Bristol Regional Medical Center: Emergency Room — Pricing

582 procedures published in this hospital's Machine-Readable File (MRF) — 582 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 582
Lowest published price $2,851
Average published price $78,354
Highest published price $657,025

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 582 procedures

Published charges

Showing all 582 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 74 procedures, this hospital's negotiated rates average ≈320% of what Medicare pays.

DRG Description Published price Cash price vs. TN median vs. National median vs Medicare
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $657,025 $98,554 $466,934 +41% $188,171 +249% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE $651,953 $97,793 $324,510 +101% $248,521 +162% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $635,393 $95,309 $475,995 +33% $208,939 +204% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROC $535,107 $80,266 $527,787 +1% $371,366 +44% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $524,685 $78,703 $386,137 +36% $123,995 +323% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $428,216 $64,232 $95,112 +350% $41,620 +929% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $394,483 $59,173 $381,515 +3% $105,899 +273% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $379,484 $56,923 $379,484 +0% $35,849 +959% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $369,451 $55,418 $27,823 +1228% $40,562 +811% —
021 OPEN CRANIOTOMY EXCEPT TRAUMA $336,512 $50,477 $336,512 +0% $106,057 +217% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $334,902 $50,235 $288,220 +16% $91,329 +267% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $315,996 $47,399 $268,292 +18% $117,280 +169% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $313,635 $47,045 $112,838 +178% $60,407 +419% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVI $308,122 $46,218 $308,122 +0% $99,943 +208% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $306,465 $45,970 $306,465 +0% $132,794 +131% —
505 FOOT PROCEDURES WITHOUT CC/MCC $283,114 $42,467 $76,277 +271% $34,937 +710% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $275,920 $41,388 $165,744 +66% $70,177 +293% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $274,808 $41,221 $200,802 +37% $96,905 +184% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $271,925 $40,789 $271,925 +0% $79,116 +244% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $261,656 $39,248 $143,848 +82% $89,207 +193% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $250,187 $37,528 $250,187 +0% $81,998 +205% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $244,883 $36,732 $105,893 +131% $59,629 +311% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $244,266 $36,640 $177,398 +38% $101,510 +141% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $243,829 $36,574 $112,338 +117% $47,583 +412% —
028 SPINAL PROCEDURES WITH MCC $241,611 $36,242 $218,956 +10% $113,077 +114% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $239,096 $35,864 $236,120 +1% $35,030 +583% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $237,741 $35,661 $201,416 +18% $148,832 +60% ≈414% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $236,730 $35,510 $145,049 +63% $71,464 +231% —
500 SOFT TISSUE PROCEDURES WITH MCC $235,721 $35,358 $102,052 +131% $61,872 +281% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $233,782 $35,067 $154,701 +51% $68,639 +241% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $233,498 $35,025 $196,654 +19% $70,371 +232% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $227,534 $34,130 $162,153 +40% $65,325 +248% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $226,553 $33,983 $141,472 +60% $32,574 +595% —
471 CERVICAL SPINAL FUSION WITH MCC $222,181 $33,327 $212,889 +4% $92,515 +140% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $215,814 $32,372 $125,958 +71% $80,793 +167% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLA $212,510 $31,877 $212,510 +0% $106,778 +99% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $211,489 $31,723 $172,120 +23% $85,159 +148% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $210,818 $31,623 $30,654 +588% $17,601 +1098% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $210,189 $31,528 $195,030 +8% $88,307 +138% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $210,009 $31,501 $169,637 +24% $43,491 +383% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $206,017 $30,903 $137,354 +50% $81,706 +152% ≈876% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $203,875 $30,581 $148,353 +37% $93,390 +118% —
163 MAJOR CHEST PROCEDURES WITH MCC $200,520 $30,078 $160,879 +25% $90,195 +122% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $198,120 $29,718 $104,125 +90% $90,775 +118% ≈383% of Medicare
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $195,918 $29,388 $63,343 +209% $75,573 +159% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $195,662 $29,349 $51,655 +279% $39,973 +389% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $195,069 $29,260 $109,914 +77% $84,692 +130% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $189,402 $28,410 $154,006 +23% $65,788 +188% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $186,627 $27,994 $137,306 +36% $88,050 +112% ≈451% of Medicare
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $186,087 $27,913 $117,852 +58% $46,453 +301% —
595 MAJOR SKIN DISORDERS WITH MCC $182,788 $27,418 $92,180 +98% $34,598 +428% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $181,659 $27,249 $181,659 +0% $65,216 +179% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $181,345 $27,202 $169,971 +7% $96,507 +88% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $179,638 $26,946 $173,990 +3% $67,268 +167% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $179,052 $26,858 $127,657 +40% $93,172 +92% ≈361% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $178,683 $26,802 $137,471 +30% $56,755 +215% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $178,670 $26,800 $178,670 +0% $107,355 +66% —
253 OTHER VASCULAR PROCEDURES WITH CC $177,044 $26,557 $114,254 +55% $57,454 +208% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $174,196 $26,129 $174,196 +0% $116,058 +50% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $173,267 $25,990 $173,267 +0% $59,533 +191% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $171,811 $25,772 $140,647 +22% $70,847 +143% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $169,592 $25,439 $127,333 +33% $62,821 +170% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $165,916 $24,887 $127,726 +30% $46,340 +258% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $165,279 $24,792 $73,182 +126% $33,694 +391% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $161,551 $24,233 $66,068 +145% $66,685 +142% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $161,187 $24,178 $122,800 +31% $75,103 +115% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $158,118 $23,718 $158,118 +0% $64,523 +145% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $156,934 $23,540 $155,075 +1% $70,132 +124% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $154,912 $23,237 $59,017 +162% $70,564 +120% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $153,649 $23,047 $153,649 +0% $99,423 +55% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $153,061 $22,959 $125,800 +22% $70,467 +117% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $152,355 $22,853 $56,971 +167% $26,932 +466% —
653 MAJOR BLADDER PROCEDURES WITH MCC $151,686 $22,753 $151,686 +0% $104,583 +45% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $149,043 $22,356 $123,106 +21% $71,795 +108% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $148,784 $22,318 $52,322 +184% $30,571 +387% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $148,626 $22,294 $148,626 +0% $93,238 +59% —
472 CERVICAL SPINAL FUSION WITH CC $148,228 $22,234 $127,116 +17% $59,537 +149% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $148,207 $22,231 $124,159 +19% $50,624 +193% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $145,618 $21,843 $145,618 +0% $63,928 +128% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $143,051 $21,458 $80,453 +78% $36,489 +292% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $142,879 $21,432 $55,450 +158% $32,877 +335% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $141,764 $21,265 $123,776 +15% $71,014 +100% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $140,990 $21,149 $82,429 +71% $46,295 +205% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $139,380 $20,907 $97,667 +43% $58,707 +137% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $139,069 $20,860 $139,069 +0% $35,419 +293% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $138,580 $20,787 $112,488 +23% $62,264 +123% —
169 MAJOR ABDOMINAL VASCULAR PROCEDURES $137,094 $20,564 $137,094 +0% $137,094 +0% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $134,798 $20,220 $111,707 +21% $77,990 +73% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $131,872 $19,781 $103,547 +27% $44,139 +199% —
252 OTHER VASCULAR PROCEDURES WITH MCC $131,677 $19,752 $114,667 +15% $68,508 +92% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $131,606 $19,741 $93,232 +41% $51,953 +153% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $131,535 $19,730 $83,023 +58% $52,405 +151% ≈525% of Medicare
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $128,201 $19,230 $128,201 +0% $74,257 +73% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $128,144 $19,222 $128,144 +0% $65,653 +95% ≈493% of Medicare
710 INFECTIONS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE $127,033 $19,055 $127,033 +0% $26,436 +381% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $126,902 $19,035 $62,299 +104% $50,618 +151% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $124,606 $18,691 $90,581 +38% $50,139 +149% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $124,424 $18,664 $95,866 +30% $82,561 +51% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $121,376 $18,206 $121,376 +0% $83,441 +45% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $120,815 $18,122 $57,662 +110% $66,068 +83% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $120,787 $18,118 $71,381 +69% $54,929 +120% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $119,896 $17,984 $84,233 +42% $47,711 +151% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $119,509 $17,926 $77,863 +53% $59,790 +100% —
231 MAJOR LARGE BOWEL PROCEDURES $119,083 $17,862 $119,083 +0% $147,227 −19% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $118,821 $17,823 $118,821 +0% $68,653 +73% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $118,304 $17,746 $54,426 +117% $27,426 +331% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $118,104 $17,716 $118,104 +0% $120,573 −2% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $117,886 $17,683 $117,886 +0% $49,710 +137% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $115,510 $17,326 $89,281 +29% $35,584 +225% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $114,519 $17,178 $105,853 +8% $52,075 +120% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $114,424 $17,164 $113,974 +0% $50,011 +129% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $113,726 $17,059 $107,530 +6% $41,591 +173% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $113,064 $16,960 $94,411 +20% $58,809 +92% ≈704% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $112,611 $16,892 $112,611 +0% $54,583 +106% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $111,391 $16,709 $111,391 +0% $59,500 +87% ≈490% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $110,574 $16,586 $97,161 +14% $72,424 +53% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $110,067 $16,510 $71,281 +54% $34,749 +217% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $109,974 $16,496 $64,245 +71% $59,651 +84% —
504 FOOT PROCEDURES WITH CC $107,231 $16,085 $65,518 +64% $38,960 +175% —
919 COMPLICATIONS OF TREATMENT WITH MCC $107,027 $16,054 $55,624 +92% $31,105 +244% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $105,915 $15,887 $91,042 +16% $27,808 +281% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $105,636 $15,845 $38,521 +174% $26,280 +302% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $105,102 $15,765 $64,995 +62% $50,607 +108% ≈626% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $104,250 $15,638 $75,345 +38% $48,682 +114% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $104,138 $15,621 $92,280 +13% $49,351 +111% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $103,783 $15,567 $103,783 +0% $71,092 +46% —
571 SKIN DEBRIDEMENT WITH CC $103,733 $15,560 $61,879 +68% $37,169 +179% —
100 SEIZURES WITH MCC $103,481 $15,522 $47,409 +118% $35,481 +192% ≈545% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $102,423 $15,363 $82,516 +24% $52,751 +94% ≈551% of Medicare
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $101,781 $15,267 $95,995 +6% $50,394 +102% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $101,618 $15,243 $101,618 +0% $101,618 +0% —
336 PERITONEAL ADHESIOLYSIS WITH CC $101,243 $15,187 $101,243 +0% $50,463 +101% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $101,205 $15,181 $56,507 +79% $43,538 +132% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $98,989 $14,848 $98,989 +0% $77,817 +27% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $98,896 $14,834 $48,565 +104% $39,106 +153% ≈567% of Medicare
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $97,401 $14,610 $65,491 +49% $33,393 +192% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $97,119 $14,568 $41,680 +133% $16,968 +472% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $96,386 $14,458 $90,228 +7% $58,280 +65% ≈482% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $95,179 $14,277 $90,992 +5% $53,451 +78% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $94,872 $14,231 $69,604 +36% $42,126 +125% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $94,811 $14,222 $64,036 +48% $40,213 +136% ≈499% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $94,332 $14,150 $59,579 +58% $32,496 +190% ≈662% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $94,139 $14,121 $94,139 +0% $59,421 +58% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $93,939 $14,091 $69,184 +36% $39,006 +141% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $93,824 $14,074 $91,676 +2% $51,985 +80% —
774 COCAINE ABUSE AND DEPENDENCE $93,062 $13,959 $93,062 +0% $3,032 +2969% —
241 PEPTIC ULCER AND GASTRITIS $92,706 $13,906 $92,706 +0% $30,770 +201% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $92,417 $13,863 $82,687 +12% $46,724 +98% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $91,509 $13,726 $72,134 +27% $44,117 +107% ≈712% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $91,463 $13,719 $91,463 +0% $49,418 +85% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $89,267 $13,390 $71,538 +25% $32,433 +175% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $88,662 $13,299 $65,828 +35% $37,387 +137% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $88,471 $13,271 $74,533 +19% $45,333 +95% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $88,410 $13,261 $88,410 +0% $71,755 +23% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $87,838 $13,176 $87,838 +0% $43,913 +100% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $87,761 $13,164 $87,761 +0% $87,761 +0% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $87,650 $13,148 $82,861 +6% $46,090 +90% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $87,323 $13,098 $55,857 +56% $33,653 +159% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $86,431 $12,965 $86,431 +0% $35,831 +141% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $86,189 $12,928 $66,170 +30% $41,892 +106% —
834 ACUTE LEUKEMIA WITH MCC $85,566 $12,835 $85,566 +0% $85,566 +0% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $84,794 $12,719 $84,794 +0% $60,170 +41% —
643 ENDOCRINE DISORDERS WITH MCC $84,296 $12,644 $34,224 +146% $33,563 +151% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $83,763 $12,564 $47,898 +75% $31,159 +169% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $83,701 $12,555 $78,474 +7% $39,887 +110% —
334 RECTAL RESECTION WITHOUT CC/MCC $83,467 $12,520 $82,520 +1% $36,820 +127% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $83,277 $12,492 $83,277 +0% $43,650 +91% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $82,704 $12,406 $82,704 +0% $40,365 +105% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $82,674 $12,401 $82,674 +0% $76,001 +9% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $82,592 $12,389 $44,293 +86% $35,628 +132% ≈485% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $82,484 $12,373 $82,484 +0% $43,800 +88% —
501 SOFT TISSUE PROCEDURES WITH CC $82,007 $12,301 $74,943 +9% $39,619 +107% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $80,042 $12,006 $80,042 +0% $29,949 +167% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $79,921 $11,988 $69,740 +15% $43,943 +82% ≈517% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $79,846 $11,977 $79,846 +0% $46,283 +73% ≈500% of Medicare
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $78,313 $11,747 $78,313 +0% $39,020 +101% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $78,100 $11,715 $37,498 +108% $33,985 +130% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $77,541 $11,631 $65,248 +19% $43,477 +78% —
669 TRANSURETHRAL PROCEDURES WITH CC $77,464 $11,620 $65,937 +17% $34,354 +125% —
935 NON-EXTENSIVE BURNS $77,453 $11,618 $40,847 +90% $31,701 +144% —
121 OTHER RESPIRATORY AND CHEST PROCEDURES $77,284 $11,593 $77,284 +0% $19,412 +298% —
397 APPENDIX PROCEDURES WITH MCC $76,131 $11,420 $76,131 +0% $53,257 +43% —
813 COAGULATION DISORDERS $75,547 $11,332 $40,340 +87% $33,296 +127% ≈539% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $75,308 $11,296 $62,676 +20% $44,606 +69% ≈466% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $75,303 $11,295 $75,303 +0% $52,178 +44% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $75,225 $11,284 $59,140 +27% $32,833 +129% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $73,419 $11,013 $48,869 +50% $38,666 +90% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $73,014 $10,952 $73,014 +0% $58,228 +25% —
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE $72,498 $10,875 $72,498 +0% $72,498 +0% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $72,256 $10,838 $42,250 +71% $30,828 +134% ≈292% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $72,129 $10,819 $67,828 +6% $42,881 +68% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $72,070 $10,811 $60,922 +18% $39,955 +80% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $71,909 $10,786 $71,909 +0% $35,692 +101% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $71,661 $10,749 $71,661 +0% $23,443 +206% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $71,523 $10,728 $45,009 +59% $37,842 +89% ≈315% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $71,386 $10,708 $39,158 +82% $27,543 +159% ≈273% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $71,303 $10,696 $61,697 +16% $35,074 +103% —
915 ALLERGIC REACTIONS WITH MCC $71,228 $10,684 $41,180 +73% $32,645 +118% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $70,759 $10,614 $70,759 +0% $36,445 +94% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $70,714 $10,607 $70,714 +0% $61,470 +15% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $70,658 $10,599 $43,479 +63% $30,959 +128% ≈281% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $70,500 $10,575 $45,504 +55% $33,255 +112% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $70,105 $10,516 $70,105 +0% $55,162 +27% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $69,880 $10,482 $67,166 +4% $30,418 +130% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $69,764 $10,465 $69,764 +0% $49,423 +41% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $69,645 $10,447 $69,645 +0% $28,202 +147% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $68,424 $10,264 $57,295 +19% $34,273 +100% ≈280% of Medicare
263 CHOLECYSTECTOMY $68,011 $10,202 $68,011 +0% $51,253 +33% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $67,575 $10,136 $28,032 +141% $19,657 +244% —
143 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES $66,993 $10,049 $66,993 +0% $52,908 +27% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $66,874 $10,031 $39,202 +71% $26,770 +150% ≈281% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $66,524 $9,979 $66,524 +0% $40,552 +64% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $66,332 $9,950 $58,994 +12% $38,094 +74% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $66,050 $9,907 $64,628 +2% $32,859 +101% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $65,465 $9,820 $62,575 +5% $41,955 +56% —
654 MAJOR BLADDER PROCEDURES WITH CC $65,422 $9,813 $65,422 +0% $58,274 +12% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $65,043 $9,756 $49,595 +31% $34,607 +88% —
398 APPENDIX PROCEDURES WITH CC $64,962 $9,744 $64,962 +0% $40,162 +62% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $64,787 $9,718 $64,787 +0% $32,100 +102% —
548 SEPTIC ARTHRITIS WITH MCC $64,624 $9,694 $64,624 +0% $31,346 +106% —
038 EXTRACRANIAL PROCEDURES WITH CC $64,611 $9,692 $58,337 +11% $35,770 +81% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $64,287 $9,643 $63,524 +1% $40,642 +58% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $64,004 $9,601 $47,333 +35% $27,285 +135% ≈288% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $63,863 $9,580 $36,298 +76% $33,555 +90% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $63,856 $9,578 $63,856 +0% $30,784 +107% —
180 RESPIRATORY NEOPLASMS WITH MCC $63,725 $9,559 $58,251 +9% $36,658 +74% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $63,562 $9,534 $49,064 +30% $32,628 +95% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $63,523 $9,528 $63,523 +0% $42,914 +48% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $63,008 $9,451 $63,008 +0% $43,631 +44% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $62,944 $9,442 $43,753 +44% $33,707 +87% ≈281% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $62,892 $9,434 $45,505 +38% $20,247 +211% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $62,737 $9,411 $33,965 +85% $33,424 +88% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $62,648 $9,397 $30,777 +104% $30,235 +107% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $62,523 $9,378 $62,523 +0% $36,670 +71% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $62,272 $9,341 $35,163 +77% $37,950 +64% —
693 URINARY STONES WITH MCC $62,229 $9,334 $49,906 +25% $23,892 +160% —
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS $61,560 $9,234 $61,560 +0% $26,598 +131% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $61,418 $9,213 $61,418 +0% $36,937 +66% —
304 HYPERTENSION WITH MCC $61,398 $9,210 $61,398 +0% $26,080 +135% —
503 FOOT PROCEDURES WITH MCC $61,361 $9,204 $61,361 +0% $47,540 +29% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $61,052 $9,158 $61,052 +0% $38,836 +57% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $60,837 $9,126 $60,837 +0% $39,211 +55% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $60,778 $9,117 $60,778 +0% $34,459 +76% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $60,169 $9,025 $37,757 +59% $26,580 +126% ≈308% of Medicare
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $60,135 $9,020 $41,795 +44% $38,101 +58% —
682 RENAL FAILURE WITH MCC $59,993 $8,999 $46,893 +28% $29,064 +106% ≈311% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $59,972 $8,996 $43,100 +39% $26,682 +125% ≈285% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $59,902 $8,985 $57,799 +4% $36,431 +64% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $59,839 $8,976 $42,576 +41% $27,617 +117% —
606 MINOR SKIN DISORDERS WITH MCC $59,801 $8,970 $58,263 +3% $27,975 +114% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $59,685 $8,953 $59,685 +0% $37,844 +58% —
775 ALCOHOL ABUSE AND DEPENDENCE $59,494 $8,924 $59,494 +0% $3,032 +1862% —
374 DIGESTIVE MALIGNANCY WITH MCC $59,472 $8,921 $55,854 +6% $39,958 +49% —
668 TRANSURETHRAL PROCEDURES WITH MCC $59,336 $8,900 $59,336 +0% $51,608 +15% —
947 SIGNS AND SYMPTOMS WITH MCC $58,755 $8,813 $48,840 +20% $27,401 +114% —
663 MINOR BLADDER PROCEDURES WITH CC $58,736 $8,810 $58,736 +0% $33,103 +77% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $57,875 $8,681 $57,875 +0% $32,944 +76% —
133 RESPIRATORY FAILURE $57,406 $8,611 $57,406 +0% $38,305 +50% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $56,883 $8,532 $45,871 +24% $20,259 +181% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $56,863 $8,529 $56,863 +0% $27,275 +108% ≈292% of Medicare
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $56,824 $8,524 $56,824 +0% $33,633 +69% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $56,802 $8,520 $53,727 +6% $31,321 +81% —
551 MEDICAL BACK PROBLEMS WITH MCC $56,708 $8,506 $56,708 +0% $34,017 +67% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $56,512 $8,477 $43,649 +29% $27,152 +108% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $56,427 $8,464 $44,704 +26% $28,050 +101% ≈285% of Medicare
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $56,383 $8,457 $53,002 +6% $27,633 +104% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $56,359 $8,454 $56,359 +0% $28,156 +100% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $56,350 $8,453 $56,350 +0% $26,618 +112% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $56,258 $8,439 $45,881 +23% $38,070 +48% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $56,201 $8,430 $56,201 +0% $47,737 +18% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $56,075 $8,411 $47,218 +19% $30,502 +84% —
602 CELLULITIS WITH MCC $55,866 $8,380 $46,242 +21% $30,598 +83% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $55,818 $8,373 $50,512 +11% $33,661 +66% —
131 CYSTIC FIBROSIS - PULMONARY DISEASE $55,762 $8,364 $55,762 +0% $23,289 +139% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $55,735 $8,360 $55,735 +0% $96,192 −42% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $55,401 $8,310 $55,401 +0% $27,394 +102% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $55,276 $8,291 $55,276 +0% $35,465 +56% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $55,270 $8,290 $51,552 +7% $28,320 +95% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $55,147 $8,272 $45,474 +21% $24,944 +121% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $54,735 $8,210 $54,735 +0% $28,125 +95% —
200 PNEUMOTHORAX WITH CC $54,582 $8,187 $25,828 +111% $21,368 +155% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $54,529 $8,179 $54,529 +0% $45,167 +21% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $54,164 $8,125 $54,164 +0% $50,046 +8% —
348 ANAL AND STOMAL PROCEDURES WITH CC $53,914 $8,087 $45,396 +19% $27,947 +93% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $53,719 $8,058 $53,719 +0% $36,792 +46% —
186 PLEURAL EFFUSION WITH MCC $53,553 $8,033 $33,339 +61% $33,834 +58% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $53,483 $8,022 $53,483 +0% $46,402 +15% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $53,399 $8,010 $53,399 +0% $36,505 +46% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $52,983 $7,948 $50,457 +5% $24,386 +117% ≈457% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $52,780 $7,917 $52,780 +0% $25,463 +107% ≈341% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $52,301 $7,845 $52,301 +0% $38,861 +35% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $52,202 $7,830 $42,908 +22% $32,637 +60% —
816 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES $51,937 $7,791 $23,187 +124% $14,638 +255% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $51,872 $7,781 $51,872 +0% $40,548 +28% —
665 PROSTATECTOMY WITH MCC $51,665 $7,750 $51,665 +0% $54,072 −4% —
835 ACUTE LEUKEMIA WITH CC $51,594 $7,739 $51,594 +0% $35,569 +45% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $51,535 $7,730 $51,535 +0% $27,843 +85% —
291 HEART FAILURE AND SHOCK WITH MCC $51,109 $7,666 $40,123 +27% $26,776 +91% ≈299% of Medicare
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $51,069 $7,660 $51,069 +0% $45,877 +11% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $51,015 $7,652 $51,015 +0% $25,390 +101% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $50,891 $7,634 $50,891 +0% $39,515 +29% —
404 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES $50,691 $7,604 $50,691 +0% $50,691 +0% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $50,577 $7,587 $24,768 +104% $27,316 +85% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $50,494 $7,574 $44,636 +13% $31,264 +62% ≈298% of Medicare
539 OSTEOMYELITIS WITH MCC $50,351 $7,553 $50,351 +0% $37,609 +34% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $50,311 $7,547 $50,311 +0% $33,454 +50% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $49,458 $7,419 $36,362 +36% $22,458 +120% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $49,024 $7,354 $49,024 +0% $36,249 +35% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $48,546 $7,282 $38,959 +25% $19,138 +154% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $48,505 $7,276 $33,138 +46% $23,141 +110% —
637 DIABETES WITH MCC $48,443 $7,266 $30,655 +58% $30,100 +61% ≈296% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $48,427 $7,264 $44,379 +9% $23,573 +105% —
150 EPISTAXIS WITH MCC $48,411 $7,262 $48,411 +0% $23,171 +109% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $48,248 $7,237 $44,855 +8% $30,010 +61% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $47,708 $7,156 $38,715 +23% $23,617 +102% ≈292% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $47,616 $7,142 $42,477 +12% $32,021 +49% ≈300% of Medicare
333 RECTAL RESECTION WITH CC $47,559 $7,134 $47,559 +0% $37,154 +28% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $47,166 $7,075 $43,030 +10% $31,017 +52% —
182 OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES $47,076 $7,061 $47,076 +0% $14,064 +235% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $47,065 $7,060 $47,065 +0% $59,031 −20% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $46,935 $7,040 $46,935 +0% $32,841 +43% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $46,673 $7,001 $46,673 +0% $32,697 +43% —
865 VIRAL ILLNESS WITH MCC $46,423 $6,963 $46,423 +0% $26,910 +73% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $46,392 $6,959 $38,581 +20% $18,072 +157% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $46,193 $6,929 $46,193 +0% $25,094 +84% —
184 MAJOR CHEST TRAUMA WITH CC $46,126 $6,919 $31,929 +44% $22,432 +106% —
024 OPEN EXTRACRANIAL VASCULAR PROCEDURES $46,088 $6,913 $46,088 +0% $74,755 −38% —
199 PNEUMOTHORAX WITH MCC $45,747 $6,862 $34,682 +32% $33,787 +35% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $45,687 $6,853 $44,199 +3% $22,024 +107% —
230 MAJOR SMALL BOWEL PROCEDURES $45,561 $6,834 $45,561 +0% $58,096 −22% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $45,433 $6,815 $43,996 +3% $20,463 +122% ≈377% of Medicare
570 SKIN DEBRIDEMENT WITH MCC $45,372 $6,806 $45,372 +0% $52,435 −13% —
139 OTHER PNEUMONIA $45,314 $6,797 $33,303 +36% $23,612 +92% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $44,825 $6,724 $44,825 +0% $30,083 +49% —
906 HAND PROCEDURES FOR INJURIES $44,481 $6,672 $44,481 +0% $32,065 +39% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $44,280 $6,642 $44,280 +0% $33,047 +34% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $44,025 $6,604 $31,052 +42% $29,221 +51% —
885 PSYCHOSES $43,933 $6,590 $29,910 +47% $21,729 +102% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $43,686 $6,553 $21,106 +107% $20,957 +108% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $43,315 $6,497 $43,315 +0% $42,901 +1% —
343 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY $43,172 $6,476 $43,172 +0% $12,397 +248% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $43,075 $6,461 $39,619 +9% $20,422 +111% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $42,999 $6,450 $33,241 +29% $17,724 +143% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $42,835 $6,425 $42,835 +0% $31,951 +34% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $42,634 $6,395 $38,290 +11% $23,319 +83% —
380 COMPLICATED PEPTIC ULCER WITH MCC $42,323 $6,349 $42,323 +0% $39,627 +7% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $42,293 $6,344 $42,293 +0% $39,181 +8% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $42,143 $6,321 $42,143 +0% $34,434 +22% —
592 SKIN ULCERS WITH MCC $41,533 $6,230 $41,533 +0% $33,246 +25% —
183 MAJOR CHEST TRAUMA WITH MCC $41,141 $6,171 $36,218 +14% $29,933 +37% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $41,125 $6,169 $28,901 +42% $23,571 +74% —
866 VIRAL ILLNESS WITHOUT MCC $41,060 $6,159 $31,738 +29% $17,081 +140% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $40,994 $6,149 $30,301 +35% $19,842 +107% ≈335% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $40,745 $6,112 $40,745 +0% $18,807 +117% ≈293% of Medicare
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $40,557 $6,084 $40,557 +0% $22,851 +77% —
317 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES $40,521 $6,078 $48,735 −17% $88,566 −54% —
137 MOUTH PROCEDURES WITH CC/MCC $40,504 $6,076 $35,861 +13% $27,861 +45% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $40,375 $6,056 $27,659 +46% $20,084 +101% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $40,302 $6,045 $40,302 +0% $22,506 +79% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $39,965 $5,995 $39,965 +0% $34,192 +17% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $39,692 $5,954 $39,692 +0% $20,566 +93% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $39,598 $5,940 $39,598 +0% $29,611 +34% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $39,554 $5,933 $32,403 +22% $19,227 +106% ≈530% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $39,451 $5,918 $38,065 +4% $18,452 +114% —
158 DENTAL AND ORAL DISEASES WITH CC $39,383 $5,907 $24,004 +64% $18,466 +113% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $39,320 $5,898 $39,320 +0% $29,743 +32% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $38,926 $5,839 $34,781 +12% $21,275 +83% ≈310% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $38,721 $5,808 $36,938 +5% $23,940 +62% ≈318% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $38,490 $5,774 $38,490 +0% $18,004 +114% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $38,092 $5,714 $38,092 +0% $15,901 +140% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS $37,911 $5,687 $37,911 +0% $45,066 −16% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $37,889 $5,683 $22,922 +65% $22,850 +66% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $37,580 $5,637 $29,836 +26% $19,846 +89% —
811 RED BLOOD CELL DISORDERS WITH MCC $37,560 $5,634 $37,560 +0% $28,226 +33% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $37,129 $5,569 $37,129 +0% $22,635 +64% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $36,986 $5,548 $34,308 +8% $23,283 +59% —
697 URETHRAL STRICTURE $36,979 $5,547 $36,979 +0% $18,428 +101% —
540 OSTEOMYELITIS WITH CC $36,832 $5,525 $34,794 +6% $26,676 +38% —
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK $36,805 $5,521 $36,805 +0% $16,487 +123% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $36,530 $5,480 $27,687 +32% $25,279 +45% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $36,454 $5,468 $30,281 +20% $22,888 +59% ≈301% of Medicare
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $36,452 $5,468 $31,666 +15% $22,320 +63% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $36,384 $5,458 $21,587 +69% $18,602 +96% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $36,217 $5,433 $36,217 +0% $27,043 +34% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $36,028 $5,404 $16,529 +118% $12,324 +192% —
102 HEADACHES WITH MCC $35,978 $5,397 $35,978 +0% $25,740 +40% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $35,914 $5,387 $35,914 +0% $33,048 +9% —
089 CONCUSSION WITH CC $35,908 $5,386 $18,369 +95% $18,821 +91% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $35,437 $5,315 $35,437 +0% $25,712 +38% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $34,884 $5,233 $34,884 +0% $25,034 +39% —
711 TESTES PROCEDURES WITH CC/MCC $34,625 $5,194 $34,625 +0% $38,343 −10% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $34,536 $5,180 $34,536 +0% $23,551 +47% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $34,520 $5,178 $34,520 +0% $24,566 +41% —
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS $34,401 $5,160 $34,401 +0% $34,401 +0% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $34,254 $5,138 $34,254 +0% $25,970 +32% ≈331% of Medicare
123 NEUROLOGICAL EYE DISORDERS $34,105 $5,116 $33,346 +2% $19,745 +73% —
683 RENAL FAILURE WITH CC $33,792 $5,069 $24,421 +38% $19,130 +77% ≈323% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $33,710 $5,056 $33,175 +2% $18,204 +85% ≈314% of Medicare
887 OTHER MENTAL DISORDER DIAGNOSES $33,684 $5,053 $33,684 +0% $20,616 +63% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $33,631 $5,045 $33,631 +0% $22,314 +51% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $33,491 $5,024 $33,491 +0% $22,098 +52% ≈302% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $33,391 $5,009 $33,391 +0% $25,700 +30% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $33,209 $4,981 $21,217 +57% $14,716 +126% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $33,129 $4,969 $33,129 +0% $33,876 −2% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $33,092 $4,964 $27,174 +22% $17,226 +92% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $32,842 $4,926 $27,370 +20% $21,396 +53% ≈313% of Medicare
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $32,815 $4,922 $12,811 +156% $16,450 +99% —
375 DIGESTIVE MALIGNANCY WITH CC $32,758 $4,914 $32,044 +2% $27,277 +20% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $32,674 $4,901 $32,674 +0% $19,096 +71% ≈310% of Medicare
638 DIABETES WITH CC $32,618 $4,893 $24,658 +32% $19,661 +66% ≈335% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,194 $4,829 $32,194 +0% $30,243 +6% —
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE $31,950 $4,793 $31,950 +0% $60,098 −47% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC $31,915 $4,787 $31,915 +0% $32,443 −2% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $31,718 $4,758 $31,718 +0% $21,894 +45% —
694 URINARY STONES WITHOUT MCC $31,554 $4,733 $27,794 +14% $17,345 +82% —
916 ALLERGIC REACTIONS WITHOUT MCC $31,392 $4,709 $17,472 +80% $13,942 +125% —
644 ENDOCRINE DISORDERS WITH CC $31,330 $4,700 $31,330 +0% $23,198 +35% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $31,018 $4,653 $23,568 +32% $15,428 +101% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $30,997 $4,650 $27,046 +15% $21,449 +45% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $30,888 $4,633 $22,219 +39% $15,600 +98% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $30,841 $4,626 $25,648 +20% $24,552 +26% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $30,798 $4,620 $30,798 +0% $24,914 +24% ≈329% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $30,760 $4,614 $30,760 +0% $21,056 +46% ≈306% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $30,743 $4,612 $26,067 +18% $22,763 +35% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $30,661 $4,599 $13,497 +127% $14,549 +111% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $30,651 $4,598 $29,934 +2% $25,303 +21% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $30,553 $4,583 $30,553 +0% $30,553 +0% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $30,514 $4,577 $30,514 +0% $23,749 +28% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $30,433 $4,565 $30,433 +0% $26,463 +15% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $30,303 $4,546 $30,303 +0% $17,733 +71% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $30,289 $4,543 $24,405 +24% $14,250 +113% —
381 COMPLICATED PEPTIC ULCER WITH CC $30,250 $4,538 $30,250 +0% $24,177 +25% —
312 SYNCOPE AND COLLAPSE $30,180 $4,527 $26,853 +12% $19,342 +56% ≈290% of Medicare
103 HEADACHES WITHOUT MCC $30,163 $4,524 $30,163 +0% $21,280 +42% —
292 HEART FAILURE AND SHOCK WITH CC $30,136 $4,520 $30,136 +0% $16,371 +84% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $29,966 $4,495 $21,743 +38% $17,700 +69% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $29,878 $4,482 $27,876 +7% $20,781 +44% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $29,774 $4,466 $26,087 +14% $17,303 +72% ≈320% of Medicare
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $29,764 $4,465 $26,155 +14% $16,846 +77% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $29,633 $4,445 $23,527 +26% $17,038 +74% ≈303% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $29,592 $4,439 $29,592 +0% $20,901 +42% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $29,549 $4,432 $29,549 +0% $29,916 −1% —
541 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C $29,513 $4,427 $29,513 +0% $15,215 +94% —
344 OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS $29,429 $4,414 $38,166 −23% $44,546 −34% —
864 FEVER AND INFLAMMATORY CONDITIONS $29,317 $4,397 $26,401 +11% $18,640 +57% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $29,301 $4,395 $29,301 +0% $25,581 +15% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $29,300 $4,395 $29,126 +1% $20,181 +45% ≈311% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $29,171 $4,376 $29,171 +0% $18,081 +61% ≈283% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $29,107 $4,366 $25,612 +14% $12,999 +124% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $29,084 $4,363 $29,084 +0% $23,488 +24% ≈325% of Medicare
046 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCT $29,050 $4,358 $29,050 +0% $29,050 +0% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $29,015 $4,352 $29,015 +0% $19,264 +51% —
305 HYPERTENSION WITHOUT MCC $28,872 $4,331 $28,872 +0% $18,086 +60% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $28,798 $4,320 $28,798 +0% $13,586 +112% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $28,774 $4,316 $28,774 +0% $17,674 +63% ≈312% of Medicare
042 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS $28,768 $4,315 $28,768 +0% $39,018 −26% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $28,760 $4,314 $28,760 +0% $17,398 +65% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $28,523 $4,279 $28,523 +0% $27,163 +5% —
197 INTERSTITIAL LUNG DISEASE WITH CC $28,474 $4,271 $28,474 +0% $21,941 +30% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $28,413 $4,262 $28,413 +0% $19,569 +45% —
603 CELLULITIS WITHOUT MCC $28,375 $4,256 $28,375 +0% $18,530 +53% ≈338% of Medicare
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $28,118 $4,218 $28,118 +0% $17,298 +63% —
920 COMPLICATIONS OF TREATMENT WITH CC $28,101 $4,215 $28,101 +0% $22,468 +25% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $28,035 $4,205 $28,035 +0% $20,488 +37% ≈311% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $28,009 $4,201 $28,009 +0% $27,989 +0% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $27,858 $4,179 $27,858 +0% $18,126 +54% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $27,649 $4,147 $27,649 +0% $20,506 +35% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $27,597 $4,140 $27,597 +0% $22,033 +25% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $27,589 $4,138 $20,073 +37% $16,767 +65% —
302 ATHEROSCLEROSIS WITH MCC $27,534 $4,130 $27,534 +0% $22,446 +23% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $27,493 $4,124 $27,493 +0% $16,634 +65% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $27,406 $4,111 $27,102 +1% $18,002 +52% —
101 SEIZURES WITHOUT MCC $27,234 $4,085 $25,796 +6% $20,461 +33% ≈303% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $27,187 $4,078 $27,187 +0% $13,824 +97% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $27,139 $4,071 $27,139 +0% $18,150 +50% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $26,898 $4,035 $26,898 +0% $17,124 +57% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $26,865 $4,030 $26,865 +0% $32,031 −16% —
153 OTITIS MEDIA AND URI WITHOUT MCC $26,521 $3,978 $26,521 +0% $14,583 +82% —
420 DIABETES $26,477 $3,972 $26,477 +0% $50,919 −48% —
534 FRACTURES OF FEMUR WITHOUT MCC $26,376 $3,956 $23,794 +11% $17,559 +50% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $26,362 $3,954 $26,362 +0% $17,322 +52% ≈291% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $26,244 $3,937 $26,244 +0% $28,140 −7% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $26,095 $3,914 $26,095 +0% $19,037 +37% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $26,055 $3,908 $26,055 +0% $17,620 +48% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $26,032 $3,905 $26,032 +0% $18,126 +44% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $25,814 $3,872 $15,603 +65% $19,924 +30% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $25,775 $3,866 $24,486 +5% $17,921 +44% ≈322% of Medicare
187 PLEURAL EFFUSION WITH CC $25,765 $3,865 $25,699 +0% $21,789 +18% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $25,621 $3,843 $25,621 +0% $16,776 +53% —
201 PNEUMOTHORAX WITHOUT CC/MCC $25,556 $3,833 $13,904 +84% $14,053 +82% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $25,476 $3,821 $25,476 +0% $15,452 +65% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $25,412 $3,812 $18,699 +36% $14,368 +77% —
340 FRACTURE OF FEMUR $25,199 $3,780 $25,199 +0% $13,613 +85% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $25,188 $3,778 $25,188 +0% $16,520 +52% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $25,023 $3,753 $14,454 +73% $13,275 +89% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $24,999 $3,750 $24,999 +0% $31,563 −21% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $24,898 $3,735 $12,813 +94% $14,797 +68% —
914 TRAUMATIC INJURY WITHOUT MCC $24,833 $3,725 $24,833 +0% $15,855 +57% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,813 $3,722 $24,813 +0% $12,460 +99% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $24,811 $3,722 $24,811 +0% $16,699 +49% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $24,535 $3,680 $24,535 +0% $22,148 +11% —
756 ACUTE ANXIETY AND DELIRIUM STATES $24,498 $3,675 $24,498 +0% $15,589 +57% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $24,468 $3,670 $24,468 +0% $19,305 +27% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $24,378 $3,657 $24,378 +0% $18,956 +29% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $24,375 $3,656 $24,375 +0% $14,128 +73% —
549 SEPTIC ARTHRITIS WITH CC $24,180 $3,627 $24,180 +0% $24,056 +1% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $24,095 $3,614 $24,095 +0% $20,895 +15% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $24,063 $3,609 $24,063 +0% $16,565 +45% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $24,051 $3,608 $24,018 +0% $17,118 +40% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $23,999 $3,600 $23,999 +0% $24,586 −2% —
134 PULMONARY EMBOLISM $23,701 $3,555 $23,701 +0% $23,289 +2% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $23,474 $3,521 $23,474 +0% $17,578 +34% ≈285% of Medicare
141 ASTHMA $23,368 $3,505 $23,368 +0% $37,267 −37% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $23,329 $3,499 $16,841 +39% $15,370 +52% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $23,220 $3,483 $23,220 +0% $21,363 +9% —
313 CHEST PAIN $22,960 $3,444 $21,819 +5% $16,440 +40% ≈321% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $22,950 $3,442 $14,272 +61% $12,078 +90% —
303 ATHEROSCLEROSIS WITHOUT MCC $22,945 $3,442 $22,945 +0% $14,927 +54% ≈431% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $22,793 $3,419 $22,793 +0% $20,232 +13% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $22,737 $3,410 $18,704 +22% $15,837 +44% —
149 DYSEQUILIBRIUM $22,523 $3,379 $22,523 +0% $18,096 +24% —
594 SKIN ULCERS WITHOUT CC/MCC $22,055 $3,308 $22,055 +0% $14,209 +55% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $21,964 $3,295 $21,964 +0% $13,651 +61% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $21,818 $3,273 $21,818 +0% $12,454 +75% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA $21,783 $3,267 $21,783 +0% $42,186 −48% —
247 INTESTINAL OBSTRUCTION $21,734 $3,260 $21,734 +0% $21,663 +0% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $21,626 $3,244 $21,626 +0% $20,926 +3% —
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS $21,619 $3,243 $21,619 +0% $25,073 −14% —
245 INFLAMMATORY BOWEL DISEASE $21,618 — $27,260 −21% $72,076 −70% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $21,597 $3,240 $21,597 +0% $26,870 −20% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $21,596 $3,239 $21,596 +0% $18,488 +17% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $21,274 $3,191 $21,274 +0% $15,183 +40% —
311 ANGINA PECTORIS $20,417 $3,063 $20,417 +0% $15,502 +32% —
113 INFECTIONS OF UPPER RESPIRATORY TRACT $20,048 $3,007 $20,048 +0% $36,167 −45% —
198 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS $19,719 $2,958 $19,719 +0% $15,549 +27% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $19,711 $2,957 $19,711 +0% $13,384 +47% ≈386% of Medicare
639 DIABETES WITHOUT CC/MCC $19,699 $2,955 $19,699 +0% $13,910 +42% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $19,355 $2,903 $19,355 +0% $14,689 +32% —
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS $19,236 $2,885 $19,236 +0% $34,146 −44% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $19,057 $2,858 $19,057 +0% $18,133 +5% —
684 RENAL FAILURE WITHOUT CC/MCC $18,741 $2,811 $16,007 +17% $13,642 +37% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $18,486 $2,773 $18,486 +0% $16,288 +13% —
882 NEUROSES EXCEPT DEPRESSIVE $18,025 $2,704 $18,025 +0% $15,680 +15% —
607 MINOR SKIN DISORDERS WITHOUT MCC $17,880 $2,682 $17,880 +0% $15,889 +13% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $17,702 $2,655 $17,702 +0% $14,415 +23% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $17,625 $2,644 $17,625 +0% $16,552 +6% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $17,624 $2,644 $17,624 +0% $33,851 −48% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS $17,375 $2,606 $17,375 +0% $30,000 −42% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $17,249 $2,587 $17,249 +0% $15,038 +15% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $17,180 $2,577 $17,180 +0% $13,361 +29% —
955 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $16,355 — $38,091 −57% $102,600 −84% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $16,177 $2,427 $16,177 +0% $18,528 −13% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $16,132 $2,420 $16,132 +0% $19,270 −16% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $15,619 $2,343 $10,553 +48% $10,160 +54% —
597 MALIGNANT BREAST DISORDERS WITH MCC $15,540 $2,331 $15,540 +0% $33,386 −53% —
791 PREMATURITY WITH MAJOR PROBLEMS $15,421 $2,313 $15,421 +0% $42,679 −64% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $15,019 $2,253 $15,019 +0% $15,019 +0% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $13,211 $1,982 $13,211 +0% $12,593 +5% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC $11,913 $1,787 $11,913 +0% $18,316 −35% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $11,906 $1,786 $20,715 −43% $80,018 −85% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $11,758 $1,764 $11,758 +0% $14,648 −20% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $11,462 $1,719 $13,360 −14% $18,649 −39% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $11,361 $1,704 $11,361 +0% $12,229 −7% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,228 $1,684 $12,235 −8% $12,252 −8% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $11,173 $1,676 $11,173 +0% $9,940 +12% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,107 $1,666 $11,107 +0% $16,351 −32% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,849 $1,627 $10,849 +0% $8,445 +28% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $10,118 $1,518 $10,118 +0% $12,895 −22% —
598 MALIGNANT BREAST DISORDERS WITH CC $9,918 $1,488 $9,918 +0% $19,073 −48% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,606 $1,441 $9,606 +0% $13,633 −30% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,971 $1,346 $8,971 +0% $10,975 −18% —
753 BIPOLAR DISORDERS $8,887 $1,333 $8,887 +0% $14,949 −41% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,867 $1,330 $8,867 +0% $11,071 −20% —
795 NORMAL NEWBORN $8,624 $1,294 $5,787 +49% $4,720 +83% —
881 DEPRESSIVE NEUROSES $8,475 $1,271 $14,727 −42% $15,058 −44% —
751 MAJOR DEPRESSIVE DISORDERS AND OTHER/UNSPECIFIED PSYCHOSES $8,364 $1,255 $8,364 +0% $15,939 −48% —
151 EPISTAXIS WITHOUT MCC $6,972 $1,046 $6,972 +0% $13,032 −47% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $6,484 $973 $6,484 +0% $31,044 −79% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,719 $858 $8,604 −34% $11,421 −50% —
755 ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES $4,581 — $12,252 −63% $18,459 −75% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,530 $680 $4,530 +0% $15,495 −71% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,851 — $3,118 −9% $17,483 −84% —
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