San Dimas Community Hospital — Pricing

764 procedures published in this hospital's Machine-Readable File (MRF) — 764 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 764
Lowest published price $2,420
Average published price $33,300
Highest published price $528,088

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 764 procedures

Published charges

Showing all 764 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 17 procedures, this hospital's negotiated rates average ≈112% 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 $528,088 $462,610 $641,743 −18% $498,715 +6% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $399,967 $345,594 $486,976 −18% $431,073 −7% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $357,518 $291,092 $412,183 −13% $306,087 +17% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $304,334 $263,001 $371,366 −18% $371,366 −18% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $202,030 $173,483 $248,521 −19% $245,241 −18% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $186,086 $160,877 $227,681 −18% $182,314 +2% —
007 LUNG TRANSPLANT $184,710 $160,473 $230,667 −20% $170,608 +8% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $166,125 $135,350 $198,463 −16% $169,977 −2% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $151,272 $130,811 $189,963 −20% $159,181 −5% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $147,300 $130,141 $191,314 −23% $191,314 −23% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $137,100 $118,571 $175,437 −22% $175,437 −22% —
850 UnGrouped $123,226 $113,187 $168,048 −27% $121,563 +1% —
231 CORONARY BYPASS WITH PTCA WITH MCC $120,390 $104,139 $155,631 −23% $146,474 −18% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $119,493 — $23,289 +413% $103,861 +15% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $115,372 $104,081 $153,282 −25% $151,029 −24% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $112,629 $97,437 $146,435 −23% $105,228 +7% —
429 UnGrouped $111,577 $102,504 $153,621 −27% $120,174 −7% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $111,055 $96,078 $144,569 −23% $138,868 −20% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $109,936 $95,110 $143,242 −23% $143,242 −23% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $108,538 $133,808 $196,346 −45% $171,338 −37% —
426 UnGrouped $108,085 $128,677 $189,537 −43% $142,326 −24% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $106,056 $91,760 $136,374 −22% $120,587 −12% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $104,652 $99,078 $148,686 −30% $134,914 −22% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $104,555 $42,821 $71,486 +46% $56,242 +86% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $104,390 $83,963 $125,675 −17% $105,612 −1% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $98,853 $85,535 $124,290 −20% $138,008 −28% ≈109% of Medicare
010 PANCREAS TRANSPLANT $98,005 $97,998 $144,934 −32% $99,940 −2% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $96,877 $86,890 $131,961 −27% $131,961 −27% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $94,946 $79,536 $116,058 −18% $116,058 −18% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $93,943 $77,784 $117,196 −20% $109,331 −14% —
222 UnGrouped $93,903 — $23,643 +297% $86,864 +8% —
230 UnGrouped $93,713 — $93,713 +0% $88,720 +6% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $91,629 $82,132 $125,432 −27% $89,353 +3% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $91,512 — $23,289 +293% $69,101 +32% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $91,022 — $23,289 +291% $75,251 +21% —
447 UnGrouped $89,708 $82,448 $126,098 −29% $114,914 −22% —
224 UnGrouped $88,556 — $23,643 +275% $80,427 +10% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $87,516 $75,748 $114,401 −24% $98,912 −12% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $86,814 $75,141 $115,839 −25% $106,238 −18% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $86,534 $73,696 $113,855 −24% $113,855 −24% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $86,102 $74,249 $108,802 −21% $98,260 −12% —
226 UnGrouped $84,562 — $23,643 +258% $72,618 +16% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $84,552 $73,187 $113,157 −25% $92,238 −8% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $83,882 $71,630 $108,750 −23% $96,192 −13% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $83,627 $72,389 $112,062 −25% $112,062 −25% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $83,123 $68,013 $106,057 −22% $101,235 −18% —
317 UnGrouped $82,780 $76,094 $117,146 −29% $94,988 −13% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $82,619 $74,249 $108,802 −24% $81,176 +2% —
028 SPINAL PROCEDURES WITH MCC $82,068 $74,783 $113,077 −27% $95,858 −14% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $81,681 $76,192 $117,280 −30% $117,280 −30% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $81,084 $70,193 $106,778 −24% $106,778 −24% —
223 UnGrouped $80,701 — $23,643 +241% $59,206 +36% —
653 MAJOR BLADDER PROCEDURES WITH MCC $79,231 $68,593 $104,583 −24% $97,046 −18% —
225 UnGrouped $78,704 — $23,643 +233% $57,380 +37% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $78,481 $66,395 $101,566 −23% $82,527 −5% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $78,327 $66,465 $101,662 −23% $78,582 −0% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $77,337 $66,956 $102,337 −24% $86,459 −11% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $77,161 $66,804 $102,128 −24% $94,927 −19% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $76,695 $66,402 $101,576 −24% $86,953 −12% —
227 UnGrouped $76,339 — $23,643 +223% $56,960 +34% —
427 UnGrouped $75,686 $87,328 $132,794 −43% $121,728 −38% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $75,621 $65,474 $102,573 −26% $102,573 −26% —
430 UnGrouped $73,209 $67,317 $105,333 −30% $93,783 −22% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $72,196 $62,517 $96,245 −25% $80,747 −11% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $71,598 $62,001 $95,536 −25% $87,565 −18% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $71,176 $61,637 $91,495 −22% $70,735 +1% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $71,098 $61,564 $94,937 −25% $87,018 −18% ≈97% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $70,837 $61,344 $96,905 −27% $96,905 −27% —
245 AICD GENERATOR PROCEDURES $69,468 $60,160 $95,281 −27% $72,076 −4% —
471 CERVICAL SPINAL FUSION WITH MCC $69,049 $59,799 $92,515 −25% $92,515 −25% —
006 LIVER TRANSPLANT WITHOUT MCC $68,934 $59,699 $92,378 −25% $84,407 −18% —
450 UnGrouped $68,926 $63,389 $99,943 −31% $79,944 −14% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,899 $61,589 $97,241 −29% $84,861 −19% —
799 SPLENIC PROCEDURES WITH MCC $68,674 $58,542 $90,790 −24% $78,821 −13% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $68,608 $56,554 $90,331 −24% $90,331 −24% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $68,363 — $23,289 +194% $54,320 +26% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $68,169 $47,111 $75,103 −9% $75,103 −9% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $67,888 $58,796 $91,138 −26% $88,691 −23% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $67,588 $58,531 $90,775 −26% $86,390 −22% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $66,728 $50,115 $79,225 −16% $72,011 −7% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $66,584 $57,281 $91,329 −27% $91,329 −27% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $66,525 $57,619 $89,523 −26% $80,885 −18% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $66,342 $50,663 $82,247 −19% $82,247 −19% —
163 MAJOR CHEST PROCEDURES WITH MCC $65,343 $56,757 $88,341 −26% $88,341 −26% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $65,282 $56,545 $88,050 −26% $88,050 −26% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $63,759 $55,231 $86,246 −26% $76,954 −17% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $63,583 $55,079 $88,307 −28% $88,307 −28% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $62,990 $54,566 $85,334 −26% $68,847 −9% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $62,668 $53,187 $83,441 −25% $83,441 −25% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $62,455 $54,104 $86,970 −28% $75,585 −17% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $61,600 $38,331 $65,325 −6% $65,325 −6% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $60,956 $55,560 $86,699 −30% $72,859 −16% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $60,650 $52,546 $82,561 −27% $82,561 −27% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $60,562 $52,469 $84,725 −29% $88,049 −31% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $59,577 $51,613 $81,281 −27% $72,945 −18% —
428 UnGrouped $58,827 $67,729 $105,899 −44% $105,899 −44% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $58,726 $53,296 $80,049 −27% $59,352 −1% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $58,437 $50,634 $79,939 −27% $66,853 −13% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $58,351 $50,560 $79,836 −27% $73,029 −20% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $57,613 — $23,499 +145% $50,815 +13% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $56,648 $49,088 $77,817 −27% $71,701 −21% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $56,608 $49,054 $77,770 −27% $57,521 −2% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $56,534 $73,132 $107,269 −47% $80,018 −29% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $56,116 $48,622 $77,178 −27% $68,006 −17% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $56,054 $47,453 $75,573 −26% $72,782 −23% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $55,993 $48,523 $77,041 −27% $61,832 −9% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $55,928 $56,734 $90,579 −38% $71,551 −22% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $55,880 $48,425 $76,907 −27% $54,196 +3% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $55,299 $47,924 $76,219 −27% $72,908 −24% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $55,191 $47,633 $75,820 −27% $62,961 −12% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $54,907 $47,585 $75,754 −28% $55,097 −0% —
448 UnGrouped $54,668 $50,312 $81,998 −33% $81,998 −33% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $54,063 $46,857 $74,755 −28% $74,755 −28% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $53,754 $46,494 $74,257 −28% $74,257 −28% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $53,601 $51,625 $81,298 −34% $68,659 −22% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $53,380 $46,125 $73,751 −28% $60,861 −12% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $52,451 $43,531 $72,461 −28% $62,404 −16% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $52,326 $41,401 $67,268 −22% $64,152 −18% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $51,891 $44,981 $68,639 −24% $62,524 −17% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $51,569 $62,708 $96,507 −47% $96,222 −46% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $51,282 $43,174 $69,701 −26% $59,207 −13% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $51,257 $63,179 $99,423 −48% $99,423 −48% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $51,016 $44,188 $71,092 −28% $64,776 −21% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $50,986 $44,195 $67,560 −25% $57,855 −12% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $50,985 $44,198 $71,106 −28% $59,425 −14% —
265 AICD LEAD PROCEDURES $50,734 $43,982 $70,810 −28% $56,695 −11% —
472 CERVICAL SPINAL FUSION WITH CC $50,697 $35,768 $59,537 −15% $59,537 −15% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $50,557 $44,671 $71,755 −30% $71,755 −30% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $50,508 $43,786 $70,540 −28% $70,540 −28% —
332 RECTAL RESECTION WITH MCC $50,496 $42,774 $69,152 −27% $58,125 −13% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $50,199 $43,520 $70,175 −28% $50,919 −1% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $50,073 $43,411 $70,026 −28% $56,964 −12% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $49,835 $43,205 $69,743 −29% $68,399 −27% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $49,824 $43,191 $69,724 −29% $65,383 −24% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $49,712 $43,098 $69,597 −29% $51,953 −4% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $48,915 $42,410 $68,653 −29% $62,269 −21% —
665 PROSTATECTOMY WITH MCC $48,838 $42,344 $68,562 −29% $54,072 −10% —
252 OTHER VASCULAR PROCEDURES WITH MCC $48,793 $42,305 $68,508 −29% $68,508 −29% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $48,199 $29,272 $50,624 −5% $50,624 −5% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $47,920 $57,928 $92,217 −48% $92,217 −48% —
030 SPINAL PROCEDURES WITHOUT CCMCC $47,529 $27,531 $48,235 −1% $45,818 +4% —
037 EXTRACRANIAL PROCEDURES WITH MCC $47,239 $40,962 $66,666 −29% $64,749 −27% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $45,963 $39,717 $64,956 −29% $64,956 −29% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $45,454 $39,420 $66,819 −32% $66,819 −32% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $45,441 $39,534 $66,976 −32% $57,277 −21% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $45,372 $39,345 $60,905 −26% $49,710 −9% —
500 SOFT TISSUE PROCEDURES WITH MCC $45,247 $39,096 $64,105 −29% $57,479 −21% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $45,153 $39,161 $64,194 −30% $51,142 −12% —
402 UnGrouped $44,757 $48,212 $79,116 −43% $75,492 −41% —
662 MINOR BLADDER PROCEDURES WITH MCC $44,381 $38,494 $63,279 −30% $54,483 −19% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $44,130 $38,161 $62,821 −30% $62,821 −30% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $44,018 $38,056 $62,677 −30% $53,817 −18% —
652 KIDNEY TRANSPLANT $43,697 $37,903 $62,468 −30% $54,720 −20% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,657 $37,869 $64,691 −33% $53,555 −18% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $43,515 $37,747 $64,523 −33% $63,475 −31% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $43,512 $42,728 $69,089 −37% $49,065 −11% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $43,194 $40,191 $65,608 −34% $64,465 −33% —
570 SKIN DEBRIDEMENT WITH MCC $42,831 $37,153 $63,709 −33% $52,435 −18% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $42,669 $39,240 $66,572 −36% $44,472 −4% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $42,487 $36,859 $57,493 −26% $46,402 −8% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $42,041 $51,258 $83,065 −49% $83,065 −49% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $41,961 $36,398 $60,402 −31% $54,313 −23% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $41,847 $36,305 $60,274 −31% $63,984 −35% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,495 $36,002 $59,859 −31% $47,277 −12% —
800 SPLENIC PROCEDURES WITH CC $41,459 $35,971 $59,817 −31% $49,184 −16% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $41,436 $35,952 $59,790 −31% $54,475 −24% —
451 UnGrouped $41,333 $38,082 $65,216 −37% $65,216 −37% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $41,323 $33,796 $56,832 −27% $48,358 −15% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,829 $35,399 $59,031 −31% $58,968 −31% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,726 $35,337 $61,217 −33% $53,551 −24% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $40,669 $35,288 $58,880 −31% $49,055 −17% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $40,509 $35,150 $60,959 −34% $74,274 −45% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $40,237 $34,679 $58,043 −31% $58,043 −31% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $39,851 $51,379 $57,323 −30% $16,719 +138% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $39,671 $48,188 $78,852 −50% $78,852 −50% —
654 MAJOR BLADDER PROCEDURES WITH CC $39,411 $34,847 $58,274 −32% $53,868 −27% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $39,171 $40,729 $68,616 −43% $52,908 −26% —
263 VEIN LIGATION AND STRIPPING $39,062 $33,131 $55,918 −30% $44,938 −13% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $38,954 $33,392 $52,735 −26% $57,963 −33% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,871 $33,736 $53,208 −27% $45,497 −15% —
791 PREMATURITY WITH MAJOR PROBLEMS $38,811 $50,023 $75,557 −49% $39,563 −2% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,801 $33,675 $58,935 −34% $44,973 −14% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,662 $33,555 $52,959 −27% $43,491 −11% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $38,502 $32,778 $55,434 −31% $40,947 −6% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,347 $33,283 $56,127 −32% $44,839 −14% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $38,028 $32,326 $54,815 −31% $43,697 −13% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,018 $33,151 $52,405 −27% $52,405 −27% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $37,896 $32,894 $55,594 −32% $45,432 −17% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $37,714 $32,737 $55,378 −32% $45,290 −17% —
503 FOOT PROCEDURES WITH MCC $37,667 $32,695 $55,321 −32% $43,901 −14% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $37,641 $30,503 $54,583 −31% $52,332 −28% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $37,628 $32,662 $55,276 −32% $40,277 −7% —
849 RADIOTHERAPY $37,308 $32,996 $52,191 −29% $37,862 −1% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $36,653 $27,934 $50,131 −27% $44,989 −19% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,338 $31,548 $53,746 −32% $53,746 −32% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $36,326 $31,203 $53,274 −32% $46,659 −22% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $36,172 $29,808 $51,359 −30% $40,065 −10% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $36,075 $26,430 $46,724 −23% $45,622 −21% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,967 $31,228 $49,765 −28% $39,657 −9% —
164 MAJOR CHEST PROCEDURES WITH CC $35,826 $31,106 $53,141 −33% $53,141 −33% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $35,729 $42,241 $68,421 −48% $68,880 −48% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,644 $30,948 $49,382 −28% $39,409 −10% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $35,635 $42,477 $71,014 −50% $71,014 −50% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $35,616 $30,925 $55,162 −35% $55,162 −35% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $35,516 $31,932 $54,273 −35% $48,094 −26% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $35,303 $24,424 $43,775 −19% $43,775 −19% —
397 APPENDIX PROCEDURES WITH MCC $35,270 $30,626 $54,751 −36% $52,319 −33% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $35,183 $31,984 $54,345 −35% $41,703 −16% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $34,855 $30,264 $51,985 −33% $51,985 −33% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $34,811 $30,017 $51,645 −33% $54,824 −37% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $34,592 $29,265 $50,614 −32% $40,548 −15% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $34,503 $31,558 $50,218 −31% $38,878 −11% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,443 $29,901 $51,487 −33% $46,591 −26% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $34,400 $42,008 $70,371 −51% $67,901 −49% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $34,292 $21,796 $39,018 −12% $39,018 −12% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $34,288 $41,834 $70,132 −51% $70,132 −51% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $34,271 $40,322 $65,788 −48% $65,254 −47% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $34,181 $29,684 $51,189 −33% $56,394 −39% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,125 $29,638 $47,583 −28% $47,583 −28% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $34,125 $29,638 $47,583 −28% $39,093 −13% —
113 ORBITAL PROCEDURES WITH CCMCC $34,094 $27,914 $48,760 −30% $35,642 −4% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $33,949 $24,921 $41,111 −17% $30,940 +10% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $33,833 $29,384 $50,777 −33% $52,313 −35% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,652 $29,227 $50,562 −33% $58,832 −43% —
038 EXTRACRANIAL PROCEDURES WITH CC $33,603 $20,003 $35,770 −6% $35,770 −6% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,596 $29,180 $50,498 −33% $47,546 −29% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $33,528 $19,809 $35,419 −5% $33,984 −1% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,330 $28,919 $50,139 −34% $50,139 −34% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $33,249 $31,328 $56,278 −41% $36,097 −8% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $33,173 $28,549 $49,631 −33% $49,631 −33% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,033 $28,694 $46,288 −29% $36,237 −9% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $32,955 $28,627 $51,387 −36% $36,080 −9% —
338 UnGrouped $32,814 — $23,289 +41% $30,138 +9% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $32,791 $38,512 $65,573 −50% $65,573 −50% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $32,611 $28,327 $45,785 −29% $36,334 −10% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,508 $28,241 $49,209 −34% $39,253 −17% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $32,447 $28,189 $49,137 −34% $43,586 −26% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $32,388 $28,137 $49,066 −34% $46,430 −30% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $32,264 $28,029 $45,376 −29% $37,064 −13% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $32,154 $27,935 $48,788 −34% $38,998 −18% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $32,034 $27,858 $48,682 −34% $48,682 −34% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,034 $27,822 $48,634 −34% $45,059 −29% —
709 PENIS PROCEDURES WITH CCMCC $31,995 $27,797 $48,600 −34% $34,535 −7% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $31,786 $27,617 $48,353 −34% $44,053 −28% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $31,372 $14,202 $25,267 +24% $25,267 +24% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,318 $27,213 $47,797 −34% $38,382 −18% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $30,993 $26,434 $43,187 −28% $35,569 −13% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $30,890 $26,844 $43,749 −29% $37,902 −19% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $30,667 $26,650 $43,483 −29% $38,357 −20% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $30,591 $25,349 $45,240 −32% $34,089 −10% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $30,536 $26,537 $43,328 −30% $36,850 −17% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $30,414 $26,433 $46,727 −35% $40,232 −24% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,400 $35,358 $58,975 −48% $56,758 −46% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $30,356 $26,381 $46,657 −35% $37,654 −19% —
595 MAJOR SKIN DISORDERS WITH MCC $30,332 $26,179 $42,837 −29% $31,785 −5% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $30,331 $28,374 $45,849 −34% $37,080 −18% —
131 UnGrouped $30,325 — $23,289 +30% $23,289 +30% —
333 RECTAL RESECTION WITH CC $30,265 $26,304 $46,551 −35% $34,352 −12% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $30,260 $26,028 $46,172 −34% $35,686 −15% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,236 $26,134 $46,317 −35% $38,420 −21% —
935 NON-EXTENSIVE BURNS $30,095 $27,176 $43,274 −30% $29,458 +2% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,084 $26,145 $46,332 −35% $49,470 −39% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,071 $26,134 $42,775 −30% $38,885 −23% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,024 $26,093 $46,799 −36% $56,519 −47% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $29,955 $26,961 $47,452 −37% $41,900 −29% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $29,925 $26,697 $47,089 −36% $44,553 −33% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $29,856 $25,951 $46,066 −35% $46,066 −35% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $29,585 $25,716 $45,743 −35% $41,651 −29% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $29,552 $25,686 $45,703 −35% $51,172 −42% —
592 SKIN ULCERS WITH MCC $29,287 $25,458 $41,848 −30% $32,662 −10% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $29,159 $24,618 $40,695 −28% $35,139 −17% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $29,094 $24,010 $43,027 −32% $36,202 −20% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $28,999 $26,250 $46,477 −38% $46,477 −38% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $28,988 $24,344 $43,631 −34% $41,520 −30% —
711 TESTES PROCEDURES WITH CCMCC $28,882 $23,672 $42,414 −32% $34,852 −17% —
341 UnGrouped $28,845 — $23,289 +24% $25,628 +13% —
539 OSTEOMYELITIS WITH MCC $28,809 $25,043 $41,277 −30% $33,746 −15% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $28,730 $24,978 $44,730 −36% $41,660 −31% —
548 SEPTIC ARTHRITIS WITH MCC $28,695 $24,947 $41,146 −30% $31,019 −7% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $28,654 $24,911 $44,639 −36% $45,817 −37% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $28,571 $24,728 $44,326 −36% $29,109 −2% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $28,465 $24,748 $44,363 −36% $44,363 −36% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $28,334 $24,636 $40,719 −30% $35,714 −21% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $28,292 $24,745 $44,357 −36% $43,524 −35% —
100 SEIZURES WITH MCC $28,279 $24,588 $40,653 −30% $35,194 −20% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $28,276 $24,585 $44,068 −36% $29,633 −5% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,177 $24,500 $43,913 −36% $43,398 −35% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $28,121 $32,410 $54,929 −49% $54,929 −49% —
906 HAND PROCEDURES FOR INJURIES $28,030 $27,005 $47,513 −41% $31,520 −11% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $28,017 $25,878 $42,423 −34% $32,483 −14% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $27,952 $24,303 $40,263 −31% $35,237 −21% ≈107% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $27,939 $24,292 $43,538 −36% $43,538 −36% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $27,938 $21,718 $38,876 −28% $34,264 −18% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $27,908 $24,267 $40,213 −31% $36,933 −24% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $27,855 $24,221 $40,150 −31% $35,014 −20% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $27,839 $24,208 $43,384 −36% $29,524 −6% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $27,834 $24,204 $43,378 −36% $33,050 −16% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,692 $23,929 $42,881 −35% $42,881 −35% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $27,644 $24,040 $43,080 −36% $43,080 −36% —
380 COMPLICATED PEPTIC ULCER WITH MCC $27,414 $23,840 $39,627 −31% $36,641 −25% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $27,409 $31,489 $53,666 −49% $57,149 −52% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,262 $23,699 $42,463 −36% $33,165 −18% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,033 $23,513 $42,126 −36% $35,459 −24% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $26,972 $23,460 $39,105 −31% $36,280 −26% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $26,932 $23,424 $39,057 −31% $32,399 −17% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $26,895 $23,392 $39,013 −31% $32,204 −16% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $26,865 $23,367 $38,978 −31% $32,981 −19% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $26,862 $23,363 $41,855 −36% $45,963 −42% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $26,571 $23,114 $38,631 −31% $35,114 −24% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $26,557 $23,101 $41,380 −36% $41,380 −36% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,446 $23,006 $38,483 −31% $30,974 −15% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $26,436 $22,996 $41,191 −36% $32,538 −19% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $26,299 $22,879 $38,308 −31% $29,609 −11% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $26,118 $22,722 $40,694 −36% $40,694 −36% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $26,064 $25,114 $41,375 −37% $30,661 −15% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,047 $22,661 $40,583 −36% $40,583 −36% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $26,027 $22,643 $40,552 −36% $40,552 −36% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $25,997 $22,618 $37,950 −31% $37,950 −31% —
919 COMPLICATIONS OF TREATMENT WITH MCC $25,982 $22,605 $37,933 −32% $29,031 −11% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $25,973 $22,597 $37,921 −32% $36,375 −29% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $25,930 $22,082 $37,214 −30% $48,680 −47% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $25,908 $22,540 $40,365 −36% $36,597 −29% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $25,834 $22,019 $39,422 −34% $31,909 −19% —
129 UnGrouped $25,814 — $23,289 +11% $23,289 +11% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $25,800 $22,071 $39,515 −35% $33,564 −23% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $25,779 $22,429 $40,163 −36% $54,772 −53% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $25,714 $21,444 $36,340 −29% $29,826 −14% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $25,710 $21,533 $38,541 −33% $32,839 −22% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $25,705 $22,539 $37,842 −32% $37,842 −32% ≈110% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $25,434 $22,128 $39,619 −36% $37,975 −33% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $25,050 $23,347 $38,951 −36% $30,766 −19% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $25,019 $20,705 $37,042 −32% $28,103 −11% —
504 FOOT PROCEDURES WITH CC $25,016 $21,764 $38,960 −36% $36,598 −32% —
505 FOOT PROCEDURES WITHOUT CCMCC $25,016 $21,764 $38,960 −36% $31,716 −21% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $24,966 $21,566 $36,506 −32% $30,814 −19% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $24,939 $22,790 $38,187 −35% $30,394 −18% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $24,930 $21,696 $38,836 −36% $38,836 −36% —
180 RESPIRATORY NEOPLASMS WITH MCC $24,907 $21,676 $36,658 −32% $36,658 −32% —
671 URETHRAL PROCEDURES WITH CCMCC $24,565 $21,381 $38,265 −36% $27,233 −10% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $24,510 $20,375 $36,445 −33% $28,634 −14% —
509 ARTHROSCOPY $24,500 $21,785 $38,998 −37% $25,994 −6% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $24,457 $21,286 $38,094 −36% $38,094 −36% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $24,339 $20,725 $35,352 −31% $25,208 −3% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $24,317 $20,960 $35,675 −32% $29,409 −17% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $24,245 $21,103 $37,764 −36% $43,266 −44% —
133 UnGrouped $24,208 — $23,289 +4% $23,289 +4% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $24,139 $21,013 $37,599 −36% $29,729 −19% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $24,092 $20,972 $37,526 −36% $28,578 −16% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $24,042 $20,387 $36,467 −34% $31,566 −24% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $23,958 $20,856 $35,532 −33% $30,058 −20% —
551 MEDICAL BACK PROBLEMS WITH MCC $23,954 $21,168 $35,961 −33% $31,086 −23% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $23,868 $20,779 $37,175 −36% $29,916 −20% —
666 PROSTATECTOMY WITH CC $23,863 $20,444 $36,569 −35% $30,016 −21% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $23,803 $20,722 $35,349 −33% $33,607 −29% —
915 ALLERGIC REACTIONS WITH MCC $23,800 $21,555 $36,491 −35% $30,944 −23% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $23,752 $20,899 $35,591 −33% $31,128 −24% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $23,744 $20,325 $36,354 −35% $36,333 −35% —
157 DENTAL AND ORAL DISEASES WITH MCC $23,720 $20,324 $34,802 −32% $27,457 −14% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $23,696 $20,630 $36,907 −36% $27,548 −14% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $23,679 $22,081 $37,213 −36% $30,275 −22% —
597 MALIGNANT BREAST DISORDERS WITH MCC $23,676 $21,785 $36,807 −36% $31,846 −26% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $23,670 $30,281 $34,603 −32% $11,633 +103% —
334 RECTAL RESECTION WITHOUT CCMCC $23,640 $20,582 $36,820 −36% $32,213 −27% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $23,640 $20,580 $36,816 −36% $42,119 −44% —
643 ENDOCRINE DISORDERS WITH MCC $23,623 $20,566 $35,135 −33% $32,996 −28% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $23,605 $21,678 $36,661 −36% $31,758 −26% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $23,604 $20,551 $35,113 −33% $32,689 −28% —
571 SKIN DEBRIDEMENT WITH CC $23,592 $20,775 $37,169 −37% $34,901 −32% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $23,573 $22,430 $37,692 −37% $29,476 −20% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $23,547 $20,700 $37,033 −36% $30,930 −24% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $23,493 $20,455 $36,589 −36% $25,197 −7% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $23,458 $27,867 $50,011 −53% $50,011 −53% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $23,414 $22,273 $37,477 −38% $24,836 −6% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $23,398 $20,372 $34,867 −33% $28,967 −19% ≈115% of Medicare
075 VIRAL MENINGITIS WITH CCMCC $23,370 $21,365 $36,230 −35% $29,853 −22% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $23,354 $20,335 $34,817 −33% $30,910 −24% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $23,214 $20,066 $34,448 −33% $31,840 −27% ≈108% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $23,161 $20,168 $34,588 −33% $26,020 −11% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $23,084 $27,383 $44,489 −48% $44,600 −48% —
913 TRAUMATIC INJURY WITH MCC $23,069 $20,088 $34,479 −33% $24,198 −5% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $22,956 $21,785 $38,998 −41% $29,558 −22% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $22,936 $19,900 $35,584 −36% $35,584 −36% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $22,920 $19,960 $35,692 −36% $35,692 −36% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $22,727 $26,589 $47,696 −52% $34,900 −35% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $22,717 $19,784 $35,375 −36% $35,375 −36% —
183 MAJOR CHEST TRAUMA WITH MCC $22,629 $19,708 $33,957 −33% $28,924 −22% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $22,581 $20,351 $34,839 −35% $28,134 −20% —
186 PLEURAL EFFUSION WITH MCC $22,526 $19,619 $33,834 −33% $32,468 −31% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $22,478 $19,578 $33,779 −33% $29,371 −23% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $22,417 $19,526 $34,906 −36% $34,906 −36% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $22,402 $19,621 $35,080 −36% $33,490 −33% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $22,355 $19,472 $33,633 −34% $31,059 −28% —
865 VIRAL ILLNESS WITH MCC $22,332 $18,343 $32,083 −30% $26,088 −14% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $22,316 $19,439 $34,749 −36% $32,490 −31% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $22,308 $19,199 $34,316 −35% $25,484 −12% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $22,296 $18,707 $33,424 −33% $33,424 −33% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $22,126 $18,263 $31,974 −31% $25,786 −14% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $22,115 $19,264 $34,434 −36% $34,434 −36% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $22,046 $19,206 $33,267 −34% $24,036 −8% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $22,037 $19,197 $33,256 −34% $28,252 −22% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $21,925 $20,186 $34,613 −37% $24,465 −10% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,889 $19,018 $33,987 −36% $24,879 −12% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $21,888 $19,068 $34,078 −36% $36,239 −40% —
663 MINOR BLADDER PROCEDURES WITH CC $21,778 $18,974 $33,907 −36% $29,924 −27% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $21,629 $18,845 $33,674 −36% $30,972 −30% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $21,584 $18,178 $32,467 −34% $25,149 −14% —
398 APPENDIX PROCEDURES WITH CC $21,579 $18,800 $33,592 −36% $39,107 −45% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $21,530 $18,759 $33,519 −36% $24,229 −11% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $21,521 $18,752 $33,506 −36% $27,279 −21% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,468 $18,499 $33,048 −35% $31,062 −31% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $21,456 $18,693 $33,399 −36% $33,792 −37% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $21,446 $18,687 $33,388 −36% $35,528 −40% —
682 RENAL FAILURE WITH MCC $21,418 $18,661 $32,520 −34% $27,854 −23% ≈118% of Medicare
710 PENIS PROCEDURES WITHOUT CCMCC $21,409 $18,655 $33,330 −36% $23,814 −10% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $21,393 $18,639 $32,490 −34% $25,854 −17% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $21,286 $18,548 $33,137 −36% $33,137 −36% —
813 COAGULATION DISORDERS $21,204 $19,226 $33,296 −36% $30,128 −30% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $21,187 $18,463 $32,248 −34% $28,140 −25% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $21,184 $18,170 $32,451 −35% $32,451 −35% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $21,141 $18,423 $32,911 −36% $32,911 −36% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $21,126 $23,364 $41,857 −50% $49,197 −57% ≈109% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $21,037 $18,627 $32,473 −35% $29,484 −29% —
088 CONCUSSION WITH MCC $21,037 $17,543 $30,986 −32% $24,402 −14% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,031 $17,283 $30,846 −32% $24,561 −14% —
669 TRANSURETHRAL PROCEDURES WITH CC $21,001 $19,220 $34,354 −39% $34,354 −39% —
693 URINARY STONES WITH MCC $20,969 $18,275 $31,990 −34% $22,525 −7% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $20,964 $18,269 $31,982 −34% $28,780 −27% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $20,954 $18,190 $31,874 −34% $29,211 −28% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $20,757 $15,827 $28,209 −26% $19,686 +5% —
137 MOUTH PROCEDURES WITH CCMCC $20,708 $17,395 $31,048 −33% $24,348 −15% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,665 $17,600 $31,063 −33% $23,734 −13% —
506 MAJOR THUMB OR JOINT PROCEDURES $20,643 $18,627 $33,279 −38% $28,983 −29% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $20,623 $17,976 $32,100 −36% $29,663 −30% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $20,571 $17,471 $30,887 −33% $35,542 −42% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $20,564 $17,926 $31,511 −35% $22,525 −9% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $20,558 $17,817 $31,812 −35% $31,812 −35% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $20,526 $17,893 $31,950 −36% $25,243 −19% —
637 DIABETES WITH MCC $20,508 $18,102 $31,753 −35% $28,819 −29% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $20,506 $22,832 $40,894 −50% $28,375 −28% —
246 UnGrouped $20,488 — $23,643 −13% $33,983 −40% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,298 $20,059 $35,872 −43% $27,118 −25% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $20,273 $17,674 $31,166 −35% $25,010 −19% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $20,244 $17,649 $31,508 −36% $21,615 −6% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $20,089 $23,513 $42,126 −52% $42,126 −52% —
811 RED BLOOD CELL DISORDERS WITH MCC $20,068 $17,497 $30,922 −35% $27,934 −28% —
248 UnGrouped $20,058 — $23,643 −15% $34,146 −41% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $20,038 $18,606 $32,445 −38% $24,450 −18% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $20,014 $17,524 $30,959 −35% $29,757 −33% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $19,988 $17,428 $31,108 −36% $24,452 −18% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $19,930 $17,378 $31,017 −36% $30,006 −34% —
602 CELLULITIS WITH MCC $19,913 $18,260 $31,970 −38% $29,347 −32% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $19,874 $17,330 $30,693 −35% $25,666 −23% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $19,845 $14,026 $24,948 −20% $30,314 −35% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $19,833 $17,294 $30,645 −35% $24,118 −18% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $19,827 $19,247 $33,325 −41% $28,646 −31% —
606 MINOR SKIN DISORDERS WITH MCC $19,764 $19,990 $34,344 −42% $25,434 −22% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $19,724 $16,708 $29,805 −34% $29,805 −34% —
150 EPISTAXIS WITH MCC $19,717 $17,194 $30,507 −35% $21,133 −7% —
247 UnGrouped $19,693 — $23,643 −17% $21,663 −9% —
249 UnGrouped $19,693 — $23,643 −17% $20,610 −4% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $19,693 $19,405 $34,689 −43% $41,380 −52% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $19,607 $16,950 $30,242 −35% $24,980 −22% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $19,595 $17,088 $30,493 −36% $29,050 −33% —
139 SALIVARY GLAND PROCEDURES $19,586 $17,081 $30,480 −36% $21,014 −7% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $19,547 $17,047 $30,418 −36% $30,418 −36% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $19,489 $21,797 $39,020 −50% $35,673 −45% —
339 UnGrouped $19,351 — $23,289 −17% $18,474 +5% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $19,332 $16,861 $30,083 −36% $29,374 −34% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $19,315 $16,847 $30,056 −36% $28,527 −32% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $19,210 $22,374 $40,063 −52% $40,063 −52% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,145 $16,757 $29,894 −36% $23,723 −19% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $19,118 $16,676 $29,747 −36% $30,358 −37% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $19,087 $16,608 $29,623 −36% $25,426 −25% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,082 $15,747 $28,065 −32% $26,634 −28% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $19,076 $16,593 $29,596 −36% $31,978 −40% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,030 $16,039 $28,593 −33% $24,316 −22% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $18,975 $16,553 $29,523 −36% $23,350 −19% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $18,949 $16,529 $29,481 −36% $24,480 −23% ≈111% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $18,845 $16,260 $28,993 −35% $23,956 −21% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $18,812 $17,049 $30,308 −38% $20,980 −10% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $18,803 $16,403 $29,252 −36% $26,158 −28% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $18,801 $16,402 $29,250 −36% $34,887 −46% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $18,716 $16,328 $29,117 −36% $23,115 −19% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $18,711 $15,797 $28,156 −34% $28,156 −34% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $18,644 $18,085 $31,730 −41% $24,941 −25% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $18,607 $17,999 $31,612 −41% $21,986 −15% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $18,605 $16,234 $28,946 −36% $21,029 −12% —
291 HEART FAILURE AND SHOCK WITH MCC $18,485 $16,245 $28,966 −36% $25,020 −26% ≈112% of Medicare
540 OSTEOMYELITIS WITH CC $18,470 $16,114 $28,728 −36% $23,494 −21% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $18,399 $18,346 $16,713 +10% $7,961 +131% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $18,386 $16,044 $28,602 −36% $23,924 −23% —
947 SIGNS AND SYMPTOMS WITH MCC $18,354 $16,017 $28,553 −36% $25,474 −28% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $18,335 $15,996 $28,515 −36% $27,244 −33% —
342 UnGrouped $18,158 — $23,289 −22% $19,454 −7% —
348 ANAL AND STOMAL PROCEDURES WITH CC $18,156 $15,682 $27,947 −35% $27,947 −35% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $18,134 $15,827 $28,209 −36% $22,275 −19% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $18,089 $15,464 $27,552 −34% $20,727 −13% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $18,080 $15,780 $28,125 −36% $25,623 −29% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $18,025 $15,727 $28,029 −36% $19,894 −9% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $17,930 $15,338 $27,323 −34% $27,321 −34% —
132 UnGrouped $17,923 — $23,289 −23% $23,289 −23% —
887 OTHER MENTAL DISORDER DIAGNOSES $17,774 $14,830 $26,404 −33% $20,602 −14% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $17,771 $15,513 $27,641 −36% $19,354 −8% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $17,766 $15,509 $27,634 −36% $21,860 −19% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $17,678 $15,431 $27,492 −36% $27,492 −36% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $17,678 $15,432 $27,494 −36% $22,032 −20% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $17,586 $22,348 $32,578 −46% $14,284 +23% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $17,585 $14,479 $25,769 −32% $22,532 −22% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $17,583 $15,351 $27,348 −36% $20,147 −13% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $17,560 $15,130 $26,948 −35% $23,297 −25% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $17,528 $15,303 $27,261 −36% $19,132 −8% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $17,465 $15,249 $27,163 −36% $26,322 −34% —
593 SKIN ULCERS WITH CC $17,453 $15,238 $27,143 −36% $20,470 −15% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $17,428 $18,856 $33,694 −48% $33,694 −48% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $17,410 $15,194 $27,063 −36% $23,588 −26% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $17,216 $15,032 $26,770 −36% $26,488 −35% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $17,213 $15,515 $27,645 −38% $26,146 −34% —
549 SEPTIC ARTHRITIS WITH CC $17,203 $15,022 $26,753 −36% $20,938 −18% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $17,145 $14,740 $26,242 −35% $19,598 −13% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $17,112 $14,944 $26,611 −36% $27,369 −37% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $17,062 $14,901 $26,533 −36% $20,421 −16% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $17,029 $14,270 $25,390 −33% $25,390 −33% —
885 PSYCHOSES $16,937 $17,530 $30,968 −45% $21,489 −21% —
375 DIGESTIVE MALIGNANCY WITH CC $16,850 $15,312 $27,277 −38% $27,219 −38% —
304 HYPERTENSION WITH MCC $16,774 $14,651 $26,080 −36% $24,185 −31% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $16,727 $14,441 $25,700 −35% $24,202 −31% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $16,711 $14,596 $25,980 −36% $22,982 −27% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $16,606 $14,508 $25,820 −36% $21,062 −21% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $16,585 $13,803 $24,544 −32% $24,544 −32% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $16,556 $14,075 $25,037 −34% $20,741 −20% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $16,499 $14,414 $25,652 −36% $25,307 −35% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $16,437 $15,418 $27,470 −40% $25,704 −36% ≈107% of Medicare
598 MALIGNANT BREAST DISORDERS WITH CC $16,351 $13,475 $23,951 −32% $19,073 −14% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $16,346 $13,472 $23,944 −32% $17,193 −5% —
102 HEADACHES WITH MCC $16,343 $14,463 $25,740 −37% $22,544 −28% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $16,314 $14,254 $25,361 −36% $24,432 −33% —
130 UnGrouped $16,301 — $23,289 −30% $23,289 −30% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,262 $14,208 $25,279 −36% $24,452 −33% —
712 TESTES PROCEDURES WITHOUT CCMCC $16,175 $13,361 $23,745 −32% $18,898 −14% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $16,041 $14,016 $24,930 −36% $24,190 −34% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $16,037 $14,015 $24,928 −36% $19,317 −17% —
945 REHABILITATION WITH CCMCC $15,872 $18,963 $32,934 −52% $23,834 −33% —
089 CONCUSSION WITH CC $15,863 $13,392 $23,800 −33% $18,293 −13% —
181 RESPIRATORY NEOPLASMS WITH CC $15,857 $13,860 $24,648 −36% $22,431 −29% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $15,814 $15,899 $28,340 −44% $22,557 −30% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $15,748 $13,766 $24,477 −36% $25,162 −37% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $15,723 $13,745 $24,439 −36% $17,483 −10% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $15,631 $13,665 $24,295 −36% $17,398 −10% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $15,583 $13,624 $24,220 −36% $19,868 −22% —
152 OTITIS MEDIA AND URI WITH MCC $15,541 $14,161 $25,192 −38% $19,795 −21% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $15,491 $13,544 $24,075 −36% $21,806 −29% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $15,425 $13,486 $23,971 −36% $18,126 −15% —
949 AFTERCARE WITH CCMCC $15,413 $13,476 $23,953 −36% $23,953 −36% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $15,293 $13,373 $23,767 −36% $19,579 −22% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $15,282 $13,364 $23,749 −36% $23,749 −36% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $15,259 $13,255 $23,551 −35% $23,496 −35% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $15,208 $12,546 $22,268 −32% $17,078 −11% —
697 URETHRAL STRICTURE $15,189 $12,530 $22,239 −32% $17,705 −14% —
200 PNEUMOTHORAX WITH CC $15,176 $13,826 $24,586 −38% $20,573 −26% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,160 $13,122 $23,312 −35% $22,231 −32% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $15,126 $13,228 $23,503 −36% $24,136 −37% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $15,056 $13,169 $23,396 −36% $23,396 −36% ≈114% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $15,028 $13,144 $23,352 −36% $17,550 −14% —
184 MAJOR CHEST TRAUMA WITH CC $14,943 $13,343 $23,711 −37% $20,842 −28% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $14,894 $13,028 $23,141 −36% $23,141 −36% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $14,821 $12,250 $21,733 −32% $15,901 −7% —
667 PROSTATECTOMY WITHOUT CCMCC $14,720 $12,849 $22,817 −35% $16,703 −12% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $14,708 $12,867 $22,850 −36% $22,850 −36% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $14,703 $12,834 $22,790 −35% $24,022 −39% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,696 $13,858 $24,644 −40% $18,459 −20% —
644 ENDOCRINE DISORDERS WITH CC $14,664 $12,917 $22,941 −36% $22,941 −36% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $14,644 $12,812 $22,750 −36% $16,495 −11% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $14,606 $12,748 $22,635 −35% $20,080 −27% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $14,571 $12,749 $22,637 −36% $21,545 −32% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $14,533 $12,715 $22,575 −36% $23,469 −38% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $14,439 $12,888 $22,888 −37% $22,781 −37% ≈116% of Medicare
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $14,437 $12,241 $21,716 −34% $15,890 −9% —
920 COMPLICATIONS OF TREATMENT WITH CC $14,376 $12,703 $22,552 −36% $21,181 −32% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $14,366 $13,440 $23,887 −40% $17,943 −20% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $14,348 $13,689 $24,337 −41% $17,103 −16% —
187 PLEURAL EFFUSION WITH CC $14,348 $12,557 $22,288 −36% $21,467 −33% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $14,337 $13,154 $23,369 −39% $18,478 −22% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $14,334 $12,545 $22,266 −36% $16,212 −12% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,296 $14,359 $25,552 −44% $18,133 −21% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $14,216 $12,705 $22,557 −37% $18,017 −21% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $14,213 $14,774 $26,302 −46% $20,842 −32% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,203 $13,502 $24,000 −41% $17,226 −18% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $14,185 $12,416 $22,033 −36% $20,968 −32% —
197 INTERSTITIAL LUNG DISEASE WITH CC $14,149 $12,385 $21,977 −36% $20,106 −30% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,118 $12,752 $22,641 −38% $20,732 −32% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $14,092 $12,335 $21,886 −36% $21,886 −36% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $14,010 $12,411 $22,024 −36% $22,024 −36% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $13,964 $12,482 $22,153 −37% $17,434 −20% —
340 UnGrouped $13,954 — $23,289 −40% $16,240 −14% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $13,839 $12,724 $22,590 −39% $22,713 −39% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $13,819 $11,956 $21,201 −35% $15,589 −11% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $13,812 $12,094 $21,449 −36% $21,449 −36% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,792 $13,266 $23,571 −41% $23,571 −41% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,769 $12,745 $22,628 −39% $19,091 −28% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,757 $12,046 $21,363 −36% $20,777 −34% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,682 $13,608 $24,191 −43% $31,190 −56% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $13,668 $11,970 $21,225 −36% $18,191 −25% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $13,662 $11,965 $21,216 −36% $20,371 −33% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $13,655 $11,959 $21,205 −36% $19,326 −29% —
134 UnGrouped $13,634 — $23,289 −41% $23,289 −41% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $13,605 $11,544 $20,455 −33% $20,309 −33% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $13,602 $12,064 $21,396 −36% $21,213 −36% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $13,594 $12,507 $22,197 −39% $20,007 −32% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $13,579 $11,917 $21,129 −36% $18,428 −26% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $13,541 $13,526 $24,042 −44% $22,560 −40% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $13,533 $11,183 $19,914 −32% $15,764 −14% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $13,492 $12,100 $21,460 −37% $17,273 −22% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $13,459 $11,788 $20,896 −36% $18,918 −29% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $13,456 $11,769 $20,861 −35% $17,108 −21% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $13,438 $11,515 $20,401 −34% $16,352 −18% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $13,340 $11,048 $19,854 −33% $19,854 −33% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $13,304 $11,436 $20,259 −34% $17,585 −24% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $13,248 $12,000 $21,280 −38% $15,636 −15% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $13,246 $11,606 $20,566 −36% $18,608 −29% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,227 $12,752 $22,641 −42% $16,571 −20% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $13,224 $11,694 $20,725 −36% $16,642 −21% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $13,209 $11,572 $20,506 −36% $19,287 −32% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,182 $11,549 $20,463 −36% $20,463 −36% —
101 SEIZURES WITHOUT MCC $13,081 $11,548 $20,461 −36% $19,954 −34% —
158 DENTAL AND ORAL DISEASES WITH CC $13,017 $11,780 $20,881 −38% $17,700 −26% —
914 TRAUMATIC INJURY WITHOUT MCC $13,002 $11,483 $20,344 −36% $15,593 −17% —
343 UnGrouped $12,985 — $23,289 −44% $13,735 −5% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $12,907 $11,563 $20,488 −37% $20,488 −37% —
090 CONCUSSION WITHOUT CCMCC $12,847 $10,758 $19,032 −32% $14,873 −14% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $12,830 $11,976 $21,236 −40% $16,418 −22% —
864 FEVER AND INFLAMMATORY CONDITIONS $12,789 $11,257 $19,935 −36% $17,412 −27% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $12,783 $11,206 $19,842 −36% $18,803 −32% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $12,764 $11,189 $19,811 −36% $21,261 −40% —
866 VIRAL ILLNESS WITHOUT MCC $12,667 $11,096 $19,642 −36% $16,391 −23% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $12,645 $11,086 $19,624 −36% $15,869 −20% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $12,645 $12,331 $21,880 −42% $18,282 −31% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $12,630 $11,074 $19,602 −36% $15,608 −19% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $12,620 $11,064 $19,584 −36% $16,049 −21% —
683 RENAL FAILURE WITH CC $12,616 $11,146 $19,733 −36% $18,620 −32% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $12,611 $11,055 $19,569 −36% $19,569 −36% —
541 OSTEOMYELITIS WITHOUT CCMCC $12,515 $10,974 $19,422 −36% $14,549 −14% —
312 SYNCOPE AND COLLAPSE $12,465 $10,930 $19,342 −36% $19,342 −36% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $12,441 $10,909 $19,305 −36% $19,305 −36% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $12,341 $10,258 $18,126 −32% $17,928 −31% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $12,337 $10,817 $19,138 −36% $16,156 −24% —
292 HEART FAILURE AND SHOCK WITH CC $12,322 $10,806 $19,118 −36% $16,212 −24% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,307 $10,794 $19,096 −36% $19,096 −36% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,292 $10,780 $19,072 −36% $18,278 −33% —
638 DIABETES WITH CC $12,212 $11,493 $20,361 −40% $18,821 −35% —
103 HEADACHES WITHOUT MCC $12,165 $10,671 $18,874 −36% $20,111 −40% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $12,160 $10,065 $17,775 −32% $13,586 −10% —
594 SKIN ULCERS WITHOUT CCMCC $12,143 $10,653 $18,841 −36% $14,209 −15% —
076 VIRAL MENINGITIS WITHOUT CCMCC $12,122 $11,489 $20,355 −40% $15,474 −22% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $12,099 $10,507 $18,577 −35% $14,055 −14% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $12,071 $10,957 $19,815 −39% $19,815 −39% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $12,026 $10,729 $18,978 −37% $14,290 −16% —
603 CELLULITIS WITHOUT MCC $12,011 $11,047 $19,553 −39% $18,530 −35% —
138 MOUTH PROCEDURES WITHOUT CCMCC $11,996 $10,221 $19,492 −38% $17,383 −31% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $11,985 $10,516 $18,592 −36% $14,064 −15% —
946 REHABILITATION WITHOUT CCMCC $11,985 $13,936 $24,786 −52% $17,685 −32% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $11,965 $11,340 $20,084 −40% $20,084 −40% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,898 $11,341 $20,086 −41% $15,077 −21% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $11,878 $12,118 $21,494 −45% $19,001 −37% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,826 $11,093 $19,638 −40% $15,045 −21% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,817 $10,371 $18,330 −36% $15,876 −26% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $11,737 $10,301 $18,204 −36% $18,204 −36% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,728 $11,353 $20,108 −42% $17,731 −34% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $11,702 $10,272 $18,150 −36% $18,150 −36% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,692 $10,480 $18,528 −37% $18,253 −36% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,687 $10,258 $18,126 −36% $17,715 −34% —
779 ABORTION WITHOUT D&C $11,684 $11,709 $20,752 −44% $15,327 −24% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $11,605 $10,190 $18,002 −36% $18,002 −36% —
176 PULMONARY EMBOLISM WITHOUT MCC $11,589 $10,234 $18,081 −36% $18,081 −36% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $11,541 $9,874 $17,431 −34% $13,385 −14% —
123 NEUROLOGICAL EYE DISORDERS $11,498 $10,095 $17,831 −36% $17,831 −36% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,455 $10,057 $17,762 −36% $20,278 −44% ≈118% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $11,413 $10,023 $17,700 −36% $17,700 −36% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,409 $10,843 $19,185 −41% $15,284 −25% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,375 $9,988 $17,638 −36% $17,727 −36% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,354 $10,288 $18,179 −38% $13,822 −18% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $11,300 $9,925 $17,522 −36% $17,522 −36% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $11,284 $9,396 $16,565 −32% $14,861 −24% —
881 DEPRESSIVE NEUROSES $11,209 $11,455 $20,293 −45% $15,058 −26% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $11,190 $9,828 $17,347 −35% $16,745 −33% ≈119% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,173 $9,814 $17,322 −35% $17,322 −35% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $11,135 $9,783 $17,265 −36% $15,858 −30% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,058 $10,088 $17,817 −38% $17,466 −37% ≈119% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $11,022 $9,684 $17,087 −35% $14,444 −24% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,022 $10,076 $17,795 −38% $17,388 −37% —
534 FRACTURES OF FEMUR WITHOUT MCC $11,014 $10,228 $18,070 −39% $17,195 −36% —
151 EPISTAXIS WITHOUT MCC $10,970 $9,541 $16,827 −35% $13,032 −16% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $10,927 $9,445 $16,654 −34% $16,654 −34% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $10,920 $10,838 $19,176 −43% $17,367 −37% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $10,870 $9,181 $16,175 −33% $12,650 −14% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $10,785 $9,127 $16,077 −33% $12,593 −14% —
305 HYPERTENSION WITHOUT MCC $10,753 $9,451 $16,665 −35% $17,144 −37% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,739 $10,266 $18,139 −41% $16,837 −36% —
204 RESPIRATORY SIGNS AND SYMPTOMS $10,729 $10,191 $18,004 −40% $16,866 −36% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $10,715 $9,420 $16,607 −35% $14,337 −25% —
149 DYSEQUILIBRIUM $10,707 $9,412 $16,594 −35% $17,203 −38% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $10,662 $9,374 $16,525 −35% $13,892 −23% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $10,648 $8,835 $15,549 −32% $13,654 −22% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,614 $9,333 $16,450 −35% $13,282 −20% —
950 AFTERCARE WITHOUT CCMCC $10,609 $7,433 $13,527 −22% $13,527 −22% —
694 URINARY STONES WITHOUT MCC $10,541 $9,828 $17,347 −39% $16,531 −36% —
188 PLEURAL EFFUSION WITHOUT CCMCC $10,518 $9,249 $16,299 −35% $14,110 −25% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,416 $9,312 $16,412 −37% $16,865 −38% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $10,389 $9,138 $16,097 −35% $18,623 −44% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $10,380 $12,118 $21,494 −52% $18,238 −43% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $10,365 $9,795 $17,287 −40% $14,166 −27% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $10,315 $8,805 $15,495 −33% $15,072 −32% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $10,222 $8,994 $15,837 −35% $15,607 −35% —
313 CHEST PAIN $10,222 $8,994 $15,837 −35% $15,962 −36% ≈123% of Medicare
297 CARDIAC ARREST, UNEXPLAINED WITH CC $10,205 $8,884 $15,637 −35% $12,336 −17% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $10,141 $8,422 $14,800 −31% $11,847 −14% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $10,070 $8,863 $15,600 −35% $15,600 −35% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $9,968 $8,759 $15,411 −35% $13,303 −25% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $9,920 $9,141 $16,104 −38% $16,104 −38% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $9,916 $8,729 $15,358 −35% $14,441 −31% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $9,868 $8,480 $14,907 −34% $11,909 −17% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $9,867 $8,686 $15,280 −35% $19,483 −49% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,814 $8,787 $15,462 −37% $12,405 −21% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $9,786 $8,618 $15,156 −35% $12,797 −24% —
201 PNEUMOTHORAX WITHOUT CCMCC $9,752 $8,549 $15,031 −35% $13,081 −25% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $9,641 $8,492 $14,927 −35% $13,198 −27% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,641 $8,492 $14,927 −35% $14,927 −35% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $9,629 $8,466 $14,880 −35% $14,880 −35% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $9,581 $8,332 $14,638 −35% $13,485 −29% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,580 $9,411 $16,592 −42% $12,895 −26% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,556 $9,119 $16,064 −41% $13,090 −27% —
311 ANGINA PECTORIS $9,554 $8,809 $15,502 −38% $15,165 −37% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $9,496 $8,335 $14,643 −35% $13,368 −29% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $9,453 $9,070 $15,975 −41% $12,537 −25% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $9,317 $8,679 $15,267 −39% $14,012 −34% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,266 $8,995 $15,839 −41% $12,381 −25% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $9,219 $8,061 $14,148 −35% $12,044 −23% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $9,215 $8,564 $15,058 −39% $11,997 −23% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $9,147 $8,094 $14,208 −36% $14,208 −36% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $9,133 $8,054 $14,134 −35% $14,134 −35% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $9,130 $8,050 $14,128 −35% $14,128 −35% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $9,086 $8,788 $15,464 −41% $12,279 −26% —
153 OTITIS MEDIA AND URI WITHOUT MCC $9,054 $8,973 $15,799 −43% $14,473 −37% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $9,043 $8,183 $14,368 −37% $14,368 −37% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $8,937 $7,882 $13,824 −35% $13,824 −35% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $8,828 $7,789 $13,683 −35% $15,070 −41% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $8,764 $8,020 $14,072 −38% $11,421 −23% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,755 $8,390 $14,743 −41% $13,890 −37% —
684 RENAL FAILURE WITHOUT CCMCC $8,719 $7,695 $13,642 −36% $13,623 −36% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $8,675 $7,688 $13,639 −36% $11,071 −22% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $8,610 $7,598 $13,599 −37% $10,975 −22% —
639 DIABETES WITHOUT CCMCC $8,536 $7,930 $13,910 −39% $13,910 −39% —
765 UnGrouped $8,500 — $5,336 +59% $5,336 +59% —
766 UnGrouped $8,500 — $5,336 +59% $5,336 +59% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $8,414 $7,899 $13,855 −39% $12,013 −30% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $8,003 $7,107 $13,384 −40% $13,384 −40% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $7,837 $6,957 $13,318 −41% $13,318 −41% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,730 $7,199 $13,425 −42% $9,385 −18% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $7,395 $6,975 $13,326 −45% $11,955 −38% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $6,640 $6,621 $11,539 −42% $9,076 −27% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $6,365 $5,663 $12,751 −50% $8,927 −29% —
767 UnGrouped $5,426 — $3,032 +79% $3,032 +79% —
774 UnGrouped $5,426 — $3,032 +79% $3,032 +79% —
775 UnGrouped $5,426 — $3,032 +79% $3,242 +67% —
795 NORMAL NEWBORN $2,420 $2,697 $6,880 −65% $4,530 −47% —
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