St Joseph's University Medical Center Inc — Pricing

797 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 797 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 797
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 797 procedures

Procedures with negotiated rates only

These 797 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $6,427 – $884,558 · median $315,836 26 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $6,427 – $609,888 · median $219,112 26 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $6,427 – $286,606 · median $105,269 26 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $6,427 – $112,178 · median $43,844 26 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $6,427 – $402,663 · median $146,138 26 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $6,427 – $264,090 · median $97,340 26 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $6,427 – $236,350 · median $87,571 26 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $6,427 – $319,930 · median $117,004 26 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $6,427 – $217,593 · median $80,966 26 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $6,427 – $192,866 · median $72,258 26 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $6,427 – $209,051 · median $77,958 26 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $6,427 – $131,918 · median $50,796 26 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $6,427 – $336,692 · median $122,906 26 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $6,427 – $246,801 · median $91,252 26 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $6,427 – $323,598 · median $118,295 26 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $6,427 – $215,656 · median $80,284 26 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $6,427 – $243,980 · median $90,258 26 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $6,427 – $167,665 · median $63,384 26 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $6,427 – $143,349 · median $56,749 26 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $6,427 – $94,495 · median $37,617 26 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $6,427 – $75,904 · median $32,147 26 plans
245 AICD GENERATOR PROCEDURES $6,427 – $188,003 · median $70,546 26 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $6,427 – $97,532 · median $38,687 26 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $6,427 – $65,839 · median $27,526 26 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $6,427 – $139,146 · median $53,341 26 plans
253 OTHER VASCULAR PROCEDURES WITH CC $6,427 – $105,843 · median $41,613 26 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $6,427 – $71,988 · median $29,691 26 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,580 – $50,538 · median $15,686 26 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $9,450 – $73,510 · median $21,418 26 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $9,450 – $42,489 · median $16,123 26 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,606 – $35,942 · median $15,432 26 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,485 – $72,585 · median $21,187 26 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,251 – $43,609 · median $16,283 26 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,251 – $35,473 · median $15,331 26 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,350 – $58,848 · median $17,760 26 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $7,350 – $41,319 · median $13,718 26 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,350 – $34,647 · median $12,133 26 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,030 – $41,829 · median $13,848 26 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,030 – $30,980 · median $11,656 26 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,030 – $27,146 · median $11,164 26 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $237,585 – $1,124,294 · median $406,423 25 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $120,748 – $507,995 · median $186,052 25 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $92,247 – $429,411 · median $157,953 25 plans
006 LIVER TRANSPLANT WITHOUT MCC $43,769 – $200,678 · median $76,165 25 plans
007 LUNG TRANSPLANT $95,814 – $508,921 · median $186,383 25 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $47,219 – $218,303 · median $82,467 25 plans
010 PANCREAS TRANSPLANT $40,606 – $199,711 · median $75,819 25 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $45,586 – $213,930 · median $80,903 25 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $41,994 – $166,159 · median $66,306 25 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $20,928 – $111,427 · median $44,251 25 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $107,503 – $475,501 · median $174,433 25 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $58,828 – $256,278 · median $96,045 25 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $39,412 – $256,278 · median $96,045 25 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $85,408 – $350,682 · median $129,802 25 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $62,849 – $254,801 · median $95,517 25 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $41,191 – $162,749 · median $62,602 25 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $58,236 – $235,193 · median $88,506 25 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $35,258 – $157,194 · median $60,616 25 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $28,610 – $183,215 · median $69,921 25 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $31,727 – $122,521 · median $48,218 25 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $21,333 – $100,939 · median $40,501 25 plans
028 SPINAL PROCEDURES WITH MCC $48,351 – $250,017 · median $93,807 25 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,144 – $142,233 · median $55,266 25 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $19,572 – $96,213 · median $38,811 25 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $32,001 – $170,794 · median $65,479 25 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $17,613 – $89,359 · median $36,360 25 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $15,182 – $67,333 · median $28,484 25 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $32,383 – $161,865 · median $62,286 25 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $19,973 – $95,404 · median $38,522 25 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $15,527 – $75,020 · median $31,233 25 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $28,874 – $140,050 · median $54,486 25 plans
038 EXTRACRANIAL PROCEDURES WITH CC $17,214 – $66,378 · median $28,143 25 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,187 – $47,339 · median $20,688 25 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $40,487 – $159,753 · median $61,531 25 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $21,216 – $92,550 · median $37,501 25 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $16,835 – $72,183 · median $30,218 25 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $15,297 – $80,675 · median $33,255 25 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,223 – $40,817 · median $18,426 25 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,844 – $61,134 · median $26,268 25 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $13,373 – $44,526 · median $19,713 25 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $19,112 – $99,325 · median $39,924 25 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $7,779 – $56,558 · median $24,399 25 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $15,829 – $71,689 · median $30,042 25 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,411 – $49,256 · median $21,352 25 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,491 – $37,232 · median $17,184 25 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $21,788 – $116,285 · median $45,988 25 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $19,354 – $77,655 · median $32,175 25 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $14,645 – $61,686 · median $26,465 25 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $21,965 – $83,102 · median $34,123 25 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $12,822 – $42,169 · median $18,895 25 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $9,552 – $28,524 · median $14,114 25 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,506 – $58,786 · median $25,360 25 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,403 – $36,137 · median $17,330 25 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,187 – $33,137 · median $15,764 25 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $14,785 – $74,245 · median $30,956 25 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $10,029 – $44,053 · median $19,549 25 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $9,552 – $32,486 · median $15,538 25 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $10,796 – $62,773 · median $26,854 25 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,254 – $42,576 · median $19,036 25 plans
075 VIRAL MENINGITIS WITH CC/MCC $13,328 – $79,402 · median $32,800 25 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,311 – $38,274 · median $17,545 25 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $13,962 – $62,686 · median $26,823 25 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,727 – $42,190 · median $18,903 25 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,715 – $30,735 · median $14,931 25 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $16,901 – $91,637 · median $37,175 25 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,688 – $37,734 · median $17,358 25 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,515 – $94,524 · median $38,207 25 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,908 – $56,276 · median $24,277 25 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,907 – $38,157 · median $17,504 25 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,679 – $94,296 · median $38,126 25 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,183 – $54,645 · median $23,573 25 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,467 – $36,768 · median $17,023 25 plans
088 CONCUSSION WITH MCC $13,311 – $63,636 · median $27,162 25 plans
089 CONCUSSION WITH CC $9,603 – $47,708 · median $20,816 25 plans
090 CONCUSSION WITHOUT CC/MCC $7,137 – $38,784 · median $17,722 25 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $20,366 – $74,232 · median $32,023 25 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $11,588 – $42,572 · median $19,035 25 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,368 – $32,129 · median $15,414 25 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $38,263 – $150,302 · median $58,152 25 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,216 – $98,918 · median $39,778 25 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $18,990 – $90,434 · median $36,744 25 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $38,402 – $150,891 · median $58,362 25 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $16,647 – $89,388 · median $36,371 25 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $7,791 – $54,774 · median $23,629 25 plans
100 SEIZURES WITH MCC $8,271 – $82,252 · median $33,819 25 plans
101 SEIZURES WITHOUT MCC $8,271 – $37,738 · median $17,359 25 plans
102 HEADACHES WITH MCC $9,684 – $50,061 · median $21,632 25 plans
103 HEADACHES WITHOUT MCC $7,005 – $34,950 · median $16,392 25 plans
113 ORBITAL PROCEDURES WITH CC/MCC $20,714 – $104,025 · median $41,605 25 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,291 – $51,106 · median $22,047 25 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,253 – $64,905 · median $27,616 25 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $15,365 – $75,958 · median $31,568 25 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,018 – $49,720 · median $21,514 25 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,597 – $53,156 · median $22,931 25 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,349 – $30,889 · median $14,984 25 plans
123 NEUROLOGICAL EYE DISORDERS $5,760 – $33,357 · median $15,840 25 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $11,976 – $54,844 · median $23,659 25 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $7,365 – $33,087 · median $15,747 25 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $20,675 – $110,033 · median $43,753 25 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $10,907 – $43,327 · median $19,297 25 plans
137 MOUTH PROCEDURES WITH CC/MCC $17,588 – $62,429 · median $26,931 25 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,458 – $35,917 · median $16,728 25 plans
139 SALIVARY GLAND PROCEDURES $10,438 – $49,276 · median $21,360 25 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,922 – $87,583 · median $35,725 25 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $11,250 – $51,272 · median $22,118 25 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,512 – $36,913 · median $17,073 25 plans
149 DYSEQUILIBRIUM $2,769 – $30,897 · median $14,987 25 plans
150 EPISTAXIS WITH MCC $11,942 – $54,537 · median $23,527 25 plans
151 EPISTAXIS WITHOUT MCC $6,332 – $31,976 · median $15,361 25 plans
152 OTITIS MEDIA AND URI WITH MCC $7,973 – $49,297 · median $21,367 25 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $4,005 – $30,486 · median $14,845 25 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $17,915 – $63,818 · median $27,228 25 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,140 – $39,273 · median $17,891 25 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,776 – $27,196 · median $13,457 25 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,963 – $70,822 · median $29,732 25 plans
158 DENTAL AND ORAL DISEASES WITH CC $4,303 – $38,937 · median $17,775 25 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,102 – $28,013 · median $13,862 25 plans
163 MAJOR CHEST PROCEDURES WITH MCC $47,440 – $195,563 · median $74,336 25 plans
164 MAJOR CHEST PROCEDURES WITH CC $23,110 – $105,814 · median $42,244 25 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $11,337 – $77,850 · median $32,245 25 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $37,053 – $168,354 · median $64,607 25 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $14,517 – $75,502 · median $31,405 25 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,069 – $56,247 · median $24,264 25 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $16,596 – $58,209 · median $25,222 25 plans
176 PULMONARY EMBOLISM WITHOUT MCC $10,862 – $33,838 · median $16,007 25 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $14,302 – $70,382 · median $29,575 25 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $12,532 – $40,937 · median $19,046 25 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,731 – $31,669 · median $15,255 25 plans
180 RESPIRATORY NEOPLASMS WITH MCC $14,171 – $72,116 · median $30,195 25 plans
181 RESPIRATORY NEOPLASMS WITH CC $12,236 – $45,684 · median $20,114 25 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $7,152 – $33,141 · median $15,765 25 plans
183 MAJOR CHEST TRAUMA WITH MCC $13,411 – $65,324 · median $27,766 25 plans
184 MAJOR CHEST TRAUMA WITH CC $6,686 – $43,642 · median $19,406 25 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,588 – $31,353 · median $15,145 25 plans
186 PLEURAL EFFUSION WITH MCC $15,376 – $64,395 · median $27,434 25 plans
187 PLEURAL EFFUSION WITH CC $9,482 – $41,335 · median $18,606 25 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,870 – $30,972 · median $15,013 25 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,881 – $51,114 · median $22,050 25 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,195 – $45,721 · median $20,127 25 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $8,445 – $35,224 · median $16,487 25 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $9,165 – $26,628 · median $13,373 25 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,270 – $55,039 · median $23,743 25 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,023 – $34,112 · median $16,102 25 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,556 – $25,956 · median $12,843 25 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $12,533 – $78,638 · median $32,527 25 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $9,011 – $41,385 · median $18,624 25 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,824 – $32,287 · median $15,469 25 plans
199 PNEUMOTHORAX WITH MCC $18,780 – $73,606 · median $30,727 25 plans
200 PNEUMOTHORAX WITH CC $13,146 – $44,684 · median $19,767 25 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $5,731 – $29,295 · median $14,432 25 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,993 – $39,726 · median $18,048 25 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,212 – $28,831 · median $14,266 25 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $4,698 – $34,141 · median $16,112 25 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $13,654 – $75,108 · median $31,264 25 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,552 – $37,900 · median $17,415 25 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $98,588 – $423,802 · median $155,947 25 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $49,821 – $199,429 · median $75,718 25 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $22,924 – $116,551 · median $46,083 25 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $14,357 – $57,836 · median $24,950 25 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $22,853 – $113,987 · median $45,166 25 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,379 – $68,030 · median $28,733 25 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $10,130 – $41,116 · median $18,530 25 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $26,887 – $112,377 · median $44,591 25 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $18,864 – $77,443 · median $32,100 25 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $32,560 – $137,544 · median $53,590 25 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $15,239 – $78,074 · median $32,325 25 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $14,672 – $68,262 · median $28,817 25 plans
263 VEIN LIGATION AND STRIPPING $21,520 – $117,215 · median $46,321 25 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $34,781 – $135,503 · median $52,860 25 plans
265 AICD LEAD PROCEDURES $28,037 – $146,626 · median $56,837 25 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $55,021 – $259,144 · median $97,071 25 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $50,538 – $202,475 · median $76,807 25 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $60,305 – $284,395 · median $106,099 25 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $43,494 – $172,536 · median $68,675 25 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $30,981 – $209,806 · median $79,428 25 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $36,638 – $143,394 · median $55,682 25 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $23,552 – $101,212 · median $40,599 25 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $31,869 – $161,683 · median $62,221 25 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $26,792 – $134,458 · median $52,486 25 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $16,997 – $65,822 · median $27,944 25 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,213 – $37,879 · median $17,408 25 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,573 – $29,793 · median $14,604 25 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $22,144 – $81,791 · median $33,654 25 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,896 – $30,689 · median $14,915 25 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,365 – $21,753 · median $10,033 25 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $21,282 – $89,434 · median $36,387 25 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $13,458 – $44,875 · median $19,833 25 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $22,924 – $107,581 · median $42,876 25 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $15,382 – $61,308 · median $26,330 25 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,099 – $45,020 · median $19,884 25 plans
291 HEART FAILURE AND SHOCK WITH MCC $14,368 – $53,268 · median $22,979 25 plans
292 HEART FAILURE AND SHOCK WITH CC $9,038 – $35,535 · median $16,595 25 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,984 – $23,768 · median $11,527 25 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $10,442 – $45,377 · median $20,007 25 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,959 – $33,071 · median $15,741 25 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $13,813 – $66,515 · median $28,192 25 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,869 – $30,229 · median $14,755 25 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,341 – $20,397 · median $9,027 25 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $18,286 – $65,395 · median $27,791 25 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $7,618 – $44,269 · median $19,623 25 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,533 – $29,449 · median $14,485 25 plans
302 ATHEROSCLEROSIS WITH MCC $9,621 – $46,513 · median $20,402 25 plans
303 ATHEROSCLEROSIS WITHOUT MCC $5,091 – $27,304 · median $13,510 25 plans
304 HYPERTENSION WITH MCC $7,522 – $47,671 · median $20,803 25 plans
305 HYPERTENSION WITHOUT MCC $5,661 – $31,262 · median $15,114 25 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,674 – $63,760 · median $27,207 25 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,701 – $39,108 · median $17,834 25 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $12,488 – $49,878 · median $21,568 25 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,862 – $30,897 · median $14,987 25 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,302 – $23,533 · median $11,353 25 plans
311 ANGINA PECTORIS $6,399 – $28,963 · median $14,317 25 plans
312 SYNCOPE AND COLLAPSE $4,958 – $35,826 · median $16,696 25 plans
313 CHEST PAIN $6,171 – $30,021 · median $14,683 25 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $12,383 – $86,857 · median $35,466 25 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,882 – $40,132 · median $18,189 25 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,748 – $28,739 · median $14,221 25 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $52,479 – $210,723 · median $81,908 25 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $15,205 – $103,615 · median $41,458 25 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $9,653 – $66,270 · median $28,104 25 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $33,119 – $187,398 · median $71,416 25 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $18,258 – $98,416 · median $39,599 25 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,086 – $69,370 · median $29,213 25 plans
332 RECTAL RESECTION WITH MCC $30,569 – $151,613 · median $58,621 25 plans
333 RECTAL RESECTION WITH CC $17,342 – $86,276 · median $35,258 25 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,750 – $66,594 · median $28,220 25 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $31,078 – $148,323 · median $57,444 25 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $17,582 – $87,347 · median $35,641 25 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,423 – $62,084 · median $26,608 25 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $26,873 – $113,696 · median $45,063 25 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,023 – $63,918 · median $27,263 25 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,461 – $53,430 · median $23,049 25 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $21,689 – $105,760 · median $42,225 25 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,594 – $53,994 · median $23,292 25 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,641 – $40,485 · median $18,311 25 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $18,718 – $99,574 · median $40,013 25 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $16,795 – $60,391 · median $26,002 25 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $6,448 – $46,011 · median $20,228 25 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $26,681 – $121,326 · median $47,791 25 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $17,235 – $71,270 · median $29,892 25 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $8,292 – $56,533 · median $24,388 25 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $29,370 – $177,519 · median $67,884 25 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $19,221 – $91,143 · median $36,998 25 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,129 – $53,152 · median $22,929 25 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $14,873 – $68,540 · median $28,916 25 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $6,786 – $41,004 · median $18,491 25 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,687 – $30,855 · median $14,973 25 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $19,811 – $72,510 · median $30,336 25 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,405 – $43,244 · median $19,268 25 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,686 – $29,727 · median $14,581 25 plans
374 DIGESTIVE MALIGNANCY WITH MCC $23,390 – $87,085 · median $35,547 25 plans
375 DIGESTIVE MALIGNANCY WITH CC $12,098 – $49,716 · median $21,512 25 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,006 – $36,983 · median $17,097 25 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $9,155 – $74,278 · median $30,968 25 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $8,787 – $40,817 · median $18,426 25 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,776 – $26,271 · median $12,999 25 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $12,508 – $80,841 · median $33,315 25 plans
381 COMPLICATED PEPTIC ULCER WITH CC $9,850 – $44,518 · median $19,710 25 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,907 – $31,411 · median $15,165 25 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $12,153 – $58,010 · median $25,025 25 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,695 – $36,332 · median $16,871 25 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $15,274 – $65,009 · median $27,653 25 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,998 – $40,311 · median $18,251 25 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $9,578 – $28,383 · median $14,044 25 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,507 – $60,304 · median $25,971 25 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,506 – $33,042 · median $15,731 25 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,012 – $23,699 · median $11,476 25 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $13,563 – $52,928 · median $22,832 25 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,521 – $32,594 · median $15,575 25 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $9,993 – $67,196 · median $28,435 25 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,787 – $38,871 · median $17,752 25 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,221 – $26,864 · median $13,293 25 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $48,389 – $228,405 · median $86,079 25 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $25,482 – $119,795 · median $47,243 25 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $18,052 – $89,243 · median $36,319 25 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $36,402 – $154,430 · median $59,628 25 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $20,894 – $81,206 · median $33,445 25 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $14,867 – $64,939 · median $27,628 25 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $30,589 – $126,143 · median $49,513 25 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $21,427 – $85,720 · median $35,059 25 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $15,168 – $62,632 · median $26,803 25 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $27,369 – $146,257 · median $56,705 25 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $15,445 – $81,974 · median $33,720 25 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,507 – $55,562 · median $23,969 25 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $14,833 – $96,163 · median $38,793 25 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $8,971 – $67,822 · median $28,659 25 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $5,043 – $54,483 · median $23,504 25 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $31,644 – $132,798 · median $51,893 25 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $19,589 – $70,930 · median $30,598 25 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,562 – $58,541 · median $25,254 25 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $30,191 – $162,259 · median $62,427 25 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,711 – $88,442 · median $36,032 25 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,430 – $66,461 · median $28,173 25 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $19,084 – $79,493 · median $32,832 25 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,084 – $42,775 · median $19,106 25 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,857 – $27,777 · median $13,745 25 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $20,080 – $73,016 · median $30,517 25 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,731 – $45,667 · median $20,108 25 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,788 – $34,482 · median $16,230 25 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $19,190 – $69,237 · median $29,165 25 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $8,757 – $35,481 · median $16,577 25 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $7,869 – $25,541 · median $12,638 25 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $17,954 – $75,850 · median $31,530 25 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $12,188 – $39,477 · median $17,962 25 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,731 – $29,652 · median $14,555 25 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $14,491 – $67,760 · median $28,637 25 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,222 – $45,090 · median $19,908 25 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,083 – $33,253 · median $15,804 25 plans
453 Inpatient MS-DRG $85,433 – $367,651 · median $135,869 25 plans
454 Inpatient MS-DRG $48,482 – $253,759 · median $95,145 25 plans
455 Inpatient MS-DRG $44,979 – $191,082 · median $72,733 25 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $82,088 – $349,727 · median $129,460 25 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $62,204 – $252,058 · median $94,537 25 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $46,070 – $187,987 · median $71,627 25 plans
459 Inpatient MS-DRG $57,436 – $275,167 · median $102,800 25 plans
460 Inpatient MS-DRG $24,712 – $151,763 · median $58,674 25 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $40,324 – $282,893 · median $105,562 25 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $28,734 – $118,090 · median $46,634 25 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $39,264 – $234,981 · median $88,430 25 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $32,198 – $124,525 · median $48,935 25 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,057 – $77,618 · median $32,162 25 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $45,997 – $215,187 · median $81,353 25 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $26,551 – $144,643 · median $56,128 25 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $25,111 – $110,759 · median $44,012 25 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $28,554 – $138,150 · median $53,807 25 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $15,223 – $78,070 · median $32,324 25 plans
471 CERVICAL SPINAL FUSION WITH MCC $38,337 – $204,084 · median $77,383 25 plans
472 CERVICAL SPINAL FUSION WITH CC $18,036 – $122,617 · median $48,252 25 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $18,154 – $102,088 · median $40,912 25 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $34,140 – $178,519 · median $68,241 25 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $23,836 – $88,981 · median $36,225 25 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,352 – $48,828 · median $21,204 25 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,787 – $139,776 · median $56,505 25 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $26,169 – $98,897 · median $41,319 25 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $16,175 – $77,336 · median $32,061 25 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $23,185 – $122,347 · median $48,156 25 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $17,019 – $86,086 · median $35,190 25 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $12,736 – $65,901 · median $27,972 25 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $21,441 – $103,067 · median $41,262 25 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $25,278 – $136,665 · median $53,275 25 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $19,957 – $83,322 · median $34,202 25 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,626 – $64,096 · median $27,327 25 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $19,004 – $87,401 · median $35,660 25 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,671 – $51,351 · median $22,152 25 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $24,620 – $143,639 · median $55,769 25 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $12,471 – $99,644 · median $40,038 25 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $10,735 – $77,551 · median $32,138 25 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $31,146 – $148,580 · median $57,536 25 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $17,640 – $82,459 · median $33,893 25 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,909 – $59,221 · median $25,548 25 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $17,429 – $108,328 · median $43,143 25 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $10,068 – $53,513 · median $23,085 25 plans
500 SOFT TISSUE PROCEDURES WITH MCC $27,599 – $134,541 · median $52,516 25 plans
501 SOFT TISSUE PROCEDURES WITH CC $11,327 – $72,012 · median $30,158 25 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,462 – $57,367 · median $24,748 25 plans
503 FOOT PROCEDURES WITH MCC $23,049 – $111,269 · median $44,195 25 plans
504 FOOT PROCEDURES WITH CC $15,559 – $71,656 · median $30,030 25 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $14,212 – $70,768 · median $29,713 25 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,686 – $60,682 · median $26,106 25 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $17,475 – $88,442 · median $36,032 25 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,021 – $59,495 · median $25,666 25 plans
509 ARTHROSCOPY $15,026 – $56,678 · median $24,450 25 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $24,580 – $112,875 · median $44,769 25 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,118 – $82,721 · median $33,987 25 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $9,316 – $66,955 · median $28,349 25 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $12,545 – $67,254 · median $28,456 25 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,993 – $43,211 · median $19,257 25 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $27,725 – $131,167 · median $51,310 25 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,425 – $84,671 · median $34,684 25 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $8,452 – $62,001 · median $26,578 25 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $27,889 – $151,510 · median $58,583 25 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $11,397 – $81,675 · median $33,613 25 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,054 – $59,392 · median $25,621 25 plans
533 FRACTURES OF FEMUR WITH MCC $13,768 – $67,685 · median $28,610 25 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,933 – $33,606 · median $15,926 25 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,600 – $53,799 · median $23,208 25 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,810 – $32,656 · median $15,597 25 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $8,190 – $40,120 · median $18,185 25 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,540 – $29,420 · median $14,475 25 plans
539 OSTEOMYELITIS WITH MCC $22,271 – $82,331 · median $33,847 25 plans
540 OSTEOMYELITIS WITH CC $15,573 – $53,861 · median $23,667 25 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $7,641 – $35,593 · median $16,615 25 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $16,420 – $75,663 · median $31,463 25 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $11,462 – $45,252 · median $19,964 25 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,108 – $31,843 · median $15,315 25 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $27,238 – $103,440 · median $43,007 25 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,622 – $49,758 · median $21,527 25 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,715 – $34,158 · median $16,118 25 plans
548 SEPTIC ARTHRITIS WITH MCC $18,596 – $80,895 · median $33,334 25 plans
549 SEPTIC ARTHRITIS WITH CC $11,192 – $50,044 · median $21,626 25 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,068 – $39,145 · median $17,847 25 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,177 – $70,610 · median $29,656 25 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,807 – $40,091 · median $18,175 25 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $15,950 – $56,072 · median $24,189 25 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $6,809 – $34,096 · median $16,096 25 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,507 – $58,043 · median $25,039 25 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,731 – $34,204 · median $16,134 25 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $14,040 – $64,590 · median $27,504 25 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,008 – $36,444 · median $16,910 25 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,762 – $76,775 · median $31,861 25 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,229 – $46,970 · median $20,560 25 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $10,457 – $32,370 · median $15,498 25 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $17,193 – $63,092 · median $26,968 25 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,130 – $37,158 · median $17,158 25 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,143 – $64,802 · median $27,579 25 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,905 – $41,464 · median $18,651 25 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,733 – $31,137 · median $15,070 25 plans
570 SKIN DEBRIDEMENT WITH MCC $27,300 – $121,239 · median $47,760 25 plans
571 SKIN DEBRIDEMENT WITH CC $10,422 – $70,195 · median $29,508 25 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $10,602 – $47,281 · median $20,668 25 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $47,241 – $257,983 · median $96,655 25 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $27,400 – $141,303 · median $54,934 25 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $15,820 – $84,886 · median $34,761 25 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $43,906 – $235,786 · median $88,718 25 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $22,572 – $109,909 · median $43,708 25 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,761 – $66,818 · median $28,300 25 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $25,168 – $138,665 · median $53,990 25 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $7,368 – $72,465 · median $30,319 25 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,254 – $55,873 · median $24,103 25 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $14,119 – $72,245 · median $30,241 25 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $12,397 – $63,142 · median $26,986 25 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,317 – $81,260 · median $33,464 25 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $11,979 – $69,867 · median $29,391 25 plans
592 SKIN ULCERS WITH MCC $13,069 – $86,716 · median $35,415 25 plans
593 SKIN ULCERS WITH CC $10,160 – $50,198 · median $21,679 25 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,199 – $32,668 · median $15,601 25 plans
595 MAJOR SKIN DISORDERS WITH MCC $17,874 – $90,239 · median $36,675 25 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $12,750 – $41,862 · median $18,789 25 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $13,159 – $66,403 · median $28,152 25 plans
598 MALIGNANT BREAST DISORDERS WITH CC $10,456 – $49,737 · median $21,519 25 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,445 – $27,914 · median $13,812 25 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,600 – $42,547 · median $19,026 25 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,571 – $26,283 · median $13,005 25 plans
602 CELLULITIS WITH MCC $8,838 – $61,715 · median $26,475 25 plans
603 CELLULITIS WITHOUT MCC $5,422 – $36,705 · median $17,001 25 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,745 – $62,491 · median $26,753 25 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,267 – $37,705 · median $17,348 25 plans
606 MINOR SKIN DISORDERS WITH MCC $12,421 – $65,793 · median $27,934 25 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $9,074 – $37,070 · median $17,128 25 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $21,263 – $93,450 · median $37,823 25 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,325 – $61,034 · median $26,232 25 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $37,199 – $164,201 · median $63,122 25 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $16,238 – $82,335 · median $33,849 25 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,429 – $48,189 · median $20,983 25 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $26,274 – $107,975 · median $43,017 25 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $16,279 – $67,303 · median $28,474 25 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $14,198 – $62,951 · median $26,918 25 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $34,167 – $158,720 · median $61,162 25 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $14,714 – $77,228 · median $32,022 25 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,659 – $46,239 · median $20,307 25 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $25,037 – $121,198 · median $47,745 25 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $14,489 – $61,897 · median $26,541 25 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $8,301 – $51,280 · median $22,122 25 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $33,059 – $166,558 · median $63,964 25 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $24,989 – $93,881 · median $38,437 25 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,804 – $57,931 · median $24,991 25 plans
637 DIABETES WITH MCC $12,529 – $60,130 · median $25,909 25 plans
638 DIABETES WITH CC $6,921 – $37,315 · median $17,212 25 plans
639 DIABETES WITHOUT CC/MCC $5,030 – $25,827 · median $12,780 25 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,341 – $54,566 · median $23,539 25 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,701 – $32,420 · median $15,515 25 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $7,733 – $54,073 · median $23,326 25 plans
643 ENDOCRINE DISORDERS WITH MCC $14,221 – $68,254 · median $28,814 25 plans
644 ENDOCRINE DISORDERS WITH CC $8,085 – $44,049 · median $19,547 25 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,684 – $31,569 · median $15,220 25 plans
652 KIDNEY TRANSPLANT $29,818 – $124,650 · median $48,979 25 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $49,378 – $224,605 · median $84,720 25 plans
654 MAJOR BLADDER PROCEDURES WITH CC $25,848 – $113,576 · median $45,020 25 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $18,686 – $87,451 · median $35,678 25 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $25,458 – $130,176 · median $50,955 25 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $20,902 – $76,514 · median $31,767 25 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $14,091 – $61,420 · median $26,370 25 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $24,532 – $107,411 · median $42,815 25 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $11,862 – $55,840 · median $24,089 25 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $4,978 – $43,497 · median $19,356 25 plans
662 MINOR BLADDER PROCEDURES WITH MCC $28,595 – $124,330 · median $48,865 25 plans
663 MINOR BLADDER PROCEDURES WITH CC $14,756 – $60,532 · median $26,053 25 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $10,666 – $44,045 · median $19,546 25 plans
665 PROSTATECTOMY WITH MCC $28,596 – $128,164 · median $50,236 25 plans
666 PROSTATECTOMY WITH CC $16,004 – $71,253 · median $29,886 25 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,719 – $43,547 · median $19,373 25 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $25,319 – $116,916 · median $46,214 25 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,462 – $63,669 · median $27,174 25 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $8,667 – $39,937 · median $18,122 25 plans
671 URETHRAL PROCEDURES WITH CC/MCC $15,145 – $71,025 · median $29,805 25 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $9,508 – $38,896 · median $17,761 25 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $21,895 – $153,426 · median $59,269 25 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $26,154 – $98,835 · median $39,749 25 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $14,621 – $65,822 · median $27,944 25 plans
682 RENAL FAILURE WITH MCC $15,483 – $62,267 · median $26,673 25 plans
683 RENAL FAILURE WITH CC $7,130 – $37,373 · median $17,233 25 plans
684 RENAL FAILURE WITHOUT CC/MCC $8,840 – $25,246 · median $12,492 25 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $15,451 – $76,315 · median $31,696 25 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,479 – $43,368 · median $19,311 25 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,115 – $32,399 · median $15,508 25 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $12,345 – $48,725 · median $21,168 25 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,223 – $33,477 · median $15,882 25 plans
693 URINARY STONES WITH MCC $11,907 – $58,761 · median $25,349 25 plans
694 URINARY STONES WITHOUT MCC $7,641 – $32,473 · median $15,534 25 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $10,333 – $49,621 · median $21,479 25 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,195 – $28,715 · median $14,208 25 plans
697 URETHRAL STRICTURE $8,636 – $46,181 · median $20,287 25 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,461 – $68,639 · median $28,952 25 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $11,621 – $42,352 · median $18,959 25 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,686 – $29,387 · median $14,463 25 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,706 – $81,397 · median $33,513 25 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,653 – $60,512 · median $26,045 25 plans
709 PENIS PROCEDURES WITH CC/MCC $18,278 – $90,064 · median $36,612 25 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $15,019 – $53,824 · median $23,219 25 plans
711 TESTES PROCEDURES WITH CC/MCC $18,743 – $88,077 · median $35,902 25 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $9,687 – $49,306 · median $21,370 25 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $13,165 – $60,188 · median $25,930 25 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $8,190 – $39,767 · median $18,063 25 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $19,880 – $91,587 · median $37,157 25 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,161 – $59,006 · median $25,455 25 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $15,283 – $75,249 · median $31,315 25 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,088 – $48,783 · median $21,188 25 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $14,930 – $77,784 · median $32,221 25 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,909 – $46,231 · median $20,304 25 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,199 – $33,585 · median $15,919 25 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $10,924 – $51,484 · median $22,210 25 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,877 – $30,324 · median $14,788 25 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $12,935 – $67,254 · median $28,456 25 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,119 – $33,195 · median $15,784 25 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,733 – $41,651 · median $18,716 25 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,113 – $25,790 · median $12,761 25 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $20,744 – $90,180 · median $36,654 25 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,280 – $52,284 · median $22,555 25 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $36,258 – $161,276 · median $62,076 25 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $18,275 – $81,891 · median $33,690 25 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,525 – $56,616 · median $24,424 25 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $32,364 – $150,037 · median $58,057 25 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,335 – $74,141 · median $30,919 25 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,944 – $53,907 · median $23,255 25 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $8,758 – $73,929 · median $30,843 25 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,674 – $48,210 · median $20,990 25 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $15,206 – $78,099 · median $32,334 25 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $9,620 – $42,978 · median $19,176 25 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $15,092 – $69,540 · median $29,273 25 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,731 – $36,809 · median $17,037 25 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,640 – $58,288 · median $25,145 25 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $23,407 – $104,436 · median $41,751 25 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,010 – $56,425 · median $24,341 25 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $16,565 – $76,858 · median $31,890 25 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,489 – $45,003 · median $20,207 25 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,018 – $41,062 · median $18,511 25 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,962 – $61,885 · median $26,536 25 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,023 – $41,182 · median $18,553 25 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,394 – $26,810 · median $13,266 25 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $6,669 – $41,298 · median $18,593 25 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,943 – $25,126 · median $12,433 25 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $17,971 – $64,055 · median $27,312 25 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,606 – $33,137 · median $15,764 25 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,711 – $29,735 · median $14,584 25 plans
779 ABORTION WITHOUT D&C $5,770 – $41,041 · median $18,504 25 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,659 – $75,485 · median $28,451 25 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,434 – $248,938 · median $74,411 25 plans
791 PREMATURITY WITH MAJOR PROBLEMS $3,326 – $170,009 · median $51,931 25 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,659 – $102,582 · median $32,727 25 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $3,326 – $174,640 · median $53,250 25 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,659 – $61,814 · median $21,116 25 plans
795 NORMAL NEWBORN $2,216 – $13,808 · median $5,126 25 plans
799 SPLENIC PROCEDURES WITH MCC $42,295 – $205,561 · median $77,911 25 plans
800 SPLENIC PROCEDURES WITH CC $23,630 – $116,904 · median $46,209 25 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $14,000 – $74,253 · median $30,959 25 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $30,111 – $142,340 · median $55,305 25 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $15,492 – $77,095 · median $31,975 25 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,414 – $50,218 · median $21,686 25 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $24,279 – $90,865 · median $38,335 25 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $7,441 – $49,969 · median $21,600 25 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,054 – $41,676 · median $18,724 25 plans
811 RED BLOOD CELL DISORDERS WITH MCC $16,602 – $58,234 · median $25,122 25 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,942 – $37,369 · median $17,231 25 plans
813 COAGULATION DISORDERS $9,863 – $64,723 · median $27,551 25 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $23,674 – $88,293 · median $37,379 25 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,795 – $41,248 · median $18,576 25 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,520 – $29,465 · median $14,491 25 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,496 – $116,866 · median $46,196 25 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,309 – $59,375 · median $25,614 25 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,419 – $37,639 · median $17,325 25 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $48,970 – $250,872 · median $94,112 25 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $21,539 – $92,608 · median $37,522 25 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $10,883 – $51,397 · median $22,172 25 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $40,703 – $186,779 · median $71,195 25 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,741 – $92,641 · median $37,534 25 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,226 – $53,579 · median $23,113 25 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $44,510 – $191,999 · median $73,061 25 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $20,256 – $96,138 · median $38,784 25 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $14,711 – $68,059 · median $28,744 25 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $27,974 – $130,848 · median $51,196 25 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,764 – $65,602 · median $27,866 25 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $13,397 – $44,613 · median $19,743 25 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,949 – $30,606 · median $14,886 25 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,216 – $22,392 · median $10,507 25 plans
834 ACUTE LEUKEMIA WITH MCC $57,554 – $232,297 · median $87,471 25 plans
835 ACUTE LEUKEMIA WITH CC $21,014 – $92,749 · median $37,572 25 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $7,641 – $58,578 · median $25,270 25 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $48,345 – $200,973 · median $76,270 25 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $16,723 – $83,049 · median $34,104 25 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,252 – $54,064 · median $23,323 25 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $29,622 – $129,661 · median $50,771 25 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $14,707 – $65,283 · median $27,751 25 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $10,085 – $44,244 · median $19,615 25 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $16,606 – $77,194 · median $32,011 25 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $9,552 – $48,011 · median $20,921 25 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,792 – $35,884 · median $16,716 25 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,247 – $101,399 · median $40,665 25 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,692 – $50,310 · median $21,718 25 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,389 – $34,693 · median $16,303 25 plans
849 RADIOTHERAPY $17,724 – $111,663 · median $44,336 25 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $41,260 – $207,416 · median $78,574 25 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $13,644 – $84,563 · median $34,645 25 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,033 – $70,606 · median $29,655 25 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $46,128 – $183,730 · median $70,105 25 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $23,748 – $88,608 · median $36,092 25 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,415 – $53,247 · median $22,970 25 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $20,881 – $76,423 · median $32,968 25 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $12,716 – $41,717 · median $19,325 25 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,612 – $36,626 · median $16,974 25 plans
865 VIRAL ILLNESS WITH MCC $12,434 – $68,038 · median $28,736 25 plans
866 VIRAL ILLNESS WITHOUT MCC $7,380 – $38,074 · median $17,476 25 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $19,188 – $86,807 · median $35,448 25 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,847 – $45,036 · median $19,889 25 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,643 – $28,656 · median $14,180 25 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $47,877 – $288,967 · median $107,734 25 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $17,281 – $82,256 · median $33,820 25 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $9,928 – $42,730 · median $19,090 25 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $29,698 – $154,816 · median $59,766 25 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,642 – $34,650 · median $12,862 25 plans
881 DEPRESSIVE NEUROSES $2,642 – $33,318 · median $12,368 25 plans
882 NEUROSES EXCEPT DEPRESSIVE $2,642 – $34,226 · median $12,705 25 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,642 – $60,138 · median $22,658 25 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,642 – $56,858 · median $21,106 25 plans
885 PSYCHOSES $2,642 – $46,049 · median $17,093 25 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,642 – $54,777 · median $20,333 25 plans
887 OTHER MENTAL DISORDER DIAGNOSES $2,642 – $44,089 · median $16,366 25 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,642 – $24,128 · median $8,956 25 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,642 – $52,759 · median $19,584 25 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,642 – $57,445 · median $21,323 25 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,642 – $31,909 · median $11,845 25 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $34,160 – $179,556 · median $68,612 25 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,422 – $78,194 · median $32,368 25 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $10,470 – $51,509 · median $22,220 25 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $29,020 – $135,096 · median $52,715 25 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $15,915 – $65,706 · median $27,903 25 plans
906 HAND PROCEDURES FOR INJURIES $16,581 – $78,066 · median $32,322 25 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $27,506 – $154,318 · median $59,588 25 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $11,119 – $83,148 · median $34,139 25 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,923 – $56,272 · median $24,275 25 plans
913 TRAUMATIC INJURY WITH MCC $13,241 – $62,005 · median $26,579 25 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,605 – $37,660 · median $17,332 25 plans
915 ALLERGIC REACTIONS WITH MCC $12,829 – $73,601 · median $30,726 25 plans
916 ALLERGIC REACTIONS WITHOUT MCC $4,489 – $27,333 · median $13,525 25 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $12,219 – $66,212 · median $28,084 25 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,261 – $35,718 · median $16,659 25 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $20,712 – $75,705 · median $31,478 25 plans
920 COMPLICATIONS OF TREATMENT WITH CC $9,933 – $42,891 · median $19,146 25 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,226 – $28,951 · median $14,312 25 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $14,019 – $72,394 · median $30,294 25 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $11,450 – $41,962 · median $18,824 25 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $165,384 – $1,093,596 · median $395,446 25 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $52,856 – $287,091 · median $107,064 25 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $26,737 – $133,408 · median $52,111 25 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $25,731 – $125,795 · median $49,389 25 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $16,494 – $86,816 · median $35,451 25 plans
935 NON-EXTENSIVE BURNS $11,150 – $84,683 · median $34,688 25 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $29,495 – $133,400 · median $52,108 25 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $16,637 – $89,890 · median $36,550 25 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $16,655 – $77,004 · median $31,942 25 plans
945 REHABILITATION WITH CC/MCC $1,664 – $62,628 · median $21,348 25 plans
946 REHABILITATION WITHOUT CC/MCC $1,664 – $42,016 · median $15,478 25 plans
947 SIGNS AND SYMPTOMS WITH MCC $15,118 – $51,928 · median $22,401 25 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,937 – $33,233 · median $15,797 25 plans
949 AFTERCARE WITH CC/MCC $13,372 – $44,509 · median $20,323 25 plans
950 AFTERCARE WITHOUT CC/MCC $6,701 – $26,495 · median $13,110 25 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,235 – $24,557 · median $12,112 25 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $54,847 – $252,676 · median $94,758 25 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $34,038 – $160,903 · median $61,942 25 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $73,500 – $300,069 · median $111,704 25 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $42,383 – $167,815 · median $64,414 25 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,317 – $105,067 · median $41,977 25 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $21,383 – $113,443 · median $44,972 25 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $13,268 – $62,275 · median $26,676 25 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $8,736 – $39,659 · median $18,025 25 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $50,365 – $285,137 · median $106,365 25 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $25,077 – $115,323 · median $45,644 25 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $18,027 – $121,003 · median $47,675 25 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,895 – $56,562 · median $24,400 25 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $8,444 – $35,071 · median $16,434 25 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $16,724 – $58,753 · median $25,345 25 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $30,085 – $196,674 · median $74,733 25 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,419 – $103,142 · median $41,289 25 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,604 – $67,843 · median $28,667 25 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,979 – $140,096 · median $54,502 25 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $19,466 – $70,407 · median $30,373 25 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,542 – $44,821 · median $19,815 25 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $362,536 – $1,528,567 · median $561,702 24 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $80,928 – $331,642 · median $125,387 24 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $39,780 – $156,750 · median $61,634 24 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $23,123 – $85,953 · median $35,826 24 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $17,982 – $64,101 · median $27,490 24 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $35,363 – $137,976 · median $54,790 24 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $19,793 – $71,797 · median $30,526 24 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $14,820 – $50,662 · median $22,189 24 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $32,917 – $127,579 · median $51,000 24 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $108,037 – $446,866 · median $167,390 24 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $71,580 – $291,908 · median $110,903 24 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $63,521 – $257,655 · median $98,417 24 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $49,583 – $198,417 · median $76,823 24 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $46,440 – $185,058 · median $71,953 24 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $34,143 – $132,790 · median $52,900 24 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $45,479 – $180,971 · median $70,463 24 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $24,629 – $92,355 · median $38,160 24 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $30,962 – $119,268 · median $47,971 24 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $20,699 – $75,651 · median $32,047 24 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $43,313 – $171,764 · median $67,107 24 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $31,878 – $123,164 · median $49,391 24 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $28,713 – $109,709 · median $44,486 24 plans
397 APPENDIX PROCEDURES WITH MCC $24,830 – $93,209 · median $38,471 24 plans
398 APPENDIX PROCEDURES WITH CC $17,672 – $62,785 · median $26,972 24 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $13,766 – $46,181 · median $20,604 24 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $32,128 – $124,226 · median $49,778 24 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $23,518 – $87,633 · median $36,439 24 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $46,802 – $186,597 · median $72,514 24 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $36,659 – $143,486 · median $56,799 24 plans
888 Behavioral Health/Psychiatric $2,642 – $5,298 · median $3,583 5 plans
889 Behavioral Health/Psychiatric $2,642 – $5,298 · median $3,583 5 plans
890 Behavioral Health/Psychiatric $2,642 – $5,298 · median $3,583 5 plans
891 Behavioral Health/Psychiatric $2,642 – $5,298 · median $3,583 5 plans
892 Behavioral Health/Psychiatric $2,642 – $5,298 · median $3,583 5 plans
893 Behavioral Health/Psychiatric $2,642 – $5,298 · median $3,583 5 plans
222 DRG Carveouts $6,427 – $62,256 · median $34,342 2 plans
223 DRG Carveouts $6,427 – $57,179 · median $31,803 2 plans
224 DRG Carveouts $6,427 – $55,422 · median $30,925 2 plans
225 DRG Carveouts $6,427 – $51,451 · median $28,939 2 plans
226 DRG Carveouts $6,427 – $62,401 · median $34,414 2 plans
227 DRG Carveouts $6,427 – $47,828 · median $27,128 2 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS $6,427 – $32,398 · median $19,413 2 plans
247 DRG Carveouts $6,427 – $22,173 · median $14,300 2 plans
248 DRG Carveouts $6,427 – $28,540 · median $17,484 2 plans
249 DRG Carveouts $6,427 – $17,903 · median $12,165 2 plans
129 MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE $21,869 – $21,869 · median $21,869 1 plans
130 MAJOR HEAD & NECK PROCEDURES W/O CC/MCC $13,415 – $13,415 · median $13,415 1 plans
131 CRANIAL/FACIAL PROCEDURES W CC/MCC $20,110 – $20,110 · median $20,110 1 plans
132 CRANIAL/FACIAL PROCEDURES W/O CC/MCC $8,928 – $8,928 · median $8,928 1 plans
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $12,844 – $12,844 · median $12,844 1 plans
134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC $6,226 – $6,226 · median $6,226 1 plans
230 DRG Carveouts $6,427 – $6,427 · median $6,427 1 plans
237 DRG Carveouts $6,427 – $6,427 · median $6,427 1 plans
238 DRG Carveouts $6,427 – $6,427 · median $6,427 1 plans
338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC $25,772 – $25,772 · median $25,772 1 plans
339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC $56,237 – $56,237 · median $56,237 1 plans
340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC $41,814 – $41,814 · median $41,814 1 plans
341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC $17,478 – $17,478 · median $17,478 1 plans
342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC $8,684 – $8,684 · median $8,684 1 plans
343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC $6,466 – $6,466 · median $6,466 1 plans
691 URINARY STONES W ESW LITHOTRIPSY W CC/MCC $14,611 – $14,611 · median $14,611 1 plans
692 URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC $10,171 – $10,171 · median $10,171 1 plans
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