United Regional Health Care System — Pricing

550 procedures published in this hospital's Machine-Readable File (MRF) — 550 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 550
Lowest published price $1,394
Average published price $68,314
Highest published price $691,839

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 550 procedures

Published charges

Showing all 550 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 113 procedures, this hospital's negotiated rates average ≈405% of what Medicare pays.

DRG Description Published price Cash price vs. TX median vs. National median vs Medicare
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $691,839 $657,247 $127,148 +444% $188,171 +268% —
023 craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator $577,237 $548,375 $76,970 +650% $106,778 +441% —
003 ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $528,027 $501,626 $502,678 +5% $371,366 +42% —
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $514,888 $489,144 $102,814 +401% $143,242 +259% —
097 non-bacterial infection of nervous system except viral meningitis with mcc $510,667 $485,133 $49,718 +927% $59,533 +758% —
231 coronary bypass with ptca with mcc $491,854 $467,261 $112,178 +338% $147,227 +234% —
001 heart transplant or implant of heart assist system with mcc $442,002 $419,902 $362,617 +22% $461,389 −4% —
011 tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc $414,630 $393,899 $73,038 +468% $101,576 +308% —
232 coronary bypass with ptca without mcc $386,520 $367,194 $82,102 +371% $115,839 +234% —
957 other o.r. procedures for multiple significant trauma with mcc $378,903 $359,957 $99,339 +281% $120,573 +214% —
094 bacterial and tuberculous infections of nervous system with mcc $375,119 $356,363 $50,550 +642% $68,639 +447% —
659 kidney and ureter procedures for non-neoplasm with mcc $372,069 $353,465 $36,735 +913% $52,178 +613% —
234 coronary bypass with cardiac catheterization or open ablation without mcc $366,584 $348,255 $72,075 +409% $102,573 +257% —
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $333,568 $316,890 $71,776 +365% $111,320 +200% —
350 inguinal and femoral hernia procedures with mcc $330,116 $313,610 $34,586 +854% $50,046 +560% —
146 ear, nose, mouth and throat malignancy with mcc $315,757 $299,969 $32,969 +858% $40,108 +687% —
233 coronary bypass with cardiac catheterization or open ablation with mcc $301,786 $286,697 $103,817 +191% $144,569 +109% —
215 other heart assist system implant $266,417 $253,097 $139,148 +91% $208,939 +28% —
235 coronary bypass without cardiac catheterization with mcc $262,201 $249,091 $79,247 +231% $112,062 +134% —
004 tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $261,129 $248,073 $207,315 +26% $248,521 +5% —
095 bacterial and tuberculous infections of nervous system with cc $259,545 $246,568 $34,307 +657% $47,583 +445% —
834 acute leukemia with mcc $245,874 $233,580 $74,709 +229% $85,566 +187% —
317 concomitant left atrial appendage closure and cardiac ablation $237,307 $225,442 $83,090 +186% $88,566 +168% —
870 septicemia or severe sepsis with mv >96 hours $228,254 $216,841 $143,949 +59% $148,832 +53% ≈406% of Medicare
266 endovascular cardiac valve replacement and supplement procedures with mcc $224,440 $213,218 $80,603 +178% $113,855 +97% —
236 coronary bypass without cardiac catheterization without mcc $212,952 $202,304 $56,565 +276% $82,247 +159% —
199 pneumothorax with mcc $205,288 $195,023 $35,165 +484% $33,787 +508% —
673 other kidney and urinary tract procedures with mcc $204,151 $193,944 $57,570 +255% $77,990 +162% —
163 major chest procedures with mcc $192,801 $183,161 $63,017 +206% $90,195 +114% ≈511% of Medicare
140 major head and neck procedures with mcc $186,141 $176,834 $58,085 +220% $60,098 +210% —
207 respiratory system diagnosis with ventilator support >96 hours $185,596 $176,316 $178,573 +4% $116,058 +60% ≈340% of Medicare
500 soft tissue procedures with mcc $171,947 $163,350 $44,320 +288% $61,872 +178% —
025 craniotomy and endovascular intracranial procedures with mcc $170,838 $162,296 $61,240 +179% $88,307 +93% ≈453% of Medicare
164 major chest procedures with cc $170,150 $161,642 $35,862 +374% $56,755 +200% —
028 spinal procedures with mcc $170,065 $161,561 $81,731 +108% $113,077 +50% —
856 postoperative or post-traumatic infections with o.r. procedures with mcc $162,955 $154,807 $61,750 +164% $76,001 +114% —
853 infectious and parasitic diseases with o.r. procedures with mcc $159,095 $151,140 $105,989 +50% $93,172 +71% ≈395% of Medicare
477 biopsies of musculoskeletal system and connective tissue with mcc $156,666 $148,833 $47,828 +228% $68,653 +128% —
480 hip and femur procedures except major joint with mcc $156,466 $148,643 $78,250 +100% $65,653 +138% ≈638% of Medicare
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $155,764 $147,976 $54,405 +186% $71,795 +117% —
546 connective tissue disorders with cc $152,490 $144,865 $18,220 +737% $25,700 +493% —
429 combined anterior and posterior cervical spinal fusion with mcc $152,275 $144,661 $110,483 +38% $144,774 +5% —
453 combined anterior and posterio $152,275 $144,661 $103,861 +47% $103,861 +47% —
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $151,683 $144,098 $39,254 +286% $29,743 +410% —
082 traumatic stupor and coma >1 hour with mcc $151,187 $143,627 $33,308 +354% $36,489 +314% —
026 craniotomy and endovascular intracranial procedures with cc $150,934 $143,388 $42,891 +252% $64,523 +134% —
061 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc $149,568 $142,090 $38,281 +291% $62,264 +140% —
619 o.r. procedures for obesity with mcc $148,170 $140,762 $38,581 +284% $51,746 +186% —
167 other respiratory system o.r. procedures with cc $146,936 $139,590 $26,909 +446% $40,642 +262% —
275 cardiac defibrillator implant with cardiac catheterization and mcc $146,429 $139,107 $94,288 +55% $131,961 +11% —
253 other vascular procedures with cc $143,982 $136,783 $36,329 +296% $57,454 +151% —
037 extracranial procedures with mcc $141,713 $134,627 $46,296 +206% $66,666 +113% —
255 upper limb and toe amputation for circulatory system disorders with mcc $139,619 $132,638 $37,153 +276% $46,453 +201% —
029 spinal procedures with cc or spinal neurostimulators $139,567 $132,588 $46,760 +198% $67,268 +107% —
261 cardiac pacemaker revision except device replacement with cc $138,980 $132,031 $27,823 +400% $42,126 +230% —
221 cardiac valve and other major cardiothoracic procedures without cardiac catheterization without cc/mcc $136,620 $129,789 $62,801 +118% $90,331 +51% —
229 other cardiothoracic procedures without mcc $134,900 $128,155 $43,510 +210% $65,325 +107% —
098 non-bacterial infection of nervous system except viral meningitis with cc $133,817 $127,126 $31,349 +327% $42,901 +212% —
270 other major cardiovascular procedures with mcc $132,522 $125,896 $69,695 +90% $99,423 +33% —
323 coronary intravascular lithotripsy with intraluminal device with mcc $132,154 $125,547 $58,476 +126% $101,510 +30% —
329 major small and large bowel procedures with mcc $130,316 $123,800 $74,889 +74% $88,050 +48% ≈299% of Medicare
427 multiple level combined anterior and posterior spinal fusion except cervical with cc $123,782 $117,593 $94,742 +31% $132,794 −7% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $122,956 $116,809 $45,618 +170% $65,788 +87% —
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $120,941 $114,894 $27,767 +336% $36,431 +232% —
279 ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc $119,315 $113,349 $44,783 +166% $63,928 +87% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $118,949 $113,002 $61,401 +94% $84,692 +40% —
907 other o.r. procedures for injuries with mcc $116,753 $110,915 $69,779 +67% $77,817 +50% —
620 o.r. procedures for obesity with cc $115,367 $109,598 $23,921 +382% $35,453 +225% —
356 other digestive system o.r. procedures with mcc $113,702 $108,017 $103,308 +10% $82,561 +38% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $113,693 $108,008 $21,873 +420% $26,932 +322% —
862 postoperative and post-traumatic infections with mcc $112,166 $106,558 $27,058 +315% $32,859 +241% —
085 traumatic stupor and coma <1 hour with mcc $109,441 $103,969 $32,604 +236% $41,892 +161% —
166 other respiratory system o.r. procedures with mcc $108,988 $103,538 $98,765 +10% $75,573 +44% —
840 lymphoma and non-acute leukemia with mcc $108,599 $103,169 $44,584 +144% $49,710 +118% —
835 acute leukemia with cc $108,492 $103,067 $30,915 +251% $35,569 +205% —
467 revision of hip or knee replacement with cc $108,196 $102,786 $47,649 +127% $70,847 +53% —
324 coronary intravascular lithotripsy with intraluminal device without mcc $106,844 $101,502 $44,663 +139% $71,464 +50% —
578 skin graft except for skin ulcer or cellulitis without cc/mcc $105,397 $100,127 $25,133 +319% $29,079 +262% —
347 anal and stomal procedures with mcc $104,605 $99,375 $33,912 +208% $40,548 +158% —
539 osteomyelitis with mcc $104,041 $98,839 $46,459 +124% $37,609 +177% —
485 knee procedures with principal diagnosis of infection with mcc $103,680 $98,496 $44,977 +131% $72,424 +43% —
326 stomach, esophageal and duodenal procedures with mcc $103,631 $98,450 $69,008 +50% $80,793 +28% —
483 major joint or limb reattachment procedures of upper extremities $103,361 $98,193 $36,267 +185% $58,707 +76% —
056 degenerative nervous system disorders with mcc $103,344 $98,177 $35,694 +190% $39,973 +159% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $102,758 $97,620 $32,385 +217% $47,737 +115% —
956 limb reattachment, hip and femur procedures for multiple significant trauma $100,168 $95,159 $54,372 +84% $75,103 +33% —
521 hip replacement with principal diagnosis of hip fracture with mcc $100,082 $95,078 $77,071 +30% $70,467 +42% —
799 splenic procedures with mcc $99,427 $94,455 $64,885 +53% $82,218 +21% —
186 pleural effusion with mcc $98,852 $93,909 $42,937 +130% $33,834 +192% —
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $98,722 $93,786 $127,999 −23% $90,775 +9% —
466 revision of hip or knee replacement with mcc $97,683 $92,799 $69,206 +41% $96,507 +1% —
398 appendix procedures with cc $96,794 $91,955 $46,799 +107% $40,162 +141% —
657 kidney and ureter procedures for neoplasm with cc $95,552 $90,774 $26,921 +255% $43,298 +121% —
959 other o.r. procedures for multiple significant trauma without cc/mcc $95,042 $90,290 $37,509 +153% $41,422 +129% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $94,795 $90,055 $36,333 +161% $51,985 +82% —
674 other kidney and urinary tract procedures with cc $94,383 $89,664 $33,155 +185% $50,394 +87% —
468 revision of hip or knee replacement without cc/mcc $94,093 $89,388 $37,242 +153% $54,929 +71% —
447 multiple level spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $94,060 $89,357 $89,681 +5% $126,098 −25% —
711 testes procedures with cc/mcc $93,201 $88,541 $27,991 +233% $38,343 +143% —
218 cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc $91,266 $86,703 $80,075 +14% $103,455 −12% —
934 full thickness burn without skin graft or inhalation injury $91,153 $86,595 $31,044 +194% $31,044 +194% —
067 nonspecific cva and precerebral occlusion without infarction with mcc $90,439 $85,917 $22,077 +310% $24,941 +263% —
272 other major cardiovascular procedures without cc/mcc $90,308 $85,793 $35,670 +153% $55,162 +64% —
371 major gastrointestinal disorders and peritoneal infections with mcc $90,219 $85,708 $25,881 +249% $33,555 +169% ≈650% of Medicare
058 multiple sclerosis and cerebellar ataxia with mcc $89,967 $85,469 $27,152 +231% $30,243 +197% —
423 other hepatobiliary or pancreas o.r. procedures with mcc $89,456 $84,983 $55,985 +60% $79,225 +13% —
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $89,327 $84,861 $71,596 +25% $66,685 +34% —
914 traumatic injury without mcc $88,477 $84,053 $15,088 +486% $15,855 +458% —
402 single level combined anterior and posterior spinal fusion except cervical $87,447 $83,074 $53,970 +62% $79,116 +11% —
251 percutaneous cardiovascular procedures without intraluminal device without mcc $87,092 $82,737 $23,475 +271% $46,295 +88% —
518 back and neck procedures except spinal fusion with mcc or disc device or neurostimulator $86,084 $81,780 $49,711 +73% $71,092 +21% —
559 aftercare, musculoskeletal system and connective tissue with mcc $84,891 $80,647 $27,287 +211% $33,047 +157% —
268 aortic and heart assist procedures except pulsation balloon with mcc $84,722 $80,486 $89,209 −5% $125,242 −32% —
424 other hepatobiliary or pancreas o.r. procedures with cc $83,488 $79,314 $32,829 +154% $42,415 +97% —
185 major chest trauma without cc/mcc $82,179 $78,070 $13,288 +518% $17,124 +380% —
516 other musculoskeletal system and connective tissue o.r. procedures with cc $81,829 $77,737 $29,304 +179% $46,090 +78% —
829 myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc $81,727 $77,641 $43,218 +89% $53,864 +52% —
180 respiratory neoplasms with mcc $81,670 $77,586 $56,813 +44% $36,658 +123% —
451 single level spinal fusion except cervical without mcc $80,574 $76,545 $43,247 +86% $65,216 +24% —
460 spinal fusion except cervical $80,574 $76,545 $49,425 +63% $51,625 +56% ≈259% of Medicare
269 aortic and heart assist procedures except pulsation balloon without mcc $79,695 $75,710 $57,196 +39% $85,159 −6% ≈227% of Medicare
277 cardiac defibrillator implant without mcc $77,461 $73,588 $63,571 +22% $91,329 −15% —
520 back and neck procedures except spinal fusion without cc/mcc $77,157 $73,299 $23,459 +229% $35,465 +118% —
330 major small and large bowel procedures with cc $77,028 $73,176 $71,920 +7% $59,500 +29% ≈432% of Medicare
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $77,022 $73,171 $36,928 +109% $52,075 +48% ≈558% of Medicare
921 complications of treatment without cc/mcc $77,009 $73,158 $12,120 +535% $14,415 +434% —
430 combined anterior and posterior cervical spinal fusion without mcc $76,952 $73,104 $73,986 +4% $101,618 −24% —
455 combined anterior and posterio $76,952 $73,104 $54,320 +42% $56,836 +35% —
035 carotid artery stent procedures with cc $75,599 $71,819 $32,719 +131% $49,066 +54% —
604 trauma to the skin, subcutaneous tissue and breast with mcc $74,571 $70,842 $22,477 +232% $28,140 +165% —
755 malignancy, female reproductive system with cc $74,560 $70,832 $17,602 +324% $18,459 +304% —
602 cellulitis with mcc $74,512 $70,787 $33,339 +123% $30,598 +144% ≈664% of Medicare
472 cervical spinal fusion with cc $74,345 $70,628 $40,797 +82% $59,537 +25% ≈306% of Medicare
510 shoulder, elbow or forearm procedures, except major joint procedures with mcc $74,112 $70,406 $40,289 +84% $49,839 +49% —
353 hernia procedures except inguinal and femoral with mcc $74,031 $70,330 $41,261 +79% $60,170 +23% —
208 respiratory system diagnosis with ventilator support <=96 hours $73,900 $70,205 $55,830 +32% $52,405 +41% ≈329% of Medicare
336 peritoneal adhesiolysis with cc $73,839 $70,147 $58,311 +27% $50,463 +46% —
271 other major cardiovascular procedures with cc $73,695 $70,011 $47,899 +54% $71,014 +4% ≈255% of Medicare
084 traumatic stupor and coma >1 hour without cc/mcc $73,427 $69,755 $15,603 +371% $19,924 +269% —
617 amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $73,108 $69,452 $45,184 +62% $42,881 +70% —
675 other kidney and urinary tract procedures without cc/mcc $72,935 $69,289 $46,980 +55% $34,749 +110% —
239 amputation for circulatory system disorders except upper limb and toe with mcc $72,798 $69,158 $72,798 +0% $93,390 −22% —
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $72,389 $68,770 $21,427 +238% $39,887 +81% —
038 extracranial procedures with cc $72,185 $68,576 $24,107 +199% $35,770 +102% —
264 other circulatory system o.r. procedures $71,801 $68,211 $48,557 +48% $51,953 +38% —
958 other o.r. procedures for multiple significant trauma with cc $71,258 $67,695 $56,535 +26% $73,120 −3% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $70,983 $67,434 $40,142 +77% $81,706 −13% ≈294% of Medicare
844 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc $70,978 $67,429 $18,707 +279% $21,847 +225% —
940 o.r. procedures with diagnoses of other contact with health services with cc $70,523 $66,997 $30,598 +130% $43,650 +62% —
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $70,444 $66,922 $73,103 −4% $89,207 −21% —
260 cardiac pacemaker revision except device replacement with mcc $70,245 $66,733 $47,403 +48% $70,371 −0% —
448 multiple level spinal fusion except cervical without mcc $70,125 $66,619 $56,194 +25% $81,998 −14% —
482 hip and femur procedures except major joint without cc/mcc $69,972 $66,473 $43,631 +60% $41,955 +67% ≈573% of Medicare
335 peritoneal adhesiolysis with mcc $69,965 $66,467 $69,965 +0% $71,755 −2% —
922 other injury, poisoning and toxic effect diagnoses with mcc $69,410 $65,940 $25,121 +176% $31,563 +120% —
493 lower extremity and humerus procedures except hip, foot and femur with cc $68,640 $65,208 $51,950 +32% $59,651 +15% —
501 soft tissue procedures with cc $67,990 $64,591 $32,809 +107% $39,619 +72% —
351 inguinal and femoral hernia procedures with cc $67,823 $64,432 $22,721 +199% $36,505 +86% —
228 other cardiothoracic procedures with mcc $67,788 $64,399 $67,791 −0% $96,905 −30% —
155 other ear, nose, mouth and throat diagnoses with cc $66,788 $63,449 $15,311 +336% $16,968 +294% —
492 lower extremity and humerus procedures except hip, foot and femur with mcc $66,511 $63,185 $66,511 +0% $70,564 −6% —
571 skin debridement with cc $66,370 $63,052 $33,638 +97% $37,169 +79% —
498 local excision and removal of internal fixation devices of hip and femur with cc/mcc $66,233 $62,921 $35,964 +84% $49,423 +34% —
698 other kidney and urinary tract diagnoses with mcc $65,973 $62,674 $25,010 +164% $32,496 +103% ≈484% of Medicare
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $65,950 $62,653 $15,547 +324% $18,316 +260% —
592 skin ulcers with mcc $65,812 $62,522 $32,263 +104% $33,246 +98% —
412 cholecystectomy with c.d.e. with cc $65,267 $62,004 $30,860 +111% $42,906 +52% —
481 hip and femur procedures except major joint with cc $65,134 $61,877 $48,834 +33% $52,751 +23% ≈398% of Medicare
742 uterine and adnexa procedures for non-malignancy with cc/mcc $65,034 $61,782 $44,660 +46% $40,552 +60% —
963 other multiple significant trauma with mcc $65,027 $61,776 $38,454 +69% $43,491 +50% —
068 nonspecific cva and precerebral occlusion without infarction without mcc $64,933 $61,686 $14,635 +344% $19,569 +232% —
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $64,876 $61,633 $28,648 +126% $43,538 +49% —
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $64,873 $61,629 $43,330 +50% $62,821 +3% —
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $64,435 $61,213 $32,919 +96% $39,181 +64% —
432 cirrhosis and alcoholic hepatitis with mcc $64,145 $60,938 $35,662 +80% $40,213 +60% ≈435% of Medicare
436 malignancy of hepatobiliary system or pancreas with cc $64,021 $60,820 $31,799 +101% $25,034 +156% —
012 tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc $63,789 $60,599 $56,456 +13% $79,836 −20% —
615 adrenal and pituitary procedures without cc/mcc $63,659 $60,476 $21,793 +192% $32,833 +94% —
397 appendix procedures with mcc $63,331 $60,165 $35,353 +79% $53,257 +19% —
064 intracranial hemorrhage or cerebral infarction with mcc $63,067 $59,914 $42,233 +49% $39,106 +61% ≈393% of Medicare
385 inflammatory bowel disease with mcc $63,003 $59,853 $24,282 +159% $27,617 +128% —
564 other musculoskeletal system and connective tissue diagnoses with mcc $62,354 $59,236 $24,869 +151% $33,653 +85% —
803 other o.r. procedures of the blood and blood forming organs with cc $62,186 $59,077 $26,296 +136% $39,515 +57% —
471 cervical spinal fusion with mcc $61,770 $58,681 $66,189 −7% $92,515 −33% —
375 digestive malignancy with cc $61,533 $58,456 $25,270 +144% $27,277 +126% —
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $61,467 $58,393 $42,100 +46% $58,228 +6% —
413 cholecystectomy with c.d.e. without cc/mcc $61,138 $58,081 $24,771 +147% $29,316 +109% —
656 kidney and ureter procedures for neoplasm with mcc $60,646 $57,614 $45,479 +33% $65,608 −8% —
811 red blood cell disorders with mcc $60,628 $57,596 $21,454 +183% $28,226 +115% ≈511% of Medicare
286 circulatory disorders except ami, with cardiac catheterization with mcc $60,498 $57,473 $31,920 +90% $46,283 +31% ≈372% of Medicare
030 spinal procedures without cc/mcc $60,274 $57,260 $32,077 +88% $45,866 +31% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $60,181 $57,172 $31,193 +93% $45,877 +31% —
871 septicemia or severe sepsis without mv >96 hours with mcc $59,928 $56,931 $37,479 +60% $35,628 +68% ≈373% of Medicare
964 other multiple significant trauma with cc $59,613 $56,633 $22,664 +163% $27,394 +118% —
165 major chest procedures without cc/mcc $59,056 $56,103 $27,387 +116% $46,340 +27% —
354 hernia procedures except inguinal and femoral with cc $58,802 $55,862 $40,492 +45% $43,477 +35% —
250 percutaneous cardiovascular procedures without intraluminal device with mcc $58,195 $55,286 $33,209 +75% $59,629 −2% —
580 other skin, subcutaneous tissue and breast procedures with cc $58,071 $55,167 $34,882 +66% $38,101 +52% —
157 dental and oral diseases with mcc $57,623 $54,742 $24,447 +136% $31,300 +84% —
262 cardiac pacemaker revision except device replacement without cc/mcc $57,347 $54,480 $22,893 +150% $33,694 +70% —
614 adrenal and pituitary procedures with cc/mcc $56,990 $54,141 $32,773 +74% $48,349 +18% —
355 hernia procedures except inguinal and femoral without cc/mcc $56,898 $54,053 $32,586 +75% $32,841 +73% —
418 laparoscopic cholecystectomy without c.d.e. with cc $55,932 $53,135 $42,173 +33% $44,606 +25% ≈453% of Medicare
417 laparoscopic cholecystectomy without c.d.e. with mcc $55,719 $52,933 $55,862 −0% $53,451 +4% ≈289% of Medicare
357 other digestive system o.r. procedures with cc $55,579 $52,800 $32,423 +71% $48,682 +14% —
478 biopsies of musculoskeletal system and connective tissue with cc $55,478 $52,704 $61,582 −10% $50,139 +11% —
196 interstitial lung disease with mcc $55,389 $52,619 $34,856 +59% $32,637 +70% —
377 gastrointestinal hemorrhage with mcc $55,232 $52,470 $52,925 +4% $37,842 +46% ≈358% of Medicare
989 non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $54,945 $52,198 $18,191 +202% $25,652 +114% —
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $54,940 $52,193 $34,624 +59% $33,985 +62% ≈349% of Medicare
256 upper limb and toe amputation for circulatory system disorders with cc $54,618 $51,887 $25,176 +117% $32,944 +66% —
316 other circulatory system diagnoses without cc/mcc $54,468 $51,744 $12,055 +352% $13,651 +299% —
707 major male pelvic procedures with cc/mcc $54,351 $51,633 $28,381 +92% $43,080 +26% —
857 postoperative or post-traumatic infections with o.r. procedures with cc $54,090 $51,386 $35,375 +53% $45,333 +19% —
488 knee procedures without principal diagnosis of infection with cc/mcc $53,804 $51,114 $28,703 +87% $43,631 +23% —
519 back and neck procedures except spinal fusion with cc $53,788 $51,098 $28,787 +87% $44,139 +22% —
522 hip replacement with principal diagnosis of hip fracture without mcc $53,650 $50,968 $50,580 +6% $58,280 −8% ≈323% of Medicare
296 cardiac arrest, unexplained with mcc $53,613 $50,932 $24,458 +119% $33,661 +59% —
322 percutaneous cardiovascular procedures with intraluminal device without mcc $53,526 $50,849 $26,676 +101% $58,809 −9% ≈405% of Medicare
717 other male reproductive system o.r. procedures except malignancy with cc/mcc $53,321 $50,655 $28,821 +85% $36,670 +45% —
915 allergic reactions with mcc $52,366 $49,748 $38,632 +36% $32,645 +60% —
450 single level spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $52,218 $49,607 $69,912 −25% $99,943 −48% —
388 gastrointestinal obstruction with mcc $52,086 $49,482 $31,484 +65% $30,571 +70% —
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $52,027 $49,425 $32,503 +60% $49,418 +5% —
534 fractures of femur without mcc $51,973 $49,374 $23,132 +125% $17,559 +196% —
380 complicated peptic ulcer with mcc $51,919 $49,323 $28,169 +84% $39,627 +31% —
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $51,210 $48,649 $40,675 +26% $36,937 +39% ≈518% of Medicare
177 respiratory infections and inflammations with mcc $51,120 $48,564 $29,768 +72% $33,707 +52% ≈377% of Medicare
254 other vascular procedures without cc/mcc $51,054 $48,502 $25,899 +97% $38,836 +31% —
327 stomach, esophageal and duodenal procedures with cc $50,932 $48,385 $34,708 +47% $59,421 −14% —
358 other digestive system o.r. procedures without cc/mcc $50,772 $48,233 $20,782 +144% $30,083 +69% —
243 permanent cardiac pacemaker implant with cc $50,625 $48,094 $49,705 +2% $50,011 +1% ≈272% of Medicare
267 endovascular cardiac valve replacement and supplement procedures without mcc $50,323 $47,807 $64,248 −22% $92,217 −45% ≈129% of Medicare
315 other circulatory system diagnoses with cc $50,303 $47,788 $21,531 +134% $21,363 +135% ≈753% of Medicare
080 nontraumatic stupor and coma with mcc $50,301 $47,786 $28,993 +73% $36,249 +39% —
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $49,613 $47,133 $22,735 +118% $33,424 +48% —
331 major small and large bowel procedures without cc/mcc $49,426 $46,955 $30,691 +61% $44,117 +12% ≈489% of Medicare
723 malignancy, male reproductive system with cc $49,037 $46,585 $17,768 +176% $19,815 +147% —
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $48,625 $46,193 $19,268 +152% $22,458 +117% —
100 seizures with mcc $48,608 $46,177 $28,961 +68% $35,481 +37% ≈294% of Medicare
368 major esophageal disorders with mcc $48,573 $46,144 $34,595 +40% $33,876 +43% —
817 other antepartum diagnoses with o.r. procedures with mcc $47,944 $45,547 $36,097 +33% $39,173 +22% —
658 kidney and ureter procedures for neoplasm without cc/mcc $47,942 $45,545 $35,669 +34% $36,253 +32% —
052 spinal disorders and injuries with cc/mcc $47,615 $45,234 $29,314 +62% $32,031 +49% —
901 wound debridements for injuries with mcc $47,442 $45,070 $60,697 −22% $70,177 −32% —
142 major head and neck procedures without cc/mcc $47,062 $44,709 $23,602 +99% $34,906 +35% —
908 other o.r. procedures for injuries with cc $46,888 $44,543 $41,093 +14% $42,914 +9% —
858 postoperative or post-traumatic infections with o.r. procedures without cc/mcc $46,488 $44,163 $19,916 +133% $25,748 +81% —
551 medical back problems with mcc $46,455 $44,133 $25,341 +83% $34,017 +37% —
027 craniotomy and endovascular intracranial procedures without cc/mcc $46,399 $44,079 $35,224 +32% $54,583 −15% —
700 other kidney and urinary tract diagnoses without cc/mcc $46,356 $44,039 $12,204 +280% $14,797 +213% —
715 other male reproductive system o.r. procedures for malignancy with cc/mcc $46,311 $43,995 $32,504 +42% $38,998 +19% —
545 connective tissue disorders with mcc $46,151 $43,843 $35,990 +28% $40,362 +14% —
299 peripheral vascular disorders with mcc $45,886 $43,591 $24,189 +90% $27,316 +68% ≈350% of Medicare
420 hepatobiliary diagnostic procedures with mcc $45,837 $43,545 $49,003 −6% $50,919 −10% —
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $45,698 $43,413 $22,568 +102% $33,393 +37% —
204 respiratory signs and symptoms $45,477 $43,203 $13,720 +231% $18,004 +153% —
686 kidney and urinary tract neoplasms with mcc $45,472 $43,199 $31,093 +46% $37,844 +20% —
168 other respiratory system o.r. procedures without cc/mcc $45,392 $43,122 $20,766 +119% $29,949 +52% —
352 inguinal and femoral hernia procedures without cc/mcc $45,366 $43,098 $20,152 +125% $27,843 +63% —
274 percutaneous and other intracardiac procedures without mcc $45,289 $43,024 $43,701 +4% $65,573 −31% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $45,268 $43,004 $27,401 +65% $36,792 +23% —
627 thyroid, parathyroid and thyroglossal procedures without cc/mcc $45,127 $42,871 $19,637 +130% $28,125 +60% —
854 infectious and parasitic diseases with o.r. procedures with cc $44,882 $42,638 $40,019 +12% $43,943 +2% ≈274% of Medicare
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $44,737 $42,500 $56,690 −21% $50,607 −12% —
643 endocrine disorders with mcc $44,725 $42,488 $28,618 +56% $33,563 +33% —
487 knee procedures with principal diagnosis of infection without cc/mcc $44,688 $42,454 $44,678 +0% $35,074 +27% —
790 extreme immaturity or respiratory distress syndrome, neonate $44,665 $42,432 $80,018 −44% $80,018 −44% —
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $44,625 $42,394 $32,647 +37% $38,094 +17% —
626 thyroid, parathyroid and thyroglossal procedures with cc $44,504 $42,279 $22,783 +95% $33,454 +33% —
381 complicated peptic ulcer with cc $44,478 $42,254 $35,404 +26% $24,177 +84% —
189 pulmonary edema and respiratory failure $44,320 $42,104 $25,933 +71% $26,580 +67% ≈473% of Medicare
346 minor small and large bowel procedures without cc/mcc $44,029 $41,827 $19,357 +127% $27,297 +61% —
369 major esophageal disorders with cc $43,819 $41,628 $28,716 +53% $25,303 +73% —
669 transurethral procedures with cc $43,725 $41,539 $45,520 −4% $34,354 +27% —
175 pulmonary embolism with mcc or acute cor pulmonale $43,724 $41,537 $40,840 +7% $30,959 +41% ≈422% of Medicare
600 non-malignant breast disorders with cc/mcc $43,395 $41,225 $16,953 +156% $16,700 +160% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $43,046 $40,894 $52,152 −17% $74,257 −42% —
598 malignant breast disorders with cc $42,863 $40,720 $17,197 +149% $19,073 +125% —
328 stomach, esophageal and duodenal procedures without cc/mcc $42,716 $40,581 $23,876 +79% $39,006 +10% —
070 nonspecific cerebrovascular disorders with mcc $42,236 $40,125 $44,532 −5% $31,951 +32% —
535 fractures of hip and pelvis with mcc $42,227 $40,116 $21,244 +99% $24,552 +72% —
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $41,910 $39,814 $26,307 +59% $31,159 +35% —
151 epistaxis without mcc $41,709 $39,624 $13,119 +218% $13,032 +220% —
872 septicemia or severe sepsis without mv >96 hours without mcc $41,553 $39,475 $24,139 +72% $22,888 +82% ≈558% of Medicare
438 disorders of pancreas except malignancy with mcc $41,494 $39,419 $24,787 +67% $32,628 +27% —
252 other vascular procedures with mcc $41,141 $39,084 $47,717 −14% $68,508 −40% ≈138% of Medicare
497 local excision and removal of internal fixation devices except hip and femur without cc/mcc $41,049 $38,996 $20,619 +99% $29,805 +38% —
144 other ear, nose, mouth and throat o.r. procedures with cc $40,788 $38,748 $25,994 +57% $30,553 +33% —
378 gastrointestinal hemorrhage with cc $40,715 $38,679 $31,081 +31% $22,098 +84% ≈572% of Medicare
663 minor bladder procedures with cc $40,652 $38,620 $23,018 +77% $33,103 +23% —
541 osteomyelitis without cc/mcc $40,562 $38,534 $14,549 +179% $15,215 +167% —
399 appendix procedures without cc/mcc $40,384 $38,365 $29,734 +36% $31,321 +29% —
240 amputation for circulatory system disorders except upper limb and toe with cc $40,362 $38,344 $40,991 −2% $59,790 −32% —
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $40,298 $38,283 $51,761 −22% $61,470 −34% —
191 chronic obstructive pulmonary disease with cc $40,277 $38,263 $25,666 +57% $18,807 +114% ≈672% of Medicare
187 pleural effusion with cc $40,209 $38,199 $21,455 +87% $21,789 +85% —
865 viral illness with mcc $40,125 $38,119 $22,350 +80% $26,910 +49% —
744 d&c, conization, laparoscopy and tubal interruption with cc/mcc $40,113 $38,108 $28,555 +40% $38,861 +3% —
502 soft tissue procedures without cc/mcc $40,052 $38,049 $21,328 +88% $31,017 +29% —
818 other antepartum diagnoses with o.r. procedures with cc $40,013 $38,013 $19,911 +101% $26,870 +49% —
974 hiv with major related condition with mcc $39,913 $37,917 $41,952 −5% $46,402 −14% —
393 other digestive system diagnoses with mcc $39,887 $37,892 $39,887 +0% $34,192 +17% ≈286% of Medicare
935 non-extensive burns $39,853 $37,861 $31,701 +26% $31,701 +26% —
682 renal failure with mcc $39,601 $37,621 $26,063 +52% $29,064 +36% ≈321% of Medicare
183 major chest trauma with mcc $39,569 $37,590 $23,796 +66% $29,933 +32% ≈321% of Medicare
660 kidney and ureter procedures for non-neoplasm with cc $39,112 $37,156 $35,339 +11% $31,264 +25% ≈418% of Medicare
370 major esophageal disorders without cc/mcc $39,056 $37,103 $12,253 +219% $15,495 +152% —
193 simple pneumonia and pleurisy with mcc $39,046 $37,094 $27,853 +40% $27,275 +43% ≈385% of Medicare
582 mastectomy for malignancy with cc/mcc $38,909 $36,963 $25,923 +50% $35,849 +9% —
053 spinal disorders and injuries without cc/mcc $38,729 $36,793 $15,153 +156% $20,455 +89% —
621 o.r. procedures for obesity without cc/mcc $38,609 $36,679 $22,167 +74% $32,451 +19% —
444 disorders of the biliary tract with mcc $38,602 $36,672 $34,766 +11% $34,273 +13% —
743 uterine and adnexa procedures for non-malignancy without cc/mcc $38,459 $36,536 $25,936 +48% $30,784 +25% —
977 hiv with or without other related condition $37,993 $36,093 $21,908 +73% $22,525 +69% —
637 diabetes with mcc $37,794 $35,904 $35,028 +8% $30,100 +26% ≈327% of Medicare
374 digestive malignancy with mcc $37,762 $35,874 $30,598 +23% $39,958 −5% —
689 kidney and urinary tract infections with mcc $37,646 $35,763 $23,431 +61% $23,617 +59% ≈423% of Medicare
178 respiratory infections and inflammations with cc $37,566 $35,688 $25,704 +46% $22,024 +71% ≈502% of Medicare
494 lower extremity and humerus procedures except hip, foot and femur without cc/mcc $37,563 $35,685 $36,790 +2% $47,711 −21% —
783 cesarean section with sterilization with mcc $37,514 $35,639 $23,620 +59% $29,221 +28% —
557 tendonitis, myositis and bursitis with mcc $37,462 $35,589 $24,506 +53% $32,877 +14% —
445 disorders of the biliary tract with cc $37,263 $35,400 $20,434 +82% $23,319 +60% ≈501% of Medicare
595 major skin disorders with mcc $37,069 $35,216 $30,646 +21% $34,598 +7% —
337 peritoneal adhesiolysis without cc/mcc $36,760 $34,922 $30,317 +21% $39,211 −6% —
372 major gastrointestinal disorders and peritoneal infections with cc $36,740 $34,903 $25,590 +44% $22,850 +61% ≈455% of Medicare
593 skin ulcers with cc $36,694 $34,859 $19,063 +92% $22,886 +60% —
192 chronic obstructive pulmonary disease without cc/mcc $36,538 $34,712 $21,039 +74% $14,368 +154% —
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $36,372 $34,553 $26,006 +40% $39,018 −7% —
287 circulatory disorders except ami, with cardiac catheterization without mcc $36,208 $34,397 $18,141 +100% $32,021 +13% ≈447% of Medicare
242 permanent cardiac pacemaker implant with mcc $35,966 $34,168 $47,218 −24% $70,132 −49% ≈125% of Medicare
091 other disorders of nervous system with mcc $35,930 $34,134 $30,855 +16% $37,387 −4% ≈281% of Medicare
386 inflammatory bowel disease with cc $35,815 $34,024 $23,876 +50% $22,033 +63% —
819 other antepartum diagnoses with o.r. procedures without cc/mcc $35,681 $33,897 $24,781 +44% $18,126 +97% —
654 major bladder procedures with cc $35,677 $33,893 $39,822 −10% $58,274 −39% —
039 extracranial procedures without cc/mcc $35,660 $33,877 $29,439 +21% $26,618 +34% ≈456% of Medicare
606 minor skin disorders with mcc $35,557 $33,779 $24,094 +48% $27,975 +27% —
075 viral meningitis with cc/mcc $35,522 $33,746 $25,549 +39% $30,447 +17% —
190 chronic obstructive pulmonary disease with mcc $35,486 $33,712 $32,208 +10% $24,386 +46% ≈414% of Medicare
036 carotid artery stent procedures without cc/mcc $35,300 $33,535 $26,986 +31% $40,694 −13% ≈242% of Medicare
699 other kidney and urinary tract diagnoses with cc $35,299 $33,534 $20,369 +73% $21,275 +66% ≈449% of Medicare
141 major head and neck procedures with cc $35,103 $33,347 $31,079 +13% $37,267 −6% —
306 cardiac congenital and valvular disorders with mcc $35,010 $33,259 $23,427 +49% $24,586 +42% —
443 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc $34,900 $33,155 $19,436 +80% $15,600 +124% —
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $34,848 $33,106 $25,727 +35% $32,443 +7% —
069 transient ischemia without thrombolytic $34,716 $32,980 $16,134 +115% $21,056 +65% ≈632% of Medicare
282 acute myocardial infarction, discharged alive without cc/mcc $34,664 $32,931 $23,571 +47% $19,227 +80% ≈880% of Medicare
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $34,591 $32,861 $34,591 +0% $35,692 −3% —
446 disorders of the biliary tract without cc/mcc $34,536 $32,810 $23,067 +50% $17,700 +95% —
814 reticuloendothelial and immunity disorders with mcc $34,443 $32,721 $30,326 +14% $33,851 +2% —
435 malignancy of hepatobiliary system or pancreas with mcc $34,431 $32,710 $29,080 +18% $37,950 −9% —
280 acute myocardial infarction, discharged alive with mcc $34,416 $32,695 $32,707 +5% $30,828 +12% ≈278% of Medicare
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $34,293 $32,579 $12,609 +172% $16,767 +105% —
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $34,101 $32,396 $22,434 +52% $21,449 +59% ≈472% of Medicare
265 aicd lead procedures $33,981 $32,282 $49,492 −31% $63,171 −46% —
710 penis procedures without cc/mcc $33,896 $32,201 $22,681 +49% $26,436 +28% —
941 o.r. procedures with diagnoses of other contact with health services without cc/mcc $33,892 $32,198 $28,559 +19% $29,524 +15% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $33,446 $31,774 $30,786 +9% $28,050 +19% ≈340% of Medicare
087 traumatic stupor and coma <1 hour without cc/mcc $33,404 $31,734 $14,668 +128% $16,520 +102% —
727 inflammation of the male reproductive system with mcc $33,364 $31,696 $22,265 +50% $26,463 +26% —
473 cervical spinal fusion without cc/mcc $33,233 $31,571 $37,343 −11% $50,624 −34% —
059 multiple sclerosis and cerebellar ataxia with cc $33,013 $31,362 $32,998 +0% $27,163 +22% —
791 prematurity with major problems $32,721 $31,085 $55,887 −41% $42,679 −23% —
314 other circulatory system diagnoses with mcc $32,631 $30,999 $32,631 +0% $38,666 −16% ≈217% of Medicare
124 other disorders of the eye with mcc or thrombolytic agent $32,555 $30,927 $20,117 +62% $21,894 +49% —
725 benign prostatic hypertrophy with mcc $32,371 $30,752 $19,581 +65% $22,320 +45% —
078 hypertensive encephalopathy with cc $32,145 $30,538 $16,146 +99% $17,698 +82% —
479 biopsies of musculoskeletal system and connective tissue without cc/mcc $32,141 $30,534 $26,242 +22% $34,276 −6% —
076 viral meningitis without cc/mcc $32,049 $30,447 $15,094 +112% $17,135 +87% —
694 urinary stones without mcc $32,021 $30,420 $19,522 +64% $17,345 +85% —
552 medical back problems without mcc $31,984 $30,385 $29,846 +7% $21,396 +49% ≈477% of Medicare
696 kidney and urinary tract signs and symptoms without mcc $31,824 $30,233 $12,173 +161% $14,689 +117% —
244 permanent cardiac pacemaker implant without cc/mcc $31,646 $30,064 $26,617 +19% $41,591 −24% —
303 atherosclerosis without mcc $31,587 $30,007 $21,858 +45% $14,927 +112% —
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $31,555 $29,977 $60,312 −48% $66,068 −52% —
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $31,503 $29,928 $26,035 +21% $25,463 +24% ≈290% of Medicare
433 cirrhosis and alcoholic hepatitis with cc $31,237 $29,675 $24,694 +26% $23,749 +32% —
281 acute myocardial infarction, discharged alive with cc $31,193 $29,633 $29,965 +4% $20,463 +52% ≈469% of Medicare
158 dental and oral diseases with cc $31,150 $29,592 $26,461 +18% $18,466 +69% —
549 septic arthritis with cc $31,141 $29,584 $18,835 +65% $24,056 +29% —
841 lymphoma and non-acute leukemia with cc $31,059 $29,506 $23,545 +32% $33,633 −8% —
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $31,010 $29,460 $20,672 +50% $24,127 +29% —
797 vaginal delivery with sterilization and/or d&c with cc $30,798 $29,258 $13,602 +126% $19,962 +54% —
661 kidney and ureter procedures for non-neoplasm without cc/mcc $30,791 $29,252 $23,724 +30% $25,970 +19% —
345 minor small and large bowel procedures with cc $30,727 $29,190 $27,059 +14% $33,048 −7% —
184 major chest trauma with cc $30,676 $29,142 $17,057 +80% $22,432 +37% ≈395% of Medicare
816 reticuloendothelial and immunity disorders without cc/mcc $30,527 $29,000 $12,119 +152% $14,638 +109% —
812 red blood cell disorders without mcc $30,430 $28,909 $23,780 +28% $20,488 +49% ≈456% of Medicare
554 bone diseases and arthropathies without mcc $30,293 $28,779 $17,028 +78% $18,528 +64% —
917 poisoning and toxic effects of drugs with mcc $30,235 $28,724 $24,475 +24% $30,235 +0% ≈255% of Medicare
565 other musculoskeletal system and connective tissue diagnoses with cc $30,229 $28,718 $29,044 +4% $22,506 +34% ≈367% of Medicare
906 hand procedures for injuries $30,168 $28,660 $31,520 −4% $32,065 −6% —
308 cardiac arrhythmia and conduction disorders with mcc $29,987 $28,488 $27,247 +10% $26,770 +12% ≈332% of Medicare
083 traumatic stupor and coma >1 hour with cc $29,637 $28,155 $21,240 +40% $27,285 +9% —
060 multiple sclerosis and cerebellar ataxia without cc/mcc $29,600 $28,120 $14,776 +100% $22,148 +34% —
948 signs and symptoms without mcc $29,492 $28,018 $21,286 +39% $17,921 +65% ≈484% of Medicare
312 syncope and collapse $29,486 $28,012 $23,071 +28% $19,342 +52% ≈477% of Medicare
137 mouth procedures with cc/mcc $29,348 $27,881 $22,342 +31% $27,861 +5% —
181 respiratory neoplasms with cc $29,322 $27,856 $17,604 +67% $23,573 +24% —
197 interstitial lung disease with cc $29,174 $27,716 $16,043 +82% $21,941 +33% —
784 cesarean section with sterilization with cc $29,109 $27,654 $26,505 +10% $23,283 +25% —
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $28,799 $27,359 $30,153 −4% $23,940 +20% ≈394% of Medicare
179 respiratory infections and inflammations without cc/mcc $28,755 $27,317 $15,583 +85% $14,648 +96% ≈523% of Medicare
073 cranial and peripheral nerve disorders with mcc $28,750 $27,313 $23,254 +24% $30,010 −4% —
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $28,615 $27,184 $26,542 +8% $18,126 +58% —
102 headaches with mcc $28,491 $27,067 $18,243 +56% $25,740 +11% —
304 hypertension with mcc $28,458 $27,035 $27,407 +4% $26,080 +9% ≈315% of Medicare
300 peripheral vascular disorders with cc $28,343 $26,926 $21,345 +33% $20,422 +39% ≈357% of Medicare
603 cellulitis without mcc $28,320 $26,904 $21,536 +31% $18,530 +53% ≈464% of Medicare
684 renal failure without cc/mcc $28,240 $26,828 $12,380 +128% $13,642 +107% —
291 heart failure and shock with mcc $28,190 $26,781 $25,917 +9% $26,776 +5% ≈278% of Medicare
077 hypertensive encephalopathy with mcc $28,132 $26,726 $23,263 +21% $24,550 +15% —
394 other digestive system diagnoses with cc $28,002 $26,602 $18,537 +51% $20,181 +39% ≈468% of Medicare
439 disorders of pancreas except malignancy with cc $27,987 $26,588 $22,739 +23% $19,096 +47% ≈493% of Medicare
884 organic disturbances and intellectual disability $27,825 $26,433 $24,871 +12% $26,682 +4% ≈197% of Medicare
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $27,764 $26,376 $17,450 +59% $17,322 +60% ≈521% of Medicare
194 simple pneumonia and pleurisy with cc $27,579 $26,200 $25,653 +8% $18,204 +52% ≈479% of Medicare
642 inborn and other disorders of metabolism $27,573 $26,194 $23,438 +18% $20,727 +33% —
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $27,523 $26,147 $24,482 +12% $19,842 +39% ≈447% of Medicare
923 other injury, poisoning and toxic effect diagnoses without mcc $27,509 $26,133 $23,439 +17% $17,601 +56% —
965 other multiple significant trauma without cc/mcc $27,402 $26,032 $15,039 +82% $20,259 +35% —
387 inflammatory bowel disease without cc/mcc $27,268 $25,905 $11,894 +129% $16,288 +67% —
947 signs and symptoms with mcc $27,267 $25,904 $19,887 +37% $27,401 −0% —
200 pneumothorax with cc $27,252 $25,890 $23,361 +17% $21,368 +28% —
789 neonates, died or transferred to another acute care facility $27,190 $25,831 $26,590 +2% $16,351 +66% —
605 trauma to the skin, subcutaneous tissue and breast without mcc $27,181 $25,822 $17,235 +58% $20,506 +33% —
205 other respiratory system diagnoses with mcc $27,126 $25,770 $27,695 −2% $33,255 −18% —
074 cranial and peripheral nerve disorders without mcc $26,988 $25,638 $23,404 +15% $23,141 +17% —
760 menstrual and other female reproductive system disorders with cc/mcc $26,850 $25,507 $15,986 +68% $20,895 +28% —
206 other respiratory system diagnoses without mcc $26,849 $25,507 $14,950 +80% $18,488 +45% —
584 breast biopsy, local excision and other breast procedures with cc/mcc $26,841 $25,499 $29,767 −10% $35,030 −23% —
103 headaches without mcc $26,742 $25,405 $25,397 +5% $21,280 +26% —
072 nonspecific cerebrovascular disorders without cc/mcc $26,599 $25,269 $22,134 +20% $19,037 +40% —
057 degenerative nervous system disorders without mcc $26,452 $25,129 $23,482 +13% $27,543 −4% ≈260% of Medicare
831 other antepartum diagnoses without o.r. procedures with mcc $26,442 $25,120 $18,133 +46% $18,133 +46% —
638 diabetes with cc $26,438 $25,116 $24,114 +10% $19,661 +34% ≈417% of Medicare
594 skin ulcers without cc/mcc $26,354 $25,036 $14,209 +85% $14,209 +85% —
909 other o.r. procedures for injuries without cc/mcc $26,198 $24,888 $32,858 −20% $28,156 −7% —
149 dysequilibrium $26,186 $24,877 $20,682 +27% $18,096 +45% ≈580% of Medicare
885 psychoses $26,102 $24,797 $21,489 +21% $21,729 +20% ≈242% of Medicare
092 other disorders of nervous system with cc $25,823 $24,531 $34,268 −25% $24,914 +4% ≈354% of Medicare
540 osteomyelitis with cc $25,670 $24,387 $19,990 +28% $26,676 −4% —
695 kidney and urinary tract signs and symptoms with mcc $25,606 $24,325 $22,344 +15% $24,566 +4% —
348 anal and stomal procedures with cc $25,492 $24,217 $19,533 +31% $27,947 −9% —
644 endocrine disorders with cc $25,451 $24,178 $33,038 −23% $23,198 +10% —
307 cardiac congenital and valvular disorders without mcc $25,387 $24,118 $15,217 +67% $20,566 +23% —
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $25,280 $24,016 $25,280 +0% $23,551 +7% —
683 renal failure with cc $25,221 $23,960 $22,590 +12% $19,130 +32% ≈384% of Medicare
086 traumatic stupor and coma <1 hour with cc $25,048 $23,796 $20,217 +24% $27,043 −7% ≈237% of Medicare
815 reticuloendothelial and immunity disorders with cc $24,804 $23,564 $16,382 +51% $19,264 +29% —
536 fractures of hip and pelvis without mcc $24,753 $23,516 $21,255 +16% $18,002 +38% ≈444% of Medicare
123 neurological eye disorders $24,612 $23,381 $13,618 +81% $19,745 +25% —
728 inflammation of the male reproductive system without mcc $24,595 $23,365 $18,855 +30% $17,118 +44% —
558 tendonitis, myositis and bursitis without mcc $24,516 $23,290 $19,342 +27% $18,602 +32% —
054 nervous system neoplasms with mcc $24,505 $23,280 $22,651 +8% $30,502 −20% —
690 kidney and urinary tract infections without mcc $24,456 $23,233 $22,694 +8% $17,674 +38% ≈438% of Medicare
754 malignancy, female reproductive system with mcc $24,454 $23,231 $26,677 −8% $32,433 −25% —
866 viral illness without mcc $24,453 $23,230 $15,599 +57% $17,081 +43% —
788 cesarean section without sterilization without cc/mcc $23,915 $22,719 $18,430 +30% $20,084 +19% —
787 cesarean section without sterilization with cc $23,784 $22,595 $20,957 +13% $23,571 +1% —
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $23,656 $22,473 $20,636 +15% $16,776 +41% —
903 wound debridements for injuries without cc/mcc $23,634 $22,452 $19,017 +24% $25,581 −8% —
088 concussion with mcc $23,621 $22,440 $24,582 −4% $24,402 −3% —
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $23,457 $22,284 $15,729 +49% $17,038 +38% ≈412% of Medicare
066 intracranial hemorrhage or cerebral infarction without cc/mcc $23,244 $22,082 $19,759 +18% $20,781 +12% ≈535% of Medicare
786 cesarean section without sterilization with mcc $23,199 $22,039 $25,517 −9% $27,152 −15% —
138 mouth procedures without cc/mcc $23,163 $22,005 $19,558 +18% $19,119 +21% —
836 acute leukemia without cc/mcc $23,112 $21,957 $19,686 +17% $19,686 +17% —
746 vagina, cervix and vulva procedures with cc/mcc $23,001 $21,851 $24,928 −8% $29,916 −23% —
390 gastrointestinal obstruction without cc/mcc $22,977 $21,829 $17,752 +29% $13,361 +72% ≈641% of Medicare
440 disorders of pancreas except malignancy without cc/mcc $22,942 $21,795 $15,493 +48% $15,183 +51% —
785 cesarean section with sterilization without cc/mcc $22,858 $21,715 $19,121 +20% $19,846 +15% —
920 complications of treatment with cc $22,845 $21,702 $18,678 +22% $22,468 +2% —
607 minor skin disorders without mcc $22,633 $21,502 $14,410 +57% $15,889 +42% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $22,598 $21,468 $15,553 +45% $16,699 +35% —
868 other infectious and parasitic diseases diagnoses with cc $22,343 $21,226 $16,823 +33% $22,763 −2% —
305 hypertension without mcc $22,115 $21,009 $17,880 +24% $18,086 +22% ≈427% of Medicare
601 non-malignant breast disorders without cc/mcc $21,978 $20,879 $16,139 +36% $10,975 +100% —
093 other disorders of nervous system without cc/mcc $21,855 $20,762 $13,438 +63% $17,620 +24% —
395 other digestive system diagnoses without cc/mcc $21,796 $20,706 $18,366 +19% $14,128 +54% —
389 gastrointestinal obstruction with cc $21,707 $20,622 $20,930 +4% $17,578 +23% ≈380% of Medicare
311 angina pectoris $21,477 $20,403 $12,257 +75% $15,502 +39% —
309 cardiac arrhythmia and conduction disorders with cc $21,191 $20,132 $23,675 −10% $17,303 +22% ≈408% of Medicare
880 acute adjustment reaction and psychosocial dysfunction $21,085 $20,031 $15,636 +35% $17,733 +19% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $20,632 $19,600 $28,958 −29% $32,574 −37% —
313 chest pain $20,378 $19,359 $16,558 +23% $16,440 +24% ≈393% of Medicare
813 coagulation disorders $20,354 $19,336 $23,285 −13% $33,296 −39% —
284 acute myocardial infarction, expired with cc $20,072 $19,068 $18,250 +10% $16,450 +22% —
195 simple pneumonia and pleurisy without cc/mcc $19,974 $18,976 $19,336 +3% $13,824 +44% ≈577% of Medicare
882 neuroses except depressive $19,924 $18,928 $15,680 +27% $15,680 +27% —
301 peripheral vascular disorders without cc/mcc $19,414 $18,444 $15,223 +28% $15,837 +23% —
639 diabetes without cc/mcc $19,412 $18,442 $15,635 +24% $13,910 +40% ≈503% of Medicare
176 pulmonary embolism without mcc $19,407 $18,437 $17,846 +9% $18,081 +7% ≈390% of Medicare
201 pneumothorax without cc/mcc $19,308 $18,342 $19,308 +0% $14,053 +37% —
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $19,304 $18,339 $19,244 +0% $14,716 +31% —
376 digestive malignancy without cc/mcc $19,284 $18,320 $14,654 +32% $16,998 +13% —
434 cirrhosis and alcoholic hepatitis without cc/mcc $18,920 $17,974 $12,234 +55% $12,460 +52% —
101 seizures without mcc $18,784 $17,845 $16,271 +15% $20,461 −8% ≈301% of Medicare
156 other ear, nose, mouth and throat diagnoses without cc/mcc $18,755 $17,818 $11,921 +57% $14,549 +29% —
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $18,661 $17,728 $14,778 +26% $16,846 +11% —
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $18,517 $17,591 $24,846 −25% $34,607 −46% —
202 bronchitis and asthma with cc/mcc $18,437 $17,515 $15,741 +17% $17,724 +4% —
722 malignancy, male reproductive system with mcc $18,229 $17,318 $25,633 −29% $29,826 −39% —
793 full term neonate with major problems $18,067 $17,164 $39,640 −54% $18,649 −3% —
294 deep vein thrombophlebitis with cc/mcc $18,014 $17,113 $19,132 −6% $19,132 −6% —
806 vaginal delivery without sterilization or d&c with cc $18,005 $17,104 $13,039 +38% $13,275 +36% —
863 postoperative and post-traumatic infections without mcc $17,807 $16,917 $27,196 −35% $20,957 −15% —
547 connective tissue disorders without cc/mcc $17,717 $16,831 $12,936 +37% $16,565 +7% —
596 major skin disorders without mcc $17,661 $16,778 $17,226 +3% $17,226 +3% —
379 gastrointestinal hemorrhage without cc/mcc $17,320 $16,454 $17,320 +0% $15,038 +15% —
645 endocrine disorders without cc/mcc $17,277 $16,413 $13,317 +30% $15,428 +12% —
560 aftercare, musculoskeletal system and connective tissue with cc $17,255 $16,392 $17,973 −4% $25,279 −32% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $17,100 $16,245 $28,020 −39% $34,459 −50% —
805 vaginal delivery without sterilization or d&c with mcc $17,047 $16,194 $17,047 +0% $15,370 +11% —
916 allergic reactions without mcc $16,881 $16,037 $11,813 +43% $13,942 +21% —
125 other disorders of the eye without mcc $16,689 $15,855 $13,911 +20% $17,298 −4% —
153 otitis media and uri without mcc $16,571 $15,742 $12,822 +29% $14,583 +14% —
919 complications of treatment with mcc $16,310 $15,494 $26,862 −39% $31,105 −48% —
384 uncomplicated peptic ulcer without mcc $16,015 $15,214 $14,480 +11% $19,305 −17% —
145 other ear, nose, mouth and throat o.r. procedures without cc/mcc $15,722 $14,936 $18,572 −15% $25,712 −39% —
292 heart failure and shock with cc $15,582 $14,802 $14,525 +7% $16,371 −5% —
918 poisoning and toxic effects of drugs without mcc $15,298 $14,533 $14,675 +4% $15,452 −1% —
798 vaginal delivery with sterilization and/or d&c without cc/mcc $15,105 $14,350 $13,602 +11% $18,452 −18% —
071 nonspecific cerebrovascular disorders with cc $15,022 $14,271 $20,656 −27% $23,488 −36% ≈172% of Medicare
807 vaginal delivery without sterilization or d&c without cc/mcc $15,000 $14,250 $12,044 +25% $12,078 +24% —
792 prematurity without major problems $14,995 $14,245 $11,513 +30% $12,229 +23% —
894 alcohol, drug abuse or dependence, left ama $14,582 $13,852 $11,294 +29% $12,324 +18% —
729 other male reproductive system diagnoses with cc/mcc $14,578 $13,849 $17,483 −17% $17,483 −17% —
832 other antepartum diagnoses without o.r. procedures with cc $14,349 $13,632 $13,622 +5% $12,895 +11% —
572 skin debridement without cc/mcc $14,186 $13,477 $18,021 −21% $24,944 −43% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $13,952 $13,254 $9,940 +40% $9,940 +40% —
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $13,915 $13,220 $26,578 −48% $18,150 −23% —
770 abortion with d&c, aspiration curettage or hysterotomy $13,885 $13,191 $17,159 −19% $18,956 −27% —
293 heart failure and shock without cc/mcc $13,794 $13,105 $10,878 +27% $12,999 +6% —
550 septic arthritis without cc/mcc $13,783 $13,094 $14,383 −4% $19,138 −28% —
055 nervous system neoplasms without mcc $13,680 $12,996 $17,354 −21% $20,926 −35% —
769 postpartum and post abortion diagnoses with o.r. procedures $13,378 $12,709 $21,228 −37% $25,094 −47% —
089 concussion with cc $13,332 $12,665 $17,109 −22% $18,821 −29% —
776 postpartum and post abortion diagnoses without o.r. procedures $12,978 $12,330 $12,978 +0% $12,454 +4% —
203 bronchitis and asthma without cc/mcc $12,835 $12,193 $13,136 −2% $12,252 +5% —
310 cardiac arrhythmia and conduction disorders without cc/mcc $12,608 $11,977 $14,371 −12% $13,384 −6% ≈396% of Medicare
951 other factors influencing health status $12,007 $11,406 $6,035 +99% $10,160 +18% —
726 benign prostatic hypertrophy without mcc $11,286 $10,721 $12,855 −12% $15,019 −25% —
159 dental and oral diseases without cc/mcc $11,072 $10,519 $11,755 −6% $13,633 −19% —
079 hypertensive encephalopathy without cc/mcc $10,805 $10,265 $11,847 −9% $11,847 −9% —
864 fever and inflammatory conditions $9,138 $8,681 $14,849 −38% $18,640 −51% —
842 lymphoma and non-acute leukemia without cc/mcc $8,551 $8,123 $16,847 −49% $19,657 −57% —
794 neonate with other significant problems $7,208 $6,847 $8,330 −13% $8,445 −15% —
795 normal newborn $4,720 $4,484 $5,054 −7% $4,720 +0% —
283 acute myocardial infarction, expired with mcc $1,394 $1,394 $63,565 −98% $39,955 −97% —
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