Guthrie Robert Packer Hospital — Pricing

738 procedures published in this hospital's Machine-Readable File (MRF) — 738 with a comparable price, 0 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 738
Lowest published price $3,162
Average published price $69,037
Highest published price $819,069

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 738 procedures

Published charges

Showing all 738 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 95 procedures, this hospital's negotiated rates average ≈109% of what Medicare pays.

DRG Description Published price Cash price vs. PA median vs. National median vs Medicare
215 OTHER HEART ASSIST SYSTEM IMPLANT $819,069 $655,255 $327,059 +150% $191,314 +328% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $606,157 $484,926 $1,694,305 −64% $431,073 +41% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $509,023 $407,218 $149,564 +240% $169,977 +199% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $436,916 $349,533 $138,008 +217% $138,008 +217% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $421,238 $336,991 $421,238 +0% $68,847 +512% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $389,302 $311,441 $373,542 +4% $371,366 +5% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $343,342 $274,674 $124,365 +176% $72,908 +371% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $312,843 $250,274 $499,382 −37% $171,338 +83% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $311,620 $249,296 $286,246 +9% $121,728 +156% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $281,849 $225,479 $178,497 +58% $83,441 +238% —
231 CORONARY BYPASS WITH PTCA WITH MCC $275,944 $220,755 $429,570 −36% $146,474 +88% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $274,467 $219,574 $249,481 +10% $118,589 +131% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $272,701 $218,161 $426,332 −36% $105,612 +158% —
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,EXTREME $272,217 $217,774 $34,877 +681% $23,814 +1043% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $251,745 $201,396 $301,734 −17% $143,242 +76% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $250,535 $200,428 $237,172 +6% $120,587 +108% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $249,591 $199,673 $305,730 −18% $175,437 +42% —
654 MAJOR BLADDER PROCEDURES WITH CC $244,759 $195,807 $79,402 +208% $53,868 +354% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $234,847 $187,878 $190,979 +23% $138,868 +69% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $233,199 $186,559 $88,566 +163% $94,988 +146% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $231,830 $185,464 $219,105 +6% $245,241 −5% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $229,324 $183,459 $140,076 +64% $86,390 +165% ≈109% of Medicare
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $217,830 $174,264 $192,015 +13% $50,919 +328% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $216,697 $173,357 $77,506 +180% $66,853 +224% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $212,612 $170,089 $212,612 +0% $60,098 +254% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $211,754 $169,403 $34,632 +511% $39,093 +442% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $211,531 $169,225 $48,680 +335% $48,680 +335% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $210,591 $168,473 $210,591 +0% $82,527 +155% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $210,217 $168,173 $210,217 +0% $94,927 +121% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $206,669 $165,335 $44,141 +368% $48,358 +327% —
799 SPLENIC PROCEDURES WITH MCC $204,792 $163,834 $204,792 +0% $78,821 +160% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $201,676 $161,341 $201,894 −0% $112,062 +80% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $200,328 $160,262 $145,486 +38% $142,326 +41% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $200,042 $160,034 $199,182 +0% $102,573 +95% —
037 EXTRACRANIAL PROCEDURES WITH MCC $195,037 $156,029 $106,444 +83% $64,749 +201% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $190,162 $152,130 $145,033 +31% $99,423 +91% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $189,608 $151,686 $189,608 +0% $64,956 +192% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $189,242 $151,393 $143,727 +32% $80,885 +134% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $185,336 $148,269 $156,470 +18% $102,177 +81% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $178,834 $143,067 $297,710 −40% $121,714 +47% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $178,432 $142,746 $193,669 −8% $81,998 +118% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $177,531 $142,025 $250,945 −29% $75,585 +135% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $176,093 $140,874 $176,093 +0% $88,691 +99% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $171,726 $137,381 $90,530 +90% $84,861 +102% —
028 SPINAL PROCEDURES WITH MCC $165,843 $132,675 $350,420 −53% $95,858 +73% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $164,271 $131,417 $165,488 −1% $106,778 +54% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $162,270 $129,816 $275,203 −41% $113,855 +43% ≈93% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $160,947 $128,757 $160,947 +0% $97,046 +66% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $160,856 $128,685 $151,137 +6% $82,247 +96% ≈110% of Medicare
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $158,333 $126,666 $116,195 +36% $34,906 +354% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $158,308 $126,646 $158,308 +0% $106,238 +49% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $158,202 $126,562 $158,202 +0% $92,217 +72% ≈94% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $157,841 $126,273 $129,725 +22% $67,901 +132% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $156,374 $125,099 $156,374 +0% $46,659 +235% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $155,398 $124,318 $104,911 +48% $105,899 +47% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $155,149 $124,119 $128,750 +21% $151,029 +3% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $153,968 $123,175 $73,792 +109% $68,006 +126% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $152,094 $121,676 $84,427 +80% $58,043 +162% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $150,414 $120,331 $48,637 +209% $59,207 +154% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $150,326 $120,261 $249,573 −40% $49,055 +206% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $150,206 $120,165 $115,557 +30% $98,912 +52% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $148,568 $118,855 $314,602 −53% $73,029 +103% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $146,923 $117,539 $160,685 −9% $83,065 +77% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $145,360 $116,288 $233,714 −38% $107,355 +35% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $145,352 $116,281 $56,395 +158% $29,633 +391% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $144,576 $115,661 $274,164 −47% $90,331 +60% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $143,991 $115,193 $143,991 +0% $108,472 +33% —
471 CERVICAL SPINAL FUSION WITH MCC $143,392 $114,713 $81,060 +77% $92,515 +55% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $143,271 $114,616 $143,271 +0% $86,953 +65% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $142,134 $113,707 $124,915 +14% $72,011 +97% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $141,562 $113,250 $139,264 +2% $116,058 +22% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $140,698 $112,559 $213,354 −34% $96,222 +46% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $140,094 $112,075 $45,866 +205% $45,818 +206% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $139,491 $111,593 $64,513 +116% $32,911 +324% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $139,055 $111,244 $155,779 −11% $47,546 +192% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,007 $109,605 $89,681 +53% $114,914 +19% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $136,512 $109,209 $77,879 +75% $72,782 +88% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $136,034 $108,828 $70,748 +92% $79,944 +70% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $132,961 $106,369 $86,280 +54% $45,432 +193% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $130,375 $104,300 $130,375 +0% $34,434 +279% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $130,028 $104,022 $163,981 −21% $70,540 +84% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $129,738 $103,791 $66,234 +96% $57,963 +124% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $129,152 $103,322 $129,152 +0% $131,961 −2% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $128,121 $102,497 $40,731 +215% $32,839 +290% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $128,119 $102,495 $69,364 +85% $43,080 +197% —
773 OPIOID ABUSE AND DEPENDENCE,EXTREME $127,227 $101,781 $127,227 — $87,384 +46% —
265 AICD LEAD PROCEDURES $126,280 $101,024 $117,922 +7% $56,695 +123% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $126,145 $100,916 $177,080 −29% $62,524 +102% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $124,403 $99,522 $80,837 +54% $62,821 +98% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $123,809 $99,047 $107,706 +15% $64,776 +91% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $123,781 $99,025 $65,122 +90% $88,050 +41% ≈113% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $122,711 $98,169 $122,711 +0% $68,880 +78% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $121,792 $97,433 $90,735 +34% $75,492 +61% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $121,101 $96,881 $121,101 +0% $82,561 +47% ≈108% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $121,088 $96,870 $121,088 +0% $44,053 +175% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $121,016 $96,813 $121,016 +0% $58,968 +105% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $120,763 $96,610 $128,808 −6% $40,232 +200% —
332 RECTAL RESECTION WITH MCC $120,552 $96,441 $48,308 +150% $58,125 +107% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $120,362 $96,290 $120,362 +0% $74,755 +61% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $120,268 $96,215 $120,268 +0% $71,014 +69% —
834 ACUTE LEUKEMIA WITH MCC $120,099 $96,079 $87,524 +37% $76,583 +57% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $119,665 $95,732 $66,511 +80% $35,542 +237% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $116,786 $93,429 $74,887 +56% $65,216 +79% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $115,659 $92,527 $208,728 −45% $96,905 +19% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $115,000 $92,000 $84,795 +36% $65,325 +76% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $114,697 $91,757 $105,590 +9% $71,701 +60% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $113,929 $91,143 $179,727 −37% $68,659 +66% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $113,813 $91,050 $119,611 −5% $34,264 +232% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $113,780 $91,024 $67,871 +68% $72,859 +56% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $112,537 $90,030 $112,537 +0% $91,329 +23% —
163 MAJOR CHEST PROCEDURES WITH MCC $112,373 $89,898 $112,373 +0% $88,341 +27% ≈101% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $112,031 $89,625 $44,272 +153% $25,484 +340% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $111,889 $89,511 $111,889 +0% $96,192 +16% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $111,070 $88,856 $132,582 −16% $31,812 +249% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $110,937 $88,749 $30,860 +259% $37,654 +195% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $110,501 $88,401 $99,541 +11% $63,984 +73% ≈108% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $110,441 $88,353 $24,586 +349% $25,197 +338% —
253 OTHER VASCULAR PROCEDURES WITH CC $109,613 $87,690 $112,254 −2% $53,746 +104% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $108,941 $87,152 $63,521 +72% $43,800 +149% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $108,015 $86,412 $108,015 +0% $39,253 +175% —
139 SALIVARY GLAND PROCEDURES $107,546 $86,037 $51,345 +109% $21,014 +412% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $107,486 $85,989 $141,947 −24% $31,566 +241% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $107,210 $85,768 $109,674 −2% $74,257 +44% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $106,476 $85,181 $56,468 +89% $41,660 +156% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $106,126 $84,901 $55,229 +92% $65,254 +63% —
671 URETHRAL PROCEDURES WITH CC/MCC $105,800 $84,640 $25,566 +314% $27,233 +288% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $103,959 $83,168 $43,242 +140% $49,710 +109% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $103,957 $83,166 $86,983 +20% $56,758 +83% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $103,803 $83,043 $73,489 +41% $80,747 +29% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $103,289 $82,631 $66,945 +54% $62,269 +66% —
263 VEIN LIGATION AND STRIPPING $103,068 $82,454 $71,990 +43% $44,938 +129% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $102,983 $82,387 $139,518 −26% $117,280 −12% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $102,503 $82,002 $69,609 +47% $60,140 +70% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $102,190 $81,752 $74,070 +38% $62,961 +62% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $102,081 $81,665 $132,153 −23% $87,565 +17% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $101,850 $81,480 $58,674 +74% $43,491 +134% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $101,392 $81,114 $114,775 −12% $25,149 +303% —
133 RESPIRATORY FAILURE,EXTREME $101,215 $80,972 $56,370 +80% $23,289 +335% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $100,921 $80,737 $91,440 +10% $88,307 +14% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $99,634 $79,707 $99,634 +0% $67,764 +47% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,432 $79,546 $99,432 +0% $35,584 +179% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $99,202 $79,362 $74,308 +34% $30,940 +221% —
551 MEDICAL BACK PROBLEMS WITH MCC $99,106 $79,285 $36,807 +169% $31,086 +219% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $99,014 $79,211 $99,014 +0% $78,582 +26% —
113 ORBITAL PROCEDURES WITH CC/MCC $97,932 $78,346 $97,932 +0% $35,642 +175% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $96,854 $77,483 $67,997 +42% $54,475 +78% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME $96,567 $77,254 $96,567 — $77,914 +24% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $96,162 $76,930 $88,270 +9% $71,755 +34% —
887 OTHER MENTAL DISORDER DIAGNOSES $95,948 $76,758 $86,965 +10% $20,602 +366% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $95,932 $76,746 $96,685 −1% $64,465 +49% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $95,417 $76,333 $109,290 −13% $75,103 +27% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $95,178 $76,143 $114,100 −17% $55,162 +73% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $95,100 $76,080 $45,975 +107% $53,555 +78% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $94,398 $75,518 $94,398 +0% $25,390 +272% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $93,731 $74,984 $117,913 −21% $88,049 +6% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $92,880 $74,304 $81,138 +14% $54,929 +69% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $92,317 $73,854 $71,163 +30% $43,538 +112% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $92,047 $73,638 $93,601 −2% $60,861 +51% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $91,986 $73,589 $99,021 −7% $58,832 +56% ≈103% of Medicare
252 OTHER VASCULAR PROCEDURES WITH MCC $91,959 $73,567 $72,090 +28% $68,508 +34% ≈97% of Medicare
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $91,939 $73,551 $31,976 +188% $33,137 +177% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $91,930 $73,544 $156,459 −41% $54,129 +70% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $90,925 $72,740 $70,333 +29% $48,682 +87% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $90,612 $72,490 $33,651 +169% $24,465 +270% —
343 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MODERATE $90,045 $72,036 $12,948 +595% $13,735 +556% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $89,704 $71,763 $60,701 +48% $41,520 +116% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $89,619 $71,695 $41,400 +116% $36,239 +147% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $89,280 $71,424 $69,047 +29% $41,703 +114% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $89,169 $71,336 $54,572 +63% $42,119 +112% ≈124% of Medicare
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $89,065 $71,252 $78,182 +14% $55,097 +62% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $88,961 $71,169 $75,930 +17% $46,591 +91% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $88,687 $70,950 $31,517 +181% $19,326 +359% —
183 MAJOR CHEST TRAUMA WITH MCC $88,391 $70,713 $40,821 +117% $28,924 +206% —
164 MAJOR CHEST PROCEDURES WITH CC $88,385 $70,708 $84,273 +5% $53,141 +66% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $88,284 $70,627 $344,917 −74% $68,399 +29% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $88,081 $70,465 $76,694 +15% $56,394 +56% ≈100% of Medicare
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $87,925 $70,340 $52,395 +68% $45,059 +95% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $87,353 $69,882 $27,214 +221% $20,278 +331% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $87,297 $69,838 $131,865 −34% $65,573 +33% ≈95% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $86,544 $69,236 $86,544 +0% $76,954 +12% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $86,209 $68,967 $77,990 +11% $72,945 +18% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $86,140 $68,912 $72,800 +18% $23,588 +265% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $85,662 $68,530 $124,137 −31% $47,583 +80% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $85,352 $68,282 $76,440 +12% $93,783 −9% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $85,156 $68,124 $85,156 +0% $41,651 +104% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $84,794 $67,835 $54,937 +54% $78,852 +8% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $84,535 $67,628 $19,012 +345% $13,303 +535% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $84,472 $67,577 $108,910 −22% $70,132 +20% ≈106% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $84,324 $67,459 $84,324 +0% $64,152 +31% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $84,071 $67,257 $120,658 −30% $56,964 +48% —
398 APPENDIX PROCEDURES WITH CC $84,042 $67,234 $44,431 +89% $39,107 +115% —
397 APPENDIX PROCEDURES WITH MCC $84,031 $67,225 $66,179 +27% $52,319 +61% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $83,836 $67,068 $83,836 +0% $40,277 +108% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $83,379 $66,704 $47,856 +74% $49,631 +68% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $82,815 $66,252 $82,815 +0% $51,142 +62% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $82,710 $66,168 $41,441 +100% $44,117 +87% ≈115% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $82,032 $65,625 $149,625 −45% $57,277 +43% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $81,722 $65,378 $112,577 −27% $59,425 +38% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $81,672 $65,338 $72,405 +13% $20,842 +292% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $81,269 $65,015 $65,542 +24% $45,963 +77% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $80,382 $64,306 $115,747 −31% $53,817 +49% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $80,184 $64,147 $34,106 +135% $29,663 +170% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $80,038 $64,030 $78,640 +2% $54,824 +46% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $79,950 $63,960 $23,857 +235% $25,704 +211% ≈107% of Medicare
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $79,795 $63,836 $65,383 +22% $65,383 +22% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $79,453 $63,563 $48,167 +65% $63,475 +25% —
669 TRANSURETHRAL PROCEDURES WITH CC $79,011 $63,209 $33,509 +136% $34,354 +130% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $78,623 $62,898 $78,623 +0% $34,900 +125% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $78,452 $62,762 $91,613 −14% $51,339 +53% —
336 PERITONEAL ADHESIOLYSIS WITH CC $78,344 $62,675 $78,344 +0% $49,470 +58% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $78,280 $62,624 $100,556 −22% $44,363 +76% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $78,122 $62,498 $78,122 +0% $51,985 +50% ≈110% of Medicare
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT,MAJOR $77,733 $62,186 $42,616 +82% $13,282 +485% —
503 FOOT PROCEDURES WITH MCC $77,559 $62,047 $69,562 +11% $43,901 +77% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $77,322 $61,858 $74,652 +4% $52,332 +48% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $76,652 $61,321 $50,532 +52% $51,953 +48% —
709 PENIS PROCEDURES WITH CC/MCC $76,621 $61,297 $73,377 +4% $34,535 +122% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $76,581 $61,265 $18,981 +303% $24,980 +207% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $76,545 $61,236 $118,045 −35% $41,380 +85% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $76,344 $61,075 $76,344 +0% $28,103 +172% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $76,034 $60,827 $88,220 −14% $45,817 +66% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $75,802 $60,642 $59,794 +27% $25,152 +201% —
800 SPLENIC PROCEDURES WITH CC $75,357 $60,285 $75,357 +0% $49,184 +53% —
570 SKIN DEBRIDEMENT WITH MCC $74,950 $59,960 $39,384 +90% $52,435 +43% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $74,470 $59,576 $51,978 +43% $35,528 +110% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $74,375 $59,500 $59,604 +25% $57,855 +29% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $74,316 $59,453 $59,923 +24% $46,477 +60% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $74,129 $59,303 $58,571 +27% $33,792 +119% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $74,065 $59,252 $77,958 −5% $40,583 +83% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $74,014 $59,211 $72,502 +2% $56,519 +31% ≈100% of Medicare
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $73,841 $59,073 $73,367 +1% $35,692 +107% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $73,617 $58,894 $128,626 −43% $46,066 +60% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $73,570 $58,856 $65,100 +13% $32,451 +127% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $73,126 $58,501 $76,396 −4% $49,197 +49% ≈106% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $72,869 $58,295 $26,587 +174% $17,434 +318% —
157 DENTAL AND ORAL DISEASES WITH MCC $72,824 $58,259 $54,372 +34% $27,457 +165% —
472 CERVICAL SPINAL FUSION WITH CC $72,703 $58,162 $45,228 +61% $59,537 +22% —
666 PROSTATECTOMY WITH CC $72,623 $58,098 $26,335 +176% $30,016 +142% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $72,593 $58,074 $144,594 −50% $44,973 +61% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $72,024 $57,619 $72,024 +0% $25,666 +181% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $71,349 $57,079 $86,115 −17% $49,065 +45% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $71,130 $56,904 $67,316 +6% $50,139 +42% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $70,853 $56,683 $66,959 +6% $38,836 +82% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $70,442 $56,353 $70,442 +0% $35,453 +99% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $69,519 $55,615 $52,334 +33% $43,775 +59% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $69,247 $55,398 $62,838 +10% $52,313 +32% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $69,196 $55,357 $17,169 +303% $18,126 +282% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $68,868 $55,094 $32,349 +113% $36,080 +91% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $68,468 $54,775 $68,468 +0% $66,819 +2% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $68,050 $54,440 $68,050 +0% $39,018 +74% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $67,470 $53,976 $91,994 −27% $46,430 +45% —
088 CONCUSSION WITH MCC $67,264 $53,811 $31,525 +113% $24,402 +176% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $66,571 $53,257 $45,040 +48% $32,490 +105% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $66,513 $53,210 $83,845 −21% $74,274 −10% ≈108% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $66,157 $52,925 $45,308 +46% $43,586 +52% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $66,095 $52,876 $43,429 +52% $33,490 +97% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $65,959 $52,768 $68,604 −4% $22,275 +196% —
090 CONCUSSION WITHOUT CC/MCC $65,844 $52,675 $30,305 +117% $14,873 +343% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $65,320 $52,256 $58,650 +11% $35,114 +86% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $65,204 $52,163 $24,488 +166% $24,879 +162% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $64,981 $51,985 $243,191 −73% $19,686 +230% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $64,922 $51,938 $98,600 −34% $35,459 +83% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $64,704 $51,763 $64,704 +0% $23,920 +171% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $64,594 $51,675 $64,594 +0% $37,080 +74% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $64,575 $51,660 $54,941 +18% $45,497 +42% —
075 VIRAL MENINGITIS WITH CC/MCC $64,274 $51,419 $38,765 +66% $29,853 +115% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $64,154 $51,323 $91,573 −30% $40,694 +58% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $63,996 $51,197 $49,681 +29% $19,001 +237% —
500 SOFT TISSUE PROCEDURES WITH MCC $63,769 $51,016 $90,626 −30% $57,479 +11% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $63,044 $50,435 $67,860 −7% $51,172 +23% ≈109% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $62,816 $50,253 $37,068 +69% $30,814 +104% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $62,527 $50,021 $35,948 +74% $38,420 +63% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $62,207 $49,766 $62,207 +0% $25,623 +143% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $62,157 $49,726 $72,825 −15% $30,418 +104% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $62,055 $49,644 $48,725 +27% $36,375 +71% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $62,003 $49,602 $44,023 +41% $31,128 +99% ≈107% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $61,786 $49,429 $55,274 +12% $17,195 +259% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $61,521 $49,217 $68,094 −10% $52,405 +17% ≈133% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $61,491 $49,193 $36,735 +67% $48,094 +28% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $61,329 $49,063 $68,020 −10% $87,018 −30% ≈102% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $61,321 $49,057 $150,591 −59% $43,398 +41% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $61,296 $49,037 $52,481 +17% $34,089 +80% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $61,265 $49,012 $61,265 +0% $36,333 +69% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $61,138 $48,910 $61,138 +0% $29,409 +108% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $60,972 $48,777 $69,024 −12% $50,624 +20% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $60,486 $48,389 $60,486 +0% $29,826 +103% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $60,399 $48,319 $36,977 +63% $23,141 +161% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $60,092 $48,073 $89,353 −33% $89,353 −33% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $59,723 $47,779 $62,211 −4% $37,064 +61% ≈101% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $59,642 $47,714 $26,119 +128% $31,019 +92% —
038 EXTRACRANIAL PROCEDURES WITH CC $59,632 $47,706 $58,674 +2% $35,770 +67% —
137 MOUTH PROCEDURES WITH CC/MCC $59,510 $47,608 $59,510 +0% $24,348 +144% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $59,350 $47,480 $90,897 −35% $33,564 +77% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $58,774 $47,019 $50,519 +16% $24,432 +141% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $58,762 $47,010 $74,137 −21% $57,149 +3% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $58,683 $46,946 $55,773 +5% $41,900 +40% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $58,459 $46,767 $59,979 −3% $44,553 +31% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $58,337 $46,670 $58,085 +0% $36,242 +61% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $58,192 $46,554 $119,003 −51% $31,909 +82% —
682 RENAL FAILURE WITH MCC $58,011 $46,409 $31,849 +82% $27,854 +108% ≈108% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $57,649 $46,119 $81,864 −30% $38,382 +50% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $57,244 $45,796 $35,151 +63% $26,020 +120% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $57,191 $45,753 $49,982 +14% $25,854 +121% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $57,162 $45,730 $44,066 +30% $32,502 +76% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $57,021 $45,617 $27,221 +109% $22,532 +153% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $56,965 $45,572 $34,604 +65% $25,162 +126% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $56,587 $45,270 $87,143 −35% $30,930 +83% —
504 FOOT PROCEDURES WITH CC $56,415 $45,132 $36,434 +55% $36,598 +54% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $56,272 $45,018 $67,900 −17% $28,578 +97% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $56,218 $44,974 $63,142 −11% $21,860 +157% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,EXTREME $56,199 $44,959 $82,717 −32% $47,150 +19% —
197 INTERSTITIAL LUNG DISEASE WITH CC $55,973 $44,778 $23,570 +137% $20,106 +178% —
662 MINOR BLADDER PROCEDURES WITH MCC $55,854 $44,683 $118,921 −53% $54,483 +3% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $55,819 $44,655 $45,779 +22% $36,280 +54% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $55,806 $44,645 $42,070 +33% $36,334 +54% —
506 MAJOR THUMB OR JOINT PROCEDURES $55,622 $44,498 $55,622 +0% $28,983 +92% —
592 SKIN ULCERS WITH MCC $55,604 $44,483 $31,986 +74% $32,662 +70% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $55,562 $44,449 $55,562 +0% $27,279 +104% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $55,554 $44,444 $39,542 +40% $25,267 +120% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $55,516 $44,413 $48,803 +14% $22,525 +146% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $55,209 $44,167 $55,209 +0% $36,933 +49% ≈186% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $54,971 $43,977 $72,566 −24% $44,839 +23% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $54,879 $43,903 $49,248 +11% $29,558 +86% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $54,509 $43,607 $50,979 +7% $35,375 +54% ≈117% of Medicare
347 ANAL AND STOMAL PROCEDURES WITH MCC $53,924 $43,139 $78,350 −31% $40,548 +33% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $53,873 $43,099 $53,873 +0% $23,924 +125% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $53,712 $42,969 $46,212 +16% $30,275 +77% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $53,498 $42,798 $36,741 +46% $36,237 +48% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $53,494 $42,795 $39,589 +35% $36,597 +46% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $53,331 $42,665 $53,331 +0% $50,011 +7% ≈111% of Medicare
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $53,198 $42,558 $130,651 −59% $45,290 +17% —
667 PROSTATECTOMY WITHOUT CC/MCC $52,927 $42,341 $16,534 +220% $16,703 +217% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $52,667 $42,134 $50,913 +3% $44,600 +18% ≈105% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $52,600 $42,080 $47,371 +11% $43,266 +22% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $52,430 $41,944 $36,255 +45% $31,059 +69% —
668 TRANSURETHRAL PROCEDURES WITH MCC $52,376 $41,901 $73,806 −29% $47,277 +11% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $51,896 $41,517 $48,171 +8% $31,978 +62% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $51,398 $41,119 $93,524 −45% $38,878 +32% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $51,207 $40,966 $40,048 +28% $32,483 +58% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $51,207 $40,965 $26,819 +91% $26,322 +95% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $51,202 $40,962 $38,595 +33% $37,950 +35% ≈106% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $51,083 $40,866 $47,554 +7% $28,140 +82% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $51,075 $40,860 $49,365 +3% $37,842 +35% ≈107% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $50,975 $40,780 $52,059 −2% $54,313 −6% —
881 DEPRESSIVE NEUROSES $50,905 $40,724 $17,523 +191% $15,058 +238% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $50,724 $40,579 $50,724 +0% $45,622 +11% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $50,589 $40,471 $67,548 −25% $35,014 +44% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $50,428 $40,342 $92,771 −46% $46,402 +9% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $50,332 $40,266 $41,218 +22% $26,146 +93% —
245 AICD GENERATOR PROCEDURES $50,191 $40,153 $50,191 +0% $72,076 −30% —
089 CONCUSSION WITH CC $50,180 $40,144 $47,577 +5% $18,293 +174% —
665 PROSTATECTOMY WITH MCC $50,174 $40,139 $50,174 +0% $54,072 −7% —
102 HEADACHES WITH MCC $50,081 $40,065 $35,629 +41% $22,544 +122% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $50,020 $40,016 $41,055 +22% $29,211 +71% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $50,019 $40,016 $44,033 +14% $33,050 +51% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $49,721 $39,777 $69,265 −28% $32,399 +53% ≈126% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $49,702 $39,761 $30,367 +64% $25,434 +95% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $49,447 $39,558 $49,447 +0% $43,697 +13% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $49,269 $39,415 $39,528 +25% $35,237 +40% ≈103% of Medicare
333 RECTAL RESECTION WITH CC $49,205 $39,364 $554,834 −91% $34,352 +43% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $49,015 $39,212 $38,006 +29% $19,894 +146% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $48,973 $39,178 $27,276 +80% $32,538 +51% —
375 DIGESTIVE MALIGNANCY WITH CC $48,914 $39,132 $35,509 +38% $27,219 +80% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $48,855 $39,084 $48,855 +0% $24,941 +96% —
549 SEPTIC ARTHRITIS WITH CC $48,687 $38,950 $48,687 +0% $20,938 +133% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $48,619 $38,895 $39,982 +22% $27,168 +79% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $48,448 $38,759 $70,302 −31% $24,544 +97% —
811 RED BLOOD CELL DISORDERS WITH MCC $48,361 $38,689 $31,732 +52% $27,934 +73% ≈106% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $48,339 $38,671 $46,042 +5% $20,147 +140% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $48,283 $38,627 $61,034 −21% $33,165 +46% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $48,144 $38,516 $25,688 +87% $30,974 +55% —
100 SEIZURES WITH MCC $48,073 $38,459 $37,837 +27% $35,194 +37% ≈107% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $47,974 $38,379 $102,790 −53% $40,063 +20% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $47,878 $38,302 $46,875 +2% $38,094 +26% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $47,870 $38,296 $27,953 +71% $28,156 +70% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $47,828 $38,262 $47,828 +0% $31,816 +50% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $47,730 $38,184 $35,870 +33% $24,229 +97% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $47,675 $38,140 $63,265 −25% $29,371 +62% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $47,675 $38,140 $15,901 +200% $15,901 +200% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $47,561 $38,049 $48,099 −1% $42,881 +11% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $46,643 $37,314 $46,643 +0% $33,607 +39% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $46,607 $37,285 $19,007 +145% $14,166 +229% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $46,335 $37,068 $37,867 +22% $35,714 +30% ≈109% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $46,272 $37,017 $35,112 +32% $30,910 +50% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $46,255 $37,004 $51,915 −11% $39,747 +16% ≈101% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $46,207 $36,966 $46,207 +0% $17,383 +166% —
501 SOFT TISSUE PROCEDURES WITH CC $46,048 $36,839 $37,750 +22% $37,975 +21% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $45,987 $36,789 $45,987 +0% $24,118 +91% —
571 SKIN DEBRIDEMENT WITH CC $45,903 $36,723 $46,216 −1% $34,901 +32% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $45,756 $36,605 $37,833 +21% $29,729 +54% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $45,748 $36,598 $45,748 +0% $25,786 +77% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $45,484 $36,388 $30,782 +48% $27,492 +65% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $45,469 $36,375 $45,455 +0% $16,352 +178% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $45,391 $36,313 $35,526 +28% $17,715 +156% —
175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MINOR $45,292 $36,234 $38,853 +17% $29,757 +52% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $45,088 $36,070 $30,526 +48% $33,984 +33% —
539 OSTEOMYELITIS WITH MCC $45,071 $36,056 $54,560 −17% $33,746 +34% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $45,030 $36,024 $48,918 −8% $28,527 +58% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $44,837 $35,869 $299,736 −85% $70,735 −37% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $44,383 $35,506 $46,010 −4% $35,673 +24% —
711 TESTES PROCEDURES WITH CC/MCC $44,286 $35,429 $62,922 −30% $34,852 +27% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $44,227 $35,381 $30,882 +43% $32,936 +34% —
181 RESPIRATORY NEOPLASMS WITH CC $44,130 $35,304 $26,398 +67% $22,431 +97% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $44,076 $35,261 $164,864 −73% $52,908 −17% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $44,020 $35,216 $22,957 +92% $15,045 +193% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $43,901 $35,121 $24,528 +79% $18,253 +141% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $43,818 $35,054 $37,392 +17% $28,646 +53% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $43,479 $34,783 $54,126 −20% $33,694 +29% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $43,442 $34,754 $28,004 +55% $30,394 +43% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $43,308 $34,646 $27,677 +56% $24,561 +76% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $43,123 $34,498 $54,668 −21% $37,902 +14% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $43,119 $34,495 $67,320 −36% $54,772 −21% ≈122% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $43,043 $34,434 $41,110 +5% $40,552 +6% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $42,878 $34,303 $97,144 −56% $36,097 +19% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $42,874 $34,300 $35,677 +20% $24,480 +75% ≈110% of Medicare
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $42,870 $34,296 $47,867 −10% $23,734 +81% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $42,804 $34,243 $39,000 +10% $29,374 +46% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $42,720 $34,176 $27,008 +58% $25,208 +69% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $42,422 $33,938 $40,184 +6% $27,369 +55% —
380 COMPLICATED PEPTIC ULCER WITH MCC $42,341 $33,873 $38,425 +10% $36,641 +16% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $42,236 $33,789 $39,935 +6% $40,563 +4% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $42,212 $33,770 $23,429 +80% $20,371 +107% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $41,945 $33,556 $31,625 +33% $21,886 +92% ≈112% of Medicare
697 URETHRAL STRICTURE $41,928 $33,543 $46,477 −10% $17,705 +137% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $41,703 $33,363 $42,379 −2% $17,585 +137% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $41,587 $33,270 $61,301 −32% $32,981 +26% —
180 RESPIRATORY NEOPLASMS WITH MCC $41,436 $33,149 $74,080 −44% $36,658 +13% ≈97% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $41,188 $32,950 $24,816 +66% $24,136 +71% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $41,176 $32,941 $35,519 +16% $31,840 +29% ≈106% of Medicare
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $41,033 $32,826 $78,620 −48% $38,998 +5% —
149 DYSEQUILIBRIUM $41,010 $32,808 $29,050 +41% $17,203 +138% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $40,779 $32,624 $22,503 +81% $25,731 +58% —
813 COAGULATION DISORDERS $40,699 $32,559 $40,699 +0% $30,128 +35% ≈83% of Medicare
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $40,689 $32,552 $34,343 +18% $88,720 −54% —
637 DIABETES WITH MCC $40,648 $32,518 $34,156 +19% $28,819 +41% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $40,615 $32,492 $23,563 +72% $23,723 +71% —
663 MINOR BLADDER PROCEDURES WITH CC $40,478 $32,382 $37,351 +8% $29,924 +35% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $40,438 $32,350 $40,438 +0% $29,916 +35% —
505 FOOT PROCEDURES WITHOUT CC/MCC $40,262 $32,210 $50,588 −20% $31,716 +27% —
696 OTHER CHEMOTHERAPY,MINOR $40,007 $32,006 $17,493 +129% $14,441 +177% —
935 NON-EXTENSIVE BURNS $39,987 $31,989 $31,701 +26% $29,458 +36% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $39,618 $31,694 $22,569 +76% $27,548 +44% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $39,591 $31,673 $40,463 −2% $31,758 +25% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $39,568 $31,655 $34,794 +14% $21,062 +88% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $39,547 $31,638 $32,455 +22% $36,850 +7% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $39,362 $31,489 $30,957 +27% $23,469 +68% ≈111% of Medicare
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $39,273 $31,419 $29,722 +32% $18,803 +109% ≈112% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $39,246 $31,397 $39,169 +0% $34,887 +12% —
184 MAJOR CHEST TRAUMA WITH CC $39,226 $31,381 $27,435 +43% $20,842 +88% ≈111% of Medicare
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $39,219 $31,375 $27,162 +44% $15,764 +149% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $39,215 $31,372 $29,075 +35% $30,006 +31% —
152 OTITIS MEDIA AND URI WITH MCC $39,089 $31,271 $20,317 +92% $19,795 +97% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $39,059 $31,248 $14,096 +177% $15,890 +146% —
312 SYNCOPE AND COLLAPSE $39,019 $31,215 $25,336 +54% $19,342 +102% ≈113% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $38,813 $31,051 $55,499 −30% $38,885 −0% ≈103% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $38,759 $31,007 $38,759 +0% $39,657 −2% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $38,583 $30,867 $29,792 +30% $31,044 +24% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $38,491 $30,793 $27,940 +38% $22,032 +75% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $38,459 $30,767 $31,179 +23% $23,115 +66% ≈115% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $38,428 $30,743 $32,211 +19% $31,846 +21% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $38,249 $30,599 $25,101 +52% $23,571 +62% —
123 NEUROLOGICAL EYE DISORDERS $38,214 $30,571 $15,376 +149% $17,831 +114% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $38,204 $30,563 $36,145 +6% $21,261 +80% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $37,969 $30,375 $21,832 +74% $16,634 +128% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $37,921 $30,337 $37,921 +0% $43,524 −13% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $37,900 $30,320 $30,681 +24% $18,428 +106% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $37,576 $30,061 $29,540 +27% $25,426 +48% ≈98% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $37,499 $29,999 $42,094 −11% $28,134 +33% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $37,395 $29,916 $32,471 +15% $19,569 +91% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $37,389 $29,911 $46,539 −20% $25,307 +48% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $37,277 $29,821 $31,577 +18% $28,252 +32% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $37,187 $29,750 $33,736 +10% $18,478 +101% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $37,123 $29,698 $40,440 −8% $23,350 +59% —
602 CELLULITIS WITH MCC $37,073 $29,658 $35,442 +5% $29,347 +26% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $36,977 $29,582 $79,883 −54% $29,609 +25% —
334 RECTAL RESECTION WITHOUT CC/MCC $36,912 $29,530 $36,912 +0% $32,213 +15% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $36,797 $29,437 $24,303 +51% $12,537 +193% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $36,716 $29,373 $26,886 +37% $17,700 +107% —
865 VIRAL ILLNESS WITH MCC $36,697 $29,358 $36,697 +0% $26,088 +41% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $36,637 $29,310 $21,336 +72% $26,488 +38% ≈109% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $36,627 $29,301 $24,687 +48% $32,689 +12% ≈99% of Medicare
913 TRAUMATIC INJURY WITH MCC $36,618 $29,294 $52,261 −30% $24,198 +51% —
540 OSTEOMYELITIS WITH CC $36,582 $29,265 $17,786 +106% $23,494 +56% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $36,400 $29,120 $37,743 −4% $29,524 +23% —
595 MAJOR SKIN DISORDERS WITH MCC $36,368 $29,094 $52,562 −31% $31,785 +14% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $36,342 $29,074 $21,806 +67% $19,483 +87% ≈115% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $36,295 $29,036 $26,077 +39% $22,231 +63% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $36,202 $28,962 $36,202 +0% $36,202 +0% —
835 ACUTE LEUKEMIA WITH CC $36,186 $28,949 $30,915 +17% $35,569 +2% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $36,178 $28,943 $30,347 +19% $17,226 +110% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $36,177 $28,942 $36,177 +0% $32,204 +12% —
541 OSTEOMYELITIS WITHOUT CC/MCC $36,142 $28,913 $14,335 +152% $14,549 +148% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,906 $28,724 $40,359 −11% $39,409 −9% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $35,852 $28,682 $95,259 −62% $24,036 +49% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $35,800 $28,640 $36,414 −2% $24,316 +47% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $35,790 $28,632 $15,542 +130% $16,837 +113% —
643 ENDOCRINE DISORDERS WITH MCC $35,637 $28,510 $25,187 +41% $32,996 +8% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $35,609 $28,487 $41,707 −15% $31,062 +15% —
381 COMPLICATED PEPTIC ULCER WITH CC $35,563 $28,451 $25,598 +39% $24,177 +47% —
947 SIGNS AND SYMPTOMS WITH MCC $35,557 $28,446 $21,963 +62% $25,474 +40% —
199 PNEUMOTHORAX WITH MCC $35,505 $28,404 $23,929 +48% $31,491 +13% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $35,432 $28,345 $25,875 +37% $20,488 +73% ≈121% of Medicare
186 PLEURAL EFFUSION WITH MCC $35,284 $28,227 $30,885 +14% $32,468 +9% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $34,921 $27,937 $48,975 −29% $41,380 −16% —
304 HYPERTENSION WITH MCC $34,835 $27,868 $35,353 −1% $24,185 +44% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $34,718 $27,774 $34,718 +0% $28,375 +22% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $34,542 $27,633 $22,608 +53% $22,781 +52% ≈113% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $34,520 $27,616 $26,190 +32% $23,396 +48% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $34,431 $27,545 $34,431 +0% $19,287 +79% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $34,244 $27,395 $34,401 −0% $30,314 +13% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $34,235 $27,388 $34,235 +0% $17,483 +96% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $34,177 $27,341 $34,177 +0% $29,476 +16% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $34,150 $27,320 $29,881 +14% $27,244 +25% ≈110% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $34,121 $27,297 $36,515 −7% $28,967 +18% ≈107% of Medicare
644 ENDOCRINE DISORDERS WITH CC $33,982 $27,185 $24,634 +38% $22,941 +48% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $33,850 $27,080 $35,613 −5% $22,713 +49% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $33,771 $27,017 $19,998 +69% $17,522 +93% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $33,719 $26,975 $24,435 +38% $14,337 +135% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $33,635 $26,908 $18,520 +82% $17,731 +90% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $33,634 $26,908 $13,125 +156% $12,650 +166% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $33,498 $26,798 $38,640 −13% $38,357 −13% ≈104% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $33,473 $26,778 $33,374 +0% $19,579 +71% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $33,336 $26,669 $34,893 −4% $22,982 +45% ≈103% of Medicare
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $33,129 $26,503 $15,427 +115% $12,405 +167% —
348 ANAL AND STOMAL PROCEDURES WITH CC $33,111 $26,489 $35,108 −6% $27,947 +18% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $33,025 $26,420 $33,025 +0% $48,907 −32% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $32,876 $26,301 $30,436 +8% $30,058 +9% ≈108% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $32,827 $26,261 $20,351 +61% $20,777 +58% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $32,799 $26,240 $25,058 +31% $26,158 +25% ≈106% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $32,706 $26,165 $22,651 +44% $29,484 +11% —
302 ATHEROSCLEROSIS WITH MCC $32,604 $26,083 $33,976 −4% $20,844 +56% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $32,352 $25,882 $23,602 +37% $21,213 +53% ≈123% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $32,338 $25,870 $25,069 +29% $19,317 +67% —
949 AFTERCARE WITH CC/MCC $32,136 $25,709 $20,718 +55% $23,953 +34% —
885 PSYCHOSES $32,069 $25,655 $21,489 +49% $21,489 +49% ≈107% of Medicare
906 HAND PROCEDURES FOR INJURIES $32,065 $25,652 $40,612 −21% $31,520 +2% —
291 HEART FAILURE AND SHOCK WITH MCC $32,011 $25,609 $27,270 +17% $25,020 +28% ≈107% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $31,991 $25,593 $24,931 +28% $20,084 +59% —
305 HYPERTENSION WITHOUT MCC $31,870 $25,496 $18,521 +72% $17,144 +86% ≈121% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $31,820 $25,456 $25,169 +26% $24,017 +32% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $31,697 $25,358 $23,795 +33% $18,238 +74% —
593 SKIN ULCERS WITH CC $31,680 $25,344 $29,687 +7% $20,470 +55% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $31,630 $25,304 $44,911 −30% $30,766 +3% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $31,151 $24,921 $31,520 −1% $24,452 +27% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $31,117 $24,894 $26,489 +17% $22,850 +36% ≈105% of Medicare
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $31,033 $24,827 $30,729 +1% $33,424 −7% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $30,920 $24,736 $36,099 −14% $28,780 +7% ≈116% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $30,673 $24,538 $24,741 +24% $21,545 +42% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $30,610 $24,488 $15,702 +95% $14,128 +117% —
920 COMPLICATIONS OF TREATMENT WITH CC $30,600 $24,480 $30,061 +2% $21,181 +44% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $30,579 $24,463 $17,707 +73% $16,571 +85% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $30,523 $24,418 $25,128 +21% $15,876 +92% —
176 PULMONARY EMBOLISM WITHOUT MCC $30,501 $24,401 $25,421 +20% $18,081 +69% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $30,441 $24,353 $30,441 +0% $24,202 +26% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $30,355 $24,284 $24,794 +22% $18,918 +60% ≈118% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $30,184 $24,147 $30,184 +0% $15,869 +90% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $30,171 $24,137 $29,170 +3% $15,600 +93% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $30,148 $24,118 $26,910 +12% $20,463 +47% ≈114% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $30,123 $24,098 $26,710 +13% $21,029 +43% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,074 $24,059 $15,608 +93% $15,608 +93% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $30,056 $24,045 $61,161 −51% $19,598 +53% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $30,039 $24,031 $23,532 +28% $21,806 +38% ≈113% of Medicare
103 HEADACHES WITHOUT MCC $29,873 $23,898 $29,873 +0% $20,111 +49% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $29,841 $23,873 $29,841 +0% $18,017 +66% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $29,813 $23,851 $30,980 −4% $30,358 −2% ≈110% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $29,710 $23,768 $24,102 +23% $19,096 +56% ≈102% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $29,529 $23,623 $73,902 −60% $44,989 −34% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $29,456 $23,565 $29,456 +0% $29,805 −1% —
204 RESPIRATORY SIGNS AND SYMPTOMS $29,383 $23,506 $16,866 +74% $16,866 +74% —
101 SEIZURES WITHOUT MCC $29,303 $23,442 $21,606 +36% $19,954 +47% ≈119% of Medicare
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $29,245 $23,396 $18,608 +57% $17,367 +68% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $29,070 $23,256 $12,501 +133% $12,797 +127% —
864 FEVER AND INFLAMMATORY CONDITIONS $29,017 $23,214 $27,616 +5% $17,412 +67% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $28,953 $23,163 $26,429 +10% $16,654 +74% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $28,885 $23,108 $14,865 +94% $14,444 +100% —
607 MINOR SKIN DISORDERS WITHOUT MCC $28,782 $23,026 $19,551 +47% $15,284 +88% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,693 $22,955 $30,210 −5% $35,139 −18% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $28,401 $22,721 $27,670 +3% $18,608 +53% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $28,352 $22,682 $28,352 +0% $20,741 +37% —
603 CELLULITIS WITHOUT MCC $28,155 $22,524 $16,191 +74% $18,530 +52% ≈112% of Medicare
200 PNEUMOTHORAX WITH CC $28,074 $22,459 $27,413 +2% $20,573 +36% —
150 EPISTAXIS WITH MCC $28,054 $22,443 $28,109 −0% $21,133 +33% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $28,047 $22,438 $28,047 +0% $20,421 +37% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $28,027 $22,422 $19,942 +41% $20,732 +35% ≈108% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $28,022 $22,418 $25,860 +8% $20,727 +35% —
849 RADIOTHERAPY $27,960 $22,368 $36,343 −23% $37,862 −26% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $27,893 $22,314 $31,068 −10% $19,854 +40% —
292 HEART FAILURE AND SHOCK WITH CC $27,884 $22,307 $13,647 +104% $16,212 +72% —
187 PLEURAL EFFUSION WITH CC $27,859 $22,287 $27,513 +1% $21,467 +30% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $27,717 $22,174 $25,214 +10% $14,134 +96% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $27,705 $22,164 $26,493 +5% $18,204 +52% ≈115% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $27,577 $22,061 $27,577 +0% $17,550 +57% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $27,570 $22,056 $28,389 −3% $18,002 +53% ≈109% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $27,227 $21,782 $15,800 +72% $14,927 +82% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $27,203 $21,762 $23,984 +13% $22,560 +21% —
313 CHEST PAIN $27,090 $21,672 $16,104 +68% $15,962 +70% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $27,008 $21,607 $33,537 −19% $20,968 +29% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $26,912 $21,530 $24,065 +12% $19,815 +36% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $26,820 $21,456 $17,602 +52% $18,459 +45% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $26,812 $21,450 $27,603 −3% $23,749 +13% ≈132% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $26,696 $21,356 $26,696 +0% $21,449 +24% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $26,465 $21,172 $26,962 −2% $18,191 +45% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $26,396 $21,117 $26,772 −1% $19,868 +33% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $26,379 $21,103 $15,153 +74% $16,865 +56% ≈115% of Medicare
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE $26,366 $21,093 $26,366 — $31,203 −15% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,355 $21,084 $64,158 −59% $30,661 −14% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $26,324 $21,059 $26,324 +0% $26,634 −1% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $26,287 $21,030 $14,282 +84% $16,745 +57% ≈118% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $26,243 $20,995 $28,434 −8% $31,190 −16% ≈109% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $26,105 $20,884 $14,744 +77% $12,279 +113% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $26,032 $20,826 $12,242 +113% $16,156 +61% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $25,903 $20,722 $25,997 −0% $23,496 +10% ≈108% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $25,801 $20,641 $31,404 −18% $19,073 +35% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $25,792 $20,634 $21,730 +19% $22,024 +17% ≈133% of Medicare
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $25,780 $20,624 $25,780 — $37,084 −30% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $25,524 $20,419 $17,756 +44% $12,013 +112% —
915 ALLERGIC REACTIONS WITH MCC $25,476 $20,380 $42,047 −39% $30,944 −18% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $25,440 $20,352 $37,504 −32% $13,586 +87% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $25,400 $20,320 $25,400 +0% $14,208 +79% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $25,371 $20,296 $20,065 +26% $17,273 +47% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $25,293 $20,234 $25,293 +0% $11,909 +112% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $25,237 $20,190 $24,673 +2% $27,118 −7% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $25,134 $20,107 $45,326 −45% $11,997 +109% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $24,963 $19,970 $19,234 +30% $12,336 +102% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $24,944 $19,955 $21,322 +17% $17,322 +44% ≈117% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $24,910 $19,928 $18,190 +37% $18,278 +36% ≈108% of Medicare
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $24,475 $19,580 $14,787 +66% $15,072 +62% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $24,452 $19,562 $16,800 +46% $14,012 +75% —
693 URINARY STONES WITH MCC $24,432 $19,546 $47,160 −48% $22,525 +8% —
779 ABORTION WITHOUT D&C $24,417 $19,534 $19,258 +27% $15,327 +59% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $24,266 $19,413 $19,855 +22% $17,388 +40% ≈119% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $24,190 $19,352 $22,381 +8% $24,190 +0% ≈107% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $24,176 $19,341 $32,430 −25% $16,418 +47% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,079 $19,263 $20,088 +20% $17,928 +34% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $24,045 $19,236 $16,602 +45% $16,049 +50% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $23,996 $19,197 $23,996 +0% $20,080 +20% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $23,962 $19,170 $22,557 +6% $18,282 +31% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $23,866 $19,093 $28,214 −15% $15,077 +58% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $23,824 $19,059 $16,819 +42% $17,466 +36% ≈112% of Medicare
683 RENAL FAILURE WITH CC $23,801 $19,041 $23,801 +0% $18,620 +28% ≈117% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $23,746 $18,996 $18,465 +29% $16,391 +45% —
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MINOR $23,570 $18,856 $23,570 +0% $19,454 +21% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $23,318 $18,654 $19,939 +17% $17,727 +32% —
638 DIABETES WITH CC $23,250 $18,600 $19,661 +18% $18,821 +24% ≈107% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $23,128 $18,502 $10,783 +114% $13,824 +67% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $23,112 $18,490 $23,112 +0% $24,450 −5% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $23,092 $18,474 $23,092 +0% $16,642 +39% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $22,883 $18,307 $37,556 −39% $15,858 +44% —
694 URINARY STONES WITHOUT MCC $22,651 $18,120 $18,170 +25% $16,531 +37% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $22,477 $17,982 $23,715 −5% $20,007 +12% ≈111% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $22,434 $17,948 $22,434 +0% $19,091 +18% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $22,424 $17,939 $24,651 −9% $24,022 −7% ≈109% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $22,344 $17,875 $23,560 −5% $14,861 +50% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $22,281 $17,825 $51,342 −57% $16,495 +35% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $21,934 $17,547 $23,322 −6% $11,071 +98% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $21,902 $17,521 $21,902 +0% $23,956 −9% —
684 RENAL FAILURE WITHOUT CC/MCC $21,772 $17,418 $14,416 +51% $13,623 +60% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $21,757 $17,406 $32,570 −33% $17,943 +21% —
914 TRAUMATIC INJURY WITHOUT MCC $21,603 $17,282 $20,845 +4% $15,593 +39% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $21,472 $17,177 $28,128 −24% $19,305 +11% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $21,458 $17,167 $20,643 +4% $11,955 +79% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $21,293 $17,034 $21,817 −2% $16,104 +32% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $21,056 $16,844 $22,258 −5% $15,607 +35% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $21,033 $16,826 $20,809 +1% $15,070 +40% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $20,919 $16,735 $23,342 −10% $13,385 +56% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $20,711 $16,569 $18,488 +12% $14,110 +47% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $20,641 $16,513 $14,410 +43% $14,368 +44% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $20,399 $16,319 $21,114 −3% $15,636 +30% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $20,286 $16,229 $20,286 +0% $24,836 −18% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $20,113 $16,091 $14,342 +40% $15,655 +28% —
158 DENTAL AND ORAL DISEASES WITH CC $20,087 $16,070 $20,087 +0% $17,700 +13% —
882 NEUROSES EXCEPT DEPRESSIVE $20,082 $16,066 $14,170 +42% $15,680 +28% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,079 $16,063 $24,638 −19% $18,133 +11% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $20,077 $16,062 $14,635 +37% $13,384 +50% ≈138% of Medicare
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $20,053 $16,042 $12,288 +63% $10,975 +83% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $19,871 $15,897 $41,201 −52% $16,776 +18% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $19,821 $15,857 $35,831 −45% $13,654 +45% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,702 $15,762 $77,745 −75% $17,193 +15% —
044 INTRACRANIAL HEMORRHAGE,MAJOR $19,666 $15,733 $19,666 — $85,065 −77% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $19,615 $15,692 $20,716 −5% $14,880 +32% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $19,365 $15,492 $18,940 +2% $13,892 +39% —
311 ANGINA PECTORIS $18,803 $15,042 $35,368 −47% $15,165 +24% —
153 OTITIS MEDIA AND URI WITHOUT MCC $18,755 $15,004 $18,755 +0% $14,473 +30% —
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MODERATE $18,357 $14,686 $18,357 +0% $20,610 −11% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $18,288 $14,631 $28,478 −36% $18,623 −2% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $18,275 $14,620 $14,096 +30% $13,318 +37% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $18,228 $14,582 $37,028 −51% $16,212 +12% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $18,139 $14,511 $18,512 −2% $13,485 +35% —
775 ALCOHOL ABUSE AND DEPENDENCE,MODERATE $18,104 $14,483 $16,183 +12% $3,242 +458% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $18,082 $14,466 $18,082 +0% $15,474 +17% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $17,925 $14,340 $12,265 +46% $12,895 +39% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $17,619 $14,095 $57,278 −69% $20,309 −13% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $17,446 $13,957 $19,781 −12% $16,719 +4% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $17,384 $13,907 $51,515 −66% $54,196 −68% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $17,347 $13,878 $16,200 +7% $12,593 +38% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $17,248 $13,798 $25,986 −34% $13,198 +31% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $17,108 $13,687 $15,390 +11% $17,108 +0% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $17,083 $13,666 $72,028 −76% $25,010 −32% —
950 AFTERCARE WITHOUT CC/MCC $16,966 $13,573 $40,763 −58% $13,527 +25% —
533 FRACTURES OF FEMUR WITH MCC $16,850 $13,480 $72,401 −77% $25,945 −35% —
919 COMPLICATIONS OF TREATMENT WITH MCC $16,813 $13,451 $24,805 −32% $29,031 −42% ≈106% of Medicare
639 DIABETES WITHOUT CC/MCC $16,811 $13,449 $18,483 −9% $13,910 +21% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $16,784 $13,427 $33,475 −50% $13,368 +26% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $16,475 $13,180 $14,284 +15% $9,385 +76% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MINOR $16,203 $12,962 $16,203 — $51,822 −69% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $15,910 $12,728 $18,753 −15% $17,103 −7% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,700 $12,560 $19,388 −19% $19,354 −19% —
916 ALLERGIC REACTIONS WITHOUT MCC $15,633 $12,507 $15,633 +0% $13,890 +13% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,350 $12,280 $31,873 −52% $40,065 −62% —
151 EPISTAXIS WITHOUT MCC $15,177 $12,141 $14,104 +8% $13,032 +16% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,092 $12,074 $26,584 −43% $22,698 −34% —
594 SKIN ULCERS WITHOUT CC/MCC $14,513 $11,610 $23,114 −37% $14,209 +2% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,998 $11,198 $20,830 −33% $11,421 +23% —
712 TESTES PROCEDURES WITHOUT CC/MCC $13,743 $10,994 $90,408 −85% $18,898 −27% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $13,720 $10,976 $17,166 −20% $18,291 −25% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $13,696 $10,956 $12,347 +11% $12,044 +14% —
999 UNGROUPABLE $13,627 $10,902 $35,704 −62% $28,822 −53% —
201 PNEUMOTHORAX WITHOUT CC/MCC $13,451 $10,761 $14,485 −7% $13,081 +3% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $13,350 $10,680 $59,969 −78% $11,847 +13% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,263 $10,610 $17,082 −22% $15,370 −14% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,975 $9,580 $14,132 −15% $12,381 −3% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,509 $9,207 $13,652 −16% $13,090 −12% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,282 $9,026 $79,522 −86% $42,126 −73% —
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MINOR $10,859 $8,687 $10,859 — $31,241 −65% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,295 $7,436 $10,317 −10% $9,076 +2% —
247 INTESTINAL OBSTRUCTION,MINOR $8,508 $6,807 $14,516 −41% $21,663 −61% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $8,407 $6,725 $16,565 −49% $11,633 −28% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,866 $6,293 $10,480 −25% $10,039 −22% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $7,633 $6,106 $112,292 −93% $19,132 −60% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,077 $5,661 $10,706 −34% $7,961 −11% —
581 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE,MINOR $6,374 $5,099 $29,013 −78% $25,243 −75% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,154 $4,123 $8,148 −37% $14,055 −63% —
791 PREMATURITY WITH MAJOR PROBLEMS $5,086 $4,069 $42,679 −88% $39,563 −87% —
795 NORMAL NEWBORN $4,866 $3,892 $3,796 +28% $4,530 +7% —
561 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,MINOR $4,360 $3,488 $13,806 −68% $18,150 −76% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $3,858 $3,086 $78,810 −95% $80,018 −95% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,657 $2,926 $28,026 −87% $14,284 −74% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,162 $2,530 $19,484 −84% $14,064 −78% —
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