Ascension Saint Thomas Hospital Midtown — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 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 —
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 782 procedures

Procedures with negotiated rates only

These 782 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 $743 – $490,729 · median $8,000 17 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $743 – $174,332 · median $7,946 15 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $743 – $386,089 · median $8,000 15 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $743 – $209,299 · median $7,946 15 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $743 – $147,363 · median $7,946 15 plans
006 LIVER TRANSPLANT WITHOUT MCC $743 – $87,591 · median $8,000 15 plans
007 LUNG TRANSPLANT $743 – $174,649 · median $7,946 15 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $743 – $95,284 · median $8,000 15 plans
010 PANCREAS TRANSPLANT $743 – $87,169 · median $8,000 15 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $743 – $93,375 · median $8,000 15 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $743 – $72,525 · median $8,000 15 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $743 – $48,635 · median $8,000 15 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $743 – $163,180 · median $7,946 15 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $743 – $87,948 · median $7,946 15 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $743 – $87,948 · median $7,946 15 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $743 – $667,184 · median $8,000 15 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $743 – $113,811 · median $7,946 15 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $743 – $120,345 · median $7,946 15 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $743 – $87,441 · median $7,946 15 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $743 – $62,960 · median $8,000 15 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $743 – $80,712 · median $7,946 15 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $743 – $68,611 · median $8,000 15 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $743 – $79,969 · median $8,000 15 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $743 – $53,478 · median $8,000 15 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $743 – $44,057 · median $8,000 15 plans
028 SPINAL PROCEDURES WITH MCC $743 – $85,800 · median $7,946 15 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $743 – $62,081 · median $8,000 15 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $743 – $41,995 · median $8,000 15 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $743 – $74,548 · median $8,000 15 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $743 – $39,003 · median $8,000 15 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $743 – $23,107 · median $7,946 15 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $743 – $70,650 · median $8,000 15 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $743 – $41,642 · median $8,000 15 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $743 – $25,745 · median $7,946 15 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $743 – $61,129 · median $8,000 15 plans
038 EXTRACRANIAL PROCEDURES WITH CC $743 – $22,779 · median $7,946 15 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $743 – $16,246 · median $7,946 15 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $743 – $69,729 · median $8,000 15 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $743 – $40,396 · median $8,000 15 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $743 – $24,771 · median $7,946 15 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $743 – $27,686 · median $7,946 15 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $743 – $14,007 · median $7,946 15 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $743 – $20,980 · median $7,946 15 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $743 – $15,280 · median $7,946 15 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $743 – $43,353 · median $8,000 15 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $743 – $19,409 · median $7,946 15 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $743 – $24,602 · median $7,946 15 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $743 – $16,903 · median $7,946 15 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $743 – $12,777 · median $7,946 15 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $743 – $50,756 · median $8,000 15 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $743 – $26,649 · median $7,946 15 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $743 – $21,169 · median $7,946 15 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $743 – $28,519 · median $7,946 15 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $743 – $14,472 · median $7,946 15 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $743 – $9,789 · median $7,691 15 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $743 – $20,174 · median $7,946 15 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $743 – $12,401 · median $7,946 15 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $743 – $11,372 · median $7,946 15 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $743 – $25,479 · median $7,946 15 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $743 – $15,118 · median $7,946 15 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $743 – $11,148 · median $7,946 15 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $743 – $21,542 · median $7,946 15 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $743 – $14,611 · median $7,946 15 plans
075 VIRAL MENINGITIS WITH CC/MCC $743 – $27,249 · median $7,946 15 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $743 – $13,135 · median $7,946 15 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $743 – $21,512 · median $7,946 15 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $743 – $14,479 · median $7,946 15 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $743 – $9,715 · median $7,691 15 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $743 – $39,997 · median $8,000 15 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $743 – $12,949 · median $7,946 15 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $743 – $41,258 · median $8,000 15 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $743 – $19,312 · median $7,946 15 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $743 – $13,095 · median $7,946 15 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $743 – $41,158 · median $8,000 15 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $743 – $18,753 · median $7,946 15 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $743 – $12,618 · median $7,946 15 plans
088 CONCUSSION WITH MCC $743 – $21,838 · median $7,946 15 plans
089 CONCUSSION WITH CC $743 – $16,372 · median $7,946 15 plans
090 CONCUSSION WITHOUT CC/MCC $743 – $13,310 · median $7,946 15 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $743 – $25,475 · median $7,946 15 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $743 – $14,610 · median $7,946 15 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $743 – $11,026 · median $7,946 15 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $743 – $65,603 · median $8,000 15 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $743 – $43,175 · median $8,000 15 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $743 – $39,472 · median $8,000 15 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $743 – $65,861 · median $8,000 15 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $743 – $39,016 · median $8,000 15 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $743 – $18,797 · median $7,946 15 plans
100 SEIZURES WITH MCC $743 – $28,227 · median $7,946 15 plans
101 SEIZURES WITHOUT MCC $743 – $12,951 · median $7,946 15 plans
102 HEADACHES WITH MCC $743 – $17,180 · median $7,946 15 plans
103 HEADACHES WITHOUT MCC $743 – $11,994 · median $7,946 15 plans
113 ORBITAL PROCEDURES WITH CC/MCC $743 – $45,405 · median $8,000 15 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $743 – $17,538 · median $7,946 15 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $743 – $22,274 · median $7,946 15 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $743 – $26,067 · median $7,946 15 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $743 – $17,063 · median $7,946 15 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $743 – $18,242 · median $7,946 15 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $743 – $9,763 · median $7,712 15 plans
123 NEUROLOGICAL EYE DISORDERS $743 – $11,447 · median $7,946 15 plans
124 OTHER DISORDERS OF THE EYE WITH MCC $743 – $18,821 · median $7,946 15 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $743 – $11,355 · median $7,946 15 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $743 – $48,027 · median $8,000 15 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $743 – $13,371 · median $7,946 15 plans
137 MOUTH PROCEDURES WITH CC/MCC $743 – $21,424 · median $7,946 15 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $743 – $12,326 · median $7,946 15 plans
139 SALIVARY GLAND PROCEDURES $743 – $16,910 · median $7,946 15 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $743 – $68,418 · median $8,000 15 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $743 – $29,497 · median $7,946 15 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $743 – $21,998 · median $7,946 15 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $743 – $60,223 · median $8,000 15 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $743 – $24,639 · median $7,946 15 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $743 – $17,386 · median $7,946 15 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $743 – $38,228 · median $8,000 15 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $743 – $17,595 · median $7,946 15 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $743 – $12,668 · median $7,946 15 plans
149 DYSEQUILIBRIUM $743 – $9,766 · median $7,714 15 plans
150 EPISTAXIS WITH MCC $743 – $18,716 · median $7,946 15 plans
151 EPISTAXIS WITHOUT MCC $743 – $10,973 · median $7,946 15 plans
152 OTITIS MEDIA AND URI WITH MCC $743 – $16,918 · median $7,946 15 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $743 – $9,636 · median $7,691 15 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $743 – $21,901 · median $7,946 15 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $743 – $13,478 · median $7,946 15 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
157 DENTAL AND ORAL DISEASES WITH MCC $743 – $24,304 · median $7,946 15 plans
158 DENTAL AND ORAL DISEASES WITH CC $743 – $13,362 · median $7,946 15 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $743 – $9,614 · median $7,691 15 plans
163 MAJOR CHEST PROCEDURES WITH MCC $743 – $85,359 · median $8,000 15 plans
164 MAJOR CHEST PROCEDURES WITH CC $743 – $46,185 · median $8,000 15 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $743 – $26,716 · median $7,946 15 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $743 – $73,483 · median $8,000 15 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $743 – $25,910 · median $7,946 15 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $743 – $19,302 · median $7,946 15 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $743 – $55,685 · median $8,000 15 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $743 – $19,976 · median $7,946 15 plans
176 PULMONARY EMBOLISM WITHOUT MCC $743 – $11,613 · median $7,946 15 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $743 – $24,153 · median $7,946 15 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $743 – $14,049 · median $7,946 15 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $743 – $10,868 · median $7,907 15 plans
180 RESPIRATORY NEOPLASMS WITH MCC $743 – $24,748 · median $7,946 15 plans
181 RESPIRATORY NEOPLASMS WITH CC $743 – $15,677 · median $7,946 15 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $743 – $9,954 · median $7,862 15 plans
183 MAJOR CHEST TRAUMA WITH MCC $743 – $22,418 · median $7,946 15 plans
184 MAJOR CHEST TRAUMA WITH CC $743 – $14,977 · median $7,946 15 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $743 – $9,910 · median $7,828 15 plans
186 PLEURAL EFFUSION WITH MCC $743 – $22,099 · median $7,946 15 plans
187 PLEURAL EFFUSION WITH CC $743 – $14,185 · median $7,946 15 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $743 – $9,790 · median $7,733 15 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $743 – $17,541 · median $7,946 15 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $743 – $15,690 · median $7,946 15 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $743 – $12,088 · median $7,946 15 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $743 – $18,888 · median $7,946 15 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $743 – $11,706 · median $7,946 15 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $743 – $26,987 · median $7,946 15 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $743 – $14,202 · median $7,946 15 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $743 – $11,080 · median $7,946 15 plans
199 PNEUMOTHORAX WITH MCC $743 – $25,260 · median $7,946 15 plans
200 PNEUMOTHORAX WITH CC $743 – $15,334 · median $7,946 15 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $743 – $13,633 · median $7,946 15 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $743 – $9,894 · median $7,691 15 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $743 – $11,716 · median $7,946 15 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $743 – $25,775 · median $7,946 15 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $743 – $13,006 · median $7,946 15 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $743 – $98,356 · median $7,946 15 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $743 – $48,963 · median $8,000 15 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $743 – $153,353 · median $7,946 15 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $743 – $145,438 · median $7,946 15 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $743 – $138,184 · median $7,946 15 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $743 – $90,629 · median $7,946 15 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $743 – $81,110 · median $7,946 15 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $743 – $109,792 · median $7,946 15 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $743 – $94,974 · median $8,000 15 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $743 – $84,182 · median $8,000 15 plans
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $743 – $10,359 · median $7,946 15 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $743 – $10,359 · median $7,946 15 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $743 – $10,359 · median $7,946 15 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $743 – $10,359 · median $7,946 15 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $743 – $10,359 · median $7,946 15 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $743 – $10,359 · median $7,946 15 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $743 – $91,246 · median $8,000 15 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $743 – $57,579 · median $8,000 15 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $743 – $115,544 · median $7,946 15 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $743 – $84,696 · median $7,946 15 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $743 – $111,051 · median $7,946 15 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $743 – $94,129 · median $8,000 15 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $743 – $83,728 · median $7,946 15 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $743 – $73,182 · median $8,000 15 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $743 – $87,046 · median $8,000 15 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $743 – $50,872 · median $8,000 15 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $743 – $19,788 · median $7,946 15 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $743 – $62,568 · median $8,000 15 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $743 – $41,245 · median $8,000 15 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $743 – $26,048 · median $7,946 15 plans
245 AICD GENERATOR PROCEDURES $743 – $82,059 · median $8,000 15 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $743 – $10,359 · median $7,946 15 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $743 – $10,359 · median $7,946 15 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $743 – $10,359 · median $7,946 15 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $743 – $10,359 · median $7,946 15 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $743 – $42,571 · median $8,000 15 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $743 – $22,594 · median $7,946 15 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $743 – $60,734 · median $8,000 15 plans
253 OTHER VASCULAR PROCEDURES WITH CC $743 – $46,198 · median $8,000 15 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $743 – $24,704 · median $7,946 15 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $743 – $49,753 · median $8,000 15 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $743 – $23,346 · median $7,946 15 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $743 – $14,110 · median $7,946 15 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $743 – $49,050 · median $8,000 15 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $743 – $26,577 · median $7,946 15 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $743 – $60,035 · median $8,000 15 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $743 – $26,793 · median $7,946 15 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $743 – $23,426 · median $7,946 15 plans
263 VEIN LIGATION AND STRIPPING $743 – $51,162 · median $8,000 15 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $743 – $59,144 · median $8,000 15 plans
265 AICD LEAD PROCEDURES $743 – $63,999 · median $8,000 15 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $743 – $88,932 · median $7,946 15 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $743 – $88,376 · median $8,000 15 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $743 – $97,597 · median $7,946 15 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $743 – $75,308 · median $8,000 15 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $743 – $91,575 · median $8,000 15 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $743 – $62,588 · median $8,000 15 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $743 – $44,177 · median $8,000 15 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $743 – $70,571 · median $8,000 15 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $743 – $58,688 · median $8,000 15 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $743 – $92,267 · median $7,946 15 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $743 – $88,421 · median $7,946 15 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $743 – $86,604 · median $8,000 15 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $743 – $80,773 · median $8,000 15 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $743 – $57,960 · median $8,000 15 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $743 – $22,589 · median $7,946 15 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $743 – $12,999 · median $7,946 15 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $743 – $9,417 · median $7,691 15 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $743 – $28,069 · median $7,946 15 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $743 – $9,700 · median $7,691 15 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $743 – $39,036 · median $8,000 15 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $743 – $15,400 · median $7,946 15 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $743 – $46,957 · median $8,000 15 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $743 – $21,039 · median $7,946 15 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $743 – $14,597 · median $7,946 15 plans
291 HEART FAILURE AND SHOCK WITH MCC $743 – $18,280 · median $7,946 15 plans
292 HEART FAILURE AND SHOCK WITH CC $743 – $12,195 · median $7,946 15 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $743 – $15,572 · median $7,946 15 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $743 – $22,826 · median $7,946 15 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $743 – $9,555 · median $7,691 15 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $743 – $22,442 · median $7,946 15 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $743 – $15,192 · median $7,946 15 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
302 ATHEROSCLEROSIS WITH MCC $743 – $15,962 · median $7,946 15 plans
303 ATHEROSCLEROSIS WITHOUT MCC $743 – $9,390 · median $7,691 15 plans
304 HYPERTENSION WITH MCC $743 – $16,359 · median $7,946 15 plans
305 HYPERTENSION WITHOUT MCC $743 – $9,881 · median $7,806 15 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $743 – $21,881 · median $7,946 15 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $743 – $13,421 · median $7,946 15 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $743 – $17,117 · median $7,946 15 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $743 – $9,766 · median $7,714 15 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
311 ANGINA PECTORIS $743 – $9,940 · median $7,691 15 plans
312 SYNCOPE AND COLLAPSE $743 – $12,295 · median $7,946 15 plans
313 CHEST PAIN $743 – $9,489 · median $7,691 15 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $743 – $37,911 · median $8,000 15 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $743 – $13,772 · median $7,946 15 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $743 – $9,863 · median $7,691 15 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $743 – $78,990 · median $8,000 15 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $743 – $40,311 · median $8,000 15 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $743 – $52,058 · median $8,000 15 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $743 – $25,962 · median $7,946 15 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $743 – $74,971 · median $8,000 15 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $743 – $53,758 · median $8,000 15 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $743 – $47,886 · median $8,000 15 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $743 – $91,976 · median $8,000 15 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $743 – $45,225 · median $8,000 15 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $743 – $22,742 · median $7,946 15 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $743 – $81,795 · median $8,000 15 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $743 – $42,956 · median $8,000 15 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $743 – $23,806 · median $7,946 15 plans
332 RECTAL RESECTION WITH MCC $743 – $65,692 · median $8,000 15 plans
333 RECTAL RESECTION WITH CC $743 – $29,608 · median $7,946 15 plans
334 RECTAL RESECTION WITHOUT CC/MCC $743 – $22,853 · median $7,946 15 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $743 – $64,740 · median $8,000 15 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $743 – $38,125 · median $8,000 15 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $743 – $21,306 · median $7,946 15 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $743 – $10,359 · median $7,946 15 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $743 – $10,359 · median $7,946 15 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $743 – $10,359 · median $7,946 15 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $743 – $10,359 · median $7,946 15 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $743 – $10,359 · median $7,946 15 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $743 – $10,359 · median $7,946 15 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $743 – $49,626 · median $8,000 15 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $743 – $21,935 · median $7,946 15 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $743 – $18,336 · median $7,946 15 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $743 – $46,162 · median $8,000 15 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $743 – $18,529 · median $7,946 15 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $743 – $13,893 · median $7,946 15 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $743 – $43,462 · median $8,000 15 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $743 – $20,725 · median $7,946 15 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $743 – $15,790 · median $7,946 15 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $743 – $52,956 · median $8,000 15 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $743 – $24,458 · median $7,946 15 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $743 – $19,401 · median $7,946 15 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $743 – $77,483 · median $8,000 15 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $743 – $39,782 · median $8,000 15 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $743 – $18,240 · median $7,946 15 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $743 – $23,521 · median $7,946 15 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $743 – $14,071 · median $7,946 15 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $743 – $9,753 · median $7,704 15 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $743 – $24,884 · median $7,946 15 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $743 – $14,840 · median $7,946 15 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $743 – $9,396 · median $7,691 15 plans
374 DIGESTIVE MALIGNANCY WITH MCC $743 – $38,011 · median $8,000 15 plans
375 DIGESTIVE MALIGNANCY WITH CC $743 – $17,061 · median $7,946 15 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $743 – $12,692 · median $7,946 15 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $743 – $25,490 · median $7,946 15 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $743 – $14,007 · median $7,946 15 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $743 – $27,743 · median $7,946 15 plans
381 COMPLICATED PEPTIC ULCER WITH CC $743 – $15,277 · median $7,946 15 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $743 – $9,929 · median $7,843 15 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $743 – $19,908 · median $7,946 15 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $743 – $12,468 · median $7,946 15 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $743 – $22,310 · median $7,946 15 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $743 – $13,834 · median $7,946 15 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $743 – $9,740 · median $7,691 15 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $743 – $20,695 · median $7,946 15 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $743 – $11,339 · median $7,946 15 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $743 – $18,163 · median $7,946 15 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $743 – $11,185 · median $7,946 15 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $743 – $23,060 · median $7,946 15 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $743 – $13,340 · median $7,946 15 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
397 APPENDIX PROCEDURES WITH MCC $743 – $40,684 · median $8,000 15 plans
398 APPENDIX PROCEDURES WITH CC $743 – $21,546 · median $7,946 15 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $743 – $15,848 · median $7,946 15 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $743 – $99,694 · median $8,000 15 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $743 – $52,288 · median $8,000 15 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $743 – $38,952 · median $8,000 15 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $743 – $67,405 · median $8,000 15 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $743 – $27,868 · median $7,946 15 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $743 – $22,285 · median $7,946 15 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $743 – $52,163 · median $8,000 15 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $743 – $29,124 · median $7,946 15 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $743 – $21,494 · median $7,946 15 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $743 – $63,838 · median $8,000 15 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $743 – $28,131 · median $7,946 15 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $743 – $19,068 · median $7,946 15 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $743 – $41,973 · median $8,000 15 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $743 – $23,275 · median $7,946 15 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $743 – $18,697 · median $7,946 15 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $743 – $57,963 · median $8,000 15 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $743 – $24,341 · median $7,946 15 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $743 – $20,090 · median $7,946 15 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $743 – $70,822 · median $8,000 15 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $743 – $29,719 · median $7,946 15 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $743 – $22,808 · median $7,946 15 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $743 – $27,280 · median $7,946 15 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $743 – $14,679 · median $7,946 15 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $743 – $9,532 · median $7,691 15 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $743 – $25,057 · median $7,946 15 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $743 – $15,672 · median $7,946 15 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $743 – $11,833 · median $7,946 15 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $743 – $23,760 · median $7,946 15 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $743 – $12,176 · median $7,946 15 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $743 – $26,030 · median $7,946 15 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $743 – $13,547 · median $7,946 15 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $743 – $23,254 · median $7,946 15 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $743 – $15,474 · median $7,946 15 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $743 – $11,412 · median $7,946 15 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $743 – $126,169 · median $7,946 15 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $743 – $87,084 · median $7,946 15 plans
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $743 – $83,403 · median $8,000 15 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $743 – $120,018 · median $7,946 15 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $743 – $86,500 · median $7,946 15 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $743 – $82,052 · median $8,000 15 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $743 – $94,431 · median $7,946 15 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $743 – $66,241 · median $8,000 15 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $743 – $97,082 · median $7,946 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $743 – $51,544 · median $8,000 15 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $743 – $80,640 · median $7,946 15 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $743 – $54,352 · median $8,000 15 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $743 – $26,636 · median $7,946 15 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $743 – $93,924 · median $8,000 15 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $743 – $63,133 · median $8,000 15 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $743 – $48,344 · median $8,000 15 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $743 – $60,299 · median $8,000 15 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $743 – $26,792 · median $7,946 15 plans
471 CERVICAL SPINAL FUSION WITH MCC $743 – $89,078 · median $8,000 15 plans
472 CERVICAL SPINAL FUSION WITH CC $743 – $53,519 · median $8,000 15 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $743 – $44,559 · median $8,000 15 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $743 – $77,919 · median $8,000 15 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $743 – $38,838 · median $8,000 15 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $743 – $16,757 · median $7,946 15 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $743 – $61,009 · median $8,000 15 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $743 – $43,166 · median $8,000 15 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $743 – $26,540 · median $7,946 15 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $743 – $53,402 · median $8,000 15 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $743 – $29,542 · median $7,946 15 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $743 – $22,616 · median $7,946 15 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $743 – $44,986 · median $8,000 15 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $743 – $59,651 · median $8,000 15 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $743 – $28,594 · median $7,946 15 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $743 – $21,996 · median $7,946 15 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $743 – $38,148 · median $8,000 15 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $743 – $17,622 · median $7,946 15 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $743 – $62,695 · median $8,000 15 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $743 – $43,492 · median $8,000 15 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $743 – $26,614 · median $7,946 15 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $743 – $64,852 · median $8,000 15 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $743 – $28,298 · median $7,946 15 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $743 – $20,323 · median $7,946 15 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $743 – $47,283 · median $8,000 15 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $743 – $18,364 · median $7,946 15 plans
500 SOFT TISSUE PROCEDURES WITH MCC $743 – $58,724 · median $8,000 15 plans
501 SOFT TISSUE PROCEDURES WITH CC $743 – $24,713 · median $7,946 15 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $743 – $19,687 · median $7,946 15 plans
503 FOOT PROCEDURES WITH MCC $743 – $48,567 · median $8,000 15 plans
504 FOOT PROCEDURES WITH CC $743 – $24,590 · median $7,946 15 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $743 – $24,286 · median $7,946 15 plans
506 MAJOR THUMB OR JOINT PROCEDURES $743 – $20,825 · median $7,946 15 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $743 – $38,603 · median $8,000 15 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $743 – $20,417 · median $7,946 15 plans
509 ARTHROSCOPY $743 – $18,882 · median $7,946 15 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $743 – $49,267 · median $8,000 15 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $743 – $28,388 · median $7,946 15 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $743 – $22,977 · median $7,946 15 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $743 – $23,080 · median $7,946 15 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $743 – $14,829 · median $7,946 15 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $743 – $57,252 · median $8,000 15 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $743 – $29,057 · median $7,946 15 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $743 – $21,277 · median $7,946 15 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $743 – $66,130 · median $8,000 15 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $743 – $28,029 · median $7,946 15 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $743 – $20,382 · median $7,946 15 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $743 – $54,222 · median $8,000 15 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $743 – $38,250 · median $8,000 15 plans
533 FRACTURES OF FEMUR WITH MCC $743 – $23,228 · median $7,946 15 plans
534 FRACTURES OF FEMUR WITHOUT MCC $743 – $11,533 · median $7,946 15 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $743 – $18,462 · median $7,946 15 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $743 – $11,207 · median $7,946 15 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $743 – $13,768 · median $7,946 15 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
539 OSTEOMYELITIS WITH MCC $743 – $28,254 · median $7,946 15 plans
540 OSTEOMYELITIS WITH CC $743 – $18,484 · median $7,946 15 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $743 – $12,215 · median $7,946 15 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $743 – $25,966 · median $7,946 15 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $743 – $15,529 · median $7,946 15 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $743 – $10,928 · median $7,946 15 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $743 – $45,149 · median $8,000 15 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $743 – $17,076 · median $7,946 15 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $743 – $11,581 · median $7,946 15 plans
548 SEPTIC ARTHRITIS WITH MCC $743 – $27,761 · median $7,946 15 plans
549 SEPTIC ARTHRITIS WITH CC $743 – $17,174 · median $7,946 15 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $743 – $13,110 · median $7,946 15 plans
551 MEDICAL BACK PROBLEMS WITH MCC $743 – $24,232 · median $7,946 15 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $743 – $13,758 · median $7,946 15 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $743 – $19,243 · median $7,946 15 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $743 – $11,701 · median $7,946 15 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $743 – $19,919 · median $7,946 15 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $743 – $11,738 · median $7,946 15 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $743 – $22,166 · median $7,946 15 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $743 – $12,507 · median $7,946 15 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $743 – $26,347 · median $7,946 15 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $743 – $16,119 · median $7,946 15 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $743 – $11,108 · median $7,946 15 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $743 – $21,652 · median $7,946 15 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $743 – $12,752 · median $7,946 15 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $743 – $22,238 · median $7,946 15 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $743 – $14,229 · median $7,946 15 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $743 – $9,842 · median $7,774 15 plans
570 SKIN DEBRIDEMENT WITH MCC $743 – $52,918 · median $8,000 15 plans
571 SKIN DEBRIDEMENT WITH CC $743 – $24,089 · median $7,946 15 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $743 – $16,226 · median $7,946 15 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $743 – $88,533 · median $7,946 15 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $743 – $61,676 · median $8,000 15 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $743 – $29,131 · median $7,946 15 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $743 – $80,916 · median $7,946 15 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $743 – $47,973 · median $8,000 15 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $743 – $22,930 · median $7,946 15 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $743 – $60,524 · median $8,000 15 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $743 – $24,868 · median $7,946 15 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $743 – $19,174 · median $7,946 15 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $743 – $23,736 · median $7,946 15 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $743 – $21,669 · median $7,946 15 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $743 – $27,887 · median $7,946 15 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $743 – $23,977 · median $7,946 15 plans
592 SKIN ULCERS WITH MCC $743 – $37,850 · median $8,000 15 plans
593 SKIN ULCERS WITH CC $743 – $17,227 · median $7,946 15 plans
594 SKIN ULCERS WITHOUT CC/MCC $743 – $11,211 · median $7,946 15 plans
595 MAJOR SKIN DISORDERS WITH MCC $743 – $39,387 · median $8,000 15 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $743 – $14,366 · median $7,946 15 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $743 – $22,788 · median $7,946 15 plans
598 MALIGNANT BREAST DISORDERS WITH CC $743 – $17,069 · median $7,946 15 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $743 – $14,601 · median $7,946 15 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
602 CELLULITIS WITH MCC $743 – $21,179 · median $7,946 15 plans
603 CELLULITIS WITHOUT MCC $743 – $12,596 · median $7,946 15 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $743 – $21,445 · median $7,946 15 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $743 – $12,939 · median $7,946 15 plans
606 MINOR SKIN DISORDERS WITH MCC $743 – $22,579 · median $7,946 15 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $743 – $12,722 · median $7,946 15 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $743 – $40,789 · median $8,000 15 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $743 – $20,946 · median $7,946 15 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $743 – $71,670 · median $8,000 15 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $743 – $28,255 · median $7,946 15 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $743 – $16,537 · median $7,946 15 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $743 – $46,875 · median $8,000 15 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $743 – $23,097 · median $7,946 15 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $743 – $21,603 · median $7,946 15 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $743 – $69,278 · median $8,000 15 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $743 – $26,503 · median $7,946 15 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $743 – $15,868 · median $7,946 15 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $743 – $52,900 · median $8,000 15 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $743 – $21,242 · median $7,946 15 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $743 – $17,598 · median $7,946 15 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $743 – $72,699 · median $8,000 15 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $743 – $40,977 · median $8,000 15 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $743 – $19,881 · median $7,946 15 plans
637 DIABETES WITH MCC $743 – $20,635 · median $7,946 15 plans
638 DIABETES WITH CC $743 – $12,806 · median $7,946 15 plans
639 DIABETES WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $743 – $18,726 · median $7,946 15 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $743 – $11,126 · median $7,946 15 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $743 – $18,556 · median $7,946 15 plans
643 ENDOCRINE DISORDERS WITH MCC $743 – $23,423 · median $7,946 15 plans
644 ENDOCRINE DISORDERS WITH CC $743 – $15,116 · median $7,946 15 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $743 – $9,978 · median $7,882 15 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $743 – $81,445 · median $8,000 15 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $743 – $62,628 · median $8,000 15 plans
652 KIDNEY TRANSPLANT $743 – $54,407 · median $8,000 15 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $743 – $98,035 · median $8,000 15 plans
654 MAJOR BLADDER PROCEDURES WITH CC $743 – $49,573 · median $8,000 15 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $743 – $38,170 · median $8,000 15 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $743 – $56,819 · median $8,000 15 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $743 – $26,258 · median $7,946 15 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $743 – $21,078 · median $7,946 15 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $743 – $46,882 · median $8,000 15 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $743 – $19,163 · median $7,946 15 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $743 – $14,927 · median $7,946 15 plans
662 MINOR BLADDER PROCEDURES WITH MCC $743 – $54,267 · median $8,000 15 plans
663 MINOR BLADDER PROCEDURES WITH CC $743 – $20,773 · median $7,946 15 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $743 – $15,115 · median $7,946 15 plans
665 PROSTATECTOMY WITH MCC $743 – $55,941 · median $8,000 15 plans
666 PROSTATECTOMY WITH CC $743 – $24,452 · median $7,946 15 plans
667 PROSTATECTOMY WITHOUT CC/MCC $743 – $14,944 · median $7,946 15 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $743 – $51,031 · median $8,000 15 plans
669 TRANSURETHRAL PROCEDURES WITH CC $743 – $21,850 · median $7,946 15 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $743 – $13,706 · median $7,946 15 plans
671 URETHRAL PROCEDURES WITH CC/MCC $743 – $24,374 · median $7,946 15 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $743 – $13,137 · median $7,946 15 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $743 – $66,967 · median $8,000 15 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $743 – $43,139 · median $8,000 15 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $743 – $22,589 · median $7,946 15 plans
682 RENAL FAILURE WITH MCC $743 – $21,368 · median $7,946 15 plans
683 RENAL FAILURE WITH CC $743 – $12,826 · median $7,946 15 plans
684 RENAL FAILURE WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $743 – $26,189 · median $7,946 15 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $743 – $14,883 · median $7,946 15 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $743 – $11,118 · median $7,946 15 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $743 – $16,721 · median $7,946 15 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $743 – $11,489 · median $7,946 15 plans
693 URINARY STONES WITH MCC $743 – $20,165 · median $7,946 15 plans
694 URINARY STONES WITHOUT MCC $743 – $11,144 · median $7,946 15 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $743 – $17,029 · median $7,946 15 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $743 – $9,854 · median $7,691 15 plans
697 URETHRAL STRICTURE $743 – $15,848 · median $7,946 15 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $743 – $23,555 · median $7,946 15 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $743 – $14,534 · median $7,946 15 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $743 – $27,934 · median $7,946 15 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $743 – $20,766 · median $7,946 15 plans
709 PENIS PROCEDURES WITH CC/MCC $743 – $38,391 · median $8,000 15 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $743 – $17,574 · median $7,946 15 plans
711 TESTES PROCEDURES WITH CC/MCC $743 – $38,444 · median $8,000 15 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $743 – $16,920 · median $7,946 15 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $743 – $20,655 · median $7,946 15 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $743 – $13,647 · median $7,946 15 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $743 – $39,976 · median $8,000 15 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $743 – $20,249 · median $7,946 15 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $743 – $25,823 · median $7,946 15 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $743 – $16,741 · median $7,946 15 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $743 – $26,693 · median $7,946 15 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $743 – $15,865 · median $7,946 15 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $743 – $11,526 · median $7,946 15 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $743 – $17,668 · median $7,946 15 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $743 – $9,585 · median $7,691 15 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $743 – $23,080 · median $7,946 15 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $743 – $11,392 · median $7,946 15 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $743 – $14,294 · median $7,946 15 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $743 – $39,362 · median $8,000 15 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $743 – $17,943 · median $7,946 15 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $743 – $70,393 · median $8,000 15 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $743 – $28,103 · median $7,946 15 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $743 – $19,429 · median $7,946 15 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $743 – $65,488 · median $8,000 15 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $743 – $25,443 · median $7,946 15 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $743 – $18,499 · median $7,946 15 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $743 – $25,371 · median $7,946 15 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $743 – $16,545 · median $7,946 15 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $743 – $26,802 · median $7,946 15 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $743 – $14,749 · median $7,946 15 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $743 – $23,864 · median $7,946 15 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $743 – $12,632 · median $7,946 15 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $743 – $20,003 · median $7,946 15 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $743 – $45,584 · median $8,000 15 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $743 – $19,364 · median $7,946 15 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $743 – $26,376 · median $7,946 15 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $743 – $15,444 · median $7,946 15 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $743 – $14,091 · median $7,946 15 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $743 – $21,237 · median $7,946 15 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $743 – $14,133 · median $7,946 15 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $743 – $14,173 · median $7,946 15 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $743 – $21,982 · median $7,946 15 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $743 – $11,372 · median $7,946 15 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $743 – $9,399 · median $7,691 15 plans
779 ABORTION WITHOUT D&C $743 – $14,084 · median $7,946 15 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $743 – $25,227 · median $7,946 15 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $743 – $14,581 · median $7,946 15 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $743 – $12,334 · median $7,946 15 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $743 – $24,909 · median $7,946 15 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $743 – $14,966 · median $7,946 15 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $743 – $12,173 · median $7,946 15 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $743 – $20,195 · median $7,946 15 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $743 – $14,180 · median $7,946 15 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $743 – $11,550 · median $7,946 15 plans
799 SPLENECTOMY WITH MCC $743 – $89,723 · median $8,000 15 plans
800 SPLENECTOMY WITH CC $743 – $51,026 · median $8,000 15 plans
801 SPLENECTOMY WITHOUT CC/MCC $743 – $25,482 · median $7,946 15 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $743 – $61,395 · median $8,000 15 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $743 – $26,457 · median $7,946 15 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $743 – $17,234 · median $7,946 15 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $743 – $14,355 · median $7,946 15 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $743 – $9,792 · median $7,735 15 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $743 – $39,661 · median $8,000 15 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $743 – $17,148 · median $7,946 15 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $743 – $14,302 · median $7,946 15 plans
811 RED BLOOD CELL DISORDERS WITH MCC $743 – $19,984 · median $7,946 15 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $743 – $12,824 · median $7,946 15 plans
813 COAGULATION DISORDERS $743 – $22,211 · median $7,946 15 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $743 – $38,538 · median $8,000 15 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $743 – $14,155 · median $7,946 15 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $743 – $40,836 · median $8,000 15 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $743 – $16,703 · median $7,946 15 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $743 – $12,917 · median $7,946 15 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $743 – $86,093 · median $7,946 15 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $743 – $40,421 · median $8,000 15 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $743 – $17,638 · median $7,946 15 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $743 – $81,525 · median $8,000 15 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $743 – $40,436 · median $8,000 15 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $743 – $18,387 · median $7,946 15 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $743 – $79,477 · median $8,000 15 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $743 – $41,962 · median $8,000 15 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $743 – $23,356 · median $7,946 15 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $743 – $57,112 · median $8,000 15 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $743 – $22,513 · median $7,946 15 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $743 – $14,378 · median $7,946 15 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $743 – $9,674 · median $7,691 15 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $743 – $79,719 · median $7,946 15 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $743 – $40,483 · median $8,000 15 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $743 – $17,047 · median $7,946 15 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $743 – $86,137 · median $8,000 15 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $743 – $27,798 · median $7,946 15 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $743 – $18,554 · median $7,946 15 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $743 – $56,594 · median $8,000 15 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $743 – $22,403 · median $7,946 15 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $743 – $15,183 · median $7,946 15 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $743 – $26,491 · median $7,946 15 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $743 – $16,476 · median $7,946 15 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $743 – $12,314 · median $7,946 15 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $743 – $17,265 · median $7,946 15 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $743 – $9,960 · median $7,868 15 plans
849 RADIOTHERAPY $743 – $48,739 · median $8,000 15 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $743 – $90,532 · median $8,000 15 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $743 – $29,020 · median $7,946 15 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $743 – $24,230 · median $7,946 15 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $743 – $80,194 · median $8,000 15 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $743 – $38,675 · median $8,000 15 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $743 – $18,273 · median $7,946 15 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $743 – $26,226 · median $7,946 15 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $743 – $14,316 · median $7,946 15 plans
864 FEVER AND INFLAMMATORY CONDITIONS $743 – $12,569 · median $7,946 15 plans
865 VIRAL ILLNESS WITH MCC $743 – $23,349 · median $7,946 15 plans
866 VIRAL ILLNESS WITHOUT MCC $743 – $13,066 · median $7,946 15 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $743 – $37,889 · median $8,000 15 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $743 – $15,455 · median $7,946 15 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $743 – $9,834 · median $7,691 15 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $743 – $99,166 · median $7,946 15 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $743 – $28,228 · median $7,946 15 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $743 – $14,664 · median $7,946 15 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $743 – $67,574 · median $8,000 15 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $743 – $13,592 · median $7,946 15 plans
881 DEPRESSIVE NEUROSES $743 – $12,907 · median $7,946 15 plans
882 NEUROSES EXCEPT DEPRESSIVE $743 – $13,374 · median $7,946 15 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $743 – $26,702 · median $7,946 15 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $743 – $25,015 · median $7,946 15 plans
885 PSYCHOSES $743 – $19,455 · median $7,946 15 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $743 – $23,944 · median $7,946 15 plans
887 OTHER MENTAL DISORDER DIAGNOSES $743 – $18,447 · median $7,946 15 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $743 – $9,390 · median $7,691 15 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $743 – $22,906 · median $7,946 15 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $743 – $25,317 · median $7,946 15 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $743 – $12,182 · median $7,946 15 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $743 – $78,372 · median $8,000 15 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $743 – $26,834 · median $7,946 15 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $743 – $17,676 · median $7,946 15 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $743 – $58,967 · median $8,000 15 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $743 – $22,549 · median $7,946 15 plans
906 HAND PROCEDURES FOR INJURIES $743 – $26,790 · median $7,946 15 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $743 – $67,356 · median $8,000 15 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $743 – $28,534 · median $7,946 15 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $743 – $19,311 · median $7,946 15 plans
913 TRAUMATIC INJURY WITH MCC $743 – $21,279 · median $7,946 15 plans
914 TRAUMATIC INJURY WITHOUT MCC $743 – $12,924 · median $7,946 15 plans
915 ALLERGIC REACTIONS WITH MCC $743 – $25,258 · median $7,946 15 plans
916 ALLERGIC REACTIONS WITHOUT MCC $743 – $9,390 · median $7,691 15 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $743 – $22,722 · median $7,946 15 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $743 – $12,257 · median $7,946 15 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $743 – $25,980 · median $7,946 15 plans
920 COMPLICATIONS OF TREATMENT WITH CC $743 – $14,719 · median $7,946 15 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $743 – $9,935 · median $7,691 15 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $743 – $24,844 · median $7,946 15 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $743 – $14,400 · median $7,946 15 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $743 – $477,330 · median $8,000 15 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $743 – $98,523 · median $7,946 15 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $743 – $58,229 · median $8,000 15 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $743 – $54,906 · median $8,000 15 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $743 – $37,893 · median $8,000 15 plans
935 NON-EXTENSIVE BURNS $743 – $29,061 · median $7,946 15 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $743 – $58,226 · median $8,000 15 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $743 – $39,235 · median $8,000 15 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $743 – $26,426 · median $7,946 15 plans
946 REHABILITATION WITHOUT CC/MCC $743 – $14,419 · median $7,946 15 plans
947 SIGNS AND SYMPTOMS WITH MCC $743 – $17,820 · median $7,946 15 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $743 – $11,405 · median $7,946 15 plans
949 AFTERCARE WITH CC/MCC $743 – $14,752 · median $7,946 15 plans
950 AFTERCARE WITHOUT CC/MCC $743 – $9,390 · median $7,691 15 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $743 – $9,390 · median $7,691 15 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $743 – $86,712 · median $7,946 15 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $743 – $70,230 · median $8,000 15 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $743 – $94,847 · median $7,946 15 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $743 – $73,247 · median $8,000 15 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $743 – $45,859 · median $8,000 15 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $743 – $49,515 · median $8,000 15 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $743 – $21,371 · median $7,946 15 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $743 – $13,610 · median $7,946 15 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $743 – $97,852 · median $7,946 15 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $743 – $43,541 · median $8,000 15 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $743 – $52,815 · median $8,000 15 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $743 – $19,411 · median $7,946 15 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $743 – $12,035 · median $7,946 15 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $743 – $20,162 · median $7,946 15 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $743 – $85,844 · median $8,000 15 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $743 – $45,019 · median $8,000 15 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $743 – $23,282 · median $7,946 15 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $743 – $61,149 · median $8,000 15 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $743 – $24,162 · median $7,946 15 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $743 – $15,381 · median $7,946 15 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $743 – $10,359 · median $7,946 15 plans
999 UNGROUPABLE $743 – $10,359 · median $7,946 15 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $743 – $17,343 · median $8,280 14 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $743 – $44,258 · median $8,307 14 plans
945 REHABILITATION WITH CC/MCC $743 – $21,492 · median $7,973 14 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $743 – $25,905 · median $7,691 13 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $743 – $85,429 · median $7,691 13 plans
791 PREMATURITY WITH MAJOR PROBLEMS $743 – $74,205 · median $7,946 13 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $743 – $44,775 · median $7,946 13 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $743 – $76,226 · median $7,946 13 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $743 – $21,213 · median $7,691 13 plans
795 NORMAL NEWBORN $743 – $9,390 · median $7,691 13 plans
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