Doctors Hospital of Laredo — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 778 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 778
Lowest published price $2,168
Average published price $11,037
Highest published price $213,934

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 778 procedures

Published charges

Showing all 778 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 14 procedures, this hospital's negotiated rates average ≈33% of what Medicare pays.

DRG Description Published price vs. TX median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $213,934 $483,987 −56% $498,715 −57% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $152,492 $362,617 −58% $431,073 −65% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $83,157 $660,173 −87% $371,366 −78% —
453 Combined Anterior And Posterior Spinal Fusion With MCC $79,404 $103,861 −24% $103,861 −24% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $76,052 $143,467 −47% $169,977 −55% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $65,842 $171,028 −62% $182,314 −64% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $60,634 $237,026 −74% $306,087 −80% —
459 Spinal Fusion Except Cervical With MCC $58,192 $78,699 −26% $75,251 −23% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $58,171 $242,999 −76% $159,181 −63% —
454 Combined Anterior And Posterior Spinal Fusion With CC $56,870 $69,101 −18% $69,101 −18% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $56,534 $176,964 −68% $171,338 −67% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $52,618 $230,527 −77% $245,241 −79% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $51,748 $217,531 −76% $191,314 −73% —
007 LUNG TRANSPLANT $50,064 $170,608 −71% $170,608 −71% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $43,981 $166,500 −74% $175,437 −75% —
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $42,424 $61,694 −31% $54,320 −22% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $41,939 $105,228 −60% $105,228 −60% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $37,763 $85,518 −56% $98,260 −62% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $37,761 $205,911 −82% $151,029 −75% —
460 Spinal Fusion Except Cervical Without MCC $37,122 $83,613 −56% $50,815 −27% —
231 CORONARY BYPASS WITH PTCA WITH MCC $36,530 $128,088 −71% $146,474 −75% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $36,360 $106,929 −66% $134,914 −73% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $35,621 $149,897 −76% $138,868 −74% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $35,418 $196,712 −82% $143,242 −75% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $33,566 $94,288 −64% $131,961 −75% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $31,349 $86,459 −64% $86,459 −64% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $31,264 $80,603 −61% $113,855 −73% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $30,821 $122,950 −75% $120,587 −74% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $30,812 $210,247 −85% $116,058 −73% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $30,689 $89,662 −66% $118,589 −74% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $30,586 $78,460 −61% $96,192 −68% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $29,624 $83,192 −64% $117,280 −75% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $29,248 $79,247 −63% $112,062 −74% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $28,616 $209,912 −86% $121,714 −76% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $28,569 $84,256 −66% $102,573 −72% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $28,450 $91,253 −69% $105,612 −73% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $28,423 $226,137 −87% $138,008 −79% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $28,355 $91,449 −69% $109,331 −74% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $28,324 $67,791 −58% $96,905 −71% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $27,699 $135,321 −80% $101,235 −73% —
006 LIVER TRANSPLANT WITHOUT MCC $27,555 $84,407 −67% $84,407 −67% —
834 ACUTE LEUKEMIA WITH MCC $27,328 $74,709 −63% $76,583 −64% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $27,135 $140,973 −81% $108,472 −75% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $26,967 $81,176 −67% $81,176 −67% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $26,849 $64,248 −58% $92,217 −71% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $26,760 $77,406 −65% $107,355 −75% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $25,987 $198,564 −87% $106,238 −76% —
028 SPINAL PROCEDURES WITH MCC $25,762 $82,145 −69% $95,858 −73% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $25,393 $73,455 −65% $94,927 −73% —
245 AICD GENERATOR PROCEDURES $25,392 $66,564 −62% $72,076 −65% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $25,310 $149,761 −83% $71,551 −65% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $25,110 $80,018 −69% $80,018 −69% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $25,109 $103,292 −76% $106,778 −76% —
010 PANCREAS TRANSPLANT $24,993 $99,940 −75% $99,940 −75% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $24,988 $86,484 −71% $70,735 −65% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $24,521 $77,461 −68% $91,329 −73% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $24,291 $139,926 −83% $102,177 −76% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $24,222 $175,396 −86% $86,953 −72% —
653 MAJOR BLADDER PROCEDURES WITH MCC $24,190 $132,069 −82% $97,046 −75% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $23,806 $73,103 −67% $78,582 −70% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $23,763 $125,987 −81% $84,861 −72% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $23,699 $82,870 −71% $96,222 −75% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $23,572 $118,231 −80% $80,747 −71% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $23,483 $148,272 −84% $88,691 −74% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $23,013 $105,340 −78% $99,423 −77% —
799 SPLENIC PROCEDURES WITH MCC $22,842 $99,427 −77% $78,821 −71% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $22,312 $205,352 −89% $142,326 −84% —
471 CERVICAL SPINAL FUSION WITH MCC $22,291 $66,842 −67% $92,515 −76% —
163 MAJOR CHEST PROCEDURES WITH MCC $22,235 $142,222 −84% $88,341 −75% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $22,195 $99,711 −78% $90,331 −75% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $22,100 $132,154 −83% $88,049 −75% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $22,066 $131,768 −83% $87,018 −75% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $21,897 $91,266 −76% $92,238 −76% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $21,714 $149,263 −85% $88,050 −75% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $21,612 $109,817 −80% $87,565 −75% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $21,526 $63,928 −66% $80,885 −73% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $21,399 $56,565 −62% $82,247 −74% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $21,379 $89,353 −76% $89,353 −76% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $21,323 $90,791 −77% $75,103 −72% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $20,825 $81,319 −74% $56,242 −63% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $20,753 $108,235 −81% $72,859 −72% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $20,689 $95,906 −78% $62,404 −67% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $20,540 $154,549 −87% $86,390 −76% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $20,535 $59,237 −65% $83,441 −75% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $20,377 $58,314 −65% $70,132 −71% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $20,034 $91,417 −78% $88,307 −77% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,246 $79,695 −76% $83,065 −77% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $19,214 $138,656 −86% $82,561 −77% —
652 KIDNEY TRANSPLANT $19,075 $54,720 −65% $54,720 −65% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $19,045 $73,266 −74% $68,847 −72% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $19,011 $54,300 −65% $61,832 −69% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $18,902 $59,712 −68% $65,325 −71% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $18,773 $56,535 −67% $66,853 −72% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $18,649 $26,990 −31% $16,719 +12% —
332 RECTAL RESECTION WITH MCC $18,418 $48,214 −62% $58,125 −68% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $18,274 $75,038 −76% $75,585 −76% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $18,217 $133,390 −86% $73,029 −75% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $18,213 $115,941 −84% $76,954 −76% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $18,207 $59,066 −69% $60,098 −70% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $17,878 $271,110 −93% $120,174 −85% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $17,738 $100,268 −82% $62,961 −72% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $17,661 $69,779 −75% $71,701 −75% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $17,634 $126,521 −86% $121,563 −85% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $17,621 $52,536 −66% $74,755 −76% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $17,511 $117,803 −85% $71,755 −76% —
791 PREMATURITY WITH MAJOR PROBLEMS $17,339 $34,685 −50% $39,563 −56% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $17,300 $106,284 −84% $74,257 −77% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $17,247 $92,538 −81% $74,274 −77% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $17,221 $104,160 −83% $57,277 −70% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $17,124 $70,091 −76% $57,521 −70% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $16,849 $49,718 −66% $57,855 −71% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $16,817 $48,637 −65% $59,207 −72% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $16,731 $47,649 −65% $68,880 −76% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $16,705 $53,307 −69% $55,097 −70% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $16,690 $98,765 −83% $72,782 −77% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $16,592 $128,445 −87% $82,527 −80% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,569 $80,266 −79% $53,555 −69% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $16,499 $72,886 −77% $68,006 −76% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $16,492 $89,456 −82% $72,011 −77% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $16,467 $57,584 −71% $68,659 −76% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $16,458 $85,313 −81% $59,425 −72% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $16,398 $40,363 −59% $56,758 −71% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $16,337 $89,410 −82% $56,964 −71% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $16,320 $75,197 −78% $62,524 −74% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $16,293 $48,636 −66% $53,817 −70% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $16,220 $51,761 −69% $60,861 −73% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $16,099 $60,017 −73% $64,776 −75% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $16,016 $92,740 −83% $66,819 −76% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $16,015 $70,613 −77% $67,901 −76% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $16,006 $73,695 −78% $71,014 −77% —
252 OTHER VASCULAR PROCEDURES WITH MCC $15,810 $48,030 −67% $68,508 −77% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $15,795 $49,003 −68% $50,919 −69% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $15,695 $68,604 −77% $52,405 −70% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $15,594 $115,433 −86% $70,540 −78% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $15,587 $57,570 −73% $72,945 −79% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $15,348 $69,973 −78% $65,254 −76% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $15,333 $74,599 −79% $64,956 −76% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $15,303 $197,408 −92% $121,728 −87% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $15,182 $63,849 −76% $51,142 −70% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $15,130 $94,746 −84% $67,764 −78% —
265 AICD LEAD PROCEDURES $14,915 $49,492 −70% $56,695 −74% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $14,913 $82,731 −82% $98,912 −85% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $14,846 $59,774 −75% $64,152 −77% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $14,820 $100,025 −85% $64,465 −77% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $14,802 $92,812 −84% $65,573 −77% —
037 EXTRACRANIAL PROCEDURES WITH MCC $14,763 $107,947 −86% $64,749 −77% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $14,755 $71,969 −79% $65,383 −77% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $14,752 $53,665 −73% $72,908 −80% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $14,659 $48,557 −70% $51,953 −72% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $14,595 $95,604 −85% $63,984 −77% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $14,535 $70,888 −79% $54,313 −73% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $14,531 $74,518 −81% $54,475 −73% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $14,529 $43,330 −66% $62,821 −77% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $14,516 $58,561 −75% $49,710 −71% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $14,488 $193,374 −93% $114,914 −87% —
500 SOFT TISSUE PROCEDURES WITH MCC $14,382 $44,320 −68% $57,479 −75% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $14,333 $43,152 −67% $48,358 −70% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $14,332 $93,036 −85% $53,551 −73% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $14,192 $76,345 −81% $68,399 −79% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $14,189 $46,133 −69% $54,129 −74% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $13,875 $39,644 −65% $58,043 −76% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $13,831 $83,214 −83% $63,475 −78% —
472 CERVICAL SPINAL FUSION WITH CC $13,795 $51,075 −73% $59,537 −77% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $13,748 $76,642 −82% $54,824 −75% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $13,671 $68,262 −80% $60,140 −77% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $13,589 $87,874 −85% $57,963 −77% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $13,431 $53,945 −75% $78,852 −83% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $13,423 $54,196 −75% $54,196 −75% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $13,389 $59,215 −77% $40,277 −67% —
164 MAJOR CHEST PROCEDURES WITH CC $13,331 $58,838 −77% $53,141 −75% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $13,297 $44,566 −70% $54,929 −76% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $13,257 $73,229 −82% $50,011 −73% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $13,198 $41,952 −69% $46,402 −72% —
654 MAJOR BLADDER PROCEDURES WITH CC $13,143 $39,822 −67% $53,868 −76% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,099 $76,837 −83% $58,832 −78% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $13,086 $172,473 −92% $94,988 −86% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,081 $32,773 −60% $43,586 −70% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $13,056 $51,746 −75% $44,973 −71% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $12,905 $65,401 −80% $48,907 −74% —
570 SKIN DEBRIDEMENT WITH MCC $12,879 $47,727 −73% $52,435 −75% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,814 $37,631 −66% $40,947 −69% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $12,779 $53,785 −76% $44,839 −72% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,698 $58,702 −78% $62,269 −80% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,664 $38,454 −67% $43,491 −71% —
665 PROSTATECTOMY WITH MCC $12,562 $68,365 −82% $54,072 −77% —
800 SPLENIC PROCEDURES WITH CC $12,544 $94,713 −87% $49,184 −74% —
253 OTHER VASCULAR PROCEDURES WITH CC $12,444 $69,497 −82% $53,746 −77% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $12,370 $86,138 −86% $45,290 −73% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $12,327 $36,791 −66% $41,703 −70% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,304 $60,574 −80% $51,339 −76% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $12,216 $54,107 −77% $55,162 −78% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $12,204 $52,032 −77% $45,497 −73% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $12,150 $36,339 −67% $38,878 −69% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $12,131 $43,248 −72% $48,094 −75% —
662 MINOR BLADDER PROCEDURES WITH MCC $12,088 $52,022 −77% $54,483 −78% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $12,010 $144,789 −92% $105,899 −89% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $11,929 $177,818 −93% $93,783 −87% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,802 $47,944 −75% $36,097 −67% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $11,676 $61,292 −81% $49,197 −76% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $11,625 $39,148 −70% $45,817 −75% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $11,571 $71,589 −84% $50,624 −77% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,561 $36,333 −68% $51,985 −78% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $11,555 $49,325 −77% $43,697 −74% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,465 $46,399 −75% $52,332 −78% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $11,449 $32,168 −64% $44,053 −74% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,434 $50,472 −77% $47,583 −76% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $11,309 $31,740 −64% $38,382 −71% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $11,277 $146,224 −92% $79,944 −86% —
835 ACUTE LEUKEMIA WITH CC $11,132 $31,659 −65% $35,569 −69% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,105 $31,646 −65% $40,063 −72% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $11,076 $64,932 −83% $52,313 −79% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $11,002 $51,898 −79% $57,149 −81% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $10,983 $68,532 −84% $56,519 −81% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $10,934 $66,292 −84% $51,172 −79% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $10,898 $59,086 −82% $49,631 −78% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,791 $76,015 −86% $50,139 −78% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $10,784 $59,227 −82% $45,818 −76% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,782 $43,221 −75% $41,380 −74% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,756 $41,021 −74% $32,839 −67% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $10,753 $52,027 −79% $44,989 −76% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $10,753 $49,651 −78% $49,065 −78% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $10,734 $63,316 −83% $45,059 −76% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $10,722 $35,895 −70% $46,066 −77% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $10,718 $36,879 −71% $36,080 −70% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $10,700 $9,520 +12% $11,633 −8% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,680 $58,037 −82% $39,093 −73% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $10,650 $73,345 −85% $56,394 −81% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $10,621 $33,308 −68% $36,237 −71% —
709 PENIS PROCEDURES WITH CC/MCC $10,607 $32,777 −68% $34,535 −69% —
397 APPENDIX PROCEDURES WITH MCC $10,580 $49,342 −79% $52,319 −80% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $10,537 $53,584 −80% $52,908 −80% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $10,532 $42,818 −75% $40,548 −74% —
336 PERITONEAL ADHESIOLYSIS WITH CC $10,501 $68,668 −85% $49,470 −79% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $10,441 $67,278 −84% $37,654 −72% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $10,439 $59,352 −82% $59,352 −82% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $10,411 $58,809 −82% $54,772 −81% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $10,402 $48,444 −79% $48,682 −79% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,401 $63,080 −84% $43,080 −76% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $10,364 $47,416 −78% $34,900 −70% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $10,290 $41,070 −75% $39,657 −74% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $10,267 $31,025 −67% $36,850 −72% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $10,212 $70,782 −86% $58,968 −83% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $10,211 $30,486 −67% $35,686 −71% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $10,197 $37,784 −73% $38,420 −73% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $10,178 $35,340 −71% $45,622 −78% —
668 TRANSURETHRAL PROCEDURES WITH MCC $10,156 $51,424 −80% $47,277 −79% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $10,122 $26,492 −62% $30,661 −67% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $10,090 $51,780 −81% $44,553 −77% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,086 $35,694 −72% $39,409 −74% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,055 $47,454 −79% $31,840 −68% ≈29% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $10,045 $61,278 −84% $36,334 −72% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,017 $75,392 −87% $46,591 −79% —
945 REHABILITATION WITH CC/MCC $9,913 $23,834 −58% $23,834 −58% —
180 RESPIRATORY NEOPLASMS WITH MCC $9,911 $58,269 −83% $36,658 −73% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $9,888 $52,001 −81% $46,477 −79% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,845 $34,027 −71% $30,275 −67% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $9,831 $49,397 −80% $44,600 −78% —
711 TESTES PROCEDURES WITH CC/MCC $9,811 $62,108 −84% $34,852 −72% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $9,770 $63,641 −85% $43,524 −78% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $9,752 $45,049 −78% $40,232 −76% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $9,728 $31,349 −69% $37,902 −74% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,707 $32,969 −71% $37,080 −74% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $9,685 $49,536 −80% $41,900 −77% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $9,638 $33,998 −72% $40,583 −76% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $9,628 $46,747 −79% $35,673 −73% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $9,613 $53,998 −82% $44,472 −78% —
503 FOOT PROCEDURES WITH MCC $9,610 $44,309 −78% $43,901 −78% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,608 $43,019 −78% $38,357 −75% —
333 RECTAL RESECTION WITH CC $9,594 $61,029 −84% $34,352 −72% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $9,589 $37,764 −75% $41,651 −77% —
374 DIGESTIVE MALIGNANCY WITH MCC $9,561 $41,900 −77% $38,885 −75% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $9,554 $57,889 −83% $48,680 −80% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $9,505 $38,564 −75% $36,202 −74% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $9,493 $29,131 −67% $44,363 −79% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $9,460 $43,181 −78% $41,660 −77% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $9,425 $39,849 −76% $39,253 −76% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $9,425 $74,112 −87% $49,055 −81% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,396 $43,017 −78% $40,563 −77% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $9,379 $48,286 −81% $43,398 −78% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $9,371 $55,994 −83% $42,881 −78% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $9,336 $68,425 −86% $38,998 −76% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $9,196 $58,326 −84% $35,237 −74% ≈25% of Medicare
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $9,137 $34,890 −74% $41,520 −78% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $9,103 $27,713 −67% $33,564 −73% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $9,101 $39,653 −77% $43,538 −79% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $9,088 $27,823 −67% $35,459 −74% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $9,069 $41,744 −78% $43,775 −79% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,068 $38,356 −76% $28,375 −68% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $9,060 $81,851 −89% $81,998 −89% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $9,054 $32,719 −72% $46,430 −80% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $9,051 $62,477 −86% $35,714 −75% ≈24% of Medicare
801 SPLENIC PROCEDURES WITHOUT CC/MCC $9,035 $28,886 −69% $28,634 −68% —
539 OSTEOMYELITIS WITH MCC $9,016 $46,459 −81% $33,746 −73% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $9,009 $24,260 −63% $24,229 −63% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $8,987 $31,044 −71% $31,044 −71% —
935 NON-EXTENSIVE BURNS $8,952 $31,701 −72% $29,458 −70% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,940 $43,894 −80% $33,607 −73% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $8,910 $33,892 −74% $29,524 −70% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $8,905 $21,986 −59% $21,986 −59% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,897 $23,602 −62% $34,906 −75% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,895 $13,949 −36% $22,698 −61% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $8,886 $38,751 −77% $46,659 −81% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $8,854 $43,520 −80% $32,483 −73% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $8,846 $51,021 −83% $38,836 −77% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $8,815 $36,428 −76% $39,018 −77% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $8,796 $30,298 −71% $30,394 −71% —
380 COMPLICATED PEPTIC ULCER WITH MCC $8,752 $43,397 −80% $36,641 −76% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,746 $51,792 −83% $44,117 −80% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $8,734 $126,680 −93% $75,492 −88% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $8,727 $48,152 −82% $36,933 −76% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $8,721 $58,714 −85% $32,399 −73% —
100 SEIZURES WITH MCC $8,708 $28,961 −70% $35,194 −75% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $8,703 $57,163 −85% $32,981 −74% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $8,696 $44,265 −80% $35,453 −75% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $8,687 $53,102 −84% $33,165 −74% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,660 $47,693 −82% $30,974 −72% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $8,658 $65,883 −87% $35,014 −75% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,625 $50,419 −83% $34,434 −75% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $8,609 $32,258 −73% $30,940 −72% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $8,601 $55,658 −85% $45,963 −81% —
919 COMPLICATIONS OF TREATMENT WITH MCC $8,569 $47,893 −82% $29,031 −70% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $8,564 $33,413 −74% $38,094 −78% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,537 $48,230 −82% $34,089 −75% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,528 $46,575 −82% $25,854 −67% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $8,514 $50,793 −83% $41,380 −79% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,491 $32,249 −74% $29,476 −71% —
533 FRACTURES OF FEMUR WITH MCC $8,490 $49,567 −83% $25,945 −67% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $8,465 $22,592 −63% $31,812 −73% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $8,434 $58,221 −86% $47,546 −82% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,419 $49,043 −83% $28,967 −71% ≈31% of Medicare
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,419 $32,141 −74% $31,909 −74% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $8,388 $17,621 −52% $14,284 −41% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $8,385 $42,949 −80% $36,597 −77% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $8,383 $58,617 −86% $37,842 −78% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $8,381 $58,041 −86% $32,538 −74% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,358 $30,041 −72% $33,050 −75% —
199 PNEUMOTHORAX WITH MCC $8,335 $56,291 −85% $31,491 −74% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $8,312 $55,298 −85% $43,266 −81% —
504 FOOT PROCEDURES WITH CC $8,270 $39,139 −79% $36,598 −77% —
505 FOOT PROCEDURES WITHOUT CC/MCC $8,270 $26,653 −69% $31,716 −74% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $8,249 $46,335 −82% $45,432 −82% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $8,236 $38,050 −78% $35,114 −77% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $8,233 $32,604 −75% $37,064 −78% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $8,212 $29,558 −72% $29,558 −72% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,190 $24,871 −67% $25,208 −68% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $8,182 $50,184 −84% $32,490 −75% —
501 SOFT TISSUE PROCEDURES WITH CC $8,180 $57,633 −86% $37,975 −78% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $8,177 $42,406 −81% $37,950 −78% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $8,128 $43,199 −81% $30,766 −74% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,117 $39,682 −80% $29,633 −73% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $8,109 $47,335 −83% $29,609 −73% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,106 $34,876 −77% $27,118 −70% —
595 MAJOR SKIN DISORDERS WITH MCC $8,106 $42,247 −81% $31,785 −74% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $8,104 $48,888 −83% $35,528 −77% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,085 $43,744 −82% $35,584 −77% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $8,081 $29,160 −72% $31,758 −75% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $8,079 $39,406 −79% $27,548 −71% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $8,070 $49,708 −84% $36,242 −78% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $8,042 $38,514 −79% $33,984 −76% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,036 $35,273 −77% $30,930 −74% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $8,024 $59,378 −86% $40,552 −80% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $8,009 $45,663 −82% $35,542 −77% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $8,000 $25,633 −69% $29,826 −73% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $7,993 $37,070 −78% $40,065 −80% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $7,977 $48,410 −84% $31,062 −74% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $7,973 $36,115 −78% $33,694 −76% —
915 ALLERGIC REACTIONS WITH MCC $7,944 $47,831 −83% $30,944 −74% —
548 SEPTIC ARTHRITIS WITH MCC $7,913 $43,438 −82% $31,019 −74% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $7,898 $37,991 −79% $36,333 −78% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $7,898 $53,913 −85% $42,119 −81% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $7,895 $48,189 −84% $32,911 −76% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,880 $35,004 −77% $32,204 −76% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $7,858 $46,828 −83% $30,814 −74% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $7,834 $45,698 −83% $33,137 −76% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,823 $40,821 −81% $31,128 −75% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $7,807 $43,556 −82% $30,358 −74% —
643 ENDOCRINE DISORDERS WITH MCC $7,806 $44,725 −83% $32,996 −76% —
263 VEIN LIGATION AND STRIPPING $7,806 $60,391 −87% $44,938 −83% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $7,803 $40,079 −81% $35,375 −78% —
113 ORBITAL PROCEDURES WITH CC/MCC $7,785 $32,482 −76% $35,642 −78% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,778 $44,413 −82% $32,689 −76% —
038 EXTRACRANIAL PROCEDURES WITH CC $7,768 $52,372 −85% $35,770 −78% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $7,763 $38,609 −80% $32,451 −76% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $7,752 $51,569 −85% $39,747 −80% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $7,742 $31,822 −76% $27,279 −72% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,739 $34,683 −78% $25,426 −70% —
597 MALIGNANT BREAST DISORDERS WITH MCC $7,704 $48,535 −84% $31,846 −76% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $7,702 $23,658 −67% $29,371 −74% —
075 VIRAL MENINGITIS WITH CC/MCC $7,699 $30,536 −75% $29,853 −74% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $7,694 $61,679 −88% $42,126 −82% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $7,687 $51,365 −85% $33,490 −77% —
913 TRAUMATIC INJURY WITH MCC $7,681 $35,934 −79% $24,198 −68% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $7,675 $49,899 −85% $36,239 −79% —
571 SKIN DEBRIDEMENT WITH CC $7,667 $37,792 −80% $34,901 −78% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,638 $31,933 −76% $24,118 −68% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $7,637 $34,857 −78% $25,149 −70% —
551 MEDICAL BACK PROBLEMS WITH MCC $7,632 $42,807 −82% $31,086 −75% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $7,623 $37,057 −79% $34,264 −78% —
682 RENAL FAILURE WITH MCC $7,621 $38,760 −80% $27,854 −73% ≈32% of Medicare
186 PLEURAL EFFUSION WITH MCC $7,619 $51,361 −85% $32,468 −77% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $7,610 $24,282 −69% $26,020 −71% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,607 $43,611 −83% $31,059 −76% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $7,563 $24,928 −70% $29,916 −75% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,560 $30,058 −75% $30,058 −75% ≈29% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $7,542 $31,221 −76% $43,800 −83% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,504 $39,072 −81% $32,502 −77% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $7,493 $49,765 −85% $30,910 −76% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,482 $31,343 −76% $22,557 −67% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,463 $52,248 −86% $29,409 −75% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $7,446 $61,539 −88% $36,280 −79% —
183 MAJOR CHEST TRAUMA WITH MCC $7,416 $37,213 −80% $28,924 −74% —
157 DENTAL AND ORAL DISEASES WITH MCC $7,411 $42,077 −82% $27,457 −73% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $7,393 $42,680 −83% $33,424 −78% —
291 HEART FAILURE AND SHOCK WITH MCC $7,361 $32,698 −77% $25,020 −71% ≈34% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $7,356 $50,305 −85% $34,354 −79% —
710 PENIS PROCEDURES WITHOUT CC/MCC $7,319 $23,485 −69% $23,814 −69% —
334 RECTAL RESECTION WITHOUT CC/MCC $7,318 $27,809 −74% $32,213 −77% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $7,317 $52,262 −86% $35,692 −79% —
666 PROSTATECTOMY WITH CC $7,297 $53,546 −86% $30,016 −76% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,280 $45,806 −84% $29,757 −76% —
813 COAGULATION DISORDERS $7,277 $44,051 −83% $30,128 −76% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,231 $32,009 −77% $27,168 −73% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,222 $24,189 −70% $25,731 −72% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $7,220 $31,143 −77% $40,694 −82% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $7,145 $34,816 −79% $28,780 −75% —
137 MOUTH PROCEDURES WITH CC/MCC $7,124 $29,348 −76% $24,348 −71% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $7,114 $26,161 −73% $24,450 −71% —
885 PSYCHOSES $7,099 $22,469 −68% $21,489 −67% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,094 $40,228 −82% $25,704 −72% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $7,085 $28,324 −75% $26,146 −73% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $7,079 $23,689 −70% $24,836 −71% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $7,053 $47,002 −85% $29,663 −76% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $7,050 $48,914 −86% $33,792 −79% —
398 APPENDIX PROCEDURES WITH CC $7,048 $49,193 −86% $39,107 −82% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,045 $35,990 −80% $36,375 −81% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $7,033 $27,241 −74% $29,729 −76% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,033 $32,387 −78% $28,527 −75% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,013 $21,228 −67% $24,561 −71% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $6,995 $24,302 −71% $24,465 −71% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,994 $32,081 −78% $22,024 −68% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $6,990 $92,233 −92% $65,216 −89% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $6,989 $35,486 −80% $28,134 −75% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $6,986 $38,950 −82% $28,140 −75% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $6,977 $42,641 −84% $30,972 −77% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $6,974 $30,727 −77% $27,321 −74% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,944 $8,330 −17% $7,961 −13% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $6,925 $13,257 −48% $23,920 −71% —
181 RESPIRATORY NEOPLASMS WITH CC $6,920 $20,728 −67% $22,431 −69% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $6,915 $23,257 −70% $25,484 −73% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $6,878 $26,548 −74% $28,252 −76% —
602 CELLULITIS WITH MCC $6,866 $41,052 −83% $29,347 −77% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $6,855 $17,544 −61% $24,544 −72% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $6,800 $22,265 −69% $25,786 −74% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,787 $22,625 −70% $21,062 −68% —
671 URETHRAL PROCEDURES WITH CC/MCC $6,783 $25,566 −73% $27,233 −75% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $6,779 $44,354 −85% $31,816 −79% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $6,766 $21,347 −68% $28,103 −76% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $6,752 $23,263 −71% $24,036 −72% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $6,746 $44,541 −85% $30,418 −78% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $6,734 $34,298 −80% $24,941 −73% —
849 RADIOTHERAPY $6,726 $41,538 −84% $37,862 −82% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $6,708 $23,297 −71% $23,297 −71% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $6,701 $44,483 −85% $29,211 −77% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $6,690 $34,326 −81% $24,452 −73% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $6,670 $21,306 −69% $24,316 −73% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $6,658 $20,117 −67% $21,029 −68% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $6,658 $25,579 −74% $25,666 −74% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $6,613 $21,642 −69% $25,010 −74% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $6,609 $33,372 −80% $24,022 −72% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $6,603 $19,686 −66% $22,275 −70% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $6,600 $35,026 −81% $26,158 −75% ≈33% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $6,566 $31,874 −79% $19,686 −67% —
811 RED BLOOD CELL DISORDERS WITH MCC $6,560 $39,626 −83% $27,934 −77% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $6,549 $32,980 −80% $25,243 −74% —
088 CONCUSSION WITH MCC $6,549 $44,167 −85% $24,402 −73% —
637 DIABETES WITH MCC $6,548 $39,978 −84% $28,819 −77% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $6,524 $39,906 −84% $28,156 −77% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $6,520 $44,047 −85% $29,374 −78% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $6,513 $32,502 −80% $23,723 −73% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $6,513 $46,151 −86% $29,484 −78% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $6,488 $31,755 −80% $22,525 −71% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,487 $21,962 −70% $19,354 −66% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $6,478 $43,335 −85% $31,978 −80% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $6,475 $35,632 −82% $23,924 −73% —
592 SKIN ULCERS WITH MCC $6,468 $32,263 −80% $32,662 −80% —
509 ARTHROSCOPY $6,468 $25,994 −75% $25,994 −75% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $6,465 $30,692 −79% $22,811 −72% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $6,447 $37,976 −83% $21,860 −71% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $6,435 $44,679 −86% $35,139 −82% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,431 $37,241 −83% $23,734 −73% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $6,429 $47,763 −87% $25,152 −74% —
348 ANAL AND STOMAL PROCEDURES WITH CC $6,425 $29,376 −78% $27,947 −77% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,423 $41,513 −85% $24,980 −74% —
663 MINOR BLADDER PROCEDURES WITH CC $6,386 $39,409 −84% $29,924 −79% —
693 URINARY STONES WITH MCC $6,371 $22,278 −71% $22,525 −72% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $6,363 $21,210 −70% $29,109 −78% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $6,359 $39,954 −84% $30,006 −79% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $6,359 $32,060 −80% $25,390 −75% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,350 $51,010 −88% $32,936 −81% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $6,349 $42,832 −85% $34,887 −82% —
865 VIRAL ILLNESS WITH MCC $6,328 $29,325 −78% $26,088 −76% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,295 $29,425 −79% $27,492 −77% —
887 OTHER MENTAL DISORDER DIAGNOSES $6,263 $18,631 −66% $20,602 −70% —
540 OSTEOMYELITIS WITH CC $6,224 $19,990 −69% $23,494 −74% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,195 $36,515 −83% $24,190 −74% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $6,155 $35,336 −83% $19,894 −69% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,131 $33,060 −81% $23,469 −74% ≈45% of Medicare
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $6,131 $21,022 −71% $29,050 −79% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,113 $21,615 −72% $21,615 −72% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $6,107 $36,697 −83% $23,115 −74% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,094 $20,031 −70% $15,370 −60% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $6,056 $24,506 −75% $28,646 −79% —
946 REHABILITATION WITHOUT CC/MCC $6,036 $14,074 −57% $17,685 −66% —
549 SEPTIC ARTHRITIS WITH CC $6,001 $27,124 −78% $20,938 −71% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,998 $38,140 −84% $27,244 −78% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,989 $30,239 −80% $23,956 −75% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,970 $26,342 −77% $17,585 −66% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,935 $40,042 −85% $20,147 −71% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,935 $53,393 −89% $31,566 −81% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,927 $39,831 −85% $23,350 −75% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,918 $33,833 −83% $24,480 −76% ≈35% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,911 $15,436 −62% $25,197 −77% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,886 $39,491 −85% $22,032 −73% —
606 MINOR SKIN DISORDERS WITH MCC $5,875 $27,528 −79% $25,434 −77% —
906 HAND PROCEDURES FOR INJURIES $5,857 $49,938 −88% $31,520 −81% —
375 DIGESTIVE MALIGNANCY WITH CC $5,855 $33,697 −83% $27,219 −78% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,820 $32,249 −82% $24,202 −76% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,789 $39,204 −85% $26,488 −78% —
947 SIGNS AND SYMPTOMS WITH MCC $5,759 $32,843 −82% $25,474 −77% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,719 $37,559 −85% $25,307 −77% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,716 $18,573 −69% $19,132 −70% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,711 $19,271 −70% $14,444 −60% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,711 $38,044 −85% $25,623 −78% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,709 $37,079 −85% $27,369 −79% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,682 $25,133 −77% $28,578 −80% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,675 $17,768 −68% $19,317 −71% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,658 $31,077 −82% $18,191 −69% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,656 $16,495 −66% $16,495 −66% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,653 $35,114 −84% $26,634 −79% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,636 $32,129 −82% $23,749 −76% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,633 $35,420 −84% $31,190 −82% —
197 INTERSTITIAL LUNG DISEASE WITH CC $5,601 $22,609 −75% $20,106 −72% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,597 $35,205 −84% $22,560 −75% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,587 $18,133 −69% $18,133 −69% —
102 HEADACHES WITH MCC $5,583 $25,386 −78% $22,544 −75% —
150 EPISTAXIS WITH MCC $5,549 $21,133 −74% $21,133 −74% —
184 MAJOR CHEST TRAUMA WITH CC $5,547 $22,961 −76% $20,842 −73% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $5,534 $25,262 −78% $24,879 −78% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,531 $37,000 −85% $25,267 −78% —
593 SKIN ULCERS WITH CC $5,529 $27,293 −80% $20,470 −73% —
506 MAJOR THUMB OR JOINT PROCEDURES $5,526 $25,946 −79% $28,983 −81% —
949 AFTERCARE WITH CC/MCC $5,523 $35,072 −84% $23,953 −77% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,516 $32,046 −83% $22,850 −76% —
187 PLEURAL EFFUSION WITH CC $5,512 $21,455 −74% $21,467 −74% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $5,481 $36,541 −85% $30,314 −82% —
683 RENAL FAILURE WITH CC $5,481 $26,850 −80% $18,620 −71% ≈49% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,478 $34,116 −84% $23,571 −77% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,477 $33,283 −84% $22,781 −76% ≈45% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,471 $36,543 −85% $26,322 −79% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,463 $15,901 −66% $15,901 −66% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,463 $29,949 −82% $20,309 −73% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,460 $30,579 −82% $20,463 −73% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,446 $36,655 −85% $24,017 −77% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,425 $14,064 −61% $14,064 −61% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,425 $34,217 −84% $18,478 −71% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,418 $27,057 −80% $18,459 −71% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,415 $29,922 −82% $22,982 −76% —
598 MALIGNANT BREAST DISORDERS WITH CC $5,409 $19,410 −72% $19,073 −72% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,390 $20,980 −74% $20,980 −74% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,372 $35,839 −85% $25,162 −79% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,372 $35,346 −85% $24,432 −78% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,351 $35,101 −85% $18,126 −70% —
304 HYPERTENSION WITH MCC $5,340 $33,511 −84% $24,185 −78% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,340 $16,847 −68% $17,550 −70% —
302 ATHEROSCLEROSIS WITH MCC $5,331 $18,292 −71% $20,844 −74% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,322 $32,168 −83% $29,805 −82% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,317 $22,506 −76% $17,103 −69% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,315 $23,928 −78% $20,741 −74% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,307 $28,993 −82% $15,764 −66% —
152 OTITIS MEDIA AND URI WITH MCC $5,269 $36,209 −85% $19,795 −73% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,256 $34,380 −85% $21,806 −76% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,255 $33,079 −84% $22,713 −77% —
200 PNEUMOTHORAX WITH CC $5,252 $35,999 −85% $20,573 −74% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,249 $24,106 −78% $24,452 −79% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,240 $19,845 −74% $22,231 −76% —
712 TESTES PROCEDURES WITHOUT CC/MCC $5,225 $17,076 −69% $18,898 −72% —
381 COMPLICATED PEPTIC ULCER WITH CC $5,177 $36,066 −86% $24,177 −79% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,172 $32,061 −84% $21,886 −76% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,167 $23,388 −78% $18,017 −71% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,167 $38,849 −87% $20,421 −75% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,136 $17,398 −70% $17,398 −70% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,133 $15,636 −67% $15,636 −67% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,124 $18,918 −73% $17,078 −70% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,116 $33,422 −85% $23,496 −78% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,114 $18,873 −73% $19,868 −74% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,110 $21,345 −76% $19,579 −74% —
089 CONCUSSION WITH CC $5,088 $17,109 −70% $18,293 −72% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,054 $26,656 −81% $18,204 −72% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,038 $33,151 −85% $20,732 −76% —
920 COMPLICATIONS OF TREATMENT WITH CC $5,027 $33,021 −85% $21,181 −76% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,024 $25,952 −81% $19,598 −74% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,022 $34,256 −85% $23,396 −79% —
644 ENDOCRINE DISORDERS WITH CC $5,007 $33,596 −85% $22,941 −78% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,003 $30,961 −84% $23,141 −78% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,984 $24,389 −80% $19,326 −74% —
534 FRACTURES OF FEMUR WITHOUT MCC $4,983 $26,458 −81% $17,195 −71% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,970 $40,345 −88% $20,727 −76% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,970 $32,504 −85% $20,007 −75% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,961 $30,669 −84% $21,545 −77% —
176 PULMONARY EMBOLISM WITHOUT MCC $4,961 $26,477 −81% $18,081 −73% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,953 $17,483 −72% $17,483 −72% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,951 $19,597 −75% $17,273 −71% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,931 $16,636 −70% $13,822 −64% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,921 $31,408 −84% $21,449 −77% —
882 NEUROSES EXCEPT DEPRESSIVE $4,919 $15,680 −69% $15,680 −69% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,913 $25,581 −81% $23,588 −79% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,908 $16,953 −71% $16,418 −70% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,904 $10,073 −51% $13,586 −64% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,900 $29,842 −84% $20,968 −77% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,898 $17,226 −72% $17,226 −72% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,895 $18,461 −73% $16,049 −70% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,873 $34,419 −86% $24,136 −80% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,866 $24,781 −80% $17,928 −73% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,856 $18,601 −74% $15,474 −69% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,832 $25,515 −81% $19,854 −76% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,806 $31,282 −85% $20,777 −77% —
881 DEPRESSIVE NEUROSES $4,806 $15,058 −68% $15,058 −68% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,791 $27,927 −83% $18,278 −74% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,769 $32,602 −85% $16,212 −71% —
667 PROSTATECTOMY WITHOUT CC/MCC $4,767 $16,534 −71% $16,703 −71% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,756 $30,937 −85% $18,428 −74% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $4,751 $30,313 −84% $22,532 −79% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,749 $17,193 −72% $17,193 −72% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,730 $21,624 −78% $19,569 −76% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,706 $37,809 −88% $18,291 −74% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,705 $16,146 −71% $17,434 −73% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,684 $29,419 −84% $20,084 −77% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,677 $31,330 −85% $21,213 −78% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,666 $28,002 −83% $18,918 −75% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,661 $33,151 −86% $16,571 −72% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,658 $17,209 −73% $17,108 −73% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,616 $22,375 −79% $19,483 −76% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,612 $20,543 −78% $16,642 −72% —
603 CELLULITIS WITHOUT MCC $4,609 $26,407 −83% $18,530 −75% —
638 DIABETES WITH CC $4,599 $27,005 −83% $18,821 −76% —
139 SALIVARY GLAND PROCEDURES $4,597 $21,014 −78% $21,014 −78% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,583 $31,637 −86% $19,091 −76% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,580 $15,890 −71% $15,890 −71% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,573 $28,547 −84% $19,001 −76% —
697 URETHRAL STRICTURE $4,572 $16,196 −72% $17,705 −74% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,539 $26,061 −83% $17,388 −74% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,506 $19,287 −77% $19,287 −77% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,502 $12,336 −64% $12,336 −64% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,493 $18,069 −75% $13,090 −66% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,493 $35,255 −87% $20,842 −78% —
158 DENTAL AND ORAL DISEASES WITH CC $4,490 $30,573 −85% $17,700 −75% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,484 $19,044 −76% $15,608 −71% —
914 TRAUMATIC INJURY WITHOUT MCC $4,477 $21,714 −79% $15,593 −71% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,471 $25,521 −82% $13,385 −67% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,458 $26,184 −83% $19,305 −77% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $4,452 $27,571 −84% $19,815 −78% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,452 $26,192 −83% $18,623 −76% —
101 SEIZURES WITHOUT MCC $4,439 $20,289 −78% $19,954 −78% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,434 $13,879 −68% $14,110 −69% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,428 $20,900 −79% $17,731 −75% —
694 URINARY STONES WITHOUT MCC $4,425 $22,050 −80% $16,531 −73% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,421 $15,335 −71% $18,238 −76% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,404 $29,514 −85% $20,488 −79% —
864 FEVER AND INFLAMMATORY CONDITIONS $4,387 $14,849 −70% $17,412 −75% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,384 $29,871 −85% $16,352 −73% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,376 $18,649 −77% $13,654 −68% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,369 $24,482 −82% $18,803 −77% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,361 $25,975 −83% $18,608 −77% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,350 $23,926 −82% $17,466 −75% ≈55% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,338 $17,778 −76% $13,485 −68% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,332 $23,796 −82% $15,869 −73% —
292 HEART FAILURE AND SHOCK WITH CC $4,331 $23,340 −81% $16,212 −73% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,322 $22,948 −81% $17,367 −75% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,300 $21,977 −80% $15,858 −73% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,288 $13,445 −68% $13,445 −68% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,265 $26,445 −84% $17,383 −75% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,253 $17,100 −75% $15,589 −73% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,252 $27,856 −85% $19,096 −78% —
541 OSTEOMYELITIS WITHOUT CC/MCC $4,244 $21,919 −81% $14,549 −71% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,227 $27,131 −84% $18,253 −77% —
866 VIRAL ILLNESS WITHOUT MCC $4,225 $24,453 −83% $16,391 −74% —
312 SYNCOPE AND COLLAPSE $4,224 $28,324 −85% $19,342 −78% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,217 $15,300 −72% $15,876 −73% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,212 $21,459 −80% $14,368 −71% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,202 $19,570 −79% $14,861 −72% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,190 $15,538 −73% $15,045 −72% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,188 $24,033 −83% $16,865 −75% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,186 $21,623 −81% $17,322 −76% ≈49% of Medicare
607 MINOR SKIN DISORDERS WITHOUT MCC $4,179 $14,410 −71% $15,284 −73% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,177 $14,937 −72% $15,077 −72% —
204 RESPIRATORY SIGNS AND SYMPTOMS $4,131 $22,897 −82% $16,866 −76% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,130 $21,239 −81% $16,745 −75% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,129 $25,622 −84% $17,700 −77% —
684 RENAL FAILURE WITHOUT CC/MCC $4,108 $18,804 −78% $13,623 −70% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,098 $12,650 −68% $12,650 −68% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,081 $23,808 −83% $16,837 −76% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,080 $24,384 −83% $16,654 −76% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,073 $27,641 −85% $20,080 −80% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,041 $12,593 −68% $12,593 −68% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,032 $26,360 −85% $18,002 −78% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,024 $29,643 −86% $18,150 −78% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,024 $12,534 −68% $12,537 −68% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,004 $20,246 −80% $13,824 −71% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,001 $26,012 −85% $20,278 −80% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,001 $25,630 −84% $17,727 −77% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,991 $22,563 −82% $13,303 −70% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,985 $17,727 −78% $20,371 −80% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,980 $21,855 −82% $17,522 −77% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,975 $20,838 −81% $15,072 −74% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,963 $19,537 −80% $12,895 −69% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,961 $24,566 −84% $16,776 −76% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,921 $17,277 −77% $14,166 −72% —
123 NEUROLOGICAL EYE DISORDERS $3,913 $24,612 −84% $17,831 −78% —
313 CHEST PAIN $3,910 $20,378 −81% $15,962 −76% —
305 HYPERTENSION WITHOUT MCC $3,883 $24,403 −84% $17,144 −77% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,872 $18,684 −79% $12,405 −69% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,870 $16,204 −76% $14,055 −72% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,866 $15,167 −75% $12,279 −69% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,849 $18,755 −79% $13,198 −71% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,843 $20,528 −81% $18,282 −79% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,834 $24,358 −84% $16,634 −77% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,818 $15,278 −75% $13,892 −73% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,817 $16,444 −77% $16,104 −76% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,811 $21,634 −82% $15,607 −76% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,808 $16,156 −76% $16,156 −76% —
151 EPISTAXIS WITHOUT MCC $3,791 $13,119 −71% $13,032 −71% —
149 DYSEQUILIBRIUM $3,785 $23,899 −84% $17,203 −78% —
950 AFTERCARE WITHOUT CC/MCC $3,767 $11,329 −67% $13,527 −72% —
090 CONCUSSION WITHOUT CC/MCC $3,759 $27,428 −86% $14,873 −75% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,726 $22,189 −83% $12,797 −71% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,713 $29,009 −87% $21,261 −83% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,688 $15,323 −76% $14,880 −75% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,682 $21,412 −83% $14,473 −75% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,670 $17,159 −79% $17,943 −80% —
201 PNEUMOTHORAX WITHOUT CC/MCC $3,666 $22,004 −83% $13,081 −72% —
311 ANGINA PECTORIS $3,618 $15,034 −76% $15,165 −76% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,618 $17,587 −79% $14,290 −75% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,616 $22,352 −84% $14,012 −74% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,590 $17,388 −79% $14,441 −75% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,572 $5,751 −38% $9,385 −62% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,557 $18,214 −80% $10,975 −68% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,534 $13,068 −73% $12,381 −71% —
303 ATHEROSCLEROSIS WITHOUT MCC $3,528 $22,255 −84% $14,927 −76% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,517 $18,250 −81% $13,282 −74% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,515 $17,892 −80% $15,070 −77% —
639 DIABETES WITHOUT CC/MCC $3,498 $19,891 −82% $13,910 −75% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,466 $22,840 −85% $15,600 −78% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,465 $19,875 −83% $13,368 −74% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,451 $14,944 −77% $12,013 −71% —
916 ALLERGIC REACTIONS WITHOUT MCC $3,445 $14,486 −76% $13,890 −75% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,417 $14,520 −76% $11,955 −71% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,416 $11,997 −72% $11,997 −72% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,415 $20,688 −83% $14,128 −76% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $3,397 $17,903 −81% $12,044 −72% —
594 SKIN ULCERS WITHOUT CC/MCC $3,393 $15,334 −78% $14,209 −76% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,356 $19,950 −83% $14,208 −76% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,355 $17,785 −81% $13,318 −75% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,353 $20,694 −84% $14,134 −76% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,340 $24,315 −86% $14,337 −77% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,317 $27,480 −88% $17,715 −81% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,272 $8,927 −63% $8,927 −63% —
103 HEADACHES WITHOUT MCC $3,270 $27,638 −88% $20,111 −84% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,269 $13,841 −76% $11,847 −72% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,245 $11,909 −73% $11,909 −73% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,234 $18,188 −82% $13,384 −76% —
779 ABORTION WITHOUT D&C $3,067 $17,738 −83% $15,327 −80% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,058 $11,562 −74% $11,071 −72% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,941 $10,795 −73% $9,076 −68% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,738 $18,018 −85% $10,039 −73% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,526 $11,421 −78% $11,421 −78% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $2,360 $26,211 −91% $15,655 −85% —
999 UNGROUPABLE $2,360 $62,821 −96% $28,822 −92% —
795 NORMAL NEWBORN $2,168 $4,862 −55% $4,530 −52% —
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