Procedures published 739
Lowest published price $3,860
Average published price $96,222
Highest published price $1,289,413

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 739 procedures

Published charges

Showing all 739 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 108 procedures, this hospital's negotiated rates average ≈189% of what Medicare pays.

DRG Description Published price Cash price vs. TX median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,289,413 $638,259 $362,617 +256% $431,073 +199%
209 COMPLEX AORTIC ARCH PROCEDURES $1,286,882 $680,830 $183,292 +602%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $862,133 $569,008 $660,173 +31% $371,366 +132% ≈333% of Medicare
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $794,545 $98,551 $89,410 +789% $56,964 +1295%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $779,922 $244,518 $230,527 +238% $245,189 +218%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $525,473 $165,662 $106,929 +391% $135,380 +288%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $486,754 $240,943 $149,761 +225% $71,551 +580% ≈508% of Medicare
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $470,038 $470,038 $176,964 +166% $171,338 +174%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $462,641 $51,234 $70,782 +554% $58,968 +685%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $460,233 $135,014 $122,950 +274% $120,573 +282%
503 FOOT PROCEDURES WITH MCC $446,969 $45,110 $44,309 +909% $43,982 +916%
333 RECTAL RESECTION WITH CC $434,444 $39,764 $61,029 +612% $34,352 +1165%
215 OTHER HEART ASSIST SYSTEM IMPLANT $430,135 $183,467 $217,531 +98% $191,314 +125%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $419,139 $77,611 $95,906 +337% $62,404 +572%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $376,640 $91,976 $175,396 +115% $86,953 +333%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $372,044 $144,739 $196,712 +89% $143,242 +160%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $366,208 $173,472 $166,500 +120% $175,437 +109%
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $364,519 $364,519 $146,224 +149% $79,944 +356%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $363,610 $179,987 $81,319 +347% $56,242 +547%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $361,212 $26,903 $53,393 +577% $31,566 +1044%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $349,902 $56,353 $48,636 +619% $53,817 +550%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $346,694 $69,616 $133,390 +160% $73,029 +375%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $332,471 $164,573 $237,026 +40% $306,087 +9%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $328,598 $113,052 $209,912 +57% $121,714 +170%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $325,861 $75,950 $54,300 +500% $61,832 +427%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $321,776 $137,912 $149,897 +115% $138,868 +132%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $321,088 $104,309 $198,564 +62% $106,219 +202%
652 KIDNEY TRANSPLANT $320,933 $158,862 $54,720 +487% $54,720 +487% ≈577% of Medicare
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $317,595 $76,687 $75,038 +323% $75,585 +320%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $317,361 $97,756 $59,237 +436% $83,441 +280%
834 ACUTE LEUKEMIA WITH MCC $314,920 $98,472 $74,709 +322% $76,004 +314%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $303,917 $116,918 $210,247 +45% $116,058 +162%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $299,748 $98,999 $99,711 +201% $90,331 +232%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $297,041 $297,041 $83,192 +257% $117,280 +153%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $295,449 $34,453 $37,057 +697% $34,158 +765%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $293,897 $120,924 $226,137 +30% $137,160 +114%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $289,383 $289,383 $94,288 +207% $131,961 +119%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $282,571 $150,453 $205,911 +37% $151,029 +87%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $276,547 $45,464 $46,399 +496% $52,332 +428%
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $274,379 $274,379 $205,352 +34% $142,326 +93%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $274,109 $92,351 $84,256 +225% $102,573 +167%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $269,546 $46,631 $46,335 +482% $45,271 +495%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $268,964 $105,749 $91,266 +195% $92,238 +192%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $268,634 $50,363 $86,138 +212% $45,558 +490%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $268,177 $102,058 $103,292 +160% $106,778 +151% ≈197% of Medicare
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $267,116 $267,116 $172,473 +55% $93,934 +184%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $261,320 $32,784 $39,682 +559% $29,598 +783%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $259,852 $94,689 $78,460 +231% $96,192 +170%
150 EPISTAXIS WITH MCC $254,154 $24,561 $21,133 +1103% $21,133 +1103%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $248,939 $91,039 $105,340 +136% $99,423 +150% ≈179% of Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $247,259 $86,251 $142,222 +74% $88,341 +180% ≈181% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $247,197 $122,610 $77,406 +219% $107,355 +130%
028 SPINAL PROCEDURES WITH MCC $246,074 $104,659 $82,145 +200% $95,858 +157%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $245,341 $96,782 $139,926 +75% $102,177 +140%
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $239,970 $239,970 $271,110 −11% $119,071 +102%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $239,147 $239,147 $197,408 +21% $121,728 +96%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $237,957 $62,035 $73,695 +223% $71,014 +235%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $237,036 $94,264 $47,649 +397% $68,421 +246%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $234,486 $65,276 $98,765 +137% $72,274 +224%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $234,344 $234,344 $77,461 +203% $91,329 +157%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $231,794 $75,984 $56,535 +310% $66,853 +247%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $227,463 $87,757 $67,791 +236% $96,905 +135%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $225,612 $71,217 $53,665 +320% $72,908 +209%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $224,306 $75,189 $138,656 +62% $82,561 +172% ≈187% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $223,800 $223,800 $132,154 +69% $87,495 +156%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $222,813 $123,237 $89,662 +149% $115,937 +92%
799 SPLENIC PROCEDURES WITH MCC $222,701 $92,732 $99,427 +124% $78,821 +183%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $222,473 $93,398 $82,870 +168% $94,320 +136%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $221,005 $117,537 $80,603 +174% $113,855 +94%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $220,386 $220,386 $193,374 +14% $114,665 +92%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $217,367 $122,725 $91,253 +138% $104,881 +107%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $215,459 $106,663 $79,247 +172% $112,062 +92%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $215,261 $215,261 $81,851 +163% $81,998 +163%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $214,979 $77,039 $63,928 +236% $80,885 +166%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $209,894 $82,725 $91,417 +130% $88,307 +138% ≈183% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $209,868 $60,062 $107,947 +94% $64,749 +224%
595 MAJOR SKIN DISORDERS WITH MCC $208,049 $38,131 $42,247 +392% $31,772 +555%
245 AICD GENERATOR PROCEDURES $204,247 $86,826 $66,564 +207% $72,076 +183%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $202,509 $64,186 $49,651 +308% $48,745 +315%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $202,464 $120,894 $135,321 +50% $101,280 +100%
653 MAJOR BLADDER PROCEDURES WITH MCC $200,704 $98,947 $132,069 +52% $97,028 +107%
265 AICD LEAD PROCEDURES $199,331 $60,224 $49,492 +303% $56,216 +255%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $199,172 $91,894 $64,248 +210% $92,217 +116% ≈211% of Medicare
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $197,172 $74,401 $80,018 +146% $80,018 +146%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $196,719 $87,271 $131,768 +49% $86,938 +126% ≈181% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $195,141 $72,623 $56,565 +245% $82,247 +137% ≈228% of Medicare
334 RECTAL RESECTION WITHOUT CC/MCC $194,043 $30,530 $27,809 +598% $32,213 +502%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $192,057 $192,057 $177,818 +8% $93,783 +105%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $191,429 $82,803 $109,817 +74% $87,575 +119%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $190,016 $69,310 $90,791 +109% $75,103 +153%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $190,000 $52,169 $39,644 +379% $58,043 +227%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $187,312 $71,459 $53,945 +247% $78,852 +138% ≈184% of Medicare
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $187,141 $76,147 $79,695 +135% $83,065 +125%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $185,406 $91,561 $148,272 +25% $85,882 +116%
471 CERVICAL SPINAL FUSION WITH MCC $185,151 $89,693 $66,842 +177% $92,515 +100%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $182,457 $46,234 $54,107 +237% $55,162 +231%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $179,394 $93,336 $73,103 +145% $78,327 +129%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $178,499 $65,342 $48,637 +267% $59,207 +201%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $178,372 $58,072 $49,003 +264% $50,919 +250%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $178,366 $39,766 $68,425 +161% $38,998 +357%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $177,553 $66,378 $60,017 +196% $64,488 +175%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $176,616 $69,487 $70,091 +152% $57,521 +207%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $175,227 $70,315 $52,536 +234% $74,755 +134%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $172,098 $55,086 $83,214 +107% $63,310 +172%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $172,088 $65,631 $69,973 +146% $64,468 +167%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $171,315 $74,010 $59,066 +190% $60,098 +185%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $171,206 $171,206 $80,266 +113% $53,555 +220%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $170,388 $42,177 $39,849 +328% $39,253 +334%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $169,459 $78,325 $73,266 +131% $68,847 +146%
164 MAJOR CHEST PROCEDURES WITH CC $169,258 $45,990 $58,838 +188% $53,141 +219%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $168,392 $168,392 $126,680 +33% $75,492 +123%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $168,327 $168,327 $92,233 +83% $65,216 +158%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $168,026 $81,562 $154,549 +9% $84,825 +98% ≈197% of Medicare
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $167,772 $53,762 $94,746 +77% $66,765 +151% ≈204% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $167,166 $58,778 $59,712 +180% $65,325 +156%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $167,115 $44,008 $36,879 +353% $35,806 +367%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $165,579 $165,579 $92,740 +79% $66,819 +148%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $161,632 $26,388 $47,002 +244% $29,630 +445%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $161,624 $56,652 $44,566 +263% $54,929 +194%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $161,459 $26,185 $34,857 +363% $25,149 +542%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $161,043 $78,576 $108,235 +49% $72,843 +121%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $160,119 $33,853 $43,017 +272% $40,563 +295%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $159,151 $40,676 $58,037 +174% $39,093 +307%
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $158,276 $158,276 $162,395 −3% $110,102 +44%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $156,192 $28,716 $35,632 +338% $23,474 +565%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $156,111 $91,149 $118,231 +32% $80,747 +93% ≈208% of Medicare
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $154,794 $45,641 $38,751 +299% $46,659 +232%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $154,723 $154,723 $92,538 +67% $74,274 +108% ≈560% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $154,445 $154,445 $104,160 +48% $57,277 +170%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $154,127 $60,593 $58,702 +163% $61,353 +151%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $153,272 $60,857 $59,774 +156% $62,790 +144%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $153,244 $82,326 $149,263 +3% $88,050 +74% ≈229% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $151,363 $45,528 $50,472 +200% $47,583 +218%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $150,949 $62,073 $115,433 +31% $70,540 +114%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $150,527 $150,527 $125,987 +19% $84,861 +77%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $150,322 $98,684 $73,455 +105% $95,375 +58%
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $145,175 $145,175 $126,521 +15% $121,563 +19%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $144,789 $144,789 $144,789 +0% $105,899 +37%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $144,761 $70,015 $89,456 +62% $71,873 +101%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $144,534 $36,032 $29,131 +396% $43,320 +234%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $144,282 $39,633 $45,049 +220% $39,923 +261%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $143,398 $62,217 $57,570 +149% $72,879 +97% ≈203% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $142,743 $33,609 $33,892 +321% $29,524 +383%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $141,921 $63,248 $53,307 +166% $55,002 +158%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $141,552 $52,815 $95,604 +48% $63,984 +121% ≈207% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $141,037 $46,876 $53,785 +162% $44,839 +215%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $140,931 $36,560 $51,365 +174% $33,425 +322%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $139,250 $25,474 $23,257 +499% $25,484 +446%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $138,277 $63,633 $75,197 +84% $61,206 +126%
263 VEIN LIGATION AND STRIPPING $137,460 $49,610 $60,391 +128% $44,938 +206%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $137,332 $72,953 $115,941 +18% $76,954 +78%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $136,078 $136,078 $93,036 +46% $53,787 +153%
472 CERVICAL SPINAL FUSION WITH CC $134,698 $54,685 $51,075 +164% $59,537 +126%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $134,488 $25,410 $13,257 +914% $23,920 +462%
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $134,371 $134,371 $93,769 +43% $93,769 +43%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $134,032 $34,312 $43,221 +210% $41,380 +224%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $134,011 $39,998 $48,444 +177% $48,682 +175%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $133,991 $68,836 $69,779 +92% $71,519 +87%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $132,933 $69,236 $49,718 +167% $57,855 +130%
800 SPLENIC PROCEDURES WITH CC $132,354 $47,339 $94,713 +40% $49,184 +169%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $131,262 $38,505 $32,168 +308% $44,022 +198%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $130,748 $55,518 $43,330 +202% $62,266 +110%
253 OTHER VASCULAR PROCEDURES WITH CC $130,422 $47,615 $69,497 +88% $53,746 +143% ≈196% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $128,794 $38,692 $68,532 +88% $55,147 +134% ≈191% of Medicare
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $128,709 $63,711 $89,353 +44% $89,353 +44%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $128,575 $20,521 $17,768 +624% $19,317 +566%
835 ACUTE LEUKEMIA WITH CC $126,236 $37,343 $31,659 +299% $35,569 +255%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $125,629 $41,971 $75,392 +67% $45,937 +173%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $125,558 $37,953 $35,895 +250% $46,066 +173%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $125,112 $67,459 $106,284 +18% $74,257 +68%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $124,365 $43,723 $76,837 +62% $58,713 +112% ≈220% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $122,677 $48,331 $74,518 +65% $54,475 +125%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $122,521 $61,852 $58,314 +110% $70,132 +75% ≈214% of Medicare
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $122,219 $52,220 $87,874 +39% $57,030 +114%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $121,864 $33,441 $33,998 +258% $40,583 +200%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $121,505 $53,192 $70,888 +71% $54,313 +124%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $121,235 $45,609 $76,642 +58% $54,681 +122%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $120,375 $38,831 $61,292 +96% $48,801 +147%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $120,320 $43,087 $60,574 +99% $51,339 +134%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $120,295 $40,783 $31,740 +279% $38,382 +213%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $119,921 $30,029 $50,184 +139% $32,189 +273%
252 OTHER VASCULAR PROCEDURES WITH MCC $119,396 $59,533 $48,030 +149% $68,508 +74% ≈184% of Medicare
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $118,671 $50,773 $65,401 +81% $48,907 +143%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $117,676 $18,674 $28,993 +306% $15,764 +646%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $116,644 $34,164 $65,883 +77% $35,108 +232%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $116,137 $48,016 $52,032 +123% $45,497 +155%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $116,096 $46,299 $68,604 +69% $52,405 +122% ≈183% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $114,519 $38,911 $30,486 +276% $35,381 +224%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $114,299 $40,879 $67,278 +70% $37,654 +204%
654 MAJOR BLADDER PROCEDURES WITH CC $114,095 $50,616 $39,822 +187% $53,868 +112%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $113,970 $55,326 $58,561 +95% $49,710 +129%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $113,555 $32,090 $59,378 +91% $40,552 +180%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $113,019 $58,857 $100,025 +13% $64,465 +75%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $112,780 $28,854 $39,406 +186% $27,277 +313%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $112,408 $40,407 $34,890 +222% $41,520 +171%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $112,210 $95,840 $86,484 +30% $70,779 +59%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $110,588 $42,904 $66,292 +67% $50,998 +117% ≈232% of Medicare
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $110,165 $24,673 $47,763 +131% $25,152 +338%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $109,820 $34,499 $61,539 +78% $36,241 +203%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $109,766 $59,090 $71,969 +53% $65,383 +68%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $109,015 $45,142 $71,589 +52% $50,624 +115%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $108,522 $67,880 $85,313 +27% $59,425 +83%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $108,178 $41,981 $51,898 +108% $56,197 +92%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $107,772 $42,305 $73,345 +47% $56,394 +91% ≈191% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $107,724 $107,724 $58,809 +83% $54,772 +97% ≈686% of Medicare
030 SPINAL PROCEDURES WITHOUT CC/MCC $107,656 $41,689 $59,227 +82% $45,842 +135%
665 PROSTATECTOMY WITH MCC $106,761 $54,494 $68,365 +56% $54,072 +97%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $105,613 $59,822 $92,812 +14% $65,573 +61% ≈206% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $105,112 $35,601 $41,744 +152% $43,775 +140%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $104,546 $22,654 $23,297 +349% $22,920 +356%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $104,274 $30,428 $51,792 +101% $44,087 +137%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $103,596 $45,886 $43,248 +140% $47,574 +118%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $103,212 $39,755 $47,416 +118% $34,900 +196%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $103,009 $54,995 $37,631 +174% $40,947 +152%
113 ORBITAL PROCEDURES WITH CC/MCC $102,929 $39,982 $32,482 +217% $35,642 +189%
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $102,597 $102,597 $58,739 +75% $58,739 +75%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $102,515 $51,492 $51,746 +98% $44,973 +128%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $102,371 $32,560 $51,021 +101% $38,836 +164%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $102,232 $35,240 $39,653 +158% $43,538 +135%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $102,142 $39,234 $37,784 +170% $37,839 +170%
906 HAND PROCEDURES FOR INJURIES $101,962 $31,835 $49,938 +104% $31,520 +223%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $101,941 $41,844 $32,773 +211% $43,313 +135%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $101,260 $25,243 $32,387 +213% $28,509 +255%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $99,586 $51,428 $74,112 +34% $49,055 +103%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $99,412 $62,299 $70,613 +41% $67,215 +48%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $98,696 $41,634 $52,027 +90% $44,989 +119%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $98,345 $42,897 $36,339 +171% $38,878 +153%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $98,054 $98,054 $91,449 +7% $109,331 −10%
335 PERITONEAL ADHESIOLYSIS WITH MCC $97,923 $65,597 $117,803 −17% $71,755 +36%
620 O.R. PROCEDURES FOR OBESITY WITH CC $97,803 $30,015 $44,265 +121% $35,453 +176%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $97,744 $41,739 $73,229 +33% $50,011 +95% ≈202% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $97,494 $33,433 $51,569 +89% $39,675 +146%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $96,372 $56,494 $53,584 +80% $52,908 +82%
180 RESPIRATORY NEOPLASMS WITH MCC $96,195 $30,163 $58,269 +65% $36,658 +162% ≈176% of Medicare
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $95,155 $26,438 $48,189 +97% $32,911 +189%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $94,530 $28,833 $31,822 +197% $26,998 +250%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $93,193 $44,663 $36,333 +156% $51,985 +79%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $92,658 $26,886 $45,698 +103% $33,137 +180%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $92,601 $39,552 $51,780 +79% $44,553 +108%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $91,862 $45,472 $59,352 +55% $59,352 +55%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $90,908 $35,509 $46,747 +94% $35,673 +155%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $90,692 $26,351 $44,354 +104% $31,816 +185%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $90,688 $37,145 $52,001 +74% $46,477 +95%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $90,304 $35,484 $41,021 +120% $32,839 +175%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $90,171 $36,215 $39,148 +130% $45,594 +98%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $90,133 $30,231 $50,419 +79% $34,434 +162%
668 TRANSURETHRAL PROCEDURES WITH MCC $90,122 $50,267 $51,424 +75% $47,126 +91%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $89,926 $23,482 $30,313 +197% $22,532 +299%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $89,599 $20,661 $15,890 +464% $15,890 +464%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $89,422 $67,034 $100,268 −11% $62,961 +42%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $89,380 $41,826 $76,015 +18% $50,139 +78%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $89,374 $28,941 $50,793 +76% $40,801 +119%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $88,815 $38,440 $37,764 +135% $41,701 +113%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $88,532 $23,379 $21,022 +321% $29,029 +205%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $88,482 $32,259 $37,991 +133% $36,333 +144%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $88,259 $58,935 $48,557 +82% $51,953 +70%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $87,511 $24,997 $42,641 +105% $30,888 +183%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $87,387 $36,584 $35,340 +147% $44,719 +95%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $87,283 $39,955 $63,316 +38% $44,927 +94%
038 EXTRACRANIAL PROCEDURES WITH CC $86,011 $29,123 $52,372 +64% $35,770 +140%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $85,931 $43,354 $58,221 +48% $47,546 +81%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $85,816 $30,968 $43,744 +96% $35,584 +141%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $85,600 $73,382 $57,584 +49% $68,590 +25%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $85,316 $60,155 $43,152 +98% $48,358 +76%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $85,192 $23,674 $29,425 +190% $27,492 +210%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $85,067 $51,066 $68,262 +25% $60,140 +41%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $84,830 $33,853 $31,646 +168% $40,063 +112%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $84,714 $25,004 $34,326 +147% $23,456 +261%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $84,356 $20,063 $35,101 +140% $18,126 +365%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $83,859 $32,095 $42,949 +95% $35,989 +133%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $83,415 $64,902 $72,886 +14% $68,331 +22%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $83,022 $55,149 $63,849 +30% $51,142 +62%
397 APPENDIX PROCEDURES WITH MCC $82,727 $82,727 $49,342 +68% $52,319 +58%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $82,611 $40,892 $53,998 +53% $44,472 +86%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $82,531 $42,339 $64,932 +27% $51,950 +59%
500 SOFT TISSUE PROCEDURES WITH MCC $82,255 $57,062 $44,320 +86% $57,181 +44%
710 PENIS PROCEDURES WITHOUT CC/MCC $82,255 $25,667 $23,485 +250% $23,814 +245%
662 MINOR BLADDER PROCEDURES WITH MCC $81,958 $54,110 $52,022 +58% $54,483 +50%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $81,897 $31,714 $35,004 +134% $31,743 +158%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $81,837 $56,122 $46,133 +77% $53,763 +52%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $81,811 $24,509 $44,541 +84% $30,418 +169%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $80,754 $30,302 $23,602 +242% $34,906 +131%
504 FOOT PROCEDURES WITH CC $80,652 $31,604 $39,139 +106% $36,519 +121%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $80,441 $29,741 $35,273 +128% $30,930 +160%
501 SOFT TISSUE PROCEDURES WITH CC $80,378 $31,301 $57,633 +39% $37,975 +112%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $80,333 $21,858 $22,625 +255% $21,025 +282%
196 INTERSTITIAL LUNG DISEASE WITH MCC $79,891 $30,943 $43,199 +85% $30,362 +163%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $79,679 $42,211 $59,086 +35% $49,631 +61%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $79,263 $35,530 $63,080 +26% $43,080 +84%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $79,075 $33,633 $55,658 +42% $45,916 +72%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $78,235 $20,526 $37,000 +111% $25,267 +210%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $78,150 $21,457 $32,060 +144% $25,390 +208%
571 SKIN DEBRIDEMENT WITH CC $78,080 $29,356 $37,792 +107% $34,773 +125%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $78,068 $33,593 $21,347 +266% $28,103 +178%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $77,889 $22,246 $35,336 +120% $19,894 +292%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $77,804 $37,555 $49,536 +57% $41,114 +89%
336 PERITONEAL ADHESIOLYSIS WITH CC $77,534 $37,875 $68,668 +13% $49,071 +58%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $77,220 $44,984 $36,791 +110% $41,596 +86%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $76,796 $37,768 $49,397 +55% $44,600 +72% ≈193% of Medicare
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $76,383 $34,025 $61,679 +24% $42,126 +81%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $76,345 $62,942 $76,345 +0% $68,399 +12%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $76,183 $36,604 $63,641 +20% $43,444 +75%
570 SKIN DEBRIDEMENT WITH MCC $75,909 $51,944 $53,191 +43% $51,501 +47%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $75,156 $23,199 $25,952 +190% $19,598 +283%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $74,991 $16,544 $16,636 +351% $13,822 +443%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $74,960 $64,480 $51,761 +45% $60,861 +23%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $74,875 $51,159 $41,952 +78% $46,402 +61%
671 URETHRAL PROCEDURES WITH CC/MCC $74,615 $32,613 $25,566 +192% $27,233 +174%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $74,599 $57,890 $74,599 +0% $64,956 +15%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $74,550 $27,690 $38,609 +93% $32,451 +130%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $74,110 $29,577 $53,913 +37% $42,119 +76% ≈190% of Medicare
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $74,000 $74,000 $82,731 −11% $98,912 −25%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $73,727 $34,139 $57,889 +27% $47,635 +55% ≈206% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $73,689 $33,803 $30,041 +145% $32,901 +124%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $73,487 $31,785 $47,693 +54% $30,681 +140%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $73,026 $27,839 $24,928 +193% $29,916 +144%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $72,904 $31,660 $58,617 +24% $37,842 +93% ≈187% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $72,719 $31,461 $26,653 +173% $31,716 +129%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $72,659 $33,740 $58,714 +24% $31,913 +128% ≈224% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $72,371 $37,389 $31,221 +132% $43,252 +67%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $72,354 $24,702 $44,047 +64% $29,374 +146%
915 ALLERGIC REACTIONS WITH MCC $72,293 $32,410 $47,831 +51% $30,944 +134%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $72,176 $31,981 $28,886 +150% $28,554 +153%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $71,721 $36,620 $43,181 +66% $41,660 +72%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $71,524 $31,130 $42,406 +69% $37,950 +88%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $71,518 $34,851 $58,326 +23% $34,876 +105% ≈190% of Medicare
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $71,066 $41,272 $33,308 +113% $36,237 +96% ≈186% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $70,759 $30,245 $38,514 +84% $33,962 +108%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $70,294 $35,614 $48,286 +46% $41,847 +68%
539 OSTEOMYELITIS WITH MCC $69,910 $35,541 $46,459 +50% $33,614 +108%
711 TESTES PROCEDURES WITH CC/MCC $68,857 $36,386 $62,108 +11% $34,846 +98%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $68,738 $28,117 $48,888 +41% $35,528 +93%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $68,524 $26,279 $22,592 +203% $31,812 +115%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $68,234 $28,617 $23,658 +188% $29,891 +128%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $68,141 $29,643 $40,821 +67% $31,029 +120% ≈182% of Medicare
380 COMPLICATED PEPTIC ULCER WITH MCC $67,565 $33,906 $43,397 +56% $36,537 +85%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $67,059 $33,028 $38,564 +74% $36,202 +85%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $66,884 $28,607 $52,262 +28% $35,692 +87%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $66,751 $29,858 $36,115 +85% $33,694 +98%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $66,077 $27,659 $51,010 +30% $32,804 +101%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $66,042 $33,623 $48,152 +37% $36,880 +79% ≈181% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $65,720 $16,229 $25,975 +153% $18,323 +259%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $65,447 $23,147 $31,755 +106% $22,525 +191%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $65,330 $55,732 $47,944 +36% $36,097 +81%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $64,813 $30,231 $25,633 +153% $29,826 +117%
199 PNEUMOTHORAX WITH MCC $64,800 $31,315 $56,291 +15% $31,085 +108%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $64,789 $16,432 $32,602 +99% $16,212 +300%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $64,707 $31,198 $55,298 +17% $43,266 +50%
548 SEPTIC ARTHRITIS WITH MCC $64,351 $34,543 $43,438 +48% $31,019 +107%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $64,007 $38,032 $48,230 +33% $34,089 +88%
666 PROSTATECTOMY WITH CC $63,794 $30,662 $53,546 +19% $30,016 +113%
791 PREMATURITY WITH MAJOR PROBLEMS $63,654 $25,770 $34,685 +84% $39,254 +62%
849 RADIOTHERAPY $63,500 $41,648 $41,538 +53% $37,862 +68%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $62,947 $40,667 $32,719 +92% $46,306 +36%
663 MINOR BLADDER PROCEDURES WITH CC $62,858 $27,155 $39,409 +60% $29,924 +110%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $62,510 $33,489 $31,143 +101% $40,694 +54%
606 MINOR SKIN DISORDERS WITH MCC $62,486 $27,332 $27,528 +127% $25,434 +146%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $62,147 $28,315 $21,306 +192% $23,646 +163%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $62,012 $22,720 $38,044 +63% $25,621 +142%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $61,614 $35,115 $62,477 −1% $35,714 +73% ≈187% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $61,500 $42,555 $32,604 +89% $36,318 +69% ≈203% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $61,328 $28,055 $49,899 +23% $35,961 +71%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $61,278 $38,124 $61,278 +0% $36,195 +69%
813 COAGULATION DISORDERS $60,908 $27,869 $44,051 +38% $30,128 +102%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $60,382 $28,153 $45,663 +32% $35,693 +69%
811 RED BLOOD CELL DISORDERS WITH MCC $60,120 $24,757 $39,626 +52% $27,674 +117% ≈196% of Medicare
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $60,111 $29,064 $27,241 +121% $29,671 +103%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $59,956 $37,084 $43,019 +39% $38,166 +57% ≈205% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $59,800 $36,497 $21,210 +182% $29,109 +105%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $59,788 $30,126 $29,160 +105% $31,627 +89%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $59,627 $18,549 $17,398 +243% $17,398 +243%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $59,590 $35,866 $32,969 +81% $37,080 +61%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $59,536 $28,605 $49,043 +21% $28,802 +107% ≈189% of Medicare
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $59,215 $46,800 $59,215 +0% $40,277 +47%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $59,149 $27,704 $52,248 +13% $29,409 +101%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $59,090 $21,690 $19,686 +200% $22,226 +166%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $58,590 $50,526 $38,454 +52% $43,491 +35%
347 ANAL AND STOMAL PROCEDURES WITH MCC $58,193 $45,197 $42,818 +36% $40,548 +44%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $57,967 $32,218 $29,558 +96% $29,558 +96%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $57,914 $18,200 $33,079 +75% $22,590 +156%
597 MALIGNANT BREAST DISORDERS WITH MCC $57,389 $29,987 $48,535 +18% $31,846 +80%
075 VIRAL MENINGITIS WITH CC/MCC $56,826 $32,497 $30,536 +86% $29,751 +91%
398 APPENDIX PROCEDURES WITH CC $56,661 $56,661 $49,193 +15% $38,574 +47%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $56,566 $24,942 $20,117 +181% $21,029 +169%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $56,555 $29,002 $24,282 +133% $25,998 +118%
100 SEIZURES WITH MCC $56,409 $34,207 $28,961 +95% $35,194 +60% ≈188% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $56,256 $34,616 $55,994 +0% $42,881 +31%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $56,137 $36,563 $27,713 +103% $33,415 +68%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $55,932 $21,646 $25,581 +119% $23,588 +137%
374 DIGESTIVE MALIGNANCY WITH MCC $55,859 $35,494 $41,900 +33% $38,885 +44%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $55,526 $17,679 $17,193 +223% $17,193 +223%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $54,995 $27,050 $25,262 +118% $24,879 +121%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $54,405 $31,490 $32,141 +69% $31,909 +70%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $54,325 $37,633 $31,025 +75% $36,850 +47%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $53,969 $28,692 $44,413 +22% $32,689 +65% ≈210% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $53,916 $31,694 $47,454 +14% $31,754 +70% ≈203% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $53,899 $19,580 $34,380 +57% $21,666 +149%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $53,785 $39,723 $35,694 +51% $39,409 +36%
186 PLEURAL EFFUSION WITH MCC $53,457 $27,187 $51,361 +4% $32,385 +65%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $53,294 $18,213 $29,949 +78% $20,313 +162%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $53,102 $33,559 $53,102 +0% $33,236 +60%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $52,956 $26,180 $48,914 +8% $33,790 +57%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $52,926 $35,290 $27,823 +90% $35,029 +51%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $52,840 $13,708 $24,358 +117% $16,634 +218%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $52,804 $24,436 $43,335 +22% $31,978 +65%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $52,438 $29,513 $39,072 +34% $32,417 +62% ≈183% of Medicare
187 PLEURAL EFFUSION WITH CC $51,976 $18,624 $21,455 +142% $21,467 +142%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $51,831 $31,237 $43,894 +18% $33,339 +55%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $51,648 $28,535 $30,058 +72% $29,929 +73% ≈185% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $51,609 $31,938 $47,893 +8% $29,031 +78% ≈179% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $51,450 $20,188 $20,728 +148% $22,065 +133%
667 PROSTATECTOMY WITHOUT CC/MCC $51,024 $17,520 $16,534 +209% $16,703 +205%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $50,888 $21,648 $39,491 +29% $22,010 +131%
669 TRANSURETHRAL PROCEDURES WITH CC $50,651 $28,031 $50,305 +1% $34,354 +47%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $50,480 $17,540 $32,061 +57% $21,886 +131% ≈185% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $50,459 $30,494 $25,133 +101% $28,578 +77%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $50,364 $25,236 $41,513 +21% $24,928 +102%
592 SKIN ULCERS WITH MCC $50,223 $31,767 $32,263 +56% $32,662 +54%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $49,777 $30,916 $49,708 +0% $36,355 +37%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $49,604 $20,845 $37,079 +34% $27,369 +81%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $49,600 $13,724 $39,954 +24% $29,777 +67%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $49,582 $26,048 $44,483 +11% $29,011 +71%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $49,437 $31,523 $58,041 −15% $32,538 +52%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $49,077 $33,461 $43,520 +13% $32,506 +51%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $48,986 $44,670 $41,070 +19% $39,657 +24%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $48,607 $30,759 $35,990 +35% $35,990 +35% ≈186% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $48,593 $14,566 $21,919 +122% $14,549 +234%
139 SALIVARY GLAND PROCEDURES $48,506 $22,392 $21,014 +131% $21,014 +131%
381 COMPLICATED PEPTIC ULCER WITH CC $47,954 $18,795 $36,066 +33% $24,177 +98%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $47,859 $25,129 $43,556 +10% $29,957 +60% ≈203% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $47,578 $24,988 $40,345 +18% $20,727 +130%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $47,322 $30,702 $46,828 +1% $30,814 +54% ≈183% of Medicare
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $47,253 $26,762 $24,302 +94% $24,465 +93%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $47,112 $16,578 $26,342 +79% $17,585 +168%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $47,055 $19,329 $36,515 +29% $24,103 +95% ≈184% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $46,981 $25,134 $32,980 +42% $25,243 +86%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $46,910 $23,680 $36,697 +28% $23,039 +104% ≈226% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $46,750 $23,238 $42,832 +9% $34,564 +35%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $46,575 $26,682 $46,575 +0% $25,854 +80%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $46,540 $28,384 $42,680 +9% $33,424 +39%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $46,537 $14,674 $17,621 +164% $14,121 +230%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $46,500 $19,591 $35,420 +31% $31,190 +49% ≈191% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $46,489 $30,207 $33,413 +39% $38,094 +22%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $46,368 $14,454 $25,622 +81% $17,700 +162%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $46,325 $14,071 $29,643 +56% $18,150 +155%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $46,274 $29,173 $49,765 −7% $30,768 +50%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $46,270 $23,444 $30,727 +51% $27,319 +69%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $46,246 $30,722 $47,335 −2% $29,609 +56%
157 DENTAL AND ORAL DISEASES WITH MCC $46,191 $29,769 $42,077 +10% $27,457 +68%
197 INTERSTITIAL LUNG DISEASE WITH CC $45,870 $17,515 $22,609 +103% $20,105 +128%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $45,795 $24,563 $31,933 +43% $24,118 +90%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $45,702 $24,301 $39,906 +15% $28,156 +62%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $45,622 $30,929 $32,249 +41% $29,476 +55%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $45,407 $24,497 $21,642 +110% $25,071 +81%
375 DIGESTIVE MALIGNANCY WITH CC $45,215 $21,450 $33,697 +34% $27,125 +67%
865 VIRAL ILLNESS WITH MCC $44,959 $29,787 $29,325 +53% $26,088 +72%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $44,679 $36,322 $44,679 +0% $35,139 +27%
643 ENDOCRINE DISORDERS WITH MCC $44,297 $29,269 $44,725 −1% $32,953 +34% ≈187% of Medicare
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $44,149 $27,387 $24,189 +83% $25,596 +72%
709 PENIS PROCEDURES WITH CC/MCC $44,106 $42,950 $32,777 +35% $34,535 +28%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $43,922 $20,448 $23,928 +84% $20,741 +112%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $43,826 $20,880 $39,204 +12% $26,098 +68% ≈179% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $43,629 $15,631 $19,044 +129% $15,608 +180%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $43,445 $20,310 $38,849 +12% $20,148 +116%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $43,213 $32,551 $38,050 +14% $34,886 +24%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $42,853 $21,493 $40,228 +7% $24,603 +74% ≈183% of Medicare
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $42,725 $30,232 $57,163 −25% $32,976 +30%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $42,693 $19,630 $37,559 +14% $25,206 +69%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $42,684 $37,113 $31,349 +36% $37,681 +13%
913 TRAUMATIC INJURY WITH MCC $42,654 $27,586 $35,934 +19% $24,198 +76%
551 MEDICAL BACK PROBLEMS WITH MCC $42,650 $29,798 $42,807 −0% $31,067 +37% ≈195% of Medicare
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $42,183 $20,492 $16,495 +156% $16,495 +156%
535 FRACTURES OF HIP AND PELVIS WITH MCC $42,155 $9,185 $39,831 +6% $22,874 +84%
291 HEART FAILURE AND SHOCK WITH MCC $41,945 $22,789 $32,698 +28% $24,932 +68% ≈188% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $41,933 $21,819 $37,809 +11% $18,291 +129%
137 MOUTH PROCEDURES WITH CC/MCC $41,918 $26,703 $29,348 +43% $24,348 +72%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $41,884 $18,389 $27,641 +52% $20,076 +109%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $41,880 $27,935 $31,874 +31% $19,686 +113%
935 NON-EXTENSIVE BURNS $41,765 $20,674 $31,701 +32% $29,458 +42%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $41,693 $12,762 $26,192 +59% $18,288 +128%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $41,568 $27,627 $48,410 −14% $31,062 +34%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $41,284 $11,330 $12,336 +235% $12,336 +235%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $41,208 $17,705 $34,419 +20% $24,000 +72%
602 CELLULITIS WITH MCC $41,052 $25,663 $41,052 +0% $29,347 +40% ≈180% of Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $41,047 $33,143 $38,356 +7% $28,375 +45%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $40,961 $17,426 $24,389 +68% $19,326 +112%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $40,920 $32,570 $30,298 +35% $29,867 +37%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $40,840 $24,873 $45,806 −11% $29,521 +38% ≈201% of Medicare
506 MAJOR THUMB OR JOINT PROCEDURES $40,820 $25,104 $25,946 +57% $28,983 +41%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $40,618 $21,432 $35,346 +15% $24,426 +66%
183 MAJOR CHEST TRAUMA WITH MCC $40,356 $27,369 $37,213 +8% $28,924 +40%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $40,280 $21,276 $18,133 +122% $18,133 +122%
200 PNEUMOTHORAX WITH CC $40,201 $19,089 $35,999 +12% $20,573 +95%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $40,188 $27,581 $24,260 +66% $24,229 +66%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $40,105 $40,105 $37,070 +8% $40,065 +0%
138 MOUTH PROCEDURES WITHOUT CC/MCC $39,942 $15,747 $26,445 +51% $17,383 +130%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $39,930 $29,518 $40,079 −0% $35,375 +13%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $39,914 $18,516 $32,129 +24% $23,749 +68%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $39,895 $13,756 $21,977 +82% $15,858 +152%
637 DIABETES WITH MCC $39,647 $24,853 $39,978 −1% $28,772 +38% ≈190% of Medicare
697 URETHRAL STRICTURE $39,572 $17,671 $16,196 +144% $17,705 +124%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $39,571 $19,625 $35,839 +10% $25,038 +58%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $39,172 $13,225 $24,315 +61% $14,337 +173%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $39,163 $17,584 $17,727 +121% $20,371 +92%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $39,158 $13,838 $26,360 +49% $17,754 +121% ≈176% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $39,026 $25,498 $24,506 +59% $28,385 +37%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $38,985 $17,246 $31,282 +25% $20,716 +88% ≈191% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $38,975 $22,864 $38,140 +2% $27,041 +44% ≈191% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $38,650 $16,211 $19,287 +100% $19,287 +100% ≈173% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $38,609 $19,595 $36,655 +5% $24,017 +61%
920 COMPLICATIONS OF TREATMENT WITH CC $38,519 $18,195 $33,021 +17% $20,879 +84% ≈179% of Medicare
947 SIGNS AND SYMPTOMS WITH MCC $38,420 $21,646 $32,843 +17% $25,474 +51%
682 RENAL FAILURE WITH MCC $38,390 $26,472 $38,760 −1% $27,640 +39% ≈199% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $38,271 $16,357 $30,579 +25% $20,463 +87% ≈195% of Medicare
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $38,013 $21,507 $35,255 +8% $20,837 +82%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $37,992 $26,874 $38,950 −2% $27,597 +38%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $37,965 $24,217 $35,114 +8% $26,616 +43%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $37,809 $23,704 $32,502 +16% $23,646 +60%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $37,512 $27,738 $34,876 +8% $27,118 +38%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $37,496 $18,099 $33,060 +13% $22,610 +66% ≈194% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $37,483 $2,365 $54,196 −31% $54,196 −31%
598 MALIGNANT BREAST DISORDERS WITH CC $37,283 $19,019 $19,410 +92% $19,073 +95%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $37,248 $2,365 $34,027 +9% $30,275 +23%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $37,193 $22,469 $17,544 +112% $24,544 +52%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $37,014 $19,509 $24,106 +54% $24,277 +52%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $36,887 $22,531 $33,833 +9% $24,244 +52% ≈174% of Medicare
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $36,703 $15,335 $24,482 +50% $18,243 +101%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $36,633 $36,633 $49,325 −26% $43,697 −16%
348 ANAL AND STOMAL PROCEDURES WITH CC $36,621 $24,591 $29,376 +25% $27,947 +31%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $36,428 $32,937 $36,428 +0% $39,018 −7%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $36,318 $17,931 $35,205 +3% $22,587 +61%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $36,271 $22,551 $31,343 +16% $22,557 +61%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $36,260 $15,821 $24,781 +46% $17,851 +103%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $36,096 $16,055 $26,184 +38% $19,305 +87%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $35,991 $19,194 $33,372 +8% $24,008 +50%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $35,963 $19,392 $33,422 +8% $23,400 +54% ≈181% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $35,889 $29,582 $21,228 +69% $24,561 +46%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $35,490 $21,566 $37,976 −7% $21,860 +62%
158 DENTAL AND ORAL DISEASES WITH CC $35,389 $16,544 $30,573 +16% $17,751 +99%
386 INFLAMMATORY BOWEL DISEASE WITH CC $35,259 $17,625 $29,842 +18% $20,917 +69%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $35,202 $31,701 $32,258 +9% $30,940 +14%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $34,949 $15,389 $27,927 +25% $18,104 +93%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $34,777 $16,290 $19,570 +78% $14,861 +134%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $34,735 $16,792 $28,002 +24% $18,815 +85% ≈181% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $34,720 $12,892 $13,879 +150% $14,252 +144%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $34,683 $23,176 $34,683 +0% $25,412 +36% ≈200% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $34,642 $13,191 $22,563 +54% $13,303 +160%
546 CONNECTIVE TISSUE DISORDERS WITH CC $34,563 $21,468 $32,249 +7% $24,146 +43%
304 HYPERTENSION WITH MCC $34,541 $19,563 $33,511 +3% $23,945 +44% ≈175% of Medicare
088 CONCUSSION WITH MCC $34,502 $28,069 $44,167 −22% $24,402 +41%
549 SEPTIC ARTHRITIS WITH CC $34,449 $21,577 $27,124 +27% $20,808 +66%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $34,334 $15,666 $27,571 +25% $19,815 +73%
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $34,298 $25,181 $34,298 +0% $24,874 +38%
151 EPISTAXIS WITHOUT MCC $34,251 $13,729 $13,119 +161% $13,032 +163%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $34,233 $20,362 $35,388 −3% $26,158 +31%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $34,180 $18,022 $33,151 +3% $20,732 +65% ≈173% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $34,178 $18,305 $33,283 +3% $22,623 +51% ≈184% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $34,116 $18,297 $34,116 +0% $23,571 +45%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $33,666 $17,103 $31,330 +7% $20,632 +63% ≈201% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $33,629 $19,043 $22,961 +46% $20,842 +61%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $33,563 $13,855 $24,566 +37% $16,776 +100%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $33,501 $14,605 $27,131 +23% $17,579 +91%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $33,402 $17,582 $30,669 +9% $21,499 +55%
540 OSTEOMYELITIS WITH CC $33,268 $23,979 $19,990 +66% $23,494 +42%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $33,227 $24,698 $46,151 −28% $29,049 +14%
089 CONCUSSION WITH CC $33,183 $20,793 $17,109 +94% $18,293 +81%
644 ENDOCRINE DISORDERS WITH CC $33,038 $18,147 $33,596 −2% $22,941 +44% ≈186% of Medicare
123 NEUROLOGICAL EYE DISORDERS $33,036 $14,135 $24,612 +34% $17,831 +85%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $33,009 $20,426 $29,922 +10% $22,870 +44% ≈186% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $33,006 $15,937 $28,547 +16% $19,001 +74%
712 TESTES PROCEDURES WITHOUT CC/MCC $33,002 $22,109 $17,076 +93% $18,898 +75%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $32,992 $19,251 $27,057 +22% $18,459 +79%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $32,980 $18,127 $32,046 +3% $22,850 +44% ≈196% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $32,959 $15,937 $15,335 +115% $18,038 +83%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $32,854 $15,417 $17,159 +91% $17,719 +85%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $32,677 $16,138 $29,009 +13% $21,323 +53%
593 SKIN ULCERS WITH CC $32,659 $20,512 $27,293 +20% $20,470 +60%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $32,622 $15,991 $29,514 +11% $20,408 +60% ≈180% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $32,438 $22,271 $28,324 +15% $26,146 +24%
694 URINARY STONES WITHOUT MCC $32,388 $14,194 $22,050 +47% $16,451 +97%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $32,256 $12,301 $11,997 +169% $11,997 +169%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $32,081 $19,356 $32,081 +0% $22,024 +46% ≈202% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $31,989 $25,585 $22,265 +44% $25,786 +24%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $31,737 $18,361 $21,345 +49% $19,448 +63%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $31,597 $14,984 $29,419 +7% $20,084 +57%
102 HEADACHES WITH MCC $31,575 $20,476 $25,386 +24% $21,983 +44%
914 TRAUMATIC INJURY WITHOUT MCC $31,545 $16,199 $21,714 +45% $15,586 +102%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $31,542 $15,895 $23,796 +33% $15,818 +99%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $31,471 $16,717 $30,937 +2% $18,316 +72%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $31,348 $17,062 $17,209 +82% $17,108 +83%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $31,331 $26,130 $34,816 −10% $28,403 +10%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $31,135 $12,438 $22,375 +39% $19,483 +60% ≈179% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $30,239 $23,610 $30,239 +0% $23,956 +26%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $30,208 $14,208 $26,012 +16% $20,253 +49%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $29,734 $29,734 $36,541 −19% $30,259 −2%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $29,624 $19,035 $34,256 −14% $23,396 +27% ≈193% of Medicare
885 PSYCHOSES $29,542 $1,183 $22,469 +31% $21,489 +37%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $29,441 $19,192 $17,483 +68% $17,483 +68%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $29,437 $16,698 $31,077 −5% $18,060 +63%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $29,424 $13,332 $20,838 +41% $15,072 +95%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $29,035 $17,757 $25,515 +14% $19,854 +46%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $28,931 $17,912 $32,504 −11% $20,007 +45%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $28,900 $12,962 $22,352 +29% $14,012 +106%
176 PULMONARY EMBOLISM WITHOUT MCC $28,793 $14,559 $26,477 +9% $17,693 +63% ≈189% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $28,708 $15,104 $14,410 +99% $15,276 +88%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $28,574 $16,845 $31,408 −9% $21,449 +33% ≈169% of Medicare
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $28,479 $24,434 $37,241 −24% $23,734 +20%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $28,460 $15,351 $15,300 +86% $15,876 +79%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $28,352 $18,799 $19,845 +43% $22,231 +28%
292 HEART FAILURE AND SHOCK WITH CC $28,076 $15,364 $23,340 +20% $15,878 +77%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $28,015 $15,909 $20,900 +34% $17,731 +58%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $28,003 $11,612 $21,459 +30% $14,368 +95%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $27,954 $16,092 $21,624 +29% $19,569 +43%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $27,921 $18,667 $16,156 +73% $16,156 +73%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $27,866 $27,866 $43,611 −36% $30,224 −8%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $27,808 $11,177 $18,684 +49% $12,405 +124%
638 DIABETES WITH CC $27,737 $15,599 $27,005 +3% $18,763 +48% ≈173% of Medicare
090 CONCUSSION WITHOUT CC/MCC $27,428 $14,657 $27,428 +0% $14,873 +84%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $27,375 $13,550 $31,044 −12% $31,044 −12%
533 FRACTURES OF FEMUR WITH MCC $27,348 $25,398 $49,567 −45% $25,945 +5%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $27,266 $19,697 $22,506 +21% $17,006 +60%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $26,989 $13,360 $24,033 +12% $16,645 +62% ≈188% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $26,982 $16,370 $20,543 +31% $16,622 +62%
312 SYNCOPE AND COLLAPSE $26,850 $15,184 $28,324 −5% $19,342 +39% ≈172% of Medicare
683 RENAL FAILURE WITH CC $26,850 $15,935 $26,850 +0% $18,322 +47% ≈183% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $26,653 $19,441 $17,226 +55% $17,226 +55%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $26,548 $26,548 $26,548 +0% $28,252 −6%
534 FRACTURES OF FEMUR WITHOUT MCC $26,241 $14,172 $26,458 −1% $17,194 +53%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $25,995 $17,272 $20,031 +30% $15,370 +69%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $25,961 $13,191 $12,534 +107% $12,536 +107%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $25,653 $14,961 $26,656 −4% $18,204 +41% ≈193% of Medicare
103 HEADACHES WITHOUT MCC $25,397 $14,824 $27,638 −8% $20,076 +27%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $25,275 $15,804 $14,064 +80% $14,064 +80%
152 OTITIS MEDIA AND URI WITH MCC $25,161 $21,327 $36,209 −31% $19,657 +28%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $25,161 $17,212 $20,528 +23% $18,199 +38%
882 NEUROSES EXCEPT DEPRESSIVE $25,112 $1,183 $15,680 +60% $15,680 +60%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $24,880 $10,136 $5,751 +333% $9,385 +165%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $24,817 $3,548 $15,636 +59% $15,636 +59%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $24,631 $12,928 $16,444 +50% $16,104 +53%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $24,453 $12,315 $15,323 +60% $14,880 +64%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $24,424 $24,424 $25,579 −5% $25,666 −5%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $24,283 $13,747 $24,384 −0% $16,654 +46%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $24,225 $24,225 $26,161 −7% $24,450 −1%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $24,058 $24,058 $32,168 −25% $29,805 −19%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $24,055 $11,879 $15,167 +59% $12,275 +96%
864 FEVER AND INFLAMMATORY CONDITIONS $23,967 $15,104 $14,849 +61% $17,412 +38%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $23,891 $15,056 $16,204 +47% $14,055 +70%
779 ABORTION WITHOUT D&C $23,817 $18,138 $17,738 +34% $15,327 +55%
149 DYSEQUILIBRIUM $23,499 $13,444 $23,899 −2% $17,203 +37%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $23,388 $18,361 $23,388 +0% $18,005 +30%
201 PNEUMOTHORAX WITHOUT CC/MCC $23,322 $12,962 $22,004 +6% $13,081 +78%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $23,272 $14,167 $23,926 −3% $17,379 +34% ≈173% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $23,220 $3,548 $24,871 −7% $25,146 −8%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $23,021 $14,632 $23,808 −3% $16,622 +38%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $22,971 $13,715 $21,239 +8% $16,718 +37% ≈171% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $22,872 $15,488 $27,856 −18% $19,096 +20%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $22,460 $9,815 $18,188 +23% $13,384 +68% ≈201% of Medicare
302 ATHEROSCLEROSIS WITH MCC $22,368 $21,471 $18,292 +22% $20,810 +7%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $22,102 $11,985 $18,069 +22% $13,090 +69%
305 HYPERTENSION WITHOUT MCC $21,870 $13,277 $24,403 −10% $16,897 +29% ≈206% of Medicare
639 DIABETES WITHOUT CC/MCC $21,745 $10,698 $19,891 +9% $13,910 +56%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $21,643 $10,845 $17,903 +21% $11,957 +81%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $21,634 $12,753 $21,634 +0% $15,598 +39%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $21,537 $13,619 $21,855 −1% $17,522 +23%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $21,506 $15,428 $12,593 +71% $12,593 +71%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $21,366 $21,366 $35,026 −39% $25,766 −17% ≈171% of Medicare
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $20,959 $13,095 $18,250 +15% $13,278 +58%
948 SIGNS AND SYMPTOMS WITHOUT MCC $20,918 $13,847 $25,630 −18% $17,719 +18%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $20,813 $12,340 $17,388 +20% $14,210 +46%
693 URINARY STONES WITH MCC $20,768 $20,768 $22,278 −7% $22,525 −8%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $20,731 $18,516 $34,217 −39% $18,000 +15%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $20,628 $14,372 $26,061 −21% $17,345 +19% ≈199% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $20,393 $17,955 $18,873 +8% $19,868 +3%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $20,214 $13,353 $19,875 +2% $13,362 +51%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $20,179 $16,486 $19,597 +3% $17,183 +17%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $19,968 $7,883 $9,520 +110% $11,633 +72%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $19,950 $11,047 $19,950 +0% $14,208 +40%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $19,760 $18,539 $16,953 +17% $16,418 +20%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $19,646 $13,740 $15,278 +29% $13,892 +41%
076 VIRAL MENINGITIS WITHOUT CC/MCC $19,570 $17,581 $18,601 +5% $15,474 +26%
949 AFTERCARE WITH CC/MCC $19,563 $19,563 $35,072 −44% $23,953 −18%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $19,524 $18,227 $30,961 −37% $23,141 −16%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $19,434 $14,388 $27,480 −29% $17,562 +11%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $19,429 $12,474 $19,537 −1% $12,895 +51%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $19,348 $15,474 $22,948 −16% $17,296 +12%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $19,293 $11,608 $22,840 −16% $15,600 +24%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $19,280 $12,534 $18,214 +6% $10,975 +76%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $19,132 $19,132 $35,486 −46% $28,001 −32% ≈117% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $19,086 $17,014 $31,637 −40% $19,091 −0%
684 RENAL FAILURE WITHOUT CC/MCC $18,804 $10,770 $18,804 +0% $13,455 +40%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $18,608 $12,139 $18,755 −1% $13,198 +41%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $18,534 $12,144 $22,189 −16% $12,794 +45%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $18,461 $9,138 $18,461 +0% $15,923 +16%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $18,409 $13,985 $19,271 −4% $14,411 +28%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $17,735 $11,286 $20,694 −14% $14,134 +25%
303 ATHEROSCLEROSIS WITHOUT MCC $17,646 $12,039 $22,255 −21% $14,927 +18%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $17,376 $8,975 $10,795 +61% $9,063 +92%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $17,072 $12,397 $11,909 +43% $11,909 +43%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $16,996 $1,183 $13,949 +22% $22,698 −25%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,799 $16,799 $18,918 −11% $17,078 −2%
313 CHEST PAIN $16,459 $12,881 $20,378 −19% $15,837 +4% ≈176% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $16,312 $14,559 $10,073 +62% $13,586 +20%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $16,227 $16,227 $29,871 −46% $16,352 −1%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $15,735 $13,223 $17,277 −9% $14,166 +11%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $15,702 $10,070 $17,785 −12% $13,318 +18% ≈195% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $15,599 $15,599 $24,453 −36% $16,348 −5%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $15,555 $10,798 $17,892 −13% $14,770 +5%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $15,370 $3,396 $26,990 −43% $16,708 −8%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $15,246 $9,977 $14,520 +5% $11,826 +29%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,142 $11,428 $20,246 −25% $13,747 +10%
311 ANGINA PECTORIS $15,034 $11,897 $15,034 +0% $15,165 −1%
916 ALLERGIC REACTIONS WITHOUT MCC $14,979 $11,827 $14,486 +3% $13,890 +8%
594 SKIN ULCERS WITHOUT CC/MCC $14,858 $13,781 $15,334 −3% $14,209 +5%
204 RESPIRATORY SIGNS AND SYMPTOMS $14,604 $14,413 $22,897 −36% $16,804 −13%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $14,531 $12,659 $18,649 −22% $13,654 +6%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,232 $14,232 $14,937 −5% $15,007 −5%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $14,185 $11,484 $20,688 −31% $14,128 +0%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $14,067 $12,413 $13,068 +8% $12,205 +15%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $14,044 $14,044 $33,151 −58% $16,431 −15%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $13,907 $13,907 $40,042 −65% $20,147 −31%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,590 $10,073 $11,421 +19% $11,421 +19%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,534 $13,534 $20,980 −35% $20,980 −35%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,407 $6,636 $23,689 −43% $24,447 −45%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,336 $13,336 $25,521 −48% $13,385 −0%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $13,210 $1,183 $14,944 −12% $12,013 +10%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $12,119 $12,119 $17,778 −32% $13,485 −10%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,562 $11,562 $11,562 +0% $11,071 +4%
153 OTITIS MEDIA AND URI WITHOUT MCC $11,539 $11,539 $21,412 −46% $14,251 −19%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,415 $10,415 $21,623 −52% $17,322 −40% ≈138% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,244 $10,244 $15,418 −34% $15,045 −32%
950 AFTERCARE WITHOUT CC/MCC $10,142 $10,142 $11,329 −10% $13,527 −25%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,093 $10,093 $26,492 −62% $30,661 −67%
101 SEIZURES WITHOUT MCC $9,507 $9,507 $20,289 −53% $19,930 −52% ≈108% of Medicare
887 OTHER MENTAL DISORDER DIAGNOSES $8,916 $1,183 $18,631 −52% $20,557 −57%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,510 $4,244 $8,330 +2% $7,896 +8%
795 NORMAL NEWBORN $7,272 $3,476 $4,862 +50% $4,521 +61%
881 DEPRESSIVE NEUROSES $5,552 $1,183 $15,058 −63% $15,058 −63%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,286 $4,286 $16,847 −75% $17,308 −75%
603 CELLULITIS WITHOUT MCC $3,860 $3,860 $26,407 −85% $18,359 −79% ≈43% of Medicare