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 $413,344 −6% $573,534 −32% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $372,996 $320,731 +16% $461,389 −19% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $268,939 $250,907 +7% $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% $194,769 +2% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $173,618 $139,148 +25% $208,939 −17% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $171,465 $156,264 +10% $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% $248,521 −32% —
453 Combined Anterior And Posterior Spinal Fusion With MCC $153,362 $103,861 +48% $103,861 +48% —
007 LUNG TRANSPLANT $152,794 $140,478 +9% $170,608 −10% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $149,240 $126,523 +18% $164,641 −9% —
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $140,960 $86,864 +62% $86,864 +62% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $135,644 $98,882 +37% $188,171 −28% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $134,056 $106,929 +25% $148,686 −10% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $127,762 $112,119 +14% $153,282 −17% —
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $121,954 $80,427 +52% $80,427 +52% —
231 CORONARY BYPASS WITH PTCA WITH MCC $116,800 $85,426 +37% $147,227 −21% —
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $112,920 $72,618 +55% $72,618 +55% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $112,647 $124,403 −9% $196,346 −43% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $108,663 $94,884 +15% $143,242 −24% —
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $107,018 $62,706 +71% $59,206 +81% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $106,337 $66,864 +59% $144,569 −26% —
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 $82,171 +27% $120,573 −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 $67,157 +53% $113,855 −10% —
459 Spinal Fusion Except Cervical With MCC $100,308 $75,251 +33% $75,251 +33% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $98,758 $74,709 +32% $106,057 −7% —
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $94,047 $57,380 +64% $57,380 +64% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $93,348 $72,361 +29% $125,242 −25% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $92,298 $74,701 +24% $107,355 −14% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $91,918 $113,379 −19% $121,563 −24% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $90,153 $72,622 +24% $148,832 −39% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $90,024 $68,644 +31% $123,995 −27% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $89,890 $74,479 +21% $98,260 −9% —
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $89,789 $56,960 +58% $56,960 +58% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $89,023 $69,627 +28% $102,600 −13% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $87,045 $67,791 +28% $96,905 −10% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $85,116 $72,265 +18% $89,353 −5% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $84,123 $60,418 +39% $115,839 −27% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $83,224 $95,245 −13% $144,774 −43% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $82,946 $82,946 +0% $105,228 −21% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $82,568 $60,369 +37% $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% $103,455 −21% —
028 SPINAL PROCEDURES WITH MCC $81,168 $57,312 +42% $113,077 −28% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $81,033 $72,559 +12% $109,331 −26% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $80,962 $52,018 +56% $92,217 −12% —
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $79,862 $54,320 +47% $56,836 +41% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $79,135 $38,163 +107% $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 $54,911 +43% $104,583 −25% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $78,681 $70,718 +11% $96,192 −18% —
834 ACUTE LEUKEMIA WITH MCC $78,221 $70,851 +10% $85,566 −9% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $78,169 $65,601 +19% $77,055 +1% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $75,735 $73,455 +3% $102,128 −26% —
245 AICD GENERATOR PROCEDURES $75,141 $47,309 +59% $72,076 +4% —
010 PANCREAS TRANSPLANT $75,079 $63,234 +19% $99,940 −25% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $74,708 $67,282 +11% $108,472 −31% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $73,707 $57,531 +28% $111,320 −34% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $73,520 $60,091 +22% $86,459 −15% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $73,380 $71,091 +3% $131,961 −44% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $72,963 $52,703 +38% $102,573 −29% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $72,902 $46,473 +57% $89,207 −18% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $72,354 $54,752 +32% $93,172 −22% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $72,290 $45,495 +59% $90,724 −20% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $72,163 $49,015 +47% $66,848 +8% —
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 $63,721 +13% $101,576 −29% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $71,889 $64,196 +12% $96,507 −26% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $71,024 $66,980 +6% $99,423 −29% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $70,872 $87,925 −19% $132,794 −47% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $70,624 $53,485 +32% $81,176 −13% —
471 CERVICAL SPINAL FUSION WITH MCC $69,652 $55,551 +25% $92,515 −25% —
163 MAJOR CHEST PROCEDURES WITH MCC $68,857 $45,840 +50% $90,195 −24% —
799 SPLENIC PROCEDURES WITH MCC $68,806 $56,958 +21% $82,218 −16% —
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 $62,020 +10% $90,401 −25% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $67,653 $53,247 +27% $93,390 −28% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $66,901 $76,564 −13% $126,098 −47% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $66,845 $59,547 +12% $80,793 −17% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $66,462 $63,888 +4% $98,912 −33% —
006 LIVER TRANSPLANT WITHOUT MCC $65,427 $51,951 +26% $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 $62,313 +4% $117,280 −45% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $63,515 $46,799 +36% $76,001 −16% —
460 Spinal Fusion Except Cervical Without MCC $63,245 $45,588 +39% $51,625 +23% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $63,100 $46,591 +35% $90,775 −30% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $62,819 $56,308 +12% $87,761 −28% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $61,895 $45,518 +36% $88,307 −30% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $61,729 $72,826 −15% $88,566 −30% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $60,190 $60,190 +0% $70,177 −14% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $59,879 $51,550 +16% $73,120 −18% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $59,083 $37,612 +57% $85,159 −31% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $59,009 $43,510 +36% $65,325 −10% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $58,513 $43,817 +34% $77,817 −25% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $58,389 $42,803 +36% $72,962 −20% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $57,488 $45,098 +27% $84,692 −32% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $56,721 $44,168 +28% $66,685 −15% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $56,305 $48,838 +15% $76,219 −26% —
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 $51,762 +8% $82,561 −32% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $55,864 $50,725 +10% $61,832 −10% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $55,517 $26,237 +112% $18,649 +198% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $55,480 $43,957 +26% $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 $50,631 +9% $79,225 −31% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $54,921 $68,634 −20% $105,899 −48% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $54,586 $62,470 −13% $101,618 −46% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $54,331 $39,348 +38% $74,755 −27% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $54,243 $48,637 +12% $62,583 −13% —
791 PREMATURITY WITH MAJOR PROBLEMS $54,046 $27,643 +96% $42,679 +27% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $53,970 $47,988 +12% $74,257 −27% —
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $53,331 $33,983 +57% $33,983 +57% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $52,854 $34,531 +53% $77,990 −32% —
332 RECTAL RESECTION WITH MCC $52,845 $39,662 +33% $58,125 −9% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $52,491 $47,461 +11% $79,836 −34% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $52,364 $40,949 +28% $71,795 −27% —
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 $47,238 +10% $62,300 −16% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,871 $30,328 +71% $61,470 −16% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $51,673 $35,340 +46% $75,573 −32% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $51,625 $31,737 +63% $54,196 −5% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $51,389 $55,309 −7% $99,943 −49% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $51,361 $37,700 +36% $70,132 −27% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $50,726 $31,670 +60% $59,352 −15% —
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $50,628 $34,146 +48% $34,146 +48% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $50,234 $35,462 +42% $70,371 −29% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $50,230 $44,407 +13% $69,743 −28% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $49,924 $50,127 −0% $93,238 −46% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $49,489 $50,550 −2% $68,639 −28% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $49,247 $46,796 +5% $91,329 −46% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $49,210 $46,844 +5% $70,847 −31% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $49,132 $40,118 +22% $59,533 −17% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $48,741 $48,741 +0% $59,594 −18% —
265 AICD LEAD PROCEDURES $48,393 $42,814 +13% $63,171 −23% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $48,343 $35,891 +35% $71,014 −32% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $48,209 $37,495 +29% $55,289 −13% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $47,954 $28,302 +69% $70,564 −32% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $47,622 $37,950 +25% $66,711 −29% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $47,280 $49,974 −5% $71,551 −34% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $47,103 $41,612 +13% $66,068 −29% —
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 $41,623 +13% $67,268 −30% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $46,808 $37,171 +26% $68,653 −32% —
252 OTHER VASCULAR PROCEDURES WITH MCC $46,774 $34,562 +35% $68,508 −32% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $46,270 $42,682 +8% $65,608 −29% —
652 KIDNEY TRANSPLANT $46,149 $35,233 +31% $54,720 −16% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $46,097 $37,732 +22% $72,424 −36% —
338 Appendectomy With Complicated Principal Diagnosis With MCC $45,915 $30,138 +52% $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% $65,788 −30% —
665 PROSTATECTOMY WITH MCC $45,680 $39,653 +15% $54,072 −16% —
037 EXTRACRANIAL PROCEDURES WITH MCC $45,670 $32,138 +42% $66,666 −31% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $45,541 $48,875 −7% $86,970 −48% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $45,061 $29,507 +53% $52,178 −14% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $44,924 $29,627 +52% $56,964 −21% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $44,726 $35,706 +25% $58,975 −24% —
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 $32,264 +37% $53,864 −18% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,221 $32,109 +38% $49,710 −11% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $44,162 $46,164 −4% $52,036 −15% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $43,990 $41,839 +5% $71,092 −38% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $43,598 $43,598 +0% $101,510 −57% —
662 MINOR BLADDER PROCEDURES WITH MCC $43,594 $38,018 +15% $54,562 −20% —
500 SOFT TISSUE PROCEDURES WITH MCC $42,929 $38,926 +10% $61,872 −31% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,852 $31,071 +38% $64,523 −34% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $42,676 $36,238 +18% $51,746 −18% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $42,648 $35,448 +20% $52,986 −20% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $42,593 $37,428 +14% $65,653 −35% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $42,459 $41,261 +3% $60,170 −29% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $42,213 $38,474 +10% $62,821 −33% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $42,200 $43,139 −2% $60,098 −30% —
341 Appendectomy Without Complicated Principal Diagnosis With MCC $41,332 $25,628 +61% $25,628 +61% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $40,853 $40,853 +0% $58,228 −30% —
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 $51,412 −21% $81,998 −50% —
472 CERVICAL SPINAL FUSION WITH CC $40,736 $37,272 +9% $59,537 −32% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $40,304 $32,420 +24% $58,745 −31% —
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 $35,751 +11% $58,043 −31% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $39,716 $33,318 +19% $44,472 −11% —
654 MAJOR BLADDER PROCEDURES WITH CC $39,612 $35,863 +10% $58,274 −32% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $39,373 $31,981 +23% $62,264 −37% —
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 $35,906 +9% $49,184 −20% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $39,037 $49,323 −21% $79,116 −51% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $38,951 $29,958 +30% $59,031 −34% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $38,923 $27,106 +44% $59,790 −35% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,882 $31,014 +25% $44,546 −13% —
668 TRANSURETHRAL PROCEDURES WITH MCC $38,620 $34,563 +12% $51,608 −25% —
570 SKIN DEBRIDEMENT WITH MCC $38,606 $40,434 −5% $52,435 −26% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,586 $38,646 −0% $50,618 −24% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,227 $30,165 +27% $43,491 −12% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $38,086 $27,829 +37% $41,422 −8% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $36,899 $30,237 +22% $49,839 −26% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $36,867 $34,739 +6% $44,222 −17% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $36,675 $33,327 +10% $45,167 −19% —
164 MAJOR CHEST PROCEDURES WITH CC $36,382 $23,218 +57% $56,755 −36% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $36,281 $25,200 +44% $40,548 −11% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $36,170 $28,159 +28% $46,453 −22% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,104 $26,283 +37% $57,454 −37% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $36,064 $38,482 −6% $56,242 −36% —
503 FOOT PROCEDURES WITH MCC $36,015 $35,170 +2% $47,540 −24% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $35,996 $30,742 +17% $39,173 −8% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $35,630 $36,692 −3% $47,945 −26% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $35,598 $25,683 +39% $50,011 −29% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $35,238 $30,124 +17% $48,687 −28% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $35,155 $27,532 +28% $51,985 −32% —
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $35,145 $21,663 +62% $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 $35,631 −2% $58,707 −40% —
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% $49,423 −29% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $34,812 $26,268 +33% $59,629 −42% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,798 $30,871 +13% $50,046 −30% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $34,652 $30,993 +12% $59,500 −42% —
263 VEIN LIGATION AND STRIPPING $34,649 $28,515 +22% $51,253 −32% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $34,553 $32,058 +8% $38,878 −11% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $34,525 $34,525 +0% $52,908 −35% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $34,270 $30,973 +11% $40,362 −15% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $34,055 $27,813 +22% $54,583 −38% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $33,924 $30,380 +12% $53,451 −37% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,623 $22,415 +50% $50,498 −33% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $33,610 $34,307 −2% $47,583 −29% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $33,338 $32,235 +3% $63,928 −48% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $33,094 $26,429 +25% $48,349 −32% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $32,890 $26,358 +25% $50,394 −35% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $32,885 $32,885 +0% $50,624 −35% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $32,872 $28,288 +16% $42,186 −22% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,828 $22,089 +49% $49,418 −34% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,765 $22,233 +47% $47,789 −31% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $32,736 $25,199 +30% $42,906 −24% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,635 $21,746 +50% $47,737 −32% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $32,610 $15,564 +110% $12,229 +167% —
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $32,506 $20,610 +58% $20,610 +58% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $32,351 $26,159 +24% $43,943 −26% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $32,336 $30,598 +6% $43,650 −26% —
709 PENIS PROCEDURES WITH CC/MCC $32,317 $32,317 +0% $34,535 −6% —
336 PERITONEAL ADHESIOLYSIS WITH CC $32,308 $25,279 +28% $50,463 −36% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $32,271 $22,748 +42% $41,620 −22% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $32,232 $26,098 +24% $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% $59,651 −46% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $32,082 $25,012 +28% $31,134 +3% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $31,988 $30,869 +4% $60,407 −47% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $31,970 $25,264 +27% $42,415 −25% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $31,881 $32,011 −0% $71,464 −55% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $31,858 $20,608 +55% $49,066 −35% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $31,607 $21,886 +44% $46,283 −32% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $31,373 $31,373 +0% $59,421 −47% —
113 ORBITAL PROCEDURES WITH CC/MCC $31,373 $24,270 +29% $36,167 −13% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $31,301 $28,152 +11% $36,489 −14% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $31,263 $26,809 +17% $38,998 −20% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $31,164 $21,541 +45% $49,351 −37% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,115 $26,162 +19% $41,608 −25% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $30,925 $22,510 +37% $39,181 −21% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $30,842 $32,382 −5% $70,467 −56% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,793 $33,142 −7% $65,216 −53% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $30,703 $28,401 +8% $45,866 −33% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $30,616 $24,613 +24% $42,795 −28% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $30,614 $24,290 +26% $45,877 −33% —
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 $24,496 +24% $46,724 −35% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $30,205 $30,205 +0% $38,070 −21% —
835 ACUTE LEUKEMIA WITH CC $30,135 $26,770 +13% $35,569 −15% —
595 MAJOR SKIN DISORDERS WITH MCC $30,100 $20,595 +46% $34,598 −13% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $30,012 $25,539 +18% $41,892 −28% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $29,813 $27,123 +10% $81,706 −64% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $29,651 $28,722 +3% $39,973 −26% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $29,245 $21,374 +37% $43,174 −32% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $29,240 $27,682 +6% $52,751 −45% —
849 RADIOTHERAPY $29,203 $27,544 +6% $37,862 −23% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $29,176 $29,176 +0% $46,727 −38% —
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% $45,333 −36% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $29,016 $19,157 +51% $41,591 −30% —
374 DIGESTIVE MALIGNANCY WITH MCC $28,902 $20,421 +42% $39,958 −28% —
548 SEPTIC ARTHRITIS WITH MCC $28,872 $28,872 +0% $31,346 −8% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $28,871 $25,692 +12% $40,108 −28% —
333 RECTAL RESECTION WITH CC $28,871 $20,258 +43% $37,154 −22% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $28,752 $28,752 +0% $42,914 −33% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $28,643 $16,729 +71% $38,666 −26% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $28,559 $30,737 −7% $61,217 −53% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,545 $22,499 +27% $43,913 −35% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $28,495 $27,666 +3% $50,607 −44% ≈168% of Medicare
339 Appendectomy With Complicated Principal Diagnosis With CC $28,326 $18,474 +53% $18,474 +53% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $28,292 $20,655 +37% $39,020 −27% —
711 TESTES PROCEDURES WITH CC/MCC $28,253 $25,790 +10% $38,343 −26% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,246 $25,055 +13% $43,631 −35% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,058 $28,058 +0% $43,800 −36% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $28,013 $28,013 +0% $44,363 −37% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,979 $19,137 +46% $40,562 −31% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $27,858 $23,374 +19% $42,901 −35% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $27,490 $24,168 +14% $43,298 −37% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,377 $18,080 +51% $42,126 −35% —
539 OSTEOMYELITIS WITH MCC $27,360 $29,443 −7% $37,609 −27% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $27,287 $21,715 +26% $46,090 −41% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $27,172 $20,267 +34% $35,030 −22% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $27,113 $19,915 +36% $36,670 −26% —
380 COMPLICATED PEPTIC ULCER WITH MCC $27,073 $27,073 +0% $39,627 −32% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $27,027 $23,570 +15% $34,459 −22% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $26,932 $24,663 +9% $37,240 −28% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $26,832 $22,004 +22% $52,075 −48% —
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 $23,238 +15% $32,065 −17% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,517 $23,439 +13% $39,018 −32% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $26,487 $15,729 +68% $35,628 −26% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $26,449 $21,485 +23% $31,044 −15% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $26,359 $17,878 +47% $46,340 −43% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $26,338 $21,394 +23% $33,851 −22% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $26,336 $24,007 +10% $44,139 −40% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $26,248 $16,583 +58% $40,213 −35% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,196 $17,800 +47% $40,642 −36% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $26,188 $23,728 +10% $43,080 −39% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $26,136 $18,905 +38% $32,443 −19% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $26,118 $12,729 +105% $33,985 −23% —
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 $18,637 +40% $39,515 −34% —
935 NON-EXTENSIVE BURNS $26,104 $21,407 +22% $31,701 −18% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $26,072 $20,804 +25% $32,859 −21% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $26,053 $27,532 −5% $39,106 −33% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $25,958 $22,974 +13% $36,792 −29% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $25,860 $21,071 +23% $36,431 −29% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,816 $19,505 +32% $29,611 −13% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $25,798 $17,649 +46% $39,955 −35% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $25,750 $21,137 +22% $36,354 −29% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $25,726 $27,360 −6% $36,249 −29% —
509 ARTHROSCOPY $25,725 $22,130 +16% $25,994 −1% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $25,526 $20,164 +27% $32,433 −21% —
199 PNEUMOTHORAX WITH MCC $25,504 $14,424 +77% $33,787 −25% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,500 $16,266 +57% $38,836 −34% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $25,497 $23,002 +11% $47,711 −47% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,436 $17,055 +49% $33,386 −24% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $25,416 $21,507 +18% $33,876 −25% —
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% $33,707 −25% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $25,211 $19,865 +27% $38,861 −35% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $25,210 $17,671 +43% $37,844 −33% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $25,210 $21,758 +16% $29,221 −14% —
919 COMPLICATIONS OF TREATMENT WITH MCC $25,185 $14,296 +76% $31,105 −19% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $25,147 $20,034 +26% $34,276 −27% —
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 $26,794 −7% $40,365 −38% —
100 SEIZURES WITH MCC $24,823 $26,892 −8% $35,481 −30% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $24,794 $22,616 +10% $37,842 −34% —
397 APPENDIX PROCEDURES WITH MCC $24,724 $24,925 −1% $53,257 −54% —
342 Appendectomy Without Complicated Principal Diagnosis With CC $24,723 $16,487 +50% $16,487 +50% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $24,650 $18,924 +30% $29,826 −17% —
504 FOOT PROCEDURES WITH CC $24,632 $19,745 +25% $38,960 −37% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,623 $16,452 +50% $33,047 −25% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $24,606 $19,112 +29% $33,555 −27% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $24,569 $18,194 +35% $32,944 −25% —
501 SOFT TISSUE PROCEDURES WITH CC $24,406 $21,864 +12% $39,619 −38% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $24,405 $19,743 +24% $43,477 −44% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $24,380 $18,054 +35% $37,950 −36% —
666 PROSTATECTOMY WITH CC $24,339 $19,204 +27% $31,906 −24% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $24,333 $17,404 +40% $38,094 −36% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $24,263 $19,292 +26% $32,574 −26% —
663 MINOR BLADDER PROCEDURES WITH CC $24,254 $20,339 +19% $33,103 −27% —
180 RESPIRATORY NEOPLASMS WITH MCC $24,254 $21,748 +12% $36,658 −34% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $24,148 $19,230 +26% $30,243 −20% —
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 $12,130 +98% $16,351 +47% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $23,947 $21,294 +12% $36,445 −34% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $23,885 $17,908 +33% $32,637 −27% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $23,870 $21,521 +11% $29,316 −19% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $23,851 $23,851 +0% $31,159 −23% —
813 COAGULATION DISORDERS $23,841 $13,514 +76% $33,296 −28% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,827 $23,326 +2% $34,434 −31% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $23,806 $15,566 +53% $31,951 −25% —
075 VIRAL MENINGITIS WITH CC/MCC $23,755 $18,005 +32% $30,447 −22% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,719 $19,053 +24% $35,419 −33% —
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% $44,606 −47% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $23,601 $12,857 +84% $32,628 −28% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $23,599 $15,198 +55% $31,264 −25% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,594 $23,626 −0% $32,697 −28% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $23,544 $28,214 −17% $40,060 −41% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $23,541 $21,986 +7% $32,031 −27% —
915 ALLERGIC REACTIONS WITH MCC $23,492 $19,852 +18% $32,645 −28% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $23,492 $16,121 +46% $30,828 −24% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $23,482 $18,324 +28% $34,607 −32% —
592 SKIN ULCERS WITH MCC $23,449 $23,449 +0% $33,246 −29% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $23,395 $20,893 +12% $29,916 −22% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $23,383 $24,687 −5% $34,192 −32% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,379 $20,807 +12% $41,955 −44% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $23,379 $13,466 +74% $27,617 −15% —
571 SKIN DEBRIDEMENT WITH CC $23,338 $20,709 +13% $37,169 −37% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $23,256 $18,163 +28% $35,074 −34% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $23,215 $15,651 +48% $46,295 −50% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $23,111 $16,110 +43% $25,094 −8% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $23,088 $12,408 +86% $34,273 −33% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $23,064 $23,064 +0% $37,387 −38% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $23,015 $22,110 +4% $38,101 −40% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,004 $21,202 +8% $34,749 −34% —
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% $32,496 −29% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,911 $14,334 +60% $33,694 −32% —
643 ENDOCRINE DISORDERS WITH MCC $22,892 $13,875 +65% $33,563 −32% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $22,861 $18,628 +23% $33,255 −31% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $22,814 $13,823 +65% $33,633 −32% —
551 MEDICAL BACK PROBLEMS WITH MCC $22,713 $25,341 −10% $34,017 −33% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $22,653 $20,366 +11% $39,211 −42% —
505 FOOT PROCEDURES WITHOUT CC/MCC $22,632 $24,302 −7% $34,937 −35% —
671 URETHRAL PROCEDURES WITH CC/MCC $22,595 $19,673 +15% $27,233 −17% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $22,543 $17,089 +32% $26,598 −15% —
038 EXTRACRANIAL PROCEDURES WITH CC $22,462 $15,326 +47% $35,770 −37% —
157 DENTAL AND ORAL DISEASES WITH MCC $22,372 $17,411 +28% $31,300 −29% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $22,352 $19,160 +17% $27,152 −18% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $22,232 $15,890 +40% $24,550 −9% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,218 $17,263 +29% $33,424 −34% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $22,183 $18,177 +22% $35,849 −38% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $22,099 $18,934 +17% $39,887 −45% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $22,022 $20,786 +6% $29,126 −24% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $22,002 $17,619 +25% $29,079 −24% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $21,991 $22,079 −0% $32,451 −32% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $21,973 $23,107 −5% $58,280 −62% ≈99% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $21,969 $15,821 +39% $36,253 −39% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $21,925 $17,579 +25% $31,563 −31% —
186 PLEURAL EFFUSION WITH MCC $21,899 $12,717 +72% $33,834 −35% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $21,888 $17,470 +25% $33,048 −34% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $21,888 $21,888 +0% $37,267 −41% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,883 $18,480 +18% $22,393 −2% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $21,797 $14,750 +48% $33,661 −35% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $21,764 $18,918 +15% $25,073 −13% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $21,752 $18,442 +18% $39,006 −44% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $21,727 $17,232 +26% $35,692 −39% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $21,552 $19,892 +8% $25,197 −14% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $21,541 $18,296 +18% $33,454 −36% —
183 MAJOR CHEST TRAUMA WITH MCC $21,449 $12,207 +76% $29,933 −28% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $21,434 $22,272 −4% $30,571 −30% —
710 PENIS PROCEDURES WITHOUT CC/MCC $21,400 $21,400 +0% $26,436 −19% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,393 $18,743 +14% $25,703 −17% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $21,369 $12,248 +74% $27,633 −23% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $21,238 $18,896 +12% $28,202 −25% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $21,235 $14,998 +42% $33,653 −37% —
865 VIRAL ILLNESS WITH MCC $21,233 $18,804 +13% $26,910 −21% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $21,229 $16,503 +29% $36,505 −42% —
682 RENAL FAILURE WITH MCC $21,169 $15,310 +38% $29,064 −27% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $21,133 $16,476 +28% $30,770 −31% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $20,954 $22,824 −8% $32,877 −36% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $20,915 $13,410 +56% $27,316 −23% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $20,914 $12,890 +62% $30,235 −31% —
533 FRACTURES OF FEMUR WITH MCC $20,799 $18,220 +14% $25,945 −20% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $20,788 $19,109 +9% $32,833 −37% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $20,785 $19,945 +4% $22,811 −9% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $20,689 $20,689 +0% $26,463 −22% —
602 CELLULITIS WITH MCC $20,652 $20,839 −1% $30,598 −33% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $20,646 $20,646 +0% $33,393 −38% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $20,620 $18,737 +10% $26,280 −22% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $20,617 $12,480 +65% $30,959 −33% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $20,603 $14,775 +39% $27,394 −25% —
913 TRAUMATIC INJURY WITH MCC $20,601 $18,375 +12% $24,198 −15% —
606 MINOR SKIN DISORDERS WITH MCC $20,594 $20,594 +0% $27,975 −26% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $20,541 $12,170 +69% $30,010 −32% —
693 URINARY STONES WITH MCC $20,464 $17,257 +19% $23,892 −14% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $20,455 $17,070 +20% $35,831 −43% —
669 TRANSURETHRAL PROCEDURES WITH CC $20,338 $16,963 +20% $34,354 −41% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $20,331 $18,424 +10% $32,100 −37% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $20,319 $16,350 +24% $33,674 −40% —
291 HEART FAILURE AND SHOCK WITH MCC $20,265 $12,420 +63% $26,776 −24% —
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 $14,135 +43% $22,620 −11% —
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 $16,340 +23% $30,557 −34% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $20,086 $18,300 +10% $36,988 −46% —
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 $16,159 +24% $24,402 −18% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $19,980 $21,069 −5% $29,743 −33% —
334 RECTAL RESECTION WITHOUT CC/MCC $19,936 $17,819 +12% $36,820 −46% —
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $19,932 $13,613 +46% $13,613 +46% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $19,922 $15,966 +25% $24,586 −19% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $19,797 $15,748 +26% $30,418 −35% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,796 $19,796 +0% $30,083 −34% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $19,650 $10,317 +90% $8,445 +133% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $19,579 $16,871 +16% $27,808 −30% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $19,540 $14,941 +31% $23,206 −16% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $19,532 $20,076 −3% $29,805 −34% —
137 MOUTH PROCEDURES WITH CC/MCC $19,526 $17,894 +9% $27,861 −30% —
637 DIABETES WITH MCC $19,475 $18,353 +6% $30,100 −35% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $19,455 $17,289 +13% $30,502 −36% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,435 $14,864 +31% $27,947 −30% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,419 $19,655 −1% $28,156 −31% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $19,396 $14,727 +32% $21,986 −12% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $19,354 $13,180 +47% $26,682 −27% —
811 RED BLOOD CELL DISORDERS WITH MCC $19,299 $15,254 +27% $28,226 −32% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $19,285 $15,116 +28% $27,275 −29% ≈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 $16,458 +16% $20,980 −9% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $19,062 $16,844 +13% $22,525 −15% —
150 EPISTAXIS WITH MCC $19,047 $19,047 +0% $23,171 −18% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,015 $14,578 +30% $26,870 −29% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $18,996 $17,345 +10% $35,465 −46% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $18,941 $16,349 +16% $31,170 −39% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $18,925 $17,490 +8% $58,809 −68% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $18,919 $14,931 +27% $25,748 −27% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $18,888 $12,373 +53% $25,970 −27% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $18,822 $16,936 +11% $32,841 −43% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $18,778 $14,516 +29% $27,426 −32% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,604 $12,679 +47% $29,949 −38% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $18,602 $16,583 +12% $36,937 −50% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $18,515 $18,515 +0% $31,017 −40% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,431 $18,431 +0% $27,989 −34% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $18,424 $18,424 +0% $30,493 −40% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $18,416 $14,857 +24% $27,285 −33% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,407 $14,930 +23% $30,242 −39% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $18,392 $18,392 +0% $26,051 −29% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,388 $15,698 +17% $24,127 −24% —
540 OSTEOMYELITIS WITH CC $18,365 $18,365 +0% $26,676 −31% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $18,291 $16,121 +13% $26,932 −32% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,201 $15,652 +16% $26,948 −32% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $18,166 $12,744 +43% $24,552 −26% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $18,125 $19,383 −6% $30,553 −41% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $18,096 $13,997 +29% $28,320 −36% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $18,056 $14,194 +27% $22,320 −19% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $18,048 $16,779 +8% $27,323 −34% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $17,979 $13,658 +32% $21,894 −18% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $17,965 $13,306 +35% $23,498 −24% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $17,918 $15,472 +16% $27,119 −34% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $17,797 $16,902 +5% $19,598 −9% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $17,758 $15,403 +15% $28,050 −37% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $17,749 $16,078 +10% $22,851 −22% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $17,738 $12,445 +43% $20,727 −14% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $17,734 $11,826 +50% $26,510 −33% —
885 PSYCHOSES $17,660 $12,762 +38% $21,729 −19% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $17,653 $12,757 +38% $19,270 −8% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $17,614 $12,194 +44% $25,581 −31% —
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $17,538 $12,397 +41% $12,397 +41% —
375 DIGESTIVE MALIGNANCY WITH CC $17,523 $11,826 +48% $27,277 −36% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,427 $15,161 +15% $22,314 −22% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $17,408 $14,929 +17% $26,580 −35% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $17,341 $14,095 +23% $27,043 −36% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,312 $13,273 +30% $21,230 −18% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $17,310 $13,299 +30% $25,463 −32% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $17,224 $15,542 +11% $25,390 −32% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $17,179 $11,826 +45% $22,458 −24% —
947 SIGNS AND SYMPTOMS WITH MCC $17,151 $17,151 +0% $27,401 −37% —
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 $14,790 +16% $17,404 −2% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $17,105 $18,029 −5% $21,847 −22% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $17,026 $14,428 +18% $19,354 −12% —
549 SEPTIC ARTHRITIS WITH CC $17,022 $15,414 +10% $24,056 −29% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $16,964 $13,237 +28% $26,770 −37% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $16,961 $16,919 +0% $27,543 −38% —
139 SALIVARY GLAND PROCEDURES $16,930 $13,584 +25% $23,612 −28% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $16,649 $15,106 +10% $24,544 −32% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,581 $12,334 +34% $23,443 −29% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $16,570 $16,570 +0% $24,944 −34% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $16,456 $14,519 +13% $24,566 −33% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $16,345 $11,978 +36% $32,021 −49% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $16,258 $12,954 +26% $24,386 −33% ≈155% of Medicare
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $16,245 $15,182 +7% $27,297 −40% —
181 RESPIRATORY NEOPLASMS WITH CC $16,240 $14,326 +13% $23,573 −31% —
949 AFTERCARE WITH CC/MCC $16,206 $17,135 −5% $23,953 −32% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $16,199 $17,007 −5% $34,906 −54% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $16,143 $11,826 +37% $25,700 −37% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,127 $14,097 +14% $17,737 −9% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $16,105 $12,115 +33% $25,034 −36% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $15,957 $14,778 +8% $16,846 −5% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $15,950 $12,060 +32% $19,815 −20% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $15,932 $13,086 +22% $28,125 −43% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,930 $10,950 +45% $26,618 −40% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $15,921 $11,826 +35% $25,652 −38% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $15,871 $13,136 +21% $27,163 −42% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $15,788 $18,771 −16% $30,784 −49% —
398 APPENDIX PROCEDURES WITH CC $15,755 $15,755 +0% $40,162 −61% —
887 OTHER MENTAL DISORDER DIAGNOSES $15,744 $11,944 +32% $20,616 −24% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $15,718 $10,576 +49% $23,617 −33% ≈149% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $15,678 $13,903 +13% $19,657 −20% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $15,652 $14,069 +11% $18,459 −15% —
302 ATHEROSCLEROSIS WITH MCC $15,623 $11,967 +31% $22,446 −30% —
593 SKIN ULCERS WITH CC $15,600 $10,759 +45% $22,886 −32% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $15,584 $11,975 +30% $23,283 −33% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,566 $16,292 −4% $25,279 −38% —
102 HEADACHES WITH MCC $15,490 $14,121 +10% $25,740 −40% —
304 HYPERTENSION WITH MCC $15,426 $11,979 +29% $26,080 −41% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $15,423 $11,826 +30% $20,232 −24% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,419 $12,065 +28% $19,073 −19% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $15,375 $14,197 +8% $19,132 −20% —
381 COMPLICATED PEPTIC ULCER WITH CC $15,368 $13,597 +13% $24,177 −36% —
152 OTITIS MEDIA AND URI WITH MCC $15,287 $15,287 +0% $20,247 −24% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,285 $15,449 −1% $23,571 −35% —
200 PNEUMOTHORAX WITH CC $15,274 $11,903 +28% $21,368 −29% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $15,268 $11,689 +31% $23,551 −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% $25,303 −40% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $15,148 $13,536 +12% $23,319 −35% —
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 $11,580 +30% $15,901 −5% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $15,029 $12,856 +17% $15,764 −5% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $15,020 $11,826 +27% $22,763 −34% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $15,015 $12,214 +23% $27,843 −46% —
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 $12,500 +19% $18,348 −19% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $14,890 $12,479 +19% $22,888 −35% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $14,832 $12,744 +16% $17,398 −15% —
187 PLEURAL EFFUSION WITH CC $14,800 $11,826 +25% $21,789 −32% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $14,763 $11,352 +30% $21,275 −31% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $14,753 $13,162 +12% $19,412 −24% —
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% $20,422 −28% —
184 MAJOR CHEST TRAUMA WITH CC $14,647 $10,391 +41% $22,432 −35% —
197 INTERSTITIAL LUNG DISEASE WITH CC $14,622 $15,113 −3% $21,941 −33% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $14,596 $15,227 −4% $23,940 −39% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $14,586 $11,554 +26% $20,926 −30% —
089 CONCUSSION WITH CC $14,580 $11,789 +24% $18,821 −23% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $14,542 $11,826 +23% $17,193 −15% —
697 URETHRAL STRICTURE $14,517 $11,826 +23% $18,428 −21% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $14,487 $14,487 +0% $22,635 −36% —
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% $23,198 −38% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $14,340 $11,826 +21% $17,226 −17% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $14,332 $13,037 +10% $23,488 −39% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,324 $11,267 +27% $20,901 −31% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $14,299 $11,408 +25% $19,264 −26% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $14,285 $11,325 +26% $20,957 −32% —
920 COMPLICATIONS OF TREATMENT WITH CC $14,272 $14,272 +0% $22,468 −36% —
667 PROSTATECTOMY WITHOUT CC/MCC $14,239 $13,033 +9% $16,703 −15% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $14,210 $11,826 +20% $16,212 −12% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $14,135 $11,167 +27% $17,698 −20% —
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 $11,826 +17% $19,854 −30% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $13,864 $12,845 +8% $20,911 −34% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $13,855 $9,695 +43% $22,098 −37% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $13,821 $12,342 +12% $24,914 −45% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $13,819 $11,826 +17% $22,506 −39% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $13,798 $12,812 +8% $22,033 −37% —
712 TESTES PROCEDURES WITHOUT CC/MCC $13,797 $11,826 +17% $18,898 −27% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,783 $11,826 +17% $20,259 −32% —
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% $21,363 −36% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $13,598 $12,902 +5% $16,700 −19% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $13,554 $12,690 +7% $18,072 −25% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $13,480 $11,826 +14% $17,135 −21% —
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 $12,621 +6% $18,316 −27% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $13,396 $12,611 +6% $20,181 −34% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $13,330 $9,827 +36% $17,724 −25% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $13,244 $13,244 +0% $19,594 −32% —
292 HEART FAILURE AND SHOCK WITH CC $13,221 $9,549 +38% $16,371 −19% ≈158% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $13,215 $13,215 +0% $20,455 −35% —
541 OSTEOMYELITIS WITHOUT CC/MCC $13,140 $14,120 −7% $15,215 −14% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $13,124 $12,475 +5% $16,998 −23% —
683 RENAL FAILURE WITH CC $13,039 $10,122 +29% $19,130 −32% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $13,026 $13,026 +0% $19,924 −35% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $12,994 $15,105 −14% $21,396 −39% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $12,906 $11,826 +9% $16,968 −24% —
158 DENTAL AND ORAL DISEASES WITH CC $12,845 $11,826 +9% $18,466 −30% —
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% $18,807 −32% —
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 $11,826 +8% $14,501 −12% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,770 $11,826 +8% $17,934 −29% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $12,731 $12,731 +0% $20,895 −39% —
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 $12,640 +0% $19,138 −34% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,562 $12,562 +0% $25,712 −51% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $12,551 $9,646 +30% $14,648 −14% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $12,551 $10,605 +18% $14,055 −11% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,541 $12,433 +1% $19,962 −37% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $12,541 $12,184 +3% $18,452 −32% —
864 FEVER AND INFLAMMATORY CONDITIONS $12,482 $12,482 +0% $18,640 −33% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,451 $12,431 +0% $17,601 −29% —
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 $10,866 +14% $14,014 −11% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,395 $12,395 +0% $18,956 −35% —
176 PULMONARY EMBOLISM WITHOUT MCC $12,388 $7,786 +59% $18,081 −31% —
638 DIABETES WITH CC $12,372 $11,158 +11% $19,661 −37% —
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% $20,506 −40% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $12,336 $11,193 +10% $14,290 −14% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $12,331 $9,791 +26% $18,488 −33% —
603 CELLULITIS WITHOUT MCC $12,212 $12,116 +1% $18,530 −34% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $12,205 $10,982 +11% $22,148 −45% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $12,204 $12,799 −5% $18,602 −34% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,171 $11,826 +3% $20,566 −41% —
101 SEIZURES WITHOUT MCC $12,164 $9,822 +24% $20,461 −41% —
914 TRAUMATIC INJURY WITHOUT MCC $12,158 $10,833 +12% $15,855 −23% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $12,133 $13,009 −7% $19,846 −39% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $12,115 $11,701 +4% $17,733 −32% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,086 $11,826 +2% $19,119 −37% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $12,041 $11,934 +1% $16,520 −27% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,996 $11,996 +0% $19,842 −40% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $11,976 $10,273 +17% $14,064 −15% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,916 $8,130 +47% $17,578 −32% —
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 $11,829 +0% $18,126 −35% —
866 VIRAL ILLNESS WITHOUT MCC $11,728 $11,728 +0% $17,081 −31% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,633 $11,826 −2% $31,321 −63% —
312 SYNCOPE AND COLLAPSE $11,631 $11,631 +0% $19,342 −40% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,607 $11,027 +5% $16,699 −30% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,570 $10,832 +7% $12,593 −8% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $11,558 $10,304 +12% $17,118 −32% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,535 $9,142 +26% $15,889 −27% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $11,515 $11,515 +0% $13,586 −15% —
090 CONCUSSION WITHOUT CC/MCC $11,514 $11,826 −3% $15,412 −25% —
694 URINARY STONES WITHOUT MCC $11,436 $11,436 +0% $17,345 −34% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,362 $11,594 −2% $16,552 −31% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,326 $9,409 +20% $17,674 −36% ≈164% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,299 $11,299 +0% $16,565 −32% —
881 DEPRESSIVE NEUROSES $11,298 $11,075 +2% $15,058 −25% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $11,274 $11,826 −5% $17,700 −36% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,228 $11,249 −0% $18,126 −38% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,221 $9,870 +14% $15,452 −27% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,197 $12,401 −10% $17,298 −35% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $11,191 $11,191 +0% $16,634 −33% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,182 $11,182 +0% $13,445 −17% —
594 SKIN ULCERS WITHOUT CC/MCC $11,154 $11,154 +0% $14,209 −22% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $11,088 $11,088 +0% $14,514 −24% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,084 $8,513 +30% $12,454 −11% —
204 RESPIRATORY SIGNS AND SYMPTOMS $11,076 $10,319 +7% $18,004 −38% —
103 HEADACHES WITHOUT MCC $11,073 $11,684 −5% $21,280 −48% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,072 $12,357 −10% $17,921 −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% $17,559 −37% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,027 $13,376 −18% $18,528 −40% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $10,995 $9,562 +15% $16,450 −33% —
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% $14,716 −26% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $10,921 $9,480 +15% $12,559 −13% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,889 $8,704 +25% $21,056 −48% —
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% $19,745 −45% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $10,864 $11,345 −4% $17,124 −37% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $10,836 $12,319 −12% $17,303 −37% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $10,779 $9,499 +13% $15,549 −31% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $10,763 $10,763 +0% $19,037 −43% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $10,751 $10,751 +0% $17,038 −37% ≈168% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $10,694 $9,471 +13% $14,797 −28% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $10,680 $11,095 −4% $16,767 −36% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $10,666 $11,916 −10% $15,428 −31% —
779 ABORTION WITHOUT D&C $10,659 $11,520 −7% $15,327 −30% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,649 $10,435 +2% $12,768 −17% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $10,642 $9,338 +14% $19,227 −45% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,612 $8,917 +19% $17,620 −40% —
950 AFTERCARE WITHOUT CC/MCC $10,525 $9,559 +10% $13,527 −22% —
151 EPISTAXIS WITHOUT MCC $10,511 $11,566 −9% $13,032 −19% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $10,509 $11,585 −9% $15,019 −30% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,499 $10,334 +2% $11,997 −12% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $10,497 $10,685 −2% $11,847 −11% —
201 PNEUMOTHORAX WITHOUT CC/MCC $10,457 $10,655 −2% $14,053 −26% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $10,413 $10,800 −4% $15,495 −33% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,369 $11,440 −9% $20,781 −50% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,356 $10,592 −2% $15,589 −34% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $10,335 $9,485 +9% $12,895 −20% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,328 $6,181 +67% $10,160 +2% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,280 $8,299 +24% $13,651 −25% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $10,257 $10,845 −5% $15,837 −35% —
149 DYSEQUILIBRIUM $10,189 $11,826 −14% $18,096 −44% —
945 REHABILITATION WITH CC/MCC $10,187 $11,933 −15% $23,834 −57% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,175 $9,038 +13% $16,288 −38% —
153 OTITIS MEDIA AND URI WITHOUT MCC $10,149 $9,376 +8% $14,583 −30% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $10,121 $11,355 −11% $13,275 −24% —
305 HYPERTENSION WITHOUT MCC $10,075 $8,177 +23% $18,086 −44% —
313 CHEST PAIN $10,029 $11,200 −10% $16,440 −39% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $9,996 $10,184 −2% $14,368 −30% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $9,991 $8,824 +13% $14,415 −31% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $9,990 $10,825 −8% $12,252 −18% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $9,877 $7,759 +27% $14,689 −33% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,856 $8,711 +13% $14,250 −31% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $9,801 $10,046 −2% $14,638 −33% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,746 $6,921 +41% $15,600 −38% —
311 ANGINA PECTORIS $9,734 $6,608 +47% $15,502 −37% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,727 $9,727 +0% $13,824 −30% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $9,595 $8,792 +9% $11,909 −19% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $9,534 $9,534 +0% $12,336 −23% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $9,511 $5,742 +66% $13,633 −30% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $9,488 $7,520 +26% $14,549 −35% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,462 $6,694 +41% $14,927 −37% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,429 $9,429 +0% $14,128 −33% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $9,212 $9,212 +0% $12,460 −26% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $9,129 $10,064 −9% $15,038 −39% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $9,096 $9,232 −1% $11,421 −20% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $9,054 $10,033 −10% $12,999 −30% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $8,973 $7,814 +15% $15,183 −41% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $8,940 $8,959 −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% $13,642 −35% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,823 $10,214 −14% $12,078 −27% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,819 $9,608 −8% $10,975 −20% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,796 $8,796 +0% $13,942 −37% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,274 $8,852 −7% $13,361 −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% $10,480 −25% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,867 $8,352 −6% $12,324 −36% —
946 REHABILITATION WITHOUT CC/MCC $7,080 $8,837 −20% $17,685 −60% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,991 $6,463 +8% $9,940 −30% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,713 $6,059 +11% $8,927 −25% —
795 NORMAL NEWBORN $2,660 $2,718 −2% $4,720 −44% —
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