St. Luke's Health - Brazosport Hospital - Lake Jackson, 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 14 procedures, this hospital's negotiated rates average ≈126% 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% $498,715 −3% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $362,617 $362,617 +0% $431,073 −16% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $306,087 $237,026 +29% $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 $660,173 −58% $371,366 −25% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $184,103 $230,527 −20% $245,241 −25% —
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 $143,467 +8% $169,977 −9% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $142,952 $176,964 −19% $171,338 −17% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $139,842 $242,999 −42% $159,181 −12% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $139,148 $217,531 −36% $191,314 −27% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,630 $205,352 −33% $142,326 −3% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $127,148 $166,500 −24% $175,437 −28% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $121,563 $126,521 −4% $121,563 +0% —
231 CORONARY BYPASS WITH PTCA WITH MCC $112,178 $128,088 −12% $146,474 −23% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $112,119 $205,911 −46% $151,029 −26% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $110,483 $271,110 −59% $120,174 −8% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $106,929 $106,929 +0% $134,914 −21% —
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 $149,897 −31% $138,868 −25% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,814 $196,712 −48% $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 $122,950 −19% $120,587 −18% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $94,742 $197,408 −52% $121,728 −22% —
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 $226,137 −59% $138,008 −33% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $91,253 $91,253 +0% $105,612 −14% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,681 $193,374 −54% $114,914 −22% —
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 $89,662 −1% $118,589 −25% —
222 NO ACTIVE CODE DESCRIPTION $86,864 $86,864 +0% $86,864 +0% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $86,661 $210,247 −59% $116,058 −25% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $86,542 $209,912 −59% $121,714 −29% —
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 $91,449 −7% $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 $172,473 −52% $94,988 −13% —
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 $140,973 −42% $108,472 −24% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $82,102 $198,564 −59% $106,238 −23% —
028 SPINAL PROCEDURES WITH MCC $81,731 $82,145 −1% $95,858 −15% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $81,176 $85,518 −5% $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 $68,394 +18% $80,427 +0% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $80,075 $91,266 −12% $92,238 −13% —
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 $103,292 −25% $106,778 −28% —
653 MAJOR BLADDER PROCEDURES WITH MCC $75,310 $132,069 −43% $97,046 −22% —
459 NO ACTIVE CODE DESCRIPTION $75,251 $78,699 −4% $75,251 +0% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $74,709 $135,321 −45% $101,235 −26% —
834 ACUTE LEUKEMIA WITH MCC $74,709 $74,709 +0% $76,583 −2% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $74,414 $144,789 −49% $105,899 −30% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $73,986 $177,818 −58% $93,783 −21% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $73,455 $73,455 +0% $94,927 −23% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $73,103 $73,103 +0% $78,582 −7% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $73,038 $175,396 −58% $86,953 −16% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $73,030 $128,445 −43% $82,527 −12% —
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 $84,256 −14% $102,573 −30% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $71,776 $139,926 −49% $102,177 −30% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $69,912 $146,224 −52% $79,944 −13% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $69,695 $105,340 −34% $99,423 −30% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $69,206 $82,870 −16% $96,222 −28% —
454 NO ACTIVE CODE DESCRIPTION $69,101 $69,101 +0% $69,101 +0% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $69,008 $118,231 −42% $80,747 −15% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $68,473 $109,817 −38% $87,565 −22% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $68,095 $86,484 −21% $70,735 −4% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $68,045 $125,987 −46% $84,861 −20% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $68,020 $131,768 −48% $87,018 −22% —
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 $66,842 −1% $92,515 −28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $65,149 $148,272 −56% $88,691 −27% —
799 SPLENIC PROCEDURES WITH MCC $64,885 $99,427 −35% $78,821 −18% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $64,874 $154,549 −58% $86,390 −25% —
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% $80,885 −21% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $63,571 $77,461 −18% $91,329 −30% —
163 MAJOR CHEST PROCEDURES WITH MCC $63,017 $142,222 −56% $88,341 −29% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $62,992 $149,761 −58% $71,551 −12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,801 $99,711 −37% $90,331 −30% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $62,792 $149,263 −58% $88,050 −29% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $61,750 $108,235 −43% $72,859 −15% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $61,401 $115,941 −47% $76,954 −20% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $61,240 $91,417 −33% $88,307 −31% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $60,697 $73,266 −17% $68,847 −12% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $60,208 $75,038 −20% $75,585 −20% —
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 $138,656 −58% $82,561 −29% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $58,476 $132,154 −56% $88,049 −34% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $58,085 $59,066 −2% $60,098 −3% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $57,584 $57,584 +0% $68,659 −16% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $57,570 $57,570 +0% $72,945 −21% —
225 NO ACTIVE CODE DESCRIPTION $57,380 $49,712 +15% $57,380 +0% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $57,323 $26,990 +112% $16,719 +243% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $57,196 $79,695 −28% $83,065 −31% —
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% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $56,535 $56,535 +0% $66,853 −15% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $56,456 $133,390 −58% $73,029 −23% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $56,242 $81,319 −31% $56,242 +0% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $56,194 $81,851 −31% $81,998 −31% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $55,985 $89,456 −37% $72,011 −22% —
791 PREMATURITY WITH MAJOR PROBLEMS $55,887 $34,685 +61% $39,563 +41% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $54,898 $69,779 −21% $71,701 −23% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $54,862 $70,091 −22% $57,521 −5% —
652 KIDNEY TRANSPLANT $54,720 $54,720 +0% $54,720 +0% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $54,405 $72,886 −25% $68,006 −20% —
455 NO ACTIVE CODE DESCRIPTION $54,320 $61,694 −12% $54,320 +0% —
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 $126,680 −57% $75,492 −29% —
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% $72,908 −26% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $53,357 $100,268 −47% $62,961 −15% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $53,307 $53,307 +0% $55,097 −3% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $53,167 $98,765 −46% $72,782 −27% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $52,805 $90,791 −42% $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 $106,284 −51% $74,257 −30% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $51,761 $51,761 +0% $60,861 −15% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $50,550 $75,197 −33% $62,524 −19% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $50,222 $117,803 −57% $71,755 −30% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $49,721 $85,313 −42% $59,425 −16% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $49,718 $49,718 +0% $57,855 −14% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $49,711 $60,017 −17% $64,776 −23% —
265 AICD LEAD PROCEDURES $49,492 $49,492 +0% $56,695 −13% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $49,285 $115,433 −57% $70,540 −30% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $49,015 $95,906 −49% $62,404 −21% —
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 $89,410 −45% $56,964 −14% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $48,670 $76,345 −36% $68,399 −29% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,655 $71,969 −32% $65,383 −26% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $48,637 $48,637 +0% $59,207 −18% —
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 $49,651 −3% $49,065 −2% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $47,899 $73,695 −35% $71,014 −33% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $47,828 $58,702 −19% $62,269 −23% —
665 PROSTATECTOMY WITH MCC $47,758 $68,365 −30% $54,072 −12% —
252 OTHER VASCULAR PROCEDURES WITH MCC $47,717 $48,030 −1% $68,508 −30% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $47,649 $47,649 +0% $68,880 −31% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $47,403 $70,613 −33% $67,901 −30% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $47,218 $58,314 −19% $70,132 −33% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $46,760 $59,774 −22% $64,152 −27% —
037 EXTRACRANIAL PROCEDURES WITH MCC $46,296 $107,947 −57% $64,749 −28% —
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 $69,973 −35% $65,254 −30% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $45,498 $46,133 −1% $54,129 −16% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $45,479 $100,025 −55% $64,465 −29% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $44,977 $74,599 −40% $64,956 −31% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $44,783 $104,160 −57% $57,277 −22% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $44,663 $92,740 −52% $66,819 −33% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $44,584 $58,561 −24% $49,710 −10% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $44,472 $53,998 −18% $44,472 +0% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $44,389 $63,849 −30% $51,142 −13% —
500 SOFT TISSUE PROCEDURES WITH MCC $44,320 $44,320 +0% $57,479 −23% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $43,701 $92,812 −53% $65,573 −33% —
662 MINOR BLADDER PROCEDURES WITH MCC $43,683 $52,022 −16% $54,483 −20% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $43,510 $59,712 −27% $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 $92,233 −53% $65,216 −34% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $43,218 $48,636 −11% $53,817 −20% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $43,021 $80,266 −46% $53,555 −20% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $42,891 $83,214 −48% $63,475 −32% —
460 NO ACTIVE CODE DESCRIPTION $42,725 $83,613 −49% $50,815 −16% —
570 SKIN DEBRIDEMENT WITH MCC $42,263 $47,727 −11% $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 $70,888 −42% $54,313 −24% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $41,365 $95,604 −57% $63,984 −35% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $41,261 $68,262 −40% $60,140 −31% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,045 $51,424 −20% $47,277 −13% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $41,024 $94,746 −57% $67,764 −39% —
800 SPLENIC PROCEDURES WITH CC $41,012 $94,713 −57% $49,184 −17% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $40,991 $74,518 −45% $54,475 −25% —
472 CERVICAL SPINAL FUSION WITH CC $40,797 $51,075 −20% $59,537 −31% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $40,406 $70,782 −43% $58,968 −31% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $40,363 $40,363 +0% $56,758 −29% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $40,341 $93,036 −57% $53,551 −25% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $40,289 $74,112 −46% $49,055 −18% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $40,142 $92,538 −57% $74,274 −46% —
654 MAJOR BLADDER PROCEDURES WITH CC $39,822 $39,822 +0% $53,868 −26% —
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 $65,401 −39% $48,907 −19% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $38,709 $43,152 −10% $48,358 −20% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $38,646 $52,032 −26% $45,497 −15% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $38,581 $51,746 −25% $44,973 −14% —
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 $87,874 −56% $57,963 −34% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $38,166 $53,785 −29% $44,839 −15% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $38,027 $68,604 −45% $52,405 −27% —
263 VEIN LIGATION AND STRIPPING $38,005 $60,391 −37% $44,938 −15% —
849 RADIOTHERAPY $37,862 $41,538 −9% $37,862 +0% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $37,754 $46,335 −19% $45,432 −17% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $37,631 $37,631 +0% $40,947 −8% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $37,588 $86,138 −56% $45,290 −17% —
503 FOOT PROCEDURES WITH MCC $37,544 $44,309 −15% $43,901 −14% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $37,509 $59,215 −37% $40,277 −7% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $37,242 $44,566 −16% $54,929 −32% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $37,153 $49,325 −25% $43,697 −15% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $36,791 $36,791 +0% $41,703 −12% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $36,735 $43,248 −15% $48,094 −24% —
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 $69,497 −48% $53,746 −32% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $36,267 $51,898 −30% $57,149 −37% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,097 $47,944 −25% $36,097 +0% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $35,990 $41,070 −12% $39,657 −9% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $35,964 $38,751 −7% $46,659 −23% —
164 MAJOR CHEST PROCEDURES WITH CC $35,862 $58,838 −39% $53,141 −33% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $35,694 $35,694 +0% $39,409 −9% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $35,670 $54,107 −34% $55,162 −35% —
397 APPENDIX PROCEDURES WITH MCC $35,353 $49,342 −28% $52,319 −32% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,224 $46,399 −24% $52,332 −33% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $34,988 $9,520 +268% $11,633 +201% —
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 $76,642 −55% $54,824 −37% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $34,586 $75,392 −54% $46,591 −26% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $34,487 $37,070 −7% $40,065 −14% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $34,357 $73,345 −53% $56,394 −39% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $34,307 $50,472 −32% $47,583 −28% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,307 $58,037 −41% $39,093 −12% —
248 NO ACTIVE CODE DESCRIPTION $34,146 $31,821 +7% $34,146 +0% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $34,039 $64,932 −48% $52,313 −35% —
246 NO ACTIVE CODE DESCRIPTION $33,983 $33,983 +0% $33,983 +0% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $33,920 $71,589 −53% $50,624 −33% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $33,912 $42,818 −21% $40,548 −16% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,872 $76,837 −56% $58,832 −42% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $33,823 $58,221 −42% $47,546 −29% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $33,546 $76,015 −56% $50,139 −33% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $33,308 $33,308 +0% $36,237 −8% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $33,237 $36,879 −10% $36,080 −8% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $33,209 $60,574 −45% $51,339 −35% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $33,155 $59,086 −44% $49,631 −33% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $32,969 $32,969 +0% $37,080 −11% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $32,919 $61,278 −46% $36,334 −9% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $32,829 $39,849 −18% $39,253 −16% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $32,773 $32,773 +0% $43,586 −25% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $32,719 $32,719 +0% $46,430 −30% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $32,604 $32,604 +0% $37,064 −12% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $32,504 $68,425 −52% $38,998 −17% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $32,503 $52,027 −38% $44,989 −28% —
113 ORBITAL PROCEDURES WITH CC/MCC $32,482 $32,482 +0% $35,642 −9% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $32,433 $73,229 −56% $50,011 −35% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $32,423 $48,444 −33% $48,682 −33% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $32,385 $63,316 −49% $45,059 −28% —
709 PENIS PROCEDURES WITH CC/MCC $32,359 $32,777 −1% $34,535 −6% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $32,168 $32,168 +0% $44,053 −27% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $32,077 $59,227 −46% $45,818 −30% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $31,920 $49,397 −35% $44,600 −28% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $31,740 $31,740 +0% $38,382 −17% —
935 NON-EXTENSIVE BURNS $31,701 $31,701 +0% $29,458 +8% —
906 HAND PROCEDURES FOR INJURIES $31,520 $49,938 −37% $31,520 +0% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $31,474 $49,536 −36% $41,900 −25% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $31,349 $31,349 +0% $37,902 −17% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $31,193 $51,780 −40% $44,553 −30% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $31,144 $43,019 −28% $38,357 −19% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $31,079 $47,416 −34% $34,900 −11% —
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% $36,850 −16% —
835 ACUTE LEUKEMIA WITH CC $30,915 $31,659 −2% $35,569 −13% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $30,914 $45,049 −31% $40,232 −23% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $30,912 $35,340 −13% $45,622 −32% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $30,860 $67,278 −54% $37,654 −18% —
333 RECTAL RESECTION WITH CC $30,778 $61,029 −50% $34,352 −10% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $30,721 $52,001 −41% $46,477 −34% —
595 MAJOR SKIN DISORDERS WITH MCC $30,646 $42,247 −27% $31,785 −4% —
336 PERITONEAL ADHESIOLYSIS WITH CC $30,609 $68,668 −55% $49,470 −38% —
374 DIGESTIVE MALIGNANCY WITH MCC $30,598 $41,900 −27% $38,885 −21% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $30,598 $37,784 −19% $38,420 −20% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $30,555 $68,532 −55% $56,519 −46% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $30,486 $30,486 +0% $35,686 −15% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $30,404 $35,895 −15% $46,066 −34% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $30,326 $43,520 −30% $32,483 −7% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $30,155 $37,764 −20% $41,651 −28% —
338 NO ACTIVE CODE DESCRIPTION $30,138 $23,532 +28% $30,138 +0% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $30,124 $66,292 −55% $51,172 −41% —
592 SKIN ULCERS WITH MCC $29,882 $32,263 −7% $32,662 −9% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $29,767 $48,230 −38% $34,089 −13% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $29,518 $26,492 +11% $30,661 −4% —
539 OSTEOMYELITIS WITH MCC $29,443 $46,459 −37% $33,746 −13% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $29,374 $43,181 −32% $41,660 −29% —
548 SEPTIC ARTHRITIS WITH MCC $29,341 $43,438 −32% $31,019 −5% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $29,314 $32,258 −9% $30,940 −5% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $29,304 $39,148 −25% $45,817 −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 $63,641 −54% $43,524 −33% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,109 $21,210 +37% $29,109 +0% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $29,012 $62,477 −54% $35,714 −19% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $28,993 $44,679 −35% $35,139 −17% —
100 SEIZURES WITH MCC $28,961 $28,961 +0% $35,194 −18% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $28,958 $39,682 −27% $29,633 −2% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $28,868 $48,286 −40% $43,398 −33% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $28,801 $31,221 −8% $43,800 −34% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $28,787 $41,744 −31% $43,775 −34% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,703 $34,890 −18% $41,520 −31% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $28,660 $58,326 −51% $35,237 −19% ≈119% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $28,648 $39,653 −28% $43,538 −34% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $28,621 $48,152 −41% $36,933 −23% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $28,573 $65,883 −57% $35,014 −18% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $28,559 $33,892 −16% $29,524 −3% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $28,555 $30,041 −5% $33,050 −14% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $28,381 $63,080 −55% $43,080 −34% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $28,350 $38,564 −26% $36,202 −22% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,264 $55,994 −50% $42,881 −34% —
380 COMPLICATED PEPTIC ULCER WITH MCC $28,169 $43,397 −35% $36,641 −23% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $28,020 $53,102 −47% $33,165 −16% —
711 TESTES PROCEDURES WITH CC/MCC $27,991 $62,108 −55% $34,852 −20% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $27,823 $61,679 −55% $42,126 −34% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $27,823 $27,823 +0% $35,459 −22% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $27,767 $61,539 −55% $36,280 −23% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $27,729 $58,714 −53% $32,399 −14% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $27,695 $35,004 −21% $32,204 −14% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $27,668 $57,163 −52% $32,981 −16% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $27,666 $61,292 −55% $49,197 −44% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $27,664 $55,658 −50% $45,963 −40% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $27,647 $43,199 −36% $30,766 −10% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $27,401 $38,050 −28% $35,114 −22% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $27,387 $43,221 −37% $41,380 −34% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,287 $47,693 −43% $30,974 −12% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $27,276 $58,041 −53% $32,538 −16% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $27,256 $13,949 +95% $22,698 +20% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,152 $47,335 −43% $29,609 −8% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $27,058 $30,298 −11% $30,394 −11% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $26,986 $31,143 −13% $40,694 −34% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $26,921 $33,998 −21% $40,583 −34% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $26,909 $43,017 −37% $40,563 −34% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $26,903 $59,378 −55% $40,552 −34% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $26,875 $42,406 −37% $37,950 −29% —
919 COMPLICATIONS OF TREATMENT WITH MCC $26,862 $47,893 −44% $29,031 −7% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,853 $35,990 −25% $36,375 −26% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $26,794 $42,949 −38% $36,597 −27% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $26,792 $58,617 −54% $37,842 −29% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $26,677 $32,249 −17% $29,476 −9% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $26,676 $58,809 −55% $54,772 −51% ≈125% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $26,617 $31,646 −16% $40,063 −34% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $26,590 $17,621 +51% $14,284 +86% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $26,510 $23,689 +12% $24,836 +7% —
501 SOFT TISSUE PROCEDURES WITH CC $26,358 $57,633 −54% $37,975 −31% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $26,308 $57,889 −55% $48,680 −46% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $26,307 $34,027 −23% $30,275 −13% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $26,296 $27,713 −5% $33,564 −22% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $26,242 $32,141 −18% $31,909 −18% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $26,206 $49,708 −47% $36,242 −28% —
199 PNEUMOTHORAX WITH MCC $26,106 $56,291 −54% $31,491 −17% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $26,007 $46,747 −44% $35,673 −27% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $26,006 $36,428 −29% $39,018 −33% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $25,994 $29,558 −12% $29,558 −12% —
509 ARTHROSCOPY $25,994 $25,994 +0% $25,994 +0% —
597 MALIGNANT BREAST DISORDERS WITH MCC $25,994 $48,535 −46% $31,846 −18% —
504 FOOT PROCEDURES WITH CC $25,972 $39,139 −34% $36,598 −29% —
505 FOOT PROCEDURES WITHOUT CC/MCC $25,972 $26,653 −3% $31,716 −18% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $25,923 $37,057 −30% $34,264 −24% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,899 $51,021 −49% $38,836 −33% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $25,881 $29,160 −11% $31,758 −19% —
180 RESPIRATORY NEOPLASMS WITH MCC $25,879 $58,269 −56% $36,658 −29% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $25,761 $46,828 −45% $30,814 −16% —
915 ALLERGIC REACTIONS WITH MCC $25,750 $47,831 −46% $30,944 −17% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,727 $41,021 −37% $32,839 −22% —
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 $30,536 −16% $29,853 −14% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $25,466 $33,413 −24% $38,094 −33% —
551 MEDICAL BACK PROBLEMS WITH MCC $25,341 $42,807 −41% $31,086 −18% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $25,272 $55,298 −54% $43,266 −42% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $25,176 $27,241 −8% $29,729 −15% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,133 $25,133 +0% $28,578 −12% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $25,121 $52,248 −52% $29,409 −15% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $25,056 $40,821 −39% $31,128 −20% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $25,010 $30,058 −17% $30,058 −17% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $24,928 $24,928 +0% $29,916 −17% —
571 SKIN DEBRIDEMENT WITH CC $24,925 $37,792 −34% $34,901 −29% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $24,871 $24,871 +0% $25,208 −1% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $24,869 $43,894 −43% $33,607 −26% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $24,851 $21,347 +16% $28,103 −12% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $24,846 $35,273 −30% $30,930 −20% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $24,787 $39,072 −37% $32,502 −24% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $24,771 $39,406 −37% $27,548 −10% —
334 RECTAL RESECTION WITHOUT CC/MCC $24,721 $27,809 −11% $32,213 −23% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $24,718 $53,913 −54% $42,119 −41% —
643 ENDOCRINE DISORDERS WITH MCC $24,704 $44,725 −45% $32,996 −25% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $24,687 $44,413 −44% $32,689 −24% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $24,622 $51,792 −52% $44,117 −44% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $24,586 $15,436 +59% $25,197 −2% —
666 PROSTATECTOMY WITH CC $24,574 $53,546 −54% $30,016 −18% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $24,514 $53,393 −54% $31,566 −22% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $24,502 $28,886 −15% $28,634 −14% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $24,497 $49,043 −50% $28,967 −15% ≈130% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $24,475 $35,486 −31% $28,134 −13% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $24,458 $49,765 −51% $30,910 −21% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $24,448 $37,991 −36% $36,333 −33% —
157 DENTAL AND ORAL DISEASES WITH MCC $24,447 $42,077 −42% $27,457 −11% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $24,302 $24,302 +0% $24,465 −1% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $24,292 $32,009 −24% $27,168 −11% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $24,282 $24,282 +0% $26,020 −7% —
913 TRAUMATIC INJURY WITH MCC $24,198 $35,934 −33% $24,198 +0% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $24,189 $24,189 +0% $25,731 −6% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $24,174 $47,454 −49% $31,840 −24% —
038 EXTRACRANIAL PROCEDURES WITH CC $24,107 $52,372 −54% $35,770 −33% —
606 MINOR SKIN DISORDERS WITH MCC $24,094 $27,528 −12% $25,434 −5% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $24,061 $52,262 −54% $35,692 −33% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $23,998 $43,744 −45% $35,584 −33% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $23,921 $44,265 −46% $35,453 −33% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $23,902 $38,514 −38% $33,984 −30% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $23,876 $40,079 −40% $35,375 −33% —
945 REHABILITATION WITH CC/MCC $23,834 $23,834 +0% $23,834 +0% —
183 MAJOR CHEST TRAUMA WITH MCC $23,796 $37,213 −36% $28,924 −18% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,784 $51,569 −54% $39,747 −40% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $23,703 $51,365 −54% $33,490 −29% —
186 PLEURAL EFFUSION WITH MCC $23,701 $51,361 −54% $32,468 −27% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,658 $23,658 +0% $29,371 −19% —
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 $51,010 −54% $32,936 −28% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $23,545 $43,611 −46% $31,059 −24% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,510 $50,184 −53% $32,490 −28% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $23,475 $50,793 −54% $41,380 −43% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $23,326 $50,419 −54% $34,434 −32% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $23,307 $24,506 −5% $28,646 −19% —
813 COAGULATION DISORDERS $23,285 $44,051 −47% $30,128 −23% —
669 TRANSURETHRAL PROCEDURES WITH CC $23,279 $50,305 −54% $34,354 −32% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $23,263 $23,263 +0% $24,036 −3% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $23,257 $23,257 +0% $25,484 −9% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $23,254 $26,548 −12% $28,252 −18% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,118 $49,899 −54% $36,239 −36% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $23,065 $25,262 −9% $24,879 −7% —
663 MINOR BLADDER PROCEDURES WITH CC $23,018 $39,409 −42% $29,924 −23% —
533 FRACTURES OF FEMUR WITH MCC $22,986 $49,567 −54% $25,945 −11% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $22,893 $36,115 −37% $33,694 −32% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $22,882 $42,641 −46% $30,972 −26% —
398 APPENDIX PROCEDURES WITH CC $22,834 $49,193 −54% $39,107 −42% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $22,791 $24,260 −6% $24,229 −6% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $22,783 $31,822 −28% $27,279 −16% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $22,780 $38,356 −41% $28,375 −20% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $22,735 $42,680 −47% $33,424 −32% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $22,721 $48,914 −54% $33,792 −33% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $22,714 $48,888 −54% $35,528 −36% —
682 RENAL FAILURE WITH MCC $22,687 $38,760 −41% $27,854 −19% ≈129% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $22,681 $23,485 −3% $23,814 −5% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $22,664 $46,575 −51% $25,854 −12% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $22,651 $46,151 −51% $29,484 −23% —
506 MAJOR THUMB OR JOINT PROCEDURES $22,651 $25,946 −13% $28,983 −22% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $22,628 $26,161 −14% $24,450 −7% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $22,568 $45,698 −51% $33,137 −32% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,516 $48,410 −53% $31,062 −28% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $22,477 $38,950 −42% $28,140 −20% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $22,435 $48,189 −53% $32,911 −32% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $22,353 $8,330 +168% $7,961 +181% —
865 VIRAL ILLNESS WITH MCC $22,350 $29,325 −24% $26,088 −14% —
693 URINARY STONES WITH MCC $22,278 $22,278 +0% $22,525 −1% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,272 $34,816 −36% $28,780 −23% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,265 $47,763 −53% $25,152 −11% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $22,265 $22,265 +0% $25,786 −14% —
602 CELLULITIS WITH MCC $22,262 $41,052 −46% $29,347 −24% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $22,189 $44,483 −50% $29,211 −24% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $22,175 $34,857 −36% $25,149 −12% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $22,167 $38,609 −43% $32,451 −32% —
637 DIABETES WITH MCC $22,095 $39,978 −45% $28,819 −23% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $22,077 $34,298 −36% $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 $47,002 −53% $29,663 −26% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $21,908 $31,755 −31% $22,525 −3% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $21,873 $32,980 −34% $25,243 −13% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $21,795 $44,354 −51% $31,816 −31% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $21,793 $22,592 −4% $31,812 −31% —
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% $25,010 −13% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $21,615 $21,615 +0% $21,615 +0% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $21,563 $37,241 −42% $23,734 −9% —
088 CONCUSSION WITH MCC $21,503 $44,167 −51% $24,402 −12% —
885 PSYCHOSES $21,489 $22,469 −4% $21,489 +0% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $21,483 $45,806 −53% $29,757 −28% —
811 RED BLOOD CELL DISORDERS WITH MCC $21,454 $39,626 −46% $27,934 −23% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $21,427 $45,663 −53% $35,542 −40% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $21,381 $34,326 −38% $24,452 −13% —
137 MOUTH PROCEDURES WITH CC/MCC $21,346 $29,348 −27% $24,348 −12% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $21,328 $39,954 −47% $30,006 −29% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $21,277 $25,579 −17% $25,666 −17% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,240 $31,933 −33% $24,118 −12% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $21,228 $21,228 +0% $24,561 −14% —
150 EPISTAXIS WITH MCC $21,133 $21,133 +0% $21,133 +0% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,022 $21,022 +0% $29,050 −28% —
139 SALIVARY GLAND PROCEDURES $21,014 $21,014 +0% $21,014 +0% —
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 $44,541 −53% $30,418 −31% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $20,875 $41,513 −50% $24,980 −16% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,782 $44,047 −53% $29,374 −29% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,766 $32,387 −36% $28,527 −27% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $20,702 $34,876 −41% $27,118 −24% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,672 $32,502 −36% $23,723 −13% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $20,619 $32,168 −36% $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 $43,556 −53% $30,358 −32% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,513 $34,683 −41% $25,426 −19% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $20,497 $43,335 −53% $31,978 −36% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $20,455 $39,831 −49% $23,350 −12% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $20,430 $33,833 −40% $24,480 −17% ≈117% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $20,296 $35,026 −42% $26,158 −22% ≈117% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,295 $42,832 −53% $34,887 −42% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,217 $36,697 −45% $23,115 −13% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $20,145 $30,239 −33% $23,956 −16% —
291 HEART FAILURE AND SHOCK WITH MCC $20,129 $32,698 −38% $25,020 −20% ≈116% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $20,117 $20,117 +0% $21,029 −4% —
540 OSTEOMYELITIS WITH CC $19,990 $19,990 +0% $23,494 −15% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,945 $30,692 −35% $22,811 −13% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,930 $13,257 +50% $23,920 −17% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $19,916 $35,632 −44% $23,924 −17% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $19,911 $21,306 −7% $24,316 −18% —
947 SIGNS AND SYMPTOMS WITH MCC $19,887 $32,843 −39% $25,474 −22% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $19,865 $38,140 −48% $27,244 −27% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $19,686 $31,874 −38% $19,686 +0% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,686 $19,686 +0% $22,275 −12% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $19,655 $39,906 −51% $28,156 −30% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,637 $38,044 −48% $25,623 −23% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $19,602 $35,114 −44% $26,634 −26% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,581 $35,336 −45% $19,894 −2% —
348 ANAL AND STOMAL PROCEDURES WITH CC $19,533 $29,376 −34% $27,947 −30% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $19,357 $28,324 −32% $26,146 −26% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $19,354 $21,962 −12% $19,354 +0% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $19,350 $37,976 −49% $21,860 −11% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $19,302 $40,345 −52% $20,727 −7% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,268 $39,491 −51% $22,032 −13% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,267 $29,425 −35% $27,492 −30% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $19,254 $40,228 −52% $25,704 −25% ≈128% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $19,183 $40,042 −52% $20,147 −5% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $19,169 $30,727 −38% $27,321 −30% —
375 DIGESTIVE MALIGNANCY WITH CC $19,141 $33,697 −43% $27,219 −30% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $19,132 $18,573 +3% $19,132 +0% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $19,075 $36,543 −48% $26,322 −28% —
593 SKIN ULCERS WITH CC $19,063 $27,293 −30% $20,470 −7% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,017 $25,581 −26% $23,588 −19% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $18,949 $23,297 −19% $23,297 −19% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $18,845 $39,204 −52% $26,488 −29% —
549 SEPTIC ARTHRITIS WITH CC $18,835 $27,124 −31% $20,938 −10% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,752 $37,079 −49% $27,369 −31% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,707 $38,849 −52% $20,421 −8% —
887 OTHER MENTAL DISORDER DIAGNOSES $18,631 $18,631 +0% $20,602 −10% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $18,572 $35,255 −47% $20,842 −11% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $18,536 $25,952 −29% $19,598 −5% —
339 NO ACTIVE CODE DESCRIPTION $18,474 $18,474 +0% $18,474 +0% —
304 HYPERTENSION WITH MCC $18,442 $33,511 −45% $24,185 −24% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,383 $29,922 −39% $22,982 −20% ≈127% of Medicare
302 ATHEROSCLEROSIS WITH MCC $18,292 $18,292 +0% $20,844 −12% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,291 $37,809 −52% $18,291 +0% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,290 $22,625 −19% $21,062 −13% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $18,260 $30,313 −40% $22,532 −19% —
102 HEADACHES WITH MCC $18,243 $25,386 −28% $22,544 −19% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $18,220 $32,249 −44% $24,202 −25% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,191 $37,559 −52% $25,307 −28% —
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 $32,060 −44% $25,390 −29% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $18,021 $35,346 −49% $24,432 −26% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,973 $24,106 −25% $24,452 −26% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,967 $37,000 −51% $25,267 −29% —
152 OTITIS MEDIA AND URI WITH MCC $17,922 $36,209 −51% $19,795 −9% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $17,832 $23,928 −25% $20,741 −14% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,830 $36,655 −51% $24,017 −26% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $17,780 $36,541 −51% $30,314 −41% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,770 $36,515 −51% $24,190 −27% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $17,768 $17,768 +0% $19,317 −8% —
946 REHABILITATION WITHOUT CC/MCC $17,685 $14,074 +26% $17,685 +0% —
181 RESPIRATORY NEOPLASMS WITH CC $17,604 $20,728 −15% $22,431 −22% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $17,602 $27,057 −35% $18,459 −5% —
200 PNEUMOTHORAX WITH CC $17,568 $35,999 −51% $20,573 −15% —
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 $35,839 −51% $25,162 −30% —
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 $18,873 −8% $19,868 −13% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,337 $35,420 −51% $31,190 −44% —
381 COMPLICATED PEPTIC ULCER WITH CC $17,329 $36,066 −52% $24,177 −28% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $17,269 $34,380 −50% $21,806 −21% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $17,226 $17,226 +0% $17,226 +0% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $17,209 $35,101 −51% $18,126 −5% —
949 AFTERCARE WITH CC/MCC $17,198 $35,072 −51% $23,953 −28% —
598 MALIGNANT BREAST DISORDERS WITH CC $17,197 $19,410 −11% $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% $17,943 −4% —
089 CONCUSSION WITH CC $17,109 $17,109 +0% $18,293 −6% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $17,089 $21,345 −20% $19,579 −13% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $17,079 $32,129 −47% $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 $22,961 −26% $20,842 −18% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $16,963 $33,422 −49% $23,496 −28% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,935 $34,419 −51% $24,136 −30% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,872 $34,256 −51% $23,396 −28% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,857 $34,217 −51% $18,478 −9% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,847 $16,847 +0% $17,550 −4% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $16,823 $19,845 −15% $22,231 −24% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,723 $30,961 −46% $23,141 −28% —
644 ENDOCRINE DISORDERS WITH CC $16,607 $33,596 −51% $22,941 −28% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,575 $33,283 −50% $22,781 −27% ≈120% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,553 $32,046 −48% $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 $33,372 −51% $24,022 −31% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,495 $16,495 +0% $16,495 +0% —
342 NO ACTIVE CODE DESCRIPTION $16,487 $16,487 +0% $19,454 −15% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $16,434 $31,343 −48% $22,557 −27% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,431 $33,151 −50% $20,732 −21% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,431 $33,151 −50% $16,571 −1% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $16,429 $30,669 −46% $21,545 −24% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,427 $27,641 −41% $20,080 −18% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $16,423 $31,637 −48% $19,091 −14% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $16,402 $33,079 −50% $22,713 −28% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,392 $33,060 −50% $23,469 −30% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $16,382 $23,388 −30% $18,017 −9% —
920 COMPLICATIONS OF TREATMENT WITH CC $16,379 $33,021 −50% $21,181 −23% —
187 PLEURAL EFFUSION WITH CC $16,225 $21,455 −24% $21,467 −24% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $16,213 $18,918 −14% $17,078 −5% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $16,212 $32,602 −50% $16,212 +0% —
697 URETHRAL STRICTURE $16,196 $16,196 +0% $17,705 −9% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,171 $32,504 −50% $20,007 −19% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,146 $16,146 +0% $17,434 −7% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $16,076 $29,842 −46% $20,968 −23% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $16,070 $32,081 −50% $22,024 −27% —
197 INTERSTITIAL LUNG DISEASE WITH CC $16,043 $22,609 −29% $20,106 −20% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $15,990 $32,061 −50% $21,886 −27% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,986 $20,528 −22% $18,282 −13% —
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% $15,890 +0% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $15,808 $35,205 −55% $22,560 −30% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,741 $19,597 −20% $17,273 −9% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,734 $31,408 −50% $21,449 −27% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $15,703 $31,330 −50% $21,213 −26% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,684 $31,282 −50% $20,777 −25% —
882 NEUROSES EXCEPT DEPRESSIVE $15,680 $15,680 +0% $15,680 +0% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,636 $15,636 +0% $15,636 +0% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $15,613 $34,116 −54% $23,571 −34% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $15,610 $16,953 −8% $16,418 −5% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $15,603 $31,077 −50% $18,191 −14% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,598 $17,727 −12% $20,371 −23% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $15,591 $24,389 −36% $19,326 −19% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,589 $17,100 −9% $15,589 +0% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,547 $30,937 −50% $18,428 −16% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $15,411 $28,002 −45% $18,918 −19% —
158 DENTAL AND ORAL DISEASES WITH CC $15,402 $30,573 −50% $17,700 −13% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,390 $17,209 −11% $17,108 −10% —
779 ABORTION WITHOUT D&C $15,327 $17,738 −14% $15,327 +0% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $15,311 $20,543 −25% $16,642 −8% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $15,217 $25,975 −41% $18,608 −18% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $15,183 $19,287 −21% $19,287 −21% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $15,172 $29,514 −49% $20,488 −26% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $15,158 $30,579 −50% $20,463 −26% ≈125% of Medicare
101 SEIZURES WITHOUT MCC $15,157 $20,289 −25% $19,954 −24% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,153 $29,949 −49% $20,309 −25% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $15,121 $29,871 −49% $16,352 −8% —
638 DIABETES WITH CC $15,098 $27,005 −44% $18,821 −20% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $15,094 $18,601 −19% $15,474 −2% —
914 TRAUMATIC INJURY WITHOUT MCC $15,088 $21,714 −31% $15,593 −3% —
881 DEPRESSIVE NEUROSES $15,058 $15,058 +0% $15,058 +0% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,039 $26,342 −43% $17,585 −14% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,950 $20,900 −28% $17,731 −16% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,937 $14,937 +0% $15,077 −1% —
864 FEVER AND INFLAMMATORY CONDITIONS $14,849 $14,849 +0% $17,412 −15% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $14,795 $24,482 −40% $18,803 −21% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $14,778 $22,506 −34% $17,103 −14% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,776 $29,009 −49% $21,261 −31% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,770 $28,993 −49% $15,764 −6% —
683 RENAL FAILURE WITH CC $14,731 $26,850 −45% $18,620 −21% ≈130% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $14,678 $24,453 −40% $16,391 −10% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,675 $15,538 −6% $15,045 −2% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,668 $23,796 −38% $15,869 −8% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,654 $19,044 −23% $15,608 −6% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $14,644 $18,461 −21% $16,049 −9% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $14,635 $21,624 −32% $19,569 −25% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $14,627 $25,515 −43% $19,854 −26% —
603 CELLULITIS WITHOUT MCC $14,626 $26,407 −45% $18,530 −21% —
541 OSTEOMYELITIS WITHOUT CC/MCC $14,549 $21,919 −34% $14,549 +0% —
312 SYNCOPE AND COLLAPSE $14,502 $28,324 −49% $19,342 −25% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $14,480 $26,184 −45% $19,305 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $14,410 $14,410 +0% $15,284 −6% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $14,405 $22,948 −37% $17,367 −17% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $14,383 $16,156 −11% $16,156 −11% —
292 HEART FAILURE AND SHOCK WITH CC $14,372 $23,340 −38% $16,212 −11% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $14,358 $27,856 −48% $19,096 −25% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $14,344 $27,927 −49% $18,278 −22% —
090 CONCUSSION WITHOUT CC/MCC $14,321 $27,428 −48% $14,873 −4% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $14,290 $17,587 −19% $14,290 +0% —
103 HEADACHES WITHOUT MCC $14,229 $27,638 −49% $20,111 −29% —
594 SKIN ULCERS WITHOUT CC/MCC $14,209 $15,334 −7% $14,209 +0% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $14,171 $29,419 −52% $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 $16,204 −13% $14,055 +0% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,026 $27,131 −48% $18,253 −23% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $13,911 $15,300 −9% $15,876 −12% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,884 $27,571 −50% $19,815 −30% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,876 $20,031 −31% $15,370 −10% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,837 $26,656 −48% $18,204 −24% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,822 $16,636 −17% $13,822 +0% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,806 $29,643 −53% $18,150 −24% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $13,799 $23,808 −42% $16,837 −18% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,791 $27,480 −50% $17,715 −22% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $13,791 $24,781 −44% $17,928 −23% —
176 PULMONARY EMBOLISM WITHOUT MCC $13,765 $26,477 −48% $18,081 −24% —
534 FRACTURES OF FEMUR WITHOUT MCC $13,759 $26,458 −48% $17,195 −20% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $13,752 $26,445 −48% $17,383 −21% —
204 RESPIRATORY SIGNS AND SYMPTOMS $13,720 $22,897 −40% $16,866 −19% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $13,719 $26,360 −48% $18,002 −24% —
123 NEUROLOGICAL EYE DISORDERS $13,618 $24,612 −45% $17,831 −24% —
340 NO ACTIVE CODE DESCRIPTION $13,613 $13,613 +0% $16,240 −16% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $13,611 $23,926 −43% $17,466 −22% ≈126% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,602 $28,547 −52% $19,001 −28% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $13,602 $15,335 −11% $18,238 −25% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $13,598 $26,061 −48% $17,388 −22% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $13,586 $10,073 +35% $13,586 +0% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $13,579 $26,012 −48% $20,278 −33% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $13,542 $25,622 −47% $17,700 −23% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $13,506 $25,630 −47% $17,727 −24% —
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 $21,855 −39% $17,522 −23% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,385 $25,521 −48% $13,385 +0% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,336 $21,239 −37% $16,745 −20% —
694 URINARY STONES WITHOUT MCC $13,336 $22,050 −40% $16,531 −19% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,321 $21,623 −38% $17,322 −23% ≈126% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,300 $17,277 −23% $14,166 −6% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $13,288 $21,977 −40% $15,858 −16% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,184 $19,271 −32% $14,444 −9% —
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 $24,566 −47% $16,776 −22% —
305 HYPERTENSION WITHOUT MCC $12,937 $24,403 −47% $17,144 −25% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,931 $24,384 −47% $16,654 −22% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,919 $24,358 −47% $16,634 −22% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $12,903 $24,315 −47% $14,337 −10% —
149 DYSEQUILIBRIUM $12,896 $23,899 −46% $17,203 −25% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $12,895 $19,537 −34% $12,895 +0% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,879 $19,570 −34% $14,861 −13% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $12,855 $15,278 −16% $13,892 −7% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $12,811 $18,250 −30% $13,282 −4% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $12,789 $24,033 −47% $16,865 −24% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $12,723 $13,879 −8% $14,110 −10% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,650 $12,650 +0% $12,650 +0% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $12,609 $16,444 −23% $16,104 −22% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,605 $26,192 −52% $18,623 −32% —
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% $12,537 −0% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,454 $13,068 −5% $12,381 +1% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,453 $21,634 −42% $15,607 −20% —
313 CHEST PAIN $12,453 $20,378 −39% $15,962 −22% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,431 $21,412 −42% $14,473 −14% —
343 NO ACTIVE CODE DESCRIPTION $12,397 $12,397 +0% $13,735 −10% —
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 $22,840 −46% $15,600 −21% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,284 $18,649 −34% $13,654 −10% —
311 ANGINA PECTORIS $12,257 $15,034 −18% $15,165 −19% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,253 $20,838 −41% $15,072 −19% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,235 $15,167 −19% $12,279 −0% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,234 $18,684 −35% $12,405 −1% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,204 $22,563 −46% $13,303 −8% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,173 $17,388 −30% $14,441 −16% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,127 $22,375 −46% $19,483 −38% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,120 $22,352 −46% $14,012 −14% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,055 $22,189 −46% $12,797 −6% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,997 $11,997 +0% $11,997 +0% —
201 PNEUMOTHORAX WITHOUT CC/MCC $11,982 $22,004 −46% $13,081 −8% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,921 $18,755 −36% $13,198 −10% —
303 ATHEROSCLEROSIS WITHOUT MCC $11,921 $22,255 −46% $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 $15,323 −22% $14,880 −20% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,847 $13,841 −14% $11,847 +0% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,813 $14,486 −18% $13,890 −15% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,755 $19,875 −41% $13,368 −12% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,752 $17,778 −34% $13,485 −13% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,594 $21,459 −46% $14,368 −19% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,501 $19,950 −42% $14,208 −19% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,458 $20,694 −45% $14,134 −19% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,454 $20,688 −45% $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 $18,069 −37% $13,090 −13% —
639 DIABETES WITHOUT CC/MCC $11,327 $19,891 −43% $13,910 −19% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,294 $14,944 −24% $12,013 −6% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,276 $20,246 −44% $13,824 −18% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,177 $17,892 −38% $15,070 −26% —
684 RENAL FAILURE WITHOUT CC/MCC $11,077 $18,804 −41% $13,623 −19% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,071 $11,562 −4% $11,071 +0% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,975 $18,214 −40% $10,975 +0% —
950 AFTERCARE WITHOUT CC/MCC $10,801 $11,329 −5% $13,527 −20% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,563 $17,903 −41% $12,044 −12% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $10,553 $5,751 +84% $9,385 +12% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,480 $18,018 −42% $10,039 +4% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,456 $18,188 −43% $13,384 −22% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,316 $14,520 −29% $11,955 −14% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $10,296 $17,785 −42% $13,318 −23% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,940 $10,795 −8% $9,076 +10% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $8,927 $8,927 +0% $8,927 +0% —
795 NORMAL NEWBORN $5,787 $4,862 +19% $4,530 +28% —
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 $47,196 −94% $3,032 +0% —
775 NO ACTIVE CODE DESCRIPTION $3,032 $19,163 −84% $3,242 −6% —
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