Novant Health Hilton Head Medical Center — Pricing

765 procedures published in this hospital's Machine-Readable File (MRF) — 733 with a comparable price, 32 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 765
Lowest published price $1,410
Average published price $27,284
Highest published price $163,625

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 765 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 47 procedures, this hospital's negotiated rates average ≈294% 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 $163,625 $163,625 $163,625 +0% $171,338 −5% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $150,584 $150,584 $162,179 −7% $142,326 +6% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $136,301 $136,301 $146,796 −7% $175,437 −22% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $122,216 $122,216 $131,627 −7% $109,331 +12% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $119,486 $119,486 $228,033 −48% $191,314 −38% ≈338% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $114,506 $114,506 $114,506 +0% $105,612 +8% —
231 CORONARY BYPASS WITH PTCA WITH MCC $114,033 $114,033 $122,814 −7% $146,474 −22% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $113,648 $113,648 $118,023 −4% $134,914 −16% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $110,162 $110,162 $118,644 −7% $92,238 +19% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $109,761 $109,761 $109,761 +0% $98,912 +11% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $107,599 $107,599 $115,884 −7% $120,587 −11% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $106,235 $106,235 $114,415 −7% $114,914 −8% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $105,033 $105,033 $113,121 −7% $151,029 −30% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $104,850 $104,850 $112,923 −7% $131,961 −21% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $104,618 $104,618 $112,674 −7% $73,029 +43% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $104,492 $104,492 $112,538 −7% $138,868 −25% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $100,828 $100,828 $108,592 −7% $143,242 −30% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $98,415 $98,415 $102,204 −4% $75,103 +31% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $98,289 $98,289 $102,073 −4% $121,563 −19% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $96,708 $96,708 $110,483 −12% $120,174 −20% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $94,988 $94,988 $98,645 −4% $94,988 +0% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $94,461 $94,461 $101,735 −7% $118,589 −20% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $93,255 $93,255 $100,436 −7% $84,861 +10% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $92,762 $92,762 $99,905 −7% $112,062 −17% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $91,081 $91,081 $98,094 −7% $121,714 −25% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $90,054 $90,054 $96,988 −7% $106,238 −15% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $89,930 $89,930 $120,122 −25% $78,582 +14% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $89,811 $89,811 $93,269 −4% $108,472 −17% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $88,718 $88,718 $80,878 +10% $86,953 +2% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $85,546 $85,546 $94,742 −10% $121,728 −30% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $82,114 $82,114 $73,030 +12% $82,527 −1% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $79,531 $79,531 $82,593 −4% $101,235 −21% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $78,931 $78,931 $85,009 −7% $107,355 −26% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $77,460 $77,460 $83,424 −7% $117,280 −34% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $77,449 $77,449 $83,413 −7% $102,573 −24% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $77,087 $77,087 $86,352 −11% $102,177 −25% —
245 AICD GENERATOR PROCEDURES $76,438 $76,438 $79,381 −4% $72,076 +6% —
799 SPLENIC PROCEDURES WITH MCC $75,876 $75,876 $81,718 −7% $78,821 −4% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $74,771 $74,771 $80,528 −7% $75,585 −1% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $71,974 $71,974 $77,516 −7% $105,899 −32% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $71,514 $71,514 $77,021 −7% $55,097 +30% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $71,156 $71,156 $76,970 −8% $106,778 −33% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $70,804 $70,804 $76,256 −7% $91,329 −22% —
834 ACUTE LEUKEMIA WITH MCC $70,570 $70,570 $76,004 −7% $76,583 −8% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $70,309 $70,309 $75,723 −7% $68,847 +2% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $70,285 $70,285 $122,950 −43% $138,008 −49% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $69,385 $69,385 $74,728 −7% $88,049 −21% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $68,659 $68,659 $73,946 −7% $79,944 −14% —
028 SPINAL PROCEDURES WITH MCC $67,524 $67,524 $78,738 −14% $95,858 −30% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $66,867 $66,867 $147,729 −55% $116,058 −42% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $66,749 $66,749 $66,749 +0% $59,425 +12% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $65,838 $65,838 $65,838 +0% $83,441 −21% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $65,625 $65,625 $70,678 −7% $90,331 −27% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $64,880 $64,880 $69,876 −7% $82,247 −21% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $64,409 $64,409 $69,368 −7% $83,065 −22% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $63,944 $63,944 $68,868 −7% $81,998 −22% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $63,944 $63,944 $63,944 +0% $59,352 +8% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $61,507 $61,507 $73,986 −17% $93,783 −34% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $61,212 $61,212 $80,603 −24% $113,855 −46% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $60,744 $60,744 $60,753 −0% $56,964 +7% —
332 RECTAL RESECTION WITH MCC $60,661 $60,661 $60,661 +0% $58,125 +4% —
471 CERVICAL SPINAL FUSION WITH MCC $60,535 $60,535 $129,295 −53% $92,515 −35% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $60,492 $60,492 $65,150 −7% $75,492 −20% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $59,737 $59,737 $48,637 +23% $59,207 +1% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $59,699 $59,699 $44,389 +34% $51,142 +17% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $59,687 $59,687 $48,670 +23% $68,399 −13% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $59,079 $59,079 $61,837 −4% $57,521 +3% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $58,945 $58,945 $63,484 −7% $66,853 −12% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $58,807 $58,807 $100,873 −42% $99,423 −41% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $58,213 $58,213 $64,248 −9% $92,217 −37% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $58,049 $58,049 $67,791 −14% $96,905 −40% —
653 MAJOR BLADDER PROCEDURES WITH MCC $57,981 $57,981 $81,452 −29% $97,046 −40% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $57,533 $57,533 $65,149 −12% $88,691 −35% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $57,330 $57,330 $81,510 −30% $87,018 −34% ≈365% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $57,190 $57,190 $78,731 −27% $94,927 −40% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $56,631 $56,631 $58,811 −4% $72,011 −21% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $55,958 $55,958 $60,267 −7% $78,852 −29% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $55,898 $55,898 $69,335 −19% $64,776 −14% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $55,577 $55,577 $57,553 −3% $34,906 +59% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $55,343 $55,343 $59,604 −7% $48,358 +14% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $54,088 $54,088 $63,928 −15% $80,885 −33% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $54,066 $54,066 $58,229 −7% $64,956 −17% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $53,826 $53,826 $69,206 −22% $96,222 −44% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $53,787 $53,787 $57,929 −7% $53,551 +0% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $53,732 $53,732 $71,130 −24% $74,257 −28% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $52,715 $52,715 $57,429 −8% $60,098 −12% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $52,642 $52,642 $56,695 −7% $48,907 +8% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $52,550 $52,550 $56,596 −7% $65,325 −20% —
665 PROSTATECTOMY WITH MCC $52,292 $52,292 $56,318 −7% $54,072 −3% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $51,685 $51,685 $51,685 +0% $31,566 +64% —
163 MAJOR CHEST PROCEDURES WITH MCC $51,535 $51,535 $63,017 −18% $88,341 −42% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $51,520 $51,520 $52,198 −1% $62,404 −17% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $51,338 $51,338 $61,240 −16% $88,307 −42% —
662 MINOR BLADDER PROCEDURES WITH MCC $51,292 $51,292 $53,267 −4% $54,483 −6% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $50,840 $50,840 $52,797 −4% $57,277 −11% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $50,633 $50,633 $54,532 −7% $66,819 −24% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $50,598 $50,598 $54,494 −7% $58,968 −14% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $50,483 $50,483 $68,308 −26% $70,540 −28% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $50,452 $50,452 $54,337 −7% $62,821 −20% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $49,893 $49,893 $53,735 −7% $29,633 +68% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $49,706 $49,706 $75,451 −34% $70,132 −29% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $49,704 $49,704 $51,618 −4% $34,900 +42% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $49,248 $49,248 $56,655 −13% $74,755 −34% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $49,127 $49,127 $52,910 −7% $70,735 −31% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $49,018 $49,018 $52,792 −7% $71,014 −31% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $48,829 $48,829 $107,751 −55% $80,747 −40% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $48,676 $48,676 $53,665 −9% $72,908 −33% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $48,652 $48,652 $31,187 +56% $34,089 +43% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $48,554 $48,554 $52,293 −7% $65,216 −26% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $48,281 $48,281 $48,281 +0% $45,290 +7% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $47,382 $47,382 $110,643 −57% $88,050 −46% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $47,233 $47,233 $78,460 −40% $96,192 −51% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $47,197 $47,197 $50,831 −7% $65,573 −28% ≈252% of Medicare
800 SPLENIC PROCEDURES WITH CC $47,068 $47,068 $50,692 −7% $49,184 −4% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $46,728 $46,728 $57,584 −19% $68,659 −32% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $45,529 $45,529 $67,944 −33% $71,701 −37% —
849 RADIOTHERAPY $45,395 $45,395 $45,395 +0% $37,862 +20% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $45,133 $45,133 $104,680 −57% $86,390 −48% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $44,565 $44,565 $44,565 +0% $56,758 −21% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $44,438 $44,438 $58,558 −24% $82,561 −46% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $44,187 $44,187 $47,589 −7% $40,947 +8% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $44,081 $44,081 $92,372 −52% $72,945 −40% —
668 TRANSURETHRAL PROCEDURES WITH MCC $43,937 $43,937 $47,320 −7% $47,277 −7% —
252 OTHER VASCULAR PROCEDURES WITH MCC $43,859 $43,859 $73,137 −40% $68,508 −36% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $43,829 $43,829 $47,204 −7% $50,919 −14% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $43,805 $43,805 $97,885 −55% $87,565 −50% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $43,272 $43,272 $46,604 −7% $44,839 −3% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $43,135 $43,135 $70,095 −38% $74,274 −42% ≈332% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $42,577 $42,577 $45,855 −7% $46,430 −8% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $42,521 $42,521 $50,166 −15% $68,880 −38% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $42,050 $42,050 $70,860 −41% $71,755 −41% —
503 FOOT PROCEDURES WITH MCC $41,764 $41,764 $44,980 −7% $43,901 −5% —
113 ORBITAL PROCEDURES WITH CC/MCC $41,489 $41,489 $43,086 −4% $35,642 +16% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $41,364 $41,364 $69,376 −40% $64,465 −36% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $41,330 $41,330 $88,654 −53% $72,859 −43% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $41,081 $41,081 $44,244 −7% $45,432 −10% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $40,894 $40,894 $51,761 −21% $60,861 −33% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $40,801 $40,801 $95,050 −57% $63,984 −36% ≈338% of Medicare
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $40,666 $40,666 $57,740 −30% $57,855 −30% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $40,487 $40,487 $52,008 −22% $72,782 −44% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $40,298 $40,298 $40,298 +0% $36,080 +12% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $40,137 $40,137 $54,300 −26% $61,832 −35% —
164 MAJOR CHEST PROCEDURES WITH CC $39,732 $39,732 $42,791 −7% $53,141 −25% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $39,511 $39,511 $50,550 −22% $62,524 −37% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $39,471 $39,471 $75,312 −48% $65,254 −40% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $39,222 $39,222 $39,644 −1% $58,043 −32% —
709 PENIS PROCEDURES WITH CC/MCC $38,988 $38,988 $36,826 +6% $34,535 +13% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $38,958 $38,958 $41,958 −7% $46,659 −17% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $38,888 $38,888 $47,403 −18% $67,901 −43% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $38,460 $38,460 $39,941 −4% $40,548 −5% —
265 AICD LEAD PROCEDURES $38,215 $38,215 $49,492 −23% $56,695 −33% —
263 VEIN LIGATION AND STRIPPING $38,213 $38,213 $49,590 −23% $44,938 −15% —
472 CERVICAL SPINAL FUSION WITH CC $37,700 $37,700 $78,905 −52% $59,537 −37% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $37,526 $37,526 $40,416 −7% $53,555 −30% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $37,483 $37,483 $40,369 −7% $38,998 −4% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $37,459 $37,459 $63,758 −41% $57,149 −34% ≈255% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $37,231 $37,231 $61,401 −39% $76,954 −52% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $37,156 $37,156 $40,017 −7% $55,162 −33% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $37,133 $37,133 $69,566 −47% $56,394 −34% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $36,587 $36,587 $39,404 −7% $40,277 −9% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $36,135 $36,135 $67,463 −46% $54,824 −34% —
500 SOFT TISSUE PROCEDURES WITH MCC $36,103 $36,103 $41,602 −13% $57,479 −37% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $36,099 $36,099 $61,260 −41% $64,152 −44% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $36,041 $36,041 $38,816 −7% $44,973 −20% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $35,957 $35,957 $38,726 −7% $51,339 −30% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $35,952 $35,952 $79,606 −55% $63,475 −43% —
253 OTHER VASCULAR PROCEDURES WITH CC $35,922 $35,922 $51,969 −31% $53,746 −33% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $35,686 $35,686 $35,686 +0% $35,686 +0% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $35,633 $35,633 $40,164 −11% $46,402 −23% —
595 MAJOR SKIN DISORDERS WITH MCC $35,530 $35,530 $30,646 +16% $31,785 +12% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $35,515 $35,515 $65,134 −45% $50,011 −29% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $35,438 $35,438 $36,802 −4% $40,065 −12% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,391 $35,391 $35,391 +0% $39,657 −11% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $35,333 $35,333 $38,054 −7% $28,578 +24% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $35,225 $35,225 $37,937 −7% $37,654 −6% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $35,028 $35,028 $63,858 −45% $54,313 −36% —
037 EXTRACRANIAL PROCEDURES WITH MCC $34,934 $34,934 $46,296 −25% $64,749 −46% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $34,687 $34,687 $56,588 −39% $49,710 −30% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $34,536 $34,536 $38,454 −10% $43,491 −21% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $34,394 $34,394 $48,165 −29% $49,065 −30% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $34,271 $34,271 $36,910 −7% $29,524 +16% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $34,124 $34,124 $41,261 −17% $60,140 −43% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $33,878 $33,878 $36,487 −7% $35,673 −5% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $33,564 $33,564 $36,148 −7% $33,564 +0% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $33,516 $33,516 $36,097 −7% $54,772 −39% ≈383% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $33,489 $33,489 $71,600 −53% $54,929 −39% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $33,475 $33,475 $40,289 −17% $49,055 −32% —
654 MAJOR BLADDER PROCEDURES WITH CC $33,431 $33,431 $50,218 −33% $53,868 −38% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,192 $33,192 $63,856 −48% $65,383 −49% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,990 $32,990 $47,828 −31% $62,269 −47% —
835 ACUTE LEUKEMIA WITH CC $32,940 $32,940 $35,476 −7% $35,569 −7% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $32,911 $32,911 $35,445 −7% $52,332 −37% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $32,749 $32,749 $34,668 −6% $47,546 −31% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $32,605 $32,605 $53,357 −39% $62,961 −48% —
397 APPENDIX PROCEDURES WITH MCC $32,407 $32,407 $35,353 −8% $52,319 −38% —
548 SEPTIC ARTHRITIS WITH MCC $32,350 $32,350 $32,350 +0% $31,019 +4% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $32,278 $32,278 $32,278 +0% $34,264 −6% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $32,109 $32,109 $33,345 −4% $25,243 +27% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $32,064 $32,064 $62,597 −49% $45,817 −30% —
333 RECTAL RESECTION WITH CC $32,037 $32,037 $34,504 −7% $34,352 −7% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $31,981 $31,981 $43,436 −26% $28,634 +12% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $31,972 $31,972 $50,458 −37% $47,583 −33% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $31,878 $31,878 $34,333 −7% $41,651 −23% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $31,786 $31,786 $83,562 −62% $67,764 −53% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $31,769 $31,769 $45,498 −30% $54,129 −41% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $31,765 $31,765 $34,527 −8% $30,940 +3% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $31,620 $31,620 $44,036 −28% $43,080 −27% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $31,593 $31,593 $34,026 −7% $43,538 −27% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $31,561 $31,561 $44,178 −29% $58,832 −46% ≈324% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $31,075 $31,075 $32,888 −6% $43,586 −29% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $30,996 $30,996 $39,716 −22% $52,908 −41% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $30,673 $30,673 $36,791 −17% $41,703 −26% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,620 $30,620 $55,642 −45% $51,172 −40% ≈297% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $30,444 $30,444 $62,350 −51% $54,475 −44% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $30,319 $30,319 $22,724 +33% $29,826 +2% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $30,270 $30,270 $59,299 −49% $68,006 −55% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $30,264 $30,264 $32,594 −7% $36,202 −16% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $30,131 $30,131 $32,640 −8% $39,253 −23% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,089 $30,089 $64,252 −53% $56,519 −47% ≈263% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $30,073 $30,073 $25,566 +18% $27,233 +10% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $29,780 $29,780 $32,073 −7% $41,380 −28% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $29,695 $29,695 $31,982 −7% $46,066 −36% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $29,689 $29,689 $52,544 −43% $50,624 −41% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $29,505 $29,505 $29,505 +0% $22,532 +31% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $29,481 $29,481 $59,268 −50% $43,775 −33% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $29,401 $29,401 $60,903 −52% $57,963 −49% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $29,345 $29,345 $30,475 −4% $27,279 +8% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $29,335 $29,335 $34,270 −14% $40,232 −27% —
666 PROSTATECTOMY WITH CC $29,307 $29,307 $46,244 −37% $30,016 −2% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $29,209 $29,209 $31,458 −7% $44,553 −34% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $29,110 $29,110 $26,779 +9% $36,333 −20% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $29,002 $29,002 $40,496 −28% $36,237 −20% —
693 URINARY STONES WITH MCC $29,002 $29,002 $28,330 +2% $22,525 +29% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $28,927 $28,927 $31,154 −7% $23,956 +21% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $28,885 $28,885 $33,559 −14% $44,989 −36% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $28,805 $28,805 $34,039 −15% $52,313 −45% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,735 $28,735 $51,542 −44% $43,398 −34% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $28,707 $28,707 $48,865 −41% $40,583 −29% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $28,620 $28,620 $46,667 −39% $35,528 −19% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $28,597 $28,597 $30,799 −7% $29,371 −3% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $28,504 $28,504 $85,309 −67% $44,053 −35% —
336 PERITONEAL ADHESIOLYSIS WITH CC $28,409 $28,409 $64,502 −56% $49,470 −43% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $28,393 $28,393 $59,316 −52% $40,063 −29% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $28,259 $28,259 $32,371 −13% $39,093 −28% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $28,237 $28,237 $30,411 −7% $31,812 −11% —
038 EXTRACRANIAL PROCEDURES WITH CC $28,226 $28,226 $30,399 −7% $35,770 −21% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $28,051 $28,051 $90,212 −69% $52,405 −46% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $28,042 $28,042 $55,544 −50% $51,985 −46% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $27,842 $27,842 $34,586 −19% $46,591 −40% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $27,820 $27,820 $29,962 −7% $27,548 +1% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $27,500 $27,500 $29,618 −7% $32,490 −15% —
913 TRAUMATIC INJURY WITH MCC $27,386 $27,386 $24,198 +13% $24,198 +13% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $27,369 $27,369 $29,476 −7% $29,109 −6% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $27,102 $27,102 $36,997 −27% $32,911 −18% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $26,937 $26,937 $43,218 −38% $53,817 −50% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $26,929 $26,929 $30,912 −13% $45,622 −41% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $26,747 $26,747 $30,203 −11% $35,014 −24% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $26,600 $26,600 $28,648 −7% $34,434 −23% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $26,374 $26,374 $32,077 −18% $45,818 −42% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $26,330 $26,330 $30,598 −14% $38,420 −31% —
533 FRACTURES OF FEMUR WITH MCC $26,265 $26,265 $28,287 −7% $25,945 +1% —
570 SKIN DEBRIDEMENT WITH MCC $26,106 $26,106 $45,821 −43% $52,435 −50% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $26,099 $26,099 $32,604 −20% $37,064 −30% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $26,091 $26,091 $33,547 −22% $48,094 −46% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $26,077 $26,077 $39,281 −34% $49,197 −47% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,995 $25,995 $28,976 −10% $38,836 −33% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $25,754 $25,754 $59,597 −57% $48,682 −47% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $25,526 $25,526 $63,781 −60% $44,117 −42% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $25,524 $25,524 $31,740 −20% $38,382 −34% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $25,372 $25,372 $25,372 +0% $22,811 +11% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $25,329 $25,329 $42,954 −41% $41,660 −39% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $25,174 $25,174 $27,823 −10% $35,459 −29% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $25,136 $25,136 $28,337 −11% $25,484 −1% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $25,099 $25,099 $38,593 −35% $33,694 −26% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $25,042 $25,042 $26,970 −7% $24,544 +2% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,030 $25,030 $69,669 −64% $51,953 −52% —
504 FOOT PROCEDURES WITH CC $24,959 $24,959 $26,881 −7% $36,598 −32% —
906 HAND PROCEDURES FOR INJURIES $24,935 $24,935 $31,520 −21% $31,520 −21% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $24,923 $24,923 $26,424 −6% $39,018 −36% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $24,889 $24,889 $52,960 −53% $42,126 −41% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $24,844 $24,844 $40,225 −38% $25,786 −4% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,700 $24,700 $44,909 −45% $42,119 −41% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $24,645 $24,645 $26,543 −7% $21,615 +14% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $24,505 $24,505 $41,511 −41% $35,714 −31% ≈279% of Medicare
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $24,452 $24,452 $24,452 +0% $24,452 +0% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $24,116 $24,116 $25,973 −7% $30,418 −21% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $23,996 $23,996 $25,844 −7% $25,623 −6% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $23,988 $23,988 $24,586 −2% $25,197 −5% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $23,970 $23,970 $25,994 −8% $29,558 −19% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,880 $23,880 $25,719 −7% $35,453 −33% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $23,834 $23,834 $25,669 −7% $35,584 −33% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,783 $23,783 $25,614 −7% $33,984 −30% —
949 AFTERCARE WITH CC/MCC $23,772 $23,772 $25,602 −7% $23,953 −1% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $23,762 $23,762 $25,592 −7% $19,354 +23% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $23,656 $23,656 $26,986 −12% $40,694 −42% —
710 PENIS PROCEDURES WITHOUT CC/MCC $23,475 $23,475 $26,416 −11% $23,814 −1% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $23,447 $23,447 $24,350 −4% $25,152 −7% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $23,413 $23,413 $37,042 −37% $33,137 −29% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $23,383 $23,383 $30,151 −22% $33,792 −31% —
334 RECTAL RESECTION WITHOUT CC/MCC $23,349 $23,349 $25,147 −7% $32,213 −28% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $23,327 $23,327 $25,123 −7% $25,390 −8% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $23,289 $23,289 $47,763 −51% $31,978 −27% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $23,243 $23,243 $27,432 −15% $24,980 −7% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $23,197 $23,197 $48,167 −52% $45,963 −50% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $23,194 $23,194 $27,077 −14% $24,229 −4% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $23,084 $23,084 $44,300 −48% $39,409 −41% —
505 FOOT PROCEDURES WITHOUT CC/MCC $23,018 $23,018 $25,972 −11% $31,716 −27% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,991 $22,991 $24,846 −7% $30,930 −26% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $22,972 $22,972 $57,626 −60% $43,524 −47% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $22,915 $22,915 $36,320 −37% $41,380 −45% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $22,837 $22,837 $43,008 −47% $48,680 −53% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $22,711 $22,711 $33,155 −31% $49,631 −54% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $22,710 $22,710 $30,595 −26% $35,692 −36% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $22,668 $22,668 $20,602 +10% $19,598 +16% —
088 CONCUSSION WITH MCC $22,648 $22,648 $24,392 −7% $24,402 −7% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $22,610 $22,610 $33,069 −32% $31,816 −29% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $22,542 $22,542 $24,278 −7% $23,297 −3% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,490 $22,490 $22,490 +0% $30,974 −27% —
150 EPISTAXIS WITH MCC $22,308 $22,308 $24,026 −7% $21,133 +6% —
398 APPENDIX PROCEDURES WITH CC $22,260 $22,260 $47,045 −53% $39,107 −43% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $22,234 $22,234 $23,946 −7% $25,149 −12% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $22,227 $22,227 $58,144 −62% $43,266 −49% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $22,218 $22,218 $53,273 −58% $40,563 −45% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $22,167 $22,167 $23,874 −7% $21,029 +5% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,145 $22,145 $23,850 −7% $23,723 −7% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $22,137 $22,137 $29,131 −24% $44,363 −50% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $22,110 $22,110 $56,111 −61% $35,375 −37% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $22,108 $22,108 $43,681 −49% $44,600 −50% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $22,049 $22,049 $49,249 −55% $39,747 −45% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $21,977 $21,977 $26,794 −18% $36,597 −40% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $21,789 $21,789 $27,767 −22% $36,280 −40% —
501 SOFT TISSUE PROCEDURES WITH CC $21,741 $21,741 $37,002 −41% $37,975 −43% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $21,717 $21,717 $41,694 −48% $32,451 −33% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $21,612 $21,612 $37,277 −42% $34,887 −38% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $21,607 $21,607 $28,084 −23% $29,609 −27% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,582 $21,582 $33,546 −36% $50,139 −57% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $21,551 $21,551 $25,742 −16% $37,902 −43% —
669 TRANSURETHRAL PROCEDURES WITH CC $21,550 $21,550 $37,639 −43% $34,354 −37% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $21,527 $21,527 $24,292 −11% $27,168 −21% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $21,394 $21,394 $38,994 −45% $36,334 −41% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $21,366 $21,366 $39,934 −46% $30,314 −30% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $21,334 $21,334 $49,433 −57% $41,900 −49% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,014 $21,014 $30,521 −31% $24,879 −16% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $20,974 $20,974 $20,974 +0% $17,078 +23% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $20,963 $20,963 $54,791 −62% $36,239 −42% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $20,958 $20,958 $39,806 −47% $32,538 −36% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $20,916 $20,916 $20,916 +0% $29,805 −30% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $20,707 $20,707 $36,043 −43% $25,267 −18% ≈367% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $20,695 $20,695 $55,456 −63% $42,881 −52% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,686 $20,686 $22,279 −7% $23,920 −14% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $20,496 $20,496 $26,634 −23% $36,933 −45% —
539 OSTEOMYELITIS WITH MCC $20,404 $20,404 $25,709 −21% $33,746 −40% —
551 MEDICAL BACK PROBLEMS WITH MCC $20,311 $20,311 $32,791 −38% $31,086 −35% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $20,306 $20,306 $46,112 −56% $40,552 −50% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $20,305 $20,305 $26,206 −23% $36,242 −44% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,160 $20,160 $21,712 −7% $25,426 −21% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $20,153 $20,153 $28,004 −28% $32,839 −39% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $20,051 $20,051 $30,883 −35% $25,162 −20% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $20,004 $20,004 $27,145 −26% $23,350 −14% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $19,936 $19,936 $21,471 −7% $29,050 −31% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,795 $19,795 $23,703 −16% $33,490 −41% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $19,783 $19,783 $28,703 −31% $41,520 −52% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $19,773 $19,773 $21,296 −7% $21,062 −6% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $19,744 $19,744 $30,721 −36% $46,477 −58% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $19,674 $19,674 $36,097 −45% $36,097 −45% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,605 $19,605 $19,605 +0% $19,894 −1% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,595 $19,595 $20,349 −4% $23,588 −17% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $19,531 $19,531 $26,657 −27% $36,375 −46% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $19,499 $19,499 $34,171 −43% $35,542 −45% —
180 RESPIRATORY NEOPLASMS WITH MCC $19,465 $19,465 $33,482 −42% $36,658 −47% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $19,459 $19,459 $22,664 −14% $25,854 −25% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $19,359 $19,359 $66,079 −71% $29,409 −34% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,260 $19,260 $20,743 −7% $27,321 −30% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $19,245 $19,245 $20,727 −7% $28,103 −32% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $19,163 $19,163 $19,399 −1% $20,741 −8% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $19,162 $19,162 $26,242 −27% $31,909 −40% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $19,145 $19,145 $24,433 −22% $19,317 −1% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,117 $19,117 $37,153 −49% $43,697 −56% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $19,116 $19,116 $26,677 −28% $29,476 −35% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $19,092 $19,092 $23,981 −20% $35,114 −46% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $19,064 $19,064 $28,145 −32% $33,424 −43% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $19,022 $19,022 $20,487 −7% $20,421 −7% —
139 SALIVARY GLAND PROCEDURES $18,984 $18,984 $25,444 −25% $21,014 −10% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $18,907 $18,907 $63,791 −70% $45,059 −58% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,868 $18,868 $20,321 −7% $24,452 −23% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,812 $18,812 $25,466 −26% $38,094 −51% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $18,693 $18,693 $30,214 −38% $32,936 −43% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,653 $18,653 $54,987 −66% $38,357 −51% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $18,599 $18,599 $36,742 −49% $30,814 −40% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $18,592 $18,592 $28,993 −36% $35,139 −47% —
667 PROSTATECTOMY WITHOUT CC/MCC $18,533 $18,533 $19,960 −7% $16,703 +11% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $18,509 $18,509 $45,594 −59% $37,950 −51% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $18,463 $18,463 $28,555 −35% $33,050 −44% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,453 $18,453 $20,766 −11% $28,527 −35% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $18,445 $18,445 $20,041 −8% $23,115 −20% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $18,409 $18,409 $27,958 −34% $21,261 −13% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $18,344 $18,344 $28,801 −36% $43,800 −58% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,333 $18,333 $24,476 −25% $29,374 −38% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $18,299 $18,299 $19,708 −7% $15,764 +16% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $18,177 $18,177 $31,025 −41% $36,850 −51% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $18,176 $18,176 $18,176 +0% $17,193 +6% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,149 $18,149 $24,458 −26% $30,910 −41% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $18,086 $18,086 $18,086 +0% $17,398 +4% —
697 URETHRAL STRICTURE $18,057 $18,057 $19,447 −7% $17,705 +2% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,978 $17,978 $19,362 −7% $38,878 −54% —
183 MAJOR CHEST TRAUMA WITH MCC $17,970 $17,970 $23,796 −24% $28,924 −38% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,947 $17,947 $34,149 −47% $33,165 −46% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,737 $17,737 $19,103 −7% $17,483 +1% —
100 SEIZURES WITH MCC $17,688 $17,688 $40,437 −56% $35,194 −50% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $17,681 $17,681 $29,611 −40% $30,006 −41% —
597 MALIGNANT BREAST DISORDERS WITH MCC $17,673 $17,673 $20,526 −14% $31,846 −45% —
089 CONCUSSION WITH CC $17,663 $17,663 $19,023 −7% $18,293 −3% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,625 $17,625 $28,131 −37% $30,766 −43% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,540 $17,540 $18,891 −7% $18,126 −3% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $17,539 $17,539 $33,584 −48% $24,561 −29% —
157 DENTAL AND ORAL DISEASES WITH MCC $17,517 $17,517 $24,447 −28% $27,457 −36% —
374 DIGESTIVE MALIGNANCY WITH MCC $17,440 $17,440 $30,598 −43% $38,885 −55% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $17,342 $17,342 $22,860 −24% $20,309 −15% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $17,242 $17,242 $30,327 −43% $32,981 −48% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $17,187 $17,187 $29,897 −43% $28,967 −41% ≈344% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $17,165 $17,165 $26,558 −35% $32,502 −47% —
592 SKIN ULCERS WITH MCC $17,061 $17,061 $55,756 −69% $32,662 −48% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,047 $17,047 $28,266 −40% $45,497 −63% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $17,037 $17,037 $38,685 −56% $29,729 −43% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,010 $17,010 $17,665 −4% $15,890 +7% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $16,974 $16,974 $18,281 −7% $24,465 −31% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $16,940 $16,940 $21,908 −23% $22,525 −25% —
199 PNEUMOTHORAX WITH MCC $16,783 $16,783 $26,106 −36% $31,491 −47% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,724 $16,724 $21,240 −21% $24,118 −31% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $16,662 $16,662 $24,928 −33% $29,916 −44% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $16,587 $16,587 $47,589 −65% $31,758 −48% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $16,536 $16,536 $44,492 −63% $25,010 −34% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $16,503 $16,503 $17,774 −7% $17,108 −4% —
380 COMPLICATED PEPTIC ULCER WITH MCC $16,497 $16,497 $37,797 −56% $36,641 −55% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $16,449 $16,449 $37,428 −56% $37,842 −57% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $16,374 $16,374 $30,872 −47% $20,371 −20% —
711 TESTES PROCEDURES WITH CC/MCC $16,257 $16,257 $48,532 −67% $34,852 −53% —
571 SKIN DEBRIDEMENT WITH CC $16,255 $16,255 $34,961 −54% $34,901 −53% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $16,253 $16,253 $57,375 −72% $30,358 −46% —
813 COAGULATION DISORDERS $16,167 $16,167 $46,923 −66% $30,128 −46% ≈265% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $16,139 $16,139 $35,348 −54% $26,146 −38% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $16,041 $16,041 $19,267 −17% $27,492 −42% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $16,027 $16,027 $26,505 −40% $32,689 −51% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $15,988 $15,988 $25,089 −36% $16,352 −2% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,844 $15,844 $31,195 −49% $24,202 −35% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $15,817 $15,817 $19,302 −18% $20,727 −24% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $15,741 $15,741 $39,135 −60% $27,369 −42% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $15,689 $15,689 $25,086 −37% $31,190 −50% —
663 MINOR BLADDER PROCEDURES WITH CC $15,582 $15,582 $27,914 −44% $29,924 −48% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,576 $15,576 $16,775 −7% $15,901 −2% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $15,545 $15,545 $31,723 −51% $33,607 −54% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $15,525 $15,525 $34,311 −55% $24,022 −35% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $15,394 $15,394 $37,856 −59% $35,237 −56% ≈252% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,386 $15,386 $34,941 −56% $32,483 −53% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $15,341 $15,341 $23,254 −34% $28,252 −46% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,324 $15,324 $18,572 −17% $20,842 −26% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $15,316 $15,316 $21,961 −30% $29,663 −48% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,314 $15,314 $17,710 −14% $22,231 −31% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $15,030 $15,030 $17,070 −12% $17,383 −14% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $15,011 $15,011 $22,651 −34% $29,484 −49% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $14,998 $14,998 $20,634 −27% $29,211 −49% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $14,986 $14,986 $30,407 −51% $16,212 −8% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,960 $14,960 $41,064 −64% $32,399 −54% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,941 $14,941 $47,402 −68% $31,840 −53% ≈376% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $14,920 $14,920 $28,582 −48% $27,947 −47% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $14,803 $14,803 $22,477 −34% $28,140 −47% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $14,779 $14,779 $50,264 −71% $30,058 −51% ≈261% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $14,772 $14,772 $21,978 −33% $20,080 −26% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $14,756 $14,756 $29,443 −50% $28,156 −48% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,698 $14,698 $22,516 −35% $31,062 −53% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,698 $14,698 $39,420 −63% $31,059 −53% —
811 RED BLOOD CELL DISORDERS WITH MCC $14,643 $14,643 $29,266 −50% $27,934 −48% —
184 MAJOR CHEST TRAUMA WITH CC $14,551 $14,551 $28,506 −49% $20,842 −30% —
594 SKIN ULCERS WITHOUT CC/MCC $14,522 $14,522 $14,209 +2% $14,209 +2% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $14,519 $14,519 $19,686 −26% $19,686 −26% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $14,518 $14,518 $27,695 −48% $32,204 −55% —
643 ENDOCRINE DISORDERS WITH MCC $14,416 $14,416 $62,508 −77% $32,996 −56% ≈232% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $14,394 $14,394 $18,390 −22% $25,666 −44% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $14,310 $14,310 $19,268 −26% $22,032 −35% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $14,296 $14,296 $15,865 −10% $13,385 +7% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $14,277 $14,277 $35,042 −59% $31,128 −54% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,268 $14,268 $15,367 −7% $14,055 +2% —
915 ALLERGIC REACTIONS WITH MCC $14,248 $14,248 $32,603 −56% $30,944 −54% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $14,170 $14,170 $33,844 −58% $30,972 −54% —
506 MAJOR THUMB OR JOINT PROCEDURES $14,151 $14,151 $20,093 −30% $28,983 −51% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,851 $13,851 $32,781 −58% $30,394 −54% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,821 $13,821 $34,333 −60% $25,307 −45% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $13,772 $13,772 $21,088 −35% $23,469 −41% ≈356% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $13,755 $13,755 $24,475 −44% $28,134 −51% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $13,699 $13,699 $25,812 −47% $24,136 −43% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $13,692 $13,692 $28,602 −52% $23,496 −42% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $13,682 $13,682 $32,969 −59% $37,080 −63% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $13,630 $13,630 $44,732 −70% $23,924 −43% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $13,493 $13,493 $52,847 −74% $29,757 −55% ≈334% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $13,486 $13,486 $24,094 −44% $25,434 −47% —
075 VIRAL MENINGITIS WITH CC/MCC $13,412 $13,412 $19,997 −33% $29,853 −55% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $13,354 $13,354 $14,382 −7% $13,586 −2% —
950 AFTERCARE WITHOUT CC/MCC $13,343 $13,343 $13,857 −4% $13,527 −1% —
197 INTERSTITIAL LUNG DISEASE WITH CC $13,334 $13,334 $21,292 −37% $20,106 −34% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $13,309 $13,309 $27,148 −51% $26,322 −49% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $13,253 $13,253 $30,938 −57% $17,550 −24% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,239 $13,239 $31,227 −58% $28,780 −54% —
865 VIRAL ILLNESS WITH MCC $13,191 $13,191 $18,278 −28% $26,088 −49% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $13,165 $13,165 $13,165 +0% $11,997 +10% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $13,155 $13,155 $34,461 −62% $25,731 −49% —
947 SIGNS AND SYMPTOMS WITH MCC $13,096 $13,096 $33,398 −61% $25,474 −49% —
637 DIABETES WITH MCC $12,988 $12,988 $29,378 −56% $28,819 −55% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,983 $12,983 $35,102 −63% $28,646 −55% —
540 OSTEOMYELITIS WITH CC $12,977 $12,977 $30,156 −57% $23,494 −45% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,955 $12,955 $13,454 −4% $15,589 −17% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,947 $12,947 $22,077 −41% $24,941 −48% —
602 CELLULITIS WITH MCC $12,946 $12,946 $28,351 −54% $29,347 −56% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $12,943 $12,943 $14,383 −10% $16,156 −20% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,871 $12,871 $27,769 −54% $29,031 −56% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,829 $12,829 $24,098 −47% $26,634 −52% —
682 RENAL FAILURE WITH MCC $12,828 $12,828 $38,221 −66% $27,854 −54% ≈291% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,801 $12,801 $35,075 −64% $26,020 −51% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $12,769 $12,769 $13,752 −7% $30,661 −58% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $12,720 $12,720 $31,872 −60% $24,316 −48% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $12,691 $12,691 $37,623 −66% $20,463 −38% ≈449% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $12,669 $12,669 $23,058 −45% $21,806 −42% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $12,667 $12,667 $26,329 −52% $26,488 −52% ≈303% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $12,658 $12,658 $23,224 −45% $19,305 −34% —
137 MOUTH PROCEDURES WITH CC/MCC $12,652 $12,652 $31,991 −60% $24,348 −48% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,617 $12,617 $31,746 −60% $24,432 −48% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,539 $12,539 $13,505 −7% $17,585 −29% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $12,465 $12,465 $14,064 −11% $14,064 −11% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $12,296 $12,296 $13,288 −7% $15,858 −22% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $12,284 $12,284 $13,230 −7% $14,290 −14% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $12,268 $12,268 $16,223 −24% $21,213 −42% ≈278% of Medicare
200 PNEUMOTHORAX WITH CC $12,248 $12,248 $28,364 −57% $20,573 −40% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,225 $12,225 $13,166 −7% $12,537 −2% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,163 $12,163 $19,183 −37% $20,147 −40% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $12,160 $12,160 $13,096 −7% $16,495 −26% —
375 DIGESTIVE MALIGNANCY WITH CC $12,123 $12,123 $32,089 −62% $27,219 −55% —
304 HYPERTENSION WITH MCC $12,101 $12,101 $23,126 −48% $24,185 −50% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $12,068 $12,068 $12,068 +0% $11,909 +1% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,059 $12,059 $14,937 −19% $15,077 −20% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,050 $12,050 $22,702 −47% $28,375 −58% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,050 $12,050 $20,574 −41% $22,560 −47% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,050 $12,050 $24,685 −51% $27,118 −56% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $12,050 $12,050 $22,849 −47% $23,571 −49% —
123 NEUROLOGICAL EYE DISORDERS $12,029 $12,029 $14,868 −19% $17,831 −33% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,016 $12,016 $21,097 −43% $14,110 −15% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $12,014 $12,014 $28,407 −58% $25,704 −53% ≈344% of Medicare
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $11,999 $11,999 $12,698 −6% $13,654 −12% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,984 $11,984 $27,028 −56% $27,244 −56% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $11,979 $11,979 $25,418 −53% $19,854 −40% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $11,954 $11,954 $17,830 −33% $24,017 −50% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,948 $11,948 $35,309 −66% $24,480 −51% ≈218% of Medicare
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,828 $11,828 $20,398 −42% $17,715 −33% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,782 $11,782 $24,220 −51% $18,803 −37% ≈261% of Medicare
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $11,769 $11,769 $22,355 −47% $19,326 −39% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,749 $11,749 $27,338 −57% $26,158 −55% ≈370% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,749 $11,749 $15,217 −23% $18,608 −37% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,736 $11,736 $27,746 −58% $23,749 −51% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,724 $11,724 $15,603 −25% $18,191 −36% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,673 $11,673 $24,635 −53% $20,278 −42% ≈216% of Medicare
090 CONCUSSION WITHOUT CC/MCC $11,638 $11,638 $14,321 −19% $14,873 −22% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $11,597 $11,597 $22,421 −48% $13,282 −13% —
102 HEADACHES WITH MCC $11,581 $11,581 $18,243 −37% $22,544 −49% —
598 MALIGNANT BREAST DISORDERS WITH CC $11,453 $11,453 $15,714 −27% $19,073 −40% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,444 $11,444 $19,286 −41% $18,459 −38% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,295 $11,295 $21,891 −48% $22,982 −51% ≈253% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $11,261 $11,261 $25,984 −57% $18,623 −40% ≈481% of Medicare
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,259 $11,259 $11,259 +0% $11,071 +2% —
181 RESPIRATORY NEOPLASMS WITH CC $11,246 $11,246 $17,612 −36% $22,431 −50% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $11,207 $11,207 $16,872 −34% $23,396 −52% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $11,133 $11,133 $21,646 −49% $21,545 −48% —
302 ATHEROSCLEROSIS WITH MCC $11,101 $11,101 $18,292 −39% $20,844 −47% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $11,065 $11,065 $23,195 −52% $16,654 −34% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $11,022 $11,022 $28,302 −61% $21,886 −50% ≈317% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,977 $10,977 $17,354 −37% $19,868 −45% —
381 COMPLICATED PEPTIC ULCER WITH CC $10,888 $10,888 $24,089 −55% $24,177 −55% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,859 $10,859 $28,479 −62% $23,141 −53% —
593 SKIN ULCERS WITH CC $10,835 $10,835 $20,959 −48% $20,470 −47% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,789 $10,789 $13,806 −22% $18,150 −41% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $10,709 $10,709 $17,517 −39% $16,642 −36% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $10,700 $10,700 $11,524 −7% $22,557 −53% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $10,700 $10,700 $13,602 −21% $19,001 −44% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $10,700 $10,700 $30,755 −65% $18,238 −41% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $10,687 $10,687 $14,955 −29% $15,370 −30% —
291 HEART FAILURE AND SHOCK WITH MCC $10,686 $10,686 $27,802 −62% $25,020 −57% ≈242% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $10,672 $10,672 $15,709 −32% $22,713 −53% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,647 $10,647 $11,467 −7% $20,980 −49% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $10,639 $10,639 $11,458 −7% $13,090 −19% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $10,619 $10,619 $18,557 −43% $19,287 −45% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,618 $10,618 $32,406 −67% $18,478 −43% —
187 PLEURAL EFFUSION WITH CC $10,613 $10,613 $16,225 −35% $21,467 −51% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $10,597 $10,597 $14,668 −28% $15,869 −33% —
186 PLEURAL EFFUSION WITH MCC $10,571 $10,571 $27,997 −62% $32,468 −67% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $10,450 $10,450 $21,509 −51% $20,968 −50% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $10,446 $10,446 $12,336 −15% $12,336 −15% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $10,370 $10,370 $31,280 −67% $20,777 −50% —
149 DYSEQUILIBRIUM $10,341 $10,341 $23,638 −56% $17,203 −40% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $10,320 $10,320 $21,874 −53% $19,815 −48% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $10,320 $10,320 $20,068 −49% $20,084 −49% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,320 $10,320 $11,115 −7% $12,044 −14% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,297 $10,297 $12,048 −15% $14,861 −31% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,277 $10,277 $27,792 −63% $19,579 −48% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,253 $10,253 $13,506 −24% $17,727 −42% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,248 $10,248 $11,844 −13% $12,650 −19% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,237 $10,237 $26,219 −61% $22,024 −54% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $10,189 $10,189 $14,654 −30% $15,608 −35% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,139 $10,139 $30,401 −67% $23,734 −57% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,132 $10,132 $16,838 −40% $19,483 −48% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $10,080 $10,080 $35,161 −71% $18,918 −47% ≈329% of Medicare
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $10,034 $10,034 $10,807 −7% $10,039 −0% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,027 $10,027 $30,507 −67% $20,732 −52% ≈292% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,019 $10,019 $19,686 −49% $22,275 −55% —
549 SEPTIC ARTHRITIS WITH CC $9,981 $9,981 $18,835 −47% $20,938 −52% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,923 $9,923 $38,593 −74% $22,850 −57% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $9,914 $9,914 $21,464 −54% $21,449 −54% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,882 $9,882 $17,770 −44% $24,190 −59% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $9,832 $9,832 $20,311 −52% $19,096 −49% —
644 ENDOCRINE DISORDERS WITH CC $9,788 $9,788 $32,271 −70% $22,941 −57% —
158 DENTAL AND ORAL DISEASES WITH CC $9,776 $9,776 $23,548 −58% $17,700 −45% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $9,774 $9,774 $14,635 −33% $19,569 −50% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,763 $9,763 $21,655 −55% $19,091 −49% —
312 SYNCOPE AND COLLAPSE $9,761 $9,761 $30,451 −68% $19,342 −50% ≈282% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $9,743 $9,743 $17,968 −46% $21,181 −54% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,739 $9,739 $13,888 −30% $18,002 −46% ≈265% of Medicare
103 HEADACHES WITHOUT MCC $9,685 $9,685 $28,465 −66% $20,111 −52% —
151 EPISTAXIS WITHOUT MCC $9,679 $9,679 $13,032 −26% $13,032 −26% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,585 $9,585 $23,640 −59% $20,007 −52% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,566 $9,566 $13,728 −30% $18,017 −47% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,516 $9,516 $38,652 −75% $22,781 −58% ≈253% of Medicare
712 TESTES PROCEDURES WITHOUT CC/MCC $9,460 $9,460 $17,076 −45% $18,898 −50% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,447 $9,447 $24,521 −61% $17,943 −47% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,271 $9,271 $25,045 −63% $17,522 −47% —
204 RESPIRATORY SIGNS AND SYMPTOMS $9,240 $9,240 $19,727 −53% $16,866 −45% —
694 URINARY STONES WITHOUT MCC $9,170 $9,170 $16,778 −45% $16,531 −45% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,148 $9,148 $15,605 −41% $17,731 −48% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,067 $9,067 $22,586 −60% $16,634 −45% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,040 $9,040 $26,211 −66% $15,876 −43% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,020 $9,020 $19,350 −53% $21,860 −59% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $9,007 $9,007 $10,204 −12% $15,072 −40% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $8,967 $8,967 $17,086 −48% $17,700 −49% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $8,870 $8,870 $22,628 −61% $24,450 −64% —
305 HYPERTENSION WITHOUT MCC $8,868 $8,868 $21,255 −58% $17,144 −48% —
914 TRAUMATIC INJURY WITHOUT MCC $8,805 $8,805 $15,088 −42% $15,593 −44% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,763 $8,763 $24,071 −64% $18,204 −52% ≈430% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,718 $8,718 $28,817 −70% $18,291 −52% —
152 OTITIS MEDIA AND URI WITH MCC $8,676 $8,676 $23,757 −63% $19,795 −56% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,530 $8,530 $25,457 −66% $20,488 −58% —
683 RENAL FAILURE WITH CC $8,519 $8,519 $15,543 −45% $18,620 −54% ≈375% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,496 $8,496 $14,894 −43% $14,441 −41% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,467 $8,467 $18,594 −54% $18,278 −54% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,415 $8,415 $15,703 −46% $13,368 −37% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,404 $8,404 $18,523 −55% $14,880 −44% —
313 CHEST PAIN $8,372 $8,372 $18,206 −54% $15,962 −48% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $8,360 $8,360 $16,506 −49% $15,607 −46% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $8,354 $8,354 $13,002 −36% $16,776 −50% —
176 PULMONARY EMBOLISM WITHOUT MCC $8,288 $8,288 $33,723 −75% $18,081 −54% —
101 SEIZURES WITHOUT MCC $8,287 $8,287 $37,371 −78% $19,954 −58% —
638 DIABETES WITH CC $8,243 $8,243 $18,440 −55% $18,821 −56% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,242 $8,242 $13,791 −40% $17,928 −54% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $8,198 $8,198 $19,368 −58% $16,745 −51% ≈228% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,175 $8,175 $23,722 −66% $17,388 −53% ≈416% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,121 $8,121 $19,098 −57% $17,322 −53% ≈273% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,098 $8,098 $11,532 −30% $13,485 −40% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,089 $8,089 $26,251 −69% $14,134 −43% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,059 $8,059 $19,488 −59% $17,273 −53% —
603 CELLULITIS WITHOUT MCC $8,012 $8,012 $22,386 −64% $18,530 −57% ≈267% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,983 $7,983 $16,747 −52% $16,837 −53% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,980 $7,980 $17,172 −54% $12,797 −38% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,971 $7,971 $17,649 −55% $18,253 −56% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,957 $7,957 $15,348 −48% $17,466 −54% ≈294% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $7,933 $7,933 $21,223 −63% $16,212 −51% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,890 $7,890 $15,094 −48% $15,474 −49% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,811 $7,811 $19,010 −59% $16,104 −51% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,691 $7,691 $21,022 −63% $16,865 −54% ≈275% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,644 $7,644 $12,332 −38% $16,571 −54% —
607 MINOR SKIN DISORDERS WITHOUT MCC $7,640 $7,640 $16,133 −53% $15,284 −50% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $7,625 $7,625 $8,927 −15% $8,927 −15% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,621 $7,621 $24,872 −69% $14,128 −46% —
864 FEVER AND INFLAMMATORY CONDITIONS $7,528 $7,528 $17,855 −58% $17,412 −57% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,462 $7,462 $26,855 −72% $15,045 −50% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,455 $7,455 $21,592 −65% $18,428 −60% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,437 $7,437 $18,662 −60% $14,337 −48% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,432 $7,432 $11,714 −37% $14,368 −48% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,422 $7,422 $20,657 −64% $14,444 −49% —
866 VIRAL ILLNESS WITHOUT MCC $7,286 $7,286 $16,808 −57% $16,391 −56% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,260 $7,260 $12,593 −42% $12,593 −42% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,259 $7,259 $33,105 −78% $18,282 −60% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,235 $7,235 $16,874 −57% $16,418 −56% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,181 $7,181 $13,348 −46% $15,070 −52% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,177 $7,177 $9,501 −24% $14,012 −49% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $7,071 $7,071 $14,275 −50% $15,600 −55% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,052 $7,052 $15,618 −55% $17,103 −59% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,004 $7,004 $27,058 −74% $13,892 −50% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,976 $6,976 $10,407 −33% $14,166 −51% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,948 $6,948 $11,501 −40% $14,208 −51% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,943 $6,943 $14,524 −52% $13,303 −48% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,917 $6,917 $10,975 −37% $10,975 −37% —
303 ATHEROSCLEROSIS WITHOUT MCC $6,875 $6,875 $18,378 −63% $14,927 −54% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,819 $6,819 $23,203 −71% $12,405 −45% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,705 $6,705 $18,292 −63% $17,367 −61% —
201 PNEUMOTHORAX WITHOUT CC/MCC $6,606 $6,606 $17,124 −61% $13,081 −49% —
311 ANGINA PECTORIS $6,523 $6,523 $12,807 −49% $15,165 −57% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,428 $6,428 $16,785 −62% $13,384 −52% ≈383% of Medicare
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,191 $6,191 $11,421 −46% $11,421 −46% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,119 $6,119 $12,522 −51% $13,890 −56% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,111 $6,111 $16,206 −62% $17,195 −64% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $6,085 $6,085 $16,653 −63% $11,955 −49% —
639 DIABETES WITHOUT CC/MCC $6,043 $6,043 $17,457 −65% $13,910 −57% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,993 $5,993 $16,066 −63% $13,318 −55% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,938 $5,938 $11,921 −50% $13,198 −55% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,892 $5,892 $6,346 −7% $13,822 −57% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,861 $5,861 $18,133 −68% $18,133 −68% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,815 $5,815 $16,334 −64% $17,226 −66% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,792 $5,792 $14,923 −61% $13,824 −58% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,752 $5,752 $6,195 −7% $31,044 −81% —
935 NON-EXTENSIVE BURNS $5,676 $5,676 $14,712 −61% $29,458 −81% —
684 RENAL FAILURE WITHOUT CC/MCC $5,601 $5,601 $11,162 −50% $13,623 −59% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,424 $5,424 $13,138 −59% $12,279 −56% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,423 $5,423 $14,535 −63% $14,473 −63% —
541 OSTEOMYELITIS WITHOUT CC/MCC $5,297 $5,297 $21,477 −75% $14,549 −64% —
779 ABORTION WITHOUT D&C $5,012 $5,012 $13,449 −63% $15,327 −67% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,972 $4,972 $5,497 −10% $11,633 −57% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $4,715 $4,715 $73,423 −94% $89,353 −95% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,421 $4,421 $13,967 −68% $12,895 −66% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,377 $4,377 $15,382 −72% $12,381 −65% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,165 $4,165 $6,036 −31% $14,284 −71% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,066 $4,066 $17,641 −77% $9,385 −57% —
945 REHABILITATION WITH CC/MCC $3,293 $3,293 $3,547 −7% $23,834 −86% —
946 REHABILITATION WITHOUT CC/MCC $3,030 $3,030 $3,264 −7% $17,685 −83% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,967 $2,967 $8,200 −64% $9,076 −67% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,690 $2,690 $6,909 −61% $80,018 −97% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,632 $2,632 $8,712 −70% $16,719 −84% —
791 PREMATURITY WITH MAJOR PROBLEMS $2,198 $2,198 $7,118 −69% $39,563 −94% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,877 $1,877 $4,562 −59% $7,961 −76% —
795 NORMAL NEWBORN $1,410 $1,410 $4,045 −65% $4,530 −69% —

Procedures with negotiated rates only

These 32 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
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,274 – $45,493 · median $18,705 7 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $561,655 – $1,444,156 · median $1,146,121 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $227,112 – $583,962 · median $463,448 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $425,395 – $1,093,798 · median $868,068 3 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $277,610 – $713,804 · median $566,495 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $206,643 – $531,331 · median $421,679 3 plans
006 LIVER TRANSPLANT WITHOUT MCC $92,935 – $238,959 · median $189,644 3 plans
007 LUNG TRANSPLANT $259,548 – $667,363 · median $529,637 3 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $112,327 – $288,822 · median $229,217 3 plans
010 PANCREAS TRANSPLANT $143,815 – $369,785 · median $293,472 3 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $240,863 – $619,318 · median $491,508 3 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $118,843 – $305,575 · median $242,513 3 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $108,874 – $279,943 · median $222,170 3 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $865,470 – $2,225,339 · median $1,766,090 3 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $142,992 – $367,667 · median $291,791 3 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $94,225 – $242,277 · median $192,278 3 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $74,272 – $190,971 · median $151,560 3 plans
652 KIDNEY TRANSPLANT $64,726 – $166,426 · median $132,080 3 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $77,460 – $199,170 · median $158,067 3 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $19,244 – $49,482 · median $39,270 3 plans
881 DEPRESSIVE NEUROSES $18,858 – $48,487 · median $38,481 3 plans
882 NEUROSES EXCEPT DEPRESSIVE $21,521 – $55,336 · median $43,916 3 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $39,409 – $101,329 · median $80,418 3 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $32,246 – $82,911 · median $65,801 3 plans
885 PSYCHOSES $27,995 – $71,981 · median $57,126 3 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $41,593 – $106,946 · median $84,876 3 plans
887 OTHER MENTAL DISORDER DIAGNOSES $21,463 – $55,187 · median $43,798 3 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $12,364 – $31,791 · median $25,230 3 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $28,371 – $72,950 · median $57,895 3 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $34,975 – $89,930 · median $71,371 3 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $427,907 – $1,100,255 · median $873,193 3 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $64,551 – $165,977 · median $131,724 3 plans
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