HomeThe BookResultsAbout the AuthorPreviewTo OrderFree Updates by Email

Medical Cost by Principal Procedure
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