Montefiore New Rochelle 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 |
|---|---|---|---|
| 001 | Heart transplant or implant of heart assist system with MCC | $94,555 – $2,178,953 · median $276,911 | 45 plans |
| 002 | Heart transplant or implant of heart assist system without MCC | $36,993 – $852,484 · median $108,337 | 45 plans |
| 005 | Liver transplant with MCC or intestinal transplant | $35,748 – $823,776 · median $104,689 | 45 plans |
| 006 | Liver transplant without MCC | $16,278 – $375,111 · median $47,671 | 45 plans |
| 007 | Lung transplant | $43,869 – $1,010,933 · median $128,474 | 45 plans |
| 008 | Simultaneous pancreas and kidney transplant | $18,265 – $420,900 · median $53,490 | 45 plans |
| 010 | Pancreas transplant | $26,764 – $616,760 · median $78,381 | 45 plans |
| 011 | Tracheostomy for face mouth neck diagnoses or laryngectomy w MCC | $18,113 – $417,404 · median $53,046 | 45 plans |
| 012 | Tracheostomy for face mouth neck diagnoses or laryngectomy w CC | $13,775 – $317,439 · median $40,342 | 45 plans |
| 013 | Tracheostomy for face mouth neck diag or laryngectomy w o CC MCC | $8,895 – $204,989 · median $26,051 | 45 plans |
| 014 | Allogeneic bone marrow transplant | $43,980 – $1,013,486 · median $128,798 | 45 plans |
| 016 | Autologous bone marrow transplant with CC MCC | $20,261 – $466,906 · median $59,337 | 45 plans |
| 017 | Autologous bone marrow transplant without CC MCC | $20,261 – $466,906 · median $59,337 | 45 plans |
| 019 | Simultaneous pancreas and kidney transplant with hemodialysis | $26,610 – $613,210 · median $77,929 | 45 plans |
| 020 | Intracranial vascular procedures with PDX hemorrhage w MCC | $27,059 – $623,560 · median $79,245 | 45 plans |
| 021 | Intracranial vascular procedures with PDX hemorrhage w CC | $18,555 – $427,592 · median $54,340 | 45 plans |
| 022 | Intracranial vascular procedures with PDX hemorrhage w o CC MCC | $11,852 – $273,112 · median $34,708 | 45 plans |
| 024 | Craniotomy w major device implant or acute complex CNS PDX w o MCC | $12,761 – $294,076 · median $37,373 | 45 plans |
| 025 | Craniotomy and endovascular intracranial procedures with MCC | $15,013 – $345,954 · median $43,965 | 45 plans |
| 026 | Craniotomy and endovascular intracranial procedures with CC | $10,267 – $236,598 · median $30,068 | 45 plans |
| 027 | Craniotomy and endovascular intracranial procedures without CC MCC | $8,284 – $190,894 · median $24,260 | 45 plans |
| 028 | Spinal procedures with MCC | $20,408 – $470,279 · median $59,765 | 45 plans |
| 029 | Spinal procedures with CC or spinal neurostimulators | $11,268 – $259,659 · median $32,999 | 45 plans |
| 030 | Spinal procedures without CC MCC | $7,470 – $172,141 · median $21,877 | 45 plans |
| 031 | Ventricular shunt procedures with MCC | $14,067 – $324,162 · median $41,196 | 45 plans |
| 032 | Ventricular shunt procedures with CC | $7,169 – $165,202 · median $20,995 | 45 plans |
| 033 | Ventricular shunt procedures without CC MCC | $5,356 – $123,420 · median $15,685 | 45 plans |
| 034 | Carotid artery stent procedures with MCC | $13,054 – $300,814 · median $38,229 | 45 plans |
| 035 | Carotid artery stent procedures with CC | $7,636 – $175,963 · median $22,362 | 45 plans |
| 036 | Carotid artery stent procedures without CC MCC | $6,153 – $141,801 · median $18,021 | 45 plans |
| 037 | Extracranial procedures with MCC | $11,148 – $256,889 · median $32,647 | 45 plans |
| 038 | Extracranial procedures with CC | $5,408 – $124,635 · median $15,839 | 45 plans |
| 039 | Extracranial procedures without CC MCC | $3,821 – $88,051 · median $11,190 | 45 plans |
| 040 | Peripheral cranial nerve and other nervous system procedures w MCC | $12,662 – $291,786 · median $37,082 | 45 plans |
| 041 | Periph cranial nerve other nerv syst proc w CC or periph neurost | $7,582 – $174,725 · median $22,205 | 45 plans |
| 042 | Peripheral cranial nerve other nervous system proc w o CC MCC | $5,900 – $135,960 · median $17,278 | 45 plans |
| 052 | Spinal disorders and injuries with CC MCC | $6,756 – $155,679 · median $19,784 | 45 plans |
| 053 | Spinal disorders and injuries without CC MCC | $3,093 – $71,272 · median $9,058 | 45 plans |
| 054 | Nervous system neoplasms with MCC | $5,033 – $115,970 · median $14,738 | 45 plans |
| 055 | Nervous system neoplasms without MCC | $3,662 – $84,392 · median $10,725 | 45 plans |
| 056 | Degenerative nervous system disorders with MCC | $8,406 – $193,709 · median $24,617 | 45 plans |
| 057 | Degenerative nervous system disorders without MCC | $4,481 – $103,252 · median $13,122 | 45 plans |
| 058 | Multiple sclerosis and cerebellar ataxia with MCC | $6,196 – $142,783 · median $18,146 | 45 plans |
| 059 | Multiple sclerosis and cerebellar ataxia with CC | $4,107 – $94,650 · median $12,029 | 45 plans |
| 060 | Multiple sclerosis and cerebellar ataxia without CC MCC | $2,996 – $69,036 · median $8,773 | 45 plans |
| 061 | Ischemic stroke precereb occl trans ischemia w thrombolyt agt w MCC | $9,075 – $209,120 · median $26,576 | 45 plans |
| 062 | Ischemic stroke precereb occl trans ischemia w thrombolyt agt w CC | $5,978 – $137,763 · median $17,508 | 45 plans |
| 063 | Ischemic stroke precereb occ trans ischemia w thromb agt w o CC MCC | $4,716 – $108,668 · median $13,810 | 45 plans |
| 064 | Intracranial hemorrhage or cerebral infarction with MCC | $6,677 – $153,877 · median $19,555 | 45 plans |
| 065 | Intracranial hemorrhage or cerebral infarction w CC or tPA in 24 hr | $3,414 – $78,675 · median $9,998 | 45 plans |
| 066 | Intracranial hemorrhage or cerebral infarction without CC MCC | $2,311 – $53,247 · median $6,767 | 45 plans |
| 067 | Nonspecific CVA and precerebral occlusion without infarction w MCC | $4,887 – $112,621 · median $14,312 | 45 plans |
| 068 | Nonspecific CVA and precerebral occlusion w o infarction w o MCC | $2,960 – $68,201 · median $8,667 | 45 plans |
| 069 | Transient ischemia without thrombolytic | $2,686 – $61,903 · median $7,867 | 45 plans |
| 070 | Nonspecific cerebrovascular disorders with MCC | $5,837 – $134,506 · median $17,094 | 45 plans |
| 071 | Nonspecific cerebrovascular disorders with CC | $3,538 – $81,522 · median $10,360 | 45 plans |
| 072 | Nonspecific cerebrovascular disorders without CC MCC | $2,518 – $58,028 · median $7,374 | 45 plans |
| 073 | Cranial and peripheral nerve disorders with MCC | $5,188 – $119,560 · median $15,194 | 45 plans |
| 074 | Cranial and peripheral nerve disorders without MCC | $3,499 – $80,640 · median $10,248 | 45 plans |
| 075 | Viral meningitis with CC MCC | $5,782 – $133,245 · median $16,933 | 45 plans |
| 076 | Viral meningitis without CC MCC | $3,078 – $70,931 · median $9,014 | 45 plans |
| 077 | Hypertensive encephalopathy with MCC | $5,191 – $119,614 · median $15,201 | 45 plans |
| 078 | Hypertensive encephalopathy with CC | $3,350 – $77,190 · median $9,810 | 45 plans |
| 079 | Hypertensive encephalopathy without CC MCC | $2,238 – $51,576 · median $6,555 | 45 plans |
| 080 | Nontraumatic stupor and coma with MCC | $6,673 – $153,776 · median $19,543 | 45 plans |
| 081 | Nontraumatic stupor and coma without MCC | $3,037 – $69,995 · median $8,895 | 45 plans |
| 082 | Traumatic stupor and coma 1 hour with MCC | $7,789 – $179,483 · median $22,809 | 45 plans |
| 083 | Traumatic stupor and coma 1 hour with CC | $4,667 – $107,554 · median $13,668 | 45 plans |
| 084 | Traumatic stupor and coma 1 hour without CC MCC | $3,209 – $73,956 · median $9,399 | 45 plans |
| 085 | Traumatic stupor and coma 1 hour with MCC | $7,607 – $175,290 · median $22,277 | 45 plans |
| 086 | Traumatic stupor and coma 1 hour with CC | $4,403 – $101,465 · median $12,895 | 45 plans |
| 087 | Traumatic stupor and coma 1 hour without CC MCC | $2,968 – $68,386 · median $8,691 | 45 plans |
| 088 | Concussion with MCC | $4,735 – $109,124 · median $13,868 | 45 plans |
| 089 | Concussion with CC | $3,599 – $82,938 · median $10,540 | 45 plans |
| 090 | Concussion without CC MCC | $2,878 – $66,313 · median $8,427 | 45 plans |
| 091 | Other disorders of nervous system with MCC | $6,119 – $141,012 · median $17,920 | 45 plans |
| 092 | Other disorders of nervous system with CC | $3,554 – $81,909 · median $10,409 | 45 plans |
| 093 | Other disorders of nervous system without CC MCC | $2,650 – $61,060 · median $7,760 | 45 plans |
| 094 | Bacterial and tuberculous infections of nervous system with MCC | $12,248 – $282,240 · median $35,868 | 45 plans |
| 095 | Bacterial and tuberculous infections of nervous system with CC | $8,047 – $185,432 · median $23,566 | 45 plans |
| 096 | Bacterial and tuberculous infections of nervous system w o CC MCC | $8,047 – $185,432 · median $23,566 | 45 plans |
| 097 | Non bacterial infect of nervous syst except viral meningitis w MCC | $12,034 – $277,320 · median $35,243 | 45 plans |
| 098 | Non bacterial infect of nervous system except viral meningitis w CC | $7,282 – $167,802 · median $21,325 | 45 plans |
| 099 | Non bacterial infect of nervous sys exc viral meningitis w o CC MCC | $4,677 – $107,778 · median $13,697 | 45 plans |
| 113 | Orbital procedures with CC MCC | $7,575 – $174,571 · median $22,185 | 45 plans |
| 114 | Orbital procedures without CC MCC | $3,968 – $91,447 · median $11,622 | 45 plans |
| 115 | Extraocular procedures except orbit | $5,139 – $118,430 · median $15,051 | 45 plans |
| 116 | Intraocular procedures with CC MCC | $5,601 – $129,075 · median $16,403 | 45 plans |
| 117 | Intraocular procedures without CC MCC | $3,621 – $83,441 · median $10,604 | 45 plans |
| 121 | Acute major eye infections with CC MCC | $3,905 – $89,977 · median $11,435 | 45 plans |
| 122 | Acute major eye infections without CC MCC | $2,277 – $52,473 · median $6,669 | 45 plans |
| 123 | Neurological eye disorders | $2,696 – $62,136 · median $7,896 | 45 plans |
| 124 | Other disorders of the eye with MCC or thrombolytic agent | $4,377 – $100,862 · median $12,818 | 45 plans |
| 125 | Other disorders of the eye without MCC | $2,772 – $63,876 · median $8,118 | 45 plans |
| 135 | Sinus and mastoid procedures with CC MCC | $8,093 – $186,507 · median $23,702 | 45 plans |
| 136 | Sinus and mastoid procedures without CC MCC | $3,284 – $75,674 · median $9,617 | 45 plans |
| 137 | Mouth procedures with CC MCC | $4,695 – $108,188 · median $13,749 | 45 plans |
| 138 | Mouth procedures without CC MCC | $2,731 – $62,932 · median $7,998 | 45 plans |
| 139 | Salivary gland procedures | $4,609 – $106,208 · median $13,497 | 45 plans |
| 140 | Major head and neck procedures with MCC | $14,197 – $327,155 · median $41,576 | 45 plans |
| 141 | Major head and neck procedures with CC | $7,212 – $166,192 · median $21,120 | 45 plans |
| 142 | Major head and neck procedures without CC MCC | $5,278 – $121,633 · median $15,458 | 45 plans |
| 143 | Other ear nose mouth and throat O R procedures with MCC | $11,084 – $255,420 · median $32,460 | 45 plans |
| 144 | Other ear nose mouth and throat O R procedures with CC | $5,897 – $135,891 · median $17,270 | 45 plans |
| 145 | Other ear nose mouth and throat O R procedures without CC MCC | $3,977 – $91,648 · median $11,647 | 45 plans |
| 146 | Ear nose mouth and throat malignancy with MCC | $7,701 – $177,456 · median $22,552 | 45 plans |
| 147 | Ear nose mouth and throat malignancy with CC | $4,178 – $96,290 · median $12,237 | 45 plans |
| 148 | Ear nose mouth and throat malignancy without CC MCC | $2,688 – $61,942 · median $7,872 | 45 plans |
| 149 | Dysequilibrium | $2,509 – $57,827 · median $7,349 | 45 plans |
| 150 | Epistaxis with MCC | $4,640 – $106,919 · median $13,588 | 45 plans |
| 151 | Epistaxis without MCC | $2,545 – $58,639 · median $7,452 | 45 plans |
| 152 | Otitis media and URI with MCC | $3,809 – $87,780 · median $11,156 | 45 plans |
| 153 | Otitis media and URI without MCC | $2,389 – $55,057 · median $6,997 | 45 plans |
| 154 | Other ear nose mouth and throat diagnoses with MCC | $5,459 – $125,803 · median $15,988 | 45 plans |
| 155 | Other ear nose mouth and throat diagnoses with CC | $3,134 – $72,223 · median $9,178 | 45 plans |
| 156 | Other ear nose mouth and throat diagnoses without CC MCC | $2,257 – $52,017 · median $6,611 | 45 plans |
| 157 | Dental and oral diseases with MCC | $5,497 – $126,669 · median $16,098 | 45 plans |
| 158 | Dental and oral diseases with CC | $3,157 – $72,757 · median $9,246 | 45 plans |
| 159 | Dental and oral diseases without CC MCC | $2,214 – $51,027 · median $6,485 | 45 plans |
| 163 | Major chest procedures with MCC | $15,472 – $356,545 · median $45,311 | 45 plans |
| 164 | Major chest procedures with CC | $8,449 – $194,700 · median $24,743 | 45 plans |
| 165 | Major chest procedures without CC MCC | $6,257 – $144,191 · median $18,324 | 45 plans |
| 166 | Other respiratory system O R procedures with MCC | $12,928 – $297,913 · median $37,860 | 45 plans |
| 167 | Other respiratory system O R procedures with CC | $6,134 – $141,344 · median $17,963 | 45 plans |
| 168 | Other respiratory system O R procedures without CC MCC | $4,545 – $104,730 · median $13,310 | 45 plans |
| 173 | Ultrasound accelerated and oth thrombolysis with PDX pulmonary embolism | $10,301 – $237,371 · median $30,166 | 45 plans |
| 175 | Pulmonary embolism with MCC or acute cor pulmonale | $4,730 – $109,008 · median $13,853 | 45 plans |
| 176 | Pulmonary embolism without MCC | $2,734 – $63,010 · median $8,008 | 45 plans |
| 177 | Respiratory infections and inflammations with MCC | $5,427 – $125,052 · median $15,892 | 45 plans |
| 178 | Respiratory infections and inflammations with CC | $3,331 – $76,749 · median $9,754 | 45 plans |
| 179 | Respiratory infections and inflammations without CC MCC | $2,584 – $59,544 · median $7,567 | 45 plans |
| 180 | Respiratory neoplasms with MCC | $5,867 – $135,202 · median $17,182 | 45 plans |
| 181 | Respiratory neoplasms with CC | $3,727 – $85,885 · median $10,915 | 45 plans |
| 182 | Respiratory neoplasms without CC MCC | $2,812 – $64,789 · median $8,234 | 45 plans |
| 183 | Major chest trauma with MCC | $5,328 – $122,786 · median $15,604 | 45 plans |
| 184 | Major chest trauma with CC | $3,585 – $82,620 · median $10,500 | 45 plans |
| 185 | Major chest trauma without CC MCC | $2,610 – $60,155 · median $7,645 | 45 plans |
| 186 | Pleural effusion with MCC | $5,304 – $122,229 · median $15,533 | 45 plans |
| 187 | Pleural effusion with CC | $3,370 – $77,662 · median $9,870 | 45 plans |
| 188 | Pleural effusion without CC MCC | $2,464 – $56,790 · median $7,217 | 45 plans |
| 189 | Pulmonary edema and respiratory failure | $4,154 – $95,733 · median $12,166 | 45 plans |
| 190 | Chronic obstructive pulmonary disease with MCC | $3,771 – $86,898 · median $11,043 | 45 plans |
| 191 | Chronic obstructive pulmonary disease with CC | $2,884 – $66,460 · median $8,446 | 45 plans |
| 192 | Chronic obstructive pulmonary disease without CC MCC | $2,173 – $50,067 · median $6,363 | 45 plans |
| 193 | Simple pneumonia and pleurisy with MCC | $4,424 – $101,945 · median $12,956 | 45 plans |
| 194 | Simple pneumonia and pleurisy with CC | $2,753 – $63,435 · median $8,062 | 45 plans |
| 195 | Simple pneumonia and pleurisy without CC MCC | $2,091 – $48,180 · median $6,123 | 45 plans |
| 196 | Interstitial lung disease with MCC | $6,325 – $145,762 · median $18,524 | 45 plans |
| 197 | Interstitial lung disease with CC | $3,323 – $76,579 · median $9,732 | 45 plans |
| 198 | Interstitial lung disease without CC MCC | $2,351 – $54,183 · median $6,886 | 45 plans |
| 199 | Pneumothorax with MCC | $5,926 – $136,556 · median $17,354 | 45 plans |
| 200 | Pneumothorax with CC | $3,718 – $85,668 · median $10,887 | 45 plans |
| 201 | Pneumothorax without CC MCC | $2,272 – $52,365 · median $6,655 | 45 plans |
| 202 | Bronchitis and asthma with CC MCC | $3,245 – $74,784 · median $9,504 | 45 plans |
| 203 | Bronchitis and asthma without CC MCC | $2,337 – $53,866 · median $6,846 | 45 plans |
| 204 | Respiratory signs and symptoms | $2,722 – $62,731 · median $7,972 | 45 plans |
| 205 | Other respiratory system diagnoses with MCC | $6,337 – $146,032 · median $18,558 | 45 plans |
| 206 | Other respiratory system diagnoses without MCC | $3,041 – $70,073 · median $8,905 | 45 plans |
| 207 | Respiratory system diagnosis with ventilator support 96 hours | $21,712 – $500,341 · median $63,586 | 45 plans |
| 208 | Respiratory system diagnosis with ventilator support 96 hours | $9,011 – $207,642 · median $26,388 | 45 plans |
| 212 | Concomitant aortic and mitral valve procedures | $36,568 – $842,690 · median $107,093 | 45 plans |
| 215 | Other heart assist system implant | $35,565 – $819,567 · median $104,154 | 45 plans |
| 216 | Cardiac valve oth maj cardiothoracic proc w cardiac cath w MCC | $32,397 – $746,555 · median $94,876 | 45 plans |
| 217 | Cardiac valve oth maj cardiothoracic proc w cardiac cath w CC | $21,678 – $499,544 · median $63,484 | 45 plans |
| 218 | Cardiac valve oth maj cardiothoracic proc w card cath w o CC MCC | $19,971 – $460,222 · median $58,487 | 45 plans |
| 219 | Cardiac valve oth maj cardiothoracic proc w o cardiac cath w MCC | $25,973 – $598,534 · median $76,064 | 45 plans |
| 220 | Cardiac valve oth maj cardiothoracic proc w o cardiac cath w CC | $17,780 – $409,722 · median $52,069 | 45 plans |
| 221 | Cardiac valve oth maj cardiothorac proc w o card cath w o CC MCC | $15,416 – $355,260 · median $45,148 | 45 plans |
| 228 | Other cardiothoracic procedures with MCC | $16,728 – $385,477 · median $48,988 | 45 plans |
| 229 | Other cardiothoracic procedures without MCC | $10,427 – $240,288 · median $30,537 | 45 plans |
| 231 | Coronary bypass with PTCA with MCC | $28,445 – $655,502 · median $83,304 | 45 plans |
| 232 | Coronary bypass with PTCA without MCC | $20,506 – $472,538 · median $60,052 | 45 plans |
| 233 | Coronary bypass with cardiac cath or open ablation with MCC | $26,238 – $604,630 · median $76,839 | 45 plans |
| 234 | Coronary bypass with cardiac cath or open ablation without MCC | $17,859 – $411,547 · median $52,301 | 45 plans |
| 235 | Coronary bypass without cardiac catheterization with MCC | $19,752 – $455,171 · median $57,845 | 45 plans |
| 236 | Coronary bypass without cardiac catheterization without MCC | $13,803 – $318,089 · median $40,424 | 45 plans |
| 239 | Amputation for circulatory sys disorders exc upper limb toe w MCC | $16,908 – $389,624 · median $49,515 | 45 plans |
| 240 | Amputation for circulatory sys disorders exc upper limb toe w CC | $9,776 – $225,272 · median $28,629 | 45 plans |
| 241 | Amputation for circ sys disorders exc upper limb toe w o CC MCC | $5,068 – $116,798 · median $14,843 | 45 plans |
| 242 | Permanent cardiac pacemaker implant with MCC | $11,387 – $262,405 · median $33,348 | 45 plans |
| 243 | Permanent cardiac pacemaker implant with CC | $7,562 – $174,269 · median $22,147 | 45 plans |
| 244 | Permanent cardiac pacemaker implant without CC MCC | $6,058 – $139,612 · median $17,742 | 45 plans |
| 245 | AICD generator procedures | $16,404 – $378,020 · median $48,040 | 45 plans |
| 250 | Percutaneous cardiovascular proc w o intraluminal device with MCC | $7,764 – $178,910 · median $22,737 | 45 plans |
| 251 | Percutaneous cardiovascular proc w o intraluminal device without MCC | $5,245 – $120,875 · median $15,361 | 45 plans |
| 252 | Other vascular procedures with MCC | $11,515 – $265,360 · median $33,723 | 45 plans |
| 253 | Other vascular procedures with CC | $8,570 – $197,492 · median $25,098 | 45 plans |
| 254 | Other vascular procedures without CC MCC | $5,872 – $135,326 · median $17,198 | 45 plans |
| 255 | Upper limb toe amputation for circulatory system disorders w MCC | $8,783 – $202,397 · median $25,722 | 45 plans |
| 256 | Upper limb toe amputation for circulatory system disorders w CC | $5,685 – $131,017 · median $16,650 | 45 plans |
| 257 | Upper limb toe amputation for circ sys disorders w o CC MCC | $2,994 – $68,997 · median $8,769 | 45 plans |
| 258 | Cardiac pacemaker device replacement with MCC | $9,418 – $217,026 · median $27,581 | 45 plans |
| 259 | Cardiac pacemaker device replacement without MCC | $5,900 – $135,968 · median $17,279 | 45 plans |
| 260 | Cardiac pacemaker revision except device replacement with MCC | $11,437 – $263,550 · median $33,493 | 45 plans |
| 261 | Cardiac pacemaker revision except device replacement with CC | $6,370 – $146,783 · median $18,654 | 45 plans |
| 262 | Cardiac pacemaker revision except device replacement without CC MCC | $5,095 – $117,409 · median $14,921 | 45 plans |
| 263 | Vein ligation and stripping | $9,003 – $207,472 · median $26,366 | 45 plans |
| 264 | Other circulatory system O R procedures | $11,732 – $270,365 · median $34,359 | 45 plans |
| 265 | AICD lead procedures | $11,974 – $275,935 · median $35,067 | 45 plans |
| 266 | Endovascular cardiac valve replacement supplement procedure w MCC | $20,110 – $463,417 · median $58,893 | 45 plans |
| 267 | Endovascular cardiac valve replace supplement procedure w o MCC | $15,793 – $363,932 · median $46,250 | 45 plans |
| 268 | Aortic and heart assist procedures except pulsation balloon w MCC | $22,382 – $515,775 · median $65,547 | 45 plans |
| 269 | Aortic and heart assist procedures except pulsation balloon w o MCC | $13,967 – $321,849 · median $40,902 | 45 plans |
| 270 | Other major cardiovascular procedures with MCC | $17,231 – $397,073 · median $50,462 | 45 plans |
| 271 | Other major cardiovascular procedures with CC | $11,563 – $266,459 · median $33,863 | 45 plans |
| 272 | Other major cardiovascular procedures without CC MCC | $8,399 – $193,555 · median $24,598 | 45 plans |
| 273 | Percutaneous and other intracardiac procedures with MCC | $13,126 – $302,478 · median $38,440 | 45 plans |
| 275 | Cardiac defibrillator implant with cardiac catheterization and MCC | $23,722 – $546,664 · median $69,473 | 45 plans |
| 276 | Cardiac defibrillator implant with MCC or carotid sinus neurostimulators | $20,793 – $479,168 · median $60,895 | 45 plans |
| 277 | Cardiac defibrillator implant without MCC | $15,618 – $359,894 · median $45,737 | 45 plans |
| 278 | US accelerated other thrombolysis of peripheral vasc structures w MCC | $16,795 – $387,024 · median $49,185 | 45 plans |
| 279 | US accelerated other thrombolysis of peripheral vasc structures w o MCC | $10,757 – $247,877 · median $31,501 | 45 plans |
| 280 | Acute myocardial infarction discharged alive with MCC | $5,511 – $126,986 · median $16,138 | 45 plans |
| 281 | Acute myocardial infarction discharged alive with CC | $3,095 – $71,310 · median $9,062 | 45 plans |
| 282 | Acute myocardial infarction discharged alive without CC MCC | $2,434 – $56,094 · median $7,129 | 45 plans |
| 283 | Acute myocardial infarction expired with MCC | $6,564 – $151,270 · median $19,224 | 45 plans |
| 284 | Acute myocardial infarction expired with CC | $2,487 – $57,316 · median $7,284 | 45 plans |
| 285 | Acute myocardial infarction expired without CC MCC | $1,884 – $43,422 · median $5,518 | 45 plans |
| 286 | Circulatory disorders except AMI w cardiac catheterization w MCC | $7,430 – $171,221 · median $21,760 | 45 plans |
| 287 | Circulatory disorders except AMI w cardiac catheterization w o MCC | $3,658 – $84,291 · median $10,712 | 45 plans |
| 288 | Acute and subacute endocarditis with MCC | $9,169 – $211,293 · median $26,852 | 45 plans |
| 289 | Acute and subacute endocarditis with CC | $5,293 – $121,966 · median $15,500 | 45 plans |
| 290 | Acute and subacute endocarditis without CC MCC | $3,287 – $75,735 · median $9,625 | 45 plans |
| 291 | Heart failure and shock with MCC | $4,381 – $100,947 · median $12,829 | 45 plans |
| 292 | Heart failure and shock with CC | $2,891 – $66,630 · median $8,468 | 45 plans |
| 293 | Heart failure and shock without CC MCC | $1,843 – $42,471 · median $5,397 | 45 plans |
| 294 | Deep vein thrombophlebitis with CC MCC | $4,122 – $94,990 · median $12,072 | 45 plans |
| 295 | Deep vein thrombophlebitis without CC MCC | $2,651 – $61,099 · median $7,765 | 45 plans |
| 296 | Cardiac arrest unexplained with MCC | $5,500 – $126,739 · median $16,107 | 45 plans |
| 297 | Cardiac arrest unexplained with CC | $2,365 – $54,492 · median $6,925 | 45 plans |
| 298 | Cardiac arrest unexplained without CC MCC | $1,482 – $34,162 · median $4,341 | 45 plans |
| 299 | Peripheral vascular disorders with MCC | $5,431 – $125,145 · median $15,904 | 45 plans |
| 300 | Peripheral vascular disorders with CC | $3,594 – $82,814 · median $10,524 | 45 plans |
| 301 | Peripheral vascular disorders without CC MCC | $2,395 – $55,181 · median $7,013 | 45 plans |
| 302 | Atherosclerosis with MCC | $3,905 – $89,985 · median $11,436 | 45 plans |
| 303 | Atherosclerosis without MCC | $2,257 – $52,017 · median $6,611 | 45 plans |
| 304 | Hypertension with MCC | $3,944 – $90,883 · median $11,550 | 45 plans |
| 305 | Hypertension without MCC | $2,520 – $58,074 · median $7,380 | 45 plans |
| 306 | Cardiac congenital and valvular disorders with MCC | $5,027 – $115,839 · median $14,721 | 45 plans |
| 307 | Cardiac congenital and valvular disorders without MCC | $3,110 – $71,659 · median $9,107 | 45 plans |
| 308 | Cardiac arrhythmia and conduction disorders with MCC | $4,049 – $93,296 · median $11,857 | 45 plans |
| 309 | Cardiac arrhythmia and conduction disorders with CC | $2,482 – $57,192 · median $7,268 | 45 plans |
| 310 | Cardiac arrhythmia and conduction disorders without CC MCC | $1,878 – $43,283 · median $5,501 | 45 plans |
| 311 | Angina pectoris | $2,345 – $54,036 · median $6,867 | 45 plans |
| 312 | Syncope and collapse | $2,925 – $67,404 · median $8,566 | 45 plans |
| 313 | Chest pain | $2,395 – $55,181 · median $7,013 | 45 plans |
| 314 | Other circulatory system diagnoses with MCC | $7,229 – $166,587 · median $21,171 | 45 plans |
| 315 | Other circulatory system diagnoses with CC | $3,230 – $74,444 · median $9,461 | 45 plans |
| 316 | Other circulatory system diagnoses without CC MCC | $2,292 – $52,806 · median $6,711 | 45 plans |
| 317 | Concomitant left atrial appendage closure and cardiac ablation | $20,766 – $478,549 · median $60,816 | 45 plans |
| 319 | Other endovascular cardiac valve procedures with MCC | $14,746 – $339,804 · median $43,184 | 45 plans |
| 320 | Other endovascular cardiac valve procedures without MCC | $7,770 – $179,057 · median $22,755 | 45 plans |
| 321 | Perc CV proc with intralum device with MCC or 4 arteries intralum dev | $9,556 – $220,221 · median $27,987 | 45 plans |
| 322 | Perc CV procedures with intraluminal device without MCC | $6,073 – $139,952 · median $17,786 | 45 plans |
| 323 | Coronary intravascular lithotripsy with intraluminal device with MCC | $14,298 – $329,492 · median $41,873 | 45 plans |
| 324 | Coronary intravascular lithotripsy with intraluminal device without MCC | $10,726 – $247,165 · median $31,411 | 45 plans |
| 325 | Coronary intravascular lithotripsy without intraluminal device | $9,608 – $221,404 · median $28,137 | 45 plans |
| 326 | Stomach esophageal and duodenal procedures with MCC | $17,049 – $392,888 · median $49,930 | 45 plans |
| 327 | Stomach esophageal and duodenal procedures with CC | $8,151 – $187,838 · median $23,871 | 45 plans |
| 328 | Stomach esophageal and duodenal procedures without CC MCC | $5,349 – $123,265 · median $15,665 | 45 plans |
| 329 | Major small and large bowel procedures with MCC | $15,414 – $355,214 · median $45,142 | 45 plans |
| 330 | Major small and large bowel procedures with CC | $7,935 – $182,856 · median $23,238 | 45 plans |
| 331 | Major small and large bowel procedures without CC MCC | $5,542 – $127,721 · median $16,231 | 45 plans |
| 332 | Rectal resection with MCC | $11,644 – $268,323 · median $34,100 | 45 plans |
| 333 | Rectal resection with CC | $7,134 – $164,398 · median $20,892 | 45 plans |
| 334 | Rectal resection without CC MCC | $5,567 – $128,294 · median $16,304 | 45 plans |
| 335 | Peritoneal adhesiolysis with MCC | $12,165 – $280,345 · median $35,627 | 45 plans |
| 336 | Peritoneal adhesiolysis with CC | $7,091 – $163,415 · median $20,768 | 45 plans |
| 337 | Peritoneal adhesiolysis without CC MCC | $5,153 – $118,748 · median $15,091 | 45 plans |
| 344 | Minor small and large bowel procedures with MCC | $9,045 – $208,439 · median $26,489 | 45 plans |
| 345 | Minor small and large bowel procedures with CC | $4,999 – $115,205 · median $14,641 | 45 plans |
| 346 | Minor small and large bowel procedures without CC MCC | $4,180 – $96,329 · median $12,242 | 45 plans |
| 347 | Anal and stomal procedures with MCC | $7,945 – $183,080 · median $23,267 | 45 plans |
| 348 | Anal and stomal procedures with CC | $4,226 – $97,381 · median $12,376 | 45 plans |
| 349 | Anal and stomal procedures without CC MCC | $2,957 – $68,146 · median $8,660 | 45 plans |
| 350 | Inguinal and femoral hernia procedures with MCC | $8,123 – $187,196 · median $23,790 | 45 plans |
| 351 | Inguinal and femoral hernia procedures with CC | $5,051 – $116,404 · median $14,793 | 45 plans |
| 352 | Inguinal and femoral hernia procedures without CC MCC | $3,701 – $85,289 · median $10,839 | 45 plans |
| 353 | Hernia procedures except inguinal and femoral with MCC | $9,845 – $226,881 · median $28,833 | 45 plans |
| 354 | Hernia procedures except inguinal and femoral with CC | $5,711 – $131,597 · median $16,724 | 45 plans |
| 355 | Hernia procedures except inguinal and femoral without CC MCC | $4,475 – $103,129 · median $13,106 | 45 plans |
| 356 | Other digestive system O R procedures with MCC | $14,319 – $329,971 · median $41,934 | 45 plans |
| 357 | Other digestive system O R procedures with CC | $7,560 – $174,207 · median $22,139 | 45 plans |
| 358 | Other digestive system O R procedures without CC MCC | $4,549 – $104,823 · median $13,321 | 45 plans |
| 368 | Major esophageal disorders with MCC | $5,606 – $129,183 · median $16,417 | 45 plans |
| 369 | Major esophageal disorders with CC | $3,416 – $78,722 · median $10,004 | 45 plans |
| 370 | Major esophageal disorders without CC MCC | $2,343 – $53,990 · median $6,861 | 45 plans |
| 371 | Major gastrointestinal disorders and peritoneal infections with MCC | $5,869 – $135,248 · median $17,188 | 45 plans |
| 372 | Major gastrointestinal disorders and peritoneal infections with CC | $3,455 – $79,627 · median $10,119 | 45 plans |
| 373 | Major gastrointestinal disorders peritoneal infections w o CC MCC | $2,435 – $56,109 · median $7,131 | 45 plans |
| 374 | Digestive malignancy with MCC | $7,088 – $163,346 · median $20,759 | 45 plans |
| 375 | Digestive malignancy with CC | $4,125 – $95,052 · median $12,080 | 45 plans |
| 376 | Digestive malignancy without CC MCC | $2,964 – $68,301 · median $8,680 | 45 plans |
| 377 | Gastrointestinal hemorrhage with MCC | $6,103 – $140,648 · median $17,874 | 45 plans |
| 378 | Gastrointestinal hemorrhage with CC | $3,310 – $76,269 · median $9,693 | 45 plans |
| 379 | Gastrointestinal hemorrhage without CC MCC | $2,137 – $49,247 · median $6,259 | 45 plans |
| 380 | Complicated peptic ulcer with MCC | $6,460 – $148,864 · median $18,918 | 45 plans |
| 381 | Complicated peptic ulcer with CC | $3,656 – $84,253 · median $10,707 | 45 plans |
| 382 | Complicated peptic ulcer without CC MCC | $2,515 – $57,966 · median $7,367 | 45 plans |
| 383 | Uncomplicated peptic ulcer with MCC | $4,244 – $97,799 · median $12,429 | 45 plans |
| 384 | Uncomplicated peptic ulcer without MCC | $2,919 – $67,272 · median $8,549 | 45 plans |
| 385 | Inflammatory bowel disease with MCC | $5,454 – $125,687 · median $15,973 | 45 plans |
| 386 | Inflammatory bowel disease with CC | $3,332 – $76,772 · median $9,757 | 45 plans |
| 387 | Inflammatory bowel disease without CC MCC | $2,250 – $51,854 · median $6,590 | 45 plans |
| 388 | Gastrointestinal obstruction with MCC | $4,935 – $113,719 · median $14,452 | 45 plans |
| 389 | Gastrointestinal obstruction with CC | $2,691 – $62,020 · median $7,882 | 45 plans |
| 390 | Gastrointestinal obstruction without CC MCC | $1,837 – $42,324 · median $5,379 | 45 plans |
| 391 | Esophagitis gastroenteritis misc digestive disorders w MCC | $4,313 – $99,400 · median $12,632 | 45 plans |
| 392 | Esophagitis gastroenteritis misc digestive disorders w o MCC | $2,619 – $60,364 · median $7,671 | 45 plans |
| 393 | Other digestive system diagnoses with MCC | $5,559 – $128,100 · median $16,280 | 45 plans |
| 394 | Other digestive system diagnoses with CC | $3,160 – $72,819 · median $9,254 | 45 plans |
| 395 | Other digestive system diagnoses without CC MCC | $2,136 – $49,232 · median $6,257 | 45 plans |
| 397 | Appendix procedures with MCC | $8,317 – $191,667 · median $24,358 | 45 plans |
| 398 | Appendix procedures with CC | $5,080 – $117,069 · median $14,878 | 45 plans |
| 399 | Appendix procedures without CC MCC | $3,774 – $86,960 · median $11,051 | 45 plans |
| 402 | Single level combined anterior and posterior spinal fusion exc cervical | $13,190 – $303,963 · median $38,629 | 45 plans |
| 405 | Pancreas liver and shunt procedures with MCC | $18,223 – $419,941 · median $53,368 | 45 plans |
| 406 | Pancreas liver and shunt procedures with CC | $9,427 – $217,242 · median $27,608 | 45 plans |
| 407 | Pancreas liver and shunt procedures without CC MCC | $7,169 – $165,210 · median $20,996 | 45 plans |
| 408 | Biliary tract proc except only cholecystect w or w o C D E w MCC | $11,753 – $270,845 · median $34,420 | 45 plans |
| 409 | Biliary tract proc except only cholecystectomy w or w o C D E w CC | $7,037 – $162,170 · median $20,609 | 45 plans |
| 410 | Biliary tract proc except only cholecyst w or w o C D E w o CC MCC | $5,207 – $119,985 · median $15,248 | 45 plans |
| 411 | Cholecystectomy with C D E with MCC | $9,186 – $211,688 · median $26,902 | 45 plans |
| 412 | Cholecystectomy with C D E with CC | $7,155 – $164,893 · median $20,955 | 45 plans |
| 413 | Cholecystectomy with C D E without CC MCC | $5,581 – $128,603 · median $16,343 | 45 plans |
| 414 | Cholecystectomy except by laparoscope without C D E with MCC | $11,762 – $271,039 · median $34,445 | 45 plans |
| 415 | Cholecystectomy except by laparoscope without C D E with CC | $6,640 – $153,018 · median $19,446 | 45 plans |
| 416 | Cholecystectomy except by laparoscope without C D E without CC MCC | $4,600 – $105,999 · median $13,471 | 45 plans |
| 417 | Laparoscopic cholecystectomy without C D E with MCC | $7,978 – $183,846 · median $23,364 | 45 plans |
| 418 | Laparoscopic cholecystectomy without C D E with CC | $5,568 – $128,302 · median $16,305 | 45 plans |
| 419 | Laparoscopic cholecystectomy without C D E without CC MCC | $4,423 – $101,930 · median $12,954 | 45 plans |
| 420 | Hepatobiliary diagnostic procedures with MCC | $11,848 – $273,019 · median $34,696 | 45 plans |
| 421 | Hepatobiliary diagnostic procedures with CC | $5,497 – $126,677 · median $16,099 | 45 plans |
| 422 | Hepatobiliary diagnostic procedures without CC MCC | $4,932 – $113,665 · median $14,445 | 45 plans |
| 423 | Other hepatobiliary or pancreas O R procedures with MCC | $13,653 – $314,631 · median $39,985 | 45 plans |
| 424 | Other hepatobiliary or pancreas O R procedures with CC | $7,664 – $176,621 · median $22,446 | 45 plans |
| 425 | Other hepatobiliary or pancreas O R procedures without CC MCC | $5,189 – $119,575 · median $15,196 | 45 plans |
| 426 | Mult lvl comb ant pst spin fsn exc cerv w MCC or cust anat des fus dev | $35,187 – $810,857 · median $103,047 | 45 plans |
| 427 | Multiple level comb ant pst spinal fusion except cervical with CC | $23,830 – $549,155 · median $69,789 | 45 plans |
| 428 | Multiple level comb ant pst spinal fusion except cervical w o CC MCC | $18,481 – $425,882 · median $54,123 | 45 plans |
| 429 | Combine anterior and posterior cervical spinal fusion with MCC | $27,997 – $645,182 · median $81,993 | 45 plans |
| 430 | combine anterior and posterior cervical spinal fusion without MCC | $18,363 – $423,167 · median $53,778 | 45 plans |
| 432 | Cirrhosis and alcoholic hepatitis with MCC | $6,577 – $151,556 · median $19,260 | 45 plans |
| 433 | Cirrhosis and alcoholic hepatitis with CC | $3,591 – $82,752 · median $10,516 | 45 plans |
| 434 | Cirrhosis and alcoholic hepatitis without CC MCC | $2,338 – $53,874 · median $6,846 | 45 plans |
| 435 | Malignancy of hepatobiliary system or pancreas with MCC | $6,125 – $141,143 · median $17,937 | 45 plans |
| 436 | Malignancy of hepatobiliary system or pancreas with CC | $3,785 – $87,231 · median $11,086 | 45 plans |
| 437 | Malignancy of hepatobiliary system or pancreas without CC MCC | $2,636 – $60,735 · median $7,719 | 45 plans |
| 438 | Disorders of pancreas except malignancy with MCC | $5,585 – $128,712 · median $16,357 | 45 plans |
| 439 | Disorders of pancreas except malignancy with CC | $2,888 – $66,545 · median $8,457 | 45 plans |
| 440 | Disorders of pancreas except malignancy without CC MCC | $2,065 – $47,584 · median $6,047 | 45 plans |
| 441 | Disorders of liver exc malignancy cirrhosis or alc hepatitis w MCC | $6,346 – $146,234 · median $18,584 | 45 plans |
| 442 | Disorders of liver exc malignancy cirrhosis or alc hepatitis w CC | $3,244 – $74,745 · median $9,499 | 45 plans |
| 443 | Disorders of liver exc malignancy cirr or alc hepatitis w o CC MCC | $2,359 – $54,353 · median $6,907 | 45 plans |
| 444 | Disorders of the biliary tract with MCC | $5,655 – $130,313 · median $16,561 | 45 plans |
| 445 | Disorders of the biliary tract with CC | $3,640 – $83,889 · median $10,661 | 45 plans |
| 446 | Disorders of the biliary tract without CC MCC | $2,676 – $61,671 · median $7,837 | 45 plans |
| 447 | Mult lvl spin fus exc cerv w MCC or vust anatom des interbody fus dev | $22,506 – $518,637 · median $65,911 | 45 plans |
| 448 | Multiple level spinal fusion except cervical without MCC | $13,707 – $315,876 · median $40,143 | 45 plans |
| 450 | Sing lvl spin fus exc cerv w MCC or cust anatom design inter fus dev | $17,288 – $398,381 · median $50,628 | 45 plans |
| 451 | Single level spinal fusion except cervical without MCC | $10,359 – $238,717 · median $30,337 | 45 plans |
| 456 | Spinal fusion exc cerv w spinal curv malig infec ext fusion w MCC | $28,429 – $655,131 · median $83,257 | 45 plans |
| 457 | Spinal fusion exc cerv w spinal curv malig infec ext fusion w CC | $19,266 – $443,969 · median $56,422 | 45 plans |
| 458 | Spinal fus exc cerv w spinal curv malig infec ext fusion w o CC MCC | $14,495 – $334,017 · median $42,448 | 45 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $20,601 – $474,735 · median $60,331 | 45 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w o MCC | $9,613 – $221,528 · median $28,153 | 45 plans |
| 463 | Wnd debride skn grft exc hand for musculoskel conn tis dis w MCC | $18,130 – $417,798 · median $53,096 | 45 plans |
| 464 | Wnd debride skn grft exc hand for musculoskel conn tis dis w CC | $9,898 – $228,104 · median $28,988 | 45 plans |
| 465 | Wnd debride skn grft exc hand for musculo conn tis dis w o CC MCC | $5,827 – $134,289 · median $17,066 | 45 plans |
| 466 | Revision of hip or knee replacement with MCC | $17,102 – $394,095 · median $50,083 | 45 plans |
| 467 | Revision of hip or knee replacement with CC | $11,497 – $264,950 · median $33,671 | 45 plans |
| 468 | Revision of hip or knee replacement without CC MCC | $8,806 – $202,931 · median $25,789 | 45 plans |
| 469 | Maj hip knee jnt replace reattach low extrem w MCC or tot ank repl | $10,972 – $252,851 · median $32,133 | 45 plans |
| 471 | Cervical spinal fusion with MCC | $16,305 – $375,738 · median $47,750 | 45 plans |
| 472 | Cervical spinal fusion with CC | $9,725 – $224,112 · median $28,481 | 45 plans |
| 473 | Cervical spinal fusion without CC MCC | $7,947 – $183,127 · median $23,273 | 45 plans |
| 474 | Amputation for musculoskeletal syst connective tissue dis w MCC | $15,054 – $346,913 · median $44,087 | 45 plans |
| 475 | Amputation for musculoskeletal syst connective tissue dis w CC | $7,241 – $166,873 · median $21,207 | 45 plans |
| 476 | Amputation for musculoskeletal syst conn tissue dis w o CC MCC | $3,904 – $89,970 · median $11,434 | 45 plans |
| 477 | Biopsies of musculoskeletal system and connective tissue with MCC | $11,544 – $266,026 · median $33,808 | 45 plans |
| 478 | Biopsies of musculoskeletal system and connective tissue with CC | $7,850 – $180,899 · median $22,989 | 45 plans |
| 479 | Biopsies of musculoskeletal system and connective tissue w o CC MCC | $5,961 – $137,368 · median $17,457 | 45 plans |
| 480 | Hip and femur procedures except major joint with MCC | $9,873 – $227,516 · median $28,914 | 45 plans |
| 481 | Hip and femur procedures except major joint with CC | $6,965 – $160,514 · median $20,399 | 45 plans |
| 482 | Hip and femur procedures except major joint without CC MCC | $5,326 – $122,724 · median $15,596 | 45 plans |
| 483 | Major joint or limb reattachment procedures of upper extremities | $8,554 – $197,121 · median $25,051 | 45 plans |
| 485 | Knee procedures with principal diagnosis of infection with MCC | $10,822 – $249,378 · median $31,692 | 45 plans |
| 486 | Knee procedures with principal diagnosis of infection with CC | $7,119 – $164,057 · median $20,849 | 45 plans |
| 487 | Knee procedures with principal diagnosis of infection w o CC MCC | $5,304 – $122,237 · median $15,534 | 45 plans |
| 488 | Knee procedures without principal diagnosis of infection w CC MCC | $6,598 – $152,036 · median $19,321 | 45 plans |
| 489 | Knee procedures without principal diagnosis of infection w o CC MCC | $4,158 – $95,818 · median $12,177 | 45 plans |
| 492 | Lower extremity humerus procedures exc hip foot and femur w MCC | $11,921 – $274,705 · median $34,911 | 45 plans |
| 493 | Lower extremity humerus procedures exc hip foot and femur w CC | $8,060 – $185,741 · median $23,605 | 45 plans |
| 494 | Lower extremity humerus proc exc hip foot and femur w o CC MCC | $6,330 – $145,862 · median $18,537 | 45 plans |
| 495 | Local excision removal inter fixation dev exc hip femur w MCC | $11,818 – $272,330 · median $34,609 | 45 plans |
| 496 | Local excision removal inter fixation dev exc hip femur w CC | $6,623 – $152,624 · median $19,396 | 45 plans |
| 497 | Local excision removl int fixation dev exc hip femur w o CC MCC | $4,508 – $103,894 · median $13,203 | 45 plans |
| 498 | Local excision removal inter fixation dev hip femur w CC MCC | $8,475 – $195,311 · median $24,821 | 45 plans |
| 499 | Local excision removal inter fixation dev hip femur w o CC MCC | $3,897 – $89,799 · median $11,412 | 45 plans |
| 500 | Soft tissue procedures with MCC | $10,637 – $245,115 · median $31,150 | 45 plans |
| 501 | Soft tissue procedures with CC | $5,992 – $138,080 · median $17,548 | 45 plans |
| 502 | Soft tissue procedures without CC MCC | $4,690 – $108,080 · median $13,735 | 45 plans |
| 503 | Foot procedures with MCC | $8,884 – $204,733 · median $26,018 | 45 plans |
| 504 | Foot procedures with CC | $5,894 – $135,813 · median $17,260 | 45 plans |
| 505 | Foot procedures without CC MCC | $5,894 – $135,813 · median $17,260 | 45 plans |
| 506 | Major thumb or joint procedures | $5,032 – $115,963 · median $14,737 | 45 plans |
| 507 | Major shoulder or elbow joint procedures with CC MCC | $6,506 – $149,931 · median $19,054 | 45 plans |
| 508 | Major shoulder or elbow joint procedures without CC MCC | $4,333 – $99,841 · median $12,688 | 45 plans |
| 509 | Arthroscopy | $5,897 – $135,883 · median $17,269 | 45 plans |
| 510 | Shoulder elbow or forearm procedures exc major joint proc w MCC | $9,594 – $221,095 · median $28,098 | 45 plans |
| 511 | Shoulder elbow or forearm procedures exc major joint proc w CC | $6,584 – $151,734 · median $19,283 | 45 plans |
| 512 | Shoulder elbow or forearm proc exc major joint proc w o CC MCC | $5,397 – $124,372 · median $15,806 | 45 plans |
| 513 | Hand or wrist procedures exc major thumb or joint proc w CC MCC | $5,054 – $116,465 · median $14,801 | 45 plans |
| 514 | Hand or wrist procedures exc major thumb or joint proc w o CC MCC | $3,423 – $78,876 · median $10,024 | 45 plans |
| 515 | Other musculoskeletal system connective tissue O R proc w MCC | $10,381 – $239,213 · median $30,400 | 45 plans |
| 516 | Other musculoskeletal system connective tissue O R proc w CC | $6,753 – $155,617 · median $19,777 | 45 plans |
| 517 | Other musculoskeletal system conn tissue O R proc w o CC MCC | $5,011 – $115,468 · median $14,674 | 45 plans |
| 518 | Back neck proc exc spinal fusion w MCC or disc device neurostim | $12,031 – $277,243 · median $35,233 | 45 plans |
| 519 | Back neck procedures except spinal fusion with CC | $6,619 – $152,531 · median $19,384 | 45 plans |
| 520 | Back neck procedures except spinal fusion without CC MCC | $4,811 – $110,865 · median $14,089 | 45 plans |
| 521 | Hip replacement with principal diagnosis of hip fracture with MCC | $9,784 – $225,473 · median $28,654 | 45 plans |
| 522 | Hip replacement with principal diagnosis of hip fracture w o MCC | $7,077 – $163,090 · median $20,726 | 45 plans |
| 533 | Fractures of femur with MCC | $5,119 – $117,959 · median $14,991 | 45 plans |
| 534 | Fractures of femur without MCC | $2,732 – $62,963 · median $8,002 | 45 plans |
| 535 | Fractures of hip and pelvis with MCC | $4,464 – $102,881 · median $13,075 | 45 plans |
| 536 | Fractures of hip and pelvis without MCC | $2,722 – $62,731 · median $7,972 | 45 plans |
| 537 | Sprains strains dislocations of hip pelvis and thigh w CC MCC | $3,085 – $71,086 · median $9,034 | 45 plans |
| 538 | Sprains strains dislocations of hip pelvis thigh w o CC MCC | $2,254 – $51,947 · median $6,602 | 45 plans |
| 539 | Osteomyelitis with MCC | $6,790 – $156,476 · median $19,886 | 45 plans |
| 540 | Osteomyelitis with CC | $4,345 – $100,135 · median $12,726 | 45 plans |
| 541 | Osteomyelitis without CC MCC | $2,937 – $67,675 · median $8,600 | 45 plans |
| 542 | Pathological fractures musculoskeletal conn tissue malig w MCC | $6,260 – $144,269 · median $18,334 | 45 plans |
| 543 | Pathological fractures musculoskeletal conn tissue malig w CC | $3,561 – $82,063 · median $10,429 | 45 plans |
| 544 | Pathological fractures musculoskel conn tiss malig w o CC MCC | $2,537 – $58,461 · median $7,429 | 45 plans |
| 545 | Connective tissue disorders with MCC | $8,482 – $195,466 · median $24,841 | 45 plans |
| 546 | Connective tissue disorders with CC | $3,886 – $89,560 · median $11,382 | 45 plans |
| 547 | Connective tissue disorders without CC MCC | $2,505 – $57,726 · median $7,336 | 45 plans |
| 548 | Septic arthritis with MCC | $6,763 – $155,842 · median $19,805 | 45 plans |
| 549 | Septic arthritis with CC | $4,045 – $93,219 · median $11,847 | 45 plans |
| 550 | Septic arthritis without CC MCC | $2,894 – $66,692 · median $8,476 | 45 plans |
| 551 | Medical back problems with MCC | $5,728 – $131,999 · median $16,775 | 45 plans |
| 552 | Medical back problems without MCC | $3,235 – $74,560 · median $9,475 | 45 plans |
| 553 | Bone diseases and arthropathies with MCC | $4,385 – $101,055 · median $12,843 | 45 plans |
| 554 | Bone diseases and arthropathies without MCC | $2,802 – $64,565 · median $8,205 | 45 plans |
| 555 | Signs and symptoms of musculoskeletal system conn tissue w MCC | $4,520 – $104,165 · median $13,238 | 45 plans |
| 556 | Signs and symptoms of musculoskeletal system conn tissue w o MCC | $2,741 – $63,164 · median $8,027 | 45 plans |
| 557 | Tendonitis myositis and bursitis with MCC | $5,202 – $119,885 · median $15,235 | 45 plans |
| 558 | Tendonitis myositis and bursitis without MCC | $2,900 – $66,824 · median $8,492 | 45 plans |
| 559 | Aftercare musculoskeletal system and connective tissue with MCC | $6,231 – $143,588 · median $18,248 | 45 plans |
| 560 | Aftercare musculoskeletal system and connective tissue with CC | $3,823 – $88,098 · median $11,196 | 45 plans |
| 561 | Aftercare musculoskeletal system and connective tissue w o CC MCC | $2,745 – $63,250 · median $8,038 | 45 plans |
| 562 | Fracture sprain strain disloc exc femur hip pelvis thigh w MCC | $4,914 – $113,232 · median $14,390 | 45 plans |
| 563 | Fracture sprain strain dislo exc femur hip pelvis thigh w o MCC | $3,000 – $69,137 · median $8,786 | 45 plans |
| 564 | Other musculoskeletal system and connective tissue diagnoses w MCC | $5,268 – $121,393 · median $15,427 | 45 plans |
| 565 | Other musculoskeletal system and connective tissue diagnoses w CC | $3,423 – $78,876 · median $10,024 | 45 plans |
| 566 | Other musculoskeletal system connective tiss diagnoses w o CC MCC | $2,511 – $57,865 · median $7,354 | 45 plans |
| 570 | Skin debridement with MCC | $10,106 – $232,885 · median $29,596 | 45 plans |
| 571 | Skin debridement with CC | $5,622 – $129,563 · median $16,465 | 45 plans |
| 572 | Skin debridement without CC MCC | $3,835 – $88,376 · median $11,231 | 45 plans |
| 573 | Skin graft for skin ulcer or cellulitis with MCC | $20,672 – $476,367 · median $60,539 | 45 plans |
| 574 | Skin graft for skin ulcer or cellulitis with CC | $11,631 – $268,029 · median $34,062 | 45 plans |
| 575 | Skin graft for skin ulcer or cellulitis without CC MCC | $6,702 – $154,449 · median $19,628 | 45 plans |
| 576 | Skin graft except for skin ulcer or cellulitis with MCC | $18,111 – $417,349 · median $53,039 | 45 plans |
| 577 | Skin graft except for skin ulcer or cellulitis with CC | $8,938 – $205,979 · median $26,177 | 45 plans |
| 578 | Skin graft except for skin ulcer or cellulitis without CC MCC | $5,674 – $130,762 · median $16,618 | 45 plans |
| 579 | Other skin subcutaneous tissue and breast procedures with MCC | $10,941 – $252,124 · median $32,041 | 45 plans |
| 580 | Other skin subcutaneous tissue and breast procedures with CC | $5,952 – $137,152 · median $17,430 | 45 plans |
| 581 | Other skin subcutaneous tissue and breast procedures w o CC MCC | $4,831 – $111,329 · median $14,148 | 45 plans |
| 582 | Mastectomy for malignancy with CC MCC | $5,878 – $135,465 · median $17,216 | 45 plans |
| 583 | Mastectomy for malignancy without CC MCC | $5,514 – $127,064 · median $16,148 | 45 plans |
| 584 | Breast biopsy local excision and other breast procedures w CC MCC | $6,873 – $158,379 · median $20,128 | 45 plans |
| 585 | Breast biopsy local excision other breast procedures w o CC MCC | $6,664 – $153,560 · median $19,515 | 45 plans |
| 592 | Skin ulcers with MCC | $6,903 – $159,068 · median $20,215 | 45 plans |
| 593 | Skin ulcers with CC | $4,104 – $94,580 · median $12,020 | 45 plans |
| 594 | Skin ulcers without CC MCC | $2,849 – $65,648 · median $8,343 | 45 plans |
| 595 | Major skin disorders with MCC | $7,100 – $163,616 · median $20,793 | 45 plans |
| 596 | Major skin disorders without MCC | $3,629 – $83,626 · median $10,628 | 45 plans |
| 597 | Malignant breast disorders with MCC | $5,897 – $135,883 · median $17,269 | 45 plans |
| 598 | Malignant breast disorders with CC | $3,622 – $83,464 · median $10,607 | 45 plans |
| 599 | Malignant breast disorders without CC MCC | $2,870 – $66,135 · median $8,405 | 45 plans |
| 600 | Non malignant breast disorders with CC MCC | $3,213 – $74,049 · median $9,410 | 45 plans |
| 601 | Non malignant breast disorders without CC MCC | $2,013 – $46,377 · median $5,894 | 45 plans |
| 602 | Cellulitis with MCC | $4,933 – $113,673 · median $14,446 | 45 plans |
| 603 | Cellulitis without MCC | $2,957 – $68,146 · median $8,660 | 45 plans |
| 604 | Trauma to the skin subcutaneous tissue and breast with MCC | $4,988 – $114,934 · median $14,606 | 45 plans |
| 605 | Trauma to the skin subcutaneous tissue and breast without MCC | $3,101 – $71,457 · median $9,081 | 45 plans |
| 606 | Minor skin disorders with MCC | $5,405 – $124,557 · median $15,829 | 45 plans |
| 607 | Minor skin disorders without MCC | $2,901 – $66,862 · median $8,497 | 45 plans |
| 614 | Adrenal and pituitary procedures with CC MCC | $7,650 – $176,288 · median $22,403 | 45 plans |
| 615 | Adrenal and pituitary procedures without CC MCC | $4,810 – $110,849 · median $14,087 | 45 plans |
| 616 | Amputation lower limb for endocrine nutrit metabolic disord w MCC | $12,975 – $298,989 · median $37,997 | 45 plans |
| 617 | Amputation lower limb for endocrine nutrit metabolic disord w CC | $6,486 – $149,475 · median $18,996 | 45 plans |
| 618 | Amputation lower limb for endocrine nutrit metabolic dis w o CC MCC | $4,179 – $96,313 · median $12,240 | 45 plans |
| 619 | O R procedures for obesity with MCC | $9,153 – $210,914 · median $26,804 | 45 plans |
| 620 | O R procedures for obesity with CC | $5,361 – $123,536 · median $15,700 | 45 plans |
| 621 | O R procedures for obesity without CC MCC | $4,907 – $113,077 · median $14,370 | 45 plans |
| 622 | Skin grafts wound debride for endocrine nutrit metab disord w MCC | $12,569 – $289,636 · median $36,808 | 45 plans |
| 623 | Skin grafts wound debride for endocrine nutrit metab disord w CC | $6,425 – $148,067 · median $18,817 | 45 plans |
| 624 | Skin grafts wound debride for endocr nutrit metab dis w o CC MCC | $3,367 – $77,600 · median $9,862 | 45 plans |
| 625 | Thyroid parathyroid and thyroglossal procedures with MCC | $9,624 – $221,783 · median $28,185 | 45 plans |
| 626 | Thyroid parathyroid and thyroglossal procedures with CC | $5,066 – $116,752 · median $14,837 | 45 plans |
| 627 | Thyroid parathyroid and thyroglossal procedures without CC MCC | $4,253 – $98,000 · median $12,454 | 45 plans |
| 628 | Other endocrine nutritional and metabolic O R procedures with MCC | $13,248 – $305,286 · median $38,797 | 45 plans |
| 629 | Other endocrine nutritional and metabolic O R procedures with CC | $7,554 – $174,068 · median $22,121 | 45 plans |
| 630 | Other endocrine nutritional metabolic O R procedures w o CC MCC | $4,704 – $108,397 · median $13,776 | 45 plans |
| 637 | Diabetes with MCC | $4,889 – $112,659 · median $14,317 | 45 plans |
| 638 | Diabetes with CC | $3,079 – $70,955 · median $9,017 | 45 plans |
| 639 | Diabetes without CC MCC | $2,104 – $48,474 · median $6,160 | 45 plans |
| 640 | Misc disorders of nutrition metabolism fluids electrolyte w MCC | $4,458 – $102,742 · median $13,057 | 45 plans |
| 641 | Misc disorder of nutrition metabolism fluid electrolyte w o MCC | $2,624 – $60,457 · median $7,683 | 45 plans |
| 642 | Inborn and other disorders of metabolism | $4,166 – $96,012 · median $12,202 | 45 plans |
| 643 | Endocrine disorders with MCC | $5,564 – $128,209 · median $16,293 | 45 plans |
| 644 | Endocrine disorders with CC | $3,469 – $79,952 · median $10,161 | 45 plans |
| 645 | Endocrine disorders without CC MCC | $2,615 – $60,263 · median $7,659 | 45 plans |
| 650 | Kidney transplant with hemodialysis with MCC | $15,466 – $356,398 · median $45,293 | 45 plans |
| 651 | Kidney transplant with hemodialysis without MCC | $11,656 – $268,609 · median $34,136 | 45 plans |
| 652 | Kidney transplant | $10,310 – $237,588 · median $30,194 | 45 plans |
| 653 | Major bladder procedures with MCC | $18,713 – $431,220 · median $54,801 | 45 plans |
| 654 | Major bladder procedures with CC | $9,473 – $218,302 · median $27,743 | 45 plans |
| 655 | Major bladder procedures without CC MCC | $6,973 – $160,692 · median $20,421 | 45 plans |
| 656 | Kidney and ureter procedures for neoplasm with MCC | $10,936 – $252,016 · median $32,027 | 45 plans |
| 657 | Kidney and ureter procedures for neoplasm with CC | $6,137 – $141,414 · median $17,972 | 45 plans |
| 658 | Kidney and ureter procedures for neoplasm without CC MCC | $5,049 – $116,342 · median $14,785 | 45 plans |
| 659 | Kidney and ureter procedures for non neoplasm with MCC | $8,675 – $199,914 · median $25,406 | 45 plans |
| 660 | Kidney and ureter procedures for non neoplasm with CC | $4,498 – $103,655 · median $13,173 | 45 plans |
| 661 | Kidney and ureter procedures for non neoplasm without CC MCC | $3,446 – $79,418 · median $10,093 | 45 plans |
| 662 | Minor bladder procedures with MCC | $10,472 – $241,317 · median $30,668 | 45 plans |
| 663 | Minor bladder procedures with CC | $5,127 – $118,152 · median $15,015 | 45 plans |
| 664 | Minor bladder procedures without CC MCC | $3,625 – $83,533 · median $10,616 | 45 plans |
| 665 | Prostatectomy with MCC | $11,526 – $265,608 · median $33,755 | 45 plans |
| 666 | Prostatectomy with CC | $5,530 – $127,427 · median $16,194 | 45 plans |
| 667 | Prostatectomy without CC MCC | $3,450 – $79,503 · median $10,104 | 45 plans |
| 668 | Transurethral procedures with MCC | $9,789 – $225,590 · median $28,669 | 45 plans |
| 669 | Transurethral procedures with CC | $5,195 – $119,715 · median $15,214 | 45 plans |
| 670 | Transurethral procedures without CC MCC | $3,208 – $73,925 · median $9,395 | 45 plans |
| 671 | Urethral procedures with CC MCC | $5,786 – $133,338 · median $16,945 | 45 plans |
| 672 | Urethral procedures without CC MCC | $3,674 – $84,655 · median $10,758 | 45 plans |
| 673 | Other kidney and urinary tract procedures with MCC | $14,066 – $324,138 · median $41,193 | 45 plans |
| 674 | Other kidney and urinary tract procedures with CC | $7,749 – $178,570 · median $22,693 | 45 plans |
| 675 | Other kidney and urinary tract procedures without CC MCC | $5,254 – $121,084 · median $15,388 | 45 plans |
| 682 | Renal failure with MCC | $5,042 – $116,195 · median $14,767 | 45 plans |
| 683 | Renal failure with CC | $2,984 – $68,765 · median $8,739 | 45 plans |
| 684 | Renal failure without CC MCC | $2,039 – $46,996 · median $5,972 | 45 plans |
| 686 | Kidney and urinary tract neoplasms with MCC | $6,330 – $145,870 · median $18,538 | 45 plans |
| 687 | Kidney and urinary tract neoplasms with CC | $3,534 – $81,429 · median $10,348 | 45 plans |
| 688 | Kidney and urinary tract neoplasms without CC MCC | $2,431 – $56,024 · median $7,120 | 45 plans |
| 689 | Kidney and urinary tract infections with MCC | $3,929 – $90,542 · median $11,507 | 45 plans |
| 690 | Kidney and urinary tract infections without MCC | $2,694 – $62,089 · median $7,891 | 45 plans |
| 693 | Urinary stones with MCC | $4,936 – $113,742 · median $14,455 | 45 plans |
| 694 | Urinary stones without MCC | $2,623 – $60,449 · median $7,682 | 45 plans |
| 695 | Kidney and urinary tract signs and symptoms with MCC | $3,786 – $87,239 · median $11,087 | 45 plans |
| 696 | Kidney and urinary tract signs and symptoms without MCC | $2,322 – $53,510 · median $6,800 | 45 plans |
| 697 | Urethral stricture | $3,363 – $77,499 · median $9,849 | 45 plans |
| 698 | Other kidney and urinary tract diagnoses with MCC | $5,643 – $130,034 · median $16,525 | 45 plans |
| 699 | Other kidney and urinary tract diagnoses with CC | $3,423 – $78,892 · median $10,026 | 45 plans |
| 700 | Other kidney and urinary tract diagnoses without CC MCC | $2,330 – $53,696 · median $6,824 | 45 plans |
| 707 | Major male pelvic procedures with CC MCC | $6,514 – $150,117 · median $19,078 | 45 plans |
| 708 | Major male pelvic procedures without CC MCC | $4,976 – $114,678 · median $14,574 | 45 plans |
| 709 | Penis procedures with CC MCC | $7,543 – $173,828 · median $22,091 | 45 plans |
| 710 | Penis procedures without CC MCC | $5,040 – $116,141 · median $14,760 | 45 plans |
| 711 | Testes procedures with CC MCC | $6,414 – $147,804 · median $18,784 | 45 plans |
| 712 | Testes procedures without CC MCC | $3,591 – $82,744 · median $10,516 | 45 plans |
| 713 | Transurethral prostatectomy with CC MCC | $4,854 – $111,855 · median $14,215 | 45 plans |
| 714 | Transurethral prostatectomy without CC MCC | $3,154 – $72,687 · median $9,237 | 45 plans |
| 715 | Other male reproductive system O R proc for malignancy w CC MCC | $7,581 – $174,694 · median $22,201 | 45 plans |
| 716 | Other male reproductive system O R proc for malignancy w o CC MCC | $4,764 – $109,789 · median $13,953 | 45 plans |
| 717 | Other male reproductive system O R proc except malignancy w CC MCC | $6,229 – $143,534 · median $18,241 | 45 plans |
| 718 | Other male reproductive system O R proc exc malignancy w o CC MCC | $4,135 – $95,292 · median $12,110 | 45 plans |
| 722 | Malignancy male reproductive system with MCC | $5,804 – $133,740 · median $16,996 | 45 plans |
| 723 | Malignancy male reproductive system with CC | $3,770 – $86,868 · median $11,040 | 45 plans |
| 724 | Malignancy male reproductive system without CC MCC | $2,446 – $56,365 · median $7,163 | 45 plans |
| 725 | Benign prostatic hypertrophy with MCC | $4,240 – $97,713 · median $12,418 | 45 plans |
| 726 | Benign prostatic hypertrophy without MCC | $2,499 – $57,579 · median $7,317 | 45 plans |
| 727 | Inflammation of the male reproductive system with MCC | $4,932 – $113,665 · median $14,445 | 45 plans |
| 728 | Inflammation of the male reproductive system without MCC | $2,743 – $63,211 · median $8,033 | 45 plans |
| 729 | Other male reproductive system diagnoses with CC MCC | $3,695 – $85,158 · median $10,822 | 45 plans |
| 730 | Other male reproductive system diagnoses without CC MCC | $2,037 – $46,950 · median $5,967 | 45 plans |
| 734 | Pelvic evisceration rad hysterectomy and rad vulvectomy w CC MCC | $7,059 – $162,665 · median $20,672 | 45 plans |
| 735 | Pelvic evisceration rad hysterectomy and rad vulvectomy w o CC MCC | $4,075 – $93,900 · median $11,933 | 45 plans |
| 736 | Uterine adnexa procedures for ovarian or adnexal malignancy w MCC | $13,218 – $304,590 · median $38,709 | 45 plans |
| 737 | Uterine adnexa procedures for ovarian or adnexal malignancy w CC | $6,708 – $154,588 · median $19,646 | 45 plans |
| 738 | Uterine adnexa proc for ovarian or adnexal malignancy w o CC MCC | $5,092 – $117,340 · median $14,912 | 45 plans |
| 739 | Uterine adnexa proc for non ovarian non adnexal malignancy w MCC | $13,363 – $307,947 · median $39,135 | 45 plans |
| 740 | Uterine adnexa proc for non ovarian non adnexal malignancy w CC | $6,104 – $140,656 · median $17,875 | 45 plans |
| 741 | Uterine adnexa proc for non ovarian non adnexal malig w o CC MCC | $4,611 – $106,254 · median $13,503 | 45 plans |
| 742 | Uterine and adnexa procedures for non malignancy with CC MCC | $6,132 – $141,306 · median $17,958 | 45 plans |
| 743 | Uterine and adnexa procedures for non malignancy without CC MCC | $4,024 – $92,724 · median $11,784 | 45 plans |
| 744 | D C conization laparoscopy and tubal interruption with CC MCC | $6,559 – $151,154 · median $19,209 | 45 plans |
| 745 | D C conization laparoscopy and tubal interruption without CC MCC | $3,440 – $79,279 · median $10,075 | 45 plans |
| 746 | Vagina cervix and vulva procedures with CC MCC | $5,621 – $129,539 · median $16,462 | 45 plans |
| 747 | Vagina cervix and vulva procedures without CC MCC | $3,206 – $73,887 · median $9,390 | 45 plans |
| 748 | Female reproductive system reconstructive procedures | $4,573 – $105,380 · median $13,392 | 45 plans |
| 749 | Other female reproductive system O R procedures with CC MCC | $8,689 – $200,239 · median $25,447 | 45 plans |
| 750 | Other female reproductive system O R procedures without CC MCC | $4,329 – $99,756 · median $12,677 | 45 plans |
| 754 | Malignancy female reproductive system with MCC | $6,074 – $139,960 · median $17,787 | 45 plans |
| 755 | Malignancy female reproductive system with CC | $3,727 – $85,877 · median $10,914 | 45 plans |
| 756 | Malignancy female reproductive system without CC MCC | $3,206 – $73,871 · median $9,388 | 45 plans |
| 757 | Infections female reproductive system with MCC | $4,751 – $109,480 · median $13,913 | 45 plans |
| 758 | Infections female reproductive system with CC | $3,422 – $78,853 · median $10,021 | 45 plans |
| 759 | Infections female reproductive system without CC MCC | $2,148 – $49,503 · median $6,291 | 45 plans |
| 760 | Menstrual and other female reproductive system disorders w CC MCC | $3,308 – $76,238 · median $9,689 | 45 plans |
| 761 | Menstrual and other female reproductive system disorders w o CC MCC | $2,128 – $49,039 · median $6,232 | 45 plans |
| 799 | Splenic procedures with MCC | $15,961 – $367,808 · median $46,743 | 45 plans |
| 800 | Splenic procedures with CC | $9,781 – $225,396 · median $28,644 | 45 plans |
| 801 | Splenic procedures without CC MCC | $5,511 – $127,002 · median $16,140 | 45 plans |
| 802 | Other O R procedures of the blood and blood forming organs w MCC | $12,034 – $277,305 · median $35,241 | 45 plans |
| 803 | Other O R procedures of the blood and blood forming organs w CC | $5,975 – $137,693 · median $17,499 | 45 plans |
| 804 | Other O R procedures of blood and blood forming organs w o CC MCC | $3,711 – $85,521 · median $10,868 | 45 plans |
| 808 | Major hematol immun diag exc sickle cell crisis coagul dis w MCC | $7,689 – $177,185 · median $22,518 | 45 plans |
| 809 | Major hematol immun diag exc sickle cell crisis coagulat dis w CC | $4,158 – $95,810 · median $12,176 | 45 plans |
| 810 | Major hematol immun diag exc sickle cell crisis coagul w o CC MCC | $3,195 – $73,624 · median $9,356 | 45 plans |
| 813 | Coagulation disorders | $5,196 – $119,746 · median $15,218 | 45 plans |
| 814 | Reticuloendothelial and immunity disorders with MCC | $7,017 – $161,706 · median $20,550 | 45 plans |
| 815 | Reticuloendothelial and immunity disorders with CC | $3,411 – $78,606 · median $9,990 | 45 plans |
| 816 | Reticuloendothelial and immunity disorders without CC MCC | $2,214 – $51,011 · median $6,483 | 45 plans |
| 817 | Other antepartum diagnoses with O R procedures with MCC | $8,510 – $196,115 · median $24,923 | 45 plans |
| 818 | Other antepartum diagnoses with O R procedures with CC | $4,324 – $99,640 · median $12,663 | 45 plans |
| 819 | Other antepartum diagnoses with O R procedures without CC MCC | $2,741 – $63,164 · median $8,027 | 45 plans |
| 820 | Lymphoma and leukemia with major O R procedures with MCC | $19,544 – $450,382 · median $57,237 | 45 plans |
| 821 | Lymphoma and leukemia with major O R procedures with CC | $7,494 – $172,683 · median $21,945 | 45 plans |
| 822 | Lymphoma and leukemia with major O R procedures without CC MCC | $3,839 – $88,469 · median $11,243 | 45 plans |
| 823 | Lymphoma and non acute leukemia with other procedures with MCC | $15,708 – $361,983 · median $46,002 | 45 plans |
| 824 | Lymphoma and non acute leukemia with other procedures with CC | $7,383 – $170,138 · median $21,622 | 45 plans |
| 825 | Lymphoma and non acute leukemia with other procedures w o CC MCC | $4,131 – $95,207 · median $12,099 | 45 plans |
| 826 | Myeloprolif disord or poorly diff neopl w maj O R proc w MCC | $16,030 – $369,409 · median $46,946 | 45 plans |
| 827 | Myeloprolif disord or poorly diff neopl w maj O R proc w CC | $7,922 – $182,546 · median $23,199 | 45 plans |
| 828 | Myeloprolif disord or poorly diff neopl w maj O R proc w o CC MCC | $5,381 – $123,993 · median $15,758 | 45 plans |
| 829 | Myeloprolif disord or poorly diff neopl w oth proc w CC MCC | $10,352 – $238,547 · median $30,316 | 45 plans |
| 830 | Myeloprolif disord or poorly diff neopl w oth proc w o CC MCC | $4,909 – $113,131 · median $14,377 | 45 plans |
| 831 | Other antepartum diagnoses without O R procedures with MCC | $3,864 – $89,034 · median $11,315 | 45 plans |
| 834 | Acute leukemia with MCC | $18,554 – $427,561 · median $54,336 | 45 plans |
| 835 | Acute leukemia with CC | $7,170 – $165,225 · median $20,998 | 45 plans |
| 836 | Acute leukemia without CC MCC | $4,266 – $98,301 · median $12,493 | 45 plans |
| 837 | Chemo w acute leukemia as SDX or w high dose chemo agent w MCC | $16,808 – $387,326 · median $49,223 | 45 plans |
| 838 | Chemo w acute leukemia as SDX w CC or high dose chemo agent | $6,808 – $156,894 · median $19,939 | 45 plans |
| 839 | Chemotherapy w acute leukemia as secondary DX without CC MCC | $4,600 – $106,006 · median $13,472 | 45 plans |
| 840 | Lymphoma and non acute leukemia with MCC | $10,707 – $246,732 · median $31,356 | 45 plans |
| 841 | Lymphoma and non acute leukemia with CC | $5,263 – $121,293 · median $15,414 | 45 plans |
| 842 | Lymphoma and non acute leukemia without CC MCC | $3,531 – $81,367 · median $10,341 | 45 plans |
| 843 | Other myeloprolif disord or poorly diff neoplastic diagnoses w MCC | $6,355 – $146,450 · median $18,612 | 45 plans |
| 844 | Other myeloprolif disord or poorly diff neoplastic diagnoses w CC | $4,012 – $92,453 · median $11,749 | 45 plans |
| 845 | Other myeloprolif disord or poorly diff neoplastic diag w o CC MCC | $2,809 – $64,727 · median $8,226 | 45 plans |
| 847 | Chemotherapy without acute leukemia as secondary diagnosis with CC | $4,265 – $98,294 · median $12,492 | 45 plans |
| 848 | Chemotherapy w o acute leukemia as secondary diagnosis w o CC MCC | $2,749 – $63,350 · median $8,051 | 45 plans |
| 849 | Radiotherapy | $8,966 – $206,621 · median $26,258 | 45 plans |
| 850 | Acute Leukemia with other procedures | $30,922 – $712,586 · median $90,559 | 45 plans |
| 853 | Infectious and parasitic diseases with O R procedures with MCC | $16,790 – $386,916 · median $49,171 | 45 plans |
| 854 | Infectious and parasitic diseases with O R procedures with CC | $6,708 – $154,581 · median $19,645 | 45 plans |
| 855 | Infectious and parasitic diseases with O R procedures w o CC MCC | $5,457 – $125,749 · median $15,981 | 45 plans |
| 856 | Postoperative or post traumatic infections w O R procedures w MCC | $15,144 – $348,994 · median $44,352 | 45 plans |
| 857 | Postoperative or post traumatic infections w O R procedures w CC | $7,315 – $168,560 · median $21,421 | 45 plans |
| 858 | Postop or post traumatic infections w O R procedures w o CC MCC | $4,325 – $99,671 · median $12,667 | 45 plans |
| 862 | Postoperative and post traumatic infections with MCC | $6,172 – $142,234 · median $18,076 | 45 plans |
| 863 | Postoperative and post traumatic infections without MCC | $3,357 – $77,352 · median $9,830 | 45 plans |
| 864 | Fever and inflammatory conditions | $3,014 – $69,462 · median $8,827 | 45 plans |
| 865 | Viral illness with MCC | $4,955 – $114,176 · median $14,510 | 45 plans |
| 866 | Viral illness without MCC | $2,970 – $68,440 · median $8,698 | 45 plans |
| 867 | Other infectious and parasitic diseases diagnoses with MCC | $7,198 – $165,875 · median $21,080 | 45 plans |
| 868 | Other infectious and parasitic diseases diagnoses with CC | $3,525 – $81,228 · median $10,323 | 45 plans |
| 869 | Other infectious and parasitic diseases diagnoses without CC MCC | $2,415 – $55,661 · median $7,074 | 45 plans |
| 872 | Septicemia or severe sepsis without MV 96 hours without MCC | $3,461 – $79,758 · median $10,136 | 45 plans |
| 901 | Wound debridements for injuries with MCC | $14,872 – $342,720 · median $43,554 | 45 plans |
| 902 | Wound debridements for injuries with CC | $6,370 – $146,783 · median $18,654 | 45 plans |
| 903 | Wound debridements for injuries without CC MCC | $4,092 – $94,302 · median $11,984 | 45 plans |
| 904 | Skin grafts for injuries with CC MCC | $12,961 – $298,679 · median $37,957 | 45 plans |
| 905 | Skin grafts for injuries without CC MCC | $5,533 – $127,497 · median $16,203 | 45 plans |
| 906 | Hand procedures for injuries | $7,326 – $168,830 · median $21,456 | 45 plans |
| 907 | Other O R procedures for injuries with MCC | $13,373 – $308,164 · median $39,163 | 45 plans |
| 908 | Other O R procedures for injuries with CC | $6,771 – $156,035 · median $19,830 | 45 plans |
| 909 | Other O R procedures for injuries without CC MCC | $4,257 – $98,108 · median $12,468 | 45 plans |
| 913 | Traumatic injury with MCC | $5,432 – $125,184 · median $15,909 | 45 plans |
| 914 | Traumatic injury without MCC | $3,076 – $70,885 · median $9,008 | 45 plans |
| 915 | Allergic reactions with MCC | $5,834 – $134,436 · median $17,085 | 45 plans |
| 916 | Allergic reactions without MCC | $2,229 – $51,367 · median $6,528 | 45 plans |
| 919 | Complications of treatment with MCC | $6,121 – $141,058 · median $17,926 | 45 plans |
| 920 | Complications of treatment with CC | $3,410 – $78,582 · median $9,987 | 45 plans |
| 921 | Complications of treatment without CC MCC | $2,308 – $53,193 · median $6,760 | 45 plans |
| 922 | Other injury poisoning and toxic effect diagnoses with MCC | $5,671 – $130,677 · median $16,607 | 45 plans |
| 923 | Other injury poisoning and toxic effect diagnoses without MCC | $3,423 – $78,892 · median $10,026 | 45 plans |
| 927 | Extensive burns or full thickness burns w MV 96 hours w skin graft | $79,638 – $1,835,196 · median $233,225 | 45 plans |
| 928 | Full thickness burn w skin graft or inhalation injury w CC MCC | $22,420 – $516,649 · median $65,658 | 45 plans |
| 929 | Full thickness burn w skin graft or inhalation injury w o CC MCC | $10,676 – $246,020 · median $31,265 | 45 plans |
| 933 | Extensive burns or full thick burns w MV 96 hours w o skin graft | $14,525 – $334,714 · median $42,537 | 45 plans |
| 934 | Full thickness burn without skin graft or inhalation injury | $7,203 – $165,991 · median $21,095 | 45 plans |
| 935 | Non extensive burns | $7,373 – $169,906 · median $21,592 | 45 plans |
| 939 | O R procedure w diagnoses of other contact w health services w MCC | $10,654 – $245,525 · median $31,202 | 45 plans |
| 940 | O R procedure w diagnoses of other contact w health services w CC | $7,088 – $163,330 · median $20,757 | 45 plans |
| 941 | O R proc w diagnoses of other contact w health services w o CC MCC | $6,560 – $151,177 · median $19,212 | 45 plans |
| 947 | Signs and symptoms with MCC | $4,317 – $99,493 · median $12,644 | 45 plans |
| 948 | Signs and symptoms without MCC | $2,667 – $61,463 · median $7,811 | 45 plans |
| 949 | Aftercare with CC MCC | $3,622 – $83,464 · median $10,607 | 45 plans |
| 950 | Aftercare without CC MCC | $1,968 – $45,341 · median $5,762 | 45 plans |
| 951 | Other factors influencing health status | $1,903 – $43,855 · median $5,573 | 45 plans |
| 955 | Craniotomy for multiple significant trauma | $22,921 – $528,206 · median $67,127 | 45 plans |
| 956 | Limb reattachment hip femur proc for multiple significant trauma | $12,831 – $295,685 · median $37,577 | 45 plans |
| 957 | Other O R procedures for multiple significant trauma with MCC | $25,056 – $577,392 · median $73,378 | 45 plans |
| 958 | Other O R procedures for multiple significant trauma with CC | $13,796 – $317,911 · median $40,402 | 45 plans |
| 959 | Other O R procedures for multiple significant trauma w o CC MCC | $8,875 – $204,517 · median $25,991 | 45 plans |
| 963 | Other multiple significant trauma with MCC | $9,120 – $210,156 · median $26,708 | 45 plans |
| 964 | Other multiple significant trauma with CC | $5,036 – $116,055 · median $14,749 | 45 plans |
| 965 | Other multiple significant trauma without CC MCC | $3,063 – $70,591 · median $8,971 | 45 plans |
| 969 | HIV with extensive O R procedures with MCC | $21,229 – $489,217 · median $62,172 | 45 plans |
| 970 | HIV with extensive O R procedures without MCC | $8,907 – $205,252 · median $26,084 | 45 plans |
| 975 | HIV with major related condition with CC | $4,771 – $109,952 · median $13,973 | 45 plans |
| 976 | HIV with major related condition without CC MCC | $3,367 – $77,584 · median $9,860 | 45 plans |
| 977 | HIV with or without other related condition | $4,840 – $111,538 · median $14,175 | 45 plans |
| 981 | Extensive O R procedures unrelated to principal diagnosis w MCC | $15,960 – $367,793 · median $46,741 | 45 plans |
| 982 | Extensive O R procedures unrelated to principal diagnosis w CC | $8,220 – $189,416 · median $24,072 | 45 plans |
| 983 | Extensive O R proc unrelated to principal diagnosis w o CC MCC | $5,600 – $129,044 · median $16,400 | 45 plans |
| 989 | Non extensive O R proc unrelated to principal diagnosis w o CC MCC | $3,879 – $89,382 · median $11,359 | 45 plans |
| 018 | Chimeric antigen receptor CAR T cell and other immunotherapies | $126,594 – $2,917,261 · median $351,147 | 44 plans |
| 102 | Headaches with MCC | $3,892 – $89,691 · median $10,796 | 44 plans |
| 103 | Headaches without MCC | $2,854 – $65,771 · median $7,917 | 44 plans |
| 769 | Postpartum and post abortion diagnoses with O R procedures | $4,665 – $107,492 · median $12,939 | 44 plans |
| 770 | Abortion with D C aspiration curettage or hysterotomy | $3,612 – $83,232 · median $10,018 | 44 plans |
| 776 | Postpartum and post abortion diagnoses without O R procedures | $2,395 – $55,189 · median $6,643 | 44 plans |
| 779 | Abortion without D C | $3,138 – $72,308 · median $8,704 | 44 plans |
| 811 | Red blood cell disorders with MCC | $4,723 – $108,830 · median $13,100 | 44 plans |
| 812 | Red blood cell disorders without MCC | $3,098 – $71,396 · median $8,594 | 44 plans |
| 832 | Other antepartum diagnoses without O R procedures with CC | $2,509 – $57,811 · median $6,959 | 44 plans |
| 833 | Other antepartum diagnoses without O R procedures without CC MCC | $1,745 – $40,212 · median $4,840 | 44 plans |
| 894 | Alcohol drug abuse or dependence left AMA | $2,095 – $48,280 · median $6,310 | 44 plans |
| 895 | Alcohol drug abuse or dependence with rehabilitation therapy | $4,861 – $112,010 · median $14,640 | 44 plans |
| 896 | Alcohol drug abuse or dependence w o rehabilitation therapy w MCC | $5,978 – $137,763 · median $18,006 | 44 plans |
| 897 | Alcohol drug abuse or dependence w o rehabilitation thrpy w o MCC | $2,962 – $68,247 · median $8,920 | 44 plans |
| 917 | Poisoning and toxic effects of drugs with MCC | $5,504 – $126,839 · median $15,267 | 44 plans |
| 918 | Poisoning and toxic effects of drugs without MCC | $2,969 – $68,417 · median $8,235 | 44 plans |
| 023 | Craniot w maj dev impl acute CNS PDX w MCC or chemo epilep w neuros | $19,151 – $441,316 · median $50,157 | 43 plans |
| 274 | Percutaneous and other intracardiac procedures without MCC | $10,477 – $241,425 · median $27,439 | 43 plans |
| 470 | Major hip knee joint replace or reattach lower extremity w o MCC | $6,330 – $145,862 · median $16,578 | 43 plans |
| 846 | Chemotherapy without acute leukemia as secondary diagnosis with MCC | $8,572 – $197,547 · median $22,452 | 43 plans |
| 870 | Septicemia or severe sepsis with MV 96 hours | $23,353 – $538,155 · median $61,163 | 43 plans |
| 871 | Septicemia or severe sepsis without MV 96 hours with MCC | $6,587 – $151,804 · median $17,253 | 43 plans |
| 003 | ECMO or trach w MV 96 hrs or PDX exc face mouth neck w maj O R | $71,941 – $1,657,840 · median $188,418 | 42 plans |
| 004 | Trach w MV 96 hrs or PDX exc face mouth neck w o maj O R | $47,432 – $1,093,027 · median $124,226 | 42 plans |
| 100 | Seizures with MCC | $6,664 – $120,089 · median $17,454 | 42 plans |
| 101 | Seizures without MCC | $3,094 – $55,749 · median $8,103 | 42 plans |
| 876 | O R procedures with principal diagnosis of mental illness | $13,191 – $303,978 · median $34,548 | 42 plans |
| 884 | Organic disturbances and intellectual disability | $5,607 – $129,199 · median $14,684 | 42 plans |
| 945 | Rehabilitation with CC MCC | $5,124 – $92,335 · median $13,420 | 42 plans |
| 946 | Rehabilitation without CC MCC | $3,748 – $67,533 · median $9,816 | 42 plans |
| 768 | Vaginal delivery with O R procedures exc sterilization and or D C | $3,680 – $66,317 · median $9,639 | 41 plans |
| 880 | Acute adjustment reaction and psychosocial dysfunction | $3,218 – $74,157 · median $8,428 | 41 plans |
| 881 | Depressive neuroses | $3,069 – $70,715 · median $8,037 | 41 plans |
| 882 | Neuroses except depressive | $3,229 – $74,413 · median $8,457 | 41 plans |
| 883 | Disorders of personality and impulse control | $6,232 – $143,611 · median $16,322 | 41 plans |
| 885 | Psychoses | $4,732 – $109,039 · median $12,393 | 41 plans |
| 886 | Behavioral and developmental disorders | $6,031 – $138,970 · median $15,794 | 41 plans |
| 887 | Other mental disorder diagnoses | $3,992 – $92,004 · median $10,457 | 41 plans |
| 783 | Cesarean section with sterilization with MCC | $6,184 – $111,426 · median $16,195 | 40 plans |
| 784 | Cesarean section with sterilization with CC | $3,636 – $65,513 · median $9,522 | 40 plans |
| 785 | Cesarean section with sterilization without CC MCC | $2,937 – $52,924 · median $7,692 | 40 plans |
| 786 | Cesarean section without sterilization with MCC | $5,424 – $97,743 · median $14,206 | 40 plans |
| 787 | Cesarean section without sterilization with CC | $3,564 – $64,230 · median $9,336 | 40 plans |
| 788 | Cesarean section without sterilization without CC MCC | $3,038 – $54,745 · median $7,957 | 40 plans |
| 796 | Vaginal delivery with sterilization and or D C with MCC | $4,286 – $77,224 · median $11,224 | 40 plans |
| 797 | Vaginal delivery with sterilization and or D C with CC | $3,250 – $58,568 · median $8,513 | 40 plans |
| 798 | Vaginal delivery with sterilization and or D C without CC MCC | $3,250 – $58,568 · median $8,513 | 40 plans |
| 805 | Vaginal delivery without sterilization OR D C with MCC | $3,350 – $60,365 · median $8,774 | 40 plans |
| 806 | Vaginal delivery without sterilization OR D C with CC | $2,429 – $43,766 · median $6,361 | 40 plans |
| 807 | Vaginal delivery without sterilization OR D C without CC MCC | $2,139 – $38,546 · median $5,602 | 40 plans |
| 789 | Neonates died or transferred to another acute care facility | $6,052 – $109,049 · median $15,778 | 36 plans |
| 795 | Normal newborn | $671 – $12,086 · median $1,677 | 35 plans |
| 790 | Extreme immaturity or respiratory distress syndrome neonate | $19,957 – $359,625 · median $49,418 | 32 plans |
| 791 | Prematurity with major problems | $13,630 – $245,604 · median $33,750 | 32 plans |
| 792 | Prematurity without major problems | $8,224 – $148,193 · median $20,364 | 32 plans |
| 793 | Full term neonate with major problems | $14,001 – $252,288 · median $34,669 | 32 plans |
| 794 | Neonate with other significant problems | $4,956 – $89,298 · median $12,271 | 32 plans |
No procedures match that keyword.