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 $2,218,497 −91% $573,534 −66% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $148,170 $248,777 $976,478 −85% $461,389 −68% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $141,516 $209,522 $1,216,660 −88% $306,087 −54% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $112,334 $189,290 $514,303 −78% $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 $543,396 −86% $248,521 −70% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $73,172 $115,734 $577,587 −87% $182,314 −60% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $70,271 $94,079 $493,042 −86% $164,641 −57% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $68,598 $97,349 $513,202 −87% $194,769 −65% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $64,925 $30,704 $313,371 −79% $56,242 +15% —
222 UnGrouped $62,614 — $74,739 −16% $86,864 −28% —
224 UnGrouped $59,213 — $80,427 −26% $80,427 −26% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $58,626 $96,238 $326,681 −82% $196,346 −70% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $57,103 $93,597 $210,552 −73% $208,939 −73% —
426 UnGrouped $56,529 $92,542 $354,548 −84% $142,326 −60% —
993 UnGrouped $56,348 — $56,348 — $56,348 — —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $53,703 $60,337 $230,661 −77% $102,600 −48% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $52,904 — $67,640 −22% $69,101 −23% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $52,292 $85,263 $204,519 −74% $188,171 −72% —
226 UnGrouped $51,699 — $62,159 −17% $72,618 −29% —
850 UnGrouped $50,054 $81,385 $414,701 −88% $121,563 −59% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $47,311 $53,340 $250,419 −81% $98,260 −52% —
231 CORONARY BYPASS WITH PTCA WITH MCC $46,293 $74,868 $207,666 −78% $147,227 −69% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $45,968 $59,018 $109,850 −58% $89,353 −49% —
223 UnGrouped $45,664 — $59,206 −23% $59,206 −23% —
225 UnGrouped $44,240 — $50,810 −13% $57,380 −23% —
010 PANCREAS TRANSPLANT $43,740 $70,445 $99,940 −56% $99,940 −56% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $43,506 $70,042 $491,599 −91% $105,228 −59% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $43,478 — $59,364 −27% $75,251 −42% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,246 $57,066 $167,010 −74% $123,995 −65% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $42,941 $69,062 $169,380 −75% $144,569 −70% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $42,540 $68,366 $227,859 −81% $143,242 −70% —
227 UnGrouped $41,045 — $56,960 −28% $56,960 −28% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $40,506 $44,256 $154,541 −74% $77,055 −47% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $40,028 $52,535 $80,018 −50% $80,018 −50% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $39,696 $48,849 $125,286 −68% $106,057 −63% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $39,122 $62,445 $227,248 −83% $131,961 −70% —
653 MAJOR BLADDER PROCEDURES WITH MCC $38,930 $49,266 $126,237 −69% $104,583 −63% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $38,760 $48,087 $632,017 −94% $86,459 −55% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $38,561 $61,469 $186,861 −79% $148,832 −74% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $38,230 $33,794 $138,989 −72% $75,103 −49% —
447 UnGrouped $37,275 $59,246 $280,687 −87% $126,098 −70% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $37,186 $48,849 $196,837 −81% $85,566 −57% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $37,087 $58,918 $183,610 −80% $125,242 −70% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $36,408 $35,957 $91,560 −60% $79,225 −54% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $36,070 $57,148 $105,864 −66% $116,058 −69% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $35,337 $55,886 $252,126 −86% $109,331 −68% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $34,970 $53,340 $81,176 −57% $81,176 −57% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $34,675 $54,739 $179,642 −81% $117,280 −70% —
317 UnGrouped $34,634 $54,669 $256,038 −86% $88,566 −61% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $34,490 $54,420 $128,415 −73% $98,912 −65% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $34,238 $53,983 $173,008 −80% $115,839 −70% —
028 SPINAL PROCEDURES WITH MCC $34,089 $53,725 $181,065 −81% $113,077 −70% —
006 LIVER TRANSPLANT WITHOUT MCC $33,924 $42,861 $353,191 −90% $84,407 −60% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $33,742 $45,028 $133,143 −75% $96,507 −65% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $33,637 $54,230 $100,627 −67% $108,472 −69% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $33,427 $52,575 $143,309 −77% $103,455 −68% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $33,094 $52,000 $162,890 −80% $112,062 −70% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,647 $41,362 $90,803 −64% $87,761 −63% —
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 $177,447 −82% $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 $243,520 −87% $101,618 −70% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $30,642 — $43,398 −29% $56,836 −46% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $30,605 $47,688 $229,939 −87% $101,576 −70% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $30,602 $47,683 $182,704 −83% $90,401 −66% —
332 RECTAL RESECTION WITH MCC $30,414 $30,670 $84,117 −64% $58,125 −48% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $30,220 $47,020 $161,814 −81% $102,573 −71% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $30,099 $46,812 $142,021 −79% $111,320 −73% —
450 UnGrouped $29,352 $45,518 $281,874 −90% $99,943 −71% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $28,990 $44,890 $69,008 −58% $80,793 −64% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $28,936 $44,045 $144,124 −80% $96,905 −70% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $28,916 $37,653 $119,821 −76% $101,510 −72% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $28,775 $44,518 $68,473 −58% $93,390 −69% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $28,604 $44,222 $144,282 −80% $93,238 −69% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $28,168 $37,386 $171,785 −84% $60,098 −53% —
245 AICD GENERATOR PROCEDURES $28,011 $43,193 $113,673 −75% $72,076 −61% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $27,981 $45,367 $86,237 −68% $99,423 −72% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $27,959 $36,868 $9,638 +190% $18,649 +50% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $27,562 $34,135 $121,876 −77% $59,594 −54% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $27,443 $42,210 $90,900 −70% $90,724 −70% —
799 SPLENIC PROCEDURES WITH MCC $27,338 $42,027 $96,337 −72% $82,218 −67% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $27,337 $42,019 $97,437 −72% $90,775 −70% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $26,838 $30,958 $63,475 −58% $62,583 −57% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,827 $33,084 $74,587 −64% $61,470 −56% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $26,816 $41,119 $150,610 −82% $91,329 −71% —
791 PREMATURITY WITH MAJOR PROBLEMS $26,638 $35,891 $12,195 +118% $42,679 −38% —
163 MAJOR CHEST PROCEDURES WITH MCC $26,596 $40,742 $70,484 −62% $90,195 −71% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $26,586 $40,725 $314,091 −92% $71,551 −63% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $26,511 $40,595 $62,801 −58% $90,331 −71% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $26,215 $41,585 $174,023 −85% $92,217 −72% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $26,098 $39,880 $80,728 −68% $76,001 −66% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $25,961 $39,642 $61,401 −58% $84,692 −69% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $25,898 $39,533 $131,974 −80% $88,307 −71% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $25,685 $39,164 $66,198 −61% $70,177 −63% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $25,493 $38,831 $120,924 −79% $86,970 −71% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,490 $31,696 $87,443 −71% $66,711 −62% —
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 $101,933 −75% $83,441 −70% —
248 UnGrouped $24,902 — $34,146 −27% $34,146 −27% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $24,845 $37,708 $118,324 −79% $82,561 −70% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $24,833 $34,040 $72,274 −66% $75,573 −67% —
246 UnGrouped $24,604 — $29,293 −16% $33,983 −28% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $24,462 $37,045 $134,163 −82% $72,962 −66% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,293 $34,170 $53,357 −54% $66,685 −64% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $24,291 $31,215 $98,518 −75% $66,848 −64% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $24,062 $36,352 $127,369 −81% $82,247 −71% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,050 $36,332 $137,281 −82% $73,120 −67% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $24,019 $36,278 $173,034 −86% $79,836 −70% —
652 KIDNEY TRANSPLANT $24,006 $27,162 $283,314 −92% $54,720 −56% —
448 UnGrouped $23,916 $36,099 $173,257 −86% $81,998 −71% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $23,408 $35,218 $69,815 −66% $77,817 −70% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,394 $35,193 $95,376 −75% $62,300 −62% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,218 $34,883 $100,365 −77% $71,795 −68% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $23,172 $34,811 $113,982 −80% $61,832 −63% —
402 UnGrouped $23,131 $34,587 $149,137 −84% $79,116 −71% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $23,033 $34,570 $149,328 −85% $78,852 −71% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $23,027 $36,781 $103,639 −78% $85,159 −73% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $22,883 $28,125 $71,772 −68% $44,472 −49% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $22,480 $33,611 $98,924 −77% $74,755 −70% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $22,329 $33,350 $88,051 −75% $74,257 −70% —
252 OTHER VASCULAR PROCEDURES WITH MCC $22,269 $30,332 $102,755 −78% $68,508 −67% —
654 MAJOR BLADDER PROCEDURES WITH CC $22,154 $24,961 $61,391 −64% $58,274 −62% —
338 UnGrouped $22,029 — $30,138 −27% $30,138 −27% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $21,743 $25,358 $82,302 −74% $59,031 −63% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $21,700 $32,260 $110,778 −80% $68,639 −68% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $21,575 $32,037 $63,645 −66% $71,755 −70% —
668 TRANSURETHRAL PROCEDURES WITH MCC $21,520 $25,793 $84,657 −75% $51,608 −58% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $21,376 $31,694 $100,045 −79% $59,533 −64% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $21,371 $31,689 $93,853 −77% $71,092 −70% —
265 AICD LEAD PROCEDURES $21,285 $31,540 $105,201 −80% $63,171 −66% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $21,203 $31,399 $106,037 −80% $70,564 −70% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,092 $31,207 $81,876 −74% $50,919 −59% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $21,047 $31,129 $122,110 −83% $56,964 −63% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $20,962 $30,980 $91,891 −77% $69,743 −70% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $20,959 $30,971 $95,864 −78% $66,068 −68% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $20,764 $30,637 $55,931 −63% $52,036 −60% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,632 $30,408 $79,545 −74% $68,653 −70% —
665 PROSTATECTOMY WITH MCC $20,604 $30,361 $62,421 −67% $54,072 −62% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $20,561 $30,286 $54,916 −63% $70,847 −71% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $20,485 $17,812 $37,158 −45% $32,031 −36% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $20,468 $30,119 $86,913 −76% $70,371 −71% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $20,441 $34,740 $54,196 −62% $54,196 −62% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $20,393 $29,993 $59,169 −66% $70,132 −71% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $20,270 $27,470 $116,704 −83% $65,325 −69% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $20,060 $22,336 $95,911 −79% $49,423 −59% —
037 EXTRACRANIAL PROCEDURES WITH MCC $20,030 $29,365 $76,901 −74% $66,666 −70% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $19,933 $29,198 $70,846 −72% $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 $81,739 −76% $65,788 −70% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $19,716 $28,822 $66,094 −70% $58,745 −66% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $19,709 $28,810 $81,611 −76% $65,608 −70% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,646 $30,456 $54,550 −64% $71,014 −72% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $19,535 $28,468 $95,759 −80% $72,424 −73% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,526 $24,204 $56,998 −66% $48,358 −60% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,487 $26,011 $70,053 −72% $65,653 −70% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $19,436 $28,337 $95,527 −80% $63,928 −70% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,389 $28,254 $108,332 −82% $71,464 −73% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,281 $28,068 $65,499 −71% $55,289 −65% —
500 SOFT TISSUE PROCEDURES WITH MCC $19,254 $28,021 $73,539 −74% $61,872 −69% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $19,011 $27,600 $69,887 −73% $65,573 −71% —
662 MINOR BLADDER PROCEDURES WITH MCC $19,004 $27,588 $66,943 −72% $54,562 −65% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $18,865 $27,348 $82,253 −77% $62,821 −70% —
451 UnGrouped $18,832 $27,291 $122,079 −85% $65,216 −71% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $18,821 $27,272 $50,307 −63% $53,864 −65% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $18,744 $27,137 $88,661 −79% $60,407 −69% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $18,693 $27,049 $125,642 −85% $64,523 −71% —
570 SKIN DEBRIDEMENT WITH MCC $18,448 $26,622 $42,263 −56% $52,435 −65% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,324 $26,410 $41,952 −56% $46,402 −61% —
341 UnGrouped $18,289 — $21,958 −17% $25,628 −29% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $18,133 $26,078 $48,702 −63% $58,228 −69% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,093 $20,203 $89,234 −80% $42,415 −57% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $18,053 $25,940 $41,261 −56% $60,170 −70% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $17,960 $25,778 $99,833 −82% $70,467 −75% —
800 SPLENIC PROCEDURES WITH CC $17,955 $25,770 $94,498 −81% $49,184 −63% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $17,946 $25,756 $62,061 −71% $59,790 −70% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $17,937 $17,950 $100,504 −82% $31,134 −42% —
472 CERVICAL SPINAL FUSION WITH CC $17,870 $25,624 $100,767 −82% $59,537 −70% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $17,731 $18,120 $108,933 −84% $35,030 −49% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $17,701 $18,609 $97,591 −82% $42,795 −59% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $17,700 $25,329 $51,365 −66% $58,975 −70% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $17,692 $25,314 $99,330 −82% $61,217 −71% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $17,671 $25,279 $119,936 −85% $49,839 −65% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $17,614 $25,179 $99,374 −82% $81,706 −78% ≈114% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,447 $24,117 $93,873 −81% $51,746 −66% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $17,417 $24,840 $87,333 −80% $58,043 −70% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,403 $24,814 $60,276 −71% $52,986 −67% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $17,385 $23,387 $68,594 −75% $41,422 −58% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,248 $19,753 $45,451 −62% $47,789 −64% —
995 UnGrouped $17,134 — $17,134 — $17,134 — —
333 RECTAL RESECTION WITH CC $17,111 $18,808 $70,931 −76% $37,154 −54% —
711 TESTES PROCEDURES WITH CCMCC $17,093 $16,912 $61,554 −72% $38,343 −55% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,025 $24,161 $38,646 −56% $50,618 −66% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $16,951 $24,030 $38,454 −56% $43,491 −61% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $16,849 $15,504 $151,173 −89% $35,849 −53% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $16,837 $23,834 $47,418 −64% $44,546 −62% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $16,785 $23,740 $49,471 −66% $52,405 −68% —
849 RADIOTHERAPY $16,718 $23,627 $109,380 −85% $37,862 −56% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $16,675 $23,554 $83,087 −80% $47,945 −65% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,627 $23,470 $47,354 −65% $44,222 −62% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $16,610 $23,441 $123,980 −87% $48,687 −66% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,607 $18,976 $43,657 −62% $38,070 −56% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $16,474 $23,205 $37,242 −56% $54,929 −70% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $16,439 $23,145 $37,153 −56% $46,453 −65% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $16,297 $22,899 $88,185 −82% $45,167 −64% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $16,276 $22,861 $46,211 −65% $52,178 −69% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $16,244 $17,508 $96,659 −83% $43,913 −63% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,167 $21,672 $7,061 +129% $12,229 +32% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,133 $19,013 $80,474 −80% $37,267 −57% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,120 $22,592 $70,251 −77% $38,878 −59% —
253 OTHER VASCULAR PROCEDURES WITH CC $16,116 $22,584 $54,994 −71% $57,454 −72% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,092 $22,542 $83,551 −81% $58,707 −73% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $15,983 $22,354 $45,674 −65% $40,362 −60% —
164 MAJOR CHEST PROCEDURES WITH CC $15,932 $22,267 $92,767 −83% $56,755 −72% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $15,867 $22,153 $43,193 −63% $39,973 −60% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $15,857 $22,136 $53,115 −70% $55,162 −71% —
935 NON-EXTENSIVE BURNS $15,789 $19,436 $32,265 −51% $31,701 −50% —
397 APPENDIX PROCEDURES WITH MCC $15,732 $21,920 $41,047 −62% $53,257 −70% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $15,681 $21,832 $73,741 −79% $54,583 −71% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,584 $21,660 $34,970 −55% $51,985 −70% —
247 UnGrouped $15,539 — $20,568 −24% $21,663 −28% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,480 $21,482 $72,544 −79% $59,421 −74% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,438 $21,399 $46,369 −67% $50,046 −69% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,345 $18,989 $31,020 −51% $31,044 −51% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $15,322 $21,209 $66,682 −77% $47,583 −68% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $15,322 $21,209 $81,376 −81% $41,620 −63% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,180 $22,426 $38,512 −61% $39,173 −61% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $15,170 $20,946 $80,055 −81% $50,624 −70% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $15,167 $20,940 $78,069 −81% $40,548 −63% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,152 $20,913 $61,448 −75% $59,500 −75% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,131 $20,879 $33,823 −55% $50,498 −70% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $15,088 $16,017 $47,954 −69% $32,433 −53% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,023 $20,691 $33,546 −55% $50,139 −70% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $14,930 $20,529 $83,776 −82% $36,489 −59% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $14,902 $20,481 $86,222 −83% $40,060 −63% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $14,892 $20,462 $90,048 −83% $59,629 −75% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $14,869 $20,425 $72,710 −80% $50,394 −70% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,796 $20,298 $55,082 −73% $40,108 −63% —
671 URETHRAL PROCEDURES WITH CCMCC $14,794 $15,261 $103,261 −86% $27,233 −46% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,778 $20,265 $61,557 −76% $39,181 −62% —
249 UnGrouped $14,755 — $20,610 −28% $20,610 −28% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $14,719 $20,165 $118,882 −88% $48,349 −70% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,653 $20,050 $32,604 −55% $41,892 −65% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $14,617 $18,384 $30,155 −52% $43,174 −66% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,616 $19,981 $80,060 −82% $49,418 −70% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $14,586 $19,934 $51,703 −72% $50,011 −71% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,582 $19,927 $36,625 −60% $48,682 −70% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,573 $19,901 $32,385 −55% $47,737 −69% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,570 $18,685 $30,598 −52% $43,650 −67% —
709 PENIS PROCEDURES WITH CCMCC $14,557 $19,883 $64,473 −77% $34,535 −58% —
113 ORBITAL PROCEDURES WITH CCMCC $14,506 $19,967 $116,249 −88% $36,167 −60% —
030 SPINAL PROCEDURES WITHOUT CCMCC $14,446 $19,692 $96,538 −85% $45,866 −69% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CCMCC $14,440 $14,546 $62,626 −77% $35,831 −60% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,385 $19,585 $64,033 −78% $46,283 −69% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,343 $15,307 $25,633 −44% $29,826 −52% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $14,314 $19,462 $61,630 −77% $41,608 −66% —
906 HAND PROCEDURES FOR INJURIES $14,228 $19,313 $69,540 −80% $32,065 −56% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,161 $16,432 $27,287 −48% $33,047 −57% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,160 $19,196 $31,349 −55% $42,901 −67% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $14,140 $17,570 $111,753 −87% $32,574 −57% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,099 $18,363 $48,731 −71% $52,751 −73% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,099 $19,090 $31,193 −55% $45,877 −69% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,080 $19,057 $40,312 −65% $38,666 −64% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $14,047 $18,900 $88,224 −84% $46,727 −70% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $13,990 $18,901 $137,157 −90% $35,569 −61% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $13,989 $18,899 $79,513 −82% $46,724 −70% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,968 $18,863 $84,221 −83% $42,906 −67% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $13,932 $14,595 $47,906 −71% $25,197 −45% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $13,913 $18,769 $33,249 −58% $49,351 −72% —
336 PERITONEAL ADHESIOLYSIS WITH CC $13,871 $18,693 $34,655 −60% $50,463 −73% —
374 DIGESTIVE MALIGNANCY WITH MCC $13,866 $18,685 $34,614 −60% $39,958 −65% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $13,850 $18,656 $62,922 −78% $58,280 −76% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,789 $18,553 $76,523 −82% $46,066 −70% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,758 $18,500 $45,178 −70% $33,851 −59% —
592 SKIN ULCERS WITH MCC $13,584 $18,198 $43,677 −69% $33,246 −59% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,428 $17,805 $41,548 −68% $46,090 −71% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $13,420 $13,336 $42,103 −68% $33,424 −60% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $13,403 $17,396 $62,659 −79% $43,631 −69% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,385 $17,852 $54,412 −75% $42,914 −69% —
548 SEPTIC ARTHRITIS WITH MCC $13,372 $17,830 $52,518 −75% $31,346 −57% —
339 UnGrouped $13,367 — $15,921 −16% $18,474 −28% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,289 $17,687 $61,681 −78% $44,363 −70% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,289 $17,685 $29,127 −54% $43,943 −70% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $13,280 $17,672 $84,016 −84% $29,611 −55% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,242 $17,606 $40,831 −68% $39,106 −66% —
100 SEIZURES WITH MCC $13,223 $17,571 $46,610 −72% $35,481 −63% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,199 $13,076 $7,112 +86% $8,445 +56% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,194 $16,016 $77,379 −83% $58,809 −78% —
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 $70,671 −81% $44,139 −70% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,143 $17,594 $50,476 −74% $36,249 −64% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,101 $17,359 $43,966 −70% $43,538 −70% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,071 $17,307 $28,573 −54% $39,955 −67% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $13,065 $13,368 $44,125 −70% $33,454 −61% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $13,065 $17,298 $54,264 −76% $29,524 −56% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $13,063 $17,295 $58,914 −78% $38,861 −66% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,996 $13,263 $22,628 −43% $24,586 −47% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $12,995 $17,177 $79,902 −84% $43,080 −70% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $12,983 $17,156 $39,348 −67% $37,240 −65% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,952 $17,097 $29,990 −57% $42,881 −70% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,921 $16,097 $61,039 −79% $40,365 −68% —
380 COMPLICATED PEPTIC ULCER WITH MCC $12,912 $17,033 $49,880 −74% $39,627 −67% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,808 $16,931 $26,960 −52% $34,459 −63% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,775 $16,797 $62,258 −79% $42,126 −70% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,775 $16,797 $31,786 −60% $40,562 −69% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $12,742 $13,737 $78,922 −84% $34,434 −63% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,739 $16,733 $29,423 −57% $33,985 −63% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,726 $16,711 $25,707 −50% $33,255 −62% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,715 $16,692 $43,261 −71% $37,844 −66% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,714 $16,690 $52,273 −76% $50,607 −75% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,708 $16,678 $27,751 −54% $32,637 −61% —
334 RECTAL RESECTION WITHOUT CCMCC $12,610 $14,687 $41,450 −70% $36,820 −66% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $12,604 $16,500 $70,500 −82% $46,340 −73% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $12,542 $16,759 $32,126 −61% $36,431 −66% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,512 $16,341 $27,152 −54% $30,243 −59% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $12,496 $11,261 $31,492 −60% $19,686 −37% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,475 $16,277 $27,058 −54% $32,859 −62% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $12,447 $16,228 $49,814 −75% $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 $26,875 −54% $37,950 −67% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,398 $16,144 $36,053 −66% $31,105 −60% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,383 $16,175 $26,909 −54% $40,642 −70% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,371 $16,096 $28,021 −56% $37,842 −67% ≈117% of Medicare
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $12,365 $13,443 $41,694 −70% $33,694 −63% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $12,335 $15,371 $36,487 −66% $32,443 −62% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,244 $15,562 $50,554 −76% $39,020 −69% —
398 APPENDIX PROCEDURES WITH CC $12,238 $13,403 $33,615 −64% $40,162 −70% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,228 $13,897 $43,620 −72% $33,653 −64% —
501 SOFT TISSUE PROCEDURES WITH CC $12,202 $15,800 $32,168 −62% $39,619 −69% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,181 $15,767 $69,397 −82% $52,075 −77% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,176 $15,759 $57,051 −79% $39,515 −69% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $12,155 $15,722 $51,392 −76% $34,276 −65% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,140 $15,697 $26,206 −54% $38,101 −68% —
996 UnGrouped $12,116 — $12,116 — $12,116 — —
399 APPENDIX PROCEDURES WITHOUT CCMCC $12,111 $9,964 $29,680 −59% $31,321 −61% —
199 PNEUMOTHORAX WITH MCC $12,101 $15,629 $26,106 −54% $33,787 −64% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,085 $11,932 $20,672 −42% $24,127 −50% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $12,062 $15,561 $74,944 −84% $39,018 −69% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,057 $15,553 $55,522 −78% $30,553 −61% —
597 MALIGNANT BREAST DISORDERS WITH MCC $12,057 $15,553 $53,947 −78% $33,386 −64% —
504 FOOT PROCEDURES WITH CC $12,052 $15,538 $25,972 −54% $38,960 −69% —
505 FOOT PROCEDURES WITHOUT CCMCC $12,052 $15,538 $53,198 −77% $34,937 −66% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $12,020 $15,488 $43,030 −72% $38,836 −69% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,015 $15,476 $40,173 −70% $33,555 −64% —
180 RESPIRATORY NEOPLASMS WITH MCC $12,012 $15,474 $35,441 −66% $36,658 −67% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,966 $15,395 $27,286 −56% $31,951 −63% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,944 $15,958 $9,084 +31% $16,351 −27% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,926 $16,307 $22,780 −48% $29,221 −59% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,869 $14,959 $43,505 −73% $31,563 −62% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,850 $15,193 $42,701 −72% $38,094 −69% —
509 ARTHROSCOPY $11,845 $15,553 $25,994 −54% $25,994 −54% —
551 MEDICAL BACK PROBLEMS WITH MCC $11,801 $15,109 $34,920 −66% $34,017 −65% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $11,783 $12,142 $50,247 −77% $20,980 −44% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,775 $15,062 $46,342 −75% $43,477 −73% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,736 $14,997 $25,176 −53% $32,944 −64% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $11,719 $14,967 $82,618 −86% $29,079 −60% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,690 $14,914 $25,056 −53% $34,273 −66% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,672 $14,884 $25,010 −53% $32,496 −64% —
571 SKIN DEBRIDEMENT WITH CC $11,640 $14,825 $29,003 −60% $37,169 −69% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,631 $14,787 $28,112 −59% $33,876 −66% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $11,608 $14,775 $54,359 −79% $29,126 −60% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $11,606 $14,771 $29,353 −60% $34,607 −66% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $11,579 $12,749 $21,873 −47% $26,932 −57% —
075 VIRAL MENINGITIS WITH CCMCC $11,576 $15,250 $43,529 −73% $30,447 −62% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,544 $14,664 $24,687 −53% $34,192 −66% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $11,542 $14,195 $51,789 −78% $35,584 −68% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,525 $13,839 $73,299 −84% $46,295 −75% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,506 $14,685 $42,784 −73% $44,606 −74% —
666 PROSTATECTOMY WITH CC $11,500 $14,587 $44,512 −74% $31,906 −64% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $11,472 $14,537 $46,687 −75% $36,445 −69% —
915 ALLERGIC REACTIONS WITH MCC $11,466 $15,387 $30,400 −62% $32,645 −65% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,454 $14,508 $71,913 −84% $33,661 −66% —
157 DENTAL AND ORAL DISEASES WITH MCC $11,398 $14,500 $24,447 −53% $31,300 −64% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $11,389 $14,395 $47,818 −76% $28,202 −60% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,385 $14,388 $24,282 −53% $27,617 −59% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $11,379 $14,619 $30,140 −62% $44,117 −74% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,363 $14,501 $55,728 −80% $36,354 −69% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,353 $13,689 $23,254 −51% $30,010 −62% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,349 $14,325 $38,559 −71% $27,316 −58% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,343 $14,315 $24,174 −53% $33,707 −66% ≈116% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $11,316 $14,269 $55,919 −80% $35,770 −68% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $11,313 $13,222 $27,781 −59% $33,393 −66% —
606 MINOR SKIN DISORDERS WITH MCC $11,311 $14,260 $48,606 −77% $27,975 −60% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,303 $11,824 $25,575 −56% $27,543 −59% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $11,298 $14,238 $34,005 −67% $35,692 −68% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $11,293 $14,112 $37,471 −70% $39,006 −71% —
342 UnGrouped $11,284 — $16,487 −32% $16,487 −32% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $11,236 $14,129 $71,703 −84% $35,419 −68% —
183 MAJOR CHEST TRAUMA WITH MCC $11,194 $14,057 $58,470 −81% $29,933 −63% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $11,158 $13,994 $38,684 −71% $35,074 −68% —
186 PLEURAL EFFUSION WITH MCC $11,157 $13,993 $42,602 −74% $33,834 −67% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $11,154 $13,132 $42,811 −74% $36,988 −70% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,140 $13,963 $33,718 −67% $32,697 −66% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $11,135 $14,721 $57,088 −80% $29,316 −62% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,089 $14,732 $30,808 −64% $32,628 −66% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $11,082 $13,863 $33,911 −67% $34,749 −68% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,039 $14,401 $50,002 −78% $27,633 −60% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $11,014 $14,049 $40,221 −73% $41,955 −74% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,003 $13,725 $23,307 −53% $32,877 −67% —
813 COAGULATION DISORDERS $10,994 $13,710 $23,285 −53% $33,296 −67% —
669 TRANSURETHRAL PROCEDURES WITH CC $10,992 $13,706 $41,201 −73% $34,354 −68% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,985 $13,695 $23,263 −53% $24,550 −55% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $10,973 $13,321 $44,138 −75% $36,253 −70% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $10,928 $13,596 $36,149 −70% $39,211 −72% —
663 MINOR BLADDER PROCEDURES WITH CC $10,889 $13,528 $26,902 −60% $33,103 −67% —
945 REHABILITATION WITH CCMCC $10,884 $13,520 $57,459 −81% $23,834 −54% —
533 FRACTURES OF FEMUR WITH MCC $10,876 $13,506 $121,371 −91% $25,945 −58% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $10,821 $13,887 $23,545 −54% $33,633 −68% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $10,783 $13,374 $35,971 −70% $30,770 −65% —
682 RENAL FAILURE WITH MCC $10,760 $13,303 $22,687 −53% $29,064 −63% ≈112% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,745 $13,278 $24,704 −57% $30,502 −65% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,728 $13,278 $46,647 −77% $30,557 −65% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $10,718 $13,691 $23,257 −54% $26,598 −60% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,694 $13,186 $42,819 −75% $33,048 −68% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,686 $13,326 $32,463 −67% $36,505 −71% —
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 $24,475 −57% $30,235 −65% —
693 URINARY STONES WITH MCC $10,598 $13,025 $22,278 −52% $23,892 −56% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,597 $13,020 $22,484 −53% $30,571 −65% —
643 ENDOCRINE DISORDERS WITH MCC $10,594 $14,675 $24,704 −57% $33,563 −68% —
602 CELLULITIS WITH MCC $10,594 $13,014 $22,262 −52% $30,598 −65% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,565 $12,964 $39,482 −73% $29,743 −64% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $10,553 $14,143 $41,511 −75% $35,453 −70% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,524 $12,888 $35,832 −71% $24,941 −58% —
865 VIRAL ILLNESS WITH MCC $10,497 $13,073 $31,784 −67% $26,910 −61% —
139 SALIVARY GLAND PROCEDURES $10,494 $12,165 $68,344 −85% $23,612 −56% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $10,482 $13,435 $56,234 −81% $33,674 −69% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $10,472 $14,310 $15,575 −33% $27,152 −61% —
913 TRAUMATIC INJURY WITH MCC $10,448 $14,331 $43,401 −76% $24,198 −57% —
637 DIABETES WITH MCC $10,439 $12,900 $22,095 −53% $30,100 −65% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,381 $13,016 $31,414 −67% $26,463 −61% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,326 $13,287 $59,722 −83% $27,394 −62% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $10,321 $12,696 $64,632 −84% $35,465 −71% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $10,298 $12,809 $41,755 −75% $32,100 −68% —
088 CONCUSSION WITH MCC $10,294 $12,498 $42,169 −76% $24,402 −58% —
710 PENIS PROCEDURES WITHOUT CCMCC $10,261 $13,298 $46,516 −78% $26,436 −61% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $10,242 $10,291 $36,769 −72% $21,230 −52% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC $10,205 $12,344 $31,123 −67% $27,119 −62% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,190 $12,318 $21,240 −52% $27,285 −63% —
137 MOUTH PROCEDURES WITH CCMCC $10,163 $12,391 $28,464 −64% $27,861 −64% —
811 RED BLOOD CELL DISORDERS WITH MCC $10,098 $12,464 $21,454 −53% $28,226 −64% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $10,091 $12,573 $46,462 −78% $22,620 −55% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $10,049 $12,378 $25,315 −60% $31,017 −68% —
949 AFTERCARE WITH CCMCC $10,028 $9,569 $40,275 −75% $23,953 −58% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,021 $12,483 $24,068 −58% $30,959 −68% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $9,973 $13,016 $52,649 −81% $25,073 −60% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,933 $11,873 $34,642 −71% $31,264 −68% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,886 $12,773 $30,162 −67% $22,525 −56% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,881 $12,070 $42,176 −77% $30,242 −67% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,875 $12,538 $36,106 −73% $26,280 −62% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,875 $16,411 $21,506 −54% $23,206 −57% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $9,862 $11,896 $54,556 −82% $29,805 −67% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,834 $11,622 $20,217 −51% $27,043 −64% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $9,810 $12,310 $21,228 −54% $25,094 −61% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,768 $11,767 $19,793 −51% $25,463 −62% ≈114% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,762 $11,573 $49,047 −80% $26,051 −63% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,760 $11,784 $20,455 −52% $24,552 −60% —
291 HEART FAILURE AND SHOCK WITH MCC $9,755 $11,562 $20,129 −52% $26,776 −64% ≈117% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,675 $12,592 $21,642 −55% $27,808 −65% —
340 UnGrouped $9,673 — $13,613 −29% $13,613 −29% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $9,627 $12,170 $43,703 −78% $30,493 −68% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $9,616 $11,813 $35,774 −73% $32,841 −71% —
540 OSTEOMYELITIS WITH CC $9,596 $11,468 $23,494 −59% $26,676 −64% —
947 SIGNS AND SYMPTOMS WITH MCC $9,578 $11,398 $30,086 −68% $27,401 −65% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $9,572 $9,705 $27,984 −66% $17,398 −45% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,569 $15,904 $43,233 −78% $26,510 −64% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,568 $12,007 $31,483 −70% $30,083 −68% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $9,543 $10,760 $61,466 −84% $26,948 −65% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,489 $15,766 $26,307 −64% $31,159 −70% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $9,486 $12,694 $54,421 −83% $32,833 −71% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $9,437 $11,437 $31,998 −71% $22,811 −59% —
150 EPISTAXIS WITH MCC $9,387 $12,246 $48,956 −81% $23,171 −59% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $9,385 $12,949 $29,629 −68% $32,451 −71% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $9,344 $12,140 $55,465 −83% $30,418 −69% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,340 $10,845 $33,393 −72% $27,163 −66% —
593 SKIN ULCERS WITH CC $9,336 $10,837 $19,063 −51% $22,886 −59% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $9,282 $11,418 $52,478 −82% $25,748 −64% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,218 $11,000 $20,876 −56% $20,727 −56% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $9,218 $12,415 $32,967 −72% $22,393 −59% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $9,197 $11,240 $39,185 −77% $28,156 −67% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $9,189 $11,996 $33,146 −72% $29,949 −69% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,153 $9,956 $17,768 −48% $19,815 −54% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $9,133 $10,976 $35,627 −74% $28,320 −68% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $9,121 $10,806 $43,011 −79% $25,581 −64% —
348 ANAL AND STOMAL PROCEDURES WITH CC $9,113 $11,157 $25,221 −64% $27,947 −67% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,075 $10,689 $27,265 −67% $26,770 −66% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,069 $10,096 $21,923 −59% $25,279 −64% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $9,026 $11,037 $21,147 −57% $27,297 −67% —
102 HEADACHES WITH MCC $9,013 $10,279 $26,814 −66% $25,740 −65% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,003 $11,414 $19,911 −55% $26,870 −66% —
375 DIGESTIVE MALIGNANCY WITH CC $8,995 $10,890 $30,615 −71% $27,277 −67% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $8,983 $9,777 $35,769 −75% $27,843 −68% —
089 CONCUSSION WITH CC $8,969 $9,508 $26,252 −66% $18,821 −52% —
549 SEPTIC ARTHRITIS WITH CC $8,928 $10,682 $38,317 −77% $24,056 −63% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,925 $14,789 $24,638 −64% $26,682 −67% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $8,920 $10,884 $19,132 −53% $19,132 −53% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $8,881 $10,909 $39,830 −78% $27,323 −67% —
887 OTHER MENTAL DISORDER DIAGNOSES $8,871 $10,543 $33,518 −74% $20,616 −57% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,829 $9,957 $20,485 −57% $24,386 −64% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $8,818 $10,479 $55,913 −84% $19,598 −55% —
304 HYPERTENSION WITH MCC $8,792 $10,414 $18,442 −52% $26,080 −66% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $8,774 $11,675 $26,486 −67% $36,937 −76% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,761 $10,977 $22,010 −60% $22,458 −61% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC $8,757 $9,044 $37,890 −77% $22,635 −61% —
343 UnGrouped $8,730 — $12,397 −30% $12,397 −30% —
997 UnGrouped $8,710 — $8,710 — $8,710 — —
946 REHABILITATION WITHOUT CCMCC $8,707 $9,900 $29,620 −71% $17,685 −51% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,685 $8,783 $35,919 −76% $21,941 −60% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,669 $10,263 $18,220 −52% $25,700 −66% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,664 $9,675 $43,295 −80% $20,926 −59% —
302 ATHEROSCLEROSIS WITH MCC $8,662 $10,313 $47,922 −82% $22,446 −61% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $8,656 $11,190 $24,648 −65% $22,320 −61% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $8,639 $10,919 $35,795 −76% $19,270 −55% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,545 $11,033 $54,302 −84% $22,851 −63% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,526 $10,967 $29,011 −71% $26,580 −68% ≈125% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $8,520 $10,140 $42,959 −80% $25,390 −66% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,516 $9,999 $41,411 −79% $24,566 −65% —
598 MALIGNANT BREAST DISORDERS WITH CC $8,511 $9,568 $17,197 −51% $19,073 −55% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,501 $9,389 $16,958 −50% $24,914 −66% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $8,452 $10,626 $19,236 −56% $30,784 −73% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,441 $9,347 $16,872 −50% $23,488 −64% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $8,412 $10,311 $52,336 −84% $23,443 −64% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,320 $9,999 $17,830 −53% $25,034 −67% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $8,302 $11,228 $51,051 −84% $28,125 −70% —
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 $16,392 −49% $23,940 −65% ≈160% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,285 $9,587 $24,973 −67% $17,226 −52% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $8,231 $10,244 $31,227 −74% $25,652 −68% —
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 $22,343 −63% $15,412 −47% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,198 $9,663 $47,557 −83% $32,021 −74% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,185 $9,487 $28,201 −71% $23,749 −66% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $8,176 $11,313 $22,553 −64% $22,557 −64% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $8,122 $9,090 $37,980 −79% $18,348 −56% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $8,112 $10,128 $18,021 −55% $24,944 −67% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $8,092 $10,312 $23,704 −66% $19,412 −58% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,065 $9,617 $17,269 −53% $23,319 −65% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,047 $9,494 $17,089 −53% $20,422 −61% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,031 $8,852 $15,007 −46% $17,698 −55% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $8,030 $10,503 $42,991 −81% $25,712 −69% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $8,001 $8,221 $15,217 −47% $20,566 −61% —
381 COMPLICATED PEPTIC ULCER WITH CC $8,000 $9,658 $20,189 −60% $24,177 −67% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,996 $10,204 $18,133 −56% $18,133 −56% —
181 RESPIRATORY NEOPLASMS WITH CC $7,966 $9,845 $29,674 −73% $23,573 −66% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,927 $9,409 $23,416 −66% $23,551 −66% —
152 OTITIS MEDIA AND URI WITH MCC $7,913 $10,061 $17,922 −56% $20,247 −61% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,913 $9,047 $23,798 −67% $21,275 −63% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $7,901 $10,595 $36,080 −78% $21,847 −64% —
200 PNEUMOTHORAX WITH CC $7,898 $9,820 $17,568 −55% $21,368 −63% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $7,829 $8,177 $25,469 −69% $20,455 −62% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,796 $9,336 $34,478 −77% $20,232 −61% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $7,793 $9,576 $37,191 −79% $22,314 −65% —
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 $14,447 −46% $23,283 −67% —
184 MAJOR CHEST TRAUMA WITH CC $7,644 $9,472 $31,456 −76% $22,432 −66% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $7,634 $8,686 $15,901 −52% $15,901 −52% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $7,604 $8,678 $40,383 −81% $17,404 −56% —
885 PSYCHOSES $7,597 $12,488 $21,489 −65% $21,729 −65% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $7,573 $9,565 $60,094 −87% $17,193 −56% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,552 $9,313 $16,823 −55% $22,763 −67% —
697 URETHRAL STRICTURE $7,543 $8,887 $35,686 −79% $18,428 −59% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $7,534 $8,483 $15,682 −52% $19,924 −62% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $7,516 $8,475 $15,591 −52% $19,594 −62% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,512 $8,197 $13,373 −44% $20,506 −63% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,504 $9,045 $30,066 −75% $22,506 −67% —
712 TESTES PROCEDURES WITHOUT CCMCC $7,503 $9,486 $32,751 −77% $18,898 −60% —
667 PROSTATECTOMY WITHOUT CCMCC $7,492 $9,116 $48,546 −85% $16,703 −55% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,492 $8,746 $21,474 −65% $22,098 −66% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,440 $9,026 $16,402 −55% $25,303 −71% —
950 AFTERCARE WITHOUT CCMCC $7,427 $5,216 $34,426 −78% $13,527 −45% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $7,403 $9,762 $20,407 −64% $17,483 −58% —
644 ENDOCRINE DISORDERS WITH CC $7,308 $9,166 $19,755 −63% $23,198 −68% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $7,298 $7,916 $37,553 −81% $15,764 −54% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,290 $7,627 $15,987 −54% $18,807 −61% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,276 $8,805 $16,460 −56% $22,033 −67% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,265 $8,538 $15,684 −54% $21,363 −66% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,202 $9,013 $23,391 −69% $19,264 −63% —
101 SEIZURES WITHOUT MCC $7,199 $8,180 $15,157 −53% $20,461 −65% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,193 $8,353 $15,923 −55% $20,181 −64% —
187 PLEURAL EFFUSION WITH CC $7,193 $8,906 $21,041 −66% $21,789 −67% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $7,185 $9,106 $31,208 −77% $25,970 −72% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $7,178 $8,488 $24,994 −71% $16,700 −57% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,148 $8,551 $15,703 −54% $21,396 −67% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,143 $8,572 $18,650 −62% $21,449 −67% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $7,139 $7,921 $26,256 −73% $22,148 −68% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,137 $8,870 $17,138 −58% $20,957 −66% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,081 $9,542 $17,159 −59% $18,956 −63% —
076 VIRAL MENINGITIS WITHOUT CCMCC $7,080 $8,137 $26,099 −73% $17,135 −59% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $7,079 $7,847 $33,594 −79% $16,520 −57% —
292 HEART FAILURE AND SHOCK WITH CC $7,070 $7,645 $17,409 −59% $16,371 −57% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $7,029 $9,329 $56,748 −88% $19,657 −64% —
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 $16,423 −58% $20,901 −67% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $6,947 $8,480 $35,295 −80% $20,911 −67% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,941 $8,030 $29,000 −76% $16,552 −58% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $6,920 $8,156 $27,228 −75% $18,072 −62% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,917 $8,180 $15,158 −54% $20,463 −66% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $6,891 $8,445 $30,328 −77% $18,316 −62% —
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 $14,881 −54% $16,846 −59% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,869 $7,636 $14,358 −52% $19,096 −64% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $6,798 $8,744 $16,099 −58% $20,895 −67% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $6,777 $8,590 $13,606 −50% $19,962 −66% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $6,777 $8,590 $15,360 −56% $18,452 −63% —
594 SKIN ULCERS WITHOUT CCMCC $6,756 $7,535 $33,706 −80% $14,209 −52% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,754 $8,853 $12,686 −47% $15,370 −56% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $6,744 $8,898 $43,115 −84% $17,737 −62% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $6,737 $8,577 $27,315 −75% $17,724 −62% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $6,723 $8,338 $43,717 −85% $17,934 −63% —
920 COMPLICATIONS OF TREATMENT WITH CC $6,704 $9,011 $16,379 −59% $22,468 −70% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,688 $9,047 $22,292 −70% $17,601 −62% —
683 RENAL FAILURE WITH CC $6,678 $7,890 $14,731 −55% $19,130 −65% ≈122% of Medicare
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $6,642 $8,474 $33,714 −80% $15,589 −57% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $6,636 $8,029 $14,171 −53% $20,084 −67% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $6,634 $8,099 $33,606 −80% $20,259 −67% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $6,620 $8,897 $50,512 −87% $16,212 −59% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,614 $7,933 $15,875 −58% $19,842 −67% —
638 DIABETES WITH CC $6,609 $8,140 $15,098 −56% $19,661 −66% —
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 $26,535 −75% $19,854 −67% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $6,577 $7,653 $19,148 −66% $19,138 −66% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,571 $7,672 $14,410 −54% $15,889 −59% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $6,541 $7,838 $16,998 −62% $16,998 −62% —
312 SYNCOPE AND COLLAPSE $6,535 $7,734 $14,502 −55% $19,342 −66% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,534 $7,056 $29,995 −78% $17,921 −64% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,516 $8,039 $14,950 −56% $18,488 −65% —
151 EPISTAXIS WITHOUT MCC $6,507 $6,734 $17,611 −63% $13,032 −50% —
779 ABORTION WITHOUT D&C $6,496 $8,295 $15,327 −58% $15,327 −58% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,479 $8,190 $15,172 −57% $20,488 −68% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $6,465 $7,754 $13,432 −52% $19,846 −67% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,444 $8,285 $26,283 −75% $16,968 −62% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,438 $7,719 $21,543 −70% $19,305 −67% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $6,434 $7,590 $2,938 +119% $14,290 −55% —
541 OSTEOMYELITIS WITHOUT CCMCC $6,429 $7,766 $14,028 −54% $15,215 −58% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,385 $7,106 $16,818 −62% $21,056 −70% —
866 VIRAL ILLNESS WITHOUT MCC $6,373 $7,854 $14,678 −57% $17,081 −63% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,319 $7,668 $16,311 −61% $18,602 −66% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $6,259 $7,010 $13,438 −53% $17,620 −64% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $6,129 $7,251 $16,790 −63% $18,126 −66% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,060 $7,251 $19,028 −68% $18,126 −67% —
882 NEUROSES EXCEPT DEPRESSIVE $6,031 $8,535 $15,680 −62% $15,680 −62% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,012 $7,229 $19,171 −69% $17,559 −66% —
914 TRAUMATIC INJURY WITHOUT MCC $6,001 $8,133 $15,855 −62% $15,855 −62% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,971 $6,941 $17,038 −65% $17,038 −65% ≈140% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $5,960 $7,260 $21,292 −72% $18,150 −67% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $5,954 $6,974 $26,537 −78% $14,014 −58% —
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 $21,720 −73% $18,002 −67% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $5,937 $7,436 $25,741 −77% $14,064 −58% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $5,923 $6,917 $12,146 −51% $15,428 −62% —
138 MOUTH PROCEDURES WITHOUT CCMCC $5,885 $7,224 $25,263 −77% $19,119 −69% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,854 $7,202 $18,203 −68% $18,004 −67% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $5,840 $6,837 $17,372 −66% $14,648 −60% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $5,812 $7,272 $41,552 −86% $14,501 −60% —
864 FEVER AND INFLAMMATORY CONDITIONS $5,801 $7,970 $30,333 −81% $18,640 −69% —
694 URINARY STONES WITHOUT MCC $5,793 $6,941 $16,822 −66% $17,345 −67% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,732 $7,852 $14,675 −61% $15,452 −63% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,716 $6,931 $13,321 −57% $17,322 −67% ≈137% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $5,706 $6,119 $19,483 −71% $20,781 −73% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $5,702 $6,630 $33,322 −83% $16,565 −66% —
176 PULMONARY EMBOLISM WITHOUT MCC $5,678 $7,233 $25,112 −77% $18,081 −69% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,628 $7,332 $13,911 −60% $17,298 −67% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $5,626 $6,714 $27,613 −80% $16,776 −66% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $5,613 $7,430 $37,176 −85% $14,055 −60% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,602 $7,256 $13,799 −59% $17,118 −67% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $5,570 $7,111 $55,315 −90% $13,586 −59% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,569 $6,584 $27,634 −80% $16,450 −66% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $5,558 $6,657 $19,686 −72% $16,634 −67% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $5,543 $6,908 $23,679 −77% $17,124 −68% —
123 NEUROLOGICAL EYE DISORDERS $5,531 $7,133 $18,676 −70% $19,745 −72% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,489 $6,569 $16,523 −67% $17,303 −68% —
313 CHEST PAIN $5,392 $6,340 $12,453 −57% $16,440 −67% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,365 $6,261 $27,440 −80% $12,336 −57% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $5,339 $5,756 $14,969 −64% $14,368 −63% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $5,329 $6,446 $15,701 −66% $16,767 −68% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,317 $6,640 $12,454 −57% $12,895 −59% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $5,305 $5,539 $22,958 −77% $13,824 −62% —
188 PLEURAL EFFUSION WITHOUT CCMCC $5,303 $6,524 $16,303 −67% $14,514 −63% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,298 $8,505 $15,636 −66% $17,733 −70% —
311 ANGINA PECTORIS $5,264 $6,207 $20,684 −75% $15,502 −66% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $5,261 $6,204 $21,664 −76% $15,495 −66% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,249 $6,246 $19,330 −73% $15,600 −66% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $5,240 $5,472 $14,772 −65% $15,183 −65% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $5,222 $6,443 $14,712 −65% $19,227 −73% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,196 $6,430 $11,355 −54% $13,275 −61% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $5,188 $6,171 $18,008 −71% $14,797 −65% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $5,165 $6,069 $18,723 −72% $13,651 −62% —
149 DYSEQUILIBRIUM $5,141 $6,641 $27,684 −81% $18,096 −72% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,123 $6,149 $16,760 −69% $14,689 −65% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $5,111 $6,191 $12,234 −58% $12,460 −59% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,091 $6,341 $12,216 −58% $12,454 −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 $19,314 −74% $12,559 −60% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $5,055 $5,970 $23,208 −78% $11,909 −58% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $5,052 $6,474 $51,018 −90% $12,768 −60% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,024 $5,978 $20,533 −76% $14,927 −66% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $5,005 $5,334 $11,900 −58% $10,975 −54% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $4,978 $5,960 $13,813 −64% $16,288 −69% —
153 OTITIS MEDIA AND URI WITHOUT MCC $4,941 $6,325 $12,431 −60% $14,583 −66% —
201 PNEUMOTHORAX WITHOUT CCMCC $4,923 $6,020 $16,357 −70% $14,053 −65% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,909 $7,831 $16,699 −71% $16,699 −71% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $4,827 $6,192 $14,809 −67% $12,252 −61% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $4,798 $5,863 $12,765 −62% $14,638 −67% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $4,788 $6,030 $27,020 −82% $11,997 −60% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $4,737 $4,873 $13,146 −64% $13,361 −65% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $4,717 $5,660 $11,454 −59% $14,128 −67% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $4,700 $5,663 $11,458 −59% $15,038 −69% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $4,685 $5,668 $10,563 −56% $12,078 −61% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,672 $5,047 $10,553 −56% $10,160 −54% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $4,598 $5,978 $20,982 −78% $14,549 −68% —
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 $17,198 −73% $13,633 −66% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $4,534 $6,113 $19,016 −76% $14,415 −69% —
684 RENAL FAILURE WITHOUT CCMCC $4,506 $5,404 $11,356 −60% $13,642 −67% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $4,470 $4,886 $23,085 −81% $12,999 −66% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $4,453 $4,981 $11,178 −60% $13,384 −67% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $4,415 $5,692 $11,501 −62% $14,250 −69% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $4,313 $5,638 $11,421 −62% $11,421 −62% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $4,306 $4,631 $4,734 −9% $9,940 −57% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $4,293 $4,998 $27,846 −85% $10,480 −59% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $4,222 $5,400 $8,085 −48% $11,071 −62% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $4,169 $3,941 $17,596 −76% $8,927 −53% —
795 NORMAL NEWBORN $3,548 $1,805 $5,787 −39% $4,720 −25% —
888 UnGrouped $928 — $928 — $928 — —
889 UnGrouped $928 — $928 — $928 — —
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