Procedures published 495
Lowest published price $3,461
Average published price $58,369
Highest published price $450,611

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 495 procedures

Published charges

Showing all 495 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 65 procedures, this hospital's negotiated rates average ≈192% of what Medicare pays.

DRG Description Published price Cash price vs. WV median vs. National median vs Medicare
426 multiple level combined anterior and posterior spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $450,611 $180,244 $444,498 $142,326 +217%
429 combined anterior and posterior cervical spinal fusion with mcc $382,686 $153,074 $473,128 $144,774 +164%
268 aortic and heart assist procedures except pulsation balloon with mcc $322,992 $129,197 $360,916 $125,242 +158%
459 spinal fusion except cervical $293,456 $117,382 $293,456 $75,251 +290%
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $252,462 $100,985 $226,290 $62,821 +302%
907 other o.r. procedures for injuries with mcc $251,404 $100,562 $210,662 $77,817 +223%
326 stomach, esophageal and duodenal procedures with mcc $245,772 $98,309 $223,489 +10% $80,793 +204%
957 other o.r. procedures for multiple significant trauma with mcc $231,382 $92,553 $301,034 $120,573 +92%
028 spinal procedures with mcc $224,808 $89,923 $281,126 $113,077 +99%
215 other heart assist system implant $224,615 $89,846 $353,537 $208,939 +8%
163 major chest procedures with mcc $195,478 $78,191 $213,446 $90,195 +117%
030 spinal procedures without cc/mcc $187,703 $75,081 $127,181 $45,866 +309%
969 hiv with extensive o.r. procedures with mcc $187,406 $74,962 $187,406 $109,331 +71%
483 major joint or limb reattachment procedures of upper extremities $185,882 $74,353 $188,386 $58,707 +217%
956 limb reattachment, hip and femur procedures for multiple significant trauma $183,752 $73,501 $279,819 $75,103 +145%
325 coronary intravascular lithotripsy without intraluminal device $179,529 $71,811 $192,406 $61,217 +193%
455 combined anterior and posterio $178,331 $71,333 $178,331 $56,836 +214%
242 permanent cardiac pacemaker implant with mcc $171,467 $68,587 $172,275 $70,132 +144%
323 coronary intravascular lithotripsy with intraluminal device with mcc $169,751 $67,900 $211,606 $101,510 +67% ≈246% of Medicare
427 multiple level combined anterior and posterior spinal fusion except cervical with cc $167,376 $66,950 $265,089 $132,794 +26%
276 cardiac defibrillator implant with mcc or carotid sinus neurostimulator $165,738 $66,295 $195,658 $117,280 +41%
870 septicemia or severe sepsis with mv >96 hours $165,266 $66,107 $216,508 $148,832 +11%
239 amputation for circulatory system disorders except upper limb and toe with mcc $163,792 $65,517 $245,198 $93,390 +75%
207 respiratory system diagnosis with ventilator support >96 hours $162,559 $65,024 $196,634 $116,058 +40%
324 coronary intravascular lithotripsy with intraluminal device without mcc $154,221 $61,688 $167,874 $71,464 +116% ≈360% of Medicare
430 combined anterior and posterior cervical spinal fusion without mcc $151,252 $60,501 $216,635 $101,618 +49%
345 minor small and large bowel procedures with cc $149,976 $59,990 $121,657 $33,048 +354%
277 cardiac defibrillator implant without mcc $147,405 $58,962 $179,780 $91,329 +61%
454 combined anterior and posterio $147,255 $58,902 $147,255 $69,101 +113% ≈141% of Medicare
447 multiple level spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $143,823 $57,529 $217,685 $126,098 +14%
270 other major cardiovascular procedures with mcc $142,839 $57,136 $222,021 $99,423 +44% ≈179% of Medicare
460 spinal fusion except cervical $142,388 $56,955 $142,388 $51,625 +176%
457 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc $141,453 $56,581 $213,195 $107,355 +32%
823 lymphoma and non-acute leukemia with other procedures with mcc $140,018 $56,007 $140,018 +0% $87,761 +60%
801 splenic procedures without cc/mcc $140,008 $56,003 $140,008 $36,445 +284%
004 tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $139,785 $55,914 $310,280 $248,521 −44%
034 carotid artery stent procedures with mcc $139,630 $55,852 $145,640 $76,219 +83%
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $137,058 $54,823 $190,369 $90,775 +51% ≈170% of Medicare
414 cholecystectomy except by laparoscope without c.d.e. with mcc $135,645 $54,258 $159,850 $69,743 +94%
271 other major cardiovascular procedures with cc $134,389 $53,756 $168,936 $71,014 +89%
474 amputation for musculoskeletal system and connective tissue disorders with mcc $129,978 $51,991 $170,054 $84,692 +53%
448 multiple level spinal fusion except cervical without mcc $128,680 $51,472 $185,610 $81,998 +57%
356 other digestive system o.r. procedures with mcc $127,684 $51,074 $167,838 $82,561 +55%
091 other disorders of nervous system with mcc $127,539 $51,016 $104,951 $37,387 +241%
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $127,016 $50,806 $144,226 $65,788 +93%
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $126,803 $50,721 $117,649 $43,538 +191%
573 skin graft for skin ulcer or cellulitis with mcc $125,958 $50,383 $125,958 $98,912 +27%
250 percutaneous cardiovascular procedures without intraluminal device with mcc $124,556 $49,823 $124,193 $59,629 +109%
296 cardiac arrest, unexplained with mcc $124,123 $49,649 $90,381 $33,661 +269%
480 hip and femur procedures except major joint with mcc $124,108 $49,643 $135,350 $65,653 +89%
228 other cardiothoracic procedures with mcc $123,905 $49,562 $177,447 $96,905 +28%
255 upper limb and toe amputation for circulatory system disorders with mcc $123,639 $49,456 $124,250 $46,453 +166%
428 multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc $120,612 $48,245 $158,770 $105,899 +14%
252 other vascular procedures with mcc $119,089 $47,636 $143,372 $68,508 +74% ≈225% of Medicare
260 cardiac pacemaker revision except device replacement with mcc $118,281 $47,312 $104,473 $70,371 +68%
272 other major cardiovascular procedures without cc/mcc $116,560 $46,624 $146,035 $55,162 +111%
520 back and neck procedures except spinal fusion without cc/mcc $115,718 $46,287 $97,887 $35,465 +226%
492 lower extremity and humerus procedures except hip, foot and femur with mcc $115,158 $46,063 $153,611 $70,564 +63%
166 other respiratory system o.r. procedures with mcc $113,337 $45,335 $148,547 $75,573 +50%
329 major small and large bowel procedures with mcc $113,166 $45,266 $164,741 $88,050 +29%
094 bacterial and tuberculous infections of nervous system with mcc $112,273 $44,909 $125,223 $68,639 +64%
278 ultrasound accelerated and other thrombolysis of peripheral vascular structures with mcc $112,268 $44,907 $211,518 $93,238 +20%
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $112,148 $44,859 $140,527 $81,706 +37% ≈261% of Medicare
477 biopsies of musculoskeletal system and connective tissue with mcc $111,630 $44,652 $150,429 $68,653 +63%
288 acute and subacute endocarditis with mcc $108,699 $43,479 $133,903 $50,618 +115%
500 soft tissue procedures with mcc $107,999 $43,200 $170,438 $61,872 +75%
328 stomach, esophageal and duodenal procedures without cc/mcc $106,765 $42,706 $84,287 +27% $39,006 +174%
475 amputation for musculoskeletal system and connective tissue disorders with cc $106,094 $42,438 $119,525 $45,877 +131%
258 cardiac pacemaker device replacement with mcc $105,382 $42,153 $105,382 $52,986 +99%
742 uterine and adnexa procedures for non-malignancy with cc/mcc $104,221 $41,688 $101,350 $40,552 +157%
269 aortic and heart assist procedures except pulsation balloon without mcc $103,321 $41,328 $180,109 $85,159 +21%
510 shoulder, elbow or forearm procedures, except major joint procedures with mcc $103,066 $41,226 $124,197 $49,839 +107%
265 aicd lead procedures $102,260 $40,904 $98,153 $63,171 +62%
466 revision of hip or knee replacement with mcc $101,768 $40,707 $163,051 $96,507 +5%
408 biliary tract procedures except only cholecystectomy with or without c.d.e. with mcc $101,424 $40,570 $269,754 $62,583 +62%
330 major small and large bowel procedures with cc $100,817 $40,327 $109,968 $59,500 +69%
003 ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $100,278 $40,111 $406,682 $371,366 −73%
471 cervical spinal fusion with mcc $99,906 $39,962 $191,378 $92,515 +8%
331 major small and large bowel procedures without cc/mcc $98,910 $39,564 $88,811 +11% $44,117 +124%
253 other vascular procedures with cc $98,828 $39,531 $118,905 $57,454 +72%
279 ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc $98,632 $39,453 $141,056 $63,928 +54%
037 extracranial procedures with mcc $98,504 $39,402 $141,841 $66,666 +48%
244 permanent cardiac pacemaker implant without cc/mcc $98,379 $39,352 $90,885 $41,591 +137%
853 infectious and parasitic diseases with o.r. procedures with mcc $98,001 $39,200 $172,818 $93,172 +5% ≈138% of Medicare
458 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc $97,856 $39,142 $97,856 $83,441 +17%
167 other respiratory system o.r. procedures with cc $94,652 $37,861 $95,271 $40,642 +133%
415 cholecystectomy except by laparoscope without c.d.e. with cc $94,421 $37,768 $94,560 $43,913 +115%
858 postoperative or post-traumatic infections with o.r. procedures without cc/mcc $94,224 $37,690 $79,634 $25,748 +266%
451 single level spinal fusion except cervical without mcc $94,004 $37,602 $177,735 $65,216 +44%
199 pneumothorax with mcc $93,847 $37,539 $88,079 $33,787 +178%
240 amputation for circulatory system disorders except upper limb and toe with cc $93,678 $37,471 $126,761 $59,790 +57%
657 kidney and ureter procedures for neoplasm with cc $93,510 $37,404 $95,895 $43,298 +116%
579 other skin, subcutaneous tissue and breast procedures with mcc $92,001 $36,800 $122,543 $58,745 +57%
254 other vascular procedures without cc/mcc $90,328 $36,131 $109,541 $38,836 +133%
534 fractures of femur without mcc $88,313 $35,325 $68,667 $17,559 +403%
417 laparoscopic cholecystectomy without c.d.e. with mcc $87,969 $35,188 $105,812 $53,451 +65%
668 transurethral procedures with mcc $87,689 $35,076 $149,417 $51,608 +70%
846 chemotherapy without acute leukemia as secondary diagnosis with mcc $87,577 $35,031 $62,687 $38,878 +125%
479 biopsies of musculoskeletal system and connective tissue without cc/mcc $87,183 $34,873 $102,384 $34,276 +154%
335 peritoneal adhesiolysis with mcc $86,481 $34,592 $117,137 $71,755 +21%
027 craniotomy and endovascular intracranial procedures without cc/mcc $85,378 $34,151 $124,525 $54,583 +56%
941 o.r. procedures with diagnoses of other contact with health services without cc/mcc $85,308 $34,123 $69,819 $29,524 +189%
498 local excision and removal of internal fixation devices of hip and femur with cc/mcc $85,145 $34,058 $94,187 $49,423 +72%
353 hernia procedures except inguinal and femoral with mcc $84,420 $33,768 $127,682 $60,170 +40%
574 skin graft for skin ulcer or cellulitis with cc $83,258 $33,303 $110,454 $52,036 +60%
327 stomach, esophageal and duodenal procedures with cc $81,825 $32,730 $101,182 $59,421 +38%
829 myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc $81,773 $32,709 $112,828 $53,864 +52%
150 epistaxis with mcc $81,725 $32,690 $92,636 $23,171 +253%
344 minor small and large bowel procedures with mcc $81,696 $32,678 $116,043 $44,546 +83%
472 cervical spinal fusion with cc $81,693 $32,677 $122,998 $59,537 +37%
322 percutaneous cardiovascular procedures with intraluminal device without mcc $80,722 $32,289 $99,007 $58,809 +37% ≈317% of Medicare
402 single level combined anterior and posterior spinal fusion except cervical $79,879 $31,952 $140,071 $79,116 +1%
536 fractures of hip and pelvis without mcc $78,936 $31,575 $58,749 $18,002 +338%
521 hip replacement with principal diagnosis of hip fracture with mcc $78,861 $31,544 $113,753 $70,467 +12%
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $77,885 $31,154 $122,323 $66,068 +18%
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $77,864 $31,146 $132,071 $66,685 +17%
963 other multiple significant trauma with mcc $77,157 $30,863 $104,719 $43,491 +77%
605 trauma to the skin, subcutaneous tissue and breast without mcc $76,938 $30,775 $56,712 $20,506 +275%
856 postoperative or post-traumatic infections with o.r. procedures with mcc $76,458 $30,583 $124,601 $76,001 +1%
545 connective tissue disorders with mcc $76,227 $30,491 $144,002 $40,362 +89%
036 carotid artery stent procedures without cc/mcc $76,171 $30,468 $86,265 $40,694 +87%
519 back and neck procedures except spinal fusion with cc $75,927 $30,371 $113,368 $44,139 +72%
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $75,779 $30,312 $65,531 $22,458 +237%
629 other endocrine, nutritional and metabolic o.r. procedures with cc $74,985 $29,994 $99,265 $47,737 +57%
397 appendix procedures with mcc $74,717 $29,887 $90,409 $53,257 +40%
208 respiratory system diagnosis with ventilator support <=96 hours $74,489 $29,796 $87,914 $52,405 +42%
713 transurethral prostatectomy with cc/mcc $74,488 $29,795 $58,958 $32,100 +132%
264 other circulatory system o.r. procedures $74,355 $29,742 $140,727 $51,953 +43%
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $74,227 $29,691 $181,917 $89,207 −17%
485 knee procedures with principal diagnosis of infection with mcc $74,112 $29,645 $144,401 $72,424 +2%
667 prostatectomy without cc/mcc $73,220 $29,288 $54,887 $16,703 +338%
841 lymphoma and non-acute leukemia with cc $72,407 $28,963 $79,658 $33,633 +115%
673 other kidney and urinary tract procedures with mcc $72,040 $28,816 $127,571 $77,990 −8%
501 soft tissue procedures with cc $71,401 $28,560 $98,443 $39,619 +80%
496 local excision and removal of internal fixation devices except hip and femur with cc $71,184 $28,473 $55,271 $43,800 +63%
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $70,334 $28,134 $80,340 $38,094 +85%
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $70,219 $28,088 $117,220 $58,228 +21%
908 other o.r. procedures for injuries with cc $69,834 $27,934 $97,932 $42,914 +63%
964 other multiple significant trauma with cc $69,498 $27,799 $64,331 $27,394 +154%
854 infectious and parasitic diseases with o.r. procedures with cc $68,698 $27,479 $83,886 $43,943 +56%
493 lower extremity and humerus procedures except hip, foot and femur with cc $68,507 $27,403 $99,513 $59,651 +15%
398 appendix procedures with cc $68,454 $27,382 $68,454 +0% $40,162 +70%
630 other endocrine, nutritional and metabolic o.r. procedures without cc/mcc $68,316 $27,326 $69,562 $22,393 +205%
904 skin grafts for injuries with cc/mcc $67,748 $27,099 $227,871 $59,594 +14%
243 permanent cardiac pacemaker implant with cc $67,280 $26,912 $84,048 $50,011 +35% ≈192% of Medicare
800 splenic procedures with cc $67,102 $26,841 $106,532 $49,184 +36%
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $66,937 $26,775 $95,571 $32,443 +106%
018 chimeric antigen receptor (car) t-cell and other immunotherapies $66,643 $66,643 $573,534 −88%
659 kidney and ureter procedures for non-neoplasm with mcc $66,629 $26,652 $94,833 $52,178 +28%
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $66,449 $26,579 $121,602 $49,418 +34%
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $66,118 $26,447 $87,057 $34,459 +92%
982 extensive o.r. procedures unrelated to principal diagnosis with cc $65,319 $26,128 $111,560 $51,985 +26%
424 other hepatobiliary or pancreas o.r. procedures with cc $64,683 $25,873 $64,683 $42,415 +53%
089 concussion with cc $64,549 $25,820 $54,987 $18,821 +243%
275 cardiac defibrillator implant with cardiac catheterization and mcc $63,804 $25,521 $168,880 $131,961 −52%
687 kidney and urinary tract neoplasms with cc $63,583 $25,433 $54,265 $20,232 +214%
714 transurethral prostatectomy without cc/mcc $63,580 $25,432 $57,549 $17,934 +255%
351 inguinal and femoral hernia procedures with cc $63,216 $25,286 $65,614 $36,505 +73%
418 laparoscopic cholecystectomy without c.d.e. with cc $63,043 $25,217 $79,676 $44,606 +41%
337 peritoneal adhesiolysis without cc/mcc $62,863 $25,145 $79,097 $39,211 +60%
035 carotid artery stent procedures with cc $62,293 $24,917 $93,938 $49,066 +27%
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $61,927 $24,771 $60,549 $26,932 +130%
095 bacterial and tuberculous infections of nervous system with cc $61,805 $24,722 $75,115 $47,583 +30%
086 traumatic stupor and coma <1 hour with cc $61,582 $24,633 $58,672 $27,043 +128%
488 knee procedures without principal diagnosis of infection with cc/mcc $59,905 $23,962 $84,959 $43,631 +37%
840 lymphoma and non-acute leukemia with mcc $59,877 $23,951 $120,793 $49,710 +20%
915 allergic reactions with mcc $59,803 $23,921 $59,337 $32,645 +83%
482 hip and femur procedures except major joint without cc/mcc $59,800 $23,920 $73,702 $41,955 +43% ≈261% of Medicare
481 hip and femur procedures except major joint with cc $59,605 $23,842 $87,709 $52,751 +13% ≈200% of Medicare
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $59,400 $23,760 $64,529 $29,743 +100%
039 extracranial procedures without cc/mcc $59,299 $23,719 $72,326 $26,618 +123% ≈509% of Medicare
357 other digestive system o.r. procedures with cc $59,011 $23,605 $93,256 $48,682 +21%
286 circulatory disorders except ami, with cardiac catheterization with mcc $58,860 $23,544 $81,541 $46,283 +27% ≈183% of Medicare
478 biopsies of musculoskeletal system and connective tissue with cc $58,827 $23,531 $78,979 $50,139 +17%
902 wound debridements for injuries with cc $58,480 $23,392 $116,360 $40,562 +44%
901 wound debridements for injuries with mcc $57,558 $23,023 $90,307 $70,177 −18%
354 hernia procedures except inguinal and femoral with cc $57,443 $22,977 $73,524 $43,477 +32%
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $57,408 $22,963 $65,357 $36,937 +55%
654 major bladder procedures with cc $57,221 $22,888 $112,993 $58,274 −2%
494 lower extremity and humerus procedures except hip, foot and femur without cc/mcc $57,194 $22,878 $76,795 $47,711 +20%
259 cardiac pacemaker device replacement without mcc $57,107 $22,843 $70,138 $39,020 +46%
374 digestive malignancy with mcc $57,101 $22,840 $103,912 $39,958 +43%
251 percutaneous cardiovascular procedures without intraluminal device without mcc $57,004 $22,802 $86,071 $46,295 +23%
522 hip replacement with principal diagnosis of hip fracture without mcc $56,514 $22,606 $84,938 $58,280 −3% ≈201% of Medicare
504 foot procedures with cc $56,188 $22,475 $88,195 $38,960 +44%
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $56,127 $22,451 $63,835 $33,393 +68%
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $56,083 $22,433 $121,384 $71,795 −22%
085 traumatic stupor and coma <1 hour with mcc $56,066 $22,427 $80,834 $41,892 +34%
535 fractures of hip and pelvis with mcc $56,050 $22,420 $62,880 $24,552 +128%
674 other kidney and urinary tract procedures with cc $55,455 $22,182 $80,476 $50,394 +10%
857 postoperative or post-traumatic infections with o.r. procedures with cc $55,062 $22,025 $55,062 +0% $45,333 +21%
038 extracranial procedures with cc $54,833 $21,933 $79,901 $35,770 +53% ≈256% of Medicare
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $54,336 $21,735 $76,734 $50,607 +7%
205 other respiratory system diagnoses with mcc $54,256 $21,702 $64,820 $33,255 +63%
432 cirrhosis and alcoholic hepatitis with mcc $54,163 $21,665 $76,379 $40,213 +35% ≈193% of Medicare
383 uncomplicated peptic ulcer with mcc $53,798 $21,519 $93,304 $27,426 +96%
580 other skin, subcutaneous tissue and breast procedures with cc $52,781 $21,112 $70,672 $38,101 +39%
533 fractures of femur with mcc $52,564 $21,026 $73,755 $25,945 +103%
283 acute myocardial infarction, expired with mcc $51,978 $20,791 $79,617 $39,955 +30%
399 appendix procedures without cc/mcc $51,943 $20,777 $53,409 $31,321 +66%
435 malignancy of hepatobiliary system or pancreas with mcc $51,340 $20,536 $77,568 $37,950 +35%
592 skin ulcers with mcc $51,083 $20,433 $64,785 $33,246 +54%
301 peripheral vascular disorders without cc/mcc $50,852 $20,341 $38,549 $15,837 +221%
811 red blood cell disorders with mcc $50,305 $20,122 $50,305 +0% $28,226 +78% ≈264% of Medicare
617 amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $50,093 $20,037 $83,271 $42,881 +17%
090 concussion without cc/mcc $49,984 $19,994 $39,741 $15,412 +224%
864 fever and inflammatory conditions $49,045 $19,618 $43,692 $18,640 +163%
560 aftercare, musculoskeletal system and connective tissue with cc $48,670 $19,468 $65,245 $25,279 +93%
660 kidney and ureter procedures for non-neoplasm with cc $47,977 $19,191 $59,804 $31,264 +53%
671 urethral procedures with cc/mcc $47,926 $19,170 $106,826 $27,233 +76%
570 skin debridement with mcc $47,801 $19,120 $47,801 +0% $52,435 −9%
229 other cardiothoracic procedures without mcc $47,749 $19,100 $105,505 $65,325 −27%
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $47,626 $19,050 $63,130 $35,692 +33%
506 major thumb or joint procedures $47,476 $18,990 $51,758 $30,557 +55%
377 gastrointestinal hemorrhage with mcc $46,991 $18,796 $74,406 $37,842 +24% ≈177% of Medicare
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $46,821 $18,729 $56,881 $33,424 +40%
421 hepatobiliary diagnostic procedures with cc $46,679 $18,672 $82,973 $36,354 +28%
348 anal and stomal procedures with cc $46,625 $18,650 $61,929 $27,947 +67%
064 intracranial hemorrhage or cerebral infarction with mcc $46,432 $18,573 $74,652 $39,106 +19% ≈169% of Medicare
476 amputation for musculoskeletal system and connective tissue disorders without cc/mcc $46,072 $18,429 $79,143 $23,443 +97%
256 upper limb and toe amputation for circulatory system disorders with cc $46,016 $18,406 $65,011 $32,944 +40%
862 postoperative and post-traumatic infections with mcc $45,805 $18,322 $62,490 $32,859 +39%
352 inguinal and femoral hernia procedures without cc/mcc $45,490 $18,196 $58,542 $27,843 +63%
314 other circulatory system diagnoses with mcc $45,448 $18,179 $78,238 $38,666 +18% ≈152% of Medicare
594 skin ulcers without cc/mcc $45,193 $18,077 $29,734 $14,209 +218%
516 other musculoskeletal system and connective tissue o.r. procedures with cc $45,078 $18,031 $74,797 $46,090 −2%
935 non-extensive burns $45,036 $18,014 $37,843 $31,701 +42%
183 major chest trauma with mcc $44,717 $17,887 $59,300 $29,933 +49%
505 foot procedures without cc/mcc $44,676 $17,870 $83,968 $34,937 +28%
559 aftercare, musculoskeletal system and connective tissue with mcc $44,663 $17,865 $83,778 $33,047 +35%
975 hiv with major related condition with cc $44,396 $17,759 $51,076 $27,808 +60%
073 cranial and peripheral nerve disorders with mcc $44,373 $17,749 $98,351 $30,010 +48%
606 minor skin disorders with mcc $44,157 $17,663 $68,678 $27,975 +58%
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $43,916 $17,566 $71,703 $39,181 +12%
571 skin debridement with cc $43,838 $17,535 $59,236 $37,169 +18%
553 bone diseases and arthropathies with mcc $43,762 $17,505 $49,671 $26,051 +68%
661 kidney and ureter procedures for non-neoplasm without cc/mcc $43,736 $17,494 $50,978 $25,970 +68%
186 pleural effusion with mcc $43,634 $17,454 $65,254 $33,834 +29%
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $43,363 $17,345 $67,029 $36,431 +19%
922 other injury, poisoning and toxic effect diagnoses with mcc $43,134 $17,254 $66,863 $31,563 +37%
261 cardiac pacemaker revision except device replacement with cc $43,119 $17,248 $55,625 $42,126 +2%
940 o.r. procedures with diagnoses of other contact with health services with cc $43,028 $17,211 $102,716 $43,650 −1%
178 respiratory infections and inflammations with cc $43,007 $17,203 $43,347 $22,024 +95%
502 soft tissue procedures without cc/mcc $42,094 $16,838 $63,445 $31,017 +36%
727 inflammation of the male reproductive system with mcc $41,504 $16,602 $49,621 $26,463 +57%
070 nonspecific cerebrovascular disorders with mcc $41,313 $16,525 $58,437 $31,951 +29%
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $41,301 $16,520 $87,343 $36,792 +12%
177 respiratory infections and inflammations with mcc $41,276 $16,511 $71,182 −42% $33,707 +22% ≈168% of Medicare
078 hypertensive encephalopathy with cc $41,236 $16,494 $51,464 $17,698 +133%
828 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures without cc/mcc $40,724 $16,290 $57,724 $35,584 +14%
813 coagulation disorders $40,530 $16,212 $72,970 $33,296 +22%
380 complicated peptic ulcer with mcc $40,490 $16,196 $53,928 $39,627 +2%
304 hypertension with mcc $40,371 $16,149 $52,525 $26,080 +55%
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $39,978 $15,991 $39,978 +0% $61,470 −35%
257 upper limb and toe amputation for circulatory system disorders without cc/mcc $39,891 $15,956 $63,534 $15,764 +153%
155 other ear, nose, mouth and throat diagnoses with cc $39,870 $15,948 $45,070 $16,968 +135%
597 malignant breast disorders with mcc $39,160 $15,664 $39,160 $33,386 +17%
871 septicemia or severe sepsis without mv >96 hours with mcc $39,154 $15,662 $39,154 +0% $35,628 +10% ≈139% of Medicare
796 vaginal delivery with sterilization and/or d&c with mcc $39,002 $15,601 $39,002 $22,557 +73%
865 viral illness with mcc $38,907 $15,563 $42,744 $26,910 +45%
939 o.r. procedures with diagnoses of other contact with health services with mcc $38,450 $15,380 $100,565 $55,289 −30%
061 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc $38,246 $15,298 $74,655 $62,264 −39%
507 major shoulder or elbow joint procedures with cc/mcc $37,744 $15,098 $66,166 $37,240 +1%
584 breast biopsy, local excision and other breast procedures with cc/mcc $37,328 $14,931 $37,328 $35,030 +7%
092 other disorders of nervous system with cc $37,295 $14,918 $45,900 $24,914 +50%
757 infections, female reproductive system with mcc $37,252 $14,901 $39,206 $26,280 +42%
369 major esophageal disorders with cc $37,214 $14,886 $47,100 $25,303 +47%
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $37,023 $14,809 $51,481 $23,551 +57%
057 degenerative nervous system disorders without mcc $36,954 $14,782 $60,400 $27,543 +34%
572 skin debridement without cc/mcc $36,937 $14,775 $36,937 +0% $24,944 +48%
347 anal and stomal procedures with mcc $36,844 $14,738 $113,512 $40,548 −9%
423 other hepatobiliary or pancreas o.r. procedures with mcc $36,786 $14,714 $113,921 $79,225 −54%
769 postpartum and post abortion diagnoses with o.r. procedures $36,646 $14,659 $54,079 $25,094 +46%
797 vaginal delivery with sterilization and/or d&c with cc $36,340 $14,536 $40,878 $19,962 +82%
059 multiple sclerosis and cerebellar ataxia with cc $36,244 $14,497 $47,885 $27,163 +33%
287 circulatory disorders except ami, with cardiac catheterization without mcc $36,215 $14,486 $48,515 $32,021 +13% ≈258% of Medicare
058 multiple sclerosis and cerebellar ataxia with mcc $36,192 $14,477 $33,991 $30,243 +20%
711 testes procedures with cc/mcc $35,691 $14,276 $53,154 $38,343 −7%
385 inflammatory bowel disease with mcc $35,622 $14,249 $50,342 $27,617 +29%
393 other digestive system diagnoses with mcc $35,384 $14,154 $52,169 $34,192 +3% ≈147% of Medicare
349 anal and stomal procedures without cc/mcc $34,914 $13,966 $58,441 $19,854 +76%
184 major chest trauma with cc $34,656 $13,862 $47,831 $22,432 +54%
302 atherosclerosis with mcc $34,488 $13,795 $55,342 $22,446 +54%
384 uncomplicated peptic ulcer without mcc $34,458 $13,783 $37,348 $19,305 +78%
785 cesarean section with sterilization without cc/mcc $34,448 $13,779 $33,347 $19,846 +74%
884 organic disturbances and intellectual disability $34,275 $13,710 $52,245 $26,682 +28%
180 respiratory neoplasms with mcc $34,257 $13,703 $61,442 $36,658 −7%
315 other circulatory system diagnoses with cc $34,091 $13,637 $39,082 $21,363 +60%
917 poisoning and toxic effects of drugs with mcc $34,071 $13,628 $48,153 $30,235 +13%
100 seizures with mcc $34,025 $13,610 $53,597 $35,481 −4% ≈117% of Medicare
551 medical back problems with mcc $34,002 $13,601 $56,852 $34,017 −0%
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $33,937 $13,575 $33,937 +0% $28,050 +21% ≈189% of Medicare
814 reticuloendothelial and immunity disorders with mcc $33,900 $13,560 $54,083 $33,851 +0%
181 respiratory neoplasms with cc $33,763 $13,505 $61,080 $23,573 +43%
054 nervous system neoplasms with mcc $33,757 $13,503 $52,222 $30,502 +11%
438 disorders of pancreas except malignancy with mcc $33,724 $13,490 $62,939 $32,628 +3%
786 cesarean section without sterilization with mcc $33,718 $13,487 $46,595 $27,152 +24%
564 other musculoskeletal system and connective tissue diagnoses with mcc $33,686 $13,474 $61,158 $33,653 +0%
154 other ear, nose, mouth and throat diagnoses with mcc $33,490 $13,396 $33,490 +0% $27,633 +21%
280 acute myocardial infarction, discharged alive with mcc $33,381 $13,352 $58,821 $30,828 +8% ≈150% of Medicare
299 peripheral vascular disorders with mcc $33,360 $13,344 $55,680 $27,316 +22%
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $33,298 $13,319 $30,551 $18,316 +82%
316 other circulatory system diagnoses without cc/mcc $33,214 $13,286 $37,859 $13,651 +143%
083 traumatic stupor and coma >1 hour with cc $33,138 $13,255 $45,558 $27,285 +21%
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $33,119 $13,247 $44,369 $39,887 −17%
689 kidney and urinary tract infections with mcc $33,052 $13,221 $47,158 $23,617 +40% ≈199% of Medicare
921 complications of treatment without cc/mcc $32,930 $13,172 $30,611 $14,415 +128%
696 kidney and urinary tract signs and symptoms without mcc $32,717 $13,087 $39,570 $14,689 +123%
080 nontraumatic stupor and coma with mcc $32,393 $12,957 $59,012 $36,249 −11%
368 major esophageal disorders with mcc $32,226 $12,891 $64,202 $33,876 −5%
824 lymphoma and non-acute leukemia with other procedures with cc $32,194 $12,877 $105,492 $41,608 −23%
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $32,192 $12,877 $32,192 +0% $25,463 +26% ≈170% of Medicare
784 cesarean section with sterilization with cc $31,912 $12,765 $32,714 $23,283 +37%
387 inflammatory bowel disease without cc/mcc $31,839 $12,736 $37,041 $16,288 +95%
643 endocrine disorders with mcc $31,817 $12,727 $56,721 $33,563 −5%
200 pneumothorax with cc $31,802 $12,721 $38,887 $21,368 +49%
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $31,768 $12,707 $57,385 $52,075 −39%
281 acute myocardial infarction, discharged alive with cc $31,760 $12,704 $44,339 $20,463 +55% ≈268% of Medicare
770 abortion with d&c, aspiration curettage or hysterotomy $31,574 $12,629 $33,371 $18,956 +67%
787 cesarean section without sterilization with cc $31,367 $12,547 $35,424 $23,571 +33%
060 multiple sclerosis and cerebellar ataxia without cc/mcc $31,134 $12,454 $46,784 $22,148 +41%
312 syncope and collapse $30,859 $12,344 $38,719 $19,342 +60% ≈267% of Medicare
123 neurological eye disorders $30,512 $12,205 $36,214 $19,745 +55%
308 cardiac arrhythmia and conduction disorders with mcc $30,509 $12,203 $30,509 +0% $26,770 +14% ≈192% of Medicare
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $30,371 $12,148 $30,371 +0% $33,985 −11%
189 pulmonary edema and respiratory failure $30,249 $12,100 $35,407 −15% $26,580 +14% ≈175% of Medicare
885 psychoses $30,223 $12,089 $30,999 $21,729 +39%
788 cesarean section without sterilization without cc/mcc $30,033 $12,013 $30,895 $20,084 +50%
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $29,968 $11,987 $46,623 $23,940 +25% ≈244% of Medicare
204 respiratory signs and symptoms $29,897 $11,959 $26,198 $18,004 +66%
191 chronic obstructive pulmonary disease with cc $29,685 $11,874 $36,825 $18,807 +58% ≈302% of Medicare
084 traumatic stupor and coma >1 hour without cc/mcc $29,660 $11,864 $36,436 $19,924 +49%
682 renal failure with mcc $29,455 $11,782 $52,684 $29,064 +1% ≈140% of Medicare
282 acute myocardial infarction, discharged alive without cc/mcc $29,431 $11,772 $37,873 $19,227 +53% ≈309% of Medicare
642 inborn and other disorders of metabolism $29,321 $11,729 $63,037 $20,727 +41%
069 transient ischemia without thrombolytic $28,950 $11,580 $39,970 $21,056 +37% ≈286% of Medicare
388 gastrointestinal obstruction with mcc $28,462 $11,385 $45,388 $30,571 −7%
149 dysequilibrium $28,449 $11,380 $37,254 $18,096 +57%
798 vaginal delivery with sterilization and/or d&c without cc/mcc $28,436 $11,374 $32,121 $18,452 +54%
313 chest pain $28,428 $11,371 $35,861 $16,440 +73% ≈324% of Medicare
514 hand or wrist procedures, except major thumb or joint procedures without cc/mcc $28,338 $11,335 $35,127 $22,635 +25%
378 gastrointestinal hemorrhage with cc $28,183 $11,273 $44,591 $22,098 +28% ≈223% of Medicare
920 complications of treatment with cc $27,930 $11,172 $34,275 $22,468 +24%
919 complications of treatment with mcc $27,807 $11,123 $57,579 $31,105 −11%
539 osteomyelitis with mcc $27,551 $11,020 $65,462 $37,609 −27%
175 pulmonary embolism with mcc or acute cor pulmonale $27,341 $10,937 $51,188 $30,959 −12% ≈139% of Medicare
066 intracranial hemorrhage or cerebral infarction without cc/mcc $27,315 $10,926 $39,041 $20,781 +31%
812 red blood cell disorders without mcc $27,202 $10,881 $27,202 +0% $20,488 +33% ≈186% of Medicare
444 disorders of the biliary tract with mcc $27,000 $10,800 $54,057 $34,273 −21%
552 medical back problems without mcc $26,901 $10,761 $37,993 $21,396 +26% ≈238% of Medicare
726 benign prostatic hypertrophy without mcc $26,819 $10,728 $32,083 $15,019 +79%
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $26,749 $10,699 $40,595 $14,716 +82%
395 other digestive system diagnoses without cc/mcc $26,705 $10,682 $26,705 +0% $14,128 +89%
693 urinary stones with mcc $26,506 $10,602 $39,084 $23,892 +11%
386 inflammatory bowel disease with cc $26,459 $10,584 $38,470 $22,033 +20%
305 hypertension without mcc $26,310 $10,524 $26,310 +0% $18,086 +45% ≈296% of Medicare
698 other kidney and urinary tract diagnoses with mcc $26,230 $10,492 $55,823 $32,496 −19% ≈112% of Medicare
906 hand procedures for injuries $26,099 $10,439 $56,129 $32,065 −19%
379 gastrointestinal hemorrhage without cc/mcc $26,095 $10,438 $26,095 +0% $15,038 +74%
538 sprains, strains, and dislocations of hip, pelvis and thigh without cc/mcc $26,081 $10,432 $45,327 $11,909 +119%
372 major gastrointestinal disorders and peritoneal infections with cc $25,794 $10,318 $35,747 $22,850 +13%
974 hiv with major related condition with mcc $25,603 $10,241 $73,260 $46,402 −45%
637 diabetes with mcc $25,541 $10,217 $49,059 $30,100 −15%
103 headaches without mcc $25,143 $10,057 $32,545 $21,280 +18%
193 simple pneumonia and pleurisy with mcc $24,927 $9,971 $41,084 $27,275 −9% ≈132% of Medicare
783 cesarean section with sterilization with mcc $24,923 $9,969 $51,589 $29,221 −15%
872 septicemia or severe sepsis without mv >96 hours without mcc $24,612 $9,845 $37,738 $22,888 +8% ≈179% of Medicare
125 other disorders of the eye without mcc $24,608 $9,843 $32,911 $17,298 +42%
694 urinary stones without mcc $24,531 $9,812 $35,735 $17,345 +41%
074 cranial and peripheral nerve disorders without mcc $24,360 $9,744 $39,155 $23,141 +5%
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $24,248 $9,699 $33,282 $17,322 +40% ≈246% of Medicare
291 heart failure and shock with mcc $24,110 $9,644 $28,099 −14% $26,776 −10% ≈138% of Medicare
831 other antepartum diagnoses without o.r. procedures with mcc $23,803 $9,521 $31,062 $18,133 +31%
185 major chest trauma without cc/mcc $23,688 $9,475 $33,682 $17,124 +38%
206 other respiratory system diagnoses without mcc $23,607 $9,443 $31,332 −25% $18,488 +28%
196 interstitial lung disease with mcc $23,607 $9,443 $38,962 $32,637 −28%
923 other injury, poisoning and toxic effect diagnoses without mcc $23,544 $9,418 $52,405 $17,601 +34%
549 septic arthritis with cc $23,499 $9,400 $33,305 $24,056 −2%
815 reticuloendothelial and immunity disorders with cc $23,317 $9,327 $31,807 $19,264 +21%
102 headaches with mcc $23,106 $9,242 $44,420 $25,740 −10%
371 major gastrointestinal disorders and peritoneal infections with mcc $22,838 $9,135 $22,838 +0% $33,555 −32%
124 other disorders of the eye with mcc or thrombolytic agent $22,742 $9,097 $42,040 $21,894 +4%
300 peripheral vascular disorders with cc $22,683 $9,073 $34,148 $20,422 +11% ≈172% of Medicare
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $22,579 $9,032 $22,579 +0% $21,449 +5%
176 pulmonary embolism without mcc $22,524 $9,010 $34,252 $18,081 +25% ≈217% of Medicare
093 other disorders of nervous system without cc/mcc $22,157 $8,863 $32,365 $17,620 +26%
948 signs and symptoms without mcc $22,056 $8,822 $36,925 $17,921 +23%
603 cellulitis without mcc $21,934 $8,773 $35,126 −38% $18,530 +18% ≈209% of Medicare
602 cellulitis with mcc $21,851 $8,740 $50,631 $30,598 −29%
101 seizures without mcc $21,718 $8,687 $29,673 $20,461 +6% ≈180% of Medicare
190 chronic obstructive pulmonary disease with mcc $21,712 $8,685 $40,055 $24,386 −11% ≈141% of Medicare
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $21,635 $8,654 $29,662 $16,699 +30%
201 pneumothorax without cc/mcc $21,516 $8,606 $18,567 $14,053 +53%
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $21,501 $8,600 $62,725 $31,159 −31%
805 vaginal delivery without sterilization or d&c with mcc $21,390 $8,556 $28,681 $15,370 +39%
433 cirrhosis and alcoholic hepatitis with cc $21,267 $8,507 $55,621 −62% $23,749 −10%
880 acute adjustment reaction and psychosocial dysfunction $21,113 $8,445 $29,296 $17,733 +19%
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $20,837 $8,335 $32,783 $19,842 +5%
593 skin ulcers with cc $20,631 $8,253 $33,336 $22,886 −10%
389 gastrointestinal obstruction with cc $20,289 $8,116 $29,843 $17,578 +15% ≈218% of Medicare
056 degenerative nervous system disorders with mcc $20,277 $8,111 $66,259 $39,973 −49%
071 nonspecific cerebrovascular disorders with cc $20,267 $8,107 $37,191 $23,488 −14%
565 other musculoskeletal system and connective tissue diagnoses with cc $20,252 $8,101 $30,873 $22,506 −10%
381 complicated peptic ulcer with cc $20,248 $8,099 $36,483 $24,177 −16%
445 disorders of the biliary tract with cc $19,895 $7,958 $49,356 $23,319 −15%
607 minor skin disorders without mcc $19,829 $7,932 $24,908 $15,889 +25%
439 disorders of pancreas except malignancy with cc $19,812 $7,925 $33,247 $19,096 +4%
096 bacterial and tuberculous infections of nervous system without cc/mcc $19,760 $7,904 $59,995 $41,620 −53%
446 disorders of the biliary tract without cc/mcc $19,733 $7,893 $40,430 $17,700 +11%
194 simple pneumonia and pleurisy with cc $19,639 $7,856 $32,431 −39% $18,204 +8% ≈177% of Medicare
699 other kidney and urinary tract diagnoses with cc $19,627 $7,851 $37,753 $21,275 −8%
303 atherosclerosis without mcc $19,380 $7,752 $26,514 $14,927 +30% ≈241% of Medicare
832 other antepartum diagnoses without o.r. procedures with cc $19,294 $7,718 $22,690 $12,895 +50%
760 menstrual and other female reproductive system disorders with cc/mcc $19,275 $7,710 $33,126 $20,895 −8%
728 inflammation of the male reproductive system without mcc $19,115 $7,646 $29,314 $17,118 +12%
375 digestive malignancy with cc $18,992 $7,597 $35,399 −46% $27,277 −30%
639 diabetes without cc/mcc $18,880 $7,552 $24,007 $13,910 +36%
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $18,850 $7,540 $25,391 $16,846 +12%
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $18,735 $7,494 $27,330 −31% $17,038 +10% ≈203% of Medicare
863 postoperative and post-traumatic infections without mcc $18,630 $7,452 $26,729 $20,957 −11%
683 renal failure with cc $18,620 $7,448 $18,620 +0% $19,130 −3% ≈163% of Medicare
598 malignant breast disorders with cc $18,531 $7,412 $53,261 $19,073 −3%
394 other digestive system diagnoses with cc $18,371 $7,348 $32,713 $20,181 −9% ≈148% of Medicare
806 vaginal delivery without sterilization or d&c with cc $18,104 $7,242 $23,186 $13,275 +36%
311 angina pectoris $17,915 $7,166 $28,795 $15,502 +16%
638 diabetes with cc $17,900 $7,160 $30,678 $19,661 −9% ≈170% of Medicare
759 infections, female reproductive system without cc/mcc $17,877 $7,151 $22,370 $14,250 +25%
437 malignancy of hepatobiliary system or pancreas without cc/mcc $17,794 $7,118 $31,961 $14,014 +27%
547 connective tissue disorders without cc/mcc $17,776 $7,110 $35,565 $16,565 +7%
068 nonspecific cva and precerebral occlusion without infarction without mcc $17,627 $7,051 $31,794 $19,569 −10%
807 vaginal delivery without sterilization or d&c without cc/mcc $17,494 $6,997 $21,182 $12,078 +45%
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $17,444 $6,978 $24,234 $18,126 −4%
544 pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc $17,422 $6,969 $31,961 $16,776 +4%
558 tendonitis, myositis and bursitis without mcc $17,229 $6,891 $33,225 $18,602 −7%
947 signs and symptoms with mcc $17,155 $6,862 $46,127 $27,401 −37%
844 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc $16,947 $6,779 $41,187 $21,847 −22%
382 complicated peptic ulcer without cc/mcc $16,906 $6,762 $29,676 $16,634 +2%
158 dental and oral diseases with cc $16,867 $6,747 $31,803 $18,466 −9%
842 lymphoma and non-acute leukemia without cc/mcc $16,863 $6,745 $48,934 $19,657 −14%
866 viral illness without mcc $16,856 $6,742 $21,244 $17,081 −1%
868 other infectious and parasitic diseases diagnoses with cc $16,757 $6,703 $29,255 $22,763 −26%
434 cirrhosis and alcoholic hepatitis without cc/mcc $16,692 $6,677 $30,566 $12,460 +34%
700 other kidney and urinary tract diagnoses without cc/mcc $16,256 $6,502 $22,291 $14,797 +10%
790 extreme immaturity or respiratory distress syndrome, neonate $16,246 $6,499 $95,565 $80,018 −80%
072 nonspecific cerebrovascular disorders without cc/mcc $16,246 $6,498 $26,442 $19,037 −15%
440 disorders of pancreas except malignancy without cc/mcc $15,978 $6,391 $27,835 $15,183 +5%
202 bronchitis and asthma with cc/mcc $15,949 $6,380 $21,814 $17,724 −10%
916 allergic reactions without mcc $15,934 $6,373 $34,387 $13,942 +14%
555 signs and symptoms of musculoskeletal system and connective tissue with mcc $15,840 $6,336 $44,667 $24,127 −34%
684 renal failure without cc/mcc $15,710 $6,284 $20,060 −22% $13,642 +15%
197 interstitial lung disease with cc $15,696 $6,278 $26,032 $21,941 −28%
644 endocrine disorders with cc $15,680 $6,272 $32,595 $23,198 −32%
675 other kidney and urinary tract procedures without cc/mcc $15,623 $6,249 $48,112 $34,749 −55%
292 heart failure and shock with cc $15,397 $6,159 $32,202 $16,371 −6%
816 reticuloendothelial and immunity disorders without cc/mcc $15,089 $6,035 $21,164 $14,638 +3%
690 kidney and urinary tract infections without mcc $14,846 $5,939 $36,570 −59% $17,674 −16% ≈142% of Medicare
540 osteomyelitis with cc $14,834 $5,933 $26,359 $26,676 −44%
546 connective tissue disorders with cc $14,767 $5,907 $25,708 $25,700 −43%
695 kidney and urinary tract signs and symptoms with mcc $14,367 $5,747 $42,822 $24,566 −42%
153 otitis media and uri without mcc $13,809 $5,524 $17,402 $14,583 −5%
554 bone diseases and arthropathies without mcc $13,728 $5,491 $24,699 $18,528 −26%
894 alcohol, drug abuse or dependence, left ama $13,708 $5,483 $20,596 $12,324 +11%
195 simple pneumonia and pleurisy without cc/mcc $13,674 $5,469 $19,994 $13,824 −1%
309 cardiac arrhythmia and conduction disorders with cc $13,354 $5,342 $26,672 $17,303 −23% ≈159% of Medicare
918 poisoning and toxic effects of drugs without mcc $13,191 $5,276 $23,112 $15,452 −15%
390 gastrointestinal obstruction without cc/mcc $13,106 $5,242 $13,106 +0% $13,361 −2%
645 endocrine disorders without cc/mcc $13,055 $5,222 $31,464 $15,428 −15%
310 cardiac arrhythmia and conduction disorders without cc/mcc $12,859 $5,143 $22,508 $13,384 −4% ≈200% of Medicare
152 otitis media and uri with mcc $12,799 $5,120 $25,980 $20,247 −37%
293 heart failure and shock without cc/mcc $12,699 $5,080 $27,621 $12,999 −2%
914 traumatic injury without mcc $12,517 $5,007 $22,914 $15,855 −21%
882 neuroses except depressive $12,500 $5,000 $24,516 $15,680 −20%
203 bronchitis and asthma without cc/mcc $12,378 $4,951 $12,926 $12,252 +1%
779 abortion without d&c $12,358 $4,943 $18,448 $15,327 −19%
443 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc $11,734 $4,693 $24,050 $15,600 −25%
179 respiratory infections and inflammations without cc/mcc $11,032 $4,413 $21,745 $14,648 −25%
791 prematurity with major problems $10,633 $4,253 $28,756 $42,679 −75%
776 postpartum and post abortion diagnoses without o.r. procedures $10,416 $4,166 $16,117 $12,454 −16%
055 nervous system neoplasms without mcc $10,124 $4,050 $30,461 $20,926 −52%
793 full term neonate with major problems $9,984 $3,994 $23,078 $18,649 −46%
370 major esophageal disorders without cc/mcc $9,798 $3,919 $25,014 $15,495 −37%
557 tendonitis, myositis and bursitis with mcc $9,614 $3,846 $56,588 $32,877 −71%
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $9,364 $3,746 $21,480 $16,767 −44%
284 acute myocardial infarction, expired with cc $9,347 $3,739 $9,347 $16,450 −43%
192 chronic obstructive pulmonary disease without cc/mcc $9,204 $3,682 $22,160 $14,368 −36%
833 other antepartum diagnoses without o.r. procedures without cc/mcc $6,270 $2,508 $14,040 $9,940 −37%
792 prematurity without major problems $5,857 $2,343 $14,492 $12,229 −52%
794 neonate with other significant problems $4,746 $1,898 $7,723 $8,445 −44%
789 neonates, died or transferred to another acute care facility $4,647 $1,859 $49,819 $16,351 −72%
187 pleural effusion with cc $4,622 $1,849 $26,775 $21,789 −79%
998 principal diagnosis invalid as discharge diagnosis $4,608 $1,843 $4,608 $15,215 −70%
795 normal newborn $4,485 $1,794 $5,638 $4,720 −5%
847 chemotherapy without acute leukemia as secondary diagnosis with cc $3,915 $20,605 $23,498 −83%
951 other factors influencing health status $3,555 $1,422 $11,027 −68% $10,160 −65%
730 other male reproductive system diagnoses without cc/mcc $3,461 $1,384 $10,497 $11,071 −69%