Desert Valley Hospital — Pricing

767 procedures published in this hospital's Machine-Readable File (MRF) — 767 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 767
Lowest published price $3,182
Average published price $34,281
Highest published price $530,127

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 767 procedures

Published charges

Showing all 767 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 31 procedures, this hospital's negotiated rates average ≈114% of what Medicare pays.

DRG Description Published price Cash price vs. CA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $530,127 $500,054 $641,743 −17% $573,534 −8% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $409,293 $373,579 $486,976 −16% $461,389 −11% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $337,641 $314,671 $412,183 −18% $306,087 +10% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $311,436 $284,310 $371,366 −16% $371,366 −16% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $203,198 $187,556 $248,521 −18% $248,521 −18% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $190,438 $173,931 $227,681 −16% $182,314 +4% —
007 LUNG TRANSPLANT $188,593 $173,494 $230,667 −18% $170,608 +11% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $157,319 $146,341 $198,463 −21% $194,769 −19% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $154,814 $141,434 $189,963 −19% $164,641 −6% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $147,300 $140,711 $191,314 −23% $208,939 −30% —
850 UnGrouped $133,933 $122,386 $168,048 −20% $121,563 +10% —
429 UnGrouped $121,276 $110,840 $153,621 −21% $144,774 −16% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $121,206 $128,206 $175,437 −31% $188,171 −36% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $115,792 $112,544 $153,282 −24% $153,282 −24% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $115,272 $105,363 $146,435 −21% $105,228 +10% —
231 CORONARY BYPASS WITH PTCA WITH MCC $110,047 $112,606 $155,631 −29% $147,227 −25% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $108,600 $144,674 $196,346 −45% $196,346 −45% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $108,546 $99,227 $136,374 −20% $120,573 −10% —
426 UnGrouped $108,190 $139,128 $189,537 −43% $142,326 −24% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $107,532 $90,800 $125,675 −14% $102,600 +5% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $106,781 $46,332 $71,486 +49% $56,242 +90% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $104,256 — $23,289 +348% $103,861 +0% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $103,812 $103,894 $144,569 −28% $144,569 −28% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $103,065 $102,848 $143,242 −28% $143,242 −28% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $102,331 $107,136 $148,686 −31% $148,686 −31% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $101,176 $92,499 $124,290 −19% $148,832 −32% ≈109% of Medicare
010 PANCREAS TRANSPLANT $99,437 $105,969 $144,934 −31% $99,940 −1% —
447 UnGrouped $97,513 $89,163 $126,098 −23% $126,098 −23% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $97,235 $93,963 $131,961 −26% $131,961 −26% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $94,073 $86,015 $116,058 −19% $116,058 −19% —
230 UnGrouped $93,713 — $93,713 +0% $58,096 +61% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $91,988 $84,122 $117,196 −22% $109,331 −16% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $90,933 $85,892 $121,714 −25% $123,995 −27% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $90,808 $88,821 $125,432 −28% $89,353 +2% —
317 UnGrouped $89,985 $82,295 $117,146 −23% $88,566 +2% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $89,575 $81,921 $114,401 −22% $98,912 −9% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $88,544 $81,636 $114,040 −22% $108,472 −18% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $87,799 $80,300 $108,802 −19% $98,260 −11% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $87,623 $81,265 $115,839 −24% $115,839 −24% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $86,817 $79,703 $113,855 −24% $113,855 −24% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $86,114 $79,153 $113,157 −24% $103,455 −17% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $85,495 $78,290 $112,062 −24% $112,062 −24% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $84,696 $77,470 $108,750 −22% $96,192 −12% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $83,898 $80,300 $108,802 −23% $81,176 +3% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $83,492 $76,371 $107,355 −22% $107,355 −22% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $82,993 $75,917 $106,778 −22% $106,778 −22% —
028 SPINAL PROCEDURES WITH MCC $82,360 $80,878 $113,077 −27% $113,077 −27% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $81,956 $82,401 $117,280 −30% $117,280 −30% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $81,854 — $36,442 +125% $69,101 +18% —
653 MAJOR BLADDER PROCEDURES WITH MCC $81,098 $74,187 $104,583 −22% $104,583 −22% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $80,410 $73,561 $100,245 −20% $85,566 −6% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $79,967 — $23,289 +243% $75,251 +6% —
222 UnGrouped $79,761 — $23,643 +237% $86,864 −8% —
430 UnGrouped $79,585 $72,808 $105,333 −24% $101,618 −22% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $79,159 $72,418 $102,337 −23% $86,459 −8% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $78,979 $72,254 $102,128 −23% $102,128 −23% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $78,671 $73,561 $106,057 −26% $106,057 −26% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $78,577 $71,887 $101,662 −23% $89,207 −12% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $78,502 $71,820 $101,576 −23% $101,576 −23% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $78,493 $71,812 $101,566 −23% $90,401 −13% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $77,403 $70,816 $102,573 −25% $102,573 −25% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $77,060 $70,505 $102,177 −25% $111,320 −31% —
223 UnGrouped $76,567 — $23,643 +224% $59,206 +29% —
224 UnGrouped $76,567 — $23,643 +224% $80,427 −5% —
225 UnGrouped $76,567 — $23,643 +224% $57,380 +33% —
226 UnGrouped $76,567 — $23,643 +224% $72,618 +5% —
227 UnGrouped $76,567 — $23,643 +224% $56,960 +34% —
427 UnGrouped $75,787 $94,436 $132,794 −43% $132,794 −43% —
450 UnGrouped $74,931 $68,562 $99,943 −25% $99,943 −25% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $74,126 $67,827 $96,507 −23% $96,507 −23% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $72,870 $88,671 $125,242 −42% $125,242 −42% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $72,855 $66,669 $91,495 −20% $77,055 −5% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $72,813 $67,062 $95,536 −24% $93,390 −22% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $72,775 $66,591 $94,937 −23% $93,172 −22% ≈117% of Medicare
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $72,772 $67,620 $96,245 −24% $80,793 −10% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $72,508 $66,352 $96,905 −25% $96,905 −25% —
245 AICD GENERATOR PROCEDURES $71,107 $65,073 $95,281 −25% $72,076 −1% —
006 LIVER TRANSPLANT WITHOUT MCC $70,561 $64,575 $92,378 −24% $84,407 −16% —
471 CERVICAL SPINAL FUSION WITH MCC $70,252 $64,682 $92,515 −24% $92,515 −24% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $70,150 $61,175 $90,331 −22% $90,331 −22% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $70,055 $50,969 $75,103 −7% $75,103 −7% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $69,490 $63,599 $91,138 −24% $90,724 −23% —
799 SPLENIC PROCEDURES WITH MCC $69,190 $63,324 $90,790 −24% $82,218 −16% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $69,183 $63,312 $90,775 −24% $90,775 −24% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $69,156 $66,617 $97,241 −29% $93,238 −26% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $68,664 $54,215 $79,225 −13% $79,225 −13% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $68,096 $62,326 $89,523 −24% $87,761 −22% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $67,726 $54,808 $82,247 −18% $82,247 −18% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $67,700 $61,961 $91,329 −26% $91,329 −26% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $66,824 $61,166 $88,050 −24% $88,050 −24% —
163 MAJOR CHEST PROCEDURES WITH MCC $65,384 $61,395 $88,341 −26% $90,195 −28% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $65,086 $59,581 $88,307 −26% $88,307 −26% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $64,479 $59,027 $85,334 −24% $70,177 −8% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $63,931 $58,527 $86,970 −26% $86,970 −26% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $62,844 $57,536 $83,441 −25% $83,441 −25% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $62,701 — $23,289 +169% $56,836 +10% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $62,651 $41,480 $65,325 −4% $65,325 −4% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $62,085 $56,843 $82,561 −25% $82,561 −25% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $61,994 $56,760 $84,725 −27% $101,510 −39% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $60,986 $55,835 $81,281 −25% $77,990 −22% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $59,856 $57,654 $80,049 −25% $59,352 +1% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $59,820 $54,777 $79,939 −25% $73,120 −18% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $59,467 $54,696 $79,836 −26% $79,836 −26% —
448 UnGrouped $59,438 $54,429 $81,998 −28% $81,998 −28% —
428 UnGrouped $58,907 $73,253 $105,899 −44% $105,899 −44% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $57,989 $53,106 $77,817 −25% $77,817 −25% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $57,948 $53,069 $77,770 −25% $62,300 −7% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $57,861 — $35,899 +61% $51,625 +12% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $57,445 $52,603 $77,178 −26% $71,795 −20% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $57,318 $52,495 $77,041 −26% $61,832 −7% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $57,203 $52,390 $76,907 −26% $54,196 +6% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $56,380 $51,848 $76,219 −26% $76,219 −26% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $56,306 $79,093 $107,269 −48% $80,018 −30% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $56,266 $51,533 $75,820 −26% $66,685 −16% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $56,208 $51,482 $75,754 −26% $59,594 −6% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $56,075 $61,370 $90,579 −38% $71,551 −22% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $56,060 $51,339 $75,573 −26% $75,573 −26% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $55,344 $50,695 $74,755 −26% $74,755 −26% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $54,914 $50,302 $74,257 −26% $74,257 −26% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $54,499 $49,904 $73,751 −26% $61,470 −11% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $54,164 $52,134 $78,852 −31% $78,852 −31% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $53,767 $55,848 $81,298 −34% $72,962 −26% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $53,122 $48,667 $68,639 −23% $68,639 −23% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $52,195 $47,818 $67,560 −23% $59,533 −12% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $52,194 $47,820 $71,106 −27% $66,711 −22% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $52,183 $47,810 $71,092 −27% $71,092 −27% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $52,010 $46,714 $69,701 −25% $62,583 −17% —
265 AICD LEAD PROCEDURES $51,938 $47,587 $70,810 −27% $63,171 −18% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $51,706 $47,375 $70,540 −27% $70,564 −27% —
472 CERVICAL SPINAL FUSION WITH CC $51,679 $38,709 $59,537 −13% $59,537 −13% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $51,390 $47,088 $70,175 −27% $50,919 +1% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $51,288 $68,336 $99,423 −48% $99,423 −48% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $51,261 $46,970 $70,026 −27% $56,964 −10% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $51,018 $46,747 $69,743 −27% $69,743 −27% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $51,006 $46,733 $69,724 −27% $66,068 −23% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $50,891 $46,632 $69,597 −27% $51,953 −2% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $50,751 $48,332 $71,755 −29% $71,755 −29% —
332 RECTAL RESECTION WITH MCC $50,508 $46,282 $69,152 −27% $58,125 −13% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $50,076 $45,888 $68,653 −27% $68,653 −27% —
665 PROSTATECTOMY WITH MCC $49,998 $45,817 $68,562 −27% $54,072 −8% —
252 OTHER VASCULAR PROCEDURES WITH MCC $49,951 $45,775 $68,508 −27% $68,508 −27% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $49,875 $45,706 $68,421 −27% $70,847 −30% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $49,607 $45,454 $70,371 −30% $70,371 −30% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $49,396 $45,266 $70,132 −30% $70,132 −30% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $49,006 $31,689 $50,624 −3% $50,624 −3% —
030 SPINAL PROCEDURES WITHOUT CCMCC $48,255 $29,807 $48,235 +0% $45,866 +5% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $47,603 $43,632 $65,788 −28% $65,788 −28% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $47,088 $62,660 $92,217 −49% $92,217 −49% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $46,787 $43,509 $65,631 −29% $58,745 −20% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $46,534 $42,657 $66,819 −30% $71,464 −35% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $46,450 $42,576 $60,905 −24% $49,710 −7% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $46,227 $42,377 $64,194 −28% $55,289 −16% —
500 SOFT TISSUE PROCEDURES WITH MCC $46,057 $42,307 $64,105 −28% $61,872 −26% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $45,621 $42,780 $66,976 −32% $63,928 −29% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $45,457 $41,675 $65,573 −31% $65,573 −31% —
662 MINOR BLADDER PROCEDURES WITH MCC $45,437 $41,656 $63,279 −28% $54,562 −17% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $45,041 $41,296 $62,821 −28% $62,821 −28% —
451 UnGrouped $44,948 $41,211 $65,216 −31% $65,216 −31% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $44,917 $41,182 $62,677 −28% $53,864 −17% —
402 UnGrouped $44,847 $52,159 $79,116 −43% $79,116 −43% —
652 KIDNEY TRANSPLANT $44,736 $41,017 $62,468 −28% $54,720 −18% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $44,696 $40,980 $64,691 −31% $60,407 −26% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $44,550 $40,848 $64,523 −31% $64,523 −31% —
570 SKIN DEBRIDEMENT WITH MCC $43,851 $40,206 $63,709 −31% $52,435 −16% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $43,640 $46,232 $69,089 −37% $52,036 −16% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $43,499 $39,888 $57,493 −24% $46,402 −6% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $43,341 $43,490 $65,608 −34% $65,608 −34% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $43,070 $56,359 $84,217 −49% $60,098 −28% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $42,954 $39,390 $60,402 −29% $58,228 −26% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $42,844 $39,289 $60,274 −29% $65,653 −35% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $42,818 $42,462 $66,572 −36% $44,472 −4% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $42,726 $39,183 $60,140 −29% $60,170 −29% —
668 TRANSURETHRAL PROCEDURES WITH MCC $42,483 $38,962 $59,859 −29% $51,608 −18% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $42,461 $38,941 $62,334 −32% $70,467 −40% —
800 SPLENIC PROCEDURES WITH CC $42,447 $38,929 $59,817 −29% $49,184 −14% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $42,424 $38,908 $59,790 −29% $59,790 −29% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $42,072 $55,452 $83,065 −49% $85,159 −51% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $41,721 $38,266 $58,975 −29% $58,975 −29% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $41,697 $38,244 $61,217 −32% $61,217 −32% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $41,639 $38,191 $58,880 −29% $49,839 −16% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $41,475 $38,041 $60,959 −32% $81,706 −49% ≈108% of Medicare
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $41,034 $38,310 $59,031 −30% $59,031 −30% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $40,916 $37,532 $58,043 −30% $58,043 −30% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $40,875 $37,494 $60,265 −32% $52,986 −23% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $39,799 $36,513 $53,208 −25% $50,618 −21% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $39,758 $55,582 $57,323 −31% $18,649 +113% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $39,727 $36,447 $58,935 −33% $51,746 −23% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $39,674 $36,578 $56,832 −30% $48,358 −18% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $39,585 $36,317 $52,959 −25% $43,491 −9% —
654 MAJOR BLADDER PROCEDURES WITH CC $39,563 $37,714 $58,274 −32% $58,274 −32% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $39,391 $36,141 $52,735 −25% $62,264 −37% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $39,265 $44,072 $68,616 −43% $52,908 −26% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $39,262 $36,023 $56,127 −30% $44,546 −12% —
263 VEIN LIGATION AND STRIPPING $39,081 $35,859 $55,918 −30% $51,253 −24% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $38,801 $35,603 $55,594 −30% $47,945 −19% —
791 PREMATURITY WITH MAJOR PROBLEMS $38,726 $54,116 $70,373 −45% $42,679 −9% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $38,664 $35,477 $55,434 −30% $44,222 −13% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $38,615 $35,433 $55,378 −30% $48,687 −21% —
503 FOOT PROCEDURES WITH MCC $38,566 $35,388 $55,321 −30% $47,540 −19% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $38,526 $35,353 $55,276 −30% $41,422 −7% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $38,482 $33,019 $54,583 −29% $54,583 −29% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $38,228 $35,080 $54,929 −30% $54,929 −30% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,168 $35,881 $52,405 −27% $52,405 −27% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $38,128 $34,989 $54,815 −30% $46,453 −18% —
849 RADIOTHERAPY $38,073 $35,713 $52,191 −27% $37,862 +1% —
253 OTHER VASCULAR PROCEDURES WITH CC $37,207 $34,148 $53,746 −31% $57,454 −35% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $37,137 $34,084 $53,666 −31% $58,707 −37% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $36,827 $33,802 $49,765 −26% $40,362 −9% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $36,806 $28,617 $46,724 −21% $46,724 −21% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $36,798 $33,776 $53,274 −31% $49,423 −26% —
164 MAJOR CHEST PROCEDURES WITH CC $36,683 $33,671 $53,141 −31% $56,755 −35% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $36,496 $33,500 $49,382 −26% $39,973 −9% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $36,468 $33,475 $55,162 −34% $55,162 −34% —
246 UnGrouped $36,123 — $23,643 +53% $33,983 +6% —
397 APPENDIX PROCEDURES WITH MCC $36,113 $33,152 $54,751 −34% $53,257 −32% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $35,980 $26,448 $43,775 −18% $44,139 −18% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $35,689 $32,761 $51,985 −31% $51,985 −31% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $35,670 $45,960 $71,014 −50% $71,014 −50% —
248 UnGrouped $35,666 — $23,643 +51% $34,146 +4% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $35,648 $34,563 $54,273 −34% $52,178 −32% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $35,393 $32,493 $51,645 −31% $59,421 −40% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $35,310 $34,620 $54,345 −35% $45,167 −22% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $35,267 $32,368 $51,487 −32% $50,046 −30% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $35,145 $32,268 $51,359 −32% $42,186 −17% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $35,000 $32,134 $51,189 −32% $59,651 −41% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,943 $32,084 $47,583 −27% $47,583 −27% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $34,943 $32,084 $47,583 −27% $41,620 −16% —
338 UnGrouped $34,910 — $23,289 +50% $30,138 +16% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $34,898 $23,608 $39,018 −11% $39,018 −11% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $34,832 $26,986 $41,111 −15% $32,031 +9% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $34,644 $31,809 $50,777 −32% $53,451 −35% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $34,626 $34,159 $50,218 −31% $38,878 −11% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $34,458 $31,640 $50,562 −32% $59,500 −42% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $34,401 $31,589 $50,498 −32% $50,498 −32% —
038 EXTRACRANIAL PROCEDURES WITH CC $34,160 $21,669 $35,770 −5% $35,770 −5% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $34,091 $31,307 $50,139 −32% $50,139 −32% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $34,081 $21,460 $35,419 −4% $35,419 −4% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,825 $31,063 $46,288 −27% $36,489 −7% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $33,746 $30,992 $51,387 −34% $40,060 −16% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $33,716 $30,962 $51,339 −34% $59,629 −43% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $33,654 $30,907 $49,631 −32% $50,394 −33% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $33,412 $31,681 $50,614 −34% $40,548 −18% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $33,393 $30,667 $45,785 −27% $39,181 −15% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $33,288 $30,574 $49,209 −32% $42,415 −22% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $33,262 $19,309 $31,816 +5% $35,465 −6% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $33,226 $30,517 $49,137 −32% $48,349 −31% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $33,165 $30,462 $49,066 −32% $49,066 −32% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $33,038 $30,345 $45,376 −27% $41,892 −21% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $32,926 $30,243 $48,788 −33% $38,998 −16% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,846 $30,170 $50,011 −34% $50,011 −34% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,803 $30,121 $48,634 −33% $47,737 −31% —
709 PENIS PROCEDURES WITH CCMCC $32,763 $30,095 $48,600 −33% $34,535 −5% —
113 ORBITAL PROCEDURES WITH CCMCC $32,606 $30,220 $48,760 −33% $36,167 −10% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,549 $29,900 $48,353 −33% $47,789 −32% —
131 UnGrouped $32,261 — $23,289 +39% $23,289 +39% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $32,162 $30,159 $48,682 −34% $48,682 −34% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $32,070 $29,462 $47,797 −33% $41,608 −23% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $31,987 $29,647 $44,489 −28% $46,283 −31% ≈116% of Medicare
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $31,773 $15,400 $25,267 +26% $26,618 +19% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,632 $29,064 $43,749 −28% $42,901 −26% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $31,542 $27,448 $45,240 −30% $35,030 −10% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $31,270 $28,732 $43,328 −28% $38,070 −18% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $31,148 $28,621 $43,187 −28% $35,569 −12% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $31,145 $28,620 $46,727 −33% $46,727 −33% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $31,085 $28,564 $46,657 −33% $42,906 −28% —
333 RECTAL RESECTION WITH CC $31,041 $28,481 $46,551 −33% $37,154 −16% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $30,959 $33,911 $56,278 −45% $39,173 −21% —
595 MAJOR SKIN DISORDERS WITH MCC $30,846 $28,345 $42,837 −28% $34,598 −11% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,807 $28,308 $46,332 −34% $50,463 −39% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,794 $28,296 $42,775 −28% $39,958 −23% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,792 $28,296 $46,317 −34% $43,650 −29% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,746 $28,253 $46,799 −34% $58,280 −47% —
341 UnGrouped $30,687 — $23,289 +32% $25,628 +20% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $30,667 $28,182 $46,172 −34% $42,795 −28% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $30,574 $28,099 $46,066 −34% $46,066 −34% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $30,434 $30,717 $45,849 −34% $40,108 −24% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $30,296 $27,845 $45,743 −34% $43,174 −30% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,263 $27,813 $45,703 −34% $52,751 −43% —
935 NON-EXTENSIVE BURNS $30,206 $29,423 $43,274 −30% $31,701 −5% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $30,066 $29,191 $47,452 −37% $45,333 −34% —
592 SKIN ULCERS WITH MCC $29,991 $27,566 $41,848 −28% $33,246 −10% —
539 OSTEOMYELITIS WITH MCC $29,503 $27,117 $41,277 −29% $37,609 −22% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $29,422 $27,047 $44,730 −34% $42,914 −31% —
548 SEPTIC ARTHRITIS WITH MCC $29,386 $27,014 $41,146 −29% $31,346 −6% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $29,344 $26,975 $44,639 −34% $46,090 −36% —
247 UnGrouped $29,297 — $23,643 +24% $21,663 +35% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $29,125 $26,776 $44,326 −34% $29,611 −2% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $29,106 $28,422 $46,477 −37% $49,351 −41% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $29,049 $26,530 $43,913 −34% $43,913 −34% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $29,017 $26,677 $40,719 −29% $39,106 −26% —
100 SEIZURES WITH MCC $28,960 $26,625 $40,653 −29% $35,481 −18% ≈114% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $28,957 $26,623 $44,068 −34% $32,574 −11% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,781 $26,462 $43,800 −34% $43,800 −34% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $28,671 $26,362 $43,631 −34% $43,631 −34% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $28,613 $26,306 $43,538 −34% $43,538 −34% —
249 UnGrouped $28,589 — $23,643 +21% $20,610 +39% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,580 $26,278 $40,213 −29% $40,213 −29% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $28,528 $26,318 $40,263 −29% $35,628 −20% ≈113% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $28,527 $26,229 $40,150 −29% $39,955 −29% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $28,510 $26,215 $43,384 −34% $29,524 −3% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $28,361 $26,795 $44,357 −36% $43,943 −35% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $28,311 $26,033 $43,080 −34% $43,080 −34% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $28,276 $26,001 $43,027 −34% $37,240 −24% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,187 $25,914 $42,881 −34% $42,881 −34% —
906 HAND PROCEDURES FOR INJURIES $28,118 $29,239 $47,513 −41% $32,065 −12% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $28,107 $28,019 $42,423 −34% $33,851 −17% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,919 $25,665 $42,463 −34% $34,459 −19% —
711 TESTES PROCEDURES WITH CCMCC $27,846 $25,636 $42,414 −34% $38,343 −27% —
380 COMPLICATED PEPTIC ULCER WITH MCC $27,801 $25,817 $39,627 −30% $39,627 −30% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,685 $25,463 $42,126 −34% $42,126 −34% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,685 $25,463 $42,126 −34% $40,562 −32% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $27,623 $25,406 $39,105 −29% $36,431 −24% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $27,581 $25,368 $39,057 −29% $33,985 −19% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $27,513 $25,306 $38,978 −29% $37,844 −27% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,511 $25,303 $41,857 −34% $50,607 −46% ≈113% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $27,511 $25,302 $41,855 −34% $47,711 −42% —
129 UnGrouped $27,462 — $23,289 +18% $23,289 +18% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $27,213 $25,033 $38,631 −30% $36,792 −26% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $27,206 $25,333 $39,013 −30% $33,255 −18% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $27,198 $25,018 $41,380 −34% $46,340 −41% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,085 $24,916 $38,483 −30% $33,047 −18% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $27,074 $24,905 $41,191 −34% $36,670 −26% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $26,934 $24,778 $38,308 −30% $30,243 −11% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,676 $24,542 $40,583 −34% $43,298 −38% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,663 $24,530 $40,563 −34% $40,642 −34% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $26,656 $24,524 $40,552 −34% $40,552 −34% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $26,626 $24,496 $37,950 −30% $37,950 −30% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,601 $24,473 $37,921 −30% $37,387 −29% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,534 $24,412 $40,365 −34% $40,365 −34% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $26,402 $24,292 $40,163 −34% $58,809 −55% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $26,337 $24,232 $40,063 −34% $41,591 −37% —
919 COMPLICATIONS OF TREATMENT WITH MCC $26,213 $24,483 $37,933 −31% $31,105 −16% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,145 $27,194 $41,375 −37% $31,134 −16% —
501 SOFT TISSUE PROCEDURES WITH CC $26,049 $23,967 $39,619 −34% $39,619 −34% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $25,991 $23,917 $37,214 −30% $52,075 −50% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $25,978 $23,905 $39,515 −34% $39,515 −34% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $25,876 $23,812 $39,360 −34% $38,101 −32% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $25,844 $23,849 $39,422 −34% $34,276 −25% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $25,806 $24,411 $37,842 −32% $37,842 −32% ≈114% of Medicare
133 UnGrouped $25,754 — $23,289 +11% $38,305 −33% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $25,654 $23,609 $39,020 −34% $39,020 −34% —
504 FOOT PROCEDURES WITH CC $25,621 $23,574 $38,960 −34% $38,960 −34% —
505 FOOT PROCEDURES WITHOUT CCMCC $25,621 $23,574 $38,960 −34% $34,937 −27% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $25,618 $24,884 $38,443 −33% $23,206 +10% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $25,533 $23,499 $38,836 −34% $38,836 −34% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $25,379 $23,359 $36,506 −30% $31,951 −21% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $25,235 $23,228 $36,340 −31% $29,826 −15% —
671 URETHRAL PROCEDURES WITH CCMCC $25,160 $23,159 $38,265 −34% $27,233 −8% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $25,135 $25,284 $38,951 −35% $32,637 −23% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $25,099 $21,024 $34,689 −28% $46,295 −46% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $25,049 $23,057 $38,094 −34% $38,094 −34% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $25,029 $24,683 $38,187 −34% $32,859 −24% —
509 ARTHROSCOPY $25,001 $23,596 $38,998 −36% $25,994 −4% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $24,833 $22,859 $37,764 −34% $43,477 −43% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $24,804 $22,086 $36,467 −32% $35,831 −31% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $24,724 $22,761 $37,599 −34% $32,944 −25% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $24,676 $22,718 $37,526 −34% $29,079 −15% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $24,661 $22,704 $35,675 −31% $31,563 −22% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $24,447 $22,508 $37,175 −34% $29,916 −18% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $24,383 $22,450 $35,352 −31% $26,682 −9% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $24,359 $22,429 $37,042 −34% $29,126 −16% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $24,347 $22,592 $35,532 −31% $32,496 −25% ≈120% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,290 $22,364 $35,243 −31% $32,628 −26% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $24,271 $22,348 $36,907 −34% $29,316 −17% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,267 $22,447 $35,349 −31% $33,876 −28% —
334 RECTAL RESECTION WITHOUT CCMCC $24,213 $22,296 $36,820 −34% $36,820 −34% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,213 $22,294 $36,816 −34% $44,606 −46% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $24,176 $22,262 $35,113 −31% $34,192 −29% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $24,105 $22,196 $36,651 −34% $44,117 −45% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $24,104 $28,752 $43,354 −44% $31,044 −22% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $24,063 $22,158 $36,589 −34% $25,197 −5% —
666 PROSTATECTOMY WITH CC $24,050 $22,147 $36,569 −34% $31,906 −25% —
551 MEDICAL BACK PROBLEMS WITH MCC $24,047 $22,930 $35,961 −33% $34,017 −29% —
643 ENDOCRINE DISORDERS WITH MCC $24,037 $22,279 $35,135 −32% $33,563 −28% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $23,970 $22,072 $36,445 −34% $36,445 −34% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $23,966 $22,068 $34,867 −31% $30,828 −22% ≈114% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $23,921 $22,029 $34,817 −31% $33,661 −29% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $23,909 $22,018 $36,354 −34% $36,354 −34% —
157 DENTAL AND ORAL DISEASES WITH MCC $23,908 $22,017 $34,802 −31% $31,300 −24% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $23,845 $22,638 $35,591 −33% $34,273 −30% —
915 ALLERGIC REACTIONS WITH MCC $23,836 $23,347 $36,491 −35% $32,645 −27% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $23,761 $23,916 $37,213 −36% $31,159 −24% —
597 MALIGNANT BREAST DISORDERS WITH MCC $23,760 $23,596 $36,807 −35% $33,386 −29% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $23,735 $21,859 $36,087 −34% $28,202 −16% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $23,723 $21,848 $34,588 −31% $27,617 −14% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $23,708 $32,779 $34,988 −32% $12,229 +94% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $23,689 $23,481 $36,661 −35% $33,555 −29% —
571 SKIN DEBRIDEMENT WITH CC $23,684 $22,504 $37,169 −36% $37,169 −36% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $23,639 $22,423 $37,033 −36% $34,607 −32% —
913 TRAUMATIC INJURY WITH MCC $23,629 $21,762 $34,479 −31% $24,198 −2% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $23,543 $24,293 $37,692 −38% $32,433 −27% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $23,490 $24,124 $37,477 −37% $26,510 −11% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $23,476 $21,623 $35,692 −34% $35,692 −34% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $23,445 $21,753 $34,467 −32% $27,316 −14% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $23,405 $21,558 $35,584 −34% $35,584 −34% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,319 $21,480 $35,453 −34% $35,453 −34% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $23,268 $21,434 $35,375 −34% $39,006 −40% —
199 PNEUMOTHORAX WITH MCC $23,258 $23,710 $36,952 −37% $33,787 −31% —
183 MAJOR CHEST TRAUMA WITH MCC $23,178 $21,351 $33,957 −32% $29,933 −23% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $23,166 $21,340 $35,217 −34% $41,955 −45% —
186 PLEURAL EFFUSION WITH MCC $23,073 $21,255 $33,834 −32% $33,834 −32% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $23,032 $23,596 $38,998 −41% $30,553 −25% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,024 $21,211 $33,779 −32% $32,697 −30% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $22,962 $21,154 $34,906 −34% $34,906 −34% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $22,916 $21,112 $33,653 −32% $33,653 −32% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $22,898 $21,096 $33,633 −32% $33,633 −32% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $22,859 $21,060 $34,749 −34% $34,749 −34% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $22,825 $21,738 $34,448 −34% $33,707 −32% ≈107% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $22,755 $28,788 $47,696 −52% $37,267 −39% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $22,666 $22,046 $34,839 −35% $30,235 −25% ≈111% of Medicare
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $22,653 $20,872 $34,434 −34% $34,434 −34% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $22,583 $20,808 $33,267 −32% $24,550 −8% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $22,576 $20,802 $34,316 −34% $26,598 −15% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $22,573 $20,799 $33,256 −32% $30,010 −25% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $22,491 $21,257 $35,080 −36% $35,074 −36% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $22,420 $20,660 $34,078 −34% $39,211 −43% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $22,361 $20,605 $33,987 −34% $25,703 −13% —
663 MINOR BLADDER PROCEDURES WITH CC $22,308 $20,558 $33,907 −34% $33,103 −33% —
533 FRACTURES OF FEMUR WITH MCC $22,272 $20,525 $32,907 −32% $25,945 −14% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $22,169 $20,431 $33,694 −34% $33,694 −34% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $22,156 $20,419 $33,674 −34% $33,674 −34% —
398 APPENDIX PROCEDURES WITH CC $22,104 $20,370 $33,592 −34% $40,162 −45% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $22,054 $20,326 $33,519 −34% $30,770 −28% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $22,045 $20,318 $33,506 −34% $33,454 −34% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $22,003 $21,868 $34,613 −36% $27,633 −20% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $21,992 $20,269 $33,424 −34% $33,424 −34% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $21,978 $20,254 $33,399 −34% $36,505 −40% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $21,968 $20,248 $33,388 −34% $36,253 −39% —
682 RENAL FAILURE WITH MCC $21,940 $20,220 $32,520 −33% $29,064 −25% ≈112% of Medicare
710 PENIS PROCEDURES WITHOUT CCMCC $21,931 $20,213 $33,330 −34% $26,436 −17% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $21,914 $20,196 $32,490 −33% $27,394 −20% —
075 VIRAL MENINGITIS WITH CCMCC $21,896 $23,142 $36,230 −40% $30,447 −28% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $21,804 $20,098 $33,137 −34% $33,393 −35% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,752 $20,045 $33,048 −34% $33,048 −34% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $21,703 $20,005 $32,248 −33% $28,140 −23% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $21,692 $19,688 $32,451 −33% $32,451 −33% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $21,656 $19,963 $32,911 −34% $36,988 −41% —
865 VIRAL ILLNESS WITH MCC $21,558 $19,875 $32,083 −33% $26,910 −20% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $21,475 $19,796 $31,982 −33% $30,571 −30% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $21,466 $19,789 $32,620 −34% $25,073 −14% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $21,466 $19,789 $31,974 −33% $26,463 −19% —
693 URINARY STONES WITH MCC $21,404 $19,802 $31,990 −33% $23,892 −10% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $21,378 $17,156 $28,209 −24% $19,686 +9% —
813 COAGULATION DISORDERS $21,282 $20,831 $33,296 −36% $33,296 −36% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $21,128 $19,479 $32,100 −34% $32,100 −34% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $21,119 $20,183 $32,473 −35% $30,502 −31% —
669 TRANSURETHRAL PROCEDURES WITH CC $21,077 $20,824 $34,354 −39% $34,354 −39% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $21,069 $19,425 $31,511 −33% $22,525 −6% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $21,030 $19,389 $31,950 −34% $26,932 −22% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $20,941 $19,307 $31,812 −34% $32,833 −36% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $20,800 $19,698 $32,467 −36% $31,170 −33% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $20,774 $19,153 $31,166 −33% $27,808 −25% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $20,746 $19,711 $31,874 −35% $29,743 −30% —
506 MAJOR THUMB OR JOINT PROCEDURES $20,720 $20,183 $33,279 −38% $30,557 −32% —
088 CONCUSSION WITH MCC $20,621 $19,011 $30,986 −33% $24,402 −15% —
637 DIABETES WITH MCC $20,588 $19,616 $31,753 −35% $30,100 −32% ≈113% of Medicare
339 UnGrouped $20,586 — $23,289 −12% $18,474 +11% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $20,536 $18,933 $30,887 −34% $39,887 −49% —
811 RED BLOOD CELL DISORDERS WITH MCC $20,527 $18,961 $30,922 −34% $28,226 −27% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $20,485 $18,887 $31,108 −34% $22,393 −9% —
137 MOUTH PROCEDURES WITH CCMCC $20,447 $18,851 $31,048 −34% $27,861 −27% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $20,427 $18,832 $31,017 −34% $31,017 −34% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $20,414 $15,210 $24,948 −18% $31,321 −35% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $20,400 $24,609 $40,694 −50% $40,694 −50% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,385 $19,072 $31,063 −34% $26,280 −22% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $20,370 $18,781 $30,693 −34% $27,119 −25% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $20,329 $18,742 $30,645 −34% $27,285 −25% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $20,316 $18,730 $30,846 −34% $25,094 −19% —
150 EPISTAXIS WITH MCC $20,211 $18,634 $30,507 −34% $23,171 −13% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $20,101 $18,990 $30,959 −35% $30,959 −35% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $20,087 $18,520 $30,493 −34% $30,493 −34% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $19,986 $20,160 $32,445 −38% $24,586 −19% —
602 CELLULITIS WITH MCC $19,985 $19,787 $31,970 −37% $30,598 −35% ≈112% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $19,925 $18,370 $30,242 −34% $30,242 −34% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $19,821 $18,275 $30,083 −34% $30,083 −34% —
606 MINOR SKIN DISORDERS WITH MCC $19,818 $21,656 $34,344 −42% $27,975 −29% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $19,804 $18,259 $30,056 −34% $29,949 −34% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $19,642 $18,109 $29,805 −34% $29,805 −34% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $19,524 $18,000 $29,623 −34% $27,543 −29% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $19,507 $17,984 $29,596 −34% $32,841 −41% —
342 UnGrouped $19,317 — $23,289 −17% $16,487 +17% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $19,282 $17,778 $29,250 −34% $36,937 −48% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $19,196 $17,698 $29,117 −34% $27,043 −29% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $19,116 $17,624 $28,993 −34% $26,051 −27% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $19,086 $17,596 $28,946 −34% $21,894 −13% —
132 UnGrouped $19,068 — $23,289 −18% $23,289 −18% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $18,977 $17,779 $29,252 −35% $27,275 −30% ≈112% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,968 $18,162 $29,894 −37% $24,127 −21% —
540 OSTEOMYELITIS WITH CC $18,914 $17,466 $28,728 −34% $26,676 −29% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $18,896 $18,477 $30,308 −38% $20,980 −10% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $18,894 $17,420 $28,651 −34% $22,811 −17% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $18,879 $17,405 $28,626 −34% $27,989 −33% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $18,863 $17,391 $28,602 −34% $25,748 −27% —
947 SIGNS AND SYMPTOMS WITH MCC $18,831 $17,362 $28,553 −34% $27,401 −31% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $18,760 $17,339 $28,515 −34% $28,050 −33% ≈114% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $18,701 $19,597 $31,730 −41% $24,941 −25% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $18,619 $19,879 $17,665 +5% $8,445 +120% —
291 HEART FAILURE AND SHOCK WITH MCC $18,580 $17,608 $28,966 −36% $26,776 −31% ≈116% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $18,574 $17,124 $28,156 −34% $28,156 −34% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $18,554 $17,106 $28,125 −34% $28,125 −34% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $18,515 $17,070 $28,065 −34% $27,426 −32% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $18,492 $17,049 $28,029 −34% $22,320 −17% —
348 ANAL AND STOMAL PROCEDURES WITH CC $18,439 $17,000 $27,947 −34% $27,947 −34% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $18,364 $17,156 $28,209 −35% $23,498 −22% —
887 OTHER MENTAL DISORDER DIAGNOSES $18,319 $16,079 $26,404 −31% $20,616 −11% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $18,240 $16,817 $27,641 −34% $19,354 −6% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $18,236 $16,813 $27,634 −34% $22,851 −20% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $18,183 $16,764 $27,552 −34% $20,727 −12% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $18,144 $16,728 $27,492 −34% $28,320 −36% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $18,051 $16,642 $27,348 −34% $19,270 −6% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $18,035 $16,627 $27,323 −34% $27,323 −34% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $18,011 $16,729 $27,494 −34% $22,458 −20% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $17,995 $16,590 $27,261 −34% $19,132 −6% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $17,951 $17,385 $28,593 −37% $26,870 −33% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $17,931 $16,532 $27,163 −34% $27,163 −34% —
593 SKIN ULCERS WITH CC $17,919 $16,520 $27,143 −34% $22,886 −22% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $17,867 $16,472 $27,063 −34% $25,581 −30% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $17,859 $24,728 $40,894 −56% $29,221 −39% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $17,792 $16,403 $26,948 −34% $26,948 −34% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $17,677 $16,297 $26,770 −34% $26,770 −34% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $17,673 $24,204 $28,935 −39% $16,351 +8% —
549 SEPTIC ARTHRITIS WITH CC $17,666 $16,287 $26,753 −34% $24,056 −27% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $17,523 $16,156 $26,533 −34% $21,847 −20% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $17,391 $19,504 $31,612 −45% $21,986 −21% —
130 UnGrouped $17,341 — $23,289 −26% $23,289 −26% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $17,335 $15,982 $26,242 −34% $19,598 −12% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,201 $14,758 $24,191 −29% $32,021 −46% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $17,165 $15,826 $25,980 −34% $23,617 −27% ≈114% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $17,116 $16,820 $27,645 −38% $27,297 −37% —
302 ATHEROSCLEROSIS WITH MCC $17,065 $15,733 $25,825 −34% $22,446 −24% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $17,062 $15,730 $25,820 −34% $23,443 −27% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $17,029 $15,700 $25,769 −34% $21,230 −20% —
304 HYPERTENSION WITH MCC $17,004 $15,885 $26,080 −35% $26,080 −35% —
885 PSYCHOSES $16,988 $18,997 $30,968 −45% $21,729 −22% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $16,984 $15,659 $25,700 −34% $25,700 −34% —
375 DIGESTIVE MALIGNANCY WITH CC $16,947 $16,600 $27,277 −38% $27,277 −38% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $16,783 $15,473 $25,390 −34% $25,390 −34% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $16,764 $15,456 $25,361 −34% $24,944 −33% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $16,692 $15,630 $25,652 −35% $25,652 −35% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $16,553 $15,261 $25,034 −34% $25,034 −34% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $16,525 $16,715 $27,470 −40% $26,580 −38% ≈112% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $16,484 $15,198 $24,928 −34% $19,815 −17% —
181 RESPIRATORY NEOPLASMS WITH CC $16,303 $15,031 $24,648 −34% $23,573 −31% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $16,236 $14,968 $24,544 −34% $24,544 −34% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $16,235 $15,199 $24,930 −35% $24,386 −33% —
102 HEADACHES WITH MCC $16,202 $15,683 $25,740 −37% $25,740 −37% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $16,192 $14,929 $24,477 −34% $27,843 −42% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $16,168 $14,906 $24,439 −34% $17,483 −8% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $16,075 $14,820 $24,295 −34% $17,398 −8% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $16,014 $21,730 $35,872 −55% $27,152 −41% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $15,902 $14,775 $24,220 −34% $20,926 −24% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $15,891 $14,689 $24,075 −34% $23,319 −32% —
945 REHABILITATION WITH CCMCC $15,872 $20,546 $32,934 −52% $23,834 −33% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $15,865 $14,627 $23,971 −34% $22,314 −29% —
949 AFTERCARE WITH CCMCC $15,853 $14,616 $23,953 −34% $23,953 −34% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,852 $14,615 $23,951 −34% $19,073 −17% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $15,848 $14,611 $23,944 −34% $17,193 −8% —
089 CONCUSSION WITH CC $15,754 $14,525 $23,800 −34% $18,821 −16% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $15,721 $14,494 $23,749 −34% $23,749 −34% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $15,593 $14,376 $23,551 −34% $23,551 −34% —
381 COMPLICATED PEPTIC ULCER WITH CC $15,588 $14,750 $24,177 −36% $24,177 −36% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $15,561 $14,347 $23,503 −34% $24,914 −38% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $15,492 $14,283 $23,396 −34% $23,488 −34% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $15,464 $14,257 $23,352 −34% $19,657 −21% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,438 $14,233 $23,312 −34% $22,763 −32% —
152 OTITIS MEDIA AND URI WITH MCC $15,334 $15,355 $25,192 −39% $20,247 −24% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $15,327 $14,131 $23,141 −34% $23,141 −34% ≈119% of Medicare
712 TESTES PROCEDURES WITHOUT CCMCC $15,318 $14,491 $23,745 −35% $18,898 −19% —
200 PNEUMOTHORAX WITH CC $15,287 $14,994 $24,586 −38% $21,368 −28% —
667 PROSTATECTOMY WITHOUT CCMCC $15,117 $13,937 $22,817 −34% $16,703 −9% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $15,100 $13,922 $22,790 −34% $25,970 −42% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $15,074 $13,898 $22,750 −34% $18,348 −18% —
184 MAJOR CHEST TRAUMA WITH CC $15,061 $14,472 $23,711 −36% $22,432 −33% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $15,032 $13,957 $22,850 −34% $22,850 −34% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $15,001 $13,830 $22,637 −34% $22,506 −33% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $14,999 $13,829 $22,635 −34% $22,635 −34% —
340 UnGrouped $14,845 — $23,289 −36% $13,613 +9% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,799 $15,028 $24,644 −40% $18,459 −20% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $14,762 $13,610 $22,268 −34% $17,737 −17% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $14,761 $13,609 $22,266 −34% $16,212 −9% —
187 PLEURAL EFFUSION WITH CC $14,748 $13,622 $22,288 −34% $21,789 −32% —
697 URETHRAL STRICTURE $14,744 $13,593 $22,239 −34% $18,428 −20% —
644 ENDOCRINE DISORDERS WITH CC $14,693 $14,012 $22,941 −36% $23,198 −37% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $14,610 $13,470 $22,033 −34% $22,033 −34% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $14,560 $13,980 $22,888 −36% $22,888 −36% ≈117% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $14,515 $13,382 $21,886 −34% $22,098 −34% —
134 UnGrouped $14,504 — $23,289 −38% $23,289 −38% —
920 COMPLICATIONS OF TREATMENT WITH CC $14,501 $13,780 $22,552 −36% $22,468 −35% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $14,475 $14,576 $23,887 −39% $18,956 −24% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $14,452 $14,267 $23,369 −38% $20,232 −29% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $14,416 $13,291 $21,733 −34% $15,901 −9% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $14,405 $13,280 $21,716 −34% $17,404 −17% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,384 $15,570 $25,552 −44% $18,133 −21% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $14,338 $13,782 $22,557 −36% $19,264 −26% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,309 $14,644 $24,000 −40% $17,226 −17% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,239 $13,833 $22,641 −37% $21,275 −33% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $14,232 $13,121 $21,449 −34% $21,449 −34% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $14,193 $15,732 $25,822 −45% $19,412 −27% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $14,176 $13,070 $21,363 −34% $21,363 −34% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $14,146 $16,018 $26,302 −46% $25,712 −45% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $14,137 $13,464 $22,024 −36% $22,024 −36% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $14,087 $12,987 $21,225 −34% $19,924 −29% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $14,081 $12,982 $21,216 −34% $20,911 −33% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $14,076 $13,541 $22,153 −36% $17,698 −20% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $14,074 $12,975 $21,205 −34% $19,594 −28% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $14,071 $12,973 $21,201 −34% $15,589 −10% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $13,956 $13,802 $22,590 −38% $25,303 −45% —
882 NEUROSES EXCEPT DEPRESSIVE $13,934 $13,066 $21,356 −35% $15,680 −11% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,885 $13,825 $22,628 −39% $20,901 −34% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $13,874 $12,791 $20,896 −34% $20,181 −31% ≈117% of Medicare
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $13,851 $12,770 $20,861 −34% $17,934 −23% —
343 UnGrouped $13,815 — $23,289 −41% $12,397 +11% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,731 $13,089 $21,396 −36% $21,396 −36% ≈119% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $13,713 $13,568 $22,197 −38% $20,957 −35% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $13,660 $12,594 $20,566 −34% $20,566 −34% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $13,618 $13,128 $21,460 −37% $17,724 −23% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,594 $12,533 $20,463 −34% $20,463 −34% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $13,588 $12,528 $20,455 −34% $20,455 −34% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $13,554 $12,496 $20,401 −34% $18,072 −25% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $13,462 $12,411 $20,259 −34% $20,259 −34% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $13,416 $17,234 $28,340 −53% $22,557 −41% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $13,374 $13,021 $21,280 −37% $17,733 −25% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $13,373 $12,930 $21,129 −37% $18,316 −27% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $13,364 $12,558 $20,506 −35% $20,506 −35% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $13,356 $12,689 $20,725 −36% $16,968 −21% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,337 $13,833 $22,641 −41% $17,601 −24% —
101 SEIZURES WITHOUT MCC $13,216 $12,532 $20,461 −35% $20,461 −35% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $13,171 $12,143 $19,811 −34% $22,148 −41% —
158 DENTAL AND ORAL DISEASES WITH CC $13,146 $12,782 $20,881 −37% $18,466 −29% —
914 TRAUMATIC INJURY WITHOUT MCC $13,137 $12,461 $20,344 −35% $15,855 −17% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $13,121 $12,137 $19,914 −34% $15,764 −17% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $13,060 $12,162 $19,842 −34% $19,842 −34% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $13,051 $12,032 $19,624 −33% $16,520 −21% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $13,038 $12,547 $20,488 −36% $20,488 −36% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $13,025 $12,008 $19,584 −33% $16,699 −22% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $13,015 $11,999 $19,569 −33% $19,569 −33% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $13,006 $11,991 $19,854 −34% $19,854 −34% —
864 FEVER AND INFLAMMATORY CONDITIONS $12,927 $12,217 $19,935 −35% $18,640 −31% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $12,897 $12,019 $19,602 −34% $16,998 −24% —
312 SYNCOPE AND COLLAPSE $12,868 $11,864 $19,342 −33% $19,342 −33% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $12,844 $11,841 $19,305 −33% $19,305 −33% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $12,758 $13,378 $21,880 −42% $20,895 −39% —
683 RENAL FAILURE WITH CC $12,753 $12,097 $19,733 −35% $19,130 −33% —
541 OSTEOMYELITIS WITHOUT CCMCC $12,730 $11,911 $19,422 −34% $15,215 −16% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,709 $11,717 $19,096 −33% $19,096 −33% —
090 CONCUSSION WITHOUT CCMCC $12,667 $11,678 $19,032 −33% $15,412 −18% —
866 VIRAL ILLNESS WITHOUT MCC $12,643 $12,043 $19,642 −36% $17,081 −26% —
103 HEADACHES WITHOUT MCC $12,565 $11,584 $18,874 −33% $21,280 −41% —
594 SKIN ULCERS WITHOUT CCMCC $12,543 $11,564 $18,841 −33% $14,209 −12% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $12,462 $12,994 $21,236 −41% $16,700 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,434 $11,702 $19,072 −35% $18,807 −34% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $12,382 $11,416 $18,592 −33% $14,064 −12% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $12,372 $11,407 $18,577 −33% $14,055 −12% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $12,369 $11,646 $18,978 −35% $14,290 −13% —
638 DIABETES WITH CC $12,337 $12,472 $20,361 −39% $19,661 −37% —
076 VIRAL MENINGITIS WITHOUT CCMCC $12,246 $12,468 $20,355 −40% $17,135 −29% —
603 CELLULITIS WITHOUT MCC $12,142 $11,990 $19,553 −38% $18,530 −34% ≈123% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $12,131 $11,184 $18,204 −33% $18,204 −33% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $12,096 $11,152 $18,150 −33% $18,150 −33% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $12,080 $11,138 $18,126 −33% $18,126 −33% —
946 REHABILITATION WITHOUT CCMCC $12,037 $15,113 $24,786 −51% $17,685 −32% —
138 MOUTH PROCEDURES WITHOUT CCMCC $12,037 $11,098 $19,492 −38% $19,119 −37% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,022 $12,308 $20,086 −40% $16,552 −27% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,982 $11,259 $18,330 −35% $17,298 −31% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,957 $12,040 $19,638 −39% $15,452 −23% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $11,895 $14,845 $24,337 −51% $16,846 −29% —
123 NEUROLOGICAL EYE DISORDERS $11,889 $10,961 $17,831 −33% $19,745 −40% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $11,854 $11,742 $19,138 −38% $19,138 −38% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $11,853 $10,928 $17,775 −33% $13,586 −13% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,850 $12,321 $20,108 −41% $18,488 −36% ≈117% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,845 $10,920 $17,762 −33% $21,056 −44% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,764 $10,846 $17,638 −33% $17,921 −34% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $11,751 $11,063 $18,002 −35% $18,002 −35% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $11,740 $11,138 $18,126 −35% $18,126 −35% —
176 PULMONARY EMBOLISM WITHOUT MCC $11,734 $11,111 $18,081 −35% $18,081 −35% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $11,669 $14,669 $24,042 −51% $23,283 −50% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $11,631 $10,723 $17,431 −33% $14,014 −17% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $11,523 $10,623 $17,265 −33% $17,124 −33% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $11,496 $14,388 $23,571 −51% $23,571 −51% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,468 $11,169 $18,179 −37% $14,501 −21% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $11,448 $10,777 $17,522 −35% $17,620 −35% —
779 ABORTION WITHOUT D&C $11,440 $12,705 $20,752 −45% $15,327 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,407 $11,770 $19,185 −41% $15,889 −28% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $11,389 $10,517 $17,087 −33% $14,648 −22% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,350 $10,658 $17,322 −34% $17,322 −34% ≈123% of Medicare
151 EPISTAXIS WITHOUT MCC $11,333 $10,362 $16,827 −33% $13,032 −13% —
881 DEPRESSIVE NEUROSES $11,323 $12,431 $20,293 −44% $15,058 −25% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $11,207 $10,332 $16,776 −33% $16,776 −33% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,200 $10,953 $17,817 −37% $17,674 −37% ≈120% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,163 $10,940 $17,795 −37% $17,578 −36% ≈131% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $11,153 $11,104 $18,070 −38% $17,559 −36% —
305 HYPERTENSION WITHOUT MCC $11,135 $10,266 $16,665 −33% $18,086 −38% ≈128% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $11,128 $10,259 $16,654 −33% $19,037 −42% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $11,115 $10,247 $16,634 −33% $16,634 −33% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $11,089 $10,231 $16,607 −33% $14,716 −25% —
149 DYSEQUILIBRIUM $11,089 $10,223 $16,594 −33% $18,096 −39% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $11,070 $10,206 $16,565 −33% $16,565 −33% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $11,051 $10,784 $17,533 −37% $13,445 −18% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,044 $10,182 $16,525 −33% $15,019 −26% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,043 $11,764 $19,176 −42% $18,602 −41% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,995 $10,137 $16,450 −33% $16,450 −33% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $10,976 $13,543 $22,155 −50% $15,370 −29% —
950 AFTERCARE WITHOUT CCMCC $10,921 $8,084 $13,527 −19% $13,527 −19% —
188 PLEURAL EFFUSION WITHOUT CCMCC $10,898 $10,047 $16,299 −33% $14,514 −25% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,873 $11,145 $18,139 −40% $17,118 −36% —
204 RESPIRATORY SIGNS AND SYMPTOMS $10,866 $11,065 $18,004 −40% $18,004 −40% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $10,767 $9,926 $16,097 −33% $19,227 −44% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $10,754 $9,914 $16,077 −33% $12,593 −15% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $10,733 $13,148 $21,494 −50% $19,962 −46% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $10,733 $13,148 $21,494 −50% $18,452 −42% —
694 URINARY STONES WITHOUT MCC $10,683 $10,672 $17,347 −38% $17,345 −38% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $10,599 $9,771 $15,837 −33% $15,837 −33% —
313 CHEST PAIN $10,599 $9,771 $15,837 −33% $16,440 −36% ≈119% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,567 $10,115 $16,412 −36% $17,303 −39% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $10,561 $9,973 $16,175 −35% $12,768 −17% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $10,501 $10,637 $17,287 −39% $15,428 −32% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $10,469 $9,652 $15,637 −33% $12,336 −15% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $10,445 $9,630 $15,600 −33% $15,600 −33% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $10,412 $9,599 $15,549 −33% $15,549 −33% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $10,363 $9,567 $15,495 −33% $15,495 −33% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $10,323 $9,517 $15,411 −33% $14,797 −30% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $10,288 $9,485 $15,358 −33% $14,689 −30% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $10,238 $9,439 $15,280 −33% $20,781 −51% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $10,215 $12,306 $20,084 −49% $20,084 −49% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $10,157 $9,365 $15,156 −33% $13,651 −26% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $10,069 $9,930 $16,104 −37% $16,767 −40% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $10,009 $9,228 $14,927 −33% $14,549 −31% —
303 ATHEROSCLEROSIS WITHOUT MCC $10,009 $9,228 $14,927 −33% $14,927 −33% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $9,996 $9,216 $14,907 −33% $11,909 −16% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $9,979 $9,200 $14,880 −33% $16,288 −39% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,970 $9,547 $15,462 −36% $12,460 −20% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $9,961 $11,893 $19,815 −50% $19,846 −50% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $9,927 $9,153 $14,800 −33% $11,847 −16% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $9,825 $9,058 $14,643 −33% $13,633 −28% —
201 PNEUMOTHORAX WITHOUT CCMCC $9,752 $9,290 $15,031 −35% $14,053 −31% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,720 $10,222 $16,592 −41% $12,895 −25% —
311 ANGINA PECTORIS $9,703 $9,571 $15,502 −37% $15,502 −37% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $9,598 $9,853 $15,975 −40% $12,559 −24% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,592 $9,906 $16,064 −40% $13,275 −28% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $9,496 $8,755 $14,134 −33% $15,038 −37% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $9,492 $8,751 $14,128 −33% $14,128 −33% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $9,470 $9,431 $15,267 −38% $14,415 −34% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,411 $9,773 $15,839 −41% $12,454 −24% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $9,384 $8,763 $14,148 −34% $12,078 −22% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $9,374 $9,056 $14,638 −36% $14,638 −36% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $9,310 $8,799 $14,208 −34% $14,250 −35% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $9,236 $9,549 $15,464 −40% $12,252 −25% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $9,202 $8,894 $14,368 −36% $14,368 −36% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $9,162 $8,569 $13,824 −34% $13,824 −34% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $9,103 $8,469 $13,683 −33% $15,183 −40% —
153 OTITIS MEDIA AND URI WITHOUT MCC $9,097 $9,749 $15,799 −42% $14,583 −38% —
684 RENAL FAILURE WITHOUT CCMCC $9,075 $8,367 $13,642 −33% $13,642 −33% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $8,923 $8,718 $14,072 −37% $11,421 −22% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,907 $9,118 $14,743 −40% $13,942 −36% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $8,857 $9,306 $15,058 −41% $11,997 −26% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $8,803 $8,360 $13,639 −35% $11,071 −20% —
639 DIABETES WITHOUT CCMCC $8,694 $8,621 $13,910 −37% $13,910 −37% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $8,572 $8,588 $13,855 −38% $12,324 −30% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $8,556 $8,262 $13,599 −37% $10,975 −22% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $8,414 $7,757 $13,395 −37% $10,480 −20% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $8,173 $7,732 $13,384 −39% $13,384 −39% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $7,989 $7,569 $13,318 −40% $13,361 −40% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,773 $7,831 $13,425 −42% $10,160 −23% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $7,532 $7,589 $13,326 −43% $12,999 −42% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $6,805 $7,206 $11,539 −41% $9,940 −32% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $6,694 $6,171 $12,751 −48% $8,927 −25% —
795 NORMAL NEWBORN $3,182 $2,966 $6,664 −52% $4,720 −33% —
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