Procedures published 524
Lowest published price $3,114
Average published price $42,070
Highest published price $353,601

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 524 procedures

Published charges

Showing all 524 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 87 procedures, this hospital's negotiated rates average ≈201% of what Medicare pays.

DRG Description Published price Cash price vs. TN median vs. National median vs Medicare
001 heart transplant or implant of heart assist system with mcc $353,601 $216,758 $358,109 −1% $431,073 −18%
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $245,402 $150,431 $186,275 +32% $175,437 +40%
957 other o.r. procedures for multiple significant trauma with mcc $228,111 $139,832 $108,721 +110% $120,573 +89%
969 hiv with extensive o.r. procedures with mcc $224,672 $137,724 $84,844 +165% $109,331 +105%
231 coronary bypass with ptca with mcc $221,954 $136,058 $119,083 +86% $145,864 +52%
003 ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $196,807 $120,643 $240,349 −18% $371,366 −47%
097 non-bacterial infection of nervous system except viral meningitis with mcc $182,881 $112,106 $79,348 +130% $57,855 +216%
317 concomitant left atrial appendage closure and cardiac ablation $178,128 $109,193 $111,914 +59% $93,934 +90%
323 coronary intravascular lithotripsy with intraluminal device with mcc $165,508 $101,457 $137,121 +21% $87,495 +89%
486 knee procedures with principal diagnosis of infection with cc $163,262 $100,080 $70,565 +131% $46,477 +251%
268 aortic and heart assist procedures except pulsation balloon with mcc $162,784 $99,787 $125,997 +29% $115,937 +40%
232 coronary bypass with ptca without mcc $162,512 $99,620 $122,307 +33% $106,219 +53%
004 tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $161,832 $99,203 $161,832 +0% $245,189 −34%
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $157,675 $96,655 $193,242 −18% $121,714 +30%
233 coronary bypass with cardiac catheterization or open ablation with mcc $155,130 $95,095 $103,817 +49% $138,868 +12% ≈185% of Medicare
234 coronary bypass with cardiac catheterization or open ablation without mcc $145,744 $89,341 $72,075 +102% $102,573 +42% ≈265% of Medicare
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $134,572 $82,493 $102,814 +31% $143,242 −6% ≈154% of Medicare
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $133,239 $81,676 $71,776 +86% $102,177 +30% ≈222% of Medicare
215 other heart assist system implant $127,882 $78,392 $133,515 −4% $191,314 −33%
870 septicemia or severe sepsis with mv >96 hours $123,518 $75,716 $161,432 −23% $137,160 −10% ≈164% of Medicare
495 local excision and removal of internal fixation devices except hip and femur with mcc $118,247 $72,485 $48,887 +142% $56,964 +108%
662 minor bladder procedures with mcc $115,663 $70,901 $36,161 +220% $54,483 +112%
207 respiratory system diagnosis with ventilator support >96 hours $115,510 $70,808 $144,853 −20% $116,058 −0%
235 coronary bypass without cardiac catheterization with mcc $112,662 $69,062 $79,247 +42% $112,062 +1%
471 cervical spinal fusion with mcc $111,199 $68,165 $88,694 +25% $92,515 +20%
075 viral meningitis with cc/mcc $110,691 $67,854 $25,549 +333% $29,751 +272%
415 cholecystectomy except by laparoscope without c.d.e. with cc $109,542 $67,149 $91,895 +19% $41,847 +162%
236 coronary bypass without cardiac catheterization without mcc $108,784 $66,685 $56,565 +92% $82,247 +32% ≈257% of Medicare
324 coronary intravascular lithotripsy with intraluminal device without mcc $104,470 $64,040 $104,470 +0% $66,819 +56%
521 hip replacement with principal diagnosis of hip fracture with mcc $99,653 $61,087 $114,261 −13% $66,765 +49% ≈323% of Medicare
458 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc $98,068 $60,116 $98,068 +0% $83,441 +18%
820 lymphoma and leukemia with major o.r. procedures with mcc $96,803 $59,340 $87,632 +10% $96,192 +1%
266 endovascular cardiac valve replacement and supplement procedures with mcc $95,604 $58,605 $88,103 +9% $113,855 −16% ≈143% of Medicare
329 major small and large bowel procedures with mcc $94,614 $57,999 $94,614 +0% $88,050 +7% ≈208% of Medicare
397 appendix procedures with mcc $94,597 $57,988 $85,364 +11% $52,319 +81%
267 endovascular cardiac valve replacement and supplement procedures without mcc $93,341 $57,218 $64,248 +45% $92,217 +1% ≈182% of Medicare
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $92,635 $56,786 $92,635 +0% $68,331 +36%
034 carotid artery stent procedures with mcc $92,210 $56,525 $72,938 +26% $72,908 +26%
595 major skin disorders with mcc $92,180 $56,506 $28,288 +226% $31,772 +190%
668 transurethral procedures with mcc $90,345 $55,381 $56,726 +59% $47,126 +92%
326 stomach, esophageal and duodenal procedures with mcc $90,184 $55,283 $58,773 +53% $80,747 +12%
503 foot procedures with mcc $89,427 $54,818 $61,361 +46% $43,982 +103%
655 major bladder procedures without cc/mcc $88,154 $54,038 $28,778 +206% $41,701 +111%
163 major chest procedures with mcc $87,833 $53,842 $75,425 +16% $88,341 −1% ≈190% of Medicare
853 infectious and parasitic diseases with o.r. procedures with mcc $87,637 $53,722 $107,454 −18% $86,938 +1% ≈172% of Medicare
901 wound debridements for injuries with mcc $86,426 $52,979 $60,383 +43% $68,847 +26%
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $86,030 $52,736 $108,590 −21% $74,274 +16% ≈317% of Medicare
426 multiple level combined anterior and posterior spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $85,597 $52,471 $135,008 −37% $142,326 −40%
459 spinal fusion except cervical $85,597 $52,471 $293,456 −71% $75,251 +14%
278 ultrasound accelerated and other thrombolysis of peripheral vascular structures with mcc $84,861 $52,020 $84,861 +0% $84,861 +0%
414 cholecystectomy except by laparoscope without c.d.e. with mcc $81,040 $49,678 $98,140 −17% $68,399 +18%
429 combined anterior and posterior cervical spinal fusion with mcc $80,501 $49,347 $112,749 −29% $119,071 −32%
453 combined anterior and posterio $80,501 $49,347 $84,684 −5% $103,861 −22%
270 other major cardiovascular procedures with mcc $78,513 $48,128 $82,017 −4% $99,423 −21% ≈156% of Medicare
474 amputation for musculoskeletal system and connective tissue disorders with mcc $77,850 $47,722 $77,850 +0% $76,954 +1%
656 kidney and ureter procedures for neoplasm with mcc $76,240 $46,735 $60,860 +25% $64,465 +18%
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $76,149 $46,679 $119,555 −36% $64,468 +18%
275 cardiac defibrillator implant with cardiac catheterization and mcc $75,067 $46,016 $89,636 −16% $131,961 −43%
501 soft tissue procedures with cc $74,943 $45,940 $60,321 +24% $37,975 +97%
228 other cardiothoracic procedures with mcc $74,482 $45,658 $74,482 +0% $96,905 −23%
277 cardiac defibrillator implant without mcc $74,257 $45,519 $74,257 +0% $91,329 −19%
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $72,972 $44,732 $57,662 +27% $65,383 +12%
821 lymphoma and leukemia with major o.r. procedures with cc $72,877 $44,674 $32,168 +127% $44,022 +66%
799 splenic procedures with mcc $72,499 $44,442 $68,692 +6% $78,821 −8%
909 other o.r. procedures for injuries without cc/mcc $72,302 $44,321 $37,212 +94% $28,156 +157%
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $71,963 $44,113 $87,201 −17% $84,825 −15% ≈149% of Medicare
250 percutaneous cardiovascular procedures without intraluminal device with mcc $71,803 $44,015 $85,751 −16% $51,339 +40%
468 revision of hip or knee replacement without cc/mcc $71,789 $44,007 $71,381 +1% $54,929 +31%
356 other digestive system o.r. procedures with mcc $69,187 $42,411 $62,021 +12% $82,561 −16%
477 biopsies of musculoskeletal system and connective tissue with mcc $69,089 $42,351 $58,459 +18% $61,353 +13%
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $68,988 $42,290 $73,103 −6% $78,327 −12%
164 major chest procedures with cc $67,660 $41,476 $51,761 +31% $53,141 +27% ≈263% of Medicare
454 combined anterior and posterio $67,609 $41,445 $67,609 +0% $69,101 −2%
322 percutaneous cardiovascular procedures with intraluminal device without mcc $67,480 $41,365 $77,741 −13% $54,772 +23% ≈392% of Medicare
271 other major cardiovascular procedures with cc $67,477 $41,363 $79,847 −15% $71,014 −5% ≈206% of Medicare
856 postoperative or post-traumatic infections with o.r. procedures with mcc $67,380 $41,304 $64,565 +4% $72,843 −8%
448 multiple level spinal fusion except cervical without mcc $67,326 $41,271 $116,340 −42% $81,998 −18%
025 craniotomy and endovascular intracranial procedures with mcc $65,471 $40,134 $63,356 +3% $88,307 −26%
707 major male pelvic procedures with cc/mcc $64,787 $39,714 $23,565 +175% $43,080 +50%
658 kidney and ureter procedures for neoplasm without cc/mcc $64,747 $39,690 $21,552 +200% $35,528 +82%
673 other kidney and urinary tract procedures with mcc $64,714 $39,670 $64,714 +0% $72,879 −11%
229 other cardiothoracic procedures without mcc $64,102 $39,295 $53,806 +19% $65,325 −2%
077 hypertensive encephalopathy with mcc $64,074 $39,277 $34,137 +88% $24,036 +167%
166 other respiratory system o.r. procedures with mcc $63,343 $38,829 $61,304 +3% $72,274 −12%
466 revision of hip or knee replacement with mcc $62,549 $38,342 $85,428 −27% $94,320 −34%
663 minor bladder procedures with cc $61,229 $37,534 $23,018 +166% $29,924 +105%
253 other vascular procedures with cc $60,833 $37,291 $36,329 +67% $53,746 +13% ≈271% of Medicare
428 multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc $60,576 $37,133 $168,877 −64% $105,899 −43%
029 spinal procedures with cc or spinal neurostimulators $60,560 $37,123 $53,660 +13% $62,790 −4%
430 combined anterior and posterior cervical spinal fusion without mcc $59,771 $36,639 $94,317 −37% $93,783 −36%
455 combined anterior and posterio $59,771 $36,639 $178,331 −66% $54,320 +10%
840 lymphoma and non-acute leukemia with mcc $59,518 $36,484 $59,078 +1% $49,710 +20%
657 kidney and ureter procedures for neoplasm with cc $59,497 $36,471 $37,783 +57% $40,583 +47%
031 ventricular shunt procedures with mcc $58,586 $35,913 $50,178 +17% $68,590 −15%
417 laparoscopic cholecystectomy without c.d.e. with mcc $58,485 $35,851 $75,583 −23% $51,950 +13%
708 major male pelvic procedures without cc/mcc $58,456 $35,834 $18,187 +221% $32,911 +78%
165 major chest procedures without cc/mcc $58,419 $35,811 $42,903 +36% $41,380 +41%
451 single level spinal fusion except cervical without mcc $58,124 $35,630 $100,112 −42% $65,216 −11%
460 spinal fusion except cervical $58,124 $35,630 $142,388 −59% $50,815 +14% ≈154% of Medicare
240 amputation for circulatory system disorders except upper limb and toe with cc $57,460 $35,223 $52,820 +9% $54,475 +5%
711 testes procedures with cc/mcc $57,114 $35,011 $32,917 +74% $34,846 +64%
492 lower extremity and humerus procedures except hip, foot and femur with mcc $57,086 $34,994 $49,285 +16% $70,540 −19%
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $56,783 $34,808 $37,011 +53% $43,538 +30%
606 minor skin disorders with mcc $56,725 $34,772 $25,071 +126% $25,434 +123%
402 single level combined anterior and posterior spinal fusion except cervical $56,607 $34,700 $112,707 −50% $75,492 −25%
545 connective tissue disorders with mcc $56,540 $34,659 $35,990 +57% $39,657 +43%
032 ventricular shunt procedures with cc $56,519 $34,646 $44,971 +26% $44,719 +26%
279 ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc $56,446 $34,601 $56,446 +0% $57,277 −1%
288 acute and subacute endocarditis with mcc $56,287 $34,504 $38,646 +46% $45,497 +24%
374 digestive malignancy with mcc $55,854 $34,238 $55,381 +1% $38,885 +44% ≈259% of Medicare
488 knee procedures without principal diagnosis of infection with cc/mcc $55,530 $34,040 $47,128 +18% $41,520 +34%
330 major small and large bowel procedures with cc $54,834 $33,613 $111,391 −51% $58,713 −7%
592 skin ulcers with mcc $54,589 $33,463 $41,533 +31% $32,662 +67%
252 other vascular procedures with mcc $54,343 $33,312 $39,884 +36% $68,508 −21%
480 hip and femur procedures except major joint with mcc $53,435 $32,756 $115,471 −54% $63,984 −16% ≈173% of Medicare
504 foot procedures with cc $53,198 $32,610 $46,447 +15% $36,519 +46%
335 peritoneal adhesiolysis with mcc $53,134 $32,571 $88,410 −40% $71,755 −26%
197 interstitial lung disease with cc $52,707 $32,309 $26,372 +100% $20,105 +162%
516 other musculoskeletal system and connective tissue o.r. procedures with cc $52,679 $32,292 $51,793 +2% $45,594 +16%
080 nontraumatic stupor and coma with mcc $51,972 $31,859 $28,993 +79% $35,139 +48%
251 percutaneous cardiovascular procedures without intraluminal device without mcc $51,906 $31,818 $51,906 +0% $40,801 +27%
472 cervical spinal fusion with cc $50,808 $31,145 $45,802 +11% $59,537 −15%
483 major joint or limb reattachment procedures of upper extremities $50,793 $31,136 $80,468 −37% $56,197 −10%
418 laparoscopic cholecystectomy without c.d.e. with cc $50,533 $30,977 $50,533 +0% $42,119 +20%
742 uterine and adnexa procedures for non-malignancy with cc/mcc $49,881 $30,577 $67,532 −26% $40,552 +23%
344 minor small and large bowel procedures with mcc $49,457 $30,317 $57,222 −14% $44,839 +10%
168 other respiratory system o.r. procedures without cc/mcc $49,377 $30,268 $49,377 +0% $28,509 +73%
908 other o.r. procedures for injuries with cc $49,311 $30,228 $49,311 +0% $41,660 +18%
272 other major cardiovascular procedures without cc/mcc $49,263 $30,198 $59,684 −17% $55,162 −11%
841 lymphoma and non-acute leukemia with cc $49,250 $30,190 $36,397 +35% $30,224 +63%
717 other male reproductive system o.r. procedures except malignancy with cc/mcc $49,066 $30,078 $49,347 −1% $32,538 +51%
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $48,891 $29,970 $48,891 +0% $62,961 −22%
331 major small and large bowel procedures without cc/mcc $48,519 $29,742 $56,252 −14% $44,087 +10%
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $48,340 $29,633 $48,340 +0% $62,266 −22%
173 ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism $48,119 $29,497 $45,570 +6% $53,555 −10%
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $47,626 $29,195 $47,626 +0% $44,989 +6%
095 bacterial and tuberculous infections of nervous system with cc $47,578 $29,166 $42,739 +11% $47,583 −0%
333 rectal resection with cc $47,425 $29,072 $47,425 +0% $34,352 +38%
659 kidney and ureter procedures for non-neoplasm with mcc $47,369 $29,037 $61,336 −23% $47,574 −0%
398 appendix procedures with cc $47,301 $28,996 $60,324 −22% $38,574 +23%
907 other o.r. procedures for injuries with mcc $47,170 $28,915 $76,944 −39% $71,519 −34%
328 stomach, esophageal and duodenal procedures without cc/mcc $47,112 $28,880 $47,112 +0% $35,375 +33%
522 hip replacement with principal diagnosis of hip fracture without mcc $46,833 $28,708 $60,182 −22% $55,147 −15% ≈223% of Medicare
399 appendix procedures without cc/mcc $46,658 $28,601 $46,658 +0% $30,259 +54%
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $46,268 $28,362 $21,186 +118% $17,562 +163%
286 circulatory disorders except ami, with cardiac catheterization with mcc $45,877 $28,123 $49,227 −7% $44,600 +3% ≈211% of Medicare
072 nonspecific cerebrovascular disorders without cc/mcc $45,509 $27,897 $26,095 +74% $16,654 +173%
024 craniotomy with major device implant or acute complex cns principal diagnosis without mcc $45,491 $27,886 $45,790 −1% $74,755 −39%
493 lower extremity and humerus procedures except hip, foot and femur with cc $45,114 $27,655 $45,114 +0% $56,394 −20% ≈200% of Medicare
037 extracranial procedures with mcc $44,755 $27,435 $45,525 −2% $64,749 −31%
319 other endovascular cardiac valve procedures with mcc $44,617 $27,350 $44,617 +0% $75,585 −41%
167 other respiratory system o.r. procedures with cc $44,586 $27,331 $50,449 −12% $40,563 +10%
467 revision of hip or knee replacement with cc $44,377 $27,203 $105,341 −58% $68,421 −35%
377 gastrointestinal hemorrhage with mcc $44,206 $27,098 $42,629 +4% $37,842 +17% ≈251% of Medicare
857 postoperative or post-traumatic infections with o.r. procedures with cc $44,198 $27,094 $53,407 −17% $41,114 +8%
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $43,969 $26,953 $27,062 +62% $18,150 +142%
028 spinal procedures with mcc $43,851 $26,880 $117,425 −63% $95,858 −54%
208 respiratory system diagnosis with ventilator support <=96 hours $43,807 $26,854 $72,374 −39% $52,405 −16% ≈173% of Medicare
242 permanent cardiac pacemaker implant with mcc $43,787 $26,841 $43,787 +0% $70,132 −38% ≈121% of Medicare
982 extensive o.r. procedures unrelated to principal diagnosis with cc $43,645 $26,754 $79,992 −45% $51,985 −16%
829 myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc $43,634 $26,748 $49,579 −12% $53,817 −19%
596 major skin disorders without mcc $43,522 $26,679 $16,750 +160% $17,226 +153%
094 bacterial and tuberculous infections of nervous system with mcc $43,448 $26,634 $73,858 −41% $61,206 −29%
475 amputation for musculoskeletal system and connective tissue disorders with cc $43,149 $26,450 $43,149 +0% $44,553 −3%
473 cervical spinal fusion without cc/mcc $43,025 $26,374 $38,473 +12% $50,624 −15%
956 limb reattachment, hip and femur procedures for multiple significant trauma $42,955 $26,331 $52,805 −19% $75,103 −43%
125 other disorders of the eye without mcc $42,947 $26,327 $28,118 +53% $15,876 +171%
196 interstitial lung disease with mcc $42,908 $26,303 $38,192 +12% $30,362 +41%
519 back and neck procedures except spinal fusion with cc $42,660 $26,151 $35,724 +19% $43,775 −3%
336 peritoneal adhesiolysis with cc $42,008 $25,751 $75,525 −44% $49,071 −14%
485 knee procedures with principal diagnosis of infection with mcc $41,663 $25,540 $68,514 −39% $64,956 −36%
487 knee procedures with principal diagnosis of infection without cc/mcc $41,464 $25,417 $44,415 −7% $33,425 +24%
421 hepatobiliary diagnostic procedures with cc $41,377 $25,364 $24,448 +69% $36,333 +14%
674 other kidney and urinary tract procedures with cc $40,781 $24,999 $50,743 −20% $49,631 −18%
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $40,724 $24,964 $41,488 −2% $60,861 −33%
368 major esophageal disorders with mcc $40,522 $24,840 $33,129 +22% $33,339 +22%
038 extracranial procedures with cc $40,355 $24,738 $32,231 +25% $35,770 +13%
082 traumatic stupor and coma >1 hour with mcc $40,251 $24,674 $36,779 +9% $36,237 +11%
254 other vascular procedures without cc/mcc $40,103 $24,583 $33,001 +22% $38,836 +3%
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $40,080 $24,569 $61,418 −35% $34,564 +16%
064 intracranial hemorrhage or cerebral infarction with mcc $39,961 $24,496 $39,961 +0% $35,714 +12% ≈200% of Medicare
482 hip and femur procedures except major joint without cc/mcc $39,743 $24,362 $52,634 −24% $39,675 +0% ≈261% of Medicare
027 craniotomy and endovascular intracranial procedures without cc/mcc $39,702 $24,337 $37,463 +6% $52,332 −24%
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $39,440 $24,176 $27,073 +46% $32,839 +20%
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $39,299 $24,090 $49,829 −21% $38,094 +3%
239 amputation for circulatory system disorders except upper limb and toe with mcc $39,033 $23,927 $57,204 −32% $87,575 −55%
497 local excision and removal of internal fixation devices except hip and femur without cc/mcc $38,896 $23,843 $17,352 +124% $29,805 +30%
769 postpartum and post abortion diagnoses with o.r. procedures $38,857 $23,819 $42,525 −9% $24,561 +58%
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $38,807 $23,788 $54,605 −29% $33,236 +17%
481 hip and femur procedures except major joint with cc $38,768 $23,765 $64,443 −40% $50,998 −24% ≈188% of Medicare
621 o.r. procedures for obesity without cc/mcc $38,764 $23,763 $22,167 +75% $32,451 +19%
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $38,652 $23,694 $61,781 −37% $48,801 −21%
040 peripheral, cranial nerve and other nervous system procedures with mcc $38,573 $23,645 $45,362 −15% $74,257 −48%
353 hernia procedures except inguinal and femoral with mcc $38,438 $23,562 $39,849 −4% $60,140 −36%
026 craniotomy and endovascular intracranial procedures with cc $38,429 $23,557 $40,660 −5% $63,310 −39%
337 peritoneal adhesiolysis without cc/mcc $38,242 $23,442 $46,734 −18% $35,961 +6%
385 inflammatory bowel disease with mcc $37,937 $23,256 $39,158 −3% $25,998 +46%
619 o.r. procedures for obesity with mcc $37,840 $23,196 $37,840 +0% $44,973 −16%
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $37,713 $23,118 $65,814 −43% $54,313 −31%
255 upper limb and toe amputation for circulatory system disorders with mcc $37,676 $23,095 $48,390 −22% $43,697 −14%
098 non-bacterial infection of nervous system except viral meningitis with cc $37,474 $22,971 $34,411 +9% $37,681 −1%
073 cranial and peripheral nerve disorders with mcc $37,436 $22,948 $31,712 +18% $28,252 +33%
620 o.r. procedures for obesity with cc $37,047 $22,710 $23,921 +55% $35,453 +4%
854 infectious and parasitic diseases with o.r. procedures with cc $37,040 $22,705 $69,740 −47% $43,444 −15% ≈193% of Medicare
885 psychoses $36,938 $22,643 $27,090 +36% $21,489 +72%
834 acute leukemia with mcc $36,901 $22,620 $64,108 −42% $76,004 −51%
099 non-bacterial infection of nervous system except viral meningitis without cc/mcc $36,578 $22,422 $27,704 +32% $25,666 +43%
348 anal and stomal procedures with cc $36,019 $22,080 $36,019 +0% $27,947 +29%
070 nonspecific cerebrovascular disorders with mcc $36,017 $22,079 $42,835 −16% $30,814 +17% ≈200% of Medicare
617 amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $35,965 $22,046 $61,503 −42% $42,881 −16%
030 spinal procedures without cc/mcc $35,736 $21,906 $33,907 +5% $45,842 −22%
629 other endocrine, nutritional and metabolic o.r. procedures with cc $35,708 $21,889 $45,954 −22% $44,927 −21%
269 aortic and heart assist procedures except pulsation balloon without mcc $35,635 $21,845 $48,469 −26% $83,065 −57%
327 stomach, esophageal and duodenal procedures with cc $35,588 $21,815 $64,235 −45% $54,681 −35%
100 seizures with mcc $35,430 $21,719 $31,536 +12% $35,194 +1%
478 biopsies of musculoskeletal system and connective tissue with cc $35,235 $21,599 $34,391 +2% $50,139 −30%
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $35,184 $21,568 $41,545 −15% $29,011 +21%
435 malignancy of hepatobiliary system or pancreas with mcc $35,163 $21,555 $25,301 +39% $37,950 −7%
803 other o.r. procedures of the blood and blood forming organs with cc $35,111 $21,523 $35,111 +0% $33,415 +5%
884 organic disturbances and intellectual disability $35,081 $21,505 $43,100 −19% $25,146 +40% ≈201% of Medicare
939 o.r. procedures with diagnoses of other contact with health services with mcc $34,975 $21,440 $37,981 −8% $51,142 −32%
380 complicated peptic ulcer with mcc $34,974 $21,439 $34,745 +1% $36,537 −4%
276 cardiac defibrillator implant with mcc or carotid sinus neurostimulator $34,959 $21,430 $78,984 −56% $117,280 −70%
547 connective tissue disorders without cc/mcc $34,810 $21,338 $21,429 +62% $14,861 +134%
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $34,727 $21,288 $52,603 −34% $33,137 +5%
989 non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $34,719 $21,283 $18,191 +91% $25,206 +38%
181 respiratory neoplasms with cc $34,149 $20,933 $25,877 +32% $22,065 +55%
571 skin debridement with cc $34,071 $20,886 $34,071 +0% $34,773 −2%
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $33,989 $20,835 $30,294 +12% $39,018 −13%
554 bone diseases and arthropathies without mcc $33,982 $20,831 $19,056 +78% $17,579 +93%
593 skin ulcers with cc $33,806 $20,723 $13,902 +143% $20,470 +65%
087 traumatic stupor and coma <1 hour without cc/mcc $33,798 $20,718 $19,928 +70% $15,818 +114%
393 other digestive system diagnoses with mcc $33,732 $20,678 $40,317 −16% $32,689 +3%
334 rectal resection without cc/mcc $33,376 $20,459 $29,048 +15% $32,213 +4%
520 back and neck procedures except spinal fusion without cc/mcc $33,374 $20,458 $27,585 +21% $31,816 +5%
258 cardiac pacemaker device replacement with mcc $33,208 $20,357 $33,208 +0% $48,907 −32%
817 other antepartum diagnoses with o.r. procedures with mcc $33,189 $20,345 $33,189 +0% $36,097 −8%
287 circulatory disorders except ami, with cardiac catheterization without mcc $33,177 $20,338 $35,708 −7% $31,190 +6%
039 extracranial procedures without cc/mcc $33,012 $20,236 $33,012 +0% $25,267 +31%
871 septicemia or severe sepsis without mv >96 hours with mcc $32,918 $20,179 $44,293 −26% $34,876 −6% ≈168% of Medicare
698 other kidney and urinary tract diagnoses with mcc $32,810 $20,113 $42,951 −24% $29,929 +10% ≈203% of Medicare
722 malignancy, male reproductive system with mcc $32,715 $20,054 $24,512 +33% $29,826 +10%
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $32,646 $20,012 $30,023 +9% $34,886 −6%
243 permanent cardiac pacemaker implant with cc $32,579 $19,971 $32,433 +0% $50,011 −35% ≈142% of Medicare
144 other ear, nose, mouth and throat o.r. procedures with cc $32,496 $19,920 $30,553 +6% $29,558 +10%
280 acute myocardial infarction, discharged alive with mcc $32,477 $19,908 $37,363 −13% $28,802 +13% ≈204% of Medicare
743 uterine and adnexa procedures for non-malignancy without cc/mcc $32,410 $19,867 $56,900 −43% $27,369 +18%
067 nonspecific cva and precerebral occlusion without infarction with mcc $32,318 $19,811 $22,077 +46% $24,874 +30%
559 aftercare, musculoskeletal system and connective tissue with mcc $32,259 $19,775 $40,100 −20% $30,681 +5%
283 acute myocardial infarction, expired with mcc $31,909 $19,560 $31,382 +2% $35,108 −9%
093 other disorders of nervous system without cc/mcc $31,639 $19,395 $17,011 +86% $17,522 +81%
500 soft tissue procedures with mcc $31,533 $19,330 $44,088 −28% $57,181 −45%
436 malignancy of hepatobiliary system or pancreas with cc $31,433 $19,268 $24,631 +28% $24,017 +31%
357 other digestive system o.r. procedures with cc $31,426 $19,264 $44,704 −30% $48,682 −35%
833 other antepartum diagnoses without o.r. procedures without cc/mcc $31,389 $19,242 $10,866 +189% $9,063 +246%
494 lower extremity and humerus procedures except hip, foot and femur without cc/mcc $31,372 $19,231 $72,305 −57% $45,916 −32%
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $31,340 $19,211 $29,553 +6% $36,241 −14%
188 pleural effusion without cc/mcc $31,155 $19,098 $26,947 +16% $14,252 +119%
812 red blood cell disorders without mcc $31,140 $19,089 $29,414 +6% $20,408 +53% ≈368% of Medicare
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $31,129 $19,082 $31,129 +0% $47,635 −35%
351 inguinal and femoral hernia procedures with cc $31,075 $19,049 $38,853 −20% $33,790 −8%
350 inguinal and femoral hernia procedures with mcc $31,051 $19,034 $34,586 −10% $45,937 −32%
432 cirrhosis and alcoholic hepatitis with mcc $31,051 $19,034 $52,324 −41% $36,880 −16% ≈165% of Medicare
069 transient ischemia without thrombolytic $31,020 $19,015 $30,890 +0% $20,253 +53% ≈448% of Medicare
579 other skin, subcutaneous tissue and breast procedures with mcc $30,937 $18,964 $45,498 −32% $53,763 −42%
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $30,850 $18,911 $33,894 −9% $22,610 +36% ≈342% of Medicare
264 other circulatory system o.r. procedures $30,762 $18,857 $39,035 −21% $51,953 −41%
921 complications of treatment without cc/mcc $30,664 $18,797 $12,120 +153% $14,012 +119%
061 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc $30,414 $18,644 $34,348 −11% $57,030 −47%
665 prostatectomy with mcc $30,355 $18,607 $49,712 −39% $54,072 −44%
669 transurethral procedures with cc $30,212 $18,520 $30,212 +0% $34,354 −12%
666 prostatectomy with cc $30,102 $18,453 $20,493 +47% $30,016 +0%
438 disorders of pancreas except malignancy with mcc $30,002 $18,391 $30,002 +0% $32,417 −7%
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $29,988 $18,382 $42,293 −29% $36,195 −17%
950 aftercare without cc/mcc $29,950 $18,359 $26,804 +12% $13,527 +121%
221 cardiac valve and other major cardiothoracic procedures without cardiac catheterization without cc/mcc $29,947 $18,358 $62,801 −52% $90,331 −67%
369 major esophageal disorders with cc $29,934 $18,349 $25,965 +15% $22,590 +33%
551 medical back problems with mcc $29,913 $18,337 $29,913 +0% $31,067 −4%
282 acute myocardial infarction, discharged alive without cc/mcc $29,890 $18,323 $25,856 +16% $18,288 +63%
670 transurethral procedures without cc/mcc $29,864 $18,307 $19,544 +53% $20,371 +47%
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $29,858 $18,303 $40,042 −25% $30,275 −1%
643 endocrine disorders with mcc $29,759 $18,242 $34,224 −13% $32,953 −10%
570 skin debridement with mcc $29,726 $18,222 $42,263 −30% $51,501 −42%
371 major gastrointestinal disorders and peritoneal infections with mcc $29,713 $18,214 $27,797 +7% $31,627 −6%
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $29,570 $18,126 $25,498 +16% $35,693 −17%
446 disorders of the biliary tract without cc/mcc $29,387 $18,014 $15,960 +84% $17,700 +66%
445 disorders of the biliary tract with cc $29,375 $18,007 $34,507 −15% $21,666 +36%
199 pneumothorax with mcc $29,368 $18,003 $27,737 +6% $31,085 −6%
564 other musculoskeletal system and connective tissue diagnoses with mcc $29,342 $17,987 $33,662 −13% $32,804 −11%
149 dysequilibrium $29,302 $17,962 $17,710 +65% $17,203 +70%
055 nervous system neoplasms without mcc $29,190 $17,894 $23,639 +23% $19,868 +47%
682 renal failure with mcc $29,164 $17,877 $30,514 −4% $27,640 +6% ≈190% of Medicare
661 kidney and ureter procedures for non-neoplasm without cc/mcc $29,131 $17,857 $29,131 +0% $24,008 +21%
949 aftercare with cc/mcc $29,124 $17,853 $37,070 −21% $23,953 +22%
056 degenerative nervous system disorders with mcc $28,965 $17,756 $51,655 −44% $39,409 −27%
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $28,945 $17,743 $23,920 +21% $23,400 +24%
057 degenerative nervous system disorders without mcc $28,588 $17,525 $37,718 −24% $25,412 +12%
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $28,563 $17,509 $30,973 −8% $27,041 +6% ≈246% of Medicare
092 other disorders of nervous system with cc $28,522 $17,484 $24,617 +16% $24,000 +19%
071 nonspecific cerebrovascular disorders with cc $28,510 $17,477 $28,510 +0% $23,396 +22%
245 aicd generator procedures $28,484 $17,461 $57,760 −51% $72,076 −60%
091 other disorders of nervous system with mcc $28,463 $17,448 $54,667 −48% $35,990 −21% ≈157% of Medicare
540 osteomyelitis with cc $28,445 $17,437 $29,718 −4% $23,494 +21%
660 kidney and ureter procedures for non-neoplasm with cc $28,401 $17,410 $31,264 −9% $29,957 −5% ≈241% of Medicare
444 disorders of the biliary tract with mcc $28,389 $17,403 $28,389 +0% $31,029 −9%
693 urinary stones with mcc $28,349 $17,378 $25,314 +12% $22,525 +26%
035 carotid artery stent procedures with cc $28,296 $17,345 $28,296 +0% $46,306 −39% ≈121% of Medicare
518 back and neck procedures except spinal fusion with mcc or disc device or neurostimulator $28,142 $17,251 $76,747 −63% $64,488 −56%
066 intracranial hemorrhage or cerebral infarction without cc/mcc $28,096 $17,223 $27,644 +2% $19,483 +44% ≈524% of Medicare
186 pleural effusion with mcc $28,088 $17,218 $25,894 +8% $32,385 −13%
184 major chest trauma with cc $28,035 $17,186 $28,035 +0% $20,842 +35%
085 traumatic stupor and coma <1 hour with mcc $27,926 $17,119 $32,587 −14% $36,318 −23%
036 carotid artery stent procedures without cc/mcc $27,901 $17,103 $27,443 +2% $40,694 −31%
306 cardiac congenital and valvular disorders with mcc $27,759 $17,016 $23,999 +16% $24,450 +14%
560 aftercare, musculoskeletal system and connective tissue with cc $27,687 $16,972 $25,581 +8% $24,277 +14%
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $27,675 $16,965 $27,675 +0% $23,646 +17%
261 cardiac pacemaker revision except device replacement with cc $27,519 $16,869 $27,823 −1% $42,126 −35%
180 respiratory neoplasms with mcc $27,517 $16,868 $44,651 −38% $36,658 −25%
358 other digestive system o.r. procedures without cc/mcc $27,515 $16,867 $27,515 +0% $29,374 −6%
175 pulmonary embolism with mcc or acute cor pulmonale $27,204 $16,676 $39,605 −31% $29,521 −8% ≈192% of Medicare
274 percutaneous and other intracardiac procedures without mcc $27,130 $16,631 $30,971 −12% $65,573 −59% ≈83% of Medicare
642 inborn and other disorders of metabolism $27,077 $16,598 $16,306 +66% $20,727 +31%
352 inguinal and femoral hernia procedures without cc/mcc $27,024 $16,566 $45,004 −40% $25,038 +8%
574 skin graft for skin ulcer or cellulitis with cc $26,991 $16,545 $46,191 −42% $48,745 −45%
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $26,901 $16,490 $24,846 +8% $30,930 −13%
549 septic arthritis with cc $26,872 $16,472 $26,872 +0% $20,808 +29%
183 major chest trauma with mcc $26,835 $16,450 $31,295 −14% $28,924 −7%
919 complications of treatment with mcc $26,695 $16,364 $26,862 −1% $29,031 −8%
273 percutaneous and other intracardiac procedures with mcc $26,687 $16,359 $37,242 −28% $78,852 −66%
786 cesarean section without sterilization with mcc $26,559 $16,281 $33,592 −21% $27,118 −2%
505 foot procedures without cc/mcc $26,431 $16,202 $61,167 −57% $31,716 −17%
811 red blood cell disorders with mcc $26,257 $16,096 $30,781 −15% $27,674 −5%
304 hypertension with mcc $26,163 $16,038 $49,998 −48% $23,945 +9%
033 ventricular shunt procedures without cc/mcc $26,102 $16,000 $26,102 +0% $33,962 −23%
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $26,046 $15,966 $32,235 −19% $24,244 +7% ≈198% of Medicare
755 malignancy, female reproductive system with cc $25,928 $15,894 $16,245 +60% $18,459 +40%
101 seizures without mcc $25,796 $15,813 $25,441 +1% $19,930 +29% ≈347% of Medicare
187 pleural effusion with cc $25,632 $15,712 $25,632 +0% $21,467 +19%
296 cardiac arrest, unexplained with mcc $25,480 $15,619 $24,969 +2% $30,768 −17%
862 postoperative and post-traumatic infections with mcc $25,401 $15,571 $27,058 −6% $29,867 −15%
539 osteomyelitis with mcc $25,296 $15,507 $29,736 −15% $33,614 −25%
689 kidney and urinary tract infections with mcc $25,228 $15,465 $38,715 −35% $22,870 +10% ≈231% of Medicare
315 other circulatory system diagnoses with cc $25,153 $15,419 $33,452 −25% $20,716 +21% ≈283% of Medicare
375 digestive malignancy with cc $24,910 $15,270 $31,330 −20% $27,125 −8%
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $24,869 $15,245 $17,245 +44% $17,006 +46%
728 inflammation of the male reproductive system without mcc $24,602 $15,081 $17,966 +37% $16,622 +48%
379 gastrointestinal hemorrhage without cc/mcc $24,558 $15,054 $27,255 −10% $14,134 +74%
813 coagulation disorders $24,529 $15,036 $38,908 −37% $30,128 −19% ≈154% of Medicare
502 soft tissue procedures without cc/mcc $24,521 $15,031 $22,925 +7% $29,777 −18%
088 concussion with mcc $24,355 $14,930 $22,929 +6% $24,402 −0%
941 o.r. procedures with diagnoses of other contact with health services without cc/mcc $24,253 $14,867 $24,253 +0% $29,524 −18%
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $24,206 $14,838 $27,614 −12% $31,913 −24%
124 other disorders of the eye with mcc or thrombolytic agent $24,175 $14,819 $24,175 +0% $21,029 +15%
177 respiratory infections and inflammations with mcc $23,929 $14,669 $43,753 −45% $31,754 −25% ≈143% of Medicare
312 syncope and collapse $23,845 $14,617 $25,349 −6% $19,342 +23% ≈329% of Medicare
699 other kidney and urinary tract diagnoses with cc $23,696 $14,525 $24,471 −3% $20,732 +14% ≈252% of Medicare
787 cesarean section without sterilization with cc $23,519 $14,417 $27,432 −14% $23,571 −0%
974 hiv with major related condition with mcc $23,483 $14,395 $34,912 −33% $46,402 −49%
580 other skin, subcutaneous tissue and breast procedures with cc $23,405 $14,347 $29,661 −21% $36,355 −36%
354 hernia procedures except inguinal and femoral with cc $23,356 $14,317 $64,310 −64% $43,266 −46%
381 complicated peptic ulcer with cc $23,199 $14,221 $23,199 +0% $24,177 −4%
783 cesarean section with sterilization with mcc $23,177 $14,208 $31,052 −25% $28,375 −18%
935 non-extensive burns $23,157 $14,195 $31,701 −27% $29,458 −21%
602 cellulitis with mcc $23,116 $14,170 $43,477 −47% $29,347 −21% ≈156% of Medicare
605 trauma to the skin, subcutaneous tissue and breast without mcc $23,087 $14,152 $26,924 −14% $19,287 +20%
546 connective tissue disorders with cc $22,999 $14,098 $31,730 −28% $24,146 −5%
917 poisoning and toxic effects of drugs with mcc $22,892 $14,033 $26,253 −13% $28,001 −18% ≈146% of Medicare
303 atherosclerosis without mcc $22,885 $14,029 $28,471 −20% $14,927 +53%
054 nervous system neoplasms with mcc $22,830 $13,995 $26,625 −14% $29,049 −21%
805 vaginal delivery without sterilization or d&c with mcc $22,576 $13,839 $16,607 +36% $15,370 +47%
305 hypertension without mcc $22,517 $13,803 $29,441 −24% $16,897 +33% ≈386% of Medicare
806 vaginal delivery without sterilization or d&c with cc $22,470 $13,774 $13,303 +69% $13,090 +72%
068 nonspecific cva and precerebral occlusion without infarction without mcc $22,351 $13,701 $18,493 +21% $19,569 +14%
552 medical back problems without mcc $22,335 $13,691 $22,335 +0% $20,632 +8% ≈316% of Medicare
727 inflammation of the male reproductive system with mcc $22,283 $13,660 $26,358 −15% $25,786 −14%
281 acute myocardial infarction, discharged alive with cc $22,256 $13,643 $40,184 −45% $20,463 +9% ≈281% of Medicare
146 ear, nose, mouth and throat malignancy with mcc $22,203 $13,611 $49,092 −55% $37,080 −40%
011 tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc $22,179 $13,596 $63,396 −65% $86,953 −74%
725 benign prostatic hypertrophy with mcc $22,136 $13,570 $22,136 +0% $19,894 +11%
835 acute leukemia with cc $22,113 $13,555 $30,915 −28% $35,569 −38%
433 cirrhosis and alcoholic hepatitis with cc $22,087 $13,539 $32,872 −33% $23,749 −7%
345 minor small and large bowel procedures with cc $21,999 $13,485 $35,914 −39% $31,062 −29%
388 gastrointestinal obstruction with mcc $21,921 $13,437 $46,331 −53% $28,403 −23% ≈146% of Medicare
378 gastrointestinal hemorrhage with cc $21,846 $13,392 $28,675 −24% $21,886 −0% ≈254% of Medicare
814 reticuloendothelial and immunity disorders with mcc $21,832 $13,383 $21,084 +4% $32,506 −33%
675 other kidney and urinary tract procedures without cc/mcc $21,831 $13,382 $22,670 −4% $32,189 −32%
637 diabetes with mcc $21,737 $13,325 $25,374 −14% $28,772 −24% ≈179% of Medicare
299 peripheral vascular disorders with mcc $21,696 $13,300 $23,241 −7% $25,596 −15% ≈144% of Medicare
864 fever and inflammatory conditions $21,583 $13,230 $21,175 +2% $17,412 +24%
150 epistaxis with mcc $21,480 $13,167 $21,133 +2% $21,133 +2%
123 neurological eye disorders $21,476 $13,165 $17,547 +22% $17,831 +20%
178 respiratory infections and inflammations with cc $21,427 $13,135 $42,864 −50% $22,024 −3% ≈246% of Medicare
842 lymphoma and non-acute leukemia without cc/mcc $21,415 $13,127 $21,415 +0% $17,308 +24%
291 heart failure and shock with mcc $21,374 $13,102 $32,556 −34% $24,932 −14% ≈171% of Medicare
872 septicemia or severe sepsis without mv >96 hours without mcc $21,230 $13,014 $23,912 −11% $22,623 −6% ≈221% of Medicare
386 inflammatory bowel disease with cc $21,185 $12,987 $30,787 −31% $20,917 +1%
903 wound debridements for injuries without cc/mcc $21,000 $12,873 $21,000 +0% $23,588 −11%
788 cesarean section without sterilization without cc/mcc $20,884 $12,802 $25,655 −19% $20,084 +4%
914 traumatic injury without mcc $20,855 $12,784 $22,335 −7% $15,586 +34%
244 permanent cardiac pacemaker implant without cc/mcc $20,837 $12,773 $23,727 −12% $40,063 −48%
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $20,831 $12,769 $26,858 −22% $17,322 +20% ≈323% of Medicare
784 cesarean section with sterilization with cc $20,777 $12,736 $34,308 −39% $22,587 −8%
204 respiratory signs and symptoms $20,679 $12,676 $24,479 −16% $16,804 +23%
200 pneumothorax with cc $20,643 $12,654 $20,643 +0% $20,573 +0%
807 vaginal delivery without sterilization or d&c without cc/mcc $20,641 $12,653 $12,776 +62% $11,957 +73%
758 infections, female reproductive system with cc $20,621 $12,641 $25,107 −18% $19,091 +8%
598 malignant breast disorders with cc $20,618 $12,639 $16,084 +28% $19,073 +8%
176 pulmonary embolism without mcc $20,608 $12,633 $29,267 −30% $17,693 +16%
314 other circulatory system diagnoses with mcc $20,583 $12,617 $31,747 −35% $38,166 −46% ≈94% of Medicare
607 minor skin disorders without mcc $20,561 $12,604 $17,880 +15% $15,276 +35%
256 upper limb and toe amputation for circulatory system disorders with cc $20,399 $12,505 $41,335 −51% $29,671 −31%
694 urinary stones without mcc $20,317 $12,454 $27,794 −27% $16,451 +23%
537 sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc $20,309 $12,449 $18,072 +12% $16,352 +24%
300 peripheral vascular disorders with cc $20,186 $12,374 $28,060 −28% $19,448 +4%
998 principal diagnosis invalid as discharge diagnosis $20,180 $12,370 $20,180 +0% $15,594 +29%
714 transurethral prostatectomy without cc/mcc $20,085 $12,312 $13,994 +44% $17,108 +17%
189 pulmonary edema and respiratory failure $19,968 $12,240 $28,584 −30% $24,603 −19% ≈174% of Medicare
915 allergic reactions with mcc $19,802 $12,139 $29,587 −33% $30,944 −36%
695 kidney and urinary tract signs and symptoms with mcc $19,734 $12,097 $19,734 +0% $20,741 −5%
192 chronic obstructive pulmonary disease without cc/mcc $19,694 $12,073 $17,531 +12% $14,368 +37%
313 chest pain $19,674 $12,060 $19,674 +0% $15,837 +24%
201 pneumothorax without cc/mcc $19,671 $12,058 $10,073 +95% $13,081 +50%
818 other antepartum diagnoses with o.r. procedures with cc $19,669 $12,057 $19,790 −1% $23,646 −17%
102 headaches with mcc $19,639 $12,039 $18,941 +4% $21,983 −11%
074 cranial and peripheral nerve disorders without mcc $19,433 $11,912 $26,671 −27% $23,141 −16%
193 simple pneumonia and pleurisy with mcc $19,366 $11,871 $42,185 −54% $25,766 −25% ≈154% of Medicare
858 postoperative or post-traumatic infections with o.r. procedures without cc/mcc $19,342 $11,856 $21,246 −9% $23,474 −18%
948 signs and symptoms without mcc $19,314 $11,839 $21,003 −8% $17,719 +9% ≈271% of Medicare
202 bronchitis and asthma with cc/mcc $19,286 $11,822 $27,454 −30% $17,183 +12%
718 other male reproductive system o.r. procedures except malignancy without cc/mcc $19,270 $11,813 $17,657 +9% $20,147 −4%
308 cardiac arrhythmia and conduction disorders with mcc $19,195 $11,766 $30,984 −38% $26,098 −26% ≈168% of Medicare
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $19,159 $11,744 $15,547 +23% $18,316 +5%
198 interstitial lung disease without cc/mcc $18,962 $11,624 $18,962 +0% $13,654 +39%
785 cesarean section with sterilization without cc/mcc $18,804 $11,527 $29,836 −37% $19,815 −5%
644 endocrine disorders with cc $18,788 $11,517 $38,114 −51% $22,941 −18%
535 fractures of hip and pelvis with mcc $18,485 $11,331 $19,470 −5% $22,874 −19%
557 tendonitis, myositis and bursitis with mcc $18,401 $11,280 $42,789 −57% $28,385 −35%
194 simple pneumonia and pleurisy with cc $18,338 $11,241 $32,279 −43% $18,204 +1% ≈263% of Medicare
687 kidney and urinary tract neoplasms with cc $18,206 $11,160 $19,806 −8% $18,000 +1%
868 other infectious and parasitic diseases diagnoses with cc $18,113 $11,103 $18,383 −1% $22,231 −19%
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $17,906 $10,976 $28,871 −38% $18,243 −2%
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $17,867 $10,952 $22,047 −19% $33,424 −47%
394 other digestive system diagnoses with cc $17,573 $10,772 $18,937 −7% $18,815 −7% ≈259% of Medicare
815 reticuloendothelial and immunity disorders with cc $17,544 $10,754 $17,544 +0% $18,005 −3%
920 complications of treatment with cc $17,359 $10,641 $27,148 −36% $20,879 −17%
205 other respiratory system diagnoses with mcc $17,220 $10,556 $24,408 −29% $31,743 −46%
389 gastrointestinal obstruction with cc $16,839 $10,322 $21,964 −23% $17,345 −3% ≈259% of Medicare
690 kidney and urinary tract infections without mcc $16,792 $10,293 $28,774 −42% $17,379 −3% ≈255% of Medicare
289 acute and subacute endocarditis with cc $16,754 $10,270 $23,658 −29% $29,891 −44%
390 gastrointestinal obstruction without cc/mcc $16,626 $10,192 $21,266 −22% $13,318 +25%
103 headaches without mcc $16,533 $10,135 $23,348 −29% $20,076 −18%
190 chronic obstructive pulmonary disease with mcc $16,488 $10,107 $36,851 −55% $24,103 −32% ≈150% of Medicare
603 cellulitis without mcc $16,463 $10,092 $27,323 −40% $18,359 −10% ≈223% of Medicare
355 hernia procedures except inguinal and femoral without cc/mcc $16,162 $9,907 $49,766 −68% $31,978 −49%
638 diabetes with cc $16,126 $9,886 $24,216 −33% $18,763 −14% ≈221% of Medicare
536 fractures of hip and pelvis without mcc $16,066 $9,848 $26,634 −40% $17,754 −10%
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $15,998 $9,807 $23,674 −32% $15,923 +0%
395 other digestive system diagnoses without cc/mcc $15,954 $9,780 $20,932 −24% $14,128 +13%
372 major gastrointestinal disorders and peritoneal infections with cc $15,949 $9,777 $16,553 −4% $22,850 −30%
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $15,516 $9,511 $20,569 −25% $16,776 −8%
832 other antepartum diagnoses without o.r. procedures with cc $15,297 $9,377 $10,768 +42% $12,895 +19%
440 disorders of pancreas except malignancy without cc/mcc $15,199 $9,317 $24,968 −39% $14,770 +3%
754 malignancy, female reproductive system with mcc $15,154 $9,289 $23,788 −36% $29,476 −49%
947 signs and symptoms with mcc $15,118 $9,267 $48,840 −69% $25,474 −41%
439 disorders of pancreas except malignancy with cc $15,041 $9,220 $30,263 −50% $19,096 −21%
865 viral illness with mcc $14,928 $9,151 $27,684 −46% $26,088 −43%
918 poisoning and toxic effects of drugs without mcc $14,920 $9,146 $18,669 −20% $15,045 −1%
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $14,886 $9,125 $36,068 −59% $22,010 −32%
148 ear, nose, mouth and throat malignancy without cc/mcc $14,881 $9,122 $13,586 +10% $13,586 +10%
387 inflammatory bowel disease without cc/mcc $14,881 $9,122 $16,683 −11% $14,880 +0%
416 cholecystectomy except by laparoscope without c.d.e. without cc/mcc $14,738 $9,034 $20,978 −30% $30,418 −52%
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $14,730 $9,029 $26,241 −44% $21,449 −31%
866 viral illness without mcc $14,557 $8,924 $23,059 −37% $16,348 −11%
797 vaginal delivery with sterilization and/or d&c with cc $14,400 $8,827 $14,001 +3% $19,001 −24%
770 abortion with d&c, aspiration curettage or hysterotomy $14,299 $8,765 $17,159 −17% $17,719 −19%
191 chronic obstructive pulmonary disease with cc $14,180 $8,692 $33,618 −58% $18,104 −22%
683 renal failure with cc $13,914 $8,529 $20,344 −32% $18,322 −24% ≈170% of Medicare
285 acute myocardial infarction, expired without cc/mcc $13,609 $8,342 $7,575 +80% $10,039 +36%
894 alcohol, drug abuse or dependence, left ama $13,471 $8,258 $13,471 +0% $12,013 +12%
182 respiratory neoplasms without cc/mcc $13,406 $8,218 $13,406 +0% $14,064 −5%
831 other antepartum diagnoses without o.r. procedures with mcc $13,193 $8,087 $18,133 −27% $18,133 −27%
084 traumatic stupor and coma >1 hour without cc/mcc $12,790 $7,840 $8,789 +46% $18,060 −29%
863 postoperative and post-traumatic infections without mcc $12,733 $7,806 $17,318 −26% $20,007 −36%
185 major chest trauma without cc/mcc $12,716 $7,795 $22,795 −44% $15,858 −20%
153 otitis media and uri without mcc $12,490 $7,657 $19,529 −36% $14,251 −12%
790 extreme immaturity or respiratory distress syndrome, neonate $12,385 $7,592 $45,845 −73% $80,018 −85%
309 cardiac arrhythmia and conduction disorders with cc $12,295 $7,537 $17,781 −31% $16,645 −26% ≈195% of Medicare
086 traumatic stupor and coma <1 hour with cc $12,213 $7,487 $16,402 −26% $23,039 −47%
534 fractures of femur without mcc $12,056 $7,390 $12,907 −7% $17,194 −30%
601 non-malignant breast disorders without cc/mcc $11,884 $7,285 $10,975 +8% $10,975 +8%
443 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc $11,845 $7,261 $22,219 −47% $15,600 −24%
206 other respiratory system diagnoses without mcc $11,800 $7,233 $21,596 −45% $17,731 −33%
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $11,705 $7,175 $23,527 −50% $16,718 −30% ≈184% of Medicare
558 tendonitis, myositis and bursitis without mcc $11,658 $7,146 $21,451 −46% $17,296 −33%
916 allergic reactions without mcc $11,570 $7,092 $14,241 −19% $13,890 −17%
565 other musculoskeletal system and connective tissue diagnoses with cc $11,402 $6,989 $36,190 −68% $21,499 −47%
700 other kidney and urinary tract diagnoses without cc/mcc $11,356 $6,961 $11,356 +0% $13,303 −15%
686 kidney and urinary tract neoplasms with mcc $11,356 $6,961 $27,668 −59% $32,976 −66%
316 other circulatory system diagnoses without cc/mcc $11,314 $6,935 $21,964 −48% $12,794 −12%
880 acute adjustment reaction and psychosocial dysfunction $10,895 $6,679 $10,145 +7% $15,636 −30%
195 simple pneumonia and pleurisy without cc/mcc $10,852 $6,652 $16,930 −36% $13,747 −21%
083 traumatic stupor and coma >1 hour with cc $10,832 $6,640 $21,240 −49% $24,118 −55%
696 kidney and urinary tract signs and symptoms without mcc $10,816 $6,630 $15,290 −29% $14,210 −24%
779 abortion without d&c $10,673 $6,543 $15,715 −32% $15,327 −30%
776 postpartum and post abortion diagnoses without o.r. procedures $10,491 $6,431 $12,454 −16% $12,205 −14%
684 renal failure without cc/mcc $10,309 $6,319 $13,542 −24% $13,455 −23%
639 diabetes without cc/mcc $9,853 $6,040 $19,580 −50% $13,910 −29%
145 other ear, nose, mouth and throat o.r. procedures without cc/mcc $9,661 $5,922 $18,572 −48% $20,837 −54%
301 peripheral vascular disorders without cc/mcc $9,628 $5,902 $12,453 −23% $15,598 −38%
346 minor small and large bowel procedures without cc/mcc $9,454 $5,795 $17,604 −46% $26,146 −64%
179 respiratory infections and inflammations without cc/mcc $9,349 $5,731 $14,990 −38% $14,411 −35%
310 cardiac arrhythmia and conduction disorders without cc/mcc $9,335 $5,722 $21,109 −56% $13,384 −30% ≈250% of Medicare
600 non-malignant breast disorders with cc/mcc $8,677 $5,319 $14,733 −41% $16,418 −47%
293 heart failure and shock without cc/mcc $8,499 $5,210 $24,640 −66% $11,826 −28%
791 prematurity with major problems $8,104 $4,968 $15,379 −47% $39,254 −79%
292 heart failure and shock with cc $7,294 $4,471 $27,604 −74% $15,878 −54%
151 epistaxis without mcc $7,224 $4,428 $7,098 +2% $13,032 −45%
723 malignancy, male reproductive system with cc $6,719 $4,119 $12,507 −46% $19,317 −65%
793 full term neonate with major problems $5,830 $3,574 $14,351 −59% $16,708 −65%
792 prematurity without major problems $4,431 $2,716 $6,687 −34% $11,633 −62%
284 acute myocardial infarction, expired with cc $4,103 $2,515 $5,159 −20% $13,278 −69%
789 neonates, died or transferred to another acute care facility $3,611 $2,214 $7,590 −52% $14,121 −74%
794 neonate with other significant problems $3,565 $2,185 $5,589 −36% $7,896 −55%
795 normal newborn $3,114 $1,909 $4,569 −32% $4,521 −31%