Coastal Carolina Hospital — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 243 with a comparable price, 539 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 782
Lowest published price $2,752
Average published price $55,589
Highest published price $281,871

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 782 procedures

Published charges

Showing all 243 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

DRG Description Published price Cash price vs. SC median vs. National median
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $281,871 $281,871 $161,669 +74% $64,724 +335%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $265,902 $265,902 $426,151 −38% $248,230 +7%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $203,646 $203,646 $160,594 +27% $88,050 +131%
653 MAJOR BLADDER PROCEDURES WITH MCC $201,144 $201,144 $163,840 +23% $100,871 +99%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $191,392 $191,392 $69,008 +177% $80,793 +137%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $169,219 $169,219 $169,219 +0% $65,264 +159%
103 HEADACHES WITHOUT MCC $165,260 $165,260 $30,004 +451% $20,630 +701%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $163,682 $163,682 $112,952 +45% $71,958 +127%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $160,851 $160,851 $76,865 +109% $53,011 +203%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $148,425 $148,425 $105,797 +40% $58,203 +155%
643 ENDOCRINE DISORDERS WITH MCC $145,515 $145,515 $63,285 +130% $33,909 +329%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $144,796 $144,796 $54,065 +168% $67,124 +116%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $138,583 $138,583 $25,716 +439% $15,642 +786%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $129,834 $129,834 $144,571 −10% $60,369 +115%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $127,794 $127,794 $42,277 +202% $33,051 +287%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $122,969 $122,969 $57,037 +116% $47,347 +160%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $122,586 $122,586 $64,874 +89% $87,201 +41%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $120,919 $120,919 $136,402 −11% $68,880 +76%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $120,919 $120,919 $132,409 −9% $54,929 +120%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $115,558 $115,558 $116,610 −1% $76,458 +51%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $112,424 $112,424 $150,549 −25% $91,116 +23%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $112,097 $112,097 $111,668 +0% $44,833 +150%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $106,762 $106,762 $100,012 +7% $56,005 +91%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $103,949 $103,949 $103,949 +0% $61,176 +70%
398 APPENDIX PROCEDURES WITH CC $103,187 $103,187 $83,660 +23% $41,614 +148%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $100,643 $100,643 $79,946 +26% $47,027 +114%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $100,008 $100,008 $148,395 −33% $79,387 +26%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $97,352 $97,352 $30,820 +216% $20,139 +383%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $95,754 $95,754 $67,911 +41% $39,857 +140%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $95,601 $95,601 $30,208 +216% $19,258 +396%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $95,050 $95,050 $116,397 −18% $64,732 +47%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $93,045 $93,045 $34,686 +168% $27,533 +238%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $92,895 $92,895 $92,895 +0% $48,682 +91%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $90,212 $90,212 $39,014 +131% $52,405 +72%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $90,029 $90,029 $71,229 +26% $54,619 +65%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $88,172 $88,172 $81,583 +8% $41,113 +114%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $88,172 $88,172 $53,089 +66% $32,593 +171%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $87,888 $87,888 $35,407 +148% $22,098 +298%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $87,124 $87,124 $21,712 +301% $20,895 +317%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $87,087 $87,087 $73,163 +19% $43,248 +101%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $85,269 $85,269 $90,256 −6% $57,107 +49%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $84,629 $84,629 $125,538 −33% $75,103 +13%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $83,623 $83,623 $81,991 +2% $31,839 +163%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $83,612 $83,612 $115,276 −27% $53,069 +58%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $81,510 $81,510 $93,172 −13% $91,511 −11%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $81,269 $81,269 $27,587 +195% $16,035 +407%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $80,992 $80,992 $80,992 +0% $42,881 +89%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $80,747 $80,747 $57,055 +42% $34,749 +132%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $79,067 $79,067 $61,853 +28% $31,667 +150%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $78,555 $78,555 $78,555 +0% $38,106 +106%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $78,393 $78,393 $47,826 +64% $35,017 +124%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $78,239 $78,239 $177,653 −56% $96,507 −19%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $77,245 $77,245 $61,880 +25% $34,468 +124%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $74,391 $74,391 $27,608 +169% $17,607 +323%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $73,456 $73,456 $73,456 +0% $37,183 +98%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $72,965 $72,965 $68,448 +7% $30,447 +140%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $71,565 $71,565 $71,141 +1% $35,349 +102%
336 PERITONEAL ADHESIOLYSIS WITH CC $71,449 $71,449 $71,449 +0% $53,373 +34%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $70,421 $70,421 $52,956 +33% $24,957 +182%
100 SEIZURES WITH MCC $69,776 $69,776 $64,796 +8% $36,405 +92%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $68,308 $68,308 $128,197 −47% $70,540 −3%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $67,944 $67,944 $87,575 −22% $77,817 −13%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $67,463 $67,463 $72,368 −7% $59,668 +13%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $67,391 $67,391 $81,123 −17% $47,426 +42%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $67,391 $67,391 $77,267 −13% $26,222 +157%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $67,178 $67,178 $25,977 +159% $14,843 +353%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $65,403 $65,403 $30,676 +113% $22,888 +186%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $65,252 $65,252 $40,015 +63% $30,959 +111%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $64,193 $64,193 $139,508 −54% $71,235 −10%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $63,858 $63,858 $84,255 −24% $60,402 +6%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $63,791 $63,791 $82,563 −23% $46,579 +37%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $63,781 $63,781 $67,937 −6% $46,249 +38%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $62,762 $62,762 $57,646 +9% $32,462 +93%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $62,729 $62,729 $25,676 +144% $20,371 +208%
947 SIGNS AND SYMPTOMS WITH MCC $62,237 $62,237 $42,591 +46% $27,070 +130%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $60,928 $60,928 $91,369 −33% $47,362 +29%
666 PROSTATECTOMY WITH CC $60,925 $60,925 $60,442 +1% $32,253 +89%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $60,779 $60,779 $60,779 +0% $36,937 +65%
654 MAJOR BLADDER PROCEDURES WITH CC $60,614 $60,614 $100,297 −40% $58,274 +4%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $59,495 $59,495 $29,524 +102% $19,842 +200%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $59,007 $59,007 $49,779 +19% $33,325 +77%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $58,866 $58,866 $45,521 +29% $34,448 +71%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $58,329 $58,329 $58,329 +0% $20,021 +191%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $58,144 $58,144 $76,263 −24% $43,477 +34%
602 CELLULITIS WITH MCC $57,739 $57,739 $40,331 +43% $31,269 +85%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $57,626 $57,626 $61,169 −6% $44,357 +30%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $56,424 $56,424 $56,424 +0% $27,645 +104%
638 DIABETES WITH CC $56,367 $56,367 $31,095 +81% $20,361 +177%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $53,693 $53,693 $22,265 +141% $25,786 +108%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $53,507 $53,507 $49,236 +9% $28,593 +87%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $52,793 $52,793 $29,075 +82% $26,190 +102%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $52,336 $52,336 $61,282 −15% $34,894 +50%
501 SOFT TISSUE PROCEDURES WITH CC $52,091 $52,091 $69,059 −25% $39,619 +31%
669 TRANSURETHRAL PROCEDURES WITH CC $51,999 $51,999 $55,713 −7% $34,354 +51%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $51,955 $51,955 $40,598 +28% $34,192 +52%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $51,474 $51,474 $33,320 +54% $29,171 +76%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $50,809 $50,809 $50,809 +0% $25,347 +100%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $50,458 $50,458 $96,383 −48% $47,583 +6%
149 DYSEQUILIBRIUM $49,973 $49,973 $27,340 +83% $17,203 +190%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $49,386 $49,386 $29,363 +68% $20,093 +146%
710 PENIS PROCEDURES WITHOUT CC/MCC $49,232 $49,232 $49,232 +0% $24,531 +101%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $48,401 $48,401 $30,823 +57% $23,515 +106%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $48,325 $48,325 $14,405 +235% $18,602 +160%
101 SEIZURES WITHOUT MCC $48,037 $48,037 $23,267 +106% $20,461 +135%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $47,955 $47,955 $16,857 +184% $19,514 +146%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $47,954 $47,954 $30,838 +56% $12,324 +289%
186 PLEURAL EFFUSION WITH MCC $47,741 $47,741 $43,109 +11% $33,834 +41%
813 COAGULATION DISORDERS $46,923 $46,923 $40,532 +16% $32,182 +46%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $46,880 $46,880 $43,006 +9% $27,838 +68%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $46,560 $46,560 $87,791 −47% $50,919 −9%
176 PULMONARY EMBOLISM WITHOUT MCC $45,551 $45,551 $38,685 +18% $18,081 +152%
663 MINOR BLADDER PROCEDURES WITH CC $45,504 $45,504 $80,664 −44% $32,018 +42%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $45,170 $45,170 $33,370 +35% $17,477 +158%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $44,857 $44,857 $45,625 −2% $28,515 +57%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $44,542 $44,542 $13,376 +233% $14,128 +215%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $44,300 $44,300 $39,632 +12% $39,973 +11%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $44,217 $44,217 $21,930 +102% $13,652 +224%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $44,182 $44,182 $40,724 +8% $39,106 +13%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $44,178 $44,178 $82,339 −46% $64,664 −32%
637 DIABETES WITH MCC $43,828 $43,828 $39,998 +10% $31,433 +39%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $43,380 $43,380 $28,291 +53% $17,186 +152%
811 RED BLOOD CELL DISORDERS WITH MCC $43,222 $43,222 $46,404 −7% $28,113 +54%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $43,212 $43,212 $36,592 +18% $20,463 +111%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $43,132 $43,132 $30,579 +41% $26,770 +61%
184 MAJOR CHEST TRAUMA WITH CC $42,705 $42,705 $36,432 +17% $22,688 +88%
381 COMPLICATED PEPTIC ULCER WITH CC $42,314 $42,314 $32,085 +32% $24,177 +75%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $42,041 $42,041 $38,789 +8% $16,565 +154%
694 URINARY STONES WITHOUT MCC $41,582 $41,582 $39,199 +6% $17,347 +140%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $41,260 $41,260 $28,564 +44% $14,249 +190%
540 OSTEOMYELITIS WITH CC $41,165 $41,165 $44,746 −8% $27,453 +50%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $41,105 $41,105 $49,956 −18% $38,041 +8%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $41,064 $41,064 $43,413 −5% $34,987 +17%
199 PNEUMOTHORAX WITH MCC $41,000 $41,000 $52,568 −22% $34,228 +20%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $40,240 $40,240 $33,108 +22% $23,551 +71%
551 MEDICAL BACK PROBLEMS WITH MCC $40,240 $40,240 $42,235 −5% $34,920 +15%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $40,221 $40,221 $38,265 +5% $35,591 +13%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $40,183 $40,183 $36,155 +11% $30,897 +30%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $39,623 $39,623 $39,623 +0% $18,054 +119%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $39,420 $39,420 $40,579 −3% $33,633 +17%
291 HEART FAILURE AND SHOCK WITH MCC $39,262 $39,262 $36,614 +7% $27,864 +41%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $39,239 $39,239 $40,600 −3% $24,829 +58%
305 HYPERTENSION WITHOUT MCC $38,897 $38,897 $33,304 +17% $17,930 +117%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $38,593 $38,593 $28,476 +36% $22,850 +69%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $38,511 $38,511 $31,545 +22% $16,191 +138%
864 FEVER AND INFLAMMATORY CONDITIONS $38,422 $38,422 $38,422 +0% $18,591 +107%
682 RENAL FAILURE WITH MCC $38,221 $38,221 $32,167 +19% $31,184 +23%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $37,895 $37,895 $40,713 −7% $31,017 +22%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $37,856 $37,856 $43,335 −13% $37,479 +1%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $37,520 $37,520 $27,628 +36% $20,635 +82%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $36,942 $36,942 $29,175 +27% $21,905 +69%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $36,900 $36,900 $42,544 −13% $26,044 +42%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $36,887 $36,887 $43,274 −15% $25,279 +46%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $36,742 $36,742 $60,114 −39% $33,652 +9%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $36,739 $36,739 $27,552 +33% $18,887 +95%
312 SYNCOPE AND COLLAPSE $36,438 $36,438 $34,730 +5% $19,517 +87%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $36,207 $36,207 $36,207 +0% $36,025 +1%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $36,042 $36,042 $32,902 +10% $28,162 +28%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $35,795 $35,795 $36,371 −2% $21,254 +68%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $35,750 $35,750 $30,763 +16% $16,582 +116%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $35,243 $35,243 $32,917 +7% $24,930 +41%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $35,040 $35,040 $33,464 +5% $16,765 +109%
571 SKIN DEBRIDEMENT WITH CC $34,961 $34,961 $25,079 +39% $37,012 −6%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $34,851 $34,851 $34,851 +0% $23,571 +48%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $34,819 $34,819 $39,807 −13% $24,914 +40%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $34,461 $34,461 $33,852 +2% $26,686 +29%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $34,171 $34,171 $60,382 −43% $37,324 −8%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $34,129 $34,129 $28,585 +19% $24,042 +42%
644 ENDOCRINE DISORDERS WITH CC $34,061 $34,061 $35,635 −4% $23,198 +47%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $33,559 $33,559 $99,774 −66% $47,820 −30%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $32,822 $32,822 $30,498 +8% $14,716 +123%
535 FRACTURES OF HIP AND PELVIS WITH MCC $32,290 $32,290 $21,343 +51% $23,311 +39%
375 DIGESTIVE MALIGNANCY WITH CC $32,089 $32,089 $39,584 −19% $27,277 +18%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $31,954 $31,954 $27,174 +18% $27,002 +18%
158 DENTAL AND ORAL DISEASES WITH CC $31,694 $31,694 $35,575 −11% $18,267 +74%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $31,329 $31,329 $29,358 +7% $19,072 +64%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $30,507 $30,507 $29,988 +2% $21,275 +43%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $30,396 $30,396 $30,227 +1% $20,473 +48%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $30,359 $30,359 $77,713 −61% $52,178 −42%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $30,355 $30,355 $48,837 −38% $27,163 +12%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $29,897 $29,897 $24,497 +22% $32,530 −8%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $29,686 $29,686 $29,686 +0% $15,907 +87%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $29,615 $29,615 $26,307 +13% $32,212 −8%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $29,571 $29,571 $19,416 +52% $19,416 +52%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $29,539 $29,539 $15,036 +96% $13,414 +120%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $29,490 $29,490 $29,490 +0% $15,040 +96%
304 HYPERTENSION WITH MCC $28,947 $28,947 $28,318 +2% $26,080 +11%
919 COMPLICATIONS OF TREATMENT WITH MCC $28,676 $28,676 $48,250 −41% $31,917 −10%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $28,479 $28,479 $42,562 −33% $24,527 +16%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $28,407 $28,407 $33,774 −16% $27,470 +3%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $27,958 $27,958 $40,874 −32% $23,079 +21%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $27,746 $27,746 $48,966 −43% $23,749 +17%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $27,745 $27,745 $37,782 −27% $21,396 +30%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $27,692 $27,692 $30,716 −10% $17,747 +56%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $27,563 $27,563 $36,663 −25% $20,488 +35%
683 RENAL FAILURE WITH CC $27,185 $27,185 $33,822 −20% $19,733 +38%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $26,863 $26,863 $27,175 −1% $22,005 +22%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $26,657 $26,657 $70,104 −62% $37,921 −30%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $26,558 $26,558 $29,518 −10% $33,814 −21%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $26,219 $26,219 $33,013 −21% $22,140 +18%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $25,695 $25,695 $30,275 −15% $18,961 +36%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $24,222 $24,222 $24,222 +0% $18,722 +29%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $24,186 $24,186 $20,742 +17% $13,384 +81%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $24,017 $24,017 $12,119 +98% $10,553 +128%
639 DIABETES WITHOUT CC/MCC $23,723 $23,723 $21,780 +9% $14,668 +62%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $23,421 $23,421 $32,578 −28% $21,407 +9%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $22,713 $22,713 $36,570 −38% $18,126 +25%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $22,584 $22,584 $41,861 −46% $33,289 −32%
603 CELLULITIS WITHOUT MCC $22,386 $22,386 $28,257 −21% $19,553 +14%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $21,891 $21,891 $36,660 −40% $25,980 −16%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $21,863 $21,863 $18,172 +20% $17,700 +24%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $21,464 $21,464 $34,218 −37% $21,449 +0%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $21,455 $21,455 $21,455 +0% $23,091 −7%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $20,854 $20,854 $33,673 −38% $27,621 −25%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $19,695 $19,695 $13,799 +43% $18,139 +9%
153 OTITIS MEDIA AND URI WITHOUT MCC $19,238 $19,238 $19,420 −1% $14,684 +31%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $19,098 $19,098 $31,526 −39% $17,322 +10%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $19,079 $19,079 $36,815 −48% $30,328 −37%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $18,678 $18,678 $29,256 −36% $18,150 +3%
534 FRACTURES OF FEMUR WITHOUT MCC $18,653 $18,653 $34,629 −46% $18,070 +3%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $18,598 $18,598 $52,178 −64% $23,312 −20%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $18,557 $18,557 $41,443 −55% $20,506 −10%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $18,456 $18,456 $52,557 −65% $39,360 −53%
303 ATHEROSCLEROSIS WITHOUT MCC $18,378 $18,378 $26,762 −31% $14,927 +23%
313 CHEST PAIN $18,206 $18,206 $29,505 −38% $16,440 +11%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $18,140 $18,140 $38,529 −53% $24,465 −26%
920 COMPLICATIONS OF TREATMENT WITH CC $17,968 $17,968 $16,379 +10% $20,764 −13%
684 RENAL FAILURE WITHOUT CC/MCC $16,306 $16,306 $25,169 −35% $13,642 +20%
123 NEUROLOGICAL EYE DISORDERS $16,117 $16,117 $20,417 −21% $17,831 −10%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $15,382 $15,382 $20,656 −26% $12,454 +24%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $15,348 $15,348 $29,719 −48% $17,817 −14%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $14,474 $14,474 $25,620 −44% $18,133 −20%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $14,057 $14,057 $30,092 −53% $18,002 −22%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $13,967 $13,967 $14,812 −6% $12,895 +8%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,852 $11,852 $15,424 −23% $12,551 −6%
948 SIGNS AND SYMPTOMS WITHOUT MCC $9,167 $9,167 $33,268 −72% $17,962 −49%
791 PREMATURITY WITH MAJOR PROBLEMS $7,118 $7,118 $22,071 −68% $51,969 −86%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,972 $6,972 $9,940 −30% $9,940 −30%
374 DIGESTIVE MALIGNANCY WITH MCC $6,966 $6,966 $61,906 −89% $42,775 −84%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,714 $6,714 $20,348 −67% $17,111 −61%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $4,733 $4,733 $4,733 +0% $8,633 −45%
795 NORMAL NEWBORN $4,733 $4,733 $4,733 +0% $5,293 −11%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,377 $3,377 $6,864 −51% $15,256 −78%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,752 $2,752 $80,018 −97% $80,018 −97%

Procedures with negotiated rates only

These 539 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
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $727 – $51,748 · median $23,991 13 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $727 – $105,143 · median $45,329 12 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $727 – $74,862 · median $33,614 12 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $727 – $51,748 · median $25,705 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $12,950 – $104,164 · median $37,416 12 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $12,950 – $53,523 · median $26,524 12 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $8,658 – $51,748 · median $21,722 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $6,493 – $51,748 · median $17,623 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $6,493 – $51,748 · median $16,877 12 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $727 – $243,996 · median $51,748 11 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $727 – $130,013 · median $51,748 11 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $727 – $103,159 · median $45,023 11 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $727 – $151,536 · median $51,748 11 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $727 – $100,596 · median $49,065 11 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $727 – $71,097 · median $38,282 11 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $727 – $94,708 · median $49,864 11 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $22,530 11 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $727 – $51,748 · median $25,181 11 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $727 – $51,748 · median $20,429 11 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $727 – $51,748 · median $20,500 11 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $727 – $51,748 · median $22,376 11 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $727 – $51,748 · median $20,500 11 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $727 – $51,748 · median $28,603 11 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $727 – $84,465 · median $41,310 11 plans
089 CONCUSSION WITH CC $727 – $51,748 · median $20,500 11 plans
090 CONCUSSION WITHOUT CC/MCC $727 – $51,748 · median $14,871 11 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $727 – $51,748 · median $17,682 11 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $727 – $74,556 · median $41,310 11 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $727 – $51,748 · median $27,901 11 plans
113 ORBITAL PROCEDURES WITH CC/MCC $727 – $51,748 · median $32,470 11 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $727 – $51,748 · median $20,500 11 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $727 – $51,748 · median $20,500 11 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $727 – $54,368 · median $34,345 11 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,429 11 plans
137 MOUTH PROCEDURES WITH CC/MCC $727 – $51,748 · median $20,473 11 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $18,778 11 plans
139 SALIVARY GLAND PROCEDURES $727 – $51,748 · median $20,500 11 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $727 – $77,451 · median $41,310 11 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $727 – $62,943 · median $33,892 11 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $22,142 11 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $727 – $68,175 · median $41,310 11 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $727 – $51,748 · median $22,410 11 plans
163 MAJOR CHEST PROCEDURES WITH MCC $727 – $114,467 · median $51,748 11 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $727 – $53,325 · median $28,713 11 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $727 – $83,185 · median $44,364 11 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $727 – $65,076 · median $35,040 11 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $727 – $70,702 · median $39,821 11 plans
180 RESPIRATORY NEOPLASMS WITH MCC $727 – $51,748 · median $22,510 11 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $727 – $51,748 · median $19,939 11 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $727 – $51,748 · median $24,545 11 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $727 – $51,748 · median $20,449 11 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $727 – $51,748 · median $20,429 11 plans
200 PNEUMOTHORAX WITH CC $727 – $51,748 · median $20,500 11 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $727 – $51,748 · median $14,576 11 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $727 – $51,748 · median $12,950 11 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $727 – $51,748 · median $14,363 11 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $727 – $51,748 · median $23,443 11 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $727 – $149,960 · median $51,748 11 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $727 – $142,364 · median $51,748 11 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $727 – $127,507 · median $51,748 11 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $727 – $160,546 · median $51,748 11 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $727 – $123,214 · median $41,310 11 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $727 – $70,214 · median $37,807 11 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $727 – $91,786 · median $44,744 11 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $727 – $71,321 · median $38,403 11 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $727 – $51,748 · median $23,692 11 plans
245 AICD GENERATOR PROCEDURES $727 – $92,894 · median $41,310 11 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $727 – $58,320 · median $31,403 11 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $727 – $80,770 · median $43,432 11 plans
253 OTHER VASCULAR PROCEDURES WITH CC $727 – $71,351 · median $38,419 11 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $26,816 11 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $727 – $72,040 · median $41,310 11 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $727 – $51,748 · median $24,369 11 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $727 – $51,748 · median $20,429 11 plans
263 VEIN LIGATION AND STRIPPING $727 – $57,917 · median $22,447 11 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $727 – $66,611 · median $41,310 11 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $727 – $51,748 · median $20,429 11 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $727 – $60,614 · median $32,638 11 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $727 – $51,748 · median $20,429 11 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $727 – $51,748 · median $15,340 11 plans
302 ATHEROSCLEROSIS WITH MCC $727 – $51,748 · median $20,500 11 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $727 – $51,748 · median $27,111 11 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $727 – $51,748 · median $20,429 11 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $727 – $51,748 · median $17,154 11 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $727 – $201,911 · median $41,310 11 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $727 – $95,744 · median $41,310 11 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $727 – $52,257 · median $33,011 11 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $18,638 11 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $727 – $51,748 · median $20,500 11 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $727 – $51,748 · median $26,949 11 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $727 – $51,748 · median $17,855 11 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $727 – $51,748 · median $20,500 11 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $727 – $51,748 · median $18,522 11 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $727 – $51,748 · median $20,883 11 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $727 – $149,401 · median $51,748 11 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $727 – $51,748 · median $24,300 11 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $727 – $80,173 · median $42,836 11 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $727 – $51,748 · median $27,031 11 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,745 11 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $727 – $51,748 · median $16,095 11 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $727 – $51,748 · median $20,500 11 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $12,950 – $157,533 · median $51,748 11 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $727 – $139,779 · median $51,748 11 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $727 – $76,494 · median $41,188 11 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $727 – $172,721 · median $51,748 11 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $727 – $51,748 · median $24,970 11 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $12,950 – $82,083 · median $43,121 11 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $12,950 – $64,461 · median $34,709 11 plans
471 CERVICAL SPINAL FUSION WITH MCC $12,950 – $100,840 · median $50,400 11 plans
472 CERVICAL SPINAL FUSION WITH CC $12,950 – $62,617 · median $38,272 11 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $12,950 – $51,748 · median $31,865 11 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $12,950 – $51,748 · median $24,206 11 plans
500 SOFT TISSUE PROCEDURES WITH MCC $727 – $94,696 · median $41,994 11 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $727 – $55,772 · median $35,232 11 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $727 – $51,748 · median $25,820 11 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,899 11 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $727 – $51,748 · median $20,992 11 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $18,761 11 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $23,848 11 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $12,183 – $51,748 · median $20,500 11 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $727 – $51,748 · median $18,244 11 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $727 – $55,218 · median $29,732 11 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $727 – $51,748 · median $18,034 11 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $727 – $70,375 · median $37,893 11 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $727 – $51,748 · median $20,500 11 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $727 – $51,748 · median $20,911 11 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
593 SKIN ULCERS WITH CC $727 – $51,748 · median $20,500 11 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $727 – $51,748 · median $12,950 11 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $727 – $54,347 · median $29,263 11 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $727 – $51,748 · median $26,514 11 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $727 – $59,885 · median $37,830 11 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $727 – $51,748 · median $20,500 11 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
662 MINOR BLADDER PROCEDURES WITH MCC $727 – $74,601 · median $40,169 11 plans
693 URINARY STONES WITH MCC $727 – $51,748 · median $20,500 11 plans
711 TESTES PROCEDURES WITH CC/MCC $727 – $55,288 · median $29,770 11 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $727 – $51,748 · median $24,279 11 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $727 – $51,748 · median $18,705 11 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $727 – $51,748 · median $15,179 11 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $727 – $51,748 · median $23,142 11 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $727 – $59,561 · median $32,071 11 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $727 – $51,748 · median $20,500 11 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $727 – $51,748 · median $16,148 11 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $727 – $51,748 · median $14,189 11 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $727 – $51,748 · median $15,176 11 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $727 – $51,748 · median $20,429 11 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $727 – $51,748 · median $16,048 11 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $727 – $51,748 · median $20,500 11 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $727 – $51,748 · median $25,453 11 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $727 – $51,748 · median $20,500 11 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $727 – $51,748 · median $23,854 11 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $727 – $51,748 · median $20,392 11 plans
950 AFTERCARE WITHOUT CC/MCC $727 – $51,748 · median $15,453 11 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $727 – $160,938 · median $51,748 11 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $12,950 – $152,559 · median $59,261 10 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $12,950 – $103,501 · median $51,806 10 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $12,950 – $55,057 · median $38,045 10 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $12,950 – $125,727 · median $54,468 10 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,950 – $54,574 · median $36,408 10 plans
028 SPINAL PROCEDURES WITH MCC $12,950 – $155,610 · median $64,893 10 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $12,950 – $71,941 · median $42,853 10 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $32,914 10 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $12,950 – $84,390 · median $45,792 10 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $12,950 – $51,748 · median $34,601 10 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $27,123 10 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $12,950 – $88,671 · median $49,134 10 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $12,950 – $55,666 · median $35,642 10 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $30,242 10 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $12,950 – $105,566 · median $47,731 10 plans
038 EXTRACRANIAL PROCEDURES WITH CC $12,950 – $51,748 · median $27,755 10 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $21,945 10 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $12,950 – $51,748 · median $24,802 10 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $10,349 – $51,748 · median $19,220 10 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,506 – $51,748 · median $23,226 10 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,874 – $51,748 · median $17,696 10 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $12,950 – $51,748 · median $29,238 10 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $8,609 – $51,748 · median $15,988 10 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $8,425 – $51,748 · median $17,146 10 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $12,950 – $51,748 · median $24,153 10 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,910 – $51,748 · median $20,465 10 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,950 – $57,992 · median $36,268 10 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $12,950 – $51,748 · median $22,450 10 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,595 – $51,748 · median $16,136 10 plans
088 CONCUSSION WITH MCC $12,950 – $51,748 · median $26,254 10 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $12,950 – $110,522 · median $49,331 10 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,950 – $52,033 · median $34,769 10 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $12,950 – $51,748 · median $23,782 10 plans
102 HEADACHES WITH MCC $12,950 – $51,748 · median $22,618 10 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,950 – $51,748 · median $27,462 10 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $12,116 – $51,748 · median $21,500 10 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,504 – $51,748 · median $14,106 10 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $12,950 – $51,748 · median $23,799 10 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,057 – $51,748 · median $20,517 10 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $12,950 – $56,340 · median $35,823 10 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $12,950 – $51,748 · median $23,330 10 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $11,522 – $51,748 · median $20,465 10 plans
150 EPISTAXIS WITH MCC $12,950 – $51,748 · median $23,724 10 plans
151 EPISTAXIS WITHOUT MCC $7,619 – $51,748 · median $14,974 10 plans
152 OTITIS MEDIA AND URI WITH MCC $10,004 – $51,748 · median $19,504 10 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,673 – $51,748 · median $18,685 10 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,239 – $51,748 · median $13,444 10 plans
157 DENTAL AND ORAL DISEASES WITH MCC $12,950 – $73,176 · median $37,198 10 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $8,163 – $51,748 · median $15,161 10 plans
164 MAJOR CHEST PROCEDURES WITH CC $12,950 – $66,005 · median $38,425 10 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $25,793 10 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $9,885 – $51,748 · median $20,465 10 plans
181 RESPIRATORY NEOPLASMS WITH CC $12,950 – $51,748 · median $21,536 10 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $9,829 – $51,748 · median $20,465 10 plans
183 MAJOR CHEST TRAUMA WITH MCC $12,950 – $52,698 · median $30,326 10 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $9,786 – $51,748 · median $18,492 10 plans
187 PLEURAL EFFUSION WITH CC $11,582 – $51,748 · median $20,465 10 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $9,048 – $51,748 · median $16,803 10 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $8,102 – $51,748 · median $15,625 10 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $12,950 – $220,799 · median $79,598 10 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $12,950 – $243,218 · median $88,716 10 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $12,950 – $201,911 · median $67,089 10 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $12,950 – $164,340 · median $62,760 10 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $12,950 – $172,342 · median $72,273 10 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $12,950 – $218,094 · median $78,420 10 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $12,950 – $176,404 · median $64,391 10 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $12,950 – $175,183 · median $73,038 10 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $12,950 – $149,016 · median $59,530 10 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $12,950 – $145,874 · median $63,951 10 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $12,950 – $101,977 · median $52,041 10 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $12,950 – $93,086 · median $44,751 10 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $12,950 – $56,322 · median $38,444 10 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $12,950 – $51,748 · median $27,424 10 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $12,833 – $51,748 · median $20,465 10 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $12,950 – $77,953 · median $41,642 10 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,950 – $51,748 · median $33,021 10 plans
265 AICD LEAD PROCEDURES $12,950 – $72,449 · median $31,230 10 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $12,950 – $243,218 · median $66,317 10 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $12,950 – $201,911 · median $57,473 10 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $12,950 – $146,323 · median $65,268 10 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $12,950 – $85,251 · median $48,463 10 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $12,950 – $146,323 · median $58,617 10 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $12,950 – $83,903 · median $44,968 10 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $12,950 – $83,903 · median $43,244 10 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $12,950 – $93,086 · median $50,294 10 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $12,950 – $66,436 · median $41,639 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $12,950 – $214,645 · median $71,431 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $12,950 – $171,720 · median $66,085 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $12,950 – $114,389 · median $56,671 10 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $12,950 – $91,438 · median $47,619 10 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $6,329 – $51,748 · median $16,657 10 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $12,950 – $52,028 · median $34,662 10 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $12,950 – $51,748 · median $21,336 10 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $12,950 – $65,854 · median $38,385 10 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $12,950 – $51,748 · median $28,142 10 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $12,950 – $51,748 · median $20,758 10 plans
292 HEART FAILURE AND SHOCK WITH CC $11,092 – $51,748 · median $20,465 10 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $7,271 – $51,748 · median $18,959 10 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $12,950 – $51,748 · median $21,460 10 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $7,014 – $51,748 · median $13,026 10 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $12,950 – $53,287 · median $30,779 10 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $9,435 – $51,748 · median $17,821 10 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,684 – $51,748 · median $12,595 10 plans
311 ANGINA PECTORIS $6,087 – $51,748 · median $13,631 10 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $12,950 – $243,218 · median $54,117 10 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,950 – $69,557 · median $37,416 10 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $12,950 – $95,744 · median $51,651 10 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,950 – $77,413 · median $41,497 10 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $12,950 – $93,086 · median $45,716 10 plans
332 RECTAL RESECTION WITH MCC $12,950 – $124,509 · median $49,363 10 plans
333 RECTAL RESECTION WITH CC $12,950 – $58,290 · median $36,348 10 plans
334 RECTAL RESECTION WITHOUT CC/MCC $12,950 – $51,748 · median $27,914 10 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $12,950 – $108,060 · median $49,022 10 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,950 – $51,748 · median $26,435 10 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $12,950 – $51,748 · median $23,589 10 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $12,950 – $51,748 · median $36,195 10 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $12,950 – $59,948 · median $39,590 10 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $12,950 – $106,512 · median $53,579 10 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $23,381 10 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $10,412 – $51,748 · median $19,337 10 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $12,582 – $51,748 · median $20,465 10 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $8,859 – $51,748 · median $19,459 10 plans
397 APPENDIX PROCEDURES WITH MCC $12,950 – $60,174 · median $36,855 10 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $12,950 – $76,058 · median $41,132 10 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $34,583 10 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $12,950 – $117,615 · median $49,975 10 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $12,950 – $53,864 · median $34,564 10 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $12,950 – $51,748 · median $28,637 10 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $12,950 – $103,188 · median $46,529 10 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $12,950 – $68,099 · median $38,989 10 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,950 – $51,748 · median $27,978 10 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $12,950 – $96,154 · median $48,700 10 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $12,950 – $55,875 · median $35,295 10 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $12,950 – $51,748 · median $23,977 10 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,950 – $51,748 · median $32,045 10 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $8,670 – $51,748 · median $16,129 10 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,950 – $51,748 · median $29,434 10 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $12,950 – $51,748 · median $21,532 10 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $10,763 – $51,748 · median $20,465 10 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $12,950 – $285,343 · median $83,252 10 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $12,950 – $184,751 · median $65,477 10 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $12,950 – $139,430 · median $55,695 10 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $12,950 – $238,132 · median $80,454 10 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $12,950 – $177,174 · median $65,212 10 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $12,950 – $156,120 · median $55,212 10 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $12,950 – $94,917 · median $51,428 10 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $12,950 – $57,394 · median $36,107 10 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,445 – $51,748 · median $20,878 10 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,950 – $90,214 · median $46,102 10 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $12,950 – $51,748 · median $36,089 10 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,950 – $51,748 · median $30,062 10 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $12,950 – $110,843 · median $47,203 10 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $12,950 – $63,022 · median $37,552 10 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,950 – $51,748 · median $26,085 10 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,950 – $51,748 · median $34,295 10 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,950 – $51,748 · median $22,936 10 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $12,950 – $98,911 · median $49,062 10 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $12,950 – $51,748 · median $31,374 10 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $12,950 – $51,748 · median $24,881 10 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $12,950 – $53,526 · median $34,290 10 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $12,950 – $51,748 · median $23,470 10 plans
503 FOOT PROCEDURES WITH MCC $12,950 – $63,426 · median $38,020 10 plans
504 FOOT PROCEDURES WITH CC $12,950 – $51,748 · median $28,886 10 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $25,968 10 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,813 – $51,748 · median $22,148 10 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $12,950 – $51,748 · median $34,458 10 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $24,949 10 plans
509 ARTHROSCOPY $12,950 – $51,748 · median $23,844 10 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $12,950 – $89,653 · median $44,792 10 plans
533 FRACTURES OF FEMUR WITH MCC $12,950 – $51,748 · median $27,285 10 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,695 – $51,748 · median $16,148 10 plans
539 OSTEOMYELITIS WITH MCC $12,950 – $55,833 · median $35,372 10 plans
548 SEPTIC ARTHRITIS WITH MCC $12,950 – $51,748 · median $33,891 10 plans
549 SEPTIC ARTHRITIS WITH CC $12,950 – $51,748 · median $22,614 10 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,325 – $51,748 · median $17,169 10 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,257 – $51,748 · median $18,965 10 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,207 – $51,748 · median $15,115 10 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,950 – $51,748 · median $24,112 10 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $12,950 – $51,748 · median $31,602 10 plans
570 SKIN DEBRIDEMENT WITH MCC $12,950 – $64,751 · median $39,576 10 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $12,950 – $51,748 · median $21,931 10 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,950 – $127,471 · median $46,529 10 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $12,950 – $69,819 · median $42,089 10 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,882 – $51,748 · median $22,066 10 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $12,950 – $116,504 · median $46,529 10 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $12,950 – $62,668 · median $37,808 10 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,950 – $51,748 · median $29,145 10 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $12,950 – $80,408 · median $43,289 10 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,950 – $51,748 · median $27,882 10 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $12,950 – $51,748 · median $32,758 10 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $28,165 10 plans
592 SKIN ULCERS WITH MCC $12,950 – $51,748 · median $34,188 10 plans
594 SKIN ULCERS WITHOUT CC/MCC $10,197 – $51,748 · median $20,394 10 plans
595 MAJOR SKIN DISORDERS WITH MCC $12,720 – $51,748 · median $23,624 10 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $10,740 – $51,748 · median $20,188 10 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,950 – $51,748 · median $28,305 10 plans
598 MALIGNANT BREAST DISORDERS WITH CC $12,950 – $51,748 · median $22,538 10 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,047 – $51,748 · median $19,180 10 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $12,950 – $51,748 · median $20,761 10 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,902 – $51,748 · median $12,884 10 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $12,950 – $51,748 · median $25,689 10 plans
606 MINOR SKIN DISORDERS WITH MCC $12,950 – $51,748 · median $26,523 10 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $25,875 10 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $12,950 – $81,133 · median $46,281 10 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $12,950 – $51,748 · median $22,155 10 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $10,710 – $51,748 · median $20,160 10 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $12,355 – $51,748 · median $21,723 10 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $12,950 – $51,748 · median $23,609 10 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,890 – $51,748 · median $15,126 10 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $21,131 10 plans
665 PROSTATECTOMY WITH MCC $12,950 – $70,403 · median $40,657 10 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,198 – $51,748 · median $19,684 10 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $12,950 – $57,769 · median $38,896 10 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,950 – $51,748 · median $28,632 10 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $11,949 – $51,748 · median $20,465 10 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $12,950 – $52,497 · median $36,080 10 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $10,113 – $51,748 · median $20,465 10 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $12,950 – $51,748 · median $22,509 10 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,740 – $51,748 · median $14,447 10 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,950 – $51,748 · median $32,813 10 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $25,200 10 plans
709 PENIS PROCEDURES WITH CC/MCC $12,950 – $51,914 · median $34,632 10 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,962 – $51,748 · median $18,536 10 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $12,426 – $51,748 · median $21,789 10 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $9,637 – $51,748 · median $18,773 10 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $12,950 – $51,748 · median $34,949 10 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $12,950 – $51,748 · median $26,570 10 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,572 – $51,748 · median $20,995 10 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $12,950 – $51,748 · median $20,540 10 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,079 – $51,748 · median $12,846 10 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $12,950 – $51,748 · median $34,729 10 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,950 – $51,748 · median $23,167 10 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $12,950 – $79,688 · median $45,825 10 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $12,950 – $52,694 · median $34,418 10 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,950 – $51,748 · median $24,237 10 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $12,950 – $82,693 · median $45,679 10 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $12,950 – $51,748 · median $23,568 10 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $12,950 – $51,748 · median $25,196 10 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $11,969 – $51,748 · median $20,868 10 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,950 – $51,748 · median $24,398 10 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $11,489 – $51,748 · median $20,465 10 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $12,950 – $51,748 · median $24,066 10 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $12,950 – $61,234 · median $37,141 10 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,689 – $51,748 · median $12,686 10 plans
779 ABORTION WITHOUT D&C $5,472 – $51,748 · median $16,614 10 plans
799 SPLENECTOMY WITH MCC $12,950 – $131,037 · median $57,955 10 plans
800 SPLENECTOMY WITH CC $12,950 – $70,519 · median $39,640 10 plans
801 SPLENECTOMY WITHOUT CC/MCC $12,950 – $51,748 · median $30,496 10 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $12,950 – $84,475 · median $44,695 10 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,950 – $60,771 · median $35,408 10 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $12,950 – $51,748 · median $22,657 10 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $12,950 – $51,748 · median $34,434 10 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,192 – $51,748 · median $20,785 10 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $8,162 – $51,748 · median $16,878 10 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $12,950 – $213,494 · median $65,026 10 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $12,950 – $51,748 · median $35,108 10 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $22,948 10 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $12,950 – $104,271 · median $53,946 10 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $12,950 – $64,925 · median $38,135 10 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $23,642 10 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $12,950 – $126,650 · median $54,291 10 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $12,950 – $69,330 · median $39,321 10 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $27,436 10 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $12,950 – $166,036 · median $46,529 10 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $26,457 10 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $12,950 – $278,598 · median $62,128 10 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $12,950 – $135,148 · median $43,569 10 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $25,859 10 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $12,950 – $225,912 · median $56,673 10 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $12,950 – $70,311 · median $38,942 10 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $12,950 – $51,748 · median $23,607 10 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $12,950 – $80,228 · median $42,255 10 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,251 – $51,748 · median $15,599 10 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $12,950 – $57,548 · median $36,480 10 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $12,950 – $51,748 · median $22,679 10 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,836 – $51,748 · median $20,465 10 plans
849 RADIOTHERAPY $12,950 – $57,408 · median $38,082 10 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $28,978 10 plans
865 VIRAL ILLNESS WITH MCC $10,793 – $51,748 · median $20,465 10 plans
866 VIRAL ILLNESS WITHOUT MCC $6,028 – $51,748 · median $15,881 10 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $12,950 – $59,439 · median $36,657 10 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $7,318 – $51,748 · median $13,875 10 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $12,950 – $192,479 · median $70,972 10 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $12,950 – $109,774 · median $53,897 10 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $12,950 – $52,764 · median $33,524 10 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,950 – $51,748 · median $22,975 10 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $12,950 – $83,531 · median $43,573 10 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,950 – $51,748 · median $22,539 10 plans
906 HAND PROCEDURES FOR INJURIES $12,950 – $51,748 · median $25,675 10 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $12,950 – $51,748 · median $33,883 10 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $12,950 – $51,748 · median $24,152 10 plans
913 TRAUMATIC INJURY WITH MCC $12,950 – $51,748 · median $25,569 10 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,721 – $51,748 · median $16,473 10 plans
915 ALLERGIC REACTIONS WITH MCC $12,950 – $51,748 · median $26,007 10 plans
916 ALLERGIC REACTIONS WITHOUT MCC $5,251 – $51,748 · median $13,228 10 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,953 – $51,748 · median $13,627 10 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $12,950 – $88,970 · median $44,772 10 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,950 – $54,413 · median $35,305 10 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,950 – $51,748 · median $31,042 10 plans
949 AFTERCARE WITH CC/MCC $12,950 – $51,748 · median $20,870 10 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,950 – $159,446 · median $68,801 10 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,950 – $128,064 · median $52,064 10 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,950 – $93,344 · median $45,786 10 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $12,950 – $60,097 · median $38,360 10 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $12,950 – $51,748 · median $25,635 10 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $12,379 – $51,748 · median $20,465 10 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $12,950 – $255,129 · median $70,374 10 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $12,950 – $69,909 · median $39,476 10 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $12,950 – $78,056 · median $41,670 10 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $12,950 – $51,748 · median $25,377 10 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $10,947 – $51,748 · median $20,465 10 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,950 – $51,748 · median $22,433 10 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,950 – $76,000 · median $41,116 10 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,950 – $51,748 · median $28,105 10 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,950 – $51,748 · median $28,653 10 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,950 – $51,748 · median $21,323 10 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $1,623 – $76,496 · median $20,500 9 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $1,623 – $51,748 · median $19,569 9 plans
881 DEPRESSIVE NEUROSES $1,623 – $51,748 · median $18,583 9 plans
882 NEUROSES EXCEPT DEPRESSIVE $1,623 – $51,748 · median $19,256 9 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $1,623 – $51,748 · median $20,500 9 plans
885 PSYCHOSES $1,623 – $51,748 · median $20,429 9 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $1,623 – $51,748 · median $20,500 9 plans
887 OTHER MENTAL DISORDER DIAGNOSES $1,623 – $51,748 · median $20,429 9 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $727 – $555,521 · median $30,905 8 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $727 – $251,004 · median $30,905 8 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $727 – $437,066 · median $30,905 8 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $727 – $212,175 · median $30,905 8 plans
006 LIVER TRANSPLANT WITHOUT MCC $727 – $99,156 · median $30,905 8 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $727 – $92,199 · median $30,905 8 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $727 – $70,897 · median $30,905 8 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,285 – $51,748 · median $20,667 8 plans
945 REHABILITATION WITH CC/MCC $2,706 – $51,748 · median $20,465 8 plans
946 REHABILITATION WITHOUT CC/MCC $2,706 – $51,748 · median $20,465 8 plans
007 LUNG TRANSPLANT $12,950 – $251,461 · median $41,310 7 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $12,950 – $107,865 · median $41,310 7 plans
010 PANCREAS TRANSPLANT $12,950 – $98,679 · median $41,310 7 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $12,950 – $234,948 · median $41,310 7 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $12,950 – $126,629 · median $41,310 7 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $12,950 – $126,629 · median $41,310 7 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $12,950 – $755,275 · median $41,310 7 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $12,950 – $163,867 · median $41,310 7 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $12,950 – $209,403 · median $41,310 7 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $12,950 – $51,748 · median $20,500 7 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $12,207 – $51,748 · median $20,429 7 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $12,798 – $51,748 · median $20,429 7 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $9,631 – $51,748 · median $20,429 7 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $9,279 – $51,748 · median $20,429 7 plans
652 KIDNEY TRANSPLANT $12,950 – $61,590 · median $38,907 7 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $12,950 – $51,748 · median $27,296 7 plans
697 URETHRAL STRICTURE $12,950 – $51,748 · median $20,500 7 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $12,950 – $51,748 · median $20,500 7 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,950 – $51,748 · median $23,561 7 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $12,950 – $51,748 · median $28,362 7 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,950 – $51,748 · median $20,500 7 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $12,950 – $540,353 · median $41,310 7 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $12,950 – $141,854 · median $41,310 7 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $12,950 – $65,918 · median $41,310 7 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $12,950 – $62,156 · median $39,264 7 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $12,950 – $51,748 · median $27,098 7 plans
935 NON-EXTENSIVE BURNS $12,950 – $51,748 · median $26,432 7 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $727 – $51,748 · median $20,465 6 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $727 – $51,748 · median $20,465 6 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $727 – $51,748 · median $20,465 6 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $727 – $51,748 · median $20,465 6 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $727 – $51,748 · median $20,465 6 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $727 – $51,748 · median $20,465 6 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $727 – $51,748 · median $20,465 6 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $727 – $51,748 · median $20,465 6 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $727 – $51,748 · median $20,465 6 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $727 – $51,748 · median $20,465 6 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $727 – $51,748 · median $20,465 6 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $727 – $51,748 · median $20,465 6 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $727 – $51,748 · median $20,465 6 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $727 – $51,748 · median $20,465 6 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $12,950 – $51,748 · median $20,500 5 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $12,950 – $51,748 · median $20,500 5 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $12,950 – $51,748 · median $20,500 5 plans
999 UNGROUPABLE $12,950 – $51,748 · median $20,500 5 plans
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