Procedures published 690
Lowest published price $1,780
Average published price $119,499
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 ≈497% 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% $90,401 +1161%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,004,125 $150,619 $362,617 +177% $461,389 +118%
215 OTHER HEART ASSIST SYSTEM IMPLANT $928,165 $139,225 $475,995 +95% $208,939 +344%
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $855,263 $128,289 $103,861 +723% $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 $89,681 +606% $126,098 +402%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $615,069 $92,260 $38,581 +1494% $51,746 +1089%
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 $466,934 +17% $188,171 +191%
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 $527,787 −1% $371,366 +40%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $514,418 $77,163 $142,952 +260% $196,346 +162%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $510,887 $76,633 $73,455 +596% $102,128 +400%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $501,512 $75,227 $250,187 +100% $81,998 +512%
023 SPINAL PROCEDURES $499,874 $74,981 $212,510 +135% $106,778 +368% ≈1068% of Medicare
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $497,588 $74,638 $386,137 +29% $123,995 +301%
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $477,760 $71,664 $69,101 +591% $69,101 +591%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $458,472 $68,771 $143,848 +219% $89,207 +414%
471 CERVICAL SPINAL FUSION WITH MCC $457,166 $68,575 $212,889 +115% $92,515 +394%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $455,022 $68,253 $271,925 +67% $79,116 +475%
165 CORONARY BYPASS WITH AMI OR COMPLEX PDX $449,260 $67,389 $127,726 +252% $46,340 +869%
028 SPINAL PROCEDURES WITH MCC $434,513 $65,177 $218,956 +98% $113,077 +284%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $434,315 $65,147 $50,891 +753% $39,515 +999%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $432,746 $64,912 $94,288 +359% $131,961 +228%
231 CORONARY BYPASS WITH PTCA WITH MCC $425,439 $63,816 $119,083 +257% $147,227 +189%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $420,607 $63,091 $268,292 +57% $117,280 +259%
167 OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES $416,486 $62,473 $63,524 +556% $40,642 +925%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $415,638 $62,346 $112,119 +271% $153,282 +171%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $411,889 $61,783 $38,091 +981% $102,600 +301%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $411,110 $61,667 $178,331 +131% $56,836 +623%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $402,188 $60,328 $118,104 +241% $120,573 +234%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $402,084 $60,313 $103,817 +287% $144,569 +178%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $385,490 $57,823 $80,603 +378% $113,855 +239% ≈735% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $376,787 $56,518 $55,735 +576% $96,192 +292%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $372,958 $55,944 $122,800 +204% $75,103 +397% ≈1116% of Medicare
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $368,548 $55,282 $381,515 −3% $105,899 +248%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $364,367 $54,655 $11,107 +3181% $16,351 +2128%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $357,003 $53,550 $101,618 +251% $101,618 +251%
179 DEFIBRILLATOR IMPLANTS $355,375 $53,306 $11,758 +2922% $14,648 +2326%
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 $30,860 +1007% $42,906 +696%
710 INFECTIONS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE $335,833 $50,375 $127,033 +164% $26,436 +1170%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE $320,785 $48,118 $324,510 −1% $248,521 +29%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $317,922 $47,688 $66,068 +381% $66,685 +377%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $314,065 $47,110 $35,990 +773% $40,362 +678%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $310,893 $46,634 $80,075 +288% $103,455 +201%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $307,728 $46,159 $153,649 +100% $99,423 +210%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $307,020 $46,053 $89,209 +244% $125,242 +145%
834 ACUTE LEUKEMIA WITH MCC $303,727 $45,559 $85,566 +255% $85,566 +255%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $298,045 $44,707 $79,247 +276% $112,062 +166% ≈540% of Medicare
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $296,151 $44,423 $125,958 +135% $80,793 +267%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $293,261 $43,989 $53,307 +450% $59,594 +392%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $289,450 $43,418 $181,659 +59% $65,216 +344%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $288,220 $43,233 $288,220 +0% $91,329 +216%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $285,763 $42,864 $71,776 +298% $111,320 +157%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $278,284 $41,743 $142,388 +95% $51,625 +439% ≈978% of Medicare
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $270,228 $40,534 $172,120 +57% $85,159 +217% ≈655% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $269,688 $40,453 $32,168 +738% $47,789 +464%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $267,973 $40,196 $173,990 +54% $67,268 +298%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $265,513 $39,827 $82,102 +223% $115,839 +129%
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 $33,823 +657% $50,498 +407%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $255,605 $38,341 $98,989 +158% $77,817 +228%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $253,748 $38,062 $127,657 +99% $93,172 +172% ≈563% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $253,034 $37,955 $49,721 +409% $66,711 +279%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $252,170 $37,826 $137,306 +84% $88,050 +186%
030 PERCUTANEOUS INTRA AND EXTRACRANIAL VASCULAR PROCEDURES $248,485 $37,273 $32,077 +675% $45,866 +442%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $248,326 $37,249 $54,862 +353% $62,300 +299%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $246,041 $36,906 $55,985 +339% $79,225 +211%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $245,648 $36,847 $72,075 +241% $102,573 +139% ≈595% 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 $174,196 +38% $116,058 +107%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $239,714 $35,957 $195,030 +23% $88,307 +171% ≈683% of Medicare
026 OTHER NERVOUS SYSTEM AND RELATED PROCEDURES $238,606 $35,791 $158,118 +51% $64,523 +270%
163 MAJOR CHEST PROCEDURES WITH MCC $238,257 $35,739 $160,879 +48% $90,195 +164%
472 CERVICAL SPINAL FUSION WITH CC $236,509 $35,476 $127,116 +86% $59,537 +297%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $236,243 $35,436 $27,823 +749% $40,562 +482%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $233,143 $34,971 $236,120 −1% $35,030 +566%
113 ORBITAL PROCEDURES WITH CC/MCC $232,477 $34,872 $20,048 +1060% $36,167 +543%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $232,278 $34,842 $20,715 +1021% $80,018 +190%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $232,277 $34,842 $148,626 +56% $93,238 +149%
181 LOWER EXTREMITY ARTERIAL PROCEDURES $226,682 $34,002 $44,379 +411% $23,573 +862%
089 MAJOR CRANIAL/FACIAL BONE PROCEDURES $226,606 $33,991 $18,369 +1134% $18,821 +1104%
607 NEONATE BIRTH WEIGHT 1250-1499G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJ $226,395 $33,959 $17,880 +1166% $15,889 +1325%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $226,326 $33,949 $56,535 +300% $73,120 +210%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $225,685 $33,853 $59,017 +282% $70,564 +220%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $222,411 $33,362 $117,886 +89% $49,710 +347%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $220,520 $33,078 $200,802 +10% $96,905 +128% ≈479% of Medicare
166 CORONARY BYPASS WITHOUT AMI OR COMPLEX PDX $220,471 $33,071 $63,343 +248% $75,573 +192%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $219,531 $32,930 $34,520 +536% $24,566 +794%
171 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK $216,735 $32,510 $216,735 $75,072 +189%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $216,350 $32,453 $118,821 +82% $68,653 +215%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $216,199 $32,430 $95,866 +126% $82,561 +162%
799 SPLENIC PROCEDURES WITH MCC $213,400 $32,010 $64,885 +229% $82,218 +160%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $213,067 $31,960 $70,714 +201% $61,470 +247%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $212,040 $31,806 $73,038 +190% $101,576 +109%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $211,734 $31,760 $104,125 +103% $90,775 +133% ≈509% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $210,174 $31,526 $124,159 +69% $50,624 +315%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $210,159 $31,524 $169,637 +24% $43,491 +383%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $203,252 $30,488 $40,289 +404% $49,839 +308%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $202,375 $30,356 $103,783 +95% $71,092 +185%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $202,295 $30,344 $43,701 +363% $65,573 +209% ≈682% of Medicare
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $201,893 $30,284 $53,945 +274% $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% ≈635% of Medicare
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $201,416 $30,212 $201,416 +0% $148,832 +35% ≈426% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $199,724 $29,959 $140,647 +42% $70,847 +182% ≈636% of Medicare
309 OTHER SIGNIFICANT HIP AND FEMUR SURGERY $199,253 $29,888 $26,087 +664% $17,303 +1052% ≈636% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $198,751 $29,813 $75,303 +164% $52,178 +281%
503 FOOT PROCEDURES WITH MCC $198,488 $29,773 $61,361 +223% $47,540 +318%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $195,897 $29,385 $169,971 +15% $96,507 +103%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $195,606 $29,341 $162,153 +21% $65,325 +199%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $195,533 $29,330 $45,498 +330% $58,745 +233%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $194,772 $29,216 $63,008 +209% $43,631 +346%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $192,646 $28,897 $23,368 +724% $37,267 +417%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $187,676 $28,151 $112,338 +67% $47,583 +294%
281 MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS $186,800 $28,020 $43,996 +325% $20,463 +813% ≈493% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $185,577 $27,837 $155,075 +20% $70,132 +165% ≈611% of Medicare
792 EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT $185,486 $27,823 $11,361 +1533% $12,229 +1417%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $185,094 $27,764 $128,144 +44% $65,653 +182% ≈688% of Medicare
650 SPLENECTOMY $184,907 $27,736 $62,992 +194% $71,551 +158%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $183,391 $27,509 $51,015 +259% $25,390 +622%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $182,991 $27,449 $53,665 +241% $76,219 +140%
815 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES $179,462 $26,919 $29,015 +519% $19,264 +832%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $178,319 $26,748 $145,618 +22% $63,928 +179%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $178,147 $26,722 $173,267 +3% $59,533 +199%
169 MAJOR ABDOMINAL VASCULAR PROCEDURES $177,831 $26,675 $137,094 +30% $137,094 +30%
323 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT $177,398 $26,610 $177,398 +0% $101,510 +75%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $176,285 $26,443 $54,529 +223% $45,167 +290%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $175,688 $26,353 $51,069 +244% $45,877 +283%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $175,684 $26,353 $30,404 +478% $46,066 +281%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $174,936 $26,240 $109,914 +59% $84,692 +107%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $174,679 $26,202 $82,731 +111% $98,912 +77%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $174,412 $26,162 $46,088 +278% $74,755 +133%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $172,652 $25,898 $123,776 +39% $71,014 +143% ≈645% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $171,421 $25,713 $82,687 +107% $46,724 +267%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $170,883 $25,632 $128,201 +33% $74,257 +130%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $169,795 $25,469 $148,353 +14% $93,390 +82%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $169,181 $25,377 $112,611 +50% $54,583 +210%
313 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT $169,085 $25,363 $21,819 +675% $16,440 +929% ≈495% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $165,744 $24,862 $165,744 +0% $70,177 +136%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $164,475 $24,671 $112,488 +46% $62,264 +164%
611 NEONATE BIRTH WEIGHT 1500-1999G WITH MAJOR ANOMALY $163,019 $24,453 $163,019 $143,990 +13%
551 MEDICAL BACK PROBLEMS WITH MCC $162,483 $24,372 $56,708 +187% $34,017 +378% ≈1052% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $162,040 $24,306 $67,828 +139% $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 $137,471 +16% $56,755 +181% ≈773% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $158,246 $23,737 $145,049 +9% $71,464 +121%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $157,921 $23,688 $73,014 +116% $58,228 +171%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $157,850 $23,677 $94,139 +68% $59,421 +166%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $157,237 $23,586 $43,315 +263% $42,901 +267%
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 $83,277 +87% $43,650 +257%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $154,126 $23,119 $64,245 +140% $59,651 +158% ≈731% of Medicare
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $154,006 $23,101 $154,006 +0% $65,788 +134%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $153,513 $23,027 $139,069 +10% $35,419 +333%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $153,459 $23,019 $42,143 +264% $34,434 +346%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $153,094 $22,964 $29,131 +426% $44,363 +245%
663 OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS $152,851 $22,928 $58,736 +160% $33,103 +362%
500 SOFT TISSUE PROCEDURES WITH MCC $152,464 $22,870 $102,052 +49% $61,872 +146%
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS $151,526 $22,729 $151,526 $45,364 +234%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $151,410 $22,711 $123,106 +23% $71,795 +111%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $151,359 $22,704 $91,463 +65% $49,418 +206%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $150,796 $22,619 $56,507 +167% $43,538 +246%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $150,587 $22,588 $54,300 +177% $61,832 +144%
793 MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT $148,791 $22,319 $13,360 +1014% $18,649 +698%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $148,008 $22,201 $56,456 +162% $79,836 +85%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $147,895 $22,184 $82,674 +79% $76,001 +95%
501 SOFT TISSUE PROCEDURES WITH CC $146,541 $21,981 $74,943 +96% $39,619 +270%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $146,506 $21,976 $56,201 +161% $47,737 +207%
121 OTHER RESPIRATORY AND CHEST PROCEDURES $146,398 $21,960 $77,284 +89% $19,412 +654%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $146,194 $21,929 $33,237 +340% $40,060 +265%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $145,390 $21,809 $49,064 +196% $32,628 +346%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $145,282 $21,792 $28,768 +405% $39,018 +272%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $143,558 $21,534 $137,354 +5% $81,706 +76% ≈568% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $143,390 $21,509 $46,935 +206% $32,841 +337%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $142,931 $21,440 $154,701 −8% $68,639 +108%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $140,279 $21,042 $42,293 +232% $39,181 +258%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $138,902 $20,835 $60,922 +128% $39,955 +248%
512 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY $136,276 $20,441 $71,909 +90% $35,692 +282%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $135,318 $20,298 $43,426 +212% $53,864 +151%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $135,162 $20,274 $69,740 +94% $43,943 +208%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $135,087 $20,263 $49,024 +176% $36,249 +273%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $134,437 $20,166 $54,196 +148% $54,196 +148%
791 PREMATURITY WITH MAJOR PROBLEMS $134,386 $20,158 $15,421 +771% $42,679 +215%
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 $125,800 +5% $70,467 +87% ≈537% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $131,637 $19,746 $33,129 +297% $33,876 +289%
397 APPENDIX PROCEDURES WITH MCC $131,333 $19,700 $76,131 +73% $53,257 +147%
800 SPLENIC PROCEDURES WITH CC $131,171 $19,676 $41,012 +220% $49,184 +167%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $131,020 $19,653 $51,655 +154% $39,973 +228%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $130,989 $19,648 $32,969 +297% $40,108 +227%
092 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES $130,784 $19,618 $30,798 +325% $24,914 +425% ≈1411% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $130,331 $19,550 $55,857 +133% $33,653 +287%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $130,317 $19,547 $28,559 +356% $29,524 +341%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $127,822 $19,173 $57,875 +121% $32,944 +288%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $127,333 $19,100 $127,333 +0% $62,821 +103%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $127,039 $19,056 $93,232 +36% $51,953 +145%
621 NEONATE BIRTH WEIGHT 2000-2499G WITH MAJOR ANOMALY $126,813 $19,022 $22,167 +472% $32,451 +291%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $126,706 $19,006 $90,992 +39% $53,451 +137%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $126,662 $18,999 $48,165 +163% $52,036 +143%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $125,940 $18,891 $45,881 +174% $38,070 +231%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $125,886 $18,883 $97,667 +29% $58,707 +114%
817 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE $125,635 $18,845 $35,750 +251% $39,173 +221%
334 RECTAL RESECTION WITHOUT CC/MCC $124,552 $18,683 $82,520 +51% $36,820 +238%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $123,464 $18,520 $82,516 +50% $52,751 +134% ≈668% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $122,702 $18,405 $62,523 +96% $36,670 +235%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $121,907 $18,286 $103,547 +18% $44,139 +176% ≈785% of Medicare
138 BRONCHIOLITIS AND RSV PNEUMONIA $121,636 $18,245 $13,752 +784% $19,119 +536%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $119,995 $17,999 $38,092 +215% $15,901 +655%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $119,775 $17,966 $57,662 +108% $66,068 +81%
813 COAGULATION DISORDERS $119,492 $17,924 $40,340 +196% $33,296 +259%
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 $34,625 +241% $38,343 +208%
304 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK $117,507 $117,507 $61,398 +91% $26,080 +351%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $115,655 $17,348 $111,707 +4% $77,990 +48%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $115,148 $17,272 $37,498 +207% $33,985 +239% ≈747% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $114,315 $17,147 $32,719 +249% $49,066 +133%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $113,524 $17,029 $113,974 −0% $50,011 +127% ≈538% 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 $43,479 +156% $30,959 +260% ≈838% of Medicare
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $111,065 $16,660 $138,630 −20% $62,583 +77%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $110,652 $16,598 $90,581 +22% $50,139 +121% ≈495% of Medicare
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $110,628 $16,594 $82,861 +34% $46,090 +140% ≈649% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $110,424 $16,564 $78,474 +41% $39,887 +177%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $110,216 $16,532 $39,644 +178% $58,043 +90%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $108,747 $16,312 $36,339 +199% $38,878 +180%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $108,321 $16,248 $71,331 +52% $90,724 +19%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $107,142 $16,071 $44,825 +139% $30,083 +256%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $107,093 $16,064 $20,875 +413% $30,242 +254%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $107,007 $16,051 $37,754 +183% $47,945 +123%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $106,973 $16,046 $32,773 +226% $48,349 +121%
308 HIP AND FEMUR FRACTURE REPAIR $106,852 $16,028 $39,202 +173% $26,770 +299% ≈995% of Medicare
073 ORBIT AND EYE PROCEDURES $106,602 $15,990 $44,855 +138% $30,010 +255%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $106,540 $15,981 $43,649 +144% $27,152 +292%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $105,853 $15,878 $105,853 +0% $52,075 +103%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $105,439 $15,816 $44,293 +138% $35,628 +196% ≈638% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $104,944 $15,742 $90,228 +16% $58,280 +80% ≈564% of Medicare
720 SEPTICEMIA AND DISSEMINATED INFECTIONS $104,936 $15,740 $37,911 +177% $45,066 +133%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $104,033 $15,605 $91,676 +13% $51,985 +100%
253 OTHER VASCULAR PROCEDURES WITH CC $103,990 $15,598 $114,254 −9% $57,454 +81% ≈443% of Medicare
571 SKIN DEBRIDEMENT WITH CC $103,879 $15,582 $61,879 +68% $37,169 +179%
336 PERITONEAL ADHESIOLYSIS WITH CC $102,986 $15,448 $101,243 +2% $50,463 +104%
223 OTHER SMALL AND LARGE BOWEL PROCEDURES $102,834 $15,425 $59,206 +74% $59,206 +74%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $102,081 $15,312 $26,986 +278% $40,694 +151%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $101,656 $15,248 $64,995 +56% $50,607 +101% ≈604% of Medicare
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $101,643 $15,246 $24,768 +310% $27,316 +272%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $101,585 $15,238 $62,676 +62% $44,606 +128%
612 NEONATE BIRTH WEIGHT 1500-1999G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION $101,491 $15,224 $101,491 $249,205 −59%
244 DIVERTICULITIS AND DIVERTICULOSIS $101,335 $15,200 $107,530 −6% $41,591 +144%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $101,250 $15,188 $32,829 +208% $42,415 +139%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $100,818 $15,123 $94,411 +7% $58,809 +71% ≈641% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $99,971 $14,996 $111,391 −10% $59,500 +68%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $99,715 $14,957 $112,838 −12% $60,407 +65%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $99,699 $14,955 $105,893 −6% $59,629 +67%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $99,427 $14,914 $80,042 +24% $29,949 +232%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $99,410 $14,912 $70,759 +40% $36,445 +173%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $99,308 $14,896 $62,575 +59% $41,955 +137%
919 COMPLICATIONS OF TREATMENT WITH MCC $98,809 $14,821 $55,624 +78% $31,105 +218%
134 PULMONARY EMBOLISM $98,794 $14,819 $23,701 +317% $23,289 +324%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $98,785 $14,818 $70,105 +41% $55,162 +79%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $98,558 $14,784 $79,846 +23% $46,283 +113% ≈482% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $98,508 $14,776 $20,581 +379% $25,748 +283%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $98,471 $14,771 $80,453 +22% $36,489 +170% ≈520% of Medicare
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $98,439 $14,766 $82,704 +19% $40,365 +144%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $97,972 $14,696 $39,158 +150% $27,543 +256%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $97,956 $14,693 $56,824 +72% $33,633 +191%
180 RESPIRATORY NEOPLASMS WITH MCC $97,924 $14,689 $58,251 +68% $36,658 +167%
252 MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE $97,657 $14,649 $114,667 −15% $68,508 +43%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $97,406 $14,611 $65,491 +49% $33,393 +192%
633 NEONATE BIRTH WEIGHT > 2499G WITH MAJOR ANOMALY $97,266 $14,590 $97,266 $31,241 +211%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $97,252 $14,588 $24,771 +293% $29,316 +232%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $97,161 $14,574 $97,161 +0% $72,424 +34%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $97,106 $14,566 $84,233 +15% $47,711 +104%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $96,882 $14,532 $96,882 +0% $69,743 +39%
240 DIGESTIVE MALIGNANCY $96,835 $14,525 $77,863 +24% $59,790 +62%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $96,501 $14,475 $19,686 +390% $19,686 +390%
546 CONNECTIVE TISSUE DISORDERS WITH CC $96,296 $14,444 $33,391 +188% $25,700 +275%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $95,995 $14,399 $95,995 +0% $50,394 +90%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $95,952 $14,393 $87,838 +9% $43,913 +119%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $95,109 $14,266 $51,552 +84% $28,320 +236%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $94,546 $14,182 $75,345 +25% $48,682 +94%
055 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE $94,026 $14,104 $21,626 +335% $20,926 +349%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $93,901 $14,085 $35,163 +167% $37,950 +147% ≈580% of Medicare
140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE $93,376 $14,006 $31,950 +192% $60,098 +55%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $92,994 $13,949 $69,604 +34% $42,126 +121%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $92,974 $13,946 $196,654 −53% $70,371 +32%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $92,771 $13,916 $48,565 +91% $39,106 +137% ≈532% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $92,684 $13,903 $76,277 +22% $34,937 +165%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $92,569 $13,885 $31,740 +192% $41,608 +122%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $92,566 $13,885 $43,753 +112% $33,707 +175% ≈657% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $92,440 $13,866 $83,023 +11% $52,405 +76% ≈397% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $92,402 $13,860 $33,138 +179% $23,141 +299%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $92,006 $13,801 $29,592 +211% $20,901 +340%
620 O.R. PROCEDURES FOR OBESITY WITH CC $91,896 $13,784 $23,921 +284% $35,453 +159%
661 COAGULATION AND PLATELET DISORDERS $91,018 $13,653 $34,254 +166% $25,970 +250%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $90,784 $13,618 $33,965 +167% $33,424 +172%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $90,502 $13,575 $44,704 +102% $28,050 +223% ≈748% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $90,110 $13,516 $30,433 +196% $26,463 +241%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $90,027 $13,504 $21,022 +328% $30,493 +195%
535 FRACTURES OF HIP AND PELVIS WITH MCC $89,466 $13,420 $25,648 +249% $24,552 +264%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $89,012 $13,352 $30,281 +194% $22,888 +289% ≈1082% of Medicare
052 ALTERATION IN CONSCIOUSNESS $88,850 $13,328 $26,865 +231% $32,031 +177%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $88,733 $13,310 $18,260 +386% $21,230 +318%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $88,730 $13,309 $66,993 +32% $52,908 +68%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $88,571 $13,286 $63,523 +39% $42,914 +106%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $88,419 $13,263 $48,869 +81% $38,666 +129% ≈497% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $87,627 $13,144 $53,399 +64% $36,505 +140%
315 SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT $87,580 $13,137 $23,220 +277% $21,363 +310%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $85,908 $12,886 $82,429 +4% $46,295 +86%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $85,579 $12,837 $82,484 +4% $43,800 +95%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $84,946 $12,742 $21,597 +293% $26,870 +216%
380 COMPLICATED PEPTIC ULCER WITH MCC $84,408 $12,661 $42,323 +99% $39,627 +113%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $84,259 $12,639 $76,276 +10% $34,276 +146%
157 DENTAL AND ORAL DISEASES WITH MCC $84,033 $12,605 $24,447 +244% $31,300 +168%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $83,586 $12,538 $45,504 +84% $33,255 +151%
504 FOOT PROCEDURES WITH CC $83,407 $12,511 $65,518 +27% $38,960 +114%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $82,707 $12,406 $92,280 −10% $49,351 +68%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $82,514 $12,377 $45,009 +83% $37,842 +118% ≈488% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $82,474 $12,371 $27,687 +198% $25,279 +226%
133 RESPIRATORY FAILURE $82,023 $12,303 $57,406 +43% $38,305 +114%
182 OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES $81,893 $12,284 $47,076 +74% $14,064 +482%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $81,860 $12,279 $117,852 −31% $46,453 +76%
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 $38,166 +113% $44,546 +83%
302 ATHEROSCLEROSIS WITH MCC $80,967 $12,145 $27,534 +194% $22,446 +261%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $80,919 $12,138 $66,170 +22% $41,892 +93% ≈382% of Medicare
075 VIRAL MENINGITIS WITH CC/MCC $80,661 $12,099 $25,549 +216% $30,447 +165%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $80,459 $12,069 $30,914 +160% $46,727 +72%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $80,391 $12,059 $74,533 +8% $45,333 +77%
100 SEIZURES WITH MCC $80,243 $12,036 $47,409 +69% $35,481 +126% ≈471% of Medicare
634 NEONATE BIRTH WEIGHT > 2499G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION $80,055 $12,008 $80,055 $37,527 +113%
850 PROCEDURE WITH DIAGNOSIS OF REHAB, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES $79,752 $11,963 $121,563 −34% $121,563 −34%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $79,021 $11,853 $63,856 +24% $30,784 +157%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $77,926 $11,689 $42,835 +82% $31,951 +144%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $77,922 $11,688 $31,052 +151% $29,221 +167%
375 DIGESTIVE MALIGNANCY WITH CC $77,921 $11,688 $32,044 +143% $27,277 +186%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $77,500 $11,625 $60,778 +28% $34,459 +125%
865 VIRAL ILLNESS WITH MCC $77,410 $11,612 $46,423 +67% $26,910 +188%
131 CYSTIC FIBROSIS - PULMONARY DISEASE $77,265 $11,590 $55,762 +39% $23,289 +232%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $77,004 $11,551 $55,276 +39% $35,465 +117%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $76,956 $11,543 $59,685 +29% $37,844 +103%
625 NEONATE BIRTH WEIGHT 2000-2499G WITH OTHER SIGNIFICANT CONDITION $76,886 $11,533 $47,065 +63% $59,031 +30%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $76,169 $11,425 $91,042 −16% $27,808 +174%
835 ACUTE LEUKEMIA WITH CC $75,806 $11,371 $51,594 +47% $35,569 +113%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $75,566 $11,335 $58,994 +28% $38,094 +98%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $75,154 $11,273 $53,719 +40% $36,792 +104% ≈509% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $74,682 $11,202 $61,052 +22% $38,836 +92%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $73,958 $11,094 $47,218 +57% $30,502 +142% ≈879% of Medicare
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $73,805 $11,071 $26,477 +179% $50,919 +45%
037 EXTRACRANIAL PROCEDURES WITH MCC $73,625 $11,044 $46,296 +59% $66,666 +10%
183 MAJOR CHEST TRAUMA WITH MCC $73,616 $11,042 $36,218 +103% $29,933 +146% ≈524% of Medicare
186 PLEURAL EFFUSION WITH MCC $73,369 $11,005 $33,339 +120% $33,834 +117%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $73,218 $10,983 $17,624 +315% $33,851 +116%
192 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS $72,968 $10,945 $18,699 +290% $14,368 +408%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $72,921 $10,938 $69,645 +5% $28,202 +159%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $72,889 $10,933 $57,295 +27% $34,273 +113%
602 NEONATE BIRTH WEIGHT 1000-1249G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJ $72,775 $72,775 $46,242 +57% $30,598 +138%
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 $49,595 +46% $34,607 +109%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $72,012 $10,802 $30,486 +136% $42,795 +68%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $71,780 $10,767 $61,697 +16% $35,074 +105%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $71,576 $10,736 $42,250 +69% $30,828 +132% ≈555% of Medicare
951 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS $71,515 $10,727 $10,553 +578% $10,160 +604%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $71,431 $10,715 $65,828 +9% $37,387 +91%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $71,118 $10,668 $39,320 +81% $29,743 +139%
284 DISORDERS OF GALLBLADDER AND BILIARY TRACT $71,039 $10,656 $12,811 +455% $16,450 +332%
196 INTERSTITIAL LUNG DISEASE WITH MCC $70,983 $10,648 $42,908 +65% $32,637 +117%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $70,796 $10,619 $64,036 +11% $40,213 +76% ≈394% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $70,482 $10,572 $39,619 +78% $20,422 +245%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $70,157 $10,524 $43,030 +63% $31,017 +126%
592 SKIN ULCERS WITH MCC $69,679 $10,452 $41,533 +68% $33,246 +110%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $69,541 $10,431 $64,628 +8% $32,859 +112%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $69,519 $10,428 $66,524 +5% $40,552 +71%
199 PNEUMOTHORAX WITH MCC $69,395 $10,409 $34,682 +100% $33,787 +105%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $69,335 $10,400 $78,313 −11% $39,020 +78%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $69,251 $10,388 $39,965 +73% $34,192 +103%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $68,553 $10,283 $24,448 +180% $36,354 +89%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $68,517 $10,278 $53,483 +28% $46,402 +48%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $68,066 $10,210 $69,184 −2% $39,006 +75%
445 DISORDERS OF THE BILIARY TRACT WITH CC $67,741 $10,161 $38,290 +77% $23,319 +190% ≈684% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $67,188 $10,078 $56,863 +18% $27,275 +146% ≈607% of Medicare
347 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES $66,737 $10,011 $51,872 +29% $40,548 +65%
088 CONCUSSION WITH MCC $66,710 $10,007 $21,503 +210% $24,402 +173%
593 NEONATE BIRTH WEIGHT 750-999G WITHOUT MAJOR PROCEDURE $66,528 $66,528 $19,063 +249% $22,886 +191%
310 VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES $66,298 $9,945 $19,711 +236% $13,384 +395% ≈1519% of Medicare
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $66,215 $9,932 $54,164 +22% $50,046 +32%
906 HAND PROCEDURES FOR INJURIES $66,182 $9,927 $44,481 +49% $32,065 +106%
263 CHOLECYSTECTOMY $66,107 $9,916 $68,011 −3% $51,253 +29%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $64,616 $9,692 $61,418 +5% $36,937 +75%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $64,412 $9,662 $23,065 +179% $25,703 +151%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $63,953 $9,593 $41,795 +53% $38,101 +68%
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE $63,772 $9,566 $72,498 −12% $72,498 −12%
561 POSTPARTUM & POST ABORTION DIAGNOSES WTIHOUT PROCEDURE $63,710 $9,557 $27,139 +135% $18,150 +251%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $63,630 $9,544 $47,898 +33% $31,159 +104%
245 AICD GENERATOR PROCEDURES $63,617 $9,543 $27,260 +133% $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 $56,971 +11% $26,932 +135%
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 $47,333 +33% $27,285 +130% ≈517% of Medicare
102 HEADACHES WITH MCC $62,586 $9,388 $35,978 +74% $25,740 +143%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $62,334 $9,350 $55,401 +13% $27,394 +128%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $62,117 $9,318 $59,579 +4% $32,496 +91% ≈437% of Medicare
022 VENTRICULAR SHUNT PROCEDURES $62,089 $9,313 $49,015 +27% $66,848 −7%
374 DIGESTIVE MALIGNANCY WITH MCC $62,007 $9,301 $55,854 +11% $39,958 +55%
643 ENDOCRINE DISORDERS WITH MCC $61,991 $9,299 $34,224 +81% $33,563 +85%
668 TRANSURETHRAL PROCEDURES WITH MCC $61,727 $9,259 $59,336 +4% $51,608 +20%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $60,616 $9,092 $24,535 +147% $22,148 +174%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $60,568 $9,085 $34,308 +77% $23,283 +160%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $60,531 $9,080 $30,777 +97% $30,235 +100% ≈438% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $60,228 $9,034 $37,129 +62% $22,635 +166%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $60,182 $9,027 $16,971 +255% $17,698 +240%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $60,173 $9,026 $55,450 +9% $32,877 +83%
230 MAJOR SMALL BOWEL PROCEDURES $60,115 $9,017 $45,561 +32% $58,096 +3%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $59,836 $8,975 $17,544 +241% $24,544 +144%
398 APPENDIX PROCEDURES WITH CC $59,650 $8,948 $64,962 −8% $40,162 +49%
639 NEONATE BIRTH WEIGHT > 2499G WITH OTHER SIGNIFICANT CONDITION $59,394 $8,909 $19,699 +202% $13,910 +327%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $59,030 $8,855 $11,909 +396% $11,909 +396%
811 RED BLOOD CELL DISORDERS WITH MCC $58,869 $8,830 $37,560 +57% $28,226 +109% ≈456% of Medicare
540 CESAREAN SECTION WITHOUT STERILIZATION $58,695 $8,804 $34,794 +69% $26,676 +120%
291 HEART FAILURE AND SHOCK WITH MCC $58,655 $8,798 $40,123 +46% $26,776 +119% ≈498% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $58,266 $8,740 $25,133 +132% $29,079 +100%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $57,551 $8,633 $21,277 +170% $27,119 +112%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $57,517 $8,628 $72,134 −20% $44,117 +30%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $57,397 $8,610 $34,884 +65% $25,034 +129%
547 ANTEPARTUM WITH O.R. PROCEDURE $57,391 $8,609 $24,063 +139% $16,565 +246%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $57,143 $8,572 $18,704 +206% $15,837 +261%
317 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES $56,948 $8,542 $48,735 +17% $88,566 −36%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $56,769 $8,515 $27,659 +105% $20,084 +183%
188 PLEURAL EFFUSION WITHOUT CC/MCC $56,589 $8,488 $12,723 +345% $14,514 +290%
539 OSTEOMYELITIS WITH MCC $56,331 $8,450 $50,351 +12% $37,609 +50%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $55,731 $8,360 $56,350 −1% $26,618 +109% ≈595% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $55,728 $8,359 $52,301 +7% $38,861 +43%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $55,719 $8,358 $13,385 +316% $14,014 +298%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $55,696 $8,354 $57,799 −4% $36,431 +53%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $55,573 $8,336 $46,193 +20% $25,094 +121%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $55,226 $8,284 $60,837 −9% $39,211 +41%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $55,142 $8,271 $36,217 +52% $27,043 +104% ≈489% of Medicare
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $54,806 $8,221 $12,252 +347% $18,459 +197%
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS $54,164 $8,125 $17,375 +212% $30,000 +81%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $53,820 $8,073 $28,901 +86% $23,571 +128%
184 MAJOR CHEST TRAUMA WITH CC $53,792 $8,069 $31,929 +68% $22,432 +140% ≈578% of Medicare
660 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION $53,248 $7,987 $44,636 +19% $31,264 +70%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $52,859 $7,929 $36,938 +43% $23,940 +121% ≈619% of Medicare
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $52,710 $7,907 $32,504 +62% $38,998 +35%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $52,519 $7,878 $27,370 +92% $21,396 +145% ≈669% of Medicare
541 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C $52,417 $7,862 $29,513 +78% $15,215 +245%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $52,229 $7,834 $50,457 +4% $24,386 +114% ≈552% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $52,063 $7,810 $58,337 −11% $35,770 +46%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $51,947 $7,792 $46,673 +11% $32,697 +59%
386 INFLAMMATORY BOWEL DISEASE WITH CC $51,754 $7,763 $27,597 +88% $22,033 +135%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $51,714 $7,757 $21,743 +138% $17,700 +192%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $50,651 $7,598 $53,727 −6% $31,321 +62%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $50,349 $7,552 $26,155 +92% $16,846 +199%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $50,185 $7,528 $26,244 +91% $28,140 +78%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $50,058 $7,509 $37,757 +33% $26,580 +88% ≈448% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $49,841 $7,476 $35,914 +39% $33,048 +51%
200 PNEUMOTHORAX WITH CC $49,046 $7,357 $25,828 +90% $21,368 +130% ≈260% of Medicare
947 SIGNS AND SYMPTOMS WITH MCC $48,591 $7,289 $48,840 −1% $27,401 +77%
292 HEART FAILURE AND SHOCK WITH CC $48,427 $7,264 $30,136 +61% $16,371 +196%
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 $15,591 +208% $19,594 +145%
637 DIABETES WITH MCC $47,746 $7,162 $30,655 +56% $30,100 +59% ≈291% of Medicare
644 ENDOCRINE DISORDERS WITH CC $47,469 $7,120 $31,330 +52% $23,198 +105%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $47,070 $7,061 $52,780 −11% $25,463 +85% ≈289% of Medicare
682 RENAL FAILURE WITH MCC $46,893 $7,034 $46,893 +0% $29,064 +61% ≈285% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $46,879 $7,032 $42,576 +10% $27,617 +70%
222 OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES $46,723 $7,008 $86,864 −46% $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 $34,781 +32% $21,275 +116% ≈268% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $45,966 $6,895 $15,603 +195% $19,924 +131% ≈295% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $45,561 $6,834 $13,602 +235% $19,962 +128%
694 URINARY STONES WITHOUT MCC $45,525 $6,829 $27,794 +64% $17,345 +162%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $45,468 $6,820 $19,686 +131% $23,498 +93%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $45,381 $6,807 $31,718 +43% $21,894 +107%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $45,303 $6,795 $23,568 +92% $15,428 +194%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $45,205 $6,781 $24,095 +88% $20,895 +116%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $45,101 $6,765 $29,084 +55% $23,488 +92% ≈279% of Medicare
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $45,012 $6,752 $23,263 +93% $24,550 +83%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $44,877 $6,732 $30,654 +46% $17,601 +155%
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% $23,617 +90% ≈283% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $44,176 $6,626 $30,760 +44% $21,056 +110% ≈288% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $43,605 $6,541 $29,126 +50% $20,181 +116% ≈279% of Medicare
549 SEPTIC ARTHRITIS WITH CC $43,371 $6,506 $24,180 +79% $24,056 +80%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $42,864 $6,430 $44,199 −3% $22,024 +95%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $42,762 $6,414 $34,536 +24% $23,551 +82% ≈253% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $42,736 $6,410 $16,841 +154% $15,370 +178%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $42,714 $6,407 $21,106 +102% $20,957 +104%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $42,633 $6,395 $33,491 +27% $22,098 +93% ≈297% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $42,174 $6,326 $30,303 +39% $17,733 +138%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $41,852 $6,278 $36,362 +15% $22,458 +86%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $41,819 $6,273 $26,095 +60% $19,037 +120%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $41,800 $6,270 $92,706 −55% $30,770 +36%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $41,774 $6,266 $29,934 +40% $25,303 +65%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $41,728 $6,259 $26,067 +60% $22,763 +83%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $41,680 $6,252 $41,680 +0% $16,968 +146%
597 MALIGNANT BREAST DISORDERS WITH MCC $41,676 $6,251 $15,540 +168% $33,386 +25%
461 KIDNEY AND URINARY TRACT MALIGNANCY $41,417 $76,071 −46% $108,472 −62%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC $41,143 $6,171 $31,915 +29% $32,443 +27%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $41,103 $6,165 $45,871 −10% $20,259 +103%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $41,098 $6,165 $42,477 −3% $32,021 +28% ≈310% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $40,986 $6,148 $40,302 +2% $22,506 +82%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $40,847 $6,127 $27,102 +51% $18,002 +127% ≈380% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $40,768 $6,115 $50,512 −19% $33,661 +21%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $40,636 $6,095 $29,836 +36% $19,846 +105%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $40,560 $6,084 $19,057 +113% $18,133 +124%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $40,441 $6,066 $15,598 +159% $20,911 +93%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $40,427 $6,064 $30,553 +32% $30,553 +32%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $40,380 $6,057 $36,298 +11% $33,555 +20%
348 ANAL AND STOMAL PROCEDURES WITH CC $40,196 $6,029 $45,396 −11% $27,947 +44%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $39,786 $5,968 $12,534 +217% $12,559 +217%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $39,684 $5,953 $28,413 +40% $19,569 +103%
381 COMPLICATED PEPTIC ULCER WITH CC $39,603 $5,940 $30,250 +31% $24,177 +64%
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS $39,318 $5,898 $39,318 $26,085 +51%
103 HEADACHES WITHOUT MCC $39,091 $5,864 $30,163 +30% $21,280 +84%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $39,019 $5,853 $22,793 +71% $20,232 +93%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $38,788 $5,818 $18,191 +113% $25,652 +51%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $38,750 $5,813 $71,281 −46% $34,749 +12%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $38,689 $5,803 $29,518 +31% $31,134 +24%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $38,682 $5,802 $17,193 +125% $17,193 +125%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $38,463 $5,769 $18,707 +106% $21,847 +76%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $38,271 $5,741 $25,188 +52% $16,520 +132% ≈291% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $38,065 $5,710 $38,065 +0% $18,452 +106%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $37,981 $5,697 $44,389 −14% $55,289 −31%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $37,863 $5,679 $21,818 +74% $12,454 +204%
638 DIABETES WITH CC $37,770 $5,665 $24,658 +53% $19,661 +92% ≈289% of Medicare
683 RENAL FAILURE WITH CC $37,608 $5,641 $24,421 +54% $19,130 +97% ≈301% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $37,528 $5,629 $73,182 −49% $33,694 +11%
920 COMPLICATIONS OF TREATMENT WITH CC $37,330 $5,599 $28,101 +33% $22,468 +66%
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 $26,898 +39% $17,124 +118%
152 OTITIS MEDIA AND URI WITH MCC $37,043 $5,556 $45,505 −19% $20,247 +83%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $36,959 $5,544 $32,674 +13% $19,096 +94% ≈290% of Medicare
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $36,381 $5,457 $27,256 +33% $23,206 +57%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,920 $5,388 $44,280 −19% $33,047 +9%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $35,906 $5,386 $27,046 +33% $21,449 +67%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $35,904 $5,386 $28,118 +28% $17,298 +108%
187 PLEURAL EFFUSION WITH CC $35,871 $5,381 $25,699 +40% $21,789 +65%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $35,819 $5,373 $23,999 +49% $24,586 +46%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $35,789 $5,368 $62,299 −43% $50,618 −29%
915 ALLERGIC REACTIONS WITH MCC $35,705 $5,356 $41,180 −13% $32,645 +9%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $35,546 $5,332 $53,002 −33% $27,633 +29%
312 SYNCOPE AND COLLAPSE $35,447 $5,317 $26,853 +32% $19,342 +83% ≈309% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $35,335 $5,300 $27,876 +27% $20,781 +70% ≈331% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,010 $5,251 $20,672 +69% $24,127 +45%
090 CONCUSSION WITHOUT CC/MCC $34,872 $5,231 $14,321 +144% $15,412 +126%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $34,646 $5,197 $14,627 +137% $19,854 +75%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $34,439 $5,166 $38,959 −12% $19,138 +80%
149 DYSEQUILIBRIUM $34,424 $5,164 $22,523 +53% $18,096 +90% ≈293% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $34,265 $5,140 $56,359 −39% $28,156 +22%
935 NON-EXTENSIVE BURNS $34,164 $5,125 $40,847 −16% $31,701 +8%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $33,619 $5,043 $32,403 +4% $19,227 +75% ≈502% of Medicare
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $33,443 $5,016 $24,378 +37% $18,956 +76%
139 OTHER PNEUMONIA $33,303 $4,995 $33,303 +0% $23,612 +41%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $33,175 $4,976 $33,175 +0% $18,204 +82% ≈285% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $32,922 $4,938 $22,922 +44% $22,850 +44%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $32,872 $4,931 $30,514 +8% $23,749 +38%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $32,858 $4,929 $20,145 +63% $26,051 +26%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $32,738 $4,911 $26,055 +26% $17,620 +86%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $32,723 $4,908 $14,516 +125% $16,998 +93%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $32,608 $4,891 $30,301 +8% $19,842 +64% ≈299% of Medicare
123 NEUROLOGICAL EYE DISORDERS $32,587 $4,888 $33,346 −2% $19,745 +65%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $32,398 $4,860 $28,032 +16% $19,657 +65%
684 RENAL FAILURE WITHOUT CC/MCC $32,388 $4,858 $16,007 +102% $13,642 +137%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $32,256 $4,838 $21,274 +52% $15,183 +112%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $32,182 $4,827 $28,523 +13% $27,163 +18%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $31,919 $4,788 $43,100 −26% $26,682 +20% ≈284% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $31,732 $4,760 $28,035 +13% $20,488 +55% ≈271% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $31,707 $4,756 $29,171 +9% $18,081 +75% ≈275% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $31,670 $4,751 $24,018 +32% $17,118 +85%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $31,562 $4,734 $38,521 −18% $26,280 +20%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $31,349 $4,702 $27,649 +13% $20,506 +53% ≈323% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $31,239 $4,686 $19,357 +61% $27,297 +14%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $31,162 $4,674 $24,999 +25% $31,563 −1%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $30,987 $4,648 $15,019 +106% $15,019 +106%
948 SIGNS AND SYMPTOMS WITHOUT MCC $30,839 $4,626 $24,486 +26% $17,921 +72% ≈302% of Medicare
422 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS $30,683 $4,602 $21,619 +42% $25,073 +22%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $30,660 $4,599 $25,612 +20% $12,999 +136%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $30,212 $4,532 $40,745 −26% $18,807 +61%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC $30,193 $4,529 $11,913 +153% $18,316 +65%
135 MAJOR CHEST AND RESPIRATORY TRAUMA $30,085 $4,513 $21,783 +38% $42,186 −29%
303 ATHEROSCLEROSIS WITHOUT MCC $30,043 $4,506 $22,945 +31% $14,927 +101%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $29,839 $4,476 $28,774 +4% $17,674 +69% ≈278% of Medicare
202 BRONCHITIS AND ASTHMA WITH CC/MCC $29,348 $4,402 $33,241 −12% $17,724 +66%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $29,310 $4,397 $16,529 +77% $12,324 +138%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $29,140 $4,371 $21,217 +37% $14,716 +98%
145 ACUTE BRONCHITIS AND RELATED SYMPTOMS $29,007 $4,351 $35,437 −18% $25,712 +13%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $28,935 $4,340 $14,454 +100% $13,275 +118%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $28,816 $4,322 $26,032 +11% $18,126 +59%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $28,766 $4,315 $16,177 +78% $18,528 +55%
305 HYPERTENSION WITHOUT MCC $28,575 $4,286 $28,872 −1% $18,086 +58% ≈316% of Medicare
101 SEIZURES WITHOUT MCC $28,280 $4,242 $25,796 +10% $20,461 +38% ≈294% of Medicare
204 RESPIRATORY SIGNS AND SYMPTOMS $28,279 $4,242 $38,490 −27% $18,004 +57%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $28,255 $4,238 $39,692 −29% $20,566 +37%
053 SEIZURE $28,218 $4,233 $15,153 +86% $20,455 +38%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $28,120 $4,218 $17,625 +60% $16,552 +70%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $28,089 $4,213 $51,535 −45% $27,843 +1%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $28,069 $4,210 $17,249 +63% $15,038 +87%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $27,943 $4,191 $52,322 −47% $30,571 −9%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $27,804 $4,171 $24,811 +12% $16,699 +67% ≈282% of Medicare
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $27,782 $4,167 $68,095 −59% $77,055 −64%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,726 $4,159 $24,813 +12% $12,460 +123%
311 ANGINA PECTORIS $27,717 $4,158 $20,417 +36% $15,502 +79%
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 $8,867 +211% $11,071 +149%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $27,339 $4,101 $25,621 +7% $16,776 +63%
603 CELLULITIS WITHOUT MCC $27,323 $4,098 $28,375 −4% $18,530 +47% ≈295% of Medicare
885 PSYCHOSES $27,090 $4,064 $29,910 −9% $21,729 +25% ≈283% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $26,920 $4,038 $26,362 +2% $17,322 +55% ≈290% of Medicare
626 NEONATE BIRTH WEIGHT 2000-2499G, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM $26,145 $3,922 $50,311 −48% $33,454 −22%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $25,987 $3,898 $23,527 +10% $17,038 +53% ≈295% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $25,521 $3,828 $18,025 +42% $15,680 +63%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $25,252 $3,788 $10,118 +150% $12,895 +96%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $25,163 $3,774 $8,927 +182% $8,927 +182%
916 ALLERGIC REACTIONS WITHOUT MCC $25,027 $3,754 $17,472 +43% $13,942 +80%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $24,633 $3,695 $19,132 +29% $19,132 +29%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,628 $3,694 $22,219 +11% $15,600 +58%
722 FEVER AND INFLAMMATORY CONDITIONS $24,543 $3,681 $25,633 −4% $29,826 −18%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $24,359 $3,654 $23,474 +4% $17,578 +39% ≈286% of Medicare
197 PERIPHERAL AND OTHER VASCULAR DISORDERS $24,270 $3,641 $28,474 −15% $21,941 +11%
151 EPISTAXIS WITHOUT MCC $24,044 $3,607 $6,972 +245% $13,032 +85%
158 DENTAL AND ORAL DISEASES WITH CC $24,004 $3,601 $24,004 +0% $18,466 +30%
914 TRAUMATIC INJURY WITHOUT MCC $23,814 $3,572 $24,833 −4% $15,855 +50%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $23,379 $3,507 $21,596 +8% $18,488 +26%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $23,246 $3,487 $25,476 −9% $15,452 +50%
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 $14,272 +58% $12,078 +87%
201 PNEUMOTHORAX WITHOUT CC/MCC $22,546 $3,382 $13,904 +62% $14,053 +60%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $22,509 $3,376 $21,964 +2% $13,651 +65%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $22,151 $3,323 $13,497 +64% $14,549 +52%
534 FRACTURES OF FEMUR WITHOUT MCC $22,076 $3,311 $23,794 −7% $17,559 +26%
887 OTHER MENTAL DISORDER DIAGNOSES $21,939 $3,291 $33,684 −35% $20,616 +6%
048 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS $21,927 $3,289 $34,401 −36% $34,401 −36%
058 OTHER DISORDERS OF NERVOUS SYSTEM $21,828 $3,274 $32,194 −32% $30,243 −28%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $21,284 $3,193 $9,606 +122% $13,633 +56%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $20,932 $3,140 $24,375 −14% $14,128 +48%
153 OTITIS MEDIA AND URI WITHOUT MCC $20,756 $3,113 $26,521 −22% $14,583 +42%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $20,511 $3,077 $45,474 −55% $24,944 −18%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,075 $3,011 $95,112 −79% $41,620 −52%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $20,069 $3,010 $17,180 +17% $13,361 +50%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $19,626 $2,944 $20,073 −2% $16,767 +17%
425 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS $19,467 $2,920 $61,560 −68% $26,598 −27%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $19,166 $2,875 $21,587 −11% $18,602 +3%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $18,706 $2,806 $12,813 +46% $14,797 +26%
949 AFTERCARE WITH CC/MCC $18,595 $2,789 $29,124 −36% $23,953 −22%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $18,075 $2,711 $23,187 −22% $14,638 +23%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $18,072 $2,711 $38,581 −53% $18,072 +0%
247 INTESTINAL OBSTRUCTION $17,246 $2,587 $21,734 −21% $21,663 −20%
864 FEVER AND INFLAMMATORY CONDITIONS $17,084 $2,563 $26,401 −35% $18,640 −8%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $16,742 $2,511 $4,530 +270% $15,495 +8%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $16,709 $2,506 $15,610 +7% $16,700 +0%
137 MOUTH PROCEDURES WITH CC/MCC $16,690 $2,504 $35,861 −53% $27,861 −40%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $16,335 $2,450 $21,422 −24% $26,510 −38%
596 MAJOR SKIN DISORDERS WITHOUT MCC $16,275 $2,441 $27,174 −40% $17,226 −6%
866 VIRAL ILLNESS WITHOUT MCC $16,131 $2,420 $31,738 −49% $17,081 −6%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $15,513 $2,327 $3,118 +397% $17,483 −11%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $15,321 $2,298 $20,180 −24% $15,215 +1%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,216 $2,282 $27,187 −44% $13,824 +10%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $14,792 $2,219 $19,355 −24% $14,689 +1%
881 DEPRESSIVE NEUROSES $14,727 $2,209 $14,727 +0% $15,058 −2%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,667 $2,200 $18,486 −21% $16,288 −10%
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 $11,173 +28% $9,940 +43%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $14,001 $2,100 $12,235 +14% $12,252 +14%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,460 $2,019 $10,849 +24% $8,445 +59%
642 INBORN AND OTHER DISORDERS OF METABOLISM $13,310 $1,996 $19,302 −31% $20,727 −36%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $13,233 $1,985 $17,702 −25% $14,415 −8%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,175 $1,976 $8,604 +53% $11,421 +15%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,607 $1,891 $24,405 −48% $14,250 −12%
756 ACUTE ANXIETY AND DELIRIUM STATES $12,255 $1,838 $24,498 −50% $15,589 −21%
548 POSTPARTUM & POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE $11,791 $1,769 $64,624 −82% $31,346 −62%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,008 $1,651 $11,503 −4% $11,997 −8%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,463 $1,569 $28,798 −64% $13,586 −23%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,298 $1,545 $27,858 −63% $18,126 −43%
249 OTHER GASTROENTERITIS, NAUSA AND VOMITING $10,253 $1,538 $20,610 −50% $20,610 −50%
723 VIRAL ILLNESS $9,903 $1,485 $16,440 −40% $19,815 −50%
775 ALCOHOL ABUSE AND DEPENDENCE $9,283 $1,392 $59,494 −84% $3,032 +206%
383 CELLULITIS AND OTHER SKIN INFECTIONS $8,851 $54,426 −84% $27,426 −68%
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK $8,620 $1,293 $36,805 −77% $16,487 −48%
595 MAJOR SKIN DISORDERS WITH MCC $8,473 $92,180 −91% $34,598 −76%
795 NORMAL NEWBORN $7,424 $1,114 $5,787 +28% $4,720 +57%
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 $20,619 −74% $29,805 −82%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $1,780 $8,971 −80% $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 1 plans