Owensboro Health Twin Lakes Medical Center — Pricing

676 procedures published in this hospital's Machine-Readable File (MRF) — 676 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 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.

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% $175,437 +94% —
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% $431,073 −23% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $313,526 $203,792 $139,148 +125% $191,314 +64% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $307,705 $200,009 $82,102 +275% $106,219 +190% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $301,259 $195,818 $103,817 +190% $138,868 +117% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $296,082 $192,454 $99,813 +197% $80,885 +266% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $295,996 $192,397 $89,209 +232% $115,937 +155% —
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% $93,934 +197% —
265 AICD LEAD PROCEDURES $265,518 $172,587 $49,492 +436% $56,216 +372% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $262,025 $170,316 $71,776 +265% $102,177 +156% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $261,148 $169,747 $31,079 +740% $34,900 +648% —
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% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $244,527 $158,942 $89,681 +173% $114,665 +113% —
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% $121,728 +96% —
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% $119,071 +96% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $228,856 $148,757 $86,542 +164% $121,714 +88% —
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% $75,585 +195% —
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% $151,029 +30% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $195,963 $127,376 $40,406 +385% $58,968 +232% —
037 EXTRACRANIAL PROCEDURES WITH MCC $194,955 $126,721 $54,596 +257% $64,749 +201% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $190,012 $123,508 $53,970 +252% $75,492 +152% —
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% $68,590 +173% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $185,991 $120,894 $25,133 +640% $28,578 +551% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $184,901 $120,185 $155,184 +19% $39,093 +373% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $183,004 $118,953 $68,045 +169% $84,861 +116% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $179,483 $116,664 $78,750 +128% $83,065 +116% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $177,068 $115,094 $93,075 +90% $87,495 +102% —
503 FOOT PROCEDURES WITH MCC $175,742 $114,232 $73,699 +138% $43,982 +300% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $166,776 $108,404 $37,754 +342% $45,271 +268% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $164,033 $106,621 $108,745 +51% $66,819 +145% —
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% $86,953 +79% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $154,818 $100,632 $67,791 +128% $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% $48,907 +215% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $152,005 $98,804 $56,535 +169% $66,853 +127% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $151,810 $98,676 $69,912 +117% $79,944 +90% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $151,114 $98,224 $189,364 −20% $137,160 +10% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $150,727 $97,972 $22,783 +562% $26,998 +458% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $150,113 $97,573 $43,701 +243% $65,573 +129% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $149,810 $97,376 $43,021 +248% $53,555 +180% —
472 CERVICAL SPINAL FUSION WITH CC $149,310 $97,051 $40,797 +266% $59,537 +151% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $148,647 $96,621 $61,240 +143% $88,307 +68% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $147,505 $95,878 $24,514 +502% $31,566 +367% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $147,419 $95,822 $43,510 +239% $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% $53,787 +171% —
163 MAJOR CHEST PROCEDURES WITH MCC $145,570 $94,621 $121,319 +20% $88,341 +65% —
231 CORONARY BYPASS WITH PTCA WITH MCC $143,484 $93,265 $112,178 +28% $145,864 −2% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $141,196 $91,777 $129,077 +9% $56,197 +151% —
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% $30,930 +344% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $136,324 $88,611 $33,237 +310% $35,806 +281% —
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% $40,277 +232% —
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% $53,868 +142% —
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $128,251 $83,363 $128,251 +0% $58,739 +118% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $126,092 $81,960 $28,958 +335% $29,598 +326% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $124,873 $81,168 $128,333 −3% $74,274 +68% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $123,889 $80,528 $44,783 +177% $57,277 +116% —
653 MAJOR BLADDER PROCEDURES WITH MCC $123,492 $80,270 $100,871 +22% $97,028 +27% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $120,423 $78,275 $53,665 +124% $72,908 +65% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $119,824 $77,885 $73,986 +62% $93,783 +28% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $119,602 $77,741 $119,602 +0% $71,014 +68% —
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 $76,970 +55% $106,778 +12% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $119,085 $77,405 $119,085 +0% $110,102 +8% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $118,718 $77,167 $77,786 +53% $80,747 +47% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $114,779 $74,606 $47,637 +141% $64,468 +78% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $111,823 $72,685 $111,058 +1% $50,011 +124% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $111,366 $72,388 $111,366 +0% $64,956 +71% —
164 MAJOR CHEST PROCEDURES WITH CC $110,113 $71,573 $37,627 +193% $53,141 +107% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $109,863 $71,411 $109,863 +0% $70,132 +57% —
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 $114,483 −5% $84,825 +28% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $107,108 $69,620 $107,108 +0% $40,063 +167% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $106,962 $69,525 $120,476 −11% $88,050 +21% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $106,038 $68,925 $43,235 +145% $44,839 +136% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $105,697 $68,703 $87,452 +21% $94,320 +12% —
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% $49,055 +113% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $103,586 $67,331 $32,719 +217% $46,306 +124% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $103,254 $67,115 $65,149 +58% $85,882 +20% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $102,357 $66,532 $79,739 +28% $48,801 +110% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $102,052 $66,334 $250,443 −59% $245,189 −58% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $101,347 $65,876 $33,823 +200% $47,546 +113% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $101,347 $65,876 $23,998 +322% $35,584 +185% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $99,279 $64,531 $27,387 +263% $41,380 +140% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $99,124 $64,430 $99,124 +0% $57,030 +74% —
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% $40,563 +142% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $97,556 $63,412 $26,986 +262% $40,694 +140% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $97,357 $63,282 $48,670 +100% $68,399 +42% —
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 $26,007 +267% $35,673 +168% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $94,504 $61,427 $22,893 +313% $33,694 +180% —
263 VEIN LIGATION AND STRIPPING $93,875 $61,019 $38,005 +147% $44,938 +109% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $92,907 $60,390 $39,624 +134% $46,659 +99% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $92,520 $60,138 $53,307 +74% $55,002 +68% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $92,466 $60,103 $73,455 +26% $95,375 −3% —
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% $44,989 +102% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $90,850 $59,052 $102,313 −11% $54,772 +66% —
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 $33,546 +169% $50,139 +80% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $90,218 $58,642 $53,166 +70% $68,421 +32% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $90,159 $58,603 $71,689 +26% $56,394 +60% —
253 OTHER VASCULAR PROCEDURES WITH CC $89,568 $58,219 $89,568 +0% $53,746 +67% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $89,338 $58,070 $89,338 +0% $93,769 −5% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $89,207 $57,984 $73,103 +22% $78,327 +14% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $89,195 $57,976 $51,482 +73% $61,353 +45% —
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 $117,172 −26% $86,938 −0% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $86,700 $56,355 $80,287 +8% $45,916 +89% —
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% $59,207 +43% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $84,462 $54,900 $33,073 +155% $20,371 +315% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $84,405 $54,863 $88,934 −5% $51,339 +64% —
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% $73,029 +14% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $82,100 $53,365 $46,188 +78% $63,310 +30% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $82,025 $53,316 $24,448 +236% $36,333 +126% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $80,482 $52,313 $23,902 +237% $33,962 +137% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $80,371 $52,241 $80,371 +0% $63,984 +26% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $79,276 $51,529 $45,479 +74% $64,465 +23% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $78,776 $51,204 $87,317 −10% $75,103 +5% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $78,716 $51,166 $78,716 +0% $50,998 +54% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $78,680 $51,142 $78,680 +0% $60,140 +31% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $78,561 $51,065 $78,561 +0% $36,241 +117% —
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% $32,189 +143% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $77,154 $50,150 $32,773 +135% $43,313 +78% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $77,115 $50,125 $87,107 −11% $70,540 +9% —
799 SPLENIC PROCEDURES WITH MCC $76,920 $49,998 $76,920 +0% $78,821 −2% —
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% $27,319 +178% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $75,838 $49,295 $21,793 +248% $31,812 +138% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $75,214 $48,889 $100,074 −25% $66,765 +13% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $75,121 $48,829 $73,030 +3% $82,527 −9% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $74,394 $48,356 $75,489 −1% $55,147 +35% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $73,722 $47,919 $28,868 +155% $41,847 +76% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $73,395 $47,707 $59,500 +23% $58,713 +25% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $72,631 $47,210 $22,435 +224% $32,911 +121% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $71,015 $46,160 $23,257 +205% $25,484 +179% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $70,436 $45,784 $22,714 +210% $35,528 +98% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $69,908 $45,440 $40,991 +71% $54,475 +28% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $69,356 $45,081 $26,921 +158% $40,583 +71% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $69,314 $45,054 $47,191 +47% $41,701 +66% —
999 UNGROUPABLE $68,833 $44,742 $68,833 +0% $28,387 +142% —
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% $54,313 +25% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $67,932 $44,156 $121,510 −44% $72,879 −7% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $67,629 $43,959 $29,304 +131% $45,594 +48% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $67,580 $43,927 $26,949 +151% $14,012 +382% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $67,497 $43,873 $67,497 +0% $40,801 +65% —
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 $36,835 +82% $35,770 +88% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $66,645 $43,319 $45,324 +47% $19,868 +235% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $66,203 $43,032 $26,242 +152% $31,909 +107% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $65,498 $42,574 $35,224 +86% $52,332 +25% —
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% $47,635 +37% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $64,371 $41,841 $80,870 −20% $87,575 −26% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $63,949 $41,567 $80,880 −21% $71,755 −11% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $63,882 $41,524 $29,314 +118% $30,940 +106% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $63,832 $41,491 $51,962 +23% $44,087 +45% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $63,199 $41,079 $45,946 +38% $43,252 +46% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $62,850 $40,852 $62,850 +0% $60,861 +3% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $62,184 $40,420 $38,482 +62% $43,538 +43% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $61,934 $40,257 $25,409 +144% $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% $30,768 +101% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $61,532 $39,996 $68,276 −10% $65,383 −6% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $61,235 $39,803 $21,381 +186% $23,456 +161% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $60,893 $39,581 $25,923 +135% $34,158 +78% —
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% $39,675 +53% —
113 ORBITAL PROCEDURES WITH CC/MCC $60,709 $39,461 $32,482 +87% $35,642 +70% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $60,312 $39,203 $26,903 +124% $40,552 +49% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $59,910 $38,942 $19,637 +205% $25,621 +134% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $59,572 $38,722 $22,568 +164% $33,137 +80% —
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 $67,948 −14% $52,405 +12% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $58,544 $38,054 $50,550 +16% $61,206 −4% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $57,983 $37,689 $24,771 +134% $27,277 +113% —
668 TRANSURETHRAL PROCEDURES WITH MCC $57,389 $37,303 $41,045 +40% $47,126 +22% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $57,376 $37,294 $28,350 +102% $36,202 +58% —
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% $72,274 −21% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $56,024 $36,415 $24,502 +129% $28,554 +96% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $54,405 $35,363 $30,304 +80% $24,008 +127% —
597 MALIGNANT BREAST DISORDERS WITH MCC $54,090 $35,159 $28,079 +93% $31,846 +70% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $53,861 $35,010 $43,218 +25% $53,817 +0% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $53,861 $35,010 $46,760 +15% $62,790 −14% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $53,601 $34,841 $22,580 +137% $24,426 +119% —
500 SOFT TISSUE PROCEDURES WITH MCC $53,316 $34,655 $44,320 +20% $57,181 −7% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $52,922 $34,399 $33,284 +59% $41,520 +27% —
397 APPENDIX PROCEDURES WITH MCC $52,319 $34,008 $41,355 +27% $52,319 +0% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $52,243 $33,958 $52,243 +0% $72,843 −28% —
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% $64,488 −20% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $51,469 $33,455 $17,967 +186% $25,267 +104% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $51,452 $33,444 $19,581 +163% $19,894 +159% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $51,425 $33,426 $67,011 −23% $43,266 +19% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $50,774 $33,003 $24,292 +109% $27,074 +88% —
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 $31,037 +63% $35,453 +42% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $50,236 $32,653 $22,175 +127% $25,149 +100% —
533 FRACTURES OF FEMUR WITH MCC $50,231 $32,650 $24,534 +105% $25,945 +94% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $50,090 $32,559 $32,168 +56% $44,022 +14% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $50,031 $32,520 $48,482 +3% $35,375 +41% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $50,025 $32,516 $23,703 +111% $33,425 +50% —
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 $49,835 +0% $45,937 +8% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $49,657 $32,277 $31,193 +59% $44,553 +11% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $49,651 $32,273 $59,023 −16% $44,600 +11% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $49,606 $32,244 $55,985 −11% $71,873 −31% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $49,395 $32,107 $66,620 −26% $51,950 −5% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $49,318 $32,057 $51,717 −5% $35,693 +38% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $49,216 $31,990 $94,948 −48% $54,681 −10% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $49,142 $31,942 $41,895 +17% $33,790 +45% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $49,021 $31,863 $56,832 −14% $68,331 −28% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $49,007 $31,855 $54,898 −11% $71,519 −31% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $48,975 $31,834 $7,241 +576% $15,594 +214% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $48,507 $31,530 $22,791 +113% $24,229 +100% —
915 ALLERGIC REACTIONS WITH MCC $48,413 $31,468 $41,366 +17% $30,944 +56% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $48,224 $31,345 $44,310 +9% $35,961 +34% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $48,031 $31,220 $36,384 +32% $27,369 +75% —
336 PERITONEAL ADHESIOLYSIS WITH CC $47,718 $31,017 $53,658 −11% $49,071 −3% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $47,529 $30,894 $51,708 −8% $46,477 +2% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $47,257 $30,717 $45,398 +4% $34,089 +39% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $47,008 $30,555 $47,008 +0% $41,660 +13% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $46,946 $30,515 $80,515 −42% $76,954 −39% —
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 $53,357 −13% $62,961 −26% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $46,410 $30,167 $48,165 −4% $48,745 −5% —
663 MINOR BLADDER PROCEDURES WITH CC $46,338 $30,120 $36,581 +27% $29,924 +55% —
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% $76,004 −39% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $46,241 $30,057 $18,260 +153% $22,532 +105% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $46,186 $30,021 $20,875 +121% $24,928 +85% —
398 APPENDIX PROCEDURES WITH CC $46,163 $30,006 $56,455 −18% $38,574 +20% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $46,097 $29,963 $30,860 +49% $37,654 +22% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $46,038 $29,925 $28,787 +60% $43,775 +5% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $45,971 $29,881 $50,105 −8% $31,978 +44% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $44,650 $29,022 $27,668 +61% $32,976 +35% —
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 $43,210 +3% $42,126 +6% —
662 MINOR BLADDER PROCEDURES WITH MCC $44,518 $28,937 $43,683 +2% $54,483 −18% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $44,408 $28,865 $32,077 +38% $45,842 −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% $33,236 +32% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $43,673 $28,388 $54,813 −20% $47,574 −8% —
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% $43,444 −0% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $43,043 $27,978 $56,308 −24% $51,953 −17% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $42,702 $27,756 $14,654 +191% $15,608 +174% —
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% $42,119 +0% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $41,922 $27,249 $19,686 +113% $22,226 +89% —
666 PROSTATECTOMY WITH CC $41,721 $27,119 $24,574 +70% $30,016 +39% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $41,474 $26,958 $21,961 +89% $29,630 +40% —
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% $31,816 +30% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $41,251 $26,813 $17,209 +140% $18,126 +128% —
380 COMPLICATED PEPTIC ULCER WITH MCC $41,251 $26,813 $41,251 +0% $36,537 +13% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $41,220 $26,793 $37,880 +9% $24,017 +72% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $41,101 $26,715 $27,276 +51% $32,538 +26% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $40,976 $26,635 $40,976 +0% $49,631 −17% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $40,674 $26,438 $19,916 +104% $23,474 +73% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $40,656 $26,427 $32,385 +26% $44,927 −10% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $40,393 $26,255 $15,390 +162% $17,108 +136% —
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% $24,561 +64% —
549 SEPTIC ARTHRITIS WITH CC $39,872 $25,917 $40,728 −2% $20,808 +92% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $39,767 $25,848 $36,097 +10% $36,097 +10% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $39,658 $25,777 $34,165 +16% $29,957 +32% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $39,614 $25,749 $36,937 +7% $34,564 +15% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $39,586 $25,731 $42,499 −7% $30,259 +31% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $39,271 $25,526 $25,994 +51% $29,558 +33% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $38,806 $25,224 $38,806 +0% $35,108 +11% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $38,806 $25,224 $25,998 +49% $25,998 +49% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $38,327 $24,912 $40,534 −5% $31,190 +23% —
694 URINARY STONES WITHOUT MCC $38,267 $24,873 $22,004 +74% $16,451 +133% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $38,254 $24,865 $32,969 +16% $37,080 +3% —
504 FOOT PROCEDURES WITH CC $38,017 $24,711 $39,089 −3% $36,519 +4% —
374 DIGESTIVE MALIGNANCY WITH MCC $37,644 $24,469 $37,644 +0% $38,885 −3% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $37,351 $24,278 $37,588 −1% $45,558 −18% —
540 OSTEOMYELITIS WITH CC $37,326 $24,262 $31,282 +19% $23,494 +59% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $37,195 $24,177 $42,239 −12% $42,881 −13% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $37,051 $24,083 $30,179 +23% $27,492 +35% —
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 $30,811 +19% $35,029 +4% —
919 COMPLICATIONS OF TREATMENT WITH MCC $36,329 $23,614 $36,329 +0% $29,031 +25% —
541 OSTEOMYELITIS WITHOUT CC/MCC $36,222 $23,544 $14,549 +149% $14,549 +149% —
709 PENIS PROCEDURES WITH CC/MCC $35,636 $23,163 $33,997 +5% $34,535 +3% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $35,421 $23,024 $34,460 +3% $41,114 −14% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $35,210 $22,886 $20,766 +70% $28,509 +24% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $35,164 $22,857 $49,721 −29% $59,425 −41% —
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% $21,860 +60% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $34,854 $22,655 $34,854 +0% $36,355 −4% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $34,797 $22,618 $34,797 +0% $36,237 −4% —
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% $35,194 −2% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $34,193 $22,225 $34,193 +0% $26,146 +31% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $33,621 $21,853 $22,265 +51% $25,152 +34% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $33,517 $21,786 $47,403 −29% $67,215 −50% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $33,467 $21,754 $27,647 +21% $30,362 +10% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $33,358 $21,683 $34,724 −4% $35,990 −7% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $33,264 $21,622 $52,815 −37% $37,842 −12% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $33,098 $21,514 $33,098 +0% $31,029 +7% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,985 $21,440 $32,985 +0% $29,609 +11% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $32,628 $21,208 $35,355 −8% $34,876 −6% ≈108% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $32,559 $21,163 $32,559 +0% $23,039 +41% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $32,532 $21,146 $32,532 +0% $18,288 +78% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $32,091 $20,859 $32,091 +0% $28,001 +15% —
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% $44,973 −29% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $31,481 $20,463 $17,832 +77% $20,741 +52% —
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 $38,186 −18% $38,166 −18% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $31,419 $20,422 $32,604 −4% $36,318 −13% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $31,329 $20,364 $56,159 −44% $62,266 −50% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $31,283 $20,334 $31,283 +0% $21,666 +44% —
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 $31,562 −1% $37,975 −18% —
913 TRAUMATIC INJURY WITH MCC $31,100 $20,215 $24,198 +29% $24,198 +29% —
693 URINARY STONES WITH MCC $31,040 $20,176 $31,040 +0% $22,525 +38% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $31,010 $20,157 $12,903 +140% $14,337 +116% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $30,991 $20,144 $41,516 −25% $36,195 −14% —
139 SALIVARY GLAND PROCEDURES $30,972 $20,132 $21,014 +47% $21,014 +47% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $30,892 $20,080 $12,284 +151% $13,654 +126% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $30,839 $20,045 $15,959 +93% $19,001 +62% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $30,752 $19,989 $15,094 +104% $15,474 +99% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $30,719 $19,968 $18,191 +69% $25,206 +22% —
669 TRANSURETHRAL PROCEDURES WITH CC $30,556 $19,861 $30,556 +0% $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 $48,653 −38% $51,501 −41% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $30,216 $19,640 $19,911 +52% $23,646 +28% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,021 $19,514 $30,021 +0% $23,646 +27% —
791 PREMATURITY WITH MAJOR PROBLEMS $30,009 $19,506 $55,055 −45% $39,254 −24% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $29,985 $19,490 $29,405 +2% $37,950 −21% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $29,968 $19,479 $35,986 −17% $28,375 +6% —
181 RESPIRATORY NEOPLASMS WITH CC $29,794 $19,366 $29,794 +0% $22,065 +35% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $29,694 $19,301 $60,685 −51% $43,697 −32% —
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% $15,007 +98% —
348 ANAL AND STOMAL PROCEDURES WITH CC $29,572 $19,222 $37,030 −20% $27,947 +6% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $29,467 $19,154 $25,129 +17% $22,587 +30% —
551 MEDICAL BACK PROBLEMS WITH MCC $29,332 $19,066 $29,332 +0% $31,067 −6% —
602 CELLULITIS WITH MCC $29,328 $19,063 $33,511 −12% $29,347 −0% —
607 MINOR SKIN DISORDERS WITHOUT MCC $29,306 $19,049 $29,306 +0% $15,276 +92% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $29,153 $18,949 $29,153 +0% $25,243 +15% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $29,135 $18,938 $30,767 −5% $28,403 +3% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $29,026 $18,867 $29,026 +0% $29,374 −1% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $28,987 $18,841 $21,071 +38% $20,147 +44% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $28,981 $18,838 $31,740 −9% $38,382 −24% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $28,909 $18,791 $18,290 +58% $21,025 +38% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $28,825 $18,736 $31,207 −8% $25,038 +15% —
637 DIABETES WITH MCC $28,819 $18,732 $32,199 −10% $28,772 +0% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $28,762 $18,695 $30,568 −6% $35,714 −19% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,529 $18,544 $28,621 −0% $36,880 −23% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $28,515 $18,535 $21,240 +34% $24,118 +18% —
593 SKIN ULCERS WITH CC $28,252 $18,364 $28,252 +0% $20,470 +38% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $28,250 $18,362 $21,775 +30% $19,815 +43% —
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 $28,178 +0% $30,224 −7% —
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% $20,076 +40% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $28,117 $18,276 $51,909 −46% $32,804 −14% —
906 HAND PROCEDURES FOR INJURIES $28,049 $18,232 $31,520 −11% $31,520 −11% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $28,040 $18,226 $45,498 −38% $53,763 −48% —
199 PNEUMOTHORAX WITH MCC $27,938 $18,160 $38,824 −28% $31,085 −10% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $27,917 $18,146 $27,917 +0% $20,463 +36% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $27,833 $18,091 $49,467 −44% $31,627 −12% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $27,810 $18,077 $27,810 +0% $29,011 −4% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $27,690 $17,998 $13,385 +107% $13,385 +107% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $27,375 $17,794 $29,109 −6% $29,109 −6% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $27,318 $17,757 $49,718 −45% $57,855 −53% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $27,186 $17,671 $27,118 +0% $27,118 +0% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,098 $17,614 $32,891 −18% $29,867 −9% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $26,839 $17,445 $60,697 −56% $68,847 −61% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $26,764 $17,396 $13,752 +95% $17,383 +54% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $26,748 $17,386 $38,677 −31% $28,802 −7% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $26,746 $17,385 $16,857 +59% $18,000 +49% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $26,638 $17,315 $28,666 −7% $31,754 −16% ≈102% of Medicare
186 PLEURAL EFFUSION WITH MCC $26,550 $17,257 $39,289 −32% $32,385 −18% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $26,398 $17,159 $30,914 −15% $39,923 −34% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $26,118 $16,977 $35,990 −27% $39,657 −34% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $25,992 $16,895 $18,707 +39% $20,148 +29% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $25,981 $16,888 $25,981 +0% $21,323 +22% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $25,917 $16,846 $34,579 −25% $34,886 −26% —
184 MAJOR CHEST TRAUMA WITH CC $25,910 $16,842 $20,428 +27% $20,842 +24% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $25,833 $16,791 $24,543 +5% $28,252 −9% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $25,712 $16,713 $18,572 +38% $20,837 +23% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $25,607 $16,645 $39,660 −35% $31,913 −20% —
595 MAJOR SKIN DISORDERS WITH MCC $25,574 $16,623 $30,646 −17% $31,772 −20% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $25,495 $16,572 $16,495 +55% $16,495 +55% —
150 EPISTAXIS WITH MCC $25,408 $16,515 $21,133 +20% $21,133 +20% —
506 MAJOR THUMB OR JOINT PROCEDURES $25,363 $16,486 $22,651 +12% $28,983 −12% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $25,362 $16,485 $28,160 −10% $29,777 −15% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $25,314 $16,454 $29,296 −14% $21,886 +16% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $25,298 $16,444 $23,907 +6% $31,062 −19% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,258 $16,417 $38,914 −35% $30,681 −18% —
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% $29,409 −15% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $24,914 $16,194 $31,173 −20% $24,000 +4% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $24,838 $16,145 $22,265 +12% $25,786 −4% —
697 URETHRAL STRICTURE $24,773 $16,102 $16,196 +53% $17,705 +40% —
811 RED BLOOD CELL DISORDERS WITH MCC $24,733 $16,076 $24,733 +0% $27,674 −11% —
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% $32,901 −25% —
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 $24,382 +0% $33,424 −27% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $24,372 $15,842 $38,517 −37% $26,098 −7% —
813 COAGULATION DISORDERS $24,365 $15,837 $24,365 +0% $30,128 −19% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $24,326 $15,812 $24,326 +0% $20,632 +18% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $24,278 $15,781 $15,153 +60% $20,313 +20% —
375 DIGESTIVE MALIGNANCY WITH CC $24,270 $15,775 $24,270 +0% $27,125 −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% $20,879 +15% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $23,966 $15,578 $23,966 +0% $25,854 −7% —
197 INTERSTITIAL LUNG DISEASE WITH CC $23,963 $15,576 $16,923 +42% $20,105 +19% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $23,825 $15,486 $48,972 −51% $28,385 −16% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $23,726 $15,422 $27,695 −14% $31,743 −25% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $23,720 $15,418 $35,019 −32% $29,929 −21% —
381 COMPLICATED PEPTIC ULCER WITH CC $23,681 $15,393 $26,381 −10% $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 $32,778 −28% $30,814 −24% —
935 NON-EXTENSIVE BURNS $23,525 $15,291 $27,613 −15% $29,458 −20% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $23,519 $15,287 $37,362 −37% $29,521 −20% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $23,475 $15,259 $40,240 −42% $32,689 −28% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $23,457 $15,247 $12,723 +84% $14,252 +65% —
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 $28,258 −17% $25,766 −9% ≈121% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $23,183 $15,069 $21,346 +9% $24,348 −5% —
183 MAJOR CHEST TRAUMA WITH MCC $22,842 $14,847 $23,796 −4% $28,924 −21% —
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% $34,846 −35% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $22,569 $14,670 $22,569 +0% $20,408 +11% —
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 $36,315 −38% $32,953 −32% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $22,252 $14,464 $35,433 −37% $32,417 −31% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $22,168 $14,409 $24,869 −11% $33,339 −34% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $21,956 $14,271 $24,871 −12% $25,146 −13% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $21,937 $14,259 $31,025 −29% $36,850 −40% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $21,916 $14,245 $31,101 −30% $27,041 −19% —
682 RENAL FAILURE WITH MCC $21,769 $14,150 $34,605 −37% $27,640 −21% —
291 HEART FAILURE AND SHOCK WITH MCC $21,752 $14,139 $25,512 −15% $24,932 −13% ≈116% of Medicare
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $21,747 $14,135 $29,948 −27% $30,275 −28% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $21,693 $14,101 $21,693 +0% $22,590 −4% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $21,638 $14,065 $14,668 +48% $15,818 +37% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $21,621 $14,054 $19,017 +14% $23,588 −8% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $21,605 $14,043 $21,605 +0% $21,499 +0% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,590 $14,033 $27,970 −23% $25,596 −16% —
947 SIGNS AND SYMPTOMS WITH MCC $21,461 $13,950 $26,052 −18% $25,474 −16% —
158 DENTAL AND ORAL DISEASES WITH CC $21,414 $13,919 $19,778 +8% $17,751 +21% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $21,411 $13,917 $32,206 −34% $22,610 −5% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $21,175 $13,764 $25,500 −17% $23,749 −11% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $21,083 $13,704 $29,730 −29% $24,244 −13% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $21,018 $13,661 $19,581 +7% $14,368 +46% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $20,826 $13,537 $20,826 +0% $17,719 +18% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $20,661 $13,429 $21,421 −4% $22,010 −6% —
103 HEADACHES WITHOUT MCC $20,630 $13,409 $17,811 +16% $20,076 +3% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $20,548 $13,356 $29,484 −30% $24,603 −16% ≈114% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,529 $13,344 $20,117 +2% $21,029 −2% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $20,457 $13,297 $43,892 −53% $39,409 −48% —
304 HYPERTENSION WITH MCC $20,373 $13,242 $20,946 −3% $23,945 −15% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $20,317 $13,206 $21,261 −4% $23,400 −13% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $20,243 $13,158 $25,562 −21% $20,253 −0% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $20,206 $13,134 $20,206 +0% $16,622 +22% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $20,100 $13,065 $28,993 −31% $35,139 −43% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $20,001 $13,001 $20,001 +0% $24,447 −18% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $19,830 $12,889 $25,610 −23% $20,917 −5% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $19,643 $12,768 $20,537 −4% $24,277 −19% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $19,626 $12,757 $21,120 −7% $23,396 −16% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,604 $12,742 $28,893 −32% $24,103 −19% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $19,528 $12,693 $19,528 +0% $14,134 +38% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $19,353 $12,579 $19,353 +0% $15,072 +28% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $19,294 $12,541 $15,603 +24% $18,060 +7% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $19,284 $12,534 $23,559 −18% $22,850 −16% —
028 SPINAL PROCEDURES WITH MCC $19,240 $12,506 $81,731 −76% $95,858 −80% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $19,203 $12,482 $19,203 +0% $19,448 −1% —
201 PNEUMOTHORAX WITHOUT CC/MCC $19,147 $12,446 $11,982 +60% $13,081 +46% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $19,077 $12,400 $25,176 −24% $29,671 −36% —
149 DYSEQUILIBRIUM $19,068 $12,394 $19,068 +0% $17,203 +11% —
887 OTHER MENTAL DISORDER DIAGNOSES $19,058 $12,387 $18,631 +2% $20,557 −7% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $18,956 $12,321 $17,159 +10% $17,719 +7% —
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 $18,969 −1% $17,731 +6% —
157 DENTAL AND ORAL DISEASES WITH MCC $18,805 $12,223 $24,447 −23% $27,457 −32% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $18,776 $12,204 $31,349 −40% $37,681 −50% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $18,680 $12,142 $18,680 +0% $22,623 −17% ≈137% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $18,635 $12,112 $18,635 +0% $17,693 +5% —
638 DIABETES WITH CC $18,552 $12,059 $18,552 +0% $18,763 −1% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $18,547 $12,055 $20,145 −8% $23,956 −23% —
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 $19,381 −6% $18,243 −0% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $18,157 $11,802 $28,969 −37% $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% $17,754 +2% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,025 $11,716 $25,832 −30% $22,870 −21% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $17,991 $11,694 $27,183 −34% $18,104 −1% —
313 CHEST PAIN $17,918 $11,647 $17,918 +0% $15,837 +13% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $17,856 $11,607 $21,475 −17% $19,287 −7% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $17,845 $11,600 $25,939 −31% $22,024 −19% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,829 $11,589 $15,039 +19% $17,585 +1% —
916 ALLERGIC REACTIONS WITHOUT MCC $17,802 $11,571 $15,322 +16% $13,890 +28% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $17,798 $11,569 $20,531 −13% $21,449 −17% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $17,725 $11,521 $17,725 +0% $17,006 +4% —
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 $17,601 +0% $16,431 +7% —
534 FRACTURES OF FEMUR WITHOUT MCC $17,559 $11,413 $17,559 +0% $17,194 +2% —
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% $17,562 −0% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $17,527 $11,393 $17,527 +0% $16,104 +9% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $17,494 $11,371 $17,494 +0% $17,379 +1% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $17,477 $11,360 $17,477 +0% $16,645 +5% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $17,420 $11,323 $19,242 −9% $19,483 −11% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,357 $11,282 $17,357 +0% $14,861 +17% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $17,357 $11,282 $19,462 −11% $20,007 −13% —
864 FEVER AND INFLAMMATORY CONDITIONS $17,337 $11,269 $17,337 +0% $17,412 −0% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $17,213 $11,188 $11,755 +46% $13,362 +29% —
571 SKIN DEBRIDEMENT WITH CC $17,200 $11,180 $43,162 −60% $34,773 −51% —
200 PNEUMOTHORAX WITH CC $17,149 $11,147 $17,568 −2% $20,573 −17% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $16,925 $11,001 $16,925 +0% $16,654 +2% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $16,856 $10,956 $20,261 −17% $26,158 −36% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $16,819 $10,932 $16,819 +0% $15,045 +12% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $16,808 $10,925 $13,288 +26% $15,858 +6% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $16,777 $10,905 $21,039 −20% $18,204 −8% —
292 HEART FAILURE AND SHOCK WITH CC $16,747 $10,886 $21,278 −21% $15,878 +5% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $16,709 $10,861 $21,367 −22% $17,183 −3% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $16,696 $10,853 $57,323 −71% $16,708 −0% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $16,499 $10,724 $26,590 −38% $14,121 +17% —
089 CONCUSSION WITH CC $16,472 $10,707 $17,109 −4% $18,293 −10% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $16,428 $10,679 $17,477 −6% $19,091 −14% —
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% $21,489 −24% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $16,300 $10,595 $17,711 −8% $19,096 −15% —
305 HYPERTENSION WITHOUT MCC $16,244 $10,558 $22,806 −29% $16,897 −4% —
312 SYNCOPE AND COLLAPSE $16,092 $10,460 $19,517 −18% $19,342 −17% —
102 HEADACHES WITH MCC $16,051 $10,433 $18,243 −12% $21,983 −27% —
123 NEUROLOGICAL EYE DISORDERS $15,985 $10,390 $13,618 +17% $17,831 −10% —
865 VIRAL ILLNESS WITH MCC $15,891 $10,329 $22,350 −29% $26,088 −39% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,846 $10,300 $27,668 −43% $22,874 −31% —
075 VIRAL MENINGITIS WITH CC/MCC $15,837 $10,294 $32,930 −52% $29,751 −47% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $15,805 $10,273 $24,302 −35% $24,465 −35% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $15,723 $10,220 $18,325 −14% $18,459 −15% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $15,699 $10,204 $17,227 −9% $17,522 −10% —
779 ABORTION WITHOUT D&C $15,546 $10,105 $15,327 +1% $15,327 +1% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $15,484 $10,065 $15,484 +0% $17,345 −11% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $15,461 $10,050 $15,461 +0% $15,598 −1% —
101 SEIZURES WITHOUT MCC $15,438 $10,035 $15,448 −0% $19,930 −23% —
603 CELLULITIS WITHOUT MCC $15,317 $9,956 $19,438 −21% $18,359 −17% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $15,310 $9,952 $15,310 +0% $17,579 −13% —
090 CONCUSSION WITHOUT CC/MCC $15,291 $9,939 $14,321 +7% $14,873 +3% —
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 $38,824 −61% $33,614 −55% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,151 $9,848 $24,815 −39% $18,815 −19% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,112 $9,823 $18,220 −17% $24,146 −37% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $15,085 $9,805 $15,085 +0% $13,090 +15% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,077 $9,800 $26,677 −43% $29,476 −49% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $15,075 $9,799 $11,921 +26% $13,198 +14% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,012 $9,758 $23,492 −36% $22,231 −32% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $14,885 $9,675 $27,768 −46% $25,412 −41% —
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 $17,809 −17% $13,384 +10% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $14,600 $9,490 $14,600 +0% $17,322 −16% —
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 $19,451 −25% $21,467 −32% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $14,440 $9,386 $37,502 −61% $27,597 −48% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $14,414 $9,369 $14,008 +3% $18,038 −20% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,286 $9,286 $18,291 −22% $18,291 −22% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $14,266 $9,273 $17,630 −19% $16,718 −15% ≈116% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,245 $9,259 $23,842 −40% $14,880 −4% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $14,153 $9,200 $14,153 +0% $11,957 +18% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,149 $9,197 $18,398 −23% $20,732 −32% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $14,022 $9,114 $15,121 −7% $16,352 −14% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,995 $9,097 $17,614 −21% $20,716 −32% —
866 VIRAL ILLNESS WITHOUT MCC $13,910 $9,042 $14,678 −5% $16,348 −15% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,889 $9,028 $13,889 +0% $14,166 −2% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,716 $8,916 $22,628 −39% $24,450 −44% —
683 RENAL FAILURE WITH CC $13,701 $8,906 $16,455 −17% $18,322 −25% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $13,648 $8,871 $15,247 −10% $17,308 −21% —
302 ATHEROSCLEROSIS WITH MCC $13,596 $8,837 $18,292 −26% $20,810 −35% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $13,392 $8,705 $14,825 −10% $13,318 +1% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $13,324 $8,660 $16,382 −19% $18,005 −26% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $13,221 $8,594 $15,636 −15% $15,636 −15% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $13,147 $8,546 $12,204 +8% $13,303 −1% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $13,133 $8,537 $16,139 −19% $14,770 −11% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $13,101 $8,516 $12,055 +9% $12,794 +2% —
644 ENDOCRINE DISORDERS WITH CC $13,056 $8,486 $19,384 −33% $22,941 −43% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,032 $8,470 $13,184 −1% $14,411 −10% —
914 TRAUMATIC INJURY WITHOUT MCC $12,949 $8,417 $17,969 −28% $15,586 −17% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $12,915 $8,395 $16,033 −19% $19,326 −33% —
152 OTITIS MEDIA AND URI WITH MCC $12,784 $8,309 $17,922 −29% $19,657 −35% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,771 $8,301 $12,771 +0% $12,536 +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 $15,641 −19% $17,296 −27% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $12,583 $8,179 $13,574 −7% $15,923 −21% —
592 SKIN ULCERS WITH MCC $12,228 $7,948 $29,882 −59% $32,662 −63% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,209 $7,936 $22,651 −46% $29,049 −58% —
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% $11,633 +2% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,879 $7,721 $13,825 −14% $13,747 −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 $24,094 −52% $25,434 −55% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,465 $7,452 $21,277 −46% $25,666 −55% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $11,419 $7,422 $15,986 −29% $18,199 −37% —
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% $12,275 −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 $20,270 −44% $14,927 −24% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $11,200 $7,280 $11,294 −1% $12,013 −7% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,172 $7,262 $12,314 −9% $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% $17,078 −36% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $10,848 $7,051 $15,311 −29% $16,622 −35% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,437 $6,784 $22,077 −53% $24,874 −58% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,252 $6,664 $21,642 −53% $25,071 −59% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,901 $6,435 $9,940 −0% $9,063 +9% —
311 ANGINA PECTORIS $9,767 $6,349 $18,257 −47% $15,165 −36% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,761 $6,344 $26,296 −63% $33,415 −71% —
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% $7,896 +21% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,534 $6,197 $19,282 −51% $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 $11,868 −22% $13,455 −32% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,991 $5,844 $11,752 −23% $13,485 −33% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,771 $5,701 $12,173 −28% $14,210 −38% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,617 $5,601 $10,480 −18% $10,039 −14% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,397 $5,458 $21,697 −61% $18,150 −54% —
795 NORMAL NEWBORN $8,192 $5,325 $7,385 +11% $4,521 +81% —
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% $16,804 −53% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,602 $4,941 $21,563 −65% $23,734 −68% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $7,078 $4,600 $12,454 −43% $12,205 −42% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,307 $4,100 $10,171 −38% $14,208 −56% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $5,979 $3,886 $12,960 −54% $22,698 −74% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,431 $3,530 $10,316 −47% $11,826 −54% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,793 $3,115 $12,234 −61% $12,405 −61% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,846 $2,500 $9,887 −61% $9,385 −59% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,187 $2,072 $16,482 −81% $14,251 −78% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,487 $1,616 $33,415 −93% $19,569 −87% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,363 $1,536 $11,308 −79% $14,064 −83% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,312 $1,503 $16,365 −86% $13,892 −83% —
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