St. Clare Hospital — Pricing

815 procedures published in this hospital's Machine-Readable File (MRF) — 815 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 815
Lowest published price $3,777
Average published price $42,178
Highest published price $653,497

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 815 procedures

Published charges

Showing all 815 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 28 procedures, this hospital's negotiated rates average ≈235% of what Medicare pays.

DRG Description Published price vs. WA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $653,497 $1,225,854 −47% $573,534 +14% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $488,187 $915,612 −47% $461,389 +6% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $411,192 $771,162 −47% $306,087 +34% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $371,508 $696,636 −47% $371,366 +0% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $245,046 $459,298 −47% $248,521 −1% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $227,238 $425,874 −47% $182,314 +25% —
007 LUNG TRANSPLANT $226,666 $424,801 −47% $170,608 +33% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $218,613 $358,220 −39% $194,769 +12% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $216,306 $344,388 −37% $208,939 +4% —
453 NO ACTIVE CODE DESCRIPTION $203,631 $288,060 −29% $103,861 +96% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $188,997 $354,104 −47% $196,346 −4% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $184,763 $346,156 −47% $164,641 +12% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $181,749 $340,728 −47% $142,326 +28% —
222 NO ACTIVE CODE DESCRIPTION $175,692 $175,692 +0% $86,864 +102% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $167,472 $313,708 −47% $188,171 −11% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $159,865 $299,434 −47% $121,563 +32% —
224 NO ACTIVE CODE DESCRIPTION $157,031 $157,031 +0% $80,427 +95% —
231 CORONARY BYPASS WITH PTCA WITH MCC $147,083 $275,447 −47% $147,227 −0% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $147,001 $275,291 −47% $153,282 −4% —
459 NO ACTIVE CODE DESCRIPTION $144,820 $215,598 −33% $75,251 +92% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $144,774 $271,110 −47% $144,774 +0% —
226 NO ACTIVE CODE DESCRIPTION $143,826 $143,826 +0% $72,618 +98% —
454 NO ACTIVE CODE DESCRIPTION $140,775 $198,824 −29% $69,101 +104% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $139,933 $262,024 −47% $148,686 −6% —
010 PANCREAS TRANSPLANT $138,407 $259,167 −47% $99,940 +38% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $137,616 $257,675 −47% $105,228 +31% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $135,695 $254,070 −47% $144,569 −6% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $134,329 $251,508 −47% $143,242 −6% —
223 NO ACTIVE CODE DESCRIPTION $132,047 $132,047 +0% $59,206 +123% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $123,334 $230,759 −47% $132,794 −7% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $122,716 $229,712 −47% $131,961 −7% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $120,802 $226,137 −47% $148,832 −19% —
225 NO ACTIVE CODE DESCRIPTION $120,776 $120,776 +0% $57,380 +110% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $120,448 $242,624 −50% $120,573 −0% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $116,440 $217,935 −47% $126,098 −8% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $115,994 $217,100 −47% $89,353 +30% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $115,798 $216,732 −47% $125,242 −8% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $114,860 $194,731 −41% $113,855 +1% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $113,337 $210,247 −46% $116,058 −2% —
227 NO ACTIVE CODE DESCRIPTION $113,053 $113,053 +0% $56,960 +98% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $112,291 $205,572 −45% $109,331 +3% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $112,166 $209,912 −47% $123,995 −10% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $110,824 $199,487 −44% $108,472 +2% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $110,213 $221,956 −50% $102,600 +7% —
455 NO ACTIVE CODE DESCRIPTION $108,440 $149,715 −28% $56,836 +91% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $107,603 $201,350 −47% $117,280 −8% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $107,464 $201,090 −47% $88,566 +21% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $106,975 $200,173 −47% $98,912 +8% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $106,118 $198,564 −47% $115,839 −8% —
028 SPINAL PROCEDURES WITH MCC $105,613 $197,615 −47% $113,077 −7% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $104,857 $196,197 −47% $98,260 +7% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $104,857 $196,197 −47% $81,176 +29% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $103,357 $193,389 −47% $103,455 −0% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $103,279 $193,255 −47% $80,018 +29% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,230 $191,266 −47% $112,062 −9% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $101,190 $179,677 −44% $106,057 −5% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $101,158 $189,254 −47% $96,192 +5% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $99,933 $186,559 −46% $107,355 −7% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $99,128 $185,444 −47% $106,778 −7% —
653 MAJOR BLADDER PROCEDURES WITH MCC $96,868 $181,202 −47% $104,583 −7% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $96,713 $161,980 −40% $96,905 −0% —
834 ACUTE LEUKEMIA WITH MCC $96,048 $179,664 −47% $85,566 +12% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $95,647 $178,959 −47% $105,899 −10% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $95,064 $177,818 −47% $101,618 −6% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $94,555 $176,865 −47% $86,459 +9% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $94,340 $176,462 −47% $102,128 −8% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $93,861 $175,562 −47% $89,207 +5% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $93,773 $175,396 −47% $101,576 −8% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $93,762 $175,373 −47% $90,401 +4% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $92,461 $172,935 −47% $102,573 −10% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $92,054 $172,168 −47% $111,320 −17% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,515 $167,402 −47% $99,943 −10% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $89,219 $166,853 −47% $99,423 −10% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $89,002 $152,927 −42% $92,217 −3% —
230 NO ACTIVE CODE DESCRIPTION $88,720 $88,720 +0% $58,096 +53% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $88,554 $165,602 −47% $96,507 −8% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $88,284 $165,094 −47% $80,793 +9% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $87,555 $163,723 −47% $93,390 −6% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $87,040 $162,757 −47% $77,055 +13% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $86,973 $162,630 −47% $93,238 −7% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $86,938 $162,585 −47% $93,172 −7% ≈230% of Medicare
245 AICD GENERATOR PROCEDURES $84,955 $158,847 −47% $72,076 +18% —
471 CERVICAL SPINAL FUSION WITH MCC $84,444 $157,888 −47% $92,515 −9% —
006 LIVER TRANSPLANT WITHOUT MCC $84,303 $157,624 −47% $84,407 −0% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $83,027 $155,229 −47% $90,724 −8% —
799 SPLENIC PROCEDURES WITH MCC $82,669 $154,556 −47% $82,218 +1% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $82,653 $154,549 −47% $90,775 −9% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $81,365 $152,108 −47% $87,761 −7% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $80,886 $151,230 −47% $91,329 −11% —
460 NO ACTIVE CODE DESCRIPTION $80,703 $118,908 −32% $51,625 +56% —
163 MAJOR CHEST PROCEDURES WITH MCC $80,147 $149,823 −47% $90,195 −11% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $80,114 $149,761 −47% $71,551 +12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $79,860 $149,283 −47% $90,331 −12% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $79,847 $149,263 −47% $88,050 −9% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $78,457 $146,650 −47% $76,001 +3% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $77,990 $145,775 −46% $84,692 −8% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $77,776 $145,372 −46% $88,307 −12% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $77,052 $144,014 −46% $70,177 +10% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $76,399 $142,788 −46% $86,970 −12% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $75,331 $140,356 −46% $83,441 −10% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $75,258 $140,649 −46% $59,352 +27% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $74,198 $138,656 −46% $82,561 −10% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $74,088 $138,455 −46% $101,510 −27% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $73,565 $137,473 −46% $60,098 +22% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $72,897 $136,215 −46% $72,962 −0% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $72,879 $136,205 −46% $77,990 −7% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $72,379 $135,243 −46% $85,159 −15% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $71,537 $133,663 −46% $82,247 −13% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $71,392 $133,390 −46% $79,836 −11% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $71,042 $132,734 −46% $81,998 −13% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $70,763 $132,210 −46% $79,225 −11% —
791 PREMATURITY WITH MAJOR PROBLEMS $70,633 $131,983 −46% $42,679 +65% —
984 NO ACTIVE CODE DESCRIPTION $69,800 $69,800 +0% $23,289 +200% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $69,313 $129,493 −46% $77,817 −11% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $69,265 $129,402 −46% $62,300 +11% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $68,655 $128,283 −46% $71,795 −4% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $68,515 $127,991 −46% $61,832 +11% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $68,376 $127,734 −46% $54,196 +26% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $68,075 $127,727 −47% $79,116 −14% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $68,042 $127,103 −46% $78,852 −14% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $67,668 $126,404 −46% $76,219 −11% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $67,257 $125,637 −46% $66,685 +1% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $67,190 $125,507 −46% $59,594 +13% —
246 NO ACTIVE CODE DESCRIPTION $67,016 $67,016 +0% $33,983 +97% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $67,003 $125,185 −46% $75,573 −11% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $66,848 $114,764 −42% $66,848 +0% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $66,589 $133,588 −50% $73,120 −9% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $66,161 $123,573 −46% $74,755 −11% —
332 RECTAL RESECTION WITH MCC $65,756 $112,751 −42% $58,125 +13% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $65,649 $122,611 −46% $74,257 −12% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $65,127 $121,707 −46% $61,470 +6% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $64,858 $124,249 −48% $75,103 −14% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $63,890 $100,971 −37% $65,325 −2% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $63,511 $118,599 −46% $68,639 −7% —
248 NO ACTIVE CODE DESCRIPTION $63,307 $63,307 +0% $34,146 +85% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $63,073 $117,803 −46% $71,755 −12% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $62,405 $116,525 −46% $66,711 −6% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $62,401 $116,532 −46% $59,533 +5% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $62,391 $116,499 −46% $71,092 −12% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $62,118 $62,118 +0% $18,649 +233% —
265 AICD LEAD PROCEDURES $62,099 $115,950 −46% $63,171 −2% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $61,822 $115,433 −46% $70,564 −12% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $61,447 $114,724 −46% $50,919 +21% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $61,292 $114,435 −46% $56,964 +8% —
338 NO ACTIVE CODE DESCRIPTION $61,292 $61,292 +0% $30,138 +103% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $61,285 $113,811 −46% $62,583 −2% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $61,002 $113,892 −46% $69,743 −13% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $60,982 $113,873 −46% $66,068 −8% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $60,851 $113,610 −46% $51,953 +17% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $60,460 $112,872 −46% $56,242 +8% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $60,328 $112,628 −46% $52,036 +16% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $59,973 $111,968 −46% $71,014 −16% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $59,879 $111,786 −46% $68,653 −13% —
665 PROSTATECTOMY WITH MCC $59,785 $111,610 −46% $54,072 +11% —
252 OTHER VASCULAR PROCEDURES WITH MCC $59,730 $111,506 −46% $68,508 −13% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $59,640 $111,334 −46% $70,847 −16% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $59,311 $110,746 −46% $70,371 −16% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $59,065 $110,265 −46% $70,132 −16% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $58,454 $109,111 −46% $67,268 −13% —
037 EXTRACRANIAL PROCEDURES WITH MCC $57,834 $107,947 −46% $66,666 −13% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $57,505 $107,329 −46% $52,908 +9% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $56,930 $106,250 −46% $65,788 −13% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $56,769 $105,944 −46% $58,745 −3% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $56,744 $105,899 −46% $65,608 −14% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $56,074 $104,790 −46% $72,424 −23% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $55,816 $104,160 −46% $63,928 −13% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $55,655 $103,861 −46% $71,464 −22% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $55,549 $103,679 −46% $49,710 +12% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $55,400 $103,379 −46% $44,472 +25% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $55,289 $103,171 −46% $55,289 +0% —
500 SOFT TISSUE PROCEDURES WITH MCC $55,198 $102,999 −46% $61,872 −11% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $54,372 $101,449 −46% $65,573 −17% —
662 MINOR BLADDER PROCEDURES WITH MCC $54,347 $101,403 −46% $54,562 −0% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $53,876 $100,519 −46% $62,821 −14% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $53,765 $100,311 −46% $65,216 −18% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $53,727 $100,239 −46% $53,864 −0% —
652 KIDNEY TRANSPLANT $53,513 $99,836 −46% $54,720 −2% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $53,464 $99,745 −46% $60,407 −11% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $53,291 $99,420 −46% $64,523 −17% —
570 SKIN DEBRIDEMENT WITH MCC $52,453 $97,860 −46% $52,435 +0% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $52,037 $97,067 −46% $46,402 +12% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $51,385 $95,851 −46% $58,228 −12% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $51,254 $95,604 −46% $65,653 −22% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $51,115 $95,337 −46% $60,170 −15% —
668 TRANSURETHRAL PROCEDURES WITH MCC $50,826 $94,794 −46% $51,608 −2% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $50,798 $94,746 −46% $70,467 −28% —
800 SPLENIC PROCEDURES WITH CC $50,783 $94,713 −46% $49,184 +3% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $50,755 $94,661 −46% $59,790 −15% —
472 CERVICAL SPINAL FUSION WITH CC $50,495 $94,173 −46% $59,537 −15% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $49,974 $93,195 −46% $59,031 −15% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $49,917 $93,088 −46% $58,975 −15% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $49,888 $93,036 −46% $61,217 −19% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $49,818 $92,906 −46% $49,839 −0% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $49,758 $88,953 −44% $48,358 +3% —
131 NO ACTIVE CODE DESCRIPTION $49,691 $49,691 +0% $23,289 +113% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $49,623 $92,538 −46% $81,706 −39% —
654 MAJOR BLADDER PROCEDURES WITH CC $49,195 $91,732 −46% $58,274 −16% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $48,957 $91,287 −46% $58,043 −16% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $48,907 $91,196 −46% $52,986 −8% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $47,625 $88,787 −46% $50,618 −6% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $47,228 $84,005 −44% $52,178 −9% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $47,138 $87,874 −46% $62,264 −24% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $46,985 $87,587 −46% $44,546 +5% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $46,799 $87,253 −46% $52,405 −11% —
263 VEIN LIGATION AND STRIPPING $46,770 $87,181 −46% $51,253 −9% —
849 RADIOTHERAPY $46,579 $86,824 −46% $37,862 +23% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $46,436 $86,554 −46% $47,945 −3% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $46,271 $86,248 −46% $44,222 +5% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $46,214 $86,138 −46% $48,687 −5% —
503 FOOT PROCEDURES WITH MCC $46,155 $86,030 −46% $47,540 −3% —
129 NO ACTIVE CODE DESCRIPTION $45,975 $45,975 +0% $23,289 +97% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $45,968 $82,409 −44% $39,173 +17% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $45,751 $85,273 −46% $54,929 −17% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $45,633 $85,049 −46% $46,453 −2% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $45,150 $84,142 −46% $45,167 −0% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $44,548 $83,010 −46% $38,878 +15% —
253 OTHER VASCULAR PROCEDURES WITH CC $44,534 $82,988 −46% $57,454 −22% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $44,520 $88,309 −50% $43,491 +2% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $44,451 $82,832 −46% $58,707 −24% —
341 NO ACTIVE CODE DESCRIPTION $44,389 $44,389 +0% $25,628 +73% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $44,082 $82,136 −46% $40,362 +9% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $44,065 $88,628 −50% $51,746 −15% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $44,047 $82,071 −46% $49,423 −11% —
247 NO ACTIVE CODE DESCRIPTION $43,944 $43,944 +0% $21,663 +103% —
164 MAJOR CHEST PROCEDURES WITH CC $43,910 $81,814 −46% $56,755 −23% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $43,687 $64,741 −33% $39,973 +9% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $43,654 $81,333 −46% $55,162 −21% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $43,519 $85,939 −49% $41,422 +5% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $43,402 $78,372 −45% $42,186 +3% —
397 APPENDIX PROCEDURES WITH MCC $43,231 $80,540 −46% $53,257 −19% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $43,058 $80,215 −46% $54,583 −21% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $42,720 $79,594 −46% $51,985 −18% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $42,371 $78,931 −46% $59,421 −29% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $42,208 $78,661 −46% $50,046 −16% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $41,938 $76,932 −45% $40,548 +3% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $41,901 $78,050 −46% $59,651 −30% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $41,835 $77,920 −46% $47,583 −12% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $41,835 $77,920 −46% $41,620 +1% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $41,477 $77,253 −46% $53,451 −22% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $41,319 $76,951 −46% $50,624 −18% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $41,255 $76,837 −46% $59,500 −31% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $41,190 $76,707 −46% $50,498 −18% —
113 ORBITAL PROCEDURES WITH CC/MCC $40,952 $73,356 −44% $36,167 +13% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $40,821 $76,015 −46% $50,139 −19% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $40,502 $75,420 −46% $36,489 +11% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $40,408 $75,241 −46% $40,060 +1% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $40,370 $75,179 −46% $59,629 −32% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $40,297 $75,036 −46% $50,394 −20% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $40,154 $66,852 −40% $12,229 +228% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $40,050 $74,568 −46% $40,108 −0% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $39,984 $74,455 −46% $39,181 +2% —
985 NO ACTIVE CODE DESCRIPTION $39,885 $39,885 +0% $23,289 +71% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $39,863 $74,217 −46% $42,415 −6% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $39,788 $74,077 −46% $48,349 −18% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $39,716 $73,941 −46% $49,066 −19% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $39,563 $73,658 −46% $41,892 −6% —
249 NO ACTIVE CODE DESCRIPTION $39,474 $39,474 +0% $20,610 +92% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $39,429 $73,408 −46% $38,998 +1% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $39,428 $73,421 −46% $49,418 −20% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $39,334 $73,229 −46% $50,011 −21% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $39,321 $73,203 −46% $48,682 −19% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $39,270 $73,145 −46% $47,737 −18% —
709 PENIS PROCEDURES WITH CC/MCC $39,235 $73,044 −46% $34,535 +14% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $38,981 $72,563 −46% $47,789 −18% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $38,860 $72,335 −46% $45,866 −15% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $38,650 $71,948 −46% $46,283 −16% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $38,409 $71,493 −46% $41,608 −8% —
935 NON-EXTENSIVE BURNS $38,358 $71,396 −46% $31,701 +21% —
133 NO ACTIVE CODE DESCRIPTION $38,305 $38,305 +0% $38,305 +0% —
906 HAND PROCEDURES FOR INJURIES $38,117 $70,944 −46% $32,065 +19% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $38,113 $68,353 −44% $42,795 −11% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $38,054 $70,830 −46% $45,333 −16% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $37,888 $70,511 −46% $42,901 −12% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $37,681 $70,121 −46% $45,877 −18% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $37,614 $70,001 −46% $38,666 −3% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $37,528 $69,835 −46% $37,267 +1% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $37,520 $69,702 −46% $38,070 −1% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $37,502 $65,928 −43% $31,134 +20% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $37,481 $69,751 −46% $31,044 +21% —
835 ACUTE LEUKEMIA WITH CC $37,310 $69,429 −46% $35,569 +5% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $37,308 $69,422 −46% $46,727 −20% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $37,304 $69,419 −46% $46,724 −20% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $37,235 $69,289 −46% $42,906 −13% —
333 RECTAL RESECTION WITH CC $37,126 $69,081 −46% $37,154 −0% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $37,050 $68,938 −46% $49,351 −25% —
595 MAJOR SKIN DISORDERS WITH MCC $36,949 $68,753 −46% $34,598 +7% —
336 PERITONEAL ADHESIOLYSIS WITH CC $36,901 $68,668 −46% $50,463 −27% —
374 DIGESTIVE MALIGNANCY WITH MCC $36,886 $68,639 −46% $39,958 −8% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $36,886 $68,633 −46% $43,650 −15% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $36,828 $68,532 −46% $58,280 −37% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $36,627 $68,145 −46% $46,066 −20% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $36,523 $67,950 −46% $33,851 +8% —
339 NO ACTIVE CODE DESCRIPTION $36,490 $36,490 +0% $18,474 +98% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $36,295 $67,524 −46% $43,174 −16% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $36,253 $67,449 −46% $52,751 −31% ≈226% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $36,113 $64,618 −44% $36,249 −0% —
592 SKIN ULCERS WITH MCC $35,931 $66,841 −46% $33,246 +8% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $35,777 $66,552 −46% $35,030 +2% —
539 OSTEOMYELITIS WITH MCC $35,344 $65,752 −46% $37,609 −6% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $35,252 $65,567 −46% $42,914 −18% —
548 SEPTIC ARTHRITIS WITH MCC $35,209 $65,486 −46% $31,346 +12% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $35,172 $65,418 −46% $32,031 +10% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $35,159 $65,392 −46% $46,090 −24% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $34,948 $63,002 −45% $37,240 −6% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $34,928 $64,959 −46% $44,363 −21% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $34,923 $64,956 −46% $43,943 −21% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $34,899 $64,901 −46% $29,611 +18% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $34,769 $64,660 −46% $39,106 −11% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $34,753 $63,886 −46% $43,631 −20% —
711 TESTES PROCEDURES WITH CC/MCC $34,722 $62,108 −44% $38,343 −9% —
100 SEIZURES WITH MCC $34,701 $64,533 −46% $35,481 −2% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $34,698 $64,527 −46% $32,574 +7% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $34,576 $64,299 −46% $43,913 −21% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $34,488 $64,134 −46% $43,800 −21% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $34,469 $64,095 −46% $44,139 −22% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $34,299 $46,327 −26% $35,628 −4% ≈227% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $34,284 $63,760 −46% $43,538 −21% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $34,248 $63,685 −46% $40,213 −15% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $34,183 $63,565 −46% $39,955 −14% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $34,164 $63,526 −46% $29,524 +16% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $34,159 $63,516 −46% $38,861 −12% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $33,927 $63,080 −46% $43,080 −21% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,771 $62,810 −46% $42,881 −21% —
380 COMPLICATED PEPTIC ULCER WITH MCC $33,645 $62,554 −46% $39,627 −15% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,446 $62,219 −46% $34,459 −3% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $33,182 $61,679 −46% $42,126 −21% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $33,182 $61,679 −46% $40,562 −18% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $33,108 $61,539 −46% $36,431 −9% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $33,058 $61,448 −46% $33,985 −3% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $33,013 $61,364 −46% $33,255 −1% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $32,976 $61,296 −46% $37,844 −13% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $32,973 $61,292 −46% $50,607 −35% ≈243% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $32,971 $61,292 −46% $47,711 −31% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $32,949 $61,250 −46% $32,637 +1% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $32,619 $60,623 −46% $36,792 −11% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $32,600 $60,590 −46% $46,340 −30% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,467 $60,337 −46% $33,047 −2% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $32,453 $60,314 −46% $36,670 −11% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $32,425 $60,346 −46% $23,206 +40% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,287 $59,999 −46% $30,243 +7% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $32,221 $59,878 −46% $29,221 +10% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $32,162 $59,768 −46% $32,859 −2% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $32,065 $59,586 −46% $40,694 −21% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $31,979 $59,423 −46% $43,298 −26% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $31,963 $59,394 −46% $40,642 −21% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $31,954 $59,378 −46% $40,552 −21% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $31,918 $59,309 −46% $37,950 −16% —
691 NO ACTIVE CODE DESCRIPTION $31,905 $31,905 +0% $31,905 +0% —
919 COMPLICATIONS OF TREATMENT WITH MCC $31,901 $59,274 −46% $31,105 +3% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $31,889 $59,254 −46% $37,387 −15% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $31,809 $59,105 −46% $40,365 −21% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $31,807 $59,101 −46% $37,842 −16% ≈217% of Medicare
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $31,653 $58,812 −46% $32,433 −2% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $31,651 $58,809 −46% $58,809 −46% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $31,573 $58,666 −46% $41,591 −24% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $31,537 $43,089 −27% $16,351 +93% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $31,431 $58,396 −46% $26,510 +19% —
075 VIRAL MENINGITIS WITH CC/MCC $31,333 $55,990 −44% $30,447 +3% —
501 SOFT TISSUE PROCEDURES WITH CC $31,227 $58,022 −46% $39,619 −21% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $31,161 $57,889 −46% $52,075 −40% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $31,159 $57,889 −46% $31,159 +0% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $31,145 $57,860 −46% $39,515 −21% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $31,073 $57,723 −46% $34,276 −9% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $31,024 $57,632 −46% $38,101 −19% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $30,899 $57,135 −46% $39,020 −21% —
199 PNEUMOTHORAX WITH MCC $30,891 $57,382 −46% $33,787 −9% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $30,878 $56,198 −45% $29,826 +4% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,859 $56,429 −45% $32,443 −5% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $30,757 $57,131 −46% $39,018 −21% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $30,742 $57,102 −46% $30,553 +1% —
509 ARTHROSCOPY $30,742 $57,099 −46% $25,994 +18% —
597 MALIGNANT BREAST DISORDERS WITH MCC $30,742 $57,099 −46% $33,386 −8% —
504 FOOT PROCEDURES WITH CC $30,712 $57,070 −46% $38,960 −21% —
505 FOOT PROCEDURES WITHOUT CC/MCC $30,712 $57,070 −46% $34,937 −12% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $30,647 $56,923 −46% $35,849 −15% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $30,616 $56,865 −46% $38,836 −21% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $30,591 $56,832 −46% $33,555 −9% —
180 RESPIRATORY NEOPLASMS WITH MCC $30,588 $56,813 −46% $36,658 −17% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $30,432 $56,520 −46% $31,951 −5% —
915 ALLERGIC REACTIONS WITH MCC $30,416 $56,491 −46% $32,645 −7% —
671 URETHRAL PROCEDURES WITH CC/MCC $30,170 $56,029 −46% $27,233 +11% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $30,077 $54,238 −45% $29,126 +3% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $30,037 $55,782 −46% $38,094 −21% —
551 MEDICAL BACK PROBLEMS WITH MCC $29,871 $55,467 −46% $34,017 −12% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $29,779 $55,298 −46% $43,477 −32% —
132 NO ACTIVE CODE DESCRIPTION $29,701 $29,701 +0% $23,289 +28% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $29,651 $55,054 −46% $32,944 −10% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,594 $54,947 −46% $29,079 +2% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $29,576 $54,911 −46% $31,563 −6% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $29,490 $54,758 −46% $34,273 −14% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $29,454 $53,367 −45% $36,445 −19% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $29,429 $54,641 −46% $32,496 −9% ≈217% of Medicare
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $29,320 $54,433 −46% $29,916 −2% —
571 SKIN DEBRIDEMENT WITH CC $29,315 $54,443 −46% $37,169 −21% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $29,244 $54,290 −46% $26,682 +10% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,240 $54,284 −46% $33,876 −14% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $29,209 $54,225 −46% $34,607 −16% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $29,131 $54,086 −46% $32,628 −11% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $29,110 $54,040 −46% $29,316 −1% —
334 RECTAL RESECTION WITHOUT CC/MCC $29,043 $53,910 −46% $36,820 −21% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $29,039 $53,913 −46% $44,606 −35% —
643 ENDOCRINE DISORDERS WITH MCC $29,020 $53,874 −46% $33,563 −14% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $28,998 $53,829 −46% $34,192 −15% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $28,911 $53,669 −46% $44,117 −34% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $28,863 $53,575 −46% $25,197 +15% —
666 PROSTATECTOMY WITH CC $28,847 $53,546 −46% $31,906 −10% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $28,846 $52,525 −45% $27,152 +6% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $28,767 $53,393 −46% $35,831 −20% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $28,745 $53,361 −46% $30,828 −7% ≈272% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $28,716 $48,361 −41% $30,235 −5% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $28,693 $53,257 −46% $33,661 −15% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $28,679 $53,231 −46% $36,354 −21% —
157 DENTAL AND ORAL DISEASES WITH MCC $28,677 $53,227 −46% $31,300 −8% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $28,633 $45,169 −37% $25,094 +14% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $28,484 $52,863 −46% $27,633 +3% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $28,471 $52,840 −46% $28,202 +1% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $28,457 $52,814 −46% $27,617 +3% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $28,333 $52,587 −46% $27,316 +4% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $28,314 $50,878 −44% $33,707 −16% ≈220% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $28,223 $52,372 −46% $35,770 −21% —
606 MINOR SKIN DISORDERS WITH MCC $28,206 $52,340 −46% $27,975 +1% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $28,163 $52,262 −46% $35,692 −21% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $28,078 $52,103 −46% $35,584 −21% —
130 NO ACTIVE CODE DESCRIPTION $28,040 $28,040 +0% $23,289 +20% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $27,950 $51,862 −46% $35,419 −21% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $27,915 $51,797 −46% $39,006 −28% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $27,792 $51,569 −46% $41,955 −34% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $27,685 $51,365 −46% $35,074 −21% —
186 PLEURAL EFFUSION WITH MCC $27,681 $51,361 −46% $33,834 −18% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $27,624 $51,251 −46% $32,697 −16% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $27,550 $51,111 −46% $34,906 −21% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $27,495 $51,010 −46% $33,653 −18% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $27,474 $50,968 −46% $33,633 −18% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $27,427 $50,880 −46% $34,749 −21% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $27,380 $50,793 −46% $46,295 −41% —
342 NO ACTIVE CODE DESCRIPTION $27,378 $27,378 +0% $16,487 +66% —
813 COAGULATION DISORDERS $27,322 $50,318 −46% $33,296 −18% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $27,189 $51,911 −48% $35,453 −23% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $27,181 $50,419 −46% $34,434 −21% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $27,157 $50,376 −46% $32,877 −17% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $27,139 $49,336 −45% $33,694 −19% —
669 TRANSURETHRAL PROCEDURES WITH CC $27,118 $50,305 −46% $34,354 −21% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $27,098 $50,263 −46% $24,550 +10% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $27,089 $50,246 −46% $26,598 +2% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $27,086 $50,240 −46% $30,010 −10% —
533 FRACTURES OF FEMUR WITH MCC $26,997 $49,567 −46% $25,945 +4% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $26,904 $49,899 −46% $39,211 −31% —
865 VIRAL ILLNESS WITH MCC $26,894 $47,977 −44% $26,910 −0% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $26,833 $49,765 −46% $25,703 +4% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $26,786 $48,940 −45% $33,424 −20% —
663 MINOR BLADDER PROCEDURES WITH CC $26,771 $49,648 −46% $33,103 −19% —
945 REHABILITATION WITH CC/MCC $26,755 $49,619 −46% $23,834 +12% —
767 NO ACTIVE CODE DESCRIPTION $26,739 $26,739 +0% $3,032 +782% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $26,633 $47,763 −44% $26,463 +1% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $26,588 $49,307 −46% $33,674 −21% —
183 MAJOR CHEST TRAUMA WITH MCC $26,558 $51,595 −49% $29,933 −11% —
398 APPENDIX PROCEDURES WITH CC $26,525 $49,193 −46% $40,162 −34% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $26,467 $49,079 −46% $30,770 −14% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $26,457 $49,060 −46% $33,454 −21% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $26,374 $48,914 −46% $36,505 −28% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $26,365 $48,888 −46% $36,253 −27% —
913 TRAUMATIC INJURY WITH MCC $26,362 $52,603 −50% $24,198 +9% —
682 RENAL FAILURE WITH MCC $26,329 $48,385 −46% $29,064 −9% ≈217% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $26,320 $48,803 −46% $26,436 −0% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $26,280 $48,732 −46% $30,502 −14% —
506 MAJOR THUMB OR JOINT PROCEDURES $26,280 $48,728 −46% $30,557 −14% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $26,251 $48,676 −46% $24,586 +7% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $26,170 $48,520 −46% $33,393 −22% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $26,110 $47,539 −45% $31,170 −16% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $26,100 $48,410 −46% $33,048 −21% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $26,048 $48,296 −46% $28,140 −7% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $26,032 $43,556 −40% $31,264 −17% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $25,993 $48,189 −46% $36,988 −30% —
692 NO ACTIVE CODE DESCRIPTION $25,916 $25,916 +0% $25,916 +0% —
693 URINARY STONES WITH MCC $25,783 $47,795 −46% $23,892 +8% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $25,775 $47,786 −46% $30,571 −16% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $25,766 $47,763 −46% $25,073 +3% —
602 CELLULITIS WITH MCC $25,762 $47,766 −46% $30,598 −16% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $25,664 $47,581 −46% $29,743 −14% —
637 DIABETES WITH MCC $25,539 $44,663 −43% $30,100 −15% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $25,515 $47,324 −46% $24,941 +2% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $25,393 $47,067 −46% $21,986 +15% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $25,361 $47,002 −46% $32,100 −21% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $25,316 $47,516 −47% $32,451 −22% —
088 CONCUSSION WITH MCC $25,303 $45,855 −45% $24,402 +4% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $25,289 $46,869 −46% $22,525 +12% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $25,243 $46,781 −46% $26,932 −6% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $25,139 $46,586 −46% $35,465 −29% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $25,136 $46,580 −46% $32,833 −23% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $24,935 $46,203 −46% $27,808 −10% —
986 NO ACTIVE CODE DESCRIPTION $24,912 $24,912 +0% $23,289 +7% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $24,898 $46,134 −46% $22,620 +10% —
137 MOUTH PROCEDURES WITH CC/MCC $24,892 $45,461 −45% $27,861 −11% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $24,829 $46,004 −46% $26,280 −6% —
885 PSYCHOSES $24,730 $45,546 −46% $21,729 +14% ≈128% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $24,722 $45,806 −46% $30,959 −20% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $24,696 $45,663 −46% $39,887 −38% —
811 RED BLOOD CELL DISORDERS WITH MCC $24,683 $45,731 −46% $28,226 −13% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,622 $48,767 −50% $27,394 −10% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $24,586 $45,549 −46% $22,393 +10% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $24,516 $45,416 −46% $31,017 −21% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $24,448 $45,289 −46% $27,119 −10% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $24,398 $45,195 −46% $27,285 −11% —
340 NO ACTIVE CODE DESCRIPTION $24,281 $24,281 +0% $13,613 +78% —
150 EPISTAXIS WITH MCC $24,256 $44,928 −46% $23,171 +5% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $24,107 $44,649 −46% $30,493 −21% —
139 SALIVARY GLAND PROCEDURES $24,096 $44,629 −46% $23,612 +2% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $24,051 $44,545 −46% $20,980 +15% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $24,048 $44,541 −46% $30,418 −21% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $23,911 $44,281 −46% $30,242 −21% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $23,786 $44,047 −46% $30,083 −21% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $23,766 $44,008 −46% $29,949 −21% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $23,696 $43,657 −46% $29,805 −20% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $23,685 $41,954 −44% $22,811 +4% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,639 $43,771 −46% $24,127 −2% —
765 NO ACTIVE CODE DESCRIPTION $23,598 $23,598 +0% $5,336 +342% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $23,510 $41,869 −44% $26,870 −13% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $23,428 $43,387 −46% $27,543 −15% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $23,407 $43,335 −46% $32,841 −29% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $23,350 $43,231 −46% $24,552 −5% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $23,317 $43,173 −46% $25,463 −8% ≈238% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $23,304 $41,499 −44% $22,557 +3% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $23,199 $41,307 −44% $19,686 +18% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $23,138 $42,788 −46% $27,275 −15% ≈224% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $23,137 $42,832 −46% $36,937 −37% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $23,033 $42,636 −46% $27,043 −15% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $23,002 $41,096 −44% $27,426 −16% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $22,936 $42,464 −46% $26,051 −12% —
291 HEART FAILURE AND SHOCK WITH MCC $22,915 $42,419 −46% $26,776 −14% ≈236% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $22,899 $42,383 −46% $21,894 +5% —
540 OSTEOMYELITIS WITH CC $22,730 $42,077 −46% $26,676 −15% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,650 $41,918 −46% $27,989 −19% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $22,631 $41,882 −46% $25,748 −12% —
947 SIGNS AND SYMPTOMS WITH MCC $22,593 $41,808 −46% $27,401 −18% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $22,563 $41,769 −46% $28,050 −20% ≈238% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $22,500 $41,226 −45% $28,156 −20% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $22,324 $41,304 −46% $23,498 −5% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $22,259 $41,180 −46% $28,125 −21% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $22,184 $41,060 −46% $22,320 −1% —
348 ANAL AND STOMAL PROCEDURES WITH CC $22,120 $40,920 −46% $27,947 −21% —
134 NO ACTIVE CODE DESCRIPTION $21,934 $21,934 +0% $23,289 −6% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $21,884 $40,478 −46% $27,297 −20% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $21,881 $40,472 −46% $19,354 +13% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $21,876 $40,462 −46% $22,851 −4% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $21,812 $40,345 −46% $20,727 +5% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $21,767 $40,260 −46% $22,458 −3% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $21,765 $40,263 −46% $28,320 −23% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $21,748 $38,718 −44% $26,580 −18% ≈226% of Medicare
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $21,717 $22,155 −2% $8,445 +157% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $21,652 $40,042 −46% $19,270 +12% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $21,633 $40,007 −46% $27,323 −21% —
375 DIGESTIVE MALIGNANCY WITH CC $21,597 $39,942 −46% $27,277 −21% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $21,585 $39,916 −46% $19,132 +13% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $21,509 $39,773 −46% $27,163 −21% —
593 SKIN ULCERS WITH CC $21,493 $39,743 −46% $22,886 −6% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $21,431 $39,626 −46% $25,581 −16% —
685 NO ACTIVE CODE DESCRIPTION $21,385 $21,385 +0% $21,385 +0% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $21,341 $39,457 −46% $26,948 −21% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $21,220 $37,734 −44% $21,230 −0% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $21,202 $39,204 −46% $26,770 −21% —
549 SEPTIC ARTHRITIS WITH CC $21,188 $39,171 −46% $24,056 −12% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $21,124 $37,809 −44% $19,412 +9% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $21,077 $38,963 −46% $30,784 −32% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $21,017 $38,849 −46% $21,847 −4% —
887 OTHER MENTAL DISORDER DIAGNOSES $20,916 $38,661 −46% $20,616 +1% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $20,837 $38,511 −46% $25,712 −19% —
343 NO ACTIVE CODE DESCRIPTION $20,828 $20,828 +0% $12,397 +68% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $20,790 $38,427 −46% $19,598 +6% —
304 HYPERTENSION WITH MCC $20,663 $38,189 −46% $26,080 −21% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $20,585 $38,046 −46% $23,617 −13% ≈240% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,516 $37,175 −45% $25,390 −19% —
302 ATHEROSCLEROSIS WITH MCC $20,464 $37,812 −46% $22,446 −9% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $20,461 $37,806 −46% $23,443 −13% —
102 HEADACHES WITH MCC $20,398 $37,689 −46% $25,740 −21% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $20,367 $37,634 −46% $25,700 −21% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,329 $37,559 −46% $25,652 −21% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,251 $37,413 −46% $18,133 +12% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $20,102 $37,136 −46% $24,944 −19% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $20,058 $31,848 −37% $16,846 +19% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,038 $37,019 −46% $25,279 −21% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $20,030 $37,000 −46% $26,618 −25% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $20,002 $35,937 −44% $24,544 −19% —
152 OTITIS MEDIA AND URI WITH MCC $19,971 $36,886 −46% $20,247 −1% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $19,918 $36,658 −46% $24,566 −19% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $19,848 $36,655 −46% $25,034 −21% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $19,792 $33,372 −41% $25,970 −24% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $19,780 $36,541 −46% $31,321 −37% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,766 $32,079 −38% $24,386 −19% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $19,765 $36,502 −46% $19,815 −0% —
598 MALIGNANT BREAST DISORDERS WITH CC $19,745 $35,072 −44% $19,073 +4% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,739 $35,062 −44% $17,193 +15% —
946 REHABILITATION WITHOUT CC/MCC $19,654 $36,291 −46% $17,685 +11% —
712 TESTES PROCEDURES WITHOUT CC/MCC $19,577 $34,770 −44% $18,898 +4% —
181 RESPIRATORY NEOPLASMS WITH CC $19,547 $36,090 −46% $23,573 −17% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $19,543 $36,086 −46% $18,459 +6% —
200 PNEUMOTHORAX WITH CC $19,498 $35,999 −46% $21,368 −9% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $19,413 $35,839 −46% $27,843 −30% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $19,384 $35,784 −46% $17,483 +11% —
777 NO ACTIVE CODE DESCRIPTION $19,358 $19,358 +0% $19,358 +0% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $19,271 $35,573 −46% $17,398 +11% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $19,212 $35,462 −46% $20,926 −8% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $19,190 $35,420 −46% $32,021 −40% —
381 COMPLICATED PEPTIC ULCER WITH CC $19,179 $35,404 −46% $24,177 −21% —
089 CONCUSSION WITH CC $19,111 $34,851 −45% $18,821 +2% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $19,099 $35,251 −46% $23,319 −18% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $19,074 $35,205 −46% $23,283 −18% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $19,040 $35,140 −46% $17,226 +11% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $19,018 $35,101 −46% $22,314 −15% —
949 AFTERCARE WITH CC/MCC $19,004 $35,072 −46% $23,953 −21% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $18,952 $34,975 −46% $18,956 −0% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $18,859 $34,799 −46% $20,422 −8% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $18,845 $34,773 −46% $23,749 −21% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $18,707 $34,516 −46% $23,571 −21% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $18,691 $34,484 −46% $23,551 −21% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $18,653 $34,419 −46% $24,914 −25% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $18,592 $32,250 −42% $22,024 −16% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $18,569 $34,256 −46% $23,488 −21% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $18,549 $34,217 −46% $20,232 −8% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $18,535 $34,191 −46% $19,657 −6% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $18,504 $34,133 −46% $22,763 −19% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $18,379 $32,608 −44% $17,737 +4% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $18,371 $33,886 −46% $23,141 −21% —
697 URETHRAL STRICTURE $18,356 $32,566 −44% $18,428 −0% —
644 ENDOCRINE DISORDERS WITH CC $18,214 $33,596 −46% $23,198 −21% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $18,173 $33,513 −46% $22,888 −21% ≈262% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $18,143 $33,460 −46% $22,850 −21% —
667 PROSTATECTOMY WITHOUT CC/MCC $18,118 $33,408 −46% $16,703 +8% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $18,065 $33,313 −46% $18,348 −2% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $17,981 $33,151 −46% $21,275 −15% —
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $17,981 $33,151 −46% $17,601 +2% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $17,977 $33,144 −46% $22,506 −20% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $17,975 $33,144 −46% $22,635 −21% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $17,971 $33,135 −46% $20,901 −14% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $17,941 $33,079 −46% $25,303 −29% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $17,929 $33,060 −46% $23,940 −25% ≈238% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $17,915 $33,031 −46% $19,264 −7% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $17,913 $31,825 −44% $15,901 +13% —
920 COMPLICATIONS OF TREATMENT WITH CC $17,912 $33,021 −46% $22,468 −20% —
184 MAJOR CHEST TRAUMA WITH CC $17,880 $34,718 −48% $22,432 −20% —
187 PLEURAL EFFUSION WITH CC $17,706 $32,634 −46% $21,789 −19% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $17,688 $32,602 −46% $16,212 +9% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $17,634 $32,504 −46% $20,957 −16% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $17,602 $31,096 −43% $15,370 +15% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $17,600 $32,436 −46% $17,698 −1% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $17,506 $32,260 −46% $22,033 −21% —
197 INTERSTITIAL LUNG DISEASE WITH CC $17,463 $32,179 −46% $21,941 −20% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,404 $31,799 −45% $17,404 +0% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $17,392 $32,049 −46% $22,098 −21% ≈277% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $17,387 $32,036 −46% $20,895 −17% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $17,085 $31,474 −46% $19,962 −14% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $17,085 $31,474 −46% $18,452 −7% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $17,080 $31,116 −45% $16,700 +2% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $17,059 $31,425 −46% $17,724 −4% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $17,050 $31,408 −46% $21,449 −21% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $17,009 $31,330 −46% $21,396 −21% ≈277% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $16,983 $31,282 −46% $21,363 −21% —
882 NEUROSES EXCEPT DEPRESSIVE $16,978 $31,269 −46% $15,680 +8% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $16,919 $31,161 −46% $17,733 −5% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $16,876 $31,077 −46% $19,924 −15% —
781 NO ACTIVE CODE DESCRIPTION $16,875 $16,875 +0% $16,875 +0% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $16,869 $31,064 −46% $20,911 −19% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $16,860 $31,048 −46% $19,594 −14% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,856 $31,041 −46% $15,589 +8% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $16,801 $30,937 −46% $18,316 −8% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $16,619 $30,599 −46% $20,181 −18% —
158 DENTAL AND ORAL DISEASES WITH CC $16,607 $30,573 −46% $18,466 −10% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $16,591 $30,544 −46% $17,934 −7% —
779 ABORTION WITHOUT D&C $16,537 $30,385 −46% $15,327 +8% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $16,486 $30,349 −46% $16,968 −3% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,445 $29,663 −45% $20,259 −19% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $16,414 $29,949 −45% $20,455 −20% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $16,377 $28,993 −44% $15,764 +4% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $16,361 $30,111 −46% $20,566 −20% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $16,314 $30,027 −46% $20,506 −20% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $16,301 $30,001 −46% $20,488 −20% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $16,281 $29,965 −46% $20,463 −20% —
101 SEIZURES WITHOUT MCC $16,280 $29,959 −46% $20,461 −20% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $16,233 $29,871 −46% $18,072 −10% —
638 DIABETES WITH CC $16,202 $29,816 −46% $19,661 −18% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $16,197 $29,806 −46% $17,135 −5% —
881 DEPRESSIVE NEUROSES $16,148 $29,715 −46% $15,058 +7% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $16,143 $28,636 −44% $19,854 −19% —
766 NO ACTIVE CODE DESCRIPTION $16,101 $16,101 +0% $5,336 +202% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $16,004 $29,445 −46% $18,488 −13% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $15,987 $29,413 −46% $16,552 −3% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $15,985 $29,419 −46% $20,084 −20% —
864 FEVER AND INFLAMMATORY CONDITIONS $15,869 $29,188 −46% $18,640 −15% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $15,796 $29,052 −46% $19,842 −20% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $15,773 $29,009 −46% $22,148 −29% —
683 RENAL FAILURE WITH CC $15,712 $28,896 −46% $19,130 −18% ≈247% of Medicare
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $15,663 $28,024 −44% $19,138 −18% —
866 VIRAL ILLNESS WITHOUT MCC $15,641 $28,759 −46% $17,081 −8% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $15,637 $28,749 −46% $15,452 +1% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $15,627 $28,736 −46% $16,520 −5% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $15,610 $28,701 −46% $16,998 −8% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $15,596 $28,417 −45% $16,699 −7% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $15,584 $28,658 −46% $19,569 −20% —
603 CELLULITIS WITHOUT MCC $15,572 $28,636 −46% $18,530 −16% ≈223% of Medicare
090 CONCUSSION WITHOUT CC/MCC $15,534 $27,865 −44% $15,412 +1% —
774 NO ACTIVE CODE DESCRIPTION $15,487 $15,487 +0% $3,032 +411% —
541 OSTEOMYELITIS WITHOUT CC/MCC $15,469 $28,437 −46% $15,215 +2% —
914 TRAUMATIC INJURY WITHOUT MCC $15,450 $29,786 −48% $15,855 −3% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $15,445 $28,441 −46% $19,846 −22% —
312 SYNCOPE AND COLLAPSE $15,407 $28,324 −46% $19,342 −20% ≈227% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $15,378 $28,268 −46% $19,305 −20% —
607 MINOR SKIN DISORDERS WITHOUT MCC $15,284 $28,096 −46% $15,889 −4% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $15,277 $28,080 −46% $18,602 −18% —
292 HEART FAILURE AND SHOCK WITH CC $15,232 $24,210 −37% $16,371 −7% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $15,215 $27,963 −46% $19,096 −20% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $15,196 $27,927 −46% $18,807 −19% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $15,123 $27,790 −46% $14,290 +6% —
103 HEADACHES WITHOUT MCC $15,041 $27,638 −46% $21,280 −29% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $15,019 $26,542 −43% $18,126 −17% —
594 SKIN ULCERS WITHOUT CC/MCC $15,015 $27,586 −46% $14,209 +6% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,821 $27,225 −46% $14,064 +5% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,809 $27,199 −46% $14,055 +5% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,772 $27,131 −46% $18,528 −20% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $14,736 $26,029 −43% $13,586 +8% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $14,617 $26,841 −46% $17,298 −15% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $14,519 $26,656 −46% $18,204 −20% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $14,499 $26,620 −46% $14,501 −0% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $14,493 $26,445 −45% $19,119 −24% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,477 $26,578 −46% $18,150 −20% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $14,468 $26,562 −46% $17,118 −15% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $14,458 $26,542 −46% $18,126 −20% —
176 PULMONARY EMBOLISM WITHOUT MCC $14,423 $26,477 −46% $18,081 −20% —
534 FRACTURES OF FEMUR WITHOUT MCC $14,415 $26,458 −46% $17,559 −18% —
204 RESPIRATORY SIGNS AND SYMPTOMS $14,363 $26,360 −46% $18,004 −20% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $14,361 $24,969 −42% $18,002 −20% —
123 NEUROLOGICAL EYE DISORDERS $14,228 $26,110 −46% $19,745 −28% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $14,217 $26,090 −46% $17,674 −20% ≈255% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,200 $26,061 −46% $17,578 −19% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $14,174 $26,012 −46% $21,056 −33% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $14,125 $25,915 −45% $17,700 −20% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $14,077 $25,784 −45% $17,921 −21% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $13,995 $25,674 −45% $13,445 +4% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,987 $25,658 −45% $17,620 −21% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,944 $25,521 −45% $14,014 −0% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,850 $25,404 −45% $17,038 −19% ≈241% of Medicare
694 URINARY STONES WITHOUT MCC $13,850 $25,401 −45% $17,345 −20% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,831 $25,365 −45% $17,322 −20% ≈244% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,803 $25,323 −45% $15,428 −11% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,682 $24,257 −44% $16,565 −17% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,647 $25,021 −45% $14,648 −7% —
151 EPISTAXIS WITHOUT MCC $13,445 $24,640 −45% $13,032 +3% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $13,436 $23,685 −43% $12,768 +5% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,405 $24,566 −45% $16,776 −20% —
305 HYPERTENSION WITHOUT MCC $13,318 $24,403 −45% $18,086 −26% ≈234% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $13,310 $24,384 −45% $19,037 −30% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $13,294 $24,358 −45% $16,634 −20% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $13,273 $24,315 −45% $14,716 −10% —
149 DYSEQUILIBRIUM $13,263 $24,299 −45% $18,096 −27% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,261 $21,894 −39% $12,895 +3% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $13,209 $24,195 −45% $15,019 −12% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $13,150 $24,085 −45% $16,450 −20% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $13,121 $24,033 −45% $17,303 −24% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $13,063 $23,542 −45% $12,593 +4% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $13,033 $23,864 −45% $14,514 −10% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $12,978 $25,278 −49% $17,124 −24% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,929 $22,768 −43% $15,549 −17% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $12,918 $18,428 −30% $10,160 +27% ≈225% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $12,880 $23,577 −45% $16,767 −23% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,875 $23,571 −45% $19,227 −33% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $12,849 $23,519 −45% $13,275 −3% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,780 $23,389 −45% $12,559 +2% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,674 $23,191 −45% $12,454 +2% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,672 $23,187 −45% $15,837 −20% —
313 CHEST PAIN $12,672 $23,178 −45% $16,440 −23% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,643 $23,135 −45% $14,583 −13% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $12,517 $22,898 −45% $12,336 +1% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,491 $22,687 −45% $15,495 −19% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,487 $22,840 −45% $15,600 −20% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $12,418 $22,050 −44% $11,997 +4% —
311 ANGINA PECTORIS $12,411 $22,706 −45% $15,502 −20% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,381 $22,635 −45% $12,252 +1% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,379 $22,638 −45% $12,460 −1% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,340 $22,563 −45% $14,797 −17% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $12,322 $21,673 −43% $11,847 +4% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,298 $22,485 −45% $14,689 −16% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,238 $22,375 −45% $20,781 −41% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,227 $22,352 −45% $14,415 −15% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,140 $22,189 −45% $13,651 −11% —
775 NO ACTIVE CODE DESCRIPTION $12,096 $12,096 +0% $3,032 +299% —
201 PNEUMOTHORAX WITHOUT CC/MCC $12,044 $22,004 −45% $14,053 −14% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,962 $21,858 −45% $14,549 −18% —
303 ATHEROSCLEROSIS WITHOUT MCC $11,962 $21,858 −45% $14,927 −20% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $11,950 $21,829 −45% $11,909 +0% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,926 $21,790 −45% $16,288 −27% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,912 $21,435 −44% $14,638 −19% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,818 $21,585 −45% $13,942 −15% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,740 $21,442 −45% $13,633 −14% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,526 $21,039 −45% $14,368 −20% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,401 $20,801 −45% $14,250 −20% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,354 $20,714 −45% $12,078 −6% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,344 $20,028 −43% $15,038 −25% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,339 $20,688 −45% $14,128 −20% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,295 $20,606 −45% $11,421 −1% —
782 NO ACTIVE CODE DESCRIPTION $11,248 $11,248 +0% $10,060 +12% —
639 DIABETES WITHOUT CC/MCC $11,169 $20,369 −45% $13,910 −20% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,125 $20,288 −45% $12,324 −10% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,101 $20,246 −45% $13,824 −20% —
778 NO ACTIVE CODE DESCRIPTION $10,997 $10,997 +0% $10,997 +0% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $10,970 $19,995 −45% $15,183 −28% —
684 RENAL FAILURE WITHOUT CC/MCC $10,836 $19,748 −45% $13,642 −21% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,827 $19,729 −45% $11,071 −2% —
950 AFTERCARE WITHOUT CC/MCC $10,714 $19,052 −44% $13,527 −21% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,708 $19,488 −45% $10,975 −2% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,040 $18,246 −45% $10,480 −4% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,007 $18,188 −45% $13,384 −25% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $9,820 $17,846 −45% $12,999 −24% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $9,794 $17,785 −45% $13,361 −27% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,319 $16,684 −44% $9,940 −6% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $7,966 $14,355 −45% $8,927 −11% —
780 NO ACTIVE CODE DESCRIPTION $4,253 $4,253 +0% $4,253 +0% —
795 NORMAL NEWBORN $3,777 $6,250 −40% $4,720 −20% —
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