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 $430,185 +90% $208,939 +292% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $606,157 $484,926 $1,694,305 −64% $461,389 +31% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $509,023 $407,218 $149,564 +240% $194,769 +161% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $436,916 $349,533 $138,008 +217% $148,832 +194% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $421,238 $336,991 $431,251 −2% $70,177 +500% —
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 $384,339 +1% $371,366 +5% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $343,342 $274,674 $175,556 +96% $76,219 +350% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $312,843 $250,274 $499,382 −37% $196,346 +59% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $311,620 $249,296 $286,246 +9% $132,794 +135% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $281,849 $225,479 $281,849 +0% $83,441 +238% —
231 CORONARY BYPASS WITH PTCA WITH MCC $275,944 $220,755 $583,195 −53% $147,227 +87% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $274,467 $219,574 $274,467 +0% $125,242 +119% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $272,701 $218,161 $426,949 −36% $102,600 +166% —
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,EXTREME $272,217 $217,774 $34,877 +681% $26,436 +930% —
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 $250,535 +0% $120,573 +108% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $249,591 $199,673 $305,730 −18% $188,171 +33% —
654 MAJOR BLADDER PROCEDURES WITH CC $244,759 $195,807 $103,575 +136% $58,274 +320% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $234,847 $187,878 $212,913 +10% $144,569 +62% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $233,199 $186,559 $88,566 +163% $88,566 +163% —
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% $248,521 −7% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $229,324 $183,459 $140,076 +64% $90,775 +153% ≈109% of Medicare
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $217,830 $174,264 $217,830 +0% $50,919 +328% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $216,697 $173,357 $77,506 +180% $73,120 +196% —
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 $38,043 +457% $41,620 +409% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $211,531 $169,225 $58,712 +260% $52,075 +306% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $210,591 $168,473 $210,591 +0% $90,401 +133% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $210,217 $168,173 $210,217 +0% $102,128 +106% —
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% $82,218 +149% —
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 $172,907 +16% $142,326 +41% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $200,042 $160,034 $200,042 +0% $102,573 +95% —
037 EXTRACRANIAL PROCEDURES WITH MCC $195,037 $156,029 $150,741 +29% $66,666 +193% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $190,162 $152,130 $157,747 +21% $99,423 +91% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $189,608 $151,686 $189,608 +0% $72,424 +162% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $189,242 $151,393 $166,484 +14% $87,761 +116% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $185,336 $148,269 $169,413 +9% $111,320 +66% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $178,834 $143,067 $297,710 −40% $123,995 +44% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $178,432 $142,746 $178,432 +0% $81,998 +118% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $177,531 $142,025 $250,945 −29% $86,970 +104% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $176,093 $140,874 $209,116 −16% $90,724 +94% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $171,726 $137,381 $107,205 +60% $93,238 +84% —
028 SPINAL PROCEDURES WITH MCC $165,843 $132,675 $350,420 −53% $113,077 +47% —
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 $171,771 −6% $104,583 +54% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $160,856 $128,685 $160,856 +0% $82,247 +96% ≈110% of Medicare
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $158,333 $126,666 $132,625 +19% $34,906 +354% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $158,308 $126,646 $237,283 −33% $115,839 +37% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $158,202 $126,562 $178,236 −11% $92,217 +72% ≈94% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $157,841 $126,273 $157,841 +0% $70,371 +124% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $156,374 $125,099 $156,374 +0% $49,423 +216% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $155,398 $124,318 $130,154 +19% $105,899 +47% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $155,149 $124,119 $145,381 +7% $153,282 +1% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $153,968 $123,175 $76,350 +102% $71,795 +114% —
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% $62,583 +140% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $150,326 $120,261 $249,573 −40% $49,839 +202% —
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 $338,732 −56% $79,836 +86% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $146,923 $117,539 $160,685 −9% $85,159 +73% —
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% $32,574 +346% —
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 $257,334 −44% $108,472 +33% —
471 CERVICAL SPINAL FUSION WITH MCC $143,392 $114,713 $81,285 +76% $92,515 +55% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $143,271 $114,616 $143,271 +0% $101,576 +41% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $142,134 $113,707 $133,524 +6% $79,225 +79% —
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% $96,507 +46% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $140,094 $112,075 $92,980 +51% $45,866 +205% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $139,491 $111,593 $67,258 +107% $36,988 +277% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $139,055 $111,244 $147,417 −6% $50,498 +175% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,007 $109,605 $110,367 +24% $126,098 +9% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $136,512 $109,209 $77,879 +75% $75,573 +81% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $136,034 $108,828 $70,748 +92% $99,943 +36% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $132,961 $106,369 $86,280 +54% $47,945 +177% —
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% $70,564 +84% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $129,738 $103,791 $72,225 +80% $62,264 +108% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $129,152 $103,322 $137,693 −6% $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% $32,443 +295% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $128,119 $102,495 $77,976 +64% $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 $121,677 +4% $63,171 +100% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $126,145 $100,916 $177,080 −29% $68,639 +84% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $124,403 $99,522 $102,620 +21% $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% $71,092 +74% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $123,781 $99,025 $67,452 +84% $88,050 +41% ≈113% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $122,711 $98,169 $122,711 +0% $70,847 +73% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $121,792 $97,433 $90,735 +34% $79,116 +54% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $121,101 $96,881 $122,370 −1% $82,561 +47% ≈108% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $121,088 $96,870 $121,088 +0% $47,789 +153% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $121,016 $96,813 $170,924 −29% $59,031 +105% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $120,763 $96,610 $136,853 −12% $46,727 +158% —
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 $177,248 −32% $74,755 +61% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $120,268 $96,215 $132,947 −10% $71,014 +69% —
834 ACUTE LEUKEMIA WITH MCC $120,099 $96,079 $103,811 +16% $85,566 +40% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $119,665 $95,732 $66,511 +80% $39,887 +200% —
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 $99,897 +15% $65,325 +76% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $114,697 $91,757 $105,590 +9% $77,817 +47% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $113,929 $91,143 $245,526 −54% $72,962 +56% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $113,813 $91,050 $125,410 −9% $35,849 +217% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $113,780 $91,024 $67,871 +68% $76,001 +50% —
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% $90,195 +25% ≈101% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $112,031 $89,625 $44,272 +153% $26,598 +321% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $111,889 $89,511 $113,871 −2% $96,192 +16% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $111,070 $88,856 $140,683 −21% $32,833 +238% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $110,937 $88,749 $30,860 +259% $42,906 +159% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $110,501 $88,401 $99,541 +11% $65,653 +68% ≈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% $57,454 +91% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $108,941 $87,152 $72,811 +50% $43,800 +149% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $108,015 $86,412 $108,015 +0% $42,415 +155% —
139 SALIVARY GLAND PROCEDURES $107,546 $86,037 $79,446 +35% $23,612 +355% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $107,486 $85,989 $176,407 −39% $35,831 +200% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $107,210 $85,768 $107,210 +0% $74,257 +44% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $106,476 $85,181 $56,468 +89% $42,914 +148% —
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% $65,788 +61% —
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 $95,470 +9% $58,975 +76% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $103,803 $83,043 $73,489 +41% $80,793 +28% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $103,289 $82,631 $67,092 +54% $68,653 +50% —
263 VEIN LIGATION AND STRIPPING $103,068 $82,454 $103,068 +0% $51,253 +101% —
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 $86,056 +19% $60,170 +70% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $102,190 $81,752 $74,070 +38% $66,685 +53% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $102,081 $81,665 $144,482 −29% $93,390 +9% —
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 $114,860 −12% $31,170 +225% —
133 RESPIRATORY FAILURE,EXTREME $101,215 $80,972 $56,370 +80% $38,305 +164% —
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 $110,896 −10% $70,467 +41% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,432 $79,546 $112,005 −11% $35,584 +179% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $99,202 $79,362 $79,923 +24% $32,031 +210% —
551 MEDICAL BACK PROBLEMS WITH MCC $99,106 $79,285 $36,807 +169% $34,017 +191% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $99,014 $79,211 $102,924 −4% $89,207 +11% —
113 ORBITAL PROCEDURES WITH CC/MCC $97,932 $78,346 $117,456 −17% $36,167 +171% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $96,854 $77,483 $67,997 +42% $59,790 +62% —
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 $96,162 +0% $71,755 +34% —
887 OTHER MENTAL DISORDER DIAGNOSES $95,948 $76,758 $95,948 +0% $20,616 +365% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $95,932 $76,746 $97,437 −2% $65,608 +46% —
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% $60,407 +57% —
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% $101,510 −8% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $92,880 $74,304 $92,880 +0% $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 $95,155 −3% $61,470 +50% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $91,986 $73,589 $99,021 −7% $59,500 +55% ≈103% of Medicare
252 OTHER VASCULAR PROCEDURES WITH MCC $91,959 $73,567 $73,390 +25% $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% $33,393 +175% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $91,930 $73,544 $156,459 −41% $58,745 +56% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $90,925 $72,740 $77,402 +17% $48,682 +87% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $90,612 $72,490 $34,740 +161% $27,633 +228% —
343 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MODERATE $90,045 $72,036 $12,948 +595% $12,397 +626% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $89,704 $71,763 $89,704 +0% $43,631 +106% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $89,619 $71,695 $45,730 +96% $39,211 +129% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $89,280 $71,424 $69,047 +29% $45,167 +98% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $89,169 $71,336 $54,572 +63% $44,606 +100% ≈124% of Medicare
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $89,065 $71,252 $89,065 +0% $59,594 +49% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $88,961 $71,169 $75,930 +17% $50,046 +78% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $88,687 $70,950 $60,102 +48% $19,594 +353% —
183 MAJOR CHEST TRAUMA WITH MCC $88,391 $70,713 $49,133 +80% $29,933 +195% —
164 MAJOR CHEST PROCEDURES WITH CC $88,385 $70,708 $86,329 +2% $56,755 +56% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $88,284 $70,627 $355,369 −75% $69,743 +27% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $88,081 $70,465 $76,694 +15% $59,651 +48% ≈100% of Medicare
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $87,925 $70,340 $53,400 +65% $47,737 +84% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $87,353 $69,882 $35,009 +150% $21,056 +315% —
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% $84,692 +2% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $86,209 $68,967 $82,087 +5% $77,990 +11% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $86,140 $68,912 $72,800 +18% $25,581 +237% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $85,662 $68,530 $128,979 −34% $47,583 +80% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $85,352 $68,282 $76,440 +12% $101,618 −16% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $85,156 $68,124 $85,156 +0% $43,174 +97% —
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% $14,797 +471% —
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% $67,268 +25% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $84,071 $67,257 $157,246 −47% $56,964 +48% —
398 APPENDIX PROCEDURES WITH CC $84,042 $67,234 $51,963 +62% $40,162 +109% —
397 APPENDIX PROCEDURES WITH MCC $84,031 $67,225 $66,179 +27% $53,257 +58% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $83,836 $67,068 $83,836 +0% $41,422 +102% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $83,379 $66,704 $47,856 +74% $50,394 +65% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $82,815 $66,252 $118,201 −30% $55,289 +50% —
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% $63,928 +28% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $81,722 $65,378 $112,577 −27% $66,711 +23% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $81,672 $65,338 $76,639 +7% $25,712 +218% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $81,269 $65,015 $65,542 +24% $47,711 +70% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $80,382 $64,306 $151,112 −47% $53,864 +49% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $80,184 $64,147 $57,943 +38% $32,100 +150% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $80,038 $64,030 $79,339 +1% $59,421 +35% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $79,950 $63,960 $24,729 +223% $26,580 +201% ≈107% of Medicare
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $79,795 $63,836 $65,383 +22% $66,068 +21% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $79,453 $63,563 $48,760 +63% $64,523 +23% —
669 TRANSURETHRAL PROCEDURES WITH CC $79,011 $63,209 $34,464 +129% $34,354 +130% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $78,623 $62,898 $78,623 +0% $37,267 +111% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $78,452 $62,762 $91,613 −14% $59,629 +32% —
336 PERITONEAL ADHESIOLYSIS WITH CC $78,344 $62,675 $78,344 +0% $50,463 +55% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $78,280 $62,624 $122,833 −36% $44,363 +76% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $78,122 $62,498 $80,877 −3% $51,985 +50% ≈110% of Medicare
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT,MAJOR $77,733 $62,186 $43,145 +80% $16,450 +373% —
503 FOOT PROCEDURES WITH MCC $77,559 $62,047 $77,559 +0% $47,540 +63% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $77,322 $61,858 $74,652 +4% $54,583 +42% —
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 $76,621 +0% $34,535 +122% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $76,581 $61,265 $18,981 +303% $30,242 +153% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $76,545 $61,236 $118,045 −35% $46,340 +65% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $76,344 $61,075 $76,344 +0% $29,126 +162% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $76,034 $60,827 $82,127 −7% $46,090 +65% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $75,802 $60,642 $75,802 +0% $25,073 +202% —
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% $36,253 +105% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $74,375 $59,500 $66,989 +11% $59,533 +25% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $74,316 $59,453 $67,119 +11% $49,351 +51% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $74,129 $59,303 $58,571 +27% $36,505 +103% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $74,065 $59,252 $77,958 −5% $43,298 +71% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $74,014 $59,211 $72,502 +2% $58,280 +27% ≈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 $76,563 −4% $50,607 +44% ≈106% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $72,869 $58,295 $49,728 +47% $17,698 +312% —
157 DENTAL AND ORAL DISEASES WITH MCC $72,824 $58,259 $72,824 +0% $31,300 +133% —
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% $31,906 +128% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $72,593 $58,074 $144,594 −50% $51,746 +40% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $72,024 $57,619 $72,024 +0% $27,119 +166% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $71,349 $57,079 $86,115 −17% $52,036 +37% —
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 $68,906 +3% $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% $44,139 +58% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $69,247 $55,398 $62,838 +10% $53,451 +30% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $69,196 $55,357 $17,169 +303% $22,314 +210% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $68,868 $55,094 $32,349 +113% $40,060 +72% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $68,468 $54,775 $91,060 −25% $71,464 −4% —
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 $123,449 −45% $49,066 +38% —
088 CONCUSSION WITH MCC $67,264 $53,811 $49,394 +36% $24,402 +176% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $66,571 $53,257 $66,571 +0% $34,749 +92% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $66,513 $53,210 $83,845 −21% $81,706 −19% ≈108% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $66,157 $52,925 $49,303 +34% $48,349 +37% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $66,095 $52,876 $43,429 +52% $35,074 +88% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $65,959 $52,768 $71,179 −7% $23,498 +181% —
090 CONCUSSION WITHOUT CC/MCC $65,844 $52,675 $30,305 +117% $15,412 +327% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $65,320 $52,256 $58,650 +11% $36,792 +78% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $65,204 $52,163 $24,488 +166% $25,703 +154% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $64,981 $51,985 $243,653 −73% $19,686 +230% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $64,922 $51,938 $130,829 −50% $40,562 +60% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $64,704 $51,763 $64,704 +0% $27,989 +131% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $64,594 $51,675 $64,594 +0% $40,108 +61% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $64,575 $51,660 $54,941 +18% $50,618 +28% —
075 VIRAL MENINGITIS WITH CC/MCC $64,274 $51,419 $38,765 +66% $30,447 +111% —
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 $63,996 +0% $19,962 +221% —
500 SOFT TISSUE PROCEDURES WITH MCC $63,769 $51,016 $95,436 −33% $61,872 +3% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $63,044 $50,435 $67,860 −7% $52,751 +20% ≈109% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $62,816 $50,253 $39,656 +58% $31,951 +97% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $62,527 $50,021 $35,948 +74% $43,650 +43% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $62,207 $49,766 $62,207 +0% $28,125 +121% —
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 $56,452 +10% $37,387 +66% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $62,003 $49,602 $45,307 +37% $34,273 +81% ≈107% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $61,786 $49,429 $55,274 +12% $17,559 +252% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $61,521 $49,217 $69,799 −12% $52,405 +17% ≈133% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $61,491 $49,193 $38,216 +61% $52,178 +18% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $61,329 $49,063 $66,817 −8% $93,172 −34% ≈102% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $61,321 $49,057 $202,258 −70% $43,913 +40% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $61,296 $49,037 $52,481 +17% $35,030 +75% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $61,265 $49,012 $61,265 +0% $36,354 +69% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $61,138 $48,910 $61,138 +0% $31,563 +94% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $60,972 $48,777 $60,972 +0% $50,624 +20% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $60,486 $48,389 $78,010 −22% $29,826 +103% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $60,399 $48,319 $38,735 +56% $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% $41,892 +43% ≈101% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $59,642 $47,714 $26,119 +128% $31,346 +90% —
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% $27,861 +114% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $59,350 $47,480 $90,897 −35% $39,515 +50% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $58,774 $47,019 $50,519 +16% $24,944 +136% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $58,762 $47,010 $74,137 −21% $58,707 +0% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $58,683 $46,946 $58,683 +0% $45,333 +29% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $58,459 $46,767 $59,979 −3% $45,877 +27% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $58,337 $46,670 $58,337 +0% $38,101 +53% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $58,192 $46,554 $119,003 −51% $34,276 +70% —
682 RENAL FAILURE WITH MCC $58,011 $46,409 $32,015 +81% $29,064 +100% ≈108% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $57,649 $46,119 $81,864 −30% $41,608 +39% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $57,244 $45,796 $46,197 +24% $27,617 +107% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $57,191 $45,753 $53,587 +7% $27,394 +109% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $57,162 $45,730 $44,066 +30% $32,628 +75% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $57,021 $45,617 $27,221 +109% $21,230 +169% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $56,965 $45,572 $34,934 +63% $27,843 +105% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $56,587 $45,270 $89,000 −36% $34,607 +64% —
504 FOOT PROCEDURES WITH CC $56,415 $45,132 $36,434 +55% $38,960 +45% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $56,272 $45,018 $67,900 −17% $29,079 +94% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $56,218 $44,974 $70,067 −20% $22,851 +146% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,EXTREME $56,199 $44,959 $69,458 −19% $45,066 +25% —
197 INTERSTITIAL LUNG DISEASE WITH CC $55,973 $44,778 $23,570 +137% $21,941 +155% —
662 MINOR BLADDER PROCEDURES WITH MCC $55,854 $44,683 $163,998 −66% $54,562 +2% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $55,819 $44,655 $45,779 +22% $36,431 +53% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $55,806 $44,645 $42,070 +33% $39,181 +42% —
506 MAJOR THUMB OR JOINT PROCEDURES $55,622 $44,498 $55,622 +0% $30,557 +82% —
592 SKIN ULCERS WITH MCC $55,604 $44,483 $35,156 +58% $33,246 +67% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $55,562 $44,449 $55,562 +0% $33,454 +66% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $55,554 $44,444 $47,033 +18% $26,618 +109% —
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% $40,213 +37% ≈186% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $54,971 $43,977 $72,566 −24% $44,546 +23% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $54,879 $43,903 $54,879 +0% $30,553 +80% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $54,509 $43,607 $50,979 +7% $39,006 +40% ≈117% of Medicare
347 ANAL AND STOMAL PROCEDURES WITH MCC $53,924 $43,139 $88,030 −39% $40,548 +33% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $53,873 $43,099 $76,815 −30% $25,748 +109% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $53,712 $42,969 $53,712 +0% $31,159 +72% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $53,498 $42,798 $36,741 +46% $36,489 +47% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $53,494 $42,795 $39,589 +35% $40,365 +33% —
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 $208,104 −74% $48,687 +9% —
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 $52,667 +0% $46,283 +14% ≈105% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $52,600 $42,080 $49,985 +5% $43,477 +21% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $52,430 $41,944 $36,255 +45% $33,633 +56% —
668 TRANSURETHRAL PROCEDURES WITH MCC $52,376 $41,901 $73,806 −29% $51,608 +1% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $51,896 $41,517 $48,171 +8% $32,841 +58% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $51,398 $41,119 $101,263 −49% $38,878 +32% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $51,207 $40,966 $40,048 +28% $33,851 +51% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $51,207 $40,965 $39,013 +31% $27,163 +89% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $51,202 $40,962 $44,722 +14% $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 $51,075 +0% $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 $69,243 −26% $58,228 −12% —
881 DEPRESSIVE NEUROSES $50,905 $40,724 $19,989 +155% $15,058 +238% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $50,724 $40,579 $50,724 +0% $46,724 +9% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $50,589 $40,471 $67,548 −25% $39,955 +27% —
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 $45,775 +10% $27,297 +84% —
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% $18,821 +167% —
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% $25,740 +95% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $50,020 $40,016 $50,020 +0% $29,743 +68% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $50,019 $40,016 $44,033 +14% $38,861 +29% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $49,721 $39,777 $69,265 −28% $33,985 +46% ≈126% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $49,702 $39,761 $30,367 +64% $27,975 +78% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $49,447 $39,558 $49,447 +0% $46,453 +6% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $49,269 $39,415 $40,215 +23% $35,628 +38% ≈103% of Medicare
333 RECTAL RESECTION WITH CC $49,205 $39,364 $555,454 −91% $37,154 +32% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $49,015 $39,212 $40,099 +22% $22,320 +120% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $48,973 $39,178 $38,124 +28% $36,670 +34% —
375 DIGESTIVE MALIGNANCY WITH CC $48,914 $39,132 $35,509 +38% $27,277 +79% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $48,855 $39,084 $77,326 −37% $24,941 +96% —
549 SEPTIC ARTHRITIS WITH CC $48,687 $38,950 $48,687 +0% $24,056 +102% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $48,619 $38,895 $48,619 +0% $28,202 +72% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $48,448 $38,759 $92,156 −47% $24,544 +97% —
811 RED BLOOD CELL DISORDERS WITH MCC $48,361 $38,689 $32,308 +50% $28,226 +71% ≈106% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $48,339 $38,671 $46,042 +5% $19,270 +151% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $48,283 $38,627 $66,509 −27% $34,459 +40% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $48,144 $38,516 $26,123 +84% $33,047 +46% —
100 SEIZURES WITH MCC $48,073 $38,459 $38,042 +26% $35,481 +35% ≈107% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $47,974 $38,379 $102,790 −53% $41,591 +15% —
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 $49,330 −3% $35,465 +35% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $47,730 $38,184 $35,870 +33% $30,770 +55% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $47,675 $38,140 $74,489 −36% $32,697 +46% —
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% $33,876 +38% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $46,607 $37,285 $26,043 +79% $15,428 +202% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $46,335 $37,068 $46,335 +0% $39,106 +18% ≈109% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $46,272 $37,017 $40,692 +14% $33,661 +37% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $46,255 $37,004 $49,949 −7% $41,955 +10% ≈101% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $46,207 $36,966 $46,207 +0% $19,119 +142% —
501 SOFT TISSUE PROCEDURES WITH CC $46,048 $36,839 $37,750 +22% $39,619 +16% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $45,987 $36,789 $45,987 +0% $27,285 +69% —
571 SKIN DEBRIDEMENT WITH CC $45,903 $36,723 $46,529 −1% $37,169 +24% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $45,756 $36,605 $41,794 +9% $32,944 +39% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $45,748 $36,598 $61,111 −25% $26,463 +73% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $45,484 $36,388 $38,133 +19% $28,320 +61% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $45,469 $36,375 $45,455 +0% $18,072 +152% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $45,391 $36,313 $35,526 +28% $18,126 +150% —
175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MINOR $45,292 $36,234 $38,853 +17% $30,959 +46% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $45,088 $36,070 $37,807 +19% $35,419 +27% —
539 OSTEOMYELITIS WITH MCC $45,071 $36,056 $54,560 −17% $37,609 +20% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $45,030 $36,024 $48,918 −8% $29,949 +50% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $44,837 $35,869 $312,852 −86% $77,055 −42% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $44,383 $35,506 $46,010 −4% $39,020 +14% —
711 TESTES PROCEDURES WITH CC/MCC $44,286 $35,429 $81,559 −46% $38,343 +16% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $44,227 $35,381 $34,471 +28% $33,653 +31% —
181 RESPIRATORY NEOPLASMS WITH CC $44,130 $35,304 $26,398 +67% $23,573 +87% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $44,076 $35,261 $181,922 −76% $52,908 −17% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $44,020 $35,216 $22,957 +92% $15,452 +185% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $43,901 $35,121 $24,638 +78% $18,528 +137% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $43,818 $35,054 $37,392 +17% $32,877 +33% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $43,479 $34,783 $64,773 −33% $33,694 +29% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $43,442 $34,754 $28,217 +54% $32,859 +32% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $43,308 $34,646 $31,011 +40% $25,094 +73% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $43,123 $34,498 $54,668 −21% $42,901 +1% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $43,119 $34,495 $75,941 −43% $58,809 −27% ≈122% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $43,043 $34,434 $43,043 +0% $40,552 +6% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $42,878 $34,303 $104,839 −59% $39,173 +9% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $42,874 $34,300 $39,276 +9% $25,463 +68% ≈110% of Medicare
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $42,870 $34,296 $52,865 −19% $26,280 +63% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $42,804 $34,243 $39,000 +10% $30,083 +42% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $42,720 $34,176 $27,008 +58% $26,682 +60% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $42,422 $33,938 $41,303 +3% $30,784 +38% —
380 COMPLICATED PEPTIC ULCER WITH MCC $42,341 $33,873 $40,981 +3% $39,627 +7% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $42,236 $33,789 $39,935 +6% $40,642 +4% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $42,212 $33,770 $34,113 +24% $20,911 +102% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $41,945 $33,556 $32,045 +31% $22,098 +90% ≈112% of Medicare
697 URETHRAL STRICTURE $41,928 $33,543 $46,477 −10% $18,428 +128% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $41,703 $33,363 $42,379 −2% $20,259 +106% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $41,587 $33,270 $72,755 −43% $37,844 +10% —
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 $26,532 +55% $24,914 +65% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $41,176 $32,941 $38,347 +7% $33,707 +22% ≈106% of Medicare
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $41,033 $32,826 $78,741 −48% $38,998 +5% —
149 DYSEQUILIBRIUM $41,010 $32,808 $32,411 +27% $18,096 +127% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $40,779 $32,624 $22,503 +81% $27,316 +49% —
813 COAGULATION DISORDERS $40,699 $32,559 $40,699 +0% $33,296 +22% ≈83% of Medicare
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $40,689 $32,552 $34,343 +18% $58,096 −30% —
637 DIABETES WITH MCC $40,648 $32,518 $34,156 +19% $30,100 +35% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $40,615 $32,492 $23,563 +72% $24,127 +68% —
663 MINOR BLADDER PROCEDURES WITH CC $40,478 $32,382 $40,478 +0% $33,103 +22% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $40,438 $32,350 $98,338 −59% $29,916 +35% —
505 FOOT PROCEDURES WITHOUT CC/MCC $40,262 $32,210 $50,588 −20% $34,937 +15% —
696 OTHER CHEMOTHERAPY,MINOR $40,007 $32,006 $17,493 +129% $14,689 +172% —
935 NON-EXTENSIVE BURNS $39,987 $31,989 $39,987 +0% $31,701 +26% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $39,618 $31,694 $22,569 +76% $29,316 +35% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $39,591 $31,673 $40,463 −2% $33,555 +18% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $39,568 $31,655 $34,794 +14% $23,443 +69% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $39,547 $31,638 $36,001 +10% $38,070 +4% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $39,362 $31,489 $30,957 +27% $23,940 +64% ≈111% of Medicare
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $39,273 $31,419 $39,273 +0% $19,842 +98% ≈112% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $39,246 $31,397 $39,246 +0% $36,937 +6% —
184 MAJOR CHEST TRAUMA WITH CC $39,226 $31,381 $27,435 +43% $22,432 +75% ≈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 $34,009 +15% $31,017 +26% —
152 OTITIS MEDIA AND URI WITH MCC $39,089 $31,271 $20,317 +92% $20,247 +93% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $39,059 $31,248 $14,096 +177% $17,404 +124% —
312 SYNCOPE AND COLLAPSE $39,019 $31,215 $28,263 +38% $19,342 +102% ≈113% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $38,813 $31,051 $55,499 −30% $39,958 −3% ≈103% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $38,759 $31,007 $38,759 +0% $40,362 −4% —
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 $31,485 +22% $22,458 +71% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $38,459 $30,767 $31,179 +23% $27,043 +42% ≈115% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $38,428 $30,743 $38,428 +0% $33,386 +15% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $38,249 $30,599 $25,299 +51% $23,571 +62% —
123 NEUROLOGICAL EYE DISORDERS $38,214 $30,571 $20,741 +84% $19,745 +94% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $38,204 $30,563 $36,145 +6% $22,148 +72% —
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% $43,943 −14% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $37,900 $30,320 $34,291 +11% $18,316 +107% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $37,576 $30,061 $29,540 +27% $27,543 +36% ≈98% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $37,499 $29,999 $42,094 −11% $30,235 +24% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $37,395 $29,916 $32,835 +14% $19,569 +91% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $37,389 $29,911 $50,848 −26% $25,652 +46% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $37,277 $29,821 $33,227 +12% $30,010 +24% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $37,187 $29,750 $33,736 +10% $20,232 +84% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $37,123 $29,698 $40,440 −8% $24,552 +51% —
602 CELLULITIS WITH MCC $37,073 $29,658 $36,257 +2% $30,598 +21% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $36,977 $29,582 $79,883 −54% $30,243 +22% —
334 RECTAL RESECTION WITHOUT CC/MCC $36,912 $29,530 $36,912 +0% $36,820 +0% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $36,797 $29,437 $24,303 +51% $12,559 +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% $26,910 +36% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $36,637 $29,310 $26,094 +40% $26,770 +37% ≈109% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $36,627 $29,301 $29,184 +26% $34,192 +7% ≈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 $18,888 +94% $26,676 +37% —
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 $68,755 −47% $34,598 +5% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $36,342 $29,074 $21,905 +66% $20,781 +75% ≈115% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $36,295 $29,036 $31,186 +16% $22,763 +59% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $36,202 $28,962 $36,202 +0% $37,240 −3% —
835 ACUTE LEUKEMIA WITH CC $36,186 $28,949 $33,551 +8% $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% $33,255 +9% —
541 OSTEOMYELITIS WITHOUT CC/MCC $36,142 $28,913 $14,335 +152% $15,215 +138% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,906 $28,724 $40,359 −11% $39,973 −10% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $35,852 $28,682 $95,259 −62% $24,550 +46% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $35,800 $28,640 $36,414 −2% $26,870 +33% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $35,790 $28,632 $24,303 +47% $17,118 +109% —
643 ENDOCRINE DISORDERS WITH MCC $35,637 $28,510 $30,412 +17% $33,563 +6% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $35,609 $28,487 $47,804 −26% $33,048 +8% —
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% $27,401 +30% —
199 PNEUMOTHORAX WITH MCC $35,505 $28,404 $23,929 +48% $33,787 +5% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $35,432 $28,345 $26,249 +35% $20,488 +73% ≈121% of Medicare
186 PLEURAL EFFUSION WITH MCC $35,284 $28,227 $33,084 +7% $33,834 +4% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $34,921 $27,937 $48,975 −29% $46,295 −25% —
304 HYPERTENSION WITH MCC $34,835 $27,868 $35,870 −3% $26,080 +34% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $34,718 $27,774 $34,718 +0% $29,221 +19% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $34,542 $27,633 $22,832 +51% $22,888 +51% ≈113% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $34,520 $27,616 $27,067 +28% $23,488 +47% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $34,431 $27,545 $34,431 +0% $20,506 +68% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $34,244 $27,395 $34,322 −0% $31,321 +9% —
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% $32,433 +5% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $34,150 $27,320 $30,100 +13% $28,050 +22% ≈110% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $34,121 $27,297 $36,515 −7% $30,828 +11% ≈107% of Medicare
644 ENDOCRINE DISORDERS WITH CC $33,982 $27,185 $26,209 +30% $23,198 +46% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $33,850 $27,080 $35,613 −5% $25,303 +34% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $33,771 $27,017 $26,885 +26% $17,620 +92% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $33,719 $26,975 $24,435 +38% $14,716 +129% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $33,635 $26,908 $18,641 +80% $18,488 +82% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $33,634 $26,908 $13,125 +156% $12,768 +163% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $33,498 $26,798 $38,640 −13% $38,666 −13% ≈104% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $33,473 $26,778 $33,424 +0% $20,422 +64% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $33,336 $26,669 $34,893 −4% $23,617 +41% ≈103% of Medicare
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $33,129 $26,503 $15,427 +115% $12,460 +166% —
348 ANAL AND STOMAL PROCEDURES WITH CC $33,111 $26,489 $41,123 −19% $27,947 +18% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $33,025 $26,420 $33,025 +0% $52,986 −38% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $32,876 $26,301 $32,876 +0% $32,496 +1% ≈108% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $32,827 $26,261 $20,915 +57% $21,363 +54% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $32,799 $26,240 $27,167 +21% $27,275 +20% ≈106% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $32,706 $26,165 $27,678 +18% $30,502 +7% —
302 ATHEROSCLEROSIS WITH MCC $32,604 $26,083 $35,347 −8% $22,446 +45% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $32,352 $25,882 $23,602 +37% $21,396 +51% ≈123% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $32,338 $25,870 $25,069 +29% $19,815 +63% —
949 AFTERCARE WITH CC/MCC $32,136 $25,709 $20,718 +55% $23,953 +34% —
885 PSYCHOSES $32,069 $25,655 $24,971 +28% $21,729 +48% ≈107% of Medicare
906 HAND PROCEDURES FOR INJURIES $32,065 $25,652 $40,612 −21% $32,065 +0% —
291 HEART FAILURE AND SHOCK WITH MCC $32,011 $25,609 $27,270 +17% $26,776 +20% ≈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 $21,108 +51% $18,086 +76% ≈121% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $31,820 $25,456 $31,820 +0% $25,034 +27% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $31,697 $25,358 $27,746 +14% $18,452 +72% —
593 SKIN ULCERS WITH CC $31,680 $25,344 $30,584 +4% $22,886 +38% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $31,630 $25,304 $38,270 −17% $32,637 −3% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $31,151 $24,921 $31,520 −1% $25,279 +23% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $31,117 $24,894 $28,561 +9% $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% $30,571 +1% ≈116% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $30,673 $24,538 $25,661 +20% $22,506 +36% —
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 $30,600 +0% $22,468 +36% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $30,579 $24,463 $17,707 +73% $17,601 +74% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $30,523 $24,418 $25,128 +21% $17,298 +76% —
176 PULMONARY EMBOLISM WITHOUT MCC $30,501 $24,401 $27,961 +9% $18,081 +69% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $30,441 $24,353 $30,441 +0% $25,700 +18% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $30,355 $24,284 $27,574 +10% $20,181 +50% ≈118% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $30,184 $24,147 $31,828 −5% $16,520 +83% —
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 $28,208 +7% $20,463 +47% ≈114% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $30,123 $24,098 $30,123 +0% $21,894 +38% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,074 $24,059 $15,608 +93% $16,998 +77% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $30,056 $24,045 $92,266 −67% $19,598 +53% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $30,039 $24,031 $26,786 +12% $23,319 +29% ≈113% of Medicare
103 HEADACHES WITHOUT MCC $29,873 $23,898 $29,873 +0% $21,280 +40% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $29,841 $23,873 $29,841 +0% $19,264 +55% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $29,813 $23,851 $30,980 −4% $31,264 −5% ≈110% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $29,710 $23,768 $24,449 +22% $19,096 +56% ≈102% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $29,529 $23,623 $77,160 −62% $49,418 −40% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $29,456 $23,565 $36,911 −20% $29,805 −1% —
204 RESPIRATORY SIGNS AND SYMPTOMS $29,383 $23,506 $16,866 +74% $18,004 +63% —
101 SEIZURES WITHOUT MCC $29,303 $23,442 $24,167 +21% $20,461 +43% ≈119% of Medicare
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $29,245 $23,396 $19,030 +54% $18,602 +57% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $29,070 $23,256 $12,794 +127% $13,651 +113% —
864 FEVER AND INFLAMMATORY CONDITIONS $29,017 $23,214 $29,017 +0% $18,640 +56% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $28,953 $23,163 $28,953 +0% $19,037 +52% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $28,885 $23,108 $16,678 +73% $14,648 +97% —
607 MINOR SKIN DISORDERS WITHOUT MCC $28,782 $23,026 $24,167 +19% $15,889 +81% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,693 $22,955 $31,428 −9% $36,249 −21% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $28,401 $22,721 $28,401 +0% $20,566 +38% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $28,352 $22,682 $28,352 +0% $24,566 +15% —
603 CELLULITIS WITHOUT MCC $28,155 $22,524 $17,643 +60% $18,530 +52% ≈112% of Medicare
200 PNEUMOTHORAX WITH CC $28,074 $22,459 $28,074 +0% $21,368 +31% —
150 EPISTAXIS WITH MCC $28,054 $22,443 $28,164 −0% $23,171 +21% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $28,047 $22,438 $52,852 −47% $21,847 +28% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $28,027 $22,422 $22,988 +22% $21,275 +32% ≈108% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $28,022 $22,418 $28,022 +0% $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 $34,012 −18% $19,854 +40% —
292 HEART FAILURE AND SHOCK WITH CC $27,884 $22,307 $14,009 +99% $16,371 +70% —
187 PLEURAL EFFUSION WITH CC $27,859 $22,287 $27,686 +1% $21,789 +28% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $27,717 $22,174 $26,466 +5% $15,038 +84% —
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% $19,657 +40% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $27,570 $22,056 $27,570 +0% $18,002 +53% ≈109% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $27,227 $21,782 $18,634 +46% $14,927 +82% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $27,203 $21,762 $25,593 +6% $23,283 +17% —
313 CHEST PAIN $27,090 $21,672 $21,597 +25% $16,440 +65% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $27,008 $21,607 $33,537 −19% $22,033 +23% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $26,912 $21,530 $24,065 +12% $19,846 +36% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $26,820 $21,456 $21,633 +24% $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 $29,947 −11% $21,449 +24% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $26,465 $21,172 $26,962 −2% $19,924 +33% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $26,396 $21,117 $26,772 −1% $20,926 +26% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $26,379 $21,103 $16,547 +59% $17,303 +52% ≈115% of Medicare
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE $26,366 $21,093 $26,366 — $34,401 −23% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,355 $21,084 $64,158 −59% $31,134 −15% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $26,324 $21,059 $94,682 −72% $27,426 −4% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $26,287 $21,030 $16,049 +64% $17,038 +54% ≈118% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $26,243 $20,995 $28,486 −8% $32,021 −18% ≈109% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $26,105 $20,884 $14,744 +77% $12,252 +113% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $26,032 $20,826 $12,242 +113% $19,138 +36% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $25,903 $20,722 $25,997 −0% $23,551 +10% ≈108% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $25,801 $20,641 $41,637 −38% $19,073 +35% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $25,792 $20,634 $22,534 +14% $22,024 +17% ≈133% of Medicare
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $25,780 $20,624 $25,780 — $35,138 −27% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $25,524 $20,419 $25,524 +0% $12,324 +107% —
915 ALLERGIC REACTIONS WITH MCC $25,476 $20,380 $42,047 −39% $32,645 −22% —
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% $14,250 +78% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $25,371 $20,296 $20,289 +25% $17,724 +43% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $25,293 $20,234 $36,209 −30% $11,909 +112% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $25,237 $20,190 $25,237 +0% $27,152 −7% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $25,134 $20,107 $65,518 −62% $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 $22,449 +11% $17,322 +44% ≈117% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $24,910 $19,928 $24,910 +0% $18,807 +32% ≈108% of Medicare
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $24,475 $19,580 $14,787 +66% $15,495 +58% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $24,452 $19,562 $16,800 +46% $14,415 +70% —
693 URINARY STONES WITH MCC $24,432 $19,546 $47,160 −48% $23,892 +2% —
779 ABORTION WITHOUT D&C $24,417 $19,534 $19,258 +27% $15,327 +59% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $24,266 $19,413 $21,921 +11% $17,578 +38% ≈119% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $24,190 $19,352 $23,926 +1% $24,386 −1% ≈107% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $24,176 $19,341 $40,684 −41% $16,700 +45% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,079 $19,263 $22,943 +5% $18,126 +33% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $24,045 $19,236 $16,602 +45% $16,699 +44% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $23,996 $19,197 $23,996 +0% $22,635 +6% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $23,962 $19,170 $23,962 +0% $20,895 +15% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $23,866 $19,093 $28,214 −15% $16,552 +44% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $23,824 $19,059 $16,819 +42% $17,674 +35% ≈112% of Medicare
683 RENAL FAILURE WITH CC $23,801 $19,041 $25,886 −8% $19,130 +24% ≈117% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $23,746 $18,996 $18,465 +29% $17,081 +39% —
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MINOR $23,570 $18,856 $23,570 +0% $16,487 +43% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $23,318 $18,654 $20,760 +12% $17,921 +30% —
638 DIABETES WITH CC $23,250 $18,600 $20,282 +15% $19,661 +18% ≈107% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $23,128 $18,502 $11,029 +110% $13,824 +67% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $23,112 $18,490 $23,112 +0% $24,586 −6% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $23,092 $18,474 $35,313 −35% $16,968 +36% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $22,883 $18,307 $37,556 −39% $17,124 +34% —
694 URINARY STONES WITHOUT MCC $22,651 $18,120 $22,651 +0% $17,345 +31% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $22,477 $17,982 $22,477 +0% $20,957 +7% ≈111% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $22,434 $17,948 $22,434 +0% $20,901 +7% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $22,424 $17,939 $24,651 −9% $25,970 −14% ≈109% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $22,344 $17,875 $23,560 −5% $16,565 +35% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $22,281 $17,825 $51,342 −57% $18,348 +21% —
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% $26,051 −16% —
684 RENAL FAILURE WITHOUT CC/MCC $21,772 $17,418 $14,416 +51% $13,642 +60% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $21,757 $17,406 $32,570 −33% $18,956 +15% —
914 TRAUMATIC INJURY WITHOUT MCC $21,603 $17,282 $21,603 +0% $15,855 +36% —
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% $12,999 +65% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $21,293 $17,034 $22,872 −7% $16,767 +27% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $21,056 $16,844 $22,258 −5% $15,837 +33% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $21,033 $16,826 $20,809 +1% $15,183 +39% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $20,919 $16,735 $25,766 −19% $14,014 +49% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $20,711 $16,569 $18,488 +12% $14,514 +43% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $20,641 $16,513 $14,924 +38% $14,368 +44% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $20,399 $16,319 $25,651 −20% $17,733 +15% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $20,286 $16,229 $20,286 +0% $26,510 −23% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $20,113 $16,091 $14,342 +40% $15,215 +32% —
158 DENTAL AND ORAL DISEASES WITH CC $20,087 $16,070 $20,087 +0% $18,466 +9% —
882 NEUROSES EXCEPT DEPRESSIVE $20,082 $16,066 $14,865 +35% $15,680 +28% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,079 $16,063 $23,178 −13% $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 $44,098 −55% $16,776 +18% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $19,821 $15,857 $51,841 −62% $15,549 +27% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,702 $15,762 $135,789 −85% $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 $21,817 −10% $16,288 +20% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $19,365 $15,492 $19,153 +1% $15,019 +29% —
311 ANGINA PECTORIS $18,803 $15,042 $35,368 −47% $15,502 +21% —
153 OTITIS MEDIA AND URI WITHOUT MCC $18,755 $15,004 $18,755 +0% $14,583 +29% —
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% $19,227 −5% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $18,275 $14,620 $14,309 +28% $13,361 +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 $21,696 −16% $14,638 +24% —
775 ALCOHOL ABUSE AND DEPENDENCE,MODERATE $18,104 $14,483 $16,183 +12% $3,032 +497% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $18,082 $14,466 $18,082 +0% $17,135 +6% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $17,925 $14,340 $14,781 +21% $12,895 +39% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $17,619 $14,095 $57,278 −69% $20,455 −14% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $17,446 $13,957 $20,219 −14% $18,649 −6% —
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 $16,774 +3% $12,593 +38% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $17,248 $13,798 $25,986 −34% $14,549 +19% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $17,108 $13,687 $15,390 +11% $17,934 −5% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $17,083 $13,666 $122,414 −86% $27,808 −39% —
950 AFTERCARE WITHOUT CC/MCC $16,966 $13,573 $40,992 −59% $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% $31,105 −46% ≈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% $13,633 +23% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $16,475 $13,180 $14,397 +14% $10,160 +62% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MINOR $16,203 $12,962 $16,203 — $30,000 −46% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $15,910 $12,728 $18,753 −15% $16,846 −6% —
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 $15,792 −1% $13,942 +12% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $15,350 $12,280 $34,487 −55% $42,186 −64% —
151 EPISTAXIS WITHOUT MCC $15,177 $12,141 $15,177 +0% $13,032 +16% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,092 $12,074 $26,920 −44% $23,206 −35% —
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 $100,041 −86% $18,898 −27% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $13,720 $10,976 $18,291 −25% $19,412 −29% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $13,696 $10,956 $12,347 +11% $12,078 +13% —
999 UNGROUPABLE $13,627 $10,902 $35,704 −62% $29,674 −54% —
201 PNEUMOTHORAX WITHOUT CC/MCC $13,451 $10,761 $14,485 −7% $14,053 −4% —
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 $14,635 −18% $12,454 −4% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,509 $9,207 $13,652 −16% $13,275 −13% —
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% $9,940 −6% —
247 INTESTINAL OBSTRUCTION,MINOR $8,508 $6,807 $14,516 −41% $21,663 −61% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $8,407 $6,725 $24,724 −66% $12,229 −31% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,866 $6,293 $63,637 −88% $10,480 −25% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $7,633 $6,106 $127,723 −94% $19,132 −60% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $7,077 $5,661 $13,517 −48% $8,445 −16% —
581 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE,MINOR $6,374 $5,099 $29,013 −78% $26,932 −76% —
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 $48,371 −89% $42,679 −88% —
795 NORMAL NEWBORN $4,866 $3,892 $4,205 +16% $4,720 +3% —
561 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,MINOR $4,360 $3,488 $14,209 −69% $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% $16,351 −78% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,162 $2,530 $19,484 −84% $14,064 −78% —
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