Procedures published 676
Lowest published price $2,312
Average published price $58,537
Highest published price $456,317

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 676 procedures

Published charges

Showing all 676 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 76 procedures, this hospital's negotiated rates average ≈104% of what Medicare pays.

DRG Description Published price Cash price vs. KY median vs. National median vs Medicare
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $456,317 $296,606 $137,630 +232% $142,326 +221%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $343,325 $223,161 $343,325 +0% $371,366 −8%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $340,484 $221,314 $127,148 +168% $188,171 +81%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $335,297 $217,943 $77,406 +333% $107,355 +212%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $330,808 $215,025 $362,617 −9% $461,389 −28%
215 OTHER HEART ASSIST SYSTEM IMPLANT $313,526 $203,792 $139,148 +125% $208,939 +50%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $307,705 $200,009 $82,102 +275% $115,839 +166%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $301,259 $195,818 $103,817 +190% $144,569 +108%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $296,082 $192,454 $99,813 +197% $87,761 +237%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $295,996 $192,397 $89,209 +232% $125,242 +136%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $291,865 $189,712 $94,288 +210% $131,961 +121%
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $278,671 $181,136 $83,090 +235% $88,566 +215%
265 AICD LEAD PROCEDURES $265,518 $172,587 $49,492 +436% $63,171 +320%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $262,025 $170,316 $71,776 +265% $111,320 +135%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $261,148 $169,747 $31,079 +740% $37,267 +601%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $259,328 $168,563 $74,414 +248% $105,899 +145%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $258,819 $168,232 $72,075 +259% $102,573 +152%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $255,194 $165,876 $102,814 +148% $143,242 +78%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $252,315 $164,005 $79,247 +218% $112,062 +125%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $251,560 $163,514 $80,603 +212% $113,855 +121%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $249,105 $161,918 $83,192 +199% $117,280 +112%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $245,813 $159,778 $64,248 +283% $92,217 +167% ≈83% of Medicare
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $244,527 $158,942 $89,681 +173% $126,098 +94%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $239,705 $155,808 $57,170 +319% $54,196 +342%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $237,987 $154,691 $94,742 +151% $132,794 +79%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $235,034 $152,772 $63,571 +270% $91,329 +157%
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $233,526 $151,792 $110,483 +111% $144,774 +61%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $228,856 $148,757 $86,542 +164% $123,995 +85%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $224,911 $146,192 $56,565 +298% $82,247 +173%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $224,844 $146,149 $56,194 +300% $81,998 +174%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $222,816 $144,831 $60,208 +270% $86,970 +156%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $204,099 $132,665 $62,801 +225% $90,331 +126%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $196,374 $127,643 $112,119 +75% $153,282 +28%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $195,963 $127,376 $40,406 +385% $59,031 +232%
037 EXTRACRANIAL PROCEDURES WITH MCC $194,955 $126,721 $62,896 +210% $66,666 +192%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $190,012 $123,508 $53,970 +252% $79,116 +140%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $187,604 $121,943 $53,945 +248% $78,852 +138%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $186,962 $121,525 $57,584 +225% $72,962 +156%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $185,991 $120,894 $25,133 +640% $29,079 +540%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $184,901 $120,185 $125,467 +47% $41,620 +344%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $183,004 $118,953 $68,045 +169% $93,238 +96%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $179,483 $116,664 $77,090 +133% $85,159 +111% ≈83% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $177,068 $115,094 $58,476 +203% $101,510 +74%
503 FOOT PROCEDURES WITH MCC $175,742 $114,232 $73,699 +138% $47,540 +270%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $166,776 $108,404 $37,754 +342% $47,945 +248%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $164,033 $106,621 $76,704 +114% $71,464 +130% ≈102% of Medicare
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $160,144 $104,094 $39,644 +304% $58,043 +176%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $155,260 $100,919 $73,038 +113% $101,576 +53%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $154,818 $100,632 $72,440 +114% $96,905 +60%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $154,338 $100,320 $43,247 +257% $65,216 +137%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $154,189 $100,223 $39,606 +289% $52,986 +191%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $152,005 $98,804 $56,535 +169% $73,120 +108%
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $151,810 $98,676 $69,912 +117% $99,943 +52%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $151,114 $98,224 $170,239 −11% $148,832 +2%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $150,727 $97,972 $22,783 +562% $33,454 +351%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $150,113 $97,573 $43,701 +243% $65,573 +129% ≈95% of Medicare
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $149,810 $97,376 $43,021 +248% $60,407 +148%
472 CERVICAL SPINAL FUSION WITH CC $149,310 $97,051 $41,865 +257% $59,537 +151%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $148,647 $96,621 $61,240 +143% $88,307 +68% ≈85% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $147,505 $95,878 $24,514 +502% $35,831 +312%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $147,419 $95,822 $60,300 +144% $65,325 +126%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $147,096 $95,613 $147,096 +0% $116,058 +27%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $146,941 $95,511 $146,941 +0% $99,423 +48%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $145,959 $94,873 $145,959 +0% $61,217 +138%
163 MAJOR CHEST PROCEDURES WITH MCC $145,570 $94,621 $144,793 +1% $90,195 +61%
231 CORONARY BYPASS WITH PTCA WITH MCC $143,484 $93,265 $112,178 +28% $147,227 −3%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $141,196 $91,777 $116,959 +21% $58,707 +141% ≈101% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $139,611 $90,747 $78,460 +78% $96,192 +45%
245 AICD GENERATOR PROCEDURES $137,727 $89,523 $66,564 +107% $72,076 +91%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $137,592 $89,435 $118,849 +16% $55,162 +149%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $137,421 $89,324 $26,649 +416% $34,607 +297%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $136,324 $88,611 $33,237 +310% $40,060 +240%
471 CERVICAL SPINAL FUSION WITH MCC $135,023 $87,765 $66,189 +104% $92,515 +46%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $133,656 $86,876 $37,509 +256% $41,422 +223%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $132,358 $86,033 $49,003 +170% $50,919 +160%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $130,473 $84,808 $82,458 +58% $108,472 +20%
654 MAJOR BLADDER PROCEDURES WITH CC $130,168 $84,609 $53,779 +142% $58,274 +123%
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $128,251 $83,363 $128,251 +0% $102,597 +25%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $126,092 $81,960 $28,958 +335% $32,574 +287%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $124,873 $81,168 $124,873 +0% $81,706 +53% ≈89% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $123,889 $80,528 $44,783 +177% $63,928 +94%
653 MAJOR BLADDER PROCEDURES WITH MCC $123,492 $80,270 $100,871 +22% $104,583 +18%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $120,423 $78,275 $53,665 +124% $76,219 +58%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $119,824 $77,885 $73,986 +62% $101,618 +18%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $119,602 $77,741 $119,602 +0% $71,014 +68% ≈82% of Medicare
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $119,236 $77,504 $77,030 +55% $106,778 +12%
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $119,085 $77,405 $119,085 +0% $111,760 +7%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $118,718 $77,167 $77,786 +53% $80,793 +47%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $114,779 $74,606 $49,655 +131% $65,788 +74%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $111,823 $72,685 $110,293 +1% $50,011 +124% ≈91% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $111,366 $72,388 $111,366 +0% $72,424 +54%
164 MAJOR CHEST PROCEDURES WITH CC $110,113 $71,573 $39,391 +180% $56,755 +94%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $109,863 $71,411 $109,863 +0% $70,132 +57% ≈72% of Medicare
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $108,472 $70,507 $48,887 +122% $56,964 +90%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $108,398 $70,459 $114,909 −6% $90,775 +19% ≈96% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $107,108 $69,620 $84,875 +26% $41,591 +158%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $106,962 $69,525 $120,161 −11% $88,050 +21% ≈69% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $106,038 $68,925 $44,955 +136% $44,546 +138%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $105,697 $68,703 $77,090 +37% $96,507 +10%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $104,642 $68,017 $19,945 +425% $22,811 +359%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $104,471 $67,906 $40,289 +159% $49,839 +110%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $103,586 $67,331 $32,719 +217% $49,066 +111%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $103,254 $67,115 $65,149 +58% $90,724 +14%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $102,357 $66,532 $69,428 +47% $50,607 +102% ≈103% of Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $102,052 $66,334 $248,002 −59% $248,521 −59%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $101,347 $65,876 $33,823 +200% $50,498 +101%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $101,347 $65,876 $28,104 +261% $35,584 +185%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $99,279 $64,531 $27,387 +263% $46,340 +114%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $99,124 $64,430 $99,124 +0% $62,264 +59%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $98,810 $64,226 $83,430 +18% $82,561 +20%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $98,191 $63,824 $40,642 +142% $40,642 +142%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $97,556 $63,412 $39,530 +147% $40,694 +140% ≈102% of Medicare
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $97,357 $63,282 $53,579 +82% $69,743 +40%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $97,159 $63,153 $58,085 +67% $60,098 +62%
665 PROSTATECTOMY WITH MCC $96,144 $62,493 $54,072 +78% $54,072 +78%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $95,554 $62,110 $27,599 +246% $39,020 +145%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $94,504 $61,427 $26,043 +263% $33,694 +180%
263 VEIN LIGATION AND STRIPPING $93,875 $61,019 $38,005 +147% $51,253 +83%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $92,907 $60,390 $39,624 +134% $49,423 +88%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $92,520 $60,138 $53,307 +74% $59,594 +55%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $92,466 $60,103 $73,455 +26% $102,128 −9%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $92,451 $60,093 $37,242 +148% $54,929 +68%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $91,063 $59,191 $91,063 +0% $49,418 +84%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $90,850 $59,052 $90,850 +0% $58,809 +54% ≈89% of Medicare
252 OTHER VASCULAR PROCEDURES WITH MCC $90,706 $58,959 $60,309 +50% $68,508 +32%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $90,282 $58,683 $36,918 +145% $50,139 +80% ≈111% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $90,218 $58,642 $50,408 +79% $70,847 +27%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $90,159 $58,603 $73,758 +22% $59,651 +51%
253 OTHER VASCULAR PROCEDURES WITH CC $89,568 $58,219 $88,518 +1% $57,454 +56%
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $89,338 $58,070 $89,338 +0% $98,737 −10%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $89,207 $57,984 $73,103 +22% $89,207 +0%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $89,195 $57,976 $55,135 +62% $68,653 +30%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $88,818 $57,732 $99,339 −11% $120,573 −26%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $88,768 $57,699 $38,709 +129% $48,358 +84%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $88,128 $57,283 $88,128 +0% $47,583 +85%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $86,779 $56,406 $110,649 −22% $93,172 −7% ≈94% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $86,700 $56,355 $80,287 +8% $47,711 +82%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $85,823 $55,785 $33,920 +153% $50,624 +70%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $85,333 $55,466 $84,844 +1% $109,331 −22%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $84,608 $54,995 $48,637 +74% $62,583 +35%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $84,462 $54,900 $33,073 +155% $20,911 +304%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $84,405 $54,863 $84,405 +0% $59,629 +42%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $84,380 $54,847 $18,038 +368% $25,390 +232%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $84,235 $54,753 $28,381 +197% $43,080 +96%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $82,894 $53,881 $56,456 +47% $79,836 +4%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $82,100 $53,365 $49,485 +66% $64,523 +27%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $82,025 $53,316 $24,448 +236% $36,354 +126%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $80,482 $52,313 $23,902 +237% $35,419 +127%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $80,371 $52,241 $80,371 +0% $65,653 +22% ≈97% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $79,276 $51,529 $45,479 +74% $65,608 +21%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $78,776 $51,204 $78,776 +0% $75,103 +5%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $78,716 $51,166 $78,716 +0% $52,751 +49% ≈101% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $78,680 $51,142 $78,680 +0% $60,170 +31%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $78,561 $51,065 $78,561 +0% $36,431 +116%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $78,417 $50,971 $82,731 −5% $98,912 −21%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $78,294 $50,891 $23,510 +233% $34,749 +125%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $77,154 $50,150 $32,773 +135% $48,349 +60%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $77,115 $50,125 $87,107 −11% $70,564 +9%
799 SPLENIC PROCEDURES WITH MCC $76,920 $49,998 $76,920 +0% $82,218 −6%
800 SPLENIC PROCEDURES WITH CC $76,030 $49,419 $41,012 +85% $49,184 +55%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $75,940 $49,361 $19,169 +296% $27,323 +178%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $75,838 $49,295 $21,793 +248% $32,833 +131%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $75,214 $48,889 $100,074 −25% $70,467 +7% ≈109% of Medicare
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $75,121 $48,829 $73,030 +3% $90,401 −17%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $74,394 $48,356 $74,394 +0% $58,280 +28% ≈102% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $73,722 $47,919 $30,551 +141% $43,913 +68%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $73,395 $47,707 $59,500 +23% $59,500 +23% ≈104% of Medicare
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $72,631 $47,210 $22,435 +224% $36,988 +96%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $71,015 $46,160 $23,257 +205% $26,598 +167%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $70,436 $45,784 $34,243 +106% $36,253 +94%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $69,908 $45,440 $40,991 +71% $59,790 +17%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $69,356 $45,081 $35,373 +96% $43,298 +60%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $69,314 $45,054 $47,191 +47% $43,174 +61%
999 UNGROUPABLE $68,833 $44,742 $68,833 +0% $29,674 +132%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $68,735 $44,678 $80,018 −14% $80,018 −14%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $68,007 $44,204 $41,464 +64% $58,228 +17%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $67,932 $44,156 $98,638 −31% $77,990 −13%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $67,629 $43,959 $29,304 +131% $46,090 +47%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $67,580 $43,927 $26,949 +151% $14,415 +369%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $67,497 $43,873 $67,497 +0% $46,295 +46%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $67,373 $43,793 $26,006 +159% $39,018 +73%
038 EXTRACRANIAL PROCEDURES WITH CC $67,182 $43,668 $36,935 +82% $35,770 +88%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $66,645 $43,319 $41,432 +61% $20,926 +218%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $66,203 $43,032 $26,242 +152% $34,276 +93%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $65,498 $42,574 $35,224 +86% $54,583 +20%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $65,428 $42,528 $65,428 +0% $38,836 +68%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $65,200 $42,380 $65,200 +0% $52,075 +25%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $64,371 $41,841 $77,090 −16% $93,390 −31%
335 PERITONEAL ADHESIOLYSIS WITH MCC $63,949 $41,567 $71,508 −11% $71,755 −11%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $63,882 $41,524 $29,314 +118% $32,031 +99%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $63,832 $41,491 $51,962 +23% $44,117 +45% ≈102% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $63,199 $41,079 $45,946 +38% $43,800 +44%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $62,850 $40,852 $62,850 +0% $61,470 +2%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $62,184 $40,420 $39,006 +59% $43,538 +43%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $61,934 $40,257 $26,756 +131% $35,692 +74%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $61,907 $40,239 $30,404 +104% $46,066 +34%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $61,839 $40,196 $43,196 +43% $33,661 +84%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $61,532 $39,996 $68,276 −10% $66,068 −7%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $61,235 $39,803 $21,661 +183% $22,393 +173%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $60,893 $39,581 $25,923 +135% $35,849 +70%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $60,879 $39,571 $23,602 +158% $34,906 +74%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $60,868 $39,564 $60,868 +0% $41,955 +45% ≈112% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $60,709 $39,461 $32,482 +87% $36,167 +68%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $60,312 $39,203 $27,515 +119% $40,552 +49%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $59,910 $38,942 $20,242 +196% $28,125 +113%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $59,572 $38,722 $25,880 +130% $33,393 +78%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $59,022 $38,364 $46,049 +28% $52,908 +12%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $58,725 $38,171 $70,030 −16% $52,405 +12% ≈88% of Medicare
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $58,544 $38,054 $50,550 +16% $68,639 −15%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $57,983 $37,689 $24,771 +134% $29,316 +98%
668 TRANSURETHRAL PROCEDURES WITH MCC $57,389 $37,303 $41,045 +40% $51,608 +11%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $57,376 $37,294 $28,350 +102% $37,240 +54%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $57,272 $37,227 $20,619 +178% $29,805 +92%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $56,889 $36,978 $56,889 +0% $75,573 −25%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $56,024 $36,415 $24,502 +129% $36,445 +54%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $54,405 $35,363 $30,304 +80% $25,970 +109% ≈111% of Medicare
597 MALIGNANT BREAST DISORDERS WITH MCC $54,090 $35,159 $29,733 +82% $33,386 +62%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $53,861 $35,010 $43,218 +25% $53,864 −0%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $53,861 $35,010 $46,760 +15% $67,268 −20%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $53,601 $34,841 $22,580 +137% $24,944 +115%
500 SOFT TISSUE PROCEDURES WITH MCC $53,316 $34,655 $44,320 +20% $61,872 −14%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $52,922 $34,399 $37,866 +40% $43,631 +21%
397 APPENDIX PROCEDURES WITH MCC $52,319 $34,008 $47,356 +10% $53,257 −2%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $52,243 $33,958 $56,996 −8% $76,001 −31%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $52,096 $33,862 $20,978 +148% $30,418 +71%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $51,585 $33,530 $49,711 +4% $71,092 −27%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $51,469 $33,455 $22,027 +134% $26,618 +93%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $51,452 $33,444 $19,581 +163% $22,320 +131%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $51,425 $33,426 $61,483 −16% $43,477 +18%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $50,774 $33,003 $24,292 +109% $28,202 +80%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $50,570 $32,871 $50,570 +0% $12,336 +310%
620 O.R. PROCEDURES FOR OBESITY WITH CC $50,465 $32,802 $38,153 +32% $35,453 +42%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $50,236 $32,653 $22,175 +127% $31,170 +61%
533 FRACTURES OF FEMUR WITH MCC $50,231 $32,650 $26,082 +93% $25,945 +94%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $50,090 $32,559 $32,168 +56% $47,789 +5%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $50,031 $32,520 $48,482 +3% $39,006 +28%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $50,025 $32,516 $23,703 +111% $35,074 +43%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $50,008 $32,505 $52,152 −4% $74,257 −33%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $49,835 $32,393 $49,941 −0% $50,046 −0%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $49,657 $32,277 $31,193 +59% $45,877 +8%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $49,651 $32,273 $54,337 −9% $46,283 +7% ≈96% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $49,606 $32,244 $55,985 −11% $79,225 −37%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $49,395 $32,107 $62,554 −21% $53,451 −8%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $49,318 $32,057 $49,318 +0% $39,887 +24%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $49,216 $31,990 $94,359 −48% $59,421 −17%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $49,142 $31,942 $41,895 +17% $36,505 +35%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $49,021 $31,863 $57,682 −15% $71,795 −32%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $49,007 $31,855 $54,898 −11% $77,817 −37%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $48,975 $31,834 $7,241 +576% $15,215 +222%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $48,507 $31,530 $35,649 +36% $30,770 +58%
915 ALLERGIC REACTIONS WITH MCC $48,413 $31,468 $41,366 +17% $32,645 +48%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $48,224 $31,345 $44,310 +9% $39,211 +23%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $48,031 $31,220 $36,384 +32% $30,784 +56%
336 PERITONEAL ADHESIOLYSIS WITH CC $47,718 $31,017 $51,108 −7% $50,463 −5%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $47,529 $30,894 $47,529 +0% $49,351 −4%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $47,257 $30,717 $45,398 +4% $35,030 +35%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $47,008 $30,555 $47,008 +0% $42,914 +10%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $46,946 $30,515 $78,803 −40% $84,692 −45%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $46,665 $30,332 $17,544 +166% $24,544 +90%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $46,634 $30,312 $55,519 −16% $66,685 −30%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $46,410 $30,167 $48,165 −4% $52,036 −11%
663 MINOR BLADDER PROCEDURES WITH CC $46,338 $30,120 $36,581 +27% $33,103 +40%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $46,298 $30,094 $23,326 +98% $34,434 +34%
834 ACUTE LEUKEMIA WITH MCC $46,259 $30,068 $74,709 −38% $85,566 −46%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $46,241 $30,057 $18,260 +153% $21,230 +118%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $46,186 $30,021 $20,875 +121% $30,242 +53%
398 APPENDIX PROCEDURES WITH CC $46,163 $30,006 $51,309 −10% $40,162 +15%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $46,097 $29,963 $30,860 +49% $42,906 +7%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $46,038 $29,925 $37,413 +23% $44,139 +4%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $45,971 $29,881 $45,971 +0% $32,841 +40%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $44,650 $29,022 $27,668 +61% $37,844 +18%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $44,618 $29,002 $44,618 +0% $48,682 −8%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $44,553 $28,959 $41,108 +8% $42,126 +6%
662 MINOR BLADDER PROCEDURES WITH MCC $44,518 $28,937 $44,100 +1% $54,562 −18%
030 SPINAL PROCEDURES WITHOUT CC/MCC $44,408 $28,865 $32,077 +38% $45,866 −3%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $44,110 $28,671 $44,110 +0% $32,451 +36%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $43,822 $28,485 $40,130 +9% $34,459 +27%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $43,673 $28,388 $56,247 −22% $52,178 −16% ≈94% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $43,568 $28,319 $46,455 −6% $38,094 +14%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $43,285 $28,135 $56,995 −24% $43,943 −1%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $43,043 $27,978 $61,215 −30% $51,953 −17%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $42,702 $27,756 $14,654 +191% $16,998 +151%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $42,428 $27,578 $18,536 +129% $19,598 +116%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $42,119 $27,378 $57,572 −27% $44,606 −6%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $41,922 $27,249 $19,686 +113% $23,498 +78%
666 PROSTATECTOMY WITH CC $41,721 $27,119 $24,574 +70% $31,906 +31%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $41,474 $26,958 $24,610 +69% $32,100 +29%
180 RESPIRATORY NEOPLASMS WITH MCC $41,406 $26,914 $41,406 +0% $36,658 +13%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $41,317 $26,856 $21,795 +90% $35,465 +17%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $41,251 $26,813 $17,209 +140% $22,314 +85%
380 COMPLICATED PEPTIC ULCER WITH MCC $41,251 $26,813 $41,251 +0% $39,627 +4%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $41,220 $26,793 $37,880 +9% $25,034 +65%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $41,101 $26,715 $27,276 +51% $36,670 +12%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $40,976 $26,635 $40,976 +0% $50,394 −19%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $40,674 $26,438 $19,916 +104% $25,748 +58%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $40,656 $26,427 $32,385 +26% $47,737 −15%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $40,393 $26,255 $16,402 +146% $17,934 +125%
347 ANAL AND STOMAL PROCEDURES WITH MCC $40,311 $26,202 $36,341 +11% $40,548 −1%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $40,171 $26,111 $21,228 +89% $25,094 +60%
549 SEPTIC ARTHRITIS WITH CC $39,872 $25,917 $41,585 −4% $24,056 +66%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $39,767 $25,848 $36,097 +10% $39,173 +2%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $39,658 $25,777 $34,165 +16% $31,264 +27% ≈117% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $39,614 $25,749 $36,937 +7% $36,937 +7%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $39,586 $25,731 $39,586 +0% $31,321 +26%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $39,271 $25,526 $25,994 +51% $30,553 +29%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $38,806 $25,224 $38,806 +0% $39,955 −3%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $38,806 $25,224 $25,998 +49% $27,617 +41%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $38,327 $24,912 $41,620 −8% $32,021 +20% ≈108% of Medicare
694 URINARY STONES WITHOUT MCC $38,267 $24,873 $22,004 +74% $17,345 +121%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $38,254 $24,865 $32,969 +16% $40,108 −5%
504 FOOT PROCEDURES WITH CC $38,017 $24,711 $39,089 −3% $38,960 −2%
374 DIGESTIVE MALIGNANCY WITH MCC $37,644 $24,469 $37,644 +0% $39,958 −6%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $37,351 $24,278 $37,588 −1% $48,687 −23%
540 OSTEOMYELITIS WITH CC $37,326 $24,262 $31,282 +19% $26,676 +40%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $37,195 $24,177 $44,022 −16% $42,881 −13%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $37,051 $24,083 $37,051 +0% $28,320 +31%
667 PROSTATECTOMY WITHOUT CC/MCC $36,824 $23,936 $16,534 +123% $16,703 +120%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $36,742 $23,883 $42,329 −13% $51,985 −29%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $36,583 $23,779 $33,800 +8% $40,562 −10%
919 COMPLICATIONS OF TREATMENT WITH MCC $36,329 $23,614 $36,329 +0% $31,105 +17%
541 OSTEOMYELITIS WITHOUT CC/MCC $36,222 $23,544 $14,549 +149% $15,215 +138%
709 PENIS PROCEDURES WITH CC/MCC $35,636 $23,163 $35,636 +0% $34,535 +3%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $35,421 $23,024 $35,421 +0% $45,333 −22%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $35,210 $22,886 $27,988 +26% $29,949 +18%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $35,164 $22,857 $49,721 −29% $66,711 −47%
835 ACUTE LEUKEMIA WITH CC $35,087 $22,807 $30,915 +13% $35,569 −1%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $34,949 $22,717 $19,350 +81% $22,851 +53%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $34,854 $22,655 $34,854 +0% $38,101 −9%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $34,797 $22,618 $38,890 −11% $36,489 −5%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $34,577 $22,475 $34,577 +0% $17,700 +95%
100 SEIZURES WITH MCC $34,570 $22,471 $34,570 +0% $35,481 −3% ≈95% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $34,193 $22,225 $36,599 −7% $27,297 +25%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $33,621 $21,853 $22,265 +51% $25,073 +34%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $33,517 $21,786 $47,403 −29% $70,371 −52%
196 INTERSTITIAL LUNG DISEASE WITH MCC $33,467 $21,754 $27,647 +21% $32,637 +3%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $33,358 $21,683 $36,090 −8% $37,387 −11%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $33,264 $21,622 $52,078 −36% $37,842 −12% ≈98% of Medicare
444 DISORDERS OF THE BILIARY TRACT WITH MCC $33,098 $21,514 $38,406 −14% $34,273 −3%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,985 $21,440 $32,985 +0% $30,243 +9%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $32,628 $21,208 $37,691 −13% $35,628 −8% ≈97% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $32,559 $21,163 $32,559 +0% $27,043 +20%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $32,532 $21,146 $32,532 +0% $19,227 +69% ≈136% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $32,091 $20,859 $32,091 +0% $30,235 +6%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $31,907 $20,740 $38,454 −17% $43,491 −27%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $31,708 $20,610 $38,581 −18% $51,746 −39%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $31,481 $20,463 $24,656 +28% $24,566 +28%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $31,458 $20,448 $41,952 −25% $46,402 −32%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,445 $20,439 $39,353 −20% $38,666 −19%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $31,419 $20,422 $32,604 −4% $41,892 −25%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $31,329 $20,364 $64,691 −52% $62,821 −50%
445 DISORDERS OF THE BILIARY TRACT WITH CC $31,283 $20,334 $31,283 +0% $23,319 +34%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $31,252 $20,314 $16,212 +93% $16,212 +93%
501 SOFT TISSUE PROCEDURES WITH CC $31,196 $20,277 $31,927 −2% $39,619 −21%
913 TRAUMATIC INJURY WITH MCC $31,100 $20,215 $27,649 +12% $24,198 +29%
693 URINARY STONES WITH MCC $31,040 $20,176 $31,040 +0% $23,892 +30%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $31,010 $20,157 $12,903 +140% $14,716 +111%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $30,991 $20,144 $41,516 −25% $39,181 −21%
139 SALIVARY GLAND PROCEDURES $30,972 $20,132 $21,014 +47% $23,612 +31%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $30,892 $20,080 $19,306 +60% $15,549 +99%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $30,839 $20,045 $19,978 +54% $19,962 +54%
076 VIRAL MENINGITIS WITHOUT CC/MCC $30,752 $19,989 $15,094 +104% $17,135 +79%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $30,719 $19,968 $18,191 +69% $25,652 +20%
669 TRANSURETHRAL PROCEDURES WITH CC $30,556 $19,861 $30,775 −1% $34,354 −11%
088 CONCUSSION WITH MCC $30,438 $19,784 $21,503 +42% $24,402 +25%
849 RADIOTHERAPY $30,386 $19,751 $37,862 −20% $37,862 −20%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $30,353 $19,729 $19,354 +57% $19,354 +57%
570 SKIN DEBRIDEMENT WITH MCC $30,263 $19,671 $60,276 −50% $52,435 −42%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $30,216 $19,640 $19,911 +52% $26,870 +12%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,021 $19,514 $30,021 +0% $24,127 +24%
791 PREMATURITY WITH MAJOR PROBLEMS $30,009 $19,506 $55,055 −45% $42,679 −30%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $29,985 $19,490 $29,985 +0% $37,950 −21%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $29,968 $19,479 $37,387 −20% $29,221 +3%
181 RESPIRATORY NEOPLASMS WITH CC $29,794 $19,366 $29,493 +1% $23,573 +26%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $29,694 $19,301 $65,742 −55% $46,453 −36%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $29,652 $19,274 $19,655 +51% $28,156 +5%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $29,650 $19,273 $14,937 +98% $16,552 +79%
348 ANAL AND STOMAL PROCEDURES WITH CC $29,572 $19,222 $38,329 −23% $27,947 +6%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $29,467 $19,154 $25,129 +17% $23,283 +27%
551 MEDICAL BACK PROBLEMS WITH MCC $29,332 $19,066 $29,332 +0% $34,017 −14%
602 CELLULITIS WITH MCC $29,328 $19,063 $36,196 −19% $30,598 −4%
607 MINOR SKIN DISORDERS WITHOUT MCC $29,306 $19,049 $29,306 +0% $15,889 +84%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $29,153 $18,949 $29,153 +0% $26,932 +8%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $29,135 $18,938 $32,399 −10% $30,571 −5%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $29,026 $18,867 $29,026 +0% $30,083 −4%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $28,987 $18,841 $22,960 +26% $19,270 +50%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $28,981 $18,838 $31,740 −9% $41,608 −30%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $28,909 $18,791 $18,290 +58% $23,443 +23%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $28,825 $18,736 $33,589 −14% $27,843 +4%
637 DIABETES WITH MCC $28,819 $18,732 $32,615 −12% $30,100 −4%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $28,762 $18,695 $32,815 −12% $39,106 −26% ≈100% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,529 $18,544 $32,942 −13% $40,213 −29%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $28,515 $18,535 $24,877 +15% $27,285 +5%
593 SKIN ULCERS WITH CC $28,252 $18,364 $29,409 −4% $22,886 +23%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $28,250 $18,362 $21,775 +30% $19,846 +42%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $28,243 $18,358 $14,627 +93% $19,854 +42%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $28,178 $18,316 $28,685 −2% $33,633 −16%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $28,136 $18,289 $23,768 +18% $16,776 +68%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $28,133 $18,287 $16,427 +71% $22,635 +24%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $28,117 $18,276 $53,565 −48% $33,653 −16%
906 HAND PROCEDURES FOR INJURIES $28,049 $18,232 $31,520 −11% $32,065 −13%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $28,040 $18,226 $45,498 −38% $58,745 −52%
199 PNEUMOTHORAX WITH MCC $27,938 $18,160 $40,222 −31% $33,787 −17%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $27,917 $18,146 $29,140 −4% $20,463 +36% ≈127% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $27,833 $18,091 $54,567 −49% $33,555 −17%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $27,810 $18,077 $27,810 +0% $29,743 −6%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $27,690 $17,998 $16,441 +68% $14,014 +98%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $27,375 $17,794 $29,109 −6% $29,611 −8%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $27,318 $17,757 $49,718 −45% $59,533 −54%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $27,186 $17,671 $27,118 +0% $27,152 +0%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,098 $17,614 $33,854 −20% $32,859 −18%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $26,839 $17,445 $60,697 −56% $70,177 −62%
138 MOUTH PROCEDURES WITHOUT CC/MCC $26,764 $17,396 $14,786 +81% $19,119 +40%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $26,748 $17,386 $40,467 −34% $30,828 −13% ≈105% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $26,746 $17,385 $16,857 +59% $20,232 +32%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $26,638 $17,315 $31,922 −17% $33,707 −21% ≈96% of Medicare
186 PLEURAL EFFUSION WITH MCC $26,550 $17,257 $41,699 −36% $33,834 −22%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $26,398 $17,159 $30,914 −15% $46,727 −44%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $26,118 $16,977 $35,990 −27% $40,362 −35%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $25,992 $16,895 $18,707 +39% $21,847 +19%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $25,981 $16,888 $25,981 +0% $22,148 +17%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $25,917 $16,846 $39,006 −34% $36,792 −30%
184 MAJOR CHEST TRAUMA WITH CC $25,910 $16,842 $20,832 +24% $22,432 +16%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $25,833 $16,791 $25,833 +0% $30,010 −14%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $25,712 $16,713 $18,572 +38% $25,712 +0%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $25,607 $16,645 $42,046 −39% $33,985 −25%
595 MAJOR SKIN DISORDERS WITH MCC $25,574 $16,623 $30,646 −17% $34,598 −26%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $25,495 $16,572 $18,769 +36% $18,348 +39%
150 EPISTAXIS WITH MCC $25,408 $16,515 $21,133 +20% $23,171 +10%
506 MAJOR THUMB OR JOINT PROCEDURES $25,363 $16,486 $22,651 +12% $30,557 −17%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $25,362 $16,485 $28,160 −10% $31,017 −18%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $25,314 $16,454 $33,279 −24% $22,098 +15% ≈101% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $25,298 $16,444 $25,298 +0% $33,048 −23%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,258 $16,417 $44,069 −43% $33,047 −24%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $25,144 $16,344 $14,055 +79% $14,055 +79%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $25,014 $16,259 $25,121 −0% $31,563 −21%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $24,914 $16,194 $33,295 −25% $24,914 +0% ≈102% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $24,838 $16,145 $23,552 +5% $26,463 −6%
697 URETHRAL STRICTURE $24,773 $16,102 $16,196 +53% $18,428 +34%
811 RED BLOOD CELL DISORDERS WITH MCC $24,733 $16,076 $24,733 +0% $28,226 −12% ≈117% of Medicare
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $24,669 $16,035 $14,770 +67% $15,764 +56%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $24,520 $15,938 $28,555 −14% $38,861 −37%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $24,510 $15,932 $24,586 −0% $25,197 −3%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $24,382 $15,848 $26,787 −9% $33,424 −27%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $24,372 $15,842 $45,317 −46% $26,770 −9% ≈106% of Medicare
813 COAGULATION DISORDERS $24,365 $15,837 $24,365 +0% $33,296 −27%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $24,326 $15,812 $25,521 −5% $21,396 +14% ≈117% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $24,278 $15,781 $15,153 +60% $20,455 +19%
375 DIGESTIVE MALIGNANCY WITH CC $24,270 $15,775 $24,270 +0% $27,277 −11%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $24,237 $15,754 $20,571 +18% $23,571 +3%
920 COMPLICATIONS OF TREATMENT WITH CC $24,091 $15,659 $24,091 +0% $22,468 +7%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $23,966 $15,578 $23,966 +0% $27,394 −13%
197 INTERSTITIAL LUNG DISEASE WITH CC $23,963 $15,576 $16,923 +42% $21,941 +9%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $23,825 $15,486 $51,211 −53% $32,877 −28%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $23,726 $15,422 $27,695 −14% $33,255 −29%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $23,720 $15,418 $35,896 −34% $32,496 −27% ≈98% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $23,681 $15,393 $32,483 −27% $24,177 −2%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $23,593 $15,335 $21,908 +8% $22,525 +5%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $23,557 $15,312 $34,755 −32% $31,951 −26% ≈91% of Medicare
935 NON-EXTENSIVE BURNS $23,525 $15,291 $30,446 −23% $31,701 −26%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $23,519 $15,287 $39,472 −40% $30,959 −24% ≈103% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $23,475 $15,259 $40,375 −42% $34,192 −31%
188 PLEURAL EFFUSION WITHOUT CC/MCC $23,457 $15,247 $12,723 +84% $14,514 +62%
596 MAJOR SKIN DISORDERS WITHOUT MCC $23,454 $15,245 $17,226 +36% $17,226 +36%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $23,435 $15,233 $31,466 −26% $27,275 −14% ≈108% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $23,183 $15,069 $21,346 +9% $27,861 −17%
183 MAJOR CHEST TRAUMA WITH MCC $22,842 $14,847 $23,796 −4% $29,933 −24%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $22,735 $14,778 $20,139 +13% $20,084 +13%
711 TESTES PROCEDURES WITH CC/MCC $22,649 $14,722 $27,991 −19% $38,343 −41%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $22,569 $14,670 $22,569 +0% $20,488 +10% ≈119% of Medicare
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $22,540 $14,651 $25,633 −12% $29,826 −24%
643 ENDOCRINE DISORDERS WITH MCC $22,396 $14,557 $39,983 −44% $33,563 −33%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $22,252 $14,464 $40,406 −45% $32,628 −32% ≈105% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $22,168 $14,409 $29,372 −25% $33,876 −35%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $21,956 $14,271 $24,871 −12% $26,682 −18%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $21,937 $14,259 $35,153 −38% $38,070 −42%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $21,916 $14,245 $31,730 −31% $28,050 −22% ≈110% of Medicare
682 RENAL FAILURE WITH MCC $21,769 $14,150 $35,346 −38% $29,064 −25% ≈105% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $21,752 $14,139 $27,950 −22% $26,776 −19% ≈102% of Medicare
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $21,747 $14,135 $29,948 −27% $31,159 −30%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $21,693 $14,101 $23,734 −9% $25,303 −14%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $21,638 $14,065 $14,668 +48% $16,520 +31%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $21,621 $14,054 $19,017 +14% $25,581 −15%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $21,605 $14,043 $21,605 +0% $22,506 −4%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,590 $14,033 $29,466 −27% $27,316 −21%
947 SIGNS AND SYMPTOMS WITH MCC $21,461 $13,950 $32,529 −34% $27,401 −22%
158 DENTAL AND ORAL DISEASES WITH CC $21,414 $13,919 $19,778 +8% $18,466 +16%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $21,411 $13,917 $33,054 −35% $23,940 −11% ≈116% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $21,175 $13,764 $29,825 −29% $23,749 −11%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $21,083 $13,704 $32,757 −36% $25,463 −17% ≈103% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $21,018 $13,661 $19,614 +7% $14,368 +46%
948 SIGNS AND SYMPTOMS WITHOUT MCC $20,826 $13,537 $22,268 −6% $17,921 +16%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $20,661 $13,429 $24,572 −16% $22,458 −8%
103 HEADACHES WITHOUT MCC $20,630 $13,409 $20,630 +0% $21,280 −3%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $20,548 $13,356 $32,631 −37% $26,580 −23% ≈110% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,529 $13,344 $20,117 +2% $21,894 −6%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $20,457 $13,297 $49,675 −59% $39,973 −49%
304 HYPERTENSION WITH MCC $20,373 $13,242 $21,518 −5% $26,080 −22%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $20,317 $13,206 $22,205 −9% $23,551 −14%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $20,243 $13,158 $27,659 −27% $21,056 −4% ≈124% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $20,206 $13,134 $20,206 +0% $17,118 +18%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $20,100 $13,065 $35,307 −43% $36,249 −45%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $20,001 $13,001 $20,001 +0% $26,510 −25%
386 INFLAMMATORY BOWEL DISEASE WITH CC $19,830 $12,889 $29,116 −32% $22,033 −10%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $19,643 $12,768 $21,201 −7% $25,279 −22%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $19,626 $12,757 $22,313 −12% $23,488 −16% ≈100% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,604 $12,742 $29,232 −33% $24,386 −20% ≈127% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $19,528 $12,693 $20,048 −3% $15,038 +30%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $19,353 $12,579 $24,272 −20% $15,495 +25%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $19,294 $12,541 $15,603 +24% $19,924 −3%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $19,284 $12,534 $25,422 −24% $22,850 −16%
028 SPINAL PROCEDURES WITH MCC $19,240 $12,506 $81,731 −76% $113,077 −83%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $19,203 $12,482 $23,406 −18% $20,422 −6%
201 PNEUMOTHORAX WITHOUT CC/MCC $19,147 $12,446 $11,982 +60% $14,053 +36%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $19,077 $12,400 $25,176 −24% $32,944 −42%
149 DYSEQUILIBRIUM $19,068 $12,394 $21,737 −12% $18,096 +5%
887 OTHER MENTAL DISORDER DIAGNOSES $19,058 $12,387 $18,631 +2% $20,616 −8%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $18,956 $12,321 $17,159 +10% $18,956 +0%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $18,886 $12,276 $24,928 −24% $29,916 −37%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $18,822 $12,234 $19,117 −2% $18,488 +2%
157 DENTAL AND ORAL DISEASES WITH MCC $18,805 $12,223 $24,447 −23% $31,300 −40%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $18,776 $12,204 $31,349 −40% $42,901 −56%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $18,680 $12,142 $24,661 −24% $22,888 −18% ≈116% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $18,635 $12,112 $24,353 −23% $18,081 +3% ≈111% of Medicare
638 DIABETES WITH CC $18,552 $12,059 $19,243 −4% $19,661 −6%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $18,547 $12,055 $20,145 −8% $26,051 −29%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $18,334 $11,917 $31,044 −41% $31,044 −41%
639 DIABETES WITHOUT CC/MCC $18,321 $11,909 $18,007 +2% $13,910 +32%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $18,173 $11,813 $20,530 −11% $19,842 −8%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $18,157 $11,802 $29,080 −38% $23,141 −22%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $18,093 $11,760 $11,071 +63% $11,071 +63%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $18,064 $11,742 $18,064 +0% $18,002 +0%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,025 $11,716 $26,858 −33% $23,617 −24% ≈103% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $17,991 $11,694 $27,183 −34% $18,807 −4%
313 CHEST PAIN $17,918 $11,647 $17,918 +0% $16,440 +9% ≈118% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $17,856 $11,607 $25,095 −29% $20,506 −13%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $17,845 $11,600 $28,603 −38% $22,024 −19% ≈118% of Medicare
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,829 $11,589 $16,434 +8% $20,259 −12%
916 ALLERGIC REACTIONS WITHOUT MCC $17,802 $11,571 $15,322 +16% $13,942 +28%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $17,798 $11,569 $21,410 −17% $21,449 −17%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $17,725 $11,521 $17,725 +0% $16,846 +5%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,678 $11,491 $32,504 −46% $38,998 −55%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $17,601 $11,441 $18,375 −4% $17,601 +0%
534 FRACTURES OF FEMUR WITHOUT MCC $17,559 $11,413 $17,559 +0% $17,559 +0%
642 INBORN AND OTHER DISORDERS OF METABOLISM $17,545 $11,404 $17,545 +0% $20,727 −15%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $17,532 $11,396 $13,791 +27% $18,126 −3%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $17,527 $11,393 $17,527 +0% $16,767 +5%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $17,494 $11,371 $17,494 +0% $17,674 −1% ≈124% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $17,477 $11,360 $21,581 −19% $17,303 +1% ≈123% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $17,420 $11,323 $20,876 −17% $20,781 −16%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,357 $11,282 $17,357 +0% $16,565 +5%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $17,357 $11,282 $19,734 −12% $20,957 −17%
864 FEVER AND INFLAMMATORY CONDITIONS $17,337 $11,269 $26,362 −34% $18,640 −7%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $17,213 $11,188 $11,755 +46% $13,633 +26%
571 SKIN DEBRIDEMENT WITH CC $17,200 $11,180 $50,449 −66% $37,169 −54%
200 PNEUMOTHORAX WITH CC $17,149 $11,147 $17,568 −2% $21,368 −20%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $16,925 $11,001 $16,925 +0% $19,037 −11%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $16,856 $10,956 $21,446 −21% $27,163 −38%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $16,819 $10,932 $16,819 +0% $15,452 +9%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $16,808 $10,925 $13,288 +26% $17,124 −2%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $16,777 $10,905 $24,273 −31% $18,204 −8% ≈117% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $16,747 $10,886 $22,544 −26% $16,371 +2%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $16,709 $10,861 $22,232 −25% $17,724 −6%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $16,696 $10,853 $57,323 −71% $18,649 −10%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,499 $10,724 $26,590 −38% $16,351 +1%
089 CONCUSSION WITH CC $16,472 $10,707 $17,109 −4% $18,821 −12%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $16,428 $10,679 $22,879 −28% $20,901 −21%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $16,396 $10,657 $16,396 +0% $14,128 +16%
885 PSYCHOSES $16,329 $10,614 $21,489 −24% $21,729 −25% ≈104% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $16,300 $10,595 $21,120 −23% $19,096 −15%
305 HYPERTENSION WITHOUT MCC $16,244 $10,558 $27,094 −40% $18,086 −10%
312 SYNCOPE AND COLLAPSE $16,092 $10,460 $22,612 −29% $19,342 −17% ≈118% of Medicare
102 HEADACHES WITH MCC $16,051 $10,433 $18,243 −12% $25,740 −38%
123 NEUROLOGICAL EYE DISORDERS $15,985 $10,390 $13,618 +17% $19,745 −19%
865 VIRAL ILLNESS WITH MCC $15,891 $10,329 $22,618 −30% $26,910 −41%
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,846 $10,300 $33,107 −52% $24,552 −35%
075 VIRAL MENINGITIS WITH CC/MCC $15,837 $10,294 $39,006 −59% $30,447 −48%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $15,805 $10,273 $24,302 −35% $27,633 −43%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $15,723 $10,220 $19,048 −17% $18,459 −15%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $15,699 $10,204 $18,755 −16% $17,620 −11%
779 ABORTION WITHOUT D&C $15,546 $10,105 $15,327 +1% $15,327 +1%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $15,484 $10,065 $17,991 −14% $17,578 −12%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $15,461 $10,050 $15,461 +0% $15,837 −2%
101 SEIZURES WITHOUT MCC $15,438 $10,035 $17,956 −14% $20,461 −25% ≈122% of Medicare
603 CELLULITIS WITHOUT MCC $15,317 $9,956 $21,796 −30% $18,530 −17% ≈108% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $15,310 $9,952 $15,310 +0% $18,528 −17%
090 CONCUSSION WITHOUT CC/MCC $15,291 $9,939 $14,321 +7% $15,412 −1%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $15,249 $9,912 $8,927 +71% $8,927 +71%
539 OSTEOMYELITIS WITH MCC $15,214 $9,889 $39,199 −61% $37,609 −60%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,151 $9,848 $29,543 −49% $20,181 −25%
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,112 $9,823 $18,220 −17% $25,700 −41%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $15,085 $9,805 $15,085 +0% $13,275 +14%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,077 $9,800 $26,677 −43% $32,433 −54%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $15,075 $9,799 $11,921 +26% $14,549 +4%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,012 $9,758 $25,400 −41% $22,763 −34%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $14,885 $9,675 $30,644 −51% $27,543 −46%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $14,827 $9,638 $19,686 −25% $19,686 −25%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $14,734 $9,577 $20,885 −29% $13,384 +10% ≈145% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $14,600 $9,490 $18,806 −22% $17,322 −16% ≈123% of Medicare
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $14,535 $9,448 $14,535 +0% $15,370 −5%
187 PLEURAL EFFUSION WITH CC $14,492 $9,420 $22,677 −36% $21,789 −33%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $14,440 $9,386 $43,771 −67% $28,140 −49%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $14,414 $9,369 $14,414 +0% $18,452 −22%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,286 $9,286 $18,291 −22% $19,412 −26%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $14,266 $9,273 $19,935 −28% $17,038 −16% ≈126% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,245 $9,259 $25,241 −44% $16,288 −13%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $14,153 $9,200 $14,153 +0% $12,078 +17%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,149 $9,197 $22,138 −36% $21,275 −33% ≈107% of Medicare
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $14,022 $9,114 $15,121 −7% $18,072 −22%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,995 $9,097 $20,809 −33% $21,363 −34%
866 VIRAL ILLNESS WITHOUT MCC $13,910 $9,042 $14,678 −5% $17,081 −19%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,889 $9,028 $14,675 −5% $15,428 −10%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,716 $8,916 $22,628 −39% $24,586 −44%
683 RENAL FAILURE WITH CC $13,701 $8,906 $16,816 −19% $19,130 −28% ≈111% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $13,648 $8,871 $16,847 −19% $19,657 −31%
302 ATHEROSCLEROSIS WITH MCC $13,596 $8,837 $19,372 −30% $22,446 −39%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $13,392 $8,705 $16,503 −19% $13,361 +0%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $13,324 $8,660 $16,382 −19% $19,264 −31%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $13,221 $8,594 $15,243 −13% $17,733 −25%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $13,147 $8,546 $12,204 +8% $14,797 −11%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $13,133 $8,537 $17,275 −24% $15,183 −14%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $13,101 $8,516 $12,578 +4% $13,651 −4%
644 ENDOCRINE DISORDERS WITH CC $13,056 $8,486 $20,072 −35% $23,198 −44%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,032 $8,470 $15,326 −15% $14,648 −11%
914 TRAUMATIC INJURY WITHOUT MCC $12,949 $8,417 $20,851 −38% $15,855 −18%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $12,915 $8,395 $16,474 −22% $19,594 −34%
152 OTITIS MEDIA AND URI WITH MCC $12,784 $8,309 $17,922 −29% $20,247 −37%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,771 $8,301 $12,771 +0% $12,559 +2%
881 DEPRESSIVE NEUROSES $12,618 $8,202 $14,026 −10% $15,058 −16%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $12,591 $8,184 $16,076 −22% $18,602 −32%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $12,583 $8,179 $13,574 −7% $16,699 −25% ≈119% of Medicare
592 SKIN ULCERS WITH MCC $12,228 $7,948 $29,882 −59% $33,246 −63%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,209 $7,936 $22,651 −46% $30,502 −60%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $12,115 $7,875 $44,584 −73% $49,710 −76%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $11,919 $7,747 $34,988 −66% $12,229 −3%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,879 $7,721 $14,615 −19% $13,824 −14%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,661 $7,579 $11,421 +2% $11,421 +2%
606 MINOR SKIN DISORDERS WITH MCC $11,535 $7,498 $33,799 −66% $27,975 −59%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,465 $7,452 $21,277 −46% $27,119 −58%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $11,419 $7,422 $15,986 −29% $20,895 −45%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,401 $7,411 $18,133 −37% $18,133 −37%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,290 $7,338 $12,235 −8% $12,252 −8%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $11,288 $7,337 $12,919 −13% $16,634 −32%
303 ATHEROSCLEROSIS WITHOUT MCC $11,284 $7,334 $20,526 −45% $14,927 −24%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $11,200 $7,280 $11,294 −1% $12,324 −9%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,172 $7,262 $17,650 −37% $15,600 −28%
151 EPISTAXIS WITHOUT MCC $10,986 $7,141 $13,032 −16% $13,032 −16%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,976 $7,134 $16,213 −32% $17,737 −38%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $10,848 $7,051 $15,311 −29% $16,968 −36%
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,437 $6,784 $22,077 −53% $24,941 −58%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,252 $6,664 $21,642 −53% $27,808 −63%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,901 $6,435 $9,940 −0% $9,940 −0%
311 ANGINA PECTORIS $9,767 $6,349 $19,453 −50% $15,502 −37%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,761 $6,344 $26,296 −63% $39,515 −75%
882 NEUROSES EXCEPT DEPRESSIVE $9,686 $6,296 $10,585 −8% $15,680 −38%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,546 $6,205 $15,240 −37% $8,445 +13%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,534 $6,197 $24,084 −60% $19,305 −51%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,463 $6,151 $11,484 −18% $12,895 −27%
684 RENAL FAILURE WITHOUT CC/MCC $9,203 $5,982 $13,284 −31% $13,642 −33%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,991 $5,844 $11,752 −23% $14,638 −39%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,771 $5,701 $15,788 −44% $14,689 −40%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,617 $5,601 $10,480 −18% $10,480 −18%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,397 $5,458 $27,428 −69% $18,150 −54%
795 NORMAL NEWBORN $8,192 $5,325 $7,412 +11% $4,720 +74%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,170 $5,311 $10,975 −26% $10,975 −26%
204 RESPIRATORY SIGNS AND SYMPTOMS $7,827 $5,088 $13,720 −43% $18,004 −57%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,602 $4,941 $21,563 −65% $26,280 −71%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $7,078 $4,600 $12,454 −43% $12,454 −43%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,307 $4,100 $10,171 −38% $14,250 −56%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $5,979 $3,886 $12,960 −54% $23,206 −74%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,431 $3,530 $10,316 −47% $12,999 −58%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,793 $3,115 $12,234 −61% $12,460 −62%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,846 $2,500 $10,553 −64% $10,160 −62%
153 OTITIS MEDIA AND URI WITHOUT MCC $3,187 $2,072 $20,533 −84% $14,583 −78%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,487 $1,616 $26,359 −91% $19,569 −87%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,363 $1,536 $14,064 −83% $14,064 −83%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,312 $1,503 $19,874 −88% $15,019 −85%