONS WITH MCC $75,144 $46,589 $42,047 +79% $30,944 +143% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $75,133 $46,583 $64,704 +16% $23,920 +214% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $74,760 $46,351 $46,207 +62% $17,383 +330% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $74,639 $46,276 $36,099 +107% $28,403 +163% —
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 $27,670 +169% $18,323 +307% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $74,489 $46,183 $63,265 +18% $29,891 +149% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $74,345 $46,094 $44,272 +68% $25,484 +192% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $74,036 $45,902 $26,910 +175% $20,463 +262% ≈224% of Medicare
151 EPISTAXIS WITHOUT MCC $73,497 $45,568 $14,104 +421% $13,032 +464% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $73,494 $45,566 $29,881 +146% $27,041 +172% ≈144% of Medicare
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $73,297 $45,444 $17,602 +316% $18,459 +297% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $73,164 $45,362 $31,520 +132% $24,277 +201% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $72,800 $45,136 $72,800 +0% $23,588 +209% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $72,713 $45,082 $26,696 +172% $21,449 +239% —
007 LUNG TRANSPLANT $72,369 $44,869 $94,435 −23% $170,608 −58% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $71,799 $44,515 $36,977 +94% $23,141 +210% —
920 COMPLICATIONS OF TREATMENT WITH CC $71,782 $44,505 $30,061 +139% $20,879 +244% —
637 DIABETES WITH MCC $71,545 $44,358 $34,156 +109% $28,772 +149% ≈116% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $71,391 $44,262 $57,278 +25% $20,313 +251% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $71,220 $44,156 $69,510 +2% $20,980 +239% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $71,084 $44,072 $34,401 +107% $30,259 +135% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $70,368 $43,628 $26,819 +162% $26,158 +169% —
693 URINARY STONES WITH MCC $70,283 $43,575 $47,160 +49% $22,525 +212% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $70,205 $43,527 $26,962 +160% $18,060 +289% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $70,082 $43,451 $23,795 +195% $18,038 +289% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $70,070 $43,443 $28,478 +146% $18,288 +283% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $70,067 $43,441 $63,142 +11% $21,860 +221% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $70,002 $43,401 $32,471 +116% $19,569 +258% ≈195% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $69,938 $43,362 $36,145 +93% $21,323 +228% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $69,629 $43,170 $26,489 +163% $22,850 +205% ≈184% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $69,596 $43,150 $19,942 +249% $20,732 +236% ≈187% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $69,506 $43,094 $33,736 +106% $18,000 +286% —
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 $24,741 +181% $21,499 +223% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $69,361 $43,004 $21,730 +219% $22,024 +215% ≈188% of Medicare
595 MAJOR SKIN DISORDERS WITH MCC $68,755 $42,628 $52,562 +31% $31,772 +116% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $67,961 $42,136 $31,625 +115% $21,886 +211% ≈192% of Medicare
592 SKIN ULCERS WITH MCC $67,459 $41,824 $31,986 +111% $32,662 +107% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $66,780 $41,404 $13,806 +384% $18,150 +268% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $66,740 $41,379 $24,794 +169% $18,815 +255% ≈196% of Medicare
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $66,559 $41,267 $47,867 +39% $23,734 +180% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $66,340 $41,131 $42,379 +57% $17,585 +277% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $66,132 $41,002 $22,258 +197% $15,598 +324% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $65,613 $40,680 $26,710 +146% $21,029 +212% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $64,935 $40,260 $27,276 +138% $32,538 +100% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $64,773 $40,159 $54,126 +20% $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% $30,661 +109% —
534 FRACTURES OF FEMUR WITHOUT MCC $63,780 $39,544 $55,274 +15% $17,194 +271% —
593 SKIN ULCERS WITH CC $63,659 $39,469 $29,687 +114% $20,470 +211% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $63,533 $39,391 $27,603 +130% $23,749 +168% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $63,446 $39,337 $22,608 +181% $22,623 +180% ≈176% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $63,322 $39,259 $36,202 +75% $36,202 +75% —
184 MAJOR CHEST TRAUMA WITH CC $63,116 $39,132 $27,435 +130% $20,842 +203% ≈186% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $62,882 $38,987 $28,389 +122% $17,754 +254% ≈219% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $62,309 $38,631 $13,647 +357% $15,878 +292% ≈199% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $61,938 $38,402 $19,998 +210% $17,522 +253% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $61,847 $38,345 $20,809 +197% $14,770 +319% —
200 PNEUMOTHORAX WITH CC $61,645 $38,220 $27,413 +125% $20,573 +200% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $61,531 $38,149 $20,351 +202% $20,716 +197% ≈216% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $61,276 $37,991 $33,374 +84% $19,448 +215% ≈167% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $61,148 $37,912 $41,218 +48% $26,146 +134% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $61,126 $37,898 $34,431 +78% $19,287 +217% ≈185% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $60,565 $37,550 $25,875 +134% $20,408 +197% ≈198% of Medicare
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $60,427 $37,465 $42,616 +42% $13,278 +355% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $60,426 $37,464 $30,441 +99% $24,146 +150% —
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% $23,646 +153% —
187 PLEURAL EFFUSION WITH CC $59,691 $37,009 $27,513 +117% $21,467 +178% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $59,667 $36,994 $21,817 +173% $16,104 +271% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $59,445 $36,856 $23,602 +152% $20,632 +188% ≈198% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $59,149 $36,672 $35,613 +66% $22,590 +162% —
197 INTERSTITIAL LUNG DISEASE WITH CC $58,810 $36,462 $23,570 +150% $20,105 +193% —
123 NEUROLOGICAL EYE DISORDERS $58,601 $36,333 $15,376 +281% $17,831 +229% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $58,384 $36,198 $30,184 +93% $15,818 +269% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $58,302 $36,147 $45,455 +28% $16,352 +257% —
864 FEVER AND INFLAMMATORY CONDITIONS $58,286 $36,137 $27,616 +111% $17,412 +235% —
644 ENDOCRINE DISORDERS WITH CC $58,263 $36,123 $24,634 +137% $22,941 +154% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $58,085 $36,013 $23,715 +145% $20,007 +190% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $56,995 $35,337 $31,068 +83% $19,854 +187% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $56,690 $35,148 $22,381 +153% $24,103 +135% ≈177% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $56,367 $34,947 $16,565 +240% $11,633 +385% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $56,268 $34,886 $22,557 +149% $18,199 +209% —
204 RESPIRATORY SIGNS AND SYMPTOMS $56,074 $34,766 $16,866 +232% $16,804 +234% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $56,017 $34,731 $17,707 +216% $16,431 +241% —
914 TRAUMATIC INJURY WITHOUT MCC $55,950 $34,689 $20,845 +168% $15,586 +259% —
935 NON-EXTENSIVE BURNS $55,895 $34,655 $31,701 +76% $29,458 +90% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $55,612 $34,479 $18,082 +208% $15,474 +259% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $55,517 $34,421 $21,114 +163% $15,636 +255% —
176 PULMONARY EMBOLISM WITHOUT MCC $55,422 $34,362 $25,421 +118% $17,693 +213% ≈228% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $55,307 $34,291 $33,475 +65% $13,362 +314% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $55,287 $34,278 $29,722 +86% $18,243 +203% ≈191% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $55,077 $34,148 $12,501 +341% $12,794 +330% —
101 SEIZURES WITHOUT MCC $54,740 $33,939 $21,606 +153% $19,930 +175% ≈202% 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 $17,523 +207% $15,058 +257% —
683 RENAL FAILURE WITH CC $53,354 $33,079 $23,801 +124% $18,322 +191% ≈173% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $52,969 $32,841 $21,806 +143% $19,483 +172% ≈282% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $52,293 $32,422 $39,412 +33% $13,822 +278% —
603 CELLULITIS WITHOUT MCC $51,872 $32,161 $16,191 +220% $18,359 +183% ≈186% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $51,870 $32,160 $31,404 +65% $19,073 +172% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $51,677 $32,040 $16,819 +207% $17,379 +197% ≈207% of Medicare
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $51,342 $31,832 $51,342 +0% $16,495 +211% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $50,382 $31,237 $26,429 +91% $16,654 +203% —
638 DIABETES WITH CC $50,360 $31,223 $19,661 +156% $18,763 +168% ≈227% of Medicare
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $50,158 $31,098 $28,026 +79% $14,121 +255% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $49,895 $30,935 $20,643 +142% $11,826 +322% —
312 SYNCOPE AND COLLAPSE $49,104 $30,445 $25,336 +94% $19,342 +154% ≈200% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $49,001 $30,380 $41,201 +19% $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% $17,562 +178% —
103 HEADACHES WITHOUT MCC $48,726 $30,210 $29,873 +63% $20,076 +143% —
201 PNEUMOTHORAX WITHOUT CC/MCC $48,586 $30,123 $14,485 +235% $13,081 +271% —
866 VIRAL ILLNESS WITHOUT MCC $48,251 $29,916 $18,465 +161% $16,348 +195% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $48,058 $29,796 $18,190 +164% $18,104 +165% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $48,056 $29,795 $19,939 +141% $17,719 +171% —
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 $23,092 +107% $16,622 +187% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $47,663 $29,551 $17,166 +178% $18,291 +161% —
089 CONCUSSION WITH CC $47,577 $29,498 $47,577 +0% $18,293 +160% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $47,332 $29,346 $27,214 +74% $20,253 +134% ≈215% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $47,241 $29,289 $15,153 +212% $16,645 +184% ≈235% of Medicare
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $47,125 $29,217 $25,293 +86% $11,909 +296% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $46,598 $28,891 $24,102 +93% $19,096 +144% ≈244% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $46,526 $28,846 $24,528 +90% $17,579 +165% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $46,519 $28,842 $24,435 +90% $14,337 +224% —
697 URETHRAL STRICTURE $46,477 $28,816 $46,477 +0% $17,705 +163% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $46,476 $28,815 $18,753 +148% $17,006 +173% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $46,444 $28,795 $19,007 +144% $14,166 +228% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $46,406 $28,772 $14,282 +225% $16,718 +178% ≈204% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $46,042 $28,546 $46,042 +0% $20,147 +129% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $45,618 $28,283 $21,322 +114% $17,322 +163% ≈234% of Medicare
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $45,534 $28,231 $18,608 +145% $17,296 +163% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $45,504 $28,213 $18,520 +146% $17,731 +157% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $45,382 $28,137 $26,493 +71% $18,204 +149% ≈220% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $45,175 $28,009 $24,303 +86% $12,536 +260% —
305 HYPERTENSION WITHOUT MCC $44,930 $27,857 $18,521 +143% $16,897 +166% ≈222% of Medicare
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $44,646 $27,680 $16,602 +169% $15,923 +180% ≈182% of Medicare
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $44,467 $27,569 $25,128 +77% $15,876 +180% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $43,829 $27,174 $19,855 +121% $17,345 +153% ≈217% of Medicare
950 AFTERCARE WITHOUT CC/MCC $43,355 $26,880 $40,763 +6% $13,527 +220% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $43,246 $26,813 $13,652 +217% $13,090 +230% —
607 MINOR SKIN DISORDERS WITHOUT MCC $42,890 $26,592 $19,551 +119% $15,276 +181% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $42,813 $26,544 $19,012 +125% $13,303 +222% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $42,767 $26,516 $25,214 +70% $14,134 +203% —
916 ALLERGIC REACTIONS WITHOUT MCC $42,378 $26,274 $15,633 +171% $13,890 +205% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $42,191 $26,159 $38,006 +11% $19,894 +112% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $41,827 $25,933 $24,638 +70% $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 $18,940 +119% $13,892 +199% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $41,057 $25,455 $26,772 +53% $19,868 +107% —
694 URINARY STONES WITHOUT MCC $40,739 $25,258 $18,170 +124% $16,451 +148% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $40,684 $25,224 $32,430 +25% $16,418 +148% —
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% $13,198 +207% —
153 OTITIS MEDIA AND URI WITHOUT MCC $40,215 $24,933 $18,755 +114% $14,251 +182% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $39,589 $24,545 $39,589 +0% $35,989 +10% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $39,377 $24,414 $20,065 +96% $17,183 +129% ≈204% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $39,098 $24,241 $22,957 +70% $15,045 +160% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $39,062 $24,218 $15,542 +151% $16,622 +135% —
075 VIRAL MENINGITIS WITH CC/MCC $38,765 $24,034 $38,765 +0% $29,751 +30% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $38,618 $23,943 $20,716 +86% $14,880 +160% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $38,474 $23,854 $14,865 +159% $14,411 +167% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $38,253 $23,717 $28,352 +35% $20,741 +84% —
313 CHEST PAIN $38,239 $23,708 $16,104 +137% $15,837 +141% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $37,556 $23,285 $37,556 +0% $15,858 +137% —
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% $14,208 +164% —
149 DYSEQUILIBRIUM $37,458 $23,224 $29,050 +29% $17,203 +118% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $37,431 $23,207 $14,410 +160% $14,368 +161% —
311 ANGINA PECTORIS $37,422 $23,202 $35,368 +6% $15,165 +147% —
303 ATHEROSCLEROSIS WITHOUT MCC $37,116 $23,012 $15,800 +135% $14,927 +149% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $37,106 $23,006 $16,800 +121% $14,012 +165% —
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% $12,405 +198% —
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 $14,132 +158% $12,205 +199% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $35,898 $22,257 $34,540 +4% $15,589 +130% —
684 RENAL FAILURE WITHOUT CC/MCC $35,661 $22,110 $14,416 +147% $13,455 +165% —
102 HEADACHES WITH MCC $35,629 $22,090 $35,629 +0% $21,983 +62% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $34,935 $21,659 $12,347 +183% $11,957 +192% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $34,351 $21,297 $14,096 +144% $13,318 +158% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $33,878 $21,004 $17,756 +91% $12,013 +182% —
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% $14,210 +129% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $31,383 $19,458 $18,512 +70% $13,485 +133% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $30,521 $18,923 $14,635 +109% $13,384 +128% ≈289% of Medicare
090 CONCUSSION WITHOUT CC/MCC $30,305 $18,789 $30,305 +0% $14,873 +104% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $30,243 $18,751 $14,284 +112% $9,385 +222% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $29,828 $18,493 $10,783 +177% $13,747 +117% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $29,699 $18,413 $12,265 +142% $12,895 +130% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $28,214 $17,493 $28,214 +0% $15,007 +88% —
150 EPISTAXIS WITH MCC $28,164 $17,462 $28,109 +0% $21,133 +33% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $25,800 $15,996 $10,317 +150% $9,063 +185% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $25,766 $15,975 $23,342 +10% $13,385 +92% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $25,757 $15,969 $18,488 +39% $14,252 +81% —
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% $12,275 +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 $10,706 +26% $7,896 +71% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $13,125 $8,138 $13,125 +0% $12,650 +4% —
795 NORMAL NEWBORN $8,630 $5,351 $3,796 +127% $4,521 +91% —

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
← Back to Geisinger Wyoming Valley Medical Center profile