Mercy Medical Center — Pricing

820 procedures published in this hospital's Machine-Readable File (MRF) — 820 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 820
Lowest published price $2,852
Average published price $38,293
Highest published price $500,850

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 820 procedures

Published charges

Showing all 820 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 30 procedures, this hospital's negotiated rates average ≈206% of what Medicare pays.

DRG Description Published price vs. OR median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $500,850 $1,225,854 −59% $573,534 −13% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $436,889 $915,612 −52% $461,389 −5% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $315,054 $771,162 −59% $306,087 +3% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $303,976 $696,636 −56% $371,366 −18% —
453 NO ACTIVE CODE DESCRIPTION $228,427 $288,060 −21% $103,861 +120% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $223,632 $327,017 −32% $208,939 +7% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $222,204 $358,220 −38% $194,769 +14% —
222 NO ACTIVE CODE DESCRIPTION $189,782 $138,323 — $86,864 +118% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $189,266 $453,173 −58% $248,521 −24% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $181,463 $425,874 −57% $182,314 −0% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $180,965 $346,156 −48% $164,641 +10% —
007 LUNG TRANSPLANT $173,562 $424,801 −59% $170,608 +2% —
224 NO ACTIVE CODE DESCRIPTION $171,802 $126,115 — $80,427 +114% —
454 NO ACTIVE CODE DESCRIPTION $162,104 $198,824 −18% $69,101 +135% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $157,947 $313,708 −50% $188,171 −16% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $154,653 $275,291 −44% $153,282 +1% —
226 NO ACTIVE CODE DESCRIPTION $152,118 $112,368 — $72,618 +109% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $147,750 $262,024 −44% $148,686 −1% —
459 NO ACTIVE CODE DESCRIPTION $147,643 $215,598 −32% $75,251 +96% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $144,678 $354,104 −59% $196,346 −26% —
237 NO ACTIVE CODE DESCRIPTION $140,718 $140,718 — $49,435 +185% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $139,120 $340,728 −59% $142,326 −2% —
223 NO ACTIVE CODE DESCRIPTION $133,183 $96,195 — $59,206 +125% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $129,482 $251,508 −49% $143,242 −10% —
231 CORONARY BYPASS WITH PTCA WITH MCC $127,294 $275,447 −54% $147,227 −14% —
225 NO ACTIVE CODE DESCRIPTION $126,907 $92,144 — $57,380 +121% —
455 NO ACTIVE CODE DESCRIPTION $123,839 $149,715 −17% $56,836 +118% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $122,340 $299,434 −59% $121,563 +1% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $121,318 $254,070 −52% $144,569 −16% —
227 NO ACTIVE CODE DESCRIPTION $118,610 $118,610 +0% $56,960 +108% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $111,344 $140,718 −21% $96,905 +15% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $110,769 $271,110 −59% $144,774 −23% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $109,179 $239,426 −54% $120,573 −9% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $106,798 $179,677 −41% $106,057 +1% —
010 PANCREAS TRANSPLANT $105,887 $259,167 −59% $99,940 +6% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $105,413 $209,912 −50% $123,995 −15% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $105,280 $257,675 −59% $105,228 +0% —
230 NO ACTIVE CODE DESCRIPTION $104,805 $104,805 — $58,096 +80% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $104,328 $186,559 −44% $107,355 −3% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $103,252 $162,757 −37% $77,055 +34% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $100,706 $196,197 −49% $98,260 +2% —
653 MAJOR BLADDER PROCEDURES WITH MCC $100,399 $181,202 −45% $104,583 −4% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $99,804 $226,137 −56% $148,832 −33% —
984 NO ACTIVE CODE DESCRIPTION $99,597 $99,597 — $23,289 +328% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $96,268 $191,266 −50% $112,062 −14% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $95,711 $198,564 −52% $115,839 −17% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $95,014 $150,365 −37% $96,192 −1% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $94,328 $210,883 −55% $132,794 −29% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $94,186 $194,731 −52% $113,855 −17% —
028 SPINAL PROCEDURES WITH MCC $94,085 $175,300 −46% $113,077 −17% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $93,854 $229,712 −59% $131,961 −29% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $93,630 $221,956 −58% $102,600 −9% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $93,104 $205,572 −55% $109,331 −15% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $91,860 $209,791 −56% $116,058 −21% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $91,637 $161,019 −43% $102,128 −10% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $91,403 $122,349 −25% $80,793 +13% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $90,147 $193,389 −53% $103,455 −13% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $90,003 $170,495 −47% $89,207 +1% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,043 $217,935 −59% $126,098 −29% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $88,700 $217,100 −59% $89,353 −1% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $88,550 $203,805 −57% $125,242 −29% —
460 NO ACTIVE CODE DESCRIPTION $88,357 $118,908 −26% $51,625 +71% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $88,017 $185,444 −53% $106,778 −18% —
238 NO ACTIVE CODE DESCRIPTION $87,623 $87,623 — $33,293 +163% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $87,491 $128,338 −32% $93,172 −6% ≈167% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $86,954 $172,168 −49% $111,320 −22% —
834 ACUTE LEUKEMIA WITH MCC $86,478 $113,375 −24% $85,566 +1% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $85,533 $176,865 −52% $86,459 −1% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $85,199 $131,742 −35% $88,050 −3% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $84,840 $193,255 −56% $80,018 +6% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $84,667 $199,487 −58% $108,472 −22% —
799 SPLENIC PROCEDURES WITH MCC $84,139 $154,556 −46% $82,218 +2% —
163 MAJOR CHEST PROCEDURES WITH MCC $83,315 $149,823 −44% $90,195 −8% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $83,142 $158,128 −47% $96,507 −14% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $82,451 $134,976 −39% $90,775 −9% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $82,266 $201,350 −59% $117,280 −30% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $82,159 $201,090 −59% $88,566 −7% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $81,785 $200,173 −59% $98,912 −17% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $81,727 $175,396 −53% $101,576 −20% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $81,486 $172,935 −53% $102,573 −21% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $80,325 $155,229 −48% $90,724 −11% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $80,161 $196,197 −59% $81,176 −1% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $80,158 $140,356 −43% $83,441 −4% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $78,822 $102,318 −23% $76,001 +4% —
006 LIVER TRANSPLANT WITHOUT MCC $78,467 $157,624 −50% $84,407 −7% —
471 CERVICAL SPINAL FUSION WITH MCC $78,348 $157,888 −50% $92,515 −15% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $77,640 $149,837 −48% $93,390 −17% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $75,732 $145,372 −48% $88,307 −14% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $75,542 $152,108 −50% $87,761 −14% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $73,697 $149,283 −51% $90,331 −18% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,507 $175,373 −58% $90,401 −19% —
332 RECTAL RESECTION WITH MCC $73,173 $112,751 −35% $58,125 +26% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $73,098 $178,959 −59% $105,899 −31% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $72,652 $177,818 −59% $101,618 −29% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $72,343 $100,971 −28% $65,325 +11% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $72,209 $152,927 −53% $92,217 −22% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $72,204 $144,014 −50% $70,177 +3% —
245 AICD GENERATOR PROCEDURES $72,195 $158,847 −55% $72,076 +0% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $71,851 $114,764 −37% $66,848 +7% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $71,733 $127,991 −44% $61,832 +16% —
246 NO ACTIVE CODE DESCRIPTION $71,535 $71,535 +0% $33,983 +111% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $70,953 $131,839 −46% $79,225 −10% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $70,684 $125,637 −44% $66,685 +6% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $70,387 $136,215 −48% $72,962 −4% —
248 NO ACTIVE CODE DESCRIPTION $69,640 $51,893 — $34,146 +104% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $69,486 $116,109 −40% $71,755 −3% —
338 NO ACTIVE CODE DESCRIPTION $69,065 $49,602 — $30,138 +129% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $68,397 $167,402 −59% $99,943 −32% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $68,170 $156,626 −56% $99,423 −31% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $66,447 $162,630 −59% $93,238 −29% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $66,222 $129,553 −49% $82,561 −20% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $65,154 $133,588 −51% $73,120 −11% —
131 NO ACTIVE CODE DESCRIPTION $64,468 $64,468 — $23,289 +177% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $64,197 $111,115 −42% $77,817 −18% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $63,762 $122,611 −48% $74,257 −14% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $63,474 $133,663 −53% $82,247 −23% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $62,847 $114,724 −45% $50,919 +23% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $62,583 $113,811 −45% $62,583 +0% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $62,377 $125,185 −50% $75,573 −17% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $61,780 $151,230 −59% $91,329 −32% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $61,666 $126,404 −51% $76,219 −19% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $61,629 $137,802 −55% $84,692 −27% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $61,188 $149,761 −59% $71,551 −14% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $60,818 $93,684 −35% $70,132 −13% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $60,729 $118,676 −49% $75,103 −19% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $60,173 $116,525 −48% $66,711 −10% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $59,978 $88,953 −33% $48,358 +24% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $59,909 $110,746 −46% $70,371 −15% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $59,536 $121,707 −51% $61,470 −3% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $59,258 $118,599 −50% $68,639 −14% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $59,168 $123,573 −52% $74,755 −21% —
129 NO ACTIVE CODE DESCRIPTION $59,125 $59,125 — $23,289 +154% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $58,834 $104,803 −44% $69,743 −16% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $58,339 $142,788 −59% $86,970 −33% —
791 PREMATURITY WITH MAJOR PROBLEMS $57,943 $57,943 +0% $42,679 +36% —
484 NO ACTIVE CODE DESCRIPTION $57,612 $57,612 — $23,289 +147% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $57,464 $140,649 −59% $59,352 −3% —
985 NO ACTIVE CODE DESCRIPTION $57,461 $57,461 — $23,289 +147% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $57,447 $105,899 −46% $65,608 −12% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $57,258 $13,974 +310% $18,649 +207% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $56,838 $129,402 −56% $62,300 −9% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $56,568 $138,455 −59% $101,510 −44% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $56,408 $116,532 −52% $59,533 −5% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $56,351 $128,283 −56% $71,795 −22% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $56,185 $106,250 −47% $65,788 −15% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $56,167 $137,473 −59% $60,098 −7% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $55,710 $95,693 −42% $66,068 −16% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $55,641 $134,276 −59% $77,990 −29% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $55,635 $74,559 −25% $52,178 +7% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $55,600 $88,628 −37% $51,746 +7% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $55,257 $135,243 −59% $85,159 −35% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $54,924 $133,390 −59% $79,836 −31% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $54,579 $95,732 −43% $68,653 −20% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $54,434 $87,587 −38% $44,546 +22% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $54,430 $93,088 −42% $58,975 −8% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $54,314 $111,334 −51% $70,847 −23% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $54,232 $132,734 −59% $81,998 −34% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $53,814 $100,519 −46% $62,821 −14% —
037 EXTRACRANIAL PROCEDURES WITH MCC $53,133 $100,977 −47% $66,666 −20% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $52,636 $112,550 −53% $70,564 −25% —
341 NO ACTIVE CODE DESCRIPTION $52,631 $39,129 — $25,628 +105% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $52,188 $119,156 −56% $54,196 −4% —
500 SOFT TISSUE PROCEDURES WITH MCC $52,016 $102,999 −49% $61,872 −16% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $51,957 $127,727 −59% $79,116 −34% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $51,931 $127,103 −59% $78,852 −34% —
665 PROSTATECTOMY WITH MCC $51,891 $111,610 −54% $54,072 −4% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $51,278 $125,507 −59% $59,594 −14% —
252 OTHER VASCULAR PROCEDURES WITH MCC $51,177 $111,506 −54% $68,508 −25% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $51,090 $114,435 −55% $56,964 −10% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $51,078 $104,790 −51% $72,424 −29% —
652 KIDNEY TRANSPLANT $50,997 $99,836 −49% $54,720 −7% —
654 MAJOR BLADDER PROCEDURES WITH CC $50,922 $91,732 −44% $58,274 −13% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $50,357 $100,239 −50% $53,864 −7% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $50,333 $91,319 −45% $49,710 +1% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $50,001 $95,604 −48% $65,653 −24% ≈190% of Medicare
490 NO ACTIVE CODE DESCRIPTION $49,924 $49,924 — $26,452 — —
662 MINOR BLADDER PROCEDURES WITH MCC $49,916 $84,272 −41% $54,562 −9% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $49,668 $101,308 −51% $67,268 −26% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $49,214 $99,420 −50% $64,523 −24% —
133 NO ACTIVE CODE DESCRIPTION $49,000 $49,000 — $38,305 +28% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $48,701 $88,142 −45% $58,228 −16% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $47,718 $75,179 −37% $59,629 −20% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $47,598 $116,499 −59% $71,092 −33% —
265 AICD LEAD PROCEDURES $47,375 $115,950 −59% $63,171 −25% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $47,082 $103,171 −54% $55,289 −15% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $46,999 $87,874 −47% $62,264 −25% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $46,988 $95,337 −51% $60,170 −22% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $46,782 $88,309 −47% $43,491 +8% —
472 CERVICAL SPINAL FUSION WITH CC $46,680 $94,173 −50% $59,537 −22% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $46,520 $77,666 −40% $58,745 −21% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $46,477 $97,528 −52% $51,953 −11% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $46,474 $80,639 −42% $50,618 −8% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $46,117 $112,872 −59% $56,242 −18% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $46,016 $112,628 −59% $52,036 −12% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $45,744 $79,594 −43% $51,985 −12% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $45,744 $111,968 −59% $71,014 −36% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $45,416 $91,287 −50% $58,043 −22% —
247 NO ACTIVE CODE DESCRIPTION $45,272 $45,272 +0% $21,663 +109% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $44,916 $91,196 −51% $52,986 −15% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $44,646 $84,345 −47% $59,790 −25% —
800 SPLENIC PROCEDURES WITH CC $44,432 $94,713 −53% $49,184 −10% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $44,057 $86,248 −49% $44,222 −0% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $44,045 $94,932 −54% $46,402 −5% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $43,851 $107,329 −59% $52,908 −17% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $43,673 $78,931 −45% $59,421 −27% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $43,551 $65,928 −34% $31,134 +40% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $43,202 $85,273 −49% $54,929 −21% —
164 MAJOR CHEST PROCEDURES WITH CC $43,070 $81,814 −47% $56,755 −24% —
691 NO ACTIVE CODE DESCRIPTION $42,988 $42,988 — $31,905 +35% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $42,676 $85,939 −50% $41,422 +3% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $42,671 $84,142 −49% $45,167 −6% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $42,557 $104,160 −59% $63,928 −33% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $42,543 $68,353 −38% $42,795 −1% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $42,433 $103,861 −59% $71,464 −41% —
570 SKIN DEBRIDEMENT WITH MCC $42,387 $97,860 −57% $52,435 −19% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $42,347 $71,880 −41% $50,011 −15% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $42,238 $103,379 −59% $44,472 −5% —
668 TRANSURETHRAL PROCEDURES WITH MCC $42,182 $89,062 −53% $51,608 −18% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $42,008 $76,837 −45% $59,500 −29% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $41,952 $82,832 −49% $58,707 −29% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $41,712 $69,289 −40% $42,906 −3% —
249 NO ACTIVE CODE DESCRIPTION $41,610 $31,110 — $20,610 +102% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $41,572 $69,702 −40% $38,070 +9% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $41,449 $101,449 −59% $65,573 −37% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $41,299 $77,253 −47% $53,451 −23% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $41,270 $78,661 −48% $50,046 −18% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $41,244 $76,932 −46% $40,548 +2% —
253 OTHER VASCULAR PROCEDURES WITH CC $41,175 $82,196 −50% $57,454 −28% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $41,165 $72,832 −43% $40,362 +2% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $40,984 $100,311 −59% $65,216 −37% —
339 NO ACTIVE CODE DESCRIPTION $40,933 $29,704 — $18,474 +122% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $40,861 $85,049 −52% $46,453 −12% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $40,779 $64,735 −37% $43,943 −7% ≈202% of Medicare
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $40,753 $99,745 −59% $60,407 −33% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $40,675 $83,010 −51% $38,878 +5% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $40,584 $77,920 −48% $47,583 −15% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,497 $93,195 −57% $59,031 −31% —
333 RECTAL RESECTION WITH CC $40,078 $69,081 −42% $37,154 +8% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $39,588 $92,906 −57% $49,839 −21% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $39,514 $74,217 −47% $42,415 −7% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $39,387 $74,077 −47% $48,349 −19% —
503 FOOT PROCEDURES WITH MCC $39,054 $86,030 −55% $47,540 −18% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $39,011 $84,783 −54% $52,405 −26% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $38,709 $94,746 −59% $70,467 −45% —
336 PERITONEAL ADHESIOLYSIS WITH CC $38,275 $68,668 −44% $50,463 −24% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $38,011 $89,478 −58% $61,217 −38% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $37,976 $72,563 −48% $47,789 −21% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $37,807 $92,538 −59% $81,706 −54% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $37,719 $76,015 −50% $50,139 −25% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $37,246 $71,493 −48% $41,608 −10% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $37,160 $70,062 −47% $40,108 −7% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $37,064 $68,145 −46% $46,066 −20% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $36,662 $80,215 −54% $54,583 −33% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,626 $82,409 −56% $39,173 −7% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $36,580 $73,941 −51% $49,066 −25% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $36,567 $63,721 −43% $50,394 −27% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $36,544 $76,707 −52% $50,498 −28% —
835 ACUTE LEUKEMIA WITH CC $36,422 $69,429 −48% $35,569 +2% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $36,373 $82,071 −56% $49,423 −26% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $36,217 $73,203 −51% $48,682 −26% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $35,862 $76,951 −53% $50,624 −29% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $35,786 $71,642 −50% $47,737 −25% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $35,661 $73,421 −51% $49,418 −28% —
263 VEIN LIGATION AND STRIPPING $35,620 $87,181 −59% $51,253 −31% —
849 RADIOTHERAPY $35,474 $86,824 −59% $37,862 −6% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $35,364 $86,554 −59% $47,945 −26% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $35,194 $86,138 −59% $48,687 −28% —
374 DIGESTIVE MALIGNANCY WITH MCC $35,186 $64,592 −46% $39,958 −12% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $35,162 $54,477 −35% $39,181 −10% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $34,961 $16,852 +107% $12,229 +186% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $34,580 $67,524 −49% $43,174 −20% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $34,558 $68,938 −50% $49,351 −30% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $34,555 $71,114 −51% $46,283 −25% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $34,502 $68,501 −50% $45,333 −24% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,439 $77,920 −56% $41,620 −17% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $34,386 $73,658 −53% $41,892 −18% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $34,264 $78,372 −56% $42,186 −19% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $34,097 $61,292 −44% $50,607 −33% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $34,048 $64,299 −47% $43,913 −22% —
132 NO ACTIVE CODE DESCRIPTION $33,996 $33,996 — $23,289 +46% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $33,967 $69,419 −51% $46,724 −27% —
709 PENIS PROCEDURES WITH CC/MCC $33,920 $73,044 −54% $34,535 −2% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $33,647 $70,121 −52% $45,877 −27% —
765 NO ACTIVE CODE DESCRIPTION $33,534 $19,435 — $5,336 +528% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $33,418 $58,666 −43% $41,591 −20% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $33,283 $78,050 −57% $59,651 −44% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $33,256 $81,398 −59% $39,973 −17% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $33,231 $81,333 −59% $55,162 −40% —
130 NO ACTIVE CODE DESCRIPTION $33,179 $33,179 — $23,289 +42% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $33,171 $64,959 −49% $44,363 −25% —
539 OSTEOMYELITIS WITH MCC $33,146 $65,752 −50% $37,609 −12% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $33,133 $54,654 −39% $36,792 −10% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $32,973 $74,320 −56% $36,489 −10% —
397 APPENDIX PROCEDURES WITH MCC $32,907 $65,909 −50% $53,257 −38% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $32,792 $49,296 −33% $32,859 −0% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $32,789 $65,392 −50% $46,090 −29% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $32,788 $44,951 −27% $33,707 −3% ≈208% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $32,682 $59,394 −45% $40,642 −20% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $32,676 $46,184 −29% $33,555 −3% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $32,662 $73,408 −56% $38,998 −16% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $32,526 $61,019 −47% $42,881 −24% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $32,494 $64,034 −49% $42,914 −24% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $32,494 $59,423 −45% $43,298 −25% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $32,417 $67,449 −52% $52,751 −39% ≈199% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $32,350 $62,108 −48% $38,343 −16% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $32,344 $41,350 −22% $32,433 −0% —
380 COMPLICATED PEPTIC ULCER WITH MCC $31,948 $57,671 −45% $39,627 −19% —
113 ORBITAL PROCEDURES WITH CC/MCC $31,884 $73,356 −57% $36,167 −12% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $31,876 $57,889 −45% $52,075 −39% —
595 MAJOR SKIN DISORDERS WITH MCC $31,785 $68,753 −54% $34,598 −8% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,487 $53,100 −41% $38,666 −19% —
342 NO ACTIVE CODE DESCRIPTION $31,483 $36,881 −15% $16,487 +91% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,408 $70,511 −55% $42,901 −27% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $31,356 $52,469 −40% $35,628 −12% ≈180% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $31,132 $63,002 −51% $37,240 −16% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $31,124 $69,422 −55% $46,727 −33% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $31,105 $44,598 −30% $33,985 −8% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $31,047 $57,110 −46% $36,431 −15% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,974 $60,337 −49% $33,047 −6% —
199 PNEUMOTHORAX WITH MCC $30,958 $57,382 −46% $33,787 −8% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $30,911 $63,977 −52% $39,106 −21% ≈179% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $30,832 $50,793 −39% $46,295 −33% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,819 $68,633 −55% $43,650 −29% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $30,789 $72,335 −57% $45,866 −33% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $30,788 $52,766 −42% $27,617 +11% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $30,742 $75,241 −59% $40,060 −23% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,721 $56,429 −46% $32,443 −5% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $30,490 $57,135 −47% $39,020 −22% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $30,417 $62,219 −51% $34,459 −12% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $30,375 $63,080 −52% $43,080 −29% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $30,212 $54,040 −44% $29,316 +3% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $30,054 $51,911 −42% $35,453 −15% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,882 $54,284 −45% $33,876 −12% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $29,870 $60,590 −51% $46,340 −36% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $29,756 $55,782 −47% $38,094 −22% —
548 SEPTIC ARTHRITIS WITH MCC $29,663 $65,486 −55% $31,346 −5% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $29,647 $43,556 −32% $31,264 −5% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $29,613 $57,675 −49% $37,950 −22% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $29,599 $63,565 −53% $39,955 −26% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $29,597 $55,111 −46% $37,842 −22% ≈236% of Medicare
986 NO ACTIVE CODE DESCRIPTION $29,452 $29,452 — $23,289 +26% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $29,371 $51,251 −43% $32,697 −10% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $29,351 $46,777 −37% $30,828 −5% ≈204% of Medicare
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $29,326 $57,131 −49% $39,018 −25% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $29,200 $54,086 −46% $32,628 −11% —
935 NON-EXTENSIVE BURNS $29,170 $54,938 −47% $31,701 −8% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $29,158 $57,860 −50% $39,515 −26% —
180 RESPIRATORY NEOPLASMS WITH MCC $29,055 $56,813 −49% $36,658 −21% —
692 NO ACTIVE CODE DESCRIPTION $29,048 $29,048 — $25,916 +12% —
075 VIRAL MENINGITIS WITH CC/MCC $29,045 $55,651 −48% $30,447 −5% —
906 HAND PROCEDURES FOR INJURIES $28,985 $70,944 −59% $32,065 −10% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $28,954 $67,730 −57% $33,851 −14% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $28,937 $59,665 −52% $36,670 −21% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $28,804 $61,679 −53% $40,562 −29% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,700 $63,886 −55% $43,631 −34% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,582 $60,607 −53% $40,213 −29% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $28,533 $69,835 −59% $37,267 −23% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $28,498 $69,751 −59% $31,044 −8% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $28,497 $66,552 −57% $35,030 −19% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $28,491 $53,231 −46% $36,354 −22% —
491 NO ACTIVE CODE DESCRIPTION $28,474 $28,474 — $2,203 — —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $28,419 $60,081 −53% $37,844 −25% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $28,410 $57,725 −51% $32,637 −13% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $28,378 $52,740 −46% $42,126 −33% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $28,328 $46,639 −39% $31,951 −11% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $28,293 $54,225 −48% $34,607 −18% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $28,247 $57,723 −51% $34,276 −18% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $28,242 $28,937 −2% $16,846 +68% —
643 ENDOCRINE DISORDERS WITH MCC $28,151 $48,517 −42% $33,563 −16% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $28,035 $53,913 −48% $44,606 −37% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $27,997 $68,532 −59% $58,280 −52% ≈189% of Medicare
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $27,979 $59,586 −53% $40,694 −31% —
919 COMPLICATIONS OF TREATMENT WITH MCC $27,959 $49,239 −43% $31,105 −10% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $27,953 $64,134 −56% $43,800 −36% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $27,913 $45,979 −39% $37,387 −25% ≈181% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,825 $59,999 −54% $30,243 −8% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $27,797 $56,198 −51% $29,826 −7% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $27,743 $56,865 −51% $38,836 −29% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $27,718 $48,410 −43% $33,048 −16% —
340 NO ACTIVE CODE DESCRIPTION $27,589 $21,914 +26% $13,613 +103% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $27,559 $40,504 −32% $34,192 −19% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $27,552 $50,419 −45% $34,434 −20% —
666 PROSTATECTOMY WITH CC $27,447 $52,370 −48% $31,906 −14% —
592 SKIN ULCERS WITH MCC $27,309 $47,635 −43% $33,246 −18% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $27,268 $46,004 −41% $26,280 +4% —
551 MEDICAL BACK PROBLEMS WITH MCC $27,259 $50,501 −46% $34,017 −20% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $27,126 $53,669 −49% $44,117 −39% —
100 SEIZURES WITH MCC $26,976 $46,619 −42% $35,481 −24% —
597 MALIGNANT BREAST DISORDERS WITH MCC $26,962 $57,099 −53% $33,386 −19% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $26,922 $50,263 −46% $24,550 +10% —
501 SOFT TISSUE PROCEDURES WITH CC $26,922 $58,022 −54% $39,619 −32% —
334 RECTAL RESECTION WITHOUT CC/MCC $26,900 $53,910 −50% $36,820 −27% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $26,897 $40,701 −34% $30,571 −12% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $26,892 $63,516 −58% $38,861 −31% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $26,777 $50,866 −47% $34,273 −22% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $26,737 $55,298 −52% $43,477 −39% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $26,727 $65,418 −59% $32,031 −17% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $26,706 $43,123 −38% $32,496 −18% ≈211% of Medicare
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,669 $59,105 −55% $40,365 −34% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $26,661 $50,968 −48% $33,633 −21% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $26,658 $55,054 −52% $32,944 −19% —
157 DENTAL AND ORAL DISEASES WITH MCC $26,606 $53,227 −50% $31,300 −15% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $26,517 $64,901 −59% $29,611 −10% —
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $26,429 $63,760 −59% $43,538 −39% —
504 FOOT PROCEDURES WITH CC $26,427 $56,013 −53% $38,960 −32% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $26,399 $64,618 −59% $36,249 −27% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $26,363 $64,527 −59% $32,574 −19% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $26,240 $53,367 −51% $36,445 −28% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $26,188 $64,095 −59% $44,139 −41% —
038 EXTRACRANIAL PROCEDURES WITH CC $26,162 $52,372 −50% $35,770 −27% —
813 COAGULATION DISORDERS $26,122 $50,318 −48% $33,296 −22% —
186 PLEURAL EFFUSION WITH MCC $26,081 $51,361 −49% $33,834 −23% —
682 RENAL FAILURE WITH MCC $26,021 $40,410 −36% $29,064 −10% ≈188% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $25,999 $50,246 −48% $26,598 −2% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $25,991 $48,102 −46% $31,159 −17% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $25,981 $51,569 −50% $41,955 −38% ≈203% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $25,954 $63,526 −59% $29,524 −12% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $25,865 $48,520 −47% $33,393 −23% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $25,813 $47,911 −46% $32,877 −21% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $25,772 $41,624 −38% $30,959 −17% —
915 ALLERGIC REACTIONS WITH MCC $25,729 $48,816 −47% $32,645 −21% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $25,727 $16,110 +60% $16,351 +57% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $25,669 $49,899 −49% $39,211 −35% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $25,638 $52,840 −51% $28,202 −9% —
088 CONCUSSION WITH MCC $25,525 $45,855 −44% $24,402 +5% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $25,424 $46,173 −45% $38,101 −33% —
767 NO ACTIVE CODE DESCRIPTION $25,369 $14,201 — $3,032 +737% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $25,334 $54,238 −53% $29,126 −13% —
663 MINOR BLADDER PROCEDURES WITH CC $25,313 $49,648 −49% $33,103 −24% —
571 SKIN DEBRIDEMENT WITH CC $25,277 $53,438 −53% $37,169 −32% —
134 NO ACTIVE CODE DESCRIPTION $25,237 $25,237 — $23,289 +8% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $25,071 $61,364 −59% $33,255 −25% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $25,067 $45,663 −45% $39,887 −37% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $25,039 $61,292 −59% $47,711 −48% —
865 VIRAL ILLNESS WITH MCC $25,012 $47,977 −48% $26,910 −7% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $24,867 $51,365 −52% $35,074 −29% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $24,807 $47,324 −48% $24,941 −1% —
183 MAJOR CHEST TRAUMA WITH MCC $24,806 $47,530 −48% $29,933 −17% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,797 $48,767 −49% $27,394 −9% —
671 URETHRAL PROCEDURES WITH CC/MCC $24,789 $56,029 −56% $27,233 −9% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $24,760 $47,516 −48% $32,451 −24% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $24,621 $60,346 −59% $23,206 +6% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $24,618 $49,079 −50% $30,770 −20% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $24,617 $48,888 −50% $36,253 −32% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $24,593 $41,020 −40% $30,235 −19% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $24,588 $59,378 −59% $40,552 −39% —
602 CELLULITIS WITH MCC $24,584 $40,841 −40% $30,598 −20% —
533 FRACTURES OF FEMUR WITH MCC $24,523 $49,567 −51% $25,945 −5% —
291 HEART FAILURE AND SHOCK WITH MCC $24,523 $38,613 −36% $26,776 −8% ≈214% of Medicare
685 NO ACTIVE CODE DESCRIPTION $24,472 $24,472 — $21,385 +14% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $24,464 $42,333 −42% $29,221 −16% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $24,407 $54,911 −56% $31,563 −23% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $24,286 $51,797 −53% $39,006 −38% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $24,281 $51,010 −52% $33,653 −28% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $24,248 $51,862 −53% $35,419 −32% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $24,173 $34,484 −30% $27,275 −11% ≈203% of Medicare
777 NO ACTIVE CODE DESCRIPTION $24,137 $24,137 — $19,358 +25% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $24,065 $45,169 −47% $25,094 −4% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,042 $52,587 −54% $27,316 −12% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $24,027 $58,809 −59% $58,809 −59% ≈193% of Medicare
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $24,000 $44,259 −46% $27,633 −13% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $23,859 $58,396 −59% $26,510 −10% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $23,740 $54,433 −56% $29,916 −21% —
606 MINOR SKIN DISORDERS WITH MCC $23,677 $52,340 −55% $27,975 −15% —
766 NO ACTIVE CODE DESCRIPTION $23,612 $14,474 — $5,336 +343% —
693 URINARY STONES WITH MCC $23,605 $43,394 −46% $23,892 −1% —
509 ARTHROSCOPY $23,480 $57,099 −59% $25,994 −10% —
637 DIABETES WITH MCC $23,429 $43,946 −47% $30,100 −22% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $23,401 $48,732 −52% $30,502 −23% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $23,389 $38,982 −40% $26,463 −12% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $23,339 $47,581 −51% $29,743 −22% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $23,330 $57,102 −59% $30,553 −24% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $23,318 $46,580 −50% $32,833 −29% —
505 FOOT PROCEDURES WITHOUT CC/MCC $23,308 $57,070 −59% $34,937 −33% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $23,257 $56,923 −59% $35,849 −35% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $23,132 $48,914 −53% $36,505 −37% —
343 NO ACTIVE CODE DESCRIPTION $23,112 $25,255 −8% $12,397 +86% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,031 $50,880 −55% $34,749 −34% —
150 EPISTAXIS WITH MCC $22,975 $44,928 −49% $23,171 −1% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $22,932 $52,103 −56% $35,584 −36% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,659 $48,940 −54% $33,424 −32% —
348 ANAL AND STOMAL PROCEDURES WITH CC $22,642 $40,920 −45% $27,947 −19% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $22,586 $30,025 −25% $22,024 +3% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,540 $44,047 −49% $30,083 −25% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $22,450 $54,947 −59% $29,079 −23% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,449 $48,296 −54% $28,140 −20% —
945 REHABILITATION WITH CC/MCC $22,436 $49,619 −55% $23,834 −6% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $22,404 $45,195 −50% $27,285 −18% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $22,301 $53,257 −58% $33,661 −34% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $22,252 $47,002 −53% $32,100 −31% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,242 $48,676 −54% $24,586 −10% —
669 TRANSURETHRAL PROCEDURES WITH CC $22,235 $50,305 −56% $34,354 −35% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $22,204 $44,541 −50% $30,418 −27% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $22,181 $36,428 −39% $26,682 −17% —
506 MAJOR THUMB OR JOINT PROCEDURES $22,082 $48,728 −55% $30,557 −28% —
710 PENIS PROCEDURES WITHOUT CC/MCC $22,072 $48,803 −55% $26,436 −17% —
137 MOUTH PROCEDURES WITH CC/MCC $22,061 $45,461 −51% $27,861 −21% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $22,056 $46,203 −52% $27,808 −21% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,003 $47,763 −54% $25,073 −12% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $21,988 $53,575 −59% $25,197 −13% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $21,961 $50,240 −56% $30,010 −27% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $21,948 $41,096 −47% $27,426 −20% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $21,944 $48,189 −54% $36,988 −41% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,926 $49,079 −55% $33,674 −35% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,882 $44,008 −50% $29,949 −27% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $21,816 $53,393 −59% $35,831 −39% —
913 TRAUMATIC INJURY WITH MCC $21,492 $52,603 −59% $24,198 −11% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $21,460 $43,578 −51% $27,152 −21% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $21,382 $41,060 −48% $22,320 −4% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $21,353 $52,262 −59% $35,692 −40% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,352 $49,765 −57% $25,703 −17% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $21,315 $41,365 −48% $24,552 −13% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $21,227 $49,336 −57% $33,694 −37% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $21,214 $33,372 −36% $25,970 −18% —
811 RED BLOOD CELL DISORDERS WITH MCC $21,209 $44,392 −52% $28,226 −25% —
540 OSTEOMYELITIS WITH CC $21,080 $42,077 −50% $26,676 −21% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $20,994 $45,289 −54% $27,119 −23% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $20,960 $36,658 −43% $24,566 −15% —
375 DIGESTIVE MALIGNANCY WITH CC $20,960 $39,942 −48% $27,277 −23% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,956 $49,060 −57% $33,454 −37% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $20,930 $40,007 −48% $27,323 −23% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,909 $44,545 −53% $20,980 −0% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $20,882 $51,111 −59% $34,906 −40% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $20,847 $41,882 −50% $25,748 −19% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $20,795 $45,549 −54% $22,393 −7% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,754 $43,771 −53% $24,127 −14% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $20,658 $40,462 −49% $22,851 −10% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $20,640 $40,263 −49% $28,320 −27% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $20,604 $34,790 −41% $26,580 −22% ≈208% of Medicare
946 REHABILITATION WITHOUT CC/MCC $20,360 $36,291 −44% $17,685 +15% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $20,331 $47,539 −57% $31,170 −35% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,281 $36,616 −45% $26,051 −22% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $20,273 $38,659 −48% $26,770 −24% ≈205% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,264 $42,832 −53% $36,937 −45% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $20,216 $41,954 −52% $22,811 −11% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $20,148 $38,849 −48% $21,847 −8% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $20,126 $41,226 −51% $28,156 −29% —
398 APPENDIX PROCEDURES WITH CC $20,096 $49,193 −59% $40,162 −50% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,005 $38,286 −48% $27,043 −26% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $19,998 $42,383 −53% $21,894 −9% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,960 $34,950 −43% $28,050 −29% —
598 MALIGNANT BREAST DISORDERS WITH CC $19,910 $35,072 −43% $19,073 +4% —
774 NO ACTIVE CODE DESCRIPTION $19,847 $11,440 — $3,032 +555% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $19,764 $33,460 −41% $22,850 −14% —
181 RESPIRATORY NEOPLASMS WITH CC $19,762 $30,785 −36% $23,573 −16% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $19,663 $44,649 −56% $30,493 −36% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,652 $30,933 −36% $22,458 −12% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $19,617 $37,175 −47% $25,390 −23% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $19,571 $36,655 −47% $25,034 −22% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $19,484 $38,046 −49% $23,617 −17% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $19,467 $39,457 −51% $26,948 −28% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,456 $36,515 −47% $24,386 −20% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,453 $40,478 −52% $27,297 −29% —
549 SEPTIC ARTHRITIS WITH CC $19,443 $39,171 −50% $24,056 −19% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $19,426 $37,634 −48% $25,700 −24% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $19,372 $31,825 −39% $15,901 +22% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $19,286 $8,815 +119% $8,445 +128% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $19,229 $47,067 −59% $21,986 −13% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $19,168 $43,657 −56% $29,805 −36% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $19,149 $46,869 −59% $22,525 −15% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $19,130 $34,484 −45% $23,551 −19% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $19,114 $46,781 −59% $26,932 −29% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $19,100 $43,335 −56% $32,841 −42% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $19,034 $46,586 −59% $35,465 −46% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,011 $40,472 −53% $19,354 −2% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $18,953 $38,880 −51% $25,463 −26% ≈186% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $18,926 $34,978 −46% $20,727 −9% —
947 SIGNS AND SYMPTOMS WITH MCC $18,911 $41,808 −55% $27,401 −31% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $18,849 $46,134 −59% $22,620 −17% —
885 PSYCHOSES $18,720 $42,186 −56% $21,729 −14% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $18,677 $41,307 −55% $19,686 −5% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $18,608 $41,869 −56% $26,870 −31% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $18,589 $45,416 −59% $31,017 −40% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $18,515 $35,937 −48% $24,544 −25% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $18,510 $35,101 −47% $22,314 −17% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $18,451 $33,060 −44% $23,940 −23% ≈216% of Medicare
781 NO ACTIVE CODE DESCRIPTION $18,389 $18,389 — $16,875 +9% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $18,365 $36,502 −50% $19,815 −7% —
381 COMPLICATED PEPTIC ULCER WITH CC $18,358 $35,404 −48% $24,177 −24% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,294 $41,918 −56% $27,989 −35% —
139 SALIVARY GLAND PROCEDURES $18,234 $44,629 −59% $23,612 −23% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $18,224 $36,086 −49% $18,459 −1% —
197 INTERSTITIAL LUNG DISEASE WITH CC $18,188 $32,179 −43% $21,941 −17% —
187 PLEURAL EFFUSION WITH CC $18,173 $32,634 −44% $21,789 −17% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,092 $44,281 −59% $30,242 −40% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $17,999 $32,453 −45% $22,888 −21% ≈224% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $17,928 $41,304 −57% $23,498 −24% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,781 $35,251 −50% $23,319 −24% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,780 $35,420 −50% $32,021 −44% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $17,742 $34,133 −48% $22,763 −22% —
304 HYPERTENSION WITH MCC $17,736 $38,189 −54% $26,080 −32% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,722 $43,387 −59% $27,543 −36% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $17,694 $33,135 −47% $20,901 −15% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $17,656 $29,965 −41% $20,463 −14% ≈210% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $17,516 $33,079 −47% $25,303 −31% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $17,508 $39,916 −56% $19,132 −8% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,477 $35,462 −51% $20,926 −16% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,451 $31,799 −45% $17,404 +0% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $17,388 $30,037 −42% $20,232 −14% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,355 $37,019 −53% $25,279 −31% —
644 ENDOCRINE DISORDERS WITH CC $17,346 $30,559 −43% $23,198 −25% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,333 $37,000 −53% $26,618 −35% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,328 $35,784 −52% $17,483 −1% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $17,319 $29,383 −41% $19,657 −12% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $17,302 $39,773 −56% $27,163 −36% —
102 HEADACHES WITH MCC $17,289 $37,689 −54% $25,740 −33% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,246 $37,806 −54% $23,443 −26% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $17,227 $32,260 −47% $22,033 −22% —
302 ATHEROSCLEROSIS WITH MCC $17,207 $37,053 −54% $22,446 −23% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $17,196 $37,559 −54% $25,652 −33% —
200 PNEUMOTHORAX WITH CC $17,188 $35,999 −52% $21,368 −20% —
152 OTITIS MEDIA AND URI WITH MCC $17,160 $28,821 −40% $20,247 −15% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,151 $37,734 −55% $21,230 −19% —
593 SKIN ULCERS WITH CC $17,057 $39,743 −57% $22,886 −25% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $17,017 $39,626 −57% $25,581 −33% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $17,003 $37,136 −54% $24,944 −32% —
184 MAJOR CHEST TRAUMA WITH CC $16,980 $31,652 −46% $22,432 −24% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $16,954 $41,499 −59% $22,557 −25% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,944 $34,256 −51% $23,488 −28% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $16,825 $41,180 −59% $28,125 −40% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $16,745 $32,049 −48% $22,098 −24% ≈213% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,739 $33,031 −49% $19,264 −13% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $16,634 $38,963 −57% $30,784 −46% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,607 $31,440 −47% $21,275 −22% —
176 PULMONARY EMBOLISM WITHOUT MCC $16,555 $26,477 −37% $18,081 −8% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $16,500 $38,427 −57% $19,598 −16% —
089 CONCUSSION WITH CC $16,469 $34,851 −53% $18,821 −12% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $16,447 $37,809 −57% $19,412 −15% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $16,388 $31,116 −47% $16,700 −2% —
887 OTHER MENTAL DISORDER DIAGNOSES $16,361 $38,661 −58% $20,616 −21% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $16,360 $40,042 −59% $19,270 −15% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $16,310 $32,974 −51% $20,422 −20% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,309 $31,907 −49% $20,957 −22% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,259 $32,436 −50% $17,698 −8% —
292 HEART FAILURE AND SHOCK WITH CC $16,212 $27,998 −42% $16,371 −1% —
683 RENAL FAILURE WITH CC $16,184 $28,240 −43% $19,130 −15% ≈210% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $16,177 $33,021 −51% $22,468 −28% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $16,165 $29,472 −45% $20,181 −20% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,098 $32,608 −51% $17,737 −9% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $16,044 $26,656 −40% $18,204 −12% —
949 AFTERCARE WITH CC/MCC $15,912 $35,072 −55% $23,953 −34% —
541 OSTEOMYELITIS WITHOUT CC/MCC $15,887 $28,436 −44% $15,215 +4% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,834 $31,408 −50% $21,449 −26% —
775 NO ACTIVE CODE DESCRIPTION $15,826 $9,429 — $3,032 +422% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $15,809 $34,135 −54% $23,749 −33% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,798 $31,282 −49% $21,363 −26% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $15,765 $31,362 −50% $22,506 −30% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,759 $29,663 −47% $20,259 −22% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,735 $38,250 −59% $25,712 −39% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $15,638 $34,419 −55% $24,914 −37% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $15,632 $23,926 −35% $14,648 +7% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $15,616 $27,963 −44% $19,096 −18% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $15,611 $28,993 −46% $15,764 −1% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $15,526 $35,839 −57% $27,843 −44% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $15,500 $27,927 −44% $18,807 −18% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $15,315 $25,521 −40% $14,014 +9% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $15,286 $26,516 −42% $18,133 −16% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $15,241 $31,347 −51% $17,226 −12% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $15,181 $30,349 −50% $16,968 −11% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $15,074 $33,886 −56% $23,141 −35% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,022 $29,949 −50% $20,455 −27% —
158 DENTAL AND ORAL DISEASES WITH CC $14,996 $30,573 −51% $18,466 −19% —
667 PROSTATECTOMY WITHOUT CC/MCC $14,927 $33,408 −55% $16,703 −11% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $14,925 $36,541 −59% $31,321 −52% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,921 $23,522 −37% $17,578 −15% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $14,873 $29,806 −50% $17,135 −13% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $14,803 $30,824 −52% $19,594 −24% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $14,759 $33,144 −55% $22,635 −35% —
712 TESTES PROCEDURES WITHOUT CC/MCC $14,709 $34,770 −58% $18,898 −22% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,708 $28,658 −49% $19,569 −25% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $14,679 $26,682 −45% $17,724 −17% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $14,638 $31,077 −53% $19,924 −27% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $14,595 $35,573 −59% $17,398 −16% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,588 $28,701 −49% $16,998 −14% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $14,454 $29,871 −52% $18,072 −20% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $14,435 $31,330 −54% $21,396 −33% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $14,384 $32,602 −56% $16,212 −11% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $14,383 $31,539 −54% $23,283 −38% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $14,343 $26,585 −46% $18,316 −22% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $14,325 $35,062 −59% $17,193 −17% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $14,290 $31,305 −54% $18,956 −25% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $14,239 $28,080 −49% $18,602 −23% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,188 $27,199 −48% $14,055 +1% —
697 URETHRAL STRICTURE $14,147 $32,566 −57% $18,428 −23% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $14,128 $31,064 −55% $20,911 −32% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,127 $29,188 −52% $18,640 −24% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $14,101 $34,516 −59% $23,571 −40% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $14,024 $33,313 −58% $18,348 −24% —
603 CELLULITIS WITHOUT MCC $14,009 $26,980 −48% $18,530 −24% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $13,942 $28,636 −51% $19,854 −30% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $13,940 $28,268 −51% $19,305 −28% —
778 NO ACTIVE CODE DESCRIPTION $13,885 $13,885 — $10,997 +26% —
638 DIABETES WITH CC $13,872 $27,612 −50% $19,661 −29% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $13,849 $32,036 −57% $20,895 −34% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,726 $27,225 −50% $14,064 −2% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $13,586 $23,577 −42% $16,767 −19% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,545 $33,151 −59% $17,601 −23% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $13,412 $30,001 −55% $20,488 −35% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $13,378 $30,111 −56% $20,566 −35% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,254 $20,035 −34% $15,370 −14% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $13,237 $29,009 −54% $22,148 −40% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $13,214 $29,445 −55% $18,488 −29% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $13,208 $24,033 −45% $17,303 −24% ≈219% of Medicare
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $13,136 $24,085 −45% $16,450 −20% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,135 $24,566 −47% $16,776 −22% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,128 $26,620 −51% $14,501 −9% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $13,115 $22,375 −41% $20,781 −37% —
101 SEIZURES WITHOUT MCC $13,093 $27,251 −52% $20,461 −36% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $13,036 $28,024 −53% $19,138 −32% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $12,989 $26,090 −50% $17,674 −27% ≈208% of Medicare
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,987 $24,358 −47% $16,634 −22% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $12,974 $30,027 −57% $20,506 −37% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $12,936 $28,736 −55% $16,520 −22% —
866 VIRAL ILLNESS WITHOUT MCC $12,923 $22,667 −43% $17,081 −24% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $12,908 $24,198 −47% $17,118 −25% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,858 $31,474 −59% $19,962 −36% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $12,858 $31,474 −59% $18,452 −30% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,797 $22,768 −44% $15,549 −18% —
882 NEUROSES EXCEPT DEPRESSIVE $12,776 $30,564 −58% $15,680 −19% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $12,768 $29,052 −56% $19,842 −36% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $12,734 $17,584 −28% $10,160 +25% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,734 $29,413 −57% $16,552 −23% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $12,731 $31,161 −59% $17,733 −28% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $12,712 $21,790 −42% $16,288 −22% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,683 $31,041 −59% $15,589 −19% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,670 $23,571 −46% $19,227 −34% ≈218% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $12,662 $25,915 −51% $17,700 −28% —
123 NEUROLOGICAL EYE DISORDERS $12,622 $26,110 −52% $19,745 −36% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $12,541 $26,029 −52% $13,586 −8% —
312 SYNCOPE AND COLLAPSE $12,534 $28,324 −56% $19,342 −35% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,516 $24,257 −48% $16,565 −24% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,486 $26,012 −52% $21,056 −41% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,480 $30,544 −59% $17,934 −30% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,440 $26,445 −53% $19,119 −35% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,432 $23,864 −48% $14,514 −14% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,425 $24,384 −49% $19,037 −35% —
779 ABORTION WITHOUT D&C $12,415 $24,442 −49% $15,327 −19% —
534 FRACTURES OF FEMUR WITHOUT MCC $12,410 $26,458 −53% $17,559 −29% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,398 $22,687 −45% $15,495 −20% —
090 CONCUSSION WITHOUT CC/MCC $12,329 $27,865 −56% $15,412 −20% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $12,328 $25,365 −51% $17,322 −29% ≈234% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,213 $23,389 −48% $12,559 −3% —
914 TRAUMATIC INJURY WITHOUT MCC $12,192 $29,786 −59% $15,855 −23% —
881 DEPRESSIVE NEUROSES $12,140 $29,715 −59% $15,058 −19% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $12,129 $24,979 −51% $15,428 −21% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $12,100 $26,360 −54% $18,002 −33% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,015 $29,419 −59% $20,084 −40% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,968 $26,301 −54% $18,126 −34% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,903 $21,673 −45% $11,847 +0% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,900 $28,096 −58% $15,889 −25% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,867 $25,827 −54% $17,921 −34% —
103 HEADACHES WITHOUT MCC $11,862 $27,638 −57% $21,280 −44% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,850 $27,131 −56% $18,528 −36% —
694 URINARY STONES WITHOUT MCC $11,840 $25,401 −53% $17,345 −32% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,829 $24,195 −51% $15,019 −21% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,807 $26,321 −55% $16,699 −29% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,753 $25,658 −54% $17,620 −33% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $11,752 $25,278 −54% $17,124 −31% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,748 $25,087 −53% $15,452 −24% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,734 $26,841 −56% $17,298 −32% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $11,706 $25,404 −54% $17,038 −31% ≈236% of Medicare
594 SKIN ULCERS WITHOUT CC/MCC $11,705 $27,586 −58% $14,209 −18% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,658 $20,801 −44% $14,250 −18% —
204 RESPIRATORY SIGNS AND SYMPTOMS $11,654 $26,360 −56% $18,004 −35% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,601 $28,441 −59% $19,846 −42% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $11,541 $27,790 −58% $14,290 −19% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,539 $21,039 −45% $14,368 −20% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,478 $20,246 −43% $13,824 −17% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,431 $20,694 −45% $15,038 −24% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,429 $24,315 −53% $14,716 −22% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,388 $23,542 −52% $12,593 −10% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $11,371 $22,563 −50% $14,797 −23% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,361 $21,435 −47% $14,638 −22% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,270 $26,542 −58% $18,126 −38% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,238 $22,004 −49% $14,053 −20% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,184 $23,187 −52% $15,837 −29% —
782 NO ACTIVE CODE DESCRIPTION $11,138 $11,138 — $10,060 +11% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,122 $20,688 −46% $14,128 −21% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,119 $25,674 −57% $13,445 −17% —
153 OTITIS MEDIA AND URI WITHOUT MCC $11,078 $21,894 −49% $14,583 −24% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,068 $21,714 −49% $14,689 −25% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,061 $19,995 −45% $15,183 −27% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,054 $22,242 −50% $14,415 −23% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,028 $17,153 −36% $12,454 −11% —
151 EPISTAXIS WITHOUT MCC $11,005 $24,640 −55% $13,032 −16% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,993 $23,685 −54% $12,768 −14% —
149 DYSEQUILIBRIUM $10,981 $24,299 −55% $18,096 −39% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,885 $22,050 −51% $11,997 −9% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,871 $22,840 −52% $15,600 −30% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,858 $26,578 −59% $18,150 −40% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $10,851 $22,898 −53% $12,336 −12% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,821 $17,846 −39% $12,999 −17% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $10,690 $21,829 −51% $11,909 −10% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,674 $22,638 −53% $12,460 −14% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,615 $21,858 −51% $14,549 −27% —
305 HYPERTENSION WITHOUT MCC $10,612 $24,403 −57% $18,086 −41% —
684 RENAL FAILURE WITHOUT CC/MCC $10,547 $19,748 −47% $13,642 −23% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,517 $22,635 −54% $12,252 −14% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,472 $22,189 −53% $13,651 −23% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,296 $17,785 −42% $13,361 −23% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,270 $19,488 −47% $10,975 −6% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,107 $19,729 −49% $11,071 −9% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,057 $21,442 −53% $13,633 −26% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,926 $20,232 −51% $12,895 −23% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,823 $21,858 −55% $14,927 −34% —
313 CHEST PAIN $9,724 $23,187 −58% $16,440 −41% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,610 $23,519 −59% $13,275 −28% —
950 AFTERCARE WITHOUT CC/MCC $9,471 $19,052 −50% $13,527 −30% —
639 DIABETES WITHOUT CC/MCC $9,399 $20,369 −54% $13,910 −32% —
311 ANGINA PECTORIS $9,274 $22,706 −59% $15,502 −40% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $9,188 $18,188 −49% $13,384 −31% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $8,935 $18,246 −51% $10,480 −15% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,820 $21,585 −59% $13,942 −37% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $8,585 $20,606 −58% $11,421 −25% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,464 $20,188 −58% $12,078 −30% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $8,288 $20,288 −59% $12,324 −33% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $7,524 $14,355 −48% $8,927 −16% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,903 $11,470 −40% $9,940 −31% —
780 NO ACTIVE CODE DESCRIPTION $5,214 $5,214 — $4,253 +23% —
795 NORMAL NEWBORN $2,852 $5,976 −52% $4,720 −40% —
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