Harlingen Medical Center — Pricing

755 procedures published in this hospital's Machine-Readable File (MRF) — 755 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 755
Lowest published price $3,647
Average published price $22,617
Highest published price $346,308

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 755 procedures

Published charges

Showing all 755 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.

Across 16 procedures, this hospital's negotiated rates average ≈121% of what Medicare pays.

DRG Description Published price Cash price vs. TX median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $346,308 $339,773 $483,987 −28% $498,715 −31% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $259,034 $254,146 $362,617 −29% $431,073 −40% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $218,385 $214,264 $237,026 −8% $306,087 −29% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $197,434 $193,708 $660,173 −70% $371,366 −47% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $128,277 $128,203 $230,527 −44% $245,189 −48% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $121,268 $118,979 $171,028 −29% $182,314 −33% —
007 LUNG TRANSPLANT $120,966 $118,683 $170,608 −29% $170,608 −29% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $102,229 $100,300 $143,467 −29% $169,977 −40% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $98,843 $96,978 $242,999 −59% $159,181 −38% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $98,344 $96,488 $217,531 −55% $191,314 −49% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $89,715 $88,021 $166,500 −46% $175,437 −49% —
850 UnGrouped $85,699 $84,081 $126,521 −32% $121,563 −30% —
231 CORONARY BYPASS WITH PTCA WITH MCC $78,950 $77,460 $128,088 −38% $145,864 −46% —
429 UnGrouped $77,731 $76,264 $271,110 −71% $119,071 −35% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $76,343 $77,418 $205,911 −63% $151,029 −49% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $75,176 $73,757 $106,929 −30% $135,380 −44% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $73,952 $72,557 $105,228 −30% $105,228 −30% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $72,938 $71,562 $149,897 −51% $138,868 −47% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $72,217 $70,854 $196,712 −63% $143,242 −50% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $72,131 $32,591 $81,319 −11% $56,242 +28% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $71,507 $62,697 $91,253 −22% $104,881 −32% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $70,384 $99,171 $176,964 −60% $171,338 −59% —
010 PANCREAS TRANSPLANT $70,268 $72,967 $99,940 −30% $99,940 −30% —
426 UnGrouped $70,239 $95,416 $205,352 −66% $142,326 −51% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $69,718 $68,402 $122,950 −43% $120,573 −42% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $65,076 $63,847 $226,137 −71% $137,160 −53% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $64,283 $64,839 $94,288 −32% $131,961 −51% —
222 UnGrouped $62,922 — $86,864 −28% $86,864 −28% —
447 UnGrouped $62,773 $61,588 $193,374 −68% $114,665 −45% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $60,516 $59,374 $209,912 −71% $121,714 −50% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC $60,063 $61,357 $89,353 −33% $89,353 −33% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $59,295 $58,176 $91,449 −35% $109,331 −46% —
317 UnGrouped $58,034 $56,938 $172,473 −66% $93,934 −38% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $57,753 $56,685 $82,731 −30% $98,912 −42% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $57,579 $56,492 $140,973 −59% $108,472 −47% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $57,323 $56,241 $198,564 −71% $106,219 −46% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC $56,658 $55,588 $85,518 −34% $98,260 −42% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC $56,658 $55,588 $81,176 −30% $81,176 −30% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $56,245 $55,184 $80,603 −30% $113,855 −51% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $55,271 $54,227 $79,247 −30% $112,062 −51% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC $55,097 $54,811 $91,266 −40% $92,238 −40% —
224 UnGrouped $55,010 — $68,394 −20% $80,427 −32% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $54,705 $53,672 $78,460 −30% $96,192 −43% —
028 SPINAL PROCEDURES WITH MCC $54,556 $55,979 $82,145 −34% $95,858 −43% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $54,230 $57,010 $83,192 −35% $117,280 −54% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $53,947 $52,928 $77,406 −30% $107,355 −50% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $53,680 $51,025 $135,321 −60% $101,280 −47% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $53,633 $52,620 $103,292 −48% $106,778 −50% —
653 MAJOR BLADDER PROCEDURES WITH MCC $52,440 $51,450 $132,069 −60% $97,028 −46% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $52,007 $51,025 $74,709 −30% $76,004 −32% —
430 UnGrouped $51,488 $50,516 $177,818 −71% $93,783 −45% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $51,219 $50,252 $86,459 −41% $86,459 −41% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $51,106 $50,141 $73,455 −30% $95,375 −46% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $50,806 $49,847 $175,396 −71% $86,953 −42% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $50,800 $49,841 $128,445 −60% $82,527 −38% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $50,113 $49,167 $84,256 −41% $102,573 −51% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $49,899 $48,957 $139,926 −64% $102,177 −51% —
427 UnGrouped $49,648 $65,159 $197,408 −75% $121,728 −59% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $49,444 — $78,699 −37% $75,251 −34% —
226 UnGrouped $49,403 — $72,618 −32% $72,618 −32% —
450 UnGrouped $48,558 $47,641 $146,224 −67% $79,944 −39% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $48,557 — $69,101 −30% $69,101 −30% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $48,051 $47,143 $82,870 −42% $94,320 −49% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $47,908 $47,003 $118,231 −59% $80,747 −41% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $47,823 $61,255 $89,662 −47% $115,937 −59% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $47,523 $46,626 $109,817 −57% $87,575 −46% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $47,251 $46,359 $86,484 −45% $70,779 −33% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $47,197 $46,306 $131,768 −64% $86,938 −46% ≈121% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $47,033 $46,145 $67,791 −31% $96,905 −51% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $46,942 $35,730 $90,791 −48% $75,103 −37% —
223 UnGrouped $46,417 — $59,206 −22% $59,206 −22% —
245 AICD GENERATOR PROCEDURES $46,150 $45,279 $66,564 −31% $72,076 −36% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $45,909 $37,928 $89,456 −49% $71,873 −36% —
471 CERVICAL SPINAL FUSION WITH MCC $45,881 $45,015 $66,842 −31% $92,515 −50% —
006 LIVER TRANSPLANT WITHOUT MCC $45,807 $44,942 $84,407 −46% $84,407 −46% —
799 SPLENIC PROCEDURES WITH MCC $44,944 $44,095 $99,427 −55% $78,821 −43% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $44,935 $44,087 $154,549 −71% $84,825 −47% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $44,003 $43,172 $77,461 −43% $91,329 −52% —
163 MAJOR CHEST PROCEDURES WITH MCC $43,605 $42,789 $142,222 −69% $88,341 −51% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC $43,460 $42,640 $99,711 −56% $90,331 −52% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $43,454 $42,634 $149,263 −71% $88,050 −51% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $42,464 $41,672 $115,941 −63% $76,954 −45% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $42,360 $41,561 $91,417 −54% $88,307 −52% —
225 UnGrouped $42,043 — $49,712 −15% $57,380 −27% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $41,978 $41,186 $73,266 −43% $68,847 −39% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $41,633 $40,847 $75,038 −45% $75,585 −45% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CCMCC $40,949 $40,176 $59,237 −31% $83,441 −51% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $40,773 $41,913 $108,235 −62% $72,843 −44% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $40,471 $39,707 $138,656 −71% $82,561 −51% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $40,422 $40,256 $59,352 −32% $59,352 −32% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $40,414 $39,651 $132,154 −69% $87,495 −54% —
227 UnGrouped $39,242 — $56,960 −31% $56,960 −31% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $39,067 $38,329 $56,565 −31% $82,247 −53% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $39,046 $38,308 $56,535 −31% $66,853 −42% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $38,990 $38,254 $133,390 −71% $73,029 −47% —
448 UnGrouped $38,805 $38,073 $81,851 −53% $81,998 −53% —
428 UnGrouped $38,786 $50,817 $144,789 −73% $105,899 −63% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $38,524 $39,024 $57,570 −33% $72,879 −47% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $37,893 $37,177 $69,779 −46% $71,519 −47% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $37,867 $37,152 $70,091 −46% $57,521 −34% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $37,824 $54,771 $80,018 −53% $80,018 −53% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $37,545 $36,836 $72,886 −48% $68,331 −45% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $37,471 $36,764 $54,300 −31% $61,832 −39% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $37,398 $36,692 $54,196 −31% $54,196 −31% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC $37,268 — $61,694 −40% $54,320 −31% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $37,251 $42,772 $149,761 −75% $71,551 −48% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $37,221 $36,519 $53,945 −31% $78,852 −53% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $37,024 $36,325 $53,665 −31% $72,908 −49% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $36,807 $36,112 $100,268 −63% $62,961 −42% —
904 SKIN GRAFTS FOR INJURIES WITH CCMCC $36,772 $36,077 $53,307 −31% $55,002 −33% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $36,673 $35,980 $98,765 −63% $72,274 −49% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $36,228 $35,544 $52,536 −31% $74,755 −52% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $35,958 $35,279 $106,284 −66% $74,257 −52% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $35,856 $39,033 $57,584 −38% $68,590 −48% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $35,683 $35,009 $51,761 −31% $60,861 −41% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $34,829 $34,172 $75,197 −54% $61,206 −43% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $34,733 $32,849 $48,637 −29% $59,207 −41% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $34,245 $33,599 $85,313 −60% $59,425 −42% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $34,243 $33,597 $49,718 −31% $57,855 −41% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $34,238 $33,591 $60,017 −43% $64,488 −47% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $33,754 $47,488 $105,340 −68% $99,423 −66% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC $33,748 $33,110 $95,906 −65% $62,404 −46% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $33,740 $33,102 $49,003 −31% $50,919 −34% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $33,658 $33,023 $89,410 −62% $56,964 −41% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $33,505 $32,872 $76,345 −56% $68,399 −51% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,494 $32,862 $71,969 −53% $65,383 −49% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $33,425 $32,794 $48,557 −31% $51,953 −36% —
332 RECTAL RESECTION WITH MCC $33,184 $32,557 $48,214 −31% $58,125 −43% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,912 $32,290 $58,702 −44% $61,353 −46% —
252 OTHER VASCULAR PROCEDURES WITH MCC $32,833 $32,213 $48,030 −32% $68,508 −52% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $32,786 $32,167 $47,649 −31% $68,421 −52% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $32,612 $31,996 $70,613 −54% $67,215 −51% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $32,482 $31,869 $58,314 −44% $70,132 −54% —
665 PROSTATECTOMY WITH MCC $32,450 $32,242 $68,365 −53% $54,072 −40% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $31,866 $31,552 $59,774 −47% $62,790 −49% —
037 EXTRACRANIAL PROCEDURES WITH MCC $31,832 $31,231 $107,947 −71% $64,749 −51% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $31,355 $30,763 $69,973 −55% $64,468 −51% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $31,074 $43,646 $64,248 −52% $92,217 −66% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $31,013 $30,679 $46,133 −33% $53,763 −42% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $30,903 $30,319 $74,599 −59% $64,956 −52% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $30,626 $30,048 $58,561 −48% $49,710 −38% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $30,489 $29,913 $63,849 −52% $51,142 −40% —
500 SOFT TISSUE PROCEDURES WITH MCC $30,440 $29,866 $44,320 −31% $57,181 −47% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,051 — $83,613 −64% $50,815 −41% —
662 MINOR BLADDER PROCEDURES WITH MCC $29,991 $29,425 $52,022 −42% $54,483 −45% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $29,870 $29,306 $59,712 −50% $65,325 −54% —
402 UnGrouped $29,776 $36,536 $126,680 −76% $75,492 −61% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $29,743 $29,181 $43,330 −31% $62,266 −52% —
451 UnGrouped $29,684 $29,124 $92,233 −68% $65,216 −54% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CCMCC $29,664 $29,104 $48,636 −39% $53,817 −45% —
652 KIDNEY TRANSPLANT $29,551 $28,993 $54,720 −46% $54,720 −46% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $29,525 $28,968 $80,266 −63% $53,555 −45% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $29,434 $28,878 $83,214 −65% $63,310 −54% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $29,257 $32,523 $49,651 −41% $48,745 −40% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $29,144 $30,667 $100,025 −71% $64,465 −55% —
570 SKIN DEBRIDEMENT WITH MCC $28,991 $28,444 $53,191 −45% $51,501 −44% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC $28,820 $29,970 $53,998 −47% $44,472 −35% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $28,536 $39,380 $59,066 −52% $60,098 −53% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $28,506 $28,228 $41,952 −32% $46,402 −39% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $28,428 $27,891 $70,888 −60% $54,313 −48% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $28,358 $27,823 $95,604 −70% $63,984 −56% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $28,285 $27,751 $68,262 −59% $60,140 −53% —
668 TRANSURETHRAL PROCEDURES WITH MCC $28,132 $27,601 $51,424 −45% $47,126 −40% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $28,118 $27,587 $94,746 −70% $66,765 −58% —
800 SPLENIC PROCEDURES WITH CC $28,110 $27,579 $94,713 −70% $49,184 −43% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $28,095 $27,564 $74,518 −62% $54,475 −48% —
472 CERVICAL SPINAL FUSION WITH CC $27,958 $27,430 $51,075 −45% $59,537 −53% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $27,683 $27,160 $70,782 −61% $58,968 −53% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $27,652 $27,130 $40,363 −31% $56,758 −51% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $27,637 $27,115 $93,036 −70% $53,787 −49% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $27,600 $27,079 $74,112 −63% $49,055 −44% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIESINTRALUMINAL DEVICES $27,497 $26,978 $92,538 −70% $74,274 −63% ≈120% of Medicare
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $27,146 $26,633 $39,644 −32% $58,043 −53% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $27,119 $26,607 $65,401 −59% $48,907 −45% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $26,990 $38,853 $26,990 +0% $16,708 +62% —
654 MAJOR BLADDER PROCEDURES WITH CC $26,753 $26,756 $39,822 −33% $53,868 −50% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,487 $25,987 $43,152 −39% $48,358 −45% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $26,443 $25,943 $52,032 −49% $45,497 −42% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $26,397 $25,898 $51,746 −49% $44,973 −41% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $26,341 $31,061 $53,584 −51% $52,908 −50% —
791 PREMATURITY WITH MAJOR PROBLEMS $26,323 $37,861 $34,685 −24% $39,254 −33% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $26,307 $25,810 $38,454 −32% $43,491 −40% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $26,186 $25,691 $87,874 −70% $57,030 −54% —
849 RADIOTHERAPY $25,890 $25,401 $41,538 −38% $37,862 −32% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $25,857 $25,515 $68,604 −62% $52,405 −51% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $25,815 $25,327 $46,335 −44% $45,271 −43% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $25,728 $25,242 $37,631 −32% $40,947 −37% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC $25,697 $25,212 $86,138 −70% $45,558 −44% —
503 FOOT PROCEDURES WITH MCC $25,666 $25,182 $44,309 −42% $43,982 −42% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $25,642 $25,157 $59,215 −57% $40,277 −36% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CCMCC $25,453 $24,973 $44,566 −43% $54,929 −54% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $25,391 $24,912 $49,325 −49% $43,697 −42% —
263 VEIN LIGATION AND STRIPPING $25,323 $25,500 $60,391 −58% $44,938 −44% —
253 OTHER VASCULAR PROCEDURES WITH CC $24,811 $24,342 $69,497 −64% $53,746 −54% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $24,767 $24,299 $51,898 −52% $56,197 −56% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $24,572 $24,108 $41,070 −40% $39,657 −38% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CCMCC $24,554 $24,090 $38,751 −37% $46,659 −47% —
164 MAJOR CHEST PROCEDURES WITH CC $24,481 $24,019 $58,838 −58% $53,141 −54% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CCMCC $24,346 $23,886 $54,107 −55% $55,162 −56% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $24,183 $24,623 $43,248 −44% $47,574 −49% —
397 APPENDIX PROCEDURES WITH MCC $24,123 $23,667 $49,342 −51% $52,319 −54% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC $24,031 $23,578 $46,399 −48% $52,332 −54% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CCMCC $23,951 $24,661 $36,791 −35% $41,596 −42% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $23,853 $23,403 $36,333 −34% $51,985 −54% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $23,831 $23,903 $35,694 −33% $39,409 −40% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $23,824 $32,339 $73,695 −68% $71,014 −66% —
248 UnGrouped $23,715 — $31,821 −25% $34,146 −31% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $23,668 $23,221 $76,642 −69% $54,681 −57% —
052 SPINAL DISORDERS AND INJURIES WITH CCMCC $23,639 $19,493 $32,258 −27% $30,940 −24% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $23,583 $23,137 $75,392 −69% $45,937 −49% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $23,499 $24,349 $36,339 −35% $38,878 −40% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $23,421 $22,978 $73,345 −68% $56,394 −58% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $23,386 $22,944 $50,472 −54% $47,583 −51% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC $23,386 $22,944 $58,037 −60% $39,093 −40% —
246 UnGrouped $23,355 — $33,983 −31% $33,983 −31% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $23,197 $22,758 $64,932 −64% $51,950 −55% —
473 CERVICAL SPINAL FUSION WITHOUT CCMCC $23,113 $22,677 $71,589 −68% $50,624 −54% —
135 SINUS AND MASTOID PROCEDURES WITH CCMCC $23,104 $23,069 $37,070 −38% $40,065 −42% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $23,080 $22,644 $76,837 −70% $58,713 −61% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $23,045 $22,610 $58,221 −60% $47,546 −52% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $22,850 $22,418 $76,015 −70% $50,139 −54% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $22,751 $22,671 $42,818 −47% $40,548 −44% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $22,632 $22,205 $36,879 −39% $35,806 −37% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $22,612 $22,185 $60,574 −63% $51,339 −56% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $22,574 $22,147 $59,086 −62% $49,631 −55% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $22,408 $21,985 $61,278 −63% $36,195 −38% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $22,344 $21,922 $39,849 −44% $39,253 −43% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CCMCC $22,305 $21,884 $32,773 −32% $43,313 −49% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $22,267 $21,846 $32,719 −32% $46,306 −52% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $22,186 $21,767 $32,604 −32% $36,318 −39% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $22,115 $21,697 $52,027 −57% $44,989 −51% —
113 ORBITAL PROCEDURES WITH CCMCC $22,100 $21,683 $32,482 −32% $35,642 −38% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $22,066 $21,649 $73,229 −70% $50,011 −56% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $22,032 $21,615 $63,316 −65% $44,927 −51% —
709 PENIS PROCEDURES WITH CCMCC $22,013 $21,598 $32,777 −33% $34,535 −36% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $21,947 $21,641 $48,444 −55% $48,682 −55% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $21,879 $21,466 $32,168 −32% $44,022 −50% —
030 SPINAL PROCEDURES WITHOUT CCMCC $21,815 $21,403 $59,227 −63% $45,842 −52% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CCMCC $21,751 $21,698 $68,425 −68% $38,998 −44% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $21,704 $21,294 $49,397 −56% $44,600 −51% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $21,577 $21,170 $31,740 −32% $38,382 −44% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $21,302 $20,900 $31,349 −32% $37,681 −43% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $21,158 $20,758 $43,019 −51% $38,166 −45% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $21,117 $24,181 $47,944 −56% $36,097 −41% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $21,073 $20,675 $31,025 −32% $36,850 −43% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $20,997 $20,600 $31,659 −34% $35,569 −41% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CCMCC $20,996 $20,599 $45,049 −53% $39,923 −47% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $20,994 $20,597 $35,340 −41% $44,719 −53% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $20,957 $20,561 $67,278 −69% $37,654 −44% —
338 UnGrouped $20,913 — $23,532 −11% $30,138 −31% —
333 RECTAL RESECTION WITH CC $20,900 $20,505 $61,029 −66% $34,352 −39% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC $20,854 $19,806 $48,230 −57% $34,089 −39% —
336 PERITONEAL ADHESIOLYSIS WITH CC $20,781 $20,388 $68,668 −70% $49,071 −58% —
374 DIGESTIVE MALIGNANCY WITH MCC $20,773 $20,380 $41,900 −50% $38,885 −47% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $20,773 $20,380 $37,784 −45% $37,839 −45% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $20,750 $22,019 $32,969 −37% $37,080 −44% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $20,742 $20,351 $68,532 −70% $55,147 −62% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CCMCC $20,694 $20,303 $30,486 −32% $35,381 −42% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $20,636 $20,246 $35,895 −43% $46,066 −55% —
935 NON-EXTENSIVE BURNS $20,636 $21,143 $31,701 −35% $29,458 −30% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $20,548 $20,986 $49,536 −59% $41,114 −50% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $20,539 $20,792 $51,780 −60% $44,553 −54% —
655 MAJOR BLADDER PROCEDURES WITHOUT CCMCC $20,461 $20,074 $37,764 −46% $41,701 −51% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $20,439 $20,053 $66,292 −69% $50,998 −60% —
539 OSTEOMYELITIS WITH MCC $19,959 $19,582 $46,459 −57% $33,614 −41% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $19,918 $20,465 $52,001 −62% $46,477 −57% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $19,910 $19,534 $43,181 −54% $41,660 −52% —
548 SEPTIC ARTHRITIS WITH MCC $19,887 $19,512 $43,438 −54% $31,019 −36% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $19,861 $19,486 $39,148 −49% $45,594 −56% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $19,739 $19,366 $29,131 −32% $43,320 −54% —
100 SEIZURES WITH MCC $19,588 $19,249 $28,961 −32% $35,194 −44% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $19,507 $19,139 $31,221 −38% $43,252 −55% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $19,497 $19,129 $41,744 −53% $43,775 −55% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $19,461 $19,364 $63,641 −69% $43,444 −55% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CCMCC $19,438 $19,070 $34,890 −44% $41,520 −53% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $19,407 $19,041 $58,326 −67% $34,876 −44% ≈116% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $19,399 $19,033 $39,653 −51% $43,538 −55% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $19,380 $19,014 $48,152 −60% $36,880 −47% —
592 SKIN ULCERS WITH MCC $19,355 $19,886 $32,263 −40% $32,662 −41% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $19,346 $18,981 $65,883 −71% $35,108 −45% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CCMCC $19,336 $18,971 $33,892 −43% $29,524 −35% —
582 MASTECTOMY FOR MALIGNANCY WITH CCMCC $19,319 $17,149 $37,057 −48% $34,158 −43% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $19,260 $19,351 $21,210 −9% $29,109 −34% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $19,250 $20,193 $43,520 −56% $32,506 −41% —
906 HAND PROCEDURES FOR INJURIES $19,216 $21,018 $49,938 −62% $31,520 −39% —
707 MAJOR MALE PELVIC PROCEDURES WITH CCMCC $19,211 $18,848 $63,080 −70% $43,080 −55% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CCMCC $19,189 $18,826 $38,564 −50% $36,202 −47% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,128 $18,767 $55,994 −66% $42,881 −55% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC $19,117 $18,968 $30,041 −36% $32,901 −42% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC $19,102 $19,247 $39,682 −52% $29,598 −35% —
380 COMPLICATED PEPTIC ULCER WITH MCC $19,062 $18,702 $43,397 −56% $36,537 −48% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $18,957 $18,598 $53,102 −64% $33,236 −43% —
711 TESTES PROCEDURES WITH CCMCC $18,936 $18,579 $62,108 −70% $34,846 −46% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $18,900 $19,271 $44,679 −58% $35,139 −46% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $18,818 $18,462 $61,679 −69% $42,126 −55% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $18,818 $18,462 $27,823 −32% $35,029 −46% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $18,778 $18,423 $61,539 −69% $36,241 −48% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $18,752 $18,397 $58,714 −68% $31,913 −41% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $18,709 $18,355 $57,163 −67% $32,976 −43% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $18,707 $18,353 $61,292 −69% $48,801 −62% ≈117% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CCMCC $18,706 $18,353 $55,658 −66% $45,916 −59% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $18,520 $18,170 $38,050 −51% $34,886 −47% —
165 MAJOR CHEST PROCEDURES WITHOUT CCMCC $18,510 $18,161 $43,221 −57% $41,380 −55% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,440 $18,092 $47,693 −61% $30,681 −40% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CCMCC $18,433 $18,084 $58,041 −68% $32,538 −43% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $18,418 $18,070 $13,949 +32% $22,698 −19% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $18,322 $18,374 $35,004 −48% $31,743 −42% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $18,262 $17,998 $47,335 −61% $29,609 −38% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC $18,228 $17,883 $31,143 −41% $40,694 −55% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $18,182 $17,839 $33,998 −47% $40,583 −55% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $18,174 $17,830 $43,017 −58% $40,563 −55% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $18,150 $17,807 $42,406 −57% $37,950 −52% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $18,092 $17,751 $42,949 −58% $35,989 −50% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CCMCC $18,076 $17,826 $59,378 −70% $40,552 −55% —
919 COMPLICATIONS OF TREATMENT WITH MCC $18,073 $17,798 $47,893 −62% $29,031 −38% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $18,009 $17,669 $58,809 −69% $54,772 −67% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC $17,968 $17,629 $31,646 −43% $40,063 −55% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $17,812 $17,792 $35,990 −51% $35,990 −51% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $17,797 $17,750 $58,617 −70% $37,842 −53% ≈116% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $17,785 $17,449 $57,633 −69% $37,975 −53% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $17,742 $17,407 $27,713 −36% $33,415 −47% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $17,704 $17,369 $32,141 −45% $31,909 −45% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC $17,537 $17,206 $36,428 −52% $39,018 −55% —
504 FOOT PROCEDURES WITH CC $17,514 $17,183 $39,139 −55% $36,519 −52% —
505 FOOT PROCEDURES WITHOUT CCMCC $17,514 $17,183 $26,653 −34% $31,716 −45% —
254 OTHER VASCULAR PROCEDURES WITHOUT CCMCC $17,462 $17,132 $51,021 −66% $38,836 −55% —
180 RESPIRATORY NEOPLASMS WITH MCC $17,448 $17,118 $58,269 −70% $36,658 −52% —
509 ARTHROSCOPY $17,424 $17,198 $25,994 −33% $25,994 −33% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,366 $17,037 $46,828 −63% $30,814 −44% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $17,341 $17,013 $41,021 −58% $32,839 −47% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $17,339 $17,344 $49,708 −65% $36,355 −52% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $17,309 $18,341 $43,199 −60% $30,362 −43% —
341 UnGrouped $17,307 — $25,628 −32% $25,628 −32% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $17,257 $17,934 $30,298 −43% $29,867 −42% —
671 URETHRAL PROCEDURES WITH CCMCC $17,228 $16,902 $25,566 −33% $27,233 −37% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $17,021 $16,699 $55,298 −69% $43,266 −61% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $16,953 $16,633 $27,241 −38% $29,671 −43% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CCMCC $16,923 $16,603 $25,133 −33% $28,578 −41% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $16,805 $16,518 $30,058 −44% $29,929 −44% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $16,789 $16,594 $52,248 −68% $29,409 −43% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CCMCC $16,777 $16,461 $24,928 −33% $29,916 −44% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $16,738 $16,422 $24,871 −33% $25,146 −33% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $16,737 $16,420 $43,894 −62% $33,339 −50% —
116 INTRAOCULAR PROCEDURES WITH CCMCC $16,724 $16,408 $21,347 −22% $28,103 −40% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC $16,668 $16,353 $39,406 −58% $27,277 −39% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $16,664 $16,364 $39,072 −57% $32,417 −49% —
551 MEDICAL BACK PROBLEMS WITH MCC $16,644 $16,747 $42,807 −61% $31,067 −46% —
334 RECTAL RESECTION WITHOUT CCMCC $16,632 $16,318 $27,809 −40% $32,213 −48% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $16,630 $16,316 $53,913 −69% $42,119 −61% —
643 ENDOCRINE DISORDERS WITH MCC $16,620 $16,306 $44,725 −63% $32,953 −50% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $16,608 $16,295 $44,413 −63% $32,689 −49% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $16,563 $16,250 $51,792 −68% $44,087 −62% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CCMCC $16,537 $16,225 $15,436 +7% $25,197 −34% —
666 PROSTATECTOMY WITH CC $16,529 $16,217 $53,546 −69% $30,016 −45% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $16,514 $16,549 $40,821 −60% $31,029 −47% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,492 $20,689 $31,044 −47% $31,044 −47% —
915 ALLERGIC REACTIONS WITH MCC $16,487 $17,029 $47,831 −66% $30,944 −47% —
801 SPLENIC PROCEDURES WITHOUT CCMCC $16,478 $16,166 $28,886 −43% $28,554 −42% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $16,475 $16,164 $49,043 −66% $28,802 −43% ≈113% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $16,448 $16,137 $49,765 −67% $30,768 −47% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,440 $16,129 $37,991 −57% $36,333 −55% —
597 MALIGNANT BREAST DISORDERS WITH MCC $16,427 $17,198 $48,535 −66% $31,846 −48% —
157 DENTAL AND ORAL DISEASES WITH MCC $16,422 $16,129 $42,077 −61% $27,457 −40% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $16,416 $17,414 $34,027 −52% $30,275 −46% —
571 SKIN DEBRIDEMENT WITH CC $16,407 $16,459 $37,792 −57% $34,773 −53% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $16,382 $16,404 $35,273 −54% $30,930 −47% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $16,379 $17,120 $29,160 −44% $31,627 −48% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,331 $23,415 $9,520 +72% $11,633 +40% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $16,323 $16,015 $24,282 −33% $25,998 −37% —
913 TRAUMATIC INJURY WITH MCC $16,264 $15,956 $35,934 −55% $24,198 −33% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,256 $17,670 $32,249 −50% $29,476 −45% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $16,225 $17,555 $23,689 −32% $24,447 −34% —
038 EXTRACRANIAL PROCEDURES WITH CC $16,200 $15,894 $52,372 −69% $35,770 −55% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CCMCC $16,168 $15,862 $52,262 −69% $35,692 −55% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $16,156 $15,950 $24,189 −33% $25,596 −37% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $16,123 $15,818 $43,744 −63% $35,584 −55% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CCMCC $16,076 $16,022 $32,009 −50% $27,074 −41% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $16,069 $15,765 $44,265 −64% $35,453 −55% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC $16,055 $15,752 $38,514 −58% $33,962 −53% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CCMCC $16,037 $15,734 $40,079 −60% $35,375 −55% —
183 MAJOR CHEST TRAUMA WITH MCC $15,980 $15,678 $37,213 −57% $28,924 −45% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CCMCC $15,972 $15,670 $51,569 −69% $39,675 −60% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $15,929 $17,198 $29,558 −46% $29,558 −46% —
186 PLEURAL EFFUSION WITH MCC $15,914 $15,613 $51,361 −69% $32,385 −51% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,883 $15,583 $23,658 −33% $29,891 −47% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $15,849 $15,940 $47,454 −67% $31,754 −50% ≈111% of Medicare
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC $15,844 $15,545 $23,602 −33% $34,906 −55% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $15,804 $15,505 $43,611 −64% $30,224 −48% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $15,802 $15,516 $51,010 −69% $32,804 −52% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CCMCC $15,779 $15,481 $50,184 −69% $32,189 −51% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $15,754 $15,457 $50,793 −69% $40,801 −61% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $15,730 $16,148 $35,486 −56% $28,001 −44% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC $15,649 $15,353 $50,419 −69% $34,434 −55% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $15,637 $15,615 $51,365 −70% $33,425 −53% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $15,605 $15,310 $23,263 −33% $24,036 −35% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CCMCC $15,601 $15,306 $23,257 −33% $25,484 −39% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,571 $20,713 $47,416 −67% $34,900 −55% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CCMCC $15,503 $15,210 $49,899 −69% $35,961 −57% —
663 MINOR BLADDER PROCEDURES WITH CC $15,433 $15,141 $39,409 −61% $29,924 −48% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $15,431 $15,304 $26,548 −42% $28,252 −45% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $15,357 $15,173 $25,262 −39% $24,879 −38% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC $15,345 $15,055 $36,115 −58% $33,694 −54% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CCMCC $15,337 $15,047 $42,641 −64% $30,888 −50% —
398 APPENDIX PROCEDURES WITH CC $15,303 $15,013 $49,193 −69% $38,574 −60% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $15,284 $16,028 $24,302 −37% $24,465 −38% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC $15,273 $14,984 $24,260 −37% $24,229 −37% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $15,267 $14,978 $31,822 −52% $26,998 −43% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC $15,233 $14,945 $42,680 −64% $33,424 −54% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $15,223 $14,935 $48,914 −69% $33,790 −55% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CCMCC $15,219 $14,931 $48,888 −69% $35,528 −57% —
682 RENAL FAILURE WITH MCC $15,199 $14,912 $38,760 −61% $27,640 −45% —
075 VIRAL MENINGITIS WITH CCMCC $15,196 $16,890 $30,536 −50% $29,751 −49% —
710 PENIS PROCEDURES WITHOUT CCMCC $15,195 $14,908 $23,485 −35% $23,814 −36% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $15,183 $14,896 $46,575 −67% $25,854 −41% —
533 FRACTURES OF FEMUR WITH MCC $15,176 $15,118 $49,567 −69% $25,945 −42% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,079 $14,794 $48,410 −69% $31,062 −51% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,051 $14,767 $38,950 −61% $27,597 −45% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CCMCC $15,022 $14,738 $48,189 −69% $32,911 −54% —
865 VIRAL ILLNESS WITH MCC $14,962 $14,679 $29,325 −49% $26,088 −43% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CCMCC $14,925 $14,830 $45,698 −67% $33,137 −55% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $14,907 $14,625 $34,816 −57% $28,403 −48% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CCMCC $14,902 $14,621 $47,763 −69% $25,152 −41% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,860 $14,621 $22,265 −33% $25,786 −42% —
247 UnGrouped $14,856 — $21,663 −31% $21,663 −31% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CCMCC $14,833 $14,552 $38,609 −62% $32,451 −54% —
813 COAGULATION DISORDERS $14,826 $15,326 $44,051 −66% $30,128 −51% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $14,735 $14,887 $46,151 −68% $29,049 −49% —
713 TRANSURETHRAL PROSTATECTOMY WITH CCMCC $14,688 $14,411 $47,002 −69% $29,630 −50% —
669 TRANSURETHRAL PROCEDURES WITH CC $14,685 $15,321 $50,305 −71% $34,354 −57% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC $14,571 $14,296 $44,354 −67% $31,816 −54% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC $14,569 $14,294 $22,592 −36% $31,812 −54% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CCMCC $14,533 $14,559 $34,857 −58% $25,149 −42% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $14,503 $17,964 $38,356 −62% $28,375 −49% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $14,494 $14,568 $44,483 −67% $29,011 −50% —
506 MAJOR THUMB OR JOINT PROCEDURES $14,463 $14,887 $25,946 −44% $28,983 −50% —
637 DIABETES WITH MCC $14,391 $14,503 $39,978 −64% $28,772 −50% —
088 CONCUSSION WITH MCC $14,365 $14,094 $44,167 −67% $24,402 −41% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $14,350 $14,374 $31,755 −55% $22,525 −36% —
693 URINARY STONES WITH MCC $14,338 $14,629 $22,278 −36% $22,525 −36% —
811 RED BLOOD CELL DISORDERS WITH MCC $14,331 $14,060 $39,626 −64% $27,674 −48% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC $14,312 $14,041 $45,663 −69% $35,693 −60% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CCMCC $14,279 $14,010 $34,326 −58% $23,456 −39% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC $14,274 $12,838 $31,874 −55% $19,686 −27% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,266 $14,135 $37,241 −62% $23,734 −40% —
137 MOUTH PROCEDURES WITH CCMCC $14,255 $13,985 $29,348 −51% $24,348 −41% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $14,172 $13,904 $21,228 −33% $24,561 −42% —
502 SOFT TISSUE PROCEDURES WITHOUT CCMCC $14,115 $13,973 $39,954 −65% $29,777 −53% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,113 $13,912 $31,933 −56% $24,118 −41% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CCMCC $14,091 $14,350 $32,980 −57% $25,243 −44% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $14,079 $14,190 $21,642 −35% $25,071 −44% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $14,074 $14,080 $45,806 −69% $29,521 −52% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CCMCC $14,057 $14,171 $21,615 −35% $21,615 −35% —
249 UnGrouped $14,042 — $20,610 −32% $20,610 −32% —
150 EPISTAXIS WITH MCC $14,003 $13,838 $21,133 −34% $21,133 −34% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC $13,995 $13,731 $44,541 −69% $30,418 −54% —
602 CELLULITIS WITH MCC $13,972 $14,619 $41,052 −66% $29,347 −52% —
399 APPENDIX PROCEDURES WITHOUT CCMCC $13,970 $11,520 $36,541 −62% $30,259 −54% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,962 $14,872 $26,161 −47% $24,450 −43% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $13,923 $13,660 $41,513 −66% $24,928 −44% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $13,873 $15,341 $24,506 −43% $28,385 −51% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $13,857 $13,595 $44,047 −69% $29,374 −53% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC $13,846 $13,584 $32,387 −57% $28,509 −51% —
606 MINOR SKIN DISORDERS WITH MCC $13,800 $15,885 $27,528 −50% $25,434 −46% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CCMCC $13,791 $13,761 $21,022 −34% $29,029 −52% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CCMCC $13,743 $13,483 $32,168 −57% $29,805 −54% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $13,719 $13,460 $43,556 −69% $29,957 −54% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CCMCC $13,657 $13,399 $43,335 −68% $31,978 −57% —
139 SALIVARY GLAND PROCEDURES $13,601 $13,756 $21,014 −35% $21,014 −35% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CCMCC $13,514 $13,259 $42,832 −68% $34,564 −61% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $13,501 $13,409 $34,683 −61% $25,412 −47% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $13,394 $13,205 $36,697 −64% $23,039 −42% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $13,389 $13,136 $20,117 −33% $21,029 −36% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $13,366 $13,369 $39,831 −66% $22,874 −42% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $13,344 $13,155 $30,239 −56% $23,956 −44% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $13,337 $13,260 $35,026 −62% $25,766 −48% ≈120% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $13,333 $13,352 $33,833 −61% $24,244 −45% ≈125% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,322 $13,519 $32,502 −59% $23,646 −44% —
540 OSTEOMYELITIS WITH CC $13,299 $13,048 $19,990 −33% $23,494 −43% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CCMCC $13,267 $13,016 $30,692 −57% $22,811 −42% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $13,264 $13,732 $20,980 −37% $20,980 −37% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CCMCC $13,257 $13,007 $13,257 +0% $23,920 −45% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CCMCC $13,247 $12,997 $35,632 −63% $23,474 −44% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,137 $15,935 $34,876 −62% $27,118 −52% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $13,129 $12,962 $38,140 −66% $27,041 −51% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,098 $14,490 $34,298 −62% $24,874 −47% —
291 HEART FAILURE AND SHOCK WITH MCC $13,070 $13,144 $32,698 −60% $24,932 −48% ≈118% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CCMCC $13,063 $12,816 $39,906 −67% $28,156 −54% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $13,029 $12,993 $21,306 −39% $23,646 −45% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $13,026 $12,780 $35,114 −63% $26,616 −51% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $13,011 $12,765 $35,336 −63% $19,894 −35% —
348 ANAL AND STOMAL PROCEDURES WITH CC $12,977 $12,732 $29,376 −56% $27,947 −54% —
947 SIGNS AND SYMPTOMS WITH MCC $12,947 $12,977 $32,843 −61% $25,474 −49% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $12,934 $12,838 $19,686 −34% $22,226 −42% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,881 $14,682 $8,330 +55% $7,896 +63% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $12,851 $12,608 $21,962 −41% $19,354 −34% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $12,848 $12,606 $37,976 −66% $21,860 −41% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $12,815 $12,572 $40,345 −68% $20,727 −38% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CCMCC $12,801 $12,804 $38,044 −66% $25,621 −50% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CCMCC $12,790 $12,548 $29,425 −57% $27,492 −53% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CCMCC $12,731 $12,490 $40,042 −68% $20,147 −37% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CCMCC $12,720 $12,480 $30,727 −59% $27,319 −53% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CCMCC $12,695 $12,455 $18,573 −32% $19,132 −34% —
339 UnGrouped $12,665 — $18,474 −31% $18,474 −31% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CCMCC $12,566 $12,328 $23,297 −46% $22,920 −45% —
887 OTHER MENTAL DISORDER DIAGNOSES $12,518 $12,109 $18,631 −33% $20,557 −39% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $12,493 $12,257 $39,204 −68% $26,098 −52% ≈135% of Medicare
549 SEPTIC ARTHRITIS WITH CC $12,485 $12,249 $27,124 −54% $20,808 −40% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,424 $17,610 $17,621 −29% $14,121 −12% —
593 SKIN ULCERS WITH CC $12,375 $12,407 $27,293 −55% $20,470 −40% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $12,364 $12,161 $38,849 −68% $20,148 −39% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CCMCC $12,345 $12,375 $25,581 −52% $23,588 −48% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $12,344 $12,415 $35,388 −65% $26,158 −53% —
114 ORBITAL PROCEDURES WITHOUT CCMCC $12,275 $12,043 $25,952 −53% $19,598 −37% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC $12,214 $12,192 $37,079 −67% $27,369 −55% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $12,212 $14,428 $21,986 −44% $21,986 −44% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $12,097 $11,873 $22,625 −47% $21,025 −42% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CCMCC $12,091 $12,610 $28,324 −57% $26,146 −54% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CCMCC $12,080 $11,852 $30,313 −60% $22,532 −46% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $12,052 $11,824 $32,249 −63% $24,146 −50% —
375 DIGESTIVE MALIGNANCY WITH CC $11,980 $12,461 $33,697 −64% $27,125 −56% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,968 $11,937 $29,922 −60% $22,870 −48% ≈131% of Medicare
885 PSYCHOSES $11,949 $14,084 $22,469 −47% $21,489 −44% —
304 HYPERTENSION WITH MCC $11,940 $11,978 $33,511 −64% $23,945 −50% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CCMCC $11,924 $11,699 $32,060 −63% $25,390 −53% —
039 EXTRACRANIAL PROCEDURES WITHOUT CCMCC $11,873 $11,649 $37,000 −68% $25,267 −53% —
302 ATHEROSCLEROSIS WITH MCC $11,863 $11,874 $18,292 −35% $20,810 −43% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC $11,831 $11,804 $37,559 −69% $25,206 −53% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,779 $11,556 $23,928 −51% $20,741 −43% —
572 SKIN DEBRIDEMENT WITHOUT CCMCC $11,769 $11,687 $35,346 −67% $24,426 −52% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $11,743 $11,555 $36,655 −68% $24,017 −51% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,690 $12,539 $40,228 −71% $24,603 −52% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,654 $11,654 $24,106 −52% $24,277 −52% —
181 RESPIRATORY NEOPLASMS WITH CC $11,619 $11,399 $20,728 −44% $22,065 −47% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $11,604 $11,512 $17,768 −35% $19,317 −40% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CCMCC $11,576 $11,357 $17,544 −34% $24,544 −53% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CCMCC $11,530 $11,330 $35,839 −68% $25,038 −54% —
102 HEADACHES WITH MCC $11,495 $11,840 $25,386 −55% $21,983 −48% —
672 URETHRAL PROCEDURES WITHOUT CCMCC $11,473 $11,256 $17,398 −34% $17,398 −34% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $11,430 $11,214 $35,420 −68% $31,190 −63% —
664 MINOR BLADDER PROCEDURES WITHOUT CCMCC $11,340 $11,125 $35,101 −68% $18,126 −37% —
949 AFTERCARE WITH CCMCC $11,332 $11,118 $35,072 −68% $23,953 −53% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $11,307 $11,167 $34,380 −67% $21,666 −48% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $11,249 $11,226 $18,873 −40% $19,868 −43% —
089 CONCUSSION WITH CC $11,198 $11,056 $17,109 −35% $18,293 −39% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CCMCC $11,172 $11,315 $17,483 −36% $17,483 −36% —
712 TESTES PROCEDURES WITHOUT CCMCC $11,170 $11,034 $17,076 −35% $18,898 −41% —
117 INTRAOCULAR PROCEDURES WITHOUT CCMCC $11,158 $11,115 $17,193 −35% $17,193 −35% —
381 COMPLICATED PEPTIC ULCER WITH CC $11,099 $11,209 $36,066 −69% $24,177 −54% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CCMCC $11,085 $10,875 $16,847 −34% $17,308 −36% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,068 $11,036 $32,129 −66% $23,749 −53% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $11,067 $10,956 $33,422 −67% $23,400 −53% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $11,055 $10,859 $19,845 −44% $22,231 −50% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,038 $11,043 $21,345 −48% $19,448 −43% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $10,910 $10,893 $34,256 −68% $23,396 −53% —
152 OTITIS MEDIA AND URI WITH MCC $10,910 $11,619 $36,209 −70% $19,657 −45% —
200 PNEUMOTHORAX WITH CC $10,887 $11,374 $35,999 −70% $20,573 −47% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $10,867 $10,790 $30,961 −65% $23,141 −53% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CCMCC $10,853 $10,648 $33,372 −67% $24,008 −55% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $10,851 $10,936 $34,419 −68% $24,000 −55% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC $10,837 $10,632 $16,495 −34% $16,495 −34% —
184 MAJOR CHEST TRAUMA WITH CC $10,746 $11,020 $22,961 −53% $20,842 −48% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $10,739 $10,672 $32,046 −66% $22,850 −53% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $10,713 $10,561 $33,060 −68% $22,610 −53% —
342 UnGrouped $10,708 — $16,487 −35% $19,454 −45% —
667 PROSTATECTOMY WITHOUT CCMCC $10,696 $10,659 $16,534 −35% $16,703 −36% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,687 $10,586 $30,669 −65% $21,499 −50% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC $10,638 $10,437 $18,918 −44% $17,078 −38% —
945 REHABILITATION WITH CCMCC $10,572 $15,133 $23,834 −56% $23,834 −56% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,553 $11,397 $27,057 −61% $18,459 −43% —
187 PLEURAL EFFUSION WITH CC $10,553 $10,445 $21,455 −51% $21,467 −51% —
697 URETHRAL STRICTURE $10,546 $10,426 $16,196 −35% $17,705 −40% —
644 ENDOCRINE DISORDERS WITH CC $10,506 $10,709 $33,596 −69% $22,941 −54% —
197 INTERSTITIAL LUNG DISEASE WITH CC $10,506 $10,320 $22,609 −54% $20,105 −48% —
796 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH MCC $10,500 $12,891 $31,343 −66% $22,557 −53% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $10,478 $10,342 $29,842 −65% $20,917 −50% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC $10,418 $10,221 $15,901 −34% $15,901 −34% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,416 $10,687 $33,283 −69% $22,623 −54% ≈132% of Medicare
136 SINUS AND MASTOID PROCEDURES WITHOUT CCMCC $10,411 $10,214 $15,890 −34% $15,890 −34% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $10,407 $10,283 $32,061 −68% $21,886 −52% ≈131% of Medicare
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CCMCC $10,384 $10,436 $32,602 −68% $16,212 −36% —
920 COMPLICATIONS OF TREATMENT WITH CC $10,380 $10,552 $33,021 −69% $20,879 −50% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $10,343 $11,091 $17,159 −40% $17,719 −42% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $10,335 $10,882 $34,217 −70% $18,000 −43% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $10,269 $10,554 $23,388 −56% $18,005 −43% —
882 NEUROSES EXCEPT DEPRESSIVE $10,263 $10,068 $15,680 −35% $15,680 −35% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $10,257 $11,764 $18,133 −43% $18,133 −43% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,228 $11,137 $17,226 −41% $17,226 −41% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,201 $10,588 $33,151 −69% $20,732 −51% —
670 TRANSURETHRAL PROCEDURES WITHOUT CCMCC $10,195 $10,012 $17,727 −42% $20,371 −50% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $10,140 $10,339 $32,081 −68% $22,024 −54% —
121 ACUTE MAJOR EYE INFECTIONS WITH CCMCC $10,122 $11,873 $37,809 −73% $18,291 −45% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $10,100 $10,106 $31,408 −68% $21,449 −53% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $10,096 $10,391 $16,146 −37% $17,268 −42% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC $10,083 $12,067 $35,255 −71% $20,837 −52% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CCMCC $10,056 $10,007 $24,389 −59% $19,326 −48% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $10,008 $10,567 $33,079 −70% $22,590 −56% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $9,977 $10,006 $17,100 −42% $15,589 −36% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,974 $9,883 $28,002 −64% $18,815 −47% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,959 $10,583 $31,637 −69% $19,091 −48% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC $9,942 $10,016 $31,077 −68% $18,060 −45% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CCMCC $9,929 $9,868 $17,209 −42% $17,108 −42% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,919 $11,154 $35,205 −72% $22,587 −56% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CCMCC $9,891 $9,704 $29,949 −67% $20,313 −51% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $9,872 $10,085 $31,330 −68% $20,632 −52% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,848 $10,408 $32,504 −70% $20,007 −51% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,834 $9,708 $30,579 −68% $20,463 −52% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CCMCC $9,821 $9,683 $29,871 −67% $16,352 −40% —
202 BRONCHITIS AND ASTHMA WITH CCMCC $9,794 $10,111 $19,597 −50% $17,183 −43% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $9,791 $10,964 $34,116 −71% $23,571 −58% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CCMCC $9,710 $9,625 $26,342 −63% $17,585 −45% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $9,636 $9,749 $25,975 −63% $18,323 −47% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,635 $9,725 $19,287 −50% $19,287 −50% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CCMCC $9,632 $9,977 $30,937 −69% $18,316 −47% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,626 $9,814 $20,543 −53% $16,622 −42% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC $9,622 $9,440 $28,993 −67% $15,764 −39% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC $9,598 $9,444 $29,009 −67% $21,323 −55% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,585 $10,588 $33,151 −71% $16,431 −42% —
101 SEIZURES WITHOUT MCC $9,534 $9,707 $20,289 −53% $19,930 −52% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $9,533 $9,353 $18,461 −48% $15,923 −40% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CCMCC $9,521 $9,341 $25,515 −63% $19,854 −52% —
914 TRAUMATIC INJURY WITHOUT MCC $9,482 $9,659 $21,714 −56% $15,586 −39% —
158 DENTAL AND ORAL DISEASES WITH CC $9,481 $9,876 $30,573 −69% $17,751 −47% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $9,437 $9,457 $24,482 −61% $18,243 −48% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $9,436 $9,346 $21,624 −56% $19,569 −52% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,412 $9,718 $29,514 −68% $20,408 −54% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION ANDOR D&C $9,412 $11,273 $22,506 −58% $17,006 −45% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,378 $9,239 $26,184 −64% $19,305 −51% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC $9,359 $9,369 $23,796 −61% $15,818 −41% —
864 FEVER AND INFLAMMATORY CONDITIONS $9,344 $9,494 $14,849 −37% $17,412 −46% —
376 DIGESTIVE MALIGNANCY WITHOUT CCMCC $9,330 $9,360 $19,044 −51% $15,608 −40% —
683 RENAL FAILURE WITH CC $9,229 $9,413 $26,850 −66% $18,322 −50% —
541 OSTEOMYELITIS WITHOUT CCMCC $9,218 $9,287 $21,919 −58% $14,549 −37% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CCMCC $9,200 $10,280 $20,528 −55% $18,199 −49% —
312 SYNCOPE AND COLLAPSE $9,193 $9,255 $28,324 −68% $19,342 −52% —
340 UnGrouped $9,179 — $13,613 −33% $16,240 −43% —
866 VIRAL ILLNESS WITHOUT MCC $9,156 $9,376 $24,453 −63% $16,348 −44% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $9,021 $9,145 $27,927 −68% $18,104 −50% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CCMCC $9,021 $8,945 $16,204 −44% $14,055 −36% —
600 NON-MALIGNANT BREAST DISORDERS WITH CCMCC $9,008 $10,020 $16,953 −47% $16,418 −45% —
594 SKIN ULCERS WITHOUT CCMCC $8,991 $9,052 $15,334 −41% $14,209 −37% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,963 $8,795 $26,656 −66% $18,204 −51% —
638 DIABETES WITH CC $8,935 $9,667 $27,005 −67% $18,763 −52% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CCMCC $8,885 $8,763 $24,781 −64% $17,851 −50% —
076 VIRAL MENINGITIS WITHOUT CCMCC $8,874 $9,664 $18,601 −52% $15,474 −43% —
138 MOUTH PROCEDURES WITHOUT CCMCC $8,865 $8,736 $26,445 −66% $17,383 −49% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC $8,843 $9,554 $29,419 −70% $20,084 −56% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,818 $10,391 $20,031 −56% $15,370 −43% —
182 RESPIRATORY NEOPLASMS WITHOUT CCMCC $8,813 $8,952 $14,064 −37% $14,064 −37% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,753 $8,763 $27,480 −68% $17,562 −50% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,723 $8,846 $15,300 −43% $15,876 −45% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC $8,705 $8,773 $29,643 −71% $18,150 −52% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $8,687 $9,374 $15,418 −44% $15,045 −42% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC $8,672 $8,591 $25,622 −66% $17,700 −51% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC $8,654 $9,274 $27,571 −69% $19,815 −56% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CCMCC $8,646 $8,482 $25,521 −66% $13,385 −35% —
797 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITH CC $8,638 $10,124 $28,547 −70% $19,001 −55% —
798 VAGINAL DELIVERY WITH STERILIZATION ANDOR D&C WITHOUT CCMCC $8,638 $10,124 $15,335 −44% $18,038 −52% —
550 SEPTIC ARTHRITIS WITHOUT CCMCC $8,624 $9,172 $16,156 −47% $16,156 −47% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,619 $8,926 $27,131 −68% $17,579 −51% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,607 $9,564 $20,900 −59% $17,731 −51% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC $8,586 $8,621 $10,073 −15% $13,586 −37% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $8,582 $8,616 $26,012 −67% $20,253 −58% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,571 $8,713 $26,360 −67% $17,754 −52% —
176 PULMONARY EMBOLISM WITHOUT MCC $8,558 $8,745 $26,477 −68% $17,693 −52% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $8,546 $8,566 $25,630 −67% $17,719 −52% —
123 NEUROLOGICAL EYE DISORDERS $8,527 $8,644 $24,612 −65% $17,831 −52% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC $8,522 $8,524 $13,445 −37% $13,445 −37% —
599 MALIGNANT BREAST DISORDERS WITHOUT CCMCC $8,506 $9,108 $17,587 −52% $14,290 −40% —
185 MAJOR CHEST TRAUMA WITHOUT CCMCC $8,402 $8,415 $21,977 −62% $15,858 −47% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC $8,375 $8,785 $16,636 −50% $13,822 −39% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC $8,371 $8,519 $21,855 −62% $17,522 −52% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $8,352 $8,448 $21,239 −61% $16,718 −50% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC $8,337 $8,343 $19,271 −57% $14,411 −42% —
607 MINOR SKIN DISORDERS WITHOUT MCC $8,318 $9,191 $14,410 −42% $15,276 −46% —
779 ABORTION WITHOUT D&C $8,318 $9,824 $17,738 −53% $15,327 −46% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $8,307 $8,438 $21,623 −62% $17,322 −52% ≈128% of Medicare
343 UnGrouped $8,289 — $12,397 −33% $13,735 −40% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC $8,289 $8,132 $19,570 −58% $14,861 −44% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CCMCC $8,279 $8,218 $24,566 −66% $16,776 −51% —
881 DEPRESSIVE NEUROSES $8,244 $9,639 $15,058 −45% $15,058 −45% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC $8,228 $8,168 $24,384 −66% $16,654 −51% —
382 COMPLICATED PEPTIC ULCER WITHOUT CCMCC $8,212 $8,160 $24,358 −66% $16,634 −51% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,197 $8,638 $23,926 −66% $17,379 −53% ≈129% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,172 $8,629 $26,061 −69% $17,345 −53% —
534 FRACTURES OF FEMUR WITHOUT MCC $8,161 $8,741 $26,458 −69% $17,194 −53% —
151 EPISTAXIS WITHOUT MCC $8,154 $8,238 $13,119 −38% $13,032 −37% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CCMCC $8,139 $8,149 $24,315 −67% $14,337 −43% —
946 REHABILITATION WITHOUT CCMCC $8,097 $11,455 $14,074 −42% $17,685 −54% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $8,094 $8,116 $15,278 −47% $13,892 −42% —
149 DYSEQUILIBRIUM $8,085 $8,144 $23,899 −66% $17,203 −53% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $8,070 $9,187 $22,948 −65% $17,296 −53% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $8,041 $8,086 $18,250 −56% $13,278 −39% —
188 PLEURAL EFFUSION WITHOUT CCMCC $7,979 $8,025 $13,879 −43% $14,252 −44% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,969 $8,769 $23,808 −67% $16,622 −52% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,966 $8,714 $22,897 −65% $16,804 −53% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC $7,915 $7,943 $26,192 −70% $18,288 −57% —
694 URINARY STONES WITHOUT MCC $7,851 $8,448 $22,050 −64% $16,451 −52% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CCMCC $7,825 $7,722 $18,649 −58% $13,654 −43% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CCMCC $7,817 $7,838 $21,634 −64% $15,598 −50% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CCMCC $7,796 $7,666 $22,563 −65% $13,303 −41% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,786 $8,071 $24,033 −68% $16,645 −53% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CCMCC $7,767 $7,935 $12,593 −38% $12,593 −38% —
645 ENDOCRINE DISORDERS WITHOUT CCMCC $7,728 $8,424 $17,277 −55% $14,166 −45% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,716 $7,757 $12,336 −37% $12,336 −37% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CCMCC $7,709 $7,563 $22,189 −65% $12,794 −40% —
950 AFTERCARE WITHOUT CCMCC $7,672 $6,696 $11,329 −32% $13,527 −43% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CCMCC $7,660 $7,700 $20,838 −63% $15,072 −49% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC $7,641 $7,613 $22,375 −66% $19,483 −61% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,587 $7,644 $17,388 −56% $14,210 −47% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CCMCC $7,576 $7,462 $11,909 −36% $11,909 −36% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC $7,562 $7,419 $13,841 −45% $11,847 −36% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC $7,557 $7,742 $22,840 −67% $15,600 −52% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CCMCC $7,541 $7,452 $15,323 −51% $14,880 −49% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CCMCC $7,451 $7,946 $16,444 −55% $16,104 −54% —
303 ATHEROSCLEROSIS WITHOUT MCC $7,423 $7,470 $22,255 −67% $14,927 −50% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC $7,367 $7,687 $18,684 −61% $12,405 −41% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC $7,356 $7,470 $18,755 −61% $13,198 −44% —
159 DENTAL AND ORAL DISEASES WITHOUT CCMCC $7,272 $7,356 $19,875 −63% $13,362 −46% —
201 PNEUMOTHORAX WITHOUT CCMCC $7,250 $7,513 $22,004 −67% $13,081 −45% —
311 ANGINA PECTORIS $7,210 $7,703 $15,034 −52% $15,165 −52% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $7,205 $8,143 $19,537 −63% $12,895 −44% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $7,161 $7,930 $18,069 −60% $13,090 −45% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $7,111 $7,147 $20,688 −66% $14,128 −50% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC $7,068 $7,150 $20,694 −66% $14,134 −50% —
921 COMPLICATIONS OF TREATMENT WITHOUT CCMCC $7,054 $7,608 $22,352 −68% $14,012 −50% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $7,005 $7,839 $13,068 −46% $12,205 −43% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CCMCC $6,998 $7,354 $17,778 −61% $13,485 −48% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CCMCC $6,961 $7,180 $19,950 −65% $14,208 −51% —
203 BRONCHITIS AND ASTHMA WITHOUT CCMCC $6,891 $7,687 $15,167 −55% $12,275 −44% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC $6,885 $7,244 $21,459 −68% $14,368 −52% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC $6,865 $7,024 $20,246 −66% $13,747 −50% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC $6,827 $6,956 $17,892 −62% $14,770 −54% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,792 $7,823 $21,412 −68% $14,251 −52% —
684 RENAL FAILURE WITHOUT CCMCC $6,786 $6,887 $18,804 −64% $13,455 −50% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CCMCC $6,698 $7,125 $11,421 −41% $11,421 −41% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,677 $7,396 $14,486 −54% $13,890 −52% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC $6,639 $7,523 $11,997 −45% $11,997 −45% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CCMCC $6,625 $6,883 $11,562 −43% $11,071 −40% —
639 DIABETES WITHOUT CCMCC $6,544 $7,059 $19,891 −67% $13,910 −53% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CCMCC $6,478 $7,155 $17,903 −64% $11,957 −46% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $6,462 $7,037 $14,944 −57% $12,013 −46% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CCMCC $6,459 $6,816 $18,214 −65% $10,975 −41% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC $6,210 $6,457 $18,188 −66% $13,384 −54% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC $6,115 $6,475 $18,018 −66% $10,039 −39% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC $6,089 $6,347 $17,785 −66% $13,318 −54% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,935 $6,525 $5,751 +3% $9,385 −37% —
293 HEART FAILURE AND SHOCK WITHOUT CCMCC $5,777 $6,361 $14,520 −60% $11,826 −51% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC $5,363 $5,401 $8,927 −40% $8,927 −40% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CCMCC $5,290 $6,101 $10,795 −51% $9,063 −42% —
795 NORMAL NEWBORN $5,054 $3,230 $4,862 +4% $4,521 +12% —
765 UnGrouped $4,823 — $5,336 −10% $5,336 −10% —
766 UnGrouped $4,823 — $5,336 −10% $5,336 −10% —
767 UnGrouped $3,647 — $3,032 +20% $3,032 +20% —
774 UnGrouped $3,647 — $47,196 −92% $3,032 +20% —
775 UnGrouped $3,647 — $19,163 −81% $3,242 +13% —
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