Baptist Hospital of Miami — Pricing

691 procedures published in this hospital's Machine-Readable File (MRF) — 691 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 691
Lowest published price $1,361
Average published price $22,755
Highest published price $414,640

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 691 procedures

Published charges

Showing all 691 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 124 procedures, this hospital's negotiated rates average ≈392% of what Medicare pays.

DRG Description Published price Cash price vs. FL median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $414,640 $1,627,962 $454,730 −9% $498,715 −17% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $222,936 $691,310 $551,188 −60% $431,073 −48% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROC $216,497 $926,018 $539,739 −60% $371,366 −42% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $208,758 $477,792 $163,220 +28% $103,861 +101% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $185,231 $862,253 $402,260 −54% $171,338 +8% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE $165,315 $756,317 $431,250 −62% $245,241 −33% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $162,809 — $79,508 +105% $48,358 +237% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $147,682 $693,028 $172,857 −15% $182,314 −19% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $146,589 $711,249 $146,589 +0% $121,563 +21% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $130,599 $640,119 $356,215 −63% $120,174 +9% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $120,279 $607,978 $191,084 −37% $121,728 −1% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $115,216 $593,703 $147,852 −22% $109,331 +5% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $107,533 $246,114 $136,641 −21% $75,251 +43% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICA $100,745 $498,049 $171,345 −41% $142,326 −29% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $100,360 $503,660 $190,319 −47% $191,314 −48% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $100,322 $504,683 $360,137 −72% $175,437 −43% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $98,700 $524,452 $207,509 −52% $96,192 +3% —
999 UNGROUPABLE $95,963 $219,634 $62,057 +55% $28,822 +233% —
834 ACUTE LEUKEMIA WITH MCC $92,419 $500,007 $100,016 −8% $76,583 +21% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $90,447 $476,595 $312,891 −71% $143,242 −37% ≈369% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $87,816 — $104,590 −16% $54,483 +61% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DE $83,755 $454,630 $311,971 −73% $114,914 −27% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $74,166 $412,065 $136,983 −46% $118,589 −37% —
231 CORONARY BYPASS WITH PTCA WITH MCC $72,217 $392,209 $95,116 −24% $146,474 −51% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $71,266 $417,429 $60,577 +18% $60,098 +19% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $70,610 $406,497 $135,442 −48% $86,953 −19% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $68,227 $402,184 $125,799 −46% $80,885 −16% ≈377% of Medicare
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $67,854 $413,721 $67,854 +0% $56,758 +20% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $67,386 $377,413 $191,844 −65% $138,868 −51% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $64,395 $307,244 $233,892 −72% $134,914 −52% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $58,587 $262,146 $284,008 −79% $131,961 −56% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $58,208 $345,348 $229,118 −75% $92,238 −37% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $56,867 $317,386 $259,383 −78% $138,008 −59% ≈318% of Medicare
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $55,690 $354,013 $93,398 −40% $52,908 +5% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $55,446 $329,282 $236,096 −77% $105,612 −48% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $55,184 $344,616 $50,993 +8% $70,735 −22% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $55,095 $228,012 $194,788 −72% $94,988 −42% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $54,741 $334,805 $198,447 −72% $107,355 −49% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $54,220 $294,958 $193,020 −72% $121,714 −55% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $54,032 $226,716 $151,781 −64% $98,912 −45% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $53,863 $326,728 $160,421 −66% $116,058 −54% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,854 $324,193 $87,122 −40% $78,582 −34% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $51,588 $323,578 $143,987 −64% $105,899 −51% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $50,705 $219,960 $184,196 −72% $113,855 −55% ≈309% of Medicare
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $50,187 $298,193 $123,059 −59% $106,238 −53% —
028 SPINAL PROCEDURES WITH MCC $49,760 $174,449 $123,606 −60% $95,858 −48% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $49,747 $248,911 $140,313 −65% $117,280 −58% —
653 MAJOR BLADDER PROCEDURES WITH MCC $49,741 $318,542 $127,939 −61% $97,046 −49% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $49,610 $311,958 $113,023 −56% $98,260 −50% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $49,250 $218,390 $174,763 −72% $80,018 −38% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $48,754 $320,821 $149,084 −67% $81,998 −41% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,661 $283,006 $204,784 −76% $112,062 −57% ≈310% of Medicare
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLA $47,573 $262,165 $200,833 −76% $106,778 −55% ≈330% of Medicare
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $46,283 $260,897 $127,104 −64% $84,861 −45% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $45,602 $304,288 $157,552 −71% $88,691 −49% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $45,530 $285,617 $102,071 −55% $94,927 −52% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $45,468 $261,668 $210,532 −78% $102,573 −56% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $45,261 $313,061 $60,442 −25% $62,404 −27% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $45,212 $313,946 $103,890 −56% $46,659 −3% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $44,447 $269,141 $103,317 −57% $102,177 −57% ≈364% of Medicare
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVI $44,422 $251,492 $197,357 −77% $79,944 −44% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $44,140 $279,868 $238,013 −81% $101,235 −56% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $44,002 $250,673 $203,654 −78% $99,423 −56% ≈357% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $43,445 $284,891 $185,871 −77% $96,222 −55% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $42,145 $188,712 $187,283 −77% $90,331 −53% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $42,023 $300,125 $89,760 −53% $65,254 −36% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $41,730 $241,134 $120,531 −65% $80,747 −48% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $41,415 $247,780 $117,133 −65% $96,905 −57% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $41,346 $264,117 $166,045 −75% $87,018 −52% ≈406% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $41,213 $192,231 $70,199 −41% $87,565 −53% —
471 CERVICAL SPINAL FUSION WITH MCC $40,481 $210,995 $160,789 −75% $92,515 −56% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $39,947 $201,126 $113,802 −65% $92,217 −57% ≈391% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $39,744 $281,497 $164,862 −76% $88,049 −55% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $39,405 $198,507 $173,119 −77% $86,390 −54% ≈238% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $39,402 $287,090 $133,926 −71% $64,749 −39% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $38,828 $172,602 $140,608 −72% $91,329 −57% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,655 $209,668 $153,604 −75% $88,050 −56% ≈325% of Medicare
245 AICD GENERATOR PROCEDURES $38,387 $203,634 $134,153 −71% $72,076 −47% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $38,279 $256,543 $128,607 −70% $72,859 −47% ≈335% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $38,263 $221,750 $99,946 −62% $88,307 −57% ≈366% of Medicare
799 SPLENIC PROCEDURES WITH MCC $38,123 $183,786 $177,369 −79% $78,821 −52% —
163 MAJOR CHEST PROCEDURES WITH MCC $37,753 $220,330 $181,307 −79% $88,341 −57% ≈291% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $37,742 $181,334 $178,804 −79% $68,659 −45% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $37,604 $154,607 $142,804 −74% $75,585 −50% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $37,536 $272,658 $130,168 −71% $73,029 −49% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $37,093 $277,611 $65,293 −43% $64,956 −43% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $37,053 $197,061 $151,465 −76% $82,561 −55% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $36,267 $212,749 $98,774 −63% $76,954 −53% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $35,718 $207,932 $58,594 −39% $83,065 −57% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $35,645 $176,038 $135,879 −74% $66,853 −47% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $35,549 $153,595 $125,583 −72% $72,945 −51% ≈309% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $35,509 $110,527 $110,939 −68% $68,847 −48% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $35,448 $213,884 $158,503 −78% $82,247 −57% ≈412% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,166 $207,069 $87,372 −60% $72,011 −51% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $35,163 $263,946 $37,413 −6% $59,425 −41% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $34,950 $181,704 $143,922 −76% $78,852 −56% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $34,536 $263,204 $125,567 −72% $68,006 −49% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $34,124 $214,028 $152,254 −78% $75,492 −55% —
500 SOFT TISSUE PROCEDURES WITH MCC $34,094 $265,141 $97,778 −65% $57,479 −41% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,270 $153,996 $138,390 −76% $74,755 −55% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $32,946 $174,189 $150,995 −78% $72,908 −55% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $32,871 $136,648 $137,651 −76% $74,257 −56% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $32,699 $158,867 $121,700 −73% $71,701 −54% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $32,099 $150,612 $106,612 −70% $75,103 −57% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $31,899 $184,234 $128,484 −75% $72,782 −56% ≈445% of Medicare
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $31,896 $239,945 $121,966 −74% $64,776 −51% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $31,391 $125,591 $100,372 −69% $55,097 −43% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $31,380 $193,319 $124,879 −75% $70,540 −56% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $31,019 $173,712 $58,272 −47% $56,964 −46% —
332 RECTAL RESECTION WITH MCC $30,979 $143,175 $114,779 −73% $58,125 −47% —
265 AICD lead procedures $30,960 $209,814 $100,391 −69% $56,695 −45% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $30,909 $132,973 $76,502 −60% $57,855 −47% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $30,867 $154,998 $131,379 −77% $57,277 −46% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $30,681 $136,798 $98,179 −69% $57,521 −47% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $30,587 $139,196 $151,718 −80% $71,755 −57% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,546 $189,116 $122,122 −75% $59,207 −48% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,495 $179,292 $134,667 −77% $60,861 −50% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $30,473 $181,723 $110,803 −72% $71,014 −57% ≈437% of Medicare
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,328 $69,412 $126,339 −76% $82,527 −63% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $30,239 $213,135 $139,177 −78% $68,880 −56% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $30,182 $222,873 $93,249 −68% $62,524 −52% —
252 OTHER VASCULAR PROCEDURES WITH MCC $29,938 $137,912 $92,106 −67% $68,508 −56% ≈370% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,931 $209,500 $114,641 −74% $62,961 −52% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $29,805 $88,567 $88,195 −66% $49,065 −39% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,673 $141,285 $133,523 −78% $62,269 −52% ≈353% of Medicare
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $29,558 $67,649 $58,911 −50% $51,142 −42% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,467 $182,668 $90,633 −67% $65,383 −55% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $29,334 $203,712 $121,638 −76% $64,152 −54% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $29,299 $73,494 $114,701 −74% $50,919 −42% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $28,776 $153,986 $97,244 −70% $51,953 −45% ≈383% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $28,714 $65,719 $53,686 −47% $39,563 −27% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $28,665 $251,040 $36,153 −21% $30,940 −7% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $28,391 $116,597 $86,907 −67% $65,573 −57% ≈329% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $28,085 $117,314 $102,833 −73% $67,901 −59% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $27,973 $169,543 $76,167 −63% $54,129 −48% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $27,944 $189,486 $97,310 −71% $49,710 −44% ≈381% of Medicare
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $27,909 $198,172 $69,863 −60% $65,216 −57% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $27,752 $200,295 $108,887 −75% $53,551 −48% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $27,613 $138,493 $136,522 −80% $70,132 −61% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $27,567 $184,139 $111,887 −75% $62,821 −56% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $27,543 $215,784 $71,371 −61% $64,465 −57% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $27,355 $212,591 $75,637 −64% $53,817 −49% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,284 $164,799 $153,680 −82% $66,819 −59% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $27,273 $141,579 $97,618 −72% $65,325 −58% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $27,214 $125,044 $73,398 −63% $48,907 −44% —
665 PROSTATECTOMY WITH MCC $27,050 $211,889 $111,754 −76% $54,072 −50% —
503 FOOT PROCEDURES WITH MCC $27,020 $237,281 $124,764 −78% $43,901 −38% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $26,999 $194,956 $120,183 −78% $54,313 −50% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $26,956 $164,986 $104,012 −74% $63,475 −58% —
263 VEIN LIGATION AND STRIPPING $26,548 $121,236 $108,786 −76% $44,938 −41% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $26,258 $101,828 $115,246 −77% $49,055 −46% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $26,255 $119,496 $152,746 −83% $58,968 −55% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $25,911 $167,452 $94,249 −73% $53,555 −52% —
472 CERVICAL SPINAL FUSION WITH CC $25,673 $158,373 $114,191 −78% $59,537 −57% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $25,657 $79,919 $79,520 −68% $40,277 −36% —
570 SKIN DEBRIDEMENT WITH MCC $25,633 $130,381 $69,729 −63% $52,435 −51% —
668 TRANSURETHRAL PROCEDURES WITH MCC $25,467 $130,360 $142,975 −82% $47,277 −46% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $25,407 $136,108 $117,322 −78% $63,984 −60% ≈416% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $25,326 $74,121 $114,033 −78% $60,140 −58% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $25,312 $199,982 $87,533 −71% $58,043 −56% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $25,200 $122,850 $75,523 −67% $46,402 −46% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $25,167 $161,868 $153,446 −84% $45,290 −44% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,076 $121,813 $92,774 −73% $67,764 −63% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $24,921 $168,051 $62,523 −60% $54,475 −54% —
800 SPLENIC PROCEDURES WITH CC $24,597 $101,935 $69,314 −65% $49,184 −50% —
654 MAJOR BLADDER PROCEDURES WITH CC $24,518 $174,229 $112,622 −78% $53,868 −54% ≈466% of Medicare
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $24,302 $160,458 $68,370 −64% $57,149 −57% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $24,186 $119,872 $118,604 −80% $57,963 −58% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $24,120 $139,970 $85,965 −72% $52,405 −54% ≈357% of Medicare
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $23,900 $128,643 $134,679 −82% $74,274 −68% ≈403% of Medicare
849 RADIOTHERAPY $23,812 $97,679 $40,661 −41% $37,862 −37% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,786 $74,304 $86,931 −73% $45,497 −48% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $23,349 $98,148 $65,282 −64% $45,432 −49% —
253 OTHER VASCULAR PROCEDURES WITH CC $22,916 $140,142 $76,062 −70% $53,746 −57% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,891 $145,485 $28,865 −21% $38,878 −41% ≈364% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $22,815 $122,272 $100,393 −77% $44,839 −49% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $22,787 $149,294 $88,057 −74% $47,583 −52% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $22,787 $137,553 $73,605 −69% $39,093 −42% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,695 $105,754 $79,725 −72% $41,703 −46% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $22,581 $124,586 $53,454 −58% $55,162 −59% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $22,485 $157,251 $83,283 −73% $48,094 −53% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $22,448 $126,847 $86,826 −74% $56,394 −60% —
164 MAJOR CHEST PROCEDURES WITH CC $22,352 $133,693 $122,337 −82% $53,141 −58% ≈470% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $22,344 $138,208 $58,395 −62% $52,332 −57% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $22,100 $104,756 $99,225 −78% $46,591 −53% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,020 $116,902 $62,611 −65% $39,657 −44% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $21,843 $98,283 $101,650 −79% $50,139 −56% ≈342% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $21,837 $113,338 $86,852 −75% $51,985 −58% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $21,725 $140,449 $89,754 −76% $54,824 −60% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $21,702 $137,947 $52,262 −58% $50,624 −57% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $21,419 $92,009 $53,904 −60% $36,080 −41% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,355 $110,797 $79,506 −73% $58,832 −64% ≈423% of Medicare
397 APPENDIX PROCEDURES WITH MCC $21,337 $70,734 $42,252 −50% $52,319 −59% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,302 $104,246 $92,122 −77% $46,430 −54% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $21,270 $123,266 $101,332 −79% $52,313 −59% ≈422% of Medicare
333 RECTAL RESECTION WITH CC $20,922 $105,587 $69,779 −70% $34,352 −39% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,917 $47,874 $65,773 −68% $43,491 −52% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $20,894 $132,783 $73,258 −71% $49,631 −58% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,881 $113,760 $58,474 −64% $38,420 −46% —
709 PENIS PROCEDURES WITH CC/MCC $20,804 $131,718 $47,632 −56% $34,535 −40% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $20,791 $96,169 $75,572 −72% $48,682 −57% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $20,772 $122,877 $41,153 −50% $39,409 −47% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $20,679 $163,667 $124,187 −83% $47,546 −57% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $20,556 $77,692 $44,769 −54% $40,548 −49% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $20,550 $84,452 $30,282 −32% $37,902 −46% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $20,477 $48,575 $53,112 −61% $36,237 −43% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,446 $49,535 $56,731 −64% $36,097 −43% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $20,399 $114,800 $60,291 −66% $44,553 −54% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $20,369 $90,216 $39,755 −49% $37,064 −45% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $20,320 $189,677 $75,201 −73% $38,382 −47% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $20,107 $176,023 $54,864 −63% $44,053 −54% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $20,097 $116,365 $65,658 −69% $38,998 −48% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $19,958 $144,721 $67,515 −70% $40,232 −50% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $19,905 $116,526 $85,619 −77% $44,600 −55% ≈327% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,866 $113,964 $81,805 −76% $36,334 −45% ≈315% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,794 $84,396 $53,976 −63% $44,989 −56% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,766 $168,724 $61,350 −68% $45,818 −57% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $19,739 $145,530 $36,608 −46% $43,586 −55% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,709 $85,084 $53,312 −63% $39,253 −50% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $19,666 $113,929 $120,604 −84% $51,339 −62% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $19,655 $110,959 $92,159 −79% $34,900 −44% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $19,637 $113,956 $90,905 −78% $45,059 −56% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $19,625 $122,280 $86,475 −77% $46,066 −57% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $19,568 $86,281 $56,539 −65% $40,065 −51% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,344 $93,063 $75,816 −74% $41,900 −54% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $19,337 $39,551 $45,890 −58% $34,089 −43% —
374 DIGESTIVE MALIGNANCY WITH MCC $19,322 $106,912 $71,363 −73% $38,885 −50% ≈432% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $19,261 $80,041 $75,584 −75% $45,622 −58% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $19,260 $86,422 $62,558 −69% $50,011 −61% ≈361% of Medicare
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $19,235 $208,618 $28,818 −33% $30,661 −37% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $19,227 $158,599 $53,013 −64% $32,483 −41% —
595 MAJOR SKIN DISORDERS WITH MCC $19,180 $63,337 $36,981 −48% $31,785 −40% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $19,156 $88,442 $98,223 −80% $56,519 −66% ≈334% of Medicare
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $19,154 $101,215 $84,547 −77% $37,080 −48% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,148 $116,959 $25,735 −26% $41,651 −54% —
336 PERITONEAL ADHESIOLYSIS WITH CC $19,086 $89,954 $65,594 −71% $49,470 −61% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $19,037 $58,690 $89,673 −79% $37,654 −49% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,974 $98,020 $90,046 −79% $51,172 −63% ≈477% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $18,964 $186,201 $45,414 −58% $36,850 −49% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,947 $65,920 $94,328 −80% $46,477 −59% —
835 ACUTE LEUKEMIA WITH CC $18,906 $114,548 $34,761 −46% $35,569 −47% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,901 $101,332 $66,180 −71% $38,357 −51% ≈360% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $18,890 $49,691 $34,277 −45% $34,852 −46% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $18,845 $84,151 $71,764 −74% $45,817 −59% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $18,707 $199,962 $78,123 −76% $44,363 −58% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $18,617 $91,822 $61,930 −70% $33,050 −44% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $18,449 $116,880 $23,507 −22% $29,524 −38% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $18,404 $65,114 $66,416 −72% $35,673 −48% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $18,317 $91,556 $76,373 −76% $35,714 −49% ≈354% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $18,282 $110,582 $80,050 −77% $45,963 −60% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $18,233 $100,005 $95,488 −81% $43,080 −58% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $18,232 $106,524 $70,922 −74% $43,775 −58% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,216 $98,299 $83,227 −78% $43,524 −58% ≈364% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,193 $76,912 $27,899 −35% $41,660 −56% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $18,190 $137,248 $53,362 −66% $36,280 −50% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $18,080 $80,136 $76,702 −76% $35,014 −48% —
539 OSTEOMYELITIS WITH MCC $17,992 $85,188 $39,569 −55% $33,746 −47% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,980 $98,555 $60,382 −70% $36,933 −51% ≈381% of Medicare
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,966 $75,262 $11,841 +52% $22,698 −21% —
380 COMPLICATED PEPTIC ULCER WITH MCC $17,933 $89,933 $47,482 −62% $36,641 −51% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $17,781 $67,880 $68,829 −74% $40,694 −56% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $17,778 $92,286 $71,902 −75% $35,237 −50% ≈388% of Medicare
100 SEIZURES WITH MCC $17,734 $82,433 $55,589 −68% $35,194 −50% ≈427% of Medicare
592 SKIN ULCERS WITH MCC $17,722 $59,547 $51,305 −65% $32,662 −46% —
548 SEPTIC ARTHRITIS WITH MCC $17,687 $80,331 $40,479 −56% $31,019 −43% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $17,673 $60,955 $52,760 −67% $29,633 −40% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $17,671 $193,492 $66,028 −73% $49,197 −64% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $17,653 $76,611 $83,194 −79% $34,264 −48% —
075 VIRAL MENINGITIS WITH CC/MCC $17,582 $101,207 $25,373 −31% $29,853 −41% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $17,558 $75,488 $66,777 −74% $35,459 −50% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,556 $115,330 $74,921 −77% $41,380 −58% ≈643% of Medicare
801 SPLENIC PROCEDURES WITHOUT CC/MCC $17,514 $78,707 $82,800 −79% $28,634 −39% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $17,369 $81,418 $71,740 −76% $42,126 −59% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $17,369 $75,829 $74,373 −77% $32,538 −47% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,343 $85,660 $39,473 −56% $30,766 −44% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,210 $104,726 $72,138 −76% $42,881 −60% —
504 FOOT PROCEDURES WITH CC $17,202 $93,080 $94,231 −82% $36,598 −53% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $17,168 $79,575 $48,720 −65% $30,974 −45% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,121 $67,399 $46,504 −63% $31,909 −46% ≈369% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,121 $145,047 $36,930 −54% $33,564 −49% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,985 $73,794 $37,402 −55% $29,476 −42% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,946 $100,930 $67,081 −75% $37,950 −55% ≈497% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $16,931 $94,790 $58,414 −71% $40,552 −58% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,901 $110,439 $27,354 −38% $32,204 −48% —
919 COMPLICATIONS OF TREATMENT WITH MCC $16,900 $114,057 $43,844 −61% $29,031 −42% ≈553% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $16,893 $115,834 $80,341 −79% $40,583 −58% ≈665% of Medicare
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $16,878 $81,455 $59,034 −71% $37,842 −55% ≈395% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC $16,844 $91,236 $66,172 −75% $32,839 −49% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $16,844 $86,507 $57,459 −71% $30,394 −45% ≈255% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $16,736 $98,113 $64,202 −74% $35,139 −52% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $16,734 $73,113 $67,776 −75% $29,826 −44% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $16,733 $163,040 $38,973 −57% $36,597 −54% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,716 $67,140 $50,573 −67% $40,063 −58% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $16,688 $149,201 $68,753 −76% $43,800 −62% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,687 $84,560 $62,688 −73% $32,981 −49% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $16,684 $94,587 $39,171 −57% $40,563 −59% ≈453% of Medicare
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,675 $157,820 $21,937 −24% $14,284 +17% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $16,634 $54,203 $83,389 −80% $29,109 −43% —
671 URETHRAL PROCEDURES WITH CC/MCC $16,618 $56,493 $81,365 −80% $27,233 −39% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,616 $93,271 $29,410 −44% $32,399 −49% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,609 $111,932 $51,495 −68% $33,165 −50% —
505 FOOT PROCEDURES WITHOUT CC/MCC $16,601 $107,059 $75,551 −78% $31,716 −48% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $16,532 $30,270 $18,649 −11% $16,719 −1% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $16,513 $102,200 $69,905 −76% $38,836 −57% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $16,446 $98,255 $48,162 −66% $31,758 −48% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $16,413 $112,344 $81,066 −80% $41,520 −60% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,394 $110,919 $62,383 −74% $35,114 −53% ≈528% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $16,390 $94,475 $61,687 −73% $36,658 −55% ≈429% of Medicare
199 PNEUMOTHORAX WITH MCC $16,375 $71,676 $58,991 −72% $31,491 −48% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,366 $98,971 $95,949 −83% $54,772 −70% ≈548% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $16,321 $92,414 $76,058 −79% $48,680 −66% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $16,313 $61,971 $64,265 −75% $36,375 −55% —
666 PROSTATECTOMY WITH CC $16,259 $66,526 $45,559 −64% $30,016 −46% —
501 SOFT TISSUE PROCEDURES WITH CC $16,249 $95,262 $70,805 −77% $37,975 −57% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $16,226 $77,884 $40,174 −60% $30,275 −46% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,166 $70,181 $37,889 −57% $36,333 −56% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $16,163 $52,123 $30,449 −47% $29,916 −46% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $16,130 $121,541 $54,298 −70% $29,558 −45% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $16,091 $84,990 $71,606 −78% $36,242 −56% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $16,089 $70,957 $54,418 −70% $39,018 −59% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $16,063 $67,582 $60,018 −73% $31,566 −49% —
157 DENTAL AND ORAL DISEASES WITH MCC $16,003 $68,875 $44,674 −64% $27,457 −42% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,981 $92,133 $29,745 −46% $30,930 −48% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $15,946 $79,310 $36,603 −56% $29,609 −46% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,925 $75,968 $51,015 −69% $29,371 −46% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $15,901 $88,202 $63,604 −75% $35,584 −55% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $15,854 $89,607 $43,253 −63% $29,729 −47% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,805 $80,624 $68,871 −77% $42,119 −62% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $15,791 $89,247 $24,580 −36% $24,561 −36% —
571 SKIN DEBRIDEMENT WITH CC $15,788 $57,167 $66,373 −76% $34,901 −55% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,736 $76,872 $60,769 −74% $44,117 −64% ≈418% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $15,732 $79,493 $56,043 −72% $43,266 −64% —
915 ALLERGIC REACTIONS WITH MCC $15,726 $169,260 $33,057 −52% $30,944 −49% —
551 MEDICAL BACK PROBLEMS WITH MCC $15,683 $74,789 $65,707 −76% $31,086 −50% ≈409% of Medicare
444 DISORDERS OF THE BILIARY TRACT WITH MCC $15,642 $105,304 $40,839 −62% $31,128 −50% ≈429% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $15,612 $72,531 $55,881 −72% $31,846 −51% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $15,594 $72,564 $52,201 −70% $30,814 −49% ≈395% of Medicare
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $15,579 $58,774 $56,023 −72% $33,984 −54% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $15,520 $57,699 $46,812 −67% $35,692 −57% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,512 $66,213 $45,994 −66% $30,058 −48% ≈311% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $15,447 $72,752 $45,419 −66% $32,996 −53% ≈413% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $15,442 $28,274 $22,801 −32% $29,409 −47% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,427 $79,397 $46,693 −67% $38,094 −60% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $15,410 $69,123 $76,182 −80% $32,490 −53% —
913 TRAUMATIC INJURY WITH MCC $15,356 $92,866 $34,309 −55% $24,198 −37% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $15,341 $77,621 $49,639 −69% $25,731 −40% ≈464% of Medicare
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $15,331 $118,044 $46,206 −67% $31,059 −51% ≈518% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $15,328 $75,844 $69,305 −78% $39,747 −61% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $15,322 $122,349 $31,576 −51% $32,502 −53% —
038 EXTRACRANIAL PROCEDURES WITH CC $15,262 $133,634 $57,945 −74% $35,770 −57% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $15,154 $50,951 $26,559 −43% $25,208 −40% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,135 $59,408 $22,003 −31% $28,578 −47% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $15,118 $58,863 $17,172 −12% $28,252 −46% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $15,116 $85,890 $66,229 −77% $28,967 −48% ≈388% of Medicare
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,102 $105,139 $24,791 −39% $35,375 −57% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $15,079 $79,570 $58,148 −74% $32,689 −54% ≈422% of Medicare
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $15,056 $103,160 $88,880 −83% $34,906 −57% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $15,020 $54,473 $50,008 −70% $33,607 −55% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $14,987 $94,270 $68,346 −78% $34,434 −56% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $14,945 $72,836 $44,858 −67% $26,020 −43% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $14,894 $79,299 $42,059 −65% $24,450 −39% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $14,882 $47,587 $41,341 −64% $33,424 −55% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $14,836 $63,959 $31,429 −53% $28,134 −47% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $14,797 $81,281 $24,335 −39% $24,465 −40% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,791 $68,210 $61,259 −76% $31,840 −54% ≈373% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $14,785 $40,436 $48,576 −70% $30,910 −52% —
186 PLEURAL EFFUSION WITH MCC $14,758 $80,693 $45,257 −67% $32,468 −55% —
669 TRANSURETHRAL PROCEDURES WITH CC $14,707 $85,947 $70,704 −79% $34,354 −57% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $14,705 $97,196 $65,576 −78% $35,528 −59% ≈627% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,641 $60,463 $48,960 −70% $32,936 −56% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $14,586 $74,805 $58,005 −75% $33,137 −56% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,573 $66,832 $46,841 −69% $36,239 −60% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $14,567 $94,513 $72,969 −80% $32,911 −56% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $14,554 $92,385 $69,421 −79% $25,854 −44% —
183 MAJOR CHEST TRAUMA WITH MCC $14,533 $65,324 $51,702 −72% $28,924 −50% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $14,509 $80,921 $43,842 −67% $29,484 −51% ≈491% of Medicare
813 COAGULATION DISORDERS $14,497 $109,892 $50,736 −71% $30,128 −52% ≈451% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $14,490 $82,201 $41,003 −65% $33,792 −57% —
663 MINOR BLADDER PROCEDURES WITH CC $14,457 $76,551 $50,967 −72% $29,924 −52% —
398 APPENDIX PROCEDURES WITH CC $14,405 $73,229 $55,798 −74% $39,107 −63% —
606 MINOR SKIN DISORDERS WITH MCC $14,401 $79,037 $44,210 −67% $25,434 −43% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $14,337 $171,424 $46,014 −69% $25,149 −43% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $14,335 $72,437 $64,901 −78% $31,062 −54% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $14,324 $76,801 $68,024 −79% $29,663 −52% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $14,293 $87,743 $87,879 −84% $27,279 −48% —
865 VIRAL ILLNESS WITH MCC $14,284 $75,548 $34,511 −59% $26,088 −45% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,276 $48,225 $42,698 −67% $27,168 −47% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $14,254 $83,153 $64,911 −78% $41,380 −66% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $14,250 $74,562 $76,863 −81% $31,816 −55% —
137 MOUTH PROCEDURES WITH CC/MCC $14,244 $56,497 $55,905 −75% $24,348 −41% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $14,214 $26,025 $16,228 −12% $19,132 −26% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $14,195 $78,936 $38,668 −63% $28,646 −50% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $14,167 $105,217 $55,709 −75% $25,197 −44% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,163 $52,327 $47,577 −70% $25,786 −45% —
682 RENAL FAILURE WITH MCC $14,148 $74,764 $49,666 −72% $27,854 −49% ≈381% of Medicare
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $14,115 $65,327 $42,744 −67% $28,780 −51% ≈393% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $14,107 $34,883 $25,739 −45% $23,920 −41% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $14,078 $66,341 $45,976 −69% $28,140 −50% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $14,051 $69,242 $42,042 −67% $24,941 −44% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $14,050 $77,935 $70,685 −80% $30,972 −55% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,979 $61,593 $45,758 −69% $24,452 −43% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,856 $126,898 $17,959 −23% $20,980 −34% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $13,850 $53,498 $43,378 −68% $25,243 −45% —
637 DIABETES WITH MCC $13,800 $76,575 $43,715 −68% $28,819 −52% ≈467% of Medicare
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,762 $38,475 $29,007 −53% $23,734 −42% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,716 $79,075 $75,275 −82% $29,050 −53% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $13,706 $111,588 $53,910 −75% $29,211 −53% —
602 CELLULITIS WITH MCC $13,679 $82,838 $42,228 −68% $29,347 −53% ≈494% of Medicare
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $13,655 $55,043 $40,683 −66% $19,354 −29% —
811 RED BLOOD CELL DISORDERS WITH MCC $13,545 $97,403 $52,759 −74% $27,934 −52% ≈581% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $13,541 $71,476 $64,785 −79% $35,542 −62% —
710 PENIS PROCEDURES WITHOUT CC/MCC $13,520 $35,443 $43,584 −69% $23,814 −43% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,507 $88,987 $81,152 −83% $25,152 −46% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,506 $91,797 $56,732 −76% $31,812 −58% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,494 $70,446 $56,231 −76% $29,374 −54% —
885 PSYCHOSES $13,486 $37,391 $27,679 −51% $21,489 −37% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $13,478 $47,498 $45,325 −70% $24,118 −44% ≈282% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $13,455 $37,076 $26,569 −49% $23,924 −44% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $13,411 $47,336 $47,548 −72% $24,980 −46% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $13,388 $129,786 $61,760 −78% $24,229 −45% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $13,303 $82,833 $40,668 −67% $29,757 −55% ≈503% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,247 $82,525 $41,407 −68% $28,527 −54% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $13,242 $78,967 $58,136 −77% $34,887 −62% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $13,222 $100,021 $72,602 −82% $30,418 −57% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $13,215 $33,078 $37,862 −65% $25,666 −49% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $13,165 $50,988 $32,390 −59% $24,544 −46% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $13,113 $45,914 $31,615 −59% $27,321 −52% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $13,085 $50,739 $50,927 −74% $30,006 −56% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $13,078 $68,178 $53,936 −76% $31,978 −59% —
693 URINARY STONES WITH MCC $13,074 $65,437 $39,855 −67% $22,525 −42% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $13,063 $30,619 $47,106 −72% $20,147 −35% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $13,004 $76,060 $50,834 −74% $24,480 −47% ≈469% of Medicare
150 EPISTAXIS WITH MCC $12,972 $56,952 $35,164 −63% $21,133 −39% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,947 $56,269 $56,609 −77% $25,623 −49% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $12,906 $56,571 $38,782 −67% $21,029 −39% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,896 $58,614 $47,581 −73% $23,723 −46% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,895 $65,049 $60,152 −79% $30,358 −58% ≈386% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,838 $66,163 $41,884 −69% $26,158 −51% ≈405% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,824 $75,295 $27,792 −54% $28,156 −54% —
348 ANAL AND STOMAL PROCEDURES WITH CC $12,794 $45,197 $50,118 −74% $27,947 −54% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $12,789 $79,048 $20,107 −36% $22,275 −43% ≈450% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,746 $40,495 $42,644 −70% $23,115 −45% ≈255% of Medicare
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,706 $70,302 $38,127 −67% $22,525 −44% —
540 OSTEOMYELITIS WITH CC $12,695 $53,837 $35,008 −64% $23,494 −46% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $12,695 $92,003 $37,551 −66% $23,956 −47% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,690 $78,559 $44,822 −72% $25,426 −50% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,685 $87,220 $53,056 −76% $25,010 −49% —
291 HEART FAILURE AND SHOCK WITH MCC $12,597 $67,609 $36,772 −66% $25,020 −50% ≈379% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $12,583 $65,980 $21,994 −43% $23,350 −46% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $12,500 $65,867 $38,941 −68% $21,860 −43% —
947 SIGNS AND SYMPTOMS WITH MCC $12,484 $61,629 $40,771 −69% $25,474 −51% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $12,475 $57,952 $39,295 −68% $27,244 −54% ≈357% of Medicare
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $12,456 $98,495 $41,766 −70% $22,032 −43% ≈337% of Medicare
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $12,346 $62,407 $26,916 −54% $17,078 −28% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $12,260 $44,934 $33,490 −63% $26,322 −53% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,258 $59,618 $46,508 −74% $27,369 −55% —
139 SALIVARY GLAND PROCEDURES $12,219 $124,548 $45,732 −73% $21,014 −42% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $12,216 $61,521 $38,003 −68% $25,704 −52% ≈422% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,178 $22,298 $34,304 −65% $36,202 −66% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $12,091 $42,713 $31,978 −62% $19,686 −39% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $12,075 $47,896 $34,687 −65% $20,421 −41% —
375 DIGESTIVE MALIGNANCY WITH CC $12,013 $49,562 $52,531 −77% $27,219 −56% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,003 $49,886 $71,079 −83% $29,805 −60% —
549 SEPTIC ARTHRITIS WITH CC $11,994 $37,371 $38,781 −69% $20,938 −43% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,969 $60,286 $38,986 −69% $26,488 −55% ≈440% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,969 $84,278 $53,554 −78% $25,390 −53% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,957 $39,037 $24,705 −52% $18,133 −34% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,956 $54,337 $46,699 −74% $20,842 −43% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,931 $63,640 $25,206 −53% $25,307 −53% —
302 ATHEROSCLEROSIS WITH MCC $11,911 $72,381 $38,705 −69% $20,844 −43% —
304 HYPERTENSION WITH MCC $11,859 $73,181 $50,674 −77% $24,185 −51% —
593 SKIN ULCERS WITH CC $11,830 $49,007 $34,336 −66% $20,470 −42% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,829 $57,207 $47,290 −75% $26,146 −55% —
152 OTITIS MEDIA AND URI WITH MCC $11,798 $33,498 $29,004 −59% $19,795 −40% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,745 $82,504 $58,778 −80% $25,267 −54% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,703 $31,065 $41,210 −72% $19,894 −41% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $11,685 $68,251 $47,503 −75% $25,162 −54% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,678 $60,907 $34,354 −66% $22,557 −48% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,626 $21,288 $21,093 −45% $20,727 −44% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,626 $41,750 $38,199 −70% $22,982 −49% ≈288% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $11,617 $45,329 $46,830 −75% $24,316 −52% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $11,571 $59,451 $43,859 −74% $24,202 −52% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $11,515 $56,763 $47,730 −76% $24,432 −53% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,503 $58,577 $48,414 −76% $30,314 −62% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,496 $41,430 $28,591 −60% $20,741 −45% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $11,487 $94,644 $33,371 −66% $19,317 −41% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $11,446 $78,677 $29,791 −62% $16,495 −31% —
598 MALIGNANT BREAST DISORDERS WITH CC $11,397 $34,356 $37,708 −70% $19,073 −40% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $11,396 $59,345 $46,755 −76% $24,017 −53% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,356 $64,141 $41,798 −73% $24,452 −54% —
102 HEADACHES WITH MCC $11,316 $81,581 $29,516 −62% $22,544 −50% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,283 $64,377 $63,386 −82% $27,492 −59% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $11,212 $52,567 $41,965 −73% $24,190 −54% ≈438% of Medicare
712 TESTES PROCEDURES WITHOUT CC/MCC $11,149 $54,497 $39,078 −71% $18,898 −41% —
200 PNEUMOTHORAX WITH CC $11,146 $38,661 $24,434 −54% $20,573 −46% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $11,107 $60,017 $48,878 −77% $21,806 −49% ≈465% of Medicare
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $11,090 $112,644 $17,548 −37% $15,764 −30% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,055 $77,656 $35,171 −69% $18,459 −40% —
381 COMPLICATED PEPTIC ULCER WITH CC $11,021 $56,966 $43,640 −75% $24,177 −54% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $11,014 $43,515 $13,717 −20% $17,226 −36% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,990 $28,676 $44,117 −75% $17,398 −37% —
882 NEUROSES EXCEPT DEPRESSIVE $10,945 $36,835 $10,261 +7% $15,680 −30% —
181 RESPIRATORY NEOPLASMS WITH CC $10,923 $61,698 $27,597 −60% $22,431 −51% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,916 $60,400 $46,643 −77% $31,190 −65% ≈474% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,896 $49,911 $34,765 −69% $19,579 −44% ≈407% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $10,869 $27,946 $40,238 −73% $20,842 −48% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $10,816 $30,664 $28,737 −62% $17,108 −37% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $10,807 $44,021 $39,276 −72% $23,749 −54% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $10,802 $19,778 $30,428 −64% $18,291 −41% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,741 $60,938 $38,408 −72% $18,478 −42% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC $10,731 $51,676 $20,156 −47% $18,428 −42% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,692 $27,656 $21,723 −51% $16,418 −35% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,677 $19,549 $30,075 −64% $17,483 −39% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $10,643 $60,234 $51,523 −79% $24,022 −56% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $10,609 $47,792 $25,599 −59% $22,231 −52% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,607 $48,572 $45,621 −77% $23,141 −54% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $10,585 $62,370 $43,125 −75% $23,496 −55% ≈471% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $10,569 $48,012 $42,771 −75% $23,396 −55% ≈426% of Medicare
644 ENDOCRINE DISORDERS WITH CC $10,561 $50,639 $42,169 −75% $22,941 −54% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,548 $43,423 $38,647 −73% $22,781 −54% ≈378% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,546 $57,824 $23,972 −56% $24,136 −56% ≈508% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $10,540 $63,231 $50,701 −79% $20,080 −48% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,530 $45,591 $39,744 −74% $22,850 −54% ≈411% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,519 $54,684 $37,105 −72% $19,868 −47% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $10,504 $22,247 $21,625 −51% $16,571 −37% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,483 $44,328 $37,222 −72% $20,732 −49% ≈385% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $10,475 $79,107 $40,027 −74% $18,017 −42% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $10,446 $84,485 $25,639 −59% $17,550 −40% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $10,446 $53,969 $39,518 −74% $23,469 −55% ≈458% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $10,424 $32,190 $27,341 −62% $18,282 −43% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,386 $29,093 $33,267 −69% $17,943 −42% —
920 COMPLICATIONS OF TREATMENT WITH CC $10,383 $37,534 $32,703 −68% $21,181 −51% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $10,368 $56,287 $28,804 −64% $19,001 −45% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $10,366 $43,576 $19,516 −47% $22,713 −54% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $10,348 $51,210 $22,567 −54% $20,007 −48% —
533 FRACTURES OF FEMUR WITH MCC $10,327 $18,909 $19,993 −48% $25,945 −60% —
187 PLEURAL EFFUSION WITH CC $10,279 $31,752 $48,849 −79% $21,467 −52% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $10,213 $51,979 $34,026 −70% $21,886 −53% ≈456% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,199 $61,591 $11,427 −11% $19,091 −47% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $10,186 $57,488 $36,656 −72% $20,371 −50% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $10,178 $44,041 $37,075 −73% $20,968 −51% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,176 $41,691 $40,034 −75% $22,024 −54% ≈349% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,163 $41,361 $29,170 −65% $21,545 −53% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $10,138 $47,405 $25,257 −60% $17,273 −41% ≈412% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $10,092 $32,853 $39,039 −74% $21,449 −53% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $10,076 $39,273 $34,454 −71% $20,777 −52% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,060 $36,530 $43,289 −77% $21,213 −53% ≈302% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,054 $75,941 $25,321 −60% $15,589 −36% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $10,052 $41,494 $30,240 −67% $15,636 −36% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,017 $31,725 $14,335 −30% $18,191 −45% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $10,005 $39,226 $30,387 −67% $16,352 −39% —
197 INTERSTITIAL LUNG DISEASE WITH CC $9,964 $30,218 $40,939 −76% $20,106 −50% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,901 $43,139 $36,664 −73% $17,731 −44% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,859 $45,001 $34,777 −72% $18,918 −48% ≈410% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,769 $43,314 $32,092 −70% $15,608 −37% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $9,734 $45,121 $41,351 −76% $21,261 −54% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,728 $53,801 $52,843 −82% $20,463 −52% ≈567% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,721 $45,322 $30,698 −68% $20,488 −53% ≈416% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,708 $33,578 $31,416 −69% $16,642 −42% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,704 $38,300 $29,788 −67% $19,287 −50% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $9,694 $27,125 $14,753 −34% $15,869 −39% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $9,682 $74,705 $18,608 −48% $18,608 −48% —
158 DENTAL AND ORAL DISEASES WITH CC $9,655 $28,927 $16,694 −42% $17,700 −45% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $9,631 $17,634 $10,700 −10% $11,633 −17% —
607 MINOR SKIN DISORDERS WITHOUT MCC $9,628 $39,165 $31,522 −69% $15,284 −37% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,599 $62,096 $59,359 −84% $16,212 −41% —
101 SEIZURES WITHOUT MCC $9,598 $45,307 $32,396 −70% $19,954 −52% ≈480% of Medicare
638 DIABETES WITH CC $9,548 $35,897 $27,201 −65% $18,821 −49% ≈331% of Medicare
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,543 $32,664 $21,364 −55% $15,077 −37% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $9,543 $31,422 $30,792 −69% $18,803 −49% ≈294% of Medicare
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $9,524 $39,185 $25,672 −63% $17,367 −45% —
864 FEVER AND INFLAMMATORY CONDITIONS $9,481 $51,783 $25,278 −62% $17,412 −46% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $9,469 $31,653 $23,913 −60% $17,383 −46% —
914 TRAUMATIC INJURY WITHOUT MCC $9,464 $44,124 $11,847 −20% $15,593 −39% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $9,443 $26,816 $14,601 −35% $16,049 −41% —
683 RENAL FAILURE WITH CC $9,388 $39,515 $29,498 −68% $18,620 −50% ≈360% of Medicare
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $9,374 $20,918 $22,613 −59% $16,156 −42% —
312 SYNCOPE AND COLLAPSE $9,355 $52,658 $32,300 −71% $19,342 −52% ≈496% of Medicare
603 CELLULITIS WITHOUT MCC $9,349 $31,927 $26,898 −65% $18,530 −50% ≈300% of Medicare
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,347 $42,693 $46,815 −80% $19,854 −53% —
866 VIRAL ILLNESS WITHOUT MCC $9,339 $47,729 $23,326 −60% $16,391 −43% —
594 SKIN ULCERS WITHOUT CC/MCC $9,317 $19,424 $13,534 −31% $14,209 −34% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $9,298 $37,668 $38,832 −76% $19,569 −52% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $9,263 $35,960 $18,005 −49% $17,928 −48% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $9,241 $35,924 $19,223 −52% $15,045 −39% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,222 $51,816 $42,454 −78% $19,305 −52% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $9,211 $47,033 $27,234 −66% $13,385 −31% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $9,197 $74,452 $9,429 −2% $14,055 −35% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,180 $36,481 $20,707 −56% $13,822 −34% —
292 HEART FAILURE AND SHOCK WITH CC $9,177 $36,432 $31,569 −71% $16,212 −43% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $9,130 $41,497 $37,453 −76% $18,278 −50% —
779 ABORTION WITHOUT D&C $9,116 $25,519 $13,558 −33% $15,327 −41% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $9,115 $46,705 $35,716 −74% $19,096 −52% ≈439% of Medicare
103 HEADACHES WITHOUT MCC $9,077 $41,198 $34,826 −74% $20,111 −55% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,076 $45,417 $32,275 −72% $14,861 −39% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $9,032 $29,855 $27,043 −67% $17,715 −49% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $9,028 $34,662 $31,333 −71% $18,253 −51% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $9,006 $43,319 $8,824 +2% $17,700 −49% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,990 $42,141 $26,235 −66% $15,474 −42% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,879 $29,241 $26,747 −67% $16,837 −47% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,866 $33,717 $31,075 −71% $17,466 −49% ≈328% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,851 $44,192 $24,481 −64% $18,002 −51% —
204 RESPIRATORY SIGNS AND SYMPTOMS $8,850 $35,201 $23,724 −63% $16,866 −48% —
534 FRACTURES OF FEMUR WITHOUT MCC $8,839 $54,309 $31,675 −72% $17,195 −49% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,838 $37,549 $30,794 −71% $18,204 −51% ≈364% of Medicare
089 CONCUSSION WITH CC $8,838 $16,182 $28,751 −69% $18,293 −52% —
176 PULMONARY EMBOLISM WITHOUT MCC $8,831 $35,797 $33,261 −73% $18,081 −51% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,822 $23,449 $24,390 −64% $18,150 −51% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,796 $44,618 $36,417 −76% $16,634 −47% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $8,795 $37,859 $29,369 −70% $17,727 −50% ≈339% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $8,782 $41,108 $43,318 −80% $20,278 −57% —
123 NEUROLOGICAL EYE DISORDERS $8,780 $110,408 $36,044 −76% $17,831 −51% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $8,762 $46,245 $12,686 −31% $17,522 −50% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $8,715 $97,649 $16,061 −46% $12,593 −31% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,711 $34,517 $32,009 −73% $17,388 −50% ≈391% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $8,692 $36,042 $26,161 −67% $14,549 −40% —
694 URINARY STONES WITHOUT MCC $8,647 $34,373 $32,413 −73% $16,531 −48% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,631 $34,673 $32,105 −73% $17,322 −50% ≈333% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $8,620 $42,311 $30,385 −72% $16,745 −49% ≈454% of Medicare
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,551 $41,868 $24,919 −66% $14,290 −40% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $8,542 $42,432 $30,713 −72% $14,166 −40% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,538 $38,897 $32,461 −74% $15,876 −46% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $8,447 $35,174 $37,492 −77% $16,654 −49% —
305 HYPERTENSION WITHOUT MCC $8,438 $36,638 $34,076 −75% $17,144 −51% ≈367% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $8,437 $45,723 $26,127 −68% $14,444 −42% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $8,434 $29,425 $30,211 −72% $16,776 −50% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $8,428 $77,191 $42,280 −80% $14,064 −40% —
149 DYSEQUILIBRIUM $8,411 $31,394 $19,507 −57% $17,203 −51% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $8,393 $39,176 $13,163 −36% $14,337 −41% —
153 OTITIS MEDIA AND URI WITHOUT MCC $8,305 $25,331 $20,204 −59% $14,473 −43% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,286 $34,503 $32,487 −74% $16,865 −51% ≈355% of Medicare
151 EPISTAXIS WITHOUT MCC $8,272 $29,944 $15,333 −46% $13,032 −37% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $8,220 $30,547 $26,942 −69% $16,104 −49% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,186 $42,999 $42,886 −81% $18,623 −56% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,178 $26,276 $27,540 −70% $13,892 −41% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $8,175 $33,326 $18,281 −55% $12,895 −37% —
313 CHEST PAIN $8,162 $33,585 $26,595 −69% $15,962 −49% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $8,160 $45,576 $30,460 −73% $15,607 −48% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $8,140 $41,254 $25,322 −68% $14,110 −42% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $8,132 $18,242 $23,833 −66% $13,654 −40% —
201 PNEUMOTHORAX WITHOUT CC/MCC $8,124 $18,034 $23,527 −65% $13,081 −38% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,103 $44,192 $22,219 −64% $12,405 −35% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,072 $49,705 $17,175 −53% $13,368 −40% —
311 ANGINA PECTORIS $8,020 $34,082 $35,326 −77% $15,165 −47% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,011 $29,148 $12,695 −37% $15,072 −47% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,002 $46,602 $30,373 −74% $15,600 −49% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,943 $60,048 $31,558 −75% $13,282 −40% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,935 $30,422 $20,393 −61% $13,198 −40% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,925 $46,988 $29,056 −73% $13,303 −40% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,918 $32,628 $23,773 −67% $14,441 −45% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,914 $36,075 $15,477 −49% $14,012 −44% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $7,882 $45,399 $37,612 −79% $19,483 −60% ≈555% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,864 $28,967 $24,347 −68% $12,797 −39% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $7,858 $32,375 $21,752 −64% $14,880 −47% —
303 ATHEROSCLEROSIS WITHOUT MCC $7,794 $30,147 $30,782 −75% $14,927 −48% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $7,769 $32,808 $13,151 −41% $12,279 −37% —
916 ALLERGIC REACTIONS WITHOUT MCC $7,740 $34,643 $14,077 −45% $13,890 −44% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,718 $31,810 $21,534 −64% $14,208 −46% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $7,648 $23,128 $18,605 −59% $12,381 −38% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,604 $30,691 $27,558 −72% $14,128 −46% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,579 $13,878 $16,071 −53% $12,650 −40% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,549 $33,340 $32,802 −77% $14,368 −47% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,486 $30,424 $14,335 −48% $12,336 −39% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $7,470 $48,579 $25,323 −71% $13,485 −45% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $7,457 $36,834 $33,334 −78% $14,134 −47% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,442 $26,450 $19,543 −62% $13,824 −46% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,386 $36,350 $24,386 −70% $15,070 −51% —
639 DIABETES WITHOUT CC/MCC $7,385 $26,917 $24,899 −70% $13,910 −47% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,351 $37,468 $22,566 −67% $12,013 −39% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,257 $24,711 $18,290 −60% $10,975 −34% —
684 RENAL FAILURE WITHOUT CC/MCC $7,221 $38,345 $26,277 −73% $13,623 −47% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,210 $16,574 $15,187 −53% $10,039 −28% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,986 $24,891 $23,335 −70% $11,421 −39% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $6,952 $26,590 $24,717 −72% $13,384 −48% ≈295% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $6,778 $24,071 $27,173 −75% $13,318 −49% ≈365% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,612 $14,106 $11,107 −40% $9,076 −27% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $6,189 $11,331 $42,560 −85% $24,879 −75% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,696 $47,425 $38,373 −85% $28,375 −80% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,531 $8,295 $6,799 −33% $9,385 −52% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $4,334 $51,995 $30,195 −86% $27,118 −84% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $3,886 $31,585 $14,619 −73% $15,370 −75% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,412 $6,246 $6,944 −51% $7,961 −57% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,203 $32,001 $26,715 −88% $22,560 −86% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,203 $38,356 $26,312 −88% $23,571 −86% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,459 $32,362 $23,243 −89% $19,815 −88% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,459 $33,548 $22,843 −89% $20,084 −88% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,398 $41,231 $17,162 −86% $17,103 −86% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,398 $27,490 $26,492 −91% $18,238 −87% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,398 $25,814 $11,510 −79% $13,090 −82% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $1,654 $22,621 $9,556 −83% $12,044 −86% —
795 NORMAL NEWBORN $1,361 $2,493 $3,269 −58% $4,530 −70% —
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