West Suburban Medical Center — Pricing

795 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 795 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 795
Lowest published price —
Average published price —
Highest published price —

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 795 procedures

Procedures with negotiated rates only

These 795 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $10,038 – $384,762 · median $190,381 20 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $71,418 – $173,266 · median $86,852 20 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $47,788 – $115,939 · median $58,790 20 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $44,025 – $106,808 · median $54,320 20 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $57,258 – $138,911 · median $70,035 20 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $39,196 – $95,092 · median $48,585 20 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $33,985 – $82,451 · median $42,397 20 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $36,876 – $89,465 · median $45,831 20 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,987 – $86,988 · median $29,335 20 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $62,707 – $152,132 · median $76,507 20 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $45,204 – $109,669 · median $55,721 20 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $57,841 – $140,328 · median $70,728 20 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $39,369 – $112,971 · median $48,791 20 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $43,543 – $105,639 · median $53,748 20 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $30,430 – $73,825 · median $38,174 20 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $18,977 – $60,897 · median $31,846 20 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,671 – $40,445 · median $21,835 20 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $13,355 – $32,400 · median $17,897 20 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,113 – $51,038 · median $22,360 20 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,563 – $51,038 · median $15,769 20 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $10,038 – $50,367 · median $26,692 20 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $10,038 – $31,556 · median $17,484 20 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $18,737 – $61,152 · median $31,971 20 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $14,042 – $34,068 · median $18,713 20 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,232 – $27,249 · median $15,375 20 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $49,340 – $119,703 · median $60,633 20 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $30,789 – $74,697 · median $38,602 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $37,984 – $92,153 · median $47,146 20 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $25,489 – $61,837 · median $32,307 20 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $18,516 – $50,428 · median $24,026 20 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $28,936 – $70,202 · median $36,401 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $23,095 – $56,031 · median $29,465 20 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $16,378 – $39,735 · median $21,488 20 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,064 – $19,563 · median $11,613 20 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $40,147 – $152,048 · median $76,465 20 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $40,147 – $103,039 · median $52,475 20 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $31,953 – $77,521 · median $39,984 20 plans
471 CERVICAL SPINAL FUSION WITH MCC $20,075 – $87,203 · median $44,723 20 plans
472 CERVICAL SPINAL FUSION WITH CC $20,075 – $52,013 · median $27,498 20 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $17,519 – $42,502 · median $22,842 20 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $22,082 – $55,518 · median $29,213 20 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,887 – $36,116 · median $19,716 20 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,046 – $26,798 · median $15,155 20 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $11,375 – $64,344 · median $33,533 20 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $11,375 – $35,402 · median $19,366 20 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,606 – $25,730 · median $14,632 20 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,375 – $30,635 · median $17,033 20 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,132 – $17,303 · median $10,507 20 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,060 – $11,905 · median $11,321 20 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $8,308 – $18,590 · median $17,679 20 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,014 – $11,785 · median $11,208 20 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,464 – $10,498 · median $9,713 20 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,308 – $16,562 · median $15,750 20 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $7,857 – $11,595 · median $11,027 20 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,695 – $10,498 · median $9,987 20 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,060 – $13,521 · median $12,858 20 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,060 – $10,756 · median $10,229 20 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,060 – $10,756 · median $10,229 20 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,060 – $11,023 · median $10,483 20 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,060 – $8,564 · median $8,144 20 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,716 – $7,790 · median $7,408 20 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $208,445 – $505,705 · median $249,584 19 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $81,546 – $197,837 · median $98,879 19 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $104,562 – $253,676 · median $126,213 19 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $78,806 – $191,189 · median $95,625 19 plans
006 LIVER TRANSPLANT WITHOUT MCC $35,884 – $87,058 · median $44,652 19 plans
007 LUNG TRANSPLANT $96,709 – $234,624 · median $116,887 19 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $40,264 – $97,684 · median $49,854 19 plans
010 PANCREAS TRANSPLANT $59,000 – $143,139 · median $72,105 19 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $39,930 – $96,873 · median $49,457 19 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $30,367 – $73,674 · median $38,101 19 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $19,610 – $47,575 · median $25,325 19 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $96,953 – $235,217 · median $117,177 19 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $44,666 – $108,363 · median $55,081 19 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $44,666 – $108,363 · median $55,081 19 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $279,075 – $677,058 · median $333,462 19 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $58,662 – $142,319 · median $71,703 19 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $59,652 – $144,721 · median $72,879 19 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $40,902 – $99,232 · median $50,611 19 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $26,125 – $63,381 · median $33,062 19 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $42,218 – $102,424 · median $52,174 19 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $28,133 – $68,252 · median $35,447 19 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $33,095 – $80,291 · median $41,340 19 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $22,634 – $54,911 · median $28,916 19 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,262 – $44,304 · median $23,724 19 plans
028 SPINAL PROCEDURES WITH MCC $44,988 – $109,145 · median $55,464 19 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,840 – $60,263 · median $31,536 19 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $16,468 – $39,953 · median $21,594 19 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $31,010 – $75,234 · median $38,864 19 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,803 – $38,340 · median $20,805 19 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,807 – $28,644 · median $16,058 19 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $28,776 – $69,814 · median $36,211 19 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,834 – $40,839 · median $22,028 19 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,565 – $32,910 · median $18,146 19 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $24,575 – $59,620 · median $31,221 19 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,924 – $28,928 · median $16,197 19 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,423 – $20,434 · median $12,039 19 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $27,914 – $67,721 · median $35,186 19 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $16,711 – $40,541 · median $21,882 19 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $13,006 – $31,554 · median $17,483 19 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,893 – $36,130 · median $19,723 19 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,818 – $16,542 · median $10,134 19 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,093 – $26,913 · median $15,211 19 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,073 – $19,587 · median $11,625 19 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,530 – $44,956 · median $24,043 19 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $9,875 – $23,956 · median $13,764 19 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,660 – $33,139 · median $18,259 19 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,055 – $21,967 · median $12,790 19 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $6,604 – $16,021 · median $9,879 19 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $20,005 – $48,534 · median $25,795 19 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,179 – $31,973 · median $17,688 19 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,396 – $25,220 · median $14,382 19 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $14,720 – $35,712 · median $19,518 19 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $7,525 – $18,256 · median $10,973 19 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,093 – $12,357 · median $8,086 19 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,766 – $26,120 · median $14,823 19 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,523 – $15,826 · median $9,783 19 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,921 – $14,364 · median $9,068 19 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,867 – $31,217 · median $17,318 19 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $7,799 – $18,921 · median $11,299 19 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,551 – $13,468 · median $8,630 19 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,437 – $27,748 · median $15,620 19 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $7,714 – $18,714 · median $11,197 19 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,746 – $30,922 · median $17,173 19 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,785 – $16,461 · median $10,095 19 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,443 – $27,761 · median $15,626 19 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,384 – $17,915 · median $10,806 19 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,934 – $11,969 · median $7,896 19 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,710 – $35,687 · median $19,506 19 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,696 – $16,244 · median $9,988 19 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $17,169 – $41,655 · median $22,427 19 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,289 – $24,962 · median $14,256 19 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,075 – $17,165 · median $10,439 19 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,768 – $40,682 · median $21,951 19 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,706 – $23,547 · median $13,563 19 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,542 – $15,870 · median $9,805 19 plans
088 CONCUSSION WITH MCC $10,439 – $25,326 · median $14,434 19 plans
089 CONCUSSION WITH CC $7,934 – $19,247 · median $11,458 19 plans
090 CONCUSSION WITHOUT CC/MCC $6,344 – $15,391 · median $9,571 19 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,489 – $32,727 · median $18,057 19 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $7,834 – $19,007 · median $11,341 19 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,841 – $14,170 · median $8,973 19 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $27,000 – $65,505 · median $34,102 19 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,739 – $43,037 · median $23,104 19 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,739 – $43,037 · median $23,104 19 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $26,526 – $64,354 · median $33,539 19 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,053 – $38,945 · median $21,101 19 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,310 – $25,014 · median $14,281 19 plans
100 SEIZURES WITH MCC $14,691 – $35,642 · median $19,484 19 plans
101 SEIZURES WITHOUT MCC $6,821 – $16,547 · median $10,137 19 plans
102 HEADACHES WITH MCC $8,580 – $20,817 · median $12,227 19 plans
103 HEADACHES WITHOUT MCC $6,291 – $15,264 · median $9,508 19 plans
113 ORBITAL PROCEDURES WITH CC/MCC $16,699 – $40,513 · median $21,868 19 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,748 – $21,222 · median $12,425 19 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,329 – $27,486 · median $15,491 19 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,348 – $29,956 · median $16,701 19 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,982 – $19,364 · median $11,516 19 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,608 – $20,883 · median $12,259 19 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,019 – $12,178 · median $7,998 19 plans
123 NEUROLOGICAL EYE DISORDERS $5,944 – $14,420 · median $9,095 19 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,649 – $23,409 · median $13,496 19 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,110 – $14,824 · median $9,293 19 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,842 – $43,286 · median $23,226 19 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,239 – $17,562 · median $10,633 19 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,350 – $25,109 · median $14,328 19 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,020 – $14,605 · median $9,186 19 plans
139 SALIVARY GLAND PROCEDURES $10,160 – $24,649 · median $14,103 19 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $31,296 – $75,927 · median $39,204 19 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,899 – $38,572 · median $20,918 19 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,636 – $28,229 · median $15,855 19 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $24,434 – $59,279 · median $31,054 19 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,000 – $31,538 · median $17,475 19 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,768 – $21,271 · median $12,449 19 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,976 – $41,186 · median $22,198 19 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,212 – $22,348 · median $12,976 19 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,925 – $14,375 · median $9,073 19 plans
149 DYSEQUILIBRIUM $5,532 – $13,420 · median $8,606 19 plans
150 EPISTAXIS WITH MCC $10,228 – $24,815 · median $14,184 19 plans
151 EPISTAXIS WITHOUT MCC $5,609 – $13,608 · median $8,698 19 plans
152 OTITIS MEDIA AND URI WITH MCC $8,398 – $20,373 · median $12,010 19 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,267 – $12,777 · median $8,291 19 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,035 – $29,197 · median $16,329 19 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $6,909 – $16,761 · median $10,241 19 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,976 – $12,072 · median $7,946 19 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,118 – $29,398 · median $16,427 19 plans
158 DENTAL AND ORAL DISEASES WITH CC $6,960 – $16,887 · median $10,303 19 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,881 – $11,842 · median $7,833 19 plans
163 MAJOR CHEST PROCEDURES WITH MCC $34,108 – $82,749 · median $42,543 19 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,626 – $45,188 · median $24,156 19 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,794 – $33,464 · median $18,418 19 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $28,492 – $69,124 · median $35,874 19 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,521 – $32,804 · median $18,094 19 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,019 – $24,307 · median $13,935 19 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $22,708 – $55,091 · median $29,004 19 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,427 – $25,298 · median $14,420 19 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,027 – $14,623 · median $9,195 19 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,962 – $29,021 · median $16,243 19 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,342 – $17,811 · median $10,755 19 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,696 – $13,818 · median $8,801 19 plans
180 RESPIRATORY NEOPLASMS WITH MCC $12,934 – $31,378 · median $17,397 19 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,216 – $19,933 · median $11,794 19 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,198 – $15,036 · median $9,397 19 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,746 – $28,497 · median $15,986 19 plans
184 MAJOR CHEST TRAUMA WITH CC $7,904 – $19,176 · median $11,423 19 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,755 – $13,962 · median $8,871 19 plans
186 PLEURAL EFFUSION WITH MCC $11,692 – $28,366 · median $15,922 19 plans
187 PLEURAL EFFUSION WITH CC $7,430 – $18,025 · median $10,860 19 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,433 – $13,181 · median $8,489 19 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,157 – $22,215 · median $12,911 19 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,310 – $20,161 · median $11,906 19 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,357 – $15,423 · median $9,587 19 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,789 – $11,619 · median $7,724 19 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,751 – $23,657 · median $13,617 19 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,068 – $14,721 · median $9,243 19 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,608 – $11,179 · median $7,509 19 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,942 – $33,825 · median $18,594 19 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,326 – $17,773 · median $10,737 19 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,183 – $12,574 · median $8,192 19 plans
199 PNEUMOTHORAX WITH MCC $13,063 – $31,692 · median $17,550 19 plans
200 PNEUMOTHORAX WITH CC $8,196 – $19,883 · median $11,770 19 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,011 – $12,156 · median $7,987 19 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,154 – $17,355 · median $10,532 19 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,155 – $12,506 · median $8,159 19 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,001 – $14,560 · median $9,164 19 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,970 – $33,892 · median $18,627 19 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,703 – $16,262 · median $9,997 19 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $47,857 – $116,106 · median $58,871 19 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $19,860 – $48,182 · median $25,622 19 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $80,615 – $195,578 · median $97,774 19 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $78,402 – $190,208 · median $95,145 19 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $37,273 – $90,427 · median $46,302 19 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $21,550 – $52,283 · median $27,630 19 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,173 – $27,107 · median $15,306 19 plans
245 AICD GENERATOR PROCEDURES $36,162 – $87,733 · median $44,983 19 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $25,385 – $61,586 · median $32,184 19 plans
253 OTHER VASCULAR PROCEDURES WITH CC $18,892 – $45,834 · median $24,473 19 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,946 – $31,407 · median $17,411 19 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $19,362 – $46,974 · median $25,031 19 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,533 – $30,407 · median $16,921 19 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,600 – $16,012 · median $9,875 19 plans
263 VEIN LIGATION AND STRIPPING $19,848 – $48,152 · median $25,607 19 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,864 – $62,748 · median $32,752 19 plans
265 AICD LEAD PROCEDURES $26,397 – $64,042 · median $33,386 19 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $44,332 – $107,553 · median $54,685 19 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $34,815 – $84,463 · median $43,382 19 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $52,296 – $126,874 · median $64,143 19 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $45,839 – $111,208 · median $56,474 19 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $34,424 – $83,516 · median $42,918 19 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $37,024 – $89,824 · median $46,006 19 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $23,713 – $57,529 · median $30,197 19 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,146 – $29,468 · median $16,462 19 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $6,821 – $16,549 · median $10,138 19 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,366 – $13,018 · median $8,409 19 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $14,470 – $35,105 · median $19,221 19 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,483 – $13,303 · median $8,549 19 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,154 – $10,079 · median $6,970 19 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $20,213 – $49,039 · median $26,042 19 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,668 – $28,307 · median $15,893 19 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,245 – $17,576 · median $10,640 19 plans
291 HEART FAILURE AND SHOCK WITH MCC $9,656 – $23,425 · median $13,503 19 plans
292 HEART FAILURE AND SHOCK WITH CC $6,373 – $15,461 · median $9,605 19 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,060 – $9,851 · median $6,859 19 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,087 – $22,046 · median $12,829 19 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,845 – $14,179 · median $8,978 19 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,124 – $29,414 · median $16,435 19 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,213 – $12,646 · median $8,227 19 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,269 – $7,930 · median $5,918 19 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,970 – $29,041 · median $16,252 19 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,922 – $19,220 · median $11,445 19 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,279 – $12,808 · median $8,306 19 plans
302 ATHEROSCLEROSIS WITH MCC $8,608 – $20,885 · median $12,260 19 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,976 – $12,072 · median $7,946 19 plans
304 HYPERTENSION WITH MCC $8,694 – $21,091 · median $12,361 19 plans
305 HYPERTENSION WITHOUT MCC $5,555 – $13,477 · median $8,634 19 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,081 – $26,883 · median $15,196 19 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,855 – $16,632 · median $10,178 19 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $8,924 – $21,650 · median $12,634 19 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,471 – $13,273 · median $8,534 19 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,140 – $10,045 · median $6,954 19 plans
311 ANGINA PECTORIS $5,167 – $12,537 · median $8,173 19 plans
312 SYNCOPE AND COLLAPSE $6,448 – $15,642 · median $9,694 19 plans
313 CHEST PAIN $5,279 – $12,808 · median $8,306 19 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,936 – $38,662 · median $20,962 19 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,121 – $17,276 · median $10,494 19 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,052 – $12,257 · median $8,036 19 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $45,779 – $111,064 · median $56,404 19 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $32,507 – $78,864 · median $40,641 19 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $17,130 – $41,558 · median $22,380 19 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $21,066 – $51,109 · median $27,055 19 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $13,388 – $32,481 · median $17,936 19 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $31,520 – $76,469 · median $39,469 19 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $23,644 – $57,362 · median $30,116 19 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $21,180 – $51,383 · median $27,189 19 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $37,585 – $91,183 · median $46,672 19 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $17,968 – $43,592 · median $23,375 19 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,792 – $28,608 · median $16,041 19 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $33,980 – $82,438 · median $42,391 19 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $17,491 – $42,436 · median $22,809 19 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $12,217 – $29,640 · median $16,546 19 plans
332 RECTAL RESECTION WITH MCC $25,668 – $62,274 · median $32,520 19 plans
333 RECTAL RESECTION WITH CC $15,727 – $38,156 · median $20,714 19 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,274 – $29,777 · median $16,613 19 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,813 – $65,051 · median $33,880 19 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $15,631 – $37,922 · median $20,600 19 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,360 – $27,560 · median $15,527 19 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,939 – $48,374 · median $25,716 19 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,016 – $26,727 · median $15,120 19 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,215 – $22,357 · median $12,981 19 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,514 – $42,491 · median $22,837 19 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,316 – $22,601 · median $13,100 19 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,519 – $15,815 · median $9,778 19 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,898 – $43,423 · median $23,293 19 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,133 – $27,010 · median $15,258 19 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,159 – $19,795 · median $11,727 19 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,704 – $52,656 · median $27,812 19 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,588 – $30,540 · median $16,986 19 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,866 – $23,935 · median $13,753 19 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $31,566 – $76,582 · median $39,524 19 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $16,665 – $40,430 · median $21,828 19 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,028 – $24,328 · median $13,946 19 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,358 – $29,982 · median $16,713 19 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,530 – $18,269 · median $10,980 19 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,165 – $12,531 · median $8,171 19 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,935 – $31,382 · median $17,398 19 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $7,617 – $18,479 · median $11,082 19 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,368 – $13,023 · median $8,412 19 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,624 – $37,906 · median $20,592 19 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,092 – $22,059 · median $12,835 19 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,534 – $15,853 · median $9,797 19 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $13,455 – $32,642 · median $18,015 19 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,296 – $17,700 · median $10,701 19 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,712 – $11,431 · median $7,632 19 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $14,240 – $34,547 · median $18,948 19 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,059 – $19,553 · median $11,608 19 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,545 – $13,452 · median $8,622 19 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,355 – $22,696 · median $13,147 19 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,435 – $15,612 · median $9,679 19 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,024 – $29,170 · median $16,316 19 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,345 – $17,818 · median $10,759 19 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,960 – $12,034 · median $7,927 19 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,877 – $26,389 · median $14,954 19 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,932 – $14,391 · median $9,081 19 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,049 – $9,824 · median $6,846 19 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,505 – $23,061 · median $13,325 19 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,774 – $14,009 · median $8,894 19 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $12,254 – $29,730 · median $16,590 19 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $6,966 – $16,899 · median $10,309 19 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,709 – $11,425 · median $7,629 19 plans
397 APPENDIX PROCEDURES WITH MCC $18,336 – $44,484 · median $23,812 19 plans
398 APPENDIX PROCEDURES WITH CC $11,198 – $27,166 · median $15,335 19 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,316 – $20,176 · median $11,913 19 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $28,950 – $70,236 · median $36,418 19 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $40,172 – $97,461 · median $49,745 19 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,782 – $50,419 · median $26,717 19 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,805 – $38,344 · median $20,806 19 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,910 – $62,859 · median $32,807 19 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,514 – $37,638 · median $20,461 19 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,478 – $27,847 · median $15,668 19 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $20,249 – $49,127 · median $26,085 19 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,774 – $38,269 · median $20,770 19 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,303 – $29,847 · median $16,647 19 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $25,928 – $62,904 · median $32,829 19 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,638 – $35,513 · median $19,421 19 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,139 – $24,599 · median $14,078 19 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,586 – $42,665 · median $22,922 19 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $12,272 – $29,773 · median $16,611 19 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,750 – $23,655 · median $13,616 19 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $26,118 – $63,365 · median $33,054 19 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,118 – $29,400 · median $16,428 19 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,874 – $26,380 · median $14,950 19 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $30,099 – $73,022 · median $37,782 19 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,896 – $40,992 · median $22,103 19 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,439 – $27,752 · median $15,621 19 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $77,518 – $188,065 · median $94,096 19 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $52,560 – $127,515 · median $64,456 19 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $40,730 – $98,815 · median $50,408 19 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $61,720 – $149,739 · median $75,335 19 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $40,482 – $98,212 · median $50,112 19 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $14,497 – $35,172 · median $19,254 19 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $7,917 – $19,206 · median $11,438 19 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,154 – $12,504 · median $8,158 19 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,502 – $32,757 · median $18,072 19 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,345 – $20,246 · median $11,947 19 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,810 – $14,097 · median $8,937 19 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $12,311 – $29,868 · median $16,658 19 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $6,365 – $15,443 · median $9,596 19 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,552 – $11,043 · median $7,442 19 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $13,989 – $33,938 · median $18,650 19 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,150 – $17,346 · median $10,528 19 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,200 – $12,616 · median $8,212 19 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $12,465 – $30,240 · median $16,839 19 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,025 – $19,470 · median $11,567 19 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,900 – $14,314 · median $9,044 19 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $49,615 – $120,369 · median $60,959 19 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $30,218 – $73,311 · median $37,923 19 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $38,111 – $92,460 · median $47,297 19 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,836 – $55,403 · median $29,157 19 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $45,412 – $110,172 · median $55,967 19 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $21,192 – $51,414 · median $27,204 19 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $39,967 – $96,964 · median $49,502 19 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $21,820 – $52,936 · median $27,949 19 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,847 – $31,168 · median $17,294 19 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $37,700 – $91,463 · median $46,809 19 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $25,346 – $61,493 · median $32,138 19 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $19,412 – $47,096 · median $25,091 19 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $24,188 – $58,683 · median $30,763 19 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,953 – $33,850 · median $18,607 19 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $33,187 – $80,514 · median $41,449 19 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $15,964 – $38,730 · median $20,995 19 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,607 – $20,881 · median $12,258 19 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,449 – $61,740 · median $32,259 19 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $17,306 – $41,985 · median $22,589 19 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,141 – $31,881 · median $17,643 19 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,763 – $52,800 · median $27,883 19 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $15,354 – $37,251 · median $20,271 19 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,739 – $28,481 · median $15,978 19 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,857 – $45,748 · median $24,431 19 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,823 – $57,796 · median $30,328 19 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,695 – $38,077 · median $20,676 19 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,693 – $28,369 · median $15,924 19 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,544 – $35,285 · median $19,309 19 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,164 – $22,233 · median $12,920 19 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $26,279 – $63,755 · median $33,245 19 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,767 – $43,105 · median $23,137 19 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,952 – $33,849 · median $18,606 19 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,052 – $63,205 · median $32,976 19 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,600 – $35,421 · median $19,376 19 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,935 – $24,104 · median $13,836 19 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $18,684 – $45,330 · median $24,226 19 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,590 – $20,840 · median $12,238 19 plans
500 SOFT TISSUE PROCEDURES WITH MCC $23,448 – $56,888 · median $29,884 19 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,207 – $32,041 · median $17,721 19 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,339 – $25,084 · median $14,316 19 plans
503 FOOT PROCEDURES WITH MCC $19,585 – $47,514 · median $25,295 19 plans
504 FOOT PROCEDURES WITH CC $12,987 – $31,508 · median $17,460 19 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,987 – $31,508 · median $17,460 19 plans
506 MAJOR THUMB OR JOINT PROCEDURES $11,093 – $26,913 · median $15,211 19 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,343 – $34,797 · median $19,070 19 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,550 – $23,170 · median $13,379 19 plans
509 ARTHROSCOPY $13,000 – $31,538 · median $17,475 19 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $21,150 – $51,311 · median $27,154 19 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,513 – $35,209 · median $19,272 19 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,898 – $28,865 · median $16,166 19 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,141 – $27,030 · median $15,268 19 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,545 – $18,305 · median $10,997 19 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $21,569 – $52,328 · median $27,652 19 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,600 – $37,847 · median $20,563 19 plans
533 FRACTURES OF FEMUR WITH MCC $11,284 – $27,377 · median $15,438 19 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,024 – $14,614 · median $9,190 19 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,841 – $23,876 · median $13,724 19 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,001 – $14,558 · median $9,163 19 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,801 – $16,499 · median $10,113 19 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,969 – $12,055 · median $7,938 19 plans
539 OSTEOMYELITIS WITH MCC $14,966 – $36,308 · median $19,810 19 plans
540 OSTEOMYELITIS WITH CC $9,576 – $23,233 · median $13,409 19 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,474 – $15,707 · median $9,725 19 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,802 – $33,484 · median $18,427 19 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,851 – $19,046 · median $11,360 19 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,592 – $13,567 · median $8,678 19 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $18,699 – $45,365 · median $24,244 19 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,567 – $20,784 · median $12,211 19 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,522 – $13,397 · median $8,594 19 plans
548 SEPTIC ARTHRITIS WITH MCC $14,908 – $36,168 · median $19,741 19 plans
549 SEPTIC ARTHRITIS WITH CC $8,918 – $21,635 · median $12,627 19 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,380 – $15,477 · median $9,613 19 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,664 – $23,447 · median $13,514 19 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,176 – $14,984 · median $9,371 19 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,965 – $24,176 · median $13,871 19 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,042 – $14,659 · median $9,212 19 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,468 – $27,822 · median $15,656 19 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,392 – $15,508 · median $9,628 19 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,737 – $33,326 · median $18,350 19 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,426 – $20,443 · median $12,044 19 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,050 – $14,678 · median $9,222 19 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,830 – $26,274 · median $14,898 19 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,614 – $16,046 · median $9,892 19 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,612 – $28,172 · median $15,827 19 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $7,546 – $18,307 · median $10,998 19 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,536 – $13,431 · median $8,611 19 plans
570 SKIN DEBRIDEMENT WITH MCC $22,275 – $54,042 · median $28,491 19 plans
571 SKIN DEBRIDEMENT WITH CC $12,390 – $30,059 · median $16,751 19 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,454 – $20,510 · median $12,076 19 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $45,571 – $110,558 · median $56,156 19 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $25,640 – $62,205 · median $32,487 19 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,776 – $35,847 · median $19,584 19 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $39,925 – $96,862 · median $49,451 19 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $19,705 – $47,805 · median $25,438 19 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,509 – $30,348 · median $16,892 19 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $24,120 – $58,516 · median $30,681 19 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,120 – $31,831 · median $17,618 19 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,650 – $25,838 · median $14,685 19 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,959 – $31,439 · median $17,427 19 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,156 – $29,491 · median $16,473 19 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $15,151 – $36,757 · median $20,030 19 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,690 – $35,639 · median $19,482 19 plans
592 SKIN ULCERS WITH MCC $15,217 – $36,917 · median $20,108 19 plans
593 SKIN ULCERS WITH CC $9,048 – $21,951 · median $12,782 19 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,280 – $15,237 · median $9,495 19 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,652 – $37,972 · median $20,625 19 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,000 – $19,409 · median $11,538 19 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,000 – $31,538 · median $17,475 19 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,984 – $19,369 · median $11,518 19 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,326 – $15,348 · median $9,550 19 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,079 – $17,174 · median $10,443 19 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,436 – $10,763 · median $7,305 19 plans
602 CELLULITIS WITH MCC $10,872 – $26,377 · median $14,948 19 plans
603 CELLULITIS WITHOUT MCC $6,518 – $15,813 · median $9,777 19 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,994 – $26,673 · median $15,093 19 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,835 – $16,583 · median $10,154 19 plans
606 MINOR SKIN DISORDERS WITH MCC $11,916 – $28,910 · median $16,188 19 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $6,395 – $15,515 · median $9,631 19 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,865 – $40,915 · median $22,065 19 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,604 – $25,727 · median $14,630 19 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $28,601 – $69,388 · median $36,003 19 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,294 – $34,678 · median $19,012 19 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,214 – $22,353 · median $12,979 19 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $20,176 – $35,723 · median $25,998 19 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,818 – $25,301 · median $16,071 19 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,817 – $25,301 · median $14,883 19 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $27,691 – $67,180 · median $34,922 19 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,155 – $34,341 · median $18,847 19 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,423 – $18,009 · median $10,852 19 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $21,217 – $51,473 · median $27,233 19 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,169 – $27,096 · median $15,301 19 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,375 – $22,745 · median $13,170 19 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $29,198 – $70,837 · median $36,712 19 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,643 – $40,378 · median $21,802 19 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,370 – $25,158 · median $14,352 19 plans
637 DIABETES WITH MCC $10,777 – $26,145 · median $14,835 19 plans
638 DIABETES WITH CC $6,787 – $16,466 · median $10,097 19 plans
639 DIABETES WITHOUT CC/MCC $4,637 – $11,249 · median $7,543 19 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,827 – $23,842 · median $13,707 19 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,782 – $14,028 · median $8,904 19 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,184 – $22,281 · median $12,944 19 plans
643 ENDOCRINE DISORDERS WITH MCC $12,264 – $29,754 · median $16,601 19 plans
644 ENDOCRINE DISORDERS WITH CC $7,647 – $18,553 · median $11,118 19 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,762 – $13,980 · median $8,880 19 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $34,094 – $82,715 · median $42,526 19 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $25,697 – $62,342 · median $32,554 19 plans
652 KIDNEY TRANSPLANT $22,728 – $55,141 · median $29,029 19 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $41,252 – $100,081 · median $51,027 19 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,884 – $50,665 · median $26,838 19 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $15,372 – $37,294 · median $20,292 19 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $24,109 – $58,491 · median $30,669 19 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,528 – $32,820 · median $18,102 19 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,130 – $27,001 · median $15,254 19 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $19,124 – $46,396 · median $24,748 19 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,916 – $24,057 · median $13,813 19 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,597 – $18,431 · median $11,059 19 plans
662 MINOR BLADDER PROCEDURES WITH MCC $23,085 – $56,006 · median $29,452 19 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,303 – $27,421 · median $15,460 19 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,991 – $19,386 · median $11,526 19 plans
665 PROSTATECTOMY WITH MCC $25,409 – $61,643 · median $32,212 19 plans
666 PROSTATECTOMY WITH CC $12,190 – $29,574 · median $16,513 19 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,606 – $18,452 · median $11,069 19 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $21,581 – $52,356 · median $27,666 19 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,452 – $27,782 · median $15,636 19 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,072 – $17,158 · median $10,436 19 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,755 – $30,946 · median $17,185 19 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,099 – $19,648 · median $11,654 19 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $31,003 – $75,216 · median $38,856 19 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $17,082 – $41,443 · median $22,323 19 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,583 – $28,102 · median $15,793 19 plans
682 RENAL FAILURE WITH MCC $11,114 – $26,964 · median $15,236 19 plans
683 RENAL FAILURE WITH CC $6,578 – $15,958 · median $9,849 19 plans
684 RENAL FAILURE WITHOUT CC/MCC $4,495 – $10,905 · median $7,375 19 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,954 – $33,854 · median $18,609 19 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,790 – $18,899 · median $11,288 19 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,359 – $13,002 · median $8,401 19 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,660 – $21,010 · median $12,321 19 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,939 – $14,409 · median $9,090 19 plans
693 URINARY STONES WITH MCC $10,881 – $26,398 · median $14,959 19 plans
694 URINARY STONES WITHOUT MCC $5,782 – $14,028 · median $8,904 19 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,346 – $20,247 · median $11,948 19 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,119 – $12,420 · median $8,116 19 plans
697 URETHRAL STRICTURE $7,413 – $17,985 · median $10,841 19 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $12,439 – $30,177 · median $16,809 19 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $7,547 – $18,310 · median $11,000 19 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,137 – $12,463 · median $8,137 19 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $14,360 – $34,840 · median $19,091 19 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,971 – $26,615 · median $15,065 19 plans
709 PENIS PROCEDURES WITH CC/MCC $16,629 – $40,342 · median $21,785 19 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,110 – $26,955 · median $15,231 19 plans
711 TESTES PROCEDURES WITH CC/MCC $14,138 – $34,301 · median $18,827 19 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,915 – $19,203 · median $11,437 19 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,700 – $25,960 · median $14,744 19 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,954 – $16,870 · median $10,295 19 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,711 – $40,543 · median $21,883 19 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,503 – $25,481 · median $14,510 19 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,731 – $33,312 · median $18,343 19 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,116 – $22,116 · median $12,863 19 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,794 – $31,039 · median $17,231 19 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,309 – $20,159 · median $11,905 19 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,392 – $13,081 · median $8,440 19 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,343 – $22,667 · median $13,133 19 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,509 – $13,364 · median $8,579 19 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,874 – $26,380 · median $14,950 19 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,047 – $14,669 · median $9,218 19 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,147 – $19,764 · median $11,712 19 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,491 – $10,896 · median $7,370 19 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,561 – $37,752 · median $20,516 19 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,983 – $21,793 · median $12,705 19 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $29,138 – $70,692 · median $36,641 19 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,788 – $35,877 · median $19,599 19 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,225 – $27,233 · median $15,367 19 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $29,459 – $71,469 · median $37,021 19 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,455 – $32,644 · median $18,016 19 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,165 – $24,660 · median $14,108 19 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,518 – $32,795 · median $18,090 19 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,870 – $21,520 · median $12,571 19 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $14,460 – $35,080 · median $19,209 19 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,584 – $18,398 · median $11,043 19 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,392 – $30,064 · median $16,753 19 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,068 – $17,149 · median $10,431 19 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,081 – $24,457 · median $14,009 19 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $19,156 – $46,473 · median $24,786 19 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,542 – $23,150 · median $13,369 19 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,389 – $32,482 · median $17,937 19 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,215 – $19,930 · median $11,792 19 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,067 – $17,145 · median $10,429 19 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,473 – $25,409 · median $14,475 19 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,543 – $18,299 · median $10,994 19 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,736 – $11,490 · median $7,661 19 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,293 – $17,694 · median $10,698 19 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,691 – $11,380 · median $7,608 19 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,282 – $24,946 · median $14,248 19 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,962 – $19,317 · median $11,493 19 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,280 – $12,809 · median $8,307 19 plans
779 ABORTION WITHOUT D&C $6,918 – $16,782 · median $10,252 19 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $13,339 – $32,362 · median $17,878 19 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $43,992 – $106,727 · median $54,281 19 plans
791 PREMATURITY WITH MAJOR PROBLEMS $30,043 – $72,887 · median $37,716 19 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $18,128 – $43,979 · median $23,565 19 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $30,862 – $74,873 · median $38,688 19 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,924 – $26,502 · median $15,010 19 plans
795 NORMAL NEWBORN $1,479 – $3,868 · median $3,679 19 plans
799 SPLENIC PROCEDURES WITH MCC $35,186 – $85,363 · median $43,823 19 plans
800 SPLENIC PROCEDURES WITH CC $21,562 – $52,311 · median $27,644 19 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $12,149 – $29,473 · median $16,464 19 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $26,528 – $64,358 · median $33,540 19 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,172 – $31,956 · median $17,680 19 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,181 – $19,849 · median $11,753 19 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $16,948 – $41,118 · median $22,164 19 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,165 – $22,235 · median $12,921 19 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,043 – $17,088 · median $10,401 19 plans
811 RED BLOOD CELL DISORDERS WITH MCC $10,411 – $25,258 · median $14,401 19 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $6,829 – $16,569 · median $10,147 19 plans
813 COAGULATION DISORDERS $11,455 – $27,791 · median $15,641 19 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,470 – $37,531 · median $20,408 19 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,519 – $18,242 · median $10,966 19 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,880 – $11,838 · median $7,832 19 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $18,760 – $45,513 · median $24,316 19 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,531 – $23,123 · median $13,356 19 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,042 – $14,659 · median $9,212 19 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $43,085 – $104,528 · median $53,204 19 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $16,520 – $40,078 · median $21,655 19 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,463 – $20,533 · median $12,088 19 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $34,628 – $84,011 · median $43,161 19 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $16,276 – $39,486 · median $21,365 19 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,108 – $22,097 · median $12,853 19 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $35,339 – $85,735 · median $44,005 19 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $17,463 – $42,367 · median $22,776 19 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,861 – $28,777 · median $16,123 19 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $22,820 – $55,363 · median $29,138 19 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,823 – $26,256 · median $14,889 19 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,517 – $20,664 · median $12,152 19 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,531 – $13,418 · median $8,605 19 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,847 – $9,332 · median $6,605 19 plans
834 ACUTE LEUKEMIA WITH MCC $40,902 – $99,232 · median $50,611 19 plans
835 ACUTE LEUKEMIA WITH CC $15,806 – $38,346 · median $20,807 19 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,403 – $22,813 · median $13,204 19 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $37,053 – $89,894 · median $46,041 19 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $15,009 – $36,412 · median $19,861 19 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,141 – $24,603 · median $14,080 19 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $23,599 – $57,252 · median $30,062 19 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,603 – $28,150 · median $15,817 19 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,784 – $18,885 · median $11,281 19 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,010 – $33,990 · median $18,675 19 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,844 – $21,457 · median $12,540 19 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,192 – $15,023 · median $9,391 19 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,898 – $45,848 · median $24,480 19 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,403 – $22,813 · median $13,204 19 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,060 – $14,702 · median $9,233 19 plans
849 RADIOTHERAPY $19,766 – $47,954 · median $25,511 19 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $68,168 – $165,381 · median $82,992 19 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $37,010 – $89,788 · median $45,989 19 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,786 – $35,872 · median $19,596 19 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,029 – $29,184 · median $16,323 19 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $33,386 – $80,997 · median $41,685 19 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $16,124 – $39,118 · median $21,185 19 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,534 – $23,131 · median $13,359 19 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $13,606 – $33,010 · median $18,196 19 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,399 – $17,951 · median $10,824 19 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,645 – $16,122 · median $9,928 19 plans
865 VIRAL ILLNESS WITH MCC $10,922 – $26,497 · median $15,007 19 plans
866 VIRAL ILLNESS WITHOUT MCC $6,548 – $15,885 · median $9,812 19 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,868 – $38,497 · median $20,881 19 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,771 – $18,852 · median $11,265 19 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,325 – $12,919 · median $8,361 19 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $51,478 – $124,890 · median $63,171 19 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $14,520 – $35,226 · median $19,280 19 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $7,629 – $18,510 · median $11,097 19 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,122 – $70,548 · median $36,571 19 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,122 – $17,210 · median $10,461 19 plans
881 DEPRESSIVE NEUROSES $1,122 – $16,411 · median $10,070 19 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,122 – $17,271 · median $10,491 19 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,122 – $33,283 · median $18,329 19 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $1,122 – $29,985 · median $16,715 19 plans
885 PSYCHOSES $1,122 – $25,307 · median $14,424 19 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,122 – $32,253 · median $17,825 19 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,122 – $21,353 · median $12,489 19 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $1,122 – $11,204 · median $7,521 19 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $1,122 – $25,994 · median $14,761 19 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $1,122 – $31,971 · median $17,687 19 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $1,122 – $15,838 · median $9,790 19 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $32,786 – $79,541 · median $40,973 19 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $14,042 – $34,068 · median $18,713 19 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,021 – $21,887 · median $12,750 19 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $28,572 – $69,318 · median $35,969 19 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,197 – $29,590 · median $16,521 19 plans
906 HAND PROCEDURES FOR INJURIES $16,151 – $39,182 · median $21,217 19 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $29,479 – $71,519 · median $37,046 19 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,927 – $36,213 · median $19,763 19 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,385 – $22,770 · median $13,183 19 plans
913 TRAUMATIC INJURY WITH MCC $11,975 – $29,053 · median $16,259 19 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,781 – $16,452 · median $10,090 19 plans
915 ALLERGIC REACTIONS WITH MCC $12,860 – $31,201 · median $17,310 19 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,914 – $11,923 · median $7,873 19 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,134 – $29,438 · median $16,447 19 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $6,546 – $15,881 · median $9,811 19 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $13,495 – $32,739 · median $18,063 19 plans
920 COMPLICATIONS OF TREATMENT WITH CC $7,518 – $18,238 · median $10,965 19 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,089 – $12,346 · median $8,080 19 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,502 – $30,330 · median $16,883 19 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $7,547 – $18,310 · median $11,000 19 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $175,549 – $425,895 · median $210,516 19 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $49,424 – $119,906 · median $60,732 19 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,535 – $57,098 · median $29,987 19 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $32,019 – $77,681 · median $40,062 19 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,879 – $38,524 · median $20,894 19 plans
935 NON-EXTENSIVE BURNS $16,253 – $39,432 · median $21,339 19 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $23,488 – $56,983 · median $29,930 19 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,624 – $37,906 · median $20,592 19 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $14,462 – $35,086 · median $19,211 19 plans
945 REHABILITATION WITH CC/MCC $1,220 – $15,761 · median $14,988 19 plans
946 REHABILITATION WITHOUT CC/MCC $1,220 – $12,086 · median $11,493 19 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,518 – $23,091 · median $13,340 19 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,879 – $14,264 · median $9,019 19 plans
949 AFTERCARE WITH CC/MCC $7,985 – $19,371 · median $11,519 19 plans
950 AFTERCARE WITHOUT CC/MCC $4,337 – $10,522 · median $7,187 19 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,196 – $10,179 · median $7,020 19 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $50,529 – $122,588 · median $62,045 19 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $28,286 – $68,624 · median $35,629 19 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $55,235 – $134,005 · median $67,633 19 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $30,413 – $73,783 · median $38,154 19 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $19,565 – $47,466 · median $25,272 19 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $20,104 – $48,773 · median $25,911 19 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,101 – $26,931 · median $15,220 19 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,753 – $16,384 · median $10,057 19 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $46,800 – $113,540 · median $57,616 19 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,634 – $47,635 · median $25,354 19 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $22,098 – $53,611 · median $28,280 19 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,518 – $25,518 · median $14,528 19 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,422 – $18,007 · median $10,851 19 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,670 – $25,886 · median $14,708 19 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $35,179 – $85,347 · median $43,815 19 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,117 – $43,954 · median $23,553 19 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,345 – $29,949 · median $16,697 19 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,920 – $62,884 · median $32,819 19 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,698 – $30,807 · median $17,117 19 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,551 – $20,745 · median $12,191 19 plans
877 Psych $1,122 – $1,122 · median $1,122 3 plans
878 Psych $1,122 – $1,122 · median $1,122 3 plans
879 Psych $1,122 – $1,122 · median $1,122 3 plans
888 Psych $1,122 – $1,122 · median $1,122 3 plans
889 Psych $1,122 – $1,122 · median $1,122 3 plans
890 Psych $1,122 – $1,122 · median $1,122 3 plans
891 Psych $1,122 – $1,122 · median $1,122 3 plans
892 Psych $1,122 – $1,122 · median $1,122 3 plans
893 Psych $1,122 – $1,122 · median $1,122 3 plans
222 Defib Implant w/Cath &HF/AMI $52,996 – $52,996 · median $52,996 1 plans
223 Defib Implant w/Cath &HF/AMI $52,996 – $52,996 · median $52,996 1 plans
224 Defib Implant w/Cath w/o HF/AMI $42,422 – $42,422 · median $42,422 1 plans
225 Defib Implant w/Cath w/o HF/AMI $42,422 – $42,422 · median $42,422 1 plans
226 Defib Implant w/o Cath $40,147 – $40,147 · median $40,147 1 plans
227 Defib Implant w/o Cath $40,147 – $40,147 · median $40,147 1 plans
246 Perc CV Proc w/Drug-Eluting Stent $17,478 – $17,478 · median $17,478 1 plans
247 Perc CV Proc w/Drug-Eluting Stent $17,478 – $17,478 · median $17,478 1 plans
248 Percutaneous CV Procedures $17,733 – $17,733 · median $17,733 1 plans
249 Percutaneous CV Procedures $17,733 – $17,733 · median $17,733 1 plans
453 Combo A/P Spinal Fusion $20,075 – $20,075 · median $20,075 1 plans
454 Combo A/P Spinal Fusion $20,075 – $20,075 · median $20,075 1 plans
455 Combo A/P Spinal Fusion $20,075 – $20,075 · median $20,075 1 plans
459 Spinal Fusion $41,256 – $41,256 · median $41,256 1 plans
460 Spinal Fusion $41,256 – $41,256 · median $41,256 1 plans
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