McAlester Regional Health Center (Acute Care) — 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 $1,721
Average published price $18,570
Highest published price $281,717

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 19 procedures, this hospital's negotiated rates average ≈104% 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 $281,717 $400,267 −30% $498,715 −44% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $192,167 $294,368 −35% $431,073 −55% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $152,212 $232,875 −35% $306,087 −50% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $137,544 $237,331 −42% $371,366 −63% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $115,268 $155,461 −26% $169,977 −32% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $109,587 $118,525 −8% $171,338 −36% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $105,377 $119,623 −12% $142,326 −26% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $97,479 $139,148 −30% $191,314 −49% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $92,667 $105,195 −12% $121,563 −24% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $90,803 $150,879 −40% $245,241 −63% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $88,051 $141,500 −38% $182,314 −52% —
007 LUNG TRANSPLANT $84,010 $128,162 −34% $170,608 −51% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $83,902 $91,195 −8% $120,174 −30% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $79,034 $113,203 −30% $159,181 −50% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $75,718 $106,929 −29% $134,914 −44% —
453 Combined Anterior And Posterior Spinal Fusion With MCC $73,774 $103,861 −29% $103,861 −29% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $71,953 $98,882 −27% $175,437 −59% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $71,450 $81,109 −12% $121,728 −41% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $71,091 $65,585 +8% $131,961 −46% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $69,728 $95,207 −27% $151,029 −54% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $67,446 $72,005 −6% $114,914 −41% —
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $64,307 $90,055 −29% $86,864 −26% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $62,313 $56,523 +10% $117,280 −47% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $62,232 $72,826 −15% $94,988 −34% —
231 CORONARY BYPASS WITH PTCA WITH MCC $61,496 $76,840 −20% $146,474 −58% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $58,784 $62,970 −7% $113,855 −48% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $57,692 $92,039 −37% $143,242 −60% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $57,155 $68,333 −16% $101,235 −44% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $55,702 $66,864 −17% $138,868 −60% —
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $55,684 $80,974 −31% $80,427 −31% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $55,399 $74,535 −26% $120,587 −54% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $55,369 $62,854 −12% $105,899 −48% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $55,031 $58,750 −6% $93,783 −41% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $51,807 $51,807 +0% $79,944 −35% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $51,652 $71,997 −28% $107,355 −52% —
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $51,585 $72,915 −29% $72,618 −29% —
010 PANCREAS TRANSPLANT $51,389 $51,389 +0% $99,940 −49% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $51,097 $73,767 −31% $105,228 −51% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $50,331 $49,924 +1% $84,861 −41% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $50,070 $68,307 −27% $96,905 −48% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $49,546 $69,068 −28% $118,589 −58% —
454 Combined Anterior And Posterior Spinal Fusion With CC $49,320 $69,101 −29% $69,101 −29% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $48,922 $67,164 −27% $98,260 −50% —
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $48,907 $65,747 −26% $59,206 −17% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $47,707 $65,394 −27% $121,714 −61% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $46,796 $43,847 +7% $91,329 −49% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $46,379 $49,198 −6% $92,217 −50% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $46,250 $72,622 −36% $138,008 −66% —
459 Spinal Fusion Except Cervical With MCC $45,862 $74,896 −39% $75,251 −39% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $45,803 $64,571 −29% $105,612 −57% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $44,372 $55,525 −20% $106,238 −58% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $43,906 $53,965 −19% $112,062 −61% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $43,443 $46,443 −6% $62,404 −30% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $43,342 $63,106 −31% $70,735 −39% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $43,339 $62,403 −31% $89,353 −51% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,193 $57,489 −25% $92,238 −53% —
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $43,021 $59,843 −28% $57,380 −25% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $42,847 $43,223 −1% $88,049 −51% —
028 SPINAL PROCEDURES WITH MCC $42,248 $50,179 −16% $95,858 −56% —
653 MAJOR BLADDER PROCEDURES WITH MCC $42,032 $49,483 −15% $97,046 −57% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $41,768 $54,616 −24% $106,778 −61% —
834 ACUTE LEUKEMIA WITH MCC $41,760 $66,993 −38% $76,583 −45% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $41,750 $59,494 −30% $116,058 −64% —
245 AICD GENERATOR PROCEDURES $41,447 $44,378 −7% $72,076 −42% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $41,384 $64,084 −35% $109,331 −62% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $41,185 $62,975 −35% $96,192 −57% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $41,144 $35,182 +17% $80,018 −49% —
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $41,089 $57,557 −29% $56,960 −28% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $41,078 $46,631 −12% $81,998 −50% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $40,794 $59,237 −31% $83,441 −51% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $40,204 $68,454 −41% $94,927 −58% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $39,772 $61,315 −35% $98,912 −60% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $39,657 $43,197 −8% $88,691 −55% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $39,634 $60,981 −35% $108,472 −63% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $39,355 $44,675 −12% $75,492 −48% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $39,095 $55,270 −29% $102,177 −62% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $39,002 $54,752 −29% $87,018 −55% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $38,989 $52,249 −25% $81,176 −52% —
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $38,627 $54,320 −29% $54,320 −29% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $38,505 $53,104 −27% $86,459 −55% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $38,464 $46,527 −17% $102,573 −63% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $38,362 $59,185 −35% $96,222 −60% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,166 $42,319 −10% $78,582 −51% —
163 MAJOR CHEST PROCEDURES WITH MCC $37,602 $44,351 −15% $88,341 −57% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $37,594 $64,265 −42% $99,423 −62% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $37,428 $55,547 −33% $86,953 −57% —
471 CERVICAL SPINAL FUSION WITH MCC $37,425 $48,678 −23% $92,515 −60% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $37,384 $58,250 −36% $88,050 −58% —
799 SPLENIC PROCEDURES WITH MCC $37,110 $48,395 −23% $78,821 −53% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $35,366 $45,405 −22% $87,565 −60% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $34,903 $43,835 −20% $65,325 −47% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $34,900 $47,032 −26% $90,331 −61% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $34,888 $56,030 −38% $82,527 −58% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,629 $59,547 −42% $80,747 −57% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $34,367 $48,627 −29% $71,551 −52% —
006 LIVER TRANSPLANT WITHOUT MCC $34,282 $48,335 −29% $84,407 −59% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $33,902 $46,799 −28% $72,859 −53% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,856 $49,796 −34% $80,885 −59% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,835 $37,498 −12% $86,390 −62% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $32,809 $41,300 −21% $88,307 −63% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,428 $46,566 −30% $66,853 −51% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $32,235 $32,003 +1% $57,277 −44% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $32,141 $32,011 +0% $66,819 −52% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $31,797 $43,817 −27% $71,701 −56% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $31,673 $37,490 −16% $83,065 −62% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $31,662 $53,693 −41% $68,847 −54% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $31,259 $47,789 −35% $75,585 −59% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $31,207 $50,222 −38% $71,755 −57% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $31,059 $37,260 −17% $68,659 −55% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,044 $31,044 +0% $65,216 −52% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $30,939 $38,912 −20% $50,919 −39% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $30,869 $29,154 +6% $53,555 −42% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $30,824 $39,091 −21% $62,961 −51% —
460 Spinal Fusion Except Cervical Without MCC $30,612 $47,629 −36% $50,815 −40% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $30,438 $44,011 −31% $72,908 −58% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $30,354 $42,200 −28% $60,098 −49% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,100 $45,078 −33% $59,207 −49% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $29,955 $47,151 −36% $61,832 −52% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $29,796 $42,618 −30% $75,103 −60% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $29,624 $36,013 −18% $82,247 −64% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $29,467 $45,098 −35% $76,954 −62% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,229 $35,151 −17% $74,755 −61% —
332 RECTAL RESECTION WITH MCC $29,154 $33,263 −12% $58,125 −50% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $29,051 $43,825 −34% $74,257 −61% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $29,038 $47,519 −39% $82,561 −65% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $28,969 $22,081 +31% $16,719 +73% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $28,895 $46,274 −38% $72,011 −60% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $28,791 $28,791 +0% $53,551 −46% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $28,637 $27,123 +6% $74,274 −61% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $28,280 $34,180 −17% $70,132 −60% —
791 PREMATURITY WITH MAJOR PROBLEMS $28,211 $25,551 +10% $39,563 −29% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $28,191 $36,064 −22% $56,242 −50% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $28,049 $29,859 −6% $59,352 −53% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $27,572 $29,323 −6% $60,861 −55% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $27,391 $31,236 −12% $67,901 −60% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $27,327 $35,791 −24% $78,852 −65% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $27,306 $35,748 −24% $68,006 −60% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $27,170 $34,531 −21% $72,945 −63% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $27,086 $35,048 −23% $72,782 −63% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $27,084 $40,145 −33% $68,399 −60% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $27,043 $42,318 −36% $57,521 −53% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $26,909 $42,431 −37% $73,029 −63% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $26,802 $27,361 −2% $54,196 −51% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $26,596 $33,919 −22% $51,142 −48% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,564 $42,819 −38% $68,880 −61% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $26,076 $50,019 −48% $62,524 −58% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $26,075 $29,507 −12% $48,094 −46% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $26,008 $38,683 −33% $57,855 −55% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,854 $32,312 −20% $71,014 −64% —
265 AICD LEAD PROCEDURES $25,509 $37,235 −31% $56,695 −55% —
652 KIDNEY TRANSPLANT $25,372 $32,976 −23% $54,720 −54% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $25,230 $25,230 +0% $70,540 −64% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $25,212 $38,709 −35% $48,358 −48% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $25,067 $44,974 −44% $55,097 −55% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $25,026 $36,486 −31% $64,152 −61% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $24,952 $34,816 −28% $56,758 −56% —
397 APPENDIX PROCEDURES WITH MCC $24,925 $24,825 +0% $52,319 −52% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,882 $39,510 −37% $64,465 −61% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $24,876 $34,833 −29% $59,425 −58% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $24,873 $34,230 −27% $64,956 −62% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $24,743 $41,612 −41% $65,383 −62% —
252 OTHER VASCULAR PROCEDURES WITH MCC $24,722 $32,353 −24% $68,508 −64% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,720 $33,166 −25% $62,269 −60% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,603 $41,424 −41% $51,953 −53% —
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $24,548 $34,297 −28% $33,983 −28% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $24,478 $34,154 −28% $65,254 −62% —
037 EXTRACRANIAL PROCEDURES WITH MCC $24,236 $32,138 −25% $64,749 −63% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $23,948 $29,031 −18% $53,817 −56% —
665 PROSTATECTOMY WITH MCC $23,892 $33,625 −29% $54,072 −56% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $23,844 $33,896 −30% $44,973 −47% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $23,576 $31,145 −24% $48,907 −52% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,560 $28,611 −18% $49,710 −53% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $23,440 $32,382 −28% $67,764 −65% —
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $23,321 $34,645 −33% $34,146 −32% —
662 MINOR BLADDER PROCEDURES WITH MCC $23,306 $32,442 −28% $54,483 −57% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $23,293 $39,689 −41% $64,776 −64% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $23,112 $37,428 −38% $63,984 −64% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $23,054 $27,053 −15% $56,964 −60% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $23,037 $41,261 −44% $60,140 −62% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,941 $28,280 −19% $63,475 −64% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $22,690 $33,671 −33% $52,908 −57% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $22,656 $44,162 −49% $49,065 −54% —
500 SOFT TISSUE PROCEDURES WITH MCC $22,655 $34,923 −35% $57,479 −61% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $22,356 $34,736 −36% $62,821 −64% —
472 CERVICAL SPINAL FUSION WITH CC $21,858 $33,808 −35% $59,537 −63% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,785 $36,895 −41% $54,313 −60% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $21,583 $31,049 −30% $54,929 −61% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $21,439 $31,981 −33% $57,963 −63% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $21,423 $31,857 −33% $58,043 −63% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $21,254 $35,020 −39% $46,402 −54% —
654 MAJOR BLADDER PROCEDURES WITH CC $21,248 $32,114 −34% $53,868 −61% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $21,217 $27,943 −24% $65,573 −68% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $21,215 $29,303 −28% $54,129 −61% —
338 Appendectomy With Complicated Principal Diagnosis With MCC $21,183 $30,565 −31% $30,138 −30% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $21,099 $31,014 −32% $44,839 −53% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $20,762 $38,586 −46% $45,497 −54% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $20,709 $28,940 −28% $44,472 −53% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,661 $25,383 −19% $40,277 −49% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $20,613 $28,456 −28% $58,968 −65% —
800 SPLENIC PROCEDURES WITH CC $20,603 $32,681 −37% $49,184 −58% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,539 $27,678 −26% $43,491 −53% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $20,452 $27,106 −25% $54,475 −62% —
668 TRANSURETHRAL PROCEDURES WITH MCC $20,211 $30,507 −34% $47,277 −57% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $20,171 $23,142 −13% $40,548 −50% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $20,014 $23,323 −14% $50,011 −60% —
570 SKIN DEBRIDEMENT WITH MCC $19,908 $38,606 −48% $52,435 −62% —
164 MAJOR CHEST PROCEDURES WITH CC $19,779 $22,624 −13% $53,141 −63% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $19,775 $29,979 −34% $41,703 −53% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,717 $32,611 −40% $40,947 −52% —
253 OTHER VASCULAR PROCEDURES WITH CC $19,458 $23,181 −16% $53,746 −64% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $19,433 $25,488 −24% $36,097 −46% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,309 $24,424 −21% $43,697 −56% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $19,238 $26,268 −27% $51,339 −63% —
341 Appendectomy Without Complicated Principal Diagnosis With MCC $19,103 $25,638 −25% $25,628 −25% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $19,103 $27,273 −30% $49,055 −61% —
503 FOOT PROCEDURES WITH MCC $19,100 $35,170 −46% $43,901 −56% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,072 $26,925 −29% $51,985 −63% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,959 $30,993 −39% $58,832 −68% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,898 $27,155 −30% $46,591 −59% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,846 $29,423 −36% $55,162 −66% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,760 $35,630 −47% $45,432 −59% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $18,659 $27,679 −33% $46,659 −60% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,641 $34,995 −47% $57,149 −67% ≈105% of Medicare
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $18,506 $29,440 −37% $45,290 −59% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,374 $30,380 −40% $52,313 −65% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,374 $26,159 −30% $43,524 −58% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,292 $29,564 −38% $38,878 −53% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $18,246 $22,904 −20% $37,654 −52% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $18,200 $17,490 +4% $54,772 −67% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,200 $21,816 −17% $47,546 −62% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $18,197 $25,381 −28% $52,405 −65% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,187 $26,607 −32% $52,332 −65% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,164 $27,677 −34% $39,657 −54% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $18,078 $21,545 −16% $30,661 −41% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,074 $33,959 −47% $47,583 −62% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $18,056 $24,240 −26% $43,586 −59% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $18,046 $27,637 −35% $36,080 −50% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $18,010 $27,577 −35% $38,420 −53% —
336 PERITONEAL ADHESIOLYSIS WITH CC $17,985 $25,279 −29% $49,470 −64% —
263 VEIN LIGATION AND STRIPPING $17,964 $27,021 −34% $44,938 −60% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,954 $20,602 −13% $44,053 −59% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $17,921 $22,089 −19% $44,989 −60% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $17,916 $30,404 −41% $46,066 −61% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,811 $26,358 −32% $49,631 −64% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,805 $21,746 −18% $45,059 −60% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,623 $30,506 −42% $50,624 −65% —
709 PENIS PROCEDURES WITH CC/MCC $17,572 $28,958 −39% $34,535 −49% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,477 $23,703 −26% $40,065 −56% —
849 RADIOTHERAPY $17,449 $24,936 −30% $37,862 −54% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,223 $22,982 −25% $50,139 −66% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $17,199 $22,670 −24% $39,253 −56% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $17,160 $13,176 +30% $11,633 +48% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $17,145 $21,886 −22% $44,600 −62% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,142 $20,608 −17% $46,430 −63% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $17,101 $21,541 −21% $46,477 −63% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,070 $19,679 −13% $39,093 −56% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,989 $21,315 −20% $34,900 −51% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $16,960 $25,747 −34% $56,394 −70% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,850 $23,107 −27% $56,519 −70% ≈102% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $16,835 $21,927 −23% $35,642 −53% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,820 $23,402 −28% $38,382 −56% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,747 $22,355 −25% $38,998 −57% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,747 $21,930 −24% $35,686 −53% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,583 $28,152 −41% $36,237 −54% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,575 $24,290 −32% $44,553 −63% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $16,476 $19,157 −14% $40,063 −59% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,430 $26,100 −37% $45,818 −64% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,394 $22,510 −27% $36,334 −55% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,387 $21,453 −24% $45,622 −64% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,380 $28,722 −43% $39,409 −58% —
595 MAJOR SKIN DISORDERS WITH MCC $16,322 $18,910 −14% $31,785 −49% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,310 $27,446 −41% $36,850 −56% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,301 $30,135 −46% $54,824 −70% —
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $16,296 $21,839 −25% $21,663 −25% —
835 ACUTE LEUKEMIA WITH CC $16,284 $23,405 −30% $35,569 −54% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,179 $24,955 −35% $48,682 −67% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,164 $26,625 −39% $42,881 −62% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,080 $17,834 −10% $35,673 −55% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $15,834 $28,495 −44% $49,197 −68% ≈104% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,803 $27,682 −43% $51,172 −69% ≈103% of Medicare
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,799 $19,715 −20% $41,651 −62% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $15,785 $23,812 −34% $37,064 −57% —
548 SEPTIC ARTHRITIS WITH MCC $15,714 $25,673 −39% $31,019 −49% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $15,616 $28,752 −46% $41,660 −63% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,583 $22,499 −31% $43,398 −64% —
711 TESTES PROCEDURES WITH CC/MCC $15,574 $23,589 −34% $34,852 −55% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,564 $26,303 −41% $40,232 −61% —
374 DIGESTIVE MALIGNANCY WITH MCC $15,436 $20,421 −24% $38,885 −60% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,410 $16,544 −7% $35,459 −57% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $15,399 $21,865 −30% $41,520 −63% —
333 RECTAL RESECTION WITH CC $15,368 $19,185 −20% $34,352 −55% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $15,335 $22,530 −32% $41,900 −63% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $15,260 $21,416 −29% $40,583 −62% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $15,234 $25,022 −39% $43,800 −65% —
398 APPENDIX PROCEDURES WITH CC $15,222 $15,755 −3% $39,107 −61% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,121 $25,402 −40% $44,363 −66% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,110 $16,729 −10% $38,357 −61% —
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $15,099 $20,710 −27% $20,610 −27% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,036 $22,513 −33% $37,080 −59% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,958 $18,080 −17% $42,126 −64% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $14,913 $22,004 −32% $48,680 −69% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,891 $19,915 −25% $32,538 −54% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $14,750 $20,872 −29% $39,018 −62% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,649 $23,570 −38% $33,165 −56% —
380 COMPLICATED PEPTIC ULCER WITH MCC $14,647 $27,073 −46% $36,641 −60% —
539 OSTEOMYELITIS WITH MCC $14,557 $30,568 −52% $33,746 −57% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $14,549 $19,128 −24% $36,333 −60% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,536 $19,967 −27% $45,817 −68% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,532 $17,396 −16% $32,839 −56% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,499 $22,393 −35% $36,202 −60% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,472 $23,374 −38% $37,902 −62% —
935 NON-EXTENSIVE BURNS $14,410 $18,092 −20% $29,458 −51% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,372 $16,404 −12% $33,564 −57% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,355 $21,312 −33% $29,524 −51% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,338 $17,506 −18% $34,089 −58% —
906 HAND PROCEDURES FOR INJURIES $14,321 $19,863 −28% $31,520 −55% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,300 $17,878 −20% $41,380 −65% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,300 $15,367 −7% $31,840 −55% ≈87% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,292 $16,580 −14% $40,563 −65% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $14,198 $18,631 −24% $33,607 −58% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $14,184 $23,921 −41% $35,453 −60% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,164 $20,804 −32% $30,394 −53% —
509 ARTHROSCOPY $14,159 $18,534 −24% $25,994 −46% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,090 $15,729 −10% $35,237 −60% ≈101% of Medicare
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $14,086 $18,381 −23% $31,044 −55% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,037 $12,729 +10% $32,399 −57% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $14,013 $16,208 −14% $38,836 −64% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,996 $19,990 −30% $35,114 −60% —
199 PNEUMOTHORAX WITH MCC $13,967 $14,063 −1% $31,491 −56% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,946 $19,427 −28% $43,775 −68% —
597 MALIGNANT BREAST DISORDERS WITH MCC $13,942 $15,988 −13% $31,846 −56% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,933 $21,267 −34% $43,080 −68% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,921 $16,583 −16% $36,933 −62% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $13,864 $15,198 −9% $30,358 −54% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,846 $17,426 −21% $29,476 −53% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,835 $15,261 −9% $36,280 −62% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,812 $21,194 −35% $43,538 −68% —
663 MINOR BLADDER PROCEDURES WITH CC $13,771 $20,339 −32% $29,924 −54% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $13,732 $21,394 −36% $32,483 −58% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,680 $27,532 −50% $35,714 −62% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,667 $17,880 −24% $31,909 −57% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,643 $15,690 −13% $40,694 −66% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,595 $17,649 −23% $35,014 −61% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,587 $23,002 −41% $45,963 −70% —
919 COMPLICATIONS OF TREATMENT WITH MCC $13,546 $14,296 −5% $29,031 −53% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,544 $18,125 −25% $29,558 −54% —
592 SKIN ULCERS WITH MCC $13,513 $22,386 −40% $32,662 −59% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,507 $20,736 −35% $28,375 −52% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,489 $16,568 −19% $29,729 −55% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,480 $18,198 −26% $29,109 −54% —
666 PROSTATECTOMY WITH CC $13,461 $19,204 −30% $30,016 −55% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,440 $25,726 −48% $35,139 −62% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,440 $17,205 −22% $29,826 −55% —
813 COAGULATION DISORDERS $13,397 $13,514 −1% $30,128 −56% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $13,377 $20,331 −34% $34,434 −61% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,371 $17,671 −24% $32,981 −59% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,348 $19,112 −30% $31,758 −58% —
504 FOOT PROCEDURES WITH CC $13,345 $19,745 −32% $36,598 −64% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,344 $14,276 −7% $24,561 −46% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,343 $19,743 −32% $43,266 −69% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,325 $25,831 −48% $36,597 −64% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,269 $22,616 −41% $37,842 −65% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,242 $16,198 −18% $38,094 −65% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,233 $20,431 −35% $30,940 −57% —
339 Appendectomy With Complicated Principal Diagnosis With CC $13,202 $18,621 −29% $18,474 −29% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $13,185 $18,641 −29% $28,634 −54% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $13,159 $17,346 −24% $33,050 −60% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $13,158 $18,248 −28% $33,984 −61% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,123 $23,594 −44% $29,371 −55% —
180 RESPIRATORY NEOPLASMS WITH MCC $13,084 $19,892 −34% $36,658 −64% —
501 SOFT TISSUE PROCEDURES WITH CC $13,083 $19,322 −32% $37,975 −66% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,062 $21,521 −39% $27,548 −53% —
100 SEIZURES WITH MCC $13,059 $26,892 −51% $35,194 −63% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,058 $16,175 −19% $29,633 −56% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,023 $16,452 −21% $30,974 −58% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,981 $18,936 −31% $44,117 −71% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,939 $16,699 −23% $37,950 −66% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,932 $20,807 −38% $39,747 −67% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,909 $21,170 −39% $42,119 −69% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,883 $15,651 −18% $41,380 −69% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,858 $18,163 −29% $33,490 −62% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,857 $12,857 +0% $32,502 −60% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,845 $16,121 −20% $28,967 −56% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,812 $13,466 −5% $26,020 −51% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,794 $14,250 −10% $33,694 −62% —
075 VIRAL MENINGITIS WITH CC/MCC $12,789 $15,856 −19% $29,853 −57% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,776 $15,566 −18% $30,814 −59% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,754 $18,059 −29% $30,930 −59% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,721 $11,248 +13% $14,284 −11% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,718 $23,764 −46% $32,689 −61% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,716 $19,400 −34% $32,490 −61% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,703 $20,895 −39% $40,552 −69% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,699 $17,686 −28% $29,609 −57% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,679 $20,398 −38% $30,275 −58% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,669 $18,391 −31% $29,916 −58% —
571 SKIN DEBRIDEMENT WITH CC $12,626 $20,709 −39% $34,901 −64% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,565 $14,897 −16% $35,584 −65% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,565 $13,823 −9% $31,059 −60% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,547 $20,366 −38% $36,239 −65% —
915 ALLERGIC REACTIONS WITH MCC $12,544 $18,798 −33% $30,944 −59% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,537 $16,428 −24% $35,542 −65% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,476 $16,199 −23% $34,906 −64% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,435 $18,628 −33% $32,204 −61% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,431 $15,631 −20% $25,484 −51% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,411 $17,908 −31% $30,766 −60% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,408 $12,408 +0% $31,128 −60% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $12,387 $15,579 −20% $24,452 −49% —
643 ENDOCRINE DISORDERS WITH MCC $12,345 $13,875 −11% $32,996 −63% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,319 $16,359 −25% $30,058 −59% ≈103% of Medicare
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,313 $15,276 −19% $33,424 −63% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $12,279 $21,991 −44% $32,451 −62% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $12,218 $14,941 −18% $22,698 −46% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,197 $14,818 −18% $24,036 −49% —
038 EXTRACRANIAL PROCEDURES WITH CC $12,167 $15,326 −21% $35,770 −66% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,131 $14,157 −14% $35,528 −66% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,118 $17,470 −31% $31,062 −61% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $12,085 $16,071 −25% $25,152 −52% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,077 $22,110 −45% $36,242 −67% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,069 $19,160 −37% $27,118 −55% —
551 MEDICAL BACK PROBLEMS WITH MCC $12,058 $25,341 −52% $31,086 −61% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,019 $20,497 −41% $36,375 −67% —
157 DENTAL AND ORAL DISEASES WITH MCC $12,017 $16,173 −26% $27,457 −56% —
671 URETHRAL PROCEDURES WITH CC/MCC $11,916 $16,967 −30% $27,233 −56% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,909 $17,801 −33% $22,811 −48% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,850 $11,784 +1% $24,836 −52% —
505 FOOT PROCEDURES WITHOUT CC/MCC $11,846 $22,632 −48% $31,716 −63% —
186 PLEURAL EFFUSION WITH MCC $11,842 $11,842 +0% $32,468 −64% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,836 $22,272 −47% $28,780 −59% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,793 $18,296 −36% $27,279 −57% —
710 PENIS PROCEDURES WITHOUT CC/MCC $11,713 $19,558 −40% $23,814 −51% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,689 $15,696 −26% $35,375 −67% —
865 VIRAL ILLNESS WITH MCC $11,667 $16,376 −29% $26,088 −55% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $11,658 $17,807 −35% $28,103 −59% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,626 $15,203 −24% $35,692 −67% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,616 $16,092 −28% $24,879 −53% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,583 $14,562 −20% $30,910 −63% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,575 $16,503 −30% $33,792 −66% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,575 $17,580 −34% $28,578 −59% —
342 Appendectomy Without Complicated Principal Diagnosis With CC $11,567 $16,178 −28% $19,454 −41% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,560 $16,121 −28% $34,264 −66% —
682 RENAL FAILURE WITH MCC $11,538 $15,310 −25% $27,854 −59% ≈95% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,521 $16,136 −29% $29,409 −61% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,486 $15,331 −25% $24,229 −53% —
183 MAJOR CHEST TRAUMA WITH MCC $11,481 $12,207 −6% $28,924 −60% —
291 HEART FAILURE AND SHOCK WITH MCC $11,475 $12,420 −8% $25,020 −54% ≈102% of Medicare
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,467 $17,430 −34% $31,812 −64% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,417 $11,826 −3% $22,557 −49% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,414 $12,480 −9% $29,757 −62% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,396 $16,854 −32% $23,734 −52% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,377 $13,233 −14% $32,936 −65% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,369 $18,233 −38% $25,197 −55% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $11,310 $12,373 −9% $24,022 −53% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,305 $11,826 −4% $30,314 −63% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,300 $12,037 −6% $24,465 −54% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,279 $20,689 −45% $25,786 −56% —
602 CELLULITIS WITH MCC $11,252 $20,839 −46% $29,347 −62% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,228 $22,824 −51% $28,646 −61% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,204 $16,554 −32% $27,168 −59% —
533 FRACTURES OF FEMUR WITH MCC $11,189 $15,642 −28% $25,945 −57% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,174 $18,056 −38% $33,137 −66% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,120 $14,775 −25% $25,854 −57% —
693 URINARY STONES WITH MCC $11,108 $14,049 −21% $22,525 −51% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,102 $13,427 −17% $21,615 −49% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,084 $16,516 −33% $29,663 −63% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,042 $13,180 −16% $25,208 −56% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,002 $15,439 −29% $24,941 −56% —
348 ANAL AND STOMAL PROCEDURES WITH CC $10,995 $14,138 −22% $27,947 −61% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,987 $13,410 −18% $25,731 −57% —
334 RECTAL RESECTION WITHOUT CC/MCC $10,968 $17,723 −38% $32,213 −66% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,967 $17,312 −37% $29,374 −63% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,955 $19,537 −44% $28,156 −61% —
088 CONCUSSION WITH MCC $10,934 $15,650 −30% $24,402 −55% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,931 $11,998 −9% $28,252 −61% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,920 $14,420 −24% $30,418 −64% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,918 $12,890 −15% $28,134 −61% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $10,866 $15,008 −28% $31,566 −66% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,854 $14,546 −25% $30,972 −65% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,838 $21,322 −49% $28,140 −61% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,808 $19,532 −45% $29,805 −64% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,786 $16,514 −35% $32,911 −67% —
669 TRANSURETHRAL PROCEDURES WITH CC $10,773 $15,063 −28% $34,354 −69% —
606 MINOR SKIN DISORDERS WITH MCC $10,769 $18,663 −42% $25,434 −58% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,766 $21,069 −49% $29,211 −63% —
913 TRAUMATIC INJURY WITH MCC $10,749 $18,120 −41% $24,198 −56% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,746 $14,224 −24% $28,983 −63% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $10,727 $15,789 −32% $19,686 −46% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,700 $15,116 −29% $26,158 −59% ≈100% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $10,628 $16,262 −35% $24,348 −56% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $10,617 $15,281 −31% $24,450 −57% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,597 $14,163 −25% $25,010 −58% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,590 $13,202 −20% $24,316 −56% —
945 REHABILITATION WITH CC/MCC $10,522 $11,826 −11% $23,834 −56% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,517 $13,593 −23% $23,924 −56% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,486 $14,516 −28% $26,634 −61% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,480 $8,736 +20% $7,961 +32% —
811 RED BLOOD CELL DISORDERS WITH MCC $10,432 $15,254 −32% $27,934 −63% —
637 DIABETES WITH MCC $10,410 $18,353 −43% $28,819 −64% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,394 $14,142 −26% $20,980 −50% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,377 $11,826 −12% $21,986 −53% —
150 EPISTAXIS WITH MCC $10,321 $16,858 −39% $21,133 −51% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,304 $16,936 −39% $31,978 −68% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,262 $15,124 −32% $29,484 −65% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $10,211 $13,739 −26% $23,297 −56% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,188 $16,583 −39% $34,887 −71% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,147 $17,331 −41% $23,920 −58% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,146 $14,625 −31% $22,525 −55% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $10,140 $13,902 −27% $15,890 −36% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,123 $15,695 −36% $31,816 −68% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,113 $15,343 −34% $22,024 −54% —
540 OSTEOMYELITIS WITH CC $10,084 $16,354 −38% $23,494 −57% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,076 $12,679 −21% $28,527 −65% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,067 $16,218 −38% $23,956 −58% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,055 $13,997 −28% $27,492 −63% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,049 $13,113 −23% $18,126 −45% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $10,043 $15,510 −35% $27,321 −63% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $10,007 $16,006 −37% $19,598 −49% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $9,990 $14,754 −32% $25,149 −60% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,951 $13,010 −24% $19,894 −50% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,937 $15,090 −34% $23,723 −58% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,902 $13,378 −26% $24,980 −60% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,880 $16,296 −39% $29,050 −66% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $9,875 $16,626 −41% $30,006 −67% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,857 $11,826 −17% $22,275 −56% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,823 $12,744 −23% $23,350 −58% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,822 $14,857 −34% $24,118 −59% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,779 $12,445 −21% $20,727 −53% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,776 $16,078 −39% $21,860 −55% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,764 $13,658 −29% $21,029 −54% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,755 $11,826 −18% $23,588 −59% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,744 $11,826 −18% $20,147 −52% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $9,710 $12,550 −23% $22,532 −57% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,697 $13,859 −30% $25,390 −62% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,659 $15,403 −37% $27,244 −65% —
375 DIGESTIVE MALIGNANCY WITH CC $9,657 $11,826 −18% $27,219 −65% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $9,576 $13,951 −31% $25,243 −62% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,543 $14,929 −36% $25,704 −63% ≈104% of Medicare
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,497 $12,194 −22% $20,842 −54% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,447 $17,567 −46% $20,421 −54% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,439 $13,649 −31% $25,666 −63% —
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $9,394 $13,608 −31% $16,240 −42% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,384 $13,466 −30% $24,544 −62% —
885 PSYCHOSES $9,374 $12,762 −27% $21,489 −56% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,368 $11,826 −21% $22,032 −57% —
549 SEPTIC ARTHRITIS WITH CC $9,354 $15,414 −39% $20,938 −55% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,313 $14,097 −34% $17,078 −45% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,308 $13,237 −30% $26,488 −65% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,262 $13,557 −32% $23,115 −60% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,233 $13,127 −30% $19,354 −52% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,211 $16,570 −44% $24,432 −62% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $9,207 $11,978 −23% $31,190 −70% —
947 SIGNS AND SYMPTOMS WITH MCC $9,198 $17,151 −46% $25,474 −64% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,187 $13,299 −31% $24,480 −62% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,171 $12,582 −27% $20,741 −56% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,155 $11,826 −23% $21,062 −57% —
139 SALIVARY GLAND PROCEDURES $9,139 $12,705 −28% $21,014 −57% —
949 AFTERCARE WITH CC/MCC $9,136 $17,135 −47% $23,953 −62% —
181 RESPIRATORY NEOPLASMS WITH CC $9,063 $12,412 −27% $22,431 −60% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,038 $12,954 −30% $24,190 −63% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,908 $11,826 −25% $24,017 −63% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,906 $16,919 −47% $25,426 −65% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,895 $13,871 −36% $17,103 −48% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,843 $11,428 −23% $24,202 −63% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,836 $12,341 −28% $15,764 −44% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,824 $12,128 −27% $17,550 −50% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,807 $11,943 −26% $19,317 −54% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,745 $10,073 −13% $25,267 −65% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,683 $10,604 −18% $25,307 −66% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,657 $11,826 −27% $22,560 −62% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,647 $14,118 −39% $26,146 −67% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,631 $11,714 −26% $18,478 −53% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,623 $12,486 −31% $18,459 −53% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $8,570 $11,334 −24% $15,901 −46% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,549 $11,923 −28% $22,713 −62% —
598 MALIGNANT BREAST DISORDERS WITH CC $8,546 $11,826 −28% $19,073 −55% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,499 $15,449 −45% $23,571 −64% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,489 $11,689 −27% $23,496 −64% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,485 $10,576 −20% $22,982 −63% ≈105% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $8,476 $11,826 −28% $24,177 −65% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,469 $16,292 −48% $24,452 −65% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,460 $12,456 −32% $25,623 −67% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,449 $18,791 −55% $27,369 −69% —
887 OTHER MENTAL DISORDER DIAGNOSES $8,445 $11,944 −29% $20,602 −59% —
302 ATHEROSCLEROSIS WITH MCC $8,435 $11,826 −29% $20,844 −60% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,434 $13,136 −36% $26,322 −68% —
102 HEADACHES WITH MCC $8,348 $13,186 −37% $22,544 −63% —
200 PNEUMOTHORAX WITH CC $8,348 $11,903 −30% $20,573 −59% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,341 $12,039 −31% $16,495 −49% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,337 $11,773 −29% $22,231 −62% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,332 $10,681 −22% $22,850 −64% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,325 $13,536 −38% $21,806 −62% —
187 PLEURAL EFFUSION WITH CC $8,316 $11,628 −28% $21,467 −61% —
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $8,307 $12,397 −33% $13,735 −40% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,307 $13,509 −39% $17,483 −52% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,299 $12,479 −33% $22,781 −64% ≈108% of Medicare
152 OTITIS MEDIA AND URI WITH MCC $8,273 $13,606 −39% $19,795 −58% —
304 HYPERTENSION WITH MCC $8,252 $11,979 −31% $24,185 −66% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,238 $11,352 −27% $20,732 −60% ≈104% of Medicare
593 SKIN ULCERS WITH CC $8,233 $9,782 −16% $20,470 −60% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,226 $14,622 −44% $20,106 −59% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,211 $13,012 −37% $19,132 −57% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,169 $12,020 −32% $25,162 −68% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,122 $15,227 −47% $23,469 −65% —
697 URETHRAL STRICTURE $8,110 $11,433 −29% $17,705 −54% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,099 $12,120 −33% $18,133 −55% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,062 $11,826 −32% $15,370 −48% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,058 $12,285 −34% $17,398 −54% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,049 $14,100 −43% $23,749 −66% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,032 $13,157 −39% $20,080 −60% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,026 $14,691 −45% $19,579 −59% —
184 MAJOR CHEST TRAUMA WITH CC $8,001 $10,391 −23% $20,842 −62% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,999 $11,335 −29% $19,854 −60% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,942 $11,325 −30% $20,007 −60% —
089 CONCUSSION WITH CC $7,938 $11,751 −32% $18,293 −57% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,911 $11,267 −30% $19,091 −59% —
644 ENDOCRINE DISORDERS WITH CC $7,905 $9,885 −20% $22,941 −66% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,902 $10,990 −28% $18,017 −56% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,890 $11,665 −32% $17,193 −54% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,884 $10,478 −25% $19,868 −60% —
920 COMPLICATIONS OF TREATMENT WITH CC $7,882 $14,272 −45% $21,181 −63% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,876 $11,168 −29% $16,212 −51% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,838 $10,968 −29% $17,585 −55% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,836 $10,508 −25% $17,434 −55% —
667 PROSTATECTOMY WITHOUT CC/MCC $7,820 $11,826 −34% $16,703 −53% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,809 $13,037 −40% $23,396 −67% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,796 $12,494 −38% $18,291 −57% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,773 $10,566 −26% $20,463 −62% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,764 $11,826 −34% $20,371 −62% —
946 REHABILITATION WITHOUT CC/MCC $7,747 $8,672 −11% $17,685 −56% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,730 $10,953 −29% $17,226 −55% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,664 $9,695 −21% $21,886 −65% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,646 $11,826 −35% $16,352 −53% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,630 $10,234 −25% $20,777 −63% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,600 $12,812 −41% $20,968 −64% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,597 $11,344 −33% $15,474 −51% —
292 HEART FAILURE AND SHOCK WITH CC $7,577 $9,549 −21% $16,212 −53% ≈105% of Medicare
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,562 $12,206 −38% $16,418 −54% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,537 $13,383 −44% $23,141 −67% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,531 $11,485 −34% $21,545 −65% —
541 OSTEOMYELITIS WITHOUT CC/MCC $7,474 $14,022 −47% $14,549 −49% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,459 $11,826 −37% $18,918 −61% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,440 $11,826 −37% $18,428 −60% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,436 $11,826 −37% $15,608 −52% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,431 $10,316 −28% $21,449 −65% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,411 $11,826 −37% $24,136 −69% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,385 $12,898 −43% $20,309 −64% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,384 $13,014 −43% $18,204 −59% ≈104% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,375 $11,610 −36% $13,822 −47% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $7,360 $9,646 −24% $14,444 −49% —
712 TESTES PROCEDURES WITHOUT CC/MCC $7,359 $11,768 −37% $18,898 −61% —
683 RENAL FAILURE WITH CC $7,354 $10,122 −27% $18,620 −61% ≈106% of Medicare
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,330 $9,827 −25% $17,273 −58% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,301 $12,535 −42% $19,326 −62% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,266 $12,035 −40% $18,278 −60% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,238 $12,395 −42% $17,943 −60% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,204 $9,905 −27% $13,385 −46% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,150 $9,383 −24% $14,055 −49% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,139 $12,818 −44% $20,084 −64% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,138 $12,233 −42% $16,156 −56% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,135 $12,426 −43% $18,191 −61% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,115 $10,934 −35% $16,642 −57% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,103 $12,250 −42% $19,569 −64% —
176 PULMONARY EMBOLISM WITHOUT MCC $7,098 $7,786 −9% $18,081 −61% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,087 $15,105 −53% $21,213 −67% —
158 DENTAL AND ORAL DISEASES WITH CC $7,047 $10,836 −35% $17,700 −60% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,004 $11,678 −40% $20,488 −66% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,994 $11,054 −37% $17,108 −59% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,957 $11,826 −41% $19,305 −64% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,939 $11,952 −42% $19,096 −64% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,933 $9,473 −27% $14,290 −51% —
864 FEVER AND INFLAMMATORY CONDITIONS $6,908 $12,154 −43% $17,412 −60% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,879 $12,431 −45% $16,571 −58% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,874 $10,581 −35% $17,383 −60% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,822 $12,279 −44% $18,282 −63% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,807 $12,799 −47% $17,367 −61% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,784 $8,130 −17% $17,388 −61% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,770 $9,473 −29% $17,731 −62% —
638 DIABETES WITH CC $6,766 $11,158 −39% $18,821 −64% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,766 $9,210 −27% $12,593 −46% —
603 CELLULITIS WITHOUT MCC $6,759 $12,116 −44% $18,530 −64% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,734 $12,325 −45% $19,001 −65% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,734 $11,826 −43% $18,238 −63% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,726 $12,086 −44% $19,287 −65% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,723 $12,133 −45% $19,815 −66% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,718 $10,138 −34% $21,261 −68% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,718 $8,720 −23% $14,064 −52% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,674 $11,826 −44% $17,928 −63% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,621 $11,826 −44% $15,869 −58% —
914 TRAUMATIC INJURY WITHOUT MCC $6,608 $9,839 −33% $15,593 −58% —
101 SEIZURES WITHOUT MCC $6,596 $9,822 −33% $19,954 −67% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,587 $11,826 −44% $18,608 −65% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,557 $11,996 −45% $18,803 −65% —
882 NEUROSES EXCEPT DEPRESSIVE $6,508 $9,594 −32% $15,680 −58% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,495 $10,262 −37% $14,861 −56% —
694 URINARY STONES WITHOUT MCC $6,487 $11,436 −43% $16,531 −61% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $6,486 $11,701 −45% $15,636 −59% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,486 $10,111 −36% $13,586 −52% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,467 $10,304 −37% $16,837 −62% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,463 $10,356 −38% $15,589 −59% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,435 $6,435 +0% $12,381 −48% —
950 AFTERCARE WITHOUT CC/MCC $6,413 $9,559 −33% $13,527 −53% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,404 $11,191 −43% $16,634 −62% —
866 VIRAL ILLNESS WITHOUT MCC $6,384 $10,499 −39% $16,391 −61% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,374 $9,575 −33% $14,110 −55% —
312 SYNCOPE AND COLLAPSE $6,354 $11,469 −45% $19,342 −67% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,339 $9,409 −33% $17,466 −64% ≈107% of Medicare
779 ABORTION WITHOUT D&C $6,334 $11,089 −43% $15,327 −59% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,325 $6,143 +3% $9,385 −33% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,317 $11,550 −45% $17,700 −64% —
090 CONCUSSION WITHOUT CC/MCC $6,309 $11,670 −46% $14,873 −58% —
607 MINOR SKIN DISORDERS WITHOUT MCC $6,304 $7,903 −20% $15,284 −59% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $6,302 $11,027 −43% $16,049 −61% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,294 $8,039 −22% $12,537 −50% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,283 $8,130 −23% $13,282 −53% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,271 $11,024 −43% $13,445 −53% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,247 $8,219 −24% $13,654 −54% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,222 $11,249 −45% $17,715 −65% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,206 $11,990 −48% $14,337 −57% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,203 $8,247 −25% $13,303 −53% —
881 DEPRESSIVE NEUROSES $6,202 $11,075 −44% $15,058 −59% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,198 $11,826 −48% $16,776 −63% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,173 $12,357 −50% $17,727 −65% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,170 $12,401 −50% $15,876 −61% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,169 $12,319 −50% $16,865 −63% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,142 $11,362 −46% $15,077 −59% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,141 $10,591 −42% $11,847 −48% —
204 RESPIRATORY SIGNS AND SYMPTOMS $6,125 $9,562 −36% $16,866 −64% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,106 $10,168 −40% $11,997 −49% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,095 $11,095 −45% $16,104 −62% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,087 $12,764 −52% $18,150 −66% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,085 $11,826 −49% $17,195 −65% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,080 $10,763 −44% $16,654 −63% —
201 PNEUMOTHORAX WITHOUT CC/MCC $6,079 $10,457 −42% $13,081 −54% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,073 $10,748 −43% $17,322 −65% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,070 $11,345 −46% $15,858 −62% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,068 $9,338 −35% $18,623 −67% —
594 SKIN ULCERS WITHOUT CC/MCC $6,066 $10,110 −40% $14,209 −57% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,062 $8,813 −31% $12,650 −52% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,037 $8,544 −29% $18,002 −66% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,019 $8,704 −31% $20,278 −70% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,015 $13,376 −55% $18,253 −67% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,013 $9,870 −39% $15,045 −60% —
103 HEADACHES WITHOUT MCC $6,001 $11,684 −49% $20,111 −70% —
123 NEUROLOGICAL EYE DISORDERS $5,995 $11,951 −50% $17,831 −66% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,981 $10,413 −43% $15,072 −60% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,978 $11,440 −48% $19,483 −69% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,974 $10,751 −44% $16,745 −64% ≈122% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,929 $8,299 −29% $12,797 −54% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,919 $11,826 −50% $14,166 −58% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,908 $11,047 −47% $13,892 −57% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,889 $7,901 −25% $14,880 −60% —
151 EPISTAXIS WITHOUT MCC $5,867 $11,038 −47% $13,032 −55% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,845 $8,917 −34% $17,522 −67% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,826 $9,496 −39% $14,368 −59% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,815 $10,257 −43% $15,607 −63% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,768 $9,455 −39% $12,895 −55% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,744 $7,565 −24% $14,208 −60% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,740 $9,376 −39% $14,473 −60% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,701 $9,400 −39% $13,824 −59% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,696 $7,656 −26% $14,012 −59% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,682 $11,392 −50% $13,090 −57% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,668 $10,695 −47% $12,279 −54% —
149 DYSEQUILIBRIUM $5,658 $11,826 −52% $17,203 −67% —
313 CHEST PAIN $5,644 $11,200 −50% $15,962 −65% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,642 $10,046 −44% $13,485 −58% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,598 $7,759 −28% $14,441 −61% —
305 HYPERTENSION WITHOUT MCC $5,563 $7,665 −27% $17,144 −68% —
311 ANGINA PECTORIS $5,470 $6,608 −17% $15,165 −64% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,466 $6,503 −16% $15,600 −65% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,450 $7,988 −32% $11,909 −54% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,435 $9,749 −44% $14,128 −62% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,427 $9,751 −44% $11,955 −55% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,424 $5,701 −5% $13,368 −59% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,367 $7,520 −29% $13,198 −59% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,347 $6,694 −20% $14,927 −64% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,301 $8,668 −39% $12,336 −57% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,209 $10,064 −48% $14,134 −63% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,193 $9,096 −43% $11,421 −55% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,160 $8,940 −42% $11,071 −53% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,160 $7,814 −34% $15,070 −66% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,093 $9,214 −45% $10,975 −54% —
684 RENAL FAILURE WITHOUT CC/MCC $5,087 $7,367 −31% $13,623 −63% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,085 $8,037 −37% $12,405 −59% —
639 DIABETES WITHOUT CC/MCC $5,066 $6,257 −19% $13,910 −64% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,978 $10,214 −51% $12,044 −59% —
916 ALLERGIC REACTIONS WITHOUT MCC $4,874 $8,796 −45% $13,890 −65% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,847 $8,852 −45% $13,318 −64% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,590 $8,176 −44% $13,384 −66% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,521 $5,564 −19% $10,039 −55% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,345 $7,919 −45% $12,013 −64% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,006 $5,406 −26% $8,927 −55% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,970 $6,463 −39% $9,076 −56% —
795 NORMAL NEWBORN $1,721 $2,718 −37% $4,530 −62% —
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