Springhill Medical Center (Acute Care) — Pricing

491 procedures published in this hospital's Machine-Readable File (MRF) — 491 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 491
Lowest published price $1,762
Average published price $14,206
Highest published price $140,082

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 491 procedures

Published charges

Showing all 491 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 36 procedures, this hospital's negotiated rates average ≈118% of what Medicare pays.

DRG Description Published price Cash price vs. AL median vs. National median vs Medicare
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $140,082 $140,082 $59,020 +137% $51,953 +170% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR $128,987 $128,987 $514,267 −75% $371,366 −65% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $125,066 $125,066 $76,990 +62% $80,885 +55% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. $105,500 $105,500 $232,659 −55% $245,241 −57% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $92,943 $92,943 $92,943 +0% $121,714 −24% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $72,584 $72,584 $166,756 −56% $175,437 −59% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $71,496 $71,496 $197,223 −64% $143,242 −50% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/M $59,877 $59,877 $115,547 −48% $90,331 −34% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $57,684 $57,684 $95,151 −39% $70,540 −18% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $57,536 $57,536 $177,169 −68% $102,177 −44% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $56,107 $56,107 $64,248 −13% $92,217 −39% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $51,545 $51,545 $144,689 −64% $138,868 −63% —
231 CORONARY BYPASS WITH PTCA WITH MCC $50,147 $50,147 $194,975 −74% $146,474 −66% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $50,058 $50,058 $71,942 −30% $68,880 −27% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,772 $49,772 $167,038 −70% $112,062 −56% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $49,750 $49,750 $16,640 +199% $20,727 +140% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $48,667 $48,667 $137,942 −65% $99,423 −51% —
711 TESTES PROCEDURES WITH CC/MCC $48,594 $48,594 $36,693 +32% $34,852 +39% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $47,657 $47,657 $103,861 −54% $103,861 −54% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $46,235 $46,235 $50,278 −8% $54,320 −15% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $45,914 $45,914 $126,923 −64% $117,280 −61% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $45,480 $45,480 $133,427 −66% $113,855 −60% ≈118% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $45,468 $45,468 $80,267 −43% $82,247 −45% ≈204% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $45,162 $45,162 $237,515 −81% $131,961 −66% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $44,247 $44,247 $58,114 −24% $63,984 −31% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $43,725 $43,725 $223,526 −80% $191,314 −77% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $42,998 $42,998 $62,167 −31% $41,380 +4% —
915 ALLERGIC REACTIONS WITH MCC $42,505 $42,505 $36,882 +15% $30,944 +37% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $42,191 $42,191 $57,011 −26% $57,149 −26% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $40,820 $40,820 $107,038 −62% $96,222 −58% —
163 MAJOR CHEST PROCEDURES WITH MCC $39,483 $39,483 $63,017 −37% $88,341 −55% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $37,884 $37,884 $82,102 −54% $106,238 −64% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $36,870 $36,870 $36,870 +0% $38,836 −5% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $36,398 $36,398 $55,708 −35% $49,197 −26% ≈333% of Medicare
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH $36,181 $36,181 $59,237 −39% $83,441 −57% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPL $34,583 $34,583 $45,618 −24% $65,254 −47% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $34,498 $34,498 $134,426 −74% $64,956 −47% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $33,937 $33,937 $102,020 −67% $118,589 −71% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $33,604 $33,604 $61,938 −46% $87,018 −61% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $33,203 $33,203 $35,964 −8% $46,659 −29% —
663 MINOR BLADDER PROCEDURES WITH CC $32,018 $32,018 $32,018 +0% $29,924 +7% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $31,767 $31,767 $124,851 −75% $138,008 −77% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $31,358 $31,358 $66,649 −53% $67,764 −54% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $31,144 $31,144 $74,709 −58% $76,583 −59% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,880 $30,880 $69,346 −55% $81,998 −62% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $30,715 $30,715 $75,251 −59% $75,251 −59% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $30,658 $30,658 $30,658 +0% $35,237 −13% ≈264% of Medicare
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $30,474 $30,474 $129,196 −76% $102,573 −70% ≈120% of Medicare
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $30,151 $30,151 $69,101 −56% $69,101 −56% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $30,036 $30,036 $82,458 −64% $108,472 −72% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $29,417 $29,417 $28,621 +3% $36,933 −20% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $29,240 $29,240 $64,386 −55% $48,680 −40% —
693 URINARY STONES WITH MCC $29,101 $29,101 $20,218 +44% $22,525 +29% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,908 $28,908 $74,169 −61% $64,776 −55% —
500 SOFT TISSUE PROCEDURES WITH MCC $28,561 $28,561 $48,848 −42% $57,479 −50% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $28,488 $28,488 $42,062 −32% $39,657 −28% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $27,847 $27,847 $26,112 +7% $26,020 +7% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,420 $27,420 $40,652 −33% $29,609 −7% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $27,348 $27,348 $87,217 −69% $65,325 −58% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $27,223 $27,223 $40,850 −33% $41,900 −35% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $26,671 $26,671 $34,039 −22% $52,313 −49% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $26,439 $26,439 $43,218 −39% $53,817 −51% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $26,429 $26,429 $28,381 −7% $43,080 −39% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $26,289 $26,289 $51,769 −49% $54,824 −52% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,286 $26,286 $54,898 −52% $71,701 −63% —
501 SOFT TISSUE PROCEDURES WITH CC $26,027 $26,027 $29,594 −12% $37,975 −31% —
643 ENDOCRINE DISORDERS WITH MCC $25,988 $25,988 $36,646 −29% $32,996 −21% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $25,952 $25,952 $28,801 −10% $43,800 −41% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $25,932 $25,932 $42,725 −39% $50,815 −49% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $25,831 $25,831 $51,300 −50% $56,394 −54% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS $25,552 $25,552 $20,688 +24% $22,032 +16% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $25,337 $25,337 $32,327 −22% $46,477 −45% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $25,336 $25,336 $20,261 +25% $16,642 +52% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $25,307 $25,307 $30,017 −16% $35,542 −29% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $25,282 $25,282 $24,189 +5% $25,731 −2% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,279 $25,279 $48,165 −48% $49,065 −48% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $24,511 $24,511 $93,264 −74% $76,954 −68% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,267 $24,267 $65,262 −63% $88,050 −72% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $24,144 $24,144 $31,740 −24% $38,382 −37% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $23,994 $23,994 $57,185 −58% $56,519 −58% ≈190% of Medicare
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $23,964 $23,964 $86,661 −72% $116,058 −79% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $23,857 $23,857 $53,970 −56% $75,492 −68% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $23,694 $23,694 $51,483 −54% $35,569 −33% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,659 $23,659 $43,247 −45% $65,216 −64% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $23,309 $23,309 $73,038 −68% $86,953 −73% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $23,124 $23,124 $37,703 −39% $51,172 −55% ≈187% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $22,789 $22,789 $38,030 −40% $53,141 −57% —
504 FOOT PROCEDURES WITH CC $22,632 $22,632 $25,972 −13% $36,598 −38% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $22,504 $22,504 $28,868 −22% $43,398 −48% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $22,381 $22,381 $130,843 −83% $83,065 −73% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $22,318 $22,318 $94,742 −76% $121,728 −82% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,016 $22,016 $53,357 −59% $62,961 −65% —
595 MAJOR SKIN DISORDERS WITH MCC $21,994 $21,994 $30,646 −28% $31,785 −31% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,812 $21,812 $44,664 −51% $46,430 −53% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $21,713 $21,713 $37,028 −41% $45,817 −53% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,696 $21,696 $23,192 −6% $30,006 −28% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $20,995 $20,995 $64,874 −68% $86,390 −76% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $20,967 $20,967 $79,418 −74% $51,339 −59% —
199 PNEUMOTHORAX WITH MCC $20,898 $20,898 $33,873 −38% $31,491 −34% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT $20,705 $20,705 $41,464 −50% $54,313 −62% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $20,670 $20,670 $75,528 −73% $80,747 −74% —
471 CERVICAL SPINAL FUSION WITH MCC $19,334 $19,334 $78,025 −75% $92,515 −79% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $19,292 $19,292 $34,271 −44% $32,399 −40% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $19,160 $19,160 $35,037 −45% $46,066 −58% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $19,000 $19,000 $108,003 −82% $78,852 −76% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,960 $18,960 $19,002 −0% $23,723 −20% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $18,836 $18,836 $53,665 −65% $72,908 −74% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $18,714 $18,714 $57,741 −68% $65,573 −71% ≈96% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $18,200 $18,200 $21,947 −17% $31,019 −41% —
334 RECTAL RESECTION WITHOUT CC/MCC $18,020 $18,020 $31,864 −43% $32,213 −44% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $17,978 $17,978 $17,978 +0% $32,936 −45% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,762 $17,762 $25,761 −31% $30,814 −42% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $17,730 $17,730 $87,092 −80% $82,561 −79% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $17,690 $17,690 $41,952 −58% $46,402 −62% —
398 APPENDIX PROCEDURES WITH CC $17,644 $17,644 $33,460 −47% $39,107 −55% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $17,494 $17,494 $21,961 −20% $29,663 −41% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $17,482 $17,482 $66,707 −74% $54,929 −68% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $17,357 $17,357 $75,812 −77% $75,103 −77% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,289 $17,289 $38,070 −55% $45,497 −62% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $17,019 $17,019 $19,357 −12% $26,146 −35% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,848 $16,848 $48,863 −66% $32,538 −48% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,439 $16,439 $61,205 −73% $58,832 −72% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,279 $16,279 $43,021 −62% $53,555 −70% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $16,270 $16,270 $48,458 −66% $70,132 −77% —
666 PROSTATECTOMY WITH CC $16,140 $16,140 $24,574 −34% $30,016 −46% —
380 COMPLICATED PEPTIC ULCER WITH MCC $16,111 $16,111 $28,169 −43% $36,641 −56% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $16,107 $16,107 $32,981 −51% $46,591 −65% —
472 CERVICAL SPINAL FUSION WITH CC $16,044 $16,044 $64,812 −75% $59,537 −73% ≈97% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $15,984 $15,984 $46,946 −66% $34,354 −53% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,863 $15,863 $40,626 −61% $43,538 −64% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,832 $15,832 $33,823 −53% $47,546 −67% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $15,621 $15,621 $28,617 −45% $33,137 −53% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $15,497 $15,497 $18,439 −16% $24,452 −37% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $15,439 $15,439 $44,663 −65% $66,819 −77% —
186 PLEURAL EFFUSION WITH MCC $15,155 $15,155 $23,701 −36% $32,468 −53% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $15,138 $15,138 $72,728 −79% $87,565 −83% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $15,123 $15,123 $22,435 −33% $32,911 −54% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,118 $15,118 $23,703 −36% $33,490 −55% —
397 APPENDIX PROCEDURES WITH MCC $15,097 $15,097 $35,850 −58% $52,319 −71% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,021 $15,021 $20,296 −26% $26,158 −43% ≈190% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $14,916 $14,916 $34,408 −57% $38,885 −62% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,701 $14,701 $28,912 −49% $30,394 −52% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $14,668 $14,668 $75,272 −81% $64,465 −77% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $14,549 $14,549 $24,787 −41% $32,502 −55% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,451 $14,451 $25,820 −44% $31,840 −55% ≈159% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT $14,419 $14,419 $73,103 −80% $78,582 −82% —
187 PLEURAL EFFUSION WITH CC $14,296 $14,296 $17,721 −19% $21,467 −33% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $14,257 $14,257 $48,637 −71% $59,207 −76% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $14,155 $14,155 $61,787 −77% $62,524 −77% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,105 $14,105 $41,156 −66% $39,747 −65% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,040 $14,040 $21,563 −35% $23,734 −41% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,999 $13,999 $44,288 −68% $50,139 −72% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,988 $13,988 $34,781 −60% $41,660 −66% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,715 $13,715 $38,709 −65% $48,358 −72% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $13,632 $13,632 $61,750 −78% $72,859 −81% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,617 $13,617 $23,307 −42% $28,646 −52% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,611 $13,611 $24,771 −45% $27,548 −51% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $13,604 $13,604 $31,940 −57% $49,710 −73% —
181 RESPIRATORY NEOPLASMS WITH CC $13,536 $13,536 $17,604 −23% $22,431 −40% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $13,517 $13,517 $43,330 −69% $62,821 −78% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $13,445 $13,445 $55,854 −76% $41,380 −68% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,093 $13,093 $55,770 −77% $40,063 −67% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,025 $13,025 $26,027 −50% $30,058 −57% —
602 CELLULITIS WITH MCC $13,018 $13,018 $17,925 −27% $29,347 −56% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,956 $12,956 $28,296 −54% $29,484 −56% —
539 OSTEOMYELITIS WITH MCC $12,937 $12,937 $29,443 −56% $33,746 −62% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,783 $12,783 $21,228 −40% $24,561 −48% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,755 $12,755 $29,453 −57% $29,374 −57% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,741 $12,741 $55,732 −77% $49,631 −74% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,661 $12,661 $12,770 −1% $14,861 −15% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,624 $12,624 $48,419 −74% $54,772 −77% ≈127% of Medicare
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $12,475 $12,475 $47,899 −74% $71,014 −82% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,355 $12,355 $45,498 −73% $54,129 −77% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,246 $12,246 $15,390 −20% $17,108 −28% —
180 RESPIRATORY NEOPLASMS WITH MCC $12,101 $12,101 $25,879 −53% $36,658 −67% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,100 $12,100 $22,807 −47% $31,978 −62% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,086 $12,086 $30,365 −60% $42,119 −71% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,086 $12,086 $32,590 −63% $35,375 −66% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,071 $12,071 $27,695 −56% $32,204 −63% —
947 SIGNS AND SYMPTOMS WITH MCC $12,005 $12,005 $19,887 −40% $25,474 −53% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,938 $11,938 $36,691 −67% $43,491 −73% —
381 COMPLICATED PEPTIC ULCER WITH CC $11,921 $11,921 $22,552 −47% $24,177 −51% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $11,912 $11,912 $38,027 −69% $52,405 −77% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $11,906 $11,906 $27,647 −57% $30,766 −61% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $11,823 $11,823 $32,773 −64% $43,586 −73% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $11,743 $11,743 $46,886 −75% $54,475 −78% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $11,680 $11,680 $19,686 −41% $22,275 −48% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $11,570 $11,570 $36,339 −68% $38,878 −70% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $11,484 $11,484 $61,267 −81% $50,011 −77% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $11,409 $11,409 $33,920 −66% $50,624 −77% —
152 OTITIS MEDIA AND URI WITH MCC $11,394 $11,394 $17,922 −36% $19,795 −42% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,382 $11,382 $13,506 −16% $17,727 −36% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,339 $11,339 $11,813 −4% $13,890 −18% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS $11,266 $11,266 $32,919 −66% $36,334 −69% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,258 $11,258 $27,907 −60% $34,887 −68% —
100 SEIZURES WITH MCC $11,238 $11,238 $28,961 −61% $35,194 −68% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $11,202 $11,202 $57,570 −81% $72,945 −85% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,113 $11,113 $56,817 −80% $47,583 −77% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,024 $11,024 $25,827 −57% $37,842 −71% ≈101% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,786 $10,786 $23,189 −53% $28,140 −62% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $10,779 $10,779 $12,071 −11% $18,291 −41% —
291 HEART FAILURE AND SHOCK WITH MCC $10,761 $10,761 $18,994 −43% $25,020 −57% ≈139% of Medicare
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,680 $10,680 $25,928 −59% $24,544 −56% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,631 $10,631 $30,079 −65% $35,714 −70% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,587 $10,587 $24,963 −58% $36,850 −71% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,580 $10,580 $29,617 −64% $36,239 −71% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,541 $10,541 $31,193 −66% $44,553 −76% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $10,536 $10,536 $53,307 −80% $55,097 −81% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL $10,471 $10,471 $100,617 −90% $74,274 −86% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,353 $10,353 $41,729 −75% $45,963 −77% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $10,158 $10,158 $51,322 −80% $68,847 −85% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,112 $10,112 $22,664 −55% $25,854 −61% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,069 $10,069 $27,031 −63% $35,692 −72% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,064 $10,064 $15,061 −33% $23,141 −57% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,970 $9,970 $17,770 −44% $24,190 −59% ≈155% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,951 $9,951 $14,119 −30% $18,204 −45% ≈207% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,935 $9,935 $37,153 −73% $29,211 −66% —
906 HAND PROCEDURES FOR INJURIES $9,918 $9,918 $24,446 −59% $31,520 −69% —
151 EPISTAXIS WITHOUT MCC $9,918 $9,918 $12,854 −23% $13,032 −24% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $9,862 $9,862 $33,122 −70% $45,059 −78% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $9,854 $9,854 $41,261 −76% $60,140 −84% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $9,814 $9,814 $45,717 −79% $43,266 −77% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,758 $9,758 $18,455 −47% $18,918 −48% —
885 PSYCHOSES $9,747 $9,747 $20,878 −53% $21,489 −55% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $9,722 $9,722 $42,371 −77% $48,094 −80% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,718 $9,718 $15,183 −36% $19,287 −50% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $9,668 $9,668 $16,872 −43% $23,396 −59% —
637 DIABETES WITH MCC $9,620 $9,620 $22,095 −56% $28,819 −67% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,615 $9,615 $17,505 −45% $25,162 −62% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $9,602 $9,602 $67,344 −86% $72,782 −87% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,448 $9,448 $16,431 −42% $20,732 −54% —
597 MALIGNANT BREAST DISORDERS WITH MCC $9,443 $9,443 $30,109 −69% $31,846 −70% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,430 $9,430 $11,501 −18% $14,208 −34% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,429 $9,429 $21,793 −57% $31,812 −70% —
549 SEPTIC ARTHRITIS WITH CC $9,396 $9,396 $18,835 −50% $20,938 −55% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,356 $9,356 $18,845 −50% $26,488 −65% ≈134% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $9,293 $9,293 $27,399 −66% $29,031 −68% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,234 $9,234 $16,402 −44% $22,713 −59% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,227 $9,227 $19,132 −52% $19,132 −52% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,161 $9,161 $20,014 −54% $27,369 −67% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $9,022 $9,022 $30,860 −71% $37,654 −76% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,000 $9,000 $15,986 −44% $18,282 −51% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,997 $8,997 $51,736 −83% $65,383 −86% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,919 $8,919 $20,430 −56% $24,480 −64% ≈119% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS $8,874 $8,874 $15,547 −43% $18,428 −52% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $8,863 $8,863 $27,767 −68% $36,280 −76% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,845 $8,845 $21,642 −59% $25,010 −65% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,744 $8,744 $20,702 −58% $27,118 −68% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,714 $8,714 $16,935 −49% $24,136 −64% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $8,694 $8,694 $22,714 −62% $35,528 −76% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $8,609 $8,609 $22,628 −62% $24,450 −65% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,590 $8,590 $16,207 −47% $20,842 −59% —
682 RENAL FAILURE WITH MCC $8,530 $8,530 $22,687 −62% $27,854 −69% ≈96% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,483 $8,483 $19,602 −57% $26,634 −68% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,460 $8,460 $33,812 −75% $25,243 −66% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,440 $8,440 $24,869 −66% $33,607 −75% —
603 CELLULITIS WITHOUT MCC $8,405 $8,405 $14,626 −43% $18,530 −55% ≈175% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,191 $8,191 $18,248 −55% $28,134 −71% —
920 COMPLICATIONS OF TREATMENT WITH CC $8,190 $8,190 $16,379 −50% $21,181 −61% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,143 $8,143 $50,801 −84% $44,117 −82% —
253 OTHER VASCULAR PROCEDURES WITH CC $8,121 $8,121 $42,816 −81% $53,746 −85% —
882 NEUROSES EXCEPT DEPRESSIVE $8,111 $8,111 $12,723 −36% $15,680 −48% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $8,086 $8,086 $27,720 −71% $31,059 −74% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,078 $8,078 $19,350 −58% $21,860 −63% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $8,075 $8,075 $41,101 −80% $80,018 −90% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,074 $8,074 $28,922 −72% $25,704 −69% ≈107% of Medicare
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,010 $8,010 $34,307 −77% $39,093 −80% —
312 SYNCOPE AND COLLAPSE $7,947 $7,947 $14,502 −45% $19,342 −59% ≈140% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,920 $7,920 $14,861 −47% $19,579 −60% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,879 $7,879 $23,217 −66% $23,588 −67% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $7,878 $7,878 $26,903 −71% $40,552 −81% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,873 $7,873 $27,287 −71% $30,974 −75% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $7,839 $7,839 $34,321 −77% $40,694 −81% ≈69% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,791 $7,791 $13,611 −43% $17,466 −55% ≈164% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,714 $7,714 $14,941 −48% $21,213 −64% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,656 $7,656 $19,865 −61% $27,244 −72% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $7,617 $7,617 $22,780 −67% $28,375 −73% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,589 $7,589 $21,277 −64% $25,666 −70% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,570 $7,570 $18,383 −59% $22,982 −67% ≈108% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,529 $7,529 $16,423 −54% $19,091 −61% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $7,525 $7,525 $27,634 −73% $33,165 −77% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $7,508 $7,508 $47,607 −84% $63,475 −88% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $7,441 $7,441 $52,218 −86% $40,583 −82% —
336 PERITONEAL ADHESIOLYSIS WITH CC $7,428 $7,428 $42,937 −83% $49,470 −85% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,380 $7,380 $16,832 −56% $19,569 −62% —
038 EXTRACRANIAL PROCEDURES WITH CC $7,338 $7,338 $42,944 −83% $35,770 −79% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,293 $7,293 $16,171 −55% $20,007 −64% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,277 $7,277 $16,388 −56% $23,571 −69% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $7,267 $7,267 $35,132 −79% $32,490 −78% —
709 PENIS PROCEDURES WITH CC/MCC $7,256 $7,256 $32,359 −78% $34,535 −79% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,242 $7,242 $21,695 −67% $30,314 −76% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $7,214 $7,214 $59,199 −88% $64,152 −89% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,179 $7,179 $12,204 −41% $18,017 −60% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $7,138 $7,138 $18,469 −61% $29,558 −76% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $7,129 $7,129 $37,153 −81% $43,697 −84% —
252 OTHER VASCULAR PROCEDURES WITH MCC $7,121 $7,121 $61,496 −88% $68,508 −90% —
571 SKIN DEBRIDEMENT WITH CC $7,113 $7,113 $24,925 −71% $34,901 −80% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,092 $7,092 $21,833 −68% $32,689 −78% —
644 ENDOCRINE DISORDERS WITH CC $7,087 $7,087 $16,607 −57% $22,941 −69% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,082 $7,082 $35,579 −80% $28,527 −75% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,064 $7,064 $14,480 −51% $19,305 −63% —
506 MAJOR THUMB OR JOINT PROCEDURES $7,042 $7,042 $32,182 −78% $28,983 −76% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,038 $7,038 $20,513 −66% $25,426 −72% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,925 $6,925 $14,344 −52% $18,278 −62% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,880 $6,880 $16,429 −58% $21,545 −68% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,880 $6,880 $14,358 −52% $19,096 −64% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $6,818 $6,818 $25,881 −74% $31,758 −79% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,794 $6,794 $22,099 −69% $14,012 −52% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $6,755 $6,755 $34,970 −81% $51,985 −87% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $6,705 $6,705 $27,668 −76% $32,981 −80% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,694 $6,694 $24,871 −73% $25,208 −73% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $6,691 $6,691 $28,768 −77% $33,424 −80% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,683 $6,683 $13,385 −50% $13,385 −50% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,675 $6,675 $30,958 −78% $25,267 −74% —
200 PNEUMOTHORAX WITH CC $6,665 $6,665 $17,568 −62% $20,573 −68% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $6,642 $6,642 $36,463 −82% $30,910 −79% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $6,641 $6,641 $28,958 −77% $29,633 −78% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,632 $6,632 $16,146 −59% $17,434 −62% —
683 RENAL FAILURE WITH CC $6,626 $6,626 $14,731 −55% $18,620 −64% ≈123% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,610 $6,610 $27,711 −76% $24,022 −72% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,606 $6,606 $16,575 −60% $22,781 −71% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,559 $6,559 $10,296 −36% $13,318 −51% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $6,555 $6,555 $39,656 −83% $44,600 −85% ≈51% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $6,547 $6,547 $21,454 −69% $27,934 −77% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,536 $6,536 $15,127 −57% $20,084 −67% —
593 SKIN ULCERS WITH CC $6,518 $6,518 $17,058 −62% $20,470 −68% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,508 $6,508 $17,973 −64% $24,452 −73% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $6,506 $6,506 $49,718 −87% $57,855 −89% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,483 $6,483 $15,808 −59% $22,560 −71% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $6,469 $6,469 $29,767 −78% $34,089 −81% —
176 PULMONARY EMBOLISM WITHOUT MCC $6,456 $6,456 $13,765 −53% $18,081 −64% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $6,447 $6,447 $22,272 −71% $28,780 −78% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,420 $6,420 $28,136 −77% $27,492 −77% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $6,326 $6,326 $24,470 −74% $28,252 −78% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT $6,302 $6,302 $25,727 −76% $32,839 −81% —
184 MAJOR CHEST TRAUMA WITH CC $6,164 $6,164 $17,057 −64% $20,842 −70% —
639 DIABETES WITHOUT CC/MCC $6,161 $6,161 $11,928 −48% $13,910 −56% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $6,155 $6,155 $34,880 −82% $43,775 −86% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,148 $6,148 $16,392 −62% $23,469 −74% ≈110% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $6,124 $6,124 $36,542 −83% $30,358 −80% —
075 VIRAL MENINGITIS WITH CC/MCC $6,121 $6,121 $25,549 −76% $29,853 −79% —
313 CHEST PAIN $6,096 $6,096 $12,453 −51% $15,962 −62% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,064 $6,064 $15,124 −60% $20,488 −70% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,031 $6,031 $11,458 −47% $14,134 −57% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $6,019 $6,019 $29,127 −79% $43,524 −86% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,002 $6,002 $37,134 −84% $31,909 −81% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,998 $5,998 $13,719 −56% $18,002 −67% —
158 DENTAL AND ORAL DISEASES WITH CC $5,994 $5,994 $13,237 −55% $17,700 −66% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,990 $5,990 $14,630 −59% $14,880 −60% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,966 $5,966 $16,076 −63% $20,968 −72% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,947 $5,947 $32,497 −82% $39,409 −85% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,941 $5,941 $22,265 −73% $25,786 −77% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,932 $5,932 $17,298 −66% $24,202 −75% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,928 $5,928 $16,427 −64% $20,080 −70% —
201 PNEUMOTHORAX WITHOUT CC/MCC $5,817 $5,817 $13,796 −58% $13,081 −56% —
551 MEDICAL BACK PROBLEMS WITH MCC $5,801 $5,801 $25,341 −77% $31,086 −81% —
694 URINARY STONES WITHOUT MCC $5,783 $5,783 $13,336 −57% $16,531 −65% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,779 $5,779 $20,619 −72% $29,805 −81% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,758 $5,758 $13,876 −59% $15,370 −63% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,739 $5,739 $13,002 −56% $16,776 −66% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,711 $5,711 $28,264 −80% $42,881 −87% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,696 $5,696 $17,086 −67% $21,886 −74% ≈107% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,678 $5,678 $39,801 −86% $48,682 −88% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,674 $5,674 $13,658 −58% $17,103 −67% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,665 $5,665 $14,644 −61% $16,049 −65% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,660 $5,660 $52,138 −89% $38,094 −85% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,654 $5,654 $22,516 −75% $31,062 −82% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,639 $5,639 $27,823 −80% $35,459 −84% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,636 $5,636 $7,651 −26% $13,303 −58% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,585 $5,585 $17,210 −68% $20,463 −73% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,575 $5,575 $15,734 −65% $21,449 −74% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $5,564 $5,564 $19,916 −72% $23,924 −77% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,535 $5,535 $14,755 −62% $17,731 −69% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,484 $5,484 $8,067 −32% $14,128 −61% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,431 $5,431 $16,070 −66% $22,024 −75% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,396 $5,396 $9,986 −46% $12,279 −56% —
864 FEVER AND INFLAMMATORY CONDITIONS $5,372 $5,372 $12,155 −56% $17,412 −69% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,360 $5,360 $15,454 −65% $19,815 −73% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,357 $5,357 $17,079 −69% $23,749 −77% —
101 SEIZURES WITHOUT MCC $5,264 $5,264 $15,157 −65% $19,954 −74% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,245 $5,245 $16,816 −69% $17,273 −70% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,207 $5,207 $18,021 −71% $24,432 −79% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,194 $5,194 $26,853 −81% $36,375 −86% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,191 $5,191 $15,797 −67% $11,633 −55% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,175 $5,175 $12,127 −57% $19,483 −73% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,144 $5,144 $24,529 −79% $22,850 −77% —
791 PREMATURITY WITH MAJOR PROBLEMS $5,139 $5,139 $21,432 −76% $39,563 −87% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,114 $5,114 $31,349 −84% $37,902 −87% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,111 $5,111 $11,355 −55% $13,090 −61% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,081 $5,081 $25,056 −80% $31,128 −84% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,029 $5,029 $11,352 −56% $14,110 −64% —
638 DIABETES WITH CC $5,003 $5,003 $15,098 −67% $18,821 −73% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,995 $4,995 $13,300 −62% $14,166 −65% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,861 $4,861 $20,808 −77% $20,421 −76% —
153 OTITIS MEDIA AND URI WITHOUT MCC $4,841 $4,841 $12,431 −61% $14,473 −67% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,815 $4,815 $20,349 −76% $16,837 −71% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,792 $4,792 $11,508 −58% $14,927 −68% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,767 $4,767 $11,490 −59% $12,895 −63% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,751 $4,751 $20,959 −77% $23,496 −80% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,729 $4,729 $12,704 −63% $17,367 −73% —
598 MALIGNANT BREAST DISORDERS WITH CC $4,612 $4,612 $17,977 −74% $19,073 −76% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,566 $4,566 $20,918 −78% $18,191 −75% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,548 $4,548 $15,094 −70% $15,474 −71% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,541 $4,541 $13,550 −66% $15,045 −70% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,537 $4,537 $12,555 −64% $15,607 −71% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,507 $4,507 $35,472 −87% $35,014 −87% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $4,491 $4,491 $35,670 −87% $55,162 −92% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,472 $4,472 $16,847 −73% $17,550 −75% —
204 RESPIRATORY SIGNS AND SYMPTOMS $4,463 $4,463 $17,742 −75% $16,866 −74% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,452 $4,452 $15,636 −72% $15,636 −72% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,445 $4,445 $16,722 −73% $18,238 −76% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,443 $4,443 $22,571 −80% $28,967 −85% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,411 $4,411 $31,144 −86% $38,357 −89% ≈39% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $4,378 $4,378 $14,410 −70% $15,284 −71% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,328 $4,328 $14,795 −71% $18,803 −77% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,283 $4,283 $15,217 −72% $18,608 −77% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $4,208 $4,208 $23,602 −82% $34,906 −88% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,202 $4,202 $20,027 −79% $15,600 −73% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,173 $4,173 $27,842 −85% $31,190 −87% ≈74% of Medicare
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,160 $4,160 $13,791 −70% $17,715 −77% —
197 INTERSTITIAL LUNG DISEASE WITH CC $4,072 $4,072 $16,043 −75% $20,106 −80% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $4,067 $4,067 $31,853 −87% $31,816 −87% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,036 $4,036 $13,579 −70% $20,278 −80% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,033 $4,033 $12,055 −67% $12,797 −68% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,024 $4,024 $19,391 −79% $21,261 −81% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,024 $4,024 $10,975 −63% $10,975 −63% —
302 ATHEROSCLEROSIS WITH MCC $3,951 $3,951 $18,292 −78% $20,844 −81% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,932 $3,932 $33,308 −88% $36,237 −89% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,924 $3,924 $26,206 −85% $36,242 −89% —
375 DIGESTIVE MALIGNANCY WITH CC $3,857 $3,857 $19,141 −80% $27,219 −86% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,791 $3,791 $21,483 −82% $29,757 −87% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,738 $3,738 $14,627 −74% $19,854 −81% —
304 HYPERTENSION WITH MCC $3,722 $3,722 $19,848 −81% $24,185 −85% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,718 $3,718 $15,601 −76% $18,150 −80% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,709 $3,709 $13,321 −72% $17,322 −79% ≈91% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,708 $3,708 $12,605 −71% $18,623 −80% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,679 $3,679 $13,336 −72% $16,745 −78% ≈80% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,677 $3,677 $13,598 −73% $17,388 −79% ≈82% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,672 $3,672 $10,563 −65% $12,044 −70% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,662 $3,662 $11,752 −69% $13,485 −73% —
123 NEUROLOGICAL EYE DISORDERS $3,662 $3,662 $18,892 −81% $17,831 −79% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,617 $3,617 $10,354 −65% $11,421 −68% —
305 HYPERTENSION WITHOUT MCC $3,559 $3,559 $12,937 −72% $17,144 −79% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,558 $3,558 $13,738 −74% $14,444 −75% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,549 $3,549 $29,176 −88% $23,956 −85% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,546 $3,546 $26,006 −86% $39,018 −91% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,536 $3,536 $12,609 −72% $16,104 −78% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,504 $3,504 $17,269 −80% $21,806 −84% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,426 $3,426 $16,554 −79% $18,253 −81% —
712 TESTES PROCEDURES WITHOUT CC/MCC $3,389 $3,389 $17,076 −80% $18,898 −82% —
103 HEADACHES WITHOUT MCC $3,379 $3,379 $15,688 −78% $20,111 −83% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,373 $3,373 $13,290 −75% $17,226 −80% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,370 $3,370 $11,177 −70% $15,070 −78% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,349 $3,349 $12,789 −74% $16,865 −80% ≈82% of Medicare
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,288 $3,288 $21,492 −85% $17,585 −81% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,262 $3,262 $13,542 −76% $17,700 −82% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,249 $3,249 $11,276 −71% $13,824 −76% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,222 $3,222 $14,396 −78% $18,478 −83% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,165 $3,165 $19,655 −84% $28,156 −89% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,143 $3,143 $12,049 −74% $12,381 −75% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,138 $3,138 $15,684 −80% $20,777 −85% —
684 RENAL FAILURE WITHOUT CC/MCC $3,096 $3,096 $14,391 −78% $13,623 −77% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,077 $3,077 $17,159 −82% $17,943 −83% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,009 $3,009 $12,594 −76% $14,549 −79% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,979 $2,979 $11,594 −74% $14,368 −79% —
813 COAGULATION DISORDERS $2,939 $2,939 $21,647 −86% $30,128 −90% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,925 $2,925 $20,848 −86% $16,719 −83% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,778 $2,778 $20,885 −87% $24,017 −88% —
348 ANAL AND STOMAL PROCEDURES WITH CC $2,708 $2,708 $19,533 −86% $27,947 −90% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,696 $2,696 $44,648 −94% $37,950 −93% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,687 $2,687 $10,456 −74% $13,384 −80% ≈98% of Medicare
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,683 $2,683 $9,622 −72% $13,198 −80% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,661 $2,661 $11,294 −76% $12,013 −78% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,598 $2,598 $10,505 −75% $13,586 −81% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,574 $2,574 $14,383 −82% $16,156 −84% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,573 $2,573 $12,331 −79% $17,522 −85% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,416 $2,416 $13,855 −83% $16,654 −85% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,407 $2,407 $10,682 −77% $7,961 −70% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,392 $2,392 $21,514 −89% $19,001 −87% —
779 ABORTION WITHOUT D&C $2,383 $2,383 $15,327 −84% $15,327 −84% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,379 $2,379 $9,850 −76% $14,284 −83% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,272 $2,272 $8,022 −72% $9,076 −75% —
292 HEART FAILURE AND SHOCK WITH CC $2,104 $2,104 $14,372 −85% $16,212 −87% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,099 $2,099 $10,057 −79% $16,571 −87% —
795 NORMAL NEWBORN $2,070 $2,070 $4,397 −53% $4,530 −54% —
540 OSTEOMYELITIS WITH CC $2,016 $2,016 $20,712 −90% $23,494 −91% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,998 $1,998 $7,960 −75% $18,133 −89% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,962 $1,962 $24,846 −92% $30,930 −94% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,903 $1,903 $10,553 −82% $9,385 −80% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,849 $1,849 $11,423 −84% $13,282 −86% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,762 $1,762 $11,071 −84% $11,071 −84% —
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