Procedures published 532
Lowest published price $5,087
Average published price $79,876
Highest published price $685,942

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 532 procedures

Published charges

Showing all 532 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 72 procedures, this hospital's negotiated rates average ≈127% of what Medicare pays.

DRG Description Published price Cash price vs. WA median vs. National median vs Medicare
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $685,942 $480,160 $379,654 +81% $371,366 +85% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $564,035 $394,825 $252,238 +124% $245,241 +130% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $494,965 $346,476 $45,283 +993% $44,973 +1001% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $492,166 $344,516 $116,552 +322% $114,914 +328% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $449,992 $314,994 $68,406 +558% $54,196 +730% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $382,795 $267,956 $144,914 +164% $120,174 +219% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $344,652 $241,257 $95,153 +262% $93,783 +267% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $337,936 $236,555 $103,418 +227% $80,018 +322% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $331,987 $232,391 $123,925 +168% $138,008 +141% ≈124% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $330,880 $231,616 $125,346 +164% $131,961 +151% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $327,620 $229,334 $35,803 +815% $34,089 +861% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $324,308 $227,015 $216,447 +50% $191,314 +70% —
028 SPINAL PROCEDURES WITH MCC $323,880 $226,716 $107,483 +201% $95,858 +238% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $304,262 $212,983 $55,033 +453% $62,821 +384% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $301,113 $210,779 $73,631 +309% $60,098 +401% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $298,233 $208,763 $89,598 +233% $79,944 +273% —
500 SOFT TISSUE PROCEDURES WITH MCC $286,276 $200,393 $57,479 +398% $57,479 +398% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $280,431 $196,302 $172,465 +63% $175,437 +60% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $265,519 $185,863 $78,061 +240% $76,954 +245% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $255,564 $178,895 $121,162 +111% $116,058 +120% ≈101% of Medicare
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $252,465 $176,725 $148,823 +70% $134,914 +87% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $249,151 $174,405 $31,122 +701% $34,264 +627% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $247,713 $173,399 $34,723 +613% $29,633 +736% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $246,550 $172,585 $78,867 +213% $88,307 +179% ≈101% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $242,559 $169,791 $87,332 +178% $92,515 +162% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $241,350 $168,945 $59,434 +306% $67,901 +255% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $238,739 $167,117 $32,298 +639% $29,609 +706% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $235,880 $165,116 $110,476 +114% $117,280 +101% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $227,386 $159,170 $79,821 +185% $83,441 +173% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $224,815 $157,370 $68,266 +229% $74,257 +203% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $209,374 $146,562 $63,546 +229% $71,755 +192% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $203,904 $142,733 $101,061 +102% $106,778 +91% ≈101% of Medicare
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $202,054 $141,438 $90,342 +124% $99,423 +103% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $199,003 $139,302 $40,101 +396% $43,586 +357% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $197,959 $138,571 $27,893 +610% $34,434 +475% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $183,601 $128,521 $53,037 +246% $67,764 +171% ≈111% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $183,286 $128,300 $82,729 +122% $86,390 +112% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $181,550 $127,085 $96,879 +87% $78,582 +131% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $177,837 $124,486 $73,615 +142% $68,659 +159% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $175,361 $122,752 $150,160 +17% $151,029 +16% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $168,537 $117,976 $80,360 +110% $88,050 +91% ≈140% of Medicare
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $165,024 $115,517 $93,860 +76% $86,953 +90% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $164,622 $115,236 $69,464 +137% $78,852 +109% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $163,940 $114,758 $95,760 +71% $105,899 +55% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $163,568 $114,497 $62,714 +161% $68,399 +139% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $161,292 $112,904 $57,258 +182% $65,573 +146% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $160,761 $112,533 $37,186 +332% $46,477 +246% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $158,158 $110,711 $88,047 +80% $87,018 +82% ≈109% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $157,460 $110,222 $33,335 +372% $36,280 +334% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $154,310 $108,017 $32,846 +370% $40,583 +280% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $153,584 $107,509 $78,895 +95% $72,859 +111% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $150,434 $105,304 $62,496 +141% $57,855 +160% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $147,260 $103,082 $71,142 +107% $81,998 +80% —
472 CERVICAL SPINAL FUSION WITH CC $145,858 $102,101 $51,532 +183% $59,537 +145% ≈133% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $145,777 $102,044 $74,215 +96% $88,049 +66% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $143,884 $100,719 $52,521 +174% $63,984 +125% ≈128% of Medicare
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $143,354 $100,348 $29,130 +392% $27,548 +420% —
252 OTHER VASCULAR PROCEDURES WITH MCC $143,097 $100,168 $60,062 +138% $68,508 +109% ≈107% of Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $143,053 $100,137 $123,453 +16% $121,728 +18% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $142,617 $99,832 $42,269 +237% $47,583 +200% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $142,353 $99,647 $26,605 +435% $30,972 +360% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $141,884 $99,319 $64,776 +119% $64,776 +119% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $140,511 $98,358 $75,240 +87% $82,561 +70% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $140,449 $98,314 $36,654 +283% $46,066 +205% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $140,185 $98,129 $61,526 +128% $71,014 +97% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $139,796 $97,857 $61,861 +126% $68,880 +103% ≈134% of Medicare
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $139,610 $97,727 $137,335 +2% $143,242 −3% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $139,381 $97,567 $91,968 +52% $96,222 +45% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $138,572 $97,001 $181,749 −24% $142,326 −3% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $138,350 $96,845 $42,869 +223% $46,591 +197% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $136,740 $95,718 $52,151 +162% $60,140 +127% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $136,699 $95,689 $42,507 +222% $54,824 +149% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $134,213 $93,949 $96,793 +39% $96,905 +39% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $133,609 $93,526 $87,636 +52% $87,565 +53% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $132,725 $92,907 $40,975 +224% $45,818 +190% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $132,563 $92,794 $69,438 +91% $72,908 +82% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $131,707 $92,195 $131,707 — $110,732 +19% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $131,472 $92,031 $53,856 +144% $65,216 +102% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $130,726 $91,508 $55,702 +135% $66,819 +96% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $130,629 $91,440 $41,410 +215% $47,546 +175% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $130,525 $91,368 $60,903 +114% $51,953 +151% ≈106% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $130,120 $91,084 $68,174 +91% $75,492 +72% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $130,030 $91,021 $70,007 +86% $68,006 +91% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $129,814 $90,870 $49,929 +160% $53,551 +142% —
163 MAJOR CHEST PROCEDURES WITH MCC $129,730 $90,811 $83,508 +55% $88,341 +47% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $129,700 $90,790 $37,660 +244% $56,519 +129% ≈121% of Medicare
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $129,584 $90,709 $57,066 +127% $65,254 +99% —
253 OTHER VASCULAR PROCEDURES WITH CC $128,131 $89,691 $45,488 +182% $53,746 +138% ≈115% of Medicare
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $127,954 $89,568 $64,917 +97% $75,103 +70% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $127,134 $88,994 $62,039 +105% $70,540 +80% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $127,124 $88,987 $51,121 +149% $74,274 +71% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $125,994 $88,196 $72,981 +73% $72,945 +73% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $125,429 $87,800 $60,786 +106% $64,152 +96% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $125,237 $87,666 $67,539 +85% $74,755 +68% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $125,057 $87,540 $74,071 +69% $83,065 +51% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $125,034 $87,524 $50,797 +146% $54,475 +130% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $124,316 $87,022 $69,344 +79% $71,701 +73% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $122,512 $85,758 $34,871 +251% $43,775 +180% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $122,047 $85,433 $26,538 +360% $35,528 +244% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $122,028 $85,420 $53,273 +129% $54,313 +125% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $121,893 $85,325 $63,913 +91% $65,325 +87% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $121,570 $85,099 $81,439 +49% $80,885 +50% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $121,078 $84,754 $38,744 +213% $51,172 +137% ≈127% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $119,681 $83,777 $44,995 +166% $58,832 +103% ≈160% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $119,400 $83,580 $42,821 +179% $56,394 +112% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $119,218 $83,452 $61,298 +94% $70,132 +70% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $119,007 $83,305 $53,335 +123% $63,475 +87% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $118,594 $83,016 $41,570 +185% $52,313 +127% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $117,942 $82,560 $32,038 +268% $40,552 +191% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $117,731 $82,412 $70,826 +66% $72,011 +63% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $116,548 $81,584 $35,315 +230% $44,363 +163% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $115,022 $80,515 $41,764 +175% $51,339 +124% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $113,960 $79,772 $61,035 +87% $65,383 +74% —
791 PREMATURITY WITH MAJOR PROBLEMS $113,868 $79,708 $71,798 +59% $39,563 +188% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $113,713 $79,599 $25,580 +345% $31,816 +257% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $113,683 $79,578 $90,427 +26% $80,747 +41% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $112,596 $78,817 $30,131 +274% $42,119 +167% ≈124% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $112,403 $78,682 $38,342 +193% $45,622 +146% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $110,326 $77,228 $103,426 +7% $107,355 +3% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $108,719 $76,103 $43,520 +150% $52,332 +108% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $108,035 $75,625 $47,400 +128% $54,929 +97% ≈119% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $106,051 $74,235 $36,975 +187% $44,117 +140% ≈149% of Medicare
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $105,659 $73,961 $22,104 +378% $23,588 +348% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $105,380 $73,766 $70,115 +50% $62,961 +67% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $105,356 $73,749 $28,756 +266% $32,911 +220% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $104,852 $73,397 $29,337 +257% $30,930 +239% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $104,750 $73,325 $43,770 +139% $55,162 +90% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $104,587 $73,211 $104,587 — $93,769 +12% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $103,635 $72,545 $33,606 +208% $39,747 +161% ≈125% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $103,576 $72,503 $32,484 +219% $54,772 +89% ≈133% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $103,206 $72,244 $26,780 +285% $34,887 +196% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $103,138 $72,197 $55,913 +84% $53,817 +92% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $102,513 $71,759 $24,987 +310% $24,316 +322% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $101,038 $70,726 $44,587 +127% $57,149 +77% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $100,862 $70,603 $35,807 +182% $41,660 +142% —
397 APPENDIX PROCEDURES WITH MCC $99,703 $69,792 $43,265 +130% $52,319 +91% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $99,694 $69,786 $28,866 +245% $33,984 +193% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $98,754 $69,128 $26,123 +278% $31,812 +210% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $98,432 $68,903 $20,397 +383% $25,267 +290% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $97,989 $68,592 $38,497 +155% $45,963 +113% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $97,787 $68,451 $43,030 +127% $49,197 +99% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $97,241 $68,069 $45,190 +115% $46,659 +108% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $97,149 $68,004 $40,907 +137% $46,430 +109% —
336 PERITONEAL ADHESIOLYSIS WITH CC $97,131 $67,992 $41,134 +136% $49,470 +96% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $96,244 $67,371 $41,306 +133% $49,631 +94% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $96,050 $67,235 $62,459 +54% $59,425 +62% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $95,528 $66,869 $37,005 +158% $41,520 +130% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $95,366 $66,756 $69,285 +38% $72,782 +31% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $95,290 $66,703 $48,114 +98% $52,405 +82% ≈111% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $94,455 $66,119 $39,404 +140% $48,682 +94% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $94,078 $65,854 $42,475 +121% $50,624 +86% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $93,846 $65,692 $39,895 +135% $44,989 +109% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $92,722 $64,905 $28,506 +225% $35,375 +162% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $92,503 $64,752 $31,029 +198% $38,836 +138% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $88,746 $62,122 $82,548 +8% $90,331 −2% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $88,179 $61,725 $47,228 +87% $48,094 +83% —
662 MINOR BLADDER PROCEDURES WITH MCC $87,805 $61,464 $54,393 +61% $54,483 +61% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $87,653 $61,357 $49,553 +77% $57,963 +51% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $86,150 $60,305 $23,880 +261% $28,156 +206% —
180 RESPIRATORY NEOPLASMS WITH MCC $85,446 $59,812 $30,609 +179% $36,658 +133% ≈95% of Medicare
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $84,820 $59,374 $36,289 +134% $45,817 +85% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $83,946 $58,762 $28,238 +197% $41,380 +103% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $83,849 $58,694 $34,918 +140% $43,080 +95% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $83,840 $58,688 $68,279 +23% $62,404 +34% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $82,566 $57,796 $28,545 +189% $35,692 +131% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $82,160 $57,512 $25,236 +226% $27,369 +200% —
380 COMPLICATED PEPTIC ULCER WITH MCC $80,995 $56,697 $34,668 +134% $36,641 +121% —
398 APPENDIX PROCEDURES WITH CC $80,694 $56,486 $27,027 +199% $39,107 +106% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $80,468 $56,327 $55,641 +45% $49,710 +62% —
570 SKIN DEBRIDEMENT WITH MCC $79,360 $55,552 $52,496 +51% $52,435 +51% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $78,645 $55,051 $18,685 +321% $18,478 +326% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $78,224 $54,757 $58,387 +34% $64,956 +20% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $78,004 $54,603 $26,495 +194% $33,137 +135% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $77,507 $54,255 $31,918 +143% $37,950 +104% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $76,877 $53,814 $30,596 +151% $43,266 +78% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $76,779 $53,745 $40,517 +89% $50,011 +54% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $76,532 $53,572 $37,587 +104% $38,357 +100% ≈128% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $76,016 $53,211 $30,771 +147% $31,758 +139% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $75,007 $52,505 $24,229 +210% $31,978 +135% —
501 SOFT TISSUE PROCEDURES WITH CC $74,372 $52,060 $31,248 +138% $37,975 +96% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $74,276 $51,993 $59,211 +25% $54,129 +37% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $73,893 $51,725 $49,064 +51% $36,097 +105% —
834 ACUTE LEUKEMIA WITH MCC $73,224 $51,257 $96,186 −24% $76,583 −4% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $72,960 $51,072 $61,473 +19% $50,919 +43% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $72,795 $50,956 $33,501 +117% $35,459 +105% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $72,676 $50,873 $42,806 +70% $51,985 +40% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $72,570 $50,799 $29,367 +147% $31,128 +133% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $72,479 $50,735 $67,803 +7% $60,861 +19% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $72,419 $50,693 $32,606 +122% $30,974 +134% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $72,048 $50,434 $19,853 +263% $24,017 +200% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $71,654 $50,158 $26,424 +171% $29,484 +143% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $71,486 $50,040 $44,559 +60% $43,491 +64% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $71,318 $49,922 $19,813 +260% $25,162 +183% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $71,149 $49,804 $34,264 +108% $35,014 +103% ≈117% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $70,992 $49,695 $34,184 +108% $33,050 +115% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $70,682 $49,477 $31,283 +126% $36,242 +95% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $70,322 $49,225 $39,140 +80% $43,524 +62% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $70,266 $49,187 $38,682 +82% $44,600 +58% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $70,062 $49,043 $21,685 +223% $20,842 +236% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $69,370 $48,559 $28,829 +141% $30,910 +124% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $68,488 $47,941 $34,930 +96% $43,538 +57% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $68,317 $47,822 $32,130 +113% $40,063 +71% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $67,594 $47,316 $31,733 +113% $30,814 +119% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $67,536 $47,275 $33,013 +105% $32,204 +110% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $67,366 $47,156 $34,905 +93% $35,714 +89% ≈135% of Medicare
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $67,099 $46,969 $22,272 +201% $19,894 +237% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $66,794 $46,756 $41,852 +60% $39,093 +71% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $66,551 $46,585 $22,130 +201% $27,492 +142% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $66,374 $46,462 $19,955 +233% $30,314 +119% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $65,887 $46,121 $39,700 +66% $37,064 +78% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $65,855 $46,098 $33,032 +99% $48,680 +35% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $65,435 $45,804 $30,921 +112% $29,409 +122% —
181 RESPIRATORY NEOPLASMS WITH CC $65,311 $45,718 $19,709 +231% $22,431 +191% —
663 MINOR BLADDER PROCEDURES WITH CC $65,016 $45,511 $26,787 +143% $29,924 +117% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $64,741 $45,319 $43,132 +50% $39,409 +64% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $64,623 $45,236 $39,726 +63% $36,334 +78% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $64,375 $45,062 $23,042 +179% $20,727 +211% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $63,845 $44,691 $37,263 +71% $37,654 +70% —
597 MALIGNANT BREAST DISORDERS WITH MCC $63,748 $44,623 $30,753 +107% $31,846 +100% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $63,237 $44,266 $38,230 +65% $41,900 +51% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $62,698 $43,889 $27,733 +126% $33,490 +87% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $62,667 $43,867 $48,441 +29% $43,697 +43% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $62,311 $43,618 $29,209 +113% $32,502 +92% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $62,088 $43,462 $40,080 +55% $37,080 +67% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $61,944 $43,361 $34,324 +80% $35,237 +76% ≈119% of Medicare
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $61,345 $42,941 $32,066 +91% $37,842 +62% ≈108% of Medicare
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $61,017 $42,712 $32,906 +85% $31,909 +91% —
947 SIGNS AND SYMPTOMS WITH MCC $60,978 $42,685 $22,593 +170% $25,474 +139% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $60,944 $42,661 $32,372 +88% $40,694 +50% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $60,630 $42,441 $64,143 −5% $62,524 −3% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $60,617 $42,432 $34,362 +76% $36,933 +64% ≈123% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $59,257 $41,480 $35,192 +68% $42,881 +38% ≈135% of Medicare
186 PLEURAL EFFUSION WITH MCC $59,201 $41,441 $27,817 +113% $32,468 +82% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $58,968 $41,277 $40,586 +45% $36,237 +63% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $58,436 $40,905 $19,385 +201% $31,190 +87% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $58,083 $40,658 $33,446 +74% $33,165 +75% —
602 CELLULITIS WITH MCC $57,644 $40,351 $25,770 +124% $29,347 +96% —
504 FOOT PROCEDURES WITH CC $57,179 $40,025 $30,942 +85% $36,598 +56% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $57,131 $39,992 $38,498 +48% $35,139 +63% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $56,676 $39,673 $26,031 +118% $28,780 +97% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $56,652 $39,657 $29,065 +95% $32,689 +73% ≈113% of Medicare
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $56,235 $39,365 $39,853 +41% $45,059 +25% —
919 COMPLICATIONS OF TREATMENT WITH MCC $56,219 $39,353 $32,560 +73% $29,031 +94% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $56,148 $39,304 $33,644 +67% $42,126 +33% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $55,895 $39,127 $26,038 +115% $30,358 +84% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $55,702 $38,991 $28,076 +98% $31,059 +79% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $55,460 $38,822 $19,968 +178% $19,317 +187% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $55,306 $38,714 $27,293 +103% $28,646 +93% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $55,190 $38,633 $38,061 +45% $44,553 +24% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $55,084 $38,558 $30,996 +78% $29,558 +86% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $55,078 $38,554 $52,259 +5% $46,402 +19% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $55,057 $38,540 $30,371 +81% $38,094 +45% —
592 SKIN ULCERS WITH MCC $55,040 $38,528 $36,067 +53% $32,662 +69% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $54,959 $38,471 $28,754 +91% $28,967 +90% ≈136% of Medicare
199 PNEUMOTHORAX WITH MCC $54,656 $38,259 $30,912 +77% $31,491 +74% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $54,614 $38,230 $32,298 +69% $30,394 +80% —
374 DIGESTIVE MALIGNANCY WITH MCC $54,520 $38,164 $37,492 +45% $38,885 +40% —
915 ALLERGIC REACTIONS WITH MCC $54,342 $38,040 $31,517 +72% $30,944 +76% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $53,885 $37,720 $29,605 +82% $30,058 +79% ≈115% of Medicare
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $53,843 $37,690 $47,729 +13% $45,290 +19% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $53,520 $37,464 $13,429 +299% $16,634 +222% —
100 SEIZURES WITH MCC $53,377 $37,364 $34,782 +53% $35,194 +52% ≈129% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $53,192 $37,235 $26,225 +103% $35,542 +50% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $52,990 $37,093 $23,356 +127% $23,350 +127% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $52,244 $36,571 $48,660 +7% $44,839 +17% —
539 OSTEOMYELITIS WITH MCC $51,883 $36,318 $35,558 +46% $33,746 +54% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $51,659 $36,161 $23,169 +123% $23,115 +123% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $50,973 $35,681 $28,674 +78% $28,134 +81% ≈135% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $50,916 $35,641 $27,459 +85% $34,354 +48% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $50,901 $35,631 $32,844 +55% $33,564 +52% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $50,824 $35,576 $19,335 +163% $21,806 +133% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $49,996 $34,997 $24,398 +105% $24,118 +107% ≈124% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $49,881 $34,917 $32,025 +56% $36,375 +37% —
571 SKIN DEBRIDEMENT WITH CC $49,523 $34,666 $30,132 +64% $34,901 +42% —
088 CONCUSSION WITH MCC $49,510 $34,657 $26,167 +89% $24,402 +103% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $49,346 $34,542 $26,502 +86% $28,140 +75% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $49,326 $34,528 $32,678 +51% $35,114 +40% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $49,279 $34,495 $33,430 +47% $30,766 +60% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $49,257 $34,480 $24,797 +99% $29,757 +66% ≈124% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $49,207 $34,445 $29,960 +64% $31,840 +55% ≈114% of Medicare
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $48,817 $34,172 $30,728 +59% $14,284 +242% —
643 ENDOCRINE DISORDERS WITH MCC $48,754 $34,128 $29,156 +67% $32,996 +48% ≈126% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $48,510 $33,957 $23,088 +110% $27,947 +74% —
102 HEADACHES WITH MCC $48,309 $33,817 $21,384 +126% $22,544 +114% —
811 RED BLOOD CELL DISORDERS WITH MCC $48,153 $33,707 $27,427 +76% $27,934 +72% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $48,031 $33,622 $18,550 +159% $20,080 +139% —
682 RENAL FAILURE WITH MCC $47,944 $33,561 $26,337 +82% $27,854 +72% ≈124% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $47,924 $33,547 $18,533 +159% $23,141 +107% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $47,862 $33,503 $28,476 +68% $33,424 +43% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $47,713 $33,399 $21,511 +122% $26,488 +80% ≈131% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $47,709 $33,397 $18,705 +155% $23,396 +104% ≈117% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $47,579 $33,305 $28,457 +67% $26,020 +83% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $47,528 $33,270 $23,564 +102% $25,426 +87% ≈127% of Medicare
637 DIABETES WITH MCC $47,339 $33,137 $25,918 +83% $28,819 +64% ≈131% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $47,069 $32,949 $33,081 +42% $32,399 +45% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $46,976 $32,883 $22,699 +107% $27,244 +72% ≈122% of Medicare
506 MAJOR THUMB OR JOINT PROCEDURES $46,872 $32,810 $26,357 +78% $28,983 +62% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $46,827 $32,779 $16,303 +187% $20,488 +129% ≈120% of Medicare
813 COAGULATION DISORDERS $46,659 $32,661 $27,809 +68% $30,128 +55% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $46,408 $32,486 $18,849 +146% $23,749 +95% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $46,328 $32,429 $17,086 +171% $19,854 +133% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $45,931 $32,152 $26,364 +74% $29,211 +57% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $45,894 $32,126 $18,995 +142% $19,579 +134% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $45,884 $32,119 $32,884 +40% $29,476 +56% —
551 MEDICAL BACK PROBLEMS WITH MCC $45,846 $32,092 $30,399 +51% $31,086 +47% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $45,624 $31,937 $14,538 +214% $16,837 +171% —
291 HEART FAILURE AND SHOCK WITH MCC $45,562 $31,893 $23,034 +98% $25,020 +82% ≈125% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $45,491 $31,844 $23,392 +94% $24,480 +86% ≈126% of Medicare
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $45,490 $31,843 $19,486 +133% $17,078 +166% —
375 DIGESTIVE MALIGNANCY WITH CC $45,337 $31,736 $21,771 +108% $27,219 +67% ≈155% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $45,325 $31,728 $16,390 +177% $20,463 +121% ≈141% of Medicare
304 HYPERTENSION WITH MCC $45,231 $31,662 $20,659 +119% $24,185 +87% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $45,188 $31,632 $23,672 +91% $26,158 +73% ≈128% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $45,036 $31,525 $32,507 +39% $40,563 +11% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $44,665 $31,266 $22,048 +103% $25,704 +74% ≈132% of Medicare
101 SEIZURES WITHOUT MCC $44,586 $31,210 $16,379 +172% $19,954 +123% ≈155% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $44,297 $31,008 $37,233 +19% $32,483 +36% —
123 NEUROLOGICAL EYE DISORDERS $44,256 $30,979 $14,388 +208% $17,831 +148% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $44,117 $30,882 $17,016 +159% $21,213 +108% ≈139% of Medicare
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $44,089 $30,862 $29,661 +49% $29,729 +48% —
187 PLEURAL EFFUSION WITH CC $44,045 $30,831 $17,866 +147% $21,467 +105% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $44,001 $30,800 $24,764 +78% $30,006 +47% —
089 CONCUSSION WITH CC $43,903 $30,732 $19,749 +122% $18,293 +140% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $43,792 $30,655 $20,171 +117% $24,022 +82% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $43,404 $30,383 $19,902 +118% $24,190 +79% ≈125% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $43,239 $30,267 $32,538 +33% $32,538 +33% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $43,044 $30,131 $25,896 +66% $29,663 +45% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $42,978 $30,085 $27,921 +54% $32,936 +30% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $42,951 $30,065 $14,747 +191% $17,715 +142% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $42,890 $30,023 $29,567 +45% $33,607 +28% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $42,734 $29,914 $26,333 +62% $23,734 +80% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $42,725 $29,908 $17,142 +149% $21,449 +99% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $42,665 $29,866 $28,333 +51% $25,731 +66% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $42,657 $29,860 $32,357 +32% $28,375 +50% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $42,653 $29,857 $31,922 +34% $27,118 +57% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $42,537 $29,776 $15,302 +178% $17,383 +145% —
157 DENTAL AND ORAL DISEASES WITH MCC $42,205 $29,544 $30,190 +40% $27,457 +54% —
694 URINARY STONES WITHOUT MCC $42,181 $29,527 $14,009 +201% $16,531 +155% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $42,034 $29,424 $40,957 +3% $50,139 −16% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $42,024 $29,417 $29,263 +44% $25,208 +67% ≈116% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $41,975 $29,383 $28,167 +49% $28,924 +45% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $41,958 $29,370 $18,601 +126% $22,850 +84% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $41,744 $29,221 $18,195 +129% $23,469 +78% ≈146% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $41,716 $29,201 $14,355 +191% $17,700 +136% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $41,619 $29,134 $15,650 +166% $19,569 +113% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $41,451 $29,015 $21,673 +91% $22,032 +88% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $41,253 $28,877 $24,638 +67% $25,854 +60% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $41,233 $28,863 $26,769 +54% $31,062 +33% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $41,225 $28,858 $16,919 +144% $15,636 +164% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $41,186 $28,830 $13,474 +206% $16,776 +146% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $40,263 $28,184 $13,650 +195% $14,444 +179% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $40,064 $28,045 $17,527 +129% $21,886 +83% ≈131% of Medicare
297 CARDIAC ARREST, UNEXPLAINED WITH CC $40,022 $28,015 $12,815 +212% $12,336 +224% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $39,942 $27,959 $17,981 +122% $21,545 +85% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $39,896 $27,927 $31,170 +28% $30,275 +32% —
598 MALIGNANT BREAST DISORDERS WITH CC $39,741 $27,819 $19,881 +100% $19,073 +108% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $39,630 $27,741 $21,017 +89% $20,421 +94% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $39,514 $27,660 $12,917 +206% $18,623 +112% —
312 SYNCOPE AND COLLAPSE $39,486 $27,640 $15,506 +155% $19,342 +104% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $39,428 $27,600 $19,221 +105% $19,868 +98% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $39,419 $27,593 $26,837 +47% $24,450 +61% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $39,384 $27,568 $15,666 +151% $19,305 +104% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $39,378 $27,565 $25,651 +54% $24,941 +58% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $39,331 $27,532 $16,797 +134% $18,918 +108% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $39,023 $27,316 $30,879 +26% $24,836 +57% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $38,956 $27,269 $20,658 +89% $22,982 +70% ≈128% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $38,907 $27,235 $15,554 +150% $19,096 +104% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $38,738 $27,117 $18,076 +114% $22,713 +71% —
882 NEUROSES EXCEPT DEPRESSIVE $38,476 $26,933 $16,984 +127% $15,680 +145% —
139 SALIVARY GLAND PROCEDURES $38,393 $26,875 $24,103 +59% $21,014 +83% —
540 OSTEOMYELITIS WITH CC $37,834 $26,484 $23,186 +63% $23,494 +61% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $37,727 $26,409 $16,340 +131% $19,287 +96% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $37,624 $26,337 $27,155 +39% $28,252 +33% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $37,587 $26,311 $15,680 +140% $17,367 +116% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $37,581 $26,306 $12,622 +198% $15,600 +141% —
684 RENAL FAILURE WITHOUT CC/MCC $37,541 $26,279 $10,936 +243% $13,623 +176% —
103 HEADACHES WITHOUT MCC $37,420 $26,194 $15,088 +148% $20,111 +86% —
149 DYSEQUILIBRIUM $37,180 $26,026 $13,373 +178% $17,203 +116% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $37,113 $25,979 $14,328 +159% $20,278 +83% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $37,077 $25,954 $18,657 +99% $24,136 +54% ≈129% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $36,984 $25,888 $14,545 +154% $17,195 +115% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $36,847 $25,793 $16,198 +127% $15,077 +144% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $36,572 $25,601 $13,190 +177% $13,892 +163% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $36,507 $25,555 $17,183 +112% $17,273 +111% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $36,477 $25,534 $44,548 −18% $38,878 −6% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $36,166 $25,316 $11,963 +202% $13,198 +174% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $36,142 $25,300 $24,826 +46% $23,571 +53% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $36,096 $25,267 $18,596 +94% $22,024 +64% ≈134% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $35,786 $25,050 $22,960 +56% $23,924 +50% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $35,472 $24,830 $23,967 +48% $23,956 +48% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $35,344 $24,741 $19,002 +86% $22,781 +55% ≈129% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $35,320 $24,724 $15,368 +130% $16,212 +118% —
200 PNEUMOTHORAX WITH CC $35,316 $24,721 $19,498 +81% $20,573 +72% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $35,299 $24,709 $16,183 +118% $16,156 +118% —
603 CELLULITIS WITHOUT MCC $35,286 $24,700 $15,835 +123% $18,530 +90% ≈143% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $35,278 $24,694 $17,510 +101% $20,968 +68% —
184 MAJOR CHEST TRAUMA WITH CC $35,273 $24,691 $17,952 +96% $20,842 +69% —
683 RENAL FAILURE WITH CC $35,239 $24,667 $16,089 +119% $18,620 +89% ≈126% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $35,055 $24,538 $12,896 +172% $16,104 +118% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $34,737 $24,316 $21,276 +63% $24,202 +44% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $34,673 $24,271 $14,856 +133% $17,466 +99% ≈136% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $34,639 $24,247 $14,363 +141% $18,002 +92% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $34,569 $24,198 $13,256 +161% $16,865 +105% ≈142% of Medicare
302 ATHEROSCLEROSIS WITH MCC $34,557 $24,190 $20,537 +68% $20,844 +66% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $34,507 $24,155 $14,919 +131% $13,822 +150% —
644 ENDOCRINE DISORDERS WITH CC $34,480 $24,136 $18,617 +85% $22,941 +50% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $34,415 $24,091 $24,319 +42% $15,655 +120% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $34,151 $23,905 $19,209 +78% $22,560 +51% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $33,924 $23,747 $17,974 +89% $19,091 +78% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $33,853 $23,697 $20,324 +67% $18,133 +87% —
885 PSYCHOSES $33,720 $23,604 $24,745 +36% $21,489 +57% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $33,636 $23,545 $17,119 +96% $20,777 +62% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $33,569 $23,498 $37,917 −11% $37,902 −11% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $33,531 $23,472 $19,110 +75% $23,496 +43% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $33,526 $23,468 $14,000 +139% $16,745 +100% ≈140% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $33,407 $23,385 $34,164 −2% $29,524 +13% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $33,346 $23,342 $14,784 +126% $18,253 +83% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $33,031 $23,122 $16,744 +97% $16,352 +102% —
638 DIABETES WITH CC $32,996 $23,097 $16,272 +103% $18,821 +75% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $32,953 $23,067 $17,409 +89% $18,803 +75% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $32,852 $22,996 $21,990 +49% $20,084 +64% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $32,667 $22,867 $37,533 −13% $36,850 −11% —
204 RESPIRATORY SIGNS AND SYMPTOMS $32,649 $22,854 $14,601 +124% $16,866 +94% —
866 VIRAL ILLNESS WITHOUT MCC $32,638 $22,847 $16,305 +100% $16,391 +99% —
176 PULMONARY EMBOLISM WITHOUT MCC $32,617 $22,832 $14,493 +125% $18,081 +80% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $32,546 $22,782 $14,731 +121% $18,204 +79% ≈146% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $32,285 $22,600 $13,805 +134% $14,166 +128% —
381 COMPLICATED PEPTIC ULCER WITH CC $32,131 $22,492 $19,264 +67% $24,177 +33% —
920 COMPLICATIONS OF TREATMENT WITH CC $31,829 $22,280 $18,047 +76% $21,181 +50% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $31,759 $22,231 $17,780 +79% $18,282 +74% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $31,683 $22,178 $14,358 +121% $17,388 +82% ≈148% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $31,628 $22,140 $18,116 +75% $20,732 +53% ≈121% of Medicare
865 VIRAL ILLNESS WITH MCC $31,447 $22,013 $27,030 +16% $26,088 +21% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $31,405 $21,984 $14,965 +110% $17,322 +81% ≈149% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $31,376 $21,963 $11,540 +172% $14,368 +118% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $31,328 $21,929 $12,145 +158% $14,880 +111% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $31,205 $21,844 $24,767 +26% $22,557 +38% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $31,163 $21,814 $16,882 +85% $18,191 +71% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $31,105 $21,773 $15,908 +96% $21,261 +46% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $30,820 $21,574 $16,622 +85% $16,642 +85% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $30,748 $21,524 $11,969 +157% $13,368 +130% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $30,445 $21,312 $15,708 +94% $15,045 +102% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $30,358 $21,250 $28,633 +6% $24,561 +24% —
305 HYPERTENSION WITHOUT MCC $30,338 $21,237 $14,544 +109% $17,144 +77% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $30,190 $21,133 $13,122 +130% $19,483 +55% ≈152% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $29,962 $20,973 $28,329 +6% $25,786 +16% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $29,834 $20,884 $16,140 +85% $17,731 +68% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $29,752 $20,827 $17,673 +68% $15,370 +94% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $29,730 $20,811 $13,342 +123% $14,337 +107% —
201 PNEUMOTHORAX WITHOUT CC/MCC $29,664 $20,765 $12,179 +144% $13,081 +127% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $29,641 $20,749 $87,040 −66% $70,735 −58% —
835 ACUTE LEUKEMIA WITH CC $29,587 $20,711 $37,324 −21% $35,569 −17% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $29,506 $20,654 $28,225 +5% $24,465 +21% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $29,453 $20,617 $15,745 +87% $15,608 +89% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $29,336 $20,535 $11,437 +157% $14,134 +108% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $29,151 $20,406 $22,336 +31% $22,275 +31% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,118 $20,382 $21,169 +38% $19,815 +47% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $28,971 $20,280 $11,236 +158% $13,824 +110% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $28,942 $20,260 $15,816 +83% $15,869 +82% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $28,644 $20,051 $18,138 +58% $16,571 +73% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $28,391 $19,874 $15,666 +81% $16,049 +77% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $28,299 $19,809 $11,105 +155% $15,070 +88% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $28,216 $19,751 $22,071 +28% $21,860 +29% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $28,205 $19,743 $18,075 +56% $16,418 +72% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $28,110 $19,677 $15,294 +84% $18,278 +54% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $28,059 $19,641 $21,229 +32% $17,103 +64% —
999 UNGROUPABLE $27,952 $19,566 $16,971 +65% $28,822 −3% —
693 URINARY STONES WITH MCC $27,678 $19,375 $25,783 +7% $22,525 +23% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $27,537 $19,276 $13,950 +97% $17,522 +57% —
607 MINOR SKIN DISORDERS WITHOUT MCC $27,535 $19,274 $15,654 +76% $15,284 +80% —
864 FEVER AND INFLAMMATORY CONDITIONS $27,136 $18,995 $15,879 +71% $17,412 +56% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $26,972 $18,880 $19,393 +39% $17,483 +54% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $26,370 $18,459 $17,976 +47% $20,007 +32% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $26,369 $18,458 $17,986 +47% $18,017 +46% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $26,039 $18,227 $13,194 +97% $13,090 +99% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $25,740 $18,018 $14,274 +80% $17,727 +45% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $25,437 $17,806 $10,040 +153% $10,039 +153% —
158 DENTAL AND ORAL DISEASES WITH CC $25,380 $17,766 $16,816 +51% $17,700 +43% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $25,297 $17,708 $10,012 +153% $13,318 +90% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $25,275 $17,693 $24,065 +5% $20,980 +20% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $25,257 $17,680 $12,756 +98% $15,607 +62% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $25,191 $17,634 $12,917 +95% $9,385 +168% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $25,110 $17,577 $17,716 +42% $19,001 +32% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $25,009 $17,507 $20,277 +23% $24,452 +2% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $24,962 $17,473 $21,514 +16% $26,322 −5% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $24,813 $17,369 $11,686 +112% $12,044 +106% —
639 DIABETES WITHOUT CC/MCC $24,682 $17,277 $11,206 +120% $13,910 +77% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $24,550 $17,185 $15,063 +63% $16,654 +47% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $24,466 $17,126 $12,566 +95% $13,303 +84% —
549 SEPTIC ARTHRITIS WITH CC $24,395 $17,077 $21,443 +14% $20,938 +17% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,384 $17,069 $24,584 −1% $23,723 +3% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $24,076 $16,853 $30,881 −22% $16,719 +44% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $24,047 $16,833 $32,101 −25% $11,633 +107% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $24,036 $16,825 $12,483 +93% $12,279 +96% —
152 OTITIS MEDIA AND URI WITH MCC $24,032 $16,822 $21,031 +14% $19,795 +21% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $23,951 $16,766 $10,052 +138% $11,955 +100% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $23,915 $16,740 $10,007 +139% $13,384 +79% —
779 ABORTION WITHOUT D&C $23,769 $16,638 $16,608 +43% $15,327 +55% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $23,714 $16,600 $13,647 +74% $15,858 +50% —
137 MOUTH PROCEDURES WITH CC/MCC $23,672 $16,571 $25,027 −5% $24,348 −3% —
313 CHEST PAIN $23,159 $16,211 $12,945 +79% $15,962 +45% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $23,128 $16,189 $17,221 +34% $18,238 +27% —
153 OTITIS MEDIA AND URI WITHOUT MCC $22,980 $16,086 $13,092 +76% $14,473 +59% —
593 SKIN ULCERS WITH CC $22,972 $16,080 $21,685 +6% $20,470 +12% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $22,859 $16,001 $19,049 +20% $17,226 +33% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $22,684 $15,879 $11,586 +96% $14,208 +60% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $22,624 $15,837 $12,425 +82% $14,441 +57% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $22,534 $15,774 $23,035 −2% $21,029 +7% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $22,177 $15,524 $12,627 +76% $15,072 +47% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $21,998 $15,398 $11,045 +99% $10,975 +100% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $21,500 $15,050 $11,588 +86% $14,128 +52% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $20,110 $14,077 $16,905 +19% $7,961 +153% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $19,975 $13,982 $11,126 +80% $12,013 +66% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $19,846 $13,892 $13,278 +49% $13,282 +49% —
881 DEPRESSIVE NEUROSES $19,714 $13,800 $16,151 +22% $15,058 +31% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $19,494 $13,646 $13,270 +47% $12,895 +51% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $19,202 $13,441 $14,687 +31% $15,876 +21% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $18,852 $13,196 $15,884 +19% $17,928 +5% —
197 INTERSTITIAL LUNG DISEASE WITH CC $18,667 $13,067 $17,826 +5% $20,106 −7% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $18,365 $12,856 $12,363 +49% $14,012 +31% —
151 EPISTAXIS WITHOUT MCC $17,683 $12,378 $13,676 +29% $13,032 +36% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,147 $12,003 $14,132 +21% $14,861 +15% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $16,695 $11,686 $25,404 −34% $22,525 −26% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $16,471 $11,529 $9,285 +77% $9,076 +81% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $16,134 $11,294 $12,809 +26% $12,381 +30% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,781 $11,047 $27,624 −43% $29,371 −46% —
533 FRACTURES OF FEMUR WITH MCC $14,925 $10,448 $27,915 −47% $25,945 −42% —
311 ANGINA PECTORIS $14,740 $10,318 $12,473 +18% $15,165 −3% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,106 $9,174 $14,452 −9% $18,150 −28% —
916 ALLERGIC REACTIONS WITHOUT MCC $12,385 $8,670 $11,856 +4% $13,890 −11% —
795 NORMAL NEWBORN $6,005 $4,203 $3,734 +61% $4,530 +33% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,087 $3,561 $18,607 −73% $17,550 −71% —