La Palma Intercommunity Hospital (Acute Care) — Pricing

712 procedures published in this hospital's Machine-Readable File (MRF) — 712 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 712
Lowest published price $2,845
Average published price $33,453
Highest published price $516,454

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 712 procedures

Published charges

Showing all 712 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 18 procedures, this hospital's negotiated rates average ≈113% 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 $516,454 $489,824 $641,743 −20% $573,534 −10% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $395,805 $365,964 $486,976 −19% $461,389 −14% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $333,412 $308,275 $412,183 −19% $306,087 +9% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $301,254 $278,542 $371,366 −19% $371,366 −19% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $198,775 $183,789 $248,521 −20% $248,521 −20% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $184,344 $170,446 $227,681 −19% $182,314 +1% —
007 LUNG TRANSPLANT $183,881 $170,017 $230,667 −20% $170,608 +8% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $155,122 $143,426 $198,463 −22% $194,769 −20% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $149,925 $138,621 $189,963 −21% $164,641 −9% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $149,158 $137,912 $191,314 −22% $208,939 −29% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $137,274 — $23,289 +489% $103,861 +32% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $135,913 $125,666 $175,437 −23% $188,171 −28% —
850 UnGrouped $129,749 $119,966 $168,048 −23% $121,563 +7% —
231 CORONARY BYPASS WITH PTCA WITH MCC $119,391 $110,389 $155,631 −23% $147,227 −19% —
429 UnGrouped $117,520 $108,659 $153,621 −24% $144,774 −19% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $113,597 $105,032 $148,686 −24% $148,686 −24% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $112,903 $110,328 $153,282 −26% $153,282 −26% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $111,719 $103,296 $146,435 −24% $105,228 +6% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $110,162 $101,857 $144,569 −24% $144,569 −24% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $109,055 $100,833 $143,242 −24% $143,242 −24% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $108,254 $89,034 $125,675 −14% $102,600 +6% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $107,918 $45,486 $71,486 +51% $56,242 +92% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $105,220 $97,286 $136,374 −23% $120,573 −13% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $104,219 $141,794 $196,346 −47% $196,346 −47% —
426 UnGrouped $103,975 $136,363 $189,537 −45% $142,326 −27% —
010 PANCREAS TRANSPLANT $103,841 $103,889 $144,934 −28% $99,940 +4% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $94,882 $92,132 $131,961 −28% $131,961 −28% —
447 UnGrouped $94,560 $87,430 $126,098 −25% $126,098 −25% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $91,226 $84,348 $116,058 −21% $116,058 −21% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $91,110 $84,228 $121,714 −25% $123,995 −27% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $89,221 $82,494 $117,196 −24% $109,331 −18% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $88,585 $87,095 $125,432 −29% $89,353 −1% —
317 UnGrouped $87,285 $80,704 $117,146 −25% $88,566 −1% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $86,890 $80,338 $114,401 −24% $98,912 −12% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $86,588 $80,059 $114,040 −24% $108,472 −20% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $86,195 $79,696 $115,839 −26% $115,839 −26% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $85,173 $78,751 $108,802 −22% $81,176 +5% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $84,540 $78,166 $113,855 −26% $113,855 −26% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $83,957 $77,627 $113,157 −26% $103,455 −19% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $83,667 — $23,289 +259% $75,251 +11% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $83,044 $76,783 $112,062 −26% $112,062 −26% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $82,175 $75,979 $108,750 −24% $96,192 −15% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $81,273 $72,151 $106,057 −23% $106,057 −23% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $81,012 $74,904 $107,355 −25% $107,355 −25% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $80,530 $74,458 $106,778 −25% $106,778 −25% —
028 SPINAL PROCEDURES WITH MCC $80,358 $79,317 $113,077 −29% $113,077 −29% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $79,883 $80,808 $117,280 −32% $117,280 −32% —
653 MAJOR BLADDER PROCEDURES WITH MCC $78,699 $72,765 $104,583 −25% $104,583 −25% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $78,035 $72,151 $100,245 −22% $85,566 −9% —
430 UnGrouped $77,238 $71,414 $105,333 −27% $101,618 −24% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $76,825 $71,032 $102,337 −25% $86,459 −11% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $76,651 $70,872 $102,128 −25% $102,128 −25% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $76,262 $70,512 $101,662 −25% $89,207 −15% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $76,191 $70,446 $101,576 −25% $101,576 −25% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $75,128 $69,464 $102,573 −27% $102,573 −27% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $74,798 $69,159 $102,177 −27% $111,320 −33% —
427 UnGrouped $73,138 $92,595 $132,794 −45% $132,794 −45% —
450 UnGrouped $72,741 $67,256 $99,943 −27% $99,943 −27% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $71,962 $66,536 $96,507 −25% $96,507 −25% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $71,205 $66,333 $96,245 −26% $80,793 −12% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $71,152 $65,787 $95,536 −26% $93,390 −24% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $70,735 $65,402 $91,495 −23% $77,055 −8% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $70,652 $65,325 $94,937 −26% $93,172 −24% ≈113% of Medicare
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $70,618 $50,027 $75,103 −6% $75,103 −6% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $70,400 $65,092 $96,905 −27% $96,905 −27% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $70,394 $86,949 $125,242 −44% $125,242 −44% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $69,176 $53,206 $79,225 −13% $79,225 −13% —
245 AICD GENERATOR PROCEDURES $69,045 $63,839 $95,281 −28% $72,076 −4% —
471 CERVICAL SPINAL FUSION WITH MCC $68,631 $63,456 $92,515 −26% $92,515 −26% —
006 LIVER TRANSPLANT WITHOUT MCC $68,518 $63,351 $92,378 −26% $84,407 −19% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $67,582 $65,351 $97,241 −31% $93,238 −28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $67,483 $62,395 $91,138 −26% $90,724 −26% —
799 SPLENIC PROCEDURES WITH MCC $67,193 $62,126 $90,790 −26% $82,218 −18% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $67,180 $62,115 $90,775 −26% $90,775 −26% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $66,136 $61,149 $89,523 −26% $87,761 −25% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $65,748 $60,791 $91,329 −28% $91,329 −28% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $64,916 $60,021 $90,331 −28% $90,331 −28% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $64,906 $60,012 $88,050 −26% $88,050 −26% —
163 MAJOR CHEST PROCEDURES WITH MCC $63,981 $60,237 $88,341 −28% $90,195 −29% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $63,402 $58,621 $86,246 −26% $84,692 −25% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $63,228 $58,460 $88,307 −28% $88,307 −28% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $62,641 $57,918 $85,334 −27% $70,177 −11% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $62,112 $57,429 $86,970 −29% $86,970 −29% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $60,328 $55,779 $82,561 −27% $82,561 −27% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $60,240 $55,698 $84,725 −29% $101,510 −41% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $59,765 $58,970 $86,699 −31% $76,001 −21% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $59,260 $54,792 $81,281 −27% $77,990 −24% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $59,230 $56,573 $80,049 −26% $59,352 −0% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $58,992 $54,544 $57,323 +3% $18,649 +216% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $58,172 $53,786 $82,247 −29% $82,247 −29% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $58,140 $53,756 $79,939 −27% $73,120 −20% —
448 UnGrouped $57,771 $53,415 $81,998 −30% $81,998 −30% —
428 UnGrouped $56,883 $71,850 $105,899 −46% $105,899 −46% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $56,331 $52,083 $77,770 −28% $62,300 −10% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $55,837 $51,627 $77,178 −28% $71,795 −22% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $55,723 $51,521 $77,041 −28% $61,832 −10% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $55,611 $51,418 $76,907 −28% $54,196 +3% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $55,340 $51,167 $78,852 −30% $78,852 −30% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $55,037 $50,887 $76,219 −28% $76,219 −28% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $54,704 $50,579 $75,820 −28% $66,685 −18% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $54,649 $50,529 $75,754 −28% $59,594 −8% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $54,498 $50,389 $75,573 −28% $75,573 −28% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $53,816 $49,758 $74,755 −28% $74,755 −28% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $53,400 $49,374 $74,257 −28% $74,257 −28% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $52,978 $48,983 $73,751 −28% $61,470 −14% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $52,436 $54,805 $81,298 −36% $72,962 −28% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $52,354 $45,860 $69,701 −25% $62,583 −16% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $51,668 $47,772 $68,639 −25% $68,639 −25% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $50,815 — $35,899 +42% $51,625 −2% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $50,769 $46,941 $67,560 −25% $59,533 −15% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $50,760 $46,933 $71,092 −29% $71,092 −29% —
265 AICD LEAD PROCEDURES $50,524 $46,715 $70,810 −29% $63,171 −20% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $50,300 $46,507 $70,540 −29% $70,564 −29% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $49,995 $46,226 $70,175 −29% $50,919 −2% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $49,870 $46,110 $70,026 −29% $56,964 −12% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $49,694 $47,444 $71,755 −31% $71,755 −31% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $49,635 $45,892 $69,743 −29% $69,743 −29% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $49,619 $45,878 $69,724 −29% $66,068 −25% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $49,512 $45,779 $69,597 −29% $51,953 −5% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $49,379 $67,034 $99,423 −50% $99,423 −50% —
332 RECTAL RESECTION WITH MCC $49,142 $45,437 $69,152 −29% $58,125 −15% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $48,725 $45,051 $68,653 −29% $68,653 −29% —
665 PROSTATECTOMY WITH MCC $48,649 $44,981 $68,562 −29% $54,072 −10% —
252 OTHER VASCULAR PROCEDURES WITH MCC $48,604 $44,940 $68,508 −29% $68,508 −29% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $48,531 $44,872 $68,421 −29% $70,847 −31% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $48,519 $46,237 $72,461 −33% $66,848 −27% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $48,265 $44,625 $70,371 −31% $70,371 −31% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $48,065 $44,441 $70,132 −31% $70,132 −31% —
037 EXTRACRANIAL PROCEDURES WITH MCC $47,068 $43,519 $66,666 −29% $66,666 −29% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,448 $43,983 $67,268 −31% $67,268 −31% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $46,335 $42,841 $65,788 −30% $65,788 −30% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $45,889 $42,720 $65,631 −30% $58,745 −22% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $45,642 $42,200 $64,956 −30% $72,424 −37% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $45,366 $61,476 $92,217 −51% $92,217 −51% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $45,302 $41,886 $66,819 −32% $71,464 −37% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $45,216 $41,807 $60,905 −26% $49,710 −9% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $45,006 $41,612 $64,194 −30% $55,289 −19% —
500 SOFT TISSUE PROCEDURES WITH MCC $44,931 $41,543 $64,105 −30% $61,872 −27% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $44,738 $42,007 $66,976 −33% $63,928 −30% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $44,262 $40,924 $65,573 −32% $65,573 −32% —
662 MINOR BLADDER PROCEDURES WITH MCC $44,242 $40,906 $63,279 −30% $54,562 −19% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $44,056 $40,734 $65,325 −33% $65,325 −33% —
451 UnGrouped $43,771 $40,470 $65,216 −33% $65,216 −33% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $43,740 $40,442 $62,677 −30% $53,864 −19% —
652 KIDNEY TRANSPLANT $43,566 $40,281 $62,468 −30% $54,720 −20% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,527 $40,244 $64,691 −33% $60,407 −28% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $43,386 $40,115 $64,523 −33% $64,523 −33% —
402 UnGrouped $43,381 $51,192 $79,116 −45% $79,116 −45% —
570 SKIN DEBRIDEMENT WITH MCC $42,707 $39,487 $63,709 −33% $52,435 −19% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $42,578 $45,387 $69,089 −38% $52,036 −18% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $42,395 $42,702 $65,608 −35% $65,608 −35% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $42,370 $39,175 $57,493 −26% $46,402 −9% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $41,842 $38,687 $60,402 −31% $58,228 −28% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $41,736 $38,589 $60,274 −31% $65,653 −36% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $41,623 $38,485 $60,140 −31% $60,170 −31% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $41,561 $55,306 $84,217 −51% $60,098 −31% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,389 $38,268 $59,859 −31% $51,608 −20% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $41,366 $38,247 $62,334 −34% $70,467 −41% —
800 SPLENIC PROCEDURES WITH CC $41,354 $38,236 $59,817 −31% $49,184 −16% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $41,331 $38,215 $59,790 −31% $59,790 −31% —
472 CERVICAL SPINAL FUSION WITH CC $41,121 $38,020 $59,537 −31% $59,537 −31% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,652 $37,587 $58,975 −31% $58,975 −31% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,628 $37,565 $61,217 −34% $61,217 −34% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $40,589 $54,417 $83,065 −51% $85,159 −52% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $40,413 $37,366 $60,959 −34% $81,706 −51% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,278 $37,630 $59,031 −32% $59,031 −32% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $39,875 $36,868 $58,043 −31% $58,043 −31% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $39,834 $36,830 $60,265 −34% $52,986 −25% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $38,864 $35,933 $56,832 −32% $48,358 −20% —
654 MAJOR BLADDER PROCEDURES WITH CC $38,811 $37,046 $58,274 −33% $58,274 −33% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,795 $35,870 $53,208 −27% $50,618 −23% —
791 PREMATURITY WITH MAJOR PROBLEMS $38,792 $53,109 $70,373 −45% $42,679 −9% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,725 $35,805 $58,935 −34% $51,746 −25% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,588 $35,678 $52,959 −27% $43,491 −11% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $38,401 $35,505 $52,735 −27% $62,264 −38% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,276 $35,390 $56,127 −32% $44,546 −14% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $38,234 $43,272 $68,616 −44% $52,908 −28% —
263 VEIN LIGATION AND STRIPPING $38,102 $35,229 $55,918 −32% $51,253 −26% —
849 RADIOTHERAPY $37,948 $35,086 $52,191 −27% $37,862 +0% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $37,831 $34,978 $55,594 −32% $47,945 −21% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $37,698 $34,855 $55,434 −32% $44,222 −15% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $37,651 $34,812 $55,378 −32% $48,687 −23% —
503 FOOT PROCEDURES WITH MCC $37,604 $34,768 $55,321 −32% $47,540 −21% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $37,566 $34,733 $55,276 −32% $41,422 −9% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $37,471 $35,251 $52,405 −28% $52,405 −28% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $37,277 $34,466 $54,929 −32% $54,929 −32% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,290 $33,553 $53,746 −32% $57,454 −37% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $36,223 $33,491 $53,666 −33% $58,707 −38% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,924 $33,215 $49,765 −28% $40,362 −11% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $35,896 $33,189 $53,274 −33% $49,423 −27% —
164 MAJOR CHEST PROCEDURES WITH CC $35,785 $33,086 $53,141 −33% $56,755 −37% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $35,630 $26,539 $41,111 −13% $32,031 +11% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $35,577 $32,894 $55,162 −36% $55,162 −36% —
397 APPENDIX PROCEDURES WITH MCC $35,235 $32,578 $54,751 −36% $53,257 −34% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $35,094 $32,448 $54,583 −36% $54,583 −36% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $34,975 $33,960 $54,273 −36% $52,178 −33% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $34,820 $32,195 $51,985 −33% $51,985 −33% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $34,631 $34,015 $54,345 −36% $45,167 −23% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $34,537 $31,933 $51,645 −33% $59,421 −42% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $34,504 $45,121 $71,014 −51% $71,014 −51% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,405 $31,811 $51,487 −33% $50,046 −31% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $34,298 $31,712 $51,359 −33% $42,186 −19% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $34,157 $31,581 $51,189 −33% $59,651 −43% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,103 $31,532 $47,583 −28% $47,583 −28% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $34,103 $31,532 $47,583 −28% $41,620 −18% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $33,958 $33,564 $50,218 −32% $38,878 −13% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $33,813 $31,263 $50,777 −33% $53,451 −37% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $33,685 $31,145 $50,624 −33% $50,624 −33% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,633 $31,097 $50,562 −33% $59,500 −43% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,580 $31,048 $50,498 −34% $50,498 −34% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,281 $30,771 $50,139 −34% $50,139 −34% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,023 $30,532 $46,288 −29% $36,489 −9% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $32,916 $30,434 $51,339 −36% $59,629 −45% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $32,833 $31,137 $50,614 −35% $40,548 −19% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $32,603 $30,144 $45,785 −29% $39,181 −17% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,505 $30,054 $49,209 −34% $42,415 −23% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $32,444 $29,998 $49,137 −34% $48,349 −33% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $32,385 $29,943 $49,066 −34% $49,066 −34% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $32,262 $29,829 $45,376 −29% $41,892 −23% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $32,154 $29,729 $48,788 −34% $38,998 −18% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,152 $29,728 $50,131 −36% $49,418 −35% —
113 ORBITAL PROCEDURES WITH CCMCC $32,130 $29,707 $48,760 −34% $36,167 −11% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,077 $29,658 $50,011 −36% $50,011 −36% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,025 $29,610 $48,634 −34% $47,737 −33% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $31,790 $29,393 $48,353 −34% $47,789 −33% —
030 SPINAL PROCEDURES WITHOUT CCMCC $31,692 $29,302 $48,235 −34% $45,866 −31% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $31,630 $29,647 $48,682 −35% $48,682 −35% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $31,474 $29,145 $44,489 −29% $46,283 −32% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,327 $28,965 $47,797 −34% $41,608 −25% —
333 RECTAL RESECTION WITH CC $31,258 $28,003 $46,551 −33% $37,154 −16% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $30,905 $28,574 $43,749 −29% $42,901 −28% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $30,683 $28,369 $43,483 −29% $38,666 −21% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $30,615 $28,250 $43,328 −29% $38,070 −20% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $30,436 $28,141 $43,187 −30% $35,569 −14% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $30,432 $28,137 $46,724 −35% $46,724 −35% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $30,416 $33,321 $56,278 −46% $39,173 −22% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $30,376 $28,085 $46,657 −35% $42,906 −29% —
595 MAJOR SKIN DISORDERS WITH MCC $30,144 $27,871 $42,837 −30% $34,598 −13% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,105 $27,835 $46,332 −35% $50,463 −40% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,092 $27,823 $42,775 −30% $39,958 −25% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,092 $27,823 $46,317 −35% $43,650 −31% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,046 $27,780 $46,799 −36% $58,280 −48% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $29,971 $27,711 $46,172 −35% $42,795 −30% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $29,883 $27,629 $46,066 −35% $46,066 −35% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $29,854 $30,194 $45,849 −35% $40,108 −26% —
935 NON-EXTENSIVE BURNS $29,677 $28,926 $43,274 −31% $31,701 −6% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $29,613 $27,380 $45,743 −35% $43,174 −31% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $29,580 $27,349 $45,703 −35% $52,751 −44% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $29,545 $28,699 $47,452 −38% $45,333 −35% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $29,531 $28,418 $47,089 −37% $45,877 −36% —
592 SKIN ULCERS WITH MCC $29,319 $27,108 $41,848 −30% $33,246 −12% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $29,256 $26,093 $43,913 −33% $43,913 −33% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $29,008 $23,148 $38,876 −25% $35,849 −19% —
539 OSTEOMYELITIS WITH MCC $28,843 $26,668 $41,277 −30% $37,609 −23% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $28,768 $26,599 $44,730 −36% $42,914 −33% —
548 SEPTIC ARTHRITIS WITH MCC $28,733 $26,567 $41,146 −30% $31,346 −8% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $28,693 $26,529 $44,639 −36% $46,090 −38% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $28,606 $27,946 $46,477 −38% $49,351 −42% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $28,506 $26,356 $44,363 −36% $44,363 −36% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $28,482 $26,334 $44,326 −36% $29,611 −4% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $28,377 $26,237 $40,719 −30% $39,106 −27% —
100 SEIZURES WITH MCC $28,322 $26,186 $40,653 −30% $35,481 −20% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $28,319 $26,184 $44,068 −36% $32,574 −13% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,150 $26,027 $43,800 −36% $43,800 −36% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,134 $26,013 $43,775 −36% $44,139 −36% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $28,043 $25,928 $43,631 −36% $43,631 −36% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $27,997 $25,885 $40,263 −30% $35,628 −21% ≈107% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $27,984 $25,874 $43,538 −36% $43,538 −36% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $27,917 $26,353 $44,357 −37% $43,943 −36% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $27,903 $25,798 $40,150 −31% $39,955 −30% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $27,887 $25,784 $43,384 −36% $29,524 −6% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $27,883 $25,780 $43,378 −36% $38,861 −28% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $27,695 $25,606 $43,080 −36% $43,080 −36% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $27,661 $25,575 $43,027 −36% $37,240 −26% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $27,610 $27,552 $42,423 −35% $33,851 −18% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,568 $25,490 $42,881 −36% $42,881 −36% —
906 HAND PROCEDURES FOR INJURIES $27,567 $28,745 $47,513 −42% $32,065 −14% —
380 COMPLICATED PEPTIC ULCER WITH MCC $27,393 $25,395 $39,627 −31% $39,627 −31% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,305 $25,246 $42,463 −36% $34,459 −21% —
711 TESTES PROCEDURES WITH CCMCC $27,274 $25,217 $42,414 −36% $38,343 −29% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,091 $25,048 $42,126 −36% $42,126 −36% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,091 $25,048 $42,126 −36% $40,562 −33% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $27,083 $26,219 $40,695 −33% $36,249 −25% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $27,031 $24,993 $39,105 −31% $36,431 −26% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $26,990 $24,955 $39,057 −31% $33,985 −21% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $26,924 $24,894 $38,978 −31% $37,844 −29% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $26,921 $24,891 $41,857 −36% $50,607 −47% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $26,920 $24,890 $41,855 −36% $47,711 −44% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $26,811 $24,921 $39,013 −31% $33,255 −19% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $26,635 $24,627 $38,631 −31% $36,792 −28% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $26,620 $24,612 $41,380 −36% $46,340 −43% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,512 $24,512 $38,483 −31% $33,047 −20% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $26,500 $24,502 $41,191 −36% $36,670 −28% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $26,366 $24,377 $38,308 −31% $30,243 −13% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $26,186 $24,211 $40,694 −36% $40,694 −36% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,116 $24,146 $40,583 −36% $43,298 −40% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,103 $24,135 $40,563 −36% $40,642 −36% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $26,067 $24,101 $37,950 −31% $37,950 −31% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,043 $24,079 $37,921 −31% $37,387 −30% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $25,851 $23,901 $40,163 −36% $58,809 −56% —
919 COMPLICATIONS OF TREATMENT WITH MCC $25,842 $24,088 $37,933 −32% $31,105 −17% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $25,824 $19,580 $17,665 +46% $8,445 +206% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $25,787 $23,843 $40,063 −36% $41,591 −38% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $25,655 $26,743 $41,375 −38% $31,134 −18% —
501 SOFT TISSUE PROCEDURES WITH CC $25,507 $23,583 $39,619 −36% $39,619 −36% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $25,441 $23,522 $39,515 −36% $39,515 −36% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $25,431 $24,018 $37,842 −33% $37,842 −33% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $25,382 $23,468 $39,422 −36% $34,276 −26% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $25,342 $23,431 $39,360 −36% $38,101 −33% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $25,128 $23,233 $39,020 −36% $39,020 −36% —
509 ARTHROSCOPY $25,105 $23,220 $38,998 −36% $25,994 −3% —
504 FOOT PROCEDURES WITH CC $25,090 $23,198 $38,960 −36% $38,960 −36% —
505 FOOT PROCEDURES WITHOUT CCMCC $25,090 $23,198 $38,960 −36% $34,937 −28% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $25,011 $23,125 $38,836 −36% $38,836 −36% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $24,992 $21,740 $36,467 −31% $35,831 −30% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $24,825 $22,953 $38,541 −36% $32,443 −23% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $24,724 $22,859 $36,340 −32% $29,826 −17% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $24,711 $24,873 $38,951 −37% $32,637 −24% —
671 URETHRAL PROCEDURES WITH CCMCC $24,651 $22,792 $38,265 −36% $27,233 −9% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $24,631 $24,284 $38,187 −35% $32,859 −25% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $24,542 $22,692 $38,094 −36% $38,094 −36% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $24,230 $22,402 $37,599 −36% $32,944 −26% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $24,169 $22,347 $35,675 −32% $31,563 −23% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $24,029 $22,236 $35,532 −32% $32,496 −26% ≈109% of Medicare
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $23,961 $22,154 $37,175 −36% $29,916 −20% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $23,900 $22,097 $35,352 −32% $26,682 −10% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $23,897 $22,095 $35,349 −32% $33,876 −29% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $23,877 $22,077 $37,042 −36% $29,126 −18% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $23,809 $22,013 $35,243 −32% $32,628 −27% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $23,792 $21,997 $36,907 −36% $29,316 −19% —
334 RECTAL RESECTION WITHOUT CCMCC $23,737 $21,947 $36,820 −36% $36,820 −36% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $23,734 $21,944 $36,816 −36% $44,606 −47% —
643 ENDOCRINE DISORDERS WITH MCC $23,719 $21,930 $35,135 −32% $33,563 −29% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $23,700 $21,913 $35,113 −33% $34,192 −31% ≈106% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $23,662 $32,213 $34,988 −32% $12,229 +93% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $23,630 $21,848 $36,651 −36% $44,117 −46% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $23,591 $21,812 $36,589 −36% $25,197 −6% —
666 PROSTATECTOMY WITH CC $23,578 $21,800 $36,569 −36% $31,906 −26% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $23,516 $22,282 $35,591 −34% $34,273 −31% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $23,516 $28,269 $43,354 −46% $31,044 −24% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $23,500 $21,727 $36,445 −36% $36,445 −36% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $23,495 $21,724 $34,867 −33% $30,828 −24% ≈112% of Medicare
915 ALLERGIC REACTIONS WITH MCC $23,479 $22,976 $36,491 −36% $32,645 −28% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $23,453 $21,685 $34,817 −33% $33,661 −30% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $23,442 $21,674 $36,354 −36% $36,354 −36% —
597 MALIGNANT BREAST DISORDERS WITH MCC $23,392 $23,220 $36,807 −36% $33,386 −30% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $23,377 $23,533 $37,213 −37% $31,159 −25% —
571 SKIN DEBRIDEMENT WITH CC $23,356 $22,151 $37,169 −37% $37,169 −37% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $23,320 $23,107 $36,661 −36% $33,555 −31% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $23,319 $22,071 $37,033 −37% $34,607 −33% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $23,274 $21,519 $36,087 −36% $28,202 −17% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $23,263 $21,508 $34,588 −33% $27,617 −16% —
913 TRAUMATIC INJURY WITH MCC $23,171 $21,424 $34,479 −33% $24,198 −4% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $23,149 $21,415 $34,467 −33% $27,316 −15% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $23,141 $23,902 $37,692 −39% $32,433 −29% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $23,095 $23,736 $37,477 −38% $26,510 −13% —
038 EXTRACRANIAL PROCEDURES WITH CC $23,073 $21,333 $35,770 −35% $35,770 −35% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $23,024 $21,288 $35,692 −35% $35,692 −35% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $22,959 $20,828 $34,906 −34% $34,906 −34% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $22,955 $21,224 $35,584 −35% $35,584 −35% —
199 PNEUMOTHORAX WITH MCC $22,877 $23,331 $36,952 −38% $33,787 −32% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $22,872 $21,147 $35,453 −35% $35,453 −35% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $22,851 $21,128 $35,419 −35% $35,419 −35% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $22,823 $21,102 $35,375 −35% $39,006 −41% —
183 MAJOR CHEST TRAUMA WITH MCC $22,736 $21,022 $33,957 −33% $29,933 −24% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $22,724 $21,010 $35,217 −35% $41,955 −46% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $22,652 $23,220 $38,998 −42% $30,553 −26% —
186 PLEURAL EFFUSION WITH MCC $22,634 $20,927 $33,834 −33% $33,834 −33% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $22,587 $20,884 $33,779 −33% $32,697 −31% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $22,522 $21,400 $34,448 −35% $33,707 −33% ≈107% of Medicare
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $22,493 $20,552 $34,434 −35% $34,434 −35% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $22,482 $20,787 $33,653 −33% $33,653 −33% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $22,465 $20,771 $33,633 −33% $33,633 −33% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $22,427 $20,736 $34,749 −35% $34,749 −35% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $22,390 $20,701 $34,689 −35% $46,295 −52% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $22,348 $21,702 $34,839 −36% $30,235 −26% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $22,204 $20,929 $35,080 −37% $35,074 −37% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $22,161 $20,489 $33,267 −33% $24,550 −10% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $22,154 $20,483 $34,316 −35% $26,598 −17% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $22,151 $20,480 $33,256 −33% $30,010 −26% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $22,148 $28,304 $47,696 −54% $37,267 −41% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $22,004 $20,344 $34,078 −35% $39,211 −44% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,946 $20,291 $33,987 −35% $25,703 −15% —
663 MINOR BLADDER PROCEDURES WITH CC $21,895 $20,244 $33,907 −35% $33,103 −34% —
945 REHABILITATION WITH CCMCC $21,883 $20,233 $32,934 −34% $23,834 −8% —
533 FRACTURES OF FEMUR WITH MCC $21,860 $20,212 $32,907 −34% $25,945 −16% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $21,761 $20,120 $33,694 −35% $33,694 −35% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $21,748 $20,108 $33,674 −35% $33,674 −35% —
398 APPENDIX PROCEDURES WITH CC $21,696 $20,060 $33,592 −35% $40,162 −46% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $21,683 $21,528 $34,613 −37% $27,633 −22% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $21,650 $20,017 $33,519 −35% $30,770 −30% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $21,641 $20,009 $33,506 −35% $33,454 −35% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $21,590 $19,961 $33,424 −35% $33,424 −35% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $21,574 $19,947 $33,399 −35% $36,505 −41% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $21,567 $19,941 $33,388 −35% $36,253 −41% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $21,565 $16,913 $28,209 −24% $19,686 +10% —
075 VIRAL MENINGITIS WITH CCMCC $21,561 $22,775 $36,230 −40% $30,447 −29% —
682 RENAL FAILURE WITH MCC $21,538 $19,913 $32,520 −34% $29,064 −26% ≈125% of Medicare
710 PENIS PROCEDURES WITHOUT CCMCC $21,531 $19,907 $33,330 −35% $26,436 −19% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $21,512 $19,890 $32,490 −34% $27,394 −21% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $21,408 $19,794 $33,137 −35% $33,393 −36% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,352 $19,742 $33,048 −35% $33,048 −35% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $21,310 $19,703 $32,248 −34% $28,140 −24% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $21,265 $19,662 $32,911 −35% $36,988 −43% —
865 VIRAL ILLNESS WITH MCC $21,173 $19,576 $32,083 −34% $26,910 −21% —
693 URINARY STONES WITH MCC $21,095 $19,505 $31,990 −34% $23,892 −12% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $21,088 $19,498 $31,982 −34% $30,571 −31% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $21,081 $19,492 $32,620 −35% $25,073 −16% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $21,081 $19,492 $31,974 −34% $26,463 −20% —
813 COAGULATION DISORDERS $20,997 $20,512 $33,296 −37% $33,296 −37% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $20,975 $19,393 $32,451 −35% $32,451 −35% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $20,858 $19,877 $32,473 −36% $30,502 −32% —
669 TRANSURETHRAL PROCEDURES WITH CC $20,788 $20,505 $34,354 −39% $34,354 −39% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $20,753 $19,188 $32,100 −35% $32,100 −35% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $20,695 $19,135 $31,511 −34% $22,525 −8% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $20,658 $19,100 $31,950 −35% $26,932 −23% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $20,605 $15,007 $24,948 −17% $31,321 −34% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $20,571 $19,019 $31,812 −35% $32,833 −37% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $20,498 $19,415 $31,874 −36% $29,743 −31% —
506 MAJOR THUMB OR JOINT PROCEDURES $20,455 $19,877 $33,279 −39% $30,557 −33% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $20,408 $18,869 $31,166 −35% $27,808 −27% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $20,378 $18,841 $31,508 −35% $22,620 −10% —
088 CONCUSSION WITH MCC $20,258 $18,730 $30,986 −35% $24,402 −17% —
811 RED BLOOD CELL DISORDERS WITH MCC $20,204 $18,681 $30,922 −35% $28,226 −28% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,157 $18,790 $31,063 −35% $26,280 −23% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $20,126 $18,608 $31,108 −35% $22,393 −10% —
137 MOUTH PROCEDURES WITH CCMCC $20,088 $18,573 $31,048 −35% $27,861 −28% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $20,013 $18,504 $30,693 −35% $27,119 −26% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $19,973 $18,466 $30,645 −35% $27,285 −27% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $19,960 $18,455 $30,846 −35% $25,094 −20% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $19,870 $18,709 $30,959 −36% $30,959 −36% —
150 EPISTAXIS WITH MCC $19,858 $18,360 $30,507 −35% $23,171 −14% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $19,737 $18,248 $30,493 −35% $30,493 −35% —
139 SALIVARY GLAND PROCEDURES $19,728 $18,241 $30,480 −35% $23,612 −16% —
602 CELLULITIS WITH MCC $19,723 $19,489 $31,970 −38% $30,598 −36% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $19,689 $18,204 $30,418 −35% $30,418 −35% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $19,582 $20,534 $33,325 −41% $32,877 −40% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $19,578 $18,102 $30,242 −35% $30,242 −35% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $19,477 $18,008 $30,083 −35% $30,083 −35% —
606 MINOR SKIN DISORDERS WITH MCC $19,477 $21,320 $34,344 −43% $27,975 −30% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $19,460 $17,993 $30,056 −35% $29,949 −35% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $19,302 $17,846 $29,805 −35% $29,805 −35% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $19,265 $17,812 $29,747 −35% $31,264 −38% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $19,208 $24,328 $40,894 −53% $29,221 −34% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $19,187 $17,740 $29,623 −35% $27,543 −30% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $19,170 $17,724 $29,596 −35% $32,841 −42% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $19,097 $17,657 $29,481 −35% $25,463 −25% ≈113% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $18,867 $17,444 $29,117 −35% $27,043 −30% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $18,788 $17,371 $28,993 −35% $26,051 −28% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $18,768 $17,523 $29,252 −36% $27,275 −31% ≈110% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $18,759 $17,344 $28,946 −35% $21,894 −14% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,748 $17,898 $29,894 −37% $24,127 −22% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $18,664 $18,207 $30,308 −38% $20,980 −11% —
540 OSTEOMYELITIS WITH CC $18,621 $17,217 $28,728 −35% $26,676 −30% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $18,572 $17,171 $28,651 −35% $22,811 −19% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $18,557 $17,157 $28,626 −35% $27,989 −34% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $18,541 $17,143 $28,602 −35% $25,748 −28% —
947 SIGNS AND SYMPTOMS WITH MCC $18,510 $17,114 $28,553 −35% $27,401 −32% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $18,486 $17,092 $28,515 −35% $28,050 −34% —
887 OTHER MENTAL DISORDER DIAGNOSES $18,472 $15,858 $26,404 −30% $20,616 −10% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $18,423 $19,303 $31,730 −42% $24,941 −26% —
291 HEART FAILURE AND SHOCK WITH MCC $18,371 $17,356 $28,966 −37% $26,776 −31% ≈110% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $18,259 $16,882 $28,156 −35% $28,156 −35% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $18,239 $16,864 $28,125 −35% $28,125 −35% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $18,201 $16,829 $28,065 −35% $27,426 −34% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $18,166 $16,913 $28,209 −36% $23,498 −23% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $18,154 $21,393 $35,872 −49% $27,152 −33% —
348 ANAL AND STOMAL PROCEDURES WITH CC $18,127 $16,760 $27,947 −35% $27,947 −35% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $17,933 $16,581 $27,641 −35% $19,354 −7% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $17,929 $16,577 $27,634 −35% $22,851 −22% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $17,877 $16,529 $27,552 −35% $20,727 −14% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $17,839 $16,494 $27,492 −35% $28,320 −37% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $17,821 $16,495 $27,494 −35% $22,458 −21% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $17,748 $16,410 $27,348 −35% $19,270 −8% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $17,733 $16,395 $27,323 −35% $27,323 −35% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $17,693 $16,359 $27,261 −35% $19,132 −8% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $17,632 $16,302 $27,163 −35% $27,163 −35% —
593 SKIN ULCERS WITH CC $17,619 $16,290 $27,143 −35% $22,886 −23% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $17,568 $16,243 $27,063 −35% $25,581 −31% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $17,495 $16,176 $26,948 −35% $26,948 −35% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $17,383 $16,072 $26,770 −35% $26,770 −35% —
549 SEPTIC ARTHRITIS WITH CC $17,372 $16,062 $26,753 −35% $24,056 −28% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $17,282 $15,979 $26,611 −35% $30,784 −44% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $17,233 $15,933 $26,533 −35% $21,847 −21% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $17,106 $19,213 $31,612 −46% $21,986 −22% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $17,049 $15,763 $26,242 −35% $19,598 −13% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $16,940 $15,487 $25,769 −34% $21,230 −20% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $16,911 $16,583 $27,645 −39% $27,297 −38% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $16,884 $15,610 $25,980 −35% $23,617 −29% ≈112% of Medicare
304 HYPERTENSION WITH MCC $16,827 $15,669 $26,080 −35% $26,080 −35% —
302 ATHEROSCLEROSIS WITH MCC $16,785 $15,519 $25,825 −35% $22,446 −25% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $16,782 $15,517 $25,820 −35% $23,443 −28% —
375 DIGESTIVE MALIGNANCY WITH CC $16,746 $16,368 $27,277 −39% $27,277 −39% —
885 PSYCHOSES $16,712 $18,716 $30,968 −46% $21,729 −23% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $16,707 $15,447 $25,700 −35% $25,700 −35% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $16,519 $15,418 $25,652 −36% $25,652 −36% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $16,510 $15,265 $25,390 −35% $25,390 −35% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $16,492 $15,248 $25,361 −35% $24,944 −34% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,440 $15,200 $25,279 −35% $25,279 −35% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $16,433 $15,194 $25,267 −35% $26,618 −38% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $16,315 $16,481 $27,470 −41% $26,580 −39% ≈114% of Medicare
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $16,287 $15,059 $25,037 −35% $24,566 −34% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $16,286 $15,057 $25,034 −35% $25,034 −35% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $16,218 $14,995 $24,928 −35% $19,815 −18% —
946 REHABILITATION WITHOUT CCMCC $16,128 $14,912 $24,786 −35% $17,685 −9% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $16,068 $14,996 $24,930 −36% $24,386 −34% —
181 RESPIRATORY NEOPLASMS WITH CC $16,041 $14,831 $24,648 −35% $23,573 −32% —
102 HEADACHES WITH MCC $16,020 $15,470 $25,740 −38% $25,740 −38% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $15,975 $14,771 $24,544 −35% $24,544 −35% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $15,933 $14,732 $24,477 −35% $27,843 −43% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $15,909 $14,710 $24,439 −35% $17,483 −9% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $15,818 $14,625 $24,295 −35% $17,398 −9% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $15,752 $14,564 $24,191 −35% $32,021 −51% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $15,744 $14,581 $24,220 −35% $20,926 −25% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $15,679 $14,497 $24,075 −35% $23,319 −33% —
949 AFTERCARE WITH CCMCC $15,676 $14,425 $23,953 −35% $23,953 −35% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $15,613 $14,436 $23,971 −35% $22,314 −30% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,601 $14,424 $23,951 −35% $19,073 −18% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $15,596 $14,420 $23,944 −35% $17,193 −9% —
089 CONCUSSION WITH CC $15,505 $14,336 $23,800 −35% $18,821 −18% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $15,473 $14,306 $23,749 −35% $23,749 −35% —
381 COMPLICATED PEPTIC ULCER WITH CC $15,426 $14,556 $24,177 −36% $24,177 −36% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $15,348 $14,190 $23,551 −35% $23,551 −35% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $15,336 $14,316 $23,767 −35% $20,422 −25% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $15,250 $14,100 $23,396 −35% $23,488 −35% ≈117% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $15,222 $14,074 $23,352 −35% $19,657 −23% —
712 TESTES PROCEDURES WITHOUT CCMCC $15,197 $14,303 $23,745 −36% $18,898 −20% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,196 $14,050 $23,312 −35% $22,763 −33% —
152 OTITIS MEDIA AND URI WITH MCC $15,149 $15,149 $25,192 −40% $20,247 −25% —
200 PNEUMOTHORAX WITH CC $15,113 $14,795 $24,586 −39% $21,368 −29% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $15,088 $13,950 $23,141 −35% $23,141 −35% —
184 MAJOR CHEST TRAUMA WITH CC $14,901 $14,284 $23,711 −37% $22,432 −34% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $14,887 $13,780 $22,850 −35% $22,850 −35% —
667 PROSTATECTOMY WITHOUT CCMCC $14,884 $13,761 $22,817 −35% $16,703 −11% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $14,867 $13,745 $22,790 −35% $25,970 −43% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $14,841 $13,722 $22,750 −35% $18,348 −19% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $14,770 $13,656 $22,637 −35% $22,506 −34% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $14,768 $13,654 $22,635 −35% $22,635 −35% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $14,731 $13,619 $22,575 −35% $23,940 −38% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,617 $14,829 $24,644 −41% $18,459 −21% —
187 PLEURAL EFFUSION WITH CC $14,549 $13,452 $22,288 −35% $21,789 −33% —
644 ENDOCRINE DISORDERS WITH CC $14,541 $13,834 $22,941 −37% $23,198 −37% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $14,535 $13,439 $22,266 −35% $16,212 −10% —
697 URETHRAL STRICTURE $14,519 $13,423 $22,239 −35% $18,428 −21% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $14,475 $16,990 $28,340 −49% $22,557 −36% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $14,388 $13,303 $22,033 −35% $22,033 −35% —
197 INTERSTITIAL LUNG DISEASE WITH CC $14,353 $13,270 $21,977 −35% $21,941 −35% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $14,302 $14,386 $23,887 −40% $18,956 −25% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $14,295 $13,217 $21,886 −35% $22,098 −35% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $14,289 $14,084 $23,369 −39% $20,232 −29% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $14,199 $13,128 $21,733 −35% $15,901 −11% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $14,189 $13,609 $22,557 −37% $19,264 −26% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,179 $15,360 $25,552 −45% $18,133 −22% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,132 $14,453 $24,000 −41% $17,226 −18% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,087 $13,658 $22,641 −38% $21,275 −34% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $14,019 $12,962 $21,449 −35% $21,449 −35% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $13,994 $13,298 $22,024 −36% $22,024 −36% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $13,980 $15,518 $25,822 −46% $19,412 −28% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,964 $12,911 $21,363 −35% $21,363 −35% —
882 NEUROSES EXCEPT DEPRESSIVE $13,960 $12,907 $21,356 −35% $15,680 −11% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $13,930 $13,373 $22,153 −37% $17,698 −21% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $13,923 $15,798 $26,302 −47% $25,712 −46% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $13,877 $12,830 $21,225 −35% $19,924 −30% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $13,872 $12,825 $21,216 −35% $20,911 −34% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $13,865 $12,819 $21,205 −35% $19,594 −29% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $13,862 $12,816 $21,201 −35% $15,589 −11% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $13,801 $13,629 $22,590 −39% $25,303 −45% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,728 $13,651 $22,628 −39% $20,901 −34% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $13,647 $12,618 $20,861 −35% $17,934 −24% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,595 $12,930 $21,396 −36% $21,396 −36% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $13,561 $13,399 $22,197 −39% $20,957 −35% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $13,479 $12,968 $21,460 −37% $17,724 −24% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $13,460 $12,445 $20,566 −35% $20,566 −35% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,396 $12,385 $20,463 −35% $20,463 −35% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $13,390 $12,380 $20,455 −35% $20,455 −35% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $13,267 $12,266 $20,259 −35% $20,259 −35% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $13,239 $12,410 $20,506 −35% $20,506 −35% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $13,237 $12,775 $21,129 −37% $18,316 −28% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $13,235 $12,863 $21,280 −38% $17,733 −25% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $13,227 $12,538 $20,725 −36% $16,968 −22% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,172 $13,658 $22,641 −42% $17,601 −25% —
101 SEIZURES WITHOUT MCC $13,090 $12,384 $20,461 −36% $20,461 −36% —
914 TRAUMATIC INJURY WITHOUT MCC $13,012 $12,315 $20,344 −36% $15,855 −18% —
158 DENTAL AND ORAL DISEASES WITH CC $13,011 $12,629 $20,881 −38% $18,466 −30% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $12,989 $12,987 $21,494 −40% $18,452 −30% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $12,983 $12,004 $19,811 −34% $22,148 −41% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $12,976 $11,997 $19,914 −35% $15,764 −18% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,943 $12,022 $19,842 −35% $19,842 −35% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,941 $14,477 $24,042 −46% $23,283 −44% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $12,909 $12,400 $20,488 −37% $20,488 −37% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $12,865 $11,895 $19,624 −34% $16,520 −22% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $12,855 $14,650 $24,337 −47% $16,846 −24% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $12,840 $11,871 $19,584 −34% $16,699 −23% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $12,830 $11,862 $19,569 −34% $19,569 −34% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $12,822 $11,855 $19,854 −35% $19,854 −35% —
864 FEVER AND INFLAMMATORY CONDITIONS $12,806 $12,076 $19,935 −36% $18,640 −31% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $12,766 $14,202 $23,571 −46% $23,571 −46% —
312 SYNCOPE AND COLLAPSE $12,687 $11,730 $19,342 −34% $19,342 −34% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $12,663 $11,708 $19,305 −34% $19,305 −34% —
683 RENAL FAILURE WITH CC $12,634 $11,958 $19,733 −36% $19,130 −34% ≈111% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $12,598 $13,213 $21,880 −42% $20,895 −40% —
292 HEART FAILURE AND SHOCK WITH CC $12,545 $11,599 $19,118 −34% $16,371 −23% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,531 $11,586 $19,096 −34% $19,096 −34% —
866 VIRAL ILLNESS WITHOUT MCC $12,524 $11,905 $19,642 −36% $17,081 −27% —
090 CONCUSSION WITHOUT CCMCC $12,495 $11,548 $19,032 −34% $15,412 −19% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $12,421 $11,517 $18,978 −35% $14,290 −13% —
103 HEADACHES WITHOUT MCC $12,391 $11,456 $18,874 −34% $21,280 −42% —
594 SKIN ULCERS WITHOUT CCMCC $12,370 $11,437 $18,841 −34% $14,209 −13% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,323 $11,572 $19,072 −35% $18,807 −34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $12,310 $12,837 $21,236 −42% $16,700 −26% —
638 DIABETES WITH CC $12,200 $12,326 $20,361 −40% $19,661 −38% —
603 CELLULITIS WITHOUT MCC $12,017 $11,853 $19,553 −39% $18,530 −35% ≈115% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $11,967 $11,064 $18,204 −34% $18,204 −34% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $11,933 $11,033 $18,150 −34% $18,150 −34% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,918 $11,019 $18,126 −34% $18,126 −34% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,886 $12,165 $20,086 −41% $16,552 −28% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,878 $11,138 $18,330 −35% $17,298 −31% —
138 MOUTH PROCEDURES WITHOUT CCMCC $11,876 $10,980 $19,492 −39% $19,119 −38% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,828 $11,903 $19,638 −40% $15,452 −23% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $11,733 $11,611 $19,138 −39% $19,138 −39% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,723 $11,254 $18,528 −37% $18,528 −37% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,711 $12,178 $20,108 −42% $18,488 −37% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $11,696 $10,814 $17,775 −34% $13,586 −14% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,688 $10,806 $17,762 −34% $21,056 −44% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $11,664 $11,019 $18,126 −36% $18,126 −36% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $11,650 $10,946 $18,002 −35% $18,002 −35% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $11,648 $10,770 $17,700 −34% $17,700 −34% —
176 PULMONARY EMBOLISM WITHOUT MCC $11,631 $10,993 $18,081 −36% $18,081 −36% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,609 $10,733 $17,638 −34% $17,921 −35% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $11,543 $10,672 $17,533 −34% $13,445 −14% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $11,479 $10,613 $17,431 −34% $14,014 −18% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $11,469 $12,163 $20,084 −43% $20,084 −43% —
151 EPISTAXIS WITHOUT MCC $11,440 $10,260 $16,827 −32% $13,032 −12% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $11,373 $10,515 $17,265 −34% $17,124 −34% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,360 $11,050 $18,179 −38% $14,501 −22% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $11,351 $10,666 $17,522 −35% $17,620 −36% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $11,346 $10,563 $17,347 −35% $17,038 −33% ≈116% of Medicare
779 ABORTION WITHOUT D&C $11,283 $12,554 $20,752 −46% $15,327 −26% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,278 $11,638 $19,185 −41% $15,889 −29% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $11,261 $10,412 $17,087 −34% $14,648 −23% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,256 $10,549 $17,322 −35% $17,322 −35% ≈117% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $11,240 $13,374 $22,155 −49% $15,370 −27% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $11,212 $11,759 $19,815 −43% $19,846 −44% —
881 DEPRESSIVE NEUROSES $11,172 $12,285 $20,293 −45% $15,058 −26% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,094 $10,838 $17,817 −38% $17,674 −37% ≈118% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $11,065 $10,230 $16,776 −34% $16,776 −34% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,057 $10,825 $17,795 −38% $17,578 −37% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $11,057 $12,987 $21,494 −49% $19,962 −45% —
950 AFTERCARE WITHOUT CCMCC $11,044 $8,029 $13,527 −18% $13,527 −18% —
534 FRACTURES OF FEMUR WITHOUT MCC $11,042 $10,986 $18,070 −39% $17,559 −37% —
305 HYPERTENSION WITHOUT MCC $10,994 $10,165 $16,665 −34% $18,086 −39% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $10,987 $10,158 $16,654 −34% $19,037 −42% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $10,975 $10,147 $16,634 −34% $16,634 −34% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $10,958 $10,131 $16,607 −34% $14,716 −26% —
149 DYSEQUILIBRIUM $10,949 $10,123 $16,594 −34% $18,096 −39% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $10,931 $10,107 $16,565 −34% $16,565 −34% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $10,910 $11,633 $19,176 −43% $18,602 −41% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,858 $10,039 $16,450 −34% $16,450 −34% —
188 PLEURAL EFFUSION WITHOUT CCMCC $10,763 $9,951 $16,299 −34% $14,514 −26% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,757 $11,027 $18,139 −41% $17,118 −37% —
204 RESPIRATORY SIGNS AND SYMPTOMS $10,752 $10,947 $18,004 −40% $18,004 −40% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $10,684 $9,878 $16,175 −34% $12,768 −16% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $10,635 $9,833 $16,097 −34% $19,227 −45% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $10,622 $9,821 $16,077 −34% $12,593 −16% —
694 URINARY STONES WITHOUT MCC $10,578 $10,563 $17,347 −39% $17,345 −39% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,478 $10,017 $16,412 −36% $17,303 −39% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $10,471 $9,681 $15,837 −34% $15,837 −34% —
313 CHEST PAIN $10,471 $9,681 $15,837 −34% $16,440 −36% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $10,396 $10,528 $17,287 −40% $15,428 −33% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $10,345 $9,564 $15,637 −34% $12,336 −16% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $10,321 $9,542 $15,600 −34% $15,600 −34% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $10,288 $9,512 $15,549 −34% $15,549 −34% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $10,255 $9,481 $15,495 −34% $15,495 −34% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $10,201 $9,432 $15,411 −34% $14,797 −31% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $10,168 $9,401 $15,358 −34% $14,689 −31% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $10,119 $9,355 $15,280 −34% $20,781 −51% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $10,040 $9,283 $15,156 −34% $13,651 −26% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $9,979 $9,837 $16,104 −38% $16,767 −40% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $9,895 $9,149 $14,927 −34% $14,549 −32% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,895 $9,149 $14,927 −34% $14,927 −34% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,891 $9,462 $15,462 −36% $12,460 −21% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $9,866 $9,122 $14,880 −34% $16,288 −39% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $9,815 $9,075 $14,800 −34% $11,847 −17% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $9,716 $8,983 $14,643 −34% $13,633 −29% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,700 $9,813 $16,064 −40% $13,275 −27% —
311 ANGINA PECTORIS $9,620 $9,485 $15,502 −38% $15,502 −38% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,616 $10,122 $16,592 −42% $12,895 −25% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $9,504 $9,761 $15,975 −41% $12,559 −24% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $9,394 $8,686 $14,134 −34% $15,038 −38% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $9,390 $8,682 $14,128 −34% $14,128 −34% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $9,387 $9,347 $15,267 −39% $14,415 −35% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,317 $9,682 $15,839 −41% $12,454 −25% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $9,302 $8,980 $14,638 −36% $14,638 −36% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $9,283 $8,693 $14,148 −34% $12,078 −23% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $9,146 $9,463 $15,464 −41% $12,252 −25% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $9,133 $8,822 $14,368 −36% $14,368 −36% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $9,045 $8,405 $13,683 −34% $15,183 −40% —
153 OTITIS MEDIA AND URI WITHOUT MCC $9,000 $9,659 $15,799 −43% $14,583 −38% —
684 RENAL FAILURE WITHOUT CCMCC $8,983 $8,305 $13,642 −34% $13,642 −34% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $8,855 $8,649 $14,072 −37% $11,421 −22% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,826 $9,041 $14,743 −40% $13,942 −37% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $8,770 $9,225 $15,058 −42% $11,997 −27% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $8,744 $8,299 $13,639 −36% $11,071 −21% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $8,497 $8,203 $13,599 −38% $10,975 −23% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $8,337 $7,708 $13,395 −38% $10,480 −20% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $8,125 $7,684 $13,384 −39% $13,384 −39% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $7,944 $7,524 $13,318 −40% $13,361 −41% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,716 $7,781 $13,425 −43% $10,160 −24% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $7,479 $7,544 $13,326 −44% $12,999 −42% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $6,754 $7,169 $11,539 −41% $9,940 −32% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $6,657 $6,155 $12,751 −48% $8,927 −25% —
795 NORMAL NEWBORN $2,845 $3,016 $6,664 −57% $4,720 −40% —
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