Baylor Scott & White Medical Center - Uptown — Pricing

764 procedures published in this hospital's Machine-Readable File (MRF) — 747 with a comparable price, 17 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 764
Lowest published price $710
Average published price $14,436
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 764 procedures

Published charges

Showing all 747 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% $573,534 −43% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $238,637 $362,617 −34% $461,389 −48% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $187,842 $502,678 −63% $371,366 −49% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $108,033 $155,461 −31% $194,769 −45% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $102,466 $127,148 −19% $188,171 −46% —
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 $178,573 −66% $116,058 −47% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $55,492 $91,253 −39% $102,600 −46% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $52,837 $71,776 −26% $111,320 −53% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,742 $73,103 −29% $89,207 −42% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $49,639 $74,709 −34% $85,566 −42% —
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $49,581 $142,952 −65% $196,346 −75% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $49,116 $82,458 −40% $108,472 −55% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $48,096 $75,251 −36% $75,251 −36% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $47,914 $72,075 −34% $102,573 −53% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $46,219 $102,814 −55% $143,242 −68% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $44,464 $89,209 −50% $125,242 −64% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $44,296 $105,989 −58% $93,172 −52% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $43,218 $99,339 −56% $120,573 −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 $127,999 −67% $90,775 −54% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $41,650 $62,801 −34% $90,331 −54% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $41,516 $68,045 −39% $93,238 −55% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $41,469 $112,119 −63% $153,282 −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% $87,761 −54% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $39,767 $76,970 −48% $106,778 −63% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $39,767 $80,075 −50% $103,455 −62% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $39,693 $86,542 −54% $123,995 −68% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $39,378 $103,817 −62% $144,569 −73% —
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $39,313 $80,427 −51% $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 $43,510 −10% $65,325 −40% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $39,205 $61,240 −36% $88,307 −56% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $38,986 $65,149 −40% $90,724 −57% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $38,649 $60,208 −36% $86,970 −56% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,254 $39,640 −3% $18,649 +105% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $38,010 $49,015 −22% $66,848 −43% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $37,998 $103,308 −63% $82,561 −54% —
231 CORONARY BYPASS WITH PTCA WITH MCC $37,923 $112,178 −66% $147,227 −74% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $37,923 $82,102 −54% $115,839 −67% —
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% $61,470 −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 $30,912 +19% $46,724 −21% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $36,879 $33,237 +11% $40,060 −8% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $36,662 $52,152 −30% $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 $57,380 −37% $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 $54,405 −34% $71,795 −50% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $35,636 $69,779 −49% $77,817 −54% —
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 $74,709 −53% $106,057 −67% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $34,724 $55,985 −38% $79,225 −56% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $34,699 $53,665 −35% $76,219 −54% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $34,224 $73,455 −53% $102,128 −66% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $33,428 $48,887 −32% $56,964 −41% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $32,359 $43,701 −26% $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 $69,206 −54% $96,507 −67% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $31,746 $35,670 −11% $55,162 −42% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $31,446 $143,949 −78% $148,832 −79% —
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 $44,977 −31% $72,424 −57% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $30,672 $83,192 −63% $117,280 −74% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $30,546 $63,571 −52% $91,329 −67% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $30,546 $40,341 −24% $61,217 −50% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $30,519 $45,479 −33% $65,608 −53% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,146 $49,721 −39% $66,711 −55% —
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 $58,476 −50% $101,510 −71% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $29,219 $44,663 −35% $71,464 −59% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,055 $34,595 −16% $33,876 −14% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,006 $53,307 −46% $59,594 −51% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $28,666 $44,389 −35% $55,289 −48% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $28,195 $47,899 −41% $71,014 −60% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,131 $57,196 −51% $85,159 −67% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $28,124 $35,224 −20% $54,583 −48% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $28,124 $69,695 −60% $99,423 −72% —
570 SKIN DEBRIDEMENT WITH MCC $28,047 $42,263 −34% $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% $58,274 −53% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $26,614 $73,038 −64% $101,576 −74% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,325 $47,649 −45% $70,847 −63% —
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $26,125 $34,146 −23% $34,146 −23% —
503 FOOT PROCEDURES WITH MCC $25,520 $37,544 −32% $47,540 −46% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $25,023 $56,535 −56% $73,120 −66% —
245 AICD GENERATOR PROCEDURES $24,682 $66,564 −63% $72,076 −66% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $24,512 $26,617 −8% $41,591 −41% —
653 MAJOR BLADDER PROCEDURES WITH MCC $24,501 $88,633 −72% $104,583 −77% —
849 RADIOTHERAPY $24,027 $37,862 −37% $37,862 −37% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $23,995 $54,320 −56% $56,836 −58% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $23,913 $86,459 −72% $86,459 −72% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,849 $47,218 −49% $70,132 −66% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,826 $49,425 −52% $51,625 −54% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $23,713 $62,992 −62% $71,551 −67% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $23,623 $49,705 −52% $50,011 −53% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,162 $38,646 −40% $50,618 −54% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $22,897 $61,582 −63% $50,139 −54% —
164 MAJOR CHEST PROCEDURES WITH CC $22,787 $35,862 −36% $56,755 −60% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,408 $47,403 −53% $70,371 −68% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $22,314 $34,708 −36% $59,421 −62% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $22,191 $32,604 −32% $41,892 −47% —
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% $44,222 −51% —
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 $45,618 −53% $65,788 −67% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $21,395 $56,690 −62% $50,607 −58% ≈223% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,219 $71,920 −70% $59,500 −64% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $21,091 $49,718 −58% $59,533 −65% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $21,016 $37,242 −44% $54,929 −62% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $20,738 $69,965 −70% $71,755 −71% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $20,587 $36,928 −44% $52,075 −60% —
471 CERVICAL SPINAL FUSION WITH MCC $20,544 $66,189 −69% $92,515 −78% —
472 CERVICAL SPINAL FUSION WITH CC $20,544 $40,797 −50% $59,537 −65% ≈122% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $20,544 $37,343 −45% $50,624 −59% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $20,481 $48,670 −58% $69,743 −71% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $20,256 $44,660 −55% $40,552 −50% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $20,129 $61,750 −67% $76,001 −74% —
397 APPENDIX PROCEDURES WITH MCC $20,108 $35,353 −43% $53,257 −62% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,968 $32,503 −39% $49,418 −60% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,946 $29,314 −32% $32,031 −38% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $19,946 $49,711 −60% $71,092 −72% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $19,946 $28,787 −31% $44,139 −55% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $19,946 $23,459 −15% $35,465 −44% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $19,929 $35,662 −44% $40,213 −50% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $19,922 $27,823 −28% $42,126 −53% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $19,841 $48,165 −59% $52,036 −62% —
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 $77,071 −74% $70,467 −72% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $19,771 $50,580 −61% $58,280 −66% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,732 $42,891 −54% $64,523 −69% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $19,658 $54,372 −64% $75,103 −74% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,611 $32,919 −40% $39,181 −50% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $19,596 $30,721 −36% $49,351 −60% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $19,413 $28,801 −33% $43,800 −56% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $19,193 $29,080 −34% $37,950 −49% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $19,103 $31,093 −39% $37,844 −50% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $18,874 $22,893 −18% $33,694 −44% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,778 $32,829 −43% $42,415 −56% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $18,618 $26,007 −28% $39,020 −52% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $18,373 $36,790 −50% $47,711 −61% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,351 $29,109 −37% $29,611 −38% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,336 $39,606 −54% $52,986 −65% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $18,302 $56,456 −68% $79,836 −77% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $18,186 $25,517 −29% $27,152 −33% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $18,145 $25,121 −28% $31,563 −43% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,025 $41,093 −56% $42,914 −58% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $18,001 $71,596 −75% $66,685 −73% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,000 $32,707 −45% $30,828 −42% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $17,973 $42,233 −57% $39,106 −54% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $17,929 $23,475 −24% $46,295 −61% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,880 $38,581 −54% $51,746 −65% —
157 DENTAL AND ORAL DISEASES WITH MCC $17,812 $24,447 −27% $31,300 −43% —
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 $28,868 −39% $43,913 −60% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $17,670 $43,292 −59% $35,831 −51% —
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 $61,234 −71% $56,242 −69% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $17,625 $58,085 −70% $60,098 −71% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $17,583 $29,767 −41% $35,030 −50% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $17,476 $57,584 −70% $72,962 −76% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $17,459 $24,846 −30% $34,607 −50% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $17,412 $23,921 −27% $35,453 −51% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $17,412 $22,167 −21% $32,451 −46% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,364 $21,022 −17% $30,493 −43% —
551 MEDICAL BACK PROBLEMS WITH MCC $17,316 $25,341 −32% $34,017 −49% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $17,290 $57,570 −70% $77,990 −78% —
252 OTHER VASCULAR PROCEDURES WITH MCC $17,111 $47,717 −64% $68,508 −75% —
662 MINOR BLADDER PROCEDURES WITH MCC $17,095 $43,683 −61% $54,562 −69% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $17,043 $41,261 −59% $60,170 −72% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,028 $21,563 −21% $26,280 −35% —
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 $25,972 −35% $34,937 −52% —
500 SOFT TISSUE PROCEDURES WITH MCC $16,755 $44,320 −62% $61,872 −73% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,681 $26,677 −37% $32,433 −49% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,612 $16,996 −2% $23,206 −28% —
265 AICD LEAD PROCEDURES $16,492 $49,492 −67% $63,171 −74% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $16,444 $26,006 −37% $39,018 −58% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $16,425 $23,902 −31% $35,419 −54% —
665 PROSTATECTOMY WITH MCC $16,408 $58,062 −72% $54,072 −70% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,390 $37,509 −56% $41,422 −60% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,301 $28,821 −43% $36,670 −56% —
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 $44,532 −64% $31,951 −50% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $16,040 $24,506 −35% $32,877 −51% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $15,994 $38,363 −58% $44,546 −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 $40,142 −61% $81,706 −81% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,692 $34,882 −55% $38,101 −59% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $15,480 $37,754 −59% $47,945 −68% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,324 $18,572 −17% $25,712 −40% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $15,253 $45,498 −66% $58,745 −74% —
253 OTHER VASCULAR PROCEDURES WITH CC $15,109 $36,329 −58% $57,454 −74% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,094 $30,691 −51% $44,117 −66% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $15,023 $29,965 −50% $20,463 −27% —
643 ENDOCRINE DISORDERS WITH MCC $14,819 $28,618 −48% $33,563 −56% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $14,772 $43,218 −66% $53,864 −73% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $14,769 $36,791 −60% $45,167 −67% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $14,766 $33,209 −56% $59,629 −75% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $14,546 $19,945 −27% $22,811 −36% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $14,488 $20,619 −30% $29,805 −51% —
597 MALIGNANT BREAST DISORDERS WITH MCC $14,426 $25,994 −45% $33,386 −57% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,386 $24,475 −41% $30,235 −52% —
709 PENIS PROCEDURES WITH CC/MCC $14,274 $32,359 −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 $20,145 −29% $26,051 −45% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $14,231 $8,330 +71% $8,445 +69% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,177 $31,193 −55% $45,877 −69% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,132 $21,240 −33% $27,285 −48% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $14,089 $23,065 −39% $25,703 −45% —
333 RECTAL RESECTION WITH CC $14,073 $30,778 −54% $37,154 −62% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,007 $20,930 −33% $17,578 −20% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,959 $28,703 −51% $43,631 −68% —
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 $21,244 −36% $24,552 −44% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $13,633 $18,536 −26% $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 $32,077 −58% $45,866 −70% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $13,550 $30,317 −55% $39,211 −65% —
682 RENAL FAILURE WITH MCC $13,550 $26,063 −48% $29,064 −53% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,496 $38,709 −65% $48,358 −72% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $13,484 $32,719 −59% $49,066 −73% —
548 SEPTIC ARTHRITIS WITH MCC $13,479 $29,341 −54% $31,346 −57% —
913 TRAUMATIC INJURY WITH MCC $13,475 $24,198 −44% $24,198 −44% —
302 ATHEROSCLEROSIS WITH MCC $13,453 $18,292 −26% $22,446 −40% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,452 $22,783 −41% $33,454 −60% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $13,398 $20,217 −34% $27,043 −50% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $13,337 $33,308 −60% $36,489 −63% —
028 SPINAL PROCEDURES WITH MCC $13,264 $81,731 −84% $113,077 −88% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $13,248 $32,385 −59% $47,737 −72% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,005 $25,899 −50% $38,836 −67% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,961 $27,823 −53% $40,562 −68% —
549 SEPTIC ARTHRITIS WITH CC $12,957 $18,835 −31% $24,056 −46% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,932 $32,504 −60% $38,998 −67% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,912 $27,287 −53% $33,047 −61% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $12,907 $37,153 −65% $46,453 −72% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,891 $32,423 −60% $48,682 −74% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,890 $34,307 −62% $41,620 −69% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,878 $21,615 −40% $22,620 −43% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $12,845 $38,281 −66% $62,264 −79% —
693 URINARY STONES WITH MCC $12,806 $22,278 −43% $23,892 −46% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $12,793 $33,823 −62% $50,498 −75% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,706 $20,875 −39% $30,242 −58% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,619 $26,862 −53% $31,105 −59% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,613 $27,401 −54% $36,792 −66% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $12,466 $23,571 −47% $19,227 −35% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $12,294 $31,025 −60% $38,070 −68% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,281 $20,766 −41% $29,949 −59% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $12,183 $36,735 −67% $52,178 −77% —
885 PSYCHOSES $12,136 $21,489 −44% $21,729 −44% —
935 NON-EXTENSIVE BURNS $12,073 $31,701 −62% $31,701 −62% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,071 $33,912 −64% $40,548 −70% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $11,986 $40,019 −70% $43,943 −73% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,892 $21,228 −44% $25,094 −53% —
113 ORBITAL PROCEDURES WITH CC/MCC $11,859 $32,482 −63% $36,167 −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 $32,809 −64% $39,619 −70% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,818 $12,234 −3% $12,460 −5% —
504 FOOT PROCEDURES WITH CC $11,793 $25,972 −55% $38,960 −70% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $11,787 $17,354 −32% $20,926 −44% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $11,715 $18,141 −35% $32,021 −63% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,689 $19,169 −39% $27,323 −57% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,688 $20,782 −44% $30,083 −61% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,629 $46,760 −75% $67,268 −83% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $11,613 $31,920 −64% $46,283 −75% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,612 $26,676 −56% $58,809 −80% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,551 $30,786 −62% $28,050 −59% —
947 SIGNS AND SYMPTOMS WITH MCC $11,408 $19,887 −43% $27,401 −58% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,376 $21,642 −47% $27,808 −59% —
906 HAND PROCEDURES FOR INJURIES $11,131 $31,520 −65% $32,065 −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 $28,648 −61% $43,538 −75% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,030 $39,254 −72% $29,743 −63% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,003 $29,439 −63% $26,618 −59% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,994 $15,589 −29% $15,589 −29% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,973 $27,247 −60% $26,770 −59% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,949 $26,921 −59% $43,298 −75% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,877 $24,282 −55% $27,617 −61% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,850 $22,344 −51% $24,566 −56% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,809 $24,851 −57% $29,126 −63% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $10,787 $34,624 −69% $33,985 −68% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,760 $22,651 −52% $30,502 −65% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,711 $23,620 −55% $29,221 −63% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,706 $20,978 −49% $30,418 −65% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $10,664 $32,773 −67% $48,349 −78% —
801 SPLENECTOMY WITHOUT CC/MCC $10,638 $24,502 −57% $36,445 −71% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,573 $19,354 −45% $19,354 −45% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,546 $25,923 −59% $35,849 −71% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $10,545 $30,855 −66% $37,387 −72% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,516 $19,686 −47% $23,498 −55% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $10,490 $36,097 −71% $39,173 −73% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,460 $40,840 −74% $30,959 −66% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,420 $23,431 −56% $23,617 −56% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $10,351 $30,915 −67% $35,569 −71% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,301 $14,383 −28% $19,138 −46% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $10,285 $30,486 −66% $42,795 −76% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,284 $22,651 −55% $30,557 −66% —
180 RESPIRATORY NEOPLASMS WITH MCC $10,280 $56,813 −82% $36,658 −72% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $10,222 $27,152 −62% $30,243 −66% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $10,189 $30,914 −67% $46,727 −78% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $10,178 $31,349 −68% $42,901 −76% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $10,177 $46,980 −78% $34,749 −71% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $10,167 $24,482 −58% $19,842 −49% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,116 $24,189 −58% $27,316 −63% —
671 URETHRAL PROCEDURES WITH CC/MCC $10,114 $25,566 −60% $27,233 −63% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,103 $16,134 −37% $21,056 −52% —
571 SKIN DEBRIDEMENT WITH CC $10,081 $33,638 −70% $37,169 −73% —
711 TESTES PROCEDURES WITH CC/MCC $10,073 $27,991 −64% $38,343 −74% —
150 EPISTAXIS WITH MCC $10,055 $21,133 −52% $23,171 −57% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,045 $32,647 −69% $38,094 −74% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,038 $31,799 −68% $25,034 −60% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,035 $29,768 −66% $33,707 −70% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,979 $34,268 −71% $24,914 −60% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,970 $19,132 −48% $19,132 −48% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $9,964 $28,958 −66% $32,574 −69% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,909 $20,434 −52% $23,319 −58% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,906 $35,375 −72% $45,333 −78% —
336 PERITONEAL ADHESIOLYSIS WITH CC $9,770 $58,311 −83% $50,463 −81% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $9,721 $42,173 −77% $44,606 −78% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $9,711 $25,176 −61% $32,944 −71% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,675 $19,268 −50% $22,458 −57% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $9,674 $34,766 −72% $34,273 −72% —
663 MINOR BLADDER PROCEDURES WITH CC $9,673 $23,018 −58% $33,103 −71% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,647 $24,694 −61% $23,749 −59% —
533 FRACTURES OF FEMUR WITH MCC $9,633 $22,986 −58% $25,945 −63% —
779 ABORTION WITHOUT D&C $9,590 $15,327 −37% $15,327 −37% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $9,578 $23,724 −60% $25,970 −63% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $9,576 $17,028 −44% $18,528 −48% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,575 $20,957 −54% $23,571 −59% —
291 HEART FAILURE AND SHOCK WITH MCC $9,525 $25,917 −63% $26,776 −64% —
920 COMPLICATIONS OF TREATMENT WITH CC $9,450 $18,678 −49% $22,468 −58% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $9,428 $45,184 −79% $42,881 −78% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $9,418 $44,783 −79% $63,928 −85% —
606 MINOR SKIN DISORDERS WITH MCC $9,384 $24,094 −61% $27,975 −66% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,377 $16,953 −45% $16,700 −44% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,356 $23,404 −60% $23,141 −60% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,351 $18,191 −49% $25,652 −64% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,311 $31,081 −70% $22,098 −58% —
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 $26,578 −65% $18,150 −49% —
669 TRANSURETHRAL PROCEDURES WITH CC $9,182 $45,520 −80% $34,354 −73% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,174 $27,196 −66% $20,957 −56% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $9,172 $22,739 −60% $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 $34,591 −74% $35,692 −74% —
187 PLEURAL EFFUSION WITH CC $9,120 $21,455 −57% $21,789 −58% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,104 $23,427 −61% $24,586 −63% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,102 $16,382 −44% $19,264 −53% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $9,090 $15,547 −42% $18,316 −50% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $9,070 $30,404 −70% $46,066 −80% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $9,068 $29,518 −69% $31,134 −71% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,047 $25,321 −64% $15,764 −43% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $9,025 $23,263 −61% $24,550 −63% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,995 $44,678 −80% $35,074 −74% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,961 $28,555 −69% $38,861 −77% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $8,934 $27,387 −67% $46,340 −81% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,926 $22,664 −61% $27,394 −67% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,910 $12,723 −30% $14,514 −39% —
602 CELLULITIS WITH MCC $8,849 $33,339 −73% $30,598 −71% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,793 $20,152 −56% $27,843 −68% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $8,746 $15,311 −43% $16,968 −48% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,719 $22,434 −61% $21,449 −59% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,714 $23,257 −63% $26,598 −67% —
652 KIDNEY TRANSPLANT $8,714 $54,720 −84% $54,720 −84% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $8,668 $26,909 −68% $40,642 −79% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,660 $14,654 −41% $16,998 −49% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,653 $18,290 −53% $23,443 −63% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $8,607 $22,568 −62% $33,393 −74% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,598 $18,537 −54% $20,181 −57% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,573 $14,950 −43% $18,488 −54% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $8,573 $55,862 −85% $53,451 −84% —
595 MAJOR SKIN DISORDERS WITH MCC $8,573 $30,646 −72% $34,598 −75% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,571 $21,039 −59% $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 $25,280 −66% $23,551 −64% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,497 $34,487 −75% $42,186 −80% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,497 $18,430 −54% $20,084 −58% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $8,489 $22,077 −62% $24,941 −66% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,464 $15,094 −44% $17,135 −51% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $8,457 $26,986 −69% $40,694 −79% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,445 $19,637 −57% $28,125 −70% —
199 PNEUMOTHORAX WITH MCC $8,440 $35,165 −76% $33,787 −75% —
186 PLEURAL EFFUSION WITH MCC $8,435 $42,937 −80% $33,834 −75% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,417 $17,768 −53% $19,815 −58% —
038 EXTRACRANIAL PROCEDURES WITH CC $8,394 $24,107 −65% $35,770 −77% —
882 NEUROSES EXCEPT DEPRESSIVE $8,380 $15,680 −47% $15,680 −47% —
037 EXTRACRANIAL PROCEDURES WITH MCC $8,367 $46,296 −82% $66,666 −87% —
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $8,335 $30,138 −72% $30,138 −72% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,291 $11,501 −28% $14,250 −42% —
540 OSTEOMYELITIS WITH CC $8,282 $19,990 −59% $26,676 −69% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $8,280 $35,990 −77% $40,362 −79% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,280 $26,542 −69% $18,126 −54% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $8,280 $19,244 −57% $14,716 −44% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $8,265 $23,658 −65% $32,697 −75% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,255 $10,480 −21% $10,480 −21% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,229 $11,755 −30% $13,633 −40% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,180 $14,675 −44% $15,452 −47% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,138 $24,292 −66% $28,202 −71% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $8,134 $28,381 −71% $43,080 −81% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,110 $32,586 −75% $32,841 −75% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,109 $21,873 −63% $26,932 −70% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $8,108 $21,328 −62% $31,017 −74% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,093 $32,858 −75% $28,156 −71% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $8,077 $25,994 −69% $30,553 −74% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,023 $24,448 −67% $36,354 −78% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,021 $40,492 −80% $43,477 −82% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,985 $24,787 −68% $32,628 −76% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,984 $23,482 −66% $27,543 −71% —
534 FRACTURES OF FEMUR WITHOUT MCC $7,984 $23,132 −65% $17,559 −55% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,984 $21,255 −62% $18,002 −56% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,984 $15,121 −47% $18,072 −56% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,984 $18,220 −56% $25,700 −69% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,984 $12,936 −38% $16,565 −52% —
292 HEART FAILURE AND SHOCK WITH CC $7,954 $14,525 −45% $16,371 −51% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,925 $10,878 −27% $12,999 −39% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $7,925 $32,631 −76% $38,666 −80% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,925 $29,044 −73% $22,506 −65% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,925 $13,822 −43% $14,501 −45% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,866 $22,735 −65% $33,424 −76% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,866 $16,427 −52% $22,635 −65% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $7,859 $26,035 −70% $25,463 −69% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,848 $23,998 −67% $35,584 −78% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,838 $25,590 −69% $22,850 −66% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,829 $18,721 −58% $21,230 −63% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,798 $22,265 −65% $26,463 −71% —
348 ANAL AND STOMAL PROCEDURES WITH CC $7,787 $19,533 −60% $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 $24,721 −69% $36,820 −79% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,745 $25,666 −70% $18,807 −59% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $7,745 $35,669 −78% $36,253 −79% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $7,690 $23,876 −68% $39,006 −80% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,687 $29,846 −74% $21,396 −64% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $7,666 $34,307 −78% $47,583 −84% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,629 $12,609 −39% $16,767 −55% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,569 $19,267 −61% $28,320 −73% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,548 $12,055 −37% $13,651 −45% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,541 $15,153 −50% $20,455 −63% —
638 DIABETES WITH CC $7,513 $24,114 −69% $19,661 −62% —
666 PROSTATECTOMY WITH CC $7,513 $24,574 −69% $31,906 −76% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,485 $13,602 −45% $19,962 −63% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,470 $12,650 −41% $12,768 −41% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,445 $19,017 −61% $25,581 −71% —
123 NEUROLOGICAL EYE DISORDERS $7,429 $13,618 −45% $19,745 −62% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,404 $17,973 −59% $25,279 −71% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,400 $23,067 −68% $17,700 −58% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $7,387 $30,155 −76% $43,174 −83% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,372 $13,911 −47% $17,298 −57% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,366 $15,741 −53% $17,724 −58% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,318 $17,193 −57% $17,193 −57% —
949 AFTERCARE WITH CC/MCC $7,318 $17,496 −58% $23,953 −69% —
593 SKIN ULCERS WITH CC $7,297 $19,063 −62% $22,886 −68% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,273 $47,828 −85% $68,653 −89% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $7,273 $48,834 −85% $52,751 −86% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $7,273 $36,267 −80% $58,707 −88% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $7,273 $66,511 −89% $70,564 −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 $44,584 −84% $49,710 −85% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $7,207 $44,472 −84% $44,472 −84% —
088 CONCUSSION WITH MCC $7,199 $24,582 −71% $24,402 −70% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,188 $16,434 −56% $22,557 −68% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,188 $13,039 −45% $13,275 −46% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,129 $20,636 −65% $16,776 −58% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,128 $39,887 −82% $34,192 −79% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $7,091 $24,771 −71% $29,316 −76% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,068 $16,857 −58% $20,232 −65% —
137 MOUTH PROCEDURES WITH CC/MCC $7,050 $22,342 −68% $27,861 −75% —
305 HYPERTENSION WITHOUT MCC $7,027 $17,880 −61% $18,086 −61% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,997 $13,288 −47% $17,124 −59% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,936 $19,342 −64% $18,602 −63% —
637 DIABETES WITH MCC $6,892 $35,028 −80% $30,100 −77% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $6,892 $14,778 −53% $16,846 −59% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,840 $15,986 −57% $20,895 −67% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,826 $23,439 −71% $17,601 −61% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $6,800 $22,265 −69% $25,073 −73% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,790 $15,217 −55% $20,566 −67% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $6,790 $23,326 −71% $34,434 −80% —
683 RENAL FAILURE WITH CC $6,790 $22,590 −70% $19,130 −65% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,790 $22,694 −70% $17,674 −62% —
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 $60,312 −89% $66,068 −90% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,722 $25,218 −73% $27,426 −75% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $6,681 $21,908 −70% $22,525 −70% —
539 OSTEOMYELITIS WITH MCC $6,636 $46,459 −86% $37,609 −82% —
811 RED BLOOD CELL DISORDERS WITH MCC $6,625 $21,454 −69% $28,226 −77% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $6,576 $22,791 −71% $30,770 −79% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $6,521 $51,950 −87% $59,651 −89% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $6,492 $40,363 −84% $58,975 −89% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $6,492 $42,100 −85% $58,228 −89% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,492 $25,727 −75% $32,443 −80% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $6,492 $61,401 −89% $84,692 −92% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,492 $26,242 −75% $34,276 −81% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $6,492 $78,250 −92% $65,653 −90% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $6,492 $43,631 −85% $41,955 −85% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $6,492 $35,964 −82% $49,423 −87% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $6,492 $28,350 −77% $37,240 −83% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $6,492 $40,289 −84% $49,839 −87% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $6,492 $29,304 −78% $46,090 −86% —
541 OSTEOMYELITIS WITHOUT CC/MCC $6,398 $14,549 −56% $15,215 −58% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,395 $21,531 −70% $21,363 −70% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,367 $11,894 −46% $16,288 −61% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,354 $16,139 −61% $10,975 −42% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,353 $16,495 −61% $18,348 −65% —
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 $9,940 −36% $9,940 −36% —
100 SEIZURES WITH MCC $6,331 $28,961 −78% $35,481 −82% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $6,331 $19,916 −68% $25,748 −75% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $6,321 $52,925 −88% $37,842 −83% —
639 DIABETES WITHOUT CC/MCC $6,321 $15,635 −60% $13,910 −55% —
313 CHEST PAIN $6,302 $16,558 −62% $16,440 −62% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $6,302 $31,740 −80% $41,608 −85% —
644 ENDOCRINE DISORDERS WITH CC $6,289 $33,038 −81% $23,198 −73% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,289 $15,390 −59% $17,934 −65% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,289 $18,855 −67% $17,118 −63% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,289 $11,813 −47% $13,942 −55% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $6,282 $20,656 −70% $23,488 −73% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,282 $15,583 −60% $14,648 −57% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $6,282 $63,565 −90% $39,955 −84% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $6,282 $40,406 −84% $59,031 −89% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $6,282 $35,339 −82% $31,264 −80% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,282 $19,086 −67% $20,901 −70% —
915 ALLERGIC REACTIONS WITH MCC $6,282 $38,632 −84% $32,645 −81% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,276 $19,357 −68% $27,297 −77% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,274 $27,853 −77% $27,275 −77% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $6,263 $106,929 −94% $148,686 −96% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $6,263 $21,427 −71% $39,887 −84% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,263 $23,675 −74% $17,303 −64% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $6,263 $30,860 −80% $42,906 −85% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,263 $13,385 −53% $14,014 −55% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,263 $14,410 −57% $15,889 −61% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $6,263 $28,020 −78% $34,459 −82% —
697 URETHRAL STRICTURE $6,263 $16,196 −61% $18,428 −66% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,263 $24,781 −75% $18,126 −65% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $6,263 $27,767 −77% $36,431 −83% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,230 $24,139 −74% $22,888 −73% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,204 $26,505 −77% $23,283 −73% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,160 $14,668 −58% $16,520 −63% —
864 FEVER AND INFLAMMATORY CONDITIONS $6,159 $14,849 −59% $18,640 −67% —
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% $17,404 −65% —
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% $13,613 −55% —
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $6,060 $25,628 −76% $25,628 −76% —
200 PNEUMOTHORAX WITH CC $6,056 $23,361 −74% $21,368 −72% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $6,056 $30,598 −80% $43,650 −86% —
865 VIRAL ILLNESS WITH MCC $6,056 $22,350 −73% $26,910 −77% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,040 $15,603 −61% $19,924 −70% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,040 $13,586 −56% $13,586 −56% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $6,035 $24,302 −75% $27,633 −78% —
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 $6,035 +0% $10,160 −41% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,026 $18,366 −67% $14,128 −57% —
183 MAJOR CHEST TRAUMA WITH MCC $6,025 $23,796 −75% $29,933 −80% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $6,008 $25,010 −76% $32,496 −82% —
176 PULMONARY EMBOLISM WITHOUT MCC $6,005 $17,846 −66% $18,081 −67% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $6,005 $69,008 −91% $80,793 −93% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $6,005 $27,059 −78% $33,048 −82% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,005 $17,320 −65% $15,038 −60% —
684 RENAL FAILURE WITHOUT CC/MCC $6,005 $12,380 −51% $13,642 −56% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,993 $30,153 −80% $23,940 −75% —
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 $18,038 −67% $25,390 −76% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $5,986 $37,588 −84% $48,687 −88% —
124 OTHER DISORDERS OF THE EYE WITH MCC $5,986 $20,117 −70% $21,894 −73% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,986 $12,253 −51% $15,495 −61% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,986 $17,235 −65% $20,506 −71% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,986 $15,591 −62% $19,594 −69% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $5,986 $26,296 −77% $39,515 −85% —
914 TRAUMATIC INJURY WITHOUT MCC $5,986 $15,088 −60% $15,855 −62% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,966 $32,998 −82% $27,163 −78% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $5,966 $22,435 −73% $36,988 −84% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,966 $17,159 −65% $18,956 −69% —
866 VIRAL ILLNESS WITHOUT MCC $5,966 $15,599 −62% $17,081 −65% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,962 $25,933 −77% $26,580 −78% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,950 $18,021 −67% $24,944 −76% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,920 $12,284 −52% $15,549 −62% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,841 $12,044 −52% $12,078 −52% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,823 $14,290 −59% $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 $15,493 −63% $15,183 −62% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $5,760 $26,794 −79% $40,365 −86% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,760 $19,686 −71% $19,686 −71% —
598 MALIGNANT BREAST DISORDERS WITH CC $5,753 $17,197 −67% $19,073 −70% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,738 $19,759 −71% $20,781 −72% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,738 $14,635 −61% $19,569 −71% —
089 CONCUSSION WITH CC $5,738 $17,109 −66% $18,821 −70% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,738 $34,856 −84% $32,637 −82% —
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 $26,590 −79% $16,351 −65% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,709 $13,438 −58% $17,620 −68% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,709 $15,729 −64% $17,038 −66% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,709 $42,921 −87% $32,100 −82% —
075 VIRAL MENINGITIS WITH CC/MCC $5,696 $25,549 −78% $30,447 −81% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,696 $11,847 −52% $11,847 −52% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,689 $19,350 −71% $22,851 −75% —
398 APPENDIX PROCEDURES WITH CC $5,689 $46,799 −88% $40,162 −86% —
668 TRANSURETHRAL PROCEDURES WITH MCC $5,689 $41,045 −86% $51,608 −89% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,689 $22,882 −75% $33,674 −83% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,689 $16,823 −66% $22,763 −75% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,689 $37,479 −85% $35,628 −84% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,670 $15,598 −64% $20,911 −73% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,670 $12,855 −56% $15,019 −62% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,670 $18,707 −70% $21,847 −74% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,670 $27,058 −79% $32,859 −83% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,547 $25,936 −79% $30,784 −82% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,371 $14,480 −63% $19,305 −72% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,368 $32,208 −83% $24,386 −78% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,363 $14,055 −62% $14,055 −62% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,336 $35,694 −85% $39,973 −87% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,336 $24,869 −79% $33,653 −84% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,316 $17,602 −70% $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 $20,672 −74% $24,127 −78% —
181 RESPIRATORY NEOPLASMS WITH CC $5,275 $17,604 −70% $23,573 −78% —
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 $17,047 −69% $15,370 −66% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,184 $21,024 −75% $22,314 −77% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,161 $13,317 −61% $15,428 −67% —
103 HEADACHES WITHOUT MCC $5,140 $25,397 −80% $21,280 −76% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,131 $19,911 −74% $26,870 −81% —
667 PROSTATECTOMY WITHOUT CC/MCC $5,076 $16,534 −69% $16,703 −70% —
946 REHABILITATION WITHOUT CC/MCC $5,050 $17,685 −71% $17,685 −71% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,049 $13,720 −63% $18,004 −72% —
090 CONCUSSION WITHOUT CC/MCC $5,008 $14,321 −65% $15,412 −68% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,008 $27,695 −82% $33,255 −85% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,987 $29,734 −83% $31,321 −84% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,977 $21,858 −77% $14,927 −67% —
381 COMPLICATED PEPTIC ULCER WITH CC $4,957 $35,404 −86% $24,177 −79% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,957 $23,876 −79% $22,033 −78% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,945 $14,937 −67% $16,552 −70% —
184 MAJOR CHEST TRAUMA WITH CC $4,945 $17,057 −71% $22,432 −78% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,945 $13,445 −63% $13,445 −63% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,939 $28,716 −83% $25,303 −80% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,938 $14,371 −66% $13,384 −63% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $4,938 $16,487 −70% $16,487 −70% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,938 $23,545 −79% $33,633 −85% —
151 EPISTAXIS WITHOUT MCC $4,918 $13,119 −63% $13,032 −62% —
197 INTERSTITIAL LUNG DISEASE WITH CC $4,918 $16,043 −69% $21,941 −78% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $4,918 $33,155 −85% $50,394 −90% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,918 $19,930 −75% $27,989 −82% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,899 $16,146 −70% $17,698 −72% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,816 $17,450 −72% $17,322 −72% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,815 $12,978 −63% $12,454 −61% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,790 $15,039 −68% $20,259 −76% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,762 $12,204 −61% $14,797 −68% —
201 PNEUMOTHORAX WITHOUT CC/MCC $4,749 $19,308 −75% $14,053 −66% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,693 $23,477 −80% $16,634 −72% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,687 $19,558 −76% $19,119 −75% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,687 $19,336 −76% $13,824 −66% —
375 DIGESTIVE MALIGNANCY WITH CC $4,658 $25,270 −82% $27,277 −83% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,645 $11,071 −58% $11,071 −58% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,638 $22,721 −80% $36,505 −87% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,638 $16,212 −71% $16,212 −71% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,619 $12,534 −63% $12,559 −63% —
950 AFTERCARE WITHOUT CC/MCC $4,550 $10,801 −58% $13,527 −66% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,486 $40,675 −89% $36,937 −88% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,486 $28,559 −84% $29,524 −85% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,481 $13,602 −67% $18,452 −76% —
139 SALIVARY GLAND PROCEDURES $4,479 $21,014 −79% $23,612 −81% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,479 $25,704 −83% $22,024 −80% —
312 SYNCOPE AND COLLAPSE $4,479 $23,071 −81% $19,342 −77% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,479 $14,627 −69% $19,854 −77% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $4,479 $24,586 −82% $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% $62,583 −93% —
603 CELLULITIS WITHOUT MCC $4,449 $21,536 −79% $18,530 −76% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,438 $19,436 −77% $15,600 −72% —
311 ANGINA PECTORIS $4,419 $12,257 −64% $15,502 −71% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,407 $23,438 −81% $20,727 −79% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,407 $21,277 −79% $27,119 −84% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,407 $55,830 −92% $52,405 −92% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,407 $18,250 −76% $16,450 −73% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,407 $25,881 −83% $33,555 −87% —
592 SKIN ULCERS WITH MCC $4,407 $32,263 −86% $33,246 −87% —
791 PREMATURITY WITH MAJOR PROBLEMS $4,407 $55,887 −92% $42,679 −90% —
881 DEPRESSIVE NEUROSES $4,406 $15,058 −71% $15,058 −71% —
380 COMPLICATED PEPTIC ULCER WITH MCC $4,400 $28,169 −84% $39,627 −89% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,400 $23,780 −81% $20,488 −79% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $4,400 $32,168 −86% $47,789 −91% —
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 $19,183 −77% $19,270 −77% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,396 $15,223 −71% $15,837 −72% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,381 $15,636 −72% $17,733 −75% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,380 $16,213 −73% $17,737 −75% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,380 $12,173 −64% $14,689 −70% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,380 $19,121 −77% $19,846 −78% —
594 SKIN ULCERS WITHOUT CC/MCC $4,364 $14,209 −69% $14,209 −69% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,358 $14,776 −71% $22,148 −80% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,345 $24,458 −82% $33,661 −87% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,345 $12,336 −65% $12,336 −65% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,335 $12,120 −64% $14,415 −70% —
149 DYSEQUILIBRIUM $4,332 $20,682 −79% $18,096 −76% —
795 NORMAL NEWBORN $4,326 $5,054 −14% $4,720 −8% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,325 $25,653 −83% $18,204 −76% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,325 $21,345 −80% $20,422 −79% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,325 $31,484 −86% $30,571 −86% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,325 $20,369 −79% $21,275 −80% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $4,306 $49,003 −91% $50,919 −92% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,288 $11,513 −63% $12,229 −65% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,247 $26,510 −84% $26,510 −84% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,218 $8,927 −53% $8,927 −53% —
304 HYPERTENSION WITH MCC $4,088 $27,407 −85% $26,080 −84% —
101 SEIZURES WITHOUT MCC $4,068 $16,271 −75% $20,461 −80% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,068 $18,291 −78% $19,412 −79% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,068 $11,921 −66% $14,549 −72% —
813 COAGULATION DISORDERS $4,068 $23,285 −83% $33,296 −88% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,049 $23,254 −83% $30,010 −87% —
152 OTITIS MEDIA AND URI WITH MCC $4,030 $25,161 −84% $20,247 −80% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,011 $12,397 −68% $12,397 −68% —
263 VEIN LIGATION AND STRIPPING $3,985 $38,005 −90% $51,253 −92% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,985 $22,477 −82% $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 $17,752 −78% $13,361 −70% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,953 $25,133 −84% $29,079 −86% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,953 $19,581 −80% $22,320 −82% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,714 $11,294 −67% $12,324 −70% —
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 $12,119 −70% $14,638 −75% —
102 HEADACHES WITH MCC $3,511 $18,243 −81% $25,740 −86% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,491 $21,793 −84% $32,833 −89% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,451 $21,381 −84% $22,393 −85% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,349 $21,286 −84% $17,921 −81% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,298 $22,134 −85% $19,037 −83% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,286 $13,136 −75% $12,252 −73% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,279 $31,079 −89% $37,267 −91% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,279 $15,553 −79% $16,699 −80% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,199 $24,871 −87% $26,682 −88% —
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 $19,522 −84% $17,345 −82% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,047 $26,307 −88% $31,159 −90% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,536 $16,847 −85% $19,657 −87% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $723 $26,211 −97% $15,215 −95% —
999 UNGROUPABLE $710 $62,821 −99% $29,674 −98% —

Procedures with negotiated rates only

These 17 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
800 SPLENECTOMY WITH CC — 6 plans
006 LIVER TRANSPLANT WITHOUT MCC — 5 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 5 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 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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