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 $360,256 — $498,715 +0% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $436,889 $427,377 +2% $431,073 +1% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $315,054 $315,054 — $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 $639,680 −52% $371,366 −18% —
453 NO ACTIVE CODE DESCRIPTION $228,427 $228,427 — $103,861 +120% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $223,632 $232,360 −4% $191,314 +17% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $222,204 $267,052 — $169,977 +31% —
222 NO ACTIVE CODE DESCRIPTION $189,782 $189,782 — $86,864 +118% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $189,266 $287,536 −34% $245,241 −23% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $181,463 $124,728 — $182,314 −0% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $180,965 $132,146 — $159,181 +14% —
007 LUNG TRANSPLANT $173,562 $173,562 — $170,608 +2% —
224 NO ACTIVE CODE DESCRIPTION $171,802 $171,802 — $80,427 +114% —
454 NO ACTIVE CODE DESCRIPTION $162,104 $146,246 — $69,101 +135% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $157,947 $320,018 −51% $175,437 −10% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $154,653 $173,845 −11% $151,029 +2% —
226 NO ACTIVE CODE DESCRIPTION $152,118 $152,118 — $72,618 +109% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $147,750 $147,750 +0% $134,914 +10% —
459 NO ACTIVE CODE DESCRIPTION $147,643 $191,915 — $75,251 +96% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $144,678 $308,733 −53% $171,338 −16% —
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 $139,120 +0% $142,326 −2% —
223 NO ACTIVE CODE DESCRIPTION $133,183 $133,183 — $59,206 +125% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $129,482 $254,629 −49% $143,242 −10% —
231 CORONARY BYPASS WITH PTCA WITH MCC $127,294 $324,610 −61% $146,474 −13% —
225 NO ACTIVE CODE DESCRIPTION $126,907 $126,907 — $57,380 +121% —
455 NO ACTIVE CODE DESCRIPTION $123,839 $122,373 — $54,320 +128% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $122,340 $148,056 −17% $121,563 +1% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $121,318 $263,059 −54% $138,868 −13% —
227 NO ACTIVE CODE DESCRIPTION $118,610 $131,310 — $56,960 +108% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $111,344 $115,341 −3% $96,905 +15% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $110,769 $92,677 +20% $120,174 −8% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $109,179 $109,179 +0% $120,587 −9% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $106,798 $134,799 −21% $101,235 +5% —
010 PANCREAS TRANSPLANT $105,887 $105,887 — $99,940 +6% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $105,413 $251,926 −58% $121,714 −13% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $105,280 $89,828 — $105,228 +0% —
230 NO ACTIVE CODE DESCRIPTION $104,805 $104,805 — $88,720 +18% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $104,328 $195,359 −47% $107,355 −3% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $103,252 $103,252 +0% $70,735 +46% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $100,706 $65,975 — $98,260 +2% —
653 MAJOR BLADDER PROCEDURES WITH MCC $100,399 $140,111 −28% $97,046 +3% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $99,804 $201,645 −51% $138,008 −28% —
984 NO ACTIVE CODE DESCRIPTION $99,597 $99,597 — $23,289 +328% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $96,268 $217,525 −56% $112,062 −14% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $95,711 $277,349 −65% $106,238 −10% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $95,014 $88,036 +8% $96,192 −1% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $94,328 $107,442 −12% $121,728 −23% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $94,186 $131,236 −28% $113,855 −17% —
028 SPINAL PROCEDURES WITH MCC $94,085 $94,085 +0% $95,858 −2% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $93,854 $189,447 −50% $131,961 −29% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $93,630 $168,670 −44% $105,612 −11% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $93,104 $87,759 +6% $109,331 −15% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $91,860 $166,425 −45% $116,058 −21% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $91,637 $134,390 −32% $94,927 −3% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $91,403 $91,870 −1% $80,747 +13% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $90,147 $192,466 −53% $92,238 −2% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $90,003 $127,905 −30% $78,582 +15% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,043 $89,043 +0% $114,914 −23% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $88,700 $88,897 −0% $89,353 −1% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $88,550 $187,122 −53% $118,589 −25% —
460 NO ACTIVE CODE DESCRIPTION $88,357 $88,357 +0% $50,815 +74% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $88,017 $118,285 −26% $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 $103,013 −15% $87,018 +1% ≈167% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $86,954 $197,628 −56% $102,177 −15% —
834 ACUTE LEUKEMIA WITH MCC $86,478 $49,754 +74% $76,583 +13% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $85,533 $85,533 — $86,459 −1% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $85,199 $110,240 −23% $88,050 −3% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $84,840 $28,090 +202% $80,018 +6% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $84,667 $142,022 −40% $108,472 −22% —
799 SPLENIC PROCEDURES WITH MCC $84,139 $90,101 −7% $78,821 +7% —
163 MAJOR CHEST PROCEDURES WITH MCC $83,315 $137,051 −39% $88,341 −6% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $83,142 $127,470 −35% $96,222 −14% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $82,451 $94,190 −12% $86,390 −5% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $82,266 $165,020 −50% $117,280 −30% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $82,159 $123,747 −34% $94,988 −14% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $81,785 $52,492 +56% $98,912 −17% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $81,727 $138,057 −41% $86,953 −6% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $81,486 $188,215 −57% $102,573 −21% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $80,325 $90,995 −12% $88,691 −9% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $80,161 $80,161 — $81,176 −1% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $80,158 $107,732 −26% $83,441 −4% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $78,822 $85,446 −8% $72,859 +8% —
006 LIVER TRANSPLANT WITHOUT MCC $78,467 $116,994 — $84,407 −7% —
471 CERVICAL SPINAL FUSION WITH MCC $78,348 $138,943 −44% $92,515 −15% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $77,640 $104,026 −25% $87,565 −11% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $75,732 $109,546 −31% $88,307 −14% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $75,542 $86,669 −13% $80,885 −7% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $73,697 $102,174 −28% $90,331 −18% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,507 $237,023 −69% $82,527 −11% —
332 RECTAL RESECTION WITH MCC $73,173 $73,173 — $58,125 +26% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $73,098 $114,456 −36% $105,899 −31% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $72,652 $102,541 −29% $93,783 −23% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $72,343 $101,888 −29% $65,325 +11% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $72,209 $129,565 −44% $92,217 −22% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $72,204 $94,199 −23% $68,847 +5% —
245 AICD GENERATOR PROCEDURES $72,195 $146,796 −51% $72,076 +0% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $71,851 $31,556 +128% $62,404 +15% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $71,733 $67,272 +7% $61,832 +16% —
246 NO ACTIVE CODE DESCRIPTION $71,535 $75,245 — $33,983 +111% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $70,953 $99,855 −29% $72,011 −1% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $70,684 $75,480 −6% $62,961 +12% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $70,387 $94,858 −26% $68,659 +3% —
248 NO ACTIVE CODE DESCRIPTION $69,640 $69,640 — $34,146 +104% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $69,486 $89,483 −22% $71,755 −3% —
338 NO ACTIVE CODE DESCRIPTION $69,065 $69,065 — $30,138 +129% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $68,397 $68,397 +0% $79,944 −14% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $68,170 $141,940 −52% $99,423 −31% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $66,447 $109,112 −39% $84,861 −22% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $66,222 $66,222 +0% $82,561 −20% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $65,154 $80,709 −19% $66,853 −3% —
131 NO ACTIVE CODE DESCRIPTION $64,468 $64,468 — $23,289 +177% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $64,197 $92,098 −30% $71,701 −10% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $63,762 $83,251 −23% $74,257 −14% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $63,474 $161,610 −61% $82,247 −23% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $62,847 $62,906 −0% $50,919 +23% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $62,583 $62,583 +0% $59,207 +6% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $62,377 $91,527 −32% $72,782 −14% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $61,780 $136,187 −55% $91,329 −32% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $61,666 $105,031 −41% $72,908 −15% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $61,629 $76,954 −20% $76,954 −20% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $61,188 $44,978 — $71,551 −14% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $60,818 $78,597 −23% $70,132 −13% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $60,729 $91,705 −34% $75,103 −19% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $60,173 $54,529 +10% $59,425 +1% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $59,978 $72,499 −17% $48,358 +24% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $59,909 $79,423 −25% $67,901 −12% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $59,536 $86,143 −31% $60,861 −2% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $59,258 $109,686 −46% $62,524 −5% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $59,168 $112,732 −48% $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 $80,318 −27% $68,399 −14% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $58,339 $143,927 −59% $75,585 −23% —
791 PREMATURITY WITH MAJOR PROBLEMS $57,943 $18,014 +222% $39,563 +46% —
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 $161,559 — $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 $84,111 −32% $64,465 −11% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $57,258 $7,567 +657% $16,719 +242% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $56,838 $46,835 +21% $57,521 −1% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $56,568 $143,447 −61% $88,049 −36% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $56,408 $69,414 −19% $57,855 −3% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $56,351 $96,337 −42% $68,006 −17% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $56,185 $64,468 −13% $65,254 −14% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $56,167 $80,892 −31% $60,098 −7% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $55,710 $71,702 −22% $65,383 −15% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $55,641 $112,481 −51% $72,945 −24% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $55,635 $56,225 −1% $48,094 +16% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $55,600 $106,564 −48% $44,973 +24% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $55,257 $102,274 −46% $83,065 −33% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $54,924 $74,006 −26% $73,029 −25% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $54,579 $75,241 −27% $62,269 −12% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $54,434 $56,173 −3% $44,839 +21% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $54,430 $113,503 −52% $56,758 −4% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $54,314 $87,102 −38% $68,880 −21% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $54,232 $103,893 −48% $81,998 −34% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $53,814 $87,825 −39% $62,821 −14% —
037 EXTRACRANIAL PROCEDURES WITH MCC $53,133 $68,418 −22% $64,749 −18% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $52,636 $96,495 −45% $70,540 −25% —
341 NO ACTIVE CODE DESCRIPTION $52,631 $52,631 — $25,628 +105% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $52,188 $52,188 +0% $54,196 −4% —
500 SOFT TISSUE PROCEDURES WITH MCC $52,016 $77,277 −33% $57,479 −10% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $51,957 $74,640 −30% $75,492 −31% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $51,931 $109,654 −53% $78,852 −34% —
665 PROSTATECTOMY WITH MCC $51,891 $82,681 −37% $54,072 −4% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $51,278 $53,629 −4% $55,097 −7% —
252 OTHER VASCULAR PROCEDURES WITH MCC $51,177 $96,719 −47% $68,508 −25% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $51,090 $93,101 −45% $56,964 −10% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $51,078 $83,403 −39% $64,956 −21% —
652 KIDNEY TRANSPLANT $50,997 $41,811 — $54,720 −7% —
654 MAJOR BLADDER PROCEDURES WITH CC $50,922 $98,756 −48% $53,868 −5% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $50,357 $50,357 +0% $53,817 −6% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $50,333 $68,572 −27% $49,710 +1% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $50,001 $95,908 −48% $63,984 −22% ≈190% of Medicare
490 NO ACTIVE CODE DESCRIPTION $49,924 $49,924 — $26,452 — —
662 MINOR BLADDER PROCEDURES WITH MCC $49,916 $53,854 −7% $54,483 −8% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $49,668 $58,688 −15% $64,152 −23% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $49,214 $60,974 −19% $63,475 −22% —
133 NO ACTIVE CODE DESCRIPTION $49,000 $49,000 — $23,289 +110% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $48,701 $77,255 −37% $54,313 −10% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $47,718 $86,481 −45% $51,339 −7% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $47,598 $100,438 −53% $64,776 −27% —
265 AICD LEAD PROCEDURES $47,375 $37,894 +25% $56,695 −16% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $47,082 $93,005 −49% $51,142 −8% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $46,999 $106,604 −56% $57,963 −19% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $46,988 $58,381 −20% $60,140 −22% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $46,782 $70,178 −33% $43,491 +8% —
472 CERVICAL SPINAL FUSION WITH CC $46,680 $96,940 −52% $59,537 −22% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $46,520 $59,603 −22% $54,129 −14% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $46,477 $71,046 −35% $51,953 −11% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $46,474 $37,978 +22% $45,497 +2% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $46,117 $43,533 — $56,242 −18% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $46,016 $38,377 +20% $49,065 −6% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $45,744 $57,138 −20% $51,985 −12% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $45,744 $112,657 −59% $71,014 −36% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $45,416 $91,911 −51% $58,043 −22% —
247 NO ACTIVE CODE DESCRIPTION $45,272 $56,218 — $21,663 +109% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $44,916 $62,213 −28% $48,907 −8% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $44,646 $64,017 −30% $54,475 −18% —
800 SPLENIC PROCEDURES WITH CC $44,432 $136,549 −67% $49,184 −10% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $44,057 $44,057 — $40,947 +8% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $44,045 $52,431 −16% $46,402 −5% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $43,851 $112,729 −61% $52,908 −17% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $43,673 $65,720 −34% $54,824 −20% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $43,551 $27,203 — $30,661 +42% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $43,202 $97,577 −56% $54,929 −21% —
164 MAJOR CHEST PROCEDURES WITH CC $43,070 $95,513 −55% $53,141 −19% —
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 $85,394 −50% $40,277 +6% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $42,671 $42,815 −0% $41,703 +2% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $42,557 $92,236 −54% $57,277 −26% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $42,543 $30,707 +39% $35,686 +19% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $42,433 $115,006 −63% $66,819 −36% —
570 SKIN DEBRIDEMENT WITH MCC $42,387 $53,210 −20% $52,435 −19% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $42,347 $59,892 −29% $50,011 −15% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $42,238 $42,238 — $44,472 −5% —
668 TRANSURETHRAL PROCEDURES WITH MCC $42,182 $53,176 −21% $47,277 −11% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $42,008 $68,142 −38% $58,832 −29% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $41,952 $66,336 −37% $57,149 −27% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $41,712 $54,603 −24% $37,654 +11% —
249 NO ACTIVE CODE DESCRIPTION $41,610 $41,610 — $20,610 +102% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $41,572 $39,962 +4% $36,850 +13% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $41,449 $106,702 −61% $65,573 −37% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $41,299 $80,546 −49% $52,313 −21% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $41,270 $41,270 +0% $46,591 −11% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $41,244 $45,441 −9% $40,548 +2% —
253 OTHER VASCULAR PROCEDURES WITH CC $41,175 $51,363 −20% $53,746 −23% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $41,165 $35,718 +15% $39,657 +4% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $40,984 $70,802 −42% $65,216 −37% —
339 NO ACTIVE CODE DESCRIPTION $40,933 $40,933 — $18,474 +122% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $40,861 $45,731 −11% $43,697 −6% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $40,779 $62,553 −35% $43,524 −6% ≈202% of Medicare
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $40,753 $88,944 −54% $53,555 −24% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $40,675 $36,113 +13% $38,878 +5% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $40,584 $83,369 −51% $47,583 −15% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,497 $51,832 −22% $58,968 −31% —
333 RECTAL RESECTION WITH CC $40,078 $44,977 −11% $34,352 +17% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $39,588 $43,399 −9% $49,055 −19% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $39,514 $45,818 −14% $39,253 +1% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $39,387 $47,851 −18% $43,586 −10% —
503 FOOT PROCEDURES WITH MCC $39,054 $56,094 −30% $43,901 −11% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $39,011 $65,397 −40% $52,405 −26% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $38,709 $86,584 −55% $67,764 −43% —
336 PERITONEAL ADHESIOLYSIS WITH CC $38,275 $61,156 −37% $49,470 −23% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $38,011 $72,297 −47% $53,551 −29% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $37,976 $82,045 −54% $44,053 −14% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $37,807 $102,803 −63% $74,274 −49% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $37,719 $69,646 −46% $50,139 −25% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $37,246 $46,602 −20% $38,382 −3% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $37,160 $38,389 −3% $37,080 +0% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $37,064 $72,025 −49% $46,066 −20% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $36,662 $57,419 −36% $52,332 −30% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,626 $51,051 −28% $36,097 +1% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $36,580 $64,516 −43% $46,430 −21% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $36,567 $55,009 −34% $49,631 −26% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $36,544 $84,013 −57% $47,546 −23% —
835 ACUTE LEUKEMIA WITH CC $36,422 $32,902 +11% $35,569 +2% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $36,373 $77,194 −53% $46,659 −22% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $36,217 $83,196 −56% $48,682 −26% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $35,862 $58,276 −38% $50,624 −29% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $35,786 $48,295 −26% $45,059 −21% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $35,661 $68,487 −48% $44,989 −21% —
263 VEIN LIGATION AND STRIPPING $35,620 $34,273 +4% $44,938 −21% —
849 RADIOTHERAPY $35,474 $30,142 — $37,862 −6% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $35,364 $51,135 −31% $45,432 −22% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $35,194 $25,511 — $45,290 −22% —
374 DIGESTIVE MALIGNANCY WITH MCC $35,186 $47,124 −25% $38,885 −10% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $35,162 $36,925 −5% $36,334 −3% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $34,961 $9,934 +252% $11,633 +201% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $34,580 $80,393 −57% $41,651 −17% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $34,558 $57,673 −40% $46,477 −26% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $34,555 $59,411 −42% $44,600 −23% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $34,502 $54,792 −37% $41,900 −18% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,439 $39,586 −13% $39,093 −12% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $34,386 $43,743 −21% $37,064 −7% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $34,264 $34,264 +0% $40,065 −14% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $34,097 $57,168 −40% $49,197 −31% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $34,048 $71,535 −52% $43,398 −22% —
132 NO ACTIVE CODE DESCRIPTION $33,996 $33,996 — $23,289 +46% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $33,967 $57,992 −41% $45,622 −26% —
709 PENIS PROCEDURES WITH CC/MCC $33,920 $41,492 −18% $34,535 −2% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $33,647 $54,353 −38% $44,553 −24% —
765 NO ACTIVE CODE DESCRIPTION $33,534 $33,534 — $5,336 +528% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $33,418 $53,402 −37% $40,063 −17% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $33,283 $74,717 −55% $56,394 −41% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $33,256 $72,222 −54% $39,409 −16% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $33,231 $84,205 −61% $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 $55,490 −40% $44,363 −25% —
539 OSTEOMYELITIS WITH MCC $33,146 $59,427 −44% $33,746 −2% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $33,133 $46,945 −29% $35,114 −6% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $32,973 $54,131 −39% $36,237 −9% —
397 APPENDIX PROCEDURES WITH MCC $32,907 $60,820 −46% $52,319 −37% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $32,792 $43,392 −24% $30,394 +8% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $32,789 $58,330 −44% $45,817 −28% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $32,788 $41,739 −21% $31,840 +3% ≈208% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $32,682 $74,899 −56% $40,563 −19% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $32,676 $37,394 −13% $31,758 +3% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $32,662 $71,043 −54% $38,998 −16% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $32,526 $57,336 −43% $42,881 −24% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $32,494 $45,471 −29% $41,660 −22% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $32,494 $55,907 −42% $40,583 −20% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $32,417 $73,664 −56% $51,172 −37% ≈199% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $32,350 $54,271 −40% $34,852 −7% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $32,344 $32,344 +0% $29,476 +10% —
380 COMPLICATED PEPTIC ULCER WITH MCC $31,948 $48,708 −34% $36,641 −13% —
113 ORBITAL PROCEDURES WITH CC/MCC $31,884 $50,122 −36% $35,642 −11% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $31,876 $63,872 −50% $48,680 −35% —
595 MAJOR SKIN DISORDERS WITH MCC $31,785 $24,252 +31% $31,785 +0% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,487 $37,759 −17% $38,357 −18% —
342 NO ACTIVE CODE DESCRIPTION $31,483 $41,879 −25% $19,454 +62% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,408 $65,018 −52% $37,902 −17% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $31,356 $48,205 −35% $35,237 −11% ≈180% of Medicare
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $31,132 $31,562 −1% $36,202 −14% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $31,124 $41,482 −25% $40,232 −23% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $31,105 $35,628 −13% $32,399 −4% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $31,047 $34,120 −9% $36,280 −14% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $30,974 $34,171 −9% $30,974 +0% —
199 PNEUMOTHORAX WITH MCC $30,958 $44,586 −31% $31,491 −2% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $30,911 $55,049 −44% $35,714 −13% ≈179% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $30,832 $70,921 −57% $41,380 −25% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,819 $43,991 −30% $38,420 −20% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $30,789 $57,924 −47% $45,818 −33% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $30,788 $30,981 −1% $26,020 +18% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $30,742 $61,808 −50% $36,080 −15% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,721 $48,321 −36% $32,839 −6% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $30,490 $54,058 −44% $35,673 −15% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $30,417 $45,712 −33% $33,165 −8% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $30,375 $92,113 −67% $43,080 −29% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $30,212 $60,307 −50% $27,548 +10% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $30,054 $62,199 −52% $35,453 −15% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,882 $48,268 −38% $33,607 −11% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $29,870 $70,907 −58% $41,380 −28% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $29,756 $47,578 −37% $38,094 −22% —
548 SEPTIC ARTHRITIS WITH MCC $29,663 $29,663 +0% $31,019 −4% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $29,647 $43,457 −32% $30,358 −2% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $29,613 $44,637 −34% $37,950 −22% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $29,599 $68,632 −57% $35,014 −15% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $29,597 $48,571 −39% $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 $43,567 −33% $29,371 +0% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $29,351 $43,297 −32% $28,967 +1% ≈204% of Medicare
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $29,326 $32,648 −10% $39,018 −25% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $29,200 $42,298 −31% $32,502 −10% —
935 NON-EXTENSIVE BURNS $29,170 $28,603 +2% $29,458 −1% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $29,158 $42,773 −32% $33,564 −13% —
180 RESPIRATORY NEOPLASMS WITH MCC $29,055 $30,301 −4% $36,658 −21% —
692 NO ACTIVE CODE DESCRIPTION $29,048 $29,048 — $25,916 +12% —
075 VIRAL MENINGITIS WITH CC/MCC $29,045 $46,263 −37% $29,853 −3% —
906 HAND PROCEDURES FOR INJURIES $28,985 $31,617 −8% $31,520 −8% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $28,954 $41,071 −30% $32,483 −11% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $28,937 $34,894 −17% $32,538 −11% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $28,804 $60,160 −52% $35,459 −19% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,700 $48,402 −41% $41,520 −31% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,582 $46,718 −39% $36,933 −23% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $28,533 $63,957 −55% $34,900 −18% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $28,498 $34,484 −17% $31,044 −8% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $28,497 $39,059 −27% $34,089 −16% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $28,491 $32,412 −12% $36,333 −22% —
491 NO ACTIVE CODE DESCRIPTION $28,474 $28,474 — $2,203 — —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $28,419 $30,841 −8% $32,981 −14% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $28,410 $47,644 −40% $30,766 −8% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $28,378 $46,174 −39% $42,126 −33% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $28,328 $40,376 −30% $30,814 −8% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $28,293 $48,660 −42% $30,930 −9% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $28,247 $55,179 −49% $31,909 −11% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $28,242 $23,344 +21% $17,103 +65% —
643 ENDOCRINE DISORDERS WITH MCC $28,151 $40,495 −30% $32,996 −15% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $28,035 $57,313 −51% $42,119 −33% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $27,997 $71,172 −61% $56,519 −50% ≈189% of Medicare
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $27,979 $58,864 −52% $40,694 −31% —
919 COMPLICATIONS OF TREATMENT WITH MCC $27,959 $38,272 −27% $29,031 −4% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $27,953 $45,360 −38% $43,800 −36% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $27,913 $39,753 −30% $36,375 −23% ≈181% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,825 $28,842 −4% $29,609 −6% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $27,797 $26,076 +7% $29,826 −7% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $27,743 $47,087 −41% $38,836 −29% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $27,718 $47,495 −42% $31,062 −11% —
340 NO ACTIVE CODE DESCRIPTION $27,589 $27,589 +0% $16,240 +70% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $27,559 $38,037 −28% $32,689 −16% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $27,552 $51,772 −47% $34,434 −20% —
666 PROSTATECTOMY WITH CC $27,447 $41,126 −33% $30,016 −9% —
592 SKIN ULCERS WITH MCC $27,309 $29,621 −8% $32,662 −16% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $27,268 $80,917 −66% $23,734 +15% —
551 MEDICAL BACK PROBLEMS WITH MCC $27,259 $42,932 −37% $31,086 −12% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $27,126 $58,143 −53% $44,117 −39% —
100 SEIZURES WITH MCC $26,976 $36,405 −26% $35,194 −23% —
597 MALIGNANT BREAST DISORDERS WITH MCC $26,962 $46,948 −43% $31,846 −15% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $26,922 $26,922 — $24,036 +12% —
501 SOFT TISSUE PROCEDURES WITH CC $26,922 $52,834 −49% $37,975 −29% —
334 RECTAL RESECTION WITHOUT CC/MCC $26,900 $47,315 −43% $32,213 −16% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $26,897 $35,852 −25% $28,780 −7% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $26,892 $39,916 −33% $33,050 −19% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $26,777 $32,833 −18% $31,128 −14% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $26,737 $56,004 −52% $43,266 −38% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $26,727 $31,319 −15% $30,940 −14% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $26,706 $37,618 −29% $30,058 −11% ≈211% of Medicare
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,669 $48,949 −46% $36,597 −27% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $26,661 $31,726 −16% $31,059 −14% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $26,658 $38,249 −30% $29,729 −10% —
157 DENTAL AND ORAL DISEASES WITH MCC $26,606 $27,219 −2% $27,457 −3% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $26,517 $35,074 −24% $29,109 −9% —
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $26,429 $65,523 −60% $43,538 −39% —
504 FOOT PROCEDURES WITH CC $26,427 $51,936 −49% $36,598 −28% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $26,399 $47,337 −44% $35,139 −25% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $26,363 $67,017 −61% $29,633 −11% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $26,240 $105,471 −75% $28,634 −8% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $26,188 $56,446 −54% $43,775 −40% —
038 EXTRACRANIAL PROCEDURES WITH CC $26,162 $56,501 −54% $35,770 −27% —
813 COAGULATION DISORDERS $26,122 $44,510 −41% $30,128 −13% —
186 PLEURAL EFFUSION WITH MCC $26,081 $52,127 −50% $32,468 −20% —
682 RENAL FAILURE WITH MCC $26,021 $36,071 −28% $27,854 −7% ≈188% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $25,999 $28,860 −10% $25,484 +2% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $25,991 $44,159 −41% $30,275 −14% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $25,981 $51,298 −49% $39,747 −35% ≈203% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $25,954 $47,629 −46% $29,524 −12% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $25,865 $47,020 −45% $33,137 −22% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $25,813 $41,811 −38% $28,646 −10% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $25,772 $36,037 −28% $29,757 −13% —
915 ALLERGIC REACTIONS WITH MCC $25,729 $31,265 −18% $30,944 −17% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $25,727 $9,552 +169% $14,284 +80% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $25,669 $42,124 −39% $36,239 −29% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $25,638 $24,351 +5% $27,168 −6% —
088 CONCUSSION WITH MCC $25,525 $43,653 −42% $24,402 +5% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $25,424 $39,302 −35% $36,242 −30% —
767 NO ACTIVE CODE DESCRIPTION $25,369 $25,369 — $3,032 +737% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $25,334 $17,876 — $28,103 −10% —
663 MINOR BLADDER PROCEDURES WITH CC $25,313 $33,562 −25% $29,924 −15% —
571 SKIN DEBRIDEMENT WITH CC $25,277 $40,472 −38% $34,901 −28% —
134 NO ACTIVE CODE DESCRIPTION $25,237 $25,237 — $23,289 +8% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $25,071 $34,639 −28% $32,204 −22% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $25,067 $63,350 −60% $35,542 −29% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $25,039 $58,007 −57% $45,963 −46% —
865 VIRAL ILLNESS WITH MCC $25,012 $19,655 +27% $26,088 −4% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $24,867 $56,352 −56% $33,490 −26% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $24,807 $43,248 −43% $24,941 −1% —
183 MAJOR CHEST TRAUMA WITH MCC $24,806 $39,426 −37% $28,924 −14% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,797 $42,493 −42% $25,854 −4% —
671 URETHRAL PROCEDURES WITH CC/MCC $24,789 $29,979 −17% $27,233 −9% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $24,760 $36,464 −32% $32,451 −24% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $24,621 $23,878 +3% $22,698 +8% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $24,618 $42,645 −42% $24,229 +2% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $24,617 $46,218 −47% $35,528 −31% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $24,593 $29,440 −16% $28,134 −13% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $24,588 $50,606 −51% $40,552 −39% —
602 CELLULITIS WITH MCC $24,584 $32,220 −24% $29,347 −16% —
533 FRACTURES OF FEMUR WITH MCC $24,523 $25,894 −5% $25,945 −5% —
291 HEART FAILURE AND SHOCK WITH MCC $24,523 $35,533 −31% $25,020 −2% ≈214% of Medicare
685 NO ACTIVE CODE DESCRIPTION $24,472 $24,472 — $21,385 +14% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $24,464 $28,731 −15% $28,375 −14% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $24,407 $52,002 −53% $29,409 −17% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $24,286 $51,730 −53% $35,375 −31% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $24,281 $35,773 −32% $32,936 −26% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $24,248 $55,842 −57% $33,984 −29% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $24,173 $32,082 −25% $26,158 −8% ≈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 $33,514 −28% $24,561 −2% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,042 $31,979 −25% $25,731 −7% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $24,027 $82,608 −71% $54,772 −56% ≈193% of Medicare
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $24,000 $36,179 −34% $24,465 −2% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $23,859 $11,218 +113% $24,836 −4% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $23,740 $39,076 −39% $29,916 −21% —
606 MINOR SKIN DISORDERS WITH MCC $23,677 $21,656 +9% $25,434 −7% —
766 NO ACTIVE CODE DESCRIPTION $23,612 $23,612 — $5,336 +343% —
693 URINARY STONES WITH MCC $23,605 $25,533 −8% $22,525 +5% —
509 ARTHROSCOPY $23,480 $23,480 — $25,994 −10% —
637 DIABETES WITH MCC $23,429 $31,884 −27% $28,819 −19% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $23,401 $44,797 −48% $29,484 −21% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $23,389 $22,774 +3% $25,786 −9% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $23,339 $34,565 −32% $29,211 −20% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $23,330 $31,612 −26% $29,558 −21% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $23,318 $43,042 −46% $31,812 −27% —
505 FOOT PROCEDURES WITHOUT CC/MCC $23,308 $65,214 −64% $31,716 −27% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $23,257 $79,302 −71% $34,264 −32% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $23,132 $43,724 −47% $33,792 −32% —
343 NO ACTIVE CODE DESCRIPTION $23,112 $27,398 −16% $13,735 +68% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,031 $45,790 −50% $32,490 −29% —
150 EPISTAXIS WITH MCC $22,975 $36,387 −37% $21,133 +9% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $22,932 $52,333 −56% $35,584 −36% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,659 $39,300 −42% $33,424 −32% —
348 ANAL AND STOMAL PROCEDURES WITH CC $22,642 $40,273 −44% $27,947 −19% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $22,586 $27,474 −18% $22,024 +3% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,540 $42,219 −47% $29,374 −23% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $22,450 $22,450 +0% $28,578 −21% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,449 $40,199 −44% $28,140 −20% —
945 REHABILITATION WITH CC/MCC $22,436 $20,805 — $23,834 −6% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $22,404 $40,182 −44% $24,118 −7% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $22,301 $49,735 −55% $30,910 −28% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $22,252 $41,820 −47% $29,663 −25% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,242 $23,482 −5% $24,450 −9% —
669 TRANSURETHRAL PROCEDURES WITH CC $22,235 $49,590 −55% $34,354 −35% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $22,204 $43,621 −49% $30,418 −27% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $22,181 $28,314 −22% $25,208 −12% —
506 MAJOR THUMB OR JOINT PROCEDURES $22,082 $52,535 −58% $28,983 −24% —
710 PENIS PROCEDURES WITHOUT CC/MCC $22,072 $36,569 −40% $23,814 −7% —
137 MOUTH PROCEDURES WITH CC/MCC $22,061 $28,358 −22% $24,348 −9% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $22,056 $57,116 −61% $25,010 −12% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,003 $49,229 −55% $25,152 −13% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $21,988 $20,217 — $25,197 −13% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $21,961 $41,800 −47% $28,252 −22% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $21,948 $32,629 −33% $26,634 −18% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $21,944 $103,752 −79% $32,911 −33% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,926 $33,033 −34% $30,972 −29% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,882 $56,026 −61% $28,527 −23% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $21,816 $89,723 −76% $31,566 −31% —
913 TRAUMATIC INJURY WITH MCC $21,492 $35,506 −39% $24,198 −11% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $21,460 $36,278 −41% $27,118 −21% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $21,382 $17,219 +24% $19,894 +7% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $21,353 $48,419 −56% $35,692 −40% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $21,352 $47,525 −55% $24,879 −14% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $21,315 $34,138 −38% $23,350 −9% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $21,227 $46,249 −54% $33,694 −37% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $21,214 $31,957 −34% $24,022 −12% —
811 RED BLOOD CELL DISORDERS WITH MCC $21,209 $35,961 −41% $27,934 −24% —
540 OSTEOMYELITIS WITH CC $21,080 $23,840 −12% $23,494 −10% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $20,994 $29,671 −29% $25,666 −18% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $20,960 $28,938 −28% $20,741 +1% —
375 DIGESTIVE MALIGNANCY WITH CC $20,960 $37,498 −44% $27,219 −23% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $20,956 $49,381 −58% $27,279 −23% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $20,930 $34,553 −39% $27,321 −23% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,909 $20,909 +0% $20,980 −0% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $20,882 $31,385 −33% $34,906 −40% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $20,847 $27,557 −24% $23,924 −13% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $20,795 $20,795 +0% $24,452 −15% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,754 $27,529 −25% $23,723 −13% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $20,658 $16,338 +26% $21,860 −5% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $20,640 $38,975 −47% $27,492 −25% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $20,604 $29,917 −31% $25,704 −20% ≈208% of Medicare
946 REHABILITATION WITHOUT CC/MCC $20,360 $20,360 — $17,685 +15% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $20,331 $42,258 −52% $25,149 −19% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,281 $12,567 +61% $23,956 −15% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $20,273 $31,979 −37% $26,488 −23% ≈205% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,264 $50,867 −60% $34,887 −42% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $20,216 $46,649 −57% $22,811 −11% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $20,148 $28,501 −29% $20,421 −1% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $20,126 $36,239 −44% $28,156 −29% —
398 APPENDIX PROCEDURES WITH CC $20,096 $46,304 −57% $39,107 −49% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,005 $35,109 −43% $23,115 −13% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $19,998 $25,867 −23% $21,029 −5% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,960 $33,934 −41% $27,244 −27% —
598 MALIGNANT BREAST DISORDERS WITH CC $19,910 $25,176 −21% $19,073 +4% —
774 NO ACTIVE CODE DESCRIPTION $19,847 $19,847 — $3,032 +555% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $19,764 $29,021 −32% $22,850 −14% —
181 RESPIRATORY NEOPLASMS WITH CC $19,762 $22,019 −10% $22,431 −12% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $19,663 $49,261 −60% $29,050 −32% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,652 $28,826 −32% $22,032 −11% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $19,617 $33,151 −41% $25,390 −23% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $19,571 $25,402 −23% $24,017 −19% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $19,484 $33,501 −42% $22,982 −15% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $19,467 $13,523 — $23,297 −16% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,456 $32,557 −40% $24,190 −20% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,453 $36,120 −46% $26,146 −26% —
549 SEPTIC ARTHRITIS WITH CC $19,443 $19,443 +0% $20,938 −7% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $19,426 $27,834 −30% $24,202 −20% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $19,372 $31,765 — $15,901 +22% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $19,286 $6,422 +200% $7,961 +142% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $19,229 $26,700 — $21,986 −13% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $19,168 $38,686 −50% $29,805 −36% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $19,149 $30,342 −37% $22,525 −15% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $19,130 $29,285 −35% $23,496 −19% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $19,114 $40,643 −53% $25,243 −24% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $19,100 $40,035 −52% $31,978 −40% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $19,034 $47,808 −60% $31,816 −40% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,011 $32,901 — $19,354 −2% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $18,953 $35,890 −47% $24,480 −23% ≈186% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $18,926 $24,895 −24% $20,727 −9% —
947 SIGNS AND SYMPTOMS WITH MCC $18,911 $33,285 −43% $25,474 −26% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $18,849 $109,157 −83% $21,615 −13% —
885 PSYCHOSES $18,720 $23,997 −22% $21,489 −13% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $18,677 $18,677 — $19,686 −5% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $18,608 $41,615 −55% $24,316 −23% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $18,589 $38,522 −52% $30,006 −38% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $18,515 $30,730 −40% $24,544 −25% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $18,510 $28,471 −35% $18,126 +2% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $18,451 $37,838 −51% $23,469 −21% ≈216% of Medicare
781 NO ACTIVE CODE DESCRIPTION $18,389 $18,389 — $16,875 +9% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $18,365 $41,333 −56% $19,317 −5% —
381 COMPLICATED PEPTIC ULCER WITH CC $18,358 $31,043 −41% $24,177 −24% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $18,294 $35,828 −49% $23,920 −24% —
139 SALIVARY GLAND PROCEDURES $18,234 $18,234 +0% $21,014 −13% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $18,224 $27,072 −33% $18,459 −1% —
197 INTERSTITIAL LUNG DISEASE WITH CC $18,188 $28,975 −37% $20,106 −10% —
187 PLEURAL EFFUSION WITH CC $18,173 $24,420 −26% $21,467 −15% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,092 $38,948 −54% $24,980 −28% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $17,999 $28,586 −37% $22,781 −21% ≈224% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $17,928 $32,310 −45% $22,275 −20% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,781 $18,630 −5% $21,806 −18% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,780 $40,188 −56% $31,190 −43% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $17,742 $27,769 −36% $22,231 −20% —
304 HYPERTENSION WITH MCC $17,736 $36,478 −51% $24,185 −27% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $17,722 $37,181 −52% $25,426 −30% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $17,694 $16,085 +10% $19,091 −7% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $17,656 $35,709 −51% $20,463 −14% ≈210% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $17,516 $40,027 −56% $22,713 −23% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $17,508 $17,508 — $19,132 −8% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,477 $26,432 −34% $19,868 −12% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,451 $21,289 — $15,890 +10% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $17,388 $22,622 −23% $18,478 −6% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,355 $21,308 −19% $24,452 −29% —
644 ENDOCRINE DISORDERS WITH CC $17,346 $25,161 −31% $22,941 −24% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,333 $41,652 −58% $25,267 −31% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,328 $27,233 −36% $17,483 −1% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $17,319 $10,317 +68% $17,550 −1% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $17,302 $37,688 −54% $26,322 −34% —
102 HEADACHES WITH MCC $17,289 $25,440 −32% $22,544 −23% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $17,246 $30,789 −44% $21,062 −18% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $17,227 $22,911 −25% $20,968 −18% —
302 ATHEROSCLEROSIS WITH MCC $17,207 $25,873 −33% $20,844 −17% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $17,196 $54,585 −68% $25,307 −32% —
200 PNEUMOTHORAX WITH CC $17,188 $26,420 −35% $20,573 −16% —
152 OTITIS MEDIA AND URI WITH MCC $17,160 $21,226 −19% $19,795 −13% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $17,151 $28,415 −40% $22,532 −24% —
593 SKIN ULCERS WITH CC $17,057 $28,274 −40% $20,470 −17% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $17,017 $32,322 −47% $23,588 −28% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $17,003 $34,152 −50% $24,432 −30% —
184 MAJOR CHEST TRAUMA WITH CC $16,980 $23,683 −28% $20,842 −19% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $16,954 $30,055 −44% $22,557 −25% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,944 $36,718 −54% $23,396 −28% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $16,825 $35,125 −52% $25,623 −34% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $16,745 $31,975 −48% $21,886 −23% ≈213% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,739 $23,139 −28% $18,017 −7% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $16,634 $45,583 −64% $27,369 −39% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,607 $25,818 −36% $20,732 −20% —
176 PULMONARY EMBOLISM WITHOUT MCC $16,555 $28,596 −42% $18,081 −8% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $16,500 $16,500 +0% $19,598 −16% —
089 CONCUSSION WITH CC $16,469 $25,288 −35% $18,293 −10% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $16,447 $24,340 −32% $18,291 −10% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $16,388 $20,208 −19% $16,418 −0% —
887 OTHER MENTAL DISORDER DIAGNOSES $16,361 $18,521 −12% $20,602 −21% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $16,360 $21,556 −24% $20,147 −19% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $16,310 $25,153 −35% $19,579 −17% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,309 $24,392 −33% $20,007 −18% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,259 $22,483 — $17,434 −7% —
292 HEART FAILURE AND SHOCK WITH CC $16,212 $26,380 −39% $16,212 +0% —
683 RENAL FAILURE WITH CC $16,184 $26,180 −38% $18,620 −13% ≈210% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $16,177 $28,805 −44% $21,181 −24% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $16,165 $28,023 −42% $18,918 −15% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,098 $22,343 −28% $17,078 −6% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $16,044 $25,529 −37% $18,204 −12% —
949 AFTERCARE WITH CC/MCC $15,912 $58,266 −73% $23,953 −34% —
541 OSTEOMYELITIS WITHOUT CC/MCC $15,887 $15,887 +0% $14,549 +9% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,834 $27,324 −42% $21,449 −26% —
775 NO ACTIVE CODE DESCRIPTION $15,826 $15,826 — $3,242 +388% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $15,809 $28,630 −45% $23,749 −33% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,798 $28,678 −45% $20,777 −24% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $15,765 $26,231 −40% $21,545 −27% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,759 $35,446 −56% $17,585 −10% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,735 $31,738 −50% $20,842 −25% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $15,638 $34,863 −55% $24,136 −35% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $15,632 $20,004 −22% $14,444 +8% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $15,616 $24,111 −35% $19,096 −18% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $15,611 $44,569 −65% $15,764 −1% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $15,526 $33,571 −54% $25,162 −38% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $15,500 $27,678 −44% $18,278 −15% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $15,315 $15,315 — $13,385 +14% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $15,286 $22,220 −31% $18,133 −16% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $15,241 $20,323 −25% $17,226 −12% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $15,181 $26,845 −43% $16,642 −9% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $15,074 $23,332 −35% $23,141 −35% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,022 $35,023 −57% $20,309 −26% —
158 DENTAL AND ORAL DISEASES WITH CC $14,996 $16,442 −9% $17,700 −15% —
667 PROSTATECTOMY WITHOUT CC/MCC $14,927 $38,469 −61% $16,703 −11% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $14,925 $41,418 −64% $30,314 −51% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,921 $21,672 −31% $17,388 −14% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $14,873 $26,199 −43% $15,474 −4% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $14,803 $25,591 −42% $19,326 −23% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $14,759 $36,728 −60% $20,080 −26% —
712 TESTES PROCEDURES WITHOUT CC/MCC $14,709 $22,704 −35% $18,898 −22% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,708 $22,636 −35% $19,569 −25% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $14,679 $21,960 −33% $17,273 −15% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $14,638 $30,120 −51% $18,191 −20% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $14,595 $10,783 — $17,398 −16% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,588 $25,143 −42% $15,608 −7% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $14,454 $14,383 +0% $16,352 −12% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $14,435 $32,864 −56% $21,213 −32% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $14,384 $14,384 — $16,212 −11% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $14,383 $27,198 −47% $22,560 −36% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $14,343 $11,618 +23% $18,428 −22% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $14,325 $10,530 — $17,193 −17% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $14,290 $20,869 −32% $17,943 −20% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $14,239 $27,106 −47% $17,367 −18% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,188 $28,063 −49% $14,055 +1% —
697 URETHRAL STRICTURE $14,147 $29,359 −52% $17,705 −20% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $14,128 $22,434 — $20,371 −31% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,127 $22,797 −38% $17,412 −19% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $14,101 $31,031 −55% $23,571 −40% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $14,024 $23,479 — $16,495 −15% —
603 CELLULITIS WITHOUT MCC $14,009 $22,209 −37% $18,530 −24% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $13,942 $35,864 −61% $19,854 −30% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $13,940 $31,147 −55% $19,305 −28% —
778 NO ACTIVE CODE DESCRIPTION $13,885 $13,885 — $10,997 +26% —
638 DIABETES WITH CC $13,872 $24,914 −44% $18,821 −26% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $13,849 $13,529 +2% $18,282 −24% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,726 $13,726 +0% $14,064 −2% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $13,586 $20,151 −33% $16,104 −16% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,545 $18,510 −27% $16,571 −18% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $13,412 $31,189 −57% $20,488 −35% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $13,378 $17,393 −23% $18,608 −28% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,254 $16,448 −19% $15,370 −14% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $13,237 $23,920 −45% $21,261 −38% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $13,214 $25,388 −48% $17,731 −25% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $13,208 $25,151 −47% $16,865 −22% ≈219% of Medicare
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $13,136 $22,204 −41% $13,282 −1% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,135 $22,962 −43% $16,776 −22% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,128 $13,128 +0% $13,822 −5% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $13,115 $24,439 −46% $19,483 −33% —
101 SEIZURES WITHOUT MCC $13,093 $22,550 −42% $19,954 −34% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $13,036 $40,743 −68% $16,156 −19% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $12,989 $25,829 −50% $17,466 −26% ≈208% of Medicare
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,987 $29,971 −57% $16,634 −22% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $12,974 $27,838 −53% $19,287 −33% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $12,936 $15,630 −17% $15,869 −18% —
866 VIRAL ILLNESS WITHOUT MCC $12,923 $15,770 −18% $16,391 −21% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $12,908 $17,310 −25% $16,837 −23% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,858 $23,483 −45% $19,001 −32% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $12,858 $26,175 −51% $18,238 −29% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,797 $12,797 — $13,654 −6% —
882 NEUROSES EXCEPT DEPRESSIVE $12,776 $21,469 −40% $15,680 −19% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $12,768 $30,649 −58% $18,803 −32% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $12,734 $14,583 −13% $9,385 +36% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $12,734 $22,978 −45% $15,077 −16% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $12,731 $25,732 −51% $15,636 −19% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $12,712 $22,716 −44% $14,880 −15% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,683 $9,616 +32% $15,589 −19% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,670 $24,351 −48% $18,623 −32% ≈218% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $12,662 $22,737 −44% $17,700 −28% —
123 NEUROLOGICAL EYE DISORDERS $12,622 $30,124 −58% $17,831 −29% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $12,541 $12,541 +0% $13,586 −8% —
312 SYNCOPE AND COLLAPSE $12,534 $30,030 −58% $19,342 −35% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,516 $25,868 −52% $14,861 −16% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,486 $26,541 −53% $20,278 −38% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $12,480 $43,468 −71% $17,108 −27% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $12,440 $20,119 −38% $17,383 −28% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,432 $18,176 −32% $14,110 −12% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,425 $22,964 −46% $16,654 −25% —
779 ABORTION WITHOUT D&C $12,415 $12,415 +0% $15,327 −19% —
534 FRACTURES OF FEMUR WITHOUT MCC $12,410 $24,478 −49% $17,195 −28% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,398 $36,206 −66% $15,072 −18% —
090 CONCUSSION WITHOUT CC/MCC $12,329 $29,131 −58% $14,873 −17% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $12,328 $23,190 −47% $17,322 −29% ≈234% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,213 $24,447 −50% $12,537 −3% —
914 TRAUMATIC INJURY WITHOUT MCC $12,192 $16,946 −28% $15,593 −22% —
881 DEPRESSIVE NEUROSES $12,140 $17,878 −32% $15,058 −19% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $12,129 $20,218 −40% $14,166 −14% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $12,100 $23,073 −48% $18,002 −33% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,015 $29,601 −59% $20,084 −40% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,968 $23,175 −48% $17,715 −32% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,903 $11,903 — $11,847 +0% —
607 MINOR SKIN DISORDERS WITHOUT MCC $11,900 $17,203 −31% $15,284 −22% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,867 $24,746 −52% $17,727 −33% —
103 HEADACHES WITHOUT MCC $11,862 $22,702 −48% $20,111 −41% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,850 $28,052 −58% $18,253 −35% —
694 URINARY STONES WITHOUT MCC $11,840 $23,026 −49% $16,531 −28% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,829 $21,210 −44% $13,892 −15% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,807 $22,084 −47% $16,049 −26% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,753 $21,146 −44% $17,522 −33% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $11,752 $24,267 −52% $15,858 −26% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,748 $18,532 −37% $15,045 −22% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,734 $24,987 −53% $15,876 −26% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $11,706 $26,956 −57% $16,745 −30% ≈236% of Medicare
594 SKIN ULCERS WITHOUT CC/MCC $11,705 $12,907 — $14,209 −18% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,658 $17,770 −34% $14,208 −18% —
204 RESPIRATORY SIGNS AND SYMPTOMS $11,654 $21,530 −46% $16,866 −31% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,601 $25,460 −54% $19,815 −41% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $11,541 $9,332 — $14,290 −19% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,539 $16,783 −31% $14,368 −20% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,478 $15,631 −27% $13,824 −17% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,431 $24,611 −54% $14,134 −19% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,429 $20,759 −45% $14,337 −20% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,388 $11,388 — $12,593 −10% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $11,371 $13,725 −17% $13,303 −15% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,361 $12,671 −10% $13,485 −16% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,270 $16,883 −33% $17,928 −37% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,238 $18,527 −39% $13,081 −14% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,184 $19,031 −41% $15,607 −28% —
782 NO ACTIVE CODE DESCRIPTION $11,138 $11,138 — $10,599 +5% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,122 $18,324 −39% $14,128 −21% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,119 $11,119 — $13,445 −17% —
153 OTITIS MEDIA AND URI WITHOUT MCC $11,078 $20,091 −45% $14,473 −23% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,068 $18,335 −40% $14,441 −23% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,061 $20,045 −45% $15,070 −27% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,054 $13,721 −19% $14,012 −21% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,028 $12,804 −14% $12,381 −11% —
151 EPISTAXIS WITHOUT MCC $11,005 $18,506 −41% $13,032 −16% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,993 $10,993 — $12,650 −13% —
149 DYSEQUILIBRIUM $10,981 $25,149 −56% $17,203 −36% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,885 $12,278 −11% $11,997 −9% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,871 $22,740 −52% $15,600 −30% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,858 $39,061 −72% $18,150 −40% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $10,851 $10,851 +0% $12,336 −12% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,821 $19,671 −45% $11,955 −9% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $10,690 $29,458 −64% $11,909 −10% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,674 $17,014 −37% $12,405 −14% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,615 $16,460 −36% $13,198 −20% —
305 HYPERTENSION WITHOUT MCC $10,612 $24,729 −57% $17,144 −38% —
684 RENAL FAILURE WITHOUT CC/MCC $10,547 $20,211 −48% $13,623 −23% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,517 $11,996 −12% $12,279 −14% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $10,472 $16,083 −35% $12,797 −18% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,296 $16,827 −39% $13,318 −23% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,270 $10,317 −0% $10,975 −6% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,107 $12,692 — $11,071 −9% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,057 $18,079 −44% $13,368 −25% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $9,926 $11,261 −12% $12,895 −23% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,823 $18,190 −46% $14,927 −34% —
313 CHEST PAIN $9,724 $21,263 −54% $15,962 −39% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,610 $16,333 −41% $13,090 −27% —
950 AFTERCARE WITHOUT CC/MCC $9,471 $36,016 −74% $13,527 −30% —
639 DIABETES WITHOUT CC/MCC $9,399 $17,869 −47% $13,910 −32% —
311 ANGINA PECTORIS $9,274 $17,545 −47% $15,165 −39% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $9,188 $15,212 −40% $13,384 −31% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $8,935 $6,362 — $10,039 −11% —
916 ALLERGIC REACTIONS WITHOUT MCC $8,820 $14,462 −39% $13,890 −37% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $8,585 $19,162 −55% $11,421 −25% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,464 $14,792 −43% $12,044 −30% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $8,288 $16,939 −51% $12,013 −31% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $7,524 $7,524 — $8,927 −16% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,903 $7,911 −13% $9,076 −24% —
780 NO ACTIVE CODE DESCRIPTION $5,214 $5,214 — $4,253 +23% —
795 NORMAL NEWBORN $2,852 $5,293 −46% $4,530 −37% —
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