UR Medicine St James Hospital — Pricing

781 procedures published in this hospital's Machine-Readable File (MRF) — 770 with a comparable price, 11 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 781
Lowest published price $3,419
Average published price $27,637
Highest published price $479,035

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 781 procedures

Published charges

Showing all 770 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.

DRG Description Published price Cash price vs. NY median vs. National median
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $479,035 $479,035 $483,987 −1% $498,715 −4%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $311,299 $311,299 $362,617 −14% $431,073 −28%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $237,456 $237,456 $306,087 −22% $306,087 −22%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $236,070 $236,070 $276,951 −15% $371,366 −36%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $154,477 $154,477 $184,103 −16% $248,230 −38%
007 LUNG TRANSPLANT $144,505 $144,505 $170,608 −15% $170,608 −15%
014 ALLOGENEIC BONE MARROW TRANSPLANT $134,189 $134,189 $171,028 −22% $182,314 −26%
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $126,597 $126,597 $155,461 −19% $194,769 −35%
209 COMPLEX AORTIC ARCH PROCEDURES $126,453 $126,453 $126,453 +0% $404,525 −69%
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $123,160 $123,160 $137,630 −11% $142,326 −13%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $121,533 $121,533 $142,952 −15% $171,338 −29%
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $115,296 $115,296 $139,842 −18% $164,641 −30%
215 OTHER HEART ASSIST SYSTEM IMPLANT $111,385 $111,385 $139,148 −20% $191,314 −42%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $109,457 $109,457 $127,148 −14% $175,437 −38%
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $100,902 $100,902 $110,483 −9% $121,276 −17%
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $97,028 $97,028 $121,563 −20% $121,563 −20%
231 CORONARY BYPASS WITH PTCA WITH MCC $94,487 $94,487 $112,178 −16% $147,083 −36%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $94,194 $94,194 $112,119 −16% $153,282 −39%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $88,278 $88,278 $106,929 −17% $148,686 −41%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $86,170 $86,170 $102,814 −16% $143,242 −40%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $85,804 $85,804 $103,817 −17% $144,569 −41%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $85,524 $85,524 $99,339 −14% $120,587 −29%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $81,084 $81,084 $94,742 −14% $123,334 −34%
010 PANCREAS TRANSPLANT $80,609 $80,609 $99,940 −19% $99,940 −19%
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $80,576 $80,576 $89,353 −10% $89,353 −10%
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $80,154 $80,154 $105,228 −24% $105,228 −24%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $80,108 $80,108 $94,288 −15% $131,961 −39%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $77,689 $77,689 $92,883 −16% $143,871 −46%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $77,314 $77,314 $89,209 −13% $125,242 −38%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $75,689 $75,689 $91,253 −17% $107,532 −30%
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $75,196 $75,196 $83,090 −10% $95,555 −21%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $75,142 $75,142 $89,681 −16% $116,579 −36%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $73,965 $73,965 $86,542 −15% $121,714 −39%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $73,965 $73,965 $80,075 −8% $91,266 −19%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,701 $73,701 $82,731 −11% $98,912 −25%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $72,410 $72,410 $86,661 −16% $116,058 −38%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $69,020 $69,020 $80,603 −14% $113,855 −39%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $68,942 $68,942 $84,844 −19% $109,331 −37%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $68,292 $68,292 $82,102 −17% $108,151 −37%
028 SPINAL PROCEDURES WITH MCC $67,692 $67,692 $81,731 −17% $104,702 −35%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $67,673 $67,673 $83,192 −19% $117,280 −42%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $67,191 $67,191 $77,406 −13% $107,355 −37%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $66,974 $66,974 $80,018 −16% $80,018 −16%
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $66,822 $66,822 $81,176 −18% $98,260 −32%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $66,146 $66,146 $79,247 −17% $112,062 −41%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $66,104 $66,104 $78,460 −16% $96,192 −31%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $65,023 $65,023 $73,986 −12% $93,783 −31%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $64,615 $64,615 $76,970 −16% $106,778 −39%
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $64,356 $64,356 $64,356 +0% $196,134 −67%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $64,275 $64,275 $73,103 −12% $89,207 −28%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $63,417 $63,417 $74,414 −15% $105,899 −40%
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $63,224 $63,224 $86,459 −27% $86,459 −27%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $62,800 $62,800 $68,045 −8% $79,126 −21%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $62,322 $62,322 $82,458 −24% $108,472 −43%
834 ACUTE LEUKEMIA WITH MCC $61,955 $61,955 $74,709 −17% $86,389 −28%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $61,741 $61,741 $73,455 −16% $94,478 −35%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $61,654 $61,654 $72,075 −14% $102,573 −40%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $61,559 $61,559 $73,038 −16% $87,031 −29%
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $61,318 $61,318 $81,176 −24% $81,176 −24%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $60,217 $60,217 $71,776 −16% $102,177 −41%
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $60,182 $60,182 $69,912 −14% $71,608 −16%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $59,785 $59,785 $74,709 −20% $106,057 −44%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $59,592 $59,592 $69,695 −14% $99,423 −40%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $58,807 $58,807 $69,206 −15% $96,507 −39%
653 MAJOR BLADDER PROCEDURES WITH MCC $58,708 $58,708 $75,310 −22% $100,871 −42%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $56,979 $56,979 $62,801 −9% $90,331 −37%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $56,395 $56,395 $69,008 −18% $80,793 −30%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $55,952 $55,952 $67,791 −17% $96,905 −42%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $55,855 $55,855 $68,020 −18% $91,511 −39%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $55,668 $55,668 $68,473 −19% $91,116 −39%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,441 $55,441 $73,030 −24% $82,527 −33%
471 CERVICAL SPINAL FUSION WITH MCC $54,639 $54,639 $66,189 −17% $92,515 −41%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $54,369 $54,369 $68,095 −20% $76,910 −29%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $53,888 $53,888 $64,248 −16% $92,217 −42%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $53,230 $53,230 $62,992 −15% $71,551 −26%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $53,124 $53,124 $64,874 −18% $87,201 −39%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $52,969 $52,969 $65,149 −19% $88,691 −40%
006 LIVER TRANSPLANT WITHOUT MCC $52,518 $52,518 $84,407 −38% $84,407 −38%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $52,313 $52,313 $63,571 −18% $91,329 −43%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $52,070 $52,070 $62,792 −17% $88,050 −41%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $51,940 $51,940 $63,928 −19% $81,439 −36%
245 AICD GENERATOR PROCEDURES $51,692 $51,692 $66,564 −22% $72,076 −28%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $51,541 $51,541 $61,750 −17% $76,458 −33%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $51,519 $51,519 $61,240 −16% $88,307 −42%
799 SPLENIC PROCEDURES WITH MCC $51,322 $51,322 $64,885 −21% $78,821 −35%
163 MAJOR CHEST PROCEDURES WITH MCC $50,800 $50,800 $81,818 −38% $88,341 −42%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $50,786 $50,786 $57,584 −12% $68,659 −26%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $50,591 $50,591 $60,208 −16% $69,388 −27%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $49,816 $49,816 $58,558 −15% $82,561 −40%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $49,092 $49,092 $58,476 −16% $91,884 −47%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $48,710 $48,710 $61,401 −21% $74,665 −35%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $48,405 $48,405 $58,085 −17% $60,098 −19%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $48,134 $48,134 $56,194 −14% $81,998 −41%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $47,939 $47,939 $57,196 −16% $83,065 −42%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $47,859 $47,859 $56,456 −15% $79,020 −39%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $47,836 $47,836 $56,535 −15% $70,455 −32%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $47,700 $47,700 $57,570 −17% $79,387 −40%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $47,645 $47,645 $60,697 −22% $68,847 −31%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $47,558 $47,558 $56,565 −16% $82,247 −42%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $47,379 $47,379 $59,237 −20% $83,441 −43%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $47,346 $47,346 $47,346 +0% $23,091 +105%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $47,162 $47,162 $55,985 −16% $75,180 −37%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $46,858 $46,858 $53,945 −13% $78,852 −41%
791 PREMATURITY WITH MAJOR PROBLEMS $46,122 $46,122 $46,122 +0% $51,969 −11%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $45,696 $45,696 $53,970 −15% $75,989 −40%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $45,293 $45,293 $49,721 −9% $60,628 −25%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $44,494 $44,494 $52,536 −15% $74,755 −40%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $44,299 $44,299 $59,352 −25% $59,352 −25%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $44,039 $44,039 $53,665 −18% $76,219 −42%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $43,974 $43,974 $54,196 −19% $54,196 −19%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $43,933 $43,933 $52,152 −16% $74,257 −41%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $43,691 $43,691 $54,898 −20% $77,817 −44%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $42,847 $42,847 $52,805 −19% $75,103 −43%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $42,665 $42,665 $46,049 −7% $52,908 −19%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $42,567 $42,567 $55,354 −23% $75,141 −43%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $42,562 $42,562 $49,711 −14% $71,092 −40%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $42,446 $42,446 $54,405 −22% $71,235 −40%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $42,214 $42,214 $56,242 −25% $56,242 −25%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $41,852 $41,852 $53,307 −21% $55,084 −24%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $41,835 $41,835 $49,285 −15% $70,540 −41%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $41,359 $41,359 $44,389 −7% $51,904 −20%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $41,328 $41,328 $48,887 −15% $56,964 −27%
332 RECTAL RESECTION WITH MCC $41,272 $41,272 $48,214 −14% $58,125 −29%
265 AICD LEAD PROCEDURES $41,245 $41,245 $49,492 −17% $63,092 −35%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $41,174 $41,174 $49,718 −17% $57,855 −29%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $41,114 $41,114 $44,783 −8% $61,567 −33%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $40,853 $40,853 $54,862 −26% $57,521 −29%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $40,761 $40,761 $54,300 −25% $61,832 −34%
335 PERITONEAL ADHESIOLYSIS WITH MCC $40,721 $40,721 $50,222 −19% $71,755 −43%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $40,663 $40,663 $48,637 −16% $59,207 −31%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $40,629 $40,629 $48,670 −17% $69,743 −42%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $40,592 $40,592 $51,761 −22% $65,264 −38%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $40,560 $40,560 $47,899 −15% $71,014 −43%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $40,231 $40,231 $47,649 −16% $68,880 −42%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $40,151 $40,151 $50,550 −21% $66,578 −40%
252 OTHER VASCULAR PROCEDURES WITH MCC $39,807 $39,807 $47,717 −17% $68,508 −42%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $39,797 $39,797 $53,357 −25% $68,118 −42%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $39,620 $39,620 $48,165 −18% $51,137 −23%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $39,434 $39,434 $50,390 −22% $64,132 −39%
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $39,257 $39,257 $91,329 −57% $131,707 −70%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $39,144 $39,144 $48,655 −20% $67,124 −42%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $38,958 $38,958 $46,760 −17% $67,268 −42%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $38,909 $38,909 $49,003 −21% $50,919 −24%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $38,173 $38,173 $48,557 −21% $53,069 −28%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $37,760 $37,760 $38,709 −2% $48,358 −22%
037 EXTRACRANIAL PROCEDURES WITH MCC $37,636 $37,636 $46,296 −19% $66,666 −44%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $37,632 $37,632 $43,701 −14% $65,573 −43%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $37,201 $37,201 $47,403 −22% $69,425 −46%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $37,043 $37,043 $45,498 −19% $56,769 −35%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $37,003 $37,003 $44,584 −17% $49,710 −26%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $36,953 $36,953 $43,247 −15% $65,216 −43%
652 KIDNEY TRANSPLANT $36,944 $36,944 $54,720 −32% $54,720 −32%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $36,917 $36,917 $44,977 −18% $64,956 −43%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $36,847 $36,847 $44,472 −17% $44,472 −17%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $36,732 $36,732 $40,341 −9% $56,593 −35%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $36,537 $36,537 $47,218 −23% $70,132 −48%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $36,472 $36,472 $43,330 −16% $62,821 −42%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $36,438 $36,438 $45,479 −20% $64,724 −44%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $36,367 $36,367 $49,015 −26% $66,852 −46%
500 SOFT TISSUE PROCEDURES WITH MCC $36,228 $36,228 $44,320 −18% $61,861 −41%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $36,174 $36,174 $43,218 −16% $59,349 −39%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $36,075 $36,075 $44,663 −19% $71,464 −50%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $36,058 $36,058 $43,510 −17% $65,325 −45%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $35,976 $35,976 $39,606 −9% $52,986 −32%
665 PROSTATECTOMY WITH MCC $35,745 $35,745 $47,758 −25% $54,072 −34%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $35,673 $35,673 $41,464 −14% $60,402 −41%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $35,612 $35,612 $42,891 −17% $64,523 −45%
662 MINOR BLADDER PROCEDURES WITH MCC $35,085 $35,085 $43,683 −20% $54,483 −36%
263 VEIN LIGATION AND STRIPPING $35,039 $35,039 $38,005 −8% $49,774 −30%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $34,771 $34,771 $45,618 −24% $65,788 −47%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $34,631 $34,631 $40,289 −14% $49,955 −31%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $34,626 $34,626 $40,406 −14% $59,031 −41%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $34,590 $34,590 $35,964 −4% $46,197 −25%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $34,143 $34,143 $43,021 −21% $48,915 −30%
472 CERVICAL SPINAL FUSION WITH CC $33,808 $33,808 $40,797 −17% $59,537 −43%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $33,785 $33,785 $37,509 −10% $40,277 −16%
570 SKIN DEBRIDEMENT WITH MCC $33,752 $33,752 $42,263 −20% $59,564 −43%
668 TRANSURETHRAL PROCEDURES WITH MCC $33,519 $33,519 $41,045 −18% $49,836 −33%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $33,434 $33,434 $50,209 −33% $64,732 −48%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $33,320 $33,320 $41,261 −19% $60,140 −45%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $33,300 $33,300 $39,644 −16% $58,043 −43%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $33,158 $33,158 $38,581 −14% $44,973 −26%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $33,143 $33,143 $41,952 −21% $46,402 −29%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $33,096 $33,096 $37,588 −12% $47,729 −31%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $32,968 $32,968 $49,560 −33% $71,958 −54%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $32,750 $32,750 $40,991 −20% $59,790 −45%
800 SPLENIC PROCEDURES WITH CC $32,295 $32,295 $41,012 −21% $49,184 −34%
654 MAJOR BLADDER PROCEDURES WITH CC $32,183 $32,183 $42,660 −25% $58,274 −45%
503 FOOT PROCEDURES WITH MCC $32,093 $32,093 $37,544 −15% $46,155 −30%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $31,880 $31,880 $36,267 −12% $60,369 −47%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $31,716 $31,716 $38,281 −17% $53,011 −40%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $31,623 $31,623 $40,183 −21% $52,405 −40%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $31,616 $31,616 $37,242 −15% $54,929 −42%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $31,458 $31,458 $38,454 −18% $43,785 −28%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $31,315 $31,315 $61,766 −49% $81,946 −62%
849 RADIOTHERAPY $31,190 $31,190 $37,862 −18% $37,862 −18%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $31,153 $31,153 $38,646 −19% $46,888 −34%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,056 $31,056 $37,153 −16% $45,541 −32%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,642 $30,642 $40,363 −24% $56,758 −46%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $30,539 $30,539 $37,754 −19% $47,945 −36%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $30,392 $30,392 $37,631 −19% $44,057 −31%
253 OTHER VASCULAR PROCEDURES WITH CC $29,929 $29,929 $36,329 −18% $54,009 −45%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $29,895 $29,895 $36,339 −18% $38,878 −23%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $29,788 $29,788 $38,166 −22% $47,362 −37%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $29,748 $29,748 $34,307 −13% $47,583 −37%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $29,748 $29,748 $34,307 −13% $41,442 −28%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $29,619 $29,619 $36,791 −19% $42,815 −31%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $29,458 $29,458 $35,670 −17% $55,162 −47%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $29,324 $29,324 $36,735 −20% $52,178 −44%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $29,271 $29,271 $39,683 −26% $58,203 −50%
164 MAJOR CHEST PROCEDURES WITH CC $29,137 $29,137 $36,508 −20% $53,455 −45%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $29,125 $29,125 $35,224 −17% $54,583 −47%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $28,782 $28,782 $34,586 −17% $49,835 −42%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $28,669 $28,669 $42,955 −33% $42,895 −33%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $28,420 $28,420 $33,546 −15% $50,139 −43%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $28,412 $28,412 $34,970 −19% $51,985 −45%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $28,375 $28,375 $22,780 +25% $29,112 −3%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $28,309 $28,309 $28,309 +0% $15,256 +86%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $28,254 $28,254 $34,708 −19% $59,668 −53%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $28,222 $28,222 $33,920 −17% $50,624 −44%
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $28,011 $28,011 $28,011 +0% $106,910 −74%
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,923 $27,923 $95,552 −71% $111,628 −75%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $27,824 $27,824 $33,237 −16% $35,410 −21%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $27,734 $27,734 $33,872 −18% $64,664 −57%
397 APPENDIX PROCEDURES WITH MCC $27,708 $27,708 $35,353 −22% $54,751 −49%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $27,660 $27,660 $32,719 −15% $49,066 −44%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $27,614 $27,614 $34,039 −19% $56,005 −51%
113 ORBITAL PROCEDURES WITH CC/MCC $27,224 $27,224 $32,482 −16% $39,880 −32%
333 RECTAL RESECTION WITH CC $27,125 $27,125 $30,778 −12% $34,352 −21%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $27,086 $27,086 $33,155 −18% $49,631 −45%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $27,067 $27,067 $30,598 −12% $39,044 −31%
709 PENIS PROCEDURES WITH CC/MCC $26,958 $26,958 $32,359 −17% $34,535 −22%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $26,941 $26,941 $51,679 −48% $48,682 −45%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $26,914 $26,914 $35,694 −25% $39,973 −33%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $26,782 $26,782 $33,823 −21% $49,924 −46%
347 ANAL AND STOMAL PROCEDURES WITH MCC $26,610 $26,610 $33,912 −22% $40,548 −34%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $26,602 $26,602 $31,349 −15% $43,749 −39%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $26,499 $26,499 $33,308 −20% $36,237 −27%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $26,455 $26,455 $31,159 −15% $39,767 −33%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $26,389 $26,389 $31,193 −15% $47,089 −44%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $26,347 $26,347 $32,604 −19% $41,892 −37%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $26,278 $26,278 $31,740 −17% $39,687 −34%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $25,979 $25,979 $32,168 −19% $48,353 −46%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $25,965 $25,965 $32,504 −20% $38,998 −33%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $25,769 $25,769 $30,914 −17% $40,596 −37%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $25,693 $25,693 $31,920 −20% $46,658 −45%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $25,669 $25,669 $31,044 −17% $31,044 −17%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $25,639 $25,639 $32,919 −22% $39,181 −35%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $25,537 $25,537 $32,503 −21% $47,820 −47%
030 SPINAL PROCEDURES WITHOUT CC/MCC $25,499 $25,499 $32,077 −21% $48,235 −47%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $25,461 $25,461 $32,773 −22% $49,077 −48%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $25,418 $25,418 $32,829 −23% $39,893 −36%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $25,358 $25,358 $45,947 −45% $59,629 −57%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $25,343 $25,343 $31,079 −18% $39,141 −35%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $25,317 $25,317 $32,385 −22% $46,579 −46%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $25,301 $25,301 $30,404 −17% $46,066 −45%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $25,220 $25,220 $34,487 −27% $42,186 −40%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $24,905 $24,905 $33,279 −25% $47,426 −47%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $24,896 $24,896 $29,767 −16% $34,089 −27%
374 DIGESTIVE MALIGNANCY WITH MCC $24,874 $24,874 $30,598 −19% $42,775 −42%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $24,788 $24,788 $30,912 −20% $46,724 −47%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $24,787 $24,787 $32,433 −24% $50,011 −50%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $24,777 $24,777 $30,486 −19% $40,891 −39%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $24,741 $24,741 $30,326 −18% $33,851 −27%
595 MAJOR SKIN DISORDERS WITH MCC $24,674 $24,674 $30,646 −19% $32,488 −24%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $24,641 $24,641 $42,942 −43% $61,176 −60%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $24,638 $24,638 $45,648 −46% $39,247 −37%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $24,629 $24,629 $30,155 −18% $44,153 −44%
336 PERITONEAL ADHESIOLYSIS WITH CC $24,542 $24,542 $30,609 −20% $53,373 −54%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $24,473 $24,473 $30,860 −21% $37,834 −35%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $24,384 $24,384 $39,333 −38% $57,107 −57%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $24,370 $24,370 $31,025 −21% $39,461 −38%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $24,347 $24,347 $35,549 −32% $47,529 −49%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $24,306 $24,306 $29,518 −18% $31,311 −22%
835 ACUTE LEUKEMIA WITH CC $24,288 $24,288 $33,001 −26% $35,569 −32%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $24,282 $24,282 $31,144 −22% $40,916 −41%
711 TESTES PROCEDURES WITH CC/MCC $24,266 $24,266 $27,991 −13% $37,960 −36%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $24,217 $24,217 $28,648 −15% $43,538 −44%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $24,203 $24,203 $29,304 −17% $47,347 −49%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $24,172 $24,172 $26,510 −9% $26,510 −9%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $24,077 $24,077 $28,868 −17% $43,913 −45%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $24,009 $24,009 $29,131 −18% $44,363 −46%
935 NON-EXTENSIVE BURNS $24,003 $24,003 $31,701 −24% $31,701 −24%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $23,882 $23,882 $28,555 −16% $36,862 −35%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $23,645 $23,645 $28,559 −17% $29,524 −20%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $23,583 $23,583 $26,007 −9% $36,091 −35%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $23,503 $23,503 $18,260 +29% $21,230 +11%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $23,461 $23,461 $31,353 −25% $39,106 −40%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $23,411 $23,411 $27,664 −15% $48,901 −52%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $23,342 $23,342 $28,381 −18% $43,080 −46%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $23,341 $23,341 $28,787 −19% $44,132 −47%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $23,318 $23,318 $31,591 −26% $44,357 −47%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $23,286 $23,286 $29,374 −21% $43,874 −47%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $23,281 $23,281 $27,943 −17% $39,105 −40%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $23,126 $23,126 $29,109 −21% $38,837 −40%
539 OSTEOMYELITIS WITH MCC $23,004 $23,004 $29,443 −22% $37,126 −38%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $22,987 $22,987 $30,687 −25% $38,851 −41%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $22,966 $22,966 $27,256 −16% $26,905 −15%
906 HAND PROCEDURES FOR INJURIES $22,944 $22,944 $31,520 −27% $31,685 −28%
380 COMPLICATED PEPTIC ULCER WITH MCC $22,921 $22,921 $28,169 −19% $39,627 −42%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $22,706 $22,706 $26,986 −16% $40,694 −44%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $22,703 $22,703 $33,946 −33% $37,479 −39%
100 SEIZURES WITH MCC $22,639 $22,639 $28,961 −22% $36,405 −38%
592 SKIN ULCERS WITH MCC $22,623 $22,623 $29,882 −24% $33,246 −32%
548 SEPTIC ARTHRITIS WITH MCC $22,574 $22,574 $29,341 −23% $31,019 −27%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $22,554 $22,554 $28,958 −22% $32,209 −30%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $22,552 $22,552 $35,994 −37% $51,133 −56%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $22,527 $22,527 $25,923 −13% $35,206 −36%
075 VIRAL MENINGITIS WITH CC/MCC $22,426 $22,426 $25,549 −12% $30,447 −26%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $22,393 $22,393 $27,823 −20% $36,416 −39%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $22,389 $22,389 $27,387 −18% $41,380 −46%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $22,331 $22,331 $24,502 −9% $28,634 −22%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $22,127 $22,127 $44,454 −50% $42,126 −47%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $22,127 $22,127 $27,276 −19% $34,894 −37%
196 INTERSTITIAL LUNG DISEASE WITH MCC $22,091 $22,091 $27,647 −20% $33,507 −34%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $21,904 $21,904 $28,264 −23% $42,881 −49%
504 FOOT PROCEDURES WITH CC $21,891 $21,891 $25,972 −16% $38,960 −44%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,844 $21,844 $27,287 −20% $31,789 −31%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $21,778 $21,778 $26,242 −17% $33,388 −35%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $21,778 $21,778 $26,296 −17% $33,495 −35%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,587 $21,587 $26,677 −19% $29,481 −27%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $21,532 $21,532 $27,591 −22% $37,950 −43%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $21,511 $21,511 $26,903 −20% $41,113 −48%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $21,469 $21,469 $27,695 −22% $33,894 −37%
919 COMPLICATIONS OF TREATMENT WITH MCC $21,467 $21,467 $26,862 −20% $31,917 −33%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $21,458 $21,458 $26,921 −20% $44,833 −52%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $21,436 $21,436 $26,792 −20% $38,041 −44%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,388 $21,388 $25,727 −17% $34,528 −38%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $21,388 $21,388 $27,058 −21% $32,792 −35%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $21,251 $21,251 $29,314 −28% $31,319 −32%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $21,236 $21,236 $28,993 −27% $35,752 −41%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $21,233 $21,233 $25,633 −17% $29,826 −29%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $21,232 $21,232 $26,794 −21% $39,589 −46%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $21,215 $21,215 $24,851 −15% $29,126 −27%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $21,209 $21,209 $26,617 −20% $40,063 −47%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $21,197 $21,197 $28,350 −25% $37,744 −44%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $21,169 $21,169 $28,801 −27% $43,800 −52%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $21,167 $21,167 $30,841 −31% $36,025 −41%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $21,163 $21,163 $26,909 −21% $40,563 −48%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $21,150 $21,150 $21,150 +0% $18,632 +14%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $21,093 $21,093 $29,109 −28% $30,097 −30%
671 URETHRAL PROCEDURES WITH CC/MCC $21,070 $21,070 $25,566 −18% $27,233 −23%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $21,067 $21,067 $27,729 −24% $34,987 −40%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $21,058 $21,058 $28,893 −27% $37,223 −43%
505 FOOT PROCEDURES WITHOUT CC/MCC $21,046 $21,046 $25,972 −19% $33,900 −38%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $20,923 $20,923 $26,341 −21% $38,836 −46%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $20,828 $20,828 $33,555 −38% $35,017 −41%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $20,782 $20,782 $28,703 −28% $43,631 −52%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $20,755 $20,755 $27,401 −24% $36,792 −44%
180 RESPIRATORY NEOPLASMS WITH MCC $20,750 $20,750 $25,879 −20% $36,658 −43%
199 PNEUMOTHORAX WITH MCC $20,729 $20,729 $26,106 −21% $34,228 −39%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $20,716 $20,716 $26,676 −22% $58,809 −65%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $20,652 $20,652 $34,548 −40% $54,619 −62%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $20,641 $20,641 $26,853 −23% $37,921 −46%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $20,566 $20,566 $25,121 −18% $31,839 −35%
666 PROSTATECTOMY WITH CC $20,565 $20,565 $24,574 −16% $32,253 −36%
501 SOFT TISSUE PROCEDURES WITH CC $20,551 $20,551 $26,358 −22% $39,619 −48%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $20,518 $20,518 $26,307 −22% $32,212 −36%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $20,434 $20,434 $24,448 −16% $36,354 −44%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $20,430 $20,430 $24,928 −18% $31,836 −36%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $20,383 $20,383 $25,994 −22% $30,033 −32%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $20,329 $20,329 $26,206 −22% $39,360 −48%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $20,326 $20,326 $26,006 −22% $39,018 −48%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $20,289 $20,289 $24,514 −17% $31,566 −36%
157 DENTAL AND ORAL DISEASES WITH MCC $20,205 $20,205 $24,447 −17% $32,211 −37%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,174 $20,174 $24,846 −19% $33,754 −40%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $20,124 $20,124 $27,152 −26% $29,609 −32%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $20,096 $20,096 $23,658 −15% $31,324 −36%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,061 $20,061 $23,998 −16% $35,584 −44%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $19,996 $19,996 $22,282 −10% $31,216 −36%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $19,926 $19,926 $24,718 −19% $47,027 −58%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $19,906 $19,906 $21,228 −6% $25,347 −21%
571 SKIN DEBRIDEMENT WITH CC $19,903 $19,903 $24,925 −20% $37,012 −46%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,830 $19,830 $33,515 −41% $46,249 −57%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $19,825 $19,825 $32,218 −38% $43,477 −54%
915 ALLERGIC REACTIONS WITH MCC $19,816 $19,816 $25,750 −23% $32,645 −39%
551 MEDICAL BACK PROBLEMS WITH MCC $19,755 $19,755 $25,341 −22% $34,920 −43%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $19,697 $19,697 $30,811 −36% $35,591 −45%
597 MALIGNANT BREAST DISORDERS WITH MCC $19,655 $19,655 $25,994 −24% $34,128 −42%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $19,630 $19,630 $25,761 −24% $33,652 −42%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $19,609 $19,609 $23,902 −18% $35,419 −45%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $19,582 $19,582 $24,771 −21% $28,585 −31%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $19,526 $19,526 $24,061 −19% $35,692 −45%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $19,515 $19,515 $30,494 −36% $33,051 −41%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $19,460 $19,460 $20,702 −6% $27,838 −30%
643 ENDOCRINE DISORDERS WITH MCC $19,423 $19,423 $24,704 −21% $33,909 −43%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,395 $19,395 $25,466 −24% $38,094 −49%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $19,371 $19,371 $23,510 −18% $34,749 −44%
334 RECTAL RESECTION WITHOUT CC/MCC $19,332 $19,332 $24,721 −22% $32,213 −40%
913 TRAUMATIC INJURY WITH MCC $19,296 $19,296 $24,198 −20% $24,198 −20%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $19,275 $19,275 $30,993 −38% $26,686 −28%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $19,260 $19,260 $23,545 −18% $33,633 −43%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $19,256 $19,256 $29,598 −35% $43,248 −55%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $19,247 $19,247 $24,787 −22% $33,814 −43%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $19,244 $19,244 $22,893 −16% $33,694 −43%
038 EXTRACRANIAL PROCEDURES WITH CC $19,163 $19,163 $24,107 −21% $35,770 −46%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,011 $19,011 $24,871 −24% $27,002 −30%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $18,984 $18,984 $25,133 −24% $34,423 −45%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $18,960 $18,960 $23,254 −18% $29,635 −36%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,958 $18,958 $24,497 −23% $32,530 −42%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $18,938 $18,938 $23,876 −21% $37,183 −49%
620 O.R. PROCEDURES FOR OBESITY WITH CC $18,916 $18,916 $23,921 −21% $35,453 −47%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $18,905 $18,905 $24,687 −23% $34,192 −45%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $18,873 $18,873 $23,602 −20% $34,906 −46%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $18,823 $18,823 $29,165 −35% $35,349 −47%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $18,777 $18,777 $23,326 −20% $34,434 −45%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $18,717 $18,717 $24,282 −23% $27,617 −32%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $18,645 $18,645 $22,628 −18% $25,599 −27%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $18,628 $18,628 $22,735 −18% $33,424 −44%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $18,563 $18,563 $26,258 −29% $33,289 −44%
533 FRACTURES OF FEMUR WITH MCC $18,555 $18,555 $22,986 −19% $25,945 −28%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $18,539 $18,539 $23,703 −22% $35,074 −47%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $18,509 $18,509 $24,302 −24% $24,465 −24%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $18,500 $18,500 $33,068 −44% $34,448 −46%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,491 $18,491 $24,458 −24% $33,031 −44%
186 PLEURAL EFFUSION WITH MCC $18,454 $18,454 $23,701 −22% $33,834 −45%
669 TRANSURETHRAL PROCEDURES WITH CC $18,382 $18,382 $32,675 −44% $34,354 −46%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $18,379 $18,379 $22,714 −19% $38,106 −52%
945 REHABILITATION WITH CC/MCC $18,344 $18,344 $23,834 −23% $23,834 −23%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $18,289 $18,289 $23,560 −22% $33,653 −46%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $18,212 $18,212 $22,568 −19% $33,137 −45%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $18,193 $18,193 $24,154 −25% $39,857 −54%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $18,192 $18,192 $23,065 −21% $26,850 −32%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $18,185 $18,185 $22,435 −19% $39,617 −54%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,167 $18,167 $22,664 −20% $27,394 −34%
183 MAJOR CHEST TRAUMA WITH MCC $18,137 $18,137 $23,796 −24% $31,295 −42%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $18,104 $18,104 $22,651 −20% $30,447 −41%
813 COAGULATION DISORDERS $18,086 $18,086 $23,285 −22% $32,182 −44%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,077 $18,077 $22,721 −20% $34,748 −48%
663 MINOR BLADDER PROCEDURES WITH CC $18,030 $18,030 $23,018 −22% $32,018 −44%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $17,966 $17,966 $19,945 −10% $22,811 −21%
398 APPENDIX PROCEDURES WITH CC $17,957 $17,957 $24,671 −27% $41,614 −57%
606 MINOR SKIN DISORDERS WITH MCC $17,952 $17,952 $24,094 −25% $26,751 −33%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $17,899 $17,899 $22,167 −19% $32,451 −45%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $17,862 $17,862 $22,175 −19% $25,149 −29%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,858 $17,858 $22,516 −21% $31,772 −44%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $17,844 $17,844 $21,961 −19% $32,100 −44%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $17,810 $17,810 $23,257 −23% $25,999 −31%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $17,800 $17,800 $22,783 −22% $32,093 −45%
865 VIRAL ILLNESS WITH MCC $17,787 $17,787 $22,350 −20% $26,088 −32%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $17,775 $17,775 $23,720 −25% $27,261 −35%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $17,745 $17,745 $23,475 −24% $47,083 −62%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $17,739 $17,739 $21,795 −19% $33,374 −47%
137 MOUTH PROCEDURES WITH CC/MCC $17,731 $17,731 $21,346 −17% $24,906 −29%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $17,661 $17,661 $23,307 −24% $33,325 −47%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $17,623 $17,623 $24,586 −28% $25,197 −30%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $17,617 $17,617 $22,265 −21% $25,786 −32%
682 RENAL FAILURE WITH MCC $17,596 $17,596 $22,687 −22% $31,184 −44%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $17,549 $17,549 $22,272 −21% $30,897 −43%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $17,540 $17,540 $17,540 +0% $8,633 +103%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,538 $17,538 $19,930 −12% $24,145 −27%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $17,497 $17,497 $22,477 −22% $30,537 −43%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $17,485 $17,485 $21,615 −19% $21,800 −20%
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $17,460 $17,460 $22,077 −21% $28,622 −39%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,458 $17,458 $22,882 −24% $33,674 −48%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $17,358 $17,358 $21,381 −19% $24,601 −29%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $17,185 $17,185 $20,980 −18% $20,980 −18%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $17,177 $17,177 $21,873 −21% $26,932 −36%
637 DIABETES WITH MCC $17,106 $17,106 $26,435 −35% $31,433 −46%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $17,053 $17,053 $21,563 −21% $24,829 −31%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $16,988 $16,988 $21,022 −19% $30,493 −44%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $16,974 $16,974 $22,189 −24% $30,328 −44%
642 INBORN AND OTHER DISORDERS OF METABOLISM $16,944 $16,944 $19,302 −12% $20,727 −18%
602 CELLULITIS WITH MCC $16,935 $16,935 $23,634 −28% $31,269 −46%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,902 $16,902 $19,354 −13% $19,354 −13%
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $16,872 $16,872 $21,986 −23% $21,986 −23%
811 RED BLOOD CELL DISORDERS WITH MCC $16,747 $16,747 $30,960 −46% $28,113 −40%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $16,742 $16,742 $21,427 −22% $37,324 −55%
710 PENIS PROCEDURES WITHOUT CC/MCC $16,713 $16,713 $22,681 −26% $24,531 −32%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $16,694 $16,694 $22,265 −25% $25,766 −35%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $16,692 $16,692 $21,793 −23% $31,812 −48%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,676 $16,676 $20,782 −20% $30,083 −45%
885 PSYCHOSES $16,664 $16,664 $21,489 −22% $21,729 −23%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,653 $16,653 $21,240 −22% $26,398 −37%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $16,621 $16,621 $19,916 −17% $26,222 −37%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $16,559 $16,559 $20,875 −21% $30,242 −45%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $16,527 $16,527 $22,791 −27% $25,972 −36%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $16,486 $16,486 $19,602 −16% $28,065 −41%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,408 $16,408 $22,929 −28% $30,959 −47%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,328 $16,328 $20,766 −21% $28,950 −44%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $16,321 $16,321 $26,784 −39% $36,937 −56%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $16,294 $16,294 $20,978 −22% $30,418 −46%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $16,284 $16,284 $21,277 −23% $27,119 −40%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $16,213 $16,213 $17,544 −8% $24,544 −34%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $16,180 $16,180 $18,536 −13% $19,598 −17%
088 CONCUSSION WITH MCC $16,166 $16,166 $21,503 −25% $24,402 −34%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $16,140 $16,140 $19,169 −16% $27,323 −41%
506 MAJOR THUMB OR JOINT PROCEDURES $16,138 $16,138 $22,651 −29% $29,565 −45%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $16,101 $16,101 $21,328 −25% $31,017 −48%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $16,097 $16,097 $18,949 −15% $26,948 −40%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $16,091 $16,091 $20,497 −21% $34,468 −53%
693 URINARY STONES WITH MCC $16,086 $16,086 $22,278 −28% $23,654 −32%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $16,070 $16,070 $19,183 −16% $21,556 −25%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $15,987 $15,987 $20,430 −22% $28,162 −43%
150 EPISTAXIS WITH MCC $15,942 $15,942 $21,133 −25% $21,230 −25%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,906 $15,906 $19,637 −19% $28,125 −43%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $15,849 $15,849 $20,117 −21% $21,029 −25%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $15,834 $15,834 $21,500 −26% $26,179 −40%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $15,833 $15,833 $20,586 −23% $31,667 −50%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,753 $15,753 $22,641 −30% $29,171 −46%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,734 $15,734 $19,655 −20% $28,156 −44%
348 ANAL AND STOMAL PROCEDURES WITH CC $15,691 $15,691 $19,533 −20% $27,947 −44%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $15,684 $15,684 $19,686 −20% $22,726 −31%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,623 $15,623 $20,217 −23% $24,623 −37%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $15,568 $15,568 $21,908 −29% $22,525 −31%
540 OSTEOMYELITIS WITH CC $15,552 $15,552 $19,990 −22% $27,453 −43%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $15,552 $15,552 $22,304 −30% $26,765 −42%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $15,544 $15,544 $20,513 −24% $27,621 −44%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $15,538 $15,538 $21,642 −28% $27,741 −44%
291 HEART FAILURE AND SHOCK WITH MCC $15,414 $15,414 $22,625 −32% $27,864 −45%
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,394 $15,394 $20,455 −25% $23,311 −34%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $15,278 $15,278 $19,350 −21% $21,876 −30%
947 SIGNS AND SYMPTOMS WITH MCC $15,255 $15,255 $19,887 −23% $27,070 −44%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $15,242 $15,242 $26,164 −42% $28,515 −47%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $15,216 $15,216 $19,268 −21% $23,515 −35%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,061 $15,061 $16,213 −7% $17,737 −15%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $14,939 $14,939 $19,075 −22% $27,163 −45%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $14,937 $14,937 $23,274 −36% $32,593 −54%
139 SALIVARY GLAND PROCEDURES $14,882 $14,882 $21,014 −29% $21,014 −29%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,878 $14,878 $21,525 −31% $27,470 −46%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $14,702 $14,702 $19,686 −25% $19,686 −25%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $14,679 $14,679 $18,707 −22% $21,153 −31%
375 DIGESTIVE MALIGNANCY WITH CC $14,593 $14,593 $19,141 −24% $27,277 −47%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $14,578 $14,578 $20,619 −29% $29,805 −51%
549 SEPTIC ARTHRITIS WITH CC $14,566 $14,566 $18,835 −23% $21,668 −33%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $14,531 $14,531 $21,678 −33% $26,770 −46%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,531 $14,531 $18,038 −19% $25,390 −43%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,514 $14,514 $18,133 −20% $18,133 −20%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $14,512 $14,512 $18,572 −22% $23,405 −38%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,478 $14,478 $18,191 −20% $25,652 −44%
302 ATHEROSCLEROSIS WITH MCC $14,449 $14,449 $18,292 −21% $22,223 −35%
304 HYPERTENSION WITH MCC $14,376 $14,376 $22,816 −37% $26,080 −45%
949 AFTERCARE WITH CC/MCC $14,373 $14,373 $17,198 −16% $23,953 −40%
593 SKIN ULCERS WITH CC $14,335 $14,335 $19,063 −25% $23,072 −38%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $14,334 $14,334 $19,357 −26% $27,645 −48%
152 OTITIS MEDIA AND URI WITH MCC $14,290 $14,290 $17,922 −20% $19,971 −28%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,268 $14,268 $18,290 −22% $23,443 −39%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $14,216 $14,216 $17,967 −21% $25,267 −44%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $14,157 $14,157 $19,581 −28% $20,739 −32%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $14,150 $14,150 $19,017 −26% $23,588 −40%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $14,130 $14,130 $20,862 −32% $24,957 −43%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $14,121 $14,121 $16,434 −14% $22,557 −37%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,081 $14,081 $18,291 −23% $18,291 −23%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $14,047 $14,047 $20,718 −32% $25,980 −46%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $14,035 $14,035 $19,911 −30% $28,593 −51%
546 CONNECTIVE TISSUE DISORDERS WITH CC $13,971 $13,971 $22,094 −37% $25,700 −46%
946 REHABILITATION WITHOUT CC/MCC $13,898 $13,898 $17,685 −21% $17,685 −21%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $13,892 $13,892 $18,021 −23% $24,841 −44%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $13,875 $13,875 $17,780 −22% $32,462 −57%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $13,865 $13,865 $17,832 −22% $21,550 −36%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $13,853 $13,853 $17,768 −22% $19,968 −31%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,795 $13,795 $16,495 −16% $18,201 −24%
598 MALIGNANT BREAST DISORDERS WITH CC $13,726 $13,726 $17,197 −20% $19,150 −28%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $13,724 $13,724 $17,830 −23% $25,034 −45%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,669 $13,669 $17,973 −24% $25,279 −46%
102 HEADACHES WITH MCC $13,611 $13,611 $18,243 −25% $25,440 −46%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $13,566 $13,566 $19,267 −30% $27,711 −51%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,566 $13,566 $15,613 −13% $23,571 −42%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $13,465 $13,465 $22,279 −40% $24,930 −46%
667 PROSTATECTOMY WITHOUT CC/MCC $13,449 $13,449 $16,534 −19% $16,703 −19%
712 TESTES PROCEDURES WITHOUT CC/MCC $13,377 $13,377 $17,076 −22% $18,898 −29%
200 PNEUMOTHORAX WITH CC $13,372 $13,372 $17,568 −24% $22,059 −39%
089 CONCUSSION WITH CC $13,365 $13,365 $17,109 −22% $18,821 −29%
445 DISORDERS OF THE BILIARY TRACT WITH CC $13,318 $13,318 $17,269 −23% $24,075 −45%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $13,294 $13,294 $14,770 −10% $15,764 −16%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,245 $13,245 $17,602 −25% $19,510 −32%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $13,213 $13,213 $17,193 −23% $19,057 −31%
381 COMPLICATED PEPTIC ULCER WITH CC $13,198 $13,198 $17,329 −24% $24,177 −45%
596 MAJOR SKIN DISORDERS WITHOUT MCC $13,186 $13,186 $17,226 −23% $17,226 −23%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $13,153 $13,153 $17,398 −24% $17,398 −24%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,150 $13,150 $13,876 −5% $16,035 −18%
697 URETHRAL STRICTURE $13,134 $13,134 $16,196 −19% $17,705 −26%
882 NEUROSES EXCEPT DEPRESSIVE $13,090 $13,090 $15,680 −17% $15,680 −17%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,066 $13,066 $14,778 −12% $19,258 −32%
181 RESPIRATORY NEOPLASMS WITH CC $13,059 $13,059 $20,199 −35% $23,084 −43%
887 OTHER MENTAL DISORDER DIAGNOSES $13,058 $13,058 $18,631 −30% $20,616 −37%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,049 $13,049 $17,337 −25% $33,023 −60%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $13,021 $13,021 $17,089 −24% $19,416 −33%
184 MAJOR CHEST TRAUMA WITH CC $12,983 $12,983 $17,057 −24% $22,688 −43%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,939 $12,939 $15,808 −18% $24,042 −46%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $12,923 $12,923 $17,483 −26% $17,483 −26%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,909 $12,909 $15,390 −16% $18,363 −30%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $12,895 $12,895 $17,079 −24% $23,749 −46%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $12,803 $12,803 $16,857 −24% $19,514 −34%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,793 $12,793 $17,209 −26% $19,371 −34%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,789 $12,789 $18,908 −32% $19,270 −34%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,734 $12,734 $15,610 −18% $17,061 −25%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $12,665 $12,665 $16,518 −23% $27,533 −54%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,618 $12,618 $16,823 −25% $23,312 −46%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $12,614 $12,614 $19,840 −36% $24,527 −49%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,583 $12,583 $16,963 −26% $23,551 −47%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $12,561 $12,561 $19,047 −34% $26,190 −52%
644 ENDOCRINE DISORDERS WITH CC $12,550 $12,550 $16,765 −25% $23,198 −46%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,531 $12,531 $18,541 −32% $22,888 −45%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,528 $12,528 $22,889 −45% $24,914 −50%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $12,520 $12,520 $16,427 −24% $22,635 −45%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $12,506 $12,506 $16,553 −24% $22,850 −45%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $12,490 $12,490 $17,354 −28% $20,926 −40%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,469 $12,469 $16,431 −24% $17,111 −27%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $12,443 $12,443 $15,890 −22% $17,411 −29%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $12,440 $12,440 $17,534 −29% $21,275 −42%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,429 $12,429 $16,382 −24% $18,601 −33%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $12,389 $12,389 $16,847 −26% $18,134 −32%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,388 $12,388 $26,594 −53% $26,044 −52%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,357 $12,357 $15,986 −23% $20,895 −41%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,303 $12,303 $15,769 −22% $18,817 −35%
920 COMPLICATIONS OF TREATMENT WITH CC $12,299 $12,299 $16,379 −25% $20,764 −41%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,278 $12,278 $13,602 −10% $20,765 −41%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,276 $12,276 $18,210 −33% $25,774 −52%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,250 $12,250 $16,171 −24% $21,151 −42%
187 PLEURAL EFFUSION WITH CC $12,153 $12,153 $16,225 −25% $22,288 −45%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $12,060 $12,060 $21,005 −43% $22,098 −45%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $12,043 $12,043 $15,153 −21% $20,313 −41%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $12,041 $12,041 $16,423 −27% $21,407 −44%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,022 $12,022 $15,598 −23% $20,371 −41%
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,011 $12,011 $16,173 −26% $22,033 −45%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $12,008 $12,008 $20,548 −42% $22,140 −46%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $11,990 $11,990 $18,771 −36% $22,005 −46%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,955 $11,955 $15,741 −24% $18,887 −37%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,890 $11,890 $15,734 −24% $21,449 −45%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,868 $11,868 $16,477 −28% $21,363 −44%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,845 $11,845 $15,703 −25% $21,396 −45%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,837 $11,837 $15,589 −24% $15,589 −24%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,833 $11,833 $16,308 −27% $16,001 −26%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $11,818 $11,818 $14,171 −17% $20,139 −41%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,807 $11,807 $13,884 −15% $20,473 −42%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,799 $11,799 $13,602 −13% $20,021 −41%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,785 $11,785 $15,603 −24% $20,226 −42%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,768 $11,768 $15,121 −22% $16,582 −29%
197 INTERSTITIAL LUNG DISEASE WITH CC $11,710 $11,710 $17,431 −33% $20,480 −43%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,622 $11,622 $14,950 −22% $18,722 −38%
881 DEPRESSIVE NEUROSES $11,620 $11,620 $15,058 −23% $15,058 −23%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,615 $11,615 $15,039 −23% $20,259 −43%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,562 $11,562 $18,918 −39% $20,635 −44%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,496 $11,496 $15,901 −28% $15,901 −28%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,436 $11,436 $14,654 −22% $15,745 −27%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,386 $11,386 $14,776 −23% $23,079 −51%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,378 $11,378 $15,158 −25% $20,463 −44%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,368 $11,368 $18,646 −39% $20,488 −45%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,350 $11,350 $15,311 −26% $16,899 −33%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,344 $11,344 $15,183 −25% $20,506 −45%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,330 $11,330 $14,668 −23% $16,545 −32%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,313 $11,313 $15,217 −26% $19,532 −42%
158 DENTAL AND ORAL DISEASES WITH CC $11,276 $11,276 $15,402 −27% $18,267 −38%
607 MINOR SKIN DISORDERS WITHOUT MCC $11,238 $11,238 $14,410 −22% $16,097 −30%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $11,197 $11,197 $16,212 −31% $16,212 −31%
101 SEIZURES WITHOUT MCC $11,196 $11,196 $15,157 −26% $20,461 −45%
638 DIABETES WITH CC $11,125 $11,125 $19,029 −42% $20,361 −45%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,118 $11,118 $14,937 −26% $15,159 −27%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,117 $11,117 $14,795 −25% $19,842 −44%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,092 $11,092 $14,405 −23% $18,602 −40%
864 FEVER AND INFLAMMATORY CONDITIONS $11,031 $11,031 $14,849 −26% $18,591 −41%
138 MOUTH PROCEDURES WITHOUT CC/MCC $11,014 $11,014 $13,752 −20% $19,492 −43%
914 TRAUMATIC INJURY WITHOUT MCC $11,007 $11,007 $15,088 −27% $16,295 −32%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $10,977 $10,977 $14,644 −25% $16,765 −35%
683 RENAL FAILURE WITH CC $10,899 $10,899 $18,485 −41% $19,733 −45%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $10,880 $10,880 $14,383 −24% $16,156 −33%
312 SYNCOPE AND COLLAPSE $10,853 $10,853 $21,363 −49% $19,517 −44%
603 CELLULITIS WITHOUT MCC $10,845 $10,845 $14,626 −26% $19,553 −45%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $10,842 $10,842 $14,627 −26% $19,854 −45%
866 VIRAL ILLNESS WITHOUT MCC $10,831 $10,831 $14,678 −26% $17,294 −37%
594 SKIN ULCERS WITHOUT CC/MCC $10,800 $10,800 $14,110 −23% $14,209 −24%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,773 $10,773 $14,635 −26% $19,569 −45%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,723 $10,723 $13,791 −22% $18,098 −41%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,721 $10,721 $15,591 −31% $19,594 −45%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,692 $10,692 $14,675 −27% $15,642 −32%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,667 $10,667 $14,480 −26% $19,305 −45%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,650 $10,650 $13,385 −20% $13,385 −20%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $10,632 $10,632 $14,055 −24% $14,055 −24%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,607 $10,607 $13,822 −23% $13,822 −23%
292 HEART FAILURE AND SHOCK WITH CC $10,603 $10,603 $15,779 −33% $17,958 −41%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,536 $10,536 $14,344 −27% $19,072 −45%
779 ABORTION WITHOUT D&C $10,518 $10,518 $15,327 −31% $15,327 −31%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,516 $10,516 $16,427 −36% $20,093 −48%
103 HEADACHES WITHOUT MCC $10,462 $10,462 $17,457 −40% $20,630 −49%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,461 $10,461 $12,879 −19% $16,565 −37%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,399 $10,399 $15,576 −33% $18,126 −43%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,394 $10,394 $14,026 −26% $18,528 −44%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,363 $10,363 $16,405 −37% $17,700 −41%
076 VIRAL MENINGITIS WITHOUT CC/MCC $10,339 $10,339 $15,094 −32% $16,201 −36%
090 CONCUSSION WITHOUT CC/MCC $10,317 $10,317 $14,321 −28% $15,534 −34%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,184 $10,184 $13,799 −26% $18,139 −44%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,166 $10,166 $16,665 −39% $17,817 −43%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,145 $10,145 $18,887 −46% $18,002 −44%
204 RESPIRATORY SIGNS AND SYMPTOMS $10,142 $10,142 $13,720 −26% $17,498 −42%
534 FRACTURES OF FEMUR WITHOUT MCC $10,128 $10,128 $13,759 −26% $18,070 −44%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,126 $10,126 $13,837 −27% $18,961 −47%
176 PULMONARY EMBOLISM WITHOUT MCC $10,116 $10,116 $16,701 −39% $18,081 −44%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,104 $10,104 $13,806 −27% $18,150 −44%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $10,067 $10,067 $12,919 −22% $16,634 −39%
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,066 $10,066 $14,665 −31% $17,962 −44%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,047 $10,047 $18,694 −46% $21,254 −53%
123 NEUROLOGICAL EYE DISORDERS $10,045 $10,045 $16,821 −40% $17,831 −44%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,028 $10,028 $13,586 −26% $13,586 −26%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,020 $10,020 $17,570 −43% $17,522 −43%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,953 $9,953 $12,593 −21% $12,593 −21%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $9,948 $9,948 $16,402 −39% $17,747 −44%
541 OSTEOMYELITIS WITHOUT CC/MCC $9,921 $9,921 $14,549 −32% $14,549 −32%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,911 $9,911 $13,288 −25% $16,983 −42%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $9,903 $9,903 $11,997 −17% $11,997 −17%
694 URINARY STONES WITHOUT MCC $9,858 $9,858 $13,336 −26% $17,347 −43%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,835 $9,835 $13,902 −29% $17,322 −43%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $9,819 $9,819 $15,665 −37% $17,186 −43%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,722 $9,722 $14,290 −32% $14,290 −32%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,710 $9,710 $13,300 −27% $15,428 −37%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,704 $9,704 $13,911 −30% $16,191 −40%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,576 $9,576 $12,931 −26% $18,054 −47%
305 HYPERTENSION WITHOUT MCC $9,564 $9,564 $15,686 −39% $17,930 −47%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,563 $9,563 $13,184 −27% $16,470 −42%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,558 $9,558 $13,002 −26% $16,776 −43%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,552 $9,552 $11,355 −16% $13,652 −30%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,549 $9,549 $14,064 −32% $14,064 −32%
149 DYSEQUILIBRIUM $9,525 $9,525 $18,236 −48% $17,203 −45%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,500 $9,500 $12,903 −26% $14,716 −35%
153 OTITIS MEDIA AND URI WITHOUT MCC $9,377 $9,377 $12,431 −25% $14,684 −36%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,349 $9,349 $15,499 −40% $17,477 −47%
151 EPISTAXIS WITHOUT MCC $9,330 $9,330 $13,032 −28% $13,119 −29%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,283 $9,283 $12,534 −26% $12,559 −26%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,257 $9,257 $12,609 −27% $17,527 −47%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $9,210 $9,210 $12,605 −27% $21,270 −57%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,197 $9,197 $12,855 −28% $14,249 −35%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,193 $9,193 $12,895 −29% $12,895 −29%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $9,179 $9,179 $11,909 −23% $11,909 −23%
313 CHEST PAIN $9,175 $9,175 $16,220 −43% $16,440 −44%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $9,172 $9,172 $12,453 −26% $15,837 −42%
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,144 $9,144 $12,723 −28% $14,514 −37%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,133 $9,133 $12,284 −26% $14,785 −38%
201 PNEUMOTHORAX WITHOUT CC/MCC $9,121 $9,121 $11,982 −24% $13,405 −32%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,092 $9,092 $12,234 −26% $12,381 −27%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,048 $9,048 $11,755 −23% $13,987 −35%
311 ANGINA PECTORIS $8,975 $8,975 $12,257 −27% $15,502 −42%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,963 $8,963 $12,253 −27% $15,495 −42%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,951 $8,951 $12,314 −27% $15,600 −43%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $8,868 $8,868 $12,811 −31% $14,343 −38%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,856 $8,856 $11,921 −26% $13,497 −34%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,842 $8,842 $12,204 −28% $13,303 −34%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,832 $8,832 $12,173 −27% $15,040 −41%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,826 $8,826 $12,120 −27% $14,565 −39%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $8,781 $8,781 $20,781 −58% $21,905 −60%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,756 $8,756 $12,055 −27% $12,840 −32%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,747 $8,747 $12,199 −28% $16,453 −47%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,669 $8,669 $10,563 −18% $12,551 −31%
303 ATHEROSCLEROSIS WITHOUT MCC $8,657 $8,657 $11,921 −27% $14,927 −42%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,644 $8,644 $11,071 −22% $11,071 −22%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,622 $8,622 $12,235 −30% $12,511 −31%
916 ALLERGIC REACTIONS WITHOUT MCC $8,581 $8,581 $11,813 −27% $13,890 −38%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,551 $8,551 $11,501 −26% $14,208 −40%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,464 $8,464 $12,650 −33% $12,650 −33%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,453 $8,453 $12,454 −32% $12,454 −32%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,390 $8,390 $11,454 −27% $14,128 −41%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,312 $8,312 $14,824 −44% $14,368 −42%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $8,224 $8,224 $12,336 −33% $12,336 −33%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,202 $8,202 $11,752 −30% $13,613 −40%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,184 $8,184 $11,458 −29% $14,843 −45%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,163 $8,163 $11,276 −28% $13,824 −41%
950 AFTERCARE WITHOUT CC/MCC $8,154 $8,154 $10,801 −25% $13,527 −40%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,084 $8,084 $11,957 −32% $15,907 −49%
639 DIABETES WITHOUT CC/MCC $8,082 $8,082 $13,005 −38% $14,668 −45%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $8,035 $8,035 $11,294 −29% $12,324 −35%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,903 $7,903 $10,975 −28% $10,975 −28%
684 RENAL FAILURE WITHOUT CC/MCC $7,851 $7,851 $11,276 −30% $13,642 −42%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,835 $7,835 $10,480 −25% $10,480 −25%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,521 $7,521 $11,421 −34% $11,421 −34%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,472 $7,472 $11,325 −34% $13,384 −44%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,471 $7,471 $10,316 −28% $12,758 −41%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,361 $7,361 $10,553 −30% $10,553 −30%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,228 $7,228 $12,158 −41% $13,414 −46%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,994 $6,994 $7,650 −9% $9,940 −30%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,244 $6,244 $8,927 −30% $8,927 −30%
795 NORMAL NEWBORN $3,419 $3,419 $5,302 −36% $5,293 −35%

Procedures with negotiated rates only

These 11 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $21,090 – $21,090 · median $21,090 1 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $14,660 – $14,660 · median $14,660 1 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,065 – $11,065 · median $11,065 1 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $15,659 – $15,659 · median $15,659 1 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,798 – $11,798 · median $11,798 1 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $116,778 – $116,778 · median $116,778 1 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $81,043 – $81,043 · median $81,043 1 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $61,377 – $61,377 · median $61,377 1 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $87,760 – $87,760 · median $87,760 1 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,040 – $49,040 · median $49,040 1 plans
509 ARTHROSCOPY $19,205 – $19,205 · median $19,205 1 plans
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