Baylor Scott & White Medical Center - Uptown — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 748 with a comparable price, 18 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 766
Lowest published price $710
Average published price $14,421
Highest published price $329,629

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 766 procedures

Published charges

Showing all 748 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. Cash-pay prices not published for this hospital.

DRG Description Published price vs. TX median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $329,629 $483,987 −32% $498,715 −34% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $238,637 $362,617 −34% $431,073 −45% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $187,842 $660,173 −72% $371,366 −49% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $108,033 $143,467 −25% $169,977 −36% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $102,466 $166,500 −38% $175,437 −42% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $101,119 $171,028 −41% $182,314 −45% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $80,874 $103,861 −22% $103,861 −22% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $70,627 $105,228 −33% $105,228 −33% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $64,076 $94,288 −32% $131,961 −51% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $61,100 $210,247 −71% $116,058 −47% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $55,492 $91,253 −39% $105,612 −47% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $52,837 $139,926 −62% $102,177 −48% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,742 $73,103 −29% $78,582 −34% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $49,639 $74,709 −34% $76,583 −35% —
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $49,581 $176,964 −72% $171,338 −71% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $49,116 $140,973 −65% $108,472 −55% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $48,096 $78,699 −39% $75,251 −36% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $47,914 $84,256 −43% $102,573 −53% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $46,219 $196,712 −77% $143,242 −68% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $44,464 $89,662 −50% $118,589 −63% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $44,296 $131,768 −66% $87,018 −49% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $43,218 $122,950 −65% $120,587 −64% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $42,793 $59,237 −28% $83,441 −49% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $42,039 $154,549 −73% $86,390 −51% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $41,650 $99,711 −58% $90,331 −54% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $41,516 $125,987 −67% $84,861 −51% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $41,469 $205,911 −80% $151,029 −73% —
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $41,353 $86,864 −52% $86,864 −52% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $41,353 $67,791 −39% $96,905 −57% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $41,057 $79,247 −48% $112,062 −63% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $39,941 $63,928 −38% $80,885 −51% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $39,767 $103,292 −62% $106,778 −63% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $39,767 $91,266 −56% $92,238 −57% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $39,693 $209,912 −81% $121,714 −67% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $39,378 $149,897 −74% $138,868 −72% —
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $39,313 $68,394 −43% $80,427 −51% —
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $39,313 $56,960 −31% $56,960 −31% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $39,313 $59,712 −34% $65,325 −40% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $39,205 $91,417 −57% $88,307 −56% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $38,986 $148,272 −74% $88,691 −56% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $38,649 $75,038 −48% $75,585 −49% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,254 $26,990 +42% $16,719 +129% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $38,010 $95,906 −60% $62,404 −39% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $37,998 $138,656 −73% $82,561 −54% —
231 CORONARY BYPASS WITH PTCA WITH MCC $37,923 $128,088 −70% $146,474 −74% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $37,923 $198,564 −81% $106,238 −64% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $37,923 $56,565 −33% $82,247 −54% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $37,236 $51,761 −28% $60,861 −39% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $37,115 $69,101 −46% $69,101 −46% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $36,879 $35,340 +4% $45,622 −19% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $36,879 $36,879 +0% $36,080 +2% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $36,662 $106,284 −66% $74,257 −51% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $36,475 $54,300 −33% $61,832 −41% —
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $36,090 $49,712 −27% $57,380 −37% —
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $36,078 $59,206 −39% $59,206 −39% —
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $36,078 $72,618 −50% $72,618 −50% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $36,071 $80,603 −55% $113,855 −68% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,071 $64,248 −44% $92,217 −61% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,915 $82,731 −57% $98,912 −64% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $35,704 $72,886 −51% $68,006 −47% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $35,636 $69,779 −49% $71,701 −50% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $35,629 $81,176 −56% $81,176 −56% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $35,407 $135,321 −74% $101,235 −65% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $34,724 $89,456 −61% $72,011 −52% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $34,699 $53,665 −35% $72,908 −52% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $34,224 $73,455 −53% $94,927 −64% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $33,428 $89,410 −63% $56,964 −41% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $32,359 $92,812 −65% $65,573 −51% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $32,059 $53,945 −41% $78,852 −59% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $31,809 $82,870 −62% $96,222 −67% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $31,746 $54,107 −41% $55,162 −42% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $31,446 $226,137 −86% $138,008 −77% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $31,315 $89,353 −65% $89,353 −65% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $30,902 $74,599 −59% $64,956 −52% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $30,672 $83,192 −63% $117,280 −74% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $30,546 $77,461 −61% $91,329 −67% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $30,546 $93,036 −67% $53,551 −43% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $30,519 $100,025 −69% $64,465 −53% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,146 $85,313 −65% $59,425 −49% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $29,737 $43,330 −31% $62,821 −53% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $29,498 $132,154 −78% $88,049 −66% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $29,219 $92,740 −68% $66,819 −56% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,055 $43,894 −34% $33,607 −14% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,006 $53,307 −46% $55,097 −47% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $28,666 $63,849 −55% $51,142 −44% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $28,195 $73,695 −62% $71,014 −60% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,131 $79,695 −65% $83,065 −66% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $28,124 $46,399 −39% $52,332 −46% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $28,124 $105,340 −73% $99,423 −72% —
570 SKIN DEBRIDEMENT WITH MCC $28,047 $47,727 −41% $52,435 −47% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $27,985 $78,460 −64% $96,192 −71% —
010 PANCREAS TRANSPLANT $27,828 $99,940 −72% $99,940 −72% —
654 MAJOR BLADDER PROCEDURES WITH CC $27,233 $39,822 −32% $53,868 −49% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $26,614 $175,396 −85% $86,953 −69% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,325 $47,649 −45% $68,880 −62% —
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $26,125 $31,821 −18% $34,146 −23% —
503 FOOT PROCEDURES WITH MCC $25,520 $44,309 −42% $43,901 −42% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $25,023 $56,535 −56% $66,853 −63% —
245 AICD GENERATOR PROCEDURES $24,682 $66,564 −63% $72,076 −66% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $24,512 $31,646 −23% $40,063 −39% —
653 MAJOR BLADDER PROCEDURES WITH MCC $24,501 $132,069 −81% $97,046 −75% —
849 RADIOTHERAPY $24,027 $41,538 −42% $37,862 −37% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $23,995 $61,694 −61% $54,320 −56% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $23,913 $86,459 −72% $86,459 −72% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,849 $58,314 −59% $70,132 −66% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,826 $83,613 −72% $50,815 −53% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $23,713 $149,761 −84% $71,551 −67% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $23,623 $73,229 −68% $50,011 −53% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,162 $52,032 −55% $45,497 −49% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $22,897 $76,015 −70% $50,139 −54% —
164 MAJOR CHEST PROCEDURES WITH CC $22,787 $58,838 −61% $53,141 −57% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,408 $70,613 −68% $67,901 −67% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $22,314 $76,642 −71% $54,824 −59% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $22,191 $32,604 −32% $37,064 −40% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $22,017 $52,536 −58% $74,755 −71% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $21,515 $37,631 −43% $40,947 −47% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $21,419 $54,196 −60% $54,196 −60% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $21,395 $69,973 −69% $65,254 −67% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $21,395 $61,292 −65% $49,197 −57% ≈223% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,219 $76,837 −72% $58,832 −64% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $21,091 $49,718 −58% $57,855 −64% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $21,016 $44,566 −53% $54,929 −62% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $20,738 $117,803 −82% $71,755 −71% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $20,587 $57,889 −64% $48,680 −58% —
471 CERVICAL SPINAL FUSION WITH MCC $20,544 $66,842 −69% $92,515 −78% —
472 CERVICAL SPINAL FUSION WITH CC $20,544 $51,075 −60% $59,537 −65% ≈122% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $20,544 $71,589 −71% $50,624 −59% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $20,481 $76,345 −73% $68,399 −70% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $20,256 $59,378 −66% $40,552 −50% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $20,129 $108,235 −81% $72,859 −72% —
397 APPENDIX PROCEDURES WITH MCC $20,108 $49,342 −59% $52,319 −62% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,968 $52,027 −62% $44,989 −56% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,946 $32,258 −38% $30,940 −36% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $19,946 $60,017 −67% $64,776 −69% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $19,946 $41,744 −52% $43,775 −54% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $19,946 $44,354 −55% $31,816 −37% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $19,929 $48,152 −59% $36,933 −46% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $19,922 $61,679 −68% $42,126 −53% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $19,841 $49,651 −60% $49,065 −60% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $19,800 $77,406 −74% $107,355 −82% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,771 $94,746 −79% $67,764 −71% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $19,771 $68,532 −71% $56,519 −65% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,732 $83,214 −76% $63,475 −69% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $19,658 $90,791 −78% $75,103 −74% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,611 $61,278 −68% $36,334 −46% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $19,596 $52,001 −62% $46,477 −58% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $19,413 $31,221 −38% $43,800 −56% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $19,193 $42,406 −55% $37,950 −49% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $19,103 $57,163 −67% $32,981 −42% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $18,874 $36,115 −48% $33,694 −44% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,778 $39,849 −53% $39,253 −52% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $18,618 $46,747 −60% $35,673 −48% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $18,373 $55,658 −67% $45,963 −60% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,351 $21,210 −13% $29,109 −37% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,336 $65,401 −72% $48,907 −63% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $18,302 $133,390 −86% $73,029 −75% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $18,186 $34,876 −48% $27,118 −33% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $18,145 $52,248 −65% $29,409 −38% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,025 $43,181 −58% $41,660 −57% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $18,001 $100,268 −82% $62,961 −71% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,000 $49,043 −63% $28,967 −38% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,973 $62,477 −71% $35,714 −50% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $17,929 $50,793 −65% $41,380 −57% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,880 $51,746 −65% $44,973 −60% —
157 DENTAL AND ORAL DISEASES WITH MCC $17,812 $42,077 −58% $27,457 −35% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $17,780 $29,131 −39% $44,363 −60% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $17,746 $48,286 −63% $43,398 −59% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $17,670 $53,393 −67% $31,566 −44% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $17,658 $59,352 −70% $59,352 −70% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $17,644 $81,319 −78% $56,242 −69% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $17,625 $59,066 −70% $60,098 −71% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,583 $48,230 −64% $34,089 −48% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $17,476 $57,584 −70% $68,659 −75% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $17,459 $35,273 −51% $30,930 −44% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $17,412 $44,265 −61% $35,453 −51% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $17,412 $38,609 −55% $32,451 −46% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,364 $21,022 −17% $29,050 −40% —
551 MEDICAL BACK PROBLEMS WITH MCC $17,316 $42,807 −60% $31,086 −44% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $17,290 $57,570 −70% $72,945 −76% —
252 OTHER VASCULAR PROCEDURES WITH MCC $17,111 $48,030 −64% $68,508 −75% —
662 MINOR BLADDER PROCEDURES WITH MCC $17,095 $52,022 −67% $54,483 −69% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $17,043 $68,262 −75% $60,140 −72% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,028 $37,241 −54% $23,734 −28% —
332 RECTAL RESECTION WITH MCC $16,969 $48,214 −65% $58,125 −71% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $16,943 $24,928 −32% $29,916 −43% —
505 FOOT PROCEDURES WITHOUT CC/MCC $16,935 $26,653 −36% $31,716 −47% —
500 SOFT TISSUE PROCEDURES WITH MCC $16,755 $44,320 −62% $57,479 −71% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,681 $32,249 −48% $29,476 −43% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,612 $13,949 +19% $22,698 −27% —
265 AICD LEAD PROCEDURES $16,492 $49,492 −67% $56,695 −71% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $16,444 $36,428 −55% $39,018 −58% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $16,425 $38,514 −57% $33,984 −52% —
665 PROSTATECTOMY WITH MCC $16,408 $68,365 −76% $54,072 −70% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,390 $59,215 −72% $40,277 −59% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,301 $58,041 −72% $32,538 −50% —
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $16,195 $20,610 −21% $20,610 −21% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $16,127 $46,828 −66% $30,814 −48% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $16,040 $24,506 −35% $28,646 −44% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $15,994 $53,785 −70% $44,839 −64% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $15,959 $38,454 −58% $43,491 −63% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $15,765 $92,538 −83% $74,274 −79% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,692 $49,708 −68% $36,242 −57% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $15,480 $46,335 −67% $45,432 −66% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,324 $35,255 −57% $20,842 −26% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $15,253 $46,133 −67% $54,129 −72% —
253 OTHER VASCULAR PROCEDURES WITH CC $15,109 $69,497 −78% $53,746 −72% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,094 $51,792 −71% $44,117 −66% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $15,023 $30,579 −51% $20,463 −27% —
643 ENDOCRINE DISORDERS WITH MCC $14,819 $44,725 −67% $32,996 −55% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $14,772 $48,636 −70% $53,817 −73% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $14,769 $36,791 −60% $41,703 −65% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $14,766 $60,574 −76% $51,339 −71% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $14,546 $30,692 −53% $22,811 −36% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $14,488 $32,168 −55% $29,805 −51% —
597 MALIGNANT BREAST DISORDERS WITH MCC $14,426 $48,535 −70% $31,846 −55% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,386 $35,486 −59% $28,134 −49% —
709 PENIS PROCEDURES WITH CC/MCC $14,274 $32,777 −56% $34,535 −59% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $14,267 $21,986 −35% $21,986 −35% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $14,235 $30,239 −53% $23,956 −41% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $14,231 $8,330 +71% $7,961 +79% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,177 $51,780 −73% $44,553 −68% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,132 $31,933 −56% $24,118 −41% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $14,089 $25,262 −44% $24,879 −43% —
333 RECTAL RESECTION WITH CC $14,073 $61,029 −77% $34,352 −59% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,007 $26,061 −46% $17,388 −19% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,959 $34,890 −60% $41,520 −66% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,938 $23,602 −41% $34,906 −60% —
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $13,797 $33,983 −59% $33,983 −59% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $13,694 $39,831 −66% $23,350 −41% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $13,633 $25,952 −47% $19,598 −30% —
945 REHABILITATION WITH CC/MCC $13,626 $23,834 −43% $23,834 −43% —
509 ARTHROSCOPY $13,598 $25,994 −48% $25,994 −48% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $13,596 $59,227 −77% $45,818 −70% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $13,550 $49,899 −73% $36,239 −63% —
682 RENAL FAILURE WITH MCC $13,550 $38,760 −65% $27,854 −51% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,496 $43,152 −69% $48,358 −72% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $13,484 $32,719 −59% $46,430 −71% —
548 SEPTIC ARTHRITIS WITH MCC $13,479 $43,438 −69% $31,019 −57% —
913 TRAUMATIC INJURY WITH MCC $13,475 $35,934 −63% $24,198 −44% —
302 ATHEROSCLEROSIS WITH MCC $13,453 $18,292 −26% $20,844 −35% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,452 $31,822 −58% $27,279 −51% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $13,398 $36,697 −63% $23,115 −42% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $13,337 $33,308 −60% $36,237 −63% —
028 SPINAL PROCEDURES WITH MCC $13,264 $82,145 −84% $95,858 −86% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $13,248 $63,316 −79% $45,059 −71% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,005 $51,021 −75% $38,836 −67% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,961 $27,823 −53% $35,459 −63% —
549 SEPTIC ARTHRITIS WITH CC $12,957 $27,124 −52% $20,938 −38% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,932 $68,425 −81% $38,998 −67% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,912 $47,693 −73% $30,974 −58% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $12,907 $49,325 −74% $43,697 −70% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,891 $48,444 −73% $48,682 −74% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,890 $58,037 −78% $39,093 −67% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,878 $21,615 −40% $21,615 −40% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $12,845 $87,874 −85% $57,963 −78% —
693 URINARY STONES WITH MCC $12,806 $22,278 −43% $22,525 −43% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $12,793 $58,221 −78% $47,546 −73% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,706 $41,513 −69% $24,980 −49% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,619 $47,893 −74% $29,031 −57% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,613 $38,050 −67% $35,114 −64% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $12,466 $26,192 −52% $18,623 −33% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $12,294 $31,025 −60% $36,850 −67% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,281 $32,387 −62% $28,527 −57% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $12,183 $43,248 −72% $48,094 −75% —
885 PSYCHOSES $12,136 $22,469 −46% $21,489 −44% —
935 NON-EXTENSIVE BURNS $12,073 $31,701 −62% $29,458 −59% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,071 $42,818 −72% $40,548 −70% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $11,986 $63,641 −81% $43,524 −72% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,892 $21,228 −44% $24,561 −52% —
113 ORBITAL PROCEDURES WITH CC/MCC $11,859 $32,482 −63% $35,642 −67% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,854 $31,044 −62% $31,044 −62% —
501 SOFT TISSUE PROCEDURES WITH CC $11,842 $57,633 −79% $37,975 −69% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,818 $18,684 −37% $12,405 −5% —
504 FOOT PROCEDURES WITH CC $11,793 $39,139 −70% $36,598 −68% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $11,787 $18,873 −38% $19,868 −41% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $11,715 $35,420 −67% $31,190 −62% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,689 $30,727 −62% $27,321 −57% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,688 $44,047 −73% $29,374 −60% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,629 $59,774 −81% $64,152 −82% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $11,613 $49,397 −76% $44,600 −74% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,612 $58,809 −80% $54,772 −79% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,551 $38,140 −70% $27,244 −58% —
947 SIGNS AND SYMPTOMS WITH MCC $11,408 $32,843 −65% $25,474 −55% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,376 $21,642 −47% $25,010 −55% —
906 HAND PROCEDURES FOR INJURIES $11,131 $49,938 −78% $31,520 −65% —
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $11,069 $21,663 −49% $21,663 −49% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $11,047 $39,653 −72% $43,538 −75% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,030 $44,483 −75% $29,211 −62% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,003 $37,000 −70% $25,267 −56% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,994 $17,100 −36% $15,589 −29% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,973 $39,204 −72% $26,488 −59% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,949 $33,998 −68% $40,583 −73% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,877 $24,282 −55% $26,020 −58% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,850 $23,928 −55% $20,741 −48% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,809 $21,347 −49% $28,103 −62% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,787 $58,714 −82% $32,399 −67% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,760 $46,151 −77% $29,484 −64% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,711 $38,356 −72% $28,375 −62% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,706 $44,541 −76% $30,418 −65% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $10,664 $32,773 −67% $43,586 −76% —
801 SPLENECTOMY WITHOUT CC/MCC $10,638 $28,886 −63% $28,634 −63% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,573 $21,962 −52% $19,354 −45% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,546 $37,057 −72% $34,264 −69% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $10,545 $35,990 −71% $36,375 −71% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,516 $19,686 −47% $22,275 −53% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $10,490 $47,944 −78% $36,097 −71% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,460 $45,806 −77% $29,757 −65% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,420 $29,922 −65% $22,982 −55% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $10,351 $31,659 −67% $35,569 −71% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,301 $16,156 −36% $16,156 −36% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $10,285 $30,486 −66% $35,686 −71% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,284 $25,946 −60% $28,983 −65% —
180 RESPIRATORY NEOPLASMS WITH MCC $10,280 $58,269 −82% $36,658 −72% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $10,222 $47,335 −78% $29,609 −65% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $10,189 $45,049 −77% $40,232 −75% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $10,178 $31,349 −68% $37,902 −73% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,177 $50,184 −80% $32,490 −69% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $10,167 $24,482 −58% $18,803 −46% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,116 $24,189 −58% $25,731 −61% —
671 URETHRAL PROCEDURES WITH CC/MCC $10,114 $25,566 −60% $27,233 −63% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,103 $26,012 −61% $20,278 −50% —
571 SKIN DEBRIDEMENT WITH CC $10,081 $37,792 −73% $34,901 −71% —
711 TESTES PROCEDURES WITH CC/MCC $10,073 $62,108 −84% $34,852 −71% —
150 EPISTAXIS WITH MCC $10,055 $21,133 −52% $21,133 −52% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,045 $33,413 −70% $38,094 −74% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,038 $36,655 −73% $24,017 −58% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,035 $47,454 −79% $31,840 −68% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,979 $34,419 −71% $24,136 −59% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,970 $18,573 −46% $19,132 −48% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $9,964 $39,682 −75% $29,633 −66% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,909 $34,380 −71% $21,806 −55% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,906 $49,536 −80% $41,900 −76% —
336 PERITONEAL ADHESIOLYSIS WITH CC $9,770 $68,668 −86% $49,470 −80% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $9,721 $53,913 −82% $42,119 −77% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $9,711 $27,241 −64% $29,729 −67% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,675 $39,491 −76% $22,032 −56% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $9,674 $40,821 −76% $31,128 −69% —
663 MINOR BLADDER PROCEDURES WITH CC $9,673 $39,409 −75% $29,924 −68% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,647 $32,129 −70% $23,749 −59% —
533 FRACTURES OF FEMUR WITH MCC $9,633 $49,567 −81% $25,945 −63% —
779 ABORTION WITHOUT D&C $9,590 $17,738 −46% $15,327 −37% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,578 $33,372 −71% $24,022 −60% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $9,576 $27,131 −65% $18,253 −48% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,575 $34,116 −72% $23,571 −59% —
291 HEART FAILURE AND SHOCK WITH MCC $9,525 $32,698 −71% $25,020 −62% —
920 COMPLICATIONS OF TREATMENT WITH CC $9,450 $33,021 −71% $21,181 −55% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $9,428 $55,994 −83% $42,881 −78% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $9,418 $104,160 −91% $57,277 −84% —
606 MINOR SKIN DISORDERS WITH MCC $9,384 $27,528 −66% $25,434 −63% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,377 $16,953 −45% $16,418 −43% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,356 $30,961 −70% $23,141 −60% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,351 $37,559 −75% $25,307 −63% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,311 $32,061 −71% $21,886 −57% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,250 $17,483 −47% $17,483 −47% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $9,211 $29,643 −69% $18,150 −49% —
669 TRANSURETHRAL PROCEDURES WITH CC $9,182 $50,305 −82% $34,354 −73% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,174 $32,504 −72% $20,007 −54% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $9,172 $27,856 −67% $19,096 −52% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $9,172 $36,333 −75% $51,985 −82% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $9,140 $52,262 −83% $35,692 −74% —
187 PLEURAL EFFUSION WITH CC $9,120 $21,455 −57% $21,467 −58% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,104 $26,161 −65% $24,450 −63% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,102 $23,388 −61% $18,017 −49% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $9,090 $30,937 −71% $18,428 −51% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $9,070 $35,895 −75% $46,066 −80% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $9,068 $26,492 −66% $30,661 −70% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,047 $28,993 −69% $15,764 −43% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $9,025 $23,263 −61% $24,036 −62% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,995 $51,365 −82% $33,490 −73% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,961 $30,041 −70% $33,050 −73% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $8,934 $43,221 −79% $41,380 −78% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,926 $46,575 −81% $25,854 −65% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,910 $13,879 −36% $14,110 −37% —
602 CELLULITIS WITH MCC $8,849 $41,052 −78% $29,347 −70% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,793 $35,839 −75% $25,162 −65% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,746 $20,543 −57% $16,642 −47% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,719 $31,408 −72% $21,449 −59% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,714 $23,257 −63% $25,484 −66% —
652 KIDNEY TRANSPLANT $8,714 $54,720 −84% $54,720 −84% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $8,668 $43,017 −80% $40,563 −79% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,660 $19,044 −55% $15,608 −45% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,653 $22,625 −62% $21,062 −59% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $8,607 $45,698 −81% $33,137 −74% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,598 $28,002 −69% $18,918 −55% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,573 $20,900 −59% $17,731 −52% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $8,573 $64,932 −87% $52,313 −84% —
595 MAJOR SKIN DISORDERS WITH MCC $8,573 $42,247 −80% $31,785 −73% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,571 $21,459 −60% $14,368 −40% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,527 $11,909 −28% $11,909 −28% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,517 $33,422 −75% $23,496 −64% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,497 $37,070 −77% $40,065 −79% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,497 $29,419 −71% $20,084 −58% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $8,489 $34,298 −75% $24,941 −66% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,464 $18,601 −54% $15,474 −45% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $8,457 $31,143 −73% $40,694 −79% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,445 $38,044 −78% $25,623 −67% —
199 PNEUMOTHORAX WITH MCC $8,440 $56,291 −85% $31,491 −73% —
186 PLEURAL EFFUSION WITH MCC $8,435 $51,361 −84% $32,468 −74% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,417 $17,768 −53% $19,317 −56% —
038 EXTRACRANIAL PROCEDURES WITH CC $8,394 $52,372 −84% $35,770 −77% —
882 NEUROSES EXCEPT DEPRESSIVE $8,380 $15,680 −47% $15,680 −47% —
037 EXTRACRANIAL PROCEDURES WITH MCC $8,367 $107,947 −92% $64,749 −87% —
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $8,335 $23,532 −65% $30,138 −72% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,291 $19,950 −58% $14,208 −42% —
540 OSTEOMYELITIS WITH CC $8,282 $19,990 −59% $23,494 −65% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $8,280 $41,070 −80% $39,657 −79% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,280 $27,480 −70% $17,715 −53% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $8,280 $24,315 −66% $14,337 −42% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $8,265 $23,658 −65% $29,371 −72% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,255 $18,018 −54% $10,039 −18% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,229 $19,875 −59% $13,368 −38% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,180 $15,538 −47% $15,045 −46% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,138 $32,009 −75% $27,168 −70% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $8,134 $63,080 −87% $43,080 −81% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,110 $43,335 −81% $31,978 −75% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,109 $32,980 −75% $25,243 −68% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,108 $39,954 −80% $30,006 −73% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,093 $39,906 −80% $28,156 −71% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $8,077 $29,558 −73% $29,558 −73% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,023 $37,991 −79% $36,333 −78% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,021 $55,298 −85% $43,266 −81% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,985 $39,072 −80% $32,502 −75% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,984 $34,683 −77% $25,426 −69% —
534 FRACTURES OF FEMUR WITHOUT MCC $7,984 $26,458 −70% $17,195 −54% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,984 $26,360 −70% $18,002 −56% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,984 $29,871 −73% $16,352 −51% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,984 $32,249 −75% $24,202 −67% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,984 $19,570 −59% $14,861 −46% —
292 HEART FAILURE AND SHOCK WITH CC $7,954 $23,340 −66% $16,212 −51% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,925 $14,520 −45% $11,955 −34% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,925 $43,019 −82% $38,357 −79% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,925 $30,669 −74% $21,545 −63% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,925 $16,636 −52% $13,822 −43% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,866 $42,680 −82% $33,424 −76% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,866 $27,641 −72% $20,080 −61% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $7,859 $33,833 −77% $24,480 −68% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,848 $43,744 −82% $35,584 −78% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,838 $32,046 −76% $22,850 −66% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,829 $30,313 −74% $22,532 −65% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,798 $22,265 −65% $25,786 −70% —
348 ANAL AND STOMAL PROCEDURES WITH CC $7,787 $29,376 −73% $27,947 −72% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,770 $20,980 −63% $20,980 −63% —
334 RECTAL RESECTION WITHOUT CC/MCC $7,757 $27,809 −72% $32,213 −76% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,745 $27,927 −72% $18,278 −58% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $7,745 $48,888 −84% $35,528 −78% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $7,690 $40,079 −81% $35,375 −78% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,687 $31,330 −75% $21,213 −64% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $7,666 $50,472 −85% $47,583 −84% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,629 $16,444 −54% $16,104 −53% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,569 $29,425 −74% $27,492 −72% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,548 $22,189 −66% $12,797 −41% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,541 $29,949 −75% $20,309 −63% —
638 DIABETES WITH CC $7,513 $27,005 −72% $18,821 −60% —
666 PROSTATECTOMY WITH CC $7,513 $53,546 −86% $30,016 −75% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,485 $28,547 −74% $19,001 −61% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,470 $12,650 −41% $12,650 −41% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,445 $25,581 −71% $23,588 −68% —
123 NEUROLOGICAL EYE DISORDERS $7,429 $24,612 −70% $17,831 −58% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,404 $24,106 −69% $24,452 −70% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,400 $25,622 −71% $17,700 −58% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $7,387 $37,764 −80% $41,651 −82% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,372 $15,300 −52% $15,876 −54% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,366 $19,597 −62% $17,273 −57% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,318 $17,193 −57% $17,193 −57% —
949 AFTERCARE WITH CC/MCC $7,318 $35,072 −79% $23,953 −69% —
593 SKIN ULCERS WITH CC $7,297 $27,293 −73% $20,470 −64% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,273 $58,702 −88% $62,269 −88% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $7,273 $66,292 −89% $51,172 −86% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $7,273 $51,898 −86% $57,149 −87% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $7,273 $115,433 −94% $70,540 −90% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,214 $17,398 −59% $17,398 −59% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $7,214 $58,561 −88% $49,710 −85% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $7,207 $53,998 −87% $44,472 −84% —
088 CONCUSSION WITH MCC $7,199 $44,167 −84% $24,402 −70% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,188 $31,343 −77% $22,557 −68% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,188 $18,069 −60% $13,090 −45% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,129 $24,566 −71% $16,776 −58% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,128 $44,413 −84% $32,689 −78% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $7,091 $39,406 −82% $27,548 −74% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,068 $34,217 −79% $18,478 −62% —
137 MOUTH PROCEDURES WITH CC/MCC $7,050 $29,348 −76% $24,348 −71% —
305 HYPERTENSION WITHOUT MCC $7,027 $24,403 −71% $17,144 −59% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,997 $21,977 −68% $15,858 −56% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,936 $22,948 −70% $17,367 −60% —
637 DIABETES WITH MCC $6,892 $39,978 −83% $28,819 −76% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,892 $22,506 −69% $17,103 −60% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,840 $20,528 −67% $18,282 −63% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,826 $33,151 −79% $16,571 −59% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $6,800 $47,763 −86% $25,152 −73% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,790 $25,975 −74% $18,608 −64% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $6,790 $50,419 −87% $34,434 −80% —
683 RENAL FAILURE WITH CC $6,790 $26,850 −75% $18,620 −64% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,790 $23,926 −72% $17,466 −61% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $6,790 $25,633 −74% $29,826 −77% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $6,774 $71,969 −91% $65,383 −90% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,722 $35,114 −81% $26,634 −75% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $6,681 $31,755 −79% $22,525 −70% —
539 OSTEOMYELITIS WITH MCC $6,636 $46,459 −86% $33,746 −80% —
811 RED BLOOD CELL DISORDERS WITH MCC $6,625 $39,626 −83% $27,934 −76% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $6,576 $24,260 −73% $24,229 −73% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $6,521 $73,345 −91% $56,394 −88% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $6,492 $40,363 −84% $56,758 −89% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $6,492 $70,888 −91% $54,313 −88% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,492 $41,021 −84% $32,839 −80% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $6,492 $115,941 −94% $76,954 −92% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,492 $32,141 −80% $31,909 −80% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $6,492 $95,604 −93% $63,984 −90% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $6,492 $51,569 −87% $39,747 −84% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $6,492 $38,751 −83% $46,659 −86% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $6,492 $38,564 −83% $36,202 −82% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $6,492 $74,112 −91% $49,055 −87% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $6,492 $39,148 −83% $45,817 −86% —
541 OSTEOMYELITIS WITHOUT CC/MCC $6,398 $21,919 −71% $14,549 −56% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,395 $31,282 −80% $20,777 −69% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,367 $15,323 −58% $14,880 −57% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,354 $18,214 −65% $10,975 −42% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,353 $16,495 −61% $16,495 −61% —
712 TESTES PROCEDURES WITHOUT CC/MCC $6,339 $17,076 −63% $18,898 −66% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,331 $10,795 −41% $9,076 −30% —
100 SEIZURES WITH MCC $6,331 $28,961 −78% $35,194 −82% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $6,331 $35,632 −82% $23,924 −74% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $6,321 $58,617 −89% $37,842 −83% —
639 DIABETES WITHOUT CC/MCC $6,321 $19,891 −68% $13,910 −55% —
313 CHEST PAIN $6,302 $20,378 −69% $15,962 −61% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $6,302 $31,740 −80% $38,382 −84% —
644 ENDOCRINE DISORDERS WITH CC $6,289 $33,596 −81% $22,941 −73% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,289 $17,209 −63% $17,108 −63% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,289 $23,808 −74% $16,837 −63% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,289 $14,486 −57% $13,890 −55% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,282 $34,256 −82% $23,396 −73% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,282 $19,271 −67% $14,444 −57% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $6,282 $65,883 −90% $35,014 −82% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $6,282 $70,782 −91% $58,968 −89% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $6,282 $43,556 −86% $30,358 −79% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,282 $31,637 −80% $19,091 −67% —
915 ALLERGIC REACTIONS WITH MCC $6,282 $47,831 −87% $30,944 −80% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,276 $28,324 −78% $26,146 −76% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,274 $35,026 −82% $26,158 −76% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $6,263 $45,663 −86% $35,542 −82% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,263 $24,033 −74% $16,865 −63% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $6,263 $67,278 −91% $37,654 −83% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,263 $25,521 −75% $13,385 −53% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,263 $14,410 −57% $15,284 −59% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $6,263 $53,102 −88% $33,165 −81% —
697 URETHRAL STRICTURE $6,263 $16,196 −61% $17,705 −65% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,263 $24,781 −75% $17,928 −65% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $6,263 $61,539 −90% $36,280 −83% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,230 $33,283 −81% $22,781 −73% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,204 $35,205 −82% $22,560 −72% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,160 $23,796 −74% $15,869 −61% —
864 FEVER AND INFLAMMATORY CONDITIONS $6,159 $14,849 −59% $17,412 −65% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $6,118 $17,226 −64% $17,226 −64% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,109 $15,890 −62% $15,890 −62% —
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $6,109 $18,474 −67% $18,474 −67% —
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,067 $13,613 −55% $16,240 −63% —
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $6,060 $25,628 −76% $25,628 −76% —
200 PNEUMOTHORAX WITH CC $6,056 $35,999 −83% $20,573 −71% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $6,056 $37,784 −84% $38,420 −84% —
865 VIRAL ILLNESS WITH MCC $6,056 $29,325 −79% $26,088 −77% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,040 $31,077 −81% $18,191 −67% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,040 $10,073 −40% $13,586 −56% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $6,035 $24,302 −75% $24,465 −75% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,035 $18,133 −67% $18,133 −67% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,035 $5,751 +5% $9,385 −36% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,026 $20,688 −71% $14,128 −57% —
183 MAJOR CHEST TRAUMA WITH MCC $6,025 $37,213 −84% $28,924 −79% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $6,008 $30,058 −80% $30,058 −80% —
176 PULMONARY EMBOLISM WITHOUT MCC $6,005 $26,477 −77% $18,081 −67% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $6,005 $118,231 −95% $80,747 −93% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $6,005 $48,410 −88% $31,062 −81% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,005 $20,694 −71% $14,134 −58% —
684 RENAL FAILURE WITHOUT CC/MCC $6,005 $18,804 −68% $13,623 −56% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,993 $33,060 −82% $23,469 −74% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,993 $14,064 −57% $14,064 −57% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,993 $32,060 −81% $25,390 −76% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $5,986 $86,138 −93% $45,290 −87% —
124 OTHER DISORDERS OF THE EYE WITH MCC $5,986 $20,117 −70% $21,029 −72% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,986 $20,838 −71% $15,072 −60% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,986 $19,287 −69% $19,287 −69% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,986 $24,389 −75% $19,326 −69% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $5,986 $27,713 −78% $33,564 −82% —
914 TRAUMATIC INJURY WITHOUT MCC $5,986 $21,714 −72% $15,593 −62% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,966 $36,543 −84% $26,322 −77% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $5,966 $48,189 −88% $32,911 −82% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,966 $17,159 −65% $17,943 −67% —
866 VIRAL ILLNESS WITHOUT MCC $5,966 $24,453 −76% $16,391 −64% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,962 $40,228 −85% $25,704 −77% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,950 $35,346 −83% $24,432 −76% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,920 $18,649 −68% $13,654 −57% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,841 $17,903 −67% $12,044 −52% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,823 $17,587 −67% $14,290 −59% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,805 $17,544 −67% $24,544 −76% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,765 $17,892 −68% $15,070 −62% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $5,760 $42,949 −87% $36,597 −84% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,760 $31,874 −82% $19,686 −71% —
598 MALIGNANT BREAST DISORDERS WITH CC $5,753 $19,410 −70% $19,073 −70% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,738 $22,375 −74% $19,483 −71% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,738 $21,624 −73% $19,569 −71% —
089 CONCUSSION WITH CC $5,738 $17,109 −66% $18,293 −69% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,738 $43,199 −87% $30,766 −81% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,738 $15,901 −64% $15,901 −64% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,715 $17,621 −68% $14,284 −60% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,709 $21,855 −74% $17,522 −67% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,709 $21,239 −73% $16,745 −66% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,709 $47,002 −88% $29,663 −81% —
075 VIRAL MENINGITIS WITH CC/MCC $5,696 $30,536 −81% $29,853 −81% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,696 $13,841 −59% $11,847 −52% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,689 $37,976 −85% $21,860 −74% —
398 APPENDIX PROCEDURES WITH CC $5,689 $49,193 −88% $39,107 −85% —
668 TRANSURETHRAL PROCEDURES WITH MCC $5,689 $51,424 −89% $47,277 −88% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,689 $42,641 −87% $30,972 −82% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,689 $19,845 −71% $22,231 −74% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,689 $58,326 −90% $35,237 −84% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,670 $17,727 −68% $20,371 −72% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,670 $15,278 −63% $13,892 −59% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,670 $38,849 −85% $20,421 −72% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,670 $30,298 −81% $30,394 −81% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,547 $37,079 −85% $27,369 −80% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,371 $26,184 −79% $19,305 −72% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,368 $36,515 −85% $24,190 −78% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,363 $16,204 −67% $14,055 −62% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,336 $35,694 −85% $39,409 −86% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,336 $51,010 −90% $32,936 −84% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,316 $27,057 −80% $18,459 −71% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $5,286 $80,018 −93% $80,018 −93% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,278 $32,502 −84% $23,723 −78% —
181 RESPIRATORY NEOPLASMS WITH CC $5,275 $20,728 −75% $22,431 −76% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,215 $12,593 −59% $12,593 −59% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,213 $20,031 −74% $15,370 −66% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,184 $35,101 −85% $18,126 −71% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,161 $17,277 −70% $14,166 −64% —
103 HEADACHES WITHOUT MCC $5,140 $27,638 −81% $20,111 −74% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,131 $21,306 −76% $24,316 −79% —
667 PROSTATECTOMY WITHOUT CC/MCC $5,076 $16,534 −69% $16,703 −70% —
946 REHABILITATION WITHOUT CC/MCC $5,050 $14,074 −64% $17,685 −71% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,049 $22,897 −78% $16,866 −70% —
090 CONCUSSION WITHOUT CC/MCC $5,008 $27,428 −82% $14,873 −66% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,008 $35,004 −86% $32,204 −84% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,987 $36,541 −86% $30,314 −84% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,977 $22,255 −78% $14,927 −67% —
381 COMPLICATED PEPTIC ULCER WITH CC $4,957 $36,066 −86% $24,177 −79% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,957 $29,842 −83% $20,968 −76% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,945 $14,937 −67% $15,077 −67% —
184 MAJOR CHEST TRAUMA WITH CC $4,945 $22,961 −78% $20,842 −76% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,945 $13,445 −63% $13,445 −63% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,939 $33,079 −85% $22,713 −78% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,938 $18,188 −73% $13,384 −63% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $4,938 $16,487 −70% $19,454 −75% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,938 $43,611 −89% $31,059 −84% —
151 EPISTAXIS WITHOUT MCC $4,918 $13,119 −63% $13,032 −62% —
197 INTERSTITIAL LUNG DISEASE WITH CC $4,918 $22,609 −78% $20,106 −76% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $4,918 $59,086 −92% $49,631 −90% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,918 $13,257 −63% $23,920 −79% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,899 $16,146 −70% $17,434 −72% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,816 $21,623 −78% $17,322 −72% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,815 $13,068 −63% $12,381 −61% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,790 $26,342 −82% $17,585 −73% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,762 $22,563 −79% $13,303 −64% —
201 PNEUMOTHORAX WITHOUT CC/MCC $4,749 $22,004 −78% $13,081 −64% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,693 $24,358 −81% $16,634 −72% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,687 $26,445 −82% $17,383 −73% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,687 $20,246 −77% $13,824 −66% —
375 DIGESTIVE MALIGNANCY WITH CC $4,658 $33,697 −86% $27,219 −83% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,645 $11,562 −60% $11,071 −58% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,638 $48,914 −91% $33,792 −86% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,638 $41,952 −89% $46,402 −90% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,638 $32,602 −86% $16,212 −71% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,619 $12,534 −63% $12,537 −63% —
950 AFTERCARE WITHOUT CC/MCC $4,550 $11,329 −60% $13,527 −66% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,486 $42,832 −90% $34,887 −87% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,486 $33,892 −87% $29,524 −85% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,481 $15,335 −71% $18,238 −75% —
139 SALIVARY GLAND PROCEDURES $4,479 $21,014 −79% $21,014 −79% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,479 $32,081 −86% $22,024 −80% —
312 SYNCOPE AND COLLAPSE $4,479 $28,324 −84% $19,342 −77% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,479 $25,515 −82% $19,854 −77% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $4,479 $15,436 −71% $25,197 −82% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,470 $11,421 −61% $11,421 −61% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $4,460 $48,637 −91% $59,207 −92% —
603 CELLULITIS WITHOUT MCC $4,449 $26,407 −83% $18,530 −76% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,438 $22,840 −81% $15,600 −72% —
311 ANGINA PECTORIS $4,419 $15,034 −71% $15,165 −71% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,407 $40,345 −89% $20,727 −79% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,407 $25,579 −83% $25,666 −83% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,407 $68,604 −94% $52,405 −92% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,407 $18,250 −76% $13,282 −67% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,407 $29,160 −85% $31,758 −86% —
592 SKIN ULCERS WITH MCC $4,407 $32,263 −86% $32,662 −87% —
791 PREMATURITY WITH MAJOR PROBLEMS $4,407 $34,685 −87% $39,563 −89% —
881 DEPRESSIVE NEUROSES $4,406 $15,058 −71% $15,058 −71% —
380 COMPLICATED PEPTIC ULCER WITH MCC $4,400 $43,397 −90% $36,641 −88% —
800 SPLENECTOMY WITH CC $4,400 $94,713 −95% $49,184 −91% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,400 $29,514 −85% $20,488 −79% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $4,400 $32,168 −86% $44,053 −90% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,400 $36,339 −88% $38,878 −89% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $4,396 $40,042 −89% $20,147 −78% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,396 $21,634 −80% $15,607 −72% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,381 $15,636 −72% $15,636 −72% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,380 $18,918 −77% $17,078 −74% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,380 $17,388 −75% $14,441 −70% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,380 $27,571 −84% $19,815 −78% —
594 SKIN ULCERS WITHOUT CC/MCC $4,364 $15,334 −72% $14,209 −69% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,358 $29,009 −85% $21,261 −80% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,345 $49,765 −91% $30,910 −86% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,345 $12,336 −65% $12,336 −65% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,335 $22,352 −81% $14,012 −69% —
149 DYSEQUILIBRIUM $4,332 $23,899 −82% $17,203 −75% —
795 NORMAL NEWBORN $4,326 $4,862 −11% $4,530 −5% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,325 $26,656 −84% $18,204 −76% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,325 $21,345 −80% $19,579 −78% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,325 $34,816 −88% $28,780 −85% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,325 $33,151 −87% $20,732 −79% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $4,306 $49,003 −91% $50,919 −92% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,288 $9,520 −55% $11,633 −63% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,247 $23,689 −82% $24,836 −83% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,218 $8,927 −53% $8,927 −53% —
304 HYPERTENSION WITH MCC $4,088 $33,511 −88% $24,185 −83% —
101 SEIZURES WITHOUT MCC $4,068 $20,289 −80% $19,954 −80% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,068 $37,809 −89% $18,291 −78% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,068 $18,755 −78% $13,198 −69% —
813 COAGULATION DISORDERS $4,068 $44,051 −91% $30,128 −86% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,049 $26,548 −85% $28,252 −86% —
152 OTITIS MEDIA AND URI WITH MCC $4,030 $36,209 −89% $19,795 −80% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,011 $12,397 −68% $13,735 −71% —
263 VEIN LIGATION AND STRIPPING $3,985 $60,391 −93% $44,938 −91% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,985 $38,950 −90% $28,140 −86% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,953 $48,557 −92% $51,953 −92% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,953 $17,785 −78% $13,318 −70% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,953 $25,133 −84% $28,578 −86% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,953 $35,336 −89% $19,894 −80% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,714 $14,944 −75% $12,013 −69% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,695 $11,997 −69% $11,997 −69% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,597 $17,778 −80% $13,485 −73% —
102 HEADACHES WITH MCC $3,511 $25,386 −86% $22,544 −84% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,491 $22,592 −85% $31,812 −89% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,451 $34,326 −90% $24,452 −86% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,349 $25,630 −87% $17,727 −81% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,298 $24,384 −86% $16,654 −80% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,286 $15,167 −78% $12,279 −73% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,279 $47,416 −93% $34,900 −91% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,279 $18,461 −82% $16,049 −80% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,199 $24,871 −87% $25,208 −87% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,159 $53,584 −94% $52,908 −94% —
694 URINARY STONES WITHOUT MCC $3,133 $22,050 −86% $16,531 −81% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,047 $34,027 −91% $30,275 −90% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,536 $16,847 −85% $17,550 −86% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $723 $26,211 −97% $15,655 −95% —
999 UNGROUPABLE $710 $62,821 −99% $28,822 −98% —

Procedures with negotiated rates only

These 18 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
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 15 plans
887 OTHER MENTAL DISORDER DIAGNOSES $239 – $2,692 · median $1,458 9 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 8 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC — 7 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 5 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 4 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT — 4 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC — 4 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES — 3 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 3 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 3 plans
799 SPLENECTOMY WITH MCC — 3 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 3 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC — 2 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 2 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC — 2 plans
153 OTITIS MEDIA AND URI WITHOUT MCC — 1 plans
158 DENTAL AND ORAL DISEASES WITH CC — 1 plans
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