Mount Carmel St Ann's — Pricing

542 procedures published in this hospital's Machine-Readable File (MRF) — 542 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 542
Lowest published price $6,161
Average published price $62,567
Highest published price $490,020

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 542 procedures

Published charges

Showing all 542 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 50 procedures, this hospital's negotiated rates average ≈415% of what Medicare pays.

DRG Description Published price Cash price vs. OH median vs. National median vs Medicare
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $490,020 $490,020 $69,008 +610% $80,747 +507% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $477,935 $477,935 $298,601 +60% $371,366 +29% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $424,011 $424,011 $153,273 +177% $191,314 +122% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $422,150 $422,150 $92,271 +358% $107,355 +293% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $388,425 $388,425 $86,542 +349% $121,714 +219% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $359,348 $359,348 $82,102 +338% $106,238 +238% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $342,494 $342,494 $80,366 +326% $68,659 +399% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $319,569 $319,569 $89,209 +258% $118,589 +169% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $317,739 $317,739 $179,930 +77% $175,437 +81% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $315,158 $315,158 $106,929 +195% $134,914 +134% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $313,965 $313,965 $110,483 +184% $120,174 +161% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $300,615 $300,615 $184,103 +63% $245,241 +23% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $283,002 $283,002 $74,709 +279% $101,235 +180% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $266,241 $266,241 $57,196 +365% $83,065 +221% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $258,392 $258,392 $123,733 +109% $143,242 +80% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $234,047 $234,047 $73,986 +216% $93,783 +150% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $228,229 $228,229 $137,630 +66% $142,326 +60% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $228,087 $228,087 $39,644 +475% $58,043 +293% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $221,267 $221,267 $112,466 +97% $112,062 +97% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $220,397 $220,397 $80,958 +172% $102,573 +115% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $218,392 $218,392 $103,817 +110% $138,868 +57% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $212,940 $212,940 $112,424 +89% $151,029 +41% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $208,293 $208,293 $94,288 +121% $131,961 +58% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $204,029 $204,029 $73,048 +179% $102,177 +100% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $202,610 $202,610 $68,852 +194% $83,441 +143% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $199,648 $199,648 $99,339 +101% $120,587 +66% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $198,635 $198,635 $82,731 +140% $98,912 +101% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $196,757 $196,757 $89,681 +119% $114,914 +71% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $196,325 $196,325 $73,455 +167% $94,927 +107% —
037 EXTRACRANIAL PROCEDURES WITH MCC $192,795 $192,795 $46,296 +316% $64,749 +198% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $191,802 $191,802 $27,823 +589% $35,459 +441% —
662 MINOR BLADDER PROCEDURES WITH MCC $185,154 $185,154 $43,683 +324% $54,483 +240% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $180,894 $180,894 $62,801 +188% $90,331 +100% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $180,400 $180,400 $87,201 +107% $105,899 +70% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $178,651 $178,651 $37,754 +373% $45,432 +293% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $170,308 $170,308 $48,637 +250% $59,207 +188% —
209 COMPLEX AORTIC ARCH PROCEDURES $163,638 $163,638 $163,638 +0% $183,292 −11% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $162,693 $162,693 $78,716 +107% $75,492 +116% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $160,446 $160,446 $70,780 +127% $82,247 +95% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $160,154 $160,154 $69,912 +129% $79,944 +100% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $158,223 $158,223 $81,401 +94% $81,998 +93% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $157,730 $157,730 $76,970 +105% $106,778 +48% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $154,889 $154,889 $43,330 +257% $62,821 +147% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $149,803 $149,803 $56,561 +165% $63,475 +136% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $146,059 $146,059 $69,206 +111% $96,222 +52% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $144,588 $144,588 $119,815 +21% $138,008 +5% ≈439% of Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $144,516 $144,516 $105,110 +37% $121,728 +19% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $144,110 $144,110 $116,302 +24% $88,307 +63% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $138,404 $138,404 $71,617 +93% $65,216 +112% —
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $135,457 $135,457 $126,132 +7% $110,732 +22% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $134,268 $134,268 $87,969 +53% $88,050 +52% —
471 CERVICAL SPINAL FUSION WITH MCC $133,773 $133,773 $93,070 +44% $92,515 +45% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $131,363 $131,363 $91,253 +44% $105,612 +24% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $131,178 $131,178 $81,365 +61% $87,018 +51% ≈403% of Medicare
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $125,852 $125,852 $53,665 +135% $72,908 +73% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $125,547 $125,547 $83,192 +51% $117,280 +7% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $124,544 $124,544 $80,603 +55% $113,855 +9% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $124,102 $124,102 $52,805 +135% $75,103 +65% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $121,787 $121,787 $67,791 +80% $96,905 +26% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $120,921 $120,921 $30,912 +291% $45,622 +165% —
252 OTHER VASCULAR PROCEDURES WITH MCC $120,607 $120,607 $47,717 +153% $68,508 +76% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $119,759 $119,759 $57,570 +108% $72,945 +64% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $119,689 $119,689 $83,090 +44% $94,988 +26% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $117,296 $117,296 $61,401 +91% $76,954 +52% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $116,056 $116,056 $56,535 +105% $66,853 +74% —
028 SPINAL PROCEDURES WITH MCC $115,589 $115,589 $81,731 +41% $95,858 +21% —
263 VEIN LIGATION AND STRIPPING $114,893 $114,893 $38,005 +202% $44,938 +156% —
570 SKIN DEBRIDEMENT WITH MCC $114,177 $114,177 $42,263 +170% $52,435 +118% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $113,947 $113,947 $64,248 +77% $92,217 +24% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $113,879 $113,879 $86,661 +31% $116,058 −2% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $113,179 $113,179 $70,464 +61% $86,390 +31% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $112,911 $112,911 $34,307 +229% $47,583 +137% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $110,767 $110,767 $24,061 +360% $35,692 +210% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $107,606 $107,606 $52,536 +105% $74,755 +44% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $106,733 $106,733 $37,072 +188% $47,546 +124% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $104,143 $104,143 $47,218 +121% $70,132 +48% —
571 SKIN DEBRIDEMENT WITH CC $103,756 $103,756 $24,925 +316% $34,901 +197% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $101,651 $101,651 $58,085 +75% $60,098 +69% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $99,213 $99,213 $69,695 +42% $99,423 −0% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $97,040 $97,040 $67,682 +43% $91,329 +6% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $96,715 $96,715 $54,405 +78% $68,006 +42% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $96,678 $96,678 $47,899 +102% $71,014 +36% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $96,677 $96,677 $47,789 +102% $58,832 +64% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $96,452 $96,452 $43,334 +123% $51,172 +88% ≈426% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $95,464 $95,464 $65,149 +47% $88,691 +8% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $95,179 $95,179 $38,077 +150% $51,985 +83% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $94,424 $94,424 $49,285 +92% $70,540 +34% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $94,190 $94,190 $33,546 +181% $50,139 +88% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $93,341 $93,341 $33,912 +175% $40,548 +130% —
334 RECTAL RESECTION WITHOUT CC/MCC $93,257 $93,257 $24,721 +277% $32,213 +189% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $92,955 $92,955 $49,623 +87% $74,274 +25% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $92,066 $92,066 $52,152 +77% $74,257 +24% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $91,840 $91,840 $20,619 +345% $29,805 +208% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $90,867 $90,867 $45,278 +101% $56,519 +61% ≈419% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $90,479 $90,479 $47,649 +90% $68,880 +31% ≈455% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $89,969 $89,969 $35,670 +152% $55,162 +63% —
253 OTHER VASCULAR PROCEDURES WITH CC $89,492 $89,492 $38,674 +131% $53,746 +67% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $89,040 $89,040 $47,751 +86% $50,624 +76% —
504 FOOT PROCEDURES WITH CC $88,224 $88,224 $25,972 +240% $36,598 +141% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $87,700 $87,700 $21,793 +302% $31,812 +176% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $87,645 $87,645 $38,027 +130% $52,405 +67% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $87,283 $87,283 $28,703 +204% $41,520 +110% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $86,956 $86,956 $41,024 +112% $67,764 +28% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $86,825 $86,825 $22,624 +284% $28,646 +203% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $86,760 $86,760 $58,558 +48% $82,561 +5% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $86,082 $86,082 $27,820 +209% $49,197 +75% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $85,582 $85,582 $44,389 +93% $51,142 +67% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $85,529 $85,529 $26,510 +223% $24,836 +244% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $84,890 $84,890 $35,265 +141% $43,538 +95% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $84,357 $84,357 $65,770 +28% $56,394 +50% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $83,863 $83,863 $32,969 +154% $37,080 +126% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $83,218 $83,218 $51,761 +61% $60,861 +37% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $82,976 $82,976 $27,387 +203% $41,380 +101% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $82,325 $82,325 $35,941 +129% $54,824 +50% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $82,044 $82,044 $33,155 +147% $49,631 +65% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $81,994 $81,994 $44,783 +83% $57,277 +43% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $81,665 $81,665 $61,750 +32% $72,859 +12% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $81,597 $81,597 $25,272 +223% $43,266 +89% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $81,291 $81,291 $49,711 +64% $64,776 +25% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $81,220 $81,220 $28,787 +182% $43,775 +86% —
595 MAJOR SKIN DISORDERS WITH MCC $81,140 $81,140 $30,646 +165% $31,785 +155% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $80,200 $80,200 $48,317 +66% $45,817 +75% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $79,909 $79,909 $32,385 +147% $45,059 +77% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $79,896 $79,896 $43,218 +85% $53,817 +48% —
500 SOFT TISSUE PROCEDURES WITH MCC $79,887 $79,887 $44,320 +80% $57,479 +39% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $79,657 $79,657 $35,964 +121% $46,659 +71% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $78,606 $78,606 $48,557 +62% $51,953 +51% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $78,383 $78,383 $27,849 +181% $32,839 +139% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $78,273 $78,273 $41,365 +89% $63,984 +22% ≈387% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $78,240 $78,240 $46,319 +69% $65,325 +20% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $77,273 $77,273 $54,898 +41% $71,701 +8% —
164 MAJOR CHEST PROCEDURES WITH CC $76,990 $76,990 $39,462 +95% $53,141 +45% —
800 SPLENIC PROCEDURES WITH CC $76,916 $76,916 $41,012 +88% $49,184 +56% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $76,470 $76,470 $48,655 +57% $65,383 +17% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $76,266 $76,266 $44,521 +71% $33,137 +130% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $75,686 $75,686 $23,118 +227% $36,239 +109% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $75,236 $75,236 $36,735 +105% $48,094 +56% ≈411% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $75,043 $75,043 $38,213 +96% $54,929 +37% ≈410% of Medicare
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $73,576 $73,576 $36,267 +103% $57,149 +29% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $73,042 $73,042 $34,039 +115% $52,313 +40% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $72,975 $72,975 $39,820 +83% $57,963 +26% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $72,135 $72,135 $43,288 +67% $44,600 +62% ≈452% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $71,856 $71,856 $30,609 +135% $49,470 +45% —
163 MAJOR CHEST PROCEDURES WITH MCC $71,824 $71,824 $63,017 +14% $88,341 −19% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $71,729 $71,729 $53,945 +33% $78,852 −9% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $70,607 $70,607 $46,049 +53% $52,908 +33% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $70,003 $70,003 $34,736 +102% $44,989 +56% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $69,903 $69,903 $24,502 +185% $28,634 +144% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $69,839 $69,839 $24,910 +180% $30,006 +133% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $69,573 $69,573 $35,694 +95% $39,409 +77% —
374 DIGESTIVE MALIGNANCY WITH MCC $69,220 $69,220 $28,612 +142% $38,885 +78% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $69,113 $69,113 $50,222 +38% $71,755 −4% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $68,759 $68,759 $31,079 +121% $34,900 +97% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $68,351 $68,351 $33,792 +102% $45,963 +49% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $68,286 $68,286 $41,415 +65% $31,816 +115% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $67,867 $67,867 $68,473 −1% $87,565 −22% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $67,330 $67,330 $26,986 +150% $40,694 +65% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $67,042 $67,042 $35,456 +89% $39,747 +69% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $66,735 $66,735 $47,828 +40% $62,269 +7% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $66,586 $66,586 $45,132 +48% $43,524 +53% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $66,154 $66,154 $23,902 +177% $33,984 +95% —
472 CERVICAL SPINAL FUSION WITH CC $66,111 $66,111 $63,839 +4% $59,537 +11% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $65,436 $65,436 $43,701 +50% $65,573 −0% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $65,406 $65,406 $40,662 +61% $44,117 +48% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $65,166 $65,166 $45,498 +43% $54,129 +20% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $64,578 $64,578 $41,261 +57% $60,140 +7% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $64,429 $64,429 $13,752 +369% $17,383 +271% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $64,222 $64,222 $44,977 +43% $64,956 −1% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $63,950 $63,950 $24,771 +158% $27,548 +132% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $63,214 $63,214 $44,663 +42% $66,819 −5% —
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $63,010 $63,010 $70,047 −10% $93,769 −33% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $62,396 $62,396 $21,228 +194% $24,561 +154% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $62,317 $62,317 $29,416 +112% $54,772 +14% ≈437% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $61,947 $61,947 $34,828 +78% $37,975 +63% —
551 MEDICAL BACK PROBLEMS WITH MCC $61,630 $61,630 $25,341 +143% $31,086 +98% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $61,477 $61,477 $41,464 +48% $54,313 +13% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $61,399 $61,399 $15,598 +294% $20,371 +201% —
038 EXTRACRANIAL PROCEDURES WITH CC $61,273 $61,273 $24,107 +154% $35,770 +71% —
834 ACUTE LEUKEMIA WITH MCC $60,682 $60,682 $74,709 −19% $76,583 −21% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $60,664 $60,664 $34,307 +77% $39,093 +55% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $60,396 $60,396 $32,719 +85% $46,430 +30% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $60,226 $60,226 $32,433 +86% $50,011 +20% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $58,621 $58,621 $63,928 −8% $80,885 −28% —
187 PLEURAL EFFUSION WITH CC $58,466 $58,466 $22,534 +159% $21,467 +172% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $58,304 $58,304 $26,308 +122% $48,680 +20% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $58,043 $58,043 $53,277 +9% $80,018 −27% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $57,999 $57,999 $28,203 +106% $35,375 +64% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $57,964 $57,964 $34,993 +66% $42,119 +38% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $57,961 $57,961 $20,497 +183% $31,978 +81% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $57,193 $57,193 $18,260 +213% $22,532 +154% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $57,012 $57,012 $33,308 +71% $36,237 +57% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $56,878 $56,878 $25,881 +120% $31,758 +79% ≈493% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $56,513 $56,513 $36,386 +55% $38,357 +47% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $55,791 $55,791 $32,604 +71% $37,064 +51% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $55,641 $55,641 $53,167 +5% $72,782 −24% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $55,465 $55,465 $12,474 +345% $15,636 +255% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $55,394 $55,394 $35,224 +57% $52,332 +6% —
548 SEPTIC ARTHRITIS WITH MCC $55,144 $55,144 $29,341 +88% $31,019 +78% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $54,797 $54,797 $53,357 +3% $62,961 −13% —
348 ANAL AND STOMAL PROCEDURES WITH CC $54,232 $54,232 $19,533 +178% $27,947 +94% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $54,221 $54,221 $28,993 +87% $35,139 +54% —
398 APPENDIX PROCEDURES WITH CC $53,965 $53,965 $22,834 +136% $39,107 +38% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $53,462 $53,462 $30,159 +77% $34,887 +53% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $52,356 $52,356 $28,660 +83% $35,237 +49% ≈395% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $52,294 $52,294 $25,466 +105% $38,094 +37% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $52,025 $52,025 $31,193 +67% $44,553 +17% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $51,974 $51,974 $17,967 +189% $25,267 +106% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $51,045 $51,045 $19,911 +156% $24,316 +110% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $50,242 $50,242 $47,403 +6% $67,901 −26% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $49,941 $49,941 $36,646 +36% $35,714 +40% ≈475% of Medicare
813 COAGULATION DISORDERS $49,822 $49,822 $23,285 +114% $30,128 +65% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $49,547 $49,547 $16,434 +201% $22,557 +120% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $49,240 $49,240 $31,349 +57% $37,902 +30% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $49,016 $49,016 $33,734 +45% $41,660 +18% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $48,950 $48,950 $29,462 +66% $36,375 +35% —
186 PLEURAL EFFUSION WITH MCC $48,916 $48,916 $25,923 +89% $32,468 +51% —
533 FRACTURES OF FEMUR WITH MCC $48,851 $48,851 $22,986 +113% $25,945 +88% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $48,779 $48,779 $78,460 −38% $96,192 −49% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $48,699 $48,699 $49,721 −2% $59,425 −18% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $48,481 $48,481 $24,279 +100% $31,840 +52% ≈389% of Medicare
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $48,179 $48,179 $29,085 +66% $39,018 +23% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $47,989 $47,989 $22,189 +116% $29,211 +64% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $47,088 $47,088 $26,296 +79% $33,564 +40% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $47,031 $47,031 $27,823 +69% $42,126 +12% —
197 INTERSTITIAL LUNG DISEASE WITH CC $46,878 $46,878 $16,043 +192% $20,106 +133% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $46,829 $46,829 $22,272 +110% $28,780 +63% ≈418% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $46,458 $46,458 $41,516 +12% $54,475 −15% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $46,348 $46,348 $31,474 +47% $41,900 +11% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $46,235 $46,235 $27,695 +67% $32,204 +44% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $45,898 $45,898 $44,584 +3% $49,710 −8% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $45,353 $45,353 $24,497 +85% $28,967 +57% ≈367% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $45,322 $45,322 $24,687 +84% $32,689 +39% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $45,269 $45,269 $26,792 +69% $37,842 +20% ≈447% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $45,219 $45,219 $19,183 +136% $20,147 +124% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $45,087 $45,087 $31,025 +45% $36,850 +22% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $44,830 $44,830 $30,076 +49% $36,933 +21% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $44,600 $44,600 $26,617 +68% $40,063 +11% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $44,382 $44,382 $28,751 +54% $35,542 +25% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $43,967 $43,967 $24,787 +77% $32,502 +35% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $43,655 $43,655 $38,454 +14% $43,491 +0% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $43,268 $43,268 $28,264 +53% $42,881 +1% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $43,113 $43,113 $48,780 −12% $78,582 −45% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $43,060 $43,060 $17,337 +148% $31,190 +38% ≈415% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $42,880 $42,880 $23,796 +80% $28,924 +48% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $42,740 $42,740 $26,206 +63% $36,242 +18% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $42,532 $42,532 $22,721 +87% $33,792 +26% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $42,398 $42,398 $25,166 +68% $28,252 +50% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $42,216 $42,216 $21,995 +92% $30,275 +39% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $42,133 $42,133 $20,586 +105% $30,358 +39% ≈397% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $42,064 $42,064 $22,477 +87% $28,140 +49% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $41,928 $41,928 $26,875 +56% $37,950 +10% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $41,716 $41,716 $33,209 +26% $51,339 −19% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $41,667 $41,667 $46,760 −11% $64,152 −35% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $41,592 $41,592 $19,169 +117% $27,321 +52% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $41,063 $41,063 $15,158 +171% $20,463 +101% ≈459% of Medicare
666 PROSTATECTOMY WITH CC $41,060 $41,060 $24,574 +67% $30,016 +37% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $40,989 $40,989 $22,893 +79% $33,694 +22% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $40,899 $40,899 $13,385 +206% $13,385 +206% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $40,862 $40,862 $20,296 +101% $26,158 +56% ≈415% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $40,578 $40,578 $24,475 +66% $28,134 +44% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $40,538 $40,538 $28,801 +41% $43,800 −7% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $40,533 $40,533 $22,208 +83% $25,666 +58% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $40,485 $40,485 $25,358 +60% $24,118 +68% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $40,336 $40,336 $26,903 +50% $40,552 −1% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $39,925 $39,925 $25,761 +55% $30,814 +30% —
100 SEIZURES WITH MCC $39,516 $39,516 $30,016 +32% $35,194 +12% —
643 ENDOCRINE DISORDERS WITH MCC $39,033 $39,033 $24,704 +58% $32,996 +18% —
137 MOUTH PROCEDURES WITH CC/MCC $38,816 $38,816 $21,346 +82% $24,348 +59% —
866 VIRAL ILLNESS WITHOUT MCC $38,709 $38,709 $14,678 +164% $16,391 +136% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $38,690 $38,690 $27,401 +41% $35,114 +10% —
503 FOOT PROCEDURES WITH MCC $38,687 $38,687 $37,544 +3% $43,901 −12% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $38,640 $38,640 $50,550 −24% $62,524 −38% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $38,478 $38,478 $25,683 +50% $29,558 +30% —
669 TRANSURETHRAL PROCEDURES WITH CC $38,374 $38,374 $23,279 +65% $34,354 +12% —
539 OSTEOMYELITIS WITH MCC $37,944 $37,944 $29,216 +30% $33,746 +12% —
540 OSTEOMYELITIS WITH CC $37,941 $37,941 $19,990 +90% $23,494 +61% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $37,745 $37,745 $36,097 +5% $36,097 +5% —
682 RENAL FAILURE WITH MCC $37,717 $37,717 $22,687 +66% $27,854 +35% ≈397% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $37,575 $37,575 $26,909 +40% $40,563 −7% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $37,429 $37,429 $25,010 +50% $30,058 +25% ≈385% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $37,426 $37,426 $11,755 +218% $13,368 +180% —
811 RED BLOOD CELL DISORDERS WITH MCC $37,420 $37,420 $21,454 +74% $27,934 +34% ≈383% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $36,988 $36,988 $25,879 +43% $36,658 +1% —
667 PROSTATECTOMY WITHOUT CC/MCC $36,903 $36,903 $16,534 +123% $16,703 +121% —
935 NON-EXTENSIVE BURNS $36,779 $36,779 $31,701 +16% $29,458 +25% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $36,663 $36,663 $19,440 +89% $24,202 +51% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $36,651 $36,651 $18,021 +103% $24,432 +50% —
181 RESPIRATORY NEOPLASMS WITH CC $36,511 $36,511 $17,604 +107% $22,431 +63% —
637 DIABETES WITH MCC $36,502 $36,502 $22,095 +65% $28,819 +27% ≈413% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $36,466 $36,466 $16,392 +122% $23,469 +55% ≈459% of Medicare
200 PNEUMOTHORAX WITH CC $36,244 $36,244 $17,568 +106% $20,573 +76% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $36,244 $36,244 $24,869 +46% $33,607 +8% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $36,163 $36,163 $21,961 +65% $29,663 +22% —
593 SKIN ULCERS WITH CC $36,070 $36,070 $19,063 +89% $20,470 +76% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $35,930 $35,930 $28,903 +24% $29,757 +21% ≈376% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $35,764 $35,764 $24,871 +44% $25,208 +42% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $35,702 $35,702 $16,798 +113% $20,007 +78% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $35,563 $35,563 $11,921 +198% $13,198 +169% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $35,463 $35,463 $16,857 +110% $18,478 +92% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $35,259 $35,259 $18,383 +92% $22,982 +53% ≈50% of Medicare
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $35,200 $35,200 $23,602 +49% $34,906 +1% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $35,048 $35,048 $24,086 +46% $30,314 +16% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $35,034 $35,034 $13,791 +154% $17,928 +95% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $34,869 $34,869 $19,254 +81% $25,704 +36% ≈398% of Medicare
602 CELLULITIS WITH MCC $34,776 $34,776 $22,262 +56% $29,347 +19% —
291 HEART FAILURE AND SHOCK WITH MCC $34,666 $34,666 $20,129 +72% $25,020 +39% ≈397% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $34,581 $34,581 $32,464 +7% $38,878 −11% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $34,394 $34,394 $25,056 +37% $31,128 +10% —
151 EPISTAXIS WITHOUT MCC $34,390 $34,390 $13,032 +164% $13,032 +164% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $34,205 $34,205 $21,873 +56% $25,243 +36% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $34,191 $34,191 $41,952 −18% $46,402 −26% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $34,124 $34,124 $27,729 +23% $32,399 +5% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $34,081 $34,081 $20,374 +67% $27,369 +25% —
887 OTHER MENTAL DISORDER DIAGNOSES $33,938 $33,938 $11,348 +199% $20,602 +65% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $33,467 $33,467 $20,430 +64% $24,480 +37% ≈399% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $33,426 $33,426 $17,770 +88% $24,190 +38% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $33,363 $33,363 $24,108 +38% $30,910 +8% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $33,323 $33,323 $18,846 +77% $26,634 +25% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $33,280 $33,280 $20,473 +63% $27,244 +22% —
089 CONCUSSION WITH CC $33,250 $33,250 $17,109 +94% $18,293 +82% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $33,186 $33,186 $19,077 +74% $26,488 +25% ≈427% of Medicare
694 URINARY STONES WITHOUT MCC $32,979 $32,979 $13,336 +147% $16,531 +100% —
914 TRAUMATIC INJURY WITHOUT MCC $32,802 $32,802 $15,088 +117% $15,593 +110% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $32,719 $32,719 $12,879 +154% $14,861 +120% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $32,677 $32,677 $12,055 +171% $12,797 +155% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $32,647 $32,647 $15,603 +109% $18,191 +79% —
184 MAJOR CHEST TRAUMA WITH CC $32,589 $32,589 $17,057 +91% $20,842 +56% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,478 $32,478 $22,664 +43% $25,854 +26% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,398 $32,398 $32,829 −1% $39,253 −17% —
292 HEART FAILURE AND SHOCK WITH CC $32,026 $32,026 $14,372 +123% $16,212 +98% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $31,766 $31,766 $16,553 +92% $22,850 +39% —
865 VIRAL ILLNESS WITH MCC $31,594 $31,594 $22,350 +41% $26,088 +21% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $31,543 $31,543 $24,189 +30% $25,731 +23% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $31,180 $31,180 $16,518 +89% $24,022 +30% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $31,104 $31,104 $25,899 +20% $38,836 −20% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $31,054 $31,054 $14,344 +116% $18,278 +70% —
312 SYNCOPE AND COLLAPSE $30,939 $30,939 $18,111 +71% $19,342 +60% ≈59% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $30,891 $30,891 $26,862 +15% $29,031 +6% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $30,881 $30,881 $28,020 +10% $33,165 −7% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $30,851 $30,851 $27,058 +14% $30,394 +2% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $30,755 $30,755 $31,619 −3% $48,682 −37% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $30,736 $30,736 $20,766 +48% $28,527 +8% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $30,725 $30,725 $20,978 +46% $30,418 +1% —
375 DIGESTIVE MALIGNANCY WITH CC $30,720 $30,720 $19,141 +60% $27,219 +13% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $30,492 $30,492 $25,150 +21% $23,496 +30% ≈394% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $30,471 $30,471 $12,903 +136% $14,337 +113% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $30,322 $30,322 $45,618 −34% $65,254 −54% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $30,290 $30,290 $12,605 +140% $18,623 +63% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $30,214 $30,214 $15,411 +96% $18,918 +60% —
380 COMPLICATED PEPTIC ULCER WITH MCC $29,902 $29,902 $28,169 +6% $36,641 −18% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $29,738 $29,738 $15,242 +95% $18,133 +64% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $29,699 $29,699 $20,145 +47% $23,956 +24% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $29,672 $29,672 $16,076 +85% $20,968 +42% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $29,457 $29,457 $24,142 +22% $29,484 −0% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $29,384 $29,384 $14,464 +103% $18,253 +61% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $29,309 $29,309 $17,089 +72% $19,579 +50% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,242 $29,242 $20,672 +41% $23,723 +23% —
199 PNEUMOTHORAX WITH MCC $29,231 $29,231 $26,943 +8% $31,491 −7% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $29,102 $29,102 $20,513 +42% $25,426 +14% ≈409% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $29,023 $29,023 $20,702 +40% $27,118 +7% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $29,014 $29,014 $17,565 +65% $21,886 +33% ≈430% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $28,992 $28,992 $17,269 +68% $21,806 +33% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $28,986 $28,986 $19,075 +52% $26,322 +10% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $28,888 $28,888 $19,302 +50% $20,727 +39% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $28,851 $28,851 $23,634 +22% $24,465 +18% —
158 DENTAL AND ORAL DISEASES WITH CC $28,732 $28,732 $15,402 +87% $17,700 +62% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $28,631 $28,631 $26,383 +9% $23,396 +22% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $28,615 $28,615 $20,646 +39% $32,936 −13% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $28,584 $28,584 $15,519 +84% $18,204 +57% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $28,495 $28,495 $19,655 +45% $28,156 +1% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $28,388 $28,388 $15,684 +81% $20,777 +37% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $28,319 $28,319 $23,475 +21% $41,380 −32% —
304 HYPERTENSION WITH MCC $28,294 $28,294 $23,368 +21% $24,185 +17% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $28,287 $28,287 $16,402 +72% $22,713 +25% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $28,271 $28,271 $21,623 +31% $24,136 +17% ≈418% of Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $28,148 $28,148 $22,803 +23% $28,375 −1% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $28,083 $28,083 $13,184 +113% $14,444 +94% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $27,984 $27,984 $15,148 +85% $16,745 +67% ≈471% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $27,932 $27,932 $17,079 +64% $23,749 +18% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $27,872 $27,872 $14,635 +90% $19,569 +42% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $27,832 $27,832 $13,300 +109% $14,166 +96% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $27,708 $27,708 $16,575 +67% $22,781 +22% ≈474% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $27,424 $27,424 $17,505 +57% $25,162 +9% —
683 RENAL FAILURE WITH CC $27,218 $27,218 $18,011 +51% $18,620 +46% ≈422% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $27,198 $27,198 $14,668 +85% $15,869 +71% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $27,135 $27,135 $14,480 +87% $19,305 +41% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $27,044 $27,044 $20,766 +30% $20,732 +30% ≈512% of Medicare
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $26,968 $26,968 $12,931 +109% $16,654 +62% —
644 ENDOCRINE DISORDERS WITH CC $26,851 $26,851 $22,494 +19% $22,941 +17% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $26,799 $26,799 $13,648 +96% $17,273 +55% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $26,505 $26,505 $13,579 +95% $20,278 +31% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $26,450 $26,450 $15,703 +68% $21,213 +25% ≈437% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $26,402 $26,402 $23,467 +13% $23,141 +14% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $26,363 $26,363 $10,316 +156% $11,955 +121% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $26,310 $26,310 $28,559 −8% $29,524 −11% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $26,007 $26,007 $15,591 +67% $19,326 +35% —
123 NEUROLOGICAL EYE DISORDERS $26,000 $26,000 $13,618 +91% $17,831 +46% —
103 HEADACHES WITHOUT MCC $25,955 $25,955 $14,229 +82% $20,111 +29% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $25,934 $25,934 $13,813 +88% $19,483 +33% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $25,922 $25,922 $14,358 +81% $19,096 +36% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $25,832 $25,832 $15,734 +64% $21,449 +20% —
305 HYPERTENSION WITHOUT MCC $25,714 $25,714 $20,359 +26% $17,144 +50% —
149 DYSEQUILIBRIUM $25,712 $25,712 $16,163 +59% $17,203 +49% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $25,527 $25,527 $17,354 +47% $19,868 +28% —
204 RESPIRATORY SIGNS AND SYMPTOMS $25,431 $25,431 $13,720 +85% $16,866 +51% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $25,415 $25,415 $14,776 +72% $21,261 +20% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $25,346 $25,346 $13,288 +91% $15,858 +60% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $25,286 $25,286 $40,157 −37% $57,855 −56% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $25,251 $25,251 $15,613 +62% $23,571 +7% —
864 FEVER AND INFLAMMATORY CONDITIONS $25,235 $25,235 $22,978 +10% $17,412 +45% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $25,058 $25,058 $26,167 −4% $32,538 −23% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $25,039 $25,039 $12,120 +107% $14,012 +79% —
176 PULMONARY EMBOLISM WITHOUT MCC $25,036 $25,036 $13,765 +82% $18,081 +38% —
090 CONCUSSION WITHOUT CC/MCC $25,003 $25,003 $14,321 +75% $14,873 +68% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $24,888 $24,888 $39,827 −38% $50,919 −51% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $24,808 $24,808 $14,180 +75% $16,049 +55% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $24,781 $24,781 $13,884 +78% $19,815 +25% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $24,775 $24,775 $12,235 +102% $12,279 +102% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $24,658 $24,658 $23,545 +5% $31,059 −21% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $24,649 $24,649 $13,542 +82% $17,700 +39% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $24,542 $24,542 $13,002 +89% $16,776 +46% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $24,408 $24,408 $15,897 +54% $20,488 +19% ≈62% of Medicare
638 DIABETES WITH CC $24,377 $24,377 $15,709 +55% $18,821 +30% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $24,166 $24,166 $14,795 +63% $18,803 +29% ≈458% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $24,115 $24,115 $13,719 +76% $18,002 +34% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $24,104 $24,104 $13,747 +75% $17,322 +39% ≈62% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $24,068 $24,068 $18,935 +27% $17,522 +37% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $24,012 $24,012 $11,501 +109% $14,208 +69% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $23,968 $23,968 $16,633 +44% $16,865 +42% ≈415% of Medicare
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $23,780 $23,780 $13,806 +72% $18,150 +31% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $23,649 $23,649 $20,217 +17% $23,115 +2% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $23,552 $23,552 $12,609 +87% $16,104 +46% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $23,537 $23,537 $14,627 +61% $19,854 +19% —
791 PREMATURITY WITH MAJOR PROBLEMS $23,302 $23,302 $28,338 −18% $39,563 −41% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $23,290 $23,290 $16,070 +45% $22,024 +6% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $23,185 $23,185 $14,171 +64% $20,084 +15% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $23,164 $23,164 $13,611 +70% $17,466 +33% ≈434% of Medicare
150 EPISTAXIS WITH MCC $23,101 $23,101 $20,913 +10% $21,133 +9% —
885 PSYCHOSES $22,634 $22,634 $18,995 +19% $21,489 +5% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $22,592 $22,592 $14,950 +51% $17,731 +27% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $22,550 $22,550 $17,159 +31% $17,943 +26% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $22,481 $22,481 $19,268 +17% $22,032 +2% —
693 URINARY STONES WITH MCC $22,373 $22,373 $22,278 +0% $22,525 −1% —
101 SEIZURES WITHOUT MCC $22,308 $22,308 $15,526 +44% $19,954 +12% ≈63% of Medicare
603 CELLULITIS WITHOUT MCC $22,286 $22,286 $14,626 +52% $18,530 +20% ≈56% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $22,267 $22,267 $11,177 +99% $15,070 +48% —
313 CHEST PAIN $22,144 $22,144 $13,168 +68% $15,962 +39% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $21,972 $21,972 $11,752 +87% $13,485 +63% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $21,795 $21,795 $20,139 +8% $26,020 −16% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $21,381 $21,381 $12,173 +76% $14,441 +48% —
597 MALIGNANT BREAST DISORDERS WITH MCC $21,228 $21,228 $25,994 −18% $31,846 −33% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $20,832 $20,832 $17,830 +17% $24,017 −13% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $20,686 $20,686 $22,516 −8% $31,062 −33% —
709 PENIS PROCEDURES WITH CC/MCC $20,680 $20,680 $32,359 −36% $34,535 −40% —
882 NEUROSES EXCEPT DEPRESSIVE $20,461 $20,461 $13,211 +55% $15,680 +30% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $20,411 $20,411 $11,276 +81% $13,824 +48% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $20,268 $20,268 $16,431 +23% $16,571 +22% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $20,019 $20,019 $14,055 +42% $14,055 +42% —
712 TESTES PROCEDURES WITHOUT CC/MCC $19,939 $19,939 $17,076 +17% $18,898 +6% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $19,926 $19,926 $11,510 +73% $14,368 +39% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $19,903 $19,903 $12,855 +55% $13,892 +43% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $19,570 $19,570 $15,808 +24% $22,560 −13% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $19,335 $19,335 $13,911 +39% $15,876 +22% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $19,266 $19,266 $16,067 +20% $17,388 +11% ≈524% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $19,237 $19,237 $25,478 −24% $35,014 −45% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $19,076 $19,076 $15,183 +26% $19,287 −1% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $19,068 $19,068 $17,555 +9% $18,459 +3% —
920 COMPLICATIONS OF TREATMENT WITH CC $18,950 $18,950 $16,379 +16% $21,181 −11% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $18,884 $18,884 $16,382 +15% $18,017 +5% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $18,783 $18,783 $17,603 +7% $19,091 −2% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $18,708 $18,708 $13,506 +39% $17,727 +6% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $18,677 $18,677 $14,405 +30% $17,367 +8% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $18,363 $18,363 $26,545 −31% $32,483 −43% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $18,136 $18,136 $10,456 +73% $13,384 +35% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $17,922 $17,922 $12,204 +47% $13,303 +35% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $17,860 $17,860 $15,217 +17% $18,608 −4% —
541 OSTEOMYELITIS WITHOUT CC/MCC $17,445 $17,445 $13,738 +27% $14,549 +20% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $17,435 $17,435 $22,628 −23% $24,450 −29% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $17,435 $17,435 $13,876 +26% $15,370 +13% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $17,327 $17,327 $12,253 +41% $15,072 +15% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,320 $17,320 $17,043 +2% $24,452 −29% —
684 RENAL FAILURE WITHOUT CC/MCC $17,253 $17,253 $11,077 +56% $13,623 +27% —
381 COMPLICATED PEPTIC ULCER WITH CC $16,917 $16,917 $17,329 −2% $24,177 −30% —
594 SKIN ULCERS WITHOUT CC/MCC $16,855 $16,855 $14,209 +19% $14,209 +19% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $16,752 $16,752 $12,453 +35% $15,607 +7% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $16,610 $16,610 $14,226 +17% $17,715 −6% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $16,607 $16,607 $15,311 +8% $16,642 −0% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $16,585 $16,585 $11,294 +47% $12,013 +38% —
835 ACUTE LEUKEMIA WITH CC $16,507 $16,507 $30,915 −47% $35,569 −54% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $16,370 $16,370 $11,894 +38% $14,880 +10% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $16,336 $16,336 $13,799 +18% $16,837 −3% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $16,080 $16,080 $14,778 +9% $17,103 −6% —
549 SEPTIC ARTHRITIS WITH CC $15,964 $15,964 $18,835 −15% $20,938 −24% —
639 DIABETES WITHOUT CC/MCC $15,923 $15,923 $14,668 +9% $13,910 +14% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,890 $15,890 $17,197 −8% $19,073 −17% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $15,822 $15,822 $27,668 −43% $32,981 −52% —
607 MINOR SKIN DISORDERS WITHOUT MCC $15,816 $15,816 $14,410 +10% $15,284 +3% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $15,746 $15,746 $27,647 −43% $30,766 −49% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $15,682 $15,682 $18,707 −16% $20,421 −23% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $15,645 $15,645 $14,937 +5% $15,077 +4% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $15,629 $15,629 $13,602 +15% $19,001 −18% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,196 $15,196 $12,314 +23% $15,600 −3% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $15,041 $15,041 $11,355 +32% $13,090 +15% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $14,955 $14,955 $11,454 +31% $14,128 +6% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,771 $14,771 $26,677 −45% $29,476 −50% —
534 FRACTURES OF FEMUR WITHOUT MCC $14,693 $14,693 $13,759 +7% $17,195 −15% —
915 ALLERGIC REACTIONS WITH MCC $14,614 $14,614 $25,750 −43% $30,944 −53% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $14,528 $14,528 $21,670 −33% $30,930 −53% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $14,446 $14,446 $17,768 −19% $19,317 −25% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $14,362 $14,362 $14,343 +0% $13,318 +8% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $14,327 $14,327 $10,975 +31% $10,975 +31% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,302 $14,302 $14,675 −3% $15,045 −5% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,081 $14,081 $14,081 +0% $17,226 −18% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $13,815 $13,815 $10,563 +31% $12,044 +15% —
201 PNEUMOTHORAX WITHOUT CC/MCC $13,359 $13,359 $11,982 +11% $13,081 +2% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $13,320 $13,320 $13,602 −2% $18,238 −27% —
916 ALLERGIC REACTIONS WITHOUT MCC $13,100 $13,100 $13,100 +0% $13,890 −6% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,909 $12,909 $12,431 +4% $14,473 −11% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,775 $12,775 $15,986 −20% $18,282 −30% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,505 $12,505 $12,505 +0% $12,895 −3% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,299 $12,299 $18,572 −34% $20,842 −41% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,946 $11,946 $11,458 +4% $14,134 −15% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,880 $11,880 $11,421 +4% $11,421 +4% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,514 $11,514 $17,947 −36% $23,350 −51% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,326 $11,326 $23,658 −52% $29,371 −61% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $11,084 $11,084 $16,990 −35% $20,309 −45% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $10,313 $10,313 $15,610 −34% $16,418 −37% —
303 ATHEROSCLEROSIS WITHOUT MCC $10,161 $10,161 $11,921 −15% $14,927 −32% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $9,891 $9,891 $10,337 −4% $11,633 −15% —
779 ABORTION WITHOUT D&C $9,416 $9,416 $12,637 −25% $15,327 −39% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $9,385 $9,385 $9,238 +2% $16,719 −44% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $9,101 $9,101 $10,773 −16% $12,381 −26% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $8,726 $8,726 $12,793 −32% $14,284 −39% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $8,027 $8,027 $10,553 −24% $9,385 −14% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $7,713 $7,713 $7,192 +7% $9,076 −15% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,504 $7,504 $25,121 −70% $29,409 −74% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,062 $7,062 $16,429 −57% $21,545 −67% —
947 SIGNS AND SYMPTOMS WITH MCC $7,018 $7,018 $19,887 −65% $25,474 −72% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $6,786 $6,786 $19,686 −66% $22,275 −70% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,565 $6,565 $7,548 −13% $7,961 −18% —
795 NORMAL NEWBORN $6,397 $6,397 $4,526 +41% $4,530 +41% —
157 DENTAL AND ORAL DISEASES WITH MCC $6,161 $6,161 $24,447 −75% $27,457 −78% —
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