Baylor Scott & White Surgical Hospital at Sherman — Pricing

775 procedures published in this hospital's Machine-Readable File (MRF) — 748 with a comparable price, 27 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 775
Lowest published price $3,133
Average published price $12,184
Highest published price $129,604

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 775 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
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $129,604 $230,527 −44% $245,241 −47%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $121,333 $362,617 −67% $431,073 −72%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $120,811 $237,026 −49% $306,087 −61%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $111,953 $209,912 −47% $121,714 −8%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $94,991 $242,999 −61% $159,181 −40%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $74,682 $106,929 −30% $134,914 −45%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $72,184 $149,897 −52% $138,868 −48%
007 LUNG TRANSPLANT $70,368 $170,608 −59% $170,608 −59%
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $61,184 $89,353 −32% $89,353 −32%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $60,891 $115,433 −47% $70,540 −14%
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,728 $217,531 −73% $191,314 −69%
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $58,247 $143,467 −59% $169,977 −66%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $57,400 $77,406 −26% $107,355 −47%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $55,260 $80,603 −31% $113,855 −51%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,014 $82,731 −34% $98,912 −44%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $53,124 $80,018 −34% $80,018 −34%
014 ALLOGENEIC BONE MARROW TRANSPLANT $52,728 $171,028 −69% $182,314 −71%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $52,652 $103,292 −49% $106,778 −51%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $51,616 $196,712 −74% $143,242 −64%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $50,336 $128,445 −61% $82,527 −39%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $50,095 $139,926 −64% $102,177 −51%
231 CORONARY BYPASS WITH PTCA WITH MCC $49,916 $128,088 −61% $146,474 −66%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $49,085 $94,288 −48% $131,961 −63%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $47,763 $89,662 −47% $118,589 −60%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $45,703 $175,396 −74% $86,953 −47%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $44,829 $105,340 −57% $99,423 −55%
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $44,156 $103,861 −57% $103,861 −57%
799 SPLENECTOMY WITH MCC $43,922 $99,427 −56% $78,821 −44%
245 AICD GENERATOR PROCEDURES $43,443 $66,564 −35% $72,076 −40%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $42,623 $109,817 −61% $87,565 −51%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $42,188 $86,484 −51% $70,735 −40%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $39,618 $56,535 −30% $66,853 −41%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $38,410 $73,266 −48% $68,847 −44%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $37,160 $79,247 −53% $112,062 −67%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $36,922 $79,695 −54% $83,065 −56%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $36,808 $132,154 −72% $88,049 −58%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $35,571 $133,390 −73% $73,029 −51%
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $35,244 $78,699 −55% $75,251 −53%
028 SPINAL PROCEDURES WITH MCC $34,748 $82,145 −58% $95,858 −64%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $34,371 $83,613 −59% $50,815 −32%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,677 $52,536 −36% $74,755 −55%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $33,085 $48,637 −32% $59,207 −44%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $32,748 $70,613 −54% $67,901 −52%
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $32,291 $74,709 −57% $76,583 −58%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $32,280 $75,197 −57% $62,524 −48%
332 RECTAL RESECTION WITH MCC $32,253 $48,214 −33% $58,125 −45%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $31,333 $76,345 −59% $68,399 −54%
471 CERVICAL SPINAL FUSION WITH MCC $30,281 $66,842 −55% $92,515 −67%
037 EXTRACRANIAL PROCEDURES WITH MCC $30,037 $107,947 −72% $64,749 −54%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $29,857 $73,103 −59% $78,582 −62%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $29,413 $118,231 −75% $80,747 −64%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $28,636 $53,998 −47% $44,472 −36%
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $28,588 $81,176 −65% $81,176 −65%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $28,547 $104,160 −73% $57,277 −50%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $28,398 $135,321 −79% $101,235 −72%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $28,188 $64,248 −56% $92,217 −69%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $27,751 $82,870 −67% $96,222 −71%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $27,484 $92,538 −70% $74,274 −63%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $26,970 $93,036 −71% $53,551 −50%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,372 $89,410 −71% $56,964 −54%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $26,159 $59,237 −56% $83,441 −69%
347 ANAL AND STOMAL PROCEDURES WITH MCC $25,496 $42,818 −40% $40,548 −37%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $25,148 $61,694 −59% $54,320 −54%
668 TRANSURETHRAL PROCEDURES WITH MCC $25,113 $51,424 −51% $47,277 −47%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $24,999 $87,874 −72% $57,963 −57%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $24,910 $73,455 −66% $94,927 −74%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $24,059 $77,461 −69% $91,329 −74%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $23,950 $86,138 −72% $45,290 −47%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $23,877 $39,148 −39% $45,817 −48%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $23,856 $57,584 −59% $68,659 −65%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $23,494 $47,649 −51% $68,880 −66%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $23,048 $60,017 −62% $64,776 −64%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $22,666 $69,973 −68% $65,254 −65%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $22,628 $53,665 −58% $72,908 −69%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $22,589 $54,300 −58% $61,832 −63%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,488 $36,791 −39% $41,703 −46%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,188 $51,761 −57% $60,861 −64%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $21,741 $35,340 −38% $45,622 −52%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $21,677 $75,038 −71% $75,585 −71%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,515 $154,549 −86% $86,390 −75%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $21,507 $39,653 −46% $43,538 −51%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $21,440 $57,570 −63% $72,945 −71%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $21,327 $31,025 −31% $36,850 −42%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $21,301 $59,086 −64% $49,631 −57%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $20,906 $63,928 −67% $80,885 −74%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,806 $95,604 −78% $63,984 −67%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $20,754 $64,932 −68% $52,313 −60%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $20,387 $33,308 −39% $36,237 −44%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,162 $47,944 −58% $36,097 −44%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $19,703 $85,313 −77% $59,425 −67%
595 MAJOR SKIN DISORDERS WITH MCC $19,486 $42,247 −54% $31,785 −39%
265 AICD LEAD PROCEDURES $19,437 $49,492 −61% $56,695 −66%
791 PREMATURITY WITH MAJOR PROBLEMS $19,078 $34,685 −45% $39,563 −52%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $18,915 $98,765 −81% $72,782 −74%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,895 $37,764 −50% $41,651 −55%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $18,705 $72,886 −74% $68,006 −72%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $18,292 $31,646 −42% $40,063 −54%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $18,224 $89,456 −80% $72,011 −75%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $18,161 $53,945 −66% $78,852 −77%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $18,088 $43,330 −58% $62,821 −71%
100 SEIZURES WITH MCC $17,766 $28,961 −39% $35,194 −50%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,704 $71,589 −75% $50,624 −65%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $17,688 $65,883 −73% $35,014 −49%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,634 $35,895 −51% $46,066 −62%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $17,629 $58,314 −70% $70,132 −75%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,578 $41,744 −58% $43,775 −60%
252 OTHER VASCULAR PROCEDURES WITH MCC $17,530 $48,030 −64% $68,508 −74%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,528 $26,492 −34% $30,661 −43%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $17,357 $69,779 −75% $71,701 −76%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $17,347 $44,483 −61% $29,211 −41%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $17,245 $51,365 −66% $33,490 −49%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $17,219 $59,066 −71% $60,098 −71%
075 VIRAL MENINGITIS WITH CC/MCC $17,201 $30,536 −44% $29,853 −42%
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,020 $43,199 −61% $30,766 −45%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $16,972 $49,718 −66% $57,855 −71%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $16,948 $70,091 −76% $57,521 −71%
906 HAND PROCEDURES FOR INJURIES $16,906 $49,938 −66% $31,520 −46%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $16,801 $45,698 −63% $33,137 −49%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $16,801 $43,152 −61% $48,358 −65%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $16,753 $61,539 −73% $36,280 −54%
335 PERITONEAL ADHESIOLYSIS WITH MCC $16,689 $117,803 −86% $71,755 −77%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $16,681 $40,363 −59% $56,758 −71%
865 VIRAL ILLNESS WITH MCC $16,625 $29,325 −43% $26,088 −36%
263 VEIN LIGATION AND STRIPPING $16,478 $60,391 −73% $44,938 −63%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $16,454 $25,133 −35% $28,578 −42%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,429 $58,714 −72% $32,399 −49%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $16,399 $59,712 −73% $65,325 −75%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $16,394 $74,518 −78% $54,475 −70%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,362 $43,017 −62% $40,563 −60%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,278 $49,397 −67% $44,600 −64%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $16,253 $31,143 −48% $40,694 −60%
570 SKIN DEBRIDEMENT WITH MCC $16,155 $47,727 −66% $52,435 −69%
801 SPLENECTOMY WITHOUT CC/MCC $16,097 $28,886 −44% $28,634 −44%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,074 $42,949 −63% $36,597 −56%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,041 $49,325 −67% $43,697 −63%
199 PNEUMOTHORAX WITH MCC $15,953 $56,291 −72% $31,491 −49%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $15,822 $71,969 −78% $65,383 −76%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,762 $38,564 −59% $36,202 −56%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $15,740 $74,112 −79% $49,055 −68%
472 CERVICAL SPINAL FUSION WITH CC $15,710 $51,075 −69% $59,537 −74%
253 OTHER VASCULAR PROCEDURES WITH CC $15,707 $69,497 −77% $53,746 −71%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $15,632 $36,428 −57% $39,018 −60%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $15,557 $53,584 −71% $52,908 −71%
504 FOOT PROCEDURES WITH CC $15,421 $39,139 −61% $36,598 −58%
671 URETHRAL PROCEDURES WITH CC/MCC $15,386 $25,566 −40% $27,233 −44%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $15,309 $47,454 −68% $31,840 −52%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $15,150 $51,746 −71% $44,973 −66%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $15,133 $52,032 −71% $45,497 −67%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,057 $52,001 −71% $46,477 −68%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,012 $37,057 −59% $34,264 −56%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $14,913 $48,557 −69% $51,953 −71%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,784 $43,744 −66% $35,584 −58%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $14,778 $27,241 −46% $29,729 −50%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $14,685 $51,898 −72% $57,149 −74%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $14,671 $100,025 −85% $64,465 −77%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $14,641 $49,003 −70% $50,919 −71%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $14,614 $58,561 −75% $49,710 −71%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,575 $44,413 −67% $32,689 −55%
539 OSTEOMYELITIS WITH MCC $14,486 $46,459 −69% $33,746 −57%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,457 $73,229 −80% $50,011 −71%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,446 $23,257 −38% $25,484 −43%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,335 $61,679 −77% $42,126 −66%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $14,296 $65,401 −78% $48,907 −71%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $14,296 $54,107 −74% $55,162 −74%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $14,282 $36,339 −61% $38,878 −63%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $14,090 $75,392 −81% $46,591 −70%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $14,020 $35,694 −61% $39,409 −64%
186 PLEURAL EFFUSION WITH MCC $13,981 $51,361 −73% $32,468 −57%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $13,967 $92,740 −85% $66,819 −79%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $13,941 $50,472 −72% $47,583 −71%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,907 $48,410 −71% $31,062 −55%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $13,886 $24,302 −43% $24,465 −43%
669 TRANSURETHRAL PROCEDURES WITH CC $13,827 $50,305 −73% $34,354 −60%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,791 $22,506 −39% $17,103 −19%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,643 $43,181 −68% $41,660 −67%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,604 $38,950 −65% $28,140 −52%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,532 $46,575 −71% $25,854 −48%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,449 $37,241 −64% $23,734 −43%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $13,443 $41,952 −68% $46,402 −71%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $13,325 $32,604 −59% $37,064 −64%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $13,313 $39,644 −66% $58,043 −77%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $13,255 $29,922 −56% $22,982 −42%
800 SPLENECTOMY WITH CC $13,236 $94,713 −86% $49,184 −73%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,221 $34,890 −62% $41,520 −68%
663 MINOR BLADDER PROCEDURES WITH CC $13,189 $39,409 −67% $29,924 −56%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $13,132 $27,641 −52% $20,080 −35%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,050 $36,115 −64% $33,694 −61%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,887 $57,889 −78% $48,680 −74%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,865 $38,609 −67% $32,451 −60%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,860 $32,258 −60% $30,940 −58%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,847 $31,221 −59% $43,800 −71%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,806 $52,262 −75% $35,692 −64%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,771 $30,692 −58% $22,811 −44%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,767 $47,763 −73% $25,152 −49%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,699 $37,784 −66% $38,420 −67%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $12,699 $60,574 −79% $51,339 −75%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,679 $45,049 −72% $40,232 −68%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,590 $55,658 −77% $45,963 −73%
711 TESTES PROCEDURES WITH CC/MCC $12,469 $62,108 −80% $34,852 −64%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,449 $32,141 −61% $31,909 −61%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,332 $42,641 −71% $30,972 −60%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $12,321 $43,019 −71% $38,357 −68%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,319 $13,257 −7% $23,920 −48%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,195 $43,556 −72% $30,358 −60%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,177 $47,416 −74% $34,900 −65%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,136 $44,541 −73% $30,418 −60%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $12,002 $30,579 −61% $20,463 −41%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $11,995 $61,292 −80% $49,197 −76%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,977 $51,021 −77% $38,836 −69%
124 OTHER DISORDERS OF THE EYE WITH MCC $11,957 $20,117 −41% $21,029 −43%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,925 $33,833 −65% $24,480 −51%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,861 $44,566 −73% $54,929 −78%
505 FOOT PROCEDURES WITHOUT CC/MCC $11,843 $26,653 −56% $31,716 −63%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,823 $42,680 −72% $33,424 −65%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $11,795 $33,422 −65% $23,496 −50%
592 SKIN ULCERS WITH MCC $11,755 $32,263 −64% $32,662 −64%
398 APPENDIX PROCEDURES WITH CC $11,717 $49,193 −76% $39,107 −70%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,685 $28,547 −59% $19,001 −39%
291 HEART FAILURE AND SHOCK WITH MCC $11,623 $32,698 −64% $25,020 −54%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,599 $37,809 −69% $18,291 −37%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,551 $39,954 −71% $30,006 −62%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,490 $30,313 −62% $22,532 −49%
380 COMPLICATED PEPTIC ULCER WITH MCC $11,474 $43,397 −74% $36,641 −69%
549 SEPTIC ARTHRITIS WITH CC $11,471 $27,124 −58% $20,938 −45%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,456 $29,425 −61% $27,492 −58%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $11,268 $32,168 −65% $29,805 −62%
541 OSTEOMYELITIS WITHOUT CC/MCC $11,261 $21,919 −49% $14,549 −23%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,244 $35,336 −68% $19,894 −43%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,192 $76,837 −85% $58,832 −81%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,139 $51,569 −78% $39,747 −72%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,135 $38,050 −71% $35,114 −68%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,056 $13,949 −21% $22,698 −51%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $11,042 $43,221 −74% $41,380 −73%
102 HEADACHES WITH MCC $10,943 $25,386 −57% $22,544 −51%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,936 $30,298 −64% $30,394 −64%
375 DIGESTIVE MALIGNANCY WITH CC $10,889 $33,697 −68% $27,219 −60%
712 TESTES PROCEDURES WITHOUT CC/MCC $10,783 $17,076 −37% $18,898 −43%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $10,724 $58,041 −82% $32,538 −67%
571 SKIN DEBRIDEMENT WITH CC $10,712 $37,792 −72% $34,901 −69%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $10,675 $38,751 −72% $46,659 −77%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $10,675 $68,532 −84% $56,519 −81%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,567 $38,849 −73% $20,421 −48%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,551 $37,079 −72% $27,369 −61%
533 FRACTURES OF FEMUR WITH MCC $10,535 $49,567 −79% $25,945 −59%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,517 $44,354 −76% $31,816 −67%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $10,508 $34,027 −69% $30,275 −65%
915 ALLERGIC REACTIONS WITH MCC $10,485 $47,831 −78% $30,944 −66%
089 CONCUSSION WITH CC $10,471 $17,109 −39% $18,293 −43%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,454 $63,316 −83% $45,059 −77%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,426 $44,679 −77% $35,139 −70%
551 MEDICAL BACK PROBLEMS WITH MCC $10,399 $42,807 −76% $31,086 −67%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $10,397 $42,406 −75% $37,950 −73%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,380 $24,871 −58% $25,208 −59%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,350 $52,248 −80% $29,409 −65%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $10,328 $31,740 −67% $38,382 −73%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $10,321 $49,708 −79% $36,242 −72%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,318 $34,876 −70% $27,118 −62%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,226 $68,425 −85% $38,998 −74%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,158 $17,768 −43% $19,317 −47%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,137 $55,298 −82% $43,266 −77%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $10,112 $49,536 −80% $41,900 −76%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,092 $36,515 −72% $24,190 −58%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,065 $32,009 −69% $27,168 −63%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $9,979 $83,214 −88% $63,475 −84%
501 SOFT TISSUE PROCEDURES WITH CC $9,979 $57,633 −83% $37,975 −74%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $9,979 $90,791 −89% $75,103 −87%
336 PERITONEAL ADHESIOLYSIS WITH CC $9,973 $68,668 −85% $49,470 −80%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $9,924 $67,791 −85% $96,905 −90%
540 OSTEOMYELITIS WITH CC $9,921 $19,990 −50% $23,494 −58%
506 MAJOR THUMB OR JOINT PROCEDURES $9,904 $25,946 −62% $28,983 −66%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $9,904 $17,903 −45% $12,044 −18%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $9,899 $24,928 −60% $29,916 −67%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,832 $37,559 −74% $25,307 −61%
381 COMPLICATED PEPTIC ULCER WITH CC $9,768 $36,066 −73% $24,177 −60%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,742 $21,345 −54% $19,579 −50%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,728 $20,031 −51% $15,370 −37%
374 DIGESTIVE MALIGNANCY WITH MCC $9,722 $41,900 −77% $38,885 −75%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,682 $31,282 −69% $20,777 −53%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,661 $46,151 −79% $29,484 −67%
503 FOOT PROCEDURES WITH MCC $9,608 $44,309 −78% $43,901 −78%
184 MAJOR CHEST TRAUMA WITH CC $9,602 $22,961 −58% $20,842 −54%
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $9,590 $69,101 −86% $69,101 −86%
509 ARTHROSCOPY $9,590 $25,994 −63% $25,994 −63%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $9,541 $27,480 −65% $17,715 −46%
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,535 $21,986 −57% $21,986 −57%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,525 $32,046 −70% $22,850 −58%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $9,525 $115,941 −92% $76,954 −88%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,525 $22,625 −58% $21,062 −55%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $9,525 $74,599 −87% $64,956 −85%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,524 $34,217 −72% $18,478 −48%
334 RECTAL RESECTION WITHOUT CC/MCC $9,494 $27,809 −66% $32,213 −71%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,483 $49,765 −81% $30,910 −69%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $9,466 $21,210 −55% $29,109 −67%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $9,456 $50,793 −81% $41,380 −77%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,392 $58,326 −84% $35,237 −73%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,357 $34,857 −73% $25,149 −63%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,341 $51,010 −82% $32,936 −72%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $9,322 $48,230 −81% $34,089 −73%
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $9,302 $31,821 −71% $34,146 −73%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $9,293 $51,780 −82% $44,553 −79%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,293 $58,702 −84% $62,269 −85%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,293 $76,015 −88% $50,139 −81%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $9,266 $50,419 −82% $34,434 −73%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,246 $33,151 −72% $16,571 −44%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,228 $35,420 −74% $31,190 −70%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,228 $41,021 −78% $32,839 −72%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $9,228 $91,253 −90% $105,612 −91%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,194 $32,502 −72% $23,723 −61%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $9,180 $48,286 −81% $43,398 −79%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,154 $24,506 −63% $28,646 −68%
197 INTERSTITIAL LUNG DISEASE WITH CC $9,124 $22,609 −60% $20,106 −55%
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,090 $39,831 −77% $23,350 −61%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,090 $30,669 −70% $21,545 −58%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,043 $33,079 −73% $22,713 −60%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $9,010 $24,482 −63% $18,803 −52%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,976 $39,406 −77% $27,548 −67%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $8,932 $70,888 −87% $54,313 −84%
682 RENAL FAILURE WITH MCC $8,918 $38,760 −77% $27,854 −68%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,858 $26,360 −66% $18,002 −51%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,858 $24,106 −63% $24,452 −64%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,829 $30,727 −71% $27,321 −68%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,817 $17,727 −50% $20,371 −57%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,793 $29,949 −71% $20,309 −57%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,793 $18,214 −52% $10,975 −20%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,772 $19,597 −55% $17,273 −49%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,758 $26,342 −67% $17,585 −50%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,749 $22,592 −61% $31,812 −72%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,731 $48,914 −82% $33,792 −74%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,729 $25,633 −66% $29,826 −71%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,714 $21,347 −59% $28,103 −69%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $8,681 $53,102 −84% $33,165 −74%
500 SOFT TISSUE PROCEDURES WITH MCC $8,634 $44,320 −81% $57,479 −85%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,622 $32,249 −73% $29,476 −71%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,613 $47,002 −82% $29,663 −71%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $8,560 $99,711 −91% $90,331 −91%
919 COMPLICATIONS OF TREATMENT WITH MCC $8,505 $47,893 −82% $29,031 −71%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,446 $17,398 −51% $17,398 −51%
866 VIRAL ILLNESS WITHOUT MCC $8,441 $24,453 −65% $16,391 −49%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,433 $34,683 −76% $25,426 −67%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,415 $31,755 −73% $22,525 −63%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $8,414 $35,004 −76% $32,204 −74%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,407 $27,131 −69% $18,253 −54%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,392 $20,900 −60% $17,731 −53%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $8,390 $46,828 −82% $30,814 −73%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,379 $24,781 −66% $17,928 −53%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,330 $14,937 −44% $15,077 −45%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,322 $34,326 −76% $24,452 −66%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,319 $29,160 −71% $31,758 −74%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $8,307 $59,378 −86% $40,552 −80%
180 RESPIRATORY NEOPLASMS WITH MCC $8,302 $58,269 −86% $36,658 −77%
638 DIABETES WITH CC $8,261 $27,005 −69% $18,821 −56%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $8,255 $84,256 −90% $102,573 −92%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $8,255 $56,565 −85% $82,247 −90%
607 MINOR SKIN DISORDERS WITHOUT MCC $8,209 $14,410 −43% $15,284 −46%
666 PROSTATECTOMY WITH CC $8,200 $53,546 −85% $30,016 −73%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,198 $19,044 −57% $15,608 −47%
157 DENTAL AND ORAL DISEASES WITH MCC $8,152 $42,077 −81% $27,457 −70%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,145 $37,991 −79% $36,333 −78%
603 CELLULITIS WITHOUT MCC $8,139 $26,407 −69% $18,530 −56%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,138 $16,156 −50% $16,156 −50%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,134 $18,873 −57% $19,868 −59%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,134 $26,192 −69% $18,623 −56%
864 FEVER AND INFLAMMATORY CONDITIONS $8,115 $14,849 −45% $17,412 −53%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,101 $49,043 −83% $28,967 −72%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $8,096 $95,906 −92% $62,404 −87%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,096 $59,215 −86% $40,277 −80%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,999 $22,948 −65% $17,367 −54%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,994 $15,335 −48% $18,238 −56%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,931 $35,026 −77% $26,158 −70%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,912 $30,058 −74% $30,058 −74%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,881 $29,871 −74% $16,352 −52%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,851 $29,419 −73% $20,084 −61%
643 ENDOCRINE DISORDERS WITH MCC $7,850 $44,725 −82% $32,996 −76%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $7,838 $11,909 −34% $11,909 −34%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,838 $23,808 −67% $16,837 −53%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,796 $40,821 −81% $31,128 −75%
887 OTHER MENTAL DISORDER DIAGNOSES $7,754 $18,631 −58% $20,602 −62%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $7,748 $21,022 −63% $29,050 −73%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,705 $19,686 −61% $22,275 −65%
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,684 $32,249 −76% $24,202 −68%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,666 $24,315 −68% $14,337 −47%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,660 $25,521 −70% $13,385 −43%
620 O.R. PROCEDURES FOR OBESITY WITH CC $7,642 $44,265 −83% $35,453 −78%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,629 $24,566 −69% $16,776 −55%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,620 $18,069 −58% $13,090 −42%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,582 $26,656 −72% $18,204 −58%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,569 $22,265 −66% $25,786 −71%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $7,568 $73,345 −90% $56,394 −87%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,541 $29,643 −75% $18,150 −58%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,541 $11,562 −35% $11,071 −32%
534 FRACTURES OF FEMUR WITHOUT MCC $7,513 $26,458 −72% $17,195 −56%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,513 $19,570 −62% $14,861 −49%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $7,508 $25,262 −70% $24,879 −70%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $7,483 $40,079 −81% $35,375 −79%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $7,415 $50,184 −85% $32,490 −77%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,403 $32,060 −77% $25,390 −71%
653 MAJOR BLADDER PROCEDURES WITH MCC $7,387 $132,069 −94% $97,046 −92%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,384 $43,611 −83% $31,059 −76%
710 PENIS PROCEDURES WITHOUT CC/MCC $7,377 $23,485 −69% $23,814 −69%
548 SEPTIC ARTHRITIS WITH MCC $7,376 $43,438 −83% $31,019 −76%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $7,366 $24,282 −70% $26,020 −72%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $7,318 $46,747 −84% $35,673 −79%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $7,318 $66,292 −89% $51,172 −86%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,302 $35,255 −79% $20,842 −65%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $7,273 $26,548 −73% $28,252 −74%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,244 $21,228 −66% $24,561 −71%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,211 $21,855 −67% $17,522 −59%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,207 $31,343 −77% $22,557 −68%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $7,204 $21,239 −66% $16,745 −57%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $7,188 $94,746 −92% $67,764 −89%
913 TRAUMATIC INJURY WITH MCC $7,181 $35,934 −80% $24,198 −70%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,178 $23,928 −70% $20,741 −65%
598 MALIGNANT BREAST DISORDERS WITH CC $7,175 $19,410 −63% $19,073 −62%
151 EPISTAXIS WITHOUT MCC $7,129 $13,119 −46% $13,032 −45%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $7,124 $23,658 −70% $29,371 −76%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $7,017 $48,189 −85% $32,911 −79%
637 DIABETES WITH MCC $6,982 $39,978 −83% $28,819 −76%
153 OTITIS MEDIA AND URI WITHOUT MCC $6,884 $21,412 −68% $14,473 −52%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,879 $11,997 −43% $11,997 −43%
606 MINOR SKIN DISORDERS WITH MCC $6,877 $27,528 −75% $25,434 −73%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,872 $37,000 −81% $25,267 −73%
693 URINARY STONES WITH MCC $6,831 $22,278 −69% $22,525 −70%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $6,790 $41,070 −83% $39,657 −83%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,766 $12,336 −45% $12,336 −45%
313 CHEST PAIN $6,695 $20,378 −67% $15,962 −58%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,682 $35,839 −81% $25,162 −73%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,624 $41,513 −84% $24,980 −73%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,593 $21,634 −70% $15,607 −58%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $6,575 $18,573 −65% $19,132 −66%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,531 $31,933 −80% $24,118 −73%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,490 $19,287 −66% $19,287 −66%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,488 $22,352 −71% $14,012 −54%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $6,477 $39,906 −84% $28,156 −77%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,460 $47,693 −86% $30,974 −79%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,439 $16,847 −62% $17,550 −63%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $6,434 $25,579 −75% $25,666 −75%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $6,419 $52,027 −88% $44,989 −86%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $6,419 $36,879 −83% $36,080 −82%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,417 $22,375 −71% $19,483 −67%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $6,360 $42,832 −85% $34,887 −82%
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,353 $18,601 −66% $15,474 −59%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,353 $5,751 +10% $9,385 −32%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,351 $36,697 −83% $23,115 −73%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,331 $35,114 −82% $26,634 −76%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,331 $24,389 −74% $19,326 −67%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $6,331 $32,168 −80% $44,053 −86%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,321 $26,061 −76% $17,388 −64%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $6,318 $81,319 −92% $56,242 −89%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,302 $40,228 −84% $25,704 −75%
813 COAGULATION DISORDERS $6,302 $44,051 −86% $30,128 −79%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,302 $12,534 −50% $12,537 −50%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $6,302 $38,454 −84% $43,491 −86%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,289 $24,384 −74% $16,654 −62%
088 CONCUSSION WITH MCC $6,289 $44,167 −86% $24,402 −74%
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $6,289 $33,983 −81% $33,983 −81%
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $6,289 $20,610 −69% $20,610 −69%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $6,289 $73,695 −91% $71,014 −91%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,289 $25,515 −75% $19,854 −68%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,289 $40,042 −84% $20,147 −69%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $6,289 $78,460 −92% $96,192 −93%
642 INBORN AND OTHER DISORDERS OF METABOLISM $6,288 $40,345 −84% $20,727 −70%
030 SPINAL PROCEDURES WITHOUT CC/MCC $6,282 $59,227 −89% $45,818 −86%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $6,282 $47,335 −87% $29,609 −79%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,282 $16,146 −61% $17,434 −64%
101 SEIZURES WITHOUT MCC $6,282 $20,289 −69% $19,954 −69%
103 HEADACHES WITHOUT MCC $6,282 $27,638 −77% $20,111 −69%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,282 $19,875 −68% $13,368 −53%
187 PLEURAL EFFUSION WITH CC $6,282 $21,455 −71% $21,467 −71%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,282 $20,246 −69% $13,824 −55%
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $6,282 $86,864 −93% $86,864 −93%
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $6,282 $59,206 −89% $59,206 −89%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,282 $15,901 −60% $15,901 −60%
302 ATHEROSCLEROSIS WITH MCC $6,282 $18,292 −66% $20,844 −70%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $6,282 $26,161 −76% $24,450 −74%
312 SYNCOPE AND COLLAPSE $6,282 $28,324 −78% $19,342 −68%
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $6,282 $16,487 −62% $19,454 −68%
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,282 $12,397 −49% $13,735 −54%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,282 $28,324 −78% $26,146 −76%
348 ANAL AND STOMAL PROCEDURES WITH CC $6,282 $29,376 −79% $27,947 −78%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,282 $21,623 −71% $17,322 −64%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,282 $28,002 −78% $18,918 −67%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,282 $20,688 −70% $14,128 −56%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $6,282 $35,346 −82% $24,432 −74%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,282 $17,587 −64% $14,290 −56%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $6,282 $55,994 −89% $42,881 −85%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,282 $33,372 −81% $24,022 −74%
662 MINOR BLADDER PROCEDURES WITH MCC $6,282 $52,022 −88% $54,483 −88%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,282 $35,101 −82% $18,126 −65%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,282 $12,593 −50% $12,593 −50%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,282 $27,057 −77% $18,459 −66%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,282 $20,528 −69% $18,282 −66%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $6,282 $48,636 −87% $53,817 −88%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,282 $19,537 −68% $12,895 −51%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,282 $32,504 −81% $20,007 −69%
950 AFTERCARE WITHOUT CC/MCC $6,282 $11,329 −45% $13,527 −54%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,282 $32,602 −81% $16,212 −61%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,282 $35,273 −82% $30,930 −80%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $6,282 $26,211 −76% $15,655 −60%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,265 $31,330 −80% $21,213 −70%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $6,263 $32,719 −81% $46,430 −87%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,263 $21,624 −71% $19,569 −68%
152 OTITIS MEDIA AND URI WITH MCC $6,263 $36,209 −83% $19,795 −68%
176 PULMONARY EMBOLISM WITHOUT MCC $6,263 $26,477 −76% $18,081 −65%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,263 $14,064 −55% $14,064 −55%
183 MAJOR CHEST TRAUMA WITH MCC $6,263 $37,213 −83% $28,924 −78%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,263 $27,927 −78% $18,278 −66%
200 PNEUMOTHORAX WITH CC $6,263 $35,999 −83% $20,573 −70%
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $6,263 $68,394 −91% $80,427 −92%
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $6,263 $21,663 −71% $21,663 −71%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,263 $18,018 −65% $10,039 −38%
303 ATHEROSCLEROSIS WITHOUT MCC $6,263 $22,255 −72% $14,927 −58%
304 HYPERTENSION WITH MCC $6,263 $33,511 −81% $24,185 −74%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,263 $25,975 −76% $18,608 −66%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,263 $18,188 −66% $13,384 −53%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $6,263 $68,262 −91% $60,140 −90%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,263 $20,838 −70% $15,072 −58%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,263 $32,061 −80% $21,886 −71%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,263 $20,694 −70% $14,134 −56%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $6,263 $39,072 −84% $32,502 −81%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,263 $27,856 −78% $19,096 −67%
594 SKIN ULCERS WITHOUT CC/MCC $6,263 $15,334 −59% $14,209 −56%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,263 $23,926 −74% $17,466 −64%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,263 $29,514 −79% $20,488 −69%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $6,263 $36,333 −83% $51,985 −88%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,225 $16,953 −63% $16,418 −62%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,176 $20,980 −71% $20,980 −71%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,123 $18,133 −66% $18,133 −66%
946 REHABILITATION WITHOUT CC/MCC $6,112 $14,074 −57% $17,685 −65%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $6,111 $23,297 −74% $23,297 −74%
999 UNGROUPABLE $6,109 $62,821 −90% $28,822 −79%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,105 $19,950 −69% $14,208 −57%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,096 $18,755 −67% $13,198 −54%
947 SIGNS AND SYMPTOMS WITH MCC $6,071 $32,843 −82% $25,474 −76%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,067 $29,009 −79% $21,261 −71%
158 DENTAL AND ORAL DISEASES WITH CC $6,067 $30,573 −80% $17,700 −66%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,067 $23,388 −74% $18,017 −66%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,067 $15,636 −61% $15,636 −61%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,066 $30,937 −80% $18,428 −67%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $6,062 $17,483 −65% $17,483 −65%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $6,062 $35,632 −83% $23,924 −75%
683 RENAL FAILURE WITH CC $6,060 $26,850 −77% $18,620 −67%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,060 $31,637 −81% $19,091 −68%
882 NEUROSES EXCEPT DEPRESSIVE $6,060 $15,680 −61% $15,680 −61%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,056 $21,459 −72% $14,368 −58%
644 ENDOCRINE DISORDERS WITH CC $6,056 $33,596 −82% $22,941 −74%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,056 $8,927 −32% $8,927 −32%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,040 $23,796 −75% $15,869 −62%
090 CONCUSSION WITHOUT CC/MCC $6,040 $27,428 −78% $14,873 −59%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,040 $32,081 −81% $22,024 −73%
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $6,040 $72,618 −92% $72,618 −92%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,025 $26,012 −77% $20,278 −70%
397 APPENDIX PROCEDURES WITH MCC $6,025 $49,342 −88% $52,319 −88%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,005 $13,068 −54% $12,381 −51%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,005 $16,204 −63% $14,055 −57%
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,993 $26,445 −77% $17,383 −66%
139 SALIVARY GLAND PROCEDURES $5,993 $21,014 −71% $21,014 −71%
292 HEART FAILURE AND SHOCK WITH CC $5,993 $23,340 −74% $16,212 −63%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,993 $38,140 −84% $27,244 −78%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $5,993 $39,849 −85% $39,253 −85%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,993 $18,918 −68% $17,078 −65%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,993 $17,100 −65% $15,589 −62%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,988 $25,952 −77% $19,598 −69%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $5,986 $91,417 −93% $88,307 −93%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,986 $23,263 −74% $24,036 −75%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,986 $35,990 −83% $36,375 −84%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $5,986 $37,070 −84% $40,065 −85%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,986 $28,993 −79% $15,764 −62%
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,986 $13,445 −55% $13,445 −55%
311 ANGINA PECTORIS $5,986 $15,034 −60% $15,165 −61%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $5,986 $67,278 −91% $37,654 −84%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $5,986 $53,913 −89% $42,119 −86%
593 SKIN ULCERS WITH CC $5,986 $27,293 −78% $20,470 −71%
602 CELLULITIS WITH MCC $5,986 $41,052 −85% $29,347 −80%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $5,986 $63,080 −91% $43,080 −86%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,986 $17,209 −65% $17,108 −65%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,986 $16,495 −64% $16,495 −64%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,986 $11,421 −48% $11,421 −48%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,986 $34,116 −82% $23,571 −75%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,986 $27,823 −78% $35,459 −83%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,986 $21,642 −72% $25,010 −76%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,966 $34,419 −83% $24,136 −75%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,966 $15,300 −61% $15,876 −62%
150 EPISTAXIS WITH MCC $5,966 $21,133 −72% $21,133 −72%
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $5,966 $23,532 −75% $30,138 −80%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,966 $13,613 −56% $16,240 −63%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,966 $53,785 −89% $44,839 −87%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,966 $48,444 −88% $48,682 −88%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,966 $43,894 −86% $33,607 −82%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,966 $31,408 −81% $21,449 −72%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,966 $22,840 −74% $15,600 −62%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,966 $25,622 −77% $17,700 −66%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,966 $53,393 −89% $31,566 −81%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,966 $39,682 −85% $29,633 −80%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,966 $38,044 −84% $25,623 −77%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,966 $17,778 −66% $13,485 −56%
849 RADIOTHERAPY $5,966 $41,538 −86% $37,862 −84%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,966 $35,486 −83% $28,134 −79%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $5,966 $37,631 −84% $40,947 −85%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,798 $19,271 −70% $14,444 −60%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $5,738 $58,809 −90% $54,772 −90%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,738 $15,436 −63% $25,197 −77%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,728 $30,486 −81% $35,686 −84%
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $5,728 $31,659 −82% $35,569 −84%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,719 $39,204 −85% $26,488 −78%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $5,709 $38,514 −85% $33,984 −83%
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $5,709 $25,628 −78% $25,628 −78%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,696 $45,806 −88% $29,757 −81%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,696 $34,816 −84% $28,780 −80%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,696 $32,980 −83% $25,243 −77%
779 ABORTION WITHOUT D&C $5,696 $17,738 −68% $15,327 −63%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,691 $36,543 −84% $26,322 −78%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,689 $45,663 −88% $35,542 −84%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,689 $33,060 −83% $23,469 −76%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $5,689 $29,558 −81% $29,558 −81%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,689 $17,785 −68% $13,318 −57%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $5,689 $32,773 −83% $43,586 −87%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,689 $100,268 −94% $62,961 −91%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,670 $68,604 −92% $52,405 −89%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,670 $14,520 −61% $11,955 −53%
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $5,670 $18,474 −69% $18,474 −69%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,670 $36,655 −85% $24,017 −76%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,670 $17,277 −67% $14,166 −60%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $5,670 $43,248 −87% $48,094 −88%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,670 $57,163 −90% $32,981 −83%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $5,670 $58,221 −90% $47,546 −88%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,670 $10,795 −47% $9,076 −38%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,670 $33,283 −83% $22,781 −75%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,601 $30,239 −81% $23,956 −77%
652 KIDNEY TRANSPLANT $5,601 $54,720 −90% $54,720 −90%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,589 $21,306 −74% $24,316 −77%
181 RESPIRATORY NEOPLASMS WITH CC $5,454 $20,728 −74% $22,431 −76%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,330 $26,184 −80% $19,305 −72%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,290 $16,444 −68% $16,104 −67%
201 PNEUMOTHORAX WITHOUT CC/MCC $5,218 $22,004 −76% $13,081 −60%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,211 $17,388 −70% $14,441 −64%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,184 $34,256 −85% $23,396 −78%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,178 $18,649 −72% $13,654 −62%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,124 $15,323 −67% $14,880 −66%
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,002 $17,226 −71% $17,226 −71%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,987 $58,617 −91% $37,842 −87%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,977 $46,399 −89% $52,332 −90%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,957 $24,033 −79% $16,865 −71%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,957 $17,892 −72% $15,070 −67%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,957 $27,571 −82% $19,815 −75%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,945 $34,298 −86% $24,941 −80%
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $4,945 $56,960 −91% $56,960 −91%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,945 $12,650 −61% $12,650 −61%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,945 $61,278 −92% $36,334 −86%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,938 $32,969 −85% $37,080 −87%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,938 $10,073 −51% $13,586 −64%
333 RECTAL RESECTION WITH CC $4,938 $61,029 −92% $34,352 −86%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $4,938 $49,899 −90% $36,239 −86%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $4,938 $138,656 −96% $82,561 −94%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,938 $48,152 −90% $36,933 −87%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,938 $21,962 −78% $19,354 −74%
885 PSYCHOSES $4,938 $22,469 −78% $21,489 −77%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,938 $23,689 −79% $24,836 −80%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,938 $33,892 −85% $29,524 −83%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,935 $32,129 −85% $23,749 −79%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,918 $15,890 −69% $15,890 −69%
204 RESPIRATORY SIGNS AND SYMPTOMS $4,918 $22,897 −79% $16,866 −71%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $4,918 $54,196 −91% $54,196 −91%
949 AFTERCARE WITH CC/MCC $4,918 $35,072 −86% $23,953 −79%
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,792 $29,842 −84% $20,968 −77%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $4,658 $23,602 −80% $34,906 −87%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,645 $30,961 −85% $23,141 −80%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,645 $31,349 −85% $37,902 −88%
597 MALIGNANT BREAST DISORDERS WITH MCC $4,645 $48,535 −90% $31,846 −85%
811 RED BLOOD CELL DISORDERS WITH MCC $4,645 $39,626 −88% $27,934 −83%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,645 $25,581 −82% $23,588 −80%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,638 $20,543 −77% $16,642 −72%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $4,638 $92,812 −95% $65,573 −93%
305 HYPERTENSION WITHOUT MCC $4,638 $24,403 −81% $17,144 −73%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,638 $51,792 −91% $44,117 −89%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,638 $43,335 −89% $31,978 −85%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,638 $24,358 −81% $16,634 −72%
694 URINARY STONES WITHOUT MCC $4,638 $22,050 −79% $16,531 −72%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $4,638 $27,713 −83% $33,564 −86%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,638 $14,944 −69% $12,013 −61%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,638 $31,044 −85% $31,044 −85%
667 PROSTATECTOMY WITHOUT CC/MCC $4,619 $16,534 −72% $16,703 −72%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,619 $35,205 −87% $22,560 −80%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $4,619 $63,641 −93% $43,524 −89%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,619 $18,461 −75% $16,049 −71%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,560 $13,841 −67% $11,847 −62%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,550 $17,621 −74% $14,284 −68%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,531 $15,278 −70% $13,892 −67%
709 PENIS PROCEDURES WITH CC/MCC $4,518 $32,777 −86% $34,535 −87%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $4,499 $70,782 −94% $58,968 −92%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,486 $31,077 −86% $18,191 −75%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $4,486 $48,888 −91% $35,528 −87%
038 EXTRACRANIAL PROCEDURES WITH CC $4,479 $52,372 −91% $35,770 −87%
123 NEUROLOGICAL EYE DISORDERS $4,479 $24,612 −82% $17,831 −75%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,479 $38,356 −88% $28,375 −84%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $4,479 $17,544 −74% $24,544 −82%
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,479 $31,874 −86% $19,686 −77%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,460 $59,774 −93% $64,152 −93%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,460 $37,976 −88% $21,860 −80%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,460 $19,845 −78% $22,231 −80%
914 TRAUMATIC INJURY WITHOUT MCC $4,460 $21,714 −79% $15,593 −71%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,419 $33,413 −87% $38,094 −88%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,407 $62,477 −93% $35,714 −88%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,407 $31,822 −86% $27,279 −84%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,407 $16,636 −74% $13,822 −68%
137 MOUTH PROCEDURES WITH CC/MCC $4,400 $29,348 −85% $24,348 −82%
149 DYSEQUILIBRIUM $4,400 $23,899 −82% $17,203 −74%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,400 $36,541 −88% $30,314 −85%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,400 $46,133 −90% $54,129 −92%
697 URETHRAL STRICTURE $4,400 $16,196 −73% $17,705 −75%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,400 $59,352 −93% $59,352 −93%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,380 $58,037 −92% $39,093 −89%
113 ORBITAL PROCEDURES WITH CC/MCC $4,380 $32,482 −87% $35,642 −88%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,380 $21,977 −80% $15,858 −72%
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $4,380 $49,712 −91% $57,380 −92%
881 DEPRESSIVE NEUROSES $4,380 $15,058 −71% $15,058 −71%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,325 $32,387 −87% $28,527 −85%
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,325 $13,879 −69% $14,110 −69%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,325 $22,563 −81% $13,303 −67%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $4,325 $21,615 −80% $21,615 −80%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,306 $18,250 −76% $13,282 −68%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,306 $24,189 −82% $25,731 −83%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,195 $15,538 −73% $15,045 −72%
935 NON-EXTENSIVE BURNS $4,139 $31,701 −87% $29,458 −86%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $4,088 $46,335 −91% $45,432 −91%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $4,075 $76,642 −95% $54,824 −93%
795 NORMAL NEWBORN $4,075 $4,862 −16% $4,530 −10%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,060 $44,047 −91% $29,374 −86%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,049 $15,167 −73% $12,279 −67%
684 RENAL FAILURE WITHOUT CC/MCC $4,049 $18,804 −78% $13,623 −70%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,049 $8,330 −51% $7,961 −49%
920 COMPLICATIONS OF TREATMENT WITH CC $4,049 $33,021 −88% $21,181 −81%
164 MAJOR CHEST PROCEDURES WITH CC $4,030 $58,838 −93% $53,141 −92%
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,012 $25,630 −84% $17,727 −77%
639 DIABETES WITHOUT CC/MCC $4,011 $19,891 −80% $13,910 −71%
916 ALLERGIC REACTIONS WITHOUT MCC $4,011 $14,486 −72% $13,890 −71%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,953 $33,998 −88% $40,583 −90%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,953 $39,491 −90% $22,032 −82%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,946 $17,159 −77% $17,943 −78%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,946 $26,990 −85% $16,719 −76%
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,926 $34,380 −89% $21,806 −82%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,926 $30,041 −87% $33,050 −88%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,550 $22,189 −84% $12,797 −72%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,518 $33,151 −89% $20,732 −83%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,491 $24,260 −86% $24,229 −86%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,451 $9,520 −64% $11,633 −70%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,438 $29,131 −88% $44,363 −92%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,431 $17,193 −80% $17,193 −80%
654 MAJOR BLADDER PROCEDURES WITH CC $3,133 $39,822 −92% $53,868 −94%

Procedures with negotiated rates only

These 27 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
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC — 11 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 11 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT — 10 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC — 10 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 9 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — 9 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 8 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 7 plans
665 PROSTATECTOMY WITH MCC — 7 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC — 7 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS — 7 plans
006 LIVER TRANSPLANT WITHOUT MCC — 6 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 6 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 6 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 6 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES — 5 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS — 5 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC — 5 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC — 5 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 5 plans
945 REHABILITATION WITH CC/MCC — 5 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES — 4 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC — 4 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC — 3 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC — 3 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 3 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 2 plans
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