St. Joseph Medical Center (Acute Care) — 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 $3,769
Average published price $42,208
Highest published price $654,174

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 101 procedures, this hospital's negotiated rates average ≈232% 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 $654,174 $656,447 −0% $498,715 +31% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $488,691 $488,262 +0% $431,073 +13% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $411,614 $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 $371,889 $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 $245,293 $252,238 −3% $245,241 +0% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $227,466 $227,309 +0% $182,314 +25% —
007 LUNG TRANSPLANT $226,894 $226,737 +0% $170,608 +33% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $218,804 $218,684 +0% $169,977 +29% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $216,489 $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 $189,185 $190,656 −1% $171,338 +10% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $184,946 $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 $181,929 $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 $167,637 $172,465 −3% $175,437 −4% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $160,022 $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 $147,227 $147,083 +0% $146,474 +1% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $147,145 $150,160 −2% $151,029 −3% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $144,915 $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 $140,069 $148,823 −6% $134,914 +4% —
010 PANCREAS TRANSPLANT $138,542 $137,518 +1% $99,940 +39% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $137,750 $139,867 −2% $105,228 +31% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $135,827 $137,351 −1% $138,868 −2% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $134,459 $137,335 −2% $143,242 −6% ≈169% of Medicare
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 $123,453 $123,453 +0% $121,728 +1% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $122,834 $125,346 −2% $131,961 −7% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $120,918 $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 $120,573 $120,448 +0% $120,587 −0% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $116,552 $116,552 +0% $114,914 +1% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $116,105 $116,049 +0% $89,353 +30% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $115,909 $118,589 −2% $118,589 −2% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $114,959 $114,909 +0% $113,855 +1% ≈222% of Medicare
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $113,444 $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 $112,396 $116,264 −3% $109,331 +3% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $112,273 $112,989 −1% $121,714 −8% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $110,925 $114,779 −3% $108,472 +2% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $110,327 $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 $107,705 $110,476 −3% $117,280 −8% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $107,565 $107,515 +0% $94,988 +13% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $107,077 $108,776 −2% $98,912 +8% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $106,219 $106,397 −0% $106,238 −0% —
028 SPINAL PROCEDURES WITH MCC $105,712 $107,483 −2% $95,858 +10% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $104,957 $107,187 −2% $98,260 +7% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $104,957 $107,187 −2% $81,176 +29% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $103,455 $103,406 +0% $92,238 +12% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $103,377 $103,418 −0% $80,018 +29% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $102,326 $103,531 −1% $112,062 −9% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $101,280 $104,079 −3% $101,235 +0% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $101,253 $104,010 −3% $96,192 +5% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $100,027 $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 $99,221 $101,061 −2% $106,778 −7% ≈281% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $96,958 $97,006 −0% $97,046 −0% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $96,793 $96,793 +0% $96,905 −0% —
834 ACUTE LEUKEMIA WITH MCC $96,138 $96,186 −0% $76,583 +26% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $95,736 $95,760 −0% $105,899 −10% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $95,153 $95,153 +0% $93,783 +1% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $94,644 $94,600 +0% $86,459 +9% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $94,428 $96,087 −2% $94,927 −1% ≈184% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $93,948 $96,879 −3% $78,582 +20% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $93,860 $93,860 +0% $86,953 +8% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $93,849 $96,952 −3% $82,527 +14% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $92,548 $92,818 −0% $102,573 −10% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $92,140 $92,887 −1% $102,177 −10% ≈205% of Medicare
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $89,598 $89,598 +0% $79,944 +12% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $89,302 $90,342 −1% $99,423 −10% ≈205% of Medicare
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $89,077 $89,040 +0% $92,217 −3% ≈228% of Medicare
230 NO ACTIVE CODE DESCRIPTION $88,720 $88,720 +0% $88,720 +0% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $88,636 $91,968 −4% $96,222 −8% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $88,365 $90,427 −2% $80,747 +9% ≈182% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $87,636 $87,636 +0% $87,565 +0% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $87,120 $87,040 +0% $70,735 +23% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $87,053 $87,013 +0% $84,861 +3% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $87,018 $88,047 −1% $87,018 +0% ≈204% of Medicare
245 AICD GENERATOR PROCEDURES $85,033 $84,994 +0% $72,076 +18% —
471 CERVICAL SPINAL FUSION WITH MCC $84,522 $87,332 −3% $92,515 −9% —
006 LIVER TRANSPLANT WITHOUT MCC $84,381 $85,307 −1% $84,407 −0% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $83,103 $83,065 +0% $88,691 −6% —
799 SPLENIC PROCEDURES WITH MCC $82,744 $85,106 −3% $78,821 +5% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $82,729 $82,729 +0% $86,390 −4% ≈200% of Medicare
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $81,439 $81,439 +0% $80,885 +1% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $80,960 $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 $80,220 $83,508 −4% $88,341 −9% ≈211% of Medicare
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $80,187 $80,392 −0% $71,551 +12% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $79,932 $82,548 −3% $90,331 −12% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $79,920 $80,360 −1% $88,050 −9% ≈231% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $78,528 $78,895 −0% $72,859 +8% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $78,061 $78,061 +0% $76,954 +1% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $77,846 $78,867 −1% $88,307 −12% ≈192% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $77,121 $77,338 −0% $68,847 +12% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $76,468 $77,169 −1% $75,585 +1% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $75,399 $79,821 −6% $83,441 −10% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $75,326 $75,292 +0% $59,352 +27% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $74,264 $75,240 −1% $82,561 −10% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $74,155 $74,215 −0% $88,049 −16% ≈228% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $73,631 $73,631 +0% $60,098 +23% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $72,962 $73,615 −1% $68,659 +6% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $72,945 $72,981 −0% $72,945 +0% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $72,444 $74,071 −2% $83,065 −13% ≈188% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $71,601 $71,968 −1% $82,247 −13% ≈265% of Medicare
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $71,455 $71,629 −0% $73,029 −2% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $71,105 $71,142 −0% $81,998 −13% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $70,826 $70,826 +0% $72,011 −2% —
791 PREMATURITY WITH MAJOR PROBLEMS $70,696 $71,798 −2% $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 $69,375 $69,344 +0% $71,701 −3% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $69,327 $69,296 +0% $57,521 +21% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $68,716 $70,007 −2% $68,006 +1% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $68,576 $69,046 −1% $61,832 +11% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $68,437 $68,406 +0% $54,196 +26% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $68,135 $68,174 −0% $75,492 −10% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $68,102 $69,464 −2% $78,852 −14% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $67,728 $69,438 −2% $72,908 −7% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $67,317 $70,115 −4% $62,961 +7% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $67,249 $67,219 +0% $55,097 +22% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $67,062 $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 $66,901 $68,279 −2% $62,404 +7% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $66,653 $66,621 +0% $66,853 −0% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $66,219 $67,539 −2% $74,755 −11% —
332 RECTAL RESECTION WITH MCC $65,808 $65,756 +0% $58,125 +13% —
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $65,706 $68,266 −4% $74,257 −12% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $65,185 $67,803 −4% $60,861 +7% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $64,917 $64,917 +0% $75,103 −14% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $63,935 $63,913 +0% $65,325 −2% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $63,567 $64,143 −1% $62,524 +2% —
248 NO ACTIVE CODE DESCRIPTION $63,307 $63,307 +0% $34,146 +85% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $63,128 $63,546 −1% $71,755 −12% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $62,459 $62,459 +0% $59,425 +5% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $62,455 $62,496 −0% $57,855 +8% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $62,445 $64,776 −4% $64,776 −4% —
265 AICD LEAD PROCEDURES $62,153 $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 $61,876 $62,039 −0% $70,540 −12% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $61,500 $61,473 +0% $50,919 +21% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $61,346 $62,490 −2% $56,964 +8% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $61,338 $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 $61,055 $62,714 −3% $68,399 −11% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $61,035 $61,035 +0% $65,383 −7% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $60,903 $60,903 +0% $51,953 +17% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $60,512 $61,133 −1% $56,242 +8% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $60,380 $60,690 −1% $49,065 +23% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $60,025 $61,526 −2% $71,014 −15% ≈217% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $59,931 $60,161 −0% $62,269 −4% —
665 PROSTATECTOMY WITH MCC $59,837 $59,811 +0% $54,072 +11% —
252 OTHER VASCULAR PROCEDURES WITH MCC $59,782 $60,062 −0% $68,508 −13% ≈218% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $59,692 $61,861 −4% $68,880 −13% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $59,362 $59,434 −0% $67,901 −13% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $59,116 $61,298 −4% $70,132 −16% ≈214% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $58,504 $60,786 −4% $64,152 −9% —
037 EXTRACRANIAL PROCEDURES WITH MCC $57,883 $58,945 −2% $64,749 −11% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $57,554 $57,641 −0% $52,908 +9% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $56,978 $57,066 −0% $65,254 −13% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $56,817 $59,211 −4% $54,129 +5% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $56,793 $56,793 +0% $64,465 −12% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $56,122 $58,387 −4% $64,956 −14% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $55,863 $56,498 −1% $57,277 −2% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $55,702 $55,702 +0% $66,819 −17% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $55,596 $55,641 −0% $49,710 +12% ≈140% of Medicare
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $55,448 $55,424 +0% $44,472 +25% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $55,336 $55,426 −0% $51,142 +8% —
500 SOFT TISSUE PROCEDURES WITH MCC $55,245 $57,479 −4% $57,479 −4% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $54,418 $57,258 −5% $65,573 −17% ≈198% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $54,393 $54,393 +0% $54,483 −0% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $53,922 $55,033 −2% $62,821 −14% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $53,810 $53,856 −0% $65,216 −17% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $53,772 $55,913 −4% $53,817 −0% —
652 KIDNEY TRANSPLANT $53,558 $53,730 −0% $54,720 −2% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $53,509 $54,185 −1% $53,555 −0% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $53,335 $53,335 +0% $63,475 −16% —
570 SKIN DEBRIDEMENT WITH MCC $52,496 $52,496 +0% $52,435 +0% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $52,080 $52,259 −0% $46,402 +12% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $51,428 $53,273 −3% $54,313 −5% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $51,296 $52,521 −2% $63,984 −20% ≈228% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $51,158 $52,151 −2% $60,140 −15% —
668 TRANSURETHRAL PROCEDURES WITH MCC $50,868 $50,847 +0% $47,277 +8% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $50,841 $53,037 −4% $67,764 −25% —
800 SPLENIC PROCEDURES WITH CC $50,825 $50,804 +0% $49,184 +3% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $50,797 $50,797 +0% $54,475 −7% —
472 CERVICAL SPINAL FUSION WITH CC $50,537 $51,532 −2% $59,537 −15% —
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $50,015 $50,976 −2% $58,968 −15% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $49,958 $50,427 −1% $56,758 −12% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $49,929 $49,929 +0% $53,551 −7% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $49,859 $49,818 +0% $49,055 +2% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $49,797 $51,422 −3% $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 $49,663 $51,121 −3% $74,274 −33% ≈226% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $49,235 $49,235 +0% $53,868 −9% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $48,998 $50,117 −2% $58,043 −16% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $48,947 $48,927 +0% $48,907 +0% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $47,664 $47,625 +0% $45,497 +5% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $47,264 $47,228 +0% $48,094 −2% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $47,177 $49,553 −5% $57,963 −19% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $47,023 $48,660 −3% $44,839 +5% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $46,837 $48,114 −3% $52,405 −11% ≈192% of Medicare
263 VEIN LIGATION AND STRIPPING $46,808 $49,774 −6% $44,938 +4% —
849 RADIOTHERAPY $46,617 $47,304 −1% $37,862 +23% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $46,473 $46,925 −1% $45,432 +2% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $46,309 $47,720 −3% $40,947 +13% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $46,251 $47,729 −3% $45,290 +2% —
503 FOOT PROCEDURES WITH MCC $46,192 $46,291 −0% $43,901 +5% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $46,003 $49,064 −6% $36,097 +27% —
129 NO ACTIVE CODE DESCRIPTION $45,975 $45,975 +0% $23,289 +97% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $45,788 $47,400 −3% $54,929 −17% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $45,670 $48,441 −6% $43,697 +5% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $45,187 $45,177 +0% $41,703 +8% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $44,583 $44,548 +0% $38,878 +15% —
253 OTHER VASCULAR PROCEDURES WITH CC $44,569 $45,488 −2% $53,746 −17% ≈216% of Medicare
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $44,559 $44,559 +0% $43,491 +2% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $44,486 $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 $44,117 $44,403 −1% $39,657 +11% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $44,082 $45,190 −2% $46,659 −6% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $44,065 $45,283 −3% $44,973 −2% —
164 MAJOR CHEST PROCEDURES WITH CC $43,945 $44,690 −2% $53,141 −17% ≈242% of Medicare
247 NO ACTIVE CODE DESCRIPTION $43,944 $43,944 +0% $21,663 +103% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $43,722 $43,132 +1% $39,409 +11% ≈210% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $43,689 $43,770 −0% $55,162 −21% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $43,556 $43,537 +0% $40,277 +8% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $43,435 $44,919 −3% $40,065 +8% —
397 APPENDIX PROCEDURES WITH MCC $43,265 $43,265 +0% $52,319 −17% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $43,092 $43,520 −1% $52,332 −18% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $42,754 $42,806 −0% $51,985 −18% —
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $42,404 $42,507 −0% $54,824 −23% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $42,241 $42,869 −1% $46,591 −9% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $41,970 $43,391 −3% $40,548 +4% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $41,934 $42,821 −2% $56,394 −26% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $41,868 $42,269 −1% $47,583 −12% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $41,868 $41,852 +0% $39,093 +7% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $41,509 $41,570 −0% $52,313 −21% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $41,352 $42,475 −3% $50,624 −18% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $41,287 $44,995 −8% $58,832 −30% ≈227% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $41,222 $41,410 −0% $47,546 −13% —
113 ORBITAL PROCEDURES WITH CC/MCC $40,982 $42,387 −3% $35,642 +15% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $40,852 $40,957 −0% $50,139 −19% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $40,533 $40,586 −0% $36,237 +12% ≈204% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $40,439 $40,424 +0% $36,080 +12% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $40,401 $41,764 −3% $51,339 −21% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $40,328 $41,306 −2% $49,631 −19% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $40,154 $32,101 +25% $11,633 +245% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $40,080 $40,080 +0% $37,080 +8% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $40,015 $39,726 +1% $36,334 +10% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $39,893 $39,863 +0% $39,253 +2% —
985 NO ACTIVE CODE DESCRIPTION $39,885 $39,885 +0% $23,289 +71% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $39,818 $40,101 −1% $43,586 −9% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $39,746 $40,907 −3% $46,430 −14% ≈243% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $39,594 $39,700 −0% $37,064 +7% ≈216% of Medicare
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 $39,460 $39,571 −0% $38,998 +1% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $39,458 $39,895 −1% $44,989 −12% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $39,364 $40,517 −3% $50,011 −21% ≈249% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $39,351 $39,404 −0% $48,682 −19% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $39,300 $39,853 −1% $45,059 −13% —
709 PENIS PROCEDURES WITH CC/MCC $39,265 $39,250 +0% $34,535 +14% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $39,011 $39,809 −2% $44,053 −11% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $38,889 $40,975 −5% $45,818 −15% —
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $38,680 $38,682 −0% $44,600 −13% ≈240% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $38,438 $39,116 −2% $38,382 +0% —
935 NON-EXTENSIVE BURNS $38,387 $38,358 +0% $29,458 +30% —
133 NO ACTIVE CODE DESCRIPTION $38,305 $38,305 +0% $23,289 +64% —
906 HAND PROCEDURES FOR INJURIES $38,145 $38,131 +0% $31,520 +21% —
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $38,140 $38,365 −1% $35,686 +7% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $38,083 $38,230 −0% $41,900 −9% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $37,917 $37,917 +0% $37,902 +0% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $37,709 $38,061 −1% $44,553 −15% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $37,643 $37,587 +0% $38,357 −2% ≈221% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $37,556 $37,542 +0% $34,900 +8% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $37,548 $37,533 +0% $36,850 +2% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $37,528 $37,515 +0% $30,661 +22% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $37,509 $37,481 +0% $31,044 +21% —
835 ACUTE LEUKEMIA WITH CC $37,338 $37,324 +0% $35,569 +5% —
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $37,336 $37,874 −1% $40,232 −7% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $37,332 $38,342 −3% $45,622 −18% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $37,263 $37,263 +0% $37,654 −1% —
333 RECTAL RESECTION WITH CC $37,154 $37,271 −0% $34,352 +8% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $37,078 $37,186 −0% $46,477 −20% —
595 MAJOR SKIN DISORDERS WITH MCC $36,977 $37,818 −2% $31,785 +16% —
336 PERITONEAL ADHESIOLYSIS WITH CC $36,928 $41,134 −10% $49,470 −25% —
374 DIGESTIVE MALIGNANCY WITH MCC $36,913 $37,492 −2% $38,885 −5% ≈249% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $36,913 $37,721 −2% $38,420 −4% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $36,855 $37,660 −2% $56,519 −35% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $36,654 $36,654 +0% $46,066 −20% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $36,550 $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 $36,322 $37,475 −3% $41,651 −13% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $36,280 $38,744 −6% $51,172 −29% ≈256% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $36,138 $38,498 −6% $35,139 +3% —
592 SKIN ULCERS WITH MCC $35,958 $36,067 −0% $32,662 +10% —
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $35,803 $35,803 +0% $34,089 +5% —
539 OSTEOMYELITIS WITH MCC $35,370 $35,558 −1% $33,746 +5% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $35,278 $35,807 −1% $41,660 −15% —
548 SEPTIC ARTHRITIS WITH MCC $35,235 $35,209 +0% $31,019 +14% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $35,198 $35,185 +0% $30,940 +14% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $35,184 $36,289 −3% $45,817 −23% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $34,973 $36,162 −3% $36,202 −3% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $34,954 $35,315 −1% $44,363 −21% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $34,948 $39,140 −11% $43,524 −20% ≈241% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $34,924 $35,667 −2% $29,109 +20% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $34,794 $34,905 −0% $35,714 −3% ≈219% of Medicare
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $34,778 $37,005 −6% $41,520 −16% —
711 TESTES PROCEDURES WITH CC/MCC $34,746 $35,933 −3% $34,852 −0% —
100 SEIZURES WITH MCC $34,727 $34,782 −0% $35,194 −1% ≈169% of Medicare
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $34,723 $34,723 +0% $29,633 +17% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $34,601 $34,986 −1% $43,398 −20% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $34,513 $34,624 −0% $43,800 −21% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $34,494 $34,871 −1% $43,775 −21% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $34,324 $34,324 +0% $35,237 −3% ≈230% of Medicare
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $34,309 $34,930 −2% $43,538 −21% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $34,272 $34,362 −0% $36,933 −7% ≈263% of Medicare
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $34,208 $34,264 −0% $35,014 −2% ≈166% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $34,189 $34,164 +0% $29,524 +16% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $34,184 $34,184 +0% $33,050 +3% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $33,951 $34,918 −3% $43,080 −21% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,796 $35,192 −4% $42,881 −21% —
380 COMPLICATED PEPTIC ULCER WITH MCC $33,669 $34,668 −3% $36,641 −8% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $33,469 $33,446 +0% $33,165 +1% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $33,206 $33,644 −1% $42,126 −21% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $33,206 $33,501 −1% $35,459 −6% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $33,131 $33,335 −1% $36,280 −9% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $33,081 $33,081 +0% $32,399 +2% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $33,036 $33,013 +0% $32,204 +3% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $33,000 $33,013 −0% $32,981 +0% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $32,996 $43,030 −23% $49,197 −33% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $32,995 $38,497 −14% $45,963 −28% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $32,972 $33,430 −1% $30,766 +7% ≈235% of Medicare
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $32,642 $32,678 −0% $35,114 −7% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $32,623 $33,085 −1% $41,380 −21% ≈302% of Medicare
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,490 $32,606 −0% $30,974 +5% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $32,476 $32,538 −0% $32,538 −0% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $32,448 $32,425 +0% $22,698 +43% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,310 $32,298 +0% $29,609 +9% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $32,244 $32,357 −0% $28,375 +14% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $32,185 $32,298 −0% $30,394 +6% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $32,087 $32,372 −1% $40,694 −21% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $32,001 $32,846 −3% $40,583 −21% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $31,985 $32,507 −2% $40,563 −21% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $31,977 $32,038 −0% $40,552 −21% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $31,940 $31,918 +0% $37,950 −16% ≈232% of Medicare
919 COMPLICATIONS OF TREATMENT WITH MCC $31,923 $32,560 −2% $29,031 +10% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $31,911 $32,025 −0% $36,375 −12% ≈228% of Medicare
691 NO ACTIVE CODE DESCRIPTION $31,905 $31,905 +0% $31,905 +0% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $31,831 $31,983 −0% $36,597 −13% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $31,829 $32,066 −1% $37,842 −16% ≈224% of Medicare
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $31,675 $32,884 −4% $29,476 +7% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $31,673 $32,484 −2% $54,772 −42% ≈232% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $31,595 $32,130 −2% $40,063 −21% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $31,559 $30,728 +3% $14,284 +121% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $31,453 $30,879 +2% $24,836 +27% —
075 VIRAL MENINGITIS WITH CC/MCC $31,354 $33,374 −6% $29,853 +5% —
501 SOFT TISSUE PROCEDURES WITH CC $31,248 $31,248 +0% $37,975 −18% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $31,183 $33,032 −6% $48,680 −36% —
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $31,181 $31,170 +0% $30,275 +3% ≈177% of Medicare
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $31,167 $32,844 −5% $33,564 −7% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $31,094 $32,906 −6% $31,909 −3% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $31,046 $31,283 −1% $36,242 −14% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $30,920 $31,952 −3% $35,673 −13% —
199 PNEUMOTHORAX WITH MCC $30,912 $30,912 +0% $31,491 −2% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $30,898 $31,014 −0% $29,826 +4% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $30,880 $30,937 −0% $32,839 −6% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $30,778 $31,010 −1% $39,018 −21% —
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $30,763 $30,996 −1% $29,558 +4% —
509 ARTHROSCOPY $30,763 $30,753 +0% $25,994 +18% —
597 MALIGNANT BREAST DISORDERS WITH MCC $30,763 $30,753 +0% $31,846 −3% —
504 FOOT PROCEDURES WITH CC $30,733 $30,942 −1% $36,598 −16% —
505 FOOT PROCEDURES WITHOUT CC/MCC $30,733 $30,712 +0% $31,716 −3% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $30,668 $31,122 −1% $34,264 −10% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $30,636 $31,029 −1% $38,836 −21% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $30,612 $30,771 −1% $31,758 −4% —
180 RESPIRATORY NEOPLASMS WITH MCC $30,609 $30,609 +0% $36,658 −17% ≈221% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $30,453 $31,733 −4% $30,814 −1% —
915 ALLERGIC REACTIONS WITH MCC $30,437 $31,517 −3% $30,944 −2% —
671 URETHRAL PROCEDURES WITH CC/MCC $30,191 $30,306 −0% $27,233 +11% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $30,096 $31,114 −3% $28,103 +7% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $30,057 $30,371 −1% $38,094 −21% —
551 MEDICAL BACK PROBLEMS WITH MCC $29,891 $30,399 −2% $31,086 −4% ≈160% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $29,799 $30,596 −3% $43,266 −31% —
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 $29,671 $29,661 +0% $29,729 −0% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $29,614 $29,604 +0% $28,578 +4% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $29,596 $30,921 −4% $29,409 +1% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $29,510 $29,367 +0% $31,128 −5% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $29,472 $30,466 −3% $28,634 +3% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $29,449 $29,605 −1% $30,058 −2% ≈238% of Medicare
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $29,339 $29,686 −1% $29,916 −2% —
571 SKIN DEBRIDEMENT WITH CC $29,335 $30,132 −3% $34,901 −16% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $29,263 $29,263 +0% $25,208 +16% ≈95% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $29,260 $29,567 −1% $33,607 −13% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $29,229 $29,337 −0% $30,930 −6% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $29,150 $29,209 −0% $32,502 −10% ≈272% of Medicare
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $29,130 $29,130 +0% $27,548 +6% —
334 RECTAL RESECTION WITHOUT CC/MCC $29,062 $29,052 +0% $32,213 −10% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $29,059 $30,131 −4% $42,119 −31% ≈233% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $29,040 $29,156 −0% $32,996 −12% ≈228% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $29,017 $29,065 −0% $32,689 −11% ≈240% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $28,930 $36,975 −22% $44,117 −34% ≈265% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $28,882 $28,872 +0% $25,197 +15% —
666 PROSTATECTOMY WITH CC $28,866 $29,678 −3% $30,016 −4% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $28,864 $31,922 −10% $27,118 +6% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $28,786 $28,777 +0% $31,566 −9% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $28,764 $28,754 +0% $28,967 −1% ≈247% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $28,734 $28,674 +0% $28,134 +2% ≈239% of Medicare
296 CARDIAC ARREST UNEXPLAINED WITH MCC $28,712 $28,829 −0% $30,910 −7% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $28,698 $29,521 −3% $36,333 −21% —
157 DENTAL AND ORAL DISEASES WITH MCC $28,696 $30,190 −5% $27,457 +5% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $28,647 $28,633 +0% $24,561 +17% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $28,502 $28,225 +1% $24,465 +17% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $28,490 $29,339 −3% $27,168 +5% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $28,476 $28,457 +0% $26,020 +9% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $28,351 $28,333 +0% $25,731 +10% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $28,332 $29,960 −5% $31,840 −11% ≈239% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $28,242 $28,487 −1% $35,770 −21% ≈228% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $28,225 $28,379 −1% $25,434 +11% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $28,181 $28,545 −1% $35,692 −21% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $28,096 $29,136 −4% $35,584 −21% —
130 NO ACTIVE CODE DESCRIPTION $28,040 $28,040 +0% $23,289 +20% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $27,968 $28,866 −3% $33,984 −18% —
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $27,933 $28,506 −2% $35,375 −21% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $27,810 $33,606 −17% $39,747 −30% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $27,703 $27,733 −0% $33,490 −17% —
186 PLEURAL EFFUSION WITH MCC $27,699 $27,817 −0% $32,468 −15% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $27,642 $27,624 +0% $29,371 −6% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $27,567 $27,702 −0% $34,906 −21% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $27,512 $27,921 −1% $32,936 −16% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $27,491 $28,076 −2% $31,059 −11% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $27,445 $27,903 −2% $32,490 −16% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $27,398 $28,238 −3% $41,380 −34% —
342 NO ACTIVE CODE DESCRIPTION $27,378 $27,378 +0% $19,454 +41% —
813 COAGULATION DISORDERS $27,339 $27,809 −2% $30,128 −9% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $27,207 $28,093 −3% $35,453 −23% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $27,199 $27,893 −2% $34,434 −21% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $27,174 $27,293 −0% $28,646 −5% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $27,155 $28,067 −3% $33,694 −19% —
669 TRANSURETHRAL PROCEDURES WITH CC $27,136 $27,459 −1% $34,354 −21% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $27,115 $27,128 −0% $24,036 +13% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $27,106 $27,801 −2% $25,484 +6% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $27,103 $27,155 −0% $28,252 −4% —
533 FRACTURES OF FEMUR WITH MCC $27,014 $27,915 −3% $25,945 +4% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $26,921 $26,980 −0% $36,239 −26% —
865 VIRAL ILLNESS WITH MCC $26,910 $27,030 −0% $26,088 +3% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $26,850 $27,385 −2% $24,879 +8% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $26,803 $28,476 −6% $33,424 −20% —
663 MINOR BLADDER PROCEDURES WITH CC $26,787 $26,787 +0% $29,924 −10% —
945 REHABILITATION WITH CC/MCC $26,772 $26,772 +0% $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 $26,649 $28,329 −6% $25,786 +3% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $26,605 $26,605 +0% $30,972 −14% —
183 MAJOR CHEST TRAUMA WITH MCC $26,575 $28,167 −6% $28,924 −8% ≈199% of Medicare
398 APPENDIX PROCEDURES WITH CC $26,541 $27,027 −2% $39,107 −32% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $26,484 $26,484 +0% $24,229 +9% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $26,474 $26,593 −0% $27,279 −3% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $26,390 $26,382 +0% $33,792 −22% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $26,382 $26,538 −1% $35,528 −26% —
913 TRAUMATIC INJURY WITH MCC $26,380 $26,846 −2% $24,198 +9% —
682 RENAL FAILURE WITH MCC $26,345 $26,337 +0% $27,854 −5% ≈215% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $26,337 $26,337 +0% $23,814 +11% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $26,297 $26,424 −0% $29,484 −11% —
506 MAJOR THUMB OR JOINT PROCEDURES $26,297 $26,357 −0% $28,983 −9% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $26,267 $26,837 −2% $24,450 +7% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $26,186 $26,495 −1% $33,137 −21% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $26,126 $27,000 −3% $25,149 +4% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $26,116 $26,769 −2% $31,062 −16% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $26,065 $26,502 −2% $28,140 −7% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $26,045 $26,038 +0% $30,358 −14% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $26,009 $28,756 −10% $32,911 −21% —
692 NO ACTIVE CODE DESCRIPTION $25,916 $25,916 +0% $25,916 +0% —
693 URINARY STONES WITH MCC $25,799 $25,783 +0% $22,525 +15% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $25,791 $26,031 −1% $28,780 −10% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $25,782 $25,774 +0% $25,152 +3% —
602 CELLULITIS WITH MCC $25,778 $25,770 +0% $29,347 −12% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $25,679 $26,364 −3% $29,211 −12% —
637 DIABETES WITH MCC $25,555 $25,918 −1% $28,819 −11% ≈262% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $25,530 $25,651 −0% $24,941 +2% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $25,409 $25,393 +0% $21,986 +16% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $25,376 $25,896 −2% $29,663 −14% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $25,332 $26,163 −3% $32,451 −22% —
088 CONCUSSION WITH MCC $25,318 $26,167 −3% $24,402 +4% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $25,305 $25,404 −0% $22,525 +12% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $25,258 $25,243 +0% $25,243 +0% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $25,154 $25,580 −2% $31,816 −21% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $25,151 $26,123 −4% $31,812 −21% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $24,950 $24,942 +0% $25,010 −0% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $24,913 $25,215 −1% $21,615 +15% —
986 NO ACTIVE CODE DESCRIPTION $24,912 $24,912 +0% $23,289 +7% —
137 MOUTH PROCEDURES WITH CC/MCC $24,906 $25,027 −0% $24,348 +2% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $24,844 $26,333 −6% $23,734 +5% —
885 PSYCHOSES $24,745 $24,745 +0% $21,489 +15% ≈125% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $24,736 $24,797 −0% $29,757 −17% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $24,711 $26,225 −6% $35,542 −30% —
811 RED BLOOD CELL DISORDERS WITH MCC $24,698 $27,427 −10% $27,934 −12% ≈226% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $24,638 $24,638 +0% $25,854 −5% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $24,601 $24,845 −1% $24,452 +1% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $24,530 $24,764 −1% $30,006 −18% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $24,462 $24,212 +1% $25,666 −5% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $24,412 $24,398 +0% $24,118 +1% ≈268% of Medicare
340 NO ACTIVE CODE DESCRIPTION $24,281 $24,281 +0% $16,240 +50% —
150 EPISTAXIS WITH MCC $24,270 $24,263 +0% $21,133 +15% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $24,121 $24,107 +0% $29,050 −17% —
139 SALIVARY GLAND PROCEDURES $24,110 $24,103 +0% $21,014 +15% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $24,065 $24,065 +0% $20,980 +15% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $24,062 $24,123 −0% $30,418 −21% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $23,925 $24,047 −1% $24,980 −4% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $23,800 $23,793 +0% $29,374 −19% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $23,779 $23,902 −1% $28,527 −17% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $23,710 $24,304 −2% $29,805 −20% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $23,697 $24,429 −3% $22,811 +4% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,653 $24,584 −4% $23,723 −0% —
765 NO ACTIVE CODE DESCRIPTION $23,598 $23,598 +0% $5,336 +342% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $23,523 $24,987 −6% $24,316 −3% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $23,441 $23,564 −1% $25,426 −8% ≈193% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $23,421 $24,229 −3% $31,978 −27% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $23,363 $23,356 +0% $23,350 +0% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $23,330 $23,392 −0% $24,480 −5% ≈234% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $23,317 $24,767 −6% $22,557 +3% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $23,211 $23,335 −1% $19,686 +18% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $23,151 $23,672 −2% $26,158 −11% ≈223% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $23,150 $26,780 −14% $34,887 −34% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $23,046 $23,169 −1% $23,115 −0% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $23,014 $24,153 −5% $26,634 −14% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $22,949 $23,967 −4% $23,956 −4% —
291 HEART FAILURE AND SHOCK WITH MCC $22,928 $23,034 −0% $25,020 −8% ≈243% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $22,912 $23,035 −1% $21,029 +9% —
540 OSTEOMYELITIS WITH CC $22,742 $23,186 −2% $23,494 −3% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $22,663 $23,401 −3% $23,920 −5% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $22,643 $22,960 −1% $23,924 −5% —
947 SIGNS AND SYMPTOMS WITH MCC $22,606 $22,593 +0% $25,474 −11% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $22,576 $22,699 −1% $27,244 −17% ≈220% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $22,512 $23,880 −6% $28,156 −20% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $22,336 $22,336 +0% $22,275 +0% ≈291% of Medicare
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $22,271 $22,265 +0% $25,623 −13% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $22,196 $22,272 −0% $19,894 +12% —
348 ANAL AND STOMAL PROCEDURES WITH CC $22,132 $23,088 −4% $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 $21,896 $22,846 −4% $26,146 −16% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $21,893 $21,887 +0% $19,354 +13% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $21,887 $22,071 −1% $21,860 +0% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $21,824 $23,042 −5% $20,727 +5% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $21,779 $21,673 +0% $22,032 −1% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $21,777 $22,130 −2% $27,492 −21% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $21,759 $22,048 −1% $25,704 −15% ≈248% of Medicare
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $21,717 $16,905 +28% $7,961 +173% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $21,664 $21,658 +0% $20,147 +8% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $21,645 $22,837 −5% $27,321 −21% —
375 DIGESTIVE MALIGNANCY WITH CC $21,608 $21,771 −1% $27,219 −21% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $21,596 $21,585 +0% $19,132 +13% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $21,520 $21,514 +0% $26,322 −18% —
593 SKIN ULCERS WITH CC $21,504 $21,685 −1% $20,470 +5% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $21,442 $22,104 −3% $23,588 −9% —
685 NO ACTIVE CODE DESCRIPTION $21,385 $21,385 +0% $21,385 +0% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $21,352 $21,908 −3% $23,297 −8% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $21,230 $21,944 −3% $22,532 −6% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $21,213 $21,511 −1% $26,488 −20% ≈232% of Medicare
549 SEPTIC ARTHRITIS WITH CC $21,199 $21,443 −1% $20,938 +1% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $21,134 $21,841 −3% $18,291 +16% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $21,088 $25,236 −16% $27,369 −23% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $21,028 $21,017 +0% $20,421 +3% —
887 OTHER MENTAL DISORDER DIAGNOSES $20,927 $20,916 +0% $20,602 +2% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $20,848 $21,685 −4% $20,842 +0% —
343 NO ACTIVE CODE DESCRIPTION $20,828 $20,828 +0% $13,735 +52% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $20,800 $21,374 −3% $19,598 +6% —
304 HYPERTENSION WITH MCC $20,674 $20,659 +0% $24,185 −15% ≈224% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $20,596 $20,658 −0% $22,982 −10% ≈117% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $20,526 $21,207 −3% $25,390 −19% —
302 ATHEROSCLEROSIS WITH MCC $20,474 $20,537 −0% $20,844 −2% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $20,471 $20,793 −2% $21,062 −3% —
102 HEADACHES WITH MCC $20,409 $21,384 −5% $22,544 −9% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $20,377 $21,276 −4% $24,202 −16% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $20,340 $20,329 +0% $25,307 −20% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,261 $20,324 −0% $18,133 +12% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $20,112 $20,316 −1% $24,432 −18% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $20,067 $21,229 −5% $17,103 +17% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $20,048 $20,277 −1% $24,452 −18% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $20,039 $20,397 −2% $25,267 −21% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $20,011 $20,678 −3% $24,544 −18% —
152 OTITIS MEDIA AND URI WITH MCC $19,980 $21,031 −5% $19,795 +1% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $19,928 $20,054 −1% $20,741 −4% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $19,857 $19,853 +0% $24,017 −17% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $19,800 $20,171 −2% $24,022 −18% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $19,790 $19,955 −1% $30,314 −35% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $19,776 $19,902 −1% $24,190 −18% —
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $19,774 $19,968 −1% $19,317 +2% —
598 MALIGNANT BREAST DISORDERS WITH CC $19,754 $19,881 −1% $19,073 +4% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,747 $20,409 −3% $17,193 +15% —
946 REHABILITATION WITHOUT CC/MCC $19,663 $19,663 +0% $17,685 +11% —
712 TESTES PROCEDURES WITHOUT CC/MCC $19,585 $20,241 −3% $18,898 +4% —
181 RESPIRATORY NEOPLASMS WITH CC $19,556 $19,709 −1% $22,431 −13% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $19,552 $19,527 +0% $18,459 +6% —
200 PNEUMOTHORAX WITH CC $19,507 $19,498 +0% $20,573 −5% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $19,422 $19,813 −2% $25,162 −23% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $19,393 $19,393 +0% $17,483 +11% —
777 NO ACTIVE CODE DESCRIPTION $19,358 $19,358 +0% $19,358 +0% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $19,280 $19,275 +0% $17,398 +11% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $19,221 $19,221 +0% $19,868 −3% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $19,198 $19,385 −1% $31,190 −38% ≈257% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $19,188 $19,264 −0% $24,177 −21% —
089 CONCUSSION WITH CC $19,119 $19,749 −3% $18,293 +5% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $19,108 $19,335 −1% $21,806 −12% ≈254% of Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $19,082 $19,209 −1% $22,560 −15% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $19,049 $19,049 +0% $17,226 +11% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $19,027 $19,070 −0% $18,126 +5% —
949 AFTERCARE WITH CC/MCC $19,013 $19,180 −1% $23,953 −21% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $18,961 $18,952 +0% $17,943 +6% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $18,867 $18,995 −1% $19,579 −4% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $18,853 $18,849 +0% $23,749 −21% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $18,715 $24,826 −25% $23,571 −21% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $18,699 $19,110 −2% $23,496 −20% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $18,661 $18,657 +0% $24,136 −23% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $18,600 $18,596 +0% $22,024 −16% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $18,578 $18,705 −1% $23,396 −21% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $18,557 $18,685 −1% $18,478 +0% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $18,543 $18,607 −0% $17,550 +6% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $18,512 $18,661 −1% $22,231 −17% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $18,386 $19,486 −6% $17,078 +8% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $18,379 $18,533 −1% $23,141 −21% —
697 URETHRAL STRICTURE $18,363 $18,492 −1% $17,705 +4% —
644 ENDOCRINE DISORDERS WITH CC $18,222 $18,617 −2% $22,941 −21% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $18,180 $19,002 −4% $22,781 −20% ≈261% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $18,151 $18,601 −2% $22,850 −21% —
667 PROSTATECTOMY WITHOUT CC/MCC $18,125 $18,474 −2% $16,703 +9% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $18,073 $18,348 −1% $16,495 +10% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $17,988 $18,116 −1% $20,732 −13% ≈328% of Medicare
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $17,988 $18,138 −1% $16,571 +9% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $17,985 $17,981 +0% $21,545 −17% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $17,983 $18,550 −3% $20,080 −10% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $17,978 $17,974 +0% $19,091 −6% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $17,948 $18,076 −1% $22,713 −21% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $17,936 $18,195 −1% $23,469 −24% ≈276% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $17,922 $17,986 −0% $18,017 −1% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $17,920 $18,517 −3% $15,901 +13% —
920 COMPLICATIONS OF TREATMENT WITH CC $17,919 $18,047 −1% $21,181 −15% —
184 MAJOR CHEST TRAUMA WITH CC $17,889 $17,952 −0% $20,842 −14% ≈304% of Medicare
187 PLEURAL EFFUSION WITH CC $17,713 $17,866 −1% $21,467 −17% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $17,695 $17,691 +0% $16,212 +9% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $17,641 $17,976 −2% $20,007 −12% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $17,609 $17,673 −0% $15,370 +15% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $17,607 $18,125 −3% $17,434 +1% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $17,513 $17,510 +0% $20,968 −16% —
197 INTERSTITIAL LUNG DISEASE WITH CC $17,470 $17,826 −2% $20,106 −13% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $17,411 $17,980 −3% $15,890 +10% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $17,399 $17,527 −1% $21,886 −21% ≈252% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $17,394 $17,780 −2% $18,282 −5% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $17,092 $17,716 −4% $19,001 −10% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $17,092 $17,221 −1% $18,238 −6% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $17,086 $18,075 −5% $16,418 +4% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $17,066 $17,183 −1% $17,273 −1% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $17,057 $17,142 −0% $21,449 −20% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $17,016 $17,016 +0% $21,213 −20% ≈254% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $16,989 $17,119 −1% $20,777 −18% —
882 NEUROSES EXCEPT DEPRESSIVE $16,984 $16,984 +0% $15,680 +8% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $16,926 $16,919 +0% $15,636 +8% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $16,882 $16,882 +0% $18,191 −7% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $16,875 $17,208 −2% $20,371 −17% —
781 NO ACTIVE CODE DESCRIPTION $16,875 $16,875 +0% $16,875 +0% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $16,867 $16,867 +0% $19,326 −13% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,863 $16,992 −1% $15,589 +8% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $16,808 $17,352 −3% $18,428 −9% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $16,625 $16,797 −1% $18,918 −12% ≈235% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $16,613 $16,816 −1% $17,700 −6% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $16,598 $16,907 −2% $17,108 −3% —
779 ABORTION WITHOUT D&C $16,543 $16,608 −0% $15,327 +8% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $16,492 $16,622 −1% $16,642 −1% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,451 $16,257 +1% $17,585 −6% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $16,419 $16,955 −3% $20,309 −19% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $16,383 $16,926 −3% $15,764 +4% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $16,367 $16,497 −1% $18,608 −12% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $16,320 $16,340 −0% $19,287 −15% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $16,306 $16,303 +0% $20,488 −20% ≈233% of Medicare
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $16,287 $16,390 −1% $20,463 −20% ≈261% of Medicare
101 SEIZURES WITHOUT MCC $16,286 $16,379 −1% $19,954 −18% ≈240% of Medicare
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $16,239 $16,744 −3% $16,352 −1% —
638 DIABETES WITH CC $16,208 $16,272 −0% $18,821 −14% ≈235% of Medicare
076 VIRAL MENINGITIS WITHOUT CC/MCC $16,202 $16,416 −1% $15,474 +5% —
881 DEPRESSIVE NEUROSES $16,154 $16,151 +0% $15,058 +7% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $16,148 $17,086 −5% $19,854 −19% —
766 NO ACTIVE CODE DESCRIPTION $16,101 $16,101 +0% $5,336 +202% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $16,010 $16,140 −1% $17,731 −10% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $15,993 $16,198 −1% $15,077 +6% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $15,991 $21,990 −27% $20,084 −20% —
864 FEVER AND INFLAMMATORY CONDITIONS $15,875 $15,879 −0% $17,412 −9% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $15,802 $17,409 −9% $18,803 −16% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $15,778 $15,908 −1% $21,261 −26% —
683 RENAL FAILURE WITH CC $15,717 $16,089 −2% $18,620 −16% ≈270% of Medicare
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $15,667 $16,183 −3% $16,156 −3% —
866 VIRAL ILLNESS WITHOUT MCC $15,646 $16,305 −4% $16,391 −5% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $15,642 $15,708 −0% $15,045 +4% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $15,632 $15,816 −1% $15,869 −1% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $15,615 $15,745 −1% $15,608 +0% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $15,601 $15,666 −0% $16,049 −3% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $15,589 $15,650 −0% $19,569 −20% —
603 CELLULITIS WITHOUT MCC $15,577 $15,835 −2% $18,530 −16% —
090 CONCUSSION WITHOUT CC/MCC $15,539 $15,670 −1% $14,873 +4% —
774 NO ACTIVE CODE DESCRIPTION $15,487 $15,487 +0% $3,032 +411% —
541 OSTEOMYELITIS WITHOUT CC/MCC $15,474 $15,472 +0% $14,549 +6% —
914 TRAUMATIC INJURY WITHOUT MCC $15,456 $15,940 −3% $15,593 −1% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $15,450 $21,169 −27% $19,815 −22% —
312 SYNCOPE AND COLLAPSE $15,412 $15,506 −1% $19,342 −20% ≈248% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $15,382 $15,666 −2% $19,305 −20% —
607 MINOR SKIN DISORDERS WITHOUT MCC $15,289 $15,654 −2% $15,284 +0% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $15,282 $15,680 −3% $17,367 −12% —
292 HEART FAILURE AND SHOCK WITH CC $15,237 $15,368 −1% $16,212 −6% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $15,219 $15,554 −2% $19,096 −20% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $15,200 $15,294 −1% $18,278 −17% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $15,127 $15,123 +0% $14,290 +6% —
103 HEADACHES WITHOUT MCC $15,046 $15,088 −0% $20,111 −25% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $15,023 $15,884 −5% $17,928 −16% —
594 SKIN ULCERS WITHOUT CC/MCC $15,020 $15,018 +0% $14,209 +6% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $14,826 $14,823 +0% $14,064 +5% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $14,814 $14,945 −1% $14,055 +5% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $14,776 $14,784 −0% $18,253 −19% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $14,739 $15,225 −3% $13,586 +8% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $14,621 $14,687 −0% $15,876 −8% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $14,522 $14,731 −1% $18,204 −20% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $14,503 $14,919 −3% $13,822 +5% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $14,497 $15,302 −5% $17,383 −17% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,481 $14,452 +0% $18,150 −20% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $14,472 $14,538 −0% $16,837 −14% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $14,461 $14,747 −2% $17,715 −18% —
176 PULMONARY EMBOLISM WITHOUT MCC $14,427 $14,493 −0% $18,081 −20% —
534 FRACTURES OF FEMUR WITHOUT MCC $14,418 $14,545 −1% $17,195 −16% —
204 RESPIRATORY SIGNS AND SYMPTOMS $14,367 $14,601 −2% $16,866 −15% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $14,365 $14,363 +0% $18,002 −20% —
123 NEUROLOGICAL EYE DISORDERS $14,231 $14,388 −1% $17,831 −20% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $14,221 $14,856 −4% $17,466 −19% ≈268% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $14,203 $14,358 −1% $17,388 −18% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $14,178 $14,328 −1% $20,278 −30% ≈243% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $14,129 $14,355 −2% $17,700 −20% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $14,080 $14,274 −1% $17,727 −21% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $13,999 $14,131 −1% $13,445 +4% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $13,990 $13,950 +0% $17,522 −20% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,947 $14,080 −1% $13,385 +4% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $13,853 $14,000 −1% $16,745 −17% ≈271% of Medicare
694 URINARY STONES WITHOUT MCC $13,853 $14,009 −1% $16,531 −16% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $13,834 $14,965 −8% $17,322 −20% ≈255% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $13,806 $13,805 +0% $14,166 −3% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,684 $14,132 −3% $14,861 −8% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $13,650 $13,650 +0% $14,444 −5% —
151 EPISTAXIS WITHOUT MCC $13,447 $13,676 −2% $13,032 +3% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $13,439 $13,572 −1% $12,650 +6% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $13,408 $13,474 −0% $16,776 −20% —
305 HYPERTENSION WITHOUT MCC $13,321 $14,544 −8% $17,144 −22% ≈265% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $13,312 $15,063 −12% $16,654 −20% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $13,296 $13,429 −1% $16,634 −20% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $13,276 $13,342 −0% $14,337 −7% —
149 DYSEQUILIBRIUM $13,265 $13,373 −1% $17,203 −23% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,264 $13,270 −0% $12,895 +3% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $13,211 $13,190 +0% $13,892 −5% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $13,152 $13,278 −1% $13,282 −1% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $13,123 $13,256 −1% $16,865 −22% ≈289% of Medicare
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $13,065 $13,199 −1% $12,593 +4% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $13,035 $13,256 −2% $14,110 −8% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $12,981 $13,647 −5% $15,858 −18% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,930 $13,064 −1% $13,654 −5% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $12,917 $12,917 +0% $9,385 +38% ≈237% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $12,882 $12,896 −0% $16,104 −20% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $12,877 $12,917 −0% $18,623 −31% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $12,851 $13,194 −3% $13,090 −2% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,782 $12,780 +0% $12,537 +2% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $12,676 $12,809 −1% $12,381 +2% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $12,674 $12,756 −1% $15,607 −19% —
313 CHEST PAIN $12,674 $12,945 −2% $15,962 −21% ≈304% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $12,644 $13,092 −3% $14,473 −13% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $12,518 $12,815 −2% $12,336 +1% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $12,493 $12,627 −1% $15,072 −17% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,489 $12,622 −1% $15,600 −20% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $12,419 $12,553 −1% $11,997 +4% —
311 ANGINA PECTORIS $12,412 $12,473 −0% $15,165 −18% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $12,383 $12,483 −1% $12,279 +1% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $12,381 $12,379 +0% $12,405 −0% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $12,341 $12,566 −2% $13,303 −7% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $12,323 $12,725 −3% $11,847 +4% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $12,300 $12,425 −1% $14,441 −15% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,239 $13,122 −7% $19,483 −37% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $12,229 $12,363 −1% $14,012 −13% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,142 $12,276 −1% $12,797 −5% —
775 NO ACTIVE CODE DESCRIPTION $12,096 $12,096 +0% $3,242 +273% —
201 PNEUMOTHORAX WITHOUT CC/MCC $12,045 $12,179 −1% $13,081 −8% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,963 $11,963 +0% $13,198 −9% —
303 ATHEROSCLEROSIS WITHOUT MCC $11,963 $11,963 +0% $14,927 −20% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $11,951 $12,086 −1% $11,909 +0% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,927 $12,145 −2% $14,880 −20% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,913 $12,048 −1% $13,485 −12% —
916 ALLERGIC REACTIONS WITHOUT MCC $11,819 $11,856 −0% $13,890 −15% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,741 $11,969 −2% $13,368 −12% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,526 $11,540 −0% $14,368 −20% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,402 $11,586 −2% $14,208 −20% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,355 $11,686 −3% $12,044 −6% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,345 $11,437 −1% $14,134 −20% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,339 $11,588 −2% $14,128 −20% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,296 $11,149 +1% $11,421 −1% —
782 NO ACTIVE CODE DESCRIPTION $11,248 $11,248 +0% $10,599 +6% —
639 DIABETES WITHOUT CC/MCC $11,169 $11,206 −0% $13,910 −20% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $11,126 $11,126 +0% $12,013 −7% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,101 $11,236 −1% $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 $11,105 −1% $15,070 −27% —
684 RENAL FAILURE WITHOUT CC/MCC $10,836 $10,936 −1% $13,623 −20% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,827 $10,963 −1% $11,071 −2% —
950 AFTERCARE WITHOUT CC/MCC $10,714 $10,849 −1% $13,527 −21% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,708 $11,045 −3% $10,975 −2% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $10,039 $10,040 −0% $10,039 −0% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $10,006 $10,007 −0% $13,384 −25% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $9,819 $10,052 −2% $11,955 −18% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $9,793 $10,012 −2% $13,318 −26% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,317 $9,285 +0% $9,076 +3% —
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $7,963 $7,963 +0% $8,927 −11% —
780 NO ACTIVE CODE DESCRIPTION $4,253 $4,253 +0% $4,253 +0% —
795 NORMAL NEWBORN $3,769 $3,734 +1% $4,530 −17% —
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