Covenant Medical Center — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771
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 771 procedures

Procedures with negotiated rates only

These 771 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
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $217,789 – $403,851 · median $217,789 16 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $85,469 – $148,702 · median $85,469 16 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $165,808 – $309,949 · median $165,808 16 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $109,468 – $172,527 · median $109,468 16 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $82,611 – $152,698 · median $82,611 16 plans
006 LIVER TRANSPLANT WITHOUT MCC $37,856 – $59,209 · median $37,856 16 plans
007 LUNG TRANSPLANT $101,280 – $159,570 · median $101,280 16 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $42,424 – $66,436 · median $42,424 16 plans
010 PANCREAS TRANSPLANT $58,461 – $97,350 · median $61,960 16 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $42,075 – $68,185 · median $42,075 16 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $32,104 – $68,119 · median $32,104 16 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,887 – $47,731 · median $20,887 16 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $101,534 – $230,464 · median $101,534 16 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $47,013 – $146,630 · median $47,013 16 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $47,013 – $75,019 · median $47,013 16 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $111,597 – $460,473 · median $291,436 16 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $61,607 – $97,079 · median $61,607 16 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $62,640 – $121,020 · median $62,640 16 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $43,089 – $88,458 · median $43,089 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $27,680 – $57,159 · median $27,680 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $44,461 – $74,240 · median $44,461 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $29,774 – $57,037 · median $29,774 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $34,948 – $63,759 · median $34,948 16 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $24,040 – $47,501 · median $24,040 16 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $19,481 – $43,172 · median $19,481 16 plans
028 SPINAL PROCEDURES WITH MCC $47,350 – $74,231 · median $47,350 16 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $26,340 – $42,213 · median $26,340 16 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $17,611 – $30,903 · median $17,611 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,775 – $65,290 · median $32,775 16 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $16,918 – $28,011 · median $16,918 16 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,750 – $25,612 · median $12,750 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $30,445 – $47,481 · median $30,445 16 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $17,992 – $28,164 · median $17,992 16 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $14,584 – $22,382 · median $14,584 16 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $26,064 – $40,548 · median $26,064 16 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,872 – $20,615 · median $12,872 16 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $9,222 – $19,915 · median $9,222 16 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $29,545 – $46,057 · median $29,545 16 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $17,864 – $29,928 · median $17,864 16 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $14,001 – $25,954 · median $14,001 16 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $15,968 – $24,573 · median $15,968 16 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,549 – $14,363 · median $7,549 16 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,007 – $18,304 · median $12,007 16 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,858 – $15,688 · median $8,858 16 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,761 – $30,575 · median $19,761 16 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,736 – $22,085 · median $10,736 16 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $14,683 – $22,538 · median $14,683 16 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,881 – $19,106 · median $9,881 16 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,325 – $12,598 · median $7,325 16 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $21,299 – $39,037 · median $21,299 16 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $14,181 – $24,466 · median $14,181 16 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,279 – $24,283 · median $11,279 16 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,788 – $24,621 · median $15,788 16 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,286 – $15,368 · median $8,286 16 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,750 – $11,656 · median $5,750 16 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,666 – $20,180 · median $11,666 16 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,241 – $11,993 · median $7,241 16 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,613 – $12,015 · median $6,613 16 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $13,856 – $23,176 · median $13,856 16 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,571 – $12,868 · median $8,571 16 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,228 – $10,182 · median $6,228 16 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $12,365 – $18,872 · median $12,365 16 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,483 – $13,572 · median $8,483 16 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,641 – $21,031 · median $13,730 16 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,313 – $11,195 · median $7,514 16 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,371 – $24,109 · median $12,371 16 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,139 – $12,824 · median $8,139 16 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,584 – $10,098 · median $5,584 16 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $15,777 – $24,271 · median $15,777 16 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,421 – $15,029 · median $7,421 16 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $18,342 – $32,935 · median $18,342 16 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $11,168 – $17,837 · median $11,168 16 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,817 – $11,674 · median $7,817 16 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $17,924 – $27,668 · median $17,924 16 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $10,560 – $16,015 · median $10,560 16 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,260 – $10,794 · median $7,260 16 plans
088 CONCUSSION WITH MCC $11,324 – $27,436 · median $11,324 16 plans
089 CONCUSSION WITH CC $8,712 – $15,253 · median $8,712 16 plans
090 CONCUSSION WITHOUT CC/MCC $7,054 – $14,240 · median $7,054 16 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $14,505 – $25,444 · median $14,505 16 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,608 – $12,954 · median $8,608 16 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,530 – $11,736 · median $6,530 16 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $28,593 – $48,181 · median $28,593 16 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,936 – $40,827 · median $18,936 16 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,936 – $29,270 · median $18,936 16 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $28,099 – $43,768 · median $28,099 16 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $17,178 – $26,487 · median $17,178 16 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,190 – $21,853 · median $11,190 16 plans
100 SEIZURES WITH MCC $15,758 – $24,241 · median $15,758 16 plans
101 SEIZURES WITHOUT MCC $7,551 – $11,254 · median $7,551 16 plans
102 HEADACHES WITH MCC $9,386 – $14,158 · median $9,386 16 plans
103 HEADACHES WITHOUT MCC $7,000 – $12,714 · median $7,000 16 plans
113 ORBITAL PROCEDURES WITH CC/MCC $17,852 – $30,017 · median $17,852 16 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,561 – $19,826 · median $9,561 16 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,253 – $18,694 · median $12,253 16 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $13,314 – $20,374 · median $13,314 16 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,762 – $15,785 · median $8,762 16 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $7,594 – $14,203 · median $9,415 16 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,673 – $8,282 · median $5,673 16 plans
123 NEUROLOGICAL EYE DISORDERS $6,637 – $13,836 · median $6,637 16 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $10,500 – $15,921 · median $10,500 16 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,811 – $10,082 · median $6,811 16 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $19,044 – $29,440 · median $19,044 16 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,987 – $13,724 · median $7,987 16 plans
137 MOUTH PROCEDURES WITH CC/MCC $11,231 – $17,077 · median $11,231 16 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,716 – $9,933 · median $6,716 16 plans
139 SALIVARY GLAND PROCEDURES $11,034 – $16,764 · median $11,034 16 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $33,072 – $55,224 · median $33,072 16 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $17,017 – $42,150 · median $17,017 16 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $12,572 – $31,170 · median $12,572 16 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $25,917 – $51,101 · median $25,917 16 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,994 – $22,140 · median $13,994 16 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,581 – $17,310 · median $9,581 16 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $18,141 – $28,011 · median $18,141 16 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $10,044 – $16,163 · median $10,044 16 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,618 – $13,434 · median $6,618 16 plans
149 DYSEQUILIBRIUM $6,207 – $10,660 · median $6,207 16 plans
150 EPISTAXIS WITH MCC $11,105 – $20,932 · median $11,105 16 plans
151 EPISTAXIS WITHOUT MCC $6,288 – $10,487 · median $6,288 16 plans
152 OTITIS MEDIA AND URI WITH MCC $8,510 – $13,856 · median $9,196 16 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $5,890 – $8,690 · median $5,931 16 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $12,988 – $19,857 · median $12,988 16 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,643 – $13,959 · median $7,643 16 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,628 – $8,210 · median $5,628 16 plans
157 DENTAL AND ORAL DISEASES WITH MCC $13,074 – $33,891 · median $13,074 16 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,697 – $12,379 · median $7,697 16 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,529 – $9,057 · median $5,529 16 plans
163 MAJOR CHEST PROCEDURES WITH MCC $36,005 – $56,278 · median $36,005 16 plans
164 MAJOR CHEST PROCEDURES WITH CC $19,861 – $33,436 · median $19,861 16 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $14,822 – $26,739 · median $14,822 16 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $30,149 – $47,012 · median $30,149 16 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,538 – $23,871 · median $14,538 16 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,886 – $19,788 · median $10,886 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $24,117 – $37,468 · median $24,117 16 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,312 – $17,227 · median $11,312 16 plans
176 PULMONARY EMBOLISM WITHOUT MCC $6,724 – $9,945 · median $6,724 16 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,912 – $19,737 · median $12,912 16 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,095 – $12,501 · median $8,095 16 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,378 – $9,746 · median $6,378 16 plans
180 RESPIRATORY NEOPLASMS WITH MCC $13,926 – $21,574 · median $13,926 16 plans
181 RESPIRATORY NEOPLASMS WITH CC $9,007 – $13,557 · median $9,007 16 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,606 – $10,226 · median $6,902 16 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,687 – $19,381 · median $12,687 16 plans
184 MAJOR CHEST TRAUMA WITH CC $8,681 – $13,042 · median $8,681 16 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,440 – $10,113 · median $6,440 16 plans
186 PLEURAL EFFUSION WITH MCC $12,631 – $19,292 · median $12,631 16 plans
187 PLEURAL EFFUSION WITH CC $8,186 – $12,259 · median $8,186 16 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,105 – $8,965 · median $6,105 16 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,987 – $15,109 · median $9,987 16 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,105 – $13,712 · median $9,105 16 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,068 – $10,917 · median $7,068 16 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,433 – $8,010 · median $5,433 16 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $10,607 – $16,089 · median $10,607 16 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,767 – $10,012 · median $6,767 16 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,244 – $7,603 · median $5,244 16 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $14,977 – $23,005 · median $14,977 16 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $8,078 – $13,755 · median $8,078 16 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,844 – $9,073 · median $5,844 16 plans
199 PNEUMOTHORAX WITH MCC $14,061 – $21,554 · median $14,061 16 plans
200 PNEUMOTHORAX WITH CC $8,985 – $13,523 · median $8,985 16 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,664 – $8,267 · median $5,664 16 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,899 – $11,803 · median $7,899 16 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,482 – $8,505 · median $5,814 16 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,697 – $10,342 · median $6,697 16 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $15,006 – $23,050 · median $15,006 16 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,429 – $11,060 · median $7,429 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $50,341 – $90,905 · median $50,341 16 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $21,148 – $32,769 · median $21,148 16 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $84,498 – $156,559 · median $84,498 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $82,190 – $129,363 · median $82,190 16 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $74,908 – $135,228 · median $74,908 16 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $50,269 – $90,610 · median $50,269 16 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $46,345 – $72,875 · median $46,345 16 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $60,143 – $98,177 · median $60,143 16 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $41,309 – $73,292 · median $41,309 16 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,876 – $65,148 · median $35,876 16 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $38,891 – $84,046 · median $38,891 16 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $24,408 – $51,553 · median $24,408 16 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $65,825 – $103,466 · median $65,825 16 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $47,575 – $90,353 · median $47,575 16 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $60,752 – $95,438 · median $60,752 16 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $41,491 – $65,206 · median $41,491 16 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $45,843 – $71,846 · median $45,843 16 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $32,169 – $54,249 · median $32,169 16 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $39,305 – $61,501 · median $39,305 16 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,910 – $35,558 · median $22,910 16 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $12,090 – $18,436 · median $12,090 16 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $26,612 – $48,587 · median $26,612 16 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $17,822 – $30,982 · median $17,822 16 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $14,365 – $28,018 · median $14,365 16 plans
245 AICD GENERATOR PROCEDURES $38,146 – $60,335 · median $38,146 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $18,284 – $34,128 · median $18,284 16 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,497 – $21,930 · median $12,497 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $26,909 – $60,961 · median $26,909 16 plans
253 OTHER VASCULAR PROCEDURES WITH CC $20,139 – $35,135 · median $20,139 16 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $13,938 – $25,022 · median $13,938 16 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $20,629 – $31,947 · median $20,629 16 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,508 – $25,472 · median $13,508 16 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,321 – $13,098 · median $7,321 16 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $22,087 – $35,797 · median $22,087 16 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $14,002 – $23,336 · median $14,002 16 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $26,722 – $54,560 · median $26,722 16 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $15,081 – $29,173 · median $15,081 16 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $12,151 – $25,506 · median $12,151 16 plans
263 VEIN LIGATION AND STRIPPING $21,135 – $33,293 · median $21,135 16 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $27,408 – $42,675 · median $27,408 16 plans
265 AICD LEAD PROCEDURES $27,964 – $49,925 · median $27,964 16 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $46,665 – $81,301 · median $46,665 16 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,741 – $68,230 · median $36,741 16 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $51,887 – $81,411 · median $51,887 16 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $32,544 – $50,802 · median $32,544 16 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $40,046 – $68,785 · median $40,046 16 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $27,017 – $43,910 · median $27,017 16 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,747 – $32,591 · median $19,747 16 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $30,612 – $47,745 · median $30,612 16 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $24,521 – $40,065 · median $24,521 16 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $54,969 – $94,156 · median $54,969 16 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $48,236 – $92,810 · median $48,236 16 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $36,334 – $74,221 · median $36,334 16 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $39,045 – $64,879 · median $39,045 16 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $25,165 – $39,126 · median $25,165 16 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $13,105 – $20,041 · median $13,105 16 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,552 – $12,977 · median $7,552 16 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,034 – $11,260 · median $6,034 16 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $15,527 – $28,568 · median $15,527 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,157 – $10,797 · median $6,157 16 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,771 – $7,132 · median $4,771 16 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $17,517 – $27,024 · median $17,517 16 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,848 – $15,144 · median $8,848 16 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $21,516 – $44,556 · median $21,516 16 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,605 – $19,252 · median $12,605 16 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,993 – $13,549 · median $7,993 16 plans
291 HEART FAILURE AND SHOCK WITH MCC $10,507 – $15,932 · median $10,507 16 plans
292 HEART FAILURE AND SHOCK WITH CC $7,084 – $10,515 · median $7,084 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,673 – $6,700 · median $4,673 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,915 – $14,994 · median $9,915 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,534 – $9,643 · median $6,534 16 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $13,081 – $23,132 · median $13,081 16 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,875 – $8,601 · median $5,875 16 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,848 – $7,170 · median $3,848 16 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $12,921 – $19,751 · median $12,921 16 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,700 – $13,072 · median $8,700 16 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,944 – $10,532 · median $5,944 16 plans
302 ATHEROSCLEROSIS WITH MCC $9,416 – $19,808 · median $9,416 16 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,628 – $9,103 · median $5,628 16 plans
304 HYPERTENSION WITH MCC $9,504 – $18,346 · median $9,504 16 plans
305 HYPERTENSION WITHOUT MCC $6,232 – $9,545 · median $6,232 16 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,993 – $25,528 · median $11,993 16 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,588 – $13,884 · median $7,588 16 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,744 – $14,724 · median $9,744 16 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,144 – $9,161 · median $6,144 16 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,757 – $7,043 · median $4,757 16 plans
311 ANGINA PECTORIS $5,828 – $9,780 · median $5,828 16 plans
312 SYNCOPE AND COLLAPSE $7,162 – $11,494 · median $7,162 16 plans
313 CHEST PAIN $5,944 – $9,703 · median $5,944 16 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $17,056 – $26,294 · median $17,056 16 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,865 – $12,804 · median $7,865 16 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,707 – $8,336 · median $5,707 16 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $48,174 – $75,536 · median $48,174 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $34,335 – $53,636 · median $34,335 16 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $18,301 – $39,072 · median $18,301 16 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $22,406 – $40,884 · median $22,406 16 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $14,399 – $28,382 · median $14,399 16 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $33,305 – $67,467 · median $33,305 16 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $25,093 – $45,261 · median $25,093 16 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $22,524 – $34,946 · median $22,524 16 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $39,630 – $62,015 · median $39,630 16 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $19,175 – $31,824 · median $19,175 16 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,735 – $20,996 · median $12,735 16 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $35,871 – $56,067 · median $35,871 16 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,678 – $28,861 · median $18,678 16 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,179 – $20,976 · median $13,179 16 plans
332 RECTAL RESECTION WITH MCC $27,204 – $42,353 · median $27,204 16 plans
333 RECTAL RESECTION WITH CC $16,838 – $31,587 · median $16,838 16 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,237 – $24,765 · median $13,237 16 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $28,398 – $44,242 · median $28,398 16 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $16,738 – $25,791 · median $16,738 16 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $12,284 – $21,426 · median $12,284 16 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $21,230 – $35,433 · median $21,230 16 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,926 – $20,389 · median $11,926 16 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,048 – $18,981 · median $10,048 16 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $18,702 – $44,810 · median $18,702 16 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $10,153 – $15,607 · median $10,153 16 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,236 – $14,595 · median $7,236 16 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $19,102 – $29,532 · median $19,102 16 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $12,048 – $19,620 · median $12,048 16 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,947 – $19,388 · median $8,947 16 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $23,071 – $41,464 · median $23,071 16 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,565 – $21,546 · median $13,565 16 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,726 – $18,191 · median $10,726 16 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $33,354 – $52,084 · median $33,354 16 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $17,816 – $27,497 · median $17,816 16 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,895 – $22,217 · median $10,895 16 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $13,325 – $20,391 · median $13,325 16 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $8,291 – $13,826 · median $8,291 16 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,825 – $9,520 · median $5,825 16 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $13,927 – $21,517 · median $13,927 16 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,382 – $12,568 · median $8,382 16 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,037 – $9,624 · median $6,037 16 plans
374 DIGESTIVE MALIGNANCY WITH MCC $16,731 – $25,780 · median $16,731 16 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,920 – $15,002 · median $9,920 16 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,253 – $10,781 · median $7,253 16 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,469 – $22,200 · median $14,469 16 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,047 – $13,099 · median $8,047 16 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,352 – $9,658 · median $5,352 16 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $15,287 – $26,304 · median $15,287 16 plans
381 COMPLICATED PEPTIC ULCER WITH CC $8,843 – $13,298 · median $8,843 16 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,221 – $9,869 · median $6,221 16 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,194 – $15,436 · median $10,194 16 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,149 – $10,618 · median $7,149 16 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $12,976 – $19,839 · median $12,976 16 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $8,098 – $12,834 · median $8,098 16 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,611 – $8,778 · median $5,611 16 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,781 – $17,947 · median $11,781 16 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,625 – $9,788 · median $6,625 16 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,662 – $6,733 · median $4,662 16 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $10,351 – $15,684 · median $10,351 16 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,460 – $9,527 · median $6,460 16 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $13,217 – $20,220 · median $13,217 16 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,703 – $11,493 · median $7,703 16 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,350 – $9,251 · median $5,350 16 plans
397 APPENDIX PROCEDURES WITH MCC $19,558 – $30,254 · median $19,558 16 plans
398 APPENDIX PROCEDURES WITH CC $12,115 – $18,956 · median $12,115 16 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,111 – $15,953 · median $9,111 16 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $30,626 – $47,768 · median $30,626 16 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $42,328 – $66,284 · median $42,328 16 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $22,109 – $44,571 · median $22,109 16 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $16,919 – $29,600 · median $16,919 16 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $27,456 – $63,484 · median $27,456 16 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $16,616 – $39,266 · median $16,616 16 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,408 – $25,150 · median $12,408 16 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $21,554 – $33,411 · median $21,554 16 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $16,887 – $26,027 · median $16,887 16 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,267 – $20,299 · median $13,267 16 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $27,475 – $44,495 · median $27,475 16 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,703 – $25,633 · median $15,703 16 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $11,012 – $19,865 · median $11,012 16 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,777 – $29,017 · median $18,777 16 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,236 – $22,232 · median $13,236 16 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $10,606 – $19,824 · median $10,606 16 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $27,673 – $55,155 · median $27,673 16 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,075 – $26,465 · median $13,075 16 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,777 – $21,843 · median $11,777 16 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $31,824 – $53,733 · median $31,824 16 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $18,058 – $28,458 · median $18,058 16 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $12,367 – $21,840 · median $12,367 16 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $81,269 – $127,905 · median $81,269 16 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $55,245 – $86,724 · median $55,245 16 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $42,910 – $67,205 · median $42,910 16 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $64,796 – $101,839 · median $64,796 16 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $42,650 – $66,795 · median $42,650 16 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $15,556 – $24,282 · median $15,556 16 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,694 – $13,062 · median $8,694 16 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,814 – $8,504 · median $5,814 16 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $14,518 – $23,133 · median $14,518 16 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $9,141 – $14,866 · median $9,141 16 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,498 – $12,503 · median $6,498 16 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $13,277 – $21,383 · median $13,277 16 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,077 – $11,006 · median $7,077 16 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,186 – $8,065 · median $5,186 16 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $15,026 – $33,059 · median $15,026 16 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,895 – $12,374 · median $7,895 16 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,861 – $9,833 · median $5,861 16 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $13,436 – $22,075 · median $13,436 16 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,807 – $13,242 · median $8,807 16 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,591 – $10,982 · median $6,591 16 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $52,174 – $81,864 · median $52,174 16 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,948 – $49,860 · median $31,948 16 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $40,178 – $62,883 · median $40,178 16 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $24,251 – $37,680 · median $24,251 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $65,789 – $103,409 · median $65,789 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $44,725 – $72,491 · median $44,725 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $33,758 – $68,556 · median $33,758 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $47,791 – $74,929 · median $47,791 16 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $22,537 – $39,367 · median $22,537 16 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $42,114 – $71,654 · median $42,114 16 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $23,191 – $39,273 · median $23,191 16 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,835 – $22,334 · median $13,835 16 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $39,750 – $62,205 · median $39,750 16 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,869 – $41,822 · median $26,869 16 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $20,681 – $32,030 · median $20,681 16 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $25,661 – $46,611 · median $25,661 16 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $14,988 – $25,279 · median $14,988 16 plans
471 CERVICAL SPINAL FUSION WITH MCC $37,919 – $59,308 · median $37,919 16 plans
472 CERVICAL SPINAL FUSION WITH CC $22,794 – $35,375 · median $22,794 16 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,706 – $28,906 · median $18,706 16 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $35,044 – $54,758 · median $35,044 16 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,085 – $26,341 · median $17,085 16 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,414 – $14,201 · median $9,414 16 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $26,975 – $41,990 · median $26,975 16 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,484 – $28,554 · median $18,484 16 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $14,142 – $21,683 · median $14,142 16 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $23,132 – $45,385 · median $23,132 16 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $16,450 – $30,015 · median $16,450 16 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,680 – $21,021 · median $12,680 16 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $20,102 – $31,114 · median $20,102 16 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $25,280 – $39,308 · median $25,280 16 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $16,804 – $25,896 · median $16,804 16 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,632 – $19,294 · median $12,632 16 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $15,605 – $29,545 · median $15,605 16 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,995 – $17,445 · median $9,995 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $27,841 – $43,360 · median $27,841 16 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $18,966 – $32,268 · median $18,966 16 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $14,987 – $23,059 · median $14,987 16 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $27,605 – $59,944 · median $27,605 16 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $15,663 – $26,300 · median $15,663 16 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,799 – $17,931 · median $10,799 16 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $19,922 – $33,004 · median $19,922 16 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $9,396 – $14,885 · median $9,396 16 plans
500 SOFT TISSUE PROCEDURES WITH MCC $24,889 – $48,236 · median $24,889 16 plans
501 SOFT TISSUE PROCEDURES WITH CC $14,210 – $23,366 · median $14,210 16 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,220 – $20,205 · median $11,220 16 plans
503 FOOT PROCEDURES WITH MCC $20,861 – $32,315 · median $20,861 16 plans
504 FOOT PROCEDURES WITH CC $13,981 – $23,873 · median $13,981 16 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $13,981 – $21,429 · median $13,981 16 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,007 – $18,304 · median $12,007 16 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $15,289 – $23,665 · median $15,395 16 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,285 – $15,758 · median $10,398 16 plans
509 ARTHROSCOPY $13,994 – $21,449 · median $13,994 16 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $22,493 – $34,897 · median $22,493 16 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $15,572 – $27,411 · median $15,572 16 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $12,845 – $22,184 · median $12,845 16 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,057 – $18,383 · median $12,057 16 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,307 – $12,449 · median $8,307 16 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $24,301 – $61,831 · median $24,301 16 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $15,962 – $29,441 · median $15,962 16 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,957 – $20,024 · median $11,957 16 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $28,094 – $43,761 · median $28,094 16 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $15,655 – $27,085 · median $15,655 16 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,498 – $21,475 · median $11,498 16 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $22,930 – $53,474 · median $22,930 16 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $16,706 – $29,786 · median $16,706 16 plans
533 FRACTURES OF FEMUR WITH MCC $12,206 – $18,619 · median $12,206 16 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,720 – $9,939 · median $6,720 16 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $10,701 – $16,238 · median $10,701 16 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,696 – $9,901 · median $6,696 16 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,530 – $20,040 · median $7,530 16 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,621 – $10,107 · median $5,621 16 plans
539 OSTEOMYELITIS WITH MCC $16,044 – $24,694 · median $16,044 16 plans
540 OSTEOMYELITIS WITH CC $10,425 – $15,801 · median $10,425 16 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,807 – $10,683 · median $7,190 16 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $14,831 – $31,552 · median $14,831 16 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,625 – $16,525 · median $8,625 16 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,270 – $12,277 · median $6,270 16 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $19,937 – $34,604 · median $19,937 16 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,372 – $16,929 · median $9,372 16 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,197 – $13,760 · median $6,197 16 plans
548 SEPTIC ARTHRITIS WITH MCC $15,984 – $24,598 · median $15,984 16 plans
549 SEPTIC ARTHRITIS WITH CC $9,738 – $14,714 · median $9,738 16 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,091 – $10,526 · median $7,091 16 plans
551 MEDICAL BACK PROBLEMS WITH MCC $13,606 – $20,835 · median $13,606 16 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,876 – $11,768 · median $7,876 16 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,517 – $15,946 · median $10,517 16 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,879 – $10,190 · median $6,879 16 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,830 – $20,739 · median $10,830 16 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,740 – $11,690 · median $6,740 16 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $12,397 – $21,388 · median $12,397 16 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $6,994 – $10,547 · median $7,105 16 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,763 – $31,346 · median $14,763 16 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,226 – $13,904 · median $9,226 16 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,748 – $9,983 · median $6,748 16 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,732 – $17,869 · median $11,732 16 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,336 – $11,478 · median $7,336 16 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $12,547 – $24,160 · median $12,547 16 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,307 – $12,451 · median $8,307 16 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,212 – $9,134 · median $6,212 16 plans
570 SKIN DEBRIDEMENT WITH MCC $23,666 – $36,755 · median $23,666 16 plans
571 SKIN DEBRIDEMENT WITH CC $13,358 – $20,443 · median $13,358 16 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $9,254 – $13,949 · median $9,254 16 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $47,957 – $85,218 · median $47,957 16 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,175 – $42,306 · median $27,175 16 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,846 – $24,380 · median $15,846 16 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $42,070 – $75,077 · median $42,070 16 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $20,986 – $48,148 · median $20,986 16 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,483 – $23,916 · median $13,483 16 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $25,589 – $39,797 · median $25,589 16 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $14,120 – $27,960 · median $14,120 16 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,544 – $27,007 · median $11,544 16 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,952 – $52,205 · median $13,952 16 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,115 – $47,206 · median $13,115 16 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $16,237 – $42,114 · median $16,237 16 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $15,757 – $36,745 · median $15,757 16 plans
592 SKIN ULCERS WITH MCC $16,306 – $25,107 · median $16,306 16 plans
593 SKIN ULCERS WITH CC $9,874 – $14,929 · median $9,874 16 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,788 – $10,363 · median $6,988 16 plans
595 MAJOR SKIN DISORDERS WITH MCC $16,760 – $34,309 · median $16,760 16 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,781 – $13,200 · median $8,781 16 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,994 – $22,430 · median $13,994 16 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,764 – $13,173 · median $8,764 16 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,036 – $10,438 · median $7,036 16 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,821 – $11,680 · median $7,821 16 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,065 – $7,320 · median $5,065 16 plans
602 CELLULITIS WITH MCC $11,776 – $17,939 · median $11,776 16 plans
603 CELLULITIS WITHOUT MCC $7,236 – $10,755 · median $7,236 16 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,846 – $18,140 · median $11,903 16 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,567 – $11,278 · median $7,567 16 plans
606 MINOR SKIN DISORDERS WITH MCC $12,865 – $19,662 · median $12,865 16 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $7,108 – $10,552 · median $7,108 16 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $18,024 – $39,975 · median $18,024 16 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,497 – $24,392 · median $11,497 16 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,583 – $47,192 · median $30,262 16 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,344 – $23,585 · median $15,344 16 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,047 – $15,203 · median $10,047 16 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $21,477 – $33,291 · median $21,477 16 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,762 – $20,706 · median $12,762 16 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,719 – $18,839 · median $11,719 16 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $29,313 – $45,690 · median $29,313 16 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $15,199 – $23,355 · median $15,199 16 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,179 – $13,768 · median $8,179 16 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $22,562 – $35,007 · median $22,562 16 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $12,085 – $22,009 · median $12,085 16 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,215 – $18,234 · median $10,215 16 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $30,885 – $48,177 · median $30,885 16 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $17,794 – $27,462 · median $17,794 16 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,252 – $18,303 · median $11,252 16 plans
637 DIABETES WITH MCC $11,676 – $17,781 · median $11,676 16 plans
638 DIABETES WITH CC $7,517 – $11,199 · median $7,517 16 plans
639 DIABETES WITHOUT CC/MCC $5,274 – $7,651 · median $5,274 16 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $10,686 – $16,215 · median $10,686 16 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,469 – $9,541 · median $6,469 16 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,016 – $28,425 · median $10,016 16 plans
643 ENDOCRINE DISORDERS WITH MCC $13,227 – $20,236 · median $13,227 16 plans
644 ENDOCRINE DISORDERS WITH CC $8,413 – $12,618 · median $8,413 16 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,448 – $9,508 · median $6,448 16 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $35,990 – $126,542 · median $35,990 16 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $27,234 – $80,790 · median $27,234 16 plans
652 KIDNEY TRANSPLANT $24,139 – $100,697 · median $24,139 16 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $43,454 – $68,066 · median $43,454 16 plans
654 MAJOR BLADDER PROCEDURES WITH CC $22,215 – $43,552 · median $22,215 16 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $16,468 – $38,754 · median $16,468 16 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $25,578 – $47,308 · median $25,578 16 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $14,545 – $26,398 · median $14,545 16 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $12,044 – $23,072 · median $12,044 16 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $20,380 – $31,554 · median $20,380 16 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,779 – $16,361 · median $10,779 16 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,361 – $13,714 · median $8,361 16 plans
662 MINOR BLADDER PROCEDURES WITH MCC $24,511 – $38,090 · median $24,511 16 plans
663 MINOR BLADDER PROCEDURES WITH CC $12,225 – $22,504 · median $12,225 16 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,771 – $16,375 · median $8,771 16 plans
665 PROSTATECTOMY WITH MCC $26,933 – $41,924 · median $26,933 16 plans
666 PROSTATECTOMY WITH CC $13,150 – $20,114 · median $13,150 16 plans
667 PROSTATECTOMY WITHOUT CC/MCC $8,370 – $12,549 · median $8,370 16 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $22,942 – $35,608 · median $22,942 16 plans
669 TRANSURETHRAL PROCEDURES WITH CC $12,380 – $22,006 · median $12,380 16 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,814 – $13,130 · median $7,814 16 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,740 – $29,555 · median $13,740 16 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,884 – $13,363 · median $8,884 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $32,767 – $51,155 · median $32,767 16 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $18,251 – $28,186 · median $18,251 16 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $12,517 – $19,964 · median $12,517 16 plans
682 RENAL FAILURE WITH MCC $12,028 – $18,338 · median $12,028 16 plans
683 RENAL FAILURE WITH CC $7,298 – $10,853 · median $7,298 16 plans
684 RENAL FAILURE WITHOUT CC/MCC $5,126 – $7,416 · median $5,126 16 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $14,990 – $32,477 · median $14,990 16 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,562 – $13,687 · median $8,562 16 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,027 – $11,275 · median $6,027 16 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,470 – $14,289 · median $9,470 16 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,632 – $9,800 · median $6,632 16 plans
693 URINARY STONES WITH MCC $10,711 – $17,954 · median $11,785 16 plans
694 URINARY STONES WITHOUT MCC $6,469 – $9,541 · median $6,469 16 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,142 – $13,770 · median $9,142 16 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,777 – $8,447 · median $5,777 16 plans
697 URETHRAL STRICTURE $8,169 – $12,232 · median $8,169 16 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $13,409 – $20,524 · median $13,409 16 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,309 – $12,453 · median $8,309 16 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,796 – $8,917 · median $5,796 16 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $15,413 – $36,443 · median $15,413 16 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,878 – $21,645 · median $11,878 16 plans
709 PENIS PROCEDURES WITH CC/MCC $17,778 – $27,437 · median $17,778 16 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $8,460 – $18,332 · median $12,024 16 plans
711 TESTES PROCEDURES WITH CC/MCC $15,182 – $23,420 · median $15,182 16 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,693 – $13,060 · median $8,693 16 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,597 – $17,656 · median $11,597 16 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,690 – $14,976 · median $7,690 16 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $17,865 – $34,247 · median $17,865 16 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,391 – $22,449 · median $11,391 16 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $14,757 – $22,656 · median $14,757 16 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,945 – $15,042 · median $9,945 16 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,780 – $21,110 · median $13,780 16 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,104 – $13,711 · median $9,104 16 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,061 – $10,397 · median $6,061 16 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $10,182 – $15,416 · median $10,182 16 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,183 – $9,089 · median $6,183 16 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,777 – $17,941 · median $11,777 16 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,744 – $9,977 · median $6,744 16 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,934 – $13,772 · median $8,934 16 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,122 – $9,307 · median $5,122 16 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $16,665 – $25,675 · median $16,665 16 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,806 – $20,010 · median $9,806 16 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $30,822 – $49,526 · median $30,822 16 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $15,859 – $26,083 · median $15,859 16 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,144 – $18,834 · median $12,144 16 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $31,156 – $48,607 · median $31,156 16 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $14,470 – $26,195 · median $14,470 16 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,038 – $19,523 · median $11,038 16 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $14,534 – $22,304 · median $14,534 16 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,689 – $15,510 · median $9,689 16 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,517 – $23,858 · median $15,517 16 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,347 – $16,937 · median $8,347 16 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,361 – $20,447 · median $13,361 16 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,810 – $16,281 · median $7,810 16 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,951 – $24,544 · median $10,951 16 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $20,413 – $31,607 · median $20,413 16 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,389 – $15,745 · median $10,389 16 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $14,400 – $25,300 · median $14,400 16 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,005 – $13,554 · median $9,005 16 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,808 – $11,661 · median $7,808 16 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,360 – $17,281 · median $11,360 16 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,304 – $12,446 · median $8,304 16 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,378 – $8,749 · median $5,378 16 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,044 – $12,034 · median $8,044 16 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,331 – $7,740 · median $5,331 16 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,699 – $13,386 · median $8,899 16 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,161 – $19,608 · median $11,161 16 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,742 – $13,138 · median $8,742 16 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,377 – $8,712 · median $5,945 16 plans
779 ABORTION WITHOUT D&C $6,358 – $11,414 · median $7,652 16 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $14,653 – $22,492 · median $14,653 16 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,796 – $11,016 · median $8,796 16 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,179 – $9,396 · median $7,179 16 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,908 – $14,755 · median $12,908 16 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,632 – $10,670 · median $8,632 16 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,420 – $9,568 · median $7,420 16 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,065 – $41,777 · median $14,348 16 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $14,142 – $88,359 · median $46,310 16 plans
791 PREMATURITY WITH MAJOR PROBLEMS $8,164 – $35,248 · median $31,766 16 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,271 – $37,482 · median $19,342 16 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,535 – $32,619 · median $32,619 16 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,350 – $15,006 · median $11,830 16 plans
795 NORMAL NEWBORN $1,809 – $2,440 · median $1,981 16 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $10,290 – $15,587 · median $10,290 16 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,910 – $11,822 · median $7,910 16 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,910 – $11,822 · median $7,910 16 plans
799 SPLENIC PROCEDURES WITH MCC $37,128 – $58,056 · median $37,128 16 plans
800 SPLENIC PROCEDURES WITH CC $22,923 – $35,578 · median $22,923 16 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $13,107 – $30,658 · median $13,107 16 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $28,100 – $43,770 · median $28,100 16 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $14,174 – $21,805 · median $14,174 16 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,970 – $20,889 · median $8,970 16 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $7,750 – $8,906 · median $8,140 16 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,023 – $6,877 · median $6,023 16 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,357 – $6,137 · median $5,357 16 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $18,112 – $28,566 · median $18,112 16 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,996 – $15,122 · median $9,996 16 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,784 – $12,321 · median $7,784 16 plans
811 RED BLOOD CELL DISORDERS WITH MCC $11,295 – $17,178 · median $11,295 16 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,561 – $11,382 · median $7,561 16 plans
813 COAGULATION DISORDERS $12,384 – $21,039 · median $12,384 16 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $16,570 – $27,546 · median $16,570 16 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,280 – $12,407 · median $8,280 16 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,527 – $8,051 · median $5,527 16 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $20,000 – $30,954 · median $20,000 16 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $10,378 – $15,726 · median $10,378 16 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,740 – $9,969 · median $6,740 16 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $45,365 – $74,123 · median $45,365 16 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $17,665 – $32,271 · median $17,665 16 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,264 – $22,355 · median $9,264 16 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,547 – $62,859 · median $36,547 16 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $17,410 – $30,745 · median $17,410 16 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,936 – $25,742 · median $9,936 16 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $37,288 – $58,309 · median $37,288 16 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $18,649 – $38,999 · median $18,649 16 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,808 – $26,785 · median $12,808 16 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $24,234 – $53,502 · median $24,234 16 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,724 – $17,857 · median $11,724 16 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $9,321 – $14,054 · median $9,321 16 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,206 – $9,126 · median $6,206 16 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,131 – $6,347 · median $4,450 16 plans
834 ACUTE LEUKEMIA WITH MCC $43,089 – $121,600 · median $43,089 16 plans
835 ACUTE LEUKEMIA WITH CC $16,920 – $58,673 · median $16,920 16 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $10,244 – $16,807 · median $10,244 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $39,076 – $66,702 · median $39,076 16 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $16,089 – $29,771 · median $16,089 16 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,014 – $16,733 · median $11,014 16 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $25,046 – $50,406 · median $25,046 16 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $12,538 – $23,644 · median $12,538 16 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,556 – $15,060 · median $8,556 16 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $15,048 – $23,975 · median $15,048 16 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,662 – $16,608 · median $9,662 16 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,896 – $13,007 · median $6,896 16 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $20,145 – $31,182 · median $20,145 16 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $10,244 – $15,515 · median $10,244 16 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,758 – $9,999 · median $6,758 16 plans
849 RADIOTHERAPY $21,050 – $41,654 · median $21,050 16 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $71,519 – $112,477 · median $71,519 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $39,030 – $61,066 · median $39,030 16 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $15,857 – $24,397 · median $15,857 16 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,983 – $19,849 · median $12,983 16 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $35,251 – $55,087 · median $35,251 16 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $17,252 – $26,604 · median $17,252 16 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $10,381 – $15,731 · median $10,381 16 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $14,627 – $22,451 · median $14,627 16 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,155 – $12,209 · median $8,155 16 plans
864 FEVER AND INFLAMMATORY CONDITIONS $7,368 – $10,965 · median $7,368 16 plans
865 VIRAL ILLNESS WITH MCC $11,828 – $18,021 · median $11,828 16 plans
866 VIRAL ILLNESS WITHOUT MCC $7,267 – $10,803 · median $7,267 16 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $16,985 – $37,271 · median $16,985 16 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,542 – $14,213 · median $8,542 16 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,992 – $13,925 · median $5,992 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $54,117 – $88,431 · median $54,117 16 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $15,579 – $23,957 · median $15,579 16 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,395 – $12,589 · median $8,395 16 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $30,761 – $47,980 · median $30,761 16 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,836 – $11,998 · median $7,836 16 plans
881 DEPRESSIVE NEUROSES $6,885 – $11,161 · median $7,493 16 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,862 – $18,397 · median $7,862 16 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,355 – $22,636 · median $14,744 16 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $13,327 – $20,393 · median $13,327 16 plans
885 PSYCHOSES $11,272 – $17,211 · median $11,316 16 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $14,132 – $21,935 · median $14,301 16 plans
887 OTHER MENTAL DISORDER DIAGNOSES $9,617 – $14,523 · median $9,617 16 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,255 – $7,620 · median $5,255 16 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,612 – $17,679 · median $11,612 16 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $14,180 – $21,744 · median $14,180 16 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,246 – $10,772 · median $7,246 16 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $34,626 – $54,096 · median $34,626 16 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $15,081 – $30,300 · median $15,081 16 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,846 – $16,835 · median $9,846 16 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $30,232 – $47,144 · median $30,232 16 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $13,157 – $20,125 · median $13,157 16 plans
906 HAND PROCEDURES FOR INJURIES $17,280 – $26,648 · median $17,280 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $31,178 – $48,641 · median $31,178 16 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $16,004 – $24,629 · median $16,004 16 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,226 – $15,486 · median $10,226 16 plans
913 TRAUMATIC INJURY WITH MCC $12,926 – $19,759 · median $12,926 16 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,510 – $11,657 · median $7,510 16 plans
915 ALLERGIC REACTIONS WITH MCC $13,849 – $21,311 · median $13,849 16 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,564 – $8,109 · median $5,564 16 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $13,091 – $20,021 · median $13,091 16 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,007 – $10,801 · median $7,265 16 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $14,510 – $23,644 · median $14,510 16 plans
920 COMPLICATIONS OF TREATMENT WITH CC $8,278 – $13,368 · median $8,278 16 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,746 – $9,892 · median $5,746 16 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $13,475 – $50,874 · median $13,475 16 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,309 – $14,024 · median $8,309 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $183,487 – $289,655 · median $183,487 16 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $51,975 – $81,549 · median $51,975 16 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $24,980 – $38,833 · median $24,980 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $31,715 – $52,831 · median $33,826 16 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,303 – $26,200 · median $16,997 16 plans
935 NON-EXTENSIVE BURNS $11,654 – $26,818 · median $17,387 16 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $24,930 – $40,224 · median $24,930 16 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,731 – $27,105 · median $16,731 16 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,519 – $23,862 · median $15,519 16 plans
945 REHABILITATION WITH CC/MCC $12,218 – $23,598 · median $12,218 16 plans
946 REHABILITATION WITHOUT CC/MCC $9,054 – $13,632 · median $9,054 16 plans
947 SIGNS AND SYMPTOMS WITH MCC $10,364 – $15,757 · median $10,364 16 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,570 – $12,316 · median $6,570 16 plans
949 AFTERCARE WITH CC/MCC $8,765 – $13,175 · median $8,765 16 plans
950 AFTERCARE WITHOUT CC/MCC $4,962 – $7,156 · median $4,962 16 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,814 – $6,923 · median $4,814 16 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $53,127 – $124,464 · median $53,127 16 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $29,933 – $76,832 · median $29,933 16 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $58,034 – $105,083 · median $58,034 16 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,151 – $50,181 · median $32,151 16 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,840 – $32,282 · median $20,840 16 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $21,402 – $38,691 · median $21,402 16 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,014 – $18,316 · median $12,014 16 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,481 – $11,143 · median $7,481 16 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $49,238 – $92,788 · median $49,238 16 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $20,913 – $32,397 · median $20,913 16 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $23,481 – $36,462 · median $23,481 16 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,385 – $17,355 · median $11,407 16 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,179 – $12,247 · median $8,179 16 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,565 – $17,606 · median $11,565 16 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $37,121 – $72,574 · median $37,121 16 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,331 – $30,516 · median $19,331 16 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,311 – $23,109 · median $13,311 16 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $27,467 – $54,603 · median $27,467 16 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,680 – $21,118 · median $13,680 16 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,355 – $14,907 · median $9,355 16 plans
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