Providence Medical Center — Pricing

766 procedures published in this hospital's Machine-Readable File (MRF) — 766 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 766
Lowest published price $928
Average published price $20,502
Highest published price $308,324

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 766 procedures

Published charges

Showing all 766 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 20 procedures, this hospital's negotiated rates average ≈121% of what Medicare pays.

DRG Description Published price Cash price vs. KS median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $308,324 $334,507 $308,324 +0% $573,534 −46% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $235,348 $250,296 $235,348 +0% $461,389 −49% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $196,247 $211,073 $196,247 +0% $306,087 −36% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $180,436 $190,858 $356,270 −49% $371,366 −51% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $120,232 $126,436 $317,131 −62% $248,521 −52% —
007 LUNG TRANSPLANT $108,581 $117,073 $79,260 +37% $170,608 −36% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $104,755 $117,364 $104,755 +0% $182,314 −43% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $93,178 $95,245 $155,374 −40% $208,939 −55% —
850 UnGrouped $89,862 $83,043 $89,862 +0% $121,563 −26% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $89,599 $98,993 $89,599 +0% $194,769 −54% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $89,180 $95,726 $73,416 +21% $164,641 −46% —
429 UnGrouped $81,423 $75,356 $148,361 −45% $144,774 −44% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $80,690 — $80,047 +1% $103,861 −22% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $74,127 $76,490 $236,221 −69% $153,282 −52% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $74,020 $97,884 $109,473 −32% $196,346 −62% —
426 UnGrouped $73,744 $94,191 $227,875 −68% $142,326 −48% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $71,606 $72,890 $130,922 −45% $148,686 −52% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $68,954 $32,405 $44,762 +54% $56,242 +23% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $66,953 $71,709 $54,214 +23% $105,228 −36% —
447 UnGrouped $65,579 $60,922 $162,580 −60% $126,098 −48% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $64,207 $86,918 $127,795 −50% $188,171 −66% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $62,690 $64,119 $175,924 −64% $131,961 −52% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $62,628 $67,623 $74,618 −16% $120,573 −48% —
222 UnGrouped $62,614 — $62,614 +0% $86,864 −28% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $61,948 $62,013 $176,845 −65% $102,600 −40% —
993 UnGrouped $61,381 — $58,865 — $56,348 — —
010 PANCREAS TRANSPLANT $60,987 $72,112 $43,181 +41% $99,940 −39% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $60,897 $63,144 $213,637 −71% $148,832 −59% —
317 UnGrouped $60,560 $56,349 $60,560 +0% $88,566 −32% —
224 UnGrouped $59,213 — $53,792 — $80,427 −26% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $58,531 $58,827 $160,849 −64% $116,058 −50% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $58,347 $60,695 $58,347 +0% $89,353 −35% —
231 CORONARY BYPASS WITH PTCA WITH MCC $56,602 $76,532 $78,926 −28% $147,227 −62% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $56,568 $54,623 $124,718 −55% $113,855 −50% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $55,939 $57,566 $55,939 +0% $109,331 −49% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $55,051 $55,021 $55,051 +0% $98,260 −44% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $55,042 $56,420 $137,291 −60% $117,280 −53% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $54,403 $55,911 $54,403 +0% $108,472 −50% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $54,058 — $82,549 −35% $69,101 −22% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $53,436 $56,100 $53,436 +0% $98,912 −46% —
028 SPINAL PROCEDURES WITH MCC $53,198 $55,406 $153,767 −65% $113,077 −53% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $52,353 $70,731 $75,782 −31% $144,569 −64% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $51,844 $70,035 $108,485 −52% $143,242 −64% —
226 UnGrouped $51,699 — $51,699 +0% $72,618 −29% —
427 UnGrouped $51,660 $64,434 $122,716 −58% $132,794 −61% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $51,058 $52,405 $170,085 −70% $107,355 −52% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $50,879 $53,137 $78,868 −35% $96,192 −47% —
450 UnGrouped $50,523 $47,206 $91,681 −45% $99,943 −49% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $50,208 $50,534 $50,208 +0% $106,057 −53% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $49,674 $60,595 $87,486 −43% $125,242 −60% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $49,445 $52,103 $102,874 −52% $106,778 −54% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $49,321 $55,021 $38,077 +30% $81,176 −39% —
653 MAJOR BLADDER PROCEDURES WITH MCC $48,698 $50,951 $132,136 −63% $104,583 −53% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $47,925 $49,420 $50,322 −5% $89,207 −46% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $47,327 $49,369 $44,901 +5% $90,401 −48% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $46,017 $49,773 $38,008 +21% $86,459 −47% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $45,668 $49,664 $54,199 −16% $102,128 −55% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $45,636 $45,945 $75,204 −39% $77,055 −41% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $45,222 $50,534 $45,222 +0% $85,566 −47% —
223 UnGrouped $45,200 — $45,866 −1% $59,206 −24% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $45,012 $49,375 $44,596 +1% $101,576 −56% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $44,843 $46,716 $56,683 −21% $96,507 −54% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $44,730 — $51,461 −13% $75,251 −41% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $44,394 $45,734 $82,787 −46% $96,905 −54% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $44,298 $46,579 $62,012 −29% $80,793 −45% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $44,180 $46,207 $67,129 −34% $93,390 −53% —
225 UnGrouped $43,797 — $43,797 +0% $57,380 −24% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,576 $58,745 $72,687 −40% $123,995 −65% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $43,316 $45,893 $52,421 −17% $93,172 −54% ≈121% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $42,711 $44,623 $81,092 −47% $92,515 −54% —
245 AICD GENERATOR PROCEDURES $42,534 $44,883 $108,448 −61% $72,076 −41% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $42,309 $35,492 $71,161 −41% $75,103 −44% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $41,639 $42,810 $101,335 −59% $91,329 −54% —
799 SPLENIC PROCEDURES WITH MCC $41,585 $43,718 $89,916 −54% $82,218 −49% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $41,320 $55,664 $79,439 −48% $115,839 −64% —
227 UnGrouped $41,045 — $41,045 +0% $56,960 −28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $41,003 $43,901 $94,273 −57% $90,724 −55% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $40,997 $42,281 $60,865 −33% $88,050 −53% —
006 LIVER TRANSPLANT WITHOUT MCC $40,861 $44,551 $33,817 +21% $84,407 −52% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $40,303 $37,653 $74,356 −46% $79,225 −49% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $40,291 $54,257 $73,545 −45% $103,455 −61% —
448 UnGrouped $40,194 $37,795 $90,803 −56% $81,998 −51% —
428 UnGrouped $40,154 $50,329 $156,932 −74% $105,899 −62% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $40,112 $43,054 $84,932 −53% $87,761 −54% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $39,869 $53,683 $54,317 −27% $112,062 −64% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $39,527 $41,226 $128,929 −69% $88,307 −55% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $39,375 $41,573 $80,634 −51% $76,001 −48% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $38,936 $40,524 $38,936 +0% $86,970 −55% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,873 $41,335 $38,873 +0% $84,692 −54% —
163 MAJOR CHEST PROCEDURES WITH MCC $38,421 $42,434 $81,012 −53% $90,195 −57% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $38,318 $39,864 $63,935 −40% $83,441 −54% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $38,231 $42,417 $38,288 −0% $71,551 −47% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $38,117 $40,857 $40,414 −6% $70,177 −46% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $37,534 $39,347 $101,919 −63% $101,510 −63% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $37,226 $39,403 $78,401 −53% $82,561 −55% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $36,586 $38,740 $36,586 +0% $72,962 −50% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $36,226 $48,707 $129,766 −72% $102,573 −65% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $36,073 $48,499 $59,936 −40% $111,320 −68% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $35,734 $38,732 $55,103 −35% $77,990 −54% —
332 RECTAL RESECTION WITH MCC $35,564 $32,371 $35,564 +0% $58,125 −39% —
994 UnGrouped $35,376 — $33,926 — $32,475 — —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $34,957 $47,055 $76,525 −54% $99,423 −65% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $34,698 $36,267 $78,441 −56% $78,852 −56% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $34,645 $33,394 $32,848 +5% $59,533 −42% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $34,614 $38,027 $60,622 −43% $73,120 −53% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $34,401 $37,974 $34,077 +1% $79,836 −57% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $34,133 $36,077 $34,133 +0% $76,219 −55% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $33,965 $36,508 $95,188 −64% $61,832 −45% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $33,897 $36,915 $75,476 −55% $77,817 −56% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $33,853 $39,943 $33,853 +0% $59,352 −43% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $33,666 $36,890 $33,666 +0% $62,300 −46% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $33,319 $35,309 $72,979 −54% $74,755 −55% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $33,263 $35,048 $50,145 −34% $74,257 −55% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $32,325 $35,738 $38,472 −16% $75,573 −57% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $32,094 $43,276 $105,964 −70% $92,217 −65% —
265 AICD LEAD PROCEDURES $31,591 $33,240 $34,862 −9% $63,171 −50% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $31,565 $33,388 $129,032 −76% $71,092 −56% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $31,524 $42,287 $45,394 −31% $90,331 −65% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $31,511 — $42,424 −26% $56,836 −45% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $31,496 $33,736 $107,157 −71% $71,755 −56% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $31,391 $35,868 $49,198 −36% $66,685 −53% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $30,981 $32,829 $30,981 +0% $56,964 −46% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $30,909 $33,099 $92,407 −67% $70,564 −56% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,681 $33,395 $169,259 −82% $66,711 −54% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,637 $32,671 $62,612 −51% $66,068 −54% —
402 UnGrouped $30,573 $36,284 $67,998 −55% $79,116 −61% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,535 $32,659 $56,697 −46% $62,583 −51% —
451 UnGrouped $30,533 $28,994 $91,155 −67% $65,216 −53% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $30,488 $32,604 $30,488 +0% $51,953 −41% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,397 $34,782 $43,541 −30% $61,470 −51% —
252 OTHER VASCULAR PROCEDURES WITH MCC $30,283 $32,033 $36,916 −18% $68,508 −56% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $30,268 $31,694 $69,266 −56% $70,132 −57% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $30,253 $32,915 $30,253 +0% $66,848 −55% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $30,152 $31,987 $39,548 −24% $70,847 −57% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $30,035 $31,820 $32,669 −8% $70,371 −57% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,971 $32,109 $29,971 +0% $68,653 −56% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $29,754 $32,337 $39,946 −26% $52,036 −43% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $29,613 $31,383 $47,584 −38% $67,268 −56% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $29,423 $32,681 $68,434 −57% $69,743 −58% —
665 PROSTATECTOMY WITH MCC $29,414 $32,061 $50,007 −41% $54,072 −46% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,356 $39,081 $29,370 −0% $60,098 −51% —
037 EXTRACRANIAL PROCEDURES WITH MCC $29,247 $31,067 $29,247 +0% $66,666 −56% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $28,970 $32,907 $56,512 −49% $50,919 −43% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $28,774 $30,606 $33,399 −14% $65,788 −56% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,676 $38,477 $53,288 −46% $85,159 −66% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $28,455 $30,039 $45,011 −37% $63,928 −55% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $28,419 $38,048 $47,747 −40% $82,247 −65% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $28,408 $38,563 $14,963 +90% $18,649 +52% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $28,407 $30,171 $28,407 +0% $72,424 −61% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $28,395 $30,512 $90,990 −69% $65,608 −57% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $28,385 $30,524 $45,450 −38% $58,745 −52% —
652 KIDNEY TRANSPLANT $27,938 $28,866 $27,938 +0% $54,720 −49% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,835 $29,957 $72,958 −62% $71,464 −61% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $27,763 $29,174 $75,212 −63% $65,325 −57% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $27,604 $29,827 $62,785 −56% $44,472 −38% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $27,563 $29,771 $28,709 −4% $55,289 −50% —
791 PREMATURITY WITH MAJOR PROBLEMS $27,432 $37,587 $33,291 −18% $42,679 −36% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $27,248 $29,051 $63,719 −57% $62,821 −57% —
662 MINOR BLADDER PROCEDURES WITH MCC $27,173 $29,291 $60,110 −55% $54,562 −50% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $26,845 $28,975 $26,845 +0% $53,864 −50% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $26,769 $30,899 $26,769 +0% $52,908 −49% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $26,585 $28,753 $59,859 −56% $64,523 −59% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $26,339 $25,619 $75,579 −65% $62,264 −58% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $25,953 $27,782 $44,026 −41% $58,228 −55% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $25,924 $29,903 $41,471 −37% $49,710 −48% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $25,905 $36,438 $28,730 −10% $54,196 −52% —
570 SKIN DEBRIDEMENT WITH MCC $25,869 $28,326 $60,266 −57% $52,435 −51% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,714 $27,483 $54,464 −53% $70,467 −64% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $25,561 $27,645 $43,615 −41% $60,170 −58% —
472 CERVICAL SPINAL FUSION WITH CC $25,523 $27,329 $85,519 −70% $59,537 −57% —
654 MAJOR BLADDER PROCEDURES WITH CC $25,467 $26,666 $67,342 −62% $58,274 −56% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $25,056 $27,034 $24,787 +1% $58,975 −58% —
800 SPLENIC PROCEDURES WITH CC $25,012 $27,475 $25,012 +0% $49,184 −49% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $24,977 $28,114 $50,668 −51% $46,402 −46% —
248 UnGrouped $24,902 — $24,902 +0% $34,146 −27% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,891 $27,019 $24,891 +0% $61,217 −59% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $24,730 $26,984 $24,730 +0% $49,839 −50% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,680 $26,520 $24,680 +0% $52,986 −53% —
246 UnGrouped $24,604 — $25,312 — $33,983 −28% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $24,530 $25,867 $43,698 −44% $50,618 −52% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $24,328 $26,884 $60,045 −59% $81,706 −70% ≈110% of Medicare
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $24,314 $32,157 $43,275 −44% $71,014 −66% —
263 VEIN LIGATION AND STRIPPING $24,172 $25,431 $24,172 +0% $51,253 −53% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $23,863 $23,860 $57,710 −59% $39,973 −40% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $23,712 $26,545 $23,712 +0% $58,043 −59% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $23,595 $25,540 $55,793 −58% $44,546 −47% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,576 — $37,122 −36% $51,625 −54% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $23,555 $24,852 $25,619 −8% $46,453 −49% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $23,390 $25,910 $39,234 −40% $48,358 −52% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $23,375 $27,063 $23,375 +0% $59,031 −60% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $23,252 $25,177 $23,252 +0% $44,222 −47% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $23,097 $24,912 $40,200 −43% $54,929 −58% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $23,023 $25,261 $23,023 +0% $47,945 −52% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $23,008 $22,917 $33,354 −31% $47,583 −52% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $22,967 $24,044 $50,052 −54% $49,423 −54% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $22,869 $25,736 $65,642 −65% $43,491 −47% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $22,767 $24,568 $87,555 −74% $52,178 −56% —
253 OTHER VASCULAR PROCEDURES WITH CC $22,662 $24,292 $45,582 −50% $57,454 −61% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $22,589 $24,061 $32,742 −31% $40,362 −44% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $22,399 $25,148 $22,399 +0% $48,687 −54% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $22,370 $22,917 $23,915 −6% $41,620 −46% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $22,253 $24,606 $30,836 −28% $45,167 −51% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $22,202 $22,951 $93,299 −76% $59,651 −63% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $22,186 $24,249 $46,298 −52% $58,707 −62% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $22,182 $22,238 $50,157 −56% $36,489 −39% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $22,127 $25,094 $48,855 −55% $41,422 −47% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $22,062 $23,844 $26,398 −16% $55,162 −60% —
338 UnGrouped $22,029 — $19,816 — $30,138 −27% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $21,963 $25,446 $24,993 −12% $52,405 −58% ≈115% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,831 $25,823 $21,831 +0% $51,746 −58% —
849 RADIOTHERAPY $21,820 $25,334 $12,439 +75% $37,862 −42% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $21,813 $21,760 $73,947 −71% $41,892 −48% —
503 FOOT PROCEDURES WITH MCC $21,759 $25,118 $21,759 +0% $47,540 −54% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $21,697 $23,368 $35,476 −39% $51,985 −58% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $21,569 $23,540 $50,665 −57% $54,583 −60% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $21,396 $23,040 $30,711 −30% $42,186 −49% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $21,334 $23,190 $55,675 −62% $59,421 −64% —
397 APPENDIX PROCEDURES WITH MCC $21,093 $23,628 $38,798 −46% $53,257 −60% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $21,067 $23,107 $20,637 +2% $50,046 −58% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $21,052 $22,649 $34,900 −40% $40,548 −48% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $20,959 $22,654 $72,563 −71% $50,624 −59% —
164 MAJOR CHEST PROCEDURES WITH CC $20,940 $23,974 $62,100 −66% $56,755 −63% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $20,820 $20,906 $35,735 −42% $42,901 −51% —
595 MAJOR SKIN DISORDERS WITH MCC $20,724 $20,428 $21,173 −2% $34,598 −40% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $20,656 $24,299 $48,386 −57% $38,878 −47% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $20,627 $22,171 $28,046 −26% $59,629 −65% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,599 $22,400 $51,078 −60% $50,139 −59% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,376 $22,622 $45,976 −56% $59,500 −66% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,349 $22,190 $20,349 +0% $40,060 −49% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $20,331 $22,588 $60,385 −66% $50,498 −60% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $20,065 $21,643 $63,309 −68% $50,011 −60% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $20,013 $21,837 $22,396 −11% $49,066 −59% —
113 ORBITAL PROCEDURES WITH CCMCC $19,963 $21,677 $19,963 +0% $36,167 −45% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $19,946 $21,295 $41,947 −52% $46,283 −57% ≈126% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $19,821 $22,735 $37,186 −47% $53,451 −63% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,755 $21,691 $33,251 −41% $49,418 −60% —
030 SPINAL PROCEDURES WITHOUT CCMCC $19,733 $21,401 $52,745 −63% $45,866 −57% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,651 $21,974 $45,872 −57% $39,181 −50% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $19,518 $21,636 $43,741 −55% $48,682 −60% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $19,443 $21,692 $19,443 +0% $38,998 −50% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $19,425 $19,317 $28,988 −33% $39,106 −50% ≈123% of Medicare
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $19,371 $20,320 $19,371 +0% $42,795 −55% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $19,314 $21,463 $46,930 −59% $47,789 −60% —
709 PENIS PROCEDURES WITH CCMCC $19,274 $21,593 $30,398 −37% $34,535 −44% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $19,229 $24,134 $21,320 −10% $39,173 −51% —
592 SKIN ULCERS WITH MCC $19,216 $19,909 $31,253 −39% $33,246 −42% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,101 $21,172 $37,384 −49% $41,608 −54% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,087 $21,912 $29,189 −35% $42,415 −55% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $19,008 $20,991 $26,596 −29% $45,333 −58% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $18,939 $22,008 $27,453 −31% $40,108 −53% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $18,867 $20,801 $22,487 −16% $45,877 −59% —
374 DIGESTIVE MALIGNANCY WITH MCC $18,863 $20,396 $39,880 −53% $39,958 −53% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,807 $19,396 $31,399 −40% $43,943 −57% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,766 $20,609 $71,754 −74% $46,724 −60% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,766 $20,767 $25,926 −28% $38,666 −51% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $18,689 $19,831 $50,134 −63% $35,030 −47% —
995 UnGrouped $18,664 — $17,899 — $17,134 — —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $18,655 $19,305 $30,036 −38% $36,249 −49% —
711 TESTES PROCEDURES WITH CCMCC $18,647 $18,624 $33,440 −44% $38,343 −51% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,629 $20,366 $47,043 −60% $58,280 −68% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,529 $20,074 $40,592 −54% $52,751 −65% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $18,494 $20,686 $18,304 +1% $38,070 −51% —
333 RECTAL RESECTION WITH CC $18,485 $20,518 $31,498 −41% $37,154 −50% —
336 PERITONEAL ADHESIOLYSIS WITH CC $18,404 $20,403 $27,311 −33% $50,463 −64% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $18,397 $20,396 $49,598 −63% $43,650 −58% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $18,378 $21,874 $50,553 −64% $48,349 −62% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $18,351 $20,095 $18,260 +1% $43,174 −57% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,323 $20,479 $33,474 −45% $49,351 −63% —
341 UnGrouped $18,289 — $16,452 — $25,628 −29% —
906 HAND PROCEDURES FOR INJURIES $18,238 $21,023 $18,238 +0% $32,065 −43% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $18,235 $19,661 $19,828 −8% $31,134 −41% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,223 $20,211 $24,248 −25% $33,851 −46% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $18,212 $21,610 $46,496 −61% $47,737 −62% —
935 NON-EXTENSIVE BURNS $18,154 $21,145 $24,385 −26% $31,701 −43% —
539 OSTEOMYELITIS WITH MCC $18,057 $19,610 $22,192 −19% $37,609 −52% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $17,936 $20,611 $17,936 +0% $46,727 −62% —
548 SEPTIC ARTHRITIS WITH MCC $17,907 $19,541 $41,829 −57% $31,346 −43% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $17,854 $19,019 $23,252 −23% $39,955 −55% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $17,755 $20,574 $17,755 +0% $42,906 −59% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $17,695 $19,516 $46,097 −62% $46,090 −62% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $17,589 $20,612 $17,589 +0% $35,569 −51% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $17,551 $19,107 $36,867 −52% $43,631 −60% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $17,440 $19,564 $31,069 −44% $42,914 −59% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $17,433 $18,867 $61,674 −72% $37,240 −53% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $17,422 $17,480 $43,926 −60% $52,075 −67% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $17,385 $19,384 $29,674 −41% $29,611 −41% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $17,377 $18,053 $19,336 −10% $30,243 −43% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $17,358 $17,218 $47,816 −64% $35,849 −52% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $17,329 $19,174 $17,329 +0% $43,800 −60% —
380 COMPLICATED PEPTIC ULCER WITH MCC $17,286 $18,745 $17,617 −2% $39,627 −56% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $17,279 $19,052 $20,724 −17% $40,213 −57% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $17,263 $19,165 $66,434 −74% $44,139 −61% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $17,255 $19,070 $62,567 −72% $43,538 −60% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $17,242 $19,399 $46,978 −63% $44,363 −61% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $17,047 $18,809 $44,197 −61% $42,881 −60% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $16,951 $19,078 $18,689 −9% $35,628 −52% ≈121% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $16,879 $17,108 $22,079 −24% $31,951 −47% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,873 $18,446 $23,770 −29% $33,985 −50% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $16,849 $18,889 $82,649 −80% $43,080 −61% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,823 $18,404 $18,847 −11% $37,844 −56% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $16,822 $18,509 $39,581 −58% $42,126 −60% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $16,762 $19,007 $32,677 −49% $38,861 −57% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,743 $19,219 $33,486 −50% $43,913 −62% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $16,706 $19,009 $16,538 +1% $29,524 −43% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,632 $18,145 $32,995 −50% $33,047 −50% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,631 $18,222 $16,631 +0% $36,792 −55% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $16,629 $18,402 $37,273 −55% $50,607 −67% ≈120% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,619 $17,729 $43,527 −62% $58,809 −72% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $16,518 $19,281 $66,993 −75% $32,574 −49% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $16,495 $17,850 $45,175 −63% $37,387 −56% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $16,485 $18,390 $42,029 −61% $32,637 −49% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,449 $23,380 $14,660 +12% $12,229 +35% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,432 $20,699 $22,666 −28% $31,044 −47% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $16,397 $18,509 $31,166 −47% $40,562 −60% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,315 $18,423 $21,279 −23% $33,255 −51% —
100 SEIZURES WITH MCC $16,307 $19,283 $39,945 −59% $35,481 −54% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $16,274 $17,865 $29,417 −45% $37,950 −57% —
597 MALIGNANT BREAST DISORDERS WITH MCC $16,201 $17,266 $17,758 −9% $33,386 −51% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,107 $20,723 $16,107 +0% $37,267 −57% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $16,088 $17,690 $40,847 −61% $41,591 −61% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $16,019 $17,940 $31,185 −49% $40,694 −61% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $15,971 $18,138 $87,160 −82% $36,670 −56% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $15,959 $17,990 $21,843 −27% $32,859 −51% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,880 $17,275 $36,468 −56% $39,020 −59% —
504 FOOT PROCEDURES WITH CC $15,790 $17,251 $20,838 −24% $38,960 −59% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $15,765 $17,435 $15,765 +0% $34,276 −54% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $15,707 $17,884 $23,522 −33% $40,552 −61% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,692 $18,643 $26,402 −41% $34,459 −54% —
671 URETHRAL PROCEDURES WITH CCMCC $15,691 $16,975 $15,691 +0% $27,233 −42% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $15,672 $17,810 $15,672 +0% $40,365 −61% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $15,646 $17,189 $15,420 +1% $33,555 −53% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,580 $17,730 $50,876 −69% $32,433 −52% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,579 $17,472 $29,679 −48% $39,515 −61% —
505 FOOT PROCEDURES WITHOUT CCMCC $15,577 $17,251 $25,597 −39% $34,937 −55% —
247 UnGrouped $15,539 — $16,503 — $21,663 −28% —
501 SOFT TISSUE PROCEDURES WITH CC $15,534 $17,513 $27,982 −44% $39,619 −61% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $15,527 $17,084 $38,071 −59% $32,443 −52% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $15,523 $17,896 $63,764 −76% $43,298 −64% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $15,498 $17,202 $21,043 −26% $38,836 −60% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $15,484 $18,213 $69,029 −78% $46,340 −67% —
199 PNEUMOTHORAX WITH MCC $15,446 $17,342 $31,694 −51% $33,787 −54% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,383 $18,471 $49,373 −69% $36,431 −58% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $15,377 $17,274 $15,377 +0% $39,018 −61% —
551 MEDICAL BACK PROBLEMS WITH MCC $15,297 $16,822 $22,857 −33% $34,017 −55% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $15,283 $17,410 $36,735 −58% $38,101 −60% —
180 RESPIRATORY NEOPLASMS WITH MCC $15,236 $17,188 $15,760 −3% $36,658 −58% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $15,150 $17,888 $29,609 −49% $40,642 −63% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,139 $17,266 $20,091 −25% $30,553 −50% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,109 $16,907 $27,934 −46% $38,094 −60% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $15,040 $16,628 $30,848 −51% $34,273 −56% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $14,907 $16,501 $62,177 −76% $33,876 −56% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $14,906 $16,710 $45,316 −67% $32,944 −55% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,892 $17,021 $15,332 −3% $29,826 −50% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $14,877 $16,775 $53,185 −72% $43,477 −66% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $14,839 $16,222 $20,052 −26% $33,661 −56% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $14,802 $16,489 $14,802 +0% $29,126 −49% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $14,765 $15,410 $35,273 −58% $24,550 −40% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $14,761 $15,403 $18,608 −21% $30,010 −51% —
249 UnGrouped $14,755 — $15,527 — $20,610 −28% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,740 $16,378 $18,629 −21% $34,192 −57% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $14,727 $16,597 $18,666 −21% $32,496 −55% —
666 PROSTATECTOMY WITH CC $14,664 $16,301 $53,108 −72% $31,906 −54% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $14,645 $14,875 $33,715 −57% $28,140 −48% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $14,644 $16,485 $14,644 +0% $34,607 −58% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $14,628 $16,039 $21,419 −32% $27,316 −46% —
945 REHABILITATION WITH CCMCC $14,618 $15,235 $15,700 −7% $23,834 −39% —
075 VIRAL MENINGITIS WITH CCMCC $14,568 $16,963 $40,018 −64% $30,447 −52% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $14,536 $16,260 $83,384 −83% $35,831 −59% —
571 SKIN DEBRIDEMENT WITH CC $14,533 $16,539 $28,828 −50% $37,169 −61% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $14,532 $16,251 $31,000 −53% $36,445 −60% —
509 ARTHROSCOPY $14,500 $17,266 $13,246 +9% $25,994 −44% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $14,493 $16,542 $22,517 −36% $29,916 −52% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $14,459 $16,681 $14,459 +0% $29,079 −50% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $14,427 $16,109 $44,606 −68% $28,202 −49% —
334 RECTAL RESECTION WITHOUT CCMCC $14,350 $16,400 $68,322 −79% $36,820 −61% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $14,345 $14,993 $14,345 +0% $30,502 −53% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $14,308 $16,309 $14,308 +0% $25,197 −43% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $14,111 $15,678 $61,868 −77% $32,697 −57% —
038 EXTRACRANIAL PROCEDURES WITH CC $14,102 $15,983 $14,102 +0% $35,770 −61% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $14,100 $15,952 $35,009 −60% $35,692 −60% —
915 ALLERGIC REACTIONS WITH MCC $14,070 $17,100 $10,990 +28% $32,645 −57% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,063 $15,612 $20,290 −31% $33,653 −58% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $14,059 $15,844 $37,318 −62% $35,419 −60% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $14,047 $15,051 $16,602 −15% $33,424 −58% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $14,041 $16,399 $34,712 −60% $44,606 −69% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $13,952 $15,909 $42,642 −67% $35,584 −61% —
533 FRACTURES OF FEMUR WITH MCC $13,950 $15,221 $20,970 −33% $25,945 −46% —
088 CONCUSSION WITH MCC $13,947 $14,213 $31,792 −56% $24,402 −43% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $13,943 $15,553 $38,878 −64% $46,295 −70% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $13,910 $15,826 $22,755 −39% $39,006 −64% —
157 DENTAL AND ORAL DISEASES WITH MCC $13,905 $16,214 $62,187 −78% $31,300 −56% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $13,896 $16,333 $34,730 −60% $44,117 −69% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $13,893 $16,249 $23,932 −42% $30,828 −55% ≈123% of Medicare
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,867 $16,215 $26,692 −48% $36,354 −62% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,845 $14,978 $28,374 −51% $24,586 −44% —
183 MAJOR CHEST TRAUMA WITH MCC $13,832 $15,771 $26,983 −49% $29,933 −54% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $13,825 $15,577 $16,366 −16% $34,749 −60% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,824 $18,020 $19,533 −29% $29,221 −53% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $13,789 $15,158 $13,587 +1% $33,694 −59% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $13,774 $14,161 $37,663 −63% $39,887 −65% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $13,767 $15,709 $43,904 −69% $35,074 −61% —
186 PLEURAL EFFUSION WITH MCC $13,747 $15,707 $21,299 −35% $33,834 −59% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,718 $16,672 $15,087 −9% $31,563 −57% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $13,641 $16,435 $10,842 +26% $29,316 −53% —
602 CELLULITIS WITH MCC $13,627 $14,729 $18,739 −27% $30,598 −55% —
669 TRANSURETHRAL PROCEDURES WITH CC $13,595 $15,420 $32,845 −59% $34,354 −60% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,592 $16,445 $25,572 −47% $32,628 −58% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,561 $15,440 $13,379 +1% $32,877 −59% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $13,542 $15,640 $26,590 −49% $34,906 −61% —
606 MINOR SKIN DISORDERS WITH MCC $13,512 $15,974 $22,390 −40% $27,975 −52% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $13,504 $16,115 $13,504 +0% $27,633 −51% —
813 COAGULATION DISORDERS $13,462 $15,425 $28,621 −53% $33,296 −60% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $13,440 $15,763 $30,554 −56% $41,955 −68% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $13,368 $13,540 $15,989 −16% $27,543 −51% —
339 UnGrouped $13,367 — $12,024 — $18,474 −28% —
682 RENAL FAILURE WITH MCC $13,339 $15,018 $13,262 +1% $29,064 −54% ≈117% of Medicare
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $13,333 $15,275 $13,333 +0% $25,703 −48% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $13,301 $15,311 $23,590 −44% $39,211 −66% —
663 MINOR BLADDER PROCEDURES WITH CC $13,290 $15,243 $58,681 −77% $33,103 −60% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $13,285 $14,679 $28,158 −53% $29,743 −55% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,263 $15,083 $34,757 −62% $33,454 −60% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $13,255 $14,034 $26,099 −49% $27,285 −51% —
398 APPENDIX PROCEDURES WITH CC $13,200 $15,118 $27,573 −52% $40,162 −67% —
996 UnGrouped $13,198 — $12,657 — $12,116 — —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $13,178 $15,036 $44,140 −70% $36,253 −64% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $13,177 $14,060 $28,164 −53% $27,119 −51% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $13,119 $15,088 $13,450 −2% $30,770 −57% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,113 $14,736 $19,109 −31% $30,571 −57% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,102 $14,901 $31,265 −58% $33,048 −60% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $13,080 $15,405 $13,080 +0% $26,598 −51% —
693 URINARY STONES WITH MCC $13,076 $14,740 $41,470 −68% $23,892 −45% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $13,068 $16,234 $13,068 +0% $30,235 −57% —
506 MAJOR THUMB OR JOINT PROCEDURES $13,049 $14,993 $32,830 −60% $30,557 −57% —
643 ENDOCRINE DISORDERS WITH MCC $13,048 $16,389 $29,230 −55% $33,563 −61% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $13,037 $15,452 $40,130 −68% $34,434 −62% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $13,009 $15,041 $27,746 −53% $36,505 −64% —
865 VIRAL ILLNESS WITH MCC $13,006 $14,789 $17,877 −27% $26,910 −52% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,947 $15,857 $65,608 −80% $35,453 −63% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,931 $14,791 $7,029 +84% $8,445 +53% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $12,929 $14,670 $12,929 +0% $31,170 −59% —
913 TRAUMATIC INJURY WITH MCC $12,853 $16,045 $21,504 −40% $24,198 −47% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,799 $15,601 $21,852 −41% $33,633 −62% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $12,797 $15,150 $12,797 +0% $33,674 −62% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $12,787 $14,847 $52,160 −75% $36,988 −65% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,751 $14,603 $26,572 −52% $24,941 −49% —
637 DIABETES WITH MCC $12,696 $14,616 $16,490 −23% $30,100 −58% ≈115% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,645 $14,731 $32,852 −62% $26,463 −52% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,631 $13,339 $34,184 −63% $27,043 −53% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,612 $15,002 $30,238 −58% $27,394 −54% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $12,546 $14,412 $50,137 −75% $35,465 −65% —
710 PENIS PROCEDURES WITHOUT CCMCC $12,542 $15,014 $12,542 +0% $26,436 −53% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $12,532 $14,525 $78,078 −84% $32,100 −61% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $12,532 $12,978 $12,532 +0% $19,686 −36% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,499 $13,648 $13,209 −5% $24,127 −48% —
137 MOUTH PROCEDURES WITH CCMCC $12,342 $14,106 $12,342 +0% $27,861 −56% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,336 $16,024 $29,906 −59% $27,152 −55% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $12,282 $14,289 $9,083 +35% $22,620 −46% —
811 RED BLOOD CELL DISORDERS WITH MCC $12,280 $14,180 $25,420 −52% $28,226 −56% ≈116% of Medicare
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,268 $17,671 $8,612 +42% $16,351 −25% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $12,217 $14,094 $41,856 −71% $31,017 −61% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $12,200 $14,731 $20,515 −41% $25,073 −51% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $12,198 $14,199 $23,601 −48% $30,959 −61% —
291 HEART FAILURE AND SHOCK WITH MCC $12,182 $13,279 $18,585 −34% $26,776 −55% ≈121% of Medicare
399 APPENDIX PROCEDURES WITHOUT CCMCC $12,128 $11,682 $15,508 −22% $31,321 −61% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $12,122 $17,617 $12,522 −3% $26,510 −54% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,080 $14,489 $26,790 −55% $22,525 −46% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,044 $14,254 $16,522 −27% $26,280 −54% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,022 $17,479 $25,131 −52% $31,159 −61% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $11,964 $13,612 $29,009 −59% $29,805 −60% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,963 $13,858 $16,227 −26% $20,980 −43% —
593 SKIN ULCERS WITH CC $11,892 $12,555 $36,848 −68% $22,886 −48% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,875 $13,786 $46,687 −75% $30,242 −61% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,870 $14,026 $35,903 −67% $25,094 −53% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,848 $13,484 $17,310 −32% $25,463 −53% ≈119% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $11,843 $13,289 $18,324 −35% $26,051 −55% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,841 $13,500 $15,103 −22% $24,552 −52% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,832 $14,308 $17,376 −32% $27,808 −57% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $11,736 $13,886 $32,511 −64% $30,493 −62% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $11,655 $13,723 $29,374 −60% $30,083 −61% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,648 $12,921 $11,648 +0% $27,426 −58% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $11,636 $14,410 $54,112 −78% $32,833 −65% —
540 OSTEOMYELITIS WITH CC $11,631 $13,185 $23,866 −51% $26,676 −56% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $11,552 $14,664 $16,679 −31% $32,451 −64% —
150 EPISTAXIS WITH MCC $11,482 $13,962 $33,780 −66% $23,171 −50% —
139 SALIVARY GLAND PROCEDURES $11,481 $13,881 $29,365 −61% $23,612 −51% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $11,424 $13,856 $35,511 −68% $30,418 −62% —
947 SIGNS AND SYMPTOMS WITH MCC $11,345 $13,115 $28,727 −61% $27,401 −59% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $11,327 $13,154 $28,947 −61% $22,811 −50% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $11,315 $14,130 $11,315 +0% $22,393 −49% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $11,309 $13,144 $11,309 +0% $27,989 −60% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,306 $16,503 $9,362 +21% $26,682 −58% —
342 UnGrouped $11,284 — $11,284 +0% $16,487 −32% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $11,282 $13,134 $14,693 −23% $25,748 −56% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,279 $13,393 $18,069 −38% $27,275 −59% ≈121% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $11,241 $13,712 $24,074 −53% $29,949 −62% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $11,171 $12,957 $14,547 −23% $28,156 −60% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,170 $12,717 $11,411 −2% $20,727 −46% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,086 $13,100 $15,569 −29% $28,050 −60% ≈121% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $11,072 $12,874 $23,220 −52% $27,947 −60% —
102 HEADACHES WITH MCC $11,017 $11,997 $23,388 −53% $25,740 −57% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,995 $13,271 $32,740 −66% $21,894 −50% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,982 $12,406 $22,406 −51% $26,770 −59% ≈143% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $10,965 $12,754 $15,129 −28% $27,297 −60% —
375 DIGESTIVE MALIGNANCY WITH CC $10,916 $12,607 $20,733 −47% $27,277 −60% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,912 $11,675 $15,757 −31% $24,386 −55% —
949 AFTERCARE WITH CCMCC $10,856 $11,287 $30,481 −64% $23,953 −55% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $10,845 $12,693 $31,482 −66% $28,320 −62% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $10,834 $12,601 $23,070 −53% $19,132 −43% —
549 SEPTIC ARTHRITIS WITH CC $10,821 $12,399 $16,906 −36% $24,056 −55% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $10,794 $12,626 $10,794 +0% $27,323 −60% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $10,756 $13,392 $25,919 −59% $36,937 −71% —
598 MALIGNANT BREAST DISORDERS WITH CC $10,750 $11,286 $19,368 −44% $19,073 −44% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $10,670 $12,694 $19,199 −44% $22,458 −52% —
304 HYPERTENSION WITH MCC $10,645 $12,132 $10,316 +3% $26,080 −59% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $10,607 $12,477 $45,347 −77% $26,948 −61% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $10,602 $12,523 $23,634 −55% $25,581 −59% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $10,578 $12,907 $15,265 −31% $22,320 −53% —
089 CONCUSSION WITH CC $10,561 $11,226 $18,821 −44% $18,821 −44% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $10,530 $12,636 $26,930 −61% $19,270 −45% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $10,520 $12,092 $15,190 −31% $23,617 −55% ≈127% of Medicare
946 REHABILITATION WITHOUT CCMCC $10,500 $11,618 $8,341 +26% $17,685 −41% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,496 $11,981 $11,606 −10% $25,700 −59% —
302 ATHEROSCLEROSIS WITH MCC $10,493 $12,030 $19,107 −45% $22,446 −53% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,440 $12,750 $13,231 −21% $22,851 −54% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $10,432 $11,393 $10,432 +0% $20,926 −50% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $10,412 $12,684 $19,076 −45% $26,580 −61% ≈118% of Medicare
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $10,369 $12,008 $20,019 −48% $21,230 −51% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $10,344 $12,196 $10,344 +0% $19,598 −47% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,303 $11,108 $19,125 −46% $24,914 −59% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,302 $11,717 $29,171 −65% $24,566 −58% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $10,296 $12,343 $23,136 −55% $30,784 −67% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,278 $12,978 $19,641 −48% $23,498 −56% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $10,221 $12,029 $21,100 −52% $23,443 −56% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,200 $11,813 $26,634 −62% $25,279 −60% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $10,196 $12,945 $18,572 −45% $28,125 −64% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $10,153 $11,065 $15,925 −36% $23,488 −57% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $10,141 $10,739 $13,709 −26% $23,940 −58% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $10,115 $11,858 $29,489 −66% $25,390 −60% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $10,089 $11,716 $18,860 −47% $25,034 −60% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $10,017 $11,962 $15,263 −34% $25,652 −61% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $9,983 $11,809 $9,983 +0% $26,618 −62% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,983 $10,964 $13,367 −25% $23,141 −57% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $9,939 $12,752 $9,939 +0% $19,354 −49% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,921 $11,381 $20,994 −53% $32,021 −69% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,898 $10,848 $13,452 −26% $22,850 −57% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,889 $11,206 $22,378 −56% $23,749 −58% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $9,875 $11,846 $24,999 −60% $24,944 −60% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $9,791 $11,521 $20,545 −52% $24,544 −60% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,771 $11,335 $15,563 −37% $23,319 −58% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,756 $11,922 $13,681 −29% $18,133 −46% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $9,753 $11,423 $9,753 +0% $17,398 −44% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $9,739 $11,213 $15,628 −38% $20,422 −52% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,717 $11,305 $14,458 −33% $17,226 −44% —
381 COMPLICATED PEPTIC ULCER WITH CC $9,705 $11,376 $9,829 −1% $24,177 −60% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,694 $12,312 $41,114 −76% $21,847 −56% —
181 RESPIRATORY NEOPLASMS WITH CC $9,686 $11,563 $9,583 +1% $23,573 −59% —
340 UnGrouped $9,673 — $9,673 +0% $13,613 −29% —
152 OTITIS MEDIA AND URI WITH MCC $9,651 $11,779 $21,266 −55% $20,247 −52% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $9,645 $12,030 $23,704 −59% $19,412 −50% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $9,637 $11,495 $34,994 −72% $27,843 −65% —
885 PSYCHOSES $9,623 $14,204 $13,133 −27% $21,729 −56% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $9,615 $12,220 $37,932 −75% $25,712 −63% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $9,611 $13,030 $20,859 −54% $22,557 −57% —
200 PNEUMOTHORAX WITH CC $9,610 $11,538 $14,720 −35% $21,368 −55% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,599 $11,127 $24,250 −60% $23,551 −59% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,582 $14,541 $10,149 −6% $21,986 −56% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $9,550 $10,571 $9,033 +6% $17,698 −46% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,547 $10,765 $16,868 −43% $21,275 −55% —
765 UnGrouped $9,521 — $9,521 — $5,336 +78% —
766 UnGrouped $9,521 — $9,521 — $5,336 +78% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,518 $11,561 $9,313 +2% $18,459 −48% —
997 UnGrouped $9,488 — $9,099 — $8,710 — —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $9,471 $11,294 $17,993 −47% $22,314 −58% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,450 $11,055 $10,454 −10% $20,232 −53% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,421 $11,674 $18,396 −49% $19,815 −52% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $9,356 $11,283 $9,356 +0% $17,193 −46% —
184 MAJOR CHEST TRAUMA WITH CC $9,298 $11,190 $15,347 −39% $22,432 −59% —
712 TESTES PROCEDURES WITHOUT CCMCC $9,289 $11,204 $9,289 +0% $18,898 −51% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,233 $10,863 $16,909 −45% $22,888 −60% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $9,206 $10,404 $9,206 +0% $15,901 −42% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,182 $11,032 $9,199 −0% $22,763 −60% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,166 $11,322 $22,615 −59% $23,283 −61% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,136 $10,520 $18,808 −51% $22,024 −59% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,101 $10,763 $18,157 −50% $22,506 −60% —
667 PROSTATECTOMY WITHOUT CCMCC $9,095 $10,835 $8,663 +5% $16,703 −46% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $9,077 $10,202 $9,077 +0% $19,924 −54% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $9,065 $9,896 $9,065 +0% $20,455 −56% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $9,065 $11,480 $9,065 +0% $17,483 −48% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,057 $10,465 $15,742 −42% $22,098 −59% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,030 $10,745 $27,074 −67% $25,303 −64% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,023 $9,916 $10,623 −15% $20,506 −56% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $8,985 $10,763 $19,006 −53% $22,635 −60% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,958 $11,135 $27,015 −67% $23,571 −62% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $8,903 $10,808 $11,536 −23% $18,348 −51% —
644 ENDOCRINE DISORDERS WITH CC $8,901 $10,884 $19,755 −55% $23,198 −62% —
887 OTHER MENTAL DISORDER DIAGNOSES $8,842 $12,261 $9,962 −11% $20,616 −57% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,829 $10,523 $11,108 −21% $22,033 −60% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,789 $10,257 $16,776 −48% $21,363 −59% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,769 $10,732 $10,445 −16% $19,264 −54% —
187 PLEURAL EFFUSION WITH CC $8,748 $10,625 $13,020 −33% $21,789 −60% —
343 UnGrouped $8,730 — $10,639 −18% $12,397 −30% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,692 $10,072 $15,649 −44% $20,181 −57% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,692 $11,260 $17,029 −49% $18,956 −54% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,684 $10,589 $10,091 −14% $20,957 −59% —
101 SEIZURES WITHOUT MCC $8,680 $9,899 $9,473 −8% $20,461 −58% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $8,663 $10,270 $11,139 −22% $21,396 −60% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,659 $10,291 $16,698 −48% $21,449 −60% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $8,621 $10,397 $8,621 +0% $17,404 −50% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $8,618 $11,439 $13,903 −38% $16,846 −49% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $8,613 $11,048 $8,539 +1% $19,657 −56% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $8,588 $9,640 $18,853 −54% $22,148 −61% —
090 CONCUSSION WITHOUT CCMCC $8,520 $9,331 $12,304 −31% $15,412 −45% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,519 $10,760 $14,227 −40% $20,901 −59% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $8,515 $9,566 $18,395 −54% $16,520 −48% —
292 HEART FAILURE AND SHOCK WITH CC $8,502 $9,365 $13,210 −36% $16,371 −48% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,479 $9,940 $17,125 −50% $20,566 −59% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $8,448 $10,207 $14,916 −43% $16,700 −49% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $8,441 $9,544 $15,920 −47% $19,569 −57% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,438 $9,346 $12,041 −30% $18,807 −55% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $8,436 $10,199 $12,260 −31% $20,911 −60% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $8,373 $9,875 $8,373 +0% $18,072 −54% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,372 $9,900 $10,452 −20% $20,463 −59% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $8,372 $10,164 $12,484 −33% $18,316 −54% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $8,301 $10,463 $14,906 −44% $20,895 −60% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,284 $9,356 $12,782 −35% $19,096 −57% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $8,251 $10,617 $11,380 −27% $17,737 −53% —
920 COMPLICATIONS OF TREATMENT WITH CC $8,226 $10,730 $11,169 −26% $22,468 −63% —
603 CELLULITIS WITHOUT MCC $8,220 $9,538 $15,184 −46% $18,530 −56% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $8,218 $10,296 $17,297 −52% $17,724 −54% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,213 $10,765 $17,261 −52% $17,601 −53% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $8,178 $10,058 $21,330 −62% $17,934 −54% —
594 SKIN ULCERS WITHOUT CCMCC $8,166 $9,255 $8,562 −5% $14,209 −43% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,140 $9,750 $13,553 −40% $16,552 −51% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $8,124 $10,194 $8,124 +0% $19,594 −59% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $8,123 $10,616 $8,123 +0% $16,212 −50% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,120 $10,572 $12,433 −35% $15,370 −47% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $8,103 $10,193 $8,015 +1% $15,589 −48% —
683 RENAL FAILURE WITH CC $8,083 $9,609 $11,498 −30% $19,130 −58% —
638 DIABETES WITH CC $8,033 $9,859 $15,219 −47% $19,661 −59% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $8,017 $9,653 $14,528 −45% $19,842 −60% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $8,016 $9,749 $16,352 −51% $20,084 −60% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,995 $9,002 $12,930 −38% $18,204 −56% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $7,989 $10,309 $14,351 −44% $19,962 −60% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $7,989 $10,309 $22,260 −64% $18,452 −57% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $7,966 $9,373 $22,506 −65% $19,138 −58% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,939 $8,777 $12,960 −39% $17,921 −56% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $7,928 $9,557 $25,628 −69% $16,998 −53% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,921 $9,759 $11,154 −29% $18,488 −57% —
312 SYNCOPE AND COLLAPSE $7,917 $9,454 $9,946 −20% $19,342 −59% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,896 $9,909 $9,610 −18% $20,488 −61% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $7,896 $9,539 $22,968 −66% $19,854 −60% —
158 DENTAL AND ORAL DISEASES WITH CC $7,894 $10,066 $16,019 −51% $18,466 −57% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,869 $10,004 $14,705 −46% $16,968 −54% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $7,832 $9,474 $19,559 −60% $19,846 −61% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,812 $9,439 $20,255 −61% $19,305 −60% —
541 OSTEOMYELITIS WITHOUT CCMCC $7,801 $9,486 $9,749 −20% $15,215 −49% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,775 $8,826 $15,072 −48% $21,056 −63% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $7,752 $9,819 $7,781 −0% $20,259 −62% —
866 VIRAL ILLNESS WITHOUT MCC $7,746 $9,573 $10,487 −26% $17,081 −55% —
779 ABORTION WITHOUT D&C $7,745 $10,014 $10,328 −25% $15,327 −49% —
607 MINOR SKIN DISORDERS WITHOUT MCC $7,731 $9,392 $20,056 −61% $15,889 −51% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $7,641 $8,731 $15,599 −51% $17,620 −57% —
950 AFTERCARE WITHOUT CCMCC $7,519 $6,938 $23,790 −68% $13,527 −44% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,512 $9,130 $9,829 −24% $18,528 −59% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,483 $9,388 $14,106 −47% $18,602 −60% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $7,474 $8,386 $13,944 −46% $19,037 −61% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,459 $8,848 $11,534 −35% $17,674 −58% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,417 $8,971 $13,634 −46% $18,126 −59% —
914 TRAUMATIC INJURY WITHOUT MCC $7,370 $9,852 $11,833 −38% $15,855 −54% —
534 FRACTURES OF FEMUR WITHOUT MCC $7,365 $8,949 $17,167 −57% $17,559 −58% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $7,329 $8,661 $11,715 −37% $17,038 −57% ≈131% of Medicare
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $7,320 $8,971 $20,912 −65% $18,126 −60% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $7,315 $8,735 $6,947 +5% $13,445 −46% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $7,310 $8,694 $18,056 −60% $14,014 −48% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $7,306 $8,980 $24,514 −70% $18,150 −60% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $7,296 $8,801 $18,072 −60% $17,700 −59% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $7,290 $8,921 $14,527 −50% $18,002 −60% —
103 HEADACHES WITHOUT MCC $7,284 $9,268 $8,932 −18% $21,280 −66% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $7,276 $9,156 $7,098 +3% $14,064 −48% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,261 $8,839 $12,831 −43% $17,578 −59% —
138 MOUTH PROCEDURES WITHOUT CCMCC $7,227 $8,944 $7,227 +0% $19,119 −62% —
767 UnGrouped $7,220 — $7,220 — $3,032 +138% —
774 UnGrouped $7,220 — $7,220 — $3,032 +138% —
775 UnGrouped $7,220 — $7,220 — $3,032 +138% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $7,207 $8,637 $11,392 −37% $15,428 −53% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,194 $8,922 $7,627 −6% $18,004 −60% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $7,190 $8,558 $11,063 −35% $14,648 −51% —
864 FEVER AND INFLAMMATORY CONDITIONS $7,136 $9,690 $16,411 −57% $18,640 −62% —
694 URINARY STONES WITHOUT MCC $7,135 $8,661 $18,833 −62% $17,345 −59% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,052 $8,651 $12,168 −42% $17,322 −59% ≈121% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $7,047 $8,350 $7,047 +0% $16,565 −57% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $7,005 $8,831 $7,005 +0% $13,586 −48% —
176 PULMONARY EMBOLISM WITHOUT MCC $7,000 $8,953 $13,878 −50% $18,081 −61% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,943 $9,052 $11,965 −42% $17,298 −60% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $6,924 $9,150 $24,478 −72% $14,055 −51% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,917 $8,976 $22,818 −70% $17,118 −60% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,903 $8,304 $6,903 +0% $16,450 −58% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $6,889 $8,378 $6,889 +0% $16,634 −59% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $6,883 $8,367 $13,307 −48% $14,716 −53% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $6,864 $8,628 $24,614 −72% $17,124 −60% —
123 NEUROLOGICAL EYE DISORDERS $6,844 $8,853 $23,434 −71% $19,745 −65% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $6,839 $7,840 $13,076 −48% $20,781 −67% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $6,834 $8,156 $6,834 +0% $12,593 −46% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,817 $8,290 $17,429 −61% $17,303 −61% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $6,772 $8,992 $6,772 +0% $14,501 −53% —
882 NEUROSES EXCEPT DEPRESSIVE $6,730 $10,254 $7,493 −10% $15,680 −57% —
313 CHEST PAIN $6,720 $8,061 $11,332 −41% $16,440 −59% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,709 $10,224 $16,406 −59% $17,733 −62% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,692 $7,982 $5,414 +24% $12,336 −46% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $6,681 $8,061 $7,065 −5% $15,837 −58% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $6,657 $7,946 $10,493 −37% $15,549 −57% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $6,647 $8,167 $13,239 −50% $16,767 −60% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,628 $8,361 $7,702 −14% $12,895 −49% —
188 PLEURAL EFFUSION WITHOUT CCMCC $6,616 $8,245 $16,444 −60% $14,514 −54% —
311 ANGINA PECTORIS $6,582 $7,928 $9,265 −29% $15,502 −58% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $6,581 $7,925 $6,581 +0% $15,495 −58% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $6,567 $7,967 $6,567 +0% $15,600 −58% —
151 EPISTAXIS WITHOUT MCC $6,551 $8,454 $7,644 −14% $13,032 −50% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $6,530 $8,164 $9,982 −35% $19,227 −66% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $6,503 $7,892 $15,966 −59% $14,797 −56% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,503 $8,151 $14,685 −56% $13,275 −51% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $6,481 $7,790 $6,758 −4% $13,651 −53% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $6,466 $7,477 $14,788 −56% $14,368 −55% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $6,466 $7,261 $13,908 −54% $13,824 −53% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $6,452 $8,195 $4,168 +55% $12,768 −49% —
149 DYSEQUILIBRIUM $6,435 $8,362 $12,104 −47% $18,096 −64% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,432 $7,870 $14,693 −56% $14,689 −56% —
881 DEPRESSIVE NEUROSES $6,421 $9,832 $7,369 −13% $15,058 −57% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $6,418 $7,912 $6,671 −4% $12,460 −48% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $6,411 $7,194 $11,609 −45% $15,183 −58% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,399 $8,334 $6,751 −5% $15,019 −57% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,391 $8,062 $6,858 −7% $12,454 −49% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $6,366 $8,116 $6,208 +3% $12,559 −49% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $6,364 $7,691 $9,891 −36% $11,909 −47% —
303 ATHEROSCLEROSIS WITHOUT MCC $6,330 $7,699 $8,701 −27% $14,927 −58% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $6,280 $7,681 $11,284 −44% $16,288 −61% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,227 $8,046 $12,738 −51% $14,583 −57% —
201 PNEUMOTHORAX WITHOUT CCMCC $6,219 $7,741 $14,044 −56% $14,053 −56% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,215 $9,550 $8,445 −26% $16,699 −63% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $6,088 $7,585 $5,893 +3% $14,638 −58% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $6,078 $7,056 $8,551 −29% $10,975 −45% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $6,005 $7,382 $10,251 −41% $14,128 −57% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $5,988 $7,384 $5,374 +11% $15,038 −60% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $5,971 $7,390 $11,850 −50% $12,078 −51% —
639 DIABETES WITHOUT CCMCC $5,876 $7,295 $11,029 −47% $13,910 −58% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $5,866 $7,699 $13,443 −56% $14,549 −60% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $5,837 $7,586 $14,832 −61% $13,633 −57% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $5,792 $7,834 $12,315 −53% $14,415 −60% —
684 RENAL FAILURE WITHOUT CCMCC $5,775 $7,126 $11,052 −48% $13,642 −58% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $5,710 $6,595 $10,546 −46% $13,361 −57% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $5,676 $7,413 $10,413 −45% $14,250 −60% —
916 ALLERGIC REACTIONS WITHOUT MCC $5,610 $7,626 $8,202 −32% $13,942 −60% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,579 $6,769 $6,993 −20% $10,160 −45% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $5,567 $7,360 $24,173 −77% $11,421 −51% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $5,465 $6,703 $7,581 −28% $13,384 −59% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $5,464 $7,121 $5,464 +0% $11,071 −51% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $5,428 $6,608 $9,493 −43% $12,999 −58% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $5,301 $6,720 $4,665 +14% $10,480 −49% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $4,970 $6,353 $5,007 −1% $9,940 −50% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,851 $7,273 $7,977 −39% $12,324 −61% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $4,537 $5,664 $3,740 +21% $8,927 −49% —
795 NORMAL NEWBORN $2,487 $3,529 $3,550 −30% $4,720 −47% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,740 — $2,975 −42% $15,215 −89% —
999 UNGROUPABLE $1,740 — $9,092 −81% $29,674 −94% —
888 UnGrouped $928 — $928 — $928 — —
889 UnGrouped $928 — $928 — $928 — —
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