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 $483,987 −59% $498,715 −60% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $149,555 $247,002 $391,488 −62% $431,073 −65% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $141,516 $208,020 $223,801 −37% $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 $297,665 −62% $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 $280,619 −73% $245,241 −69% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $73,172 $114,887 $171,028 −57% $182,314 −60% —
007 LUNG TRANSPLANT $71,051 $114,597 $170,608 −58% $170,608 −58% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $68,598 $96,629 $155,461 −56% $169,977 −60% —
222 UnGrouped $62,614 — $62,614 +0% $86,864 −28% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $59,743 $95,526 $153,032 −61% $171,338 −65% —
224 UnGrouped $59,213 — $59,213 +0% $80,427 −26% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,189 $92,903 $149,355 −61% $191,314 −70% —
426 UnGrouped $57,603 $91,856 $165,318 −65% $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 $146,742 −64% $175,437 −70% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $52,904 — $62,093 −15% $69,101 −23% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $52,715 $59,876 $72,478 −27% $105,612 −50% —
226 UnGrouped $51,699 — $51,699 +0% $72,618 −29% —
850 UnGrouped $50,998 $80,777 $121,563 −58% $121,563 −58% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $48,827 $70,686 $79,092 −38% $134,914 −64% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $47,311 $52,927 $81,176 −42% $98,260 −52% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $47,137 $74,264 $126,051 −63% $151,029 −69% —
429 UnGrouped $46,468 $73,137 $206,110 −77% $120,174 −61% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $45,968 $58,566 $45,968 +0% $89,353 −49% —
223 UnGrouped $45,664 — $45,664 +0% $59,206 −23% —
010 PANCREAS TRANSPLANT $44,558 $69,913 $72,249 −38% $99,940 −55% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $44,319 $69,513 $74,773 −41% $105,228 −58% —
225 UnGrouped $44,240 — $44,240 +0% $57,380 −23% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $43,742 $68,540 $109,248 −60% $138,868 −69% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $43,478 — $43,478 +0% $75,251 −42% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $43,333 $67,848 $108,994 −60% $143,242 −70% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $42,462 $56,628 $86,542 −51% $121,714 −65% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $41,912 $65,452 $114,299 −63% $120,587 −65% —
227 UnGrouped $41,045 — $49,003 −16% $56,960 −28% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $40,506 $43,907 $68,095 −41% $70,735 −43% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $40,456 $51,054 $61,294 −34% $96,192 −58% —
427 UnGrouped $40,014 $62,282 $166,176 −76% $121,728 −67% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $39,973 $52,128 $55,063 −27% $80,018 −50% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $39,846 $61,969 $156,532 −75% $131,961 −70% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $39,274 $61,000 $132,218 −70% $138,008 −72% ≈97% of Medicare
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,981 $48,467 $74,709 −48% $101,235 −61% —
653 MAJOR BLADDER PROCEDURES WITH MCC $38,930 $48,882 $59,809 −35% $97,046 −60% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $38,760 $47,712 $61,415 −37% $86,459 −55% —
447 UnGrouped $37,963 $58,792 $94,952 −60% $114,914 −67% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $37,770 $58,466 $96,189 −61% $118,589 −68% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $37,544 $33,517 $69,538 −46% $75,103 −50% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $36,520 $48,467 $52,338 −30% $76,583 −52% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $35,985 $55,456 $84,844 −58% $109,331 −67% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $35,757 $35,666 $55,985 −36% $72,011 −50% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $35,310 $54,317 $115,174 −69% $117,280 −70% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,122 $54,000 $69,747 −50% $98,912 −64% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $34,970 $52,927 $58,073 −40% $81,176 −57% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $34,864 $53,566 $82,102 −58% $106,238 −67% —
028 SPINAL PROCEDURES WITH MCC $34,712 $53,310 $82,102 −58% $95,858 −64% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $34,251 $52,532 $144,471 −76% $113,855 −70% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $34,251 $53,811 $60,787 −44% $108,472 −68% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $34,036 $52,168 $57,898 −41% $92,238 −63% —
006 LIVER TRANSPLANT WITHOUT MCC $33,924 $42,521 $51,740 −34% $84,407 −60% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $33,697 $51,597 $79,247 −57% $112,062 −70% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $33,143 $44,673 $79,257 −58% $96,222 −66% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $32,944 $50,327 $89,447 −63% $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 $72,865 −55% $80,885 −60% —
994 UnGrouped $32,475 — $32,475 — $32,475 — —
430 UnGrouped $31,546 $47,969 $154,510 −80% $93,783 −66% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $31,329 $47,603 $77,756 −60% $94,927 −67% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $31,185 $47,360 $70,933 −56% $78,582 −60% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $31,158 $47,315 $77,425 −60% $86,953 −64% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $31,155 $47,310 $67,811 −54% $82,527 −62% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $30,765 $46,651 $77,008 −60% $102,573 −70% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $30,642 — $31,559 −3% $54,320 −44% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $30,642 $46,445 $75,884 −60% $102,177 −70% —
332 RECTAL RESECTION WITH MCC $30,414 $30,416 $50,605 −40% $58,125 −48% —
450 UnGrouped $29,880 $45,160 $69,912 −57% $79,944 −63% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $29,511 $44,536 $62,076 −52% $80,747 −63% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $29,291 $44,167 $68,473 −57% $87,565 −67% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $29,117 $43,873 $98,817 −71% $84,861 −66% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $29,109 $43,855 $77,429 −62% $87,018 −67% ≈122% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $29,013 $43,697 $104,014 −72% $96,905 −70% —
245 AICD GENERATOR PROCEDURES $28,511 $42,851 $70,177 −59% $72,076 −60% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $28,472 $45,010 $95,039 −70% $99,423 −71% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $28,412 $37,349 $101,309 −72% $88,049 −68% —
471 CERVICAL SPINAL FUSION WITH MCC $28,358 $42,592 $83,961 −66% $92,515 −69% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $28,128 $37,085 $41,798 −33% $60,098 −53% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $27,959 $36,570 $11,804 +137% $16,719 +67% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $27,933 $41,875 $67,658 −59% $88,691 −69% —
799 SPLENIC PROCEDURES WITH MCC $27,825 $41,693 $72,060 −61% $78,821 −65% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $27,824 $41,686 $89,854 −69% $86,390 −68% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $27,562 $33,857 $53,307 −48% $55,097 −50% —
163 MAJOR CHEST PROCEDURES WITH MCC $27,068 $40,417 $68,856 −61% $88,341 −69% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $27,058 $40,400 $62,992 −57% $71,551 −62% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $26,982 $40,271 $51,589 −48% $90,331 −70% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $26,979 $40,265 $75,448 −64% $88,050 −69% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,827 $32,812 $51,761 −48% $60,861 −56% —
791 PREMATURITY WITH MAJOR PROBLEMS $26,615 $35,600 $16,905 +57% $39,563 −33% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $26,561 $39,561 $61,750 −57% $72,859 −64% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $26,421 $39,325 $50,362 −48% $76,954 −66% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,375 $30,702 $48,637 −46% $59,207 −55% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $26,356 $39,216 $68,201 −61% $88,307 −70% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $26,181 $41,254 $71,412 −63% $92,217 −72% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $26,139 $38,850 $60,697 −57% $68,847 −62% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $25,943 $38,519 $60,208 −57% $75,585 −66% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $25,865 $36,737 $63,024 −59% $72,945 −65% —
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 $60,913 −58% $83,441 −69% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $25,282 $37,405 $62,225 −59% $82,561 −69% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,052 $31,434 $54,741 −54% $59,425 −58% —
248 UnGrouped $24,902 — $24,902 +0% $34,146 −27% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $24,891 $36,746 $62,396 −60% $68,659 −64% —
246 UnGrouped $24,604 — $24,604 +0% $33,983 −28% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $24,483 $36,058 $56,565 −57% $82,247 −70% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,471 $36,038 $58,352 −58% $66,853 −63% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $24,440 $35,984 $40,448 −40% $73,029 −67% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $24,409 $33,762 $64,704 −62% $72,782 −66% —
448 UnGrouped $24,335 $35,807 $120,893 −80% $81,998 −70% —
652 KIDNEY TRANSPLANT $24,006 $26,932 $48,443 −50% $54,720 −56% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $23,879 $33,891 $52,834 −55% $62,961 −62% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $23,816 $34,932 $64,285 −63% $71,701 −67% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,802 $34,907 $34,280 −31% $57,521 −59% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,623 $34,599 $71,887 −67% $68,006 −65% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $23,576 $34,528 $38,597 −39% $61,832 −62% —
402 UnGrouped $23,534 $34,305 $118,196 −80% $75,492 −69% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $23,322 $34,099 $55,749 −58% $72,908 −68% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,053 — $25,927 −11% $50,815 −55% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $22,883 $27,888 $33,677 −32% $44,472 −49% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $22,869 $33,336 $52,536 −56% $74,755 −69% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $22,715 $33,076 $60,535 −62% $74,257 −69% —
654 MAJOR BLADDER PROCEDURES WITH CC $22,154 $24,746 $41,990 −47% $53,868 −59% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $22,074 $31,994 $52,791 −58% $62,524 −65% —
338 UnGrouped $22,029 — $22,029 +0% $30,138 −27% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $21,946 $31,772 $58,613 −63% $71,755 −69% —
252 OTHER VASCULAR PROCEDURES WITH MCC $21,894 $30,080 $62,914 −65% $68,508 −68% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $21,743 $31,432 $58,467 −63% $57,855 −62% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $21,738 $31,427 $81,680 −73% $64,776 −66% —
265 AICD LEAD PROCEDURES $21,650 $31,280 $50,169 −57% $56,695 −62% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $21,567 $31,139 $70,776 −70% $70,540 −69% —
668 TRANSURETHRAL PROCEDURES WITH MCC $21,520 $25,572 $43,800 −51% $47,277 −54% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,454 $30,949 $50,084 −57% $50,919 −58% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $21,408 $30,871 $54,386 −61% $56,964 −62% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $21,321 $30,724 $46,793 −54% $68,399 −69% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,318 $30,714 $57,379 −63% $65,383 −67% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $21,276 $30,647 $49,333 −57% $51,953 −59% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $21,119 $30,383 $40,765 −48% $49,065 −57% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,984 $30,155 $53,866 −61% $62,269 −66% —
665 PROSTATECTOMY WITH MCC $20,956 $30,108 $46,818 −55% $54,072 −61% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $20,912 $30,034 $60,673 −66% $68,880 −70% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $20,843 $34,457 $29,810 −30% $54,196 −62% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $20,818 $29,868 $55,375 −62% $67,901 −69% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $20,741 $29,743 $67,221 −69% $70,132 −70% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $20,556 $29,434 $61,011 −66% $64,152 −68% —
037 EXTRACRANIAL PROCEDURES WITH MCC $20,370 $29,120 $47,839 −57% $64,749 −69% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,271 $28,953 $37,865 −46% $52,908 −62% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $20,145 $17,647 $23,378 −14% $30,940 −35% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,099 $28,662 $71,695 −72% $65,254 −69% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $20,060 $22,140 $69,995 −71% $46,659 −57% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,042 $28,568 $46,618 −57% $64,465 −69% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,959 $30,203 $87,758 −77% $71,014 −72% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $19,935 $27,238 $88,311 −77% $65,325 −69% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $19,865 $28,229 $64,650 −69% $64,956 −69% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $19,764 $28,098 $82,357 −76% $57,277 −65% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,716 $28,017 $89,532 −78% $66,819 −70% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $19,687 $27,963 $47,664 −59% $49,710 −60% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,606 $27,832 $44,306 −56% $51,142 −62% —
500 SOFT TISSUE PROCEDURES WITH MCC $19,579 $27,785 $67,787 −71% $57,479 −66% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,526 $23,994 $38,709 −50% $48,358 −60% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,331 $27,367 $46,538 −58% $65,573 −71% ≈108% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $19,323 $27,355 $49,038 −61% $54,483 −65% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $19,182 $27,116 $60,197 −68% $62,821 −69% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,167 $25,789 $70,218 −73% $63,984 −70% —
451 UnGrouped $19,149 $27,060 $103,747 −82% $65,216 −71% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $19,137 $27,041 $46,993 −59% $53,817 −64% —
570 SKIN DEBRIDEMENT WITH MCC $18,757 $26,395 $43,190 −57% $52,435 −64% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,630 $26,185 $40,031 −53% $46,402 −60% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $18,435 $25,855 $47,637 −61% $54,313 −66% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,353 $25,718 $39,809 −54% $60,140 −69% —
341 UnGrouped $18,289 — $18,289 +0% $25,628 −29% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $18,258 $25,558 $71,975 −75% $67,764 −73% —
800 SPLENIC PROCEDURES WITH CC $18,253 $25,550 $42,141 −57% $49,184 −63% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $18,245 $25,536 $55,535 −67% $54,475 −67% —
472 CERVICAL SPINAL FUSION WITH CC $18,167 $25,405 $71,377 −75% $59,537 −69% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,093 $20,021 $32,824 −45% $39,253 −54% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $17,993 $25,112 $40,363 −55% $56,758 −68% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $17,985 $25,097 $69,603 −74% $53,551 −66% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,964 $25,062 $42,798 −58% $49,055 −63% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,937 $17,784 $29,518 −39% $30,661 −42% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $17,905 $24,963 $96,742 −81% $74,274 −76% ≈113% of Medicare
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $17,705 $24,626 $41,574 −57% $58,043 −69% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $17,701 $18,439 $24,093 −27% $35,686 −50% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,691 $24,600 $39,606 −55% $48,907 −64% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $17,445 $17,953 $30,939 −44% $34,089 −49% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,305 $23,952 $28,750 −40% $45,497 −62% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,280 $23,908 $40,946 −58% $44,973 −62% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,248 $19,575 $36,269 −52% $44,053 −61% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,229 $23,822 $26,148 −34% $43,491 −60% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $17,159 $23,705 $71,017 −76% $57,963 −70% —
995 UnGrouped $17,134 — $17,134 — $17,134 — —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $17,114 $23,627 $38,454 −55% $44,839 −62% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $17,107 $23,183 $37,509 −54% $40,277 −58% —
711 TESTES PROCEDURES WITH CCMCC $17,093 $16,753 $27,991 −39% $34,852 −51% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $17,060 $23,533 $41,231 −59% $52,405 −67% —
263 VEIN LIGATION AND STRIPPING $17,049 $23,518 $48,392 −65% $44,938 −62% —
849 RADIOTHERAPY $16,991 $23,422 $37,862 −55% $37,862 −55% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,948 $23,349 $37,754 −55% $45,432 −63% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,899 $23,266 $38,596 −56% $40,947 −59% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $16,882 $23,237 $27,235 −38% $45,290 −63% —
503 FOOT PROCEDURES WITH MCC $16,865 $23,207 $35,266 −52% $43,901 −62% —
333 RECTAL RESECTION WITH CC $16,838 $18,636 $31,512 −47% $34,352 −51% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $16,743 $23,003 $37,361 −55% $54,929 −70% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,707 $22,943 $37,153 −55% $43,697 −62% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $16,581 $15,355 $21,386 −22% $34,264 −52% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $16,562 $22,698 $36,791 −55% $41,703 −60% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,541 $22,661 $44,748 −63% $48,094 −66% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,381 $22,393 $32,668 −50% $38,878 −58% —
253 OTHER VASCULAR PROCEDURES WITH CC $16,378 $22,386 $69,829 −77% $53,746 −70% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $16,371 $19,802 $32,504 −50% $38,998 −58% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,353 $22,344 $72,936 −78% $57,149 −71% ≈118% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,343 $18,802 $31,899 −49% $36,850 −56% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $16,242 $22,157 $35,990 −55% $39,657 −59% —
164 MAJOR CHEST PROCEDURES WITH CC $16,190 $22,071 $55,822 −71% $53,141 −70% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,151 $21,480 $10,836 +49% $11,633 +39% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,124 $21,958 $35,694 −55% $39,409 −59% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $16,113 $21,941 $36,982 −56% $55,162 −71% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,988 $17,345 $29,934 −47% $43,398 −63% —
397 APPENDIX PROCEDURES WITH MCC $15,986 $21,727 $42,048 −62% $52,319 −69% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $15,934 $21,639 $35,224 −55% $52,332 −70% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,835 $21,468 $36,878 −57% $51,985 −70% —
935 NON-EXTENSIVE BURNS $15,789 $19,259 $20,942 −25% $29,458 −46% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,729 $21,291 $38,722 −59% $54,824 −71% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,686 $21,209 $43,331 −64% $46,591 −66% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $15,640 $21,142 $32,550 −52% $40,065 −61% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,588 $21,053 $59,303 −74% $56,394 −72% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,567 $21,020 $37,473 −58% $47,583 −67% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $15,567 $21,020 $71,772 −78% $39,093 −60% —
247 UnGrouped $15,539 — $17,506 −11% $21,663 −28% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,461 $20,839 $52,411 −71% $52,313 −70% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $15,412 $20,759 $80,581 −81% $50,624 −70% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,394 $20,726 $60,051 −74% $58,832 −74% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,373 $20,693 $34,668 −56% $47,546 −68% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,294 $18,816 $15,345 −0% $31,044 −51% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,263 $20,506 $36,888 −59% $50,139 −70% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,167 $20,345 $34,284 −56% $36,237 −58% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $15,139 $20,298 $34,658 −56% $36,080 −58% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $15,129 $20,278 $76,836 −80% $51,339 −71% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,088 $15,865 $26,677 −43% $29,476 −49% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,074 $22,229 $34,224 −56% $36,097 −58% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,031 $20,116 $23,418 −36% $37,080 −59% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $15,013 $20,083 $33,119 −55% $36,334 −59% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $14,953 $19,984 $32,825 −54% $43,586 −66% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,931 $19,947 $34,288 −56% $46,430 −68% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $14,920 $16,270 $35,572 −58% $32,538 −54% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,886 $19,870 $32,604 −54% $37,064 −60% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,848 $19,801 $60,873 −76% $44,989 −67% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,817 $19,754 $55,758 −73% $50,011 −70% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,813 $19,747 $35,825 −59% $48,682 −70% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,803 $19,721 $46,529 −68% $45,059 −67% —
671 URETHRAL PROCEDURES WITH CCMCC $14,794 $15,114 $25,566 −42% $27,233 −46% —
709 PENIS PROCEDURES WITH CCMCC $14,787 $19,704 $32,359 −54% $34,535 −57% —
249 UnGrouped $14,755 — $14,755 +0% $20,610 −28% —
113 ORBITAL PROCEDURES WITH CCMCC $14,735 $19,787 $32,482 −55% $35,642 −59% —
030 SPINAL PROCEDURES WITHOUT CCMCC $14,674 $19,514 $32,928 −55% $45,818 −68% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,539 $19,286 $34,920 −58% $38,382 −62% —
906 HAND PROCEDURES FOR INJURIES $14,451 $19,137 $31,520 −54% $31,520 −54% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,433 $19,106 $33,617 −57% $41,900 −66% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $14,393 $18,215 $30,952 −54% $41,651 −65% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,382 $19,022 $27,832 −48% $37,902 −62% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,346 $18,514 $30,159 −52% $38,420 −63% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,343 $15,160 $15,332 −6% $29,826 −52% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,320 $18,916 $32,664 −56% $44,553 −68% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,301 $18,883 $34,082 −58% $38,357 −63% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $14,218 $14,404 $20,139 −29% $31,566 −55% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $14,208 $18,728 $30,914 −54% $40,232 −65% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,208 $18,726 $31,965 −56% $45,622 −69% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,187 $18,691 $42,718 −67% $37,654 −62% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,131 $18,597 $34,146 −59% $46,477 −70% —
595 MAJOR SKIN DISORDERS WITH MCC $14,101 $18,546 $27,682 −49% $31,785 −56% —
336 PERITONEAL ADHESIOLYSIS WITH CC $14,087 $18,522 $41,991 −66% $49,470 −72% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,066 $18,485 $63,314 −78% $56,519 −75% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,973 $18,331 $31,901 −56% $32,483 −57% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,945 $16,277 $27,974 −50% $30,974 −55% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $13,932 $14,452 $18,092 −23% $25,197 −45% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $13,924 $17,406 $28,937 −52% $29,633 −53% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,892 $18,194 $51,096 −73% $51,172 −73% —
592 SKIN ULCERS WITH MCC $13,795 $18,031 $22,039 −37% $32,662 −58% —
539 OSTEOMYELITIS WITH MCC $13,621 $17,734 $35,286 −61% $33,746 −60% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,591 $17,687 $47,703 −72% $41,660 −67% —
548 SEPTIC ARTHRITIS WITH MCC $13,578 $17,665 $30,480 −55% $31,019 −56% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,563 $17,640 $51,937 −74% $45,817 −70% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,494 $17,523 $16,528 −18% $44,363 −70% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,494 $17,520 $43,948 −69% $43,524 −69% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $13,485 $17,508 $20,220 −33% $29,109 −54% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,446 $17,442 $40,831 −67% $35,714 −62% ≈119% of Medicare
100 SEIZURES WITH MCC $13,426 $17,408 $28,935 −54% $35,194 −62% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $13,420 $13,202 $23,175 −42% $33,424 −60% —
339 UnGrouped $13,367 — $13,367 +0% $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 $70,277 −81% $43,775 −69% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,344 $17,430 $20,643 −35% $35,139 −62% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,307 $17,205 $29,138 −54% $35,237 −62% ≈119% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,302 $17,197 $47,162 −72% $43,538 −69% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,296 $16,354 $26,949 −51% $35,114 −62% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,290 $17,178 $30,256 −56% $36,933 −64% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,271 $17,146 $29,142 −54% $35,014 −62% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $13,265 $17,136 $21,189 −37% $29,524 −55% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $13,263 $17,134 $30,737 −57% $33,050 −60% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $13,194 $17,016 $30,005 −56% $43,080 −69% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $13,181 $16,995 $32,648 −60% $36,202 −64% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,151 $16,937 $29,127 −55% $42,881 −69% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $13,124 $13,788 $56,414 −77% $34,906 −62% —
380 COMPLICATED PEPTIC ULCER WITH MCC $13,109 $16,873 $29,433 −55% $36,641 −64% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,065 $13,234 $22,302 −41% $27,279 −52% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,004 $16,773 $24,216 −46% $33,165 −61% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,997 $15,864 $68,421 −81% $54,772 −76% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,996 $13,130 $22,628 −43% $24,450 −47% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,970 $16,639 $48,759 −73% $42,126 −69% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,970 $16,639 $28,270 −54% $35,459 −63% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,954 $12,944 $8,202 +58% $7,961 +63% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,933 $16,576 $29,224 −56% $32,399 −60% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,908 $16,535 $29,829 −57% $32,981 −61% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,908 $16,533 $52,273 −75% $49,197 −74% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $12,908 $16,532 $45,468 −72% $45,963 −72% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $12,795 $16,345 $56,314 −77% $41,380 −69% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,736 $16,602 $32,126 −60% $36,280 −65% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,729 $15,944 $19,857 −36% $36,597 −65% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,701 $16,186 $25,643 −50% $29,609 −57% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $12,635 $16,074 $26,986 −53% $40,694 −69% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,609 $16,030 $39,849 −68% $40,583 −69% —
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 $28,283 −55% $37,950 −67% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,585 $15,990 $29,558 −57% $29,031 −57% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,582 $15,984 $37,235 −66% $36,375 −65% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,570 $16,022 $26,909 −53% $40,563 −69% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,557 $15,943 $28,568 −56% $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 $23,571 −47% $34,434 −64% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $12,488 $15,825 $56,946 −78% $40,063 −69% —
334 RECTAL RESECTION WITHOUT CCMCC $12,424 $14,543 $24,569 −49% $32,213 −61% —
501 SOFT TISSUE PROCEDURES WITH CC $12,385 $15,649 $38,549 −68% $37,975 −67% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,363 $15,616 $65,996 −81% $48,680 −75% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,359 $15,608 $30,490 −59% $33,564 −63% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,322 $15,547 $27,175 −55% $36,242 −66% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $12,295 $11,142 $18,753 −34% $19,686 −38% —
199 PNEUMOTHORAX WITH MCC $12,282 $15,479 $26,106 −53% $31,491 −61% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,244 $15,412 $26,007 −53% $35,673 −66% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $12,242 $15,412 $34,280 −64% $39,018 −69% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,237 $15,404 $25,994 −53% $29,558 −59% —
597 MALIGNANT BREAST DISORDERS WITH MCC $12,237 $15,404 $25,994 −53% $31,846 −62% —
504 FOOT PROCEDURES WITH CC $12,232 $15,389 $25,972 −53% $36,598 −67% —
505 FOOT PROCEDURES WITHOUT CCMCC $12,232 $15,389 $26,432 −54% $31,716 −61% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $12,200 $15,340 $40,314 −70% $38,836 −69% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,194 $15,327 $32,252 −62% $31,758 −62% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $12,184 $13,309 $37,536 −68% $33,694 −64% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $12,155 $15,223 $30,146 −60% $32,839 −63% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,144 $15,247 $27,834 −56% $30,814 −61% —
996 UnGrouped $12,116 — $12,116 — $12,116 — —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,115 $16,153 $16,237 −25% $28,375 −57% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,085 $11,808 $18,696 −35% $23,723 −49% —
398 APPENDIX PROCEDURES WITH CC $12,059 $13,268 $35,228 −66% $39,107 −69% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,026 $15,047 $27,294 −56% $38,094 −68% —
509 ARTHROSCOPY $12,025 $15,404 $12,025 +0% $25,994 −54% —
551 MEDICAL BACK PROBLEMS WITH MCC $11,976 $14,963 $25,341 −53% $31,086 −61% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,949 $14,916 $51,176 −77% $43,266 −72% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $11,913 $9,854 $30,228 −61% $30,314 −61% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,910 $14,851 $25,176 −53% $29,729 −60% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $11,893 $14,822 $25,133 −53% $28,578 −58% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,863 $14,770 $25,525 −54% $31,128 −62% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,844 $14,739 $24,816 −52% $30,058 −61% ≈119% of Medicare
571 SKIN DEBRIDEMENT WITH CC $11,812 $14,681 $29,818 −60% $34,901 −66% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $11,811 $14,684 $24,928 −53% $29,916 −61% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,787 $14,643 $27,844 −58% $33,607 −65% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,783 $12,016 $20,980 −44% $20,980 −44% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $11,779 $14,631 $24,851 −53% $28,103 −58% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $11,777 $14,628 $29,353 −60% $30,930 −62% —
075 VIRAL MENINGITIS WITH CCMCC $11,746 $15,103 $29,619 −60% $29,853 −61% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,714 $14,521 $25,578 −54% $32,689 −64% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,687 $14,814 $26,777 −56% $29,409 −60% —
666 PROSTATECTOMY WITH CC $11,669 $14,444 $25,407 −54% $30,016 −61% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $11,640 $14,395 $26,568 −56% $28,634 −59% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,622 $14,366 $35,895 −68% $30,910 −62% —
157 DENTAL AND ORAL DISEASES WITH MCC $11,566 $14,358 $23,543 −51% $27,457 −58% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $11,556 $14,254 $22,458 −49% $27,168 −57% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,552 $14,393 $22,855 −49% $28,967 −60% ≈128% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,552 $14,247 $22,892 −50% $26,020 −56% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $11,548 $14,477 $49,081 −76% $44,117 −74% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,531 $14,359 $24,448 −53% $36,333 −68% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,509 $14,174 $23,581 −51% $31,840 −64% ≈118% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $11,481 $14,129 $24,339 −53% $35,770 −68% —
606 MINOR SKIN DISORDERS WITH MCC $11,467 $14,120 $24,122 −52% $25,434 −55% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $11,463 $14,098 $24,831 −54% $35,692 −68% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $11,438 $14,055 $38,673 −70% $35,584 −68% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $11,406 $12,620 $21,760 −48% $25,243 −55% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $11,399 $13,990 $24,423 −53% $33,984 −66% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $11,389 $13,973 $33,545 −66% $35,375 −68% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,361 $13,702 $57,746 −80% $41,380 −73% —
183 MAJOR CHEST TRAUMA WITH MCC $11,357 $13,918 $26,823 −58% $28,924 −61% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $11,320 $13,856 $31,788 −64% $33,490 −66% —
186 PLEURAL EFFUSION WITH MCC $11,319 $13,854 $37,170 −70% $32,468 −65% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $11,305 $14,578 $39,736 −72% $27,548 −59% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,303 $11,701 $27,782 −59% $25,426 −56% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,302 $13,825 $23,658 −52% $29,371 −62% —
342 UnGrouped $11,284 — $13,886 −19% $19,454 −42% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,259 $14,588 $30,262 −63% $32,502 −65% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $11,242 $13,725 $17,058 −34% $32,490 −65% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,206 $14,260 $24,302 −54% $24,465 −54% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,192 $13,553 $24,065 −53% $28,252 −60% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $11,176 $13,910 $40,221 −72% $39,747 −72% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,162 $13,589 $22,304 −50% $28,646 −61% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $11,153 $13,089 $43,858 −75% $33,137 −66% —
813 COAGULATION DISORDERS $11,152 $13,574 $22,196 −50% $30,128 −63% —
669 TRANSURETHRAL PROCEDURES WITH CC $11,150 $13,569 $25,289 −56% $34,354 −68% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $11,085 $13,461 $36,149 −69% $36,239 −69% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,064 $13,425 $23,065 −52% $24,879 −56% —
663 MINOR BLADDER PROCEDURES WITH CC $11,045 $13,393 $24,960 −56% $29,924 −63% —
945 REHABILITATION WITH CCMCC $11,041 $13,385 $23,229 −52% $23,834 −54% —
533 FRACTURES OF FEMUR WITH MCC $11,032 $13,371 $23,516 −53% $25,945 −57% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $10,994 $12,999 $22,724 −52% $32,911 −67% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $10,938 $13,240 $20,766 −47% $24,229 −55% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $10,924 $13,188 $26,083 −58% $35,528 −69% —
682 RENAL FAILURE WITH MCC $10,914 $13,169 $22,451 −51% $27,854 −61% ≈125% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,899 $13,145 $23,804 −54% $29,484 −63% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,882 $13,145 $22,651 −52% $28,983 −62% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $10,876 $13,554 $10,797 +1% $25,484 −57% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,847 $13,054 $29,268 −63% $31,062 −65% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,840 $13,192 $34,082 −68% $33,792 −68% —
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 $12,813 −16% $28,134 −62% —
643 ENDOCRINE DISORDERS WITH MCC $10,764 $14,532 $26,013 −59% $32,996 −67% —
693 URINARY STONES WITH MCC $10,749 $12,893 $20,168 −47% $22,525 −52% —
602 CELLULITIS WITH MCC $10,744 $12,883 $21,559 −50% $29,347 −63% ≈117% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,716 $14,003 $23,921 −55% $35,453 −70% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,715 $12,833 $34,307 −69% $29,211 −63% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $10,708 $12,824 $22,575 −53% $25,149 −57% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,673 $12,757 $22,031 −52% $24,941 −57% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,657 $13,749 $22,988 −54% $31,059 −66% —
865 VIRAL ILLNESS WITH MCC $10,645 $12,941 $22,927 −54% $26,088 −59% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,637 $14,169 $17,613 −40% $27,118 −61% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $10,637 $13,301 $10,637 +0% $30,972 −66% —
913 TRAUMATIC INJURY WITH MCC $10,614 $14,190 $24,548 −57% $24,198 −56% —
637 DIABETES WITH MCC $10,589 $12,770 $23,106 −54% $28,819 −63% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $10,584 $12,318 $56,753 −81% $35,542 −70% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,532 $12,884 $22,254 −53% $25,786 −59% —
139 SALIVARY GLAND PROCEDURES $10,494 $12,039 $19,775 −47% $21,014 −50% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,480 $13,154 $22,826 −54% $25,854 −59% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $10,468 $12,567 $55,676 −81% $31,816 −67% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $10,446 $12,679 $31,842 −67% $29,663 −65% —
088 CONCUSSION WITH MCC $10,438 $12,370 $20,890 −50% $24,402 −57% —
710 PENIS PROCEDURES WITHOUT CCMCC $10,415 $13,165 $21,018 −50% $23,814 −56% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $10,348 $12,217 $20,857 −50% $25,666 −60% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,333 $12,192 $20,937 −51% $24,118 −57% —
137 MOUTH PROCEDURES WITH CCMCC $10,306 $12,264 $22,398 −54% $24,348 −58% —
811 RED BLOOD CELL DISORDERS WITH MCC $10,243 $12,336 $32,284 −68% $27,934 −63% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $10,236 $12,445 $21,615 −53% $21,615 −53% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $10,192 $12,251 $25,315 −60% $30,006 −66% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,166 $12,356 $24,936 −59% $29,757 −66% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $10,095 $10,178 $24,241 −58% $22,532 −55% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,071 $11,750 $34,642 −71% $30,358 −67% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,034 $12,643 $19,377 −48% $22,525 −55% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,020 $12,410 $21,521 −53% $23,734 −58% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $10,000 $11,773 $30,359 −67% $29,805 −66% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,924 $11,501 $19,541 −49% $23,115 −57% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,904 $11,644 $19,155 −48% $24,480 −60% ≈130% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,904 $11,945 $20,842 −52% $24,980 −60% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,896 $11,452 $31,435 −69% $23,956 −59% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,896 $11,661 $20,040 −51% $23,350 −58% —
949 AFTERCARE WITH CCMCC $9,893 $9,461 $30,459 −68% $23,953 −59% —
291 HEART FAILURE AND SHOCK WITH MCC $9,889 $11,441 $19,972 −50% $25,020 −60% ≈118% of Medicare
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $9,889 $12,184 $21,228 −53% $24,561 −60% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,821 $12,464 $20,533 −52% $25,010 −61% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $9,768 $12,044 $14,675 −33% $29,050 −66% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $9,753 $11,690 $39,040 −75% $31,978 −70% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,753 $15,753 $25,254 −61% $24,836 −61% —
540 OSTEOMYELITIS WITH CC $9,729 $11,347 $19,990 −51% $23,494 −59% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,707 $11,882 $20,782 −53% $29,374 −67% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,677 $11,085 $20,261 −52% $26,634 −64% —
340 UnGrouped $9,673 — $9,945 −3% $16,240 −40% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,672 $15,615 $25,771 −62% $30,275 −68% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $9,633 $12,565 $32,259 −70% $31,812 −70% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $9,572 $9,596 $16,193 −41% $17,398 −45% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $9,534 $12,818 $22,167 −57% $32,451 −71% —
150 EPISTAXIS WITH MCC $9,529 $12,120 $22,949 −58% $21,133 −55% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $9,490 $11,317 $19,945 −52% $22,811 −58% —
947 SIGNS AND SYMPTOMS WITH MCC $9,473 $11,278 $22,891 −59% $25,474 −63% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,466 $10,729 $33,393 −72% $26,322 −64% —
593 SKIN ULCERS WITH CC $9,461 $10,721 $14,310 −34% $20,470 −54% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,437 $11,307 $14,406 −34% $23,920 −61% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $9,414 $11,297 $20,894 −55% $23,924 −61% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,389 $11,554 $21,246 −56% $26,158 −64% ≈131% of Medicare
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $9,362 $12,287 $21,893 −57% $24,452 −62% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,346 $10,882 $19,323 −52% $20,727 −55% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,328 $11,872 $26,956 −65% $28,527 −67% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $9,268 $9,694 $20,340 −54% $24,544 −62% —
348 ANAL AND STOMAL PROCEDURES WITH CC $9,242 $11,039 $23,822 −61% $27,947 −67% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,236 $11,263 $19,025 −51% $27,244 −66% ≈124% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $9,154 $10,919 $22,523 −59% $26,146 −65% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,153 $9,846 $17,141 −47% $19,317 −53% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,139 $11,433 $30,444 −70% $21,029 −57% —
102 HEADACHES WITH MCC $9,132 $10,167 $21,549 −58% $22,544 −59% —
375 DIGESTIVE MALIGNANCY WITH CC $9,121 $10,774 $26,219 −65% $27,219 −66% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $9,096 $14,645 $24,360 −63% $25,208 −64% —
549 SEPTIC ARTHRITIS WITH CC $9,051 $10,567 $21,860 −59% $20,938 −57% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $9,049 $10,859 $30,224 −70% $27,492 −67% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $9,046 $10,768 $9,046 +0% $19,132 −53% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $9,008 $10,792 $19,705 −54% $27,321 −67% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $8,992 $10,690 $20,175 −55% $23,588 −62% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,942 $9,985 $21,923 −59% $24,452 −63% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $8,938 $11,294 $13,730 −35% $24,316 −63% —
304 HYPERTENSION WITH MCC $8,912 $10,301 $22,669 −61% $24,185 −63% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $8,909 $11,553 $35,601 −75% $34,887 −74% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,888 $10,860 $22,010 −60% $22,032 −60% —
089 CONCUSSION WITH CC $8,854 $9,401 $18,362 −52% $18,293 −52% —
946 REHABILITATION WITHOUT CCMCC $8,821 $9,790 $17,202 −49% $17,685 −50% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $8,818 $10,365 $13,677 −36% $19,598 −55% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $8,806 $9,980 $17,967 −51% $25,267 −65% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,800 $10,262 $18,587 −53% $22,982 −62% ≈130% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,788 $10,151 $18,220 −52% $24,202 −64% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,786 $11,071 $16,164 −46% $19,894 −56% —
302 ATHEROSCLEROSIS WITH MCC $8,781 $10,200 $24,786 −65% $20,844 −58% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $8,765 $10,802 $20,147 −56% $20,147 −56% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $8,757 $8,940 $16,427 −47% $20,080 −56% —
343 UnGrouped $8,730 — $12,342 −29% $13,735 −36% —
997 UnGrouped $8,710 — $8,710 — $8,710 — —
887 OTHER MENTAL DISORDER DIAGNOSES $8,706 $10,429 $16,064 −46% $20,602 −58% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,685 $8,681 $23,182 −63% $20,106 −57% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,672 $10,915 $19,350 −55% $21,860 −60% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,653 $10,850 $26,727 −68% $25,704 −66% ≈124% of Medicare
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,632 $9,889 $17,494 −51% $20,741 −58% —
598 MALIGNANT BREAST DISORDERS WITH CC $8,620 $9,460 $16,097 −46% $19,073 −55% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,609 $9,283 $17,111 −50% $24,136 −64% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,549 $9,241 $16,262 −47% $23,396 −63% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $8,531 $10,199 $17,996 −53% $21,062 −59% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $8,505 $11,142 $20,025 −58% $22,275 −62% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $8,448 $10,028 $18,049 −53% $25,390 −67% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,436 $9,888 $16,967 −50% $24,017 −65% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $8,432 $11,109 $19,637 −57% $25,623 −67% —
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 $20,333 −59% $23,469 −64% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $8,350 $10,132 $18,089 −54% $25,307 −67% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,342 $9,479 $16,732 −50% $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 $44,886 −81% $31,190 −73% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,295 $9,380 $25,131 −67% $23,749 −65% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $8,229 $10,017 $17,608 −53% $24,432 −66% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $8,212 $10,918 $19,354 −58% $19,354 −58% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,176 $9,509 $16,416 −50% $21,806 −63% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $8,169 $10,199 $20,997 −61% $18,291 −55% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,157 $9,387 $17,526 −53% $19,579 −58% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,134 $8,750 $11,001 −26% $17,434 −53% —
090 CONCUSSION WITHOUT CCMCC $8,113 $7,517 $14,688 −45% $14,873 −45% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $8,112 $10,389 $18,303 −56% $20,842 −61% —
381 COMPLICATED PEPTIC ULCER WITH CC $8,112 $9,550 $23,049 −65% $24,177 −66% —
181 RESPIRATORY NEOPLASMS WITH CC $8,079 $9,736 $20,798 −61% $22,431 −64% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $8,052 $11,194 $16,434 −51% $22,557 −64% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,035 $9,302 $23,785 −66% $23,496 −66% —
152 OTITIS MEDIA AND URI WITH MCC $8,029 $9,950 $19,782 −59% $19,795 −59% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,017 $8,943 $23,798 −66% $20,732 −61% —
200 PNEUMOTHORAX WITH CC $8,012 $9,711 $19,414 −59% $20,573 −61% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $8,004 $8,986 $16,779 −52% $16,495 −51% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,001 $8,123 $13,698 −42% $18,608 −57% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,904 $9,230 $22,632 −65% $18,478 −57% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $7,904 $9,468 $11,804 −33% $18,126 −56% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,849 $9,496 $15,902 −51% $22,560 −65% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $7,829 $8,079 $14,920 −48% $20,309 −61% —
184 MAJOR CHEST TRAUMA WITH CC $7,753 $9,365 $23,963 −68% $20,842 −63% —
885 PSYCHOSES $7,741 $12,360 $22,477 −66% $21,489 −64% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $7,734 $8,584 $7,684 +1% $15,901 −51% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,721 $9,040 $17,597 −56% $22,781 −66% ≈127% of Medicare
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,708 $12,696 $21,234 −64% $21,986 −65% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $7,676 $9,458 $16,274 −53% $17,193 −55% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,660 $9,208 $16,145 −53% $22,231 −66% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,650 $9,310 $16,752 −54% $23,571 −68% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $7,632 $8,383 $15,603 −51% $18,191 −58% —
697 URETHRAL STRICTURE $7,631 $8,784 $22,153 −66% $17,705 −57% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,608 $8,941 $23,818 −68% $21,545 −65% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,606 $8,099 $13,557 −44% $19,287 −61% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $7,604 $8,577 $15,230 −50% $15,890 −52% —
667 PROSTATECTOMY WITHOUT CCMCC $7,597 $9,012 $12,065 −37% $16,703 −55% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,593 $8,645 $24,621 −69% $21,886 −65% ≈137% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,545 $8,923 $16,402 −54% $22,713 −67% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $7,516 $9,653 $15,788 −52% $17,483 −57% —
712 TESTES PROCEDURES WITHOUT CCMCC $7,446 $9,379 $17,076 −56% $18,898 −61% —
644 ENDOCRINE DISORDERS WITH CC $7,414 $9,061 $19,755 −62% $22,941 −68% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $7,404 $8,375 $8,184 −10% $19,326 −62% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,378 $8,703 $20,226 −64% $20,968 −65% —
950 AFTERCARE WITHOUT CCMCC $7,310 $5,139 $13,608 −46% $13,527 −46% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,306 $8,909 $16,385 −55% $18,017 −59% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $7,298 $7,820 $14,770 −51% $15,764 −54% —
187 PLEURAL EFFUSION WITH CC $7,296 $8,803 $20,943 −65% $21,467 −66% —
101 SEIZURES WITHOUT MCC $7,294 $8,082 $15,076 −52% $19,954 −63% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,290 $8,254 $15,923 −54% $18,918 −61% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $7,290 $9,002 $31,745 −77% $24,022 −70% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,247 $8,451 $19,443 −63% $21,213 −66% ≈129% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,242 $8,472 $20,777 −65% $21,449 −66% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,240 $8,767 $17,138 −58% $20,007 −64% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $7,231 $8,388 $15,624 −54% $16,418 −56% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $7,231 $7,825 $26,256 −72% $21,261 −66% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,191 $9,435 $14,753 −51% $17,943 −60% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $7,169 $7,751 $15,941 −55% $15,869 −55% —
292 HEART FAILURE AND SHOCK WITH CC $7,158 $7,551 $17,409 −59% $16,212 −56% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $7,137 $9,223 $16,001 −55% $17,550 −59% —
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 $13,766 −49% $19,091 −63% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $7,014 $8,058 $15,549 −55% $16,352 −57% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,011 $8,083 $14,472 −52% $20,463 −66% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $6,989 $8,346 $21,224 −67% $18,428 −62% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,989 $7,934 $15,220 −54% $15,077 −54% —
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 $13,955 −50% $19,096 −64% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $6,907 $9,613 $14,238 −51% $17,103 −60% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $6,899 $8,642 $15,113 −54% $18,282 −62% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $6,877 $8,489 $13,604 −49% $19,001 −64% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,857 $8,751 $13,097 −48% $15,370 −55% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $6,846 $8,795 $16,213 −58% $17,078 −60% —
594 SKIN ULCERS WITHOUT CCMCC $6,843 $7,442 $12,615 −46% $14,209 −52% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $6,836 $8,476 $24,298 −72% $17,273 −60% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $6,820 $8,240 $15,861 −57% $17,108 −60% —
920 COMPLICATIONS OF TREATMENT WITH CC $6,808 $8,908 $16,379 −58% $21,181 −68% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,793 $8,943 $16,431 −59% $16,571 −59% —
683 RENAL FAILURE WITH CC $6,769 $7,794 $14,966 −55% $18,620 −64% ≈140% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $6,740 $8,374 $11,404 −41% $15,589 −57% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $6,728 $7,933 $14,276 −53% $20,084 −66% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $6,723 $8,795 $10,132 −34% $16,212 −59% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,705 $7,837 $15,875 −58% $18,803 −64% —
638 DIABETES WITH CC $6,703 $8,042 $14,856 −55% $18,821 −64% —
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 $14,383 −54% $16,156 −59% —
312 SYNCOPE AND COLLAPSE $6,624 $7,640 $17,019 −61% $19,342 −66% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,617 $7,578 $11,950 −45% $15,284 −57% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,615 $6,966 $21,747 −70% $17,727 −63% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,608 $7,942 $14,533 −55% $17,731 −63% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $6,603 $7,724 $14,627 −55% $19,854 −67% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,573 $8,092 $15,072 −56% $20,488 −68% —
779 ABORTION WITHOUT D&C $6,558 $8,197 $8,057 −19% $15,327 −57% —
158 DENTAL AND ORAL DISEASES WITH CC $6,558 $8,247 $17,176 −62% $17,700 −63% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $6,554 $7,659 $14,126 −54% $19,815 −67% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,540 $8,186 $19,364 −66% $16,642 −61% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $6,537 $8,002 $15,039 −57% $17,585 −63% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,527 $7,625 $21,872 −70% $19,305 −66% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $6,521 $7,496 $6,785 −4% $14,290 −54% —
541 OSTEOMYELITIS WITHOUT CCMCC $6,518 $7,671 $11,822 −45% $14,549 −55% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $6,511 $6,141 $12,284 −47% $13,654 −52% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,467 $7,015 $17,360 −63% $20,278 −68% —
866 VIRAL ILLNESS WITHOUT MCC $6,463 $7,758 $17,492 −63% $16,391 −61% —
151 EPISTAXIS WITHOUT MCC $6,407 $6,646 $12,021 −47% $13,032 −51% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,370 $7,574 $16,249 −61% $17,367 −63% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $6,340 $6,921 $13,438 −53% $17,522 −64% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $6,240 $6,925 $7,778 −20% $13,445 −54% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,238 $7,318 $23,197 −73% $18,253 −66% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,178 $7,037 $15,666 −61% $17,466 −65% ≈139% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $6,172 $6,578 $15,320 −60% $16,654 −63% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,144 $7,159 $19,028 −68% $17,715 −65% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $6,129 $7,159 $14,252 −57% $17,928 −66% —
914 TRAUMATIC INJURY WITHOUT MCC $6,095 $8,035 $15,855 −62% $15,593 −61% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,095 $7,137 $17,421 −65% $17,195 −65% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,051 $6,851 $17,038 −64% $16,745 −64% ≈141% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $6,043 $7,169 $13,807 −56% $18,150 −67% —
103 HEADACHES WITHOUT MCC $6,035 $7,455 $21,901 −72% $20,111 −70% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,026 $7,110 $13,719 −56% $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 $9,231 −35% $14,064 −57% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $6,002 $6,828 $11,525 −48% $14,166 −58% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,996 $7,029 $13,598 −56% $17,388 −66% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,938 $7,111 $15,714 −62% $16,866 −65% —
882 NEUROSES EXCEPT DEPRESSIVE $5,921 $8,435 $11,786 −50% $15,680 −62% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $5,919 $6,749 $15,560 −62% $14,444 −59% —
864 FEVER AND INFLAMMATORY CONDITIONS $5,893 $7,874 $15,696 −62% $17,412 −66% —
694 URINARY STONES WITHOUT MCC $5,873 $6,851 $17,295 −66% $16,531 −64% —
305 HYPERTENSION WITHOUT MCC $5,855 $6,582 $18,086 −68% $17,144 −66% ≈146% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,823 $7,756 $13,766 −58% $15,045 −61% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $5,812 $7,180 $12,741 −54% $13,822 −58% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,796 $6,842 $14,346 −60% $17,322 −67% ≈137% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $5,779 $6,543 $12,879 −55% $14,861 −61% —
176 PULMONARY EMBOLISM WITHOUT MCC $5,761 $7,142 $21,799 −74% $18,081 −68% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,713 $7,240 $12,714 −55% $15,876 −64% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $5,704 $6,626 $13,002 −56% $16,776 −66% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $5,699 $7,337 $13,414 −58% $14,055 −59% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,686 $7,164 $13,483 −58% $16,837 −66% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,645 $6,497 $10,383 −46% $13,282 −58% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $5,634 $6,035 $19,483 −71% $19,483 −71% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $5,628 $6,559 $14,677 −62% $14,337 −61% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $5,622 $6,819 $13,837 −59% $15,858 −65% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $5,587 $5,846 $10,533 −47% $11,847 −53% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $5,575 $6,350 $12,593 −56% $12,593 −56% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $5,565 $7,021 $11,957 −53% $13,586 −59% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,565 $6,482 $17,400 −68% $16,865 −67% ≈159% of Medicare
313 CHEST PAIN $5,466 $6,255 $12,453 −56% $15,962 −66% ≈148% of Medicare
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,437 $6,176 $9,510 −43% $12,336 −56% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $5,430 $6,255 $16,644 −67% $15,607 −65% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,397 $8,405 $14,403 −63% $15,636 −65% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,394 $6,553 $5,861 −8% $12,895 −58% —
188 PLEURAL EFFUSION WITHOUT CCMCC $5,379 $6,438 $12,723 −58% $14,110 −62% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $5,366 $5,675 $15,714 −66% $14,368 −63% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $5,338 $5,460 $16,472 −68% $13,824 −61% —
311 ANGINA PECTORIS $5,335 $6,123 $17,680 −70% $15,165 −65% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $5,332 $6,120 $17,536 −70% $15,072 −65% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,321 $6,161 $18,455 −71% $15,600 −66% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $5,296 $6,358 $14,966 −65% $18,623 −72% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $5,273 $5,393 $15,129 −65% $15,070 −65% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,270 $6,345 $11,017 −52% $13,090 −60% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $5,259 $6,087 $18,008 −71% $13,303 −60% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $5,235 $5,986 $12,274 −57% $12,797 −59% —
149 DYSEQUILIBRIUM $5,218 $6,554 $18,504 −72% $17,203 −70% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,194 $6,066 $11,254 −54% $14,441 −64% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,183 $6,527 $14,012 −63% $13,892 −63% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,182 $6,107 $11,461 −55% $12,405 −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 $6,528 −21% $12,381 −58% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $5,143 $6,310 $12,534 −59% $12,537 −59% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $5,124 $5,888 $10,805 −53% $11,909 −57% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $5,047 $5,877 $15,733 −68% $14,880 −66% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,014 $6,240 $14,197 −65% $14,473 −65% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,000 $7,735 $20,988 −76% $16,049 −69% —
201 PNEUMOTHORAX WITHOUT CCMCC $4,992 $5,937 $14,407 −65% $13,081 −62% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $4,981 $6,388 $9,836 −49% $12,650 −61% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $4,981 $5,256 $11,437 −56% $10,975 −55% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $4,898 $6,108 $16,498 −70% $12,279 −60% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $4,866 $5,782 $12,765 −62% $13,485 −64% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $4,858 $5,947 $11,892 −59% $11,997 −60% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $4,782 $5,580 $11,173 −57% $14,128 −66% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $4,765 $5,583 $14,121 −66% $14,134 −66% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $4,750 $5,588 $10,372 −54% $12,044 −61% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $4,737 $4,798 $14,028 −66% $13,318 −64% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $4,667 $5,896 $11,921 −61% $13,198 −65% —
639 DIABETES WITHOUT CCMCC $4,660 $5,494 $14,109 −67% $13,910 −67% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,641 $4,971 $9,447 −51% $9,385 −51% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $4,636 $5,783 $10,628 −56% $13,368 −65% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $4,604 $6,030 $17,730 −74% $14,012 −67% —
684 RENAL FAILURE WITHOUT CCMCC $4,561 $5,326 $10,480 −56% $13,623 −67% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $4,481 $5,612 $9,869 −55% $14,208 −68% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $4,470 $4,811 $8,490 −47% $11,955 −63% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $4,453 $4,906 $11,908 −63% $13,384 −67% ≈182% of Medicare
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $4,378 $5,558 $8,060 −46% $11,421 −62% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $4,293 $4,922 $6,638 −35% $10,039 −57% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $4,282 $4,558 $5,877 −27% $9,076 −53% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $4,169 $3,873 $4,169 +0% $8,927 −53% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,658 $5,472 $7,382 −50% $12,013 −70% —
795 NORMAL NEWBORN $3,548 $1,752 $5,787 −39% $4,530 −22% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $1,929 — $10,115 −81% $15,655 −88% —
999 UNGROUPABLE $1,929 — $32,908 −94% $28,822 −93% —
888 UnGrouped $928 — $928 — $928 — —
889 UnGrouped $928 — $928 — $928 — —
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