UCLA West Valley Medical Center — Pricing

769 procedures published in this hospital's Machine-Readable File (MRF) — 769 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 769
Lowest published price $8,777
Average published price $41,641
Highest published price $579,261

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 769 procedures

Published charges

Showing all 769 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 69 procedures, this hospital's negotiated rates average ≈113% of what Medicare pays.

DRG Description Published price vs. CA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $579,261 $641,743 −10% $498,715 +16% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $432,659 $486,976 −11% $431,073 +0% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $364,377 $412,183 −12% $306,087 +19% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $329,185 $371,366 −11% $371,366 −11% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $220,726 $71,486 +209% $56,242 +292% —
652 Kidney transplant $220,726 $62,468 +253% $54,720 +303% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $217,034 $248,521 −13% $245,241 −12% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $201,241 $227,681 −12% $182,314 +10% —
007 Lung transplant $200,734 $230,667 −13% $170,608 +18% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $169,260 $198,463 −15% $169,977 −0% —
212 Concomitant Aortic and Mitral Valve Procedures $167,328 $196,346 −15% $171,338 −2% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $163,573 $189,963 −14% $159,181 +3% —
215 Other heart assist system implant $162,734 $191,314 −15% $191,314 −15% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $148,239 $175,437 −16% $175,437 −16% —
231 CORONARY BYPASS WITH PTCA WITH MCC $130,157 $155,631 −16% $146,474 −11% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $130,085 $153,282 −15% $151,029 −14% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $127,702 $189,537 −33% $142,326 −10% —
461 Bilateral or multiple major joint procs of lower extremity w MCC $125,123 $114,040 +10% $108,472 +15% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $123,995 $121,714 +2% $121,714 +2% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $123,995 $113,157 +10% $92,238 +34% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $123,995 $143,242 −13% $143,242 −13% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $123,995 $102,177 +21% $102,177 +21% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $123,995 $90,331 +37% $90,331 +37% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $123,995 $96,905 +28% $96,905 +28% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $123,995 $65,325 +90% $65,325 +90% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $123,995 $131,961 −6% $131,961 −6% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $123,995 $117,280 +6% $117,280 +6% —
277 Cardiac Defibrillator Implant without MCC $123,995 $91,329 +36% $91,329 +36% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $123,817 $148,686 −17% $134,914 −8% —
010 Pancreas transplant $122,464 $144,934 −16% $99,940 +23% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $121,762 $146,435 −17% $105,228 +16% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $120,058 $144,569 −17% $138,868 −14% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $114,649 $136,374 −16% $120,587 −5% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $114,093 $106,057 +8% $101,235 +13% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $114,093 $72,461 +57% $62,404 +83% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $110,310 $51,339 +115% $51,339 +115% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $110,310 $34,689 +218% $41,380 +167% —
252 OTHER VASCULAR PROCEDURES WITH MCC $110,310 $68,508 +61% $68,508 +61% —
253 OTHER VASCULAR PROCEDURES WITH CC $110,310 $53,746 +105% $53,746 +105% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $110,310 $38,836 +184% $38,836 +184% —
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $110,310 $78,852 +40% $78,852 +40% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $110,310 $65,573 +68% $65,573 +68% ≈105% of Medicare
321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices $110,310 $60,959 +81% $74,274 +49% ≈92% of Medicare
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $110,310 $40,163 +175% $54,772 +101% ≈157% of Medicare
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $110,310 $84,725 +30% $88,049 +25% —
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $110,310 $66,819 +65% $66,819 +65% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $109,161 $82,247 +33% $82,247 +33% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $109,161 $113,855 −4% $113,855 −4% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $109,161 $92,217 +18% $92,217 +18% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $109,161 $125,242 −13% $118,589 −8% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $109,161 $83,065 +31% $83,065 +31% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $109,161 $99,423 +10% $99,423 +10% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $109,161 $71,014 +54% $71,014 +54% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $109,161 $55,162 +98% $55,162 +98% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $108,151 $115,839 −7% $106,238 +2% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $108,151 $102,573 +5% $102,573 +5% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $108,151 $112,062 −3% $112,062 −3% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $106,850 $124,290 −14% $138,008 −23% ≈106% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $106,210 $96,507 +10% $96,222 +10% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $106,210 $68,421 +55% $68,880 +54% ≈106% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $106,210 $54,929 +93% $54,929 +93% ≈113% of Medicare
469 Major joint replacement or reattachment of lower extremity w MCC $106,210 $65,788 +61% $65,254 +63% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $106,210 $41,857 +154% $49,197 +116% ≈183% of Medicare
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $106,210 $62,334 +70% $67,764 +57% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $106,210 $46,799 +127% $56,519 +88% ≈123% of Medicare
955 Craniotomy for multiple significant trauma $104,881 $125,675 −17% $105,612 −1% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $102,587 $125,432 −18% $89,353 +15% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $101,678 $153,621 −34% $120,174 −15% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $101,152 $106,778 −5% $106,778 −5% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $101,152 $74,755 +35% $74,755 +35% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $101,152 $88,307 +15% $88,307 +15% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $101,152 $64,523 +57% $63,475 +59% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $101,152 $54,583 +85% $52,332 +93% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $101,152 $81,298 +24% $68,659 +47% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $101,152 $46,724 +116% $45,622 +122% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $101,152 $35,419 +186% $33,984 +198% —
037 EXTRACRANIAL PROCEDURES WITH MCC $101,152 $66,666 +52% $64,749 +56% —
038 EXTRACRANIAL PROCEDURES WITH CC $101,152 $35,770 +183% $35,770 +183% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $101,152 $25,267 +300% $25,267 +300% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $101,152 $74,257 +36% $74,257 +36% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $101,152 $50,131 +102% $44,989 +125% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $101,152 $39,018 +159% $39,018 +159% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $101,152 $77,817 +30% $71,701 +41% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $101,152 $44,730 +126% $41,660 +143% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $101,152 $28,156 +259% $28,156 +259% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $99,335 $116,058 −14% $116,058 −14% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $97,140 $117,196 −17% $109,331 −11% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $94,589 $114,401 −17% $98,912 −4% —
028 SPINAL PROCEDURES WITH MCC $93,380 $113,077 −17% $95,858 −3% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $92,710 $108,802 −15% $98,260 −6% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $92,710 $108,802 −15% $81,176 +14% —
790 Extreme immaturity or respiratory distress syndrome, neonate $91,311 $107,269 −15% $80,018 +14% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $89,429 $108,750 −18% $96,192 −7% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $88,156 $107,355 −18% $107,355 −18% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $87,664 $26,611 +229% $27,369 +220% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $86,587 $132,794 −35% $121,728 −29% —
653 MAJOR BLADDER PROCEDURES WITH MCC $85,625 $104,583 −18% $97,046 −12% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $84,898 $100,245 −15% $76,583 +11% —
163 MAJOR CHEST PROCEDURES WITH MCC $83,819 $88,341 −5% $88,341 −5% —
164 MAJOR CHEST PROCEDURES WITH CC $83,819 $53,141 +58% $53,141 +58% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $83,819 $41,380 +103% $41,380 +103% —
264 Other circulatory system O.R. procedures $83,819 $69,597 +20% $51,953 +61% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $83,819 $86,970 −4% $75,585 +11% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $83,819 $51,387 +63% $36,080 +132% —
008 Simultaneous pancreas/kidney transplant $83,574 $102,337 −18% $86,459 −3% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $83,384 $102,128 −18% $94,927 −12% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $82,958 $101,662 −18% $78,582 +6% —
011 Tracheostomy for face,mouth & neck diagnoses w MCC $82,880 $101,576 −18% $86,953 −5% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $82,871 $101,566 −18% $82,527 +0% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $81,735 $126,098 −35% $114,914 −29% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $78,012 $96,245 −19% $80,747 −3% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $77,366 $95,536 −19% $87,565 −12% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $76,910 $91,495 −16% $70,735 +9% —
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $76,850 $97,241 −21% $84,861 −9% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $76,819 $94,937 −19% $87,018 −12% ≈104% of Medicare
245 AICD generator procedures $75,060 $95,281 −21% $72,076 +4% —
471 CERVICAL SPINAL FUSION WITH MCC $74,607 $92,515 −19% $92,515 −19% —
006 LIVER TRANSPLANT WITHOUT MCC $74,483 $92,378 −19% $84,407 −12% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $73,351 $91,138 −20% $88,691 −17% —
799 SPLENIC PROCEDURES WITH MCC $73,033 $90,790 −20% $78,821 −7% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $73,019 $90,775 −20% $86,390 −15% —
265 AICD lead procedures $72,828 $70,810 +3% $56,695 +28% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $71,876 $89,523 −20% $80,885 −11% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $70,767 $90,579 −22% $71,551 −1% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $70,531 $88,050 −20% $88,050 −20% ≈93% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $69,297 $86,699 −20% $72,859 −5% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $68,884 $86,246 −20% $76,954 −10% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $68,052 $85,334 −20% $68,847 −1% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $67,099 $105,899 −37% $105,899 −37% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $66,689 $105,333 −37% $93,783 −29% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $66,460 $80,049 −17% $59,352 +12% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $66,324 $83,441 −21% $83,441 −21% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $65,520 $82,561 −21% $82,561 −21% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $64,960 $84,217 −23% $60,098 +8% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $64,409 $44,489 +45% $44,600 +44% ≈108% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $64,409 $24,191 +166% $31,190 +107% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $64,351 $81,281 −21% $72,945 −12% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $64,058 $57,323 +12% $16,719 +283% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $63,627 $67,268 −5% $64,152 −1% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $63,627 $48,235 +32% $45,818 +39% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $63,627 $60,274 +6% $63,984 −1% ≈118% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $63,627 $45,703 +39% $51,172 +24% ≈108% of Medicare
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $63,126 $79,939 −21% $66,853 −6% —
012 Tracheostomy for face,mouth & neck diagnoses w CC $63,032 $79,836 −21% $73,029 −14% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $62,783 $99,943 −37% $79,944 −21% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $62,531 $30,418 +106% $30,418 +106% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $62,531 $50,777 +23% $52,313 +20% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $62,531 $36,816 +70% $42,119 +48% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $62,531 $29,250 +114% $34,887 +79% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $62,474 $79,225 −21% $72,011 −13% —
791 PREMATURITY WITH MAJOR PROBLEMS $62,359 $75,557 −17% $39,563 +58% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $62,077 $70,132 −11% $70,132 −11% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $62,077 $50,011 +24% $50,011 +24% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $62,077 $40,063 +55% $40,063 +55% —
739 Uterine,adnexa proc for non-ovarian/adnexal malig w MCC $61,146 $77,770 −21% $57,521 +6% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $60,605 $77,178 −21% $68,006 −11% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $60,481 $77,041 −21% $61,832 −2% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $60,358 $76,907 −22% $54,196 +11% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $59,730 $76,219 −22% $72,908 −18% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $59,366 $75,820 −22% $62,961 −6% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $59,306 $75,754 −22% $55,097 +8% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $59,140 $75,573 −22% $72,782 −19% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $58,711 $75,103 −22% $75,103 −22% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $57,476 $73,751 −22% $60,861 −6% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $56,043 $68,639 −18% $62,524 −10% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $55,655 $71,755 −22% $71,755 −22% —
472 CERVICAL SPINAL FUSION WITH CC $55,286 $59,537 −7% $59,537 −7% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $55,286 $50,624 +9% $50,624 +9% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $55,062 $71,106 −23% $59,425 −7% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $55,059 $67,560 −19% $57,855 −5% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $55,050 $71,092 −23% $64,776 −15% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $54,546 $70,540 −23% $70,540 −23% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $54,212 $70,175 −23% $50,919 +6% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $54,076 $70,026 −23% $56,964 −5% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $53,818 $69,743 −23% $68,399 −21% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $53,801 $69,724 −23% $65,383 −18% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $53,779 $69,701 −23% $59,207 −9% —
332 RECTAL RESECTION WITH MCC $53,279 $69,152 −23% $58,125 −8% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $53,220 $69,089 −23% $49,065 +8% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $52,986 $60,265 −12% $48,907 +8% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $52,986 $39,020 +36% $35,673 +49% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $52,986 $70,371 −25% $67,901 −22% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $52,986 $42,126 +26% $42,126 +26% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $52,986 $33,694 +57% $33,694 +57% —
291 HEART FAILURE AND SHOCK WITH MCC $52,854 $28,966 +82% $25,020 +111% ≈111% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $52,822 $68,653 −23% $62,269 −15% —
665 PROSTATECTOMY WITH MCC $52,739 $68,562 −23% $54,072 −2% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $51,405 $58,935 −13% $44,973 +14% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $51,405 $35,453 +45% $35,453 +45% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $51,405 $32,451 +58% $32,451 +58% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $50,717 $68,616 −26% $52,908 −4% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $50,064 $65,631 −24% $54,129 −8% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $50,042 $65,608 −24% $64,465 −22% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,781 $81,998 −39% $81,998 −39% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $49,448 $64,956 −24% $64,956 −24% —
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $49,219 $66,976 −27% $57,277 −14% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $48,982 $60,905 −20% $49,710 −1% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $48,901 $38,998 +25% $29,558 +65% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $48,901 $26,302 +86% $20,842 +135% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $48,850 $66,572 −27% $44,472 +10% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $48,752 $64,194 −24% $51,142 −5% —
500 SOFT TISSUE PROCEDURES WITH MCC $48,671 $64,105 −24% $57,479 −15% —
662 MINOR BLADDER PROCEDURES WITH MCC $47,916 $63,279 −24% $54,483 −12% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $47,692 $79,116 −40% $75,492 −37% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $47,499 $62,821 −24% $62,821 −24% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $47,367 $62,677 −24% $53,817 −12% —
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $47,133 $64,691 −27% $53,555 −12% —
570 SKIN DEBRIDEMENT WITH MCC $46,236 $63,709 −27% $52,435 −12% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $45,867 $57,493 −20% $46,402 −1% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $45,290 $60,402 −25% $54,313 −17% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $45,050 $60,140 −25% $60,140 −25% —
668 TRANSURETHRAL PROCEDURES WITH MCC $44,794 $59,859 −25% $47,277 −5% —
800 SPLENIC PROCEDURES WITH CC $44,755 $59,817 −25% $49,184 −9% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $44,731 $59,790 −25% $54,475 −18% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $44,132 $34,867 +27% $28,967 +52% ≈112% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $44,132 $20,463 +116% $20,463 +116% ≈116% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $44,132 $16,097 +174% $18,623 +137% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $44,132 $40,150 +10% $35,014 +26% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $44,132 $16,450 +168% $13,282 +232% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $44,132 $13,395 +229% $10,039 +340% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $44,132 $43,775 +1% $43,775 +1% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $44,132 $31,816 +39% $31,816 +39% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $44,038 $59,031 −25% $58,968 −25% —
462 Bilateral or multiple major joint procs of lower extremity w/o MCC $43,987 $58,975 −25% $56,758 −23% —
325 Coronary Intravascular Lithotripsy without Intraluminal Device $43,961 $61,217 −28% $53,551 −18% —
510 Shoulder,elbow or forearm proc,exc major joint proc w MCC $43,900 $58,880 −25% $49,055 −11% —
654 MAJOR BLADDER PROCEDURES WITH CC $43,347 $58,274 −26% $53,868 −20% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $43,136 $58,043 −26% $58,043 −26% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $42,031 $56,832 −26% $48,358 −13% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $41,955 $53,208 −21% $45,497 −8% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $41,728 $52,959 −21% $43,491 −4% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $41,524 $52,735 −21% $57,963 −28% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $41,387 $56,127 −26% $44,839 −8% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $41,223 $52,405 −21% $52,405 −21% ≈102% of Medicare
263 VEIN LIGATION AND STRIPPING $41,197 $55,918 −26% $44,938 −8% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $41,130 $25,822 +59% $18,291 +125% —
849 Radiotherapy $41,028 $52,191 −21% $37,862 +8% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $40,900 $55,594 −26% $45,432 −10% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $40,754 $55,434 −26% $40,947 −0% —
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $40,703 $55,378 −26% $45,290 −10% —
503 FOOT PROCEDURES WITH MCC $40,651 $55,321 −27% $43,901 −7% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $40,610 $55,276 −27% $40,277 +1% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $40,189 $54,815 −27% $43,697 −8% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $39,760 $54,345 −27% $41,703 −5% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $39,694 $54,273 −27% $48,094 −17% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $39,226 $50,218 −22% $38,878 +1% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $39,140 $53,666 −27% $57,149 −32% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $38,939 $56,278 −31% $36,097 +8% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $38,813 $49,765 −22% $39,657 −2% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $38,782 $53,274 −27% $46,659 −17% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $38,462 $49,382 −22% $39,409 −2% —
397 Appendix Procedures with MCC $38,059 $54,751 −30% $52,319 −27% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $37,627 $34,603 +9% $11,633 +223% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $37,620 $65,216 −42% $65,216 −42% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $37,605 $51,985 −28% $51,985 −28% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $37,295 $51,645 −28% $54,824 −32% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $37,151 $51,487 −28% $46,591 −20% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $37,034 $51,359 −28% $40,065 −8% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $36,879 $51,189 −28% $56,394 −35% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $36,821 $47,583 −23% $47,583 −23% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $36,821 $47,583 −23% $39,093 −6% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $36,354 $50,614 −28% $40,548 −10% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $36,306 $50,562 −28% $58,832 −38% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $36,248 $50,498 −28% $47,546 −24% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $35,920 $50,139 −28% $50,139 −28% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $35,638 $46,288 −23% $36,237 −2% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $35,457 $49,631 −29% $49,631 −29% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $35,237 $45,849 −23% $37,080 −5% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $35,179 $45,785 −23% $36,334 −3% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $35,071 $49,209 −29% $39,253 −11% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $35,005 $49,137 −29% $43,586 −20% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $34,940 $49,066 −29% $46,430 −25% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $34,805 $45,376 −23% $37,064 −6% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $34,687 $48,788 −29% $38,998 −11% —
113 ORBITAL PROCEDURES WITH CC/MCC $34,661 $48,760 −29% $35,642 −3% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $34,590 $48,682 −29% $48,682 −29% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $34,546 $48,634 −29% $45,059 −23% —
709 PENIS PROCEDURES WITH CC/MCC $34,515 $48,600 −29% $34,535 −0% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $34,396 $33,388 +3% $35,528 −3% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $34,289 $48,353 −29% $44,053 −22% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $33,782 $47,797 −29% $38,382 −12% —
935 Non-extensive burns $33,736 $43,274 −22% $29,458 +15% —
906 Hand procedures for injuries $33,523 $47,513 −29% $31,520 +6% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $33,467 $47,452 −29% $41,900 −20% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $33,320 $43,749 −24% $37,902 −12% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $33,136 $47,089 −30% $44,553 −26% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $33,077 $43,483 −24% $38,357 −14% ≈113% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $33,001 $47,696 −31% $34,900 −5% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $32,959 $43,354 −24% $31,044 +6% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $32,936 $43,328 −24% $36,850 −11% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $32,807 $43,187 −24% $35,569 −8% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $32,805 $46,727 −30% $40,232 −18% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $32,741 $46,657 −30% $37,654 −13% —
333 RECTAL RESECTION WITH CC $32,644 $46,551 −30% $34,352 −5% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $32,577 $46,477 −30% $46,477 −30% —
595 MAJOR SKIN DISORDERS WITH MCC $32,488 $42,837 −24% $31,785 +2% —
336 PERITONEAL ADHESIOLYSIS WITH CC $32,445 $46,332 −30% $49,470 −34% —
374 DIGESTIVE MALIGNANCY WITH MCC $32,431 $42,775 −24% $38,885 −17% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $32,431 $46,317 −30% $38,420 −16% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $32,299 $46,172 −30% $35,686 −9% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $32,202 $46,066 −30% $46,066 −30% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $32,110 $42,423 −24% $32,483 −1% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $31,907 $45,743 −30% $41,651 −23% —
592 SKIN ULCERS WITH MCC $31,584 $41,848 −25% $32,662 −3% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $31,448 $45,240 −30% $34,089 −8% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $31,153 $41,375 −25% $30,661 +2% —
539 OSTEOMYELITIS WITH MCC $31,064 $41,277 −25% $33,746 −8% —
548 SEPTIC ARTHRITIS WITH MCC $30,944 $41,146 −25% $31,019 −0% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $30,912 $41,111 −25% $30,940 −0% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $30,899 $44,639 −31% $45,817 −33% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $30,695 $44,363 −31% $44,363 −31% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $30,690 $44,357 −31% $43,524 −29% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $30,669 $44,326 −31% $29,109 +5% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $30,554 $40,719 −25% $35,714 −14% ≈111% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $30,532 $40,695 −25% $35,139 −13% —
100 SEIZURES WITH MCC $30,494 $40,653 −25% $35,194 −13% ≈108% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $30,491 $44,068 −31% $29,633 +3% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $30,383 $43,913 −31% $43,398 −30% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $30,305 $43,800 −31% $43,800 −31% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $30,188 $43,631 −31% $41,520 −27% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $30,137 $40,263 −25% $35,237 −14% ≈108% of Medicare
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $30,124 $43,538 −31% $43,538 −31% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $30,091 $40,213 −25% $36,933 −19% ≈122% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $30,018 $43,384 −31% $29,524 +2% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $30,013 $43,378 −31% $33,050 −9% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $29,942 $22,790 +31% $24,022 +25% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $29,807 $43,080 −31% $43,080 −31% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $29,770 $43,027 −31% $36,202 −18% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $29,669 $42,881 −31% $42,881 −31% —
380 COMPLICATED PEPTIC ULCER WITH MCC $29,557 $39,627 −25% $36,641 −19% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $29,380 $42,463 −31% $33,165 −11% —
711 TESTES PROCEDURES WITH CC/MCC $29,346 $42,414 −31% $34,852 −16% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $29,147 $42,126 −31% $35,459 −18% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $29,081 $39,105 −26% $36,280 −20% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $29,036 $39,057 −26% $32,399 −10% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $28,996 $39,013 −26% $32,204 −10% ≈128% of Medicare
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $28,964 $38,978 −26% $32,981 −12% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $28,959 $41,855 −31% $45,963 −37% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $28,939 $38,951 −26% $30,766 −6% ≈113% of Medicare
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $28,648 $38,631 −26% $35,114 −18% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $28,512 $38,483 −26% $30,974 −8% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $28,500 $41,191 −31% $32,538 −12% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $28,476 $38,443 −26% $22,698 +25% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $28,353 $38,308 −26% $29,609 −4% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $28,294 $40,894 −31% $28,375 −0% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $28,242 $38,187 −26% $30,394 −7% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $28,156 $40,694 −31% $40,694 −31% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $28,079 $40,583 −31% $40,583 −31% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $28,065 $40,563 −31% $40,563 −31% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $28,058 $40,552 −31% $40,552 −31% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $28,025 $37,950 −26% $37,950 −26% —
919 COMPLICATIONS OF TREATMENT WITH MCC $28,010 $37,933 −26% $29,031 −4% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $27,999 $37,921 −26% $36,375 −23% —
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $27,929 $40,365 −31% $36,597 −24% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $27,927 $37,842 −26% $37,842 −26% ≈100% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $27,790 $37,692 −26% $29,476 −6% —
789 Neonates, died or transferred to another acute care facility $27,688 $32,578 −15% $14,284 +94% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $27,594 $37,477 −26% $24,836 +11% —
501 SOFT TISSUE PROCEDURES WITH CC $27,413 $39,619 −31% $37,975 −28% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $27,354 $37,214 −26% $48,680 −44% —
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC $27,353 $37,213 −26% $30,275 −10% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $27,340 $39,515 −31% $33,564 −19% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $27,276 $39,422 −31% $31,909 −15% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $27,233 $39,360 −31% $36,242 −25% —
199 PNEUMOTHORAX WITH MCC $27,115 $36,952 −27% $31,491 −14% —
509 Arthroscopy $26,983 $38,998 −31% $25,994 +4% —
597 MALIGNANT BREAST DISORDERS WITH MCC $26,983 $36,807 −27% $31,846 −15% —
504 FOOT PROCEDURES WITH CC $26,956 $38,960 −31% $36,598 −26% —
505 FOOT PROCEDURES WITHOUT CC/MCC $26,956 $38,960 −31% $31,716 −15% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $26,898 $38,876 −31% $34,264 −21% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $26,849 $36,661 −27% $31,758 −15% —
180 RESPIRATORY NEOPLASMS WITH MCC $26,846 $36,658 −27% $36,658 −27% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $26,708 $36,506 −27% $30,814 −13% —
915 ALLERGIC REACTIONS WITH MCC $26,694 $36,491 −27% $30,944 −14% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $26,666 $38,541 −31% $32,839 −19% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $26,556 $36,340 −27% $29,826 −11% —
671 URETHRAL PROCEDURES WITH CC/MCC $26,476 $38,265 −31% $27,233 −3% —
075 VIRAL MENINGITIS WITH CC/MCC $26,456 $36,230 −27% $29,853 −11% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $26,357 $38,094 −31% $38,094 −31% —
551 MEDICAL BACK PROBLEMS WITH MCC $26,210 $35,961 −27% $31,086 −16% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $26,129 $37,764 −31% $43,266 −40% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $26,015 $37,599 −31% $29,729 −12% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,964 $37,526 −31% $28,578 −9% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $25,949 $35,675 −27% $29,409 −12% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $25,872 $35,591 −27% $31,128 −17% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $25,818 $35,532 −27% $30,058 −14% ≈114% of Medicare
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $25,722 $37,175 −31% $29,916 −14% —
571 SKIN DEBRIDEMENT WITH CC $25,717 $37,169 −31% $34,901 −26% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $25,654 $35,352 −27% $25,208 +2% ≈101% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $25,651 $35,349 −27% $33,607 −24% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $25,629 $37,042 −31% $28,103 −9% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $25,623 $37,033 −31% $30,930 −17% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $25,554 $35,243 −27% $32,502 −21% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $25,536 $36,907 −31% $27,548 −7% —
334 RECTAL RESECTION WITHOUT CC/MCC $25,476 $36,820 −31% $32,213 −21% —
643 ENDOCRINE DISORDERS WITH MCC $25,456 $35,135 −28% $32,996 −23% ≈119% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $25,436 $35,113 −28% $32,689 −22% ≈107% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $25,359 $36,651 −31% $44,117 −43% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $25,316 $36,589 −31% $25,197 +0% —
666 PROSTATECTOMY WITH CC $25,302 $36,569 −31% $30,016 −16% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $25,232 $36,467 −31% $31,566 −20% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $25,216 $36,445 −31% $28,634 −12% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $25,185 $34,839 −28% $28,134 −10% ≈116% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $25,166 $34,817 −28% $30,910 −19% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $25,153 $36,354 −31% $36,333 −31% —
157 DENTAL AND ORAL DISEASES WITH MCC $25,152 $34,802 −28% $27,457 −8% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $25,063 $32,911 −24% $32,911 −24% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $24,980 $34,613 −28% $24,465 +2% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,969 $36,087 −31% $27,168 −8% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $24,957 $34,588 −28% $26,020 −4% —
913 TRAUMATIC INJURY WITH MCC $24,857 $34,479 −28% $24,198 +3% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,846 $34,467 −28% $25,731 −3% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $24,829 $34,448 −28% $31,840 −22% ≈106% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $24,820 $35,872 −31% $27,118 −8% —
606 MINOR SKIN DISORDERS WITH MCC $24,734 $34,344 −28% $25,434 −3% —
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $24,695 $35,692 −31% $35,692 −31% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $24,620 $35,584 −31% $35,584 −31% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $24,476 $35,375 −31% $35,375 −31% —
183 MAJOR CHEST TRAUMA WITH MCC $24,381 $33,957 −28% $28,924 −16% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $24,367 $35,217 −31% $39,747 −39% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $24,272 $35,080 −31% $33,490 −28% —
186 PLEURAL EFFUSION WITH MCC $24,268 $33,834 −28% $32,468 −25% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $24,218 $33,779 −28% $29,371 −18% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $24,152 $34,906 −31% $34,906 −31% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $24,103 $33,653 −28% $32,936 −27% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $24,084 $33,633 −28% $31,059 −22% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $24,043 $34,749 −31% $32,490 −26% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,825 $34,434 −31% $34,434 −31% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $23,803 $33,325 −29% $28,646 −17% —
813 Coagulation disorders $23,777 $33,296 −29% $30,128 −21% ≈104% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $23,769 $34,354 −31% $34,354 −31% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $23,751 $33,267 −29% $24,036 −1% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $23,743 $34,316 −31% $25,484 −7% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,740 $33,256 −29% $28,252 −16% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,579 $34,078 −31% $36,239 −35% —
115 Extraocular procedures except orbit $23,516 $33,987 −31% $24,879 −5% —
663 MINOR BLADDER PROCEDURES WITH CC $23,461 $33,907 −31% $29,924 −22% —
945 REHABILITATION WITH CC/MCC $23,447 $32,934 −29% $23,834 −2% —
533 FRACTURES OF FEMUR WITH MCC $23,422 $32,907 −29% $25,945 −10% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $23,299 $33,674 −31% $30,972 −25% —
398 Appendix Procedures without MCC/CC $23,242 $33,592 −31% $39,107 −41% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $23,192 $33,519 −31% $24,229 −4% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $23,183 $33,506 −31% $27,279 −15% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $23,126 $33,424 −31% $33,424 −31% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $23,109 $33,399 −31% $33,792 −32% —
682 RENAL FAILURE WITH MCC $23,069 $32,520 −29% $27,854 −17% ≈112% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $23,061 $33,330 −31% $23,814 −3% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $23,041 $32,490 −29% $25,854 −11% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $23,026 $32,473 −29% $29,484 −22% —
506 Major thumb or joint procedures $23,026 $33,279 −31% $28,983 −21% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $23,000 $32,445 −29% $24,450 −6% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $22,928 $33,137 −31% $33,137 −31% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,866 $33,048 −31% $31,062 −26% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,820 $32,248 −29% $28,140 −19% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $22,674 $16,713 +36% $7,961 +185% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $22,673 $24,042 −6% $22,560 +1% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $22,673 $19,815 +14% $19,815 +14% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $22,673 $23,571 −4% $23,571 −4% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $22,673 $20,084 +13% $20,084 +13% —
865 VIRAL ILLNESS WITH MCC $22,670 $32,083 −29% $26,088 −13% —
693 URINARY STONES WITH MCC $22,585 $31,990 −29% $22,525 +0% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,577 $31,982 −29% $28,780 −22% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,570 $32,620 −31% $25,152 −10% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $22,570 $31,974 −29% $25,786 −12% —
602 CELLULITIS WITH MCC $22,567 $31,970 −29% $29,347 −23% ≈107% of Medicare
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $22,479 $31,874 −29% $29,211 −23% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $22,464 $32,467 −31% $25,149 −11% —
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $22,425 $30,493 −26% $29,050 −23% —
637 DIABETES WITH MCC $22,368 $31,753 −30% $28,819 −22% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $22,347 $31,730 −30% $24,941 −10% —
895 Alcohol/drug abuse or dependence w rehabilitation therapy $22,239 $31,612 −30% $21,986 +1% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $22,210 $32,100 −31% $29,663 −25% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $22,147 $31,511 −30% $22,525 −2% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $22,106 $31,950 −31% $25,243 −12% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $22,011 $31,812 −31% $31,812 −31% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $21,832 $31,166 −30% $25,010 −13% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $21,800 $31,508 −31% $21,615 +1% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,739 $31,063 −30% $23,734 −8% —
313 Chest pain $21,696 $15,837 +37% $15,962 +36% ≈130% of Medicare
088 CONCUSSION WITH MCC $21,668 $30,986 −30% $24,402 −11% —
885 Psychoses $21,651 $30,968 −30% $21,489 +1% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $21,643 $30,959 −30% $29,757 −27% —
811 RED BLOOD CELL DISORDERS WITH MCC $21,610 $30,922 −30% $27,934 −23% ≈112% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $21,577 $30,887 −30% $35,542 −39% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,524 $31,108 −31% $24,452 −12% —
137 MOUTH PROCEDURES WITH CC/MCC $21,482 $31,048 −31% $24,348 −12% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,461 $31,017 −31% $30,006 −28% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $21,401 $30,693 −30% $25,666 −17% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,356 $30,645 −30% $24,118 −11% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,342 $30,846 −31% $24,561 −13% —
150 EPISTAXIS WITH MCC $21,230 $30,507 −30% $21,133 +0% —
139 Salivary gland procedures $21,089 $30,480 −31% $21,014 +0% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $21,049 $30,308 −31% $20,980 +0% —
748 Female reproductive system reconstructive procedures $20,925 $30,242 −31% $24,980 −16% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,814 $30,083 −31% $29,374 −29% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,796 $30,056 −31% $28,527 −27% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,684 $29,894 −31% $23,723 −13% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $20,622 $29,805 −31% $29,805 −31% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $20,582 $29,747 −31% $30,358 −32% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,496 $29,623 −31% $25,426 −19% ≈105% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,478 $29,596 −31% $31,978 −36% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $20,427 $29,523 −31% $23,350 −13% —
640 Nutritional & misc metabolic disorders w MCC $20,398 $29,481 −31% $24,480 −17% ≈104% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $20,240 $29,252 −31% $26,158 −23% ≈110% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,146 $29,117 −31% $23,115 −13% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,060 $28,993 −31% $23,956 −16% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,028 $28,946 −31% $21,029 −5% —
540 OSTEOMYELITIS WITH CC $19,877 $28,728 −31% $23,494 −15% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,823 $28,651 −31% $22,811 −13% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,806 $28,626 −31% $23,920 −17% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $19,790 $28,602 −31% $23,924 −17% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,783 $28,593 −31% $24,316 −19% —
947 SIGNS AND SYMPTOMS WITH MCC $19,756 $28,553 −31% $25,474 −22% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,730 $28,515 −31% $27,244 −28% ≈113% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $19,608 $28,340 −31% $22,557 −13% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $19,518 $28,209 −31% $19,686 −1% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,518 $28,209 −31% $22,275 −12% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,459 $28,125 −31% $25,623 −24% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,418 $28,065 −31% $26,634 −27% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,393 $28,029 −31% $19,894 −3% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,336 $27,947 −31% $27,947 −31% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,128 $27,645 −31% $26,146 −27% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,124 $27,641 −31% $19,354 −1% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $19,120 $27,634 −31% $21,860 −13% —
642 Inborn errors of metabolism $19,063 $27,552 −31% $20,727 −8% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,023 $27,494 −31% $22,032 −14% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,022 $27,492 −31% $27,492 −31% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,006 $27,470 −31% $25,704 −26% ≈108% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $18,922 $27,348 −31% $20,147 −6% —
694 URINARY STONES WITHOUT MCC $18,910 $17,347 +9% $16,531 +14% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $18,905 $27,323 −31% $27,321 −31% —
375 DIGESTIVE MALIGNANCY WITH CC $18,873 $27,277 −31% $27,219 −31% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $18,862 $27,261 −31% $19,132 −1% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $18,794 $27,163 −31% $26,322 −29% —
593 SKIN ULCERS WITH CC $18,780 $27,143 −31% $20,470 −8% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $18,725 $27,063 −31% $23,588 −21% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,645 $26,948 −31% $23,297 −20% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,522 $26,770 −31% $26,488 −30% ≈109% of Medicare
549 SEPTIC ARTHRITIS WITH CC $18,510 $26,753 −31% $20,938 −12% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,358 $26,533 −31% $20,421 −10% —
887 Other mental disorder diagnoses $18,269 $26,404 −31% $20,602 −11% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,157 $26,242 −31% $19,598 −7% —
304 HYPERTENSION WITH MCC $18,045 $26,080 −31% $24,185 −25% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $17,976 $25,980 −31% $22,982 −22% ≈103% of Medicare
302 ATHEROSCLEROSIS WITH MCC $17,868 $25,825 −31% $20,844 −14% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,865 $25,820 −31% $21,062 −15% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,830 $25,769 −31% $22,532 −21% —
102 HEADACHES WITH MCC $17,810 $25,740 −31% $22,544 −21% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $17,782 $25,700 −31% $24,202 −27% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $17,748 $25,652 −31% $25,307 −30% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $17,679 $25,552 −31% $18,133 −3% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $17,567 $25,390 −31% $25,390 −31% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $17,547 $25,361 −31% $24,432 −28% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,490 $25,279 −31% $24,452 −28% —
152 OTITIS MEDIA AND URI WITH MCC $17,430 $25,192 −31% $19,795 −12% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $17,323 $25,037 −31% $20,741 −16% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,321 $25,034 −31% $24,017 −28% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $17,261 $24,948 −31% $30,314 −43% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,249 $24,930 −31% $24,190 −29% ≈126% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $17,248 $24,928 −31% $19,317 −11% —
946 REHABILITATION WITHOUT CC/MCC $17,149 $24,786 −31% $17,685 −3% —
181 RESPIRATORY NEOPLASMS WITH CC $17,054 $24,648 −31% $22,431 −24% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,051 $24,644 −31% $18,459 −8% —
200 PNEUMOTHORAX WITH CC $17,011 $24,586 −31% $20,573 −17% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $16,982 $24,544 −31% $24,544 −31% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $16,936 $24,477 −31% $25,162 −33% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $16,910 $24,439 −31% $17,483 −3% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $16,839 $24,337 −31% $17,103 −2% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $16,810 $24,295 −31% $17,398 −3% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $16,758 $24,220 −31% $19,868 −16% —
381 COMPLICATED PEPTIC ULCER WITH CC $16,728 $24,177 −31% $24,177 −31% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $16,658 $24,075 −31% $21,806 −24% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $16,605 $24,000 −31% $17,226 −4% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $16,586 $23,971 −31% $18,126 −8% —
949 AFTERCARE WITH CC/MCC $16,573 $23,953 −31% $23,953 −31% —
598 MALIGNANT BREAST DISORDERS WITH CC $16,572 $23,951 −31% $19,073 −13% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $16,567 $23,944 −31% $17,193 −4% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $16,527 $23,887 −31% $17,943 −8% —
089 CONCUSSION WITH CC $16,467 $23,800 −31% $18,293 −10% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $16,444 $23,767 −31% $19,579 −16% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $16,432 $23,749 −31% $23,749 −31% —
712 TESTES PROCEDURES WITHOUT CC/MCC $16,429 $23,745 −31% $18,898 −13% —
184 MAJOR CHEST TRAUMA WITH CC $16,406 $23,711 −31% $20,842 −21% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $16,295 $23,551 −31% $23,496 −31% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,261 $23,503 −31% $24,136 −33% ≈115% of Medicare
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,188 $23,396 −31% $23,396 −31% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,169 $23,369 −31% $18,478 −12% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,157 $23,352 −31% $17,550 −8% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,129 $23,312 −31% $22,231 −27% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,011 $23,141 −31% $23,141 −31% —
644 ENDOCRINE DISORDERS WITH CC $15,873 $22,941 −31% $22,941 −31% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $15,836 $22,888 −31% $22,781 −30% ≈115% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $15,810 $22,850 −31% $22,850 −31% —
667 PROSTATECTOMY WITHOUT CC/MCC $15,787 $22,817 −31% $16,703 −5% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $15,741 $22,750 −31% $16,495 −5% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $15,665 $22,641 −31% $20,732 −24% ≈110% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $15,665 $22,641 −31% $16,571 −5% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $15,662 $22,637 −31% $21,545 −27% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $15,661 $22,635 −31% $20,080 −22% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $15,656 $22,628 −31% $19,091 −18% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $15,630 $22,590 −31% $22,713 −31% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $15,619 $22,575 −31% $23,469 −33% ≈123% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $15,607 $22,557 −31% $18,017 −13% —
920 COMPLICATIONS OF TREATMENT WITH CC $15,604 $22,552 −31% $21,181 −26% —
187 PLEURAL EFFUSION WITH CC $15,421 $22,288 −31% $21,467 −28% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,407 $22,268 −31% $17,078 −10% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $15,406 $22,266 −31% $16,212 −5% —
697 Urethral stricture $15,387 $22,239 −31% $17,705 −13% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $15,358 $22,197 −31% $20,007 −23% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $15,329 $22,155 −31% $15,370 −0% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $15,328 $22,153 −31% $17,434 −12% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $15,245 $22,033 −31% $20,968 −27% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,238 $22,024 −31% $22,024 −31% —
197 INTERSTITIAL LUNG DISEASE WITH CC $15,206 $21,977 −31% $20,106 −24% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,143 $21,886 −31% $21,886 −31% ≈152% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,139 $21,880 −31% $18,282 −17% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,037 $21,733 −31% $15,901 −5% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,025 $21,716 −31% $15,890 −5% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $14,895 $21,494 −31% $19,001 −22% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $14,895 $21,494 −31% $18,238 −18% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $14,895 $16,064 −7% $13,090 +14% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $14,895 $14,148 +5% $12,044 +24% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $14,848 $21,460 −31% $17,273 −14% ≈110% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $14,841 $21,449 −31% $21,449 −31% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $14,804 $21,396 −31% $21,213 −30% ≈115% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $14,781 $21,363 −31% $20,777 −29% —
882 Neuroses except depressive $14,776 $21,356 −31% $15,680 −6% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $14,724 $21,280 −31% $15,636 −6% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $14,693 $21,236 −31% $16,418 −11% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $14,686 $21,225 −31% $18,191 −19% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $14,679 $21,216 −31% $20,371 −28% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $14,672 $21,205 −31% $19,326 −24% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $14,669 $21,201 −31% $15,589 −6% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $14,619 $21,129 −31% $18,428 −21% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $14,458 $20,896 −31% $18,918 −24% ≈112% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $14,447 $20,881 −31% $17,700 −18% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $14,434 $20,861 −31% $17,108 −16% —
779 ABORTION WITHOUT D&C $14,358 $20,752 −31% $15,327 −6% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $14,340 $20,725 −31% $16,642 −14% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $14,229 $20,566 −31% $18,608 −24% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $14,188 $20,506 −31% $19,287 −26% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $14,176 $20,488 −31% $20,488 −31% ≈138% of Medicare
101 SEIZURES WITHOUT MCC $14,157 $20,461 −31% $19,954 −29% ≈116% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $14,153 $20,455 −31% $20,309 −30% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $14,116 $20,401 −31% $16,352 −14% —
638 DIABETES WITH CC $14,088 $20,361 −31% $18,821 −25% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $14,083 $20,355 −31% $15,474 −9% —
914 TRAUMATIC INJURY WITHOUT MCC $14,076 $20,344 −31% $15,593 −10% —
881 Depressive neuroses $14,040 $20,293 −31% $15,058 −7% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $14,017 $20,259 −31% $17,585 −20% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $13,913 $20,108 −31% $17,731 −22% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $13,898 $20,086 −31% $15,077 −8% —
864 FEVER AND INFLAMMATORY CONDITIONS $13,793 $19,935 −31% $17,412 −21% —
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $13,729 $19,842 −31% $18,803 −27% ≈115% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $13,707 $19,811 −31% $21,261 −36% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $13,699 $19,914 −31% $15,764 −13% —
683 RENAL FAILURE WITH CC $13,653 $19,733 −31% $18,620 −27% ≈117% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $13,590 $19,642 −31% $16,391 −17% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $13,587 $19,638 −31% $15,045 −10% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $13,578 $19,624 −31% $15,869 −14% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $13,563 $19,602 −31% $15,608 −13% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $13,550 $19,584 −31% $16,049 −16% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $13,540 $19,569 −31% $19,569 −31% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $13,530 $19,854 −32% $19,854 −32% —
603 CELLULITIS WITHOUT MCC $13,529 $19,553 −31% $18,530 −27% ≈123% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $13,438 $19,422 −31% $14,549 −8% —
312 SYNCOPE AND COLLAPSE $13,383 $19,342 −31% $19,342 −31% ≈115% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $13,357 $19,305 −31% $19,305 −31% —
607 MINOR SKIN DISORDERS WITHOUT MCC $13,274 $19,185 −31% $15,284 −13% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $13,268 $19,176 −31% $17,367 −24% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $13,242 $19,138 −31% $16,156 −18% —
292 HEART FAILURE AND SHOCK WITH CC $13,228 $19,118 −31% $16,212 −18% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $13,213 $19,096 −31% $19,096 −31% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $13,196 $19,072 −31% $18,278 −28% —
090 CONCUSSION WITHOUT CC/MCC $13,168 $19,032 −31% $14,873 −11% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $13,131 $18,978 −31% $14,290 −8% —
103 HEADACHES WITHOUT MCC $13,059 $18,874 −31% $20,111 −35% —
594 SKIN ULCERS WITHOUT CC/MCC $13,036 $18,841 −31% $14,209 −8% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $12,864 $18,592 −31% $14,064 −9% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $12,853 $18,577 −31% $14,055 −9% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $12,819 $18,528 −31% $18,253 −30% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $12,683 $18,330 −31% $15,876 −20% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $12,595 $18,204 −31% $18,204 −31% ≈127% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $12,578 $18,179 −31% $13,822 −9% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,558 $18,150 −31% $18,150 −31% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $12,550 $18,139 −31% $16,837 −25% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $12,541 $18,126 −31% $17,715 −29% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,541 $18,126 −31% $17,928 −30% —
176 PULMONARY EMBOLISM WITHOUT MCC $12,511 $18,081 −31% $18,081 −31% —
534 FRACTURES OF FEMUR WITHOUT MCC $12,503 $18,070 −31% $17,195 −27% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,495 $19,492 −36% $17,383 −28% —
204 RESPIRATORY SIGNS AND SYMPTOMS $12,457 $18,004 −31% $16,866 −26% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $12,455 $18,002 −31% $18,002 −31% —
123 Neurological eye disorders $12,337 $17,831 −31% $17,831 −31% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $12,328 $17,817 −31% $17,466 −29% ≈120% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $12,312 $17,795 −31% $17,388 −29% ≈141% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $12,299 $17,775 −31% $13,586 −9% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,289 $17,762 −31% $20,278 −39% ≈125% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $12,246 $17,700 −31% $17,700 −31% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $12,203 $17,638 −31% $17,727 −31% ≈115% of Medicare
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $12,131 $17,533 −31% $13,445 −10% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,123 $17,522 −31% $17,522 −31% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $12,061 $17,431 −31% $13,385 −10% —
641 Nutritional & misc metabolic disorders w/o MCC $12,002 $17,347 −31% $16,745 −28% ≈138% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,985 $17,322 −31% $17,322 −31% ≈123% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $11,961 $17,287 −31% $14,166 −16% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $11,945 $17,265 −31% $15,858 −25% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $11,822 $17,087 −31% $14,444 −18% —
151 EPISTAXIS WITHOUT MCC $11,643 $16,827 −31% $13,032 −11% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $11,607 $16,776 −31% $16,776 −31% —
305 HYPERTENSION WITHOUT MCC $11,531 $16,665 −31% $17,144 −33% ≈122% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $11,523 $16,654 −31% $16,654 −31% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $11,509 $16,634 −31% $16,634 −31% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,491 $16,607 −31% $14,337 −20% —
149 Dysequilibrium $11,481 $16,594 −31% $17,203 −33% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $11,480 $16,592 −31% $12,895 −11% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,461 $16,565 −31% $14,861 −23% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,434 $16,525 −31% $13,892 −18% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,356 $16,412 −31% $16,865 −33% ≈121% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $11,277 $16,299 −31% $14,110 −20% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,191 $16,175 −31% $12,650 −12% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $11,142 $16,104 −31% $16,104 −31% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,124 $16,077 −31% $12,593 −12% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $11,053 $15,975 −31% $12,537 −12% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $10,959 $15,839 −31% $12,381 −11% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $10,958 $15,837 −31% $15,607 −30% —
153 OTITIS MEDIA AND URI WITHOUT MCC $10,932 $15,799 −31% $14,473 −24% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $10,819 $15,637 −31% $12,336 −12% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,793 $15,600 −31% $15,600 −31% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $10,758 $15,549 −31% $13,654 −21% —
311 Angina pectoris $10,726 $15,502 −31% $15,165 −29% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,721 $15,495 −31% $15,072 −29% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,700 $15,464 −31% $12,279 −13% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,698 $15,462 −31% $12,405 −14% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $10,663 $15,411 −31% $13,303 −20% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $10,626 $15,358 −31% $14,441 −26% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,572 $15,280 −31% $19,483 −46% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $10,563 $15,267 −31% $14,012 −25% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,486 $15,156 −31% $12,797 −18% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,419 $15,058 −31% $11,997 −13% —
201 PNEUMOTHORAX WITHOUT CC/MCC $10,400 $15,031 −31% $13,081 −20% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,328 $14,927 −31% $13,198 −22% —
303 ATHEROSCLEROSIS WITHOUT MCC $10,328 $14,927 −31% $14,927 −31% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $10,314 $14,907 −31% $11,909 −13% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,296 $14,880 −31% $14,880 −31% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $10,240 $14,800 −31% $11,847 −14% —
916 ALLERGIC REACTIONS WITHOUT MCC $10,200 $14,743 −31% $13,890 −27% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,131 $14,643 −31% $13,368 −24% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $10,128 $14,638 −31% $13,485 −25% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $9,941 $14,368 −31% $14,368 −31% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,830 $14,208 −31% $14,208 −31% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $9,780 $14,134 −31% $14,134 −31% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,775 $14,128 −31% $14,128 −31% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $9,737 $14,072 −31% $11,421 −15% —
639 DIABETES WITHOUT CC/MCC $9,624 $13,910 −31% $13,910 −31% —
894 Alcohol/drug abuse or dependence, left AMA $9,586 $13,855 −31% $12,013 −20% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,565 $13,824 −31% $13,824 −31% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,448 $13,683 −31% $15,070 −37% —
684 RENAL FAILURE WITHOUT CC/MCC $9,330 $13,642 −32% $13,623 −32% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,322 $13,639 −32% $11,071 −16% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $9,208 $13,599 −32% $10,975 −16% —
950 AFTERCARE WITHOUT CC/MCC $9,002 $13,527 −33% $13,527 −33% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $8,777 $13,326 −34% $11,955 −27% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $8,777 $12,751 −31% $8,927 −2% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $8,777 $13,384 −34% $13,384 −34% ≈148% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,777 $13,318 −34% $13,318 −34% ≈127% of Medicare
795 Normal newborn $8,777 $6,880 +28% $4,530 +94% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $8,777 $11,539 −24% $9,076 −3% —
951 Other factors influencing health status $8,777 $13,425 −35% $9,385 −6% —
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