Pali Momi Medical Center — Pricing

803 procedures published in this hospital's Machine-Readable File (MRF) — 803 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 803
Lowest published price $6,957
Average published price $45,781
Highest published price $749,420

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 803 procedures

Published charges

Showing all 803 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 33 procedures, this hospital's negotiated rates average ≈121% of what Medicare pays.

DRG Description Published price vs. HI median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $749,420 $749,420 — $498,715 +50% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC $486,519 $418,324 — $431,073 +13% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $421,436 $421,436 — $86,459 +387% —
003 ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. $368,609 $368,609 +0% $371,366 −1% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT $301,538 $398,748 — $306,087 −1% —
004 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $296,497 $296,497 +0% $245,241 +21% —
005 LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT $253,214 $359,092 — $159,181 +59% —
006 LIVER TRANSPLANT W/O MCC $225,505 $345,237 — $84,407 +167% —
007 LUNG TRANSPLANT $225,095 $225,095 — $170,608 +32% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $208,927 $252,901 — $182,314 +15% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC $208,133 $279,131 — $169,977 +22% —
222 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC $202,813 $202,813 — $86,864 +133% —
223 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC $202,813 $202,813 — $59,206 +243% —
209 #N/A $196,802 $223,764 — $183,292 +7% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $191,641 $170,763 — $142,326 +35% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $184,610 $174,986 — $171,338 +8% —
020 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC $177,227 $247,629 — $134,914 +31% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $173,711 $102,861 — $80,018 +117% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $172,333 $172,333 +0% $191,314 −10% —
021 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC $164,650 $241,341 — $101,235 +63% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC OR T-CELL IMMUNOTHERAPY $158,532 $227,704 — $98,260 +61% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $156,753 $153,320 — $120,174 +30% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC $156,103 $226,489 — $81,176 +92% —
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC $154,498 $250,726 −38% $175,437 −12% —
022 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC $154,314 $236,173 — $62,404 +147% —
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC $146,240 $178,000 −18% $151,029 −3% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $145,629 $218,590 — $105,612 +38% —
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC $141,566 $250,726 −44% $121,714 +16% —
218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC $141,566 $250,726 −44% $92,238 +53% —
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $139,622 $139,622 +0% $75,103 +86% —
207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS $136,280 $225,150 −39% $116,058 +17% —
231 CORONARY BYPASS W PTCA W MCC $135,138 $158,655 — $146,474 −8% —
224 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC $134,455 $134,455 — $80,427 +67% —
225 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC $134,455 $134,455 — $57,380 +134% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $132,509 $156,826 — $121,563 +9% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $125,692 $137,789 — $121,728 +3% —
010 PANCREAS TRANSPLANT $124,948 $124,948 — $99,940 +25% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $124,235 $124,235 — $105,228 +18% —
233 CORONARY BYPASS W CARDIAC CATH W MCC $122,431 $165,096 −26% $138,868 −12% —
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC $122,209 $142,635 — $143,242 −15% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $119,944 $163,725 — $131,961 −9% —
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC $118,282 $118,282 — $103,861 +14% —
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC $118,282 $112,905 — $69,101 +71% —
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC $118,282 $108,498 — $54,320 +118% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $116,379 $112,809 — $114,914 +1% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC $116,017 $157,043 — $120,587 −4% —
870 SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS $112,898 $138,414 −18% $138,008 −18% —
923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC $109,527 $22,727 +382% $16,571 +561% —
232 CORONARY BYPASS W PTCA W/O MCC $109,173 $145,673 — $106,238 +3% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $107,886 $107,886 +0% $51,953 +108% —
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC $106,868 $142,434 — $107,355 −0% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC $106,818 $140,358 −24% $118,589 −10% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $105,707 $153,165 — $71,551 +48% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $105,595 $105,595 — $89,353 +18% —
226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC $105,397 $105,397 — $72,618 +45% —
227 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC $105,397 $105,397 — $56,960 +85% —
028 SPINAL PROCEDURES W MCC $104,702 $104,702 +0% $95,858 +9% —
970 HIV W EXTENSIVE O.R. PROCEDURE W/O MCC $104,150 $116,310 — $40,947 +154% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $103,381 $152,002 — $56,242 +84% —
652 KIDNEY TRANSPLANT $103,381 $152,002 — $54,720 +89% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC $100,874 $100,874 +0% $66,853 +51% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $100,518 $125,202 — $93,783 +7% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $100,105 $109,941 — $113,855 −12% —
023 CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR $99,880 $99,880 +0% $106,778 −6% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $99,846 $148,958 — $40,277 +148% —
213 #N/A $99,474 $111,999 — $119,631 −17% —
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC $99,346 $115,233 — $78,582 +26% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC $99,078 $89,009 — $98,912 +0% —
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC $98,124 $138,062 — $83,441 +18% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $98,002 $123,944 — $105,899 −7% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $97,893 $133,558 −27% $117,280 −17% —
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC $96,979 $164,033 −41% $87,018 +11% ≈116% of Medicare
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $96,285 $91,133 — $108,472 −11% —
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC $95,848 $105,827 −9% $102,177 −6% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $95,555 $95,555 — $94,988 +1% —
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC $95,395 $103,278 −8% $90,331 +6% —
405 PANCREAS, LIVER & SHUNT PROCEDURES W MCC $95,375 $108,253 — $94,927 +0% —
234 CORONARY BYPASS W CARDIAC CATH W/O MCC $95,239 $120,075 — $102,573 −7% —
011 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC $95,090 $95,090 +0% $86,953 +9% —
854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC $94,532 $94,532 +0% $43,524 +117% —
855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC $94,532 $147,133 — $27,168 +248% —
235 CORONARY BYPASS W/O CARDIAC CATH W MCC $94,075 $110,054 — $112,062 −16% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $92,931 $92,931 — $79,944 +16% —
466 REVISION OF HIP OR KNEE REPLACEMENT W MCC $90,777 $78,297 +16% $96,222 −6% —
969 HIV W EXTENSIVE O.R. PROCEDURE W MCC $89,646 $109,058 — $109,331 −18% —
834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC $89,302 $89,302 +0% $76,583 +17% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W MCC $88,141 $129,753 — $75,585 +17% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $87,463 $90,350 — $84,861 +3% —
459 SPINAL FUSION EXCEPT CERVICAL W MCC $86,206 $115,490 — $75,251 +15% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $85,124 $117,505 — $75,492 +13% —
835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC $85,071 $133,106 — $35,569 +139% —
836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC $85,071 $133,106 — $19,686 +332% —
820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC $84,503 $99,208 −15% $96,192 −12% —
471 CERVICAL SPINAL FUSION W MCC $84,244 $84,244 +0% $92,515 −9% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC $83,607 $144,293 −42% $99,423 −16% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W/O MCC $83,463 $127,415 — $36,080 +131% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $83,066 $93,689 — $92,217 −10% —
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC $81,119 $94,344 — $50,815 +60% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $80,926 $107,242 — $91,329 −11% —
326 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC $79,552 $79,552 +0% $80,747 −1% —
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC $79,353 $79,353 +0% $88,307 −10% —
228 OTHER CARDIOTHORACIC PROCEDURES W MCC $79,216 $112,655 — $96,905 −18% —
229 OTHER CARDIOTHORACIC PROCEDURES W/O MCC $79,216 $112,655 — $65,325 +21% —
653 MAJOR BLADDER PROCEDURES W MCC $78,914 $69,150 — $97,046 −19% —
031 VENTRICULAR SHUNT PROCEDURES W MCC $78,205 $69,782 +12% $68,659 +14% —
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC $75,741 $75,741 +0% $87,565 −14% —
024 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC $75,730 $102,642 — $74,755 +1% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC $75,151 $100,340 — $72,011 +4% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC $75,057 $124,524 −40% $83,065 −10% —
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC $74,665 $74,665 +0% $76,954 −3% —
163 MAJOR CHEST PROCEDURES W MCC $74,593 $82,265 −9% $88,341 −16% —
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC $74,510 $74,510 +0% $82,527 −10% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $74,048 $88,421 — $81,998 −10% —
012 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC $73,618 $90,697 — $73,029 +1% —
236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC $73,146 $117,180 −38% $82,247 −11% —
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC $72,518 $72,518 +0% $54,313 +34% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $71,939 $75,745 — $60,098 +20% —
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $70,962 $99,195 −28% $86,390 −18% —
799 SPLENECTOMY W MCC $70,647 $63,671 — $78,821 −10% —
837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC $70,551 $72,859 — $70,735 −0% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $70,095 $70,095 +0% $88,049 −20% —
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC $70,069 $95,226 −26% $88,691 −21% —
823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC $68,687 $94,329 — $80,885 −15% —
245 AICD GENERATOR PROCEDURES $68,002 $84,120 — $72,076 −6% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $67,976 $69,247 −2% $78,852 −14% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC $67,631 $67,631 +0% $72,859 −7% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $67,630 $67,630 — $72,908 −7% —
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC $67,465 $67,465 +0% $74,257 −9% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $67,455 $99,067 — $52,908 +27% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC $66,899 $86,820 −23% $71,014 −6% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC $66,899 $95,712 — $55,162 +21% —
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC $66,213 $66,213 +0% $32,839 +102% —
329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC $65,987 $75,109 −12% $88,050 −25% ≈115% of Medicare
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC $65,691 $65,691 +0% $63,475 +3% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC $65,554 $95,541 — $39,253 +67% —
673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC $64,269 $71,298 −10% $72,945 −12% —
492 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC $64,176 $71,004 −10% $70,540 −9% —
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC $63,380 $56,512 — $56,964 +11% —
265 AICD LEAD PROCEDURES $63,250 $81,744 — $56,695 +12% —
791 PREMATURITY W MAJOR PROBLEMS $63,033 $63,033 +0% $39,563 +59% —
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC $62,746 $75,651 −17% $54,824 +14% —
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC $62,338 $62,338 +0% $59,207 +5% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC $62,286 $62,286 +0% $68,399 −9% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC $62,196 $93,862 — $25,484 +144% —
901 WOUND DEBRIDEMENTS FOR INJURIES W MCC $62,136 $49,276 — $68,847 −10% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC $62,057 $81,718 −24% $82,561 −25% —
467 REVISION OF HIP OR KNEE REPLACEMENT W CC $61,661 $73,353 −16% $68,880 −10% —
166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC $61,604 $82,335 −25% $72,782 −15% —
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC $61,537 $61,537 +0% $62,524 −2% —
013 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W/O CC/MCC $61,204 $84,490 — $45,290 +35% —
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC $61,059 $54,637 +12% $68,006 −10% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $60,413 $61,212 — $62,269 −3% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $60,158 $28,769 +109% $17,731 +239% —
359 #N/A $60,135 $67,054 — $110,732 −46% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT $59,814 $69,852 — $59,352 +1% —
029 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS $59,667 $92,300 −35% $64,152 −7% —
793 FULL TERM NEONATE W MAJOR PROBLEMS $59,657 $32,445 — $16,719 +257% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC $59,589 $59,589 +0% $50,919 +17% —
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC $59,217 $57,012 — $59,425 −0% —
824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC $59,036 $89,503 — $38,382 +54% —
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS $58,375 $58,375 — $33,983 +72% —
406 PANCREAS, LIVER & SHUNT PROCEDURES W CC $58,114 $66,979 −13% $58,043 +0% —
907 OTHER O.R. PROCEDURES FOR INJURIES W MCC $58,078 $61,570 −6% $71,701 −19% —
411 CHOLECYSTECTOMY W C.D.E. W MCC $57,789 $61,359 — $48,358 +20% —
037 EXTRACRANIAL PROCEDURES W MCC $57,595 $70,962 — $64,749 −11% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $57,588 $53,171 — $65,573 −12% —
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $57,194 $57,194 +0% $30,930 +85% —
939 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC $57,121 $57,121 +0% $51,142 +12% —
518 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM $56,832 $60,120 −5% $64,776 −12% —
252 OTHER VASCULAR PROCEDURES W MCC $56,638 $81,012 −30% $68,508 −17% ≈108% of Medicare
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $56,525 $56,525 — $65,216 −13% —
485 KNEE PROCEDURES W PDX OF INFECTION W MCC $56,467 $57,254 −1% $64,956 −13% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $56,358 $56,358 — $44,472 +27% —
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC $55,791 $77,586 — $52,332 +7% —
500 SOFT TISSUE PROCEDURES W MCC $55,387 $59,560 −7% $57,479 −4% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $55,322 $55,322 +0% $20,727 +167% —
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $55,303 $59,183 −7% $51,985 +6% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $55,148 $52,486 +5% $66,819 −17% —
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC $55,099 $57,124 — $61,832 −11% —
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC $54,958 $51,827 — $57,855 −5% —
840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC $54,622 $54,622 +0% $49,710 +10% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $53,976 $51,296 — $57,521 −6% —
332 RECTAL RESECTION W MCC $53,610 $72,974 — $58,125 −8% —
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC $53,606 $53,606 +0% $60,861 −12% —
263 VEIN LIGATION & STRIPPING $53,524 $48,086 — $44,938 +19% —
904 SKIN GRAFTS FOR INJURIES W CC/MCC $53,508 $68,934 — $55,097 −3% —
876 O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $53,440 $53,440 +0% $54,196 −1% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $53,267 $73,252 — $57,277 −7% —
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS $53,250 $57,791 −8% $52,405 +2% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT $53,105 $53,106 — $65,254 −19% —
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC $53,084 $72,962 — $62,961 −16% —
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC $52,820 $55,726 −5% $46,659 +13% —
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC $52,579 $78,674 — $54,475 −3% —
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC $52,579 $78,674 — $24,229 +117% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC $52,527 $63,699 — $49,065 +7% —
335 PERITONEAL ADHESIOLYSIS W MCC $52,487 $66,169 −21% $71,755 −27% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $52,436 $50,928 — $53,551 −2% —
333 RECTAL RESECTION W CC $51,837 $72,088 — $34,352 +51% —
472 CERVICAL SPINAL FUSION W CC $51,594 $64,995 −21% $59,537 −13% —
849 RADIOTHERAPY $51,317 $36,917 — $37,862 +36% —
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $51,241 $51,241 +0% $65,383 −22% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC $51,012 $68,850 −26% $70,132 −27% ≈108% of Medicare
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC $51,008 $57,367 −11% $63,984 −20% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $50,618 $68,299 — $56,758 −11% —
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC $50,355 $79,660 −37% $62,821 −20% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC $50,260 $45,343 — $67,901 −26% —
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC $49,979 $72,602 — $47,546 +5% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC $49,523 $39,735 — $48,907 +1% —
579 OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC $49,288 $60,708 −19% $54,129 −9% —
821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC $49,274 $74,241 — $44,053 +12% —
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC $49,104 $52,611 — $64,465 −24% —
841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC $49,013 $74,897 — $31,059 +58% —
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC $48,717 $83,773 −42% $58,832 −17% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $48,573 $48,199 — $57,149 −15% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC $48,316 $57,102 — $57,963 −17% —
510 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W MCC $48,288 $48,288 +0% $49,055 −2% —
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC $48,158 $59,798 −19% $54,929 −12% —
665 PROSTATECTOMY W MCC $47,930 $38,594 — $54,072 −11% —
129 MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE $47,750 $47,750 — $23,289 +105% —
130 MAJOR HEAD & NECK PROCEDURES W/O CC/MCC $47,750 $47,750 — $23,289 +105% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $47,686 $73,972 −36% $74,274 −36% ≈107% of Medicare
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC $47,544 $47,544 +0% $42,881 +11% —
618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W/O CC/MCC $47,544 $70,192 — $19,354 +146% —
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS $47,302 $47,302 — $34,146 +39% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC $47,221 $60,694 −22% $53,817 −12% —
253 OTHER VASCULAR PROCEDURES W CC $47,024 $87,578 −46% $53,746 −13% —
503 FOOT PROCEDURES W MCC $47,012 $38,558 — $43,901 +7% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $46,602 $63,430 −27% $67,764 −31% —
662 MINOR BLADDER PROCEDURES W MCC $46,068 $44,312 — $54,483 −15% —
654 MAJOR BLADDER PROCEDURES W CC $45,714 $52,550 — $53,868 −15% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC $45,635 $65,260 — $36,333 +26% —
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC $45,450 $36,368 — $58,968 −23% —
570 SKIN DEBRIDEMENT W MCC $45,395 $78,833 −42% $52,435 −13% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $45,358 $25,089 — $14,284 +218% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $45,215 $45,215 — $53,555 −16% —
800 SPLENECTOMY W CC $44,825 $50,760 — $49,184 −9% —
164 MAJOR CHEST PROCEDURES W CC $44,680 $63,319 — $53,141 −16% —
493 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC $44,483 $71,004 −37% $56,394 −21% —
668 TRANSURETHRAL PROCEDURES W MCC $44,460 $44,460 +0% $47,277 −6% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC $44,303 $71,788 −38% $48,682 −9% —
619 O.R. PROCEDURES FOR OBESITY W MCC $44,290 $55,676 — $44,973 −2% —
905 SKIN GRAFTS FOR INJURIES W/O CC/MCC $44,165 $64,262 — $25,197 +75% —
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC $43,842 $55,196 — $47,583 −8% —
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM $43,713 $75,309 −42% $44,989 −3% —
630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC $43,688 $39,023 — $24,452 +79% —
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC $43,225 $48,461 — $60,140 −28% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $43,150 $62,011 −30% $50,139 −14% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $43,122 $51,499 −16% $38,357 +12% —
473 CERVICAL SPINAL FUSION W/O CC/MCC $42,839 $59,645 −28% $50,624 −15% —
974 HIV W MAJOR RELATED CONDITION W MCC $42,781 $58,757 — $46,402 −8% —
288 ACUTE & SUBACUTE ENDOCARDITIS W MCC $42,553 $42,553 +0% $45,497 −6% —
318 #N/A $42,508 $52,374 — $58,739 −28% —
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC $42,399 $47,500 −11% $43,697 −3% —
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC $42,376 $58,986 −28% $45,817 −8% —
360 #N/A $42,371 $47,429 — $93,769 −55% —
374 DIGESTIVE MALIGNANCY W MCC $42,209 $70,588 −40% $38,885 +9% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC $42,045 $48,211 — $43,491 −3% —
397 APPENDIX PROCEDURES WITH MCC $42,034 $44,498 −6% $52,319 −20% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $41,958 $41,958 — $46,430 −10% —
417 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC $41,887 $41,887 +0% $52,313 −20% —
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC $41,843 $59,750 — $45,432 −8% —
247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC $41,419 $53,903 — $21,663 +91% —
137 MOUTH PROCEDURES W CC/MCC $41,225 $59,366 — $24,348 +69% —
167 OTHER RESP SYSTEM O.R. PROCEDURES W CC $41,053 $54,145 −24% $40,563 +1% —
032 VENTRICULAR SHUNT PROCEDURES W CC $40,972 $55,377 — $45,622 −10% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC $40,789 $33,493 +22% $39,409 +4% —
336 PERITONEAL ADHESIOLYSIS W CC $40,633 $48,799 −17% $49,470 −18% —
082 TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC $40,072 $45,153 −11% $36,237 +11% —
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC $39,967 $41,792 −4% $44,553 −10% —
838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT $39,964 $57,565 — $30,661 +30% —
839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC $39,964 $57,565 — $20,980 +90% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC $39,816 $57,570 — $25,152 +58% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC $39,697 $41,277 — $41,703 −5% —
085 TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC $39,668 $39,668 +0% $37,064 +7% —
940 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC $39,518 $50,047 −21% $38,420 +3% —
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC $39,288 $52,919 — $39,093 +0% —
674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC $39,242 $71,298 −45% $49,631 −21% —
614 ADRENAL & PITUITARY PROCEDURES W CC/MCC $39,223 $56,596 — $43,586 −10% —
615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC $39,223 $56,596 — $31,812 +23% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC $39,222 $54,975 −29% $50,011 −22% —
846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC $39,189 $31,590 — $38,878 +1% —
407 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC $38,994 $43,495 — $40,232 −3% —
038 EXTRACRANIAL PROCEDURES W CC $38,670 $48,678 −21% $35,770 +8% —
113 ORBITAL PROCEDURES W CC/MCC $38,623 $31,691 — $35,642 +8% —
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC $38,612 $61,925 −38% $48,094 −20% —
030 SPINAL PROCEDURES W/O CC/MCC $38,571 $43,298 −11% $45,818 −16% —
571 SKIN DEBRIDEMENT W CC $38,503 $38,503 +0% $34,901 +10% —
344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC $38,473 $42,763 — $44,839 −14% —
675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC $38,458 $47,592 −19% $32,490 +18% —
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC $38,261 $49,109 — $46,066 −17% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $38,103 $38,103 — $31,044 +23% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC $37,889 $47,504 −20% $29,476 +29% —
572 SKIN DEBRIDEMENT W/O CC/MCC $37,877 $38,380 — $24,432 +55% —
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC $37,801 $48,961 −23% $51,172 −26% ≈115% of Medicare
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC $37,602 $55,876 — $12,537 +200% —
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC $37,505 $55,827 — $36,850 +2% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC $37,449 $63,990 −41% $48,680 −23% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC $37,267 $55,832 — $18,459 +102% —
350 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC $37,250 $42,688 — $46,591 −20% —
655 MAJOR BLADDER PROCEDURES W/O CC/MCC $37,208 $48,297 — $41,651 −11% —
792 PREMATURITY W/O MAJOR PROBLEMS $37,174 $20,649 — $11,633 +220% —
975 HIV W MAJOR RELATED CONDITION W CC $37,131 $55,931 — $25,010 +48% —
976 HIV W MAJOR RELATED CONDITION W/O CC/MCC $37,131 $55,931 — $16,212 +129% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $37,094 $51,220 — $34,900 +6% —
545 CONNECTIVE TISSUE DISORDERS W MCC $37,052 $37,052 +0% $39,657 −7% —
412 CHOLECYSTECTOMY W C.D.E. W CC $36,963 $45,640 — $37,654 −2% —
375 DIGESTIVE MALIGNANCY W CC $36,932 $45,927 −20% $27,219 +36% —
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC $36,907 $50,942 — $39,018 −5% —
486 KNEE PROCEDURES W PDX OF INFECTION W CC $36,766 $57,254 −36% $46,477 −21% —
620 O.R. PROCEDURES FOR OBESITY W CC $36,745 $54,183 −32% $35,453 +4% —
621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC $36,618 $46,465 −21% $32,451 +13% —
584 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC $36,592 $34,609 — $34,089 +7% —
254 OTHER VASCULAR PROCEDURES W/O CC/MCC $36,446 $63,315 −42% $38,836 −6% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC $36,342 $50,009 −27% $43,398 −16% —
709 PENIS PROCEDURES W CC/MCC $36,337 $34,342 — $34,535 +5% —
783 CESAREAN SECTION W STERILIZATION W MCC $36,265 $30,520 — $28,375 +28% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $36,255 $49,133 — $31,909 +14% —
935 NON-EXTENSIVE BURNS $36,226 $36,226 — $29,458 +23% —
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC $36,033 $55,091 — $22,231 +62% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $35,871 $14,813 +142% $9,385 +282% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC $35,723 $55,056 −35% $35,542 +1% —
204 RESPIRATORY SIGNS & SYMPTOMS $35,652 $35,652 +0% $16,866 +111% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC $35,569 $32,758 — $35,673 −0% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC $35,559 $44,751 — $38,998 −9% —
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC $35,442 $45,584 — $22,532 +57% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $35,376 $44,614 −21% $35,714 −1% ≈122% of Medicare
494 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC $35,298 $41,926 −16% $45,963 −23% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC $35,125 $59,730 −41% $35,014 +0% —
338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC $35,116 $35,116 — $30,138 +17% —
339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC $35,116 $36,907 — $18,474 +90% —
597 MALIGNANT BREAST DISORDERS W MCC $35,055 $44,792 −22% $31,846 +10% —
250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC $34,991 $62,240 −44% $51,339 −32% —
501 SOFT TISSUE PROCEDURES W CC $34,916 $47,549 — $37,975 −8% —
711 TESTES PROCEDURES W CC/MCC $34,846 $50,422 −31% $34,852 −0% —
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC $34,774 $36,117 −4% $45,059 −23% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $34,771 $36,647 −5% $17,585 +98% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC $34,669 $53,579 — $13,282 +161% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC $34,669 $53,579 — $10,039 +245% —
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $34,634 $53,586 −35% $36,933 −6% —
249 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC $34,620 $34,620 — $20,610 +68% —
906 HAND PROCEDURES FOR INJURIES $34,567 $31,655 — $31,520 +10% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $34,541 $47,830 −28% $56,519 −39% ≈109% of Medicare
380 COMPLICATED PEPTIC ULCER W MCC $34,530 $34,530 +0% $36,641 −6% —
511 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC $34,492 $34,492 +0% $43,538 −21% —
817 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC $34,217 $23,990 — $36,097 −5% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $34,194 $34,194 — $40,694 −16% —
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC $34,191 $34,191 +0% $36,334 −6% —
801 SPLENECTOMY W/O CC/MCC $34,181 $45,438 — $28,634 +19% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $33,984 $41,562 — $41,900 −19% —
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC $33,956 $32,779 — $29,633 +15% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC $33,953 $36,057 −6% $49,197 −31% —
842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC $33,925 $50,048 — $17,550 +93% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC $33,817 $54,336 −38% $40,063 −16% —
519 BACK & NECK PROC EXC SPINAL FUSION W CC $33,648 $56,179 −40% $43,775 −23% —
734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC $33,609 $42,397 — $35,686 −6% —
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC $33,500 $48,695 −31% $37,902 −12% —
410 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC $33,466 $46,060 — $34,434 −3% —
347 ANAL & STOMAL PROCEDURES W MCC $33,353 $36,976 −10% $40,548 −18% —
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC $33,345 $46,247 — $44,363 −25% —
941 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC $33,326 $41,687 — $29,524 +13% —
286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC $33,296 $44,254 −25% $44,600 −25% ≈141% of Medicare
598 MALIGNANT BREAST DISORDERS W CC $33,288 $50,349 — $19,073 +75% —
819 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC $33,125 $28,009 +18% $17,928 +85% —
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC $33,100 $46,125 — $30,972 +7% —
296 CARDIAC ARREST, UNEXPLAINED W MCC $33,031 $45,487 — $30,910 +7% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $32,995 $39,183 — $29,109 +13% —
582 MASTECTOMY FOR MALIGNANCY W CC/MCC $32,925 $32,695 — $34,264 −4% —
504 FOOT PROCEDURES W CC $32,917 $31,511 — $36,598 −10% —
707 MAJOR MALE PELVIC PROCEDURES W CC/MCC $32,915 $40,142 −18% $43,080 −24% —
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $32,856 $27,383 +20% $22,698 +45% —
196 INTERSTITIAL LUNG DISEASE W MCC $32,628 $44,604 −27% $30,766 +6% —
165 MAJOR CHEST PROCEDURES W/O CC/MCC $32,505 $45,715 — $41,380 −21% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC $32,475 $60,694 −46% $25,149 +29% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC $32,354 $32,354 +0% $37,950 −15% —
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC $32,302 $59,744 −46% $33,165 −3% —
624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC $32,302 $46,023 — $17,078 +89% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $32,255 $29,383 — $32,204 +0% —
595 MAJOR SKIN DISORDERS W MCC $32,209 $42,364 — $31,785 +1% —
377 G.I. HEMORRHAGE W MCC $32,203 $32,203 +0% $37,842 −15% ≈121% of Medicare
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC $32,186 $43,819 −27% $40,583 −21% —
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC $32,186 $51,770 −38% $35,528 −9% —
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC $32,124 $45,922 — $36,280 −11% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC $32,014 $36,220 — $42,126 −24% —
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC $31,949 $26,324 — $32,483 −2% —
052 SPINAL DISORDERS & INJURIES W CC/MCC $31,913 $38,334 −17% $30,940 +3% —
135 SINUS & MASTOID PROCEDURES W CC/MCC $31,864 $32,715 — $40,065 −20% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC $31,828 $30,936 — $36,202 −12% —
289 ACUTE & SUBACUTE ENDOCARDITIS W CC $31,817 $47,028 — $29,371 +8% —
290 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC $31,817 $47,028 — $15,901 +100% —
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC $31,785 $43,203 −26% $43,800 −27% —
908 OTHER O.R. PROCEDURES FOR INJURIES W CC $31,769 $57,538 −45% $41,660 −24% —
131 CRANIAL/FACIAL PROCEDURES W CC/MCC $31,751 $31,751 — $23,289 +36% —
132 CRANIAL/FACIAL PROCEDURES W/O CC/MCC $31,751 $31,751 — $23,289 +36% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $31,634 $52,486 −40% $54,772 −42% ≈144% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC $31,625 $36,842 −14% $32,399 −2% —
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $31,594 $35,401 −11% $31,840 −1% ≈109% of Medicare
505 FOOT PROCEDURES W/O CC/MCC $31,592 $31,592 +0% $31,716 −0% —
886 BEHAVIORAL & DEVELOPMENTAL DISORDERS $31,586 $20,261 +56% $24,836 +27% —
744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC $31,585 $25,938 — $33,050 −4% —
075 VIRAL MENINGITIS W CC/MCC $31,464 $24,875 — $29,853 +5% —
539 OSTEOMYELITIS W MCC $31,371 $31,895 −2% $33,746 −7% —
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $31,250 $29,883 — $31,758 −2% —
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC $31,226 $48,839 −36% $30,358 +3% —
488 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC $31,178 $32,330 −4% $41,520 −25% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $31,032 $36,268 −14% $30,814 +1% ≈111% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM W MCC $30,957 $31,052 −0% $36,375 −15% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC $30,843 $42,393 — $21,615 +43% —
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC $30,658 $42,732 — $33,564 −9% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC $30,613 $30,613 +0% $32,538 −6% —
157 DENTAL & ORAL DISEASES W MCC $30,555 $28,198 — $27,457 +11% —
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC $30,551 $38,197 — $37,080 −18% —
548 SEPTIC ARTHRITIS W MCC $30,453 $31,082 — $31,019 −2% —
583 MASTECTOMY FOR MALIGNANCY W/O CC/MCC $30,406 $30,009 — $31,566 −4% —
592 SKIN ULCERS W MCC $30,406 $30,134 — $32,662 −7% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC $30,232 $43,226 — $29,826 +1% —
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC $30,148 $28,153 — $29,609 +2% —
902 WOUND DEBRIDEMENTS FOR INJURIES W CC $30,065 $36,416 −17% $35,459 −15% —
828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC $30,049 $39,052 — $35,584 −16% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $30,011 $38,397 — $36,597 −18% —
180 RESPIRATORY NEOPLASMS W MCC $29,974 $46,596 −36% $36,658 −18% —
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC $29,952 $35,688 — $43,266 −31% —
977 HIV W OR W/O OTHER RELATED CONDITION $29,901 $41,813 — $22,525 +33% —
080 NONTRAUMATIC STUPOR & COMA W MCC $29,868 $42,224 −29% $35,139 −15% —
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC $29,837 $34,990 −15% $42,119 −29% —
825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC $29,718 $31,108 — $27,321 +9% —
039 EXTRACRANIAL PROCEDURES W/O CC/MCC $29,709 $54,653 −46% $25,267 +18% —
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC $29,699 $48,871 −39% $35,237 −16% ≈116% of Medicare
331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $29,686 $43,687 −32% $44,117 −33% —
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC $29,656 $41,790 −29% $35,375 −16% —
833 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC $29,648 $11,884 +149% $9,076 +227% —
444 DISORDERS OF THE BILIARY TRACT W MCC $29,478 $33,241 −11% $31,128 −5% ≈116% of Medicare
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC $29,419 $29,419 +0% $40,552 −27% —
033 VENTRICULAR SHUNT PROCEDURES W/O CC/MCC $29,400 $38,941 — $33,984 −13% —
804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC $29,306 $42,056 — $24,544 +19% —
413 CHOLECYSTECTOMY W C.D.E. W/O CC/MCC $29,298 $36,501 — $27,548 +6% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $29,235 $29,235 +0% $30,974 −6% —
580 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC $29,077 $34,123 −15% $36,242 −20% —
189 PULMONARY EDEMA & RESPIRATORY FAILURE $29,058 $48,037 −40% $25,704 +13% ≈124% of Medicare
735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC $29,028 $40,106 — $23,297 +25% —
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC $28,910 $40,839 — $21,062 +37% —
334 RECTAL RESECTION W/O CC/MCC $28,906 $36,556 — $32,213 −10% —
512 SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC $28,813 $28,813 +0% $35,692 −19% —
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC $28,786 $45,340 −37% $39,747 −28% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $28,772 $32,369 −11% $32,502 −11% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC $28,767 $34,597 — $33,694 −15% —
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $28,729 $28,729 +0% $22,024 +30% —
100 SEIZURES W MCC $28,715 $29,471 −3% $35,194 −18% —
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $28,662 $41,124 — $23,749 +21% —
822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC $28,554 $34,143 — $25,390 +12% —
168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC $28,509 $42,279 — $28,527 −0% —
297 CARDIAC ARREST, UNEXPLAINED W CC $28,499 $43,221 — $12,336 +131% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC $28,441 $28,441 +0% $25,854 +10% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC $28,368 $38,755 — $23,924 +19% —
073 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC $28,323 $31,787 −11% $28,252 +0% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $28,318 $34,034 −17% $23,396 +21% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $28,300 $36,533 — $29,558 −4% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $28,237 $28,237 +0% $32,689 −14% ≈106% of Medicare
919 COMPLICATIONS OF TREATMENT W MCC $28,205 $33,033 −15% $29,031 −3% —
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC $28,201 $28,201 +0% $22,781 +24% —
671 URETHRAL PROCEDURES W CC/MCC $28,136 $37,081 — $27,233 +3% —
368 MAJOR ESOPHAGEAL DISORDERS W MCC $28,108 $28,108 +0% $33,607 −16% —
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC $28,095 $28,095 +0% $30,394 −8% —
686 KIDNEY & URINARY TRACT NEOPLASMS W MCC $28,090 $34,097 — $32,981 −15% —
385 INFLAMMATORY BOWEL DISEASE W MCC $27,942 $27,942 +0% $26,020 +7% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC $27,854 $42,037 — $19,317 +44% —
083 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC $27,841 $27,841 +0% $24,118 +15% —
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC $27,831 $40,903 — $20,421 +36% —
845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC $27,831 $40,903 — $14,055 +98% —
666 PROSTATECTOMY W CC $27,697 $28,477 — $30,016 −8% —
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC $27,662 $34,282 — $33,490 −17% —
251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC $27,643 $36,991 — $41,380 −33% —
298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC $27,625 $42,784 — $8,927 +209% —
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $27,613 $22,980 — $28,578 −3% —
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC $27,529 $41,331 −33% $35,114 −22% —
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC $27,506 $51,366 −46% $29,409 −6% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC $27,501 $38,794 — $24,017 +15% —
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC $27,492 $49,302 −44% $38,094 −28% —
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $27,492 $38,397 — $25,307 +9% —
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC $27,418 $19,208 +43% $24,465 +12% —
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $27,367 $27,367 +0% $25,208 +9% —
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $27,329 $27,329 — $23,289 +17% —
199 PNEUMOTHORAX W MCC $27,222 $27,222 +0% $31,491 −14% —
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC $27,151 $44,055 −38% $33,137 −18% —
708 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC $27,107 $36,486 −26% $32,911 −18% —
798 VAGINAL DELIVERY W STERILIZATION/D&C W/O CC/MCC $27,075 $27,075 +0% $18,238 +48% —
183 MAJOR CHEST TRAUMA W MCC $27,033 $27,907 −3% $28,924 −7% —
645 ENDOCRINE DISORDERS W/O CC/MCC $26,995 $21,769 +24% $14,166 +91% —
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC $26,988 $47,500 −43% $29,729 −9% —
434 CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC $26,983 $40,285 — $12,405 +118% —
054 NERVOUS SYSTEM NEOPLASMS W MCC $26,981 $26,981 +0% $29,484 −8% —
337 PERITONEAL ADHESIOLYSIS W/O CC/MCC $26,973 $41,800 −35% $36,239 −26% —
813 COAGULATION DISORDERS $26,953 $28,234 −5% $30,128 −11% —
351 INGUINAL & FEMORAL HERNIA PROCEDURES W CC $26,939 $38,767 −31% $33,792 −20% —
116 INTRAOCULAR PROCEDURES W CC/MCC $26,865 $25,432 — $28,103 −4% —
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC $26,845 $37,770 — $25,666 +5% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC $26,764 $28,403 — $22,811 +17% —
398 APPENDIX PROCEDURES WITH CC $26,750 $41,091 −35% $39,107 −32% —
299 PERIPHERAL VASCULAR DISORDERS W MCC $26,686 $29,740 −10% $25,731 +4% —
345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC $26,596 $34,332 — $31,062 −14% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $26,554 $29,299 −9% $30,275 −12% —
786 CESAREAN SECTION W/O STERILIZATION W MCC $26,505 $25,640 — $27,118 −2% —
769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE $26,450 $29,511 — $24,561 +8% —
506 MAJOR THUMB OR JOINT PROCEDURES $26,445 $35,832 — $28,983 −9% —
520 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC $26,408 $38,773 −32% $31,816 −17% —
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $26,341 $30,315 — $29,916 −12% —
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC $26,337 $36,089 — $21,860 +20% —
712 TESTES PROCEDURES W/O CC/MCC $26,262 $36,928 — $18,898 +39% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $26,261 $31,341 — $34,906 −25% —
257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC $26,184 $36,842 — $15,764 +66% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC $26,145 $38,115 — $13,385 +95% —
388 G.I. OBSTRUCTION W MCC $26,112 $25,681 +2% $28,780 −9% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $26,094 $34,476 — $23,920 +9% —
551 MEDICAL BACK PROBLEMS W MCC $26,077 $22,532 — $31,086 −16% —
672 URETHRAL PROCEDURES W/O CC/MCC $26,074 $36,051 — $17,398 +50% —
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $26,069 $28,408 −8% $30,058 −13% —
540 OSTEOMYELITIS W CC $26,038 $26,038 +0% $23,494 +11% —
541 OSTEOMYELITIS W/O CC/MCC $26,038 $38,357 −32% $14,549 +79% —
643 ENDOCRINE DISORDERS W MCC $26,015 $25,149 +3% $32,996 −21% ≈118% of Medicare
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC $25,971 $26,222 — $24,941 +4% —
186 PLEURAL EFFUSION W MCC $25,951 $34,928 −26% $32,468 −20% —
084 TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC $25,946 $25,946 +0% $18,191 +43% —
340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC $25,795 $25,795 — $16,240 +59% —
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC $25,668 $26,477 — $27,279 −6% —
181 RESPIRATORY NEOPLASMS W CC $25,653 $25,653 +0% $22,431 +14% —
581 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC $25,527 $26,376 −3% $25,243 +1% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $25,409 $22,048 +15% $12,797 +99% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $25,308 $33,687 — $29,374 −14% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $25,305 $24,194 — $24,879 +2% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $25,233 $29,366 — $29,050 −13% —
913 TRAUMATIC INJURY W MCC $25,190 $22,230 — $24,198 +4% —
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC $25,107 $29,830 — $33,424 −25% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $25,089 $18,689 +34% $16,049 +56% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $25,050 $27,175 — $21,986 +14% —
341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC $25,015 $25,015 — $25,628 −2% —
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $24,983 $33,467 −25% $22,032 +13% —
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC $24,983 $24,983 +0% $18,428 +36% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $24,974 $42,647 −41% $28,967 −14% ≈120% of Medicare
627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC $24,970 $27,286 −8% $25,623 −3% —
710 PENIS PROCEDURES W/O CC/MCC $24,801 $28,574 — $23,814 +4% —
885 PSYCHOSES $24,725 $20,438 +21% $21,489 +15% —
915 ALLERGIC REACTIONS W MCC $24,705 $20,871 — $30,944 −20% —
945 REHABILITATION W CC/MCC $24,646 $18,650 — $23,834 +3% —
669 TRANSURETHRAL PROCEDURES W CC $24,609 $27,446 −10% $34,354 −28% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $24,560 $24,074 — $24,980 −2% —
663 MINOR BLADDER PROCEDURES W CC $24,553 $31,582 −22% $29,924 −18% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS $24,526 $39,997 −39% $23,469 +5% ≈135% of Medicare
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC $24,491 $23,058 — $32,936 −26% —
053 SPINAL DISORDERS & INJURIES W/O CC/MCC $24,467 $34,579 −29% $20,309 +20% —
383 UNCOMPLICATED PEPTIC ULCER W MCC $24,445 $24,943 — $26,634 −8% —
713 TRANSURETHRAL PROSTATECTOMY W CC/MCC $24,395 $24,395 +0% $29,663 −18% —
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC $24,227 $26,712 −9% $28,134 −14% —
197 INTERSTITIAL LUNG DISEASE W CC $24,223 $34,413 — $20,106 +20% —
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC $24,187 $24,187 +0% $34,887 −31% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC $24,144 $29,429 — $30,418 −21% —
182 RESPIRATORY NEOPLASMS W/O CC/MCC $24,137 $35,367 — $14,064 +72% —
533 FRACTURES OF FEMUR W MCC $23,969 $19,890 — $25,945 −8% —
088 CONCUSSION W MCC $23,944 $26,549 — $24,402 −2% —
903 WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC $23,933 $30,174 — $23,588 +1% —
342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC $23,870 $23,870 — $19,454 +23% —
502 SOFT TISSUE PROCEDURES W/O CC/MCC $23,842 $29,688 −20% $30,006 −21% —
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC $23,826 $30,617 −22% $31,978 −25% —
546 CONNECTIVE TISSUE DISORDERS W CC $23,820 $34,382 — $24,202 −2% —
596 MAJOR SKIN DISORDERS W/O MCC $23,794 $23,794 +0% $17,226 +38% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC $23,793 $28,993 — $20,147 +18% —
606 MINOR SKIN DISORDERS W MCC $23,780 $23,780 +0% $25,434 −7% —
887 OTHER MENTAL DISORDER DIAGNOSES $23,768 $47,282 −50% $20,602 +15% —
306 CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC $23,726 $20,921 — $24,450 −3% —
148 EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC $23,712 $34,777 — $13,586 +75% —
865 VIRAL ILLNESS W MCC $23,414 $31,564 −26% $26,088 −10% —
557 TENDONITIS, MYOSITIS & BURSITIS W MCC $23,388 $25,631 −9% $28,646 −18% —
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC $23,314 $23,314 +0% $28,140 −17% —
193 SIMPLE PNEUMONIA & PLEURISY W MCC $23,295 $31,934 −27% $26,158 −11% ≈124% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC $23,266 $26,542 — $28,156 −17% —
682 RENAL FAILURE W MCC $23,229 $23,229 +0% $27,854 −17% —
348 ANAL & STOMAL PROCEDURES W CC $23,198 $26,423 — $27,947 −17% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC $23,121 $20,409 — $23,734 −3% —
198 INTERSTITIAL LUNG DISEASE W/O CC/MCC $23,080 $33,842 — $13,654 +69% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $22,969 $22,969 +0% $25,426 −10% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC $22,937 $20,018 — $25,786 −11% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $22,934 $25,562 −10% $19,483 +18% —
081 NONTRAUMATIC STUPOR & COMA W/O MCC $22,924 $32,574 — $15,077 +52% —
442 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC $22,900 $22,900 +0% $21,449 +7% —
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC $22,808 $40,392 −44% $24,022 −5% —
637 DIABETES W MCC $22,777 $22,777 +0% $28,819 −21% —
114 ORBITAL PROCEDURES W/O CC/MCC $22,655 $23,707 — $19,598 +16% —
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $22,638 $22,751 −0% $14,444 +57% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $22,625 $19,841 — $29,211 −23% —
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $22,496 $22,496 +0% $27,244 −17% —
811 RED BLOOD CELL DISORDERS W MCC $22,480 $22,653 −1% $27,934 −20% —
602 CELLULITIS W MCC $22,461 $31,113 −28% $29,347 −23% —
138 MOUTH PROCEDURES W/O CC/MCC $22,417 $31,792 — $17,383 +29% —
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $22,415 $23,298 −4% $23,496 −5% —
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC $22,415 $22,415 +0% $16,776 +34% —
175 PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE $22,405 $25,619 −13% $29,757 −25% —
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC $22,354 $37,733 −41% $31,190 −28% —
509 ARTHROSCOPY $22,299 $22,299 — $25,994 −14% —
086 TRAUMATIC STUPOR & COMA, COMA <1 HR W CC $22,096 $22,096 +0% $23,115 −4% —
664 MINOR BLADDER PROCEDURES W/O CC/MCC $22,045 $23,446 — $18,126 +22% —
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC $22,021 $24,089 — $26,322 −16% —
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC $22,017 $25,967 −15% $27,369 −20% —
124 OTHER DISORDERS OF THE EYE W MCC $21,943 $21,943 +0% $21,029 +4% —
139 SALIVARY GLAND PROCEDURES $21,930 $25,068 — $21,014 +4% —
134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC $21,853 $21,853 — $23,289 −6% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $21,614 $34,543 −37% $20,777 +4% —
687 KIDNEY & URINARY TRACT NEOPLASMS W CC $21,486 $30,795 — $18,478 +16% —
688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC $21,486 $30,795 — $12,593 +71% —
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC $21,456 $26,718 — $29,805 −28% —
079 HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC $21,440 $21,440 — $11,847 +81% —
176 PULMONARY EMBOLISM W/O MCC $21,326 $23,143 −8% $18,081 +18% —
346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $21,072 $34,593 −39% $26,146 −19% —
693 URINARY STONES W MCC $21,069 $21,069 +0% $22,525 −6% —
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC $21,025 $21,025 +0% $23,723 −11% —
847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC $20,947 $22,470 — $22,275 −6% —
640 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC $20,941 $26,223 −20% $24,480 −14% ≈122% of Medicare
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC $20,839 $22,363 — $20,080 +4% —
547 CONNECTIVE TISSUE DISORDERS W/O CC/MCC $20,780 $29,377 — $14,861 +40% —
376 DIGESTIVE MALIGNANCY W/O CC/MCC $20,754 $28,841 — $15,608 +33% —
352 INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC $20,753 $20,753 +0% $25,162 −18% —
553 BONE DISEASES & ARTHROPATHIES W MCC $20,704 $20,704 +0% $23,956 −14% —
150 EPISTAXIS W MCC $20,694 $17,087 — $21,133 −2% —
291 HEART FAILURE & SHOCK W MCC $20,641 $34,310 −40% $25,020 −18% ≈111% of Medicare
187 PLEURAL EFFUSION W CC $20,554 $28,052 −27% $21,467 −4% —
535 FRACTURES OF HIP & PELVIS W MCC $20,416 $22,629 −10% $23,350 −13% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC $20,392 $29,749 — $12,650 +61% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $20,352 $30,680 −34% $30,314 −33% —
745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC $20,227 $20,259 — $16,495 +23% —
947 SIGNS & SYMPTOMS W MCC $20,225 $20,225 +0% $25,474 −21% —
683 RENAL FAILURE W CC $20,032 $26,682 −25% $18,620 +8% —
684 RENAL FAILURE W/O CC/MCC $20,032 $29,465 — $13,623 +47% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC $20,026 $30,155 −34% $20,463 −2% —
667 PROSTATECTOMY W/O CC/MCC $19,945 $20,664 −3% $16,703 +19% —
102 HEADACHES W MCC $19,940 $20,316 −2% $22,544 −12% —
796 VAGINAL DELIVERY W STERILIZATION/D&C W MCC $19,925 $19,491 — $22,557 −12% —
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC $19,869 $32,330 −39% $27,492 −28% —
794 NEONATE W OTHER SIGNIFICANT PROBLEMS $19,864 $4,398 +352% $7,961 +150% —
549 SEPTIC ARTHRITIS W CC $19,809 $19,809 +0% $20,938 −5% —
304 HYPERTENSION W MCC $19,786 $19,786 +0% $24,185 −18% —
136 SINUS & MASTOID PROCEDURES W/O CC/MCC $19,733 $26,650 — $15,890 +24% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $19,711 $23,969 −18% $24,190 −19% ≈133% of Medicare
152 OTITIS MEDIA & URI W MCC $19,705 $17,744 — $19,795 −0% —
445 DISORDERS OF THE BILIARY TRACT W CC $19,687 $32,574 −40% $21,806 −10% ≈129% of Medicare
946 REHABILITATION W/O CC/MCC $19,640 $16,147 — $17,685 +11% —
121 ACUTE MAJOR EYE INFECTIONS W CC/MCC $19,521 $19,521 +0% $18,291 +7% —
593 SKIN ULCERS W CC $19,513 $24,688 — $20,470 −5% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $19,372 $24,111 — $20,842 −7% —
381 COMPLICATED PEPTIC ULCER W CC $19,291 $25,077 — $24,177 −20% —
747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC $19,289 $26,789 — $19,326 −0% —
920 COMPLICATIONS OF TREATMENT W CC $19,233 $27,656 — $21,181 −9% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $19,206 $20,132 — $16,654 +15% —
089 CONCUSSION W CC $19,184 $24,169 — $18,293 +5% —
818 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC $19,142 $18,905 +1% $24,316 −21% —
077 HYPERTENSIVE ENCEPHALOPATHY W MCC $19,117 $19,117 — $24,036 −20% —
787 CESAREAN SECTION W/O STERILIZATION W CC $19,097 $24,775 −23% $23,571 −19% —
302 ATHEROSCLEROSIS W MCC $19,096 $18,746 — $20,844 −8% —
768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C $19,084 $16,197 +18% $17,103 +12% —
292 HEART FAILURE & SHOCK W CC $19,025 $30,582 −38% $16,212 +17% —
293 HEART FAILURE & SHOCK W/O CC/MCC $19,025 $27,999 — $11,955 +59% —
831 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC $19,006 $12,639 +50% $18,133 +5% —
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $18,928 $26,098 −27% $26,488 −29% —
689 KIDNEY & URINARY TRACT INFECTIONS W MCC $18,909 $22,743 −17% $22,982 −18% ≈117% of Medicare
714 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC $18,838 $18,503 — $17,108 +10% —
882 NEUROSES EXCEPT DEPRESSIVE $18,611 $12,351 +51% $15,680 +19% —
725 BENIGN PROSTATIC HYPERTROPHY W MCC $18,605 $32,172 −42% $19,894 −6% —
184 MAJOR CHEST TRAUMA W CC $18,588 $25,624 −27% $20,842 −11% —
055 NERVOUS SYSTEM NEOPLASMS W/O MCC $18,501 $25,894 −29% $19,868 −7% —
343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC $18,481 $18,481 — $13,735 +35% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $18,456 $19,974 — $24,452 −25% —
949 AFTERCARE W CC/MCC $18,388 $20,615 — $23,953 −23% —
784 CESAREAN SECTION W STERILIZATION W CC $18,386 $24,775 −26% $22,560 −19% —
074 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $18,377 $22,131 −17% $23,141 −21% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $18,362 $29,498 −38% $19,096 −4% —
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC $18,305 $19,965 — $14,337 +28% —
092 OTHER DISORDERS OF NERVOUS SYSTEM W CC $18,242 $27,089 −33% $24,136 −24% —
550 SEPTIC ARTHRITIS W/O CC/MCC $18,235 $18,235 +0% $16,156 +13% —
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $18,207 $28,516 −36% $22,850 −20% —
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC $18,115 $22,366 — $20,741 −13% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $17,994 $26,707 −33% $18,623 −3% —
117 INTRAOCULAR PROCEDURES W/O CC/MCC $17,917 $20,854 — $17,193 +4% —
369 MAJOR ESOPHAGEAL DISORDERS W CC $17,846 $25,075 −29% $22,713 −21% —
726 BENIGN PROSTATIC HYPERTROPHY W/O MCC $17,798 $17,798 +0% $13,892 +28% —
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC $17,741 $25,020 — $16,352 +8% —
538 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC $17,741 $25,020 — $11,909 +49% —
848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC $17,663 $20,827 — $13,822 +28% —
797 VAGINAL DELIVERY W STERILIZATION/D&C W CC $17,638 $18,347 — $19,001 −7% —
805 VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC $17,628 $15,005 +17% $15,370 +15% —
194 SIMPLE PNEUMONIA & PLEURISY W CC $17,524 $24,856 −29% $18,204 −4% ≈121% of Medicare
378 G.I. HEMORRHAGE W CC $17,508 $27,690 −37% $21,886 −20% ≈126% of Medicare
382 COMPLICATED PEPTIC ULCER W/O CC/MCC $17,507 $24,185 — $16,634 +5% —
200 PNEUMOTHORAX W CC $17,468 $17,468 +0% $20,573 −15% —
670 TRANSURETHRAL PROCEDURES W/O CC/MCC $17,449 $20,896 — $20,371 −14% —
386 INFLAMMATORY BOWEL DISEASE W CC $17,432 $17,432 +0% $20,968 −17% —
594 SKIN ULCERS W/O CC/MCC $17,394 $23,628 — $14,209 +22% —
202 BRONCHITIS & ASTHMA W CC/MCC $17,343 $22,127 −22% $17,273 +0% —
866 VIRAL ILLNESS W/O MCC $17,294 $23,449 — $16,391 +6% —
300 PERIPHERAL VASCULAR DISORDERS W CC $17,294 $24,506 −29% $19,579 −12% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $17,288 $19,782 −13% $15,070 +15% —
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC $17,268 $17,268 +0% $20,007 −14% —
864 FEVER AND INFLAMMATORY CONDITIONS $17,230 $28,627 −40% $17,412 −1% —
552 MEDICAL BACK PROBLEMS W/O MCC $17,172 $18,986 −10% $21,213 −19% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $17,158 $22,549 — $15,589 +10% —
788 CESAREAN SECTION W/O STERILIZATION W/O CC/MCC $17,128 $21,951 −22% $20,084 −15% —
785 CESAREAN SECTION W STERILIZATION W/O CC/MCC $17,111 $21,951 −22% $19,815 −14% —
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $17,058 $15,118 +13% $15,636 +9% —
158 DENTAL & ORAL DISEASES W CC $17,052 $21,446 — $17,700 −4% —
644 ENDOCRINE DISORDERS W CC $17,023 $25,149 −32% $22,941 −26% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC $16,972 $17,140 — $17,483 −3% —
881 DEPRESSIVE NEUROSES $16,818 $12,981 +30% $15,058 +12% —
093 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $16,767 $19,608 — $17,522 −4% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $16,728 $23,240 −28% $18,918 −12% —
443 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC $16,607 $29,882 −44% $15,600 +6% —
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $16,515 $19,520 −15% $20,732 −20% —
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC $16,452 $21,305 — $21,261 −23% —
697 URETHRAL STRICTURE $16,440 $11,582 — $17,705 −7% —
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC $16,432 $18,591 — $16,418 +0% —
812 RED BLOOD CELL DISORDERS W/O MCC $16,424 $21,565 −24% $20,488 −20% —
294 DEEP VEIN THROMBOPHLEBITIS W CC/MCC $16,408 $16,408 — $19,132 −14% —
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $16,386 $19,092 −14% $19,287 −15% —
188 PLEURAL EFFUSION W/O CC/MCC $16,370 $22,781 — $14,110 +16% —
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC $16,362 $17,785 — $16,642 −2% —
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $16,299 $21,625 −25% $21,545 −24% —
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $16,220 $18,459 — $18,017 −10% —
607 MINOR SKIN DISORDERS W/O MCC $16,220 $16,245 — $15,284 +6% —
770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $16,190 $15,067 — $17,943 −10% —
101 SEIZURES W/O MCC $16,172 $25,442 −36% $19,954 −19% —
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC $16,126 $22,321 — $16,104 +0% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $16,030 $17,057 −6% $18,803 −15% —
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC $15,991 $15,991 +0% $17,367 −8% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC $15,938 $17,696 −10% $19,091 −17% —
087 TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $15,917 $19,721 −19% $15,869 +0% —
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC $15,904 $26,473 −40% $19,569 −19% —
779 ABORTION W/O D&C $15,893 $15,893 +0% $15,327 +4% —
914 TRAUMATIC INJURY W/O MCC $15,857 $15,857 +0% $15,593 +2% —
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC $15,839 $15,554 +2% $18,282 −13% —
312 SYNCOPE & COLLAPSE $15,616 $16,433 −5% $19,342 −19% —
603 CELLULITIS W/O MCC $15,604 $19,534 −20% $18,530 −16% ≈138% of Medicare
349 ANAL & STOMAL PROCEDURES W/O CC/MCC $15,599 $17,003 — $19,854 −21% —
295 DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC $15,534 $15,534 — $13,445 +16% —
384 UNCOMPLICATED PEPTIC ULCER W/O MCC $15,408 $25,442 −39% $19,305 −20% —
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC $15,364 $20,385 −25% $15,045 +2% —
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC $15,110 $15,110 +0% $14,441 +5% —
103 HEADACHES W/O MCC $15,004 $20,316 −26% $20,111 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $14,939 $21,185 −29% $18,278 −18% —
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $14,935 $18,699 −20% $16,865 −11% ≈140% of Medicare
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $14,905 $14,257 — $17,715 −16% —
554 BONE DISEASES & ARTHROPATHIES W/O MCC $14,896 $16,069 −7% $18,253 −18% —
159 DENTAL & ORAL DISEASES W/O CC/MCC $14,866 $14,946 −1% $13,368 +11% —
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC $14,848 $21,468 −31% $17,700 −16% —
076 VIRAL MENINGITIS W/O CC/MCC $14,811 $16,548 — $15,474 −4% —
123 NEUROLOGICAL EYE DISORDERS $14,780 $18,522 −20% $17,831 −17% —
638 DIABETES W CC $14,700 $19,360 −24% $18,821 −22% —
078 HYPERTENSIVE ENCEPHALOPATHY W CC $14,651 $14,651 — $17,434 −16% —
090 CONCUSSION W/O CC/MCC $14,645 $18,197 — $14,873 −2% —
307 CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC $14,642 $15,674 — $18,608 −21% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $14,569 $14,569 +0% $16,837 −13% —
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC $14,539 $18,042 −19% $17,466 −17% ≈123% of Medicare
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC $14,511 $14,827 — $13,485 +8% —
536 FRACTURES OF HIP & PELVIS W/O MCC $14,506 $22,629 −36% $18,002 −19% —
370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC $14,496 $19,785 — $15,072 −4% —
534 FRACTURES OF FEMUR W/O MCC $14,480 $15,199 −5% $17,195 −16% —
387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC $14,452 $19,452 −26% $14,880 −3% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $14,442 $18,732 −23% $18,150 −20% —
948 SIGNS & SYMPTOMS W/O MCC $14,383 $17,727 −19% $17,727 −19% —
807 VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC $14,357 $14,357 +0% $12,044 +19% —
069 TRANSIENT ISCHEMIA W/O THROMBOLYTIC $14,354 $14,354 +0% $20,278 −29% —
185 MAJOR CHEST TRAUMA W/O CC/MCC $14,317 $18,401 −22% $15,858 −10% —
389 G.I. OBSTRUCTION W CC $14,197 $21,611 −34% $17,388 −18% ≈136% of Medicare
694 URINARY STONES W/O MCC $14,057 $15,196 −7% $16,531 −15% —
122 ACUTE MAJOR EYE INFECTIONS W/O CC/MCC $14,040 $12,936 — $11,997 +17% —
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $14,020 $18,874 −26% $17,322 −19% —
641 MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC $13,996 $20,414 −31% $16,745 −16% ≈144% of Medicare
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC $13,966 $15,637 — $11,071 +26% —
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $13,915 $24,552 −43% $13,824 +1% —
311 ANGINA PECTORIS $13,894 $15,185 — $15,165 −8% —
301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $13,862 $18,941 −27% $15,607 −11% —
125 OTHER DISORDERS OF THE EYE W/O MCC $13,816 $11,195 +23% $15,876 −13% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $13,660 $18,815 — $14,368 −5% —
305 HYPERTENSION W/O MCC $13,596 $17,751 −23% $17,144 −21% —
149 DYSEQUILIBRIUM $13,534 $16,500 −18% $17,203 −21% —
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $13,420 $22,238 −40% $13,303 +1% —
151 EPISTAXIS W/O MCC $13,230 $13,479 −2% $13,032 +2% —
806 VAGINAL DELIVERY W/O STERILIZATION/D&C W CC $13,186 $13,186 +0% $13,090 +1% —
153 OTITIS MEDIA & URI W/O MCC $13,073 $13,682 −4% $14,473 −10% —
201 PNEUMOTHORAX W/O CC/MCC $12,902 $16,131 −20% $13,081 −1% —
313 CHEST PAIN $12,802 $13,822 — $15,962 −20% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $12,745 $17,228 −26% $14,128 −10% —
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $12,486 $15,847 — $13,198 −5% —
379 G.I. HEMORRHAGE W/O CC/MCC $12,477 $21,234 −41% $14,134 −12% —
921 COMPLICATIONS OF TREATMENT W/O CC/MCC $12,439 $12,439 +0% $14,012 −11% —
303 ATHEROSCLEROSIS W/O MCC $12,175 $18,260 −33% $14,927 −18% —
601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC $12,142 $12,142 +0% $10,975 +11% —
203 BRONCHITIS & ASTHMA W/O CC/MCC $12,119 $17,547 −31% $12,279 −1% —
916 ALLERGIC REACTIONS W/O MCC $12,055 $12,326 −2% $13,890 −13% —
832 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC $12,044 $12,089 −0% $12,895 −7% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $12,009 $17,696 −32% $14,208 −15% —
776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE $11,854 $11,854 +0% $12,381 −4% —
639 DIABETES W/O CC/MCC $11,551 $19,214 −40% $13,910 −17% —
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $11,491 $19,692 −42% $13,384 −14% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $11,199 $11,199 +0% $12,013 −7% —
950 AFTERCARE W/O CC/MCC $10,852 $8,813 — $13,527 −20% —
599 MALIGNANT BREAST DISORDERS W/O CC/MCC $10,841 $6,555 — $14,290 −24% —
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC $10,394 $12,974 — $11,421 −9% —
390 G.I. OBSTRUCTION W/O CC/MCC $10,302 $17,213 −40% $13,318 −23% —
795 NORMAL NEWBORN $6,957 $3,680 +89% $4,530 +54% —
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