Medical Cost by Principal Procedure

2005 National statistics - principal procedure only
2005 National statistics - principal procedure only
Rank order of CCS principal procedure category by number of discharges
			Total number	charges, $ (mean)	Standard error of	Standard error of
			of discharges		total number	charges, $ (mean)
Rank	CCS principal procedure category and name				of discharges
1	50	Extracorporeal circulation auxiliary to open heart procedures (use of heart-lung machine during surgery)	1,884	324,720	428	22,281
2	176	Other organ transplantation	9,387	307,448	2,280	27,158
3	34	Tracheostomy (surgical placement of a hole in the trachea - passage to lung - to assist breathing	66,920	205,120	2,423	5,374
4	64	Bone marrow transplant	13,617	186,280	2,596	11,161
5	17	Destruction of lesion of retina (back of eye)	948	153,910	157	26,266
6	43	Heart valve procedures	96,800	133,405	7,029	5,015
7	105	Kidney transplant	14,675	121,836	2,459	6,236
8	56	Other arterial bypass and shunt (besides heart, arms, and legs)	11,812	110,378	1,427	6,256
9	44	CABG (coronary artery bypass graft, procedure to restore blood supply to the heart muscle)	227,774	97,524	15,277	3,483
10	74	Gastrectomy (removal of all or part of the stomach)	18,147	93,184	755	3,728
11	75	Small bowel resection	58,615	81,661	1,667	2,185
12	49	Other operating room heart procedures	123,189	81,287	8,540	2,606
13	7	Other diagnostic nervous system procedures	15,441	78,713	1,051	5,335
14	52	Resection, replacement, or anastomosis of aorta (surgery on the great artery that carries blood to the body)	49,417	76,987	2,666	2,289
15	1	Incision and excision of central nervous system (brain and spinal cord)	94,403	75,294	5,477	3,421
16	42	Other operating room therapeutic procedures on respiratory system	59,174	71,674	2,827	2,452
17	73	Ileostomy and enterostomy (surgical procedure where small intestine is attached to the abdominal wall and empties into a bag outside the body)	6,318	70,759	302	3,914
18	72	Colostomy (surgical construction of an artificial anus between the colon and the surface of the abdomen and empties into a bag outside the body)	9,100	69,440	351	2,326
19	66	Procedures on spleen	16,728	68,703	658	2,990
20	38	Other diagnostic procedures on lung and bronchus	17,926	68,215	880	2,766
21	48	Procedures related to cardiac pacemaker or cardioverter/defibrillator	325,250	67,323	14,938	1,759
22	59	Other operating room procedures on vessels of head and neck	28,553	67,068	3,469	4,711
23	99	Other operating room gastrointestinal (GI) therapeutic procedures	100,070	63,630	4,414	2,582
24	61	Other operating room procedures on vessels other than head and neck	272,657	62,410	9,866	1,963
25	216	Respiratory intubation and mechanical ventilation	667,264	62,292	15,252	1,728
26	9	Other operating room therapeutic nervous system procedures	81,023	62,291	5,226	2,875
27	158	Spinal fusion (correction of an unstable part of the spine by joining two or more vertebrae)	332,159	59,851	18,786	2,024
28	89	Exploratory laparotomy (abdominal surgery performed for diagnostic purposes)	16,364	56,405	705	2,028
29	36	Lobectomy or pneumonectomy (surgical operation to remove an entire lung or part of a lung)	75,037	56,065	4,189	1,966
30	172	Skin graft (procedure during which a piece of skin is taken from a donor area and surgically grafted at the site of an injury or burn)	47,445	56,056	8,647	3,156
31	78	Resection of colon or rectum	284,166	55,911	8,089	1,365
32	204	Swan-Ganz catheterization (passage of a catheter into the right side of the heart to provide continuous monitoring of heart function in critically ill patients)	4,471	54,002	602	3,418
33	57	Creation, revision and removal of arteriovenous fistula or vessel-to-vessel cannula for dialysis (procedures related to providing access to blood supply for dialysis)	50,386	53,425	2,481	2,230
34	55	Peripheral vascular bypass (bypass of arteries in arms or legs to restore blood supply)	70,552	52,904	3,260	1,829
35	157	Amputation of lower extremity (leg, foot, or toe)	106,924	52,306	3,048	1,578
36	65	Bone marrow biopsy	48,650	51,987	1,885	1,966
37	71	Gastrostomy (insertion of tube into stomach through skin)	86,829	48,754	2,759	1,438
38	45	PTCA (percutaneous transluminal coronary angioplasty, procedure involving use of a balloon-tipped catheter to enlarge a narrowed artery)	749,577	47,959	45,237	1,454
39	40	Other diagnostic procedures of respiratory tract and mediastinum (area between lungs)	21,474	47,139	974	2,222
40	63	Other non-operating room therapeutic cardiovascular procedures	83,526	47,114	3,793	1,660
41	60	Embolectomy and endarterectomy of lower limbs (surgical removal of an obstructing clot from the arteries of the legs)	16,212	46,750	774	1,733
42	2	Creation of extracranial ventricular shunt (passage to release spinal fluid)	35,507	46,279	3,526	2,266
43	46	Coronary thrombolysis (dissolving of coronary thrombus - blood clot in the heart)	*	*	*	*
44	90	Excision of intra-abdominal adhesions	85,123	45,071	2,440	1,070
45	94	Other operating room upper gastrointestinal (GI) therapeutic procedures	196,725	43,913	12,662	2,010
46	37	Bronchoscopy (procedure to view and biopsy the breathing passages in the lung through a lighted tube)	160,310	43,407	6,255	1,412
47	97	Other gastrointestinal (GI) diagnostic procedures	17,124	43,118	624	1,729
48	18	Diagnostic procedures on eye	695	43,002	94	8,300
49	223	Enteral and parenteral nutrition (tube feeding - intravenous or intestinal)	100,599	42,988	6,642	1,797
50	159	Other diagnostic procedures on musculoskeletal system	46,874	42,068	2,125	1,257
51	169	Debridement (surgical removal of foreign material and dead tissue from a wound, infection or burn)	234,112	42,044	6,726	1,112
52	153	Hip replacement, total and partial	381,318	40,741	14,185	940
53	103	Nephrotomy and nephrostomy (procedure to establish an opening from the kidney to the exterior of the body)	34,687	40,681	1,533	1,468
54	96	Other operating room lower gastrointestinal (GI) therapeutic procedures	118,688	40,563	3,285	1,129
55	54	Other vascular catheterization (insertion of tube into blood vessels) other than the heart	497,689	38,834	14,147	885
56	142	Partial excision of bone	39,887	38,197	1,914	1,761
57	83	Biopsy of liver	30,717	38,099	1,324	1,637
58	104	Nephrectomy (surgical removal of kidney)	57,489	37,890	3,139	1,556
59	112	Other operating room therapeutic procedures of urinary tract	53,697	37,698	3,538	1,431
60	62	Other diagnostic cardiovascular procedures	25,244	37,527	1,796	1,684
61	67	Other therapeutic procedures on blood and lymph system	51,948	37,176	2,869	1,405
62	184	Intraoperative cholangiogram (X-ray procedure where a contrast dye is injected into the bile duct during surgery)	441	36,476	59	4,167
63	152	Arthroplasty of knee (surgical reconstruction or replacement of knee)	549,867	36,412	22,174	772
64	41	Other non-operating room therapeutic procedures on respiratory system	18,583	36,309	805	1,557
65	146	Treatment of fracture or dislocation of hip and femur	276,942	35,545	6,456	947
66	174	Other non-operating room therapeutic procedures on skin and breast	129,892	34,089	3,909	927
67	68	Injection or ligation of esophageal varices (stretched veins in esophagus)	85	34,040	21	5,648
68	161	Other operating room therapeutic procedures on bone	67,999	33,334	4,124	1,050
69	110	Other diagnostic procedures of urinary tract	20,342	33,317	1,407	1,399
70	144	Treatment of facial fracture or dislocation	23,588	33,199	2,045	2,070
71	164	Other operating room therapeutic procedures on musculoskeletal system	30,047	32,794	1,765	1,058
72	116	Diagnostic procedures on male genitals	2,179	32,495	150	2,506
73	39	Incision of pleura, thoracentesis, chest drainage (Incision of lining of lungs, removal of fluid through a needle)	190,153	32,200	4,710	878
74	162	Other operating room therapeutic procedures on joints	74,908	32,068	3,100	1,022
75	12	Other therapeutic endocrine procedures	33,803	31,831	2,119	1,636
76	11	Diagnostic endocrine procedures	3,528	31,329	200	1,362
77	92	Other bowel diagnostic procedures	5,111	31,290	323	1,913
78	224	Cancer chemotherapy	181,662	31,177	13,998	1,574
79	188	Cerebral arteriogram (procedure in which a contrast material is injected into artery in the brain)	37,072	31,119	2,899	1,396
80	87	Laparoscopy (procedure in which a tiny scope is inserted into the abdomen through a small incision)	12,959	30,496	473	1,297
81	82	ERCP (procedure that involves the X-ray of the pancreatic duct and bile ducts after contrast material is introduced into the bile duct and pancreatic duct)	21,544	30,469	1,032	1,280
82	98	Other non-operating room gastrointestinal (GI) therapeutic procedures	75,148	30,426	2,742	926
83	85	Repair of inguinal and femoral hernia	38,998	30,246	1,262	1,474
84	154	Arthroplasty other than hip or knee (surgical reconstruction or replacement of other joints)	53,341	30,244	2,904	1,349
85	84	Cholecystectomy (removal of gall bladder) and common duct exploration	388,268	30,060	10,351	621
86	88	Abdominal paracentesis (surgical puncture of the abdominal cavity to aspirate fluid)	109,393	30,026	3,265	970
87	24	Mastoidectomy (surgical removal of mastoid portion of temporal bone, behind the ear)	2,208	29,975	291	3,421
88	165	Breast biopsy	4,530	28,979	214	1,268
89	148	Other fracture and dislocation procedure	90,188	28,956	3,767	1,345
90	31	Diagnostic procedures on nose, mouth and throat	6,982	28,812	392	1,769
91	173	Other diagnostic procedures on skin and subcutaneous tissue	13,329	28,455	788	1,375
92	86	Other hernia repair	103,803	28,219	2,933	851
93	21	Other therapeutic procedures on eye muscles	4,810	27,800	483	1,894
94	93	Other non-operating room upper gastrointestinal (GI) therapeutic procedures	109,094	27,414	4,397	998
95	218	Psychological and psychiatric evaluation and therapy	102,531	27,358	21,121	3,794
96	189	Contrast aortogram (procedure in which a contrast material is injected into aorta)	13,641	27,332	763	1,036
97	160	Other therapeutic procedures on muscles and tendons	108,648	27,284	3,688	797
98	170	Excision of skin lesion	20,266	27,236	1,145	1,217
99	211	Therapeutic radiology	52,866	26,940	3,312	1,124
100	213	Physical therapy exercises, manipulation, and other procedures	175,682	26,842	23,708	1,530
101	147	Treatment of fracture or dislocation of leg (other than hip or femur)	180,833	26,750	5,598	906
102	47	Diagnostic cardiac catheterization, coronary arteriography (diagnostic procedure to explore the functioning of the heart)	603,047	26,477	23,434	629
103	77	Proctoscopy (visual examination of the rectum and the end of the colon with a proctoscope)	16,714	26,411	581	1,058
104	26	Other therapeutic ear procedures	10,872	26,153	1,136	3,098
105	175	Other operating room therapeutic procedures on skin and breast	56,106	26,150	4,458	1,356
106	190	Contrast arteriogram of arteries in leg (procedure in which contrast material is injected into arteries of the leg)	11,342	25,914	823	1,291
107	100	Endoscopy and biopsy of the urinary tract (procedure to view and biopsy the urinary through a lighted tube)	32,126	25,836	1,490	866
108	118	Other operating room therapeutic procedures on male genitals	20,752	25,811	820	959
109	114	Open prostatectomy (surgery involving removal of part or all of the prostate gland)	62,779	25,393	3,871	1,299
110	79	Local excision of large intestine lesion (not endoscopic)	1,087	25,308	108	2,085
111	191	Other arterio- or venogram (procedure in which a contrast material is injected into blood vessels other than head, heart or legs)	31,779	25,299	3,103	1,163
112	25	Diagnostic procedures on ear	321	25,075	48	3,542
113	130	Other diagnostic procedures, female organs	8,379	24,970	515	1,205
114	210	Other radioisotope scan	1,824	24,902	446	3,574
115	58	Diaylsis (cleaning the blood by means of a machine or filter to compensate for poor kidney function)	303,596	24,665	10,050	754
116	149	Arthroscopy (procedure to view the inside of a joint through a lighted tube and to diagnose and treat problems)	2,170	24,539	169	1,578
117	13	Corneal transplant (transplanting the clear coating over pupil)	362	24,347	85	2,257
118	156	Injections and aspirations of muscles, tendons, bursa, joints and soft tissue	6,122	24,042	286	1,125
119	109	Procedures on the urethra (passage that carries urine from the bladder)	15,598	23,994	847	890
120	51	Endarterectomy (surgical removal of an obstructing clot from the arteries of the neck and head)	117,144	23,989	5,193	665
121	29	Dental procedures	9,426	23,970	670	1,272
122	215	Other physical therapy and rehabilitation	49,736	23,909	14,249	2,269
123	70	Upper gastrointestinal (GI) endoscopy (procedure to view and biopsy the esophagus, stomach and first portion of intestine through a lighted tube)	706,437	23,846	18,135	616
124	185	Upper gastrointestinal (GI) X-ray	3,784	23,656	598	2,622
125	222	Blood transfusion	614,126	23,548	20,111	651
126	198	Magnetic resonance imaging (MRI)	113,786	23,441	13,171	1,407
127	151	Excision of semilunar cartilage of knee	5,259	23,337	262	1,051
128	145	Treatment of fracture or dislocation of radius and ulna (lower arm)	54,908	23,301	1,908	853
129	3	Laminectomy, excision intervertebral disc (back surgery)	255,997	23,264	14,485	1,052
130	16	Repair of tear or detachment of retina (back of eye)	*	23,174	*	5,072
131	207	Radioisotope bone scan	4,835	22,659	628	1,900
132	107	Extracorporeal urinary lithotripsy (using sound waves to fragment kidney stones)	7,288	22,631	481	961
133	91	Peritoneal dialysis (type of dialysis where a special solution is run through a tube into the peritoneum)	15,844	22,602	1,011	1,014
134	76	Colonoscopy and biopsy (procedure to view and biopsy the colon through a lighted tube)	268,152	22,545	7,514	563
135	20	Other therapeutic procedures on inside of eye	4,788	22,353	1,227	3,482
136	208	Radioisotope lung scan	7,956	22,341	1,327	2,492
137	6	Decompression (removing pressure from) peripheral nerve	3,096	22,338	380	2,123
138	193	Echocardiogram (diagnostic ultrasound of heart)	215,679	22,329	20,527	1,343
139	101	Transurethral excision, drainage, or removal of urinary obstruction	86,055	22,272	2,970	683
140	35	Tracheoscopy and laryngoscopy (procedures to view and biopsy the trachea - passage to lung - and larynx - voice box - through a lighted tube)	20,753	22,241	1,412	1,511
141	33	Other operating room therapeutic procedures on nose, mouth and throat	66,925	22,186	4,252	855
142	95	Other non-operating room lower gastrointestinal (GI) therapeutic procedures	87,799	22,158	2,655	731
143	181	Myelogram (diagnostic procedure where a contrast dye is injected into the spinal canal)	3,926	22,088	310	1,133
144	102	Ureteral catheterization (insertion of a tubular device into the ureter - tube between kidney and bladder) - to withdraw fluids)	51,926	21,946	1,797	666
145	192	Diagnostic ultrasound of head and neck	9,340	21,735	1,773	2,713
146	5	Insertion of catheter or spinal stimulator and injection into spinal canal	53,350	21,509	2,532	886
147	19	Other therapeutic procedures on eyelids, conjunctiva (covering of eyeball), cornea	15,335	21,133	714	1,107
148	4	Diagnostic spinal tap	272,526	20,860	13,916	687
149	226	Other diagnostic radiology and related techniques	37,679	20,819	3,161	918
150	117	Other non-operating room therapeutic procedures on male genitals	7,718	20,813	293	837
151	23	Myringotomy (tiny incision in the eardrum)	8,068	20,782	1,038	1,458
152	69	Dilation of the esophagus	16,714	20,694	723	617
153	119	Oophorectomy (removal of an ovary or ovaries)	70,703	20,681	2,706	583
154	199	Electroencephalogram (EEG, a test to detect abnormalities in the electrical activity of the brain)	19,253	20,532	2,869	1,904
155	28	Plastic surgery on nose	7,728	20,525	451	962
156	225	Conversion of cardiac rhythm	72,045	20,340	2,632	649
157	80	Appendectomy (removal of appendix)	308,682	20,331	9,197	435
158	231	Other therapeutic procedures	512,139	20,250	37,144	1,086
159	163	Other non-operating room therapeutic procedures on musculoskeletal system	16,810	20,163	704	697
160	126	Abortion	2,347	20,072	315	2,957
161	178	CT (CAT) scan of the chest	40,504	20,046	6,580	2,356
162	227	Other diagnostic procedures (interview, evaluation, consultation)	99,736	19,936	17,816	1,578
163	128	Diagnostic dilatation and curettage (D&C)	10,411	19,771	465	865
164	15	Lens and cataract procedures	1,205	19,711	123	2,155
165	167	Mastectomy (operation to remove the whole breast)	69,537	19,700	3,189	765
166	8	Other non-operating room or closed therapeutic nervous system procedures	12,063	19,609	647	985
167	155	Arthrocentesis (procedure that involves introducing a needle into a joint to remove joint fluid)	37,308	19,517	1,175	576
168	132	Other operating room therapeutic procedures on female organs	53,944	19,495	2,060	628
169	32	Other non-operating room therapeutic procedures on nose, mouth and throat	13,525	18,889	594	905
170	143	Bunionectomy (repair of toe deformities)	1,727	18,704	151	1,317
171	212	Diagnostic physical therapy	10,479	18,680	2,742	2,103
172	10	Thyroidectomy (removal of all or part of thyroid gland)	60,028	18,661	3,204	914
173	186	Lower gastrointestinal (GI) X-ray	649	18,614	120	2,510
174	120	Other operations on ovaries	27,960	18,482	996	529
175	150	Division of joint capsule, ligament or cartilage	4,214	18,449	490	964
176	81	Hemorrhoid procedures	10,457	18,293	447	639
177	171	Suture of skin and subcutaneous tissue	78,920	18,289	3,124	680
178	27	Control of epistaxis (nose bleed)	20,038	18,199	743	693
179	166	Lumpectomy (operation to remove a lump from the breast)	13,923	18,196	666	597
180	177	CT (CAT) scan of the head	116,471	18,021	17,524	1,696
181	195	Diagnostic ultrasound of urinary tract	10,574	17,834	1,848	2,199
182	53	Stripping of varicose vein in leg	1,285	17,814	139	1,111
183	179	CT (CAT) scan of the abdomen	75,596	17,804	11,385	2,055
184	125	Other excision of cervix and uterus	38,045	17,754	2,472	928
185	205	Arterial blood gases	23,011	17,731	5,704	1,441
186	14	Glaucoma procedures	497	17,643	106	4,210
187	22	Tympanoplasty (surgical operation to correct damage to the middle ear and restore the integrity of the ear drum)	460	17,549	83	2,683
188	197	Other diagnostic ultrasound	32,892	17,546	4,989	1,267
189	124	Hysterectomy (removal of the uterus)	567,964	17,449	18,547	424
190	123	Other operations on fallopian tubes	7,836	17,406	343	686
191	221	Nasogastric tube (NG tube, a tube that is passed through the nose down into the stomach)	38,431	17,369	2,188	900
192	168	Incision and drainage, skin and subcutaneous tissue	152,847	17,141	6,092	472
193	230	Extracorporeal shock wave lithotripsy (using sound waves to fragment gallstones)	*	17,098	*	2,674
194	111	Other non-operating therapeutic procedures of urinary tract	30,845	16,979	1,434	689
195	113	TURP (transurethral resection of prostate, surgical removal of prostate gland through the urethra)	84,910	16,929	3,240	583
196	108	Indwelling catheter (catheter left in place in the bladder to drain urine)	41,291	16,547	5,392	796
197	214	Traction, splints, and other wound care	37,294	16,288	1,691	704
198	180	Other CT (CAT) scan	13,725	16,251	2,741	2,461
199	196	Diagnostic ultrasound of abdomen or retroperitoneum (area behind abdomen)	18,940	16,170	3,202	1,135
200	122	Removal of ectopic pregnancy (abdominal or tubal pregnancy)	18,089	15,819	771	422
201	200	Urinary system measurements done outside an operating room	*	*	*	*
202	183	Routine chest X-ray	*	15,718	*	3,044
203	201	Cardiac stress tests	71,373	15,691	9,756	1,050
204	209	Radioisotope scan and function studies	16,998	15,595	4,574	3,072
205	229	Removal of foreign body (non-operating room)	5,353	15,316	367	827
206	182	Mammogram (X-ray pictures of breasts to detect possible tumors)	178	15,204	47	4,296
207	217	Other respiratory therapy	129,571	14,983	20,956	1,243
208	206	Microscopic examination of blood (bacterial smear, culture, toxicology)	*	14,805	*	342
209	106	Urinary incontinence procedures	28,561	14,469	1,720	517
210	138	Amniocentesis (diagnostic sampling of the fluid in the amniotic sac)	3,377	14,418	366	1,206
211	129	Repair of cystocele (bladder hernia) and rectocele (rectal hernia)	37,311	13,892	1,634	383
212	194	Diagnostic ultrasound of gastrointestinal (GI) tract	2,347	13,651	511	1,277
213	131	Other non-operating room therapeutic procedures on female organs	5,774	13,632	431	659
214	134	Cesarean section (C-section)	1,301,770	13,375	49,665	392
215	187	Intravenous pyelogram (X-ray study of the kidney)	3,980	12,963	379	798
216	202	Electrocardiogram (graphical recording of the cardiac cycle)	33,867	12,955	9,331	2,000
217	30	Tonsillectomy and/or adenoidectomy (surgical removal of tonsil and/or adenoid)	22,382	12,355	2,251	814
218	127	Therapeutic dilatation and curettage (D&C) or aspiration after delivery or abortion	37,325	11,925	1,746	362
219	141	Other therapeutic obstetrical procedures	15,164	11,525	992	591
220	203	Electrographic cardiac monitoring (graphical recording of cardiac function over a prolonged period of time)	41,147	11,198	10,460	868
221	121	Ligation of fallopian tubes (for sterilization)	77,227	10,616	8,339	316
222	219	Alcohol and drug rehabilitation/detoxification	294,456	9,655	31,695	563
223	135	Forceps, vacuum, and breech delivery	216,685	8,149	9,453	236
224	139	Fetal monitoring	62,261	7,590	7,987	406
225	133	Episiotomy (surgical incision into the perineum and vagina to prevent traumatic tearing during delivery)	308,955	7,547	18,150	286
226	137	Other procedures to assist delivery	1,475,173	7,401	64,370	220
227	140	Repair of obstetric laceration	694,086	6,801	41,282	172
228	136	Artificial rupture of membranes to assist delivery	62,964	5,955	6,371	242
229	115	Circumcision	1,195,043	5,057	49,089	261
230	228	Vaccinations	570,771	4,116	58,738	513
231	220	Vision and hearing diagnosis and treatment	240,039	3,507	49,480	434

Weighted national estimates from HCUP Nationwide Inpatient Sample (NIS), 2005, Agency for Healthcare Research and Quality (AHRQ), based on data collected by individual States and provided to AHRQ by the States. Total number of weighted discharges in the U.S. based on HCUP NIS = 39,163,834. Statistics based on estimates with a relative standard error (standard error / weighted estimate) greater than 0.30 or with standard error = 0 in the nationwide statistics (NIS and KID) are not reliable. These statistics are suppressed and are designated with an asterisk (*). The estimates of standard errors in HCUPnet were calculated using SUDAAN software. These estimates may differ slightly if other software packages are used to calculate variances. Totals may not sum exactly because only the top 25 related conditions or procedures are presented and cases with relative standard errors for discharges greater than 0.30 are suppressed.