Chinle Comprehensive Health Care Facility — Pricing

797 procedures published in this hospital's Machine-Readable File (MRF) — 797 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 797
Lowest published price $3,032
Average published price $33,821
Highest published price $483,987

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 797 procedures

Published charges

Showing all 797 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. Cash-pay prices not published for this hospital.

Across 11 procedures, this hospital's negotiated rates average ≈87% of what Medicare pays.

DRG Description Published price vs. AZ median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $483,987 $586,074 −17% $498,715 −3% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $362,617 $431,073 −16% $431,073 −16% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $306,087 $419,301 −27% $306,087 +0% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $276,951 $339,144 −18% $371,366 −25% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $184,103 $233,838 −21% $245,189 −25% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $171,028 $182,314 −6% $182,314 −6% —
007 LUNG TRANSPLANT $170,608 $195,119 −13% $170,608 +0% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $155,461 $194,769 −20% $169,977 −9% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $142,952 $171,338 −17% $171,338 −17% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $139,842 $164,641 −15% $159,181 −12% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $139,148 $162,493 −14% $191,314 −27% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,630 $189,537 −27% $142,326 −3% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $127,148 $154,381 −18% $175,437 −28% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $121,563 $168,048 −28% $121,563 +0% —
231 CORONARY BYPASS WITH PTCA WITH MCC $112,178 $129,088 −13% $145,864 −23% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $112,119 $134,083 −16% $151,029 −26% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $110,483 $153,621 −28% $119,071 −7% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $106,929 $134,449 −20% $135,380 −21% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $105,228 $127,163 −17% $105,228 +0% —
453 NO ACTIVE CODE DESCRIPTION $103,861 $23,289 +346% $103,861 +0% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $103,817 $124,077 −16% $138,868 −25% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,814 $122,661 −16% $143,242 −28% —
010 PANCREAS TRANSPLANT $99,940 $144,934 −31% $99,940 +0% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $99,339 $115,058 −14% $120,573 −18% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $94,742 $132,794 −29% $121,728 −22% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $94,288 $111,924 −16% $131,961 −29% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $92,883 $110,795 −16% $137,160 −32% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $91,253 $96,876 −6% $104,881 −13% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,681 $126,098 −29% $114,665 −22% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $89,353 $110,079 −19% $89,353 +0% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $89,209 $109,045 −18% $115,937 −23% —
222 NO ACTIVE CODE DESCRIPTION $86,864 $23,643 +267% $86,864 +0% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $86,661 $109,888 −21% $116,058 −25% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $86,542 $101,250 −15% $121,714 −29% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $86,459 $83,704 +3% $86,459 +0% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $84,844 $109,331 −22% $109,331 −22% —
006 LIVER TRANSPLANT WITHOUT MCC $84,407 $76,944 +10% $84,407 +0% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $83,192 $98,784 −16% $117,280 −29% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $83,090 $117,146 −29% $93,934 −12% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $82,731 $98,912 −16% $98,912 −16% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $82,458 $108,472 −24% $108,472 −24% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $82,102 $94,633 −13% $106,219 −23% —
028 SPINAL PROCEDURES WITH MCC $81,731 $95,858 −15% $95,858 −15% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $81,176 $98,260 −17% $98,260 −17% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $81,176 $98,260 −17% $81,176 +0% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $80,603 $99,357 −19% $113,855 −29% —
224 NO ACTIVE CODE DESCRIPTION $80,427 $23,643 +240% $80,427 +0% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $80,075 $90,624 −12% $92,238 −13% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $80,018 $95,444 −16% $80,018 +0% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $79,247 $93,551 −15% $112,062 −29% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $78,460 $96,192 −18% $96,192 −18% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $77,406 $96,637 −20% $107,355 −28% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $76,970 $90,179 −15% $106,778 −28% —
653 MAJOR BLADDER PROCEDURES WITH MCC $75,310 $86,122 −13% $97,028 −22% —
459 NO ACTIVE CODE DESCRIPTION $75,251 $23,289 +223% $75,251 +0% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $74,709 $97,687 −24% $101,280 −26% —
834 ACUTE LEUKEMIA WITH MCC $74,709 $89,065 −16% $76,004 −2% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $74,414 $105,899 −30% $105,899 −30% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $73,986 $105,333 −30% $93,783 −21% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $73,455 $87,570 −16% $95,375 −23% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $73,103 $90,099 −19% $78,327 −7% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $73,038 $82,018 −11% $86,953 −16% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,030 $90,401 −19% $82,527 −12% —
226 NO ACTIVE CODE DESCRIPTION $72,618 $23,643 +207% $72,618 +0% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $72,075 $82,686 −13% $102,573 −30% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $71,776 $83,434 −14% $102,177 −30% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $69,912 $99,943 −30% $79,944 −13% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $69,695 $80,443 −13% $99,423 −30% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $69,206 $82,511 −16% $94,320 −27% —
454 NO ACTIVE CODE DESCRIPTION $69,101 $23,289 +197% $69,101 +0% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $69,008 $80,793 −15% $80,747 −15% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $68,473 $76,467 −10% $87,575 −22% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $68,095 $77,055 −12% $70,779 −4% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,045 $70,947 −4% $84,861 −20% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $68,020 $79,521 −14% $86,938 −22% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $67,791 $80,157 −15% $96,905 −30% —
245 AICD GENERATOR PROCEDURES $66,564 $72,076 −8% $72,076 −8% —
471 CERVICAL SPINAL FUSION WITH MCC $66,189 $78,248 −15% $92,515 −28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $65,149 $73,619 −12% $85,882 −24% —
799 SPLENIC PROCEDURES WITH MCC $64,885 $78,821 −18% $78,821 −18% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $64,874 $75,210 −14% $84,825 −24% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $64,248 $77,628 −17% $92,217 −30% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $63,928 $71,615 −11% $80,885 −21% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,571 $76,069 −16% $91,329 −30% —
163 MAJOR CHEST PROCEDURES WITH MCC $63,017 $74,987 −16% $88,341 −29% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $62,992 $71,551 −12% $71,551 −12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,801 $73,953 −15% $90,331 −30% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $62,792 $71,853 −13% $88,050 −29% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $61,750 $70,438 −12% $72,843 −15% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $61,401 $68,449 −10% $76,954 −20% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $61,240 $70,247 −13% $88,307 −31% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $60,697 $68,847 −12% $68,847 −12% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $60,208 $69,388 −13% $75,585 −20% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $59,352 $80,049 −26% $59,352 +0% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $59,237 $72,076 −18% $83,441 −29% —
223 NO ACTIVE CODE DESCRIPTION $59,206 $23,643 +150% $59,206 +0% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $58,558 $68,067 −14% $82,561 −29% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $58,476 $65,856 −11% $87,495 −33% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $58,085 $60,098 −3% $60,098 −3% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $57,584 $65,490 −12% $68,590 −16% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $57,570 $58,825 −2% $72,879 −21% —
225 NO ACTIVE CODE DESCRIPTION $57,380 $23,643 +143% $57,380 +0% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $57,323 $66,954 −14% $16,708 +243% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $57,196 $66,159 −14% $83,065 −31% —
227 NO ACTIVE CODE DESCRIPTION $56,960 $23,643 +141% $56,960 +0% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $56,565 $64,281 −12% $82,247 −31% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $56,535 $64,345 −12% $66,853 −15% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $56,456 $63,709 −11% $73,029 −23% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $56,242 $55,008 +2% $56,242 +0% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $56,194 $81,998 −31% $81,998 −31% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $55,985 $62,214 −10% $71,873 −22% —
791 PREMATURITY WITH MAJOR PROBLEMS $55,887 $65,188 −14% $39,254 +42% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $54,898 $59,175 −7% $71,519 −23% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $54,862 $57,521 −5% $57,521 −5% —
652 KIDNEY TRANSPLANT $54,720 $47,786 +15% $54,720 +0% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $54,405 $63,868 −15% $68,331 −20% —
455 NO ACTIVE CODE DESCRIPTION $54,320 $23,289 +133% $54,320 +0% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $54,300 $61,832 −12% $61,832 −12% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $54,196 $59,366 −9% $54,196 +0% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $53,970 $79,116 −32% $75,492 −29% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $53,945 $61,991 −13% $78,852 −32% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $53,665 $62,054 −14% $72,908 −26% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $53,357 $62,961 −15% $62,961 −15% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $53,307 $51,794 +3% $55,002 −3% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $53,167 $64,552 −18% $72,274 −26% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $52,805 $61,689 −14% $75,103 −30% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $52,536 $60,273 −13% $74,755 −30% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $52,152 $61,259 −15% $74,257 −30% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,761 $60,861 −15% $60,861 −15% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $50,550 $57,632 −12% $61,206 −17% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $50,222 $56,869 −12% $71,755 −30% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $49,721 $54,578 −9% $59,425 −16% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $49,718 $57,855 −14% $57,855 −14% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $49,711 $58,094 −14% $64,488 −23% —
265 AICD LEAD PROCEDURES $49,492 $56,216 −12% $56,216 −12% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $49,285 $55,071 −11% $70,540 −30% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $49,015 $62,404 −21% $62,404 −21% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $49,003 $50,919 −4% $50,919 −4% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $48,887 $56,964 −14% $56,964 −14% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $48,670 $56,073 −13% $68,399 −29% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,655 $53,719 −9% $65,383 −26% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $48,637 $59,207 −18% $59,207 −18% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $48,557 $51,953 −7% $51,953 −7% —
332 RECTAL RESECTION WITH MCC $48,214 $58,125 −17% $58,125 −17% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $48,165 $54,180 −11% $48,745 −1% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $47,899 $54,976 −13% $71,014 −33% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $47,828 $53,592 −11% $61,353 −22% —
665 PROSTATECTOMY WITH MCC $47,758 $49,138 −3% $54,072 −12% —
252 OTHER VASCULAR PROCEDURES WITH MCC $47,717 $53,353 −11% $68,508 −30% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $47,649 $55,453 −14% $68,421 −30% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $47,403 $52,733 −10% $67,215 −29% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $47,218 $54,960 −14% $70,132 −33% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,760 $54,530 −14% $62,790 −26% —
037 EXTRACRANIAL PROCEDURES WITH MCC $46,296 $53,703 −14% $64,749 −28% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $46,049 $52,908 −13% $52,908 −13% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $45,618 $52,971 −14% $64,468 −29% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $45,498 $53,162 −14% $53,763 −15% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $45,479 $49,917 −9% $64,465 −29% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $44,977 $52,399 −14% $64,956 −31% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $44,783 $50,919 −12% $57,277 −22% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $44,663 $47,229 −5% $66,819 −33% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,584 $49,710 −10% $49,710 −10% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $44,472 $51,158 −13% $44,472 +0% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $44,389 $51,142 −13% $51,142 −13% —
500 SOFT TISSUE PROCEDURES WITH MCC $44,320 $51,587 −14% $57,181 −22% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $43,701 $51,556 −15% $65,573 −33% —
662 MINOR BLADDER PROCEDURES WITH MCC $43,683 $47,674 −8% $54,483 −20% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $43,510 $50,585 −14% $65,325 −33% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $43,330 $50,299 −14% $62,266 −30% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $43,247 $65,216 −34% $65,216 −34% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $43,218 $50,172 −14% $53,817 −20% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,021 $48,915 −12% $53,555 −20% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,891 $46,974 −9% $63,310 −32% —
460 NO ACTIVE CODE DESCRIPTION $42,725 $23,289 +83% $50,815 −16% —
570 SKIN DEBRIDEMENT WITH MCC $42,263 $46,481 −9% $51,501 −18% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $41,952 $46,402 −10% $46,402 −10% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $41,464 $47,738 −13% $54,313 −24% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $41,365 $46,911 −12% $63,984 −35% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $41,261 $46,513 −11% $60,140 −31% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,045 $44,827 −8% $47,126 −13% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $41,024 $47,627 −14% $66,765 −39% —
800 SPLENIC PROCEDURES WITH CC $41,012 $44,827 −9% $49,184 −17% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $40,991 $44,684 −8% $54,475 −25% —
472 CERVICAL SPINAL FUSION WITH CC $40,797 $47,006 −13% $59,537 −31% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,406 $59,031 −32% $58,968 −31% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,363 $45,272 −11% $56,758 −29% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,341 $42,059 −4% $53,787 −25% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $40,289 $43,284 −7% $49,055 −18% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $40,142 $45,734 −12% $74,274 −46% —
654 MAJOR BLADDER PROCEDURES WITH CC $39,822 $43,554 −9% $53,868 −26% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $39,644 $45,924 −14% $58,043 −32% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $39,606 $43,093 −8% $48,907 −19% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $38,709 $48,358 −20% $48,358 −20% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,646 $41,248 −6% $45,497 −15% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,581 $41,407 −7% $44,973 −14% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,454 $43,491 −12% $43,491 −12% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $38,281 $44,588 −14% $57,030 −33% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,166 $43,586 −12% $44,839 −15% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,027 $42,934 −11% $52,405 −27% —
263 VEIN LIGATION AND STRIPPING $38,005 $44,938 −15% $44,938 −15% —
849 RADIOTHERAPY $37,862 $42,807 −12% $37,862 +0% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $37,754 $42,139 −10% $45,271 −17% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $37,631 $44,222 −15% $40,947 −8% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $37,588 $42,727 −12% $45,558 −17% —
503 FOOT PROCEDURES WITH MCC $37,544 $42,663 −12% $43,982 −15% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $37,509 $40,277 −7% $40,277 −7% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $37,242 $42,473 −12% $54,929 −32% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $37,153 $43,697 −15% $43,697 −15% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $36,791 $40,039 −8% $41,596 −12% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $36,735 $41,184 −11% $47,574 −23% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $36,339 $38,878 −7% $38,878 −7% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,329 $40,580 −10% $53,746 −32% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $36,267 $39,514 −8% $56,197 −35% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,097 $44,811 −19% $36,097 +0% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,990 $39,657 −9% $39,657 −9% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $35,964 $41,534 −13% $46,659 −23% —
164 MAJOR CHEST PROCEDURES WITH CC $35,862 $40,564 −12% $53,141 −33% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,694 $38,082 −6% $39,409 −9% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $35,670 $38,814 −8% $55,162 −35% —
397 APPENDIX PROCEDURES WITH MCC $35,353 $35,744 −1% $52,319 −32% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,224 $38,703 −9% $52,332 −33% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $34,988 $39,339 −11% $11,633 +201% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $34,970 $39,546 −12% $51,985 −33% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $34,708 $39,721 −13% $54,681 −37% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,586 $38,178 −9% $45,937 −25% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $34,487 $42,186 −18% $40,065 −14% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $34,357 $38,209 −10% $56,394 −39% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,307 $37,923 −10% $47,583 −28% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,307 $34,678 −1% $39,093 −12% —
248 NO ACTIVE CODE DESCRIPTION $34,146 $23,643 +44% $34,146 +0% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $34,039 $36,873 −8% $51,950 −34% —
246 NO ACTIVE CODE DESCRIPTION $33,983 $23,643 +44% $33,983 +0% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $33,920 $39,148 −13% $50,624 −33% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $33,912 $40,548 −16% $40,548 −16% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,872 $37,732 −10% $58,713 −42% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,823 $36,857 −8% $47,546 −29% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,546 $37,923 −12% $50,139 −33% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,308 $36,237 −8% $36,237 −8% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $33,237 $35,410 −6% $35,806 −7% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $33,209 $37,398 −11% $51,339 −35% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $33,155 $37,891 −13% $49,631 −33% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $32,969 $33,580 −2% $37,080 −11% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $32,919 $34,837 −6% $36,195 −9% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,829 $33,914 −3% $39,253 −16% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $32,773 $35,823 −9% $43,313 −24% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $32,719 $36,587 −11% $46,306 −29% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $32,604 $36,157 −10% $36,318 −10% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $32,504 $35,123 −7% $38,998 −17% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,503 $35,489 −8% $44,989 −28% —
113 ORBITAL PROCEDURES WITH CC/MCC $32,482 $39,880 −19% $35,642 −9% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,433 $36,237 −10% $50,011 −35% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $32,423 $34,948 −7% $48,682 −33% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,385 $35,998 −10% $44,927 −28% —
709 PENIS PROCEDURES WITH CC/MCC $32,359 $34,535 −6% $34,535 −6% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,168 $35,505 −9% $44,022 −27% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $32,077 $36,889 −13% $45,842 −30% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $31,920 $34,296 −7% $44,600 −28% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,740 $35,521 −11% $38,382 −17% —
935 NON-EXTENSIVE BURNS $31,701 $32,467 −2% $29,458 +8% —
906 HAND PROCEDURES FOR INJURIES $31,520 $29,938 +5% $31,520 +0% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $31,474 $33,978 −7% $41,114 −23% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,349 $34,280 −9% $37,681 −17% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $31,193 $34,121 −9% $44,553 −30% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,144 $33,310 −7% $38,166 −18% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $31,079 $32,960 −6% $34,900 −11% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $31,044 $33,294 −7% $31,044 +0% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $31,025 $33,278 −7% $36,850 −16% —
835 ACUTE LEUKEMIA WITH CC $30,915 $35,569 −13% $35,569 −13% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $30,914 $34,217 −10% $39,923 −23% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $30,912 $34,264 −10% $44,719 −31% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $30,860 $32,865 −6% $37,654 −18% —
333 RECTAL RESECTION WITH CC $30,778 $33,087 −7% $34,352 −10% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $30,721 $31,942 −4% $46,477 −34% —
595 MAJOR SKIN DISORDERS WITH MCC $30,646 $34,598 −11% $31,772 −4% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,609 $33,485 −9% $49,071 −38% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,598 $33,389 −8% $38,885 −21% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,598 $34,471 −11% $37,839 −19% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,555 $33,596 −9% $55,147 −45% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $30,486 $34,583 −12% $35,381 −14% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $30,404 $31,131 −2% $46,066 −34% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $30,326 $33,851 −10% $32,506 −7% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $30,155 $33,533 −10% $41,701 −28% —
338 NO ACTIVE CODE DESCRIPTION $30,138 $23,289 +29% $30,138 +0% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,124 $33,008 −9% $50,998 −41% —
592 SKIN ULCERS WITH MCC $29,882 $33,246 −10% $32,662 −9% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $29,767 $31,162 −4% $34,089 −13% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $29,518 $31,846 −7% $30,661 −4% —
539 OSTEOMYELITIS WITH MCC $29,443 $31,560 −7% $33,614 −12% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $29,374 $31,878 −8% $41,660 −29% —
548 SEPTIC ARTHRITIS WITH MCC $29,341 $31,019 −5% $31,019 −5% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $29,314 $30,940 −5% $30,940 −5% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $29,304 $32,467 −10% $45,594 −36% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $29,131 $31,401 −7% $43,320 −33% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $29,127 $32,419 −10% $43,444 −33% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,109 $32,546 −11% $29,109 +0% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $29,012 $31,862 −9% $35,714 −19% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,993 $35,139 −17% $35,139 −17% —
100 SEIZURES WITH MCC $28,961 $31,544 −8% $35,194 −18% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $28,958 $26,788 +8% $29,598 −2% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,868 $31,433 −8% $41,847 −31% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,801 $31,624 −9% $43,252 −33% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,787 $31,322 −8% $43,775 −34% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,703 $33,517 −14% $41,520 −31% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $28,660 $31,544 −9% $34,876 −18% ≈80% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $28,648 $31,719 −10% $43,538 −34% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,621 $30,478 −6% $36,880 −22% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $28,573 $31,353 −9% $35,108 −19% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $28,559 $29,524 −3% $29,524 −3% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $28,555 $29,938 −5% $32,901 −13% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $28,381 $31,210 −9% $43,080 −34% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $28,350 $33,914 −16% $36,202 −22% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,264 $31,576 −10% $42,881 −34% —
380 COMPLICATED PEPTIC ULCER WITH MCC $28,169 $31,003 −9% $36,537 −23% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,020 $29,604 −5% $33,236 −16% —
711 TESTES PROCEDURES WITH CC/MCC $27,991 $33,771 −17% $34,846 −20% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,823 $29,938 −7% $42,126 −34% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,823 $29,985 −7% $35,029 −21% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $27,767 $29,604 −6% $36,241 −23% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $27,729 $29,079 −5% $31,913 −13% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $27,695 $28,792 −4% $31,743 −13% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $27,668 $29,254 −5% $32,976 −16% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,666 $29,938 −8% $48,801 −43% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $27,664 $29,731 −7% $45,916 −40% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $27,647 $30,144 −8% $30,362 −9% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $27,401 $29,015 −6% $34,886 −21% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $27,387 $29,842 −8% $41,380 −34% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,287 $29,444 −7% $30,681 −11% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $27,276 $28,856 −5% $32,538 −16% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $27,256 $29,826 −9% $22,698 +20% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,152 $27,488 −1% $29,609 −8% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,058 $29,301 −8% $29,867 −9% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $26,986 $28,760 −6% $40,694 −34% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,921 $29,333 −8% $40,583 −34% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,909 $28,951 −7% $40,563 −34% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $26,903 $28,347 −5% $40,552 −34% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $26,875 $27,997 −4% $37,950 −29% —
919 COMPLICATIONS OF TREATMENT WITH MCC $26,862 $29,031 −7% $29,031 −7% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,853 $28,458 −6% $35,990 −25% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,794 $28,426 −6% $35,989 −26% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $26,792 $28,474 −6% $37,842 −29% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $26,677 $29,476 −9% $29,476 −9% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $26,676 $28,999 −8% $54,772 −51% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $26,617 $29,110 −9% $40,063 −34% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $26,590 $28,935 −8% $14,121 +88% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $26,510 $26,756 −1% $24,447 +8% —
501 SOFT TISSUE PROCEDURES WITH CC $26,358 $27,615 −5% $37,975 −31% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $26,308 $29,779 −12% $47,635 −45% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $26,307 $28,283 −7% $30,275 −13% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $26,296 $29,556 −11% $33,415 −21% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $26,242 $29,651 −11% $31,909 −18% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $26,206 $27,790 −6% $36,355 −28% —
199 PNEUMOTHORAX WITH MCC $26,106 $28,220 −7% $31,085 −16% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $26,007 $29,699 −12% $35,673 −27% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,006 $27,679 −6% $39,018 −33% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $25,994 $27,536 −6% $29,558 −12% —
509 ARTHROSCOPY $25,994 $38,998 −33% $25,994 +0% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,994 $25,468 +2% $31,846 −18% —
504 FOOT PROCEDURES WITH CC $25,972 $27,472 −5% $36,519 −29% —
505 FOOT PROCEDURES WITHOUT CC/MCC $25,972 $27,138 −4% $31,716 −18% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $25,923 $27,695 −6% $34,158 −24% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,899 $27,599 −6% $38,836 −33% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $25,881 $27,806 −7% $31,627 −18% —
180 RESPIRATORY NEOPLASMS WITH MCC $25,879 $27,647 −6% $36,658 −29% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $25,761 $28,474 −10% $30,814 −16% —
915 ALLERGIC REACTIONS WITH MCC $25,750 $28,220 −9% $30,944 −17% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,727 $29,763 −14% $32,839 −22% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $25,633 $29,826 −14% $29,826 −14% —
341 NO ACTIVE CODE DESCRIPTION $25,628 $23,289 +10% $25,628 +0% —
671 URETHRAL PROCEDURES WITH CC/MCC $25,566 $27,233 −6% $27,233 −6% —
075 VIRAL MENINGITIS WITH CC/MCC $25,549 $30,447 −16% $29,751 −14% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $25,466 $26,995 −6% $38,094 −33% —
551 MEDICAL BACK PROBLEMS WITH MCC $25,341 $27,074 −6% $31,067 −18% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $25,272 $27,329 −8% $43,266 −42% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $25,176 $26,088 −3% $29,671 −15% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,133 $25,627 −2% $28,578 −12% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $25,121 $27,758 −10% $29,409 −15% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $25,056 $25,977 −4% $31,029 −19% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $25,010 $26,311 −5% $29,929 −16% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $24,928 $26,661 −6% $29,916 −17% —
571 SKIN DEBRIDEMENT WITH CC $24,925 $26,915 −7% $34,773 −28% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $24,871 $27,949 −11% $25,146 −1% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,869 $26,279 −5% $33,339 −25% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $24,851 $29,126 −15% $28,103 −12% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,846 $26,008 −4% $30,930 −20% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,787 $26,549 −7% $32,417 −24% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $24,771 $24,020 +3% $27,277 −9% —
334 RECTAL RESECTION WITHOUT CC/MCC $24,721 $25,531 −3% $32,213 −23% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,718 $26,008 −5% $42,119 −41% —
643 ENDOCRINE DISORDERS WITH MCC $24,704 $26,168 −6% $32,953 −25% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $24,687 $25,770 −4% $32,689 −24% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $24,622 $26,597 −7% $44,087 −44% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $24,586 $25,197 −2% $25,197 −2% —
666 PROSTATECTOMY WITH CC $24,574 $27,313 −10% $30,016 −18% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $24,514 $24,211 +1% $31,566 −22% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $24,502 $28,474 −14% $28,554 −14% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $24,497 $25,245 −3% $28,802 −15% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $24,475 $25,388 −4% $28,001 −13% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $24,458 $25,499 −4% $30,768 −21% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $24,448 $27,202 −10% $36,333 −33% —
157 DENTAL AND ORAL DISEASES WITH MCC $24,447 $27,154 −10% $27,457 −11% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $24,302 $24,465 −1% $24,465 −1% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,292 $27,074 −10% $27,074 −10% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $24,282 $24,927 −3% $25,998 −7% —
913 TRAUMATIC INJURY WITH MCC $24,198 $23,781 +2% $24,198 +0% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,189 $25,070 −4% $25,596 −5% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $24,174 $26,979 −10% $31,754 −24% ≈80% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $24,107 $25,452 −5% $35,770 −33% —
606 MINOR SKIN DISORDERS WITH MCC $24,094 $25,229 −4% $25,434 −5% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $24,061 $25,674 −6% $35,692 −33% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $23,998 $26,088 −8% $35,584 −33% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,921 $25,802 −7% $35,453 −33% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,902 $25,818 −7% $33,962 −30% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $23,876 $25,404 −6% $35,375 −33% —
945 REHABILITATION WITH CC/MCC $23,834 $32,934 −28% $23,834 +0% —
183 MAJOR CHEST TRAUMA WITH MCC $23,796 $25,054 −5% $28,924 −18% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,784 $25,261 −6% $39,675 −40% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $23,703 $24,577 −4% $33,425 −29% —
186 PLEURAL EFFUSION WITH MCC $23,701 $24,688 −4% $32,385 −27% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,658 $23,511 +1% $29,891 −21% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $23,602 $24,577 −4% $34,906 −32% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $23,560 $24,847 −5% $32,804 −28% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $23,545 $25,038 −6% $30,224 −22% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,510 $25,245 −7% $32,189 −27% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $23,475 $25,245 −7% $40,801 −42% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,326 $24,895 −6% $34,434 −32% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $23,307 $24,768 −6% $28,385 −18% —
813 COAGULATION DISORDERS $23,285 $24,815 −6% $30,128 −23% —
669 TRANSURETHRAL PROCEDURES WITH CC $23,279 $24,418 −5% $34,354 −32% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $23,263 $24,036 −3% $24,036 −3% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $23,257 $25,484 −9% $25,484 −9% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,254 $24,068 −3% $28,252 −18% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,118 $23,797 −3% $35,961 −36% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $23,065 $24,879 −7% $24,879 −7% —
663 MINOR BLADDER PROCEDURES WITH CC $23,018 $23,209 −1% $29,924 −23% —
533 FRACTURES OF FEMUR WITH MCC $22,986 $25,945 −11% $25,945 −11% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,893 $26,168 −13% $33,694 −32% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $22,882 $21,714 +5% $30,888 −26% —
398 APPENDIX PROCEDURES WITH CC $22,834 $24,068 −5% $38,574 −41% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $22,791 $22,175 +3% $24,229 −6% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $22,783 $23,734 −4% $26,998 −16% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,780 $28,188 −19% $28,375 −20% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,735 $25,786 −12% $33,424 −32% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $22,721 $23,161 −2% $33,790 −33% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $22,714 $23,543 −4% $35,528 −36% —
682 RENAL FAILURE WITH MCC $22,687 $23,877 −5% $27,640 −18% —
710 PENIS PROCEDURES WITHOUT CC/MCC $22,681 $20,632 +10% $23,814 −5% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $22,664 $23,877 −5% $25,854 −12% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $22,651 $23,447 −3% $29,049 −22% —
506 MAJOR THUMB OR JOINT PROCEDURES $22,651 $23,272 −3% $28,983 −22% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,628 $24,450 −7% $24,450 −7% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $22,568 $23,766 −5% $33,137 −32% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,516 $24,513 −8% $31,062 −28% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,477 $23,956 −6% $27,597 −19% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $22,435 $23,209 −3% $32,911 −32% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $22,353 $23,702 −6% $7,896 +183% —
865 VIRAL ILLNESS WITH MCC $22,350 $26,088 −14% $26,088 −14% —
693 URINARY STONES WITH MCC $22,278 $22,525 −1% $22,525 −1% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,272 $23,129 −4% $28,403 −22% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,265 $22,445 −1% $25,152 −11% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $22,265 $25,786 −14% $25,786 −14% —
602 CELLULITIS WITH MCC $22,262 $23,670 −6% $29,347 −24% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $22,189 $24,195 −8% $29,011 −24% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $22,175 $25,149 −12% $25,149 −12% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $22,167 $24,131 −8% $32,451 −32% —
637 DIABETES WITH MCC $22,095 $23,050 −4% $28,772 −23% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $22,077 $22,541 −2% $24,874 −11% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $21,986 $25,595 −14% $21,986 +0% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $21,961 $23,082 −5% $29,630 −26% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $21,908 $22,525 −3% $22,525 −3% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $21,873 $21,427 +2% $25,243 −13% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $21,795 $22,779 −4% $31,816 −31% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $21,793 $23,400 −7% $31,812 −31% —
247 NO ACTIVE CODE DESCRIPTION $21,663 $23,643 −8% $21,663 +0% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $21,642 $21,682 −0% $25,071 −14% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $21,615 $22,620 −4% $21,615 +0% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,563 $23,734 −9% $23,734 −9% —
088 CONCUSSION WITH MCC $21,503 $24,402 −12% $24,402 −12% —
885 PSYCHOSES $21,489 $21,729 −1% $21,489 +0% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $21,483 $22,318 −4% $29,521 −27% —
811 RED BLOOD CELL DISORDERS WITH MCC $21,454 $22,334 −4% $27,674 −22% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $21,427 $23,654 −9% $35,693 −40% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,381 $22,207 −4% $23,456 −9% —
137 MOUTH PROCEDURES WITH CC/MCC $21,346 $23,941 −11% $24,348 −12% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,328 $22,000 −3% $29,777 −28% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $21,277 $20,998 +1% $25,666 −17% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,240 $21,570 −2% $24,118 −12% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,228 $24,561 −14% $24,561 −14% —
150 EPISTAXIS WITH MCC $21,133 $20,918 +1% $21,133 +0% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,022 $20,664 +2% $29,029 −28% —
139 SALIVARY GLAND PROCEDURES $21,014 $18,898 +11% $21,014 +0% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,980 $20,727 +1% $20,980 +0% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $20,978 $21,300 −2% $30,418 −31% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $20,875 $22,350 −7% $24,928 −16% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,782 $20,377 +2% $29,374 −29% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,766 $21,570 −4% $28,509 −27% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,702 $27,838 −26% $27,118 −24% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,672 $22,254 −7% $23,646 −13% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $20,619 $22,700 −9% $29,805 −31% —
249 NO ACTIVE CODE DESCRIPTION $20,610 $23,643 −13% $20,610 +0% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $20,586 $21,411 −4% $29,957 −31% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,513 $21,682 −5% $25,412 −19% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,497 $21,682 −5% $31,978 −36% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $20,455 $20,632 −1% $22,874 −11% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $20,430 $20,918 −2% $24,244 −16% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $20,296 $21,109 −4% $25,766 −21% ≈82% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,295 $20,886 −3% $34,564 −41% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,217 $20,950 −3% $23,039 −12% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,145 $21,507 −6% $23,956 −16% —
291 HEART FAILURE AND SHOCK WITH MCC $20,129 $20,425 −1% $24,932 −19% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,117 $21,029 −4% $21,029 −4% —
540 OSTEOMYELITIS WITH CC $19,990 $20,648 −3% $23,494 −15% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,945 $22,811 −13% $22,811 −13% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,930 $21,634 −8% $23,920 −17% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $19,916 $20,409 −2% $23,474 −15% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,911 $22,763 −13% $23,646 −16% —
947 SIGNS AND SYMPTOMS WITH MCC $19,887 $19,916 −0% $25,474 −22% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,865 $20,298 −2% $27,041 −27% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $19,686 $22,461 −12% $19,686 +0% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,686 $19,296 +2% $22,226 −11% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,655 $21,570 −9% $28,156 −30% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,637 $19,661 −0% $25,621 −23% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,602 $22,238 −12% $26,616 −26% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,581 $19,741 −1% $19,894 −2% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,533 $20,695 −6% $27,947 −30% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,357 $20,489 −6% $26,146 −26% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,354 $18,484 +5% $19,354 +0% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $19,350 $19,661 −2% $21,860 −11% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $19,302 $20,727 −7% $20,727 −7% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,268 $19,152 +1% $22,010 −12% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,267 $19,693 −2% $27,492 −30% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,254 $19,598 −2% $24,603 −22% ≈82% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,183 $18,707 +3% $20,147 −5% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,169 $20,536 −7% $27,319 −30% —
375 DIGESTIVE MALIGNANCY WITH CC $19,141 $19,057 +0% $27,125 −29% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,132 $17,403 +10% $19,132 +0% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,075 $18,882 +1% $26,158 −27% —
593 SKIN ULCERS WITH CC $19,063 $19,248 −1% $20,470 −7% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,017 $19,757 −4% $23,588 −19% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,949 $26,948 −30% $22,920 −17% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,845 $19,121 −1% $26,098 −28% —
549 SEPTIC ARTHRITIS WITH CC $18,835 $19,184 −2% $20,808 −9% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,752 $18,484 +1% $27,369 −31% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,707 $18,405 +2% $20,148 −7% —
887 OTHER MENTAL DISORDER DIAGNOSES $18,631 $20,616 −10% $20,557 −9% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,572 $19,423 −4% $20,837 −11% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,536 $19,598 −5% $19,598 −5% —
339 NO ACTIVE CODE DESCRIPTION $18,474 $23,289 −21% $18,474 +0% —
304 HYPERTENSION WITH MCC $18,442 $18,278 +1% $23,945 −23% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,383 $18,675 −2% $22,870 −20% —
302 ATHEROSCLEROSIS WITH MCC $18,292 $17,832 +3% $20,810 −12% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,291 $20,377 −10% $18,291 +0% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,290 $18,723 −2% $21,025 −13% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $18,260 $20,520 −11% $22,532 −19% —
102 HEADACHES WITH MCC $18,243 $19,200 −5% $21,983 −17% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,220 $19,073 −4% $24,146 −25% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,191 $17,180 +6% $25,206 −28% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,133 $17,100 +6% $18,133 +0% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $18,038 $19,709 −8% $25,390 −29% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,021 $18,134 −1% $24,426 −26% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,973 $18,007 −0% $24,277 −26% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,967 $18,150 −1% $25,267 −29% —
152 OTITIS MEDIA AND URI WITH MCC $17,922 $18,898 −5% $19,657 −9% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $17,832 $19,025 −6% $20,741 −14% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,830 $17,514 +2% $24,017 −26% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $17,780 $17,705 +0% $30,259 −41% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,770 $17,530 +1% $24,103 −26% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $17,768 $17,721 +0% $19,317 −8% —
946 REHABILITATION WITHOUT CC/MCC $17,685 $24,786 −29% $17,685 +0% —
181 RESPIRATORY NEOPLASMS WITH CC $17,604 $17,514 +1% $22,065 −20% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $17,602 $17,259 +2% $18,459 −5% —
200 PNEUMOTHORAX WITH CC $17,568 $17,132 +3% $20,573 −15% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,544 $19,248 −9% $24,544 −29% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $17,505 $17,641 −1% $25,038 −30% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,483 $15,971 +9% $17,483 +0% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $17,398 $14,921 +17% $17,398 +0% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,354 $17,069 +2% $19,868 −13% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,337 $17,212 +1% $31,190 −44% —
381 COMPLICATED PEPTIC ULCER WITH CC $17,329 $17,069 +2% $24,177 −28% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,269 $17,291 −0% $21,666 −20% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,226 $16,050 +7% $17,226 +0% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,209 $16,894 +2% $18,126 −5% —
949 AFTERCARE WITH CC/MCC $17,198 $17,069 +1% $23,953 −28% —
598 MALIGNANT BREAST DISORDERS WITH CC $17,197 $19,073 −10% $19,073 −10% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $17,193 $19,057 −10% $17,193 +0% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $17,159 $12,710 +35% $17,719 −3% —
089 CONCUSSION WITH CC $17,109 $18,293 −6% $18,293 −6% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,089 $16,973 +1% $19,448 −12% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $17,079 $16,400 +4% $23,749 −28% —
712 TESTES PROCEDURES WITHOUT CC/MCC $17,076 $18,898 −10% $18,898 −10% —
184 MAJOR CHEST TRAUMA WITH CC $17,057 $16,735 +2% $20,842 −18% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $16,963 $17,355 −2% $23,400 −28% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,935 $16,321 +4% $24,000 −29% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,872 $16,894 −0% $23,396 −28% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,857 $16,623 +1% $18,000 −6% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,847 $16,957 −1% $17,308 −3% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,823 $17,275 −3% $22,231 −24% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,723 $16,321 +2% $23,141 −28% —
644 ENDOCRINE DISORDERS WITH CC $16,607 $16,894 −2% $22,941 −28% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,575 $16,385 +1% $22,623 −27% ≈87% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,553 $16,575 −0% $22,850 −28% —
667 PROSTATECTOMY WITHOUT CC/MCC $16,534 $16,703 −1% $16,703 −1% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,518 $16,671 −1% $24,008 −31% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,495 $16,480 +0% $16,495 +0% —
342 NO ACTIVE CODE DESCRIPTION $16,487 $23,289 −29% $19,454 −15% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $16,434 $22,557 −27% $22,557 −27% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,431 $16,241 +1% $20,732 −21% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,431 $16,082 +2% $16,431 +0% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $16,429 $15,891 +3% $21,499 −24% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,427 $16,575 −1% $20,076 −18% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $16,423 $15,796 +4% $19,091 −14% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,402 $15,716 +4% $22,590 −27% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,392 $16,162 +1% $22,610 −28% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,382 $15,812 +4% $18,005 −9% —
920 COMPLICATIONS OF TREATMENT WITH CC $16,379 $16,448 −0% $20,879 −22% —
187 PLEURAL EFFUSION WITH CC $16,225 $15,844 +2% $21,467 −24% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,213 $17,737 −9% $17,078 −5% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,212 $13,442 +21% $16,212 +0% —
697 URETHRAL STRICTURE $16,196 $17,705 −9% $17,705 −9% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,171 $16,003 +1% $20,007 −19% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,146 $16,178 −0% $17,268 −6% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $16,076 $15,462 +4% $20,917 −23% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $16,070 $15,701 +2% $22,024 −27% —
197 INTERSTITIAL LUNG DISEASE WITH CC $16,043 $15,876 +1% $20,105 −20% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,990 $15,653 +2% $21,886 −27% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,986 $15,828 +1% $18,199 −12% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,901 $17,259 −8% $15,901 +0% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,890 $21,716 −27% $15,890 +0% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $15,808 $16,289 −3% $22,587 −30% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,741 $15,239 +3% $17,183 −8% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,734 $15,144 +4% $21,449 −27% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $15,703 $15,366 +2% $20,632 −24% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,684 $15,382 +2% $20,716 −24% —
882 NEUROSES EXCEPT DEPRESSIVE $15,680 $14,937 +5% $15,680 +0% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,636 $15,191 +3% $15,636 +0% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,613 $16,719 −7% $23,571 −34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,610 $16,321 −4% $16,418 −5% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $15,603 $14,635 +7% $18,060 −14% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,598 $15,319 +2% $20,371 −23% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,591 $14,110 +11% $19,326 −19% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,589 $21,201 −26% $15,589 +0% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,547 $15,987 −3% $18,316 −15% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,411 $14,905 +3% $18,815 −18% —
158 DENTAL AND ORAL DISEASES WITH CC $15,402 $14,937 +3% $17,751 −13% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,390 $15,255 +1% $17,108 −10% —
779 ABORTION WITHOUT D&C $15,327 $15,732 −3% $15,327 +0% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $15,311 $15,064 +2% $16,622 −8% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $15,217 $15,001 +1% $18,323 −17% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $15,183 $14,460 +5% $19,287 −21% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $15,172 $14,333 +6% $20,408 −26% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $15,158 $14,523 +4% $20,463 −26% —
101 SEIZURES WITHOUT MCC $15,157 $14,476 +5% $19,930 −24% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,153 $15,653 −3% $20,313 −25% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $15,121 $15,382 −2% $16,352 −8% —
638 DIABETES WITH CC $15,098 $14,301 +6% $18,763 −20% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $15,094 $14,682 +3% $15,474 −2% —
914 TRAUMATIC INJURY WITHOUT MCC $15,088 $14,444 +4% $15,586 −3% —
881 DEPRESSIVE NEUROSES $15,058 $14,428 +4% $15,058 +0% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,039 $15,207 −1% $17,585 −14% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,950 $14,539 +3% $17,731 −16% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,937 $14,476 +3% $15,007 −0% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,849 $14,046 +6% $17,412 −15% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $14,795 $14,253 +4% $18,243 −19% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $14,778 $19,375 −24% $17,006 −13% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,776 $14,269 +4% $21,323 −31% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,770 $15,764 −6% $15,764 −6% —
683 RENAL FAILURE WITH CC $14,731 $14,333 +3% $18,322 −20% —
866 VIRAL ILLNESS WITHOUT MCC $14,678 $14,603 +1% $16,348 −10% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,675 $13,696 +7% $15,045 −2% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,668 $14,094 +4% $15,818 −7% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,654 $14,173 +3% $15,608 −6% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $14,644 $13,617 +8% $15,923 −8% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,635 $13,855 +6% $19,569 −25% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $14,627 $15,526 −6% $19,854 −26% —
603 CELLULITIS WITHOUT MCC $14,626 $14,078 +4% $18,359 −20% ≈85% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $14,549 $13,648 +7% $14,549 +0% —
312 SYNCOPE AND COLLAPSE $14,502 $13,744 +6% $19,342 −25% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $14,480 $13,935 +4% $19,305 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $14,410 $14,221 +1% $15,276 −6% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $14,405 $13,967 +3% $17,296 −17% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $14,383 $15,017 −4% $16,156 −11% —
292 HEART FAILURE AND SHOCK WITH CC $14,372 $13,633 +5% $15,878 −9% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $14,358 $13,601 +6% $19,096 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $14,344 $13,505 +6% $18,104 −21% —
090 CONCUSSION WITHOUT CC/MCC $14,321 $14,873 −4% $14,873 −4% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $14,290 $10,706 +33% $14,290 +0% —
103 HEADACHES WITHOUT MCC $14,229 $13,394 +6% $20,076 −29% —
594 SKIN ULCERS WITHOUT CC/MCC $14,209 $12,519 +14% $14,209 +0% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,171 $13,601 +4% $20,084 −29% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,064 $12,710 +11% $14,064 +0% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,055 $13,760 +2% $14,055 +0% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,026 $13,076 +7% $17,579 −20% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $13,911 $12,694 +10% $15,876 −12% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,884 $13,776 +1% $19,815 −30% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,876 $16,035 −13% $15,370 −10% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,837 $13,076 +6% $18,204 −24% ≈87% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,822 $13,299 +4% $13,822 +0% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,806 $12,408 +11% $18,150 −24% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $13,799 $12,726 +8% $16,622 −17% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,791 $13,108 +5% $17,562 −21% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,791 $14,428 −4% $17,851 −23% —
176 PULMONARY EMBOLISM WITHOUT MCC $13,765 $12,980 +6% $17,693 −22% —
534 FRACTURES OF FEMUR WITHOUT MCC $13,759 $12,885 +7% $17,194 −20% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,752 $13,776 −0% $17,383 −21% —
204 RESPIRATORY SIGNS AND SYMPTOMS $13,720 $13,092 +5% $16,804 −18% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $13,719 $12,519 +10% $17,754 −23% —
123 NEUROLOGICAL EYE DISORDERS $13,618 $12,789 +6% $17,831 −24% —
340 NO ACTIVE CODE DESCRIPTION $13,613 $23,289 −42% $16,240 −16% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $13,611 $12,837 +6% $17,379 −22% ≈88% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,602 $15,844 −14% $19,001 −28% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $13,602 $13,283 +2% $18,038 −25% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $13,598 $12,662 +7% $17,345 −22% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $13,586 $17,775 −24% $13,586 +0% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $13,579 $12,710 +7% $20,253 −33% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $13,542 $12,758 +6% $17,700 −23% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $13,506 $12,742 +6% $17,719 −24% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $13,445 $12,678 +6% $13,445 +0% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,438 $12,312 +9% $17,522 −23% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,385 $13,219 +1% $13,385 +0% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,336 $12,424 +7% $16,718 −20% ≈88% of Medicare
694 URINARY STONES WITHOUT MCC $13,336 $12,455 +7% $16,451 −19% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,321 $12,503 +7% $17,322 −23% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,300 $12,105 +10% $14,166 −6% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $13,288 $12,026 +10% $15,858 −16% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,184 $12,137 +9% $14,411 −9% ≈93% of Medicare
151 EPISTAXIS WITHOUT MCC $13,032 $12,265 +6% $13,032 +0% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,002 $12,217 +6% $16,776 −22% —
305 HYPERTENSION WITHOUT MCC $12,937 $11,994 +8% $16,897 −23% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,931 $12,455 +4% $16,654 −22% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,919 $12,042 +7% $16,634 −22% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $12,903 $11,946 +8% $14,337 −10% —
149 DYSEQUILIBRIUM $12,896 $11,851 +9% $17,203 −25% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,895 $11,740 +10% $12,895 +0% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,879 $13,092 −2% $14,861 −13% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $12,855 $11,628 +11% $13,892 −7% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $12,811 $11,771 +9% $13,278 −4% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $12,789 $11,851 +8% $16,645 −23% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,723 $11,883 +7% $14,252 −11% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,650 $12,885 −2% $12,650 +0% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $12,609 $11,406 +11% $16,104 −22% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,605 $11,421 +10% $18,288 −31% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $12,593 $12,424 +1% $12,593 +0% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,534 $10,992 +14% $12,536 −0% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,454 $11,406 +9% $12,205 +2% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,453 $11,294 +10% $15,598 −20% —
313 CHEST PAIN $12,453 $11,517 +8% $15,837 −21% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,431 $11,692 +6% $14,251 −13% —
343 NO ACTIVE CODE DESCRIPTION $12,397 $23,289 −47% $13,735 −10% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $12,336 $11,596 +6% $12,336 +0% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,314 $11,374 +8% $15,600 −21% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,284 $12,376 −1% $13,654 −10% —
311 ANGINA PECTORIS $12,257 $11,103 +10% $15,165 −19% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,253 $11,835 +4% $15,072 −19% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,235 $11,056 +11% $12,275 −0% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,234 $10,658 +15% $12,405 −1% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,204 $11,262 +8% $13,303 −8% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,173 $11,008 +11% $14,210 −14% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,127 $10,944 +11% $19,483 −38% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,120 $11,103 +9% $14,012 −14% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,055 $11,024 +9% $12,794 −6% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,997 $11,851 +1% $11,997 +0% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,982 $11,231 +7% $13,081 −8% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,921 $10,435 +14% $13,198 −10% —
303 ATHEROSCLEROSIS WITHOUT MCC $11,921 $10,467 +14% $14,927 −20% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $11,909 $11,278 +6% $11,909 +0% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,894 $10,881 +9% $14,880 −20% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,847 $11,787 +1% $11,847 +0% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,813 $10,483 +13% $13,890 −15% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,755 $10,737 +9% $13,362 −12% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,752 $11,294 +4% $13,485 −13% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,594 $10,213 +14% $14,368 −19% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,501 $10,276 +12% $14,208 −19% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,458 $10,069 +14% $14,134 −19% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,454 $10,308 +11% $14,128 −19% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,421 $9,640 +18% $11,421 +0% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,355 $11,883 −4% $13,090 −13% —
639 DIABETES WITHOUT CC/MCC $11,327 $9,910 +14% $13,910 −19% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,294 $9,147 +23% $12,013 −6% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,276 $9,958 +13% $13,747 −18% ≈97% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,177 $9,799 +14% $14,770 −24% —
684 RENAL FAILURE WITHOUT CC/MCC $11,077 $9,688 +14% $13,455 −18% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,071 $9,894 +12% $11,071 +0% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,975 $10,085 +9% $10,975 +0% —
950 AFTERCARE WITHOUT CC/MCC $10,801 $10,165 +6% $13,527 −20% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,563 $10,403 +2% $11,957 −12% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,553 $9,385 +12% $9,385 +12% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,480 $7,779 +35% $10,039 +4% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,456 $8,797 +19% $13,384 −22% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,316 $8,940 +15% $11,826 −13% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,296 $8,892 +16% $13,318 −23% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,940 $8,145 +22% $9,063 +10% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $8,927 $6,999 +28% $8,927 +0% —
795 NORMAL NEWBORN $5,787 $3,213 +80% $4,521 +28% —
765 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 — $5,336 +0% —
766 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 — $5,336 +0% —
767 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 — $3,032 +0% —
774 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 — $3,032 +0% —
775 NO ACTIVE CODE DESCRIPTION $3,032 $32,917 — $3,242 −6% —
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