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 $111,646 +25% $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 $751,582 −83% $371,366 −65% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $125,066 $125,066 $119,156 +5% $87,761 +43% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. $105,500 $105,500 $302,721 −65% $248,521 −58% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $92,943 $92,943 $174,671 −47% $123,995 −25% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $72,584 $72,584 $265,460 −73% $188,171 −61% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $71,496 $71,496 $309,633 −77% $143,242 −50% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/M $59,877 $59,877 $137,177 −56% $90,331 −34% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $57,684 $57,684 $112,844 −49% $70,564 −18% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $57,536 $57,536 $202,418 −72% $111,320 −48% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $56,107 $56,107 $118,690 −53% $92,217 −39% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $51,545 $51,545 $255,521 −80% $144,569 −64% —
231 CORONARY BYPASS WITH PTCA WITH MCC $50,147 $50,147 $242,444 −79% $147,227 −66% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $50,058 $50,058 $87,399 −43% $70,847 −29% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,772 $49,772 $250,626 −80% $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 $209,788 −77% $99,423 −51% —
711 TESTES PROCEDURES WITH CC/MCC $48,594 $48,594 $45,395 +7% $38,343 +27% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $47,657 $47,657 $204,661 −77% $103,861 −54% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $46,235 $46,235 $50,278 −8% $56,836 −19% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $45,914 $45,914 $170,655 −73% $117,280 −61% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $45,480 $45,480 $186,251 −76% $113,855 −60% ≈118% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $45,468 $45,468 $153,072 −70% $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 $73,272 −40% $65,653 −33% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $43,725 $43,725 $310,531 −86% $208,939 −79% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $42,998 $42,998 $70,240 −39% $46,340 −7% —
915 ALLERGIC REACTIONS WITH MCC $42,505 $42,505 $36,882 +15% $32,645 +30% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $42,191 $42,191 $57,011 −26% $58,707 −28% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $40,820 $40,820 $126,472 −68% $96,507 −58% —
163 MAJOR CHEST PROCEDURES WITH MCC $39,483 $39,483 $104,146 −62% $90,195 −56% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $37,884 $37,884 $129,325 −71% $115,839 −67% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $36,870 $36,870 $64,111 −42% $38,836 −5% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $36,398 $36,398 $57,088 −36% $50,607 −28% ≈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 $49,519 −30% $65,788 −47% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $34,498 $34,498 $142,510 −76% $72,424 −52% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $33,937 $33,937 $136,236 −75% $125,242 −73% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $33,604 $33,604 $68,020 −51% $93,172 −64% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $33,203 $33,203 $35,964 −8% $49,423 −33% —
663 MINOR BLADDER PROCEDURES WITH CC $32,018 $32,018 $37,185 −14% $33,103 −3% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $31,767 $31,767 $174,192 −82% $148,832 −79% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $31,358 $31,358 $85,592 −63% $70,467 −55% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $31,144 $31,144 $74,709 −58% $85,566 −64% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,880 $30,880 $118,575 −74% $81,998 −62% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $30,715 $30,715 $245,719 −88% $75,251 −59% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $30,658 $30,658 $29,659 +3% $35,628 −14% ≈264% of Medicare
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $30,474 $30,474 $206,410 −85% $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 $127,579 −76% $108,472 −72% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $29,417 $29,417 $28,621 +3% $40,213 −27% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $29,240 $29,240 $78,462 −63% $52,075 −44% —
693 URINARY STONES WITH MCC $29,101 $29,101 $18,158 +60% $23,892 +22% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,908 $28,908 $98,628 −71% $71,092 −59% —
500 SOFT TISSUE PROCEDURES WITH MCC $28,561 $28,561 $83,882 −66% $61,872 −54% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $28,488 $28,488 $48,134 −41% $40,362 −29% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $27,847 $27,847 $26,848 +4% $27,617 +1% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,420 $27,420 $53,885 −49% $30,243 −9% —
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 $67,983 −60% $45,333 −40% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $26,671 $26,671 $34,039 −22% $53,451 −50% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $26,439 $26,439 $43,218 −39% $53,864 −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 $69,486 −62% $59,421 −56% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,286 $26,286 $108,123 −76% $77,817 −66% —
501 SOFT TISSUE PROCEDURES WITH CC $26,027 $26,027 $57,446 −55% $39,619 −34% —
643 ENDOCRINE DISORDERS WITH MCC $25,988 $25,988 $46,277 −44% $33,563 −23% —
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% $51,625 −50% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $25,831 $25,831 $68,285 −62% $59,651 −57% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS $25,552 $25,552 $23,685 +8% $22,458 +14% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $25,337 $25,337 $53,909 −53% $49,351 −49% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $25,336 $25,336 $25,211 +0% $16,968 +49% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $25,307 $25,307 $34,728 −27% $39,887 −37% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $25,282 $25,282 $24,189 +5% $27,316 −7% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,279 $25,279 $63,151 −60% $52,036 −51% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $24,511 $24,511 $109,114 −78% $84,692 −71% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $24,267 $24,267 $132,372 −82% $88,050 −72% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $24,144 $24,144 $36,232 −33% $41,608 −42% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $23,994 $23,994 $60,758 −61% $58,280 −59% ≈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% $79,116 −70% —
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 $101,267 −77% $65,216 −64% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $23,309 $23,309 $73,038 −68% $101,576 −77% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $23,124 $23,124 $58,910 −61% $52,751 −56% ≈187% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $22,789 $22,789 $106,987 −79% $56,755 −60% —
504 FOOT PROCEDURES WITH CC $22,632 $22,632 $37,327 −39% $38,960 −42% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $22,504 $22,504 $28,868 −22% $43,913 −49% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $22,381 $22,381 $156,400 −86% $85,159 −74% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $22,318 $22,318 $142,113 −84% $132,794 −83% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $22,016 $22,016 $54,792 −60% $66,685 −67% —
595 MAJOR SKIN DISORDERS WITH MCC $21,994 $21,994 $30,646 −28% $34,598 −36% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,812 $21,812 $79,449 −73% $49,066 −56% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $21,713 $21,713 $44,752 −51% $46,090 −53% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,696 $21,696 $30,820 −30% $31,017 −30% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $20,995 $20,995 $64,874 −68% $90,775 −77% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $20,967 $20,967 $82,827 −75% $59,629 −65% —
199 PNEUMOTHORAX WITH MCC $20,898 $20,898 $26,106 −20% $33,787 −38% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT $20,705 $20,705 $41,967 −51% $58,228 −64% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $20,670 $20,670 $121,723 −83% $80,793 −74% —
471 CERVICAL SPINAL FUSION WITH MCC $19,334 $19,334 $81,378 −76% $92,515 −79% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $19,292 $19,292 $27,729 −30% $33,985 −43% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $19,160 $19,160 $65,329 −71% $46,066 −58% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $19,000 $19,000 $112,122 −83% $78,852 −76% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,960 $18,960 $19,043 −0% $24,127 −21% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $18,836 $18,836 $99,940 −81% $76,219 −75% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $18,714 $18,714 $91,888 −80% $65,573 −71% ≈96% of Medicare
548 SEPTIC ARTHRITIS WITH MCC $18,200 $18,200 $20,077 −9% $31,346 −42% —
334 RECTAL RESECTION WITHOUT CC/MCC $18,020 $18,020 $51,103 −65% $36,820 −51% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $17,978 $17,978 $17,978 +0% $33,653 −47% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,762 $17,762 $25,998 −32% $31,951 −44% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $17,730 $17,730 $104,205 −83% $82,561 −79% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $17,690 $17,690 $45,494 −61% $46,402 −62% —
398 APPENDIX PROCEDURES WITH CC $17,644 $17,644 $38,439 −54% $40,162 −56% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $17,494 $17,494 $38,607 −55% $32,100 −46% —
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 $75,992 −77% $75,103 −77% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,289 $17,289 $38,646 −55% $50,618 −66% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $17,019 $17,019 $23,060 −26% $27,297 −38% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,848 $16,848 $52,571 −68% $36,670 −54% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,439 $16,439 $64,196 −74% $59,500 −72% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,279 $16,279 $32,199 −49% $60,407 −73% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $16,270 $16,270 $77,989 −79% $70,132 −77% —
666 PROSTATECTOMY WITH CC $16,140 $16,140 $24,574 −34% $31,906 −49% —
380 COMPLICATED PEPTIC ULCER WITH MCC $16,111 $16,111 $40,365 −60% $39,627 −59% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $16,107 $16,107 $34,586 −53% $50,046 −68% —
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 $50,944 −69% $34,354 −53% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,863 $15,863 $48,048 −67% $43,538 −64% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,832 $15,832 $69,665 −77% $50,498 −69% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $15,621 $15,621 $43,264 −64% $33,393 −53% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $15,497 $15,497 $18,439 −16% $22,393 −31% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $15,439 $15,439 $108,736 −86% $71,464 −78% —
186 PLEURAL EFFUSION WITH MCC $15,155 $15,155 $31,640 −52% $33,834 −55% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $15,138 $15,138 $76,983 −80% $93,390 −84% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $15,123 $15,123 $40,874 −63% $36,988 −59% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,118 $15,118 $31,460 −52% $35,074 −57% —
397 APPENDIX PROCEDURES WITH MCC $15,097 $15,097 $38,157 −60% $53,257 −72% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,021 $15,021 $20,296 −26% $27,275 −45% ≈190% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $14,916 $14,916 $48,306 −69% $39,958 −63% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,701 $14,701 $54,413 −73% $32,859 −55% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $14,668 $14,668 $77,437 −81% $65,608 −78% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $14,549 $14,549 $35,876 −59% $32,628 −55% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,451 $14,451 $24,997 −42% $33,707 −57% ≈159% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT $14,419 $14,419 $102,016 −86% $89,207 −84% —
187 PLEURAL EFFUSION WITH CC $14,296 $14,296 $16,225 −12% $21,789 −34% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $14,257 $14,257 $102,082 −86% $62,583 −77% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $14,155 $14,155 $73,023 −81% $68,639 −79% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $14,105 $14,105 $43,627 −68% $41,955 −66% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,040 $14,040 $21,563 −35% $26,280 −47% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,999 $13,999 $55,006 −75% $50,139 −72% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,988 $13,988 $35,527 −61% $42,914 −67% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,715 $13,715 $27,642 −50% $48,358 −72% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $13,632 $13,632 $82,005 −83% $76,001 −82% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,617 $13,617 $23,307 −42% $32,877 −59% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,611 $13,611 $19,191 −29% $29,316 −54% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $13,604 $13,604 $40,640 −67% $49,710 −73% —
181 RESPIRATORY NEOPLASMS WITH CC $13,536 $13,536 $19,834 −32% $23,573 −43% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $13,517 $13,517 $50,940 −73% $62,821 −78% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $13,445 $13,445 $55,854 −76% $46,295 −71% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,093 $13,093 $66,896 −80% $41,591 −69% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,025 $13,025 $34,851 −63% $32,496 −60% —
602 CELLULITIS WITH MCC $13,018 $13,018 $20,094 −35% $30,598 −57% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,956 $12,956 $41,787 −69% $30,502 −58% —
539 OSTEOMYELITIS WITH MCC $12,937 $12,937 $49,161 −74% $37,609 −66% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $12,783 $12,783 $23,162 −45% $25,094 −49% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,755 $12,755 $38,125 −67% $30,083 −58% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,741 $12,741 $62,441 −80% $50,394 −75% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,661 $12,661 $12,879 −2% $16,565 −24% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,624 $12,624 $70,162 −82% $58,809 −79% ≈127% of Medicare
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $12,475 $12,475 $90,009 −86% $71,014 −82% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,355 $12,355 $45,498 −73% $58,745 −79% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,246 $12,246 $13,818 −11% $17,934 −32% —
180 RESPIRATORY NEOPLASMS WITH MCC $12,101 $12,101 $27,341 −56% $36,658 −67% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,100 $12,100 $48,473 −75% $32,841 −63% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,086 $12,086 $36,542 −67% $44,606 −73% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,086 $12,086 $39,932 −70% $39,006 −69% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,071 $12,071 $27,695 −56% $33,255 −64% —
947 SIGNS AND SYMPTOMS WITH MCC $12,005 $12,005 $19,887 −40% $27,401 −56% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,938 $11,938 $38,454 −69% $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 $36,946 −68% $32,637 −64% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $11,823 $11,823 $78,448 −85% $48,349 −76% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $11,743 $11,743 $71,501 −84% $59,790 −80% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $11,680 $11,680 $30,233 −61% $23,498 −50% —
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 $76,990 −85% $50,011 −77% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $11,409 $11,409 $62,436 −82% $50,624 −77% —
152 OTITIS MEDIA AND URI WITH MCC $11,394 $11,394 $17,922 −36% $20,247 −44% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,382 $11,382 $13,506 −16% $17,921 −36% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,339 $11,339 $11,813 −4% $13,942 −19% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS $11,266 $11,266 $32,919 −66% $39,181 −71% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,258 $11,258 $30,243 −63% $36,937 −70% —
100 SEIZURES WITH MCC $11,238 $11,238 $44,133 −75% $35,481 −68% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $11,202 $11,202 $57,570 −81% $77,990 −86% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,113 $11,113 $86,319 −87% $47,583 −77% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,024 $11,024 $26,792 −59% $37,842 −71% ≈101% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,786 $10,786 $22,477 −52% $28,140 −62% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $10,779 $10,779 $15,827 −32% $19,412 −44% —
291 HEART FAILURE AND SHOCK WITH MCC $10,761 $10,761 $18,066 −40% $26,776 −60% ≈139% of Medicare
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $10,680 $10,680 $27,211 −61% $24,544 −56% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $10,631 $10,631 $29,012 −63% $39,106 −73% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,587 $10,587 $27,994 −62% $38,070 −72% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,580 $10,580 $40,782 −74% $39,211 −73% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,541 $10,541 $43,851 −76% $45,877 −77% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $10,536 $10,536 $162,114 −94% $59,594 −82% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL $10,471 $10,471 $100,617 −90% $81,706 −87% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,353 $10,353 $50,468 −79% $47,711 −78% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $10,158 $10,158 $60,697 −83% $70,177 −86% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,112 $10,112 $22,664 −55% $27,394 −63% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $10,069 $10,069 $30,001 −66% $35,692 −72% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,064 $10,064 $16,723 −40% $23,141 −57% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,970 $9,970 $17,770 −44% $24,386 −59% ≈155% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $9,951 $9,951 $13,978 −29% $18,204 −45% ≈207% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,935 $9,935 $38,564 −74% $29,743 −67% —
906 HAND PROCEDURES FOR INJURIES $9,918 $9,918 $27,969 −65% $32,065 −69% —
151 EPISTAXIS WITHOUT MCC $9,918 $9,918 $12,677 −22% $13,032 −24% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $9,862 $9,862 $44,191 −78% $47,737 −79% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $9,854 $9,854 $70,810 −86% $60,170 −84% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $9,814 $9,814 $55,956 −82% $43,477 −77% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,758 $9,758 $16,933 −42% $20,181 −52% —
885 PSYCHOSES $9,747 $9,747 $20,878 −53% $21,729 −55% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $9,722 $9,722 $48,182 −80% $52,178 −81% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,718 $9,718 $15,183 −36% $20,506 −53% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $9,668 $9,668 $16,872 −43% $23,488 −59% —
637 DIABETES WITH MCC $9,620 $9,620 $22,095 −56% $30,100 −68% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $9,615 $9,615 $17,505 −45% $27,843 −65% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $9,602 $9,602 $81,522 −88% $75,573 −87% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,448 $9,448 $16,431 −42% $21,275 −56% —
597 MALIGNANT BREAST DISORDERS WITH MCC $9,443 $9,443 $34,224 −72% $33,386 −72% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,430 $9,430 $14,100 −33% $14,250 −34% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,429 $9,429 $30,510 −69% $32,833 −71% —
549 SEPTIC ARTHRITIS WITH CC $9,396 $9,396 $31,807 −70% $24,056 −61% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,356 $9,356 $18,845 −50% $26,770 −65% ≈134% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $9,293 $9,293 $37,017 −75% $31,105 −70% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,234 $9,234 $16,402 −44% $25,303 −64% —
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 $43,575 −79% $30,784 −70% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $9,022 $9,022 $21,404 −58% $42,906 −79% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $9,000 $9,000 $18,301 −51% $20,895 −57% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $8,997 $8,997 $74,365 −88% $66,068 −86% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,919 $8,919 $18,313 −51% $25,463 −65% ≈119% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS $8,874 $8,874 $17,408 −49% $18,316 −52% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $8,863 $8,863 $27,767 −68% $36,431 −76% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $8,845 $8,845 $21,642 −59% $27,808 −68% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,744 $8,744 $20,702 −58% $27,152 −68% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,714 $8,714 $16,935 −49% $24,914 −65% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $8,694 $8,694 $36,984 −76% $36,253 −76% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $8,609 $8,609 $22,628 −62% $24,586 −65% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,590 $8,590 $18,572 −54% $25,712 −67% —
682 RENAL FAILURE WITH MCC $8,530 $8,530 $22,687 −62% $29,064 −71% ≈96% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,483 $8,483 $21,834 −61% $27,426 −69% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,460 $8,460 $33,812 −75% $26,932 −69% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,440 $8,440 $26,548 −68% $33,876 −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 $29,651 −72% $30,235 −73% —
920 COMPLICATIONS OF TREATMENT WITH CC $8,190 $8,190 $16,379 −50% $22,468 −64% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,143 $8,143 $57,602 −86% $44,117 −82% —
253 OTHER VASCULAR PROCEDURES WITH CC $8,121 $8,121 $81,275 −90% $57,454 −86% —
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 $66,136 −88% $33,633 −76% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,078 $8,078 $19,350 −58% $22,851 −65% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $8,075 $8,075 $41,229 −80% $80,018 −90% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,074 $8,074 $28,922 −72% $26,580 −70% ≈107% of Medicare
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,010 $8,010 $66,399 −88% $41,620 −81% —
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 $17,089 −54% $20,422 −61% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $7,879 $7,879 $26,331 −70% $25,581 −69% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $7,878 $7,878 $36,779 −79% $40,552 −81% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,873 $7,873 $33,924 −77% $33,047 −76% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $7,839 $7,839 $60,574 −87% $40,694 −81% ≈69% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,791 $7,791 $13,505 −42% $17,674 −56% ≈164% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,714 $7,714 $13,747 −44% $21,396 −64% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $7,656 $7,656 $19,865 −61% $28,050 −73% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $7,617 $7,617 $22,780 −67% $29,221 −74% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,589 $7,589 $21,277 −64% $27,119 −72% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,570 $7,570 $18,383 −59% $23,617 −68% ≈108% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,529 $7,529 $26,814 −72% $20,901 −64% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $7,525 $7,525 $28,020 −73% $34,459 −78% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $7,508 $7,508 $101,266 −93% $64,523 −88% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $7,441 $7,441 $65,119 −89% $43,298 −83% —
336 PERITONEAL ADHESIOLYSIS WITH CC $7,428 $7,428 $58,173 −87% $50,463 −85% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,380 $7,380 $20,513 −64% $19,569 −62% —
038 EXTRACRANIAL PROCEDURES WITH CC $7,338 $7,338 $63,724 −88% $35,770 −79% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,293 $7,293 $16,171 −55% $20,957 −65% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,277 $7,277 $17,595 −59% $23,571 −69% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $7,267 $7,267 $35,132 −79% $34,749 −79% —
709 PENIS PROCEDURES WITH CC/MCC $7,256 $7,256 $93,982 −92% $34,535 −79% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $7,242 $7,242 $25,281 −71% $31,321 −77% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $7,214 $7,214 $113,274 −94% $67,268 −89% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,179 $7,179 $16,382 −56% $19,264 −63% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $7,138 $7,138 $25,994 −73% $30,553 −77% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $7,129 $7,129 $53,743 −87% $46,453 −85% —
252 OTHER VASCULAR PROCEDURES WITH MCC $7,121 $7,121 $92,352 −92% $68,508 −90% —
571 SKIN DEBRIDEMENT WITH CC $7,113 $7,113 $24,925 −71% $37,169 −81% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,092 $7,092 $24,687 −71% $34,192 −79% —
644 ENDOCRINE DISORDERS WITH CC $7,087 $7,087 $16,607 −57% $23,198 −69% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,082 $7,082 $51,137 −86% $29,949 −76% —
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 $60,582 −88% $30,557 −77% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,038 $7,038 $19,694 −64% $27,543 −74% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,925 $6,925 $14,344 −52% $18,807 −63% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,880 $6,880 $16,429 −58% $22,506 −69% —
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% $33,555 −80% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,794 $6,794 $29,457 −77% $14,415 −53% —
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% $37,844 −82% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,694 $6,694 $24,871 −73% $26,682 −75% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $6,691 $6,691 $41,902 −84% $33,424 −80% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,683 $6,683 $13,385 −50% $14,014 −52% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,675 $6,675 $43,890 −85% $26,618 −75% —
200 PNEUMOTHORAX WITH CC $6,665 $6,665 $17,568 −62% $21,368 −69% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $6,642 $6,642 $45,945 −86% $33,661 −80% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $6,641 $6,641 $31,331 −79% $32,574 −80% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,632 $6,632 $16,146 −59% $17,698 −63% —
683 RENAL FAILURE WITH CC $6,626 $6,626 $14,731 −55% $19,130 −65% ≈123% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,610 $6,610 $30,610 −78% $25,970 −75% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,606 $6,606 $16,575 −60% $22,888 −71% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,559 $6,559 $10,296 −36% $13,361 −51% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $6,555 $6,555 $50,143 −87% $46,283 −86% ≈51% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $6,547 $6,547 $20,015 −67% $28,226 −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 $19,063 −66% $22,886 −72% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,508 $6,508 $17,973 −64% $25,279 −74% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $6,506 $6,506 $190,748 −97% $59,533 −89% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,483 $6,483 $16,396 −60% $23,283 −72% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $6,469 $6,469 $40,567 −84% $35,030 −82% —
176 PULMONARY EMBOLISM WITHOUT MCC $6,456 $6,456 $13,765 −53% $18,081 −64% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $6,447 $6,447 $23,117 −72% $30,571 −79% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,420 $6,420 $41,811 −85% $28,320 −77% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $6,326 $6,326 $25,687 −75% $30,010 −79% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WIT $6,302 $6,302 $47,177 −87% $32,443 −81% —
184 MAJOR CHEST TRAUMA WITH CC $6,164 $6,164 $17,057 −64% $22,432 −73% —
639 DIABETES WITHOUT CC/MCC $6,161 $6,161 $11,327 −46% $13,910 −56% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $6,155 $6,155 $55,833 −89% $44,139 −86% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,148 $6,148 $16,392 −62% $23,940 −74% ≈110% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $6,124 $6,124 $42,796 −86% $31,264 −80% —
075 VIRAL MENINGITIS WITH CC/MCC $6,121 $6,121 $29,599 −79% $30,447 −80% —
313 CHEST PAIN $6,096 $6,096 $11,135 −45% $16,440 −63% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,064 $6,064 $15,172 −60% $20,488 −70% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,031 $6,031 $13,240 −54% $15,038 −60% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $6,019 $6,019 $29,127 −79% $43,943 −86% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,002 $6,002 $46,664 −87% $34,276 −82% —
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 $15,402 −61% $18,466 −68% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,990 $5,990 $14,630 −59% $16,288 −63% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,966 $5,966 $16,076 −63% $22,033 −73% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,947 $5,947 $47,596 −88% $39,973 −85% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,941 $5,941 $22,265 −73% $26,463 −78% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,932 $5,932 $18,220 −67% $25,700 −77% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,928 $5,928 $19,973 −70% $22,635 −74% —
201 PNEUMOTHORAX WITHOUT CC/MCC $5,817 $5,817 $18,062 −68% $14,053 −59% —
551 MEDICAL BACK PROBLEMS WITH MCC $5,801 $5,801 $25,341 −77% $34,017 −83% —
694 URINARY STONES WITHOUT MCC $5,783 $5,783 $13,336 −57% $17,345 −67% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,779 $5,779 $31,950 −82% $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 $16,538 −66% $22,098 −74% ≈107% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,678 $5,678 $51,031 −89% $48,682 −88% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,674 $5,674 $13,658 −58% $16,846 −66% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,665 $5,665 $14,644 −61% $16,699 −66% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,660 $5,660 $65,775 −91% $38,094 −85% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,654 $5,654 $26,023 −78% $33,048 −83% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,639 $5,639 $53,652 −89% $40,562 −86% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,636 $5,636 $9,669 −42% $14,797 −62% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,585 $5,585 $16,184 −65% $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 $24,570 −77% $25,748 −78% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,535 $5,535 $14,950 −63% $18,488 −70% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,484 $5,484 $10,332 −47% $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% $12,252 −56% —
864 FEVER AND INFLAMMATORY CONDITIONS $5,372 $5,372 $12,155 −56% $18,640 −71% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,360 $5,360 $16,060 −67% $19,846 −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% $20,461 −74% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,245 $5,245 $15,741 −67% $17,724 −70% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,207 $5,207 $29,709 −82% $24,944 −79% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,194 $5,194 $24,072 −78% $37,387 −86% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,191 $5,191 $17,135 −70% $12,229 −58% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,175 $5,175 $12,127 −57% $20,781 −75% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,144 $5,144 $24,660 −79% $22,850 −77% —
791 PREMATURITY WITH MAJOR PROBLEMS $5,139 $5,139 $27,807 −82% $42,679 −88% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,114 $5,114 $57,368 −91% $42,901 −88% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,111 $5,111 $11,355 −55% $13,275 −61% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,081 $5,081 $27,164 −81% $34,273 −85% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,029 $5,029 $12,723 −60% $14,514 −65% —
638 DIABETES WITH CC $5,003 $5,003 $15,098 −67% $19,661 −75% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,995 $4,995 $17,119 −71% $15,428 −68% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,861 $4,861 $22,909 −79% $21,847 −78% —
153 OTITIS MEDIA AND URI WITHOUT MCC $4,841 $4,841 $13,109 −63% $14,583 −67% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,815 $4,815 $26,352 −82% $17,118 −72% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,792 $4,792 $11,921 −60% $14,927 −68% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,767 $4,767 $13,130 −64% $12,895 −63% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,751 $4,751 $16,963 −72% $23,551 −80% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,729 $4,729 $14,405 −67% $18,602 −75% —
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 $26,233 −83% $19,924 −77% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,548 $4,548 $20,711 −78% $17,135 −73% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,541 $4,541 $14,675 −69% $15,452 −71% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,537 $4,537 $12,555 −64% $15,837 −71% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,507 $4,507 $60,500 −93% $39,955 −89% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $4,491 $4,491 $131,035 −97% $55,162 −92% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,472 $4,472 $16,847 −73% $19,657 −77% —
204 RESPIRATORY SIGNS AND SYMPTOMS $4,463 $4,463 $17,932 −75% $18,004 −75% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,452 $4,452 $17,409 −74% $17,733 −75% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,445 $4,445 $21,394 −79% $18,452 −76% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,443 $4,443 $24,497 −82% $30,828 −86% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,411 $4,411 $47,606 −91% $38,666 −89% ≈39% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $4,378 $4,378 $17,564 −75% $15,889 −72% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,328 $4,328 $14,795 −71% $19,842 −78% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,283 $4,283 $18,060 −76% $20,566 −79% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $4,208 $4,208 $53,673 −92% $34,906 −88% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,202 $4,202 $26,117 −84% $15,600 −73% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,173 $4,173 $31,056 −87% $32,021 −87% ≈74% of Medicare
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,160 $4,160 $13,791 −70% $18,126 −77% —
197 INTERSTITIAL LUNG DISEASE WITH CC $4,072 $4,072 $16,043 −75% $21,941 −81% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $4,067 $4,067 $41,910 −90% $35,465 −89% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,036 $4,036 $13,044 −69% $21,056 −81% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,033 $4,033 $12,055 −67% $13,651 −70% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,024 $4,024 $31,840 −87% $22,148 −82% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,024 $4,024 $10,973 −63% $10,975 −63% —
302 ATHEROSCLEROSIS WITH MCC $3,951 $3,951 $21,574 −82% $22,446 −82% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,932 $3,932 $47,629 −92% $36,489 −89% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,924 $3,924 $38,494 −90% $38,101 −90% —
375 DIGESTIVE MALIGNANCY WITH CC $3,857 $3,857 $19,141 −80% $27,277 −86% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,791 $3,791 $21,483 −82% $30,959 −88% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,738 $3,738 $27,381 −86% $19,854 −81% —
304 HYPERTENSION WITH MCC $3,722 $3,722 $23,945 −84% $26,080 −86% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,718 $3,718 $17,397 −79% $18,150 −80% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,709 $3,709 $12,642 −71% $17,322 −79% ≈91% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,708 $3,708 $12,605 −71% $19,227 −81% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,679 $3,679 $13,059 −72% $17,038 −78% ≈80% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,677 $3,677 $12,055 −69% $17,578 −79% ≈82% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,672 $3,672 $10,563 −65% $12,078 −70% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,662 $3,662 $11,752 −69% $14,638 −75% —
123 NEUROLOGICAL EYE DISORDERS $3,662 $3,662 $23,803 −85% $19,745 −81% —
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% $18,086 −80% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,558 $3,558 $13,184 −73% $14,648 −76% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,549 $3,549 $32,197 −89% $26,051 −86% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,546 $3,546 $44,220 −92% $39,018 −91% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,536 $3,536 $12,609 −72% $16,767 −79% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,504 $3,504 $17,269 −80% $23,319 −85% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,426 $3,426 $21,051 −84% $18,528 −82% —
712 TESTES PROCEDURES WITHOUT CC/MCC $3,389 $3,389 $24,568 −86% $18,898 −82% —
103 HEADACHES WITHOUT MCC $3,379 $3,379 $15,688 −78% $21,280 −84% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,373 $3,373 $15,258 −78% $17,226 −80% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,370 $3,370 $10,110 −67% $15,183 −78% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,349 $3,349 $12,789 −74% $17,303 −81% ≈82% of Medicare
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,288 $3,288 $51,031 −94% $20,259 −84% —
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% $20,232 −84% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,165 $3,165 $29,205 −89% $28,156 −89% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,143 $3,143 $12,550 −75% $12,454 −75% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,138 $3,138 $15,684 −80% $21,363 −85% —
684 RENAL FAILURE WITHOUT CC/MCC $3,096 $3,096 $11,077 −72% $13,642 −77% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,077 $3,077 $22,303 −86% $18,956 −84% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,009 $3,009 $14,549 −79% $15,215 −80% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,979 $2,979 $10,876 −73% $14,368 −79% —
813 COAGULATION DISORDERS $2,939 $2,939 $30,969 −91% $33,296 −91% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,925 $2,925 $28,540 −90% $18,649 −84% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,778 $2,778 $20,885 −87% $25,034 −89% —
348 ANAL AND STOMAL PROCEDURES WITH CC $2,708 $2,708 $36,474 −93% $27,947 −90% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,696 $2,696 $49,273 −95% $37,950 −93% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,687 $2,687 $9,995 −73% $13,384 −80% ≈98% of Medicare
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,683 $2,683 $11,921 −77% $14,549 −82% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,661 $2,661 $11,368 −77% $12,324 −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% $19,138 −87% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,573 $2,573 $13,438 −81% $17,620 −85% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,416 $2,416 $22,604 −89% $19,037 −87% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,407 $2,407 $13,436 −82% $8,445 −71% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,392 $2,392 $22,434 −89% $19,962 −88% —
779 ABORTION WITHOUT D&C $2,383 $2,383 $15,911 −85% $15,327 −84% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,379 $2,379 $12,846 −81% $16,351 −85% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,272 $2,272 $9,477 −76% $9,940 −77% —
292 HEART FAILURE AND SHOCK WITH CC $2,104 $2,104 $13,653 −85% $16,371 −87% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,099 $2,099 $16,431 −87% $17,601 −88% —
795 NORMAL NEWBORN $2,070 $2,070 $4,460 −54% $4,720 −56% —
540 OSTEOMYELITIS WITH CC $2,016 $2,016 $19,990 −90% $26,676 −92% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $1,998 $1,998 $13,267 −85% $18,133 −89% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $1,962 $1,962 $40,139 −95% $34,607 −94% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $1,903 $1,903 $10,553 −82% $10,160 −81% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $1,849 $1,849 $12,811 −86% $16,450 −89% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $1,762 $1,762 $11,568 −85% $11,071 −84% —
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