Grady Memorial Hospital — Pricing

792 procedures published in this hospital's Machine-Readable File (MRF) — 792 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 792
Lowest published price $2,660
Average published price $32,716
Highest published price $387,190

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 792 procedures

Published charges

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

Across 10 procedures, this hospital's negotiated rates average ≈161% of what Medicare pays.

DRG Description Published price vs. OK median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $387,190 $400,267 −3% $498,715 −22% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $372,996 $294,368 +27% $431,073 −13% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $268,939 $232,875 +15% $306,087 −12% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $266,318 $237,331 +12% $371,366 −28% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $199,116 $155,461 +28% $169,977 +17% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $173,618 $139,148 +25% $191,314 −9% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $171,465 $141,500 +21% $182,314 −6% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $170,018 $150,879 +13% $245,241 −31% —
453 Combined Anterior And Posterior Spinal Fusion With MCC $153,362 $103,861 +48% $103,861 +48% —
007 LUNG TRANSPLANT $152,794 $128,162 +19% $170,608 −10% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $149,240 $113,203 +32% $159,181 −6% —
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $140,960 $90,055 +57% $86,864 +62% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $135,644 $98,882 +37% $175,437 −23% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $134,056 $106,929 +25% $134,914 −1% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $127,762 $95,207 +34% $151,029 −15% —
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $121,954 $80,974 +51% $80,427 +52% —
231 CORONARY BYPASS WITH PTCA WITH MCC $116,800 $76,840 +52% $146,474 −20% —
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $112,920 $72,915 +55% $72,618 +55% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $112,647 $118,525 −5% $171,338 −34% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $108,663 $92,039 +18% $143,242 −24% —
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $107,018 $65,747 +63% $59,206 +81% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $106,337 $66,864 +59% $138,868 −23% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $104,526 $119,623 −13% $142,326 −27% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $104,468 $74,535 +40% $120,587 −13% —
454 Combined Anterior And Posterior Spinal Fusion With CC $103,574 $69,101 +50% $69,101 +50% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $102,859 $62,970 +63% $113,855 −10% —
459 Spinal Fusion Except Cervical With MCC $100,308 $74,896 +34% $75,251 +33% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $98,758 $68,333 +45% $101,235 −2% —
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $94,047 $59,843 +57% $57,380 +64% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $93,348 $69,068 +35% $118,589 −21% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $92,298 $71,997 +28% $107,355 −14% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $91,918 $105,195 −13% $121,563 −24% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $90,153 $72,622 +24% $138,008 −35% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $90,024 $65,394 +38% $121,714 −26% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $89,890 $67,164 +34% $98,260 −9% —
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $89,789 $57,557 +56% $56,960 +58% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $89,023 $64,571 +38% $105,612 −16% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $87,045 $68,307 +27% $96,905 −10% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $85,116 $62,403 +36% $89,353 −5% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $84,123 $55,525 +52% $106,238 −21% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $83,224 $91,195 −9% $120,174 −31% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $82,946 $73,767 +12% $105,228 −21% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $82,568 $53,965 +53% $112,062 −26% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $82,035 $59,494 +38% $116,058 −29% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $81,887 $57,489 +42% $92,238 −11% —
028 SPINAL PROCEDURES WITH MCC $81,168 $50,179 +62% $95,858 −15% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $81,033 $64,084 +26% $109,331 −26% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $80,962 $49,198 +65% $92,217 −12% —
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $79,862 $54,320 +47% $54,320 +47% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $79,135 $35,182 +125% $80,018 −1% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $78,971 $54,616 +45% $106,778 −26% —
653 MAJOR BLADDER PROCEDURES WITH MCC $78,781 $49,483 +59% $97,046 −19% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $78,681 $62,975 +25% $96,192 −18% —
834 ACUTE LEUKEMIA WITH MCC $78,221 $66,993 +17% $76,583 +2% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $78,169 $63,106 +24% $70,735 +11% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $75,735 $68,454 +11% $94,927 −20% —
245 AICD GENERATOR PROCEDURES $75,141 $44,378 +69% $72,076 +4% —
010 PANCREAS TRANSPLANT $75,079 $51,389 +46% $99,940 −25% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $74,708 $60,981 +23% $108,472 −31% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $73,707 $55,270 +33% $102,177 −28% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $73,520 $53,104 +38% $86,459 −15% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $73,380 $65,585 +12% $131,961 −44% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $72,963 $46,527 +57% $102,573 −29% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $72,902 $42,319 +72% $78,582 −7% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $72,354 $54,752 +32% $87,018 −17% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $72,290 $43,197 +67% $88,691 −18% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $72,163 $46,443 +55% $62,404 +16% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $71,905 $59,237 +21% $83,441 −14% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $71,896 $55,547 +29% $86,953 −17% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $71,889 $59,185 +21% $96,222 −25% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $71,024 $64,265 +11% $99,423 −29% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $70,872 $81,109 −13% $121,728 −42% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $70,624 $52,249 +35% $81,176 −13% —
471 CERVICAL SPINAL FUSION WITH MCC $69,652 $48,678 +43% $92,515 −25% —
163 MAJOR CHEST PROCEDURES WITH MCC $68,857 $44,351 +55% $88,341 −22% —
799 SPLENIC PROCEDURES WITH MCC $68,806 $48,395 +42% $78,821 −13% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $68,494 $58,250 +18% $88,050 −22% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $68,010 $56,030 +21% $82,527 −18% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $67,653 $45,405 +49% $87,565 −23% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $66,901 $72,005 −7% $114,914 −42% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $66,845 $59,547 +12% $80,747 −17% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $66,462 $61,315 +8% $98,912 −33% —
006 LIVER TRANSPLANT WITHOUT MCC $65,427 $48,335 +35% $84,407 −22% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $65,184 $47,032 +39% $90,331 −28% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $64,589 $56,523 +14% $117,280 −45% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $63,515 $46,799 +36% $72,859 −13% —
460 Spinal Fusion Except Cervical Without MCC $63,245 $47,629 +33% $50,815 +24% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $63,100 $37,498 +68% $86,390 −27% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $62,819 $49,796 +26% $80,885 −22% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $61,895 $41,300 +50% $88,307 −30% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $61,729 $72,826 −15% $94,988 −35% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $60,190 $53,693 +12% $68,847 −13% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $59,879 $46,566 +29% $66,853 −10% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $59,083 $37,490 +58% $83,065 −29% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $59,009 $43,835 +35% $65,325 −10% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $58,513 $43,817 +34% $71,701 −18% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $58,389 $37,260 +57% $68,659 −15% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $57,488 $45,098 +27% $76,954 −25% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $56,721 $39,091 +45% $62,961 −10% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $56,305 $44,011 +28% $72,908 −23% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $56,228 $50,222 +12% $71,755 −22% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $56,148 $36,013 +56% $82,247 −32% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $56,005 $47,519 +18% $82,561 −32% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $55,864 $47,151 +18% $61,832 −10% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $55,517 $22,081 +151% $16,719 +232% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $55,480 $38,912 +43% $50,919 +9% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $55,173 $42,618 +29% $75,103 −27% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $54,989 $46,274 +19% $72,011 −24% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $54,921 $62,854 −13% $105,899 −48% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $54,586 $58,750 −7% $93,783 −42% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $54,331 $35,151 +55% $74,755 −27% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $54,243 $45,078 +20% $59,207 −8% —
791 PREMATURITY WITH MAJOR PROBLEMS $54,046 $25,551 +112% $39,563 +37% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $53,970 $43,825 +23% $74,257 −27% —
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $53,331 $34,297 +55% $33,983 +57% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $52,854 $34,531 +53% $72,945 −28% —
332 RECTAL RESECTION WITH MCC $52,845 $33,263 +59% $58,125 −9% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $52,491 $42,431 +24% $73,029 −28% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $52,364 $35,748 +46% $68,006 −23% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $52,245 $35,791 +46% $78,852 −34% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $52,159 $42,318 +23% $57,521 −9% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,871 $29,323 +77% $60,861 −15% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $51,673 $35,048 +47% $72,782 −29% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $51,625 $27,361 +89% $54,196 −5% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $51,389 $51,807 −1% $79,944 −36% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $51,361 $34,180 +50% $70,132 −27% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $50,726 $29,859 +70% $59,352 −15% —
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $50,628 $34,645 +46% $34,146 +48% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $50,234 $31,236 +61% $67,901 −26% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $50,230 $40,145 +25% $68,399 −27% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $49,924 $49,924 +0% $84,861 −41% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $49,489 $50,019 −1% $62,524 −21% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $49,247 $43,847 +12% $91,329 −46% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $49,210 $42,819 +15% $68,880 −29% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $49,132 $38,683 +27% $57,855 −15% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $48,741 $44,974 +8% $55,097 −12% —
265 AICD LEAD PROCEDURES $48,393 $37,235 +30% $56,695 −15% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $48,343 $32,312 +50% $71,014 −32% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $48,209 $33,919 +42% $51,142 −6% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $47,954 $25,230 +90% $70,540 −32% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $47,622 $34,833 +37% $59,425 −20% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $47,280 $48,627 −3% $71,551 −34% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $47,103 $41,612 +13% $65,383 −28% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $46,885 $41,424 +13% $51,953 −10% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,873 $36,486 +28% $64,152 −27% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $46,808 $33,166 +41% $62,269 −25% —
252 OTHER VASCULAR PROCEDURES WITH MCC $46,774 $32,353 +45% $68,508 −32% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $46,270 $39,510 +17% $64,465 −28% —
652 KIDNEY TRANSPLANT $46,149 $32,976 +40% $54,720 −16% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $46,097 $34,230 +35% $64,956 −29% —
338 Appendectomy With Complicated Principal Diagnosis With MCC $45,915 $30,565 +50% $30,138 +52% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $45,776 $34,154 +34% $65,254 −30% —
665 PROSTATECTOMY WITH MCC $45,680 $33,625 +36% $54,072 −16% —
037 EXTRACRANIAL PROCEDURES WITH MCC $45,670 $32,138 +42% $64,749 −29% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $45,541 $47,789 −5% $75,585 −40% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $45,061 $29,507 +53% $48,094 −6% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $44,924 $27,053 +66% $56,964 −21% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $44,726 $34,816 +28% $56,758 −21% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $44,542 $38,709 +15% $48,358 −8% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $44,301 $29,031 +53% $53,817 −18% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,221 $28,611 +55% $49,710 −11% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $44,162 $44,162 +0% $49,065 −10% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $43,990 $39,689 +11% $64,776 −32% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $43,598 $43,223 +1% $88,049 −50% —
662 MINOR BLADDER PROCEDURES WITH MCC $43,594 $32,442 +34% $54,483 −20% —
500 SOFT TISSUE PROCEDURES WITH MCC $42,929 $34,923 +23% $57,479 −25% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,852 $28,280 +52% $63,475 −32% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $42,676 $33,896 +26% $44,973 −5% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $42,648 $31,145 +37% $48,907 −13% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $42,593 $37,428 +14% $63,984 −33% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $42,459 $41,261 +3% $60,140 −29% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $42,213 $34,736 +22% $62,821 −33% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $42,200 $42,200 +0% $60,098 −30% —
341 Appendectomy Without Complicated Principal Diagnosis With MCC $41,332 $25,638 +61% $25,628 +61% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $40,853 $36,895 +11% $54,313 −25% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $40,812 $27,943 +46% $65,573 −38% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $40,746 $46,631 −13% $81,998 −50% —
472 CERVICAL SPINAL FUSION WITH CC $40,736 $33,808 +20% $59,537 −32% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $40,304 $29,303 +38% $54,129 −26% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $40,301 $35,020 +15% $46,402 −13% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $39,788 $31,857 +25% $58,043 −31% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $39,716 $28,940 +37% $44,472 −11% —
654 MAJOR BLADDER PROCEDURES WITH CC $39,612 $32,114 +23% $53,868 −26% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $39,373 $31,981 +23% $57,963 −32% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $39,232 $31,049 +26% $54,929 −29% —
800 SPLENIC PROCEDURES WITH CC $39,131 $32,681 +20% $49,184 −20% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $39,037 $44,675 −13% $75,492 −48% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $38,951 $28,456 +37% $58,968 −34% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $38,923 $27,106 +44% $54,475 −29% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,882 $31,014 +25% $44,839 −13% —
668 TRANSURETHRAL PROCEDURES WITH MCC $38,620 $30,507 +27% $47,277 −18% —
570 SKIN DEBRIDEMENT WITH MCC $38,606 $38,606 +0% $52,435 −26% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,586 $38,586 +0% $45,497 −15% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,227 $27,678 +38% $43,491 −12% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $38,086 $25,383 +50% $40,277 −5% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $36,899 $27,273 +35% $49,055 −25% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $36,867 $32,611 +13% $40,947 −10% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $36,675 $29,979 +22% $41,703 −12% —
164 MAJOR CHEST PROCEDURES WITH CC $36,382 $22,624 +61% $53,141 −32% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $36,281 $23,142 +57% $40,548 −11% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $36,170 $24,424 +48% $43,697 −17% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,104 $23,181 +56% $53,746 −33% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $36,064 $36,064 +0% $56,242 −36% —
503 FOOT PROCEDURES WITH MCC $36,015 $35,170 +2% $43,901 −18% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $35,996 $25,488 +41% $36,097 −0% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $35,630 $35,630 +0% $45,432 −22% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $35,598 $23,323 +53% $50,011 −29% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $35,238 $29,440 +20% $45,290 −22% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $35,155 $26,925 +31% $51,985 −32% —
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $35,145 $21,839 +61% $21,663 +62% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $35,076 $29,423 +19% $55,162 −36% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $34,995 $34,995 +0% $57,149 −39% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $34,966 $25,381 +38% $52,405 −33% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $34,921 $27,679 +26% $46,659 −25% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $34,812 $26,268 +33% $51,339 −32% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,798 $27,155 +28% $46,591 −25% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $34,652 $30,993 +12% $58,832 −41% —
263 VEIN LIGATION AND STRIPPING $34,649 $27,021 +28% $44,938 −23% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $34,553 $29,564 +17% $38,878 −11% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $34,525 $33,671 +3% $52,908 −35% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $34,270 $27,677 +24% $39,657 −14% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $34,055 $26,607 +28% $52,332 −35% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $33,924 $30,380 +12% $52,313 −35% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,623 $21,816 +54% $47,546 −29% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $33,610 $33,959 −1% $47,583 −29% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $33,338 $32,003 +4% $57,277 −42% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $33,094 $24,240 +37% $43,586 −24% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $32,890 $26,358 +25% $49,631 −34% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $32,885 $30,506 +8% $50,624 −35% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $32,872 $23,703 +39% $40,065 −18% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,828 $22,089 +49% $44,989 −27% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,765 $20,602 +59% $44,053 −26% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $32,736 $22,904 +43% $37,654 −13% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,635 $21,746 +50% $45,059 −28% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $32,610 $13,176 +147% $11,633 +180% —
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $32,506 $20,710 +57% $20,610 +58% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $32,351 $26,159 +24% $43,524 −26% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $32,336 $27,577 +17% $38,420 −16% —
709 PENIS PROCEDURES WITH CC/MCC $32,317 $28,958 +12% $34,535 −6% —
336 PERITONEAL ADHESIOLYSIS WITH CC $32,308 $25,279 +28% $49,470 −35% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $32,271 $19,679 +64% $39,093 −17% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $32,232 $22,982 +40% $50,139 −36% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $32,150 $30,404 +6% $46,066 −30% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $32,140 $25,747 +25% $56,394 −43% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $32,082 $21,545 +49% $30,661 +5% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $31,988 $29,154 +10% $53,555 −40% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $31,970 $22,670 +41% $39,253 −19% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $31,881 $32,011 −0% $66,819 −52% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $31,858 $20,608 +55% $46,430 −31% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $31,607 $21,886 +44% $44,600 −29% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $31,373 $30,135 +4% $54,824 −43% —
113 ORBITAL PROCEDURES WITH CC/MCC $31,373 $21,927 +43% $35,642 −12% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $31,301 $28,152 +11% $36,237 −14% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $31,263 $22,355 +40% $38,998 −20% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $31,164 $21,541 +45% $46,477 −33% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,115 $23,402 +33% $38,382 −19% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $30,925 $22,510 +37% $36,334 −15% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $30,842 $32,382 −5% $67,764 −54% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,793 $31,044 −1% $65,216 −53% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $30,703 $26,100 +18% $45,818 −33% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $30,616 $21,930 +40% $35,686 −14% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $30,614 $24,290 +26% $44,553 −31% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $30,478 $24,955 +22% $48,682 −37% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $30,272 $21,453 +41% $45,622 −34% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $30,205 $27,446 +10% $36,850 −18% —
835 ACUTE LEUKEMIA WITH CC $30,135 $23,405 +29% $35,569 −15% —
595 MAJOR SKIN DISORDERS WITH MCC $30,100 $18,910 +59% $31,785 −5% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $30,012 $23,812 +26% $37,064 −19% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $29,813 $27,123 +10% $74,274 −60% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $29,651 $28,722 +3% $39,409 −25% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $29,245 $19,715 +48% $41,651 −30% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $29,240 $27,682 +6% $51,172 −43% —
849 RADIOTHERAPY $29,203 $24,936 +17% $37,862 −23% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $29,176 $26,303 +11% $40,232 −27% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $29,126 $26,625 +9% $42,881 −32% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $29,049 $22,530 +29% $41,900 −31% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $29,016 $19,157 +51% $40,063 −28% —
374 DIGESTIVE MALIGNANCY WITH MCC $28,902 $20,421 +42% $38,885 −26% —
548 SEPTIC ARTHRITIS WITH MCC $28,872 $25,673 +12% $31,019 −7% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $28,871 $22,513 +28% $37,080 −22% —
333 RECTAL RESECTION WITH CC $28,871 $19,185 +50% $34,352 −16% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $28,752 $28,752 +0% $41,660 −31% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $28,643 $16,729 +71% $38,357 −25% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $28,559 $28,791 −1% $53,551 −47% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,545 $22,499 +27% $43,398 −34% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $28,495 $28,495 +0% $49,197 −42% ≈168% of Medicare
339 Appendectomy With Complicated Principal Diagnosis With CC $28,326 $18,621 +52% $18,474 +53% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $28,292 $17,834 +59% $35,673 −21% —
711 TESTES PROCEDURES WITH CC/MCC $28,253 $23,589 +20% $34,852 −19% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,246 $21,865 +29% $41,520 −32% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,058 $25,022 +12% $43,800 −36% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $28,013 $25,402 +10% $44,363 −37% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,979 $16,544 +69% $35,459 −21% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $27,858 $23,374 +19% $37,902 −27% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $27,490 $21,416 +28% $40,583 −32% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,377 $18,080 +51% $42,126 −35% —
539 OSTEOMYELITIS WITH MCC $27,360 $30,568 −10% $33,746 −19% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $27,287 $19,967 +37% $45,817 −40% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $27,172 $17,506 +55% $34,089 −20% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $27,113 $19,915 +36% $32,538 −17% —
380 COMPLICATED PEPTIC ULCER WITH MCC $27,073 $27,073 +0% $36,641 −26% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,027 $23,570 +15% $33,165 −19% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $26,932 $22,393 +20% $36,202 −26% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $26,832 $22,004 +22% $48,680 −45% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $26,808 $21,312 +26% $29,524 −9% —
906 HAND PROCEDURES FOR INJURIES $26,613 $19,863 +34% $31,520 −16% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,517 $20,872 +27% $39,018 −32% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $26,487 $15,729 +68% $35,237 −25% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $26,449 $18,381 +44% $31,044 −15% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $26,359 $17,878 +47% $41,380 −36% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $26,338 $21,394 +23% $32,483 −19% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $26,336 $19,427 +36% $43,775 −40% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $26,248 $16,583 +58% $36,933 −29% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,196 $16,580 +58% $40,563 −35% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $26,188 $21,267 +23% $43,080 −39% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $26,136 $17,396 +50% $32,839 −20% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $26,118 $12,729 +105% $32,399 −19% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $26,112 $21,194 +23% $43,538 −40% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $26,106 $16,404 +59% $33,564 −22% —
935 NON-EXTENSIVE BURNS $26,104 $18,092 +44% $29,458 −11% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $26,072 $20,804 +25% $30,394 −14% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $26,053 $27,532 −5% $35,714 −27% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $25,958 $19,990 +30% $35,114 −26% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $25,860 $15,261 +69% $36,280 −29% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,816 $18,198 +42% $29,109 −11% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $25,798 $17,649 +46% $35,014 −26% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $25,750 $19,128 +35% $36,333 −29% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $25,726 $25,726 +0% $35,139 −27% —
509 ARTHROSCOPY $25,725 $18,534 +39% $25,994 −1% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $25,526 $17,426 +46% $29,476 −13% —
199 PNEUMOTHORAX WITH MCC $25,504 $14,063 +81% $31,491 −19% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,500 $16,208 +57% $38,836 −34% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $25,497 $23,002 +11% $45,963 −45% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,436 $15,988 +59% $31,846 −20% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $25,416 $18,631 +36% $33,607 −24% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $25,354 $15,690 +62% $40,694 −38% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $25,330 $15,367 +65% $31,840 −20% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $25,211 $17,346 +45% $33,050 −24% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $25,210 $17,671 +43% $32,981 −24% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $25,210 $20,736 +22% $28,375 −11% —
919 COMPLICATIONS OF TREATMENT WITH MCC $25,185 $14,296 +76% $29,031 −13% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $25,147 $17,880 +41% $31,909 −21% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $25,095 $23,921 +5% $35,453 −29% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $24,868 $25,831 −4% $36,597 −32% —
100 SEIZURES WITH MCC $24,823 $26,892 −8% $35,194 −29% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $24,794 $22,616 +10% $37,842 −34% —
397 APPENDIX PROCEDURES WITH MCC $24,724 $24,825 −0% $52,319 −53% —
342 Appendectomy Without Complicated Principal Diagnosis With CC $24,723 $16,178 +53% $19,454 +27% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $24,650 $17,205 +43% $29,826 −17% —
504 FOOT PROCEDURES WITH CC $24,632 $19,745 +25% $36,598 −33% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,623 $16,452 +50% $30,974 −21% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $24,606 $19,112 +29% $31,758 −23% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $24,569 $16,568 +48% $29,729 −17% —
501 SOFT TISSUE PROCEDURES WITH CC $24,406 $19,322 +26% $37,975 −36% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $24,405 $19,743 +24% $43,266 −44% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $24,380 $16,699 +46% $37,950 −36% —
666 PROSTATECTOMY WITH CC $24,339 $19,204 +27% $30,016 −19% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $24,333 $16,198 +50% $38,094 −36% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $24,263 $16,175 +50% $29,633 −18% —
663 MINOR BLADDER PROCEDURES WITH CC $24,254 $20,339 +19% $29,924 −19% —
180 RESPIRATORY NEOPLASMS WITH MCC $24,254 $19,892 +22% $36,658 −34% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $24,148 $17,686 +37% $29,609 −18% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $24,074 $20,895 +15% $40,552 −41% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $23,997 $11,248 +113% $14,284 +68% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $23,947 $18,641 +28% $28,634 −16% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $23,885 $17,908 +33% $30,766 −22% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $23,870 $21,521 +11% $27,548 −13% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $23,851 $20,398 +17% $30,275 −21% —
813 COAGULATION DISORDERS $23,841 $13,514 +76% $30,128 −21% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,827 $20,331 +17% $34,434 −31% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $23,806 $15,566 +53% $30,814 −23% —
075 VIRAL MENINGITIS WITH CC/MCC $23,755 $15,856 +50% $29,853 −20% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,719 $18,248 +30% $33,984 −30% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $23,714 $18,936 +25% $44,117 −46% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $23,649 $21,170 +12% $42,119 −44% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $23,601 $12,857 +84% $32,502 −27% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $23,599 $15,198 +55% $30,358 −22% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,594 $23,594 +0% $29,371 −20% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $23,544 $27,637 −15% $36,080 −35% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $23,541 $20,431 +15% $30,940 −24% —
915 ALLERGIC REACTIONS WITH MCC $23,492 $18,798 +25% $30,944 −24% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $23,492 $16,121 +46% $28,967 −19% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $23,482 $18,059 +30% $30,930 −24% —
592 SKIN ULCERS WITH MCC $23,449 $22,386 +5% $32,662 −28% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $23,395 $18,391 +27% $29,916 −22% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $23,383 $23,764 −2% $32,689 −28% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,379 $20,807 +12% $39,747 −41% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $23,379 $13,466 +74% $26,020 −10% —
571 SKIN DEBRIDEMENT WITH CC $23,338 $20,709 +13% $34,901 −33% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $23,256 $18,163 +28% $33,490 −31% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $23,215 $15,651 +48% $41,380 −44% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $23,111 $14,276 +62% $24,561 −6% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $23,088 $12,408 +86% $31,128 −26% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $23,064 $20,497 +13% $36,375 −37% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $23,015 $22,110 +4% $36,242 −36% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,004 $19,400 +19% $32,490 −29% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $22,959 $14,897 +54% $35,584 −35% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $22,955 $16,359 +40% $30,058 −24% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,911 $14,250 +61% $33,694 −32% —
643 ENDOCRINE DISORDERS WITH MCC $22,892 $13,875 +65% $32,996 −31% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $22,861 $18,628 +23% $32,204 −29% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $22,814 $13,823 +65% $31,059 −27% —
551 MEDICAL BACK PROBLEMS WITH MCC $22,713 $25,341 −10% $31,086 −27% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $22,653 $20,366 +11% $36,239 −37% —
505 FOOT PROCEDURES WITHOUT CC/MCC $22,632 $22,632 +0% $31,716 −29% —
671 URETHRAL PROCEDURES WITH CC/MCC $22,595 $16,967 +33% $27,233 −17% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $22,543 $15,631 +44% $25,484 −12% —
038 EXTRACRANIAL PROCEDURES WITH CC $22,462 $15,326 +47% $35,770 −37% —
157 DENTAL AND ORAL DISEASES WITH MCC $22,372 $16,173 +38% $27,457 −19% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $22,352 $19,160 +17% $27,118 −18% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $22,232 $14,818 +50% $24,036 −8% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,218 $15,276 +45% $33,424 −34% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $22,183 $16,121 +38% $34,264 −35% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $22,099 $16,428 +35% $35,542 −38% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $22,022 $17,807 +24% $28,103 −22% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $22,002 $17,580 +25% $28,578 −23% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $21,991 $21,991 +0% $32,451 −32% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $21,973 $23,107 −5% $56,519 −61% ≈99% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $21,969 $14,157 +55% $35,528 −38% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $21,925 $16,136 +36% $29,409 −25% —
186 PLEURAL EFFUSION WITH MCC $21,899 $11,842 +85% $32,468 −33% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,888 $17,470 +25% $31,062 −30% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $21,888 $21,315 +3% $34,900 −37% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,883 $15,579 +40% $24,452 −11% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $21,797 $14,562 +50% $30,910 −29% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $21,764 $16,071 +35% $25,152 −13% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $21,752 $15,696 +39% $35,375 −39% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $21,727 $15,203 +43% $35,692 −39% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $21,552 $18,233 +18% $25,197 −14% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $21,541 $18,296 +18% $27,279 −21% —
183 MAJOR CHEST TRAUMA WITH MCC $21,449 $12,207 +76% $28,924 −26% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $21,434 $22,272 −4% $28,780 −26% —
710 PENIS PROCEDURES WITHOUT CC/MCC $21,400 $19,558 +9% $23,814 −10% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,393 $16,092 +33% $24,879 −14% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $21,369 $12,037 +78% $24,465 −13% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $21,238 $16,554 +28% $27,168 −22% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $21,235 $13,233 +60% $32,936 −36% —
865 VIRAL ILLNESS WITH MCC $21,233 $16,376 +30% $26,088 −19% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $21,229 $16,503 +29% $33,792 −37% —
682 RENAL FAILURE WITH MCC $21,169 $15,310 +38% $27,854 −24% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $21,133 $15,331 +38% $24,229 −13% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $20,954 $22,824 −8% $28,646 −27% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $20,915 $13,410 +56% $25,731 −19% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $20,914 $12,890 +62% $28,134 −26% —
533 FRACTURES OF FEMUR WITH MCC $20,799 $15,642 +33% $25,945 −20% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $20,788 $17,430 +19% $31,812 −35% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $20,785 $17,801 +17% $22,811 −9% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $20,689 $20,689 +0% $25,786 −20% —
602 CELLULITIS WITH MCC $20,652 $20,839 −1% $29,347 −30% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $20,646 $18,056 +14% $33,137 −38% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,620 $16,854 +22% $23,734 −13% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $20,617 $12,480 +65% $29,757 −31% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $20,603 $14,775 +39% $25,854 −20% —
913 TRAUMATIC INJURY WITH MCC $20,601 $18,120 +14% $24,198 −15% —
606 MINOR SKIN DISORDERS WITH MCC $20,594 $18,663 +10% $25,434 −19% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $20,541 $11,998 +71% $28,252 −27% —
693 URINARY STONES WITH MCC $20,464 $14,049 +46% $22,525 −9% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $20,455 $15,008 +36% $31,566 −35% —
669 TRANSURETHRAL PROCEDURES WITH CC $20,338 $15,063 +35% $34,354 −41% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $20,331 $16,516 +23% $29,663 −31% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $20,319 $14,546 +40% $30,972 −34% —
291 HEART FAILURE AND SHOCK WITH MCC $20,265 $12,420 +63% $25,020 −19% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $20,259 $15,439 +31% $24,941 −19% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $20,244 $13,427 +51% $21,615 −6% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $20,168 $21,322 −5% $28,140 −28% —
506 MAJOR THUMB OR JOINT PROCEDURES $20,102 $14,224 +41% $28,983 −31% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $20,086 $16,514 +22% $32,911 −39% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $20,070 $11,826 +70% $22,557 −11% —
088 CONCUSSION WITH MCC $19,984 $15,650 +28% $24,402 −18% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $19,980 $21,069 −5% $29,211 −32% —
334 RECTAL RESECTION WITHOUT CC/MCC $19,936 $17,723 +12% $32,213 −38% —
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $19,932 $13,608 +46% $16,240 +23% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $19,922 $15,281 +30% $24,450 −19% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $19,797 $14,420 +37% $30,418 −35% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,796 $17,312 +14% $29,374 −33% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $19,650 $8,736 +125% $7,961 +147% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $19,579 $14,163 +38% $25,010 −22% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $19,540 $14,941 +31% $22,698 −14% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $19,532 $19,532 +0% $29,805 −34% —
137 MOUTH PROCEDURES WITH CC/MCC $19,526 $16,262 +20% $24,348 −20% —
637 DIABETES WITH MCC $19,475 $18,353 +6% $28,819 −32% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $19,455 $15,124 +29% $29,484 −34% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,435 $14,138 +37% $27,947 −30% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,419 $19,537 −1% $28,156 −31% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $19,396 $11,826 +64% $21,986 −12% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,354 $13,180 +47% $25,208 −23% —
811 RED BLOOD CELL DISORDERS WITH MCC $19,299 $15,254 +27% $27,934 −31% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $19,285 $15,116 +28% $26,158 −26% ≈153% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $19,126 $15,789 +21% $19,686 −3% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $19,097 $14,142 +35% $20,980 −9% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $19,062 $14,625 +30% $22,525 −15% —
150 EPISTAXIS WITH MCC $19,047 $16,858 +13% $21,133 −10% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,015 $13,202 +44% $24,316 −22% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $18,996 $15,695 +21% $31,816 −40% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $18,941 $14,754 +28% $25,149 −25% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $18,925 $17,490 +8% $54,772 −65% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $18,919 $13,593 +39% $23,924 −21% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $18,888 $12,373 +53% $24,022 −21% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $18,822 $16,936 +11% $31,978 −41% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $18,778 $14,516 +29% $26,634 −29% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,604 $12,679 +47% $28,527 −35% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $18,602 $16,583 +12% $34,887 −47% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $18,515 $16,626 +11% $30,006 −38% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,431 $17,331 +6% $23,920 −23% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $18,424 $16,296 +13% $29,050 −37% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $18,416 $14,857 +24% $24,118 −24% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,407 $13,378 +38% $24,980 −26% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $18,392 $16,218 +13% $23,956 −23% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,388 $15,090 +22% $23,723 −22% —
540 OSTEOMYELITIS WITH CC $18,365 $16,354 +12% $23,494 −22% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $18,291 $13,951 +31% $25,243 −28% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,201 $13,739 +32% $23,297 −22% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $18,166 $12,744 +43% $23,350 −22% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $18,125 $18,125 +0% $29,558 −39% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $18,096 $13,997 +29% $27,492 −34% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $18,056 $13,010 +39% $19,894 −9% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $18,048 $15,510 +16% $27,321 −34% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $17,979 $13,658 +32% $21,029 −15% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $17,965 $11,826 +52% $22,275 −19% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $17,918 $13,649 +31% $25,666 −30% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $17,797 $16,006 +11% $19,598 −9% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $17,758 $15,403 +15% $27,244 −35% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $17,749 $16,078 +10% $21,860 −19% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $17,738 $12,445 +43% $20,727 −14% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $17,734 $11,784 +50% $24,836 −29% —
885 PSYCHOSES $17,660 $12,762 +38% $21,489 −18% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $17,653 $11,826 +49% $20,147 −12% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $17,614 $11,826 +49% $23,588 −25% —
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $17,538 $12,397 +41% $13,735 +28% —
375 DIGESTIVE MALIGNANCY WITH CC $17,523 $11,826 +48% $27,219 −36% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,427 $13,113 +33% $18,126 −4% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $17,408 $14,929 +17% $25,704 −32% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $17,341 $13,557 +28% $23,115 −25% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,312 $12,550 +38% $22,532 −23% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $17,310 $13,299 +30% $24,480 −29% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $17,224 $13,859 +24% $25,390 −32% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $17,179 $11,826 +45% $22,032 −22% —
947 SIGNS AND SYMPTOMS WITH MCC $17,151 $17,151 +0% $25,474 −33% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $17,148 $15,343 +12% $22,024 −22% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,126 $13,902 +23% $15,890 +8% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $17,105 $17,567 −3% $20,421 −16% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $17,026 $13,127 +30% $19,354 −12% —
549 SEPTIC ARTHRITIS WITH CC $17,022 $15,414 +10% $20,938 −19% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $16,964 $13,237 +28% $26,488 −36% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $16,961 $16,919 +0% $25,426 −33% —
139 SALIVARY GLAND PROCEDURES $16,930 $12,705 +33% $21,014 −19% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $16,649 $13,466 +24% $24,544 −32% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,581 $11,826 +40% $21,062 −21% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $16,570 $16,570 +0% $24,432 −32% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $16,456 $12,582 +31% $20,741 −21% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $16,345 $11,978 +36% $31,190 −48% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $16,258 $12,954 +26% $24,190 −33% ≈155% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $16,245 $14,118 +15% $26,146 −38% —
181 RESPIRATORY NEOPLASMS WITH CC $16,240 $12,412 +31% $22,431 −28% —
949 AFTERCARE WITH CC/MCC $16,206 $17,135 −5% $23,953 −32% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $16,199 $16,199 +0% $34,906 −54% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $16,143 $11,428 +41% $24,202 −33% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,127 $14,097 +14% $17,078 −6% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $16,105 $11,826 +36% $24,017 −33% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $15,957 $13,871 +15% $17,103 −7% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $15,950 $11,943 +34% $19,317 −17% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,932 $12,456 +28% $25,623 −38% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,930 $10,073 +58% $25,267 −37% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,921 $10,604 +50% $25,307 −37% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $15,871 $13,136 +21% $26,322 −40% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $15,788 $18,791 −16% $27,369 −42% —
398 APPENDIX PROCEDURES WITH CC $15,755 $15,755 +0% $39,107 −60% —
887 OTHER MENTAL DISORDER DIAGNOSES $15,744 $11,944 +32% $20,602 −24% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $15,718 $10,576 +49% $22,982 −32% ≈149% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $15,678 $12,128 +29% $17,550 −11% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $15,652 $12,486 +25% $18,459 −15% —
302 ATHEROSCLEROSIS WITH MCC $15,623 $11,826 +32% $20,844 −25% —
593 SKIN ULCERS WITH CC $15,600 $9,782 +59% $20,470 −24% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $15,584 $11,826 +32% $22,560 −31% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,566 $16,292 −4% $24,452 −36% —
102 HEADACHES WITH MCC $15,490 $13,186 +17% $22,544 −31% —
304 HYPERTENSION WITH MCC $15,426 $11,979 +29% $24,185 −36% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $15,423 $11,714 +32% $18,478 −17% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,419 $11,826 +30% $19,073 −19% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $15,375 $13,012 +18% $19,132 −20% —
381 COMPLICATED PEPTIC ULCER WITH CC $15,368 $11,826 +30% $24,177 −36% —
152 OTITIS MEDIA AND URI WITH MCC $15,287 $13,606 +12% $19,795 −23% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,285 $15,449 −1% $23,571 −35% —
200 PNEUMOTHORAX WITH CC $15,274 $11,903 +28% $20,573 −26% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $15,268 $11,689 +31% $23,496 −35% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $15,191 $13,509 +12% $17,483 −13% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $15,169 $11,923 +27% $22,713 −33% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $15,148 $13,536 +12% $21,806 −31% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $15,123 $12,120 +25% $18,133 −17% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,036 $11,334 +33% $15,901 −5% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $15,029 $12,341 +22% $15,764 −5% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,020 $11,773 +28% $22,231 −32% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $15,015 $12,020 +25% $25,162 −40% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $14,928 $10,681 +40% $22,850 −35% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $14,920 $12,039 +24% $16,495 −10% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $14,890 $12,479 +19% $22,781 −35% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $14,832 $12,285 +21% $17,398 −15% —
187 PLEURAL EFFUSION WITH CC $14,800 $11,628 +27% $21,467 −31% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,763 $11,352 +30% $20,732 −29% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,753 $12,494 +18% $18,291 −19% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $14,718 $14,100 +4% $23,749 −38% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $14,691 $14,691 +0% $19,579 −25% —
184 MAJOR CHEST TRAUMA WITH CC $14,647 $10,391 +41% $20,842 −30% —
197 INTERSTITIAL LUNG DISEASE WITH CC $14,622 $14,622 +0% $20,106 −27% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $14,596 $15,227 −4% $23,469 −38% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $14,586 $10,478 +39% $19,868 −27% —
089 CONCUSSION WITH CC $14,580 $11,751 +24% $18,293 −20% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $14,542 $11,665 +25% $17,193 −15% —
697 URETHRAL STRICTURE $14,517 $11,433 +27% $17,705 −18% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $14,487 $13,157 +10% $20,080 −28% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $14,438 $11,826 +22% $15,370 −6% —
644 ENDOCRINE DISORDERS WITH CC $14,375 $9,885 +45% $22,941 −37% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,340 $10,953 +31% $17,226 −17% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $14,332 $13,037 +10% $23,396 −39% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,324 $11,267 +27% $19,091 −25% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $14,299 $10,990 +30% $18,017 −21% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $14,285 $11,325 +26% $20,007 −29% —
920 COMPLICATIONS OF TREATMENT WITH CC $14,272 $14,272 +0% $21,181 −33% —
667 PROSTATECTOMY WITHOUT CC/MCC $14,239 $11,826 +20% $16,703 −15% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $14,210 $11,168 +27% $16,212 −12% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $14,135 $10,508 +35% $17,434 −19% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $13,921 $13,383 +4% $23,141 −40% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $13,866 $11,335 +22% $19,854 −30% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $13,864 $11,826 +17% $20,371 −32% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $13,855 $9,695 +43% $21,886 −37% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $13,821 $11,826 +17% $24,136 −43% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,819 $11,485 +20% $21,545 −36% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $13,798 $12,812 +8% $20,968 −34% —
712 TESTES PROCEDURES WITHOUT CC/MCC $13,797 $11,768 +17% $18,898 −27% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,783 $10,968 +26% $17,585 −22% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $13,735 $10,566 +30% $20,463 −33% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $13,712 $10,234 +34% $20,777 −34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $13,598 $12,206 +11% $16,418 −17% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $13,554 $11,826 +15% $16,352 −17% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $13,480 $11,344 +19% $15,474 −13% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $13,463 $10,316 +31% $21,449 −37% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $13,415 $11,826 +13% $18,428 −27% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $13,396 $11,826 +13% $18,918 −29% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $13,330 $9,827 +36% $17,273 −23% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $13,244 $12,535 +6% $19,326 −31% —
292 HEART FAILURE AND SHOCK WITH CC $13,221 $9,549 +38% $16,212 −18% ≈158% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $13,215 $12,898 +2% $20,309 −35% —
541 OSTEOMYELITIS WITHOUT CC/MCC $13,140 $14,022 −6% $14,549 −10% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $13,124 $11,826 +11% $15,608 −16% —
683 RENAL FAILURE WITH CC $13,039 $10,122 +29% $18,620 −30% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $13,026 $12,426 +5% $18,191 −28% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $12,994 $15,105 −14% $21,213 −39% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $12,906 $10,934 +18% $16,642 −22% —
158 DENTAL AND ORAL DISEASES WITH CC $12,845 $10,836 +19% $17,700 −27% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,818 $12,818 +0% $20,084 −36% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $12,798 $12,035 +6% $18,278 −30% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $12,793 $13,014 −2% $18,204 −30% ≈168% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $12,776 $11,610 +10% $13,822 −8% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,770 $11,054 +16% $17,108 −25% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,731 $12,279 +4% $18,282 −30% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $12,714 $11,678 +9% $20,488 −38% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $12,673 $12,250 +3% $19,569 −35% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $12,640 $12,233 +3% $16,156 −22% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,562 $12,194 +3% $20,842 −40% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $12,551 $9,646 +30% $14,444 −13% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $12,551 $9,383 +34% $14,055 −11% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,541 $12,325 +2% $19,001 −34% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $12,541 $11,826 +6% $18,238 −31% —
864 FEVER AND INFLAMMATORY CONDITIONS $12,482 $12,154 +3% $17,412 −28% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,451 $12,431 +0% $16,571 −25% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $12,429 $11,826 +5% $19,305 −36% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $12,408 $9,905 +25% $13,385 −7% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,395 $12,395 +0% $17,943 −31% —
176 PULMONARY EMBOLISM WITHOUT MCC $12,388 $7,786 +59% $18,081 −31% —
638 DIABETES WITH CC $12,372 $11,158 +11% $18,821 −34% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,365 $11,952 +3% $19,096 −35% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $12,346 $12,086 +2% $19,287 −36% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $12,336 $9,473 +30% $14,290 −14% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $12,331 $9,473 +30% $17,731 −30% —
603 CELLULITIS WITHOUT MCC $12,212 $12,116 +1% $18,530 −34% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $12,205 $10,138 +20% $21,261 −43% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $12,204 $12,799 −5% $17,367 −30% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,171 $11,826 +3% $18,608 −35% —
101 SEIZURES WITHOUT MCC $12,164 $9,822 +24% $19,954 −39% —
914 TRAUMATIC INJURY WITHOUT MCC $12,158 $9,839 +24% $15,593 −22% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $12,133 $12,133 +0% $19,815 −39% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $12,115 $11,701 +4% $15,636 −23% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,086 $10,581 +14% $17,383 −30% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $12,041 $11,826 +2% $15,869 −24% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,996 $11,996 +0% $18,803 −36% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $11,976 $8,720 +37% $14,064 −15% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,916 $8,130 +47% $17,388 −31% —
882 NEUROSES EXCEPT DEPRESSIVE $11,833 $9,594 +23% $15,680 −25% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,831 $11,826 +0% $17,928 −34% —
866 VIRAL ILLNESS WITHOUT MCC $11,728 $10,499 +12% $16,391 −28% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,633 $11,826 −2% $30,314 −62% —
312 SYNCOPE AND COLLAPSE $11,631 $11,469 +1% $19,342 −40% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,607 $11,027 +5% $16,049 −28% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,570 $9,210 +26% $12,593 −8% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $11,558 $10,304 +12% $16,837 −31% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,535 $7,903 +46% $15,284 −25% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $11,515 $10,111 +14% $13,586 −15% —
090 CONCUSSION WITHOUT CC/MCC $11,514 $11,670 −1% $14,873 −23% —
694 URINARY STONES WITHOUT MCC $11,436 $11,436 +0% $16,531 −31% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,362 $11,362 +0% $15,077 −25% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,326 $9,409 +20% $17,466 −35% ≈164% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,299 $10,262 +10% $14,861 −24% —
881 DEPRESSIVE NEUROSES $11,298 $11,075 +2% $15,058 −25% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $11,274 $11,550 −2% $17,700 −36% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,228 $11,249 −0% $17,715 −37% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,221 $9,870 +14% $15,045 −25% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,197 $12,401 −10% $15,876 −29% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $11,191 $11,191 +0% $16,634 −33% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,182 $11,024 +1% $13,445 −17% —
594 SKIN ULCERS WITHOUT CC/MCC $11,154 $10,110 +10% $14,209 −22% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $11,088 $9,575 +16% $14,110 −21% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,084 $6,435 +72% $12,381 −10% —
204 RESPIRATORY SIGNS AND SYMPTOMS $11,076 $9,562 +16% $16,866 −34% —
103 HEADACHES WITHOUT MCC $11,073 $11,684 −5% $20,111 −45% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,072 $12,357 −10% $17,727 −38% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,052 $12,764 −13% $18,150 −39% —
534 FRACTURES OF FEMUR WITHOUT MCC $11,035 $11,826 −7% $17,195 −36% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,027 $13,376 −18% $18,253 −40% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,995 $8,130 +35% $13,282 −17% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,958 $8,544 +28% $18,002 −39% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $10,943 $11,826 −7% $16,776 −35% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $10,922 $11,990 −9% $14,337 −24% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $10,921 $8,039 +36% $12,537 −13% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,889 $8,704 +25% $20,278 −46% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $10,879 $10,748 +1% $17,322 −37% ≈174% of Medicare
123 NEUROLOGICAL EYE DISORDERS $10,870 $11,951 −9% $17,831 −39% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $10,864 $11,345 −4% $15,858 −31% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,836 $12,319 −12% $16,865 −36% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $10,779 $8,219 +31% $13,654 −21% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $10,763 $10,763 +0% $16,654 −35% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,751 $10,751 +0% $16,745 −36% ≈168% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $10,694 $8,247 +30% $13,303 −20% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $10,680 $11,095 −4% $16,104 −34% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $10,666 $11,826 −10% $14,166 −25% —
779 ABORTION WITHOUT D&C $10,659 $11,089 −4% $15,327 −30% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,649 $8,813 +21% $12,650 −16% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $10,642 $9,338 +14% $18,623 −43% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,612 $8,917 +19% $17,522 −39% —
950 AFTERCARE WITHOUT CC/MCC $10,525 $9,559 +10% $13,527 −22% —
151 EPISTAXIS WITHOUT MCC $10,511 $11,038 −5% $13,032 −19% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $10,509 $11,047 −5% $13,892 −24% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,499 $10,168 +3% $11,997 −12% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $10,497 $10,591 −1% $11,847 −11% —
201 PNEUMOTHORAX WITHOUT CC/MCC $10,457 $10,457 +0% $13,081 −20% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,413 $10,413 +0% $15,072 −31% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,369 $11,440 −9% $19,483 −47% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,356 $10,356 +0% $15,589 −34% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $10,335 $9,455 +9% $12,895 −20% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,328 $6,143 +68% $9,385 +10% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,280 $8,299 +24% $12,797 −20% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $10,257 $10,257 +0% $15,607 −34% —
149 DYSEQUILIBRIUM $10,189 $11,826 −14% $17,203 −41% —
945 REHABILITATION WITH CC/MCC $10,187 $11,826 −14% $23,834 −57% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,175 $7,901 +29% $14,880 −32% —
153 OTITIS MEDIA AND URI WITHOUT MCC $10,149 $9,376 +8% $14,473 −30% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $10,121 $11,392 −11% $13,090 −23% —
305 HYPERTENSION WITHOUT MCC $10,075 $7,665 +31% $17,144 −41% —
313 CHEST PAIN $10,029 $11,200 −10% $15,962 −37% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $9,996 $9,496 +5% $14,368 −30% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $9,991 $7,656 +31% $14,012 −29% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $9,990 $10,695 −7% $12,279 −19% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $9,877 $7,759 +27% $14,441 −32% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,856 $7,565 +30% $14,208 −31% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $9,801 $10,046 −2% $13,485 −27% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,746 $6,503 +50% $15,600 −38% —
311 ANGINA PECTORIS $9,734 $6,608 +47% $15,165 −36% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,727 $9,400 +3% $13,824 −30% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $9,595 $7,988 +20% $11,909 −19% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $9,534 $8,668 +10% $12,336 −23% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,511 $5,701 +67% $13,368 −29% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $9,488 $7,520 +26% $13,198 −28% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,462 $6,694 +41% $14,927 −37% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,429 $9,749 −3% $14,128 −33% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,212 $8,037 +15% $12,405 −26% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $9,129 $10,064 −9% $14,134 −35% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $9,096 $9,096 +0% $11,421 −20% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $9,054 $9,751 −7% $11,955 −24% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,973 $7,814 +15% $15,070 −40% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,940 $8,940 +0% $11,071 −19% —
639 DIABETES WITHOUT CC/MCC $8,897 $6,257 +42% $13,910 −36% —
684 RENAL FAILURE WITHOUT CC/MCC $8,844 $7,367 +20% $13,623 −35% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,823 $10,214 −14% $12,044 −27% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,819 $9,214 −4% $10,975 −20% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,796 $8,796 +0% $13,890 −37% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,274 $8,852 −7% $13,318 −38% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $7,982 $8,176 −2% $13,384 −40% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,898 $5,564 +42% $10,039 −21% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,867 $7,919 −1% $12,013 −35% —
946 REHABILITATION WITHOUT CC/MCC $7,080 $8,672 −18% $17,685 −60% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,991 $6,463 +8% $9,076 −23% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,713 $5,406 +24% $8,927 −25% —
795 NORMAL NEWBORN $2,660 $2,718 −2% $4,530 −41% —
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