Community Hospital South — Pricing

736 procedures published in this hospital's Machine-Readable File (MRF) — 736 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 736
Lowest published price $2,212
Average published price $53,460
Highest published price $595,132

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 736 procedures

Published charges

Showing all 736 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 47 procedures, this hospital's negotiated rates average ≈166% of what Medicare pays.

DRG Description Published price Cash price vs. IN median vs. National median vs Medicare
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $595,132 $357,079 $595,132 +0% $169,977 +250% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $467,879 $280,728 $467,879 +0% $120,174 +289% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $421,759 $253,055 $421,759 +0% $171,338 +146% —
231 CORONARY BYPASS WITH PTCA WITH MCC $403,943 $242,366 $276,009 +46% $146,474 +176% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $378,556 $227,133 $378,556 +0% $106,238 +256% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $334,443 $200,666 $334,443 +0% $431,073 −22% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $319,008 $191,405 $292,071 +9% $175,437 +82% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $305,271 $183,163 $305,271 +0% $101,235 +202% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $302,384 $181,430 $281,757 +7% $94,988 +218% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $295,129 $177,077 $295,129 +0% $121,563 +143% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $283,454 $170,072 $283,454 +0% $182,314 +55% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $271,344 $162,806 $271,344 +0% $151,029 +80% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $270,916 $162,549 $270,916 +0% $121,714 +123% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $259,213 $155,528 $259,213 +0% $120,587 +115% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $239,829 $143,897 $239,829 +0% $371,366 −35% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $222,041 $133,225 $222,041 +0% $102,573 +116% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $219,823 $131,894 $219,823 +0% $138,868 +58% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $218,283 $130,970 $216,853 +1% $143,242 +52% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $213,293 $127,976 $213,293 +0% $191,314 +11% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $206,859 $124,115 $206,859 +0% $59,207 +249% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $204,838 $122,903 $204,838 +0% $34,264 +498% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $192,686 $115,612 $192,686 +0% $102,177 +89% —
653 MAJOR BLADDER PROCEDURES WITH MCC $191,154 $114,692 $156,037 +23% $97,046 +97% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $186,384 $111,830 $142,628 +31% $108,472 +72% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $179,197 $107,518 $179,197 +0% $27,168 +560% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $177,556 $106,534 $68,273 +160% $36,080 +392% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $172,306 $103,384 $172,306 +0% $131,961 +31% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $172,032 $103,219 $167,138 +3% $112,062 +54% —
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $170,438 $102,263 $170,438 +0% $498,715 −66% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $169,535 $101,721 $169,535 +0% $142,326 +19% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $168,696 $101,218 $168,696 +0% $48,358 +249% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $167,516 $100,510 $114,737 +46% $39,093 +329% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $164,353 $98,612 $164,353 +0% $92,238 +78% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $163,650 $98,190 $163,650 +0% $16,495 +892% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $162,525 $97,515 $152,568 +7% $83,441 +95% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $161,423 $96,854 $161,423 +0% $93,783 +72% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $161,092 $96,655 $161,092 +0% $121,728 +32% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $160,995 $96,597 $57,145 +182% $49,055 +228% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $160,495 $96,297 $160,495 +0% $114,914 +40% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $160,233 $96,140 $144,557 +11% $92,217 +74% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $159,865 $95,919 $15,972 +901% $15,589 +926% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $158,259 $94,955 $158,259 +0% $74,755 +112% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $156,150 $93,690 $125,641 +24% $105,899 +47% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $150,194 $90,116 $150,194 +0% $82,247 +83% —
548 SEPTIC ARTHRITIS WITH MCC $147,136 $88,281 $35,571 +314% $31,019 +374% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $147,132 $88,279 $147,132 +0% $113,855 +29% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $145,271 $87,162 $145,271 +0% $79,944 +82% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $143,386 $86,032 $128,158 +12% $88,049 +63% —
028 SPINAL PROCEDURES WITH MCC $142,501 $85,501 $142,501 +0% $95,858 +49% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $142,224 $85,334 $142,224 +0% $12,650 +1024% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $140,344 $84,206 $140,344 +0% $98,260 +43% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $139,909 $83,945 $139,909 +0% $107,355 +30% —
471 CERVICAL SPINAL FUSION WITH MCC $139,746 $83,848 $139,746 +0% $92,515 +51% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $139,538 $83,723 $139,538 +0% $117,280 +19% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $139,015 $83,409 $139,015 +0% $105,612 +32% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $138,853 $83,312 $121,674 +14% $66,819 +108% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $137,940 $82,764 $137,940 +0% $19,598 +604% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $135,393 $81,236 $135,393 +0% $91,329 +48% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $131,484 $78,890 $50,106 +162% $16,352 +704% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $131,045 $78,627 $123,801 +6% $81,998 +60% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $130,377 $78,226 $130,377 +0% $83,065 +57% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $129,286 $77,572 $103,610 +25% $37,654 +243% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $128,458 $77,075 $114,847 +12% $56,758 +126% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $127,337 $76,402 $127,337 +0% $134,914 −6% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $127,306 $76,384 $127,306 +0% $46,066 +176% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $126,609 $75,966 $77,080 +64% $60,098 +111% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $120,435 $72,261 $120,435 +0% $75,492 +60% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $120,168 $72,101 $78,566 +53% $39,253 +206% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $120,004 $72,003 $120,004 +0% $106,778 +12% —
245 AICD GENERATOR PROCEDURES $119,299 $71,579 $120,678 −1% $72,076 +66% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $118,854 $71,312 $118,854 +0% $84,861 +40% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $118,832 $71,299 $63,145 +88% $34,434 +245% —
654 MAJOR BLADDER PROCEDURES WITH CC $115,981 $69,588 $87,122 +33% $53,868 +115% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $115,453 $69,272 $31,852 +262% $29,633 +290% —
150 EPISTAXIS WITH MCC $115,431 $69,258 $115,431 +0% $21,133 +446% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $114,952 $68,971 $112,359 +2% $41,651 +176% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $113,116 $67,869 $113,116 +0% $94,927 +19% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $111,235 $66,741 $111,235 +0% $66,853 +66% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $111,166 $66,699 $111,166 +0% $89,353 +24% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $110,824 $66,495 $110,824 +0% $109,331 +1% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $109,515 $65,709 $109,515 +0% $90,331 +21% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $109,496 $65,697 $109,460 +0% $65,216 +68% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $108,571 $65,142 $106,057 +2% $65,573 +66% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $108,086 $64,851 $108,086 +0% $78,852 +37% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $106,603 $63,962 $84,321 +26% $54,772 +95% ≈528% of Medicare
800 SPLENIC PROCEDURES WITH CC $105,255 $63,153 $105,255 +0% $49,184 +114% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $105,192 $63,115 $47,165 +123% $35,673 +195% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $104,677 $62,806 $59,905 +75% $43,080 +143% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $104,225 $62,535 $145,633 −28% $138,008 −24% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $102,426 $61,455 $93,621 +9% $74,274 +38% ≈326% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $101,883 $61,130 $80,983 +26% $64,465 +58% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $100,915 $60,549 $59,742 +69% $45,818 +120% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $100,400 $60,240 $94,886 +6% $58,968 +70% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $100,326 $60,195 $100,326 +0% $96,905 +4% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $100,152 $60,091 $100,152 +0% $28,634 +250% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $98,994 $59,396 $98,994 +0% $53,551 +85% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $97,938 $58,763 $92,818 +6% $54,824 +79% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $97,675 $58,605 $97,675 +0% $72,011 +36% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $97,571 $58,543 $49,937 +95% $60,861 +60% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $97,090 $58,254 $97,090 +0% $98,912 −2% —
472 CERVICAL SPINAL FUSION WITH CC $96,072 $57,643 $96,072 +0% $59,537 +61% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $93,681 $56,209 $80,268 +17% $47,583 +97% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $93,613 $56,168 $93,613 +0% $116,058 −19% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $91,986 $55,192 $91,986 +0% $48,907 +88% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $91,706 $55,023 $91,706 +0% $88,691 +3% —
671 URETHRAL PROCEDURES WITH CC/MCC $91,665 $54,999 $91,665 +0% $27,233 +237% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $91,459 $54,875 $146,282 −37% $245,241 −63% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $91,269 $54,761 $97,483 −6% $65,325 +40% —
667 PROSTATECTOMY WITHOUT CC/MCC $91,046 $54,628 $91,046 +0% $16,703 +445% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $90,859 $54,516 $55,163 +65% $24,544 +270% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $89,622 $53,773 $86,169 +4% $40,065 +124% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $89,196 $53,518 $92,042 −3% $71,014 +26% —
334 RECTAL RESECTION WITHOUT CC/MCC $87,651 $52,590 $71,516 +23% $32,213 +172% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $87,121 $52,273 $87,121 +0% $53,555 +63% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $86,953 $52,172 $86,953 +0% $86,953 +0% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $86,151 $51,691 $86,151 +0% $25,149 +243% —
665 PROSTATECTOMY WITH MCC $84,928 $50,957 $84,928 +0% $54,072 +57% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $84,330 $50,598 $82,635 +2% $67,764 +24% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $83,956 $50,374 $83,956 +0% $57,277 +47% —
662 MINOR BLADDER PROCEDURES WITH MCC $83,774 $50,264 $83,774 +0% $54,483 +54% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $83,759 $50,255 $83,759 +0% $64,776 +29% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $83,635 $50,181 $83,635 +0% $39,018 +114% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $83,401 $50,041 $80,220 +4% $72,908 +14% —
263 VEIN LIGATION AND STRIPPING $82,960 $49,776 $82,960 +0% $44,938 +85% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $82,768 $49,661 $82,768 +0% $47,546 +74% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $82,519 $49,512 $82,519 +0% $82,527 −0% —
799 SPLENIC PROCEDURES WITH MCC $82,218 $49,331 $82,218 +0% $78,821 +4% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $81,338 $48,803 $71,193 +14% $74,257 +10% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $81,317 $48,790 $72,743 +12% $51,339 +58% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $80,326 $48,196 $47,007 +71% $30,974 +159% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $80,045 $48,027 $80,045 +0% $44,973 +78% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $80,004 $48,002 $80,004 +0% $88,307 −9% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $79,252 $47,551 $65,920 +20% $56,519 +40% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $79,143 $47,486 $67,022 +18% $50,624 +56% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $78,810 $47,286 $59,628 +32% $40,583 +94% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $78,792 $47,275 $72,737 +8% $40,694 +94% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $78,557 $47,134 $41,705 +88% $33,792 +132% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $78,358 $47,015 $77,001 +2% $57,149 +37% —
164 MAJOR CHEST PROCEDURES WITH CC $78,212 $46,927 $78,212 +0% $53,141 +47% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $78,075 $46,845 $78,075 +0% $96,222 −19% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $77,891 $46,735 $72,532 +7% $54,929 +42% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $77,887 $46,732 $74,212 +5% $40,232 +94% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $77,563 $46,538 $89,207 −13% $68,880 +13% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $77,245 $46,347 $69,820 +11% $41,380 +87% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $77,129 $46,277 $79,579 −3% $70,132 +10% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $76,847 $46,108 $59,516 +29% $42,126 +82% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $76,423 $45,854 $70,728 +8% $44,053 +73% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $76,256 $45,754 $99,133 −23% $99,423 −23% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $76,170 $45,702 $76,170 +0% $64,956 +17% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $75,101 $45,061 $75,101 +0% $57,521 +31% —
163 MAJOR CHEST PROCEDURES WITH MCC $74,857 $44,914 $76,861 −3% $88,341 −15% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $74,506 $44,703 $74,506 +0% $118,589 −37% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $74,486 $44,692 $75,169 −1% $88,050 −15% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $74,067 $44,440 $63,208 +17% $43,586 +70% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $73,565 $44,139 $73,565 +0% $55,097 +34% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $73,217 $43,930 $73,217 +0% $55,162 +33% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $72,742 $43,645 $72,742 +0% $68,399 +6% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $72,166 $43,300 $55,419 +30% $62,524 +15% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $71,862 $43,117 $71,862 +0% $29,476 +144% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $71,811 $43,086 $68,997 +4% $52,332 +37% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $71,632 $42,979 $71,632 +0% $32,490 +120% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $71,526 $42,916 $71,526 +0% $73,029 −2% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $71,209 $42,725 $49,491 +44% $32,839 +117% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $70,837 $42,502 $70,837 +0% $56,964 +24% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $70,230 $42,138 $70,230 +0% $35,686 +97% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $70,227 $42,136 $70,227 +0% $46,430 +51% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $70,200 $42,120 $39,000 +80% $23,924 +193% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $69,919 $41,951 $69,919 +0% $36,850 +90% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $69,826 $41,895 $69,826 +0% $38,998 +79% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $69,714 $41,828 $55,874 +25% $32,911 +112% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $69,636 $41,782 $69,636 +0% $57,963 +20% —
139 SALIVARY GLAND PROCEDURES $69,369 $41,621 $23,760 +192% $21,014 +230% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $69,224 $41,535 $38,591 +79% $43,491 +59% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $69,061 $41,437 $69,061 +0% $75,103 −8% —
668 TRANSURETHRAL PROCEDURES WITH MCC $68,309 $40,985 $68,309 +0% $47,277 +44% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $67,630 $40,578 $67,630 +0% $70,540 −4% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $67,482 $40,489 $61,413 +10% $49,197 +37% ≈322% of Medicare
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $67,317 $40,390 $67,317 +0% $58,043 +16% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $66,829 $40,097 $48,892 +37% $25,484 +162% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $66,659 $39,996 $50,110 +33% $31,812 +110% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $66,599 $39,959 $30,820 +116% $36,097 +85% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $66,376 $39,825 $79,486 −16% $65,254 +2% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $66,253 $39,752 $31,185 +112% $17,928 +270% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $65,584 $39,351 $56,808 +15% $35,528 +85% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $65,583 $39,350 $65,583 +0% $24,452 +168% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $65,583 $39,350 $65,583 +0% $35,542 +85% —
595 MAJOR SKIN DISORDERS WITH MCC $65,337 $39,202 $65,337 +0% $31,785 +106% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $65,291 $39,174 $54,057 +21% $50,011 +31% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $65,195 $39,117 $65,195 +0% $53,817 +21% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $65,024 $39,014 $64,913 +0% $43,775 +49% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $64,732 $38,839 $69,008 −6% $63,984 +1% ≈203% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $64,707 $38,824 $19,534 +231% $14,549 +345% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $64,674 $38,805 $64,674 +0% $41,380 +56% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $63,604 $38,162 $63,604 +0% $36,597 +74% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $62,958 $37,775 $62,958 +0% $68,006 −7% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $62,733 $37,640 $62,733 +0% $48,680 +29% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $62,332 $37,399 $62,332 +0% $96,192 −35% —
500 SOFT TISSUE PROCEDURES WITH MCC $61,861 $37,117 $61,861 +0% $57,479 +8% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $61,186 $36,711 $61,186 +0% $43,398 +41% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $61,175 $36,705 $61,175 +0% $63,475 −4% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $60,950 $36,570 $56,986 +7% $50,919 +20% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $60,921 $36,553 $37,328 +63% $33,694 +81% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $60,746 $36,448 $60,746 +0% $72,945 −17% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $60,628 $36,377 $49,840 +22% $59,425 +2% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $60,626 $36,375 $60,626 +0% $60,140 +1% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $59,923 $35,954 $75,004 −20% $87,018 −31% ≈117% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $59,634 $35,780 $59,634 +0% $52,313 +14% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $59,602 $35,761 $59,602 +0% $61,832 −4% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $59,601 $35,761 $70,866 −16% $86,390 −31% ≈110% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $59,163 $35,498 $59,163 +0% $67,901 −13% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $59,141 $35,484 $53,543 +10% $40,063 +48% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $59,056 $35,434 $59,056 +0% $25,623 +130% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $58,484 $35,090 $62,273 −6% $58,832 −1% ≈244% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $58,264 $34,958 $50,448 +15% $35,453 +64% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $58,237 $34,942 $58,237 +0% $27,321 +113% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $58,136 $34,882 $63,374 −8% $80,747 −28% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $58,044 $34,827 $58,044 +0% $62,961 −8% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $57,776 $34,666 $57,776 +0% $38,420 +50% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $57,374 $34,424 $57,374 +0% $32,451 +77% —
906 HAND PROCEDURES FOR INJURIES $57,272 $34,363 $57,272 +0% $31,520 +82% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $57,186 $34,312 $57,186 +0% $43,697 +31% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $56,607 $33,964 $53,141 +7% $29,663 +91% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $56,545 $33,927 $56,545 +0% $35,584 +59% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $56,536 $33,922 $28,917 +96% $18,428 +207% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $56,422 $33,853 $56,422 +0% $71,755 −21% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $56,394 $33,837 $56,394 +0% $56,394 +0% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $56,205 $33,723 $62,488 −10% $87,565 −36% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $55,530 $33,318 $55,530 +0% $30,418 +83% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $55,188 $33,113 $55,188 +0% $46,477 +19% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $54,909 $32,945 $54,909 +0% $45,963 +19% —
914 TRAUMATIC INJURY WITHOUT MCC $54,011 $32,407 $20,583 +162% $15,593 +246% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $53,760 $32,256 $34,538 +56% $13,485 +299% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $53,676 $32,206 $53,676 +0% $30,972 +73% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $53,370 $32,022 $30,721 +74% $25,666 +108% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $53,369 $32,021 $53,369 +0% $18,126 +194% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $53,040 $31,824 $45,434 +17% $35,375 +50% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $52,936 $31,761 $55,328 −4% $51,172 +3% ≈223% of Medicare
032 VENTRICULAR SHUNT PROCEDURES WITH CC $52,914 $31,749 $52,914 +0% $45,622 +16% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $52,871 $31,722 $52,871 +0% $50,139 +5% —
253 OTHER VASCULAR PROCEDURES WITH CC $52,734 $31,641 $59,103 −11% $53,746 −2% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $52,676 $31,606 $52,676 +0% $44,117 +19% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $52,118 $31,271 $52,118 +0% $75,585 −31% —
709 PENIS PROCEDURES WITH CC/MCC $51,931 $31,158 $40,303 +29% $34,535 +50% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $51,678 $31,007 $51,678 +0% $68,659 −25% —
265 AICD LEAD PROCEDURES $51,595 $30,957 $51,595 +0% $56,695 −9% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $51,570 $30,942 $51,570 +0% $68,847 −25% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $50,726 $30,436 $50,726 +0% $44,363 +14% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $50,631 $30,379 $49,720 +2% $21,062 +140% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $50,545 $30,327 $49,328 +2% $42,119 +20% ≈271% of Medicare
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $50,001 $30,001 $50,001 +0% $22,532 +122% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $49,842 $29,905 $55,922 −11% $65,383 −24% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $49,576 $29,746 $49,576 +0% $72,859 −32% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $49,510 $29,706 $49,510 +0% $44,839 +10% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $49,397 $29,638 $59,208 −17% $45,817 +8% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $48,930 $29,358 $48,930 +0% $49,631 −1% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $48,917 $29,350 $58,195 −16% $71,701 −32% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $48,839 $29,304 $48,839 +0% $31,909 +53% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $48,687 $29,212 $48,687 +0% $45,290 +8% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $48,661 $29,197 $40,923 +19% $31,190 +56% ≈442% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $48,599 $29,159 $36,069 +35% $25,786 +88% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $48,429 $29,057 $48,429 +0% $76,954 −37% —
398 APPENDIX PROCEDURES WITH CC $48,238 $28,943 $48,238 +0% $39,107 +23% —
037 EXTRACRANIAL PROCEDURES WITH MCC $48,190 $28,914 $48,190 +0% $64,749 −26% —
711 TESTES PROCEDURES WITH CC/MCC $47,697 $28,618 $47,697 +0% $34,852 +37% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $47,666 $28,600 $46,600 +2% $37,080 +29% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $47,556 $28,533 $43,225 +10% $34,887 +36% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $47,197 $28,318 $47,197 +0% $51,985 −9% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $47,155 $28,293 $47,155 +0% $44,600 +6% ≈219% of Medicare
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $46,938 $28,163 $46,938 +0% $31,816 +48% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $46,829 $28,097 $30,928 +51% $21,029 +123% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $46,763 $28,058 $46,763 +0% $23,297 +101% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $46,551 $27,930 $46,551 +0% $39,657 +17% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $46,253 $27,752 $36,003 +28% $11,847 +290% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $46,180 $27,708 $46,180 +0% $54,475 −15% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $46,086 $27,652 $46,086 +0% $48,682 −5% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $46,075 $27,645 $46,075 +0% $43,538 +6% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $45,897 $27,538 $45,897 +0% $39,747 +15% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $45,844 $27,507 $45,844 +0% $80,018 −43% —
336 PERITONEAL ADHESIOLYSIS WITH CC $45,604 $27,363 $47,006 −3% $49,470 −8% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $45,448 $27,269 $45,448 +0% $19,354 +135% —
397 APPENDIX PROCEDURES WITH MCC $45,351 $27,210 $57,646 −21% $52,319 −13% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $45,176 $27,105 $45,176 +0% $49,065 −8% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $45,171 $27,103 $45,171 +0% $24,036 +88% —
849 RADIOTHERAPY $44,999 $27,000 $44,999 +0% $37,862 +19% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $44,867 $26,920 $70,227 −36% $82,561 −46% —
075 VIRAL MENINGITIS WITH CC/MCC $44,808 $26,885 $35,179 +27% $29,853 +50% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $44,643 $26,786 $50,833 −12% $41,520 +8% —
503 FOOT PROCEDURES WITH MCC $44,346 $26,607 $44,346 +0% $43,901 +1% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $44,099 $26,459 $44,099 +0% $46,402 −5% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $43,724 $26,235 $43,724 +0% $19,894 +120% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $43,501 $26,101 $43,501 +0% $29,109 +49% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $43,495 $26,097 $43,495 +0% $36,239 +20% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $42,985 $25,791 $42,985 +0% $29,916 +44% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $42,892 $25,735 $42,892 +0% $40,552 +6% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $42,840 $25,704 $42,840 +0% $33,050 +30% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $42,735 $25,641 $42,735 +0% $27,492 +55% —
038 EXTRACRANIAL PROCEDURES WITH CC $42,189 $25,313 $42,662 −1% $35,770 +18% —
712 TESTES PROCEDURES WITHOUT CC/MCC $42,130 $25,278 $37,358 +13% $18,898 +123% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $41,744 $25,047 $41,744 +0% $24,980 +67% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $41,629 $24,978 $41,629 +0% $33,984 +22% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $41,629 $24,977 $41,629 +0% $23,920 +74% —
666 PROSTATECTOMY WITH CC $41,553 $24,932 $41,553 +0% $30,016 +38% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $41,471 $24,883 $41,471 +0% $30,930 +34% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $41,470 $24,882 $41,470 +0% $25,267 +64% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $40,977 $24,586 $40,977 +0% $30,314 +35% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $40,856 $24,513 $40,856 +0% $34,900 +17% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $40,591 $24,355 $40,591 +0% $36,333 +12% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $40,487 $24,292 $40,487 +0% $33,564 +21% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $40,460 $24,276 $40,460 +0% $36,202 +12% —
697 URETHRAL STRICTURE $40,408 $24,245 $26,023 +55% $17,705 +128% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $40,303 $24,182 $40,303 +0% $23,734 +70% —
137 MOUTH PROCEDURES WITH CC/MCC $40,250 $24,150 $35,300 +14% $24,348 +65% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $40,244 $24,146 $40,244 +0% $31,978 +26% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $40,191 $24,115 $40,191 +0% $43,266 −7% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $40,181 $24,109 $39,681 +1% $51,142 −21% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $40,147 $24,088 $42,863 −6% $40,563 −1% —
669 TRANSURETHRAL PROCEDURES WITH CC $40,111 $24,066 $40,111 +0% $34,354 +17% —
935 NON-EXTENSIVE BURNS $40,091 $24,055 $30,177 +33% $29,458 +36% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $40,008 $24,005 $47,575 −16% $48,094 −17% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $39,815 $23,889 $39,815 +0% $37,902 +5% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $39,349 $23,609 $39,349 +0% $35,459 +11% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $39,153 $23,492 $38,604 +1% $38,836 +1% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $39,069 $23,442 $39,069 +0% $64,152 −39% —
252 OTHER VASCULAR PROCEDURES WITH MCC $38,925 $23,355 $61,880 −37% $68,508 −43% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $38,879 $23,327 $38,879 +0% $25,162 +55% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $38,722 $23,233 $52,123 −26% $57,855 −33% —
606 MINOR SKIN DISORDERS WITH MCC $38,695 $23,217 $38,695 +0% $25,434 +52% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $38,218 $22,931 $38,218 +0% $40,548 −6% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $38,151 $22,891 $38,151 +0% $16,212 +135% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $37,988 $22,793 $37,988 +0% $24,879 +53% —
501 SOFT TISSUE PROCEDURES WITH CC $37,975 $22,785 $37,975 +0% $37,975 +0% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $37,923 $22,754 $37,923 +0% $25,152 +51% —
090 CONCUSSION WITHOUT CC/MCC $37,075 $22,245 $37,075 +0% $14,873 +149% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $36,884 $22,130 $36,884 +0% $20,371 +81% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $36,862 $22,117 $36,862 +0% $54,129 −32% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $36,838 $22,103 $36,838 +0% $20,147 +83% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,814 $22,089 $55,286 −33% $80,885 −54% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $36,716 $22,030 $36,716 +0% $24,229 +52% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $36,600 $21,960 $46,490 −21% $43,524 −16% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $36,385 $21,831 $25,211 +44% $16,156 +125% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $36,382 $21,829 $36,382 +0% $23,588 +54% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $36,381 $21,829 $36,381 +0% $30,358 +20% ≈236% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $36,294 $21,776 $36,294 +0% $41,660 −13% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $36,228 $21,737 $36,228 +0% $38,094 −5% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $36,194 $21,717 $36,194 +0% $27,369 +32% —
506 MAJOR THUMB OR JOINT PROCEDURES $36,188 $21,713 $36,188 +0% $28,983 +25% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $36,042 $21,625 $36,042 +0% $17,434 +107% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $35,974 $21,584 $44,122 −18% $41,900 −14% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $35,726 $21,436 $17,146 +108% $13,198 +171% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $35,724 $21,435 $35,724 +0% $29,050 +23% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $35,678 $21,407 $31,325 +14% $20,421 +75% —
113 ORBITAL PROCEDURES WITH CC/MCC $35,642 $21,385 $35,642 +0% $35,642 +0% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $35,537 $21,322 $30,158 +18% $22,557 +58% —
302 ATHEROSCLEROSIS WITH MCC $35,188 $21,113 $27,704 +27% $20,844 +69% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $35,076 $21,046 $35,076 +0% $35,692 −2% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $35,075 $21,045 $32,184 +9% $33,424 +5% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $35,074 $21,045 $37,285 −6% $33,490 +5% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $35,063 $21,038 $35,063 +0% $36,242 −3% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $34,911 $20,947 $36,807 −5% $78,582 −56% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $34,630 $20,778 $46,479 −25% $62,821 −45% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $34,624 $20,774 $34,624 +0% $30,006 +15% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $34,543 $20,726 $34,543 +0% $45,432 −24% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $34,438 $20,663 $34,438 +0% $29,729 +16% —
333 RECTAL RESECTION WITH CC $34,352 $20,611 $34,352 +0% $34,352 +0% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $34,346 $20,608 $34,346 +0% $34,906 −2% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $34,243 $20,546 $32,403 +6% $29,374 +17% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $34,071 $20,443 $68,953 −51% $51,953 −34% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $34,039 $20,423 $34,039 +0% $34,089 −0% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $33,849 $20,310 $42,213 −20% $52,405 −35% ≈117% of Medicare
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,833 $20,300 $40,602 −17% $42,881 −21% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $33,669 $20,202 $43,105 −22% $54,313 −38% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $33,535 $20,121 $37,320 −10% $43,800 −23% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $33,442 $20,065 $23,268 +44% $24,316 +38% —
088 CONCUSSION WITH MCC $33,310 $19,986 $33,310 +0% $24,402 +37% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $33,255 $19,953 $25,121 +32% $24,836 +34% —
007 LUNG TRANSPLANT $33,241 $19,945 $33,241 +0% $170,608 −81% —
571 SKIN DEBRIDEMENT WITH CC $33,203 $19,922 $33,203 +0% $34,901 −5% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $33,060 $19,836 $33,060 +0% $46,591 −29% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $33,052 $19,831 $36,392 −9% $44,553 −26% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,949 $19,770 $32,949 +0% $29,609 +11% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $32,770 $19,662 $32,770 +0% $52,908 −38% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,661 $19,597 $32,661 +0% $44,989 −27% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $32,509 $19,505 $32,509 +0% $24,022 +35% —
887 OTHER MENTAL DISORDER DIAGNOSES $32,498 $19,499 $21,793 +49% $20,602 +58% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $32,419 $19,451 $31,182 +4% $28,375 +14% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $32,245 $19,347 $32,245 +0% $35,237 −8% ≈152% of Medicare
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $32,205 $19,323 $32,205 +0% $14,064 +129% —
598 MALIGNANT BREAST DISORDERS WITH CC $32,180 $19,308 $32,180 +0% $19,073 +69% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,079 $19,247 $37,347 −14% $62,269 −48% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $31,987 $19,192 $31,987 +0% $26,146 +22% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $31,869 $19,122 $31,869 +0% $25,197 +26% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $31,772 $19,063 $31,772 +0% $25,390 +25% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $31,470 $18,882 $30,817 +2% $24,941 +26% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $31,199 $18,719 $31,199 +0% $13,385 +133% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $31,141 $18,684 $31,141 +0% $27,279 +14% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $30,687 $18,412 $30,687 +0% $36,280 −15% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,641 $18,385 $30,641 +0% $38,885 −21% —
504 FOOT PROCEDURES WITH CC $30,587 $18,352 $37,729 −19% $36,598 −16% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $30,570 $18,342 $30,570 +0% $36,237 −16% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $30,563 $18,338 $34,681 −12% $49,710 −39% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $30,320 $18,192 $46,751 −35% $72,782 −58% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $30,200 $18,120 $30,200 +0% $54,196 −44% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $30,125 $18,075 $30,370 −1% $28,527 +6% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $30,079 $18,048 $30,079 +0% $37,064 −19% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $30,018 $18,011 $30,018 +0% $29,805 +1% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $29,691 $17,815 $26,932 +10% $25,243 +18% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $29,424 $17,655 $29,370 +0% $27,118 +9% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $29,400 $17,640 $29,400 +0% $26,634 +10% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $29,320 $17,592 $29,320 +0% $41,703 −30% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $29,263 $17,558 $29,263 +0% $45,059 −35% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $29,064 $17,439 $29,064 +0% $20,309 +43% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $29,027 $17,416 $29,027 +0% $24,561 +18% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $28,933 $17,360 $28,933 +0% $18,478 +57% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $28,773 $17,264 $39,328 −27% $31,062 −7% —
539 OSTEOMYELITIS WITH MCC $28,715 $17,229 $28,715 +0% $33,746 −15% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $28,408 $17,045 $28,408 +0% $30,661 −7% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $28,121 $16,873 $31,521 −11% $37,842 −26% ≈142% of Medicare
834 ACUTE LEUKEMIA WITH MCC $28,034 $16,820 $32,278 −13% $76,583 −63% —
380 COMPLICATED PEPTIC ULCER WITH MCC $28,005 $16,803 $28,005 +0% $36,641 −24% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $27,758 $16,655 $28,759 −3% $33,137 −16% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $27,589 $16,553 $27,589 +0% $23,571 +17% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $27,547 $16,528 $27,547 +0% $32,981 −16% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $27,536 $16,522 $26,958 +2% $22,560 +22% —
663 MINOR BLADDER PROCEDURES WITH CC $27,425 $16,455 $33,267 −18% $29,924 −8% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $27,381 $16,429 $30,544 −10% $36,334 −25% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $27,356 $16,413 $27,356 +0% $20,842 +31% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $27,338 $16,403 $26,840 +2% $20,741 +32% —
811 RED BLOOD CELL DISORDERS WITH MCC $27,285 $16,371 $27,285 +0% $27,934 −2% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $27,276 $16,366 $37,984 −28% $36,933 −26% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $27,062 $16,237 $27,062 +0% $28,156 −4% —
919 COMPLICATIONS OF TREATMENT WITH MCC $26,999 $16,199 $26,999 +0% $29,031 −7% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $26,927 $16,156 $26,927 +0% $33,607 −20% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $26,502 $15,901 $24,740 +7% $19,815 +34% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $26,266 $15,760 $26,266 +0% $17,383 +51% —
835 ACUTE LEUKEMIA WITH CC $26,109 $15,665 $26,109 +0% $35,569 −27% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $26,070 $15,642 $26,070 +0% $24,432 +7% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $26,032 $15,619 $32,940 −21% $25,010 +4% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $26,005 $15,603 $26,005 +0% $17,550 +48% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $25,958 $15,575 $25,958 +0% $35,139 −26% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,947 $15,568 $29,686 −13% $31,846 −19% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $25,823 $15,494 $25,823 +0% $20,080 +29% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $25,768 $15,461 $21,407 +20% $19,091 +35% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $25,746 $15,447 $22,640 +14% $15,474 +66% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $25,607 $15,364 $25,607 +0% $20,463 +25% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $25,533 $15,320 $22,724 +12% $18,608 +37% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $25,516 $15,310 $25,516 +0% $20,084 +27% —
187 PLEURAL EFFUSION WITH CC $25,494 $15,297 $25,494 +0% $21,467 +19% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $25,426 $15,256 $25,426 +0% $70,735 −64% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $25,398 $15,239 $23,712 +7% $16,776 +51% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $25,372 $15,223 $25,372 +0% $45,497 −44% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $25,260 $15,156 $25,260 +0% $17,108 +48% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $25,192 $15,115 $24,473 +3% $15,608 +61% —
186 PLEURAL EFFUSION WITH MCC $25,115 $15,069 $25,115 +0% $32,468 −23% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $25,028 $15,017 $26,332 −5% $29,211 −14% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $24,878 $14,927 $24,878 +0% $13,822 +80% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $24,823 $14,894 $29,133 −15% $35,714 −30% ≈128% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $24,558 $14,735 $29,061 −15% $38,382 −36% —
505 FOOT PROCEDURES WITHOUT CC/MCC $24,537 $14,722 $28,552 −14% $31,716 −23% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $24,488 $14,693 $24,488 +0% $24,202 +1% —
533 FRACTURES OF FEMUR WITH MCC $24,369 $14,622 $24,369 +0% $25,945 −6% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,312 $14,587 $30,263 −20% $32,502 −25% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $24,273 $14,564 $34,648 −30% $32,936 −26% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $24,245 $14,547 $24,245 +0% $23,749 +2% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $23,975 $14,385 $23,975 +0% $46,659 −49% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $23,958 $14,375 $24,866 −4% $22,713 +5% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $23,906 $14,344 $23,906 +0% $30,910 −23% —
710 PENIS PROCEDURES WITHOUT CC/MCC $23,814 $14,289 $23,814 +0% $23,814 +0% —
637 DIABETES WITH MCC $23,700 $14,220 $27,419 −14% $28,819 −18% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $23,685 $14,211 $26,049 −9% $31,758 −25% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $23,622 $14,173 $23,622 +0% $30,275 −22% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $23,611 $14,166 $24,871 −5% $23,469 +1% ≈229% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,510 $14,106 $23,510 +0% $23,723 −1% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $23,359 $14,015 $31,150 −25% $31,840 −27% ≈130% of Medicare
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $23,351 $14,011 $23,930 −2% $35,114 −33% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $23,203 $13,922 $26,747 −13% $30,814 −25% ≈120% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $23,203 $13,922 $25,993 −11% $32,204 −28% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $23,145 $13,887 $23,145 +0% $17,700 +31% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,018 $13,811 $29,851 −23% $28,252 −19% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $22,955 $13,773 $22,955 +0% $28,578 −20% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $22,935 $13,761 $22,935 +0% $26,020 −12% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,893 $13,736 $22,893 +0% $24,450 −6% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $22,759 $13,655 $24,118 −6% $29,757 −24% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $22,737 $13,642 $28,256 −20% $39,409 −42% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $22,698 $13,619 $12,960 +75% $22,698 +0% —
311 ANGINA PECTORIS $22,445 $13,467 $22,187 +1% $15,165 +48% —
199 PNEUMOTHORAX WITH MCC $22,436 $13,462 $22,672 −1% $31,491 −29% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $22,412 $13,447 $22,412 +0% $19,569 +15% —
123 NEUROLOGICAL EYE DISORDERS $22,345 $13,407 $22,345 +0% $17,831 +25% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $22,339 $13,403 $33,180 −33% $36,375 −39% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $22,316 $13,390 $25,867 −14% $25,704 −13% ≈168% of Medicare
157 DENTAL AND ORAL DISEASES WITH MCC $22,312 $13,387 $22,312 +0% $27,457 −19% —
915 ALLERGIC REACTIONS WITH MCC $22,178 $13,307 $29,031 −24% $30,944 −28% —
348 ANAL AND STOMAL PROCEDURES WITH CC $22,130 $13,278 $31,170 −29% $27,947 −21% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $22,038 $13,223 $22,038 +0% $19,483 +13% —
180 RESPIRATORY NEOPLASMS WITH MCC $22,015 $13,209 $28,079 −22% $36,658 −40% —
197 INTERSTITIAL LUNG DISEASE WITH CC $21,941 $13,165 $18,760 +17% $20,106 +9% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $21,868 $13,121 $21,868 +0% $18,291 +20% —
089 CONCUSSION WITH CC $21,831 $13,099 $21,831 +0% $18,293 +19% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $21,785 $13,071 $21,785 +0% $17,585 +24% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $21,731 $13,039 $24,624 −12% $29,484 −26% —
381 COMPLICATED PEPTIC ULCER WITH CC $21,721 $13,033 $21,721 +0% $24,177 −10% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $21,690 $13,014 $21,690 +0% $12,537 +73% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $21,611 $12,966 $22,604 −4% $32,399 −33% —
304 HYPERTENSION WITH MCC $21,606 $12,963 $21,606 +0% $24,185 −11% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $21,556 $12,934 $21,556 +0% $25,854 −17% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $21,436 $12,862 $24,317 −12% $31,128 −31% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $21,374 $12,824 $20,121 +6% $14,444 +48% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $21,366 $12,819 $21,366 +0% $22,811 −6% —
204 RESPIRATORY SIGNS AND SYMPTOMS $21,289 $12,773 $13,818 +54% $16,866 +26% —
375 DIGESTIVE MALIGNANCY WITH CC $21,164 $12,698 $22,647 −7% $27,219 −22% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $21,096 $12,658 $21,096 +0% $23,115 −9% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $21,056 $12,634 $21,896 −4% $20,278 +4% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $20,987 $12,592 $22,350 −6% $30,394 −31% —
813 COAGULATION DISORDERS $20,984 $12,590 $20,984 +0% $30,128 −30% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $20,953 $12,572 $20,953 +0% $24,465 −14% —
184 MAJOR CHEST TRAUMA WITH CC $20,890 $12,534 $20,759 +1% $20,842 +0% —
100 SEIZURES WITH MCC $20,778 $12,467 $24,430 −15% $35,194 −41% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $20,678 $12,407 $15,132 +37% $11,071 +87% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $20,640 $12,384 $20,640 +0% $21,886 −6% ≈189% of Medicare
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $20,631 $12,379 $20,631 +0% $15,072 +37% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $20,551 $12,330 $22,848 −10% $28,780 −29% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $20,511 $12,306 $24,947 −18% $38,357 −47% ≈87% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $20,405 $12,243 $33,333 −39% $32,996 −38% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $20,314 $12,188 $22,143 −8% $28,140 −28% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $20,287 $12,172 $22,179 −9% $19,001 +7% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $20,236 $12,142 $19,915 +2% $19,326 +5% —
593 SKIN ULCERS WITH CC $20,208 $12,125 $19,852 +2% $20,470 −1% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $20,123 $12,074 $20,123 +0% $19,132 +5% —
602 CELLULITIS WITH MCC $20,038 $12,023 $23,217 −14% $29,347 −32% —
540 OSTEOMYELITIS WITH CC $20,029 $12,018 $21,491 −7% $23,494 −15% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $20,027 $12,016 $20,424 −2% $31,059 −36% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $19,979 $11,987 $23,953 −17% $26,158 −24% ≈138% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $19,946 $11,967 $31,663 −37% $28,967 −31% ≈115% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $19,931 $11,959 $21,892 −9% $30,058 −34% —
152 OTITIS MEDIA AND URI WITH MCC $19,885 $11,931 $19,885 +0% $19,795 +0% —
183 MAJOR CHEST TRAUMA WITH MCC $19,765 $11,859 $21,767 −9% $28,924 −32% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $19,689 $11,814 $21,087 −7% $30,766 −36% —
920 COMPLICATIONS OF TREATMENT WITH CC $19,571 $11,743 $19,722 −1% $21,181 −8% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $19,528 $11,717 $19,528 +0% $30,940 −37% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $19,278 $11,567 $19,278 +0% $22,850 −16% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,260 $11,556 $24,427 −21% $24,190 −20% ≈168% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $19,218 $11,531 $19,218 +0% $38,878 −51% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $18,909 $11,345 $18,909 +0% $16,571 +14% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,862 $11,317 $18,862 +0% $25,307 −25% —
291 HEART FAILURE AND SHOCK WITH MCC $18,821 $11,293 $20,626 −9% $25,020 −25% ≈128% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,693 $11,216 $18,693 +0% $32,483 −42% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $18,645 $11,187 $18,645 +0% $20,968 −11% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $18,632 $11,179 $18,632 +0% $23,496 −21% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $18,504 $11,102 $21,786 −15% $27,244 −32% —
644 ENDOCRINE DISORDERS WITH CC $18,492 $11,095 $18,925 −2% $22,941 −19% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $18,465 $11,079 $18,465 +0% $29,524 −37% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $18,441 $11,065 $18,441 +0% $24,480 −25% ≈125% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $18,396 $11,037 $18,396 +0% $20,777 −11% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,391 $11,034 $17,102 +8% $17,522 +5% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $18,351 $11,010 $18,351 +0% $14,128 +30% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $18,327 $10,996 $25,731 −29% $24,017 −24% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $18,290 $10,974 $18,290 +0% $22,231 −18% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $18,252 $10,951 $23,983 −24% $23,141 −21% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $18,197 $10,918 $19,710 −8% $16,104 +13% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $18,186 $10,912 $21,192 −14% $22,781 −20% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $18,140 $10,884 $19,690 −8% $22,024 −18% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $18,058 $10,835 $23,205 −22% $28,134 −36% —
949 AFTERCARE WITH CC/MCC $17,965 $10,779 $20,429 −12% $23,953 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $17,963 $10,778 $19,186 −6% $18,278 −2% ≈194% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $17,876 $10,726 $17,876 +0% $12,797 +40% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $17,757 $10,654 $17,757 +0% $15,600 +14% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $17,731 $10,639 $19,652 −10% $23,396 −24% ≈143% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $17,731 $10,639 $17,731 +0% $17,731 +0% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $17,682 $10,609 $19,589 −10% $26,322 −33% —
158 DENTAL AND ORAL DISEASES WITH CC $17,612 $10,567 $17,612 +0% $17,700 −0% —
312 SYNCOPE AND COLLAPSE $17,609 $10,566 $19,855 −11% $19,342 −9% ≈184% of Medicare
682 RENAL FAILURE WITH MCC $17,509 $10,506 $23,404 −25% $27,854 −37% ≈102% of Medicare
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $17,472 $10,483 $17,472 +0% $8,927 +96% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,464 $10,478 $17,464 +0% $21,806 −20% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $17,444 $10,466 $17,444 +0% $18,204 −4% ≈209% of Medicare
103 HEADACHES WITHOUT MCC $17,438 $10,463 $17,438 +0% $20,111 −13% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $17,430 $10,458 $25,094 −31% $26,488 −34% ≈137% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $17,218 $10,331 $19,687 −13% $22,982 −25% ≈133% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $16,990 $10,194 $16,990 +0% $18,191 −7% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $16,985 $10,191 $16,985 +0% $25,208 −33% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $16,984 $10,190 $19,032 −11% $21,213 −20% ≈159% of Medicare
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $16,983 $10,190 $16,983 +0% $15,858 +7% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $16,977 $10,186 $16,977 +0% $19,096 −11% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $16,923 $10,154 $19,816 −15% $21,449 −21% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $16,912 $10,147 $15,208 +11% $16,837 +0% —
866 VIRAL ILLNESS WITHOUT MCC $16,884 $10,130 $16,884 +0% $16,391 +3% —
638 DIABETES WITH CC $16,785 $10,071 $18,826 −11% $18,821 −11% ≈171% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $16,742 $10,045 $17,266 −3% $31,086 −46% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $16,728 $10,037 $16,300 +3% $13,892 +20% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $16,674 $10,004 $16,674 +0% $18,918 −12% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,633 $9,980 $21,368 −22% $37,950 −56% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $16,623 $9,974 $16,623 +0% $13,282 +25% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $16,606 $9,963 $17,659 −6% $25,426 −35% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $16,556 $9,934 $16,556 +0% $20,980 −21% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $16,523 $9,914 $16,523 +0% $17,273 −4% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $16,517 $9,910 $18,211 −9% $14,134 +17% —
947 SIGNS AND SYMPTOMS WITH MCC $16,432 $9,859 $21,794 −25% $25,474 −35% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $16,409 $9,846 $16,409 +0% $23,956 −32% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $16,375 $9,825 $16,375 +0% $19,579 −16% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $16,360 $9,816 $16,360 +0% $18,803 −13% ≈166% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $16,325 $9,795 $29,037 −44% $35,014 −53% —
305 HYPERTENSION WITHOUT MCC $16,245 $9,747 $16,571 −2% $17,144 −5% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $16,190 $9,714 $19,684 −18% $32,538 −50% —
882 NEUROSES EXCEPT DEPRESSIVE $16,161 $9,697 $14,302 +13% $15,680 +3% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $16,124 $9,674 $17,396 −7% $22,032 −27% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $16,032 $9,619 $27,757 −42% $28,646 −44% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $15,999 $9,599 $15,999 +0% $17,322 −8% ≈191% of Medicare
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $15,987 $9,592 $15,987 +0% $16,642 −4% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $15,966 $9,580 $16,174 −1% $20,732 −23% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $15,964 $9,579 $20,030 −20% $20,488 −22% ≈160% of Medicare
693 URINARY STONES WITH MCC $15,944 $9,567 $15,944 +0% $22,525 −29% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $15,941 $9,564 $15,941 +0% $24,118 −34% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $15,884 $9,531 $18,267 −13% $20,727 −23% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $15,844 $9,506 $15,844 +0% $13,654 +16% —
292 HEART FAILURE AND SHOCK WITH CC $15,730 $9,438 $15,730 +0% $16,212 −3% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $15,674 $9,404 $15,674 +0% $17,483 −10% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $15,663 $9,398 $15,663 +0% $17,727 −12% ≈185% of Medicare
865 VIRAL ILLNESS WITH MCC $15,617 $9,370 $15,617 +0% $26,088 −40% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $15,590 $9,354 $15,590 +0% $15,607 −0% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $15,582 $9,349 $14,066 +11% $12,279 +27% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $15,535 $9,321 $15,535 +0% $16,049 −3% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $15,526 $9,315 $15,526 +0% $19,305 −20% —
639 DIABETES WITHOUT CC/MCC $15,521 $9,312 $15,521 +0% $13,910 +12% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,339 $9,204 $18,365 −16% $18,282 −16% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $15,317 $9,190 $15,317 +0% $21,261 −28% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $15,264 $9,158 $15,264 +0% $15,070 +1% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $15,247 $9,148 $15,247 +0% $14,166 +8% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $15,216 $9,129 $15,216 +0% $13,303 +14% —
603 CELLULITIS WITHOUT MCC $15,195 $9,117 $17,246 −12% $18,530 −18% ≈166% of Medicare
102 HEADACHES WITH MCC $15,174 $9,104 $15,174 +0% $22,544 −33% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,157 $9,094 $15,157 +0% $13,824 +10% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $15,135 $9,081 $16,290 −7% $17,466 −13% ≈182% of Medicare
570 SKIN DEBRIDEMENT WITH MCC $15,099 $9,060 $42,317 −64% $52,435 −71% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $15,057 $9,034 $15,057 +0% $12,593 +20% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $15,045 $9,027 $15,045 +0% $15,045 −0% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,004 $9,003 $19,913 −25% $23,350 −36% —
149 DYSEQUILIBRIUM $14,987 $8,992 $14,987 +0% $17,203 −13% —
683 RENAL FAILURE WITH CC $14,965 $8,979 $17,473 −14% $18,620 −20% ≈148% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $14,916 $8,950 $18,049 −17% $18,017 −17% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,913 $8,948 $29,262 −49% $32,689 −54% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $14,892 $8,935 $12,861 +16% $12,013 +24% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $14,831 $8,899 $16,720 −11% $19,287 −23% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $14,806 $8,884 $14,806 +0% $18,002 −18% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,803 $8,882 $14,848 −0% $17,388 −15% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $14,799 $8,879 $14,799 +0% $15,370 −4% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $14,774 $8,864 $28,580 −48% $29,409 −50% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,740 $8,844 $14,740 +0% $14,880 −1% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $14,732 $8,839 $24,511 −40% $24,136 −39% ≈135% of Medicare
913 TRAUMATIC INJURY WITH MCC $14,729 $8,837 $14,729 +0% $24,198 −39% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,603 $8,762 $14,603 +0% $17,226 −15% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $14,568 $8,741 $14,751 −1% $16,745 −13% ≈184% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $14,533 $8,720 $30,447 −52% $29,371 −51% —
791 PREMATURITY WITH MAJOR PROBLEMS $14,523 $8,714 $23,189 −37% $39,563 −63% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $14,507 $8,704 $19,870 −27% $18,238 −20% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $14,449 $8,670 $14,449 +0% $17,715 −18% —
684 RENAL FAILURE WITHOUT CC/MCC $14,449 $8,669 $14,449 +0% $13,623 +6% —
303 ATHEROSCLEROSIS WITHOUT MCC $14,438 $8,663 $14,069 +3% $14,927 −3% —
181 RESPIRATORY NEOPLASMS WITH CC $14,387 $8,632 $17,133 −16% $22,431 −36% —
950 AFTERCARE WITHOUT CC/MCC $14,382 $8,629 $14,382 +0% $13,527 +6% —
694 URINARY STONES WITHOUT MCC $14,291 $8,575 $14,250 +0% $16,531 −14% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,194 $8,516 $14,740 −4% $17,412 −18% —
101 SEIZURES WITHOUT MCC $14,131 $8,479 $18,712 −24% $19,954 −29% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,075 $8,445 $14,075 +0% $14,861 −5% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $14,055 $8,433 $14,055 +0% $15,876 −11% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $14,017 $8,410 $19,298 −27% $18,623 −25% —
153 OTITIS MEDIA AND URI WITHOUT MCC $13,967 $8,380 $13,967 +0% $14,473 −3% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $13,914 $8,349 $13,914 +0% $13,318 +4% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $13,857 $8,314 $13,857 +0% $19,686 −30% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $13,827 $8,296 $13,827 +0% $14,110 −2% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $13,671 $8,202 $18,307 −25% $25,731 −47% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $13,667 $8,200 $17,207 −21% $16,634 −18% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,305 $7,983 $22,368 −41% $21,545 −38% —
534 FRACTURES OF FEMUR WITHOUT MCC $13,215 $7,929 $13,215 +0% $17,195 −23% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,194 $7,917 $13,194 +0% $17,103 −23% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $13,191 $7,915 $13,191 +0% $14,337 −8% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,967 $7,780 $36,099 −64% $33,165 −61% —
594 SKIN ULCERS WITHOUT CC/MCC $12,885 $7,731 $12,885 +0% $14,209 −9% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $12,821 $7,693 $12,821 +0% $15,636 −18% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $12,769 $7,662 $12,769 +0% $13,090 −2% —
779 ABORTION WITHOUT D&C $12,448 $7,469 $12,448 +0% $15,327 −19% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,405 $7,443 $12,405 +0% $12,405 +0% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,278 $7,367 $14,602 −16% $29,558 −58% —
200 PNEUMOTHORAX WITH CC $12,215 $7,329 $16,159 −24% $20,573 −41% —
916 ALLERGIC REACTIONS WITHOUT MCC $12,215 $7,329 $14,987 −18% $13,890 −12% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $12,212 $7,327 $12,784 −4% $13,368 −9% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $12,067 $7,240 $15,496 −22% $18,253 −34% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,972 $7,183 $15,718 −24% $14,368 −17% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,957 $7,174 $12,156 −2% $12,044 −1% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $11,842 $7,105 $11,842 +0% $11,909 −1% —
885 PSYCHOSES $11,724 $7,034 $11,724 +0% $21,489 −45% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,467 $6,880 $16,010 −28% $24,452 −53% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $11,448 $6,869 $13,447 −15% $16,654 −31% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,415 $6,849 $14,348 −20% $17,367 −34% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $11,344 $6,806 $16,455 −31% $20,007 −43% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,214 $6,728 $15,819 −29% $15,284 −27% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $11,018 $6,611 $15,343 −28% $17,943 −39% —
201 PNEUMOTHORAX WITHOUT CC/MCC $10,983 $6,590 $10,983 +0% $13,081 −16% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,694 $6,417 $17,772 −40% $16,865 −37% ≈133% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $10,666 $6,400 $10,666 +0% $14,441 −26% —
881 DEPRESSIVE NEUROSES $10,580 $6,348 $10,871 −3% $15,058 −30% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,348 $6,209 $13,279 −22% $13,384 −23% ≈207% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,201 $6,121 $17,089 −40% $22,275 −54% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,983 $5,990 $9,983 +0% $15,077 −34% —
313 CHEST PAIN $9,979 $5,987 $15,899 −37% $15,962 −37% —
592 SKIN ULCERS WITH MCC $9,978 $5,987 $17,224 −42% $32,662 −69% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,947 $5,968 $12,621 −21% $19,868 −50% —
151 EPISTAXIS WITHOUT MCC $9,763 $5,858 $11,301 −14% $13,032 −25% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $9,072 $5,443 $9,072 +0% $12,336 −26% —
176 PULMONARY EMBOLISM WITHOUT MCC $8,995 $5,397 $17,693 −49% $18,081 −50% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,888 $5,333 $8,888 +0% $19,317 −54% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $8,783 $5,270 $8,783 +0% $22,525 −61% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $8,435 $5,061 $8,435 +0% $11,997 −30% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $7,941 $4,764 $10,097 −21% $12,895 −38% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $7,848 $4,709 $19,608 −60% $29,826 −74% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,822 $4,693 $8,197 −5% $16,418 −52% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $7,515 $4,509 $10,272 −27% $11,633 −35% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $7,225 $4,335 $8,813 −18% $21,860 −67% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,115 $4,269 $27,843 −74% $19,854 −64% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,944 $4,167 $14,852 −53% $14,055 −51% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,790 $4,074 $9,888 −31% $12,381 −45% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $6,772 $4,063 $13,963 −52% $16,719 −59% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,701 $4,021 $6,701 +0% $13,586 −51% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,628 $3,977 $10,581 −37% $18,133 −63% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,512 $3,907 $12,542 −48% $14,012 −54% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $6,470 $3,882 $6,470 +0% $14,284 −55% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,265 $3,759 $11,577 −46% $14,208 −56% —
549 SEPTIC ARTHRITIS WITH CC $5,890 $3,534 $15,009 −61% $20,938 −72% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,727 $3,436 $9,287 −38% $11,421 −50% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,672 $3,403 $10,060 −44% $15,869 −64% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,531 $3,318 $9,025 −39% $10,975 −50% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,295 $3,177 $13,407 −61% $18,459 −71% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,553 $2,732 $5,619 −19% $7,961 −43% —
795 NORMAL NEWBORN $3,660 $2,196 $4,825 −24% $4,530 −19% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,250 $1,950 $8,572 −62% $9,076 −64% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,144 $1,886 $8,829 −64% $11,955 −74% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,212 $1,327 $6,130 −64% $9,385 −76% —
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