Adventist Health Sierra Vista — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 778 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 778
Lowest published price $2,168
Average published price $11,037
Highest published price $213,934

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 778 procedures

Published charges

Showing all 778 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 21 procedures, this hospital's negotiated rates average ≈32% of what Medicare pays.

DRG Description Published price vs. CA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $213,934 $641,743 −67% $573,534 −63% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $152,492 $486,976 −69% $461,389 −67% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $83,157 $371,366 −78% $371,366 −78% —
453 Combined Anterior And Posterior Spinal Fusion With MCC $79,404 $23,289 +241% $103,861 −24% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $76,052 $198,463 −62% $194,769 −61% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $65,842 $227,681 −71% $182,314 −64% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $60,634 $412,183 −85% $306,087 −80% —
459 Spinal Fusion Except Cervical With MCC $58,192 $23,289 +150% $75,251 −23% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $58,171 $189,963 −69% $164,641 −65% —
454 Combined Anterior And Posterior Spinal Fusion With CC $56,870 $36,442 +56% $69,101 −18% ≈104% of Medicare
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $56,534 $196,346 −71% $196,346 −71% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $52,618 $248,521 −79% $248,521 −79% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $51,748 $191,314 −73% $208,939 −75% —
007 LUNG TRANSPLANT $50,064 $230,667 −78% $170,608 −71% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $43,981 $175,437 −75% $188,171 −77% —
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $42,424 $23,289 +82% $56,836 −25% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $41,939 $146,435 −71% $105,228 −60% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $37,763 $108,802 −65% $98,260 −62% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $37,761 $153,282 −75% $153,282 −75% —
460 Spinal Fusion Except Cervical Without MCC $37,122 $35,899 +3% $51,625 −28% —
231 CORONARY BYPASS WITH PTCA WITH MCC $36,530 $155,631 −77% $147,227 −75% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $36,360 $148,686 −76% $148,686 −76% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $35,621 $144,569 −75% $144,569 −75% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $35,418 $143,242 −75% $143,242 −75% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $33,566 $131,961 −75% $131,961 −75% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $31,349 $102,337 −69% $86,459 −64% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $31,264 $113,855 −73% $113,855 −73% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $30,821 $136,374 −77% $120,573 −74% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $30,812 $116,058 −73% $116,058 −73% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $30,689 $125,242 −75% $125,242 −75% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $30,586 $108,750 −72% $96,192 −68% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $29,624 $117,280 −75% $117,280 −75% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $29,248 $112,062 −74% $112,062 −74% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $28,616 $121,714 −76% $123,995 −77% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $28,569 $102,573 −72% $102,573 −72% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $28,450 $125,675 −77% $102,600 −72% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $28,423 $124,290 −77% $148,832 −81% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $28,355 $117,196 −76% $109,331 −74% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $28,324 $96,905 −71% $96,905 −71% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $27,699 $106,057 −74% $106,057 −74% —
006 LIVER TRANSPLANT WITHOUT MCC $27,555 $92,378 −70% $84,407 −67% —
834 ACUTE LEUKEMIA WITH MCC $27,328 $100,245 −73% $85,566 −68% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $27,135 $114,040 −76% $108,472 −75% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $26,967 $108,802 −75% $81,176 −67% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $26,849 $92,217 −71% $92,217 −71% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $26,760 $107,355 −75% $107,355 −75% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $25,987 $115,839 −78% $115,839 −78% —
028 SPINAL PROCEDURES WITH MCC $25,762 $113,077 −77% $113,077 −77% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $25,393 $102,128 −75% $102,128 −75% —
245 AICD GENERATOR PROCEDURES $25,392 $95,281 −73% $72,076 −65% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $25,310 $90,579 −72% $71,551 −65% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $25,110 $107,269 −77% $80,018 −69% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $25,109 $106,778 −76% $106,778 −76% —
010 PANCREAS TRANSPLANT $24,993 $144,934 −83% $99,940 −75% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $24,988 $91,495 −73% $77,055 −68% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $24,521 $91,329 −73% $91,329 −73% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $24,291 $102,177 −76% $111,320 −78% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $24,222 $101,576 −76% $101,576 −76% —
653 MAJOR BLADDER PROCEDURES WITH MCC $24,190 $104,583 −77% $104,583 −77% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $23,806 $101,662 −77% $89,207 −73% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $23,763 $97,241 −76% $93,238 −75% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $23,699 $96,507 −75% $96,507 −75% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $23,572 $96,245 −76% $80,793 −71% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $23,483 $91,138 −74% $90,724 −74% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $23,013 $99,423 −77% $99,423 −77% —
799 SPLENIC PROCEDURES WITH MCC $22,842 $90,790 −75% $82,218 −72% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $22,312 $189,537 −88% $142,326 −84% —
471 CERVICAL SPINAL FUSION WITH MCC $22,291 $92,515 −76% $92,515 −76% —
163 MAJOR CHEST PROCEDURES WITH MCC $22,235 $88,341 −75% $90,195 −75% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $22,195 $90,331 −75% $90,331 −75% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $22,100 $84,725 −74% $101,510 −78% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $22,066 $94,937 −77% $93,172 −76% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $21,897 $113,157 −81% $103,455 −79% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $21,714 $88,050 −75% $88,050 −75% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $21,612 $95,536 −77% $93,390 −77% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $21,526 $89,523 −76% $87,761 −75% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $21,399 $82,247 −74% $82,247 −74% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $21,379 $125,432 −83% $89,353 −76% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $21,323 $75,103 −72% $75,103 −72% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $20,825 $71,486 −71% $56,242 −63% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $20,753 $86,699 −76% $76,001 −73% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $20,689 $72,461 −71% $66,848 −69% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $20,540 $90,775 −77% $90,775 −77% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $20,535 $83,441 −75% $83,441 −75% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $20,377 $70,132 −71% $70,132 −71% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $20,034 $88,307 −77% $88,307 −77% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,246 $83,065 −77% $85,159 −77% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $19,214 $82,561 −77% $82,561 −77% —
652 KIDNEY TRANSPLANT $19,075 $62,468 −69% $54,720 −65% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $19,045 $85,334 −78% $70,177 −73% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $19,011 $77,041 −75% $61,832 −69% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $18,902 $65,325 −71% $65,325 −71% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,773 $79,939 −77% $73,120 −74% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $18,649 $57,323 −67% $18,649 +0% —
332 RECTAL RESECTION WITH MCC $18,418 $69,152 −73% $58,125 −68% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $18,274 $86,970 −79% $86,970 −79% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $18,217 $79,836 −77% $79,836 −77% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $18,213 $86,246 −79% $84,692 −78% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $18,207 $84,217 −78% $60,098 −70% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $17,878 $153,621 −88% $144,774 −88% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $17,738 $75,820 −77% $66,685 −73% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $17,661 $77,817 −77% $77,817 −77% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $17,634 $168,048 −90% $121,563 −85% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $17,621 $74,755 −76% $74,755 −76% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $17,511 $71,755 −76% $71,755 −76% —
791 PREMATURITY WITH MAJOR PROBLEMS $17,339 $70,373 −75% $42,679 −59% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $17,300 $74,257 −77% $74,257 −77% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $17,247 $60,959 −72% $81,706 −79% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $17,221 $66,976 −74% $63,928 −73% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $17,124 $77,770 −78% $62,300 −73% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $16,849 $67,560 −75% $59,533 −72% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $16,817 $69,701 −76% $62,583 −73% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $16,731 $68,421 −76% $70,847 −76% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $16,705 $75,754 −78% $59,594 −72% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $16,690 $75,573 −78% $75,573 −78% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $16,592 $101,566 −84% $90,401 −82% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,569 $64,691 −74% $60,407 −73% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $16,499 $77,178 −79% $71,795 −77% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $16,492 $79,225 −79% $79,225 −79% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $16,467 $81,298 −80% $72,962 −77% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $16,458 $71,106 −77% $66,711 −75% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $16,398 $58,975 −72% $58,975 −72% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $16,337 $70,026 −77% $56,964 −71% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $16,320 $68,639 −76% $68,639 −76% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $16,293 $62,677 −74% $53,864 −70% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $16,220 $73,751 −78% $61,470 −74% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $16,099 $71,092 −77% $71,092 −77% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $16,016 $66,819 −76% $71,464 −78% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $16,015 $70,371 −77% $70,371 −77% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $16,006 $71,014 −77% $71,014 −77% —
252 OTHER VASCULAR PROCEDURES WITH MCC $15,810 $68,508 −77% $68,508 −77% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $15,795 $70,175 −77% $50,919 −69% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $15,695 $52,405 −70% $52,405 −70% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $15,594 $70,540 −78% $70,564 −78% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $15,587 $81,281 −81% $77,990 −80% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $15,348 $65,788 −77% $65,788 −77% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $15,333 $64,956 −76% $72,424 −79% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $15,303 $132,794 −88% $132,794 −88% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $15,182 $64,194 −76% $55,289 −73% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $15,130 $62,334 −76% $70,467 −79% —
265 AICD LEAD PROCEDURES $14,915 $70,810 −79% $63,171 −76% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $14,913 $114,401 −87% $98,912 −85% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $14,846 $67,268 −78% $67,268 −78% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $14,820 $65,608 −77% $65,608 −77% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $14,802 $65,573 −77% $65,573 −77% —
037 EXTRACRANIAL PROCEDURES WITH MCC $14,763 $66,666 −78% $66,666 −78% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $14,755 $69,724 −79% $66,068 −78% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $14,752 $76,219 −81% $76,219 −81% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $14,659 $69,597 −79% $51,953 −72% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $14,595 $60,274 −76% $65,653 −78% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $14,535 $60,402 −76% $58,228 −75% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $14,531 $59,790 −76% $59,790 −76% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $14,529 $62,821 −77% $62,821 −77% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $14,516 $60,905 −76% $49,710 −71% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $14,488 $126,098 −89% $126,098 −89% —
500 SOFT TISSUE PROCEDURES WITH MCC $14,382 $64,105 −78% $61,872 −77% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $14,333 $56,832 −75% $48,358 −70% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $14,332 $61,217 −77% $61,217 −77% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $14,192 $69,743 −80% $69,743 −80% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $14,189 $65,631 −78% $58,745 −76% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $13,875 $58,043 −76% $58,043 −76% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $13,831 $64,523 −79% $64,523 −79% —
472 CERVICAL SPINAL FUSION WITH CC $13,795 $59,537 −77% $59,537 −77% ≈13% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $13,748 $51,645 −73% $59,421 −77% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $13,671 $60,140 −77% $60,170 −77% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $13,589 $52,735 −74% $62,264 −78% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $13,431 $78,852 −83% $78,852 −83% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $13,423 $76,907 −83% $54,196 −75% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,389 $55,276 −76% $41,422 −68% —
164 MAJOR CHEST PROCEDURES WITH CC $13,331 $53,141 −75% $56,755 −77% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $13,297 $54,929 −76% $54,929 −76% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $13,257 $50,011 −73% $50,011 −73% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $13,198 $57,493 −77% $46,402 −72% —
654 MAJOR BLADDER PROCEDURES WITH CC $13,143 $58,274 −77% $58,274 −77% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,099 $50,562 −74% $59,500 −78% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $13,086 $117,146 −89% $88,566 −85% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,081 $49,137 −73% $48,349 −73% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $13,056 $58,935 −78% $51,746 −75% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $12,905 $60,265 −79% $52,986 −76% —
570 SKIN DEBRIDEMENT WITH MCC $12,879 $63,709 −80% $52,435 −75% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,814 $55,434 −77% $44,222 −71% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,779 $56,127 −77% $44,546 −71% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,698 $68,653 −82% $68,653 −82% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,664 $52,959 −76% $43,491 −71% —
665 PROSTATECTOMY WITH MCC $12,562 $68,562 −82% $54,072 −77% —
800 SPLENIC PROCEDURES WITH CC $12,544 $59,817 −79% $49,184 −74% —
253 OTHER VASCULAR PROCEDURES WITH CC $12,444 $53,746 −77% $57,454 −78% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $12,370 $55,378 −78% $48,687 −75% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $12,327 $54,345 −77% $45,167 −73% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,304 $51,339 −76% $59,629 −79% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $12,216 $55,162 −78% $55,162 −78% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $12,204 $53,208 −77% $50,618 −76% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $12,150 $50,218 −76% $38,878 −69% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $12,131 $54,273 −78% $52,178 −77% —
662 MINOR BLADDER PROCEDURES WITH MCC $12,088 $63,279 −81% $54,562 −78% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $12,010 $105,899 −89% $105,899 −89% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $11,929 $105,333 −89% $101,618 −88% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,802 $56,278 −79% $39,173 −70% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $11,676 $41,857 −72% $50,607 −77% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $11,625 $44,639 −74% $46,090 −75% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $11,571 $50,624 −77% $50,624 −77% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,561 $51,985 −78% $51,985 −78% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $11,555 $54,815 −79% $46,453 −75% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,465 $54,583 −79% $54,583 −79% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $11,449 $48,353 −76% $47,789 −76% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,434 $47,583 −76% $47,583 −76% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $11,309 $47,797 −76% $41,608 −73% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $11,277 $99,943 −89% $99,943 −89% —
835 ACUTE LEUKEMIA WITH CC $11,132 $43,187 −74% $35,569 −69% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,105 $40,063 −72% $41,591 −73% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $11,076 $50,777 −78% $53,451 −79% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $11,002 $53,666 −79% $58,707 −81% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $10,983 $46,799 −77% $58,280 −81% ≈19% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $10,934 $45,703 −76% $52,751 −79% ≈19% of Medicare
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $10,898 $49,631 −78% $50,394 −78% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,791 $50,139 −78% $50,139 −78% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $10,784 $48,235 −78% $45,866 −76% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,782 $41,380 −74% $46,340 −77% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,756 $38,541 −72% $32,443 −67% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $10,753 $50,131 −79% $49,418 −78% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $10,753 $69,089 −84% $52,036 −79% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,734 $48,634 −78% $47,737 −78% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $10,722 $46,066 −77% $46,066 −77% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $10,718 $51,387 −79% $40,060 −73% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $10,700 $34,988 −69% $12,229 −13% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,680 $47,583 −78% $41,620 −74% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $10,650 $51,189 −79% $59,651 −82% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $10,621 $46,288 −77% $36,489 −71% —
709 PENIS PROCEDURES WITH CC/MCC $10,607 $48,600 −78% $34,535 −69% —
397 APPENDIX PROCEDURES WITH MCC $10,580 $54,751 −81% $53,257 −80% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $10,537 $68,616 −85% $52,908 −80% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $10,532 $50,614 −79% $40,548 −74% —
336 PERITONEAL ADHESIOLYSIS WITH CC $10,501 $46,332 −77% $50,463 −79% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $10,441 $46,657 −78% $42,906 −76% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,439 $80,049 −87% $59,352 −82% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $10,411 $40,163 −74% $58,809 −82% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $10,402 $48,682 −79% $48,682 −79% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,401 $43,080 −76% $43,080 −76% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $10,364 $47,696 −78% $37,267 −72% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $10,290 $49,765 −79% $40,362 −75% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,267 $43,328 −76% $38,070 −73% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $10,212 $59,031 −83% $59,031 −83% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $10,211 $46,172 −78% $42,795 −76% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $10,197 $46,317 −78% $43,650 −77% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $10,178 $46,724 −78% $46,724 −78% —
668 TRANSURETHRAL PROCEDURES WITH MCC $10,156 $59,859 −83% $51,608 −80% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,122 $41,375 −76% $31,134 −67% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,090 $47,089 −79% $45,877 −78% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,086 $49,382 −80% $39,973 −75% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,055 $34,448 −71% $33,707 −70% ≈24% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $10,045 $45,785 −78% $39,181 −74% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,017 $51,487 −81% $50,046 −80% —
945 REHABILITATION WITH CC/MCC $9,913 $32,934 −70% $23,834 −58% —
180 RESPIRATORY NEOPLASMS WITH MCC $9,911 $36,658 −73% $36,658 −73% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $9,888 $46,477 −79% $49,351 −80% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,845 $37,213 −74% $31,159 −68% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $9,831 $44,489 −78% $46,283 −79% —
711 TESTES PROCEDURES WITH CC/MCC $9,811 $42,414 −77% $38,343 −74% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $9,770 $44,357 −78% $43,943 −78% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $9,752 $46,727 −79% $46,727 −79% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $9,728 $43,749 −78% $42,901 −77% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,707 $45,849 −79% $40,108 −76% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,685 $47,452 −80% $45,333 −79% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $9,638 $40,583 −76% $43,298 −78% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $9,628 $39,020 −75% $39,020 −75% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $9,613 $66,572 −86% $44,472 −78% —
503 FOOT PROCEDURES WITH MCC $9,610 $55,321 −83% $47,540 −80% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,608 $43,483 −78% $38,666 −75% —
333 RECTAL RESECTION WITH CC $9,594 $46,551 −79% $37,154 −74% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $9,589 $45,743 −79% $43,174 −78% —
374 DIGESTIVE MALIGNANCY WITH MCC $9,561 $42,775 −78% $39,958 −76% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $9,554 $37,214 −74% $52,075 −82% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $9,505 $43,027 −78% $37,240 −74% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $9,493 $44,363 −79% $44,363 −79% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $9,460 $44,730 −79% $42,914 −78% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $9,425 $49,209 −81% $42,415 −78% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $9,425 $58,880 −84% $49,839 −81% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,396 $40,563 −77% $40,642 −77% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $9,379 $43,913 −79% $43,913 −79% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $9,371 $42,881 −78% $42,881 −78% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $9,336 $48,788 −81% $38,998 −76% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,196 $40,263 −77% $35,628 −74% ≈20% of Medicare
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $9,137 $43,631 −79% $43,631 −79% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,103 $39,515 −77% $39,515 −77% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $9,101 $43,538 −79% $43,538 −79% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $9,088 $42,126 −78% $40,562 −78% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $9,069 $43,775 −79% $44,139 −79% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,068 $40,894 −78% $29,221 −69% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $9,060 $81,998 −89% $81,998 −89% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $9,054 $49,066 −82% $49,066 −82% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $9,051 $40,719 −78% $39,106 −77% ≈19% of Medicare
801 SPLENIC PROCEDURES WITHOUT CC/MCC $9,035 $36,445 −75% $36,445 −75% —
539 OSTEOMYELITIS WITH MCC $9,016 $41,277 −78% $37,609 −76% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,009 $33,519 −73% $30,770 −71% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $8,987 $43,354 −79% $31,044 −71% —
935 NON-EXTENSIVE BURNS $8,952 $43,274 −79% $31,701 −72% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,940 $35,349 −75% $33,876 −74% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $8,910 $43,384 −79% $29,524 −70% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,905 $31,612 −72% $21,986 −59% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,897 $34,906 −75% $34,906 −75% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,895 $38,443 −77% $23,206 −62% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $8,886 $53,274 −83% $49,423 −82% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $8,854 $42,423 −79% $33,851 −74% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $8,846 $38,836 −77% $38,836 −77% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $8,815 $39,018 −77% $39,018 −77% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $8,796 $38,187 −77% $32,859 −73% —
380 COMPLICATED PEPTIC ULCER WITH MCC $8,752 $39,627 −78% $39,627 −78% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,746 $36,651 −76% $44,117 −80% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $8,734 $79,116 −89% $79,116 −89% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $8,727 $40,213 −78% $40,213 −78% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $8,721 $39,057 −78% $33,985 −74% —
100 SEIZURES WITH MCC $8,708 $40,653 −79% $35,481 −75% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $8,703 $38,978 −78% $37,844 −77% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $8,696 $35,453 −75% $35,453 −75% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $8,687 $42,463 −80% $34,459 −75% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,660 $38,483 −77% $33,047 −74% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $8,658 $40,150 −78% $39,955 −78% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,625 $34,434 −75% $34,434 −75% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $8,609 $41,111 −79% $32,031 −73% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $8,601 $41,855 −79% $47,711 −82% —
919 COMPLICATIONS OF TREATMENT WITH MCC $8,569 $37,933 −77% $31,105 −72% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,564 $38,094 −78% $38,094 −78% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,537 $45,240 −81% $35,030 −76% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,528 $32,490 −74% $27,394 −69% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $8,514 $34,689 −75% $46,295 −82% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,491 $37,692 −77% $32,433 −74% —
533 FRACTURES OF FEMUR WITH MCC $8,490 $32,907 −74% $25,945 −67% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,465 $31,812 −73% $32,833 −74% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $8,434 $50,498 −83% $50,498 −83% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,419 $34,867 −76% $30,828 −73% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,419 $39,422 −79% $34,276 −75% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $8,388 $28,935 −71% $16,351 −49% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $8,385 $40,365 −79% $40,365 −79% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $8,383 $37,842 −78% $37,842 −78% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,381 $41,191 −80% $36,670 −77% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,358 $43,378 −81% $38,861 −78% —
199 PNEUMOTHORAX WITH MCC $8,335 $36,952 −77% $33,787 −75% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,312 $37,764 −78% $43,477 −81% —
504 FOOT PROCEDURES WITH CC $8,270 $38,960 −79% $38,960 −79% —
505 FOOT PROCEDURES WITHOUT CC/MCC $8,270 $38,960 −79% $34,937 −76% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $8,249 $55,594 −85% $47,945 −83% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $8,236 $38,631 −79% $36,792 −78% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $8,233 $45,376 −82% $41,892 −80% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $8,212 $38,998 −79% $30,553 −73% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,190 $35,352 −77% $26,682 −69% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,182 $34,749 −76% $34,749 −76% —
501 SOFT TISSUE PROCEDURES WITH CC $8,180 $39,619 −79% $39,619 −79% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $8,177 $37,950 −78% $37,950 −78% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $8,128 $38,951 −79% $32,637 −75% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,117 $44,068 −82% $32,574 −75% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $8,109 $38,308 −79% $30,243 −73% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,106 $35,872 −77% $27,152 −70% —
595 MAJOR SKIN DISORDERS WITH MCC $8,106 $42,837 −81% $34,598 −77% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $8,104 $33,388 −76% $36,253 −78% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,085 $35,584 −77% $35,584 −77% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,081 $36,661 −78% $33,555 −76% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,079 $36,907 −78% $29,316 −72% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $8,070 $39,360 −79% $38,101 −79% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $8,042 $35,419 −77% $35,419 −77% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,036 $37,033 −78% $34,607 −77% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $8,024 $40,552 −80% $40,552 −80% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $8,009 $30,887 −74% $39,887 −80% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,000 $36,340 −78% $29,826 −73% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $7,993 $51,359 −84% $42,186 −81% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $7,977 $33,048 −76% $33,048 −76% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $7,973 $33,694 −76% $33,694 −76% —
915 ALLERGIC REACTIONS WITH MCC $7,944 $36,491 −78% $32,645 −76% —
548 SEPTIC ARTHRITIS WITH MCC $7,913 $41,146 −81% $31,346 −75% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $7,898 $36,354 −78% $36,354 −78% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $7,898 $36,816 −79% $44,606 −82% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $7,895 $32,911 −76% $36,988 −79% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,880 $39,013 −80% $33,255 −76% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $7,858 $36,506 −78% $31,951 −75% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $7,834 $33,137 −76% $33,393 −77% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,823 $35,591 −78% $34,273 −77% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $7,807 $29,747 −74% $31,264 −75% —
643 ENDOCRINE DISORDERS WITH MCC $7,806 $35,135 −78% $33,563 −77% —
263 VEIN LIGATION AND STRIPPING $7,806 $55,918 −86% $51,253 −85% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $7,803 $35,375 −78% $39,006 −80% —
113 ORBITAL PROCEDURES WITH CC/MCC $7,785 $48,760 −84% $36,167 −78% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,778 $35,113 −78% $34,192 −77% —
038 EXTRACRANIAL PROCEDURES WITH CC $7,768 $35,770 −78% $35,770 −78% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $7,763 $32,451 −76% $32,451 −76% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $7,752 $35,217 −78% $41,955 −82% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $7,742 $33,506 −77% $33,454 −77% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,739 $29,623 −74% $27,543 −72% —
597 MALIGNANT BREAST DISORDERS WITH MCC $7,704 $36,807 −79% $33,386 −77% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $7,702 $33,779 −77% $32,697 −76% —
075 VIRAL MENINGITIS WITH CC/MCC $7,699 $36,230 −79% $30,447 −75% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $7,694 $42,126 −82% $42,126 −82% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,687 $35,080 −78% $35,074 −78% —
913 TRAUMATIC INJURY WITH MCC $7,681 $34,479 −78% $24,198 −68% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $7,675 $34,078 −77% $39,211 −80% —
571 SKIN DEBRIDEMENT WITH CC $7,667 $37,169 −79% $37,169 −79% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,638 $30,645 −75% $27,285 −72% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $7,637 $32,467 −76% $31,170 −75% —
551 MEDICAL BACK PROBLEMS WITH MCC $7,632 $35,961 −79% $34,017 −78% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $7,623 $38,876 −80% $35,849 −79% —
682 RENAL FAILURE WITH MCC $7,621 $32,520 −77% $29,064 −74% ≈25% of Medicare
186 PLEURAL EFFUSION WITH MCC $7,619 $33,834 −77% $33,834 −77% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $7,610 $34,588 −78% $27,617 −72% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,607 $33,633 −77% $33,633 −77% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $7,563 $37,175 −80% $29,916 −75% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,560 $35,532 −79% $32,496 −77% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $7,542 $43,800 −83% $43,800 −83% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,504 $35,243 −79% $32,628 −77% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $7,493 $34,817 −78% $33,661 −78% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,482 $28,340 −74% $22,557 −67% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,463 $35,675 −79% $31,563 −76% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $7,446 $39,105 −81% $36,431 −80% —
183 MAJOR CHEST TRAUMA WITH MCC $7,416 $33,957 −78% $29,933 −75% —
157 DENTAL AND ORAL DISEASES WITH MCC $7,411 $34,802 −79% $31,300 −76% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,393 $33,424 −78% $33,424 −78% —
291 HEART FAILURE AND SHOCK WITH MCC $7,361 $28,966 −75% $26,776 −73% ≈30% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $7,356 $34,354 −79% $34,354 −79% —
710 PENIS PROCEDURES WITHOUT CC/MCC $7,319 $33,330 −78% $26,436 −72% —
334 RECTAL RESECTION WITHOUT CC/MCC $7,318 $36,820 −80% $36,820 −80% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $7,317 $35,692 −79% $35,692 −79% —
666 PROSTATECTOMY WITH CC $7,297 $36,569 −80% $31,906 −77% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,280 $30,959 −76% $30,959 −76% —
813 COAGULATION DISORDERS $7,277 $33,296 −78% $33,296 −78% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,231 $36,087 −80% $28,202 −74% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,222 $34,467 −79% $27,316 −74% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $7,220 $40,694 −82% $40,694 −82% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,145 $31,982 −78% $30,571 −77% —
137 MOUTH PROCEDURES WITH CC/MCC $7,124 $31,048 −77% $27,861 −74% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,114 $32,445 −78% $24,586 −71% —
885 PSYCHOSES $7,099 $30,968 −77% $21,729 −67% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,094 $27,470 −74% $26,580 −73% ≈32% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $7,085 $27,645 −74% $27,297 −74% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $7,079 $37,477 −81% $26,510 −73% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $7,053 $32,100 −78% $32,100 −78% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $7,050 $33,399 −79% $36,505 −81% —
398 APPENDIX PROCEDURES WITH CC $7,048 $33,592 −79% $40,162 −82% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,045 $37,921 −81% $37,387 −81% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $7,033 $37,599 −81% $32,944 −79% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,033 $30,056 −77% $29,949 −77% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,013 $30,846 −77% $25,094 −72% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $6,995 $34,613 −80% $27,633 −75% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,994 $22,024 −68% $22,024 −68% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $6,990 $65,216 −89% $65,216 −89% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $6,989 $34,839 −80% $30,235 −77% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $6,986 $32,248 −78% $28,140 −75% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $6,977 $33,674 −79% $33,674 −79% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $6,974 $27,323 −74% $27,323 −74% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,944 $17,665 −61% $8,445 −18% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $6,925 $28,626 −76% $27,989 −75% —
181 RESPIRATORY NEOPLASMS WITH CC $6,920 $24,648 −72% $23,573 −71% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $6,915 $34,316 −80% $26,598 −74% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $6,878 $33,256 −79% $30,010 −77% —
602 CELLULITIS WITH MCC $6,866 $31,970 −79% $30,598 −78% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $6,855 $24,544 −72% $24,544 −72% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $6,800 $31,974 −79% $26,463 −74% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,787 $25,820 −74% $23,443 −71% —
671 URETHRAL PROCEDURES WITH CC/MCC $6,783 $38,265 −82% $27,233 −75% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $6,779 $31,816 −79% $35,465 −81% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $6,766 $37,042 −82% $29,126 −77% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $6,752 $33,267 −80% $24,550 −72% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $6,746 $30,418 −78% $30,418 −78% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $6,734 $31,730 −79% $24,941 −73% —
849 RADIOTHERAPY $6,726 $52,191 −87% $37,862 −82% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $6,708 $26,948 −75% $26,948 −75% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $6,701 $31,874 −79% $29,743 −77% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $6,690 $31,108 −78% $22,393 −70% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $6,670 $28,593 −77% $26,870 −75% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $6,658 $28,946 −77% $21,894 −70% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $6,658 $30,693 −78% $27,119 −75% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $6,613 $31,166 −79% $27,808 −76% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,609 $22,790 −71% $25,970 −75% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $6,603 $28,209 −77% $23,498 −72% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,600 $29,252 −77% $27,275 −76% ≈31% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $6,566 $28,209 −77% $19,686 −67% —
811 RED BLOOD CELL DISORDERS WITH MCC $6,560 $30,922 −79% $28,226 −77% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $6,549 $31,950 −80% $26,932 −76% —
088 CONCUSSION WITH MCC $6,549 $30,986 −79% $24,402 −73% —
637 DIABETES WITH MCC $6,548 $31,753 −79% $30,100 −78% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $6,524 $28,156 −77% $28,156 −77% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $6,520 $30,083 −78% $30,083 −78% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,513 $29,894 −78% $24,127 −73% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $6,513 $32,473 −80% $30,502 −79% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $6,488 $31,511 −79% $22,525 −71% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,487 $27,641 −77% $19,354 −66% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $6,478 $29,596 −78% $32,841 −80% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $6,475 $28,602 −77% $25,748 −75% —
592 SKIN ULCERS WITH MCC $6,468 $41,848 −85% $33,246 −81% —
509 ARTHROSCOPY $6,468 $38,998 −83% $25,994 −75% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $6,465 $28,651 −77% $22,811 −72% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $6,447 $27,634 −77% $22,851 −72% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $6,435 $40,695 −84% $36,249 −82% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,431 $31,063 −79% $26,280 −76% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $6,429 $32,620 −80% $25,073 −74% —
348 ANAL AND STOMAL PROCEDURES WITH CC $6,425 $27,947 −77% $27,947 −77% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,423 $30,242 −79% $30,242 −79% —
663 MINOR BLADDER PROCEDURES WITH CC $6,386 $33,907 −81% $33,103 −81% —
693 URINARY STONES WITH MCC $6,371 $31,990 −80% $23,892 −73% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $6,363 $44,326 −86% $29,611 −79% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $6,359 $31,017 −79% $31,017 −79% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $6,359 $25,390 −75% $25,390 −75% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,350 $33,653 −81% $33,653 −81% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $6,349 $29,250 −78% $36,937 −83% —
865 VIRAL ILLNESS WITH MCC $6,328 $32,083 −80% $26,910 −76% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,295 $27,492 −77% $28,320 −78% —
887 OTHER MENTAL DISORDER DIAGNOSES $6,263 $26,404 −76% $20,616 −70% —
540 OSTEOMYELITIS WITH CC $6,224 $28,728 −78% $26,676 −77% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,195 $24,930 −75% $24,386 −75% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $6,155 $28,029 −78% $22,320 −72% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,131 $22,575 −73% $23,940 −74% ≈41% of Medicare
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $6,131 $30,493 −80% $30,493 −80% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,113 $31,508 −81% $22,620 −73% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,107 $29,117 −79% $27,043 −77% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,094 $22,155 −72% $15,370 −60% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $6,056 $33,325 −82% $32,877 −82% —
946 REHABILITATION WITHOUT CC/MCC $6,036 $24,786 −76% $17,685 −66% —
549 SEPTIC ARTHRITIS WITH CC $6,001 $26,753 −78% $24,056 −75% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,998 $28,515 −79% $28,050 −79% ≈30% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,989 $28,993 −79% $26,051 −77% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,970 $20,259 −71% $20,259 −71% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,935 $27,348 −78% $19,270 −69% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,935 $36,467 −84% $35,831 −83% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,927 $29,523 −80% $24,552 −76% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,918 $29,481 −80% $25,463 −77% ≈32% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,911 $36,589 −84% $25,197 −77% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,886 $27,494 −79% $22,458 −74% —
606 MINOR SKIN DISORDERS WITH MCC $5,875 $34,344 −83% $27,975 −79% —
906 HAND PROCEDURES FOR INJURIES $5,857 $47,513 −88% $32,065 −82% —
375 DIGESTIVE MALIGNANCY WITH CC $5,855 $27,277 −79% $27,277 −79% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,820 $25,700 −77% $25,700 −77% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,789 $26,770 −78% $26,770 −78% —
947 SIGNS AND SYMPTOMS WITH MCC $5,759 $28,553 −80% $27,401 −79% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,719 $25,652 −78% $25,652 −78% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,716 $27,261 −79% $19,132 −70% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,711 $17,087 −67% $14,648 −61% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,711 $28,125 −80% $28,125 −80% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,709 $26,611 −79% $30,784 −81% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,682 $37,526 −85% $29,079 −80% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,675 $24,928 −77% $19,815 −71% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,658 $21,225 −73% $19,924 −72% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,656 $22,750 −75% $18,348 −69% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,653 $28,065 −80% $27,426 −79% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,636 $23,749 −76% $23,749 −76% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,633 $24,191 −77% $32,021 −82% —
197 INTERSTITIAL LUNG DISEASE WITH CC $5,601 $21,977 −75% $21,941 −74% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,597 $24,042 −77% $23,283 −76% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,587 $25,552 −78% $18,133 −69% —
102 HEADACHES WITH MCC $5,583 $25,740 −78% $25,740 −78% —
150 EPISTAXIS WITH MCC $5,549 $30,507 −82% $23,171 −76% —
184 MAJOR CHEST TRAUMA WITH CC $5,547 $23,711 −77% $22,432 −75% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $5,534 $33,987 −84% $25,703 −78% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,531 $25,267 −78% $26,618 −79% —
593 SKIN ULCERS WITH CC $5,529 $27,143 −80% $22,886 −76% —
506 MAJOR THUMB OR JOINT PROCEDURES $5,526 $33,279 −83% $30,557 −82% —
949 AFTERCARE WITH CC/MCC $5,523 $23,953 −77% $23,953 −77% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,516 $22,850 −76% $22,850 −76% —
187 PLEURAL EFFUSION WITH CC $5,512 $22,288 −75% $21,789 −75% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $5,481 $24,948 −78% $31,321 −82% —
683 RENAL FAILURE WITH CC $5,481 $19,733 −72% $19,130 −71% ≈47% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,478 $23,571 −77% $23,571 −77% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,477 $22,888 −76% $22,888 −76% ≈39% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,471 $27,163 −80% $27,163 −80% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,463 $21,733 −75% $15,901 −66% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,463 $20,455 −73% $20,455 −73% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,460 $20,463 −73% $20,463 −73% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,446 $25,034 −78% $25,034 −78% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,425 $18,592 −71% $14,064 −61% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,425 $23,369 −77% $20,232 −73% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,418 $24,644 −78% $18,459 −71% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,415 $25,980 −79% $23,617 −77% —
598 MALIGNANT BREAST DISORDERS WITH CC $5,409 $23,951 −77% $19,073 −72% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,390 $30,308 −82% $20,980 −74% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,372 $24,477 −78% $27,843 −81% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,372 $25,361 −79% $24,944 −78% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,351 $23,971 −78% $22,314 −76% —
304 HYPERTENSION WITH MCC $5,340 $26,080 −80% $26,080 −80% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,340 $23,352 −77% $19,657 −73% —
302 ATHEROSCLEROSIS WITH MCC $5,331 $25,825 −79% $22,446 −76% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,322 $29,805 −82% $29,805 −82% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,317 $24,337 −78% $16,846 −68% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,315 $25,037 −79% $24,566 −78% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,307 $19,914 −73% $15,764 −66% —
152 OTITIS MEDIA AND URI WITH MCC $5,269 $25,192 −79% $20,247 −74% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,256 $24,075 −78% $23,319 −77% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,255 $22,590 −77% $25,303 −79% —
200 PNEUMOTHORAX WITH CC $5,252 $24,586 −79% $21,368 −75% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,249 $25,279 −79% $25,279 −79% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,240 $23,312 −78% $22,763 −77% —
712 TESTES PROCEDURES WITHOUT CC/MCC $5,225 $23,745 −78% $18,898 −72% —
381 COMPLICATED PEPTIC ULCER WITH CC $5,177 $24,177 −79% $24,177 −79% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,172 $21,886 −76% $22,098 −77% ≈43% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,167 $22,557 −77% $19,264 −73% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,167 $26,533 −81% $21,847 −76% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,136 $24,295 −79% $17,398 −70% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,133 $21,280 −76% $17,733 −71% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,124 $22,268 −77% $17,737 −71% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,116 $23,551 −78% $23,551 −78% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,114 $24,220 −79% $20,926 −76% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,110 $23,767 −78% $20,422 −75% —
089 CONCUSSION WITH CC $5,088 $23,800 −79% $18,821 −73% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,054 $18,204 −72% $18,204 −72% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,038 $22,641 −78% $21,275 −76% —
920 COMPLICATIONS OF TREATMENT WITH CC $5,027 $22,552 −78% $22,468 −78% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,024 $26,242 −81% $19,598 −74% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,022 $23,396 −79% $23,488 −79% —
644 ENDOCRINE DISORDERS WITH CC $5,007 $22,941 −78% $23,198 −78% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,003 $23,141 −78% $23,141 −78% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,984 $21,205 −76% $19,594 −75% —
534 FRACTURES OF FEMUR WITHOUT MCC $4,983 $18,070 −72% $17,559 −72% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,970 $27,552 −82% $20,727 −76% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,970 $22,197 −78% $20,957 −76% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,961 $22,637 −78% $22,506 −78% —
176 PULMONARY EMBOLISM WITHOUT MCC $4,961 $18,081 −73% $18,081 −73% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,953 $24,439 −80% $17,483 −72% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,951 $21,460 −77% $17,724 −72% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,931 $18,179 −73% $14,501 −66% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,921 $21,449 −77% $21,449 −77% —
882 NEUROSES EXCEPT DEPRESSIVE $4,919 $21,356 −77% $15,680 −69% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,913 $27,063 −82% $25,581 −81% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,908 $21,236 −77% $16,700 −71% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,904 $17,775 −72% $13,586 −64% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,900 $22,033 −78% $22,033 −78% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,898 $24,000 −80% $17,226 −72% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,895 $19,584 −75% $16,699 −71% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,873 $23,503 −79% $24,914 −80% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,866 $18,126 −73% $18,126 −73% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,856 $20,355 −76% $17,135 −72% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,832 $19,854 −76% $19,854 −76% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,806 $21,363 −78% $21,363 −78% —
881 DEPRESSIVE NEUROSES $4,806 $20,293 −76% $15,058 −68% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,791 $19,072 −75% $18,807 −75% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,769 $22,266 −79% $16,212 −71% —
667 PROSTATECTOMY WITHOUT CC/MCC $4,767 $22,817 −79% $16,703 −71% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,756 $21,129 −77% $18,316 −74% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $4,751 $25,769 −82% $21,230 −78% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,749 $23,944 −80% $17,193 −72% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,730 $19,569 −76% $19,569 −76% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,706 $25,822 −82% $19,412 −76% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,705 $22,153 −79% $17,698 −73% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,684 $20,084 −77% $20,084 −77% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,677 $21,396 −78% $21,396 −78% ≈44% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,666 $20,896 −78% $20,181 −77% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,661 $22,641 −79% $17,601 −74% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,658 $20,861 −78% $17,934 −74% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,616 $15,280 −70% $20,781 −78% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,612 $20,725 −78% $16,968 −73% —
603 CELLULITIS WITHOUT MCC $4,609 $19,553 −76% $18,530 −75% —
638 DIABETES WITH CC $4,599 $20,361 −77% $19,661 −77% —
139 SALIVARY GLAND PROCEDURES $4,597 $30,480 −85% $23,612 −81% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,583 $22,628 −80% $20,901 −78% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,580 $21,716 −79% $17,404 −74% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,573 $21,494 −79% $19,962 −77% —
697 URETHRAL STRICTURE $4,572 $22,239 −79% $18,428 −75% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,539 $17,795 −74% $17,578 −74% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,506 $20,506 −78% $20,506 −78% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,502 $15,637 −71% $12,336 −64% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,493 $16,064 −72% $13,275 −66% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,493 $26,302 −83% $25,712 −83% —
158 DENTAL AND ORAL DISEASES WITH CC $4,490 $20,881 −78% $18,466 −76% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,484 $19,602 −77% $16,998 −74% —
914 TRAUMATIC INJURY WITHOUT MCC $4,477 $20,344 −78% $15,855 −72% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,471 $17,431 −74% $14,014 −68% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,458 $19,305 −77% $19,305 −77% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,452 $19,815 −78% $19,846 −78% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,452 $16,097 −72% $19,227 −77% —
101 SEIZURES WITHOUT MCC $4,439 $20,461 −78% $20,461 −78% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,434 $16,299 −73% $14,514 −69% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,428 $20,108 −78% $18,488 −76% —
694 URINARY STONES WITHOUT MCC $4,425 $17,347 −74% $17,345 −74% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,421 $21,494 −79% $18,452 −76% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,404 $20,488 −79% $20,488 −79% —
864 FEVER AND INFLAMMATORY CONDITIONS $4,387 $19,935 −78% $18,640 −76% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,384 $20,401 −79% $18,072 −76% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,376 $15,549 −72% $15,549 −72% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,369 $19,842 −78% $19,842 −78% ≈46% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,361 $20,566 −79% $20,566 −79% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,350 $17,817 −76% $17,674 −75% ≈54% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,338 $14,638 −70% $14,638 −70% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,332 $19,624 −78% $16,520 −74% —
292 HEART FAILURE AND SHOCK WITH CC $4,331 $19,118 −77% $16,371 −74% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,322 $19,176 −77% $18,602 −77% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,300 $17,265 −75% $17,124 −75% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,288 $17,533 −76% $13,445 −68% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,265 $19,492 −78% $19,119 −78% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,253 $21,201 −80% $15,589 −73% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,252 $19,096 −78% $19,096 −78% —
541 OSTEOMYELITIS WITHOUT CC/MCC $4,244 $19,422 −78% $15,215 −72% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,227 $18,528 −77% $18,528 −77% —
866 VIRAL ILLNESS WITHOUT MCC $4,225 $19,642 −78% $17,081 −75% —
312 SYNCOPE AND COLLAPSE $4,224 $19,342 −78% $19,342 −78% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,217 $18,330 −77% $17,298 −76% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,212 $14,368 −71% $14,368 −71% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,202 $16,565 −75% $16,565 −75% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,190 $19,638 −79% $15,452 −73% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,188 $16,412 −74% $17,303 −76% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,186 $17,322 −76% $17,322 −76% ≈50% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $4,179 $19,185 −78% $15,889 −74% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,177 $20,086 −79% $16,552 −75% —
204 RESPIRATORY SIGNS AND SYMPTOMS $4,131 $18,004 −77% $18,004 −77% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,130 $17,347 −76% $17,038 −76% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,129 $17,700 −77% $17,700 −77% —
684 RENAL FAILURE WITHOUT CC/MCC $4,108 $13,642 −70% $13,642 −70% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,098 $16,175 −75% $12,768 −68% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,081 $18,139 −77% $17,118 −76% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,080 $16,654 −76% $19,037 −79% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,073 $22,635 −82% $22,635 −82% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,041 $16,077 −75% $12,593 −68% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,032 $18,002 −78% $18,002 −78% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,024 $18,150 −78% $18,150 −78% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,024 $15,975 −75% $12,559 −68% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,004 $13,824 −71% $13,824 −71% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,001 $17,762 −77% $21,056 −81% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,001 $17,638 −77% $17,921 −78% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,991 $15,411 −74% $14,797 −73% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,985 $21,216 −81% $20,911 −81% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,980 $17,522 −77% $17,620 −77% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,975 $15,495 −74% $15,495 −74% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,963 $16,592 −76% $12,895 −69% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,961 $16,776 −76% $16,776 −76% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,921 $17,287 −77% $15,428 −75% —
123 NEUROLOGICAL EYE DISORDERS $3,913 $17,831 −78% $19,745 −80% —
313 CHEST PAIN $3,910 $15,837 −75% $16,440 −76% —
305 HYPERTENSION WITHOUT MCC $3,883 $16,665 −77% $18,086 −79% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,872 $15,462 −75% $12,460 −69% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,870 $18,577 −79% $14,055 −72% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,866 $15,464 −75% $12,252 −68% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,849 $14,927 −74% $14,549 −74% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,843 $21,880 −82% $20,895 −82% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,834 $16,634 −77% $16,634 −77% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,818 $16,525 −77% $15,019 −75% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,817 $16,104 −76% $16,767 −77% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,811 $15,837 −76% $15,837 −76% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,808 $19,138 −80% $19,138 −80% —
151 EPISTAXIS WITHOUT MCC $3,791 $16,827 −77% $13,032 −71% —
149 DYSEQUILIBRIUM $3,785 $16,594 −77% $18,096 −79% —
950 AFTERCARE WITHOUT CC/MCC $3,767 $13,527 −72% $13,527 −72% —
090 CONCUSSION WITHOUT CC/MCC $3,759 $19,032 −80% $15,412 −76% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,726 $15,156 −75% $13,651 −73% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,713 $19,811 −81% $22,148 −83% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,688 $14,880 −75% $16,288 −77% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,682 $15,799 −77% $14,583 −75% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,670 $23,887 −85% $18,956 −81% —
201 PNEUMOTHORAX WITHOUT CC/MCC $3,666 $15,031 −76% $14,053 −74% —
311 ANGINA PECTORIS $3,618 $15,502 −77% $15,502 −77% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,618 $18,978 −81% $14,290 −75% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,616 $15,267 −76% $14,415 −75% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,590 $15,358 −77% $14,689 −76% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,572 $13,425 −73% $10,160 −65% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,557 $13,599 −74% $10,975 −68% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,534 $15,839 −78% $12,454 −72% —
303 ATHEROSCLEROSIS WITHOUT MCC $3,528 $14,927 −76% $14,927 −76% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,517 $16,450 −79% $16,450 −79% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,515 $13,683 −74% $15,183 −77% —
639 DIABETES WITHOUT CC/MCC $3,498 $13,910 −75% $13,910 −75% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,466 $15,600 −78% $15,600 −78% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,465 $14,643 −76% $13,633 −75% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,451 $13,855 −75% $12,324 −72% —
916 ALLERGIC REACTIONS WITHOUT MCC $3,445 $14,743 −77% $13,942 −75% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,417 $13,326 −74% $12,999 −74% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,416 $15,058 −77% $11,997 −72% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,415 $14,128 −76% $14,128 −76% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,397 $14,148 −76% $12,078 −72% —
594 SKIN ULCERS WITHOUT CC/MCC $3,393 $18,841 −82% $14,209 −76% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,356 $14,208 −76% $14,250 −76% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,355 $13,318 −75% $13,361 −75% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,353 $14,134 −76% $15,038 −78% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,340 $16,607 −80% $14,716 −77% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,317 $18,126 −82% $18,126 −82% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,272 $12,751 −74% $8,927 −63% —
103 HEADACHES WITHOUT MCC $3,270 $18,874 −83% $21,280 −85% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,269 $14,800 −78% $11,847 −72% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,245 $14,907 −78% $11,909 −73% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,234 $13,384 −76% $13,384 −76% —
779 ABORTION WITHOUT D&C $3,067 $20,752 −85% $15,327 −80% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,058 $13,639 −78% $11,071 −72% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,941 $11,539 −75% $9,940 −70% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,738 $13,395 −80% $10,480 −74% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,526 $14,072 −82% $11,421 −78% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $2,360 $17,953 −87% $15,215 −84% —
999 UNGROUPABLE $2,360 $17,953 −87% $29,674 −92% —
795 NORMAL NEWBORN $2,168 $6,664 −67% $4,720 −54% —
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