Anmed Health — Pricing

699 procedures published in this hospital's Machine-Readable File (MRF) — 699 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 699
Lowest published price $4,045
Average published price $92,149
Highest published price $784,968

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 699 procedures

Published charges

Showing all 699 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 84 procedures, this hospital's negotiated rates average ≈261% of what Medicare pays.

DRG Description Published price Cash price vs. SC median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $784,968 $392,484 $379,558 +107% $461,389 +70% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $784,144 $392,072 $560,182 +40% $194,769 +303% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $776,637 $388,318 $225,840 +244% $90,724 +756% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $680,543 $340,271 $395,513 +72% $144,774 +370% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $573,020 $286,510 $573,020 +0% $371,366 +54% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $491,972 $245,986 $92,880 +430% $88,566 +455% ≈155% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $480,684 $240,342 $121,000 +297% $51,746 +829% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $476,801 $238,401 $354,871 +34% $109,331 +336% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $471,973 $235,986 $319,595 +48% $153,282 +208% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $469,806 $234,903 $282,274 +66% $132,794 +254% —
028 SPINAL PROCEDURES WITH MCC $465,263 $232,631 $299,577 +55% $113,077 +311% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $444,360 $222,180 $260,848 +70% $107,355 +314% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $440,564 $220,282 $152,630 +189% $70,177 +528% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $426,151 $213,075 $366,454 +16% $248,521 +71% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $423,275 $211,638 $142,918 +196% $47,789 +786% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $418,544 $209,272 $159,981 +162% $60,170 +596% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $414,659 $207,330 $335,450 +24% $208,939 +98% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $409,180 $204,590 $241,797 +69% $105,899 +286% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $406,873 $203,437 $35,935 +1032% $20,727 +1863% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $405,867 $202,934 $271,749 +49% $142,326 +185% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $391,423 $195,712 $227,121 +72% $113,855 +244% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $386,231 $193,115 $237,956 +62% $126,098 +206% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $377,397 $188,699 $175,082 +116% $96,905 +289% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $372,608 $186,304 $296,929 +25% $120,573 +209% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $360,639 $180,320 $360,639 +0% $144,569 +149% —
231 CORONARY BYPASS WITH PTCA WITH MCC $358,961 $179,481 $358,961 +0% $147,227 +144% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $358,368 $179,184 $358,368 +0% $188,171 +90% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $356,004 $178,002 $285,590 +25% $111,320 +220% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $352,000 $176,000 $269,939 +30% $102,573 +243% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $348,460 $174,230 $323,839 +8% $123,995 +181% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $348,236 $174,118 $348,236 +0% $143,242 +143% —
471 CERVICAL SPINAL FUSION WITH MCC $346,709 $173,355 $228,865 +51% $92,515 +275% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $327,020 $163,510 $270,892 +21% $90,331 +262% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $322,400 $161,200 $126,943 +154% $84,692 +281% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $322,379 $161,189 $198,183 +63% $101,618 +217% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $319,622 $159,811 $194,767 +64% $99,943 +220% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $307,935 $153,967 $188,781 +63% $92,217 +234% ≈361% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $302,626 $151,313 $178,298 +70% $79,116 +283% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $302,459 $151,229 $155,536 +94% $103,455 +192% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $297,779 $148,889 $167,196 +78% $117,280 +154% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $295,977 $147,989 $176,085 +68% $81,998 +261% —
265 AICD LEAD PROCEDURES $295,464 $147,732 $92,742 +219% $63,171 +368% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $290,615 $145,308 $88,342 +229% $32,031 +807% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $287,086 $143,543 $265,903 +8% $131,961 +118% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $283,618 $141,809 $281,802 +1% $112,062 +153% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $283,404 $141,702 $163,325 +74% $65,216 +335% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $278,725 $139,363 $131,675 +112% $78,852 +253% ≈150% of Medicare
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $275,701 $137,850 $275,701 +0% $115,839 +138% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $273,009 $136,505 $149,533 +83% $65,788 +315% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $264,759 $132,379 $226,781 +17% $85,159 +211% ≈207% of Medicare
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $263,869 $131,935 $111,672 +136% $45,167 +484% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $257,363 $128,682 $94,833 +171% $65,325 +294% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $254,000 $127,000 $221,559 +15% $148,832 +71% ≈246% of Medicare
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $253,462 $126,731 $232,809 +9% $106,778 +137% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $251,998 $125,999 $209,043 +21% $82,247 +206% ≈256% of Medicare
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $251,361 $125,680 $145,453 +73% $91,329 +175% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $251,281 $125,640 $74,213 +239% $47,583 +428% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $238,599 $119,299 $78,164 +205% $41,620 +473% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $238,593 $119,296 $238,593 +0% $125,242 +91% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $238,181 $119,090 $180,074 +32% $101,510 +135% —
472 CERVICAL SPINAL FUSION WITH CC $236,751 $118,375 $142,804 +66% $59,537 +298% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $228,458 $114,229 $169,012 +35% $71,014 +222% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $224,342 $112,171 $197,455 +14% $116,058 +93% —
263 VEIN LIGATION AND STRIPPING $223,757 $111,879 $105,043 +113% $51,253 +337% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $216,107 $108,053 $100,788 +114% $70,564 +206% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $213,562 $106,781 $213,090 +0% $99,423 +115% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $209,500 $104,750 $132,314 +58% $86,970 +141% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $209,077 $104,538 $115,081 +82% $68,653 +205% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $206,901 — $108,691 +90% $10,480 +1874% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $206,397 $103,199 $139,903 +48% $71,464 +189% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $203,945 $101,973 $179,450 +14% $79,836 +155% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $201,524 $100,762 $71,679 +181% $39,515 +410% —
245 AICD GENERATOR PROCEDURES $199,305 $99,653 $104,346 +91% $72,076 +177% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $191,951 $95,976 $117,171 +64% $65,573 +193% ≈144% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $191,574 $95,787 $120,534 +59% $72,962 +163% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $190,175 $95,087 $190,175 +0% $93,238 +104% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $189,813 $94,906 $157,076 +21% $61,217 +210% —
163 MAJOR CHEST PROCEDURES WITH MCC $187,580 $93,790 $177,522 +6% $90,195 +108% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $185,267 $92,633 $185,267 +0% $88,307 +110% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $183,829 $91,915 $57,230 +221% $44,222 +316% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $182,747 $91,374 $182,747 +0% $63,928 +186% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $182,641 $91,321 $146,244 +25% $76,219 +140% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $182,448 $91,224 $111,334 +64% $68,639 +166% —
865 VIRAL ILLNESS WITH MCC $180,695 $90,348 $35,128 +414% $26,910 +571% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $177,653 $88,827 $127,946 +39% $96,507 +84% —
348 ANAL AND STOMAL PROCEDURES WITH CC $175,969 $87,984 $76,266 +131% $27,947 +530% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $174,154 $87,077 $105,659 +65% $41,608 +319% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $168,146 $84,073 $124,201 +35% $77,990 +116% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $166,213 $81,695 $93,172 +78% $93,172 +78% ≈243% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $165,057 $82,528 $112,653 +47% $49,066 +236% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $162,112 $81,056 $85,348 +90% $59,031 +175% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $161,709 $80,854 $72,036 +124% $36,431 +344% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $160,842 $80,421 $128,661 +25% $70,847 +127% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $160,394 $80,197 $137,203 +17% $58,707 +173% —
549 SEPTIC ARTHRITIS WITH CC $154,739 $77,369 $49,389 +213% $24,056 +543% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $154,691 $77,346 $141,436 +9% $74,257 +108% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $154,070 $77,035 $58,569 +163% $49,839 +209% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $153,002 $76,501 $84,777 +80% $90,775 +69% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $151,460 $75,730 $139,469 +9% $49,710 +205% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $151,298 $75,649 $151,298 +0% $61,470 +146% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $150,549 $75,275 $131,486 +14% $93,390 +61% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $150,285 $75,143 $82,335 +83% $43,631 +244% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $148,223 $74,111 $137,384 +8% $72,424 +105% —
164 MAJOR CHEST PROCEDURES WITH CC $146,779 $73,390 $146,779 +0% $56,755 +159% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $146,475 $73,237 $121,554 +21% $81,706 +79% ≈280% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $145,618 $72,809 $113,961 +28% $57,454 +153% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $143,390 $71,695 $143,390 +0% $89,207 +61% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $141,911 $70,956 $55,289 +157% $34,276 +314% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $140,264 $70,132 $139,508 +1% $71,795 +95% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $140,152 $70,076 $105,797 +32% $59,651 +135% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $136,480 $68,240 $125,538 +9% $75,103 +82% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $134,717 $67,358 $134,717 +0% $96,192 +40% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $134,352 $67,176 $134,352 +0% $46,340 +190% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $134,319 $67,159 $134,319 +0% $87,761 +53% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $133,190 $66,595 $109,559 +22% $46,453 +187% —
252 OTHER VASCULAR PROCEDURES WITH MCC $132,938 $66,469 $132,938 +0% $68,508 +94% ≈219% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $132,409 $66,204 $126,664 +5% $54,929 +141% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $131,134 $65,567 $131,134 +0% $73,120 +79% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $130,056 $65,028 $88,380 +47% $80,793 +61% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $128,150 $64,075 $128,150 +0% $64,523 +99% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $127,993 $63,996 $95,709 +34% $55,162 +132% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $126,378 $63,189 $117,353 +8% $70,132 +80% ≈304% of Medicare
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $126,101 $63,050 $112,952 +12% $70,467 +79% ≈235% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $125,889 $62,944 $125,889 +0% $36,167 +248% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $125,149 $62,574 $91,264 +37% $35,419 +253% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $124,383 $62,191 $99,601 +25% $59,629 +109% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $124,071 $62,035 $99,287 +25% $40,694 +205% ≈250% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $122,885 $61,443 $98,136 +25% $43,538 +182% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $121,264 $60,632 $121,264 +0% $71,092 +71% —
799 SPLENIC PROCEDURES WITH MCC $120,316 $60,158 $120,316 +0% $82,218 +46% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $120,158 $60,079 $120,158 +0% $74,755 +61% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $119,563 $59,782 $119,563 +0% $75,573 +58% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $118,585 $59,293 $86,850 +37% $40,108 +196% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $117,443 $58,721 $110,093 +7% $51,985 +126% —
503 FOOT PROCEDURES WITH MCC $117,293 $58,647 $82,091 +43% $47,540 +147% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $116,610 $58,305 $116,610 +0% $76,001 +53% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $116,397 $58,198 $111,261 +5% $65,653 +77% ≈211% of Medicare
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $115,909 $57,954 $59,883 +94% $59,594 +94% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $115,735 $57,867 $115,735 +0% $48,358 +139% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $115,276 $57,638 $99,444 +16% $51,953 +122% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $114,803 $57,401 $114,803 +0% $66,685 +72% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $114,754 $57,377 $111,437 +3% $50,624 +127% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $114,543 $57,272 $76,263 +50% $43,477 +163% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $114,218 $57,109 $89,575 +28% $50,011 +128% ≈310% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $114,191 $57,095 $75,881 +50% $29,949 +281% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $113,391 $56,695 $113,391 +0% $47,945 +137% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $113,136 $56,568 $113,136 +0% $88,050 +28% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $112,905 $56,186 $84,717 +33% $58,809 +92% ≈388% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $112,227 $56,113 $112,227 +0% $102,128 +10% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $111,967 $55,983 $99,442 +13% $49,418 +127% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $111,469 $55,734 $111,469 +0% $62,821 +77% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $110,907 $55,454 $74,664 +49% $40,642 +173% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $110,283 $55,142 $110,283 +0% $71,755 +54% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $109,923 $54,961 $60,090 +83% $36,249 +203% —
500 SOFT TISSUE PROCEDURES WITH MCC $109,099 $54,549 $109,099 +0% $61,872 +76% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $108,111 $54,056 $108,111 +0% $82,561 +31% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $107,549 $53,774 $107,549 +0% $42,906 +151% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $106,044 $53,022 $64,613 +64% $52,405 +102% ≈230% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $105,213 $52,606 $36,314 +190% $27,808 +278% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $103,879 $51,939 $87,762 +18% $52,751 +97% ≈255% of Medicare
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $103,314 $51,657 $43,588 +137% $46,402 +123% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $103,229 $51,615 $103,229 +0% $52,908 +95% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $103,040 $51,520 $99,531 +4% $35,584 +190% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $102,624 $51,312 $76,148 +35% $44,546 +130% —
038 EXTRACRANIAL PROCEDURES WITH CC $102,382 $51,191 $81,215 +26% $35,770 +186% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $102,147 $51,074 $41,799 +144% $24,586 +315% —
397 APPENDIX PROCEDURES WITH MCC $102,144 $51,072 $94,433 +8% $53,257 +92% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $102,034 $51,017 $98,756 +3% $36,489 +180% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $101,491 $50,745 $84,250 +20% $46,066 +120% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $101,181 $50,591 $76,340 +33% $33,661 +201% —
654 MAJOR BLADDER PROCEDURES WITH CC $100,297 $50,149 $100,297 +0% $58,274 +72% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $99,899 $49,949 $99,899 +0% $70,371 +42% —
668 TRANSURETHRAL PROCEDURES WITH MCC $99,367 $49,684 $99,367 +0% $51,608 +93% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $99,003 $49,501 $99,003 +0% $60,098 +65% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $98,839 $49,419 $98,839 +0% $47,711 +107% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $98,489 $49,245 $83,774 +18% $37,950 +160% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $98,189 $49,094 $65,008 +51% $40,548 +142% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $97,904 $48,952 $97,904 +0% $41,422 +136% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $97,134 $48,567 $97,134 +0% $59,790 +62% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $97,053 $48,526 $74,539 +30% $39,173 +148% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $96,892 $48,446 $41,966 +131% $39,973 +142% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $96,099 $48,049 $96,099 +0% $58,280 +65% ≈258% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $95,434 $47,717 $95,434 +0% $50,607 +89% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $94,928 $47,464 $94,928 +0% $49,423 +92% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $94,846 $47,423 $94,846 +0% $38,836 +144% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $94,828 $47,414 $73,760 +29% $43,913 +116% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $93,883 $46,941 $70,055 +34% $52,986 +77% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $93,273 $46,637 $93,273 +0% $65,608 +42% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $93,002 $46,501 $67,725 +37% $38,094 +144% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $92,655 $46,327 $47,273 +96% $22,525 +311% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $92,463 $46,231 $92,463 +0% $27,323 +238% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $91,821 $45,910 $91,821 +0% $67,268 +36% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $91,125 $45,563 $38,265 +138% $34,273 +166% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $90,744 $45,372 $72,166 +26% $39,018 +133% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $90,092 $45,046 $30,418 +196% $16,998 +430% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $89,928 $44,964 $89,928 +0% $43,491 +107% —
915 ALLERGIC REACTIONS WITH MCC $89,871 $44,936 $32,645 +175% $32,645 +175% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $89,857 $44,929 $73,163 +23% $41,955 +114% ≈274% of Medicare
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $89,816 $44,908 $51,430 +75% $25,712 +249% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $89,720 $44,860 $89,720 +0% $29,524 +204% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $89,196 $44,598 $76,865 +16% $62,264 +43% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $88,169 $44,085 $71,973 +23% $43,650 +102% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $88,053 $44,026 $72,062 +22% $41,591 +112% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $87,791 $43,896 $68,397 +28% $50,919 +72% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $87,654 $43,827 $87,654 +0% $53,451 +64% —
653 MAJOR BLADDER PROCEDURES WITH MCC $87,593 $43,796 $87,593 +0% $104,583 −16% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $87,575 $43,787 $87,575 +0% $77,817 +13% —
834 ACUTE LEUKEMIA WITH MCC $87,173 $43,587 $87,173 +0% $85,566 +2% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $87,011 $43,506 $52,557 +66% $38,101 +128% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $86,785 $43,392 $86,785 +0% $44,139 +97% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $86,771 $43,385 $86,771 +0% $48,682 +78% —
665 PROSTATECTOMY WITH MCC $86,734 $43,367 $86,734 +0% $54,072 +60% —
663 MINOR BLADDER PROCEDURES WITH CC $86,193 $43,096 $63,084 +37% $33,103 +160% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $85,216 $42,608 $85,216 +0% $46,724 +82% —
533 FRACTURES OF FEMUR WITH MCC $85,188 $42,594 $81,881 +4% $25,945 +228% —
180 RESPIRATORY NEOPLASMS WITH MCC $85,042 $42,521 $25,879 +229% $36,658 +132% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $84,276 $41,170 $80,361 +5% $59,500 +42% ≈281% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $84,255 $42,128 $74,940 +12% $58,228 +45% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $83,673 $39,415 $74,973 +12% $38,666 +116% ≈204% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $83,537 $38,581 $77,161 +8% $46,283 +80% ≈208% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $83,124 $41,562 $46,051 +81% $32,697 +154% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $82,563 $41,282 $77,527 +6% $47,737 +73% —
592 SKIN ULCERS WITH MCC $81,629 $40,815 $56,668 +44% $33,246 +146% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $81,123 $40,561 $81,123 +0% $45,333 +79% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $80,260 $40,130 $58,956 +36% $29,316 +174% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $80,077 $40,039 $55,167 +45% $21,847 +267% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $79,749 $39,874 $79,749 +0% $42,126 +89% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $79,659 $39,830 $62,302 +28% $39,020 +104% —
037 EXTRACRANIAL PROCEDURES WITH MCC $79,598 $39,799 $79,598 +0% $66,666 +19% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $79,371 $39,685 $66,535 +19% $26,598 +198% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $79,058 $39,529 $54,065 +46% $66,068 +20% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $79,041 $39,521 $40,598 +95% $34,192 +131% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $78,409 $39,205 $78,409 +0% $34,434 +128% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $78,374 $39,187 $41,117 +91% $39,106 +100% ≈205% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $77,713 $38,857 $77,713 +0% $52,178 +49% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $77,326 $38,663 $77,220 +0% $29,079 +166% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $77,267 $38,634 $72,329 +7% $25,748 +200% —
333 RECTAL RESECTION WITH CC $77,219 $38,609 $77,219 +0% $37,154 +108% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $75,702 $37,851 $75,702 +0% $50,139 +51% —
800 SPLENIC PROCEDURES WITH CC $75,571 $37,786 $75,571 +0% $49,184 +54% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $75,529 $37,765 $67,148 +12% $27,617 +173% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $74,555 $37,277 $74,555 +0% $45,877 +63% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $74,464 $37,232 $74,464 +0% $54,583 +36% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $74,312 $37,156 $35,424 +110% $16,450 +352% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $74,199 $37,099 $74,199 +0% $35,453 +109% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $74,079 $33,908 $43,335 +71% $35,628 +108% ≈274% of Medicare
540 OSTEOMYELITIS WITH CC $73,562 $36,781 $42,955 +71% $26,676 +176% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $73,487 $36,743 $59,817 +23% $46,090 +59% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $73,423 $36,711 $81,388 −10% $89,353 −18% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $73,145 $36,572 $48,479 +51% $37,387 +96% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $72,368 $36,184 $72,368 +0% $59,421 +22% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $72,292 $36,146 $70,095 +3% $42,415 +70% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $72,250 $36,125 $50,066 +44% $23,443 +208% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $72,080 $36,040 $72,080 +0% $50,046 +44% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $71,806 $35,903 $71,806 +0% $37,267 +93% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $71,274 $35,637 $29,518 +141% $32,628 +118% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $71,264 $35,632 $27,961 +155% $31,159 +129% —
666 PROSTATECTOMY WITH CC $71,150 $35,575 $60,442 +18% $31,906 +123% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $71,087 $35,544 $71,087 +0% $32,433 +119% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $70,577 $35,289 $70,577 +0% $39,006 +81% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $70,303 $35,152 $52,472 +34% $21,894 +221% —
606 MINOR SKIN DISORDERS WITH MCC $70,176 $35,088 $46,315 +52% $27,975 +151% —
398 APPENDIX PROCEDURES WITH CC $70,116 $35,058 $70,116 +0% $40,162 +75% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $70,075 $35,038 $40,579 +73% $33,633 +108% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $69,768 $34,884 $50,381 +38% $29,916 +133% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $69,688 $34,018 $61,169 +14% $43,943 +59% ≈437% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $69,297 $34,648 $47,826 +45% $33,555 +107% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $69,286 $33,968 $67,458 +3% $44,117 +57% ≈321% of Medicare
712 TESTES PROCEDURES WITHOUT CC/MCC $69,196 $34,598 $39,220 +76% $18,898 +266% —
813 COAGULATION DISORDERS $69,104 $34,552 $43,727 +58% $33,296 +108% —
711 TESTES PROCEDURES WITH CC/MCC $69,072 $34,536 $57,925 +19% $38,343 +80% —
501 SOFT TISSUE PROCEDURES WITH CC $69,059 $34,529 $60,575 +14% $39,619 +74% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $67,734 $33,867 $52,133 +30% $29,611 +129% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $67,702 $33,851 $67,702 +0% $49,351 +37% —
504 FOOT PROCEDURES WITH CC $67,254 $33,627 $67,254 +0% $38,960 +73% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $67,182 $33,591 $67,182 +0% $50,394 +33% —
643 ENDOCRINE DISORDERS WITH MCC $67,096 $33,548 $63,285 +6% $33,563 +100% —
506 MAJOR THUMB OR JOINT PROCEDURES $66,832 $33,416 $66,832 +0% $30,557 +119% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $66,813 $33,406 $66,813 +0% $43,298 +54% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $66,531 $33,266 $66,531 +0% $40,562 +64% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $66,456 $33,228 $66,456 +0% $45,866 +45% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $66,330 $33,165 $45,530 +46% $37,842 +75% ≈197% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $66,112 $33,056 $66,112 +0% $52,075 +27% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $66,079 $33,039 $74,035 −11% $31,563 +109% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $65,761 $32,881 $65,761 +0% $59,533 +10% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $65,686 $32,199 $40,626 +62% $30,235 +117% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $65,406 $32,703 $65,406 +0% $79,225 −17% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $65,244 $32,622 $65,244 +0% $32,451 +101% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $65,116 $32,558 $60,824 +7% $25,652 +154% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $64,970 $32,485 $64,970 +0% $61,832 +5% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $64,582 $32,291 $23,967 +169% $18,150 +256% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $64,520 $32,260 $45,562 +42% $33,694 +91% —
336 PERITONEAL ADHESIOLYSIS WITH CC $64,502 $32,251 $67,975 −5% $50,463 +28% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $64,232 $32,116 $58,402 +10% $27,394 +134% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $64,164 $32,082 $64,164 +0% $32,637 +97% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $64,047 $32,024 $64,047 +0% $53,864 +19% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $63,717 $31,859 $45,611 +40% $19,264 +231% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $63,591 $31,796 $63,591 +0% $36,792 +73% —
157 DENTAL AND ORAL DISEASES WITH MCC $63,516 $31,758 $61,447 +3% $31,300 +103% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $63,371 $31,491 $46,462 +36% $33,707 +88% ≈311% of Medicare
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $63,358 $31,679 $63,358 +0% $42,186 +50% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $63,059 $31,529 $63,059 +0% $28,320 +123% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $62,616 $31,308 $29,507 +112% $23,319 +169% —
662 MINOR BLADDER PROCEDURES WITH MCC $62,591 $31,295 $62,591 +0% $54,562 +15% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $62,580 $31,290 $62,580 +0% $41,892 +49% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $62,510 $31,255 $62,510 +0% $36,253 +72% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $62,435 $31,218 $62,435 +0% $40,552 +54% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $62,414 $31,207 $42,487 +47% $15,901 +293% —
302 ATHEROSCLEROSIS WITH MCC $62,402 $31,201 $50,792 +23% $22,446 +178% —
374 DIGESTIVE MALIGNANCY WITH MCC $61,906 $30,953 $61,906 +0% $39,958 +55% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $61,837 $30,919 $61,837 +0% $62,300 −1% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $61,813 $30,906 $61,813 +0% $35,074 +76% —
637 DIABETES WITH MCC $61,457 $30,353 $39,998 +54% $30,100 +104% ≈199% of Medicare
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $61,435 $30,718 $26,478 +132% $22,851 +169% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $61,282 $30,641 $61,282 +0% $36,670 +67% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $61,240 $30,620 $33,308 +84% $17,483 +250% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $61,214 $30,607 $24,118 +154% $27,285 +124% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $61,067 $30,534 $48,452 +26% $24,944 +145% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $61,054 $30,527 $61,054 +0% $44,606 +37% ≈307% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $60,831 $30,415 $32,919 +85% $39,181 +55% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $60,753 $30,376 $60,753 +0% $56,964 +7% —
505 FOOT PROCEDURES WITHOUT CC/MCC $60,634 $30,317 $50,640 +20% $34,937 +74% —
197 INTERSTITIAL LUNG DISEASE WITH CC $60,562 $30,281 $60,562 +0% $21,941 +176% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $60,424 $30,212 $16,857 +258% $20,232 +199% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $60,382 $30,191 $53,556 +13% $39,887 +51% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $60,114 $30,057 $60,114 +0% $31,951 +88% —
682 RENAL FAILURE WITH MCC $60,001 $27,831 $35,194 +70% $29,064 +106% ≈257% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $59,656 $29,828 $31,221 +91% $30,242 +97% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $59,528 $29,764 $59,528 +0% $34,906 +71% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $59,425 $29,712 $30,823 +93% $22,458 +165% —
199 PNEUMOTHORAX WITH MCC $59,376 $29,688 $46,784 +27% $33,787 +76% —
551 MEDICAL BACK PROBLEMS WITH MCC $59,169 $29,585 $42,235 +40% $34,017 +74% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $58,914 $29,260 $58,717 +0% $31,264 +88% ≈477% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $58,889 $29,445 $58,889 +0% $36,937 +59% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $58,864 $29,432 $30,498 +93% $14,716 +300% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $58,814 $29,407 $58,814 +0% $30,770 +91% —
949 AFTERCARE WITH CC/MCC $58,755 $29,378 $33,353 +76% $23,953 +145% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $58,634 $29,317 $56,521 +4% $25,034 +134% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $58,213 $29,106 $58,213 +0% $36,445 +60% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $57,383 $28,691 $18,172 +216% $17,700 +224% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $57,033 $28,517 $38,998 +46% $38,998 +46% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $56,894 $28,447 $56,894 +0% $39,955 +42% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $56,857 $28,428 $56,857 +0% $31,321 +82% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $56,729 $28,365 $56,729 +0% $36,988 +53% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $56,666 $28,333 $40,209 +41% $16,552 +242% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $56,628 $28,314 $45,693 +24% $16,968 +234% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $56,533 $28,267 $56,533 +0% $42,914 +32% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $56,482 $28,241 $73,038 −23% $101,576 −44% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $56,249 $28,125 $56,249 +0% $25,703 +119% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $56,206 $28,103 $36,966 +52% $18,126 +210% —
375 DIGESTIVE MALIGNANCY WITH CC $56,152 $28,076 $37,586 +49% $27,277 +106% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $56,093 $27,728 $56,362 −0% $42,881 +31% ≈281% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $56,068 $28,034 $56,068 +0% $32,021 +75% ≈287% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $55,989 $27,995 $55,989 +0% $43,800 +28% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $55,931 $27,965 $32,340 +73% $16,776 +233% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $55,916 $27,958 $55,916 +0% $26,618 +110% —
669 TRANSURETHRAL PROCEDURES WITH CC $55,713 $27,857 $55,713 +0% $34,354 +62% —
186 PLEURAL EFFUSION WITH MCC $55,677 $27,839 $43,109 +29% $33,834 +65% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $55,633 $27,381 $32,041 +74% $26,580 +109% ≈312% of Medicare
100 SEIZURES WITH MCC $55,369 $27,684 $55,369 +0% $35,481 +56% ≈186% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $55,348 $27,674 $55,348 +0% $36,820 +50% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $55,169 $27,585 $55,169 +0% $43,080 +28% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $55,110 $27,555 $55,110 +0% $27,989 +97% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $54,791 $27,395 $61,351 −11% $39,211 +40% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $54,757 $27,378 $53,126 +3% $28,140 +95% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $54,404 $27,202 $54,404 +0% $32,574 +67% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $54,353 $27,176 $54,353 +0% $36,505 +49% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $54,309 $27,154 $44,853 +21% $24,941 +118% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $54,284 $27,142 $41,926 +29% $15,549 +249% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $54,282 $27,141 $22,265 +144% $26,463 +105% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $53,795 $26,897 $53,795 +0% $28,125 +91% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $53,740 $26,870 $53,740 +0% $38,861 +38% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $52,964 $26,482 $52,964 +0% $24,127 +120% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $52,847 $26,423 $46,431 +14% $30,959 +71% ≈265% of Medicare
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $52,738 $26,369 $52,738 +0% $24,550 +115% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $52,510 $26,255 $31,727 +66% $30,010 +75% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $52,235 $26,118 $52,235 +0% $19,354 +170% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $52,195 $26,097 $52,195 +0% $32,944 +58% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $52,178 $26,089 $52,178 +0% $22,763 +129% —
811 RED BLOOD CELL DISORDERS WITH MCC $52,155 $25,840 $44,813 +16% $28,226 +85% ≈199% of Medicare
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $52,002 $26,001 $52,002 +0% $52,036 −0% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $51,948 $24,851 $34,105 +52% $25,463 +104% ≈212% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $51,540 $25,770 $51,540 +0% $30,502 +69% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $51,527 $25,132 $46,271 +11% $32,496 +59% ≈200% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $51,382 $25,691 $51,382 +0% $25,390 +102% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $51,267 $25,633 $45,498 +13% $58,745 −13% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $51,046 $23,766 $45,241 +13% $28,050 +82% ≈200% of Medicare
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $50,851 $25,426 $50,851 +0% $35,465 +43% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $50,399 $25,200 $27,197 +85% $30,828 +63% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $50,307 $25,153 $47,187 +7% $27,043 +86% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $50,224 $25,112 $21,712 +131% $20,895 +140% —
304 HYPERTENSION WITH MCC $50,099 $25,049 $28,318 +77% $26,080 +92% ≈204% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $50,093 $25,047 $50,093 +0% $44,363 +13% —
602 CELLULITIS WITH MCC $49,994 $24,997 $40,331 +24% $30,598 +63% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $49,735 $24,868 $49,735 +0% $14,055 +254% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $49,706 $24,853 $49,706 +0% $19,657 +153% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $49,621 $24,811 $37,274 +33% $16,212 +206% —
570 SKIN DEBRIDEMENT WITH MCC $49,379 $24,689 $49,379 +0% $52,435 −6% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $49,322 $24,661 $49,322 +0% $31,170 +58% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $49,148 $24,574 $40,285 +22% $22,635 +117% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $49,120 $24,560 $29,075 +69% $23,488 +109% ≈189% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $48,966 $24,483 $48,966 +0% $23,749 +106% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $48,951 $24,476 $33,108 +48% $23,551 +108% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $48,917 $24,459 $48,917 +0% $30,083 +63% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $48,894 $24,447 $35,407 +38% $22,098 +121% ≈310% of Medicare
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $48,869 $24,434 $48,869 +0% $33,393 +46% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $48,837 $24,419 $39,596 +23% $27,163 +80% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $48,759 $24,379 $35,646 +37% $28,202 +73% —
919 COMPLICATIONS OF TREATMENT WITH MCC $48,690 $24,345 $48,250 +1% $31,105 +57% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $48,620 $23,434 $30,579 +59% $26,770 +82% ≈251% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $48,458 $24,229 $31,965 +52% $27,426 +77% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $48,326 $24,163 $34,156 +41% $27,316 +77% —
137 MOUTH PROCEDURES WITH CC/MCC $48,061 $24,030 $39,756 +21% $27,861 +72% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $47,960 $23,980 $47,960 +0% $46,295 +4% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $47,895 $23,947 $47,895 +0% $32,833 +46% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $47,763 $23,881 $52,074 −8% $32,841 +45% —
187 PLEURAL EFFUSION WITH CC $47,752 $23,876 $30,945 +54% $21,789 +119% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $47,740 $23,870 $25,616 +86% $14,797 +223% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $47,642 $23,821 $43,413 +10% $33,985 +40% ≈216% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $47,578 $23,789 $34,686 +37% $25,970 +83% —
380 COMPLICATED PEPTIC ULCER WITH MCC $47,424 $23,712 $44,130 +7% $39,627 +20% —
571 SKIN DEBRIDEMENT WITH CC $47,274 $23,637 $30,020 +57% $37,169 +27% —
311 ANGINA PECTORIS $47,209 $23,604 $29,338 +61% $15,502 +205% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $47,204 $23,602 $47,204 +0% $35,692 +32% —
667 PROSTATECTOMY WITHOUT CC/MCC $47,088 $23,544 $32,449 +45% $16,703 +182% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $47,054 $23,527 $12,593 +274% $12,593 +274% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $46,896 $23,448 $46,896 +0% $32,877 +43% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $46,876 $23,438 $31,408 +49% $21,363 +119% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $46,763 $23,382 $23,604 +98% $20,422 +129% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $46,552 $23,276 $36,155 +29% $30,571 +52% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $46,406 $23,203 $31,545 +47% $17,298 +168% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $46,310 $23,155 $73,030 −37% $90,401 −49% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $46,171 $23,086 $46,171 +0% $33,048 +40% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $46,171 $23,086 $39,477 +17% $23,141 +100% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $46,092 $22,678 $33,320 +38% $27,275 +69% ≈229% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $45,989 $22,995 $45,967 +0% $27,119 +70% —
866 VIRAL ILLNESS WITHOUT MCC $45,961 $22,981 $41,299 +11% $17,081 +169% —
539 OSTEOMYELITIS WITH MCC $45,830 $22,915 $42,316 +8% $37,609 +22% —
947 SIGNS AND SYMPTOMS WITH MCC $45,810 $22,905 $42,591 +8% $27,401 +67% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $45,721 $22,860 $45,721 +0% $33,851 +35% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $45,424 $22,671 $27,174 +67% $26,682 +70% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $45,027 $22,514 $34,889 +29% $22,148 +103% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $44,904 $22,452 $40,081 +12% $25,279 +78% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $44,902 $20,976 $36,660 +22% $23,617 +90% ≈253% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $44,864 $22,334 $33,673 +33% $27,543 +63% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $44,806 $22,403 $44,806 +0% $33,674 +33% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $44,708 $22,354 $44,708 +0% $27,297 +64% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $44,699 $22,350 $44,699 +0% $34,607 +29% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $44,694 $22,347 $27,608 +62% $17,698 +153% —
835 ACUTE LEUKEMIA WITH CC $44,660 $22,330 $44,660 +0% $35,569 +26% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $44,466 $22,233 $33,040 +35% $22,620 +97% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $44,197 $22,098 $44,197 +0% $26,932 +64% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $44,170 $22,085 $44,170 +0% $25,700 +72% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $44,108 $22,054 $25,676 +72% $20,911 +111% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $43,915 $21,958 $43,915 +0% $26,948 +63% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $43,834 $21,917 $43,834 +0% $26,870 +63% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $43,819 $21,909 $27,058 +62% $32,859 +33% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $43,818 $21,909 $43,818 +0% $33,424 +31% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $43,728 $21,864 $43,728 +0% $28,156 +55% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $43,642 $21,821 $43,642 +0% $24,544 +78% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $43,631 $21,816 $33,230 +31% $13,633 +220% —
694 URINARY STONES WITHOUT MCC $43,548 $21,774 $39,199 +11% $17,345 +151% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $43,398 $21,699 $43,398 +0% $37,240 +17% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $43,370 $21,685 $43,370 +0% $19,119 +127% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $43,131 $20,332 $34,664 +24% $22,888 +88% ≈385% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $43,112 $21,556 $39,722 +9% $23,940 +80% ≈366% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $42,988 $21,494 $35,593 +21% $12,559 +242% —
089 CONCUSSION WITH CC $42,915 $21,458 $27,042 +59% $18,821 +128% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $42,737 $21,369 $28,564 +50% $15,019 +185% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $42,708 $20,056 $32,763 +30% $21,396 +100% ≈240% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $42,680 $20,727 $36,614 +17% $26,776 +59% ≈265% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $42,616 $21,308 $42,616 +0% $29,933 +42% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $42,484 $21,242 $37,107 +14% $20,463 +108% ≈441% of Medicare
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $42,304 $21,152 $48,670 −13% $69,743 −39% —
381 COMPLICATED PEPTIC ULCER WITH CC $42,289 $21,145 $32,085 +32% $24,177 +75% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $42,197 $21,098 $42,197 +0% $33,255 +27% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $42,149 $21,075 $27,175 +55% $22,506 +87% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $41,941 $19,152 $32,917 +27% $24,386 +72% ≈278% of Medicare
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $41,927 $20,963 $41,927 +0% $30,493 +37% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $41,904 $20,952 $41,904 +0% $33,454 +25% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $41,897 $20,949 $37,599 +11% $33,653 +24% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $41,802 $20,901 $33,534 +25% $22,850 +83% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $41,676 $20,838 $41,676 +0% $38,070 +9% —
887 OTHER MENTAL DISORDER DIAGNOSES $41,568 $20,784 $26,536 +57% $20,616 +102% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $41,567 $20,783 $34,218 +21% $21,449 +94% ≈312% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $41,525 $20,763 $36,370 +14% $19,815 +110% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $41,443 $20,722 $34,720 +19% $20,506 +102% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $41,270 $20,635 $41,270 +0% $18,316 +125% —
123 NEUROLOGICAL EYE DISORDERS $41,042 $20,521 $20,417 +101% $19,745 +108% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $40,758 $20,379 $20,657 +97% $17,124 +138% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $40,713 $20,357 $40,713 +0% $31,017 +31% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $40,600 $20,300 $40,600 +0% $26,280 +54% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $40,599 $20,299 $40,599 +0% $30,418 +33% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $40,551 $20,276 $23,003 +76% $19,270 +110% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $40,512 $20,256 $40,512 +0% $30,553 +33% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $40,278 $20,139 $40,278 +0% $34,459 +17% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $40,171 $20,085 $40,171 +0% $27,843 +44% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $40,062 $20,031 $33,013 +21% $22,024 +82% ≈425% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $40,050 $20,025 $36,134 +11% $22,033 +82% —
184 MAJOR CHEST TRAUMA WITH CC $39,956 $19,978 $36,432 +10% $22,432 +78% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $39,897 $19,948 $39,897 +0% $43,174 −8% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $39,807 $19,904 $37,313 +7% $24,914 +60% —
999 UNGROUPABLE $39,774 $19,887 $39,774 — $29,674 +34% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $39,742 $19,871 $29,642 +34% $18,126 +119% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $39,736 $19,868 $39,736 +0% $40,365 −2% —
181 RESPIRATORY NEOPLASMS WITH CC $39,646 $19,823 $39,646 +0% $23,573 +68% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $39,486 $19,743 $39,486 +0% $32,100 +23% ≈184% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $39,483 $19,741 $36,815 +7% $29,743 +33% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $39,363 $19,682 $39,363 +0% $19,227 +105% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $39,342 $19,671 $18,291 +115% $19,412 +103% —
200 PNEUMOTHORAX WITH CC $39,160 $19,580 $22,299 +76% $21,368 +83% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $39,135 $19,567 $40,893 −4% $30,784 +27% —
158 DENTAL AND ORAL DISEASES WITH CC $39,027 $19,514 $35,575 +10% $18,466 +111% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $38,994 $19,497 $38,994 +0% $25,303 +54% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $38,953 $19,477 $30,385 +28% $12,460 +213% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $38,891 $19,446 $25,096 +55% $22,314 +74% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $38,871 $19,435 $29,552 +32% $16,767 +132% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $38,866 $18,262 $29,363 +32% $19,096 +104% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $38,578 $19,289 $38,578 +0% $33,876 +14% —
150 EPISTAXIS WITH MCC $38,550 $19,275 $38,550 +0% $23,171 +66% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $38,529 $19,265 $31,416 +23% $27,633 +39% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $38,468 $17,581 $31,394 +23% $20,181 +91% ≈304% of Medicare
312 SYNCOPE AND COLLAPSE $38,319 $19,160 $34,730 +10% $19,342 +98% ≈247% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $38,251 $18,319 $36,083 +6% $21,056 +82% ≈288% of Medicare
638 DIABETES WITH CC $38,230 $18,919 $31,095 +23% $19,661 +94% ≈249% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $38,211 $18,331 $32,113 +19% $20,488 +87% ≈250% of Medicare
102 HEADACHES WITH MCC $38,183 $19,091 $38,183 +0% $25,740 +48% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $38,155 $19,078 $38,155 +0% $23,498 +62% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $38,113 $19,056 $29,524 +29% $19,842 +92% ≈227% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $37,981 $18,148 $27,985 +36% $18,204 +109% ≈381% of Medicare
101 SEIZURES WITHOUT MCC $37,415 $18,685 $30,319 +23% $20,461 +83% ≈298% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $37,321 $18,660 $26,474 +41% $20,455 +82% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $37,109 $18,084 $33,370 +11% $17,303 +114% ≈358% of Medicare
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $36,946 $18,473 $36,946 +0% $46,727 −21% —
709 PENIS PROCEDURES WITH CC/MCC $36,826 $18,413 $36,826 +0% $34,535 +7% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $36,651 $18,325 $36,651 +0% $17,620 +108% —
090 CONCUSSION WITHOUT CC/MCC $36,615 $18,308 $36,615 +0% $15,412 +138% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $36,518 $18,259 $24,244 +51% $24,552 +49% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $36,366 $18,183 $25,729 +41% $17,733 +105% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $36,307 $18,154 $31,453 +15% $18,528 +96% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $36,266 $18,133 $58,142 −38% $80,018 −55% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $36,246 $18,123 $28,742 +26% $15,764 +130% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $36,229 $18,114 $33,979 +7% $19,569 +85% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $36,209 $18,104 $36,209 +0% $19,854 +82% —
152 OTITIS MEDIA AND URI WITH MCC $36,075 $18,037 $27,012 +34% $20,247 +78% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,991 $17,996 $14,410 +150% $15,889 +127% —
644 ENDOCRINE DISORDERS WITH CC $35,848 $17,924 $34,848 +3% $23,198 +55% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $35,491 $17,746 $34,803 +2% $14,064 +152% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $35,490 $17,745 $35,490 +0% $20,926 +70% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $35,434 $17,717 $35,434 +0% $26,051 +36% —
914 TRAUMATIC INJURY WITHOUT MCC $35,154 $17,577 $27,878 +26% $15,855 +122% —
305 HYPERTENSION WITHOUT MCC $35,009 $17,504 $33,304 +5% $18,086 +94% ≈255% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $34,842 $16,726 $24,858 +40% $17,921 +94% ≈224% of Medicare
603 CELLULITIS WITHOUT MCC $34,840 $17,157 $25,915 +34% $18,530 +88% ≈252% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $34,739 $17,369 $34,739 +0% $30,243 +15% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $34,668 $17,334 $34,668 +0% $50,498 −31% —
534 FRACTURES OF FEMUR WITHOUT MCC $34,629 $17,315 $34,629 +0% $17,559 +97% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $34,542 $17,271 $34,542 +0% $17,934 +93% —
683 RENAL FAILURE WITH CC $34,417 $16,911 $30,503 +13% $19,130 +80% ≈377% of Medicare
149 DYSEQUILIBRIUM $34,380 $17,190 $27,340 +26% $18,096 +90% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $34,201 $17,101 $13,300 +157% $15,428 +122% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $34,158 $17,079 $27,999 +22% $20,901 +63% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $34,086 $17,043 $44,389 −23% $55,289 −38% —
920 COMPLICATIONS OF TREATMENT WITH CC $33,969 $16,984 $17,174 +98% $22,468 +51% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $33,951 $16,975 $33,951 +0% $27,152 +25% —
906 HAND PROCEDURES FOR INJURIES $33,910 $16,955 $33,910 +0% $32,065 +6% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $33,790 $16,415 $29,358 +15% $18,807 +80% ≈264% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $33,723 $16,862 $36,204 −7% $18,081 +87% ≈427% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $33,584 $16,792 $40,050 −16% $25,094 +34% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $33,579 $16,789 $27,552 +22% $17,724 +89% ≈228% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $33,551 $16,775 $29,175 +15% $20,781 +61% ≈545% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $33,518 $16,385 $30,247 +11% $21,275 +58% ≈307% of Medicare
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $33,459 $16,729 $33,459 +0% $19,037 +76% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $33,430 $16,276 $29,680 +13% $17,674 +89% ≈293% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $33,387 $16,694 $18,322 +82% $15,837 +111% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $33,298 $16,649 $29,204 +14% $17,578 +89% ≈374% of Medicare
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $32,985 $16,493 $32,985 +0% $37,844 −13% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $32,960 $16,480 $30,763 +7% $18,072 +82% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $32,904 $16,452 $31,075 +6% $19,962 +65% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $32,888 $16,444 $32,888 +0% $48,349 −32% —
864 FEVER AND INFLAMMATORY CONDITIONS $32,863 $16,432 $32,863 +0% $18,640 +76% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $32,773 $16,386 $28,585 +15% $23,283 +41% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $32,727 $16,364 $32,727 +0% $13,586 +141% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $32,412 $15,763 $25,731 +26% $17,322 +87% ≈289% of Medicare
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $32,252 $16,126 $32,252 +0% $16,634 +94% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $32,005 $16,002 $32,005 +0% $23,571 +36% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $31,967 $15,983 $31,967 +0% $19,305 +66% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $31,884 $15,942 $29,092 +10% $18,956 +68% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $31,789 $15,780 $28,291 +12% $17,038 +87% ≈275% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $31,678 $15,839 $35,990 −12% $40,362 −22% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $31,497 $15,748 $48,637 −35% $62,583 −50% —
075 VIRAL MENINGITIS WITH CC/MCC $31,393 $15,697 $26,570 +18% $30,447 +3% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $31,322 $15,661 $24,852 +26% $14,549 +115% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $31,187 $15,593 $31,187 +0% $35,030 −11% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $31,109 $15,554 $31,109 +0% $20,957 +48% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $31,083 $12,734 $28,275 +10% $16,699 +86% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $30,890 $15,445 $30,890 +0% $19,924 +55% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $30,791 $15,395 $30,791 +0% $20,084 +53% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $30,755 $15,377 $32,365 −5% $18,452 +67% —
292 HEART FAILURE AND SHOCK WITH CC $30,654 $15,327 $29,612 +4% $16,371 +87% —
204 RESPIRATORY SIGNS AND SYMPTOMS $30,354 $15,177 $30,354 +0% $18,004 +69% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $30,304 $15,152 $20,340 +49% $11,421 +165% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,282 $15,141 $30,282 +0% $32,443 −7% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $30,268 $15,134 $30,268 +0% $16,520 +83% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $30,092 $15,046 $30,092 +0% $18,002 +67% ≈264% of Medicare
639 DIABETES WITHOUT CC/MCC $30,054 $14,927 $21,780 +38% $13,910 +116% —
697 URETHRAL STRICTURE $30,047 $15,024 $30,047 +0% $18,428 +63% —
139 SALIVARY GLAND PROCEDURES $29,875 $14,937 $29,875 +0% $23,612 +27% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $29,618 $14,809 $29,618 +0% $34,749 −15% —
313 CHEST PAIN $29,505 $14,752 $25,021 +18% $16,440 +79% ≈232% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $29,254 $14,627 $29,254 +0% $14,514 +102% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $29,199 $14,600 $26,114 +12% $15,038 +94% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $29,119 $14,560 $24,144 +21% $19,594 +49% —
885 PSYCHOSES $28,973 $10,680 $21,424 +35% $21,729 +33% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $28,945 $14,473 $27,175 +7% $14,638 +98% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $28,937 $14,468 $28,937 +0% $15,183 +91% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $28,733 $14,367 $28,733 +0% $19,846 +45% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $28,653 $14,327 $16,349 +75% $18,602 +54% —
595 MAJOR SKIN DISORDERS WITH MCC $28,630 $14,315 $30,646 −7% $34,598 −17% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $28,573 $14,287 $28,573 +0% $29,221 −2% —
103 HEADACHES WITHOUT MCC $28,465 $14,233 $29,023 −2% $21,280 +34% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $28,430 $14,215 $26,502 +7% $13,824 +106% —
541 OSTEOMYELITIS WITHOUT CC/MCC $28,405 $14,203 $28,405 +0% $15,215 +87% —
693 URINARY STONES WITH MCC $28,330 $14,165 $28,330 +0% $23,892 +19% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $28,266 $14,133 $38,646 −27% $50,618 −44% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $28,131 $14,066 $28,131 +0% $14,648 +92% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $27,861 $13,930 $26,285 +6% $15,452 +80% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $27,842 $13,921 $27,842 +0% $12,324 +126% —
598 MALIGNANT BREAST DISORDERS WITH CC $27,833 $13,917 $27,833 +0% $19,073 +46% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $27,813 $13,907 $27,813 +0% $17,135 +62% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $27,537 $13,769 $27,537 +0% $10,975 +151% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $26,905 $13,453 $26,905 +0% $11,847 +127% —
303 ATHEROSCLEROSIS WITHOUT MCC $26,762 $13,381 $23,130 +16% $14,927 +79% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $26,634 $13,317 $28,621 −7% $40,213 −34% —
710 PENIS PROCEDURES WITHOUT CC/MCC $26,416 $13,208 $37,824 −30% $26,436 −0% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $26,064 $13,032 $23,386 +11% $12,336 +111% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $25,742 $12,871 $31,349 −18% $42,901 −40% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $25,729 $12,864 $25,729 +0% $14,368 +79% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $25,620 $12,810 $25,620 +0% $18,133 +41% —
088 CONCUSSION WITH MCC $25,611 $12,806 $25,611 +0% $24,402 +5% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $25,522 $12,761 $54,196 −53% $54,196 −53% —
684 RENAL FAILURE WITHOUT CC/MCC $25,169 $12,585 $20,737 +21% $13,642 +84% ≈459% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $25,152 $12,576 $25,152 +0% $16,288 +54% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $25,054 $12,527 $25,054 +0% $19,686 +27% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $24,872 $12,436 $19,124 +30% $14,128 +76% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $24,448 $12,224 $20,742 +18% $13,384 +83% ≈401% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $24,092 $12,046 $15,551 +55% $13,361 +80% —
593 SKIN ULCERS WITH CC $23,689 $11,844 $23,689 +0% $22,886 +4% —
913 TRAUMATIC INJURY WITH MCC $23,626 $11,813 $24,198 −2% $24,198 −2% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $23,532 $11,766 $13,799 +71% $17,118 +37% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $23,306 $11,653 $23,306 +0% $12,999 +79% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $22,290 $11,145 $22,290 +0% $13,651 +63% —
201 PNEUMOTHORAX WITHOUT CC/MCC $22,266 $11,133 $19,909 +12% $14,053 +58% —
881 DEPRESSIVE NEUROSES $22,174 $11,087 $17,006 +30% $15,058 +47% —
791 PREMATURITY WITH MAJOR PROBLEMS $22,071 $11,035 $14,595 +51% $42,679 −48% —
671 URETHRAL PROCEDURES WITH CC/MCC $21,949 $10,975 $25,566 −14% $27,233 −19% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $21,561 $10,780 $21,561 +0% $14,250 +51% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $21,501 $10,751 $19,040 +13% $12,454 +73% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $21,280 $10,640 $21,280 +0% $12,252 +74% —
151 EPISTAXIS WITHOUT MCC $21,269 $10,635 $16,459 +29% $13,032 +63% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $21,054 $10,527 $21,054 +0% $19,138 +10% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $20,970 $10,485 $20,970 +0% $18,459 +14% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $20,931 $10,465 $20,931 +0% $15,370 +36% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $20,719 $10,360 $20,719 +0% $20,566 +1% —
882 NEUROSES EXCEPT DEPRESSIVE $20,715 $10,358 $15,680 +32% $15,680 +32% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $20,548 $10,274 $20,348 +1% $17,601 +17% —
597 MALIGNANT BREAST DISORDERS WITH MCC $20,526 $10,263 $25,994 −21% $33,386 −39% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $20,521 $10,261 $19,718 +4% $8,927 +130% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $19,815 $9,907 $25,633 −23% $29,826 −34% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $19,614 $9,807 $19,614 +0% $14,689 +34% —
153 OTITIS MEDIA AND URI WITHOUT MCC $19,420 $9,710 $19,329 +0% $14,583 +33% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $19,404 $9,702 $19,404 +0% $16,700 +16% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $19,399 $9,700 $19,399 +0% $24,566 −21% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,328 $9,664 $19,328 +0% $33,047 −42% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $18,729 $9,364 $14,779 +27% $12,895 +45% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $17,890 $8,945 $17,890 +0% $16,846 +6% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $17,641 $8,821 $14,880 +19% $10,160 +74% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $17,146 $8,573 $17,146 +0% $13,275 +29% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,979 $8,489 $24,448 −31% $36,354 −53% —
509 ARTHROSCOPY $16,935 $8,468 $21,465 −21% $25,994 −35% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $16,608 $8,304 $16,608 +0% $14,014 +19% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $16,334 $8,167 $17,226 −5% $17,226 −5% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $16,236 $8,118 $16,236 +0% $15,600 +4% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $15,605 $7,802 $19,061 −18% $18,488 −16% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,424 $7,712 $13,638 +13% $12,078 +28% —
935 NON-EXTENSIVE BURNS $14,712 $7,356 $29,361 −50% $31,701 −54% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,746 $6,873 $26,510 −48% $26,510 −48% —
779 ABORTION WITHOUT D&C $13,449 $6,724 $14,464 −7% $15,327 −12% —
916 ALLERGIC REACTIONS WITHOUT MCC $13,231 $6,616 $13,231 +0% $13,942 −5% —
594 SKIN ULCERS WITHOUT CC/MCC $10,694 $5,347 $14,209 −25% $14,209 −25% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,542 $5,271 $22,482 −53% $23,206 −55% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,204 $5,102 $12,253 −17% $15,495 −34% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $9,501 $4,750 $12,120 −22% $14,415 −34% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $8,712 $4,356 $8,712 +0% $18,649 −53% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $8,200 $4,100 $9,940 −18% $9,940 −18% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $7,586 $3,793 $7,586 +0% $16,351 −54% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $6,864 $3,432 $6,180 +11% $12,229 −44% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,562 $2,281 $4,562 +0% $8,445 −46% —
795 NORMAL NEWBORN $4,045 $2,023 $4,045 +0% $4,720 −14% —
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