Montefiore Mount Vernon Hospital — Pricing
768 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 768 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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 768 procedures
Procedures with negotiated rates only
These 768 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 |
|---|---|---|---|
| 894 | Alcohol drug abuse or dependence left AMA | $4,988 – $44,019 · median $5,238 | 42 plans |
| 895 | Alcohol drug abuse or dependence with rehabilitation therapy | $11,573 – $102,123 · median $12,152 | 42 plans |
| 896 | Alcohol drug abuse or dependence w o rehabilitation therapy w MCC | $14,234 – $125,603 · median $14,945 | 42 plans |
| 897 | Alcohol drug abuse or dependence w o rehabilitation thrpy w o MCC | $7,051 – $62,223 · median $7,404 | 42 plans |
| 884 | Organic disturbances and intellectual disability | $13,349 – $117,795 · median $14,016 | 40 plans |
| 880 | Acute adjustment reaction and psychosocial dysfunction | $7,662 – $67,612 · median $8,045 | 39 plans |
| 881 | Depressive neuroses | $7,306 – $64,473 · median $7,672 | 39 plans |
| 882 | Neuroses except depressive | $7,688 – $67,845 · median $8,073 | 39 plans |
| 883 | Disorders of personality and impulse control | $14,838 – $130,936 · median $15,580 | 39 plans |
| 885 | Psychoses | $11,266 – $99,415 · median $11,829 | 39 plans |
| 886 | Behavioral and developmental disorders | $14,358 – $126,704 · median $15,076 | 39 plans |
| 887 | Other mental disorder diagnoses | $9,506 – $83,884 · median $9,981 | 39 plans |
| 001 | Heart transplant or implant of heart assist system with MCC | $225,131 – $1,986,633 · median $240,890 | 38 plans |
| 002 | Heart transplant or implant of heart assist system without MCC | $88,079 – $777,241 · median $94,245 | 38 plans |
| 003 | ECMO or trach w MV 96 hrs or PDX exc face mouth neck w maj O R | $171,289 – $1,511,515 · median $183,279 | 38 plans |
| 004 | Trach w MV 96 hrs or PDX exc face mouth neck w o maj O R | $112,932 – $996,554 · median $120,838 | 38 plans |
| 005 | Liver transplant with MCC or intestinal transplant | $85,113 – $751,067 · median $91,071 | 38 plans |
| 006 | Liver transplant without MCC | $38,757 – $342,003 · median $41,470 | 38 plans |
| 007 | Lung transplant | $104,450 – $921,705 · median $111,762 | 38 plans |
| 008 | Simultaneous pancreas and kidney transplant | $43,488 – $383,751 · median $46,532 | 38 plans |
| 010 | Pancreas transplant | $63,724 – $562,323 · median $68,185 | 38 plans |
| 011 | Tracheostomy for face mouth neck diagnoses or laryngectomy w MCC | $43,126 – $380,562 · median $46,145 | 38 plans |
| 012 | Tracheostomy for face mouth neck diagnoses or laryngectomy w CC | $32,798 – $289,421 · median $35,094 | 38 plans |
| 013 | Tracheostomy for face mouth neck diag or laryngectomy w o CC MCC | $21,180 – $186,896 · median $22,662 | 38 plans |
| 014 | Allogeneic bone marrow transplant | $104,714 – $924,033 · median $112,044 | 38 plans |
| 016 | Autologous bone marrow transplant with CC MCC | $48,241 – $425,696 · median $51,618 | 38 plans |
| 017 | Autologous bone marrow transplant without CC MCC | $48,241 – $425,696 · median $51,618 | 38 plans |
| 018 | Chimeric antigen receptor CAR T cell and other immunotherapies | $301,413 – $2,659,776 · median $322,512 | 38 plans |
| 019 | Simultaneous pancreas and kidney transplant with hemodialysis | $63,357 – $559,086 · median $67,792 | 38 plans |
| 020 | Intracranial vascular procedures with PDX hemorrhage w MCC | $64,427 – $568,523 · median $68,937 | 38 plans |
| 021 | Intracranial vascular procedures with PDX hemorrhage w CC | $44,179 – $389,852 · median $47,272 | 38 plans |
| 022 | Intracranial vascular procedures with PDX hemorrhage w o CC MCC | $28,218 – $249,006 · median $30,193 | 38 plans |
| 023 | Craniot w maj dev impl acute CNS PDX w MCC or chemo epilep w neuros | $45,597 – $402,364 · median $48,789 | 38 plans |
| 024 | Craniotomy w major device implant or acute complex CNS PDX w o MCC | $30,384 – $268,120 · median $32,511 | 38 plans |
| 025 | Craniotomy and endovascular intracranial procedures with MCC | $35,744 – $315,419 · median $38,246 | 38 plans |
| 026 | Craniotomy and endovascular intracranial procedures with CC | $24,445 – $215,715 · median $26,157 | 38 plans |
| 027 | Craniotomy and endovascular intracranial procedures without CC MCC | $19,723 – $174,045 · median $21,104 | 38 plans |
| 028 | Spinal procedures with MCC | $48,590 – $428,771 · median $51,991 | 38 plans |
| 029 | Spinal procedures with CC or spinal neurostimulators | $26,828 – $236,741 · median $28,706 | 38 plans |
| 030 | Spinal procedures without CC MCC | $17,786 – $156,948 · median $19,031 | 38 plans |
| 031 | Ventricular shunt procedures with MCC | $33,493 – $295,550 · median $35,837 | 38 plans |
| 032 | Ventricular shunt procedures with CC | $17,069 – $150,621 · median $18,264 | 38 plans |
| 033 | Ventricular shunt procedures without CC MCC | $12,752 – $112,527 · median $13,644 | 38 plans |
| 034 | Carotid artery stent procedures with MCC | $31,080 – $274,264 · median $33,256 | 38 plans |
| 035 | Carotid artery stent procedures with CC | $18,181 – $160,432 · median $19,453 | 38 plans |
| 036 | Carotid artery stent procedures without CC MCC | $14,651 – $129,285 · median $15,677 | 38 plans |
| 037 | Extracranial procedures with MCC | $26,542 – $234,216 · median $28,400 | 38 plans |
| 038 | Extracranial procedures with CC | $12,877 – $113,634 · median $13,779 | 38 plans |
| 039 | Extracranial procedures without CC MCC | $9,098 – $80,280 · median $9,734 | 38 plans |
| 040 | Peripheral cranial nerve and other nervous system procedures w MCC | $30,148 – $266,033 · median $32,258 | 38 plans |
| 041 | Periph cranial nerve other nerv syst proc w CC or periph neurost | $18,053 – $159,304 · median $19,316 | 38 plans |
| 042 | Peripheral cranial nerve other nervous system proc w o CC MCC | $14,048 – $123,960 · median $15,031 | 38 plans |
| 052 | Spinal disorders and injuries with CC MCC | $16,085 – $141,939 · median $17,211 | 38 plans |
| 053 | Spinal disorders and injuries without CC MCC | $7,364 – $64,981 · median $7,879 | 38 plans |
| 054 | Nervous system neoplasms with MCC | $11,982 – $105,735 · median $12,821 | 38 plans |
| 055 | Nervous system neoplasms without MCC | $8,719 – $76,943 · median $9,330 | 38 plans |
| 056 | Degenerative nervous system disorders with MCC | $20,014 – $176,612 · median $21,415 | 38 plans |
| 057 | Degenerative nervous system disorders without MCC | $10,668 – $94,139 · median $11,415 | 38 plans |
| 058 | Multiple sclerosis and cerebellar ataxia with MCC | $14,752 – $130,181 · median $15,785 | 38 plans |
| 059 | Multiple sclerosis and cerebellar ataxia with CC | $9,779 – $86,296 · median $10,464 | 38 plans |
| 060 | Multiple sclerosis and cerebellar ataxia without CC MCC | $7,133 – $62,943 · median $7,632 | 38 plans |
| 061 | Ischemic stroke precereb occl trans ischemia w thrombolyt agt w MCC | $21,606 – $190,662 · median $23,119 | 38 plans |
| 062 | Ischemic stroke precereb occl trans ischemia w thrombolyt agt w CC | $14,234 – $125,603 · median $15,230 | 38 plans |
| 063 | Ischemic stroke precereb occ trans ischemia w thromb agt w o CC MCC | $11,228 – $99,076 · median $12,014 | 38 plans |
| 064 | Intracranial hemorrhage or cerebral infarction with MCC | $15,899 – $140,295 · median $17,012 | 38 plans |
| 065 | Intracranial hemorrhage or cerebral infarction w CC or tPA in 24 hr | $8,129 – $71,731 · median $8,698 | 38 plans |
| 066 | Intracranial hemorrhage or cerebral infarction without CC MCC | $5,502 – $48,547 · median $5,887 | 38 plans |
| 067 | Nonspecific CVA and precerebral occlusion without infarction w MCC | $11,636 – $102,680 · median $12,451 | 38 plans |
| 068 | Nonspecific CVA and precerebral occlusion w o infarction w o MCC | $7,047 – $62,181 · median $7,540 | 38 plans |
| 069 | Transient ischemia without thrombolytic | $6,396 – $56,440 · median $6,844 | 38 plans |
| 070 | Nonspecific cerebrovascular disorders with MCC | $13,897 – $122,634 · median $14,870 | 38 plans |
| 071 | Nonspecific cerebrovascular disorders with CC | $8,423 – $74,327 · median $9,013 | 38 plans |
| 072 | Nonspecific cerebrovascular disorders without CC MCC | $5,995 – $52,906 · median $6,415 | 38 plans |
| 073 | Cranial and peripheral nerve disorders with MCC | $12,353 – $109,007 · median $13,218 | 38 plans |
| 074 | Cranial and peripheral nerve disorders without MCC | $8,332 – $73,523 · median $8,915 | 38 plans |
| 075 | Viral meningitis with CC MCC | $13,767 – $121,484 · median $14,731 | 38 plans |
| 076 | Viral meningitis without CC MCC | $7,329 – $64,671 · median $7,842 | 38 plans |
| 077 | Hypertensive encephalopathy with MCC | $12,359 – $109,057 · median $13,224 | 38 plans |
| 078 | Hypertensive encephalopathy with CC | $7,975 – $70,377 · median $8,534 | 38 plans |
| 079 | Hypertensive encephalopathy without CC MCC | $5,329 – $47,024 · median $5,702 | 38 plans |
| 080 | Nontraumatic stupor and coma with MCC | $15,888 – $140,204 · median $17,000 | 38 plans |
| 081 | Nontraumatic stupor and coma without MCC | $7,232 – $63,817 · median $7,738 | 38 plans |
| 082 | Traumatic stupor and coma 1 hour with MCC | $18,544 – $163,641 · median $19,842 | 38 plans |
| 083 | Traumatic stupor and coma 1 hour with CC | $11,113 – $98,061 · median $11,890 | 38 plans |
| 084 | Traumatic stupor and coma 1 hour without CC MCC | $7,641 – $67,429 · median $8,176 | 38 plans |
| 085 | Traumatic stupor and coma 1 hour with MCC | $18,111 – $159,818 · median $19,379 | 38 plans |
| 086 | Traumatic stupor and coma 1 hour with CC | $10,483 – $92,510 · median $11,217 | 38 plans |
| 087 | Traumatic stupor and coma 1 hour without CC MCC | $7,066 – $62,350 · median $7,560 | 38 plans |
| 088 | Concussion with MCC | $11,275 – $99,492 · median $12,064 | 38 plans |
| 089 | Concussion with CC | $8,569 – $75,617 · median $9,169 | 38 plans |
| 090 | Concussion without CC MCC | $6,852 – $60,460 · median $7,331 | 38 plans |
| 091 | Other disorders of nervous system with MCC | $14,569 – $128,566 · median $15,589 | 38 plans |
| 092 | Other disorders of nervous system with CC | $8,463 – $74,679 · median $9,055 | 38 plans |
| 093 | Other disorders of nervous system without CC MCC | $6,309 – $55,671 · median $6,750 | 38 plans |
| 094 | Bacterial and tuberculous infections of nervous system with MCC | $29,161 – $257,329 · median $31,203 | 38 plans |
| 095 | Bacterial and tuberculous infections of nervous system with CC | $19,159 – $169,065 · median $20,500 | 38 plans |
| 096 | Bacterial and tuberculous infections of nervous system w o CC MCC | $19,159 – $169,065 · median $20,500 | 38 plans |
| 097 | Non bacterial infect of nervous syst except viral meningitis w MCC | $28,653 – $252,843 · median $30,659 | 38 plans |
| 098 | Non bacterial infect of nervous system except viral meningitis w CC | $17,337 – $152,991 · median $18,551 | 38 plans |
| 099 | Non bacterial infect of nervous sys exc viral meningitis w o CC MCC | $11,136 – $98,265 · median $11,915 | 38 plans |
| 102 | Headaches with MCC | $9,267 – $81,775 · median $9,916 | 38 plans |
| 103 | Headaches without MCC | $6,796 – $59,966 · median $7,271 | 38 plans |
| 113 | Orbital procedures with CC MCC | $18,037 – $159,163 · median $19,299 | 38 plans |
| 114 | Orbital procedures without CC MCC | $9,448 – $83,376 · median $10,110 | 38 plans |
| 115 | Extraocular procedures except orbit | $12,236 – $107,977 · median $13,093 | 38 plans |
| 116 | Intraocular procedures with CC MCC | $13,336 – $117,683 · median $14,270 | 38 plans |
| 117 | Intraocular procedures without CC MCC | $8,621 – $76,076 · median $9,225 | 38 plans |
| 121 | Acute major eye infections with CC MCC | $9,297 – $82,036 · median $9,947 | 38 plans |
| 122 | Acute major eye infections without CC MCC | $5,422 – $47,842 · median $5,801 | 38 plans |
| 123 | Neurological eye disorders | $6,420 – $56,651 · median $6,869 | 38 plans |
| 124 | Other disorders of the eye with MCC or thrombolytic agent | $10,421 – $91,960 · median $11,151 | 38 plans |
| 125 | Other disorders of the eye without MCC | $6,600 – $58,238 · median $7,062 | 38 plans |
| 135 | Sinus and mastoid procedures with CC MCC | $19,270 – $170,046 · median $20,619 | 38 plans |
| 136 | Sinus and mastoid procedures without CC MCC | $7,819 – $68,994 · median $8,366 | 38 plans |
| 137 | Mouth procedures with CC MCC | $11,178 – $98,639 · median $11,961 | 38 plans |
| 138 | Mouth procedures without CC MCC | $6,502 – $57,378 · median $6,957 | 38 plans |
| 139 | Salivary gland procedures | $10,973 – $96,833 · median $11,742 | 38 plans |
| 140 | Major head and neck procedures with MCC | $33,802 – $298,280 · median $36,168 | 38 plans |
| 141 | Major head and neck procedures with CC | $17,171 – $151,524 · median $18,373 | 38 plans |
| 142 | Major head and neck procedures without CC MCC | $12,567 – $110,897 · median $13,447 | 38 plans |
| 143 | Other ear nose mouth and throat O R procedures with MCC | $26,390 – $232,876 · median $28,237 | 38 plans |
| 144 | Other ear nose mouth and throat O R procedures with CC | $14,040 – $123,897 · median $15,023 | 38 plans |
| 145 | Other ear nose mouth and throat O R procedures without CC MCC | $9,469 – $83,559 · median $10,132 | 38 plans |
| 146 | Ear nose mouth and throat malignancy with MCC | $18,335 – $161,793 · median $19,618 | 38 plans |
| 147 | Ear nose mouth and throat malignancy with CC | $9,949 – $87,791 · median $10,645 | 38 plans |
| 148 | Ear nose mouth and throat malignancy without CC MCC | $6,400 – $56,475 · median $6,848 | 38 plans |
| 149 | Dysequilibrium | $5,975 – $52,723 · median $6,393 | 38 plans |
| 150 | Epistaxis with MCC | $11,047 – $97,482 · median $11,820 | 38 plans |
| 151 | Epistaxis without MCC | $6,059 – $53,463 · median $6,483 | 38 plans |
| 152 | Otitis media and URI with MCC | $9,070 – $80,033 · median $9,704 | 38 plans |
| 153 | Otitis media and URI without MCC | $5,689 – $50,198 · median $6,087 | 38 plans |
| 154 | Other ear nose mouth and throat diagnoses with MCC | $12,998 – $114,699 · median $13,908 | 38 plans |
| 155 | Other ear nose mouth and throat diagnoses with CC | $7,462 – $65,849 · median $7,985 | 38 plans |
| 156 | Other ear nose mouth and throat diagnoses without CC MCC | $5,374 – $47,426 · median $5,751 | 38 plans |
| 157 | Dental and oral diseases with MCC | $13,088 – $115,489 · median $14,004 | 38 plans |
| 158 | Dental and oral diseases with CC | $7,517 – $66,335 · median $8,044 | 38 plans |
| 159 | Dental and oral diseases without CC MCC | $5,272 – $46,523 · median $5,641 | 38 plans |
| 163 | Major chest procedures with MCC | $36,838 – $325,075 · median $39,417 | 38 plans |
| 164 | Major chest procedures with CC | $20,117 – $177,515 · median $21,525 | 38 plans |
| 165 | Major chest procedures without CC MCC | $14,898 – $131,465 · median $15,941 | 38 plans |
| 166 | Other respiratory system O R procedures with MCC | $30,781 – $271,619 · median $32,935 | 38 plans |
| 167 | Other respiratory system O R procedures with CC | $14,604 – $128,869 · median $15,626 | 38 plans |
| 168 | Other respiratory system O R procedures without CC MCC | $10,821 – $95,486 · median $11,578 | 38 plans |
| 173 | Ultrasound accelerated and oth thrombolysis with PDX pulmonary embolism | $24,525 – $216,420 · median $26,242 | 38 plans |
| 175 | Pulmonary embolism with MCC or acute cor pulmonale | $11,263 – $99,387 · median $12,051 | 38 plans |
| 176 | Pulmonary embolism without MCC | $6,510 – $57,448 · median $6,966 | 38 plans |
| 177 | Respiratory infections and inflammations with MCC | $12,921 – $114,015 · median $13,825 | 38 plans |
| 178 | Respiratory infections and inflammations with CC | $7,930 – $69,975 · median $8,485 | 38 plans |
| 179 | Respiratory infections and inflammations without CC MCC | $6,152 – $54,288 · median $6,583 | 38 plans |
| 180 | Respiratory neoplasms with MCC | $13,969 – $123,269 · median $14,947 | 38 plans |
| 181 | Respiratory neoplasms with CC | $8,874 – $78,305 · median $9,495 | 38 plans |
| 182 | Respiratory neoplasms without CC MCC | $6,694 – $59,071 · median $7,163 | 38 plans |
| 183 | Major chest trauma with MCC | $12,686 – $111,948 · median $13,574 | 38 plans |
| 184 | Major chest trauma with CC | $8,536 – $75,328 · median $9,134 | 38 plans |
| 185 | Major chest trauma without CC MCC | $6,215 – $54,846 · median $6,650 | 38 plans |
| 186 | Pleural effusion with MCC | $12,629 – $111,441 · median $13,513 | 38 plans |
| 187 | Pleural effusion with CC | $8,024 – $70,807 · median $8,586 | 38 plans |
| 188 | Pleural effusion without CC MCC | $5,868 – $51,778 · median $6,278 | 38 plans |
| 189 | Pulmonary edema and respiratory failure | $9,891 – $87,283 · median $10,584 | 38 plans |
| 190 | Chronic obstructive pulmonary disease with MCC | $8,978 – $79,229 · median $9,607 | 38 plans |
| 191 | Chronic obstructive pulmonary disease with CC | $6,867 – $60,594 · median $7,347 | 38 plans |
| 192 | Chronic obstructive pulmonary disease without CC MCC | $5,173 – $45,648 · median $5,535 | 38 plans |
| 193 | Simple pneumonia and pleurisy with MCC | $10,533 – $92,947 · median $11,270 | 38 plans |
| 194 | Simple pneumonia and pleurisy with CC | $6,554 – $57,836 · median $7,013 | 38 plans |
| 195 | Simple pneumonia and pleurisy without CC MCC | $4,978 – $43,927 · median $5,326 | 38 plans |
| 196 | Interstitial lung disease with MCC | $15,060 – $132,896 · median $16,114 | 38 plans |
| 197 | Interstitial lung disease with CC | $7,912 – $69,820 · median $8,466 | 38 plans |
| 198 | Interstitial lung disease without CC MCC | $5,598 – $49,401 · median $5,990 | 38 plans |
| 199 | Pneumothorax with MCC | $14,109 – $124,503 · median $15,097 | 38 plans |
| 200 | Pneumothorax with CC | $8,851 – $78,107 · median $9,471 | 38 plans |
| 201 | Pneumothorax without CC MCC | $5,410 – $47,743 · median $5,789 | 38 plans |
| 202 | Bronchitis and asthma with CC MCC | $7,727 – $68,183 · median $8,268 | 38 plans |
| 203 | Bronchitis and asthma without CC MCC | $5,565 – $49,111 · median $5,955 | 38 plans |
| 204 | Respiratory signs and symptoms | $6,481 – $57,194 · median $6,935 | 38 plans |
| 205 | Other respiratory system diagnoses with MCC | $15,088 – $133,143 · median $16,144 | 38 plans |
| 206 | Other respiratory system diagnoses without MCC | $7,240 – $63,888 · median $7,747 | 38 plans |
| 207 | Respiratory system diagnosis with ventilator support 96 hours | $51,696 – $456,180 · median $55,314 | 38 plans |
| 208 | Respiratory system diagnosis with ventilator support 96 hours | $21,454 – $189,315 · median $22,955 | 38 plans |
| 212 | Concomitant aortic and mitral valve procedures | $87,067 – $768,312 · median $93,162 | 38 plans |
| 215 | Other heart assist system implant | $84,678 – $747,230 · median $90,606 | 38 plans |
| 216 | Cardiac valve oth maj cardiothoracic proc w cardiac cath w MCC | $77,135 – $680,662 · median $82,534 | 38 plans |
| 217 | Cardiac valve oth maj cardiothoracic proc w cardiac cath w CC | $51,613 – $455,453 · median $55,226 | 38 plans |
| 218 | Cardiac valve oth maj cardiothoracic proc w card cath w o CC MCC | $47,551 – $419,602 · median $50,879 | 38 plans |
| 219 | Cardiac valve oth maj cardiothoracic proc w o cardiac cath w MCC | $61,841 – $545,706 · median $66,170 | 38 plans |
| 220 | Cardiac valve oth maj cardiothoracic proc w o cardiac cath w CC | $42,333 – $373,559 · median $45,296 | 38 plans |
| 221 | Cardiac valve oth maj cardiothorac proc w o card cath w o CC MCC | $36,706 – $323,904 · median $39,275 | 38 plans |
| 228 | Other cardiothoracic procedures with MCC | $39,828 – $351,454 · median $42,616 | 38 plans |
| 229 | Other cardiothoracic procedures without MCC | $24,827 – $219,079 · median $26,565 | 38 plans |
| 231 | Coronary bypass with PTCA with MCC | $67,727 – $597,646 · median $72,468 | 38 plans |
| 232 | Coronary bypass with PTCA without MCC | $48,823 – $430,831 · median $52,241 | 38 plans |
| 233 | Coronary bypass with cardiac cath or open ablation with MCC | $62,471 – $551,264 · median $66,844 | 38 plans |
| 234 | Coronary bypass with cardiac cath or open ablation without MCC | $42,521 – $375,223 · median $45,498 | 38 plans |
| 235 | Coronary bypass without cardiac catheterization with MCC | $47,029 – $414,996 · median $50,321 | 38 plans |
| 236 | Coronary bypass without cardiac catheterization without MCC | $32,865 – $290,013 · median $35,166 | 38 plans |
| 239 | Amputation for circulatory sys disorders exc upper limb toe w MCC | $40,256 – $355,234 · median $43,074 | 38 plans |
| 240 | Amputation for circulatory sys disorders exc upper limb toe w CC | $23,275 – $205,389 · median $24,905 | 38 plans |
| 241 | Amputation for circ sys disorders exc upper limb toe w o CC MCC | $12,068 – $106,489 · median $12,912 | 38 plans |
| 242 | Permanent cardiac pacemaker implant with MCC | $27,112 – $239,245 · median $29,010 | 38 plans |
| 243 | Permanent cardiac pacemaker implant with CC | $18,006 – $158,887 · median $19,266 | 38 plans |
| 244 | Permanent cardiac pacemaker implant without CC MCC | $14,425 – $127,289 · median $15,435 | 38 plans |
| 245 | AICD generator procedures | $39,057 – $344,655 · median $41,791 | 38 plans |
| 250 | Percutaneous cardiovascular proc w o intraluminal device with MCC | $18,485 – $163,119 · median $19,779 | 38 plans |
| 251 | Percutaneous cardiovascular proc w o intraluminal device without MCC | $12,489 – $110,206 · median $13,363 | 38 plans |
| 252 | Other vascular procedures with MCC | $27,417 – $241,939 · median $29,336 | 38 plans |
| 253 | Other vascular procedures with CC | $20,405 – $180,061 · median $21,833 | 38 plans |
| 254 | Other vascular procedures without CC MCC | $13,982 – $123,382 · median $14,961 | 38 plans |
| 255 | Upper limb toe amputation for circulatory system disorders w MCC | $20,912 – $184,533 · median $22,376 | 38 plans |
| 256 | Upper limb toe amputation for circulatory system disorders w CC | $13,537 – $119,453 · median $14,484 | 38 plans |
| 257 | Upper limb toe amputation for circ sys disorders w o CC MCC | $7,129 – $62,907 · median $7,628 | 38 plans |
| 258 | Cardiac pacemaker device replacement with MCC | $22,423 – $197,870 · median $23,993 | 38 plans |
| 259 | Cardiac pacemaker device replacement without MCC | $14,048 – $123,967 · median $15,032 | 38 plans |
| 260 | Cardiac pacemaker revision except device replacement with MCC | $27,230 – $240,288 · median $29,136 | 38 plans |
| 261 | Cardiac pacemaker revision except device replacement with CC | $15,166 – $133,827 · median $16,227 | 38 plans |
| 262 | Cardiac pacemaker revision except device replacement without CC MCC | $12,131 – $107,046 · median $12,980 | 38 plans |
| 263 | Vein ligation and stripping | $21,436 – $189,160 · median $22,937 | 38 plans |
| 264 | Other circulatory system O R procedures | $27,934 – $246,502 · median $29,890 | 38 plans |
| 265 | AICD lead procedures | $28,510 – $251,581 · median $30,506 | 38 plans |
| 266 | Endovascular cardiac valve replacement supplement procedure w MCC | $47,881 – $422,515 · median $51,232 | 38 plans |
| 267 | Endovascular cardiac valve replace supplement procedure w o MCC | $37,602 – $331,811 · median $40,234 | 38 plans |
| 268 | Aortic and heart assist procedures except pulsation balloon w MCC | $53,290 – $470,251 · median $57,021 | 38 plans |
| 269 | Aortic and heart assist procedures except pulsation balloon w o MCC | $33,254 – $293,441 · median $35,581 | 38 plans |
| 270 | Other major cardiovascular procedures with MCC | $41,026 – $362,027 · median $43,898 | 38 plans |
| 271 | Other major cardiovascular procedures with CC | $27,531 – $242,940 · median $29,458 | 38 plans |
| 272 | Other major cardiovascular procedures without CC MCC | $19,998 – $176,471 · median $21,398 | 38 plans |
| 273 | Percutaneous and other intracardiac procedures with MCC | $31,252 – $275,780 · median $33,440 | 38 plans |
| 274 | Percutaneous and other intracardiac procedures without MCC | $24,944 – $220,116 · median $26,690 | 38 plans |
| 275 | Cardiac defibrillator implant with cardiac catheterization and MCC | $56,482 – $498,414 · median $60,435 | 38 plans |
| 276 | Cardiac defibrillator implant with MCC or carotid sinus neurostimulators | $49,508 – $436,875 · median $52,974 | 38 plans |
| 277 | Cardiac defibrillator implant without MCC | $37,185 – $328,129 · median $39,787 | 38 plans |
| 278 | US accelerated other thrombolysis of peripheral vasc structures w MCC | $39,988 – $352,865 · median $42,787 | 38 plans |
| 279 | US accelerated other thrombolysis of peripheral vasc structures w o MCC | $25,611 – $225,999 · median $27,404 | 38 plans |
| 280 | Acute myocardial infarction discharged alive with MCC | $13,120 – $115,778 · median $14,039 | 38 plans |
| 281 | Acute myocardial infarction discharged alive with CC | $7,368 – $65,016 · median $7,884 | 38 plans |
| 282 | Acute myocardial infarction discharged alive without CC MCC | $5,796 – $51,143 · median $6,201 | 38 plans |
| 283 | Acute myocardial infarction expired with MCC | $15,629 – $137,918 · median $16,723 | 38 plans |
| 284 | Acute myocardial infarction expired with CC | $5,922 – $52,257 · median $6,336 | 38 plans |
| 285 | Acute myocardial infarction expired without CC MCC | $4,486 – $39,590 · median $4,800 | 38 plans |
| 286 | Circulatory disorders except AMI w cardiac catheterization w MCC | $17,691 – $156,108 · median $18,929 | 38 plans |
| 287 | Circulatory disorders except AMI w cardiac catheterization w o MCC | $8,709 – $76,852 · median $9,319 | 38 plans |
| 288 | Acute and subacute endocarditis with MCC | $21,831 – $192,644 · median $23,359 | 38 plans |
| 289 | Acute and subacute endocarditis with CC | $12,602 – $111,201 · median $13,484 | 38 plans |
| 290 | Acute and subacute endocarditis without CC MCC | $7,825 – $69,051 · median $8,373 | 38 plans |
| 291 | Heart failure and shock with MCC | $10,430 – $92,037 · median $11,160 | 38 plans |
| 292 | Heart failure and shock with CC | $6,884 – $60,749 · median $7,366 | 38 plans |
| 293 | Heart failure and shock without CC MCC | $4,388 – $38,722 · median $4,695 | 38 plans |
| 294 | Deep vein thrombophlebitis with CC MCC | $9,814 – $86,606 · median $10,501 | 38 plans |
| 295 | Deep vein thrombophlebitis without CC MCC | $6,313 – $55,706 · median $6,755 | 38 plans |
| 296 | Cardiac arrest unexplained with MCC | $13,095 – $115,553 · median $14,011 | 38 plans |
| 297 | Cardiac arrest unexplained with CC | $5,630 – $49,683 · median $6,024 | 38 plans |
| 298 | Cardiac arrest unexplained without CC MCC | $3,530 – $31,147 · median $3,777 | 38 plans |
| 299 | Peripheral vascular disorders with MCC | $12,930 – $114,100 · median $13,835 | 38 plans |
| 300 | Peripheral vascular disorders with CC | $8,556 – $75,505 · median $9,155 | 38 plans |
| 301 | Peripheral vascular disorders without CC MCC | $5,701 – $50,310 · median $6,100 | 38 plans |
| 302 | Atherosclerosis with MCC | $9,297 – $82,043 · median $9,948 | 38 plans |
| 303 | Atherosclerosis without MCC | $5,374 – $47,426 · median $5,751 | 38 plans |
| 304 | Hypertension with MCC | $9,390 – $82,861 · median $10,047 | 38 plans |
| 305 | Hypertension without MCC | $6,000 – $52,948 · median $6,420 | 38 plans |
| 306 | Cardiac congenital and valvular disorders with MCC | $11,969 – $105,615 · median $12,806 | 38 plans |
| 307 | Cardiac congenital and valvular disorders without MCC | $7,404 – $65,334 · median $7,922 | 38 plans |
| 308 | Cardiac arrhythmia and conduction disorders with MCC | $9,639 – $85,062 · median $10,314 | 38 plans |
| 309 | Cardiac arrhythmia and conduction disorders with CC | $5,909 – $52,144 · median $6,323 | 38 plans |
| 310 | Cardiac arrhythmia and conduction disorders without CC MCC | $4,472 – $39,463 · median $4,785 | 38 plans |
| 311 | Angina pectoris | $5,583 – $49,267 · median $5,974 | 38 plans |
| 312 | Syncope and collapse | $6,964 – $61,455 · median $7,452 | 38 plans |
| 313 | Chest pain | $5,701 – $50,310 · median $6,100 | 38 plans |
| 314 | Other circulatory system diagnoses with MCC | $17,212 – $151,884 · median $18,417 | 38 plans |
| 315 | Other circulatory system diagnoses with CC | $7,692 – $67,873 · median $8,230 | 38 plans |
| 316 | Other circulatory system diagnoses without CC MCC | $5,456 – $48,145 · median $5,838 | 38 plans |
| 317 | Concomitant left atrial appendage closure and cardiac ablation | $49,444 – $436,311 · median $52,905 | 38 plans |
| 319 | Other endovascular cardiac valve procedures with MCC | $35,109 – $309,812 · median $37,566 | 38 plans |
| 320 | Other endovascular cardiac valve procedures without MCC | $18,500 – $163,253 · median $19,795 | 38 plans |
| 321 | Perc CV proc with intralum device with MCC or 4 arteries intralum dev | $22,753 – $200,783 · median $24,346 | 38 plans |
| 322 | Perc CV procedures with intraluminal device without MCC | $14,460 – $127,599 · median $15,472 | 38 plans |
| 323 | Coronary intravascular lithotripsy with intraluminal device with MCC | $34,043 – $300,410 · median $36,426 | 38 plans |
| 324 | Coronary intravascular lithotripsy with intraluminal device without MCC | $25,537 – $225,350 · median $27,325 | 38 plans |
| 325 | Coronary intravascular lithotripsy without intraluminal device | $22,876 – $201,863 · median $24,477 | 38 plans |
| 326 | Stomach esophageal and duodenal procedures with MCC | $40,593 – $358,211 · median $43,435 | 38 plans |
| 327 | Stomach esophageal and duodenal procedures with CC | $19,408 – $171,259 · median $20,766 | 38 plans |
| 328 | Stomach esophageal and duodenal procedures without CC MCC | $12,736 – $112,386 · median $13,627 | 38 plans |
| 329 | Major small and large bowel procedures with MCC | $36,701 – $323,862 · median $39,270 | 38 plans |
| 330 | Major small and large bowel procedures with CC | $18,893 – $166,716 · median $20,215 | 38 plans |
| 331 | Major small and large bowel procedures without CC MCC | $13,196 – $116,448 · median $14,120 | 38 plans |
| 332 | Rectal resection with MCC | $27,723 – $244,640 · median $29,664 | 38 plans |
| 333 | Rectal resection with CC | $16,986 – $149,888 · median $18,175 | 38 plans |
| 334 | Rectal resection without CC MCC | $13,255 – $116,970 · median $14,183 | 38 plans |
| 335 | Peritoneal adhesiolysis with MCC | $28,965 – $255,601 · median $30,993 | 38 plans |
| 336 | Peritoneal adhesiolysis with CC | $16,884 – $148,992 · median $18,066 | 38 plans |
| 337 | Peritoneal adhesiolysis without CC MCC | $12,269 – $108,267 · median $13,128 | 38 plans |
| 344 | Minor small and large bowel procedures with MCC | $21,536 – $190,041 · median $23,044 | 38 plans |
| 345 | Minor small and large bowel procedures with CC | $11,903 – $105,036 · median $12,736 | 38 plans |
| 346 | Minor small and large bowel procedures without CC MCC | $9,953 – $87,826 · median $10,649 | 38 plans |
| 347 | Anal and stomal procedures with MCC | $18,916 – $166,921 · median $20,240 | 38 plans |
| 348 | Anal and stomal procedures with CC | $10,061 – $88,786 · median $10,766 | 38 plans |
| 349 | Anal and stomal procedures without CC MCC | $7,041 – $62,132 · median $7,534 | 38 plans |
| 350 | Inguinal and femoral hernia procedures with MCC | $19,341 – $170,673 · median $20,695 | 38 plans |
| 351 | Inguinal and femoral hernia procedures with CC | $12,027 – $106,130 · median $12,869 | 38 plans |
| 352 | Inguinal and femoral hernia procedures without CC MCC | $8,812 – $77,762 · median $9,429 | 38 plans |
| 353 | Hernia procedures except inguinal and femoral with MCC | $23,442 – $206,856 · median $25,082 | 38 plans |
| 354 | Hernia procedures except inguinal and femoral with CC | $13,597 – $119,982 · median $14,548 | 38 plans |
| 355 | Hernia procedures except inguinal and femoral without CC MCC | $10,655 – $94,026 · median $11,401 | 38 plans |
| 356 | Other digestive system O R procedures with MCC | $34,093 – $300,847 · median $36,479 | 38 plans |
| 357 | Other digestive system O R procedures with CC | $17,999 – $158,831 · median $19,259 | 38 plans |
| 358 | Other digestive system O R procedures without CC MCC | $10,830 – $95,571 · median $11,588 | 38 plans |
| 368 | Major esophageal disorders with MCC | $13,347 – $117,781 · median $14,282 | 38 plans |
| 369 | Major esophageal disorders with CC | $8,134 – $71,773 · median $8,703 | 38 plans |
| 370 | Major esophageal disorders without CC MCC | $5,578 – $49,224 · median $5,969 | 38 plans |
| 371 | Major gastrointestinal disorders and peritoneal infections with MCC | $13,974 – $123,311 · median $14,952 | 38 plans |
| 372 | Major gastrointestinal disorders and peritoneal infections with CC | $8,227 – $72,599 · median $8,803 | 38 plans |
| 373 | Major gastrointestinal disorders peritoneal infections w o CC MCC | $5,797 – $51,157 · median $6,203 | 38 plans |
| 374 | Digestive malignancy with MCC | $16,877 – $148,928 · median $18,058 | 38 plans |
| 375 | Digestive malignancy with CC | $9,821 – $86,663 · median $10,508 | 38 plans |
| 376 | Digestive malignancy without CC MCC | $7,057 – $62,273 · median $7,551 | 38 plans |
| 377 | Gastrointestinal hemorrhage with MCC | $14,532 – $128,234 · median $15,549 | 38 plans |
| 378 | Gastrointestinal hemorrhage with CC | $7,880 – $69,538 · median $8,432 | 38 plans |
| 379 | Gastrointestinal hemorrhage without CC MCC | $5,088 – $44,901 · median $5,444 | 38 plans |
| 380 | Complicated peptic ulcer with MCC | $15,381 – $135,725 · median $16,457 | 38 plans |
| 381 | Complicated peptic ulcer with CC | $8,705 – $76,816 · median $9,314 | 38 plans |
| 382 | Complicated peptic ulcer without CC MCC | $5,989 – $52,850 · median $6,408 | 38 plans |
| 383 | Uncomplicated peptic ulcer with MCC | $10,105 – $89,167 · median $10,812 | 38 plans |
| 384 | Uncomplicated peptic ulcer without MCC | $6,951 – $61,335 · median $7,437 | 38 plans |
| 385 | Inflammatory bowel disease with MCC | $12,986 – $114,593 · median $13,895 | 38 plans |
| 386 | Inflammatory bowel disease with CC | $7,932 – $69,996 · median $8,487 | 38 plans |
| 387 | Inflammatory bowel disease without CC MCC | $5,358 – $47,278 · median $5,733 | 38 plans |
| 388 | Gastrointestinal obstruction with MCC | $11,750 – $103,682 · median $12,572 | 38 plans |
| 389 | Gastrointestinal obstruction with CC | $6,408 – $56,546 · median $6,856 | 38 plans |
| 390 | Gastrointestinal obstruction without CC MCC | $4,373 – $38,588 · median $4,679 | 38 plans |
| 391 | Esophagitis gastroenteritis misc digestive disorders w MCC | $10,270 – $90,627 · median $10,989 | 38 plans |
| 392 | Esophagitis gastroenteritis misc digestive disorders w o MCC | $6,237 – $55,036 · median $6,673 | 38 plans |
| 393 | Other digestive system diagnoses with MCC | $13,235 – $116,794 · median $14,162 | 38 plans |
| 394 | Other digestive system diagnoses with CC | $7,524 – $66,392 · median $8,050 | 38 plans |
| 395 | Other digestive system diagnoses without CC MCC | $5,087 – $44,887 · median $5,443 | 38 plans |
| 397 | Appendix procedures with MCC | $19,803 – $174,750 · median $21,189 | 38 plans |
| 398 | Appendix procedures with CC | $12,096 – $106,736 · median $12,942 | 38 plans |
| 399 | Appendix procedures without CC MCC | $8,985 – $79,285 · median $9,614 | 38 plans |
| 402 | Single level combined anterior and posterior spinal fusion exc cervical | $31,406 – $277,134 · median $33,604 | 38 plans |
| 405 | Pancreas liver and shunt procedures with MCC | $43,389 – $382,876 · median $46,426 | 38 plans |
| 406 | Pancreas liver and shunt procedures with CC | $22,446 – $198,068 · median $24,017 | 38 plans |
| 407 | Pancreas liver and shunt procedures without CC MCC | $17,070 – $150,628 · median $18,264 | 38 plans |
| 408 | Biliary tract proc except only cholecystect w or w o C D E w MCC | $27,984 – $246,940 · median $29,943 | 38 plans |
| 409 | Biliary tract proc except only cholecystectomy w or w o C D E w CC | $16,756 – $147,856 · median $17,928 | 38 plans |
| 410 | Biliary tract proc except only cholecyst w or w o C D E w o CC MCC | $12,397 – $109,395 · median $13,265 | 38 plans |
| 411 | Cholecystectomy with C D E with MCC | $21,872 – $193,004 · median $23,403 | 38 plans |
| 412 | Cholecystectomy with C D E with CC | $17,037 – $150,339 · median $18,229 | 38 plans |
| 413 | Cholecystectomy with C D E without CC MCC | $13,287 – $117,252 · median $14,217 | 38 plans |
| 414 | Cholecystectomy except by laparoscope without C D E with MCC | $28,004 – $247,116 · median $29,964 | 38 plans |
| 415 | Cholecystectomy except by laparoscope without C D E with CC | $15,810 – $139,512 · median $16,917 | 38 plans |
| 416 | Cholecystectomy except by laparoscope without C D E without CC MCC | $10,952 – $96,643 · median $11,718 | 38 plans |
| 417 | Laparoscopic cholecystectomy without C D E with MCC | $18,995 – $167,619 · median $20,325 | 38 plans |
| 418 | Laparoscopic cholecystectomy without C D E with CC | $13,256 – $116,977 · median $14,184 | 38 plans |
| 419 | Laparoscopic cholecystectomy without C D E without CC MCC | $10,531 – $92,933 · median $11,269 | 38 plans |
| 420 | Hepatobiliary diagnostic procedures with MCC | $28,209 – $248,922 · median $30,183 | 38 plans |
| 421 | Hepatobiliary diagnostic procedures with CC | $13,088 – $115,496 · median $14,005 | 38 plans |
| 422 | Hepatobiliary diagnostic procedures without CC MCC | $11,744 – $103,633 · median $12,566 | 38 plans |
| 423 | Other hepatobiliary or pancreas O R procedures with MCC | $32,508 – $286,861 · median $34,783 | 38 plans |
| 424 | Other hepatobiliary or pancreas O R procedures with CC | $18,249 – $161,032 · median $19,526 | 38 plans |
| 425 | Other hepatobiliary or pancreas O R procedures without CC MCC | $12,355 – $109,021 · median $13,219 | 38 plans |
| 426 | Mult lvl comb ant pst spin fsn exc cerv w MCC or cust anat des fus dev | $83,778 – $739,288 · median $89,643 | 38 plans |
| 427 | Multiple level comb ant pst spinal fusion except cervical with CC | $56,739 – $500,686 · median $60,711 | 38 plans |
| 428 | Multiple level comb ant pst spinal fusion except cervical w o CC MCC | $44,002 – $388,293 · median $47,083 | 38 plans |
| 429 | Combine anterior and posterior cervical spinal fusion with MCC | $66,661 – $588,237 · median $71,327 | 38 plans |
| 430 | combine anterior and posterior cervical spinal fusion without MCC | $43,722 – $385,817 · median $46,782 | 38 plans |
| 432 | Cirrhosis and alcoholic hepatitis with MCC | $15,659 – $138,179 · median $16,755 | 38 plans |
| 433 | Cirrhosis and alcoholic hepatitis with CC | $8,550 – $75,448 · median $9,148 | 38 plans |
| 434 | Cirrhosis and alcoholic hepatitis without CC MCC | $5,566 – $49,118 · median $5,956 | 38 plans |
| 435 | Malignancy of hepatobiliary system or pancreas with MCC | $14,583 – $128,686 · median $15,604 | 38 plans |
| 436 | Malignancy of hepatobiliary system or pancreas with CC | $9,013 – $79,532 · median $9,644 | 38 plans |
| 437 | Malignancy of hepatobiliary system or pancreas without CC MCC | $6,275 – $55,375 · median $6,714 | 38 plans |
| 438 | Disorders of pancreas except malignancy with MCC | $13,299 – $117,351 · median $14,229 | 38 plans |
| 439 | Disorders of pancreas except malignancy with CC | $6,875 – $60,672 · median $7,357 | 38 plans |
| 440 | Disorders of pancreas except malignancy without CC MCC | $4,916 – $43,384 · median $5,261 | 38 plans |
| 441 | Disorders of liver exc malignancy cirrhosis or alc hepatitis w MCC | $15,109 – $133,327 · median $16,167 | 38 plans |
| 442 | Disorders of liver exc malignancy cirrhosis or alc hepatitis w CC | $7,723 – $68,148 · median $8,263 | 38 plans |
| 443 | Disorders of liver exc malignancy cirr or alc hepatitis w o CC MCC | $5,616 – $49,556 · median $6,009 | 38 plans |
| 444 | Disorders of the biliary tract with MCC | $13,464 – $118,811 · median $14,407 | 38 plans |
| 445 | Disorders of the biliary tract with CC | $8,667 – $76,485 · median $9,274 | 38 plans |
| 446 | Disorders of the biliary tract without CC MCC | $6,372 – $56,228 · median $6,818 | 38 plans |
| 447 | Mult lvl spin fus exc cerv w MCC or vust anatom des interbody fus dev | $53,586 – $472,861 · median $57,337 | 38 plans |
| 448 | Multiple level spinal fusion except cervical without MCC | $32,637 – $287,996 · median $34,921 | 38 plans |
| 450 | Sing lvl spin fus exc cerv w MCC or cust anatom design inter fus dev | $41,161 – $363,219 · median $44,042 | 38 plans |
| 451 | Single level spinal fusion except cervical without MCC | $24,664 – $217,648 · median $26,391 | 38 plans |
| 456 | Spinal fusion exc cerv w spinal curv malig infec ext fusion w MCC | $67,689 – $597,307 · median $72,427 | 38 plans |
| 457 | Spinal fusion exc cerv w spinal curv malig infec ext fusion w CC | $45,871 – $404,783 · median $49,082 | 38 plans |
| 458 | Spinal fus exc cerv w spinal curv malig infec ext fusion w o CC MCC | $34,511 – $304,536 · median $36,927 | 38 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $49,050 – $432,834 · median $52,483 | 38 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w o MCC | $22,888 – $201,975 · median $24,491 | 38 plans |
| 463 | Wnd debride skn grft exc hand for musculoskel conn tis dis w MCC | $43,167 – $380,922 · median $46,189 | 38 plans |
| 464 | Wnd debride skn grft exc hand for musculoskel conn tis dis w CC | $23,568 – $207,971 · median $25,218 | 38 plans |
| 465 | Wnd debride skn grft exc hand for musculo conn tis dis w o CC MCC | $13,875 – $122,437 · median $14,846 | 38 plans |
| 466 | Revision of hip or knee replacement with MCC | $40,718 – $359,311 · median $43,568 | 38 plans |
| 467 | Revision of hip or knee replacement with CC | $27,375 – $241,565 · median $29,291 | 38 plans |
| 468 | Revision of hip or knee replacement without CC MCC | $20,967 – $185,020 · median $22,435 | 38 plans |
| 469 | Maj hip knee jnt replace reattach low extrem w MCC or tot ank repl | $26,125 – $230,534 · median $27,954 | 38 plans |
| 470 | Major hip knee joint replace or reattach lower extremity w o MCC | $15,071 – $132,988 · median $16,126 | 38 plans |
| 471 | Cervical spinal fusion with MCC | $38,821 – $342,574 · median $41,539 | 38 plans |
| 472 | Cervical spinal fusion with CC | $23,155 – $204,331 · median $24,776 | 38 plans |
| 473 | Cervical spinal fusion without CC MCC | $18,921 – $166,963 · median $20,245 | 38 plans |
| 474 | Amputation for musculoskeletal syst connective tissue dis w MCC | $35,843 – $316,294 · median $38,352 | 38 plans |
| 475 | Amputation for musculoskeletal syst connective tissue dis w CC | $17,241 – $152,145 · median $18,448 | 38 plans |
| 476 | Amputation for musculoskeletal syst conn tissue dis w o CC MCC | $9,296 – $82,029 · median $9,946 | 38 plans |
| 477 | Biopsies of musculoskeletal system and connective tissue with MCC | $27,486 – $242,545 · median $29,410 | 38 plans |
| 478 | Biopsies of musculoskeletal system and connective tissue with CC | $18,691 – $164,932 · median $19,999 | 38 plans |
| 479 | Biopsies of musculoskeletal system and connective tissue w o CC MCC | $14,193 – $125,244 · median $15,186 | 38 plans |
| 480 | Hip and femur procedures except major joint with MCC | $23,507 – $207,435 · median $25,153 | 38 plans |
| 481 | Hip and femur procedures except major joint with CC | $16,584 – $146,347 · median $17,745 | 38 plans |
| 482 | Hip and femur procedures except major joint without CC MCC | $12,680 – $111,892 · median $13,568 | 38 plans |
| 483 | Major joint or limb reattachment procedures of upper extremities | $20,367 – $179,723 · median $21,792 | 38 plans |
| 485 | Knee procedures with principal diagnosis of infection with MCC | $25,766 – $227,367 · median $27,569 | 38 plans |
| 486 | Knee procedures with principal diagnosis of infection with CC | $16,951 – $149,577 · median $18,137 | 38 plans |
| 487 | Knee procedures with principal diagnosis of infection w o CC MCC | $12,630 – $111,448 · median $13,514 | 38 plans |
| 488 | Knee procedures without principal diagnosis of infection w CC MCC | $15,708 – $138,617 · median $16,808 | 38 plans |
| 489 | Knee procedures without principal diagnosis of infection w o CC MCC | $9,900 – $87,361 · median $10,593 | 38 plans |
| 492 | Lower extremity humerus procedures exc hip foot and femur w MCC | $28,383 – $250,459 · median $30,370 | 38 plans |
| 493 | Lower extremity humerus procedures exc hip foot and femur w CC | $19,191 – $169,347 · median $20,534 | 38 plans |
| 494 | Lower extremity humerus proc exc hip foot and femur w o CC MCC | $15,071 – $132,988 · median $16,126 | 38 plans |
| 495 | Local excision removal inter fixation dev exc hip femur w MCC | $28,137 – $248,294 · median $30,107 | 38 plans |
| 496 | Local excision removal inter fixation dev exc hip femur w CC | $15,769 – $139,153 · median $16,873 | 38 plans |
| 497 | Local excision removl int fixation dev exc hip femur w o CC MCC | $10,734 – $94,724 · median $11,486 | 38 plans |
| 498 | Local excision removal inter fixation dev hip femur w CC MCC | $20,180 – $178,072 · median $21,592 | 38 plans |
| 499 | Local excision removal inter fixation dev hip femur w o CC MCC | $9,278 – $81,874 · median $9,928 | 38 plans |
| 500 | Soft tissue procedures with MCC | $25,325 – $223,481 · median $27,098 | 38 plans |
| 501 | Soft tissue procedures with CC | $14,267 – $125,893 · median $15,265 | 38 plans |
| 502 | Soft tissue procedures without CC MCC | $11,167 – $98,540 · median $11,949 | 38 plans |
| 503 | Foot procedures with MCC | $21,153 – $186,663 · median $22,634 | 38 plans |
| 504 | Foot procedures with CC | $14,032 – $123,826 · median $15,015 | 38 plans |
| 505 | Foot procedures without CC MCC | $14,032 – $123,826 · median $15,015 | 38 plans |
| 506 | Major thumb or joint procedures | $11,981 – $105,727 · median $12,820 | 38 plans |
| 507 | Major shoulder or elbow joint procedures with CC MCC | $15,491 – $136,698 · median $16,575 | 38 plans |
| 508 | Major shoulder or elbow joint procedures without CC MCC | $10,316 – $91,029 · median $11,038 | 38 plans |
| 509 | Arthroscopy | $14,040 – $123,889 · median $15,022 | 38 plans |
| 510 | Shoulder elbow or forearm procedures exc major joint proc w MCC | $22,844 – $201,580 · median $24,443 | 38 plans |
| 511 | Shoulder elbow or forearm procedures exc major joint proc w CC | $15,677 – $138,341 · median $16,775 | 38 plans |
| 512 | Shoulder elbow or forearm proc exc major joint proc w o CC MCC | $12,850 – $113,394 · median $13,750 | 38 plans |
| 513 | Hand or wrist procedures exc major thumb or joint proc w CC MCC | $12,033 – $106,186 · median $12,876 | 38 plans |
| 514 | Hand or wrist procedures exc major thumb or joint proc w o CC MCC | $8,150 – $71,914 · median $8,720 | 38 plans |
| 515 | Other musculoskeletal system connective tissue O R proc w MCC | $24,716 – $218,099 · median $26,446 | 38 plans |
| 516 | Other musculoskeletal system connective tissue O R proc w CC | $16,079 – $141,882 · median $17,204 | 38 plans |
| 517 | Other musculoskeletal system conn tissue O R proc w o CC MCC | $11,930 – $105,276 · median $12,765 | 38 plans |
| 518 | Back neck proc exc spinal fusion w MCC or disc device neurostim | $28,645 – $252,773 · median $30,650 | 38 plans |
| 519 | Back neck procedures except spinal fusion with CC | $15,760 – $139,068 · median $16,863 | 38 plans |
| 520 | Back neck procedures except spinal fusion without CC MCC | $11,455 – $101,079 · median $12,256 | 38 plans |
| 521 | Hip replacement with principal diagnosis of hip fracture with MCC | $23,296 – $205,573 · median $24,927 | 38 plans |
| 522 | Hip replacement with principal diagnosis of hip fracture w o MCC | $16,851 – $148,696 · median $18,030 | 38 plans |
| 533 | Fractures of femur with MCC | $12,188 – $107,547 · median $13,041 | 38 plans |
| 534 | Fractures of femur without MCC | $6,505 – $57,406 · median $6,961 | 38 plans |
| 535 | Fractures of hip and pelvis with MCC | $10,630 – $93,801 · median $11,374 | 38 plans |
| 536 | Fractures of hip and pelvis without MCC | $6,481 – $57,194 · median $6,935 | 38 plans |
| 537 | Sprains strains dislocations of hip pelvis and thigh w CC MCC | $7,345 – $64,812 · median $7,859 | 38 plans |
| 538 | Sprains strains dislocations of hip pelvis thigh w o CC MCC | $5,367 – $47,362 · median $5,743 | 38 plans |
| 539 | Osteomyelitis with MCC | $16,167 – $142,665 · median $17,299 | 38 plans |
| 540 | Osteomyelitis with CC | $10,346 – $91,297 · median $11,070 | 38 plans |
| 541 | Osteomyelitis without CC MCC | $6,992 – $61,701 · median $7,482 | 38 plans |
| 542 | Pathological fractures musculoskeletal conn tissue malig w MCC | $14,906 – $131,535 · median $15,949 | 38 plans |
| 543 | Pathological fractures musculoskeletal conn tissue malig w CC | $8,479 – $74,820 · median $9,072 | 38 plans |
| 544 | Pathological fractures musculoskel conn tiss malig w o CC MCC | $6,040 – $53,301 · median $6,463 | 38 plans |
| 545 | Connective tissue disorders with MCC | $20,196 – $178,213 · median $21,609 | 38 plans |
| 546 | Connective tissue disorders with CC | $9,253 – $81,655 · median $9,901 | 38 plans |
| 547 | Connective tissue disorders without CC MCC | $5,964 – $52,631 · median $6,382 | 38 plans |
| 548 | Septic arthritis with MCC | $16,102 – $142,087 · median $17,229 | 38 plans |
| 549 | Septic arthritis with CC | $9,631 – $84,991 · median $10,306 | 38 plans |
| 550 | Septic arthritis without CC MCC | $6,891 – $60,806 · median $7,373 | 38 plans |
| 551 | Medical back problems with MCC | $13,638 – $120,349 · median $14,593 | 38 plans |
| 552 | Medical back problems without MCC | $7,704 – $67,979 · median $8,243 | 38 plans |
| 553 | Bone diseases and arthropathies with MCC | $10,441 – $92,136 · median $11,172 | 38 plans |
| 554 | Bone diseases and arthropathies without MCC | $6,671 – $58,866 · median $7,138 | 38 plans |
| 555 | Signs and symptoms of musculoskeletal system conn tissue w MCC | $10,762 – $94,971 · median $11,516 | 38 plans |
| 556 | Signs and symptoms of musculoskeletal system conn tissue w o MCC | $6,526 – $57,589 · median $6,983 | 38 plans |
| 557 | Tendonitis myositis and bursitis with MCC | $12,387 – $109,303 · median $13,254 | 38 plans |
| 558 | Tendonitis myositis and bursitis without MCC | $6,904 – $60,926 · median $7,388 | 38 plans |
| 559 | Aftercare musculoskeletal system and connective tissue with MCC | $14,836 – $130,914 · median $15,874 | 38 plans |
| 560 | Aftercare musculoskeletal system and connective tissue with CC | $9,102 – $80,322 · median $9,739 | 38 plans |
| 561 | Aftercare musculoskeletal system and connective tissue w o CC MCC | $6,535 – $57,667 · median $6,992 | 38 plans |
| 562 | Fracture sprain strain disloc exc femur hip pelvis thigh w MCC | $11,699 – $103,238 · median $12,518 | 38 plans |
| 563 | Fracture sprain strain dislo exc femur hip pelvis thigh w o MCC | $7,143 – $63,034 · median $7,643 | 38 plans |
| 564 | Other musculoskeletal system and connective tissue diagnoses w MCC | $12,542 – $110,679 · median $13,420 | 38 plans |
| 565 | Other musculoskeletal system and connective tissue diagnoses w CC | $8,150 – $71,914 · median $8,720 | 38 plans |
| 566 | Other musculoskeletal system connective tiss diagnoses w o CC MCC | $5,979 – $52,758 · median $6,397 | 38 plans |
| 570 | Skin debridement with MCC | $24,062 – $212,330 · median $25,746 | 38 plans |
| 571 | Skin debridement with CC | $13,386 – $118,127 · median $14,324 | 38 plans |
| 572 | Skin debridement without CC MCC | $9,131 – $80,576 · median $9,770 | 38 plans |
| 573 | Skin graft for skin ulcer or cellulitis with MCC | $49,219 – $434,322 · median $52,664 | 38 plans |
| 574 | Skin graft for skin ulcer or cellulitis with CC | $27,693 – $244,372 · median $29,631 | 38 plans |
| 575 | Skin graft for skin ulcer or cellulitis without CC MCC | $15,958 – $140,817 · median $17,075 | 38 plans |
| 576 | Skin graft except for skin ulcer or cellulitis with MCC | $43,121 – $380,513 · median $46,139 | 38 plans |
| 577 | Skin graft except for skin ulcer or cellulitis with CC | $21,282 – $187,799 · median $22,772 | 38 plans |
| 578 | Skin graft except for skin ulcer or cellulitis without CC MCC | $13,510 – $119,220 · median $14,456 | 38 plans |
| 579 | Other skin subcutaneous tissue and breast procedures with MCC | $26,050 – $229,871 · median $27,873 | 38 plans |
| 580 | Other skin subcutaneous tissue and breast procedures with CC | $14,171 – $125,046 · median $15,163 | 38 plans |
| 581 | Other skin subcutaneous tissue and breast procedures w o CC MCC | $11,503 – $101,503 · median $12,308 | 38 plans |
| 582 | Mastectomy for malignancy with CC MCC | $13,996 – $123,509 · median $14,976 | 38 plans |
| 583 | Mastectomy for malignancy without CC MCC | $13,128 – $115,849 · median $14,047 | 38 plans |
| 584 | Breast biopsy local excision and other breast procedures w CC MCC | $16,364 – $144,400 · median $17,509 | 38 plans |
| 585 | Breast biopsy local excision other breast procedures w o CC MCC | $15,866 – $140,006 · median $16,977 | 38 plans |
| 592 | Skin ulcers with MCC | $16,435 – $145,028 · median $17,585 | 38 plans |
| 593 | Skin ulcers with CC | $9,772 – $86,232 · median $10,456 | 38 plans |
| 594 | Skin ulcers without CC MCC | $6,783 – $59,853 · median $7,258 | 38 plans |
| 595 | Major skin disorders with MCC | $16,905 – $149,175 · median $18,088 | 38 plans |
| 596 | Major skin disorders without MCC | $8,640 – $76,245 · median $9,245 | 38 plans |
| 597 | Malignant breast disorders with MCC | $14,040 – $123,889 · median $15,022 | 38 plans |
| 598 | Malignant breast disorders with CC | $8,624 – $76,097 · median $9,227 | 38 plans |
| 599 | Malignant breast disorders without CC MCC | $6,833 – $60,298 · median $7,311 | 38 plans |
| 600 | Non malignant breast disorders with CC MCC | $7,651 – $67,513 · median $8,186 | 38 plans |
| 601 | Non malignant breast disorders without CC MCC | $4,792 – $42,284 · median $5,127 | 38 plans |
| 602 | Cellulitis with MCC | $11,745 – $103,640 · median $12,567 | 38 plans |
| 603 | Cellulitis without MCC | $7,041 – $62,132 · median $7,534 | 38 plans |
| 604 | Trauma to the skin subcutaneous tissue and breast with MCC | $11,875 – $104,789 · median $12,706 | 38 plans |
| 605 | Trauma to the skin subcutaneous tissue and breast without MCC | $7,383 – $65,150 · median $7,900 | 38 plans |
| 606 | Minor skin disorders with MCC | $12,869 – $113,564 · median $13,770 | 38 plans |
| 607 | Minor skin disorders without MCC | $6,908 – $60,961 · median $7,392 | 38 plans |
| 614 | Adrenal and pituitary procedures with CC MCC | $18,214 – $160,728 · median $19,489 | 38 plans |
| 615 | Adrenal and pituitary procedures without CC MCC | $11,453 – $101,065 · median $12,255 | 38 plans |
| 616 | Amputation lower limb for endocrine nutrit metabolic disord w MCC | $30,892 – $272,599 · median $33,054 | 38 plans |
| 617 | Amputation lower limb for endocrine nutrit metabolic disord w CC | $15,444 – $136,282 · median $16,525 | 38 plans |
| 618 | Amputation lower limb for endocrine nutrit metabolic dis w o CC MCC | $9,951 – $87,812 · median $10,648 | 38 plans |
| 619 | O R procedures for obesity with MCC | $21,792 – $192,298 · median $23,317 | 38 plans |
| 620 | O R procedures for obesity with CC | $12,764 – $112,633 · median $13,657 | 38 plans |
| 621 | O R procedures for obesity without CC MCC | $11,683 – $103,097 · median $12,501 | 38 plans |
| 622 | Skin grafts wound debride for endocrine nutrit metab disord w MCC | $29,925 – $264,072 · median $32,020 | 38 plans |
| 623 | Skin grafts wound debride for endocrine nutrit metab disord w CC | $15,298 – $134,998 · median $16,369 | 38 plans |
| 624 | Skin grafts wound debride for endocr nutrit metab dis w o CC MCC | $8,018 – $70,751 · median $8,579 | 38 plans |
| 625 | Thyroid parathyroid and thyroglossal procedures with MCC | $22,915 – $202,208 · median $24,519 | 38 plans |
| 626 | Thyroid parathyroid and thyroglossal procedures with CC | $12,063 – $106,447 · median $12,907 | 38 plans |
| 627 | Thyroid parathyroid and thyroglossal procedures without CC MCC | $10,125 – $89,350 · median $10,834 | 38 plans |
| 628 | Other endocrine nutritional and metabolic O R procedures with MCC | $31,542 – $278,340 · median $33,750 | 38 plans |
| 629 | Other endocrine nutritional and metabolic O R procedures with CC | $17,985 – $158,704 · median $19,244 | 38 plans |
| 630 | Other endocrine nutritional metabolic O R procedures w o CC MCC | $11,200 – $98,829 · median $11,984 | 38 plans |
| 637 | Diabetes with MCC | $11,640 – $102,716 · median $12,455 | 38 plans |
| 640 | Misc disorders of nutrition metabolism fluids electrolyte w MCC | $10,615 – $93,674 · median $11,358 | 38 plans |
| 641 | Misc disorder of nutrition metabolism fluid electrolyte w o MCC | $6,246 – $55,121 · median $6,684 | 38 plans |
| 642 | Inborn and other disorders of metabolism | $9,920 – $87,537 · median $10,614 | 38 plans |
| 643 | Endocrine disorders with MCC | $13,247 – $116,893 · median $14,174 | 38 plans |
| 644 | Endocrine disorders with CC | $8,261 – $72,895 · median $8,839 | 38 plans |
| 645 | Endocrine disorders without CC MCC | $6,226 – $54,944 · median $6,662 | 38 plans |
| 650 | Kidney transplant with hemodialysis with MCC | $36,823 – $324,941 · median $39,401 | 38 plans |
| 651 | Kidney transplant with hemodialysis without MCC | $27,753 – $244,901 · median $29,696 | 38 plans |
| 652 | Kidney transplant | $24,548 – $216,618 · median $26,266 | 38 plans |
| 653 | Major bladder procedures with MCC | $44,554 – $393,159 · median $47,673 | 38 plans |
| 654 | Major bladder procedures with CC | $22,555 – $199,034 · median $24,134 | 38 plans |
| 655 | Major bladder procedures without CC MCC | $16,603 – $146,509 · median $17,765 | 38 plans |
| 656 | Kidney and ureter procedures for neoplasm with MCC | $26,038 – $229,772 · median $27,861 | 38 plans |
| 657 | Kidney and ureter procedures for neoplasm with CC | $14,611 – $128,933 · median $15,634 | 38 plans |
| 658 | Kidney and ureter procedures for neoplasm without CC MCC | $12,021 – $106,073 · median $12,862 | 38 plans |
| 659 | Kidney and ureter procedures for non neoplasm with MCC | $20,655 – $182,269 · median $22,101 | 38 plans |
| 660 | Kidney and ureter procedures for non neoplasm with CC | $10,710 – $94,506 · median $11,459 | 38 plans |
| 661 | Kidney and ureter procedures for non neoplasm without CC MCC | $8,206 – $72,408 · median $8,780 | 38 plans |
| 662 | Minor bladder procedures with MCC | $24,933 – $220,018 · median $26,678 | 38 plans |
| 663 | Minor bladder procedures with CC | $12,208 – $107,724 · median $13,062 | 38 plans |
| 664 | Minor bladder procedures without CC MCC | $8,631 – $76,160 · median $9,235 | 38 plans |
| 665 | Prostatectomy with MCC | $27,443 – $242,165 · median $29,364 | 38 plans |
| 666 | Prostatectomy with CC | $13,166 – $116,180 · median $14,088 | 38 plans |
| 667 | Prostatectomy without CC MCC | $8,214 – $72,486 · median $8,789 | 38 plans |
| 668 | Transurethral procedures with MCC | $23,308 – $205,678 · median $24,940 | 38 plans |
| 669 | Transurethral procedures with CC | $12,369 – $109,148 · median $13,235 | 38 plans |
| 670 | Transurethral procedures without CC MCC | $7,638 – $67,400 · median $8,173 | 38 plans |
| 671 | Urethral procedures with CC MCC | $13,777 – $121,569 · median $14,741 | 38 plans |
| 672 | Urethral procedures without CC MCC | $8,747 – $77,183 · median $9,359 | 38 plans |
| 673 | Other kidney and urinary tract procedures with MCC | $33,490 – $295,529 · median $35,835 | 38 plans |
| 674 | Other kidney and urinary tract procedures with CC | $18,450 – $162,809 · median $19,741 | 38 plans |
| 675 | Other kidney and urinary tract procedures without CC MCC | $12,510 – $110,397 · median $13,386 | 38 plans |
| 682 | Renal failure with MCC | $12,005 – $105,939 · median $12,846 | 38 plans |
| 683 | Renal failure with CC | $7,105 – $62,696 · median $7,602 | 38 plans |
| 684 | Renal failure without CC MCC | $4,856 – $42,848 · median $5,196 | 38 plans |
| 686 | Kidney and urinary tract neoplasms with MCC | $15,071 – $132,995 · median $16,126 | 38 plans |
| 687 | Kidney and urinary tract neoplasms with CC | $8,413 – $74,242 · median $9,002 | 38 plans |
| 688 | Kidney and urinary tract neoplasms without CC MCC | $5,788 – $51,079 · median $6,194 | 38 plans |
| 689 | Kidney and urinary tract infections with MCC | $9,355 – $82,551 · median $10,010 | 38 plans |
| 690 | Kidney and urinary tract infections without MCC | $6,415 – $56,609 · median $6,864 | 38 plans |
| 693 | Urinary stones with MCC | $11,752 – $103,703 · median $12,575 | 38 plans |
| 694 | Urinary stones without MCC | $6,246 – $55,114 · median $6,683 | 38 plans |
| 695 | Kidney and urinary tract signs and symptoms with MCC | $9,014 – $79,539 · median $9,645 | 38 plans |
| 696 | Kidney and urinary tract signs and symptoms without MCC | $5,529 – $48,787 · median $5,916 | 38 plans |
| 697 | Urethral stricture | $8,007 – $70,659 · median $8,568 | 38 plans |
| 698 | Other kidney and urinary tract diagnoses with MCC | $13,435 – $118,557 · median $14,376 | 38 plans |
| 699 | Other kidney and urinary tract diagnoses with CC | $8,151 – $71,929 · median $8,722 | 38 plans |
| 700 | Other kidney and urinary tract diagnoses without CC MCC | $5,548 – $48,956 · median $5,936 | 38 plans |
| 707 | Major male pelvic procedures with CC MCC | $15,510 – $136,867 · median $16,596 | 38 plans |
| 708 | Major male pelvic procedures without CC MCC | $11,849 – $104,557 · median $12,678 | 38 plans |
| 709 | Penis procedures with CC MCC | $17,960 – $158,485 · median $19,217 | 38 plans |
| 710 | Penis procedures without CC MCC | $12,000 – $105,890 · median $12,840 | 38 plans |
| 711 | Testes procedures with CC MCC | $15,271 – $134,758 · median $16,340 | 38 plans |
| 712 | Testes procedures without CC MCC | $8,549 – $75,441 · median $9,148 | 38 plans |
| 713 | Transurethral prostatectomy with CC MCC | $11,557 – $101,982 · median $12,366 | 38 plans |
| 714 | Transurethral prostatectomy without CC MCC | $7,510 – $66,272 · median $8,036 | 38 plans |
| 715 | Other male reproductive system O R proc for malignancy w CC MCC | $18,050 – $159,275 · median $19,313 | 38 plans |
| 716 | Other male reproductive system O R proc for malignancy w o CC MCC | $11,344 – $100,099 · median $12,138 | 38 plans |
| 717 | Other male reproductive system O R proc except malignancy w CC MCC | $14,830 – $130,865 · median $15,868 | 38 plans |
| 718 | Other male reproductive system O R proc exc malignancy w o CC MCC | $9,846 – $86,881 · median $10,535 | 38 plans |
| 722 | Malignancy male reproductive system with MCC | $13,818 – $121,936 · median $14,785 | 38 plans |
| 723 | Malignancy male reproductive system with CC | $8,975 – $79,200 · median $9,603 | 38 plans |
| 724 | Malignancy male reproductive system without CC MCC | $5,824 – $51,390 · median $6,231 | 38 plans |
| 725 | Benign prostatic hypertrophy with MCC | $10,096 – $89,089 · median $10,803 | 38 plans |
| 726 | Benign prostatic hypertrophy without MCC | $5,949 – $52,497 · median $6,366 | 38 plans |
| 727 | Inflammation of the male reproductive system with MCC | $11,744 – $103,633 · median $12,566 | 38 plans |
| 728 | Inflammation of the male reproductive system without MCC | $6,531 – $57,632 · median $6,988 | 38 plans |
| 729 | Other male reproductive system diagnoses with CC MCC | $8,799 – $77,642 · median $9,414 | 38 plans |
| 730 | Other male reproductive system diagnoses without CC MCC | $4,851 – $42,806 · median $5,190 | 38 plans |
| 734 | Pelvic evisceration rad hysterectomy and rad vulvectomy w CC MCC | $16,807 – $148,308 · median $17,983 | 38 plans |
| 735 | Pelvic evisceration rad hysterectomy and rad vulvectomy w o CC MCC | $9,702 – $85,612 · median $10,381 | 38 plans |
| 736 | Uterine adnexa procedures for ovarian or adnexal malignancy w MCC | $31,470 – $277,706 · median $33,673 | 38 plans |
| 737 | Uterine adnexa procedures for ovarian or adnexal malignancy w CC | $15,972 – $140,944 · median $17,090 | 38 plans |
| 738 | Uterine adnexa proc for ovarian or adnexal malignancy w o CC MCC | $12,124 – $106,983 · median $12,972 | 38 plans |
| 739 | Uterine adnexa proc for non ovarian non adnexal malignancy w MCC | $31,817 – $280,767 · median $34,045 | 38 plans |
| 740 | Uterine adnexa proc for non ovarian non adnexal malignancy w CC | $14,533 – $128,241 · median $15,550 | 38 plans |
| 741 | Uterine adnexa proc for non ovarian non adnexal malig w o CC MCC | $10,978 – $96,876 · median $11,747 | 38 plans |
| 742 | Uterine and adnexa procedures for non malignancy with CC MCC | $14,600 – $128,834 · median $15,622 | 38 plans |
| 743 | Uterine and adnexa procedures for non malignancy without CC MCC | $9,580 – $84,540 · median $10,251 | 38 plans |
| 744 | D C conization laparoscopy and tubal interruption with CC MCC | $15,617 – $137,812 · median $16,711 | 38 plans |
| 745 | D C conization laparoscopy and tubal interruption without CC MCC | $8,191 – $72,281 · median $8,764 | 38 plans |
| 746 | Vagina cervix and vulva procedures with CC MCC | $13,384 – $118,106 · median $14,321 | 38 plans |
| 747 | Vagina cervix and vulva procedures without CC MCC | $7,634 – $67,365 · median $8,168 | 38 plans |
| 748 | Female reproductive system reconstructive procedures | $10,888 – $96,079 · median $11,650 | 38 plans |
| 749 | Other female reproductive system O R procedures with CC MCC | $20,689 – $182,565 · median $22,137 | 38 plans |
| 750 | Other female reproductive system O R procedures without CC MCC | $10,307 – $90,951 · median $11,028 | 38 plans |
| 754 | Malignancy female reproductive system with MCC | $14,461 – $127,606 · median $15,473 | 38 plans |
| 755 | Malignancy female reproductive system with CC | $8,873 – $78,298 · median $9,494 | 38 plans |
| 756 | Malignancy female reproductive system without CC MCC | $7,632 – $67,351 · median $8,167 | 38 plans |
| 757 | Infections female reproductive system with MCC | $11,312 – $99,817 · median $12,103 | 38 plans |
| 758 | Infections female reproductive system with CC | $8,147 – $71,893 · median $8,717 | 38 plans |
| 759 | Infections female reproductive system without CC MCC | $5,115 – $45,133 · median $5,473 | 38 plans |
| 760 | Menstrual and other female reproductive system disorders w CC MCC | $7,877 – $69,509 · median $8,428 | 38 plans |
| 761 | Menstrual and other female reproductive system disorders w o CC MCC | $5,067 – $44,710 · median $5,421 | 38 plans |
| 799 | Splenic procedures with MCC | $38,002 – $335,344 · median $40,662 | 38 plans |
| 800 | Splenic procedures with CC | $23,288 – $205,502 · median $24,918 | 38 plans |
| 801 | Splenic procedures without CC MCC | $13,122 – $115,792 · median $14,040 | 38 plans |
| 802 | Other O R procedures of the blood and blood forming organs w MCC | $28,651 – $252,829 · median $30,657 | 38 plans |
| 803 | Other O R procedures of the blood and blood forming organs w CC | $14,227 – $125,540 · median $15,222 | 38 plans |
| 804 | Other O R procedures of blood and blood forming organs w o CC MCC | $8,836 – $77,973 · median $9,455 | 38 plans |
| 808 | Major hematol immun diag exc sickle cell crisis coagul dis w MCC | $18,307 – $161,546 · median $19,588 | 38 plans |
| 809 | Major hematol immun diag exc sickle cell crisis coagulat dis w CC | $9,899 – $87,354 · median $10,592 | 38 plans |
| 810 | Major hematol immun diag exc sickle cell crisis coagul w o CC MCC | $7,607 – $67,125 · median $8,139 | 38 plans |
| 815 | Reticuloendothelial and immunity disorders with CC | $8,122 – $71,668 · median $8,690 | 38 plans |
| 816 | Reticuloendothelial and immunity disorders without CC MCC | $5,271 – $46,509 · median $5,639 | 38 plans |
| 817 | Other antepartum diagnoses with O R procedures with MCC | $20,263 – $178,806 · median $21,681 | 38 plans |
| 818 | Other antepartum diagnoses with O R procedures with CC | $10,295 – $90,845 · median $11,015 | 38 plans |
| 819 | Other antepartum diagnoses with O R procedures without CC MCC | $6,526 – $57,589 · median $6,983 | 38 plans |
| 820 | Lymphoma and leukemia with major O R procedures with MCC | $46,534 – $410,630 · median $49,791 | 38 plans |
| 821 | Lymphoma and leukemia with major O R procedures with CC | $17,842 – $157,442 · median $19,091 | 38 plans |
| 822 | Lymphoma and leukemia with major O R procedures without CC MCC | $9,141 – $80,660 · median $9,781 | 38 plans |
| 823 | Lymphoma and non acute leukemia with other procedures with MCC | $37,400 – $330,033 · median $40,018 | 38 plans |
| 824 | Lymphoma and non acute leukemia with other procedures with CC | $17,579 – $155,121 · median $18,809 | 38 plans |
| 825 | Lymphoma and non acute leukemia with other procedures w o CC MCC | $9,837 – $86,804 · median $10,525 | 38 plans |
| 826 | Myeloprolif disord or poorly diff neopl w maj O R proc w MCC | $38,168 – $336,804 · median $40,839 | 38 plans |
| 827 | Myeloprolif disord or poorly diff neopl w maj O R proc w CC | $18,861 – $166,434 · median $20,181 | 38 plans |
| 828 | Myeloprolif disord or poorly diff neopl w maj O R proc w o CC MCC | $12,811 – $113,049 · median $13,708 | 38 plans |
| 829 | Myeloprolif disord or poorly diff neopl w oth proc w CC MCC | $24,647 – $217,492 · median $26,372 | 38 plans |
| 830 | Myeloprolif disord or poorly diff neopl w oth proc w o CC MCC | $11,689 – $103,146 · median $12,507 | 38 plans |
| 831 | Other antepartum diagnoses without O R procedures with MCC | $9,199 – $81,175 · median $9,843 | 38 plans |
| 834 | Acute leukemia with MCC | $44,176 – $389,823 · median $47,268 | 38 plans |
| 835 | Acute leukemia with CC | $17,071 – $150,642 · median $18,266 | 38 plans |
| 836 | Acute leukemia without CC MCC | $10,157 – $89,625 · median $10,868 | 38 plans |
| 837 | Chemo w acute leukemia as SDX or w high dose chemo agent w MCC | $40,019 – $353,140 · median $42,820 | 38 plans |
| 838 | Chemo w acute leukemia as SDX w CC or high dose chemo agent | $16,210 – $143,046 · median $17,345 | 38 plans |
| 839 | Chemotherapy w acute leukemia as secondary DX without CC MCC | $10,953 – $96,650 · median $11,719 | 38 plans |
| 840 | Lymphoma and non acute leukemia with MCC | $25,493 – $224,955 · median $27,277 | 38 plans |
| 841 | Lymphoma and non acute leukemia with CC | $12,532 – $110,587 · median $13,409 | 38 plans |
| 842 | Lymphoma and non acute leukemia without CC MCC | $8,407 – $74,186 · median $8,995 | 38 plans |
| 843 | Other myeloprolif disord or poorly diff neoplastic diagnoses w MCC | $15,131 – $133,524 · median $16,191 | 38 plans |
| 844 | Other myeloprolif disord or poorly diff neoplastic diagnoses w CC | $9,552 – $84,293 · median $10,221 | 38 plans |
| 845 | Other myeloprolif disord or poorly diff neoplastic diag w o CC MCC | $6,688 – $59,014 · median $7,156 | 38 plans |
| 846 | Chemotherapy without acute leukemia as secondary diagnosis with MCC | $20,411 – $180,111 · median $21,839 | 38 plans |
| 847 | Chemotherapy without acute leukemia as secondary diagnosis with CC | $10,156 – $89,618 · median $10,867 | 38 plans |
| 848 | Chemotherapy w o acute leukemia as secondary diagnosis w o CC MCC | $6,545 – $57,759 · median $7,004 | 38 plans |
| 849 | Radiotherapy | $21,348 – $188,384 · median $22,843 | 38 plans |
| 850 | Acute Leukemia with other procedures | $73,625 – $649,691 · median $78,779 | 38 plans |
| 853 | Infectious and parasitic diseases with O R procedures with MCC | $39,976 – $352,766 · median $42,775 | 38 plans |
| 854 | Infectious and parasitic diseases with O R procedures with CC | $15,971 – $140,937 · median $17,089 | 38 plans |
| 855 | Infectious and parasitic diseases with O R procedures w o CC MCC | $12,992 – $114,650 · median $13,902 | 38 plans |
| 856 | Postoperative or post traumatic infections w O R procedures w MCC | $36,058 – $318,191 · median $38,582 | 38 plans |
| 857 | Postoperative or post traumatic infections w O R procedures w CC | $17,416 – $153,682 · median $18,635 | 38 plans |
| 858 | Postop or post traumatic infections w O R procedures w o CC MCC | $10,298 – $90,873 · median $11,019 | 38 plans |
| 862 | Postoperative and post traumatic infections with MCC | $14,696 – $129,680 · median $15,724 | 38 plans |
| 863 | Postoperative and post traumatic infections without MCC | $7,992 – $70,525 · median $8,552 | 38 plans |
| 864 | Fever and inflammatory conditions | $7,177 – $63,331 · median $7,679 | 38 plans |
| 865 | Viral illness with MCC | $11,797 – $104,098 · median $12,622 | 38 plans |
| 866 | Viral illness without MCC | $7,071 – $62,400 · median $7,566 | 38 plans |
| 867 | Other infectious and parasitic diseases diagnoses with MCC | $17,138 – $151,235 · median $18,338 | 38 plans |
| 868 | Other infectious and parasitic diseases diagnoses with CC | $8,393 – $74,059 · median $8,980 | 38 plans |
| 869 | Other infectious and parasitic diseases diagnoses without CC MCC | $5,751 – $50,748 · median $6,153 | 38 plans |
| 870 | Septicemia or severe sepsis with MV 96 hours | $55,603 – $490,656 · median $59,495 | 38 plans |
| 871 | Septicemia or severe sepsis without MV 96 hours with MCC | $15,684 – $138,405 · median $16,782 | 38 plans |
| 872 | Septicemia or severe sepsis without MV 96 hours without MCC | $8,241 – $72,718 · median $8,818 | 38 plans |
| 901 | Wound debridements for injuries with MCC | $35,410 – $312,471 · median $37,889 | 38 plans |
| 902 | Wound debridements for injuries with CC | $15,166 – $133,827 · median $16,227 | 38 plans |
| 903 | Wound debridements for injuries without CC MCC | $9,743 – $85,979 · median $10,425 | 38 plans |
| 904 | Skin grafts for injuries with CC MCC | $30,860 – $272,317 · median $33,020 | 38 plans |
| 905 | Skin grafts for injuries without CC MCC | $13,173 – $116,244 · median $14,095 | 38 plans |
| 906 | Hand procedures for injuries | $17,444 – $153,929 · median $18,665 | 38 plans |
| 907 | Other O R procedures for injuries with MCC | $31,840 – $280,964 · median $34,068 | 38 plans |
| 908 | Other O R procedures for injuries with CC | $16,122 – $142,263 · median $17,250 | 38 plans |
| 909 | Other O R procedures for injuries without CC MCC | $10,137 – $89,449 · median $10,846 | 38 plans |
| 913 | Traumatic injury with MCC | $12,934 – $114,135 · median $13,839 | 38 plans |
| 914 | Traumatic injury without MCC | $7,324 – $64,628 · median $7,837 | 38 plans |
| 915 | Allergic reactions with MCC | $13,890 – $122,571 · median $14,862 | 38 plans |
| 916 | Allergic reactions without MCC | $5,307 – $46,833 · median $5,679 | 38 plans |
| 919 | Complications of treatment with MCC | $14,574 – $128,608 · median $15,594 | 38 plans |
| 920 | Complications of treatment with CC | $8,119 – $71,646 · median $8,688 | 38 plans |
| 921 | Complications of treatment without CC MCC | $5,496 – $48,498 · median $5,881 | 38 plans |
| 922 | Other injury poisoning and toxic effect diagnoses with MCC | $13,502 – $119,143 · median $14,447 | 38 plans |
| 923 | Other injury poisoning and toxic effect diagnoses without MCC | $8,151 – $71,929 · median $8,722 | 38 plans |
| 927 | Extensive burns or full thickness burns w MV 96 hours w skin graft | $189,614 – $1,673,217 · median $202,887 | 38 plans |
| 928 | Full thickness burn w skin graft or inhalation injury w CC MCC | $53,381 – $471,048 · median $57,117 | 38 plans |
| 929 | Full thickness burn w skin graft or inhalation injury w o CC MCC | $25,419 – $224,306 · median $27,198 | 38 plans |
| 933 | Extensive burns or full thick burns w MV 96 hours w o skin graft | $34,583 – $305,171 · median $37,004 | 38 plans |
| 934 | Full thickness burn without skin graft or inhalation injury | $17,150 – $151,341 · median $18,351 | 38 plans |
| 935 | Non extensive burns | $17,555 – $154,909 · median $18,784 | 38 plans |
| 939 | O R procedure w diagnoses of other contact w health services w MCC | $25,368 – $223,854 · median $27,144 | 38 plans |
| 940 | O R procedure w diagnoses of other contact w health services w CC | $16,875 – $148,914 · median $18,057 | 38 plans |
| 941 | O R proc w diagnoses of other contact w health services w o CC MCC | $15,620 – $137,834 · median $16,713 | 38 plans |
| 945 | Rehabilitation with CC MCC | $12,200 – $107,660 · median $13,054 | 38 plans |
| 946 | Rehabilitation without CC MCC | $8,923 – $78,742 · median $9,548 | 38 plans |
| 947 | Signs and symptoms with MCC | $10,280 – $90,711 · median $10,999 | 38 plans |
| 948 | Signs and symptoms without MCC | $6,350 – $56,038 · median $6,795 | 38 plans |
| 949 | Aftercare with CC MCC | $8,624 – $76,097 · median $9,227 | 38 plans |
| 950 | Aftercare without CC MCC | $4,685 – $41,339 · median $5,013 | 38 plans |
| 951 | Other factors influencing health status | $4,531 – $39,985 · median $4,848 | 38 plans |
| 955 | Craniotomy for multiple significant trauma | $54,575 – $481,585 · median $58,395 | 38 plans |
| 956 | Limb reattachment hip femur proc for multiple significant trauma | $30,550 – $269,587 · median $32,689 | 38 plans |
| 957 | Other O R procedures for multiple significant trauma with MCC | $59,657 – $526,430 · median $63,832 | 38 plans |
| 958 | Other O R procedures for multiple significant trauma with CC | $32,847 – $289,851 · median $35,146 | 38 plans |
| 959 | Other O R procedures for multiple significant trauma w o CC MCC | $21,131 – $186,465 · median $22,610 | 38 plans |
| 963 | Other multiple significant trauma with MCC | $21,713 – $191,607 · median $23,233 | 38 plans |
| 964 | Other multiple significant trauma with CC | $11,991 – $105,812 · median $12,830 | 38 plans |
| 965 | Other multiple significant trauma without CC MCC | $7,294 – $64,360 · median $7,804 | 38 plans |
| 969 | HIV with extensive O R procedures with MCC | $50,546 – $446,037 · median $54,084 | 38 plans |
| 970 | HIV with extensive O R procedures without MCC | $21,207 – $187,136 · median $22,691 | 38 plans |
| 975 | HIV with major related condition with CC | $11,360 – $100,247 · median $12,156 | 38 plans |
| 976 | HIV with major related condition without CC MCC | $8,016 – $70,737 · median $8,577 | 38 plans |
| 977 | HIV with or without other related condition | $11,524 – $101,693 · median $12,331 | 38 plans |
| 981 | Extensive O R procedures unrelated to principal diagnosis w MCC | $38,001 – $335,330 · median $40,661 | 38 plans |
| 982 | Extensive O R procedures unrelated to principal diagnosis w CC | $19,571 – $172,698 · median $20,941 | 38 plans |
| 983 | Extensive O R proc unrelated to principal diagnosis w o CC MCC | $13,333 – $117,654 · median $14,266 | 38 plans |
| 989 | Non extensive O R proc unrelated to principal diagnosis w o CC MCC | $9,235 – $81,493 · median $9,881 | 38 plans |
| 769 | Postpartum and post abortion diagnoses with O R procedures | $11,106 – $98,004 · median $11,661 | 37 plans |
| 770 | Abortion with D C aspiration curettage or hysterotomy | $8,600 – $75,885 · median $9,030 | 37 plans |
| 776 | Postpartum and post abortion diagnoses without O R procedures | $5,702 – $50,318 · median $5,987 | 37 plans |
| 779 | Abortion without D C | $7,471 – $65,926 · median $7,845 | 37 plans |
| 832 | Other antepartum diagnoses without O R procedures with CC | $5,973 – $52,709 · median $6,272 | 37 plans |
| 833 | Other antepartum diagnoses without O R procedures without CC MCC | $4,155 – $36,663 · median $4,362 | 37 plans |
| 917 | Poisoning and toxic effects of drugs with MCC | $13,105 – $115,644 · median $13,760 | 37 plans |
| 918 | Poisoning and toxic effects of drugs without MCC | $7,069 – $62,379 · median $7,422 | 37 plans |
| 100 | Seizures with MCC | $15,867 – $140,020 · median $16,661 | 36 plans |
| 101 | Seizures without MCC | $7,366 – $65,002 · median $7,735 | 36 plans |
| 638 | Diabetes with CC | $7,331 – $64,692 · median $7,698 | 36 plans |
| 639 | Diabetes without CC MCC | $5,008 – $44,195 · median $5,259 | 36 plans |
| 811 | Red blood cell disorders with MCC | $11,244 – $99,224 · median $12,313 | 36 plans |
| 812 | Red blood cell disorders without MCC | $7,377 – $65,094 · median $8,077 | 36 plans |
| 813 | Coagulation disorders | $12,372 – $109,176 · median $13,548 | 36 plans |
| 814 | Reticuloendothelial and immunity disorders with MCC | $16,708 – $147,433 · median $18,295 | 36 plans |
| 876 | O R procedures with principal diagnosis of mental illness | $31,407 – $277,148 · median $32,978 | 35 plans |
| 783 | Cesarean section with sterilization with MCC | $14,723 – $56,899 · median $15,165 | 33 plans |
| 784 | Cesarean section with sterilization with CC | $8,656 – $33,454 · median $8,916 | 33 plans |
| 785 | Cesarean section with sterilization without CC MCC | $6,993 – $27,026 · median $7,203 | 33 plans |
| 786 | Cesarean section without sterilization with MCC | $12,915 – $49,912 · median $13,302 | 33 plans |
| 787 | Cesarean section without sterilization with CC | $8,487 – $32,799 · median $8,741 | 33 plans |
| 788 | Cesarean section without sterilization without CC MCC | $7,234 – $27,955 · median $7,451 | 33 plans |
| 796 | Vaginal delivery with sterilization and or D C with MCC | $10,204 – $39,434 · median $10,510 | 33 plans |
| 797 | Vaginal delivery with sterilization and or D C with CC | $7,739 – $29,908 · median $7,971 | 33 plans |
| 798 | Vaginal delivery with sterilization and or D C without CC MCC | $7,739 – $29,908 · median $7,971 | 33 plans |
| 805 | Vaginal delivery without sterilization OR D C with MCC | $7,976 – $30,825 · median $8,215 | 33 plans |
| 806 | Vaginal delivery without sterilization OR D C with CC | $5,783 – $22,349 · median $5,956 | 33 plans |
| 807 | Vaginal delivery without sterilization OR D C without CC MCC | $5,093 – $19,683 · median $5,246 | 33 plans |
| 768 | Vaginal delivery with O R procedures exc sterilization and or D C | $8,763 – $33,865 · median $9,025 | 32 plans |
| 789 | Neonates died or transferred to another acute care facility | $14,409 – $55,685 · median $14,841 | 31 plans |
| 795 | Normal newborn | $1,597 – $6,172 · median $1,645 | 31 plans |
| 790 | Extreme immaturity or respiratory distress syndrome neonate | $47,518 – $183,641 · median $48,943 | 30 plans |
| 791 | Prematurity with major problems | $32,452 – $125,416 · median $33,425 | 30 plans |
| 792 | Prematurity without major problems | $19,581 – $75,674 · median $20,168 | 30 plans |
| 793 | Full term neonate with major problems | $33,335 – $128,830 · median $34,335 | 30 plans |
| 794 | Neonate with other significant problems | $11,799 – $45,600 · median $12,153 | 30 plans |
No procedures match that keyword.