INTEGRIS Health Ponca City Hospital — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 770
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 770 procedures

Procedures with negotiated rates only

These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $199,770 – $661,071 · median $290,698 16 plans
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $81,332 – $310,855 · median $125,160 16 plans
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $151,530 – $500,693 · median $209,647 16 plans
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $99,210 – $326,748 · median $134,037 16 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $74,086 – $243,220 · median $113,818 16 plans
006 Liver Transplant Without Mcc $33,830 – $109,385 · median $49,957 16 plans
007 Lung Transplant $92,816 – $305,489 · median $121,781 16 plans
008 Simultaneous Pancreas And Kidney Transplant $40,696 – $132,210 · median $57,962 16 plans
010 Pancreas Transplant $39,694 – $169,271 · median $54,592 16 plans
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $39,628 – $128,660 · median $56,361 16 plans
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $30,843 – $99,454 · median $41,788 16 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $21,376 – $67,980 · median $28,566 16 plans
014 Allogeneic Bone Marrow Transplant $86,201 – $283,497 · median $129,269 16 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $43,002 – $139,879 · median $65,494 16 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $39,473 – $128,145 · median $53,766 16 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $307,328 – $1,018,662 · median $435,918 16 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $51,552 – $168,302 · median $75,176 16 plans
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $56,761 – $203,872 · median $86,911 16 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $38,490 – $153,658 · median $58,470 16 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $23,474 – $116,566 · median $34,433 16 plans
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $41,588 – $135,175 · median $61,299 16 plans
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $28,685 – $92,280 · median $42,359 16 plans
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $33,189 – $107,255 · median $48,297 16 plans
026 Craniotomy And Endovascular Intracranial Procedures With Cc $22,990 – $73,345 · median $33,360 16 plans
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $18,830 – $59,514 · median $26,652 16 plans
028 Spinal Procedures With Mcc $43,560 – $141,733 · median $62,979 16 plans
029 Spinal Procedures With Cc Or Spinal Neurostimulators $25,136 – $80,478 · median $36,510 16 plans
030 Spinal Procedures Without Cc/Mcc $16,505 – $51,784 · median $23,663 16 plans
031 Ventricular Shunt Procedures With Mcc $32,720 – $105,693 · median $46,512 16 plans
032 Ventricular Shunt Procedures With Cc $16,049 – $50,269 · median $23,333 16 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $12,728 – $39,227 · median $18,367 16 plans
034 Carotid Artery Stent Procedures With Mcc $28,393 – $91,308 · median $42,752 16 plans
035 Carotid Artery Stent Procedures With Cc $17,890 – $56,391 · median $25,161 16 plans
036 Carotid Artery Stent Procedures Without Cc/Mcc $14,714 – $45,830 · median $20,149 16 plans
037 Extracranial Procedures With Mcc $24,288 – $77,659 · median $35,294 16 plans
038 Extracranial Procedures With Cc $12,442 – $38,276 · median $17,433 16 plans
039 Extracranial Procedures Without Cc/Mcc $9,269 – $27,730 · median $12,489 16 plans
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $28,326 – $91,084 · median $41,976 16 plans
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $16,529 – $51,866 · median $24,285 16 plans
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $13,188 – $40,756 · median $19,082 16 plans
052 Spinal Disorders And Injuries With Cc/Mcc $13,781 – $42,728 · median $17,923 16 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $7,877 – $23,099 · median $10,439 16 plans
054 Nervous System Neoplasms With Mcc $11,763 – $36,019 · median $15,382 16 plans
055 Nervous System Neoplasms Without Mcc $8,163 – $24,052 · median $11,046 16 plans
056 Degenerative Nervous System Disorders With Mcc $17,412 – $54,801 · median $22,847 16 plans
057 Degenerative Nervous System Disorders Without Mcc $10,122 – $30,563 · median $13,175 16 plans
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $13,058 – $40,326 · median $18,281 16 plans
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $9,734 – $29,272 · median $12,525 16 plans
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $7,455 – $21,698 · median $9,602 16 plans
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $20,492 – $65,039 · median $30,452 16 plans
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $13,397 – $41,452 · median $19,408 16 plans
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $10,889 – $33,115 · median $15,505 16 plans
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $15,198 – $47,439 · median $20,493 16 plans
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $8,097 – $23,833 · median $11,159 16 plans
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $5,785 – $16,145 · median $7,559 16 plans
067 Precerebral Occlusion Without Infarction With Mcc $11,350 – $34,646 · median $15,742 16 plans
068 Precerebral Occlusion Without Infarction Without Mcc $7,062 – $20,391 · median $9,547 16 plans
069 Transient Ischemia Without Thrombolytic $6,597 – $18,843 · median $8,457 16 plans
070 Other Cerebrovascular Disorders With Mcc $12,741 – $39,272 · median $18,142 16 plans
071 Other Cerebrovascular Disorders With Cc $8,209 – $24,203 · median $11,012 16 plans
072 Other Cerebrovascular Disorders Without Cc/Mcc $6,294 – $17,838 · median $8,313 16 plans
073 Cranial And Peripheral Nerve Disorders With Mcc $12,312 – $37,845 · median $16,303 16 plans
074 Cranial And Peripheral Nerve Disorders Without Mcc $8,243 – $24,316 · median $10,804 16 plans
075 Viral Meningitis With Cc/Mcc $14,534 – $45,233 · median $19,310 16 plans
076 Viral Meningitis Without Cc/Mcc $6,784 – $19,604 · median $8,620 16 plans
080 Nontraumatic Stupor And Coma With Mcc $13,772 – $42,697 · median $19,368 16 plans
081 Nontraumatic Stupor And Coma Without Mcc $7,283 – $21,127 · median $8,924 16 plans
082 Traumatic Stupor And Coma >1 Hour With Mcc $17,146 – $53,916 · median $24,207 16 plans
083 Traumatic Stupor And Coma >1 Hour With Cc $10,833 – $32,926 · median $14,409 16 plans
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $7,711 – $22,547 · median $10,120 16 plans
085 Traumatic Stupor And Coma <1 Hour With Mcc $17,049 – $53,593 · median $23,469 16 plans
086 Traumatic Stupor And Coma <1 Hour With Cc $10,172 – $30,730 · median $13,509 16 plans
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $7,419 – $21,577 · median $9,497 16 plans
088 Concussion With Mcc $10,520 – $31,888 · median $14,931 16 plans
089 Concussion With Cc $8,724 – $25,915 · median $11,454 16 plans
090 Concussion Without Cc/Mcc $6,770 – $19,419 · median $8,814 16 plans
091 Other Disorders Of Nervous System With Mcc $13,390 – $41,428 · median $17,868 16 plans
092 Other Disorders Of Nervous System With Cc $8,187 – $24,132 · median $10,662 16 plans
093 Other Disorders Of Nervous System Without Cc/Mcc $6,579 – $18,784 · median $8,298 16 plans
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $25,900 – $83,021 · median $37,893 16 plans
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $19,229 – $60,842 · median $26,813 16 plans
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $19,229 – $60,842 · median $25,964 16 plans
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $26,556 – $85,201 · median $38,259 16 plans
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $17,212 – $54,136 · median $22,463 16 plans
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $10,596 – $32,138 · median $13,933 16 plans
100 Seizures With Mcc $14,671 – $45,688 · median $19,383 16 plans
101 Seizures Without Mcc $7,333 – $21,292 · median $9,420 16 plans
102 Headaches With Mcc $8,882 – $26,442 · median $11,903 16 plans
103 Headaches Without Mcc $6,863 – $19,728 · median $8,613 16 plans
113 Orbital Procedures With Cc/Mcc $17,611 – $55,461 · median $24,721 16 plans
114 Orbital Procedures Without Cc/Mcc $10,529 – $31,917 · median $14,370 16 plans
115 Extraocular Procedures Except Orbit $11,820 – $36,208 · median $16,565 16 plans
116 Intraocular Procedures With Cc/Mcc $13,758 – $42,652 · median $17,852 16 plans
117 Intraocular Procedures Without Cc/Mcc $8,627 – $25,592 · median $11,350 16 plans
121 Acute Major Eye Infections With Cc/Mcc $9,183 – $27,442 · median $11,620 16 plans
122 Acute Major Eye Infections Without Cc/Mcc $6,504 – $18,537 · median $8,471 16 plans
123 Neurological Eye Disorders $6,595 – $18,839 · median $8,435 16 plans
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $10,317 – $31,211 · median $14,027 16 plans
125 Other Disorders Of The Eye Without Mcc $6,377 – $18,112 · median $8,443 16 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $16,326 – $51,189 · median $23,614 16 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $8,133 – $26,481 · median $11,214 16 plans
137 Mouth Procedures With Cc/Mcc $11,524 – $35,224 · median $15,538 16 plans
138 Mouth Procedures Without Cc/Mcc $7,217 – $20,905 · median $9,581 16 plans
139 Salivary Gland Procedures $9,697 – $29,150 · median $12,779 16 plans
140 Major Head And Neck Procedures With Mcc $31,193 – $100,616 · median $44,929 16 plans
141 Major Head And Neck Procedures With Cc $16,405 – $51,451 · median $24,072 16 plans
142 Major Head And Neck Procedures Without Cc/Mcc $12,256 – $37,658 · median $17,575 16 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $27,512 – $88,381 · median $36,067 16 plans
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $13,224 – $40,878 · median $19,104 16 plans
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $9,460 – $28,362 · median $13,248 16 plans
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $15,953 – $49,948 · median $21,964 16 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $9,951 – $29,994 · median $13,801 16 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $6,585 – $18,803 · median $8,804 16 plans
149 Dysequilibrium $6,262 – $17,730 · median $7,935 16 plans
150 Epistaxis With Mcc $10,376 – $31,409 · median $14,537 16 plans
151 Epistaxis Without Mcc $6,137 – $17,315 · median $8,031 16 plans
152 Otitis Media And Uri With Mcc $9,317 – $27,888 · median $12,120 16 plans
153 Otitis Media And Uri Without Mcc $6,167 – $17,414 · median $7,943 16 plans
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $12,023 – $36,882 · median $16,429 16 plans
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $7,432 – $21,620 · median $9,923 16 plans
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $5,832 – $16,303 · median $7,411 16 plans
157 Dental And Oral Diseases With Mcc $13,110 – $40,499 · median $17,738 16 plans
158 Dental And Oral Diseases With Cc $7,384 – $21,462 · median $9,835 16 plans
159 Dental And Oral Diseases Without Cc/Mcc $5,956 – $16,713 · median $7,540 16 plans
163 Major Chest Procedures With Mcc $32,729 – $105,724 · median $49,502 16 plans
164 Major Chest Procedures With Cc $18,838 – $59,540 · median $27,877 16 plans
165 Major Chest Procedures Without Cc/Mcc $14,511 – $45,155 · median $20,574 16 plans
166 Other Respiratory System O.R. Procedures With Mcc $27,449 – $88,171 · median $39,747 16 plans
167 Other Respiratory System O.R. Procedures With Cc $13,725 – $42,541 · median $19,919 16 plans
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $10,624 – $32,233 · median $14,490 16 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $22,048 – $70,212 · median $32,874 16 plans
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $10,675 – $32,403 · median $15,172 16 plans
176 Pulmonary Embolism Without Mcc $6,641 – $18,990 · median $8,891 16 plans
177 Respiratory Infections And Inflammations With Mcc $12,017 – $37,734 · median $17,260 16 plans
178 Respiratory Infections And Inflammations With Cc $7,854 – $26,408 · median $10,780 16 plans
179 Respiratory Infections And Inflammations Without Cc/Mcc $6,286 – $18,962 · median $8,339 16 plans
180 Respiratory Neoplasms With Mcc $13,459 – $41,659 · median $18,866 16 plans
181 Respiratory Neoplasms With Cc $8,528 – $25,264 · median $11,829 16 plans
182 Respiratory Neoplasms Without Cc/Mcc $6,277 – $17,782 · median $8,262 16 plans
183 Major Chest Trauma With Mcc $11,784 – $36,090 · median $16,428 16 plans
184 Major Chest Trauma With Cc $8,479 – $25,102 · median $11,349 16 plans
185 Major Chest Trauma Without Cc/Mcc $6,509 – $18,553 · median $8,444 16 plans
186 Pleural Effusion With Mcc $11,987 – $36,764 · median $16,864 16 plans
187 Pleural Effusion With Cc $7,947 – $23,332 · median $10,925 16 plans
188 Pleural Effusion Without Cc/Mcc $6,018 – $16,918 · median $7,921 16 plans
189 Pulmonary Edema And Respiratory Failure $9,695 – $29,143 · median $13,439 16 plans
190 Chronic Obstructive Pulmonary Disease With Mcc $8,788 – $26,130 · median $12,235 16 plans
191 Chronic Obstructive Pulmonary Disease With Cc $6,910 – $19,886 · median $9,311 16 plans
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $5,484 – $15,144 · median $7,091 16 plans
193 Simple Pneumonia And Pleurisy With Mcc $10,255 – $31,006 · median $14,517 16 plans
194 Simple Pneumonia And Pleurisy With Cc $6,647 – $19,027 · median $8,901 16 plans
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $5,388 – $14,826 · median $6,942 16 plans
196 Interstitial Lung Disease With Mcc $14,319 – $44,518 · median $18,828 16 plans
197 Interstitial Lung Disease With Cc $7,663 – $22,389 · median $10,483 16 plans
198 Interstitial Lung Disease Without Cc/Mcc $6,011 – $16,895 · median $7,910 16 plans
199 Pneumothorax With Mcc $13,446 – $41,614 · median $19,485 16 plans
200 Pneumothorax With Cc $8,729 – $25,932 · median $11,804 16 plans
201 Pneumothorax Without Cc/Mcc $6,003 – $16,869 · median $7,898 16 plans
202 Bronchitis And Asthma With Cc/Mcc $7,820 – $22,910 · median $10,356 16 plans
203 Bronchitis And Asthma Without Cc/Mcc $5,683 – $15,805 · median $7,400 16 plans
204 Respiratory Signs And Symptoms $6,658 – $19,046 · median $8,586 16 plans
205 Other Respiratory System Diagnoses With Mcc $13,921 – $43,192 · median $17,911 16 plans
206 Other Respiratory System Diagnoses Without Mcc $7,606 – $22,200 · median $9,744 16 plans
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $46,586 – $151,792 · median $64,459 16 plans
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $20,432 – $64,841 · median $27,694 16 plans
209 Complex Aortic Arch Procedures $81,240 – $267,005 · median $124,048 16 plans
212 Concomitant Aortic And Mitral Valve Procedures $78,085 – $256,515 · median $118,515 16 plans
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $41,422 – $134,623 · median $62,545 16 plans
215 Other Heart Assist System Implant $71,578 – $262,734 · median $109,975 16 plans
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $70,342 – $230,772 · median $105,408 16 plans
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $47,583 – $155,108 · median $70,197 16 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $47,583 – $155,108 · median $66,376 16 plans
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $55,409 – $181,128 · median $83,699 16 plans
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $38,767 – $125,798 · median $57,217 16 plans
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $36,691 – $118,896 · median $52,326 16 plans
228 Other Cardiothoracic Procedures With Mcc $36,033 – $134,494 · median $54,644 16 plans
229 Other Cardiothoracic Procedures Without Mcc $23,276 – $93,467 · median $34,786 16 plans
231 Coronary Bypass With Ptca With Mcc $60,742 – $198,857 · median $90,361 16 plans
232 Coronary Bypass With Ptca Without Mcc $43,945 – $143,014 · median $65,026 16 plans
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $55,175 – $180,347 · median $81,864 16 plans
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $39,689 – $128,863 · median $57,278 16 plans
235 Coronary Bypass Without Cardiac Catheterization With Mcc $42,569 – $138,438 · median $63,743 16 plans
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $30,650 – $98,812 · median $43,961 16 plans
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $35,850 – $116,101 · median $52,178 16 plans
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $21,154 – $67,242 · median $30,069 16 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $10,752 – $32,657 · median $15,291 16 plans
242 Permanent Cardiac Pacemaker Implant With Mcc $23,583 – $75,551 · median $35,265 16 plans
243 Permanent Cardiac Pacemaker Implant With Cc $16,048 – $53,191 · median $23,536 16 plans
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $13,754 – $43,622 · median $19,964 16 plans
245 Aicd Generator Procedures $33,301 – $111,169 · median $50,392 16 plans
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $16,415 – $51,484 · median $24,106 16 plans
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $11,533 – $35,255 · median $16,507 16 plans
252 Other Vascular Procedures With Mcc $25,680 – $82,287 · median $36,604 16 plans
253 Other Vascular Procedures With Cc $19,346 – $61,229 · median $28,060 16 plans
254 Other Vascular Procedures Without Cc/Mcc $13,571 – $42,029 · median $19,679 16 plans
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $20,068 – $63,630 · median $28,400 16 plans
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $12,976 – $40,053 · median $18,753 16 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $8,678 – $25,765 · median $12,063 16 plans
258 Cardiac Pacemaker Device Replacement With Mcc $23,223 – $74,121 · median $34,049 16 plans
259 Cardiac Pacemaker Device Replacement Without Mcc $15,276 – $47,700 · median $22,334 16 plans
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $24,009 – $76,732 · median $35,927 16 plans
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $14,343 – $44,596 · median $20,880 16 plans
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $12,494 – $38,449 · median $17,997 16 plans
263 Vein Ligation And Stripping $22,622 – $72,123 · median $28,911 16 plans
264 Other Circulatory System O.R. Procedures $24,632 – $78,803 · median $35,827 16 plans
265 Aicd Lead Procedures $26,601 – $85,352 · median $37,865 16 plans
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $44,412 – $158,066 · median $67,688 16 plans
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $34,709 – $124,507 · median $52,583 16 plans
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $49,730 – $162,247 · median $73,139 16 plans
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $30,894 – $99,623 · median $45,853 16 plans
270 Other Major Cardiovascular Procedures With Mcc $38,366 – $124,465 · median $55,687 16 plans
271 Other Major Cardiovascular Procedures With Cc $26,162 – $83,891 · median $37,874 16 plans
272 Other Major Cardiovascular Procedures Without Cc/Mcc $19,043 – $60,224 · median $27,347 16 plans
273 Percutaneous And Other Intracardiac Procedures With Mcc $30,201 – $97,319 · median $41,728 16 plans
274 Percutaneous And Other Intracardiac Procedures Without Mcc $24,285 – $77,650 · median $32,737 16 plans
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $51,522 – $168,203 · median $77,542 16 plans
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $43,548 – $141,693 · median $66,343 16 plans
277 Cardiac Defibrillator Implant Without Mcc $33,699 – $108,948 · median $51,011 16 plans
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $40,423 – $131,304 · median $53,948 16 plans
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $26,518 – $85,073 · median $36,936 16 plans
280 Acute Myocardial Infarction, Discharged Alive With Mcc $12,311 – $37,840 · median $17,717 16 plans
281 Acute Myocardial Infarction, Discharged Alive With Cc $7,450 – $21,681 · median $10,151 16 plans
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $6,060 – $17,058 · median $7,987 16 plans
283 Acute Myocardial Infarction, Expired With Mcc $14,983 – $46,726 · median $20,282 16 plans
284 Acute Myocardial Infarction, Expired With Cc $5,840 – $16,329 · median $7,645 16 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $5,178 – $14,128 · median $6,273 16 plans
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $16,630 – $52,199 · median $24,349 16 plans
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $8,522 – $25,243 · median $11,819 16 plans
288 Acute And Subacute Endocarditis With Mcc $20,130 – $63,838 · median $29,671 16 plans
289 Acute And Subacute Endocarditis With Cc $13,040 – $40,265 · median $18,628 16 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $7,525 – $22,236 · median $10,269 16 plans
291 Heart Failure And Shock With Mcc $10,038 – $30,284 · median $14,180 16 plans
292 Heart Failure And Shock With Cc $6,953 – $20,028 · median $9,377 16 plans
293 Heart Failure And Shock Without Cc/Mcc $4,945 – $13,734 · median $6,251 16 plans
296 Cardiac Arrest, Unexplained With Mcc $12,011 – $36,845 · median $16,661 16 plans
297 Cardiac Arrest, Unexplained With Cc $5,427 – $14,956 · median $6,935 16 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $4,158 – $10,736 · median $5,083 16 plans
299 Peripheral Vascular Disorders With Mcc $12,514 – $38,515 · median $16,481 16 plans
300 Peripheral Vascular Disorders With Cc $8,503 – $25,182 · median $11,386 16 plans
301 Peripheral Vascular Disorders Without Cc/Mcc $6,035 – $16,977 · median $7,922 16 plans
302 Atherosclerosis With Mcc $9,419 – $28,227 · median $12,324 16 plans
303 Atherosclerosis Without Mcc $5,705 – $15,880 · median $7,313 16 plans
304 Hypertension With Mcc $9,372 – $28,072 · median $12,138 16 plans
305 Hypertension Without Mcc $6,287 – $17,812 · median $7,870 16 plans
306 Cardiac Congenital And Valvular Disorders With Mcc $12,110 – $37,172 · median $15,907 16 plans
307 Cardiac Congenital And Valvular Disorders Without Mcc $7,408 – $21,542 · median $9,461 16 plans
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $9,472 – $28,402 · median $13,096 16 plans
309 Cardiac Arrhythmia And Conduction Disorders With Cc $6,149 – $17,355 · median $8,126 16 plans
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $4,946 – $13,354 · median $6,181 16 plans
311 Angina Pectoris $5,909 – $16,558 · median $7,548 16 plans
312 Syncope And Collapse $7,113 – $20,561 · median $9,073 16 plans
313 Chest Pain $6,038 – $16,984 · median $7,779 16 plans
314 Other Circulatory System Diagnoses With Mcc $15,724 – $49,189 · median $22,043 16 plans
315 Other Circulatory System Diagnoses With Cc $7,764 – $22,724 · median $10,573 16 plans
316 Other Circulatory System Diagnoses Without Cc/Mcc $5,769 – $16,090 · median $7,534 16 plans
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $48,372 – $157,731 · median $70,088 16 plans
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $18,115 – $57,139 · median $26,546 16 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $32,595 – $105,278 · median $46,601 16 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $17,995 – $56,740 · median $25,993 16 plans
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $20,234 – $64,182 · median $30,051 16 plans
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $13,438 – $41,588 · median $19,473 16 plans
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $31,633 – $102,081 · median $46,231 16 plans
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $23,286 – $74,331 · median $33,370 16 plans
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $23,708 – $75,732 · median $31,573 16 plans
326 Stomach, Esophageal And Duodenal Procedures With Mcc $36,316 – $117,650 · median $51,855 16 plans
327 Stomach, Esophageal And Duodenal Procedures With Cc $18,271 – $57,658 · median $24,695 16 plans
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $12,298 – $37,798 · median $16,936 16 plans
329 Major Small And Large Bowel Procedures With Mcc $33,543 – $108,429 · median $50,768 16 plans
330 Major Small And Large Bowel Procedures With Cc $17,938 – $56,549 · median $26,477 16 plans
331 Major Small And Large Bowel Procedures Without Cc/Mcc $12,870 – $39,699 · median $18,398 16 plans
332 Rectal Resection With Mcc $26,619 – $85,411 · median $39,991 16 plans
333 Rectal Resection With Cc $17,548 – $55,251 · median $23,438 16 plans
334 Rectal Resection Without Cc/Mcc $12,550 – $38,637 · median $15,775 16 plans
335 Peritoneal Adhesiolysis With Mcc $26,266 – $84,236 · median $39,441 16 plans
336 Peritoneal Adhesiolysis With Cc $15,891 – $49,743 · median $23,290 16 plans
337 Peritoneal Adhesiolysis Without Cc/Mcc $11,820 – $36,210 · median $16,954 16 plans
344 Minor Small And Large Bowel Procedures With Mcc $19,255 – $60,927 · median $28,527 16 plans
345 Minor Small And Large Bowel Procedures With Cc $11,605 – $35,495 · median $16,620 16 plans
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $9,345 – $27,982 · median $12,455 16 plans
347 Anal And Stomal Procedures With Mcc $17,217 – $54,152 · median $25,355 16 plans
348 Anal And Stomal Procedures With Cc $10,215 – $30,874 · median $14,456 16 plans
349 Anal And Stomal Procedures Without Cc/Mcc $7,106 – $20,691 · median $9,616 16 plans
350 Inguinal And Femoral Hernia Procedures With Mcc $18,610 – $58,783 · median $27,111 16 plans
351 Inguinal And Femoral Hernia Procedures With Cc $11,746 – $35,962 · median $16,483 16 plans
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $9,215 – $27,548 · median $11,967 16 plans
353 Hernia Procedures Except Inguinal And Femoral With Mcc $21,520 – $68,457 · median $32,053 16 plans
354 Hernia Procedures Except Inguinal And Femoral With Cc $12,866 – $39,687 · median $18,582 16 plans
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $10,472 – $31,728 · median $14,585 16 plans
356 Other Digestive System O.R. Procedures With Mcc $32,098 – $103,624 · median $44,400 16 plans
357 Other Digestive System O.R. Procedures With Cc $17,429 – $54,857 · median $24,048 16 plans
358 Other Digestive System O.R. Procedures Without Cc/Mcc $10,848 – $32,976 · median $15,388 16 plans
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $25,327 – $81,115 · median $37,685 16 plans
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $18,059 – $56,952 · median $26,460 16 plans
368 Major Esophageal Disorders With Mcc $12,224 – $37,552 · median $17,582 16 plans
369 Major Esophageal Disorders With Cc $8,026 – $23,594 · median $11,047 16 plans
370 Major Esophageal Disorders Without Cc/Mcc $5,901 – $16,532 · median $7,740 16 plans
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $13,510 – $41,827 · median $19,122 16 plans
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $8,173 – $24,085 · median $11,277 16 plans
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $6,090 – $17,159 · median $8,034 16 plans
374 Digestive Malignancy With Mcc $16,104 – $50,451 · median $22,563 16 plans
375 Digestive Malignancy With Cc $9,511 – $28,534 · median $13,360 16 plans
376 Digestive Malignancy Without Cc/Mcc $7,487 – $21,804 · median $10,209 16 plans
377 Gastrointestinal Hemorrhage With Mcc $13,899 – $43,122 · median $19,307 16 plans
378 Gastrointestinal Hemorrhage With Cc $7,887 – $23,134 · median $10,682 16 plans
379 Gastrointestinal Hemorrhage Without Cc/Mcc $5,402 – $14,871 · median $6,963 16 plans
380 Complicated Peptic Ulcer With Mcc $14,851 – $46,287 · median $21,088 16 plans
381 Complicated Peptic Ulcer With Cc $8,617 – $25,559 · median $11,840 16 plans
382 Complicated Peptic Ulcer Without Cc/Mcc $6,609 – $18,886 · median $8,791 16 plans
383 Uncomplicated Peptic Ulcer With Mcc $10,725 – $32,570 · median $14,903 16 plans
384 Uncomplicated Peptic Ulcer Without Mcc $6,994 – $20,164 · median $9,441 16 plans
385 Inflammatory Bowel Disease With Mcc $12,156 – $37,326 · median $17,476 16 plans
386 Inflammatory Bowel Disease With Cc $7,856 – $23,030 · median $10,608 16 plans
387 Inflammatory Bowel Disease Without Cc/Mcc $5,763 – $16,072 · median $7,525 16 plans
388 Gastrointestinal Obstruction With Mcc $11,407 – $34,837 · median $16,311 16 plans
389 Gastrointestinal Obstruction With Cc $6,533 – $18,631 · median $8,723 16 plans
390 Gastrointestinal Obstruction Without Cc/Mcc $4,789 – $12,833 · median $6,009 16 plans
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $9,928 – $29,919 · median $13,688 16 plans
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $6,460 – $18,390 · median $8,415 16 plans
393 Other Digestive System Diagnoses With Mcc $12,277 – $37,727 · median $17,664 16 plans
394 Other Digestive System Diagnoses With Cc $7,568 – $22,073 · median $10,302 16 plans
395 Other Digestive System Diagnoses Without Cc/Mcc $5,534 – $15,310 · median $7,168 16 plans
397 Appendix Procedures With Mcc $17,922 – $56,495 · median $25,301 16 plans
398 Appendix Procedures With Cc $11,668 – $35,705 · median $16,586 16 plans
399 Appendix Procedures Without Cc/Mcc $9,051 – $27,003 · median $12,344 16 plans
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $29,456 – $94,842 · median $43,480 16 plans
405 Pancreas, Liver And Shunt Procedures With Mcc $39,744 – $129,047 · median $58,786 16 plans
406 Pancreas, Liver And Shunt Procedures With Cc $21,507 – $68,414 · median $31,119 16 plans
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $16,678 – $52,359 · median $23,043 16 plans
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $26,228 – $84,111 · median $39,382 16 plans
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $16,378 – $51,362 · median $24,048 16 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $12,194 – $37,453 · median $17,536 16 plans
411 Cholecystectomy With C.D.E. With Mcc $24,367 – $77,923 · median $36,171 16 plans
412 Cholecystectomy With C.D.E. With Cc $15,847 – $49,597 · median $23,222 16 plans
413 Cholecystectomy With C.D.E. Without Cc/Mcc $12,711 – $39,170 · median $18,340 16 plans
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $26,207 – $84,040 · median $38,944 16 plans
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $15,593 – $48,753 · median $22,358 16 plans
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $10,602 – $32,160 · median $15,057 16 plans
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $17,861 – $56,294 · median $26,184 16 plans
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $12,931 – $39,904 · median $18,377 16 plans
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $10,620 – $32,219 · median $14,582 16 plans
420 Hepatobiliary Diagnostic Procedures With Mcc $25,104 – $82,745 · median $37,632 16 plans
421 Hepatobiliary Diagnostic Procedures With Cc $13,257 – $40,987 · median $19,191 16 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $10,859 – $33,014 · median $15,458 16 plans
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $30,396 – $97,967 · median $43,180 16 plans
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $16,453 – $51,612 · median $24,166 16 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $11,574 – $35,391 · median $16,571 16 plans
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $79,129 – $259,985 · median $117,344 16 plans
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $52,148 – $170,283 · median $78,347 16 plans
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $40,819 – $132,620 · median $60,869 16 plans
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $64,856 – $212,532 · median $94,469 16 plans
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $41,849 – $136,043 · median $61,310 16 plans
432 Cirrhosis And Alcoholic Hepatitis With Mcc $14,894 – $46,429 · median $20,500 16 plans
433 Cirrhosis And Alcoholic Hepatitis With Cc $8,423 – $24,915 · median $11,353 16 plans
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $5,984 – $16,808 · median $7,271 16 plans
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $13,961 – $43,327 · median $19,067 16 plans
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $8,954 – $26,682 · median $12,424 16 plans
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $6,983 – $20,129 · median $9,425 16 plans
438 Disorders Of Pancreas Except Malignancy With Mcc $12,496 – $38,456 · median $18,005 16 plans
439 Disorders Of Pancreas Except Malignancy With Cc $6,897 – $19,844 · median $9,291 16 plans
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $5,338 – $14,659 · median $6,864 16 plans
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $13,663 – $42,336 · median $19,804 16 plans
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $7,778 – $22,771 · median $10,414 16 plans
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $5,893 – $16,506 · median $7,534 16 plans
444 Disorders Of The Biliary Tract With Mcc $12,785 – $39,416 · median $17,858 16 plans
445 Disorders Of The Biliary Tract With Cc $8,694 – $25,816 · median $11,763 16 plans
446 Disorders Of The Biliary Tract Without Cc/Mcc $6,799 – $19,516 · median $8,839 16 plans
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $48,337 – $157,616 · median $73,371 16 plans
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $31,019 – $100,039 · median $45,472 16 plans
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $38,744 – $125,723 · median $57,262 16 plans
451 Single Level Spinal Fusion Except Cervical Without Mcc $23,850 – $76,204 · median $34,481 16 plans
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $60,554 – $198,232 · median $92,816 16 plans
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $43,239 – $140,667 · median $65,863 16 plans
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $30,535 – $109,401 · median $46,087 16 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $40,117 – $130,285 · median $56,507 16 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $19,803 – $66,550 · median $29,380 16 plans
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $41,369 – $134,449 · median $58,110 16 plans
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $23,029 – $73,474 · median $32,407 16 plans
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $13,869 – $43,020 · median $20,143 16 plans
466 Revision Of Hip Or Knee Replacement With Mcc $37,863 – $122,793 · median $56,013 16 plans
467 Revision Of Hip Or Knee Replacement With Cc $25,951 – $83,191 · median $38,338 16 plans
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $20,427 – $64,824 · median $30,352 16 plans
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $22,451 – $71,552 · median $33,502 16 plans
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $14,615 – $45,502 · median $21,305 16 plans
471 Cervical Spinal Fusion With Mcc $35,190 – $113,907 · median $53,333 16 plans
472 Cervical Spinal Fusion With Cc $21,833 – $69,497 · median $31,696 16 plans
473 Cervical Spinal Fusion Without Cc/Mcc $18,251 – $57,589 · median $25,800 16 plans
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $31,389 – $101,268 · median $44,305 16 plans
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $17,076 – $53,683 · median $24,155 16 plans
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $9,303 – $27,840 · median $12,857 16 plans
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $25,441 – $81,492 · median $36,448 16 plans
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $18,378 – $58,011 · median $25,544 16 plans
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $14,118 – $43,851 · median $19,784 16 plans
480 Hip And Femur Procedures Except Major Joint With Mcc $21,593 – $68,700 · median $32,166 16 plans
481 Hip And Femur Procedures Except Major Joint With Cc $15,790 – $49,408 · median $22,671 16 plans
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $12,501 – $38,475 · median $18,014 16 plans
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $20,597 – $65,388 · median $28,176 16 plans
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $23,826 – $76,126 · median $35,535 16 plans
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $15,766 – $49,328 · median $23,096 16 plans
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $12,042 – $36,946 · median $17,299 16 plans
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $13,480 – $41,728 · median $17,952 16 plans
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $8,853 – $26,345 · median $12,335 16 plans
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $26,980 – $86,611 · median $37,873 16 plans
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $18,923 – $59,825 · median $25,673 16 plans
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $15,166 – $47,332 · median $20,393 16 plans
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $26,655 – $85,529 · median $35,821 16 plans
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $13,728 – $42,553 · median $19,924 16 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $9,502 – $28,503 · median $12,980 16 plans
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $22,334 – $71,165 · median $29,313 16 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $15,225 – $47,528 · median $16,343 16 plans
500 Soft Tissue Procedures With Mcc $23,384 – $74,656 · median $33,373 16 plans
501 Soft Tissue Procedures With Cc $13,332 – $41,237 · median $18,783 16 plans
502 Soft Tissue Procedures Without Cc/Mcc $10,479 – $31,749 · median $14,226 16 plans
503 Foot Procedures With Mcc $20,733 – $65,841 · median $28,652 16 plans
504 Foot Procedures With Cc $14,192 – $44,094 · median $19,560 16 plans
505 Foot Procedures Without Cc/Mcc $13,649 – $42,291 · median $17,941 16 plans
506 Major Thumb Or Joint Procedures $10,502 – $31,827 · median $13,935 16 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $13,746 – $42,612 · median $19,952 16 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $11,674 – $35,724 · median $16,719 16 plans
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $22,360 – $71,252 · median $29,705 16 plans
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $15,683 – $49,052 · median $20,917 16 plans
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $12,675 – $39,050 · median $17,125 16 plans
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $12,099 – $37,137 · median $17,335 16 plans
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $8,182 – $24,116 · median $11,184 16 plans
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $23,541 – $75,178 · median $33,221 16 plans
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $15,674 – $49,021 · median $21,524 16 plans
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $11,832 – $36,250 · median $16,200 16 plans
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $27,446 – $88,161 · median $35,573 16 plans
519 Back And Neck Procedures Except Spinal Fusion With Cc $15,121 – $47,184 · median $20,668 16 plans
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $11,529 – $35,240 · median $15,114 16 plans
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $21,294 – $67,707 · median $31,702 16 plans
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $15,955 – $49,956 · median $23,390 16 plans
533 Fractures Of Femur With Mcc $12,052 – $36,981 · median $16,354 16 plans
534 Fractures Of Femur Without Mcc $6,648 – $19,016 · median $8,546 16 plans
535 Fractures Of Hip And Pelvis With Mcc $10,025 – $30,242 · median $13,889 16 plans
536 Fractures Of Hip And Pelvis Without Mcc $6,659 – $19,051 · median $8,512 16 plans
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $7,700 – $22,512 · median $10,540 16 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $6,040 – $16,992 · median $7,615 16 plans
539 Osteomyelitis With Mcc $14,905 – $46,464 · median $21,045 16 plans
540 Osteomyelitis With Cc $10,127 – $30,579 · median $14,176 16 plans
541 Osteomyelitis Without Cc/Mcc $6,516 – $19,270 · median $8,594 16 plans
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $13,463 – $41,671 · median $19,511 16 plans
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $8,223 – $24,250 · median $11,354 16 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $6,283 – $17,801 · median $8,335 16 plans
545 Connective Tissue Disorders With Mcc $18,537 – $58,542 · median $26,443 16 plans
546 Connective Tissue Disorders With Cc $9,113 – $27,208 · median $12,471 16 plans
547 Connective Tissue Disorders Without Cc/Mcc $6,862 – $19,726 · median $9,030 16 plans
548 Septic Arthritis With Mcc $14,629 – $45,549 · median $21,327 16 plans
549 Septic Arthritis With Cc $9,494 – $28,477 · median $13,150 16 plans
550 Septic Arthritis Without Cc/Mcc $7,131 – $20,620 · median $9,654 16 plans
551 Medical Back Problems With Mcc $12,821 – $39,538 · median $17,586 16 plans
552 Medical Back Problems Without Mcc $7,750 – $22,677 · median $10,105 16 plans
553 Bone Diseases And Arthropathies With Mcc $10,127 – $30,579 · median $14,161 16 plans
554 Bone Diseases And Arthropathies Without Mcc $6,819 – $19,582 · median $8,597 16 plans
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $10,308 – $31,181 · median $14,168 16 plans
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $6,822 – $19,593 · median $8,774 16 plans
557 Tendonitis, Myositis And Bursitis With Mcc $11,479 – $35,075 · median $16,017 16 plans
558 Tendonitis, Myositis And Bursitis Without Mcc $7,266 – $21,070 · median $9,556 16 plans
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $14,161 – $43,992 · median $19,267 16 plans
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $8,919 – $26,564 · median $12,030 16 plans
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $6,633 – $18,964 · median $8,537 16 plans
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $11,038 – $33,610 · median $15,341 16 plans
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $7,283 – $21,124 · median $9,355 16 plans
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $11,881 – $36,413 · median $16,403 16 plans
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $7,843 – $22,986 · median $10,541 16 plans
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $6,245 – $17,676 · median $8,276 16 plans
570 Skin Debridement With Mcc $21,797 – $69,379 · median $30,024 16 plans
571 Skin Debridement With Cc $12,917 – $39,855 · median $18,128 16 plans
572 Skin Debridement Without Cc/Mcc $9,062 – $27,041 · median $12,661 16 plans
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $47,414 – $154,545 · median $53,480 16 plans
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $25,560 – $81,889 · median $34,779 16 plans
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $13,679 – $42,390 · median $18,791 16 plans
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $35,705 – $115,617 · median $51,365 16 plans
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $19,737 – $62,529 · median $27,722 16 plans
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $12,327 – $37,894 · median $16,858 16 plans
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $23,907 – $76,395 · median $31,806 16 plans
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $13,190 – $40,763 · median $17,839 16 plans
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $11,168 – $34,042 · median $14,418 16 plans
582 Mastectomy For Malignancy With Cc/Mcc $14,599 – $45,448 · median $18,279 16 plans
583 Mastectomy For Malignancy Without Cc/Mcc $13,164 – $40,678 · median $16,543 16 plans
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $16,118 – $50,498 · median $21,643 16 plans
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $14,617 – $45,507 · median $18,993 16 plans
592 Skin Ulcers With Mcc $14,661 – $45,653 · median $18,317 16 plans
593 Skin Ulcers With Cc $9,346 – $27,984 · median $12,106 16 plans
594 Skin Ulcers Without Cc/Mcc $7,079 – $20,447 · median $8,808 16 plans
595 Major Skin Disorders With Mcc $15,976 – $50,026 · median $23,231 16 plans
596 Major Skin Disorders Without Mcc $8,610 – $25,536 · median $11,204 16 plans
597 Malignant Breast Disorders With Mcc $12,758 – $39,326 · median $18,413 16 plans
598 Malignant Breast Disorders With Cc $8,956 – $26,687 · median $12,118 16 plans
599 Malignant Breast Disorders Without Cc/Mcc $6,388 – $18,150 · median $8,264 16 plans
600 Non-Malignant Breast Disorders With Cc/Mcc $8,319 – $24,571 · median $10,874 16 plans
601 Non-Malignant Breast Disorders Without Cc/Mcc $5,222 – $14,272 · median $6,682 16 plans
602 Cellulitis With Mcc $11,014 – $33,528 · median $15,698 16 plans
603 Cellulitis Without Mcc $7,108 – $20,544 · median $9,413 16 plans
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $11,374 – $34,726 · median $15,619 16 plans
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $7,428 – $21,608 · median $9,592 16 plans
606 Minor Skin Disorders With Mcc $11,666 – $35,696 · median $15,749 16 plans
607 Minor Skin Disorders Without Mcc $7,360 – $21,382 · median $9,190 16 plans
614 Adrenal And Pituitary Procedures With Cc/Mcc $16,481 – $51,704 · median $24,208 16 plans
615 Adrenal And Pituitary Procedures Without Cc/Mcc $10,857 – $33,009 · median $15,455 16 plans
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $25,673 – $82,433 · median $38,518 16 plans
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $14,199 – $44,120 · median $20,657 16 plans
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $10,992 – $33,457 · median $14,014 16 plans
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $26,183 – $83,960 · median $39,311 16 plans
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $13,657 – $42,317 · median $19,814 16 plans
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $9,812 – $29,532 · median $13,320 16 plans
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $22,358 – $71,243 · median $30,982 16 plans
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $11,568 – $35,370 · median $16,553 16 plans
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $10,354 – $31,334 · median $12,850 16 plans
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $27,372 – $87,914 · median $39,884 16 plans
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $16,388 – $51,397 · median $24,065 16 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $11,285 – $34,429 · median $16,120 16 plans
637 Diabetes With Mcc $11,123 – $33,891 · median $15,095 16 plans
638 Diabetes With Cc $7,288 – $21,141 · median $9,535 16 plans
639 Diabetes Without Cc/Mcc $5,337 – $14,654 · median $6,837 16 plans
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $10,405 – $31,506 · median $13,596 16 plans
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $6,450 – $18,357 · median $8,324 16 plans
642 Inborn And Other Disorders Of Metabolism $11,019 – $33,547 · median $14,493 16 plans
643 Endocrine Disorders With Mcc $12,609 – $38,831 · median $17,691 16 plans
644 Endocrine Disorders With Cc $8,202 – $24,179 · median $11,089 16 plans
645 Endocrine Disorders Without Cc/Mcc $6,380 – $18,124 · median $8,232 16 plans
650 Kidney Transplant With Hemodialysis With Mcc $34,287 – $110,904 · median $50,324 16 plans
651 Kidney Transplant With Hemodialysis Without Mcc $27,223 – $87,418 · median $40,536 16 plans
652 Kidney Transplant $23,843 – $76,182 · median $35,670 16 plans
653 Major Bladder Procedures With Mcc $37,799 – $122,581 · median $57,394 16 plans
654 Major Bladder Procedures With Cc $20,791 – $66,034 · median $30,509 16 plans
655 Major Bladder Procedures Without Cc/Mcc $15,947 – $49,930 · median $22,769 16 plans
656 Kidney And Ureter Procedures For Neoplasm With Mcc $23,519 – $75,104 · median $35,165 16 plans
657 Kidney And Ureter Procedures For Neoplasm With Cc $13,913 – $43,169 · median $20,212 16 plans
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $11,939 – $36,606 · median $17,078 16 plans
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $18,958 – $69,586 · median $28,064 16 plans
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $10,307 – $36,555 · median $14,598 16 plans
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $8,275 – $29,646 · median $11,436 16 plans
662 Minor Bladder Procedures With Mcc $22,651 – $72,219 · median $33,451 16 plans
663 Minor Bladder Procedures With Cc $11,715 – $36,305 · median $16,791 16 plans
664 Minor Bladder Procedures Without Cc/Mcc $8,357 – $26,235 · median $11,563 16 plans
665 Prostatectomy With Mcc $23,075 – $73,628 · median $34,220 16 plans
666 Prostatectomy With Cc $13,341 – $41,265 · median $19,109 16 plans
667 Prostatectomy Without Cc/Mcc $8,778 – $26,095 · median $11,389 16 plans
668 Transurethral Procedures With Mcc $21,647 – $68,881 · median $30,184 16 plans
669 Transurethral Procedures With Cc $11,941 – $36,611 · median $15,930 16 plans
670 Transurethral Procedures Without Cc/Mcc $7,863 – $23,054 · median $10,751 16 plans
671 Urethral Procedures With Cc/Mcc $13,665 – $42,343 · median $18,010 16 plans
672 Urethral Procedures Without Cc/Mcc $8,588 – $25,465 · median $11,468 16 plans
673 Other Kidney And Urinary Tract Procedures With Mcc $30,741 – $99,114 · median $41,726 16 plans
674 Other Kidney And Urinary Tract Procedures With Cc $17,522 – $55,167 · median $25,489 16 plans
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $12,575 – $38,720 · median $17,984 16 plans
682 Renal Failure With Mcc $11,437 – $34,936 · median $16,252 16 plans
683 Renal Failure With Cc $7,143 – $20,660 · median $9,673 16 plans
684 Renal Failure Without Cc/Mcc $5,188 – $14,161 · median $6,630 16 plans
686 Kidney And Urinary Tract Neoplasms With Mcc $13,727 – $42,548 · median $19,282 16 plans
687 Kidney And Urinary Tract Neoplasms With Cc $8,363 – $24,717 · median $11,573 16 plans
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $6,536 – $18,643 · median $8,729 16 plans
689 Kidney And Urinary Tract Infections With Mcc $9,162 – $27,371 · median $12,200 16 plans
690 Kidney And Urinary Tract Infections Without Mcc $6,673 – $19,096 · median $8,776 16 plans
693 Urinary Stones With Mcc $10,469 – $31,716 · median $14,850 16 plans
694 Urinary Stones Without Mcc $6,475 – $18,440 · median $8,634 16 plans
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $9,045 – $26,982 · median $12,633 16 plans
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $5,818 – $16,253 · median $7,597 16 plans
697 Urethral Stricture $8,576 – $25,425 · median $11,504 16 plans
698 Other Kidney And Urinary Tract Diagnoses With Mcc $12,667 – $39,027 · median $17,707 16 plans
699 Other Kidney And Urinary Tract Diagnoses With Cc $8,131 – $23,943 · median $11,211 16 plans
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $5,824 – $16,274 · median $7,620 16 plans
707 Major Male Pelvic Procedures With Cc/Mcc $15,122 – $47,186 · median $20,658 16 plans
708 Major Male Pelvic Procedures Without Cc/Mcc $11,815 – $36,191 · median $15,860 16 plans
709 Penis Procedures With Cc/Mcc $17,441 – $54,895 · median $25,235 16 plans
710 Penis Procedures Without Cc/Mcc $10,871 – $33,054 · median $15,476 16 plans
711 Testes Procedures With Cc/Mcc $15,714 – $49,156 · median $22,429 16 plans
712 Testes Procedures Without Cc/Mcc $8,732 – $25,941 · median $10,969 16 plans
713 Transurethral Prostatectomy With Cc/Mcc $11,596 – $35,465 · median $15,971 16 plans
714 Transurethral Prostatectomy Without Cc/Mcc $8,432 – $24,944 · median $10,466 16 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $16,803 – $52,777 · median $24,125 16 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $11,366 – $34,700 · median $15,838 16 plans
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $14,343 – $44,596 · median $20,880 16 plans
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $10,459 – $31,683 · median $14,102 16 plans
722 Malignancy, Male Reproductive System With Mcc $13,769 – $42,690 · median $19,367 16 plans
723 Malignancy, Male Reproductive System With Cc $9,037 – $26,956 · median $12,391 16 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $5,581 – $15,468 · median $6,958 16 plans
725 Benign Prostatic Hypertrophy With Mcc $9,232 – $27,604 · median $12,925 16 plans
726 Benign Prostatic Hypertrophy Without Mcc $6,052 – $17,032 · median $7,974 16 plans
727 Inflammation Of The Male Reproductive System With Mcc $11,451 – $34,981 · median $16,042 16 plans
728 Inflammation Of The Male Reproductive System Without Mcc $6,685 – $19,136 · median $8,893 16 plans
729 Other Male Reproductive System Diagnoses With Cc/Mcc $8,441 – $24,974 · median $11,583 16 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $5,697 – $15,852 · median $7,149 16 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $16,042 – $50,246 · median $23,526 16 plans
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $10,476 – $31,740 · median $14,508 16 plans
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $26,291 – $84,321 · median $39,480 16 plans
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $15,550 – $48,609 · median $21,939 16 plans
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $11,348 – $34,641 · median $15,616 16 plans
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $26,350 – $84,517 · median $39,001 16 plans
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $13,769 – $42,688 · median $19,270 16 plans
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $11,048 – $33,641 · median $14,598 16 plans
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $13,947 – $43,282 · median $18,859 16 plans
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $9,732 – $29,268 · median $12,537 16 plans
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $15,468 – $48,337 · median $20,226 16 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $9,000 – $26,833 · median $11,973 16 plans
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $13,254 – $40,977 · median $18,382 16 plans
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $7,029 – $20,280 · median $9,365 16 plans
748 Female Reproductive System Reconstructive Procedures $10,772 – $32,726 · median $14,439 16 plans
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $19,147 – $60,569 · median $28,200 16 plans
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $11,400 – $34,813 · median $15,051 16 plans
754 Malignancy, Female Reproductive System With Mcc $13,996 – $43,445 · median $19,857 16 plans
755 Malignancy, Female Reproductive System With Cc $8,647 – $25,661 · median $11,984 16 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $7,744 – $22,658 · median $8,359 16 plans
757 Infections, Female Reproductive System With Mcc $11,089 – $33,778 · median $15,815 16 plans
758 Infections, Female Reproductive System With Cc $7,875 – $23,094 · median $10,813 16 plans
759 Infections, Female Reproductive System Without Cc/Mcc $5,637 – $15,654 · median $7,329 16 plans
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $8,077 – $23,766 · median $10,092 16 plans
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $4,977 – $13,458 · median $6,295 16 plans
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $8,532 – $25,279 · median $11,836 16 plans
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $12,919 – $39,862 · median $18,664 16 plans
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $5,574 – $16,460 · median $7,231 16 plans
783 Cesarean Section With Sterilization With Mcc $18,349 – $57,915 · median $22,380 16 plans
784 Cesarean Section With Sterilization With Cc $8,451 – $25,007 · median $11,709 16 plans
785 Cesarean Section With Sterilization Without Cc/Mcc $7,725 – $22,594 · median $9,781 16 plans
786 Cesarean Section Without Sterilization With Mcc $12,633 – $38,911 · median $17,474 16 plans
787 Cesarean Section Without Sterilization With Cc $8,853 – $26,345 · median $12,012 16 plans
788 Cesarean Section Without Sterilization Without Cc/Mcc $7,732 – $22,618 · median $10,137 16 plans
789 Neonates, Died Or Transferred To Another Acute Care Facility $13,716 – $42,513 · median $18,724 16 plans
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $43,100 – $140,204 · median $61,748 16 plans
791 Prematurity With Major Problems $29,729 – $95,750 · median $42,171 16 plans
792 Prematurity Without Major Problems $18,307 – $57,776 · median $25,445 16 plans
793 Full Term Neonate With Major Problems $30,514 – $98,359 · median $43,319 16 plans
794 Neonate With Other Significant Problems $11,401 – $34,816 · median $15,333 16 plans
795 Normal Newborn $1,830 – $4,713 · median $2,405 16 plans
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $9,209 – $29,935 · median $12,889 16 plans
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $8,027 – $23,599 · median $9,985 16 plans
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $7,720 – $22,578 · median $9,786 16 plans
799 Splenic Procedures With Mcc $33,063 – $106,835 · median $50,022 16 plans
800 Splenic Procedures With Cc $20,863 – $66,272 · median $30,008 16 plans
801 Splenic Procedures Without Cc/Mcc $14,473 – $45,030 · median $19,606 16 plans
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $29,198 – $93,983 · median $39,005 16 plans
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $14,118 – $43,851 · median $20,382 16 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $10,550 – $31,987 · median $13,857 16 plans
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $8,586 – $25,458 · median $11,470 16 plans
806 Vaginal Delivery Without Sterilization Or D&C With Cc $6,279 – $17,787 · median $7,966 16 plans
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $5,713 – $15,904 · median $7,005 16 plans
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $16,595 – $52,083 · median $23,692 16 plans
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $9,911 – $29,862 · median $13,430 16 plans
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $8,355 – $24,689 · median $10,794 16 plans
811 Red Blood Cell Disorders With Mcc $10,893 – $33,127 · median $14,965 16 plans
812 Red Blood Cell Disorders Without Mcc $7,444 – $21,660 · median $9,837 16 plans
813 Coagulation Disorders $11,751 – $35,981 · median $16,847 16 plans
814 Reticuloendothelial And Immunity Disorders With Mcc $16,019 – $50,168 · median $20,936 16 plans
815 Reticuloendothelial And Immunity Disorders With Cc $8,124 – $23,920 · median $11,036 16 plans
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $5,413 – $14,909 · median $6,981 16 plans
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $17,118 – $53,822 · median $21,363 16 plans
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $9,154 – $27,698 · median $12,125 16 plans
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $7,030 – $20,285 · median $9,291 16 plans
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $42,542 – $138,348 · median $61,422 16 plans
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $16,813 – $52,808 · median $24,725 16 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $9,472 – $28,402 · median $13,298 16 plans
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $33,460 – $108,153 · median $48,511 16 plans
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $17,004 – $53,444 · median $24,316 16 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $10,503 – $31,832 · median $14,384 16 plans
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $34,120 – $110,347 · median $51,666 16 plans
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $17,328 – $54,520 · median $25,527 16 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $13,018 – $40,192 · median $18,142 16 plans
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $23,350 – $74,543 · median $34,446 16 plans
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $11,607 – $35,502 · median $15,052 16 plans
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $9,461 – $28,366 · median $12,066 16 plans
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $6,049 – $17,022 · median $7,891 16 plans
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $4,639 – $12,335 · median $5,459 16 plans
834 Acute Leukemia With Mcc $39,882 – $129,504 · median $60,192 16 plans
835 Acute Leukemia With Cc $15,728 – $49,203 · median $23,037 16 plans
836 Acute Leukemia Without Cc/Mcc $9,582 – $28,767 · median $13,469 16 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $35,017 – $116,293 · median $53,064 16 plans
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $15,740 – $49,241 · median $23,055 16 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $11,174 – $34,061 · median $15,114 16 plans
840 Lymphoma And Non-Acute Leukemia With Mcc $23,882 – $76,310 · median $34,460 16 plans
841 Lymphoma And Non-Acute Leukemia With Cc $12,504 – $38,484 · median $17,810 16 plans
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $8,098 – $23,835 · median $11,160 16 plans
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $15,083 – $47,056 · median $20,549 16 plans
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $9,567 – $28,718 · median $13,275 16 plans
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $6,971 – $20,089 · median $9,406 16 plans
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $19,324 – $61,156 · median $27,059 16 plans
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $10,211 – $30,860 · median $14,038 16 plans
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $6,956 – $20,037 · median $9,382 16 plans
849 Radiotherapy $20,154 – $63,916 · median $23,688 16 plans
850 Acute Leukemia With Other Procedures $62,371 – $204,274 · median $95,644 16 plans
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $35,970 – $116,499 · median $54,547 16 plans
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $15,106 – $48,754 · median $22,069 16 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $11,552 – $35,318 · median $16,044 16 plans
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $33,204 – $107,302 · median $49,230 16 plans
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $16,124 – $50,517 · median $22,491 16 plans
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $10,812 – $32,858 · median $14,984 16 plans
862 Postoperative And Post-Traumatic Infections With Mcc $13,869 – $43,020 · median $20,044 16 plans
863 Postoperative And Post-Traumatic Infections Without Mcc $8,009 – $23,540 · median $10,996 16 plans
864 Fever And Inflammatory Conditions $7,227 – $20,940 · median $9,616 16 plans
865 Viral Illness With Mcc $11,560 – $35,344 · median $16,440 16 plans
866 Viral Illness Without Mcc $7,099 – $20,513 · median $9,090 16 plans
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $15,781 – $49,378 · median $23,095 16 plans
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $8,245 – $24,323 · median $11,388 16 plans
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $6,106 – $17,213 · median $8,060 16 plans
870 Septicemia Or Severe Sepsis With Mv >96 Hours $49,971 – $163,046 · median $70,505 16 plans
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $14,712 – $45,823 · median $20,526 16 plans
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $8,190 – $24,139 · median $11,302 16 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $28,352 – $91,171 · median $40,089 16 plans
880 Acute Adjustment Reaction And Psychosocial Dysfunction $7,742 – $22,651 · median $9,556 16 plans
881 Depressive Neuroses $7,605 – $22,195 · median $9,067 16 plans
882 Neuroses Except Depressive $8,548 – $25,330 · median $9,888 16 plans
883 Disorders Of Personality And Impulse Control $14,881 – $46,384 · median $15,644 16 plans
884 Organic Disturbances And Intellectual Disability $12,345 – $37,953 · median $15,242 16 plans
885 Psychoses $10,840 – $32,950 · median $13,884 16 plans
886 Behavioral And Developmental Disorders $13,620 – $48,955 · median $16,027 16 plans
887 Other Mental Disorder Diagnoses $8,527 – $25,262 · median $11,756 16 plans
894 Alcohol, Drug Abuse Or Dependence, Left Ama $5,306 – $14,552 · median $6,170 16 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $10,973 – $33,393 · median $14,970 16 plans
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $13,311 – $41,166 · median $18,428 16 plans
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $7,193 – $20,825 · median $9,080 16 plans
901 Wound Debridements For Injuries With Mcc $30,705 – $98,996 · median $45,722 16 plans
902 Wound Debridements For Injuries With Cc $14,513 – $45,162 · median $21,145 16 plans
903 Wound Debridements For Injuries Without Cc/Mcc $9,228 – $27,590 · median $12,918 16 plans
904 Skin Grafts For Injuries With Cc/Mcc $26,991 – $86,647 · median $37,562 16 plans
905 Skin Grafts For Injuries Without Cc/Mcc $11,454 – $34,993 · median $16,050 16 plans
906 Hand Procedures For Injuries $14,866 – $46,337 · median $20,124 16 plans
907 Other O.R. Procedures For Injuries With Mcc $28,170 – $90,567 · median $42,405 16 plans
908 Other O.R. Procedures For Injuries With Cc $15,086 – $47,066 · median $22,037 16 plans
909 Other O.R. Procedures For Injuries Without Cc/Mcc $10,243 – $30,966 · median $14,499 16 plans
913 Traumatic Injury With Mcc $12,527 – $38,559 · median $16,288 16 plans
914 Traumatic Injury Without Mcc $7,212 – $20,889 · median $9,352 16 plans
915 Allergic Reactions With Mcc $12,860 – $39,668 · median $18,022 16 plans
916 Allergic Reactions Without Mcc $5,657 – $15,718 · median $6,881 16 plans
917 Poisoning And Toxic Effects Of Drugs With Mcc $12,057 – $36,998 · median $16,127 16 plans
918 Poisoning And Toxic Effects Of Drugs Without Mcc $7,010 – $20,219 · median $8,711 16 plans
919 Complications Of Treatment With Mcc $13,919 – $43,188 · median $19,554 16 plans
920 Complications Of Treatment With Cc $8,041 – $23,644 · median $10,966 16 plans
921 Complications Of Treatment Without Cc/Mcc $5,813 – $16,239 · median $7,603 16 plans
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $13,342 – $41,268 · median $17,467 16 plans
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $8,150 – $24,007 · median $9,871 16 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $152,419 – $503,648 · median $205,840 16 plans
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $51,822 – $169,201 · median $69,236 16 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $23,782 – $75,977 · median $31,560 16 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $28,560 – $91,862 · median $38,605 16 plans
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $16,614 – $52,147 · median $21,245 16 plans
935 Non-Extensive Burns $15,545 – $48,594 · median $20,203 16 plans
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $26,674 – $85,595 · median $38,833 16 plans
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $17,510 – $55,126 · median $25,650 16 plans
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $15,316 – $47,833 · median $21,141 16 plans
947 Signs And Symptoms With Mcc $9,936 – $29,945 · median $13,303 16 plans
948 Signs And Symptoms Without Mcc $6,609 – $18,883 · median $8,595 16 plans
949 Aftercare With Cc/Mcc $9,370 – $28,064 · median $12,885 16 plans
950 Aftercare Without Cc/Mcc $5,383 – $16,401 · median $6,933 16 plans
951 Other Factors Influencing Health Status $4,874 – $16,162 · median $6,141 16 plans
955 Craniotomy For Multiple Significant Trauma $48,689 – $158,784 · median $69,298 16 plans
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $27,629 – $88,767 · median $41,563 16 plans
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $54,995 – $179,750 · median $81,491 16 plans
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $30,828 – $99,404 · median $46,450 16 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $21,818 – $69,450 · median $30,674 16 plans
963 Other Multiple Significant Trauma With Mcc $20,326 – $64,489 · median $29,608 16 plans
964 Other Multiple Significant Trauma With Cc $11,803 – $36,153 · median $16,134 16 plans
965 Other Multiple Significant Trauma Without Cc/Mcc $7,602 – $22,186 · median $10,388 16 plans
969 Hiv With Extensive O.R. Procedures With Mcc $44,362 – $144,399 · median $62,766 16 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $19,642 – $62,215 · median $28,471 16 plans
974 Hiv With Major Related Condition With Mcc $21,406 – $68,079 · median $30,910 16 plans
975 Hiv With Major Related Condition With Cc $10,117 – $30,548 · median $14,303 16 plans
976 Hiv With Major Related Condition Without Cc/Mcc $7,334 – $21,294 · median $9,917 16 plans
977 Hiv With Or Without Other Related Condition $10,137 – $30,612 · median $14,138 16 plans
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $34,219 – $110,677 · median $48,983 16 plans
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $18,373 – $57,995 · median $27,106 16 plans
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $13,090 – $40,432 · median $18,348 16 plans
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $25,255 – $80,874 · median $36,347 16 plans
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $12,591 – $38,772 · median $18,154 16 plans
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $9,438 – $28,289 · median $12,546 16 plans
619 O.R. Procedures For Obesity With Mcc $21,416 – $68,112 · median $26,449 15 plans
620 O.R. Procedures For Obesity With Cc $12,284 – $37,750 · median $14,659 15 plans
621 O.R. Procedures For Obesity Without Cc/Mcc $11,632 – $35,582 · median $13,817 15 plans
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $8,043 – $23,653 · median $9,185 15 plans
779 Abortion Without D&C $6,898 – $19,846 · median $7,706 15 plans
945 Rehabilitation With Cc/Mcc $11,917 – $36,531 · median $12,155 11 plans
946 Rehabilitation Without Cc/Mcc $9,066 – $27,052 · median $9,247 11 plans
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