Grand Itasca Clinic and Hospital — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770
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 770 procedures

Procedures with negotiated rates only

These 770 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 $153,851 – $431,720 · median $215,752 14 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $62,212 – $175,242 · median $87,577 14 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $116,526 – $327,256 · median $163,546 14 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $76,044 – $213,955 · median $106,924 14 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $56,605 – $159,548 · median $79,734 14 plans
006 LIVER TRANSPLANT WITHOUT MCC $25,457 – $72,374 · median $36,169 14 plans
007 LUNG TRANSPLANT $71,097 – $200,108 · median $100,004 14 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $30,769 – $87,242 · median $43,599 14 plans
010 PANCREAS TRANSPLANT $39,395 – $111,382 · median $55,663 14 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $29,943 – $84,928 · median $42,443 14 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $23,146 – $65,905 · median $32,936 14 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $15,821 – $45,405 · median $22,691 14 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $65,978 – $185,783 · median $92,845 14 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $32,554 – $92,236 · median $46,095 14 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $29,823 – $84,594 · median $42,276 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $237,074 – $664,640 · median $332,154 14 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $39,169 – $110,749 · median $55,347 14 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $43,200 – $122,031 · median $60,985 14 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $29,063 – $82,465 · median $41,212 14 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $17,444 – $49,947 · median $24,961 14 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $31,459 – $89,173 · median $44,564 14 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $21,476 – $61,233 · median $30,601 14 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $24,961 – $70,985 · median $35,475 14 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $17,070 – $48,898 · median $24,437 14 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $13,851 – $39,890 · median $19,935 14 plans
028 SPINAL PROCEDURES WITH MCC $32,986 – $93,443 · median $46,698 14 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $18,730 – $53,545 · median $26,759 14 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $12,052 – $34,853 · median $17,418 14 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $24,598 – $69,969 · median $34,967 14 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,699 – $33,867 · median $16,925 14 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $9,129 – $26,675 · median $13,331 14 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $21,250 – $60,598 · median $30,284 14 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $13,124 – $37,855 · median $18,918 14 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $10,666 – $30,975 · median $15,480 14 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $18,074 – $51,708 · median $25,841 14 plans
038 EXTRACRANIAL PROCEDURES WITH CC $8,908 – $26,057 · median $13,022 14 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $6,454 – $19,186 · median $9,588 14 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $21,198 – $60,452 · median $30,211 14 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $12,071 – $34,907 · median $17,445 14 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $9,485 – $27,672 · median $13,829 14 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $9,944 – $28,956 · median $14,471 14 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,376 – $16,170 · median $8,081 14 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $8,383 – $24,586 · median $12,287 14 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,598 – $16,790 · median $8,391 14 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $12,754 – $36,820 · median $18,401 14 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,113 – $21,033 · median $10,511 14 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $9,385 – $27,392 · median $13,689 14 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $6,813 – $20,192 · median $10,091 14 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,050 – $15,258 · median $7,625 14 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $15,136 – $43,488 · median $21,733 14 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $9,647 – $28,124 · median $14,055 14 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $7,707 – $22,693 · median $11,341 14 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,040 – $32,024 · median $16,004 14 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,547 – $16,648 · median $8,320 14 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,757 – $11,640 · median $5,817 14 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $8,063 – $23,692 · median $11,840 14 plans
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,746 – $14,405 · median $7,199 14 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,385 – $13,399 · median $6,696 14 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $9,140 – $26,705 · median $13,346 14 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $5,633 – $16,888 · median $8,440 14 plans
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,152 – $12,744 · median $6,369 14 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $8,808 – $25,775 · median $12,881 14 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,659 – $16,962 · median $8,477 14 plans
075 VIRAL MENINGITIS WITH CC/MCC $10,527 – $30,587 · median $15,286 14 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,530 – $13,803 · median $6,898 14 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $9,937 – $28,936 · median $14,461 14 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,917 – $14,885 · median $7,439 14 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $12,548 – $36,244 · median $18,113 14 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $7,663 – $22,571 · median $11,280 14 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,247 – $15,810 · median $7,901 14 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,473 – $36,032 · median $18,007 14 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $7,152 – $21,141 · median $10,565 14 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,022 – $15,180 · median $7,586 14 plans
088 CONCUSSION WITH MCC $7,421 – $21,895 · median $10,942 14 plans
089 CONCUSSION WITH CC $6,031 – $18,005 · median $8,998 14 plans
090 CONCUSSION WITHOUT CC/MCC $4,519 – $13,773 · median $6,883 14 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $9,642 – $28,108 · median $14,047 14 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,616 – $16,842 · median $8,417 14 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,372 – $13,361 · median $6,677 14 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $19,322 – $55,202 · median $27,587 14 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $14,160 – $40,754 · median $20,367 14 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $14,160 – $40,754 · median $20,367 14 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $19,829 – $56,620 · median $28,296 14 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $12,599 – $36,386 · median $18,184 14 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,480 – $22,059 · median $11,024 14 plans
100 SEIZURES WITH MCC $10,633 – $30,883 · median $15,434 14 plans
101 SEIZURES WITHOUT MCC $4,955 – $14,993 · median $7,493 14 plans
102 HEADACHES WITH MCC $6,154 – $18,347 · median $9,169 14 plans
103 HEADACHES WITHOUT MCC $4,591 – $13,975 · median $6,984 14 plans
113 ORBITAL PROCEDURES WITH CC/MCC $12,908 – $37,251 · median $18,616 14 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $7,428 – $21,913 · median $10,951 14 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,427 – $24,708 · median $12,348 14 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $9,926 – $28,906 · median $14,446 14 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,956 – $17,795 · median $8,893 14 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $6,387 – $19,000 · median $9,495 14 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,314 – $13,199 · median $6,596 14 plans
123 NEUROLOGICAL EYE DISORDERS $4,384 – $13,395 · median $6,694 14 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $7,264 – $21,455 · median $10,722 14 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,215 – $12,922 · median $6,458 14 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $11,913 – $34,467 · median $17,225 14 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,574 – $16,724 · median $8,358 14 plans
137 MOUTH PROCEDURES WITH CC/MCC $8,198 – $24,068 · median $12,028 14 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,865 – $14,741 · median $7,367 14 plans
139 SALIVARY GLAND PROCEDURES $6,784 – $20,112 · median $10,051 14 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $23,417 – $66,661 · median $33,314 14 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $11,974 – $34,637 · median $17,310 14 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $8,764 – $25,653 · median $12,820 14 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,569 – $58,691 · median $29,331 14 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $9,514 – $27,752 · median $13,869 14 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $6,601 – $19,598 · median $9,794 14 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $11,625 – $33,659 · median $16,821 14 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $6,981 – $20,662 · median $10,326 14 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,376 – $13,373 · median $6,683 14 plans
149 DYSEQUILIBRIUM $4,126 – $12,672 · median $6,333 14 plans
150 EPISTAXIS WITH MCC $7,310 – $21,583 · median $10,786 14 plans
151 EPISTAXIS WITHOUT MCC $4,030 – $12,402 · median $6,198 14 plans
152 OTITIS MEDIA AND URI WITH MCC $6,490 – $19,290 · median $9,640 14 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,053 – $12,466 · median $6,230 14 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $8,584 – $25,149 · median $12,568 14 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,032 – $15,208 · median $7,600 14 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,794 – $11,744 · median $5,869 14 plans
157 DENTAL AND ORAL DISEASES WITH MCC $9,425 – $27,504 · median $13,745 14 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,995 – $15,104 · median $7,548 14 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,890 – $12,010 · median $6,002 14 plans
163 MAJOR CHEST PROCEDURES WITH MCC $24,605 – $69,989 · median $34,977 14 plans
164 MAJOR CHEST PROCEDURES WITH CC $13,857 – $39,906 · median $19,943 14 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $10,509 – $30,537 · median $15,261 14 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $20,520 – $58,555 · median $29,263 14 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $9,901 – $28,834 · median $14,410 14 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,502 – $22,119 · median $11,054 14 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $16,340 – $46,857 · median $23,417 14 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $7,541 – $22,231 · median $11,110 14 plans
176 PULMONARY EMBOLISM WITHOUT MCC $4,419 – $13,493 · median $6,743 14 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $8,579 – $25,137 · median $12,562 14 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,358 – $16,120 · median $8,056 14 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,145 – $12,724 · median $6,359 14 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,695 – $28,260 · median $14,123 14 plans
181 RESPIRATORY NEOPLASMS WITH CC $5,880 – $17,581 · median $8,786 14 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,138 – $12,706 · median $6,350 14 plans
183 MAJOR CHEST TRAUMA WITH MCC $8,399 – $24,632 · median $12,310 14 plans
184 MAJOR CHEST TRAUMA WITH CC $5,842 – $17,475 · median $8,733 14 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,318 – $13,209 · median $6,601 14 plans
186 PLEURAL EFFUSION WITH MCC $8,556 – $25,071 · median $12,529 14 plans
187 PLEURAL EFFUSION WITH CC $5,430 – $16,322 · median $8,157 14 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,937 – $12,144 · median $6,069 14 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $6,782 – $20,106 · median $10,048 14 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,081 – $18,145 · median $9,068 14 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,628 – $14,077 · median $7,035 14 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,525 – $10,989 · median $5,492 14 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $7,216 – $21,321 · median $10,655 14 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,424 – $13,507 · median $6,750 14 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,450 – $10,781 · median $5,388 14 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $10,361 – $30,121 · median $15,053 14 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $5,211 – $15,708 · median $7,850 14 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,932 – $12,128 · median $6,061 14 plans
199 PNEUMOTHORAX WITH MCC $9,685 – $28,230 · median $14,108 14 plans
200 PNEUMOTHORAX WITH CC $6,035 – $18,015 · median $9,003 14 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $3,926 – $12,112 · median $6,053 14 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,332 – $16,048 · median $8,020 14 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,678 – $11,420 · median $5,707 14 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,433 – $13,531 · median $6,762 14 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,052 – $29,259 · median $14,622 14 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,167 – $15,584 · median $7,788 14 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $35,327 – $99,996 · median $49,973 14 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $15,090 – $43,360 · median $21,669 14 plans
209 COMPLEX AORTIC ARCH PROCEDURES $62,140 – $175,041 · median $87,477 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $59,699 – $168,208 · median $84,062 14 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $31,331 – $88,812 · median $44,384 14 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $54,664 – $154,117 · median $77,020 14 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $53,708 – $151,440 · median $75,682 14 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $36,098 – $102,155 · median $51,052 14 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $36,098 – $102,155 · median $51,052 14 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $42,154 – $119,104 · median $59,522 14 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $29,277 – $83,064 · median $41,511 14 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $27,671 – $78,569 · median $39,265 14 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $27,161 – $77,143 · median $38,552 14 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $17,291 – $49,517 · median $24,746 14 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $46,280 – $130,651 · median $65,293 14 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $33,284 – $94,277 · median $47,115 14 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $41,972 – $118,595 · median $59,268 14 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $29,990 – $85,061 · median $42,509 14 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $32,219 – $91,298 · median $45,626 14 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $22,997 – $65,487 · median $32,727 14 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $27,020 – $76,748 · median $38,355 14 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $15,649 – $44,922 · median $22,450 14 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $7,600 – $22,395 · median $11,192 14 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $17,528 – $50,183 · median $25,079 14 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $11,699 – $33,867 · median $16,925 14 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $9,923 – $28,896 · median $14,441 14 plans
245 AICD GENERATOR PROCEDURES $25,048 – $71,228 · median $35,596 14 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $11,982 – $34,659 · median $17,321 14 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $8,205 – $24,088 · median $12,038 14 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $19,151 – $54,723 · median $27,348 14 plans
253 OTHER VASCULAR PROCEDURES WITH CC $14,250 – $41,006 · median $20,493 14 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $9,782 – $28,500 · median $14,243 14 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $14,809 – $42,571 · median $21,275 14 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $9,321 – $27,214 · median $13,600 14 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,996 – $17,907 · median $8,949 14 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,250 – $49,405 · median $24,690 14 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $11,101 – $32,194 · median $16,089 14 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $17,858 – $51,106 · median $25,540 14 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $10,379 – $30,173 · median $15,079 14 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $8,948 – $26,169 · median $13,078 14 plans
263 VEIN LIGATION AND STRIPPING $16,785 – $48,102 · median $24,039 14 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $18,340 – $52,454 · median $26,214 14 plans
265 AICD LEAD PROCEDURES $19,864 – $56,718 · median $28,345 14 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $33,645 – $95,290 · median $47,621 14 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $26,137 – $74,275 · median $37,119 14 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $37,760 – $106,805 · median $53,376 14 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $23,185 – $66,015 · median $32,991 14 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $28,967 – $82,197 · median $41,078 14 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,524 – $55,768 · median $27,870 14 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $14,016 – $40,352 · median $20,166 14 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $22,649 – $64,514 · median $32,241 14 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $18,071 – $51,702 · median $25,838 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $39,146 – $110,685 · median $55,315 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $32,976 – $93,417 · median $46,685 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $25,356 – $72,088 · median $36,026 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $30,558 – $86,651 · median $43,304 14 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $19,799 – $56,538 · median $28,255 14 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $8,807 – $25,773 · median $12,880 14 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,046 – $15,248 · median $7,620 14 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,970 – $12,234 · median $6,114 14 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $10,875 – $31,560 · median $15,772 14 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,800 – $11,760 · median $5,877 14 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,288 – $10,327 · median $5,161 14 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,148 – $35,126 · median $17,554 14 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,875 – $17,567 · median $8,779 14 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $14,857 – $42,705 · median $21,342 14 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $9,371 – $27,352 · median $13,669 14 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,104 – $15,410 · median $7,701 14 plans
291 HEART FAILURE AND SHOCK WITH MCC $7,048 – $20,850 · median $10,420 14 plans
292 HEART FAILURE AND SHOCK WITH CC $4,661 – $14,169 · median $7,081 14 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,107 – $9,821 · median $4,908 14 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $8,575 – $25,123 · median $12,555 14 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,481 – $10,865 · median $5,430 14 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,499 – $8,118 · median $4,057 14 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $8,964 – $26,211 · median $13,099 14 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,861 – $17,527 · median $8,759 14 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,951 – $12,182 · median $6,088 14 plans
302 ATHEROSCLEROSIS WITH MCC $6,569 – $19,510 · median $9,750 14 plans
303 ATHEROSCLEROSIS WITHOUT MCC $3,696 – $11,468 · median $5,731 14 plans
304 HYPERTENSION WITH MCC $6,533 – $19,410 · median $9,700 14 plans
305 HYPERTENSION WITHOUT MCC $4,146 – $12,726 · median $6,360 14 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $8,651 – $25,337 · median $12,662 14 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,013 – $15,156 · median $7,574 14 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $6,610 – $19,624 · median $9,807 14 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,039 – $12,428 · median $6,211 14 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,108 – $9,823 · median $4,909 14 plans
311 ANGINA PECTORIS $3,853 – $11,910 · median $5,952 14 plans
312 SYNCOPE AND COLLAPSE $4,785 – $14,517 · median $7,255 14 plans
313 CHEST PAIN $3,953 – $12,188 · median $6,091 14 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $11,448 – $33,165 · median $16,574 14 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,289 – $15,926 · median $7,959 14 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,745 – $11,606 · median $5,800 14 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $36,709 – $103,864 · median $51,906 14 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $13,298 – $38,343 · median $19,162 14 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $24,501 – $69,699 · median $34,832 14 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $13,205 – $38,083 · median $19,032 14 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $14,937 – $42,929 · median $21,454 14 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $9,679 – $28,214 · median $14,100 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $23,757 – $67,616 · median $33,791 14 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $17,299 – $49,541 · median $24,758 14 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $17,625 – $50,453 · median $25,214 14 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $27,381 – $77,757 · median $38,859 14 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $13,419 – $38,679 · median $19,330 14 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $8,797 – $25,745 · median $12,866 14 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $25,235 – $71,752 · median $35,858 14 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,161 – $37,959 · median $18,970 14 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,239 – $26,983 · median $13,485 14 plans
332 RECTAL RESECTION WITH MCC $19,878 – $56,758 · median $28,365 14 plans
333 RECTAL RESECTION WITH CC $12,859 – $37,113 · median $18,547 14 plans
334 RECTAL RESECTION WITHOUT CC/MCC $8,992 – $26,291 · median $13,139 14 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $19,604 – $55,992 · median $27,982 14 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $11,577 – $33,525 · median $16,754 14 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $8,427 – $24,710 · median $12,349 14 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $14,180 – $40,810 · median $20,395 14 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $8,261 – $24,244 · median $12,116 14 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $6,512 – $19,352 · median $9,671 14 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $12,603 – $36,396 · median $18,189 14 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $7,185 – $21,235 · median $10,612 14 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,780 – $14,501 · median $7,247 14 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $13,681 – $39,414 · median $19,697 14 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $8,370 – $24,548 · median $12,268 14 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,411 – $19,068 · median $9,529 14 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $15,932 – $45,715 · median $22,846 14 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $9,236 – $26,975 · median $13,481 14 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $7,384 – $21,791 · median $10,890 14 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $24,116 – $68,620 · median $34,293 14 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $12,767 – $36,856 · median $18,419 14 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,674 – $22,603 · median $11,296 14 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $18,878 – $53,959 · median $26,966 14 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $13,255 – $38,221 · median $19,101 14 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $8,740 – $25,585 · median $12,786 14 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,491 – $16,492 · median $8,242 14 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,847 – $11,892 · median $5,943 14 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $9,734 – $28,368 · median $14,177 14 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,605 – $16,812 · median $8,402 14 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,993 – $12,300 · median $6,147 14 plans
374 DIGESTIVE MALIGNANCY WITH MCC $11,741 – $33,987 · median $16,985 14 plans
375 DIGESTIVE MALIGNANCY WITH CC $6,641 – $19,710 · median $9,850 14 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,074 – $15,326 · median $7,659 14 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $10,036 – $29,213 · median $14,599 14 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,384 – $16,194 · median $8,093 14 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,461 – $10,811 · median $5,403 14 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $10,772 – $31,274 · median $15,629 14 plans
381 COMPLICATED PEPTIC ULCER WITH CC $5,948 – $17,773 · median $8,882 14 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,395 – $13,427 · median $6,710 14 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $7,580 – $22,339 · median $11,164 14 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,693 – $14,259 · median $7,126 14 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $8,687 – $25,437 · median $12,712 14 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,360 – $16,126 · median $8,059 14 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,740 – $11,592 · median $5,793 14 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $8,108 – $23,816 · median $11,902 14 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,336 – $13,261 · median $6,627 14 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,987 – $9,483 · median $4,739 14 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $6,963 – $20,612 · median $10,301 14 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,280 – $13,103 · median $6,548 14 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $8,780 – $25,699 · median $12,843 14 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,137 – $15,502 · median $7,747 14 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,563 – $11,096 · median $5,545 14 plans
397 APPENDIX PROCEDURES WITH MCC $13,148 – $37,923 · median $18,952 14 plans
398 APPENDIX PROCEDURES WITH CC $8,310 – $24,382 · median $12,185 14 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $6,284 – $18,713 · median $9,352 14 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $22,073 – $62,901 · median $31,435 14 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $30,033 – $85,181 · median $42,569 14 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $15,922 – $45,687 · median $22,832 14 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,186 – $35,230 · median $17,606 14 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $19,575 – $55,910 · median $27,941 14 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $11,953 – $34,579 · median $17,281 14 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $8,716 – $25,521 · median $12,754 14 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $18,135 – $51,880 · median $25,927 14 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $11,543 – $33,431 · median $16,707 14 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $9,116 – $26,639 · median $13,313 14 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $19,559 – $55,864 · median $27,918 14 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $11,346 – $32,880 · median $16,432 14 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $7,485 – $22,071 · median $11,030 14 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $13,101 – $37,793 · median $18,887 14 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $9,287 – $27,116 · median $13,551 14 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $7,498 – $22,111 · median $11,050 14 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $18,705 – $53,475 · median $26,724 14 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $9,539 – $27,822 · median $13,904 14 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $7,683 – $22,627 · median $11,308 14 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $22,800 – $64,936 · median $32,452 14 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $12,012 – $34,741 · median $17,362 14 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $8,237 – $24,176 · median $12,082 14 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $60,506 – $170,469 · median $85,192 14 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $39,630 – $112,040 · median $55,992 14 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $30,865 – $87,508 · median $43,732 14 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $49,463 – $139,560 · median $69,745 14 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $31,661 – $89,737 · median $44,846 14 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $10,805 – $31,366 · median $15,675 14 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,799 – $17,353 · median $8,672 14 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,912 – $12,072 · median $6,033 14 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $10,083 – $29,347 · median $14,666 14 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $6,210 – $18,503 · median $9,247 14 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,685 – $14,235 · median $7,114 14 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $8,950 – $26,173 · median $13,080 14 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,618 – $14,049 · median $7,021 14 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,411 – $10,673 · median $5,334 14 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,853 – $28,700 · median $14,343 14 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,300 – $15,956 · median $7,974 14 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,841 – $11,876 · median $5,935 14 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $9,173 – $26,797 · median $13,392 14 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,008 – $17,941 · median $8,966 14 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,542 – $13,837 · median $6,915 14 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $36,682 – $103,790 · median $51,869 14 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,282 – $66,285 · median $33,126 14 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $29,260 – $83,015 · median $41,487 14 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $17,735 – $50,761 · median $25,368 14 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $46,135 – $130,245 · median $65,090 14 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $32,737 – $92,748 · median $46,351 14 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $22,908 – $65,239 · median $32,603 14 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $30,321 – $85,987 · median $42,972 14 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $14,603 – $41,997 · median $20,988 14 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $31,290 – $88,698 · median $44,327 14 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $17,100 – $48,982 · median $24,479 14 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,012 – $29,147 · median $14,566 14 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $28,578 – $81,107 · median $40,533 14 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $19,361 – $55,312 · median $27,642 14 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $15,087 – $43,348 · median $21,663 14 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $16,652 – $47,730 · median $23,853 14 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $10,590 – $30,763 · median $15,374 14 plans
471 CERVICAL SPINAL FUSION WITH MCC $26,510 – $75,320 · median $37,641 14 plans
472 CERVICAL SPINAL FUSION WITH CC $16,174 – $46,391 · median $23,184 14 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $13,403 – $38,635 · median $19,308 14 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $23,568 – $67,086 · median $33,526 14 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $12,494 – $36,092 · median $18,037 14 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,479 – $19,258 · median $9,624 14 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $18,966 – $54,205 · median $27,089 14 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,501 – $38,911 · median $19,446 14 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,205 – $29,687 · median $14,836 14 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $15,989 – $45,873 · median $22,925 14 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,499 – $33,307 · median $16,645 14 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $8,954 – $26,185 · median $13,086 14 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $15,218 – $43,716 · median $21,847 14 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $17,717 – $50,709 · median $25,342 14 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $11,480 – $33,255 · median $16,619 14 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,598 – $25,189 · median $12,588 14 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $9,711 – $28,304 · median $14,145 14 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,131 – $18,285 · median $9,138 14 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $20,157 – $57,539 · median $28,755 14 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $13,923 – $40,092 · median $20,036 14 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $11,016 – $31,954 · median $15,969 14 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $19,905 – $56,834 · median $28,403 14 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $9,903 – $28,842 · median $14,414 14 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $6,634 – $19,690 · median $9,840 14 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $16,562 – $47,478 · median $23,727 14 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,061 – $32,082 · median $16,033 14 plans
500 SOFT TISSUE PROCEDURES WITH MCC $17,375 – $49,753 · median $24,864 14 plans
501 SOFT TISSUE PROCEDURES WITH CC $9,597 – $27,984 · median $13,985 14 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $7,389 – $21,805 · median $10,897 14 plans
503 FOOT PROCEDURES WITH MCC $15,323 – $44,010 · median $21,994 14 plans
504 FOOT PROCEDURES WITH CC $10,262 – $29,845 · median $14,915 14 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $9,842 – $28,670 · median $14,328 14 plans
506 MAJOR THUMB OR JOINT PROCEDURES $7,407 – $21,855 · median $10,922 14 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $9,917 – $28,880 · median $14,433 14 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,314 – $24,394 · median $12,191 14 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $16,583 – $47,536 · median $23,756 14 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $11,416 – $33,075 · median $16,529 14 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $9,088 – $26,559 · median $13,273 14 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $8,643 – $25,315 · median $12,651 14 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,612 – $16,832 · median $8,412 14 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $17,496 – $50,093 · median $25,034 14 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $11,409 – $33,055 · median $16,519 14 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $8,436 – $24,736 · median $12,362 14 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $20,518 – $58,549 · median $29,260 14 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $10,981 – $31,858 · median $15,921 14 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $8,202 – $24,078 · median $12,033 14 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $15,757 – $45,227 · median $22,602 14 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $11,626 – $33,663 · median $16,823 14 plans
533 FRACTURES OF FEMUR WITH MCC $8,607 – $25,213 · median $12,600 14 plans
534 FRACTURES OF FEMUR WITHOUT MCC $4,425 – $13,511 · median $6,752 14 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $7,038 – $20,822 · median $10,406 14 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,434 – $13,533 · median $6,763 14 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,239 – $15,788 · median $7,890 14 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,954 – $12,192 · median $6,093 14 plans
539 OSTEOMYELITIS WITH MCC $10,814 – $31,390 · median $15,687 14 plans
540 OSTEOMYELITIS WITH CC $7,117 – $21,043 · median $10,516 14 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $4,323 – $13,223 · median $6,608 14 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $9,698 – $28,268 · median $14,127 14 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,644 – $16,920 · median $8,456 14 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,143 – $12,718 · median $6,356 14 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $13,625 – $39,256 · median $19,618 14 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $6,332 – $18,847 · median $9,419 14 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,591 – $13,973 · median $6,983 14 plans
548 SEPTIC ARTHRITIS WITH MCC $10,601 – $30,793 · median $15,389 14 plans
549 SEPTIC ARTHRITIS WITH CC $6,628 – $19,674 · median $9,832 14 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,799 – $14,555 · median $7,274 14 plans
551 MEDICAL BACK PROBLEMS WITH MCC $9,202 – $26,877 · median $13,432 14 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,278 – $15,896 · median $7,944 14 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $7,117 – $21,043 · median $10,516 14 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,557 – $13,879 · median $6,936 14 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,257 – $21,435 · median $10,712 14 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,560 – $13,887 · median $6,940 14 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $8,163 – $23,972 · median $11,980 14 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,904 – $14,849 · median $7,421 14 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,238 – $29,779 · median $14,882 14 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $6,182 – $18,427 · median $9,209 14 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,413 – $13,477 · median $6,735 14 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $7,822 – $23,018 · median $11,503 14 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,916 – $14,883 · median $7,438 14 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $8,474 – $24,842 · median $12,415 14 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,349 – $16,096 · median $8,044 14 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,114 – $12,638 · median $6,316 14 plans
570 SKIN DEBRIDEMENT WITH MCC $16,147 – $46,315 · median $23,146 14 plans
571 SKIN DEBRIDEMENT WITH CC $9,275 – $27,084 · median $13,535 14 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $6,293 – $18,737 · median $9,364 14 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,967 – $101,789 · median $50,869 14 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $19,058 – $54,463 · median $27,218 14 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $9,866 – $28,736 · median $14,361 14 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $26,908 – $76,432 · median $38,197 14 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $14,552 – $41,853 · median $20,916 14 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,819 – $25,807 · median $12,897 14 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $17,779 – $50,885 · median $25,430 14 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $9,487 – $27,676 · median $13,831 14 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $7,923 – $23,298 · median $11,643 14 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $10,577 – $30,727 · median $15,356 14 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $9,467 – $27,620 · median $13,803 14 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $11,752 – $34,017 · median $17,000 14 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $10,591 – $30,765 · median $15,375 14 plans
592 SKIN ULCERS WITH MCC $10,625 – $30,861 · median $15,423 14 plans
593 SKIN ULCERS WITH CC $6,513 – $19,352 · median $9,671 14 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,759 – $14,443 · median $7,218 14 plans
595 MAJOR SKIN DISORDERS WITH MCC $11,643 – $33,709 · median $16,846 14 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,943 – $17,757 · median $8,874 14 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,152 – $26,739 · median $13,363 14 plans
598 MALIGNANT BREAST DISORDERS WITH CC $6,211 – $18,507 · median $9,249 14 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,224 – $12,946 · median $6,470 14 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,718 – $17,129 · median $8,560 14 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,321 – $10,421 · median $5,208 14 plans
602 CELLULITIS WITH MCC $7,803 – $22,963 · median $11,476 14 plans
603 CELLULITIS WITHOUT MCC $4,781 – $14,505 · median $7,249 14 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $8,082 – $23,744 · median $11,866 14 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,029 – $15,200 · median $7,596 14 plans
606 MINOR SKIN DISORDERS WITH MCC $8,307 – $24,374 · median $12,181 14 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $4,976 – $15,052 · median $7,522 14 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $12,033 – $34,801 · median $17,392 14 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $7,682 – $22,625 · median $11,307 14 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,146 – $54,709 · median $27,341 14 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $10,268 – $29,863 · median $14,924 14 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,786 – $22,917 · median $11,453 14 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $15,852 – $45,491 · median $22,734 14 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $8,786 – $25,713 · median $12,850 14 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $8,281 – $24,302 · median $12,145 14 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $19,540 – $55,812 · median $27,892 14 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $9,849 – $28,688 · median $14,337 14 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,873 – $20,360 · median $10,175 14 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $16,580 – $47,530 · median $23,753 14 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,232 – $24,164 · median $12,076 14 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $7,292 – $21,535 · median $10,762 14 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $20,460 – $58,387 · median $29,179 14 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $11,962 – $34,603 · median $17,293 14 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,013 – $23,550 · median $11,769 14 plans
637 DIABETES WITH MCC $7,887 – $23,200 · median $11,594 14 plans
638 DIABETES WITH CC $4,920 – $14,895 · median $7,444 14 plans
639 DIABETES WITHOUT CC/MCC $3,410 – $10,669 · median $5,332 14 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $7,332 – $21,647 · median $10,818 14 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,272 – $13,083 · median $6,538 14 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $7,807 – $22,975 · median $11,482 14 plans
643 ENDOCRINE DISORDERS WITH MCC $9,037 – $26,417 · median $13,202 14 plans
644 ENDOCRINE DISORDERS WITH CC $5,627 – $16,874 · median $8,433 14 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,218 – $12,930 · median $6,462 14 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $25,811 – $73,363 · median $36,663 14 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $20,345 – $58,065 · median $29,018 14 plans
652 KIDNEY TRANSPLANT $17,730 – $50,747 · median $25,361 14 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $28,528 – $80,968 · median $40,464 14 plans
654 MAJOR BLADDER PROCEDURES WITH CC $15,368 – $44,136 · median $22,057 14 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $11,620 – $33,647 · median $16,815 14 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $17,479 – $50,045 · median $25,010 14 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $10,047 – $29,243 · median $14,614 14 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $8,519 – $24,968 · median $12,478 14 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $13,950 – $40,166 · median $20,073 14 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $7,256 – $21,433 · median $10,711 14 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,684 – $17,035 · median $8,513 14 plans
662 MINOR BLADDER PROCEDURES WITH MCC $16,808 – $48,166 · median $24,071 14 plans
663 MINOR BLADDER PROCEDURES WITH CC $8,346 – $24,482 · median $12,235 14 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,747 – $17,211 · median $8,601 14 plans
665 PROSTATECTOMY WITH MCC $17,135 – $49,083 · median $24,529 14 plans
666 PROSTATECTOMY WITH CC $9,604 – $28,002 · median $13,994 14 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,073 – $18,121 · median $9,056 14 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $16,031 – $45,991 · median $22,984 14 plans
669 TRANSURETHRAL PROCEDURES WITH CC $8,520 – $24,970 · median $12,479 14 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,365 – $16,140 · median $8,066 14 plans
671 URETHRAL PROCEDURES WITH CC/MCC $9,855 – $28,704 · median $14,345 14 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,926 – $17,711 · median $8,851 14 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $23,067 – $65,683 · median $32,825 14 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,839 – $37,059 · median $18,520 14 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $9,011 – $26,345 · median $13,166 14 plans
682 RENAL FAILURE WITH MCC $8,131 – $23,880 · median $11,934 14 plans
683 RENAL FAILURE WITH CC $4,808 – $14,581 · median $7,287 14 plans
684 RENAL FAILURE WITHOUT CC/MCC $3,296 – $10,349 · median $5,172 14 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $9,902 – $28,838 · median $14,412 14 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,752 – $17,225 · median $8,608 14 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,339 – $13,267 · median $6,630 14 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $6,370 – $18,953 · median $9,472 14 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,444 – $13,563 · median $6,778 14 plans
693 URINARY STONES WITH MCC $7,381 – $21,783 · median $10,886 14 plans
694 URINARY STONES WITHOUT MCC $4,292 – $13,135 · median $6,564 14 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $6,279 – $18,699 · median $9,345 14 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,783 – $11,712 · median $5,853 14 plans
697 URETHRAL STRICTURE $5,917 – $17,685 · median $8,838 14 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $9,083 – $26,545 · median $13,266 14 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,572 – $16,720 · median $8,356 14 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,788 – $11,726 · median $5,860 14 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $10,982 – $31,860 · median $15,922 14 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $8,423 – $24,698 · median $12,343 14 plans
709 PENIS PROCEDURES WITH CC/MCC $12,776 – $36,880 · median $18,431 14 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $7,693 – $22,653 · median $11,321 14 plans
711 TESTES PROCEDURES WITH CC/MCC $11,440 – $33,143 · median $16,563 14 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $6,037 – $18,021 · median $9,006 14 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $8,254 – $24,224 · median $12,106 14 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,805 – $17,371 · median $8,681 14 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,283 – $35,502 · median $17,742 14 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $8,076 – $23,726 · median $11,857 14 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $10,379 – $30,173 · median $15,079 14 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $7,374 – $21,761 · median $10,875 14 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $9,935 – $28,930 · median $14,458 14 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $6,273 – $18,683 · median $9,337 14 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,600 – $11,200 · median $5,597 14 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $6,424 – $19,106 · median $9,548 14 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,964 – $12,218 · median $6,106 14 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $8,141 – $23,910 · median $11,949 14 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,453 – $13,589 · median $6,791 14 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,812 – $17,391 · median $8,691 14 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,689 – $11,450 · median $5,722 14 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $11,694 – $33,853 · median $16,918 14 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $7,387 – $21,799 · median $10,894 14 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $19,624 – $56,048 · median $28,010 14 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $11,313 – $32,786 · median $16,385 14 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,062 – $23,688 · median $11,838 14 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $19,670 – $56,176 · median $28,074 14 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $9,935 – $28,928 · median $14,457 14 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $7,829 – $23,038 · median $11,513 14 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $10,073 – $29,317 · median $14,651 14 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $6,811 – $20,188 · median $10,089 14 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $11,250 – $32,610 · median $16,297 14 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $6,245 – $18,603 · median $9,297 14 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $9,537 – $27,816 · median $13,901 14 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,720 – $14,333 · median $7,163 14 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $7,616 – $22,441 · median $11,215 14 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $14,096 – $40,576 · median $20,278 14 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $8,102 – $23,800 · median $11,894 14 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,111 – $29,423 · median $14,704 14 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,972 – $17,839 · median $8,915 14 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,273 – $15,882 · median $7,937 14 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,861 – $23,126 · median $11,557 14 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,375 – $16,166 · median $8,079 14 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,643 – $11,322 · median $5,658 14 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,531 – $16,604 · median $8,298 14 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,132 – $9,891 · median $4,943 14 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,672 – $17,591 · median $8,791 14 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $9,277 – $27,090 · median $13,538 14 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,505 – $16,530 · median $8,261 14 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,594 – $11,184 · median $5,589 14 plans
779 ABORTION WITHOUT D&C $4,619 – $14,051 · median $7,022 14 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $13,479 – $38,847 · median $19,414 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,820 – $17,413 · median $8,702 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,258 – $15,842 · median $7,917 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $9,056 – $26,469 · median $13,228 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,131 – $18,285 · median $9,138 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,264 – $15,856 · median $7,924 14 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $845 – $28,816 · median $14,401 14 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $845 – $92,448 · median $46,201 14 plans
791 PREMATURITY WITH MAJOR PROBLEMS $845 – $63,492 · median $31,730 14 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $845 – $38,757 · median $19,369 14 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $845 – $65,191 · median $32,579 14 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $845 – $23,802 · median $11,895 14 plans
795 NORMAL NEWBORN $845 – $4,194 · median $2,096 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,672 – $19,056 · median $9,523 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,672 – $16,496 · median $8,244 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,672 – $15,830 · median $7,911 14 plans
799 SPLENIC PROCEDURES WITH MCC $24,864 – $70,711 · median $35,338 14 plans
800 SPLENIC PROCEDURES WITH CC $15,424 – $44,292 · median $22,135 14 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,480 – $30,455 · median $15,220 14 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $21,873 – $62,341 · median $31,155 14 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $10,205 – $29,687 · median $14,836 14 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,444 – $21,959 · median $10,974 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,672 – $17,707 · median $8,849 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,672 – $12,710 · median $6,352 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,672 – $11,484 · median $5,739 14 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $12,121 – $35,050 · median $17,516 14 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $6,950 – $20,576 · median $10,283 14 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,746 – $17,207 · median $8,599 14 plans
811 RED BLOOD CELL DISORDERS WITH MCC $7,710 – $22,701 · median $11,345 14 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,041 – $15,234 · median $7,613 14 plans
813 COAGULATION DISORDERS $8,374 – $24,560 · median $12,274 14 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $11,676 – $33,801 · median $16,892 14 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,567 – $16,704 · median $8,348 14 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,470 – $10,835 · median $5,415 14 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $12,526 – $36,182 · median $18,082 14 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $6,364 – $18,935 · median $9,463 14 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,721 – $14,337 · median $7,165 14 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $32,198 – $91,240 · median $45,597 14 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $12,290 – $35,522 · median $17,752 14 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $6,610 – $19,624 · median $9,807 14 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $25,171 – $71,572 · median $35,768 14 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,438 – $35,936 · median $17,959 14 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $7,408 – $21,859 · median $10,924 14 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $25,681 – $73,000 · median $36,482 14 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $12,688 – $36,636 · median $18,309 14 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,354 – $27,304 · median $13,645 14 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $17,348 – $49,679 · median $24,827 14 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $8,262 – $24,250 · median $12,119 14 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $6,602 – $19,602 · median $9,796 14 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,962 – $12,212 · median $6,103 14 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,871 – $9,159 · median $4,577 14 plans
834 ACUTE LEUKEMIA WITH MCC $30,140 – $85,479 · median $42,718 14 plans
835 ACUTE LEUKEMIA WITH CC $11,451 – $33,173 · median $16,578 14 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $6,695 – $19,862 · median $9,926 14 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $26,376 – $74,943 · median $37,453 14 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $11,460 – $33,199 · median $16,591 14 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,927 – $23,310 · median $11,649 14 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $17,760 – $50,829 · median $25,402 14 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $8,956 – $26,191 · median $13,089 14 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,547 – $16,650 · median $8,321 14 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $10,951 – $31,776 · median $15,880 14 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $6,684 – $19,830 · median $9,910 14 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,675 – $14,209 · median $7,101 14 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $14,233 – $40,958 · median $20,469 14 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,182 – $21,225 · median $10,607 14 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,663 – $14,175 · median $7,084 14 plans
849 RADIOTHERAPY $14,875 – $42,757 · median $21,368 14 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $47,541 – $134,181 · median $67,057 14 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $27,113 – $77,006 · median $38,484 14 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $10,970 – $31,826 · median $15,905 14 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,220 – $24,130 · median $12,059 14 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $24,972 – $71,017 · median $35,491 14 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $11,757 – $34,029 · median $17,006 14 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $7,647 – $22,527 · median $11,258 14 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,012 – $29,147 · median $14,566 14 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,478 – $16,458 · median $8,225 14 plans
864 FEVER AND INFLAMMATORY CONDITIONS $4,873 – $14,763 · median $7,378 14 plans
865 VIRAL ILLNESS WITH MCC $8,226 – $24,146 · median $12,067 14 plans
866 VIRAL ILLNESS WITHOUT MCC $4,774 – $14,485 · median $7,239 14 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $11,492 – $33,287 · median $16,635 14 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,661 – $16,968 · median $8,480 14 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,006 – $12,336 · median $6,165 14 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $37,946 – $107,326 · median $53,636 14 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $10,664 – $30,971 · median $15,478 14 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,618 – $16,848 · median $8,420 14 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $21,218 – $60,510 · median $30,240 14 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,272 – $15,878 · median $7,935 14 plans
881 DEPRESSIVE NEUROSES $5,166 – $15,582 · median $7,787 14 plans
882 NEUROSES EXCEPT DEPRESSIVE $5,895 – $17,623 · median $8,807 14 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $10,795 – $31,338 · median $15,661 14 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $8,833 – $25,845 · median $12,916 14 plans
885 PSYCHOSES $7,668 – $22,587 · median $11,288 14 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,393 – $33,013 · median $16,498 14 plans
887 OTHER MENTAL DISORDER DIAGNOSES $5,879 – $17,579 · median $8,785 14 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,387 – $10,603 · median $5,299 14 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,772 – $22,875 · median $11,432 14 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,581 – $27,938 · median $13,962 14 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,847 – $14,689 · median $7,341 14 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $23,039 – $65,607 · median $32,787 14 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $10,511 – $30,541 · median $15,263 14 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $6,421 – $19,096 · median $9,543 14 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $20,165 – $57,563 · median $28,767 14 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,144 – $23,918 · median $11,953 14 plans
906 HAND PROCEDURES FOR INJURIES $10,784 – $31,306 · median $15,645 14 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $21,078 – $60,116 · median $30,043 14 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $10,954 – $31,782 · median $15,883 14 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $7,207 – $21,295 · median $10,642 14 plans
913 TRAUMATIC INJURY WITH MCC $8,974 – $26,241 · median $13,114 14 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,861 – $14,731 · median $7,362 14 plans
915 ALLERGIC REACTIONS WITH MCC $9,232 – $26,963 · median $13,475 14 plans
916 ALLERGIC REACTIONS WITHOUT MCC $3,658 – $11,362 · median $5,678 14 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $8,611 – $25,223 · median $12,605 14 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,705 – $14,293 · median $7,143 14 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $10,051 – $29,255 · median $14,620 14 plans
920 COMPLICATIONS OF TREATMENT WITH CC $5,503 – $16,524 · median $8,258 14 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,779 – $11,702 · median $5,848 14 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $9,604 – $28,004 · median $13,995 14 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,587 – $16,762 · median $8,377 14 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $117,214 – $329,181 · median $164,508 14 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $39,378 – $111,336 · median $55,640 14 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $17,682 – $50,613 · median $25,294 14 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $21,379 – $60,960 · median $30,465 14 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $12,136 – $35,092 · median $17,537 14 plans
935 NON-EXTENSIVE BURNS $11,309 – $32,776 · median $16,380 14 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,920 – $56,876 · median $28,424 14 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,830 – $37,033 · median $18,507 14 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $11,132 – $32,280 · median $16,132 14 plans
945 REHABILITATION WITH CC/MCC $8,502 – $24,918 · median $12,453 14 plans
946 REHABILITATION WITHOUT CC/MCC $6,296 – $18,745 · median $9,368 14 plans
947 SIGNS AND SYMPTOMS WITH MCC $6,969 – $20,628 · median $10,309 14 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,395 – $13,425 · median $6,709 14 plans
949 AFTERCARE WITH CC/MCC $6,531 – $19,404 · median $9,697 14 plans
950 AFTERCARE WITHOUT CC/MCC $3,446 – $10,769 · median $5,382 14 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,052 – $9,667 · median $4,831 14 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $36,954 – $104,550 · median $52,249 14 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $20,659 – $58,943 · median $29,457 14 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $41,833 – $118,207 · median $59,074 14 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $23,134 – $65,873 · median $32,920 14 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,163 – $46,361 · median $23,169 14 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $15,009 – $43,130 · median $21,554 14 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $8,414 – $24,672 · median $12,330 14 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,163 – $15,576 · median $7,784 14 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $33,606 – $95,180 · median $47,566 14 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $14,479 – $41,649 · median $20,814 14 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $15,844 – $45,469 · median $22,723 14 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $7,110 – $21,023 · median $10,506 14 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,956 – $14,995 · median $7,494 14 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $7,124 – $21,065 · median $10,527 14 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $25,758 – $73,215 · median $36,589 14 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,497 – $38,899 · median $19,440 14 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,410 – $27,460 · median $13,723 14 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $18,822 – $53,803 · median $26,888 14 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $9,023 – $26,379 · median $13,183 14 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,584 – $19,550 · median $9,770 14 plans
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