St. Joseph Health Regional Hospital - Bryan, TX — Pricing

797 procedures published in this hospital's Machine-Readable File (MRF) — 797 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 797
Lowest published price $3,032
Average published price $33,821
Highest published price $483,987

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 797 procedures

Published charges

Showing all 797 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 72 procedures, this hospital's negotiated rates average ≈133% 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 $483,987 $483,987 +0% $573,534 −16% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $362,617 $362,617 +0% $461,389 −21% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $306,087 $306,087 +0% $306,087 +0% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $276,951 $502,678 −45% $371,366 −25% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $184,103 $207,315 −11% $248,521 −26% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $171,028 $171,028 +0% $182,314 −6% —
007 LUNG TRANSPLANT $170,608 $170,608 +0% $170,608 +0% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $155,461 $155,461 +0% $194,769 −20% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $142,952 $142,952 +0% $196,346 −27% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $139,842 $139,842 +0% $164,641 −15% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $139,148 $139,148 +0% $208,939 −33% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,630 $137,630 +0% $142,326 −3% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $127,148 $127,148 +0% $188,171 −32% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $121,563 $121,563 +0% $121,563 +0% —
231 CORONARY BYPASS WITH PTCA WITH MCC $112,178 $112,178 +0% $147,227 −24% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $112,119 $112,119 +0% $153,282 −27% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $110,483 $110,483 +0% $144,774 −24% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $106,929 $106,929 +0% $148,686 −28% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $105,228 $105,228 +0% $105,228 +0% —
453 NO ACTIVE CODE DESCRIPTION $103,861 $103,861 +0% $103,861 +0% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $103,817 $103,817 +0% $144,569 −28% ≈111% of Medicare
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,814 $102,814 +0% $143,242 −28% —
010 PANCREAS TRANSPLANT $99,940 $99,940 +0% $99,940 +0% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $99,339 $99,339 +0% $120,573 −18% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $94,742 $94,742 +0% $132,794 −29% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $94,288 $94,288 +0% $131,961 −29% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $92,883 $143,949 −35% $148,832 −38% ≈126% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $91,253 $91,253 +0% $102,600 −11% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,681 $89,681 +0% $126,098 −29% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $89,353 $89,353 +0% $89,353 +0% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $89,209 $89,209 +0% $125,242 −29% —
222 NO ACTIVE CODE DESCRIPTION $86,864 $86,864 +0% $86,864 +0% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $86,661 $178,573 −51% $116,058 −25% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $86,542 $86,542 +0% $123,995 −30% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $86,459 $86,459 +0% $86,459 +0% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $84,844 $84,844 +0% $109,331 −22% —
006 LIVER TRANSPLANT WITHOUT MCC $84,407 $84,407 +0% $84,407 +0% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $83,192 $83,192 +0% $117,280 −29% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $83,090 $83,090 +0% $88,566 −6% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $82,731 $82,731 +0% $98,912 −16% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $82,458 $82,458 +0% $108,472 −24% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $82,102 $82,102 +0% $115,839 −29% —
028 SPINAL PROCEDURES WITH MCC $81,731 $81,731 +0% $113,077 −28% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $81,176 $81,176 +0% $98,260 −17% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $81,176 $81,176 +0% $81,176 +0% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $80,603 $80,603 +0% $113,855 −29% —
224 NO ACTIVE CODE DESCRIPTION $80,427 $80,427 +0% $80,427 +0% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $80,075 $80,075 +0% $103,455 −23% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $80,018 $80,018 +0% $80,018 +0% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $79,247 $79,247 +0% $112,062 −29% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $78,460 $78,460 +0% $96,192 −18% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $77,406 $77,406 +0% $107,355 −28% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $76,970 $76,970 +0% $106,778 −28% —
653 MAJOR BLADDER PROCEDURES WITH MCC $75,310 $88,633 −15% $104,583 −28% —
459 NO ACTIVE CODE DESCRIPTION $75,251 $75,251 +0% $75,251 +0% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $74,709 $74,709 +0% $106,057 −30% —
834 ACUTE LEUKEMIA WITH MCC $74,709 $74,709 +0% $85,566 −13% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $74,414 $74,414 +0% $105,899 −30% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $73,986 $73,986 +0% $101,618 −27% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $73,455 $73,455 +0% $102,128 −28% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $73,103 $73,103 +0% $89,207 −18% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $73,038 $73,038 +0% $101,576 −28% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,030 $73,030 +0% $90,401 −19% —
226 NO ACTIVE CODE DESCRIPTION $72,618 $72,618 +0% $72,618 +0% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $72,075 $72,075 +0% $102,573 −30% ≈153% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $71,776 $71,776 +0% $111,320 −36% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $69,912 $69,912 +0% $99,943 −30% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $69,695 $69,695 +0% $99,423 −30% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $69,206 $69,206 +0% $96,507 −28% —
454 NO ACTIVE CODE DESCRIPTION $69,101 $69,101 +0% $69,101 +0% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $69,008 $69,008 +0% $80,793 −15% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $68,473 $72,798 −6% $93,390 −27% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $68,095 $68,095 +0% $77,055 −12% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,045 $68,045 +0% $93,238 −27% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $68,020 $105,989 −36% $93,172 −27% ≈120% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $67,791 $67,791 +0% $96,905 −30% —
245 AICD GENERATOR PROCEDURES $66,564 $66,564 +0% $72,076 −8% —
471 CERVICAL SPINAL FUSION WITH MCC $66,189 $66,189 +0% $92,515 −28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $65,149 $65,149 +0% $90,724 −28% —
799 SPLENIC PROCEDURES WITH MCC $64,885 $64,885 +0% $82,218 −21% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $64,874 $127,999 −49% $90,775 −29% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $64,248 $64,248 +0% $92,217 −30% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $63,928 $63,928 +0% $87,761 −27% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,571 $63,571 +0% $91,329 −30% —
163 MAJOR CHEST PROCEDURES WITH MCC $63,017 $63,017 +0% $90,195 −30% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $62,992 $62,992 +0% $71,551 −12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,801 $62,801 +0% $90,331 −30% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $62,792 $74,889 −16% $88,050 −29% ≈150% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $61,750 $61,750 +0% $76,001 −19% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $61,401 $61,401 +0% $84,692 −28% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $61,240 $61,240 +0% $88,307 −31% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $60,697 $60,697 +0% $70,177 −14% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $60,208 $60,208 +0% $86,970 −31% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $59,352 $59,352 +0% $59,352 +0% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $59,237 $59,237 +0% $83,441 −29% —
223 NO ACTIVE CODE DESCRIPTION $59,206 $59,206 +0% $59,206 +0% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $58,558 $103,308 −43% $82,561 −29% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $58,476 $58,476 +0% $101,510 −42% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $58,085 $58,085 +0% $60,098 −3% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $57,584 $57,584 +0% $72,962 −21% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $57,570 $57,570 +0% $77,990 −26% —
225 NO ACTIVE CODE DESCRIPTION $57,380 $57,380 +0% $57,380 +0% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $57,323 $39,640 +45% $18,649 +207% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $57,196 $57,196 +0% $85,159 −33% —
227 NO ACTIVE CODE DESCRIPTION $56,960 $56,960 +0% $56,960 +0% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $56,565 $56,565 +0% $82,247 −31% ≈118% of Medicare
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $56,535 $56,535 +0% $73,120 −23% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $56,456 $56,456 +0% $79,836 −29% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $56,242 $61,234 −8% $56,242 +0% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $56,194 $56,194 +0% $81,998 −31% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $55,985 $55,985 +0% $79,225 −29% —
791 PREMATURITY WITH MAJOR PROBLEMS $55,887 $55,887 +0% $42,679 +31% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $54,898 $69,779 −21% $77,817 −29% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $54,862 $54,862 +0% $62,300 −12% —
652 KIDNEY TRANSPLANT $54,720 $54,720 +0% $54,720 +0% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $54,405 $54,405 +0% $71,795 −24% —
455 NO ACTIVE CODE DESCRIPTION $54,320 $54,320 +0% $56,836 −4% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $54,300 $54,300 +0% $61,832 −12% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $54,196 $54,196 +0% $54,196 +0% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $53,970 $53,970 +0% $79,116 −32% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $53,945 $53,945 +0% $78,852 −32% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $53,665 $53,665 +0% $76,219 −30% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $53,357 $71,596 −25% $66,685 −20% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $53,307 $53,307 +0% $59,594 −11% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $53,167 $98,765 −46% $75,573 −30% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $52,805 $54,372 −3% $75,103 −30% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $52,536 $52,536 +0% $74,755 −30% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $52,152 $52,152 +0% $74,257 −30% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,761 $51,761 +0% $61,470 −16% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $50,550 $50,550 +0% $68,639 −26% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $50,222 $69,965 −28% $71,755 −30% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $49,721 $49,721 +0% $66,711 −25% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $49,718 $49,718 +0% $59,533 −16% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $49,711 $49,711 +0% $71,092 −30% —
265 AICD LEAD PROCEDURES $49,492 $49,492 +0% $63,171 −22% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $49,285 $66,511 −26% $70,564 −30% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $49,015 $49,015 +0% $66,848 −27% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $49,003 $49,003 +0% $50,919 −4% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $48,887 $48,887 +0% $56,964 −14% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $48,670 $48,670 +0% $69,743 −30% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,655 $60,312 −19% $66,068 −26% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $48,637 $48,637 +0% $62,583 −22% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $48,557 $48,557 +0% $51,953 −7% —
332 RECTAL RESECTION WITH MCC $48,214 $48,214 +0% $58,125 −17% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $48,165 $48,165 +0% $52,036 −7% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $47,899 $47,899 +0% $71,014 −33% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $47,828 $47,828 +0% $68,653 −30% —
665 PROSTATECTOMY WITH MCC $47,758 $58,062 −18% $54,072 −12% —
252 OTHER VASCULAR PROCEDURES WITH MCC $47,717 $47,717 +0% $68,508 −30% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $47,649 $47,649 +0% $70,847 −33% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $47,403 $47,403 +0% $70,371 −33% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $47,218 $47,218 +0% $70,132 −33% ≈113% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,760 $46,760 +0% $67,268 −30% —
037 EXTRACRANIAL PROCEDURES WITH MCC $46,296 $46,296 +0% $66,666 −31% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $46,049 $53,584 −14% $52,908 −13% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $45,618 $45,618 +0% $65,788 −31% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $45,498 $45,498 +0% $58,745 −23% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $45,479 $45,479 +0% $65,608 −31% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $44,977 $44,977 +0% $72,424 −38% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $44,783 $44,783 +0% $63,928 −30% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $44,663 $44,663 +0% $71,464 −38% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,584 $44,584 +0% $49,710 −10% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $44,472 $44,472 +0% $44,472 +0% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $44,389 $44,389 +0% $55,289 −20% —
500 SOFT TISSUE PROCEDURES WITH MCC $44,320 $44,320 +0% $61,872 −28% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $43,701 $43,701 +0% $65,573 −33% ≈113% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $43,683 $43,683 +0% $54,562 −20% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $43,510 $43,510 +0% $65,325 −33% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $43,330 $43,330 +0% $62,821 −31% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $43,247 $43,247 +0% $65,216 −34% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $43,218 $43,218 +0% $53,864 −20% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,021 $43,021 +0% $60,407 −29% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,891 $42,891 +0% $64,523 −34% —
460 NO ACTIVE CODE DESCRIPTION $42,725 $49,425 −14% $51,625 −17% —
570 SKIN DEBRIDEMENT WITH MCC $42,263 $42,263 +0% $52,435 −19% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $41,952 $41,952 +0% $46,402 −10% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $41,464 $42,100 −2% $58,228 −29% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $41,365 $78,250 −47% $65,653 −37% ≈119% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $41,261 $41,261 +0% $60,170 −31% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,045 $41,045 +0% $51,608 −20% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $41,024 $77,071 −47% $70,467 −42% —
800 SPLENIC PROCEDURES WITH CC $41,012 $41,012 +0% $49,184 −17% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $40,991 $40,991 +0% $59,790 −31% —
472 CERVICAL SPINAL FUSION WITH CC $40,797 $40,797 +0% $59,537 −31% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,406 $40,406 +0% $59,031 −32% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,363 $40,363 +0% $58,975 −32% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,341 $40,341 +0% $61,217 −34% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $40,289 $40,289 +0% $49,839 −19% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $40,142 $40,142 +0% $81,706 −51% ≈131% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $39,822 $39,822 +0% $58,274 −32% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $39,644 $39,644 +0% $58,043 −32% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $39,606 $39,606 +0% $52,986 −25% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $38,709 $38,709 +0% $48,358 −20% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,646 $38,646 +0% $50,618 −24% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,581 $38,581 +0% $51,746 −25% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $38,454 $38,454 +0% $43,491 −12% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $38,281 $38,281 +0% $62,264 −39% ≈112% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,166 $38,363 −1% $44,546 −14% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,027 $55,830 −32% $52,405 −27% ≈121% of Medicare
263 VEIN LIGATION AND STRIPPING $38,005 $38,005 +0% $51,253 −26% —
849 RADIOTHERAPY $37,862 $37,862 +0% $37,862 +0% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $37,754 $37,754 +0% $47,945 −21% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $37,631 $37,631 +0% $44,222 −15% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $37,588 $37,588 +0% $48,687 −23% —
503 FOOT PROCEDURES WITH MCC $37,544 $37,544 +0% $47,540 −21% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $37,509 $37,509 +0% $41,422 −9% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $37,242 $37,242 +0% $54,929 −32% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $37,153 $37,153 +0% $46,453 −20% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $36,791 $36,791 +0% $45,167 −19% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $36,735 $36,735 +0% $52,178 −30% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $36,339 $36,339 +0% $38,878 −7% —
253 OTHER VASCULAR PROCEDURES WITH CC $36,329 $36,329 +0% $57,454 −37% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $36,267 $36,267 +0% $58,707 −38% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,097 $36,097 +0% $39,173 −8% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,990 $35,990 +0% $40,362 −11% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $35,964 $35,964 +0% $49,423 −27% —
164 MAJOR CHEST PROCEDURES WITH CC $35,862 $35,862 +0% $56,755 −37% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,694 $35,694 +0% $39,973 −11% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $35,670 $35,670 +0% $55,162 −35% —
397 APPENDIX PROCEDURES WITH MCC $35,353 $35,353 +0% $53,257 −34% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,224 $35,224 +0% $54,583 −35% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $34,988 $11,513 +204% $12,229 +186% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $34,970 $36,333 −4% $51,985 −33% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $34,708 $34,708 +0% $59,421 −42% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,586 $34,586 +0% $50,046 −31% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $34,487 $34,487 +0% $42,186 −18% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $34,357 $51,950 −34% $59,651 −42% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,307 $34,307 +0% $47,583 −28% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,307 $34,307 +0% $41,620 −18% —
248 NO ACTIVE CODE DESCRIPTION $34,146 $34,146 +0% $34,146 +0% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $34,039 $55,862 −39% $53,451 −36% ≈146% of Medicare
246 NO ACTIVE CODE DESCRIPTION $33,983 $33,983 +0% $33,983 +0% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $33,920 $37,343 −9% $50,624 −33% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $33,912 $33,912 +0% $40,548 −16% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,872 $71,920 −53% $59,500 −43% ≈116% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,823 $33,823 +0% $50,498 −33% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,546 $61,582 −46% $50,139 −33% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,308 $33,308 +0% $36,489 −9% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $33,237 $33,237 +0% $40,060 −17% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $33,209 $33,209 +0% $59,629 −44% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $33,155 $33,155 +0% $50,394 −34% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $32,969 $32,969 +0% $40,108 −18% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $32,919 $32,919 +0% $39,181 −16% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,829 $32,829 +0% $42,415 −23% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $32,773 $32,773 +0% $48,349 −32% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $32,719 $32,719 +0% $49,066 −33% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $32,604 $32,604 +0% $41,892 −22% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $32,504 $32,504 +0% $38,998 −17% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,503 $32,503 +0% $49,418 −34% —
113 ORBITAL PROCEDURES WITH CC/MCC $32,482 $32,482 +0% $36,167 −10% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,433 $49,705 −35% $50,011 −35% ≈117% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $32,423 $32,423 +0% $48,682 −33% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,385 $32,385 +0% $47,737 −32% —
709 PENIS PROCEDURES WITH CC/MCC $32,359 $32,359 +0% $34,535 −6% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,168 $32,168 +0% $47,789 −33% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $32,077 $32,077 +0% $45,866 −30% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $31,920 $31,920 +0% $46,283 −31% ≈135% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,740 $31,740 +0% $41,608 −24% —
935 NON-EXTENSIVE BURNS $31,701 $31,701 +0% $31,701 +0% —
906 HAND PROCEDURES FOR INJURIES $31,520 $31,520 +0% $32,065 −2% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $31,474 $35,375 −11% $45,333 −31% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,349 $31,349 +0% $42,901 −27% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $31,193 $31,193 +0% $45,877 −32% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,144 $32,631 −5% $38,666 −19% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $31,079 $31,079 +0% $37,267 −17% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $31,044 $31,044 +0% $31,044 +0% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $31,025 $31,025 +0% $38,070 −19% —
835 ACUTE LEUKEMIA WITH CC $30,915 $30,915 +0% $35,569 −13% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $30,914 $30,914 +0% $46,727 −34% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $30,912 $30,912 +0% $46,724 −34% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $30,860 $30,860 +0% $42,906 −28% —
333 RECTAL RESECTION WITH CC $30,778 $30,778 +0% $37,154 −17% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $30,721 $30,721 +0% $49,351 −38% —
595 MAJOR SKIN DISORDERS WITH MCC $30,646 $30,646 +0% $34,598 −11% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,609 $58,311 −48% $50,463 −39% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,598 $30,598 +0% $39,958 −23% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,598 $30,598 +0% $43,650 −30% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,555 $50,580 −40% $58,280 −48% ≈126% of Medicare
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $30,486 $30,486 +0% $42,795 −29% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $30,404 $30,404 +0% $46,066 −34% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $30,326 $30,326 +0% $33,851 −10% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $30,155 $30,155 +0% $43,174 −30% —
338 NO ACTIVE CODE DESCRIPTION $30,138 $30,138 +0% $30,138 +0% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,124 $48,834 −38% $52,751 −43% ≈123% of Medicare
592 SKIN ULCERS WITH MCC $29,882 $32,263 −7% $33,246 −10% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $29,767 $29,767 +0% $35,030 −15% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $29,518 $29,518 +0% $31,134 −5% —
539 OSTEOMYELITIS WITH MCC $29,443 $46,459 −37% $37,609 −22% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $29,374 $41,093 −29% $42,914 −32% —
548 SEPTIC ARTHRITIS WITH MCC $29,341 $29,341 +0% $31,346 −6% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $29,314 $29,314 +0% $32,031 −8% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $29,304 $29,304 +0% $46,090 −36% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $29,131 $29,131 +0% $44,363 −34% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $29,127 $40,019 −27% $43,943 −34% ≈127% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,109 $29,109 +0% $29,611 −2% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $29,012 $42,233 −31% $39,106 −26% ≈127% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,993 $28,993 +0% $36,249 −20% —
100 SEIZURES WITH MCC $28,961 $28,961 +0% $35,481 −18% ≈122% of Medicare
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $28,958 $28,958 +0% $32,574 −11% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,868 $28,868 +0% $43,913 −34% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,801 $28,801 +0% $43,800 −34% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,787 $28,787 +0% $44,139 −35% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,703 $28,703 +0% $43,631 −34% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $28,660 $37,479 −24% $35,628 −20% ≈127% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $28,648 $28,648 +0% $43,538 −34% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,621 $35,662 −20% $40,213 −29% ≈136% of Medicare
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $28,573 $63,565 −55% $39,955 −28% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $28,559 $28,559 +0% $29,524 −3% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $28,555 $28,555 +0% $38,861 −27% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $28,381 $28,381 +0% $43,080 −34% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $28,350 $28,350 +0% $37,240 −24% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,264 $45,184 −37% $42,881 −34% —
380 COMPLICATED PEPTIC ULCER WITH MCC $28,169 $28,169 +0% $39,627 −29% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,020 $28,020 +0% $34,459 −19% —
711 TESTES PROCEDURES WITH CC/MCC $27,991 $27,991 +0% $38,343 −27% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,823 $27,823 +0% $42,126 −34% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,823 $27,823 +0% $40,562 −31% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $27,767 $27,767 +0% $36,431 −24% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $27,729 $34,624 −20% $33,985 −18% ≈126% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $27,695 $27,695 +0% $33,255 −17% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $27,668 $31,093 −11% $37,844 −27% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,666 $56,690 −51% $50,607 −45% ≈137% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $27,664 $36,790 −25% $47,711 −42% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $27,647 $34,856 −21% $32,637 −15% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $27,401 $27,401 +0% $36,792 −26% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $27,387 $27,387 +0% $46,340 −41% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,287 $27,287 +0% $33,047 −17% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $27,276 $28,821 −5% $36,670 −26% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $27,256 $16,996 +60% $23,206 +17% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,152 $27,152 +0% $30,243 −10% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,058 $27,058 +0% $32,859 −18% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $26,986 $26,986 +0% $40,694 −34% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,921 $26,921 +0% $43,298 −38% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,909 $26,909 +0% $40,642 −34% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $26,903 $44,660 −40% $40,552 −34% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $26,875 $29,080 −8% $37,950 −29% —
919 COMPLICATIONS OF TREATMENT WITH MCC $26,862 $26,862 +0% $31,105 −14% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,853 $30,855 −13% $37,387 −28% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,794 $26,794 +0% $40,365 −34% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $26,792 $52,925 −49% $37,842 −29% ≈131% of Medicare
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $26,677 $26,677 +0% $32,433 −18% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $26,676 $26,676 +0% $58,809 −55% ≈125% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $26,617 $26,617 +0% $41,591 −36% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $26,590 $26,590 +0% $16,351 +63% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $26,510 $26,510 +0% $26,510 +0% —
501 SOFT TISSUE PROCEDURES WITH CC $26,358 $32,809 −20% $39,619 −33% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $26,308 $36,928 −29% $52,075 −49% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $26,307 $26,307 +0% $31,159 −16% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $26,296 $26,296 +0% $39,515 −33% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $26,242 $26,242 +0% $34,276 −23% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $26,206 $34,882 −25% $38,101 −31% —
199 PNEUMOTHORAX WITH MCC $26,106 $35,165 −26% $33,787 −23% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $26,007 $26,007 +0% $39,020 −33% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,006 $26,006 +0% $39,018 −33% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $25,994 $25,994 +0% $30,553 −15% —
509 ARTHROSCOPY $25,994 $25,994 +0% $25,994 +0% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,994 $25,994 +0% $33,386 −22% —
504 FOOT PROCEDURES WITH CC $25,972 $25,972 +0% $38,960 −33% —
505 FOOT PROCEDURES WITHOUT CC/MCC $25,972 $25,972 +0% $34,937 −26% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $25,923 $25,923 +0% $35,849 −28% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,899 $25,899 +0% $38,836 −33% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $25,881 $25,881 +0% $33,555 −23% —
180 RESPIRATORY NEOPLASMS WITH MCC $25,879 $56,813 −54% $36,658 −29% ≈123% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $25,761 $44,532 −42% $31,951 −19% ≈139% of Medicare
915 ALLERGIC REACTIONS WITH MCC $25,750 $38,632 −33% $32,645 −21% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,727 $25,727 +0% $32,443 −21% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $25,633 $25,633 +0% $29,826 −14% —
341 NO ACTIVE CODE DESCRIPTION $25,628 $25,628 +0% $25,628 +0% —
671 URETHRAL PROCEDURES WITH CC/MCC $25,566 $25,566 +0% $27,233 −6% —
075 VIRAL MENINGITIS WITH CC/MCC $25,549 $25,549 +0% $30,447 −16% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $25,466 $32,647 −22% $38,094 −33% —
551 MEDICAL BACK PROBLEMS WITH MCC $25,341 $25,341 +0% $34,017 −26% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $25,272 $40,492 −38% $43,477 −42% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $25,176 $25,176 +0% $32,944 −24% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,133 $25,133 +0% $29,079 −14% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $25,121 $25,121 +0% $31,563 −20% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $25,056 $34,766 −28% $34,273 −27% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $25,010 $25,010 +0% $32,496 −23% ≈123% of Medicare
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $24,928 $24,928 +0% $29,916 −17% —
571 SKIN DEBRIDEMENT WITH CC $24,925 $33,638 −26% $37,169 −33% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $24,871 $24,871 +0% $26,682 −7% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,869 $34,595 −28% $33,876 −27% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $24,851 $24,851 +0% $29,126 −15% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,846 $24,846 +0% $34,607 −28% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,787 $24,787 +0% $32,628 −24% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $24,771 $24,771 +0% $29,316 −16% —
334 RECTAL RESECTION WITHOUT CC/MCC $24,721 $24,721 +0% $36,820 −33% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,718 $42,173 −41% $44,606 −45% ≈139% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $24,704 $28,618 −14% $33,563 −26% ≈128% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $24,687 $39,887 −38% $34,192 −28% ≈125% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $24,622 $30,691 −20% $44,117 −44% ≈131% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $24,586 $24,586 +0% $25,197 −2% —
666 PROSTATECTOMY WITH CC $24,574 $24,574 +0% $31,906 −23% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $24,514 $43,292 −43% $35,831 −32% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $24,502 $24,502 +0% $36,445 −33% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $24,497 $32,707 −25% $30,828 −21% ≈130% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $24,475 $24,475 +0% $30,235 −19% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $24,458 $24,458 +0% $33,661 −27% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $24,448 $24,448 +0% $36,354 −33% —
157 DENTAL AND ORAL DISEASES WITH MCC $24,447 $24,447 +0% $31,300 −22% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $24,302 $24,302 +0% $27,633 −12% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,292 $24,292 +0% $28,202 −14% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $24,282 $24,282 +0% $27,617 −12% —
913 TRAUMATIC INJURY WITH MCC $24,198 $24,198 +0% $24,198 +0% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,189 $24,189 +0% $27,316 −11% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $24,174 $29,768 −19% $33,707 −28% ≈127% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $24,107 $24,107 +0% $35,770 −33% —
606 MINOR SKIN DISORDERS WITH MCC $24,094 $24,094 +0% $27,975 −14% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $24,061 $34,591 −30% $35,692 −33% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $23,998 $23,998 +0% $35,584 −33% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,921 $23,921 +0% $35,453 −33% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,902 $23,902 +0% $35,419 −33% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $23,876 $23,876 +0% $39,006 −39% —
945 REHABILITATION WITH CC/MCC $23,834 $23,834 +0% $23,834 +0% —
183 MAJOR CHEST TRAUMA WITH MCC $23,796 $23,796 +0% $29,933 −21% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,784 $43,631 −45% $41,955 −43% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $23,703 $44,678 −47% $35,074 −32% —
186 PLEURAL EFFUSION WITH MCC $23,701 $42,937 −45% $33,834 −30% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,658 $23,658 +0% $32,697 −28% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $23,602 $23,602 +0% $34,906 −32% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $23,560 $24,869 −5% $33,653 −30% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $23,545 $23,545 +0% $33,633 −30% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,510 $46,980 −50% $34,749 −32% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $23,475 $23,475 +0% $46,295 −49% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,326 $23,326 +0% $34,434 −32% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $23,307 $24,506 −5% $32,877 −29% —
813 COAGULATION DISORDERS $23,285 $23,285 +0% $33,296 −30% —
669 TRANSURETHRAL PROCEDURES WITH CC $23,279 $45,520 −49% $34,354 −32% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $23,263 $23,263 +0% $24,550 −5% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $23,257 $23,257 +0% $26,598 −13% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,254 $23,254 +0% $30,010 −23% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,118 $30,317 −24% $39,211 −41% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $23,065 $23,065 +0% $25,703 −10% —
663 MINOR BLADDER PROCEDURES WITH CC $23,018 $23,018 +0% $33,103 −30% —
533 FRACTURES OF FEMUR WITH MCC $22,986 $22,986 +0% $25,945 −11% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,893 $22,893 +0% $33,694 −32% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $22,882 $22,882 +0% $33,674 −32% —
398 APPENDIX PROCEDURES WITH CC $22,834 $46,799 −51% $40,162 −43% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $22,791 $22,791 +0% $30,770 −26% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $22,783 $22,783 +0% $33,454 −32% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,780 $23,620 −4% $29,221 −22% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,735 $22,735 +0% $33,424 −32% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $22,721 $22,721 +0% $36,505 −38% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $22,714 $35,669 −36% $36,253 −37% —
682 RENAL FAILURE WITH MCC $22,687 $26,063 −13% $29,064 −22% ≈134% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $22,681 $22,681 +0% $26,436 −14% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $22,664 $22,664 +0% $27,394 −17% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $22,651 $22,651 +0% $30,502 −26% —
506 MAJOR THUMB OR JOINT PROCEDURES $22,651 $22,651 +0% $30,557 −26% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,628 $23,427 −3% $24,586 −8% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $22,568 $22,568 +0% $33,393 −32% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,516 $27,059 −17% $33,048 −32% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,477 $22,477 +0% $28,140 −20% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $22,435 $22,435 +0% $36,988 −39% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $22,353 $8,330 +168% $8,445 +165% —
865 VIRAL ILLNESS WITH MCC $22,350 $22,350 +0% $26,910 −17% —
693 URINARY STONES WITH MCC $22,278 $22,278 +0% $23,892 −7% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,272 $31,484 −29% $30,571 −27% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,265 $22,265 +0% $25,073 −11% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $22,265 $22,265 +0% $26,463 −16% —
602 CELLULITIS WITH MCC $22,262 $33,339 −33% $30,598 −27% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $22,189 $39,254 −43% $29,743 −25% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $22,175 $22,175 +0% $31,170 −29% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $22,167 $22,167 +0% $32,451 −32% —
637 DIABETES WITH MCC $22,095 $35,028 −37% $30,100 −27% ≈128% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $22,077 $22,077 +0% $24,941 −11% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $21,986 $21,986 +0% $21,986 +0% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $21,961 $42,921 −49% $32,100 −32% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $21,908 $21,908 +0% $22,525 −3% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $21,873 $21,873 +0% $26,932 −19% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $21,795 $23,459 −7% $35,465 −39% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $21,793 $21,793 +0% $32,833 −34% —
247 NO ACTIVE CODE DESCRIPTION $21,663 $21,663 +0% $21,663 +0% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $21,642 $21,642 +0% $27,808 −22% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $21,615 $21,615 +0% $22,620 −4% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,563 $21,563 +0% $26,280 −18% —
088 CONCUSSION WITH MCC $21,503 $24,582 −13% $24,402 −12% —
885 PSYCHOSES $21,489 $21,489 +0% $21,729 −1% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $21,483 $40,840 −47% $30,959 −31% ≈133% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $21,454 $21,454 +0% $28,226 −24% ≈123% of Medicare
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $21,427 $21,427 +0% $39,887 −46% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,381 $21,381 +0% $22,393 −5% —
137 MOUTH PROCEDURES WITH CC/MCC $21,346 $22,342 −4% $27,861 −23% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,328 $21,328 +0% $31,017 −31% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $21,277 $21,277 +0% $27,119 −22% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,240 $21,240 +0% $27,285 −22% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,228 $21,228 +0% $25,094 −15% —
150 EPISTAXIS WITH MCC $21,133 $21,133 +0% $23,171 −9% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,022 $21,022 +0% $30,493 −31% —
139 SALIVARY GLAND PROCEDURES $21,014 $21,014 +0% $23,612 −11% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,980 $20,980 +0% $20,980 +0% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $20,978 $20,978 +0% $30,418 −31% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $20,875 $20,875 +0% $30,242 −31% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,782 $20,782 +0% $30,083 −31% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,766 $20,766 +0% $29,949 −31% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,702 $25,517 −19% $27,152 −24% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,672 $20,672 +0% $24,127 −14% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $20,619 $20,619 +0% $29,805 −31% —
249 NO ACTIVE CODE DESCRIPTION $20,610 $20,610 +0% $20,610 +0% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $20,586 $35,339 −42% $31,264 −34% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,513 $23,482 −13% $27,543 −26% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,497 $32,586 −37% $32,841 −38% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $20,455 $21,244 −4% $24,552 −17% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $20,430 $26,035 −22% $25,463 −20% ≈137% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $20,296 $27,853 −27% $27,275 −26% ≈133% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,295 $40,675 −50% $36,937 −45% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,217 $20,217 +0% $27,043 −25% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,145 $20,145 +0% $26,051 −23% —
291 HEART FAILURE AND SHOCK WITH MCC $20,129 $25,917 −22% $26,776 −25% ≈133% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,117 $20,117 +0% $21,894 −8% —
540 OSTEOMYELITIS WITH CC $19,990 $19,990 +0% $26,676 −25% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,945 $19,945 +0% $22,811 −13% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,930 $19,930 +0% $27,989 −29% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $19,916 $19,916 +0% $25,748 −23% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,911 $19,911 +0% $26,870 −26% —
947 SIGNS AND SYMPTOMS WITH MCC $19,887 $19,887 +0% $27,401 −27% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,865 $30,786 −35% $28,050 −29% ≈126% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $19,686 $19,686 +0% $19,686 +0% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,686 $19,686 +0% $23,498 −16% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,655 $32,858 −40% $28,156 −30% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,637 $19,637 +0% $28,125 −30% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,602 $25,218 −22% $27,426 −29% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,581 $19,581 +0% $22,320 −12% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,533 $19,533 +0% $27,947 −30% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,357 $19,357 +0% $27,297 −29% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,354 $19,354 +0% $19,354 +0% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $19,350 $19,350 +0% $22,851 −15% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $19,302 $23,438 −18% $20,727 −7% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,268 $19,268 +0% $22,458 −14% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,267 $19,267 +0% $28,320 −32% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,254 $25,933 −26% $26,580 −28% ≈136% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,183 $19,183 +0% $19,270 −0% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,169 $19,169 +0% $27,323 −30% —
375 DIGESTIVE MALIGNANCY WITH CC $19,141 $25,270 −24% $27,277 −30% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,132 $19,132 +0% $19,132 +0% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,075 $32,998 −42% $27,163 −30% —
593 SKIN ULCERS WITH CC $19,063 $19,063 +0% $22,886 −17% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,017 $19,017 +0% $25,581 −26% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,949 $18,949 +0% $26,948 −30% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,845 $27,247 −31% $26,770 −30% ≈130% of Medicare
549 SEPTIC ARTHRITIS WITH CC $18,835 $18,835 +0% $24,056 −22% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,752 $25,936 −28% $30,784 −39% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,707 $18,707 +0% $21,847 −14% —
887 OTHER MENTAL DISORDER DIAGNOSES $18,631 $18,631 +0% $20,616 −10% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,572 $18,572 +0% $25,712 −28% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,536 $18,536 +0% $19,598 −5% —
339 NO ACTIVE CODE DESCRIPTION $18,474 $18,474 +0% $18,474 +0% —
304 HYPERTENSION WITH MCC $18,442 $27,407 −33% $26,080 −29% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,383 $23,431 −22% $23,617 −22% ≈133% of Medicare
302 ATHEROSCLEROSIS WITH MCC $18,292 $18,292 +0% $22,446 −19% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,291 $18,291 +0% $19,412 −6% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,290 $18,290 +0% $23,443 −22% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $18,260 $18,721 −2% $21,230 −14% —
102 HEADACHES WITH MCC $18,243 $18,243 +0% $25,740 −29% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,220 $18,220 +0% $25,700 −29% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,191 $18,191 +0% $25,652 −29% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,133 $18,133 +0% $18,133 +0% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $18,038 $18,038 +0% $25,390 −29% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,021 $18,021 +0% $24,944 −28% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,973 $17,973 +0% $25,279 −29% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,967 $29,439 −39% $26,618 −33% —
152 OTITIS MEDIA AND URI WITH MCC $17,922 $25,161 −29% $20,247 −11% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $17,832 $22,344 −20% $24,566 −27% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,830 $31,799 −44% $25,034 −29% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $17,780 $29,734 −40% $31,321 −43% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,770 $32,208 −45% $24,386 −27% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $17,768 $17,768 +0% $19,815 −10% —
946 REHABILITATION WITHOUT CC/MCC $17,685 $17,685 +0% $17,685 +0% —
181 RESPIRATORY NEOPLASMS WITH CC $17,604 $17,604 +0% $23,573 −25% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $17,602 $17,602 +0% $18,459 −5% —
200 PNEUMOTHORAX WITH CC $17,568 $23,361 −25% $21,368 −18% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,544 $17,544 +0% $24,544 −29% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $17,505 $20,152 −13% $27,843 −37% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $17,483 $17,483 +0% $17,483 +0% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $17,398 $17,398 +0% $17,398 +0% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,354 $17,354 +0% $20,926 −17% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,337 $18,141 −4% $32,021 −46% ≈155% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $17,329 $35,404 −51% $24,177 −28% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,269 $20,434 −15% $23,319 −26% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,226 $17,226 +0% $17,226 +0% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,209 $21,024 −18% $22,314 −23% —
949 AFTERCARE WITH CC/MCC $17,198 $17,496 −2% $23,953 −28% —
598 MALIGNANT BREAST DISORDERS WITH CC $17,197 $17,197 +0% $19,073 −10% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $17,193 $17,193 +0% $17,193 +0% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $17,159 $17,159 +0% $18,956 −9% —
089 CONCUSSION WITH CC $17,109 $17,109 +0% $18,821 −9% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,089 $21,345 −20% $20,422 −16% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $17,079 $24,694 −31% $23,749 −28% —
712 TESTES PROCEDURES WITHOUT CC/MCC $17,076 $17,076 +0% $18,898 −10% —
184 MAJOR CHEST TRAUMA WITH CC $17,057 $17,057 +0% $22,432 −24% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $16,963 $25,280 −33% $23,551 −28% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,935 $34,268 −51% $24,914 −32% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,872 $20,656 −18% $23,488 −28% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,857 $16,857 +0% $20,232 −17% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,847 $16,847 +0% $19,657 −14% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,823 $16,823 +0% $22,763 −26% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,723 $23,404 −29% $23,141 −28% —
644 ENDOCRINE DISORDERS WITH CC $16,607 $33,038 −50% $23,198 −28% ≈146% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,575 $24,139 −31% $22,888 −28% ≈146% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,553 $25,590 −35% $22,850 −28% —
667 PROSTATECTOMY WITHOUT CC/MCC $16,534 $16,534 +0% $16,703 −1% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,518 $23,724 −30% $25,970 −36% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,495 $16,495 +0% $18,348 −10% —
342 NO ACTIVE CODE DESCRIPTION $16,487 $16,487 +0% $16,487 +0% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $16,434 $16,434 +0% $22,557 −27% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,431 $20,369 −19% $21,275 −23% ≈141% of Medicare
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,431 $23,439 −30% $17,601 −7% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $16,429 $29,044 −43% $22,506 −27% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,427 $16,427 +0% $22,635 −27% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $16,423 $19,086 −14% $20,901 −21% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,402 $28,716 −43% $25,303 −35% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,392 $30,153 −46% $23,940 −32% ≈137% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,382 $16,382 +0% $19,264 −15% —
920 COMPLICATIONS OF TREATMENT WITH CC $16,379 $18,678 −12% $22,468 −27% —
187 PLEURAL EFFUSION WITH CC $16,225 $21,455 −24% $21,789 −26% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,213 $16,213 +0% $17,737 −9% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,212 $16,212 +0% $16,212 +0% —
697 URETHRAL STRICTURE $16,196 $16,196 +0% $18,428 −12% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,171 $27,196 −41% $20,957 −23% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,146 $16,146 +0% $17,698 −9% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $16,076 $23,876 −33% $22,033 −27% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $16,070 $25,704 −37% $22,024 −27% ≈139% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $16,043 $16,043 +0% $21,941 −27% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,990 $31,081 −49% $22,098 −28% ≈133% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,986 $15,986 +0% $20,895 −23% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $15,901 $15,901 +0% $15,901 +0% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $15,890 $15,890 +0% $17,404 −9% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $15,808 $26,505 −40% $23,283 −32% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,741 $15,741 +0% $17,724 −11% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,734 $22,434 −30% $21,449 −27% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $15,703 $29,846 −47% $21,396 −27% ≈153% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,684 $21,531 −27% $21,363 −27% —
882 NEUROSES EXCEPT DEPRESSIVE $15,680 $15,680 +0% $15,680 +0% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,636 $15,636 +0% $17,733 −12% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,613 $20,957 −25% $23,571 −34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,610 $16,953 −8% $16,700 −7% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $15,603 $15,603 +0% $19,924 −22% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,598 $15,598 +0% $20,911 −25% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,591 $15,591 +0% $19,594 −20% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,589 $15,589 +0% $15,589 +0% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,547 $15,547 +0% $18,316 −15% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,411 $18,537 −17% $20,181 −24% ≈139% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $15,402 $26,461 −42% $18,466 −17% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,390 $15,390 +0% $17,934 −14% —
779 ABORTION WITHOUT D&C $15,327 $15,327 +0% $15,327 +0% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $15,311 $15,311 +0% $16,968 −10% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $15,217 $15,217 +0% $20,566 −26% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $15,183 $17,235 −12% $20,506 −26% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $15,172 $23,780 −36% $20,488 −26% ≈159% of Medicare
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $15,158 $29,965 −49% $20,463 −26% ≈150% of Medicare
101 SEIZURES WITHOUT MCC $15,157 $16,271 −7% $20,461 −26% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,153 $15,153 +0% $20,455 −26% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $15,121 $15,121 +0% $18,072 −16% —
638 DIABETES WITH CC $15,098 $24,114 −37% $19,661 −23% ≈153% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $15,094 $15,094 +0% $17,135 −12% —
914 TRAUMATIC INJURY WITHOUT MCC $15,088 $15,088 +0% $15,855 −5% —
881 DEPRESSIVE NEUROSES $15,058 $15,058 +0% $15,058 +0% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,039 $15,039 +0% $20,259 −26% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,950 $14,950 +0% $18,488 −19% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,937 $14,937 +0% $16,552 −10% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,849 $14,849 +0% $18,640 −20% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $14,795 $24,482 −40% $19,842 −25% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $14,778 $14,778 +0% $16,846 −12% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,776 $14,776 +0% $22,148 −33% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,770 $25,321 −42% $15,764 −6% —
683 RENAL FAILURE WITH CC $14,731 $22,590 −35% $19,130 −23% ≈143% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $14,678 $15,599 −6% $17,081 −14% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,675 $14,675 +0% $15,452 −5% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,668 $14,668 +0% $16,520 −11% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,654 $14,654 +0% $16,998 −14% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $14,644 $15,553 −6% $16,699 −12% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,635 $14,635 +0% $19,569 −25% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $14,627 $14,627 +0% $19,854 −26% —
603 CELLULITIS WITHOUT MCC $14,626 $21,536 −32% $18,530 −21% ≈153% of Medicare
541 OSTEOMYELITIS WITHOUT CC/MCC $14,549 $14,549 +0% $15,215 −4% —
312 SYNCOPE AND COLLAPSE $14,502 $23,071 −37% $19,342 −25% ≈154% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $14,480 $14,480 +0% $19,305 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $14,410 $14,410 +0% $15,889 −9% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $14,405 $19,342 −26% $18,602 −23% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $14,383 $14,383 +0% $19,138 −25% —
292 HEART FAILURE AND SHOCK WITH CC $14,372 $14,525 −1% $16,371 −12% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $14,358 $22,739 −37% $19,096 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $14,344 $25,666 −44% $18,807 −24% —
090 CONCUSSION WITHOUT CC/MCC $14,321 $14,321 +0% $15,412 −7% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $14,290 $14,290 +0% $14,290 +0% —
103 HEADACHES WITHOUT MCC $14,229 $25,397 −44% $21,280 −33% —
594 SKIN ULCERS WITHOUT CC/MCC $14,209 $14,209 +0% $14,209 +0% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,171 $18,430 −23% $20,084 −29% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,064 $14,064 +0% $14,064 +0% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,055 $14,055 +0% $14,055 +0% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,026 $17,028 −18% $18,528 −24% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $13,911 $13,911 +0% $17,298 −20% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,884 $19,121 −27% $19,846 −30% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,876 $17,047 −19% $15,370 −10% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,837 $25,653 −46% $18,204 −24% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,822 $13,822 +0% $14,501 −5% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,806 $26,578 −48% $18,150 −24% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $13,799 $18,855 −27% $17,118 −19% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,791 $26,542 −48% $18,126 −24% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,791 $24,781 −44% $18,126 −24% —
176 PULMONARY EMBOLISM WITHOUT MCC $13,765 $17,846 −23% $18,081 −24% —
534 FRACTURES OF FEMUR WITHOUT MCC $13,759 $23,132 −41% $17,559 −22% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,752 $19,558 −30% $19,119 −28% —
204 RESPIRATORY SIGNS AND SYMPTOMS $13,720 $13,720 +0% $18,004 −24% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $13,719 $21,255 −35% $18,002 −24% —
123 NEUROLOGICAL EYE DISORDERS $13,618 $13,618 +0% $19,745 −31% —
340 NO ACTIVE CODE DESCRIPTION $13,613 $13,613 +0% $13,613 +0% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $13,611 $22,694 −40% $17,674 −23% ≈149% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,602 $13,602 +0% $19,962 −32% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $13,602 $13,602 +0% $18,452 −26% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $13,598 $20,930 −35% $17,578 −23% ≈164% of Medicare
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $13,586 $13,586 +0% $13,586 +0% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $13,579 $16,134 −16% $21,056 −36% ≈158% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $13,542 $23,067 −41% $17,700 −23% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $13,506 $21,286 −37% $17,921 −25% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $13,445 $13,445 +0% $13,445 +0% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,438 $13,438 +0% $17,620 −24% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,385 $13,385 +0% $14,014 −4% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,336 $15,729 −15% $17,038 −22% ≈149% of Medicare
694 URINARY STONES WITHOUT MCC $13,336 $19,522 −32% $17,345 −23% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,321 $17,450 −24% $17,322 −23% ≈156% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,300 $13,317 −0% $15,428 −14% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $13,288 $13,288 +0% $17,124 −22% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,184 $15,583 −15% $14,648 −10% —
151 EPISTAXIS WITHOUT MCC $13,032 $13,119 −1% $13,032 +0% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,002 $20,636 −37% $16,776 −22% —
305 HYPERTENSION WITHOUT MCC $12,937 $17,880 −28% $18,086 −28% ≈163% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,931 $22,134 −42% $19,037 −32% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,919 $23,477 −45% $16,634 −22% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $12,903 $19,244 −33% $14,716 −12% —
149 DYSEQUILIBRIUM $12,896 $20,682 −38% $18,096 −29% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,895 $13,622 −5% $12,895 +0% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,879 $12,936 −0% $16,565 −22% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $12,855 $12,855 +0% $15,019 −14% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $12,811 $18,250 −30% $16,450 −22% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $12,789 $23,675 −46% $17,303 −26% ≈154% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,723 $12,723 +0% $14,514 −12% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,650 $12,650 +0% $12,768 −1% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $12,609 $12,609 +0% $16,767 −25% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,605 $23,571 −47% $19,227 −34% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $12,593 $12,593 +0% $12,593 +0% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,534 $12,534 +0% $12,559 −0% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,454 $12,978 −4% $12,454 +0% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,453 $15,223 −18% $15,837 −21% —
313 CHEST PAIN $12,453 $16,558 −25% $16,440 −24% ≈162% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $12,431 $12,822 −3% $14,583 −15% —
343 NO ACTIVE CODE DESCRIPTION $12,397 $12,397 +0% $12,397 +0% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $12,336 $12,336 +0% $12,336 +0% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,314 $19,436 −37% $15,600 −21% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,284 $12,284 +0% $15,549 −21% —
311 ANGINA PECTORIS $12,257 $12,257 +0% $15,502 −21% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,253 $12,253 +0% $15,495 −21% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,235 $13,136 −7% $12,252 −0% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,234 $12,234 +0% $12,460 −2% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,204 $12,204 +0% $14,797 −18% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,173 $12,173 +0% $14,689 −17% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,127 $19,759 −39% $20,781 −42% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,120 $12,120 +0% $14,415 −16% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,055 $12,055 +0% $13,651 −12% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,997 $11,997 +0% $11,997 +0% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,982 $19,308 −38% $14,053 −15% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,921 $11,921 +0% $14,549 −18% —
303 ATHEROSCLEROSIS WITHOUT MCC $11,921 $21,858 −45% $14,927 −20% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $11,909 $11,909 +0% $11,909 +0% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,894 $11,894 +0% $16,288 −27% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,847 $11,847 +0% $11,847 +0% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,813 $11,813 +0% $13,942 −15% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,755 $11,755 +0% $13,633 −14% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,752 $12,119 −3% $14,638 −20% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,594 $21,039 −45% $14,368 −19% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,501 $11,501 +0% $14,250 −19% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,458 $17,320 −34% $15,038 −24% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,454 $18,366 −38% $14,128 −19% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,421 $11,421 +0% $11,421 +0% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,355 $13,039 −13% $13,275 −14% —
639 DIABETES WITHOUT CC/MCC $11,327 $15,635 −28% $13,910 −19% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,294 $11,294 +0% $12,324 −8% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,276 $19,336 −42% $13,824 −18% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,177 $15,493 −28% $15,183 −26% —
684 RENAL FAILURE WITHOUT CC/MCC $11,077 $12,380 −11% $13,642 −19% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,071 $11,071 +0% $11,071 +0% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,975 $16,139 −32% $10,975 +0% —
950 AFTERCARE WITHOUT CC/MCC $10,801 $10,801 +0% $13,527 −20% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,563 $12,044 −12% $12,078 −13% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,553 $6,035 +75% $10,160 +4% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,480 $10,480 +0% $10,480 +0% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,456 $14,371 −27% $13,384 −22% ≈185% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,316 $10,878 −5% $12,999 −21% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,296 $17,752 −42% $13,361 −23% ≈174% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,940 $9,940 +0% $9,940 +0% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $8,927 $8,927 +0% $8,927 +0% —
795 NORMAL NEWBORN $5,787 $5,054 +15% $4,720 +23% —
765 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 +0% $5,336 +0% —
766 NO ACTIVE CODE DESCRIPTION $5,336 $5,336 +0% $5,336 +0% —
767 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 +0% $3,032 +0% —
774 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 +0% $3,032 +0% —
775 NO ACTIVE CODE DESCRIPTION $3,032 $3,032 +0% $3,032 +0% —
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