Lake Huron Medical Center (Acute Care) — Pricing

747 procedures published in this hospital's Machine-Readable File (MRF) — 747 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 747
Lowest published price $4,397
Average published price $27,601
Highest published price $366,848

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 747 procedures

Published charges

Showing all 747 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 10 procedures, this hospital's negotiated rates average ≈124% of what Medicare pays.

DRG Description Published price Cash price vs. MI median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $366,848 $269,917 $579,324 −37% $461,389 −20% —
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $288,043 $361,245 $483,987 −40% $573,534 −50% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $280,896 $205,455 $489,440 −43% $371,366 −24% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $267,037 $227,379 $306,087 −13% $306,087 −13% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $198,470 $125,750 $184,749 +7% $182,314 +9% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $149,545 $135,589 $184,103 −19% $248,521 −40% —
007 LUNG TRANSPLANT $145,273 $125,434 $170,608 −15% $170,608 −15% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $138,794 $102,284 $139,842 −1% $164,641 −16% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $137,554 $105,827 $155,461 −12% $194,769 −29% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $123,742 $92,731 $354,545 −65% $188,171 −34% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $119,679 $101,761 $279,095 −57% $208,939 −43% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $117,165 $58,139 $99,171 +18% $98,260 +19% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $106,343 $65,721 $91,253 +17% $102,600 +4% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $105,665 $104,623 $142,952 −26% $196,346 −46% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $98,705 $53,272 $122,373 −19% $85,566 +15% —
231 CORONARY BYPASS WITH PTCA WITH MCC $98,057 $81,467 $270,671 −64% $147,227 −33% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $96,060 $71,806 $149,784 −36% $120,573 −20% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $92,568 $74,421 $274,256 −66% $143,242 −35% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $92,551 $76,237 $105,228 −12% $105,228 −12% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $91,025 $44,469 $62,992 +45% $71,551 +27% —
850 UnGrouped $86,827 $88,529 $121,563 −29% $121,563 −29% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $83,857 $60,898 $84,844 −1% $109,331 −23% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $83,346 $66,948 $162,299 −49% $148,832 −44% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $83,156 $62,266 $117,187 −29% $116,058 −28% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $83,021 $75,176 $207,530 −60% $144,569 −43% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $82,930 $62,177 $342,659 −76% $123,995 −33% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $82,318 $68,005 $296,350 −72% $131,961 −38% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $82,042 $81,422 $212,958 −61% $153,282 −46% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $81,477 $58,835 $82,102 −1% $115,839 −30% —
429 UnGrouped $78,650 $80,192 $110,483 −29% $144,774 −46% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $78,315 $59,309 $82,731 −5% $98,912 −21% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $78,103 $53,272 $74,709 +5% $106,057 −26% —
652 KIDNEY TRANSPLANT $77,036 $29,772 $54,720 +41% $54,720 +41% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $76,577 $59,655 $257,668 −70% $117,280 −35% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $74,815 $33,610 $56,242 +33% $56,242 +33% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $73,796 $57,707 $205,464 −64% $113,855 −35% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $72,561 $48,067 $215,073 −66% $96,905 −25% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $71,222 $58,139 $81,176 −12% $81,176 −12% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $70,330 $59,103 $188,156 −63% $108,472 −35% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $69,852 $56,095 $78,460 −11% $96,192 −27% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $69,507 $57,310 $80,075 −13% $103,455 −33% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $69,497 $54,973 $218,677 −68% $106,778 −35% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $68,902 $52,009 $79,971 −14% $90,401 −24% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $68,485 $55,302 $212,606 −68% $107,355 −36% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $67,377 $51,066 $221,124 −70% $111,320 −39% —
010 PANCREAS TRANSPLANT $67,227 $76,674 $99,940 −33% $99,940 −33% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $66,694 $52,064 $94,685 −30% $89,207 −25% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $66,478 $56,687 $191,135 −65% $112,062 −41% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $66,229 $64,291 $89,353 −26% $89,353 −26% —
426 UnGrouped $66,104 $100,619 $137,630 −52% $142,326 −54% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $65,609 $44,896 $239,704 −73% $91,329 −28% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $64,911 $45,872 $64,911 +0% $90,775 −28% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $64,416 $52,015 $138,039 −53% $101,576 −37% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $64,256 $36,958 $58,531 +10% $75,103 −14% —
447 UnGrouped $63,298 $64,538 $274,267 −77% $126,098 −50% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $62,197 $51,290 $164,340 −62% $102,573 −39% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $62,019 $48,295 $132,729 −53% $77,055 −20% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $61,793 $52,447 $86,459 −29% $86,459 −29% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $61,358 — $75,251 −18% $75,251 −18% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $60,885 $52,329 $139,788 −56% $102,128 −40% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $60,690 $41,701 $162,979 −63% $83,441 −27% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $59,765 $41,140 $139,593 −57% $101,510 −41% —
028 SPINAL PROCEDURES WITH MCC $58,903 $58,556 $81,731 −28% $113,077 −48% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $58,775 $44,328 $62,801 −6% $90,331 −35% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $58,643 $39,650 $115,658 −49% $79,836 −27% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $58,310 $45,160 $65,508 −11% $87,761 −34% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $58,134 $43,177 $147,597 −61% $88,307 −34% —
317 UnGrouped $58,045 $59,579 $179,907 −68% $88,566 −34% —
245 AICD GENERATOR PROCEDURES $57,429 $47,143 $120,641 −52% $72,076 −20% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $57,339 $48,258 $68,045 −16% $93,238 −39% —
006 LIVER TRANSPLANT WITHOUT MCC $56,254 $46,784 $84,407 −33% $84,407 −33% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $56,004 $64,183 $146,641 −62% $125,242 −55% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $55,943 $48,982 $69,008 −19% $80,793 −31% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $54,381 $33,886 $48,637 +12% $62,583 −13% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $53,120 $48,239 $68,020 −22% $93,172 −43% ≈120% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $52,692 $53,725 $107,328 −51% $104,583 −50% —
252 OTHER VASCULAR PROCEDURES WITH MCC $52,477 $33,207 $52,229 +0% $68,508 −23% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $52,464 $49,132 $101,400 −48% $96,507 −46% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $52,271 $40,482 $99,623 −48% $72,962 −28% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $52,147 $34,071 $48,887 +7% $56,964 −8% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $51,800 $29,973 $88,436 −41% $62,821 −18% —
430 UnGrouped $51,715 $52,729 $185,423 −72% $101,618 −49% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $51,288 $36,760 $152,432 −66% $74,755 −31% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,027 $43,296 $103,661 −51% $84,692 −40% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $50,614 $39,730 $133,101 −62% $82,247 −38% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $50,528 $20,821 $30,915 +63% $35,569 +42% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $50,114 $39,303 $111,366 −55% $79,225 −37% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $49,933 $34,164 $114,346 −56% $66,848 −25% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $48,846 $34,156 $49,003 −0% $50,919 −4% —
450 UnGrouped $48,708 $49,663 $183,850 −74% $99,943 −51% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $48,637 $42,416 $133,441 −64% $86,970 −44% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,602 $33,899 $64,821 −25% $66,068 −26% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $48,219 $32,976 $87,012 −45% $70,371 −31% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $47,801 $39,708 $56,535 −15% $73,120 −35% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $47,794 $44,322 $62,792 −24% $88,050 −46% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $47,667 $43,553 $75,606 −37% $76,001 −37% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $47,387 $48,580 $102,861 −54% $93,390 −49% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $46,761 $42,777 $60,697 −23% $70,177 −33% —
427 UnGrouped $46,635 $68,347 $170,748 −73% $132,794 −65% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $46,622 $49,499 $77,884 −40% $99,423 −53% —
163 MAJOR CHEST PROCEDURES WITH MCC $46,189 $44,487 $90,195 −49% $90,195 −49% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $46,165 $45,401 $176,597 −74% $92,217 −50% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $46,022 $41,200 $114,073 −60% $82,561 −44% —
799 SPLENIC PROCEDURES WITH MCC $46,003 $45,880 $90,477 −49% $82,218 −44% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $45,853 $30,106 $96,937 −53% $65,325 −30% —
265 AICD LEAD PROCEDURES $45,792 $34,516 $106,195 −57% $63,171 −28% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $45,742 $29,891 $134,574 −66% $53,864 −15% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $45,703 $28,273 $45,703 +0% $70,467 −35% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $45,193 $46,078 $88,691 −49% $90,724 −50% —
471 CERVICAL SPINAL FUSION WITH MCC $44,740 $46,861 $147,872 −70% $92,515 −52% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,714 $30,898 $140,604 −68% $49,710 −10% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $44,406 $38,502 $55,502 −20% $77,817 −43% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $44,354 $37,800 $101,415 −56% $78,852 −44% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $44,334 $35,296 $78,688 −44% $68,639 −35% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $44,276 $32,840 $132,067 −66% $70,132 −37% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $43,507 $37,225 $53,167 −18% $75,573 −42% —
500 SOFT TISSUE PROCEDURES WITH MCC $42,537 $30,703 $65,663 −35% $61,872 −31% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $42,536 $31,660 $80,243 −47% $65,788 −35% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,342 $29,650 $95,914 −56% $64,523 −34% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $42,204 $37,593 $153,953 −73% $76,219 −45% —
332 RECTAL RESECTION WITH MCC $42,195 $33,574 $48,214 −12% $58,125 −27% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $42,023 $33,910 $80,994 −48% $69,743 −40% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $41,799 $36,477 $111,897 −63% $74,257 −44% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $41,791 $38,475 $63,159 −34% $62,300 −33% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $41,386 $30,956 $89,398 −54% $71,464 −42% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $41,307 $25,863 $37,754 +9% $47,945 −14% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $41,211 $37,329 $53,307 −23% $59,594 −31% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $40,988 $25,740 $58,609 −30% $48,687 −16% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $40,595 $17,140 $94,925 −57% $35,849 +13% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $40,531 $28,525 $49,807 −19% $65,653 −38% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $39,629 $40,472 $88,126 −55% $77,990 −49% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $39,513 $27,256 $116,012 −66% $58,043 −32% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $39,500 $16,548 $25,121 +57% $31,563 +25% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $39,460 $31,558 $64,724 −39% $65,608 −40% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $39,458 $34,685 $85,722 −54% $66,711 −41% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $39,357 $34,363 $84,193 −53% $70,564 −44% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $39,220 $26,520 $44,490 −12% $50,618 −23% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $38,831 $34,677 $121,672 −68% $71,092 −45% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $38,811 $31,978 $53,961 −28% $52,908 −27% —
448 UnGrouped $38,699 $39,457 $150,100 −74% $81,998 −53% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $38,464 $41,786 $59,352 −35% $59,352 −35% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $38,304 $32,502 $104,150 −63% $67,268 −43% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $38,034 $40,851 $135,184 −72% $60,098 −37% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $38,027 $30,754 $76,717 −50% $55,289 −31% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $37,948 $28,448 $52,918 −28% $60,170 −37% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $37,821 $38,138 $87,798 −57% $71,795 −47% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $37,758 $30,247 $71,164 −47% $65,573 −42% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $37,371 $23,030 $68,549 −45% $40,548 −8% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $37,348 $23,997 $40,974 −9% $54,583 −32% —
654 MAJOR BLADDER PROCEDURES WITH CC $37,259 $27,387 $78,609 −53% $58,274 −36% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $37,254 $37,984 $54,196 −31% $54,196 −31% —
849 RADIOTHERAPY $37,108 $25,942 $34,081 +9% $37,862 −2% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $36,948 $57,267 $80,018 −54% $80,018 −54% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $36,939 $16,102 $31,566 +17% $35,831 +3% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $36,648 $37,366 $53,357 −31% $66,685 −45% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $36,602 $35,054 $64,711 −43% $71,755 −49% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $36,578 $28,597 $43,791 −16% $58,228 −37% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $36,327 $27,786 $40,363 −10% $58,975 −38% —
428 UnGrouped $36,286 $53,050 $171,442 −79% $105,899 −66% —
665 PROSTATECTOMY WITH MCC $36,224 $33,238 $47,758 −24% $54,072 −33% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $36,115 $33,158 $60,904 −41% $70,847 −49% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $35,716 $33,827 $48,557 −26% $51,953 −31% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,694 $33,290 $47,828 −25% $68,653 −48% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $35,522 $26,251 $44,929 −21% $62,264 −43% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $35,494 $36,189 $69,969 −49% $61,470 −42% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $35,485 $23,321 $92,754 −62% $47,583 −25% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $35,346 $26,378 $94,334 −63% $43,491 −19% —
662 MINOR BLADDER PROCEDURES WITH MCC $35,289 $30,234 $75,429 −53% $54,562 −35% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $35,112 $19,974 $34,089 +3% $35,030 +0% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $34,602 $29,746 $43,021 −20% $60,407 −43% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $34,571 $22,190 $63,552 −46% $48,349 −28% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $34,511 $31,045 $88,561 −61% $63,928 −46% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $34,418 $28,957 $41,952 −18% $46,402 −26% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $34,233 $22,964 $69,111 −50% $50,498 −32% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $34,115 $22,533 $33,237 +3% $40,060 −15% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $34,016 $34,683 $109,577 −69% $59,533 −43% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $33,788 $27,228 $89,198 −62% $52,986 −36% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $33,750 $31,188 $83,778 −60% $72,424 −53% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $33,703 $40,196 $127,345 −74% $85,159 −60% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $33,438 $20,444 $40,762 −18% $46,066 −27% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $33,033 $20,260 $59,928 −45% $43,174 −23% —
037 EXTRACRANIAL PROCEDURES WITH MCC $32,739 $32,160 $108,163 −70% $66,666 −51% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,639 $26,166 $57,621 −43% $44,546 −27% —
253 OTHER VASCULAR PROCEDURES WITH CC $32,427 $24,812 $101,135 −68% $57,454 −44% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $31,985 $24,562 $37,064 −14% $40,362 −21% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $31,797 $26,567 $96,641 −67% $48,358 −34% —
472 CERVICAL SPINAL FUSION WITH CC $31,754 $28,105 $92,134 −66% $59,537 −47% —
263 VEIN LIGATION AND STRIPPING $31,702 $26,047 $115,416 −73% $51,253 −38% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $31,386 $19,378 $28,958 +8% $32,574 −4% —
800 SPLENIC PROCEDURES WITH CC $31,355 $28,264 $41,012 −24% $49,184 −36% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $31,261 $28,249 $69,053 −55% $59,790 −48% —
164 MAJOR CHEST PROCEDURES WITH CC $31,188 $24,467 $65,590 −52% $56,755 −45% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $31,026 $18,952 $51,089 −39% $43,080 −28% —
668 TRANSURETHRAL PROCEDURES WITH MCC $31,013 $28,288 $41,045 −24% $51,608 −40% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $30,936 $24,543 $91,158 −66% $49,423 −37% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $30,932 $31,571 $73,066 −58% $58,745 −47% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $30,887 $22,512 $77,121 −60% $59,629 −48% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $30,794 $33,341 $47,899 −36% $71,014 −57% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $30,764 $21,992 $32,504 −5% $38,998 −21% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $30,701 $30,815 $44,472 −31% $44,472 −31% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $30,583 $24,326 $85,849 −64% $55,162 −45% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $30,377 $27,731 $40,289 −25% $49,839 −39% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $30,282 $25,485 $37,242 −19% $54,929 −45% —
595 MAJOR SKIN DISORDERS WITH MCC $30,278 $20,622 $30,646 −1% $34,598 −12% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $30,137 $22,584 $70,600 −57% $36,489 −17% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $30,000 $23,357 $51,783 −42% $59,651 −50% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $29,811 $23,617 $48,610 −39% $59,421 −50% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $29,480 $25,772 $37,631 −22% $44,222 −33% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $29,340 $25,682 $37,509 −22% $41,422 −29% —
451 UnGrouped $29,337 $29,912 $118,114 −75% $65,216 −55% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $29,110 $20,941 $63,524 −54% $37,267 −22% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $28,995 $23,810 $40,097 −28% $51,985 −44% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $28,929 $27,817 $85,055 −66% $59,031 −51% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $28,893 $24,344 $35,694 −19% $39,973 −28% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $28,870 $26,472 $38,581 −25% $51,746 −44% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $28,641 $21,428 $31,740 −10% $41,608 −31% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $28,636 $18,472 $38,322 −25% $33,985 −16% —
570 SKIN DEBRIDEMENT WITH MCC $28,626 $29,187 $63,989 −55% $52,435 −45% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $28,618 $21,939 $87,832 −67% $50,011 −43% —
333 RECTAL RESECTION WITH CC $28,542 $20,719 $49,879 −43% $37,154 −23% —
157 DENTAL AND ORAL DISEASES WITH MCC $28,247 $16,052 $32,211 −12% $31,300 −10% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $28,240 $18,427 $27,668 +2% $37,844 −25% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $28,147 $27,770 $70,062 −60% $61,217 −54% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $28,134 $25,420 $37,153 −24% $46,453 −39% —
030 SPINAL PROCEDURES WITHOUT CCMCC $27,983 $21,677 $71,716 −61% $45,866 −39% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $27,951 $21,991 $44,989 −38% $49,418 −43% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $27,855 $26,063 $38,027 −27% $52,405 −47% —
402 UnGrouped $27,818 $37,818 $53,970 −48% $79,116 −65% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $27,643 $23,321 $50,483 −45% $41,620 −34% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $27,562 $18,230 $39,936 −31% $36,792 −25% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $27,503 $23,001 $33,872 −19% $59,500 −54% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,486 $33,538 $48,165 −43% $52,036 −47% —
113 ORBITAL PROCEDURES WITH CCMCC $27,420 $21,976 $32,482 −16% $36,167 −24% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,396 $18,145 $37,418 −27% $33,047 −17% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $27,333 $20,237 $38,103 −28% $52,751 −48% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $27,306 $20,555 $32,945 −17% $58,280 −53% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $27,286 $20,820 $71,285 −62% $46,727 −42% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $27,182 $22,298 $32,919 −17% $39,181 −31% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $27,085 $22,231 $51,622 −48% $42,415 −36% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $26,866 $18,541 $96,785 −72% $40,562 −34% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $26,863 $22,150 $66,855 −60% $49,066 −45% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $26,747 $22,760 $96,949 −72% $50,139 −47% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $26,727 $19,632 $56,130 −52% $46,090 −42% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $26,624 $19,189 $41,520 −36% $43,631 −39% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $26,584 $24,766 $73,781 −64% $58,707 −55% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $26,321 $40,289 $8,803 +199% $18,649 +41% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $26,236 $15,429 $51,359 −49% $34,906 −25% —
503 FOOT PROCEDURES WITH MCC $26,230 $25,708 $37,544 −30% $47,540 −45% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $26,199 $24,820 $36,339 −28% $38,878 −33% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $26,157 $16,092 $24,502 +7% $36,445 −28% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $26,132 $18,541 $58,111 −55% $42,126 −38% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $26,092 $22,066 $61,143 −57% $41,892 −38% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $25,986 $23,036 $76,123 −66% $50,624 −49% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $25,951 $19,094 $50,714 −49% $39,955 −35% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $25,823 $22,471 $53,709 −52% $50,394 −49% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $25,572 $20,586 $80,082 −68% $43,650 −41% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $25,291 $17,695 $79,333 −68% $58,809 −57% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $25,234 $25,153 $67,958 −63% $45,167 −44% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $25,219 $19,149 $65,153 −61% $43,538 −42% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $25,189 $21,932 $56,840 −56% $48,682 −48% —
709 PENIS PROCEDURES WITH CCMCC $25,112 $21,885 $32,359 −22% $34,535 −27% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $25,045 $19,252 $64,661 −61% $44,139 −43% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $25,038 $17,652 $67,264 −63% $41,591 −40% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $24,954 $19,640 $29,314 −15% $32,031 −22% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $24,883 $17,348 $26,206 −5% $38,101 −35% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $24,856 $23,123 $44,512 −44% $53,451 −53% —
791 PREMATURITY WITH MAJOR PROBLEMS $24,606 $39,231 $25,580 −4% $42,679 −42% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $24,539 $19,262 $28,801 −15% $43,800 −44% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $24,490 $19,505 $52,133 −53% $44,363 −45% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $24,423 $18,219 $52,535 −54% $46,340 −47% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $24,213 $20,504 $55,339 −56% $42,795 −43% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $24,193 $19,790 $31,134 −22% $31,134 −22% —
336 PERITONEAL ADHESIOLYSIS WITH CC $24,163 $20,595 $30,609 −21% $50,463 −52% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $24,123 $19,311 $45,617 −47% $43,913 −45% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $24,097 $23,454 $34,487 −30% $42,186 −43% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $24,069 $17,876 $47,329 −49% $43,298 −44% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $23,921 $23,527 $39,532 −39% $50,046 −52% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $23,901 $17,782 $48,468 −51% $40,365 −41% —
380 COMPLICATED PEPTIC ULCER WITH MCC $23,767 $18,796 $73,216 −68% $39,627 −40% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $23,605 $21,561 $55,152 −57% $46,283 −49% —
397 APPENDIX PROCEDURES WITH MCC $23,586 $24,092 $50,515 −53% $53,257 −56% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $23,504 $19,417 $29,012 −19% $39,106 −40% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $23,492 $15,721 $43,999 −47% $35,584 −34% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $23,463 $25,111 $60,560 −61% $52,178 −55% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $23,428 $17,826 $32,120 −27% $37,387 −37% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $23,412 $16,053 $47,348 −51% $36,354 −36% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $23,228 $12,259 $19,302 +20% $20,727 +12% —
088 CONCUSSION WITH MCC $23,209 $13,882 $21,503 +8% $24,402 −5% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $23,173 $19,129 $28,621 −19% $40,213 −42% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $23,140 $21,026 $49,180 −53% $45,877 −50% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $23,034 $14,154 $21,873 +5% $26,932 −14% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $22,971 $16,590 $31,216 −26% $32,944 −30% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $22,929 $20,989 $47,960 −52% $38,666 −41% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $22,883 $17,123 $67,013 −66% $38,836 −41% —
374 DIGESTIVE MALIGNANCY WITH MCC $22,862 $20,586 $33,569 −32% $39,958 −43% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $22,731 $18,499 $42,563 −47% $36,431 −38% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $22,649 $15,650 $23,902 −5% $35,419 −36% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $22,637 $17,424 $26,308 −14% $52,075 −57% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $22,543 $21,140 $73,453 −69% $42,901 −47% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $22,526 $19,684 $45,257 −50% $42,914 −48% —
334 RECTAL RESECTION WITHOUT CCMCC $22,523 $16,254 $30,516 −26% $36,820 −39% —
711 TESTES PROCEDURES WITH CCMCC $22,433 $18,665 $27,991 −20% $38,343 −41% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $22,420 $17,867 $53,084 −58% $40,642 −45% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $22,368 $20,780 $30,860 −28% $42,906 −48% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $22,346 $14,906 $53,573 −58% $33,694 −34% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $22,237 $15,225 $23,326 −5% $34,434 −35% —
504 FOOT PROCEDURES WITH CC $22,155 $17,176 $36,561 −39% $38,960 −43% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $22,145 $19,083 $28,559 −22% $29,524 −25% —
906 HAND PROCEDURES FOR INJURIES $22,123 $21,267 $31,520 −30% $32,065 −31% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $22,105 $18,424 $38,308 −42% $47,711 −54% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $21,952 $17,842 $50,798 −57% $37,950 −42% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $21,945 $16,558 $81,021 −73% $29,079 −25% —
501 SOFT TISSUE PROCEDURES WITH CC $21,934 $17,460 $26,358 −17% $39,619 −45% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $21,658 $15,398 $33,076 −35% $33,653 −36% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $21,642 $17,021 $25,761 −16% $31,951 −32% —
919 COMPLICATIONS OF TREATMENT WITH MCC $21,597 $17,832 $30,248 −29% $31,105 −31% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $21,541 $15,179 $23,263 −7% $24,550 −12% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $21,402 $21,904 $41,303 −48% $47,737 −55% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $21,318 $15,387 $32,004 −33% $33,633 −37% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $21,308 $14,095 $51,788 −59% $32,833 −35% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $21,243 $16,060 $24,458 −13% $33,661 −37% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $21,161 $19,080 $28,555 −26% $38,861 −46% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $21,147 $13,418 $20,875 +1% $30,242 −30% —
945 REHABILITATION WITH CCMCC $21,135 $14,990 $23,834 −11% $23,834 −11% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $21,134 $13,825 $28,560 −26% $39,887 −47% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $21,118 $19,158 $28,660 −26% $35,628 −41% ≈123% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $21,083 $16,995 $25,727 −18% $32,443 −35% —
548 SEPTIC ARTHRITIS WITH MCC $20,934 $19,660 $29,341 −29% $31,346 −33% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,915 $17,696 $26,677 −22% $32,433 −36% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $20,811 $17,862 $41,878 −50% $40,552 −49% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $20,783 $18,447 $27,695 −25% $33,255 −38% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $20,774 $20,677 $58,069 −64% $49,351 −58% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $20,731 $16,252 $44,033 −53% $44,606 −54% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $20,680 $21,232 $47,426 −56% $45,333 −54% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $20,646 $14,711 $46,309 −55% $24,586 −16% —
180 RESPIRATORY NEOPLASMS WITH MCC $20,632 $17,107 $27,269 −24% $36,658 −44% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $20,525 $17,415 $45,866 −55% $39,515 −48% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $20,513 $15,768 $46,560 −56% $35,692 −43% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $20,483 $16,346 $24,846 −18% $34,607 −41% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $20,441 $16,660 $45,416 −55% $43,477 −53% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $20,441 $17,923 $54,120 −62% $40,694 −50% —
663 MINOR BLADDER PROCEDURES WITH CC $20,426 $14,998 $26,362 −23% $33,103 −38% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,217 $16,803 $28,433 −29% $38,094 −47% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $20,198 $16,302 $24,787 −19% $32,628 −38% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $20,182 $15,335 $65,531 −69% $46,295 −56% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $20,061 $15,174 $23,257 −14% $26,598 −25% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,037 $14,825 $48,431 −59% $33,454 −40% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $20,002 $15,361 $56,346 −65% $34,749 −42% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $19,992 $13,964 $21,615 −8% $22,620 −12% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $19,928 $18,046 $27,291 −27% $30,243 −34% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $19,919 $16,181 $24,622 −19% $44,117 −55% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $19,845 $16,501 $28,459 −30% $34,273 −42% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $19,828 $12,160 $37,572 −47% $27,323 −27% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $19,782 $14,443 $22,265 −11% $25,073 −21% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $19,701 $14,569 $36,900 −47% $36,988 −47% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $19,687 $15,631 $37,932 −48% $39,006 −50% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $19,677 $15,563 $30,625 −36% $41,955 −53% —
592 SKIN ULCERS WITH MCC $19,674 $20,059 $32,662 −40% $33,246 −41% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $19,647 $15,072 $24,224 −19% $39,211 −50% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,643 $18,686 $28,020 −30% $34,459 −43% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $19,613 $24,641 $36,097 −46% $39,173 −50% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $19,605 $13,350 $33,334 −41% $30,083 −35% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $19,548 $18,138 $27,276 −28% $36,670 −47% —
597 MALIGNANT BREAST DISORDERS WITH MCC $19,543 $17,192 $25,994 −25% $33,386 −41% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $19,511 $15,664 $39,564 −51% $35,453 −45% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $19,508 $13,715 $33,190 −41% $27,119 −28% —
038 EXTRACRANIAL PROCEDURES WITH CC $19,505 $15,801 $59,118 −67% $35,770 −45% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $19,443 $13,151 $24,317 −20% $27,543 −29% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,432 $18,866 $28,264 −31% $42,881 −55% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $19,409 $14,097 $48,129 −60% $35,465 −45% —
539 OSTEOMYELITIS WITH MCC $19,356 $19,735 $46,919 −59% $37,609 −49% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $19,281 $16,291 $49,778 −61% $29,316 −34% —
935 NON-EXTENSIVE BURNS $19,272 $21,400 $31,701 −39% $31,701 −39% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $19,115 $19,489 $29,109 −34% $29,611 −35% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $19,072 $16,407 $35,423 −46% $29,916 −36% —
915 ALLERGIC REACTIONS WITH MCC $18,990 $17,012 $30,774 −38% $32,645 −42% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $18,967 $17,781 $26,792 −29% $37,842 −50% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $18,953 $17,109 $40,056 −53% $33,555 −44% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $18,917 $11,327 $49,136 −62% $25,390 −25% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,906 $14,628 $34,722 −46% $33,048 −43% —
150 EPISTAXIS WITH MCC $18,867 $13,609 $21,133 −11% $23,171 −19% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $18,848 $17,192 $33,797 −44% $30,553 −38% —
669 TRANSURETHRAL PROCEDURES WITH CC $18,780 $15,191 $42,597 −56% $34,354 −45% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $18,683 $14,666 $44,357 −58% $33,393 −44% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $18,651 $16,349 $24,851 −25% $29,126 −36% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $18,566 $18,929 $39,493 −53% $37,240 −50% —
551 MEDICAL BACK PROBLEMS WITH MCC $18,563 $16,711 $31,373 −41% $34,017 −45% —
666 PROSTATECTOMY WITH CC $18,477 $16,146 $33,654 −45% $31,906 −42% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $18,465 $17,375 $26,242 −30% $34,276 −46% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,463 $14,779 $32,548 −43% $36,505 −49% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $18,449 $13,752 $39,687 −54% $31,017 −41% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,390 $19,502 $29,127 −37% $43,943 −58% —
505 FOOT PROCEDURES WITHOUT CCMCC $18,378 $17,176 $58,847 −69% $34,937 −47% —
571 SKIN DEBRIDEMENT WITH CC $18,332 $16,404 $24,925 −26% $37,169 −51% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $18,317 $16,154 $24,586 −25% $25,197 −27% —
813 COAGULATION DISORDERS $18,290 $15,195 $25,096 −27% $33,296 −45% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $18,274 $16,363 $35,662 −49% $33,876 −46% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $18,129 $13,494 $32,852 −45% $30,418 −40% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $18,099 $16,229 $24,687 −27% $34,192 −47% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,066 $16,089 $24,497 −26% $30,828 −41% —
398 APPENDIX PROCEDURES WITH CC $18,063 $14,862 $30,065 −40% $40,162 −55% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $18,018 $13,338 $25,377 −29% $29,949 −40% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $17,997 $14,898 $47,812 −62% $33,674 −47% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $17,918 $13,527 $42,230 −58% $30,493 −41% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $17,908 $12,991 $20,295 −12% $36,937 −52% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $17,872 $13,679 $21,228 −16% $25,094 −29% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $17,822 $10,962 $38,130 −53% $24,544 −27% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $17,802 $13,268 $20,672 −14% $24,127 −26% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $17,797 $14,371 $38,327 −54% $32,451 −45% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $17,721 $18,122 $27,256 −35% $23,206 −24% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $17,709 $19,404 $43,600 −59% $36,249 −51% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $17,648 $11,998 $47,116 −63% $26,948 −35% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $17,538 $15,212 $23,307 −25% $32,877 −47% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $17,507 $16,926 $25,633 −32% $29,826 −41% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $17,426 $15,861 $29,032 −40% $27,316 −36% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $17,411 $11,694 $18,536 −6% $19,598 −11% —
643 ENDOCRINE DISORDERS WITH MCC $17,394 $16,241 $24,704 −30% $33,563 −48% —
186 PLEURAL EFFUSION WITH MCC $17,358 $15,502 $24,822 −30% $33,834 −49% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $17,348 $15,930 $27,617 −37% $27,617 −37% —
302 ATHEROSCLEROSIS WITH MCC $17,330 $11,514 $18,292 −5% $22,446 −23% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $17,307 $11,274 $54,712 −68% $26,618 −35% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $17,226 $13,792 $26,908 −36% $22,393 −23% —
533 FRACTURES OF FEMUR WITH MCC $17,186 $14,974 $22,986 −25% $25,945 −34% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $17,095 $12,091 $25,885 −34% $27,163 −37% —
682 RENAL FAILURE WITH MCC $17,069 $14,754 $22,687 −25% $29,064 −41% ≈125% of Medicare
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $17,004 $14,790 $33,930 −50% $33,424 −49% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $16,969 $16,467 $25,010 −32% $32,496 −48% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $16,947 $14,219 $21,961 −23% $32,100 −47% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $16,911 $14,737 $47,001 −64% $27,394 −38% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $16,902 $13,140 $26,237 −36% $32,841 −49% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $16,833 $10,933 $20,828 −19% $27,843 −40% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $16,767 $13,230 $20,619 −19% $29,805 −44% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,731 $13,687 $45,535 −63% $27,285 −39% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $16,686 $12,506 $52,036 −68% $28,125 −41% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $16,682 $15,503 $23,703 −30% $35,074 −52% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $16,582 $9,177 $15,121 +10% $18,072 −8% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $16,545 $14,305 $56,492 −71% $24,941 −34% —
865 VIRAL ILLNESS WITH MCC $16,491 $14,505 $34,426 −52% $26,910 −39% —
509 ARTHROSCOPY $16,356 $17,192 $25,994 −37% $25,994 −37% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $16,245 $15,470 $23,658 −31% $32,697 −50% —
348 ANAL AND STOMAL PROCEDURES WITH CC $16,224 $12,429 $45,523 −64% $27,947 −42% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $16,169 $14,443 $33,037 −51% $26,463 −39% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $16,110 $16,073 $24,475 −34% $30,235 −47% —
137 MOUTH PROCEDURES WITH CCMCC $16,074 $13,766 $21,346 −25% $27,861 −42% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $16,067 $12,233 $26,894 −40% $28,320 −43% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $16,050 $16,365 $25,937 −38% $26,682 −40% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $16,026 $12,299 $26,146 −39% $27,297 −41% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $16,025 $18,411 $27,647 −42% $32,637 −51% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $15,992 $17,977 $27,058 −41% $32,859 −51% —
304 HYPERTENSION WITH MCC $15,992 $11,624 $23,606 −32% $26,080 −39% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $15,896 $13,866 $28,448 −44% $30,959 −49% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $15,891 $15,851 $24,174 −34% $33,707 −53% ≈123% of Medicare
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $15,834 $17,423 $30,757 −49% $31,159 −49% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $15,771 $12,542 $19,686 −20% $19,686 −20% —
811 RED BLOOD CELL DISORDERS WITH MCC $15,749 $13,845 $23,535 −33% $28,226 −44% —
882 NEUROSES EXCEPT DEPRESSIVE $15,670 $9,588 $19,269 −19% $15,680 −0% —
139 SALIVARY GLAND PROCEDURES $15,649 $13,521 $21,014 −26% $23,612 −34% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $15,641 $14,727 $22,651 −31% $30,502 −49% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $15,632 $15,938 $24,292 −36% $28,202 −45% —
913 TRAUMATIC INJURY WITH MCC $15,626 $15,868 $24,198 −35% $24,198 −35% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $15,599 $12,048 $19,017 −18% $25,581 −39% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $15,587 $14,831 $42,564 −63% $30,770 −49% —
602 CELLULITIS WITH MCC $15,582 $14,441 $22,262 −30% $30,598 −49% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $15,541 $15,845 $20,702 −25% $27,152 −43% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $15,507 $13,090 $20,430 −24% $25,463 −39% ≈131% of Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $15,496 $18,010 $22,780 −32% $29,221 −47% —
183 MAJOR CHEST TRAUMA WITH MCC $15,490 $15,571 $38,574 −60% $29,933 −48% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $15,447 $14,448 $22,272 −31% $30,571 −49% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,434 $11,461 $36,181 −57% $25,700 −40% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $15,363 $11,820 $17,932 −14% $21,847 −30% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $15,265 $12,860 $20,117 −24% $21,894 −30% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $15,256 $12,294 $22,827 −33% $22,851 −33% —
947 SIGNS AND SYMPTOMS WITH MCC $15,144 $12,690 $27,232 −44% $27,401 −45% —
606 MINOR SKIN DISORDERS WITH MCC $15,124 $15,791 $24,094 −37% $27,975 −46% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $15,086 $12,880 $20,145 −25% $26,051 −42% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,080 $20,916 $31,044 −51% $31,044 −51% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $15,032 $23,823 $15,032 +0% $12,229 +23% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $14,961 $17,573 $26,510 −44% $26,510 −44% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $14,950 $10,189 $16,495 −9% $18,348 −19% —
199 PNEUMOTHORAX WITH MCC $14,892 $17,275 $26,106 −43% $33,787 −56% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,815 $10,534 $16,963 −13% $23,551 −37% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $14,787 $10,715 $17,209 −14% $22,314 −34% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $14,744 $15,033 $23,065 −36% $25,703 −43% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $14,719 $13,205 $29,208 −50% $31,264 −53% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $14,710 $11,136 $18,657 −21% $31,321 −53% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $14,661 $11,853 $22,170 −34% $30,784 −52% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $14,601 $14,387 $22,189 −34% $29,743 −51% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $14,555 $12,464 $24,163 −40% $22,320 −35% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $14,543 $14,180 $21,908 −34% $22,525 −35% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $14,487 $12,722 $19,930 −27% $27,989 −48% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $14,447 $12,542 $24,942 −42% $23,498 −39% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $14,398 $10,704 $17,193 −16% $17,193 −16% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $14,389 $12,519 $32,494 −56% $28,156 −49% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $14,387 $15,945 $40,585 −65% $27,633 −48% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $14,366 $12,933 $38,301 −62% $27,043 −47% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $14,363 $14,377 $22,175 −35% $31,170 −54% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $14,317 $12,480 $31,616 −55% $27,426 −48% —
710 PENIS PROCEDURES WITHOUT CCMCC $14,304 $14,749 $22,681 −37% $26,436 −46% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $14,267 $9,523 $29,257 −51% $19,594 −27% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $14,115 $11,490 $18,260 −23% $21,230 −34% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $14,081 $12,133 $19,132 −26% $19,132 −26% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $14,038 $10,822 $38,371 −63% $20,926 −33% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $14,028 $14,508 $6,499 +116% $8,445 +66% —
089 CONCUSSION WITH CC $14,028 $10,642 $45,136 −69% $18,821 −25% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $14,022 $10,810 $31,529 −56% $32,021 −56% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $13,995 $14,599 $37,496 −63% $28,140 −50% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $13,980 $11,174 $27,192 −49% $25,034 −44% —
291 HEART FAILURE AND SHOCK WITH MCC $13,948 $12,868 $20,129 −31% $26,776 −48% ≈125% of Medicare
075 VIRAL MENINGITIS WITH CCMCC $13,947 $16,864 $30,633 −54% $30,447 −54% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $13,927 $13,108 $21,706 −36% $24,552 −43% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $13,900 $10,113 $16,392 −15% $23,940 −42% —
506 MAJOR THUMB OR JOINT PROCEDURES $13,849 $14,727 $22,651 −39% $30,557 −55% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $13,828 $10,448 $33,426 −59% $19,657 −30% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $13,794 $12,674 $19,865 −31% $28,050 −51% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,768 $13,926 $20,449 −33% $26,280 −48% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $13,728 $13,496 $20,980 −35% $20,980 −35% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $13,716 $13,984 $21,642 −37% $27,808 −51% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $13,673 $11,922 $18,845 −27% $26,770 −49% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $13,660 $11,440 $18,191 −25% $25,652 −47% —
637 DIABETES WITH MCC $13,631 $14,318 $22,095 −38% $30,100 −55% ≈114% of Medicare
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $13,582 $11,512 $28,841 −53% $23,443 −42% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $13,392 $12,234 $27,052 −50% $22,458 −40% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $13,360 $9,375 $15,390 −13% $17,934 −26% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $13,316 $12,707 $29,494 −55% $26,870 −50% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $13,267 $11,720 $19,980 −34% $25,712 −48% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $13,262 $12,171 $19,183 −31% $19,270 −31% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $13,219 $12,297 $19,354 −32% $19,354 −32% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $13,169 $10,917 $17,483 −25% $17,483 −25% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $13,137 $10,431 $26,053 −50% $22,763 −42% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $13,091 $11,128 $23,493 −44% $19,815 −34% —
946 REHABILITATION WITHOUT CCMCC $13,063 $11,066 $17,685 −26% $17,685 −26% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $13,049 $11,314 $19,515 −33% $24,944 −48% —
540 OSTEOMYELITIS WITH CC $13,000 $12,766 $30,974 −58% $26,676 −51% —
887 OTHER MENTAL DISORDER DIAGNOSES $12,993 $11,764 $18,631 −30% $20,616 −37% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $12,893 $9,200 $28,690 −55% $20,455 −37% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $12,865 $12,598 $16,434 −22% $22,557 −43% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $12,858 $10,206 $24,085 −47% $25,970 −50% —
181 RESPIRATORY NEOPLASMS WITH CC $12,833 $11,007 $23,573 −46% $23,573 −46% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $12,807 $9,981 $16,213 −21% $17,737 −28% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $12,781 $8,812 $14,627 −13% $19,854 −36% —
197 INTERSTITIAL LUNG DISEASE WITH CC $12,750 $9,856 $20,480 −38% $21,941 −42% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $12,731 $12,992 $20,296 −37% $27,275 −53% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $12,704 $10,357 $16,723 −24% $23,141 −45% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $12,686 $9,743 $15,890 −20% $17,404 −27% —
102 HEADACHES WITH MCC $12,632 $11,478 $37,333 −66% $25,740 −51% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,599 $9,247 $21,965 −43% $20,566 −39% —
090 CONCUSSION WITHOUT CCMCC $12,577 $8,586 $25,669 −51% $15,412 −18% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $12,575 $9,751 $15,901 −21% $15,901 −21% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $12,564 $14,238 $21,986 −43% $21,986 −43% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,545 $11,279 $29,537 −58% $25,279 −50% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,508 $17,632 $4,337 +188% $16,351 −24% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $12,488 $12,732 $19,945 −37% $22,811 −45% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,481 $10,513 $25,610 −51% $24,914 −50% —
712 TESTES PROCEDURES WITHOUT CCMCC $12,472 $10,618 $17,076 −27% $18,898 −34% —
375 DIGESTIVE MALIGNANCY WITH CC $12,331 $12,140 $26,051 −53% $27,277 −55% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $12,314 $10,760 $17,269 −29% $23,319 −47% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $12,285 $11,581 $18,383 −33% $23,617 −48% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $12,264 $10,467 $16,872 −27% $23,488 −48% —
549 SEPTIC ARTHRITIS WITH CC $12,249 $11,914 $18,835 −35% $24,056 −49% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $12,219 $12,223 $19,254 −37% $26,580 −54% ≈124% of Medicare
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $12,217 $9,528 $17,985 −32% $20,911 −42% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,178 $9,880 $20,270 −40% $22,033 −45% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $12,164 $9,316 $15,311 −21% $16,968 −28% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,121 $9,041 $14,937 −19% $16,552 −27% —
123 NEUROLOGICAL EYE DISORDERS $12,115 $8,069 $25,756 −53% $19,745 −39% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $12,077 $9,817 $15,990 −24% $22,098 −45% —
920 COMPLICATIONS OF TREATMENT WITH CC $12,040 $10,104 $18,572 −35% $22,468 −46% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $12,029 $9,591 $15,684 −23% $21,363 −44% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,992 $9,203 $17,653 −32% $20,463 −41% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $11,976 $10,456 $20,232 −41% $20,232 −41% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $11,961 $8,917 $14,770 −19% $15,764 −24% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $11,950 $10,120 $27,027 −56% $25,303 −53% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,921 $11,175 $20,741 −43% $24,566 −51% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,913 $10,627 $17,089 −30% $20,422 −42% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $11,856 $7,523 $14,237 −17% $16,565 −28% —
593 SKIN ULCERS WITH CC $11,851 $12,083 $20,470 −42% $22,886 −48% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $11,844 $8,045 $13,586 −13% $13,586 −13% —
598 MALIGNANT BREAST DISORDERS WITH CC $11,838 $10,707 $17,197 −31% $19,073 −38% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $11,835 $11,129 $17,770 −33% $24,386 −51% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $11,796 $10,139 $16,427 −28% $22,635 −48% —
184 MAJOR CHEST TRAUMA WITH CC $11,681 $10,603 $17,057 −32% $22,432 −48% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,679 $9,628 $15,734 −26% $21,449 −46% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $11,637 $8,922 $23,313 −50% $22,148 −47% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $11,634 $10,142 $16,431 −29% $17,601 −34% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $11,606 $10,855 $17,398 −33% $17,398 −33% —
949 AFTERCARE WITH CCMCC $11,573 $10,708 $39,809 −71% $23,953 −52% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $11,508 $9,932 $16,146 −29% $17,698 −35% —
381 COMPLICATED PEPTIC ULCER WITH CC $11,486 $10,804 $22,591 −49% $24,177 −52% —
667 PROSTATECTOMY WITHOUT CCMCC $11,427 $10,218 $16,534 −31% $16,703 −32% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $11,377 $9,876 $17,293 −34% $22,024 −48% —
644 ENDOCRINE DISORDERS WITH CC $11,221 $10,271 $16,607 −32% $23,198 −52% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,203 $8,818 $29,133 −62% $19,569 −43% —
187 PLEURAL EFFUSION WITH CC $11,201 $9,990 $25,181 −56% $21,789 −49% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $11,180 $7,896 $19,432 −42% $14,014 −20% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,093 $7,985 $13,506 −18% $17,921 −38% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $11,006 $10,106 $19,815 −44% $19,264 −43% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,000 $10,620 $17,079 −36% $23,749 −54% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $10,991 $9,491 $15,547 −29% $18,316 −40% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $10,978 $9,390 $15,411 −29% $20,181 −46% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $10,966 $9,532 $15,603 −30% $19,924 −45% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,955 $10,140 $21,035 −48% $22,506 −51% —
158 DENTAL AND ORAL DISEASES WITH CC $10,944 $9,383 $18,267 −40% $18,466 −41% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $10,925 $7,614 $18,904 −42% $16,776 −35% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $10,918 $7,269 $12,534 −13% $12,559 −13% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,918 $8,039 $15,753 −31% $21,056 −48% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,892 $10,232 $18,407 −41% $22,850 −52% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,865 $10,142 $16,431 −34% $21,275 −49% —
885 PSYCHOSES $10,780 $13,871 $21,802 −51% $21,729 −50% —
200 PNEUMOTHORAX WITH CC $10,776 $10,980 $17,568 −39% $21,368 −50% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $10,754 $10,746 $15,808 −32% $23,283 −54% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $10,737 $9,556 $23,203 −54% $17,733 −39% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,668 $9,605 $15,703 −32% $21,396 −50% —
312 SYNCOPE AND COLLAPSE $10,647 $8,720 $14,502 −27% $19,342 −45% —
914 TRAUMATIC INJURY WITHOUT MCC $10,624 $9,152 $20,532 −48% $15,855 −33% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $10,623 $8,196 $15,817 −33% $18,126 −41% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $10,599 $8,936 $17,167 −38% $19,842 −47% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,511 $11,005 $24,384 −57% $18,459 −43% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $10,496 $10,543 $19,063 −45% $23,571 −55% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $10,362 $8,614 $14,358 −28% $19,096 −46% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $10,351 $9,647 $13,602 −24% $19,962 −48% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $10,334 $9,214 $15,172 −32% $20,488 −50% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $10,325 $7,936 $13,438 −23% $17,620 −41% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $10,272 $6,969 $12,127 −15% $20,781 −51% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $10,261 $9,115 $15,039 −32% $20,259 −49% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $10,234 $8,012 $15,928 −36% $17,700 −42% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $10,156 $7,313 $12,593 −19% $12,593 −19% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $10,150 $7,321 $16,975 −40% $19,227 −47% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $10,025 $8,603 $14,344 −30% $18,807 −47% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $9,949 $8,842 $22,056 −55% $16,520 −40% —
697 URETHRAL STRICTURE $9,949 $9,969 $16,196 −39% $18,428 −46% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $9,907 $7,473 $12,811 −23% $16,450 −40% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,862 $10,248 $16,575 −41% $22,888 −57% ≈128% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $9,844 $11,242 $17,922 −45% $20,247 −51% —
149 DYSEQUILIBRIUM $9,842 $7,536 $16,466 −40% $18,096 −46% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,771 $9,951 $19,904 −51% $20,957 −53% —
151 EPISTAXIS WITHOUT MCC $9,768 $7,636 $13,891 −30% $13,032 −25% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $9,729 $9,980 $16,212 −40% $16,212 −40% —
292 HEART FAILURE AND SHOCK WITH CC $9,683 $8,624 $14,372 −33% $16,371 −41% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $9,669 $9,647 $13,602 −29% $18,452 −48% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $9,628 $9,814 $24,053 −60% $20,895 −54% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $9,600 $7,355 $12,650 −24% $12,768 −25% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $9,540 $7,561 $18,853 −49% $19,037 −50% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $9,537 $8,832 $13,638 −30% $16,998 −44% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $9,496 $7,825 $20,483 −54% $17,124 −45% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $9,444 $7,209 $19,941 −53% $15,837 −40% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $9,410 $8,206 $27,702 −66% $18,150 −48% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $9,399 $9,521 $22,130 −58% $15,589 −40% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,391 $10,679 $26,082 −64% $18,956 −50% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $9,333 $7,553 $25,534 −63% $16,634 −44% —
864 FEVER AND INFLAMMATORY CONDITIONS $9,321 $8,976 $14,849 −37% $18,640 −50% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,308 $8,704 $14,480 −36% $19,305 −52% —
101 SEIZURES WITHOUT MCC $9,285 $9,202 $19,954 −53% $20,461 −55% —
683 RENAL FAILURE WITH CC $9,285 $8,889 $14,731 −37% $19,130 −51% —
138 MOUTH PROCEDURES WITHOUT CCMCC $9,273 $8,167 $22,285 −58% $19,119 −51% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $9,249 $8,632 $14,383 −36% $19,138 −52% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,226 $9,222 $19,960 −54% $20,506 −55% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $9,201 $6,808 $11,909 −23% $11,909 −23% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $9,178 $6,762 $11,847 −23% $11,847 −23% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $9,174 $10,728 $17,226 −47% $17,226 −47% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,172 $11,397 $18,133 −49% $18,133 −49% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $9,168 $8,741 $13,884 −34% $19,846 −54% —
305 HYPERTENSION WITHOUT MCC $9,127 $7,566 $12,937 −29% $18,086 −50% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $9,115 $7,748 $19,510 −53% $14,648 −38% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $9,086 $8,369 $16,700 −46% $18,528 −51% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,074 $9,050 $18,722 −52% $18,488 −51% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $9,064 $7,107 $19,645 −54% $15,600 −42% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $9,030 $11,513 $18,291 −51% $19,412 −53% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,987 $10,136 $18,398 −51% $20,901 −57% —
313 CHEST PAIN $8,982 $7,209 $14,976 −40% $16,440 −45% —
204 RESPIRATORY SIGNS AND SYMPTOMS $8,873 $8,143 $15,170 −42% $18,004 −51% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $8,783 $9,633 $15,741 −44% $17,724 −50% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $8,720 $7,062 $12,253 −29% $15,495 −44% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $8,711 $10,873 $14,778 −41% $16,846 −48% —
534 FRACTURES OF FEMUR WITHOUT MCC $8,703 $8,172 $27,798 −69% $17,559 −50% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $8,685 $6,475 $16,932 −49% $15,038 −42% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $8,659 $8,825 $14,644 −41% $16,699 −48% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,636 $7,506 $12,855 −33% $15,019 −43% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $8,635 $7,085 $12,284 −30% $15,549 −44% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,605 $8,284 $13,911 −38% $17,298 −50% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $8,580 $7,860 $13,336 −36% $17,038 −50% —
188 PLEURAL EFFUSION WITHOUT CCMCC $8,558 $7,408 $14,394 −41% $14,514 −41% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $8,545 $9,536 $19,857 −57% $16,700 −49% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $8,515 $6,473 $11,454 −26% $14,128 −40% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $8,510 $7,026 $15,365 −45% $14,797 −42% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $8,490 $7,940 $13,445 −37% $13,445 −37% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $8,474 $6,695 $22,698 −63% $13,633 −38% —
311 ANGINA PECTORIS $8,430 $7,065 $15,842 −47% $15,502 −46% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $8,429 $8,196 $25,645 −67% $18,126 −53% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $8,409 $6,963 $15,271 −45% $14,415 −42% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $8,406 $7,324 $12,609 −33% $16,767 −50% —
303 ATHEROSCLEROSIS WITHOUT MCC $8,368 $6,817 $15,447 −46% $14,927 −44% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $8,360 $7,457 $12,789 −35% $17,303 −52% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $8,354 $8,563 $14,290 −42% $14,290 −42% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,349 $8,229 $13,837 −40% $18,204 −54% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $8,332 $6,797 $12,486 −33% $16,288 −49% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,320 $7,849 $13,321 −38% $17,322 −52% ≈144% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $8,271 $8,219 $13,822 −40% $14,501 −43% —
541 OSTEOMYELITIS WITHOUT CCMCC $8,237 $8,755 $12,835 −36% $15,215 −46% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $8,236 $8,397 $14,064 −41% $14,064 −41% —
866 VIRAL ILLNESS WITHOUT MCC $8,169 $8,849 $16,616 −51% $17,081 −52% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,145 $8,142 $13,719 −41% $18,002 −55% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,137 $9,933 $13,058 −38% $15,370 −47% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $8,088 $6,190 $11,071 −27% $11,071 −27% —
638 DIABETES WITH CC $8,080 $9,159 $19,208 −58% $19,661 −59% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,026 $8,053 $13,598 −41% $17,578 −54% —
603 CELLULITIS WITHOUT MCC $7,997 $8,811 $14,626 −45% $18,530 −57% —
607 MINOR SKIN DISORDERS WITHOUT MCC $7,946 $8,652 $19,868 −60% $15,889 −50% —
076 VIRAL MENINGITIS WITHOUT CCMCC $7,868 $9,157 $15,094 −48% $17,135 −54% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $7,862 $6,507 $18,586 −58% $14,250 −45% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,825 $7,123 $12,336 −37% $12,336 −37% —
950 AFTERCARE WITHOUT CCMCC $7,750 $5,991 $31,701 −76% $13,527 −43% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $7,722 $6,916 $12,055 −36% $13,651 −43% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,693 $8,847 $15,063 −49% $15,452 −50% —
694 URINARY STONES WITHOUT MCC $7,629 $7,860 $17,181 −56% $17,345 −56% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $7,616 $7,541 $18,932 −60% $14,716 −48% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $7,434 $6,269 $13,665 −46% $15,183 −51% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $7,383 $8,063 $13,611 −46% $17,674 −58% —
201 PNEUMOTHORAX WITHOUT CCMCC $7,325 $6,862 $11,982 −39% $14,053 −48% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $7,324 $6,693 $12,390 −41% $14,638 −50% —
779 ABORTION WITHOUT D&C $7,295 $9,328 $15,327 −52% $15,327 −52% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $7,260 $6,576 $11,594 −37% $14,368 −49% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $7,230 $6,817 $16,121 −55% $14,549 −50% —
881 DEPRESSIVE NEUROSES $7,229 $9,130 $15,058 −52% $15,058 −52% —
684 RENAL FAILURE WITHOUT CCMCC $7,080 $6,195 $11,077 −36% $13,642 −48% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,074 $8,648 $18,130 −61% $18,602 −62% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,992 $8,202 $17,962 −61% $17,118 −59% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $6,897 $7,048 $19,048 −64% $12,460 −45% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,869 $7,003 $15,665 −56% $14,689 −53% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $6,830 $5,755 $10,480 −35% $10,480 −35% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $6,764 $7,834 $13,300 −49% $15,428 −56% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $6,483 $5,737 $10,456 −38% $13,384 −52% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $6,443 $4,610 $8,927 −28% $8,927 −28% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $6,381 $6,449 $13,734 −54% $11,421 −44% —
639 DIABETES WITHOUT CCMCC $6,362 $6,379 $11,327 −44% $13,910 −54% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,332 $7,307 $11,927 −47% $13,275 −52% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,245 $7,535 $12,895 −52% $12,895 −52% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $6,233 $5,619 $10,296 −39% $13,361 −53% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,057 $7,210 $8,504 −29% $12,454 −51% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $5,989 $6,873 $11,997 −50% $11,997 −50% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,972 $6,355 $12,013 −50% $12,324 −52% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $5,954 $6,341 $12,136 −51% $13,824 −57% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $5,948 $7,049 $13,817 −57% $12,252 −51% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,840 $7,193 $12,595 −54% $14,583 −60% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $5,777 $5,633 $10,316 −44% $12,999 −56% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $5,554 $6,481 $10,563 −47% $12,078 −54% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $5,551 $6,119 $11,732 −53% $10,975 −49% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $4,397 $5,357 $7,064 −38% $9,940 −56% —
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