Charleston Area Medical Center — Pricing

711 procedures published in this hospital's Machine-Readable File (MRF) — 711 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 711
Lowest published price $6,791
Average published price $115,454
Highest published price $880,257

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 711 procedures

Published charges

Showing all 711 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 154 procedures, this hospital's negotiated rates average ≈796% of what Medicare pays.

DRG Description Published price Cash price vs. WV median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $880,257 $880,257 $880,257 — $461,389 +91% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $713,085 $713,085 $406,682 — $371,366 +92% ≈676% of Medicare
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $563,569 $563,569 $473,128 — $144,774 +289% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $549,254 $549,254 $549,254 — $188,171 +192% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $520,449 $520,449 $520,449 — $101,576 +412% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $511,008 $511,008 $511,008 — $196,346 +160% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $509,793 $509,793 $509,793 — $121,563 +319% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $482,459 $482,459 $353,537 — $208,939 +131% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $480,774 $480,774 $310,280 — $248,521 +93% ≈520% of Medicare
231 CORONARY BYPASS WITH PTCA WITH MCC $478,686 $478,686 $478,686 — $147,227 +225% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $474,569 $474,569 $474,569 — $71,551 +563% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $460,372 $460,372 $460,372 — $103,455 +345% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $455,074 $455,074 $455,074 — $143,242 +218% ≈933% of Medicare
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $454,965 $454,965 $454,965 — $56,242 +709% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOMMADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $438,385 $438,385 $444,498 — $142,326 +208% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $438,083 $438,083 $269,754 — $62,583 +600% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $427,107 $427,107 $427,107 — $96,192 +344% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $426,504 $426,504 $426,504 — $123,995 +244% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOMMADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $416,950 $416,950 $416,950 — $99,943 +317% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $416,664 $416,664 $416,664 — $62,300 +569% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $415,752 $415,752 $415,752 — $52,908 +686% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $412,811 $412,811 $412,811 — $86,970 +375% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $405,386 $405,386 $405,386 — $144,569 +180% ≈751% of Medicare
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $398,840 $398,840 $360,916 — $125,242 +218% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $387,995 $387,995 $227,871 — $59,594 +551% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $375,886 $375,886 $279,819 — $75,103 +400% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $370,687 $370,687 $301,034 — $120,573 +207% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $362,802 $362,802 $265,089 — $132,794 +173% —
849 RADIOTHERAPY $362,427 $362,427 $362,427 — $37,862 +857% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $360,311 $360,311 $360,311 — $115,839 +211% —
652 KIDNEY TRANSPLANT $356,817 $356,817 $356,817 — $54,720 +552% ≈1572% of Medicare
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $348,787 $348,787 $348,787 — $90,401 +286% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $348,661 $348,661 $348,661 — $111,320 +213% ≈816% of Medicare
028 SPINAL PROCEDURES WITH MCC $337,444 $337,444 $281,126 — $113,077 +198% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $330,017 $330,017 $330,017 — $112,062 +194% ≈793% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $326,605 $326,605 $245,198 — $93,390 +250% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $318,610 $318,610 $318,610 — $113,855 +180% ≈634% of Medicare
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $316,679 $316,679 $316,679 — $26,510 +1095% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $314,500 $314,500 $314,500 — $102,573 +207% ≈823% of Medicare
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $312,984 $312,984 $312,984 — $148,686 +110% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $310,768 $310,768 $211,518 — $93,238 +233% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $309,400 $309,400 $309,400 — $153,282 +102% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $308,128 $308,128 $308,128 — $106,057 +191% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $306,228 $306,228 $306,228 — $79,836 +284% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $303,262 $303,262 $303,262 — $102,128 +197% —
653 MAJOR BLADDER PROCEDURES WITH MCC $301,779 $301,779 $301,779 — $104,583 +189% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $301,203 $301,203 $222,021 — $99,423 +203% ≈673% of Medicare
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOMMADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $291,548 $291,548 $217,685 — $126,098 +131% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $289,608 $289,608 $181,917 — $89,207 +225% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $284,936 $284,936 $213,195 — $107,355 +165% —
471 CERVICAL SPINAL FUSION WITH MCC $282,851 $282,851 $191,378 — $92,515 +206% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $282,019 $282,019 $216,635 — $101,618 +178% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $281,804 $281,804 $281,804 — $35,849 +686% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $276,841 $276,841 $276,841 — $90,331 +206% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $274,267 $274,267 $274,267 — $92,217 +197% ≈784% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $273,956 $273,956 $168,880 — $131,961 +108% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $267,749 $267,749 $216,508 — $148,832 +80% ≈600% of Medicare
503 FOOT PROCEDURES WITH MCC $263,811 $263,811 $263,811 — $47,540 +455% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $261,466 $261,466 $177,735 — $65,216 +301% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $256,897 $256,897 $180,109 — $85,159 +202% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $254,093 $254,093 $254,093 — $66,711 +281% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $253,461 $253,461 $211,606 — $101,510 +150% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $248,729 $248,729 $248,729 — $82,247 +202% ≈1011% of Medicare
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $247,636 $247,636 $172,818 — $93,172 +166% ≈700% of Medicare
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $246,703 $246,703 $246,703 — $47,945 +415% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $245,301 $245,301 $245,301 — $48,687 +404% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $244,942 $244,942 $140,018 +75% $87,761 +179% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $243,681 $243,681 $190,369 — $90,775 +168% ≈697% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $242,541 $242,541 $185,610 — $81,998 +196% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $240,863 $240,863 $240,863 — $88,307 +173% ≈852% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $240,104 $240,104 $240,104 — $60,098 +300% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $239,205 $239,205 $239,205 — $106,778 +124% ≈696% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $236,724 $236,724 $236,724 — $47,789 +395% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $236,439 $236,439 $236,439 — $61,832 +282% —
500 SOFT TISSUE PROCEDURES WITH MCC $232,877 $232,877 $170,438 — $61,872 +276% —
163 MAJOR CHEST PROCEDURES WITH MCC $231,413 $231,413 $213,446 — $90,195 +157% ≈634% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $230,989 $230,989 $177,447 — $96,905 +138% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $230,708 $230,708 $196,634 — $116,058 +99% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $225,579 $225,579 $195,658 — $117,280 +92% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $224,334 $224,334 $163,051 — $96,507 +132% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $223,489 $223,489 $223,489 +0% $80,793 +177% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $221,846 $221,846 $221,846 — $72,962 +204% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $218,196 $218,196 $218,196 — $182,314 +20% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $216,316 $216,316 $164,741 — $88,050 +146% ≈703% of Medicare
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $216,045 $216,045 $216,045 — $59,031 +266% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $214,690 $214,690 $144,401 — $72,424 +196% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $212,524 $212,524 $212,524 — $65,608 +224% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $212,155 $212,155 $179,780 — $91,329 +132% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $211,777 $211,777 $144,002 — $40,362 +425% —
668 TRANSURETHRAL PROCEDURES WITH MCC $211,145 $211,145 $149,417 — $51,608 +309% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $210,130 $210,130 $170,054 — $84,692 +148% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $209,743 $209,743 $209,743 — $73,120 +187% —
799 SPLENIC PROCEDURES WITH MCC $208,312 $208,312 $208,312 — $82,218 +153% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $207,993 $207,993 $167,838 — $82,561 +152% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $207,691 $207,691 $207,691 — $67,268 +209% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $207,098 $207,098 $140,727 — $51,953 +299% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $205,851 $205,851 $205,851 — $48,358 +326% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $205,282 $205,282 $192,406 — $61,217 +235% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $203,483 $203,483 $168,936 — $71,014 +187% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $202,621 $202,621 $202,621 — $78,852 +157% ≈662% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $200,264 $200,264 $140,071 — $79,116 +153% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $200,119 $200,119 $226,290 — $62,821 +219% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CCMCC $196,929 $196,929 $158,770 — $105,899 +86% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $196,261 $196,261 $196,261 — $74,257 +164% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $192,064 $192,064 $153,611 — $70,564 +172% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $191,775 $191,775 $191,775 — $35,831 +435% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $191,057 $191,057 $113,921 — $79,225 +141% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $190,891 $190,891 $188,386 — $58,707 +225% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $190,180 $190,180 $113,512 — $40,548 +369% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $189,228 $189,228 $150,429 — $68,653 +176% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $188,294 $188,294 $39,978 +371% $61,470 +206% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $188,243 $188,243 $188,243 — $85,566 +120% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $188,046 $188,046 $188,046 — $65,573 +187% ≈825% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $187,273 $187,273 $187,273 — $90,724 +106% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $186,684 $186,684 $121,384 — $71,795 +160% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $186,278 $186,278 $132,071 — $66,685 +179% —
037 EXTRACRANIAL PROCEDURES WITH MCC $185,177 $185,177 $141,841 — $66,666 +178% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $184,055 $184,055 $159,850 — $69,743 +164% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $183,757 $183,757 $148,547 — $75,573 +143% ≈680% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $183,479 $183,479 $141,056 — $63,928 +187% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $183,102 $183,102 $127,571 — $77,990 +135% ≈676% of Medicare
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $182,751 $182,751 $182,751 — $33,454 +446% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $181,708 $181,708 $120,793 — $49,710 +266% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $181,528 $181,528 $167,874 — $71,464 +154% ≈905% of Medicare
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $181,249 $181,249 $181,249 — $71,092 +155% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $178,790 $178,790 $105,492 — $41,608 +330% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $178,237 $178,237 $178,237 — $64,523 +176% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $176,755 $176,755 $121,602 — $49,418 +258% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $176,060 $176,060 $176,060 — $43,174 +308% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $176,036 $176,036 $176,036 — $56,964 +209% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $175,510 $175,510 $146,035 — $55,162 +218% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $175,089 $175,089 $175,089 — $102,600 +71% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $174,884 $174,884 $95,565 — $80,018 +119% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $174,241 $174,241 $116,360 — $40,562 +330% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $173,084 $173,084 $172,275 — $70,132 +147% ≈740% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $172,745 $172,745 $124,601 — $76,001 +127% ≈579% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $170,944 $170,944 $127,682 — $60,170 +184% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $170,269 $170,269 $170,269 — $66,848 +155% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $170,155 $170,155 $170,155 — $42,186 +303% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $169,920 $169,920 $210,662 — $77,817 +118% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $168,905 $168,905 $140,527 — $81,706 +107% ≈828% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $168,764 $168,764 $112,993 — $58,274 +190% —
252 OTHER VASCULAR PROCEDURES WITH MCC $167,654 $167,654 $143,372 — $68,508 +145% ≈781% of Medicare
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $166,760 $166,760 $122,323 — $66,068 +152% ≈693% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $165,727 $165,727 $106,826 — $27,233 +509% —
825 LYMPHOMA AND NONACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $165,541 $165,541 $165,541 — $27,323 +506% —
472 CERVICAL SPINAL FUSION WITH CC $164,302 $164,302 $122,998 — $59,537 +176% ≈897% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $164,222 $164,222 $117,220 — $58,228 +182% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $163,671 $163,671 $124,525 — $54,583 +200% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $163,260 $163,260 $105,505 — $65,325 +150% ≈656% of Medicare
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $163,190 $163,190 $163,190 — $74,755 +118% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $162,679 $162,679 $100,565 — $55,289 +194% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $162,404 $162,404 $102,716 — $43,650 +272% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $161,437 $161,437 $144,226 — $65,788 +145% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $159,844 $159,844 $126,761 — $59,790 +167% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $159,580 $159,580 $159,580 — $37,267 +328% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $159,107 $159,107 $133,903 — $50,618 +214% —
245 AICD GENERATOR PROCEDURES $157,848 $157,848 $157,848 — $72,076 +119% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $157,801 $157,801 $111,560 — $51,985 +204% ≈738% of Medicare
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $153,085 $153,085 $122,543 — $58,745 +161% —
097 NONBACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $152,753 $152,753 $152,753 — $59,533 +157% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $152,329 $152,329 $98,351 — $30,010 +408% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $152,280 $152,280 $93,879 — $32,574 +367% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $152,104 $152,104 $152,104 — $46,066 +230% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $151,651 $151,651 $145,640 — $76,219 +99% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $151,024 $151,024 $83,220 — $70,847 +113% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $150,810 $150,810 $113,368 — $44,139 +242% —
374 DIGESTIVE MALIGNANCY WITH MCC $150,723 $150,723 $103,912 — $39,958 +277% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $150,389 $150,389 $116,043 — $44,546 +238% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $150,055 $150,055 $150,055 — $29,079 +416% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $148,645 $148,645 $113,753 — $70,467 +111% ≈747% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $147,794 $147,794 $117,137 — $71,755 +106% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $146,592 $146,592 $135,350 — $65,653 +123% ≈779% of Medicare
800 SPLENIC PROCEDURES WITH CC $145,961 $145,961 $106,532 — $49,184 +197% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $145,329 $145,329 $124,197 — $49,839 +192% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $145,268 $145,268 $145,268 — $22,620 +542% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $145,136 $145,136 $145,136 — $34,906 +316% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $144,744 $144,744 $144,744 — $39,018 +271% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $143,883 $143,883 $112,828 — $53,864 +167% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $143,833 $143,833 $143,833 — $37,844 +280% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $143,367 $143,367 $143,367 — $34,434 +316% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $141,274 $141,274 $141,274 — $50,919 +177% —
164 MAJOR CHEST PROCEDURES WITH CC $140,422 $140,422 $140,422 — $56,755 +147% ≈834% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $138,982 $138,982 $118,905 — $57,454 +142% ≈920% of Medicare
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $138,173 $138,173 $125,223 — $68,639 +101% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $137,649 $137,649 $110,454 — $52,036 +165% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $136,598 $136,598 $69,273 — $29,611 +361% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $136,430 $136,430 $136,430 — $48,349 +182% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $135,249 $135,249 $135,249 — $50,624 +167% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $133,770 $133,770 $133,770 — $46,724 +186% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $133,386 $133,386 $87,343 — $36,792 +263% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $132,955 $132,955 $119,525 — $45,877 +190% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $132,810 $132,810 $93,304 — $27,426 +384% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $132,281 $132,281 $104,719 — $43,491 +204% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $130,925 $130,925 $130,925 — $46,727 +180% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $130,519 $130,519 $99,513 — $59,651 +119% ≈876% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $128,803 $128,803 $128,803 — $42,795 +201% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $128,753 $128,753 $109,541 — $38,836 +232% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $127,500 $127,500 $93,256 — $48,682 +162% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $127,208 $127,208 $127,208 — $43,080 +195% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $126,030 $126,030 $97,932 — $42,914 +194% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $125,584 $125,584 $93,938 — $49,066 +156% ≈777% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $125,486 $125,486 $98,443 — $39,619 +217% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $124,861 $124,861 $124,250 — $46,453 +169% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $124,223 $124,223 $124,223 — $50,046 +148% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $124,206 $124,206 $95,571 — $32,443 +283% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $123,830 $123,830 $124,193 — $59,629 +108% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $123,655 $123,655 $105,812 — $53,451 +131% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $123,545 $123,545 $99,265 — $47,737 +159% —
505 FOOT PROCEDURES WITHOUT CC/MCC $123,260 $123,260 $83,968 — $34,937 +253% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $123,055 $123,055 $90,307 — $70,177 +75% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $123,036 $123,036 $94,833 — $52,178 +136% ≈672% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $122,893 $122,893 $83,778 — $33,047 +272% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $122,106 $122,106 $122,106 — $40,060 +205% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $121,911 $121,911 $121,911 — $50,498 +141% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $120,916 $120,916 $73,260 — $46,402 +161% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $120,904 $120,904 $120,904 — $32,031 +277% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $120,539 $120,539 $101,182 — $59,421 +103% ≈765% of Medicare
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $120,374 $120,374 $120,374 — $49,351 +144% —
504 FOOT PROCEDURES WITH CC $120,203 $120,203 $88,195 — $38,960 +209% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $119,266 $119,266 $82,973 — $36,354 +228% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $119,118 $119,118 $109,968 — $59,500 +100% ≈832% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $118,981 $118,981 $118,981 — $54,562 +118% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $118,403 $118,403 $118,403 — $39,515 +200% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $117,969 $117,969 $55,062 +114% $45,333 +160% ≈587% of Medicare
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $117,585 $117,585 $102,384 — $34,276 +243% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $117,291 $117,291 $99,007 — $58,809 +99% ≈1022% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $116,820 $116,820 $116,820 — $36,670 +219% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $116,449 $116,449 $83,271 — $42,881 +172% ≈885% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $115,814 $115,814 $87,709 — $52,751 +120% ≈858% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $115,137 $115,137 $86,071 — $46,295 +149% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $115,104 $115,104 $115,104 — $51,746 +122% —
336 PERITONEAL ADHESIOLYSIS WITH CC $114,319 $114,319 $114,319 — $50,463 +127% ≈842% of Medicare
665 PROSTATECTOMY WITH MCC $114,009 $114,009 $114,009 — $54,072 +111% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $113,362 $113,362 $84,938 — $58,280 +95% ≈832% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $112,591 $112,591 $112,591 — $25,197 +347% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $112,244 $112,244 $112,244 — $36,988 +203% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $112,241 $112,241 $66,259 — $39,973 +181% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $112,214 $112,214 $79,143 — $23,443 +379% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $111,806 $111,806 $111,806 — $29,316 +281% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $111,065 $111,065 $74,655 — $62,264 +78% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $111,028 $111,028 $78,238 — $38,666 +187% ≈728% of Medicare
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $110,804 $110,804 $110,804 — $46,340 +139% ≈998% of Medicare
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $110,013 $110,013 $84,959 — $43,631 +152% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $108,496 $108,496 $117,649 — $43,538 +149% ≈858% of Medicare
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $108,307 $108,307 $108,307 — $41,422 +161% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $107,997 $107,997 $87,057 — $34,459 +213% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $107,721 $107,721 $107,721 — $42,906 +151% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $107,257 $107,257 $79,617 — $39,955 +168% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $106,772 $106,772 $106,772 — $54,929 +94% —
397 APPENDIX PROCEDURES WITH MCC $106,102 $106,102 $90,409 — $53,257 +99% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $106,088 $106,088 $106,088 — $29,916 +255% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $105,602 $105,602 $80,834 — $41,892 +152% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $105,497 $105,497 $80,476 — $50,394 +109% —
813 COAGULATION DISORDERS $105,410 $105,410 $72,970 — $33,296 +217% —
038 EXTRACRANIAL PROCEDURES WITH CC $104,968 $104,968 $79,901 — $35,770 +193% ≈1020% of Medicare
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $104,687 $104,687 $104,687 — $17,483 +499% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $104,516 $104,516 $74,797 — $46,090 +127% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $104,222 $104,222 $81,541 — $46,283 +125% ≈675% of Medicare
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $103,949 $103,949 $62,725 — $31,159 +234% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $103,795 $103,795 $77,568 — $37,950 +174% —
570 SKIN DEBRIDEMENT WITH MCC $103,592 $103,592 $47,801 +117% $52,435 +98% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $103,562 $103,562 $56,588 — $32,877 +215% —
150 EPISTAXIS WITH MCC $103,547 $103,547 $92,636 — $23,171 +347% —
539 OSTEOMYELITIS WITH MCC $103,374 $103,374 $65,462 — $37,609 +175% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $103,230 $103,230 $94,187 — $49,423 +109% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $102,872 $102,872 $74,652 — $39,106 +163% ≈804% of Medicare
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $102,821 $102,821 $102,821 — $17,737 +480% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $101,821 $101,821 $74,406 — $37,842 +169% ≈851% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $101,340 $101,340 $87,914 — $52,405 +93% ≈625% of Medicare
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $100,816 $100,816 $84,048 — $50,011 +102% ≈649% of Medicare
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $100,231 $100,231 $59,995 — $41,620 +141% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $99,490 $99,490 $71,703 — $39,181 +154% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $99,132 $99,132 $76,734 — $50,607 +96% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $99,131 $99,131 $78,979 — $50,139 +98% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $99,074 $99,074 $83,886 — $43,943 +125% ≈692% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $98,596 $98,596 $76,379 — $40,213 +145% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $98,479 $98,479 $101,350 — $40,552 +143% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $98,279 $98,279 $95,895 — $43,298 +127% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $97,655 $97,655 $97,655 — $77,055 +27% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $97,365 $97,365 $97,365 — $45,167 +116% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $96,999 $96,999 $96,999 — $36,489 +166% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $96,988 $96,988 $96,988 — $29,949 +224% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $96,753 $96,753 $63,037 — $20,727 +367% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $96,396 $96,396 $76,795 — $47,711 +102% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $96,360 $96,360 $86,265 — $40,694 +137% ≈703% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $96,309 $96,309 $79,676 — $44,606 +116% ≈961% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $96,178 $96,178 $64,202 — $33,876 +184% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $95,891 $95,891 $95,271 — $40,642 +136% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $95,331 $95,331 $79,097 — $39,211 +143% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $95,311 $95,311 $95,311 — $40,108 +138% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $94,991 $94,991 $49,819 — $16,351 +481% —
533 FRACTURES OF FEMUR WITH MCC $94,947 $94,947 $73,755 — $25,945 +266% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $94,698 $94,698 $94,560 — $43,913 +116% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $94,588 $94,588 $66,166 — $37,240 +154% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $94,432 $94,432 $94,432 — $25,581 +269% —
265 AICD LEAD PROCEDURES $94,047 $94,047 $98,153 — $63,171 +49% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $93,846 $93,846 $22,838 +311% $33,555 +180% ≈915% of Medicare
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $93,655 $93,655 $93,655 — $40,365 +132% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $93,604 $93,604 $39,154 +139% $35,628 +163% ≈719% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $93,338 $93,338 $121,657 — $33,048 +182% —
606 MINOR SKIN DISORDERS WITH MCC $93,199 $93,199 $68,678 — $27,975 +233% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $93,009 $93,009 $93,009 — $19,354 +381% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $92,155 $92,155 $62,939 — $32,628 +182% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $90,694 $90,694 $67,029 — $36,431 +149% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $90,665 $90,665 $104,473 — $70,371 +29% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $90,592 $90,592 $66,863 — $31,563 +187% —
949 AFTERCARE WITH CC/MCC $90,592 $90,592 $90,592 — $23,953 +278% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $90,345 $90,345 $80,340 — $38,094 +137% ≈790% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $90,030 $90,030 $90,030 — $39,173 +130% —
375 DIGESTIVE MALIGNANCY WITH CC $89,717 $89,717 $35,399 +153% $27,277 +229% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $89,606 $89,606 $73,524 — $43,477 +106% —
669 TRANSURETHRAL PROCEDURES WITH CC $89,332 $89,332 $89,332 — $34,354 +160% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $88,915 $88,915 $88,915 — $24,544 +262% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $88,811 $88,811 $88,811 +0% $44,117 +101% ≈830% of Medicare
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $88,658 $88,658 $88,658 — $58,043 +53% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $88,629 $88,629 $61,158 — $33,653 +163% —
180 RESPIRATORY NEOPLASMS WITH MCC $88,627 $88,627 $61,442 — $36,658 +142% ≈751% of Medicare
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $88,563 $88,563 $70,672 — $38,101 +132% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $88,425 $88,425 $75,115 — $47,583 +86% —
181 RESPIRATORY NEOPLASMS WITH CC $88,398 $88,398 $61,080 — $23,573 +275% —
598 MALIGNANT BREAST DISORDERS WITH CC $87,991 $87,991 $53,261 — $19,073 +361% —
334 RECTAL RESECTION WITHOUT CC/MCC $87,732 $87,732 $87,732 — $36,820 +138% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $87,604 $87,604 $73,702 — $41,955 +109% ≈860% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $87,503 $87,503 $30,371 +188% $33,985 +157% ≈721% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $87,483 $87,483 $87,483 — $27,861 +214% —
919 COMPLICATIONS OF TREATMENT WITH MCC $87,351 $87,351 $57,579 — $31,105 +181% ≈635% of Medicare
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $87,178 $87,178 $63,534 — $15,764 +453% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $86,908 $86,908 $79,658 — $33,633 +158% —
186 PLEURAL EFFUSION WITH MCC $86,875 $86,875 $65,254 — $33,834 +157% ≈659% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $86,536 $86,536 $86,536 — $24,586 +252% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $86,362 $86,362 $86,362 — $30,418 +184% —
906 HAND PROCEDURES FOR INJURIES $86,159 $86,159 $56,129 — $32,065 +169% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $86,016 $86,016 $86,016 — $42,901 +100% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $85,631 $85,631 $59,012 — $36,249 +136% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $85,447 $85,447 $85,447 — $36,253 +136% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $85,417 $85,417 $55,823 — $32,496 +163% ≈802% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $85,386 $85,386 $85,386 — $32,433 +163% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $85,354 $85,354 $72,326 — $26,618 +221% ≈1129% of Medicare
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $85,189 $85,189 $85,189 — $30,553 +179% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $84,795 $84,795 $63,445 — $31,017 +173% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $84,287 $84,287 $84,287 +0% $39,006 +116% ≈870% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $84,261 $84,261 $58,821 — $30,828 +173% ≈756% of Medicare
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $84,005 $84,005 $65,011 — $32,944 +155% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $83,845 $83,845 $60,400 — $27,543 +204% ≈1008% of Medicare
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $83,806 $83,806 $83,806 — $25,703 +226% —
811 RED BLOOD CELL DISORDERS WITH MCC $83,743 $83,743 $50,305 +66% $28,226 +197% ≈934% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $83,391 $83,391 $90,885 — $41,591 +101% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $83,169 $83,169 $70,138 — $39,020 +113% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $83,003 $83,003 $57,385 — $52,075 +59% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $82,364 $82,364 $104,951 — $37,387 +120% —
199 PNEUMOTHORAX WITH MCC $82,310 $82,310 $88,079 — $33,787 +144% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $82,273 $82,273 $82,273 — $32,451 +154% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $81,968 $81,968 $58,441 — $19,854 +313% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $81,926 $81,926 $81,926 — $19,815 +313% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $81,832 $81,832 $81,832 — $34,607 +136% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $81,820 $81,820 $65,245 — $25,279 +224% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $81,705 $81,705 $81,705 — $35,419 +131% —
643 ENDOCRINE DISORDERS WITH MCC $81,625 $81,625 $56,721 — $33,563 +143% ≈797% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $81,266 $81,266 $52,405 — $17,601 +362% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $81,115 $81,115 $54,057 — $34,273 +137% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $81,004 $81,004 $48,934 — $19,657 +312% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $80,600 $80,600 $48,112 — $34,749 +132% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $80,290 $80,290 $80,290 — $35,453 +126% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $80,056 $80,056 $97,887 — $35,465 +126% —
551 MEDICAL BACK PROBLEMS WITH MCC $79,703 $79,703 $56,852 — $34,017 +134% —
602 CELLULITIS WITH MCC $79,411 $79,411 $50,631 — $30,598 +160% ≈717% of Medicare
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $79,174 $79,174 $62,490 — $32,859 +141% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $79,170 $79,170 $79,170 — $28,140 +181% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $79,042 $79,042 $79,042 — $29,805 +165% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $78,924 $78,924 $78,924 — $25,712 +207% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $78,818 $78,818 $78,818 — $30,493 +158% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $78,817 $78,817 $49,356 — $23,319 +238% ≈1189% of Medicare
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $78,635 $78,635 $63,130 — $35,692 +120% —
592 SKIN ULCERS WITH MCC $78,488 $78,488 $64,785 — $33,246 +136% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $78,322 $78,322 $78,322 — $31,170 +151% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $78,256 $78,256 $51,589 — $29,221 +168% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $77,999 $77,999 $55,680 — $27,316 +186% —
548 SEPTIC ARTHRITIS WITH MCC $77,632 $77,632 $77,632 — $31,346 +148% —
348 ANAL AND STOMAL PROCEDURES WITH CC $77,232 $77,232 $61,929 — $27,947 +176% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $76,503 $76,503 $76,503 — $30,770 +149% —
302 ATHEROSCLEROSIS WITH MCC $76,196 $76,196 $55,342 — $22,446 +239% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $76,140 $76,140 $36,937 +106% $24,944 +205% —
682 RENAL FAILURE WITH MCC $75,913 $75,913 $52,684 — $29,064 +161% ≈787% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $75,583 $75,583 $75,583 — $25,034 +202% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $75,562 $75,562 $58,437 — $31,951 +136% ≈627% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $75,383 $75,383 $64,820 — $33,255 +127% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $75,168 $75,168 $75,168 — $32,697 +130% —
947 SIGNS AND SYMPTOMS WITH MCC $75,099 $75,099 $46,127 — $27,401 +174% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $75,089 $75,089 $75,089 — $19,598 +283% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $75,035 $75,035 $51,188 — $30,959 +142% ≈738% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $74,989 $74,989 $74,989 — $32,841 +128% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $74,866 $74,866 $74,866 — $18,150 +312% —
666 PROSTATECTOMY WITH CC $74,794 $74,794 $74,794 — $31,906 +134% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $74,784 $74,784 $71,182 +5% $33,707 +122% ≈684% of Medicare
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $74,724 $74,724 $57,724 — $35,584 +110% —
571 SKIN DEBRIDEMENT WITH CC $74,634 $74,634 $59,236 — $37,169 +101% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $74,267 $74,267 $54,083 — $33,851 +119% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $73,902 $73,902 $73,902 — $27,297 +171% —
183 MAJOR CHEST TRAUMA WITH MCC $73,882 $73,882 $59,300 — $29,933 +147% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $73,641 $73,641 $73,641 — $19,119 +285% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $73,493 $73,493 $44,667 — $24,127 +205% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $73,306 $73,306 $65,357 — $36,937 +98% ≈897% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $73,279 $73,279 $73,279 — $28,156 +160% —
100 SEIZURES WITH MCC $73,170 $73,170 $53,597 — $35,481 +106% ≈595% of Medicare
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $73,157 $73,157 $73,157 — $32,833 +123% —
637 DIABETES WITH MCC $72,576 $72,576 $49,059 — $30,100 +141% ≈794% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $72,317 $72,317 $32,192 +125% $25,463 +184% ≈897% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $72,130 $72,130 $72,130 — $44,363 +63% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $71,731 $71,731 $71,731 — $26,948 +166% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $71,632 $71,632 $59,804 — $31,264 +129% ≈815% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $71,595 $71,595 $58,542 — $27,843 +157% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $71,543 $71,543 $63,835 — $33,393 +114% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $71,512 $71,512 $54,079 — $25,094 +185% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $71,278 $71,278 $42,822 — $24,566 +190% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $70,808 $70,808 $69,562 — $22,393 +216% —
709 PENIS PROCEDURES WITH CC/MCC $70,724 $70,724 $70,724 — $34,535 +105% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $70,686 $70,686 $52,222 — $30,502 +132% ≈759% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $70,621 $70,621 $70,621 — $38,070 +86% —
711 TESTES PROCEDURES WITH CCMCC $70,617 $70,617 $53,154 — $38,343 +84% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $70,215 $70,215 $52,245 — $26,682 +163% ≈620% of Medicare
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $69,802 $69,802 $69,802 — $30,083 +132% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $69,710 $69,710 $62,880 — $24,552 +184% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $69,657 $69,657 $64,529 — $29,743 +134% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $69,348 $69,348 $30,509 +127% $26,770 +159% ≈924% of Medicare
951 OTHER FACTORS INFLUENCING HEALTH STATUS $69,227 $69,227 $11,027 +528% $10,160 +581% —
398 APPENDIX PROCEDURES WITH CC $68,998 $68,998 $68,454 +1% $40,162 +72% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $68,953 $68,953 $52,169 — $34,192 +102% ≈612% of Medicare
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $68,175 $68,175 $68,175 — $25,073 +172% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $68,131 $68,131 $55,625 — $42,126 +62% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $68,013 $68,013 $65,614 — $36,505 +86% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $67,992 $67,992 $67,992 — $28,320 +140% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $67,915 $67,915 $67,915 — $14,064 +383% —
291 HEART FAILURE AND SHOCK WITH MCC $67,791 $67,791 $28,099 +141% $26,776 +153% ≈777% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $67,493 $67,493 $67,493 — $54,196 +25% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $67,428 $67,428 $67,428 — $28,125 +140% —
380 COMPLICATED PEPTIC ULCER WITH MCC $67,366 $67,366 $53,928 — $39,627 +70% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $67,199 $67,199 $67,199 — $30,784 +118% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $67,190 $67,190 $55,621 +21% $23,749 +183% ≈976% of Medicare
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $66,940 $66,940 $56,881 — $33,424 +100% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $66,659 $66,659 $127,181 — $45,866 +45% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $65,939 $65,939 $51,481 — $23,551 +180% —
102 HEADACHES WITH MCC $65,734 $65,734 $44,420 — $25,740 +155% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $65,487 $65,487 $65,487 — $33,694 +94% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $65,427 $65,427 $41,187 — $21,847 +199% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $65,062 $65,062 $50,342 — $27,617 +136% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $65,045 $65,045 $79,634 — $25,748 +153% —
304 HYPERTENSION WITH MCC $64,678 $64,678 $52,525 — $26,080 +148% ≈902% of Medicare
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CCMCC $64,574 $64,574 $45,327 — $11,909 +442% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $64,339 $64,339 $64,339 — $35,569 +81% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $63,615 $63,615 $33,937 +87% $28,050 +127% ≈767% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $63,326 $63,326 $63,326 — $26,598 +138% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $63,277 $63,277 $46,623 — $23,940 +164% ≈1005% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $62,512 $62,512 $62,512 — $29,826 +110% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $62,433 $62,433 $46,784 — $22,148 +182% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $62,313 $62,313 $45,388 — $30,571 +104% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $62,234 $62,234 $48,153 — $30,235 +106% ≈634% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $61,692 $61,692 $51,464 — $17,698 +249% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $61,338 $61,338 $42,040 — $21,894 +180% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $61,263 $61,263 $47,158 — $23,617 +159% ≈866% of Medicare
595 MAJOR SKIN DISORDERS WITH MCC $61,211 $61,211 $61,211 — $34,598 +77% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $61,179 $61,179 $61,179 — $22,851 +168% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $61,128 $61,128 $40,430 — $17,700 +245% —
184 MAJOR CHEST TRAUMA WITH CC $61,006 $61,006 $47,831 — $22,432 +172% ≈1022% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $61,000 $61,000 $44,591 — $22,098 +176% ≈1041% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $60,814 $60,814 $48,515 — $32,021 +90% ≈973% of Medicare
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $60,760 $60,760 $60,760 — $24,550 +147% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $60,388 $60,388 $60,388 — $12,336 +390% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $60,324 $60,324 $60,324 — $25,652 +135% —
950 AFTERCARE WITHOUT CC/MCC $59,686 $59,686 $59,686 — $13,527 +341% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $59,526 $59,526 $47,885 — $27,163 +119% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $59,507 $59,507 $59,507 — $35,074 +70% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $59,472 $59,472 $46,595 — $27,152 +119% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $59,172 $59,172 $60,549 — $26,932 +120% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $59,164 $59,164 $64,331 — $27,394 +116% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $59,164 $59,164 $59,164 — $20,455 +189% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $59,110 $59,110 $59,110 — $28,202 +110% —
744 DC, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $59,012 $59,012 $59,012 — $38,861 +52% —
915 ALLERGIC REACTIONS WITH MCC $58,871 $58,871 $59,337 — $32,645 +80% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $58,798 $58,798 $58,798 — $33,674 +75% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $58,398 $58,398 $40,055 — $24,386 +139% ≈815% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $58,319 $58,319 $58,319 — $16,700 +249% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $58,220 $58,220 $50,978 — $25,970 +124% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $58,168 $58,168 $58,168 — $18,126 +221% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $57,977 $57,977 $45,558 — $27,285 +112% ≈656% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $57,756 $57,756 $51,076 — $27,808 +108% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $57,739 $57,739 $49,621 — $26,463 +118% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $57,587 $57,587 $57,587 — $20,566 +180% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $57,411 $57,411 $57,411 — $29,126 +97% —
663 MINOR BLADDER PROCEDURES WITH CC $57,368 $57,368 $57,368 — $33,103 +73% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $57,242 $57,242 $41,084 — $27,275 +110% ≈675% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $56,986 $56,986 $47,100 — $25,303 +125% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $56,918 $56,918 $44,339 — $20,463 +178% ≈1021% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $56,685 $56,685 $27,202 +108% $20,488 +177% ≈1061% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $56,639 $56,639 $90,381 — $33,661 +68% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $56,612 $56,612 $56,612 — $16,998 +233% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $56,428 $56,428 $56,428 — $89,353 −37% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $56,368 $56,368 $33,490 +68% $27,633 +104% —
506 MAJOR THUMB OR JOINT PROCEDURES $56,040 $56,040 $51,758 — $30,557 +83% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $56,033 $56,033 $35,407 +58% $26,580 +111% ≈742% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $55,880 $55,880 $37,753 — $21,275 +163% ≈752% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $55,763 $55,763 $58,672 — $27,043 +106% ≈693% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $55,620 $55,620 $44,369 — $39,887 +39% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $55,580 $55,580 $49,671 — $26,051 +113% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $55,283 $55,283 $65,531 — $22,458 +146% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $54,876 $54,876 $53,409 — $31,321 +75% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $54,739 $54,739 $22,579 +142% $21,449 +155% ≈972% of Medicare
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $54,608 $54,608 $54,608 — $13,586 +302% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $54,504 $54,504 $45,900 — $24,914 +119% ≈933% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $54,441 $54,441 $40,595 — $14,716 +270% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $54,329 $54,329 $69,819 — $29,524 +84% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $54,320 $54,320 $54,320 — $27,989 +94% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $54,318 $54,318 $38,962 — $32,637 +66% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $54,114 $54,114 $37,191 — $23,488 +130% ≈784% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $53,951 $53,951 $39,155 — $23,141 +133% ≈842% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $53,355 $53,355 $35,565 — $16,565 +222% —
916 ALLERGIC REACTIONS WITHOUT MCC $52,840 $52,840 $34,387 — $13,942 +279% —
381 COMPLICATED PEPTIC ULCER WITH CC $52,717 $52,717 $36,483 — $24,177 +118% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $52,527 $52,527 $52,527 — $18,072 +191% —
913 TRAUMATIC INJURY WITH MCC $52,259 $52,259 $52,259 — $24,198 +116% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $51,929 $51,929 $51,929 — $19,138 +171% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $51,794 $51,794 $36,925 — $17,921 +189% ≈1060% of Medicare
693 URINARY STONES WITH MCC $51,662 $51,662 $39,084 — $23,892 +116% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $51,517 $51,517 $57,549 — $17,934 +187% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $51,428 $51,428 $51,428 — $18,459 +179% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $51,109 $51,109 $51,109 — $16,552 +209% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $50,990 $50,990 $39,970 — $21,056 +142% ≈1093% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $50,865 $50,865 $37,738 — $22,888 +122% ≈794% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $50,799 $50,799 $30,461 — $20,926 +143% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $50,767 $50,767 $39,041 — $20,781 +144% ≈1337% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $50,481 $50,481 $38,470 — $22,033 +129% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $50,444 $50,444 $26,095 +93% $15,038 +235% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $50,271 $50,271 $45,070 — $16,968 +196% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $49,873 $49,873 $31,464 — $15,428 +223% —
644 ENDOCRINE DISORDERS WITH CC $49,511 $49,511 $32,595 — $23,198 +113% ≈1071% of Medicare
075 VIRAL MENINGITIS WITH CC/MCC $49,332 $49,332 $49,332 — $30,447 +62% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $49,221 $49,221 $33,225 — $18,602 +165% ≈1041% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $49,084 $49,084 $37,993 — $21,396 +129% ≈854% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $49,020 $49,020 $68,667 — $17,559 +179% —
292 HEART FAILURE AND SHOCK WITH CC $49,006 $49,006 $32,202 — $16,371 +199% —
187 PLEURAL EFFUSION WITH CC $48,929 $48,929 $26,775 — $21,789 +125% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $48,659 $48,659 $48,659 — $16,212 +200% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $48,271 $48,271 $48,271 — $26,870 +80% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $48,252 $48,252 $48,252 — $20,980 +130% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $47,919 $47,919 $47,919 — $24,941 +92% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $47,737 $47,737 $47,737 — $19,270 +148% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $47,056 $47,056 $32,713 — $20,181 +133% ≈775% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $46,977 $46,977 $33,126 — $20,895 +125% —
694 URINARY STONES WITHOUT MCC $46,940 $46,940 $35,735 — $17,345 +171% —
791 PREMATURITY WITH MAJOR PROBLEMS $46,879 $46,879 $28,756 — $42,679 +10% —
712 TESTES PROCEDURES WITHOUT CC/MCC $46,807 $46,807 $46,807 — $18,898 +148% —
158 DENTAL AND ORAL DISEASES WITH CC $46,740 $46,740 $31,803 — $18,466 +153% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $46,681 $46,681 $33,247 — $19,096 +144% ≈822% of Medicare
865 VIRAL ILLNESS WITH MCC $46,582 $46,582 $42,744 — $26,910 +73% —
312 SYNCOPE AND COLLAPSE $46,579 $46,579 $38,719 — $19,342 +141% ≈887% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $46,500 $46,500 $31,961 — $16,776 +177% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $46,423 $46,423 $39,570 — $14,689 +216% ≈1103% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $46,316 $46,316 $37,873 — $19,227 +141% ≈1080% of Medicare
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $46,129 $46,129 $31,961 — $14,014 +229% —
149 DYSEQUILIBRIUM $46,060 $46,060 $37,254 — $18,096 +155% —
593 SKIN ULCERS WITH CC $46,040 $46,040 $33,336 — $22,886 +101% —
176 PULMONARY EMBOLISM WITHOUT MCC $45,980 $45,980 $34,252 — $18,081 +154% ≈928% of Medicare
200 PNEUMOTHORAX WITH CC $45,972 $45,972 $38,887 — $21,368 +115% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $45,961 $45,961 $31,794 — $19,569 +135% —
745 DC, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $45,784 $45,784 $45,784 — $18,348 +150% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $45,700 $45,700 $35,747 — $22,850 +100% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $45,613 $45,613 $34,148 — $20,422 +123% ≈670% of Medicare
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $45,556 $45,556 $45,556 — $27,119 +68% —
089 CONCUSSION WITH CC $45,426 $45,426 $54,987 — $18,821 +141% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR DC WITH CC $45,415 $45,415 $40,878 — $19,962 +128% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $44,946 $44,946 $54,265 — $20,232 +122% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $44,728 $44,728 $32,783 — $19,842 +125% ≈810% of Medicare
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $44,439 $44,439 $30,566 — $12,460 +257% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $44,073 $44,073 $39,082 — $21,363 +106% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $43,966 $43,966 $36,825 — $18,807 +134% ≈917% of Medicare
683 RENAL FAILURE WITH CC $43,748 $43,748 $18,620 +135% $19,130 +129% ≈795% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $43,687 $43,687 $43,347 — $22,024 +98% ≈698% of Medicare
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $43,676 $43,676 $33,682 — $17,124 +155% —
638 DIABETES WITH CC $43,456 $43,456 $30,678 — $19,661 +121% ≈777% of Medicare
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $43,429 $43,429 $58,958 — $32,100 +35% —
313 CHEST PAIN $43,293 $43,293 $35,861 — $16,440 +163% ≈973% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $43,248 $43,248 $43,248 — $17,135 +152% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $43,212 $43,212 $36,436 — $19,924 +117% ≈763% of Medicare
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $43,115 $43,115 $43,115 — $15,549 +177% —
549 SEPTIC ARTHRITIS WITH CC $43,111 $43,111 $33,305 — $24,056 +79% —
157 DENTAL AND ORAL DISEASES WITH MCC $43,049 $43,049 $43,049 — $31,300 +38% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $43,014 $43,014 $31,332 +37% $18,488 +133% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $42,572 $42,572 $32,365 — $17,620 +142% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $42,542 $42,542 $27,621 — $12,999 +227% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $42,542 $42,542 $36,570 +16% $17,674 +141% ≈833% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $42,504 $42,504 $37,859 — $13,651 +211% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $42,461 $42,461 $42,461 — $19,412 +119% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $42,446 $42,446 $29,676 — $16,634 +155% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $42,316 $42,316 $33,282 — $17,322 +144% ≈900% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $42,242 $42,242 $37,041 — $16,288 +159% —
088 CONCUSSION WITH MCC $42,160 $42,160 $42,160 — $24,402 +73% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $41,917 $41,917 $35,127 — $22,635 +85% —
123 NEUROLOGICAL EYE DISORDERS $41,915 $41,915 $36,214 — $19,745 +112% —
305 HYPERTENSION WITHOUT MCC $41,792 $41,792 $26,310 +59% $18,086 +131% ≈979% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $41,752 $41,752 $29,255 — $22,763 +83% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $41,495 $41,495 $30,873 — $22,506 +84% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $41,215 $41,215 $32,911 — $17,298 +138% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $41,161 $41,161 $39,206 — $26,280 +57% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $40,640 $40,640 $40,640 — $20,911 +94% —
920 COMPLICATIONS OF TREATMENT WITH CC $40,621 $40,621 $34,275 — $22,468 +81% ≈577% of Medicare
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $40,525 $40,525 $40,525 — $22,525 +80% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $40,511 $40,511 $32,431 +25% $18,204 +123% ≈801% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $40,392 $40,392 $27,330 +48% $17,038 +137% ≈825% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $40,297 $40,297 $31,807 — $19,264 +109% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $40,237 $40,237 $37,348 — $19,305 +108% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $40,231 $40,231 $25,014 — $15,495 +160% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $40,228 $40,228 $40,228 — $19,686 +104% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $39,990 $39,990 $26,672 — $17,303 +131% ≈974% of Medicare
103 HEADACHES WITHOUT MCC $39,948 $39,948 $32,545 — $21,280 +88% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $39,691 $39,691 $27,835 — $15,183 +161% —
311 ANGINA PECTORIS $39,676 $39,676 $28,795 — $15,502 +156% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $39,513 $39,513 $29,314 — $17,118 +131% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $39,480 $39,480 $35,424 — $23,571 +67% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $39,397 $39,397 $29,843 — $17,578 +124% ≈821% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $39,358 $39,358 $55,271 — $43,800 −10% —
152 OTITIS MEDIA AND URI WITH MCC $39,161 $39,161 $25,980 — $20,247 +93% —
887 OTHER MENTAL DISORDER DIAGNOSES $38,924 $38,924 $38,924 — $20,616 +89% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $38,561 $38,561 $58,749 — $18,002 +114% ≈818% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $38,339 $38,339 $43,692 — $18,640 +106% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $38,321 $38,321 $31,062 — $18,133 +111% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $38,135 $38,135 $38,135 — $19,594 +95% —
540 OSTEOMYELITIS WITH CC $37,885 $37,885 $26,359 — $26,676 +42% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $37,797 $37,797 $62,687 — $38,878 −3% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $37,690 $37,690 $29,662 — $16,699 +126% ≈738% of Medicare
101 SEIZURES WITHOUT MCC $37,629 $37,629 $29,673 — $20,461 +84% ≈655% of Medicare
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $37,479 $37,479 $29,296 — $17,733 +111% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $37,372 $37,372 $26,705 +40% $14,128 +165% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $37,347 $37,347 $32,083 — $15,019 +149% —
603 CELLULITIS WITHOUT MCC $37,318 $37,318 $35,126 +6% $18,530 +101% ≈673% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $37,295 $37,295 $20,605 — $23,498 +59% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $36,650 $36,650 $25,708 — $25,700 +43% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $36,638 $36,638 $26,442 — $19,037 +92% —
667 PROSTATECTOMY WITHOUT CCMCC $36,555 $36,555 $54,887 — $16,703 +119% —
882 NEUROSES EXCEPT DEPRESSIVE $36,531 $36,531 $24,516 — $15,680 +133% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $36,486 $36,486 $56,712 — $20,506 +78% ≈682% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $36,369 $36,369 $26,032 — $21,941 +66% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $36,366 $36,366 $24,050 — $15,600 +133% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $36,171 $36,171 $23,078 — $18,649 +94% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR DC WITH MCC $35,972 $35,972 $28,681 — $15,370 +134% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR DC WITHOUT CC/MCC $35,807 $35,807 $32,121 — $18,452 +94% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $35,684 $35,684 $35,684 — $20,901 +71% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $35,669 $35,669 $24,699 — $18,528 +93% —
770 ABORTION WITH DC, ASPIRATION CURETTAGE OR HYSTEROTOMY $35,168 $35,168 $33,371 — $18,956 +86% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $35,115 $35,115 $22,160 — $14,368 +144% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $34,827 $34,827 $26,729 — $20,957 +66% —
684 RENAL FAILURE WITHOUT CC/MCC $34,238 $34,238 $20,060 +71% $13,642 +151% ≈937% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $33,648 $33,648 $26,514 — $14,927 +125% ≈756% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $33,596 $33,596 $21,480 — $16,767 +100% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $33,516 $33,516 $32,714 — $23,283 +44% —
914 TRAUMATIC INJURY WITHOUT MCC $33,311 $33,311 $22,914 — $15,855 +110% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $33,062 $33,062 $33,062 — $16,520 +100% ≈635% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $33,034 $33,034 $23,112 — $15,452 +114% ≈678% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $32,459 $32,459 $21,745 — $14,648 +122% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $32,246 $32,246 $33,347 — $19,846 +62% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $32,158 $32,158 $22,508 — $13,384 +140% ≈1008% of Medicare
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR DC $31,932 $31,932 $25,391 — $16,846 +90% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $31,791 $31,791 $33,991 — $30,243 +5% —
885 PSYCHOSES $31,775 $31,775 $30,999 — $21,729 +46% ≈371% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $31,758 $31,758 $30,895 — $20,084 +58% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $31,490 $31,490 $31,490 — $23,206 +36% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $31,023 $31,023 $24,234 — $18,126 +71% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $30,869 $30,869 $30,869 — $14,549 +112% —
935 NON-EXTENSIVE BURNS $30,649 $30,649 $37,843 — $31,701 −3% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $30,153 $30,153 $30,153 — $13,633 +121% —
607 MINOR SKIN DISORDERS WITHOUT MCC $29,988 $29,988 $24,908 — $15,889 +89% —
090 CONCUSSION WITHOUT CC/MCC $29,498 $29,498 $39,741 — $15,412 +91% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $29,376 $29,376 $13,106 +124% $13,361 +120% ≈933% of Medicare
639 DIABETES WITHOUT CC/MCC $29,135 $29,135 $24,007 — $13,910 +109% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $28,746 $28,746 $28,746 — $20,259 +42% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $28,724 $28,724 $28,724 — $14,514 +98% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $28,457 $28,457 $28,457 — $12,559 +127% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $28,327 $28,327 $22,291 — $14,797 +91% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $28,291 $28,291 $30,611 — $14,415 +96% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR DC WITH CC $28,268 $28,268 $23,186 — $13,275 +113% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $28,241 $28,241 $28,241 — $12,593 +124% —
151 EPISTAXIS WITHOUT MCC $28,120 $28,120 $28,120 — $13,032 +116% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $27,803 $27,803 $30,551 — $18,316 +52% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $27,679 $27,679 $21,814 — $17,724 +56% ≈599% of Medicare
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $27,483 $27,483 $20,596 — $12,324 +123% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $27,239 $27,239 $21,164 — $14,638 +86% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $26,862 $26,862 $22,370 — $14,250 +89% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $26,314 $26,314 $19,994 — $13,824 +90% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $26,246 $26,246 $38,549 — $15,837 +66% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $26,087 $26,087 $22,690 — $12,895 +102% —
866 VIRAL ILLNESS WITHOUT MCC $25,632 $25,632 $21,244 — $17,081 +50% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR DC WITHOUT CC/MCC $24,871 $24,871 $21,182 — $12,078 +106% —
779 ABORTION WITHOUT DC $24,539 $24,539 $18,448 — $15,327 +60% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $24,209 $24,209 $24,209 — $15,589 +55% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $23,873 $23,873 $23,873 — $10,975 +118% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $23,126 $23,126 $14,492 — $12,229 +89% —
204 RESPIRATORY SIGNS AND SYMPTOMS $22,498 $22,498 $26,198 — $18,004 +25% —
541 OSTEOMYELITIS WITHOUT CC/MCC $22,086 $22,086 $22,086 — $15,215 +45% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $21,818 $21,818 $16,117 — $12,454 +75% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $21,810 $21,810 $14,040 — $9,940 +119% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $21,759 $21,759 $21,759 — $17,226 +26% —
153 OTITIS MEDIA AND URI WITHOUT MCC $20,994 $20,994 $17,402 — $14,583 +44% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $17,938 $17,938 $17,938 — $11,421 +57% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $17,532 $17,532 $10,497 — $11,071 +58% —
881 DEPRESSIVE NEUROSES $16,760 $16,760 $16,760 — $15,058 +11% —
201 PNEUMOTHORAX WITHOUT CC/MCC $15,618 $15,618 $18,567 — $14,053 +11% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,469 $14,469 $14,469 — $31,134 −54% —
594 SKIN ULCERS WITHOUT CC/MCC $14,276 $14,276 $29,734 — $14,209 +0% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $13,473 $13,473 $12,926 — $12,252 +10% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,699 $10,699 $7,723 — $8,445 +27% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,162 $10,162 $10,162 — $11,997 −15% —
795 NORMAL NEWBORN $6,791 $6,791 $5,638 — $4,720 +44% —
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