Procedures published 768
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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