Saint John Hospital — Pricing

768 procedures published in this hospital's Machine-Readable File (MRF) — 768 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 768
Lowest published price $1,691
Average published price $19,924
Highest published price $303,022

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 768 procedures

Published charges

Showing all 768 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.

DRG Description Published price Cash price vs. KS median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $303,022 $320,881 $308,324 −2% $498,715 −39% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $230,973 $239,671 $235,348 −2% $431,073 −46% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $176,995 $182,351 $356,270 −50% $371,366 −52% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $158,534 $201,846 $196,247 −19% $306,087 −48% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $122,731 $93,761 $89,599 +37% $169,977 −28% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $116,304 $120,225 $317,131 −63% $245,241 −53% —
007 LUNG TRANSPLANT $106,602 $111,196 $79,260 +34% $170,608 −38% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $103,106 $111,477 $104,755 −2% $182,314 −43% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $91,150 $90,146 $155,374 −41% $191,314 −52% —
850 UnGrouped $88,158 $78,379 $89,862 −2% $121,563 −27% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $87,509 $90,610 $73,416 +19% $159,181 −45% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $83,415 $82,116 $127,795 −35% $175,437 −52% —
429 UnGrouped $79,819 $70,966 $148,361 −46% $120,174 −34% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $74,044 $92,691 $109,473 −32% $171,338 −57% —
426 UnGrouped $73,785 $89,130 $227,875 −68% $142,326 −48% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $72,536 $72,060 $236,221 −69% $151,029 −52% —
231 CORONARY BYPASS WITH PTCA WITH MCC $72,193 $72,100 $78,926 −9% $146,474 −51% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $69,442 $68,588 $130,922 −47% $134,914 −49% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $68,700 $29,545 $44,762 +53% $56,242 +22% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $67,502 $66,506 $75,782 −11% $138,868 −51% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $66,894 $65,834 $108,485 −38% $143,242 −53% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $65,663 $67,449 $42,765 +54% $105,228 −38% —
447 UnGrouped $64,163 $57,047 $162,580 −61% $114,914 −44% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $63,156 — $80,047 −21% $103,861 −39% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $61,447 $63,509 $74,618 −18% $120,587 −49% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $61,294 $60,129 $175,924 −65% $131,961 −54% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $61,288 $58,098 $176,845 −65% $105,612 −42% —
010 PANCREAS TRANSPLANT $60,210 $67,838 $43,181 +39% $99,940 −40% —
317 UnGrouped $59,204 $52,637 $60,560 −2% $94,988 −38% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $58,456 $59,189 $213,637 −73% $138,008 −58% —
222 UnGrouped $57,689 — $62,614 −8% $86,864 −34% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $56,457 $55,026 $160,849 −65% $116,058 −51% —
993 UnGrouped $56,348 — $58,865 — $56,348 — —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $55,324 $54,947 $72,687 −24% $121,714 −55% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $54,335 $53,810 $55,939 −3% $109,331 −50% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $53,810 $52,705 $137,291 −61% $117,280 −54% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $53,676 $51,356 $55,051 −2% $98,260 −45% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $53,592 $50,973 $124,718 −57% $113,855 −53% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $53,048 $56,827 $58,347 −9% $89,353 −41% —
430 UnGrouped $52,352 $46,546 $89,209 −41% $93,783 −44% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $51,793 $51,976 $79,439 −35% $106,238 −51% —
427 UnGrouped $51,699 $60,433 $122,716 −58% $121,728 −58% —
028 SPINAL PROCEDURES WITH MCC $51,495 $51,727 $153,767 −67% $95,858 −46% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $51,464 $52,214 $54,403 −5% $108,472 −53% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $51,079 $50,065 $54,317 −6% $112,062 −54% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $49,791 $49,539 $78,868 −37% $96,192 −48% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $49,781 $48,833 $170,085 −71% $107,355 −54% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $49,718 $56,731 $87,486 −43% $118,589 −58% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $49,288 $47,029 $50,208 −2% $101,235 −51% —
450 UnGrouped $49,286 $43,819 $91,681 −46% $79,944 −38% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $48,679 $50,619 $73,545 −34% $92,238 −47% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $48,474 $51,356 $38,077 +27% $81,176 −40% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $48,413 $48,542 $102,874 −53% $106,778 −55% —
224 UnGrouped $48,371 — $53,792 — $80,427 −40% —
653 MAJOR BLADDER PROCEDURES WITH MCC $47,469 $47,431 $132,136 −64% $97,046 −51% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $46,605 $52,397 $53,436 −13% $98,912 −53% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $46,162 $45,954 $50,322 −8% $78,582 −41% —
223 UnGrouped $45,866 — $45,866 +0% $59,206 −23% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $45,723 $45,067 $59,936 −24% $102,177 −55% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $44,667 $46,295 $38,008 +18% $86,459 −48% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $44,443 $47,029 $45,222 −2% $76,583 −42% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $44,180 $45,911 $44,596 −1% $86,953 −49% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $43,865 $43,347 $56,683 −23% $96,222 −54% —
226 UnGrouped $43,566 — $51,699 −16% $72,618 −40% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $43,394 $42,400 $82,787 −48% $96,905 −55% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $43,357 $43,214 $62,012 −30% $80,747 −46% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $42,743 $42,856 $67,129 −36% $87,565 −51% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $42,475 $45,906 $44,901 −5% $82,527 −49% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $42,414 $42,553 $52,421 −19% $87,018 −51% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $42,267 — $51,461 −18% $75,251 −44% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $42,228 $42,570 $111,947 −62% $84,861 −50% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $41,908 $32,523 $71,161 −41% $75,103 −44% —
471 CERVICAL SPINAL FUSION WITH MCC $41,782 $41,328 $81,092 −48% $92,515 −55% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $41,193 $50,581 $26,029 +58% $80,018 −49% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $40,689 $39,580 $101,335 −60% $91,329 −55% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $40,171 $40,632 $94,273 −57% $88,691 −55% —
006 LIVER TRANSPLANT WITHOUT MCC $40,079 $41,259 $27,555 +45% $84,407 −53% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $40,001 $39,076 $45,394 −12% $90,331 −56% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $39,919 $39,070 $60,865 −34% $88,050 −55% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $39,911 $42,604 $75,204 −47% $70,735 −44% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $39,907 $34,607 $74,356 −46% $72,011 −45% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $39,302 $39,815 $84,932 −54% $80,885 −51% —
448 UnGrouped $39,079 $34,744 $90,803 −57% $81,998 −52% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $38,537 $38,387 $80,634 −52% $72,859 −47% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $38,330 $38,052 $128,929 −70% $88,307 −57% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $38,288 $39,201 $38,288 +0% $71,551 −46% —
225 UnGrouped $37,945 — $43,797 −13% $57,380 −34% —
163 MAJOR CHEST PROCEDURES WITH MCC $37,712 $39,217 $81,012 −53% $88,341 −57% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $37,526 $38,158 $38,873 −3% $76,954 −51% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $37,463 $36,739 $63,935 −41% $83,441 −55% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $37,339 $37,697 $40,414 −8% $68,847 −46% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $36,962 $37,376 $38,936 −5% $75,585 −51% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $36,713 $36,241 $101,919 −64% $88,049 −58% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $36,433 $36,294 $78,401 −54% $82,561 −56% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $35,547 $34,987 $47,747 −26% $82,247 −57% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $34,969 $43,674 $76,525 −54% $99,423 −65% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $34,704 $35,655 $36,586 −5% $68,659 −49% —
227 UnGrouped $34,594 — $41,045 −16% $56,960 −39% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $34,349 $35,647 $55,103 −38% $72,945 −53% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $33,953 $34,968 $60,622 −44% $66,853 −49% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $33,754 $34,916 $34,077 −1% $73,029 −54% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $33,266 $33,503 $95,188 −65% $61,832 −46% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $33,228 $33,895 $75,476 −56% $71,701 −54% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $33,015 $33,871 $33,666 −2% $57,521 −43% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $32,642 $36,815 $33,853 −4% $59,352 −45% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $32,601 $32,346 $72,979 −55% $74,755 −56% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $32,478 $32,095 $50,145 −35% $74,257 −56% —
994 UnGrouped $32,475 — $33,926 — $32,475 — —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $32,106 $40,030 $105,964 −70% $92,217 −65% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $31,929 $33,087 $34,133 −6% $72,908 −56% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $31,715 $32,760 $38,472 −18% $72,782 −56% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $31,555 $33,435 $28,730 +10% $54,196 −42% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $31,513 $32,852 $31,513 +0% $55,097 −43% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $31,479 $33,572 $61,933 −49% $68,006 −54% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $31,374 $33,270 $78,441 −60% $78,852 −60% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $31,205 $31,045 $72,910 −57% $62,524 −50% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $31,051 $30,499 $32,848 −5% $57,855 −46% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,864 $32,885 $49,198 −37% $62,961 −51% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $30,833 $30,829 $107,157 −71% $71,755 −57% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $30,681 $30,494 $129,032 −76% $64,776 −53% —
402 UnGrouped $30,608 $33,287 $67,998 −55% $75,492 −59% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $30,318 — $42,424 −29% $54,320 −44% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $30,306 $29,955 $30,981 −2% $56,964 −47% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $30,224 $30,215 $92,407 −67% $70,540 −57% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,105 $29,790 $56,697 −47% $59,207 −49% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,065 $30,501 $169,259 −82% $59,425 −49% —
265 AICD LEAD PROCEDURES $29,997 $30,351 $34,862 −14% $56,695 −47% —
332 RECTAL RESECTION WITH MCC $29,989 $29,513 $35,564 −16% $58,125 −48% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,888 $31,839 $43,541 −31% $60,861 −51% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $29,583 $28,860 $69,266 −57% $70,132 −58% —
252 OTHER VASCULAR PROCEDURES WITH MCC $29,548 $29,187 $36,916 −20% $68,508 −57% —
451 UnGrouped $29,533 $26,257 $91,155 −68% $65,216 −55% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,506 $29,802 $62,612 −53% $65,383 −55% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $29,494 $29,143 $39,548 −25% $68,880 −57% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $29,407 $29,738 $30,488 −4% $51,953 −43% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $29,377 $28,981 $32,669 −10% $67,901 −57% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,370 $35,984 $29,370 +0% $60,098 −51% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $28,867 $29,812 $68,434 −58% $68,399 −58% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $28,794 $35,484 $14,963 +92% $16,719 +72% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,688 $35,401 $53,288 −46% $83,065 −65% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $28,603 $28,560 $47,584 −40% $64,152 −55% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $28,465 $30,030 $56,512 −50% $50,919 −44% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $28,411 $30,038 $30,253 −6% $62,404 −54% —
037 EXTRACRANIAL PROCEDURES WITH MCC $28,332 $28,256 $29,247 −3% $64,749 −56% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $28,146 $27,811 $33,399 −16% $65,254 −57% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $28,036 $29,260 $29,971 −6% $62,269 −55% —
665 PROSTATECTOMY WITH MCC $27,992 $29,214 $50,007 −44% $54,072 −48% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $27,820 $27,264 $45,011 −38% $57,277 −51% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $27,793 $27,720 $90,990 −69% $64,465 −57% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $27,785 $27,391 $28,407 −2% $64,956 −57% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $27,399 $26,430 $75,212 −64% $65,325 −58% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,246 $27,185 $72,958 −63% $66,819 −59% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,222 $29,481 $39,946 −32% $49,065 −45% —
500 SOFT TISSUE PROCEDURES WITH MCC $27,164 $26,961 $88,337 −69% $57,479 −53% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $27,059 $26,555 $82,853 −67% $65,573 −59% —
652 KIDNEY TRANSPLANT $26,987 $26,133 $27,938 −3% $54,720 −51% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $26,984 $27,006 $28,709 −6% $51,142 −47% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $26,652 $26,311 $63,719 −58% $62,821 −58% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $26,277 $26,238 $26,845 −2% $53,817 −51% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $26,066 $28,094 $26,769 −3% $52,908 −51% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $26,026 $26,024 $59,859 −57% $63,475 −59% —
246 UnGrouped $26,019 — $25,312 — $33,983 −23% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $25,797 $25,023 $56,802 −55% $63,984 −60% —
662 MINOR BLADDER PROCEDURES WITH MCC $25,679 $26,543 $60,110 −57% $54,483 −53% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $25,488 $27,133 $41,471 −39% $49,710 −49% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $25,387 $25,088 $44,026 −42% $54,313 −53% —
570 SKIN DEBRIDEMENT WITH MCC $25,343 $25,612 $60,266 −58% $52,435 −52% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $25,150 $24,799 $54,464 −54% $67,764 −63% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $25,062 $24,778 $32,516 −23% $54,475 −54% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $25,019 $24,955 $43,615 −43% $60,140 −58% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $25,008 $26,109 $71,462 −65% $53,555 −53% —
472 CERVICAL SPINAL FUSION WITH CC $24,965 $24,650 $85,519 −71% $59,537 −58% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $24,841 $27,060 $62,785 −60% $44,472 −44% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $24,519 $24,366 $24,787 −1% $56,758 −57% —
800 SPLENIC PROCEDURES WITH CC $24,505 $24,792 $25,012 −2% $49,184 −50% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,366 $24,352 $24,891 −2% $53,551 −54% —
654 MAJOR BLADDER PROCEDURES WITH CC $24,125 $24,011 $67,342 −64% $53,868 −55% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $24,100 $23,870 $24,680 −2% $48,907 −51% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,053 — $37,122 −35% $50,815 −53% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $23,842 $24,222 $60,045 −60% $74,274 −68% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $23,772 $23,002 $75,579 −69% $57,963 −59% —
668 TRANSURETHRAL PROCEDURES WITH MCC $23,437 $24,813 $43,675 −46% $47,277 −50% —
248 UnGrouped $23,294 — $24,902 −6% $34,146 −32% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $23,281 $23,241 $43,698 −47% $45,497 −49% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $23,256 $23,895 $23,712 −2% $58,043 −60% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $23,088 $22,926 $55,793 −59% $44,839 −49% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $22,909 $23,282 $39,234 −42% $48,358 −53% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,872 $24,394 $23,375 −2% $58,968 −61% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $22,751 $22,575 $23,252 −2% $40,947 −44% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,669 $24,318 $24,730 −8% $49,055 −54% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $22,593 $22,320 $40,200 −44% $54,929 −59% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $22,433 $23,115 $65,642 −66% $43,491 −48% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $22,270 $21,988 $87,555 −75% $48,094 −54% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $22,223 $22,262 $25,619 −13% $43,697 −49% —
253 OTHER VASCULAR PROCEDURES WITH CC $22,156 $21,722 $45,582 −51% $53,746 −59% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $21,966 $22,547 $22,399 −2% $45,290 −51% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $21,800 $22,025 $30,836 −29% $41,703 −48% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $21,714 $22,495 $48,855 −56% $40,277 −46% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $21,584 $22,835 $24,993 −14% $52,405 −59% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $21,579 $21,290 $26,398 −18% $55,162 −61% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $21,514 $21,681 $46,298 −54% $57,149 −62% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,485 $23,198 $21,831 −2% $44,973 −52% —
503 FOOT PROCEDURES WITH MCC $21,377 $22,518 $21,759 −2% $43,901 −51% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $21,142 $20,831 $35,476 −40% $51,985 −59% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $21,113 $17,123 $22,986 −8% $30,940 −32% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $21,108 $20,997 $50,665 −58% $52,332 −60% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $20,985 $21,500 $32,742 −36% $39,657 −47% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $20,871 $20,659 $55,675 −63% $54,824 −62% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,847 $22,656 $23,023 −9% $45,432 −54% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $20,784 $21,306 $57,710 −64% $39,409 −47% —
263 VEIN LIGATION AND STRIPPING $20,760 $22,820 $24,172 −14% $44,938 −54% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $20,748 $20,396 $33,354 −38% $47,583 −56% —
397 APPENDIX PROCEDURES WITH MCC $20,676 $21,082 $38,798 −47% $52,319 −60% —
164 MAJOR CHEST PROCEDURES WITH CC $20,557 $21,416 $62,100 −67% $53,141 −61% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $20,495 $20,143 $72,563 −72% $50,624 −60% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $20,393 $20,429 $93,299 −78% $56,394 −64% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $20,381 $20,396 $23,915 −15% $39,093 −48% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $20,315 $21,729 $48,386 −58% $38,878 −48% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $20,259 $21,483 $50,052 −60% $46,659 −57% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $20,207 $20,579 $20,637 −2% $46,591 −57% —
849 RADIOTHERAPY $20,175 $22,727 $12,439 +62% $37,862 −47% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $20,161 $19,676 $28,046 −28% $51,339 −61% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $20,113 $20,138 $34,900 −42% $40,548 −50% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,057 $19,898 $51,078 −61% $50,139 −60% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $19,914 $19,641 $61,231 −67% $49,631 −60% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $19,868 $19,695 $20,349 −2% $36,080 −45% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $19,856 $19,741 $50,157 −60% $36,237 −45% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $19,613 $19,168 $63,309 −69% $50,011 −61% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $19,455 $20,220 $37,186 −48% $52,313 −63% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $19,332 $19,214 $33,251 −42% $44,989 −57% —
030 SPINAL PROCEDURES WITHOUT CCMCC $19,294 $18,934 $52,745 −63% $45,818 −58% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $19,253 $19,487 $45,872 −58% $36,334 −47% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $19,111 $19,161 $43,741 −56% $48,682 −61% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $19,099 $20,514 $30,711 −38% $40,065 −52% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $18,996 $21,570 $21,320 −11% $36,097 −47% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,978 $20,079 $60,385 −69% $47,546 −60% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $18,913 $18,994 $46,930 −60% $44,053 −57% —
709 PENIS PROCEDURES WITH CCMCC $18,884 $19,119 $30,398 −38% $34,535 −45% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $18,832 $19,214 $19,443 −3% $38,998 −52% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $18,782 $18,831 $41,947 −55% $44,600 −58% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,762 $19,355 $22,396 −16% $46,430 −60% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $18,700 $18,713 $37,384 −50% $38,382 −51% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $18,602 $19,519 $27,453 −32% $37,080 −50% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,514 $19,427 $29,189 −37% $39,253 −53% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $18,489 $18,539 $26,596 −30% $41,900 −56% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $18,463 $18,355 $22,487 −18% $44,553 −59% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $18,447 $18,457 $35,735 −48% $37,902 −51% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,359 $18,170 $71,754 −74% $45,622 −60% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $18,348 $17,420 $50,134 −63% $34,089 −46% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $18,287 $18,323 $25,926 −29% $38,357 −52% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $18,276 $19,280 $73,947 −75% $37,064 −51% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $18,218 $17,936 $47,043 −61% $56,519 −68% —
333 RECTAL RESECTION WITH CC $18,193 $18,083 $31,498 −42% $34,352 −47% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $18,114 $18,244 $18,304 −1% $36,850 −51% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $18,109 $17,654 $40,592 −55% $51,172 −65% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $18,078 $19,390 $50,553 −64% $43,586 −59% —
336 PERITONEAL ADHESIOLYSIS WITH CC $18,015 $17,972 $27,311 −34% $49,470 −64% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $18,007 $17,964 $49,598 −64% $38,420 −53% —
374 DIGESTIVE MALIGNANCY WITH MCC $17,993 $17,964 $39,880 −55% $38,885 −54% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $17,970 $17,891 $19,371 −7% $35,686 −50% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $17,944 $18,045 $33,474 −46% $46,477 −61% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,911 $19,136 $46,496 −61% $45,059 −60% —
113 ORBITAL PROCEDURES WITH CCMCC $17,876 $19,200 $19,963 −10% $35,642 −50% —
935 NON-EXTENSIVE BURNS $17,829 $18,688 $24,385 −27% $29,458 −39% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $17,786 $17,674 $18,260 −3% $41,651 −57% —
338 UnGrouped $17,603 — $19,816 — $30,138 −42% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $17,597 $18,172 $17,936 −2% $40,232 −56% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $17,475 $17,787 $24,248 −28% $32,483 −46% —
247 UnGrouped $17,467 — $16,503 — $21,663 −19% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $17,428 $18,136 $17,755 −2% $37,654 −54% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $17,363 $17,000 $31,399 −45% $43,524 −60% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $17,310 $17,116 $46,097 −62% $45,817 −62% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $17,278 $18,173 $17,589 −2% $35,569 −51% —
595 MAJOR SKIN DISORDERS WITH MCC $17,275 $17,996 $21,173 −18% $31,785 −46% —
539 OSTEOMYELITIS WITH MCC $17,155 $17,207 $22,192 −23% $33,746 −49% —
995 UnGrouped $17,134 — $17,899 — $17,134 — —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $17,079 $17,162 $31,069 −45% $41,660 −59% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $17,031 $14,900 $47,816 −64% $34,264 −50% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,006 $17,838 $67,702 −75% $46,066 −63% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $16,955 $16,925 $28,988 −42% $35,714 −53% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $16,887 $17,003 $46,978 −64% $44,363 −62% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $16,851 $16,778 $66,434 −75% $43,775 −62% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $16,843 $16,722 $36,867 −54% $41,520 −59% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $16,800 $16,686 $62,567 −73% $43,538 −61% —
945 REHABILITATION WITH CCMCC $16,783 $12,988 $15,700 +7% $23,834 −30% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,673 $16,435 $44,197 −62% $42,881 −61% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,650 $20,843 $14,660 +14% $11,633 +43% —
906 HAND PROCEDURES FOR INJURIES $16,605 $18,569 $18,238 −9% $31,520 −47% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $16,604 $16,669 $20,724 −20% $36,933 −55% —
711 TESTES PROCEDURES WITH CCMCC $16,602 $16,256 $33,440 −50% $34,852 −52% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $16,601 $16,694 $18,689 −11% $35,237 −53% ≈131% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $16,546 $16,637 $23,252 −29% $35,014 −53% —
548 SEPTIC ARTHRITIS WITH MCC $16,532 $17,141 $41,829 −60% $31,019 −47% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,518 $16,830 $33,486 −51% $43,398 −62% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $16,496 $16,511 $82,649 −80% $43,080 −62% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,449 $18,257 $22,666 −27% $31,044 −47% —
380 COMPLICATED PEPTIC ULCER WITH MCC $16,391 $16,372 $17,617 −7% $36,641 −55% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $16,391 $16,625 $32,677 −50% $33,050 −50% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $16,371 $16,628 $16,538 −1% $29,524 −45% —
249 UnGrouped $16,298 — $15,527 — $20,610 −21% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $16,265 $16,042 $37,273 −56% $49,197 −67% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $16,228 $17,257 $19,828 −18% $30,661 −47% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $16,215 $16,890 $66,993 −76% $29,633 −45% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,214 $15,393 $43,527 −63% $54,772 −70% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $16,157 $16,084 $23,770 −32% $32,399 −50% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $16,117 $16,044 $18,847 −14% $32,981 −51% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $16,085 $16,787 $17,329 −7% $43,800 −63% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $16,067 $16,042 $31,325 −49% $45,963 −65% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $16,057 $16,145 $31,166 −48% $35,459 −55% —
100 SEIZURES WITH MCC $16,021 $16,892 $39,945 −60% $35,194 −54% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $15,906 $15,794 $32,995 −52% $30,974 −49% —
592 SKIN ULCERS WITH MCC $15,906 $17,496 $31,253 −49% $32,662 −51% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $15,853 $15,152 $43,926 −64% $48,680 −67% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $15,829 $16,030 $42,029 −62% $30,766 −49% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $15,757 $15,869 $16,631 −5% $35,114 −55% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $15,735 $15,355 $40,847 −61% $40,063 −61% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $15,731 $16,062 $21,279 −26% $32,204 −51% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $15,671 $16,145 $39,581 −60% $42,126 −63% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $15,644 $16,989 $29,674 −47% $29,109 −46% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $15,644 $15,787 $87,160 −82% $32,538 −52% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $15,624 $15,644 $21,843 −28% $30,394 −49% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $15,571 $15,705 $19,336 −19% $29,609 −47% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,522 $18,280 $16,107 −4% $34,900 −56% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,509 $14,955 $36,468 −57% $35,673 −57% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $15,467 $15,524 $29,417 −47% $37,950 −59% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,419 $16,275 $26,402 −42% $33,165 −54% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $15,387 $15,542 $23,522 −35% $40,552 −62% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $15,351 $15,471 $15,672 −2% $36,597 −58% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $15,269 $15,109 $15,765 −3% $31,909 −52% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,245 $15,145 $29,679 −49% $33,564 −55% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $15,241 $16,913 $30,036 −49% $35,139 −57% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $15,219 $15,554 $63,764 −76% $40,583 −62% —
501 SOFT TISSUE PROCEDURES WITH CC $15,206 $15,185 $27,982 −46% $37,975 −60% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $15,202 $15,859 $69,029 −78% $41,380 −63% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $15,174 $14,771 $38,071 −60% $32,839 −54% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $15,154 $14,884 $21,043 −28% $38,836 −61% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $15,137 $15,470 $16,211 −7% $37,842 −60% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,125 $16,109 $49,373 −69% $36,280 −58% —
199 PNEUMOTHORAX WITH MCC $15,115 $15,020 $31,694 −52% $31,491 −52% —
504 FOOT PROCEDURES WITH CC $15,067 $14,932 $20,838 −28% $36,598 −59% —
505 FOOT PROCEDURES WITHOUT CCMCC $15,067 $14,932 $25,597 −41% $31,716 −52% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $15,047 $14,954 $15,377 −2% $39,018 −61% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,991 $15,394 $50,876 −71% $29,476 −49% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $14,969 $15,085 $36,735 −59% $36,242 −59% —
919 COMPLICATIONS OF TREATMENT WITH MCC $14,941 $15,516 $29,227 −49% $29,031 −49% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $14,928 $14,872 $15,420 −3% $31,758 −53% —
180 RESPIRATORY NEOPLASMS WITH MCC $14,913 $14,871 $15,760 −5% $36,658 −59% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $14,877 $15,510 $45,175 −67% $36,375 −59% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,876 $15,546 $29,609 −50% $40,563 −63% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $14,828 $14,946 $20,091 −26% $29,558 −50% —
597 MALIGNANT BREAST DISORDERS WITH MCC $14,798 $14,946 $17,758 −17% $31,846 −54% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $14,758 $14,794 $22,079 −33% $30,814 −52% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $14,648 $15,152 $25,131 −42% $30,275 −52% —
341 UnGrouped $14,615 — $16,452 — $25,628 −43% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $14,570 $14,209 $62,177 −77% $33,607 −57% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $14,558 $14,473 $53,185 −73% $43,266 −66% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,524 $14,710 $15,332 −5% $29,826 −51% —
551 MEDICAL BACK PROBLEMS WITH MCC $14,439 $14,518 $22,857 −37% $31,086 −54% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $14,391 $14,331 $30,848 −53% $31,128 −54% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $14,340 $14,210 $9,362 +53% $25,208 −43% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $14,327 $14,193 $14,644 −2% $30,930 −54% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $14,240 $14,302 $18,666 −24% $30,058 −53% —
571 SKIN DEBRIDEMENT WITH CC $14,229 $14,245 $28,828 −51% $34,901 −59% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $14,210 $13,968 $31,000 −54% $28,634 −50% —
509 ARTHROSCOPY $14,198 $14,946 $13,246 +7% $25,994 −45% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $14,191 $14,248 $22,517 −37% $29,916 −53% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $14,184 $14,090 $18,629 −24% $32,689 −57% —
075 VIRAL MENINGITIS WITH CCMCC $14,152 $14,655 $40,018 −65% $29,853 −53% —
671 URETHRAL PROCEDURES WITH CCMCC $14,110 $14,666 $15,691 −10% $27,233 −48% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $14,066 $14,410 $45,316 −69% $29,729 −53% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,065 $13,754 $20,758 −32% $31,840 −56% ≈119% of Medicare
334 RECTAL RESECTION WITHOUT CCMCC $13,977 $14,112 $68,322 −80% $32,213 −57% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $13,932 $13,940 $20,052 −31% $30,910 −55% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $13,901 $13,824 $32,076 −57% $26,020 −47% —
915 ALLERGIC REACTIONS WITH MCC $13,837 $14,786 $10,990 +26% $30,944 −55% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $13,832 $13,976 $83,384 −83% $31,566 −56% —
038 EXTRACRANIAL PROCEDURES WITH CC $13,799 $13,709 $14,102 −2% $35,770 −61% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,769 $14,110 $34,712 −60% $42,119 −67% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $13,751 $13,575 $37,318 −63% $33,984 −60% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $13,746 $14,197 $14,802 −7% $28,103 −51% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $13,691 $13,831 $44,606 −69% $27,168 −50% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $13,668 $13,763 $21,419 −36% $25,731 −47% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $13,657 $13,638 $42,642 −68% $35,584 −62% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $13,649 $13,680 $35,009 −61% $35,692 −62% —
157 DENTAL AND ORAL DISEASES WITH MCC $13,632 $13,932 $62,187 −78% $27,457 −50% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $13,631 $14,047 $34,730 −61% $44,117 −69% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $13,627 $13,295 $38,878 −65% $41,380 −67% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $13,623 $13,965 $23,932 −43% $28,967 −53% —
533 FRACTURES OF FEMUR WITH MCC $13,614 $12,974 $20,970 −35% $25,945 −48% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $13,614 $13,558 $22,755 −40% $35,375 −62% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,597 $13,933 $26,692 −49% $36,333 −63% —
183 MAJOR CHEST TRAUMA WITH MCC $13,539 $13,505 $26,983 −50% $28,924 −53% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $13,521 $13,318 $16,366 −17% $32,490 −58% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,488 $14,374 $15,087 −11% $29,409 −54% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $13,475 $13,445 $43,904 −69% $33,490 −60% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,468 $15,773 $13,468 +0% $22,698 −41% —
186 PLEURAL EFFUSION WITH MCC $13,456 $13,443 $21,299 −37% $32,468 −59% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $13,403 $14,145 $10,842 +24% $27,548 −51% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $13,386 $12,914 $13,587 −1% $33,694 −60% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,359 $14,155 $25,572 −48% $32,502 −59% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $13,342 $14,382 $14,459 −8% $28,578 −53% —
669 TRANSURETHRAL PROCEDURES WITH CC $13,279 $13,166 $32,845 −60% $34,354 −61% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $13,265 $13,378 $26,590 −50% $34,906 −62% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $13,258 $13,837 $13,504 −2% $24,465 −46% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $13,203 $14,023 $14,308 −8% $25,197 −48% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $13,178 $13,497 $30,554 −57% $39,747 −67% —
813 COAGULATION DISORDERS $13,178 $13,171 $28,621 −54% $30,128 −56% —
946 REHABILITATION WITHOUT CCMCC $13,099 $9,499 $8,341 +57% $17,685 −26% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,086 $12,560 $7,029 +86% $7,961 +64% —
682 RENAL FAILURE WITH MCC $13,041 $12,779 $13,262 −2% $27,854 −53% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $13,034 $13,150 $18,608 −30% $28,252 −54% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $13,025 $12,810 $16,602 −22% $33,424 −61% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $13,024 $13,061 $23,590 −45% $36,239 −64% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,977 $13,156 $35,273 −63% $24,036 −46% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $12,921 $15,285 $12,522 +3% $24,836 −48% —
398 APPENDIX PROCEDURES WITH CC $12,919 $12,875 $27,573 −53% $39,107 −67% —
606 MINOR SKIN DISORDERS WITH MCC $12,916 $13,701 $22,390 −42% $25,434 −49% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,904 $13,351 $20,290 −36% $32,936 −61% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $12,894 $12,796 $44,140 −71% $35,528 −64% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,866 $13,951 $13,068 −2% $28,134 −54% —
643 ENDOCRINE DISORDERS WITH MCC $12,856 $14,101 $29,230 −56% $32,996 −61% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $12,843 $12,847 $13,450 −5% $24,229 −47% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $12,827 $13,152 $13,080 −2% $25,484 −50% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $12,803 $12,700 $36,925 −65% $33,137 −61% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $12,790 $13,197 $40,130 −68% $34,434 −63% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $12,708 $11,952 $37,663 −66% $35,542 −64% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,700 $12,641 $33,715 −62% $28,140 −55% —
663 MINOR BLADDER PROCEDURES WITH CC $12,677 $12,995 $58,681 −78% $29,924 −58% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $12,675 $12,506 $19,109 −34% $28,780 −56% —
913 TRAUMATIC INJURY WITH MCC $12,656 $13,769 $21,504 −41% $24,198 −48% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $12,643 $12,443 $12,929 −2% $25,149 −50% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,637 $13,185 $13,379 −6% $28,646 −56% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,580 $13,341 $21,852 −42% $31,059 −59% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,557 $12,755 $14,345 −12% $29,484 −57% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $12,551 $12,906 $12,797 −2% $30,972 −59% —
602 CELLULITIS WITH MCC $12,536 $12,500 $18,739 −33% $29,347 −57% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $12,524 $12,613 $52,160 −76% $32,911 −62% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,433 $11,830 $26,099 −52% $24,118 −48% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $12,419 $12,452 $28,158 −56% $29,211 −57% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $12,404 $10,811 $12,532 −1% $19,686 −37% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,386 $12,502 $32,852 −62% $25,786 −52% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,384 $12,379 $26,572 −53% $24,941 −50% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,373 $12,763 $30,238 −59% $25,854 −52% —
710 PENIS PROCEDURES WITHOUT CCMCC $12,309 $12,774 $12,542 −2% $23,814 −48% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,305 $15,337 $8,612 +43% $14,284 −14% —
693 URINARY STONES WITH MCC $12,302 $12,510 $41,470 −70% $22,525 −45% —
637 DIABETES WITH MCC $12,297 $12,391 $16,490 −25% $28,819 −57% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $12,271 $12,303 $78,078 −84% $29,663 −59% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $12,259 $12,194 $50,137 −76% $31,816 −61% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,241 $13,026 $13,333 −8% $24,879 −51% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,141 $15,673 $19,533 −38% $28,375 −57% —
865 VIRAL ILLNESS WITH MCC $12,125 $12,557 $17,877 −32% $26,088 −54% —
996 UnGrouped $12,116 — $12,657 — $12,116 — —
137 MOUTH PROCEDURES WITH CCMCC $12,071 $11,900 $12,342 −2% $24,348 −50% —
506 MAJOR THUMB OR JOINT PROCEDURES $12,054 $12,755 $32,830 −63% $28,983 −58% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $12,020 $9,561 $15,508 −22% $30,314 −60% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $12,014 $12,245 $27,312 −56% $25,243 −52% —
088 CONCUSSION WITH MCC $12,002 $12,003 $31,792 −62% $24,402 −51% —
811 RED BLOOD CELL DISORDERS WITH MCC $11,983 $11,970 $25,420 −53% $27,934 −57% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $11,978 $12,502 $20,515 −42% $25,152 −52% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,970 $12,841 $34,757 −66% $27,279 −56% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,944 $11,989 $23,601 −49% $29,757 −60% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $11,943 $11,854 $28,164 −58% $25,666 −53% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $11,887 $11,401 $40,386 −71% $30,358 −61% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,854 $12,268 $26,790 −56% $22,525 −47% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $11,846 $12,076 $9,083 +30% $21,615 −45% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $11,823 $11,888 $41,856 −72% $30,006 −61% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,806 $12,042 $16,522 −29% $23,734 −50% —
291 HEART FAILURE AND SHOCK WITH MCC $11,746 $11,101 $18,585 −37% $25,020 −53% ≈125% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,623 $11,591 $46,687 −75% $24,980 −53% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,615 $12,094 $17,376 −33% $25,010 −54% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,571 $11,457 $13,209 −12% $23,723 −51% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $11,501 $11,687 $32,511 −65% $29,050 −60% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $11,441 $12,192 $54,112 −79% $31,812 −64% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $11,435 $11,343 $42,772 −73% $31,978 −64% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $11,417 $11,529 $29,374 −61% $29,374 −61% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $11,379 $12,437 $16,679 −32% $32,451 −65% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,283 $11,353 $15,989 −29% $25,426 −56% —
150 EPISTAXIS WITH MCC $11,273 $11,760 $33,780 −67% $21,133 −47% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $11,214 $11,658 $35,511 −68% $30,418 −63% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,179 $11,315 $15,103 −26% $23,350 −52% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,163 $11,299 $17,310 −36% $24,480 −54% ≈133% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,148 $11,159 $34,184 −67% $23,115 −52% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $11,130 $11,923 $11,315 −2% $24,452 −54% —
540 OSTEOMYELITIS WITH CC $11,094 $11,010 $23,866 −54% $23,494 −53% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $11,065 $10,971 $11,309 −2% $23,920 −54% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $11,057 $11,112 $18,324 −40% $23,956 −54% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,052 $11,211 $18,069 −39% $26,158 −58% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $11,040 $10,962 $14,693 −25% $23,924 −54% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $11,037 $11,519 $24,074 −54% $28,527 −61% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $10,927 $10,791 $14,547 −25% $28,156 −61% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $10,926 $11,423 $29,009 −62% $29,805 −63% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $10,877 $11,660 $16,227 −33% $20,980 −48% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $10,869 $10,981 $28,947 −62% $22,811 −52% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,858 $10,929 $15,569 −30% $27,244 −60% —
348 ANAL AND STOMAL PROCEDURES WITH CC $10,831 $10,711 $23,220 −53% $27,947 −61% —
947 SIGNS AND SYMPTOMS WITH MCC $10,815 $10,943 $28,727 −62% $25,474 −58% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,785 $11,094 $32,740 −67% $21,029 −49% —
885 PSYCHOSES $10,758 $11,993 $13,133 −18% $21,489 −50% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $10,725 $10,595 $15,129 −29% $26,146 −59% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,717 $12,319 $10,149 +6% $21,986 −51% —
339 UnGrouped $10,681 — $12,024 — $18,474 −42% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $10,612 $10,536 $31,482 −66% $27,492 −61% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,598 $10,756 $11,648 −9% $26,634 −60% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $10,572 $11,210 $25,919 −59% $34,887 −70% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,567 $13,748 $29,906 −65% $27,118 −61% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $10,561 $10,472 $10,794 −2% $27,321 −61% —
375 DIGESTIVE MALIGNANCY WITH CC $10,490 $10,454 $20,733 −49% $27,219 −61% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $10,451 $10,537 $19,199 −46% $22,032 −53% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $10,417 $10,448 $23,070 −55% $19,132 −46% —
549 SEPTIC ARTHRITIS WITH CC $10,408 $10,253 $16,906 −38% $20,938 −50% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $10,380 $10,328 $45,347 −77% $23,297 −55% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $10,380 $10,742 $15,265 −32% $19,894 −48% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $10,319 $10,481 $26,930 −62% $20,147 −49% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $10,312 $10,260 $22,406 −54% $26,488 −61% —
593 SKIN ULCERS WITH CC $10,292 $10,403 $36,848 −72% $20,470 −50% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,270 $10,411 $19,440 −47% $26,322 −61% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,243 $10,591 $13,231 −23% $21,860 −53% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $10,214 $10,528 $19,076 −46% $25,704 −60% ≈121% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,121 $10,559 $11,411 −11% $20,727 −51% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,109 $10,811 $19,641 −49% $22,275 −55% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $10,087 $10,199 $23,136 −56% $27,369 −63% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $10,031 $10,779 $18,572 −46% $25,623 −61% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,025 $8,441 $18,808 −47% $22,024 −54% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $10,014 $9,850 $11,606 −14% $24,202 −59% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $10,001 $9,555 $15,757 −37% $24,190 −59% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $9,999 $9,896 $21,100 −53% $21,062 −53% —
887 OTHER MENTAL DISORDER DIAGNOSES $9,962 $10,120 $9,962 +0% $20,602 −52% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $9,950 $10,372 $23,634 −58% $23,588 −58% —
102 HEADACHES WITH MCC $9,910 $9,865 $23,388 −58% $22,544 −56% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,900 $9,957 $15,190 −35% $22,982 −57% ≈126% of Medicare
304 HYPERTENSION WITH MCC $9,892 $9,995 $10,316 −4% $24,185 −59% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $9,891 $9,731 $29,489 −66% $25,390 −61% —
302 ATHEROSCLEROSIS WITH MCC $9,812 $9,897 $19,107 −49% $20,844 −53% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $9,765 $10,057 $10,344 −6% $19,598 −50% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $9,748 $9,684 $9,983 −2% $25,267 −61% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $9,671 $9,720 $24,999 −61% $24,432 −60% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,638 $9,595 $18,860 −49% $24,017 −60% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,615 $9,688 $26,634 −64% $24,452 −61% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,576 $9,595 $29,171 −67% $20,741 −54% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $9,574 $9,407 $20,545 −53% $24,544 −61% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,566 $9,793 $13,681 −30% $18,133 −47% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,532 $10,169 $41,114 −77% $20,421 −53% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,483 $9,271 $20,994 −55% $31,190 −70% —
181 RESPIRATORY NEOPLASMS WITH CC $9,480 $9,447 $9,583 −1% $22,431 −58% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $9,471 $9,897 $23,704 −60% $18,291 −48% —
152 OTITIS MEDIA AND URI WITH MCC $9,461 $9,655 $21,266 −56% $19,795 −52% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $9,431 $9,381 $34,994 −73% $25,162 −63% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $9,419 $9,876 $20,019 −53% $22,532 −58% —
200 PNEUMOTHORAX WITH CC $9,409 $9,423 $14,720 −36% $20,573 −54% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,390 $10,959 $33,796 −72% $24,316 −61% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,356 $9,102 $22,378 −58% $23,749 −61% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,337 $8,652 $13,709 −32% $23,469 −60% —
949 AFTERCARE WITH CCMCC $9,299 $9,180 $30,481 −69% $23,953 −61% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $9,267 $9,227 $15,563 −40% $21,806 −58% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $9,266 $9,187 $17,993 −49% $18,126 −49% —
381 COMPLICATED PEPTIC ULCER WITH CC $9,259 $9,266 $9,829 −6% $24,177 −62% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,243 $9,554 $18,396 −50% $19,317 −52% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,240 $9,282 $10,432 −11% $19,868 −53% —
598 MALIGNANT BREAST DISORDERS WITH CC $9,189 $9,179 $19,368 −53% $19,073 −52% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,143 $8,956 $10,454 −13% $18,478 −51% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,107 $9,445 $9,313 −2% $18,459 −51% —
184 MAJOR CHEST TRAUMA WITH CC $9,101 $9,087 $15,347 −41% $20,842 −56% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $9,094 $9,311 $9,753 −7% $17,398 −48% —
089 CONCUSSION WITH CC $9,085 $9,122 $18,821 −52% $18,293 −50% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,071 $9,198 $14,458 −37% $17,226 −47% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $9,047 $9,026 $24,250 −63% $23,496 −61% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,037 $8,757 $13,452 −33% $22,850 −60% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,022 $8,772 $16,909 −47% $22,781 −60% —
342 UnGrouped $9,017 — $11,284 −20% $19,454 −54% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $9,006 $10,862 $20,859 −57% $22,557 −60% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,985 $8,934 $9,199 −2% $22,231 −60% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,956 $8,967 $15,925 −44% $23,396 −62% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,916 $9,008 $19,125 −53% $24,136 −63% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $8,905 $9,367 $9,065 −2% $17,483 −49% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,873 $8,869 $13,367 −34% $23,141 −62% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,829 $8,658 $27,074 −67% $22,713 −61% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,744 $8,677 $16,868 −48% $20,732 −58% —
644 ENDOCRINE DISORDERS WITH CC $8,719 $8,792 $19,755 −56% $22,941 −62% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $8,716 $8,719 $11,536 −24% $16,495 −47% —
997 UnGrouped $8,710 — $9,099 — $8,710 — —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $8,706 $8,135 $9,077 −4% $18,191 −52% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,705 $8,676 $18,157 −52% $21,545 −60% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $8,687 $8,329 $9,206 −6% $15,901 −45% —
667 PROSTATECTOMY WITHOUT CCMCC $8,663 $8,745 $8,663 +0% $16,703 −48% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,590 $8,388 $15,742 −45% $21,886 −61% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,588 $8,645 $10,445 −18% $18,017 −52% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $8,585 $8,734 $33,563 −74% $24,022 −64% —
187 PLEURAL EFFUSION WITH CC $8,563 $8,542 $13,020 −34% $21,467 −60% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $8,535 $9,177 $9,356 −9% $17,193 −50% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,502 $8,507 $10,091 −16% $20,007 −58% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,500 $8,444 $11,108 −23% $20,968 −59% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,472 $8,423 $20,106 −58% $20,106 −58% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $8,464 $8,950 $8,539 −1% $17,550 −52% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,440 $8,490 $9,033 −7% $17,434 −52% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,428 $9,155 $17,029 −51% $17,943 −53% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,361 $8,672 $14,227 −41% $19,091 −56% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,341 $8,220 $16,698 −50% $21,449 −61% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $8,337 $7,839 $9,065 −8% $20,309 −59% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $8,276 $8,139 $14,916 −45% $16,418 −50% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $8,260 $8,187 $16,776 −51% $20,777 −60% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $8,253 $8,323 $8,621 −4% $15,890 −48% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $8,242 $8,675 $19,006 −57% $20,080 −59% —
340 UnGrouped $8,219 — $9,673 −15% $16,240 −49% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $8,206 $8,200 $11,139 −26% $21,213 −61% —
697 URETHRAL STRICTURE $8,195 $8,523 $13,843 −41% $17,705 −54% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,174 $7,843 $10,452 −22% $20,463 −60% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $8,167 $8,098 $12,484 −35% $18,428 −56% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,128 $8,156 $16,406 −50% $15,636 −48% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $8,102 $8,534 $11,380 −29% $17,078 −53% —
920 COMPLICATIONS OF TREATMENT WITH CC $8,090 $8,643 $11,169 −28% $21,181 −62% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,080 $8,677 $17,261 −53% $16,571 −51% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $8,056 $8,225 $17,297 −53% $17,273 −53% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $8,056 $8,009 $15,649 −49% $18,918 −57% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $8,005 $7,995 $21,330 −62% $17,108 −53% —
076 VIRAL MENINGITIS WITHOUT CCMCC $7,990 $7,801 $25,278 −68% $15,474 −48% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $7,989 $8,534 $8,123 −2% $16,212 −51% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $7,964 $8,127 $8,124 −2% $19,326 −59% —
712 TESTES PROCEDURES WITHOUT CCMCC $7,949 $9,100 $9,289 −14% $18,898 −58% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $7,930 $6,549 $11,063 −28% $14,444 −45% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $7,926 $8,125 $8,015 −1% $15,589 −49% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $7,912 $8,386 $14,906 −47% $18,282 −57% —
683 RENAL FAILURE WITH CC $7,891 $7,563 $11,498 −31% $18,620 −58% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,865 $7,859 $10,623 −26% $19,287 −59% —
638 DIABETES WITH CC $7,861 $7,804 $15,219 −48% $18,821 −58% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,811 $7,882 $17,125 −54% $18,608 −58% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,806 $7,506 $8,445 −8% $16,049 −51% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $7,802 $8,131 $12,260 −36% $20,371 −62% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,802 $9,214 $22,615 −66% $22,560 −65% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $7,774 $7,819 $8,373 −7% $16,352 −52% —
158 DENTAL AND ORAL DISEASES WITH CC $7,745 $8,003 $16,019 −52% $17,700 −56% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,738 $7,852 $9,610 −19% $20,488 −62% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,718 $7,943 $14,705 −48% $16,642 −54% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $7,715 $7,495 $22,968 −66% $19,854 −61% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,711 $7,707 $11,154 −31% $17,731 −57% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,701 $7,500 $15,920 −52% $19,569 −61% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $7,670 $7,764 $7,781 −1% $17,585 −56% —
603 CELLULITIS WITHOUT MCC $7,638 $7,494 $15,184 −50% $18,530 −59% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,606 $7,309 $12,041 −37% $18,278 −58% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,604 $7,604 $14,528 −48% $18,803 −60% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,604 $9,034 $27,015 −72% $23,571 −68% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $7,590 $7,513 $25,628 −70% $15,608 −51% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,583 $7,698 $13,553 −44% $15,077 −50% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,525 $6,977 $12,930 −42% $18,204 −59% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $7,523 $7,521 $18,395 −59% $15,869 −53% —
882 NEUROSES EXCEPT DEPRESSIVE $7,493 $8,185 $7,493 +0% $15,680 −52% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,492 $7,399 $20,255 −63% $19,305 −61% —
866 VIRAL ILLNESS WITHOUT MCC $7,476 $7,528 $10,487 −29% $16,391 −54% —
541 OSTEOMYELITIS WITHOUT CCMCC $7,421 $7,444 $9,749 −24% $14,549 −49% —
312 SYNCOPE AND COLLAPSE $7,389 $7,413 $9,946 −26% $19,342 −62% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,388 $7,349 $14,106 −48% $17,367 −57% —
292 HEART FAILURE AND SHOCK WITH CC $7,377 $7,327 $13,210 −44% $16,212 −54% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $7,345 $7,125 $7,098 +3% $14,064 −48% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,331 $7,319 $12,782 −43% $19,096 −62% —
607 MINOR SKIN DISORDERS WITHOUT MCC $7,322 $7,353 $20,056 −63% $15,284 −52% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $7,322 $7,588 $5,307 +38% $15,764 −54% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $7,263 $7,593 $18,853 −61% $21,261 −66% —
914 TRAUMATIC INJURY WITHOUT MCC $7,252 $7,797 $11,833 −39% $15,593 −53% —
779 ABORTION WITHOUT D&C $7,214 $7,953 $10,328 −30% $15,327 −53% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $7,211 $9,327 $13,903 −48% $17,103 −58% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,162 $8,491 $12,433 −42% $15,370 −53% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,153 $7,101 $9,829 −27% $18,253 −61% —
881 DEPRESSIVE NEUROSES $7,131 $7,777 $7,369 −3% $15,058 −53% —
534 FRACTURES OF FEMUR WITHOUT MCC $7,122 $6,925 $17,167 −59% $17,195 −59% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $7,113 $7,335 $22,506 −68% $16,156 −56% —
090 CONCUSSION WITHOUT CCMCC $7,043 $7,294 $12,304 −43% $14,873 −53% —
864 FEVER AND INFLAMMATORY CONDITIONS $7,026 $7,640 $16,411 −57% $17,412 −60% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,008 $6,820 $12,831 −45% $17,388 −60% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,006 $6,828 $11,534 −39% $17,466 −60% —
138 MOUTH PROCEDURES WITHOUT CCMCC $6,995 $6,921 $7,227 −3% $17,383 −60% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $6,989 $7,273 $11,609 −40% $14,290 −51% —
343 UnGrouped $6,976 — $10,639 −34% $13,735 −49% —
204 RESPIRATORY SIGNS AND SYMPTOMS $6,954 $6,900 $7,627 −9% $16,866 −59% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $6,952 $6,680 $18,056 −61% $13,385 −48% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $6,947 $6,720 $6,947 +0% $13,445 −48% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $6,945 $6,956 $24,514 −72% $18,150 −62% —
950 AFTERCARE WITHOUT CCMCC $6,943 $4,986 $23,790 −71% $13,527 −49% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,939 $7,526 $10,229 −32% $15,045 −54% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $6,921 $8,237 $14,351 −52% $19,001 −64% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,905 $6,899 $14,527 −52% $18,002 −62% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $6,864 $6,783 $18,072 −62% $17,700 −61% —
694 URINARY STONES WITHOUT MCC $6,859 $6,648 $18,833 −64% $16,531 −59% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $6,847 $8,237 $22,260 −69% $18,238 −62% —
594 SKIN ULCERS WITHOUT CCMCC $6,826 $7,221 $8,562 −20% $14,209 −52% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,822 $6,807 $15,072 −55% $20,278 −66% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,785 $6,760 $12,960 −48% $17,727 −62% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,781 $6,639 $12,168 −44% $17,322 −61% —
103 HEADACHES WITHOUT MCC $6,765 $7,233 $8,932 −24% $20,111 −66% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,763 $6,648 $11,715 −42% $16,745 −60% ≈137% of Medicare
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $6,755 $7,119 $24,478 −72% $14,055 −52% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,755 $7,025 $11,965 −44% $15,876 −57% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $6,741 $6,715 $15,599 −57% $17,522 −62% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,717 $6,952 $22,818 −71% $16,837 −60% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $6,649 $7,697 $16,352 −59% $20,084 −67% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $6,646 $6,625 $11,392 −42% $14,166 −53% —
123 NEUROLOGICAL EYE DISORDERS $6,627 $6,834 $23,434 −72% $17,831 −63% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $6,604 $6,617 $24,614 −73% $15,858 −58% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $6,587 $6,967 $6,772 −3% $13,822 −52% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $6,570 $6,349 $7,047 −7% $14,861 −56% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,570 $6,947 $13,634 −52% $17,715 −63% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $6,536 $6,383 $13,944 −53% $16,654 −61% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $6,528 $6,812 $7,005 −7% $13,586 −52% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $6,514 $6,429 $9,692 −33% $16,776 −61% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,498 $6,290 $17,429 −63% $16,865 −61% —
151 EPISTAXIS WITHOUT MCC $6,461 $6,449 $7,644 −15% $13,032 −50% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $6,449 $5,856 $13,076 −51% $19,483 −67% —
305 HYPERTENSION WITHOUT MCC $6,444 $6,387 $10,625 −39% $17,144 −62% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $6,412 $6,375 $6,889 −7% $16,634 −61% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $6,381 $7,432 $19,559 −67% $19,815 −68% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $6,350 $6,161 $6,834 −7% $12,593 −50% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,337 $6,359 $7,702 −18% $12,895 −51% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,326 $5,993 $5,414 +17% $12,336 −49% —
188 PLEURAL EFFUSION WITHOUT CCMCC $6,305 $6,246 $16,444 −62% $14,110 −55% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $6,248 $6,172 $13,239 −53% $16,104 −61% —
313 CHEST PAIN $6,216 $6,069 $11,332 −45% $15,962 −61% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,203 $6,304 $6,903 −10% $13,282 −53% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $6,173 $6,947 $20,912 −70% $17,928 −66% —
149 DYSEQUILIBRIUM $6,161 $6,360 $12,104 −49% $17,203 −64% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $6,150 $6,365 $13,307 −54% $14,337 −57% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $6,148 $5,938 $6,581 −7% $15,072 −59% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $6,131 $5,906 $15,966 −62% $13,303 −54% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,122 $6,333 $6,751 −9% $13,892 −56% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $6,061 $5,926 $6,671 −9% $12,405 −51% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $6,051 $6,122 $6,208 −3% $12,537 −52% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,034 $6,070 $6,858 −12% $12,381 −51% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $5,988 $5,506 $14,788 −60% $14,368 −58% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $5,981 $5,959 $10,493 −43% $13,654 −56% —
311 ANGINA PECTORIS $5,979 $5,941 $9,265 −35% $15,165 −61% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,931 $5,978 $6,567 −10% $15,600 −62% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $5,928 $5,808 $6,758 −12% $12,797 −54% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,921 $5,886 $14,693 −60% $14,441 −59% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,912 $6,055 $12,738 −54% $14,473 −59% —
201 PNEUMOTHORAX WITHOUT CCMCC $5,847 $5,761 $14,044 −58% $13,081 −55% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $5,830 $5,703 $11,284 −48% $14,880 −61% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $5,777 $5,927 $12,472 −54% $12,279 −53% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,766 $5,721 $8,701 −34% $14,927 −61% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $5,726 $5,298 $13,908 −59% $13,824 −59% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $5,714 $5,771 $51,600 −89% $11,997 −52% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $5,698 $5,610 $5,893 −3% $13,485 −58% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $5,681 $6,199 $4,168 +36% $12,650 −55% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $5,611 $5,713 $9,891 −43% $11,909 −53% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $5,558 $5,672 $5,539 +0% $11,847 −53% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $5,516 $5,721 $13,443 −59% $13,198 −58% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $5,479 $5,414 $10,251 −47% $14,128 −61% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $5,472 $5,851 $12,315 −56% $14,012 −61% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $5,469 $5,612 $14,832 −63% $13,368 −59% —
639 DIABETES WITHOUT CCMCC $5,451 $5,331 $11,029 −51% $13,910 −61% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $5,450 $5,417 $5,374 +1% $14,134 −61% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $5,389 $5,233 $11,609 −54% $15,070 −64% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,328 $5,310 $7,977 −33% $12,013 −56% —
684 RENAL FAILURE WITHOUT CCMCC $5,327 $5,168 $11,052 −52% $13,623 −61% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,325 $6,156 $14,685 −64% $13,090 −59% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $5,309 $5,100 $8,551 −38% $10,975 −52% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $5,288 $5,445 $10,413 −49% $14,208 −63% —
916 ALLERGIC REACTIONS WITHOUT MCC $5,266 $5,650 $8,202 −36% $13,890 −62% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,120 $4,824 $6,993 −27% $9,385 −45% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $5,039 $5,163 $5,464 −8% $11,071 −54% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $5,013 $5,393 $24,173 −79% $11,421 −56% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $4,914 $4,668 $9,493 −48% $11,955 −59% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $4,894 $4,760 $7,581 −35% $13,384 −63% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $4,885 $4,655 $10,546 −54% $13,318 −63% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $4,665 $4,776 $4,665 +0% $10,039 −54% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $4,643 $5,422 $11,850 −61% $12,044 −61% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $4,495 $4,422 $5,007 −10% $9,076 −50% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $4,208 $3,758 $3,740 +13% $8,927 −53% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,740 — $2,975 −42% $15,655 −89% —
999 UNGROUPABLE $1,740 — $9,092 −81% $28,822 −94% —
795 NORMAL NEWBORN $1,691 $1,700 $3,550 −52% $4,530 −63% —
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