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 $784,968 +0% $431,073 +82% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $784,144 $392,072 $784,144 +0% $169,977 +361% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $776,637 $388,318 $65,149 +1092% $88,691 +776% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $680,543 $340,271 $110,483 +516% $120,174 +466% —
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 $98,645 +399% $94,988 +418% ≈155% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $480,684 $240,342 $38,816 +1138% $44,973 +969% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $476,801 $238,401 $131,627 +262% $109,331 +336% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $471,973 $235,986 $113,121 +317% $151,029 +213% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $469,806 $234,903 $94,742 +396% $121,728 +286% —
028 SPINAL PROCEDURES WITH MCC $465,263 $232,631 $78,738 +491% $95,858 +385% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $444,360 $222,180 $85,009 +423% $107,355 +314% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $440,564 $220,282 $75,723 +482% $68,847 +540% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $426,151 $213,075 $306,758 +39% $245,241 +74% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $423,275 $211,638 $85,309 +396% $44,053 +861% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $418,544 $209,272 $41,261 +914% $60,140 +596% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $414,659 $207,330 $228,033 +82% $191,314 +117% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $409,180 $204,590 $77,516 +428% $105,899 +286% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $406,873 — $19,302 +2008% $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 $162,179 +150% $142,326 +185% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $391,423 $195,712 $80,603 +386% $113,855 +244% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $386,231 $193,115 $114,415 +238% $114,914 +236% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $377,397 $188,699 $67,791 +457% $96,905 +289% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $372,608 $186,304 $115,884 +222% $120,587 +209% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $360,639 $180,320 $112,538 +220% $138,868 +160% —
231 CORONARY BYPASS WITH PTCA WITH MCC $358,961 $179,481 $122,814 +192% $146,474 +145% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $358,368 $179,184 $146,796 +144% $175,437 +104% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $356,004 $178,002 $86,352 +312% $102,177 +248% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $352,000 $176,000 $83,413 +322% $102,573 +243% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $348,460 $174,230 $98,094 +255% $121,714 +186% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $348,236 $174,118 $108,592 +221% $143,242 +143% —
471 CERVICAL SPINAL FUSION WITH MCC $346,709 $173,355 $129,295 +168% $92,515 +275% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $327,020 $163,510 $70,678 +363% $90,331 +262% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $322,400 $161,200 $61,401 +425% $76,954 +319% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $322,379 $161,189 $73,986 +336% $93,783 +244% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $319,622 $159,811 $73,946 +332% $79,944 +300% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $307,935 $153,967 $64,248 +379% $92,217 +234% ≈361% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $302,626 $151,313 $65,150 +365% $75,492 +301% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $302,459 $151,229 $118,644 +155% $92,238 +228% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $297,779 $148,889 $83,424 +257% $117,280 +154% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $295,977 $147,989 $68,868 +330% $81,998 +261% —
265 AICD LEAD PROCEDURES $295,464 $147,732 $49,492 +497% $56,695 +421% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $290,615 $145,308 $34,527 +742% $30,940 +839% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $287,086 $143,543 $112,923 +154% $131,961 +118% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $283,618 $141,809 $99,905 +184% $112,062 +153% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $283,404 $141,702 $52,293 +442% $65,216 +335% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $278,725 $139,363 $60,267 +362% $78,852 +253% ≈150% of Medicare
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $275,701 $137,850 $96,988 +184% $106,238 +160% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $273,009 $136,505 $75,312 +263% $65,254 +318% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $264,759 $132,379 $69,368 +282% $83,065 +219% ≈207% of Medicare
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $263,869 $131,935 $36,791 +617% $41,703 +533% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $257,363 $128,682 $56,596 +355% $65,325 +294% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $254,000 $127,000 $122,950 +107% $138,008 +84% ≈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 $76,970 +229% $106,778 +137% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $251,998 $125,999 $69,876 +261% $82,247 +206% ≈256% of Medicare
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $251,361 $125,680 $76,256 +230% $91,329 +175% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $251,281 $125,640 $50,458 +398% $47,583 +428% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $238,599 $119,299 $32,371 +637% $39,093 +510% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $238,593 $119,296 $101,735 +135% $118,589 +101% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $238,181 $119,090 $74,728 +219% $88,049 +171% —
472 CERVICAL SPINAL FUSION WITH CC $236,751 $118,375 $78,905 +200% $59,537 +298% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $228,458 $114,229 $52,792 +333% $71,014 +222% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $224,342 $112,171 $147,729 +52% $116,058 +93% —
263 VEIN LIGATION AND STRIPPING $223,757 $111,879 $49,590 +351% $44,938 +398% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $216,107 $108,053 $68,308 +216% $70,540 +206% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $213,562 $106,781 $100,873 +112% $99,423 +115% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $209,500 $104,750 $80,528 +160% $75,585 +177% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $209,077 $104,538 $47,828 +337% $62,269 +236% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $206,901 — $10,807 +1815% $10,039 +1961% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $206,397 $103,199 $54,532 +278% $66,819 +209% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $203,945 $101,973 $112,674 +81% $73,029 +179% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $201,524 $100,762 $36,148 +457% $33,564 +500% —
245 AICD GENERATOR PROCEDURES $199,305 $99,653 $79,381 +151% $72,076 +177% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $191,951 $95,976 $50,831 +278% $65,573 +193% ≈144% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $191,574 $95,787 $57,584 +233% $68,659 +179% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $190,175 $95,087 $100,436 +89% $84,861 +124% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $189,813 $94,906 $57,929 +228% $53,551 +254% —
163 MAJOR CHEST PROCEDURES WITH MCC $187,580 $93,790 $63,017 +198% $88,341 +112% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $185,267 $92,633 $61,240 +203% $88,307 +110% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $183,829 $91,915 $47,589 +286% $40,947 +349% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $182,747 $91,374 $52,797 +246% $57,277 +219% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $182,641 $91,321 $53,665 +240% $72,908 +151% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $182,448 $91,224 $50,550 +261% $62,524 +192% —
865 VIRAL ILLNESS WITH MCC $180,695 $90,348 $18,278 +889% $26,088 +593% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $177,653 $88,827 $69,206 +157% $96,222 +85% —
348 ANAL AND STOMAL PROCEDURES WITH CC $175,969 $87,984 $28,582 +516% $27,947 +530% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $174,154 $87,077 $31,740 +449% $38,382 +354% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $168,146 $84,073 $92,372 +82% $72,945 +131% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $166,213 $81,695 $81,510 +104% $87,018 +91% ≈243% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $165,057 $82,528 $45,855 +260% $46,430 +255% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $162,112 $81,056 $54,494 +197% $58,968 +175% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $161,709 $80,854 $27,767 +482% $36,280 +346% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $160,842 $80,421 $50,166 +221% $68,880 +134% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $160,394 $80,197 $63,758 +152% $57,149 +181% —
549 SEPTIC ARTHRITIS WITH CC $154,739 $77,369 $18,835 +722% $20,938 +639% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $154,691 $77,346 $71,130 +117% $74,257 +108% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $154,070 $77,035 $40,289 +282% $49,055 +214% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $153,002 $76,501 $104,680 +46% $86,390 +77% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $151,460 $75,730 $56,588 +168% $49,710 +205% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $151,298 $75,649 $51,761 +192% $60,861 +149% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $150,549 $75,275 $97,885 +54% $87,565 +72% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $150,285 $75,143 $28,703 +424% $41,520 +262% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $148,223 $74,111 $58,229 +155% $64,956 +128% —
164 MAJOR CHEST PROCEDURES WITH CC $146,779 $73,390 $42,791 +243% $53,141 +176% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $146,475 $73,237 $70,095 +109% $74,274 +97% ≈280% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $145,618 $72,809 $51,969 +180% $53,746 +171% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $143,390 $71,695 $120,122 +19% $78,582 +82% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $141,911 $70,956 $26,242 +441% $31,909 +345% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $140,264 $70,132 $59,299 +137% $68,006 +106% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $140,152 $70,076 $69,566 +101% $56,394 +149% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $136,480 $68,240 $102,204 +34% $75,103 +82% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $134,717 $67,358 $78,460 +72% $96,192 +40% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $134,352 $67,176 $32,073 +319% $41,380 +225% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $134,319 $67,159 $63,928 +110% $80,885 +66% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $133,190 $66,595 $37,153 +258% $43,697 +205% —
252 OTHER VASCULAR PROCEDURES WITH MCC $132,938 $66,469 $73,137 +82% $68,508 +94% ≈219% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $132,409 $66,204 $71,600 +85% $54,929 +141% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $131,134 $65,567 $63,484 +107% $66,853 +96% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $130,056 $65,028 $107,751 +21% $80,747 +61% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $128,150 $64,075 $79,606 +61% $63,475 +102% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $127,993 $63,996 $40,017 +220% $55,162 +132% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $126,378 $63,189 $75,451 +67% $70,132 +80% ≈304% of Medicare
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $126,101 $63,050 $83,562 +51% $67,764 +86% ≈235% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $125,889 $62,944 $43,086 +192% $35,642 +253% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $125,149 $62,574 $25,614 +389% $33,984 +268% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $124,383 $62,191 $38,726 +221% $51,339 +142% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $124,071 $62,035 $26,986 +360% $40,694 +205% ≈250% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $122,885 $61,443 $34,026 +261% $43,538 +182% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $121,264 $60,632 $69,335 +75% $64,776 +87% —
799 SPLENIC PROCEDURES WITH MCC $120,316 $60,158 $81,718 +47% $78,821 +53% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $120,158 $60,079 $56,655 +112% $74,755 +61% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $119,563 $59,782 $52,008 +130% $72,782 +64% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $118,585 $59,293 $32,969 +260% $37,080 +220% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $117,443 $58,721 $55,544 +111% $51,985 +126% —
503 FOOT PROCEDURES WITH MCC $117,293 $58,647 $44,980 +161% $43,901 +167% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $116,610 $58,305 $88,654 +32% $72,859 +60% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $116,397 $58,198 $95,050 +22% $63,984 +82% ≈211% of Medicare
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $115,909 $57,954 $77,021 +50% $55,097 +110% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $115,735 $57,867 $59,604 +94% $48,358 +139% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $115,276 $57,638 $69,669 +65% $51,953 +122% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $114,803 $57,401 $53,357 +115% $62,961 +82% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $114,754 $57,377 $52,544 +118% $50,624 +127% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $114,543 $57,272 $58,144 +97% $43,266 +165% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $114,218 $57,109 $65,134 +75% $50,011 +128% ≈310% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $114,191 $57,095 $20,766 +450% $28,527 +300% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $113,391 $56,695 $44,244 +156% $45,432 +150% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $113,136 $56,568 $110,643 +2% $88,050 +28% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $112,905 $56,186 $36,097 +213% $54,772 +106% ≈388% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $112,227 $56,113 $78,731 +43% $94,927 +18% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $111,967 $55,983 $33,559 +234% $44,989 +149% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $111,469 $55,734 $54,337 +105% $62,821 +77% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $110,907 $55,454 $53,273 +108% $40,563 +173% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $110,283 $55,142 $70,860 +56% $71,755 +54% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $109,923 $54,961 $28,993 +279% $35,139 +213% —
500 SOFT TISSUE PROCEDURES WITH MCC $109,099 $54,549 $41,602 +162% $57,479 +90% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $108,111 $54,056 $58,558 +85% $82,561 +31% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $107,549 $53,774 $37,937 +183% $37,654 +186% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $106,044 $53,022 $90,212 +18% $52,405 +102% ≈230% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $105,213 $52,606 $44,492 +136% $25,010 +321% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $103,879 $51,939 $55,642 +87% $51,172 +103% ≈255% of Medicare
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $103,314 $51,657 $40,164 +157% $46,402 +123% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $103,229 $51,615 $39,716 +160% $52,908 +95% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $103,040 $51,520 $25,669 +301% $35,584 +190% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $102,624 $51,312 $46,604 +120% $44,839 +129% —
038 EXTRACRANIAL PROCEDURES WITH CC $102,382 $51,191 $30,399 +237% $35,770 +186% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $102,147 $51,074 $22,628 +351% $24,450 +318% —
397 APPENDIX PROCEDURES WITH MCC $102,144 $51,072 $35,353 +189% $52,319 +95% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $102,034 $51,017 $40,496 +152% $36,237 +182% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $101,491 $50,745 $31,982 +217% $46,066 +120% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $101,181 $50,591 $24,458 +314% $30,910 +227% —
654 MAJOR BLADDER PROCEDURES WITH CC $100,297 $50,149 $50,218 +100% $53,868 +86% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $99,899 $49,949 $47,403 +111% $67,901 +47% —
668 TRANSURETHRAL PROCEDURES WITH MCC $99,367 $49,684 $47,320 +110% $47,277 +110% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $99,003 $49,501 $57,429 +72% $60,098 +65% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $98,839 $49,419 $48,167 +105% $45,963 +115% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $98,489 $49,245 $45,594 +116% $37,950 +160% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $98,189 $49,094 $39,941 +146% $40,548 +142% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $97,904 $48,952 $39,404 +148% $40,277 +143% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $97,134 $48,567 $62,350 +56% $54,475 +78% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $97,053 $48,526 $36,097 +169% $36,097 +169% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $96,892 $48,446 $44,300 +119% $39,409 +146% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $96,099 $48,049 $64,252 +50% $56,519 +70% ≈258% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $95,434 $47,717 $39,281 +143% $49,197 +94% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $94,928 $47,464 $41,958 +126% $46,659 +103% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $94,846 $47,423 $28,976 +227% $38,836 +144% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $94,828 $47,414 $51,542 +84% $43,398 +119% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $93,883 $46,941 $56,695 +66% $48,907 +92% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $93,273 $46,637 $69,376 +34% $64,465 +45% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $93,002 $46,501 $25,466 +265% $38,094 +144% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $92,655 $46,327 $21,908 +323% $22,525 +311% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $92,463 $46,231 $20,743 +346% $27,321 +238% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $91,821 $45,910 $61,260 +50% $64,152 +43% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $91,125 $45,563 $35,042 +160% $31,128 +193% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $90,744 $45,372 $26,424 +243% $39,018 +133% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $90,092 $45,046 $14,654 +515% $15,608 +477% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $89,928 $44,964 $38,454 +134% $43,491 +107% —
915 ALLERGIC REACTIONS WITH MCC $89,871 $44,936 $32,603 +176% $30,944 +190% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $89,857 $44,929 $49,249 +82% $39,747 +126% ≈274% of Medicare
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $89,816 $44,908 $18,572 +384% $20,842 +331% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $89,720 $44,860 $36,910 +143% $29,524 +204% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $89,196 $44,598 $60,903 +46% $57,963 +54% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $88,169 $44,085 $30,598 +188% $38,420 +129% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $88,053 $44,026 $59,316 +48% $40,063 +120% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $87,791 $43,896 $47,204 +86% $50,919 +72% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $87,654 $43,827 $34,039 +158% $52,313 +68% —
653 MAJOR BLADDER PROCEDURES WITH MCC $87,593 $43,796 $81,452 +8% $97,046 −10% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $87,575 $43,787 $67,944 +29% $71,701 +22% —
834 ACUTE LEUKEMIA WITH MCC $87,173 $43,587 $76,004 +15% $76,583 +14% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $87,011 $43,506 $26,206 +232% $36,242 +140% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $86,785 $43,392 $59,268 +46% $43,775 +98% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $86,771 $43,385 $59,597 +46% $48,682 +78% —
665 PROSTATECTOMY WITH MCC $86,734 $43,367 $56,318 +54% $54,072 +60% —
663 MINOR BLADDER PROCEDURES WITH CC $86,193 $43,096 $27,914 +209% $29,924 +188% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $85,216 $42,608 $30,912 +176% $45,622 +87% —
533 FRACTURES OF FEMUR WITH MCC $85,188 $42,594 $28,287 +201% $25,945 +228% —
180 RESPIRATORY NEOPLASMS WITH MCC $85,042 $42,521 $33,482 +154% $36,658 +132% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $84,276 $41,170 $44,178 +91% $58,832 +43% ≈281% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $84,255 $42,128 $63,858 +32% $54,313 +55% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $83,673 $39,415 $54,987 +52% $38,357 +118% ≈204% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $83,537 $38,581 $43,681 +91% $44,600 +87% ≈208% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $83,124 $41,562 $30,799 +170% $29,371 +183% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $82,563 $41,282 $63,791 +29% $45,059 +83% —
592 SKIN ULCERS WITH MCC $81,629 $40,815 $55,756 +46% $32,662 +150% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $81,123 $40,561 $49,433 +64% $41,900 +94% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $80,260 $40,130 $29,962 +168% $27,548 +191% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $80,077 $40,039 $20,487 +291% $20,421 +292% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $79,749 $39,874 $52,960 +51% $42,126 +89% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $79,659 $39,830 $36,487 +118% $35,673 +123% —
037 EXTRACRANIAL PROCEDURES WITH MCC $79,598 $39,799 $46,296 +72% $64,749 +23% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $79,371 $39,685 $28,337 +180% $25,484 +211% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $79,058 $39,529 $63,856 +24% $65,383 +21% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $79,041 $39,521 $26,505 +198% $32,689 +142% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $78,409 $39,205 $28,648 +174% $34,434 +128% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $78,374 $39,187 $41,511 +89% $35,714 +119% ≈205% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $77,713 $38,857 $33,547 +132% $48,094 +62% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $77,326 $38,663 $38,054 +103% $28,578 +171% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $77,267 $38,634 $44,732 +73% $23,924 +223% —
333 RECTAL RESECTION WITH CC $77,219 $38,609 $34,504 +124% $34,352 +125% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $75,702 $37,851 $33,546 +126% $50,139 +51% —
800 SPLENIC PROCEDURES WITH CC $75,571 $37,786 $50,692 +49% $49,184 +54% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $75,529 $37,765 $35,075 +115% $26,020 +190% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $74,555 $37,277 $31,458 +137% $44,553 +67% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $74,464 $37,232 $35,445 +110% $52,332 +42% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $74,312 $37,156 $22,421 +231% $13,282 +460% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $74,199 $37,099 $25,719 +189% $35,453 +109% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $74,079 $33,908 $37,856 +96% $35,237 +110% ≈274% of Medicare
540 OSTEOMYELITIS WITH CC $73,562 $36,781 $30,156 +144% $23,494 +213% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $73,487 $36,743 $62,597 +17% $45,817 +60% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $73,423 $36,711 $73,423 +0% $89,353 −18% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $73,145 $36,572 $26,657 +174% $36,375 +101% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $72,368 $36,184 $67,463 +7% $54,824 +32% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $72,292 $36,146 $32,640 +121% $39,253 +84% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $72,250 $36,125 $21,296 +239% $21,062 +243% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $72,080 $36,040 $34,586 +108% $46,591 +55% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $71,806 $35,903 $51,618 +39% $34,900 +106% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $71,274 $35,637 $26,558 +168% $32,502 +119% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $71,264 $35,632 $43,191 +65% $30,275 +135% —
666 PROSTATECTOMY WITH CC $71,150 $35,575 $46,244 +54% $30,016 +137% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $71,087 $35,544 $26,677 +166% $29,476 +141% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $70,577 $35,289 $56,111 +26% $35,375 +100% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $70,303 $35,152 $23,874 +194% $21,029 +234% —
606 MINOR SKIN DISORDERS WITH MCC $70,176 $35,088 $24,094 +191% $25,434 +176% —
398 APPENDIX PROCEDURES WITH CC $70,116 $35,058 $47,045 +49% $39,107 +79% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $70,075 $35,038 $39,420 +78% $31,059 +126% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $69,768 $34,884 $24,928 +180% $29,916 +133% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $69,688 $34,018 $57,626 +21% $43,524 +60% ≈437% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $69,297 $34,648 $47,589 +46% $31,758 +118% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $69,286 $33,968 $63,781 +9% $44,117 +57% ≈321% of Medicare
712 TESTES PROCEDURES WITHOUT CC/MCC $69,196 $34,598 $17,076 +305% $18,898 +266% —
813 COAGULATION DISORDERS $69,104 $34,552 $46,923 +47% $30,128 +129% —
711 TESTES PROCEDURES WITH CC/MCC $69,072 $34,536 $48,532 +42% $34,852 +98% —
501 SOFT TISSUE PROCEDURES WITH CC $69,059 $34,529 $37,002 +87% $37,975 +82% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $67,734 $33,867 $29,476 +130% $29,109 +133% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $67,702 $33,851 $30,721 +120% $46,477 +46% —
504 FOOT PROCEDURES WITH CC $67,254 $33,627 $26,881 +150% $36,598 +84% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $67,182 $33,591 $33,155 +103% $49,631 +35% —
643 ENDOCRINE DISORDERS WITH MCC $67,096 $33,548 $62,508 +7% $32,996 +103% —
506 MAJOR THUMB OR JOINT PROCEDURES $66,832 $33,416 $20,093 +233% $28,983 +131% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $66,813 $33,406 $48,865 +37% $40,583 +65% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $66,531 $33,266 $27,823 +139% $35,459 +88% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $66,456 $33,228 $32,077 +107% $45,818 +45% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $66,330 $33,165 $37,428 +77% $37,842 +75% ≈197% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $66,112 $33,056 $43,008 +54% $48,680 +36% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $66,079 $33,039 $66,079 +0% $29,409 +125% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $65,761 $32,881 $57,740 +14% $57,855 +14% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $65,686 $32,199 $24,475 +168% $28,134 +133% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $65,406 $32,703 $58,811 +11% $72,011 −9% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $65,244 $32,622 $41,694 +56% $32,451 +101% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $65,116 $32,558 $34,333 +90% $25,307 +157% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $64,970 $32,485 $54,300 +20% $61,832 +5% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $64,582 $32,291 $13,806 +368% $18,150 +256% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $64,520 $32,260 $38,593 +67% $33,694 +91% —
336 PERITONEAL ADHESIOLYSIS WITH CC $64,502 $32,251 $64,502 +0% $49,470 +30% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $64,232 $32,116 $22,664 +183% $25,854 +148% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $64,164 $32,082 $28,131 +128% $30,766 +109% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $64,047 $32,024 $43,218 +48% $53,817 +19% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $63,717 $31,859 $13,728 +364% $18,017 +254% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $63,591 $31,796 $23,981 +165% $35,114 +81% —
157 DENTAL AND ORAL DISEASES WITH MCC $63,516 $31,758 $24,447 +160% $27,457 +131% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $63,371 $31,491 $47,402 +34% $31,840 +99% ≈311% of Medicare
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $63,358 $31,679 $36,802 +72% $40,065 +58% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $63,059 $31,529 $19,267 +227% $27,492 +129% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $62,616 $31,308 $23,058 +172% $21,806 +187% —
662 MINOR BLADDER PROCEDURES WITH MCC $62,591 $31,295 $53,267 +18% $54,483 +15% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $62,580 $31,290 $32,604 +92% $37,064 +69% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $62,510 $31,255 $46,667 +34% $35,528 +76% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $62,435 $31,218 $46,112 +35% $40,552 +54% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $62,414 $31,207 $16,775 +272% $15,901 +293% —
302 ATHEROSCLEROSIS WITH MCC $62,402 $31,201 $18,292 +241% $20,844 +199% —
374 DIGESTIVE MALIGNANCY WITH MCC $61,906 $30,953 $30,598 +102% $38,885 +59% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $61,837 $30,919 $61,837 +0% $57,521 +8% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $61,813 $30,906 $23,703 +161% $33,490 +85% —
637 DIABETES WITH MCC $61,457 $30,353 $29,378 +109% $28,819 +113% ≈199% of Medicare
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $61,435 $30,718 $19,350 +217% $21,860 +181% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $61,282 $30,641 $39,806 +54% $32,538 +88% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $61,240 $30,620 $19,103 +221% $17,483 +250% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $61,214 $30,607 $21,240 +188% $24,118 +154% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $61,067 $30,534 $31,746 +92% $24,432 +150% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $61,054 $30,527 $44,909 +36% $42,119 +45% ≈307% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $60,831 $30,415 $38,994 +56% $36,334 +67% —
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 $25,972 +133% $31,716 +91% —
197 INTERSTITIAL LUNG DISEASE WITH CC $60,562 $30,281 $21,292 +184% $20,106 +201% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $60,424 $30,212 $32,406 +86% $18,478 +227% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $60,382 $30,191 $34,171 +77% $35,542 +70% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $60,114 $30,057 $36,742 +64% $30,814 +95% —
682 RENAL FAILURE WITH MCC $60,001 $27,831 $38,221 +57% $27,854 +115% ≈257% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $59,656 $29,828 $27,432 +117% $24,980 +139% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $59,528 $29,764 $57,553 +3% $34,906 +71% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $59,425 $29,712 $19,268 +208% $22,032 +170% —
199 PNEUMOTHORAX WITH MCC $59,376 $29,688 $26,106 +127% $31,491 +89% —
551 MEDICAL BACK PROBLEMS WITH MCC $59,169 $29,585 $32,791 +80% $31,086 +90% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $58,914 $29,260 $57,375 +3% $30,358 +94% ≈477% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $58,889 $29,445 $37,277 +58% $34,887 +69% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $58,864 $29,432 $18,662 +215% $14,337 +311% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $58,814 $29,407 $27,077 +117% $24,229 +143% —
949 AFTERCARE WITH CC/MCC $58,755 $29,378 $25,602 +129% $23,953 +145% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $58,634 $29,317 $17,830 +229% $24,017 +144% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $58,213 $29,106 $43,436 +34% $28,634 +103% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $57,383 $28,691 $17,086 +236% $17,700 +224% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $57,033 $28,517 $40,369 +41% $38,998 +46% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $56,894 $28,447 $30,203 +88% $35,014 +62% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $56,857 $28,428 $39,934 +42% $30,314 +88% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $56,729 $28,365 $36,997 +53% $32,911 +72% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $56,666 $28,333 $14,937 +279% $15,077 +276% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $56,628 $28,314 $17,517 +223% $16,642 +240% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $56,533 $28,267 $42,954 +32% $41,660 +36% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $56,482 $28,241 $80,878 −30% $86,953 −35% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $56,249 $28,125 $30,521 +84% $24,879 +126% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $56,206 $28,103 $13,791 +308% $17,928 +214% —
375 DIGESTIVE MALIGNANCY WITH CC $56,152 $28,076 $32,089 +75% $27,219 +106% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $56,093 $27,728 $55,456 +1% $42,881 +31% ≈281% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $56,068 $28,034 $25,086 +124% $31,190 +80% ≈287% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $55,989 $27,995 $28,801 +94% $43,800 +28% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $55,931 $27,965 $13,002 +330% $16,776 +233% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $55,916 $27,958 $36,043 +55% $25,267 +121% —
669 TRANSURETHRAL PROCEDURES WITH CC $55,713 $27,857 $37,639 +48% $34,354 +62% —
186 PLEURAL EFFUSION WITH MCC $55,677 $27,839 $27,997 +99% $32,468 +71% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $55,633 $27,381 $28,407 +96% $25,704 +116% ≈312% of Medicare
100 SEIZURES WITH MCC $55,369 $27,684 $40,437 +37% $35,194 +57% ≈186% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $55,348 $27,674 $25,147 +120% $32,213 +72% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $55,169 $27,585 $44,036 +25% $43,080 +28% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $55,110 $27,555 $22,279 +147% $23,920 +130% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $54,791 $27,395 $54,791 +0% $36,239 +51% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $54,757 $27,378 $22,477 +144% $28,140 +95% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $54,404 $27,202 $53,735 +1% $29,633 +84% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $54,353 $27,176 $30,151 +80% $33,792 +61% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $54,309 $27,154 $22,077 +146% $24,941 +118% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $54,284 $27,142 $12,698 +328% $13,654 +298% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $54,282 $27,141 $40,225 +35% $25,786 +111% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $53,795 $26,897 $25,844 +108% $25,623 +110% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $53,740 $26,870 $28,555 +88% $33,050 +63% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $52,964 $26,482 $23,850 +122% $23,723 +123% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $52,847 $26,423 $52,847 +0% $29,757 +78% ≈265% of Medicare
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $52,738 $26,369 $52,738 +0% $24,036 +119% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $52,510 $26,255 $23,254 +126% $28,252 +86% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $52,235 $26,118 $25,592 +104% $19,354 +170% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $52,195 $26,097 $38,685 +35% $29,729 +76% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $52,178 $26,089 $17,710 +195% $22,231 +135% —
811 RED BLOOD CELL DISORDERS WITH MCC $52,155 $25,840 $29,266 +78% $27,934 +87% ≈199% of Medicare
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $52,002 $26,001 $48,165 +8% $49,065 +6% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $51,948 $24,851 $35,309 +47% $24,480 +112% ≈212% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $51,540 $25,770 $22,651 +128% $29,484 +75% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $51,527 $25,132 $50,264 +3% $30,058 +71% ≈200% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $51,382 $25,691 $25,123 +105% $25,390 +102% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $51,267 $25,633 $45,498 +13% $54,129 −5% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $51,046 $23,766 $27,028 +89% $27,244 +87% ≈200% of Medicare
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $50,851 $25,426 $33,069 +54% $31,816 +60% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $50,399 $25,200 $29,897 +69% $28,967 +74% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $50,307 $25,153 $20,041 +151% $23,115 +118% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $50,224 $25,112 $33,105 +52% $18,282 +175% —
304 HYPERTENSION WITH MCC $50,099 $25,049 $23,126 +117% $24,185 +107% ≈204% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $50,093 $25,047 $29,131 +72% $44,363 +13% —
602 CELLULITIS WITH MCC $49,994 $24,997 $28,351 +76% $29,347 +70% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $49,735 $24,868 $15,367 +224% $14,055 +254% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $49,706 $24,853 $30,938 +61% $17,550 +183% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $49,621 $24,811 $30,407 +63% $16,212 +206% —
570 SKIN DEBRIDEMENT WITH MCC $49,379 $24,689 $45,821 +8% $52,435 −6% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $49,322 $24,661 $23,946 +106% $25,149 +96% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $49,148 $24,574 $21,978 +124% $20,080 +145% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $49,120 $24,560 $16,872 +191% $23,396 +110% ≈189% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $48,966 $24,483 $27,746 +76% $23,749 +106% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $48,951 $24,476 $28,602 +71% $23,496 +108% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $48,917 $24,459 $24,476 +100% $29,374 +67% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $48,894 $24,447 $28,302 +73% $21,886 +123% ≈310% of Medicare
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $48,869 $24,434 $37,042 +32% $33,137 +47% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $48,837 $24,419 $27,148 +80% $26,322 +86% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $48,759 $24,379 $24,292 +101% $27,168 +79% —
919 COMPLICATIONS OF TREATMENT WITH MCC $48,690 $24,345 $27,769 +75% $29,031 +68% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $48,620 $23,434 $26,329 +85% $26,488 +84% ≈251% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $48,458 $24,229 $24,098 +101% $26,634 +82% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $48,326 $24,163 $34,461 +40% $25,731 +88% —
137 MOUTH PROCEDURES WITH CC/MCC $48,061 $24,030 $31,991 +50% $24,348 +97% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $47,960 $23,980 $36,320 +32% $41,380 +16% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $47,895 $23,947 $30,411 +57% $31,812 +51% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $47,763 $23,881 $47,763 +0% $31,978 +49% —
187 PLEURAL EFFUSION WITH CC $47,752 $23,876 $16,225 +194% $21,467 +122% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $47,740 $23,870 $14,524 +229% $13,303 +259% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $47,642 $23,821 $41,064 +16% $32,399 +47% ≈216% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $47,578 $23,789 $34,311 +39% $24,022 +98% —
380 COMPLICATED PEPTIC ULCER WITH MCC $47,424 $23,712 $37,797 +25% $36,641 +29% —
571 SKIN DEBRIDEMENT WITH CC $47,274 $23,637 $34,961 +35% $34,901 +35% —
311 ANGINA PECTORIS $47,209 $23,604 $12,807 +269% $15,165 +211% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $47,204 $23,602 $30,595 +54% $35,692 +32% —
667 PROSTATECTOMY WITHOUT CC/MCC $47,088 $23,544 $19,960 +136% $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 $35,102 +34% $28,646 +64% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $46,876 $23,438 $31,280 +50% $20,777 +126% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $46,763 $23,382 $27,792 +68% $19,579 +139% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $46,552 $23,276 $31,227 +49% $28,780 +62% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $46,406 $23,203 $26,211 +77% $15,876 +192% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $46,310 $23,155 $73,030 −37% $82,527 −44% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $46,171 $23,086 $22,516 +105% $31,062 +49% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $46,171 $23,086 $28,479 +62% $23,141 +100% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $46,092 $22,678 $27,338 +69% $26,158 +76% ≈229% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $45,989 $22,995 $18,390 +150% $25,666 +79% —
866 VIRAL ILLNESS WITHOUT MCC $45,961 $22,981 $16,808 +173% $16,391 +180% —
539 OSTEOMYELITIS WITH MCC $45,830 $22,915 $25,709 +78% $33,746 +36% —
947 SIGNS AND SYMPTOMS WITH MCC $45,810 $22,905 $33,398 +37% $25,474 +80% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $45,721 $22,860 $34,941 +31% $32,483 +41% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $45,424 $22,671 $31,954 +42% $25,208 +80% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $45,027 $22,514 $27,958 +61% $21,261 +112% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $44,904 $22,452 $20,321 +121% $24,452 +84% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $44,902 $20,976 $21,891 +105% $22,982 +95% ≈253% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $44,864 $22,334 $21,712 +107% $25,426 +76% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $44,806 $22,403 $33,844 +32% $30,972 +45% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $44,708 $22,354 $35,348 +26% $26,146 +71% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $44,699 $22,350 $24,846 +80% $30,930 +45% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $44,694 $22,347 $44,694 +0% $17,434 +156% —
835 ACUTE LEUKEMIA WITH CC $44,660 $22,330 $35,476 +26% $35,569 +26% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $44,466 $22,233 $26,543 +68% $21,615 +106% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $44,197 $22,098 $33,345 +33% $25,243 +75% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $44,170 $22,085 $31,195 +42% $24,202 +83% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $44,108 $22,054 $30,872 +43% $20,371 +117% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $43,915 $21,958 $24,278 +81% $23,297 +89% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $43,834 $21,917 $31,872 +38% $24,316 +80% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $43,819 $21,909 $32,781 +34% $30,394 +44% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $43,818 $21,909 $28,145 +56% $33,424 +31% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $43,728 $21,864 $29,443 +49% $28,156 +55% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $43,642 $21,821 $26,970 +62% $24,544 +78% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $43,631 $21,816 $15,703 +178% $13,368 +226% —
694 URINARY STONES WITHOUT MCC $43,548 $21,774 $16,778 +160% $16,531 +163% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $43,398 $21,699 $32,594 +33% $36,202 +20% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $43,370 $21,685 $17,070 +154% $17,383 +150% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $43,131 $20,332 $38,652 +12% $22,781 +89% ≈385% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $43,112 $21,556 $21,088 +104% $23,469 +84% ≈366% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $42,988 $21,494 $13,166 +226% $12,537 +243% —
089 CONCUSSION WITH CC $42,915 $21,458 $19,023 +126% $18,293 +135% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $42,737 $21,369 $27,058 +58% $13,892 +208% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $42,708 $20,056 $16,223 +163% $21,213 +101% ≈240% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $42,680 $20,727 $27,802 +54% $25,020 +71% ≈265% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $42,616 $21,308 $23,796 +79% $28,924 +47% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $42,484 $21,242 $37,623 +13% $20,463 +108% ≈441% of Medicare
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $42,304 $21,152 $48,670 −13% $68,399 −38% —
381 COMPLICATED PEPTIC ULCER WITH CC $42,289 $21,145 $24,089 +76% $24,177 +75% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $42,197 $21,098 $27,695 +52% $32,204 +31% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $42,149 $21,075 $21,646 +95% $21,545 +96% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $41,941 $19,152 $17,770 +136% $24,190 +73% ≈278% of Medicare
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $41,927 $20,963 $21,471 +95% $29,050 +44% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $41,904 $20,952 $30,475 +38% $27,279 +54% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $41,897 $20,949 $30,214 +39% $32,936 +27% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $41,802 $20,901 $38,593 +8% $22,850 +83% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $41,676 $20,838 $31,025 +34% $36,850 +13% —
887 OTHER MENTAL DISORDER DIAGNOSES $41,568 $20,784 $41,568 +0% $20,602 +102% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $41,567 $20,783 $21,464 +94% $21,449 +94% ≈312% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $41,525 $20,763 $24,433 +70% $19,317 +115% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $41,443 $20,722 $18,557 +123% $19,287 +115% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $41,270 $20,635 $21,592 +91% $18,428 +124% —
123 NEUROLOGICAL EYE DISORDERS $41,042 $20,521 $14,868 +176% $17,831 +130% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $40,758 $20,379 $13,288 +207% $15,858 +157% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $40,713 $20,357 $29,611 +37% $30,006 +36% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $40,600 $20,300 $30,401 +34% $23,734 +71% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $40,599 $20,299 $25,973 +56% $30,418 +33% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $40,551 $20,276 $19,183 +111% $20,147 +101% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $40,512 $20,256 $25,994 +56% $29,558 +37% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $40,278 $20,139 $34,149 +18% $33,165 +21% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $40,171 $20,085 $30,883 +30% $25,162 +60% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $40,062 $20,031 $26,219 +53% $22,024 +82% ≈425% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $40,050 $20,025 $21,509 +86% $20,968 +91% —
184 MAJOR CHEST TRAUMA WITH CC $39,956 $19,978 $28,506 +40% $20,842 +92% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $39,897 $19,948 $34,333 +16% $41,651 −4% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $39,807 $19,904 $25,812 +54% $24,136 +65% —
999 UNGROUPABLE $39,774 $19,887 $39,774 — $28,822 +38% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $39,742 $19,871 $20,398 +95% $17,715 +124% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $39,736 $19,868 $26,794 +48% $36,597 +9% —
181 RESPIRATORY NEOPLASMS WITH CC $39,646 $19,823 $17,612 +125% $22,431 +77% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $39,486 $19,743 $21,961 +80% $29,663 +33% ≈184% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $39,483 $19,741 $20,634 +91% $29,211 +35% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $39,363 $19,682 $25,984 +51% $18,623 +111% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $39,342 $19,671 $28,817 +37% $18,291 +115% —
200 PNEUMOTHORAX WITH CC $39,160 $19,580 $28,364 +38% $20,573 +90% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $39,135 $19,567 $39,135 +0% $27,369 +43% —
158 DENTAL AND ORAL DISEASES WITH CC $39,027 $19,514 $23,548 +66% $17,700 +120% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $38,994 $19,497 $15,709 +148% $22,713 +72% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $38,953 $19,477 $23,203 +68% $12,405 +214% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $38,891 $19,446 $18,891 +106% $18,126 +115% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $38,871 $19,435 $19,010 +104% $16,104 +141% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $38,866 $18,262 $20,311 +91% $19,096 +104% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $38,578 $19,289 $31,723 +22% $33,607 +15% —
150 EPISTAXIS WITH MCC $38,550 $19,275 $24,026 +60% $21,133 +82% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $38,529 $19,265 $18,281 +111% $24,465 +57% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $38,468 $17,581 $35,161 +9% $18,918 +103% ≈304% of Medicare
312 SYNCOPE AND COLLAPSE $38,319 $19,160 $30,451 +26% $19,342 +98% ≈247% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $38,251 $18,319 $24,635 +55% $20,278 +89% ≈288% of Medicare
638 DIABETES WITH CC $38,230 $18,919 $18,440 +107% $18,821 +103% ≈249% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $38,211 $18,331 $25,457 +50% $20,488 +87% ≈250% of Medicare
102 HEADACHES WITH MCC $38,183 $19,091 $18,243 +109% $22,544 +69% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $38,155 $19,078 $19,686 +94% $22,275 +71% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $38,113 $19,056 $24,220 +57% $18,803 +103% ≈227% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $37,981 $18,148 $24,071 +58% $18,204 +109% ≈381% of Medicare
101 SEIZURES WITHOUT MCC $37,415 $18,685 $37,371 +0% $19,954 +88% ≈298% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $37,321 $18,660 $22,860 +63% $20,309 +84% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $37,109 $18,084 $21,022 +77% $16,865 +120% ≈358% of Medicare
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $36,946 $18,473 $34,270 +8% $40,232 −8% —
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 $25,045 +46% $17,522 +109% —
090 CONCUSSION WITHOUT CC/MCC $36,615 $18,308 $14,321 +156% $14,873 +146% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $36,518 $18,259 $27,145 +35% $23,350 +56% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $36,366 $18,183 $36,366 +0% $15,636 +133% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $36,307 $18,154 $17,649 +106% $18,253 +99% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $36,266 $18,133 $6,909 +425% $80,018 −55% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $36,246 $18,123 $19,708 +84% $15,764 +130% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $36,229 $18,114 $14,635 +148% $19,569 +85% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $36,209 $18,104 $25,418 +42% $19,854 +82% —
152 OTITIS MEDIA AND URI WITH MCC $36,075 $18,037 $23,757 +52% $19,795 +82% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,991 $17,996 $16,133 +123% $15,284 +135% —
644 ENDOCRINE DISORDERS WITH CC $35,848 $17,924 $32,271 +11% $22,941 +56% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $35,491 $17,746 $14,064 +152% $14,064 +152% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $35,490 $17,745 $17,354 +105% $19,868 +79% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $35,434 $17,717 $31,154 +14% $23,956 +48% —
914 TRAUMATIC INJURY WITHOUT MCC $35,154 $17,577 $15,088 +133% $15,593 +125% —
305 HYPERTENSION WITHOUT MCC $35,009 $17,504 $21,255 +65% $17,144 +104% ≈255% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $34,842 $16,726 $13,506 +158% $17,727 +97% ≈224% of Medicare
603 CELLULITIS WITHOUT MCC $34,840 $17,157 $22,386 +56% $18,530 +88% ≈252% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $34,739 $17,369 $28,084 +24% $29,609 +17% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $34,668 $17,334 $34,668 +0% $47,546 −27% —
534 FRACTURES OF FEMUR WITHOUT MCC $34,629 $17,315 $16,206 +114% $17,195 +101% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $34,542 $17,271 $17,774 +94% $17,108 +102% —
683 RENAL FAILURE WITH CC $34,417 $16,911 $15,543 +121% $18,620 +85% ≈377% of Medicare
149 DYSEQUILIBRIUM $34,380 $17,190 $23,638 +45% $17,203 +100% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $34,201 $17,101 $10,407 +229% $14,166 +141% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $34,158 $17,079 $21,655 +58% $19,091 +79% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $34,086 $17,043 $44,389 −23% $51,142 −33% —
920 COMPLICATIONS OF TREATMENT WITH CC $33,969 $16,984 $17,968 +89% $21,181 +60% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $33,951 $16,975 $24,685 +38% $27,118 +25% —
906 HAND PROCEDURES FOR INJURIES $33,910 $16,955 $31,520 +8% $31,520 +8% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $33,790 $16,415 $18,594 +82% $18,278 +85% ≈264% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $33,723 $16,862 $33,723 +0% $18,081 +87% ≈427% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $33,584 $16,792 $33,584 +0% $24,561 +37% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $33,579 $16,789 $19,488 +72% $17,273 +94% ≈228% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $33,551 $16,775 $16,838 +99% $19,483 +72% ≈545% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $33,518 $16,385 $30,507 +10% $20,732 +62% ≈307% of Medicare
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $33,459 $16,729 $23,195 +44% $16,654 +101% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $33,430 $16,276 $15,348 +118% $17,466 +91% ≈293% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $33,387 $16,694 $16,506 +102% $15,607 +114% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $33,298 $16,649 $23,722 +40% $17,388 +91% ≈374% of Medicare
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $32,985 $16,493 $30,327 +9% $32,981 +0% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $32,960 $16,480 $25,089 +31% $16,352 +102% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $32,904 $16,452 $13,602 +142% $19,001 +73% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $32,888 $16,444 $32,888 +0% $43,586 −25% —
864 FEVER AND INFLAMMATORY CONDITIONS $32,863 $16,432 $17,855 +84% $17,412 +89% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $32,773 $16,386 $20,574 +59% $22,560 +45% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $32,727 $16,364 $14,382 +128% $13,586 +141% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $32,412 $15,763 $19,098 +70% $17,322 +87% ≈289% of Medicare
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $32,252 $16,126 $22,586 +43% $16,634 +94% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $32,005 $16,002 $22,849 +40% $23,571 +36% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $31,967 $15,983 $23,224 +38% $19,305 +66% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $31,884 $15,942 $24,521 +30% $17,943 +78% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $31,789 $15,780 $19,368 +64% $16,745 +90% ≈275% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $31,678 $15,839 $35,391 −10% $39,657 −20% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $31,497 $15,748 $48,637 −35% $59,207 −47% —
075 VIRAL MENINGITIS WITH CC/MCC $31,393 $15,697 $19,997 +57% $29,853 +5% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $31,322 $15,661 $11,921 +163% $13,198 +137% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $31,187 $15,593 $31,187 +0% $34,089 −9% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $31,109 $15,554 $23,640 +32% $20,007 +55% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $31,083 $12,734 $25,468 +22% $16,049 +94% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $30,890 $15,445 $15,603 +98% $18,191 +70% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $30,791 $15,395 $20,068 +53% $20,084 +53% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $30,755 $15,377 $30,755 +0% $18,238 +69% —
292 HEART FAILURE AND SHOCK WITH CC $30,654 $15,327 $21,223 +44% $16,212 +89% —
204 RESPIRATORY SIGNS AND SYMPTOMS $30,354 $15,177 $19,727 +54% $16,866 +80% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $30,304 $15,152 $11,421 +165% $11,421 +165% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,282 $15,141 $28,004 +8% $32,839 −8% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $30,268 $15,134 $14,668 +106% $15,869 +91% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $30,092 $15,046 $13,888 +117% $18,002 +67% ≈264% of Medicare
639 DIABETES WITHOUT CC/MCC $30,054 $14,927 $17,457 +72% $13,910 +116% —
697 URETHRAL STRICTURE $30,047 $15,024 $19,447 +55% $17,705 +70% —
139 SALIVARY GLAND PROCEDURES $29,875 $14,937 $25,444 +17% $21,014 +42% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $29,618 $14,809 $29,618 +0% $32,490 −9% —
313 CHEST PAIN $29,505 $14,752 $18,206 +62% $15,962 +85% ≈232% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $29,254 $14,627 $21,097 +39% $14,110 +107% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $29,199 $14,600 $26,251 +11% $14,134 +107% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $29,119 $14,560 $22,355 +30% $19,326 +51% —
885 PSYCHOSES $28,973 $10,680 $21,489 +35% $21,489 +35% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $28,945 $14,473 $11,532 +151% $13,485 +115% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $28,937 $14,468 $13,348 +117% $15,070 +92% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $28,733 $14,367 $21,874 +31% $19,815 +45% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $28,653 $14,327 $18,292 +57% $17,367 +65% —
595 MAJOR SKIN DISORDERS WITH MCC $28,630 $14,315 $30,646 −7% $31,785 −10% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $28,573 $14,287 $22,702 +26% $28,375 +1% —
103 HEADACHES WITHOUT MCC $28,465 $14,233 $28,465 +0% $20,111 +42% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $28,430 $14,215 $14,923 +91% $13,824 +106% —
541 OSTEOMYELITIS WITHOUT CC/MCC $28,405 $14,203 $21,477 +32% $14,549 +95% —
693 URINARY STONES WITH MCC $28,330 $14,165 $28,330 +0% $22,525 +26% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $28,266 $14,133 $28,266 +0% $45,497 −38% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $28,131 $14,066 $20,657 +36% $14,444 +95% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $27,861 $13,930 $26,855 +4% $15,045 +85% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $27,842 $13,921 $27,842 +0% $12,013 +132% —
598 MALIGNANT BREAST DISORDERS WITH CC $27,833 $13,917 $15,714 +77% $19,073 +46% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $27,813 $13,907 $15,094 +84% $15,474 +80% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $27,537 $13,769 $10,975 +151% $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 $18,378 +46% $14,927 +79% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $26,634 $13,317 $26,634 +0% $36,933 −28% —
710 PENIS PROCEDURES WITHOUT CC/MCC $26,416 $13,208 $26,416 +0% $23,814 +11% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $26,064 $13,032 $12,336 +111% $12,336 +111% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $25,742 $12,871 $25,742 +0% $37,902 −32% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $25,729 $12,864 $11,714 +120% $14,368 +79% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $25,620 $12,810 $18,133 +41% $18,133 +41% —
088 CONCUSSION WITH MCC $25,611 $12,806 $24,392 +5% $24,402 +5% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $25,522 $12,761 $25,522 +0% $54,196 −53% —
684 RENAL FAILURE WITHOUT CC/MCC $25,169 $12,585 $11,162 +125% $13,623 +85% ≈459% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $25,152 $12,576 $18,523 +36% $14,880 +69% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $25,054 $12,527 $19,686 +27% $19,686 +27% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $24,872 $12,436 $24,872 +0% $14,128 +76% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $24,448 $12,224 $16,785 +46% $13,384 +83% ≈401% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $24,092 $12,046 $16,066 +50% $13,318 +81% —
593 SKIN ULCERS WITH CC $23,689 $11,844 $20,959 +13% $20,470 +16% —
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 $16,747 +41% $16,837 +40% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $23,306 $11,653 $16,653 +40% $11,955 +95% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $22,290 $11,145 $17,172 +30% $12,797 +74% —
201 PNEUMOTHORAX WITHOUT CC/MCC $22,266 $11,133 $17,124 +30% $13,081 +70% —
881 DEPRESSIVE NEUROSES $22,174 $11,087 $22,174 +0% $15,058 +47% —
791 PREMATURITY WITH MAJOR PROBLEMS $22,071 $11,035 $7,118 +210% $39,563 −44% —
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 $11,501 +87% $14,208 +52% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $21,501 $10,751 $15,382 +40% $12,381 +74% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $21,280 $10,640 $13,138 +62% $12,279 +73% —
151 EPISTAXIS WITHOUT MCC $21,269 $10,635 $13,032 +63% $13,032 +63% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $21,054 $10,527 $14,383 +46% $16,156 +30% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $20,970 $10,485 $19,286 +9% $18,459 +14% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $20,931 $10,465 $14,955 +40% $15,370 +36% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $20,719 $10,360 $15,217 +36% $18,608 +11% —
882 NEUROSES EXCEPT DEPRESSIVE $20,715 $10,358 $20,715 +0% $15,680 +32% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $20,548 $10,274 $12,332 +67% $16,571 +24% —
597 MALIGNANT BREAST DISORDERS WITH MCC $20,526 $10,263 $20,526 +0% $31,846 −36% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $20,521 $10,261 $8,927 +130% $8,927 +130% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $19,815 $9,907 $22,724 −13% $29,826 −34% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $19,614 $9,807 $14,894 +32% $14,441 +36% —
153 OTITIS MEDIA AND URI WITHOUT MCC $19,420 $9,710 $14,535 +34% $14,473 +34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $19,404 $9,702 $16,874 +15% $16,418 +18% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $19,399 $9,700 $19,399 +0% $20,741 −6% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,328 $9,664 $22,490 −14% $30,974 −38% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $18,729 $9,364 $13,967 +34% $12,895 +45% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $17,890 $8,945 $15,618 +15% $17,103 +5% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $17,641 $8,821 $17,641 +0% $9,385 +88% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $17,146 $8,573 $11,458 +50% $13,090 +31% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,979 $8,489 $26,779 −37% $36,333 −53% —
509 ARTHROSCOPY $16,935 $8,468 $16,935 +0% $25,994 −35% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $16,608 $8,304 $15,865 +5% $13,385 +24% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $16,334 $8,167 $16,334 +0% $17,226 −5% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $16,236 $8,118 $14,275 +14% $15,600 +4% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $15,605 $7,802 $15,605 +0% $17,731 −12% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,424 $7,712 $11,115 +39% $12,044 +28% —
935 NON-EXTENSIVE BURNS $14,712 $7,356 $14,712 +0% $29,458 −50% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,746 $6,873 $13,746 +0% $24,836 −45% —
779 ABORTION WITHOUT D&C $13,449 $6,724 $13,449 +0% $15,327 −12% —
916 ALLERGIC REACTIONS WITHOUT MCC $13,231 $6,616 $12,522 +6% $13,890 −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 $10,542 +0% $22,698 −54% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,204 $5,102 $10,204 +0% $15,072 −32% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $9,501 $4,750 $9,501 +0% $14,012 −32% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $8,712 $4,356 $8,712 +0% $16,719 −48% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $8,200 $4,100 $8,200 +0% $9,076 −10% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $7,586 $3,793 $6,036 +26% $14,284 −47% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $6,864 $3,432 $5,497 +25% $11,633 −41% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,562 $2,281 $4,562 +0% $7,961 −43% —
795 NORMAL NEWBORN $4,045 $2,023 $4,045 +0% $4,530 −11% —
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