St. Mary's Medical Center — Pricing

723 procedures published in this hospital's Machine-Readable File (MRF) — 723 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 723
Lowest published price $928
Average published price $15,596
Highest published price $195,313

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 723 procedures

Published charges

Showing all 723 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 11 procedures, this hospital's negotiated rates average ≈117% 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 $195,313 $333,059 $483,987 −60% $498,715 −61% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $148,170 $248,777 $391,488 −62% $431,073 −66% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $141,516 $209,522 $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 $112,334 $189,290 $297,665 −62% $371,366 −70% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $75,120 $124,814 $280,619 −73% $245,241 −69% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $73,172 $115,734 $171,028 −57% $182,314 −60% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $70,271 $94,079 $139,842 −50% $159,181 −56% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $68,598 $97,349 $155,461 −56% $169,977 −60% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $64,925 $30,704 $56,242 +15% $56,242 +15% —
222 UnGrouped $62,614 — $62,614 +0% $86,864 −28% —
224 UnGrouped $59,213 — $59,213 +0% $80,427 −26% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $58,626 $96,238 $153,032 −62% $171,338 −66% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $57,103 $93,597 $149,355 −62% $191,314 −70% —
426 UnGrouped $56,529 $92,542 $165,318 −66% $142,326 −60% —
993 UnGrouped $56,348 — $56,348 — $56,348 — —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $53,703 $60,337 $72,478 −26% $105,612 −49% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $52,904 — $62,093 −15% $69,101 −23% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $52,292 $85,263 $146,742 −64% $175,437 −70% —
226 UnGrouped $51,699 — $51,699 +0% $72,618 −29% —
850 UnGrouped $50,054 $81,385 $121,563 −59% $121,563 −59% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $47,311 $53,340 $81,176 −42% $98,260 −52% —
231 CORONARY BYPASS WITH PTCA WITH MCC $46,293 $74,868 $112,178 −59% $146,474 −68% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $45,968 $59,018 $45,968 +0% $89,353 −49% —
223 UnGrouped $45,664 — $45,664 +0% $59,206 −23% —
225 UnGrouped $44,240 — $44,240 +0% $57,380 −23% —
010 PANCREAS TRANSPLANT $43,740 $70,445 $72,249 −39% $99,940 −56% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $43,506 $70,042 $74,773 −42% $105,228 −59% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $43,478 — $43,478 +0% $75,251 −42% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,246 $57,066 $86,542 −50% $121,714 −64% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $42,941 $69,062 $109,248 −61% $138,868 −69% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $42,540 $68,366 $108,994 −61% $143,242 −70% —
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 $44,256 $68,095 −41% $70,735 −43% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $40,028 $52,535 $55,063 −27% $80,018 −50% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $39,696 $48,849 $74,709 −47% $101,235 −61% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $39,122 $62,445 $156,532 −75% $131,961 −70% —
653 MAJOR BLADDER PROCEDURES WITH MCC $38,930 $49,266 $59,809 −35% $97,046 −60% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $38,760 $48,087 $61,415 −37% $86,459 −55% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $38,561 $61,469 $132,218 −71% $138,008 −72% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $38,230 $33,794 $69,538 −45% $75,103 −49% —
447 UnGrouped $37,275 $59,246 $94,952 −61% $114,914 −68% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $37,186 $48,849 $52,338 −29% $76,583 −51% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $37,087 $58,918 $96,189 −61% $118,589 −69% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $36,408 $35,957 $55,985 −35% $72,011 −49% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $36,070 $57,148 $121,541 −70% $116,058 −69% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $35,337 $55,886 $84,844 −58% $109,331 −68% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $34,970 $53,340 $58,073 −40% $81,176 −57% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $34,675 $54,739 $115,174 −70% $117,280 −70% —
317 UnGrouped $34,634 $54,669 $100,298 −65% $94,988 −64% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $34,490 $54,420 $69,747 −51% $98,912 −65% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $34,238 $53,983 $82,102 −58% $106,238 −68% —
028 SPINAL PROCEDURES WITH MCC $34,089 $53,725 $82,102 −58% $95,858 −64% —
006 LIVER TRANSPLANT WITHOUT MCC $33,924 $42,861 $51,740 −34% $84,407 −60% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $33,742 $45,028 $79,257 −57% $96,222 −65% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $33,637 $54,230 $60,787 −45% $108,472 −69% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $33,427 $52,575 $57,898 −42% $92,238 −64% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $33,094 $52,000 $79,247 −58% $112,062 −70% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,647 $41,362 $72,865 −55% $80,885 −60% —
994 UnGrouped $32,475 — $32,475 — $32,475 — —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $32,356 $50,722 $89,447 −64% $107,355 −70% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $32,181 $50,419 $76,970 −58% $106,778 −70% —
430 UnGrouped $30,985 $48,347 $154,510 −80% $93,783 −67% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $30,642 — $31,559 −3% $54,320 −44% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $30,605 $47,688 $77,425 −60% $86,953 −65% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,602 $47,683 $67,811 −55% $82,527 −63% —
332 RECTAL RESECTION WITH MCC $30,414 $30,670 $50,605 −40% $58,125 −48% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $30,220 $47,020 $77,008 −61% $102,573 −71% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $30,099 $46,812 $75,884 −60% $102,177 −71% —
450 UnGrouped $29,352 $45,518 $69,912 −58% $79,944 −63% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $28,990 $44,890 $62,076 −53% $80,747 −64% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $28,936 $44,045 $104,014 −72% $96,905 −70% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $28,916 $37,653 $101,309 −71% $88,049 −67% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $28,775 $44,518 $68,473 −58% $87,565 −67% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $28,604 $44,222 $98,817 −71% $84,861 −66% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $28,168 $37,386 $41,798 −33% $60,098 −53% —
245 AICD GENERATOR PROCEDURES $28,011 $43,193 $70,177 −60% $72,076 −61% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $27,981 $45,367 $95,039 −71% $99,423 −72% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $27,959 $36,868 $11,804 +137% $16,719 +67% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $27,562 $34,135 $53,307 −48% $55,097 −50% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $27,443 $42,210 $67,658 −59% $88,691 −69% —
799 SPLENIC PROCEDURES WITH MCC $27,338 $42,027 $72,060 −62% $78,821 −65% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $27,337 $42,019 $89,854 −70% $86,390 −68% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,838 $30,958 $48,637 −45% $59,207 −55% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,827 $33,084 $51,761 −48% $60,861 −56% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $26,816 $41,119 $97,625 −73% $91,329 −71% —
791 PREMATURITY WITH MAJOR PROBLEMS $26,638 $35,891 $16,905 +58% $39,563 −33% —
163 MAJOR CHEST PROCEDURES WITH MCC $26,596 $40,742 $68,856 −61% $88,341 −70% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $26,586 $40,725 $62,992 −58% $71,551 −63% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $26,511 $40,595 $51,589 −49% $90,331 −71% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $26,215 $41,585 $71,412 −63% $92,217 −72% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $26,098 $39,880 $61,750 −58% $72,859 −64% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $25,961 $39,642 $50,362 −48% $76,954 −66% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $25,898 $39,533 $68,201 −62% $88,307 −71% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $25,685 $39,164 $60,697 −58% $68,847 −63% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $25,493 $38,831 $60,208 −58% $75,585 −66% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,490 $31,696 $54,741 −53% $59,425 −57% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $25,157 $38,249 $28,681 −12% $59,352 −58% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $25,111 $38,170 $60,913 −59% $83,441 −70% —
248 UnGrouped $24,902 — $24,902 +0% $34,146 −27% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $24,845 $37,708 $62,225 −60% $82,561 −70% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $24,833 $34,040 $64,704 −62% $72,782 −66% —
246 UnGrouped $24,604 — $24,604 +0% $33,983 −28% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $24,462 $37,045 $62,396 −61% $68,659 −64% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,293 $34,170 $52,834 −54% $62,961 −61% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $24,291 $31,215 $44,289 −45% $62,404 −61% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $24,062 $36,352 $56,565 −57% $82,247 −71% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,050 $36,332 $58,352 −59% $66,853 −64% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $24,019 $36,278 $40,448 −41% $73,029 −67% —
652 KIDNEY TRANSPLANT $24,006 $27,162 $48,443 −50% $54,720 −56% —
448 UnGrouped $23,916 $36,099 $120,893 −80% $81,998 −71% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $23,408 $35,218 $64,285 −64% $71,701 −67% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,394 $35,193 $34,280 −32% $57,521 −59% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,218 $34,883 $71,887 −68% $68,006 −66% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $23,172 $34,811 $38,597 −40% $61,832 −63% —
402 UnGrouped $23,131 $34,587 $118,196 −80% $75,492 −69% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $23,033 $34,570 $61,883 −63% $78,852 −71% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $23,027 $36,781 $64,636 −64% $83,065 −72% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $22,883 $28,125 $33,677 −32% $44,472 −49% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $22,480 $33,611 $52,536 −57% $74,755 −70% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $22,329 $33,350 $60,535 −63% $74,257 −70% —
252 OTHER VASCULAR PROCEDURES WITH MCC $22,269 $30,332 $62,914 −65% $68,508 −67% —
654 MAJOR BLADDER PROCEDURES WITH CC $22,154 $24,961 $41,990 −47% $53,868 −59% —
338 UnGrouped $22,029 — $22,029 +0% $30,138 −27% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $21,743 $25,358 $45,302 −52% $58,968 −63% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $21,700 $32,260 $52,791 −59% $62,524 −65% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $21,575 $32,037 $58,613 −63% $71,755 −70% —
668 TRANSURETHRAL PROCEDURES WITH MCC $21,520 $25,793 $43,800 −51% $47,277 −54% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $21,376 $31,694 $58,467 −63% $57,855 −63% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $21,371 $31,689 $81,680 −74% $64,776 −67% —
265 AICD LEAD PROCEDURES $21,285 $31,540 $50,169 −58% $56,695 −62% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $21,203 $31,399 $70,776 −70% $70,540 −70% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,092 $31,207 $50,084 −58% $50,919 −59% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $21,047 $31,129 $54,386 −61% $56,964 −63% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $20,962 $30,980 $46,793 −55% $68,399 −69% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $20,959 $30,971 $57,379 −63% $65,383 −68% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $20,764 $30,637 $40,765 −49% $49,065 −58% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,632 $30,408 $53,866 −62% $62,269 −67% —
665 PROSTATECTOMY WITH MCC $20,604 $30,361 $46,818 −56% $54,072 −62% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $20,561 $30,286 $60,673 −66% $68,880 −70% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $20,485 $17,812 $23,378 −12% $30,940 −34% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $20,468 $30,119 $55,375 −63% $67,901 −70% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $20,441 $34,740 $29,810 −31% $54,196 −62% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $20,393 $29,993 $67,221 −70% $70,132 −71% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $20,270 $27,470 $88,311 −77% $65,325 −69% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $20,060 $22,336 $69,995 −71% $46,659 −57% —
037 EXTRACRANIAL PROCEDURES WITH MCC $20,030 $29,365 $47,839 −58% $64,749 −69% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $19,933 $29,198 $37,865 −47% $52,908 −62% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $19,764 $28,904 $71,695 −72% $65,254 −70% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $19,716 $28,822 $47,038 −58% $54,129 −64% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $19,709 $28,810 $46,618 −58% $64,465 −69% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,646 $30,456 $87,758 −78% $71,014 −72% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $19,535 $28,468 $64,650 −70% $64,956 −70% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,526 $24,204 $38,709 −50% $48,358 −60% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,487 $26,011 $70,218 −72% $63,984 −70% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $19,436 $28,337 $82,357 −76% $57,277 −66% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,389 $28,254 $89,532 −78% $66,819 −71% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,281 $28,068 $44,306 −56% $51,142 −62% —
500 SOFT TISSUE PROCEDURES WITH MCC $19,254 $28,021 $67,787 −72% $57,479 −67% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,011 $27,600 $46,538 −59% $65,573 −71% —
662 MINOR BLADDER PROCEDURES WITH MCC $19,004 $27,588 $49,038 −61% $54,483 −65% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $18,865 $27,348 $60,197 −69% $62,821 −70% —
451 UnGrouped $18,832 $27,291 $103,747 −82% $65,216 −71% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $18,821 $27,272 $46,993 −60% $53,817 −65% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $18,744 $27,137 $43,834 −57% $53,555 −65% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $18,693 $27,049 $44,765 −58% $63,475 −71% —
570 SKIN DEBRIDEMENT WITH MCC $18,448 $26,622 $43,190 −57% $52,435 −65% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,324 $26,410 $40,031 −54% $46,402 −61% —
341 UnGrouped $18,289 — $18,289 +0% $25,628 −29% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $18,133 $26,078 $47,637 −62% $54,313 −67% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,093 $20,203 $32,824 −45% $39,253 −54% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,053 $25,940 $39,809 −55% $60,140 −70% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $17,960 $25,778 $71,975 −75% $67,764 −73% —
800 SPLENIC PROCEDURES WITH CC $17,955 $25,770 $42,141 −57% $49,184 −63% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $17,946 $25,756 $55,535 −68% $54,475 −67% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,937 $17,950 $29,518 −39% $30,661 −42% —
472 CERVICAL SPINAL FUSION WITH CC $17,870 $25,624 $71,377 −75% $59,537 −70% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $17,731 $18,120 $30,939 −43% $34,089 −48% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $17,701 $18,609 $24,093 −27% $35,686 −50% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $17,700 $25,329 $40,363 −56% $56,758 −69% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $17,692 $25,314 $69,603 −75% $53,551 −67% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,671 $25,279 $42,798 −59% $49,055 −64% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $17,614 $25,179 $96,742 −82% $74,274 −76% ≈114% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,447 $24,117 $40,946 −57% $44,973 −61% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $17,417 $24,840 $41,574 −58% $58,043 −70% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,403 $24,814 $39,606 −56% $48,907 −64% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $17,385 $23,387 $37,509 −54% $40,277 −57% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,248 $19,753 $36,269 −52% $44,053 −61% —
995 UnGrouped $17,134 — $17,134 — $17,134 — —
333 RECTAL RESECTION WITH CC $17,111 $18,808 $31,512 −46% $34,352 −50% —
711 TESTES PROCEDURES WITH CCMCC $17,093 $16,912 $27,991 −39% $34,852 −51% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,025 $24,161 $28,750 −41% $45,497 −63% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $16,951 $24,030 $26,148 −35% $43,491 −61% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $16,849 $15,504 $21,386 −21% $34,264 −51% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $16,837 $23,834 $38,454 −56% $44,839 −62% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $16,785 $23,740 $41,231 −59% $52,405 −68% —
849 RADIOTHERAPY $16,718 $23,627 $37,862 −56% $37,862 −56% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,675 $23,554 $37,754 −56% $45,432 −63% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,627 $23,470 $38,596 −57% $40,947 −59% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $16,610 $23,441 $27,235 −39% $45,290 −63% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,607 $18,976 $31,899 −48% $36,850 −55% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $16,474 $23,205 $37,361 −56% $54,929 −70% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,439 $23,145 $37,153 −56% $43,697 −62% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $16,297 $22,899 $36,791 −56% $41,703 −61% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,276 $22,861 $44,748 −64% $48,094 −66% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,244 $17,508 $29,934 −46% $43,398 −63% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,167 $21,672 $10,836 +49% $11,633 +39% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,133 $19,013 $31,898 −49% $34,900 −54% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,120 $22,592 $32,668 −51% $38,878 −59% —
253 OTHER VASCULAR PROCEDURES WITH CC $16,116 $22,584 $69,829 −77% $53,746 −70% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,092 $22,542 $72,936 −78% $57,149 −72% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $15,983 $22,354 $35,990 −56% $39,657 −60% —
164 MAJOR CHEST PROCEDURES WITH CC $15,932 $22,267 $55,822 −71% $53,141 −70% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,867 $22,153 $35,694 −56% $39,409 −60% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $15,857 $22,136 $36,982 −57% $55,162 −71% —
935 NON-EXTENSIVE BURNS $15,789 $19,436 $20,942 −25% $29,458 −46% —
397 APPENDIX PROCEDURES WITH MCC $15,732 $21,920 $42,048 −63% $52,319 −70% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $15,681 $21,832 $35,224 −55% $52,332 −70% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,584 $21,660 $36,878 −58% $51,985 −70% —
247 UnGrouped $15,539 — $17,506 −11% $21,663 −28% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,480 $21,482 $38,722 −60% $54,824 −72% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,438 $21,399 $43,331 −64% $46,591 −67% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,345 $18,989 $15,345 +0% $31,044 −51% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,322 $21,209 $37,473 −59% $47,583 −68% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $15,322 $21,209 $71,772 −79% $39,093 −61% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,180 $22,426 $34,224 −56% $36,097 −58% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $15,170 $20,946 $80,581 −81% $50,624 −70% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,167 $20,940 $34,173 −56% $40,548 −63% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,152 $20,913 $60,051 −75% $58,832 −74% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,131 $20,879 $34,668 −56% $47,546 −68% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,088 $16,017 $26,677 −43% $29,476 −49% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,023 $20,691 $36,888 −59% $50,139 −70% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,930 $20,529 $34,284 −56% $36,237 −59% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $14,902 $20,481 $34,658 −57% $36,080 −59% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,892 $20,462 $76,836 −81% $51,339 −71% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $14,869 $20,425 $48,493 −69% $49,631 −70% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,796 $20,298 $23,418 −37% $37,080 −60% —
671 URETHRAL PROCEDURES WITH CCMCC $14,794 $15,261 $25,566 −42% $27,233 −46% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,778 $20,265 $33,119 −55% $36,334 −59% —
249 UnGrouped $14,755 — $14,755 +0% $20,610 −28% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $14,719 $20,165 $32,825 −55% $43,586 −66% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,653 $20,050 $32,604 −55% $37,064 −60% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $14,617 $18,384 $30,952 −53% $41,651 −65% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,616 $19,981 $60,873 −76% $44,989 −68% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,586 $19,934 $55,758 −74% $50,011 −71% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,582 $19,927 $35,825 −59% $48,682 −70% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,573 $19,901 $46,529 −69% $45,059 −68% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,570 $18,685 $30,159 −52% $38,420 −62% —
709 PENIS PROCEDURES WITH CCMCC $14,557 $19,883 $32,359 −55% $34,535 −58% —
113 ORBITAL PROCEDURES WITH CCMCC $14,506 $19,967 $32,482 −55% $35,642 −59% —
030 SPINAL PROCEDURES WITHOUT CCMCC $14,446 $19,692 $32,928 −56% $45,818 −68% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $14,440 $14,546 $20,139 −28% $31,566 −54% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,385 $19,585 $59,763 −76% $44,600 −68% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,343 $15,307 $15,332 −6% $29,826 −52% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,314 $19,462 $34,920 −59% $38,382 −63% —
906 HAND PROCEDURES FOR INJURIES $14,228 $19,313 $31,520 −55% $31,520 −55% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,161 $16,432 $27,974 −49% $30,974 −54% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,160 $19,196 $27,832 −49% $37,902 −63% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $14,140 $17,570 $28,937 −51% $29,633 −52% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,099 $18,363 $51,096 −72% $51,172 −72% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,099 $19,090 $32,664 −57% $44,553 −68% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,080 $19,057 $34,082 −59% $38,357 −63% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $14,047 $18,900 $30,914 −55% $40,232 −65% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $13,990 $18,901 $31,287 −55% $35,569 −61% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $13,989 $18,899 $31,965 −56% $45,622 −69% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,968 $18,863 $42,718 −67% $37,654 −63% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $13,932 $14,595 $18,092 −23% $25,197 −45% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $13,913 $18,769 $34,146 −59% $46,477 −70% —
336 PERITONEAL ADHESIOLYSIS WITH CC $13,871 $18,693 $41,991 −67% $49,470 −72% —
374 DIGESTIVE MALIGNANCY WITH MCC $13,866 $18,685 $30,598 −55% $38,885 −64% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,850 $18,656 $63,314 −78% $56,519 −75% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,789 $18,553 $47,117 −71% $46,066 −70% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,758 $18,500 $31,901 −57% $32,483 −58% —
592 SKIN ULCERS WITH MCC $13,584 $18,198 $22,039 −38% $32,662 −58% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,428 $17,805 $51,937 −74% $45,817 −71% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $13,420 $13,336 $23,175 −42% $33,424 −60% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $13,403 $17,396 $33,893 −60% $41,520 −68% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,385 $17,852 $47,703 −72% $41,660 −68% —
548 SEPTIC ARTHRITIS WITH MCC $13,372 $17,830 $30,480 −56% $31,019 −57% —
339 UnGrouped $13,367 — $13,367 +0% $18,474 −28% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,289 $17,687 $16,528 −20% $44,363 −70% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,289 $17,685 $43,948 −70% $43,524 −69% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $13,280 $17,672 $20,220 −34% $29,109 −54% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,242 $17,606 $40,831 −68% $35,714 −63% —
100 SEIZURES WITH MCC $13,223 $17,571 $28,935 −54% $35,194 −62% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,199 $13,076 $8,202 +61% $7,961 +66% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,194 $16,016 $68,421 −81% $54,772 −76% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,160 $17,463 $41,588 −68% $43,800 −70% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,154 $17,453 $70,277 −81% $43,775 −70% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,143 $17,594 $20,643 −36% $35,139 −63% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,101 $17,359 $47,162 −72% $43,538 −70% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,071 $17,307 $29,142 −55% $35,014 −63% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,065 $13,368 $22,302 −41% $27,279 −52% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $13,065 $17,298 $21,189 −38% $29,524 −56% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $13,063 $17,295 $30,737 −57% $33,050 −60% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,996 $13,263 $22,628 −43% $24,450 −47% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $12,995 $17,177 $30,005 −57% $43,080 −70% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $12,983 $17,156 $32,648 −60% $36,202 −64% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,952 $17,097 $29,127 −56% $42,881 −70% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,921 $16,097 $19,857 −35% $36,597 −65% —
380 COMPLICATED PEPTIC ULCER WITH MCC $12,912 $17,033 $29,433 −56% $36,641 −65% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,808 $16,931 $24,216 −47% $33,165 −61% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,775 $16,797 $48,759 −74% $42,126 −70% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,775 $16,797 $28,270 −55% $35,459 −64% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $12,742 $13,737 $23,571 −46% $34,434 −63% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,739 $16,733 $29,224 −56% $32,399 −61% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,726 $16,711 $28,604 −56% $32,204 −60% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,715 $16,692 $29,829 −57% $32,981 −61% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,714 $16,690 $52,273 −76% $49,197 −74% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,708 $16,678 $29,858 −57% $30,766 −59% —
334 RECTAL RESECTION WITHOUT CCMCC $12,610 $14,687 $24,569 −49% $32,213 −61% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $12,604 $16,500 $56,314 −78% $41,380 −70% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,542 $16,759 $32,126 −61% $36,280 −65% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,512 $16,341 $25,643 −51% $29,609 −58% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $12,496 $11,261 $18,753 −33% $19,686 −37% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,475 $16,277 $27,207 −54% $30,394 −59% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $12,447 $16,228 $26,986 −54% $40,694 −69% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $12,414 $16,171 $29,198 −57% $40,552 −69% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,404 $16,152 $28,283 −56% $37,950 −67% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,398 $16,144 $29,558 −58% $29,031 −57% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,383 $16,175 $26,909 −54% $40,563 −69% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,371 $16,096 $28,568 −57% $37,842 −67% ≈117% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $12,365 $13,443 $37,536 −67% $33,694 −63% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $12,335 $15,371 $30,146 −59% $32,839 −62% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,244 $15,562 $26,007 −53% $35,673 −66% —
398 APPENDIX PROCEDURES WITH CC $12,238 $13,403 $35,228 −65% $39,107 −69% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,228 $13,897 $32,152 −62% $32,936 −63% —
501 SOFT TISSUE PROCEDURES WITH CC $12,202 $15,800 $38,549 −68% $37,975 −68% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,181 $15,767 $65,996 −82% $48,680 −75% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,176 $15,759 $30,490 −60% $33,564 −64% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $12,155 $15,722 $39,638 −69% $31,909 −62% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,140 $15,697 $27,175 −55% $36,242 −67% —
996 UnGrouped $12,116 — $12,116 — $12,116 — —
399 APPENDIX PROCEDURES WITHOUT CCMCC $12,111 $9,964 $30,228 −60% $30,314 −60% —
199 PNEUMOTHORAX WITH MCC $12,101 $15,629 $26,106 −54% $31,491 −62% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,085 $11,932 $18,696 −35% $23,723 −49% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $12,062 $15,561 $34,280 −65% $39,018 −69% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,057 $15,553 $25,994 −54% $29,558 −59% —
597 MALIGNANT BREAST DISORDERS WITH MCC $12,057 $15,553 $25,994 −54% $31,846 −62% —
504 FOOT PROCEDURES WITH CC $12,052 $15,538 $25,972 −54% $36,598 −67% —
505 FOOT PROCEDURES WITHOUT CCMCC $12,052 $15,538 $26,432 −54% $31,716 −62% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $12,020 $15,488 $40,314 −70% $38,836 −69% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,015 $15,476 $32,252 −63% $31,758 −62% —
180 RESPIRATORY NEOPLASMS WITH MCC $12,012 $15,474 $33,069 −64% $36,658 −67% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,966 $15,395 $27,834 −57% $30,814 −61% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,944 $15,958 $11,085 +8% $14,284 −16% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,926 $16,307 $16,237 −27% $28,375 −58% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,869 $14,959 $26,777 −56% $29,409 −60% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,850 $15,193 $27,294 −57% $38,094 −69% —
509 ARTHROSCOPY $11,845 $15,553 $12,025 −1% $25,994 −54% —
551 MEDICAL BACK PROBLEMS WITH MCC $11,801 $15,109 $25,341 −53% $31,086 −62% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,783 $12,142 $20,980 −44% $20,980 −44% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,775 $15,062 $51,176 −77% $43,266 −73% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,736 $14,997 $25,176 −53% $29,729 −61% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $11,719 $14,967 $25,133 −53% $28,578 −59% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,690 $14,914 $25,525 −54% $31,128 −62% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,672 $14,884 $24,816 −53% $30,058 −61% —
571 SKIN DEBRIDEMENT WITH CC $11,640 $14,825 $29,818 −61% $34,901 −67% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,631 $14,787 $27,844 −58% $33,607 −65% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $11,608 $14,775 $24,851 −53% $28,103 −59% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $11,606 $14,771 $29,353 −60% $30,930 −62% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $11,579 $12,749 $21,760 −47% $25,243 −54% —
075 VIRAL MENINGITIS WITH CCMCC $11,576 $15,250 $29,619 −61% $29,853 −61% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,544 $14,664 $25,578 −55% $32,689 −65% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $11,542 $14,195 $38,673 −70% $35,584 −68% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,525 $13,839 $57,746 −80% $41,380 −72% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,506 $14,685 $37,463 −69% $42,119 −73% —
666 PROSTATECTOMY WITH CC $11,500 $14,587 $25,407 −55% $30,016 −62% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $11,472 $14,537 $26,568 −57% $28,634 −60% —
915 ALLERGIC REACTIONS WITH MCC $11,466 $15,387 $36,403 −69% $30,944 −63% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,454 $14,508 $35,895 −68% $30,910 −63% —
157 DENTAL AND ORAL DISEASES WITH MCC $11,398 $14,500 $23,543 −52% $27,457 −58% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $11,389 $14,395 $22,458 −49% $27,168 −58% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,385 $14,388 $22,892 −50% $26,020 −56% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $11,379 $14,619 $49,081 −77% $44,117 −74% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,363 $14,501 $24,448 −54% $36,333 −69% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,353 $13,689 $24,065 −53% $28,252 −60% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,349 $14,325 $25,993 −56% $25,731 −56% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,343 $14,315 $23,581 −52% $31,840 −64% ≈116% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $11,316 $14,269 $24,339 −54% $35,770 −68% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $11,313 $13,222 $43,858 −74% $33,137 −66% —
606 MINOR SKIN DISORDERS WITH MCC $11,311 $14,260 $24,122 −53% $25,434 −56% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,303 $11,824 $27,782 −59% $25,426 −56% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $11,298 $14,238 $24,831 −54% $35,692 −68% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $11,293 $14,112 $33,545 −66% $35,375 −68% —
342 UnGrouped $11,284 — $13,886 −19% $19,454 −42% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $11,236 $14,129 $24,423 −54% $33,984 −67% —
183 MAJOR CHEST TRAUMA WITH MCC $11,194 $14,057 $26,823 −58% $28,924 −61% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $11,158 $13,994 $31,788 −65% $33,490 −67% —
186 PLEURAL EFFUSION WITH MCC $11,157 $13,993 $37,170 −70% $32,468 −66% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $11,154 $13,132 $22,724 −51% $32,911 −66% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,140 $13,963 $23,658 −53% $29,371 −62% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $11,135 $14,721 $39,736 −72% $27,548 −60% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,089 $14,732 $30,262 −63% $32,502 −66% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $11,082 $13,863 $17,058 −35% $32,490 −66% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,039 $14,401 $24,302 −55% $24,465 −55% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $11,014 $14,049 $40,221 −73% $39,747 −72% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,003 $13,725 $22,304 −51% $28,646 −62% —
813 COAGULATION DISORDERS $10,994 $13,710 $22,196 −50% $30,128 −64% —
669 TRANSURETHRAL PROCEDURES WITH CC $10,992 $13,706 $25,289 −57% $34,354 −68% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,985 $13,695 $10,985 +0% $24,036 −54% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $10,973 $13,321 $26,083 −58% $35,528 −69% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $10,928 $13,596 $36,149 −70% $36,239 −70% —
663 MINOR BLADDER PROCEDURES WITH CC $10,889 $13,528 $24,960 −56% $29,924 −64% —
945 REHABILITATION WITH CCMCC $10,884 $13,520 $23,229 −53% $23,834 −54% —
533 FRACTURES OF FEMUR WITH MCC $10,876 $13,506 $23,516 −54% $25,945 −58% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,821 $13,887 $22,988 −53% $31,059 −65% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $10,783 $13,374 $20,766 −48% $24,229 −55% —
682 RENAL FAILURE WITH MCC $10,760 $13,303 $22,451 −52% $27,854 −61% ≈112% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,745 $13,278 $23,804 −55% $29,484 −64% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,728 $13,278 $22,651 −53% $28,983 −63% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $10,718 $13,691 $10,797 −1% $25,484 −58% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,694 $13,186 $29,268 −63% $31,062 −66% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,686 $13,326 $34,082 −69% $33,792 −68% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,677 $13,160 $22,477 −52% $28,140 −62% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,628 $14,520 $12,813 −17% $28,134 −62% —
693 URINARY STONES WITH MCC $10,598 $13,025 $20,168 −47% $22,525 −53% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,597 $13,020 $22,272 −52% $28,780 −63% —
643 ENDOCRINE DISORDERS WITH MCC $10,594 $14,675 $26,013 −59% $32,996 −68% —
602 CELLULITIS WITH MCC $10,594 $13,014 $21,559 −51% $29,347 −64% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,565 $12,964 $34,307 −69% $29,211 −64% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,553 $14,143 $23,921 −56% $35,453 −70% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,524 $12,888 $22,031 −52% $24,941 −58% —
865 VIRAL ILLNESS WITH MCC $10,497 $13,073 $22,927 −54% $26,088 −60% —
139 SALIVARY GLAND PROCEDURES $10,494 $12,165 $19,775 −47% $21,014 −50% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $10,482 $13,435 $10,637 −1% $30,972 −66% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,472 $14,310 $17,613 −41% $27,118 −61% —
913 TRAUMATIC INJURY WITH MCC $10,448 $14,331 $24,548 −57% $24,198 −57% —
637 DIABETES WITH MCC $10,439 $12,900 $23,106 −55% $28,819 −64% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,381 $13,016 $22,254 −53% $25,786 −60% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,326 $13,287 $22,826 −55% $25,854 −60% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $10,321 $12,696 $55,676 −81% $31,816 −68% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $10,298 $12,809 $31,842 −68% $29,663 −65% —
088 CONCUSSION WITH MCC $10,294 $12,498 $20,890 −51% $24,402 −58% —
710 PENIS PROCEDURES WITHOUT CCMCC $10,261 $13,298 $21,018 −51% $23,814 −57% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $10,242 $10,291 $24,241 −58% $22,532 −55% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $10,205 $12,344 $20,857 −51% $25,666 −60% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,190 $12,318 $20,937 −51% $24,118 −58% —
137 MOUTH PROCEDURES WITH CCMCC $10,163 $12,391 $22,398 −55% $24,348 −58% —
811 RED BLOOD CELL DISORDERS WITH MCC $10,098 $12,464 $32,284 −69% $27,934 −64% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $10,091 $12,573 $21,615 −53% $21,615 −53% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $10,049 $12,378 $25,315 −60% $30,006 −67% —
949 AFTERCARE WITH CCMCC $10,028 $9,569 $30,459 −67% $23,953 −58% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,021 $12,483 $24,936 −60% $29,757 −66% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $9,973 $13,016 $24,187 −59% $25,152 −60% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,933 $11,873 $34,642 −71% $30,358 −67% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,886 $12,773 $19,377 −49% $22,525 −56% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,881 $12,070 $20,842 −53% $24,980 −60% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,875 $12,538 $21,521 −54% $23,734 −58% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,875 $16,411 $15,255 −35% $22,698 −56% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $9,862 $11,896 $30,359 −68% $29,805 −67% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,834 $11,622 $19,541 −50% $23,115 −57% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $9,810 $12,310 $21,228 −54% $24,561 −60% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,768 $11,767 $19,155 −49% $24,480 −60% ≈114% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,762 $11,573 $31,435 −69% $23,956 −59% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,760 $11,784 $20,040 −51% $23,350 −58% —
291 HEART FAILURE AND SHOCK WITH MCC $9,755 $11,562 $19,972 −51% $25,020 −61% ≈117% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,675 $12,592 $20,533 −53% $25,010 −61% —
340 UnGrouped $9,673 — $9,945 −3% $16,240 −40% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $9,627 $12,170 $14,675 −34% $29,050 −67% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $9,616 $11,813 $39,040 −75% $31,978 −70% —
540 OSTEOMYELITIS WITH CC $9,596 $11,468 $19,990 −52% $23,494 −59% —
947 SIGNS AND SYMPTOMS WITH MCC $9,578 $11,398 $22,891 −58% $25,474 −62% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $9,572 $9,705 $16,193 −41% $17,398 −45% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,569 $15,904 $25,254 −62% $24,836 −61% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,568 $12,007 $20,782 −54% $29,374 −67% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $9,543 $10,760 $14,246 −33% $23,297 −59% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,489 $15,766 $25,771 −63% $30,275 −69% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $9,486 $12,694 $32,259 −71% $31,812 −70% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $9,437 $11,437 $19,945 −53% $22,811 −59% —
150 EPISTAXIS WITH MCC $9,387 $12,246 $22,949 −59% $21,133 −56% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $9,385 $12,949 $22,167 −58% $32,451 −71% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $9,344 $12,140 $20,978 −55% $30,418 −69% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,340 $10,845 $33,393 −72% $26,322 −65% —
593 SKIN ULCERS WITH CC $9,336 $10,837 $14,310 −35% $20,470 −54% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $9,282 $11,418 $20,894 −56% $23,924 −61% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,218 $11,000 $19,323 −52% $20,727 −56% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $9,218 $12,415 $21,893 −58% $24,452 −62% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $9,197 $11,240 $28,204 −67% $28,156 −67% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,189 $11,996 $26,956 −66% $28,527 −68% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,153 $9,956 $17,141 −47% $19,317 −53% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $9,133 $10,976 $30,224 −70% $27,492 −67% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $9,121 $10,806 $20,175 −55% $23,588 −61% —
348 ANAL AND STOMAL PROCEDURES WITH CC $9,113 $11,157 $23,822 −62% $27,947 −67% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,075 $10,689 $25,926 −65% $26,488 −66% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,069 $10,096 $21,923 −59% $24,452 −63% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $9,026 $11,037 $22,523 −60% $26,146 −65% —
102 HEADACHES WITH MCC $9,013 $10,279 $21,549 −58% $22,544 −60% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,003 $11,414 $13,730 −34% $24,316 −63% —
375 DIGESTIVE MALIGNANCY WITH CC $8,995 $10,890 $26,219 −66% $27,219 −67% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $8,983 $9,777 $35,226 −74% $25,162 −64% —
089 CONCUSSION WITH CC $8,969 $9,508 $18,362 −51% $18,293 −51% —
549 SEPTIC ARTHRITIS WITH CC $8,928 $10,682 $21,860 −59% $20,938 −57% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,925 $14,789 $24,360 −63% $25,208 −65% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $8,920 $10,884 $9,046 −1% $19,132 −53% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $8,881 $10,909 $19,705 −55% $27,321 −67% —
887 OTHER MENTAL DISORDER DIAGNOSES $8,871 $10,543 $16,064 −45% $20,602 −57% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,829 $9,957 $20,485 −57% $24,190 −63% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $8,818 $10,479 $13,677 −36% $19,598 −55% —
304 HYPERTENSION WITH MCC $8,792 $10,414 $22,669 −61% $24,185 −64% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $8,774 $11,675 $35,601 −75% $34,887 −75% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,761 $10,977 $22,010 −60% $22,032 −60% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $8,757 $9,044 $16,427 −47% $20,080 −56% —
343 UnGrouped $8,730 — $12,342 −29% $13,735 −36% —
997 UnGrouped $8,710 — $8,710 — $8,710 — —
946 REHABILITATION WITHOUT CCMCC $8,707 $9,900 $17,202 −49% $17,685 −51% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,685 $8,783 $23,182 −63% $20,106 −57% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,669 $10,263 $18,220 −52% $24,202 −64% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,664 $9,675 $18,624 −53% $19,868 −56% —
302 ATHEROSCLEROSIS WITH MCC $8,662 $10,313 $24,786 −65% $20,844 −58% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,656 $11,190 $16,164 −46% $19,894 −56% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $8,639 $10,919 $20,147 −57% $20,147 −57% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,545 $11,033 $19,350 −56% $21,860 −61% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,526 $10,967 $26,727 −68% $25,704 −67% ≈125% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $8,520 $10,140 $18,049 −53% $25,390 −66% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,516 $9,999 $17,494 −51% $20,741 −59% —
598 MALIGNANT BREAST DISORDERS WITH CC $8,511 $9,568 $16,097 −47% $19,073 −55% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,501 $9,389 $17,111 −50% $24,136 −65% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $8,452 $10,626 $19,236 −56% $27,369 −69% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,441 $9,347 $16,262 −48% $23,396 −64% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $8,412 $10,311 $17,996 −53% $21,062 −60% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,320 $9,999 $16,967 −51% $24,017 −65% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $8,302 $11,228 $19,637 −58% $25,623 −68% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,294 $9,245 $16,723 −50% $23,141 −64% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,288 $9,020 $20,333 −59% $23,469 −65% ≈160% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,285 $9,587 $16,732 −50% $17,226 −52% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $8,231 $10,244 $18,089 −54% $25,307 −67% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,228 $9,130 $21,937 −62% $22,850 −64% —
090 CONCUSSION WITHOUT CCMCC $8,220 $7,611 $14,688 −44% $14,873 −45% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,198 $9,663 $44,886 −82% $31,190 −74% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,185 $9,487 $25,131 −67% $23,749 −66% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $8,176 $11,313 $16,434 −50% $22,557 −64% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $8,122 $9,090 $16,779 −52% $16,495 −51% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $8,112 $10,128 $17,608 −54% $24,432 −67% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $8,092 $10,312 $20,997 −61% $18,291 −56% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,065 $9,617 $16,416 −51% $21,806 −63% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,047 $9,494 $17,526 −54% $19,579 −59% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,031 $8,852 $11,001 −27% $17,434 −54% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $8,030 $10,503 $18,303 −56% $20,842 −61% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,001 $8,221 $13,698 −42% $18,608 −57% —
381 COMPLICATED PEPTIC ULCER WITH CC $8,000 $9,658 $23,049 −65% $24,177 −67% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,996 $10,204 $12,136 −34% $18,133 −56% —
181 RESPIRATORY NEOPLASMS WITH CC $7,966 $9,845 $20,798 −62% $22,431 −64% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,927 $9,409 $23,785 −67% $23,496 −66% —
152 OTITIS MEDIA AND URI WITH MCC $7,913 $10,061 $19,782 −60% $19,795 −60% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,913 $9,047 $23,798 −67% $20,732 −62% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,901 $10,595 $25,633 −69% $20,421 −61% —
200 PNEUMOTHORAX WITH CC $7,898 $9,820 $19,414 −59% $20,573 −62% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $7,829 $8,177 $14,920 −48% $20,309 −61% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,796 $9,336 $22,632 −66% $18,478 −58% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $7,793 $9,576 $11,804 −34% $18,126 −57% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,786 $8,801 $27,837 −72% $22,024 −65% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $7,738 $9,604 $15,902 −51% $22,560 −66% —
184 MAJOR CHEST TRAUMA WITH CC $7,644 $9,472 $23,963 −68% $20,842 −63% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $7,634 $8,686 $7,684 −1% $15,901 −52% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $7,604 $8,678 $15,230 −50% $15,890 −52% —
885 PSYCHOSES $7,597 $12,488 $22,477 −66% $21,489 −65% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $7,573 $9,565 $16,274 −53% $17,193 −56% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,552 $9,313 $16,145 −53% $22,231 −66% —
697 URETHRAL STRICTURE $7,543 $8,887 $22,153 −66% $17,705 −57% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $7,534 $8,483 $15,603 −52% $18,191 −59% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $7,516 $8,475 $8,184 −8% $19,326 −61% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,512 $8,197 $13,557 −45% $19,287 −61% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,504 $9,045 $23,818 −68% $21,545 −65% —
712 TESTES PROCEDURES WITHOUT CCMCC $7,503 $9,486 $17,076 −56% $18,898 −60% —
667 PROSTATECTOMY WITHOUT CCMCC $7,492 $9,116 $12,065 −38% $16,703 −55% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,492 $8,746 $24,621 −70% $21,886 −66% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,440 $9,026 $16,402 −55% $22,713 −67% —
950 AFTERCARE WITHOUT CCMCC $7,427 $5,216 $13,608 −45% $13,527 −45% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $7,403 $9,762 $15,788 −53% $17,483 −58% —
644 ENDOCRINE DISORDERS WITH CC $7,308 $9,166 $19,755 −63% $22,941 −68% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $7,298 $7,916 $14,770 −51% $15,764 −54% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,290 $7,627 $15,987 −54% $18,278 −60% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,276 $8,805 $20,226 −64% $20,968 −65% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,265 $8,538 $15,684 −54% $20,777 −65% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,202 $9,013 $16,385 −56% $18,017 −60% —
101 SEIZURES WITHOUT MCC $7,199 $8,180 $15,076 −52% $19,954 −64% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,193 $8,353 $15,923 −55% $18,918 −62% —
187 PLEURAL EFFUSION WITH CC $7,193 $8,906 $20,943 −66% $21,467 −66% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $7,185 $9,106 $31,745 −77% $24,022 −70% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $7,178 $8,488 $15,624 −54% $16,418 −56% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,148 $8,551 $19,443 −63% $21,213 −66% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,143 $8,572 $20,777 −66% $21,449 −67% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $7,139 $7,921 $26,256 −73% $21,261 −66% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,137 $8,870 $17,138 −58% $20,007 −64% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,081 $9,542 $14,753 −52% $17,943 −61% —
076 VIRAL MENINGITIS WITHOUT CCMCC $7,080 $8,137 $26,077 −73% $15,474 −54% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $7,079 $7,847 $15,941 −56% $15,869 −55% —
292 HEART FAILURE AND SHOCK WITH CC $7,070 $7,645 $17,409 −59% $16,212 −56% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $7,029 $9,329 $16,001 −56% $17,550 −60% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,013 $7,825 $14,635 −52% $19,569 −64% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $6,970 $9,041 $13,766 −49% $19,091 −63% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $6,947 $8,480 $25,449 −73% $20,371 −66% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,941 $8,030 $15,220 −54% $15,077 −54% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $6,920 $8,156 $15,549 −55% $16,352 −58% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,917 $8,180 $14,472 −52% $20,463 −66% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $6,891 $8,445 $21,224 −68% $18,428 −63% —
603 CELLULITIS WITHOUT MCC $6,886 $7,818 $15,793 −56% $18,530 −63% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $6,885 $9,721 $14,238 −52% $17,103 −60% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,869 $7,636 $13,955 −51% $19,096 −64% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $6,798 $8,744 $15,113 −55% $18,282 −63% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $6,777 $8,590 $13,604 −50% $19,001 −64% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $6,777 $8,590 $13,979 −52% $18,238 −63% —
594 SKIN ULCERS WITHOUT CCMCC $6,756 $7,535 $12,615 −46% $14,209 −52% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,754 $8,853 $13,097 −48% $15,370 −56% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $6,744 $8,898 $16,213 −58% $17,078 −61% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $6,737 $8,577 $24,298 −72% $17,273 −61% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $6,723 $8,338 $15,861 −58% $17,108 −61% —
920 COMPLICATIONS OF TREATMENT WITH CC $6,704 $9,011 $16,379 −59% $21,181 −68% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,688 $9,047 $16,431 −59% $16,571 −60% —
683 RENAL FAILURE WITH CC $6,678 $7,890 $14,966 −55% $18,620 −64% ≈122% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $6,642 $8,474 $11,404 −42% $15,589 −57% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $6,636 $8,029 $14,276 −54% $20,084 −67% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $6,634 $8,099 $15,039 −56% $17,585 −62% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $6,620 $8,897 $10,132 −35% $16,212 −59% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,614 $7,933 $15,875 −58% $18,803 −65% —
638 DIABETES WITH CC $6,609 $8,140 $14,856 −56% $18,821 −65% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,593 $7,281 $20,187 −67% $18,204 −64% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $6,580 $7,819 $14,627 −55% $19,854 −67% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $6,577 $7,653 $14,383 −54% $16,156 −59% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,571 $7,672 $11,950 −45% $15,284 −57% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $6,541 $7,838 $15,826 −59% $15,608 −58% —
312 SYNCOPE AND COLLAPSE $6,535 $7,734 $17,019 −62% $19,342 −66% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,534 $7,056 $21,747 −70% $17,727 −63% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,516 $8,039 $14,533 −55% $17,731 −63% —
151 EPISTAXIS WITHOUT MCC $6,507 $6,734 $12,021 −46% $13,032 −50% —
779 ABORTION WITHOUT D&C $6,496 $8,295 $8,057 −19% $15,327 −58% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,479 $8,190 $15,072 −57% $20,488 −68% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $6,465 $7,754 $14,126 −54% $19,815 −67% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,444 $8,285 $19,364 −67% $16,642 −61% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,438 $7,719 $21,872 −71% $19,305 −67% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $6,434 $7,590 $6,785 −5% $14,290 −55% —
541 OSTEOMYELITIS WITHOUT CCMCC $6,429 $7,766 $11,822 −46% $14,549 −56% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,385 $7,106 $17,360 −63% $20,278 −69% —
866 VIRAL ILLNESS WITHOUT MCC $6,373 $7,854 $17,492 −64% $16,391 −61% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,319 $7,668 $16,249 −61% $17,367 −64% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $6,259 $7,010 $13,438 −53% $17,522 −64% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $6,129 $7,251 $14,252 −57% $17,928 −66% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,060 $7,251 $19,028 −68% $17,715 −66% —
882 NEUROSES EXCEPT DEPRESSIVE $6,031 $8,535 $11,786 −49% $15,680 −62% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,012 $7,229 $17,421 −65% $17,195 −65% —
914 TRAUMATIC INJURY WITHOUT MCC $6,001 $8,133 $15,855 −62% $15,593 −62% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,971 $6,941 $17,038 −65% $16,745 −64% ≈140% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $5,960 $7,260 $13,807 −57% $18,150 −67% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $5,954 $6,974 $12,800 −53% $13,385 −56% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $5,944 $7,081 $16,903 −65% $17,700 −66% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,943 $7,201 $13,719 −57% $18,002 −67% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $5,937 $7,436 $9,231 −36% $14,064 −58% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $5,923 $6,917 $11,525 −49% $14,166 −58% —
138 MOUTH PROCEDURES WITHOUT CCMCC $5,885 $7,224 $10,085 −42% $17,383 −66% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,854 $7,202 $15,714 −63% $16,866 −65% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $5,840 $6,837 $15,560 −62% $14,444 −60% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $5,812 $7,272 $12,741 −54% $13,822 −58% —
864 FEVER AND INFLAMMATORY CONDITIONS $5,801 $7,970 $15,696 −63% $17,412 −67% —
694 URINARY STONES WITHOUT MCC $5,793 $6,941 $17,295 −67% $16,531 −65% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,732 $7,852 $13,766 −58% $15,045 −62% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,716 $6,931 $14,346 −60% $17,322 −67% ≈137% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $5,706 $6,119 $19,483 −71% $19,483 −71% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $5,702 $6,630 $12,879 −56% $14,861 −62% —
176 PULMONARY EMBOLISM WITHOUT MCC $5,678 $7,233 $21,799 −74% $18,081 −69% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,628 $7,332 $12,714 −56% $15,876 −65% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $5,626 $6,714 $13,002 −57% $16,776 −66% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $5,613 $7,430 $13,414 −58% $14,055 −60% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,602 $7,256 $13,483 −58% $16,837 −67% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $5,570 $7,111 $11,957 −53% $13,586 −59% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,569 $6,584 $10,383 −46% $13,282 −58% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $5,558 $6,657 $12,919 −57% $16,634 −67% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $5,543 $6,908 $13,837 −60% $15,858 −65% —
123 NEUROLOGICAL EYE DISORDERS $5,531 $7,133 $17,811 −69% $17,831 −69% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,489 $6,569 $17,400 −68% $16,865 −67% —
313 CHEST PAIN $5,392 $6,340 $12,453 −57% $15,962 −66% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,365 $6,261 $9,510 −44% $12,336 −57% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $5,339 $5,756 $15,714 −66% $14,368 −63% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $5,329 $6,446 $15,701 −66% $16,104 −67% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,317 $6,640 $5,861 −9% $12,895 −59% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $5,305 $5,539 $16,472 −68% $13,824 −62% —
188 PLEURAL EFFUSION WITHOUT CCMCC $5,303 $6,524 $12,723 −58% $14,110 −62% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,298 $8,505 $14,403 −63% $15,636 −66% —
311 ANGINA PECTORIS $5,264 $6,207 $17,680 −70% $15,165 −65% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $5,261 $6,204 $17,536 −70% $15,072 −65% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,249 $6,246 $18,455 −72% $15,600 −66% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $5,240 $5,472 $15,129 −65% $15,070 −65% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $5,222 $6,443 $14,966 −65% $18,623 −72% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,196 $6,430 $11,017 −53% $13,090 −60% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $5,188 $6,171 $18,008 −71% $13,303 −61% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $5,165 $6,069 $12,274 −58% $12,797 −60% —
149 DYSEQUILIBRIUM $5,141 $6,641 $18,504 −72% $17,203 −70% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,123 $6,149 $11,254 −54% $14,441 −65% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,111 $6,191 $11,461 −55% $12,405 −59% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,091 $6,341 $6,528 −22% $12,381 −59% —
881 DEPRESSIVE NEUROSES $5,072 $8,112 $15,058 −66% $15,058 −66% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CCMCC $5,069 $6,395 $12,534 −60% $12,537 −60% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $5,055 $5,970 $10,805 −53% $11,909 −58% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $5,052 $6,474 $9,836 −49% $12,650 −60% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,024 $5,978 $13,548 −63% $14,927 −66% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $5,005 $5,334 $11,437 −56% $10,975 −54% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $4,978 $5,960 $15,733 −68% $14,880 −67% —
153 OTITIS MEDIA AND URI WITHOUT MCC $4,941 $6,325 $14,197 −65% $14,473 −66% —
201 PNEUMOTHORAX WITHOUT CCMCC $4,923 $6,020 $14,407 −66% $13,081 −62% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,909 $7,831 $20,988 −77% $16,049 −69% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $4,827 $6,192 $16,498 −71% $12,279 −61% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $4,798 $5,863 $12,765 −62% $13,485 −64% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $4,788 $6,030 $11,892 −60% $11,997 −60% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $4,737 $4,873 $14,028 −66% $13,318 −64% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $4,717 $5,660 $11,173 −58% $14,128 −67% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $4,700 $5,663 $14,121 −67% $14,134 −67% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $4,685 $5,668 $10,372 −55% $12,044 −61% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,672 $5,047 $9,447 −51% $9,385 −50% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $4,598 $5,978 $11,921 −61% $13,198 −65% —
639 DIABETES WITHOUT CCMCC $4,596 $5,574 $14,109 −67% $13,910 −67% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $4,569 $5,865 $10,628 −57% $13,368 −66% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $4,534 $6,113 $17,730 −74% $14,012 −68% —
684 RENAL FAILURE WITHOUT CCMCC $4,506 $5,404 $10,480 −57% $13,623 −67% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $4,470 $4,886 $8,490 −47% $11,955 −63% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $4,453 $4,981 $11,908 −63% $13,384 −67% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $4,415 $5,692 $9,869 −55% $14,208 −69% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $4,313 $5,638 $8,060 −46% $11,421 −62% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $4,306 $4,631 $5,877 −27% $9,076 −53% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $4,293 $4,998 $6,638 −35% $10,039 −57% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $4,222 $5,400 $10,080 −58% $11,071 −62% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $4,169 $3,941 $4,169 +0% $8,927 −53% —
795 NORMAL NEWBORN $3,548 $1,805 $5,787 −39% $4,530 −22% —
888 UnGrouped $928 — $928 — $928 — —
889 UnGrouped $928 — $928 — $928 — —
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