Baylor Scott & White Surgical Hospital at Sherman — Pricing

775 procedures published in this hospital's Machine-Readable File (MRF) — 742 with a comparable price, 33 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 $12,242
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 742 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 $207,315 −37% $248,521 −48%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $121,333 $362,617 −67% $461,389 −74%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $120,811 $306,087 −61% $306,087 −61%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $111,953 $86,542 +29% $123,995 −10%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $94,991 $139,842 −32% $164,641 −42%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $74,682 $106,929 −30% $148,686 −50%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $72,184 $103,817 −30% $144,569 −50%
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 $66,511 −8% $70,564 −14%
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,728 $139,148 −58% $208,939 −72%
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $58,247 $155,461 −63% $194,769 −70%
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 $76,970 −32% $106,778 −51%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $51,616 $102,814 −50% $143,242 −64%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $50,336 $73,030 −31% $90,401 −44%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $50,095 $71,776 −30% $111,320 −55%
231 CORONARY BYPASS WITH PTCA WITH MCC $49,916 $112,178 −56% $147,227 −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 $89,209 −46% $125,242 −62%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $45,703 $73,038 −37% $101,576 −55%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $44,829 $69,695 −36% $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 $64,885 −32% $82,218 −47%
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 $72,798 −41% $93,390 −54%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $42,188 $68,095 −38% $77,055 −45%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $39,618 $56,535 −30% $73,120 −46%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $38,410 $60,697 −37% $70,177 −45%
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 $57,196 −35% $85,159 −57%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $36,808 $58,476 −37% $101,510 −64%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $35,571 $56,456 −37% $79,836 −55%
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $35,244 $75,251 −53% $75,251 −53%
028 SPINAL PROCEDURES WITH MCC $34,748 $81,731 −57% $113,077 −69%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $34,371 $49,425 −30% $51,625 −33%
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% $62,583 −47%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $32,748 $47,403 −31% $70,371 −53%
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $32,291 $74,709 −57% $85,566 −62%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $32,280 $50,550 −36% $68,639 −53%
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 $48,670 −36% $69,743 −55%
471 CERVICAL SPINAL FUSION WITH MCC $30,281 $66,189 −54% $92,515 −67%
037 EXTRACRANIAL PROCEDURES WITH MCC $30,037 $46,296 −35% $66,666 −55%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $29,857 $73,103 −59% $89,207 −67%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $29,413 $69,008 −57% $80,793 −64%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $28,636 $44,472 −36% $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 $44,783 −36% $63,928 −55%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $28,398 $74,709 −62% $106,057 −73%
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 $69,206 −60% $96,507 −71%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $27,484 $40,142 −32% $81,706 −66%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $26,970 $40,341 −33% $61,217 −56%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,372 $48,887 −46% $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 $33,912 −25% $40,548 −37%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $25,148 $54,320 −54% $56,836 −56%
668 TRANSURETHRAL PROCEDURES WITH MCC $25,113 $41,045 −39% $51,608 −51%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $24,999 $38,281 −35% $62,264 −60%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $24,910 $73,455 −66% $102,128 −76%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $24,059 $63,571 −62% $91,329 −74%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $23,950 $37,588 −36% $48,687 −51%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $23,877 $29,304 −19% $46,090 −48%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $23,856 $57,584 −59% $72,962 −67%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $23,494 $47,649 −51% $70,847 −67%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $23,048 $49,711 −54% $71,092 −68%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $22,666 $45,618 −50% $65,788 −66%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $22,628 $53,665 −58% $76,219 −70%
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% $45,167 −50%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,188 $51,761 −57% $61,470 −64%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $21,741 $30,912 −30% $46,724 −53%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $21,677 $60,208 −64% $86,970 −75%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,515 $127,999 −83% $90,775 −76%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $21,507 $28,648 −25% $43,538 −51%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $21,440 $57,570 −63% $77,990 −73%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $21,327 $31,025 −31% $38,070 −44%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $21,301 $33,155 −36% $50,394 −58%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $20,906 $63,928 −67% $87,761 −76%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,806 $78,250 −73% $65,653 −68%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $20,754 $55,862 −63% $53,451 −61%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $20,387 $33,308 −39% $36,489 −44%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,162 $36,097 −44% $39,173 −49%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $19,703 $49,721 −60% $66,711 −70%
595 MAJOR SKIN DISORDERS WITH MCC $19,486 $30,646 −36% $34,598 −44%
265 AICD LEAD PROCEDURES $19,437 $49,492 −61% $63,171 −69%
791 PREMATURITY WITH MAJOR PROBLEMS $19,078 $55,887 −66% $42,679 −55%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $18,915 $98,765 −81% $75,573 −75%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,895 $30,155 −37% $43,174 −56%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $18,705 $54,405 −66% $71,795 −74%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $18,292 $26,617 −31% $41,591 −56%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $18,224 $55,985 −67% $79,225 −77%
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% $35,481 −50%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,704 $37,343 −53% $50,624 −65%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $17,688 $63,565 −72% $39,955 −56%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,634 $30,404 −42% $46,066 −62%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $17,629 $47,218 −63% $70,132 −75%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,578 $28,787 −39% $44,139 −60%
252 OTHER VASCULAR PROCEDURES WITH MCC $17,530 $47,717 −63% $68,508 −74%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,528 $29,518 −41% $31,134 −44%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $17,357 $69,779 −75% $77,817 −78%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $17,347 $39,254 −56% $29,743 −42%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $17,245 $44,678 −61% $35,074 −51%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $17,219 $58,085 −70% $60,098 −71%
075 VIRAL MENINGITIS WITH CC/MCC $17,201 $25,549 −33% $30,447 −44%
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,020 $34,856 −51% $32,637 −48%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $16,972 $49,718 −66% $59,533 −71%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $16,948 $54,862 −69% $62,300 −73%
906 HAND PROCEDURES FOR INJURIES $16,906 $31,520 −46% $32,065 −47%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $16,801 $22,568 −26% $33,393 −50%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $16,801 $38,709 −57% $48,358 −65%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $16,753 $27,767 −40% $36,431 −54%
335 PERITONEAL ADHESIOLYSIS WITH MCC $16,689 $69,965 −76% $71,755 −77%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $16,681 $40,363 −59% $58,975 −72%
865 VIRAL ILLNESS WITH MCC $16,625 $22,350 −26% $26,910 −38%
263 VEIN LIGATION AND STRIPPING $16,478 $38,005 −57% $51,253 −68%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $16,454 $25,133 −35% $29,079 −43%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,429 $34,624 −53% $33,985 −52%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $16,399 $43,510 −62% $65,325 −75%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $16,394 $40,991 −60% $59,790 −73%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,362 $26,909 −39% $40,642 −60%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,278 $31,920 −49% $46,283 −65%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $16,253 $26,986 −40% $40,694 −60%
570 SKIN DEBRIDEMENT WITH MCC $16,155 $42,263 −62% $52,435 −69%
801 SPLENECTOMY WITHOUT CC/MCC $16,097 $24,502 −34% $36,445 −56%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,074 $26,794 −40% $40,365 −60%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,041 $37,153 −57% $46,453 −65%
199 PNEUMOTHORAX WITH MCC $15,953 $35,165 −55% $33,787 −53%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $15,822 $60,312 −74% $66,068 −76%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,762 $28,350 −44% $37,240 −58%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $15,740 $40,289 −61% $49,839 −68%
472 CERVICAL SPINAL FUSION WITH CC $15,710 $40,797 −61% $59,537 −74%
253 OTHER VASCULAR PROCEDURES WITH CC $15,707 $36,329 −57% $57,454 −73%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $15,632 $26,006 −40% $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 $25,972 −41% $38,960 −60%
671 URETHRAL PROCEDURES WITH CC/MCC $15,386 $25,566 −40% $27,233 −44%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $15,309 $29,768 −49% $33,707 −55%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $15,150 $38,581 −61% $51,746 −71%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $15,133 $38,646 −61% $50,618 −70%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,057 $30,721 −51% $49,351 −69%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $15,012 $25,923 −42% $35,849 −58%
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 $23,998 −38% $35,584 −58%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $14,778 $25,176 −41% $32,944 −55%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $14,685 $36,267 −60% $58,707 −75%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $14,671 $45,479 −68% $65,608 −78%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $14,641 $49,003 −70% $50,919 −71%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $14,614 $44,584 −67% $49,710 −71%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,575 $39,887 −63% $34,192 −57%
539 OSTEOMYELITIS WITH MCC $14,486 $46,459 −69% $37,609 −61%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,457 $49,705 −71% $50,011 −71%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,446 $23,257 −38% $26,598 −46%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,335 $27,823 −48% $42,126 −66%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $14,296 $39,606 −64% $52,986 −73%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $14,296 $35,670 −60% $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 $34,586 −59% $50,046 −72%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $14,020 $35,694 −61% $39,973 −65%
186 PLEURAL EFFUSION WITH MCC $13,981 $42,937 −67% $33,834 −59%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $13,967 $44,663 −69% $71,464 −80%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $13,941 $34,307 −59% $47,583 −71%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,907 $27,059 −49% $33,048 −58%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $13,886 $24,302 −43% $27,633 −50%
669 TRANSURETHRAL PROCEDURES WITH CC $13,827 $45,520 −70% $34,354 −60%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,791 $14,778 −7% $16,846 −18%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,643 $41,093 −67% $42,914 −68%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,604 $22,477 −39% $28,140 −52%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,532 $22,664 −40% $27,394 −51%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,449 $21,563 −38% $26,280 −49%
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% $41,892 −68%
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 $23,431 −43% $23,617 −44%
800 SPLENECTOMY WITH CC $13,236 $41,012 −68% $49,184 −73%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $13,221 $28,703 −54% $43,631 −70%
663 MINOR BLADDER PROCEDURES WITH CC $13,189 $23,018 −43% $33,103 −60%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $13,132 $16,427 −20% $22,635 −42%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $13,050 $22,893 −43% $33,694 −61%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,887 $36,928 −65% $52,075 −75%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,865 $22,167 −42% $32,451 −60%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $12,860 $29,314 −56% $32,031 −60%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,847 $28,801 −55% $43,800 −71%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,806 $34,591 −63% $35,692 −64%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,771 $19,945 −36% $22,811 −44%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,767 $22,265 −43% $25,073 −49%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,699 $30,598 −58% $43,650 −71%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $12,699 $33,209 −62% $59,629 −79%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,679 $30,914 −59% $46,727 −73%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,590 $36,790 −66% $47,711 −74%
711 TESTES PROCEDURES WITH CC/MCC $12,469 $27,991 −55% $38,343 −67%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,449 $26,242 −53% $34,276 −64%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,332 $22,882 −46% $33,674 −63%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $12,321 $32,631 −62% $38,666 −68%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,319 $19,930 −38% $27,989 −56%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,195 $35,339 −65% $31,264 −61%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $12,177 $31,079 −61% $37,267 −67%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,136 $20,978 −42% $30,418 −60%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $12,002 $29,965 −60% $20,463 −41%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $11,995 $56,690 −79% $50,607 −76%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,977 $25,899 −54% $38,836 −69%
124 OTHER DISORDERS OF THE EYE WITH MCC $11,957 $20,117 −41% $21,894 −45%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,925 $26,035 −54% $25,463 −53%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,861 $37,242 −68% $54,929 −78%
505 FOOT PROCEDURES WITHOUT CC/MCC $11,843 $25,972 −54% $34,937 −66%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,823 $22,735 −48% $33,424 −65%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $11,795 $25,280 −53% $23,551 −50%
592 SKIN ULCERS WITH MCC $11,755 $32,263 −64% $33,246 −65%
398 APPENDIX PROCEDURES WITH CC $11,717 $46,799 −75% $40,162 −71%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,685 $13,602 −14% $19,962 −41%
291 HEART FAILURE AND SHOCK WITH MCC $11,623 $25,917 −55% $26,776 −57%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,599 $18,291 −37% $19,412 −40%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,551 $21,328 −46% $31,017 −63%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,490 $18,721 −39% $21,230 −46%
380 COMPLICATED PEPTIC ULCER WITH MCC $11,474 $28,169 −59% $39,627 −71%
549 SEPTIC ARTHRITIS WITH CC $11,471 $18,835 −39% $24,056 −52%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,456 $19,267 −41% $28,320 −60%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $11,268 $20,619 −45% $29,805 −62%
541 OSTEOMYELITIS WITHOUT CC/MCC $11,261 $14,549 −23% $15,215 −26%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,244 $19,581 −43% $22,320 −50%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,192 $71,920 −84% $59,500 −81%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,139 $43,631 −74% $41,955 −73%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,135 $27,401 −59% $36,792 −70%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,056 $16,996 −35% $23,206 −52%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $11,042 $27,387 −60% $46,340 −76%
102 HEADACHES WITH MCC $10,943 $18,243 −40% $25,740 −57%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,936 $27,058 −60% $32,859 −67%
375 DIGESTIVE MALIGNANCY WITH CC $10,889 $25,270 −57% $27,277 −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 $28,821 −63% $36,670 −71%
571 SKIN DEBRIDEMENT WITH CC $10,712 $33,638 −68% $37,169 −71%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $10,675 $35,964 −70% $49,423 −78%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $10,675 $50,580 −79% $58,280 −82%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,567 $18,707 −44% $21,847 −52%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $10,551 $25,936 −59% $30,784 −66%
533 FRACTURES OF FEMUR WITH MCC $10,535 $22,986 −54% $25,945 −59%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,517 $23,459 −55% $35,465 −70%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $10,508 $26,307 −60% $31,159 −66%
915 ALLERGIC REACTIONS WITH MCC $10,485 $38,632 −73% $32,645 −68%
089 CONCUSSION WITH CC $10,471 $17,109 −39% $18,821 −44%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,454 $32,385 −68% $47,737 −78%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $10,426 $28,993 −64% $36,249 −71%
551 MEDICAL BACK PROBLEMS WITH MCC $10,399 $25,341 −59% $34,017 −69%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $10,397 $29,080 −64% $37,950 −73%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $10,380 $24,871 −58% $26,682 −61%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $10,350 $25,121 −59% $31,563 −67%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $10,328 $31,740 −67% $41,608 −75%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $10,321 $34,882 −70% $38,101 −73%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,318 $25,517 −60% $27,152 −62%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $10,226 $32,504 −69% $38,998 −74%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,158 $17,768 −43% $19,815 −49%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,137 $40,492 −75% $43,477 −77%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $10,112 $35,375 −71% $45,333 −78%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,092 $32,208 −69% $24,386 −59%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,065 $24,292 −59% $28,202 −64%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $9,979 $42,891 −77% $64,523 −85%
501 SOFT TISSUE PROCEDURES WITH CC $9,979 $32,809 −70% $39,619 −75%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $9,979 $54,372 −82% $75,103 −87%
336 PERITONEAL ADHESIOLYSIS WITH CC $9,973 $58,311 −83% $50,463 −80%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $9,924 $67,791 −85% $96,905 −90%
540 OSTEOMYELITIS WITH CC $9,921 $19,990 −50% $26,676 −63%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $9,904 $127,148 −92% $188,171 −95%
506 MAJOR THUMB OR JOINT PROCEDURES $9,904 $22,651 −56% $30,557 −68%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $9,904 $12,044 −18% $12,078 −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 $18,191 −46% $25,652 −62%
381 COMPLICATED PEPTIC ULCER WITH CC $9,768 $35,404 −72% $24,177 −60%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,742 $21,345 −54% $20,422 −52%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,728 $17,047 −43% $15,370 −37%
374 DIGESTIVE MALIGNANCY WITH MCC $9,722 $30,598 −68% $39,958 −76%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,682 $21,531 −55% $21,363 −55%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,661 $22,651 −57% $30,502 −68%
503 FOOT PROCEDURES WITH MCC $9,608 $37,544 −74% $47,540 −80%
184 MAJOR CHEST TRAUMA WITH CC $9,602 $17,057 −44% $22,432 −57%
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 $26,542 −64% $18,126 −47%
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 $25,590 −63% $22,850 −58%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $9,525 $61,401 −84% $84,692 −89%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,525 $18,290 −48% $23,443 −59%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $9,525 $44,977 −79% $72,424 −87%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,524 $16,857 −43% $20,232 −53%
334 RECTAL RESECTION WITHOUT CC/MCC $9,494 $24,721 −62% $36,820 −74%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,483 $24,458 −61% $33,661 −72%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $9,466 $29,109 −67% $29,611 −68%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $9,456 $23,475 −60% $46,295 −80%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,392 $37,479 −75% $35,628 −74%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,357 $22,175 −58% $31,170 −70%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,341 $24,869 −62% $33,653 −72%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $9,322 $29,767 −69% $35,030 −73%
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $9,302 $34,146 −73% $34,146 −73%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $9,293 $31,193 −70% $45,877 −80%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,293 $47,828 −81% $68,653 −86%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,293 $61,582 −85% $50,139 −81%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $9,266 $23,326 −60% $34,434 −73%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,246 $23,439 −61% $17,601 −47%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,228 $18,141 −49% $32,021 −71%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,228 $25,727 −64% $32,443 −72%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $9,228 $91,253 −90% $102,600 −91%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,194 $20,672 −56% $24,127 −62%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $9,180 $28,868 −68% $43,913 −79%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $9,154 $24,506 −63% $32,877 −72%
197 INTERSTITIAL LUNG DISEASE WITH CC $9,124 $16,043 −43% $21,941 −58%
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,090 $21,244 −57% $24,552 −63%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,090 $29,044 −69% $22,506 −60%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,043 $28,716 −69% $25,303 −64%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $9,010 $24,482 −63% $19,842 −55%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,976 $24,771 −64% $29,316 −69%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $8,932 $42,100 −79% $58,228 −85%
682 RENAL FAILURE WITH MCC $8,918 $26,063 −66% $29,064 −69%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,858 $21,255 −58% $18,002 −51%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,858 $17,973 −51% $25,279 −65%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,829 $19,169 −54% $27,323 −68%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,817 $15,598 −43% $20,911 −58%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,793 $15,153 −42% $20,455 −57%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,793 $16,139 −46% $10,975 −20%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,772 $15,741 −44% $17,724 −51%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,758 $15,039 −42% $20,259 −57%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,749 $21,793 −60% $32,833 −73%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,731 $22,721 −62% $36,505 −76%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,729 $25,633 −66% $29,826 −71%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $8,714 $24,851 −65% $29,126 −70%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $8,681 $28,020 −69% $34,459 −75%
500 SOFT TISSUE PROCEDURES WITH MCC $8,634 $44,320 −81% $61,872 −86%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,622 $26,677 −68% $32,433 −73%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,613 $42,921 −80% $32,100 −73%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $8,560 $62,801 −86% $90,331 −91%
919 COMPLICATIONS OF TREATMENT WITH MCC $8,505 $26,862 −68% $31,105 −73%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,446 $17,398 −51% $17,398 −51%
866 VIRAL ILLNESS WITHOUT MCC $8,441 $15,599 −46% $17,081 −51%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,433 $23,482 −64% $27,543 −69%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,415 $21,908 −62% $22,525 −63%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $8,414 $27,695 −70% $33,255 −75%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,407 $17,028 −51% $18,528 −55%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,392 $14,950 −44% $18,488 −55%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $8,390 $44,532 −81% $31,951 −74%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,379 $24,781 −66% $18,126 −54%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,330 $14,937 −44% $16,552 −50%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,322 $21,381 −61% $22,393 −63%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,319 $25,881 −68% $33,555 −75%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $8,307 $44,660 −81% $40,552 −80%
180 RESPIRATORY NEOPLASMS WITH MCC $8,302 $56,813 −85% $36,658 −77%
638 DIABETES WITH CC $8,261 $24,114 −66% $19,661 −58%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $8,255 $72,075 −89% $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% $15,889 −48%
666 PROSTATECTOMY WITH CC $8,200 $24,574 −67% $31,906 −74%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,198 $14,654 −44% $16,998 −52%
157 DENTAL AND ORAL DISEASES WITH MCC $8,152 $24,447 −67% $31,300 −74%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $8,145 $24,448 −67% $36,354 −78%
603 CELLULITIS WITHOUT MCC $8,139 $21,536 −62% $18,530 −56%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,138 $14,383 −43% $19,138 −57%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,134 $17,354 −53% $20,926 −61%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,134 $23,571 −65% $19,227 −58%
864 FEVER AND INFLAMMATORY CONDITIONS $8,115 $14,849 −45% $18,640 −56%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,101 $32,707 −75% $30,828 −74%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $8,096 $49,015 −83% $66,848 −88%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,096 $37,509 −78% $41,422 −80%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,999 $19,342 −59% $18,602 −57%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,994 $13,602 −41% $18,452 −57%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,931 $27,853 −72% $27,275 −71%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,912 $25,010 −68% $32,496 −76%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,881 $15,121 −48% $18,072 −56%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,851 $18,430 −57% $20,084 −61%
643 ENDOCRINE DISORDERS WITH MCC $7,850 $28,618 −73% $33,563 −77%
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 $18,855 −58% $17,118 −54%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,796 $34,766 −78% $34,273 −77%
887 OTHER MENTAL DISORDER DIAGNOSES $7,754 $18,631 −58% $20,616 −62%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $7,748 $21,022 −63% $30,493 −75%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,705 $19,686 −61% $23,498 −67%
546 CONNECTIVE TISSUE DISORDERS WITH CC $7,684 $18,220 −58% $25,700 −70%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,666 $19,244 −60% $14,716 −48%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,660 $13,385 −43% $14,014 −45%
620 O.R. PROCEDURES FOR OBESITY WITH CC $7,642 $23,921 −68% $35,453 −78%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,629 $20,636 −63% $16,776 −55%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,620 $13,039 −42% $13,275 −43%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,582 $25,653 −70% $18,204 −58%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $7,569 $22,265 −66% $26,463 −71%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $7,568 $51,950 −85% $59,651 −87%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,541 $26,578 −72% $18,150 −58%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,541 $11,071 −32% $11,071 −32%
534 FRACTURES OF FEMUR WITHOUT MCC $7,513 $23,132 −68% $17,559 −57%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,513 $12,936 −42% $16,565 −55%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $7,508 $23,065 −67% $25,703 −71%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $7,483 $23,876 −69% $39,006 −81%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $7,415 $46,980 −84% $34,749 −79%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,403 $18,038 −59% $25,390 −71%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,384 $23,545 −69% $33,633 −78%
710 PENIS PROCEDURES WITHOUT CC/MCC $7,377 $22,681 −67% $26,436 −72%
548 SEPTIC ARTHRITIS WITH MCC $7,376 $29,341 −75% $31,346 −76%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $7,366 $24,282 −70% $27,617 −73%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $7,318 $26,007 −72% $39,020 −81%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $7,318 $48,834 −85% $52,751 −86%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $7,302 $18,572 −61% $25,712 −72%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $7,273 $23,254 −69% $30,010 −76%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,244 $21,228 −66% $25,094 −71%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,211 $13,438 −46% $17,620 −59%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,207 $16,434 −56% $22,557 −68%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $7,204 $15,729 −54% $17,038 −58%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $7,188 $77,071 −91% $70,467 −90%
913 TRAUMATIC INJURY WITH MCC $7,181 $24,198 −70% $24,198 −70%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $7,178 $22,344 −68% $24,566 −71%
598 MALIGNANT BREAST DISORDERS WITH CC $7,175 $17,197 −58% $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% $32,697 −78%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $7,017 $22,435 −69% $36,988 −81%
637 DIABETES WITH MCC $6,982 $35,028 −80% $30,100 −77%
153 OTITIS MEDIA AND URI WITHOUT MCC $6,884 $12,822 −46% $14,583 −53%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,879 $11,997 −43% $11,997 −43%
606 MINOR SKIN DISORDERS WITH MCC $6,877 $24,094 −71% $27,975 −75%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,872 $29,439 −77% $26,618 −74%
693 URINARY STONES WITH MCC $6,831 $22,278 −69% $23,892 −71%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $6,790 $35,990 −81% $40,362 −83%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,766 $12,336 −45% $12,336 −45%
313 CHEST PAIN $6,695 $16,558 −60% $16,440 −59%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,682 $20,152 −67% $27,843 −76%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,624 $20,875 −68% $30,242 −78%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,593 $15,223 −57% $15,837 −58%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $6,575 $19,132 −66% $19,132 −66%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,531 $21,240 −69% $27,285 −76%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,490 $17,235 −62% $20,506 −68%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,488 $12,120 −46% $14,415 −55%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $6,477 $32,858 −80% $28,156 −77%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,460 $27,287 −76% $33,047 −80%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $6,439 $16,847 −62% $19,657 −67%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $6,434 $21,277 −70% $27,119 −76%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $6,419 $32,503 −80% $49,418 −87%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $6,419 $33,237 −81% $40,060 −84%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,417 $19,759 −68% $20,781 −69%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $6,360 $40,675 −84% $36,937 −83%
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,353 $15,094 −58% $17,135 −63%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,353 $6,035 +5% $10,160 −37%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,351 $20,217 −69% $27,043 −77%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,331 $25,218 −75% $27,426 −77%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,331 $15,591 −59% $19,594 −68%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $6,331 $32,168 −80% $47,789 −87%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,321 $20,930 −70% $17,578 −64%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,302 $25,933 −76% $26,580 −76%
813 COAGULATION DISORDERS $6,302 $23,285 −73% $33,296 −81%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,302 $12,534 −50% $12,559 −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 $22,134 −72% $19,037 −67%
088 CONCUSSION WITH MCC $6,289 $24,582 −74% $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 $47,899 −87% $71,014 −91%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,289 $14,627 −57% $19,854 −68%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $6,289 $19,183 −67% $19,270 −67%
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 $23,438 −73% $20,727 −70%
030 SPINAL PROCEDURES WITHOUT CC/MCC $6,282 $32,077 −80% $45,866 −86%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $6,282 $27,152 −77% $30,243 −79%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,282 $16,146 −61% $17,698 −65%
101 SEIZURES WITHOUT MCC $6,282 $16,271 −61% $20,461 −69%
103 HEADACHES WITHOUT MCC $6,282 $25,397 −75% $21,280 −70%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,282 $11,755 −47% $13,633 −54%
187 PLEURAL EFFUSION WITH CC $6,282 $21,455 −71% $21,789 −71%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,282 $19,336 −68% $13,824 −55%
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% $22,446 −72%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $6,282 $23,427 −73% $24,586 −74%
312 SYNCOPE AND COLLAPSE $6,282 $23,071 −73% $19,342 −68%
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $6,282 $16,487 −62% $16,487 −62%
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,282 $12,397 −49% $12,397 −49%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,282 $19,357 −68% $27,297 −77%
348 ANAL AND STOMAL PROCEDURES WITH CC $6,282 $19,533 −68% $27,947 −78%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,282 $17,450 −64% $17,322 −64%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,282 $18,537 −66% $20,181 −69%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,282 $18,366 −66% $14,128 −56%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $6,282 $18,021 −65% $24,944 −75%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,282 $14,290 −56% $14,290 −56%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $6,282 $45,184 −86% $42,881 −85%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,282 $23,724 −74% $25,970 −76%
662 MINOR BLADDER PROCEDURES WITH MCC $6,282 $43,683 −86% $54,562 −88%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $6,282 $21,024 −70% $22,314 −72%
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 $17,602 −64% $18,459 −66%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,282 $15,986 −61% $20,895 −70%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $6,282 $43,218 −85% $53,864 −88%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,282 $13,622 −54% $12,895 −51%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $6,282 $27,196 −77% $20,957 −70%
950 AFTERCARE WITHOUT CC/MCC $6,282 $10,801 −42% $13,527 −54%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $6,282 $16,212 −61% $16,212 −61%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,282 $24,846 −75% $34,607 −82%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $6,282 $26,211 −76% $15,215 −59%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,265 $29,846 −79% $21,396 −71%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $6,263 $32,719 −81% $49,066 −87%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,263 $14,635 −57% $19,569 −68%
152 OTITIS MEDIA AND URI WITH MCC $6,263 $25,161 −75% $20,247 −69%
176 PULMONARY EMBOLISM WITHOUT MCC $6,263 $17,846 −65% $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 $23,796 −74% $29,933 −79%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,263 $25,666 −76% $18,807 −67%
200 PNEUMOTHORAX WITH CC $6,263 $23,361 −73% $21,368 −71%
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 $10,480 −40% $10,480 −40%
303 ATHEROSCLEROSIS WITHOUT MCC $6,263 $21,858 −71% $14,927 −58%
304 HYPERTENSION WITH MCC $6,263 $27,407 −77% $26,080 −76%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,263 $15,217 −59% $20,566 −70%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,263 $14,371 −56% $13,384 −53%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $6,263 $41,261 −85% $60,170 −90%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,263 $12,253 −49% $15,495 −60%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,263 $31,081 −80% $22,098 −72%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,263 $17,320 −64% $15,038 −58%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $6,263 $24,787 −75% $32,628 −81%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,263 $22,739 −72% $19,096 −67%
594 SKIN ULCERS WITHOUT CC/MCC $6,263 $14,209 −56% $14,209 −56%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,263 $22,694 −72% $17,674 −65%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,263 $23,780 −74% $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% $16,700 −63%
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 $17,685 −65% $17,685 −65%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $6,111 $18,949 −68% $26,948 −77%
999 UNGROUPABLE $6,109 $62,821 −90% $29,674 −79%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,105 $11,501 −47% $14,250 −57%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,096 $11,921 −49% $14,549 −58%
947 SIGNS AND SYMPTOMS WITH MCC $6,071 $19,887 −69% $27,401 −78%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,067 $14,776 −59% $22,148 −73%
158 DENTAL AND ORAL DISEASES WITH CC $6,067 $26,461 −77% $18,466 −67%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,067 $16,382 −63% $19,264 −69%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,067 $15,636 −61% $17,733 −66%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $6,066 $15,547 −61% $18,316 −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 $19,916 −70% $25,748 −76%
683 RENAL FAILURE WITH CC $6,060 $22,590 −73% $19,130 −68%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,060 $19,086 −68% $20,901 −71%
882 NEUROSES EXCEPT DEPRESSIVE $6,060 $15,680 −61% $15,680 −61%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,056 $21,039 −71% $14,368 −58%
644 ENDOCRINE DISORDERS WITH CC $6,056 $33,038 −82% $23,198 −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 $14,668 −59% $16,520 −63%
090 CONCUSSION WITHOUT CC/MCC $6,040 $14,321 −58% $15,412 −61%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,040 $25,704 −77% $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 $16,134 −63% $21,056 −71%
397 APPENDIX PROCEDURES WITH MCC $6,025 $35,353 −83% $53,257 −89%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,005 $12,978 −54% $12,454 −52%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,005 $14,055 −57% $14,055 −57%
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,993 $19,558 −69% $19,119 −69%
139 SALIVARY GLAND PROCEDURES $5,993 $21,014 −71% $23,612 −75%
292 HEART FAILURE AND SHOCK WITH CC $5,993 $14,525 −59% $16,371 −63%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,993 $30,786 −81% $28,050 −79%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $5,993 $32,829 −82% $42,415 −86%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,993 $16,213 −63% $17,737 −66%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,993 $15,589 −62% $15,589 −62%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,988 $18,536 −68% $19,598 −69%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $5,986 $61,240 −90% $88,307 −93%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,986 $23,263 −74% $24,550 −76%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,986 $30,855 −81% $37,387 −84%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $5,986 $34,487 −83% $42,186 −86%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,986 $25,321 −76% $15,764 −62%
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,986 $13,445 −55% $13,445 −55%
311 ANGINA PECTORIS $5,986 $12,257 −51% $15,502 −61%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $5,986 $30,860 −81% $42,906 −86%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $5,986 $42,173 −86% $44,606 −87%
593 SKIN ULCERS WITH CC $5,986 $19,063 −69% $22,886 −74%
602 CELLULITIS WITH MCC $5,986 $33,339 −82% $30,598 −80%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $5,986 $28,381 −79% $43,080 −86%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,986 $15,390 −61% $17,934 −67%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,986 $16,495 −64% $18,348 −67%
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 $20,957 −71% $23,571 −75%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,986 $27,823 −78% $40,562 −85%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,986 $21,642 −72% $27,808 −78%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,966 $34,268 −83% $24,914 −76%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,966 $13,911 −57% $17,298 −66%
150 EPISTAXIS WITH MCC $5,966 $21,133 −72% $23,171 −74%
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $5,966 $30,138 −80% $30,138 −80%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,966 $13,613 −56% $13,613 −56%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,966 $38,363 −84% $44,546 −87%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,966 $32,423 −82% $48,682 −88%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,966 $34,595 −83% $33,876 −82%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,966 $22,434 −73% $21,449 −72%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,966 $19,436 −69% $15,600 −62%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,966 $23,067 −74% $17,700 −66%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,966 $43,292 −86% $35,831 −83%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,966 $28,958 −79% $32,574 −82%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,966 $19,637 −70% $28,125 −79%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,966 $12,119 −51% $14,638 −59%
849 RADIOTHERAPY $5,966 $37,862 −84% $37,862 −84%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,966 $24,475 −76% $30,235 −80%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $5,966 $37,631 −84% $44,222 −87%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,798 $15,583 −63% $14,648 −60%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $5,738 $26,676 −78% $58,809 −90%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,738 $24,586 −77% $25,197 −77%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,728 $30,486 −81% $42,795 −87%
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $5,728 $30,915 −81% $35,569 −84%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,719 $27,247 −79% $26,770 −79%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $5,709 $23,902 −76% $35,419 −84%
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 $40,840 −86% $30,959 −82%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,696 $31,484 −82% $30,571 −81%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,696 $21,873 −74% $26,932 −79%
779 ABORTION WITHOUT D&C $5,696 $15,327 −63% $15,327 −63%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,691 $32,998 −83% $27,163 −79%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,689 $21,427 −73% $39,887 −86%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,689 $30,153 −81% $23,940 −76%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $5,689 $25,994 −78% $30,553 −81%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,689 $17,752 −68% $13,361 −57%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $5,689 $32,773 −83% $48,349 −88%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,689 $71,596 −92% $66,685 −91%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,670 $55,830 −90% $52,405 −89%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,670 $10,878 −48% $12,999 −56%
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 $31,799 −82% $25,034 −77%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,670 $13,317 −57% $15,428 −63%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $5,670 $36,735 −85% $52,178 −89%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,670 $31,093 −82% $37,844 −85%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $5,670 $33,823 −83% $50,498 −89%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,670 $9,940 −43% $9,940 −43%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,670 $24,139 −77% $22,888 −75%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,601 $20,145 −72% $26,051 −79%
652 KIDNEY TRANSPLANT $5,601 $54,720 −90% $54,720 −90%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,589 $19,911 −72% $26,870 −79%
181 RESPIRATORY NEOPLASMS WITH CC $5,454 $17,604 −69% $23,573 −77%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,330 $14,480 −63% $19,305 −72%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,290 $12,609 −58% $16,767 −68%
201 PNEUMOTHORAX WITHOUT CC/MCC $5,218 $19,308 −73% $14,053 −63%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,211 $12,173 −57% $14,689 −65%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,184 $20,656 −75% $23,488 −78%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,178 $12,284 −58% $15,549 −67%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,124 $11,894 −57% $16,288 −69%
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,002 $17,226 −71% $17,226 −71%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,987 $52,925 −91% $37,842 −87%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,977 $35,224 −86% $54,583 −91%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,957 $23,675 −79% $17,303 −71%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,957 $15,493 −68% $15,183 −67%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,957 $19,121 −74% $19,846 −75%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,945 $22,077 −78% $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% $12,768 −61%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,945 $32,919 −85% $39,181 −87%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,938 $32,969 −85% $40,108 −88%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,938 $13,586 −64% $13,586 −64%
333 RECTAL RESECTION WITH CC $4,938 $30,778 −84% $37,154 −87%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $4,938 $30,317 −84% $39,211 −87%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,938 $35,662 −86% $40,213 −88%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,938 $19,354 −74% $19,354 −74%
885 PSYCHOSES $4,938 $21,489 −77% $21,729 −77%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,938 $26,510 −81% $26,510 −81%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,938 $28,559 −83% $29,524 −83%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,935 $24,694 −80% $23,749 −79%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,918 $15,890 −69% $17,404 −72%
204 RESPIRATORY SIGNS AND SYMPTOMS $4,918 $13,720 −64% $18,004 −73%
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 $17,496 −72% $23,953 −79%
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,792 $23,876 −80% $22,033 −78%
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 $23,404 −80% $23,141 −80%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,645 $31,349 −85% $42,901 −89%
597 MALIGNANT BREAST DISORDERS WITH MCC $4,645 $25,994 −82% $33,386 −86%
811 RED BLOOD CELL DISORDERS WITH MCC $4,645 $21,454 −78% $28,226 −84%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,645 $19,017 −76% $25,581 −82%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,638 $15,311 −70% $16,968 −73%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $4,638 $43,701 −89% $65,573 −93%
305 HYPERTENSION WITHOUT MCC $4,638 $17,880 −74% $18,086 −74%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,638 $30,691 −85% $44,117 −89%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,638 $32,586 −86% $32,841 −86%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,638 $23,477 −80% $16,634 −72%
694 URINARY STONES WITHOUT MCC $4,638 $19,522 −76% $17,345 −73%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $4,638 $26,296 −82% $39,515 −88%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,638 $11,294 −59% $12,324 −62%
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 $26,505 −83% $23,283 −80%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $4,619 $40,019 −88% $43,943 −89%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,619 $15,553 −70% $16,699 −72%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,560 $11,847 −62% $11,847 −62%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,550 $26,590 −83% $16,351 −72%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,531 $12,855 −65% $15,019 −70%
709 PENIS PROCEDURES WITH CC/MCC $4,518 $32,359 −86% $34,535 −87%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,486 $15,603 −71% $19,924 −77%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $4,486 $35,669 −87% $36,253 −88%
038 EXTRACRANIAL PROCEDURES WITH CC $4,479 $24,107 −81% $35,770 −87%
123 NEUROLOGICAL EYE DISORDERS $4,479 $13,618 −67% $19,745 −77%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,479 $23,620 −81% $29,221 −85%
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 $19,686 −77% $19,686 −77%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,460 $46,760 −90% $67,268 −93%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,460 $19,350 −77% $22,851 −80%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,460 $16,823 −73% $22,763 −80%
914 TRAUMATIC INJURY WITHOUT MCC $4,460 $15,088 −70% $15,855 −72%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,419 $32,647 −86% $38,094 −88%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,407 $42,233 −90% $39,106 −89%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,407 $22,783 −81% $33,454 −87%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,407 $13,822 −68% $14,501 −70%
137 MOUTH PROCEDURES WITH CC/MCC $4,400 $22,342 −80% $27,861 −84%
149 DYSEQUILIBRIUM $4,400 $20,682 −79% $18,096 −76%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,400 $29,734 −85% $31,321 −86%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,400 $45,498 −90% $58,745 −93%
697 URETHRAL STRICTURE $4,400 $16,196 −73% $18,428 −76%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,380 $34,307 −87% $41,620 −89%
113 ORBITAL PROCEDURES WITH CC/MCC $4,380 $32,482 −87% $36,167 −88%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,380 $13,288 −67% $17,124 −74%
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $4,380 $57,380 −92% $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 $20,766 −79% $29,949 −86%
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,325 $12,723 −66% $14,514 −70%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,325 $12,204 −65% $14,797 −71%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $4,325 $21,615 −80% $22,620 −81%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,306 $18,250 −76% $16,450 −74%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,306 $24,189 −82% $27,316 −84%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,195 $14,675 −71% $15,452 −73%
935 NON-EXTENSIVE BURNS $4,139 $31,701 −87% $31,701 −87%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $4,088 $37,754 −89% $47,945 −91%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $4,075 $34,708 −88% $59,421 −93%
795 NORMAL NEWBORN $4,075 $5,054 −19% $4,720 −14%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,060 $20,782 −80% $30,083 −87%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,049 $13,136 −69% $12,252 −67%
684 RENAL FAILURE WITHOUT CC/MCC $4,049 $12,380 −67% $13,642 −70%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,049 $8,330 −51% $8,445 −52%
920 COMPLICATIONS OF TREATMENT WITH CC $4,049 $18,678 −78% $22,468 −82%
164 MAJOR CHEST PROCEDURES WITH CC $4,030 $35,862 −89% $56,755 −93%
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,012 $21,286 −81% $17,921 −78%
639 DIABETES WITHOUT CC/MCC $4,011 $15,635 −74% $13,910 −71%
916 ALLERGIC REACTIONS WITHOUT MCC $4,011 $11,813 −66% $13,942 −71%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,953 $26,921 −85% $43,298 −91%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,953 $19,268 −79% $22,458 −82%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,946 $17,159 −77% $18,956 −79%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,946 $39,640 −90% $18,649 −79%
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,926 $20,434 −81% $23,319 −83%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,926 $28,555 −86% $38,861 −90%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,550 $12,055 −71% $13,651 −74%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,518 $20,369 −83% $21,275 −83%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,491 $22,791 −85% $30,770 −89%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,451 $11,513 −70% $12,229 −72%
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% $58,274 −95%

Procedures with negotiated rates only

These 33 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
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 7 plans
006 LIVER TRANSPLANT WITHOUT MCC — 6 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 6 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK 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
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $664 – $11,861 · median $11,268 5 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC — 5 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 4 plans
653 MAJOR BLADDER PROCEDURES 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
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC — 1 plans
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