Johnson City Medical Center — Pricing

690 procedures published in this hospital's Machine-Readable File (MRF) — 689 with a comparable price, 1 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 690
Lowest published price $1,780
Average published price $112,051
Highest published price $1,196,796

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 690 procedures

Published charges

Showing all 689 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 110 procedures, this hospital's negotiated rates average ≈164% of what Medicare pays.

DRG Description Published price Cash price vs. TN median vs. National median vs Medicare
589 NEONATE BIRTH WEIGHT < 500G, OR BIRTH WEIGHT 500-999G AND GESTATIONAL AGE <24 WKS, OR BIRTH WEIGHT 500-749G WI $1,196,796 $179,519 $1,196,796 — $1,447,596 −17% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $1,139,865 $170,980 $73,030 +1461% $82,527 +1281% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,004,125 $150,619 $358,109 +180% $431,073 +133% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $928,165 $139,225 $133,515 +595% $191,314 +385% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $855,263 $128,289 $84,684 +910% $103,861 +723% —
609 NEONATE BIRTH WEIGHT 1500-2499G WITH MAJOR PROCEDURE $777,696 $116,654 $777,696 — $1,256,233 −38% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DE $633,001 $94,950 $200,967 +215% $114,914 +451% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $615,069 $92,260 $37,840 +1525% $44,973 +1268% —
950 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS $583,557 $87,534 $26,804 +2077% $13,527 +4214% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $548,191 $82,229 $186,275 +194% $175,437 +212% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $542,114 $81,317 $102,814 +427% $143,242 +278% —
591 NEONATE BIRTH WEIGHT 500-749G WITHOUT MAJOR PROCEDURE $531,163 $79,674 $531,163 — $1,159,755 −54% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $527,676 $79,151 $293,456 +80% $75,251 +601% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROC $520,468 $78,070 $240,349 +117% $371,366 +40% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $514,418 $77,163 $256,471 +101% $171,338 +200% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $510,887 $76,633 $71,243 +617% $94,927 +438% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $501,512 $75,227 $116,340 +331% $81,998 +512% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $497,588 $74,638 $193,242 +157% $121,714 +309% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $477,760 $71,664 $67,609 +607% $69,101 +591% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $458,472 $68,771 $73,103 +527% $78,582 +483% —
471 CERVICAL SPINAL FUSION WITH MCC $457,166 $68,575 $88,694 +415% $92,515 +394% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $455,022 $68,253 $112,707 +304% $75,492 +503% —
028 SPINAL PROCEDURES WITH MCC $434,513 $65,177 $117,425 +270% $95,858 +353% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $434,315 $65,147 $35,111 +1137% $33,564 +1194% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $432,746 $64,912 $89,636 +383% $131,961 +228% —
231 CORONARY BYPASS WITH PTCA WITH MCC $425,439 $63,816 $119,083 +257% $146,474 +190% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $420,607 $63,091 $78,984 +433% $117,280 +259% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $415,638 $62,346 $96,337 +331% $151,029 +175% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $411,889 $61,783 $58,201 +608% $105,612 +290% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $411,110 $61,667 $178,331 +131% $54,320 +657% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $402,188 $60,328 $108,721 +270% $120,587 +234% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $402,084 $60,313 $103,817 +287% $138,868 +190% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $385,490 $57,823 $88,103 +338% $113,855 +239% ≈221% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $376,787 $56,518 $87,632 +330% $96,192 +292% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $372,958 $55,944 $52,805 +606% $75,103 +397% ≈251% of Medicare
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $368,548 $55,282 $168,877 +118% $105,899 +248% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $364,367 $54,655 $7,590 +4700% $14,284 +2451% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $357,003 $53,550 $94,317 +279% $93,783 +281% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $351,197 $52,680 $64,248 +447% $92,217 +281% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $341,562 $51,234 $25,302 +1250% $37,654 +807% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE $320,785 $48,118 $161,832 +98% $245,241 +31% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $317,922 $47,688 $48,891 +550% $62,961 +405% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $314,065 $47,110 $35,990 +773% $39,657 +692% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $310,893 $46,634 $67,258 +362% $92,238 +237% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $307,728 $46,159 $82,017 +275% $99,423 +210% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $307,020 $46,053 $125,997 +144% $118,589 +159% —
834 ACUTE LEUKEMIA WITH MCC $303,727 $45,559 $64,108 +374% $76,583 +297% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $298,045 $44,707 $79,247 +276% $112,062 +166% ≈179% of Medicare
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $296,151 $44,423 $58,773 +404% $80,747 +267% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $293,261 $43,989 $53,307 +450% $55,097 +432% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $289,450 $43,418 $100,112 +189% $65,216 +344% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $288,220 $43,233 $74,257 +288% $91,329 +216% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $285,763 $42,864 $71,776 +298% $102,177 +180% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $278,284 $41,743 $142,388 +95% $50,815 +448% ≈274% of Medicare
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $270,228 $40,534 $48,469 +458% $83,065 +225% ≈180% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $269,688 $40,453 $32,168 +738% $44,053 +512% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $267,973 $40,196 $53,660 +399% $64,152 +318% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $265,513 $39,827 $122,307 +117% $106,238 +150% —
613 NEONATE BIRTH WEIGHT 1500-1999G WITH CONGENITAL/PERINATAL INFECTION $261,431 $39,215 $261,431 — $245,258 +7% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $255,950 $38,393 $61,483 +316% $47,546 +438% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $255,605 $38,341 $76,944 +232% $71,701 +256% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $253,748 $38,062 $107,454 +136% $87,018 +192% ≈197% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $253,034 $37,955 $74,725 +239% $59,425 +326% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $252,170 $37,826 $94,614 +167% $88,050 +186% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $248,326 $37,249 $54,862 +353% $57,521 +332% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $246,041 $36,906 $46,680 +427% $72,011 +242% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $245,648 $36,847 $72,075 +241% $102,573 +139% ≈177% of Medicare
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $243,749 $36,562 $62,801 +288% $90,331 +170% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $240,124 $36,019 $144,853 +66% $116,058 +107% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $239,714 $35,957 $63,356 +278% $88,307 +171% ≈208% of Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $238,257 $35,739 $75,425 +216% $88,341 +170% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT $236,866 $35,530 $76,970 +208% $106,778 +122% ≈199% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $236,509 $35,476 $45,802 +416% $59,537 +297% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $236,243 $35,436 $27,369 +763% $35,459 +566% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $233,143 $34,971 $34,761 +571% $34,089 +584% —
113 ORBITAL PROCEDURES WITH CC/MCC $232,477 $34,872 $23,961 +870% $35,642 +552% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $232,278 $34,842 $45,845 +407% $80,018 +190% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $232,277 $34,842 $84,861 +174% $84,861 +174% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $226,326 $33,949 $47,594 +376% $66,853 +239% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $225,685 $33,853 $49,285 +358% $70,540 +220% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $222,411 $33,362 $59,078 +276% $49,710 +347% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $220,520 $33,078 $74,482 +196% $96,905 +128% ≈193% of Medicare
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $219,531 $32,930 $19,734 +1012% $20,741 +958% —
171 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK $216,735 $32,510 $216,735 — $82,174 +164% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $216,350 $32,453 $58,459 +270% $62,269 +247% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $216,199 $32,430 $62,021 +249% $82,561 +162% —
799 SPLENIC PROCEDURES WITH MCC $213,400 $32,010 $68,692 +211% $78,821 +171% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $213,067 $31,960 $41,488 +414% $60,861 +250% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $212,040 $31,806 $63,396 +234% $86,953 +144% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $211,734 $31,760 $87,201 +143% $86,390 +145% ≈197% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $210,174 $31,526 $38,473 +446% $50,624 +315% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $210,159 $31,524 $38,454 +447% $43,491 +383% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $203,252 $30,488 $40,289 +404% $49,055 +314% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $202,375 $30,356 $76,747 +164% $64,776 +212% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $202,295 $30,344 $30,971 +553% $65,573 +209% ≈135% of Medicare
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $201,893 $30,284 $37,242 +442% $78,852 +156% —
044 INTRACRANIAL HEMORRHAGE $201,770 $30,265 $201,770 — $85,065 +137% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $201,441 $30,216 $56,565 +256% $82,247 +145% ≈208% of Medicare
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $201,416 $30,212 $161,432 +25% $138,008 +46% ≈262% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $199,724 $29,959 $105,341 +90% $68,880 +190% ≈194% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $198,751 $29,813 $61,336 +224% $48,094 +313% —
503 FOOT PROCEDURES WITH MCC $198,488 $29,773 $61,361 +223% $43,901 +352% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $195,897 $29,385 $85,428 +129% $96,222 +104% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $195,606 $29,341 $53,806 +264% $65,325 +199% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $195,533 $29,330 $45,498 +330% $54,129 +261% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $194,772 $29,216 $47,128 +313% $41,520 +369% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $192,646 $28,897 $31,079 +520% $34,900 +452% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $187,676 $28,151 $42,739 +339% $47,583 +294% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $185,577 $27,837 $43,787 +324% $70,132 +165% ≈182% of Medicare
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $185,094 $27,764 $115,471 +60% $63,984 +189% ≈195% of Medicare
650 SPLENECTOMY $184,907 $27,736 $123,949 +49% $71,551 +158% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $183,391 $27,509 $38,560 +376% $25,390 +622% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $182,991 $27,449 $72,938 +151% $72,908 +151% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $178,319 $26,748 $56,446 +216% $57,277 +211% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $178,147 $26,722 $79,348 +125% $57,855 +208% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $176,285 $26,443 $36,791 +379% $41,703 +323% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $175,688 $26,353 $43,149 +307% $44,553 +294% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $175,684 $26,353 $30,003 +486% $46,066 +281% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $174,936 $26,240 $77,850 +125% $76,954 +127% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $174,679 $26,202 $128,705 +36% $98,912 +77% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $174,412 $26,162 $45,790 +281% $74,755 +133% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $172,652 $25,898 $79,847 +116% $71,014 +143% ≈229% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $171,421 $25,713 $44,971 +281% $45,622 +276% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $170,883 $25,632 $45,362 +277% $74,257 +130% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $169,795 $25,469 $57,204 +197% $87,565 +94% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $169,181 $25,377 $37,463 +352% $52,332 +223% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $167,683 $25,152 $137,121 +22% $88,049 +90% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $165,744 $24,862 $60,383 +174% $68,847 +141% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $164,475 $24,671 $34,348 +379% $57,963 +184% —
551 MEDICAL BACK PROBLEMS WITH MCC $162,483 $24,372 $29,913 +443% $31,086 +423% ≈197% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $162,040 $24,306 $61,503 +163% $42,881 +278% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $160,349 $24,052 $38,709 +314% $48,358 +232% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $159,945 $23,992 $88,410 +81% $71,755 +123% —
164 MAJOR CHEST PROCEDURES WITH CC $159,528 $23,929 $51,761 +208% $53,141 +200% ≈217% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $158,246 $23,737 $104,470 +51% $66,819 +137% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $157,921 $23,688 $65,814 +140% $54,313 +191% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $157,850 $23,677 $64,235 +146% $54,824 +188% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $157,237 $23,586 $34,411 +357% $37,902 +315% —
120 MAJOR RESPIRATORY AND CHEST PROCEDURES $156,509 $23,476 $156,509 — $71,194 +120% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $155,664 $23,350 $56,937 +173% $38,420 +305% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $154,126 $23,119 $45,114 +242% $56,394 +173% ≈203% of Medicare
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $154,006 $23,101 $119,555 +29% $65,254 +136% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $153,513 $23,027 $26,102 +488% $33,984 +352% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $153,459 $23,019 $32,734 +369% $34,434 +346% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $153,094 $22,964 $23,997 +538% $44,363 +245% —
500 SOFT TISSUE PROCEDURES WITH MCC $152,464 $22,870 $44,088 +246% $57,479 +165% —
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS $151,526 $22,729 $151,526 — $50,048 +203% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $151,410 $22,711 $92,635 +63% $68,006 +123% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $151,359 $22,704 $47,626 +218% $44,989 +236% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $150,796 $22,619 $37,011 +307% $43,538 +246% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $150,587 $22,588 $45,724 +229% $61,832 +144% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $148,008 $22,201 $56,456 +162% $73,029 +103% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $147,895 $22,184 $64,565 +129% $72,859 +103% —
501 SOFT TISSUE PROCEDURES WITH CC $146,541 $21,981 $60,321 +143% $37,975 +286% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $146,506 $21,976 $45,954 +219% $45,059 +225% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $146,194 $21,929 $33,237 +340% $36,080 +305% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $145,390 $21,809 $30,002 +385% $32,502 +347% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $145,282 $21,792 $30,294 +380% $39,018 +272% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $144,875 $21,731 $61,304 +136% $72,782 +99% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $143,558 $21,534 $108,590 +32% $74,274 +93% ≈201% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $143,390 $21,509 $49,766 +188% $31,978 +348% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $142,931 $21,440 $73,858 +94% $62,524 +129% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $140,279 $21,042 $42,293 +232% $36,334 +286% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $138,902 $20,835 $31,382 +343% $35,014 +297% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $135,318 $20,298 $49,579 +173% $53,817 +151% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $135,162 $20,274 $69,740 +94% $43,524 +211% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $135,087 $20,263 $28,993 +366% $35,139 +284% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $134,437 $20,166 $42,825 +214% $54,196 +148% —
791 PREMATURITY WITH MAJOR PROBLEMS $134,386 $20,158 $15,379 +774% $39,563 +240% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $133,222 $19,983 $40,660 +228% $63,475 +110% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $133,196 $19,979 $71,381 +87% $54,929 +142% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $132,104 $19,816 $114,261 +16% $67,764 +95% ≈206% of Medicare
710 INFECTIONS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE $132,010 $19,801 $45,633 +189% $23,814 +454% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $131,637 $19,746 $33,129 +297% $33,607 +292% —
397 APPENDIX PROCEDURES WITH MCC $131,333 $19,700 $85,364 +54% $52,319 +151% —
800 SPLENIC PROCEDURES WITH CC $131,171 $19,676 $33,970 +286% $49,184 +167% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $131,020 $19,653 $51,655 +154% $39,409 +232% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $130,989 $19,648 $49,092 +167% $37,080 +253% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $130,331 $19,550 $33,662 +287% $32,936 +296% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $130,317 $19,547 $24,253 +437% $29,524 +341% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $127,822 $19,173 $41,335 +209% $29,729 +330% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $127,333 $19,100 $48,340 +163% $62,821 +103% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $127,039 $19,056 $39,035 +225% $51,953 +145% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $126,706 $19,006 $75,583 +68% $52,313 +142% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $126,662 $18,999 $46,191 +174% $49,065 +158% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $125,940 $18,891 $21,338 +490% $36,850 +242% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $125,886 $18,883 $80,468 +56% $57,149 +120% —
334 RECTAL RESECTION WITHOUT CC/MCC $124,552 $18,683 $29,048 +329% $32,213 +287% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $123,464 $18,520 $64,443 +92% $51,172 +141% ≈192% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $122,702 $18,405 $49,347 +149% $32,538 +277% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $121,907 $18,286 $35,724 +241% $43,775 +178% ≈211% of Medicare
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $119,995 $17,999 $15,901 +655% $15,901 +655% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $119,775 $17,966 $57,662 +108% $65,383 +83% —
813 COAGULATION DISORDERS $119,492 $17,924 $38,908 +207% $30,128 +297% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $118,652 $17,798 $23,602 +403% $34,906 +240% —
711 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE $117,960 $17,694 $32,917 +258% $34,852 +238% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $115,655 $17,348 $64,714 +79% $72,945 +59% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $115,148 $17,272 $27,614 +317% $32,399 +255% ≈158% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $114,315 $17,147 $28,296 +304% $46,430 +146% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $113,524 $17,029 $32,433 +250% $50,011 +127% ≈174% of Medicare
912 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $113,125 $16,969 $113,125 — $88,781 +27% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $111,517 $16,728 $39,605 +182% $29,757 +275% ≈173% of Medicare
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $111,065 $16,660 $138,630 −20% $59,207 +88% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $110,652 $16,598 $34,391 +222% $50,139 +121% ≈171% of Medicare
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $110,628 $16,594 $51,793 +114% $45,817 +141% ≈192% of Medicare
030 SPINAL PROCEDURES WITHOUT CC/MCC $110,429 $16,564 $33,907 +226% $45,818 +141% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $110,424 $16,564 $25,498 +333% $35,542 +211% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $110,216 $16,532 $33,619 +228% $58,043 +90% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $108,747 $16,312 $30,459 +257% $38,878 +180% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $108,321 $16,248 $92,918 +17% $88,691 +22% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $107,444 $16,117 $50,449 +113% $40,563 +165% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $107,142 $16,071 $27,515 +289% $29,374 +265% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $107,093 $16,064 $20,875 +413% $24,980 +329% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $107,007 $16,051 $31,535 +239% $45,432 +136% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $106,973 $16,046 $27,149 +294% $43,586 +145% —
073 ORBIT AND EYE PROCEDURES $106,602 $15,990 $31,712 +236% $28,252 +277% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $106,540 $15,981 $33,592 +217% $27,118 +293% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $105,853 $15,878 $31,129 +240% $48,680 +117% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $105,577 $15,837 $35,650 +196% $35,692 +196% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $105,439 $15,816 $44,293 +138% $35,237 +199% ≈170% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $104,944 $15,742 $60,182 +74% $56,519 +86% ≈185% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $104,033 $15,605 $79,992 +30% $51,985 +100% —
253 OTHER VASCULAR PROCEDURES WITH CC $103,990 $15,598 $36,329 +186% $53,746 +93% ≈177% of Medicare
571 SKIN DEBRIDEMENT WITH CC $103,879 $15,582 $34,071 +205% $34,901 +198% —
336 PERITONEAL ADHESIOLYSIS WITH CC $102,986 $15,448 $75,525 +36% $49,470 +108% —
223 OTHER SMALL AND LARGE BOWEL PROCEDURES $102,834 $15,425 $81,020 — $59,206 +74% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $102,322 $15,348 $42,903 +138% $41,380 +147% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $102,081 $15,312 $27,443 +272% $40,694 +151% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $101,656 $15,248 $61,781 +65% $49,197 +107% ≈183% of Medicare
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $101,643 $15,246 $23,241 +337% $25,731 +295% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $101,585 $15,238 $50,533 +101% $42,119 +141% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $101,250 $15,188 $32,829 +208% $39,253 +158% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $100,818 $15,123 $77,741 +30% $54,772 +84% ≈188% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $99,971 $14,996 $111,391 −10% $58,832 +70% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $99,715 $14,957 $45,570 +119% $53,555 +86% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $99,699 $14,955 $85,751 +16% $51,339 +94% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $99,427 $14,914 $49,377 +101% $28,527 +249% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $99,410 $14,912 $47,631 +109% $28,634 +247% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $99,308 $14,896 $52,634 +89% $39,747 +150% —
919 COMPLICATIONS OF TREATMENT WITH MCC $98,809 $14,821 $26,862 +268% $29,031 +240% —
134 PULMONARY EMBOLISM $98,794 $14,819 $61,247 — $23,289 +324% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $98,785 $14,818 $59,684 +66% $55,162 +79% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $98,558 $14,784 $49,227 +100% $44,600 +121% ≈177% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $98,508 $14,776 $21,246 +364% $23,924 +312% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $98,471 $14,771 $36,779 +168% $36,237 +172% ≈218% of Medicare
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $98,439 $14,766 $26,794 +267% $36,597 +169% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $97,972 $14,696 $37,718 +160% $25,426 +285% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $97,956 $14,693 $36,397 +169% $31,059 +215% —
180 RESPIRATORY NEOPLASMS WITH MCC $97,924 $14,689 $44,651 +119% $36,658 +167% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $97,406 $14,611 $52,603 +85% $33,137 +194% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $97,252 $14,588 $19,599 +396% $27,548 +253% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $97,161 $14,574 $68,514 +42% $64,956 +50% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $97,106 $14,566 $72,305 +34% $45,963 +111% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $96,882 $14,532 $98,140 −1% $68,399 +42% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $96,501 $14,475 $23,809 +305% $19,686 +390% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $96,296 $14,444 $31,730 +203% $24,202 +298% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $95,995 $14,399 $50,743 +89% $49,631 +93% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $95,953 $14,393 $52,820 +82% $54,475 +76% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $95,952 $14,393 $91,895 +4% $43,398 +121% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $95,109 $14,266 $19,810 +380% $27,492 +246% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $94,546 $14,182 $44,704 +111% $48,682 +94% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $93,901 $14,085 $25,301 +271% $37,950 +147% ≈163% of Medicare
252 OTHER VASCULAR PROCEDURES WITH MCC $93,642 $14,046 $39,884 +135% $68,508 +37% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $92,994 $13,949 $27,823 +234% $42,126 +121% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $92,974 $13,946 $78,010 +19% $67,901 +37% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $92,771 $13,916 $39,961 +132% $35,714 +160% ≈185% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $92,684 $13,903 $61,167 +52% $31,716 +192% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $92,569 $13,885 $59,287 +56% $38,382 +141% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $92,566 $13,885 $43,753 +112% $31,840 +191% ≈187% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $92,440 $13,866 $72,374 +28% $52,405 +76% ≈188% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $92,402 $13,860 $26,671 +246% $23,141 +299% —
169 MAJOR ABDOMINAL VASCULAR PROCEDURES $92,073 $13,811 $114,584 — $128,246 −28% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $92,006 $13,801 $25,107 +266% $19,091 +382% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $91,896 $13,784 $23,921 +284% $35,453 +159% —
611 NEONATE BIRTH WEIGHT 1500-1999G WITH MAJOR ANOMALY $90,794 $13,619 $90,794 — $124,961 −27% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $90,784 $13,618 $22,047 +312% $33,424 +172% —
181 RESPIRATORY NEOPLASMS WITH CC $90,632 $13,595 $25,877 +250% $22,431 +304% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $90,502 $13,575 $30,973 +192% $27,244 +232% ≈137% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $90,110 $13,516 $26,358 +242% $25,786 +249% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $90,027 $13,504 $30,949 +191% $29,050 +210% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $89,466 $13,420 $19,470 +360% $23,350 +283% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $89,012 $13,352 $23,912 +272% $22,781 +291% ≈176% of Medicare
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $88,733 $13,310 $18,260 +386% $22,532 +294% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $88,730 $13,309 $56,521 +57% $52,908 +68% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $88,667 $13,300 $23,727 +274% $40,063 +121% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $88,571 $13,286 $49,311 +80% $41,660 +113% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $88,419 $13,263 $31,747 +179% $38,357 +131% ≈161% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $87,627 $13,144 $38,853 +126% $33,792 +159% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $85,908 $12,886 $51,906 +66% $41,380 +108% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $85,579 $12,837 $49,108 +74% $43,800 +95% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $84,946 $12,742 $19,790 +329% $24,316 +249% —
380 COMPLICATED PEPTIC ULCER WITH MCC $84,408 $12,661 $34,745 +143% $36,641 +130% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $84,259 $12,639 $76,276 +10% $31,909 +164% —
157 DENTAL AND ORAL DISEASES WITH MCC $84,033 $12,605 $31,907 +163% $27,457 +206% —
612 NEONATE BIRTH WEIGHT 1500-1999G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION $83,904 $12,586 $83,904 — $249,205 −66% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $83,586 $12,538 $24,408 +242% $32,204 +160% —
504 FOOT PROCEDURES WITH CC $83,407 $12,511 $46,447 +80% $36,598 +128% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $82,707 $12,406 $70,565 +17% $46,477 +78% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $82,514 $12,377 $42,629 +94% $37,842 +118% ≈139% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $82,474 $12,371 $25,581 +222% $24,452 +237% —
182 OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES $81,893 $12,284 $13,406 +511% $14,064 +482% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $81,860 $12,279 $48,390 +69% $43,697 +87% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $81,485 $12,223 $22,077 +269% $24,941 +227% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $81,355 $12,203 $57,222 +42% $44,839 +81% —
302 ATHEROSCLEROSIS WITH MCC $80,967 $12,145 $24,564 +230% $20,844 +288% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $80,919 $12,138 $32,587 +148% $37,064 +118% ≈171% of Medicare
075 VIRAL MENINGITIS WITH CC/MCC $80,661 $12,099 $25,549 +216% $29,853 +170% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $80,459 $12,069 $26,046 +209% $40,232 +100% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $80,391 $12,059 $53,407 +51% $41,900 +92% —
100 SEIZURES WITH MCC $80,243 $12,036 $31,536 +154% $35,194 +128% ≈150% of Medicare
850 PROCEDURE WITH DIAGNOSIS OF REHAB, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES $79,752 $11,963 $106,968 −25% $121,563 −34% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $79,021 $11,853 $56,900 +39% $27,369 +189% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $77,926 $11,689 $42,835 +82% $30,814 +153% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $77,922 $11,688 $31,052 +151% $28,375 +175% —
375 DIGESTIVE MALIGNANCY WITH CC $77,921 $11,688 $31,330 +149% $27,219 +186% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $77,500 $11,625 $54,605 +42% $33,165 +134% —
865 VIRAL ILLNESS WITH MCC $77,410 $11,612 $27,684 +180% $26,088 +197% —
131 CYSTIC FIBROSIS - PULMONARY DISEASE $77,265 $11,590 $66,513 — $23,289 +232% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $77,004 $11,551 $27,585 +179% $31,816 +142% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $76,956 $11,543 $27,668 +178% $32,981 +133% —
625 NEONATE BIRTH WEIGHT 2000-2499G WITH OTHER SIGNIFICANT CONDITION $76,886 $11,533 $43,736 +76% $58,968 +30% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $76,880 $11,532 $22,167 +247% $32,451 +137% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $76,169 $11,425 $30,308 +151% $25,010 +205% —
835 ACUTE LEUKEMIA WITH CC $75,806 $11,371 $30,915 +145% $35,569 +113% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $75,566 $11,335 $49,829 +52% $38,094 +98% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $75,154 $11,273 $30,023 +150% $35,114 +114% ≈206% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $74,682 $11,202 $33,001 +126% $38,836 +92% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $73,958 $11,094 $26,625 +178% $29,484 +151% ≈264% of Medicare
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $73,805 $11,071 $39,796 +85% $50,919 +45% —
037 EXTRACRANIAL PROCEDURES WITH MCC $73,625 $11,044 $45,525 +62% $64,749 +14% —
183 MAJOR CHEST TRAUMA WITH MCC $73,616 $11,042 $31,295 +135% $28,924 +155% ≈145% of Medicare
186 PLEURAL EFFUSION WITH MCC $73,369 $11,005 $25,894 +183% $32,468 +126% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $73,218 $10,983 $21,084 +247% $32,483 +125% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $72,921 $10,938 $30,882 +136% $27,168 +168% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $72,889 $10,933 $28,389 +157% $31,128 +134% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $72,741 $10,911 $89,353 −19% $89,353 −19% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $72,356 $10,853 $24,846 +191% $30,930 +134% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $72,012 $10,802 $30,486 +136% $35,686 +102% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $71,780 $10,767 $44,415 +62% $33,490 +114% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $71,576 $10,736 $37,363 +92% $28,967 +147% ≈176% of Medicare
951 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS $71,515 $10,727 $5,369 +1232% $9,385 +662% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $71,431 $10,715 $54,667 +31% $36,375 +96% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $71,118 $10,668 $41,545 +71% $29,211 +143% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $70,983 $10,648 $38,192 +86% $30,766 +131% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $70,796 $10,619 $52,324 +35% $36,933 +92% ≈140% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $70,482 $10,572 $28,060 +151% $19,579 +260% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $70,157 $10,524 $22,925 +206% $30,006 +134% —
089 CONCUSSION WITH CC $70,001 $10,500 $17,574 +298% $18,293 +283% —
592 SKIN ULCERS WITH MCC $69,679 $10,452 $41,533 +68% $32,662 +113% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $69,541 $10,431 $27,058 +157% $30,394 +129% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $69,519 $10,428 $67,532 +3% $40,552 +71% —
199 PNEUMOTHORAX WITH MCC $69,395 $10,409 $27,737 +150% $31,491 +120% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $69,335 $10,400 $47,671 +45% $35,673 +94% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $69,251 $10,388 $40,317 +72% $32,689 +112% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $68,553 $10,283 $24,448 +180% $36,333 +89% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $68,517 $10,278 $34,912 +96% $46,402 +48% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $68,066 $10,210 $47,112 +44% $35,375 +92% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $67,741 $10,161 $34,507 +96% $21,806 +211% ≈152% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $67,188 $10,078 $42,185 +59% $26,158 +157% ≈165% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $67,095 $10,064 $33,189 +102% $36,097 +86% —
088 CONCUSSION WITH MCC $66,710 $10,007 $22,929 +191% $24,402 +173% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $66,467 $9,970 $42,892 +55% $40,548 +64% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $66,215 $9,932 $34,586 +91% $46,591 +42% —
906 HAND PROCEDURES FOR INJURIES $66,182 $9,927 $38,001 +74% $31,520 +110% —
263 CHOLECYSTECTOMY $66,107 $9,916 $52,056 +27% $44,938 +47% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $64,616 $9,692 $61,418 +5% $34,887 +85% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $64,412 $9,662 $19,007 +239% $24,879 +159% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $63,953 $9,593 $29,661 +116% $36,242 +76% —
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE $63,772 $9,566 $68,135 — $89,307 −29% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $63,630 $9,544 $40,042 +59% $30,275 +110% —
245 AICD GENERATOR PROCEDURES $63,617 $9,543 $57,760 +10% $72,076 −12% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $63,295 $9,494 $29,549 +114% $29,916 +112% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $63,254 $9,488 $35,091 +80% $25,243 +151% —
364 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES $62,936 $9,440 $62,936 — $46,852 +34% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $62,816 $9,422 $21,240 +196% $24,118 +160% ≈169% of Medicare
102 HEADACHES WITH MCC $62,586 $9,388 $18,941 +230% $22,544 +178% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $62,334 $9,350 $32,463 +92% $25,854 +141% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $62,117 $9,318 $42,951 +45% $30,058 +107% ≈157% of Medicare
022 VENTRICULAR SHUNT PROCEDURES $62,089 $9,313 $49,015 +27% $62,404 −1% —
374 DIGESTIVE MALIGNANCY WITH MCC $62,007 $9,301 $55,381 +12% $38,885 +59% —
643 ENDOCRINE DISORDERS WITH MCC $61,991 $9,299 $34,224 +81% $32,996 +88% —
668 TRANSURETHRAL PROCEDURES WITH MCC $61,727 $9,259 $56,726 +9% $47,277 +31% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $60,616 $9,092 $24,535 +147% $21,261 +185% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $60,568 $9,085 $34,308 +77% $22,560 +168% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $60,531 $9,080 $26,253 +131% $28,134 +115% ≈153% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $60,228 $9,034 $17,251 +249% $20,080 +200% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $60,182 $9,027 $17,797 +238% $17,434 +245% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $60,173 $9,026 $42,789 +41% $28,646 +110% —
230 MAJOR SMALL BOWEL PROCEDURES $60,115 $9,017 $52,838 — $88,720 −32% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $59,836 $8,975 $18,879 +217% $24,544 +144% —
398 APPENDIX PROCEDURES WITH CC $59,650 $8,948 $60,324 −1% $39,107 +53% —
602 CELLULITIS WITH MCC $59,079 $8,862 $43,477 +36% $29,347 +101% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $59,030 $8,855 $11,596 +409% $11,909 +396% —
811 RED BLOOD CELL DISORDERS WITH MCC $58,869 $8,830 $30,781 +91% $27,934 +111% ≈140% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $58,655 $8,798 $32,556 +80% $25,020 +134% ≈153% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $58,266 $8,740 $25,133 +132% $28,578 +104% —
593 SKIN ULCERS WITH CC $57,696 $8,654 $13,902 +315% $20,470 +182% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $57,551 $8,633 $27,704 +108% $25,666 +124% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $57,517 $8,628 $56,252 +2% $44,117 +30% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $57,397 $8,610 $24,631 +133% $24,017 +139% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $57,143 $8,572 $12,453 +359% $15,607 +266% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $56,769 $8,515 $25,655 +121% $20,084 +183% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $56,589 $8,488 $26,947 +110% $14,110 +301% —
539 OSTEOMYELITIS WITH MCC $56,331 $8,450 $29,736 +89% $33,746 +67% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $55,731 $8,360 $33,012 +69% $25,267 +121% ≈156% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $55,728 $8,359 $28,555 +95% $33,050 +69% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $55,719 $8,358 $13,385 +316% $13,385 +316% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $55,696 $8,354 $29,553 +88% $36,280 +54% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $55,573 $8,336 $42,525 +31% $24,561 +126% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $55,226 $8,284 $46,734 +18% $36,239 +52% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $55,142 $8,271 $16,402 +236% $23,115 +139% ≈172% of Medicare
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $54,806 $8,221 $16,245 +237% $18,459 +197% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $54,086 $8,113 $24,617 +120% $24,136 +124% ≈169% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $53,820 $8,073 $27,432 +96% $23,571 +128% —
184 MAJOR CHEST TRAUMA WITH CC $53,792 $8,069 $28,035 +92% $20,842 +158% ≈149% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $52,859 $7,929 $33,894 +56% $23,469 +125% ≈176% of Medicare
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $52,710 $7,907 $26,800 +97% $38,998 +35% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $52,519 $7,878 $22,335 +135% $21,213 +148% ≈170% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $52,450 $7,868 $29,092 +80% $30,940 +70% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $52,229 $7,834 $36,851 +42% $24,190 +116% ≈164% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $52,063 $7,810 $32,231 +62% $35,770 +46% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $51,947 $7,792 $23,658 +120% $29,371 +77% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $51,754 $7,763 $30,787 +68% $20,968 +147% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $51,714 $7,757 $15,960 +224% $17,700 +192% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $51,327 $7,699 $13,752 +273% $17,383 +195% —
540 OSTEOMYELITIS WITH CC $50,664 $7,600 $29,718 +70% $23,494 +116% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $50,651 $7,598 $46,658 +9% $30,314 +67% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $50,349 $7,552 $17,245 +192% $17,103 +194% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $50,185 $7,528 $34,317 +46% $28,140 +78% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $50,058 $7,509 $28,584 +75% $25,704 +95% ≈153% of Medicare
304 HYPERTENSION WITH MCC $49,998 $7,500 $49,998 +0% $24,185 +107% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $49,841 $7,476 $35,914 +39% $31,062 +60% —
200 PNEUMOTHORAX WITH CC $49,046 $7,357 $20,643 +138% $20,573 +138% ≈135% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $48,790 $7,318 $17,544 +178% $18,017 +171% —
947 SIGNS AND SYMPTOMS WITH MCC $48,591 $7,289 $48,840 −1% $25,474 +91% —
292 HEART FAILURE AND SHOCK WITH CC $48,427 $7,264 $27,604 +75% $16,212 +199% —
361 SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES $48,317 $7,248 $48,317 — $79,921 −40% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $47,981 $7,197 $26,866 +79% $19,326 +148% —
637 DIABETES WITH MCC $47,746 $7,162 $25,374 +88% $28,819 +66% ≈151% of Medicare
644 ENDOCRINE DISORDERS WITH CC $47,469 $7,120 $38,114 +25% $22,941 +107% —
682 RENAL FAILURE WITH MCC $46,893 $7,034 $30,514 +54% $27,854 +68% ≈148% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $46,879 $7,032 $39,158 +20% $26,020 +80% —
222 OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES $46,723 $7,008 $66,794 — $86,864 −46% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCT $46,139 $6,921 $46,139 — $77,914 −41% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $46,037 $6,906 $24,471 +88% $20,732 +122% ≈139% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $45,966 $6,895 $8,789 +423% $18,191 +153% ≈165% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $45,938 $6,891 $30,984 +48% $26,488 +73% ≈155% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $45,561 $6,834 $14,001 +225% $19,001 +140% —
694 URINARY STONES WITHOUT MCC $45,525 $6,829 $27,794 +64% $16,531 +175% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $45,468 $6,820 $15,637 +191% $22,275 +104% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $45,381 $6,807 $24,175 +88% $21,029 +116% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $45,303 $6,795 $19,928 +127% $14,166 +220% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $45,205 $6,781 $15,986 +183% $18,282 +147% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $45,101 $6,765 $28,510 +58% $23,396 +93% ≈156% of Medicare
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $45,012 $6,752 $34,137 +32% $24,036 +87% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $44,877 $6,732 $14,942 +200% $16,571 +171% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $44,876 $6,731 $11,847 +279% $11,847 +279% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $44,792 $6,719 $38,715 +16% $22,982 +95% ≈147% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $44,439 $6,666 $31,264 +42% $30,358 +46% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $44,176 $6,626 $30,890 +43% $20,278 +118% ≈157% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $43,605 $6,541 $18,937 +130% $18,918 +130% ≈145% of Medicare
549 SEPTIC ARTHRITIS WITH CC $43,371 $6,506 $26,872 +61% $20,938 +107% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $42,864 $6,430 $42,864 +0% $22,024 +95% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $42,762 $6,414 $23,920 +79% $23,496 +82% ≈132% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $42,736 $6,410 $16,607 +157% $15,370 +178% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $42,714 $6,407 $17,318 +147% $20,007 +113% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $42,633 $6,395 $28,675 +49% $21,886 +95% ≈154% of Medicare
317 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES $42,601 $6,390 $111,914 −62% $94,988 −55% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $42,174 $6,326 $10,145 +316% $15,636 +170% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $41,852 $6,278 $36,068 +16% $22,032 +90% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $41,819 $6,273 $26,095 +60% $16,654 +151% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $41,800 $6,270 $22,791 +83% $24,229 +73% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $41,774 $6,266 $25,965 +61% $22,713 +84% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $41,728 $6,259 $18,383 +127% $22,231 +88% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $41,680 $6,252 $26,018 +60% $16,642 +150% —
597 MALIGNANT BREAST DISORDERS WITH MCC $41,676 $6,251 $25,994 +60% $31,846 +31% —
461 KIDNEY AND URINARY TRACT MALIGNANCY $41,417 — $69,684 −41% $108,472 −62% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC $41,143 $6,171 $27,073 +52% $32,839 +25% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $41,103 $6,165 $15,039 +173% $17,585 +134% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $41,098 $6,165 $35,708 +15% $31,190 +32% ≈161% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $40,986 $6,148 $36,190 +13% $21,545 +90% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $40,847 $6,127 $26,634 +53% $18,002 +127% ≈155% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $40,768 $6,115 $24,969 +63% $30,910 +32% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $40,636 $6,095 $29,836 +36% $19,815 +105% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $40,616 $6,092 $14,351 +183% $16,719 +143% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $40,560 $6,084 $18,133 +124% $18,133 +124% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $40,441 $6,066 $19,544 +107% $20,371 +99% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $40,427 $6,064 $30,553 +32% $29,558 +37% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $40,380 $6,057 $27,797 +45% $31,758 +27% —
348 ANAL AND STOMAL PROCEDURES WITH CC $40,196 $6,029 $36,019 +12% $27,947 +44% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $40,184 $6,028 $40,184 +0% $20,463 +96% ≈168% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $39,786 $5,968 $24,201 +64% $12,537 +217% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $39,684 $5,953 $18,493 +115% $19,569 +103% —
381 COMPLICATED PEPTIC ULCER WITH CC $39,603 $5,940 $23,199 +71% $24,177 +64% —
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS $39,318 $5,898 $39,318 — $27,175 +45% —
103 HEADACHES WITHOUT MCC $39,091 $5,864 $23,348 +67% $20,111 +94% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $39,019 $5,853 $19,806 +97% $18,478 +111% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $38,788 $5,818 $18,191 +113% $25,307 +53% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $38,750 $5,813 $22,670 +71% $32,490 +19% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $38,689 $5,803 $29,518 +31% $30,661 +26% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $38,682 $5,802 $14,323 +170% $17,193 +125% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $38,463 $5,769 $14,883 +158% $20,421 +88% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $38,271 $5,741 $19,928 +92% $15,869 +141% ≈158% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $38,065 $5,710 $31,958 +19% $18,238 +109% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $37,981 $5,697 $37,981 +0% $51,142 −26% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $37,863 $5,679 $12,454 +204% $12,381 +206% —
638 DIABETES WITH CC $37,770 $5,665 $24,216 +56% $18,821 +101% ≈150% of Medicare
683 RENAL FAILURE WITH CC $37,608 $5,641 $20,344 +85% $18,620 +102% ≈157% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $37,528 $5,629 $34,241 +10% $33,694 +11% —
920 COMPLICATIONS OF TREATMENT WITH CC $37,330 $5,599 $27,148 +38% $21,181 +76% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $37,321 $5,598 $24,468 +53% $19,305 +93% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $37,279 $5,592 $22,795 +64% $15,858 +135% —
152 OTITIS MEDIA AND URI WITH MCC $37,043 $5,556 $33,331 +11% $19,795 +87% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $36,959 $5,544 $30,263 +22% $19,096 +94% ≈151% of Medicare
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $36,381 $5,457 $27,256 +33% $22,698 +60% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,920 $5,388 $40,100 −10% $30,974 +16% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $35,906 $5,386 $26,241 +37% $21,449 +67% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $35,904 $5,386 $28,118 +28% $15,876 +126% —
187 PLEURAL EFFUSION WITH CC $35,871 $5,381 $25,632 +40% $21,467 +67% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $35,819 $5,373 $23,999 +49% $24,450 +47% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $35,789 $5,368 $38,646 −7% $45,497 −21% —
634 NEONATE BIRTH WEIGHT > 2499G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION $35,747 $5,362 $35,747 — $37,527 −5% —
915 ALLERGIC REACTIONS WITH MCC $35,705 $5,356 $29,587 +21% $30,944 +15% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $35,546 $5,332 $40,942 −13% $24,465 +45% —
312 SYNCOPE AND COLLAPSE $35,447 $5,317 $25,349 +40% $19,342 +83% ≈161% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $35,335 $5,300 $27,644 +28% $19,483 +81% ≈185% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,010 $5,251 $27,675 +27% $23,723 +48% —
090 CONCUSSION WITHOUT CC/MCC $34,872 $5,231 $14,321 +144% $14,873 +134% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $34,646 $5,197 $12,294 +182% $19,854 +75% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $34,585 $5,188 $33,452 +3% $20,777 +66% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $34,439 $5,166 $34,439 +0% $16,156 +113% —
149 DYSEQUILIBRIUM $34,424 $5,164 $17,710 +94% $17,203 +100% ≈152% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $34,265 $5,140 $37,212 −8% $28,156 +22% —
935 NON-EXTENSIVE BURNS $34,164 $5,125 $31,701 +8% $29,458 +16% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $33,443 $5,016 $17,159 +95% $17,943 +86% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $33,175 $4,976 $32,279 +3% $18,204 +82% ≈148% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $32,922 $4,938 $16,553 +99% $22,850 +44% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $32,872 $4,931 $32,872 +0% $23,749 +38% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $32,858 $4,929 $32,858 +0% $23,956 +37% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $32,738 $4,911 $17,011 +92% $17,522 +87% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $32,723 $4,908 $13,389 +144% $15,608 +110% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $32,608 $4,891 $28,871 +13% $18,803 +73% ≈156% of Medicare
123 NEUROLOGICAL EYE DISORDERS $32,587 $4,888 $17,547 +86% $17,831 +83% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $32,398 $4,860 $21,415 +51% $17,550 +85% —
684 RENAL FAILURE WITHOUT CC/MCC $32,388 $4,858 $13,542 +139% $13,623 +138% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $32,256 $4,838 $24,968 +29% $15,070 +114% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $32,182 $4,827 $32,182 +0% $26,322 +22% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $31,919 $4,788 $43,100 −26% $25,208 +27% ≈147% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $31,732 $4,760 $29,414 +8% $20,488 +55% ≈141% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $31,707 $4,756 $29,267 +8% $18,081 +75% ≈143% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $31,670 $4,751 $17,966 +76% $16,837 +88% —
607 MINOR SKIN DISORDERS WITHOUT MCC $31,600 $4,740 $17,880 +77% $15,284 +107% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $31,562 $4,734 $31,562 +0% $23,734 +33% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $31,349 $4,702 $26,924 +16% $19,287 +63% ≈168% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $31,239 $4,686 $17,604 +77% $26,146 +19% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $31,162 $4,674 $25,121 +24% $29,409 +6% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $30,987 $4,648 $17,950 +73% $13,892 +123% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $30,839 $4,626 $21,003 +47% $17,727 +74% ≈157% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $30,660 $4,599 $24,640 +24% $11,955 +156% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $30,212 $4,532 $33,618 −10% $18,278 +65% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC $30,193 $4,529 $15,547 +94% $18,428 +64% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $30,168 $4,525 $6,687 +351% $11,633 +159% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA $30,085 $4,513 $25,345 +19% $40,065 −25% —
303 ATHEROSCLEROSIS WITHOUT MCC $30,043 $4,506 $28,471 +6% $14,927 +101% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $29,994 $4,499 $17,781 +69% $16,865 +78% ≈163% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $29,839 $4,476 $28,774 +4% $17,466 +71% ≈144% of Medicare
720 SEPTICEMIA AND DISSEMINATED INFECTIONS $29,613 $4,442 $29,613 +0% $47,150 −37% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $29,348 $4,402 $27,454 +7% $17,273 +70% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $29,310 $4,397 $13,471 +118% $12,013 +144% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $29,140 $4,371 $21,217 +37% $14,337 +103% —
145 ACUTE BRONCHITIS AND RELATED SYMPTOMS $29,007 $4,351 $18,572 +56% $20,842 +39% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $28,935 $4,340 $13,303 +118% $13,090 +121% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $28,816 $4,322 $21,186 +36% $17,715 +63% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $28,766 $4,315 $19,056 +51% $18,253 +58% —
305 HYPERTENSION WITHOUT MCC $28,575 $4,286 $29,441 −3% $17,144 +67% ≈164% of Medicare
101 SEIZURES WITHOUT MCC $28,280 $4,242 $25,441 +11% $19,954 +42% ≈153% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $28,279 $4,242 $24,479 +16% $16,866 +68% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $28,255 $4,238 $27,922 +1% $18,608 +52% —
053 SEIZURE $28,218 $4,233 $9,402 +200% $20,309 +39% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $28,120 $4,218 $14,937 +88% $15,077 +87% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $28,089 $4,213 $45,004 −38% $25,162 +12% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $28,069 $4,210 $27,255 +3% $14,134 +99% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $27,943 $4,191 $46,331 −40% $28,780 −3% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $27,804 $4,171 $23,674 +17% $16,049 +73% ≈146% of Medicare
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $27,782 — $46,292 −40% $70,735 −61% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,726 $4,159 $20,621 +34% $12,405 +124% —
311 ANGINA PECTORIS $27,717 $4,158 $18,322 +51% $15,165 +83% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $27,665 $4,150 $20,980 +32% $20,980 +32% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $27,562 $4,134 $11,400 +142% $11,071 +149% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $27,339 $4,101 $20,569 +33% $16,776 +63% —
603 CELLULITIS WITHOUT MCC $27,323 $4,098 $27,323 +0% $18,530 +47% ≈153% of Medicare
885 PSYCHOSES $27,090 $4,064 $27,090 +0% $21,489 +26% ≈147% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $26,920 $4,038 $26,858 +0% $17,322 +55% ≈151% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $26,464 $3,970 $14,549 +82% $14,549 +82% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $25,987 $3,898 $23,527 +10% $16,745 +55% ≈153% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $25,651 $3,848 $23,639 +9% $19,868 +29% —
882 NEUROSES EXCEPT DEPRESSIVE $25,521 $3,828 $15,680 +63% $15,680 +63% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $25,252 $3,788 $10,768 +135% $12,895 +96% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $25,163 $3,774 $6,564 +283% $8,927 +182% —
916 ALLERGIC REACTIONS WITHOUT MCC $25,027 $3,754 $14,241 +76% $13,890 +80% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $24,633 $3,695 $14,792 +67% $19,132 +29% —
313 CHEST PAIN $24,631 $3,695 $19,674 +25% $15,962 +54% ≈134% of Medicare
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,628 $3,694 $22,219 +11% $15,600 +58% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $24,359 $3,654 $21,964 +11% $17,388 +40% ≈149% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $24,299 $3,645 $27,062 −10% $18,150 +34% —
197 PERIPHERAL AND OTHER VASCULAR DISORDERS $24,270 $3,641 $26,372 −8% $20,106 +21% —
151 EPISTAXIS WITHOUT MCC $24,044 $3,607 $7,098 +239% $13,032 +85% —
158 DENTAL AND ORAL DISEASES WITH CC $24,004 $3,601 $15,886 +51% $17,700 +36% —
914 TRAUMATIC INJURY WITHOUT MCC $23,814 $3,572 $22,335 +7% $15,593 +53% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $23,391 $3,509 $29,131 −20% $24,022 −3% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $23,379 $3,507 $21,596 +8% $17,731 +32% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $23,246 $3,487 $18,669 +25% $15,045 +55% —
132 BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD $23,005 $3,451 $23,005 — $23,289 −1% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $22,593 $3,389 $12,776 +77% $12,044 +88% —
201 PNEUMOTHORAX WITHOUT CC/MCC $22,546 $3,382 $10,073 +124% $13,081 +72% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $22,509 $3,376 $21,964 +2% $12,797 +76% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $22,425 $3,364 $5,159 +335% $13,282 +69% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $22,151 $3,323 $13,497 +64% $13,198 +68% —
534 FRACTURES OF FEMUR WITHOUT MCC $22,076 $3,311 $12,907 +71% $17,195 +28% —
887 OTHER MENTAL DISORDER DIAGNOSES $21,939 $3,291 $21,939 +0% $20,602 +6% —
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS $21,927 $3,289 $28,164 — $31,203 −30% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $21,771 $3,266 $17,531 +24% $14,368 +52% —
282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY $21,758 $3,264 $25,856 −16% $18,623 +17% ≈170% of Medicare
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE $21,630 $3,245 $31,950 −32% $60,098 −64% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,429 $3,214 $21,429 +0% $14,861 +44% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $21,284 $3,193 $11,755 +81% $13,368 +59% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $20,932 $3,140 $20,932 +0% $14,128 +48% —
153 OTITIS MEDIA AND URI WITHOUT MCC $20,756 $3,113 $19,529 +6% $14,473 +43% —
639 DIABETES WITHOUT CC/MCC $20,609 $3,091 $19,580 +5% $13,910 +48% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $20,511 $3,077 $34,907 −41% $24,432 −16% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $20,217 $3,033 $21,109 −4% $13,384 +51% ≈177% of Medicare
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,075 $3,011 $27,569 −27% $39,093 −49% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $20,069 $3,010 $21,266 −6% $13,318 +51% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $19,626 $2,944 $12,609 +56% $16,104 +22% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $19,166 $2,875 $21,451 −11% $17,367 +10% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $18,706 $2,806 $11,356 +65% $13,303 +41% —
949 AFTERCARE WITH CC/MCC $18,595 $2,789 $37,070 −50% $23,953 −22% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $18,075 $2,711 $15,134 +19% $13,485 +34% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $18,072 $2,711 $18,072 +0% $16,352 +11% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $17,464 $2,620 $17,464 +0% $18,291 −5% —
247 INTESTINAL OBSTRUCTION $17,246 $2,587 $19,455 −11% $21,663 −20% —
864 FEVER AND INFLAMMATORY CONDITIONS $17,084 $2,563 $21,175 −19% $17,412 −2% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $16,797 $2,520 $14,990 +12% $14,444 +16% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $16,742 $2,511 $9,680 +73% $15,072 +11% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $16,709 $2,506 $14,733 +13% $16,418 +2% —
137 MOUTH PROCEDURES WITH CC/MCC $16,690 $2,504 $19,018 −12% $24,348 −31% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $16,335 $2,450 $15,104 +8% $24,836 −34% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $16,275 $2,441 $16,750 −3% $17,226 −6% —
866 VIRAL ILLNESS WITHOUT MCC $16,131 $2,420 $23,059 −30% $16,391 −2% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $15,513 $2,327 $12,553 +24% $17,483 −11% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $15,321 $2,298 $20,180 −24% $15,655 −2% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,216 $2,282 $16,930 −10% $13,824 +10% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $14,792 $2,219 $15,290 −3% $14,441 +2% —
881 DEPRESSIVE NEUROSES $14,727 $2,209 $17,181 −14% $15,058 −2% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,667 $2,200 $16,683 −12% $14,880 −1% —
133 RESPIRATORY FAILURE $14,666 $2,200 $36,036 — $23,289 −37% —
779 ABORTION WITHOUT D&C $14,454 $2,168 $15,715 −8% $15,327 −6% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $14,254 $2,138 $10,866 +31% $9,076 +57% —
633 NEONATE BIRTH WEIGHT > 2499G WITH MAJOR ANOMALY $14,114 $2,117 $14,114 — $31,241 −55% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $14,001 $2,100 $21,728 −36% $12,279 +14% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,460 $2,019 $5,589 +141% $7,961 +69% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $13,310 $1,996 $16,306 −18% $20,727 −36% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $13,233 $1,985 $12,120 +9% $14,012 −6% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,175 $1,976 $14,659 −10% $11,421 +15% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,607 $1,891 $12,607 +0% $14,208 −11% —
756 ACUTE ANXIETY AND DELIRIUM STATES $12,255 $1,838 $12,255 +0% $15,589 −21% —
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS $11,577 $1,736 $19,283 −40% $25,484 −55% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,008 $1,651 $9,061 +21% $11,997 −8% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,463 $1,569 $13,586 −23% $13,586 −23% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,298 $1,545 $13,791 −25% $17,928 −43% —
723 VIRAL ILLNESS $9,903 $1,485 $12,507 −21% $19,317 −49% —
722 FEVER AND INFLAMMATORY CONDITIONS $9,657 $1,449 $24,512 −61% $29,826 −68% —
775 ALCOHOL ABUSE AND DEPENDENCE $9,283 $1,392 $9,283 +0% $3,242 +186% —
383 CELLULITIS AND OTHER SKIN INFECTIONS $8,851 — $19,602 −55% $26,634 −67% —
058 OTHER DISORDERS OF NERVOUS SYSTEM $8,730 — $27,152 −68% $29,609 −71% —
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK $8,620 — $16,487 −48% $19,454 −56% —
595 MAJOR SKIN DISORDERS WITH MCC $8,473 — $28,288 −70% $31,785 −73% —
640 NEONATE BIRTH WEIGHT > 2499G, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM $8,185 $1,228 $32,235 −75% $24,480 −67% ≈96% of Medicare
663 OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS $8,037 — $23,018 −65% $29,924 −73% —
139 OTHER PNEUMONIA $7,961 — $21,014 −62% $21,014 −62% —
548 SEPTIC ARTHRITIS WITH MCC $7,440 — $29,341 −75% $31,019 −76% —
795 NORMAL NEWBORN $7,424 $1,114 $4,569 +62% $4,530 +64% —
249 OTHER GASTROENTERITIS, NAUSA AND VOMITING $7,196 — $13,903 — $20,610 −65% —
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS $6,953 — $17,552 −60% $25,152 −72% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS $6,254 $938 $11,815 — $51,822 −88% —
626 NEONATE BIRTH WEIGHT 2000-2499G, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM $6,060 — $21,261 −71% $27,279 −78% —
636 NEONATE BIRTH WEIGHT > 2499G WITH CONGENITAL/PERINATAL INFECTION $5,727 $859 $5,727 — $59,860 −90% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,274 — $17,352 −70% $29,805 −82% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,780 — $10,975 −84% $10,975 −84% —

Procedures with negotiated rates only

These 1 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
427 THYROID DISORDERS — 10 plans
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