CHI Health St. Elizabeth (S 91st St) — Pricing

792 procedures published in this hospital's Machine-Readable File (MRF) — 792 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 792
Lowest published price $3,122
Average published price $29,820
Highest published price $498,715

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 792 procedures

Published charges

Showing all 792 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 21 procedures, this hospital's negotiated rates average ≈198% of what Medicare pays.

DRG Description Published price vs. NE median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $498,715 $498,715 +0% $573,534 −13% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $377,060 $377,060 +0% $461,389 −18% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $306,025 $306,025 +0% $306,087 −0% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $265,417 $265,417 +0% $371,366 −29% —
007 LUNG TRANSPLANT $177,457 $177,457 +0% $170,608 +4% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $176,503 $176,503 +0% $182,314 −3% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $174,807 $174,807 +0% $248,521 −30% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $149,699 $149,699 +0% $194,769 −23% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $147,995 $147,995 +0% $196,346 −25% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $144,682 $144,682 +0% $164,641 −12% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $142,326 $142,326 +0% $142,326 +0% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $133,021 $133,021 +0% $208,939 −36% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $131,159 $131,159 +0% $188,171 −30% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $125,209 $125,209 +0% $121,563 +3% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $113,406 $113,406 +0% $144,774 −22% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $108,392 $108,392 +0% $153,282 −29% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $108,323 $108,323 +0% $148,686 −27% —
231 CORONARY BYPASS WITH PTCA WITH MCC $105,698 $105,698 +0% $147,227 −28% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $101,115 $101,115 +0% $105,228 −4% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $96,694 $96,694 +0% $143,242 −32% ≈187% of Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $96,637 $96,637 +0% $132,794 −27% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $96,153 $96,153 +0% $131,961 −27% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $96,065 $96,065 +0% $144,569 −34% ≈203% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $94,095 $94,095 +0% $120,573 −22% —
010 PANCREAS TRANSPLANT $92,029 $92,029 +0% $99,940 −8% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $91,245 $91,245 +0% $126,098 −28% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $90,075 $90,075 +0% $148,832 −39% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $86,536 $86,536 +0% $102,600 −16% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $84,332 $84,332 +0% $117,280 −28% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $84,225 $84,225 +0% $88,566 −5% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $83,839 $83,839 +0% $125,242 −33% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $83,453 $83,453 +0% $123,995 −33% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $82,650 $82,650 +0% $116,058 −29% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $82,151 $82,151 +0% $109,331 −25% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $81,364 $81,364 +0% $98,260 −17% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $81,257 $81,257 +0% $115,839 −30% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $81,154 $81,154 +0% $108,472 −25% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $80,064 $80,064 +0% $113,855 −30% ≈174% of Medicare
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $79,686 $79,686 +0% $98,912 −19% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $77,774 $77,774 +0% $89,353 −13% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $76,757 $76,757 +0% $96,192 −20% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $76,647 $76,647 +0% $103,455 −26% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $75,296 $75,296 +0% $106,057 −29% —
834 ACUTE LEUKEMIA WITH MCC $75,296 $75,296 +0% $85,566 −12% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $74,981 $74,981 +0% $105,899 −29% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $74,842 $74,842 +0% $107,355 −30% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $74,571 $74,571 +0% $106,778 −30% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $74,526 $74,526 +0% $101,618 −27% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $74,128 $74,128 +0% $86,459 −14% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $73,571 $73,571 +0% $112,062 −34% ≈198% of Medicare
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $73,453 $73,453 +0% $81,176 −10% —
028 SPINAL PROCEDURES WITH MCC $73,130 $73,130 +0% $113,077 −35% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $70,468 $70,468 +0% $90,401 −22% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $70,186 $70,186 +0% $99,943 −30% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $68,774 $68,774 +0% $102,573 −33% ≈185% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $68,430 $68,430 +0% $111,320 −39% ≈197% of Medicare
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,198 $68,198 +0% $93,238 −27% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $67,767 $67,767 +0% $102,128 −34% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $67,002 $67,002 +0% $96,905 −31% —
653 MAJOR BLADDER PROCEDURES WITH MCC $66,956 $66,956 +0% $104,583 −36% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $66,830 $66,830 +0% $99,423 −33% ≈159% of Medicare
006 LIVER TRANSPLANT WITHOUT MCC $66,110 $66,110 +0% $84,407 −22% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $65,668 $65,668 +0% $101,576 −35% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $65,162 $65,162 +0% $89,207 −27% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $65,069 $65,069 +0% $93,390 −30% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $64,123 $64,123 +0% $90,724 −29% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $63,954 $63,954 +0% $92,217 −31% ≈184% of Medicare
245 AICD GENERATOR PROCEDURES $63,550 $63,550 +0% $72,076 −12% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,437 $63,437 +0% $91,329 −31% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $62,833 $62,833 +0% $71,551 −12% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $62,426 $62,426 +0% $96,507 −35% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $62,135 $62,135 +0% $93,172 −33% —
471 CERVICAL SPINAL FUSION WITH MCC $61,944 $61,944 +0% $92,515 −33% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $61,912 $61,912 +0% $80,793 −23% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $61,111 $61,111 +0% $90,775 −33% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $60,419 $60,419 +0% $87,761 −31% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $60,312 $60,312 +0% $77,055 −22% —
163 MAJOR CHEST PROCEDURES WITH MCC $59,423 $59,423 +0% $90,195 −34% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $59,138 $59,138 +0% $90,331 −35% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $58,914 $58,914 +0% $83,441 −29% —
799 SPLENIC PROCEDURES WITH MCC $58,624 $58,624 +0% $82,218 −29% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $58,203 $58,203 +0% $70,177 −17% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $58,120 $58,120 +0% $101,510 −43% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $57,989 $57,989 +0% $86,970 −33% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $57,071 $57,071 +0% $88,307 −35% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $57,049 $57,049 +0% $88,050 −35% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $55,737 $55,737 +0% $81,998 −32% —
652 KIDNEY TRANSPLANT $54,501 $54,501 +0% $54,720 −0% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $53,657 $53,657 +0% $76,001 −29% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $53,417 $53,417 +0% $79,116 −32% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $53,204 $53,204 +0% $82,247 −35% ≈190% of Medicare
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $53,202 $53,202 +0% $61,832 −14% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $53,186 $53,186 +0% $82,561 −36% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $53,120 $53,120 +0% $84,692 −37% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $52,814 $52,814 +0% $60,098 −12% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $52,271 $52,271 +0% $62,300 −16% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $52,220 $52,220 +0% $79,225 −34% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $52,201 $52,201 +0% $75,103 −30% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $51,814 $51,814 +0% $73,120 −29% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $51,416 $51,416 +0% $85,159 −40% —
224 NO ACTIVE CODE DESCRIPTION $51,048 $51,048 +0% $80,427 −37% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $50,867 $50,867 +0% $59,352 −14% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $50,390 $50,390 +0% $77,990 −35% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $49,827 $49,827 +0% $72,962 −32% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $49,709 $49,709 +0% $79,836 −38% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $49,399 $49,399 +0% $77,817 −37% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $49,217 $49,217 +0% $74,755 −34% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $49,198 $49,198 +0% $61,470 −20% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $48,711 $48,711 +0% $75,573 −36% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $48,245 $48,245 +0% $66,848 −28% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $47,999 $47,999 +0% $68,639 −30% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $47,909 $47,909 +0% $66,711 −28% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $47,689 $47,689 +0% $59,594 −20% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $47,553 $47,553 +0% $78,852 −40% —
332 RECTAL RESECTION WITH MCC $47,409 $47,409 +0% $58,125 −18% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $47,286 $47,286 +0% $70,564 −33% —
222 NO ACTIVE CODE DESCRIPTION $47,121 $47,121 +0% $86,864 −46% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $47,096 $47,096 +0% $80,018 −41% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $47,040 $47,040 +0% $76,219 −38% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $47,025 $47,025 +0% $56,964 −17% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $46,739 $46,739 +0% $50,919 −8% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $46,722 $46,722 +0% $56,242 −17% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $46,711 $46,711 +0% $74,257 −37% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $46,499 $46,499 +0% $71,795 −35% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $45,630 $45,630 +0% $66,685 −32% —
265 AICD LEAD PROCEDURES $45,583 $45,583 +0% $63,171 −28% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $45,535 $45,535 +0% $71,755 −37% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $45,530 $45,530 +0% $71,014 −36% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $45,305 $45,305 +0% $70,847 −36% —
252 OTHER VASCULAR PROCEDURES WITH MCC $45,120 $45,120 +0% $68,508 −34% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $44,309 $44,309 +0% $62,583 −29% —
665 PROSTATECTOMY WITH MCC $44,271 $44,271 +0% $54,072 −18% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $43,829 $43,829 +0% $63,928 −31% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $43,703 $43,703 +0% $71,464 −39% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $43,547 $43,547 +0% $54,196 −20% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $43,522 $43,522 +0% $70,132 −38% ≈198% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $43,219 $43,219 +0% $70,371 −39% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $43,017 $43,017 +0% $51,953 −17% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $42,883 $42,883 +0% $66,068 −35% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $42,839 $42,839 +0% $59,533 −28% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $42,740 $42,740 +0% $55,289 −23% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $42,427 $42,427 +0% $69,743 −39% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $42,225 $42,225 +0% $65,216 −35% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $41,989 $41,989 +0% $60,407 −30% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $41,664 $41,664 +0% $52,036 −20% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $41,322 $41,322 +0% $71,092 −42% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $41,219 $41,219 +0% $65,788 −37% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $41,184 $41,184 +0% $52,908 −22% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $41,100 $41,100 +0% $65,325 −37% ≈192% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $41,023 $41,023 +0% $68,653 −40% —
453 NO ACTIVE CODE DESCRIPTION $40,972 $40,972 +0% $103,861 −61% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $40,817 $40,817 +0% $67,268 −39% —
662 MINOR BLADDER PROCEDURES WITH MCC $40,758 $40,758 +0% $54,562 −25% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $40,668 $40,668 +0% $65,608 −38% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $40,157 $40,157 +0% $72,424 −45% —
037 EXTRACRANIAL PROCEDURES WITH MCC $40,137 $40,137 +0% $66,666 −40% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $39,586 $39,586 +0% $64,523 −39% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $39,577 $39,577 +0% $62,821 −37% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $39,566 $39,566 +0% $65,573 −40% ≈190% of Medicare
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $39,339 $39,339 +0% $49,710 −21% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $39,214 $39,214 +0% $58,975 −34% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $39,192 $39,192 +0% $61,217 −36% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $38,984 $38,984 +0% $81,706 −52% ≈307% of Medicare
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $38,743 $38,743 +0% $70,467 −45% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $38,516 $38,516 +0% $58,745 −34% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $38,512 $38,512 +0% $65,653 −41% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $38,425 $38,425 +0% $52,986 −27% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $38,286 $38,286 +0% $44,472 −14% —
500 SOFT TISSUE PROCEDURES WITH MCC $38,233 $38,233 +0% $61,872 −38% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $37,925 $37,925 +0% $59,031 −36% —
226 NO ACTIVE CODE DESCRIPTION $37,858 $37,858 +0% $72,618 −48% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $37,713 $37,713 +0% $59,790 −37% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $37,622 $37,622 +0% $58,228 −35% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $37,517 $37,517 +0% $53,864 −30% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $37,489 $37,489 +0% $48,358 −22% —
472 CERVICAL SPINAL FUSION WITH CC $36,828 $36,828 +0% $59,537 −38% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $36,538 $36,538 +0% $46,402 −21% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $36,207 $36,207 +0% $58,043 −38% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $36,147 $36,147 +0% $49,839 −27% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $36,085 $36,085 +0% $44,222 −18% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $36,052 $36,052 +0% $44,546 −19% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $35,996 $35,996 +0% $60,170 −40% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $35,500 $35,500 +0% $51,746 −31% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $35,205 $35,205 +0% $54,929 −36% —
654 MAJOR BLADDER PROCEDURES WITH CC $35,205 $35,205 +0% $58,274 −40% —
570 SKIN DEBRIDEMENT WITH MCC $35,145 $35,145 +0% $52,435 −33% —
503 FOOT PROCEDURES WITH MCC $35,027 $35,027 +0% $47,540 −26% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $34,999 $34,999 +0% $62,264 −44% —
849 RADIOTHERAPY $34,832 $34,832 +0% $37,862 −8% —
800 SPLENIC PROCEDURES WITH CC $34,637 $34,637 +0% $49,184 −30% —
668 TRANSURETHRAL PROCEDURES WITH MCC $34,513 $34,513 +0% $51,608 −33% —
263 VEIN LIGATION AND STRIPPING $34,370 $34,370 +0% $51,253 −33% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $34,233 $34,233 +0% $48,687 −30% —
397 APPENDIX PROCEDURES WITH MCC $33,986 $33,986 +0% $53,257 −36% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $33,719 $33,719 +0% $18,649 +81% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $33,704 $33,704 +0% $41,422 −19% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $33,656 $33,656 +0% $49,423 −32% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $33,589 $33,589 +0% $50,618 −34% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $33,584 $33,584 +0% $43,491 −23% —
253 OTHER VASCULAR PROCEDURES WITH CC $33,538 $33,538 +0% $57,454 −42% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $33,075 $33,075 +0% $58,707 −44% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $33,041 $33,041 +0% $45,167 −27% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $33,019 $33,019 +0% $52,405 −37% —
791 PREMATURITY WITH MAJOR PROBLEMS $32,885 $32,885 +0% $42,679 −23% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $32,643 $32,643 +0% $47,945 −32% —
164 MAJOR CHEST PROCEDURES WITH CC $32,506 $32,506 +0% $56,755 −43% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $32,331 $32,331 +0% $55,162 −41% —
225 NO ACTIVE CODE DESCRIPTION $31,954 $31,954 +0% $57,380 −44% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $31,881 $31,881 +0% $39,973 −20% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $31,671 $31,671 +0% $40,548 −22% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $31,606 $31,606 +0% $52,178 −39% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $31,385 $31,385 +0% $54,583 −43% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $31,272 $31,272 +0% $46,453 −33% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $31,117 $31,117 +0% $48,349 −36% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $31,113 $31,113 +0% $42,186 −26% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $31,089 $31,089 +0% $40,060 −22% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $31,059 $31,059 +0% $59,651 −48% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $30,990 $30,990 +0% $36,489 −15% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $30,917 $30,917 +0% $40,362 −23% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $30,440 $30,440 +0% $50,498 −40% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $30,372 $30,372 +0% $59,500 −49% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $30,277 $30,277 +0% $50,394 −40% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $30,277 $30,277 +0% $47,583 −36% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $30,277 $30,277 +0% $41,620 −27% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $30,262 $30,262 +0% $42,415 −29% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $30,117 $30,117 +0% $50,011 −40% ≈206% of Medicare
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $30,063 $30,063 +0% $59,421 −49% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $30,006 $30,006 +0% $50,046 −40% —
709 PENIS PROCEDURES WITH CC/MCC $29,991 $29,991 +0% $34,535 −13% —
459 NO ACTIVE CODE DESCRIPTION $29,959 $29,959 +0% $75,251 −60% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $29,810 $29,810 +0% $50,624 −41% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $29,772 $29,772 +0% $51,985 −43% —
113 ORBITAL PROCEDURES WITH CC/MCC $29,710 $29,710 +0% $36,167 −18% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $29,592 $29,592 +0% $40,108 −26% —
223 NO ACTIVE CODE DESCRIPTION $29,404 $29,404 +0% $59,206 −50% —
835 ACUTE LEUKEMIA WITH CC $29,354 $29,354 +0% $35,569 −17% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $29,333 $29,333 +0% $38,878 −25% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $29,323 $29,323 +0% $48,682 −40% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $29,243 $29,243 +0% $53,451 −45% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $29,185 $29,185 +0% $38,998 −25% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $29,172 $29,172 +0% $49,066 −41% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $29,128 $29,128 +0% $39,173 −26% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $29,059 $29,059 +0% $59,629 −51% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $29,038 $29,038 +0% $49,418 −41% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $28,839 $28,839 +0% $50,139 −42% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $28,820 $28,820 +0% $46,066 −37% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $28,708 $28,708 +0% $42,906 −33% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $28,643 $28,643 +0% $41,608 −31% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $28,565 $28,565 +0% $58,280 −51% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $28,441 $28,441 +0% $45,877 −38% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $28,438 $28,438 +0% $47,789 −40% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $28,340 $28,340 +0% $45,866 −38% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $28,188 $28,188 +0% $46,283 −39% ≈210% of Medicare
333 RECTAL RESECTION WITH CC $28,180 $28,180 +0% $37,154 −24% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $28,169 $28,169 +0% $39,181 −28% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $27,968 $27,968 +0% $47,737 −41% —
906 HAND PROCEDURES FOR INJURIES $27,744 $27,744 +0% $32,065 −13% —
595 MAJOR SKIN DISORDERS WITH MCC $27,715 $27,715 +0% $34,598 −20% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $27,692 $27,692 +0% $49,351 −44% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $27,668 $27,668 +0% $43,174 −36% —
454 NO ACTIVE CODE DESCRIPTION $27,522 $27,522 +0% $69,101 −60% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $27,402 $27,402 +0% $52,751 −48% —
336 PERITONEAL ADHESIOLYSIS WITH CC $27,371 $27,371 +0% $50,463 −46% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $27,292 $27,292 +0% $38,666 −29% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $27,118 $27,118 +0% $41,892 −35% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $27,116 $27,116 +0% $46,727 −42% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $27,085 $27,085 +0% $33,851 −20% —
548 SEPTIC ARTHRITIS WITH MCC $26,752 $26,752 +0% $31,346 −15% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $26,751 $26,751 +0% $45,333 −41% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $26,743 $26,743 +0% $37,267 −28% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $26,677 $26,677 +0% $36,249 −26% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $26,643 $26,643 +0% $42,795 −38% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $26,594 $26,594 +0% $38,070 −30% —
374 DIGESTIVE MALIGNANCY WITH MCC $26,427 $26,427 +0% $39,958 −34% —
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $26,233 $26,233 +0% $43,538 −40% —
227 NO ACTIVE CODE DESCRIPTION $26,171 $26,171 +0% $56,960 −54% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $26,082 $26,082 +0% $46,090 −43% —
711 TESTES PROCEDURES WITH CC/MCC $26,016 $26,016 +0% $38,343 −32% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $25,956 $25,956 +0% $37,240 −30% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $25,938 $25,938 +0% $42,901 −40% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $25,924 $25,924 +0% $43,631 −41% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $25,895 $25,895 +0% $46,724 −45% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $25,795 $25,795 +0% $44,363 −42% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,729 $25,729 +0% $29,611 −13% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $25,667 $25,667 +0% $43,913 −42% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $25,599 $25,599 +0% $32,031 −20% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $25,537 $25,537 +0% $43,800 −42% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $25,534 $25,534 +0% $39,106 −35% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $25,294 $25,294 +0% $42,914 −41% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $25,228 $25,228 +0% $43,943 −43% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $25,220 $29,436 −14% $50,607 −50% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $25,162 $25,162 +0% $35,030 −28% —
539 OSTEOMYELITIS WITH MCC $25,097 $25,097 +0% $37,609 −33% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $24,928 $24,928 +0% $58,809 −58% ≈318% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $24,788 $24,788 +0% $44,139 −44% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $24,704 $24,704 +0% $43,650 −43% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $24,681 $24,681 +0% $40,213 −39% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $24,590 $24,590 +0% $42,126 −42% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $24,539 $24,539 +0% $43,080 −43% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $24,532 $24,532 +0% $32,574 −25% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $24,490 $24,490 +0% $42,881 −43% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $24,469 $24,469 +0% $40,562 −40% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $24,406 $24,406 +0% $31,044 −21% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $24,382 $24,382 +0% $35,628 −32% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $24,370 $24,370 +0% $52,075 −53% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $24,350 $24,350 +0% $31,134 −22% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $24,126 $24,126 +0% $30,243 −20% —
380 COMPLICATED PEPTIC ULCER WITH MCC $24,005 $24,005 +0% $39,627 −39% —
935 NON-EXTENSIVE BURNS $23,994 $23,994 +0% $31,701 −24% —
592 SKIN ULCERS WITH MCC $23,946 $23,946 +0% $33,246 −28% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $23,928 $23,928 +0% $46,340 −48% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $23,884 $23,884 +0% $41,591 −43% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $23,863 $23,863 +0% $34,459 −31% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $23,804 $23,804 +0% $40,694 −42% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $23,763 $23,763 +0% $40,642 −42% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $23,755 $23,755 +0% $33,985 −30% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $23,744 $23,744 +0% $47,711 −50% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $23,684 $23,684 +0% $36,792 −36% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,495 $23,495 +0% $33,047 −29% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $23,457 $23,457 +0% $39,020 −40% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $23,440 $23,440 +0% $32,637 −28% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $23,316 $23,316 +0% $40,365 −42% —
100 SEIZURES WITH MCC $23,300 $23,300 +0% $35,481 −34% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $23,299 $23,299 +0% $36,431 −36% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $23,261 $23,261 +0% $39,515 −41% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $23,261 $23,261 +0% $43,298 −46% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $23,258 $23,258 +0% $39,955 −42% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $23,090 $23,090 +0% $37,387 −38% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $23,069 $23,069 +0% $36,670 −37% —
509 ARTHROSCOPY $23,027 $23,027 +0% $25,994 −11% —
671 URETHRAL PROCEDURES WITH CC/MCC $23,016 $23,016 +0% $27,233 −15% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $22,929 $22,929 +0% $37,844 −39% —
597 MALIGNANT BREAST DISORDERS WITH MCC $22,910 $22,910 +0% $33,386 −31% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $22,891 $22,891 +0% $37,950 −40% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $22,856 $22,856 +0% $29,826 −23% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $22,824 $22,824 +0% $37,842 −40% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $22,771 $22,771 +0% $38,094 −40% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $22,751 $22,751 +0% $33,255 −32% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $22,713 $22,713 +0% $38,861 −42% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $22,626 $22,626 +0% $35,849 −37% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $22,602 $22,602 +0% $29,524 −23% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $22,559 $22,559 +0% $36,354 −38% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $22,504 $22,504 +0% $31,951 −30% —
455 NO ACTIVE CODE DESCRIPTION $22,498 $22,498 +0% $56,836 −60% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $22,473 $22,473 +0% $38,836 −42% —
919 COMPLICATIONS OF TREATMENT WITH MCC $22,426 $22,426 +0% $31,105 −28% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $22,413 $22,413 +0% $32,433 −31% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $22,292 $22,292 +0% $32,859 −32% —
180 RESPIRATORY NEOPLASMS WITH MCC $22,232 $22,232 +0% $36,658 −39% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $22,209 $22,209 +0% $33,876 −34% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $22,170 $22,170 +0% $34,276 −35% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $22,166 $22,166 +0% $33,555 −34% —
501 SOFT TISSUE PROCEDURES WITH CC $22,112 $22,112 +0% $39,619 −44% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $22,074 $22,074 +0% $40,552 −46% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $22,015 $22,015 +0% $29,316 −25% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $21,964 $21,964 +0% $43,477 −49% —
504 FOOT PROCEDURES WITH CC $21,860 $21,860 +0% $38,960 −44% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $21,850 $21,850 +0% $31,159 −30% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $21,836 $21,836 +0% $32,944 −34% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $21,812 $21,812 +0% $25,197 −13% —
199 PNEUMOTHORAX WITH MCC $21,779 $21,779 +0% $33,787 −36% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,766 $21,766 +0% $32,443 −33% —
505 FOOT PROCEDURES WITHOUT CC/MCC $21,739 $21,739 +0% $34,937 −38% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $21,633 $21,633 +0% $38,101 −43% —
551 MEDICAL BACK PROBLEMS WITH MCC $21,534 $21,534 +0% $34,017 −37% —
913 TRAUMATIC INJURY WITH MCC $21,509 $21,509 +0% $24,198 −11% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $21,496 $21,496 +0% $35,831 −40% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $21,463 $21,463 +0% $44,117 −51% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $21,335 $21,335 +0% $34,749 −39% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $21,329 $21,329 +0% $34,192 −38% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $21,222 $21,222 +0% $44,606 −52% —
334 RECTAL RESECTION WITHOUT CC/MCC $21,181 $21,181 +0% $36,820 −42% —
915 ALLERGIC REACTIONS WITH MCC $21,129 $21,129 +0% $32,645 −35% —
945 REHABILITATION WITH CC/MCC $21,099 $21,099 +0% $23,834 −11% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $21,097 $21,097 +0% $32,628 −35% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $21,079 $21,079 +0% $31,563 −33% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $21,071 $21,071 +0% $33,707 −37% —
606 MINOR SKIN DISORDERS WITH MCC $21,035 $21,035 +0% $27,975 −25% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $21,002 $21,002 +0% $36,445 −42% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $20,953 $20,953 +0% $30,553 −31% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $20,952 $20,952 +0% $39,018 −46% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $20,923 $20,923 +0% $29,126 −28% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $20,922 $20,922 +0% $34,434 −39% —
398 APPENDIX PROCEDURES WITH CC $20,919 $20,919 +0% $40,162 −48% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $20,867 $20,867 +0% $29,079 −28% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $20,834 $20,834 +0% $32,496 −36% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $20,829 $20,829 +0% $34,273 −39% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $20,798 $20,798 +0% $35,453 −41% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $20,784 $20,784 +0% $30,828 −33% ≈233% of Medicare
571 SKIN DEBRIDEMENT WITH CC $20,752 $20,752 +0% $37,169 −44% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $20,745 $20,745 +0% $12,229 +70% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $20,705 $20,705 +0% $24,586 −16% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,672 $20,672 +0% $34,607 −40% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,643 $20,643 +0% $35,584 −42% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $20,637 $20,637 +0% $23,206 −11% —
666 PROSTATECTOMY WITH CC $20,637 $20,637 +0% $31,906 −35% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $20,578 $20,578 +0% $30,010 −31% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $20,566 $20,566 +0% $41,955 −51% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $20,466 $20,466 +0% $32,697 −37% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $20,457 $20,457 +0% $33,661 −39% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $20,443 $20,443 +0% $33,633 −39% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $20,434 $20,434 +0% $35,074 −42% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,431 $20,431 +0% $33,454 −39% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $20,427 $20,427 +0% $27,617 −26% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $20,378 $20,378 +0% $39,211 −48% —
157 DENTAL AND ORAL DISEASES WITH MCC $20,336 $20,336 +0% $31,300 −35% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $20,271 $20,271 +0% $30,770 −34% —
643 ENDOCRINE DISORDERS WITH MCC $20,254 $20,254 +0% $33,563 −40% —
075 VIRAL MENINGITIS WITH CC/MCC $20,207 $20,207 +0% $30,447 −34% —
038 EXTRACRANIAL PROCEDURES WITH CC $20,142 $20,142 +0% $35,770 −44% ≈217% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $20,118 $20,118 +0% $46,295 −57% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $20,072 $20,072 +0% $29,916 −33% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $20,030 $20,030 +0% $26,510 −24% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $20,029 $20,029 +0% $26,598 −25% —
186 PLEURAL EFFUSION WITH MCC $20,008 $20,008 +0% $33,834 −41% —
669 TRANSURETHRAL PROCEDURES WITH CC $19,958 $19,958 +0% $34,354 −42% —
460 NO ACTIVE CODE DESCRIPTION $19,880 $19,880 +0% $51,625 −61% —
533 FRACTURES OF FEMUR WITH MCC $19,862 $19,862 +0% $25,945 −23% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $19,828 $19,828 +0% $35,419 −44% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $19,827 $19,827 +0% $33,674 −41% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $19,802 $19,802 +0% $33,694 −41% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $19,758 $19,758 +0% $30,235 −35% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $19,684 $19,684 +0% $33,393 −41% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $19,681 $19,681 +0% $27,633 −29% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $19,501 $19,501 +0% $27,316 −29% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $19,450 $19,450 +0% $39,887 −51% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $19,449 $19,449 +0% $35,692 −46% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $19,422 $19,422 +0% $34,906 −44% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $19,420 $19,420 +0% $28,202 −31% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $19,403 $19,403 +0% $24,550 −21% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $19,397 $19,397 +0% $27,394 −29% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $19,339 $19,339 +0% $32,833 −41% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $19,269 $19,269 +0% $32,451 −41% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $19,265 $19,265 +0% $36,253 −47% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $19,204 $19,204 +0% $31,170 −38% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $19,190 $19,190 +0% $24,941 −23% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $19,188 $19,188 +0% $25,703 −25% —
183 MAJOR CHEST TRAUMA WITH MCC $19,154 $19,154 +0% $29,933 −36% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $19,148 $19,148 +0% $39,006 −51% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $19,096 $19,096 +0% $26,280 −27% —
602 CELLULITIS WITH MCC $19,032 $19,032 +0% $30,598 −38% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $19,026 $19,026 +0% $33,653 −43% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,024 $19,024 +0% $26,682 −29% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $18,981 $18,981 +0% $30,418 −38% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $18,942 $18,942 +0% $36,988 −49% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,910 $18,910 +0% $33,048 −43% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $18,904 $18,904 +0% $36,505 −48% —
682 RENAL FAILURE WITH MCC $18,857 $18,857 +0% $29,064 −35% —
088 CONCUSSION WITH MCC $18,853 $18,853 +0% $24,402 −23% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $18,852 $18,852 +0% $33,424 −44% —
248 NO ACTIVE CODE DESCRIPTION $18,752 $18,752 +0% $34,146 −45% —
813 COAGULATION DISORDERS $18,661 $18,661 +0% $33,296 −44% —
710 PENIS PROCEDURES WITHOUT CC/MCC $18,649 $18,649 +0% $26,436 −29% —
506 MAJOR THUMB OR JOINT PROCEDURES $18,639 $18,639 +0% $30,557 −39% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $18,632 $18,632 +0% $16,351 +14% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $18,594 $18,594 +0% $22,393 −17% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $18,497 $18,497 +0% $27,543 −33% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $18,433 $18,433 +0% $29,221 −37% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $18,428 $18,428 +0% $32,877 −44% —
663 MINOR BLADDER PROCEDURES WITH CC $18,391 $18,391 +0% $33,103 −44% —
637 DIABETES WITH MCC $18,231 $18,231 +0% $30,100 −39% —
811 RED BLOOD CELL DISORDERS WITH MCC $18,172 $18,172 +0% $28,226 −36% —
150 EPISTAXIS WITH MCC $18,142 $18,142 +0% $23,171 −22% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $18,105 $18,105 +0% $25,073 −28% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $18,104 $18,104 +0% $22,620 −20% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $18,038 $18,038 +0% $30,571 −41% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $18,016 $18,016 +0% $30,959 −42% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $17,932 $17,932 +0% $30,502 −41% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $17,909 $17,909 +0% $30,493 −41% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $17,884 $17,884 +0% $35,465 −50% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $17,819 $17,819 +0% $28,140 −37% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $17,819 $17,819 +0% $21,986 −19% —
865 VIRAL ILLNESS WITH MCC $17,772 $17,772 +0% $26,910 −34% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $17,759 $17,759 +0% $22,525 −21% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $17,723 $17,723 +0% $32,841 −46% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $17,650 $17,650 +0% $32,100 −45% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,647 $17,647 +0% $27,989 −37% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $17,626 $17,626 +0% $29,743 −41% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $17,591 $17,591 +0% $31,017 −43% —
693 URINARY STONES WITH MCC $17,580 $17,580 +0% $23,892 −26% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $17,568 $17,568 +0% $26,463 −34% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,557 $17,557 +0% $29,949 −41% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $17,495 $17,495 +0% $22,811 −23% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $17,317 $17,317 +0% $26,932 −36% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $17,280 $17,280 +0% $30,083 −43% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $17,162 $17,162 +0% $29,805 −42% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $17,134 $17,134 +0% $27,808 −38% —
137 MOUTH PROCEDURES WITH CC/MCC $17,114 $17,114 +0% $27,861 −39% —
139 SALIVARY GLAND PROCEDURES $17,109 $17,109 +0% $23,612 −28% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $17,109 $17,109 +0% $30,242 −43% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $16,938 $16,938 +0% $26,051 −35% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $16,905 $16,905 +0% $27,426 −38% —
291 HEART FAILURE AND SHOCK WITH MCC $16,902 $16,902 +0% $26,776 −37% ≈241% of Medicare
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $16,885 $16,885 +0% $25,748 −34% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $16,885 $16,885 +0% $25,094 −33% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $16,882 $16,882 +0% $27,119 −38% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,865 $16,865 +0% $27,285 −38% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $16,864 $16,864 +0% $26,948 −37% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $16,863 $16,863 +0% $36,937 −54% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $16,802 $16,802 +0% $31,264 −46% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $16,798 $16,798 +0% $20,980 −20% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $16,797 $16,797 +0% $22,320 −25% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $16,729 $16,729 +0% $27,275 −39% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $16,679 $16,679 +0% $25,463 −34% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $16,678 $16,678 +0% $22,851 −27% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $16,677 $16,677 +0% $27,152 −39% —
947 SIGNS AND SYMPTOMS WITH MCC $16,584 $16,584 +0% $27,401 −39% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $16,550 $16,550 +0% $24,127 −31% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $16,539 $16,539 +0% $24,552 −33% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $16,527 $16,527 +0% $19,686 −16% —
885 PSYCHOSES $16,497 $16,497 +0% $21,729 −24% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $16,448 $16,448 +0% $19,132 −14% —
540 OSTEOMYELITIS WITH CC $16,370 $16,370 +0% $26,676 −39% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $16,356 $16,356 +0% $27,323 −40% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $16,309 $16,309 +0% $23,498 −31% —
348 ANAL AND STOMAL PROCEDURES WITH CC $16,263 $16,263 +0% $27,947 −42% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $16,242 $16,242 +0% $28,050 −42% —
246 NO ACTIVE CODE DESCRIPTION $16,224 $16,224 +0% $33,983 −52% —
887 OTHER MENTAL DISORDER DIAGNOSES $16,115 $16,115 +0% $20,616 −22% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $16,072 $16,072 +0% $21,894 −27% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $15,983 $15,983 +0% $26,580 −40% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $15,891 $15,891 +0% $27,163 −41% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,861 $15,861 +0% $27,297 −42% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,845 $15,845 +0% $25,279 −37% —
375 DIGESTIVE MALIGNANCY WITH CC $15,792 $15,792 +0% $27,277 −42% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,779 $15,779 +0% $27,043 −42% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $15,746 $15,746 +0% $28,156 −44% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $15,697 $15,697 +0% $25,034 −37% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $15,690 $15,690 +0% $25,581 −39% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $15,687 $15,687 +0% $28,320 −45% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $15,644 $15,644 +0% $31,321 −50% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $15,635 $15,635 +0% $19,598 −20% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $15,546 $15,546 +0% $26,870 −42% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $15,522 $15,522 +0% $25,700 −40% —
102 HEADACHES WITH MCC $15,455 $15,455 +0% $25,740 −40% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $15,444 $15,444 +0% $22,458 −31% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,394 $15,394 +0% $28,125 −45% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $15,236 $15,236 +0% $20,727 −26% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $15,133 $15,133 +0% $21,230 −29% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $15,047 $15,047 +0% $26,770 −44% —
949 AFTERCARE WITH CC/MCC $15,037 $15,037 +0% $23,953 −37% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $14,977 $14,977 +0% $24,566 −39% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $14,970 $14,970 +0% $19,354 −23% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $14,953 $14,953 +0% $17,193 −13% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $14,905 $14,905 +0% $30,784 −52% —
549 SEPTIC ARTHRITIS WITH CC $14,903 $14,903 +0% $24,056 −38% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $14,894 $14,894 +0% $24,544 −39% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $14,871 $14,871 +0% $21,847 −32% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $14,792 $14,792 +0% $23,551 −37% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $14,779 $14,779 +0% $19,815 −25% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,736 $14,736 +0% $23,443 −37% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,711 $14,711 +0% $25,390 −42% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $14,682 $14,682 +0% $23,617 −38% —
946 REHABILITATION WITHOUT CC/MCC $14,642 $14,642 +0% $17,685 −17% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $14,641 $14,641 +0% $25,712 −43% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $14,579 $14,579 +0% $19,270 −24% —
593 SKIN ULCERS WITH CC $14,519 $14,519 +0% $22,886 −37% —
304 HYPERTENSION WITH MCC $14,467 $14,467 +0% $26,080 −45% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $14,445 $14,445 +0% $24,944 −42% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $14,428 $14,428 +0% $24,386 −41% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,349 $14,349 +0% $19,412 −26% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $14,292 $14,292 +0% $17,483 −18% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $14,257 $14,257 +0% $23,319 −39% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $14,087 $14,087 +0% $32,021 −56% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $14,072 $14,072 +0% $26,618 −47% ≈256% of Medicare
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,034 $14,034 +0% $25,652 −45% —
181 RESPIRATORY NEOPLASMS WITH CC $14,012 $14,012 +0% $23,573 −41% —
302 ATHEROSCLEROSIS WITH MCC $14,003 $14,003 +0% $22,446 −38% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $13,981 $13,981 +0% $18,459 −24% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $13,971 $13,971 +0% $23,749 −41% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $13,964 $13,964 +0% $20,422 −32% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $13,921 $13,921 +0% $17,398 −20% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $13,871 $13,871 +0% $18,133 −24% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $13,861 $13,861 +0% $22,314 −38% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $13,860 $13,860 +0% $22,024 −37% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $13,802 $13,802 +0% $20,926 −34% —
200 PNEUMOTHORAX WITH CC $13,782 $13,782 +0% $21,368 −36% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $13,679 $13,679 +0% $27,843 −51% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $13,671 $13,671 +0% $17,404 −21% —
089 CONCUSSION WITH CC $13,664 $13,664 +0% $18,821 −27% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $13,663 $13,663 +0% $23,141 −41% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $13,601 $13,601 +0% $19,657 −31% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $13,583 $13,583 +0% $17,737 −23% —
712 TESTES PROCEDURES WITHOUT CC/MCC $13,560 $13,560 +0% $18,898 −28% —
381 COMPLICATED PEPTIC ULCER WITH CC $13,509 $13,509 +0% $24,177 −44% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $13,501 $13,501 +0% $22,557 −40% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $13,494 $13,494 +0% $23,940 −44% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $13,487 $13,487 +0% $22,763 −41% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $13,363 $13,363 +0% $25,303 −47% —
920 COMPLICATIONS OF TREATMENT WITH CC $13,362 $13,362 +0% $22,468 −41% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $13,310 $13,310 +0% $18,348 −27% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $13,286 $13,286 +0% $22,033 −40% —
187 PLEURAL EFFUSION WITH CC $13,249 $13,249 +0% $21,789 −39% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $13,231 $13,231 +0% $21,275 −38% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $13,219 $13,219 +0% $23,488 −44% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $13,219 $13,219 +0% $20,232 −35% —
152 OTITIS MEDIA AND URI WITH MCC $13,199 $13,199 +0% $20,247 −35% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,147 $13,147 +0% $22,506 −42% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $13,131 $13,131 +0% $24,914 −47% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $13,117 $13,117 +0% $15,901 −18% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $13,116 $13,116 +0% $25,970 −49% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,105 $13,105 +0% $8,445 +55% —
184 MAJOR CHEST TRAUMA WITH CC $13,083 $13,083 +0% $22,432 −42% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $13,082 $13,082 +0% $22,850 −43% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $13,030 $13,030 +0% $22,635 −42% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $12,930 $12,930 +0% $22,888 −44% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $12,900 $12,900 +0% $16,212 −20% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $12,887 $12,887 +0% $20,455 −37% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $12,877 $12,877 +0% $22,098 −42% —
667 PROSTATECTOMY WITHOUT CC/MCC $12,872 $12,872 +0% $16,703 −23% —
598 MALIGNANT BREAST DISORDERS WITH CC $12,870 $12,870 +0% $19,073 −33% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,867 $12,867 +0% $20,957 −39% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $12,852 $12,852 +0% $20,901 −39% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $12,832 $12,832 +0% $19,264 −33% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $12,829 $12,829 +0% $18,956 −32% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,804 $12,804 +0% $16,700 −23% —
197 INTERSTITIAL LUNG DISEASE WITH CC $12,787 $12,787 +0% $21,941 −42% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $12,710 $12,710 +0% $17,226 −26% —
644 ENDOCRINE DISORDERS WITH CC $12,655 $12,655 +0% $23,198 −45% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $12,650 $12,650 +0% $21,363 −41% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $12,563 $12,563 +0% $23,571 −47% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $12,509 $12,509 +0% $21,449 −42% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $12,507 $12,507 +0% $17,698 −29% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,503 $12,503 +0% $17,601 −29% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $12,502 $12,502 +0% $15,764 −21% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $12,425 $12,425 +0% $19,594 −37% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,411 $12,411 +0% $15,589 −20% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,399 $12,399 +0% $23,283 −47% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,230 $12,230 +0% $20,259 −40% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,229 $12,229 +0% $20,084 −39% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $12,203 $12,203 +0% $20,911 −42% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,072 $12,072 +0% $20,895 −42% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $12,071 $12,071 +0% $19,846 −39% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,030 $12,030 +0% $18,316 −34% —
697 URETHRAL STRICTURE $11,990 $11,990 +0% $18,428 −35% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,971 $11,971 +0% $19,569 −39% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $11,958 $11,958 +0% $19,854 −40% —
158 DENTAL AND ORAL DISEASES WITH CC $11,933 $11,933 +0% $18,466 −35% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,907 $11,907 +0% $20,181 −41% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,860 $11,860 +0% $17,724 −33% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $11,814 $11,814 +0% $18,072 −35% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $11,789 $11,789 +0% $16,968 −31% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $11,789 $11,789 +0% $17,934 −34% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,760 $11,760 +0% $20,566 −43% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,759 $11,759 +0% $20,488 −43% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $11,736 $11,736 +0% $20,463 −43% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,725 $11,725 +0% $21,396 −45% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $11,588 $11,588 +0% $19,305 −40% —
292 HEART FAILURE AND SHOCK WITH CC $11,583 $11,583 +0% $16,371 −29% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $11,432 $11,432 +0% $19,138 −40% —
638 DIABETES WITH CC $11,419 $11,419 +0% $19,661 −42% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,403 $11,403 +0% $17,733 −36% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,384 $11,384 +0% $22,148 −49% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,352 $11,352 +0% $19,924 −43% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,315 $11,315 +0% $18,488 −39% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,315 $11,315 +0% $20,506 −45% —
882 NEUROSES EXCEPT DEPRESSIVE $11,314 $11,314 +0% $15,680 −28% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $11,283 $11,283 +0% $16,846 −33% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,227 $11,227 +0% $18,807 −40% —
683 RENAL FAILURE WITH CC $11,219 $11,219 +0% $19,130 −41% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,169 $11,169 +0% $16,998 −34% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,166 $11,166 +0% $19,096 −42% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,155 $11,155 +0% $14,501 −23% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $11,126 $11,126 +0% $14,055 −21% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,118 $11,118 +0% $16,699 −33% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,069 $11,069 +0% $13,445 −18% —
603 CELLULITIS WITHOUT MCC $11,068 $11,068 +0% $18,530 −40% —
864 FEVER AND INFLAMMATORY CONDITIONS $11,064 $11,064 +0% $18,640 −41% —
881 DEPRESSIVE NEUROSES $11,063 $11,063 +0% $15,058 −27% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $11,054 $11,054 +0% $17,135 −35% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $11,039 $11,039 +0% $19,842 −44% —
101 SEIZURES WITHOUT MCC $11,018 $11,018 +0% $20,461 −46% —
779 ABORTION WITHOUT D&C $10,999 $10,999 +0% $15,327 −28% —
914 TRAUMATIC INJURY WITHOUT MCC $10,996 $10,996 +0% $15,855 −31% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $10,945 $10,945 +0% $14,064 −22% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $10,914 $10,914 +0% $19,962 −45% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $10,874 $10,874 +0% $16,552 −34% —
312 SYNCOPE AND COLLAPSE $10,872 $10,872 +0% $19,342 −44% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $10,847 $10,847 +0% $14,648 −26% —
123 NEUROLOGICAL EYE DISORDERS $10,815 $10,815 +0% $19,745 −45% —
541 OSTEOMYELITIS WITHOUT CC/MCC $10,795 $10,795 +0% $15,215 −29% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $10,779 $10,779 +0% $18,452 −42% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $10,757 $10,757 +0% $17,118 −37% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,752 $10,752 +0% $14,014 −23% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,737 $10,737 +0% $18,002 −40% —
594 SKIN ULCERS WITHOUT CC/MCC $10,734 $10,734 +0% $14,209 −24% —
247 NO ACTIVE CODE DESCRIPTION $10,733 $10,733 +0% $21,663 −50% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $10,717 $10,717 +0% $18,602 −42% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $10,651 $10,651 +0% $15,370 −31% —
176 PULMONARY EMBOLISM WITHOUT MCC $10,641 $10,641 +0% $18,081 −41% —
866 VIRAL ILLNESS WITHOUT MCC $10,617 $10,617 +0% $17,081 −38% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $10,609 $10,609 +0% $19,119 −45% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,603 $10,603 +0% $14,290 −26% —
338 NO ACTIVE CODE DESCRIPTION $10,586 $10,586 +0% $30,138 −65% —
103 HEADACHES WITHOUT MCC $10,579 $10,579 +0% $21,280 −50% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $10,572 $10,572 +0% $15,452 −32% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,569 $10,569 +0% $13,586 −22% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $10,525 $10,525 +0% $18,528 −43% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $10,516 $10,516 +0% $17,578 −40% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $10,514 $10,514 +0% $18,204 −42% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,498 $10,498 +0% $18,126 −42% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $10,493 $10,493 +0% $16,520 −36% —
607 MINOR SKIN DISORDERS WITHOUT MCC $10,404 $10,404 +0% $15,889 −35% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,323 $10,323 +0% $18,150 −43% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $10,310 $10,310 +0% $17,700 −42% —
090 CONCUSSION WITHOUT CC/MCC $10,279 $10,279 +0% $15,412 −33% —
341 NO ACTIVE CODE DESCRIPTION $10,243 $10,243 +0% $25,628 −60% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,099 $10,099 +0% $17,674 −43% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $10,081 $10,081 +0% $17,921 −44% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,081 $10,081 +0% $21,056 −52% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,062 $10,062 +0% $16,565 −39% —
249 NO ACTIVE CODE DESCRIPTION $10,024 $10,024 +0% $20,610 −51% —
204 RESPIRATORY SIGNS AND SYMPTOMS $9,985 $9,985 +0% $18,004 −45% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,898 $9,898 +0% $17,322 −43% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $9,838 $9,838 +0% $16,634 −41% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,828 $9,828 +0% $16,767 −41% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $9,823 $9,823 +0% $18,126 −46% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $9,801 $9,801 +0% $16,450 −40% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,787 $9,787 +0% $17,620 −44% —
339 NO ACTIVE CODE DESCRIPTION $9,782 $9,782 +0% $18,474 −47% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $9,765 $11,673 −16% $17,038 −43% —
694 URINARY STONES WITHOUT MCC $9,706 $9,706 +0% $17,345 −44% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $9,672 $9,672 +0% $17,298 −44% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,663 $9,663 +0% $19,037 −49% —
534 FRACTURES OF FEMUR WITHOUT MCC $9,636 $9,636 +0% $17,559 −45% —
305 HYPERTENSION WITHOUT MCC $9,583 $9,583 +0% $18,086 −47% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $9,576 $9,576 +0% $15,428 −38% —
149 DYSEQUILIBRIUM $9,507 $9,507 +0% $18,096 −47% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $9,478 $9,478 +0% $12,593 −25% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $9,469 $9,469 +0% $16,288 −42% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $9,418 $9,418 +0% $17,303 −46% ≈274% of Medicare
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $9,416 $9,416 +0% $15,549 −39% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,410 $9,410 +0% $12,768 −26% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $9,338 $9,338 +0% $12,336 −24% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $9,324 $9,324 +0% $19,227 −52% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $9,216 $9,216 +0% $14,716 −37% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,209 $9,209 +0% $17,124 −46% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,195 $9,195 +0% $12,895 −29% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $9,169 $9,169 +0% $15,019 −39% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $9,155 $9,155 +0% $11,847 −23% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,151 $9,151 +0% $14,514 −37% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $9,143 $9,143 +0% $16,776 −46% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $9,057 $9,057 +0% $11,909 −24% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,049 $9,049 +0% $12,460 −27% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $9,027 $9,027 +0% $20,781 −57% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,011 $9,011 +0% $12,559 −28% —
201 PNEUMOTHORAX WITHOUT CC/MCC $8,983 $8,983 +0% $14,053 −36% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,952 $8,952 +0% $15,600 −43% —
151 EPISTAXIS WITHOUT MCC $8,941 $8,941 +0% $13,032 −31% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $8,929 $8,929 +0% $15,837 −44% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,836 $8,836 +0% $14,638 −40% —
313 CHEST PAIN $8,822 $8,822 +0% $16,440 −46% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $8,761 $8,761 +0% $14,549 −40% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,742 $8,742 +0% $13,633 −36% —
303 ATHEROSCLEROSIS WITHOUT MCC $8,734 $8,734 +0% $14,927 −41% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $8,712 $8,712 +0% $15,495 −44% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $8,667 $8,667 +0% $13,651 −37% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,646 $8,646 +0% $14,128 −39% —
153 OTITIS MEDIA AND URI WITHOUT MCC $8,595 $8,595 +0% $14,583 −41% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $8,559 $8,559 +0% $12,252 −30% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,548 $8,548 +0% $14,368 −41% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,540 $8,540 +0% $12,454 −31% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $8,529 $8,529 +0% $11,997 −29% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,469 $8,469 +0% $14,250 −41% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $8,461 $8,461 +0% $14,797 −43% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $8,450 $8,450 +0% $14,415 −41% —
311 ANGINA PECTORIS $8,435 $8,435 +0% $15,502 −46% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,405 $8,405 +0% $13,942 −40% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $8,371 $8,371 +0% $13,275 −37% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,365 $8,365 +0% $14,689 −43% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,325 $8,325 +0% $15,183 −45% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $8,285 $8,285 +0% $15,038 −45% —
639 DIABETES WITHOUT CC/MCC $8,091 $8,091 +0% $13,910 −42% —
950 AFTERCARE WITHOUT CC/MCC $7,925 $7,925 +0% $13,527 −41% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $7,916 $7,916 +0% $11,071 −28% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,838 $9,428 −17% $13,824 −43% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $7,810 $7,810 +0% $12,078 −35% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $7,749 $7,749 +0% $12,324 −37% —
684 RENAL FAILURE WITHOUT CC/MCC $7,650 $7,650 +0% $13,642 −44% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,624 $7,624 +0% $11,421 −33% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,569 $7,569 +0% $12,999 −42% —
342 NO ACTIVE CODE DESCRIPTION $7,303 $7,303 +0% $16,487 −56% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,277 $7,277 +0% $10,975 −34% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $7,238 $7,238 +0% $10,480 −31% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,183 $7,183 +0% $13,384 −46% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $7,182 $7,182 +0% $13,361 −46% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,118 $7,118 +0% $10,160 −30% —
340 NO ACTIVE CODE DESCRIPTION $6,844 $6,844 +0% $13,613 −50% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,511 $6,511 +0% $9,940 −35% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $6,001 $6,001 +0% $8,927 −33% —
343 NO ACTIVE CODE DESCRIPTION $5,414 $5,414 +0% $12,397 −56% —
795 NORMAL NEWBORN $3,122 $3,122 +0% $4,720 −34% —
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