MyMichigan Medical Center Midland — Pricing

797 procedures published in this hospital's Machine-Readable File (MRF) — 797 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 797
Lowest published price $3,032
Average published price $33,821
Highest published price $483,987

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 797 procedures

Published charges

Showing all 797 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. Cash-pay prices not published for this hospital.

Across 87 procedures, this hospital's negotiated rates average ≈125% of what Medicare pays.

DRG Description Published price vs. MI median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $483,987 $483,987 +0% $498,715 −3% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $362,617 $579,324 −37% $431,073 −16% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $306,087 $306,087 +0% $306,087 +0% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $276,951 $489,440 −43% $371,366 −25% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $184,103 $184,103 +0% $245,189 −25% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $171,028 $198,470 −14% $182,314 −6% —
007 LUNG TRANSPLANT $170,608 $170,608 +0% $170,608 +0% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $155,461 $155,461 +0% $169,977 −9% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $142,952 $142,952 +0% $171,338 −17% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $139,842 $139,842 +0% $159,181 −12% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $139,148 $279,095 −50% $191,314 −27% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,630 $137,630 +0% $142,326 −3% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $127,148 $354,545 −64% $175,437 −28% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $121,563 $121,563 +0% $121,563 +0% —
231 CORONARY BYPASS WITH PTCA WITH MCC $112,178 $270,671 −59% $145,864 −23% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $112,119 $212,958 −47% $151,029 −26% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $110,483 $186,693 −41% $119,071 −7% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $106,929 $366,972 −71% $135,380 −21% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $105,228 $105,228 +0% $105,228 +0% —
453 NO ACTIVE CODE DESCRIPTION $103,861 $103,861 +0% $103,861 +0% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $103,817 $207,530 −50% $138,868 −25% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,814 $274,256 −63% $143,242 −28% —
010 PANCREAS TRANSPLANT $99,940 $99,940 +0% $99,940 +0% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $99,339 $149,784 −34% $120,573 −18% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $94,742 $170,748 −45% $121,728 −22% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $94,288 $296,350 −68% $131,961 −29% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $92,883 $162,299 −43% $137,160 −32% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $91,253 $91,253 +0% $104,881 −13% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,681 $274,267 −67% $114,665 −22% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $89,353 $89,353 +0% $89,353 +0% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $89,209 $146,641 −39% $115,937 −23% —
222 NO ACTIVE CODE DESCRIPTION $86,864 $86,864 +0% $86,864 +0% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $86,661 $117,187 −26% $116,058 −25% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $86,542 $342,659 −75% $121,714 −29% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $86,459 $86,459 +0% $86,459 +0% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $84,844 $84,844 +0% $109,331 −22% —
006 LIVER TRANSPLANT WITHOUT MCC $84,407 $84,407 +0% $84,407 +0% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $83,192 $257,668 −68% $117,280 −29% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $83,090 $179,907 −54% $93,934 −12% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $82,731 $82,731 +0% $98,912 −16% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $82,458 $188,156 −56% $108,472 −24% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $82,102 $82,102 +0% $106,219 −23% —
028 SPINAL PROCEDURES WITH MCC $81,731 $81,731 +0% $95,858 −15% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $81,176 $117,165 −31% $98,260 −17% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $81,176 $81,176 +0% $81,176 +0% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $80,603 $205,464 −61% $113,855 −29% ≈91% of Medicare
224 NO ACTIVE CODE DESCRIPTION $80,427 $80,427 +0% $80,427 +0% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $80,075 $165,809 −52% $92,238 −13% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $80,018 $80,018 +0% $80,018 +0% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $79,247 $191,135 −59% $112,062 −29% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $78,460 $78,460 +0% $96,192 −18% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $77,406 $212,606 −64% $107,355 −28% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $76,970 $218,677 −65% $106,778 −28% —
653 MAJOR BLADDER PROCEDURES WITH MCC $75,310 $107,328 −30% $97,028 −22% —
459 NO ACTIVE CODE DESCRIPTION $75,251 $75,251 +0% $75,251 +0% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $74,709 $74,709 +0% $101,280 −26% —
834 ACUTE LEUKEMIA WITH MCC $74,709 $122,373 −39% $76,004 −2% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $74,414 $171,442 −57% $105,899 −30% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $73,986 $185,423 −60% $93,783 −21% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $73,455 $139,788 −47% $95,375 −23% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $73,103 $94,685 −23% $78,327 −7% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $73,038 $138,039 −47% $86,953 −16% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,030 $79,971 −9% $82,527 −12% —
226 NO ACTIVE CODE DESCRIPTION $72,618 $72,618 +0% $72,618 +0% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $72,075 $164,340 −56% $102,573 −30% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $71,776 $221,124 −68% $102,177 −30% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $69,912 $183,850 −62% $79,944 −13% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $69,695 $86,074 −19% $99,423 −30% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $69,206 $101,400 −32% $94,320 −27% —
454 NO ACTIVE CODE DESCRIPTION $69,101 $69,101 +0% $69,101 +0% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $69,008 $69,008 +0% $80,747 −15% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $68,473 $102,861 −33% $87,575 −22% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $68,095 $132,729 −49% $70,779 −4% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,045 $68,045 +0% $84,861 −20% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $68,020 $83,031 −18% $86,938 −22% ≈98% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $67,791 $215,073 −68% $96,905 −30% —
245 AICD GENERATOR PROCEDURES $66,564 $120,641 −45% $72,076 −8% —
471 CERVICAL SPINAL FUSION WITH MCC $66,189 $147,872 −55% $92,515 −28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $65,149 $88,691 −27% $85,882 −24% —
799 SPLENIC PROCEDURES WITH MCC $64,885 $90,477 −28% $78,821 −18% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $64,874 $113,525 −43% $84,825 −24% ≈95% of Medicare
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $64,248 $176,597 −64% $92,217 −30% ≈94% of Medicare
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $63,928 $65,508 −2% $80,885 −21% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,571 $239,704 −73% $91,329 −30% —
163 MAJOR CHEST PROCEDURES WITH MCC $63,017 $90,195 −30% $88,341 −29% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $62,992 $62,992 +0% $71,551 −12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,801 $62,801 +0% $90,331 −30% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $62,792 $71,037 −12% $88,050 −29% ≈101% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $61,750 $90,764 −32% $72,843 −15% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $61,401 $103,661 −41% $76,954 −20% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $61,240 $147,597 −59% $88,307 −31% ≈107% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $60,697 $60,697 +0% $68,847 −12% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $60,208 $133,441 −55% $75,585 −20% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $59,352 $59,352 +0% $59,352 +0% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $59,237 $162,979 −64% $83,441 −29% —
223 NO ACTIVE CODE DESCRIPTION $59,206 $59,206 +0% $59,206 +0% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $58,558 $114,073 −49% $82,561 −29% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $58,476 $139,593 −58% $87,495 −33% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $58,085 $135,184 −57% $60,098 −3% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $57,584 $99,623 −42% $68,590 −16% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $57,570 $90,945 −37% $72,879 −21% —
225 NO ACTIVE CODE DESCRIPTION $57,380 $57,380 +0% $57,380 +0% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $57,323 $8,803 +551% $16,708 +243% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $57,196 $127,345 −55% $83,065 −31% ≈108% of Medicare
227 NO ACTIVE CODE DESCRIPTION $56,960 $56,960 +0% $56,960 +0% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $56,565 $133,101 −58% $82,247 −31% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $56,535 $56,535 +0% $66,853 −15% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $56,456 $115,658 −51% $73,029 −23% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $56,242 $56,242 +0% $56,242 +0% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $56,194 $150,100 −63% $81,998 −31% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $55,985 $111,366 −50% $71,873 −22% —
791 PREMATURITY WITH MAJOR PROBLEMS $55,887 $25,580 +118% $39,254 +42% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $54,898 $56,106 −2% $71,519 −23% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $54,862 $63,159 −13% $57,521 −5% —
652 KIDNEY TRANSPLANT $54,720 $54,720 +0% $54,720 +0% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $54,405 $87,798 −38% $68,331 −20% —
455 NO ACTIVE CODE DESCRIPTION $54,320 $54,320 +0% $54,320 +0% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $54,300 $54,300 +0% $61,832 −12% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $54,196 $54,196 +0% $54,196 +0% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $53,970 $53,970 +0% $75,492 −29% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $53,945 $101,415 −47% $78,852 −32% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $53,665 $153,953 −65% $72,908 −26% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $53,357 $53,357 +0% $62,961 −15% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $53,307 $53,307 +0% $55,002 −3% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $53,167 $76,271 −30% $72,274 −26% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $52,805 $79,591 −34% $75,103 −30% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $52,536 $152,432 −66% $74,755 −30% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $52,152 $111,897 −53% $74,257 −30% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,761 $69,969 −26% $60,861 −15% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $50,550 $78,688 −36% $61,206 −17% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $50,222 $75,379 −33% $71,755 −30% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $49,721 $85,722 −42% $59,425 −16% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $49,718 $109,577 −55% $57,855 −14% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $49,711 $121,672 −59% $64,488 −23% —
265 AICD LEAD PROCEDURES $49,492 $106,195 −53% $56,216 −12% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $49,285 $84,193 −41% $70,540 −30% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $49,015 $114,346 −57% $62,404 −21% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $49,003 $49,003 +0% $50,919 −4% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $48,887 $48,887 +0% $56,964 −14% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $48,670 $80,994 −40% $68,399 −29% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,655 $69,283 −30% $65,383 −26% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $48,637 $48,637 +0% $59,207 −18% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $48,557 $48,557 +0% $51,953 −7% —
332 RECTAL RESECTION WITH MCC $48,214 $48,214 +0% $58,125 −17% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $48,165 $48,165 +0% $48,745 −1% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $47,899 $47,899 +0% $71,014 −33% ≈123% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $47,828 $47,828 +0% $61,353 −22% —
665 PROSTATECTOMY WITH MCC $47,758 $47,758 +0% $54,072 −12% —
252 OTHER VASCULAR PROCEDURES WITH MCC $47,717 $52,229 −9% $68,508 −30% ≈111% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $47,649 $86,618 −45% $68,421 −30% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $47,403 $87,012 −46% $67,215 −29% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $47,218 $132,067 −64% $70,132 −33% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,760 $104,150 −55% $62,790 −26% —
037 EXTRACRANIAL PROCEDURES WITH MCC $46,296 $108,163 −57% $64,749 −28% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $46,049 $53,961 −15% $52,908 −13% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $45,618 $80,243 −43% $64,468 −29% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $45,498 $73,066 −38% $53,763 −15% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $45,479 $64,724 −30% $64,465 −29% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $44,977 $83,778 −46% $64,956 −31% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $44,783 $88,561 −49% $57,277 −22% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $44,663 $89,398 −50% $66,819 −33% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,584 $140,604 −68% $49,710 −10% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $44,472 $44,472 +0% $44,472 +0% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $44,389 $76,717 −42% $51,142 −13% —
500 SOFT TISSUE PROCEDURES WITH MCC $44,320 $65,663 −33% $57,181 −22% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $43,701 $71,164 −39% $65,573 −33% ≈97% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $43,683 $75,429 −42% $54,483 −20% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $43,510 $96,937 −55% $65,325 −33% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $43,330 $88,436 −51% $62,266 −30% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $43,247 $118,114 −63% $65,216 −34% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $43,218 $134,574 −68% $53,817 −20% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,021 $68,568 −37% $53,555 −20% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,891 $95,914 −55% $63,310 −32% —
460 NO ACTIVE CODE DESCRIPTION $42,725 $42,725 +0% $50,815 −16% —
570 SKIN DEBRIDEMENT WITH MCC $42,263 $63,989 −34% $51,501 −18% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $41,952 $41,952 +0% $46,402 −10% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $41,464 $50,540 −18% $54,313 −24% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $41,365 $64,911 −36% $63,984 −35% ≈102% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $41,261 $52,918 −22% $60,140 −31% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,045 $41,045 +0% $47,126 −13% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $41,024 $60,844 −33% $66,765 −39% ≈101% of Medicare
800 SPLENIC PROCEDURES WITH CC $41,012 $41,012 +0% $49,184 −17% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $40,991 $69,053 −41% $54,475 −25% ≈112% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $40,797 $92,134 −56% $59,537 −31% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,406 $85,055 −52% $58,968 −31% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,363 $40,363 +0% $56,758 −29% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,341 $70,062 −42% $53,787 −25% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $40,289 $40,289 +0% $49,055 −18% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $40,142 $99,486 −60% $74,274 −46% ≈113% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $39,822 $78,609 −49% $53,868 −26% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $39,644 $116,012 −66% $58,043 −32% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $39,606 $89,198 −56% $48,907 −19% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $38,709 $96,641 −60% $48,358 −20% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,646 $44,490 −13% $45,497 −15% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,581 $38,581 +0% $44,973 −14% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,454 $94,334 −59% $43,491 −12% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $38,281 $87,999 −56% $57,030 −33% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,166 $57,621 −34% $44,839 −15% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,027 $52,818 −28% $52,405 −27% ≈104% of Medicare
263 VEIN LIGATION AND STRIPPING $38,005 $115,416 −67% $44,938 −15% —
849 RADIOTHERAPY $37,862 $34,081 +11% $37,862 +0% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $37,754 $37,754 +0% $45,271 −17% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $37,631 $37,631 +0% $40,947 −8% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $37,588 $58,609 −36% $45,558 −17% —
503 FOOT PROCEDURES WITH MCC $37,544 $37,544 +0% $43,982 −15% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $37,509 $37,509 +0% $40,277 −7% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $37,242 $46,654 −20% $54,929 −32% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $37,153 $37,153 +0% $43,697 −15% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $36,791 $67,958 −46% $41,596 −12% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $36,735 $72,839 −50% $47,574 −23% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $36,339 $36,339 +0% $38,878 −7% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,329 $101,135 −64% $53,746 −32% ≈106% of Medicare
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $36,267 $81,288 −55% $56,197 −35% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,097 $36,097 +0% $36,097 +0% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,990 $37,064 −3% $39,657 −9% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $35,964 $91,158 −61% $46,659 −23% —
164 MAJOR CHEST PROCEDURES WITH CC $35,862 $65,590 −45% $53,141 −33% ≈106% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,694 $35,694 +0% $39,409 −9% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $35,670 $85,849 −58% $55,162 −35% —
397 APPENDIX PROCEDURES WITH MCC $35,353 $63,467 −44% $52,319 −32% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,224 $40,974 −14% $52,332 −33% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $34,988 $15,032 +133% $11,633 +201% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $34,970 $58,469 −40% $51,985 −33% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $34,708 $57,655 −40% $54,681 −37% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,586 $39,532 −13% $45,937 −25% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $34,487 $34,487 +0% $40,065 −14% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $34,357 $62,983 −45% $56,394 −39% ≈125% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,307 $92,754 −63% $47,583 −28% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,307 $50,483 −32% $39,093 −12% —
248 NO ACTIVE CODE DESCRIPTION $34,146 $34,146 +0% $34,146 +0% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $34,039 $55,837 −39% $51,950 −34% —
246 NO ACTIVE CODE DESCRIPTION $33,983 $33,983 +0% $33,983 +0% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $33,920 $76,123 −55% $50,624 −33% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $33,912 $68,549 −51% $40,548 −16% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,872 $42,390 −20% $58,713 −42% ≈114% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,823 $69,111 −51% $47,546 −29% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,546 $96,949 −65% $50,139 −33% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,308 $70,600 −53% $36,237 −8% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $33,237 $33,237 +0% $35,806 −7% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $33,209 $77,121 −57% $51,339 −35% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $33,155 $55,862 −41% $49,631 −33% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $32,969 $41,055 −20% $37,080 −11% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $32,919 $45,199 −27% $36,195 −9% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,829 $51,622 −36% $39,253 −16% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $32,773 $63,552 −48% $43,313 −24% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $32,719 $66,855 −51% $46,306 −29% ≈104% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $32,604 $61,143 −47% $36,318 −10% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $32,504 $32,504 +0% $38,998 −17% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,503 $44,989 −28% $44,989 −28% —
113 ORBITAL PROCEDURES WITH CC/MCC $32,482 $32,482 +0% $35,642 −9% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,433 $87,832 −63% $50,011 −35% ≈109% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $32,423 $58,867 −45% $48,682 −33% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,385 $47,230 −31% $44,927 −28% —
709 PENIS PROCEDURES WITH CC/MCC $32,359 $32,359 +0% $34,535 −6% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,168 $103,645 −69% $44,022 −27% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $32,077 $71,716 −55% $45,842 −30% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $31,920 $55,152 −42% $44,600 −28% ≈111% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,740 $31,740 +0% $38,382 −17% —
935 NON-EXTENSIVE BURNS $31,701 $31,701 +0% $29,458 +8% —
906 HAND PROCEDURES FOR INJURIES $31,520 $31,520 +0% $31,520 +0% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $31,474 $47,426 −34% $41,114 −23% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,349 $73,453 −57% $37,681 −17% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $31,193 $51,062 −39% $44,553 −30% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,144 $48,423 −36% $38,166 −18% ≈112% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $31,079 $63,524 −51% $34,900 −11% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $31,044 $31,044 +0% $31,044 +0% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $31,025 $71,818 −57% $36,850 −16% —
835 ACUTE LEUKEMIA WITH CC $30,915 $38,466 −20% $35,569 −13% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $30,914 $71,285 −57% $39,923 −23% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $30,912 $65,225 −53% $44,719 −31% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $30,860 $30,860 +0% $37,654 −18% —
333 RECTAL RESECTION WITH CC $30,778 $49,879 −38% $34,352 −10% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $30,721 $58,069 −47% $46,477 −34% —
595 MAJOR SKIN DISORDERS WITH MCC $30,646 $30,646 +0% $31,772 −4% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,609 $58,686 −48% $49,071 −38% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,598 $37,988 −19% $38,885 −21% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,598 $80,082 −62% $37,839 −19% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,555 $40,864 −25% $55,147 −45% ≈116% of Medicare
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $30,486 $55,339 −45% $35,381 −14% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $30,404 $40,762 −25% $46,066 −34% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $30,326 $30,326 +0% $32,506 −7% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $30,155 $59,928 −50% $41,701 −28% —
338 NO ACTIVE CODE DESCRIPTION $30,138 $30,138 +0% $30,138 +0% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,124 $49,325 −39% $50,998 −41% ≈110% of Medicare
592 SKIN ULCERS WITH MCC $29,882 $32,662 −9% $32,662 −9% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $29,767 $34,089 −13% $34,089 −13% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $29,518 $31,134 −5% $30,661 −4% —
539 OSTEOMYELITIS WITH MCC $29,443 $46,919 −37% $33,614 −12% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $29,374 $46,274 −37% $41,660 −29% —
548 SEPTIC ARTHRITIS WITH MCC $29,341 $29,341 +0% $31,019 −5% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $29,314 $29,314 +0% $30,940 −5% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $29,304 $71,035 −59% $45,594 −36% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $29,131 $52,133 −44% $43,320 −33% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $29,127 $29,127 +0% $43,444 −33% ≈116% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,109 $29,109 +0% $29,109 +0% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $29,012 $29,012 +0% $35,714 −19% ≈110% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,993 $43,600 −34% $35,139 −17% —
100 SEIZURES WITH MCC $28,961 $44,206 −34% $35,194 −18% ≈110% of Medicare
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $28,958 $28,958 +0% $29,598 −2% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,868 $45,617 −37% $41,847 −31% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,801 $28,801 +0% $43,252 −33% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,787 $64,661 −55% $43,775 −34% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,703 $41,520 −31% $41,520 −31% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $28,660 $28,660 +0% $34,876 −18% ≈114% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $28,648 $65,153 −56% $43,538 −34% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,621 $51,619 −45% $36,880 −22% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $28,573 $50,714 −44% $35,108 −19% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $28,559 $28,559 +0% $29,524 −3% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $28,555 $28,555 +0% $32,901 −13% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $28,381 $51,089 −44% $43,080 −34% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $28,350 $39,493 −28% $36,202 −22% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,264 $39,917 −29% $42,881 −34% —
380 COMPLICATED PEPTIC ULCER WITH MCC $28,169 $66,162 −57% $36,537 −23% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,020 $28,020 +0% $33,236 −16% —
711 TESTES PROCEDURES WITH CC/MCC $27,991 $27,991 +0% $34,846 −20% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,823 $58,111 −52% $42,126 −34% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,823 $96,785 −71% $35,029 −21% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $27,767 $57,360 −52% $36,241 −23% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $27,729 $41,388 −33% $31,913 −13% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $27,695 $32,642 −15% $31,743 −13% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $27,668 $27,668 +0% $32,976 −16% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,666 $39,942 −31% $48,801 −43% ≈116% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $27,664 $49,918 −45% $45,916 −40% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $27,647 $30,577 −10% $30,362 −9% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $27,401 $39,936 −31% $34,886 −21% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $27,387 $52,535 −48% $41,380 −34% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,287 $43,981 −38% $30,681 −11% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $27,276 $27,276 +0% $32,538 −16% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $27,256 $27,256 +0% $22,698 +20% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,152 $27,430 −1% $29,609 −8% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,058 $27,058 +0% $29,867 −9% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $26,986 $54,120 −50% $40,694 −34% ≈109% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,921 $47,329 −43% $40,583 −34% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,909 $53,084 −49% $40,563 −34% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $26,903 $41,878 −36% $40,552 −34% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $26,875 $50,798 −47% $37,950 −29% —
919 COMPLICATIONS OF TREATMENT WITH MCC $26,862 $31,711 −15% $29,031 −7% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,853 $37,387 −28% $35,990 −25% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,794 $48,468 −45% $35,989 −26% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $26,792 $33,744 −21% $37,842 −29% ≈116% of Medicare
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $26,677 $26,677 +0% $29,476 −9% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $26,676 $79,333 −66% $54,772 −51% ≈120% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $26,617 $67,264 −60% $40,063 −34% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $26,590 $4,337 +513% $14,121 +88% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $26,510 $26,510 +0% $24,447 +8% —
501 SOFT TISSUE PROCEDURES WITH CC $26,358 $26,358 +0% $37,975 −31% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $26,308 $39,103 −33% $47,635 −45% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $26,307 $37,516 −30% $30,275 −13% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $26,296 $45,866 −43% $33,415 −21% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $26,242 $26,242 +0% $31,909 −18% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $26,206 $26,783 −2% $36,355 −28% —
199 PNEUMOTHORAX WITH MCC $26,106 $32,918 −21% $31,085 −16% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $26,007 $36,091 −28% $35,673 −27% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,006 $42,239 −38% $39,018 −33% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $25,994 $33,797 −23% $29,558 −12% —
509 ARTHROSCOPY $25,994 $25,994 +0% $25,994 +0% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,994 $25,994 +0% $31,846 −18% —
504 FOOT PROCEDURES WITH CC $25,972 $49,559 −48% $36,519 −29% —
505 FOOT PROCEDURES WITHOUT CC/MCC $25,972 $58,847 −56% $31,716 −18% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $25,923 $94,925 −73% $34,158 −24% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,899 $67,013 −61% $38,836 −33% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $25,881 $40,056 −35% $31,627 −18% —
180 RESPIRATORY NEOPLASMS WITH MCC $25,879 $42,988 −40% $36,658 −29% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $25,761 $30,814 −16% $30,814 −16% —
915 ALLERGIC REACTIONS WITH MCC $25,750 $30,774 −16% $30,944 −17% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,727 $25,727 +0% $32,839 −22% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $25,633 $25,633 +0% $29,826 −14% —
341 NO ACTIVE CODE DESCRIPTION $25,628 $25,628 +0% $25,628 +0% —
671 URETHRAL PROCEDURES WITH CC/MCC $25,566 $25,566 +0% $27,233 −6% —
075 VIRAL MENINGITIS WITH CC/MCC $25,549 $30,633 −17% $29,751 −14% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $25,466 $44,395 −43% $38,094 −33% —
551 MEDICAL BACK PROBLEMS WITH MCC $25,341 $39,793 −36% $31,067 −18% ≈122% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $25,272 $45,416 −44% $43,266 −42% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $25,176 $31,216 −19% $29,671 −15% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,133 $81,021 −69% $28,578 −12% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $25,121 $25,121 +0% $29,409 −15% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $25,056 $36,378 −31% $31,029 −19% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $25,010 $28,810 −13% $29,929 −16% ≈120% of Medicare
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $24,928 $35,423 −30% $29,916 −17% —
571 SKIN DEBRIDEMENT WITH CC $24,925 $37,934 −34% $34,773 −28% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $24,871 $27,002 −8% $25,146 −1% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,869 $35,662 −30% $33,339 −25% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $24,851 $24,851 +0% $28,103 −12% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,846 $24,846 +0% $30,930 −20% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,787 $30,255 −18% $32,417 −24% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $24,771 $49,778 −50% $27,277 −9% —
334 RECTAL RESECTION WITHOUT CC/MCC $24,721 $30,516 −19% $32,213 −23% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,718 $47,027 −47% $42,119 −41% —
643 ENDOCRINE DISORDERS WITH MCC $24,704 $26,594 −7% $32,953 −25% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $24,687 $32,689 −24% $32,689 −24% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $24,622 $30,847 −20% $44,087 −44% ≈117% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $24,586 $24,586 +0% $25,197 −2% —
666 PROSTATECTOMY WITH CC $24,574 $34,978 −30% $30,016 −18% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $24,514 $31,566 −22% $31,566 −22% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $24,502 $24,502 +0% $28,554 −14% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $24,497 $24,497 +0% $28,802 −15% ≈128% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $24,475 $29,460 −17% $28,001 −13% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $24,458 $24,458 +0% $30,768 −21% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $24,448 $47,348 −48% $36,333 −33% —
157 DENTAL AND ORAL DISEASES WITH MCC $24,447 $32,211 −24% $27,457 −11% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $24,302 $40,585 −40% $24,465 −1% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,292 $24,292 +0% $27,074 −10% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $24,282 $27,617 −12% $25,998 −7% —
913 TRAUMATIC INJURY WITH MCC $24,198 $24,198 +0% $24,198 +0% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,189 $29,032 −17% $25,596 −5% ≈116% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $24,174 $24,174 +0% $31,754 −24% ≈118% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $24,107 $59,118 −59% $35,770 −33% —
606 MINOR SKIN DISORDERS WITH MCC $24,094 $24,094 +0% $25,434 −5% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $24,061 $46,560 −48% $35,692 −33% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $23,998 $43,999 −45% $35,584 −33% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,921 $39,564 −40% $35,453 −33% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,902 $23,902 +0% $33,962 −30% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $23,876 $42,340 −44% $35,375 −33% —
945 REHABILITATION WITH CC/MCC $23,834 $23,834 +0% $23,834 +0% —
183 MAJOR CHEST TRAUMA WITH MCC $23,796 $38,574 −38% $28,924 −18% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,784 $38,222 −38% $39,675 −40% ≈122% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $23,703 $23,703 +0% $33,425 −29% —
186 PLEURAL EFFUSION WITH MCC $23,701 $33,231 −29% $32,385 −27% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,658 $23,658 +0% $29,891 −21% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $23,602 $51,359 −54% $34,906 −32% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $23,560 $36,193 −35% $32,804 −28% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $23,545 $40,463 −42% $30,224 −22% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,510 $56,346 −58% $32,189 −27% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $23,475 $65,531 −64% $40,801 −42% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,326 $40,728 −43% $34,434 −32% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $23,307 $23,410 −0% $28,385 −18% —
813 COAGULATION DISORDERS $23,285 $34,727 −33% $30,128 −23% —
669 TRANSURETHRAL PROCEDURES WITH CC $23,279 $46,302 −50% $34,354 −32% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $23,263 $23,263 +0% $24,036 −3% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $23,257 $23,257 +0% $25,484 −9% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,254 $32,588 −29% $28,252 −18% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,118 $36,330 −36% $35,961 −36% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $23,065 $23,065 +0% $24,879 −7% —
663 MINOR BLADDER PROCEDURES WITH CC $23,018 $26,362 −13% $29,924 −23% —
533 FRACTURES OF FEMUR WITH MCC $22,986 $22,986 +0% $25,945 −11% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,893 $53,573 −57% $33,694 −32% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $22,882 $47,812 −52% $30,888 −26% —
398 APPENDIX PROCEDURES WITH CC $22,834 $37,297 −39% $38,574 −41% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $22,791 $42,564 −46% $24,229 −6% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $22,783 $48,431 −53% $26,998 −16% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,780 $22,780 +0% $28,375 −20% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,735 $33,930 −33% $33,424 −32% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $22,721 $32,548 −30% $33,790 −33% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $22,714 $44,660 −49% $35,528 −36% —
682 RENAL FAILURE WITH MCC $22,687 $29,037 −22% $27,640 −18% ≈132% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $22,681 $22,681 +0% $23,814 −5% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $22,664 $47,001 −52% $25,854 −12% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $22,651 $32,512 −30% $29,049 −22% —
506 MAJOR THUMB OR JOINT PROCEDURES $22,651 $22,651 +0% $28,983 −22% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,628 $49,550 −54% $24,450 −7% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $22,568 $44,357 −49% $33,137 −32% ≈122% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,516 $34,722 −35% $31,062 −28% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,477 $37,496 −40% $27,597 −19% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $22,435 $51,365 −56% $32,911 −32% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $22,353 $6,499 +244% $7,896 +183% —
865 VIRAL ILLNESS WITH MCC $22,350 $34,426 −35% $26,088 −14% —
693 URINARY STONES WITH MCC $22,278 $29,174 −24% $22,525 −1% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,272 $25,685 −13% $28,403 −22% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,265 $22,265 +0% $25,152 −11% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $22,265 $33,037 −33% $25,786 −14% —
602 CELLULITIS WITH MCC $22,262 $32,026 −30% $29,347 −24% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $22,189 $29,341 −24% $29,011 −24% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $22,175 $22,175 +0% $25,149 −12% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $22,167 $38,599 −43% $32,451 −32% —
637 DIABETES WITH MCC $22,095 $29,571 −25% $28,772 −23% ≈125% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $22,077 $56,492 −61% $24,874 −11% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $21,986 $21,986 +0% $21,986 +0% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $21,961 $21,961 +0% $29,630 −26% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $21,908 $21,908 +0% $22,525 −3% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $21,873 $21,873 +0% $25,243 −13% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $21,795 $48,129 −55% $31,816 −31% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $21,793 $51,788 −58% $31,812 −31% —
247 NO ACTIVE CODE DESCRIPTION $21,663 $21,663 +0% $21,663 +0% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $21,642 $21,642 +0% $25,071 −14% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $21,615 $21,615 +0% $21,615 +0% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,563 $20,449 +5% $23,734 −9% —
088 CONCUSSION WITH MCC $21,503 $21,503 +0% $24,402 −12% —
885 PSYCHOSES $21,489 $21,802 −1% $21,489 +0% ≈134% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $21,483 $34,768 −38% $29,521 −27% ≈123% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $21,454 $29,603 −28% $27,674 −22% ≈127% of Medicare
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $21,427 $45,899 −53% $35,693 −40% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,381 $26,908 −21% $23,456 −9% —
137 MOUTH PROCEDURES WITH CC/MCC $21,346 $21,346 +0% $24,348 −12% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,328 $39,687 −46% $29,777 −28% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $21,277 $33,190 −36% $25,666 −17% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,240 $45,535 −53% $24,118 −12% ≈127% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,228 $21,228 +0% $24,561 −14% —
150 EPISTAXIS WITH MCC $21,133 $21,133 +0% $21,133 +0% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,022 $42,230 −50% $29,029 −28% —
139 SALIVARY GLAND PROCEDURES $21,014 $21,014 +0% $21,014 +0% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,980 $20,980 +0% $20,980 +0% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $20,978 $32,852 −36% $30,418 −31% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $20,875 $20,875 +0% $24,928 −16% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,782 $33,334 −38% $29,374 −29% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,766 $25,377 −18% $28,509 −27% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,702 $20,702 +0% $27,118 −24% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,672 $20,672 +0% $23,646 −13% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $20,619 $32,248 −36% $29,805 −31% —
249 NO ACTIVE CODE DESCRIPTION $20,610 $20,610 +0% $20,610 +0% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $20,586 $29,208 −30% $29,957 −31% ≈126% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,513 $37,106 −45% $25,412 −19% ≈122% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,497 $31,978 −36% $31,978 −36% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $20,455 $21,706 −6% $22,874 −11% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $20,430 $20,430 +0% $24,244 −16% ≈126% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $20,296 $20,296 +0% $25,766 −21% ≈131% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,295 $25,606 −21% $34,564 −41% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,217 $38,301 −47% $23,039 −12% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,145 $20,145 +0% $23,956 −16% —
291 HEART FAILURE AND SHOCK WITH MCC $20,129 $20,129 +0% $24,932 −19% ≈133% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,117 $20,117 +0% $21,029 −4% —
540 OSTEOMYELITIS WITH CC $19,990 $30,974 −35% $23,494 −15% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,945 $19,945 +0% $22,811 −13% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,930 $24,932 −20% $23,920 −17% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $19,916 $19,916 +0% $23,474 −15% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,911 $29,494 −32% $23,646 −16% —
947 SIGNS AND SYMPTOMS WITH MCC $19,887 $28,845 −31% $25,474 −22% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,865 $23,003 −14% $27,041 −27% ≈123% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $19,686 $19,686 +0% $19,686 +0% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,686 $24,942 −21% $22,226 −11% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,655 $32,494 −40% $28,156 −30% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,637 $52,036 −62% $25,621 −23% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,602 $31,616 −38% $26,616 −26% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,581 $24,163 −19% $19,894 −2% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,533 $45,523 −57% $27,947 −30% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,357 $26,146 −26% $26,146 −26% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,354 $19,354 +0% $19,354 +0% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $19,350 $22,827 −15% $21,860 −11% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $19,302 $19,302 +0% $20,727 −7% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,268 $33,010 −42% $22,010 −12% ≈127% of Medicare
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,267 $26,894 −28% $27,492 −30% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,254 $19,254 +0% $24,603 −22% ≈130% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,183 $19,183 +0% $20,147 −5% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,169 $37,572 −49% $27,319 −30% —
375 DIGESTIVE MALIGNANCY WITH CC $19,141 $32,433 −41% $27,125 −29% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,132 $19,132 +0% $19,132 +0% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,075 $25,885 −26% $26,158 −27% —
593 SKIN ULCERS WITH CC $19,063 $20,470 −7% $20,470 −7% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,017 $19,017 +0% $23,588 −19% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,949 $47,116 −60% $22,920 −17% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,845 $18,845 +0% $26,098 −28% ≈138% of Medicare
549 SEPTIC ARTHRITIS WITH CC $18,835 $18,835 +0% $20,808 −9% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,752 $40,550 −54% $27,369 −31% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,707 $17,932 +4% $20,148 −7% —
887 OTHER MENTAL DISORDER DIAGNOSES $18,631 $18,631 +0% $20,557 −9% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,572 $19,980 −7% $20,837 −11% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,536 $18,536 +0% $19,598 −5% —
339 NO ACTIVE CODE DESCRIPTION $18,474 $18,474 +0% $18,474 +0% —
304 HYPERTENSION WITH MCC $18,442 $23,759 −22% $23,945 −23% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,383 $27,631 −33% $22,870 −20% ≈133% of Medicare
302 ATHEROSCLEROSIS WITH MCC $18,292 $18,292 +0% $20,810 −12% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,291 $18,291 +0% $18,291 +0% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,290 $28,841 −37% $21,025 −13% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $18,260 $18,260 +0% $22,532 −19% —
102 HEADACHES WITH MCC $18,243 $37,333 −51% $21,983 −17% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,220 $36,181 −50% $24,146 −25% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,191 $18,191 +0% $25,206 −28% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,133 $18,133 +0% $18,133 +0% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $18,038 $49,136 −63% $25,390 −29% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,021 $19,515 −8% $24,426 −26% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,973 $31,098 −42% $24,277 −26% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,967 $54,712 −67% $25,267 −29% ≈145% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $17,922 $18,569 −3% $19,657 −9% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $17,832 $20,741 −14% $20,741 −14% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,830 $29,557 −40% $24,017 −26% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $17,780 $26,291 −32% $30,259 −41% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,770 $17,770 +0% $24,103 −26% ≈134% of Medicare
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $17,768 $23,493 −24% $19,317 −8% —
946 REHABILITATION WITHOUT CC/MCC $17,685 $17,685 +0% $17,685 +0% —
181 RESPIRATORY NEOPLASMS WITH CC $17,604 $23,573 −25% $22,065 −20% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $17,602 $24,384 −28% $18,459 −5% —
200 PNEUMOTHORAX WITH CC $17,568 $19,070 −8% $20,573 −15% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,544 $38,130 −54% $24,544 −29% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $17,505 $20,828 −16% $25,038 −30% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,483 $17,483 +0% $17,483 +0% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $17,398 $17,398 +0% $17,398 +0% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,354 $38,371 −55% $19,868 −13% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,337 $33,871 −49% $31,190 −44% ≈148% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $17,329 $22,591 −23% $24,177 −28% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,269 $26,208 −34% $21,666 −20% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,226 $17,226 +0% $17,226 +0% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,209 $17,209 +0% $18,126 −5% —
949 AFTERCARE WITH CC/MCC $17,198 $39,809 −57% $23,953 −28% —
598 MALIGNANT BREAST DISORDERS WITH CC $17,197 $17,197 +0% $19,073 −10% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $17,193 $17,193 +0% $17,193 +0% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $17,159 $29,737 −42% $17,719 −3% —
089 CONCUSSION WITH CC $17,109 $45,136 −62% $18,293 −6% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,089 $20,800 −18% $19,448 −12% ≈131% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $17,079 $21,701 −21% $23,749 −28% —
712 TESTES PROCEDURES WITHOUT CC/MCC $17,076 $17,076 +0% $18,898 −10% —
184 MAJOR CHEST TRAUMA WITH CC $17,057 $33,974 −50% $20,842 −18% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $16,963 $22,551 −25% $23,400 −28% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,935 $32,286 −48% $24,000 −29% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,872 $18,242 −8% $23,396 −28% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,857 $20,232 −17% $18,000 −6% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,847 $33,426 −50% $17,308 −3% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,823 $26,053 −35% $22,231 −24% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,723 $21,763 −23% $23,141 −28% —
644 ENDOCRINE DISORDERS WITH CC $16,607 $18,745 −11% $22,941 −28% ≈135% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,575 $16,575 +0% $22,623 −27% ≈148% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,553 $20,262 −18% $22,850 −28% —
667 PROSTATECTOMY WITHOUT CC/MCC $16,534 $16,534 +0% $16,703 −1% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,518 $28,263 −42% $24,008 −31% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,495 $16,495 +0% $16,495 +0% —
342 NO ACTIVE CODE DESCRIPTION $16,487 $16,487 +0% $19,454 −15% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $16,434 $16,434 +0% $22,557 −27% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,431 $17,098 −4% $20,732 −21% ≈134% of Medicare
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,431 $16,431 +0% $16,431 +0% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $16,429 $21,035 −22% $21,499 −24% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,427 $16,427 +0% $20,076 −18% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $16,423 $18,398 −11% $19,091 −14% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,402 $27,027 −39% $22,590 −27% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,392 $16,392 +0% $22,610 −28% ≈147% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,382 $19,815 −17% $18,005 −9% —
920 COMPLICATIONS OF TREATMENT WITH CC $16,379 $20,764 −21% $20,879 −22% —
187 PLEURAL EFFUSION WITH CC $16,225 $25,181 −36% $21,467 −24% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,213 $16,213 +0% $17,078 −5% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,212 $16,212 +0% $16,212 +0% —
697 URETHRAL STRICTURE $16,196 $16,196 +0% $17,705 −9% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,171 $23,637 −32% $20,007 −19% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,146 $16,146 +0% $17,268 −6% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $16,076 $20,270 −21% $20,917 −23% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $16,070 $20,421 −21% $22,024 −27% —
197 INTERSTITIAL LUNG DISEASE WITH CC $16,043 $20,480 −22% $20,105 −20% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,990 $19,618 −18% $21,886 −27% ≈142% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,986 $24,053 −34% $18,199 −12% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,901 $15,901 +0% $15,901 +0% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,890 $15,890 +0% $15,890 +0% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $15,808 $15,808 +0% $22,587 −30% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,741 $18,300 −14% $17,183 −8% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,734 $23,689 −34% $21,449 −27% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $15,703 $15,703 +0% $20,632 −24% ≈144% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,684 $17,269 −9% $20,716 −24% —
882 NEUROSES EXCEPT DEPRESSIVE $15,680 $20,185 −22% $15,680 +0% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,636 $25,181 −38% $15,636 +0% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,613 $20,108 −22% $23,571 −34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,610 $19,857 −21% $16,418 −5% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $15,603 $22,563 −31% $18,060 −14% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,598 $17,985 −13% $20,371 −23% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,591 $29,257 −47% $19,326 −19% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,589 $22,130 −30% $15,589 +0% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,547 $15,547 +0% $18,316 −15% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,411 $15,411 +0% $18,815 −18% ≈180% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $15,402 $18,267 −16% $17,751 −13% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,390 $15,390 +0% $17,108 −10% —
779 ABORTION WITHOUT D&C $15,327 $15,327 +0% $15,327 +0% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $15,311 $15,311 +0% $16,622 −8% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $15,217 $21,965 −31% $18,323 −17% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $15,183 $24,737 −39% $19,287 −21% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $15,172 $18,887 −20% $20,408 −26% ≈146% of Medicare
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $15,158 $18,545 −18% $20,463 −26% ≈165% of Medicare
101 SEIZURES WITHOUT MCC $15,157 $19,954 −24% $19,930 −24% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,153 $28,690 −47% $20,313 −25% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $15,121 $15,121 +0% $16,352 −8% —
638 DIABETES WITH CC $15,098 $15,098 +0% $18,763 −20% ≈163% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $15,094 $15,094 +0% $15,474 −2% —
914 TRAUMATIC INJURY WITHOUT MCC $15,088 $20,532 −27% $15,586 −3% —
881 DEPRESSIVE NEUROSES $15,058 $15,058 +0% $15,058 +0% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,039 $15,039 +0% $17,585 −14% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,950 $18,722 −20% $17,731 −16% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,937 $14,937 +0% $15,007 −0% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,849 $15,880 −6% $17,412 −15% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $14,795 $20,256 −27% $18,243 −19% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $14,778 $14,995 −1% $17,006 −13% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,776 $26,150 −43% $21,323 −31% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,770 $14,770 +0% $15,764 −6% —
683 RENAL FAILURE WITH CC $14,731 $14,731 +0% $18,322 −20% ≈151% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $14,678 $16,616 −12% $16,348 −10% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,675 $15,452 −5% $15,045 −2% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,668 $25,962 −44% $15,818 −7% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,654 $13,638 +7% $15,608 −6% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $14,644 $16,658 −12% $15,923 −8% ≈134% of Medicare
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,635 $28,604 −49% $19,569 −25% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $14,627 $14,627 +0% $19,854 −26% —
603 CELLULITIS WITHOUT MCC $14,626 $14,626 +0% $18,359 −20% ≈154% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $14,549 $12,835 +13% $14,549 +0% —
312 SYNCOPE AND COLLAPSE $14,502 $22,408 −35% $19,342 −25% ≈150% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $14,480 $14,480 +0% $19,305 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $14,410 $19,868 −27% $15,276 −6% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $14,405 $18,602 −23% $17,296 −17% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $14,383 $14,383 +0% $16,156 −11% —
292 HEART FAILURE AND SHOCK WITH CC $14,372 $18,217 −21% $15,878 −9% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $14,358 $14,358 +0% $19,096 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $14,344 $14,344 +0% $18,104 −21% —
090 CONCUSSION WITHOUT CC/MCC $14,321 $25,669 −44% $14,873 −4% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $14,290 $14,290 +0% $14,290 +0% —
103 HEADACHES WITHOUT MCC $14,229 $21,911 −35% $20,076 −29% —
594 SKIN ULCERS WITHOUT CC/MCC $14,209 $14,209 +0% $14,209 +0% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,171 $14,719 −4% $20,084 −29% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,064 $14,064 +0% $14,064 +0% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,055 $14,055 +0% $14,055 +0% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,026 $16,700 −16% $17,579 −20% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $13,911 $13,911 +0% $15,876 −12% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,884 $14,739 −6% $19,815 −30% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,876 $13,058 +6% $15,370 −10% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,837 $13,837 +0% $18,204 −24% ≈161% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,822 $13,822 +0% $13,822 +0% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,806 $33,439 −59% $18,150 −24% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $13,799 $21,059 −34% $16,622 −17% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,791 $15,817 −13% $17,562 −21% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,791 $25,645 −46% $17,851 −23% —
176 PULMONARY EMBOLISM WITHOUT MCC $13,765 $14,365 −4% $17,693 −22% ≈161% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $13,759 $27,798 −51% $17,194 −20% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,752 $22,285 −38% $17,383 −21% —
204 RESPIRATORY SIGNS AND SYMPTOMS $13,720 $15,170 −10% $16,804 −18% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $13,719 $13,719 +0% $17,754 −23% —
123 NEUROLOGICAL EYE DISORDERS $13,618 $25,756 −47% $17,831 −24% —
340 NO ACTIVE CODE DESCRIPTION $13,613 $13,613 +0% $16,240 −16% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $13,611 $13,611 +0% $17,379 −22% ≈151% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,602 $13,602 +0% $19,001 −28% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $13,602 $13,602 +0% $18,038 −25% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $13,598 $13,598 +0% $17,345 −22% ≈155% of Medicare
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $13,586 $13,586 +0% $13,586 +0% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $13,579 $20,471 −34% $20,253 −33% ≈152% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $13,542 $20,739 −35% $17,700 −23% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $13,506 $13,506 +0% $17,719 −24% ≈166% of Medicare
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $13,445 $13,445 +0% $13,445 +0% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,438 $25,791 −48% $17,522 −23% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,385 $19,432 −31% $13,385 +0% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,336 $13,336 +0% $16,718 −20% ≈168% of Medicare
694 URINARY STONES WITHOUT MCC $13,336 $17,181 −22% $16,451 −19% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,321 $13,321 +0% $17,322 −23% ≈167% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,300 $14,781 −10% $14,166 −6% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $13,288 $20,483 −35% $15,858 −16% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,184 $19,510 −32% $14,411 −9% —
151 EPISTAXIS WITHOUT MCC $13,032 $13,891 −6% $13,032 +0% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,002 $18,904 −31% $16,776 −22% —
305 HYPERTENSION WITHOUT MCC $12,937 $12,937 +0% $16,897 −23% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,931 $24,775 −48% $16,654 −22% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,919 $25,534 −49% $16,634 −22% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $12,903 $18,932 −32% $14,337 −10% —
149 DYSEQUILIBRIUM $12,896 $21,518 −40% $17,203 −25% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,895 $12,895 +0% $12,895 +0% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,879 $14,237 −10% $14,861 −13% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $12,855 $12,855 +0% $13,892 −7% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $12,811 $12,811 +0% $13,278 −4% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $12,789 $14,607 −12% $16,645 −23% ≈160% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,723 $14,394 −12% $14,252 −11% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,650 $12,650 +0% $12,650 +0% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $12,609 $14,958 −16% $16,104 −22% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,605 $21,345 −41% $18,288 −31% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $12,593 $12,593 +0% $12,593 +0% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,534 $12,534 +0% $12,536 −0% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,454 $8,504 +46% $12,205 +2% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,453 $19,941 −38% $15,598 −20% —
313 CHEST PAIN $12,453 $14,976 −17% $15,837 −21% ≈171% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $12,431 $12,595 −1% $14,251 −13% —
343 NO ACTIVE CODE DESCRIPTION $12,397 $12,397 +0% $13,735 −10% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $12,336 $12,336 +0% $12,336 +0% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,314 $21,299 −42% $15,600 −21% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,284 $12,284 +0% $13,654 −10% —
311 ANGINA PECTORIS $12,257 $20,709 −41% $15,165 −19% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,253 $12,253 +0% $15,072 −19% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,235 $13,817 −11% $12,275 −0% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,234 $19,048 −36% $12,405 −1% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,204 $15,365 −21% $13,303 −8% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,173 $15,665 −22% $14,210 −14% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,127 $16,041 −24% $19,483 −38% ≈168% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,120 $15,271 −21% $14,012 −14% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,055 $12,055 +0% $12,794 −6% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,997 $11,997 +0% $11,997 +0% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,982 $11,982 +0% $13,081 −8% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,921 $16,121 −26% $13,198 −10% —
303 ATHEROSCLEROSIS WITHOUT MCC $11,921 $15,447 −23% $14,927 −20% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $11,909 $11,909 +0% $11,909 +0% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,894 $16,100 −26% $14,880 −20% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,847 $11,847 +0% $11,847 +0% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,813 $13,890 −15% $13,890 −15% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,755 $22,698 −48% $13,362 −12% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,752 $13,027 −10% $13,485 −13% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,594 $11,594 +0% $14,368 −19% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,501 $19,800 −42% $14,208 −19% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,458 $18,428 −38% $14,134 −19% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,454 $13,535 −15% $14,128 −19% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,421 $13,734 −17% $11,421 +0% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,355 $12,499 −9% $13,090 −13% —
639 DIABETES WITHOUT CC/MCC $11,327 $11,327 +0% $13,910 −19% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,294 $12,013 −6% $12,013 −6% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,276 $12,672 −11% $13,747 −18% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,177 $16,152 −31% $14,770 −24% —
684 RENAL FAILURE WITHOUT CC/MCC $11,077 $15,091 −27% $13,455 −18% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,071 $11,071 +0% $11,071 +0% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,975 $11,732 −6% $10,975 +0% —
950 AFTERCARE WITHOUT CC/MCC $10,801 $31,701 −66% $13,527 −20% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,563 $10,563 +0% $11,957 −12% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,553 $4,995 +111% $9,385 +12% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,480 $10,480 +0% $10,039 +4% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,456 $10,456 +0% $13,384 −22% ≈216% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,316 $10,316 +0% $11,826 −13% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,296 $12,455 −17% $13,318 −23% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,940 $7,064 +41% $9,063 +10% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $8,927 $8,927 +0% $8,927 +0% —
795 NORMAL NEWBORN $5,787 $5,485 +6% $4,521 +28% —
765 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 +0% $5,336 +0% —
766 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 +0% $5,336 +0% —
767 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 +0% $3,032 +0% —
774 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 +0% $3,032 +0% —
775 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 +0% $3,242 −6% —
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