Methodist Charlton Medical Center — Pricing

829 procedures published in this hospital's Machine-Readable File (MRF) — 829 with a comparable price, 0 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 829
Lowest published price $1,902
Average published price $95,448
Highest published price $1,447,596

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 829 procedures

Published charges

Showing all 829 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 51 procedures, this hospital's negotiated rates average ≈178% of what Medicare pays.

DRG Description Published price Cash price vs. TX median vs. National median vs Medicare
589 NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION,MAJOR $1,447,596 $723,798 $1,447,596 +0% $1,447,596 +0% —
609 NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,EXTREME $1,256,233 $628,117 $1,256,233 +0% $1,256,233 +0% —
591 NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,MODERATE $1,159,755 $579,878 $1,159,755 +0% $1,159,755 +0% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $822,233 $411,116 $242,999 +238% $159,181 +417% —
772 ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,EXTREME $671,086 $335,543 $671,086 +0% $671,086 +0% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $671,086 $335,543 $21,986 +2952% $21,986 +2952% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $660,173 $330,087 $660,173 +0% $371,366 +78% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $628,008 $314,004 $362,617 +73% $431,073 +46% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $570,620 $285,310 $176,964 +222% $171,338 +233% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $561,573 $280,787 $230,527 +144% $245,241 +129% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $517,936 $258,968 $105,228 +392% $105,228 +392% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $489,552 $244,776 $271,110 +81% $120,174 +307% —
009 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),EXTREME $487,874 $243,937 $487,874 +0% $487,874 +0% —
006 LIVER TRANSPLANT WITHOUT MCC $424,426 $212,213 $84,407 +403% $84,407 +403% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $385,192 $192,596 $81,319 +374% $56,242 +585% —
028 SPINAL PROCEDURES WITH MCC $373,382 $186,691 $82,145 +355% $95,858 +290% —
910 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,EXTREME $372,934 $186,467 $372,934 +0% $372,934 +0% —
724 OTHER INFECTIOUS AND PARASITIC DISEASES,EXTREME $362,535 — $12,650 +2766% $12,650 +2766% —
911 EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,EXTREME $346,251 $173,125 $346,251 +0% $346,251 +0% —
231 CORONARY BYPASS WITH PTCA WITH MCC $343,492 $171,746 $128,088 +168% $146,474 +135% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $331,491 $165,745 $135,321 +145% $101,235 +227% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $330,545 $165,273 $209,912 +57% $121,714 +172% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $319,088 $159,544 $226,137 +41% $138,008 +131% ≈140% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $302,532 $151,266 $91,253 +232% $105,612 +186% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $297,220 $148,610 $63,849 +366% $51,142 +481% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $290,290 $145,145 $94,288 +208% $131,961 +120% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $288,544 $144,272 $210,247 +37% $116,058 +149% —
652 KIDNEY TRANSPLANT $277,748 $138,874 $54,720 +408% $54,720 +408% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $277,592 $138,796 $80,018 +247% $80,018 +247% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $274,932 $137,466 $86,484 +218% $70,735 +289% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $272,182 $136,091 $166,500 +63% $175,437 +55% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $267,075 $133,538 $196,712 +36% $143,242 +86% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $265,699 $132,849 $149,761 +77% $71,551 +271% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $260,465 $130,232 $70,091 +272% $57,521 +353% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $256,912 $128,456 $122,950 +109% $120,587 +113% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $256,497 $128,248 $106,929 +140% $134,914 +90% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $250,648 $125,324 $36,339 +590% $38,878 +545% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $249,655 $124,827 $149,897 +67% $138,868 +80% ≈201% of Medicare
612 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MODERATE $249,205 $124,602 $249,205 +0% $249,205 +0% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $248,894 $124,447 $103,292 +141% $106,778 +133% —
613 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,MAJOR $245,258 $122,629 $245,258 +0% $245,258 +0% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $238,179 $119,089 $175,396 +36% $86,953 +174% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $235,078 $117,539 $91,417 +157% $88,307 +166% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $232,530 $116,265 $91,449 +154% $109,331 +113% —
263 VEIN LIGATION AND STRIPPING $231,064 $115,532 $60,391 +283% $44,938 +414% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $229,775 $114,887 $205,911 +12% $151,029 +52% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $228,724 $114,362 $198,564 +15% $106,238 +115% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $225,573 $112,787 $139,926 +61% $102,177 +121% —
799 SPLENIC PROCEDURES WITH MCC $225,436 $112,718 $99,427 +127% $78,821 +186% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $222,322 $111,161 $131,768 +69% $87,018 +155% ≈173% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $222,322 $111,161 $78,460 +183% $96,192 +131% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $221,516 $110,758 $197,408 +12% $121,728 +82% —
709 PENIS PROCEDURES WITH CC/MCC $220,828 $110,414 $32,777 +574% $34,535 +539% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $218,191 $109,095 $79,247 +175% $112,062 +95% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $217,531 $108,766 $217,531 +0% $191,314 +14% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $213,320 $106,660 $84,256 +153% $102,573 +108% —
130 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,MAJOR $211,949 $105,974 $211,949 +0% $23,289 +810% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $205,352 $102,676 $205,352 +0% $142,326 +44% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $201,609 $100,804 $140,973 +43% $108,472 +86% —
588 NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,EXTREME $199,833 $99,916 $199,833 +0% $1,196,961 −83% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $199,372 $99,686 $73,266 +172% $68,847 +190% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $196,302 $98,151 $83,192 +136% $117,280 +67% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $194,437 $97,218 $105,340 +85% $99,423 +96% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $193,985 $96,992 $193,374 +0% $114,914 +69% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $193,906 $96,953 $125,987 +54% $84,861 +128% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $192,752 $96,376 $58,314 +231% $70,132 +175% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $192,217 $96,108 $49,718 +287% $57,855 +232% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $191,081 $95,541 $138,656 +38% $82,561 +131% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $190,035 $95,017 $154,549 +23% $86,390 +120% ≈165% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $189,581 $94,791 $77,406 +145% $107,355 +77% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $189,197 $94,598 $89,456 +111% $72,011 +163% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $185,172 $92,586 $177,818 +4% $93,783 +97% —
037 EXTRACRANIAL PROCEDURES WITH MCC $184,051 $92,025 $107,947 +71% $64,749 +184% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $182,154 $91,077 $144,789 +26% $105,899 +72% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $181,200 $90,600 $109,817 +65% $87,565 +107% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $180,959 $90,480 $90,791 +99% $75,103 +141% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $176,442 $88,221 $76,345 +131% $68,399 +158% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $175,915 $87,958 $106,284 +66% $74,257 +137% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $174,471 $87,236 $78,699 +122% $75,251 +132% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $173,538 $86,769 $103,861 +67% $103,861 +67% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $172,473 $86,236 $172,473 +0% $94,988 +82% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $171,578 $85,789 $91,266 +88% $92,238 +86% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $170,812 $85,406 $89,662 +91% $118,589 +44% —
471 CERVICAL SPINAL FUSION WITH MCC $167,512 $83,756 $66,842 +151% $92,515 +81% —
666 PROSTATECTOMY WITH CC $165,318 $82,659 $53,546 +209% $30,016 +451% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $164,950 $82,475 $60,017 +175% $64,776 +155% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $164,869 $82,435 $67,791 +143% $96,905 +70% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $164,826 $82,413 $86,138 +91% $45,290 +264% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $163,696 $81,848 $28,886 +467% $28,634 +472% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $162,395 $81,198 $162,395 +0% $110,732 +47% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $162,210 $81,105 $77,461 +109% $91,329 +78% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $162,095 $81,047 $73,455 +121% $94,927 +71% —
245 AICD GENERATOR PROCEDURES $161,638 $80,819 $66,564 +143% $72,076 +124% —
230 MAJOR SMALL BOWEL PROCEDURES,MODERATE $161,528 $80,764 $161,528 +0% $88,720 +82% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $160,090 $80,045 $35,694 +349% $39,409 +306% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $159,827 $79,913 $52,536 +204% $74,755 +114% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $159,085 $79,543 $132,154 +20% $88,049 +81% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $159,077 $79,539 $133,390 +19% $73,029 +118% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $158,453 $79,226 $48,637 +226% $59,207 +168% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $158,401 $79,200 $56,535 +180% $66,853 +137% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $158,226 $79,113 $99,711 +59% $90,331 +75% —
503 FOOT PROCEDURES WITH MCC $158,088 $79,044 $44,309 +257% $43,901 +260% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $157,808 $78,904 $149,263 +6% $88,050 +79% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $157,594 $78,797 $69,101 +128% $69,101 +128% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $156,520 $78,260 $23,263 +573% $24,036 +551% —
380 COMPLICATED PEPTIC ULCER WITH MCC $155,727 $77,864 $43,397 +259% $36,641 +325% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $155,063 $77,532 $56,565 +174% $82,247 +89% —
120 MAJOR RESPIRATORY AND CHEST PROCEDURES,MAJOR $155,052 $77,526 $155,052 +0% $71,194 +118% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $154,780 $77,390 $61,694 +151% $54,320 +185% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $154,142 $77,071 $59,066 +161% $60,098 +156% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $153,957 $76,979 $57,570 +167% $72,945 +111% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $148,272 $74,136 $148,272 +0% $88,691 +67% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $146,224 $73,112 $146,224 +0% $79,944 +83% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $145,872 $72,936 $63,928 +128% $80,885 +80% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $145,172 $72,586 $69,779 +108% $71,701 +102% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $144,131 $72,065 $126,680 +14% $75,492 +91% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $143,678 $71,839 $29,949 +380% $20,309 +607% —
800 SPLENIC PROCEDURES WITH CC $143,052 $71,526 $94,713 +51% $49,184 +191% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $142,874 $71,437 $59,215 +141% $40,277 +255% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $142,433 $71,216 $49,003 +191% $50,919 +180% —
163 MAJOR CHEST PROCEDURES WITH MCC $142,222 $71,111 $142,222 +0% $88,341 +61% —
950 AFTERCARE WITHOUT CC/MCC $140,548 $70,274 $11,329 +1141% $13,527 +939% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $140,449 $70,225 $94,746 +48% $67,764 +107% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $140,001 $70,001 $92,740 +51% $66,819 +110% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $139,173 $69,587 $85,518 +63% $98,260 +42% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $138,939 $69,469 $87,874 +58% $57,963 +140% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $138,176 $69,088 $59,774 +131% $64,152 +115% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $136,154 $68,077 $80,603 +69% $113,855 +20% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $135,318 $67,659 $76,642 +77% $54,824 +147% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $133,693 $66,847 $73,695 +81% $71,014 +88% —
668 TRANSURETHRAL PROCEDURES WITH MCC $132,121 $66,061 $51,424 +157% $47,277 +179% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $132,084 $66,042 $117,803 +12% $71,755 +84% —
653 MAJOR BLADDER PROCEDURES WITH MCC $132,069 $66,035 $132,069 +0% $97,046 +36% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $130,237 $65,118 $115,433 +13% $70,540 +85% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $129,976 $64,988 $70,782 +84% $58,968 +120% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $129,957 $64,979 $75,392 +72% $46,591 +179% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $128,806 $64,403 $83,214 +55% $63,475 +103% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $128,671 $64,336 $73,103 +76% $78,582 +64% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $128,635 $64,317 $82,870 +55% $96,222 +34% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $128,483 $64,241 $32,168 +299% $44,053 +192% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $128,445 $64,222 $128,445 +0% $82,527 +56% —
169 MAJOR ABDOMINAL VASCULAR PROCEDURES,MODERATE $128,246 $64,123 $128,246 +0% $128,246 +0% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $127,869 $63,934 $115,941 +10% $76,954 +66% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $127,466 $63,733 $40,363 +216% $56,758 +125% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $127,171 $63,586 $68,262 +86% $60,140 +111% —
595 MAJOR SKIN DISORDERS WITH MCC $127,061 $63,531 $42,247 +201% $31,785 +300% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $126,998 $63,499 $49,325 +157% $43,697 +191% —
110 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES,EXTREME $126,895 $63,447 $126,895 +0% $126,895 +0% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $126,681 $63,341 $39,644 +220% $58,043 +118% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $126,672 $63,336 $31,740 +299% $38,382 +230% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA,MAJOR $126,623 $63,312 $37,070 +242% $40,065 +216% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $126,521 $63,261 $126,521 +0% $121,563 +4% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $126,283 $63,142 $53,307 +137% $55,097 +129% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $125,807 $62,903 $74,599 +69% $64,956 +94% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $125,465 $62,733 $53,945 +133% $78,852 +59% —
662 MINOR BLADDER PROCEDURES WITH MCC $125,012 $62,506 $52,022 +140% $54,483 +129% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $124,974 $62,487 $26,548 +371% $28,252 +342% —
611 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,MINOR $124,961 $62,480 $124,961 +0% $124,961 +0% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $124,829 $62,415 $92,538 +35% $74,274 +68% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $124,716 $62,358 $108,235 +15% $72,859 +71% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $124,544 $62,272 $43,152 +189% $48,358 +158% —
038 EXTRACRANIAL PROCEDURES WITH CC $123,691 $61,846 $52,372 +136% $35,770 +246% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $123,594 $61,797 $76,015 +63% $50,139 +147% —
791 PREMATURITY WITH MAJOR PROBLEMS $123,436 $61,718 $34,685 +256% $39,563 +212% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $123,161 $61,581 $38,751 +218% $46,659 +164% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $122,852 $61,426 $54,196 +127% $54,196 +127% —
362 MASTECTOMY PROCEDURES,MODERATE $122,668 $61,334 $122,668 +0% $122,668 +0% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $121,393 $60,697 $38,454 +216% $43,491 +179% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $121,171 $60,585 $104,160 +16% $57,277 +112% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $120,744 $60,372 $47,416 +155% $34,900 +246% —
665 PROSTATECTOMY WITH MCC $120,728 $60,364 $68,365 +77% $54,072 +123% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $120,264 $60,132 $64,248 +87% $92,217 +30% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $120,221 $60,111 $58,561 +105% $49,710 +142% —
049 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,EXTREME $120,000 $60,000 $120,000 +0% $120,000 +0% —
834 ACUTE LEUKEMIA WITH MCC $119,985 $59,992 $74,709 +61% $76,583 +57% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $118,795 $59,398 $95,604 +24% $63,984 +86% ≈168% of Medicare
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $118,231 $59,116 $118,231 +0% $80,747 +46% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $118,083 $59,042 $58,702 +101% $62,269 +90% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $117,857 $58,928 $43,248 +173% $48,094 +145% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $117,671 $58,836 $80,266 +47% $53,555 +120% —
608 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,MINOR $117,471 $58,735 $117,471 +0% $117,471 +0% —
887 OTHER MENTAL DISORDER DIAGNOSES $117,387 $58,693 $18,631 +530% $20,602 +470% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $116,383 $58,191 $68,604 +70% $52,405 +122% ≈153% of Medicare
222 OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES,MODERATE $115,838 $57,919 $86,864 +33% $86,864 +33% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $115,688 $57,844 $100,268 +15% $62,961 +84% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $115,660 $57,830 $32,604 +255% $37,064 +212% —
253 OTHER VASCULAR PROCEDURES WITH CC $115,583 $57,791 $69,497 +66% $53,746 +115% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $115,121 $57,561 $68,425 +68% $38,998 +195% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $114,683 $57,341 $89,353 +28% $89,353 +28% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $114,299 $57,150 $65,401 +75% $48,907 +134% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $113,027 $56,514 $82,731 +37% $98,912 +14% —
680 MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS,MODERATE $112,564 $56,282 $112,564 +0% $112,564 +0% —
051 VIRAL MENINGITIS,EXTREME $112,295 $56,148 $112,295 +0% $47,149 +138% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $112,104 $56,052 $65,883 +70% $35,014 +220% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $111,726 $55,863 $53,665 +108% $72,908 +53% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $111,166 $55,583 $63,641 +75% $43,524 +155% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $110,539 $55,269 $71,969 +54% $65,383 +69% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $110,472 $55,236 $71,589 +54% $50,624 +118% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $109,752 $54,876 $50,419 +118% $34,434 +219% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $109,194 $54,597 $57,584 +90% $68,659 +59% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $109,127 $54,564 $76,837 +42% $58,832 +85% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $109,021 $54,510 $69,973 +56% $65,254 +67% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $108,427 $54,213 $51,898 +109% $57,149 +90% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $108,407 $54,204 $36,791 +195% $41,703 +160% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $108,316 $54,158 $47,649 +127% $68,880 +57% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $107,806 $53,903 $49,651 +117% $49,065 +120% —
472 CERVICAL SPINAL FUSION WITH CC $107,561 $53,780 $51,075 +111% $59,537 +81% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $107,463 $53,731 $72,886 +47% $68,006 +58% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $107,419 $53,709 $51,761 +108% $60,861 +76% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $106,930 $53,465 $49,397 +116% $44,600 +140% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $106,063 $53,032 $17,621 +502% $14,284 +643% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $105,672 $52,836 $31,044 +240% $31,044 +240% —
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $105,486 $52,743 $105,486 +0% $119,631 −12% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $105,412 $52,706 $60,574 +74% $51,339 +105% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $105,355 $52,678 $46,399 +127% $52,332 +101% —
252 OTHER VASCULAR PROCEDURES WITH MCC $104,824 $52,412 $48,030 +118% $68,508 +53% ≈163% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $104,016 $52,008 $62,477 +66% $35,714 +191% ≈164% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $103,904 $51,952 $35,273 +195% $30,930 +236% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $103,843 $51,921 $46,133 +125% $54,129 +92% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $103,262 $51,631 $46,575 +122% $25,854 +299% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $103,118 $51,559 $43,330 +138% $62,821 +64% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $102,493 $51,247 $74,518 +38% $54,475 +88% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $102,394 $51,197 $59,712 +71% $65,325 +57% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $101,795 $50,898 $73,229 +39% $50,011 +104% —
113 ORBITAL PROCEDURES WITH CC/MCC $101,682 $50,841 $32,482 +213% $35,642 +185% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $101,304 $50,652 $95,906 +6% $62,404 +62% —
949 AFTERCARE WITH CC/MCC $100,927 $50,463 $35,072 +188% $23,953 +321% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $100,426 $50,213 $93,036 +8% $53,551 +88% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $100,025 $50,012 $100,025 +0% $64,465 +55% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $100,014 $50,007 $89,410 +12% $56,964 +76% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $99,844 $49,922 $75,197 +33% $62,524 +60% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $99,694 $49,847 $50,472 +98% $47,583 +110% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $99,533 $49,767 $70,888 +40% $54,313 +83% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,256 $49,628 $43,744 +127% $35,584 +179% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $98,765 $49,383 $98,765 +0% $72,782 +36% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $98,527 $49,264 $74,112 +33% $49,055 +101% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $98,396 $49,198 $35,895 +174% $46,066 +114% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $98,271 $49,136 $68,532 +43% $56,519 +74% ≈176% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $97,310 $48,655 $70,613 +38% $67,901 +43% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $97,139 $48,569 $48,557 +100% $51,953 +87% —
047 TRANSIENT ISCHEMIA,MODERATE $96,061 $48,030 $96,061 +0% $56,677 +69% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $95,754 $47,877 $42,406 +126% $37,950 +152% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $94,859 $47,429 $36,879 +157% $36,080 +163% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $94,848 $47,424 $57,889 +64% $48,680 +95% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $94,779 $47,390 $43,017 +120% $40,563 +134% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $94,520 $47,260 $58,221 +62% $47,546 +99% —
246 GASTROINTESTINAL VASCULAR INSUFFICIENCY,MAJOR $94,464 $47,232 $33,983 +178% $33,983 +178% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $94,276 $47,138 $49,536 +90% $41,900 +125% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $94,001 $47,001 $237,026 −60% $306,087 −69% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $93,981 $46,991 $42,818 +119% $40,548 +132% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $93,769 $46,885 $93,769 +0% $93,769 +0% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $93,577 $46,788 $81,851 +14% $81,998 +14% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $93,571 $46,786 $52,032 +80% $45,497 +106% —
551 MEDICAL BACK PROBLEMS WITH MCC $93,479 $46,739 $42,807 +118% $31,086 +201% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $93,447 $46,723 $36,333 +157% $51,985 +80% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $93,353 $46,676 $33,308 +180% $36,237 +158% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $93,288 $46,644 $85,313 +9% $59,425 +57% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $93,224 $46,612 $43,520 +114% $32,483 +187% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $93,151 $46,575 $52,027 +79% $44,989 +107% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $92,980 $46,490 $32,258 +188% $30,940 +201% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $92,812 $46,406 $92,812 +0% $65,573 +42% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $92,663 $46,331 $64,932 +43% $52,313 +77% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $92,642 $46,321 $43,611 +112% $31,059 +198% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $92,233 $46,116 $92,233 +0% $65,216 +41% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $91,970 $45,985 $73,345 +25% $56,394 +63% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $91,244 $45,622 $46,747 +95% $35,673 +156% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $90,958 $45,479 $58,326 +56% $35,237 +158% ≈163% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $90,847 $45,423 $54,107 +68% $55,162 +65% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $90,763 $45,381 $59,086 +54% $49,631 +83% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $90,506 $45,253 $66,292 +37% $51,172 +77% ≈158% of Medicare
774 COCAINE ABUSE AND DEPENDENCE,MODERATE $90,494 $45,247 $47,196 +92% $3,032 +2885% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $90,371 $45,185 $51,021 +77% $38,836 +133% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $89,868 $44,934 $75,038 +20% $75,585 +19% —
134 PULMONARY EMBOLISM,MAJOR $89,862 $44,931 $89,862 +0% $23,289 +286% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $89,469 $44,735 $40,821 +119% $31,128 +187% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $89,456 $44,728 $47,693 +88% $30,974 +189% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $89,367 $44,683 $63,316 +41% $45,059 +98% —
930 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,MODERATE $89,307 $44,653 $89,307 +0% $89,307 +0% —
336 PERITONEAL ADHESIOLYSIS WITH CC $89,202 $44,601 $68,668 +30% $49,470 +80% —
226 ANAL PROCEDURES,MINOR $88,816 $44,408 $72,618 +22% $72,618 +22% —
912 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,MODERATE $88,781 $44,390 $88,781 +0% $88,781 +0% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $88,531 $44,266 $48,152 +84% $36,933 +140% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $88,527 $44,263 $17,544 +405% $24,544 +261% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $88,209 $44,105 $44,354 +99% $31,816 +177% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $88,068 $44,034 $59,237 +49% $83,441 +6% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $87,835 $43,917 $39,148 +124% $45,817 +92% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $87,807 $43,903 $36,428 +141% $39,018 +125% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $87,477 $43,738 $43,019 +103% $38,357 +128% ≈168% of Medicare
504 FOOT PROCEDURES WITH CC $87,310 $43,655 $39,139 +123% $36,598 +139% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $86,987 $43,493 $41,952 +107% $46,402 +87% —
592 SKIN ULCERS WITH MCC $86,923 $43,461 $32,263 +169% $32,662 +166% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $86,858 $43,429 $51,010 +70% $32,936 +164% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $86,807 $43,404 $32,249 +169% $29,476 +194% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $86,777 $43,389 $46,335 +87% $45,432 +91% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $86,652 $43,326 $83,613 +4% $50,815 +71% —
164 MAJOR CHEST PROCEDURES WITH CC $86,598 $43,299 $58,838 +47% $53,141 +63% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $86,532 $43,266 $45,049 +92% $40,232 +115% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $86,511 $43,255 $48,286 +79% $43,398 +99% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $86,102 $43,051 $58,809 +46% $54,772 +57% ≈155% of Medicare
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $85,939 $42,970 $39,406 +118% $27,548 +212% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $85,912 $42,956 $44,566 +93% $54,929 +56% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $85,880 $42,940 $37,991 +126% $36,333 +136% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $85,223 $42,611 $39,954 +113% $30,006 +184% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $85,220 $42,610 $55,994 +52% $42,881 +99% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $85,159 $42,579 $79,695 +7% $83,065 +3% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $85,099 $42,550 $59,227 +44% $45,818 +86% —
044 INTRACRANIAL HEMORRHAGE,MAJOR $85,065 $42,532 $85,065 +0% $85,065 +0% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $85,054 $42,527 $22,265 +282% $25,786 +230% —
223 OTHER SMALL AND LARGE BOWEL PROCEDURES,MINOR $84,883 $42,441 $59,206 +43% $59,206 +43% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $84,855 $42,427 $48,444 +75% $48,682 +74% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $84,789 $42,395 $27,823 +205% $35,459 +139% —
397 APPENDIX PROCEDURES WITH MCC $84,655 $42,328 $49,342 +72% $52,319 +62% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $84,395 $42,197 $51,792 +63% $44,117 +91% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $84,354 $42,177 $33,413 +152% $38,094 +121% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $84,186 $42,093 $46,828 +80% $30,814 +173% ≈167% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $83,577 $41,788 $53,913 +55% $42,119 +98% —
199 PNEUMOTHORAX WITH MCC $83,471 $41,736 $56,291 +48% $31,491 +165% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $83,408 $41,704 $58,037 +44% $39,093 +113% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $82,921 $41,461 $53,102 +56% $33,165 +150% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $82,775 $41,388 $25,633 +223% $29,826 +178% —
183 MAJOR CHEST TRAUMA WITH MCC $82,343 $41,172 $37,213 +121% $28,924 +185% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $82,130 $41,065 $34,857 +136% $25,149 +227% —
663 MINOR BLADDER PROCEDURES WITH CC $81,233 $40,617 $39,409 +106% $29,924 +171% —
121 OTHER RESPIRATORY AND CHEST PROCEDURES,MINOR $81,183 $40,592 $37,809 +115% $18,291 +344% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $80,945 $40,472 $37,764 +114% $41,651 +94% —
363 BREAST PROCEDURES EXCEPT MASTECTOMY,MODERATE $80,707 $40,354 $80,707 +0% $80,707 +0% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $80,321 $40,160 $41,070 +96% $39,657 +103% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $80,227 $40,114 $63,080 +27% $43,080 +86% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $80,195 $40,098 $31,221 +157% $43,800 +83% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $80,185 $40,093 $39,653 +102% $43,538 +84% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $79,979 $39,989 $48,189 +66% $32,911 +143% —
265 AICD LEAD PROCEDURES $79,952 $39,976 $49,492 +62% $56,695 +41% —
361 SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,MODERATE $79,921 $39,960 $79,921 +0% $79,921 +0% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $79,770 $39,885 $52,001 +53% $46,477 +72% —
570 SKIN DEBRIDEMENT WITH MCC $79,630 $39,815 $47,727 +67% $52,435 +52% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $79,276 $39,638 $39,072 +103% $32,502 +144% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $79,247 $39,623 $41,744 +90% $43,775 +81% —
919 COMPLICATIONS OF TREATMENT WITH MCC $79,233 $39,616 $47,893 +65% $29,031 +173% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $79,008 $39,504 $57,163 +38% $32,981 +140% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $78,783 $39,391 $43,894 +79% $33,607 +134% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $78,743 $39,372 $49,765 +58% $30,910 +155% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $78,666 $39,333 $33,998 +131% $40,583 +94% —
643 ENDOCRINE DISORDERS WITH MCC $78,459 $39,229 $44,725 +75% $32,996 +138% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $78,452 $39,226 $59,378 +32% $40,552 +93% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $78,329 $39,164 $31,646 +148% $40,063 +96% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $77,878 $38,939 $30,727 +153% $27,321 +185% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $77,174 $38,587 $49,043 +57% $28,967 +166% ≈172% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $77,167 $38,584 $37,784 +104% $38,420 +101% —
500 SOFT TISSUE PROCEDURES WITH MCC $76,936 $38,468 $44,320 +74% $57,479 +34% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $76,646 $38,323 $32,980 +132% $25,243 +204% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $76,534 $38,267 $32,773 +134% $43,586 +76% —
100 SEIZURES WITH MCC $76,323 $38,162 $28,961 +164% $35,194 +117% ≈168% of Medicare
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $76,245 $38,123 $61,679 +24% $42,126 +81% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $76,031 $38,016 $61,278 +24% $36,334 +109% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $75,960 $37,980 $53,998 +41% $44,472 +71% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $75,933 $37,967 $36,697 +107% $23,115 +229% —
398 APPENDIX PROCEDURES WITH CC $75,879 $37,940 $49,193 +54% $39,107 +94% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $75,878 $37,939 $61,292 +24% $49,197 +54% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $75,748 $37,874 $29,160 +160% $31,758 +139% —
180 RESPIRATORY NEOPLASMS WITH MCC $75,582 $37,791 $58,269 +30% $36,658 +106% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $75,502 $37,751 $30,313 +149% $22,532 +235% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $74,958 $37,479 $51,569 +45% $39,747 +89% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $74,767 $37,383 $67,278 +11% $37,654 +99% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $74,686 $37,343 $35,990 +108% $36,375 +105% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $74,619 $37,310 $35,004 +113% $32,204 +132% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $74,595 $37,297 $52,248 +43% $29,409 +154% —
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MINOR $74,377 $37,188 $74,377 +0% $74,377 +0% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $74,377 $37,188 $50,793 +46% $41,380 +80% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $74,244 $37,122 $17,587 +322% $14,290 +420% —
157 DENTAL AND ORAL DISEASES WITH MCC $74,165 $37,083 $42,077 +76% $27,457 +170% —
186 PLEURAL EFFUSION WITH MCC $74,062 $37,031 $51,361 +44% $32,468 +128% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $73,888 $36,944 $54,300 +36% $61,832 +19% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $73,805 $36,903 $30,058 +146% $30,058 +146% ≈179% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $73,791 $36,896 $47,002 +57% $29,663 +149% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $73,582 $36,791 $34,683 +112% $25,426 +189% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $73,567 $36,783 $16,495 +346% $16,495 +346% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $73,351 $36,675 $44,413 +65% $32,689 +124% ≈174% of Medicare
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $73,348 $36,674 $48,636 +51% $53,817 +36% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $73,284 $36,642 $49,899 +47% $36,239 +102% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $73,271 $36,635 $27,241 +169% $29,729 +146% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $73,034 $36,517 $30,298 +141% $30,394 +140% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $72,993 $36,497 $45,698 +60% $33,137 +120% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $72,856 $36,428 $38,514 +89% $33,984 +114% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $72,843 $36,422 $58,617 +24% $37,842 +92% ≈171% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $72,839 $36,420 $45,663 +60% $35,542 +105% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $72,599 $36,299 $40,079 +81% $35,375 +105% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $72,493 $36,246 $47,454 +53% $31,840 +128% ≈158% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $72,403 $36,201 $39,849 +82% $39,253 +84% —
669 TRANSURETHRAL PROCEDURES WITH CC $71,964 $35,982 $50,305 +43% $34,354 +109% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $71,955 $35,978 $24,302 +196% $24,465 +194% —
484 OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,MODERATE $71,515 $35,758 $71,515 +0% $23,289 +207% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $71,152 $35,576 $49,708 +43% $36,242 +96% —
374 DIGESTIVE MALIGNANCY WITH MCC $70,828 $35,414 $41,900 +69% $38,885 +82% —
333 RECTAL RESECTION WITH CC $70,517 $35,258 $61,029 +16% $34,352 +105% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $70,460 $35,230 $51,780 +36% $44,553 +58% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,MODERATE $70,367 $35,184 $70,367 +0% $77,914 −10% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $70,308 $35,154 $35,340 +99% $45,622 +54% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $70,277 $35,138 $24,189 +191% $25,731 +173% ≈186% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $70,152 $35,076 $33,892 +107% $29,524 +138% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $70,108 $35,054 $38,050 +84% $35,114 +100% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $69,852 $34,926 $43,221 +62% $41,380 +69% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $69,580 $34,790 $44,679 +56% $35,139 +98% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $69,187 $34,593 $58,714 +18% $32,399 +114% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $68,792 $34,396 $31,933 +115% $24,118 +185% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $68,700 $34,350 $31,025 +121% $36,850 +86% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $68,614 $34,307 $30,692 +124% $22,811 +201% —
531 FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR $68,600 $34,300 $68,600 +0% $37,084 +85% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $68,425 $34,212 $48,914 +40% $33,792 +102% —
224 PERITONEAL ADHESIOLYSIS,MAJOR $68,394 $34,197 $68,394 +0% $80,427 −15% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $68,281 $34,141 $53,393 +28% $31,566 +116% —
915 ALLERGIC REACTIONS WITH MCC $68,219 $34,109 $47,831 +43% $30,944 +120% —
088 CONCUSSION WITH MCC $68,188 $34,094 $44,167 +54% $24,402 +179% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $68,076 $34,038 $39,682 +72% $29,633 +130% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $67,995 $33,997 $52,262 +30% $35,692 +91% —
171 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK,MODERATE $67,970 $33,985 $67,970 +0% $82,174 −17% —
505 FOOT PROCEDURES WITHOUT CC/MCC $67,759 $33,879 $26,653 +154% $31,716 +114% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $67,458 $33,729 $38,140 +77% $27,244 +148% ≈182% of Medicare
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $67,321 $33,660 $25,262 +166% $24,879 +171% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $67,217 $33,608 $23,602 +185% $34,906 +93% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $66,981 $33,491 $48,230 +39% $34,089 +96% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $66,968 $33,484 $47,763 +40% $25,152 +166% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $66,707 $33,354 $39,906 +67% $28,156 +137% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $66,668 $33,334 $42,832 +56% $34,887 +91% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $66,437 $33,219 $43,181 +54% $41,660 +59% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $66,070 $33,035 $20,117 +228% $21,029 +214% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $65,941 $32,971 $31,349 +110% $37,902 +74% —
334 RECTAL RESECTION WITHOUT CC/MCC $65,533 $32,766 $27,809 +136% $32,213 +103% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $65,483 $32,741 $61,539 +6% $36,280 +80% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $65,458 $32,729 $33,833 +93% $24,480 +167% ≈180% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $65,309 $32,654 $39,626 +65% $27,934 +134% ≈168% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $65,295 $32,647 $16,847 +288% $17,550 +272% —
697 URETHRAL STRICTURE $65,288 $32,644 $16,196 +303% $17,705 +269% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $65,222 $32,611 $55,298 +18% $43,266 +51% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $65,159 $32,579 $38,950 +67% $28,140 +132% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $65,154 $32,577 $38,849 +68% $20,421 +219% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $64,914 $32,457 $32,502 +100% $23,723 +174% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $64,720 $32,360 $21,855 +196% $17,522 +269% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $64,548 $32,274 $44,541 +45% $30,418 +112% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $64,458 $32,229 $39,204 +64% $26,488 +143% ≈168% of Medicare
046 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,MAJOR $64,316 $32,158 $64,316 +0% $46,173 +39% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $64,262 $32,131 $55,658 +15% $45,963 +40% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $64,173 $32,086 $34,419 +86% $24,136 +166% —
711 TESTES PROCEDURES WITH CC/MCC $64,132 $32,066 $62,108 +3% $34,852 +84% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $63,976 $31,988 $32,249 +98% $24,202 +164% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $63,688 $31,844 $35,486 +79% $28,134 +126% —
999 UNGROUPABLE $63,568 $31,784 $62,821 +1% $28,822 +121% —
654 MAJOR BLADDER PROCEDURES WITH CC $63,366 $31,683 $39,822 +59% $53,868 +18% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $63,246 $31,623 $35,026 +81% $26,158 +142% ≈181% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $63,218 $31,609 $44,483 +42% $29,211 +116% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $63,204 $31,602 $22,592 +180% $31,812 +99% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $63,192 $31,596 $34,380 +84% $21,806 +190% —
913 TRAUMATIC INJURY WITH MCC $62,855 $31,427 $35,934 +75% $24,198 +160% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $62,670 $31,335 $30,041 +109% $33,050 +90% —
533 FRACTURES OF FEMUR WITH MCC $62,255 $31,127 $49,567 +26% $25,945 +140% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $62,241 $31,120 $40,228 +55% $25,704 +142% ≈191% of Medicare
906 HAND PROCEDURES FOR INJURIES $62,187 $31,093 $49,938 +25% $31,520 +97% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $62,111 $31,056 $42,949 +45% $36,597 +70% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $62,035 $31,017 $39,831 +56% $23,350 +166% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $61,467 $30,734 $39,491 +56% $22,032 +179% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $61,439 $30,720 $33,060 +86% $23,469 +162% ≈203% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $61,396 $30,698 $32,719 +88% $46,430 +32% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $61,359 $30,680 $43,556 +41% $30,358 +102% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $61,253 $30,626 $34,298 +79% $24,941 +146% —
947 SIGNS AND SYMPTOMS WITH MCC $61,243 $30,622 $32,843 +86% $25,474 +140% —
865 VIRAL ILLNESS WITH MCC $61,120 $30,560 $29,325 +108% $26,088 +134% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $61,110 $30,555 $48,888 +25% $35,528 +72% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $61,060 $30,530 $51,365 +19% $33,490 +82% —
227 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR $60,941 $30,471 $56,960 +7% $56,960 +7% —
184 MAJOR CHEST TRAUMA WITH CC $60,895 $30,447 $22,961 +165% $20,842 +192% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $60,357 $30,179 $25,579 +136% $25,666 +135% —
571 SKIN DEBRIDEMENT WITH CC $60,294 $30,147 $37,792 +60% $34,901 +73% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $60,254 $30,127 $36,655 +64% $24,017 +151% —
835 ACUTE LEUKEMIA WITH CC $60,172 $30,086 $31,659 +90% $35,569 +69% —
636 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,MINOR $59,860 $29,930 $59,860 +0% $59,860 +0% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $59,726 $29,863 $43,199 +38% $30,766 +94% —
637 DIABETES WITH MCC $59,446 $29,723 $39,978 +49% $28,819 +106% ≈184% of Medicare
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $59,442 $29,721 $21,962 +171% $19,354 +207% —
813 COAGULATION DISORDERS $59,428 $29,714 $44,051 +35% $30,128 +97% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $58,887 $29,443 $43,335 +36% $31,978 +84% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $58,739 $29,369 $58,739 +0% $58,739 +0% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $58,345 $29,172 $18,873 +209% $19,868 +194% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $58,286 $29,143 $45,806 +27% $29,757 +96% ≈169% of Medicare
506 MAJOR THUMB OR JOINT PROCEDURES $58,132 $29,066 $25,946 +124% $28,983 +101% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $58,041 $29,020 $58,041 +0% $32,538 +78% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $57,690 $28,845 $34,256 +68% $23,396 +147% ≈187% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $57,633 $28,817 $57,633 +0% $37,975 +52% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $57,607 $28,803 $32,969 +75% $37,080 +55% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $57,587 $28,794 $23,388 +146% $18,017 +220% —
200 PNEUMOTHORAX WITH CC $57,393 $28,697 $35,999 +59% $20,573 +179% —
089 CONCUSSION WITH CC $57,279 $28,639 $17,109 +235% $18,293 +213% —
103 HEADACHES WITHOUT MCC $56,681 $28,341 $27,638 +105% $20,111 +182% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $56,666 $28,333 $36,541 +55% $30,314 +87% —
304 HYPERTENSION WITH MCC $56,605 $28,302 $33,511 +69% $24,185 +134% ≈212% of Medicare
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $56,590 $28,295 $35,346 +60% $24,432 +132% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $56,511 $28,256 $24,928 +127% $29,916 +89% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $56,408 $28,204 $33,079 +71% $22,713 +148% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $56,351 $28,175 $20,900 +170% $17,731 +218% —
332 RECTAL RESECTION WITH MCC $56,243 $28,122 $48,214 +17% $58,125 −3% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $56,235 $28,118 $34,816 +62% $28,780 +95% —
682 RENAL FAILURE WITH MCC $56,072 $28,036 $38,760 +45% $27,854 +101% ≈168% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $55,909 $27,954 $23,485 +138% $23,814 +135% —
302 ATHEROSCLEROSIS WITH MCC $55,880 $27,940 $18,292 +205% $20,844 +168% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $55,775 $27,888 $23,796 +134% $15,869 +251% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $55,732 $27,866 $48,410 +15% $31,062 +79% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $55,614 $27,807 $32,168 +73% $29,805 +87% —
341 FRACTURE OF PELVIS OR DISLOCATION OF HIP,MODERATE $55,510 $27,755 $25,628 +117% $25,628 +117% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $55,487 $27,743 $29,009 +91% $21,261 +161% —
133 RESPIRATORY FAILURE,MODERATE $55,485 $27,742 $55,485 +0% $23,289 +138% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $55,388 $27,694 $41,021 +35% $32,839 +69% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $54,896 $27,448 $31,874 +72% $19,686 +179% —
158 DENTAL AND ORAL DISEASES WITH CC $54,823 $27,412 $30,573 +79% $17,700 +210% —
152 OTITIS MEDIA AND URI WITH MCC $54,596 $27,298 $36,209 +51% $19,795 +176% —
123 NEUROLOGICAL EYE DISORDERS $54,502 $27,251 $24,612 +121% $17,831 +206% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $54,391 $27,195 $50,184 +8% $32,490 +67% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $54,313 $27,156 $16,953 +220% $16,418 +231% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $54,311 $27,156 $51,746 +5% $44,973 +21% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $54,214 $27,107 $19,287 +181% $19,287 +181% —
602 CELLULITIS WITH MCC $54,211 $27,106 $41,052 +32% $29,347 +85% —
187 PLEURAL EFFUSION WITH CC $54,205 $27,102 $21,455 +153% $21,467 +153% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $54,127 $27,063 $32,602 +66% $16,212 +234% —
606 MINOR SKIN DISORDERS WITH MCC $54,073 $27,036 $27,528 +96% $25,434 +113% —
102 HEADACHES WITH MCC $53,982 $26,991 $25,386 +113% $22,544 +139% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $53,939 $26,970 $26,161 +106% $24,450 +121% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $53,906 $26,953 $25,521 +111% $13,385 +303% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $53,902 $26,951 $36,543 +48% $26,322 +105% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $53,843 $26,921 $18,018 +199% $10,039 +436% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $53,798 $26,899 $44,047 +22% $29,374 +83% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $53,785 $26,892 $53,785 +0% $44,839 +20% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $53,640 $26,820 $35,101 +53% $18,126 +196% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $53,584 $26,792 $53,584 +0% $52,908 +1% —
348 ANAL AND STOMAL PROCEDURES WITH CC $53,494 $26,747 $29,376 +82% $27,947 +91% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $53,468 $26,734 $33,422 +60% $23,496 +128% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $53,460 $26,730 $46,151 +16% $29,484 +81% —
920 COMPLICATIONS OF TREATMENT WITH CC $53,423 $26,712 $33,021 +62% $21,181 +152% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $53,067 $26,533 $37,241 +42% $23,734 +124% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $52,982 $26,491 $40,345 +31% $20,727 +156% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $52,711 $26,356 $15,636 +237% $15,636 +237% —
381 COMPLICATED PEPTIC ULCER WITH CC $52,709 $26,354 $36,066 +46% $24,177 +118% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $52,623 $26,311 $36,115 +46% $33,694 +56% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $52,604 $26,302 $35,839 +47% $25,162 +109% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $52,558 $26,279 $21,977 +139% $15,858 +231% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $52,522 $26,261 $36,515 +44% $24,190 +117% ≈196% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $52,500 $26,250 $29,842 +76% $20,968 +150% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $52,230 $26,115 $31,143 +68% $40,694 +28% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $52,227 $26,114 $25,952 +101% $19,598 +166% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $52,147 $26,073 $38,609 +35% $32,451 +61% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $52,141 $26,071 $32,081 +63% $22,024 +137% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $52,116 $26,058 $23,297 +124% $23,297 +124% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $52,084 $26,042 $40,042 +30% $20,147 +159% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $52,082 $26,041 $32,009 +63% $27,168 +92% —
291 HEART FAILURE AND SHOCK WITH MCC $52,067 $26,034 $32,698 +59% $25,020 +108% ≈163% of Medicare
297 CARDIAC ARREST, UNEXPLAINED WITH CC $51,947 $25,973 $12,336 +321% $12,336 +321% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $51,922 $25,961 $25,133 +107% $28,578 +82% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $51,875 $25,937 $24,282 +114% $26,020 +99% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $51,814 $25,907 $17,778 +191% $13,485 +284% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $51,667 $25,834 $32,504 +59% $20,007 +158% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $51,653 $25,826 $28,993 +78% $15,764 +228% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $51,650 $25,825 $27,480 +88% $17,715 +192% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $51,445 $25,722 $42,641 +21% $30,972 +66% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $51,360 $25,680 $47,944 +7% $36,097 +42% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $51,341 $25,670 $19,044 +170% $15,608 +229% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $51,190 $25,595 $26,360 +94% $18,002 +184% —
312 SYNCOPE AND COLLAPSE $51,000 $25,500 $28,324 +80% $19,342 +164% ≈256% of Medicare
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $50,950 $25,475 $32,141 +59% $31,909 +60% —
101 SEIZURES WITHOUT MCC $50,725 $25,362 $20,289 +150% $19,954 +154% ≈194% of Medicare
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $50,678 $25,339 $14,064 +260% $14,064 +260% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $50,545 $25,273 $28,324 +78% $26,146 +93% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $50,453 $25,227 $15,300 +230% $15,876 +218% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $50,240 $25,120 $27,641 +82% $20,080 +150% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $50,046 $25,023 $30,486 +64% $35,686 +40% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $50,038 $25,019 $35,420 +41% $31,190 +60% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $50,026 $25,013 $23,928 +109% $20,741 +141% —
671 URETHRAL PROCEDURES WITH CC/MCC $49,955 $24,977 $25,566 +95% $27,233 +83% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $49,818 $24,909 $21,615 +130% $21,615 +130% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $49,777 $24,888 $24,871 +100% $25,208 +97% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $49,763 $24,882 $31,330 +59% $21,213 +135% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $49,758 $24,879 $23,257 +114% $25,484 +95% —
885 PSYCHOSES $49,677 $24,838 $22,469 +121% $21,489 +131% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $49,646 $24,823 $37,631 +32% $40,947 +21% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $49,615 $24,807 $44,265 +12% $35,453 +40% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $49,531 $24,765 $30,669 +62% $21,545 +130% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $49,294 $24,647 $31,077 +59% $18,191 +171% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $49,283 $24,642 $24,315 +103% $14,337 +244% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $49,183 $24,591 $22,375 +120% $19,483 +152% —
893 HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,MAJOR $49,110 $24,555 $49,110 +0% $49,110 +0% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $48,992 $24,496 $37,079 +32% $27,369 +79% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $48,992 $24,496 $47,335 +4% $29,609 +65% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $48,923 $24,461 $19,845 +147% $22,231 +120% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $48,894 $24,447 $31,822 +54% $27,279 +79% —
375 DIGESTIVE MALIGNANCY WITH CC $48,874 $24,437 $33,697 +45% $27,219 +80% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $48,796 $24,398 $32,387 +51% $28,527 +71% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $48,732 $24,366 $27,927 +74% $18,278 +167% —
149 DYSEQUILIBRIUM $48,727 $24,363 $23,899 +104% $17,203 +183% —
197 INTERSTITIAL LUNG DISEASE WITH CC $48,689 $24,345 $22,609 +115% $20,106 +142% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $48,676 $24,338 $32,061 +52% $21,886 +122% ≈194% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $48,659 $24,329 $26,184 +86% $19,305 +152% —
597 MALIGNANT BREAST DISORDERS WITH MCC $48,535 $24,268 $48,535 +0% $31,846 +52% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $48,534 $24,267 $32,046 +51% $22,850 +112% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $48,392 $24,196 $29,922 +62% $22,982 +111% ≈186% of Medicare
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $48,282 $24,141 $27,057 +78% $18,459 +162% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $48,278 $24,139 $29,425 +64% $27,492 +76% —
150 EPISTAXIS WITH MCC $48,210 $24,105 $21,133 +128% $21,133 +128% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $48,075 $24,037 $29,131 +65% $44,363 +8% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $47,967 $23,984 $26,445 +81% $17,383 +176% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $47,942 $23,971 $24,506 +96% $28,646 +67% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $47,804 $23,902 $33,283 +44% $22,781 +110% ≈192% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $47,770 $23,885 $32,129 +49% $23,749 +101% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $47,689 $23,844 $26,990 +77% $16,719 +185% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $47,643 $23,821 $26,012 +83% $20,278 +135% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $47,389 $23,694 $21,624 +119% $19,569 +142% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $47,359 $23,680 $23,689 +100% $24,836 +91% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $47,280 $23,640 $29,643 +59% $18,150 +160% —
914 TRAUMATIC INJURY WITHOUT MCC $47,032 $23,516 $21,714 +117% $15,593 +202% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $46,875 $23,438 $22,948 +104% $17,367 +170% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $46,865 $23,433 $26,192 +79% $18,623 +152% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $46,852 $23,426 $21,022 +123% $29,050 +61% —
364 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MODERATE $46,852 $23,426 $46,852 +0% $46,852 +0% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $46,829 $23,415 $35,255 +33% $20,842 +125% —
311 ANGINA PECTORIS $46,586 $23,293 $15,034 +210% $15,165 +207% —
539 OSTEOMYELITIS WITH MCC $46,459 $23,229 $46,459 +0% $33,746 +38% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $46,416 $23,208 $34,876 +33% $27,118 +71% —
549 SEPTIC ARTHRITIS WITH CC $46,335 $23,168 $27,124 +71% $20,938 +121% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $46,227 $23,114 $42,680 +8% $33,424 +38% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $45,931 $22,965 $33,151 +39% $20,732 +122% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $45,866 $22,933 $24,260 +89% $24,229 +89% —
090 CONCUSSION WITHOUT CC/MCC $45,599 $22,799 $27,428 +66% $14,873 +207% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $45,480 $22,740 $35,632 +28% $23,924 +90% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $45,413 $22,706 $25,622 +77% $17,700 +157% —
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MODERATE $45,364 $22,682 $45,364 +0% $50,048 −9% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $45,332 $22,666 $37,000 +23% $25,267 +79% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $45,327 $22,664 $28,002 +62% $18,918 +140% ≈189% of Medicare
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MODERATE $45,066 $22,533 $45,066 +0% $47,150 −4% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $44,986 $22,493 $18,918 +138% $17,078 +163% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $44,872 $22,436 $24,566 +83% $16,776 +167% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $44,845 $22,423 $37,559 +19% $25,307 +77% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $44,795 $22,398 $33,372 +34% $24,022 +86% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $44,743 $22,371 $21,306 +110% $24,316 +84% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $44,527 $22,264 $25,630 +74% $17,727 +151% —
340 FRACTURE OF FEMUR,MODERATE $44,395 $22,198 $13,613 +226% $16,240 +173% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $44,389 $22,194 $21,228 +109% $24,561 +81% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $44,294 $22,147 $34,027 +30% $30,275 +46% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $44,254 $22,127 $27,856 +59% $19,096 +132% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $44,158 $22,079 $15,901 +178% $15,901 +178% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $43,996 $21,998 $24,389 +80% $19,326 +128% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $43,953 $21,977 $20,688 +112% $14,128 +211% —
075 VIRAL MENINGITIS WITH CC/MCC $43,716 $21,858 $30,536 +43% $29,853 +46% —
548 SEPTIC ARTHRITIS WITH MCC $43,438 $21,719 $43,438 +0% $31,019 +40% —
137 MOUTH PROCEDURES WITH CC/MCC $43,336 $21,668 $29,348 +48% $24,348 +78% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $43,246 $21,623 $24,482 +77% $18,803 +130% —
343 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,MAJOR $43,238 $21,619 $12,397 +249% $13,735 +215% —
176 PULMONARY EMBOLISM WITHOUT MCC $42,878 $21,439 $26,477 +62% $18,081 +137% —
683 RENAL FAILURE WITH CC $42,777 $21,388 $26,850 +59% $18,620 +130% ≈176% of Medicare
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $42,646 $21,323 $20,980 +103% $20,980 +103% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $42,603 $21,302 $37,057 +15% $34,264 +24% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $42,598 $21,299 $20,543 +107% $16,642 +156% —
693 URINARY STONES WITH MCC $42,523 $21,261 $22,278 +91% $22,525 +89% —
694 URINARY STONES WITHOUT MCC $42,467 $21,233 $22,050 +93% $16,531 +157% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $42,404 $21,202 $30,579 +39% $20,463 +107% —
342 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK,MINOR $42,264 $21,132 $16,487 +156% $19,454 +117% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $42,224 $21,112 $37,976 +11% $21,860 +93% —
593 SKIN ULCERS WITH CC $42,222 $21,111 $27,293 +55% $20,470 +106% —
644 ENDOCRINE DISORDERS WITH CC $42,218 $21,109 $33,596 +26% $22,941 +84% —
139 SALIVARY GLAND PROCEDURES $42,205 $21,102 $21,014 +101% $21,014 +101% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $42,185 $21,093 $17,159 +146% $17,943 +135% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $41,663 $20,832 $14,937 +179% $15,077 +176% —
849 RADIOTHERAPY $41,538 $20,769 $41,538 +0% $37,862 +10% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $41,513 $20,756 $41,513 +0% $24,980 +66% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $41,310 $20,655 $19,597 +111% $17,273 +139% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $41,261 $20,631 $21,345 +93% $19,579 +111% —
866 VIRAL ILLNESS WITHOUT MCC $41,230 $20,615 $24,453 +69% $16,391 +152% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $40,529 $20,265 $24,106 +68% $24,452 +66% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $40,252 $20,126 $31,408 +28% $21,449 +88% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $40,209 $20,104 $30,961 +30% $23,141 +74% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $40,111 $20,055 $34,217 +17% $18,478 +117% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $39,956 $19,978 $34,890 +15% $41,520 −4% —
892 HIV WITH MAJOR HIV RELATED CONDITION,MODERATE $39,896 $19,948 $39,896 +0% $39,896 +0% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $39,516 $19,758 $22,625 +75% $21,062 +88% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $39,225 $19,613 $15,167 +159% $12,279 +219% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $39,197 $19,599 $38,356 +2% $28,375 +38% —
530 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MODERATE $39,195 $19,598 $39,195 +0% $47,318 −17% —
864 FEVER AND INFLAMMATORY CONDITIONS $39,137 $19,569 $14,849 +164% $17,412 +125% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $39,078 $19,539 $16,444 +138% $16,104 +143% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $39,029 $19,514 $20,528 +90% $18,282 +113% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $38,897 $19,448 $33,151 +17% $16,571 +135% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $38,845 $19,422 $26,656 +46% $18,204 +113% ≈204% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $38,794 $19,397 $21,642 +79% $25,010 +55% —
305 HYPERTENSION WITHOUT MCC $38,600 $19,300 $24,403 +58% $17,144 +125% ≈194% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $38,564 $19,282 $38,564 +0% $36,202 +7% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $38,302 $19,151 $35,336 +8% $19,894 +93% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $38,260 $19,130 $24,033 +59% $16,865 +127% ≈213% of Medicare
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $38,044 $19,022 $38,044 +0% $25,623 +48% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $37,948 $18,974 $30,239 +25% $23,956 +58% —
043 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE $37,722 $18,861 $37,722 +0% $46,703 −19% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $37,587 $18,794 $23,926 +57% $17,466 +115% ≈171% of Medicare
712 TESTES PROCEDURES WITHOUT CC/MCC $37,536 $18,768 $17,076 +120% $18,898 +99% —
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $37,527 $18,764 $37,527 +0% $37,527 +0% —
603 CELLULITIS WITHOUT MCC $37,360 $18,680 $26,407 +41% $18,530 +102% ≈217% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $37,320 $18,660 $29,514 +26% $20,488 +82% —
204 RESPIRATORY SIGNS AND SYMPTOMS $37,095 $18,548 $22,897 +62% $16,866 +120% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $36,988 $18,494 $21,623 +71% $17,322 +114% ≈198% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $36,974 $18,487 $23,340 +58% $16,212 +128% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $36,838 $18,419 $15,278 +141% $13,892 +165% —
638 DIABETES WITH CC $36,609 $18,304 $27,005 +36% $18,821 +95% ≈178% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $36,415 $18,208 $15,538 +134% $15,045 +142% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $36,229 $18,115 $30,937 +17% $18,428 +97% —
935 NON-EXTENSIVE BURNS $36,229 $18,114 $31,701 +14% $29,458 +23% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $36,168 $18,084 $21,239 +70% $16,745 +116% ≈215% of Medicare
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $36,163 $18,082 $17,483 +107% $17,483 +107% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $36,049 $18,025 $22,189 +62% $12,797 +182% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $36,000 $18,000 $31,282 +15% $20,777 +73% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $35,822 $17,911 $35,205 +2% $22,560 +59% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $35,609 $17,805 $24,358 +46% $16,634 +114% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $35,494 $17,747 $18,684 +90% $12,405 +186% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $35,481 $17,741 $32,060 +11% $25,390 +40% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $35,469 $17,734 $27,131 +31% $18,253 +94% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $35,397 $17,698 $20,694 +71% $14,134 +150% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $35,385 $17,692 $34,116 +4% $23,571 +50% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $35,114 $17,557 $35,114 +0% $26,634 +32% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $34,904 $17,452 $19,686 +77% $22,275 +57% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $34,902 $17,451 $17,277 +102% $14,166 +146% —
303 ATHEROSCLEROSIS WITHOUT MCC $34,879 $17,439 $22,255 +57% $14,927 +134% —
753 BIPOLAR DISORDERS,MODERATE $34,861 $17,431 $34,861 +0% $34,651 +1% —
404 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES,MODERATE $34,754 $17,377 $34,754 +0% $35,667 −3% —
247 INTESTINAL OBSTRUCTION,MINOR $34,628 $17,314 $21,663 +60% $21,663 +60% —
598 MALIGNANT BREAST DISORDERS WITH CC $34,401 $17,200 $19,410 +77% $19,073 +80% —
534 FRACTURES OF FEMUR WITHOUT MCC $34,365 $17,182 $26,458 +30% $17,195 +100% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $34,326 $17,163 $34,326 +0% $24,452 +40% —
751 MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,MAJOR $34,262 $17,131 $34,262 +0% $33,812 +1% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $33,961 $16,981 $12,593 +170% $12,593 +170% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $33,779 $16,889 $12,534 +170% $12,537 +169% —
890 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,MAJOR $33,502 $16,751 $33,502 +0% $57,033 −41% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $33,474 $16,737 $22,352 +50% $14,012 +139% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $33,298 $16,649 $15,323 +117% $14,880 +124% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $33,236 $16,618 $25,515 +30% $19,854 +67% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $33,114 $16,557 $29,419 +13% $20,084 +65% —
153 OTITIS MEDIA AND URI WITHOUT MCC $32,698 $16,349 $21,412 +53% $14,473 +126% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $32,651 $16,326 $20,838 +57% $15,072 +117% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $32,559 $16,279 $23,808 +37% $16,837 +93% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $32,462 $16,231 $19,875 +63% $13,368 +143% —
111 VERTIGO AND OTHER LABYRINTH DISORDERS,MAJOR $32,376 $16,188 $32,376 +0% $32,376 +0% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $32,371 $16,185 $24,384 +33% $16,654 +94% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $32,357 $16,179 $26,061 +24% $17,388 +86% ≈205% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $32,302 $16,151 $19,271 +68% $14,444 +124% —
607 MINOR SKIN DISORDERS WITHOUT MCC $32,059 $16,029 $14,410 +122% $15,284 +110% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $31,863 $15,932 $14,520 +119% $11,955 +167% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $31,832 $15,916 $31,637 +1% $19,091 +67% —
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MINOR $31,821 $15,911 $31,821 +0% $34,146 −7% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $31,755 $15,877 $31,755 +0% $22,525 +41% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $31,635 $15,818 $22,563 +40% $13,303 +138% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $31,343 $15,672 $31,343 +0% $22,557 +39% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $31,324 $15,662 $23,658 +32% $29,371 +7% —
633 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,MINOR $31,241 $15,621 $31,241 +0% $31,241 +0% —
201 PNEUMOTHORAX WITHOUT CC/MCC $31,185 $15,593 $22,004 +42% $13,081 +138% —
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MINOR $30,893 $15,446 $20,610 +50% $20,610 +50% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $30,832 $15,416 $20,031 +54% $15,370 +101% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $30,796 $15,398 $18,649 +65% $13,654 +126% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $30,122 $15,061 $29,871 +1% $16,352 +84% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $30,062 $15,031 $18,461 +63% $16,049 +87% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MODERATE $30,000 $15,000 $30,000 +0% $51,822 −42% —
684 RENAL FAILURE WITHOUT CC/MCC $29,789 $14,894 $18,804 +58% $13,623 +119% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $29,558 $14,779 $29,558 +0% $29,558 +0% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $29,556 $14,778 $14,944 +98% $12,013 +146% —
639 DIABETES WITHOUT CC/MCC $29,431 $14,715 $19,891 +48% $13,910 +112% —
313 CHEST PAIN $29,278 $14,639 $20,378 +44% $15,962 +83% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $29,129 $14,565 $27,713 +5% $33,564 −13% —
181 RESPIRATORY NEOPLASMS WITH CC $29,124 $14,562 $20,728 +41% $22,431 +30% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $28,848 $14,424 $16,636 +73% $13,822 +109% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $28,839 $14,419 $17,727 +63% $20,371 +42% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $28,797 $14,398 $17,768 +62% $19,317 +49% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $28,638 $14,319 $20,246 +41% $13,824 +107% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $28,547 $14,273 $28,547 +0% $19,001 +50% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $28,399 $14,199 $17,785 +60% $13,318 +113% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $28,296 $14,148 $19,950 +42% $14,208 +99% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $27,918 $13,959 $15,335 +82% $18,238 +53% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $27,628 $13,814 $17,892 +54% $15,070 +83% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $27,571 $13,785 $27,571 +0% $19,815 +39% —
540 OSTEOMYELITIS WITH CC $27,453 $13,727 $19,990 +37% $23,494 +17% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $27,167 $13,583 $11,562 +135% $11,071 +145% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,116 $13,558 $22,840 +19% $15,600 +74% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $26,796 $13,398 $22,506 +19% $17,103 +57% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $26,562 $13,281 $25,975 +2% $18,608 +43% —
048 PERIPHERAL,CRANIAL AND AUTONOMIC NERVE DISORDERS,MODERATE $26,366 $13,183 $26,366 +0% $31,203 −16% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $26,342 $13,171 $26,342 +0% $17,585 +50% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $26,211 $13,105 $26,211 +0% $15,655 +67% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $26,116 $13,058 $17,388 +50% $14,441 +81% —
594 SKIN ULCERS WITHOUT CC/MCC $26,093 $13,047 $15,334 +70% $14,209 +84% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $25,877 $12,939 $18,133 +43% $18,133 +43% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $25,613 $12,807 $21,634 +18% $15,607 +64% —
916 ALLERGIC REACTIONS WITHOUT MCC $25,590 $12,795 $14,486 +77% $13,890 +84% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $25,581 $12,790 $25,581 +0% $23,588 +8% —
541 OSTEOMYELITIS WITHOUT CC/MCC $25,109 $12,555 $21,919 +15% $14,549 +73% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $24,946 $12,473 $18,755 +33% $13,198 +89% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,781 $12,390 $24,781 +0% $17,928 +38% —
775 ALCOHOL ABUSE AND DEPENDENCE,MINOR $24,763 $12,381 $19,163 +29% $3,242 +664% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $24,297 $12,148 $17,226 +41% $17,226 +41% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $24,202 $12,101 $19,570 +24% $14,861 +63% —
532 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MINOR $24,115 $12,058 $24,115 +0% $23,165 +4% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $23,772 $11,886 $21,459 +11% $14,368 +65% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $23,657 $11,829 $18,188 +30% $13,384 +77% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $23,610 $11,805 $18,069 +31% $13,090 +80% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $23,187 $11,593 $17,100 +36% $15,589 +49% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $22,888 $11,444 $17,209 +33% $17,108 +34% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $22,409 $11,205 $16,204 +38% $14,055 +59% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $21,181 $10,590 $18,250 +16% $13,282 +59% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $20,558 $10,279 $17,903 +15% $12,044 +71% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $20,374 $10,187 $8,927 +128% $8,927 +128% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $19,733 $9,866 $21,210 −7% $29,109 −32% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $19,646 $9,823 $19,537 +1% $12,895 +52% —
881 DEPRESSIVE NEUROSES $19,342 $9,671 $15,058 +28% $15,058 +28% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $19,145 $9,573 $11,997 +60% $11,997 +60% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $19,070 $9,535 $11,421 +67% $11,421 +67% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $18,601 $9,300 $18,601 +0% $15,474 +20% —
882 NEUROSES EXCEPT DEPRESSIVE $18,453 $9,226 $15,680 +18% $15,680 +18% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $18,214 $9,107 $18,214 +0% $10,975 +66% —
779 ABORTION WITHOUT D&C $18,030 $9,015 $17,738 +2% $15,327 +18% —
136 RESPIRATORY MALIGNANCY,MODERATE $17,768 $8,884 $15,890 +12% $15,890 +12% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $16,156 $8,078 $16,156 +0% $16,156 +0% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $15,419 $7,709 $13,068 +18% $12,381 +25% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $14,514 $7,257 $13,879 +5% $14,110 +3% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $14,123 $7,062 $10,795 +31% $9,076 +56% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,949 $6,975 $13,949 +0% $22,698 −39% —
151 EPISTAXIS WITHOUT MCC $13,119 $6,560 $13,119 +0% $13,032 +1% —
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MINOR $11,993 $5,997 $11,993 +0% $27,175 −56% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,160 $5,580 $13,257 −16% $23,920 −53% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $9,311 $4,655 $9,520 −2% $11,633 −20% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,947 $3,474 $8,330 −17% $7,961 −13% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,840 $2,920 $15,436 −62% $25,197 −77% —
795 NORMAL NEWBORN $3,447 $1,723 $4,862 −29% $4,530 −24% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,902 $951 $5,751 −67% $9,385 −80% —
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