St. Joseph Medical Center — Pricing

738 procedures published in this hospital's Machine-Readable File (MRF) — 738 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 738
Lowest published price $928
Average published price $15,843
Highest published price $199,178

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 738 procedures

Published charges

Showing all 738 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 31 procedures, this hospital's negotiated rates average ≈127% of what Medicare pays.

DRG Description Published price Cash price vs. MO median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $199,178 $330,696 $2,218,497 −91% $573,534 −65% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $149,555 $247,002 $976,478 −85% $461,389 −68% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $141,516 $208,020 $1,216,660 −88% $306,087 −54% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $114,531 $187,929 $514,303 −78% $371,366 −69% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $76,569 $123,903 $543,396 −86% $248,521 −69% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $73,172 $114,887 $577,587 −87% $182,314 −60% —
007 LUNG TRANSPLANT $71,051 $114,597 $585,661 −88% $170,608 −58% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $68,598 $96,629 $513,202 −87% $194,769 −65% —
222 UnGrouped $62,614 — $74,739 −16% $86,864 −28% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $59,743 $95,526 $326,681 −82% $196,346 −70% —
224 UnGrouped $59,213 — $80,427 −26% $80,427 −26% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,189 $92,903 $210,552 −72% $208,939 −72% —
426 UnGrouped $57,603 $91,856 $354,548 −84% $142,326 −60% —
993 UnGrouped $56,348 — $56,348 — $56,348 — —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $53,282 $84,628 $204,519 −74% $188,171 −72% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $52,904 — $67,640 −22% $69,101 −23% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $52,715 $59,876 $230,661 −77% $102,600 −49% —
226 UnGrouped $51,699 — $62,159 −17% $72,618 −29% —
850 UnGrouped $50,998 $80,777 $414,701 −88% $121,563 −58% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $48,827 $70,686 $380,211 −87% $148,686 −67% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $47,311 $52,927 $250,419 −81% $98,260 −52% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $47,137 $74,264 $411,752 −89% $153,282 −69% —
429 UnGrouped $46,468 $73,137 $370,788 −87% $144,774 −68% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $45,968 $58,566 $109,850 −58% $89,353 −49% —
223 UnGrouped $45,664 — $59,206 −23% $59,206 −23% —
010 PANCREAS TRANSPLANT $44,558 $69,913 $99,940 −55% $99,940 −55% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $44,319 $69,513 $491,599 −91% $105,228 −58% —
225 UnGrouped $44,240 — $50,810 −13% $57,380 −23% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $43,742 $68,540 $169,380 −74% $144,569 −70% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $43,478 — $59,364 −27% $75,251 −42% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $43,333 $67,848 $227,859 −81% $143,242 −70% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $42,462 $56,628 $167,010 −75% $123,995 −66% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $41,912 $65,452 $269,561 −84% $120,573 −65% —
227 UnGrouped $41,045 — $56,960 −28% $56,960 −28% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $40,506 $43,907 $154,541 −74% $77,055 −47% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $40,456 $51,054 $78,460 −48% $96,192 −58% —
427 UnGrouped $40,014 $62,282 $317,189 −87% $132,794 −70% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $39,973 $52,128 $80,018 −50% $80,018 −50% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $39,846 $61,969 $227,248 −82% $131,961 −70% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $39,274 $61,000 $186,861 −79% $148,832 −74% ≈97% of Medicare
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,981 $48,467 $125,286 −69% $106,057 −63% —
653 MAJOR BLADDER PROCEDURES WITH MCC $38,930 $48,882 $126,237 −69% $104,583 −63% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $38,760 $47,712 $632,017 −94% $86,459 −55% —
447 UnGrouped $37,963 $58,792 $280,687 −86% $126,098 −70% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $37,770 $58,466 $183,610 −79% $125,242 −70% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $37,544 $33,517 $138,989 −73% $75,103 −50% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $36,520 $48,467 $196,837 −81% $85,566 −57% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $35,985 $55,456 $252,126 −86% $109,331 −67% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,757 $35,666 $91,560 −61% $79,225 −55% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $35,310 $54,317 $179,642 −80% $117,280 −70% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,122 $54,000 $128,415 −73% $98,912 −64% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $34,970 $52,927 $81,176 −57% $81,176 −57% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $34,864 $53,566 $173,008 −80% $115,839 −70% —
028 SPINAL PROCEDURES WITH MCC $34,712 $53,310 $181,065 −81% $113,077 −69% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $34,251 $52,532 $204,424 −83% $113,855 −70% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $34,251 $53,811 $100,627 −66% $108,472 −68% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $34,036 $52,168 $143,309 −76% $103,455 −67% —
006 LIVER TRANSPLANT WITHOUT MCC $33,924 $42,521 $353,191 −90% $84,407 −60% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $33,697 $51,597 $162,890 −79% $112,062 −70% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $33,143 $44,673 $133,143 −75% $96,507 −66% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $32,944 $50,327 $177,447 −81% $107,355 −69% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $32,766 $50,027 $76,970 −57% $106,778 −69% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,647 $41,033 $90,803 −64% $87,761 −63% —
994 UnGrouped $32,475 — $32,475 — $32,475 — —
430 UnGrouped $31,546 $47,969 $243,520 −87% $101,618 −69% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $31,329 $47,603 $150,601 −79% $102,128 −69% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $31,185 $47,360 $73,103 −57% $89,207 −65% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $31,158 $47,315 $229,939 −86% $101,576 −69% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $31,155 $47,310 $182,704 −83% $90,401 −66% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $30,765 $46,651 $161,814 −81% $102,573 −70% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $30,642 — $43,398 −29% $56,836 −46% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $30,642 $46,445 $142,021 −78% $111,320 −72% —
332 RECTAL RESECTION WITH MCC $30,414 $30,416 $84,117 −64% $58,125 −48% —
450 UnGrouped $29,880 $45,160 $281,874 −89% $99,943 −70% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $29,511 $44,536 $69,008 −57% $80,793 −63% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $29,291 $44,167 $68,473 −57% $93,390 −69% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $29,117 $43,873 $144,282 −80% $93,238 −69% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $29,109 $43,855 $85,558 −66% $93,172 −69% ≈122% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $29,013 $43,697 $144,124 −80% $96,905 −70% —
245 AICD GENERATOR PROCEDURES $28,511 $42,851 $113,673 −75% $72,076 −60% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $28,472 $45,010 $86,237 −67% $99,423 −71% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $28,412 $37,349 $119,821 −76% $101,510 −72% —
471 CERVICAL SPINAL FUSION WITH MCC $28,358 $42,592 $192,522 −85% $92,515 −69% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $28,128 $37,085 $171,785 −84% $60,098 −53% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $27,959 $36,570 $9,638 +190% $18,649 +50% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $27,933 $41,875 $90,900 −69% $90,724 −69% —
799 SPLENIC PROCEDURES WITH MCC $27,825 $41,693 $96,337 −71% $82,218 −66% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $27,824 $41,686 $97,437 −71% $90,775 −69% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $27,562 $33,857 $121,876 −77% $59,594 −54% —
163 MAJOR CHEST PROCEDURES WITH MCC $27,068 $40,417 $70,484 −62% $90,195 −70% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $27,058 $40,400 $314,091 −91% $71,551 −62% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $26,982 $40,271 $62,801 −57% $90,331 −70% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $26,979 $40,265 $76,474 −65% $88,050 −69% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,827 $32,812 $74,587 −64% $61,470 −56% —
791 PREMATURITY WITH MAJOR PROBLEMS $26,615 $35,600 $12,195 +118% $42,679 −38% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $26,561 $39,561 $80,728 −67% $76,001 −65% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $26,421 $39,325 $61,401 −57% $84,692 −69% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,375 $30,702 $63,475 −58% $62,583 −58% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $26,356 $39,216 $131,974 −80% $88,307 −70% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $26,181 $41,254 $174,023 −85% $92,217 −72% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $26,139 $38,850 $66,198 −61% $70,177 −63% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $25,943 $38,519 $120,924 −79% $86,970 −70% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $25,865 $36,737 $88,076 −71% $77,990 −67% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $25,601 $37,941 $28,681 −11% $59,352 −57% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $25,554 $37,863 $101,933 −75% $83,441 −69% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $25,282 $37,405 $118,324 −79% $82,561 −69% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,052 $31,434 $87,443 −71% $66,711 −62% —
248 UnGrouped $24,902 — $34,146 −27% $34,146 −27% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $24,891 $36,746 $134,163 −81% $72,962 −66% —
246 UnGrouped $24,604 — $29,293 −16% $33,983 −28% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $24,483 $36,058 $127,369 −81% $82,247 −70% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,471 $36,038 $137,281 −82% $73,120 −67% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $24,440 $35,984 $173,034 −86% $79,836 −69% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $24,409 $33,762 $72,274 −66% $75,573 −68% —
448 UnGrouped $24,335 $35,807 $173,257 −86% $81,998 −70% —
652 KIDNEY TRANSPLANT $24,006 $26,932 $283,314 −92% $54,720 −56% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,879 $33,891 $53,357 −55% $66,685 −64% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $23,816 $34,932 $69,815 −66% $77,817 −69% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,802 $34,907 $95,376 −75% $62,300 −62% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,623 $34,599 $100,365 −76% $71,795 −67% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $23,576 $34,528 $113,982 −79% $61,832 −62% —
402 UnGrouped $23,534 $34,305 $149,137 −84% $79,116 −70% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $23,322 $34,099 $173,234 −87% $76,219 −69% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,053 — $32,181 −28% $51,625 −55% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $22,883 $27,888 $71,772 −68% $44,472 −49% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $22,869 $33,336 $98,924 −77% $74,755 −69% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $22,715 $33,076 $88,051 −74% $74,257 −69% —
654 MAJOR BLADDER PROCEDURES WITH CC $22,154 $24,746 $61,391 −64% $58,274 −62% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $22,074 $31,994 $110,778 −80% $68,639 −68% —
338 UnGrouped $22,029 — $30,138 −27% $30,138 −27% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $21,946 $31,772 $63,645 −66% $71,755 −69% —
252 OTHER VASCULAR PROCEDURES WITH MCC $21,894 $30,080 $102,755 −79% $68,508 −68% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $21,743 $31,432 $100,045 −78% $59,533 −63% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $21,738 $31,427 $93,853 −77% $71,092 −69% —
265 AICD LEAD PROCEDURES $21,650 $31,280 $105,201 −79% $63,171 −66% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $21,567 $31,139 $106,037 −80% $70,564 −69% —
668 TRANSURETHRAL PROCEDURES WITH MCC $21,520 $25,572 $84,657 −75% $51,608 −58% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,454 $30,949 $81,876 −74% $50,919 −58% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $21,408 $30,871 $122,110 −82% $56,964 −62% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $21,321 $30,724 $91,891 −77% $69,743 −69% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,318 $30,714 $95,864 −78% $66,068 −68% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $21,276 $30,647 $48,557 −56% $51,953 −59% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $21,119 $30,383 $55,931 −62% $52,036 −59% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,984 $30,155 $79,545 −74% $68,653 −69% —
665 PROSTATECTOMY WITH MCC $20,956 $30,108 $62,421 −66% $54,072 −61% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $20,912 $30,034 $54,916 −62% $70,847 −70% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $20,843 $34,457 $54,196 −62% $54,196 −62% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $20,818 $29,868 $86,913 −76% $70,371 −70% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $20,741 $29,743 $59,169 −65% $70,132 −70% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $20,556 $29,434 $136,820 −85% $67,268 −69% —
037 EXTRACRANIAL PROCEDURES WITH MCC $20,370 $29,120 $76,901 −74% $66,666 −69% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,271 $28,953 $70,846 −71% $52,908 −62% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $20,145 $17,647 $37,158 −46% $32,031 −37% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,099 $28,662 $81,739 −75% $65,788 −69% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $20,060 $22,140 $95,911 −79% $49,423 −59% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,042 $28,568 $81,611 −75% $65,608 −69% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,959 $30,203 $54,550 −63% $71,014 −72% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,935 $27,238 $116,704 −83% $65,325 −69% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $19,865 $28,229 $95,759 −79% $72,424 −73% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $19,764 $28,098 $95,527 −79% $63,928 −69% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,716 $28,017 $108,332 −82% $71,464 −72% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $19,687 $27,963 $44,584 −56% $49,710 −60% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,606 $27,832 $65,499 −70% $55,289 −65% —
500 SOFT TISSUE PROCEDURES WITH MCC $19,579 $27,785 $73,539 −73% $61,872 −68% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,526 $23,994 $56,998 −66% $48,358 −60% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,331 $27,367 $69,887 −72% $65,573 −71% ≈108% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $19,323 $27,355 $66,943 −71% $54,562 −65% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $19,182 $27,116 $82,253 −77% $62,821 −69% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,167 $25,789 $70,053 −73% $65,653 −71% —
451 UnGrouped $19,149 $27,060 $122,079 −84% $65,216 −71% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $19,137 $27,041 $50,307 −62% $53,864 −64% —
570 SKIN DEBRIDEMENT WITH MCC $18,757 $26,395 $42,263 −56% $52,435 −64% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,630 $26,185 $41,952 −56% $46,402 −60% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $18,435 $25,855 $48,702 −62% $58,228 −68% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,353 $25,718 $41,261 −56% $60,170 −69% —
341 UnGrouped $18,289 — $21,958 −17% $25,628 −29% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,258 $25,558 $99,833 −82% $70,467 −74% —
800 SPLENIC PROCEDURES WITH CC $18,253 $25,550 $94,498 −81% $49,184 −63% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $18,245 $25,536 $62,061 −71% $59,790 −69% —
472 CERVICAL SPINAL FUSION WITH CC $18,167 $25,405 $100,767 −82% $59,537 −69% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,093 $20,021 $89,234 −80% $42,415 −57% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $17,993 $25,112 $51,365 −65% $58,975 −69% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $17,985 $25,097 $99,330 −82% $61,217 −71% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,964 $25,062 $119,936 −85% $49,839 −64% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,937 $17,784 $100,504 −82% $31,134 −42% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $17,905 $24,963 $99,374 −82% $81,706 −78% ≈113% of Medicare
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $17,705 $24,626 $87,333 −80% $58,043 −69% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $17,701 $18,439 $97,591 −82% $42,795 −59% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,691 $24,600 $60,276 −71% $52,986 −67% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $17,445 $17,953 $108,933 −84% $35,030 −50% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,305 $23,952 $38,646 −55% $50,618 −66% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,280 $23,908 $93,873 −82% $51,746 −67% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,248 $19,575 $45,451 −62% $47,789 −64% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,229 $23,822 $38,454 −55% $43,491 −60% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $17,159 $23,705 $93,250 −82% $62,264 −72% —
995 UnGrouped $17,134 — $17,134 — $17,134 — —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,114 $23,627 $47,418 −64% $44,546 −62% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $17,107 $23,183 $68,594 −75% $41,422 −59% —
711 TESTES PROCEDURES WITH CCMCC $17,093 $16,753 $61,554 −72% $38,343 −55% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $17,060 $23,533 $49,471 −66% $52,405 −67% —
263 VEIN LIGATION AND STRIPPING $17,049 $23,518 $120,065 −86% $51,253 −67% —
849 RADIOTHERAPY $16,991 $23,422 $109,380 −84% $37,862 −55% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,948 $23,349 $83,087 −80% $47,945 −65% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,899 $23,266 $47,354 −64% $44,222 −62% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $16,882 $23,237 $123,980 −86% $48,687 −65% —
503 FOOT PROCEDURES WITH MCC $16,865 $23,207 $37,544 −55% $47,540 −65% —
333 RECTAL RESECTION WITH CC $16,838 $18,636 $70,931 −76% $37,154 −55% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $16,743 $23,003 $37,242 −55% $54,929 −70% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,707 $22,943 $37,153 −55% $46,453 −64% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $16,581 $15,355 $151,173 −89% $35,849 −54% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $16,562 $22,698 $88,185 −81% $45,167 −63% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,541 $22,661 $46,211 −64% $52,178 −68% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,381 $22,393 $70,251 −77% $38,878 −58% —
253 OTHER VASCULAR PROCEDURES WITH CC $16,378 $22,386 $54,994 −70% $57,454 −71% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $16,371 $19,802 $83,935 −80% $38,998 −58% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,353 $22,344 $83,551 −80% $58,707 −72% ≈118% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,343 $18,802 $43,657 −63% $38,070 −57% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $16,242 $22,157 $45,674 −64% $40,362 −60% —
164 MAJOR CHEST PROCEDURES WITH CC $16,190 $22,071 $92,767 −83% $56,755 −71% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,151 $21,480 $7,061 +129% $12,229 +32% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,124 $21,958 $43,193 −63% $39,973 −60% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $16,113 $21,941 $53,115 −70% $55,162 −71% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,988 $17,345 $96,659 −83% $43,913 −64% —
397 APPENDIX PROCEDURES WITH MCC $15,986 $21,727 $41,047 −61% $53,257 −70% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $15,934 $21,639 $73,741 −78% $54,583 −71% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,835 $21,468 $34,970 −55% $51,985 −70% —
935 NON-EXTENSIVE BURNS $15,789 $19,259 $32,265 −51% $31,701 −50% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,729 $21,291 $72,544 −78% $59,421 −74% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,686 $21,209 $46,369 −66% $50,046 −69% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $15,640 $21,142 $93,149 −83% $42,186 −63% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,588 $21,053 $55,527 −72% $59,651 −74% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,567 $21,020 $66,682 −77% $47,583 −67% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $15,567 $21,020 $81,376 −81% $41,620 −63% —
247 UnGrouped $15,539 — $20,568 −24% $21,663 −28% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,461 $20,839 $58,023 −73% $53,451 −71% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $15,412 $20,759 $80,055 −81% $50,624 −70% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,394 $20,726 $61,448 −75% $59,500 −74% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,373 $20,693 $33,823 −55% $50,498 −70% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,294 $18,816 $31,020 −51% $31,044 −51% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,263 $20,506 $33,546 −55% $50,139 −70% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,167 $20,345 $83,776 −82% $36,489 −58% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $15,139 $20,298 $86,222 −82% $40,060 −62% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $15,129 $20,278 $90,048 −83% $59,629 −75% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,088 $15,865 $47,954 −69% $32,433 −53% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,074 $22,229 $38,512 −61% $39,173 −62% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,031 $20,116 $55,082 −73% $40,108 −63% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,013 $20,083 $61,557 −76% $39,181 −62% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $14,953 $19,984 $118,882 −87% $48,349 −69% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,931 $19,947 $71,126 −79% $49,066 −70% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $14,920 $16,270 $68,372 −78% $36,670 −59% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,886 $19,870 $32,604 −54% $41,892 −64% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,848 $19,801 $80,060 −81% $49,418 −70% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,817 $19,754 $51,703 −71% $50,011 −70% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,813 $19,747 $36,625 −60% $48,682 −70% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,803 $19,721 $32,385 −54% $47,737 −69% —
671 URETHRAL PROCEDURES WITH CCMCC $14,794 $15,114 $103,261 −86% $27,233 −46% —
709 PENIS PROCEDURES WITH CCMCC $14,787 $19,704 $64,473 −77% $34,535 −57% —
249 UnGrouped $14,755 — $20,610 −28% $20,610 −28% —
113 ORBITAL PROCEDURES WITH CCMCC $14,735 $19,787 $116,249 −87% $36,167 −59% —
030 SPINAL PROCEDURES WITHOUT CCMCC $14,674 $19,514 $96,538 −85% $45,866 −68% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,539 $19,286 $61,630 −76% $41,608 −65% —
906 HAND PROCEDURES FOR INJURIES $14,451 $19,137 $69,540 −79% $32,065 −55% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,433 $19,106 $31,474 −54% $45,333 −68% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $14,393 $18,215 $30,155 −52% $43,174 −67% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,382 $19,022 $31,349 −54% $42,901 −66% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,346 $18,514 $30,598 −53% $43,650 −67% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,343 $15,160 $25,633 −44% $29,826 −52% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,320 $18,916 $31,193 −54% $45,877 −69% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,301 $18,883 $40,312 −65% $38,666 −63% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $14,218 $14,404 $62,626 −77% $35,831 −60% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $14,208 $18,728 $88,224 −84% $46,727 −70% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,208 $18,726 $79,513 −82% $46,724 −70% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,187 $18,691 $84,221 −83% $42,906 −67% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,131 $18,597 $33,249 −58% $49,351 −71% —
595 MAJOR SKIN DISORDERS WITH MCC $14,101 $18,546 $40,134 −65% $34,598 −59% —
336 PERITONEAL ADHESIOLYSIS WITH CC $14,087 $18,522 $34,655 −59% $50,463 −72% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,066 $18,485 $62,922 −78% $58,280 −76% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,973 $18,331 $45,178 −69% $33,851 −59% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,945 $16,277 $27,287 −49% $33,047 −58% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $13,932 $14,452 $47,906 −71% $25,197 −45% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $13,924 $17,406 $111,753 −88% $32,574 −57% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,892 $18,194 $48,731 −71% $52,751 −74% —
592 SKIN ULCERS WITH MCC $13,795 $18,031 $43,677 −68% $33,246 −59% —
539 OSTEOMYELITIS WITH MCC $13,621 $17,734 $41,008 −67% $37,609 −64% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,591 $17,687 $54,412 −75% $42,914 −68% —
548 SEPTIC ARTHRITIS WITH MCC $13,578 $17,665 $52,518 −74% $31,346 −57% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,563 $17,640 $41,548 −67% $46,090 −71% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,494 $17,523 $61,681 −78% $44,363 −70% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,494 $17,520 $29,127 −54% $43,943 −69% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $13,485 $17,508 $84,016 −84% $29,611 −54% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,446 $17,442 $40,831 −67% $39,106 −66% ≈119% of Medicare
100 SEIZURES WITH MCC $13,426 $17,408 $46,610 −71% $35,481 −62% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $13,420 $13,202 $42,103 −68% $33,424 −60% —
339 UnGrouped $13,367 — $15,921 −16% $18,474 −28% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,362 $17,300 $41,588 −68% $43,800 −69% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,356 $17,291 $70,671 −81% $44,139 −70% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,344 $17,430 $50,476 −74% $36,249 −63% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,307 $17,205 $28,660 −54% $35,628 −63% ≈119% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,302 $17,197 $43,966 −70% $43,538 −69% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,296 $16,354 $27,401 −51% $36,792 −64% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,290 $17,178 $30,545 −56% $40,213 −67% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,271 $17,146 $28,573 −54% $39,955 −67% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $13,265 $17,136 $54,264 −76% $29,524 −55% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $13,263 $17,134 $58,914 −77% $38,861 −66% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $13,194 $17,016 $79,902 −83% $43,080 −69% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $13,181 $16,995 $39,348 −67% $37,240 −65% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,151 $16,937 $29,990 −56% $42,881 −69% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $13,124 $13,788 $64,384 −80% $34,906 −62% —
380 COMPLICATED PEPTIC ULCER WITH MCC $13,109 $16,873 $49,880 −74% $39,627 −67% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,065 $13,234 $44,125 −70% $33,454 −61% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,004 $16,773 $26,960 −52% $34,459 −62% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,997 $15,864 $77,379 −83% $58,809 −78% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,996 $13,130 $22,628 −43% $24,586 −47% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,970 $16,639 $62,258 −79% $42,126 −69% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,970 $16,639 $31,786 −59% $40,562 −68% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,954 $12,944 $7,112 +82% $8,445 +53% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,933 $16,576 $29,423 −56% $33,985 −62% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,908 $16,535 $43,261 −70% $37,844 −66% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,908 $16,533 $52,273 −75% $50,607 −74% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $12,908 $16,532 $40,029 −68% $47,711 −73% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $12,795 $16,345 $70,500 −82% $46,340 −72% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,736 $16,602 $32,126 −60% $36,431 −65% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,729 $15,944 $61,039 −79% $40,365 −68% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,701 $16,186 $27,152 −53% $30,243 −58% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $12,635 $16,074 $49,814 −75% $40,694 −69% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,609 $16,030 $50,635 −75% $43,298 −71% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $12,601 $16,018 $29,198 −57% $40,552 −69% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,591 $15,999 $26,875 −53% $37,950 −67% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,585 $15,990 $36,053 −65% $31,105 −60% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,582 $15,984 $60,611 −79% $37,387 −66% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,570 $16,022 $26,909 −53% $40,642 −69% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,557 $15,943 $28,021 −55% $37,842 −67% ≈119% of Medicare
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $12,547 $13,601 $78,922 −84% $34,434 −64% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $12,488 $15,825 $57,423 −78% $41,591 −70% —
334 RECTAL RESECTION WITHOUT CCMCC $12,424 $14,543 $41,450 −70% $36,820 −66% —
501 SOFT TISSUE PROCEDURES WITH CC $12,385 $15,649 $32,168 −62% $39,619 −69% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,363 $15,616 $69,397 −82% $52,075 −76% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,359 $15,608 $57,051 −78% $39,515 −69% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,322 $15,547 $26,206 −53% $38,101 −68% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $12,295 $11,142 $31,492 −61% $19,686 −38% —
199 PNEUMOTHORAX WITH MCC $12,282 $15,479 $26,106 −53% $33,787 −64% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,244 $15,412 $50,554 −76% $39,020 −69% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $12,242 $15,412 $74,944 −84% $39,018 −69% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,237 $15,404 $55,522 −78% $30,553 −60% —
597 MALIGNANT BREAST DISORDERS WITH MCC $12,237 $15,404 $53,947 −77% $33,386 −63% —
504 FOOT PROCEDURES WITH CC $12,232 $15,389 $25,972 −53% $38,960 −69% —
505 FOOT PROCEDURES WITHOUT CCMCC $12,232 $15,389 $53,198 −77% $34,937 −65% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $12,200 $15,340 $43,030 −72% $38,836 −69% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,194 $15,327 $40,173 −70% $33,555 −64% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $12,184 $13,309 $41,694 −71% $33,694 −64% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $12,155 $15,223 $36,487 −67% $32,443 −63% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,144 $15,247 $27,286 −55% $31,951 −62% —
996 UnGrouped $12,116 — $12,116 — $12,116 — —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,115 $16,153 $22,780 −47% $29,221 −59% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,085 $11,808 $20,672 −42% $24,127 −50% —
398 APPENDIX PROCEDURES WITH CC $12,059 $13,268 $33,615 −64% $40,162 −70% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,026 $15,047 $42,701 −72% $38,094 −68% —
509 ARTHROSCOPY $12,025 $15,404 $25,994 −54% $25,994 −54% —
551 MEDICAL BACK PROBLEMS WITH MCC $11,976 $14,963 $34,920 −66% $34,017 −65% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,949 $14,916 $46,342 −74% $43,477 −73% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $11,913 $9,854 $29,680 −60% $31,321 −62% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,910 $14,851 $25,176 −53% $32,944 −64% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $11,893 $14,822 $82,618 −86% $29,079 −59% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,863 $14,770 $25,056 −53% $34,273 −65% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,844 $14,739 $25,010 −53% $32,496 −64% ≈119% of Medicare
571 SKIN DEBRIDEMENT WITH CC $11,812 $14,681 $29,003 −59% $37,169 −68% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $11,811 $14,684 $45,924 −74% $29,916 −61% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,787 $14,643 $28,112 −58% $33,876 −65% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,783 $12,016 $50,247 −77% $20,980 −44% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $11,779 $14,631 $54,359 −78% $29,126 −60% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $11,777 $14,628 $29,353 −60% $34,607 −66% —
075 VIRAL MENINGITIS WITH CCMCC $11,746 $15,103 $43,529 −73% $30,447 −61% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,714 $14,521 $24,687 −53% $34,192 −66% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,687 $14,814 $43,505 −73% $31,563 −63% —
666 PROSTATECTOMY WITH CC $11,669 $14,444 $44,512 −74% $31,906 −63% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $11,640 $14,395 $46,687 −75% $36,445 −68% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,622 $14,366 $71,913 −84% $33,661 −65% —
157 DENTAL AND ORAL DISEASES WITH MCC $11,566 $14,358 $24,447 −53% $31,300 −63% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $11,556 $14,254 $47,818 −76% $28,202 −59% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,552 $14,393 $24,497 −53% $30,828 −63% ≈128% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,552 $14,247 $24,282 −52% $27,617 −58% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $11,548 $14,477 $30,140 −62% $44,117 −74% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,531 $14,359 $55,728 −79% $36,354 −68% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,509 $14,174 $24,174 −52% $33,707 −66% ≈118% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $11,481 $14,129 $55,919 −79% $35,770 −68% —
606 MINOR SKIN DISORDERS WITH MCC $11,467 $14,120 $48,606 −76% $27,975 −59% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $11,463 $14,098 $34,005 −66% $35,692 −68% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $11,438 $14,055 $51,789 −78% $35,584 −68% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $11,406 $12,620 $21,873 −48% $26,932 −58% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $11,399 $13,990 $71,703 −84% $35,419 −68% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $11,389 $13,973 $37,471 −70% $39,006 −71% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,361 $13,702 $73,299 −85% $46,295 −75% —
183 MAJOR CHEST TRAUMA WITH MCC $11,357 $13,918 $58,470 −81% $29,933 −62% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $11,320 $13,856 $38,684 −71% $35,074 −68% —
186 PLEURAL EFFUSION WITH MCC $11,319 $13,854 $42,602 −73% $33,834 −67% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $11,305 $14,578 $57,088 −80% $29,316 −61% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,303 $11,701 $25,575 −56% $27,543 −59% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,302 $13,825 $33,718 −66% $32,697 −65% —
342 UnGrouped $11,284 — $16,487 −32% $16,487 −32% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,259 $14,588 $30,808 −63% $32,628 −65% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $11,242 $13,725 $33,911 −67% $34,749 −68% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,206 $14,260 $50,002 −78% $27,633 −59% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,192 $13,553 $23,254 −52% $30,010 −63% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $11,176 $13,910 $40,221 −72% $41,955 −73% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,162 $13,589 $23,307 −52% $32,877 −66% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $11,153 $13,089 $27,781 −60% $33,393 −67% —
813 COAGULATION DISORDERS $11,152 $13,574 $23,285 −52% $33,296 −67% —
669 TRANSURETHRAL PROCEDURES WITH CC $11,150 $13,569 $41,201 −73% $34,354 −68% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $11,085 $13,461 $36,149 −69% $39,211 −72% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,064 $13,425 $67,540 −84% $25,703 −57% —
663 MINOR BLADDER PROCEDURES WITH CC $11,045 $13,393 $26,902 −59% $33,103 −67% —
945 REHABILITATION WITH CCMCC $11,041 $13,385 $57,459 −81% $23,834 −54% —
533 FRACTURES OF FEMUR WITH MCC $11,032 $13,371 $121,371 −91% $25,945 −57% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $10,994 $12,999 $42,811 −74% $36,988 −70% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $10,938 $13,240 $35,971 −70% $30,770 −64% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $10,924 $13,188 $44,138 −75% $36,253 −70% —
682 RENAL FAILURE WITH MCC $10,914 $13,169 $22,687 −52% $29,064 −62% ≈125% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,899 $13,145 $24,704 −56% $30,502 −64% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,882 $13,145 $46,647 −77% $30,557 −64% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $10,876 $13,554 $23,257 −53% $26,598 −59% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,847 $13,054 $42,819 −75% $33,048 −67% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,840 $13,192 $32,463 −67% $36,505 −70% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,829 $13,027 $22,477 −52% $28,140 −62% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,796 $14,378 $24,475 −56% $30,235 −64% —
643 ENDOCRINE DISORDERS WITH MCC $10,764 $14,532 $24,704 −56% $33,563 −68% —
693 URINARY STONES WITH MCC $10,749 $12,893 $22,278 −52% $23,892 −55% —
602 CELLULITIS WITH MCC $10,744 $12,883 $22,262 −52% $30,598 −65% ≈117% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,716 $14,003 $41,511 −74% $35,453 −70% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,715 $12,833 $39,482 −73% $29,743 −64% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $10,708 $12,824 $84,278 −87% $31,170 −66% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,673 $12,757 $35,832 −70% $24,941 −57% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,657 $13,749 $23,545 −55% $33,633 −68% —
865 VIRAL ILLNESS WITH MCC $10,645 $12,941 $31,784 −67% $26,910 −60% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,637 $14,169 $15,575 −32% $27,152 −61% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $10,637 $13,301 $56,234 −81% $33,674 −68% —
913 TRAUMATIC INJURY WITH MCC $10,614 $14,190 $43,401 −76% $24,198 −56% —
637 DIABETES WITH MCC $10,589 $12,770 $22,095 −52% $30,100 −65% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $10,584 $12,318 $60,380 −82% $39,887 −73% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,532 $12,884 $31,414 −66% $26,463 −60% —
139 SALIVARY GLAND PROCEDURES $10,494 $12,039 $68,344 −85% $23,612 −56% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,480 $13,154 $59,722 −82% $27,394 −62% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $10,468 $12,567 $64,632 −84% $35,465 −70% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $10,446 $12,679 $41,755 −75% $32,100 −67% —
088 CONCUSSION WITH MCC $10,438 $12,370 $42,169 −75% $24,402 −57% —
710 PENIS PROCEDURES WITHOUT CCMCC $10,415 $13,165 $46,516 −78% $26,436 −61% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $10,348 $12,217 $31,123 −67% $27,119 −62% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,333 $12,192 $21,240 −51% $27,285 −62% —
137 MOUTH PROCEDURES WITH CCMCC $10,306 $12,264 $28,464 −64% $27,861 −63% —
811 RED BLOOD CELL DISORDERS WITH MCC $10,243 $12,336 $21,454 −52% $28,226 −64% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $10,236 $12,445 $46,462 −78% $22,620 −55% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $10,192 $12,251 $25,315 −60% $31,017 −67% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,166 $12,356 $24,068 −58% $30,959 −67% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $10,095 $10,178 $36,769 −73% $21,230 −52% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,071 $11,750 $34,642 −71% $31,264 −68% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,034 $12,643 $30,162 −67% $22,525 −55% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,020 $12,410 $36,106 −72% $26,280 −62% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $10,000 $11,773 $54,556 −82% $29,805 −66% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,924 $11,501 $20,217 −51% $27,043 −63% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,904 $11,644 $19,793 −50% $25,463 −61% ≈130% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,904 $11,945 $42,176 −77% $30,242 −67% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,896 $11,452 $49,047 −80% $26,051 −62% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,896 $11,661 $20,455 −52% $24,552 −60% —
949 AFTERCARE WITH CCMCC $9,893 $9,461 $40,275 −75% $23,953 −59% —
291 HEART FAILURE AND SHOCK WITH MCC $9,889 $11,441 $20,129 −51% $26,776 −63% ≈118% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $9,889 $12,184 $21,228 −53% $25,094 −61% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,821 $12,464 $21,642 −55% $27,808 −65% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $9,768 $12,044 $43,703 −78% $30,493 −68% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $9,753 $11,690 $35,774 −73% $32,841 −70% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,753 $15,753 $43,233 −77% $26,510 −63% —
540 OSTEOMYELITIS WITH CC $9,729 $11,347 $23,494 −59% $26,676 −64% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,707 $11,882 $31,483 −69% $30,083 −68% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,677 $11,085 $35,611 −73% $27,426 −65% —
340 UnGrouped $9,673 — $13,613 −29% $13,613 −29% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,672 $15,615 $26,307 −63% $31,159 −69% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $9,633 $12,565 $54,421 −82% $32,833 −71% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $9,572 $9,596 $27,984 −66% $17,398 −45% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $9,534 $12,818 $29,629 −68% $32,451 −71% —
150 EPISTAXIS WITH MCC $9,529 $12,120 $48,956 −81% $23,171 −59% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $9,490 $11,317 $31,998 −70% $22,811 −58% —
947 SIGNS AND SYMPTOMS WITH MCC $9,473 $11,278 $30,086 −69% $27,401 −65% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,466 $10,729 $33,393 −72% $27,163 −65% —
593 SKIN ULCERS WITH CC $9,461 $10,721 $19,063 −50% $22,886 −59% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,437 $11,307 $24,704 −62% $27,989 −66% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $9,414 $11,297 $52,478 −82% $25,748 −63% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,389 $11,554 $20,296 −54% $27,275 −66% ≈131% of Medicare
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $9,362 $12,287 $32,967 −72% $22,393 −58% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,346 $10,882 $20,876 −55% $20,727 −55% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,328 $11,872 $33,146 −72% $29,949 −69% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $9,268 $9,694 $50,624 −82% $24,544 −62% —
348 ANAL AND STOMAL PROCEDURES WITH CC $9,242 $11,039 $25,221 −63% $27,947 −67% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,236 $11,263 $19,865 −54% $28,050 −67% ≈124% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $9,154 $10,919 $21,147 −57% $27,297 −66% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,153 $9,846 $17,768 −48% $19,815 −54% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,139 $11,433 $39,792 −77% $21,894 −58% —
102 HEADACHES WITH MCC $9,132 $10,167 $26,814 −66% $25,740 −65% —
375 DIGESTIVE MALIGNANCY WITH CC $9,121 $10,774 $30,615 −70% $27,277 −67% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $9,096 $14,645 $24,638 −63% $26,682 −66% —
549 SEPTIC ARTHRITIS WITH CC $9,051 $10,567 $38,317 −76% $24,056 −62% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $9,049 $10,859 $35,627 −75% $28,320 −68% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $9,046 $10,768 $19,132 −53% $19,132 −53% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $9,008 $10,792 $39,830 −77% $27,323 −67% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $8,992 $10,690 $43,011 −79% $25,581 −65% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,942 $9,985 $21,923 −59% $25,279 −65% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,938 $11,294 $19,911 −55% $26,870 −67% —
304 HYPERTENSION WITH MCC $8,912 $10,301 $18,442 −52% $26,080 −66% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $8,909 $11,553 $26,486 −66% $36,937 −76% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,888 $10,860 $22,010 −60% $22,458 −60% —
089 CONCUSSION WITH CC $8,854 $9,401 $26,252 −66% $18,821 −53% —
946 REHABILITATION WITHOUT CCMCC $8,821 $9,790 $29,620 −70% $17,685 −50% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $8,818 $10,365 $55,913 −84% $19,598 −55% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $8,806 $9,980 $48,109 −82% $26,618 −67% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,800 $10,262 $18,587 −53% $23,617 −63% ≈130% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,788 $10,151 $18,220 −52% $25,700 −66% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,786 $11,071 $24,648 −64% $22,320 −61% —
302 ATHEROSCLEROSIS WITH MCC $8,781 $10,200 $47,922 −82% $22,446 −61% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $8,765 $10,802 $35,795 −76% $19,270 −55% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $8,757 $8,940 $37,890 −77% $22,635 −61% —
343 UnGrouped $8,730 — $12,397 −30% $12,397 −30% —
997 UnGrouped $8,710 — $8,710 — $8,710 — —
887 OTHER MENTAL DISORDER DIAGNOSES $8,706 $10,429 $33,518 −74% $20,616 −58% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,685 $8,681 $35,919 −76% $21,941 −60% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,672 $10,915 $54,302 −84% $22,851 −62% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,653 $10,850 $29,011 −70% $26,580 −67% ≈124% of Medicare
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,632 $9,889 $41,411 −79% $24,566 −65% —
598 MALIGNANT BREAST DISORDERS WITH CC $8,620 $9,460 $17,197 −50% $19,073 −55% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,609 $9,283 $16,958 −49% $24,914 −65% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,549 $9,241 $16,872 −49% $23,488 −64% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $8,531 $10,199 $52,336 −84% $23,443 −64% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,505 $11,142 $35,136 −76% $23,498 −64% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $8,448 $10,028 $42,959 −80% $25,390 −67% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,436 $9,888 $17,830 −53% $25,034 −66% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $8,432 $11,109 $51,051 −83% $28,125 −70% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,401 $9,140 $16,723 −50% $23,141 −64% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,392 $8,917 $16,392 −49% $23,940 −65% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $8,350 $10,132 $31,227 −73% $25,652 −67% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,342 $9,479 $24,973 −67% $17,226 −52% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,333 $9,025 $21,937 −62% $22,850 −64% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,309 $9,555 $47,557 −83% $32,021 −74% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,295 $9,380 $28,201 −71% $23,749 −65% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $8,229 $10,017 $18,021 −54% $24,944 −67% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $8,212 $10,918 $45,472 −82% $19,354 −58% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,176 $9,509 $17,269 −53% $23,319 −65% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $8,169 $10,199 $23,704 −66% $19,412 −58% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,157 $9,387 $17,089 −52% $20,422 −60% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,134 $8,750 $15,007 −46% $17,698 −54% —
090 CONCUSSION WITHOUT CCMCC $8,113 $7,517 $22,343 −64% $15,412 −47% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $8,112 $10,389 $42,991 −81% $25,712 −68% —
381 COMPLICATED PEPTIC ULCER WITH CC $8,112 $9,550 $20,189 −60% $24,177 −66% —
181 RESPIRATORY NEOPLASMS WITH CC $8,079 $9,736 $29,674 −73% $23,573 −66% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $8,052 $11,194 $22,553 −64% $22,557 −64% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,035 $9,302 $23,416 −66% $23,551 −66% —
152 OTITIS MEDIA AND URI WITH MCC $8,029 $9,950 $17,922 −55% $20,247 −60% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,017 $8,943 $23,798 −66% $21,275 −62% —
200 PNEUMOTHORAX WITH CC $8,012 $9,711 $17,568 −54% $21,368 −63% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $8,004 $8,986 $37,980 −79% $18,348 −56% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,001 $8,123 $15,217 −47% $20,566 −61% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,904 $9,230 $34,478 −77% $20,232 −61% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $7,904 $9,468 $37,191 −79% $22,314 −65% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,849 $9,496 $14,447 −46% $23,283 −66% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $7,829 $8,079 $25,469 −69% $20,455 −62% —
184 MAJOR CHEST TRAUMA WITH CC $7,753 $9,365 $31,456 −75% $22,432 −65% —
885 PSYCHOSES $7,741 $12,360 $21,489 −64% $21,729 −64% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $7,734 $8,584 $15,901 −51% $15,901 −51% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,721 $9,040 $16,909 −54% $22,888 −66% ≈127% of Medicare
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,708 $12,696 $16,917 −54% $21,986 −65% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $7,676 $9,458 $60,094 −87% $17,193 −55% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,660 $9,208 $16,823 −54% $22,763 −66% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,650 $9,310 $15,849 −52% $23,571 −68% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $7,632 $8,383 $15,682 −51% $19,924 −62% —
697 URETHRAL STRICTURE $7,631 $8,784 $35,686 −79% $18,428 −59% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,608 $8,941 $30,066 −75% $22,506 −66% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,606 $8,099 $13,373 −43% $20,506 −63% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $7,604 $8,577 $40,383 −81% $17,404 −56% —
667 PROSTATECTOMY WITHOUT CCMCC $7,597 $9,012 $48,546 −84% $16,703 −55% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,593 $8,645 $21,474 −65% $22,098 −66% ≈137% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,545 $8,923 $16,402 −54% $25,303 −70% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $7,516 $9,653 $20,407 −63% $17,483 −57% —
712 TESTES PROCEDURES WITHOUT CCMCC $7,446 $9,379 $32,751 −77% $18,898 −61% —
644 ENDOCRINE DISORDERS WITH CC $7,414 $9,061 $19,755 −62% $23,198 −68% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $7,404 $8,375 $15,591 −53% $19,594 −62% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,378 $8,703 $16,460 −55% $22,033 −67% —
950 AFTERCARE WITHOUT CCMCC $7,310 $5,139 $34,426 −79% $13,527 −46% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,306 $8,909 $23,391 −69% $19,264 −62% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $7,298 $7,820 $37,553 −81% $15,764 −54% —
187 PLEURAL EFFUSION WITH CC $7,296 $8,803 $21,041 −65% $21,789 −67% —
101 SEIZURES WITHOUT MCC $7,294 $8,082 $15,157 −52% $20,461 −64% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,290 $8,254 $15,923 −54% $20,181 −64% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $7,290 $9,002 $31,208 −77% $25,970 −72% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,247 $8,451 $15,703 −54% $21,396 −66% ≈129% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,242 $8,472 $18,650 −61% $21,449 −66% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,240 $8,767 $17,138 −58% $20,957 −65% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $7,231 $8,388 $24,994 −71% $16,700 −57% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $7,231 $7,825 $26,256 −72% $22,148 −67% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,191 $9,435 $17,159 −58% $18,956 −62% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $7,169 $7,751 $33,594 −79% $16,520 −57% —
292 HEART FAILURE AND SHOCK WITH CC $7,158 $7,551 $17,409 −59% $16,371 −56% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $7,137 $9,223 $56,748 −87% $19,657 −64% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,104 $7,729 $14,635 −51% $19,569 −64% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,074 $8,938 $16,423 −57% $20,901 −66% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $7,014 $8,058 $27,228 −74% $18,072 −61% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,011 $8,083 $15,158 −54% $20,463 −66% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $6,989 $8,346 $30,328 −77% $18,316 −62% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,989 $7,934 $29,000 −76% $16,552 −58% —
603 CELLULITIS WITHOUT MCC $6,976 $7,723 $15,793 −56% $18,530 −62% ≈148% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,957 $7,542 $14,358 −52% $19,096 −64% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $6,907 $9,613 $14,881 −54% $16,846 −59% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $6,899 $8,642 $16,099 −57% $20,895 −67% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $6,877 $8,489 $13,606 −49% $19,962 −66% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,857 $8,751 $12,686 −46% $15,370 −55% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $6,846 $8,795 $43,115 −84% $17,737 −61% —
594 SKIN ULCERS WITHOUT CCMCC $6,843 $7,442 $33,706 −80% $14,209 −52% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $6,836 $8,476 $27,315 −75% $17,724 −61% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $6,820 $8,240 $43,717 −84% $17,934 −62% —
920 COMPLICATIONS OF TREATMENT WITH CC $6,808 $8,908 $16,379 −58% $22,468 −70% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,793 $8,943 $22,292 −70% $17,601 −61% —
683 RENAL FAILURE WITH CC $6,769 $7,794 $14,731 −54% $19,130 −65% ≈140% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $6,740 $8,374 $33,714 −80% $15,589 −57% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $6,728 $7,933 $14,171 −53% $20,084 −66% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $6,723 $8,795 $50,512 −87% $16,212 −59% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,705 $7,837 $15,875 −58% $19,842 −66% —
638 DIABETES WITH CC $6,703 $8,042 $15,098 −56% $19,661 −66% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,677 $7,190 $20,187 −67% $18,204 −63% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $6,665 $7,559 $19,148 −65% $19,138 −65% —
312 SYNCOPE AND COLLAPSE $6,624 $7,640 $14,502 −54% $19,342 −66% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,617 $7,578 $14,410 −54% $15,889 −58% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,615 $6,966 $29,995 −78% $17,921 −63% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,608 $7,942 $14,950 −56% $18,488 −64% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $6,603 $7,724 $26,535 −75% $19,854 −67% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,573 $8,092 $15,172 −57% $20,488 −68% —
779 ABORTION WITHOUT D&C $6,558 $8,197 $15,327 −57% $15,327 −57% —
158 DENTAL AND ORAL DISEASES WITH CC $6,558 $8,247 $21,720 −70% $18,466 −64% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $6,554 $7,659 $13,432 −51% $19,846 −67% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,540 $8,186 $26,283 −75% $16,968 −61% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $6,537 $8,002 $33,606 −81% $20,259 −68% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,527 $7,625 $21,543 −70% $19,305 −66% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $6,521 $7,496 $2,938 +122% $14,290 −54% —
541 OSTEOMYELITIS WITHOUT CCMCC $6,518 $7,671 $14,028 −54% $15,215 −57% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $6,511 $6,141 $34,904 −81% $15,549 −58% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,467 $7,015 $16,818 −62% $21,056 −69% —
866 VIRAL ILLNESS WITHOUT MCC $6,463 $7,758 $14,678 −56% $17,081 −62% —
151 EPISTAXIS WITHOUT MCC $6,407 $6,646 $17,611 −64% $13,032 −51% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,370 $7,574 $16,311 −61% $18,602 −66% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $6,340 $6,921 $13,438 −53% $17,620 −64% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $6,240 $6,925 $13,445 −54% $13,445 −54% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,238 $7,318 $24,616 −75% $18,528 −66% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,178 $7,037 $15,666 −61% $17,674 −65% ≈139% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $6,172 $6,578 $15,497 −60% $19,037 −68% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,144 $7,159 $19,028 −68% $18,126 −66% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $6,129 $7,159 $16,790 −63% $18,126 −66% —
914 TRAUMATIC INJURY WITHOUT MCC $6,095 $8,035 $15,855 −62% $15,855 −62% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,095 $7,137 $19,171 −68% $17,559 −65% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,051 $6,851 $17,038 −64% $17,038 −64% ≈141% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $6,043 $7,169 $21,292 −72% $18,150 −67% —
103 HEADACHES WITHOUT MCC $6,035 $7,455 $21,052 −71% $21,280 −72% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,026 $7,110 $21,720 −72% $18,002 −67% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $6,026 $6,991 $16,903 −64% $17,700 −66% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $6,023 $7,343 $25,741 −77% $14,064 −57% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $6,002 $6,828 $12,146 −51% $15,428 −61% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,996 $7,029 $13,598 −56% $17,578 −66% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,938 $7,111 $18,203 −67% $18,004 −67% —
882 NEUROSES EXCEPT DEPRESSIVE $5,921 $8,435 $15,680 −62% $15,680 −62% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $5,919 $6,749 $17,372 −66% $14,648 −60% —
864 FEVER AND INFLAMMATORY CONDITIONS $5,893 $7,874 $30,333 −81% $18,640 −68% —
694 URINARY STONES WITHOUT MCC $5,873 $6,851 $16,822 −65% $17,345 −66% —
305 HYPERTENSION WITHOUT MCC $5,855 $6,582 $18,086 −68% $18,086 −68% ≈146% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,823 $7,756 $14,675 −60% $15,452 −62% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $5,812 $7,180 $41,552 −86% $14,501 −60% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,796 $6,842 $13,321 −56% $17,322 −67% ≈137% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $5,779 $6,543 $33,322 −83% $16,565 −65% —
176 PULMONARY EMBOLISM WITHOUT MCC $5,761 $7,142 $25,112 −77% $18,081 −68% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,713 $7,240 $13,911 −59% $17,298 −67% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $5,704 $6,626 $27,613 −79% $16,776 −66% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $5,699 $7,337 $37,176 −85% $14,055 −59% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,686 $7,164 $13,799 −59% $17,118 −67% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,645 $6,497 $27,634 −80% $16,450 −66% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $5,634 $6,035 $19,483 −71% $20,781 −73% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $5,628 $6,559 $25,186 −78% $14,716 −62% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $5,622 $6,819 $23,679 −76% $17,124 −67% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $5,587 $5,846 $11,847 −53% $11,847 −53% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $5,575 $6,350 $16,493 −66% $12,593 −56% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $5,565 $7,021 $55,315 −90% $13,586 −59% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,565 $6,482 $16,523 −66% $17,303 −68% ≈159% of Medicare
313 CHEST PAIN $5,466 $6,255 $12,453 −56% $16,440 −67% ≈148% of Medicare
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,437 $6,176 $27,440 −80% $12,336 −56% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $5,430 $6,255 $24,798 −78% $15,837 −66% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,397 $8,405 $15,636 −65% $17,733 −70% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,394 $6,553 $12,454 −57% $12,895 −58% —
188 PLEURAL EFFUSION WITHOUT CCMCC $5,379 $6,438 $16,303 −67% $14,514 −63% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $5,366 $5,675 $14,969 −64% $14,368 −63% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $5,338 $5,460 $22,958 −77% $13,824 −61% —
311 ANGINA PECTORIS $5,335 $6,123 $20,684 −74% $15,502 −66% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $5,332 $6,120 $21,664 −75% $15,495 −66% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,321 $6,161 $19,330 −72% $15,600 −66% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $5,296 $6,358 $14,712 −64% $19,227 −72% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $5,273 $5,393 $14,772 −64% $15,183 −65% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,270 $6,345 $11,355 −54% $13,275 −60% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $5,259 $6,087 $18,008 −71% $14,797 −64% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $5,235 $5,986 $18,723 −72% $13,651 −62% —
149 DYSEQUILIBRIUM $5,218 $6,554 $27,684 −81% $18,096 −71% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,194 $6,066 $16,760 −69% $14,689 −65% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,183 $6,527 $21,329 −76% $15,019 −65% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,182 $6,107 $12,234 −58% $12,460 −58% —
881 DEPRESSIVE NEUROSES $5,165 $8,015 $15,058 −66% $15,058 −66% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,164 $6,256 $12,216 −58% $12,454 −59% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $5,143 $6,310 $19,314 −73% $12,559 −59% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $5,124 $5,888 $23,208 −78% $11,909 −57% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $5,047 $5,877 $13,813 −63% $16,288 −69% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,014 $6,240 $12,431 −60% $14,583 −66% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,000 $7,735 $16,699 −70% $16,699 −70% —
201 PNEUMOTHORAX WITHOUT CCMCC $4,992 $5,937 $16,357 −69% $14,053 −64% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $4,981 $6,388 $51,018 −90% $12,768 −61% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $4,981 $5,256 $11,900 −58% $10,975 −55% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $4,898 $6,108 $14,809 −67% $12,252 −60% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $4,866 $5,782 $12,765 −62% $14,638 −67% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $4,858 $5,947 $27,020 −82% $11,997 −60% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $4,782 $5,580 $11,454 −58% $14,128 −66% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $4,765 $5,583 $11,458 −58% $15,038 −68% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $4,750 $5,588 $10,563 −55% $12,078 −61% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $4,737 $4,798 $13,146 −64% $13,361 −65% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $4,667 $5,896 $20,982 −78% $14,549 −68% —
639 DIABETES WITHOUT CCMCC $4,660 $5,494 $14,109 −67% $13,910 −67% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,641 $4,971 $10,553 −56% $10,160 −54% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $4,636 $5,783 $17,198 −73% $13,633 −66% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $4,604 $6,030 $19,016 −76% $14,415 −68% —
684 RENAL FAILURE WITHOUT CCMCC $4,561 $5,326 $11,356 −60% $13,642 −67% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $4,481 $5,612 $11,501 −61% $14,250 −69% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $4,470 $4,811 $23,085 −81% $12,999 −66% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $4,453 $4,906 $11,178 −60% $13,384 −67% ≈182% of Medicare
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $4,378 $5,558 $11,421 −62% $11,421 −62% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $4,293 $4,922 $27,846 −85% $10,480 −59% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $4,282 $4,558 $4,734 −10% $9,940 −57% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $4,169 $3,873 $17,596 −76% $8,927 −53% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,658 $5,472 $10,205 −64% $12,324 −70% —
795 NORMAL NEWBORN $3,548 $1,752 $5,787 −39% $4,720 −25% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,929 — $14,127 −86% $15,215 −87% —
999 UNGROUPABLE $1,929 — $67,370 −97% $29,674 −93% —
888 UnGrouped $928 — $928 — $928 — —
889 UnGrouped $928 — $928 — $928 — —
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