Chickasaw Nation Medical Center (CNMC) — Pricing

797 procedures published in this hospital's Machine-Readable File (MRF) — 797 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 797
Lowest published price $3,032
Average published price $33,821
Highest published price $483,987

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 797 procedures

Published charges

Showing all 797 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.

DRG Description Published price vs. OK median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $483,987 $413,344 +17% $573,534 −16% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $362,617 $320,731 +13% $461,389 −21% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $306,087 $250,907 +22% $306,087 +0% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $276,951 $237,331 +17% $371,366 −25% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $184,103 $150,879 +22% $248,521 −26% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $171,028 $156,264 +9% $182,314 −6% —
007 LUNG TRANSPLANT $170,608 $140,478 +21% $170,608 +0% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $155,461 $155,461 +0% $194,769 −20% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $142,952 $124,403 +15% $196,346 −27% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $139,842 $126,523 +11% $164,641 −15% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $139,148 $139,148 +0% $208,939 −33% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,630 $119,623 +15% $142,326 −3% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $127,148 $98,882 +29% $188,171 −32% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $121,563 $113,379 +7% $121,563 +0% —
231 CORONARY BYPASS WITH PTCA WITH MCC $112,178 $85,426 +31% $147,227 −24% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $112,119 $112,119 +0% $153,282 −27% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $110,483 $95,245 +16% $144,774 −24% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $106,929 $106,929 +0% $148,686 −28% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $105,228 $82,946 +27% $105,228 +0% —
453 NO ACTIVE CODE DESCRIPTION $103,861 $103,861 +0% $103,861 +0% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $103,817 $66,864 +55% $144,569 −28% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,814 $94,884 +8% $143,242 −28% —
010 PANCREAS TRANSPLANT $99,940 $63,234 +58% $99,940 +0% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $99,339 $82,171 +21% $120,573 −18% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $94,742 $87,925 +8% $132,794 −29% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $94,288 $71,091 +33% $131,961 −29% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $92,883 $72,622 +28% $148,832 −38% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $91,253 $69,627 +31% $102,600 −11% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,681 $76,564 +17% $126,098 −29% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $89,353 $72,265 +24% $89,353 +0% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $89,209 $72,361 +23% $125,242 −29% —
222 NO ACTIVE CODE DESCRIPTION $86,864 $86,864 +0% $86,864 +0% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $86,661 $59,494 +46% $116,058 −25% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $86,542 $68,644 +26% $123,995 −30% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $86,459 $60,091 +44% $86,459 +0% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $84,844 $72,559 +17% $109,331 −22% —
006 LIVER TRANSPLANT WITHOUT MCC $84,407 $51,951 +62% $84,407 +0% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $83,192 $62,313 +34% $117,280 −29% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $83,090 $72,826 +14% $88,566 −6% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $82,731 $63,888 +29% $98,912 −16% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $82,458 $67,282 +23% $108,472 −24% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $82,102 $60,418 +36% $115,839 −29% —
028 SPINAL PROCEDURES WITH MCC $81,731 $57,312 +43% $113,077 −28% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $81,176 $74,479 +9% $98,260 −17% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $81,176 $53,485 +52% $81,176 +0% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $80,603 $67,157 +20% $113,855 −29% —
224 NO ACTIVE CODE DESCRIPTION $80,427 $80,427 +0% $80,427 +0% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $80,075 $57,489 +39% $103,455 −23% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $80,018 $38,163 +110% $80,018 +0% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $79,247 $60,369 +31% $112,062 −29% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $78,460 $70,718 +11% $96,192 −18% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $77,406 $74,701 +4% $107,355 −28% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $76,970 $54,616 +41% $106,778 −28% —
653 MAJOR BLADDER PROCEDURES WITH MCC $75,310 $54,911 +37% $104,583 −28% —
459 NO ACTIVE CODE DESCRIPTION $75,251 $75,251 +0% $75,251 +0% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $74,709 $74,709 +0% $106,057 −30% —
834 ACUTE LEUKEMIA WITH MCC $74,709 $70,851 +5% $85,566 −13% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $74,414 $68,634 +8% $105,899 −30% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $73,986 $62,470 +18% $101,618 −27% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $73,455 $73,455 +0% $102,128 −28% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $73,103 $46,473 +57% $89,207 −18% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $73,038 $63,721 +15% $101,576 −28% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,030 $62,020 +18% $90,401 −19% —
226 NO ACTIVE CODE DESCRIPTION $72,618 $72,618 +0% $72,618 +0% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $72,075 $52,703 +37% $102,573 −30% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $71,776 $57,531 +25% $111,320 −36% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $69,912 $55,309 +26% $99,943 −30% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $69,695 $66,980 +4% $99,423 −30% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $69,206 $64,196 +8% $96,507 −28% —
454 NO ACTIVE CODE DESCRIPTION $69,101 $69,101 +0% $69,101 +0% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $69,008 $59,547 +16% $80,793 −15% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $68,473 $53,247 +29% $93,390 −27% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $68,095 $65,601 +4% $77,055 −12% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,045 $50,127 +36% $93,238 −27% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $68,020 $54,752 +24% $93,172 −27% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $67,791 $67,791 +0% $96,905 −30% —
245 AICD GENERATOR PROCEDURES $66,564 $47,309 +41% $72,076 −8% —
471 CERVICAL SPINAL FUSION WITH MCC $66,189 $55,551 +19% $92,515 −28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $65,149 $45,495 +43% $90,724 −28% —
799 SPLENIC PROCEDURES WITH MCC $64,885 $56,958 +14% $82,218 −21% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $64,874 $46,591 +39% $90,775 −29% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $64,248 $52,018 +24% $92,217 −30% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $63,928 $56,308 +14% $87,761 −27% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,571 $46,796 +36% $91,329 −30% —
163 MAJOR CHEST PROCEDURES WITH MCC $63,017 $45,840 +37% $90,195 −30% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $62,992 $49,974 +26% $71,551 −12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,801 $47,032 +34% $90,331 −30% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $62,792 $58,250 +8% $88,050 −29% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $61,750 $46,799 +32% $76,001 −19% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $61,401 $45,098 +36% $84,692 −28% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $61,240 $45,518 +35% $88,307 −31% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $60,697 $60,190 +1% $70,177 −14% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $60,208 $48,875 +23% $86,970 −31% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $59,352 $31,670 +87% $59,352 +0% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $59,237 $59,237 +0% $83,441 −29% —
223 NO ACTIVE CODE DESCRIPTION $59,206 $62,706 −6% $59,206 +0% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $58,558 $51,762 +13% $82,561 −29% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $58,476 $43,598 +34% $101,510 −42% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $58,085 $43,139 +35% $60,098 −3% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $57,584 $42,803 +35% $72,962 −21% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $57,570 $34,531 +67% $77,990 −26% —
225 NO ACTIVE CODE DESCRIPTION $57,380 $57,380 +0% $57,380 +0% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $57,323 $26,237 +118% $18,649 +207% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $57,196 $37,612 +52% $85,159 −33% —
227 NO ACTIVE CODE DESCRIPTION $56,960 $56,960 +0% $56,960 +0% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $56,565 $36,013 +57% $82,247 −31% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $56,535 $51,550 +10% $73,120 −23% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $56,456 $47,461 +19% $79,836 −29% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $56,242 $38,482 +46% $56,242 +0% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $56,194 $51,412 +9% $81,998 −31% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $55,985 $50,631 +11% $79,225 −29% —
791 PREMATURITY WITH MAJOR PROBLEMS $55,887 $27,643 +102% $42,679 +31% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $54,898 $43,817 +25% $77,817 −29% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $54,862 $47,238 +16% $62,300 −12% —
652 KIDNEY TRANSPLANT $54,720 $35,233 +55% $54,720 +0% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $54,405 $40,949 +33% $71,795 −24% —
455 NO ACTIVE CODE DESCRIPTION $54,320 $54,320 +0% $56,836 −4% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $54,300 $50,725 +7% $61,832 −12% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $54,196 $31,737 +71% $54,196 +0% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $53,970 $49,323 +9% $79,116 −32% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $53,945 $35,791 +51% $78,852 −32% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $53,665 $48,838 +10% $76,219 −30% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $53,357 $44,168 +21% $66,685 −20% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $53,307 $48,741 +9% $59,594 −11% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $53,167 $35,340 +50% $75,573 −30% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $52,805 $42,618 +24% $75,103 −30% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $52,536 $39,348 +34% $74,755 −30% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $52,152 $47,988 +9% $74,257 −30% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,761 $30,328 +71% $61,470 −16% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $50,550 $50,550 +0% $68,639 −26% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $50,222 $50,222 +0% $71,755 −30% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $49,721 $37,950 +31% $66,711 −25% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $49,718 $40,118 +24% $59,533 −16% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $49,711 $41,839 +19% $71,092 −30% —
265 AICD LEAD PROCEDURES $49,492 $42,814 +16% $63,171 −22% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $49,285 $28,302 +74% $70,564 −30% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $49,015 $49,015 +0% $66,848 −27% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $49,003 $43,957 +11% $50,919 −4% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $48,887 $29,627 +65% $56,964 −14% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $48,670 $44,407 +10% $69,743 −30% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,655 $41,612 +17% $66,068 −26% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $48,637 $48,637 +0% $62,583 −22% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $48,557 $41,424 +17% $51,953 −7% —
332 RECTAL RESECTION WITH MCC $48,214 $39,662 +22% $58,125 −17% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $48,165 $46,164 +4% $52,036 −7% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $47,899 $35,891 +33% $71,014 −33% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $47,828 $37,171 +29% $68,653 −30% —
665 PROSTATECTOMY WITH MCC $47,758 $39,653 +20% $54,072 −12% —
252 OTHER VASCULAR PROCEDURES WITH MCC $47,717 $34,562 +38% $68,508 −30% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $47,649 $46,844 +2% $70,847 −33% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $47,403 $35,462 +34% $70,371 −33% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $47,218 $37,700 +25% $70,132 −33% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,760 $41,623 +12% $67,268 −30% —
037 EXTRACRANIAL PROCEDURES WITH MCC $46,296 $32,138 +44% $66,666 −31% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $46,049 $34,525 +33% $52,908 −13% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $45,618 $34,154 +34% $65,788 −31% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $45,498 $32,420 +40% $58,745 −23% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $45,479 $42,682 +7% $65,608 −31% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $44,977 $37,732 +19% $72,424 −38% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $44,783 $32,235 +39% $63,928 −30% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $44,663 $32,011 +40% $71,464 −38% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,584 $32,109 +39% $49,710 −10% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $44,472 $33,318 +33% $44,472 +0% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $44,389 $37,495 +18% $55,289 −20% —
500 SOFT TISSUE PROCEDURES WITH MCC $44,320 $38,926 +14% $61,872 −28% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $43,701 $27,943 +56% $65,573 −33% —
662 MINOR BLADDER PROCEDURES WITH MCC $43,683 $38,018 +15% $54,562 −20% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $43,510 $43,510 +0% $65,325 −33% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $43,330 $38,474 +13% $62,821 −31% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $43,247 $33,142 +30% $65,216 −34% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $43,218 $32,264 +34% $53,864 −20% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,021 $30,869 +39% $60,407 −29% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,891 $31,071 +38% $64,523 −34% —
460 NO ACTIVE CODE DESCRIPTION $42,725 $45,588 −6% $51,625 −17% —
570 SKIN DEBRIDEMENT WITH MCC $42,263 $40,434 +5% $52,435 −19% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $41,952 $35,020 +20% $46,402 −10% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $41,464 $40,853 +1% $58,228 −29% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $41,365 $37,428 +11% $65,653 −37% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $41,261 $41,261 +0% $60,170 −31% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,045 $34,563 +19% $51,608 −20% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $41,024 $32,382 +27% $70,467 −42% —
800 SPLENIC PROCEDURES WITH CC $41,012 $35,906 +14% $49,184 −17% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $40,991 $27,106 +51% $59,790 −31% —
472 CERVICAL SPINAL FUSION WITH CC $40,797 $37,272 +9% $59,537 −31% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,406 $29,958 +35% $59,031 −32% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,363 $35,706 +13% $58,975 −32% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,341 $30,737 +31% $61,217 −34% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $40,289 $30,237 +33% $49,839 −19% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $40,142 $27,123 +48% $81,706 −51% —
654 MAJOR BLADDER PROCEDURES WITH CC $39,822 $35,863 +11% $58,274 −32% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $39,644 $35,751 +11% $58,043 −32% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $39,606 $35,448 +12% $52,986 −25% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $38,709 $38,709 +0% $48,358 −20% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,646 $38,646 +0% $50,618 −24% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,581 $36,238 +6% $51,746 −25% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,454 $30,165 +27% $43,491 −12% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $38,281 $31,981 +20% $62,264 −39% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,166 $31,014 +23% $44,546 −14% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,027 $25,381 +50% $52,405 −27% —
263 VEIN LIGATION AND STRIPPING $38,005 $28,515 +33% $51,253 −26% —
849 RADIOTHERAPY $37,862 $27,544 +37% $37,862 +0% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $37,754 $36,692 +3% $47,945 −21% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $37,631 $34,739 +8% $44,222 −15% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $37,588 $30,124 +25% $48,687 −23% —
503 FOOT PROCEDURES WITH MCC $37,544 $35,170 +7% $47,540 −21% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $37,509 $27,829 +35% $41,422 −9% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $37,242 $31,049 +20% $54,929 −32% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $37,153 $28,159 +32% $46,453 −20% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $36,791 $33,327 +10% $45,167 −19% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $36,735 $29,507 +24% $52,178 −30% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $36,339 $32,058 +13% $38,878 −7% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,329 $26,283 +38% $57,454 −37% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $36,267 $35,631 +2% $58,707 −38% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,097 $30,742 +17% $39,173 −8% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,990 $30,973 +16% $40,362 −11% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $35,964 $27,679 +30% $49,423 −27% —
164 MAJOR CHEST PROCEDURES WITH CC $35,862 $23,218 +54% $56,755 −37% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,694 $28,722 +24% $39,973 −11% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $35,670 $29,423 +21% $55,162 −35% —
397 APPENDIX PROCEDURES WITH MCC $35,353 $24,925 +42% $53,257 −34% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,224 $27,813 +27% $54,583 −35% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $34,988 $15,564 +125% $12,229 +186% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $34,970 $27,532 +27% $51,985 −33% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $34,708 $31,373 +11% $59,421 −42% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,586 $30,871 +12% $50,046 −31% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $34,487 $28,288 +22% $42,186 −18% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $34,357 $25,747 +33% $59,651 −42% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,307 $34,307 +0% $47,583 −28% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,307 $22,748 +51% $41,620 −18% —
248 NO ACTIVE CODE DESCRIPTION $34,146 $34,146 +0% $34,146 +0% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $34,039 $30,380 +12% $53,451 −36% —
246 NO ACTIVE CODE DESCRIPTION $33,983 $33,983 +0% $33,983 +0% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $33,920 $32,885 +3% $50,624 −33% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $33,912 $25,200 +35% $40,548 −16% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,872 $30,993 +9% $59,500 −43% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,823 $22,415 +51% $50,498 −33% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,546 $26,098 +29% $50,139 −33% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,308 $28,152 +18% $36,489 −9% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $33,237 $28,214 +18% $40,060 −17% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $33,209 $26,268 +26% $59,629 −44% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $33,155 $26,358 +26% $50,394 −34% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $32,969 $25,692 +28% $40,108 −18% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $32,919 $22,510 +46% $39,181 −16% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,829 $25,264 +30% $42,415 −23% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $32,773 $26,429 +24% $48,349 −32% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $32,719 $20,608 +59% $49,066 −33% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $32,604 $25,539 +28% $41,892 −22% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $32,504 $26,809 +21% $38,998 −17% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,503 $22,089 +47% $49,418 −34% —
113 ORBITAL PROCEDURES WITH CC/MCC $32,482 $24,270 +34% $36,167 −10% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,433 $25,683 +26% $50,011 −35% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $32,423 $24,955 +30% $48,682 −33% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,385 $21,746 +49% $47,737 −32% —
709 PENIS PROCEDURES WITH CC/MCC $32,359 $32,317 +0% $34,535 −6% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,168 $22,233 +45% $47,789 −33% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $32,077 $28,401 +13% $45,866 −30% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $31,920 $21,886 +46% $46,283 −31% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,740 $26,162 +21% $41,608 −24% —
935 NON-EXTENSIVE BURNS $31,701 $21,407 +48% $31,701 +0% —
906 HAND PROCEDURES FOR INJURIES $31,520 $23,238 +36% $32,065 −2% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $31,474 $22,530 +40% $45,333 −31% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,349 $23,374 +34% $42,901 −27% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $31,193 $24,290 +28% $45,877 −32% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,144 $16,729 +86% $38,666 −19% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $31,079 $21,888 +42% $37,267 −17% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $31,044 $21,485 +44% $31,044 +0% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $31,025 $30,205 +3% $38,070 −19% —
835 ACUTE LEUKEMIA WITH CC $30,915 $26,770 +15% $35,569 −13% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $30,914 $29,176 +6% $46,727 −34% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $30,912 $24,496 +26% $46,724 −34% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $30,860 $25,199 +22% $42,906 −28% —
333 RECTAL RESECTION WITH CC $30,778 $20,258 +52% $37,154 −17% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $30,721 $21,541 +43% $49,351 −38% —
595 MAJOR SKIN DISORDERS WITH MCC $30,646 $20,595 +49% $34,598 −11% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,609 $25,279 +21% $50,463 −39% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,598 $20,421 +50% $39,958 −23% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,598 $30,598 +0% $43,650 −30% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,555 $23,107 +32% $58,280 −48% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $30,486 $24,613 +24% $42,795 −29% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $30,404 $30,404 +0% $46,066 −34% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $30,326 $21,394 +42% $33,851 −10% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $30,155 $21,374 +41% $43,174 −30% —
338 NO ACTIVE CODE DESCRIPTION $30,138 $30,138 +0% $30,138 +0% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,124 $27,682 +9% $52,751 −43% —
592 SKIN ULCERS WITH MCC $29,882 $23,449 +27% $33,246 −10% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $29,767 $20,267 +47% $35,030 −15% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $29,518 $25,012 +18% $31,134 −5% —
539 OSTEOMYELITIS WITH MCC $29,443 $29,443 +0% $37,609 −22% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $29,374 $28,752 +2% $42,914 −32% —
548 SEPTIC ARTHRITIS WITH MCC $29,341 $28,872 +2% $31,346 −6% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $29,314 $21,986 +33% $32,031 −8% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $29,304 $21,715 +35% $46,090 −36% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $29,131 $28,013 +4% $44,363 −34% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $29,127 $26,159 +11% $43,943 −34% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,109 $19,505 +49% $29,611 −2% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $29,012 $27,532 +5% $39,106 −26% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,993 $27,360 +6% $36,249 −20% —
100 SEIZURES WITH MCC $28,961 $26,892 +8% $35,481 −18% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $28,958 $19,292 +50% $32,574 −11% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,868 $22,499 +28% $43,913 −34% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,801 $28,058 +3% $43,800 −34% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,787 $24,007 +20% $44,139 −35% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,703 $25,055 +15% $43,631 −34% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $28,660 $15,729 +82% $35,628 −20% ≈90% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $28,648 $21,194 +35% $43,538 −34% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,621 $16,583 +73% $40,213 −29% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $28,573 $17,649 +62% $39,955 −28% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $28,559 $21,312 +34% $29,524 −3% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $28,555 $19,865 +44% $38,861 −27% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $28,381 $23,728 +20% $43,080 −34% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $28,350 $24,663 +15% $37,240 −24% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,264 $26,625 +6% $42,881 −34% —
380 COMPLICATED PEPTIC ULCER WITH MCC $28,169 $27,073 +4% $39,627 −29% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,020 $23,570 +19% $34,459 −19% —
711 TESTES PROCEDURES WITH CC/MCC $27,991 $25,790 +9% $38,343 −27% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,823 $18,080 +54% $42,126 −34% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,823 $19,137 +45% $40,562 −31% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $27,767 $21,071 +32% $36,431 −24% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $27,729 $12,729 +118% $33,985 −18% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $27,695 $18,628 +49% $33,255 −17% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $27,668 $17,671 +57% $37,844 −27% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,666 $27,666 +0% $50,607 −45% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $27,664 $23,002 +20% $47,711 −42% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $27,647 $17,908 +54% $32,637 −15% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $27,401 $22,974 +19% $36,792 −26% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $27,387 $17,878 +53% $46,340 −41% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,287 $16,452 +66% $33,047 −17% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $27,276 $19,915 +37% $36,670 −26% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $27,256 $14,941 +82% $23,206 +17% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,152 $19,230 +41% $30,243 −10% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,058 $20,804 +30% $32,859 −18% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $26,986 $15,690 +72% $40,694 −34% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,921 $24,168 +11% $43,298 −38% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,909 $17,800 +51% $40,642 −34% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $26,903 $20,895 +29% $40,552 −34% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $26,875 $18,054 +49% $37,950 −29% —
919 COMPLICATIONS OF TREATMENT WITH MCC $26,862 $14,296 +88% $31,105 −14% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,853 $23,064 +16% $37,387 −28% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,794 $26,794 +0% $40,365 −34% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $26,792 $22,616 +18% $37,842 −29% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $26,677 $20,164 +32% $32,433 −18% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $26,676 $17,490 +53% $58,809 −55% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $26,617 $19,157 +39% $41,591 −36% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $26,590 $12,130 +119% $16,351 +63% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $26,510 $11,826 +124% $26,510 +0% —
501 SOFT TISSUE PROCEDURES WITH CC $26,358 $21,864 +21% $39,619 −33% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $26,308 $22,004 +20% $52,075 −49% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $26,307 $23,851 +10% $31,159 −16% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $26,296 $18,637 +41% $39,515 −33% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $26,242 $20,034 +31% $34,276 −23% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $26,206 $22,110 +19% $38,101 −31% —
199 PNEUMOTHORAX WITH MCC $26,106 $14,424 +81% $33,787 −23% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $26,007 $20,655 +26% $39,020 −33% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,006 $23,439 +11% $39,018 −33% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $25,994 $19,383 +34% $30,553 −15% —
509 ARTHROSCOPY $25,994 $22,130 +17% $25,994 +0% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,994 $17,055 +52% $33,386 −22% —
504 FOOT PROCEDURES WITH CC $25,972 $19,745 +32% $38,960 −33% —
505 FOOT PROCEDURES WITHOUT CC/MCC $25,972 $24,302 +7% $34,937 −26% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $25,923 $18,177 +43% $35,849 −28% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,899 $16,266 +59% $38,836 −33% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $25,881 $19,112 +35% $33,555 −23% —
180 RESPIRATORY NEOPLASMS WITH MCC $25,879 $21,748 +19% $36,658 −29% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $25,761 $15,566 +65% $31,951 −19% —
915 ALLERGIC REACTIONS WITH MCC $25,750 $19,852 +30% $32,645 −21% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,727 $18,905 +36% $32,443 −21% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $25,633 $18,924 +35% $29,826 −14% —
341 NO ACTIVE CODE DESCRIPTION $25,628 $25,628 +0% $25,628 +0% —
671 URETHRAL PROCEDURES WITH CC/MCC $25,566 $19,673 +30% $27,233 −6% —
075 VIRAL MENINGITIS WITH CC/MCC $25,549 $18,005 +42% $30,447 −16% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $25,466 $17,404 +46% $38,094 −33% —
551 MEDICAL BACK PROBLEMS WITH MCC $25,341 $25,341 +0% $34,017 −26% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $25,272 $19,743 +28% $43,477 −42% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $25,176 $18,194 +38% $32,944 −24% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,133 $17,619 +43% $29,079 −14% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $25,121 $17,579 +43% $31,563 −20% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $25,056 $12,408 +102% $34,273 −27% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $25,010 $16,359 +53% $32,496 −23% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $24,928 $20,893 +19% $29,916 −17% —
571 SKIN DEBRIDEMENT WITH CC $24,925 $20,709 +20% $37,169 −33% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $24,871 $13,180 +89% $26,682 −7% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,869 $21,507 +16% $33,876 −27% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $24,851 $20,786 +20% $29,126 −15% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,846 $18,324 +36% $34,607 −28% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,787 $12,857 +93% $32,628 −24% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $24,771 $21,521 +15% $29,316 −16% —
334 RECTAL RESECTION WITHOUT CC/MCC $24,721 $17,819 +39% $36,820 −33% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,718 $21,170 +17% $44,606 −45% —
643 ENDOCRINE DISORDERS WITH MCC $24,704 $13,875 +78% $33,563 −26% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $24,687 $24,687 +0% $34,192 −28% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $24,622 $18,936 +30% $44,117 −44% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $24,586 $19,892 +24% $25,197 −2% —
666 PROSTATECTOMY WITH CC $24,574 $19,204 +28% $31,906 −23% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $24,514 $17,070 +44% $35,831 −32% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $24,502 $21,294 +15% $36,445 −33% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $24,497 $16,121 +52% $30,828 −21% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $24,475 $12,890 +90% $30,235 −19% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $24,458 $14,750 +66% $33,661 −27% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $24,448 $21,137 +16% $36,354 −33% —
157 DENTAL AND ORAL DISEASES WITH MCC $24,447 $17,411 +40% $31,300 −22% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $24,302 $12,248 +98% $27,633 −12% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,292 $18,896 +29% $28,202 −14% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $24,282 $13,466 +80% $27,617 −12% —
913 TRAUMATIC INJURY WITH MCC $24,198 $18,375 +32% $24,198 +0% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,189 $13,410 +80% $27,316 −11% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $24,174 $15,367 +57% $33,707 −28% ≈85% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $24,107 $15,326 +57% $35,770 −33% —
606 MINOR SKIN DISORDERS WITH MCC $24,094 $20,594 +17% $27,975 −14% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $24,061 $17,232 +40% $35,692 −33% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $23,998 $14,897 +61% $35,584 −33% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,921 $23,921 +0% $35,453 −33% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,902 $19,053 +25% $35,419 −33% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $23,876 $18,442 +29% $39,006 −39% —
945 REHABILITATION WITH CC/MCC $23,834 $11,933 +100% $23,834 +0% —
183 MAJOR CHEST TRAUMA WITH MCC $23,796 $12,207 +95% $29,933 −21% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,784 $20,807 +14% $41,955 −43% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $23,703 $18,163 +31% $35,074 −32% —
186 PLEURAL EFFUSION WITH MCC $23,701 $12,717 +86% $33,834 −30% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,658 $23,626 +0% $32,697 −28% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $23,602 $17,007 +39% $34,906 −32% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $23,560 $14,998 +57% $33,653 −30% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $23,545 $13,823 +70% $33,633 −30% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,510 $21,202 +11% $34,749 −32% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $23,475 $15,651 +50% $46,295 −49% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,326 $23,326 +0% $34,434 −32% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $23,307 $22,824 +2% $32,877 −29% —
813 COAGULATION DISORDERS $23,285 $13,514 +72% $33,296 −30% —
669 TRANSURETHRAL PROCEDURES WITH CC $23,279 $16,963 +37% $34,354 −32% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $23,263 $15,890 +46% $24,550 −5% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $23,257 $17,089 +36% $26,598 −13% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,254 $12,170 +91% $30,010 −23% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,118 $20,366 +14% $39,211 −41% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $23,065 $18,743 +23% $25,703 −10% —
663 MINOR BLADDER PROCEDURES WITH CC $23,018 $20,339 +13% $33,103 −30% —
533 FRACTURES OF FEMUR WITH MCC $22,986 $18,220 +26% $25,945 −11% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,893 $14,334 +60% $33,694 −32% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $22,882 $16,350 +40% $33,674 −32% —
398 APPENDIX PROCEDURES WITH CC $22,834 $15,755 +45% $40,162 −43% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $22,791 $16,476 +38% $30,770 −26% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $22,783 $18,296 +25% $33,454 −32% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,780 $21,758 +5% $29,221 −22% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,735 $17,263 +32% $33,424 −32% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $22,721 $16,503 +38% $36,505 −38% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $22,714 $15,821 +44% $36,253 −37% —
682 RENAL FAILURE WITH MCC $22,687 $15,310 +48% $29,064 −22% —
710 PENIS PROCEDURES WITHOUT CC/MCC $22,681 $21,400 +6% $26,436 −14% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $22,664 $14,775 +53% $27,394 −17% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $22,651 $17,289 +31% $30,502 −26% —
506 MAJOR THUMB OR JOINT PROCEDURES $22,651 $16,340 +39% $30,557 −26% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,628 $15,966 +42% $24,586 −8% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $22,568 $20,646 +9% $33,393 −32% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,516 $17,470 +29% $33,048 −32% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,477 $21,322 +5% $28,140 −20% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $22,435 $18,300 +23% $36,988 −39% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $22,353 $10,317 +117% $8,445 +165% —
865 VIRAL ILLNESS WITH MCC $22,350 $18,804 +19% $26,910 −17% —
693 URINARY STONES WITH MCC $22,278 $17,257 +29% $23,892 −7% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,272 $22,272 +0% $30,571 −27% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,265 $18,918 +18% $25,073 −11% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $22,265 $20,689 +8% $26,463 −16% —
602 CELLULITIS WITH MCC $22,262 $20,839 +7% $30,598 −27% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $22,189 $21,069 +5% $29,743 −25% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $22,175 $16,349 +36% $31,170 −29% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $22,167 $22,079 +0% $32,451 −32% —
637 DIABETES WITH MCC $22,095 $18,353 +20% $30,100 −27% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $22,077 $15,439 +43% $24,941 −11% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $21,986 $14,727 +49% $21,986 +0% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $21,961 $18,424 +19% $32,100 −32% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $21,908 $16,844 +30% $22,525 −3% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $21,873 $16,121 +36% $26,932 −19% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $21,795 $17,345 +26% $35,465 −39% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $21,793 $19,109 +14% $32,833 −34% —
247 NO ACTIVE CODE DESCRIPTION $21,663 $21,663 +0% $21,663 +0% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $21,642 $16,871 +28% $27,808 −22% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $21,615 $14,135 +53% $22,620 −4% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,563 $18,737 +15% $26,280 −18% —
088 CONCUSSION WITH MCC $21,503 $16,159 +33% $24,402 −12% —
885 PSYCHOSES $21,489 $12,762 +68% $21,729 −1% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $21,483 $12,480 +72% $30,959 −31% —
811 RED BLOOD CELL DISORDERS WITH MCC $21,454 $15,254 +41% $28,226 −24% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $21,427 $18,934 +13% $39,887 −46% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,381 $18,480 +16% $22,393 −5% —
137 MOUTH PROCEDURES WITH CC/MCC $21,346 $17,894 +19% $27,861 −23% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,328 $18,515 +15% $31,017 −31% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $21,277 $15,472 +38% $27,119 −22% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,240 $14,857 +43% $27,285 −22% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,228 $16,110 +32% $25,094 −15% —
150 EPISTAXIS WITH MCC $21,133 $19,047 +11% $23,171 −9% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,022 $18,424 +14% $30,493 −31% —
139 SALIVARY GLAND PROCEDURES $21,014 $13,584 +55% $23,612 −11% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,980 $16,458 +27% $20,980 +0% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $20,978 $15,748 +33% $30,418 −31% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $20,875 $14,930 +40% $30,242 −31% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,782 $19,796 +5% $30,083 −31% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,766 $12,679 +64% $29,949 −31% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,702 $19,160 +8% $27,152 −24% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,672 $15,698 +32% $24,127 −14% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $20,619 $20,076 +3% $29,805 −31% —
249 NO ACTIVE CODE DESCRIPTION $20,610 $20,610 +0% $20,610 +0% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $20,586 $15,198 +35% $31,264 −34% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,513 $16,919 +21% $27,543 −26% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,497 $16,936 +21% $32,841 −38% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $20,455 $12,744 +61% $24,552 −17% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $20,430 $13,299 +54% $25,463 −20% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $20,296 $15,116 +34% $27,275 −26% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,295 $16,583 +22% $36,937 −45% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,217 $14,095 +43% $27,043 −25% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,145 $18,392 +10% $26,051 −23% —
291 HEART FAILURE AND SHOCK WITH MCC $20,129 $12,420 +62% $26,776 −25% ≈94% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,117 $13,658 +47% $21,894 −8% —
540 OSTEOMYELITIS WITH CC $19,990 $18,365 +9% $26,676 −25% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,945 $19,945 +0% $22,811 −13% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,930 $18,431 +8% $27,989 −29% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $19,916 $14,931 +33% $25,748 −23% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,911 $14,578 +37% $26,870 −26% —
947 SIGNS AND SYMPTOMS WITH MCC $19,887 $17,151 +16% $27,401 −27% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,865 $15,403 +29% $28,050 −29% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $19,686 $15,789 +25% $19,686 +0% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,686 $13,306 +48% $23,498 −16% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,655 $19,655 +0% $28,156 −30% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,637 $13,086 +50% $28,125 −30% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,602 $14,516 +35% $27,426 −29% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,581 $14,194 +38% $22,320 −12% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,533 $14,864 +31% $27,947 −30% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,357 $15,182 +28% $27,297 −29% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,354 $14,428 +34% $19,354 +0% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $19,350 $16,078 +20% $22,851 −15% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $19,302 $12,445 +55% $20,727 −7% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,268 $11,826 +63% $22,458 −14% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,267 $13,997 +38% $28,320 −32% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,254 $14,929 +29% $26,580 −28% ≈93% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,183 $12,757 +50% $19,270 −0% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,169 $16,779 +14% $27,323 −30% —
375 DIGESTIVE MALIGNANCY WITH CC $19,141 $11,826 +62% $27,277 −30% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,132 $14,197 +35% $19,132 +0% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,075 $13,136 +45% $27,163 −30% —
593 SKIN ULCERS WITH CC $19,063 $10,759 +77% $22,886 −17% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,017 $12,194 +56% $25,581 −26% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,949 $15,652 +21% $26,948 −30% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,845 $13,237 +42% $26,770 −30% —
549 SEPTIC ARTHRITIS WITH CC $18,835 $15,414 +22% $24,056 −22% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,752 $18,771 −0% $30,784 −39% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,707 $18,029 +4% $21,847 −14% —
887 OTHER MENTAL DISORDER DIAGNOSES $18,631 $11,944 +56% $20,616 −10% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,572 $12,562 +48% $25,712 −28% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,536 $16,902 +10% $19,598 −5% —
339 NO ACTIVE CODE DESCRIPTION $18,474 $18,474 +0% $18,474 +0% —
304 HYPERTENSION WITH MCC $18,442 $11,979 +54% $26,080 −29% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,383 $10,576 +74% $23,617 −22% —
302 ATHEROSCLEROSIS WITH MCC $18,292 $11,967 +53% $22,446 −19% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,291 $13,162 +39% $19,412 −6% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,290 $12,334 +48% $23,443 −22% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $18,260 $13,273 +38% $21,230 −14% —
102 HEADACHES WITH MCC $18,243 $14,121 +29% $25,740 −29% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,220 $11,826 +54% $25,700 −29% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,191 $11,826 +54% $25,652 −29% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,133 $12,120 +50% $18,133 +0% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $18,038 $15,542 +16% $25,390 −29% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,021 $16,570 +9% $24,944 −28% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,973 $16,292 +10% $25,279 −29% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,967 $10,950 +64% $26,618 −33% —
152 OTITIS MEDIA AND URI WITH MCC $17,922 $15,287 +17% $20,247 −11% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $17,832 $14,519 +23% $24,566 −27% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,830 $12,115 +47% $25,034 −29% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $17,780 $11,826 +50% $31,321 −43% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,770 $12,954 +37% $24,386 −27% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $17,768 $12,060 +47% $19,815 −10% —
946 REHABILITATION WITHOUT CC/MCC $17,685 $8,837 +100% $17,685 +0% —
181 RESPIRATORY NEOPLASMS WITH CC $17,604 $14,326 +23% $23,573 −25% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $17,602 $14,069 +25% $18,459 −5% —
200 PNEUMOTHORAX WITH CC $17,568 $11,903 +48% $21,368 −18% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,544 $15,106 +16% $24,544 −29% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $17,505 $12,214 +43% $27,843 −37% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,483 $13,509 +29% $17,483 +0% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $17,398 $12,744 +37% $17,398 +0% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,354 $11,554 +50% $20,926 −17% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,337 $11,978 +45% $32,021 −46% —
381 COMPLICATED PEPTIC ULCER WITH CC $17,329 $13,597 +27% $24,177 −28% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,269 $13,536 +28% $23,319 −26% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,226 $11,826 +46% $17,226 +0% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,209 $15,161 +14% $22,314 −23% —
949 AFTERCARE WITH CC/MCC $17,198 $17,135 +0% $23,953 −28% —
598 MALIGNANT BREAST DISORDERS WITH CC $17,197 $12,065 +43% $19,073 −10% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $17,193 $11,826 +45% $17,193 +0% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $17,159 $12,395 +38% $18,956 −9% —
089 CONCUSSION WITH CC $17,109 $11,789 +45% $18,821 −9% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,089 $14,691 +16% $20,422 −16% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $17,079 $14,100 +21% $23,749 −28% —
712 TESTES PROCEDURES WITHOUT CC/MCC $17,076 $11,826 +44% $18,898 −10% —
184 MAJOR CHEST TRAUMA WITH CC $17,057 $10,391 +64% $22,432 −24% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $16,963 $11,689 +45% $23,551 −28% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,935 $12,342 +37% $24,914 −32% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,872 $13,037 +29% $23,488 −28% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,857 $11,826 +43% $20,232 −17% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,847 $13,903 +21% $19,657 −14% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,823 $11,826 +42% $22,763 −26% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,723 $13,383 +25% $23,141 −28% —
644 ENDOCRINE DISORDERS WITH CC $16,607 $9,885 +68% $23,198 −28% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,575 $12,479 +33% $22,888 −28% ≈99% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,553 $10,681 +55% $22,850 −28% —
667 PROSTATECTOMY WITHOUT CC/MCC $16,534 $13,033 +27% $16,703 −1% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,518 $12,373 +34% $25,970 −36% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,495 $12,500 +32% $18,348 −10% —
342 NO ACTIVE CODE DESCRIPTION $16,487 $16,487 +0% $16,487 +0% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $16,434 $11,826 +39% $22,557 −27% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,431 $11,352 +45% $21,275 −23% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,431 $12,431 +32% $17,601 −7% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $16,429 $11,826 +39% $22,506 −27% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,427 $14,487 +13% $22,635 −27% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $16,423 $11,267 +46% $20,901 −21% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,402 $11,923 +38% $25,303 −35% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,392 $15,227 +8% $23,940 −32% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,382 $11,408 +44% $19,264 −15% —
920 COMPLICATIONS OF TREATMENT WITH CC $16,379 $14,272 +15% $22,468 −27% —
187 PLEURAL EFFUSION WITH CC $16,225 $11,826 +37% $21,789 −26% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,213 $14,097 +15% $17,737 −9% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,212 $11,826 +37% $16,212 +0% —
697 URETHRAL STRICTURE $16,196 $11,826 +37% $18,428 −12% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,171 $11,325 +43% $20,957 −23% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,146 $11,167 +45% $17,698 −9% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $16,076 $12,812 +25% $22,033 −27% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $16,070 $15,343 +5% $22,024 −27% —
197 INTERSTITIAL LUNG DISEASE WITH CC $16,043 $15,113 +6% $21,941 −27% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,990 $9,695 +65% $22,098 −28% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,986 $12,731 +26% $20,895 −23% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,901 $11,580 +37% $15,901 +0% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,890 $14,790 +7% $17,404 −9% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $15,808 $11,975 +32% $23,283 −32% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,741 $9,827 +60% $17,724 −11% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,734 $10,316 +53% $21,449 −27% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $15,703 $15,105 +4% $21,396 −27% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,684 $10,234 +53% $21,363 −27% —
882 NEUROSES EXCEPT DEPRESSIVE $15,680 $9,594 +63% $15,680 +0% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,636 $11,701 +34% $17,733 −12% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,613 $15,449 +1% $23,571 −34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,610 $12,902 +21% $16,700 −7% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $15,603 $13,026 +20% $19,924 −22% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,598 $12,845 +21% $20,911 −25% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,591 $13,244 +18% $19,594 −20% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,589 $10,592 +47% $15,589 +0% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,547 $12,621 +23% $18,316 −15% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,411 $12,611 +22% $20,181 −24% —
158 DENTAL AND ORAL DISEASES WITH CC $15,402 $11,826 +30% $18,466 −17% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,390 $11,826 +30% $17,934 −14% —
779 ABORTION WITHOUT D&C $15,327 $11,520 +33% $15,327 +0% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $15,311 $11,826 +29% $16,968 −10% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $15,217 $11,826 +29% $20,566 −26% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $15,183 $12,086 +26% $20,506 −26% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $15,172 $11,678 +30% $20,488 −26% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $15,158 $10,566 +43% $20,463 −26% —
101 SEIZURES WITHOUT MCC $15,157 $9,822 +54% $20,461 −26% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,153 $13,215 +15% $20,455 −26% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $15,121 $12,690 +19% $18,072 −16% —
638 DIABETES WITH CC $15,098 $11,158 +35% $19,661 −23% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $15,094 $11,826 +28% $17,135 −12% —
914 TRAUMATIC INJURY WITHOUT MCC $15,088 $10,833 +39% $15,855 −5% —
881 DEPRESSIVE NEUROSES $15,058 $11,075 +36% $15,058 +0% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,039 $11,826 +27% $20,259 −26% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,950 $9,791 +53% $18,488 −19% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,937 $11,594 +29% $16,552 −10% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,849 $12,482 +19% $18,640 −20% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $14,795 $11,996 +23% $19,842 −25% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $14,778 $14,778 +0% $16,846 −12% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,776 $10,982 +35% $22,148 −33% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,770 $12,856 +15% $15,764 −6% —
683 RENAL FAILURE WITH CC $14,731 $10,122 +46% $19,130 −23% ≈103% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $14,678 $11,728 +25% $17,081 −14% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,675 $9,870 +49% $15,452 −5% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,668 $11,934 +23% $16,520 −11% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,654 $12,475 +17% $16,998 −14% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $14,644 $11,027 +33% $16,699 −12% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,635 $12,250 +19% $19,569 −25% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $14,627 $11,826 +24% $19,854 −26% —
603 CELLULITIS WITHOUT MCC $14,626 $12,116 +21% $18,530 −21% —
541 OSTEOMYELITIS WITHOUT CC/MCC $14,549 $14,120 +3% $15,215 −4% —
312 SYNCOPE AND COLLAPSE $14,502 $11,631 +25% $19,342 −25% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $14,480 $11,826 +22% $19,305 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $14,410 $9,142 +58% $15,889 −9% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $14,405 $12,799 +13% $18,602 −23% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $14,383 $12,640 +14% $19,138 −25% —
292 HEART FAILURE AND SHOCK WITH CC $14,372 $9,549 +51% $16,371 −12% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $14,358 $11,952 +20% $19,096 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $14,344 $12,035 +19% $18,807 −24% —
090 CONCUSSION WITHOUT CC/MCC $14,321 $11,826 +21% $15,412 −7% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $14,290 $11,193 +28% $14,290 +0% —
103 HEADACHES WITHOUT MCC $14,229 $11,684 +22% $21,280 −33% —
594 SKIN ULCERS WITHOUT CC/MCC $14,209 $11,154 +27% $14,209 +0% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,171 $12,818 +11% $20,084 −29% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,064 $10,273 +37% $14,064 +0% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,055 $10,605 +33% $14,055 +0% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,026 $13,376 +5% $18,528 −24% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $13,911 $12,401 +12% $17,298 −20% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,884 $13,009 +7% $19,846 −30% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,876 $11,826 +17% $15,370 −10% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,837 $13,014 +6% $18,204 −24% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,822 $11,826 +17% $14,501 −5% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,806 $12,764 +8% $18,150 −24% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $13,799 $10,304 +34% $17,118 −19% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,791 $11,249 +23% $18,126 −24% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,791 $11,829 +17% $18,126 −24% —
176 PULMONARY EMBOLISM WITHOUT MCC $13,765 $7,786 +77% $18,081 −24% —
534 FRACTURES OF FEMUR WITHOUT MCC $13,759 $11,826 +16% $17,559 −22% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,752 $11,826 +16% $19,119 −28% —
204 RESPIRATORY SIGNS AND SYMPTOMS $13,720 $10,319 +33% $18,004 −24% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $13,719 $8,544 +61% $18,002 −24% —
123 NEUROLOGICAL EYE DISORDERS $13,618 $11,951 +14% $19,745 −31% —
340 NO ACTIVE CODE DESCRIPTION $13,613 $13,613 +0% $13,613 +0% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $13,611 $9,409 +45% $17,674 −23% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,602 $12,433 +9% $19,962 −32% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $13,602 $12,184 +12% $18,452 −26% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $13,598 $8,130 +67% $17,578 −23% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $13,586 $11,515 +18% $13,586 +0% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $13,579 $8,704 +56% $21,056 −36% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $13,542 $11,826 +15% $17,700 −23% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $13,506 $12,357 +9% $17,921 −25% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $13,445 $11,182 +20% $13,445 +0% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,438 $8,917 +51% $17,620 −24% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,385 $10,866 +23% $14,014 −4% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,336 $10,751 +24% $17,038 −22% —
694 URINARY STONES WITHOUT MCC $13,336 $11,436 +17% $17,345 −23% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,321 $10,748 +24% $17,322 −23% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,300 $11,916 +12% $15,428 −14% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $13,288 $11,345 +17% $17,124 −22% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,184 $9,646 +37% $14,648 −10% —
151 EPISTAXIS WITHOUT MCC $13,032 $11,566 +13% $13,032 +0% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,002 $11,826 +10% $16,776 −22% —
305 HYPERTENSION WITHOUT MCC $12,937 $8,177 +58% $18,086 −28% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,931 $10,763 +20% $19,037 −32% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,919 $11,191 +15% $16,634 −22% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $12,903 $11,990 +8% $14,716 −12% —
149 DYSEQUILIBRIUM $12,896 $11,826 +9% $18,096 −29% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,895 $9,485 +36% $12,895 +0% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,879 $11,299 +14% $16,565 −22% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $12,855 $11,585 +11% $15,019 −14% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $12,811 $9,562 +34% $16,450 −22% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $12,789 $12,319 +4% $17,303 −26% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,723 $11,088 +15% $14,514 −12% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,650 $10,435 +21% $12,768 −1% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $12,609 $11,095 +14% $16,767 −25% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,605 $9,338 +35% $19,227 −34% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $12,593 $10,832 +16% $12,593 +0% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,534 $9,480 +32% $12,559 −0% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,454 $8,513 +46% $12,454 +0% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,453 $10,845 +15% $15,837 −21% —
313 CHEST PAIN $12,453 $11,200 +11% $16,440 −24% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,431 $9,376 +33% $14,583 −15% —
343 NO ACTIVE CODE DESCRIPTION $12,397 $12,397 +0% $12,397 +0% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $12,336 $9,534 +29% $12,336 +0% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,314 $6,921 +78% $15,600 −21% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,284 $9,499 +29% $15,549 −21% —
311 ANGINA PECTORIS $12,257 $6,608 +85% $15,502 −21% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,253 $10,800 +13% $15,495 −21% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,235 $10,825 +13% $12,252 −0% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,234 $9,212 +33% $12,460 −2% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,204 $9,471 +29% $14,797 −18% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,173 $7,759 +57% $14,689 −17% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,127 $11,440 +6% $20,781 −42% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,120 $8,824 +37% $14,415 −16% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,055 $8,299 +45% $13,651 −12% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,997 $10,334 +16% $11,997 +0% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,982 $10,655 +12% $14,053 −15% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,921 $7,520 +59% $14,549 −18% —
303 ATHEROSCLEROSIS WITHOUT MCC $11,921 $6,694 +78% $14,927 −20% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $11,909 $8,792 +35% $11,909 +0% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,894 $9,038 +32% $16,288 −27% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,847 $10,685 +11% $11,847 +0% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,813 $8,796 +34% $13,942 −15% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,755 $5,742 +105% $13,633 −14% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,752 $10,046 +17% $14,638 −20% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,594 $10,184 +14% $14,368 −19% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,501 $8,711 +32% $14,250 −19% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,458 $10,064 +14% $15,038 −24% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,454 $9,429 +21% $14,128 −19% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,421 $9,232 +24% $11,421 +0% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,355 $11,355 +0% $13,275 −14% —
639 DIABETES WITHOUT CC/MCC $11,327 $6,257 +81% $13,910 −19% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,294 $8,352 +35% $12,324 −8% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,276 $9,727 +16% $13,824 −18% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,177 $7,814 +43% $15,183 −26% —
684 RENAL FAILURE WITHOUT CC/MCC $11,077 $7,367 +50% $13,642 −19% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,071 $8,959 +24% $11,071 +0% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,975 $9,608 +14% $10,975 +0% —
950 AFTERCARE WITHOUT CC/MCC $10,801 $9,559 +13% $13,527 −20% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,563 $10,214 +3% $12,078 −13% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,553 $6,181 +71% $10,160 +4% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,480 $5,564 +88% $10,480 +0% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,456 $8,176 +28% $13,384 −22% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,316 $10,033 +3% $12,999 −21% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,296 $8,852 +16% $13,361 −23% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,940 $6,463 +54% $9,940 +0% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $8,927 $6,059 +47% $8,927 +0% —
795 NORMAL NEWBORN $5,787 $2,718 +113% $4,720 +23% —
765 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 — $5,336 +0% —
766 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 — $5,336 +0% —
767 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 — $3,032 +0% —
774 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 — $3,032 +0% —
775 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 — $3,032 +0% —
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