St. Francis 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 $4,004
Average published price $42,306
Highest published price $653,652

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 36 procedures, this hospital's negotiated rates average ≈236% 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 $653,652 $656,447 −0% $498,715 +31% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $488,338 $488,262 +0% $431,073 +13% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $411,340 $411,266 +0% $306,087 +34% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $371,655 $379,654 −2% $371,366 +0% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $245,189 $252,238 −3% $245,241 −0% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $227,380 $227,309 +0% $182,314 +25% —
007 LUNG TRANSPLANT $226,808 $226,737 +0% $170,608 +33% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $218,754 $218,684 +0% $169,977 +29% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $216,447 $216,447 +0% $191,314 +13% —
453 NO ACTIVE CODE DESCRIPTION $203,631 $203,631 +0% $103,861 +96% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $189,138 $190,656 −1% $171,338 +10% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $184,903 $185,153 −0% $159,181 +16% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $181,889 $181,749 +0% $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 $167,612 $172,465 −3% $175,437 −4% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $160,005 $159,935 +0% $121,563 +32% —
224 NO ACTIVE CODE DESCRIPTION $157,031 $157,031 +0% $80,427 +95% —
231 CORONARY BYPASS WITH PTCA WITH MCC $147,223 $147,083 +0% $146,474 +1% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $147,141 $150,160 −2% $151,029 −3% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $144,914 $144,914 +0% $120,174 +21% —
459 NO ACTIVE CODE DESCRIPTION $144,820 $144,820 +0% $75,251 +92% —
226 NO ACTIVE CODE DESCRIPTION $143,826 $143,826 +0% $72,618 +98% —
454 NO ACTIVE CODE DESCRIPTION $140,775 $140,775 +0% $69,101 +104% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $140,073 $148,823 −6% $134,914 +4% —
010 PANCREAS TRANSPLANT $138,547 $137,518 +1% $99,940 +39% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $137,755 $139,867 −2% $105,228 +31% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $135,835 $137,351 −1% $138,868 −2% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $134,468 $137,335 −2% $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 $123,473 $123,453 +0% $121,728 +1% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $122,855 $125,346 −2% $131,961 −7% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $120,941 $123,925 −2% $138,008 −12% —
225 NO ACTIVE CODE DESCRIPTION $120,776 $120,776 +0% $57,380 +110% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $120,587 $120,448 +0% $120,587 +0% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $116,579 $116,552 +0% $114,914 +1% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $116,133 $116,049 +0% $89,353 +30% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $115,937 $118,589 −2% $118,589 −2% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $114,999 $114,909 +0% $113,855 +1% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $113,475 $121,162 −6% $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 $112,430 $116,264 −3% $109,331 +3% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $112,305 $112,989 −1% $121,714 −8% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $110,963 $114,779 −3% $108,472 +2% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $110,352 $110,270 +0% $105,612 +4% —
455 NO ACTIVE CODE DESCRIPTION $108,440 $108,440 +0% $54,320 +100% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $107,741 $110,476 −2% $117,280 −8% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $107,602 $107,515 +0% $94,988 +13% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $107,114 $108,776 −2% $98,912 +8% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $106,256 $106,397 −0% $106,238 +0% —
028 SPINAL PROCEDURES WITH MCC $105,751 $107,483 −2% $95,858 +10% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $104,996 $107,187 −2% $98,260 +7% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $104,996 $107,187 −2% $81,176 +29% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $103,495 $103,406 +0% $92,238 +12% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $103,418 $103,418 +0% $80,018 +29% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,368 $103,531 −1% $112,062 −9% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $101,328 $104,079 −3% $101,235 +0% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $101,296 $104,010 −3% $96,192 +5% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $100,071 $103,426 −3% $107,355 −7% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $99,266 $101,061 −2% $106,778 −7% —
653 MAJOR BLADDER PROCEDURES WITH MCC $97,006 $97,006 +0% $97,046 −0% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $96,851 $96,793 +0% $96,905 −0% —
834 ACUTE LEUKEMIA WITH MCC $96,186 $96,186 +0% $76,583 +26% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $95,785 $95,760 +0% $105,899 −10% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $95,202 $95,153 +0% $93,783 +2% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $94,694 $94,600 +0% $86,459 +10% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $94,478 $96,087 −2% $94,927 −0% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $93,999 $96,879 −3% $78,582 +20% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $93,911 $93,860 +0% $86,953 +8% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $93,900 $96,952 −3% $82,527 +14% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $92,599 $92,818 −0% $102,573 −10% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $92,192 $92,887 −1% $102,177 −10% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,653 $89,598 +0% $79,944 +12% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $89,357 $90,342 −1% $99,423 −10% ≈289% of Medicare
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $89,140 $89,040 +0% $92,217 −3% —
230 NO ACTIVE CODE DESCRIPTION $88,720 $88,720 +0% $88,720 +0% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $88,692 $91,968 −4% $96,222 −8% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $88,421 $90,427 −2% $80,747 +10% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $87,693 $87,636 +0% $87,565 +0% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $87,178 $87,040 +0% $70,735 +23% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $87,110 $87,013 +0% $84,861 +3% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $87,076 $88,047 −1% $87,018 +0% ≈170% of Medicare
245 AICD GENERATOR PROCEDURES $85,092 $84,994 +0% $72,076 +18% —
471 CERVICAL SPINAL FUSION WITH MCC $84,582 $87,332 −3% $92,515 −9% —
006 LIVER TRANSPLANT WITHOUT MCC $84,441 $85,307 −1% $84,407 +0% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $83,165 $83,065 +0% $88,691 −6% —
799 SPLENIC PROCEDURES WITH MCC $82,806 $85,106 −3% $78,821 +5% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $82,791 $82,729 +0% $86,390 −4% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $81,502 $81,439 +0% $80,885 +1% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $81,024 $82,825 −2% $91,329 −11% —
460 NO ACTIVE CODE DESCRIPTION $80,703 $80,703 +0% $50,815 +59% —
163 MAJOR CHEST PROCEDURES WITH MCC $80,285 $83,508 −4% $88,341 −9% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $80,252 $80,392 −0% $71,551 +12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $79,997 $82,548 −3% $90,331 −11% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $79,985 $80,360 −0% $88,050 −9% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $78,594 $78,895 −0% $72,859 +8% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $78,128 $78,061 +0% $76,954 +2% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $77,913 $78,867 −1% $88,307 −12% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $77,189 $77,338 −0% $68,847 +12% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $76,536 $77,169 −1% $75,585 +1% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $75,469 $79,821 −5% $83,441 −10% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $75,395 $75,292 +0% $59,352 +27% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $74,335 $75,240 −1% $82,561 −10% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $74,226 $74,215 +0% $88,049 −16% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $73,703 $73,631 +0% $60,098 +23% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $73,034 $73,615 −1% $68,659 +6% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $73,017 $72,981 +0% $72,945 +0% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $72,517 $74,071 −2% $83,065 −13% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $71,675 $71,968 −0% $82,247 −13% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $71,529 $71,629 −0% $73,029 −2% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $71,179 $71,142 +0% $81,998 −13% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $70,900 $70,826 +0% $72,011 −2% —
791 PREMATURITY WITH MAJOR PROBLEMS $70,770 $71,798 −1% $39,563 +79% —
984 NO ACTIVE CODE DESCRIPTION $69,800 $69,800 +0% $23,289 +200% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $69,451 $69,344 +0% $71,701 −3% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $69,402 $69,296 +0% $57,521 +21% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $68,792 $70,007 −2% $68,006 +1% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $68,652 $69,046 −1% $61,832 +11% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $68,513 $68,406 +0% $54,196 +26% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $68,212 $68,174 +0% $75,492 −10% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $68,179 $69,464 −2% $78,852 −14% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $67,805 $69,438 −2% $72,908 −7% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $67,394 $70,115 −4% $62,961 +7% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $67,327 $67,219 +0% $55,097 +22% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $67,140 $69,285 −3% $72,782 −8% —
246 NO ACTIVE CODE DESCRIPTION $67,016 $67,016 +0% $33,983 +97% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $66,985 $68,279 −2% $62,404 +7% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $66,727 $66,621 +0% $66,853 −0% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $66,298 $67,539 −2% $74,755 −11% —
332 RECTAL RESECTION WITH MCC $65,893 $65,756 +0% $58,125 +13% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $65,786 $68,266 −4% $74,257 −11% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $65,264 $67,803 −4% $60,861 +7% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $64,995 $64,917 +0% $75,103 −13% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $64,027 $63,913 +0% $65,325 −2% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $63,648 $64,143 −1% $62,524 +2% —
248 NO ACTIVE CODE DESCRIPTION $63,307 $63,307 +0% $34,146 +85% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $63,210 $63,546 −1% $71,755 −12% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $62,542 $62,459 +0% $59,425 +5% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $62,538 $62,496 +0% $57,855 +8% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $62,528 $64,776 −3% $64,776 −3% —
265 AICD LEAD PROCEDURES $62,236 $62,664 −1% $56,695 +10% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $62,118 $30,881 +101% $16,719 +272% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $61,959 $62,039 −0% $70,540 −12% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $61,584 $61,473 +0% $50,919 +21% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $61,429 $62,490 −2% $56,964 +8% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $61,422 $63,415 −3% $59,207 +4% —
338 NO ACTIVE CODE DESCRIPTION $61,292 $61,292 +0% $30,138 +103% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $61,139 $62,714 −3% $68,399 −11% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $61,119 $61,035 +0% $65,383 −7% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $60,988 $60,903 +0% $51,953 +17% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $60,597 $61,133 −1% $56,242 +8% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $60,465 $60,690 −0% $49,065 +23% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $60,110 $61,526 −2% $71,014 −15% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $60,016 $60,161 −0% $62,269 −4% —
665 PROSTATECTOMY WITH MCC $59,922 $59,811 +0% $54,072 +11% —
252 OTHER VASCULAR PROCEDURES WITH MCC $59,867 $60,062 −0% $68,508 −13% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $59,777 $61,861 −3% $68,880 −13% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $59,448 $59,434 +0% $67,901 −12% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $59,202 $61,298 −3% $70,132 −16% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $58,591 $60,786 −4% $64,152 −9% —
037 EXTRACRANIAL PROCEDURES WITH MCC $57,971 $58,945 −2% $64,749 −10% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $57,641 $57,641 +0% $52,908 +9% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $57,066 $57,066 +0% $65,254 −13% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $56,905 $59,211 −4% $54,129 +5% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $56,881 $56,793 +0% $64,465 −12% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $56,211 $58,387 −4% $64,956 −13% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $55,953 $56,498 −1% $57,277 −2% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $55,792 $55,702 +0% $66,819 −17% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $55,686 $55,641 +0% $49,710 +12% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $55,537 $55,424 +0% $44,472 +25% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $55,426 $55,426 +0% $51,142 +8% —
500 SOFT TISSUE PROCEDURES WITH MCC $55,335 $57,479 −4% $57,479 −4% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $54,509 $57,258 −5% $65,573 −17% —
662 MINOR BLADDER PROCEDURES WITH MCC $54,484 $54,393 +0% $54,483 +0% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $54,013 $55,033 −2% $62,821 −14% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $53,902 $53,856 +0% $65,216 −17% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $53,864 $55,913 −4% $53,817 +0% —
652 KIDNEY TRANSPLANT $53,649 $53,730 −0% $54,720 −2% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $53,601 $54,185 −1% $53,555 +0% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $53,427 $53,335 +0% $63,475 −16% —
570 SKIN DEBRIDEMENT WITH MCC $52,589 $52,496 +0% $52,435 +0% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $52,173 $52,259 −0% $46,402 +12% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $51,522 $53,273 −3% $54,313 −5% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $51,390 $52,521 −2% $63,984 −20% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $51,252 $52,151 −2% $60,140 −15% —
668 TRANSURETHRAL PROCEDURES WITH MCC $50,963 $50,847 +0% $47,277 +8% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $50,935 $53,037 −4% $67,764 −25% —
800 SPLENIC PROCEDURES WITH CC $50,919 $50,804 +0% $49,184 +4% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $50,892 $50,797 +0% $54,475 −7% —
472 CERVICAL SPINAL FUSION WITH CC $50,632 $51,532 −2% $59,537 −15% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $50,110 $50,976 −2% $58,968 −15% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $50,053 $50,427 −1% $56,758 −12% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $50,024 $49,929 +0% $53,551 −7% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $49,955 $49,818 +0% $49,055 +2% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $49,894 $51,422 −3% $48,358 +3% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $49,759 $51,121 −3% $74,274 −33% ≈232% of Medicare
131 NO ACTIVE CODE DESCRIPTION $49,691 $49,691 +0% $23,289 +113% —
654 MAJOR BLADDER PROCEDURES WITH CC $49,331 $49,235 +0% $53,868 −8% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $49,094 $50,117 −2% $58,043 −15% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $49,044 $48,927 +0% $48,907 +0% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $47,762 $47,625 +0% $45,497 +5% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $47,365 $47,228 +0% $48,094 −2% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $47,275 $49,553 −5% $57,963 −18% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $47,121 $48,660 −3% $44,839 +5% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $46,936 $48,114 −2% $52,405 −10% —
263 VEIN LIGATION AND STRIPPING $46,907 $49,774 −6% $44,938 +4% —
849 RADIOTHERAPY $46,716 $47,304 −1% $37,862 +23% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $46,572 $46,925 −1% $45,432 +3% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $46,408 $47,720 −3% $40,947 +13% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $46,350 $47,729 −3% $45,290 +2% —
503 FOOT PROCEDURES WITH MCC $46,291 $46,291 +0% $43,901 +5% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $46,105 $49,064 −6% $36,097 +28% —
129 NO ACTIVE CODE DESCRIPTION $45,975 $45,975 +0% $23,289 +97% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $45,888 $47,400 −3% $54,929 −16% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $45,770 $48,441 −6% $43,697 +5% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $45,287 $45,177 +0% $41,703 +9% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $44,684 $44,548 +0% $38,878 +15% —
253 OTHER VASCULAR PROCEDURES WITH CC $44,670 $45,488 −2% $53,746 −17% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $44,657 $44,559 +0% $43,491 +3% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $44,587 $44,587 +0% $57,149 −22% —
341 NO ACTIVE CODE DESCRIPTION $44,389 $44,389 +0% $25,628 +73% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $44,218 $44,403 −0% $39,657 +12% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $44,184 $45,190 −2% $46,659 −5% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $44,065 $45,283 −3% $44,973 −2% —
164 MAJOR CHEST PROCEDURES WITH CC $44,047 $44,690 −1% $53,141 −17% —
247 NO ACTIVE CODE DESCRIPTION $43,944 $43,944 +0% $21,663 +103% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $43,823 $43,132 +2% $39,409 +11% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $43,790 $43,770 +0% $55,162 −21% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $43,655 $43,537 +0% $40,277 +8% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $43,538 $44,919 −3% $40,065 +9% —
397 APPENDIX PROCEDURES WITH MCC $43,368 $43,265 +0% $52,319 −17% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $43,195 $43,520 −1% $52,332 −17% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $42,857 $42,806 +0% $51,985 −18% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $42,507 $42,507 +0% $54,824 −22% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $42,344 $42,869 −1% $46,591 −9% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $42,075 $43,391 −3% $40,548 +4% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $42,038 $42,821 −2% $56,394 −25% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $41,972 $42,269 −1% $47,583 −12% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $41,972 $41,852 +0% $39,093 +7% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $41,613 $41,570 +0% $52,313 −20% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $41,456 $42,475 −2% $50,624 −18% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $41,392 $44,995 −8% $58,832 −30% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $41,326 $41,410 −0% $47,546 −13% —
113 ORBITAL PROCEDURES WITH CC/MCC $41,089 $42,387 −3% $35,642 +15% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $40,957 $40,957 +0% $50,139 −18% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $40,638 $40,586 +0% $36,237 +12% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $40,544 $40,424 +0% $36,080 +12% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $40,506 $41,764 −3% $51,339 −21% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $40,434 $41,306 −2% $49,631 −19% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $40,186 $40,080 +0% $37,080 +8% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $40,154 $32,101 +25% $11,633 +245% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $40,120 $39,726 +1% $36,334 +10% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $39,999 $39,863 +0% $39,253 +2% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $39,924 $40,101 −0% $43,586 −8% —
985 NO ACTIVE CODE DESCRIPTION $39,885 $39,885 +0% $23,289 +71% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $39,852 $40,907 −3% $46,430 −14% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $39,700 $39,700 +0% $37,064 +7% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $39,566 $39,571 −0% $38,998 +1% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $39,564 $39,895 −1% $44,989 −12% —
249 NO ACTIVE CODE DESCRIPTION $39,474 $39,474 +0% $20,610 +92% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $39,470 $40,517 −3% $50,011 −21% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $39,457 $39,404 +0% $48,682 −19% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $39,407 $39,853 −1% $45,059 −13% —
709 PENIS PROCEDURES WITH CC/MCC $39,372 $39,250 +0% $34,535 +14% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $39,117 $39,809 −2% $44,053 −11% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $38,996 $40,975 −5% $45,818 −15% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $38,787 $38,682 +0% $44,600 −13% ≈264% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $38,546 $39,116 −1% $38,382 +0% —
935 NON-EXTENSIVE BURNS $38,494 $38,358 +0% $29,458 +31% —
133 NO ACTIVE CODE DESCRIPTION $38,305 $38,305 +0% $23,289 +64% —
906 HAND PROCEDURES FOR INJURIES $38,253 $38,131 +0% $31,520 +21% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $38,249 $38,365 −0% $35,686 +7% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $38,191 $38,230 −0% $41,900 −9% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $38,024 $37,917 +0% $37,902 +0% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $37,817 $38,061 −1% $44,553 −15% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $37,751 $37,587 +0% $38,357 −2% ≈207% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $37,664 $37,542 +0% $34,900 +8% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $37,656 $37,533 +0% $36,850 +2% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $37,638 $37,515 +0% $30,661 +23% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $37,617 $37,481 +0% $31,044 +21% —
835 ACUTE LEUKEMIA WITH CC $37,446 $37,324 +0% $35,569 +5% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $37,444 $37,874 −1% $40,232 −7% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $37,441 $38,342 −2% $45,622 −18% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $37,372 $37,263 +0% $37,654 −1% —
333 RECTAL RESECTION WITH CC $37,262 $37,271 −0% $34,352 +8% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $37,186 $37,186 +0% $46,477 −20% —
595 MAJOR SKIN DISORDERS WITH MCC $37,086 $37,818 −2% $31,785 +17% —
336 PERITONEAL ADHESIOLYSIS WITH CC $37,037 $41,134 −10% $49,470 −25% —
374 DIGESTIVE MALIGNANCY WITH MCC $37,022 $37,492 −1% $38,885 −5% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $37,022 $37,721 −2% $38,420 −4% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $36,964 $37,660 −2% $56,519 −35% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $36,764 $36,654 +0% $46,066 −20% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $36,660 $37,233 −2% $32,483 +13% —
339 NO ACTIVE CODE DESCRIPTION $36,490 $36,490 +0% $18,474 +98% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $36,431 $37,475 −3% $41,651 −13% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $36,389 $38,744 −6% $51,172 −29% ≈215% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $36,249 $38,498 −6% $35,139 +3% —
592 SKIN ULCERS WITH MCC $36,067 $36,067 +0% $32,662 +10% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $35,913 $35,803 +0% $34,089 +5% —
539 OSTEOMYELITIS WITH MCC $35,480 $35,558 −0% $33,746 +5% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $35,388 $35,807 −1% $41,660 −15% —
548 SEPTIC ARTHRITIS WITH MCC $35,345 $35,209 +0% $31,019 +14% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $35,309 $35,185 +0% $30,940 +14% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $35,295 $36,289 −3% $45,817 −23% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $35,085 $36,162 −3% $36,202 −3% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $35,064 $35,315 −1% $44,363 −21% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $35,059 $39,140 −10% $43,524 −19% ≈238% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $35,035 $35,667 −2% $29,109 +20% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $34,905 $34,905 +0% $35,714 −2% ≈206% of Medicare
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $34,889 $37,005 −6% $41,520 −16% —
711 TESTES PROCEDURES WITH CC/MCC $34,858 $35,933 −3% $34,852 +0% —
100 SEIZURES WITH MCC $34,838 $34,782 +0% $35,194 −1% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $34,834 $34,723 +0% $29,633 +18% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $34,713 $34,986 −1% $43,398 −20% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $34,624 $34,624 +0% $43,800 −21% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $34,605 $34,871 −1% $43,775 −21% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $34,436 $34,324 +0% $35,237 −2% ≈219% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $34,420 $34,930 −1% $43,538 −21% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $34,384 $34,362 +0% $36,933 −7% —
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $34,320 $34,264 +0% $35,014 −2% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $34,300 $34,164 +0% $29,524 +16% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $34,295 $34,184 +0% $33,050 +4% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $34,063 $34,918 −2% $43,080 −21% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,908 $35,192 −4% $42,881 −21% —
380 COMPLICATED PEPTIC ULCER WITH MCC $33,781 $34,668 −3% $36,641 −8% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,582 $33,446 +0% $33,165 +1% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $33,319 $33,644 −1% $42,126 −21% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $33,319 $33,501 −1% $35,459 −6% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $33,244 $33,335 −0% $36,280 −8% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $33,194 $33,081 +0% $32,399 +2% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $33,149 $33,013 +0% $32,204 +3% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $33,113 $33,013 +0% $32,981 +0% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $33,109 $43,030 −23% $49,197 −33% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $33,107 $38,497 −14% $45,963 −28% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $33,085 $33,430 −1% $30,766 +8% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $32,756 $32,678 +0% $35,114 −7% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $32,736 $33,085 −1% $41,380 −21% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,603 $32,606 −0% $30,974 +5% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $32,589 $32,538 +0% $32,538 +0% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $32,561 $32,425 +0% $22,698 +43% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,423 $32,298 +0% $29,609 +10% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $32,357 $32,357 +0% $28,375 +14% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $32,298 $32,298 +0% $30,394 +6% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $32,201 $32,372 −1% $40,694 −21% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $32,115 $32,846 −2% $40,583 −21% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $32,099 $32,507 −1% $40,563 −21% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $32,090 $32,038 +0% $40,552 −21% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $32,054 $31,918 +0% $37,950 −16% —
919 COMPLICATIONS OF TREATMENT WITH MCC $32,037 $32,560 −2% $29,031 +10% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $32,025 $32,025 +0% $36,375 −12% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $31,945 $31,983 −0% $36,597 −13% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $31,943 $32,066 −0% $37,842 −16% ≈249% of Medicare
691 NO ACTIVE CODE DESCRIPTION $31,905 $31,905 +0% $31,905 +0% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $31,789 $32,884 −3% $29,476 +8% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $31,788 $32,484 −2% $54,772 −42% ≈257% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $31,709 $32,130 −1% $40,063 −21% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $31,673 $30,728 +3% $14,284 +122% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $31,532 $30,879 +2% $24,836 +27% —
075 VIRAL MENINGITIS WITH CC/MCC $31,469 $33,374 −6% $29,853 +5% —
501 SOFT TISSUE PROCEDURES WITH CC $31,363 $31,248 +0% $37,975 −17% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $31,297 $33,032 −5% $48,680 −36% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $31,295 $31,170 +0% $30,275 +3% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $31,282 $32,844 −5% $33,564 −7% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $31,209 $32,906 −5% $31,909 −2% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $31,160 $31,283 −0% $36,242 −14% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $31,035 $31,952 −3% $35,673 −13% —
199 PNEUMOTHORAX WITH MCC $31,027 $30,912 +0% $31,491 −1% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $31,014 $31,014 +0% $29,826 +4% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,995 $30,937 +0% $32,839 −6% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $30,893 $31,010 −0% $39,018 −21% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $30,878 $30,996 −0% $29,558 +4% —
509 ARTHROSCOPY $30,878 $30,753 +0% $25,994 +19% —
597 MALIGNANT BREAST DISORDERS WITH MCC $30,878 $30,753 +0% $31,846 −3% —
504 FOOT PROCEDURES WITH CC $30,848 $30,942 −0% $36,598 −16% —
505 FOOT PROCEDURES WITHOUT CC/MCC $30,848 $30,712 +0% $31,716 −3% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $30,783 $31,122 −1% $34,264 −10% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $30,752 $31,029 −1% $38,836 −21% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $30,727 $30,771 −0% $31,758 −3% —
180 RESPIRATORY NEOPLASMS WITH MCC $30,724 $30,609 +0% $36,658 −16% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $30,568 $31,733 −4% $30,814 −1% —
915 ALLERGIC REACTIONS WITH MCC $30,552 $31,517 −3% $30,944 −1% —
671 URETHRAL PROCEDURES WITH CC/MCC $30,306 $30,306 +0% $27,233 +11% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $30,213 $31,114 −3% $28,103 +8% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $30,173 $30,371 −1% $38,094 −21% —
551 MEDICAL BACK PROBLEMS WITH MCC $30,007 $30,399 −1% $31,086 −3% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $29,915 $30,596 −2% $43,266 −31% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $29,787 $29,661 +0% $29,729 +0% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,730 $29,604 +0% $28,578 +4% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $29,712 $30,921 −4% $29,409 +1% —
132 NO ACTIVE CODE DESCRIPTION $29,701 $29,701 +0% $23,289 +28% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $29,626 $29,367 +1% $31,128 −5% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $29,590 $30,466 −3% $28,634 +3% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $29,565 $29,605 −0% $30,058 −2% ≈238% of Medicare
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $29,456 $29,686 −1% $29,916 −2% —
571 SKIN DEBRIDEMENT WITH CC $29,451 $30,132 −2% $34,901 −16% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $29,380 $29,263 +0% $25,208 +17% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,376 $29,567 −1% $33,607 −13% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $29,345 $29,337 +0% $30,930 −5% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $29,267 $29,209 +0% $32,502 −10% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $29,246 $29,130 +0% $27,548 +6% —
334 RECTAL RESECTION WITHOUT CC/MCC $29,179 $29,052 +0% $32,213 −9% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $29,176 $30,131 −3% $42,119 −31% —
643 ENDOCRINE DISORDERS WITH MCC $29,156 $29,156 +0% $32,996 −12% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $29,134 $29,065 +0% $32,689 −11% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $29,047 $36,975 −21% $44,117 −34% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $28,999 $28,872 +0% $25,197 +15% —
666 PROSTATECTOMY WITH CC $28,983 $29,678 −2% $30,016 −3% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $28,982 $31,922 −9% $27,118 +7% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $28,903 $28,777 +0% $31,566 −8% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $28,881 $28,754 +0% $28,967 −0% ≈235% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $28,852 $28,674 +1% $28,134 +3% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $28,829 $28,829 +0% $30,910 −7% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $28,815 $29,521 −2% $36,333 −21% —
157 DENTAL AND ORAL DISEASES WITH MCC $28,813 $30,190 −5% $27,457 +5% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $28,769 $28,633 +0% $24,561 +17% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $28,620 $28,225 +1% $24,465 +17% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $28,607 $29,339 −2% $27,168 +5% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $28,593 $28,457 +0% $26,020 +10% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $28,469 $28,333 +0% $25,731 +11% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $28,450 $29,960 −5% $31,840 −11% ≈234% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $28,359 $28,487 −0% $35,770 −21% —
606 MINOR SKIN DISORDERS WITH MCC $28,342 $28,379 −0% $25,434 +11% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $28,299 $28,545 −1% $35,692 −21% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $28,214 $29,136 −3% $35,584 −21% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $28,086 $28,866 −3% $33,984 −17% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $28,051 $28,506 −2% $35,375 −21% —
130 NO ACTIVE CODE DESCRIPTION $28,040 $28,040 +0% $23,289 +20% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $27,928 $33,606 −17% $39,747 −30% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $27,821 $27,733 +0% $33,490 −17% —
186 PLEURAL EFFUSION WITH MCC $27,817 $27,817 +0% $32,468 −14% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $27,760 $27,624 +0% $29,371 −5% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $27,686 $27,702 −0% $34,906 −21% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $27,631 $27,921 −1% $32,936 −16% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $27,609 $28,076 −2% $31,059 −11% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $27,563 $27,903 −1% $32,490 −15% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $27,516 $28,238 −3% $41,380 −34% —
813 COAGULATION DISORDERS $27,458 $27,809 −1% $30,128 −9% —
342 NO ACTIVE CODE DESCRIPTION $27,378 $27,378 +0% $19,454 +41% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $27,325 $28,093 −3% $35,453 −23% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $27,317 $27,893 −2% $34,434 −21% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $27,293 $27,293 +0% $28,646 −5% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $27,275 $28,067 −3% $33,694 −19% —
669 TRANSURETHRAL PROCEDURES WITH CC $27,254 $27,459 −1% $34,354 −21% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $27,234 $27,128 +0% $24,036 +13% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $27,225 $27,801 −2% $25,484 +7% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $27,222 $27,155 +0% $28,252 −4% —
533 FRACTURES OF FEMUR WITH MCC $27,133 $27,915 −3% $25,945 +5% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $27,040 $26,980 +0% $36,239 −25% —
865 VIRAL ILLNESS WITH MCC $27,030 $27,030 +0% $26,088 +4% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $26,969 $27,385 −2% $24,879 +8% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $26,922 $28,476 −5% $33,424 −19% —
663 MINOR BLADDER PROCEDURES WITH CC $26,907 $26,787 +0% $29,924 −10% —
945 REHABILITATION WITH CC/MCC $26,891 $26,772 +0% $23,834 +13% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $26,769 $28,329 −6% $25,786 +4% —
767 NO ACTIVE CODE DESCRIPTION $26,739 $26,739 +0% $3,032 +782% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $26,724 $26,605 +0% $30,972 −14% —
183 MAJOR CHEST TRAUMA WITH MCC $26,693 $28,167 −5% $28,924 −8% —
398 APPENDIX PROCEDURES WITH CC $26,661 $27,027 −1% $39,107 −32% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $26,603 $26,484 +0% $24,229 +10% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $26,593 $26,593 +0% $27,279 −3% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $26,510 $26,382 +0% $33,792 −22% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $26,501 $26,538 −0% $35,528 −25% —
913 TRAUMATIC INJURY WITH MCC $26,498 $26,846 −1% $24,198 +10% —
682 RENAL FAILURE WITH MCC $26,465 $26,337 +0% $27,854 −5% ≈218% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $26,456 $26,337 +0% $23,814 +11% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $26,416 $26,424 −0% $29,484 −10% —
506 MAJOR THUMB OR JOINT PROCEDURES $26,416 $26,357 +0% $28,983 −9% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $26,387 $26,837 −2% $24,450 +8% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $26,306 $26,495 −1% $33,137 −21% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $26,246 $27,000 −3% $25,149 +4% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $26,236 $26,769 −2% $31,062 −16% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $26,184 $26,502 −1% $28,140 −7% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $26,167 $26,038 +0% $30,358 −14% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $26,129 $28,756 −9% $32,911 −21% —
693 URINARY STONES WITH MCC $25,919 $25,783 +1% $22,525 +15% —
692 NO ACTIVE CODE DESCRIPTION $25,916 $25,916 +0% $25,916 +0% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $25,911 $26,031 −0% $28,780 −10% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $25,902 $25,774 +0% $25,152 +3% —
602 CELLULITIS WITH MCC $25,898 $25,770 +0% $29,347 −12% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $25,800 $26,364 −2% $29,211 −12% —
637 DIABETES WITH MCC $25,675 $25,918 −1% $28,819 −11% ≈186% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $25,651 $25,651 +0% $24,941 +3% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $25,529 $25,393 +1% $21,986 +16% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $25,497 $25,896 −2% $29,663 −14% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $25,452 $26,163 −3% $32,451 −22% ≈473% of Medicare
088 CONCUSSION WITH MCC $25,439 $26,167 −3% $24,402 +4% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $25,425 $25,404 +0% $22,525 +13% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $25,379 $25,243 +1% $25,243 +1% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $25,275 $25,580 −1% $31,816 −21% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $25,272 $26,123 −3% $31,812 −21% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $25,071 $24,942 +1% $25,010 +0% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $25,034 $25,215 −1% $21,615 +16% —
137 MOUTH PROCEDURES WITH CC/MCC $25,027 $25,027 +0% $24,348 +3% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $24,965 $26,333 −5% $23,734 +5% —
986 NO ACTIVE CODE DESCRIPTION $24,912 $24,912 +0% $23,289 +7% —
885 PSYCHOSES $24,866 $24,745 +0% $21,489 +16% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $24,857 $24,797 +0% $29,757 −16% ≈250% of Medicare
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $24,832 $26,225 −5% $35,542 −30% —
811 RED BLOOD CELL DISORDERS WITH MCC $24,819 $27,427 −10% $27,934 −11% ≈230% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,758 $24,638 +0% $25,854 −4% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $24,722 $24,845 −0% $24,452 +1% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $24,651 $24,764 −0% $30,006 −18% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $24,584 $24,212 +2% $25,666 −4% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $24,534 $24,398 +1% $24,118 +2% —
150 EPISTAXIS WITH MCC $24,392 $24,263 +1% $21,133 +15% —
340 NO ACTIVE CODE DESCRIPTION $24,281 $24,281 +0% $16,240 +50% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $24,243 $24,107 +1% $29,050 −17% —
139 SALIVARY GLAND PROCEDURES $24,232 $24,103 +1% $21,014 +15% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $24,187 $24,065 +1% $20,980 +15% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $24,184 $24,123 +0% $30,418 −20% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $24,047 $24,047 +0% $24,980 −4% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $23,922 $23,793 +1% $29,374 −19% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $23,902 $23,902 +0% $28,527 −16% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $23,832 $24,304 −2% $29,805 −20% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $23,821 $24,429 −2% $22,811 +4% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,775 $24,584 −3% $23,723 +0% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $23,646 $24,987 −5% $24,316 −3% —
765 NO ACTIVE CODE DESCRIPTION $23,598 $23,598 +0% $5,336 +342% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $23,564 $23,564 +0% $25,426 −7% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $23,543 $24,229 −3% $31,978 −26% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $23,486 $23,356 +1% $23,350 +1% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $23,453 $23,392 +0% $24,480 −4% ≈246% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $23,440 $24,767 −5% $22,557 +4% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $23,335 $23,335 +0% $19,686 +19% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $23,274 $23,672 −2% $26,158 −11% ≈235% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $23,273 $26,780 −13% $34,887 −33% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $23,169 $23,169 +0% $23,115 +0% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $23,137 $24,153 −4% $26,634 −13% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $23,072 $23,967 −4% $23,956 −4% —
291 HEART FAILURE AND SHOCK WITH MCC $23,051 $23,034 +0% $25,020 −8% ≈241% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $23,035 $23,035 +0% $21,029 +10% —
540 OSTEOMYELITIS WITH CC $22,865 $23,186 −1% $23,494 −3% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,786 $23,401 −3% $23,920 −5% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $22,767 $22,960 −1% $23,924 −5% —
947 SIGNS AND SYMPTOMS WITH MCC $22,729 $22,593 +1% $25,474 −11% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $22,699 $22,699 +0% $27,244 −17% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $22,636 $23,880 −5% $28,156 −20% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $22,460 $22,336 +1% $22,275 +1% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $22,394 $22,265 +1% $25,623 −13% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $22,320 $22,272 +0% $19,894 +12% —
348 ANAL AND STOMAL PROCEDURES WITH CC $22,256 $23,088 −4% $27,947 −20% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $22,020 $22,846 −4% $26,146 −16% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $22,017 $21,887 +1% $19,354 +14% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $22,012 $22,071 −0% $21,860 +1% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $21,948 $23,042 −5% $20,727 +6% —
134 NO ACTIVE CODE DESCRIPTION $21,934 $21,934 +0% $23,289 −6% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $21,903 $21,673 +1% $22,032 −1% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $21,901 $22,130 −1% $27,492 −20% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $21,884 $22,048 −1% $25,704 −15% ≈225% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $21,788 $21,658 +1% $20,147 +8% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $21,769 $22,837 −5% $27,321 −20% —
375 DIGESTIVE MALIGNANCY WITH CC $21,733 $21,771 −0% $27,219 −20% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $21,721 $21,585 +1% $19,132 +14% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $21,717 $16,905 +28% $7,961 +173% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $21,645 $21,514 +1% $26,322 −18% —
593 SKIN ULCERS WITH CC $21,629 $21,685 −0% $20,470 +6% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $21,566 $22,104 −2% $23,588 −9% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $21,476 $21,908 −2% $23,297 −8% —
685 NO ACTIVE CODE DESCRIPTION $21,385 $21,385 +0% $21,385 +0% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $21,356 $21,944 −3% $22,532 −5% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $21,338 $21,511 −1% $26,488 −19% ≈228% of Medicare
549 SEPTIC ARTHRITIS WITH CC $21,324 $21,443 −1% $20,938 +2% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $21,259 $21,841 −3% $18,291 +16% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $21,213 $25,236 −16% $27,369 −22% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $21,153 $21,017 +1% $20,421 +4% —
887 OTHER MENTAL DISORDER DIAGNOSES $21,052 $20,916 +1% $20,602 +2% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $20,973 $21,685 −3% $20,842 +1% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $20,926 $21,374 −2% $19,598 +7% —
343 NO ACTIVE CODE DESCRIPTION $20,828 $20,828 +0% $13,735 +52% —
304 HYPERTENSION WITH MCC $20,799 $20,659 +1% $24,185 −14% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $20,721 $20,658 +0% $22,982 −10% ≈220% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,652 $21,207 −3% $25,390 −19% —
302 ATHEROSCLEROSIS WITH MCC $20,600 $20,537 +0% $20,844 −1% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $20,597 $20,793 −1% $21,062 −2% —
102 HEADACHES WITH MCC $20,534 $21,384 −4% $22,544 −9% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $20,503 $21,276 −4% $24,202 −15% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,465 $20,329 +1% $25,307 −19% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,387 $20,324 +0% $18,133 +12% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $20,238 $20,316 −0% $24,432 −17% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $20,194 $21,229 −5% $17,103 +18% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,174 $20,277 −1% $24,452 −17% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $20,165 $20,397 −1% $25,267 −20% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $20,138 $20,678 −3% $24,544 −18% —
152 OTITIS MEDIA AND URI WITH MCC $20,106 $21,031 −4% $19,795 +2% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $20,054 $20,054 +0% $20,741 −3% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $19,984 $19,853 +1% $24,017 −17% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $19,928 $20,171 −1% $24,022 −17% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $19,916 $19,955 −0% $30,314 −34% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,902 $19,902 +0% $24,190 −18% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $19,900 $19,968 −0% $19,317 +3% —
598 MALIGNANT BREAST DISORDERS WITH CC $19,881 $19,881 +0% $19,073 +4% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,875 $20,409 −3% $17,193 +16% —
946 REHABILITATION WITHOUT CC/MCC $19,790 $19,663 +1% $17,685 +12% —
712 TESTES PROCEDURES WITHOUT CC/MCC $19,712 $20,241 −3% $18,898 +4% —
181 RESPIRATORY NEOPLASMS WITH CC $19,682 $19,709 −0% $22,431 −12% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $19,679 $19,527 +1% $18,459 +7% —
200 PNEUMOTHORAX WITH CC $19,634 $19,498 +1% $20,573 −5% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $19,549 $19,813 −1% $25,162 −22% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $19,519 $19,393 +1% $17,483 +12% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $19,407 $19,275 +1% $17,398 +12% —
777 NO ACTIVE CODE DESCRIPTION $19,358 $19,358 +0% $19,358 +0% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $19,348 $19,221 +1% $19,868 −3% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $19,325 $19,385 −0% $31,190 −38% ≈282% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $19,315 $19,264 +0% $24,177 −20% —
089 CONCUSSION WITH CC $19,246 $19,749 −3% $18,293 +5% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $19,235 $19,335 −1% $21,806 −12% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $19,209 $19,209 +0% $22,560 −15% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $19,176 $19,049 +1% $17,226 +11% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $19,154 $19,070 +0% $18,126 +6% —
949 AFTERCARE WITH CC/MCC $19,140 $19,180 −0% $23,953 −20% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $19,088 $18,952 +1% $17,943 +6% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $18,995 $18,995 +0% $19,579 −3% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $18,981 $18,849 +1% $23,749 −20% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $18,842 $24,826 −24% $23,571 −20% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $18,826 $19,110 −1% $23,496 −20% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $18,789 $18,657 +1% $24,136 −22% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $18,728 $18,596 +1% $22,024 −15% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $18,705 $18,705 +0% $23,396 −20% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $18,685 $18,685 +0% $18,478 +1% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $18,671 $18,607 +0% $17,550 +6% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $18,640 $18,661 −0% $22,231 −16% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $18,515 $19,486 −5% $17,078 +8% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $18,506 $18,533 −0% $23,141 −20% —
697 URETHRAL STRICTURE $18,492 $18,492 +0% $17,705 +4% —
644 ENDOCRINE DISORDERS WITH CC $18,350 $18,617 −1% $22,941 −20% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $18,308 $19,002 −4% $22,781 −20% ≈253% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $18,279 $18,601 −2% $22,850 −20% —
667 PROSTATECTOMY WITHOUT CC/MCC $18,253 $18,474 −1% $16,703 +9% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $18,201 $18,348 −1% $16,495 +10% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $18,116 $18,116 +0% $20,732 −13% ≈272% of Medicare
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $18,116 $18,138 −0% $16,571 +9% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $18,113 $17,981 +1% $21,545 −16% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $18,111 $18,550 −2% $20,080 −10% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $18,106 $17,974 +1% $19,091 −5% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $18,076 $18,076 +0% $22,713 −20% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $18,064 $18,195 −1% $23,469 −23% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $18,051 $17,986 +0% $18,017 +0% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $18,048 $18,517 −3% $15,901 +14% —
920 COMPLICATIONS OF TREATMENT WITH CC $18,047 $18,047 +0% $21,181 −15% —
184 MAJOR CHEST TRAUMA WITH CC $18,016 $17,952 +0% $20,842 −14% —
187 PLEURAL EFFUSION WITH CC $17,841 $17,866 −0% $21,467 −17% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $17,823 $17,691 +1% $16,212 +10% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $17,770 $17,976 −1% $20,007 −11% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $17,737 $17,673 +0% $15,370 +15% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $17,735 $18,125 −2% $17,434 +2% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $17,642 $17,510 +1% $20,968 −16% —
197 INTERSTITIAL LUNG DISEASE WITH CC $17,599 $17,826 −1% $20,106 −12% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,540 $17,980 −2% $15,890 +10% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $17,527 $17,527 +0% $21,886 −20% ≈240% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $17,523 $17,780 −1% $18,282 −4% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $17,221 $17,716 −3% $19,001 −9% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $17,221 $17,221 +0% $18,238 −6% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $17,215 $18,075 −5% $16,418 +5% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $17,195 $17,183 +0% $17,273 −0% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $17,186 $17,142 +0% $21,449 −20% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $17,145 $17,016 +1% $21,213 −19% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $17,119 $17,119 +0% $20,777 −18% —
882 NEUROSES EXCEPT DEPRESSIVE $17,113 $16,984 +1% $15,680 +9% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $17,055 $16,919 +1% $15,636 +9% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $17,011 $16,882 +1% $18,191 −6% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $17,004 $17,208 −1% $20,371 −17% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $16,996 $16,867 +1% $19,326 −12% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,992 $16,992 +0% $15,589 +9% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $16,937 $17,352 −2% $18,428 −8% —
781 NO ACTIVE CODE DESCRIPTION $16,875 $16,875 +0% $16,875 +0% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $16,755 $16,797 −0% $18,918 −11% —
158 DENTAL AND ORAL DISEASES WITH CC $16,743 $16,816 −0% $17,700 −5% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $16,727 $16,907 −1% $17,108 −2% —
779 ABORTION WITHOUT D&C $16,673 $16,608 +0% $15,327 +9% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $16,622 $16,622 +0% $16,642 −0% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,581 $16,257 +2% $17,585 −6% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $16,549 $16,955 −2% $20,309 −19% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $16,513 $16,926 −2% $15,764 +5% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $16,497 $16,497 +0% $18,608 −11% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $16,450 $16,340 +1% $19,287 −15% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $16,436 $16,303 +1% $20,488 −20% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $16,417 $16,390 +0% $20,463 −20% ≈264% of Medicare
101 SEIZURES WITHOUT MCC $16,416 $16,379 +0% $19,954 −18% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $16,369 $16,744 −2% $16,352 +0% —
638 DIABETES WITH CC $16,337 $16,272 +0% $18,821 −13% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $16,332 $16,416 −1% $15,474 +6% —
881 DEPRESSIVE NEUROSES $16,284 $16,151 +1% $15,058 +8% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $16,278 $17,086 −5% $19,854 −18% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $16,140 $16,140 +0% $17,731 −9% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $16,123 $16,198 −0% $15,077 +7% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $16,121 $21,990 −27% $20,084 −20% —
766 NO ACTIVE CODE DESCRIPTION $16,101 $16,101 +0% $5,336 +202% —
864 FEVER AND INFLAMMATORY CONDITIONS $16,005 $15,879 +1% $17,412 −8% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $15,932 $17,409 −8% $18,803 −15% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $15,908 $15,908 +0% $21,261 −25% —
683 RENAL FAILURE WITH CC $15,847 $16,089 −2% $18,620 −15% ≈236% of Medicare
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $15,798 $16,183 −2% $16,156 −2% —
866 VIRAL ILLNESS WITHOUT MCC $15,776 $16,305 −3% $16,391 −4% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $15,773 $15,708 +0% $15,045 +5% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $15,762 $15,816 −0% $15,869 −1% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $15,745 $15,745 +0% $15,608 +1% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $15,731 $15,666 +0% $16,049 −2% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $15,719 $15,650 +0% $19,569 −20% —
603 CELLULITIS WITHOUT MCC $15,707 $15,835 −1% $18,530 −15% —
090 CONCUSSION WITHOUT CC/MCC $15,670 $15,670 +0% $14,873 +5% —
541 OSTEOMYELITIS WITHOUT CC/MCC $15,605 $15,472 +1% $14,549 +7% —
914 TRAUMATIC INJURY WITHOUT MCC $15,586 $15,940 −2% $15,593 −0% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $15,581 $21,169 −26% $19,815 −21% —
312 SYNCOPE AND COLLAPSE $15,542 $15,506 +0% $19,342 −20% ≈229% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $15,513 $15,666 −1% $19,305 −20% —
774 NO ACTIVE CODE DESCRIPTION $15,487 $15,487 +0% $3,032 +411% —
607 MINOR SKIN DISORDERS WITHOUT MCC $15,420 $15,654 −1% $15,284 +1% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $15,413 $15,680 −2% $17,367 −11% —
292 HEART FAILURE AND SHOCK WITH CC $15,368 $15,368 −0% $16,212 −5% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $15,350 $15,554 −1% $19,096 −20% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $15,331 $15,294 +0% $18,278 −16% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $15,258 $15,123 +1% $14,290 +7% —
103 HEADACHES WITHOUT MCC $15,177 $15,088 +1% $20,111 −25% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $15,155 $15,884 −5% $17,928 −15% —
594 SKIN ULCERS WITHOUT CC/MCC $15,151 $15,018 +1% $14,209 +7% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,957 $14,823 +1% $14,064 +6% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,945 $14,945 +0% $14,055 +6% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,907 $14,784 +1% $18,253 −18% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $14,871 $15,225 −2% $13,586 +9% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $14,753 $14,687 +0% $15,876 −7% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $14,654 $14,731 −1% $18,204 −19% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $14,635 $14,919 −2% $13,822 +6% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $14,628 $15,302 −4% $17,383 −16% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,612 $14,452 +1% $18,150 −19% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $14,604 $14,538 +0% $16,837 −13% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $14,593 $14,747 −1% $17,715 −18% —
176 PULMONARY EMBOLISM WITHOUT MCC $14,559 $14,493 +0% $18,081 −19% —
534 FRACTURES OF FEMUR WITHOUT MCC $14,550 $14,545 +0% $17,195 −15% —
204 RESPIRATORY SIGNS AND SYMPTOMS $14,498 $14,601 −1% $16,866 −14% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $14,496 $14,363 +1% $18,002 −19% —
123 NEUROLOGICAL EYE DISORDERS $14,363 $14,388 −0% $17,831 −19% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $14,353 $14,856 −3% $17,466 −18% ≈224% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,335 $14,358 −0% $17,388 −18% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $14,310 $14,328 −0% $20,278 −29% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $14,261 $14,355 −1% $17,700 −19% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $14,212 $14,274 −0% $17,727 −20% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $14,131 $14,131 +0% $13,445 +5% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $14,122 $13,950 +1% $17,522 −19% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $14,080 $14,080 +0% $13,385 +5% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,986 $14,000 −0% $16,745 −16% ≈236% of Medicare
694 URINARY STONES WITHOUT MCC $13,986 $14,009 −0% $16,531 −15% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,966 $14,965 −7% $17,322 −19% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,939 $13,805 +1% $14,166 −2% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,817 $14,132 −2% $14,861 −7% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,783 $13,650 +1% $14,444 −5% —
151 EPISTAXIS WITHOUT MCC $13,580 $13,676 −1% $13,032 +4% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $13,572 $13,572 +0% $12,650 +7% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,540 $13,474 +0% $16,776 −19% —
305 HYPERTENSION WITHOUT MCC $13,454 $14,544 −7% $17,144 −22% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $13,445 $15,063 −11% $16,654 −19% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $13,429 $13,429 +0% $16,634 −19% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $13,409 $13,342 +0% $14,337 −6% —
149 DYSEQUILIBRIUM $13,398 $13,373 +0% $17,203 −22% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,397 $13,270 +1% $12,895 +4% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $13,344 $13,190 +1% $13,892 −4% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $13,285 $13,278 +0% $13,282 +0% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $13,256 $13,256 +0% $16,865 −21% ≈294% of Medicare
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $13,199 $13,199 +0% $12,593 +5% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $13,168 $13,256 −1% $14,110 −7% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $13,114 $13,647 −4% $15,858 −17% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $13,064 $13,064 +0% $13,654 −4% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $13,053 $12,917 +1% $9,385 +39% ≈238% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $13,016 $12,896 +1% $16,104 −19% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $13,010 $12,917 +1% $18,623 −30% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $12,985 $13,194 −2% $13,090 −1% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,915 $12,780 +1% $12,537 +3% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,809 $12,809 +0% $12,381 +3% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,808 $12,756 +0% $15,607 −18% —
313 CHEST PAIN $12,808 $12,945 −1% $15,962 −20% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,778 $13,092 −2% $14,473 −12% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $12,652 $12,815 −1% $12,336 +3% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,627 $12,627 +0% $15,072 −16% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,622 $12,622 +0% $15,600 −19% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $12,553 $12,553 +0% $11,997 +5% —
311 ANGINA PECTORIS $12,546 $12,473 +1% $15,165 −17% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,517 $12,483 +0% $12,279 +2% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,515 $12,379 +1% $12,405 +1% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,475 $12,566 −1% $13,303 −6% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $12,458 $12,725 −2% $11,847 +5% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,433 $12,425 +0% $14,441 −14% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,373 $13,122 −6% $19,483 −36% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,363 $12,363 +0% $14,012 −12% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,276 $12,276 +0% $12,797 −4% —
201 PNEUMOTHORAX WITHOUT CC/MCC $12,179 $12,179 +0% $13,081 −7% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $12,098 $11,963 +1% $13,198 −8% —
303 ATHEROSCLEROSIS WITHOUT MCC $12,098 $11,963 +1% $14,927 −19% —
775 NO ACTIVE CODE DESCRIPTION $12,096 $12,096 +0% $3,242 +273% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $12,086 $12,086 +0% $11,909 +1% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $12,061 $12,145 −1% $14,880 −19% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $12,048 $12,048 +0% $13,485 −11% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,954 $11,856 +1% $13,890 −14% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,876 $11,969 −1% $13,368 −11% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,661 $11,540 +1% $14,368 −19% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,536 $11,586 −0% $14,208 −19% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,489 $11,686 −2% $12,044 −5% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,479 $11,437 +0% $14,134 −19% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,474 $11,588 −1% $14,128 −19% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,431 $11,149 +3% $11,421 +0% —
639 DIABETES WITHOUT CC/MCC $11,304 $11,206 +1% $13,910 −19% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,261 $11,126 +1% $12,013 −6% —
782 NO ACTIVE CODE DESCRIPTION $11,248 $11,248 +0% $10,599 +6% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,236 $11,236 +0% $13,824 −19% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,105 $11,105 +0% $15,070 −26% —
778 NO ACTIVE CODE DESCRIPTION $10,997 $10,997 +0% $10,997 +0% —
684 RENAL FAILURE WITHOUT CC/MCC $10,971 $10,936 +0% $13,623 −19% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,963 $10,963 +0% $11,071 −1% —
950 AFTERCARE WITHOUT CC/MCC $10,849 $10,849 +0% $13,527 −20% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,843 $11,045 −2% $10,975 −1% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,175 $10,040 +1% $10,039 +1% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,142 $10,007 +1% $13,384 −24% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $9,955 $10,052 −1% $11,955 −17% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $9,929 $10,012 −1% $13,318 −25% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,454 $9,285 +2% $9,076 +4% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $8,102 $7,963 +2% $8,927 −9% —
780 NO ACTIVE CODE DESCRIPTION $4,253 $4,253 +0% $4,253 +0% —
795 NORMAL NEWBORN $4,004 $3,734 +7% $4,530 −12% —
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