Novant Health East Cooper Medical Center — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 733 with a comparable price, 38 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 771
Lowest published price $1,519
Average published price $29,385
Highest published price $176,224

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 771 procedures

Published charges

Showing all 733 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 20 procedures, this hospital's negotiated rates average ≈287% of what Medicare pays.

DRG Description Published price Cash price vs. SC median vs. National median vs Medicare
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $176,224 $176,224 $163,625 +8% $171,338 +3% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $162,179 $162,179 $162,179 +0% $142,326 +14% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $146,796 $146,796 $146,796 +0% $175,437 −16% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $131,627 $131,627 $131,627 +0% $109,331 +20% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $128,686 $128,686 $228,033 −44% $191,314 −33% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $123,323 $123,323 $114,506 +8% $104,881 +18% —
231 CORONARY BYPASS WITH PTCA WITH MCC $122,814 $122,814 $122,814 +0% $145,864 −16% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $122,399 $122,399 $118,023 +4% $135,380 −10% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $118,644 $118,644 $118,644 +0% $92,238 +29% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $118,213 $118,213 $109,761 +8% $98,912 +20% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $115,884 $115,884 $115,884 +0% $120,573 −4% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $114,415 $114,415 $114,415 +0% $114,665 −0% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $113,121 $113,121 $113,121 +0% $151,029 −25% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $112,923 $112,923 $112,923 +0% $131,961 −14% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $112,674 $112,674 $112,674 +0% $73,029 +54% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $112,538 $112,538 $112,538 +0% $138,868 −19% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $108,592 $108,592 $108,592 +0% $143,242 −24% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $105,993 $105,993 $102,204 +4% $75,103 +41% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $105,857 $105,857 $102,073 +4% $121,563 −13% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $104,155 $104,155 $110,483 −6% $119,071 −13% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $102,302 $102,302 $98,645 +4% $93,934 +9% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $101,735 $101,735 $101,735 +0% $115,937 −12% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $100,436 $100,436 $100,436 +0% $84,861 +18% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $99,905 $99,905 $99,905 +0% $112,062 −11% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $98,094 $98,094 $98,094 +0% $121,714 −19% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $96,988 $96,988 $96,988 +0% $106,219 −9% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $96,855 $96,855 $120,122 −19% $78,327 +24% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $96,726 $96,726 $93,269 +4% $108,472 −11% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $95,549 $95,549 $80,878 +18% $86,953 +10% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $92,133 $92,133 $94,742 −3% $121,728 −24% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $88,437 $88,437 $73,030 +21% $82,527 +7% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $85,655 $85,655 $82,593 +4% $101,280 −15% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $85,009 $85,009 $85,009 +0% $107,355 −21% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $83,424 $83,424 $83,424 +0% $117,280 −29% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $83,413 $83,413 $83,413 +0% $102,573 −19% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $83,023 $83,023 $86,352 −4% $102,177 −19% —
245 AICD GENERATOR PROCEDURES $82,324 $82,324 $79,381 +4% $72,076 +14% —
799 SPLENIC PROCEDURES WITH MCC $81,718 $81,718 $81,718 +0% $78,821 +4% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $80,528 $80,528 $80,528 +0% $75,585 +7% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $77,516 $77,516 $77,516 +0% $105,899 −27% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $77,021 $77,021 $77,021 +0% $55,002 +40% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $76,635 $76,635 $76,970 −0% $106,778 −28% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $76,256 $76,256 $76,256 +0% $91,329 −17% —
834 ACUTE LEUKEMIA WITH MCC $76,004 $76,004 $76,004 +0% $76,004 +0% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $75,723 $75,723 $75,723 +0% $68,847 +10% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $75,697 $75,697 $122,950 −38% $137,160 −45% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $74,728 $74,728 $74,728 +0% $87,495 −15% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $73,946 $73,946 $73,946 +0% $79,944 −8% —
028 SPINAL PROCEDURES WITH MCC $72,723 $72,723 $78,738 −8% $95,858 −24% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $72,016 $72,016 $147,729 −51% $116,058 −38% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $71,889 $71,889 $66,749 +8% $59,425 +21% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $70,908 $70,908 $65,838 +8% $83,441 −15% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $70,678 $70,678 $70,678 +0% $90,331 −22% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $69,876 $69,876 $69,876 +0% $82,247 −15% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $69,368 $69,368 $69,368 +0% $83,065 −16% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $68,868 $68,868 $68,868 +0% $81,998 −16% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $68,868 $68,868 $63,944 +8% $59,352 +16% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $66,243 $66,243 $73,986 −10% $93,783 −29% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $65,925 $65,925 $80,603 −18% $113,855 −42% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $65,421 $65,421 $60,753 +8% $56,964 +15% —
332 RECTAL RESECTION WITH MCC $65,332 $65,332 $60,661 +8% $58,125 +12% —
471 CERVICAL SPINAL FUSION WITH MCC $65,196 $65,196 $129,295 −50% $92,515 −30% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $65,150 $65,150 $65,150 +0% $75,492 −14% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $64,337 $64,337 $48,637 +32% $59,207 +9% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $64,296 $64,296 $44,389 +45% $51,142 +26% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $64,283 $64,283 $48,670 +32% $68,399 −6% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $63,628 $63,628 $61,837 +3% $57,521 +11% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $63,484 $63,484 $63,484 +0% $66,853 −5% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $63,335 $63,335 $100,873 −37% $99,423 −36% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $62,695 $62,695 $64,248 −2% $92,217 −32% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $62,519 $62,519 $67,791 −8% $96,905 −35% —
653 MAJOR BLADDER PROCEDURES WITH MCC $62,446 $62,446 $81,452 −23% $97,028 −36% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $61,963 $61,963 $65,149 −5% $85,882 −28% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $61,744 $61,744 $81,510 −24% $86,938 −29% ≈256% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $61,594 $61,594 $78,731 −22% $95,375 −35% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $60,992 $60,992 $58,811 +4% $71,873 −15% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $60,267 $60,267 $60,267 +0% $78,852 −24% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $60,202 $60,202 $69,335 −13% $64,488 −7% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $59,856 $59,856 $57,553 +4% $34,906 +71% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $59,604 $59,604 $59,604 +0% $48,358 +23% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $58,253 $58,253 $63,928 −9% $80,885 −28% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $58,229 $58,229 $58,229 +0% $64,956 −10% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $57,971 $57,971 $69,206 −16% $94,320 −39% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $57,929 $57,929 $57,929 +0% $53,787 +8% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $57,869 $57,869 $71,130 −19% $74,257 −22% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $56,774 $56,774 $57,429 −1% $60,098 −6% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $56,695 $56,695 $56,695 +0% $48,907 +16% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $56,596 $56,596 $56,596 +0% $65,325 −13% —
665 PROSTATECTOMY WITH MCC $56,318 $56,318 $56,318 +0% $54,072 +4% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $55,665 $55,665 $51,685 +8% $31,566 +76% —
163 MAJOR CHEST PROCEDURES WITH MCC $55,503 $55,503 $63,017 −12% $88,341 −37% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $55,487 $55,487 $52,198 +6% $62,404 −11% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $55,291 $55,291 $61,240 −10% $88,307 −37% —
662 MINOR BLADDER PROCEDURES WITH MCC $55,241 $55,241 $53,267 +4% $54,483 +1% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $54,755 $54,755 $52,797 +4% $57,277 −4% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $54,532 $54,532 $54,532 +0% $66,819 −18% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $54,494 $54,494 $54,494 +0% $58,968 −8% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $54,370 $54,370 $68,308 −20% $70,540 −23% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $54,337 $54,337 $54,337 +0% $62,266 −13% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $53,735 $53,735 $53,735 +0% $29,598 +82% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $53,533 $53,533 $75,451 −29% $70,132 −24% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $53,531 $53,531 $51,618 +4% $34,900 +53% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $53,040 $53,040 $56,655 −6% $74,755 −29% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $52,910 $52,910 $52,910 +0% $70,779 −25% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $52,792 $52,792 $52,792 +0% $71,014 −26% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $52,589 $52,589 $107,751 −51% $80,747 −35% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $52,424 $52,424 $53,665 −2% $72,908 −28% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $52,398 $52,398 $31,187 +68% $34,089 +54% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $52,293 $52,293 $52,293 +0% $65,216 −20% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $51,999 $51,999 $48,281 +8% $45,558 +14% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $51,030 $51,030 $110,643 −54% $88,050 −42% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $50,870 $50,870 $78,460 −35% $96,192 −47% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $50,831 $50,831 $50,831 +0% $65,573 −22% —
800 SPLENIC PROCEDURES WITH CC $50,692 $50,692 $50,692 +0% $49,184 +3% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $50,326 $50,326 $57,584 −13% $68,590 −27% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $49,035 $49,035 $67,944 −28% $71,519 −31% —
849 RADIOTHERAPY $48,890 $48,890 $45,395 +8% $37,862 +29% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,608 $48,608 $104,680 −54% $84,825 −43% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $47,997 $47,997 $44,565 +8% $56,758 −15% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $47,860 $47,860 $58,558 −18% $82,561 −42% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $47,589 $47,589 $47,589 +0% $40,947 +16% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $47,475 $47,475 $92,372 −49% $72,879 −35% —
668 TRANSURETHRAL PROCEDURES WITH MCC $47,320 $47,320 $47,320 +0% $47,126 +0% —
252 OTHER VASCULAR PROCEDURES WITH MCC $47,236 $47,236 $73,137 −35% $68,508 −31% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $47,204 $47,204 $47,204 +0% $50,919 −7% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $47,178 $47,178 $97,885 −52% $87,575 −46% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $46,604 $46,604 $46,604 +0% $44,839 +4% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $46,456 $46,456 $70,095 −34% $74,274 −37% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $45,855 $45,855 $45,855 +0% $46,306 −1% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $45,795 $45,795 $50,166 −9% $68,421 −33% ≈310% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $45,288 $45,288 $70,860 −36% $71,755 −37% —
503 FOOT PROCEDURES WITH MCC $44,980 $44,980 $44,980 +0% $43,982 +2% —
113 ORBITAL PROCEDURES WITH CC/MCC $44,684 $44,684 $43,086 +4% $35,642 +25% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $44,549 $44,549 $69,376 −36% $64,465 −31% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $44,512 $44,512 $88,654 −50% $72,843 −39% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $44,244 $44,244 $44,244 +0% $45,271 −2% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $44,043 $44,043 $51,761 −15% $60,861 −28% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $43,943 $43,943 $95,050 −54% $63,984 −31% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $43,797 $43,797 $57,740 −24% $57,855 −24% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $43,605 $43,605 $52,008 −16% $72,274 −40% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $43,401 $43,401 $40,298 +8% $35,806 +21% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $43,228 $43,228 $54,300 −20% $61,832 −30% —
164 MAJOR CHEST PROCEDURES WITH CC $42,791 $42,791 $42,791 +0% $53,141 −19% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $42,553 $42,553 $50,550 −16% $61,206 −30% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $42,510 $42,510 $75,312 −44% $64,468 −34% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $42,242 $42,242 $39,644 +7% $58,043 −27% —
709 PENIS PROCEDURES WITH CC/MCC $41,990 $41,990 $36,826 +14% $34,535 +22% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $41,958 $41,958 $41,958 +0% $46,659 −10% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $41,882 $41,882 $47,403 −12% $67,215 −38% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $41,421 $41,421 $39,941 +4% $40,548 +2% —
265 AICD LEAD PROCEDURES $41,158 $41,158 $49,492 −17% $56,216 −27% —
263 VEIN LIGATION AND STRIPPING $41,155 $41,155 $49,590 −17% $44,938 −8% —
472 CERVICAL SPINAL FUSION WITH CC $40,603 $40,603 $78,905 −49% $59,537 −32% ≈307% of Medicare
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $40,416 $40,416 $40,416 +0% $53,555 −25% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $40,369 $40,369 $40,369 +0% $38,998 +4% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $40,343 $40,343 $63,758 −37% $56,197 −28% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $40,098 $40,098 $61,401 −35% $76,954 −48% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $40,017 $40,017 $40,017 +0% $55,162 −27% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $39,992 $39,992 $69,566 −43% $56,394 −29% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $39,404 $39,404 $39,404 +0% $40,277 −2% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $38,917 $38,917 $67,463 −42% $54,681 −29% —
500 SOFT TISSUE PROCEDURES WITH MCC $38,883 $38,883 $41,602 −7% $57,181 −32% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $38,879 $38,879 $61,260 −37% $62,790 −38% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,816 $38,816 $38,816 +0% $44,973 −14% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $38,726 $38,726 $38,726 +0% $51,339 −25% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $38,720 $38,720 $79,606 −51% $63,310 −39% —
253 OTHER VASCULAR PROCEDURES WITH CC $38,688 $38,688 $51,969 −26% $53,746 −28% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $38,434 $38,434 $35,686 +8% $35,381 +9% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $38,377 $38,377 $40,164 −4% $46,402 −17% —
595 MAJOR SKIN DISORDERS WITH MCC $38,266 $38,266 $30,646 +25% $31,772 +20% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $38,250 $38,250 $65,134 −41% $50,011 −24% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $38,167 $38,167 $36,802 +4% $40,065 −5% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $38,116 $38,116 $35,391 +8% $39,657 −4% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $38,054 $38,054 $38,054 +0% $28,578 +33% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $37,937 $37,937 $37,937 +0% $37,654 +1% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $37,725 $37,725 $63,858 −41% $54,313 −31% —
037 EXTRACRANIAL PROCEDURES WITH MCC $37,624 $37,624 $46,296 −19% $64,749 −42% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $37,358 $37,358 $56,588 −34% $49,710 −25% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $37,195 $37,195 $38,454 −3% $43,491 −14% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $37,042 $37,042 $48,165 −23% $48,745 −24% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $36,910 $36,910 $36,910 +0% $29,524 +25% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $36,752 $36,752 $41,261 −11% $60,140 −39% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $36,487 $36,487 $36,487 +0% $35,673 +2% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $36,148 $36,148 $36,148 +0% $33,415 +8% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $36,097 $36,097 $36,097 +0% $54,772 −34% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $36,068 $36,068 $71,600 −50% $54,929 −34% ≈253% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $36,053 $36,053 $40,289 −11% $49,055 −27% —
654 MAJOR BLADDER PROCEDURES WITH CC $36,005 $36,005 $50,218 −28% $53,868 −33% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $35,748 $35,748 $63,856 −44% $65,383 −45% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,530 $35,530 $47,828 −26% $61,353 −42% —
835 ACUTE LEUKEMIA WITH CC $35,476 $35,476 $35,476 +0% $35,569 −0% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,445 $35,445 $35,445 +0% $52,332 −32% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $35,271 $35,271 $34,668 +2% $47,546 −26% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $35,116 $35,116 $53,357 −34% $62,961 −44% —
397 APPENDIX PROCEDURES WITH MCC $34,902 $34,902 $35,353 −1% $52,319 −33% —
548 SEPTIC ARTHRITIS WITH MCC $34,841 $34,841 $32,350 +8% $31,019 +12% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $34,763 $34,763 $32,278 +8% $34,158 +2% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $34,581 $34,581 $33,345 +4% $25,243 +37% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $34,533 $34,533 $62,597 −45% $45,594 −24% —
333 RECTAL RESECTION WITH CC $34,504 $34,504 $34,504 +0% $34,352 +0% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $34,444 $34,444 $43,436 −21% $28,554 +21% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,434 $34,434 $50,458 −32% $47,583 −28% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $34,333 $34,333 $34,333 +0% $41,701 −18% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $34,234 $34,234 $83,562 −59% $66,765 −49% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $34,215 $34,215 $45,498 −25% $53,763 −36% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $34,211 $34,211 $34,527 −1% $30,940 +11% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $34,055 $34,055 $44,036 −23% $43,080 −21% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $34,026 $34,026 $34,026 +0% $43,538 −22% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,991 $33,991 $44,178 −23% $58,713 −42% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $33,468 $33,468 $32,888 +2% $43,313 −23% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $33,383 $33,383 $39,716 −16% $52,908 −37% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $33,035 $33,035 $36,791 −10% $41,596 −21% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $32,978 $32,978 $55,642 −41% $50,998 −35% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $32,788 $32,788 $62,350 −47% $54,475 −40% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $32,654 $32,654 $22,724 +44% $29,826 +9% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $32,601 $32,601 $59,299 −45% $68,331 −52% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $32,594 $32,594 $32,594 +0% $36,202 −10% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,451 $32,451 $32,640 −1% $39,253 −17% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $32,406 $32,406 $64,252 −50% $55,147 −41% ≈297% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $32,389 $32,389 $25,566 +27% $27,233 +19% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $32,073 $32,073 $32,073 +0% $41,380 −22% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $31,982 $31,982 $31,982 +0% $46,066 −31% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $31,975 $31,975 $52,544 −39% $50,624 −37% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $31,777 $31,777 $29,505 +8% $22,532 +41% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $31,751 $31,751 $59,268 −46% $43,775 −27% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $31,665 $31,665 $60,903 −48% $57,030 −44% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $31,605 $31,605 $30,475 +4% $26,998 +17% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $31,594 $31,594 $34,270 −8% $39,923 −21% —
666 PROSTATECTOMY WITH CC $31,564 $31,564 $46,244 −32% $30,016 +5% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $31,458 $31,458 $31,458 +0% $44,553 −29% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $31,351 $31,351 $26,779 +17% $36,333 −14% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $31,235 $31,235 $40,496 −23% $36,237 −14% —
693 URINARY STONES WITH MCC $31,235 $31,235 $28,330 +10% $22,525 +39% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $31,154 $31,154 $31,154 +0% $23,956 +30% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $31,109 $31,109 $33,559 −7% $44,989 −31% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $31,023 $31,023 $34,039 −9% $51,950 −40% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $30,948 $30,948 $51,542 −40% $41,847 −26% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $30,917 $30,917 $48,865 −37% $40,583 −24% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $30,824 $30,824 $46,667 −34% $35,528 −13% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $30,799 $30,799 $30,799 +0% $29,891 +3% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $30,699 $30,699 $85,309 −64% $44,022 −30% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,596 $30,596 $64,502 −53% $49,071 −38% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $30,579 $30,579 $59,316 −48% $40,063 −24% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $30,435 $30,435 $32,371 −6% $39,093 −22% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $30,411 $30,411 $30,411 +0% $31,812 −4% —
038 EXTRACRANIAL PROCEDURES WITH CC $30,399 $30,399 $30,399 +0% $35,770 −15% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $30,211 $30,211 $90,212 −67% $52,405 −42% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $30,201 $30,201 $55,544 −46% $51,985 −42% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $29,986 $29,986 $34,586 −13% $45,937 −35% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $29,962 $29,962 $29,962 +0% $27,277 +10% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $29,618 $29,618 $29,618 −0% $32,189 −8% —
913 TRAUMATIC INJURY WITH MCC $29,495 $29,495 $24,198 +22% $24,198 +22% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,476 $29,476 $29,476 +0% $29,109 +1% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $29,189 $29,189 $36,997 −21% $32,911 −11% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $29,011 $29,011 $43,218 −33% $53,817 −46% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $29,003 $29,003 $30,912 −6% $44,719 −35% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $28,807 $28,807 $30,203 −5% $35,108 −18% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $28,648 $28,648 $28,648 +0% $34,434 −17% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $28,405 $28,405 $32,077 −11% $45,842 −38% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $28,357 $28,357 $30,598 −7% $37,839 −25% —
533 FRACTURES OF FEMUR WITH MCC $28,287 $28,287 $28,287 +0% $25,945 +9% —
570 SKIN DEBRIDEMENT WITH MCC $28,116 $28,116 $45,821 −39% $51,501 −45% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $28,109 $28,109 $32,604 −14% $36,318 −23% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $28,100 $28,100 $33,547 −16% $47,574 −41% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $28,085 $28,085 $39,281 −29% $48,801 −42% ≈290% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $27,997 $27,997 $28,976 −3% $38,836 −28% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $27,737 $27,737 $59,597 −53% $48,682 −43% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $27,492 $27,492 $63,781 −57% $44,087 −38% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $27,489 $27,489 $31,740 −13% $38,382 −28% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $27,326 $27,326 $25,372 +8% $22,811 +20% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $27,279 $27,279 $42,954 −36% $41,660 −35% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,112 $27,112 $27,823 −3% $35,029 −23% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $27,071 $27,071 $28,337 −4% $25,484 +6% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $27,032 $27,032 $38,593 −30% $33,694 −20% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $26,970 $26,970 $26,970 +0% $24,544 +10% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $26,957 $26,957 $69,669 −61% $51,953 −48% —
504 FOOT PROCEDURES WITH CC $26,881 $26,881 $26,881 +0% $36,519 −26% —
906 HAND PROCEDURES FOR INJURIES $26,855 $26,855 $31,520 −15% $31,520 −15% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,842 $26,842 $26,424 +2% $39,018 −31% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $26,805 $26,805 $52,960 −49% $42,126 −36% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $26,757 $26,757 $40,225 −33% $25,786 +4% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $26,602 $26,602 $44,909 −41% $42,119 −37% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $26,543 $26,543 $26,543 +0% $21,615 +23% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $26,392 $26,392 $41,511 −36% $35,714 −26% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $26,335 $26,335 $24,452 +8% $23,456 +12% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $25,973 $25,973 $25,973 +0% $30,418 −15% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $25,844 $25,844 $25,844 +0% $25,621 +1% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $25,835 $25,835 $24,586 +5% $25,197 +3% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $25,816 $25,816 $25,994 −1% $29,558 −13% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $25,719 $25,719 $25,719 +0% $35,453 −27% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $25,669 $25,669 $25,669 +0% $35,584 −28% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $25,614 $25,614 $25,614 +0% $33,962 −25% —
949 AFTERCARE WITH CC/MCC $25,602 $25,602 $25,602 +0% $23,953 +7% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $25,592 $25,592 $25,592 +0% $19,354 +32% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $25,478 $25,478 $26,986 −6% $40,694 −37% —
710 PENIS PROCEDURES WITHOUT CC/MCC $25,283 $25,283 $26,416 −4% $23,814 +6% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $25,252 $25,252 $24,350 +4% $25,152 +0% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $25,216 $25,216 $37,042 −32% $33,137 −24% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $25,183 $25,183 $30,151 −16% $33,790 −25% —
334 RECTAL RESECTION WITHOUT CC/MCC $25,147 $25,147 $25,147 +0% $32,213 −22% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $25,123 $25,123 $25,123 +0% $25,390 −1% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $25,082 $25,082 $47,763 −47% $31,978 −22% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $25,033 $25,033 $27,432 −9% $24,928 +0% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $24,983 $24,983 $48,167 −48% $45,916 −46% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $24,980 $24,980 $27,077 −8% $24,229 +3% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $24,861 $24,861 $44,300 −44% $39,409 −37% —
505 FOOT PROCEDURES WITHOUT CC/MCC $24,790 $24,790 $25,972 −5% $31,716 −22% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,761 $24,761 $24,846 −0% $30,930 −20% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $24,741 $24,741 $57,626 −57% $43,444 −43% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $24,679 $24,679 $36,320 −32% $40,801 −40% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $24,595 $24,595 $43,008 −43% $47,635 −48% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $24,460 $24,460 $33,155 −26% $49,631 −51% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $24,459 $24,459 $30,595 −20% $35,692 −31% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $24,413 $24,413 $20,602 +18% $19,598 +25% —
088 CONCUSSION WITH MCC $24,392 $24,392 $24,392 +0% $24,402 −0% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $24,351 $24,351 $33,069 −26% $31,816 −23% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $24,278 $24,278 $24,278 +0% $22,920 +6% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,222 $24,222 $22,490 +8% $30,681 −21% —
150 EPISTAXIS WITH MCC $24,026 $24,026 $24,026 +0% $21,133 +14% —
398 APPENDIX PROCEDURES WITH CC $23,974 $23,974 $47,045 −49% $38,574 −38% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $23,946 $23,946 $23,946 +0% $25,149 −5% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $23,938 $23,938 $58,144 −59% $43,266 −45% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $23,929 $23,929 $53,273 −55% $40,563 −41% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $23,874 $23,874 $23,874 +0% $21,029 +14% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,850 $23,850 $23,850 +0% $23,646 +1% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $23,842 $23,842 $29,131 −18% $43,320 −45% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $23,812 $23,812 $56,111 −58% $35,375 −33% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $23,810 $23,810 $43,681 −45% $44,600 −47% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,747 $23,747 $49,249 −52% $39,675 −40% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $23,669 $23,669 $26,794 −12% $35,989 −34% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $23,467 $23,467 $27,767 −15% $36,241 −35% —
501 SOFT TISSUE PROCEDURES WITH CC $23,415 $23,415 $37,002 −37% $37,975 −38% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $23,389 $23,389 $41,694 −44% $32,451 −28% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $23,276 $23,276 $37,277 −38% $34,564 −33% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $23,271 $23,271 $28,084 −17% $29,609 −21% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $23,244 $23,244 $33,546 −31% $50,139 −54% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $23,210 $23,210 $25,742 −10% $37,681 −38% —
669 TRANSURETHRAL PROCEDURES WITH CC $23,209 $23,209 $37,639 −38% $34,354 −32% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $23,185 $23,185 $24,292 −5% $27,074 −14% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $23,041 $23,041 $38,994 −41% $36,195 −36% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $23,011 $23,011 $39,934 −42% $30,259 −24% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $22,977 $22,977 $49,433 −54% $41,114 −44% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $22,632 $22,632 $30,521 −26% $24,879 −9% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $22,589 $22,589 $20,974 +8% $17,078 +32% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $22,577 $22,577 $54,791 −59% $35,961 −37% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $22,572 $22,572 $39,806 −43% $32,538 −31% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $22,527 $22,527 $20,916 +8% $29,805 −24% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $22,301 $22,301 $36,043 −38% $25,267 −12% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $22,289 $22,289 $55,456 −60% $42,881 −48% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,279 $22,279 $22,279 +0% $23,920 −7% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $22,074 $22,074 $26,634 −17% $36,880 −40% —
539 OSTEOMYELITIS WITH MCC $21,975 $21,975 $25,709 −15% $33,614 −35% —
551 MEDICAL BACK PROBLEMS WITH MCC $21,875 $21,875 $32,791 −33% $31,067 −30% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $21,870 $21,870 $46,112 −53% $40,552 −46% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $21,868 $21,868 $26,206 −17% $36,355 −40% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $21,712 $21,712 $21,712 +0% $25,412 −15% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,705 $21,705 $28,004 −22% $32,839 −34% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $21,595 $21,595 $30,883 −30% $25,038 −14% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $21,544 $21,544 $27,145 −21% $22,874 −6% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,471 $21,471 $21,471 +0% $29,029 −26% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $21,319 $21,319 $23,703 −10% $33,425 −36% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $21,306 $21,306 $28,703 −26% $41,520 −49% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,296 $21,296 $21,296 +0% $21,025 +1% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $21,264 $21,264 $30,721 −31% $46,477 −54% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $21,189 $21,189 $36,097 −41% $36,097 −41% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $21,115 $21,115 $19,605 +8% $19,894 +6% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $21,104 $21,104 $20,349 +4% $23,588 −11% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $21,035 $21,035 $26,657 −21% $35,990 −42% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $21,000 $21,000 $34,171 −39% $35,693 −41% —
180 RESPIRATORY NEOPLASMS WITH MCC $20,964 $20,964 $33,482 −37% $36,658 −43% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $20,957 $20,957 $22,664 −8% $25,854 −19% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $20,850 $20,850 $66,079 −68% $29,409 −29% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $20,743 $20,743 $20,743 +0% $27,319 −24% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $20,727 $20,727 $20,727 +0% $28,103 −26% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $20,639 $20,639 $19,399 +6% $20,741 −0% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $20,637 $20,637 $26,242 −21% $31,909 −35% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $20,619 $20,619 $24,433 −16% $19,317 +7% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,589 $20,589 $37,153 −45% $43,697 −53% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,588 $20,588 $26,677 −23% $29,476 −30% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $20,562 $20,562 $23,981 −14% $34,886 −41% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $20,532 $20,532 $28,145 −27% $33,424 −39% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $20,487 $20,487 $20,487 +0% $20,148 +2% —
139 SALIVARY GLAND PROCEDURES $20,446 $20,446 $25,444 −20% $21,014 −3% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $20,363 $20,363 $63,791 −68% $44,927 −55% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,321 $20,321 $20,321 +0% $24,277 −16% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,261 $20,261 $25,466 −20% $38,094 −47% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $20,132 $20,132 $30,214 −33% $32,804 −39% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $20,089 $20,089 $54,987 −63% $38,166 −47% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $20,031 $20,031 $36,742 −45% $30,814 −35% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $20,024 $20,024 $28,993 −31% $35,139 −43% —
667 PROSTATECTOMY WITHOUT CC/MCC $19,960 $19,960 $19,960 +0% $16,703 +20% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $19,934 $19,934 $45,594 −56% $37,950 −47% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $19,885 $19,885 $28,555 −30% $32,901 −40% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,874 $19,874 $20,766 −4% $28,509 −30% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $19,865 $19,865 $20,041 −1% $23,039 −14% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $19,826 $19,826 $27,958 −29% $21,323 −7% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $19,756 $19,756 $28,801 −31% $43,252 −54% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,745 $19,745 $24,476 −19% $29,374 −33% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $19,708 $19,708 $19,708 +0% $15,764 +25% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $19,577 $19,577 $31,025 −37% $36,850 −47% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,576 $19,576 $18,176 +8% $17,193 +14% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $19,546 $19,546 $24,458 −20% $30,768 −36% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $19,479 $19,479 $18,086 +8% $17,398 +12% —
697 URETHRAL STRICTURE $19,447 $19,447 $19,447 +0% $17,705 +10% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,362 $19,362 $19,362 +0% $38,878 −50% —
183 MAJOR CHEST TRAUMA WITH MCC $19,354 $19,354 $23,796 −19% $28,924 −33% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,329 $19,329 $34,149 −43% $33,236 −42% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $19,103 $19,103 $19,103 +0% $17,483 +9% —
100 SEIZURES WITH MCC $19,050 $19,050 $40,437 −53% $35,194 −46% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $19,042 $19,042 $29,611 −36% $29,777 −36% —
597 MALIGNANT BREAST DISORDERS WITH MCC $19,034 $19,034 $20,526 −7% $31,846 −40% —
089 CONCUSSION WITH CC $19,023 $19,023 $19,023 +0% $18,293 +4% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $18,982 $18,982 $28,131 −33% $30,362 −37% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $18,891 $18,891 $18,891 +0% $18,126 +4% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $18,890 $18,890 $33,584 −44% $24,561 −23% —
157 DENTAL AND ORAL DISEASES WITH MCC $18,866 $18,866 $24,447 −23% $27,457 −31% —
374 DIGESTIVE MALIGNANCY WITH MCC $18,783 $18,783 $30,598 −39% $38,885 −52% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $18,677 $18,677 $22,860 −18% $20,313 −8% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $18,570 $18,570 $30,327 −39% $32,976 −44% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,510 $18,510 $29,897 −38% $28,802 −36% ≈286% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $18,487 $18,487 $26,558 −30% $32,417 −43% —
592 SKIN ULCERS WITH MCC $18,375 $18,375 $55,756 −67% $32,662 −44% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $18,360 $18,360 $28,266 −35% $45,497 −60% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $18,349 $18,349 $38,685 −53% $29,671 −38% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $18,320 $18,320 $17,665 +4% $15,890 +15% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $18,281 $18,281 $18,281 +0% $24,465 −25% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $18,244 $18,244 $21,908 −17% $22,525 −19% —
199 PNEUMOTHORAX WITH MCC $18,075 $18,075 $26,106 −31% $31,085 −42% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $18,012 $18,012 $21,240 −15% $24,118 −25% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $17,945 $17,945 $24,928 −28% $29,916 −40% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $17,864 $17,864 $47,589 −62% $31,627 −44% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $17,809 $17,809 $44,492 −60% $25,071 −29% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $17,774 $17,774 $17,774 +0% $17,108 +4% —
380 COMPLICATED PEPTIC ULCER WITH MCC $17,767 $17,767 $37,797 −53% $36,537 −51% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $17,716 $17,716 $37,428 −53% $37,842 −53% ≈242% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $17,635 $17,635 $30,872 −43% $20,371 −13% —
711 TESTES PROCEDURES WITH CC/MCC $17,509 $17,509 $48,532 −64% $34,846 −50% —
571 SKIN DEBRIDEMENT WITH CC $17,507 $17,507 $34,961 −50% $34,773 −50% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $17,504 $17,504 $57,375 −69% $29,957 −42% —
813 COAGULATION DISORDERS $17,412 $17,412 $46,923 −63% $30,128 −42% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $17,382 $17,382 $35,348 −51% $26,146 −34% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $17,276 $17,276 $19,267 −10% $27,492 −37% ≈264% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $17,261 $17,261 $26,505 −35% $32,689 −47% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $17,219 $17,219 $25,089 −31% $16,352 +5% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $17,064 $17,064 $31,195 −45% $24,146 −29% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $17,035 $17,035 $19,302 −12% $20,727 −18% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $16,953 $16,953 $39,135 −57% $27,369 −38% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $16,897 $16,897 $25,086 −33% $31,190 −46% —
663 MINOR BLADDER PROCEDURES WITH CC $16,782 $16,782 $27,914 −40% $29,924 −44% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $16,775 $16,775 $16,775 +0% $15,901 +6% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $16,742 $16,742 $31,723 −47% $33,339 −50% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,720 $16,720 $34,311 −51% $24,008 −30% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $16,579 $16,579 $37,856 −56% $34,876 −52% ≈287% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,571 $16,571 $34,941 −53% $32,506 −49% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $16,522 $16,522 $23,254 −29% $28,252 −42% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $16,504 $16,504 $18,572 −11% $20,837 −21% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $16,495 $16,495 $21,961 −25% $29,630 −44% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,493 $16,493 $17,710 −7% $22,231 −26% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $16,187 $16,187 $17,070 −5% $17,383 −7% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $16,167 $16,167 $22,651 −29% $29,049 −44% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $16,153 $16,153 $20,634 −22% $29,011 −44% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,140 $16,140 $30,407 −47% $16,212 −0% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,112 $16,112 $41,064 −61% $31,913 −50% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $16,091 $16,091 $47,402 −66% $31,754 −49% ≈336% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $16,069 $16,069 $28,582 −44% $27,947 −43% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,943 $15,943 $22,477 −29% $27,597 −42% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,917 $15,917 $50,264 −68% $29,929 −47% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $15,909 $15,909 $21,978 −28% $20,076 −21% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,892 $15,892 $29,443 −46% $28,156 −44% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,830 $15,830 $22,516 −30% $31,062 −49% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $15,830 $15,830 $39,420 −60% $30,224 −48% —
811 RED BLOOD CELL DISORDERS WITH MCC $15,771 $15,771 $29,266 −46% $27,674 −43% —
184 MAJOR CHEST TRAUMA WITH CC $15,671 $15,671 $28,506 −45% $20,842 −25% —
594 SKIN ULCERS WITHOUT CC/MCC $15,640 $15,640 $14,209 +10% $14,209 +10% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $15,637 $15,637 $19,686 −21% $19,686 −21% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $15,636 $15,636 $27,695 −44% $31,743 −51% —
643 ENDOCRINE DISORDERS WITH MCC $15,526 $15,526 $62,508 −75% $32,953 −53% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $15,502 $15,502 $18,390 −16% $25,666 −40% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $15,412 $15,412 $19,268 −20% $22,010 −30% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $15,397 $15,397 $15,865 −3% $13,385 +15% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $15,376 $15,376 $35,042 −56% $31,029 −50% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $15,367 $15,367 $15,367 +0% $14,055 +9% —
915 ALLERGIC REACTIONS WITH MCC $15,345 $15,345 $32,603 −53% $30,944 −50% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $15,261 $15,261 $33,844 −55% $30,888 −51% —
506 MAJOR THUMB OR JOINT PROCEDURES $15,241 $15,241 $20,093 −24% $28,983 −47% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,918 $14,918 $32,781 −54% $29,867 −50% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,885 $14,885 $34,333 −57% $25,206 −41% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $14,832 $14,832 $21,088 −30% $22,610 −34% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,814 $14,814 $24,475 −39% $28,001 −47% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $14,754 $14,754 $25,812 −43% $24,000 −39% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,746 $14,746 $28,602 −48% $23,400 −37% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,736 $14,736 $32,969 −55% $37,080 −60% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $14,680 $14,680 $44,732 −67% $23,474 −37% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $14,532 $14,532 $52,847 −73% $29,521 −51% —
606 MINOR SKIN DISORDERS WITH MCC $14,524 $14,524 $24,094 −40% $25,434 −43% —
075 VIRAL MENINGITIS WITH CC/MCC $14,445 $14,445 $19,997 −28% $29,751 −51% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $14,382 $14,382 $14,382 +0% $13,586 +6% —
950 AFTERCARE WITHOUT CC/MCC $14,370 $14,370 $13,857 +4% $13,527 +6% —
197 INTERSTITIAL LUNG DISEASE WITH CC $14,361 $14,361 $21,292 −33% $20,105 −29% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $14,334 $14,334 $27,148 −47% $26,158 −45% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $14,273 $14,273 $30,938 −54% $17,308 −18% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $14,258 $14,258 $31,227 −54% $28,403 −50% —
865 VIRAL ILLNESS WITH MCC $14,207 $14,207 $18,278 −22% $26,088 −46% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $14,179 $14,179 $13,165 +8% $11,997 +18% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,168 $14,168 $34,461 −59% $25,596 −45% —
947 SIGNS AND SYMPTOMS WITH MCC $14,104 $14,104 $33,398 −58% $25,474 −45% —
637 DIABETES WITH MCC $13,988 $13,988 $29,378 −52% $28,772 −51% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,983 $13,983 $35,102 −60% $28,385 −51% —
540 OSTEOMYELITIS WITH CC $13,976 $13,976 $30,156 −54% $23,494 −41% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $13,953 $13,953 $13,454 +4% $15,589 −10% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,944 $13,944 $22,077 −37% $24,874 −44% —
602 CELLULITIS WITH MCC $13,943 $13,943 $28,351 −51% $29,347 −52% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $13,940 $13,940 $14,383 −3% $16,156 −14% —
919 COMPLICATIONS OF TREATMENT WITH MCC $13,862 $13,862 $27,769 −50% $29,031 −52% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $13,817 $13,817 $24,098 −43% $26,616 −48% —
682 RENAL FAILURE WITH MCC $13,816 $13,816 $38,221 −64% $27,640 −50% ≈273% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $13,787 $13,787 $35,075 −61% $25,998 −47% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,752 $13,752 $13,752 +0% $30,661 −55% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $13,699 $13,699 $31,872 −57% $23,646 −42% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,668 $13,668 $37,623 −64% $20,463 −33% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $13,645 $13,645 $23,058 −41% $21,666 −37% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $13,642 $13,642 $26,329 −48% $26,098 −48% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $13,633 $13,633 $23,224 −41% $19,305 −29% —
137 MOUTH PROCEDURES WITH CC/MCC $13,626 $13,626 $31,991 −57% $24,348 −44% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $13,589 $13,589 $31,746 −57% $24,426 −44% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,505 $13,505 $13,505 +0% $17,585 −23% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,425 $13,425 $14,064 −5% $14,064 −5% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $13,243 $13,243 $13,288 −0% $15,858 −16% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $13,230 $13,230 $13,230 +0% $14,290 −7% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,213 $13,213 $16,223 −19% $20,632 −36% ≈248% of Medicare
200 PNEUMOTHORAX WITH CC $13,191 $13,191 $28,364 −53% $20,573 −36% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $13,166 $13,166 $13,166 +0% $12,536 +5% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $13,100 $13,100 $19,183 −32% $20,147 −35% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,096 $13,096 $13,096 +0% $16,495 −21% —
375 DIGESTIVE MALIGNANCY WITH CC $13,056 $13,056 $32,089 −59% $27,125 −52% —
304 HYPERTENSION WITH MCC $13,033 $13,033 $23,126 −44% $23,945 −46% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $12,997 $12,997 $12,068 +8% $11,909 +9% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,988 $12,988 $14,937 −13% $15,007 −13% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,978 $12,978 $22,702 −43% $28,375 −54% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,978 $12,978 $20,574 −37% $22,587 −43% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,978 $12,978 $24,685 −47% $27,118 −52% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $12,978 $12,978 $22,849 −43% $23,571 −45% —
123 NEUROLOGICAL EYE DISORDERS $12,955 $12,955 $14,868 −13% $17,831 −27% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,941 $12,941 $21,097 −39% $14,252 −9% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $12,939 $12,939 $28,407 −54% $24,603 −47% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,923 $12,923 $12,698 +2% $13,654 −5% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $12,907 $12,907 $27,028 −52% $27,041 −52% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $12,901 $12,901 $25,418 −49% $19,854 −35% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $12,874 $12,874 $17,830 −28% $24,017 −46% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $12,868 $12,868 $35,309 −64% $24,244 −47% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $12,739 $12,739 $20,398 −38% $17,562 −27% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,689 $12,689 $24,220 −48% $18,243 −30% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $12,675 $12,675 $22,355 −43% $19,326 −34% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,654 $12,654 $27,338 −54% $25,766 −51% ≈334% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,654 $12,654 $15,217 −17% $18,323 −31% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,640 $12,640 $27,746 −54% $23,749 −47% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $12,627 $12,627 $15,603 −19% $18,060 −30% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,572 $12,572 $24,635 −49% $20,253 −38% —
090 CONCUSSION WITHOUT CC/MCC $12,534 $12,534 $14,321 −12% $14,873 −16% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $12,490 $12,490 $22,421 −44% $13,278 −6% —
102 HEADACHES WITH MCC $12,473 $12,473 $18,243 −32% $21,983 −43% —
598 MALIGNANT BREAST DISORDERS WITH CC $12,335 $12,335 $15,714 −22% $19,073 −35% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,325 $12,325 $19,286 −36% $18,459 −33% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $12,165 $12,165 $21,891 −44% $22,870 −47% ≈279% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $12,128 $12,128 $25,984 −53% $18,288 −34% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $12,126 $12,126 $11,259 +8% $11,071 +10% —
181 RESPIRATORY NEOPLASMS WITH CC $12,112 $12,112 $17,612 −31% $22,065 −45% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $12,070 $12,070 $16,872 −28% $23,396 −48% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $11,990 $11,990 $21,646 −45% $21,499 −44% —
302 ATHEROSCLEROSIS WITH MCC $11,956 $11,956 $18,292 −35% $20,810 −43% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $11,917 $11,917 $23,195 −49% $16,654 −28% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $11,871 $11,871 $28,302 −58% $21,886 −46% ≈266% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $11,822 $11,822 $17,354 −32% $19,868 −40% —
381 COMPLICATED PEPTIC ULCER WITH CC $11,726 $11,726 $24,089 −51% $24,177 −51% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $11,695 $11,695 $28,479 −59% $23,141 −49% —
593 SKIN ULCERS WITH CC $11,669 $11,669 $20,959 −44% $20,470 −43% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,620 $11,620 $13,806 −16% $18,150 −36% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,534 $11,534 $17,517 −34% $16,622 −31% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,524 $11,524 $11,524 +0% $22,557 −49% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,524 $11,524 $13,602 −15% $19,001 −39% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,524 $11,524 $30,755 −63% $18,038 −36% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $11,510 $11,510 $14,955 −23% $15,370 −25% —
291 HEART FAILURE AND SHOCK WITH MCC $11,509 $11,509 $27,802 −59% $24,932 −54% ≈279% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $11,494 $11,494 $15,709 −27% $22,590 −49% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,467 $11,467 $11,467 +0% $20,980 −45% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,458 $11,458 $11,458 +0% $13,090 −12% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,437 $11,437 $18,557 −38% $19,287 −41% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $11,436 $11,436 $32,406 −65% $18,000 −36% —
187 PLEURAL EFFUSION WITH CC $11,430 $11,430 $16,225 −30% $21,467 −47% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,413 $11,413 $14,668 −22% $15,818 −28% —
186 PLEURAL EFFUSION WITH MCC $11,385 $11,385 $27,997 −59% $32,385 −65% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $11,255 $11,255 $21,509 −48% $20,917 −46% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $11,250 $11,250 $12,336 −9% $12,336 −9% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,168 $11,168 $31,280 −64% $20,716 −46% —
149 DYSEQUILIBRIUM $11,137 $11,137 $23,638 −53% $17,203 −35% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,115 $11,115 $21,874 −49% $19,815 −44% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $11,115 $11,115 $20,068 −45% $20,084 −45% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,115 $11,115 $11,115 +0% $11,957 −7% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,090 $11,090 $12,048 −8% $14,861 −25% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,068 $11,068 $27,792 −60% $19,448 −43% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,042 $11,042 $13,506 −18% $17,719 −38% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,037 $11,037 $11,844 −7% $12,650 −13% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $11,025 $11,025 $26,219 −58% $22,024 −50% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $10,974 $10,974 $14,654 −25% $15,608 −30% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,920 $10,920 $30,401 −64% $23,734 −54% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,912 $10,912 $16,838 −35% $19,483 −44% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $10,856 $10,856 $35,161 −69% $18,815 −42% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $10,807 $10,807 $10,807 +0% $10,039 +8% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,799 $10,799 $30,507 −65% $20,732 −48% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,790 $10,790 $19,686 −45% $22,226 −51% —
549 SEPTIC ARTHRITIS WITH CC $10,750 $10,750 $18,835 −43% $20,808 −48% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,687 $10,687 $38,593 −72% $22,850 −53% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $10,677 $10,677 $21,464 −50% $21,449 −50% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,643 $10,643 $17,770 −40% $24,103 −56% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,589 $10,589 $20,311 −48% $19,096 −45% —
644 ENDOCRINE DISORDERS WITH CC $10,542 $10,542 $32,271 −67% $22,941 −54% —
158 DENTAL AND ORAL DISEASES WITH CC $10,529 $10,529 $23,548 −55% $17,751 −41% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,527 $10,527 $14,635 −28% $19,569 −46% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,515 $10,515 $21,655 −51% $19,091 −45% —
312 SYNCOPE AND COLLAPSE $10,513 $10,513 $30,451 −65% $19,342 −46% —
920 COMPLICATIONS OF TREATMENT WITH CC $10,493 $10,493 $17,968 −42% $20,879 −50% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,489 $10,489 $13,888 −24% $17,754 −41% —
103 HEADACHES WITHOUT MCC $10,431 $10,431 $28,465 −63% $20,076 −48% —
151 EPISTAXIS WITHOUT MCC $10,424 $10,424 $13,032 −20% $13,032 −20% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $10,323 $10,323 $23,640 −56% $20,007 −48% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $10,303 $10,303 $13,728 −25% $18,005 −43% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,249 $10,249 $38,652 −73% $22,623 −55% —
712 TESTES PROCEDURES WITHOUT CC/MCC $10,188 $10,188 $17,076 −40% $18,898 −46% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,174 $10,174 $24,521 −59% $17,719 −43% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,985 $9,985 $25,045 −60% $17,522 −43% —
204 RESPIRATORY SIGNS AND SYMPTOMS $9,951 $9,951 $19,727 −50% $16,804 −41% —
694 URINARY STONES WITHOUT MCC $9,876 $9,876 $16,778 −41% $16,451 −40% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,852 $9,852 $15,605 −37% $17,731 −44% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,765 $9,765 $22,586 −57% $16,634 −41% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,736 $9,736 $26,211 −63% $15,876 −39% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,715 $9,715 $19,350 −50% $21,860 −56% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $9,701 $9,701 $10,204 −5% $15,072 −36% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $9,657 $9,657 $17,086 −43% $17,700 −45% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,553 $9,553 $22,628 −58% $24,450 −61% —
305 HYPERTENSION WITHOUT MCC $9,551 $9,551 $21,255 −55% $16,897 −43% —
914 TRAUMATIC INJURY WITHOUT MCC $9,483 $9,483 $15,088 −37% $15,586 −39% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,438 $9,438 $24,071 −61% $18,204 −48% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,389 $9,389 $28,817 −67% $18,291 −49% —
152 OTITIS MEDIA AND URI WITH MCC $9,344 $9,344 $23,757 −61% $19,657 −52% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,187 $9,187 $25,457 −64% $20,408 −55% —
683 RENAL FAILURE WITH CC $9,175 $9,175 $15,543 −41% $18,322 −50% ≈406% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $9,150 $9,150 $14,894 −39% $14,210 −36% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $9,119 $9,119 $18,594 −51% $18,104 −50% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,063 $9,063 $15,703 −42% $13,362 −32% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $9,051 $9,051 $18,523 −51% $14,880 −39% —
313 CHEST PAIN $9,017 $9,017 $18,206 −50% $15,837 −43% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $9,004 $9,004 $16,506 −45% $15,598 −42% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $8,997 $8,997 $13,002 −31% $16,776 −46% —
176 PULMONARY EMBOLISM WITHOUT MCC $8,926 $8,926 $33,723 −74% $17,693 −50% —
101 SEIZURES WITHOUT MCC $8,925 $8,925 $37,371 −76% $19,930 −55% —
638 DIABETES WITH CC $8,878 $8,878 $18,440 −52% $18,763 −53% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,877 $8,877 $13,791 −36% $17,851 −50% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $8,829 $8,829 $19,368 −54% $16,718 −47% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,804 $8,804 $23,722 −63% $17,345 −49% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,746 $8,746 $19,098 −54% $17,322 −50% ≈308% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,722 $8,722 $11,532 −24% $13,485 −35% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,712 $8,712 $26,251 −67% $14,134 −38% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,680 $8,680 $19,488 −55% $17,183 −49% —
603 CELLULITIS WITHOUT MCC $8,629 $8,629 $22,386 −61% $18,359 −53% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,598 $8,598 $16,747 −49% $16,622 −48% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,594 $8,594 $17,172 −50% $12,794 −33% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,585 $8,585 $17,649 −51% $17,579 −51% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,570 $8,570 $15,348 −44% $17,379 −51% ≈340% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $8,544 $8,544 $21,223 −60% $15,878 −46% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,498 $8,498 $15,094 −44% $15,474 −45% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $8,412 $8,412 $19,010 −56% $16,104 −48% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,283 $8,283 $21,022 −61% $16,645 −50% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,233 $8,233 $12,332 −33% $16,431 −50% —
607 MINOR SKIN DISORDERS WITHOUT MCC $8,228 $8,228 $16,133 −49% $15,276 −46% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $8,212 $8,212 $8,927 −8% $8,927 −8% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,208 $8,208 $24,872 −67% $14,128 −42% —
864 FEVER AND INFLAMMATORY CONDITIONS $8,108 $8,108 $17,855 −55% $17,412 −53% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,037 $8,037 $26,855 −70% $15,045 −47% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,029 $8,029 $21,592 −63% $18,316 −56% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $8,010 $8,010 $18,662 −57% $14,337 −44% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,004 $8,004 $11,714 −32% $14,368 −44% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,993 $7,993 $20,657 −61% $14,411 −45% —
866 VIRAL ILLNESS WITHOUT MCC $7,847 $7,847 $16,808 −53% $16,348 −52% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,819 $7,819 $12,593 −38% $12,593 −38% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,818 $7,818 $33,105 −76% $18,199 −57% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,792 $7,792 $16,874 −54% $16,418 −53% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,734 $7,734 $13,348 −42% $14,770 −48% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,730 $7,730 $9,501 −19% $14,012 −45% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,615 $7,615 $14,275 −47% $15,600 −51% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,595 $7,595 $15,618 −51% $17,006 −55% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,543 $7,543 $27,058 −72% $13,892 −46% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,513 $7,513 $10,407 −28% $14,166 −47% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,483 $7,483 $11,501 −35% $14,208 −47% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,478 $7,478 $14,524 −49% $13,303 −44% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,450 $7,450 $10,975 −32% $10,975 −32% —
303 ATHEROSCLEROSIS WITHOUT MCC $7,404 $7,404 $18,378 −60% $14,927 −50% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,344 $7,344 $23,203 −68% $12,405 −41% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,221 $7,221 $18,292 −61% $17,296 −58% —
201 PNEUMOTHORAX WITHOUT CC/MCC $7,115 $7,115 $17,124 −58% $13,081 −46% —
311 ANGINA PECTORIS $7,025 $7,025 $12,807 −45% $15,165 −54% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,923 $6,923 $16,785 −59% $13,384 −48% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,668 $6,668 $11,421 −42% $11,421 −42% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,590 $6,590 $12,522 −47% $13,890 −53% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,582 $6,582 $16,206 −59% $17,194 −62% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,554 $6,554 $16,653 −61% $11,826 −45% —
639 DIABETES WITHOUT CC/MCC $6,508 $6,508 $17,457 −63% $13,910 −53% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,454 $6,454 $16,066 −60% $13,318 −52% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,395 $6,395 $11,921 −46% $13,198 −52% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,346 $6,346 $6,346 +0% $13,822 −54% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,312 $6,312 $18,133 −65% $18,133 −65% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $6,263 $6,263 $16,334 −62% $17,226 −64% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,238 $6,238 $14,923 −58% $13,747 −55% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $6,195 $6,195 $6,195 +0% $31,044 −80% —
935 NON-EXTENSIVE BURNS $6,113 $6,113 $14,712 −58% $29,458 −79% —
684 RENAL FAILURE WITHOUT CC/MCC $6,032 $6,032 $11,162 −46% $13,455 −55% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,842 $5,842 $13,138 −56% $12,275 −52% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,841 $5,841 $14,535 −60% $14,251 −59% —
541 OSTEOMYELITIS WITHOUT CC/MCC $5,705 $5,705 $21,477 −73% $14,549 −61% —
779 ABORTION WITHOUT D&C $5,398 $5,398 $13,449 −60% $15,327 −65% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,355 $5,355 $5,497 −3% $11,633 −54% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $5,078 $5,078 $73,423 −93% $89,353 −94% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,761 $4,761 $13,967 −66% $12,895 −63% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,714 $4,714 $15,382 −69% $12,205 −61% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,486 $4,486 $6,036 −26% $14,121 −68% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,379 $4,379 $17,641 −75% $9,385 −53% —
945 REHABILITATION WITH CC/MCC $3,547 $3,547 $3,547 +0% $23,834 −85% —
946 REHABILITATION WITHOUT CC/MCC $3,264 $3,264 $3,264 +0% $17,685 −82% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,195 $3,195 $8,200 −61% $9,063 −65% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,897 $2,897 $6,909 −58% $80,018 −96% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,834 $2,834 $8,712 −67% $16,708 −83% —
791 PREMATURITY WITH MAJOR PROBLEMS $2,367 $2,367 $7,118 −67% $39,254 −94% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,022 $2,022 $4,562 −56% $7,896 −74% —
795 NORMAL NEWBORN $1,519 $1,519 $4,045 −62% $4,521 −66% —

Procedures with negotiated rates only

These 38 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $342,996 – $928,292 · median $460,148 6 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $151,885 – $375,366 · median $182,807 6 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $252,080 – $703,085 · median $349,370 6 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $154,479 – $458,828 · median $229,265 6 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $139,874 – $341,535 · median $171,815 6 plans
006 LIVER TRANSPLANT WITHOUT MCC $65,646 – $153,601 · median $77,799 6 plans
007 LUNG TRANSPLANT $130,469 – $428,975 · median $213,097 6 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $69,849 – $185,652 · median $90,331 6 plans
010 PANCREAS TRANSPLANT $58,998 – $237,695 · median $125,234 6 plans
652 KIDNEY TRANSPLANT $41,036 – $106,977 · median $51,487 6 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $35,731 – $128,025 · median $63,856 6 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,544 – $31,807 · median $15,709 6 plans
881 DEPRESSIVE NEUROSES $8,346 – $31,167 · median $15,171 6 plans
882 NEUROSES EXCEPT DEPRESSIVE $9,213 – $35,570 · median $16,597 6 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,440 – $65,134 · median $31,229 6 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $13,044 – $53,295 · median $26,885 6 plans
885 PSYCHOSES $12,281 – $46,269 · median $22,985 6 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,895 – $68,744 · median $31,524 6 plans
887 OTHER MENTAL DISORDER DIAGNOSES $11,504 – $35,474 · median $18,682 6 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,549 – $20,435 · median $10,165 6 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $13,444 – $46,892 · median $23,465 6 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $19,534 – $57,806 · median $28,891 6 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,678 – $29,243 · median $14,451 6 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $189,545 – $707,235 · median $372,638 6 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $27,719 – $106,689 · median $52,383 6 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $180,570 – $398,093 · median $231,008 5 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $83,187 – $196,421 · median $106,424 5 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $82,120 – $179,945 · median $106,424 5 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $519,760 – $1,430,430 · median $664,944 5 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $107,854 – $236,334 · median $139,772 5 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $63,498 – $155,734 · median $81,235 5 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $47,857 – $122,755 · median $61,225 5 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $21,311 – $27,264 · median $24,288 2 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $13,753 – $17,594 · median $15,673 2 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $9,189 – $11,756 · median $10,473 2 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $16,924 – $21,652 · median $19,288 2 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $10,886 – $13,927 · median $12,406 2 plans
509 ARTHROSCOPY $24,210 – $30,972 · median $27,591 2 plans
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