Fairview Lakes Health Services — Pricing

776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776
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 776 procedures

Procedures with negotiated rates only

These 776 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 $116,215 – $688,575 · median $219,758 28 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $46,993 – $278,434 · median $89,471 28 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $88,021 – $521,524 · median $166,692 28 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $57,442 – $340,343 · median $109,138 28 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $42,758 – $253,339 · median $81,499 28 plans
006 LIVER TRANSPLANT WITHOUT MCC $19,230 – $113,936 · median $37,217 28 plans
007 LUNG TRANSPLANT $53,704 – $318,199 · median $102,103 28 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $23,242 – $137,711 · median $44,768 28 plans
010 PANCREAS TRANSPLANT $29,758 – $176,314 · median $57,348 28 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $22,618 – $134,013 · median $43,594 28 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $17,484 – $103,591 · median $33,930 28 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $11,951 – $70,809 · median $23,516 28 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $52,590 – $263,024 · median $94,827 28 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $25,948 – $129,777 · median $47,306 28 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $23,772 – $118,891 · median $43,539 28 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $188,968 – $945,099 · median $338,077 28 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $29,587 – $175,304 · median $57,022 28 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $32,632 – $193,344 · median $62,441 28 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $21,953 – $130,074 · median $42,343 28 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $13,177 – $78,072 · median $25,824 28 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $23,764 – $140,799 · median $45,750 28 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $16,223 – $96,119 · median $31,556 28 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $18,855 – $111,717 · median $36,512 28 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $12,894 – $76,396 · median $25,292 28 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,462 – $61,990 · median $20,715 28 plans
028 SPINAL PROCEDURES WITH MCC $24,916 – $147,630 · median $47,919 28 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $14,148 – $83,826 · median $27,651 28 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $9,103 – $53,938 · median $18,157 28 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $18,581 – $110,090 · median $35,994 28 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $8,837 – $52,361 · median $17,656 28 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $6,896 – $40,859 · median $14,003 28 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $16,052 – $95,107 · median $31,235 28 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $9,913 – $58,737 · median $19,681 28 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $8,057 – $47,737 · median $16,187 28 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $13,652 – $80,890 · median $26,718 28 plans
038 EXTRACRANIAL PROCEDURES WITH CC $6,729 – $39,869 · median $13,688 28 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,875 – $28,883 · median $10,198 28 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $16,012 – $94,874 · median $31,161 28 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $9,118 – $54,024 · median $18,184 28 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $7,165 – $42,451 · median $14,508 28 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $7,926 – $39,642 · median $15,160 28 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,285 – $21,431 · median $8,666 28 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $6,682 – $33,418 · median $12,940 28 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $4,462 – $22,315 · median $8,981 28 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $10,166 – $50,843 · median $19,155 28 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,670 – $28,356 · median $11,135 28 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $7,481 – $37,414 · median $14,366 28 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,430 – $27,158 · median $10,708 28 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,025 – $20,131 · median $8,202 28 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $12,065 – $60,342 · median $22,543 28 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $7,690 – $38,458 · median $14,738 28 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $6,143 – $30,724 · median $11,980 28 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $8,800 – $44,013 · median $16,719 28 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,421 – $22,111 · median $8,908 28 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,995 – $14,979 · median $6,365 28 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $6,427 – $32,144 · median $12,487 28 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,783 – $18,918 · median $7,770 28 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,496 – $17,483 · median $7,258 28 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $7,285 – $36,436 · median $14,017 28 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $4,490 – $22,455 · median $9,031 28 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,309 – $16,550 · median $6,925 28 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $7,020 – $35,112 · median $13,545 28 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,511 – $22,560 · median $9,068 28 plans
075 VIRAL MENINGITIS WITH CC/MCC $8,391 – $41,966 · median $15,990 28 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,611 – $18,060 · median $7,463 28 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $7,921 – $39,614 · median $15,151 28 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,919 – $19,601 · median $8,014 28 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $10,002 – $50,023 · median $18,863 28 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,108 – $30,548 · median $11,918 28 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,183 – $20,919 · median $8,483 28 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $9,942 – $49,723 · median $18,756 28 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,701 – $28,511 · median $11,190 28 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,003 – $20,019 · median $8,162 28 plans
088 CONCUSSION WITH MCC $5,915 – $29,585 · median $11,574 28 plans
089 CONCUSSION WITH CC $4,807 – $24,044 · median $9,598 28 plans
090 CONCUSSION WITHOUT CC/MCC $3,602 – $18,017 · median $7,449 28 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $7,685 – $38,436 · median $14,731 28 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,477 – $22,389 · median $9,008 28 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,485 – $17,428 · median $7,239 28 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $15,401 – $77,026 · median $28,493 28 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,287 – $56,448 · median $21,154 28 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,287 – $56,448 · median $21,154 28 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $15,805 – $79,048 · median $29,214 28 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $10,042 – $50,226 · median $18,935 28 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,962 – $29,817 · median $11,657 28 plans
100 SEIZURES WITH MCC $8,475 – $42,389 · median $16,141 28 plans
101 SEIZURES WITHOUT MCC $3,950 – $19,754 · median $8,068 28 plans
102 HEADACHES WITH MCC $4,905 – $24,532 · median $9,772 28 plans
103 HEADACHES WITHOUT MCC $3,660 – $18,303 · median $7,550 28 plans
113 ORBITAL PROCEDURES WITH CC/MCC $9,750 – $57,769 · median $19,374 28 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,611 – $33,245 · median $11,584 28 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $6,365 – $37,714 · median $13,003 28 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $7,498 – $44,427 · median $15,136 28 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,499 – $26,657 · median $9,491 28 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,091 – $25,460 · median $10,103 28 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,439 – $17,198 · median $7,156 28 plans
123 NEUROLOGICAL EYE DISORDERS $3,495 – $17,478 · median $7,256 28 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $5,790 – $28,957 · median $11,350 28 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,360 – $16,804 · median $7,016 28 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $8,999 – $53,319 · median $17,961 28 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,210 – $24,947 · median $8,947 28 plans
137 MOUTH PROCEDURES WITH CC/MCC $6,192 – $36,689 · median $12,678 28 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,675 – $21,775 · median $7,940 28 plans
139 SALIVARY GLAND PROCEDURES $5,124 – $30,362 · median $10,668 28 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $17,688 – $104,803 · median $34,315 28 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $9,045 – $53,592 · median $18,048 28 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $6,620 – $39,225 · median $13,483 28 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $15,537 – $92,058 · median $30,266 28 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $7,186 – $42,579 · median $14,549 28 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,986 – $29,542 · median $10,407 28 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,266 – $46,341 · median $17,549 28 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,564 – $27,828 · median $10,948 28 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,488 – $17,445 · median $7,244 28 plans
149 DYSEQUILIBRIUM $3,289 – $16,450 · median $6,889 28 plans
150 EPISTAXIS WITH MCC $5,827 – $29,141 · median $11,415 28 plans
151 EPISTAXIS WITHOUT MCC $3,212 – $16,064 · median $6,752 28 plans
152 OTITIS MEDIA AND URI WITH MCC $5,173 – $25,874 · median $10,250 28 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $3,230 – $16,156 · median $6,785 28 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $6,842 – $34,219 · median $13,227 28 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,011 – $20,059 · median $8,177 28 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,024 – $15,125 · median $6,417 28 plans
157 DENTAL AND ORAL DISEASES WITH MCC $7,513 – $37,574 · median $14,423 28 plans
158 DENTAL AND ORAL DISEASES WITH CC $3,981 – $19,912 · median $8,124 28 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,100 – $15,506 · median $6,553 28 plans
163 MAJOR CHEST PROCEDURES WITH MCC $18,586 – $110,122 · median $36,005 28 plans
164 MAJOR CHEST PROCEDURES WITH CC $10,467 – $62,017 · median $20,723 28 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $7,938 – $47,034 · median $15,964 28 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $15,500 – $91,839 · median $30,197 28 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $7,479 – $44,311 · median $15,099 28 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,666 – $33,574 · median $11,688 28 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $12,343 – $73,133 · median $24,255 28 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $6,011 – $30,063 · median $11,744 28 plans
176 PULMONARY EMBOLISM WITHOUT MCC $3,523 – $17,618 · median $7,307 28 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $6,838 – $34,201 · median $13,220 28 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,271 – $21,361 · median $8,641 28 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,304 – $16,524 · median $6,915 28 plans
180 RESPIRATORY NEOPLASMS WITH MCC $7,728 – $38,651 · median $14,807 28 plans
181 RESPIRATORY NEOPLASMS WITH CC $4,687 – $23,440 · median $9,382 28 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,299 – $16,498 · median $6,907 28 plans
183 MAJOR CHEST TRAUMA WITH MCC $6,695 – $33,483 · median $12,964 28 plans
184 MAJOR CHEST TRAUMA WITH CC $4,657 – $23,289 · median $9,328 28 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,442 – $17,213 · median $7,161 28 plans
186 PLEURAL EFFUSION WITH MCC $6,820 – $34,109 · median $13,187 28 plans
187 PLEURAL EFFUSION WITH CC $4,328 – $21,647 · median $8,743 28 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,138 – $15,697 · median $6,621 28 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,406 – $27,038 · median $10,666 28 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,847 – $24,243 · median $9,669 28 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,689 – $18,450 · median $7,602 28 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,809 – $14,051 · median $6,034 28 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,752 – $28,767 · median $11,283 28 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,527 – $17,638 · median $7,313 28 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,750 – $13,755 · median $5,929 28 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $8,258 – $41,303 · median $15,753 28 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $4,153 – $20,772 · median $8,431 28 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,134 – $15,675 · median $6,613 28 plans
199 PNEUMOTHORAX WITH MCC $7,720 – $38,609 · median $14,792 28 plans
200 PNEUMOTHORAX WITH CC $4,811 – $24,059 · median $9,604 28 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,129 – $15,651 · median $6,605 28 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,250 – $21,256 · median $8,603 28 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,932 – $14,664 · median $6,253 28 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $3,533 – $17,671 · median $7,325 28 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $8,012 – $40,073 · median $15,315 28 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,118 – $20,597 · median $8,369 28 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $28,158 – $140,830 · median $51,248 28 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $12,028 – $60,158 · median $22,477 28 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $45,095 – $267,188 · median $85,898 28 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $41,292 – $244,653 · median $78,740 28 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $40,569 – $240,373 · median $77,381 28 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $27,268 – $161,562 · median $52,345 28 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $27,268 – $161,562 · median $52,345 28 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $31,842 – $188,664 · median $60,954 28 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $22,115 – $131,032 · median $42,647 28 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $20,902 – $123,843 · median $40,363 28 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $20,517 – $121,563 · median $39,639 28 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $13,061 – $77,386 · median $25,605 28 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $34,959 – $207,131 · median $66,820 28 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $25,142 – $148,964 · median $48,343 28 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $31,705 – $187,850 · median $60,696 28 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $22,654 – $134,224 · median $43,661 28 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $24,337 – $144,197 · median $46,829 28 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $17,371 – $102,923 · median $33,718 28 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $20,410 – $120,931 · median $39,438 28 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $11,821 – $70,040 · median $23,272 28 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $5,741 – $34,016 · median $11,829 28 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $13,241 – $78,450 · median $25,944 28 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $8,837 – $52,358 · median $17,655 28 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $7,496 – $44,412 · median $15,132 28 plans
245 AICD GENERATOR PROCEDURES $18,920 – $112,103 · median $36,634 28 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $9,051 – $53,626 · median $18,058 28 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $6,198 – $36,721 · median $12,688 28 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $14,466 – $85,711 · median $28,250 28 plans
253 OTHER VASCULAR PROCEDURES WITH CC $10,764 – $63,776 · median $21,283 28 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $7,389 – $43,778 · median $14,930 28 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $11,186 – $66,278 · median $22,077 28 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $7,041 – $41,719 · median $14,275 28 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,529 – $26,836 · median $9,547 28 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $13,030 – $77,205 · median $25,548 28 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $8,386 – $49,685 · median $16,806 28 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $13,489 – $79,925 · median $26,412 28 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $7,840 – $46,451 · median $15,779 28 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $6,759 – $40,048 · median $13,745 28 plans
263 VEIN LIGATION AND STRIPPING $12,679 – $75,123 · median $24,887 28 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $13,853 – $82,082 · median $27,097 28 plans
265 AICD LEAD PROCEDURES $15,005 – $88,903 · median $29,264 28 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $25,414 – $150,581 · median $48,856 28 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $19,743 – $116,978 · median $38,182 28 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $28,523 – $168,997 · median $54,707 28 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $17,514 – $103,768 · median $33,987 28 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $21,881 – $129,644 · median $42,206 28 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $14,748 – $87,382 · median $28,781 28 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $10,587 – $62,730 · median $20,950 28 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $17,108 – $101,368 · median $33,224 28 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $13,651 – $80,880 · median $26,715 28 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $29,570 – $175,201 · median $56,678 28 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $24,909 – $147,588 · median $47,907 28 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $19,153 – $113,481 · median $37,071 28 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $23,083 – $136,767 · median $44,469 28 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $14,956 – $88,613 · median $29,172 28 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $7,020 – $35,107 · median $13,544 28 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,022 – $20,115 · median $8,197 28 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,164 – $15,826 · median $6,667 28 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $8,668 – $43,352 · median $16,484 28 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,029 – $15,149 · median $6,426 28 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,621 – $13,108 · median $5,698 28 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $9,683 – $48,429 · median $18,295 28 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,683 – $23,420 · median $9,376 28 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $11,842 – $59,228 · median $22,146 28 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $7,469 – $37,357 · median $14,346 28 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,068 – $20,347 · median $8,280 28 plans
291 HEART FAILURE AND SHOCK WITH MCC $5,618 – $28,097 · median $11,043 28 plans
292 HEART FAILURE AND SHOCK WITH CC $3,715 – $18,581 · median $7,650 28 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,477 – $12,387 · median $5,441 28 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $6,835 – $34,184 · median $13,214 28 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $2,774 – $13,876 · median $5,971 28 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,992 – $10,108 · median $4,575 28 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $7,145 – $35,733 · median $13,766 28 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,671 – $23,363 · median $9,356 28 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,149 – $15,751 · median $6,641 28 plans
302 ATHEROSCLEROSIS WITH MCC $5,236 – $26,189 · median $10,363 28 plans
303 ATHEROSCLEROSIS WITHOUT MCC $2,946 – $14,734 · median $6,277 28 plans
304 HYPERTENSION WITH MCC $5,207 – $26,044 · median $10,312 28 plans
305 HYPERTENSION WITHOUT MCC $3,304 – $16,526 · median $6,917 28 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $6,896 – $34,488 · median $13,322 28 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,996 – $19,986 · median $8,150 28 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,269 – $26,351 · median $10,421 28 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,219 – $16,102 · median $6,765 28 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,477 – $12,390 · median $5,441 28 plans
311 ANGINA PECTORIS $3,072 – $15,362 · median $6,501 28 plans
312 SYNCOPE AND COLLAPSE $3,814 – $19,076 · median $7,826 28 plans
313 CHEST PAIN $3,151 – $15,758 · median $6,643 28 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,125 – $45,637 · median $17,298 28 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,215 – $21,083 · median $8,541 28 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,985 – $14,928 · median $6,347 28 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $27,729 – $164,294 · median $53,213 28 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $18,508 – $109,658 · median $35,858 28 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $9,975 – $59,101 · median $19,797 28 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $11,283 – $66,853 · median $22,260 28 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $7,311 – $43,319 · median $14,784 28 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $17,946 – $106,329 · median $34,800 28 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $13,067 – $77,423 · median $25,617 28 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $13,314 – $78,883 · median $26,081 28 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $20,683 – $122,545 · median $39,951 28 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $10,136 – $60,056 · median $20,101 28 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $6,645 – $39,370 · median $13,530 28 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,062 – $112,941 · median $36,900 28 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $9,941 – $58,902 · median $19,734 28 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,979 – $41,351 · median $14,158 28 plans
332 RECTAL RESECTION WITH MCC $15,015 – $88,964 · median $29,284 28 plans
333 RECTAL RESECTION WITH CC $9,713 – $57,550 · median $19,305 28 plans
334 RECTAL RESECTION WITHOUT CC/MCC $6,792 – $40,245 · median $13,808 28 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $14,809 – $87,741 · median $28,895 28 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $8,745 – $51,813 · median $17,482 28 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $6,366 – $37,716 · median $13,004 28 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,711 – $63,462 · median $21,182 28 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $6,240 – $36,972 · median $12,768 28 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,919 – $29,146 · median $10,282 28 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $9,520 – $56,405 · median $18,941 28 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $5,428 – $32,159 · median $11,238 28 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,610 – $21,392 · median $7,819 28 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $10,334 – $61,228 · median $20,473 28 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $6,322 – $37,458 · median $12,922 28 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $4,843 – $28,694 · median $10,138 28 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $12,035 – $71,305 · median $23,674 28 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $6,977 – $41,338 · median $14,154 28 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $5,578 – $33,048 · median $11,521 28 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $18,217 – $107,935 · median $35,310 28 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $9,644 – $57,140 · median $19,174 28 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,797 – $34,348 · median $11,933 28 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $6,966 – $34,840 · median $13,448 28 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,377 – $21,890 · median $8,830 28 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,067 – $15,338 · median $6,493 28 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $7,759 – $38,806 · median $14,862 28 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,468 – $22,346 · median $8,992 28 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,183 – $15,920 · median $6,700 28 plans
374 DIGESTIVE MALIGNANCY WITH MCC $9,359 – $46,808 · median $17,716 28 plans
375 DIGESTIVE MALIGNANCY WITH CC $5,293 – $26,473 · median $10,464 28 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,045 – $20,229 · median $8,237 28 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $7,999 – $40,008 · median $15,291 28 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,292 – $21,464 · median $8,677 28 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,759 – $13,797 · median $5,943 28 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $8,587 – $42,945 · median $16,339 28 plans
381 COMPLICATED PEPTIC ULCER WITH CC $4,741 – $23,713 · median $9,480 28 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,503 – $17,522 · median $7,272 28 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $6,042 – $30,218 · median $11,800 28 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,741 – $18,708 · median $7,695 28 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $6,924 – $34,630 · median $13,373 28 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,272 – $21,367 · median $8,643 28 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,981 – $14,911 · median $6,341 28 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $6,462 – $32,321 · median $12,549 28 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,456 – $17,286 · median $7,188 28 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,381 – $11,906 · median $5,269 28 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,550 – $27,758 · median $10,922 28 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,412 – $17,062 · median $7,108 28 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $6,999 – $35,002 · median $13,505 28 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,095 – $20,479 · median $8,326 28 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,840 – $14,204 · median $6,089 28 plans
397 APPENDIX PROCEDURES WITH MCC $9,932 – $58,845 · median $19,716 28 plans
398 APPENDIX PROCEDURES WITH CC $6,277 – $37,191 · median $12,837 28 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,747 – $28,126 · median $9,958 28 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $16,673 – $98,788 · median $32,404 28 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $22,686 – $134,416 · median $43,722 28 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $12,027 – $71,261 · median $23,660 28 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $9,205 – $54,538 · median $18,348 28 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $14,787 – $87,610 · median $28,853 28 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $9,029 – $53,498 · median $18,018 28 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $6,584 – $39,011 · median $13,415 28 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,699 – $81,165 · median $26,806 28 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $8,719 – $51,661 · median $17,434 28 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $6,886 – $40,800 · median $13,984 28 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $14,774 – $87,537 · median $28,830 28 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $8,571 – $50,781 · median $17,154 28 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $5,654 – $33,498 · median $11,664 28 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $9,896 – $58,636 · median $19,649 28 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $7,015 – $41,564 · median $14,226 28 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $5,664 – $33,559 · median $11,683 28 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $14,129 – $83,716 · median $27,616 28 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $7,205 – $42,692 · median $14,585 28 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $5,804 – $34,387 · median $11,946 28 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $17,222 – $102,043 · median $33,439 28 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $9,073 – $53,759 · median $18,101 28 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $6,222 – $36,864 · median $12,733 28 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $45,705 – $270,802 · median $87,047 28 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $29,936 – $177,368 · median $57,366 28 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $23,314 – $138,138 · median $44,905 28 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $37,363 – $221,375 · median $71,345 28 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $23,916 – $141,703 · median $46,037 28 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $8,613 – $43,076 · median $16,385 28 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,622 – $23,116 · median $9,267 28 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,118 – $15,594 · median $6,584 28 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $8,037 – $40,198 · median $15,359 28 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,950 – $24,755 · median $9,852 28 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,734 – $18,675 · median $7,683 28 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $7,134 – $35,679 · median $13,747 28 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,681 – $18,411 · median $7,589 28 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,719 – $13,600 · median $5,873 28 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $7,854 – $39,279 · median $15,031 28 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,224 – $21,127 · median $8,557 28 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,062 – $15,314 · median $6,484 28 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $7,312 – $36,569 · median $14,065 28 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,789 – $23,952 · median $9,565 28 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,620 – $18,106 · median $7,480 28 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $27,709 – $164,174 · median $53,175 28 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $17,587 – $104,201 · median $34,124 28 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $22,102 – $130,954 · median $42,622 28 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $13,396 – $79,374 · median $26,237 28 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $34,849 – $206,480 · median $66,614 28 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $24,729 – $146,519 · median $47,566 28 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $17,304 – $102,525 · median $33,591 28 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $22,904 – $135,706 · median $44,259 28 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $11,031 – $65,359 · median $21,785 28 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $23,636 – $140,042 · median $45,509 28 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $12,917 – $76,531 · median $25,334 28 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,563 – $44,810 · median $15,258 28 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $21,587 – $127,902 · median $41,653 28 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $14,625 – $86,652 · median $28,549 28 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,396 – $67,521 · median $22,472 28 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $12,579 – $74,529 · median $24,698 28 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $7,999 – $47,395 · median $16,078 28 plans
471 CERVICAL SPINAL FUSION WITH MCC $20,025 – $118,646 · median $38,712 28 plans
472 CERVICAL SPINAL FUSION WITH CC $12,217 – $72,389 · median $24,019 28 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $10,124 – $59,985 · median $20,077 28 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $17,803 – $105,481 · median $34,531 28 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $9,437 – $55,916 · median $18,785 28 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,894 – $28,999 · median $10,234 28 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $14,326 – $84,883 · median $27,987 28 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $10,198 – $60,425 · median $20,217 28 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $7,709 – $45,675 · median $15,532 28 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $12,077 – $71,558 · median $23,755 28 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $8,686 – $51,464 · median $17,371 28 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $6,764 – $40,075 · median $13,754 28 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $11,495 – $68,108 · median $22,659 28 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $13,383 – $79,293 · median $26,212 28 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $8,672 – $51,380 · median $17,345 28 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,495 – $38,483 · median $13,248 28 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $7,336 – $43,464 · median $14,829 28 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,631 – $27,441 · median $9,740 28 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $15,226 – $90,215 · median $29,681 28 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $10,517 – $62,315 · median $20,818 28 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $8,321 – $49,302 · median $16,684 28 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $15,036 – $89,087 · median $29,323 28 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $7,481 – $44,324 · median $15,103 28 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,011 – $29,689 · median $10,454 28 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $12,511 – $74,126 · median $24,570 28 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,247 – $49,506 · median $16,749 28 plans
500 SOFT TISSUE PROCEDURES WITH MCC $13,124 – $77,762 · median $25,725 28 plans
501 SOFT TISSUE PROCEDURES WITH CC $7,249 – $42,953 · median $14,667 28 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $5,581 – $33,070 · median $11,529 28 plans
503 FOOT PROCEDURES WITH MCC $11,575 – $68,580 · median $22,808 28 plans
504 FOOT PROCEDURES WITH CC $7,752 – $45,928 · median $15,613 28 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $7,435 – $44,051 · median $15,016 28 plans
506 MAJOR THUMB OR JOINT PROCEDURES $5,595 – $33,151 · median $11,554 28 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $7,491 – $44,385 · median $15,122 28 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $6,280 – $37,210 · median $12,843 28 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $12,526 – $74,217 · median $24,598 28 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $8,623 – $51,093 · median $17,254 28 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $6,865 – $40,675 · median $13,944 28 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $6,529 – $38,682 · median $13,310 28 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,239 – $25,119 · median $9,003 28 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $13,216 – $78,305 · median $25,898 28 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $8,618 – $51,061 · median $17,243 28 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $6,373 – $37,758 · median $13,017 28 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $15,499 – $91,829 · median $30,194 28 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $8,295 – $49,147 · median $16,635 28 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $6,195 – $36,707 · median $12,683 28 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $11,903 – $70,524 · median $23,426 28 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $8,782 – $52,034 · median $17,553 28 plans
533 FRACTURES OF FEMUR WITH MCC $6,860 – $34,311 · median $13,260 28 plans
534 FRACTURES OF FEMUR WITHOUT MCC $3,527 – $17,642 · median $7,315 28 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,610 – $28,058 · median $11,029 28 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,534 – $17,675 · median $7,327 28 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,176 – $20,886 · median $8,472 28 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,152 – $15,764 · median $6,645 28 plans
539 OSTEOMYELITIS WITH MCC $8,619 – $43,109 · median $16,397 28 plans
540 OSTEOMYELITIS WITH CC $5,673 – $28,371 · median $11,141 28 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $3,446 – $17,233 · median $7,169 28 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $7,730 – $38,662 · median $14,811 28 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,499 – $22,499 · median $9,047 28 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,302 – $16,515 · median $6,912 28 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $10,860 – $54,314 · median $20,393 28 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,047 – $25,243 · median $10,025 28 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,659 – $18,301 · median $7,549 28 plans
548 SEPTIC ARTHRITIS WITH MCC $8,450 – $42,260 · median $16,094 28 plans
549 SEPTIC ARTHRITIS WITH CC $5,283 – $26,421 · median $10,445 28 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,825 – $19,131 · median $7,845 28 plans
551 MEDICAL BACK PROBLEMS WITH MCC $7,335 – $36,683 · median $14,105 28 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,207 – $21,039 · median $8,527 28 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,673 – $28,371 · median $11,141 28 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,633 – $18,168 · median $7,502 28 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,784 – $28,929 · median $11,340 28 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,635 – $18,179 · median $7,506 28 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $6,507 – $32,542 · median $12,629 28 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,909 – $19,549 · median $7,995 28 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $8,161 – $40,815 · median $15,579 28 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,928 – $24,646 · median $9,812 28 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,518 – $17,594 · median $7,298 28 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $6,235 – $31,183 · median $12,144 28 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,919 – $19,599 · median $8,013 28 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $6,755 – $33,783 · median $13,071 28 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,264 – $21,326 · median $8,628 28 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,279 – $16,399 · median $6,871 28 plans
570 SKIN DEBRIDEMENT WITH MCC $12,197 – $72,266 · median $23,979 28 plans
571 SKIN DEBRIDEMENT WITH CC $7,006 – $41,513 · median $14,210 28 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $4,754 – $28,166 · median $9,970 28 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $27,169 – $160,974 · median $52,158 28 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $14,396 – $85,296 · median $28,119 28 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,452 – $44,154 · median $15,049 28 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $20,325 – $120,427 · median $39,278 28 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $10,992 – $65,130 · median $21,712 28 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $6,662 – $39,471 · median $13,562 28 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $13,430 – $79,573 · median $26,301 28 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $7,166 – $42,459 · median $14,510 28 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,985 – $35,458 · median $12,286 28 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $7,990 – $47,338 · median $16,061 28 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $7,151 – $42,370 · median $14,483 28 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $8,877 – $52,599 · median $17,732 28 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $8,000 – $47,400 · median $16,080 28 plans
592 SKIN ULCERS WITH MCC $8,469 – $42,356 · median $16,129 28 plans
593 SKIN ULCERS WITH CC $5,191 – $25,963 · median $10,282 28 plans
594 SKIN ULCERS WITHOUT CC/MCC $3,793 – $18,971 · median $7,789 28 plans
595 MAJOR SKIN DISORDERS WITH MCC $9,280 – $46,414 · median $17,576 28 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,737 – $23,692 · median $9,472 28 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $7,295 – $36,486 · median $14,035 28 plans
598 MALIGNANT BREAST DISORDERS WITH CC $4,951 – $24,760 · median $9,853 28 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,367 – $16,839 · median $7,028 28 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,558 – $22,796 · median $9,153 28 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,647 – $13,241 · median $5,745 28 plans
602 CELLULITIS WITH MCC $6,220 – $31,107 · median $12,117 28 plans
603 CELLULITIS WITHOUT MCC $3,811 – $19,061 · median $7,821 28 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $6,442 – $32,218 · median $12,513 28 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,008 – $20,048 · median $8,173 28 plans
606 MINOR SKIN DISORDERS WITH MCC $6,622 – $33,118 · median $12,833 28 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $3,966 – $19,837 · median $8,097 28 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $9,089 – $53,855 · median $18,130 28 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $5,803 – $34,382 · median $11,945 28 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $14,462 – $85,689 · median $28,243 28 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $7,756 – $45,955 · median $15,621 28 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,882 – $34,849 · median $12,094 28 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $11,974 – $70,946 · median $23,560 28 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $6,636 – $39,321 · median $13,514 28 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $6,255 – $37,063 · median $12,796 28 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $14,760 – $87,453 · median $28,803 28 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $7,439 – $44,078 · median $15,024 28 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,192 – $30,760 · median $10,794 28 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $12,524 – $74,207 · median $24,595 28 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $6,218 – $36,842 · median $12,726 28 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,508 – $32,638 · median $11,391 28 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $15,455 – $91,571 · median $30,111 28 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $9,035 – $53,535 · median $18,030 28 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $6,053 – $35,861 · median $12,415 28 plans
637 DIABETES WITH MCC $6,287 – $31,444 · median $12,237 28 plans
638 DIABETES WITH CC $3,922 – $19,614 · median $8,018 28 plans
639 DIABETES WITHOUT CC/MCC $2,718 – $13,596 · median $5,871 28 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,845 – $29,231 · median $11,448 28 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,405 – $17,032 · median $7,097 28 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $6,223 – $31,124 · median $12,123 28 plans
643 ENDOCRINE DISORDERS WITH MCC $7,203 – $36,027 · median $13,871 28 plans
644 ENDOCRINE DISORDERS WITH CC $4,485 – $22,433 · median $9,024 28 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,362 – $16,815 · median $7,019 28 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $19,497 – $115,518 · median $37,719 28 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $15,368 – $91,055 · median $29,948 28 plans
652 KIDNEY TRANSPLANT $13,393 – $79,352 · median $26,230 28 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $21,549 – $127,681 · median $41,583 28 plans
654 MAJOR BLADDER PROCEDURES WITH CC $11,609 – $68,782 · median $22,873 28 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $8,778 – $52,007 · median $17,544 28 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $13,203 – $78,229 · median $25,874 28 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $7,589 – $44,965 · median $15,306 28 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $6,435 – $38,129 · median $13,136 28 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $10,537 – $62,432 · median $20,856 28 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $5,481 – $32,475 · median $11,339 28 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $4,294 – $25,441 · median $9,104 28 plans
662 MINOR BLADDER PROCEDURES WITH MCC $12,696 – $75,224 · median $24,918 28 plans
663 MINOR BLADDER PROCEDURES WITH CC $6,304 – $37,353 · median $12,889 28 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $4,341 – $25,723 · median $9,194 28 plans
665 PROSTATECTOMY WITH MCC $12,944 – $76,691 · median $25,385 28 plans
666 PROSTATECTOMY WITH CC $7,254 – $42,982 · median $14,677 28 plans
667 PROSTATECTOMY WITHOUT CC/MCC $4,587 – $27,180 · median $9,658 28 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $12,109 – $71,747 · median $23,814 28 plans
669 TRANSURETHRAL PROCEDURES WITH CC $6,436 – $38,134 · median $13,137 28 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,053 – $24,013 · median $8,651 28 plans
671 URETHRAL PROCEDURES WITH CC/MCC $7,444 – $44,105 · median $15,033 28 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,477 – $26,524 · median $9,449 28 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $17,424 – $103,238 · median $33,817 28 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $9,698 – $57,462 · median $19,276 28 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $6,807 – $40,331 · median $13,834 28 plans
682 RENAL FAILURE WITH MCC $6,481 – $32,413 · median $12,582 28 plans
683 RENAL FAILURE WITH CC $3,833 – $19,168 · median $7,859 28 plans
684 RENAL FAILURE WITHOUT CC/MCC $2,627 – $13,138 · median $5,708 28 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $7,893 – $39,476 · median $15,102 28 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,585 – $22,932 · median $9,201 28 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,458 – $17,297 · median $7,191 28 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,077 – $25,394 · median $10,080 28 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,542 – $17,717 · median $7,342 28 plans
693 URINARY STONES WITH MCC $5,884 – $29,426 · median $11,517 28 plans
694 URINARY STONES WITHOUT MCC $3,421 – $17,108 · median $7,124 28 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,005 – $25,033 · median $9,950 28 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,015 – $15,079 · median $6,400 28 plans
697 URETHRAL STRICTURE $4,716 – $23,589 · median $9,435 28 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $7,240 – $36,208 · median $13,936 28 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,442 – $22,214 · median $8,945 28 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,019 – $15,099 · median $6,408 28 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $8,295 – $49,149 · median $16,636 28 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $6,362 – $37,697 · median $12,998 28 plans
709 PENIS PROCEDURES WITH CC/MCC $9,650 – $57,179 · median $19,187 28 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $5,811 – $34,429 · median $11,960 28 plans
711 TESTES PROCEDURES WITH CC/MCC $8,642 – $51,201 · median $17,288 28 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $4,560 – $27,021 · median $9,607 28 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $6,235 – $36,940 · median $12,757 28 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,385 – $25,981 · median $9,276 28 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $9,278 – $54,973 · median $18,485 28 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,100 – $36,144 · median $12,505 28 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $7,840 – $46,451 · median $15,779 28 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,570 – $33,001 · median $11,506 28 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $7,919 – $39,607 · median $15,148 28 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,000 – $25,009 · median $9,942 28 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,869 – $14,351 · median $6,141 28 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,121 – $25,611 · median $10,157 28 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,159 – $15,802 · median $6,658 28 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $6,489 – $32,455 · median $12,597 28 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,550 – $17,754 · median $7,354 28 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,633 – $23,171 · median $9,287 28 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,941 – $14,707 · median $6,268 28 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $8,833 – $52,336 · median $17,648 28 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $5,580 – $33,060 · median $11,525 28 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $14,823 – $87,829 · median $28,923 28 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $8,545 – $50,631 · median $17,106 28 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $6,090 – $36,083 · median $12,485 28 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $14,858 – $88,033 · median $28,988 28 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $7,504 – $44,464 · median $15,147 28 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,914 – $35,041 · median $12,154 28 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $7,609 – $45,083 · median $15,345 28 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,145 – $30,485 · median $10,707 28 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $8,498 – $50,348 · median $17,017 28 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $4,717 – $27,950 · median $9,901 28 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $7,204 – $42,682 · median $14,581 28 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,565 – $21,124 · median $7,733 28 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $5,753 – $34,087 · median $11,851 28 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $10,648 – $63,089 · median $21,064 28 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $6,120 – $36,262 · median $12,542 28 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $8,059 – $40,307 · median $15,398 28 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,760 – $23,808 · median $9,514 28 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,203 – $21,022 · median $8,520 28 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,266 – $31,339 · median $12,200 28 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,284 – $21,426 · median $8,664 28 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,904 – $14,524 · median $6,202 28 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,409 – $22,050 · median $8,887 28 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,497 – $12,486 · median $5,476 28 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,137 – $21,696 · median $9,122 28 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $7,008 – $41,520 · median $14,212 28 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,158 – $24,637 · median $8,849 28 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,865 – $14,329 · median $6,133 28 plans
779 ABORTION WITHOUT D&C $3,682 – $18,413 · median $7,590 28 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $8,029 – $44,599 · median $19,614 28 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $4,093 – $21,432 · median $9,034 28 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,698 – $18,778 · median $8,419 28 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,369 – $31,977 · median $13,504 28 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,312 – $21,521 · median $9,465 28 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,702 – $18,795 · median $8,426 28 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $859 – $33,338 · median $14,235 28 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $859 – $107,420 · median $44,730 28 plans
791 PREMATURITY WITH MAJOR PROBLEMS $859 – $73,362 · median $30,853 28 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $859 – $44,498 · median $19,000 28 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $859 – $75,359 · median $31,668 28 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $828 – $27,713 · median $11,833 28 plans
795 NORMAL NEWBORN $720 – $5,705 · median $2,436 28 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,506 – $25,264 · median $9,845 28 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $3,863 – $19,511 · median $8,581 28 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,695 – $19,161 · median $8,253 28 plans
799 SPLENIC PROCEDURES WITH MCC $18,781 – $111,280 · median $36,373 28 plans
800 SPLENIC PROCEDURES WITH CC $11,651 – $69,030 · median $22,951 28 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $7,916 – $46,904 · median $15,922 28 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $16,522 – $97,893 · median $32,120 28 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $7,709 – $45,675 · median $15,532 28 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,623 – $33,318 · median $11,607 28 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,167 – $20,872 · median $9,179 28 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,911 – $15,263 · median $6,843 28 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,603 – $13,886 · median $6,283 28 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $9,662 – $48,322 · median $18,256 28 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,540 – $27,705 · median $10,903 28 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,580 – $22,906 · median $9,192 28 plans
811 RED BLOOD CELL DISORDERS WITH MCC $6,145 – $30,735 · median $11,984 28 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,018 – $20,096 · median $8,190 28 plans
813 COAGULATION DISORDERS $6,675 – $33,383 · median $12,929 28 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $9,306 – $46,545 · median $17,623 28 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,437 – $22,192 · median $8,938 28 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,766 – $13,832 · median $5,956 28 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $9,462 – $56,061 · median $18,832 28 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,807 – $28,483 · median $10,071 28 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,566 – $21,129 · median $7,735 28 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $24,321 – $144,104 · median $46,799 28 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $9,283 – $55,005 · median $18,496 28 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,993 – $29,583 · median $10,421 28 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $19,013 – $112,653 · median $36,809 28 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $9,395 – $55,668 · median $18,707 28 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $5,596 – $33,156 · median $11,555 28 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $19,399 – $114,938 · median $37,535 28 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $9,585 – $56,789 · median $19,063 28 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $7,066 – $41,864 · median $14,322 28 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $13,105 – $77,644 · median $25,688 28 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $6,241 – $36,979 · median $12,770 28 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,262 – $26,318 · median $10,409 28 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,158 – $15,793 · median $6,656 28 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,288 – $11,444 · median $5,104 28 plans
834 ACUTE LEUKEMIA WITH MCC $24,024 – $120,152 · median $43,873 28 plans
835 ACUTE LEUKEMIA WITH CC $9,127 – $45,650 · median $17,303 28 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $5,337 – $26,690 · median $10,542 28 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $21,024 – $105,147 · median $38,521 28 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $9,134 – $45,685 · median $17,316 28 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,319 – $31,601 · median $12,293 28 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $14,156 – $70,799 · median $26,272 28 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $7,139 – $35,705 · median $13,757 28 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,422 – $22,114 · median $8,909 28 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $8,729 – $43,658 · median $16,593 28 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,327 – $26,644 · median $10,525 28 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,727 – $18,638 · median $7,670 28 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $11,345 – $56,739 · median $21,258 28 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,725 – $28,631 · median $11,234 28 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,717 – $18,590 · median $7,653 28 plans
849 RADIOTHERAPY $11,857 – $59,300 · median $22,171 28 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $35,911 – $212,773 · median $68,613 28 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $20,480 – $121,346 · median $39,570 28 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $8,286 – $49,095 · median $16,619 28 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,209 – $36,788 · median $12,709 28 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $18,863 – $111,766 · median $36,527 28 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $8,881 – $52,619 · median $17,738 28 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $5,776 – $34,225 · median $11,895 28 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $7,981 – $39,914 · median $15,258 28 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,367 – $21,840 · median $8,812 28 plans
864 FEVER AND INFLAMMATORY CONDITIONS $3,885 – $19,428 · median $7,952 28 plans
865 VIRAL ILLNESS WITH MCC $6,557 – $32,792 · median $12,718 28 plans
866 VIRAL ILLNESS WITHOUT MCC $3,805 – $19,032 · median $7,810 28 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $9,160 – $45,812 · median $17,361 28 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,512 – $22,567 · median $9,071 28 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,193 – $15,970 · median $6,718 28 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $30,246 – $151,272 · median $54,972 28 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,500 – $42,514 · median $16,185 28 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,478 – $22,396 · median $9,010 28 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $16,028 – $94,964 · median $31,189 28 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,202 – $21,015 · median $8,517 28 plans
881 DEPRESSIVE NEUROSES $4,117 – $20,593 · median $8,367 28 plans
882 NEUROSES EXCEPT DEPRESSIVE $4,699 – $23,501 · median $9,404 28 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $8,605 – $43,034 · median $16,371 28 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $7,041 – $35,212 · median $13,581 28 plans
885 PSYCHOSES $6,112 – $30,570 · median $11,925 28 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,082 – $45,420 · median $17,221 28 plans
887 OTHER MENTAL DISORDER DIAGNOSES $4,686 – $23,438 · median $9,382 28 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,700 – $13,501 · median $5,838 28 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $6,195 – $30,982 · median $12,072 28 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $7,637 – $38,193 · median $14,644 28 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,863 – $19,321 · median $7,913 28 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $17,403 – $103,115 · median $33,779 28 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $7,939 – $47,041 · median $15,966 28 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,850 – $28,738 · median $10,152 28 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $15,232 – $90,252 · median $29,693 28 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $6,152 – $36,449 · median $12,601 28 plans
906 HAND PROCEDURES FOR INJURIES $8,146 – $48,265 · median $16,355 28 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $15,922 – $94,335 · median $30,990 28 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $8,274 – $49,024 · median $16,596 28 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $5,444 – $32,254 · median $11,269 28 plans
913 TRAUMATIC INJURY WITH MCC $7,153 – $35,775 · median $13,781 28 plans
914 TRAUMATIC INJURY WITHOUT MCC $3,875 – $19,380 · median $7,934 28 plans
915 ALLERGIC REACTIONS WITH MCC $7,359 – $36,804 · median $14,148 28 plans
916 ALLERGIC REACTIONS WITHOUT MCC $2,916 – $14,583 · median $6,223 28 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $6,863 – $34,326 · median $13,265 28 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,751 – $18,758 · median $7,713 28 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $8,012 – $40,069 · median $15,313 28 plans
920 COMPLICATIONS OF TREATMENT WITH CC $4,386 – $21,936 · median $8,846 28 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,012 – $15,066 · median $6,396 28 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $7,655 – $38,287 · median $14,678 28 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,453 – $22,273 · median $8,967 28 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $88,541 – $524,603 · median $170,067 28 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $29,745 – $176,240 · median $57,008 28 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $13,357 – $79,138 · median $26,162 28 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $17,041 – $85,228 · median $31,418 28 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $9,674 – $48,381 · median $18,278 28 plans
935 NON-EXTENSIVE BURNS $9,015 – $45,085 · median $17,102 28 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $15,047 – $89,156 · median $29,344 28 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $9,691 – $57,420 · median $19,263 28 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $8,409 – $49,823 · median $16,850 28 plans
945 REHABILITATION WITH CC/MCC $1,400 – $33,893 · median $13,110 28 plans
946 REHABILITATION WITHOUT CC/MCC $1,400 – $25,099 · median $9,974 28 plans
947 SIGNS AND SYMPTOMS WITH MCC $5,555 – $27,782 · median $10,931 28 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,503 – $17,520 · median $7,271 28 plans
949 AFTERCARE WITH CC/MCC $5,206 – $26,038 · median $10,309 28 plans
950 AFTERCARE WITHOUT CC/MCC $2,747 – $13,738 · median $5,922 28 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,433 – $12,169 · median $5,363 28 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $27,914 – $165,390 · median $53,561 28 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $15,605 – $92,461 · median $30,394 28 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $31,600 – $187,229 · median $60,498 28 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $17,475 – $103,540 · median $33,914 28 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,209 – $72,339 · median $24,003 28 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,963 – $59,832 · median $22,361 28 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $6,707 – $33,542 · median $12,985 28 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,116 – $20,584 · median $8,363 28 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $25,385 – $150,406 · median $48,801 28 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $10,937 – $64,804 · median $21,608 28 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $12,629 – $63,163 · median $23,549 28 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,667 – $28,342 · median $11,131 28 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,950 – $19,756 · median $8,069 28 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,679 – $28,401 · median $11,152 28 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $19,457 – $115,282 · median $37,644 28 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,195 – $60,408 · median $20,212 28 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $7,108 – $42,115 · median $14,401 28 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $14,218 – $84,239 · median $27,783 28 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $6,816 – $40,385 · median $13,852 28 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,973 – $29,466 · median $10,383 28 plans
209 COMPLEX AORTIC ARCH PROCEDURES $46,939 – $278,114 · median $86,840 20 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $23,667 – $140,224 · median $44,278 20 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $10,045 – $59,516 · median $19,365 20 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $14,260 – $84,490 · median $27,074 20 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $10,012 – $59,322 · median $19,305 20 plans
077 DRG $10,986 – $29,966 · median $24,572 8 plans
078 DRG $7,089 – $19,338 · median $15,857 8 plans
079 DRG $4,737 – $12,921 · median $10,595 8 plans
294 DRG $8,724 – $23,797 · median $19,513 8 plans
295 DRG $5,612 – $15,306 · median $12,551 8 plans
509 DRG $12,480 – $34,041 · median $27,914 8 plans
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